[Congressional Bills 117th Congress]
[From the U.S. Government Publishing Office]
[S. 610 Engrossed Amendment House (EAH)]
<DOC>
In the House of Representatives, U. S.,
December 7, 2021.
Resolved, That the bill from the Senate (S. 610) entitled ``An Act
to address behavioral health and well-being among health care
professionals.'', do pass with the following
AMENDMENT:
Strike out all after the enacting clause and insert:
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Protecting Medicare and American
Farmers from Sequester Cuts Act''.
SEC. 2. ADJUSTMENTS TO MEDICARE SEQUESTRATION REDUCTIONS.
(a) Extension of Temporary Suspension Through March 2022.--
(1) In general.--Section 3709(a) of division A of the CARES
Act (2 U.S.C. 901a note) is amended--
(A) in the subsection header by inserting ``and
Adjustment'' after ``Suspension''; and
(B) by striking ``December 31, 2021'' and inserting
``March 31, 2022''.
(2) Effective date.--The amendments made by paragraph (1)
shall take effect as if enacted as part of the CARES Act
(Public Law 116-136).
(b) Adjustments to Medicare Program Sequestration Reduction With
Respect to Fiscal Years 2022 and 2030.--Section 251A(6) of the Balanced
Budget and Emergency Deficit Control Act of 1985 (2 U.S.C. 901a(6)) is
amended--
(1) by redesignating subparagraph (C) as subparagraph (E);
and
(2) by inserting after subparagraph (B) the following new
subparagraphs:
``(C) Notwithstanding the 2 percent limit specified
in subparagraph (A) for payments for the Medicare
programs specified in section 256(d), the sequestration
order of the President under such subparagraph for
fiscal year 2022 shall be applied to such payments so
that with respect to the period beginning on April 1,
2022, and ending on June 30, 2022, the payment
reduction shall be 1.0 percent.
``(D) Notwithstanding the 2 percent limit specified
in subparagraph (A) for payments for the Medicare
programs specified in section 256(d), the sequestration
order of the President under such subparagraph for
fiscal year 2030 shall be applied to such payments so
that--
``(i) with respect to the first 6 months in
which such order is effective for such fiscal
year, the payment reduction shall be 2.25
percent; and
``(ii) with respect to the second 6 months
in which such order is so effective for such
fiscal year, the payment reduction shall be 3
percent.''.
SEC. 3. EXTENSION OF SUPPORT FOR PHYSICIANS AND OTHER PROFESSIONALS IN
ADJUSTING TO MEDICARE PAYMENT CHANGES.
(a) In General.--Section 1848 of the Social Security Act (42 U.S.C.
1395w-4) is amended--
(1) in subsection (c)(2)(B)(iv)(V), by striking ``2021''
and inserting ``2021 or 2022''; and
(2) in subsection (t)--
(A) in the subsection header, by striking ``2021''
and inserting ``2021 and 2022'';
(B) in paragraph (1)--
(i) by striking ``during 2021'' and
inserting ``during 2021 and 2022''; and
(ii) by striking ``for such services
furnished on or after January 1, 2021, and
before January 1, 2022, by 3.75 percent.'' and
inserting ``for--
``(A) such services furnished on or after January
1, 2021, and before January 1, 2022, by 3.75 percent;
and
``(B) such services furnished on or after January
1, 2022, and before January 1, 2023, by 3.0 percent.'';
and
(C) in paragraph (2)(C)--
(i) in the subparagraph header, by striking
``2021'' and inserting ``2021 and 2022'';
(ii) by inserting ``for services furnished
in 2021 or 2022'' after ``under this
subsection''; and
(iii) by inserting ``or 2022,
respectively'' before the period at the end.
(b) Report.--Section 101(c) of division N of the Consolidated
Appropriations Act, 2021 (Public Law 116-260) is amended--
(1) in the first sentence--
(A) by striking ``April 1, 2022'' and inserting
``each of April 1, 2022, and April 1, 2023''; and
(B) by striking ``, as added by subsection (a)''
and inserting ``furnished during 2021 or 2022,
respectively''; and
(2) in the second sentence--
(A) by striking ``Such report'' and inserting
``Each such report''; and
(B) by inserting ``with respect to 2021 or 2022, as
applicable'' after ``under such section''.
SEC. 4. PRESERVING PATIENT ACCESS TO CRITICAL CLINICAL LAB SERVICES.
(a) Revised Phase-in of Reductions From Private Payor Rate
Implementation.--Section 1834A(b)(3) of the Social Security Act (42
U.S.C. 1395m-1(b)(3)) is amended--
(1) in subparagraph (A), by striking ``through 2024'' and
inserting ``through 2025''; and
(2) in subparagraph (B)--
(A) in clause (ii), by striking ``for 2021'' and
inserting ``for each of 2021 and 2022''; and
(B) in clause (iii), by striking ``2022 through
2024'' and inserting ``2023 through 2025''.
(b) Revised Reporting Period for Reporting of Private Sector
Payment Rates for Establishment of Medicare Payment Rates.--Section
1834A(a)(1)(B) of the Social Security Act (42 U.S.C. 1395m-1(a)(1)(B))
is amended--
(1) in clause (i), by striking ``December 31, 2021'' and
inserting ``December 31, 2022''; and
(2) in clause (ii)--
(A) by striking ``January 1, 2022'' and inserting
``January 1, 2023''; and
(B) by striking ``March 31, 2022'' and inserting
``March 31, 2023''.
SEC. 5. DELAY TO THE IMPLEMENTATION OF THE RADIATION ONCOLOGY MODEL
UNDER THE MEDICARE PROGRAM.
Section 133 of Division CC of the Consolidated Appropriations Act,
2021 (Public Law 116-260) is amended by striking ``January 1, 2022''
and inserting ``January 1, 2023''.
SEC. 6. MEDICARE IMPROVEMENT FUND.
Section 1898(b)(1) of the Social Security Act (42 U.S.C.
1395iii(b)(1)) is amended by striking ``fiscal year 2021'' and all that
follows through the period at the end and inserting ``fiscal year 2021,
$101,000,000.''.
SEC. 7. PAYGO ANNUAL REPORT.
For the purposes of the annual report issued pursuant to section 5
of the Statutory Pay-As-You-Go Act of 2010 (2 U.S.C. 934) after
adjournment of the first session of the 117th Congress, and for
determining whether a sequestration order is necessary under such
section, the debit for the budget year on the 5-year scorecard, if any,
and the 10-year scorecard, if any, shall be deducted from such
scorecard in 2022 and added to such scorecard in 2023.
SEC. 8. EXPEDITED PROCEDURES FOR CONSIDERING AN INCREASE IN THE DEBT
LIMIT.
(a) Definition.--In this section, the term ``joint resolution''
means a joint resolution--
(1) that is introduced by the Majority Leader of the
Senate, or a designee, during the period beginning on the date
of enactment of this Act and ending on December 31, 2021;
(2) which does not have a preamble;
(3) the title of which is as follows: ``Joint resolution
relating to increasing the debt limit.''; and
(4) the matter after the resolving clause of which is as
follows: ``That the limitation under section 3101(b) of title
31, United States Code, as most recently increased by Public
Law 117-50 (31 U.S.C. 3101 note), is increased by
$_________.'', the blank space being appropriately filled in
with the dollar amount of the increase.
(b) Expedited Consideration in Senate.--
(1) Placement on calendar.--Upon introduction in the
Senate, the joint resolution shall be placed immediately on the
calendar.
(2) Proceeding to consideration.--
(A) In general.--Notwithstanding rule XXII of the
Standing Rules of the Senate, it is in order, not later
than January 15, 2022 (even though a previous motion to
the same effect has been disagreed to) to move to
proceed to the consideration of the joint resolution.
(B) Procedure.--For a motion to proceed to the
consideration of the joint resolution--
(i) all points of order against the motion
are waived;
(ii) the motion is not debatable;
(iii) the motion is not subject to a motion
to postpone;
(iv) a motion to reconsider the vote by
which the motion is agreed to or disagreed to
shall not be in order; and
(v) if the motion is agreed to, the joint
resolution shall remain the unfinished business
until disposed of.
(3) Floor consideration.--
(A) In general.--If the Senate proceeds to
consideration of the joint resolution--
(i) all points of order against the joint
resolution (and against consideration of the
joint resolution) are waived;
(ii) debate on the joint resolution, and
all debatable motions and appeals in connection
therewith, shall be limited to not more than 10
hours, which shall be divided equally between
the Chairman and Ranking Member of the
Committee on Finance;
(iii) an amendment to the joint resolution
is not in order;
(iv) a motion to postpone or a motion to
commit the joint resolution is not in order;
and
(v) a motion to proceed to the
consideration of other business is not in
order.
(B) Vote on passage.--The vote on passage shall
occur immediately following the conclusion of the
debate on the joint resolution and a single quorum call
if requested in accordance with the rules of the
Senate.
(C) Rulings of the chair on procedure.--Appeals
from the decisions of the Chair relating to the
application of this paragraph or the rules of the
Senate, as the case may be, to the procedure relating
to the joint resolution shall be decided without
debate.
(D) Single measure authorized.--It shall not be in
order to consider more than 1 joint resolution under
the procedures under this paragraph.
(E) Sunset.--It shall not be in order to consider a
joint resolution under the procedures under this
paragraph after January 16, 2022.
(4) Rules of the senate.--This subsection is enacted by
Congress--
(A) as an exercise of the rulemaking power of the
Senate, and as such is deemed a part of the rules of
the Senate, but applicable only with respect to the
procedure to be followed in the Senate in the case of a
joint resolution, and supersede other rules only to the
extent that they are inconsistent with such rules; and
(B) with full recognition of the constitutional
right of the Senate to change the rules (so far as
relating to the procedure of the Senate) at any time,
in the same manner, and to the same extent as in the
case of any other rule of the Senate.
Attest:
Clerk.
117th CONGRESS
1st Session
S. 610
_______________________________________________________________________
AMENDMENT