H.R. 3961 - Medicare Physician Payment Reform Act of 2009

Social Security, PAYGO - Health. 111th Congress (2009-2010) View bill details
Sponsor:
Summary:
An Act to extend expiring provisions of the USA PATRIOT Improvement and Reauthorization Act of 2005 and Intelligence Reform and Terrorism Prevention Act of 2004 until February 28, 2011. (by CRS) 
Status:
The bill has become law. 
Amendments:
2 proposed amendments. 2 accepted. View amendments 
Senate Vote: On Passage

PASSED by voice vote on February 24, 2010.

Medicare Physician Payment Reform Act of 2009

H.R. 3961 — 111th Congress (2009–2010)

Keywords
Social Security, PAYGO
Summary
An Act to extend expiring provisions of the USA PATRIOT Improvement and Reauthorization Act of 2005 and Intelligence Reform and Terrorism Prevention Act of 2004 until February 28, 2011. (by CRS)
Learn More
At OpenCongress
Title
To amend title XVIII of the Social Security Act to reform the Medicare SGR payment system for physicians.
Other Titles
  • Medicare Physician Payment Reform Act of 2009
  • Medicare Physician Payment Reform Act of 2009
  • Statutory Pay-As-You-Go Act of 2009
  • To amend title XVIII of the Social Security Act to reform the Medicare SGR payment system for physicians and to reinstitute and update the Pay-As-You-Go requirement of budget neutrality on new tax and mandatory spending legislation, enforced by the threat of annual, automatic sequestration.
  • An Act to extend expiring provisions of the USA PATRIOT Improvement and Reauthorization Act of 2005 and Intelligence Reform and Terrorism Prevention Act of 2004 until February 28, 2011.
Sponsor
John Dingell
Co-Sponsors
Subjects
  • Health
  • Appropriations
  • Budget deficits and national debt
  • Congressional committees
  • Financial crises and stabilization
  • Government information and archives
  • Health care costs and insurance
  • Health personnel
  • House Committee on the Budget
  • Income tax rates
  • Judicial review and appeals
  • Legislative rules and procedure
  • Medicaid
  • Medicare
  • Prescription drugs
  • Senate Committee on the Budget
  • Social security and elderly assistance
  • Transfer and inheritance taxes
Related Bills
Major Actions
Introduced10/29/2009
Referred to Committee
Amendments (2 proposed)
Passed House11/19/2009
Passed Senate2/24/2010
Signed by President2/27/2010
Bill History
Chamber/CommitteeMotionDateResult
select this voteHouseTable Appeal of the Ruling of the Chair: H.R. 3961 Medicare Physician Payment Reform Act of 200911/19/2009This motion PASSED the House
251 voted YES 177 voted NO 6 voted present/not voting
select this voteHouseOn Motion to Recommit with Instructions: H.R. 3961 Medicare Physician Payment Reform Act of 200911/19/2009This motion DID NOT PASS the House
177 voted YES 252 voted NO 5 voted present/not voting
select this voteHouseOn Passage - House - H.R. 3961 Medicare Physician Payment Reform Act of 200911/19/2009This bill PASSED the House
243 voted YES 183 voted NO 8 voted present/not voting
currently selectedSenatePassed Senate with an amendment and an amendment to the Title by Voice Vote.2/24/2010PASSED by voice vote
select this voteSenateAmendment SA 3331 agreed to in Senate by Unanimous Consent.2/24/2010PASSED by voice vote
select this voteSenateAmendment SA 3332 agreed to in Senate by Unanimous Consent.2/24/2010PASSED by voice vote
select this voteHouseOn Motion to Concur in Senate Amendments: H.R. 3961 Medicare Physician Payment Reform Act2/26/2010This motion PASSED the House
315 voted YES 97 voted NO 20 voted present/not voting
ActionDateDescription
Introduced10/29/2009
10/29/2009Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
10/29/2009Referred to House Energy and Commerce
10/29/2009Referred to House Ways and Means
11/07/2009Rules Committee Resolution H. Res. 903 Reported to House. Rule provides for consideration of H.R. 3962 and H.R. 3961 with 4 hours of general debate. Previous question shall be considered as ordered without intervening motions except motion to recommit with or without instructions. Measure will be considered read. Specified amendments are in order. All points of order against consideration of the bill are waived except those arising under clause 9 or 10 of rule XXI.
11/07/2009Rule H. Res. 903 passed House.
11/19/2009Mr. Gingrey (GA) appealed the ruling of the chair. The question was then put on sustaining the ruling of the chair.
11/19/2009Mr. Waxman moved to table the motion to appeal the ruling of the chair
11/19/2009Mr. Cantor moved to recommit with instructions to Energy and Commerce.
11/19/2009DEBATE - The House proceeded with 10 minutes of debate on the Cantor motion to recommit with instructions. The instructions contained in the motion seek to report the same back to the House with an amendment to direct the Secretary of Health and Human Services to implement an adjustment in payments for physician services under section 1848 of the Social Security Act.
11/19/2009The previous question on the motion to recommit with instructions was ordered without objection.
11/19/2009Considered under the provisions of rule H. Res. 903.
11/19/2009Rule provides for consideration of H.R. 3962 and H.R. 3961 with 4 hours of general debate. Previous question shall be considered as ordered without intervening motions except motion to recommit with or without instructions. Measure will be considered read. Specified amendments are in order. All points of order against consideration of the bill are waived except those arising under clause 9 or 10 of rule XXI.
11/19/2009DEBATE - The House proceeded with one hour of debate on H.R. 3961.
11/19/2009The previous question was ordered pursuant to the rule.
11/19/2009Mr. Gingrey (GA) moved to recommit with instructions to Energy and Commerce.
11/19/2009DEBATE - The House proceeded with 10 minutes of debate on the Gingrey motion to recommit with instructions. The instructions contained in the motion seek to require the bill to be reported back to the House forthwith with an amendment in the nature of a substitute relating to Medicare SGR improvement and reform.
11/19/2009Point of order sustained against the motion to recommit with instructions.
11/19/2009Mr. Waxman raised a point of order against the motion to recommit with instructions. Mr. Waxman stated that the motion to recommit seeks to exceed the scope of the bill and the amendment is therefore, not germane. Sustained by the Chair.
select this voteVote11/19/2009Table Appeal of the Ruling of the Chair: H.R. 3961 Medicare Physician Payment Reform Act of 2009
select this voteVote11/19/2009On Motion to Recommit with Instructions: H.R. 3961 Medicare Physician Payment Reform Act of 2009
select this voteHouse Vote on Passage11/19/2009On Passage - House - H.R. 3961 Medicare Physician Payment Reform Act of 2009
11/20/2009Received in the Senate.
12/24/2009Read the first time. Placed on Senate Legislative Calendar under Read the First Time.
Put on a legislative calendar1/20/2010Read the second time. Placed on Senate Legislative Calendar under General Orders. Calendar No. 252.
2/24/2010Measure laid before Senate by unanimous consent.
2/24/2010Message on Senate action sent to the House.
currently selectedSenate Vote on Passage2/24/2010Passed Senate with an amendment and an amendment to the Title by Voice Vote.
2/24/2010Amendment SA 3331 proposed by Senator Reid.
select this voteVote2/24/2010Amendment SA 3331 agreed to in Senate by Unanimous Consent.
2/24/2010Amendment SA 3332 proposed by Senator Reid.
select this voteVote2/24/2010Amendment SA 3332 agreed to in Senate by Unanimous Consent.
2/25/2010Pursuant to the provisions of H. Res. 1109, Mr. Conyers took from the Speaker's table H.R. 3961 with the Senate amendments thereto, and was recognized for a motion.
2/25/2010Mr. Conyers moved that the House agree to the Senate amendments.
2/25/2010DEBATE - The House proceeded with one hour of debate on the Conyers motion to agree to the Senate amendments to H.R. 3961.
2/25/2010The previous question was ordered pursuant to the rule.
2/25/2010POSTPONED PROCEEDINGS - Pursuant to clause 1(c) of rule 19, the Chair postponed further proceedings on the Conyers motion to concur in the Senate amendments to H.R. 3961 until later in the legislative day.
2/25/2010POSTPONED PROCEEDINGS - The Chair put the question on concurring in the Senate amendments and by voice vote announced that the ayes had prevailed. Mr. Posey objected to the vote on the grounds that a quorum was not present. Pursuant to clause 6 of rule XX, the yeas and nays were ordered.
Presented to President2/25/2010Cleared for White House.
select this voteVote2/26/2010On Motion to Concur in Senate Amendments: H.R. 3961 Medicare Physician Payment Reform Act
Presented to President2/26/2010Presented to President.
Signed2/27/2010Signed by President.
Enacted2/27/2010Became Public Law No: 111-141.
NumberSponsorDate OfferedStatus
select this voteS. Amdt. 3331Reid, Harry [D-NV]February 24, 2010Passed by voice vote on February 23, 2010.

In the nature of a substitute.

Show amendment details

select this voteS. Amdt. 3332Reid, Harry [D-NV]February 24, 2010Passed by voice vote on February 23, 2010.

To amend the title.

Show amendment details

Total contributions given to Senators from interest groups that…

393 times as much
$8,630,965
$1,234,777
$206,873
$310,804
$209,775
$1,187,858
$1,326,371
$309,800
$13,417,223
$34,175
$34,175

opposed this bill

Fiscal & tax policy [About]
Physicians (split) [About]
21 Organizations Supported and 3 Opposed; See Which Ones

Organizations that took a position on
Medicare Physician Payment Reform Act of 2009: Passed Senate with an amendment and an amendment to the Title by Voice Vote.

21 organizations supported this bill

AARP
AARP (2009, November 19). AARP Statement on H.R. 3961, the Medicare Physician Payment Reform Act of 2009 . Retrieved February 26, 2010, from AARP.
American Academy of Family Physicians
AAFP (2009, November 0). SUPPORT HR 3961 – Medicare Physician Payment Reform Act. Retrieved February 26, 2010, from AAFP.
American Academy of Neurology
AAMC (2009, November 13). Letter to Speaker Pelosi. Retrieved February 26, 2010, from AAMC.
American Academy of Ophthalmology
AAMC (2009, November 13). Letter to Speaker Pelosi. Retrieved February 26, 2010, from AAMC.
American Academy of Pediatrics
AAMC (2009, November 13). Letter to Speaker Pelosi. Retrieved February 26, 2010, from AAMC.
American Academy of Sleep Medicine
AAMC (2009, November 13). Letter to Speaker Pelosi. Retrieved February 26, 2010, from AAMC.
American College of Cardiology
AAMC (2009, November 13). Letter to Speaker Pelosi. Retrieved February 26, 2010, from AAMC.
American College of Physicians
AAMC (2009, November 13). Letter to Speaker Pelosi. Retrieved February 26, 2010, from AAMC.
American College of Surgeons
AAMC (2009, November 13). Letter to Speaker Pelosi. Retrieved February 26, 2010, from AAMC.
American Medical Association
Rohack, J. James (2009, November 19). U.S. House votes with seniors, military families and physicians to preserve access to health care. Retrieved February 26, 2010, from AMA.
American Physical Therapy Association
Ward, R. Scott; PT, PhD (2009, November 25). Medicare Physician Payment Reform Act Of 2009. Medical News Today. Retrieved February 26, 2010.
American Psychiatric Association
AAMC (2009, November 13). Letter to Speaker Pelosi. Retrieved February 26, 2010, from AAMC.
American Society for Reproductive Medicine
AAMC (2009, November 13). Letter to Speaker Pelosi. Retrieved February 26, 2010, from AAMC.
American Society of Anesthesiologists
ASA (2010, January 29). U.S. House to vote on permanent SGR fix—call your Representative today. Retrieved February 26, 2010, from ASA.
American Society of Hematology
ASH (2009, November 5). Support H.R. 3961 . Retrieved February 26, 2010, from ASH.
Association of American Medical Colleges
AAMC (2009, November 13). Letter to Speaker Pelosi. Retrieved February 26, 2010, from AAMC.
Associaton Of The United States Army
Sullivan, Gordon R. (2009, November 13). Letter sent to: U.S. Representatives: Pelosi, Boehner, Rangel, and Camp. Retrieved February 26, 2010, from AUSA.
College of American Pathologists
AAMC (2009, November 13). Letter to Speaker Pelosi. Retrieved February 26, 2010, from AAMC.
Massachusetts Medical Society
MMS (2009, November 4). MMS Call to Action: HR 3961 Medicare Physician Payment Reform Act of 2009 goes to House Floor This Week. Retrieved February 26, 2010, from MMS.
Medical Group Management Association
MGMA (2009, November 6). MGMA supports Medicare Physician Payment Reform Act (H.R. 3961) and Affordable Health Care for America Act (H.R. 3962). Retrieved February 26, 2010, from SurgiStrategies.
Society for Maternal-Fetal Medicine
AAMC (2009, November 13). Letter to Speaker Pelosi. Retrieved February 26, 2010, from AAMC.

3 organizations opposed this bill

Association of American Physicians and Surgeons
AAPS (2009, November 17). Call Congress - Tell Them "No on H.R. 3961!" . Retrieved February 26, 2010, from AAPS.
FreedomWorks
Clemente, Matthew (2009, November 18). Demand that Representatives "VOTE NO" on H.R. 3961. Retrieved February 26, 2010, from Freedomworks .
Heritage Foundation
Rettenmaier, Andrew J. and Thomas R. Saving (2009, November 13). How the Medicare "Doc Fix" Would Add to the Long-Term Medicare Debt. Retrieved February 26, 2010, from Heritage.

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View citations of support and opposition

Includes reported contributions to congressional campaigns of Senators in office on day of vote, from interest groups invested in the vote according to MapLight, January 1, 2005 – December 31, 2010.
Contributions data source: OpenSecrets.org

Contributions by Legislator

NamePartyStatesort icon$ From Interest Groups
That Supported
$ From Interest Groups
That Opposed
Vote
Mark BegichDAK$59,525$0Yes
Lisa MurkowskiRAK$58,350$0Yes
Jeff SessionsRAL$103,410$1,000Yes
Richard ShelbyRAL$26,300$0Yes
Blanche LincolnDAR$321,162$1,000Yes
Mark PryorDAR$83,550$0Yes
Jon KylRAZ$346,901$5,400Yes
John McCainRAZ$118,924$0Yes
Barbara BoxerDCA$194,838$0Yes
Dianne FeinsteinDCA$56,400$0Yes
Michael BennetDCO$128,314$2,500Yes
Mark UdallDCO$202,250$0Yes
Chris DoddDCT$138,550$0Yes
Joe LiebermanICT$154,470$0Yes
Tom CarperDDE$73,780$0Yes
Ted KaufmanDDE$0$0Yes
George LeMieuxRFL$0$0Yes
Clarence "Bill" NelsonDFL$153,002$0Yes
Clarence Saxby ChamblissRGA$176,125$7,000Yes
Johnny IsaksonRGA$173,150$0Yes
Daniel K. AkakaDHI$25,750$0Yes
Dan InouyeDHI$48,200$0Yes
Chuck GrassleyRIA$255,566$0Yes
Tom HarkinDIA$288,198$0Yes
Mike CrapoRID$82,225$0Yes
Jim RischRID$21,250$0Yes
Roland BurrisDIL$250$0Yes
Dick DurbinDIL$147,659$0Yes
Birch "Evan" BayhDIN$49,600$0Yes
Dick LugarRIN$25,900$0Yes
Sam BrownbackRKS$3,500$0Yes
Charles "Pat" RobertsRKS$180,700$0Yes
Jim BunningRKY$35,700$0Yes
Addison "Mitch" McConnellRKY$391,750$0Yes
Mary LandrieuDLA$156,258$0Yes
David VitterRLA$229,250$0Yes
Scott BrownRMA$190,051$525Yes
John KerryDMA$126,380$0Yes
Ben CardinDMD$290,760$0Yes
Barbara MikulskiDMD$107,659$0Yes
Susan CollinsRME$204,119$1,000Yes
Olympia SnoweRME$144,184$0Yes
Carl LevinDMI$49,300$0Yes
Debbie StabenowDMI$231,315$0Yes
Alan FrankenDMN$128,196$500Yes
Amy KlobucharDMN$107,700$0Yes
Christopher "Kit" BondRMO$6,550$0Yes
Claire McCaskillDMO$111,600$500Yes
William Thad CochranRMS$45,750$0Yes
Roger WickerRMS$141,075$0Yes
Max BaucusDMT$380,969$0Yes
Jon TesterDMT$87,699$0Yes
Richard BurrRNC$330,900$0Yes
Kay HaganDNC$46,381$0Yes
Gaylord Kent ConradDND$166,033$0Yes
Byron DorganDND$29,500$0Yes
Mike JohannsRNE$68,600$0Yes
Earl "Ben" NelsonDNE$189,050$0Yes
Judd GreggRNH$2,250$0Yes
Jeanne ShaheenDNH$95,180$0Yes
Frank LautenbergDNJ$47,800$0Yes
Bob MenéndezDNJ$128,250$0Yes
Jesse "Jeff" BingamanDNM$139,132$0Yes
Tom UdallDNM$113,410$0Yes
John EnsignRNV$134,500$5,000Yes
Harry ReidDNV$369,195$2,500Yes
Kirsten GillibrandDNY$195,027$0Yes
Chuck SchumerDNY$200,450$0Yes
Sherrod BrownDOH$437,200$0Yes
George VoinovichROH$20,200$0Yes
Tom CoburnROK$166,769$0Yes
Jim InhofeROK$53,400$0Yes
Jeff MerkleyDOR$53,575$500Yes
Ron WydenDOR$234,090$0Yes
Bob CaseyDPA$144,110$0Yes
Arlen SpecterDPA$196,050$0Yes
John "Jack" ReedDRI$124,150$0Yes
Sheldon WhitehouseDRI$45,850$0Yes
Jim DeMintRSC$192,878$0Yes
Lindsey GrahamRSC$65,258$0Yes
Tim JohnsonDSD$129,439$0Yes
John ThuneRSD$135,888$0Yes
Andrew Lamar AlexanderRTN$83,100$0Yes
Bob CorkerRTN$149,900$5,000Yes
John CornynRTX$370,700$0Yes
Kay Bailey HutchisonRTX$88,300$0Yes
Bob BennettRUT$30,250$0Yes
Orrin HatchRUT$134,550$1,500Yes
Mark WarnerDVA$144,849$0Yes
Jim WebbDVA$78,404$0Yes
Patrick LeahyDVT$20,850$0Yes
Bernie SandersIVT$44,922$0Yes
Maria CantwellDWA$131,650$0Yes
Patty MurrayDWA$252,667$0Yes
Russ FeingoldDWI$204,553$250Yes
Herb KohlDWI$0$0Yes
Robert ByrdDWV$26,850$0Yes
John "Jay" RockefellerDWV$147,650$0Yes
John BarrassoRWY$286,450$0Yes
Mike EnziRWY$102,999$0Yes

Add Data Filters:

Legislator Filters
Legislator Filters
Show All
NamePartyState$ From Interest Groups
That Supported
$ From Interest Groups
That Opposed
Vote
Daniel K. AkakaDHI$25,750$0Yes
Andrew Lamar AlexanderRTN$83,100$0Yes
John BarrassoRWY$286,450$0Yes
Max BaucusDMT$380,969$0Yes
Birch "Evan" BayhDIN$49,600$0Yes
Mark BegichDAK$59,525$0Yes
Michael BennetDCO$128,314$2,500Yes
Bob BennettRUT$30,250$0Yes
Jesse "Jeff" BingamanDNM$139,132$0Yes
Christopher "Kit" BondRMO$6,550$0Yes
Barbara BoxerDCA$194,838$0Yes
Scott BrownRMA$190,051$525Yes
Sherrod BrownDOH$437,200$0Yes
Sam BrownbackRKS$3,500$0Yes
Jim BunningRKY$35,700$0Yes
Richard BurrRNC$330,900$0Yes
Roland BurrisDIL$250$0Yes
Robert ByrdDWV$26,850$0Yes
Maria CantwellDWA$131,650$0Yes
Ben CardinDMD$290,760$0Yes
Tom CarperDDE$73,780$0Yes
Bob CaseyDPA$144,110$0Yes
Clarence Saxby ChamblissRGA$176,125$7,000Yes
Tom CoburnROK$166,769$0Yes
William Thad CochranRMS$45,750$0Yes
Susan CollinsRME$204,119$1,000Yes
Gaylord Kent ConradDND$166,033$0Yes
Bob CorkerRTN$149,900$5,000Yes
John CornynRTX$370,700$0Yes
Mike CrapoRID$82,225$0Yes
Jim DeMintRSC$192,878$0Yes
Chris DoddDCT$138,550$0Yes
Byron DorganDND$29,500$0Yes
Dick DurbinDIL$147,659$0Yes
John EnsignRNV$134,500$5,000Yes
Mike EnziRWY$102,999$0Yes
Russ FeingoldDWI$204,553$250Yes
Dianne FeinsteinDCA$56,400$0Yes
Alan FrankenDMN$128,196$500Yes
Kirsten GillibrandDNY$195,027$0Yes
Lindsey GrahamRSC$65,258$0Yes
Chuck GrassleyRIA$255,566$0Yes
Judd GreggRNH$2,250$0Yes
Kay HaganDNC$46,381$0Yes
Tom HarkinDIA$288,198$0Yes
Orrin HatchRUT$134,550$1,500Yes
Kay Bailey HutchisonRTX$88,300$0Yes
Jim InhofeROK$53,400$0Yes
Dan InouyeDHI$48,200$0Yes
Johnny IsaksonRGA$173,150$0Yes
Mike JohannsRNE$68,600$0Yes
Tim JohnsonDSD$129,439$0Yes
Ted KaufmanDDE$0$0Yes
John KerryDMA$126,380$0Yes
Amy KlobucharDMN$107,700$0Yes
Herb KohlDWI$0$0Yes
Jon KylRAZ$346,901$5,400Yes
Mary LandrieuDLA$156,258$0Yes
Frank LautenbergDNJ$47,800$0Yes
George LeMieuxRFL$0$0Yes
Patrick LeahyDVT$20,850$0Yes
Carl LevinDMI$49,300$0Yes
Joe LiebermanICT$154,470$0Yes
Blanche LincolnDAR$321,162$1,000Yes
Dick LugarRIN$25,900$0Yes
John McCainRAZ$118,924$0Yes
Claire McCaskillDMO$111,600$500Yes
Addison "Mitch" McConnellRKY$391,750$0Yes
Bob MenéndezDNJ$128,250$0Yes
Jeff MerkleyDOR$53,575$500Yes
Barbara MikulskiDMD$107,659$0Yes
Lisa MurkowskiRAK$58,350$0Yes
Patty MurrayDWA$252,667$0Yes
Earl "Ben" NelsonDNE$189,050$0Yes
Clarence "Bill" NelsonDFL$153,002$0Yes
Mark PryorDAR$83,550$0Yes
John "Jack" ReedDRI$124,150$0Yes
Harry ReidDNV$369,195$2,500Yes
Jim RischRID$21,250$0Yes
Charles "Pat" RobertsRKS$180,700$0Yes
John "Jay" RockefellerDWV$147,650$0Yes
Bernie SandersIVT$44,922$0Yes
Chuck SchumerDNY$200,450$0Yes
Jeff SessionsRAL$103,410$1,000Yes
Jeanne ShaheenDNH$95,180$0Yes
Richard ShelbyRAL$26,300$0Yes
Olympia SnoweRME$144,184$0Yes
Arlen SpecterDPA$196,050$0Yes
Debbie StabenowDMI$231,315$0Yes
Jon TesterDMT$87,699$0Yes
John ThuneRSD$135,888$0Yes
Mark UdallDCO$202,250$0Yes
Tom UdallDNM$113,410$0Yes
David VitterRLA$229,250$0Yes
George VoinovichROH$20,200$0Yes
Mark WarnerDVA$144,849$0Yes
Jim WebbDVA$78,404$0Yes
Sheldon WhitehouseDRI$45,850$0Yes
Roger WickerRMS$141,075$0Yes
Ron WydenDOR$234,090$0Yes

Interest Groups that supported this bill

$ Donated
Physicians$8,770,689
Other physician specialists$8,630,965
Psychiatrists & psychologists$1,326,371
Other non-physician health practitioners$1,234,777
Optometrists & Ophthalmologists$1,187,858
Elderly issues/Social Security$310,804
Medical schools$309,800
Health professionals$209,775
Military$206,873

Interest Groups that opposed this bill

$ Donated
Physicians$8,770,689
Fiscal & tax policy$34,175
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