Practice Economics

House passes temporary SGR fix, 1-year ICD-10 delay


 

Legislation to delay the 24% Medicare pay cut based on the Sustainable Growth Rate formula passed the House by a voice vote March 27, despite the objections of a large coalition of physician organizations.

The Protecting Access to Medicare Act (H.R. 4302) would delay the SGR-mandated cut slated to take effect March 31, replace it with a 0.5% pay increase through the end of 2014, and freeze Medicare pay at that rate for the first quarter of 2015. The bill also would delay implementation of ICD-10 for 1 year.

Alicia Ault/Frontline Medical News

The Protecting Access to Medicare Act (H.R. 4302) would delay the SGR-mandated cut slated to take effect March 31, replace it with a 0.5% pay increase through the end of 2014, and freeze Medicare pay at that rate for the first quarter of 2015.

At press time, it was uncertain if the Senate would take up the bill.

Physicians organizations favor full repeal of the SGR and would like to see it replaced with a payment and delivery system reform policy that passed the House earlier this month as H.R. 4015. Financing for that legislation depended on a 5-year delay on the Affordable Care Act’s individual mandate, something most Democratic lawmakers do not support. H.R. 4015 had not been taken up by the Senate as the March 31 deadline loomed.

Prior to the vote, a coalition of 58 organizations called on the House to vote against the legislation.

"Instead of reforming the Medicare physician payment system, Congress seems intent on imposing yet another round of arbitrary provider payment reductions to maintain a corrosive policy that essentially every member of Congress says should be scrapped," the coalition wrote in a letter to House Speaker John Boehner (R-Ohio) and Minority Leader Nancy Pelosi (D-Calif.). "The endless cycle of short-term remedies that serve to support a failed policy are no longer acceptable."

dfulton@frontlinemedcom.com

On Twitter @denisefulton

Recommended Reading

Choice vs. regulation: the role of public policy in obesity management
MDedge Family Medicine
Supreme Court divided on ACA contraception challenge
MDedge Family Medicine
VIDEO: Getting payers to cover obesity treatment
MDedge Family Medicine
Risk factors quantified for hepatitis C
MDedge Family Medicine
Feds pledge closer scrutiny of provider networks in 2015
MDedge Family Medicine
Evidence needed on obesity definition, treatment, AACE declares
MDedge Family Medicine
Feds extend ACA enrollment deadline for some
MDedge Family Medicine
Prenatal visits to non-ob.gyn. providers more common in younger women
MDedge Family Medicine
Line up credit now for possible ICD-10 cash crunch, experts advise
MDedge Family Medicine
Invasive cancer incidence highest in black men
MDedge Family Medicine