[Congressional Bills 111th Congress]
[From the U.S. Government Publishing Office]
[H.R. 2201 Introduced in House (IH)]

111th CONGRESS
  1st Session
                                H. R. 2201

To amend part B of title XVIII of the Social Security Act to provide a 
    floor of 1.0 for the practice expense and for the work expense 
  geographic practice cost indices (GPCI) under the Medicare Program.


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                    IN THE HOUSE OF REPRESENTATIVES

                             April 30, 2009

Mr. Braley of Iowa (for himself, Mr. Smith of Nebraska, Mr. Barrow, Mr. 
Teague, Mr. Boucher, and Mr. Kind) introduced the following bill; which 
 was referred 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

_______________________________________________________________________

                                 A BILL


 
To amend part B of title XVIII of the Social Security Act to provide a 
    floor of 1.0 for the practice expense and for the work expense 
  geographic practice cost indices (GPCI) under the Medicare Program.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Medicare Equity and Accessibility 
Act of 2009''.

SEC. 2. MEDICARE GPCI FLOORS.

    (a) Floor of 1.0 for Practice Expenses.--Section 1848(e)(1) of the 
Social Security Act (42 U.S.C. 1395w-4(e)(1)) is amended by inserting 
after subparagraph (E) the following new subparagraph:
                    ``(F) Floor at 1.0 for practice expense index.--
                After calculating the practice expense index in 
                subparagraph (A)(ii), for purposes of payment for 
                services furnished on or after January 1, 2010, the 
                Secretary shall increase the practice expense 
                geographic index to 1.00 for any locality for which 
                such practice expense geographic index is less than 
                1.00.''.
    (b) Extension of Floor of 1.0 for Work Expenses.--Subparagraph (E) 
of such section is amended by striking ``and before January 1, 2010,''.
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