I 112th CONGRESS 1st Session H. R. 3258 IN THE HOUSE OF REPRESENTATIVES October 25, 2011 Mr. Braley of Iowa (for himself, Ms. McCollum, Mr. Kind, Mr. DeFazio, and Mr. Inslee) 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 extend for a 2 year certain geographic practice cost index (GPCI) adjustments under the Medicare program, and for other purposes.

1.

Short title

This Act may be cited as the Medicare Equity Extension Act of 2011.

2.

2-year extension of certain Medicare GPCI adjustments

(a)

Extension of Medicare practice expense geographic adjustment under PPACA

Section 1848(e)(1)(H) of the Social Security Act (42 U.S.C. 1395w(e)(1)(H)) is amended— (1)in clause (ii)— (A)in the heading, by inserting , 2012, or 2013 after for 2011; and (B)by inserting , 2012, or 2013 after during 2011; and (2)in clause (iii), by striking or 2011 and inserting , 2011, 2012, or 2013. (b)

Further extension of medicare work geographic adjustment floor under MMEA

Section 1848(e)(1)(E) of the Social Security Act (42 U.S.C. 1395w–4(e)(1)(E)), as amended by section 103 of the Medicare and Medicaid Extenders Act of 2010 (Public Law 111–309), is amended by striking before January 1, 2012 and inserting before January 1, 2014.

3.

Sunset of special provisions for frontier States under section 10324 of PPACA

(a)

Area wage index floor for inpatient hospital services

Section 1886(d)(3)(E)(iii)(I) of the Social Security Act (42 U.S.C. 1395ww(d)(3)(E)(iii)(I)), as added by section 10324(a)(1)(B) of the Patient Protection and Affordable Care Act, is amended by inserting and before January 1, 2012 after October 1, 2010,. (b)

Area wage adjustment floor for hospital outpatient services

Section 1833(t)(19)(A) of the Social Security Act (42 U.S.C. 1395l(t)(19)(A)), as added by section 10324(b)(2) of the Patient Protection and Affordable Care Act, is amended by inserting and before January 1, 2012 after January 1, 2011,. (c)

Practice index floor for physicians’ services

Section 1848(e)(1)(I)(i) of the Social Security Act (42 U.S.C. 1395w–4(e)(1)(I)(i)), as added by section 10324(c)(2) of the Patient Protection and Affordable Care Act, is amended by inserting and before January 1, 2012 after January 1, 2011,.