II 112th CONGRESS 2d Session S. 3337 IN THE SENATE OF THE UNITED STATES June 25, 2012 Mr. Paul introduced the following bill; which was read twice and referred to the Committee on Finance A BILL To amend title XVIII of the Social Security Act to provide for the elimination of the Medicare sustainable growth rate (SGR) formula to ensure access to physicians' services for Medicare beneficiaries.

1.

Short title

This Act may be cited as the Access to Physicians in Medicare Act of 2012.

2.

Elimination of sustainable growth rate formula

(a)

Update for 2013 and subsequent years

Section 1848(d) of the Social Security Act (42 U.S.C. 1395w–4(d)) is amended by adding at the end the following new paragraph: (14)

Update for 2013 and subsequent years

In lieu of the update to the single conversion factor established in paragraph (1)(C) that would otherwise apply for 2013 and each subsequent year, the update to the single conversion factor for each such year shall be the lesser of— (A)the annual percentage increase in the Consumer Price Index for Urban Wage Earners and Clerical Workers for the year; and (B)3.0 percent. . (b)

Conforming sunset of the Medicare sustainable growth rate (SGR) formula

Section 1848(f) of the Social Security Act (42 U.S.C. 1395w–4(f)) is amended— (1)in paragraph (1)(B), by inserting (ending with 2011) after each succeeding year; and (2)in paragraph (2), by inserting and ending with 2012 after beginning with 2000 in the matter preceding subparagraph (A).

3.

Repeal of mandatory health care coverage expansion under the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010

(a)

Repeal of mandatory Medicaid and CHIP expansion under PPACA

(1)

In general

Except as provided in paragraph (2), effective as of the date of enactment of the Patient Protection and Affordable Care Act (Public Law 111–148), any provision of such Act or an amendment made by such Act that amends or authorizes a program or activity with respect to the Medicaid program under title XIX of the Social Security Act or the Children's Health Insurance Program under title XXI of the Social Security Act is repealed, and Public Law 111–148 and the Social Security Act shall be applied without regard to such provision or as if such provision had not been enacted. (2)

Exemption for program integrity provisions

The repeal under paragraph (1) does not apply to the provisions of, and amendments made by, title IV of Public Law 111–148 (relating to transparency and program integrity). (b)

Repeal of provisions related to mandatory establishment of State-Based exchanges under PPACA

Effective as of the date of enactment of the Patient Protection and Affordable Care Act, title I of such Act is repealed, and the provisions of law amended or repealed by such title are restored or revived as if such title had not been enacted. (c)

Repeal of provisions related to Medicaid or State-Based Exchanges under HCERA

Effective as of the date of enactment of the Health Care and Education Reconciliation Act of 2010 (Public Law 111–152), subtitles A and C of title I of such Act are repealed, and the provisions of law amended or repealed by such subtitles are restored or revived as if such subtitles had not been enacted.

4.

Savings to be used to reduce the Federal deficit

Any reduced Federal expenditures from the provisions of, and amendments made by, this Act shall be used to reduce the Federal deficit.