[Congressional Bills 117th Congress]
[From the U.S. Government Publishing Office]
[H.R. 5054 Introduced in House (IH)]

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117th CONGRESS
  1st Session
                                H. R. 5054

To amend title XVIII of the Social Security Act to improve the accuracy 
  of geographic adjustment factors under the Medicare program and to 
  permanently extend certain adjustments to such factors for certain 
                  localities, and for other purposes.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                            August 20, 2021

Mrs. Axne (for herself, Mr. Kind, Mr. LaHood, Ms. Sewell, and Mr. Smith 
 of Nebraska) 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 title XVIII of the Social Security Act to improve the accuracy 
  of geographic adjustment factors under the Medicare program and to 
  permanently extend certain adjustments to such factors for certain 
                  localities, and for other purposes.

    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 ``Keep Physicians Serving Patients Act 
of 2021''.

SEC. 2. IMPROVING THE ACCURACY OF GEOGRAPHIC ADJUSTMENT FACTORS.

    Section 1848(e)(1)(D) of the Social Security Act (42 U.S.C. 1395w-
4(e)(1)(D)) is amended to read as follows:
                    ``(D) Use of accurate data.--
                            ``(i) In general.--In establishing indices 
                        and index values under this paragraph, the 
                        Secretary shall use the most recent data 
                        available relating to practice expenses, 
                        malpractice expenses, and physician work effort 
                        in each fee schedule area.
                            ``(ii) Practice expense and work indices.--
                        In establishing indices and index values under 
                        clause (i) or (iii) of subparagraph (A), the 
                        Secretary shall--
                                    ``(I) use the most recent market 
                                data available on physician wages, or 
                                if available, actual cost data for 
                                physician labor; and
                                    ``(II) not use nonphysician 
                                professional wage data as a proxy for 
                                physician wage data.
                            ``(iii) Practice expense calculation.--In 
                        calculating index values under clause (i) of 
                        subparagraph (A), the Secretary shall use the 
                        most recent office rent data available or data 
                        from Federally qualified health centers (as 
                        defined in section 1861(aa)(4)) expense 
                        reports.''.

SEC. 3. FLOOR FOR WORK AND PRACTICE EXPENSE GEOGRAPHIC INDICES.

    (a) Work Geographic Index.--Section 1848(e)(1)(E) of the Social 
Security Act (42 U.S.C. 1395w-4(e)(1)(E)) is amended--
            (1) by striking ``and before January 1, 2024,''; and
            (2) by adding at the end the following: ``Any such increase 
        made for purposes of payment for services furnished on or after 
        January 1, 2022, shall not be applied in a budget neutral 
        manner.''.
    (b) Practice Expense Geographic Indices.--Section 1848(e)(1)(I) of 
the Social Security Act (42 U.S.C. 1395w-4(e)(1)(I)) is amended--
            (1) in the header, by striking ``for services furnished in 
        frontier states'';
            (2) in clause (i), by inserting ``and for purposes of 
        payment for services furnished in any State on or after January 
        1, 2022,'' after ``2011,''; and
            (3) in clause (ii), by inserting ``before January 1, 
        2022,'' after ``furnished''.
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