[Congressional Bills 117th Congress]
[From the U.S. Government Publishing Office]
[S. 610 Engrossed Amendment House (EAH)]

<DOC>
                In the House of Representatives, U. S.,

                                                      December 7, 2021.
    Resolved, That the bill from the Senate (S. 610) entitled ``An Act 
to address behavioral health and well-being among health care 
professionals.'', do pass with the following

                               AMENDMENT:

            Strike out all after the enacting clause and insert:

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Protecting Medicare and American 
Farmers from Sequester Cuts Act''.

SEC. 2. ADJUSTMENTS TO MEDICARE SEQUESTRATION REDUCTIONS.

    (a) Extension of Temporary Suspension Through March 2022.--
            (1) In general.--Section 3709(a) of division A of the CARES 
        Act (2 U.S.C. 901a note) is amended--
                    (A) in the subsection header by inserting ``and 
                Adjustment'' after ``Suspension''; and
                    (B) by striking ``December 31, 2021'' and inserting 
                ``March 31, 2022''.
            (2) Effective date.--The amendments made by paragraph (1) 
        shall take effect as if enacted as part of the CARES Act 
        (Public Law 116-136).
    (b) Adjustments to Medicare Program Sequestration Reduction With 
Respect to Fiscal Years 2022 and 2030.--Section 251A(6) of the Balanced 
Budget and Emergency Deficit Control Act of 1985 (2 U.S.C. 901a(6)) is 
amended--
            (1) by redesignating subparagraph (C) as subparagraph (E); 
        and
            (2) by inserting after subparagraph (B) the following new 
        subparagraphs:
                    ``(C) Notwithstanding the 2 percent limit specified 
                in subparagraph (A) for payments for the Medicare 
                programs specified in section 256(d), the sequestration 
                order of the President under such subparagraph for 
                fiscal year 2022 shall be applied to such payments so 
                that with respect to the period beginning on April 1, 
                2022, and ending on June 30, 2022, the payment 
                reduction shall be 1.0 percent.
                    ``(D) Notwithstanding the 2 percent limit specified 
                in subparagraph (A) for payments for the Medicare 
                programs specified in section 256(d), the sequestration 
                order of the President under such subparagraph for 
                fiscal year 2030 shall be applied to such payments so 
                that--
                            ``(i) with respect to the first 6 months in 
                        which such order is effective for such fiscal 
                        year, the payment reduction shall be 2.25 
                        percent; and
                            ``(ii) with respect to the second 6 months 
                        in which such order is so effective for such 
                        fiscal year, the payment reduction shall be 3 
                        percent.''.

SEC. 3. EXTENSION OF SUPPORT FOR PHYSICIANS AND OTHER PROFESSIONALS IN 
              ADJUSTING TO MEDICARE PAYMENT CHANGES.

    (a) In General.--Section 1848 of the Social Security Act (42 U.S.C. 
1395w-4) is amended--
            (1) in subsection (c)(2)(B)(iv)(V), by striking ``2021'' 
        and inserting ``2021 or 2022''; and
            (2) in subsection (t)--
                    (A) in the subsection header, by striking ``2021'' 
                and inserting ``2021 and 2022'';
                    (B) in paragraph (1)--
                            (i) by striking ``during 2021'' and 
                        inserting ``during 2021 and 2022''; and
                            (ii) by striking ``for such services 
                        furnished on or after January 1, 2021, and 
                        before January 1, 2022, by 3.75 percent.'' and 
                        inserting ``for--
                    ``(A) such services furnished on or after January 
                1, 2021, and before January 1, 2022, by 3.75 percent; 
                and
                    ``(B) such services furnished on or after January 
                1, 2022, and before January 1, 2023, by 3.0 percent.''; 
                and
                    (C) in paragraph (2)(C)--
                            (i) in the subparagraph header, by striking 
                        ``2021'' and inserting ``2021 and 2022'';
                            (ii) by inserting ``for services furnished 
                        in 2021 or 2022'' after ``under this 
                        subsection''; and
                            (iii) by inserting ``or 2022, 
                        respectively'' before the period at the end.
    (b) Report.--Section 101(c) of division N of the Consolidated 
Appropriations Act, 2021 (Public Law 116-260) is amended--
            (1) in the first sentence--
                    (A) by striking ``April 1, 2022'' and inserting 
                ``each of April 1, 2022, and April 1, 2023''; and
                    (B) by striking ``, as added by subsection (a)'' 
                and inserting ``furnished during 2021 or 2022, 
                respectively''; and
            (2) in the second sentence--
                    (A) by striking ``Such report'' and inserting 
                ``Each such report''; and
                    (B) by inserting ``with respect to 2021 or 2022, as 
                applicable'' after ``under such section''.

SEC. 4. PRESERVING PATIENT ACCESS TO CRITICAL CLINICAL LAB SERVICES.

    (a) Revised Phase-in of Reductions From Private Payor Rate 
Implementation.--Section 1834A(b)(3) of the Social Security Act (42 
U.S.C. 1395m-1(b)(3)) is amended--
            (1) in subparagraph (A), by striking ``through 2024'' and 
        inserting ``through 2025''; and
            (2) in subparagraph (B)--
                    (A) in clause (ii), by striking ``for 2021'' and 
                inserting ``for each of 2021 and 2022''; and
                    (B) in clause (iii), by striking ``2022 through 
                2024'' and inserting ``2023 through 2025''.
    (b) Revised Reporting Period for Reporting of Private Sector 
Payment Rates for Establishment of Medicare Payment Rates.--Section 
1834A(a)(1)(B) of the Social Security Act (42 U.S.C. 1395m-1(a)(1)(B)) 
is amended--
            (1) in clause (i), by striking ``December 31, 2021'' and 
        inserting ``December 31, 2022''; and
            (2) in clause (ii)--
                    (A) by striking ``January 1, 2022'' and inserting 
                ``January 1, 2023''; and
                    (B) by striking ``March 31, 2022'' and inserting 
                ``March 31, 2023''.

SEC. 5. DELAY TO THE IMPLEMENTATION OF THE RADIATION ONCOLOGY MODEL 
              UNDER THE MEDICARE PROGRAM.

    Section 133 of Division CC of the Consolidated Appropriations Act, 
2021 (Public Law 116-260) is amended by striking ``January 1, 2022'' 
and inserting ``January 1, 2023''.

SEC. 6. MEDICARE IMPROVEMENT FUND.

    Section 1898(b)(1) of the Social Security Act (42 U.S.C. 
1395iii(b)(1)) is amended by striking ``fiscal year 2021'' and all that 
follows through the period at the end and inserting ``fiscal year 2021, 
$101,000,000.''.

SEC. 7. PAYGO ANNUAL REPORT.

    For the purposes of the annual report issued pursuant to section 5 
of the Statutory Pay-As-You-Go Act of 2010 (2 U.S.C. 934) after 
adjournment of the first session of the 117th Congress, and for 
determining whether a sequestration order is necessary under such 
section, the debit for the budget year on the 5-year scorecard, if any, 
and the 10-year scorecard, if any, shall be deducted from such 
scorecard in 2022 and added to such scorecard in 2023.

SEC. 8. EXPEDITED PROCEDURES FOR CONSIDERING AN INCREASE IN THE DEBT 
              LIMIT.

    (a) Definition.--In this section, the term ``joint resolution'' 
means a joint resolution--
            (1) that is introduced by the Majority Leader of the 
        Senate, or a designee, during the period beginning on the date 
        of enactment of this Act and ending on December 31, 2021;
            (2) which does not have a preamble;
            (3) the title of which is as follows: ``Joint resolution 
        relating to increasing the debt limit.''; and
            (4) the matter after the resolving clause of which is as 
        follows: ``That the limitation under section 3101(b) of title 
        31, United States Code, as most recently increased by Public 
        Law 117-50 (31 U.S.C. 3101 note), is increased by 
        $_________.'', the blank space being appropriately filled in 
        with the dollar amount of the increase.
    (b) Expedited Consideration in Senate.--
            (1) Placement on calendar.--Upon introduction in the 
        Senate, the joint resolution shall be placed immediately on the 
        calendar.
            (2) Proceeding to consideration.--
                    (A) In general.--Notwithstanding rule XXII of the 
                Standing Rules of the Senate, it is in order, not later 
                than January 15, 2022 (even though a previous motion to 
                the same effect has been disagreed to) to move to 
                proceed to the consideration of the joint resolution.
                    (B) Procedure.--For a motion to proceed to the 
                consideration of the joint resolution--
                            (i) all points of order against the motion 
                        are waived;
                            (ii) the motion is not debatable;
                            (iii) the motion is not subject to a motion 
                        to postpone;
                            (iv) a motion to reconsider the vote by 
                        which the motion is agreed to or disagreed to 
                        shall not be in order; and
                            (v) if the motion is agreed to, the joint 
                        resolution shall remain the unfinished business 
                        until disposed of.
            (3) Floor consideration.--
                    (A) In general.--If the Senate proceeds to 
                consideration of the joint resolution--
                            (i) all points of order against the joint 
                        resolution (and against consideration of the 
                        joint resolution) are waived;
                            (ii) debate on the joint resolution, and 
                        all debatable motions and appeals in connection 
                        therewith, shall be limited to not more than 10 
                        hours, which shall be divided equally between 
                        the Chairman and Ranking Member of the 
                        Committee on Finance;
                            (iii) an amendment to the joint resolution 
                        is not in order;
                            (iv) a motion to postpone or a motion to 
                        commit the joint resolution is not in order; 
                        and
                            (v) a motion to proceed to the 
                        consideration of other business is not in 
                        order.
                    (B) Vote on passage.--The vote on passage shall 
                occur immediately following the conclusion of the 
                debate on the joint resolution and a single quorum call 
                if requested in accordance with the rules of the 
                Senate.
                    (C) Rulings of the chair on procedure.--Appeals 
                from the decisions of the Chair relating to the 
                application of this paragraph or the rules of the 
                Senate, as the case may be, to the procedure relating 
                to the joint resolution shall be decided without 
                debate.
                    (D) Single measure authorized.--It shall not be in 
                order to consider more than 1 joint resolution under 
                the procedures under this paragraph.
                    (E) Sunset.--It shall not be in order to consider a 
                joint resolution under the procedures under this 
                paragraph after January 16, 2022.
            (4) Rules of the senate.--This subsection is enacted by 
        Congress--
                    (A) as an exercise of the rulemaking power of the 
                Senate, and as such is deemed a part of the rules of 
                the Senate, but applicable only with respect to the 
                procedure to be followed in the Senate in the case of a 
                joint resolution, and supersede other rules only to the 
                extent that they are inconsistent with such rules; and
                    (B) with full recognition of the constitutional 
                right of the Senate to change the rules (so far as 
                relating to the procedure of the Senate) at any time, 
                in the same manner, and to the same extent as in the 
                case of any other rule of the Senate.

            Attest:

                                                                 Clerk.
117th CONGRESS

  1st Session

                                 S. 610

_______________________________________________________________________

                               AMENDMENT