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

Strike out all after the enacting clause and insert:

Short title

This Act may be cited as the

Protecting Medicare and American Farmers from Sequester Cuts Act

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.

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.

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.

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.

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..

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.

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.