    [United States Statutes at Large, Volume 124, 111th Congress, 2nd Session]
    [From the U.S. Government Publishing Office, www.gpo.gov]

    Public Law 111-286
    111th Congress

    An Act

    Entitled The Physician Payment and Therapy Relief Act of
    2010. <>

    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 ``The Physician Payment and Therapy
    Relief Act of 2010''.
    SEC. 2. PHYSICIAN PAYMENT UPDATE.

    Section 1848(d)(11) of the Social Security Act (42 U.S.C. 1395w-
    4(d)(11)) is amended--
    (1) in the heading, by striking ``november'' and inserting
    ``december'';
    (2) in subparagraph (A), by striking ``November 30'' and
    inserting ``December 31''; and
    (3) in subparagraph (B)--
    (A) in the heading, by striking ``remaining portion
    of 2010'' and inserting ``2011''; and
    (B) by striking ``the period beginning on December
    1, 2010, and ending on December 31, 2010, and for''.
    SEC. 3. TREATMENT OF MULTIPLE SERVICE PAYMENT POLICIES FOR THERAPY
    SERVICES.

    (a) Smaller Payment Discount for Certain Multiple Therapy
    Services.--Section 1848(b) of the Social Security Act (42 U.S.C. 1395w-
    4(b)) is amended by adding at the end the following new paragraph:
    ``(7) Adjustment in discount for certain multiple therapy
    services.--In the case of therapy services furnished on or after
    January 1, 2011, and for which payment is made under fee
    schedules established under this section, instead of the 25
    percent multiple procedure payment reduction specified in the
    final rule published by the Secretary in the Federal Register on
    November 29, 2010, the reduction percentage shall be 20
    percent.''.

    (b) Exemption of Payment Reduction From Budget-neutrality.--Section
    1848(c)(2)(B)(v) of the Social Security Act (42 U.S.C. 1395w-
    4(c)(2)(B)(v)) is amended by adding at the end the following new
    subclause:
    ``(VII) Reduced expenditures for
    multiple therapy services.--Effective
    for <>  fee
    schedules

    [[Page 3057]]

    established beginning with 2011, reduced
    expenditures attributable to the
    multiple procedure payment reduction for
    therapy services (as described in
    subsection (b)(7)).''.
    SEC. 4. DETERMINATION OF BUDGETARY EFFECTS.

    The budgetary effects of this Act, for the purpose of complying with
    the Statutory Pay-As-You-Go Act of 2010, shall be determined by
    reference to the latest statement titled ``Budgetary Effects of PAYGO
    Legislation'' for this Act, submitted for printing in the Congressional
    Record by the Chairman of the Senate Budget Committee, provided that
    such statement has been submitted prior to the vote on passage.

    Approved November 30, 2010.

    LEGISLATIVE HISTORY--H.R. 5712:
    ---------------------------------------------------------------------------

    CONGRESSIONAL RECORD, Vol. 156 (2010):
    July 14, considered and passed House.
    Nov. 18, considered and passed Senate, amended.
    Nov. 29, House concurred in Senate amendments.