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H.R. 6143 — Supporting Health Care Providers During the COVID–19 Pandemic Act

Summary

House bill 6143, the Supporting Health Care Providers During the COVID–19 Pandemic Act, was introduced December 7, 2021 by Ms. SCHRIER (for herself and Mr. HORSFORD) and referred to the Committee on Ways and Means and, in addition, other committees named in the heading. Section 2 amends section 3709(a) of division A of the CARES Act by striking ‘‘December 31, 2021’’ and inserting ‘‘March 31, 2022’’, and adjusts Medicare sequestration payment reductions. Later sections address clinical lab services and the radiation oncology model under the Medicare program, and Section 6 amends the Medicare Improvement Fund to read $101,000,000.

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Issuer
Congressional materials
Document type
Bills Bills 117Hr6143Ih Bills 117Hr6143Ih
Case
Bills Bills 117Hr6143Ih Bills 117Hr6143Ih

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“H.R. 6143 — Supporting Health Care Providers During the COVID–19 Pandemic Act.” Original at www.govinfo.gov. Archived at Pandemic Darlings, https://pandemicdarlings.com/source-documents/bills-bills-117hr6143ih-bills-117hr6143ih/, SHA-256 7ac6c7142b8cf46a5baf44dfc26573b1a293d5f05f2e54e6bb5483392e4f4e25.

Full text

                                                                                                                                                                            I




                                                                       117TH CONGRESS
                                                                          1ST SESSION
                                                                                                            H. R. 6143
                                                                         To provide for certain Medicare program extensions, and for other purposes.




                                                                                     IN THE HOUSE OF REPRESENTATIVES
                                                                                                   DECEMBER 7, 2021
                                                                       Ms. SCHRIER (for herself and Mr. HORSFORD) introduced the following bill;
                                                                           which was referred to the Committee on Ways and Means, and in addi-
                                                                           tion to the Committees on Energy and Commerce, and the Budget, 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 com-
                                                                           mittee concerned




                                                                                                                 A BILL
                                                                             To provide for certain Medicare program extensions, and
                                                                                                for other purposes.

                                                                         1              Be it enacted by the Senate and House of Representa-
                                                                         2 tives of the United States of America in Congress assembled,
                                                                         3     SECTION 1. SHORT TITLE.

                                                                         4              This Act may be cited as the ‘‘Supporting Health
                                                                         5 Care Providers During the COVID–19 Pandemic Act’’.
                                                                         6     SEC. 2. ADJUSTMENTS TO MEDICARE SEQUESTRATION RE-

                                                                         7                             DUCTIONS.




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                                                                         8              (a)        EXTENSION                 OF        TEMPORARY                   SUSPENSION
                                                                         9 THROUGH MARCH 2022.—


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                                                                         1                       (1) IN GENERAL.—Section 3709(a) of division
                                                                         2              A of the CARES Act (2 U.S.C. 901a note) is
                                                                         3              amended—
                                                                         4                                 (A) in the subsection header by inserting
                                                                         5                       ‘‘AND ADJUSTMENT’’ after ‘‘SUSPENSION’’; and
                                                                         6                                 (B) by striking ‘‘December 31, 2021’’ and
                                                                         7                       inserting ‘‘March 31, 2022’’.
                                                                         8                       (2) EFFECTIVE DATE.—The amendments made
                                                                         9              by paragraph (1) shall take effect as if enacted as
                                                                       10               part of the CARES Act (Public Law 116–136).
                                                                       11               (b) ADJUSTMENTS TO MEDICARE PROGRAM SEQUES-
                                                                       12      TRATION REDUCTION WITH RESPECT TO FISCAL YEARS

                                                                       13 2022 AND 2030.—Section 251A(6) of the Balanced Budg-
                                                                       14 et and Emergency Deficit Control Act of 1985 (2 U.S.C.
                                                                       15 901a(6)) is amended—
                                                                       16                        (1) by redesignating subparagraph (C) as sub-
                                                                       17               paragraph (E); and
                                                                       18                        (2) by inserting after subparagraph (B) the fol-
                                                                       19               lowing new subparagraphs:
                                                                       20                                  ‘‘(C) Notwithstanding the 2 percent limit
                                                                       21                        specified in subparagraph (A) for payments for
                                                                       22                        the Medicare programs specified in section
                                                                       23                        256(d), the sequestration order of the President
                                                                       24                        under such subparagraph for fiscal year 2022



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                                                                       25                        shall be applied to such payments so that with


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                                                                         1                       respect to the period beginning on April 1,
                                                                         2                       2022, and ending on June 30, 2022, the pay-
                                                                         3                       ment reduction shall be 1.0 percent.
                                                                         4                                 ‘‘(D) Notwithstanding the 2 percent limit
                                                                         5                       specified in subparagraph (A) for payments for
                                                                         6                       the Medicare programs specified in section
                                                                         7                       256(d), the sequestration order of the President
                                                                         8                       under such subparagraph for fiscal year 2030
                                                                         9                       shall be applied to such payments so that—
                                                                       10                                         ‘‘(i) with respect to the first 6 months
                                                                       11                                  in which such order is effective for such
                                                                       12                                  fiscal year, the payment reduction shall be
                                                                       13                                  2.25 percent; and
                                                                       14                                         ‘‘(ii) with respect to the second 6
                                                                       15                                  months in which such order is so effective
                                                                       16                                  for such fiscal year, the payment reduction
                                                                       17                                  shall be 3 percent.’’.
                                                                       18      SEC. 3. EXTENSION OF SUPPORT FOR PHYSICIANS AND

                                                                       19                              OTHER PROFESSIONALS IN ADJUSTING TO

                                                                       20                              MEDICARE PAYMENT CHANGES.

                                                                       21               (a) IN GENERAL.—Section 1848 of the Social Secu-
                                                                       22 rity Act (42 U.S.C. 1395w–4) is amended—
                                                                       23                        (1) in subsection (c)(2)(B)(iv)(V), by striking
                                                                       24               ‘‘2021’’ and inserting ‘‘2021 or 2022’’; and



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                                                                       25                        (2) in subsection (t)—


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                                                                         1                                 (A) in the subsection header, by striking
                                                                         2                       ‘‘2021’’ and inserting ‘‘2021 AND 2022’’;
                                                                         3                                 (B) in paragraph (1)—
                                                                         4                                        (i) by striking ‘‘during 2021’’ and in-
                                                                         5                                 serting ‘‘during 2021 and 2022’’; and
                                                                         6                                        (ii) by striking ‘‘for such services fur-
                                                                         7                                 nished on or after January 1, 2021, and
                                                                         8                                 before January 1, 2022, by 3.75 percent.’’
                                                                         9                                 and inserting ‘‘for—
                                                                       10                                  ‘‘(A) such services furnished on or after
                                                                       11                        January 1, 2021, and before January 1, 2022,
                                                                       12                        by 3.75 percent; and
                                                                       13                                  ‘‘(B) such services furnished on or after
                                                                       14                        January 1, 2022, and before January 1, 2023,
                                                                       15                        by 3.0 percent.’’; and
                                                                       16                                  (C) in paragraph (2)(C)—
                                                                       17                                         (i) in the subparagraph header, by
                                                                       18                                  striking ‘‘2021’’ and inserting ‘‘2021 AND
                                                                       19                                  2022’’;

                                                                       20                                         (ii) by inserting ‘‘for services fur-
                                                                       21                                  nished in 2021 or 2022’’ after ‘‘under this
                                                                       22                                  subsection’’; and
                                                                       23                                         (iii) by inserting ‘‘or 2022, respec-
                                                                       24                                  tively’’ before the period at the end.



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                                                                         1              (b) REPORT.—Section 101(c) of division N of the
                                                                         2 Consolidated Appropriations Act, 2021 (Public Law 116–
                                                                         3 260) is amended—
                                                                         4                       (1) in the first sentence—
                                                                         5                                 (A) by striking ‘‘April 1, 2022’’ and insert-
                                                                         6                       ing ‘‘each of April 1, 2022, and April 1, 2023’’;
                                                                         7                       and
                                                                         8                                 (B) by striking ‘‘, as added by subsection
                                                                         9                       (a)’’ and inserting ‘‘furnished during 2021 or
                                                                       10                        2022, respectively’’; and
                                                                       11                        (2) in the second sentence—
                                                                       12                                  (A) by striking ‘‘Such report’’ and insert-
                                                                       13                        ing ‘‘Each such report’’; and
                                                                       14                                  (B) by inserting ‘‘with respect to 2021 or
                                                                       15                        2022, as applicable’’ after ‘‘under such sec-
                                                                       16                        tion’’.
                                                                       17      SEC. 4. PRESERVING PATIENT ACCESS TO CRITICAL CLIN-

                                                                       18                              ICAL LAB SERVICES.

                                                                       19               (a) REVISED PHASE-IN OF REDUCTIONS FROM PRI-
                                                                       20      VATE              PAYOR             RATE               IMPLEMENTATION.—Section
                                                                       21 1834A(b)(3) of the Social Security Act (42 U.S.C.
                                                                       22 1395m–1(b)(3)) is amended—
                                                                       23                        (1) in subparagraph (A), by striking ‘‘through
                                                                       24               2024’’ and inserting ‘‘through 2025’’; and



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                                                                       25                        (2) in subparagraph (B)—


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                                                                         1                                 (A) in clause (ii), by striking ‘‘for 2021’’
                                                                         2                       and inserting ‘‘for each of 2021 and 2022’’;
                                                                         3                       and
                                                                         4                                 (B) in clause (iii), by striking ‘‘2022
                                                                         5                       through 2024’’ and inserting ‘‘2023 through
                                                                         6                       2025’’.
                                                                         7              (b) REVISED REPORTING PERIOD FOR REPORTING
                                                                         8     OF PRIVATE SECTOR PAYMENT RATES FOR ESTABLISH-

                                                                         9     MENT             OF         MEDICARE                   PAYMENT              RATES.—Section
                                                                       10 1834A(a)(1)(B) of the Social Security Act (42 U.S.C.
                                                                       11 1395m–1(a)(1)(B)) is amended—
                                                                       12                        (1) in clause (i), by striking ‘‘December 31,
                                                                       13               2021’’ and inserting ‘‘December 31, 2022’’; and
                                                                       14                        (2) in clause (ii)—
                                                                       15                                  (A) by striking ‘‘January 1, 2022’’ and in-
                                                                       16                        serting ‘‘January 1, 2023’’; and
                                                                       17                                  (B) by striking ‘‘March 31, 2022’’ and in-
                                                                       18                        serting ‘‘March 31, 2023’’.
                                                                       19      SEC. 5. DELAY TO THE IMPLEMENTATION OF THE RADI-

                                                                       20                              ATION ONCOLOGY MODEL UNDER THE MEDI-

                                                                       21                              CARE PROGRAM.

                                                                       22               Section 133 of Division CC of the Consolidated Ap-
                                                                       23 propriations Act, 2021 (Public Law 116–260) is amended
                                                                       24 by striking ‘‘January 1, 2022’’ and inserting ‘‘January 1,



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                                                                       25 2023’’.


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                                                                         1     SEC. 6. MEDICARE IMPROVEMENT FUND.

                                                                         2              Section 1898(b)(1) of the Social Security Act (42
                                                                         3 U.S.C. 1395iii(b)(1)) is amended by striking ‘‘fiscal year
                                                                         4 2021’’ and all that follows through the period at the end
                                                                         5 and inserting ‘‘fiscal year 2021, $101,000,000.’’.
                                                                                                                                  Æ




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