H.R. 6144, Removing Waste and Protecting Medicare Act
Summary
H. R. 6144, the Removing Waste and Protecting Medicare Act, was introduced in the House of Representatives on December 7, 2021, by Smith of Missouri and other members. It is a bill to delay and offset the sequester to occur in January 2022 under the Statutory Pay-As-You-Go Act of 2010. Section 2 provides that no sequester is ordered during calendar year 2022. The offsets in section 3 reinstate the public charge rule and the SNAP work requirements rule, add Social Security number requirements for the child tax credit, and permanently rescind $53,500,000,000 of unobligated Coronavirus State and Local Fiscal Recovery funds. Later sections address Medicare sequestration, clinical lab services, the radiation oncology model, and the Medicare Improvement Fund.
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Cite this document
“H.R. 6144, Removing Waste and Protecting Medicare Act.”
Original at www.govinfo.gov. Archived at Pandemic Darlings, https://pandemicdarlings.com/source-documents/bills-bills-117hr6144ih-bills-117hr6144ih/
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I
117TH CONGRESS
1ST SESSION
H. R. 6144
To delay and offset the sequester to occur in January 2022 under the
Statutory Pay-As-You-Go Act of 2010, and for other purposes.
IN THE HOUSE OF REPRESENTATIVES
DECEMBER 7, 2021
Mr. SMITH of Missouri (for himself, Mr. BRADY, Mrs. RODGERS of Wash-
ington, Mr. BURGESS, Mr. WENSTRUP, Mr. BUCSHON, Mr. CARTER of
Georgia, Mr. HARRIS, Mr. VAN DREW, Mr. MURPHY of North Carolina,
and Mr. JOYCE of Pennsylvania) introduced the following bill; which was
referred to the Committee on Ways and Means, and in addition to the
Committees on the Budget, Energy and Commerce, the Judiciary, Agri-
culture, and Oversight and Reform, for a period to be subsequently deter-
mined by the Speaker, in each case for consideration of such provisions
as fall within the jurisdiction of the committee concerned
A BILL
To delay and offset the sequester to occur in January 2022
under the Statutory Pay-As-You-Go Act of 2010, 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 ‘‘Removing Waste and
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5 Protecting Medicare Act’’.
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1 SEC. 2. PAYGO ACT SEQUESTER DELAY.
2 No sequester shall be ordered during calendar year
3 2022 after Congress adjourns to end the 1st session of
4 the 117th Congress under section 5 of the Statutory Pay-
5 As-You-Go Act of 2010.
6 SEC. 3. OFFSET OF SEQUESTER DELAY.
7 (a) REINSTATEMENT OF PUBLIC CHARGE RULE.—
8 The rule relating to inadmissibility on public charge
9 grounds (84 Fed. Reg. 41292, published on August 14,
10 2019) as in effect on October 15, 2019, shall be consid-
11 ered to be in effect as of the date of enactment of this
12 Act, and the Department of Homeland Security shall re-
13 implement such rule as soon as may be practicable.
14 (b) SOCIAL SECURITY NUMBER REQUIREMENTS FOR
15 CHILD TAX CREDIT.—
16 (1) IN GENERAL.—Section 24(e) of the Internal
17 Revenue Code of 1986 is amended to read as fol-
18 lows:
19 ‘‘(e) SOCIAL SECURITY NUMBER REQUIREMENTS.—
20 ‘‘(1) TAXPAYER.—No credit shall be allowed
21 under this section to any taxpayer who does not in-
22 clude on the return of tax for the taxable year—
23 ‘‘(A) such individual’s social security num-
24 ber, and
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25 ‘‘(B) if the individual is married, the social
26 security number of such individual’s spouse.
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1 ‘‘(2) QUALIFYING CHILDREN.—No credit shall
2 be allowed under this section to a taxpayer with re-
3 spect to any qualifying child unless the taxpayer in-
4 cludes the social security number of such child on
5 the return of tax for the taxable year.
6 ‘‘(3) SOCIAL SECURITY NUMBER.—For pur-
7 poses of this subsection, the term ‘social security
8 number’ means a social security number issued to an
9 individual by the Social Security Administration, but
10 only if the social security number is issued—
11 ‘‘(A) to a citizen of the United States or
12 pursuant to subclause (I) (or that portion of
13 subclause (III) that relates to subclause (I)) of
14 section 205(c)(2)(B)(i) of the Social Security
15 Act, and
16 ‘‘(B) before the due date of the return of
17 tax referred to in paragraph (1) or (2), as the
18 case may be.’’.
19 (2) CONFORMING AMENDMENT.—Section 24(h)
20 of such Code is amended by striking paragraph (7).
21 (3) EFFECTIVE DATE.—The amendments made
22 by this subsection shall apply to taxable years begin-
23 ning after December 31, 2021.
24 (c) REINSTATEMENT OF SNAP WORK REQUIRE-
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25 MENT RULE.—The rule relating to work requirements
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1 under the Supplemental Nutrition Assistance Program
2 (84 Fed. Reg. 66782, published on December 5, 2019)
3 as in effect on April 1, 2020, shall be considered to be
4 in effect as of the date of enactment of this Act, and the
5 Department of Agriculture shall reimplement such rule as
6 soon as may be practicable.
7 (d) RESCISSION OF CORONAVIRUS STATE AND LOCAL
8 FISCAL RECOVERY FUNDS.—Of the total amount of unob-
9 ligated amounts available under sections 602 and 603 of
10 title VI of the Social Security Act, $53,500,000,000 are
11 hereby permanently rescinded.
12 (e) RESCISSION OF CAPITAL PROJECTS FUNDS.—
13 The total amount of unobligated amounts available under
14 section 604 of title VI of the Social Security Act are here-
15 by permanently rescinded.
16 SEC. 4. ADJUSTMENTS TO MEDICARE PROGRAM SEQUES-
17 TRATION REDUCTION WITH RESPECT TO FIS-
18 CAL YEAR 2022.
19 (a) EXTENSION.—
20 (1) IN GENERAL.—Section 3709(a) of division
21 A of the CARES Act (2 U.S.C. 901a note) is
22 amended by striking ‘‘December 31, 2021’’ and in-
23 serting ‘‘March 31, 2022’’.
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1 (2) EFFECTIVE DATE.—The amendments made
2 by paragraph (1) shall take effect as if enacted as
3 part of the CARES Act (Public Law 116–136).
4 (b) ADJUSTMENT.—Section 251A(6) of the Balanced
5 Budget and Emergency Deficit Control Act of 1985 (2
6 U.S.C. 901a(6)) is amended—
7 (1) by redesignating subparagraph (C) as sub-
8 paragraph (D); and
9 (2) by inserting after subparagraph (B) the fol-
10 lowing:
11 ‘‘(C) Notwithstanding the 2 percent limit
12 specified in subparagraph (A) for payments for
13 the Medicare programs specified in section
14 256(d), the sequestration order of the President
15 under such subparagraph for fiscal year 2022
16 shall be applied to such payments so that with
17 respect to the period beginning on April 1,
18 2022, and ending on June 30, 2022, the pay-
19 ment reduction shall be 1.0 percent.’’.
20 SEC. 5. EXTENSION OF SUPPORT FOR PHYSICIANS AND
21 OTHER PROFESSIONALS IN ADJUSTING TO
22 MEDICARE PAYMENT CHANGES.
23 (a) IN GENERAL.—Section 1848 of the Social Secu-
24 rity Act (42 U.S.C. 1395w–4) is amended—
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1 (1) in subsection (c)(2)(B)(iv)(V), by striking
2 ‘‘2021’’ and inserting ‘‘2021 or 2022’’; and
3 (2) in subsection (t)—
4 (A) in the subsection header, by striking
5 ‘‘2021’’ and inserting ‘‘2021 AND 2022’’;
6 (B) in paragraph (1)—
7 (i) by striking ‘‘during 2021’’ and in-
8 serting ‘‘during 2021 and 2022’’; and
9 (ii) by striking ‘‘for such services fur-
10 nished on or after January 1, 2021, and
11 before January 1, 2022, by 3.75 percent.’’
12 and inserting ‘‘for—
13 ‘‘(A) such services furnished on or after
14 January 1, 2021, and before January 1, 2022,
15 by 3.75 percent; and
16 ‘‘(B) such services furnished on or after
17 January 1, 2022, and before January 1, 2023,
18 by 3.0 percent.’’; and
19 (C) in paragraph (2)(C)—
20 (i) in the subparagraph header, by
21 striking ‘‘2021’’ and inserting ‘‘2021 AND
22 2022’’;
23 (ii) by inserting ‘‘for services fur-
24 nished in 2021 or 2022’’ after ‘‘under this
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25 subsection’’; and
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1 (iii) by inserting ‘‘or 2022, respec-
2 tively’’ before the period at the end.
3 (b) REPORT.—Section 101(c) of division N of the
4 Consolidated Appropriations Act, 2021 (Public Law 116–
5 260) is amended—
6 (1) in the first sentence—
7 (A) by striking ‘‘April 1, 2022’’ and insert-
8 ing ‘‘each of April 1, 2022, and April 1, 2023’’;
9 and
10 (B) by striking ‘‘, as added by subsection
11 (a)’’ and inserting ‘‘furnished during 2021 or
12 2022, respectively’’; and
13 (2) in the second sentence—
14 (A) by striking ‘‘Such report’’ and insert-
15 ing ‘‘Each such report’’; and
16 (B) by inserting ‘‘with respect to 2021 or
17 2022, as applicable’’ after ‘‘under such sec-
18 tion’’.
19 SEC. 6. PRESERVING PATIENT ACCESS TO CRITICAL CLIN-
20 ICAL LAB SERVICES.
21 (a) REVISED PHASE-IN OF REDUCTIONS FROM PRI-
22 VATE PAYOR RATE IMPLEMENTATION.—Section
23 1834A(b)(3) of the Social Security Act (42 U.S.C.
24 1395m–1(b)(3)) is amended—
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1 (1) in subparagraph (A), by striking ‘‘through
2 2024’’ and inserting ‘‘through 2025’’; and
3 (2) in subparagraph (B)—
4 (A) in clause (ii), by striking ‘‘for 2021’’
5 and inserting ‘‘for each of 2021 and 2022’’;
6 and
7 (B) in clause (iii), by striking ‘‘2022
8 through 2024’’ and inserting ‘‘2023 through
9 2025’’.
10 (b) REVISED REPORTING PERIOD FOR REPORTING
11 OF PRIVATE SECTOR PAYMENT RATES FOR ESTABLISH-
12 MENT OF MEDICARE PAYMENT RATES.—Section
13 1834A(a)(1)(B) of the Social Security Act (42 U.S.C.
14 1395m–1(a)(1)(B)) is amended—
15 (1) in clause (i), by striking ‘‘December 31,
16 2021’’ and inserting ‘‘December 31, 2022’’; and
17 (2) in clause (ii)—
18 (A) by striking ‘‘January 1, 2022’’ and in-
19 serting ‘‘January 1, 2023’’; and
20 (B) by striking ‘‘March 31, 2022’’ and in-
21 serting ‘‘March 31, 2023’’.
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1 SEC. 7. DELAY TO THE IMPLEMENTATION OF THE RADI-
2 ATION ONCOLOGY MODEL UNDER THE MEDI-
3 CARE PROGRAM.
4 Section 133 of Division CC of the Consolidated Ap-
5 propriations Act, 2021 (Public Law 116–260) is amended
6 by striking ‘‘January 1, 2022’’ and inserting ‘‘January 1,
7 2023’’.
8 SEC. 8. MEDICARE IMPROVEMENT FUND.
9 Section 1898(b)(1) of the Social Security Act (42
10 U.S.C. 1395iii(b)(1)) is amended by striking ‘‘fiscal year
11 2021’’ and all that follows through the period at the end
12 and inserting ‘‘fiscal year 2021, $102,000,000.’’.
Æ
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