S. 1135Senate108th Congress (2003-2005)In Committee

Medicare Physician Payment Equity Act of 2003

A bill to amend title XVIII of the Social Security Act to establish a uniform national medicare physician fee schedule.

Introduced May 22, 2003

Legislative Activity

Stay on top of the latest movement without scrolling through every action

2 earlier actions
SenateIntro Referral Latest Action

Read twice and referred to the Committee on Finance.

May 22, 2003

View full timeline
SenateIntro Referral

Introduced in Senate

May 22, 2003

SenateIntro Referral

Sponsor introductory remarks on measure. (CR S7040-7041)

May 22, 2003

SenateIntro Referral

Read twice and referred to the Committee on Finance.

May 22, 2003

Floor Debate

23 members

What members said about S. 1135 on the floor

6 Republicans16 Democrats1 Independent
Dianne Feinstein
Sen. Dianne FeinsteinD-CA · May 22, 2003

Mr. President, I rise today to introduce a bill to prevent unnecessary hardship for ranching families in the Sierra Nevada Mountains. This summer, restrictions imposed for the Yosemite Toad and…

Patty Murray
Sen. Patty MurrayD-WA · May 22, 2003

Mr. President, today I rise to introduce legislation to do what should have been done decades ago: fully ban asbestos in the United States. I am introducing the Ban Asbestos in America Act of 2003 to…

John F. Kerry
Sen. John F. KerryD-MA · May 22, 2003

Mr. President, I rise today with my colleague, Ms. Snowe, to introduce the Fishing Quota Act of 2003, legislation to establish national criteria governing the use of individual fishing quota IFQ…

Arlen Specter
Sen. Arlen SpecterR-PA · May 22, 2003

Mr. President, I have sought recognition to comment on legislation I am introducing today to provide a cost-of-living, COLA, adjustment for certain veterans' benefits programs. This COLA adjustment…

Jeff Bingaman
Sen. Jeff BingamanD-NM · May 22, 2003

Mr. President, I rise today to introduce the Trade Adjustment Assistance for Communities Act of 2003. This legislation is co-sponsored by Senators Baucus, Rockefeller, Daschle, Murray, Cantwell,…

Show 8 more
Max Baucus
Sen. Max BaucusD-MT · May 22, 2003

Mr. President, I rise today in support of the Trade Adjustment Assistance for Communities Act of 2003. I want to commend Senator Bingaman for introducing this bill today. He has been a strong…

Russell D. Feingold
Sen. Russell D. FeingoldD-WI · May 22, 2003

Mr. President, I am pleased today to introduce the Settlement Encouragement and Fairness Act of 2003. This bill provides that when plaintiffs bring a lawsuit that acts as a catalyst for a change in…

Bob Graham
Sen. Bob GrahamD-FL · May 22, 2003

Mr. President, today I am re-introducing legislation that will improve the effectiveness of one of the most successful programs we have to help Americans get affordable housing, the Low-Income…

Frank R. Lautenberg
Sen. Frank R. LautenbergD-NJ · May 22, 2003

Mr. President, today, I am proud to introduce, along with my colleagues Senator DeWine and Senator Feinstein, legislation which will make our roads safer and last longer. Anyone who has ever shared…

Tim Johnson
Sen. Tim JohnsonD-SD · May 22, 2003

Mr. President, today, I proudly join with Senator Kerry and Senator Smith to reintroduce the Native American Small Business Development Act. This important legislation is designed to help American…

Tom Harkin
Sen. Tom HarkinD-IA · May 22, 2003

Mr. President, today I am introducing the Meat and Poultry Pathogen Reduction Act of 2003. This legislation, commonly known as Kevin's Law, is dedicated to the memory of 2-year-old Kevin Kowalcyk,…

Orrin G. Hatch
Sen. Orrin G. HatchR-UT · May 22, 2003

Mr. President, today I am pleased to introduce the ``Medicare Physician Payment Equity Act of 2003,'' a bill that corrects a long-standing inequity in Medicare reimbursement to rural physicians. I am…

Orrin G. Hatch
Sen. Orrin G. HatchR-UT · May 22, 2003

Mr. President, today I am pleased to introduce the ``Medicare Physician Payment Equity Act of 2003,'' a bill that corrects a long-standing inequity in Medicare reimbursement to rural physicians. I am…

Show 11 more
Joseph R. Biden Jr.
Sen. Joseph R. Biden Jr.D-DE · May 22, 2003

Mr. President, I rise today to help introduce a bill with my good friend from California that will bring new and needed tools to the battle to end violence against children in America, whether it…

Olympia J. Snowe
Sen. Olympia J. SnoweR-ME · May 22, 2003

Mr. President, I rise today, along with Senator Kerry, to introduce the Fishing Quota Act of 2003 which will address one of the most complex policy questions in fisheries management--fishing quotas.…

James M. Jeffords
Sen. James M. JeffordsI-VT · May 22, 2003

Mr. President, I am very pleased to introduce the Champlain Valley National Heritage Act of 2003. I am joined by Senator Leahy and Senators Schumer and Clinton of New York. This bill will establish a…

Christopher S. Bond
Sen. Christopher S. BondR-MO · May 22, 2003

Mr. President, I rise today to introduce legislation recognizing the historical significance of downtown Sainte Genevieve, MO. Sainte Genevieve was the first European settlement west of the…

Edward M. Kennedy
Sen. Edward M. KennedyD-MA · May 22, 2003

Mr. President, it is a privilege to join Senator Feinstein in the introduction of the Unaccompanied Alien Child Protection Act, and I commend her long-standing commitment to this issue. In recent…

Sam Brownback
Sen. Sam BrownbackR-KS · May 22, 2003

Mr. President, I am honored to join my distinguished colleagues, Senators Feinstein and Voinovich, to introduce this important piece of legislation that will address an area of our immigration law…

Carl Levin
Sen. Carl LevinD-MI · May 22, 2003

Mr. President, my colleagues Senators DeWine and Voinovich of Ohio, Senator Stabenow of Michigan, and I are pleased to introduce the Great Lakes Water Quality Indicators and Monitoring Act. This bill…

John McCain
Sen. John McCainR-AZ · May 22, 2003

Mr. President, today I join Senator Baucus in introducing the Middle East Trade and Engagement Act of 2003. Our legislation would permit eligible countries in the greater Middle East to gain greater…

Barbara A. Mikulski
Sen. Barbara A. MikulskiD-MD · May 22, 2003

Mr. President, I rise to introduce the Veterans Burial Benefits Improvement Act. During the upcoming Memorial Day holiday, we will honor our U.S. soldiers who died in the name of their country. These…

Richard J. Durbin
Sen. Richard J. DurbinD-IL · May 22, 2003

Mr. President, I am pleased to join Senator Harkin today in introducing Kevin's Law, which is an essential piece of legislation that will clarify the U.S. Department of Agriculture's authority to…

Barbara Boxer
Sen. Barbara BoxerD-CA · May 22, 2003

Mr. President, today I am introducing the Violence Against Children Act of 2003. The legislation, modeled on the successful Violence Against Women Act, will both toughen Federal penalties for crimes…

Bill Text

Latest available legislative text

Reading Mode
Latest
Introduced in SenateIssued May 22, 2003
        [Congressional Bills 108th Congress]
[From the U.S. Government Publishing Office]
[S. 1135 Introduced in Senate (IS)]

108th CONGRESS
1st Session
S. 1135

To amend title XVIII of the Social Security Act to establish a uniform
national medicare physician fee schedule.

_______________________________________________________________________

IN THE SENATE OF THE UNITED STATES

May 22, 2003

Mr. Hatch (for himself, Mr. Jeffords, Mr. Grassley, Mrs. Lincoln, and
Mr. Bingaman) introduced the following bill; which was read twice and
referred to the Committee on Finance

_______________________________________________________________________

A BILL

To amend title XVIII of the Social Security Act to establish a uniform
national medicare physician fee schedule.

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 ``Medicare Physician Payment Equity
Act of 2003''.

SEC. 2. ESTABLISHMENT OF UNIFORM NATIONAL MEDICARE PHYSICIAN FEE
SCHEDULE.

(a) In General.--Section 1848(e)(1) of the Social Security Act (42
U.S.C. 1395w-4(e)(1)) is amended--
(1) in subparagraph (A), by striking ``(B) and (C)'' and
inserting ``(B), (C), (D), and (E)'' in the matter preceding
clause (i);
(2) by redesignating subparagraph (D) as subparagraph (F);
and
(3) by inserting after subparagraph (C) the following new
subparagraph:
``(D) Uniform national medicare physician fee
schedule rates.--For purposes of payment for services
furnished on or after January 1, 2007, the Secretary
shall set each geographic index in subparagraphs (A)
and (B) to 1.00 for any locality for which such a
geographic index is not 1.00.''.
(b) Transition for Elimination of Geographic Fee Differential.--
Section 1848(e)(1) of the Social Security Act (42 U.S.C. 1395w-
4(e)(1)), as amended by subsection (a), is amended by inserting after
subparagraph (D) the following new subparagraph:
``(E) Phase-out of geographic adjustment indices.--
``(i) Three-year floor at 1.0 on geographic
physician work adjustment index.--After
calculating the geographic physician work
indices in subparagraph (A)(iii), for purposes
of payment for services furnished on or after
January 1, 2004, and before January 1, 2007,
the Secretary shall increase such physician
work index to 1.00 for any locality for which
such physician work index is less than 1.00.
``(ii) Two-year floor at 1.0 on geographic
cost-of-practice adjustment index.--After
calculating the geographic cost-of-practice
indices in subparagraphs (A)(i) and (B), for
purposes of payment for services furnished on
or after January 1, 2005, and before January 1,
2007, the Secretary shall increase such cost-
of-practice indices to 1.00 for any locality
for which such cost-of-practice indices are
less than 1.00.
``(iii) One-year floor at 1.0 on geographic
malpractice adjustment index.--After
calculating the geographic malpractice indices
in subparagraph (A)(ii), for purposes of
payment for services furnished during 2006, the
Secretary shall increase such malpractice index
to 1.00 for any locality for which such
malpractice index is less than 1.00.''.
(c) Effective Date.--The amendments made by this section shall
apply to payments for items and services provided on and after January
1, 2004.

SEC. 3. GAO STUDY AND REPORT ON THE EFFECTS OF THE REVISIONS TO THE
MEDICARE PHYSICIAN FEE SCHEDULE.

(a) Study.--The Comptroller General of the United States shall
conduct a study on the effects of the amendments made by section 2 on--
(1) the recruitment and retention of physicians;
(2) the access of medicare beneficiaries to physicians,
medical tests, and medical therapies in each fee schedule area
(as defined in section 1848(j)(2) of the Social Security Act
(42 U.S.C. 1395w-4(j)(2)); and
(3) the use by medicare beneficiaries of items and services
for which payment may be made under the medicare program in
each such fee schedule area.
(b) Report.--Not later than the date that is 5 years after the date
of enactment of this Act, the Comptroller General shall submit to
Congress a report on the study conducted under subsection (a) together
with such recommendations as the Comptroller General determines to be
appropriate.
<all>