S. 2785Senate110th Congress (2007-2009)In Committee

Save Medicare Act of 2008

Introduced March 13, 2008

Legislative Activity

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SenateIntro Referral Latest Action

Read twice and referred to the Committee on Finance.

March 13, 2008

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SenateIntro Referral

Introduced in Senate

March 13, 2008

SenateIntro Referral

Read twice and referred to the Committee on Finance.

March 13, 2008

Floor Debate

23 members

What members said about S. 2785 on the floor

11 Republicans12 Democrats
Christopher S. Bond
Sen. Christopher S. BondR-MO · Jul 8, 2008

Thank you, Mr. President. I appreciate the recognition. To begin, to clarify for the floor and our colleagues the arrangement the chairman and I have on this bill, I ask unanimous consent that…

Arlen Specter
Sen. Arlen SpecterR-PA · Jul 8, 2008

Mr. President, I ask if the Senator from Missouri will yield for two questions? Will the Chair repeat that? Mr. President, I will yield myself 5 minutes from my time on the amendment which is…

Ken Salazar
Sen. Ken SalazarD-CO · Jun 11, 2008

Mr. President, I rise today to talk about the pain that $4-a-gallon gas is inflicting across the country. For the last 8 years, our energy policy has been stuck in the past. Today, we suffer from…

John Warner
Sen. John WarnerR-VA · Jul 8, 2008

Mr. President, on behalf of the leadership and the floor managers, I have been asked to propound a unanimous-consent request that the following Senators be recognized, assuming they are here on the…

John Cornyn
Sen. John CornynR-TX · Jun 11, 2008

Mr. President, I ask unanimous consent to be allowed to speak for up to 10 minutes and the remaining block of our time be reserved for the Senator from New Hampshire. Mr. President, I want to also…

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Byron L. Dorgan
Sen. Byron L. DorganD-ND · Jun 11, 2008

What remaining time exists? Mr. President, I will not object if an additional 3 minutes is added to the time on this side following the Senator from Louisiana. Mr. President, how much time remains on…

John D. Rockefeller IV
Sen. John D. Rockefeller IVD-WV · Jul 8, 2008

Mr. President, I ask Senator Bond, the vice chairman of the committee, to yield me 10 or 11, potentially even 12 minutes. I appreciate my colleague yielding me time. Mr. President, Senator Bingaman,…

Patrick J. Leahy
Sen. Patrick J. LeahyD-VT · Jul 8, 2008

Mr. President, I would like to speak for a little while about one part of the bill, and I will have more to say tomorrow. I strongly oppose the blanket grant of immunity that is contained in this…

Chuck Grassley
Sen. Chuck GrassleyR-IA · Jun 11, 2008

Madam President, I wish to speak on taxes, but I would like to comment a little on what I just heard from the Senator from Illinois. And he is absolutely right that I did vote to debate because I…

Robert Menendez
Sen. Robert MenendezD-NJ · Jun 11, 2008

Madam President, I ask unanimous consent to speak as in morning business for up to 20 minutes. Madam President, our deepest obligation as Senators and Representatives of the American people is to…

Orrin G. Hatch
Sen. Orrin G. HatchR-UT · Jun 11, 2008

Mr. President, I wish to make a few remarks regarding the recent actions by the Democratic leadership in Congress with regard to oil prices. I have no problem with Democrats calling in the oil…

John Thune
Sen. John ThuneR-SD · Jul 8, 2008

Mr. President, I ask unanimous consent to speak as in morning business. Mr. President, like so many of my colleagues, I spent the week of the Fourth of July traveling my State of South Dakota. I met…

Amy Klobuchar
Sen. Amy KlobucharD-MN · Jun 11, 2008

Mr. President, I ask unanimous consent that the blocks of time be extended for another hour, with the majority controlling the first half hour of the extension. Mr. President, I just got back from my…

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Sheldon Whitehouse
Sen. Sheldon WhitehouseD-RI · Jul 8, 2008

Madam President, I appreciate very much the courtesy of my chairman in allowing me some time. I should not take more than 10 minutes. Once more we find ourselves debating President Bush's warrantless…

Thomas R. Carper
Sen. Thomas R. CarperD-DE · Jun 11, 2008

Mr. President, I spent close to half an hour around lunchtime today with a number of governors. There were some 30, 40 governors gathered in one of the Senate office buildings not far from where we…

Richard J. Durbin
Sen. Richard J. DurbinD-IL · Jun 11, 2008

Before speaking on the issue of energy, I wish to commend my colleague from New Jersey. I hope those who were following the debate of the Senate were listening closely to what he had to say. I wish I…

Debbie Stabenow
Sen. Debbie StabenowD-MI · Jun 11, 2008

Madam President, I rise today in support of S. 3101, the bipartisan effort introduced by our Senate Finance chairman, Senator Baucus, and the distinguished Senator from Maine, Senator Snowe, that…

Judd Gregg
Sen. Judd GreggR-NH · Jun 11, 2008

Mr. President, I rise to discuss further this issue of energy which is, of course, a massive and important priority for us as a nation and for people simply trying to get through the day--driving to…

Lisa Murkowski
Sen. Lisa MurkowskiR-AK · Jun 11, 2008

Madam President, I ask unanimous consent that the order for the quorum call be rescinded. Madam President, there has been a great deal of discussion on the floor of the Senate today, certainly, about…

Sheldon Whitehouse
Sen. Sheldon WhitehouseD-RI · Jun 11, 2008

Mr. President, I have no objection whatsoever to standing on the Senate floor listening to the Senator from Utah speak. He is an enormously distinguished attorney and has been a great leader of his…

Ron Wyden
Sen. Ron WydenD-OR · Jun 11, 2008

I ask unanimous consent to speak for up to 15 minutes as in morning business. Mr. President, before he leaves the floor, let me thank my good friend from Colorado, Senator Salazar, for his kind and…

Jeff Bingaman
Sen. Jeff BingamanD-NM · Jul 8, 2008

Mr. President, could the Presiding Officer please indicate what the order of sequence of events is at this point? Let me defer to my friend from Michigan. Let me indicate I will plan to use the first…

Michael B. Enzi
Sen. Michael B. EnziR-WY · Jun 11, 2008

Mr. President, the price of gasoline is the biggest issue in this country, and I appreciate the comments the Senator from Delaware made. However, the one-size-fits-all law is a little tough for this…

Pete V. Domenici
Sen. Pete V. DomeniciR-NM · Jun 11, 2008

I wonder if the Senator from Wyoming would answer a question on my time, before he sits down. I listened to the Senator's speech and I was very impressed. I think it would be helpful to those who are…

Bill Text

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Introduced in SenateIssued March 13, 2008

II

110th CONGRESS

2d Session

S. 2785

IN THE SENATE OF THE UNITED STATES

March 13, 2008

Ms. Stabenow introduced the following bill; which was read twice and referred to the Committee on Finance

A BILL

To amend title XVIII of the Security Act to preserve access to physicians' services under the Medicare program.

1.

Short title

This Act may be cited as the Save Medicare Act of 2008.

2.

Increase in Medicare physician payment update

Section 1848(d) of the Social Security Act (42 U.S.C. 1395w–4(d)), as amended by section 101 of the Medicare, Medicaid, and SCHIP Extension Act of 2007 (Public Law 110–173), is amended—

(1)

in paragraph (8)—

(A)

in the heading, by striking a portion of;

(B)

in subparagraph (A)—

(i)

by striking (A) In general.—Subject to and inserting Notwithstanding; and

(ii)

by striking for the period beginning on January 1, 2008, and ending on June 30, 2008,;

(C)

by striking subparagraph (B); and

(2)

by adding at the end the following new paragraph:

(9)

Update for 2009

In lieu of the update to the single conversion factor established in paragraph (1)(C) that would otherwise apply for 2009, the update to the single conversion factor shall be 1.8 percent.

.

3.

Extension of the physician quality reporting system

(a)

System

Section 1848(k)(2)(B) of the Social Security Act (42 U.S.C. 1395w–4(k)(2)(B)), as amended by section 101 of the Medicare, Medicaid, and SCHIP Extension Act of 2007 (Public Law 110–173), is amended—

(1)

in the heading, by striking and 2009 and inserting , 2009, and 2010;

(2)

in clause (i), by striking and 2009 and inserting , 2009, and 2010; and

(3)

in each of clauses (ii) and (iii)—

(A)

by striking and 2008 and inserting , 2008, and 2009; and

(B)

by striking or 2009 and inserting , 2009, or 2010.

(b)

Reporting

Section 101(c) of division B of the Tax Relief and Health Care Act of 2006 (42 U.S.C. 1395w–4 note), as amended by section 101 of the Medicare, Medicaid, and SCHIP Extension Act of 2007 (Public Law 110–173), is amended—

(1)

in the heading, by striking and 2008 and inserting , 2008, and 2009; and

(2)

in paragraph (6)(C)—

(A)

in clause (i), by striking and at the end;

(B)

in clause (ii), by striking the period at the end and inserting ; and; and

(C)

by adding at the end the following new clause:

(iii)

for 2009, all of 2009.

.

4.

Extension of medicare incentive payment program for physician scarcity areas

Section 1833(u) of the Social Security Act (42 U.S.C. 1395l(u)), as amended by section 102 of the Medicare, Medicaid, and SCHIP Extension Act of 2007 (Public Law 110–173), is amended—

(1)

in paragraph (1), by striking July 1, 2008 and inserting January 1, 2010; and

(2)

in subparagraph (4)(D), by striking July 1, 2008 and inserting January 1, 2010.

5.

Extension of floor on Medicare work geographic adjustment under the Medicare physician fee schedule

Section 1848(e)(1) of the Social Security Act (42 U.S.C. 1395w–4(e)(1), as amended by section 103 of the Medicare, Medicaid, and SCHIP Extension Act of 2007 (Public Law 110–173), is amended—

(1)

in subparagraph (A), in the matter preceding clause (i), by striking subparagraphs (B) through the Secretary and inserting the succeeding provisions of this paragraph, the Secretary; and

(2)

in subparagraph (E), by striking July 1, 2008 and inserting January 1, 2010.

6.

Extension of accommodation of physicians ordered to active duty in the armed services

Section 1842(b)(6)(D)(iii) of the Social Security Act (42 U.S.C. 1395u(b)(6)(D)(iii)), as amended by section 116 of the Medicare, Medicaid, and SCHIP Extension Act of 2007 (Public Law 110–173), is amended by striking July 1, 2008 and inserting January 1, 2010.

7.

Sense of the Senate regarding fiscal responsibility

It is the sense of the Senate that—

(1)

the provisions of, and amendments made by, this Act should be deficit neutral over the 5-year period beginning on October 1, 2008; and

(2)

Congress should address the challenges facing the Medicare program in a fiscally responsible manner.

8.

Sense of the Senate regarding quality

It is the Sense of the Senate that—

(1)

the Medicare program should provide payments to physicians and other health professionals that serve as positive incentives for participation in voluntary initiatives to improve health care quality;

(2)

such initiatives should include pay-for-reporting programs, programs to facilitate coordination of care, the use of clinical appropriateness criteria developed by organizations representing physicians and other health care professionals, grants for developing and pilot testing data registry systems, grants for participation in such data registries, and other appropriate initiatives; and

(3)

financing for such initiatives should be non-punitive and exempt from the Medicare physician fee schedule budget neutrality requirements.