S. 610Senate117th Congress (2021-2023)Enacted

Protecting Medicare and American Farmers from Sequester Cuts Act

Sponsored by Tim KaineSen. Tim Kaine (D-VA)
Introduced March 4, 2021

AI-Generated Summary

Updated February 7, 2026 at 11:49 PM UTC

The Protecting Medicare and American Farmers from Sequester Cuts Act updates Medicare‑related laws to reduce the impact of automatic spending cuts and to extend financial support for health‑care providers. It prolongs the temporary suspension of sequestration through March 31 2022, sets lower reduction rates for 2022 and FY 2030, and expands physician payment adjustments into 2022. The bill also delays the Radiation Oncology Model, extends reporting deadlines for private‑payer rates, and adds a $101 million allocation to the Medicare Improvement Fund. These changes affect Medicare beneficiaries, health‑care professionals, and indirectly farmers who depend on Medicare funding.

Key Provisions

  • Extends the temporary suspension of Medicare sequestration cuts to March 31 2022.
  • Sets a 1% sequestration reduction for Medicare payments from April 1 to June 30 2022, and for FY 2030 applies 2.25% reduction for the first six months and 3% for the second six months.
  • Expands physician payment adjustments to cover services provided in 2022, reducing the adjustment rate to 3% for 2022 services.
  • Extends the phase‑in period for private‑payor rate reductions and pushes reporting deadlines for private‑sector payment rates to December 31 2022, January 1 2023, and March 31 2023.
  • Delays the start of the Radiation Oncology Model implementation from Jan 1 2022 to Jan 1 2023.
  • Increases the Medicare Improvement Fund allocation for FY 2021 to $101 million.
  • Creates expedited Senate procedures for considering a joint resolution to raise the debt limit, with a limited debate window and a deadline of Jan 16 2022.

Legislative Activity

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37 earlier actions
Became Law Latest Action

Became Public Law No: 117-71.

December 10, 2021

View full timeline
SenateIntro Referral

Introduced in Senate

March 4, 2021

SenateIntro Referral

Read twice and referred to the Committee on Health, Education, Labor, and Pensions.

March 4, 2021

SenateCommittee

Committee on Health, Education, Labor, and Pensions. Ordered to be reported with an amendment in the nature of a substitute favorably.

May 25, 2021

SenateCommittee

Committee on Health, Education, Labor, and Pensions. Reported by Senator Murray with an amendment in the nature of a substitute. Without written report.

June 8, 2021

SenateCalendars

Placed on Senate Legislative Calendar under General Orders. Calendar No. 69.

June 8, 2021

SenateFloor

Measure laid before Senate by unanimous consent. (consideration: CR S5985-5987; text: CR S5985-5986)

August 6, 2021

SenateFloor

The committee substitute as amended agreed to by Unanimous Consent.

August 6, 2021

SenateFloor

Passed Senate with an amendment by Voice Vote. (text: CR S5986-5987)

August 6, 2021

SenateFloor

Message on Senate action sent to the House.

August 9, 2021

HouseFloor

Received in the House.

August 10, 2021 • 10:02 AM

HouseFloor

Held at the desk.

August 10, 2021 • 10:07 AM

HouseFloor

Rules Committee Resolution H. Res. 838 Reported to House. Rule provides for consideration of H.R. 5314, S. 1605 and S. 610 with 1 hour of general debate. Previous question shall be considered as ordered without intervening motions except motion to recommit. Measure will be considered read. Specified amendments are in order. Rule makes in order for the Speaker may entertain motions offered by the Majority Leader or a designee that the House suspend the rules as though under clause 1 of rule XV with respect to multiple measures that were the object of motions to suspend the rules on certain legislative days.

December 7, 2021 • 5:00 PM

HouseFloor

Rule H. Res. 838 passed House.

December 7, 2021 • 7:27 PM

HouseFloor

Considered under the provisions of rule H. Res. 838. (consideration: CR H6920-6927, H6927-6933)

December 7, 2021 • 7:28 PM

HouseFloor

Rule provides for consideration of H.R. 5314, S. 1605 and S. 610 with 1 hour of general debate. Previous question shall be considered as ordered without intervening motions except motion to recommit. Measure will be considered read. Specified amendments are in order. Rule makes in order for the Speaker may entertain motions offered by the Majority Leader or a designee that the House suspend the rules as though under clause 1 of rule XV with respect to multiple measures that were the object of motions to suspend the rules on certain legislative days.

December 7, 2021 • 7:29 PM

HouseFloor

DEBATE - The House proceeded with one hour of debate on S. 610.

December 7, 2021 • 7:29 PM

HouseFloor

The previous question was ordered pursuant to the rule.

December 7, 2021 • 8:01 PM

HouseFloor

POSTPONED PROCEEDINGS - At the conclusion of debate on S. 610, the Chair put the question on passage of S. 610 and by voice vote, announced that the ayes had prevailed. Mr. Brady demanded the yeas and nays and the Chair postponed further proceedings on on S. 610 until a time to be announced.

December 7, 2021 • 8:02 PM

HouseFloor

Considered as unfinished business. (consideration: CR H7222-7223)

December 7, 2021 • 8:55 PM

SenateFloor

Passed/agreed to in House: On passage Passed by the Yeas and Nays: 222 - 212 (Roll no. 404).(text: CR H6929-6930)

December 7, 2021 • 9:35 PM

HouseFloor

On passage Passed by the Yeas and Nays: 222 - 212 (Roll no. 404). (text: CR H6929-6930)

December 7, 2021 • 9:35 PM

HouseFloor

Motion to reconsider laid on the table Agreed to without objection.

December 7, 2021 • 9:35 PM

SenateFloor

Message on House action received in Senate and at desk: House amendment to Senate bill.

December 7, 2021

SenateFloor

Measure laid before Senate by unanimous consent.

December 7, 2021

SenateFloor

Motion by Senator Schumer to concur in the House amendment to S. 610 made in Senate. (CR S8956)

December 7, 2021

SenateFloor

Cloture motion on the motion to concur in the House amendment to S. 610 presented in Senate.

December 7, 2021

SenateFloor

Motion by Senator Schumer to concur in the House amendment to S. 610 with an amendment (SA 4871) made in Senate. (CR S8956)

December 7, 2021

SenateFloor

Motion by Senator Schumer to refer to Senate Committee on Finance the House message to accompany S. 610 with instructions to report back forthwith with the following amendment (SA 4873) made in Senate. (CR S8956)

December 7, 2021

SenateFloor

Considered by Senate (Message from the House considered). (consideration: CR S9053)

December 9, 2021

SenateFloor

Cloture on the motion to concur in the House amendment to S. 610 invoked in Senate by Yea-Nay Vote. 64 - 36. Record Vote Number: 490. (CR S9057)

December 9, 2021

SenateFloor

Motion by Senator Schumer to refer to Senate Committee on Finance the House message to accompany S. 610 with instructions to report back forthwith with the following amendment (SA 4873) fell when cloture invoked on the motion to concur in the House amendment to S. 610 in Senate.

December 9, 2021

SenateFloor

Motion by Senator Schumer to concur in the House amendment to S. 610 with an amendment (SA 4871) withdrawn in Senate by Unanimous Consent.

December 9, 2021

SenateNot Used

Resolving differences -- Senate actions: Senate agreed to the House amendment to S. 610 by Yea-Nay Vote. 59 - 35. Record Vote Number: 491.(consideration: CR S9081)

December 9, 2021

SenateResolving Differences

Senate agreed to the House amendment to S. 610 by Yea-Nay Vote. 59 - 35. Record Vote Number: 491. (consideration: CR S9081)

December 9, 2021

SenateFloor

Message on Senate action sent to the House.

December 10, 2021

President

Presented to President.

December 10, 2021

Became Law

Signed by President.

December 10, 2021

Became Law

Became Public Law No: 117-71.

December 10, 2021

Amendments

11 amendments

Offered to this bill

Floor Debate

21 members

What members said about S. 610 on the floor

15 Republicans6 Democrats
Mike Lee
Sen. Mike LeeR-UT · Dec 9, 2021

Mr. President, Pfizer released a study this week showing how antibodies from its vaccines respond to the Omicron variant in a lab. The company claims that three doses should provide some protection…

Mary Gay Scanlon
Rep. Mary Gay ScanlonD-PA-5 · Dec 7, 2021

Mr. Speaker, by direction of the Committee on Rules, I call up House Resolution 838 and ask for its immediate consideration. Mr. Speaker, for the purpose of debate only, I yield the customary 30…

Jeanne Shaheen
Sen. Jeanne ShaheenD-NH · Dec 9, 2021

Mr. President, I ask unanimous consent that the order for the quorum call be rescinded. Mr. President, I come to the floor today to support a number of our nominees for Ambassadors and positions…

Ted Cruz
Sen. Ted CruzR-TX · Dec 9, 2021

Mr. President, reserving the right to object, you know, in Washington, there is always political rhetoric that goes around. The Senator from New Hampshire just moments ago described the Embassies in…

Mitch McConnell
Sen. Mitch McConnellR-KY · Dec 16, 2021

Madam President, Western Kentucky is still reeling from last weekend's devastating storm, but support is rolling in from around the Commonwealth, our region, and the country as well. Yesterday, I…

Show 8 more
James Lankford
Sen. James LankfordR-OK · Dec 16, 2021

Mr. President, there are so many problems going on right now in the country. As I interact with people in Oklahoma, they are frustrated with where things are going with the economy. The rising…

Sheldon Whitehouse
Sen. Sheldon WhitehouseD-RI · Dec 9, 2021

Madam President, it is a pleasure, and I appreciate my friend, Senator Blunt. I am here today to rise for the 10th time to talk about the rightwing scheme to capture our Supreme Court. As the…

John Cornyn
Sen. John CornynR-TX · Dec 16, 2021

Madam President, I ask unanimous consent that the order for the quorum call be rescinded. Madam President, the eyes of the world are on Russia as it stages a military buildup on the Ukrainian border.…

Rob Portman
Sen. Rob PortmanR-OH · Dec 9, 2021

Madam President, I appreciate the comments of my colleague from Indiana. What he didn't have under that Christmas tree or in the stocking was a lump of coal because I guess a lump of coal is not…

Benjamin L. Cardin
Sen. Benjamin L. CardinD-MD · Dec 9, 2021

Mr. President, I ask unanimous consent that the order for the quorum call be rescinded. Mr. President, shortly, I am going to be making a unanimous consent request in regard to the confirmations of…

Richard J. Durbin
Sen. Richard J. DurbinD-IL · Dec 16, 2021

Madam President, let me first echo the comments of Senator McConnell, as well as Senator Schumer earlier, in wishing Sara Schwartzman the very best in her next undertaking. Whatever the challenge may…

John Thune
Sen. John ThuneR-SD · Dec 16, 2021

Madam President, I ask unanimous consent that the order for the quorum call be rescinded. Madam President, Democrats' push to pass their tax-and- spending spree continues to throw into sharp relief…

Richard J. Durbin
Sen. Richard J. DurbinD-IL · Dec 9, 2021

Mr. President, after Watergate, Congress passed the Inspector General Act, creating independent watchdogs who would ensure integrity, transparency, and accountability for executive branch Agencies…

Show 11 more
John Barrasso
Sen. John BarrassoR-WY · Dec 16, 2021

Madam President, I ask unanimous consent that the order for the quorum call be rescinded. Madam President, I come to the floor today to talk about the rising crime in America and specifically in…

Kevin Brady
Rep. Kevin BradyR-TX-8 · Dec 7, 2021

Madam Speaker, I yield myself such time as I may consume. Madam Speaker, today ought to be a rare day for bipartisanship on behalf of patients and healthcare providers across America. Sadly, it is…

Benjamin L. Cardin
Sen. Benjamin L. CardinD-MD · Dec 16, 2021

Madam President, on March 3 of this year, over 9 months ago, President Biden nominated Dilawar Syed to be the Deputy Administrator of the Small Business Administration. Mr. Syed has spent decades…

Tom Cole
Rep. Tom ColeR-OK-4 · Dec 7, 2021

Mr. Speaker, I thank the gentlewoman from Pennsylvania (Ms. Scanlon), my good friend, for yielding me the customary 30 minutes. I yield myself such time as I may consume. Today's rule, Mr. Speaker,…

Josh Hawley
Sen. Josh HawleyR-MO · Dec 9, 2021

Mr. President. Mr. President, reserving the right to object, approximately 24 hours after the attack at Abbey Gate in Kabul, I had the privilege to speak with the father of one of the marines who…

Joni Ernst
Sen. Joni ErnstR-IA · Dec 9, 2021

Madam President, I ask unanimous consent that the order for the quorum call be rescinded. Mr. President, I am glad to be on the floor today, joined by my colleague Senator Richard Blumenthal and…

Lindsey Graham
Sen. Lindsey GrahamR-SC · Dec 8, 2021

Madam President, I have a different approach that will get the same result. But to my colleagues here, we are playing the Medicare card in a very dangerous fashion. Senator Hawley said it pretty…

Mitch McConnell
Sen. Mitch McConnellR-KY · Dec 9, 2021

Mr. President, I ask unanimous consent that the order for the quorum call be rescinded. Mr. President, today, the Capitol is once again hosting a hallowed tradition. The U.S. Congress just solemnly…

Roy Blunt
Sen. Roy BluntR-MO · Dec 9, 2021

I think we are a little beyond our time on this side, but I am grateful for my friend from Rhode Island who is willing to let me have a chance to make the points I wanted to make. And I think, as is…

Tom Cotton
Sen. Tom CottonR-AR · Dec 9, 2021

Mr. President, I oppose passage of the Inspector General Act. This bill or similar versions of it have been around for at least a decade now. To my knowledge, the Judiciary Committee hasn't had a…

Charles E. Schumer
Sen. Charles E. SchumerD-NY · Dec 16, 2021

Madam President, pursuant to S. Res. 27, the Committee on the Judiciary being tied on the question of reporting, I move to discharge the Senate Committee on the Judiciary from further consideration…

Bill Text

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One Hundred Seventeenth Congress of the United States of America

1st Sess.

Begun and held at the City of Washington on Sunday, the third day of January, two thousand and twenty one

S. 610

AN ACT

To address behavioral health and well-being among health care professionals.

1.

Short title

This Act may be cited as the Protecting Medicare and American Farmers from Sequester Cuts Act.

2.

Adjustments to Medicare sequestration reductions

(a)

Extension of temporary suspension through March 2022

(1)

In general

Section 3709(a) of division A of the CARES Act (2 U.S.C. 901a note) is amended—

(A)

in the subsection header by inserting and adjustment after suspension; and

(B)

by striking December 31, 2021 and inserting March 31, 2022.

(2)

Effective date

The amendments made by paragraph (1) shall take effect as if enacted as part of the CARES Act (Public Law 116–136).

(b)

Adjustments to Medicare program sequestration reduction with respect to fiscal years 2022 and 2030

Section 251A(6) of the Balanced Budget and Emergency Deficit Control Act of 1985 (2 U.S.C. 901a(6)) is amended—

(1)

by redesignating subparagraph (C) as subparagraph (E); and

(2)

by inserting after subparagraph (B) the following new subparagraphs:

(C)

Notwithstanding the 2 percent limit specified in subparagraph (A) for payments for the Medicare programs specified in section 256(d), the sequestration order of the President under such subparagraph for fiscal year 2022 shall be applied to such payments so that with respect to the period beginning on April 1, 2022, and ending on June 30, 2022, the payment reduction shall be 1.0 percent.

(D)

Notwithstanding the 2 percent limit specified in subparagraph (A) for payments for the Medicare programs specified in section 256(d), the sequestration order of the President under such subparagraph for fiscal year 2030 shall be applied to such payments so that—

(i)

with respect to the first 6 months in which such order is effective for such fiscal year, the payment reduction shall be 2.25 percent; and

(ii)

with respect to the second 6 months in which such order is so effective for such fiscal year, the payment reduction shall be 3 percent.

.

3.

Extension of support for physicians and other professionals in adjusting to Medicare payment changes

(a)

In general

Section 1848 of the Social Security Act (42 U.S.C. 1395w–4) is amended—

(1)

in subsection (c)(2)(B)(iv)(V), by striking 2021 and inserting 2021 or 2022; and

(2)

in subsection (t)—

(A)

in the subsection header, by striking 2021 and inserting 2021 and 2022;

(B)

in paragraph (1)—

(i)

by striking during 2021 and inserting during 2021 and 2022; and

(ii)

by striking for such services furnished on or after January 1, 2021, and before January 1, 2022, by 3.75 percent. and inserting

for—

(A)

such services furnished on or after January 1, 2021, and before January 1, 2022, by 3.75 percent; and

(B)

such services furnished on or after January 1, 2022, and before January 1, 2023, by 3.0 percent.

; and

(C)

in paragraph (2)(C)—

(i)

in the subparagraph header, by striking 2021 and inserting 2021 and 2022;

(ii)

by inserting for services furnished in 2021 or 2022 after under this subsection; and

(iii)

by inserting or 2022, respectively before the period at the end.

(b)

Report

Section 101(c) of division N of the Consolidated Appropriations Act, 2021 (Public Law 116–260) is amended—

(1)

in the first sentence—

(A)

by striking April 1, 2022 and inserting each of April 1, 2022, and April 1, 2023; and

(B)

by striking , as added by subsection (a) and inserting furnished during 2021 or 2022, respectively; and

(2)

in the second sentence—

(A)

by striking Such report and inserting Each such report; and

(B)

by inserting with respect to 2021 or 2022, as applicable after under such section.

4.

Preserving patient access to critical clinical lab services

(a)

Revised phase-in of reductions from private payor rate implementation

Section 1834A(b)(3) of the Social Security Act (42 U.S.C. 1395m–1(b)(3)) is amended—

(1)

in subparagraph (A), by striking through 2024 and inserting through 2025; and

(2)

in subparagraph (B)—

(A)

in clause (ii), by striking for 2021 and inserting for each of 2021 and 2022; and

(B)

in clause (iii), by striking 2022 through 2024 and inserting 2023 through 2025.

(b)

Revised Reporting Period for Reporting of Private Sector Payment Rates for Establishment of Medicare Payment Rates

Section 1834A(a)(1)(B) of the Social Security Act (42 U.S.C. 1395m–1(a)(1)(B)) is amended—

(1)

in clause (i), by striking December 31, 2021 and inserting December 31, 2022; and

(2)

in clause (ii)—

(A)

by striking January 1, 2022 and inserting January 1, 2023; and

(B)

by striking March 31, 2022 and inserting March 31, 2023.

5.

Delay to the implementation of the radiation oncology model under the Medicare program

Section 133 of Division CC of the Consolidated Appropriations Act, 2021 (Public Law 116–260) is amended by striking January 1, 2022 and inserting January 1, 2023.

6.

Medicare Improvement Fund

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

7.

PAYGO annual report

For the purposes of the annual report issued pursuant to section 5 of the Statutory Pay-As-You-Go Act of 2010 (2 U.S.C. 934) after adjournment of the first session of the 117th Congress, and for determining whether a sequestration order is necessary under such section, the debit for the budget year on the 5-year scorecard, if any, and the 10-year scorecard, if any, shall be deducted from such scorecard in 2022 and added to such scorecard in 2023.

8.

Expedited procedures for considering an increase in the debt limit

(a)

Definition

In this section, the term joint resolution means a joint resolution—

(1)

that is introduced by the Majority Leader of the Senate, or a designee, during the period beginning on the date of enactment of this Act and ending on December 31, 2021;

(2)

which does not have a preamble;

(3)

the title of which is as follows: Joint resolution relating to increasing the debt limit.; and

(4)

the matter after the resolving clause of which is as follows: That the limitation under section 3101(b) of title 31, United States Code, as most recently increased by Public Law 117–50 (31 U.S.C. 3101 note), is increased by $_________., the blank space being appropriately filled in with the dollar amount of the increase.

(b)

Expedited consideration in Senate

(1)

Placement on calendar

Upon introduction in the Senate, the joint resolution shall be placed immediately on the calendar.

(2)

Proceeding to consideration

(A)

In general

Notwithstanding rule XXII of the Standing Rules of the Senate, it is in order, not later than January 15, 2022 (even though a previous motion to the same effect has been disagreed to) to move to proceed to the consideration of the joint resolution.

(B)

Procedure

For a motion to proceed to the consideration of the joint resolution—

(i)

all points of order against the motion are waived;

(ii)

the motion is not debatable;

(iii)

the motion is not subject to a motion to postpone;

(iv)

a motion to reconsider the vote by which the motion is agreed to or disagreed to shall not be in order; and

(v)

if the motion is agreed to, the joint resolution shall remain the unfinished business until disposed of.

(3)

Floor consideration

(A)

In general

If the Senate proceeds to consideration of the joint resolution—

(i)

all points of order against the joint resolution (and against consideration of the joint resolution) are waived;

(ii)

debate on the joint resolution, and all debatable motions and appeals in connection therewith, shall be limited to not more than 10 hours, which shall be divided equally between the Chairman and Ranking Member of the Committee on Finance;

(iii)

an amendment to the joint resolution is not in order;

(iv)

a motion to postpone or a motion to commit the joint resolution is not in order; and

(v)

a motion to proceed to the consideration of other business is not in order.

(B)

Vote on passage

The vote on passage shall occur immediately following the conclusion of the debate on the joint resolution and a single quorum call if requested in accordance with the rules of the Senate.

(C)

Rulings of the chair on procedure

Appeals from the decisions of the Chair relating to the application of this paragraph or the rules of the Senate, as the case may be, to the procedure relating to the joint resolution shall be decided without debate.

(D)

Single measure authorized

It shall not be in order to consider more than 1 joint resolution under the procedures under this paragraph.

(E)

Sunset

It shall not be in order to consider a joint resolution under the procedures under this paragraph after January 16, 2022.

(4)

Rules of the Senate

This subsection is enacted by Congress—

(A)

as an exercise of the rulemaking power of the Senate, and as such is deemed a part of the rules of the Senate, but applicable only with respect to the procedure to be followed in the Senate in the case of a joint resolution, and supersede other rules only to the extent that they are inconsistent with such rules; and

(B)

with full recognition of the constitutional right of the Senate to change the rules (so far as relating to the procedure of the Senate) at any time, in the same manner, and to the same extent as in the case of any other rule of the Senate.

Speaker of the House of Representatives

Vice President of the United States and President of the Senate