Tax Relief And Health Care Act Of 2006
Mr. Speaker, I rise in support of this legislation because it adopts a number of extremely important tax provisions, expensing of brownfields remediation costs, mental health parity benefits, deduction of higher education expenses, the…
Mr. Speaker, I rise in support of this legislation because it adopts a number of extremely important tax provisions, expensing of brownfields remediation costs, mental health parity benefits, deduction of higher education expenses, the work opportunity tax credits, incentives for renewable and alternative sources of energy, and the R&D tax credit with its new forward-looking option; but it also helps to ensure that our senior citizens will be able to choose the physician of their choice by preventing the scheduled 5 percent cut in physician Medicare reimbursements.
In addition, it extends the 508 hospital payments and requires a study of how to reform the wage index system, laying the foundation for needed reform in that area.
The Medicare home demonstration project it adopts will reward small physician offices for managing patients with chronic or severe illness more holistically, both to reduce the cost of medical care and to improve the quality of the care those seniors receive.
But while I support this bill, I believe the 1-year doctor payment policy it adopts is deeply flawed and urge my colleagues to develop a more thoughtful and fair approach to reflecting the quality of physician performance in our Medicare payment system.
First, in any pay-for-performance system, clinical criteria for quality must emanate from the physician community. Bureaucrats must never be allowed to dictate medical practice.
Second, any pay-for-performance system must not penalize doctors who care for difficult, noncomplying patients, or patients for whom criteria has not been established.
Consequently, all doctors should receive some increase to recognize the increased cost of delivering care to our seniors, increased cost of malpractice insurance, health benefits for their employees and so on. And above that, a fair, balanced pay-for-performance system must be adopted.
I urge support of the bill.
