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[Congressional Bills 117th Congress]
[From the U.S. Government Publishing Office]
[S. 610 Enrolled Bill (ENR)]

        S.610

                    One Hundred Seventeenth Congress

                                 of the

                        United States of America

                          AT THE FIRST SESSION

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

                                 An Act

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

    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 ``Protecting Medicare and American 
Farmers from Sequester Cuts Act''.
SEC. 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.''.
SEC. 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''.
SEC. 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''.
SEC. 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''.
SEC. 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.''.
SEC. 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.
SEC. 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.
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