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[Congressional Bills 112th Congress]
[From the U.S. Government Publishing Office]
[S. 3337 Introduced in Senate (IS)]

112th CONGRESS
  2d Session
                                S. 3337

  To amend title XVIII of the Social Security Act to provide for the 
 elimination of the Medicare sustainable growth rate (SGR) formula to 
   ensure access to physicians' services for Medicare beneficiaries.

_______________________________________________________________________

                   IN THE SENATE OF THE UNITED STATES

                             June 25, 2012

   Mr. Paul 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 provide for the 
 elimination of the Medicare sustainable growth rate (SGR) formula to 
   ensure access to physicians' services for Medicare beneficiaries.

    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 ``Access to Physicians in Medicare Act 
of 2012''.

SEC. 2. ELIMINATION OF SUSTAINABLE GROWTH RATE FORMULA.

    (a) Update for 2013 and Subsequent Years.--Section 1848(d) of the 
Social Security Act (42 U.S.C. 1395w-4(d)) is amended by adding at the 
end the following new paragraph:
            ``(14) Update for 2013 and subsequent years.--In lieu of 
        the update to the single conversion factor established in 
        paragraph (1)(C) that would otherwise apply for 2013 and each 
        subsequent year, the update to the single conversion factor for 
        each such year shall be the lesser of--
                    ``(A) the annual percentage increase in the 
                Consumer Price Index for Urban Wage Earners and 
                Clerical Workers for the year; and
                    ``(B) 3.0 percent.''.
    (b) Conforming Sunset of the Medicare Sustainable Growth Rate (SGR) 
Formula.--Section 1848(f) of the Social Security Act (42 U.S.C. 1395w-
4(f)) is amended--
            (1) in paragraph (1)(B), by inserting ``(ending with 
        2011)'' after ``each succeeding year''; and
            (2) in paragraph (2), by inserting ``and ending with 2012'' 
        after ``beginning with 2000'' in the matter preceding 
        subparagraph (A).

SEC. 3. REPEAL OF MANDATORY HEALTH CARE COVERAGE EXPANSION UNDER THE 
              PATIENT PROTECTION AND AFFORDABLE CARE ACT AND THE HEALTH 
              CARE AND EDUCATION RECONCILIATION ACT OF 2010.

    (a) Repeal of Mandatory Medicaid and CHIP Expansion Under PPACA.--
            (1) In general.--Except as provided in paragraph (2), 
        effective as of the date of enactment of the Patient Protection 
        and Affordable Care Act (Public Law 111-148), any provision of 
        such Act or an amendment made by such Act that amends or 
        authorizes a program or activity with respect to the Medicaid 
        program under title XIX of the Social Security Act or the 
        Children's Health Insurance Program under title XXI of the 
        Social Security Act is repealed, and Public Law 111-148 and the 
        Social Security Act shall be applied without regard to such 
        provision or as if such provision had not been enacted.
            (2) Exemption for program integrity provisions.--The repeal 
        under paragraph (1) does not apply to the provisions of, and 
        amendments made by, title IV of Public Law 111-148 (relating to 
        transparency and program integrity).
    (b) Repeal of Provisions Related to Mandatory Establishment of 
State-Based Exchanges Under PPACA.--Effective as of the date of 
enactment of the Patient Protection and Affordable Care Act, title I of 
such Act is repealed, and the provisions of law amended or repealed by 
such title are restored or revived as if such title had not been 
enacted.
    (c) Repeal of Provisions Related to Medicaid or State-Based 
Exchanges Under HCERA.--Effective as of the date of enactment of the 
Health Care and Education Reconciliation Act of 2010 (Public Law 111-
152), subtitles A and C of title I of such Act are repealed, and the 
provisions of law amended or repealed by such subtitles are restored or 
revived as if such subtitles had not been enacted.

SEC. 4. SAVINGS TO BE USED TO REDUCE THE FEDERAL DEFICIT.

    Any reduced Federal expenditures from the provisions of, and 
amendments made by, this Act shall be used to reduce the Federal 
deficit.
                                 <all>
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