II 

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. 

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 

3 SECTION 1. SHORT TITLE. 

4 This Act may be cited as the ‘‘Access to Physicians 

5 in Medicare Act of 2012’’. 


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•S 3337 IS

1 SEC. 2. ELIMINATION OF SUSTAINABLE GROWTH RATE 

2 FORMULA. 

3 (a) UPDATE FOR 2013 AND SUBSEQUENT YEARS.— 

4 Section 1848(d) of the Social Security Act (42 U.S.C. 

5 1395w–4(d)) is amended by adding at the end the fol6 lowing new paragraph: 

7 ‘‘(14) UPDATE FOR 2013 AND SUBSEQUENT

8 YEARS.—In lieu of the update to the single conver9 sion factor established in paragraph (1)(C) that 

10 would otherwise apply for 2013 and each subsequent 

11 year, the update to the single conversion factor for 

12 each such year shall be the lesser of— 

13 ‘‘(A) the annual percentage increase in the 

14 Consumer Price Index for Urban Wage Earners 

15 and Clerical Workers for the year; and 

16 ‘‘(B) 3.0 percent.’’. 

17 (b) CONFORMING SUNSET OF THE MEDICARE SUS18 TAINABLE GROWTH RATE (SGR) FORMULA.—Section 

19 1848(f) of the Social Security Act (42 U.S.C. 1395w–4(f)) 

20 is amended— 

21 (1) in paragraph (1)(B), by inserting ‘‘(ending 

22 with 2011)’’ after ‘‘each succeeding year’’; and 

23 (2) in paragraph (2), by inserting ‘‘and ending 

24 with 2012’’ after ‘‘beginning with 2000’’ in the mat25 ter preceding subparagraph (A). 


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•S 3337 IS

1 SEC. 3. REPEAL OF MANDATORY HEALTH CARE COVERAGE 

2 EXPANSION UNDER THE PATIENT PROTEC3 TION AND AFFORDABLE CARE ACT AND THE 

4 HEALTH CARE AND EDUCATION RECONCILI5 ATION ACT OF 2010. 

6 (a) REPEAL OF MANDATORY MEDICAID AND CHIP 

7 EXPANSION UNDER PPACA.— 

8 (1) IN GENERAL.—Except as provided in para9 graph (2), effective as of the date of enactment of 

10 the Patient Protection and Affordable Care Act 

11 (Public Law 111–148), any provision of such Act or 

12 an amendment made by such Act that amends or 

13 authorizes a program or activity with respect to the 

14 Medicaid program under title XIX of the Social Se15 curity Act or the Children’s Health Insurance Pro16 gram under title XXI of the Social Security Act is 

17 repealed, and Public Law 111–148 and the Social 

18 Security Act shall be applied without regard to such 

19 provision or as if such provision had not been en20 acted. 

21 (2) EXEMPTION FOR PROGRAM INTEGRITY PRO22 VISIONS.—The repeal under paragraph (1) does not 

23 apply to the provisions of, and amendments made 

24 by, title IV of Public Law 111–148 (relating to 

25 transparency and program integrity). 


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•S 3337 IS

1 (b) REPEAL OF PROVISIONS RELATED TO MANDA2 TORY ESTABLISHMENT OF STATE-BASED EXCHANGES

3 UNDER PPACA.—Effective as of the date of enactment 

4 of the Patient Protection and Affordable Care Act, title 

5 I of such Act is repealed, and the provisions of law amend6 ed or repealed by such title are restored or revived as if 

7 such title had not been enacted. 

8 (c) REPEAL OF PROVISIONS RELATED TO MEDICAID

9 OR STATE-BASED EXCHANGES UNDER HCERA.—Effec10 tive as of the date of enactment of the Health Care and 

11 Education Reconciliation Act of 2010 (Public Law 111– 

12 152), subtitles A and C of title I of such Act are repealed, 

13 and the provisions of law amended or repealed by such 

14 subtitles are restored or revived as if such subtitles had 

15 not been enacted. 

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

17 DEFICIT. 

18 Any reduced Federal expenditures from the provi19 sions of, and amendments made by, this Act shall be used 

20 to reduce the Federal deficit. 

Æ 


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