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[Congressional Bills 111th Congress]
[From the U.S. Government Publishing Office]
[H.R. 5712 Enrolled Bill (ENR)]

        H.R.5712

                      One Hundred Eleventh Congress

                                 of the

                        United States of America

                          AT THE SECOND SESSION

          Begun and held at the City of Washington on Tuesday,
             the fifth day of January, two thousand and ten

                                 An Act

 
     Entitled The Physician Payment and Therapy Relief Act of 2010.

    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 ``The Physician Payment and Therapy 
Relief Act of 2010''.
SEC. 2. PHYSICIAN PAYMENT UPDATE.
    Section 1848(d)(11) of the Social Security Act (42 U.S.C. 1395w-
4(d)(11)) is amended--
        (1) in the heading, by striking ``november'' and inserting 
    ``december'';
        (2) in subparagraph (A), by striking ``November 30'' and 
    inserting ``December 31''; and
        (3) in subparagraph (B)--
            (A) in the heading, by striking ``remaining portion of 
        2010'' and inserting ``2011''; and
            (B) by striking ``the period beginning on December 1, 2010, 
        and ending on December 31, 2010, and for''.
SEC. 3. TREATMENT OF MULTIPLE SERVICE PAYMENT POLICIES FOR THERAPY 
SERVICES.
    (a) Smaller Payment Discount for Certain Multiple Therapy 
Services.--Section 1848(b) of the Social Security Act (42 U.S.C. 1395w-
4(b)) is amended by adding at the end the following new paragraph:
        ``(7) Adjustment in discount for certain multiple therapy 
    services.--In the case of therapy services furnished on or after 
    January 1, 2011, and for which payment is made under fee schedules 
    established under this section, instead of the 25 percent multiple 
    procedure payment reduction specified in the final rule published 
    by the Secretary in the Federal Register on November 29, 2010, the 
    reduction percentage shall be 20 percent.''.
    (b) Exemption of Payment Reduction From Budget-neutrality.--Section 
1848(c)(2)(B)(v) of the Social Security Act (42 U.S.C. 1395w-
4(c)(2)(B)(v)) is amended by adding at the end the following new 
subclause:

                    ``(VII) Reduced expenditures for multiple therapy 
                services.--Effective for fee schedules established 
                beginning with 2011, reduced expenditures attributable 
                to the multiple procedure payment reduction for therapy 
                services (as described in subsection (b)(7)).''.

SEC. 4. DETERMINATION OF BUDGETARY EFFECTS.
    The budgetary effects of this Act, for the purpose of complying 
with the Statutory Pay-As-You-Go Act of 2010, shall be determined by 
reference to the latest statement titled ``Budgetary Effects of PAYGO 
Legislation'' for this Act, submitted for printing in the Congressional 
Record by the Chairman of the Senate Budget Committee, provided that 
such statement has been submitted prior to the vote on passage.

                               Speaker of the House of Representatives.

                            Vice President of the United States and    
                                               President of the Senate.
```