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[Congressional Bills 111th Congress]
[From the U.S. Government Publishing Office]
[H.R. 5712 Engrossed Amendment Senate (EAS)]

                  In the Senate of the United States,

                                                     November 18, 2010.
    Resolved, That the bill from the House of Representatives (H.R. 
5712) entitled ``An Act to provide for certain clarifications and 
extensions under Medicare, Medicaid, and the Children's Health 
Insurance Program.'', do pass with the following

                              AMENDMENTS:

            Strike all after the enacting clause and insert the 
      following:

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.

            Amend the title so as to read: ``An Act Entitled The 
        Physician Payment and Therapy Relief Act of 2010.''.

            Attest:

                                                             Secretary.
111th CONGRESS

  2d Session

                               H.R. 5712

_______________________________________________________________________

                               AMENDMENTS
```