I 

117TH CONGRESS 

1ST SESSION H. R. 6144 

To delay and offset the sequester to occur in January 2022 under the 

Statutory Pay-As-You-Go Act of 2010, and for other purposes. 

IN THE HOUSE OF REPRESENTATIVES 

DECEMBER 7, 2021 

Mr. SMITH of Missouri (for himself, Mr. BRADY, Mrs. RODGERS of Washington, Mr. BURGESS, Mr. WENSTRUP, Mr. BUCSHON, Mr. CARTER of 

Georgia, Mr. HARRIS, Mr. VAN DREW, Mr. MURPHY of North Carolina, 

and Mr. JOYCE of Pennsylvania) introduced the following bill; which was 

referred to the Committee on Ways and Means, and in addition to the 

Committees on the Budget, Energy and Commerce, the Judiciary, Agriculture, and Oversight and Reform, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions 

as fall within the jurisdiction of the committee concerned 

A BILL 

To delay and offset the sequester to occur in January 2022 

under the Statutory Pay-As-You-Go Act of 2010, and 

for other purposes. 

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 ‘‘Removing Waste and 

5 Protecting Medicare Act’’. 


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1 SEC. 2. PAYGO ACT SEQUESTER DELAY. 

2 No sequester shall be ordered during calendar year 

3 2022 after Congress adjourns to end the 1st session of 

4 the 117th Congress under section 5 of the Statutory Pay5 As-You-Go Act of 2010. 

6 SEC. 3. OFFSET OF SEQUESTER DELAY. 

7 (a) REINSTATEMENT OF PUBLIC CHARGE RULE.— 

8 The rule relating to inadmissibility on public charge 

9 grounds (84 Fed. Reg. 41292, published on August 14, 

10 2019) as in effect on October 15, 2019, shall be consid11 ered to be in effect as of the date of enactment of this 

12 Act, and the Department of Homeland Security shall re13 implement such rule as soon as may be practicable. 

14 (b) SOCIAL SECURITY NUMBER REQUIREMENTS FOR

15 CHILD TAX CREDIT.— 

16 (1) IN GENERAL.—Section 24(e) of the Internal 

17 Revenue Code of 1986 is amended to read as fol18 lows: 

19 ‘‘(e) SOCIAL SECURITY NUMBER REQUIREMENTS.— 

20 ‘‘(1) TAXPAYER.—No credit shall be allowed 

21 under this section to any taxpayer who does not in22 clude on the return of tax for the taxable year— 

23 ‘‘(A) such individual’s social security num24 ber, and 

25 ‘‘(B) if the individual is married, the social 

26 security number of such individual’s spouse. 


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1 ‘‘(2) QUALIFYING CHILDREN.—No credit shall 

2 be allowed under this section to a taxpayer with re3 spect to any qualifying child unless the taxpayer in4 cludes the social security number of such child on 

5 the return of tax for the taxable year. 

6 ‘‘(3) SOCIAL SECURITY NUMBER.—For pur7 poses of this subsection, the term ‘social security 

8 number’ means a social security number issued to an 

9 individual by the Social Security Administration, but 

10 only if the social security number is issued— 

11 ‘‘(A) to a citizen of the United States or 

12 pursuant to subclause (I) (or that portion of 

13 subclause (III) that relates to subclause (I)) of 

14 section 205(c)(2)(B)(i) of the Social Security 

15 Act, and 

16 ‘‘(B) before the due date of the return of 

17 tax referred to in paragraph (1) or (2), as the 

18 case may be.’’. 

19 (2) CONFORMING AMENDMENT.—Section 24(h) 

20 of such Code is amended by striking paragraph (7). 

21 (3) EFFECTIVE DATE.—The amendments made 

22 by this subsection shall apply to taxable years begin23 ning after December 31, 2021. 

24 (c) REINSTATEMENT OF SNAP WORK REQUIRE25 MENT RULE.—The rule relating to work requirements 


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1 under the Supplemental Nutrition Assistance Program 

2 (84 Fed. Reg. 66782, published on December 5, 2019) 

3 as in effect on April 1, 2020, shall be considered to be 

4 in effect as of the date of enactment of this Act, and the 

5 Department of Agriculture shall reimplement such rule as 

6 soon as may be practicable. 

7 (d) RESCISSION OF CORONAVIRUS STATE AND LOCAL

8 FISCAL RECOVERY FUNDS.—Of the total amount of unob9 ligated amounts available under sections 602 and 603 of 

10 title VI of the Social Security Act, $53,500,000,000 are 

11 hereby permanently rescinded. 

12 (e) RESCISSION OF CAPITAL PROJECTS FUNDS.— 

13 The total amount of unobligated amounts available under 

14 section 604 of title VI of the Social Security Act are here15 by permanently rescinded. 

16 SEC. 4. ADJUSTMENTS TO MEDICARE PROGRAM SEQUES17 TRATION REDUCTION WITH RESPECT TO FIS18 CAL YEAR 2022. 

19 (a) EXTENSION.— 

20 (1) IN GENERAL.—Section 3709(a) of division 

21 A of the CARES Act (2 U.S.C. 901a note) is 

22 amended by striking ‘‘December 31, 2021’’ and in23 serting ‘‘March 31, 2022’’. 


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1 (2) EFFECTIVE DATE.—The amendments made 

2 by paragraph (1) shall take effect as if enacted as 

3 part of the CARES Act (Public Law 116–136). 

4 (b) ADJUSTMENT.—Section 251A(6) of the Balanced 

5 Budget and Emergency Deficit Control Act of 1985 (2 

6 U.S.C. 901a(6)) is amended— 

7 (1) by redesignating subparagraph (C) as sub8 paragraph (D); and 

9 (2) by inserting after subparagraph (B) the fol10 lowing: 

11 ‘‘(C) Notwithstanding the 2 percent limit 

12 specified in subparagraph (A) for payments for 

13 the Medicare programs specified in section 

14 256(d), the sequestration order of the President 

15 under such subparagraph for fiscal year 2022 

16 shall be applied to such payments so that with 

17 respect to the period beginning on April 1, 

18 2022, and ending on June 30, 2022, the pay19 ment reduction shall be 1.0 percent.’’. 

20 SEC. 5. EXTENSION OF SUPPORT FOR PHYSICIANS AND 

21 OTHER PROFESSIONALS IN ADJUSTING TO 

22 MEDICARE PAYMENT CHANGES. 

23 (a) IN GENERAL.—Section 1848 of the Social Secu24 rity Act (42 U.S.C. 1395w–4) is amended— 


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1 (1) in subsection (c)(2)(B)(iv)(V), by striking 

2 ‘‘2021’’ and inserting ‘‘2021 or 2022’’; and 

3 (2) in subsection (t)— 

4 (A) in the subsection header, by striking 

5 ‘‘2021’’ and inserting ‘‘2021 AND 2022’’; 

6 (B) in paragraph (1)— 

7 (i) by striking ‘‘during 2021’’ and in8 serting ‘‘during 2021 and 2022’’; and 

9 (ii) by striking ‘‘for such services fur10 nished on or after January 1, 2021, and 

11 before January 1, 2022, by 3.75 percent.’’ 

12 and inserting ‘‘for— 

13 ‘‘(A) such services furnished on or after 

14 January 1, 2021, and before January 1, 2022, 

15 by 3.75 percent; and 

16 ‘‘(B) such services furnished on or after 

17 January 1, 2022, and before January 1, 2023, 

18 by 3.0 percent.’’; and 

19 (C) in paragraph (2)(C)— 

20 (i) in the subparagraph header, by 

21 striking ‘‘2021’’ and inserting ‘‘2021 AND

22 2022’’; 

23 (ii) by inserting ‘‘for services fur24 nished in 2021 or 2022’’ after ‘‘under this 

25 subsection’’; and 


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1 (iii) by inserting ‘‘or 2022, respec2 tively’’ before the period at the end. 

3 (b) REPORT.—Section 101(c) of division N of the 

4 Consolidated Appropriations Act, 2021 (Public Law 116– 

5 260) is amended— 

6 (1) in the first sentence— 

7 (A) by striking ‘‘April 1, 2022’’ and insert8 ing ‘‘each of April 1, 2022, and April 1, 2023’’; 

9 and 

10 (B) by striking ‘‘, as added by subsection 

11 (a)’’ and inserting ‘‘furnished during 2021 or 

12 2022, respectively’’; and 

13 (2) in the second sentence— 

14 (A) by striking ‘‘Such report’’ and insert15 ing ‘‘Each such report’’; and 

16 (B) by inserting ‘‘with respect to 2021 or 

17 2022, as applicable’’ after ‘‘under such sec18 tion’’. 

19 SEC. 6. PRESERVING PATIENT ACCESS TO CRITICAL CLIN20 ICAL LAB SERVICES. 

21 (a) REVISED PHASE-IN OF REDUCTIONS FROM PRI22 VATE PAYOR RATE IMPLEMENTATION.—Section 

23 1834A(b)(3) of the Social Security Act (42 U.S.C. 

24 1395m–1(b)(3)) is amended— 


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1 (1) in subparagraph (A), by striking ‘‘through 

2 2024’’ and inserting ‘‘through 2025’’; and 

3 (2) in subparagraph (B)— 

4 (A) in clause (ii), by striking ‘‘for 2021’’ 

5 and inserting ‘‘for each of 2021 and 2022’’; 

6 and 

7 (B) in clause (iii), by striking ‘‘2022 

8 through 2024’’ and inserting ‘‘2023 through 

9 2025’’. 

10 (b) REVISED REPORTING PERIOD FOR REPORTING

11 OF PRIVATE SECTOR PAYMENT RATES FOR ESTABLISH12 MENT OF MEDICARE PAYMENT RATES.—Section 

13 1834A(a)(1)(B) of the Social Security Act (42 U.S.C. 

14 1395m–1(a)(1)(B)) is amended— 

15 (1) in clause (i), by striking ‘‘December 31, 

16 2021’’ and inserting ‘‘December 31, 2022’’; and 

17 (2) in clause (ii)— 

18 (A) by striking ‘‘January 1, 2022’’ and in19 serting ‘‘January 1, 2023’’; and 

20 (B) by striking ‘‘March 31, 2022’’ and in21 serting ‘‘March 31, 2023’’. 


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1 SEC. 7. DELAY TO THE IMPLEMENTATION OF THE RADI2 ATION ONCOLOGY MODEL UNDER THE MEDI3 CARE PROGRAM. 

4 Section 133 of Division CC of the Consolidated Ap5 propriations Act, 2021 (Public Law 116–260) is amended 

6 by striking ‘‘January 1, 2022’’ and inserting ‘‘January 1, 

7 2023’’. 

8 SEC. 8. MEDICARE IMPROVEMENT FUND. 

9 Section 1898(b)(1) of the Social Security Act (42 

10 U.S.C. 1395iii(b)(1)) is amended by striking ‘‘fiscal year 

11 2021’’ and all that follows through the period at the end 

12 and inserting ‘‘fiscal year 2021, $102,000,000.’’. 

Æ 


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