I 
109TH CONGRESS 
2D SESSION 
H. R. 5916 
To amend part B of title XVIII of the Social Security Act to provide 
for an increase in payment for physicians’ services under the Medicare 
Program for 2007 and 2008. 
IN THE HOUSE OF REPRESENTATIVES 
JULY 27, 2006 
Mr. DINGELL (for himself, Mr. BROWN of Ohio, Mr. WAXMAN, Mr. MARKEY, 
Mr. BOUCHER, Mr. TOWNS, Mr. PALLONE, Mr. GORDON, Mr. RUSH, Ms. 
ESHOO, Mr. STUPAK, Mr. ENGEL, Mr. WYNN, Mr. GENE GREEN of 
Texas, Mr. STRICKLAND, Ms. DEGETTE, Mrs. CAPPS, Mr. DOYLE, Mr. 
ALLEN, Mr. DAVIS of Florida, Ms. SCHAKOWSKY, Ms. SOLIS, Mr. GON-
ZALEZ, Mr. INSLEE, Ms. BALDWIN, and Mr. ROSS) introduced the fol-
lowing bill; which was referred to the Committee on Energy and Com-
merce, and in addition to the Committee on Ways and Means, for a pe-
riod to be subsequently determined by the Speaker, in each case for con-
sideration of such provisions as fall within the jurisdiction of the com-
mittee concerned 
A BILL 
To amend part B of title XVIII of the Social Security 
Act to provide for an increase in payment for physicians’ 
services under the Medicare Program for 2007 and 2008. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Patients’ Access to 
Physicians Act of 2006’’. 
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SEC. 2. MINIMUM UPDATE FOR PHYSICIANS’ SERVICES FOR 
2007 AND 2008. 
(a) IN GENERAL.—Section 1848(d) of the Social Se-
curity Act (42 U.S.C. 1395w–4(d)), as amended by section 
5104 of the Deficit Reduction Act of 2005 (Public Law 
109–171), is amended by adding at the end the following 
new paragraph: 
‘‘(7) UPDATES FOR 2007 AND 2008.— 
‘‘(A) FOR 2007.—The update to the single 
conversion factor established in paragraph 
(1)(C) for 2007 shall not be less than 1 plus 
the Secretary’s estimate of the percentage in-
crease in the MEI (as defined in section 
1842(i)(3)) for the year (divided by 100). 
‘‘(B) FOR 2008.—The update to the single 
conversion factor established in paragraph 
(1)(C) for 2008 shall not be less than 1 plus 
the Secretary’s estimate of the percentage in-
crease in the MEI (as defined in section 
1842(i)(3)) for the year (divided by 100).’’. 
(b) 
CONFORMING
AMENDMENT.—Section 
1848(d)(4)(B) of such Act (42 U.S.C. 1395w–4(d)(4)(B)) 
is amended, in the matter preceding clause (i), by striking 
‘‘paragraphs (5) and (6)’’ and inserting ‘‘paragraphs (5), 
(6), and (7)’’. 
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(c) PREMIUM TRANSITION RULE.—Notwithstanding 
any other provision of law— 
(1) PREMIUM.—The monthly premium under 
section 1839 of the Social Security Act (42 U.S.C. 
1395r) for months in 2007 and 2008 shall be com-
puted as if this section had not been enacted. 
(2) GOVERNMENT
CONTRIBUTION.—The Gov-
ernment contribution under section 1844(a) of the 
Social Security Act (42 U.S.C. 1395w(a)) for 
months in 2007 and 2008 shall be computed taking 
into account the provisions of this section, including 
paragraph (1). 
Æ 
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