I 
110TH CONGRESS 
2D SESSION 
H. R. 6129 
To amend part B of title XVIII of the Social Security Act to extend for 
7 months the Medicare physician payment rates. 
IN THE HOUSE OF REPRESENTATIVES 
MAY 22, 2008 
Mr. BURGESS (for himself, Mr. GOHMERT, Ms. GRANGER, Mr. NEUGEBAUER, 
Mr. CONAWAY, Mr. THORNBERRY, Mr. HENSARLING, Mr. SESSIONS, Mr. 
BRADY
of Texas, Mr. MARCHANT, Mr. MCCAUL
of Texas, Mr. 
LATOURETTE, Mr. SHIMKUS, Mr. KUHL of New York, Mr. MURTHA, Mr. 
CUELLAR, Mr. GENE GREEN of Texas, Mr. DANIEL E. LUNGREN of Cali-
fornia, and Mr. HASTINGS of Florida) introduced the following bill; which 
was referred to the Committee on Energy and Commerce, and in addition 
to the Committee on Ways and Means, for a period to be subsequently 
determined by the Speaker, in each case for consideration of such provi-
sions as fall within the jurisdiction of the committee concerned 
A BILL 
To amend part B of title XVIII of the Social Security 
Act to extend for 7 months the Medicare physician pay-
ment rates. 
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 ‘‘Assuring Access to 
Medicare Doctors Act of 2008’’. 
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SEC. 2. 7-MONTH EXTENSION OF MEDICARE PHYSICIAN 
PAYMENT RATES. 
(a) IN GENERAL.—Section 1848(d) of the Social Se-
curity Act (42 U.S.C. 1395w–4(d)) is amended— 
(1) in paragraph (8)— 
(A) in the heading, by striking ‘‘A PORTION 
OF’’; 
(B) in subparagraph (A), by striking 
‘‘June 30, 2008’’ and inserting ‘‘December 31, 
2008’’; and 
(C) in subparagraph (B)— 
(i) in the heading, by striking ‘‘THE 
REMAINING PORTION OF 2008 AND’’; and 
(ii) by striking ‘‘for the period begin-
ning on July 1, 2008, and ending on De-
cember 31, 2008, and’’; and 
(2) by adding at the end the following new 
paragraph: 
‘‘(9) UPDATE FOR A PORTION OF 2009.— 
‘‘(A) IN GENERAL.—Subject to paragraphs 
(7)(B) and (8)(B), in lieu of the update to the 
single conversion factor established in para-
graph (1)(C) that would otherwise apply for 
2009, for the period beginning on January 1, 
2009, and ending on January 31, 2009, the up-
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date to the single conversion factor shall be 0 
percent. 
‘‘(B) NO
EFFECT
ON
COMPUTATION
OF 
CONVERSION
FACTOR
FOR
THE
REMAINING 
PORTION
OF
2009, 2010, AND
SUBSEQUENT 
YEARS.—The conversion factor under this sub-
section shall be computed under paragraph 
(1)(A) for the period beginning on February 1, 
2009, and ending on December 31, 2009, and 
for 2010 and subsequent years as if subpara-
graph (A) had never applied.’’. 
(b) 
ADJUSTMENT
TO
PAQI 
FUND.—Section 
1848(l)(2) of such Act (42 U.S.C. 1395w–4(l)(2)) is 
amended— 
(1) in subparagraph (A)(i)— 
(A) 
in 
subclause 
(III), 
by 
striking 
‘‘$4,960,000,000’’ 
and 
inserting 
‘‘$1,660,000,000’’; and 
(B) by adding at the end the following new 
subclause: 
‘‘(IV) For expenditures during 
2014, 
an 
amount 
equal 
to 
$1,185,000,000.’’; 
(2) in subparagraph (A)(ii), by adding at the 
end the following new subclause: 
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‘‘(IV) 2014.—The amount avail-
able for expenditures during 2014 
shall only be available for an adjust-
ment to the update of the conversion 
factor under subsection (d) for that 
year.’’; and 
(3) in subparagraph (B)— 
(A) in clause (ii), by striking ‘‘and’’ at the 
end; 
(B) in clause (iii), by striking the period at 
the end and inserting ‘‘; and’’; and 
(C) by adding at the end the following new 
clause: 
‘‘(iv) 2014 for payment with respect 
to physicians’ services furnished during 
2014.’’. 
(c) TRANSFER OF CERTAIN REMAINING FUNDS.—Of 
the amounts appropriated under subsection (a) of section 
1011 of the Medicare Prescription Drug, Improvement, 
and Modernization Act of 2003 (Public Law 108–173), 
any such amounts which have not otherwise been obligated 
as of January 1, 2009, shall, as of such date, be trans-
ferred and deposited into the Federal Supplementary Med-
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ical Insurance Trust Fund under section 1841 of the So-
cial Security Act (42 U.S.C. 1395t). 
Æ 
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