I 
110TH CONGRESS 
2D SESSION 
H. R. 6091 
To amend title XVIII of the Security Act to preserve access to physicians’ 
services under the Medicare Program. 
IN THE HOUSE OF REPRESENTATIVES 
MAY 20, 2008 
Mr. ENGLISH of Pennsylvania (for himself and Ms. BERKLEY) introduced the 
following 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 title XVIII of the Security Act to preserve access 
to physicians’ services under the Medicare Program. 
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 ‘‘Save Medicare Act of 
2008’’. 
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SEC. 2. INCREASE IN MEDICARE PHYSICIAN PAYMENT UP-
DATE. 
Section 1848(d) of the Social Security Act (42 U.S.C. 
1395w–4(d)), as amended by section 101 of the Medicare, 
Medicaid, and SCHIP Extension Act of 2007 (Public Law 
110–173), is amended— 
(1) in paragraph (8)— 
(A) in the heading, by striking ‘‘A PORTION 
OF’’; 
(B) in subparagraph (A)— 
(i) by striking ‘‘(A) IN GENERAL.— 
Subject 
to’’ 
and 
inserting 
‘‘Notwith-
standing’’; and 
(ii) by striking ‘‘for the period begin-
ning on January 1, 2008, and ending on 
June 30, 2008,’’; 
(C) by striking subparagraph (B); and 
(2) by adding at the end the following new 
paragraph: 
‘‘(9) UPDATE FOR 2009.—In lieu of the update 
to the single conversion factor established in para-
graph (1)(C) that would otherwise apply for 2009, 
the update to the single conversion factor shall be 
1.8 percent.’’. 
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SEC. 3. EXTENSION OF THE PHYSICIAN QUALITY REPORT-
ING SYSTEM. 
(a) SYSTEM.—Section 1848(k)(2)(B) of the Social 
Security Act (42 U.S.C. 1395w–4(k)(2)(B)), as amended 
by section 101 of the Medicare, Medicaid, and SCHIP Ex-
tension Act of 2007 (Public Law 110–173), is amended— 
(1) in the heading, by striking ‘‘AND 2009’’ and 
inserting ‘‘, 2009, AND 2010’’; 
(2) in clause (i), by striking ‘‘and 2009’’ and 
inserting ‘‘, 2009, and 2010’’; and 
(3) in each of clauses (ii) and (iii)— 
(A) by striking ‘‘and 2008’’ and inserting 
‘‘, 2008, and 2009’’; and 
(B) by striking ‘‘or 2009’’ and inserting ‘‘, 
2009, or 2010’’. 
(b) REPORTING.—Section 101(c) of division B of the 
Tax Relief and Health Care Act of 2006 (42 U.S.C. 
1395w–4 note), as amended by section 101 of the Medi-
care, Medicaid, and SCHIP Extension Act of 2007 (Public 
Law 110–173), is amended— 
(1) in the heading, by striking ‘‘AND 2008’’ and 
inserting ‘‘, 2008, AND 2009’’; and 
(2) in paragraph (6)(C)— 
(A) in clause (i), by striking ‘‘and’’ at the 
end; 
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