(2) EFFECTIVE DATE.—The amendments made 
by paragraph (1) shall take effect as if enacted as 
part of the CARES Act (Public Law 116–136). 
(b) ADJUSTMENT.—Section 251A(6) of the Balanced 
Budget and Emergency Deficit Control Act of 1985 (2 
U.S.C. 901a(6)) is amended— 
(1) by redesignating subparagraph (C) as sub-
paragraph (D); and 
(2) by inserting after subparagraph (B) the fol-
lowing: 
‘‘(C) Notwithstanding the 2 percent limit 
specified in subparagraph (A) for payments for 
the Medicare programs specified in section 
256(d), the sequestration order of the President 
under such subparagraph for fiscal year 2022 
shall be applied to such payments so that with 
respect to the period beginning on April 1, 
2022, and ending on June 30, 2022, the pay-
ment reduction shall be 1.0 percent.’’. 
SEC. 5. EXTENSION OF SUPPORT FOR PHYSICIANS AND 
OTHER PROFESSIONALS IN ADJUSTING TO 
MEDICARE PAYMENT CHANGES. 
(a) IN GENERAL.—Section 1848 of the Social Secu-
rity Act (42 U.S.C. 1395w–4) is amended— 
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(1) in subsection (c)(2)(B)(iv)(V), by striking 
‘‘2021’’ and inserting ‘‘2021 or 2022’’; and 
(2) in subsection (t)— 
(A) in the subsection header, by striking 
‘‘2021’’ and inserting ‘‘2021 AND 2022’’; 
(B) in paragraph (1)— 
(i) by striking ‘‘during 2021’’ and in-
serting ‘‘during 2021 and 2022’’; and 
(ii) by striking ‘‘for such services fur-
nished on or after January 1, 2021, and 
before January 1, 2022, by 3.75 percent.’’ 
and inserting ‘‘for— 
‘‘(A) such services furnished on or after 
January 1, 2021, and before January 1, 2022, 
by 3.75 percent; and 
‘‘(B) such services furnished on or after 
January 1, 2022, and before January 1, 2023, 
by 3.0 percent.’’; and 
(C) in paragraph (2)(C)— 
(i) in the subparagraph header, by 
striking ‘‘2021’’ and inserting ‘‘2021 AND 
2022’’; 
(ii) by inserting ‘‘for services fur-
nished in 2021 or 2022’’ after ‘‘under this 
subsection’’; and 
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(iii) by inserting ‘‘or 2022, respec-
tively’’ before the period at the end. 
(b) REPORT.—Section 101(c) of division N of the 
Consolidated Appropriations Act, 2021 (Public Law 116– 
260) is amended— 
(1) in the first sentence— 
(A) by striking ‘‘April 1, 2022’’ and insert-
ing ‘‘each of April 1, 2022, and April 1, 2023’’; 
and 
(B) by striking ‘‘, as added by subsection 
(a)’’ and inserting ‘‘furnished during 2021 or 
2022, respectively’’; and 
(2) in the second sentence— 
(A) by striking ‘‘Such report’’ and insert-
ing ‘‘Each such report’’; and 
(B) by inserting ‘‘with respect to 2021 or 
2022, as applicable’’ after ‘‘under such sec-
tion’’. 
SEC. 6. PRESERVING PATIENT ACCESS TO CRITICAL CLIN-
ICAL LAB SERVICES. 
(a) REVISED PHASE-IN OF REDUCTIONS FROM PRI-
VATE
PAYOR
RATE
IMPLEMENTATION.—Section 
1834A(b)(3) of the Social Security Act (42 U.S.C. 
1395m–1(b)(3)) is amended— 
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(1) in subparagraph (A), by striking ‘‘through 
2024’’ and inserting ‘‘through 2025’’; and 
(2) in subparagraph (B)— 
(A) in clause (ii), by striking ‘‘for 2021’’ 
and inserting ‘‘for each of 2021 and 2022’’; 
and 
(B) in clause (iii), by striking ‘‘2022 
through 2024’’ and inserting ‘‘2023 through 
2025’’. 
(b) REVISED REPORTING PERIOD FOR REPORTING 
OF PRIVATE SECTOR PAYMENT RATES FOR ESTABLISH-
MENT
OF
MEDICARE
PAYMENT
RATES.—Section 
1834A(a)(1)(B) of the Social Security Act (42 U.S.C. 
1395m–1(a)(1)(B)) is amended— 
(1) in clause (i), by striking ‘‘December 31, 
2021’’ and inserting ‘‘December 31, 2022’’; and 
(2) in clause (ii)— 
(A) by striking ‘‘January 1, 2022’’ and in-
serting ‘‘January 1, 2023’’; and 
(B) by striking ‘‘March 31, 2022’’ and in-
serting ‘‘March 31, 2023’’. 
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