Physician Payment and Therapy Relief Act of 2010
PL 111-286 (H.R.5712), enacted 11/30/2010

124 STAT. 3056 
PUBLIC LAW 111–286—NOV. 30, 2010 
Public Law 111–286 
111th Congress 
An Act 
Entitled The Physician Payment and Therapy Relief Act of 2010. 
Be it enacted by the Senate and House of Representatives of 
the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘The Physician Payment and 
Therapy Relief Act of 2010’’. 
SEC. 2. PHYSICIAN PAYMENT UPDATE. 
Section 1848(d)(11) of the Social Security Act (42 U.S.C. 1395w– 
4(d)(11)) is amended— 
(1) in the heading, by striking ‘‘NOVEMBER’’ and inserting 
‘‘DECEMBER’’; 
(2) in subparagraph (A), by striking ‘‘November 30’’ and 
inserting ‘‘December 31’’; and 
(3) in subparagraph (B)— 
(A) in the heading, by striking ‘‘REMAINING PORTION 
OF 2010’’ and inserting ‘‘2011’’; and 
(B) by striking ‘‘the period beginning on December 
1, 2010, and ending on December 31, 2010, and for’’. 
SEC. 3. TREATMENT OF MULTIPLE SERVICE PAYMENT POLICIES FOR 
THERAPY SERVICES. 
(a) SMALLER
PAYMENT
DISCOUNT
FOR
CERTAIN
MULTIPLE 
THERAPY SERVICES.—Section 1848(b) of the Social Security Act (42 
U.S.C. 1395w–4(b)) is amended by adding at the end the following 
new paragraph: 
‘‘(7) ADJUSTMENT
IN
DISCOUNT
FOR
CERTAIN
MULTIPLE 
THERAPY SERVICES.—In the case of therapy services furnished 
on or after January 1, 2011, and for which payment is made 
under fee schedules established under this section, instead 
of the 25 percent multiple procedure payment reduction speci-
fied in the final rule published by the Secretary in the Federal 
Register on November 29, 2010, the reduction percentage shall 
be 20 percent.’’. 
(b) EXEMPTION OF PAYMENT REDUCTION FROM BUDGET-NEU-
TRALITY.—Section 1848(c)(2)(B)(v) of the Social Security Act (42 
U.S.C. 1395w–4(c)(2)(B)(v)) is amended by adding at the end the 
following new subclause: 
‘‘(VII) REDUCED EXPENDITURES FOR MULTIPLE 
THERAPY
SERVICES.—Effective for fee schedules 
Effective date. 
The Physician 
Payment and 
Therapy Relief 
Act of 2010. 
42 USC 1305 
note. 
Nov. 30, 2010 
[H.R. 5712] 
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07:50 Dec 07, 2012
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124 STAT. 3057 
PUBLIC LAW 111–286—NOV. 30, 2010 
LEGISLATIVE HISTORY—H.R. 5712: 
CONGRESSIONAL RECORD, Vol. 156 (2010): 
July 14, considered and passed House. 
Nov. 18, considered and passed Senate, amended. 
Nov. 29, House concurred in Senate amendments. 
established beginning with 2011, reduced expendi-
tures attributable to the multiple procedure pay-
ment reduction for therapy services (as described 
in subsection (b)(7)).’’. 
SEC. 4. DETERMINATION OF BUDGETARY EFFECTS. 
The budgetary effects of this Act, for the purpose of complying 
with the Statutory Pay-As-You-Go Act of 2010, shall be determined 
by reference to the latest statement titled ‘‘Budgetary Effects of 
PAYGO Legislation’’ for this Act, submitted for printing in the 
Congressional Record by the Chairman of the Senate Budget Com-
mittee, provided that such statement has been submitted prior 
to the vote on passage. 
Approved November 30, 2010. 
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