Teacher:In this task, you are given text for US Congressional and California state bills, your task is to generate a summary for this bill.
Teacher: Now, understand the problem? Solve this instance: SECTION 1. SHORT TITLE.

This Act may be cited as the ''Preserving Patient Access to
Physicians Act of 2005''.

SEC. 2. REFORM OF THE MEDICARE PHYSICIAN PAYMENT UPDATE SYSTEM THROUGH
ELIMINATION OF THE SUSTAINABLE GROWTH RATE (SGR) PAYMENT
UPDATE SYSTEM.

(a) In General.--Section 1848(d) of the Social Security Act (42
U.S.C. 1395w-4(d)) is amended by adding at the end the following new
paragraphs:
''(6) Update for 2006.--The update to the single conversion
factor established in paragraph (1)(C) for 2006 shall not be
less than 2.7 percent.
''(7) Update for years beginning with 2007.--
''(A) In general.--Unless otherwise provided by
law, subject to the budget-neutrality factor determined
by the Secretary under subsection (c)(2)(B)(ii), the
update to the single conversion factor established in
paragraph (1)(C) for a year beginning with 2007 is
equal to the product of--
''(i) 1 plus the Secretary's estimate of
the percentage change in the value of the input
price index (as provided under subparagraph
(B)(ii)) for the year (divided by 100); and
''(ii) 1 minus the Secretary's estimate of
the productivity adjustment factor under
subparagraph (C) for the year.
''(B) Input price index.--
''(i) Establishment.--Taking into account
the mix of goods and services included in
computing the medicare economic index (referred
to in the fourth sentence of section
1842(b)(3)), the Secretary shall establish an
index that reflects the weighted-average input
prices for physicians' services for a year.
Such index shall only account for input prices
and not changes in costs that may result from
other factors (such as productivity).
''(ii) Annual estimate of change in
index.--The Secretary shall estimate, before
the beginning of each year (beginning with
2007) the change in the value of the input
price index under clause (i) from the previous
year to the year involved.
''(C) Productivity adjustment factor.--The
Secretary shall estimate, and cause to be published in
the Federal Register not later than November 1 before
the beginning of each year (beginning with 2007), a
productivity adjustment factor that reflects the
Secretary's estimate of growth in multifactor
productivity in the national economy, taking into
account growth in productivity attributable to both
labor and nonlabor factors. Such adjustment may be
based on a multi-year moving average of productivity
(based on data published by the Bureau of Labor
Statistics).''.
(b) Conforming Amendments.--Section 1848 of the Act (42 U.S.C.
1395w-4) is amended--
(1) in subsection (d)(1)(A), by striking ''subparagraph
(B))'' and all that follows and inserting the following:
''subparagraph (B))--
''(i) for years before 2001, adjusted by
the update (established under paragraph (3))
for the year involved;
''(ii) for 2001, 2002, and 2003, multiplied
by the update (established under paragraph (4))
for the year involved;
''(iii) for 2004 and 2005, multiplied by
the update (established under paragraph (5))
for that year;
''(iv) for 2006, multiplied by the update
(established under paragraph (6)) for that
year; and
''(v) for 2007 and each subsequent year,
multiplied by the update (established under
paragraph (7)) for the year involved.'';
(2) by striking clause (i) of subsection (d)(1)(E) and
inserting the following:
''(i) cause to have published in the
Federal Register not later than November 1--
''(I) of 2000 and each subsequent
year, the conversion factor which will
apply to physicians' services for the
succeeding year;
''(II) of 2000, 2001, and 2002, the
update determined under paragraph (4)
for such succeeding year and the
allowed expenditures under such
paragraph for the succeeding year;
''(III) of 2003 and 2004, the
update determined under paragraph (5)
for 2004 and 2005;
''(IV) of 2005, the update
determined under paragraph (6) for
2006; and
''(V) of 2006 and each subsequent
year, the update determined under
paragraph (7) for the succeeding year;
and'';
(3) in subsection (d)(1)(E)(ii), by inserting ''(for years
before 2006)'' after ''the sustainable growth rate'';
(4) in subsection (d)(4)--
(A) in the heading, by striking ''Years Beginning
With 2001'' and inserting ''2001, 2002, and 2003'' ;
(B) in subparagraph (A), in the matter preceding
clause (i), by striking ''for a year beginning with
2001'' and inserting ''for 2001, 2002, and 2003'';
(C) in subparagraph (C)(iii), by striking ''years
beginning with 2000.--The allowed expenditures for a
year (beginning with 2000)'' and inserting ''2000,
2001, and 2002.--The allowed expenditures for each of
years 2000, 2001, and 2002''; and
(D) in subparagraph (E), by striking ''beginning
with 2001'' and ''for a year beginning with 2001'' and
inserting ''2001, 2002, and 2003'' and ''for 2001,
2002, and 2003'', respectively; and
(5) in subsection (f)--
(A) in paragraph (1)(B), by striking ''November 1
of each succeeding year'' and inserting ''November 1 of
each year before 2005'';
(B) in paragraph (2), by inserting ''and ending
with 2003'' after ''beginning with 2000'';
(C) in paragraph (3), by striking ''for a year
beginning with 2001'' and inserting ''for 2001, 2002,
and 2003''; and
(D) in paragraph (3)(C), by striking ''for 2003 and
succeeding years'' and inserting ''for 2003'' and by
striking ''a year after 2002'' and inserting ''2003''.
Student:
Preserving Patient Access to Physicians Act of 2005 - Amends title XVIII (Medicare) of the Social Security Act with respect to payment for physicians' services to: (1) eliminate the sustainable growth rate payment update system; and (2) establish in its place an update to the single conversion factor for 2006 of at least 2.7 percent, and a formula for an update to the single conversion factor for years beginning with 2007.

Requires the Secretary of Health and Human Services, in calculating the formula for the single conversion factor, to establish an input price index and estimate annually a productivity adjustment factor.