,i  #aag? ,,congress  #a/ ,session  ,h4 
,r4 #fjdh  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,novemb] #ah1         
#bjba,mr4 ,ru% 7= himself & ,mr4        
,bilirakis7 introduc$ ! foll[+ bill2 :i*
 0 ref]r$ to ! ,committee on ,en]gy &   
,comm]ce1 & 9 addition to ! ,committee  
on ,ways & ,means1 = a p]iod to be      
subsequ5tly det]m9$ by ! ,speak]1 9 ea* 
case = consid]ation ( su* provisions z  
fall )9 ! jurisdiction ( ! committee    
conc]n$  ,a ,,bill  ,to prohibit !      
,secret>y ( ,heal? & ,human ,s]vices f  
tak+ c]ta9 actions ) respect to !       
cl9ical labor price1 & = o!r purposes4  
#a4 ,%ort title ,?is ,act may be cit$ z 
! ,m$ic>e ,/ability = ,pati5ts &        
,provid]s ,act4  #b4 ,prohibit+         
implem5tation ( c]ta9 labor price       
updates "u ! #bjbb physician fee s*$ule2
 report  7a7 ,9 g5]al ,not)/&+ any o!r  
provision ( law1 ! ,secret>y ( ,heal? & 
,human ,s]vices %all ma9ta9 cl9ical     
labor prices "u ! #bjbb physician fee   
s*$ule & n take any action to implem5t1 

f9alize1 or en=ce ! cl9ical labor price 
updates ( ! f9al rule publi%$ by !      
,c5t]s = ,m$ic>e  ,m$icaid ,s]vices on  
,novemb] #ai1 #bjba1 entitl$ ,m$ic>e    
,program2 ,,cy #bjbb ,paym5t ,policies  
,"u ! ,physician ,fee ,s*$ule & ,o!r    
,*anges to ,"p ,b ,paym5t ,policies2    
,m$ic>e ,%>$ ,sav+s ,program            
,requirem5ts2 ,provid] ,enrollm5t       
,regulation ,updates2 ,provid] &        
,suppli] ,prepaym5t & ,po/-,paym5t      
,m$ical ,review ,requirem5ts4  7b7      
,report ,n lat] ?an #ab mon?s aft] !    
date ( ! enactm5t ( ?is ,act1 !         
,secret>y ( ,heal? & ,human ,s]vices    
%all submit to ,congress a report on !  
physician fee s*$ule "u ! ,m$ic>e       
program "u section #ahdh ( ! ,social    
,security ,act 7#db ,u4,s4,c4           
#aciew-#d71 includ+-- 7#a7 an analysis (
 provid] reimbursem5t "u su* physician  
fee s*$ule & :e!r or n su* reimbursem5t 
has suffici5tly tak5 into acc\nt m$ical 
inflation ov] ! la/ #bj ye>s2  7#b7 an  
analysis ( :e!r significant annual      

*anges 9 provid] reimbursem5t are a     
cause ( site-(-s]vice migration &       
disruptions 9 pati5t access & co/-%>+2 &
  7#c7 bas$ on p>agraphs 7#a7 & 7#b71   
recomm5dations = re=m+ su* fee s*$ule to
 m9imize significant annual *anges 9    
provid] reimbursem5t & appropriately    
acc\nt = inflation updates4