,,ii #aagth ,,congress #ast ,session ,s4 #ccdd ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,december #h1 #bjba,mr4 ,kennedy 7for himself1 ,mr4 ,graham1 ,mr4 ,hagerty1 ,mr4 ,cotton1 ,mr4 ,scott of ,south ,carolina1 ,mr4 ,scott of ,florida1 ,mrs4 ,blackburn1 ,mr4 ,hawley1 ,mr4 ,boozman1 ,mr4 ,hoeven1 ,mr4 ,marshall1 and ,mr4 ,rubio7 introduced the following bill2 which was read twice and referred to the ,committee on ,finance ,a ,,bill ,to protect the ,american ,taxpayer and ,medicare4 #a4 ,short title ,this ,act may be cited as the ,protecting the ,american ,taxpayer and ,medicare ,act4 #b4 ,adjustments to ,medicare sequestration reductions 7a7 ,extension of temporary suspension through ,march #bjbb 7#a7 ,in general ,section #cgji7;a7 of division ,a of the ,,cares ,act 7#b ,u4,s4,c4 #ija;a note7 is amended-- 7,a7 in the subsection header by inserting and adjustment after suspension2 and 7,b7 by striking ,december #ca1 #bjba and inserting ,march #ca1 #bjbb4 7#b7 ,effective date ,the amendments made by paragraph 7#a7 shall take effect as if enacted as part of the ,,cares ,act 7,public ,law #aaf-acf74 7b7 ,adjustments to ,medicare program sequestration reduction with respect to fiscal years #bjbb and #bjcj ,section #bea;,a7#f7 of the ,balanced ,budget and ,emergency ,deficit ,control ,act of #aihe 7#b ,u4,s4,c4 #ija;a7#f77 is amended-- 7#a7 by redesignating subparagraph 7,c7 as subparagraph 7,e72 and 7#b7 by inserting after subparagraph 7,b7 the following new subparagraphs3 7,c7 ,notwithstanding the #b percent limit specified in subparagraph 7,a7 for payments for the ,medicare programs specified in section #bef7;d71 the sequestration order of the ,president under such subparagraph for fiscal year #bjbb shall be applied to such payments so that with respect to the period beginning on ,april #a1 #bjbb1 and ending on ,june #cj1 #bjbb1 the payment reduction shall be #a4j percent4 7,d7 ,notwithstanding the #b percent limit specified in subparagraph 7,a7 for payments for the ,medicare programs specified in section #bef7;d71 the sequestration order of the ,president under such subparagraph for fiscal year #bjcj shall be applied to such payments so that-- 7i7 with respect to the first #f months in which such order is effective for such fiscal year1 the payment reduction shall be #b4be percent2 and 7ii7 with respect to the second #f months in which such order is so effective for such fiscal year1 the payment reduction shall be #c percent4 4 #c4 ,extension of support for physicians and other professionals in adjusting to ,medicare payment changes 7a7 ,in general ,section #ahdh of the ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#d7 is amended-- 7#a7 in subsection 7c77#b77;,b77iv77,v71 by striking #bjba and inserting #bjba or #bjbb2 and 7#b7 in subsection 7t7-- 7,a7 in the subsection header1 by striking #bjba and inserting #bjba and #bjbb2 7,b7 in paragraph 7#a7-- 7i7 by striking during #bjba and inserting during #bjba and #bjbb2 and 7ii7 by striking for such services furnished on or after ,january #a1 #bjba1 and before ,january #a1 #bjbb1 by #c4ge percent4 and inserting for-- 7,a7 such services furnished on or after ,january #a1 #bjba1 and before ,january #a1 #bjbb1 by #c4ge percent2 and 7,b7 such services furnished on or after ,january #a1 #bjbb1 and before ,january #a1 #bjbc1 by #c4j percent4 2 and 7,c7 in paragraph 7#b77;,c7-- 7i7 in the subparagraph header1 by striking #bjba and inserting #bjba and #bjbb2 7ii7 by inserting for services furnished in #bjba or #bjbb after under this subsection2 and 7iii7 by inserting or #bjbb1 respectively before the period at the end4 7b7 ,report ,section #aja7;c7 of division ,n of the ,consolidated ,appropriations ,act1 #bjba 7,public ,law #aaf-bfj7 is amended-- 7#a7 in the first sentence-- 7,a7 by striking ,april #a1 #bjbb and inserting each of ,april #a1 #bjbb1 and ,april #a1 #bjbc2 and 7,b7 by striking 1 as added by subsection 7a7 and inserting furnished during #bjba or #bjbb1 respectively2 and 7#b7 in the second sentence-- 7,a7 by striking ,such report and inserting ,each such report2 and 7,b7 by inserting with respect to #bjba or #bjbb1 as applicable after under such section4 #d4 ,preserving patient access to critical clinical lab services 7a7 ,revised phase-,in of reductions from private payor rate implementation ,section #ahcd;,a7b77#c7 of the ,social ,security ,act 7#db ,u4,s4,c4 #aciem-#a7;b77#c77 is amended-- 7#a7 in subparagraph 7,a71 by striking through #bjbd and inserting through #bjbe2 and 7#b7 in subparagraph 7,b7-- 7,a7 in clause 7ii71 by striking for #bjba and inserting for each of #bjba and #bjbb2 and 7,b7 in clause 7iii71 by striking #bjbb through #bjbd and inserting #bjbc through #bjbe4 7b7 ,revised ,reporting ,period for ,reporting of ,private ,sector ,payment ,rates for ,establishment of ,medicare ,payment ,rates ,section #ahcd;,a7a77#a77;,b7 of the ,social ,security ,act 7#db ,u4,s4,c4 #aciem-#a7;a77#a77;,b77 is amended-- 7#a7 in clause 7i71 by striking ,december #ca1 #bjba and inserting ,december #ca1 #bjbb2 and 7#b7 in clause 7ii7-- 7,a7 by striking ,january #a1 #bjbb and inserting ,january #a1 #bjbc2 and 7,b7 by striking ,march #ca1 #bjbb and inserting ,march #ca1 #bjbc4 #e4 ,delay to the implementation of the radiation oncology model under the ,medicare program ,section #acc of ,division ,,cc of the ,consolidated ,appropriations ,act1 #bjba 7,public ,law #aaf-bfj7 is amended by striking ,january #a1 #bjbb and inserting ,january #a1 #bjbc4 #f4 ,medicare ,improvement ,fund ,section #ahih7;b77#a7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acie;iii7b77#a77 is amended by striking fiscal year #bjba and all that follows through the period at the end and inserting fiscal year #bjba1 #aja1jjj1jjj44 #g4 ,,paygo annual report ,for the purposes of the annual report issued pursuant to section #e of the ,statutory ,pay-,as-,you-,go ,act of #bjaj 7#b ,u4,s4,c4 #icd7 after adjournment of the first session of the #aagth ,congress1 and for determining whether a sequestration order is necessary under such section1 the debit for the budget year on the #e-year scorecard1 if any1 and the #aj-year scorecard1 if any1 shall be deducted from such scorecard in #bjbb and added to such scorecard in #bjbc4