#aagth ,,congress #ast ,session ,in the ,house of ,representatives1 ,u4 ,s41 ,december #g1 #bjba ,,amendment3 ,that the bill from the ,senate 7,s4 #faj7 entitled ,an ,act to address behavioral health and well-being among health care professionals41 do pass with the following ,strike out all after the enacting clause and insert3 #a4 ,short title ,this ,act may be cited as the ,protecting ,medicare and ,american ,farmers from ,sequester ,cuts ,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 #h4 ,expedited procedures for considering an increase in the debt limit 7a7 ,definition ,in this section1 the term joint resolution means a joint resolution-- 7#a7 that is introduced by the ,majority ,leader of the ,senate1 or a designee1 during the period beginning on the date of enactment of this ,act and ending on ,december #ca1 #bjba2 7#b7 which does not have a preamble2 7#c7 the title of which is as follows3 ,joint resolution relating to increasing the debt limit42 and 7#d7 the matter after the resolving clause of which is as follows3 ,that the limitation under section #caja7;b7 of title #ca1 ,united ,states ,code1 as most recently increased by ,public ,law #aag-ej 7#ca ,u4,s4,c4 #caja note71 is increased by 41 the blank space being appropriately filled in with the dollar amount of the increase4 7b7 ,expedited consideration in ,senate 7#a7 ,placement on calendar ,upon introduction in the ,senate1 the joint resolution shall be placed immediately on the calendar4 7#b7 ,proceeding to consideration 7,a7 ,in general ,notwithstanding rule ,,xxii of the ,standing ,rules of the ,senate1 it is in order1 not later than ,january #ae1 #bjbb 7even though a previous motion to the same effect has been disagreed to7 to move to proceed to the consideration of the joint resolution4 7,b7 ,procedure ,for a motion to proceed to the consideration of the joint resolution-- 7i7 all points of order against the motion are waived2 7ii7 the motion is not debatable2 7iii7 the motion is not subject to a motion to postpone2 7iv7 a motion to reconsider the vote by which the motion is agreed to or disagreed to shall not be in order2 and 7v7 if the motion is agreed to1 the joint resolution shall remain the unfinished business until disposed of4 7#c7 ,floor consideration 7,a7 ,in general ,if the ,senate proceeds to consideration of the joint resolution-- 7i7 all points of order against the joint resolution 7and against consideration of the joint resolution7 are waived2 7ii7 debate on the joint resolution1 and all debatable motions and appeals in connection therewith1 shall be limited to not more than #aj hours1 which shall be divided equally between the ,chairman and ,ranking ,member of the ,committee on ,finance2 7iii7 an amendment to the joint resolution is not in order2 7iv7 a motion to postpone or a motion to commit the joint resolution is not in order2 and 7v7 a motion to proceed to the consideration of other business is not in order4 7,b7 ,vote on passage ,the vote on passage shall occur immediately following the conclusion of the debate on the joint resolution and a single quorum call if requested in accordance with the rules of the ,senate4 7,c7 ,rulings of the chair on procedure ,appeals from the decisions of the ,chair relating to the application of this paragraph or the rules of the ,senate1 as the case may be1 to the procedure relating to the joint resolution shall be decided without debate4 7,d7 ,single measure authorized ,it shall not be in order to consider more than #a joint resolution under the procedures under this paragraph4 7,e7 ,sunset ,it shall not be in order to consider a joint resolution under the procedures under this paragraph after ,january #af1 #bjbb4 7#d7 ,rules of the ,senate ,this subsection is enacted by ,congress-- 7,a7 as an exercise of the rulemaking power of the ,senate1 and as such is deemed a part of the rules of the ,senate1 but applicable only with respect to the procedure to be followed in the ,senate in the case of a joint resolution1 and supersede other rules only to the extent that they are inconsistent with such rules2 and 7,b7 with full recognition of the constitutional right of the ,senate to change the rules 7so far as relating to the procedure of the ,senate7 at any time1 in the same manner1 and to the same extent as in the case of any other rule of the ,senate4 ,clerk4