,,ii  #aahth ,,congress  #b;d ,session  
,s4 #dice  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,august #a1    
#bjbd,mr4 ,boozman 7for himself1 ,mr4   
,welch1 ,mr4 ,tillis1 ,mr4 ,king1 ,mr4  
,marshall1 and ,mrs4 ,shaheen7          
introduced the following bill2 which was
 read twice and referred to the         
,committee on ,finance  ,a ,,bill  ,to  
amend title ,,xviii of the ,social      
,security ,act to update the budget     
neutrality threshold under the ,medicare
 physician fee schedule4  #a4 ,short    
title ,this ,act may be cited as the    
,physician ,fee ,stabilization ,act4    
#b4 ,updating the budget neutrality     
threshold ,section                      
#ahdh7;c77#b77;,b77ii77,,ii7 of the     
,social ,security ,act 7#db ,u4,s4,c4   
#aciew-#d7;c77#b77;,b77ii77,,ii77 is    
amended-- 7#a7 by striking ,subject to  
and inserting the following3  7aa7 ,in  
general ,subject to  2  7#b7 in item    
7aa71 as inserted by paragraph 7#a71 by 
striking #bj1jjj1jjj and inserting the  

amount specified in item 7bb7 for such  
year2 and  7#c7 by adding at the end the
 following new items3  7bb7 ,amount     
specified ,for purposes of item 7aa71   
subject to item 7cc71 the amount        
specified in this item is-- 7,,aa7 for  
years before #bjbf1 #bj1jjj1jjj2 7,,bb7 
for #bjbf1 #ec1jjj1jjj2 and 7,,cc7 for  
#bjbg and each subsequent year1 the     
amount specified in this item for the   
preceding year4  7cc7 ,indexing         
limitation on annual adjustments ,for   
#bjca and every subsequent fifth year1  
the ,secretary shall increase the amount
 specified in item 7bb7 for such year by
 the cumulative increase in the ,,mei   
7as defined in section #ahdb7;i77#c77   
applicable to physicians' services over 
the #e-year period ending on the last   
day of the preceding year4  4