WASHINGTON: With just hours to spare, Congress stepped up Monday to finalize legislation to prevent doctors who treat Medicare patients from being hit with a 24 percent cut in their payments from the government.
The Senate’s 64-35 vote sends a measure to delay the cuts for a year to President Barack Obama, who’s expected to quickly sign it. The House passed the bill last week.
The $21 billion measure would stave off a 24 percent cut in Medicare reimbursements to doctors for a year and extend dozens of other expiring health-care provisions such as higher payment rates for rural hospitals. The legislation is paid for by cuts to health-care providers, but fully half of the cuts won’t kick in for 10 years.
It’s the 17th temporary “patch” to a broken payment formula that dates to 1997 and comes after lawmakers failed to reach a deal on financing a permanent fix.
The measure passed the House on Thursday, but only after top leaders in both parties engineered a voice vote when it became clear they were having difficulty mustering the two-thirds vote required to advance it under expedited procedures. Several top Democrats opposed the bill, saying it would take momentum away from the drive to permanently solve the payment formula problem.
There’s widespread agreement on bipartisan legislation to redesign the payment formula that would give doctors 0.5 percent annual fee increases and implement reforms aimed at giving doctors incentives to provide less costly care. But there’s no agreement on how to pay the approximately $140 billion cost of scrapping the old formula.
Senate Finance Committee Chairman Ron Wyden, D-Ore., promised to keep pressing ahead with a long-term solution, proposing to use savings from the troop drawdown in Afghanistan to pay the cost. Republicans and most budget experts say such savings are phony and are demanding at least some of the money to come from cuts to Obama’s Affordable Care Act.
Groups representing doctors opposed the legislation because it sets back the effort for a permanent solution.