draft bill - House of Representatives
draft bill - House of Representatives
draft bill - House of Representatives
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F:\P\H13\CMS\MEDCR\SGR-EC_16.XML<br />
[Discussion Draft]<br />
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‘‘(B) ADJUSTMENT.—In the case <strong>of</strong> an eli-<br />
gible pr<strong>of</strong>essional (as defined in subsection<br />
(k)(3)) who does not have a payment arrangement<br />
described in section 1848A(a) in effect,<br />
the update under subparagraph (A) for a year<br />
beginning with 2019 shall be adjusted by the<br />
applicable quality adjustment determined under<br />
subsection (q)(3) for the year involved.’’; and<br />
(B) in subsection (i)(1)—<br />
(i) by striking ‘‘and’’ at the end <strong>of</strong><br />
subparagraph (D);<br />
(ii) by striking the period at the end<br />
<strong>of</strong> subparagraph (E) and inserting ‘‘,<br />
and’’; and<br />
(iii) by adding at the end the following<br />
new subparagraph:<br />
‘‘(F) the implementation <strong>of</strong> subsection<br />
(q).’’.<br />
(2) ENHANCING PHYSICIAN QUALITY REPORT-<br />
ING SYSTEM TO SUPPORT QUALITY UPDATE INCEN-<br />
TIVE PROGRAM.—Section 1848 <strong>of</strong> the Social Security<br />
Act (42 U.S.C. 1395w–4) is amended—<br />
(A) in subsection (k)(1), in the first sentence,<br />
by inserting ‘‘and, if applicable, clinical<br />
f:\VHLC\071813\071813.221.xml (557498|2)<br />
July 18, 2013 (4:58 p.m.)<br />
VerDate 0ct 09 2002 16:58 Jul 18, 2013 Jkt 000000 PO 00000 Frm 00004 Fmt 6652 Sfmt 6201 C:\DOCUME~1\JRSHAP~1\APPLIC~1\SOFTQUAD\XMETAL\5.5\GEN\C\SGR-EC~1.XML HO