Health Policy and Government Relations

Provided by the
Society for Vascular Surgery®

Physician Payment


House Passes Comprehensive Health Care Reform Bill

The House of Representatives passed H.R. 3962, Affordable Health Care for America Act on Saturday night, November 7 by a vote of 220-215. See highlights that have an impact upon vascular surgery.

The bill was endorsed by the AMA, AARP and the American College of Surgeons. However, the bill did not include a provision on Medicare physician payment. This is contained in a separate bill, H.R. 3961, Medicare Physician Payment Reform Act of 2009, which would reform the Sustainable Growth Rate formula that annually updates reimbursement rates for physician services in Medicare. The House is expected to vote on this during the week of November 16. Learn more.

Highlights of the House Tri-Committee Health Care Reform Bill - “America's Affordable Health Choice Act of 2009”, H.R.
Read highlights of the House Tri-Committee Health Care Reform Bill - “America's Affordable Health Choice Act of 2009”, H.R.
SVS Signs Onto Letter to President Obama with 17 Other Surgical Specialty Associations
The sign-on letter was sent to the President following comments he made at an August 11, 2009 town hall meeting on health care reform, intimating that surgeons are motivated to make treatment decisions based on what they are reimbursed.
Stimulus Bill Enacted
The House of Representatives and Senate passed H.R. 1, the American Recovery and Reinvestment Act of 2009 on February 13, 2009 and President Obama signed the bill on February 17. Click here for a summary of the major health care provisions that have an impact upon vascular surgery; these include Comparative Effectiveness Research, Health Information Technology, NIH Research and Funding, Medicare Improvement Fund Modifications and Prevention and Wellness.
The SVS Washington Outpost


JULY 15, 2008 and ZIP CODE 20001; A Unique Victory, A Unique Opportunity, A Unique Challenge

July 15, 2008 will long be remembered as an historic victory for the medical community. The battleground was zip code 20001, the U. S. Capitol, where both houses of Congress overwhelmingly voted to override President Bush’s veto of the Medicare Improvements for Patients and Providers Act of 2008 (H.R. 6331).  More importantly, July 15, 2008 will be remembered as the day the collective labors and voices of medicine’s advocates – from the AMA and the ACS to the SVS and the patients we serve – spoke as one to convince Congress to vote in favor of H.R. 6331, thus preventing a 10.6% Medicare reimbursement cut in favor of a .5% reimbursement increase for the rest of 2008 and a 1.1% increase for 2009. While the same Act had been rejected by the Senate only days previously, a blistering public relations and advocacy campaign, led by the AMA and ACS in five key states whose senators opposed the Act, plus the courageous appearance and support of Senator Ted Kennedy whose is battling brain cancer, turned the tide in medicine’s favor. 
Highlights of H.R. 6331 -- Medicare Improvements For Patients And Providers Act of 2008

On July 15, 2008, President Bush vetoed H.R. 6331, the Medicare Improvements for Patients and Providers Act of 2008.  The main reason was the bill uses cuts to Medicare Advantage ($20 billion over five years) to finance the bill.  Within a few hours, both the House of Representatives and Senate voted overwhelmingly to override the veto – 383 to 41 in the House and 70 to 26 in the Senate.  The following are Highlights of the law

SVS Signs Letter supporting Stabenow bill, Save Medicare Act of 2008

SVS signed onto a letter  with many other physician groups in support of S.2785, the Save Medicare Act of 2008 sponsored by Senator Stabenow (D-MI). 

The bill would extend the 2008 Medicare physician payment increase of .5% from July 1 - December 31, averting a 10.6% decrease for the second half of this year.  It also provides a 1.8% increase for 2009. 

Large Medicare Reductions in President's FY 2009 Budget

On February 4, President Bush released details of his Fiscal Year 2009 budget, which includes large Medicare reductions - $178 billion over the next five years.  Significant for vascular surgeons, it does not include any increases for the physician payment update.

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