P.L. 111-141, An Act to extend expiring provisions of the USA PATRIOT Improvement and Reauthorization Act of 2005 and Intelligence Reform and Terrorism Prevention Act of 2004 until February 28, 2011 (18 comments ↓ | 12 wiki edits: view article ↓)

  • This item is from the 111th Congress (2009-2010) and is no longer current. Comments, voting, and wiki editing have been disabled, and the cost/savings estimate has been frozen.

H.R. 3961 would amend title XVIII of the Social Security Act to reform the Medicare SGR payment system for physicians.

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Visitor Comments Comments Feed for This Bill


November 2, 2009, 2:39pm (report abuse)

I will be layed off if the Cardiologist I work for loses revenue from drops in Medicare.


November 9, 2009, 4:04pm (report abuse)

Already Govt has changed patient and doctor right to choose treatment. I have been denied lab work unless I pay for it myslf and also a mammo because it was too soon and therefore must pay for it myself. How did this happen.?


November 11, 2009, 9:05am (report abuse)

This is how care will be rationed. Making it so physicians cannot afford to provide needed services.


November 14, 2009, 9:53pm (report abuse)

What they have failed to mention is that this cut will total 75% cuts to the physicians and clinics since 2001. Many of the physicians will close their practices and there are many labs that will not be certified to handle Medicare patients because of previous mandates. This bill may prolong the agony but it may save some time to find another solution.


November 16, 2009, 10:56am (report abuse)

This is where the rubber meets the road in healthcare expenditures, and partly explains why moving the savings "goalpost" to 5 or 10 years in future does not work. Healthcare will indeed be rationed, if only so that we can afford some level of care for all who need it.


November 16, 2009, 10:56am (report abuse)

If you think it's bad now, wait until medicine is completely socialized. You ain't seen nothing yet.

Neal Gilchrist

November 16, 2009, 11:15am (report abuse)

I see the plan is to force private doctors out of Medicare and other "public options" so the government can claim "they HAVE to nationalize all healthcare because no one can find a doctor..."

Mrs K

November 16, 2009, 1:57pm (report abuse)

I wonder if this bill has anything to do with the fact that the whole medical profession jumped rates last year. As of Jan. 2 2009 the rate for an office visit went up about $20.00 per visit. Considering I may see the nurse more then the doctor and I end up paying $20.extra over Dec.31 2008I would say that is quite a hefty pay boost. I can say I did not receive anywhere near the $100.00 per hour increase for my work. I also had to change doctors as I was very tired of going and getting told I did not have an infection so no antibiotic. Two days later the fever hit. This has happened on a regular basis. One year I had to go to the Doctor 6 times in 6 weeks. I do believe this is called bleeding the system.

Estela Davis

November 16, 2009, 3:13pm (report abuse)

There is a myth boing perpetuated concerning health care reform that needs to be confronted. Washington would have us believe that the government must own the system in order to control health care costs. this is coming from the same government that brought us $500.00 toilet seats.

They are not addressing the root cause of the problem. They need to provide legislations that will lower the cost of medical care for everyone. TORT reforms limiting payouts on malpractice suits, eliminating fraud and abuse of our current Medicare system, and finally allowing companies to compete across state lines, and removing their antitrust exemptions would be much more effective than doing the public option. Having seen the results of socialized medicine in other countries I say we will be stepping backwards, and distroying competition.

Gordon Davis

November 16, 2009, 3:23pm (report abuse)

Health care in the US is covered by three main systems — Medicare, Medicaid, and private insurance. Two of these systems are bankrupt, and will be unable to make payments beyond 2017. The third is solvent, and can make all of its payments for the foreseeable future.

President Obama & many in Congress’s plan is to take the one system meeting it’s obligations and fold it into the two systems that are bankrupt. They are using “affordability” as an excuse to take over the health care industry.

Fix the problem with TORT reform, and allow competititon across state lines. Limit punitive damages cut back on fraud and abuse to Medicare and you will see

lowering costs in insurance premiums.

Ms. J

November 16, 2009, 3:30pm (report abuse)

Already 21 states of the union have declared sovereignty over the government becoming too big and absorbing private industries.

When will Washington get the message to fix the problem not to take it over? We the people do not want government taking over health care.


November 16, 2009, 11:23pm (report abuse)

I say, fix it only for the people that need the insurance and not for the people that want to keep what they have.

Larry Chandler

November 17, 2009, 10:02am (report abuse)

I purpose an amendment to this bill on Medicare/Medicaid funding. Please add the following:

“Effective at the time of passage of H.R. 3961, the Medicare Physician Payment Reform Act of 2009, all of Congress shall have health care provided through the same program as mandated for Medicare recipients. There shall be no other funding other than this for Congressional Health Care. Any member of Congress seeking medical care not allowed by this act shall pay the medical provider with personal funds. There shall be no Health Care provided to Congress by any other government agency.”


November 18, 2009, 11:27am (report abuse)

Agree that tort reform is the best option. However, read the House bill that just passed, Sec 2531 (4): Tort reform is encouraged, but must not limit attorney's fees or cap damages. The health care bill heading to the Senate accompanied by a failure of this bill means more cost to patients, more physicians dropping out of Medicare, and more money to the lawyers.

Suzanne Gerard

November 29, 2009, 12:41pm (report abuse)

I went to an excellent ophthalmologist who retired reluctantly because most of her patients were medicare and she no longer did the expensive and well paid surgeries and keeping her office open was a financial drain.

She could not afford to practice.

With cuts in medicare reimbursements there will be many cuts in physician availability. How many doctors can we afford to lose because it costs them money to remain as active practitioners?


December 5, 2009, 1:33am (report abuse)

We can not keep cutting reimbursement for physicians and hospitals because this will affect the job market. if physicians and hospitals get a 20% decrease, they will have to cut 20% of their employees and decrease benefits for all their current employees. my husband already lost his job in manufacturing. what am i gonna do if i lose my medical billing job due to major cutbacks in medicare cuts to my the physicians i work for. they are barely making a profit now with all the current increases in overhead. this will do them in!!


March 2, 2010, 9:48am (report abuse)

The cost of laibility insurance and basic operating expenses are skyrocketing. The Govt is nearly making it impossible for physicians to practice__ they have SO many hhops to jump through...so much paperwork and red tape! As a nurse and wife of a surgeon, we are working our asses off and making less money EVERY year. The country will be in a great need for doctors because the smart ones will choose to NOT go into medicine. Imagine if your boss came in and said your pay will be 21% less starting TODAY. How about that big Washington.....Lets cut YOUR income and raise YOUR taxes. The answer to the whole healthcare quandry is to make insurance available across state lines. Greater competition leads to price reductions. Make insurance available to the PEOPLE who put you in DC......if one could "shop" health insurance, it WOULD be affordable for all and we wouldnt need your Govt healthcare. Now, get back to work and fix this!!!


July 1, 2010, 10:28am (report abuse)

All this talk of "socialized" medicine - what do those who fear it think that Medicare and Medicaid are? Get real people. You can't deny the system needs help, and if you do you choose to be blind to the problems of so many of our brothers and sisters and children in this country.

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