United States · Bill · HR
H.R. 4138 (111th)
Medicare SGR Improvement and Reform Act of 2009
Introduced
19 November 2009
Last action
1 December 2009 · Referred
Status
Referred to the Subcommittee on Health.
Sponsors
Rep. Gingrey, Phil [R-GA-11], Sen. Cassidy, Bill [R-LA], Rep. Fleming, John [R-LA-4], Sen. Boozman, John [R-AR], Rep. Herger, Wally [R-CA-2], Rep. Sessions, Pete [R-TX-17], Rep. Culberson, John Abney [R-TX-7], Rep. Hall, Ralph M. [R-TX-4], Rep. Whitfield, Ed [R-KY-1], Rep. Shimkus, John [R-IL-15], Rep. Buyer, Steve [R-IN-4], Rep. Myrick, Sue Wilkins [R-NC-9], Rep. Paulsen, Erik [R-MN-3], Rep. Rooney, Thomas J. [R-FL-17], Rep. Granger, Kay [R-TX-12], Rep. Roskam, Peter J. [R-IL-6], Sen. Blackburn, Marsha [R-TN], Rep. Price, Tom [R-GA-6], Rep. Roe, David P. [R-TN-1], Rep. Camp, Dave [R-MI-4], Rep. Radanovich, George [R-CA-19], Rep. Westmoreland, Lynn A. [R-GA-3], Rep. Pitts, Joseph R. [R-PA-16], Rep. Marchant, Kenny [R-TX-24], Rep. Shadegg, John B. [R-AZ-3], Rep. Conaway, K. Michael [R-TX-11], Rep. King, Steve [R-IA-4], Rep. Cole, Tom [R-OK-4], Rep. Burton, Dan [R-IN-5], Rep. Olson, Pete [R-TX-22], Rep. Gohmert, Louie [R-TX-1], Rep. Bartlett, Roscoe G. [R-MD-6], Rep. Jordan, Jim [R-OH-4], Rep. Bishop, Rob [R-UT-1], Rep. Lamborn, Doug [R-CO-5], Rep. Posey, Bill [R-FL-8], Rep. Thompson, Glenn [R-PA-15], Rep. Bilbray, Brian P. [R-CA-50], Rep. Akin, W. Todd [R-MO-2], Rep. Fallin, Mary [R-OK-5], Rep. Miller, Jeff [R-FL-1], Rep. Franks, Trent [R-AZ-8], Rep. Forbes, J. Randy [R-VA-4], Rep. Schock, Aaron [R-IL-18], Rep. Lee, Christopher J. [R-NY-26], Rep. Souder, Mark E. [R-IN-3], Rep. Young, Don [R-AK-At Large]
Subjects
Healthcare
Source updated
14 August 2025
Summary
Medicare SGR Improvement and Reform Act of 2009 - Amends title XVIII (Medicare) of the Social Security Act to provide an increased annual update for the Sustainable Growth Mechanism (SGR) formula for determining rates in the fee schedule for Medicare physician payments. Sets a three-year time limit for the commencement of a health care lawsuit. Prescribes requirements for: (1) unlimited damages for a claimant's actual economic losses in health care lawsuits; (2) court supervision of arrangements for payment of such damages, including limitation of contingent attorney fees; (3) restrictions on punitive damages; and (4) payment of future damages to claimants in health care suits. Terminates funding of the Medicare Improvement Fund as of January 1, 2010. Amends the Public Health Service Act to prescribe requirements for the licensure of biological products as biosimilar or interchangeable. Includes under the Federal Food, Drug, and Cosmetic Act fees relating to the licensure of a biological product. Amends patent law with respect to biosimilar products. Directs the Secretary of Health and Human Services (HHS) to adopt a single set of consensus-based operating rules for each health information transaction.
This text is taken from the official record. PoliticalRepo does not editorialize.
Timeline
19 November 2009
Introduced
Referred to House Energy and Commerce
Source: IntroReferral
19 November 2009
Introduced
Referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, and the Judiciary, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Source: IntroReferral
19 November 2009
Introduced
Introduced in House
Source: IntroReferral
19 November 2009
Introduced
Introduced in House
Source: IntroReferral
1 December 2009
Referred
Referred to the Subcommittee on Health.
Source: Committee
Votes
No vote records are attached yet.
Versions
- Introduced in House · 19 November 2009 · Download file
Documents
3 official files
Introduced in House (text)
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Introduced in House (text)
Introduced in House · EN · 19 November 2009
Introduced in House (PDF)
Introduced in House · EN · 19 November 2009
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Introduced in House
summary · EN · 19 November 2009
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Sponsors
- Rep. Gingrey, Phil [R-GA-11] · R · Sponsor
- Sen. Cassidy, Bill [R-LA] · R · Sponsor
- Rep. Fleming, John [R-LA-4] · R · Sponsor
- Sen. Boozman, John [R-AR] · R · Sponsor
- Rep. Herger, Wally [R-CA-2] · R · Sponsor
- Rep. Sessions, Pete [R-TX-17] · R · Sponsor
- Rep. Culberson, John Abney [R-TX-7] · R · Sponsor
- Rep. Hall, Ralph M. [R-TX-4] · R · Sponsor
- Rep. Whitfield, Ed [R-KY-1] · R · Sponsor
- Rep. Shimkus, John [R-IL-15] · R · Sponsor
- Rep. Buyer, Steve [R-IN-4] · R · Sponsor
- Rep. Myrick, Sue Wilkins [R-NC-9] · R · Sponsor
- Rep. Paulsen, Erik [R-MN-3] · R · Sponsor
- Rep. Rooney, Thomas J. [R-FL-17] · R · Sponsor
- Rep. Granger, Kay [R-TX-12] · R · Sponsor
- Rep. Roskam, Peter J. [R-IL-6] · R · Sponsor
- Sen. Blackburn, Marsha [R-TN] · R · Sponsor
- Rep. Price, Tom [R-GA-6] · R · Sponsor
- Rep. Roe, David P. [R-TN-1] · R · Sponsor
- Rep. Camp, Dave [R-MI-4] · R · Cosponsor
- Rep. Radanovich, George [R-CA-19] · R · Cosponsor
- Rep. Westmoreland, Lynn A. [R-GA-3] · R · Cosponsor
- Rep. Pitts, Joseph R. [R-PA-16] · R · Cosponsor
- Rep. Marchant, Kenny [R-TX-24] · R · Cosponsor
- Rep. Shadegg, John B. [R-AZ-3] · R · Cosponsor
- Rep. Conaway, K. Michael [R-TX-11] · R · Cosponsor
- Rep. King, Steve [R-IA-4] · R · Cosponsor
- Rep. Cole, Tom [R-OK-4] · R · Cosponsor
- Rep. Burton, Dan [R-IN-5] · R · Cosponsor
- Rep. Olson, Pete [R-TX-22] · R · Cosponsor
- Rep. Gohmert, Louie [R-TX-1] · R · Cosponsor
- Rep. Bartlett, Roscoe G. [R-MD-6] · R · Cosponsor
- Rep. Jordan, Jim [R-OH-4] · R · Cosponsor
- Rep. Bishop, Rob [R-UT-1] · R · Cosponsor
- Rep. Lamborn, Doug [R-CO-5] · R · Cosponsor
- Rep. Posey, Bill [R-FL-8] · R · Cosponsor
- Rep. Thompson, Glenn [R-PA-15] · R · Cosponsor
- Rep. Bilbray, Brian P. [R-CA-50] · R · Cosponsor
- Rep. Akin, W. Todd [R-MO-2] · R · Cosponsor
- Rep. Fallin, Mary [R-OK-5] · R · Cosponsor
- Rep. Miller, Jeff [R-FL-1] · R · Cosponsor
- Rep. Franks, Trent [R-AZ-8] · R · Cosponsor
- Rep. Forbes, J. Randy [R-VA-4] · R · Cosponsor
- Rep. Schock, Aaron [R-IL-18] · R · Cosponsor
- Rep. Lee, Christopher J. [R-NY-26] · R · Cosponsor
- Rep. Souder, Mark E. [R-IN-3] · R · Cosponsor
- Rep. Young, Don [R-AK-At Large] · R · Cosponsor
- · hsif00 · Standing
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Related records
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Sources
PoliticalRepo is an index and interpretation layer, not the authoritative legal source.
- Official source: https://www.congress.gov/bill/111th-congress/house-bill/4138
- Open data entity: https://api.congress.gov/v3/bill/111/hr/4138
- us · 111-hr-4138 · source updated 14 August 2025