Skip to content
PoliticalRepoPoliticalRepo

United States · Law · HR

H.R. 3961 (111th)

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.

enactedUnited States· United States Congress· EN

Introduced

29 October 2009

Last action

27 February 2010 · Became law

Status

Became Public Law No: 111-141.

Sponsors

Rep. Dingell, John D. [D-MI-12], Rep. Rangel, Charles B. [D-NY-15], Rep. Waxman, Henry A. [D-CA-33], Rep. Miller, George [D-CA-11], Rep. Stark, Fortney Pete [D-CA-13], Rep. Pallone, Frank [D-NJ-6], Rep. Andrews, Robert E. [D-NJ-1]

Subjects

Healthcare

Source updated

7 April 2025

Healthcare

Official sourceDownload fileView documentsShare

Summary

Medicare Physician Payment Reform Act of 2009 - Amends title XVIII (Medicare) of the Social Security Act to revise the Medicare sustainable growth rate (SGR) payment system for determining the annual updates to the Medicare physician fee schedule. Sets as a transitional update for 2010 to the single conversion factor in the formula for determining the schedule the percentage increase in the Medicare economic index (MEI, a price index of inputs required to produce physician services). Rebases the update adjustment factor for 2011 and subsequent years by: (1) making the allowed expenditures for 2009 under the schedule equal to the actual expenditures for physicians' services during 2009; and (2) changing from 1996 to 2009 (or, if later, the fifth year before the year involved) the reference point for calculating the cumulative adjustment component to expenditure targets in the formula. Limits to physicians' services under the fee schedule (excluding those incidental to a physician visit) the services covered in the target growth rate computation. Establishes two categories of physician services: (1) evaluation, management, and preventive services; and (2) all other physician services. Prescribes a separate target growth rate and conversion factor update for each such category.

This text is taken from the official record. PoliticalRepo does not editorialize.

Timeline

  1. 29 October 2009

    Introduced

    Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, 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

  2. 29 October 2009

    Introduced

    Referred to House Energy and Commerce

    Source: IntroReferral

  3. 29 October 2009

    Introduced

    Introduced in House

    Source: IntroReferral

  4. 29 October 2009

    Introduced

    Introduced in House

    Source: IntroReferral

  5. 2 November 2009

    Referred

    Referred to the Subcommittee on Health.

    Source: Committee

  6. 7 November 2009

    Passed

    Rule H. Res. 903 passed House.

    Source: Floor

  7. 7 November 2009

    Reported

    Rules Committee Resolution H. Res. 903 Reported to House. Rule provides for consideration of H.R. 3962 and H.R. 3961 with 4 hours of general debate. Previous question shall be considered as ordered without intervening motions except motion to recommit with or without instructions. Measure will be considered read. Specified amendments are in order. All points of order against consideration of the bill are waived except those arising under clause 9 or 10 of rule XXI.

    Source: Floor

  8. 19 November 2009

    ResolvingDifferences

    Mr. Waxman moved to table the motion to appeal the ruling of the chair

    Source: ResolvingDifferences

  9. 19 November 2009

    Passed

    Motion to reconsider laid on the table Agreed to without objection.

    Source: Floor

  10. 19 November 2009

    Vote

    Passed/agreed to in House: On passage Passed by recorded vote: 243 - 183 (Roll no. 909).(text: CR H13289-013291)

    Source: Floor

  11. 19 November 2009

    Floor

    The previous question on the motion to recommit with instructions was ordered without objection. (consideration: CR H13318)

    Source: Floor

  12. 19 November 2009

    Vote

    On passage Passed by recorded vote: 243 - 183 (Roll no. 909). (text: CR H13289-013291)

    Source: Floor

  13. 19 November 2009

    Vote

    On motion to table the motion to appeal the ruling of the chair Agreed to by the Yeas and Nays: 251 - 177 (Roll no. 907). (consideration: CR H13316-13317)

    Source: Floor

  14. 19 November 2009

    Floor

    Mr. Gingrey (GA) appealed the ruling of the chair. The question was then put on sustaining the ruling of the chair.

    Source: Floor

  15. 19 November 2009

    Floor

    Point of order sustained against the motion to recommit with instructions.

    Source: Floor

  16. 19 November 2009

    ResolvingDifferences

    Mr. Waxman raised a point of order against the motion to recommit with instructions. Mr. Waxman stated that the motion to recommit seeks to exceed the scope of the bill and the amendment is therefore, not germane. Sustained by the Chair.

    Source: ResolvingDifferences

  17. 19 November 2009

    Floor

    Rule provides for consideration of H.R. 3962 and H.R. 3961 with 4 hours of general debate. Previous question shall be considered as ordered without intervening motions except motion to recommit with or without instructions. Measure will be considered read. Specified amendments are in order. All points of order against consideration of the bill are waived except those arising under clause 9 or 10 of rule XXI.

    Source: Floor

  18. 19 November 2009

    Floor

    Mr. Gingrey (GA) moved to recommit with instructions to Energy and Commerce. (consideration: CR H13308-13315; text: CR H13308-13315)

    Source: Floor

  19. 19 November 2009

    Floor

    The previous question was ordered pursuant to the rule. (consideration: CR H13308)

    Source: Floor

  20. 19 November 2009

    Floor

    Considered under the provisions of rule H. Res. 903. (consideration: CR H13289-13319)

    Source: Floor

  21. 20 November 2009

    Introduced

    Received in the Senate.

    Source: IntroReferral

  22. 24 December 2009

    Calendars

    Read the first time. Placed on Senate Legislative Calendar under Read the First Time.

    Source: Calendars

  23. 20 January 2010

    Calendars

    Read the second time. Placed on Senate Legislative Calendar under General Orders. Calendar No. 252.

    Source: Calendars

  24. 24 February 2010

    Passed

    Passed/agreed to in Senate: Passed Senate with an amendment and an amendment to the Title by Voice Vote.

    Source: Floor

  25. 24 February 2010

    Floor

    Measure laid before Senate by unanimous consent. (consideration: CR S736-737)

    Source: Floor

  26. 25 February 2010

    Action

    Cleared for White House.

  27. 25 February 2010

    Passed

    Motion to reconsider laid on the table Agreed to without objection.

    Source: ResolvingDifferences

  28. 25 February 2010

    Vote

    On motion that the House agree to the Senate amendments Agreed to by the Yeas and Nays: 315 - 97 (Roll no. 67). (text as House agreed to Senate amendments: CR H895)

    Source: ResolvingDifferences

  29. 25 February 2010

    Vote

    Resolving differences -- House actions: On motion that the House agree to the Senate amendments Agreed to by the Yeas and Nays: 315 - 97 (Roll no. 67).(text as House agreed to Senate amendments: CR H895)

    Source: NotUsed

  30. 25 February 2010

    Floor

    Pursuant to the provisions of H. Res. 1109, Mr. Conyers took from the Speaker's table H.R. 3961 with the Senate amendments thereto, and was recognized for a motion. (consideration: CR H895-901, H906-907)

    Source: Floor

  31. 25 February 2010

    ResolvingDifferences

    The previous question was ordered pursuant to the rule. (consideration: CR H901)

    Source: ResolvingDifferences

  32. 25 February 2010

    ResolvingDifferences

    Mr. Conyers moved that the House agree to the Senate amendments. (consideration: CR H895)

    Source: ResolvingDifferences

  33. 26 February 2010

    Floor

    Presented to President.

    Source: Floor

  34. 26 February 2010

    President

    Presented to President.

    Source: President

  35. 27 February 2010

    President

    Signed by President.

    Source: President

  36. 27 February 2010

    Became law

    Became Public Law No: 111-141.

    Source: President

  37. 27 February 2010

    Became law

    Signed by President.

    Source: BecameLaw

Votes

No vote records are attached yet.

Versions

Documents

18 official files

Enrolled Bill (text)

View fileDownload file

This file cannot be previewed here. Use View or Download.

Leesvertaling

Vertaal dit document naar jouw taal. PoliticalRepo bewaart geen aparte kopie per EU-taal.

Documentvertaling op verzoek met downloadbare PDF (logo + link naar de officiële bron). Het bronbestand blijft leidend.

  • Enrolled Bill (text)

    Enrolled Bill · EN

    ViewDownloadOpen at official source

  • Enrolled Bill (PDF)

    Enrolled Bill · EN

    ViewDownloadOpen at official source

    Leesvertaling

    Vertaal dit document naar jouw taal. PoliticalRepo bewaart geen aparte kopie per EU-taal.

    Documentvertaling op verzoek met downloadbare PDF (logo + link naar de officiële bron). Het bronbestand blijft leidend.

  • Public Law (text)

    Public Law · EN · 27 February 2010

    ViewDownloadOpen at official source

    Leesvertaling

    Vertaal dit document naar jouw taal. PoliticalRepo bewaart geen aparte kopie per EU-taal.

    Documentvertaling op verzoek met downloadbare PDF (logo + link naar de officiële bron). Het bronbestand blijft leidend.

  • Public Law (PDF)

    Public Law · EN · 27 February 2010

    ViewDownloadOpen at official source

    Leesvertaling

    Vertaal dit document naar jouw taal. PoliticalRepo bewaart geen aparte kopie per EU-taal.

    Documentvertaling op verzoek met downloadbare PDF (logo + link naar de officiële bron). Het bronbestand blijft leidend.

  • Public Law

    summary · EN · 25 February 2010

    Open at official source

    Leesvertaling

    Vertaal dit document naar jouw taal. PoliticalRepo bewaart geen aparte kopie per EU-taal.

    Documentvertaling op verzoek met downloadbare PDF (logo + link naar de officiële bron). Het bronbestand blijft leidend.

  • Engrossed Amendment Senate (text)

    Engrossed Amendment Senate · EN · 24 February 2010

    ViewDownloadOpen at official source

    Leesvertaling

    Vertaal dit document naar jouw taal. PoliticalRepo bewaart geen aparte kopie per EU-taal.

    Documentvertaling op verzoek met downloadbare PDF (logo + link naar de officiële bron). Het bronbestand blijft leidend.

  • Engrossed Amendment Senate (PDF)

    Engrossed Amendment Senate · EN · 24 February 2010

    ViewDownloadOpen at official source

    Leesvertaling

    Vertaal dit document naar jouw taal. PoliticalRepo bewaart geen aparte kopie per EU-taal.

    Documentvertaling op verzoek met downloadbare PDF (logo + link naar de officiële bron). Het bronbestand blijft leidend.

  • Passed Senate amended

    summary · EN · 24 February 2010

    Open at official source

    Leesvertaling

    Vertaal dit document naar jouw taal. PoliticalRepo bewaart geen aparte kopie per EU-taal.

    Documentvertaling op verzoek met downloadbare PDF (logo + link naar de officiële bron). Het bronbestand blijft leidend.

  • Placed on Calendar Senate (text)

    Placed on Calendar Senate · EN · 20 January 2010

    ViewDownloadOpen at official source

    Leesvertaling

    Vertaal dit document naar jouw taal. PoliticalRepo bewaart geen aparte kopie per EU-taal.

    Documentvertaling op verzoek met downloadbare PDF (logo + link naar de officiële bron). Het bronbestand blijft leidend.

  • Placed on Calendar Senate (PDF)

    Placed on Calendar Senate · EN · 20 January 2010

    ViewDownloadOpen at official source

    Leesvertaling

    Vertaal dit document naar jouw taal. PoliticalRepo bewaart geen aparte kopie per EU-taal.

    Documentvertaling op verzoek met downloadbare PDF (logo + link naar de officiële bron). Het bronbestand blijft leidend.

  • Received in Senate (text)

    Received in Senate · EN · 24 December 2009

    ViewDownloadOpen at official source

    Leesvertaling

    Vertaal dit document naar jouw taal. PoliticalRepo bewaart geen aparte kopie per EU-taal.

    Documentvertaling op verzoek met downloadbare PDF (logo + link naar de officiële bron). Het bronbestand blijft leidend.

  • Received in Senate (PDF)

    Received in Senate · EN · 24 December 2009

    ViewDownloadOpen at official source

    Leesvertaling

    Vertaal dit document naar jouw taal. PoliticalRepo bewaart geen aparte kopie per EU-taal.

    Documentvertaling op verzoek met downloadbare PDF (logo + link naar de officiële bron). Het bronbestand blijft leidend.

  • Engrossed in House (text)

    Engrossed in House · EN · 19 November 2009

    ViewDownloadOpen at official source

    Leesvertaling

    Vertaal dit document naar jouw taal. PoliticalRepo bewaart geen aparte kopie per EU-taal.

    Documentvertaling op verzoek met downloadbare PDF (logo + link naar de officiële bron). Het bronbestand blijft leidend.

  • Engrossed in House (PDF)

    Engrossed in House · EN · 19 November 2009

    ViewDownloadOpen at official source

    Leesvertaling

    Vertaal dit document naar jouw taal. PoliticalRepo bewaart geen aparte kopie per EU-taal.

    Documentvertaling op verzoek met downloadbare PDF (logo + link naar de officiële bron). Het bronbestand blijft leidend.

  • Passed House amended

    summary · EN · 19 November 2009

    Open at official source

    Leesvertaling

    Vertaal dit document naar jouw taal. PoliticalRepo bewaart geen aparte kopie per EU-taal.

    Documentvertaling op verzoek met downloadbare PDF (logo + link naar de officiële bron). Het bronbestand blijft leidend.

  • Introduced in House (text)

    Introduced in House · EN · 29 October 2009

    ViewDownloadOpen at official source

    Leesvertaling

    Vertaal dit document naar jouw taal. PoliticalRepo bewaart geen aparte kopie per EU-taal.

    Documentvertaling op verzoek met downloadbare PDF (logo + link naar de officiële bron). Het bronbestand blijft leidend.

  • Introduced in House (PDF)

    Introduced in House · EN · 29 October 2009

    ViewDownloadOpen at official source

    Leesvertaling

    Vertaal dit document naar jouw taal. PoliticalRepo bewaart geen aparte kopie per EU-taal.

    Documentvertaling op verzoek met downloadbare PDF (logo + link naar de officiële bron). Het bronbestand blijft leidend.

  • Introduced in House

    summary · EN · 29 October 2009

    Open at official source

    Leesvertaling

    Vertaal dit document naar jouw taal. PoliticalRepo bewaart geen aparte kopie per EU-taal.

    Documentvertaling op verzoek met downloadbare PDF (logo + link naar de officiële bron). Het bronbestand blijft leidend.

Sponsors

Related records

Related across the Repo ecosystem

Direct relationships are identifier-backed. Topic context means shared TopicMembership — not a citation and not causation.

Direct relationships

Sources

PoliticalRepo is an index and interpretation layer, not the authoritative legal source.