Removing Waste and Protecting Medicare Act
This bill makes several budgetary changes, including (1) prohibiting sequestration orders in 2022, (2) rescinding certain COVID-19 state and local relief funds, and (3) extending certain adjustments under Medicare with respect to sequestration and payments under the physician fee schedule. It also modifies requirements relating to federal programs and benefits, such as permanently requiring taxpayers to include Social Security numbers on their tax returns in order to qualify for the child tax credit.
[Congressional Bills 117th Congress]
[From the U.S. Government Publishing Office]
[H.R. 6144 Introduced in House (IH)]
<DOC>
117th CONGRESS
1st Session
H. R. 6144
To delay and offset the sequester to occur in January 2022 under the
Statutory Pay-As-You-Go Act of 2010, and for other purposes.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
December 7, 2021
Mr. Smith of Missouri (for himself, Mr. Brady, Mrs. Rodgers of
Washington, Mr. Burgess, Mr. Wenstrup, Mr. Bucshon, Mr. Carter of
Georgia, Mr. Harris, Mr. Van Drew, Mr. Murphy of North Carolina, and
Mr. Joyce of Pennsylvania) introduced the following bill; which was
referred to the Committee on Ways and Means, and in addition to the
Committees on the Budget, Energy and Commerce, the Judiciary,
Agriculture, and Oversight and Reform, 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
_______________________________________________________________________
A BILL
To delay and offset the sequester to occur in January 2022 under the
Statutory Pay-As-You-Go Act of 2010, and for other purposes.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Removing Waste and Protecting
Medicare Act''.
SEC. 2. PAYGO ACT SEQUESTER DELAY.
No sequester shall be ordered during calendar year 2022 after
Congress adjourns to end the 1st session of the 117th Congress under
section 5 of the Statutory Pay-As-You-Go Act of 2010.
SEC. 3. OFFSET OF SEQUESTER DELAY.
(a) Reinstatement of Public Charge Rule.--The rule relating to
inadmissibility on public charge grounds (84 Fed. Reg. 41292, published
on August 14, 2019) as in effect on October 15, 2019, shall be
considered to be in effect as of the date of enactment of this Act, and
the Department of Homeland Security shall reimplement such rule as soon
as may be practicable.
(b) Social Security Number Requirements for Child Tax Credit.--
(1) In general.--Section 24(e) of the Internal Revenue Code
of 1986 is amended to read as follows:
``(e) Social Security Number Requirements.--
``(1) Taxpayer.--No credit shall be allowed under this
section to any taxpayer who does not include on the return of
tax for the taxable year--
``(A) such individual's social security number, and
``(B) if the individual is married, the social
security number of such individual's spouse.
``(2) Qualifying children.--No credit shall be allowed
under this section to a taxpayer with respect to any qualifying
child unless the taxpayer includes the social security number
of such child on the return of tax for the taxable year.
``(3) Social security number.--For purposes of this
subsection, the term `social security number' means a social
security number issued to an individual by the Social Security
Administration, but only if the social security number is
issued--
``(A) to a citizen of the United States or pursuant
to subclause (I) (or that portion of subclause (III)
that relates to subclause (I)) of section
205(c)(2)(B)(i) of the Social Security Act, and
``(B) before the due date of the return of tax
referred to in paragraph (1) or (2), as the case may
be.''.
(2) Conforming amendment.--Section 24(h) of such Code is
amended by striking paragraph (7).
(3) Effective date.--The amendments made by this subsection
shall apply to taxable years beginning after December 31, 2021.
(c) Reinstatement of SNAP Work Requirement Rule.--The rule relating
to work requirements under the Supplemental Nutrition Assistance
Program (84 Fed. Reg. 66782, published on December 5, 2019) as in
effect on April 1, 2020, shall be considered to be in effect as of the
date of enactment of this Act, and the Department of Agriculture shall
reimplement such rule as soon as may be practicable.
(d) Rescission of Coronavirus State and Local Fiscal Recovery
Funds.--Of the total amount of unobligated amounts available under
sections 602 and 603 of title VI of the Social Security Act,
$53,500,000,000 are hereby permanently rescinded.
(e) Rescission of Capital Projects Funds.--The total amount of
unobligated amounts available under section 604 of title VI of the
Social Security Act are hereby permanently rescinded.
SEC. 4. ADJUSTMENTS TO MEDICARE PROGRAM SEQUESTRATION REDUCTION WITH
RESPECT TO FISCAL YEAR 2022.
(a) Extension.--
(1) In general.--Section 3709(a) of division A of the CARES
Act (2 U.S.C. 901a note) is amended by striking ``December 31,
2021'' and inserting ``March 31, 2022''.
(2) Effective date.--The amendments made by paragraph (1)
shall take effect as if enacted as part of the CARES Act
(Public Law 116-136).
(b) Adjustment.--Section 251A(6) of the Balanced Budget and
Emergency Deficit Control Act of 1985 (2 U.S.C. 901a(6)) is amended--
(1) by redesignating subparagraph (C) as subparagraph (D);
and
(2) by inserting after subparagraph (B) the following:
``(C) Notwithstanding the 2 percent limit specified
in subparagraph (A) for payments for the Medicare
programs specified in section 256(d), the sequestration
order of the President under such subparagraph for
fiscal year 2022 shall be applied to such payments so
that with respect to the period beginning on April 1,
2022, and ending on June 30, 2022, the payment
reduction shall be 1.0 percent.''.
SEC. 5. EXTENSION OF SUPPORT FOR PHYSICIANS AND OTHER PROFESSIONALS IN
ADJUSTING TO MEDICARE PAYMENT CHANGES.
(a) In General.--Section 1848 of the Social Security Act (42 U.S.C.
1395w-4) is amended--
(1) in subsection (c)(2)(B)(iv)(V), by striking ``2021''
and inserting ``2021 or 2022''; and
(2) in subsection (t)--
(A) in the subsection header, by striking ``2021''
and inserting ``2021 and 2022'';
(B) in paragraph (1)--
(i) by striking ``during 2021'' and
inserting ``during 2021 and 2022''; and
(ii) by striking ``for such services
furnished on or after January 1, 2021, and
before January 1, 2022, by 3.75 percent.'' and
inserting ``for--
``(A) such services furnished on or after January
1, 2021, and before January 1, 2022, by 3.75 percent;
and
``(B) such services furnished on or after January
1, 2022, and before January 1, 2023, by 3.0 percent.'';
and
(C) in paragraph (2)(C)--
(i) in the subparagraph header, by striking
``2021'' and inserting ``2021 and 2022'';
(ii) by inserting ``for services furnished
in 2021 or 2022'' after ``under this
subsection''; and
(iii) by inserting ``or 2022,
respectively'' before the period at the end.
(b) Report.--Section 101(c) of division N of the Consolidated
Appropriations Act, 2021 (Public Law 116-260) is amended--
(1) in the first sentence--
(A) by striking ``April 1, 2022'' and inserting
``each of April 1, 2022, and April 1, 2023''; and
(B) by striking ``, as added by subsection (a)''
and inserting ``furnished during 2021 or 2022,
respectively''; and
(2) in the second sentence--
(A) by striking ``Such report'' and inserting
``Each such report''; and
(B) by inserting ``with respect to 2021 or 2022, as
applicable'' after ``under such section''.
SEC. 6. PRESERVING PATIENT ACCESS TO CRITICAL CLINICAL LAB SERVICES.
(a) Revised Phase-In of Reductions From Private Payor Rate
Implementation.--Section 1834A(b)(3) of the Social Security Act (42
U.S.C. 1395m-1(b)(3)) is amended--
(1) in subparagraph (A), by striking ``through 2024'' and
inserting ``through 2025''; and
(2) in subparagraph (B)--
(A) in clause (ii), by striking ``for 2021'' and
inserting ``for each of 2021 and 2022''; and
(B) in clause (iii), by striking ``2022 through
2024'' and inserting ``2023 through 2025''.
(b) Revised Reporting Period for Reporting of Private Sector
Payment Rates for Establishment of Medicare Payment Rates.--Section
1834A(a)(1)(B) of the Social Security Act (42 U.S.C. 1395m-1(a)(1)(B))
is amended--
(1) in clause (i), by striking ``December 31, 2021'' and
inserting ``December 31, 2022''; and
(2) in clause (ii)--
(A) by striking ``January 1, 2022'' and inserting
``January 1, 2023''; and
(B) by striking ``March 31, 2022'' and inserting
``March 31, 2023''.
SEC. 7. DELAY TO THE IMPLEMENTATION OF THE RADIATION ONCOLOGY MODEL
UNDER THE MEDICARE PROGRAM.
Section 133 of Division CC of the Consolidated Appropriations Act,
2021 (Public Law 116-260) is amended by striking ``January 1, 2022''
and inserting ``January 1, 2023''.
SEC. 8. MEDICARE IMPROVEMENT FUND.
Section 1898(b)(1) of the Social Security Act (42 U.S.C.
1395iii(b)(1)) is amended by striking ``fiscal year 2021'' and all that
follows through the period at the end and inserting ``fiscal year 2021,
$102,000,000.''.
<all>
Introduced in House
Introduced in House
Referred to the Committee on Ways and Means, and in addition to the Committees on the Budget, Energy and Commerce, the Judiciary, Agriculture, and Oversight and Reform, 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.
Referred to the Committee on Ways and Means, and in addition to the Committees on the Budget, Energy and Commerce, the Judiciary, Agriculture, and Oversight and Reform, 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.
Referred to the Committee on Ways and Means, and in addition to the Committees on the Budget, Energy and Commerce, the Judiciary, Agriculture, and Oversight and Reform, 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.
Referred to the Committee on Ways and Means, and in addition to the Committees on the Budget, Energy and Commerce, the Judiciary, Agriculture, and Oversight and Reform, 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.
Referred to the Committee on Ways and Means, and in addition to the Committees on the Budget, Energy and Commerce, the Judiciary, Agriculture, and Oversight and Reform, 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.
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Referred to the Committee on Ways and Means, and in addition to the Committees on the Budget, Energy and Commerce, the Judiciary, Agriculture, and Oversight and Reform, 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.
Referred to the Subcommittee on Health.
Referred to the Subcommittee on Nutrition, Oversight, and Department Operations.
Referred to the Subcommittee on Immigration and Citizenship.