POLISCOPE
Back to bills

The civic record

Read. Follow. Verify.
High Impact

Commonsense Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014

Record date · March 26, 2014

Introduced
Committee
Floor Vote
Passed
Law

Track this bill to get notified when it advances a stage. One tap to stop, anytime.

What This Bill Would Do

This bill repeals the Medicare formula used to calculate physician payments and replaces it with a new . It also extends various Medicare and Medicaid programs, mandates new quality reporting requirements, and provides funding for technical assistance to small medical practices.

Why it matters

This legislation fundamentally changes how Medicare pays physicians by shifting from a volume-based formula to a performance-based system, directly impacting the reimbursement rates and administrative reporting requirements for all Medicare-enrolled healthcare providers.

Who It Would Affect

Groups the bill's text would affect if enacted, as described in the record. Being affected is not a position for or against it.

Directly affected

Physicians

Physicians will transition to a new merit-based payment system and face new reporting requirements for quality and resource use.

Directly affected

Small medical practices

Practices with 15 or fewer professionals are eligible for dedicated technical assistance funding to help transition to new payment models.

Directly affected

Medicare beneficiaries

Beneficiaries may see changes in how their providers are incentivized to deliver care and how their health information is managed.

Directly affected

Ambulance providers

Providers are required to submit cost, revenue, and utilization data to a new collection system or face payment reductions.

Key Facts

You don't have to trust us. Each fact below is taken straight from the official document - click any one to see the exact passage, highlighted in the original.

Frequently Asked Questions

What is the SGR and why is it being repealed?
The was a formula used to determine Medicare physician payment updates; it is being repealed to stabilize payments and transition to a performance-based system.
How will my doctor's pay be determined under the new system?
Under the new , payments will be adjusted based on a composite performance score covering quality, resource use, clinical practice improvement, and meaningful use of EHR technology.
Does this bill affect Medicaid?
Yes, it includes several extensions for Medicaid programs, including transitional medical assistance and funding for special diabetes programs for Indians.

What else do you want to know?

News Coverage

No news coverage found yet. Articles are indexed twice daily.

Where This Stands

Currently filed. The next step in the legislative lifecycle is Committee.

Version history

Only one version on file - nothing to compare yet. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.

View official text →

Full breakdown

Who this bill affects and the strongest case for and against it, written only from the bill’s own text.

Discoveries

2 patterns noticed across the record

Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.

policy shift100% confidence

Transition to Performance-Based Payment

The bill marks a definitive shift from volume-based physician payments (SGR) to a performance-based system (MIPS), emphasizing quality and resource use.

financial connection90% confidence

Increased Oversight Funding

The bill creates multiple funding streams for oversight and technical assistance, specifically transferring funds from the Supplementary Medical Insurance Trust Fund to the CMS Program Management Account.

Connected Entities

Ron Wyden, Medicaid, U.S. Government Publishing Office and 2 more
PersonRon Wyden“Mr. Wyden introduced the bill.”Map →
OrganizationMedicaid“The bill includes provisions for extending and improving Medicaid programs.”Map →
OrganizationU.S. Government Publishing Office“The document originates from the U.S. Government Publishing Office.”Map →
OrganizationMedicare“The bill focuses on reforming Medicare payment systems.”Map →
OrganizationSenate“The bill was introduced in the Senate.”Map →

Sources

Open source document

www.congress.gov

Analysis Score

0–100
  • Significance95
    How much this matters to a regular citizen
  • Controversy60
    Intensity of disagreement among stakeholders
  • Entertainment10
    Compellingness for a non-policy-wonk reader
  • Buzz40
    Current news / social attention level

Publisher tools

Share or embed this record

POLISCOPE publisher tools

Share or embed this record