Fix Medicare Now for a Healthier Tomorrow

Continuing to patch the SGR is fiscally irresponsible. Repeal is fiscally responsible.

Since 2003, Congress has enacted 16 patches to stop Medicare physician payment cuts. The cumulative cost of these patches is $153.7 billion, which exceeds the $116.5 billion cost of repealing the SGR and freezing Medicare payments to physicians. If Congress were to patch the SGR for 2014 with another freeze, total spending on patches would be $164.5 billion.

BILL YEAR OF CUT SCORE*
(IN BILLIONS)
Consolidated Appropriations Resolution of 2003 (P.L. 108-7) 2003 $54.0
Medicare Modernization & Prescription Drug Act of 2003 (P.L. 108-173) 2004 & 2005 $0.2
Medicare Modernization & Prescription Drug Act of 2003 (P.L. 108-173) 2004 & 2005 $0.2
Deficit Reduction Act of 2006 (P.L. 109-171) 2006 -$0.4
Tax Relief & Health Care Act of 2006 (P.L. 109-432) 2007 $3.1
Medicare, Medicaid and SCHIP Extension Act of 2007 (P.L. 110-173) 2008 (6 months) $6.4
Medicare Improvements for Patients & Providers Act of 2008 (P.L. 110-276) 2008 (6 months) & 2009 $9.4
Department of Defense Appropriations for FY 2010 (P.L. 111-118) 2010 (2 months) $2.0
Temporary Extension Act of 2010 (P.L. 111-144) 2010 (1 month) $1.0
Continuing Extension Act of 2010 (P.L. 111-157) 2010 (2 months) $2.0
Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010 (P.L. 111-192) 2010 (6 months) $6.0
Physician Payment and Therapy Relief Act of 2010 (P.L. 111-286) 2010 (1 month) $1.0
Medicare and Medicaid Extenders Act of 2010 (P.L. 111-309) 2011 $14.9
Temporary Payroll Tax Cut Continuation Act of 2011 (P.L. 112-78) 2012 (2 months) $3.6
Middle Class Tax Relief and Job Creation Act of 2012 (P.L. 112-96) 2012 (10 months) $18.0
American Taxpayer Relief Act of 2012 (P.L. 112-240) 2013 $25.2
Pathway for SGR Reform Act of 2013 2014 (3 months) $7.3
Total spent on SGR patches 2003-March 2014 $153.7
Cost of a 10-year freeze 2014-2023 $116.5

* All scores are CBO 10-year scores.

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