November 19, 2009
Posted: November 19th, 2009 05:15 PM ET

Washington (CNN) – The House voted Thursday to prevent cuts in coming years in Medicare reimbursements to doctors.

However, the so-called "doc fix" bill was defeated earlier this year in the Senate, which is unlikely to reconsider the measure until after it completes work on an overall health care reform bill.

The House approved the $210 billion bill on a 243-183 vote, mostly on partisan lines. Democrats called it a necessary step to address an annual problem under a 1997 formula that limits increases in Medicare reimbursement costs.

Each year, Congress has voted to override the formula to prevent a cut in the money reimbursed to doctors providing Medicare services. For 2010, doctors face a 21 percent cut in reimbursements without a congressional remedy. The doc-fix bill would replace the old formula as a permanent solution for the recurring funding issue.

Republicans called the bill a budget buster that would raise the federal deficit by more than $200 billion. They accused Democrats of separating the bill from the larger health care reform legislation as a political trick to hold down the cost of the more comprehensive health care measure.

The doc-fix legislation was considered an important incentive for the American Medical Association to support the overall health care reform bill.

Democratic leaders wanted House approval for the bill to signal the AMA of their intention to continue pushing for it despite the earlier defeat in the Senate.

Filed under: Health care


chris l   November 20th, 2009 3:06 am ET

Democrats are good at spending other peoples money on crap. its ok though, in 2010 they will be disposed of and sent back under whatever rocks they crawled out of. And finally in 2012, barring any impeachment proceedings or possible prison for treason, the man-child and chief will be joining them.

nathan smith ga   November 19th, 2009 11:45 pm ET

this is great doctors need to be paid come on healthcare for all americans.

S Callahan   November 19th, 2009 10:06 pm ET

CNN I am so sad that you, and organization that the good Lord has availed to , has failed to mention the most prothetic political, social, religous event of our lifetime...the appointment of the EU President.
Ahh...time is close and truth revealed. Get your robes ready! PTL

J.C. - Independent 4 Public Option   November 19th, 2009 10:05 pm ET

It has been reported that many drugs, doctors' fees and medical device prices are rising at a speedy pace as these medical industry complex expects to see some form of cost control measures installed by Congress soon. Therefore, they are raising the base prices in a hurry.

I hope Congress will look at not only the current or last year's price, but also the past, at least, three year figures as a 3 or 5-year moving average to set the base price for drugs, doctors, lab, medical device fees.

On this doc fix bill, we really should consider offering free medical education to qualified students so they do not bear the burden of a huge student loan out of medical school and residency. I know quite a few young men and women that are very interested in becoming a medical doctors, but did not pursue due to the astronomical education costs. Some joined the military services for a medical education or a law degree. In France and Germany, medical and college education is free. In Germany, doctors received a fixed annual income. When it reaches the limit, it is up to the doctor to decide whether or not to continue seeing patients. Most do continue.

MatthewDetroit   November 19th, 2009 9:45 pm ET

Democrats are professional liars.

Harry Reid Claims the bill costs 894 Billion.
BUT, they add another 210 BILLION and act like it is magic.
They dont even count that 210 Billion.

Then the bill is a 10 year bill of 894 Billion, but the spending is only over a 6 year period. Can you idiot DEMS do the math.... You collect for 10 years and spend it all in 6 years.....> THE MATH DOES NOT ADD UP.... IT IS DEFICIT SPENDING....

Also the SENATE BUDGET OFFICE came out and said that the BILL that Harry Reid put together will cost 2.7TRILLION in the second 10 year period..... 2.7 TRILLION..... read the facts. LIARS.

Old Farmboy   November 19th, 2009 9:39 pm ET

Should I get another job to pay taxes on what I now get?

Susan in NC   November 19th, 2009 9:34 pm ET

A step in the right direction!

Rick CT   November 19th, 2009 8:52 pm ET

This was originally part of the base health care bill until Pelosi, et al realized the cost of the health care bil as one package would be too high. So they tried to hide it by spliting the bill. It was also the only way the AMA would "support" the base bill.

In private industry, we call this kind of accounting fraud.

MVDCT   November 19th, 2009 8:48 pm ET

Well, what a shell game the Democrats are playing. I guess they didn't have enough guts to put that $210 billion in the "health care rform" bill. This whole thing is big joke and the Congressional Democrats are a disgrace. LEAVE US ALONE! Government run health care is a liberal's wet dream and a national nightmare for the rest of us.

D.   November 19th, 2009 8:39 pm ET

Voting for a bill that did not pass in the Senate is an exercise in futility.
Is this one of the reason we keep on sending these guys to work for us?!?

Capsaicin   November 19th, 2009 8:39 pm ET

When the Soviet Union sent up Sputnik in 1957 the US realized it was slipping behind, and mobilized a national effort to catch and surpass those it trailed.

Today US healthcare costs are higher than any country and overall national results worse than many of the so called 'Socialist' health care nations (37th I believe).

This HC reform will save money by reducing inordinate private profits to benefit Americans as a whole. This is today's Sputnik. Get on board.

Albo58   November 19th, 2009 8:36 pm ET

This vote was to prevent Queen Nan from having to add this bill to her already massively expensive health care fiasco! Plus, it was a payback for the AMA's "endorsement" of ObamaCare!

gary davis Harbor Oregon proud american   November 19th, 2009 7:55 pm ET

maybe saturday history will be made with a passage of a health care bill for the president to sign

and just think ((( every senator that votes YES will be imortalised on a special plaque ))) saying here lies the names of the 21st century senators who made history . and voted YES ON A united states health care bill . a first of its kind in the history of the UNITED STATES OF AMERICA .
so make america proud and vote yes saturday NOVEMBER 21,2009 IN THE 21ST CENTURY ..this date will be etched into history with a yes vote .. and those who choose to vote NO will at the end of each one of there terms in office will be voted out.. so listen up republican and sissy democrates . now is the time to make history..

gary davis
harbor oregon
proud of our president :)

gary davis Harbor Oregon proud american   November 19th, 2009 7:43 pm ET

GOOD DEAL :) make us proud . and make the wealthy republicans squirm and the insurance companies throw up and taste there own ass

gary davis
harbor oregon
proud of our president :)

JK Ashburn, VA   November 19th, 2009 7:31 pm ET

Democrats proving they are lying through their teeth about how they intend to pay for "health care reform". They will gladly spend the money. They just don't want to be responsible adults and actually pay for it.

Kevin in Ohio   November 19th, 2009 7:19 pm ET

These people in Congress have NO cleu as to how to balance a checkbook...... incompetence!

Gerry   November 19th, 2009 7:06 pm ET

Medicare and medicaid started in June 30, 1965 in the senate the vote was 70 for 24 against and in the house it was 307 for and 116 against. This was a by partisant vote, nothing like the voting of today.

Jane/Seattle   November 19th, 2009 6:36 pm ET

I see that there is no end to passing out the MONEY! Of course, American doctors could never survive on some reasonable salary like more successful countries do. (Canada, England and most notable, Denmark! Yeah, yeah, we know how much it costs to become a doctor, but then this is Capitalism, isn't it? We also know how many "poor" kids who could become doctors if they could catch a break under this system. Yeah, yeah, blame the parents for their ignorance and poverty. Doom the kids for the sins of their fathers? Yup, good old Christian charity a work? Hmmm. gotta go do some more work for the peanuts I get paid as the Corporatocracy makes Billions from our collective Labor! Peace

Four and The Door   November 19th, 2009 6:31 pm ET

The Democrats are spending this country into the dirt. It's sad to watch their disrespect for the future of the country.

Sam   November 19th, 2009 6:28 pm ET

America cannot be competitive with other nations who have a healthcare systems that are superiour to the American system. Many international businesses choose not to operate in the United States because of the overpriced healthcare insurance. I believe it costs a business $32 per hour to employee a $16 per hour worker, the money not going to the employee goes to the healthcare insurance provider. Some say that the average American pays $12,680 per year for healthcare insurance while other countries pay significantly less because the government of other countries protects the wealth of its citizens to a certain degree while the American government allows big business to run rampant over the money that should go to workers, you know, like paying $10 per gallon of gas so financial speculators could make staggering profits from speculating in oil futures. Same thing with healthcare insurance. Big business doesn't want us to hold onto our money, they want to keep it.

S.B.   November 19th, 2009 6:22 pm ET

I think it's important that doctors receive reasonable reimbursement for seeing Medicare and Medicaid patients, and a 21% cut sounds pretty unreasonable. It sounds like the GOP wants to punish the doctors when it's their ridiculous spending on 2 unnecessary wars at the same time that they approved huge tax cuts for the rich that has gotten us into this fiscal mess.

Henry Miller, Libertarian   November 19th, 2009 6:21 pm ET

This is how politicians work. Just to get some bit of waste-of-money legislation passed, they'll yell about how it's going to somehow "save money," but then they'll pass some other bit of legislation just to go back to wasting the money they're claiming to save.

I'm beginning to think politicians never tell the truth. At least, not all of it. It's always some kind of con job; they're always trying to convince us we can get all this cool government stuff "free," that they'll save money somewhere else, that they'll tax someone else, but it always turns out to be a lie.

[R]s are Dumbasrocks   November 19th, 2009 6:07 pm ET

What part of THE HEALTH CARE BILL WIILL REDUCE DEFICITS! do [R]s not understand? You need to listen, read, and get some facts....and not just parrot the shrill drivel spewing from Rush everyday. Under the new health care bill, maybe you neo-morons on the right will get some sorely-needed genetic testing done; something very low has contaminated the gene pool. There is something very under-intellectual, sub-human about the [R] base. It is a testament to the LIBERAL nature of our constitution that these people are allowed to vote at all.

Enough is enough   November 19th, 2009 6:06 pm ET

First we were told unless they passed the $800 billion stimulus package last winter unemployment would go over 8%. They got their stimulus and now unemployment is at 10.2% and still climbing. And we are supposed to now believe Obama, Pelosi and Reid know what they are doing with health care? What happened to the 2006 Pelosi/Reid promise of give them control of Congress and the deficit would not grow? They have tripled the deficit in a year under the Obamageddon policies

rachel   November 19th, 2009 6:01 pm ET

Also isn't it funny they are gonna do the vote on Saturday? love to do things like this on the weekend.

rachel   November 19th, 2009 5:59 pm ET

Very Very scary. You want to want to start taxing people NOW for benifts they wont see for years. Sort of like Calinfornia reaching into the pocket of it's residents and tax more state taxes WITHOUT consent kind of scary how much control government has over people

POST CNN.

ange1   November 19th, 2009 5:56 pm ET

The equation is actually quite simple. 20% cut in Medicare payments to doctors=doctors won't take Medicare. We'll go the dentists formula...patients are responsible for ALL of the bill and they can then file for reimbursement from their insurance company/Medicare.

If you want to decrease Medicare payments to providers, then you HAVE TO allow "balance billing" for those providers who choose to accept Medicare/Medicaid. By that I mean as it stands now, if my charges are 100$ and Medicare only pays 40$, then I have to bend over and take it like a man. I then have to see 2-3 times/ as many patients to cover my cost (rent,medical supplies, income, staff salaries etc, student loan payments=6 figures). If there is balance billing, I can say that I'll take Medicare payment as a portion of my overall charge and the patient is responsible for some portion of the difference

Mike Decker   November 19th, 2009 5:47 pm ET

What about "doctors will not take medicare/medicaid patients if they don't get paid" don't YOU understand? Get us out of needless wars and we can talk about poor spending habits.

O-BOW-MA   November 19th, 2009 5:44 pm ET

What part of WE ARE BROKE! democrats do not understand? Does China need to slap us around again to remind us they OWN USA? This administration is printing money out of style, latest news US DOLLAR IS TANKING, it won't be long now we'll use a wheelbarrow to carry our money to buy a thimble of milk.

O-BOW-MA   November 19th, 2009 5:41 pm ET

How are we gonna pay for this socialized medicine of Democrats? In 2015 alone according to your news in CNN MONEY we'd paying AT LEAST $533 billion for INTEREST of our debt; that's just the interest principal is NOT included.

WE CANNOT AFFORD THIS!

LacrosseMom   November 19th, 2009 5:36 pm ET

You know what's very funny about the Medicare scare from the GOP???

Its that when the DEMOCRATS proposed Medicare in the 60's, the GOP called it.......... socialism! Now..... they defend it! Hypocrites!

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