111th U.S. Congress — 2009

House Passes Medicare Fix Bill

The House of Representatives passed a bill to stop the 21-percent Medicare pay cut. Rep. Michael Burgess, MD, was the only Republican to vote for HR 3961.  More...  (Nov. 19, 2009)


CMS Moves Ahead With Medicare Fee Cut

Unless Congress intervenes (again), the Centers for Medicare & Medicaid Services (CMS) will cut payments to physicians by 21.2 percent on Jan. 1. (Action, Nov. 16, 2009)

Physicians Organizations Urge Speaker Pelosi and the House to Support the Medicare Physician Payment Reform Act

TMA and various physicians organizations press the House to follow up on the recent health system reform vote (PDF) with a determined effort to secure the future of the Medicare program. Without Medicare physician payment reform, the goals of health system reform will remain out of reach. AMA radio ads urging swift passage (PDF) of the broken Medicare physician payment formula will begin airing today. (Nov. 13, 2009)

House Passes Health Reform Bill Without SGR Fix or Liability Reforms 

By a five-vote margin, the U.S. House of Representatives late Saturday night passed HR 3962, Speaker Nancy Pelosi’s health system reform bill. It was mostly a party-line vote. Among Texans, all Republican representatives and Rep. Chet Edwards (D-Waco) voted against it; all the other Democrats voted for it. The bill won the American Medical Association’s support two days before the vote. More... (Nov. 9, 2009)

TMA "Deeply Troubled" by House Health Reform Bill

The U.S. House of Representatives' proposal to reform the nation's health care system  is inadequate because it doesn't permanently fix the Medicare payment system and doesn't include medical liability reform, Texas Medical Association leaders say in a letter to the Texas House delegation. (Action Special Report, July 17, 2009)

Use Your Own Billboards

Do you want to influence the message your patients receive on health system reform? You can. All you have to do is use your waiting room and exam room walls. (Action, Sept. 1, 2009) Or use social media tools like Twitter and Facebook to spread the word on TMA's "Fix What's Wrong; Keep What's Good" campaign.

Senate Fails to Act on Medicare

The U.S. Senate on Tuesday fell short of the 60 votes necessary to begin debate on S 1776 by Sen. Debbie Stabenow (D-Mich.), the "Medicare Physician Fairness act of 2009." The motion failed on a vote of 47-53. Both senators from Texas – John Cornyn and Kay Bailey Hutchison – voted "no" along with all of their Republican colleagues and numerous Democrats in a roll-call vote whose outcome was known even before it began. More...

TMA's Health System Reform Principles

Your Texas Medical Association will not sit and watch as Congress and the Obama administration develop their plans to reform the nation's health care system. Acting at the direction of the TMA House of Delegates, the TMA Select Committee on Health System Reform has developed guiding principles the association will follow as it makes Texas physicians' voices heard in Washington. (March 27, 2009)


Texas Medicare Manifesto II

Every year, for almost a decade, organized medicine and Congress go through the same tedious motions. Physicians plead with Congress: “Fix the faulty funding formula Medicare uses to pay physicians: Make it fair.” The current payment system ensures that hospitals, nursing homes, pharmaceutical companies, Medicare HMOs, and many other Medicare providers receive an automatic cost-of-living increase. Meanwhile, doctors — the frontline people who take care of sick and injured Medicare patients — have to scramble to avoid dramatic pay cuts. Medicare patients, especially the elderly, struggle as more physicians who no longer can afford to take new Medicare patients leave the program. More...


CHIP

Health Insurance Reform

Medical Student Loan

Medicare

Responsible Ownership

Resources

Related Issues

Last Published: 11/20/2009

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Federal Issue Briefs

Medicare’s Role in Solving Physician Shortage
An adequate physician workforce is an absolute requirement for ensuring access to care for patients, including Medicare recipients.  Medicare GME funding can provide a valuable incentive for teaching hospitals to provide Medicare services.

Medicare Sustainable Growth Rate
No business can survive if costs exceed revenues, and Medicare payments are not adequate to cover average costs.

Physician and Health Care Professional Workforce Shortage
Congress must help stop the erosion of the health care infrastructure by funding programs that help train health care professionals.

Disaster Preparedness
Federal funds are important for improving and sustaining our disaster preparedness system. Cutting federal funding only weakens current state and local preparedness efforts.

Vaccine Pricing and Payment
Plans must stop looking at vaccines as a “medical loss” but as a means of preventing disease and reducing health care costs.

Medicaid and Children’s Health Insurance Program
Medicaid and CHIP support thousands of health-related jobs, medical education, and physician training. Medicaid cuts threaten the Texas economy and our ability to teach, train, recruit, and retain much-needed health care professionals.

Transparency and Accountability
Patients need accurate information on copays, deductibles, out-of-pocket costs, and health plan networks to make informed decisions in today's health care market.

Responsible Ownership of Health Care Services
Promote responsible ownership of all health care facilities, whether owned by a physician, hospital, or other provider.

Border Health Insurance Issues
TMA supports the U.S. Senate Republican Task Force to research a model that will achieve our mutual goal of insuring more border residents without undermining the health care system we are all fighting to protect.

Health Information Technology (HIT)
Texas Medical Association calls for an extensive investment in HIT.

CHIP Reauthorization
For Texas and other states to continue progress toward reducing the number of uninsured children, Congress must reauthorize CHIP.

Federal Patient Safety Issues
Organized medicine strongly supports and is actively involved in advance patient safety advocacy, education, and programs to assure high quality medical care and patient safety.

Section 1011 Payment Under EMTALA
TMA is committed to the success of the EMTALA TAG, and undoubtedly believes that it is an important step in maintaining a needed flow of information between the local community and the Centers for Medicare and Medicaid Services

Federal Medicaid Reform
For the past decade, TMA has collaborated with state and federal policymakers to develop innovative approaches to reducing costs, including use of disease management, and early detection and treatment of high-cost illnesses.

ERISA Reform
TMA strongly supports ERISA reform at the federal level to promote aggressive requirements for prompt and accurate payments to physicians and other health care service providers.


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