1、1 The CBO cost estimate for H.R. 6331 (now P.L. 110-275) is available at http:/cbo.gov/ftpdocs/94xx/doc9494/RangelLtrHR6331.pdf. The total budgetary effect is estimated in thememorandum of the cost estimate, which assumed passage of the Supplemental AppropriationsAct of 2008, now P.L. 110-252.2 On J
2、une 27, 2008, the Centers for Medicare and Medicaid Services (CMS) announced plansto instruct its contractors not to process any physician and non-physician practitioner claims for(continued.)Order Code RS22904Updated July 17, 2008Summary of Major Provisions in P.L. 110-275: Medicare Improvements fo
3、rPatients and Providers Act of 2008Hinda Chaikind, Jim Hahn, Paulette C. Morgan, and Jennifer OSullivanDomestic Social Policy DivisionSummaryP.L. 110-275, the Medicare Improvements for Patients and Providers Act (MPPA)became law on July 15, 2008, after Congress overrode a presidential veto on H.R. 6
4、331.The Act is designed to avert a statutory Medicare reduction in payments for physiciansand make other changes. The bill freezes physician fees at the June 2008 level untilJanuary 2009. In January 2009, fees will increase by 1.1%. In 2010, fees will revertback to current law levels, resulting in a