The Medicare Prescription Drug, Improvement, and Modernization Act of 2003

Now a statute, the physician/hospital pay for quality, not quantity, public law number: 114-10 signed April 16, 2015 also referenced as H.R.2 —1st Session of 114th Congress (2015-2016), sometimes called the “Permanent Doc Fix” 04/14/2015 : Passed Senate; 03/26/2015 : Passed House (Medicare Access and CHIP Reauthorization Act of 2015, 2015), which defines the payment and reimbursement reform to doctors treating patients with Medicare. This extensive reform includes the CHIP program insuring children and those families that don’t qualify for Medicare but are unable to afford private insurance and is funded by the federal government and individual states.

Since the late 1980s, Medicare has reimbursed physician services using the Medicare Physician Fee Schedule (MPFS), which encompasses 10,000 procedure codes. Each code is assigned resource-based relative value units (RVUs), which are designed to reflect physician work, practice expense, and malpractice expense. To adjust for local differences in cost of living, each RVU is modified using geographic practice cost indexes (GPCIs) and then converted to dollars using a “conversion factor.” This system rewards physicians who produce a high volume of services; not surprisingly, Medicare Part B expenditures have grown rapidly.

ix. Johnson urged them not to ratify it, democrats used it as a campaign issued

The Medicare bill was signed into law on July 30, 1965 by President Johnson. The signage came long after an attempt by President Truman to develop a national insurance fund that could be utilized by all Americans. During the signing of the bill, President Johnson explained that with the Medicare program an individual can insure themselves against illness that may present during their senior years. Additionally, he commented that there were more than 18 million low income Americans who are greater than 65 years of age and cannot afford to treat their illnesses. The Medicare program is overseen by The Centers for Medicare and Medicaid Services (CMS), and has evolved over time. Medicare now covers individuals under the age of 65 who

Two different versions of the Affordable Care Act were initially written and proposed in Congress: one in the House, the Affordable Health Care for America Act, and one in the Senate, the Patient Protection and Affordable Care Act (Ray and Norbeck). Since the House only needs a simple majority to pass a bill, the Democratic majority was able to pass a more extensive bill. In the Senate, however, the Democrats only had 58 votes, which would not be enough to end a Republican filibuster. In order to get 60 votes, the Democrats in support of the bill had to convince conservative Democrat Bill Nelson (NE) and independent Joe Lieberman

It failed to secure enough votes to become law because of confusion among voters. The confusion started and ended with an alternative being placed on the ballot. With the loads of information that floated around on how to vote and what to vote for, many votes were canceled. Ultimately, the state legislature destroyed the initiative. This act illustrates a divisive state government and an underserved population of constituents who would have benefited with the passage of Initiative

The first piece of legislation (one legislation I discussion 2 pieces of that) discuss is section 101 part of Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), a bipartisan legislation signed into law on April 16, 2015. This law was created to replace the current law in that time Medicare reimbursement schedule with, the revolutionary idea of new program supposed directed focus on the quality, value and accountability of the national health care program. The CMS describe MACRA as a modern system new payment framework, supposed rewarded the national health care providers to obtain the better care instead of more service, looking for value over volume. The information’s observed in the interview provides consistent points

The Medicare Access and CHIP Reauthorization Act (MACRA) was initi-ated by the U.S. Department of Health and Human Services to bring about big changes in quality of care by altering payment methods of doctors. MACRA was signed into law in April 2015 by former President Obama. The Medicare Access and CHIP Reauthorization Act (MACRA) is bipartisan legislation that was passed quietly by Congress without controversy. MACRA significantly alters how the government pays physicians and doctors who treat Medicare patients. It is transforming the way Medicare pays doctors and hospitals for their services by moving away from the traditional fee-for-service method and towards a new payment method that is based on how successful treatments are for

In a stunning upset, the deep red state voted for the first Democratic Senator in more than two and a half decades in a slim victory, giving the Democrat party momentum heading into the 2018 election while wounding a divided GOP.

Previously, Minority Leader Harry Reid (D-Nev.) vowed to jam committee meetings until the Republican Party would move forward forward with Supreme Court nominee Merrick Garland. Both the Republicans and Democrats have been stuck in a giant quagmire regarding Obama's nomination of Merrick Garland. The Republicans are adamantly opposed to newcomer Merrick Garland. The Democrats generally support Garland, however, some believe that he is too moderate on issues such as gun control. In order to break the stalemate, Reid pledged to seize committee meetings -- forcing the Republicans to move forward with Garland.

The Democrats who strongly opposed the bill aimed at making sure that the bill did not reach Governor Rick

Craig Scott, an MP for the NDP put the motion in front of the house, claiming the senate was “useless” and “senators appear in the upper chamber and average of 56 days a year”. Craig Scott also discusses how there are good senators, however, these senators agree that the senate is a flawed body that blocks bills from coming into the house of commons. The purposed bill was defeated when both the Liberals and Conservatives voted against it. This lead to harsh criticism from the NDP party towards the conservatives, and Stephen Harper. The NDP points to the fact that Stephen Harper promised to never point unelected senators, yet he has broken that promise and appointed 58 unelected senators.

McCain’s decision to finally vote against the Graham Cassidy Bill was not an easy one. While simultaneously dealing with a cancer diagnosis McCain was facing the tough battle of being able to show up to the vote, yet alone change the course of it. The White House not only expected McCain’s absence, but prepared for it by having Mike Pence stand by to vote. However, Senator McCain did indeed show up for his vote at 1:20 AM at Capitol Hill and made the courageous decision to be the deciding vote that rejected the Obamacare repeal. As a result of voting no, the “skinny repeal” was trashed and the Affordable Care Act remain instituted as an

Capito was among the 52 Republicans who voted in favor of the procedural move, with Sen. Joe Manchin, D-W.Va., joining 47 other Democrats and Independents in voting against opening debate.

During the months of debate in the Senate, many senators and American citizens alike were