Senate bill to increase debt limit could set the stage for five-year SGR freeze: Provisions fall short of medicine’s goal of true reform

Chicago — (January 29, 2010) 

On Thursday the Senate passed H.J. Res. 45, a resolution to raise the federal debt limit.  The resolution also included a “PAYGO” provision, meaning that any new spending or tax cuts must be offset by spending cuts or tax increases.  Noteworthy for physicians, H.J. Res. Includes several exemptions from PAYGO rules, including one for a temporary fix to the Medicare Sustainable Growth Rate formula (SGR).

The SGR exemption would allow up to $82 billion in spending for an SGR fix, which would likely translate into a five-year freeze with larger cuts expected thereafter.  Some reports suggest that actual SGR reform provisions will be attached to legislation extending unemployment insurance, expected to be introduced soon.

Without further Congressional action, anesthesiologists and all physicians face a 21 percent Medicare payment cut beginning March 1, 2010, with additional cuts projected in future years. 

Instead of a short-term fix, ASA strongly supports SGR reforms passed by the U.S. House of Representatives as H.R. 3961, the “Medicare Physician Payment Reform Act.”  H.R. 3961 passed the House by a vote of 2430183 on Nov. 19, 2009, and was subsequently placed on the Senate calendar.  This legislation would permanently repeal the unworkable SGR and create a path for future positive updates.

ASA members should call their Senators and ask them to bring H.R. 3961 to the Senate floor, and pass it immediately.

Please click HERE for call instructions and talking points.


Founded in 1905, the American Society of Anesthesiologists (ASA) is an educational, research and scientific society with more than 52,000 members organized to raise and maintain the standards of the medical practice of anesthesiology. ASA is committed to ensuring physician anesthesiologists evaluate and supervise the medical care of patients before, during and after surgery to provide the highest quality and safest care every patient deserves.

For more information on the field of anesthesiology, visit the American Society of Anesthesiologists online at To learn more about the role physician anesthesiologists play in ensuring patient safety, visit Join the ANESTHESIOLOGYTM 2014 social conversation today. Like ASA on Facebook, follow ASALifeline on Twitter and use the hashtag #ANES2014.



American Society of Anesthesiologists