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The House-passed version postponed the 2% Medicare sequestration cuts scheduled for April 1 – December 31, 2021. It also included protection from the 4% Medicare PAYGO sequestration cuts associated with the $1.9 trillion American Rescue Plan Act of 2021.

U.S. Senate Passes Substitute
Version Of H.R. 1868
On Thursday, March 25, 2021, by a 90-2 vote, the United States Senate passed a substitute version of H.R. 1868 which was passed last week in the U.S. House of Representatives.The House-passed version postponed the 2% Medicare sequestration cuts scheduled for April 1 – December 31, 2021. It also included protection from the 4% Medicare PAYGO sequestration cuts associated with the $1.9 trillion American Rescue Plan Act of 2021.Senate passage of the bill could prompt the Centers for Medicare and Medicaid Services (CMS) to allow providers to hold claims until the bill is enacted, similar to how the agency handled the ongoing sustainable growth rate (SGR) bills that Congress passed each year on physician payments before implementing a reform measure in 2015.
Unfortunately, the Senate-passed version of the bill omits the portion dealing with PAYGO sequestration cuts. This will require H.R. 1868 to be taken up once again in the House for concurrence. The House is scheduled for an in-district work period until Tuesday, April 13, 2021 which means the bill will not be taken up again until their return.
State associations may consider making the recommendation to their members to hold Medicare claims for dates of services April 1 and after for processing until more information is available.

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