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Medicare Bill Strikes Out Again In Senate After Home Run In House

Executive Summary

Momentum from a surprising House passage of a slightly modified version of the Sen. Max Baucus-penned Medicare physician payment legislation was not quite enough to carry the bill on a second try in the Senate on June 26

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Medicare bill heads to White House

President Bush's plan to veto legislation, H.R. 6331, intended to stave off cuts in Medicare physician rates is motivated primarily by provisions to make up for those cuts with reductions in payments to Medicare Advantage plans, White House officials indicated during a July 10 press briefing. Still intact in H.R. 6331 are a number of provisions in the drug area, including Medicare payment incentives for physicians to use electronic prescribing; bundled payments for dialysis-related services, including drugs; Medicare coverage of benzodiazepines; permanence of Medicare Part D coverage of all or substantially all drugs in six classes, and suspension of Medicaid average manufacturer price rules. The Senate passed the measure July 9 by what, if it holds, is a veto-proof 69-30 margin. It is identical to the version that passed the House 355-59 on June 24 (1"The Pink Sheet," June 30, 2008, p. 23)

CMS Open To ASPs For Radiopharmaceuticals; Congress Blocks Rate Cap

CMS is willing to consider switching Medicare Part B payment for radiopharmaceuticals to the average sales price formula, the agency says in proposed rules to update Medicare's hospital outpatient prospective payment system for 2009

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