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Senate Democrats join Republicans in rejecting Medicare 'doc fix'

Thirteen Senate Democrats joined Republicans in rejecting a $245 billion 'doc fix’ to prevent cuts in payments to Medicare doctors. Majority leader Harry Reid said the Senate will address the issue again after health reform.

By / October 21, 2009

Senate Majority Leader Harry Reid of Nevada, center, flanked by Sens. Charles Schumer and Patrick Leahy, speaks Wednesday on Capitol Hill about health insurance companies.

Susan Walsh/AP



Senate Democrats lost 13 of their own today on a bellwether vote to shift a $245 billion “fix” for doctors serving Medicare patients out of the larger healthcare debate.

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The bid to permanently repeal a formula that annually cuts payments to doctors failed 47 to 53.

“It is unfortunate that Republicans have again chosen to put politics before the needs of the American people,” said Senate majority leader Harry Reid, in a statement after the vote.

Republicans, including many who had in the past voted for the annual “doc fix,” which prevents cuts in payments to Medicare doctors, unanimously opposed the bill. They called the bid to take the issue outside the health reform debate into a stand-alone bill a fiscal gimmick.

But the wake-up call was the number of Democrats who joined them – a signal that moderates will not back a healthcare plan that adds a dime to the federal deficit.

The Medicare Physician Fairness Act is a top priority of the American Medical Association (AMA), a key partner with the Obama White House in the bid to overhaul the healthcare system.

In a press conference on Tuesday, AMA president James Rohack denied that the bill was a quid pro quo for support for the bill. “We are focusing on trying to get this problem that predates healthcare reform resolved,” he said.

When Congress passed the “sustainable growth rate” formula for Medicare in 1997, the aim was to give physicians treating Medicare patients an incentive to rein in costs. Instead, healthcare costs so outstripped the rate of inflation that the formula translated into accelerating cuts for physician payments, driving many in the profession out of the business of serving Medicare patients.

Congress has passed a “fix” every year since 2003 to avert the cuts.

Republicans and moderate Democrats Wednesday said they could not support a fix that cost $245 billion over 10 years without budget offsets. The Treasury announced last week that the federal budget deficit for FY 2009 was $1.4 trillion.