0
Viewpoint | ONLINE FIRST

Health Policy and the American Taxpayer Relief Act:  Legislation by Extension

Robert P. Kocher, MD; Eli Y. Adashi, MD, MS
JAMA. 2013;309(8):777-778. doi:10.1001/jama.2013.884.
Text Size: A A A
Published online

Extract

On January 2, 2013, President Obama signed into law the American Taxpayer Relief Act of 2012 (ATRA) against the backdrop of the proverbial “fiscal cliff.”1 The product of a last-minute scramble, ATRA extended income and capital gain tax rates for all but the top earners and extended the federal unemployment benefits.1 In addition, however, Title VI of ATRA (Medicare and Other Health Extensions) enacted 29 health policy provisions dominated by the year-long extension of the current Medicare physician fee schedule.1 In so doing, ATRA overrode the impending 26.5% reduction in Medicare payments to physicians mandated by the Sustainable Growth Rate (SGR) formula of the Balanced Budget Act of 1997.2 Other expiring health policy provisions were similarly extended.1 All told, 16 health policy provisions were temporarily extended at a cumulative 10-year cost approximating $30 billion.3 In this Viewpoint, we review these newly enacted if time-limited health policies while pointing out that the practice of legislation by extension is inimical to the maintenance of market stability and antithetical to the formulation of an enlightened long-term national health policy.

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
/>
First page PDF preview

Figures

Tables

References

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Topics
PubMed Articles
Jobs
brightcove.createExperiences();