House GOP's tax bill includes Medicare pay fix, cuts to health law funding

The Hill: House GOP Introduces Payroll Tax Package
House Republicans on Friday released their legislation to extend the payroll tax cut, reform and extend unemployment insurance, and fix the Medicare reimbursement rate for doctors. The move sets up a vote on the year-end package as early as Tuesday. ... the legislation extends a pay freeze for federal workers, ... and gradually increases Medicare premiums for the wealthy. It also changes the co-payment structure for certain federal retirees (Berman, 12/9).

The Associated Press: House GOP Introduces Bill Renewing Payroll Tax Cut
Doctors who serve Medicare patients are currently scheduled to automatically receive a 27 percent cut in the reimbursements they receive from the government. The bill would replace that cut with 1 percent increases for 2012 and 2013. That would give Congress time to come up with a totally new system for paying doctors under Medicare. The $39 billion cost of that change would be mainly paid for by increasing Medicare premiums for upper income retirees, along with some cuts in spending authorized by Obama's health care overhaul. It's unclear if Democrats will accept those. The GOP plan also heads off Medicare cuts that would affect rehabilitation medicine and rural ambulance services (Fram, 12/9).

Politico Pro: House Bill Funds SGR Patch Through ACA, Hospital Cuts
House Republicans plan to cut $21.4 billion in Affordable Care Act funding, and another $16 billion in hospital payments ... The 369-page bill, released Friday morning, siphons about $13.4 billion from the pool of federal subsidies that will be used to help Americans purchase insurance coverage through exchanges and $8 billion from the health law's Prevention and Public Health Fund, according to a summary. ... As a way to partially pay for the two-year "doc fix," the bill includes a provision to recalculate nonemergency hospital payments, saving about $6.8 billion in lower reimbursement rates (DoBias, 12/9).

The Washington Post: House GOP Formally Unveils Payroll Tax Package
At a Capitol news conference, House Minority Leader Nancy Pelosi (D-Calif.) ... singled out spending offsets that included cuts to Medicare and other mandatory spending programs as savings that would only be considered as part of a "big, bold and balanced plan" for trimming the federal debt, in the range of the attempted deal that President Obama and House Speaker John Boehner (R-Ohio) failed to cinch over the summer (Sonmez, 12/9).

Here's a copy of the bill.

See earlier coverage of the Republican proposal on KHN: GOP To Pitch 'Doc Fix' As Part Of Payroll Tax Cut Extension Plan