On the recordMarch 22, 2013
the amendment the Senator has offered would reverse a provision in the Affordable Care Act which required that Medicare's area wage index changes be spread budget neutrally throughout the entire Nation. I, as do many, recognize that Medicare's area wage index reimbursement system does require a thorough review and revision. But the amendment in front of us now singles out one provision that negatively affects some areas while ignoring the larger payment reform. I believe Congress should have a larger discussion on area wage index reform within the committees of jurisdiction, and I urge my colleagues to oppose this amendment. I ask for the yeas and nays. The PRESIDING OFFICER. Is there a sufficient second? There appears to be a sufficient second. The question is on agreeing to the amendment. The clerk will call the roll. The assistant legislative clerk called the roll.





