...most health staff are already aware that our health proposal does not contain a “doc fix.” Some Republicans have repeated CBO’s November 18th letter that says “the sustainable growth rate (SGR) mechanism governing Medicare’s payments to physicians has been frequently modified (either through legislative or administrative action) to avoid reductions in those payments, and legislation to do so again is currently under consideration in Congress.” The inclusion of a full SGR repeal would undermine the reform’s budget neutrality. So, again, do not allow yourself (or your boss) to get into a discussion of the details of CBO scores and textual narrative. Instead, focus only on the deficit reduction and number of Americans covered.
As most health staff knows, Leadership and the White House are working with the AMA to rally physicians support for a full SGR repeal later this spring. However, both health and communications staff should understand that we do not want that policy discussed at this time, lest I [sic] complicate the last critical push for health reform.So the "doc fix" is out of there--$500Bn magically disappears!