The American Society of Dermatopathology

Medicare Access and CHIP Reauthorization Act of 2015

Sustainable Growth Rate (SGR{) Repealed with Passage of H.R. 2, the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA)
H.R. 2, the “Medicare Access and CHIP Reauthorization Act of 2015” or “MACRA,” was passed by the U.S. House of Representatives on March 26 (by a vote of 392 to 37) and the Senate on April 14 (by a vote of 92 to 8), and signed into law on April 16, 2015. This bipartisan legislation permanently repeals the sustainable growth rate (SGR) formula and stabilizes Medicare payments for physician services with positive updates from July 1, 2015, through the end of 2019, and again in 2026 and beyond. It replaces Medicare’s multiple quality reporting programs with a new single “MIPS” program that makes it easier for physicians to earn rewards for providing high-quality, high-value health care, and it supports and rewards physicians for participating in new payment and delivery models to improve the efficiency of care while preserving fee-for-service as an option. In addition, it preserves the current 10-day and 90-day global periods for over 4,000 surgical service codes that Medicare had planned to unbundle. Here is a detailed section-by-section summary of MACRA.

Download the AMA's detailed summary of the bill.
Download the AMA's bill timeline.