H.R. 2: Medicare Access and CHIP Reauthorization Act of 2015

Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), (H.R. 2, Pub.L. 114–10) commonly called the Permanent Doc Fix, establishes a new way to pay doctors who treat Medicare patients, revising the Balanced Budget Act of 1997. The reform is the largest in scale on the American health care system since the Affordable Care Act in 2010 ...


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The federal budget process occurs in two stages: appropriations, which set overall spending limits by agency or program, and authorizations, which direct how federal funds should (or should not) be used. Appropriation and authorization provisions are typically made for single fiscal years. A reauthorization bill like this one renews the authorizations of an expiring law.



Mar 24, 2015
114th Congress, 2015–2017


Enacted — Signed by the President on Apr 16, 2015

This bill was enacted after being signed by the President on April 16, 2015.


Pub.L. 114-10


Michael Burgess

Representative for Texas's 26th congressional district



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Last Updated: Oct 12, 2016
Length: 95 pages


Mar 24, 2015

This is the first step in the legislative process.

Mar 26, 2015
Passed House

The bill was passed in a vote in the House. It goes to the Senate next.

Apr 14, 2015
Passed Senate

The bill was passed by both chambers in identical form. It goes to the President next who may sign or veto the bill.

Apr 16, 2015
Enacted — Signed by the President

The President signed the bill and it became law.

H.R. 2 is a bill in the United States Congress.

A bill must be passed by both the House and Senate in identical form and then be signed by the President to become law.

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“H.R. 2 — 114th Congress: Medicare Access and CHIP Reauthorization Act of 2015.” www.GovTrack.us. 2015. October 21, 2016 <https://www.govtrack.us/congress/bills/114/hr2>

Where is this information from?

GovTrack automatically collects legislative information from a variety of governmental and non-governmental sources. This page is sourced primarily from Congress.gov, the official portal of the United States Congress. Congress.gov is generally updated one day after events occur, and so legislative activity shown here may be one day behind. Data via the congress project.