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H.R. 4302 (113th): Protecting Access to Medicare Act of 2014

Mar 31, 2014 at 6:31 p.m. ET. On Passage of the Bill in the Senate.

This was a vote to pass H.R. 4302 (113th) in the Senate.

Section 212 of this bill pushed back the deadline to implement the ICD-10 code set to October 1, 2015. The Cutting Costly Codes Act of 2013, which would prevent ICD-10 from being implemented at all without further Congressional approval, has been introduced in House and Senate.

The ICD, which is maintained by the World Health Organization (WHO), is a health care classification system that helps internationally track, diagnose, and treat health problems. It is used for the WHO’s statistical tracking and resource allocation to member states. ICD-9 was ratified in 1975. ICD-10 was completed in 1992 and entered use in other countries starting in 1994.

The Health Insurance Portability and Accountability (HIPAA) code set is the U.S. method for implementing the ICD. These codes help doctors diagnose patients and insurance companies determine payouts for treatments. ICD-10 would require the U.S. medical industry, from family doctors to insurance companies, to reform the HIPAA codes they use to be in line with ICD-10, an overhaul estimated to cost millions of dollars for large practices. However, the Centers for Medicare and Medicaid Services (CMS), which is the federal agency that administers HIPAA and oversees federal healthcare programs, has estimated that pushbacks can also cost over one billion dollars.


All Votes D R I
Yea 65%
Nay 35%
Not Voting

Bill Passed. 3/5 Required. Source:

The Yea votes represented 69% of the country’s population by apportioning each state’s population to its voting senators.

Ideology Vote Chart

Democrat - Yea Republican - Yea Democrat - Nay Republican - Nay
Seat position based on our ideology score.

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Vote Details

Notes: *Senate Minority Whip/Senate Minority Leader’s Vote “Aye” or “Yea”?
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Statistically Notable Votes

Statistically notable votes are the votes that are most surprising, or least predictable, given how other members of each voter’s party voted and other factors.

All Votes