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Silva C - Statutory pay-as-you-go rules that would require lawmakers to find money that covers the full cost of nearly all new entitlement expansions and tax cuts recently received a big push from President Obama. Exempting physician payment measures from the requirements could make it easier for lawmakers to pass a complete overhaul of the payment system. In its fiscal 2010 budget, Congress said the House could exempt up to $38 billion worth of a physician pay boost from Democratic pay-go rules, but no such break is in place on the Senate side.


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