[1] On March 14, 2014, the United States House of Representatives passed the SGR Repeal and Medicare Provider Payment Modernization Act of 2014 (H.R.

[6] However, the bill would pay for these changes by delaying the Affordable Care Act's individual mandate requirement, a provision that was very unpopular with Democrats.

However, one-fifth of the delay is not paid for, and merely uses an accounting trick to move Medicare sequester cuts from 2025 to 2024 in order to give the appearance of balancing out.

[2] In order to accomplish this, the bill includes a provision that makes it exempt from pay-as-you-go "rules that require new spending to be offset with new revenues or cuts.

"[2] The Protecting Access to Medicare Act of 2014 was introduced into the United States House of Representatives on March 26, 2014 by Rep. Joe Pitts (R-PA).

[2] Ed Lorenzen of the Committee for a Responsible Federal Budget argued that the "sequester realignment provision is a pure timing gimmick that produces no real savings and has no effect on the debt.

This delay not only slows the advancement of Healthcare modernization it negatively impacts patient care, safety, and clinical research of public health data that was set to be implemented 10/1/14.

AHIMA estimates this delay will cost upwards of 6 Billion Dollars and stifle advancement in Healthcare infrastructure, technology, and practice.

[3] Minority Leader Nancy Pelosi said that she supported the bill because she thought Republicans would use the situation, if the Medicare cuts went into effect, to attack Obamacare and because she didn't want seniors to worry about their access to their doctors.

Rep. Mick Mulvaney (R-SC) called the vote "bullshit" and told reporters that he could not talk about "the budget because I am so pissed about the (doc fix).

"[8] Rep. Louie Gohmert (R-TX) called the tactic "outrageous" and said that "now I know that I need to get with some other members and make sure we have people on the floor, since we won't be sure what our own leadership is going to do.

Rep. John Dingell (D-MI), the longest serving member of the House, told reporters "I've seen a lot of dumb things, but I've never seen anything as comical as this.