123STA T . 3 5 1 9CON C UR R E NT RESO L UT I ONS — A P R. 29 , 2 0 09 (1)increas e th e rei mbu rsement rate fo r p h y sician ser v ices un d er section 1 84 8(d) of the S ocia l Security A ct and that include financial incentives for physicians to improve the q uality and efficiency of items and services furnished to M edicare bene - ficiaries throu g h the use of consensus-based quality measures
( 2 ) include measures to encourage physicians to train in primary care residencies and ensure an adequate supply of residents and physicians; ( 3 ) improve the Medicare program for beneficiaries and protect access to outpatient therapy services (including physical therapy , occupational therapy, and speech-language pathology services) through measures such as repealing the current out- patient therapy caps w hile protecting beneficiaries from associ- ated premium increases; or (4) promote payment policies that address the systemic inequities of Medicare and Medicaid reimbursement that lead to access problems in rural areas, including access to primary care and outpatient services, hospitals, and an adequate supply of providers in the wor k force or that reward quality and effi- cient care and address geographic variations in spending in the Medicare program; by the amounts provided in such legislation for those purposes, provided that such legislation would not increase the deficit over either the period of the total of fiscal years 2 0 0 9 through 2014 or the period of the total of fiscal years 2009 through 2019 .SEC.302 . D E FI CI T-N E U T RAL RESER V EFUNDT O INVEST IN CLEAN ENER GY AND P RESERVE T H E ENVIRON M ENT. (a) INVESTI N G IN CL E A N E NE R G Y AN DP RESERVING T H E ENVIR O N- M ENT. —T he chairman of the Senate Committee on the B udget may revise the allocations of a committee or committees, aggregates, and other appropriate levels and limits in this resolution for one or more bills, j oint resolutions, amendments, motions, or conference reports that would— (1) reduce our N ation ’ s dependence on imported energy; (2) produce green jobs; (3) promote renewable energy development (including e x pe- diting research on the viability of using higher ethanol blends at the service station pump); (4) authori z e long-term contracts for procurement of alter- native fuels from domestic sources, provided that such procure- ment is consistent with section 5 2 6 of the Energy Independence and Security Act of 200 7 (Public L aw 110 – 140); (5) accelerate the research, development, demonstration, and deployment of advanced technologies to capture and store carbon dioxide emissions from coal-fired power plants and other industrial emission sources and to use coal in an environ- mentally acceptable manner; (6) strengthen and retool manufacturing supply chains; (7) create a clean energy investment fund; (8) improve electricity transmission; (9) encourage conservation and efficiency; (10) make improvements to the Low-Income H ome Energy Assistance Program; (11) set aside additional funding from the O il Spill Liability Trust F und for Arctic oil spill research; (12) implement water settlements;
