APA Medical Director James H. Scully Jr., M.D., also urged inclusion of a long-term solution for the Medicare payment formula in a September letter to Baucus (Psychiatric News, October 16). In an attempt to provide a long-term fix, on October 14 Sen. Debbie Stabenow (D-Mich.) introduced the Medicare Physician Fairness Act of 2009, S. 1776, which would "rebase" the sustainable growth rate and thus eliminate the 21.5 percent cut physicians and other health care providers face. The bill also provides a 10-year freeze in lieu of additional payment cuts, allowing for a fair Medicare payment update to be considered as part of health reform. Majority Leader Harry Reid (D-Nev.) brought the bill to the floor for a vote, where it was defeated 53-47 with 12 Democrats and one Independent joining with Republicans to vote "no" on the legislation. Opponents criticized the bill for not including an offset to pay for the fix, estimated to cost $247 billion over 10 years. The Senate will now move forward with the small one-year increase.