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In 2002, payment rates were cut by 4. 8 %.
In 2003, payment rates were scheduled to be reduced by 4. 4 %.
However, Congress boosted the cumulative SGR target in the Consolidated Appropriation Resolution of 2003 ( P. L.
108-7 ), allowing payments for physician services to rise 1. 6 %.
In 2004 and 2005, payment rates were again scheduled to be reduced.
The Medicare Modernization Act ( P. L.
108-173 ) increased payments 1. 5 % for those two years.

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