The House Amendment to S.610 would adjust sequestration percentages applied to Medicare payments in the beginning and end of the budget window, increase Medicare payment rates for physician services, modify payment rates and data reporting with respect to the Medicare clinical lab fee schedule, delay the implementation of a Medicare demonstration project for radiation oncologists, and increase funding for the Medicare Improvement Fund. Upon the adjournment of the first session of the 117th Congress, section 7 would require that any budgetary effects recorded for fiscal year 2022 on the 5- and 10-year pay-as-you-go scorecards maintained by the Office of Management and Budget be deducted from those scorecards in 2022 and added to amounts for 2023. Section 8 would change Congressional procedure for consideration of a debt limit increase. Sections 5, 7 and 8 would not have a scoreable budgetary effect.