the bill was introduced into the united states house of representatives during the 113th united states congress. the provisions in this bill that would pay for changes in the sgr formula by delaying some provisions of the affordable care act were unpopular with democrats, leading to the protecting access to medicare act of 2014 (h.r. 4302; 113th congress), a bill that would simply delay the april 1, 2014 sgr medicare cuts until march 2015.