mr. bilirakis: we must -- mr. bilirakis: since coming to congress, doctors in my district have consistently stressed the unsustainableability -- unsustainability of the s.g.r. and how it impedes long-term business models. it's a temporary stop-gap measure to avert the payment flip. doctors have to have certainty. we a shortage of doctors in the state of florida and it's only going to get worse. we must repeal the s.u.r. and replace it. it has led to uncertainty for medical providers, again, as i said, which threatens patient care. again, access to care is what it's all about and i'm glad that the chairman of the energy and commerce committee, chairman upton, has made this a top priority, fixing the s.g.r., again, not only is he associated with reimbursement rates and physician practices, it affect house the center for medicare and medicaid services plans to update medicare advantage rates. i know that seniors in my district. congress not allows the s.g.r. cuts to take effect, congress is assuming these cuts will ta