The Senate Finance Committee continues to work on its Medicare package, which could see Senate floor action in the next couple of weeks. Built into the hopefully 18-month SGR patch (0.5% this year, 1.1% next year) may be a “physician sunshine” provision, to  require online disclosure by industry of gifts, honoraria, travel, consulting fees, discounts and services to physicians in excess of $25. The “Sunshine Act” proposal has broad, bipartisan support, and thus could be built in easily to the SGR patch. We are suggesting amendments to increase the limit for disclosure from $25 to $100 annually; to ensure that federal law preempts related state laws; to require prior notice that a payment or item is subject to disclosure; to allow health care professionals to review the public report prior to posting; and to exclude payments donated to a charity, along with educational materials or samples intended for patients. The ACC also believes that subsidies for education and professional meetings, and unrestricted grants for research should be excluded. What do you think?