CMS Delays Medicare's SGR Cuts, 'Two-Midnight' Rule Enforcement April 2, 2015 Medicare, News Medicare cuts, SGR, sustainable growth rate 0 On Wednesday, CMS stated that, barring Congressional action, it would not begin processing a 21% cut to physician reimbursements under Medicare’s sustainable growth rate formula until April 15. The payment cuts took effect on April 1. CMS also announced that it would delay enforcement of the two-midnight rule until the end of April to provide Congress more time to pass an SGR replacement package. CMS had been scheduled to start enforcing the rule after a congressionally-imposed delay ended at the end of March. Comments are closed.