Preserving Patient Access to Accountable Care Act
Sponsored By: Representative LaHood
Introduced
Summary
This bill would extend and increase Medicare incentive payments for clinicians in eligible alternative payment models, raising the 2027 incentive rate to 3.53 percent.
Show full summary
- Clinicians and provider groups in eligible alternative payment models would get higher incentive payments for 2027, with the rate set at 3.53 percent instead of 1.88 percent.
- Medicare administrators and payment systems would see updated year references and cross‑references in the Social Security Act, shifting some statutory markers to 2027 and 2028 to align the incentive schedule.
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Bill Overview
Analyzed Economic Effects
2 provisions identified: 1 benefits, 0 costs, 1 mixed.
Higher Medicare APM payments for 2027
If enacted, this bill would set the APM incentive rate for 2027 at 3.53 percent instead of 1.88 percent. This would raise incentive payments for clinicians and other providers who participate in eligible alternative payment models in 2027. The change would take effect upon enactment. If you are not in an eligible APM, this would not apply to you.
Shift Medicare payment year references
If enacted, this bill would move certain year references in Medicare physician payment rules forward by one year (for example, 2026 to 2027 and 2027 to 2028). The change would apply to statutory timing in section 1848 of the Social Security Act and take effect upon enactment. This is mainly a technical timing fix and is unlikely to change most patients' payments directly.
Sponsors & CoSponsors
Sponsor
LaHood
IL • R
Cosponsors
DelBene
WA • D
Sponsored 1/28/2025
Dunn (FL)
FL • R
Sponsored 1/28/2025
Schrier
WA • D
Sponsored 1/28/2025
Schneider
IL • D
Sponsored 2/4/2025
Davis (NC)
NC • D
Sponsored 2/4/2025
Crenshaw
TX • R
Sponsored 2/5/2025
Roll Call Votes
No roll call votes available for this bill.
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