S1640119th CongressWALLET

Medicare Patient Access and Practice Stabilization Act of 2025

Sponsored By: Senator Roger Marshall

Introduced

Summary

A temporary 8.51% boost to Medicare Part B physician payments would support providers during a payment transition. The bill would raise certain Medicare payment rates for services furnished from June 1, 2025 to December 31, 2025 and update statutory year references used for related payment adjustments.

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  • Physicians and practices: Gives an 8.51% payment increase for services in the bill's new subparagraph F for the half‑year June 1 to December 31, 2025, aimed at stabilizing practice revenues during payment changes.
  • Patients and access: Seeks to protect patient access by helping providers manage the transition, which the bill frames as reducing disruption to care during payment shifts.
  • Payment rules and calculations: Expands the list of years used in section 1848(t) to include 2025, changing how annual adjustment calculations apply for the covered period.

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Bill Overview

Analyzed Economic Effects

1 provisions identified: 0 benefits, 0 costs, 1 mixed.

Temporary higher Medicare doctor payments

If enacted, Medicare would pay 8.51% more for certain doctor and practitioner services furnished from June 1, 2025 through December 31, 2025. The increase would apply under the Medicare Physician Fee Schedule for the services the bill names. If enacted, the bill would also update some Medicare payment rules so they include 2025 when looking back at prior years. Some patients could see higher cost-sharing if their coinsurance is tied to the higher allowed payment.

Sponsors & CoSponsors

Sponsor

Roger Marshall

KS • R

Cosponsors

  • Adam Schiff

    CA • D

    Sponsored 6/3/2025

Roll Call Votes

No roll call votes available for this bill.

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