# 119-hr-7520: Efficiency Adjustment Delay Act

119-hr-7520, Efficiency Adjustment Delay Act, is a 119th Congress bill sponsored by Rep. Estes, Ron [R-KS-4] (R-KS); status introduced; PRIA reads it as touching household money (as of 2026-09-21).

- Canonical: https://policyrisk.com/legislation/119-hr-7520
- As of: 2026-09-21
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-7520
- Congress: 119
- Title: Efficiency Adjustment Delay Act
- Status: introduced
- Introduced: 2026-02-12
- Sponsor: Rep. Estes, Ron [R-KS-4] (R-KS)
- Cosponsors: 14
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-09-21

## Summary

**Delays a planned efficiency adjustment to physicians' work relative value units (RVUs) until January 1, 2030.** The bill would also change short-term Medicare payment update rates for clinicians in alternative payment models and require a CMS report on a possible one-time RVU change for services not recently reviewed. - Clinicians and specialty groups would avoid the immediate efficiency-related changes to work RVUs and updates to intraservice time inputs for non-time-based services until January 1, 2030. This postpones the policy from the November 5, 2025 final rule. - The Secretary must submit a report to Congress within two years assessing whether a one-time, across-the-board RVU adjustment is needed for services not revalued or reviewed in the prior 10 years. If the report supports it, CMS may implement that single adjustment after 2030 under set consultation and methodology limits. - For 2026 the bill raises the update to the qualifying APM conversion factor to 1.24% and the nonqualifying update to 0.74%. For 2027 and later the updates are set at 0.75% for qualifying APMs and 0.25% for nonqualifying APMs. - The bill clarifies that delaying the efficiency adjustment does not block revaluing misvalued codes or assigning values to new or revised codes.

## Cosponsors (14)

- Rep. Suozzi, Thomas R. [D-NY-3] (D-NY), 2026-02-12T00:00:00.000Z
- Rep. Mann, Tracey [R-KS-1] (R-KS), 2026-05-12T00:00:00.000Z
- Del. Norton, Eleanor Holmes [D-DC-At Large] (D-DC), 2026-05-12T00:00:00.000Z
- Rep. Schmidt, Derek [R-KS-2] (R-KS), 2026-05-12T00:00:00.000Z
- Rep. Foushee, Valerie P. [D-NC-4] (D-NC), 2026-05-12T00:00:00.000Z
- Rep. Murphy, Gregory F. [R-NC-3] (R-NC), 2026-05-13T00:00:00.000Z
- Rep. Correa, J. Luis [D-CA-46] (D-CA), 2026-05-13T00:00:00.000Z
- Rep. Bean, Aaron [R-FL-4] (R-FL), 2026-05-13T00:00:00.000Z
- Rep. Davis, Donald G. [D-NC-1] (D-NC), 2026-05-13T00:00:00.000Z
- Rep. Salazar, Maria Elvira [R-FL-27] (R-FL), 2026-06-25T00:00:00.000Z
- Rep. Pocan, Mark [D-WI-2] (D-WI), 2026-06-25T00:00:00.000Z
- Rep. Rouzer, David [R-NC-7] (R-NC), 2026-06-30T00:00:00.000Z
- Rep. Edwards, Chuck [R-NC-11] (R-NC), 2026-09-01T00:00:00.000Z
- Rep. Thanedar, Shri [D-MI-13] (D-MI), 2026-09-01T00:00:00.000Z

## Provisions PRIA read

- Higher Medicare payment updates 2026: benefit, high. This bill would change the percent updates used to set two Medicare APM conversion factors for 2026. For 2026, the qualifying update would be 1.24% and the nonqualifying update would be 0.74%. For 2027 and each later year, the qualifying update would be 0.75% and the nonqualifying update would be 0…
- Delay of Medicare RVU Adjustment: mixed, high. This bill would stop HHS from applying the November 5, 2025 final rule that makes a one-time efficiency adjustment to doctors' work RVUs before January 1, 2030. The Secretary would have two years after enactment to report to the House Energy and Commerce and Ways and Means Committees and the Senate…

## Related bills

- 119-hr-9877: Health Equity and Accountability Act of 2026
- 119-hr-3514: Improving Seniors’ Timely Access to Care Act of 2025
- 119-hr-842: Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act
- 119-hr-879: Medicare Patient Access and Practice Stabilization Act of 2025
- 119-hr-4669: FEMA Act of 2025
- 119-hr-979: AM Radio for Every Vehicle Act of 2025

## Sources
- [119-hr-7520 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/7520)

## Related
- [119-hr-9877: Health Equity and Accountability Act of 2026](https://policyrisk.com/legislation/119-hr-9877)
- [119-hr-3514: Improving Seniors’ Timely Access to Care Act of 2025](https://policyrisk.com/legislation/119-hr-3514)
- [119-hr-842: Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage A…](https://policyrisk.com/legislation/119-hr-842)
- [119-hr-879: Medicare Patient Access and Practice Stabilization Act of 2025](https://policyrisk.com/legislation/119-hr-879)
- [119-hr-4669: FEMA Act of 2025](https://policyrisk.com/legislation/119-hr-4669)
- [119-hr-979: AM Radio for Every Vehicle Act of 2025](https://policyrisk.com/legislation/119-hr-979)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-7520 (as of 2026-09-21).