# 119-hr-786: Preserving Patient Access to Accountable Care Act

119-hr-786, Preserving Patient Access to Accountable Care Act, is a 119th Congress bill sponsored by Rep. LaHood, Darin [R-IL-16] (R-IL); status introduced; PRIA reads it as touching household money (as of 2026-10-30).

- Canonical: https://policyrisk.com/legislation/119-hr-786
- As of: 2026-10-30
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-786
- Congress: 119
- Title: Preserving Patient Access to Accountable Care Act
- Status: introduced
- Introduced: 2025-01-28
- Sponsor: Rep. LaHood, Darin [R-IL-16] (R-IL)
- Cosponsors: 7
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-10-30

## 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.** - 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.

## Cosponsors (7)

- Rep. DelBene, Suzan K. [D-WA-1] (D-WA), 2025-01-28T00:00:00.000Z
- Rep. Dunn, Neal P. [R-FL-2] (R-FL), 2025-01-28T00:00:00.000Z
- Rep. Schrier, Kim [D-WA-8] (D-WA), 2025-01-28T00:00:00.000Z
- Rep. Schneider, Bradley Scott [D-IL-10] (D-IL), 2025-02-04T00:00:00.000Z
- Rep. Davis, Donald G. [D-NC-1] (D-NC), 2025-02-04T00:00:00.000Z
- Rep. Crenshaw, Dan [R-TX-2] (R-TX), 2025-02-05T00:00:00.000Z
- Rep. Thanedar, Shri [D-MI-13] (D-MI), 2026-10-26T00:00:00.000Z

## Provisions PRIA read

- Higher Medicare APM payments for 2027: benefit, low. 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…
- Shift Medicare payment year references: mixed, low. 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 techn…

## Related bills

- 119-hr-9877: Health Equity and Accountability Act of 2026
- 119-hr-3277: Ensuring Lasting Smiles Act
- 119-hr-3514: Improving Seniors’ Timely Access to Care Act of 2025
- 119-hr-909: Crime Victims Fund Stabilization Act of 2025
- 119-hres-1641: Honoring the contributions of Indian Americans and supporting the designation of July as "Indian American Heritage Month".
- 119-hr-1262: Mikaela Naylon Give Kids a Chance Act

## Sources
- [119-hr-786 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/786)

## Related
- [119-hr-9877: Health Equity and Accountability Act of 2026](https://policyrisk.com/legislation/119-hr-9877)
- [119-hr-3277: Ensuring Lasting Smiles Act](https://policyrisk.com/legislation/119-hr-3277)
- [119-hr-3514: Improving Seniors’ Timely Access to Care Act of 2025](https://policyrisk.com/legislation/119-hr-3514)
- [119-hr-909: Crime Victims Fund Stabilization Act of 2025](https://policyrisk.com/legislation/119-hr-909)
- [119-hres-1641: Honoring the contributions of Indian Americans and supporting the designation o…](https://policyrisk.com/legislation/119-hres-1641)
- [119-hr-1262: Mikaela Naylon Give Kids a Chance Act](https://policyrisk.com/legislation/119-hr-1262)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-786 (as of 2026-10-30).