# 119-hr-7863: Promoting Fairness for Medicare Providers Act of 2026

119-hr-7863, Promoting Fairness for Medicare Providers Act of 2026, is a 119th Congress bill sponsored by Rep. Bilirakis, Gus M. [R-FL-12] (R-FL); status introduced; PRIA reads it as touching household money (as of 2026-04-21).

- Canonical: https://policyrisk.com/legislation/119-hr-7863
- As of: 2026-04-21
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-7863
- Congress: 119
- Title: Promoting Fairness for Medicare Providers Act of 2026
- Status: introduced
- Introduced: 2026-03-09
- Sponsor: Rep. Bilirakis, Gus M. [R-FL-12] (R-FL)
- Cosponsors: 4
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-04-21

## Summary

**This bill would create a new payment framework to align Medicare payments for certain high-supply-cost surgical procedures performed in physician office-based facilities with ambulatory surgical center (ASC) rates, starting in 2027.** It also would set device-intensive rules and limit patient coinsurance for these facility services. - Patients and families: Would cap coinsurance for facility services tied to these procedures so it does not exceed the annual inpatient hospital deductible. - Payment rules: Would calculate facility payments using ASC-based methods, with parts of the payment set at about 80 percent or 90 percent of the comparable ASC amounts depending on the payment component. - Office-based facilities and physicians: Would define "office-based facility," require Secretary-approved health and safety standards and a participation agreement, and require the facility to accept assignment and the Medicare payment as full payment for these procedures.

## Cosponsors (4)

- Rep. Ruiz, Raul [D-CA-25] (D-CA), 2026-03-09T00:00:00.000Z
- Rep. Murphy, Gregory F. [R-NC-3] (R-NC), 2026-03-09T00:00:00.000Z
- Rep. Davis, Danny K. [D-IL-7] (D-IL), 2026-03-09T00:00:00.000Z
- Rep. Joyce, John [R-PA-13] (R-PA), 2026-03-17T00:00:00.000Z

## Provisions PRIA read

- New Medicare rules for high-cost surgeries: mixed, medium. This bill would change how Medicare pays for certain high-supply-cost surgical procedures starting in 2027. A procedure would qualify based on a 2023 baseline and a supply-item price test, and the agency would review and update the list each year beginning in 2028 using a threshold tied to the Medi…

## Related bills

- 119-hr-9877: Health Equity and Accountability Act of 2026
- 119-hr-9237: Take Care of America’s Veterans Act
- 119-hr-4669: FEMA Act of 2025
- 119-hr-842: Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act
- 119-hr-3514: Improving Seniors’ Timely Access to Care Act of 2025
- 119-hr-1628: 761st Tank Battalion Congressional Gold Medal Act

## Sources
- [119-hr-7863 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/7863)

## Related
- [119-hr-9877: Health Equity and Accountability Act of 2026](https://policyrisk.com/legislation/119-hr-9877)
- [119-hr-9237: Take Care of America’s Veterans Act](https://policyrisk.com/legislation/119-hr-9237)
- [119-hr-4669: FEMA Act of 2025](https://policyrisk.com/legislation/119-hr-4669)
- [119-hr-842: Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage A…](https://policyrisk.com/legislation/119-hr-842)
- [119-hr-3514: Improving Seniors’ Timely Access to Care Act of 2025](https://policyrisk.com/legislation/119-hr-3514)
- [119-hr-1628: 761st Tank Battalion Congressional Gold Medal Act](https://policyrisk.com/legislation/119-hr-1628)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-7863 (as of 2026-04-21).