# 119-hr-8622: Medicare Physician Data-driven Performance Payment System Act of 2026

119-hr-8622, Medicare Physician Data-driven Performance Payment System Act of 2026, is a 119th Congress bill sponsored by Rep. Miller-Meeks, Mariannette [R-IA-1] (R-IA); status introduced; PRIA reads it as touching household money (as of 2026-09-21).

- Canonical: https://policyrisk.com/legislation/119-hr-8622
- 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-8622
- Congress: 119
- Title: Medicare Physician Data-driven Performance Payment System Act of 2026
- Status: introduced
- Introduced: 2026-04-30
- Sponsor: Rep. Miller-Meeks, Mariannette [R-IA-1] (R-IA)
- Cosponsors: 3
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-09-21

## Summary

**Creates a Data-driven Performance Payment System (DPPS) to replace MIPS.** It would swap the current Merit-based Incentive Payment System for a new, data-focused scoring and payment framework with new multipliers, temporary thresholds, and a savings-year incentive program starting in 2028.

## Cosponsors (3)

- Rep. Conaway, Herbert C. [D-NJ-3] (D-NJ), 2026-04-30T00:00:00.000Z
- Rep. Krishnamoorthi, Raja [D-IL-8] (D-IL), 2026-05-12T00:00:00.000Z
- Rep. Morelle, Joseph D. [D-NY-25] (D-NY), 2026-07-06T00:00:00.000Z

## Provisions PRIA read

- Lump-sum aid for small Medicare practices: benefit, medium. If enacted, starting in 2028 the Secretary could pay lump-sum incentives to eligible small practices in a DPPS "savings year." A DPPS savings year would be one where estimated aggregate decreases from below-threshold clinicians exceed aggregate increases to above-threshold clinicians. To qualify a…
- Medicare clinician pay increases and cuts: mixed, high. If enacted, beginning in 2028 clinicians would have their yearly Medicare conversion-factor update multiplied by one of four DPPS factors: 1.25 (+25%), 1.0 (no change), 0.75 (−25%), or 0.5 (−50% for lowest-treated scores). The Secretary would reduce the 1.25 increases if needed so total increases d…
- New Medicare clinician payment system: mixed, medium. If enacted, this bill would replace MIPS with a new system called the Data-driven Performance Payment System starting January 1, 2027. During the change, references to MIPS would count as DPPS and vice versa so forms and rules work smoothly. The Health and Human Services Secretary would be required…
- Temporary performance score cap and review: mixed, medium. If enacted, the Secretary would cap DPPS performance thresholds at 75 points for each year 2028 through 2033. The Secretary could extend this 75-point rule for 2034 if extraordinary circumstances affect reporting or data. The Comptroller General would report to Congress and the Secretary with recom…

## Related bills

- 119-hr-9237: Take Care of America’s Veterans Act
- 119-hr-4669: FEMA Act of 2025
- 119-hr-1262: Mikaela Naylon Give Kids a Chance Act
- 119-hr-842: Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act
- 119-hr-3277: Ensuring Lasting Smiles Act
- 119-hr-9250: Great American Outdoors Act 250

## Sources
- [119-hr-8622 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/8622)

## Related
- [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-1262: Mikaela Naylon Give Kids a Chance Act](https://policyrisk.com/legislation/119-hr-1262)
- [119-hr-842: Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage A…](https://policyrisk.com/legislation/119-hr-842)
- [119-hr-3277: Ensuring Lasting Smiles Act](https://policyrisk.com/legislation/119-hr-3277)
- [119-hr-9250: Great American Outdoors Act 250](https://policyrisk.com/legislation/119-hr-9250)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-8622 (as of 2026-09-21).