# 119-s-5180: Provider Reimbursement Stability Act of 2026

119-s-5180, Provider Reimbursement Stability Act of 2026, is a 119th Congress bill sponsored by Sen. Boozman, John [R-AR] (R-AR); status introduced; PRIA reads it as touching household money (as of 2026-09-17).

- Canonical: https://policyrisk.com/legislation/119-s-5180
- As of: 2026-09-17
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-s-5180
- Congress: 119
- Title: Provider Reimbursement Stability Act of 2026
- Status: introduced
- Introduced: 2026-07-30
- Sponsor: Sen. Boozman, John [R-AR] (R-AR)
- Cosponsors: 7
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-09-17

## Summary

**Stabilize Medicare physician payments.** This bill would limit how budget-neutral adjustments change the physician fee schedule, require regular updates to the cost inputs that set practice expense relative value units, cap year-to-year conversion-factor swings, and add a formal correction when estimated service use differs from actual use. - Physicians and practices: Would make payments more predictable by replacing the old fixed budget-neutrality trigger with a new threshold system and by limiting annual conversion-factor changes to 2.5% beginning in 2028. - Medicare program and certain services: Would create an "assumption correction" starting in 2029 that compares estimated versus actual utilization for specified services and, if the gap exceeds 0.1% of Part B spending, adjusts the conversion factor in the correction period. - Payment setting and data users: Would require CMS to update direct cost inputs used to calculate practice expense RVUs at least once every five years, covering staff wages, supplies, and equipment, and to consult physician specialty societies.

## Cosponsors (7)

- Sen. Welch, Peter [D-VT] (D-VT), 2026-07-30T00:00:00.000Z
- Sen. Marshall, Roger [R-KS] (R-KS), 2026-07-30T00:00:00.000Z
- Sen. King, Angus S., Jr. [I-ME] (I-ME), 2026-07-30T00:00:00.000Z
- Sen. Tillis, Thomas [R-NC] (R-NC), 2026-07-30T00:00:00.000Z
- Sen. Shaheen, Jeanne [D-NH] (D-NH), 2026-07-30T00:00:00.000Z
- Sen. Banks, Jim [R-IN] (R-IN), 2026-09-15T00:00:00.000Z
- Sen. Duckworth, Tammy [D-IL] (D-IL), 2026-09-15T00:00:00.000Z

## Provisions PRIA read

- Stable Medicare doctor payment rules: mixed, medium. This bill would change how Medicare pays doctors under the physician fee schedule. It would set the budget-neutrality trigger at $20,000,000 before 2028 and $57,640,000 for 2028. Starting in 2033 and every five years after, the Secretary would raise that amount by the five-year Medicare Economic In…

## Related bills

- 119-s-5066: Health Equity and Accountability Act of 2026
- 119-s-5526: Agricultural Act of 2026
- 119-s-1748: Kids Online Safety Act
- 119-s-1552: Living Donor Protection Act of 2025
- 119-s-410: Love Lives On Act of 2025
- 119-s-1816: Improving Seniors’ Timely Access to Care Act of 2025

## Sources
- [119-s-5180 on Congress.gov](https://www.congress.gov/bill/119th-congress/senate-bill/5180)

## Related
- [119-s-5066: Health Equity and Accountability Act of 2026](https://policyrisk.com/legislation/119-s-5066)
- [119-s-5526: Agricultural Act of 2026](https://policyrisk.com/legislation/119-s-5526)
- [119-s-1748: Kids Online Safety Act](https://policyrisk.com/legislation/119-s-1748)
- [119-s-1552: Living Donor Protection Act of 2025](https://policyrisk.com/legislation/119-s-1552)
- [119-s-410: Love Lives On Act of 2025](https://policyrisk.com/legislation/119-s-410)
- [119-s-1816: Improving Seniors’ Timely Access to Care Act of 2025](https://policyrisk.com/legislation/119-s-1816)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-s-5180 (as of 2026-09-17).