# 119-s-5672: Patients First Act of 2026

119-s-5672, Patients First Act of 2026, is a 119th Congress bill sponsored by Sen. Marshall, Roger [R-KS] (R-KS); status introduced; PRIA reads it as touching household money (as of 2026-10-18).

- Canonical: https://policyrisk.com/legislation/119-s-5672
- As of: 2026-10-18
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-s-5672
- Congress: 119
- Title: Patients First Act of 2026
- Status: introduced
- Introduced: 2026-09-30
- Sponsor: Sen. Marshall, Roger [R-KS] (R-KS)
- Cosponsors: 0
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-10-18

## Summary

**Revamps Medicare physician payments and quality measurement** to push more care into primary care, change how annual payment updates are set, and replace MIPS with a new POINTS system. It would test a national monthly payment for primary care and tighten measurement and registry rules.

## Provisions PRIA read

- No cost-sharing primary care payments: benefit, medium. If enacted, the bill would create a five-year Medicare primary-care payment model from 2027 through 2031. The model would pay qualifying suppliers a monthly per-patient amount equal to 1/12 of the Secretary’s estimated national average for designated primary-care services, with geographic and risk…
- New rules for clinical registries: benefit, low. If enacted, the bill would set new qualification standards for clinical registries and let qualified registries request Medicare claims data by January 1, 2027. Registries would need clinician-led governance, strong data-quality checks, timely feedback to users, and transparency about measure metho…
- Changes to Medicare doctor payments: mixed, medium. If enacted, the bill would change how Medicare sets the physician fee-schedule conversion factor beginning in 2027. For clinicians not in qualifying APMs, the annual update would generally equal the Medicare Economic Index increase minus 1.0 percentage point, with qualifying APMs getting an extra 0…
- Changes to MIPS payment and feedback: mixed, medium. If enacted, the bill would change how MIPS (and later POINTS) scores affect payments and feedback. For performance years starting January 1, 2027, a clinician who elects to report a qualifying new or substantially changed quality measure would be given the highest possible score for that measure. B…
- Medicare imaging exemptions and reporting: mixed, medium. If enacted, the bill would change Medicare’s imaging appropriate-use rules starting January 1, 2027. It would exempt imaging ordered for clinical trials, orders by professionals in practices with 15 or fewer ordering professionals, orders in rural health professional shortage areas, mammography, CT…
- New POINTS provider scoring rules: mixed, medium. If enacted, the bill would replace the current MIPS program with a new system called POINTS for performance periods beginning January 1, 2032. POINTS would add a care-efficiency performance category and require annual final lists of quality, resource-use, and care-efficiency measures. A Quality Ref…

## Related bills

- 119-s-4952: Protecting American Taxpayers Act
- 119-s-4378: Protecting American Taxpayers Act
- 119-s-3903: Railway Safety Act of 2026
- 119-s-1748: Kids Online Safety Act
- 119-s-3265: Improve and Enhance the Work Opportunity Tax Credit Act
- 119-s-2140: Haskell Indian Nations University Improvement Act

## Sources
- [119-s-5672 on Congress.gov](https://www.congress.gov/bill/119th-congress/senate-bill/5672)

## Related
- [119-s-4952: Protecting American Taxpayers Act](https://policyrisk.com/legislation/119-s-4952)
- [119-s-4378: Protecting American Taxpayers Act](https://policyrisk.com/legislation/119-s-4378)
- [119-s-3903: Railway Safety Act of 2026](https://policyrisk.com/legislation/119-s-3903)
- [119-s-1748: Kids Online Safety Act](https://policyrisk.com/legislation/119-s-1748)
- [119-s-3265: Improve and Enhance the Work Opportunity Tax Credit Act](https://policyrisk.com/legislation/119-s-3265)
- [119-s-2140: Haskell Indian Nations University Improvement Act](https://policyrisk.com/legislation/119-s-2140)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-s-5672 (as of 2026-10-18).