Provider Reimbursement Stability Act of 2026
Sponsored By: Representative Murphy, Gregory F. [R-NC-3]
Introduced
Summary
Stability in Medicare physician payments. This law reshapes how the Medicare Physician Fee Schedule balances its budget rules and updates cost inputs so payments move more predictably for doctors and clinics.
Show full summary
- Providers and practices: Limits year-to-year swings in the conversion factor to no more than 2.5 percent starting in 2027 and requires updates to practice expense cost inputs at least every five years with stakeholder consultation.
- Medicare budgeting and administration: Redefines the annual budget neutrality amount, with a base of $20 million for years before 2027 and $54.3 million for 2027, and keeps annual adjustments thereafter.
- Payment accuracy and corrections: Creates an "assumption correction" starting in 2027 that adjusts the conversion factor when estimated versus actual spending for a specified service differs by more than 0.1 percent of total estimated expenditures.
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Bill Overview
Analyzed Economic Effects
1 provisions identified: 0 benefits, 0 costs, 1 mixed.
More stable Medicare payments for doctors
This bill would change how Medicare sets physician fees to make pay more predictable for doctor practices. It would set yearly budget-neutrality thresholds: $20,000,000 for years before 2027 and $54,300,000 for 2027. For 2028 and later the threshold would equal the prior year, and starting in 2032 the Secretary would raise the amount every five years by the cumulative MEI increase for physician services. Beginning in 2027 the conversion factor could not change by more than 2.5% from the prior year (excluding subsection (d) adjustments). If estimated versus actual spending for a service differs by more than 0.1% of total estimated spending, the Secretary would adjust the conversion factor in the second year after that year. The bill would also require the Secretary to update direct cost inputs used to set practice expense values at least every five years, including clinical staff wages, supply prices, and equipment, after consulting stakeholders.
Sponsors & CoSponsors
Sponsor
Murphy, Gregory F. [R-NC-3]
NC • R
Cosponsors
Rep. Schneider, Bradley Scott [D-IL-10]
IL • D
Sponsored 3/30/2026
Joyce (PA)
PA • R
Sponsored 3/30/2026
Rep. Suozzi, Thomas R. [D-NY-3]
NY • D
Sponsored 3/30/2026
Onder
MO • R
Sponsored 3/30/2026
Rep. Panetta, Jimmy [D-CA-19]
CA • D
Sponsored 3/30/2026
Rep. Miller-Meeks, Mariannette [R-IA-1]
IA • R
Sponsored 3/30/2026
Schrier
WA • D
Sponsored 3/30/2026
Rep. Kelly, Robin L. [D-IL-2]
IL • D
Sponsored 3/30/2026
Conaway
NJ • D
Sponsored 4/9/2026
Rep. Krishnamoorthi, Raja [D-IL-8]
IL • D
Sponsored 4/9/2026
Rep. Miller, Carol D. [R-WV-1]
WV • R
Sponsored 4/15/2026
Davis (NC)
NC • D
Sponsored 4/15/2026
Scott, David
GA • D
Sponsored 4/16/2026
Rep. Meuser, Daniel [R-PA-9]
PA • R
Sponsored 4/23/2026
Rep. Lieu, Ted [D-CA-36]
CA • D
Sponsored 4/23/2026
Sewell
AL • D
Sponsored 4/23/2026
Rep. Scholten, Hillary J. [D-MI-3]
MI • D
Sponsored 4/23/2026
Rep. Smucker, Lloyd [R-PA-11]
PA • R
Sponsored 4/27/2026
Rep. Carbajal, Salud O. [D-CA-24]
CA • D
Sponsored 5/7/2026
Rep. Titus, Dina [D-NV-1]
NV • D
Sponsored 5/7/2026
Gonzalez, V.
TX • D
Sponsored 5/7/2026
Rep. Goldman, Daniel S. [D-NY-10]
NY • D
Sponsored 5/7/2026
Rep. Thompson, Glenn [R-PA-15]
PA • R
Sponsored 5/7/2026
Babin
TX • R
Sponsored 5/11/2026
Rep. Dunn, Neal P. [R-FL-2]
FL • R
Sponsored 5/12/2026
Rep. Green, Al [D-TX-9]
TX • D
Sponsored 5/13/2026
Rep. Moore, Gwen [D-WI-4]
WI • D
Sponsored 5/13/2026
Rep. Miller, Max L. [R-OH-7]
OH • R
Sponsored 5/13/2026
Rep. Tenney, Claudia [R-NY-24]
NY • R
Sponsored 5/13/2026
Rep. Fitzpatrick, Brian K. [R-PA-1]
PA • R
Sponsored 5/13/2026
Rep. Boyle, Brendan F. [D-PA-2]
PA • D
Sponsored 5/13/2026
Rep. Beatty, Joyce [D-OH-3]
OH • D
Sponsored 5/14/2026
Rep. Johnson, Julie [D-TX-32]
TX • D
Sponsored 5/14/2026
Roll Call Votes
No roll call votes available for this bill.
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