Medicare Premiums Reduction Act of 2026
Sponsored By: Representative Kean, Thomas H. [R-NJ-7]
Introduced
Summary
Restructures the income-related surcharge for Medicare Part B premiums. This bill would change how the income-related monthly adjustment amount (IRMAA) is calculated by updating timing and income cutoffs and by setting a new schedule based on modified adjusted gross income (MAGI) for 2027.
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- Higher-income Medicare enrollees. For 2027 the bill would create a MAGI-based IRMAA table that starts at $171,000 and sets surcharge rates that rise up to 85%.
- Current beneficiaries and administrators. The bill would keep the prior IRMAA framework in place for 2018 through 2026 and add cross-references to incorporate the new 2027 table.
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Bill Overview
Analyzed Economic Effects
1 provisions identified: 0 benefits, 1 costs, 0 mixed.
Higher Medicare premiums for high earners
This bill would change how income-related surcharges (IRMAA) raise Medicare Part B premiums. For years beginning with 2027, it would add a new MAGI breakpoint at $171,000 and set a new surcharge schedule: 65% for MAGI over $171,000 up to $205,000; 80% for MAGI over $205,000 and under $500,000; and 85% for MAGI $500,000 or more. It would also revise statutory wording so the prior IRMAA framework applies "for 2018 through 2026." If enacted, higher-income Medicare enrollees would pay larger Part B premiums starting in 2027.
Sponsors & CoSponsors
Sponsor
Kean, Thomas H. [R-NJ-7]
NJ • R
Cosponsors
Rep. Kim, Young [R-CA-40]
CA • R
Sponsored 7/15/2026
Roll Call Votes
No roll call votes available for this bill.
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