The civic record
Read. Follow. Verify.Provider Reimbursement Stability Act of 2026
Last action · May 21, 2026: Ordered to be Reported in the Nature of a Substitute by the Yeas and Nays: 44 - 0.Sponsors: Gregory Murphy and 80 others
Track this bill to get notified when it advances a stage. One tap to stop, anytime.
What This Bill Would Do
This bill proposes changes to how Medicare calculates and adjusts payments to healthcare providers. It aims to increase the threshold for adjustments, create a process to correct payment errors based on actual service usage, and mandate regular updates to the costs used to calculate practice expenses.
This bill changes the formulas used to determine Medicare payments for physicians, which could impact the reimbursement rates healthcare providers receive for services starting in 2027.
Who It Would Affect
Groups the bill's text would affect if enacted, as described in the record. Being affected is not a position for or against it.
Medicare-enrolled physicians
Their reimbursement rates and the methodology for calculating practice expenses will be subject to new adjustment and update rules.
Physician specialty societies
They are designated as consultants to the Secretary for updating direct cost inputs.
Key Facts
- Increases the budget neutrality threshold from $20 million to $54.3 million for 2027.
- Requires the budget neutrality threshold to be adjusted every five years starting in 2032 based on the Medicare Economic Index (MEI).
- Establishes a reconciliation process starting in 2027 to adjust physician fee schedules if estimated service utilization significantly differs from actual utilization.
- Mandates that the Secretary of Health and Human Services update direct cost inputs (staff wages, supply prices, equipment prices) for practice expenses at least every five years.
Show all 6 facts
- Limits year-to-year variance in the Medicare conversion factor to 2.5% starting in 2027.
- Requires the Secretary to consult with physician specialty societies when updating direct cost inputs.
Frequently Asked Questions
How will this affect my Medicare payments if I am a doctor?
What are 'direct cost inputs'?
What else do you want to know?
News Coverage
Follow the record
Votes, people, money & the original sourceWhere This Stands
Currently in committee. The next step in the legislative lifecycle is Floor Vote.
Procedural history
4 actions- May 21, 2026HouseCommitteeOrdered to be Reported in the Nature of a Substitute by the Yeas and Nays: 44 - 0.
- May 21, 2026HouseCommittee Consideration and Mark-up Session Held
- Mar 30, 2026HouseCommitteeReferred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
- Mar 30, 2026HouseIntroducedIntroduced in House
Version history
Only one version on file - nothing to compare yet. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.
View official text →Full breakdown
Who this bill affects and the strongest case for and against it, written only from the bill’s own text.
Sponsors
Show 76 more sponsors
Discoveries
Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.
Shift to Periodic Cost Updates
The bill moves from potentially irregular updates to a mandatory 5-year cycle for updating direct cost inputs like staff wages and equipment prices.
Connected Entities
Sources
www.congress.gov
Analysis Score
0–100- Significance75How much this matters to a regular citizen
- Controversy20Intensity of disagreement among stakeholders
- Entertainment5Compellingness for a non-policy-wonk reader
- Buzz15Current news / social attention level
Publisher tools