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Bill > HR8163

US HR8163

US HR8163
Provider Reimbursement Stability Act of 2026

summary

Introduced
03/30/2026
In Committee
05/21/2026
Crossed Over
Passed
Dead

Introduced Session

119th Congress

Bill Summary

A BILL To amend title XVIII of the Social Security Act to ensure stability for provider payments under the Medicare program.

AI Summary

This bill, titled the Provider Reimbursement Stability Act of 2026, aims to ensure more predictable payments for healthcare providers under Medicare, which is a federal health insurance program for people 65 or older, some younger people with disabilities, and people with End-Stage Renal Disease. It modifies how Medicare calculates payments to physicians by adjusting the "budget neutrality threshold," which is a mechanism to ensure that changes in payment rules don't increase overall Medicare spending. Specifically, the bill increases this threshold amount over several years, starting in 2027, and includes provisions for indexing it to inflation every five years to account for rising costs. Furthermore, it introduces a process to correct payment discrepancies that arise from inaccurate estimates of how often certain services will be used, particularly for "specified services" that have been bundled into other payments and then unbundled. These corrections will be applied to the physician fee schedule in the second year after the discrepancy occurs. The bill also mandates that the Secretary of Health and Human Services must update the direct costs used to calculate practice expense relative value units (RVUs), which are part of how physician payments are determined, at least every five years, and requires consultation with stakeholders. Finally, it limits how much the "conversion factor," a key component of the physician fee schedule, can change year-to-year, capping the variance at 2.5 percent, while still maintaining the overall budget neutrality requirement.

Committee Categories

Business and Industry

Sponsors (88)

Greg Murphy (R)*,  Gabe Amo (D),  Brian Babin (R),  Tom Barrett (R),  Joyce Beatty (D),  Ami Bera (D),  Brendan Boyle (D),  Janelle Bynum (D),  Salud Carbajal (D),  André Carson (D),  Juan Ciscomani (R),  Gil Cisneros (D),  Herbert Conaway (D),  Lou Correa (D),  Sharice Davids (D),  Don Davis (D),  Neal Dunn (R),  Chuck Edwards (R),  Ron Estes (R),  Brian Fitzpatrick (R),  Andrew Garbarino (R),  Jared Golden (D),  Dan Goldman (D),  Vicente Gonzalez (D),  Maggie Goodlander (D),  Josh Gottheimer (D),  Al Green (D),  Andy Harris (R),  Jahana Hayes (D),  Ronny Jackson (R),  Julie Johnson (D),  John Joyce (R),  Tom Kean (R),  Robin Kelly (D),  Mike Kennedy (R),  Timothy Kennedy (D),  Raja Krishnamoorthi (D),  Darin LaHood (R),  George Latimer (D),  Mike Lawler (R),  Susie Lee (D),  Ted Lieu (D),  Zoe Lofgren (D),  John Mannion (D),  April McClain-Delaney (D),  Kristen McDonald Rivet (D),  Morgan McGarvey (D),  Analilia Mejia (D),  Dan Meuser (R),  Carol Miller (R),  Max Miller (R),  Mariannette Miller-Meeks (R),  Blake Moore (R),  Gwen Moore (D),  Tim Moore (R),  Joe Morelle (D),  Jim Moylan (R),  Eleanor Holmes Norton (D),  Robert Onder (R),  Jimmy Panetta (D),  Brittany Pettersen (D),  Nellie Pou (D),  Emily Randall (D),  Josh Riley (D),  Deborah Ross (D),  Brad Schneider (D),  Hillary Scholten (D),  Kim Schrier (D),  David Scott (D),  Terri Sewell (D),  Lloyd Smucker (R),  Eric Sorensen (D),  Haley Stevens (D),  Marilyn Strickland (D),  Tom Suozzi (D),  Claudia Tenney (R),  Shri Thanedar (D),  Bennie Thompson (D),  G.T. Thompson (R),  Dina Titus (D),  Ritchie Torres (D),  Derek Tran (D),  Jeff Van Drew (R),  Derrick Van Orden (R),  Eugene Vindman (D),  Debbie Wasserman Schultz (D),  George Whitesides (D),  Rob Wittman (R), 

Last Action

Ordered to be Reported in the Nature of a Substitute by the Yeas and Nays: 44 - 0. (on 05/21/2026)

Bill Topics

Health
  • ‐ Health Insurance Reform
(3 Companion Bills)

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Document Type Source Location Created
State Bill Page https://www.congress.gov/bill/119th-congress/house-bill/8163/all-info 03/31/2026
BillText https://www.congress.gov/119/bills/hr8163/BILLS-119hr8163ih.pdf 04/09/2026
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