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119th Congress Health

H.R. 8163: Provider Reimbursement Stability Act of 2026

In CommitteeMay 21, 2026

  1. Introduced (completed)Mar 30, 2026
  2. Passed House (not reached)
  3. Passed Senate (not reached)
  4. To the President (not reached)
  5. Became law (not reached)

Summary

Introduced in House, Mar 30, 2026

This bill allows for larger annual adjustments to the Medicare physician fee schedule. It also requires the Centers for Medicare & Medicaid Services (CMS) to make certain corrections to compensate for expenditures under the fee schedule that exceed a certain amount in a given year, and it limits how much certain adjustment factors may vary each year.

Current law prohibits annual adjustments to the Medicare physician fee schedule that would result in a more than $20 million difference between the adjusted amount and the non-adjusted amount of total expenditures. The bill increases this threshold to $54.3 million beginning in 2027, with adjustments for inflation every five years beginning in 2032.

Additionally, for certain services, the bill requires the CMS to determine the difference between expenditures based on estimated utilization of the service and expenditures based on actual utilization. If this difference exceeds a certain percentage of total expenditures under the fee schedule, the CMS must reconcile this difference by adjusting payments for the following year. This requirement applies to services for which payment was bundled with another service and there was a separate or add-on payment during the previous year.

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Finally, the CMS must update the prices and rates of each category of direct costs that affect payments (e.g., prices of equipment) at least every five years, with updates made to each category in the same year. The bill also prohibits the CMS from varying a certain adjustment factor by more than 2.5% each year.

Written by the Congressional Research Service, Library of Congress.

Roll calls

0 votes on this bill

No roll call votes have been held on this bill.

Amendments

0 offered

No amendments were offered to this bill.

Cosponsors

87

Bipartisan support.

Who scored on this bill

30 points earned
  1. 1Gregory Murphy R-NC SponsorDrew cross-party cosponsors, introduced, reached a cosponsor milestone, marked up5 events+30
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Introductions and cosponsorships count toward weekly caps and show no points.

Other bills by Gregory Murphy

History

  1. Mar 30, 2026Introduced in the House by Gregory Murphy.
Show the full action history (4 actions)
  1. May 21, 2026Committee Consideration and Mark-up Session Held
  2. May 21, 2026Ordered to be Reported in the Nature of a Substitute by the Yeas and Nays: 44 - 0.
  3. Mar 30, 2026Introduced in House
  4. Mar 30, 2026Referred 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.