RepublicanBill · H.R. 7520· House(119-HR-7520)

Efficiency Adjustment Delay Act

Rep. Estes
Age: 70 years
Kansas
Introduced
2/12/2026
Last activity
2/12/2026 — Referred 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.
Sponsored by
Ron Estes
Cosponsors
Republican - 7Democrat - 7
Health
  1. Introduced
  2. In Committee

What this bill would do

The Efficiency Adjustment Delay Act aims to amend title XVIII of the Social Security Act regarding Medicare physician fees. This bill seeks to delay the implementation of a specific efficiency adjustment to work relative value units that was established in a November 2025 final rule. Under this act, the Secretary is prohibited from implementing that efficiency adjustment before January 1, 2030. The bill also requires a report to Congress assessing the necessity of a one-time, across-the-board adjustment for certain services. Additionally, the legislation makes specific changes to the updates for the qualifying and nonqualifying APM conversion factors.

Yes

  • Would business owners be better off under this?+4

    The bill provides financial relief to physician practices by delaying a downward efficiency adjustment to their work relative value units.

  • Does this put more money into Medicare, the health coverage for people over 65?+3

    The bill increases the update percentages for qualifying and nonqualifying APM conversion factors, which helps maintain physician reimbursement levels.

  • Would people over 65 be better off under this?+1

    By protecting physician reimbursement levels via delayed efficiency adjustments, the bill helps maintain the stability of Medicare-funded healthcare services for seniors.

The opposite

  • Does this reduce what the federal government spends?-2

    By delaying efficiency adjustments that would likely lower physician payments, the bill maintains higher Medicare spending levels in the short term.