Bill · H.R. 8163· House(119-HR-8163)
Provider Reimbursement Stability Act of 2026
- Introduced
- 3/30/2026
- Last activity
- 5/21/2026 — Ordered to be Reported in the Nature of a Substitute by the Yeas and Nays: 44 - 0.
- Sponsored by
- Gregory Murphy
- Cosponsors
- - 28 - 54
- Introduced
What this bill would do
The bill is titled the "Provider Reimbursement Stability Act of 2026" and amends title XVIII of the Social Security Act. It updates the budget neutrality threshold for Medicare provider payments starting in 2027 and continuing into subsequent years. The legislation creates budget neutrality corrections relating to estimated utilization for specified services. It requires timely updates to direct costs used to calculate practice expense relative value units at least once every five years. Finally, the bill places a limitation on year-to-year conversion factor variance beginning with 2027.
Yes· 3 of 6
Would business owners be better off under this?+5
Directly benefits owners of medical practices by stabilizing reimbursement rates and updating cost inputs.
Would people in rural areas be better off under this?+3
Stabilizing payments helps maintain small rural practices that are often more vulnerable to payment swings.
Does this make it easier to run a small business?+3
Provides payment stability and more accurate cost reflections for small medical practices.
The opposite
No question was scored the opposite.
Who it would affect, and how
Potential Positive Impacts for People
-
Section 2 updates the budget neutrality threshold, specifying amounts such as $54,300,000 for 2027 and indexing limitations for subsequent years, which may provide better financial stability for Medicare provider payments.
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Section 3 establishes budget neutrality corrections relating to estimated utilization, requiring the Secretary to determine differences between estimated and actual utilization and adjust the conversion factor to reconcile differences when they exceed a threshold amount.
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Section 4 requires the Secretary to update prices and rates for direct cost inputs (such as clinical staff wage rates, medical supplies, and equipment) on a category-wide basis at least once every 5 years, and to consult with relevant stakeholders including physician specialty societies.
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Section 5 limits the year-to-year conversion factor variance by stating that the Secretary may not apply a budget neutrality adjustment that would cause the factor to vary by more than 2.5 percent compared to the preceding year, beginning in 2027.
Potential Negative Impacts for People
- Section 3 outlines reductions attributable to an assumption correction, where reduced expenditures can occur from the application of reconciliation adjustments regarding estimated versus actual utilization.
Groups and Interests Ranking
Every group the model scored this bill for, from -10 to +10. Hover a score for the reason it gave.
- Demographic And Interest Groups
- Good For Business Owners+5Good For Rural Residents+3Good For Retirees+2Good For Seniors+2
- Economy And Finance
- Improves Small Business Support+3
- Healthcare
- Improves Healthcare Access+2
- 10/5/2026
- 1 Cosponsor added.
- 10/1/2026
- 1 Cosponsor added.
- 9/14/2026
- 1 Cosponsor added.
- 8/31/2026
- 1 Cosponsor added.
- 8/20/2026
- 2 Cosponsors added.
- 7/30/2026
- 3 Cosponsors added.
- 7/22/2026
- 2 Cosponsors added.
- 7/21/2026
- 2 Cosponsors added.
- 7/20/2026
- 2 Cosponsors added.
- 6/25/2026
- 1 Cosponsor added.
- 6/23/2026
- 4 Cosponsors added.
- 6/10/2026
- 10 Cosponsors added.
- 6/3/2026
- 8 Cosponsors added.
- 5/22/2026
- 1 Cosponsor added.
- 5/21/2026
- Committee Consideration and Mark-up Session Held
- Ordered to be Reported in the Nature of a Substitute by the Yeas and Nays: 44 - 0.
- 5 Cosponsors added.
- 5/20/2026
- 2 Cosponsors added.
- 5/19/2026
- 3 Cosponsors added.
- 5/14/2026
- 2 Cosponsors added.
- 5/13/2026
- 6 Cosponsors added.
- 5/12/2026
- 1 Cosponsor added.
- 5/11/2026
- 1 Cosponsor added.
- 5/7/2026
- 5 Cosponsors added.
- 4/27/2026
- 1 Cosponsor added.
- 4/23/2026
- 4 Cosponsors added.
- 4/16/2026
- 1 Cosponsor added.
- 4/15/2026
- 2 Cosponsors added.
- 4/9/2026
- 2 Cosponsors added.
- 3/30/2026
- 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.
- 8 Cosponsors added.
- Introduced in House
2 bills Congress.gov lists as related to this one — companions in the other chamber, earlier versions, and bills this one absorbed or was folded into.
Gabe AmoDemocrat · Rhode Island
Joyce BeattyDemocrat · Ohio
Ami BeraDemocrat · California
Brian BabinRepublican · Texas
Brendan BoyleDemocrat · Pennsylvania
Tom BarrettRepublican · Michigan
Janelle BynumDemocrat · Oregon
André CarsonDemocrat · Indiana
J. CorreaDemocrat · California
Salud CarbajalDemocrat · California
Gilbert CisnerosDemocrat · California
Juan CiscomaniRepublican · Arizona
Herbert ConawayDemocrat · New Jersey
Donald DavisDemocrat · North Carolina
Neal DunnRepublican · Florida
Sharice DavidsDemocrat · Kansas
Chuck EdwardsRepublican · North Carolina
Ron EstesRepublican · Kansas
Brian FitzpatrickRepublican · Pennsylvania
Al GreenDemocrat · Texas
Vicente GonzalezDemocrat · Texas
Josh GottheimerDemocrat · New Jersey
Jared GoldenDemocrat · Maine
Andrew GarbarinoRepublican · New York
Daniel GoldmanDemocrat · New York
Maggie GoodlanderDemocrat · New Hampshire
Andy HarrisRepublican · Maryland
Jahana HayesDemocrat · Connecticut
John JoyceRepublican · Pennsylvania
Ronny JacksonRepublican · Texas
Julie JohnsonDemocrat · Texas
Robin KellyDemocrat · Illinois
Raja KrishnamoorthiDemocrat · Illinois
Thomas KeanRepublican · New Jersey
Timothy KennedyDemocrat · New York
Mike KennedyRepublican · Utah
Zoe LofgrenDemocrat · California
Ted LieuDemocrat · California
Darin LaHoodRepublican · Illinois
Susie LeeDemocrat · Nevada
Michael LawlerRepublican · New York
Gwen MooreDemocrat · Wisconsin
Daniel MeuserRepublican · Pennsylvania
Carol MillerRepublican · West Virginia
Joseph MorelleDemocrat · New York
Blake MooreRepublican · Utah
Mariannette Miller-MeeksRepublican · Iowa
Max MillerRepublican · Ohio
John MannionDemocrat · New York
April McClain DelaneyDemocrat · Maryland
Tim MooreRepublican · North Carolina
Kristen McDonald RivetDemocrat · Michigan
Analilia MejiaDemocrat · New Jersey
Eleanor NortonDemocrat · District of Columbia
Robert OnderRepublican · Missouri
Jimmy PanettaDemocrat · California
Brittany PettersenDemocrat · Colorado
Nellie PouDemocrat · New Jersey
Deborah RossDemocrat · North Carolina
Emily RandallDemocrat · Washington
Josh RileyDemocrat · New York
David ScottDemocrat · Georgia
Marilyn StricklandDemocrat · Washington
Terri SewellDemocrat · Alabama
Bradley SchneiderDemocrat · Illinois
Lloyd SmuckerRepublican · Pennsylvania
Thomas SuozziDemocrat · New York
Kim SchrierDemocrat · Washington
Hillary ScholtenDemocrat · Michigan
Eric SorensenDemocrat · Illinois
Bennie ThompsonDemocrat · Mississippi
Glenn ThompsonRepublican · Pennsylvania
Dina TitusDemocrat · Nevada
Claudia TenneyRepublican · New York
Ritchie TorresDemocrat · New York
Shri ThanedarDemocrat · Michigan
Derek TranDemocrat · California
Jefferson Van DrewRepublican · New Jersey
Derrick Van OrdenRepublican · Wisconsin
Eugene VindmanDemocrat · Virginia
Debbie Wasserman SchultzDemocrat · Florida
Robert WittmanRepublican · Virginia