Provider Reimbursement Stability Act of 2026
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Summary
This bill amends the Medicare physician fee schedule to enhance payment stability for healthcare providers. It increases the budget neutrality threshold from $20 million to $54.3 million starting in 2027 and indexes it to physician cost inflation every five years thereafter. The bill also establishes mechanisms to correct budget neutrality adjustments when estimated utilization differs significantly from actual utilization, requires the Secretary to update practice expense cost inputs at least every five years, and limits year-to-year conversion factor changes to no more than 2.5 percent.
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