Provider Reimbursement Stability Act of 2026
Latest action (May 21, 2026) — Ordered to be by the Yeas and Nays: 44 - 0.
What it does
Congressional Research Service, Mar 30, 2026This 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.
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.
Face Value
as introducedHow much of this bill its name accounts for.
- Every bill starts at100
- Nothing counted against it: one area of law, and short enough that length doesn't register.
Face Value measures reach, not honesty. A big bill can be accurately named, and a low score is not an accusation — it means the contents reach further than any short title could describe. Count it yourself ↗ How this is worked out
Who lobbied on this
14 organizationsThese organizations told Congress, in their own quarterly disclosures, that they were lobbying on this bill.
- American College of Physician Services, Incwanted it passed
“…Supported and urged Congress to pass H.R. 8163, the Provider Reimbursement Stability Act, to enhance Medicare reimbursement stability for physicians by modernizing the Medicare Physician…” filing ↗
- Society for Vascular Surgerywanted it passed
“…Legislation to support changes in budget neutrality methodology in the Medicare Physician Fee Schedule, H.R.8163 - Provider Reimbursement Stability Act of 2026. Discussions for House and Senate Office staffers regarding reform of the MACRA law and…” filing ↗
- American Academy of Dermatology Associationno position stated
“…H.R. 8163, the Provider Reimbursement Stability Act” filing ↗
- American Academy of Ophthalmologyno position stated
“…quality initiatives and patient access to Medicare Part B covered drugs, including monitor CMMI Medicare Part B drug-related demonstrations. H.R.8163 - Provider Reimbursement Stability Act of 2026.” filing ↗
- American Association of Nurse Practitionersno position stated
“…and Social Service Workers Act H.R. 7787 - Mental Health Workforce Act H.R. 7106 - Enhancing Skilled Nursing Facilities Act H.R. 7973 - Momnibus Act H.R. 8163 - the Provider Reimbursement Stability Act Hospice certification and recertification Skilled nursing facility admitting examination and…” filing ↗
- American Chiropractic Associationno position stated
“…Allows Medicare beneficiaries to choose their physical and occupational therapists, speech-language pathologists, audiologists, and chiropractors. HR 8163 Provider Reimbursement Stability Act: modernizes and updates the underlying mechanics of the Medicare Physician Fee Schedule (MPFS) to improve…” filing ↗
- American College of Cardiologyno position stated
“…the Provider Reimbursement Stability Act (H.R.…” filing ↗
- American College of Emergency Physiciansno position stated
“…Adjustment Delay Act, to delay the implementation of an efficiency adjustment to work relative value units under the Medicare physician fee schedule H.R. 8163-Provider Reimbursement Stability Act, ensure stability for provider payments under the Medicare program S. 106-Chiropractic Medicare…” filing ↗
- American College of Rheumatologyno position stated
“…Proclamation entitled "Restriction on Entry of Certain Nonimmigrant Workers", and for other purposes, H.R. 7961 Provider Reimbursement Stability Act, H.R. 8163 PBM Fiduciary Accountability, Integrity, and Reform (FAIR) Act, S.3549” filing ↗
- American Health Care Associationno position stated
“…Issues related to Medicare, including the Provider Reimbursement Stability Act of 2026, H.R.8163. Issues related to Patient-Driven Payment Model (PDPM).” filing ↗
- American Medical Associationno position stated
“…provider revenue thresholds freeze H.R. 1968, Full-Year Continuing Appropriations and Extensions Act, 2025, provisions related to APMs H.R. 8163, To amend title XVIII of the Social Security Act to ensure stability for provider payments under the Medicare program, all provisions H.R.…” filing ↗
- American Psychiatric Associationno position stated
“…Nursing Workforce Reauthorization Act of 2025 S. 4110 - EMPOWER for Health Act H.R. 9044 - Minority Fellowship Program Reauthorization Act of 2026 H.R. 8163 - Provider Reimbursement Stability Act H.R.8961 - Student Suicide Prevention Awareness Act H.Res.1329 - Expressing support for the…” filing ↗
Most filings say only that an organization lobbied on a bill, not which side it took — where that's the case we say so rather than guessing. Quotes are verbatim from the filing. How this is built.
Discussion
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