H.R. 8163 · 119th Congress

Provider Reimbursement Stability Act of 2026

Introduced on Mar 30, 2026 by Gregory F. Murphy (R-NC-3). 82 cosponsors, 54 of them from another party. Latest action (May 21, 2026): Ordered to be Reported in the Nature of a Substitute by the Yeas and Nays: 44 - 0.

Stage
Introduced
Introduced
Mar 30, 2026
Cosponsors
82
54 from the other party
Policy area
Health
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Progress

The furthest stage the measure reached. Simple and concurrent resolutions do not go to the President.

  1. Introduced
  2. 2Reported by committee
  3. 3Passed one chamber
  4. 4Passed both chambers
  5. 5Sent to the President
  6. 6Became law

Official title

To amend title XVIII of the Social Security Act to ensure stability for provider payments under the Medicare program.

Subjects

  • Budget process
  • Health care costs and insurance
  • Medicare

Summary

By the Congressional Research Service (Introduced in House, Mar 30, 2026). Public domain.

Provider Reimbursement Stability Act of 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.

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.

Sponsor and cosponsors

Cosponsors by party as of the day they signed on. Original cosponsors signed on the day of introduction.

Gregory F. MurphyR-NC-3Sponsor

Democrats · 54

Republicans · 28

Roll calls

Recorded votes on the measure. Most measures move by voice vote or unanimous consent, which record no individual positions.

No recorded roll call on this measure: it moved by voice vote or unanimous consent, or has not reached the floor.

History

Every action as published, oldest first. Roll calls link to how each member voted.

  1. Mar 30, 2026Introduced in House
  2. Mar 30, 2026Introduced in House
  3. Mar 30, 2026 · HouseReferred 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.
  4. Mar 30, 2026 · HouseReferred 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.
  5. May 21, 2026 · HouseCommittee Consideration and Mark-up Session Held
  6. May 21, 2026 · HouseOrdered to be Reported in the Nature of a Substitute by the Yeas and Nays: 44 - 0.

Committees

Committees and subcommittees the measure was referred to.

Agencies in its committees' jurisdiction

Analisa's mapping of committee jurisdiction to federal agencies; the bill may touch others, or none of these.

Who lobbied on it

Organizations whose lobbying reports (LD-2) name this measure. Spending is what they reported for those quarters on all issues, not on this measure alone.

  1. SOCIETY FOR VASCULAR SURGERY4 reports
    $160K reported (all issues)
  2. American Medical Association3 reports
    $13.1M reported (all issues)Federal contractor: AMERICAN MEDICAL ASSOCIATION$371K in contracts, FY2026AI match · 99%
  3. Society for Cardiovascular Angiography and Interventions3 reports
    $30K reported (all issues)
  4. AMERICAN ACADEMY OF DERMATOLOGY ASSOCIATION2 reports
    $1.2M reported (all issues)
  5. AMERICAN ACADEMY OF OPHTHALMOLOGY2 reports
  6. AMERICAN ASSOCIATION OF NEUROLOGICAL SURGEONS2 reports
    $75K reported (all issues)
  7. AMERICAN CHIROPRACTIC ASSOCIATION2 reports
    $126.7K reported (all issues)
  8. AMERICAN COLLEGE OF CARDIOLOGY2 reports
    $1.3M reported (all issues)
  9. AMERICAN COLLEGE OF EMERGENCY PHYSICIANS2 reports
    $967K reported (all issues)Federal contractor: AMERICAN COLLEGE OF EMERGENCY PHYSICIANS$92K in contracts, FY2026AI match · 100%
  10. AMERICAN COLLEGE OF GASTROENTEROLOGY2 reports
    $286K reported (all issues)
  11. AMERICAN COLLEGE OF PHYSICIAN SERVICES, INC2 reports
    $517.2K reported (all issues)
  12. AMERICAN COLLEGE OF PHYSICIANS2 reports
    $171.2K reported (all issues)
  13. AMERICAN COLLEGE OF RHEUMATOLOGY2 reports
    $220K reported (all issues)
  14. AMERICAN SOCIETY OF CATARACT & REFRACTIVE SURGERY2 reports
    $402.5K reported (all issues)
  15. American Academy of Dermatology2 reports
    $80K reported (all issues)
  16. American Academy of Physical Medicine and Rehabilitation2 reports
    $60K reported (all issues)
  17. COLLEGE OF AMERICAN PATHOLOGISTS2 reports
    $486K reported (all issues)Federal contractor: COLLEGE OF AMERICAN PATHOLOGISTS$18M in contracts, FY2026AI match · 99%
  18. Congress of Neurological Surgeons2 reports
    $75K reported (all issues)
  19. MASSACHUSETTS MEDICAL SOCIETY2 reports
    $110K reported (all issues)
  20. MEDICAL GROUP MANAGEMENT ASSN2 reports
    $600K reported (all issues)
  21. AMERICAN ACADEMY OF OTOLARYNGOLOGY-HEAD AND NECK SURGERY1 report
    $286.3K reported (all issues)
  22. AMERICAN ASSOCIATION OF NURSE PRACTITIONERS1 report
    $400K reported (all issues)
  23. AMERICAN HEALTH CARE ASSOCIATION1 report
  24. AMERICAN PSYCHIATRIC ASSOCIATION1 report
    $137.4K reported (all issues)Federal contractor: AMERICAN PSYCHIATRIC ASSOCIATION$645K in contracts, FY2026AI match · 100%
  25. AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION1 report
    $280K reported (all issues)
  26. ASSOCIATION FOR CLINICAL ONCOLOGY1 report
    $480K reported (all issues)
  27. American Clinical Neurophysiology Society1 report
    $20K reported (all issues)
  28. American College of Obstetricians and Gynecologists1 report
    $96K reported (all issues)
  29. American Geriatrics Society1 report
    $20K reported (all issues)
  30. American Society for Dermatologic Surgery Association1 report
  31. American Society of Nephrology1 report
    $60K reported (all issues)Federal contractor: AMERICAN SOCIETY OF NEPHROLOGY INCAI match · 100%
  32. Association of American Medical Colleges1 report
    $821.4K reported (all issues)Federal contractor: ASSOCIATION OF AMERICAN MEDICAL COLLEGESAI match · 100%
  33. BETTER MEDICARE ALLIANCE, INC.1 report
    $410K reported (all issues)
  34. BLUE CROSS BLUE SHIELD OF MICHIGAN1 report
    $276.3K reported (all issues)
  35. Blue Cross and Blue Shield Association1 report
    $990K reported (all issues)
  36. Blue Cross and Blue Shield of Florida, Inc.1 report
    $80K reported (all issues)
  37. California Medical Association Inc.1 report
    $40K reported (all issues)
  38. GUIDEWELL MUTUAL HOLDING CORPORATION1 report
    $20K reported (all issues)
  39. Large Urology Group Practice Association1 report
    $90K reported (all issues)
  40. NATIONAL ASSOCIATION OF ACCOUNTABLE CARE ORGANIZATIONS1 report
    $142.2K reported (all issues)

Reports filed in 2026.

Sources and method

Every figure on this page traces to these records.

  • Bill status: bills and resolutions, sponsors, actions, subjects and CRS summaries (U.S. Government Publishing Office (GovInfo), from Congress.gov (Library of Congress))GovInfo Bill Status bulk data (Congress.gov; summaries by the Congressional Research Service) · data current to Oct 9, 2026 · loaded Oct 9, 2026 · license: Public domain (U.S. Government work, 17 U.S.C. § 105)
  • Members of Congress, their terms, committees and identifiers (The @unitedstates project (from the Biographical Directory of the U.S. Congress, the House and the Senate))unitedstates/congress-legislators: legislators, committees and current committee membership · data current to Oct 3, 2026 · loaded Oct 3, 2026 · license: CC0 1.0 (public domain dedication)
  • House roll-call votes (Office of the Clerk, U.S. House of Representatives)Office of the Clerk, U.S. House of Representatives, roll-call vote records · data current to Oct 3, 2026 · loaded Oct 3, 2026 · license: Public domain (U.S. Government work, 17 U.S.C. § 105)
  • Senate roll-call votes and DW-NOMINATE scores (Voteview (UCLA Department of Political Science))Lewis, Jeffrey B., Keith Poole, Howard Rosenthal, Adam Boche, Aaron Rudkin, and Luke Sonnet (2026). Voteview: Congressional Roll-Call Votes Database. https://voteview.com/ · data current to Oct 3, 2026 · loaded Oct 3, 2026 · license: Free to use with the required citation
  • Lobbying disclosures (LD-1 registrations, LD-2 quarterly reports, LD-203 contribution reports) (Clerk of the U.S. House of Representatives)Clerk of the House, Lobbying Disclosure Act filings (organizations only; lobbyists' names are not loaded) · data current to Oct 9, 2026 · loaded Oct 9, 2026 · license: Public domain (U.S. Government work, 17 U.S.C. § 105)
  • Positions are shown only where a roll call recorded them; voice votes and unanimous consent record none.
  • Money and votes are shown side by side; neither explains the other.