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H.R. 8163: Provider Reimbursement Stability Act of 2026

119th Congress · introduced 2026-03-30 · Health · Latest: Ordered to be Reported in the Nature of a Substitute by the Yeas and Nays: 44 - 0.

federal

What does this mean?

Official title

Provider Reimbursement Stability Act of 2026

Plain summary

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.

Congressional Research Service summary (Introduced in House), quoted unchanged (nonpartisan). Read the source.

What a vote does

A “Yea” vote

If it passes both chambers and is signed, it becomes law.

A “Nay” vote

If it is not passed, current law stays as it is.

PSI Sci description of the legislative step (not an opinion).

What does this mean? (plain words)

Official text

Provider Reimbursement Stability Act of 2026

Source: Congressional Research Service summary (Introduced in House)

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The strongest published arguments

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Officials and money

Sponsor: Rep. Murphy, Gregory F. [R-NC-3] · 90 cosponsors

Cost estimate: CBO cost estimate: H.R. 8163, Provider Reimbursement Stability Act (2026-09-28)

Cosponsors on this site

Bradley Scott Schneider (D-IL), John Joyce (R-PA), Thomas R. Suozzi (D-NY), Robert F. Onder, Jr. (R-MO), Jimmy Panetta (D-CA), Mariannette Miller-Meeks (R-IA), Kim Schrier (D-WA), Robin L. Kelly (D-IL), Herbert C. Conaway, Jr. (D-NJ), Raja Krishnamoorthi (D-IL), Carol D. Miller (R-WV), Donald G. Davis (D-NC), Daniel Meuser (R-PA), Ted Lieu (D-CA), Terri A. Sewell (D-AL), Hillary J. Scholten (D-MI), Lloyd Smucker (R-PA), Salud O. Carbajal (D-CA), Dina Titus (D-NV), Vicente Gonzalez (D-TX), Daniel S. Goldman (D-NY), Glenn Thompson (R-PA), Brian Babin (R-TX), Neal P. Dunn (R-FL), Al Green (D-TX), Gwen Moore (D-WI), Max L. Miller (R-OH), Claudia Tenney (R-NY), Brian K. Fitzpatrick (R-PA), Brendan F. Boyle (D-PA), Joyce Beatty (D-OH), Julie Johnson (D-TX), Ron Estes (R-KS), Eugene Simon Vindman (D-VA), Shri Thanedar (D-MI), Marilyn Strickland (D-WA), Blake D. Moore (R-UT), Maggie Goodlander (D-NH), Ronny Jackson (R-TX), Bennie G. Thompson (D-MS), André Carson (D-IN), Ami Bera (D-CA), Zoe Lofgren (D-CA), Janelle S. Bynum (D-OR), Darin LaHood (R-IL), Mike Kennedy (R-UT), Josh Gottheimer (D-NJ), Emily Randall (D-WA), Timothy M. Kennedy (D-NY), J. Luis Correa (D-CA), Eric Sorensen (D-IL), Josh Riley (D-NY), Sharice Davids (D-KS), Brittany Pettersen (D-CO), John W. Mannion (D-NY), Nellie Pou (D-NJ), Jahana Hayes (D-CT), Gilbert Ray Cisneros, Jr. (D-CA), Eleanor Holmes Norton (D-DC) and 30 more.

Sponsor's campaign money: Rep. Murphy, Gregory F. [R-NC-3] reported raising $2.9 million (2025–2026). Details. Shown for context only; it does not mean any donor supported this bill.

Words on this page, explained (1)
Bill
A proposed law. It becomes law only if it passes the legislature and is signed by the president or governor (or a veto is overridden).

Plain meanings written from linked sources. All words.

Sources

Record fed-us-cong119-hr8163 · catalog fed-us-congress-bills-cong119 · updated 2026-11-03 by psicol fed-bills