Bill Details
HR.786 - 119th Congress
Status
Latest action
2025-01-28 - 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.
Introduced Date
2025-01-28
Policy Area
Health
Committees
View committees (2)
Sponsors
Cosponsors
7
0
0
AI Summary This summary was generated by AI from the bill text. AI can get information wrong.
This bill would extend Medicare bonus payments for doctors and other health care providers who take part in approved alternative payment models for one more year. In simple terms, it keeps financial rewards in place for providers who join care arrangements meant to improve quality, coordination, and value while lowering unnecessary costs. The change would move the end date of these incentive payments from 2026 to 2027 and update related Medicare rules so the payment system stays consistent.
- Extends the incentive payment program for participation in eligible alternative payment models through 2027.
- Adds a 2027 bonus rate of 3.53% for qualifying providers, instead of ending the incentive schedule in 2026.
- Makes related Medicare payment rules line up with the new timeline by shifting certain date references from 2026 and 2027 to 2027 and 2028.
- The goal is to encourage more providers to use payment models that focus on better care and better outcomes, not just more services.
Official Summaries
Preserving Patient Access to Accountable Care Act
This bill extends through 2027 certain incentive payments for health professionals who participate in eligible alternative payment models under Medicare.
Current Full Text
[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 786 Introduced in House (IH)]
<DOC>
119th CONGRESS
1st Session
H. R. 786
To amend title XVIII of the Social Security Act to extend incentive
payments for participation in eligible alternative payment models under
the Medicare program.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
January 28, 2025
Mr. LaHood (for himself, Ms. DelBene, Mr. Dunn of Florida, and Ms.
Schrier) introduced the following bill; which was 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
_______________________________________________________________________
A BILL
To amend title XVIII of the Social Security Act to extend incentive
payments for participation in eligible alternative payment models under
the Medicare program.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Preserving Patient Access to
Accountable Care Act''.
SEC. 2. EXTENDING INCENTIVE PAYMENTS FOR PARTICIPATION IN ELIGIBLE
ALTERNATIVE PAYMENT MODELS.
(a) In General.--Section 1833(z) of the Social Security Act (42
U.S.C. 1395l(z)) is amended--
(1) in paragraph (1)(A)--
(A) by striking ``with 2026'' and inserting ``with
2027''; and
(B) by inserting ``, or, with respect to 2027, 3.53
percent'' after ``1.88 percent'';
(2) in paragraph (2)--
(A) in subparagraph (B)--
(i) in the subsection heading, by striking
``2026'' and inserting ``2027''; and
(ii) in the matter preceding clause (i), by
striking ``2026'' and inserting ``2027'';
(B) in subparagraph (C)--
(i) in the subparagraph heading, by
striking ``2027'' and inserting ``2028''; and
(ii) in the matter preceding clause (i), by
striking ``2027'' and inserting ``2028''; and
(C) in subparagraph (D), by striking ``and 2026''
and inserting ``2026, and 2027''; and
(3) in paragraph (4)(B), by inserting ``, or, with respect
to 2027, 3.53 percent'' after ``1.88 percent''.
(b) Conforming Amendments.--Section 1848(q)(1)(C)(iii) of the
Social Security Act (42 U.S.C. 1395w-4(q)(1)(C)(iii)) is amended--
(1) in subclause (II), by striking ``2026'' and inserting
``2027''; and
(2) in subclause (III), by striking ``2027'' and inserting
``2028''.
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