Bill changes how Medicare pays doctors to make payments more stable.

What it does

The bill raises the money threshold before Medicare cuts doctor payments. It moves the threshold from $20 million to $57.6 million starting in 2028. It lets Medicare fix overpayments or underpayments based on actual service use. The fix happens over two years. It requires the government to update cost data for doctor offices at least every five years. It limits how much doctor payments can change from year to year to 2.5 percent.

Who it affects

Doctors and physician practices that work with Medicare are affected. Medicare and taxpayers are affected because the bill may change Medicare spending. Patients who use Medicare may be affected if doctor payments change.

One thing to notice

The threshold for automatic payment cuts rises from $20 million to $57.6 million. Larger payment changes can happen before cuts are triggered.

From the analysis of the bill text, linked under Primary records below.

Where it stands

7 cosponsors: 3 Democrats, 3 Republicans, 1 Independents.

• Jul 30, 2026 — Introduced · Congress.gov: “Introduced in Senate”
• Jul 30, 2026 — Referred to Senate Committee on Finance · Congress.gov: “Read twice and referred to the Committee on Finance”

Dates and quoted wording are Congress.gov's action record; the timeline shows status changes, not every procedural step.

Words to know

• threshold — The point at which something changes or a rule starts to apply.
• overpayments — Money paid to a doctor or practice that was more than it should have been.
• underpayments — Money paid to a doctor or practice that was less than it should have been.
• cost data — Information about how much it costs to run a doctor's office.