Provider Reimbursement Stability Act of 2026

This bill changes how Medicare sets the payments doctors receive for their services. It raises the limit on how much total spending can change each year when Medicare adjusts its payment rates, increasing the cap from $20 million to $57.64 million starting in 2028, with that cap updated for inflation every five years after that. The bill also requires the agency that runs Medicare to compare how much it expected to spend on certain services versus how much it actually spent, and if the difference is too large, it must fix the payments the following year. On top of that, the agency must update the prices it uses for things like medical equipment at least every five years, and it cannot change a certain payment adjustment factor by more than 2.5% in any single year.

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