119th Congress · House bill · Last action May 21, 2026
H.R. 8163IntroducedHealth
Provider Reimbursement Stability Act of 2026
Sponsor: Rep. Murphy, Gregory F. (R-NC)82 cosponsorsIntroduced Mar 30, 2026
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In plain English
Rep. Gregory F. Murphy (R-NC) sponsored this bill, which increases the annual threshold for Medicare physician payment adjustments from $20 million to $54.3 million starting in 2027, with inflation adjustments every five years beginning in 2032. The bill requires the Centers for Medicare & Medicaid Services to reconcile differences between estimated and actual service utilization if they exceed a certain percentage of total expenditures, adjusting future-year payments accordingly. It also mandates that CMS update the prices and rates for direct cost categories affecting physician payments at least every five years and limits year-to-year variation in a certain adjustment factor to no more than 2.5%. The House committee voted 44-0 to report the bill on May 21, 2026.
What’s in the bill (4 sections)
- Sec. 2. Updating the budget neutrality threshold
- Sec. 3. Budget neutrality corrections relating to estimated
- Sec. 4. Timely updates to direct costs used to calculate practice
- Sec. 5. Limitation on year-to-year conversion factor variance
Generated by ThePolitibase from the bill text and CRS summary. Read the official text →
Note: the official CRS summary for this bill was written on 2026-03-30, but the bill text was revised on 2026-03-30T04:00:00Z. Provisions may have been added since the summary was written — the section list above reflects the current text.
Where it is in the process
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Introduced
Mar 30
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House committee
May 21
3
House floor
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4
Senate
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5
Signed
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What happens next: Awaiting committee assignment or hearings in the House.
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Sponsor
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Cosponsors (82)
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JR
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+75
54 Democrats, 28 Republicans (of 82 shown).
Activity timeline
May 21
May 21
May 21
Ordered to be Reported in the Nature of a Substitute by the Yeas and Nays: 44 - 0.
May 21
May 21
May 21
Committee Consideration and Mark-up Session Held
Mar 30
Mar 30
Mar 30
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.
Mar 30
Mar 30
Mar 30
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.
Mar 30
Mar 30
Mar 30
Introduced in House
Mar 30
Mar 30
Mar 30
Introduced in House
Read the bill text
Official text via Congress.gov. Opens in a new tab.
Full action log
All 6 recorded actions since introduction · Source: Congress.gov
May 21
HOUSEOrdered to be Reported in the Nature of a Substitute by the Yeas and Nays: 44 - 0.
May 21
HOUSECommittee Consideration and Mark-up Session Held
Mar 30
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.
Mar 30
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.
Mar 30
Introduced in House
Mar 30
Introduced in House
All 82 cosponsors
54 Democrats · 28 Republicans
Democrats (54)
Suozzi, Thomas R.NY-03
Panetta, JimmyCA-19
Schrier, KimWA-08
Kelly, Robin L.IL-02
Conaway, Herbert C.NJ-03
Krishnamoorthi, RajaIL-08
Davis, Donald G.NC-01
Scott, DavidGA-13
Lieu, TedCA-36
Sewell, Terri A.AL-07
Scholten, Hillary J.MI-03
Carbajal, Salud O.CA-24
Titus, DinaNV-01
Gonzalez, VicenteTX-34
Goldman, Daniel S.NY-10
Green, AlTX-09
Moore, GwenWI-04
Boyle, Brendan F.PA-02
Beatty, JoyceOH-03
Johnson, JulieTX-32
Thanedar, ShriMI-13
Strickland, MarilynWA-10
Goodlander, MaggieNH-02
Thompson, Bennie G.MS-02
Carson, AndréIN-07
Bera, AmiCA-06
Lofgren, ZoeCA-18
Bynum, Janelle S.OR-05
Gottheimer, JoshNJ-05
Randall, EmilyWA-06
Kennedy, Timothy M.NY-26
Correa, J. LuisCA-46
Sorensen, EricIL-17
Riley, JoshNY-19
Davids, ShariceKS-03
Pettersen, BrittanyCO-07
Mannion, John W.NY-22
Pou, NellieNJ-09
Hayes, JahanaCT-05
Morelle, Joseph D.NY-25
Tran, DerekCA-45
Amo, GabeRI-01
Golden, Jared F.ME-02
Lee, SusieNV-03
Torres, RitchieNY-15
Mejia, AnaliliaNJ-11
Ross, Deborah K.NC-02
Republicans (28)
Joyce, JohnPA-13
Onder, Robert F.MO-03
Miller, Carol D.WV-01
Meuser, DanielPA-09
Smucker, LloydPA-11
Thompson, GlennPA-15
Babin, BrianTX-36
Dunn, Neal P.FL-02
Miller, Max L.OH-07
Tenney, ClaudiaNY-24
Estes, RonKS-04
Moore, Blake D.UT-01
Jackson, RonnyTX-13
LaHood, DarinIL-16
Kennedy, MikeUT-03
Harris, AndyMD-01
Lawler, MichaelNY-17
Barrett, TomMI-07
Edwards, ChuckNC-11
Wittman, Robert J.VA-01
Moore, TimNC-14
Van Drew, JeffersonNJ-02
Garbarino, Andrew R.NY-02
Ciscomani, JuanAZ-06
Kean, Thomas H.NJ-07
Van Orden, DerrickWI-03
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