Sponsor: Rep. Joyce, John (R-PA)69 cosponsorsIntroduced Jul 15, 2026
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In plain English
This bill modifies how Medicare pays primary care doctors. It creates a temporary program allowing primary care providers to receive monthly payments per patient for services like care management, behavioral health integration, office visits, and patient communications instead of per-service billing. The bill also renames and restructures the Medicare incentive program for physicians to emphasize care efficiency measures like reducing unnecessary hospitalizations, while generally reducing payment bonuses under that program. Additionally, it adjusts the Medicare physician fee schedule to allow larger annual increases tied to inflation and requires corrections when spending exceeds certain thresholds.
Note: the official CRS summary for this bill was written on 2026-07-15, but the bill text was revised on 2026-07-15T04:00:00Z. 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
Jul 15
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House committee
Jul 15
3
House floor
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4
Senate
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5
Signed
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What happens next: Sits in committee. Needs a markup or favorable report to advance to the House floor.
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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.
Jul 15 Jul 15
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.
Jul 15 Jul 15
Introduced in House
Jul 15 Jul 15
Introduced in House
Read the bill text
Official text via Congress.gov. Opens in a new tab.
All 4 recorded actions since introduction · Source: Congress.gov
Jul 15
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.
Jul 15
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.
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