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H.R. 6545

BillFederalHouseIn Committee
Physician Fee Schedule Update and Improvements Act
About This Bill
Committee
Latest Action · December 17, 2024
Referred to the Subcommittee on Health.
Congress
118th (2023–2025)
Introduced
December 1, 2023
Cosponsors (19)
9D 10R
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Summary

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The Physician Fee Schedule Update and Improvements Act modifies how Medicare pays physicians and other healthcare providers. The bill extends a floor on geographic payment adjustments from January 2024 to January 2025, increases support payments for doctors adjusting to Medicare payment changes from 1.25 percent to 3 percent, and extends bonus payments for physicians participating in alternative payment models through 2026 with reduced payment amounts in that year. The legislation also updates the budget neutrality threshold for payment adjustments, raising it from $20 million to $53 million in 2025 and requiring the threshold to adjust annually based on physician fee inflation in subsequent years. Additionally, the bill requires Medicare to update the cost data used to calculate physician practice expense payments at least once every five years to ensure payment rates reflect current expenses.

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