This bill delays a Medicare physician payment policy that was set to take effect in 2026. Specifically, it prevents the Centers for Medicare & Medicaid Services from implementing an "efficiency adjustment" to how Medicare calculates payments for physician services until January 1, 2030, at the earliest. The bill affects doctors and healthcare providers who bill Medicare, as well as beneficiaries who depend on Medicare coverage. The legislation requires the Secretary of Health and Human Services to submit a report to Congress within two years assessing whether this adjustment is necessary, and if implemented after 2030, it can only happen once with strict conditions, including physician consultation and limits on which services are affected. The bill also modifies Medicare payment conversion factors for 2026, increasing them from 0.75 percent to 1.24 percent for certain qualified providers, while returning to the lower rates for 2027 and beyond.