Medicare Physician Data-driven Performance Payment System Act of 2026
About This Bill
Committee
Latest Action · April 30, 2026
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.
This bill replaces Medicare's current Merit-based Incentive Payment System with a new Data-driven Performance Payment System, effective January 1, 2027, to change how the federal government pays physicians based on their performance. Starting in 2028, doctors will receive fixed payment multipliers ranging from 0.5 to 1.25 times their base payment depending on whether they meet, exceed, or fall below performance thresholds, with Medicare required to provide quarterly feedback within 60 days. The legislation protects patients by preventing increased cost-sharing when physician payments are reduced due to performance adjustments and caps performance thresholds at 75 points through 2033. Savings generated from lower-performing physicians will be redirected as incentive payments to small practices with 15 or fewer doctors in rural and underserved areas to support quality improvement efforts. The bill also requires the Comptroller General to recommend a new methodology for setting future performance thresholds by December 2029.
Take Action
Your position
Add a comment
to comment on this bill.
Annotate the text
Highlight any passage on the Summary or Full Text tab to attach a note. Annotations appear on the Annotations tab.