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Linked legislation: S. 5180
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Based on official legislative actions published by Congress.
Read twice and referred to the Committee on Finance.
This timeline shows the bill's position in the federal legislative process based on official congressional actions.
Read twice and referred to the Committee on Finance.
Praveta uses official congressional material as its source of truth. You can review the underlying record directly.
The bill would let CMS make larger annual fee-schedule adjustments and require certain payment reconciliations.
Raises adjustment threshold from $20M to $57.64M starting in 2028
Requires CMS to reconcile certain utilization-based payment differences
Direct-cost price categories must be updated at least every five years
Limits a specific adjustment factor to 2.5% maximum yearly change
If enacted, the bill would change how much Medicare payment rates can move year-to-year, add a new reconciliation step for some services, and force periodic updates to cost categories, which could affect provider payments and CMS administration practices.
Medicare providers paid under the physician fee schedule and the Centers for Medicare & Medicaid Services (CMS).
The provided source describes the bill’s provisions but does not state its legislative status or any votes.
Praveta summarizes official congressional material and keeps the underlying source available for review.