H.R. 6369House118th Congress (2023-2025)In Committee

To amend title XVIII of the Social Security Act to extend incentive payments for participation in eligible alternative payment models.

AI-Generated Summary

Updated January 20, 2026 at 1:02 PM UTC

The bill amends Title XVIII of the Social Security Act to keep Medicare incentive payments for eligible alternative payment models (APMs) available through 2026 instead of ending in 2025. It also introduces a rule that reduces those payments in 2026 for providers who have been receiving them for several years. The changes affect healthcare professionals and organizations that take part in qualifying APMs under Medicare.

Key Provisions

Extends the incentive payment period for eligible APM participants from ending in 2025 to ending in 2026.
Adds a special payment rule for 2026: payments are cut by 34% for participants who have received them for 4‑6 years, and by 67% for those with 7 years of payments.
Updates related date references in the statute to reflect the new 2026 deadline and subsequent years (e.g., changing 2025 to 2026, 2026 to 2027).
Makes conforming amendments in Section 1848(q)(1)(C)(iii) to align with the extended dates.

Legislative Activity

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5 earlier actions

HouseCommittee Latest Action

Referred to the Subcommittee on Health.

Health Subcommittee

December 17, 2024

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HouseIntro Referral

Introduced in House

November 13, 2023

HouseIntro Referral

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.

Energy and Commerce Committee

November 13, 2023

HouseCommittee

Referred to the Subcommittee on Health.

Health Subcommittee

November 13, 2023

HouseCommittee

Subcommittee Consideration and Mark-up Session Held

Health Subcommittee

November 15, 2023

HouseCommittee

Forwarded by Subcommittee to Full Committee by Voice Vote.

Health Subcommittee

November 15, 2023

HouseCommittee

Referred to the Subcommittee on Health.

Health Subcommittee

December 17, 2024

Bill Text

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Introduced in HouseIssued November 13, 2023

118th CONGRESS

1st Session

H. R. 6369

IN THE HOUSE OF REPRESENTATIVES

November 13, 2023

Ms. Schrier (for herself and Mr. Dunn of Florida) introduced the following bill; which was 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

A BILL

To amend title XVIII of the Social Security Act to extend incentive payments for participation in eligible alternative payment models.

Extending incentive payments for participation in eligible alternative payment models

(a)

In general

Section 1833(z) of the Social Security Act (42 U.S.C. 1395l(z)) is amended—

(1)

in paragraph (1)—

(A)

in subparagraph (A)—

(i)

by striking In the case and inserting Subject to subparagraph (E), in the case;

(ii)

by striking ending with 2025 and inserting ending with 2026; and

(iii)

by inserting and 2026 after with respect to 2025; and

(B)

by adding at the end the following new subparagraph:

(E)

Special payment rule for 2026

With respect to an amount payable under subparagraph (A) for 2026 to an eligible professional who is a qualifying APM participant for such year, such amount shall be reduced, in the case such participant has received payment under such subparagraph—

(i)

for at least 4 years but fewer than 7 years, by 34 percent; or

(ii)

for 7 years, by 67 percent.

;

(2)

in paragraph (2)—

(A)

in subparagraph (B)—

(i)

in the subparagraph heading, by striking 2025 and inserting 2026; and

(ii)

in the matter preceding clause (i), by striking 2025 and inserting 2026;

(B)

in subparagraph (C)—

(i)

in the subparagraph heading, by striking 2026 and inserting 2027; and

(ii)

in the matter preceding clause (i), by striking 2026 and inserting 2027; and

(C)

in subparagraph (D), by striking 2024, and 2025 and inserting 2024, 2025, and 2026; and

(3)

in paragraph (4)(B), by striking 2025 and inserting 2025 and 2026.

(b)

Conforming amendments

Section 1848(q)(1)(C)(iii) of the Social Security Act (42 U.S.C. 1395w–4(q)(1)(C)(iii) is amended—

(1)

in subclause (II), by striking 2025 and inserting 2026; and

(2)

in subclause (III), by striking 2026 and inserting 2027.