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H.R. 786House119th Congress (2025-2027)In Committee

Preserving Patient Access to Accountable Care Act

Sponsored by Darin LaHoodRep. Darin LaHood (R-IL)
Introduced January 28, 2025

AI-Generated Summary

Updated November 24, 2025 at 3:15 AM UTC

The Preserving Patient Access to Accountable Care Act updates Medicare rules to keep incentive payments for providers who join approved alternative payment models. It pushes the payment deadlines forward by a year and adds a higher payment rate for 2027, ensuring continued financial support for these models through 2028.

Key Provisions

  • Changes the Medicare incentive payment schedule for eligible alternative payment models, moving the 2026 deadline to 2027 and adding a 3.53% payment rate for 2027.
  • Extends related payment provisions so that certain subparagraphs now apply through 2027 and 2028 instead of ending in 2026.
  • Updates other sections of the Social Security Act to match the new years (2027 and 2028) for consistency.

Legislative Activity

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HouseIntro Referral Latest Action

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

January 28, 2025

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HouseIntro Referral

Introduced in House

January 28, 2025

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

January 28, 2025

Bill Text

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Introduced in HouseIssued January 28, 2025

I

119th CONGRESS

1st Session

H. R. 786

IN THE HOUSE OF REPRESENTATIVES

January 28, 2025

Mr. LaHood (for himself, Ms. DelBene, Mr. Dunn of Florida, and Ms. Schrier) 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 under the Medicare program.

1.

Short title

This Act may be cited as the Preserving Patient Access to Accountable Care Act.

2.

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)—

(A)

by striking with 2026 and inserting with 2027; and

(B)

by inserting , or, with respect to 2027, 3.53 percent after 1.88 percent;

(2)

in paragraph (2)—

(A)

in subparagraph (B)—

(i)

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

(ii)

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

(B)

in subparagraph (C)—

(i)

in the subparagraph heading, by striking 2027 and inserting 2028; and

(ii)

in the matter preceding clause (i), by striking 2027 and inserting 2028; and

(C)

in subparagraph (D), by striking and 2026 and inserting 2026, and 2027; and

(3)

in paragraph (4)(B), by inserting , or, with respect to 2027, 3.53 percent after 1.88 percent.

(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 2026 and inserting 2027; and

(2)

in subclause (III), by striking 2027 and inserting 2028.