S. 1460Senate119th Congress (2025-2027)In Committee

Preserving Patient Access to Accountable Care Act

Introduced April 10, 2025

AI-Generated Summary

Updated November 24, 2025 at 1:06 AM UTC

The Preserving Patient Access to Accountable Care Act updates Medicare’s incentive payments for providers that join approved alternative payment models. By shifting the reference year from 2026 to 2027 and adding a 3.53 percent payment for that year, the bill extends the program’s financial incentives through 2028. These changes aim to keep providers participating in value‑based care arrangements, ensuring continued patient access under the Medicare program.

Key Provisions

  • Amends the Medicare incentive payment rules (Section 1833(z) of the Social Security Act) to change the reference year from 2026 to 2027 and adds a new 3.53 percent incentive rate for 2027.
  • Extends the eligibility periods for alternative payment models, updating sub‑paragraph headings and language to cover 2027 and 2028 where previously only 2026 was mentioned.
  • Makes matching “conforming amendments” in Section 1848(q)(1)(C)(iii) to reflect the new years (2027 and 2028) so the rest of the law stays consistent.

Legislative Activity

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1 earlier action
SenateIntro Referral Latest Action

Read twice and referred to the Committee on Finance. (text: CR S2567)

April 10, 2025

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SenateIntro Referral

Introduced in Senate

April 10, 2025

SenateIntro Referral

Read twice and referred to the Committee on Finance. (text: CR S2567)

April 10, 2025

Floor Debate

5 members

What members said about S. 1460 on the floor

2 Republicans3 Democrats
Alex Padilla
Sen. Alex PadillaD-CA · Apr 10, 2025

Mr. President, I rise today to introduce legislation to authorize additional funding for the San Joaquin River Restoration Settlement Act. This crucial piece of legislation would simply increase the…

Jack Reed
Sen. Jack ReedD-RI · Apr 10, 2025

Mr. President, I am pleased to introduce the Homebuyers Privacy Protection Act with the Senator from Tennessee, Mr. Hagerty. This bipartisan legislation restricts the use of so-called mortgage…

John Thune
Sen. John ThuneR-SD · Apr 10, 2025

Mr. President, I ask unanimous consent that the text of the bill be printed in the Record.

John Barrasso
Sen. John BarrassoR-WY · Apr 10, 2025

Mr. President, I ask unanimous consent that the text of the bill be printed in the Record.

Richard J. Durbin
Sen. Richard J. DurbinD-IL · Apr 10, 2025

Mr. President, I ask unanimous consent that the text of the bill be printed in the Record.

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John Barrasso
Sen. John BarrassoR-WY · Apr 10, 2025

Mr. President, I ask unanimous consent that the text of the bill be printed in the Record.

Bill Text

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Introduced in SenateIssued April 10, 2025

II

119th CONGRESS

1st Session

S. 1460

IN THE SENATE OF THE UNITED STATES

April 10, 2025

Mr. Barrasso (for himself, Mr. Whitehouse, Mr. Cassidy, Mr. Welch, Mr. Tillis, and Mrs. Blackburn) introduced the following bill; which was read twice and referred to the Committee on Finance

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.