WHAT THE LAW DOINCongress, in plain words

H.R. 786 · 119th Congress

Preserving Patient Access to Accountable Care Act

IntroducedHealth
IntroducedJan 28, 2025
Passed HouseNot yet
Passed SenateNot yet
To PresidentNot yet
Became lawNot yet

Where it stands

Introduced. Latest step, Jan 28, 2025: Referred to the Committee on Energy and Commerce and the Committee on Ways and Means. It would change 2 sections of existing law.

How this bill changes the law

Sourced

H.R. 786 would change 2 sections of existing law. Read from the bill text as introduced in the House (Jan 28, 2025).

42 U.S.C. 1395l Payment of benefits

  • (z) Incentive payments for participation in eligible alternative payment models changed · Sec. 2(a) · see the words

42 U.S.C. 1395w-4 Payment for physicians' services

  • (q) Merit-based Incentive Payment System changed · Sec. 2(b) · see the words
What the words would change: every change, in place (10)

Today's wording of each part of the law, with what would be struck out and added. Each change also gives the bill's own instruction, word for word.

  1. 42 U.S.C. 1395l(z)(1)(A)changedby H.R. 786 Sec. 2(a)

    The bill says: by striking "with 2026" and inserting "with 2027"; and

  2. 42 U.S.C. 1395l(z)(1)(A)changedby H.R. 786 Sec. 2(a)

    The bill says: by inserting ", or, with respect to 2027, 3.53 percent" after "1.88 percent";

  3. 42 U.S.C. 1395l(z)(2)(B)changedby H.R. 786 Sec. 2(a)

    (B) The physician fee schedule under section 1395w–4 of this title. (B) for 2023 through 20262027, 85 percent; and

    The bill says: in the subsection heading, by striking "2026" and inserting "2027"; and

  4. 42 U.S.C. 1395l(z)(2)(B)changedby H.R. 786 Sec. 2(a)

    (B) The physician fee schedule under section 1395w–4 of this title. (B) for 2023 through 20262027, 85 percent; and

    The bill says: in the matter preceding clause (i), by striking "2026" and inserting "2027";

  5. 42 U.S.C. 1395l(z)(2)(C)changedby H.R. 786 Sec. 2(a)

    (C) The prospective payment system developed under section 1395m(o) of this title. (C) for 20272028 through 2029, 90 percent.

    The bill says: in the subparagraph heading, by striking "2027" and inserting "2028"; and

  6. 42 U.S.C. 1395l(z)(2)(C)changedby H.R. 786 Sec. 2(a)

    (C) The prospective payment system developed under section 1395m(o) of this title. (C) for 20272028 through 2029, 90 percent.

    The bill says: in the matter preceding clause (i), by striking "2027" and inserting "2028"; and

  7. 42 U.S.C. 1395l(z)(2)(D)changedby H.R. 786 Sec. 2(a)

    The bill says: in subparagraph (D), by striking "and 2026" and inserting "2026, and 2027"; and

  8. 42 U.S.C. 1395l(z)(4)(B)changedby H.R. 786 Sec. 2(a)

    (B) The determination of the amount of the 5 percent (or, with respect to 2025, 3.5 percent, or, with respect to 2026, 1.88 percent , or, with respect to 2027, 3.53 percent) payment incentive under paragraph (1)(A), including any estimation as part of such determination. (aa) Medical review of spinal subluxation services.

    The bill says: in paragraph (4)(B), by inserting ", or, with respect to 2027, 3.53 percent" after "1.88 percent".

  9. 42 U.S.C. 1395w-4(q)(1)(C)(iii)(II)changedby H.R. 786 Sec. 2(b)

    The bill says: in subclause (II), by striking "2026" and inserting "2027"; and

  10. 42 U.S.C. 1395w-4(q)(1)(C)(iii)(III)changedby H.R. 786 Sec. 2(b)

    The bill says: in subclause (III), by striking "2027" and inserting "2028".

From the bill's official text on GovInfo and the U.S. Code, 2024 edition, which may not yet show changes made since.

What it does

Sourced

Preserving Patient Access to Accountable Care Act

This bill extends through 2027 certain incentive payments for health professionals who participate in eligible alternative payment models under Medicare.

Official summary by the Congressional Research Service (Introduced in House, Jan 28, 2025).

Our plain-language breakdown, with what it means for you and the case for and against, is written once a bill starts to move.

What has happened

Sourced
  1. Jan 28, 2025Referred to the Committee on Energy and Commerce and the Committee on Ways and Means.House floor actions
  2. Jan 28, 2025Referred to the Committee on Energy and Commerce and the Committee on Ways and Means.House floor actions
  3. Jan 28, 2025Introduced in HouseLibrary of Congress
  4. Jan 28, 2025Introduced in HouseLibrary of Congress

Show key steps only

Cosponsors

  • Dan Crenshaw R-TX-2
  • Donald G. Davis D-NC-1
  • Suzan K. DelBene D-WA-1
  • Neal P. Dunn R-FL-2
  • Bradley Scott Schneider D-IL-10
  • Kim Schrier D-WA-8
  • Shri Thanedar D-MI-13