What this bill does
According to the official Congressional Research Service summary of S. 5180 on congress.gov (Introduced in Senate, Jul 30, 2026):
congress.gov"This bill allows for larger annual adjustments to the Medicare physician fee schedule. It also requires the Centers for Medicare & Medicaid Services (CMS) to make certain corrections to compensate for expenditures under the fee schedule that exceed a certain amount in a given year, and it limits how much certain adjustment factors may vary each year. Current law prohibits annual adjustments to the Medicare physician fee schedule that would result in a more than $20 million difference between the adjusted amount and the non-adjusted amount of total expenditures. The bill increases this threshold to $57.64 million beginning in 2028, with adjustments for inflation every five years beginning in 2033."
According to the official Congressional Research Service summary of H.R. 8163 on congress.gov (Introduced in House, Mar 30, 2026):
congress.gov"This bill allows for larger annual adjustments to the Medicare physician fee schedule. It also requires the Centers for Medicare & Medicaid Services (CMS) to make certain corrections to compensate for expenditures under the fee schedule that exceed a certain amount in a given year, and it limits how much certain adjustment factors may vary each year. Current law prohibits annual adjustments to the Medicare physician fee schedule that would result in a more than $20 million difference between the adjusted amount and the non-adjusted amount of total expenditures. The bill increases this threshold to $54.3 million beginning in 2027, with adjustments for inflation every five years beginning in 2032."
Where the bills stand
2 bills in the 119th Congress have the official title "Provider Reimbursement Stability Act".
| Bill | Sponsor | Introduced | Cosponsors | Last action | Source |
|---|---|---|---|---|---|
| S. 5180 | Sen. Boozman, John [R-AR] | 2026-07-30 | 7 (R 3, D 3, I 1) | 2026-07-30: Read twice and referred to the Committee on Finance. | congress.gov |
| H.R. 8163 | Rep. Murphy, Gregory F. [R-NC-3] | 2026-03-30 | 90 (R 29, D 61) | 2026-05-21: Ordered to be Reported in the Nature of a Substitute by the Yeas and Nays: 44 - 0. | congress.gov |
- The record shows no passage of S. 5180 in either chamber.
- The record shows no passage of H.R. 8163 in either chamber.
The record
The Provider Reimbursement Stability Act of 2026 carries 2 bill numbers: H.R. 8163, sponsored by Rep. Gregory F. Murphy (R-NC), and S. 5180, sponsored by Sen. John Boozman (R-AR).R1 Both bills raise the current $20 million limit on how far annual Medicare physician fee schedule adjustments may move total expenditures, a limit the House text calls the budget neutrality threshold.R1R5 H.R. 8163 raises the threshold to $54.3 million beginning in 2027, with inflation adjustments every 5 years beginning in 2032.R1R5 S. 5180 sets the threshold at $57.64 million beginning in 2028, with inflation adjustments beginning in 2033.R1
Both bills require CMS to compare estimated and actual utilization for certain bundled services and, above a set percentage, to reconcile the difference by adjusting the next year's payments.R1 Each bill also requires CMS to update direct-cost prices, such as equipment prices, at least every 5 years and bars varying a certain adjustment factor by more than 2.5% each year.R1R5
H.R. 8163 was introduced on March 30, 2026, and referred to the Committee on Energy and Commerce and to the Committee on Ways and Means.R4 On May 21, 2026, a House committee markup ordered H.R. 8163 reported in the nature of a substitute by a yeas-and-nays vote of 44-0.R4 S. 5180 was introduced on July 30, 2026, read twice and referred to the Committee on Finance, and its hearings list shows 0 meetings.R3R13
An exact-phrase search for "Provider Reimbursement Stability Act of 2026" returns 47 filings from 23 clients and 24 registrants, an average of 2.0 filings per client.R7 The Society for Vascular Surgery leads clients with 6 filings, against 3 for the next-ranked clients, split as 3 in-house and 3 through Galileo Consulting Group, Inc.R7 By quarter, the matching filings number 7 in 2026 Q1, 22 in 2026 Q2 and 18 in 2026 Q3.R7
A search on the bill numbers returns 114 filings from 53 clients, with H.R. 8163 named in 113 filings and S. 5180 in 20 filings from 19 clients.R8
One American College of Physicians filing's issue text reads "Supported and urged Congress to pass (H.R. 8163, S.5180), the Provider Reimbursement Stability Act".R6 A California Medical Association Inc. filing lists H.R. 8163 for "provisions related to Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) budget neutrality".R7
What it means
The 44-0 order to report H.R. 8163 left a margin of 44 votes with 0 nays, and the bill lists 90 cosponsors.R4R2 The H.R. 8163 hearings list holds 2 meetings, both Ways and Means markups on May 21, 2026, the date of the 44-0 vote, and none from Energy and Commerce.R10R4 S. 5180 entered the Senate on July 30, 2026, after the House committee vote on May 21, 2026, under the same official title as H.R. 8163.R1R3R4
S. 5180 sets the threshold at $57.64 million from 2028, $3.34 million above the $54.3 million that H.R. 8163 sets from 2027.R1 Inflation indexing begins in 2033 under S. 5180 and in 2032 under H.R. 8163, a gap of 1 year.R1
Hooper, Lundy & Bookman, P.C. filed 2 reports for 2 clients, Orthoforum and the American Alliance of Orthopaedic Executives, both citing "changes to budget neutrality and indexing the conversion factor to inflation".R6 The American College of Physicians and American College of Physician Services, Inc. filed 2026 Q3 texts sharing the words "Sent letter and met with legislators" and naming H.R. 9693 beside H.R. 8163.R6
One American College of Cardiology filing names "the Provider Reimbursement Stability Act (S. 4935)", while the S. 4935 bill record carries the title "Next Generation Shipping Act".R6R11 Avenue Solutions, filing for the American Medical Association, lists "Issues related to Senate Finance Dear Colleague process", and S. 5180 sits in the Committee on Finance.R6R3 One filing describes H.R. 3514, named in 29 of the 47 filings, as requiring "Medicare Advantage plans to implement electronic prior authorization", a topic outside the fee schedule text of H.R. 8163.R7R6R1
2026 Q2, the quarter holding the May 21, 2026 markup, carries 22 filings, 3.1 times the 7 in 2026 Q1, while 2026 Q3 carries 18.R7R4
Analysis
AI-writtenInterpretation written by AI from the cited records. It is not reviewed by a human, and it makes no prediction and states no position.
H.R. 8163 holds the committee action on file, a 44-0 order to report, while S. 5180 shows 2 actions and 0 meetings.R4R3R13 Both bills carry empty recorded-vote lists, which leaves the 44-0 committee order as the vote count on file for this act.R1R4 House cosponsors kept joining after the committee vote: Williams (D-GA) signed on October 29, 2026, against the May 21, 2026 order to report.R2R4
The House text on file is the introduced version, while the committee ordered a substitute, so the $3.34 million threshold gap rests on introduced House figures.R5R4R1
Filing volume runs through the House number: 113 filings name H.R. 8163 and 20 name S. 5180, a bill introduced on July 30, 2026.R8R1 The 47 exact-title filings name 190 bills between them, so the act sits in issue lists shared with many other measures.R7 Capitol Counsel LLC leads the registrant ranking with 6 filings for 2 clients, against 3 or fewer filings and 1 client for each of the next 14.R7
Dollar figures attach to whole filings: the $4,540,000 American Medical Association expense covers its total 2026 Q3 lobbying, which the spender note calls "not bill-specific spend".R6
Federal lobbying on Provider Reimbursement Stability Act
The counts below are Senate LDA filings whose specific-issue text contains the phrase "Provider Reimbursement Stability Act" in 2025 to 2026: 126 filings from 57 clients. A filing that mentions the phrase does not show which side the client takes.
| Quarter | Senate LDA filings naming "Provider Reimbursement Stability Act" |
|---|---|
| 2025 Q1 | 3 |
| 2025 Q2 | 2 |
| 2025 Q3 | 0 |
| 2025 Q4 | 2 |
| 2026 Q1 | 21 |
| 2026 Q2 | 48 |
| 2026 Q3 | 50 |
| Client | Matching filings | Filed by | Latest year | Latest filing |
|---|---|---|---|---|
| AMERICAN MEDICAL ASSOCIATION | 8 | in-house and outside firms | 2026 | Senate LDA filing |
| SOCIETY FOR VASCULAR SURGERY | 6 | in-house and outside firms | 2026 | Senate LDA filing |
| MASSACHUSETTS MEDICAL SOCIETY | 5 | in-house | 2026 | Senate LDA filing |
| AMERICAN COLLEGE OF CARDIOLOGY | 4 | in-house | 2026 | Senate LDA filing |
| AMERICAN COLLEGE OF GASTROENTEROLOGY | 4 | in-house and outside firms | 2026 | Senate LDA filing |
| THE AMERICAN OCCUPATIONAL THERAPY ASSOCIATION, INC. (AOTA) | 4 | in-house | 2026 | Senate LDA filing |
| AMERICAN ACADEMY OF DERMATOLOGY | 3 | outside firm | 2026 | Senate LDA filing |
| AMERICAN ACADEMY OF DERMATOLOGY ASSOCIATION | 3 | in-house | 2026 | Senate LDA filing |
| AMERICAN ACADEMY OF OPHTHALMOLOGY | 3 | outside firm | 2026 | Senate LDA filing |
| AMERICAN ASSOCIATION OF NEUROLOGICAL SURGEONS | 3 | in-house | 2026 | Senate LDA filing |
Bills named in the text of matching filings (125 of 126 filings name at least one bill):
| Bill named in filings | Official title | Filings naming it | Clients | Source |
|---|---|---|---|---|
| H.R. 8163 | Provider Reimbursement Stability Act of 2026 | 110 | 53 | congress.gov |
| H.R. 3514 | Improving Seniors’ Timely Access to Care Act of 2025 | 62 | 31 | congress.gov |
| H.R. 879 | Medicare Patient Access and Practice Stabilization Act of 2025 | 60 | 23 | congress.gov |
| S. 1816 | Improving Seniors’ Timely Access to Care Act of 2025 | 56 | 27 | congress.gov |
| H.R. 1 | One Big Beautiful Bill Act | 45 | 21 | congress.gov |
| H.R. 7520 | Efficiency Adjustment Delay Act | 42 | 17 | congress.gov |
| S. 2439 | Resident Physician Shortage Reduction Act of 2025 | 34 | 15 | congress.gov |
| H.R. 6160 | Strengthening Medicare for Patients and Providers Act | 34 | 14 | congress.gov |
| H.R. 9693 | Patients First Act of 2026 | 32 | 31 | congress.gov |
| S. 1261 | CONNECT for Health Act of 2025 | 31 | 14 | congress.gov |
Relationships in the public graph
Each row is one relationship stored in the Apogee public graph, which is built from official congress.gov and Senate LDA records. A row states a connection in the record, not a position. Node ids are the bioguide id of a member, the committee code, or the graph id of an organization.
| Relationship | From | To | Node ids | Newest record and as of |
|---|---|---|---|---|
| SPONSORS | John Boozman (R-AR) | S. 5180 | B001236 to 119-s-5180 | Nov 6, 2026 |
| COSPONSORS | Jim Banks (R-IN) | S. 5180 | B001299 to 119-s-5180 | Nov 6, 2026 |
| COSPONSORS | Tammy Duckworth (D-IL) | S. 5180 | D000622 to 119-s-5180 | Nov 6, 2026 |
| COSPONSORS | Angus S., Jr. King (I-ME) | S. 5180 | K000383 to 119-s-5180 | Nov 6, 2026 |
| REFERRED_TO (committee) | S. 5180 | Finance Committee (Senate) | 119-s-5180 to ssfi00 | Nov 6, 2026 |
| NAMED_IN_LOBBYING (disclosure filings) | American Academy Of Otolaryngology-Head And Neck Surgery | S. 5180 | 442bc462-9f09-4997-b368-7f84d4c385dd to 119-s-5180 | newest period 2026 Q3; Nov 6, 2026 |
| NAMED_IN_LOBBYING (disclosure filings) | American Association Of Neurological Surgeons | S. 5180 | 62196afd-1870-43f7-9c0d-5c2873ba8c71 to 119-s-5180 | newest period 2026 Q3; Nov 6, 2026 |
| NAMED_IN_LOBBYING (disclosure filings) | American College Of Cardiology | S. 5180 | b762c905-9b12-4f82-b47b-319119b03fcb to 119-s-5180 | newest period 2026 Q3; Nov 6, 2026 |
| NAMED_IN_LOBBYING (disclosure filings) | American College Of Physician Services, Inc. | S. 5180 | eca57c41-792c-4e52-a054-5deacc08e28c to 119-s-5180 | newest period 2026 Q3; Nov 6, 2026 |
| NAMED_IN_LOBBYING (disclosure filings) | American College Of Physicians | S. 5180 | e98ae253-8acd-4736-b6c6-07e5b11abdf9 to 119-s-5180 | newest period 2026 Q3; Nov 6, 2026 |
| SPONSORS | Gregory F. Murphy (R-NC) | H.R. 8163 | M001210 to 119-hr-8163 | Nov 6, 2026 |
| COSPONSORS | Gabe Amo (D-RI) | H.R. 8163 | A000380 to 119-hr-8163 | Nov 6, 2026 |
| COSPONSORS | Brian Babin (R-TX) | H.R. 8163 | B001291 to 119-hr-8163 | Nov 6, 2026 |
| COSPONSORS | Tom Barrett (R-MI) | H.R. 8163 | B001321 to 119-hr-8163 | Nov 6, 2026 |
| REFERRED_TO (committee) | H.R. 8163 | Ways and Means Committee (House) | 119-hr-8163 to hswm00 | Nov 6, 2026 |
| REFERRED_TO (committee) | H.R. 8163 | Energy and Commerce Committee (House) | 119-hr-8163 to hsif00 | Nov 6, 2026 |
| NAMED_IN_LOBBYING (disclosure filings) | American Academy Of Otolaryngology-Head And Neck Surgery | H.R. 8163 | 442bc462-9f09-4997-b368-7f84d4c385dd to 119-hr-8163 | newest period 2026 Q3; Nov 6, 2026 |
| NAMED_IN_LOBBYING (disclosure filings) | American Association Of Neurological Surgeons | H.R. 8163 | 62196afd-1870-43f7-9c0d-5c2873ba8c71 to 119-hr-8163 | newest period 2026 Q3; Nov 6, 2026 |
Source: Apogee public graph (built from congress.gov and Senate LDA).
Records behind each sentence
Each sentence above carries the ids of the records it rests on. An automated audit matched every number, date, name, designation and quotation in it against those records.
- R1 Bill record, S. 5180, H.R. 8163, as of 2026-11-06 source
- R2 Cosponsors, S. 5180, H.R. 8163, as of 2026-11-06 source
- R3 Action timeline, S. 5180, as of 2026-11-06
- R4 Action timeline, H.R. 8163, as of 2026-11-06
- R5 Bill text, H.R. 8163, as of 2026-11-06 source
- R6 Lobbying filings on the bill, S. 5180, H.R. 8163, as of 2026-11-06
- R7 Lobbying filings search, Provider Reimbursement Stability Act of 2026, as of 2026-11-06 source
- R8 Lobbying filings search, H.R. 8163, as of 2026-11-06 source
- R10 Hearings, H.R. 8163, as of 2026-11-06 source
- R11 Bill record, S. 4935, as of 2026-11-06 source
- R13 Hearings, S. 5180, as of 2026-11-06
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