Medicare Physician Data-driven Performance Payment System Act of 2026

This bill renames Medicare's Merit-based Incentive Payment System (MIPS) for doctors as the Data-driven Performance Payment System (DPPS), starting January 1, 2027. Starting in 2028, it changes how a doctor's performance score affects the yearly update to their Medicare payment rate. Doctors above a set score threshold would have that update multiplied by 1.25, doctors at the threshold by 1, and doctors below it by 0.75 or 0.5. The 1.25 factor would be lowered as needed to keep total spending neutral. The score threshold could not exceed 75 points from 2028 through 2033, and the Government Accountability Office would recommend a new way to set it by the end of 2029. If total reductions exceed total increases in a year, the leftover money would fund lump-sum payments to practices of 15 or fewer professionals.

Full text and official record on Congress.gov

Sponsors

• Mariannette Miller-Meeks Republican sponsor
• 3 cosponsors