Pay PCPs Act of 2026

This bill would allow the Secretary of Health and Human Services to create an optional "hybrid" Medicare payment for primary care providers that combines a fixed monthly payment per patient with regular fee-for-service payments. The monthly payment could cover services such as care management, patient emails and phone calls, behavioral health integration, and office visits, and could make up 40 to 70 percent of expected annual charges. It appropriates $10 billion for fiscal years 2027 through 2031 for these payments and lets the Secretary cut patient cost sharing by 50 percent for primary care services paid this way when patients name a primary care provider. It also creates a 13-member advisory committee within the Centers for Medicare & Medicaid Services, lasting up to five years, to advise on how Medicare values physician services.

Full text and official record on Congress.gov

Sponsors

• Sheldon Whitehouse Democrat sponsor
• 1 cosponsors