CHC REBASE Act of 2026

This bill changes how Medicare pays community health centers (Federally qualified health centers). It requires the Secretary of Health and Human Services to adjust 2028 payment rates so that total payments equal the estimated reasonable costs of services, to require centers to submit cost and other reports, and to form a working group that will recommend payment changes. Starting January 1, 2027, telehealth services from these centers and rural health clinics would be paid under their regular Medicare payment methods, and telehealth costs would count as allowable costs. The bill also requires guidance by December 31, 2026, on extra payments to centers that serve Medicare Advantage enrollees, a way for centers to appeal contractor payment decisions, and a federal report on whether these centers are included in Medicare Advantage networks.

Full text and official record on Congress.gov

Sponsors

• Michael A. Rulli Republican sponsor
• 14 cosponsors