hold on there's just too much going on in Congress lmao...
Replaces Medicare's MIPS with a new Data-driven Performance Payment System.
Reps. Miller-Meeks and Conaway.
Introduced in the House, referred to committee.
This bill, introduced by Representatives Miller-Meeks and Conaway, proposes to replace the current Merit-based Incentive Payment System (MIPS) for Medicare doctors with a new Data-driven Performance Payment System (DPPS) starting in 2027. Major changes to payment adjustments and new incentives for smaller practices would take effect in 2028. As an introduced bill, it is currently in the initial stages of the legislative process.
Introduced Apr 30, 2026
This bill was introduced in the U.S. House of Representatives on April 30, 2026. It has been referred to the Committees on Energy and Commerce, and Ways and Means for review. For the bill to become law, it must pass both the House and the Senate and then be signed by the President.
If this bill passes, starting in 2028, medical professionals providing services under Medicare would see their payments adjusted based on a new Data-driven Performance Payment System (DPPS). Doctors with composite performance scores above a set threshold could receive increased payments, while those below could see reductions. Small medical practices, especially those in rural or underserved areas, could receive lump-sum incentive payments to improve patient care and technology, provided enough funds are available from the payment adjustments. Also, professionals who would otherwise face a penalty for low performance might avoid it if they don't receive timely feedback reports on their data.
Supporters Say
Supporters would argue this bill creates a more effective and data-driven way to pay Medicare doctors and supports smaller practices.
Critics Say
Critics might raise concerns about the complexity of the new system, data collection burdens, or the potential impact on some medical professionals.
Those in favor would highlight the move towards a more data-informed system, aiming to reward higher quality care and efficiency. They would also likely point to the new incentives for small practices as a way to bolster healthcare in underserved communities. Skeptics, however, might worry about the administrative burden of new reporting requirements for doctors or the fairness of the performance thresholds.