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US HB7520
Bill
Status
2/12/2026
Primary Sponsor
Ron Estes
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AI Summary
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Delays implementation of the Medicare physician fee schedule efficiency adjustment to work relative value units (RVUs) until January 1, 2030, blocking a rule published November 5, 2025
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Requires the Secretary of Health and Human Services to submit a report to Congress within 2 years assessing whether the one-time RVU adjustment is necessary for services not revalued in the preceding 10 years
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Increases the 2026 Medicare conversion factor updates from 0.75% to 1.24% for qualifying APM providers and from 0.25% to 0.74% for non-qualifying APM providers, returning to original rates in 2027
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Imposes conditions on future implementation of the efficiency adjustment, including mandatory consultation with affected physician specialties and prohibition on applying it to recently reviewed services
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Limits the efficiency adjustment to a one-time application and preserves the Secretary's authority to revalue misvalued codes or assign values to new service codes
Legislative Description
Efficiency Adjustment Delay Act
Last Action
Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
2/12/2026