I 119THCONGRESS 1 STSESSION H. R. 786 To amend title XVIII of the Social Security Act to extend incentive payments for participation in eligible alternative payment models under the Medi- care program. IN THE HOUSE OF REPRESENTATIVES JANUARY28, 2025 Mr. L AHOOD(for himself, Ms. DELBENE, Mr. DUNNof Florida, and Ms. S CHRIER) introduced the following bill; which was referred to the Com- mittee 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 A BILL To amend title XVIII of the Social Security Act to extend incentive payments for participation in eligible alternative payment models under the Medicare program. Be it enacted by the Senate and House of Representa-1 tives of the United States of America in Congress assembled, 2 SECTION 1. SHORT TITLE. 3 This Act may be cited as the ‘‘Preserving Patient Ac-4 cess to Accountable Care Act’’. 5 VerDate Sep 11 2014 20:53 Feb 24, 2025 Jkt 059200 PO 00000 Frm 00001 Fmt 6652 Sfmt 6201 E:\BILLS\H786.IH H786 kjohnson on DSK7ZCZBW3PROD with $$_JOB 2 •HR 786 IH SEC. 2. EXTENDING INCENTIVE PAYMENTS FOR PARTICIPA-1 TION IN ELIGIBLE ALTERNATIVE PAYMENT 2 MODELS. 3 (a) I NGENERAL.—Section 1833(z) of the Social Se-4 curity Act (42 U.S.C. 1395l(z)) is amended— 5 (1) in paragraph (1)(A)— 6 (A) by striking ‘‘with 2026’’ and inserting 7 ‘‘with 2027’’; and 8 (B) by inserting ‘‘, or, with respect to 9 2027, 3.53 percent’’ after ‘‘1.88 percent’’; 10 (2) in paragraph (2)— 11 (A) in subparagraph (B)— 12 (i) in the subsection heading, by strik-13 ing ‘‘ 2026’’ and inserting ‘‘2027’’; and 14 (ii) in the matter preceding clause (i), 15 by striking ‘‘2026’’ and inserting ‘‘2027’’; 16 (B) in subparagraph (C)— 17 (i) in the subparagraph heading, by 18 striking ‘‘ 2027’’ and inserting ‘‘2028’’; and 19 (ii) in the matter preceding clause (i), 20 by striking ‘‘2027’’ and inserting ‘‘2028’’; 21 and 22 (C) in subparagraph (D), by striking ‘‘and 23 2026’’ and inserting ‘‘2026, and 2027’’; and 24 VerDate Sep 11 2014 20:53 Feb 24, 2025 Jkt 059200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6201 E:\BILLS\H786.IH H786 kjohnson on DSK7ZCZBW3PROD with $$_JOB 3 •HR 786 IH (3) in paragraph (4)(B), by inserting ‘‘, or, 1 with respect to 2027, 3.53 percent’’ after ‘‘1.88 per-2 cent’’. 3 (b) C ONFORMING AMENDMENTS.—Section 4 1848(q)(1)(C)(iii) of the Social Security Act (42 U.S.C. 5 1395w–4(q)(1)(C)(iii)) is amended— 6 (1) in subclause (II), by striking ‘‘2026’’ and 7 inserting ‘‘2027’’; and 8 (2) in subclause (III), by striking ‘‘2027’’ and 9 inserting ‘‘2028’’. 10 Æ VerDate Sep 11 2014 20:53 Feb 24, 2025 Jkt 059200 PO 00000 Frm 00003 Fmt 6652 Sfmt 6301 E:\BILLS\H786.IH H786 kjohnson on DSK7ZCZBW3PROD with $$_JOB