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Extends and clarifies existing Medicare incentive payment rules for participation in eligible alternative payment models by updating year references. The change replaces a reference to 2026 with 2027 in the Social Security Act text and adds 2026 and 2027 where needed so incentive payment authority clearly covers those years. The amendment is narrowly tailored and technical: it does not create a new program or change payment formulas, it only updates statutory year references to preserve incentive payments for providers participating in approved alternative payment models through 2027.
Amend Section 1833(z) of the Social Security Act (42 U.S.C. 1395l(z)). (General instruction: the section begins with the phrase 'Section 1833(z) of the Social Security Act (42 U.S.C. 1395l(z)) is amended—')
In paragraph (1)(A) of Section 1833(z), strike the phrase "with 2026" and insert the phrase "with 2027".
In paragraph (1)(A) of Section 1833(z), the text directs an insertion after a specified location (the excerpt reads: "by inserting after ;"). The exact inserted text is not shown in the provided excerpt.
In paragraph (2) of Section 1833(z), subparagraph (B): (i) in the subsection heading, the text directs to "strike and insert" (replacement text not shown); (ii) in the matter preceding clause (i), the text directs to "strike and insert" (replacement text not shown).
In paragraph (2) of Section 1833(z), subparagraph (C): (i) in the subparagraph heading, the text directs to "strike and insert" (replacement text not shown); (ii) in the matter preceding clause (i), the text directs to "strike and insert" (replacement text not shown).
Who is affected and how:
Overall effect: The legislation is a narrowly focused technical fix to extend or clarify the years during which statutory incentive payment authority for eligible alternative payment models applies. It reduces legal ambiguity about coverage of incentive payments for the newly referenced year(s) and supports continuity for providers participating in APMs. It does not create new programmatic obligations for states or localities and does not alter benefit rules for beneficiaries.
Read twice and referred to the Committee on Finance.
Last progress April 10, 2025 (10 months ago)
Introduced on April 10, 2025 by John A. Barrasso