US Codex
Bill
Notes

To amend title XVIII of the Social Security Act to extend incentive payments for participation in eligible alternative payment models.

H.R. 6369 · 118th Congress · Nov 13, 2023 · Lineage

A BILL

Section 1 Extending incentive payments for participation in eligible alternative payment models

(a)
In general— Section 1833(z) of the Social Security Act (42 U.S.C. 1395l(z)) is amended—
(1)
in paragraph (1)—
(A)
in subparagraph (A)—
(i)
by striking “In the case” and inserting “Subject to subparagraph (E), in the case”;
(ii)
by striking “ending with 2025” and inserting “ending with 2026”; and
(iii)
by inserting “and 2026” after “with respect to 2025”; and
(B)
by adding at the end the following new subparagraph:

“(E) Special payment rule for 2026—With respect to an amount payable under subparagraph (A) for 2026 to an eligible professional who is a qualifying APM participant for such year, such amount shall be reduced, in the case such participant has received payment under such subparagraph—

“(i) for at least 4 years but fewer than 7 years, by 34 percent; or

“(ii) for 7 years, by 67 percent.”

(2)
in paragraph (2)—
(A)
in subparagraph (B)—
(i)
in the subparagraph heading, by striking “2025” and inserting “2026”; and
(ii)
in the matter preceding clause (i), by striking “2025” and inserting “2026”;
(B)
in subparagraph (C)—
(i)
in the subparagraph heading, by striking “2026” and inserting “2027”; and
(ii)
in the matter preceding clause (i), by striking “2026” and inserting “2027”; and
(C)
in subparagraph (D), by striking “2024, and 2025” and inserting “2024, 2025, and 2026”; and
(3)
in paragraph (4)(B), by striking “2025” and inserting “2025 and 2026”.
(b)
Conforming amendments— Section 1848(q)(1)(C)(iii) of the Social Security Act (42 U.S.C. 1395w–4(q)(1)(C)(iii) is amended—
(1)
in subclause (II), by striking “2025” and inserting “2026”; and
(2)
in subclause (III), by striking “2026” and inserting “2027”.