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Efficiency Adjustment Delay Act
To amend title XVIII of the Social Security Act to delay the implementation of an efficiency adjustment to work relative value units under the Medicare physician fee schedule.
Summary
The Efficiency Adjustment Delay Act would delay implementation of a Medicare physician payment adjustment until January 1, 2030. The adjustment, which was established in a November 2025 federal rule, would modify work relative value units—the payment rates used to reimburse physicians for different services. The bill would require the Secretary of Health and Human Services to report to Congress within two years on whether the adjustment is necessary, and would establish conditions for any future implementation, including consultation with physician specialties and limitations on which services could be affected. The bill would also increase the Medicare conversion factor updates for 2026 to 1.24 percent for qualifying alternative payment model participants and 0.74 percent for other providers, while reverting to the original rates of 0.75 percent and 0.25 percent beginning in 2027.
AI-generated plain-language summary of the bill text — neutral, and may be imperfect. See the full text below for the exact wording.
Sponsor (1)
- Rep. Estes, Ron [R-KS-4] (R-KS)
12 cosponsors
- Del. Norton, Eleanor Holmes [D-DC-At Large] (D-DC)
- Rep. Bean, Aaron [R-FL-4] (R-FL)
- Rep. Correa, J. Luis [D-CA-46] (D-CA)
- Rep. Davis, Donald G. [D-NC-1] (D-NC)
- Rep. Foushee, Valerie P. [D-NC-4] (D-NC)
- Rep. Mann, Tracey [R-KS-1] (R-KS)
- Rep. Murphy, Gregory F. [R-NC-3] (R-NC)
- Rep. Pocan, Mark [D-WI-2] (D-WI)
- Rep. Rouzer, David [R-NC-7] (R-NC)
- Rep. Salazar, Maria Elvira [R-FL-27] (R-FL)
- Rep. Schmidt, Derek [R-KS-2] (R-KS)
- Rep. Suozzi, Thomas R. [D-NY-3] (D-NY)
Money behind the sponsor
Top reported contributors to Ron Estes’s campaign committee (2024 cycle) — who funds the bill’s sponsor, not a claim about this bill. Data from FEC.
- TRANSYSTEMS $21,650
- WATCO $13,200
- NULL $11,600
- BERGEN PAIN MANAGEMENT PC $9,900
- ASH BROKERAGE $7,061
Organizations whose employees gave the most — itemized individual contributions grouped by the donor’s reported employer (FEC Schedule A). Full finance for Ron Estes → · Outside spending →
Actions (2)
- Feb 12, 2026 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. · house
- Feb 12, 2026 Introduced in House
Similar bills (6)
Bills with similar text or summary — includes reintroductions across Congresses. Ranked by semantic similarity of the bill text (computed locally); a neutral discovery aid, not a claim the bills are duplicates.
Full text
IN THE HOUSE OF REPRESENTATIVES
February 12, 2026
Mr. Estes (for himself and Mr. Suozzi) introduced the following bill; which was 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
A BILL
To amend title XVIII of the Social Security Act to delay the implementation of an efficiency adjustment to work relative value units under the Medicare physician fee schedule.
Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the “Efficiency Adjustment Delay Act”.
SEC. 2. DELAYING THE IMPLEMENTATION OF AN EFFICIENCY ADJUSTMENT TO WORK RELATIVE VALUE UNITS UNDER THE MEDICARE PHYSICIAN FEE SCHEDULE.
(a) In General.—Section 1848(c) of the Social Security Act (42 U.S.C. 1395w-4(c)) is amended by adding at the end the following new paragraph:
“(9) Delayed implementation of work rvu efficiency adjustment.—
“(A) Delayed implementation.—The Secretary may not implement the policy established in the final rule published on November 5, 2025 (90 Fed. Reg. 49266 et seq.), that establishes an efficiency adjustment to work relative value units, and makes corresponding updates to the intraservice portion of physician time inputs for non-time-based services, before January 1, 2030.
“(B) Report to congress.—Not later than 2 years after the date of the enactment of this paragraph, the Secretary shall submit to the Committee on Energy and Commerce and the Committee on Ways and Means of the House of Representatives, and to the Committee on Finance of the Senate, a report containing an assessment of whether it is necessary to apply a one- time, across-the-board adjustment to work relative value units, and to make corresponding updates to the intraservice portion of physician time inputs for non- time-based services, with respect to services that have not been revalued or reviewed within the 10-year period preceding the calendar year in which such one-time adjustment would be applied. Such report shall include supporting evidence for such assessment.
“(C) Limitations on future implementation.—
“(i) In general.—Subject to clause (ii), in the case that the report under subparagraph
(B) supports the implementation of the efficiency adjustment described in subparagraph
(A), the Secretary may implement such adjustment on or after January 1, 2030, if the following conditions are met:
“(I) Before implementing such adjustment, the Secretary consults with representatives of physician specialties affected by the potential implementation of such adjustment.
“(II) The Secretary does not implement such adjustment with respect to services that have been revalued or reviewed within the 10-year period preceding the calendar year in which such one-time adjustment would be applied.
“(III) The Secretary establishes a methodology for calculating such adjustment that does not rely on a factor that is used for determining productivity relative to inflation unless the update to the nonqualifying APM conversion factor under section 1848(d) for the year in which the one- time adjustment would be applied is greater than or equal to the percentage increase in the consumer price index for all urban consumers (all items; United States city average) over the previous year.
“(ii) Multiple adjustments prohibited.— The Secretary may not implement such an efficiency adjustment more than once.
“(D) Rule of construction.—Nothing in subparagraph (A) shall be construed to prevent the Secretary from revaluing misvalued codes for specific services or assigning values to new or revised codes for services.”.
(b) Adjustment to Conversion Factor.—Section 1848(d)(20) of the Social Security Act (42 U.S.C. 1395w-4(d)(20)) is amended—
(1) by striking “0.75 percent” and inserting “1.24 percent”;
(2) by striking “0.25 percent” and inserting “0.74 percent”;
(3) by striking “For 2026 and each subsequent year” and inserting the following:
“(A) Update for 2026.—For 2026”; and
(4) by adding at the end the following new subparagraph:
“(B) Update for 2027 and subsequent years.—For 2027 and each subsequent year, the update to the qualifying APM conversion factor established under paragraph (1)(A) is 0.75 percent, and the update to the nonqualifying APM conversion factor established under such paragraph is 0.25 percent.”. <all>
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