This bill extends and enhances Medicare payment support for physicians and practitioners through 2025, including an 8.51% payment increase for services provided after mid-2025.
Roger Marshall
Senator
KS
The Medicare Patient Access and Practice Stabilization Act of 2025 aims to support physicians and other practitioners facing Medicare payment adjustments. This bill extends the period for existing payment support through 2025 and introduces a new 8.51% payment increase for services provided from June 1, 2025, through the end of that year. Ultimately, it seeks to stabilize provider practices by modifying Medicare payment schedules.
The Medicare Patient Access and Practice Stabilization Act of 2025 is a straightforward piece of legislation aimed squarely at the financial health of doctors and other medical practitioners who treat Medicare patients. Simply put, this bill gives them a pay bump and extends existing financial support to help them navigate the ever-shifting landscape of Medicare payment rules.
For years, Congress has offered temporary payment adjustments to help providers cope with cuts or changes in how Medicare calculates fees. This bill extends that safety net. Currently, providers are supported for services delivered through the end of 2024. This Act pushes that eligibility period out, covering all services provided through the end of 2025 (Sec. 2). This means practices that were relying on that financial buffer for stability get an extra year of certainty.
The biggest change is a new, targeted payment increase. Under Section 2, the bill introduces a new provision granting an 8.51 percent increase for services rendered starting on June 1, 2025, and ending before January 1, 2026. Think of this as a temporary, six-month injection of cash directly into the practices that serve our parents and grandparents.
Why does this matter to you? When doctors’ offices face financial strain—often due to low reimbursement rates or unexpected payment system changes—they have a few options: limit the number of Medicare patients they see, cut staff, or even close their doors. This 8.51% boost is designed to make sure practices, especially smaller ones, can keep their lights on and continue accepting Medicare patients, thereby protecting access to care in your community.
While this is great news for your doctor and ensures stability for their practice, it’s important to look at the other side of the ledger. These increased payments—both the extended support window and the new 8.51% increase—represent an increased expenditure from the Medicare program. Essentially, the Medicare Trust Fund is the one footing the bill (Sec. 2). This isn't money coming out of your pocket directly, but any increased spending from Medicare puts additional pressure on the Trust Fund, which is funded primarily through payroll taxes and beneficiary premiums. The trade-off here is stability and access to care now versus the long-term solvency of the fund.