PATCH Act
HR 3263, the PATCH Act, modifies Medicare payment rules for physicians in Hawaii. It requires the Medicare program to set a minimum payment adjustment factor of 1.5 for physician services provided in Hawaii starting January 1, 2026, if the standard calculation would result in a lower value. This change directly affects Medicare-reimbursed physicians and healthcare providers operating in Hawaii. The key mechanism is a floor on the "work geographic index," ensuring payments in Hawaii do not fall below this minimum level. The provision applies specifically to services furnished in Hawaii after 2025.
Bill status
in committee
1 of 4 stages cleared
Introduction
May 2025
Committee Review
Floor Vote
President
Introduced May 7, 2025
Last action May 7, 2025
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Full legislative history
Actions timeline
Total actions
2
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0
Committee
1
May 7, 2025
Committee
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.
lower
May 7, 2025
Introduced
Introduced in House
lower
1 primary · 1 co-sponsor
Sponsors
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