Promoting Fairness for Medicare Providers Act of 2026

This bill, titled the Promoting Fairness for Medicare Providers Act of 2026, changes how Medicare pays for certain surgical procedures performed in doctors' offices when those procedures involve expensive medical supplies. Starting in 2027, Medicare will pay office-based facilities 80% of the amount it would pay for the same procedures performed in ambulatory surgical centers, with additional rules for device-intensive procedures. The bill defines which procedures qualify based on supply costs exceeding $500 and requires participating doctors' offices to agree to accept these payment amounts as full payment. The list of covered procedures will be reviewed annually beginning in 2028, with the Secretary of Health and Human Services able to add or remove procedures based on supply cost thresholds that adjust for inflation.