PATCH Act

The PATCH Act modifies how Medicare calculates payment rates for physicians providing services in Hawaii starting January 1, 2026. It requires the Centers for Medicare & Medicaid Services to set the work geographic index at a minimum of 1.5 for Hawaii, even if the calculated rate would be lower. This change directly affects physicians who bill Medicare for services in Hawaii by ensuring their reimbursement rates meet a specific threshold. The bill does not apply to other payment systems or states.