Pay PCPs Act of 2026

The Pay PCPs Act of 2026 authorizes the Secretary of Health and Human Services to implement a hybrid payment model for Medicare primary care providers, combining predictable monthly payments with traditional fee-for-service reimbursements. This new structure aims to fund activities that are currently difficult to bill individually, such as patient communications and team-based care coordination, while allowing providers to opt into the program voluntarily. Additionally, the bill reduces beneficiary out-of-pocket costs by 50% for covered primary care services when patients designate a specific provider as their usual source of care. To support these changes, the legislation appropriates $10 billion over five years and establishes a temporary technical advisory committee to review and improve how Medicare values physician services.