S. 5180 · 119th Congress · pending
Provider Reimbursement Stability Act of 2026
Read twice and referred to the Committee on Finance.
Latest official action 2026-07-30 · Referred
The bill, briefly
Provider Reimbursement Stability Act of 2026 This bill allows for larger annual adjustments to the Medicare physician fee schedule. It also requires the Centers for Medicare & Medicaid Services (CMS) to make certain corrections to compensate for expenditures under the fee schedule that exceed a certain amount in a given year, and it limits how much certain adjustment factors may vary each year. Current law prohibits annual adjustments to the Medicare physician fee schedule that would result in a more than $20 million difference between the adjusted amount and the non-adjusted amount of total expenditures. The bill increases this threshold to $57.64 million beginning in 2028, with adjustments for inflation every five years beginning in 2033. Additionally, for certain services, the bill requires the CMS to determine the difference between expenditures based on estimated utilization of the service and expenditures based on actual utilization. If this difference exceeds a certain percentage of total expenditures under the fee schedule, the CMS must reconcile this difference by adjusting payments for the following year. This requirement applies to services for which payment was bundled with another service and there was a separate or add-on payment during the previous year. Finally, the CMS must update the prices and rates of each category of direct costs that affect payments (e.g.,…
Congressional Research Service · 2026-07-30
Who reported lobbying on this bill?
Amount spent specifically on this bill: not disclosed
The reports below name this bill and disclose an organization’s overall lobbying expenses or a firm’s client income for the period. They can cover many bills and issues. These amounts are not payments to the bill or its politicians.
No matching lobbying report is imported yet. This is not evidence that no lobbying occurred.
2,409 latest lobbying reports imported. Some source imports are still in progress.
Politicians behind the bill
Sponsors and cosponsors from the official source, limited to members currently in office. Campaign amounts are cycle-wide and are not payments for this bill.
Sponsor
John Boozman
Senate · AR · Republican
$288,200PAC receipts · 2025–2026
Cosponsor
Peter Welch
Senate · VT · Democratic
$44,000PAC receipts · 2025–2026
Cosponsor
Roger Marshall
Senate · KS · Republican
$1,702,385PAC receipts · 2025–2026
Cosponsor
Angus S. King, Jr.
Senate · ME · Independent
$33,500PAC receipts · 2025–2026
Cosponsor
Thom Tillis
Senate · NC · Republican
$950,975PAC receipts · 2025–2026
Cosponsor
Jeanne Shaheen
Senate · NH · Democratic
-$12,050PAC receipts · 2025–2026
Cosponsor
Jim Banks
Senate · IN · Republican
$553,626PAC receipts · 2025–2026
Cosponsor
Tammy Duckworth
Senate · IL · Democratic
$154,820PAC receipts · 2025–2026
7 of 7 source cosponsor records retrieved; only current officials and unwithdrawn sponsorships appear.
PAC donors to the listed sponsors
These are all-cycle contributions to the listed sponsors’ and cosponsors’ campaigns. FEC does not attribute them to this bill. A donation plus sponsorship does not establish why a politician acted.
NORPAC$45,100
ABBVIE POLITICAL ACTION COMMITTEE$20,000
Roger Marshall · Cosponsor · $7,500
Thom Tillis · Cosponsor · $2,500
Jim Banks · Cosponsor · $5,000
Tammy Duckworth · Cosponsor · $5,000
Official PAC recordMORTGAGE BANKERS ASSOCIATION POLITICAL ACTION COMMITTEE (MORPAC)$20,000
Roger Marshall · Cosponsor · $10,000
Thom Tillis · Cosponsor · $5,000
Jeanne Shaheen · Cosponsor · $5,000
Official PAC recordNATIONAL SHOOTING SPORTS FOUNDATION, INC. POLITICAL ACTION COMMITTEE (NSSF PAC)$20,000
Roger Marshall · Cosponsor · $10,000
Thom Tillis · Cosponsor · $5,000
Jim Banks · Cosponsor · $5,000
Official PAC recordPRICEWATERHOUSECOOPERS POLITICAL ACTION COMMITTEE I$20,000
Roger Marshall · Cosponsor · $10,000
Thom Tillis · Cosponsor · $5,000
Jeanne Shaheen · Cosponsor · $5,000
Official PAC recordEXXON MOBIL CORPORATION POLITICAL ACTION COMMITTEE (EXXONMOBIL PAC)$17,500
AMGEN INC. POLITICAL ACTION COMMITTEE$17,000
John Boozman · Sponsor · $3,500
Roger Marshall · Cosponsor · $5,000
Thom Tillis · Cosponsor · $3,000
Jim Banks · Cosponsor · $3,500
Tammy Duckworth · Cosponsor · $2,000
Official PAC recordMCDONALDS CORPORATION POLITICAL ACTION COMMITTEE$17,000
Roger Marshall · Cosponsor · $5,500
Angus S. King, Jr. · Cosponsor · $4,000
Thom Tillis · Cosponsor · $2,500
Jim Banks · Cosponsor · $5,000
Official PAC recordAIR LINE PILOTS ASSOCIATION PAC$15,000
AMERICAN CRYSTAL SUGAR COMPANY POLITICAL ACTION COMMITTEE$15,000
AMERICAN INSTITUTE OF CERTIFIED PUBLIC ACCOUNTANTS POLITICAL ACTION COMMITTEE$15,000
AMERICAN SOCIETY OF ANESTHESIOLOGISTS POLITICAL ACTION COMMITTEE (ASA PAC)$15,000
CHARTER COMMUNICATIONS INC. POLITICAL ACTION COMMITTEE$15,000
CHEVRON EMPLOYEES POLITICAL ACTION COMMITTEE - CHEVRON CORPORATION$15,000
DAVITA INC. POLITICAL ACTION COMMITTEE (DAPAC)$15,000
EMPLOYEES OF RTX CORPORATION POLITICAL ACTION COMMITTEE$15,000
John Boozman · Sponsor · $5,000
Roger Marshall · Cosponsor · $5,000
Thom Tillis · Cosponsor · $3,000
Jim Banks · Cosponsor · $2,000
Official PAC recordLOCKHEED MARTIN CORPORATION EMPLOYEES' POLITICAL ACTION COMMITTEE$15,000
John Boozman · Sponsor · $1,000
Roger Marshall · Cosponsor · $4,000
Thom Tillis · Cosponsor · $4,000
Jim Banks · Cosponsor · $2,000
Tammy Duckworth · Cosponsor · $4,000
Official PAC recordNATIONAL BEER WHOLESALERS ASSOCIATION POLITICAL ACTION COMMITTEE$15,000
OORAH! POLITICAL ACTION COMMITTEE$15,000
SEABOARD CORPORATION POLITICAL ACTION COMMITTEE$15,000
SEND IN THE SEAL PAC$15,000
TOMORROW IS MEANINGFUL PAC$15,000
UNITED PARCEL SERVICE, INC. PAC (UPSPAC)$15,000
GILEAD SCIENCES INC HEALTHCARE POLICY PAC$14,500
Roger Marshall · Cosponsor · $4,500
Thom Tillis · Cosponsor · $5,000
Jim Banks · Cosponsor · $5,000
Official PAC recordINSURED RETIREMENT INSTITUTE POLITICAL ACTION COMMITTEE (IRI PAC)$14,000
Roger Marshall · Cosponsor · $10,000
Thom Tillis · Cosponsor · $2,500
Jim Banks · Cosponsor · $1,500
Official PAC recordWALMART INC. PAC FOR RESPONSIBLE GOVERNMENT$14,000
AMERICAN PROPERTY CASUALTY INSURANCE ASSOCIATION POLITICAL ACTION COMMITTEE (INSURING AMERICA PAC)$13,500
Peter Welch · Cosponsor · $5,000
Thom Tillis · Cosponsor · $3,500
Jeanne Shaheen · Cosponsor · $2,500
Jim Banks · Cosponsor · $2,500
Official PAC recordELEVANCE HEALTH, INC. POLITICAL ACTION COMMITTEE (ELEVANCE HEALTH PAC)$13,500
Thom Tillis · Cosponsor · $2,500
Jeanne Shaheen · Cosponsor · $1,000
Jim Banks · Cosponsor · $10,000
Official PAC recordNUTRIEN AG SOLUTIONS EMPLOYEE CITIZENSHIP FUND POLITICAL ACTION COMMITTEE ('NUTRIEN CITIZENSHIP FUND PAC')$13,500
Roger Marshall · Cosponsor · $10,000
Thom Tillis · Cosponsor · $2,500
Tammy Duckworth · Cosponsor · $1,000
Official PAC recordMEDICAL DEVICE MANUFACTURERS ASSOCIATION PAC$13,000
AMERICAN ACADEMY OF DERMATOLOGY ASSOCIATION POLITICAL ACTION COMMITTEE (SKINPAC)$12,500
AMERICAN COLLEGE OF RADIOLOGY ASSOCIATION PAC$12,500
AMERICAN VETERINARY MEDICAL ASSOCIATION POLITICAL ACTION COMMITTEE$12,500
CARDINAL HEALTH INC. PAC$12,500
Roger Marshall · Cosponsor · $2,500
Thom Tillis · Cosponsor · $5,000
Jim Banks · Cosponsor · $5,000
Official PAC recordKOCH, INC. POLITICAL ACTION COMMITTEE (KOCHPAC)$12,500
MISSISSIPPI FARM BUREAU FEDERATION FURTHERING AGRICULTURE FOR RURAL MISSISSIPPIANS FUND PA$12,500
NATIONAL ELEVATOR CONSTRUCTORS PAC/ INTN'L UNION OF ELEVATOR CONSTRUCTORS (NEC PAC)$12,500
Peter Welch · Cosponsor · $5,000
Angus S. King, Jr. · Cosponsor · $5,000
Jeanne Shaheen · Cosponsor · $2,500
Official PAC recordNATIONAL FEDERATION OF INDEPENDENT BUSINESS FEDERAL POLITICAL ACTION COMMITTEE$12,500
NOVARTIS CORPORATION POLITICAL ACTION COMMITTEE$12,500
Roger Marshall · Cosponsor · $2,500
Thom Tillis · Cosponsor · $5,000
Jim Banks · Cosponsor · $5,000
Official PAC recordU.S. BANCORP FEDERAL POLITICAL ACTION COMMITTEE$12,500
John Boozman · Sponsor · $1,000
Thom Tillis · Cosponsor · $10,000
Jim Banks · Cosponsor · $1,500
Official PAC recordThe largest 40 donor totals appear here. Open each politician for their complete, paginated PAC donor list.
What happened after enactment?
This bill is not enacted. Post-enactment results do not apply yet.