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House reconciliation bill faces opposition

The House Budget Committee advanced reconciliation legislation late Sunday as Republicans push to pass the bill by Memorial Day.

Why it matters: Republicans continue to debate several provisions in the sweeping bill, which includes cuts to the Medicaid program and inflationary updates to Medicare payments for physician services.

  • Medicaid: The CAP signed a letter outlining concerns about proposed cuts.
  • Medicare: The bill offers a 1.73% physician pay increase in 2026—equal to 75% of the Medicare Economic Index (MEI). In 2027 and beyond, 10% of the MEI would be used to calculate future increases.

While introducing regular inflationary updates is a step forward, tying future increases to 10% of the MEI is lower than what many stakeholders recommend.

What's next: If House Republicans can reach a consensus, the bill will move to the Senate for further debate and amendments.

Go deeper: The CAP has also signed a letter about concerns over medical student loan debt provisions in the bill.

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