VIA ELECTRONIC TRANSMISSION
- The Honorable John Thune
Majority Leader
U.S. Senate
Room S-309, The Capitol
Washington, D.C. 20515 - The Honorable John Barrasso, MD
Majority Whip
U.S. Senate
Room S-208, The Capitol
Washington, D.C. 20515
Dear Leader Thune and Majority Whip Barrasso:
On behalf of the undersigned clinician and other professional organizations, we respectfully urge the Senate to include the Medicare payment provision in the House-passed One Big Beautiful Bill Act (H.R.1) in the legislative package currently under consideration in the Senate. This provision represents a critical step toward stabilizing the Medicare Physician Fee Schedule (MPFS) and protecting access to care for seniors and individuals with disabilities who rely on trusted clinicians in their communities. It also helps promote competition by supporting community-based small businesses.
House leadership recognized the urgent need to rectify the failures of previous Congresses by prioritizing a significant first step towards long-term reform in its first major legislative package. Section 44304 of H.R. 1 ties the MPFS to inflation by establishing a permanent, annual update based on the Medicare Economic Index, beginning in the next plan year. The provision reflects policy principles that physician and other clinician stakeholders have long advocated for.1, 2 Moreover, it reflects many members across both chambers, who have long asked for prior Senate leaders to prioritize their communities.3, 4, 5
Click here to view the full Neurosurgery Leads Coalition Letter on Medicare Payment