I 
119TH CONGRESS 
2D SESSION 
H. R. 7520 
To amend title XVIII of the Social Security Act to delay the implementation 
of an efficiency adjustment to work relative value units under the Medi-
care physician fee schedule. 
IN THE HOUSE OF REPRESENTATIVES 
FEBRUARY 12, 2026 
Mr. ESTES (for himself and Mr. SUOZZI) introduced the following bill; which 
was referred to the Committee on Energy and Commerce, and in addition 
to the Committee on Ways and Means, for a period to be subsequently 
determined by the Speaker, in each case for consideration of such provi-
sions as fall within the jurisdiction of the committee concerned 
A BILL 
To amend title XVIII of the Social Security Act to delay 
the implementation of an efficiency adjustment to work 
relative value units under the Medicare physician fee 
schedule. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Efficiency Adjustment 
Delay Act’’. 
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SEC. 2. DELAYING THE IMPLEMENTATION OF AN EFFI-
CIENCY ADJUSTMENT TO WORK RELATIVE 
VALUE UNITS UNDER THE MEDICARE PHYSI-
CIAN FEE SCHEDULE. 
(a) IN GENERAL.—Section 1848(c) of the Social Se-
curity Act (42 U.S.C. 1395w–4(c)) is amended by adding 
at the end the following new paragraph: 
‘‘(9) DELAYED
IMPLEMENTATION
OF
WORK 
RVU EFFICIENCY ADJUSTMENT.— 
‘‘(A) DELAYED
IMPLEMENTATION.—The 
Secretary may not implement the policy estab-
lished in the final rule published on November 
5, 2025 (90 Fed. Reg. 49266 et seq.), that es-
tablishes an efficiency adjustment to work rel-
ative value units, and makes corresponding up-
dates to the intraservice portion of physician 
time inputs for non-time-based services, before 
January 1, 2030. 
‘‘(B) REPORT
TO
CONGRESS.—Not later 
than 2 years after the date of the enactment of 
this paragraph, the Secretary shall submit to 
the Committee on Energy and Commerce and 
the Committee on Ways and Means of the 
House of Representatives, and to the Com-
mittee on Finance of the Senate, a report con-
taining an assessment of whether it is necessary 
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to apply a one-time, across-the-board adjust-
ment to work relative value units, and to make 
corresponding updates to the intraservice por-
tion of physician time inputs for non-time-based 
services, with respect to services that have not 
been revalued or reviewed within the 10-year 
period preceding the calendar year in which 
such one-time adjustment would be applied. 
Such report shall include supporting evidence 
for such assessment. 
‘‘(C) LIMITATIONS ON FUTURE IMPLEMEN-
TATION.— 
‘‘(i) IN GENERAL.—Subject to clause 
(ii), in the case that the report under sub-
paragraph (B) supports the implementa-
tion of the efficiency adjustment described 
in subparagraph (A), the Secretary may 
implement such adjustment on or after 
January 1, 2030, if the following condi-
tions are met: 
‘‘(I) Before implementing such 
adjustment, the Secretary consults 
with representatives of physician spe-
cialties affected by the potential im-
plementation of such adjustment. 
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‘‘(II) The Secretary does not im-
plement such adjustment with respect 
to services that have been revalued or 
reviewed within the 10-year period 
preceding the calendar year in which 
such one-time adjustment would be 
applied. 
‘‘(III) The Secretary establishes 
a methodology for calculating such ad-
justment that does not rely on a fac-
tor that is used for determining pro-
ductivity relative to inflation unless 
the update to the nonqualifying APM 
conversion 
factor 
under 
section 
1848(d) for the year in which the one- 
time adjustment would be applied is 
greater than or equal to the percent-
age increase in the consumer price 
index for all urban consumers (all 
items; United States city average) 
over the previous year. 
‘‘(ii) MULTIPLE
ADJUSTMENTS
PRO-
HIBITED.—The Secretary may not imple-
ment such an efficiency adjustment more 
than once. 
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‘‘(D) RULE OF CONSTRUCTION.—Nothing 
in subparagraph (A) shall be construed to pre-
vent the Secretary from revaluing misvalued 
codes for specific services or assigning values to 
new or revised codes for services.’’. 
(b) ADJUSTMENT TO CONVERSION FACTOR.—Section 
1848(d)(20) of the Social Security Act (42 U.S.C. 1395w– 
4(d)(20)) is amended— 
(1) by striking ‘‘0.75 percent’’ and inserting 
‘‘1.24 percent’’; 
(2) by striking ‘‘0.25 percent’’ and inserting 
‘‘0.74 percent’’; 
(3) by striking ‘‘For 2026 and each subsequent 
year’’ and inserting the following: 
‘‘(A) UPDATE FOR 2026.—For 2026’’; and 
(4) by adding at the end the following new sub-
paragraph: 
‘‘(B) UPDATE FOR 2027 AND SUBSEQUENT 
YEARS.—For 2027 and each subsequent year, 
the update to the qualifying APM conversion 
factor established under paragraph (1)(A) is 
0.75 percent, and the update to the nonquali-
fying APM conversion factor established under 
such paragraph is 0.25 percent.’’. 
Æ 
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