November 9, 2026

Re: MGMA Legislative Priorities for the End of 2026

Dear Speaker Johnson, Majority Leader Thune, Minority Leader Jeffries, and Minority Leader Schumer:

On behalf of our member medical group practices, the Medical Group Management Association (MGMA) thanks you for your longstanding leadership in supporting medical group practices’ ability to provide high-quality, cost-effective care. As we approach the end of 2026, and with government funding set to expire on December 11, we write to emphasize the urgent need for Congress to pass stabilizing legislation on key issues to medical groups in any end-of-year legislative package.

The recently finalized 2027 Medicare Physician Fee Schedule (PFS) includes additional cuts to Medicare physician payment, continuing the destabilizing downward trajectory of Medicare reimbursement from the past decades. Inadequate Medicare payment rates and the lack of inflationary update continue to undermine the financial viability of medical groups; Congress needs to prevent the scheduled 2027 cuts and pass lasting Medicare payment reform to ensure Medicare beneficiaries can access high-quality care in their communities. Further, congressional action is needed to support medical groups by stopping cuts to same-day services, extending Advanced Alternative Payment Model (APM) incentive payment, freezing the qualifying APM participant (QP) thresholds, extending the 1.0 work GPCI floor, passing prior authorization reform legislation, and preventing cuts to clinical laboratories.

With a membership of more than 60,000 medical practice administrators, executives, and leaders, MGMA represents more than 15,000 medical group practices ranging from small private medical practices to large national health systems, representing more than 350,000 physicians. MGMA’s diverse membership uniquely situates us to offer the following legislative recommendations.

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