September 15, 2026

Re: Statement for the Record for the House Committee on Energy and Commerce Subcommittee on Health Hearing, “Examining Legislative Proposals to Reform Medicare Provider Payment and Bolster Health Care Cybersecurity”

Dear Chairman Griffith and Ranking Member DeGette:

On behalf of our member medical group practices, the Medical Group Management Association (MGMA) thanks you for holding this important hearing on “Examining Legislative Proposals to Reform Medicare Provider Payment and Bolster Health Care Cybersecurity.” Numerous pieces of legislation being considered by the Subcommittee today would help create long-term stabilization for the Medicare reimbursement system that has threatened the livelihood of our nation’s medical practices for years.

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.

The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) was enacted to repeal the flawed Sustainable Growth Rate (SGR) formula, stabilize payment rates to physicians in Medicare fee-for service (FFS), and incentivize physicians’ transition to value-based care models through the Quality Payment Program (QPP). While well-intentioned, MACRA’s methodology for updating the Medicare Physician Fee Schedule (PFS) does not keep pace with rising practice costs and inflation and often simultaneously cuts reimbursement for physicians.

Comprehensive reform is needed to address the multi-faceted issues undermining Medicare payment and the QPP. We appreciate the Subcommittee for discussing legislation that would address fundamental flaws with the current Medicare payment system. We offer the following recommendations on specific bills before the Subcommittee today.

View MGMA's Statement for the Record