URGENT: PROTECT INDEPENDENT PHYSICIANS

Tell Congress to Support H.R. 7863 — The Promoting Fairness for Medicare Providers Act

WHY YOUR VOICE MATTERS NOW

America's independent physician practices are facing a crisis — and Congress has the power to fix it. For more than a decade, Medicare reimbursements for office-based procedures have been cut year after year while costs have risen. The result: doctors across the country are being forced to close their doors, sell to hospital systems, or stop offering critical procedures entirely.

The consequence for patients is stark. When independent practices disappear, patients are funneled into hospitals and hospital outpatient departments — where the exact same procedure often costs Medicare two to three times more. Consolidation drives up costs, reduces access, and eliminates the lower-cost community-based care that patients — especially in rural and underserved areas — depend on.

The Numbers Don't Lie

In 2025, over 300 office-based CPT codes reimbursed physicians at rates below their direct costs — before even accounting for overhead, malpractice, or physician work.
Office-based reimbursement for these procedures has fallen between 22% since 2019, while hospital outpatient rates for the same services rose 22% — a 44-point swing driving consolidation.
Hospital outpatient departments are paid an average of 124% more than independent offices for the same 300 underpaid procedures.

H.R. 7863, the Promoting Fairness for Medicare Providers Act, is a concrete solution. It establishes a new, fair payment pathway for high-cost, supply-intensive office-based procedures — pegging reimbursement to 90% of the Ambulatory Surgery Center (ASC) rate. This keeps care in the lowest-cost appropriate setting, saves Medicare money, and gives independent physicians a fighting chance.

WHAT H.R. 7863 DOES

The Promoting Fairness for Medicare Providers Act addresses the root cause of the payment crisis by taking high-cost supplies and equipment out of the broken Physician Fee Schedule (PFS) methodology and paying for them through a new, rational fee schedule linked to real-world cost data:

✔ Creates a new 'Office-Based Facility' payment category for surgical procedures with supply costs over $500 — paying at 90% of ASC rates, using the same auditable, annually updated cost data hospitals use.

✔ Removes high-cost medical supplies from the antiquated PFS practice expense methodology, which relies on flawed survey data from 2008 and cuts actual practice expense costs by up to 58% before reimbursement is ever paid.

✔ Stops the financial bleeding that is forcing independent practices to close or consolidate into hospital systems, eliminating lower-cost community care options.

✔ Preserves access to office-based care — particularly in rural and underserved communities where hospitals and ASCs are often not available.

✔ Aligns payment policy with care reality: the Physician Fee Schedule was never designed to handle the high-cost technologies now routinely used in office settings. H.R. 7863 corrects this structural flaw.

YOUR ACTION IS NEEDED TODAY

Email your U.S. House Representative now and
ask them to co-sponsor and support H.R. 7863.