In Force

Rule: 2026 Medicare Physician Fee Schedule

Department of Health and Human Services
Rule
Rule

Policy Type: Rule

A legally binding directive issued by a federal agency to implement, interpret, or enforce laws passed by Congress. Rules go through a formal rulemaking process, including public notice and comment, before taking effect.

Who It Impacts: Businesses, organizations, and individuals subject to federal agency oversight. For example, a new environmental regulation could impact manufacturing companies, or a healthcare rule could affect providers and insurers.

Who Is Not Impacted: People or entities not subject to the agency’s jurisdiction. For example, a rule by the Environmental Protection Agency (EPA) regulating industrial emissions would not directly impact a restaurant owner unless they operate in an affected industry.

Date Enacted
October 31, 2025
Last Updated
December 18, 2025
Policy Type
Cash or Economic Assistance
No items found.

Summary

This proposed rule makes changes to payments that affect physicians, nurse practitioners, physician assistants and other health care professionals who are paid under Medicare Part B, as well as to payments for drugs and biologics. Of note, the rule expands Medicare Telehealth Services through removing frequency limitations and including more situations under which telehealth and communications technology may be used.

Impact Analysis

The expansion of Medicare Telehealth Services and use of communications technology may make healthcare and training of healthcare providers more accessible. Depending on implementation, this may expand healthcare access across all populations.

Status

Take Institutional Action

  • Acquire equipment and prepare physicians and staff to deliver telehealth services through training, with attention to under-resourced populations.
  • Monitor implementation to ensure that these actions are expanding access to healthcare as intended and document any issues.

Associated or Derivative Policies

N/A

Policy Prior to 2025

N/A

Additional Resources

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