On June 23, 2025, ACOFP signed on to a joint letter to Senate Majority Leader John Thune (R-SD) and Majority Whip John Barrasso (R-WY) urging inclusion of a Medicare payment provision from the House-passed One Big Beautiful Bill Act (H.R. 1) in the Senate’s budget reconciliation package. The provision would tie the Medicare Physician Fee Schedule (MPFS) to the Medicare Economic Index, establish
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