1. United States
2. Texas
3. Letter

I am writing as your constituent and as a practicing physician to respectfully urge you to co-sponsor H.R. 8163, the Provider Reimbursement Stability Act of 2026. In clinical practice, the effects of Medicare reimbursement instability are not theoretical—they are visible every day. Patients are experiencing longer wait times, reduced appointment availability, and increasing difficulty accessing care, particularly in primary care settings. Practices are being forced to make difficult decisions about staffing, services offered, and whether they can continue accepting Medicare patients at all. The current payment structure, with its recurring cuts and lack of predictability, undermines the ability of physicians to provide consistent, high-quality care. It also discourages new physicians from entering or remaining in fields like family medicine, where margins are already thin despite high patient need. In my own experience, maintaining adequate staffing levels, investing in care coordination, and dedicating time to complex patients has become increasingly challenging under these constraints. H.R. 8163 offers a meaningful step toward stabilizing physician reimbursement and restoring a measure of predictability to the system. This stability is essential not only for the viability of medical practices but also for preserving patient access—especially for elderly and vulnerable populations who depend on Medicare. From a clinical standpoint, payment instability directly translates into care instability. Supporting this legislation is an opportunity to strengthen the foundation of patient care delivery and ensure that physicians can continue to serve their communities effectively. I respectfully urge you to co-sponsor H.R. 8163 and support efforts to create a more sustainable Medicare payment system. Thank you for your time and for your service to our district. I would appreciate the opportunity to hear your position on this legislation.