Doctors in Hawaii would get a higher minimum Medicare payment factor for their work. The rule would start January 1, 2026, and would not require cuts to other Medicare payments to balance the cost.
Modern Action explains what the legislation does, helps you choose whether to support, oppose, or ask for changes, and drafts a message tied to the bill, your stance, and the elected officials who can act on it.
PATCH Act is a House bill in committee. The latest recorded action: Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Latest action on H.R. 3263: Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Who this affects: This bill mainly affects doctors in Hawaii who treat Medicare patients. It could raise what Medicare pays them for covered physician services. Medicare patients in Hawaii could also feel the effect if higher payments help more doctors keep seeing Medicare patients. Doctors and patients outside Hawaii are less directly affected because the bill says their payments do not have to be cut to cover Hawaii’s increase.
Why this matters: This bill matters because Medicare payment rates can affect whether doctors keep treating Medicare patients in Hawaii. Hawaii has high living and practice costs, and higher payments could help medical practices stay open to Medicare patients. The bill could also increase Medicare spending because it does not require cuts elsewhere to balance the higher Hawaii payments. The size of that cost is not clear from the bill.
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Officially: PATCH Act
Doctors in Hawaii would get a higher minimum Medicare payment factor for their work. The rule would start January 1, 2026, and would not require cuts to other Medicare payments to balance the cost.
Use this page to support, oppose, or ask Congress to amend H.R.3263. Modern Action explains what the bill does, helps identify the right senators or representative, and drafts a bill-specific message you can edit and send.
Where it stands
Sitting in Energy and Commerce
No vote scheduled. Constituent contact is what moves bills out of committee.
↓ Why your message matters here
This bill is sitting in committee with no scheduled vote — which means a small number of constituent messages can decide whether it moves forward or quietly dies.
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Where this bill is in the process
Introduced
Introduced in House
House Committee
Under House committee consideration
Latest: Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned. (5/7/2025)
House Floor Vote
Voted on by House
Passed House
Approved by House
Senate Review
Sent to Senate for consideration
Passed Both Chambers
Approved by both House and Senate
Signed into Law
Signed by the President
For more detail
Choose one clear position: support, oppose, or amend. Then pick any reasons or personal context you want included. Modern Action uses that input and the bill context to draft a message you can edit and send.
Congressional offices prioritize messages from their own constituents. Modern Action uses your address to route the drafted message to your House representative when that is the most relevant target for this bill.
The draft includes the bill number, your position, the reasons you selected, any personal context you added, and a direct ask such as voting yes, voting no, cosponsoring, opposing, or seeking changes. You stay in control because you can edit the message before sending.
This page gives you an opportunity to support, oppose, or ask for changes to PATCH Act, then contact the elected officials who can act. Modern Action drafts the message from your position and the reasons you select.
Modern Action keeps the action tied to the bill itself: what it does, where it is in the process (committee), which office can still act, and what ask belongs in the message.
You are not starting from a blank form. Modern Action drafts the message around H.R.3263, your stance, and the reasons you choose, then lets you edit and send when ready.
