Official public comments on CMS-1848-P
18,574
comments posted so far — and counting
+2,224 posted today Closes September 14
Live from Regulations.gov. Counts only comments federal staff have already processed and posted — new submissions take days to appear, so the real total runs ahead of this number.

Scoreboard

Comments by specialty
1
Dermatology
30%
2
ENT
25%
3
Podiatry
15%
4
Orthopedics
12%
5
GI
4%
6
Allergy
1%
Share of comments coming from each specialty's patients and clinicians. Pick your care below and add your voice to the count.
Public comment closes September 14, 2026
Action 1 · Two minutes

Tell Medicare what this rule does to real patients

A proposed 2027 Medicare rule would pay a doctor in full for the more expensive service and only half for anything else done the same day. Medicare is required by law to read and respond to public comments — and comments from patients are far rarer than comments from doctors, which makes yours count more.

The public comment window closed on September 14. Thank you to everyone who spoke up. CMS now has to read and respond to every comment before finalizing the rule. The next step is Congress — write your representatives below.
Step 1 — Build your comment

These are things normally done at the same visit where the problem is found. Pick whatever is closest — or choose “something else” at the bottom.

Form letters that are all identical get counted once. Your own sentences are what give this weight.

Step 2 — Read it over and change anything
Step 3 — Send it
Open the government comment form →

Opens the official federal comment page in a new tab. Paste your comment in the box, add your name, and click Submit. It takes about a minute.

Why you have to paste it yourself: federal comments must be submitted by the person making them. No website is allowed to file a comment in your name — and comments filed in bulk by someone else get discounted. The paste is what makes yours count.
Action 2 · Works after the deadline too

Then tell Congress: this cut lands on your bill

Payment cuts close independent practices and push care into hospital-owned clinics, where the same visit costs more and adds a facility fee. Congress can fix the formula. Enter your ZIP and your letter to all three of your members is written for you.

−1.68%Proposed 2027 Medicare physician payment cut, while practice costs rise 2.5%[1]
82%Of U.S. physicians now work for hospitals or corporate entities[5]
+194%What Medicare pays extra for the same echocardiogram at a hospital clinic[7]

Your 20% coinsurance applies to the bigger hospital bill and the facility fee — $1.5 billion a year in extra patient cost sharing, per MedPAC.[7] Bipartisan bills (the Provider Reimbursement Stability Act, H.R. 8163, and the Patients First Act) would tie payment to actual practice costs.[4]

  1. Enter your ZIP to see your members of Congress.
  2. Add your name and city — your letter is written for you.
  3. Tap  Send via Democracy.io : paste your letter, add your address, and it goes to all three at once.
Looking up your representatives…

Feel free to edit — a personal story is the most persuasive thing you can add.

What happens next: your letter is copied and Democracy.io (a free, non-profit tool) opens in a new tab. Enter your address, paste the letter, send — one form, all three offices.
Prefer to contact each office individually? (or call — calls carry the most weight)
Sources
  1. CMS, CY 2027 Physician Fee Schedule Proposed Rule (CMS-1848-P), displayed July 14, 2026; comments due September 14, 2026. CMS fact sheet · Federal Register
  2. Proposed CY 2027 conversion factors: $32.8409 (non-QP, −1.68%) and $33.1693 (QP, −1.19%) vs. CY 2026; proposed Medicare Economic Index +2.5%. Same sources as [1].
  3. American Medical Association, statement on bipartisan Medicare reform, July 15, 2026. AMA statement
  4. H.R. 8163, Provider Reimbursement Stability Act (approved by House Ways & Means 44–0, May 21, 2026); Patients First Act (introduced July 15, 2026). AMA summary · Patients First Act release
  5. Physicians Advocacy Institute / Avalere Health, Physician Employment Trends and Practice Acquisitions 2018–2026: 82.0% of physicians employed by hospitals or corporate entities. PAI–Avalere report. AMA 2024 Physician Practice Benchmark Survey: 42.2% of physicians in private practice vs. 60.1% in 2012. AMA survey (PDF)
  6. AMA 2024 Benchmark Survey: 70.8% of physicians whose practices were sold to hospitals/health systems cited the need to negotiate higher payment rates. AMA survey (PDF)
  7. MedPAC, June 2023 Report to Congress, Ch. 8: echocardiogram paid 194% more in hospital outpatient departments; aligning payment would have cut beneficiary cost sharing by $1.5B in 2021. MedPAC report (PDF). KFF: drug/chemo administration paid 129–211% more in HOPDs. KFF analysis
  8. Stateline / KFF Health News reporting on facility fees ($503, $488, $355 patient examples). Stateline · PIRG
  9. Committee for a Responsible Federal Budget: full site-neutral payment would reduce beneficiary premiums and cost sharing by over $90B across a decade. CRFB analysis

Legislator lookup: 5 Calls / unitedstates project (public data). Comment count: Regulations.gov public API. This page stores nothing — your ZIP, name, story, and letter never leave your browser except when you submit them yourself.