{
  "legislationId": "119_HR_8163",
  "lastUpdate": "2026-04-13T14:41:44.439Z",
  "history": [
    {
      "timestamp": "2026-04-13T14:41:44.439Z",
      "source_url": "https://www.congress.gov/119/bills/hr8163/BILLS-119hr8163ih.htm",
      "model": "gemini-flash-lite-latest",
      "prompt_sent": "\nROLE: Fact Checker.\nZADANIE: Porównaj SOURCE (oryginał) i SUMMARY (streszczenie przygotowane przez inne AI).\n\nTwoim celem jest wykrycie \"ZMYŚLONYCH KONKRETÓW\" (Fabricated Entities) w SUMMARY.\n\nSOURCE:\n[Congressional Bills 119th Congress] [From the U.S. Government Publishing Office] [H.R. 8163 Introduced in House (IH)] <DOC> 119th CONGRESS 2d Session H. R. 8163 To amend title XVIII of the Social Security Act to ensure stability for provider payments under the Medicare program. _______________________________________________________________________ IN THE HOUSE OF REPRESENTATIVES March 30, 2026 Mr. Murphy (for himself, Mr. Schneider, Mr. Joyce of Pennsylvania, Mr. Suozzi, Mr. Onder, Mr. Panetta, Mrs. Miller-Meeks, Ms. Schrier, and Ms. Kelly of Illinois) introduced the following bill; which was 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 _______________________________________________________________________ A BILL To amend title XVIII of the Social Security Act to ensure stability for provider payments under the Medicare program. Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled, SECTION 1. SHORT TITLE. This Act may be cited as the ``Provider Reimbursement Stability Act of 2026''. SEC. 2. UPDATING THE BUDGET NEUTRALITY THRESHOLD. Section 1848(c)(2)(B)(ii)(II) of the Social Security Act (42 U.S.C. 1395w-4(c)(2)(B)(ii)(II)) is amended-- (1) by striking ``Subject to'' and inserting the following: ``(aa) In general.--Subject to''; (2) in item (aa), as inserted by paragraph (1), by striking ``$20,000,000'' and inserting ``the amount specified in item (bb) for such year''; and (3) by adding at the end the following new items: ``(bb) Amount specified.-- For purposes of item (aa), subject to item (cc), the amount specified in this item is-- ``(AA) for years before 2027, $20,000,000; ``(BB) for 2027, $54,300,000; and ``(CC) for 2028 and each subsequent year, the amount specified in this item for the preceding year. ``(cc) Indexing limitation on annual adjustments.--For 2032 and every subsequent fifth year, the Secretary shall increase the amount specified in item (bb) for such year by the cumulative percentage increase in the MEI (as defined in section 1842(i)(3)) applicable to physicians' services for each year occurring during the 5-year period ending on the last day of the preceding year.''. SEC. 3. BUDGET NEUTRALITY CORRECTIONS RELATING TO ESTIMATED UTILIZATION. (a) In General.--Section 1848(c)(2)(B) of the Social Security Act (42 U.S.C. 1395w-4(c)(2)(B)) is amended by adding at the end the following new clause: ``(vii) Budget neutrality corrections relating to estimated utilization.-- ``(I) In general.--In the case of a budget neutrality adjustment applied pursuant to clause (ii)(II) for a year (beginning with 2027) that is determined in part using estimated utilization (as defined in subclause (II)(bb)) with respect to a specified service (as defined in subclause (II)(cc)), the Secretary shall, as part of the final rule establishing the physician fee schedule under this section for the assumption correction period (as defined in subclause (II)(aa)) with respect to such year-- ``(aa) determine the difference between expenditures for such service in such year using estimated utilization and actual utilization for such service (in a manner determined appropriate by the Secretary); and ``(bb) in the case that the Secretary determines the difference described in item (aa) is greater than the threshold amount (as defined in subclause (II)(dd)) for such year, adjust the conversion factor under this section for such assumption correction period by such amount to reconcile such difference (which may be positive or negative), as determined by the Secretary. ``(II) Definitions.--For purposes of this clause: ``(aa) Assumption correction period.--The term `assumption correction period' means, with respect to a year, the second year beginning after such year. ``(bb) Estimated utilization.--The term `estimated utilization' means an estimate of utilization used for purposes of applying clause (ii)(II). ``(cc) Specified service.-- The term `specified service' means, with respect to a year, a service-- ``(AA) with expected expenditures for such year under this part based on estimated utilization that exceed the threshold amount (as defined in item (dd)) for such year; and ``(BB) for which payment had been bundled into payment for another service during the preceding year and for which a separate payment or add-on payment is made during such year. ``(dd) Threshold amount.-- The term `threshold amount' means, with respect to a year, 0.1 percent of the total estimated expenditures under this part for services furnished under this section during such year.''. (b) Nonapplication of Budget Neutrality to Reconciliation Adjustments.--Section 1848(c)(2)(B) of the Social Security Act (42 U.S.C. 1395w-4(c)(2)(B)) is amended-- (1) in clause (iv)-- (A) in subclause (V), by striking ``and'' at the end; (B) in subclause (VI), by striking the period and inserting ``; and''; and (C) by adding at the end the following new subclause: ``(VII) clause (vii)(I)(bb) for an assumption correction period (as defined in clause (vii)(II)) shall not be taken into account in applying clause (ii)(II) with respect to such period.''; and (2) in clause (v), by adding at the end the following new subclause: ``(XII) Reductions attributable to an assumption correction.--For an assumption correction period (as defined in clause (vii)(II)), reduced expenditures attributable to application of clause (vii)(I)(bb) with respect to such period.''. SEC. 4. TIMELY UPDATES TO DIRECT COSTS USED TO CALCULATE PRACTICE EXPENSE RVUS. Section 1848(c)(2)(B) of the Social Security Act (42 U.S.C. 1395w- 4(c)(2)(B)), as amended by section 3, is further amended by adding at the end the following new clause: ``(viii) Timely updates to direct costs used to calculate practice expense relative value units.-- ``(I) Simultaneous updates to direct cost inputs at least once every 5 years.--The Secretary shall, not less often than every 5 years, update the prices and rates, as applicable, on a category-wide basis for each of the categories of direct cost inputs described in subclause (II) used in the methodology for calculating the practice expense relative value units under this subsection for physicians' services. Updates made pursuant to the previous sentence shall be made in the same year for all categories of direct cost inputs described in such subclause. ``(II) Direct cost inputs categories described.--For purposes of this clause, the categories of direct cost inputs described in this subclause are clinical staff wage rates, prices of medical supplies, prices of equipment, and any other category of such inputs used in the methodology described in subclause (I) (as specified by the Secretary). ``(III) Consultation.--In making the updates under this clause, the Secretary shall consult with relevant stakeholders, including physician specialty societies.''. SEC. 5. LIMITATION ON YEAR-TO-YEAR CONVERSION FACTOR VARIANCE. Section 1848(c)(2)(B) of the Social Security Act (42 U.S.C. 1395w- 4(c)(2)(B)), as amended by sections 3 and 4, is further amended by adding at the end the following new clause: ``(ix) Limitation on conversion factor variance.-- ``(I) In general.--Beginning with 2027, the Secretary may not, for purposes of complying with clause (ii)(II), apply a budget neutrality adjustment to a conversion factor established under subsection (d) for such year that would cause such factor, not taking into account any adjustment to such factor for such year provided under such subsection, to vary by more than 2.5 percent compared to such factor so established for the preceding year. ``(II) Continued applicability of budget neutrality requirement.--Nothing in subclause (I) may be construed to alter the requirement described in clause (ii)(II).''. <all>\n\nSUMMARY TO EVALUATE:\nTitle: Provider Reimbursement Stability Act of 2026\nSummary: This bill aims to stabilize payments to healthcare providers under Medicare to ensure patients have consistent access to care. It prevents sudden, large cuts to doctor fees by updating financial rules and limiting annual payment changes.\nKey Points: Increases the financial threshold to prevent automatic payment cuts to doctors., Limits annual changes in Medicare payment rates to a maximum of 2.5%., Requires regular updates to the costs of running a medical practice, including staff wages and equipment prices., Creates a system to correct payment errors based on inaccurate estimates of medical service usage.\n\nZASADY OCENY:\n1. Sprawdź wszystkie LICZBY, DATY i KWOTY w SUMMARY. Jeśli którejś brakuje w SOURCE -> is_valid: false.\n2. Sprawdź wszystkie NAZWISKA, ORGANIZACJE i MIEJSCA w SUMMARY. Jeśli którejś brakuje w SOURCE -> is_valid: false.\n3. Sprawdź wszystkie konkretne DZIAŁANIA PRAWNE . Jeśli tego mechanizmu nie ma w SOURCE -> is_valid: false.\n\nWAŻNE: Abstrakcyjne pojęcia (np. \"transparentność\", \"zaufanie\") są dozwolone jako wnioski.\n\nOUTPUT (JSON):\n{\n  \"is_valid\": true/false,\n  \"issue\": \"fabricated_entity\" / \"contradiction\" / \"none\"\n}\n\nWYMAGANIA FORMATOWANIA:\n1. Odpowiedz WYŁĄCZNIE surowym obiektem JSON.\n2. NIE używaj bloków kodu Markdown.\n3. NIE dodawaj żadnych wstępów ani wyjaśnień przed ani po JSONie.\n4. JSON musi być poprawny i gotowy do parsowania.\n\n",
      "ai_response_raw": "{\n  \"is_valid\": true,\n  \"issue\": \"none\"\n}"
    },
    {
      "timestamp": "2026-04-13T14:17:41.370Z",
      "source_url": "https://www.congress.gov/119/bills/hr8163/BILLS-119hr8163ih.htm",
      "model": "gemini-flash-latest",
      "prompt_sent": "\nJesteś ekspertem od prawa Stanów Zjednoczonych, który ma za zadanie analizować dokumenty ustaw, uchwał oraz innych dokumentów legislacyjnych, a następnie przygotowywać z nich informacje w przystępny sposób dla obywateli. Twoim celem jest przedstawienie informacji tak, aby obywatele mogli sami ocenić wpływ legislacji na ich życie, nawet bez posiadania specjalistycznej wiedzy legislacyjnej. Skup się na faktach i obiektywnych skutkach wprowadzanych zmian, unikając wartościowania i osobistych opinii. Wszelki żargon prawny jest zabroniony. Prezentuj informacje w jasny, zwięzły i angażujący sposób, tak aby były zrozumiałe dla osoby bez wykształcenia prawniczego. Unikaj długich, złożonych zdań. Zamiast pisać \"projekt ma na celu nowelizację kodeksu podatkowego...\", napisz \"Zmiany w podatkach: nowe ulgi i obowiązki dla...\". Kontynuuj swoją pracę, dopóki nie rozwiążesz swojego zadania. Jeśli nie masz pewności co do generowanej treści, przeanalizuj dokument ponownie – nie zgaduj. Rozplanuj dobrze swoje zadanie przed przystąpieniem do niego. W podsumowaniu i kluczowych punktach, jeśli to możliwe i uzasadnione, podkreśl, jakie konkretne korzyści lub skutki (pozytywne lub negatywne) wprowadza ustawa dla życia codziennego obywateli, ich praw i obowiązków, finansów osobistych, bezpieczeństwa i innych ważnych kwestii (np. kategorycznych zakazów i nakazów czy najważniejszych konkretnych alokacji finansowych i terytorialnych).\n\nTwoja odpowiedź MUSI być w formacie JSON - i zawierać następujące klucze.\nZanim zwrócisz odpowiedź, dokładnie zweryfikuj, czy cała struktura JSON jest w 100% poprawna, włącznie ze wszystkimi przecinkami, nawiasami klamrowymi, kwadratowymi oraz cudzysłowami. Błędny JSON jest nieakceptowalny i uniemożliwi przetworzenie Twojej pracy.\n\nPrzeanalizuj dokładnie poniższy tekst dokumentu prawnego. To jest treść, na podstawie której masz wygenerować podsumowanie i kluczowe punkty:\n--- POCZĄTEK DOKUMENTU ---\n[Congressional Bills 119th Congress] [From the U.S. Government Publishing Office] [H.R. 8163 Introduced in House (IH)] <DOC> 119th CONGRESS 2d Session H. R. 8163 To amend title XVIII of the Social Security Act to ensure stability for provider payments under the Medicare program. _______________________________________________________________________ IN THE HOUSE OF REPRESENTATIVES March 30, 2026 Mr. Murphy (for himself, Mr. Schneider, Mr. Joyce of Pennsylvania, Mr. Suozzi, Mr. Onder, Mr. Panetta, Mrs. Miller-Meeks, Ms. Schrier, and Ms. Kelly of Illinois) introduced the following bill; which was 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 _______________________________________________________________________ A BILL To amend title XVIII of the Social Security Act to ensure stability for provider payments under the Medicare program. Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled, SECTION 1. SHORT TITLE. This Act may be cited as the ``Provider Reimbursement Stability Act of 2026''. SEC. 2. UPDATING THE BUDGET NEUTRALITY THRESHOLD. Section 1848(c)(2)(B)(ii)(II) of the Social Security Act (42 U.S.C. 1395w-4(c)(2)(B)(ii)(II)) is amended-- (1) by striking ``Subject to'' and inserting the following: ``(aa) In general.--Subject to''; (2) in item (aa), as inserted by paragraph (1), by striking ``$20,000,000'' and inserting ``the amount specified in item (bb) for such year''; and (3) by adding at the end the following new items: ``(bb) Amount specified.-- For purposes of item (aa), subject to item (cc), the amount specified in this item is-- ``(AA) for years before 2027, $20,000,000; ``(BB) for 2027, $54,300,000; and ``(CC) for 2028 and each subsequent year, the amount specified in this item for the preceding year. ``(cc) Indexing limitation on annual adjustments.--For 2032 and every subsequent fifth year, the Secretary shall increase the amount specified in item (bb) for such year by the cumulative percentage increase in the MEI (as defined in section 1842(i)(3)) applicable to physicians' services for each year occurring during the 5-year period ending on the last day of the preceding year.''. SEC. 3. BUDGET NEUTRALITY CORRECTIONS RELATING TO ESTIMATED UTILIZATION. (a) In General.--Section 1848(c)(2)(B) of the Social Security Act (42 U.S.C. 1395w-4(c)(2)(B)) is amended by adding at the end the following new clause: ``(vii) Budget neutrality corrections relating to estimated utilization.-- ``(I) In general.--In the case of a budget neutrality adjustment applied pursuant to clause (ii)(II) for a year (beginning with 2027) that is determined in part using estimated utilization (as defined in subclause (II)(bb)) with respect to a specified service (as defined in subclause (II)(cc)), the Secretary shall, as part of the final rule establishing the physician fee schedule under this section for the assumption correction period (as defined in subclause (II)(aa)) with respect to such year-- ``(aa) determine the difference between expenditures for such service in such year using estimated utilization and actual utilization for such service (in a manner determined appropriate by the Secretary); and ``(bb) in the case that the Secretary determines the difference described in item (aa) is greater than the threshold amount (as defined in subclause (II)(dd)) for such year, adjust the conversion factor under this section for such assumption correction period by such amount to reconcile such difference (which may be positive or negative), as determined by the Secretary. ``(II) Definitions.--For purposes of this clause: ``(aa) Assumption correction period.--The term `assumption correction period' means, with respect to a year, the second year beginning after such year. ``(bb) Estimated utilization.--The term `estimated utilization' means an estimate of utilization used for purposes of applying clause (ii)(II). ``(cc) Specified service.-- The term `specified service' means, with respect to a year, a service-- ``(AA) with expected expenditures for such year under this part based on estimated utilization that exceed the threshold amount (as defined in item (dd)) for such year; and ``(BB) for which payment had been bundled into payment for another service during the preceding year and for which a separate payment or add-on payment is made during such year. ``(dd) Threshold amount.-- The term `threshold amount' means, with respect to a year, 0.1 percent of the total estimated expenditures under this part for services furnished under this section during such year.''. (b) Nonapplication of Budget Neutrality to Reconciliation Adjustments.--Section 1848(c)(2)(B) of the Social Security Act (42 U.S.C. 1395w-4(c)(2)(B)) is amended-- (1) in clause (iv)-- (A) in subclause (V), by striking ``and'' at the end; (B) in subclause (VI), by striking the period and inserting ``; and''; and (C) by adding at the end the following new subclause: ``(VII) clause (vii)(I)(bb) for an assumption correction period (as defined in clause (vii)(II)) shall not be taken into account in applying clause (ii)(II) with respect to such period.''; and (2) in clause (v), by adding at the end the following new subclause: ``(XII) Reductions attributable to an assumption correction.--For an assumption correction period (as defined in clause (vii)(II)), reduced expenditures attributable to application of clause (vii)(I)(bb) with respect to such period.''. SEC. 4. TIMELY UPDATES TO DIRECT COSTS USED TO CALCULATE PRACTICE EXPENSE RVUS. Section 1848(c)(2)(B) of the Social Security Act (42 U.S.C. 1395w- 4(c)(2)(B)), as amended by section 3, is further amended by adding at the end the following new clause: ``(viii) Timely updates to direct costs used to calculate practice expense relative value units.-- ``(I) Simultaneous updates to direct cost inputs at least once every 5 years.--The Secretary shall, not less often than every 5 years, update the prices and rates, as applicable, on a category-wide basis for each of the categories of direct cost inputs described in subclause (II) used in the methodology for calculating the practice expense relative value units under this subsection for physicians' services. Updates made pursuant to the previous sentence shall be made in the same year for all categories of direct cost inputs described in such subclause. ``(II) Direct cost inputs categories described.--For purposes of this clause, the categories of direct cost inputs described in this subclause are clinical staff wage rates, prices of medical supplies, prices of equipment, and any other category of such inputs used in the methodology described in subclause (I) (as specified by the Secretary). ``(III) Consultation.--In making the updates under this clause, the Secretary shall consult with relevant stakeholders, including physician specialty societies.''. SEC. 5. LIMITATION ON YEAR-TO-YEAR CONVERSION FACTOR VARIANCE. Section 1848(c)(2)(B) of the Social Security Act (42 U.S.C. 1395w- 4(c)(2)(B)), as amended by sections 3 and 4, is further amended by adding at the end the following new clause: ``(ix) Limitation on conversion factor variance.-- ``(I) In general.--Beginning with 2027, the Secretary may not, for purposes of complying with clause (ii)(II), apply a budget neutrality adjustment to a conversion factor established under subsection (d) for such year that would cause such factor, not taking into account any adjustment to such factor for such year provided under such subsection, to vary by more than 2.5 percent compared to such factor so established for the preceding year. ``(II) Continued applicability of budget neutrality requirement.--Nothing in subclause (I) may be construed to alter the requirement described in clause (ii)(II).''. <all>\n--- KONIEC DOKUMENTU ---\n\nPAMIĘTAJ: Twoja odpowiedź MUSI być wyłącznie poprawnym obiektem JSON. Nie dodawaj żadnych dodatkowych znaków, komentarzy ani tekstu przed znacznikiem '{' ani po znaczniku '}'. Cała odpowiedź musi być parsowalna jako JSON.\nNa podstawie POWYŻSZEGO dokumentu, wypełnij poniższą strukturę JSON:\nOto struktura JSON, której oczekuję (wypełnij ją treścią):\n{\n  \"pl_ai_title\": \"Nowy, krótki tytuł dla aktu prawnego po polsku, oddający sedno wprowadzanych zmian (np. maksymalnie 10-12 słów).\",\n  \"pl_summary\": \"2-3 zdania zwięzłego podsumowania treści aktu prawnego po polsku, napisane z perspektywy wpływu na życie codzienne obywateli.\",\n  \"pl_key_points\": [\n    \"Pierwszy krótki punkt po polsku dotyczący najważniejszych wprowadzanych rozwiązań lub zmian.\",\n    \"Drugi krótki punkt po polsku...\"\n  ],\n  \"eng_ai_title\": \"A new, short title for the legal act in English, capturing the essence of the changes (e.g., max 10-12 words).\",\n  \"eng_summary\": \"2-3 sentences summarizing the legal act in English, from the perspective of its impact on citizens' daily lives.\",\n  \"eng_key_points\": [\n    \"First short bullet point in English regarding the most important solutions or changes being introduced.\",\n    \"Second short bullet point in English...\"\n  ],\n  \"de_ai_title\": \"Ein neuer, kurzer Titel für das Rechtsdokument auf Deutsch, der den Kern der Änderungen erfasst (z.B. max. 10-12 Wörter).\",\n  \"de_summary\": \"2-3 Sätze Zusammenfassung des Rechtsdokuments auf Deutsch, aus der Perspektive seiner Auswirkungen auf das tägliche Leben der Bürger.\",\n  \"de_key_points\": [\n    \"Erster kurzer Stichpunkt auf Deutsch zu den wichtigsten eingeführten Lösungen oder Änderungen.\",\n    \"Zweiter kurzer Stichpunkt auf Deutsch...\"\n  ],\n  \"fr_ai_title\": \"Un nouveau titre court pour l'acte juridique en français, saisissant l'essence des changements (par exemple, 10-12 mots maximum).\",\n  \"fr_summary\": \"Résumé de 2-3 phrases de l'acte juridique en français, du point de vue de son impact sur la vie quotidienne des citoyens.\",\n  \"fr_key_points\": [\n    \"Premier court point en français concernant les solutions ou changements les plus importants introduits.\",\n    \"Deuxième court point en français...\"\n  ],\n  \"es_ai_title\": \"Un nuevo título breve para el acto jurídico en español, que recoja la esencia de los cambios (por ejemplo, máximo 10-12 palabras).\",\n  \"es_summary\": \"Resumen de 2-3 frases del acto jurídico en español, desde la perspectiva de su impacto en la vida cotidiana de los ciudadanos.\",\n  \"es_key_points\": [\n    \"Primer punto breve en español sobre las soluciones o cambios más importantes que se introducen.\",\n    \"Segundo punto breve en español...\"\n  ],\n  \"it_ai_title\": \"Un nuovo titolo breve per l'atto giuridico in italiano, che colga l'essenza delle modifiche (ad es. massimo 10-12 parole).\",\n  \"it_summary\": \"Riepilogo di 2-3 frasi dell'atto giuridico in italiano, dal punto di vista del suo impatto sulla vita quotidiana dei cittadini.\",\n  \"it_key_points\": [\n    \"Primo breve punto in italiano riguardante le soluzioni o le modifiche più importanti introdotte.\",\n    \"Secondo breve punto in italiano...\"\n  ],\n  \"nl_ai_title\": \"Een nieuwe, korte titel voor de rechtshandeling in het Nederlands, die de essentie van de wijzigingen weergeeft (bijv. max. 10-12 woorden).\",\n  \"nl_summary\": \"Samenvatting van 2-3 zinnen van de rechtshandeling in het Nederlands, vanuit het perspectief van de impact op het dagelijks leven van burgers.\",\n  \"nl_key_points\": [\n    \"Eerste korte punt in het Nederlands betreffende de belangrijkste geïntroduceerde oplossingen of wijzigingen.\",\n    \"Tweede korte punt in het Nederlands...\"\n  ],\n  \"pt_ai_title\": \"Um novo título curto para o ato jurídico em português, capturando a essência das mudanças (por exemplo, máx. 10-12 palavras).\",\n  \"pt_summary\": \"Resumo de 2-3 frases do ato jurídico em português, na perspetiva do seu impacto na vida quotidiana dos cidadãos.\",\n  \"pt_key_points\": [\n    \"Primeiro ponto curto em português sobre as soluções ou alterações mais importantes introduzidas.\",\n    \"Segundo ponto curto em português...\"\n  ],\n  \"category\": [\"Categorize the document into one category by default, based on the field it primarily concerns. Choose up to 3 if the document also touches upon SIGNIFICANT issues from other categories. You MUST select categories ONLY from the following list: Health, Education, Family, Taxes, Labor, Security, Environment, Courts and Law, Transport, Benefits, Real Estate, Media and Culture, Local Government, Migration, Agriculture, Public Investments, Informatization, Economy. If the document does not definitively fit any of these, you MUST use \"Other\". If you use \"Other\", it should be the ONLY category selected. Do NOT invent new categories. The response must be an array of strings, e.g., [\"Taxes\", \"Family\"].\"]\n}\n\n",
      "ai_response_raw": "{\n  \"pl_ai_title\": \"Ustawa o stabilizacji wynagrodzeń lekarzy w programie Medicare\",\n  \"pl_summary\": \"Projekt ma na celu zapewnienie stabilności finansowej lekarzom świadczącym usługi w ramach Medicare, co chroni pacjentów przed nagłymi zmianami w dostępie do opieki. Dzięki nowym przepisom stawki płac dla medyków będą bardziej przewidywalne i odporne na gwałtowne cięcia budżetowe.\",\n  \"pl_key_points\": [\n    \"Podniesienie progu finansowego dla korekt budżetowych, co zapobiegnie automatycznym obniżkom wynagrodzeń lekarzy.\",\n    \"Wprowadzenie limitu zmian stawek płatności w Medicare do maksymalnie 2,5% w skali roku.\",\n    \"Obowiązek regularnej aktualizacji kosztów prowadzenia gabinetów, takich jak pensje personelu i ceny sprzętu medycznego.\",\n    \"Wprowadzenie mechanizmu korygowania błędnych szacunków dotyczących liczby wykonywanych usług medycznych.\"\n  ],\n  \"eng_ai_title\": \"Provider Reimbursement Stability Act of 2026\",\n  \"eng_summary\": \"This bill aims to stabilize payments to healthcare providers under Medicare to ensure patients have consistent access to care. It prevents sudden, large cuts to doctor fees by updating financial rules and limiting annual payment changes.\",\n  \"eng_key_points\": [\n    \"Increases the financial threshold to prevent automatic payment cuts to doctors.\",\n    \"Limits annual changes in Medicare payment rates to a maximum of 2.5%.\",\n    \"Requires regular updates to the costs of running a medical practice, including staff wages and equipment prices.\",\n    \"Creates a system to correct payment errors based on inaccurate estimates of medical service usage.\"\n  ],\n  \"de_ai_title\": \"Gesetz zur Stabilisierung der Vergütung von Gesundheitsdienstleistern 2026\",\n  \"de_summary\": \"Dieses Gesetz zielt darauf ab, die Zahlungen an Ärzte im Rahmen von Medicare zu stabilisieren, um eine kontinuierliche Versorgung der Patienten zu gewährleisten. Es verhindert plötzliche Honorarkürzungen durch die Aktualisierung von Finanzregeln und die Begrenzung jährlicher Schwankungen.\",\n  \"de_key_points\": [\n    \"Erhöhung der finanziellen Schwellenwerte, um automatische Kürzungen der Arztgehälter zu vermeiden.\",\n    \"Begrenzung der jährlichen Schwankungen der Medicare-Zahlungssätze auf maximal 2,5 %.\",\n    \"Regelmäßige Aktualisierung der Betriebskosten für Arztpraxen, wie Personalgehälter und Materialpreise.\",\n    \"Einführung eines Mechanismus zur Korrektur von Zahlungsfehlern, die auf falschen Schätzungen der Inanspruchnahme von Leistungen beruhen.\"\n  ],\n  \"fr_ai_title\": \"Loi de 2026 sur la stabilité du remboursement des prestataires de soins\",\n  \"fr_summary\": \"Ce projet de loi vise à stabiliser les paiements versés aux médecins dans le cadre de Medicare afin de garantir un accès constant aux soins pour les patients. Il limite les baisses soudaines de revenus pour les professionnels de santé en ajustant les règles budgétaires.\",\n  \"fr_key_points\": [\n    \"Augmentation du seuil financier pour éviter les coupes automatiques dans les paiements aux médecins.\",\n    \"Limitation des variations annuelles des tarifs Medicare à un maximum de 2,5 %.\",\n    \"Mise à jour régulière des coûts de fonctionnement des cabinets médicaux, incluant les salaires et l'équipement.\",\n    \"Création d'un système pour corriger les erreurs de paiement basées sur des estimations inexactes de l'utilisation des services.\"\n  ],\n  \"es_ai_title\": \"Ley de Estabilidad en el Reembolso a Proveedores de Salud de 2026\",\n  \"es_summary\": \"Esta ley busca estabilizar los pagos a los médicos bajo el programa Medicare para asegurar que los pacientes mantengan su acceso a la atención médica. Evita recortes bruscos en los honorarios médicos mediante la actualización de normas financieras y límites anuales.\",\n  \"es_key_points\": [\n    \"Aumento del umbral financiero para evitar recortes automáticos en los pagos a los médicos.\",\n    \"Límite a las variaciones anuales de las tarifas de Medicare a un máximo del 2,5 %.\",\n    \"Actualización periódica de los costos operativos de las clínicas, como salarios del personal y suministros médicos.\",\n    \"Implementación de un mecanismo para corregir errores de pago derivados de estimaciones incorrectas sobre el uso de servicios.\"\n  ],\n  \"it_ai_title\": \"Legge del 2026 sulla stabilità dei rimborsi per gli operatori sanitari\",\n  \"it_summary\": \"Questa legge mira a stabilizzare i pagamenti ai medici nell'ambito di Medicare per garantire ai pazienti un accesso costante alle cure. Impedisce tagli improvvisi ai compensi dei medici aggiornando le soglie finanziarie e limitando le variazioni annuali.\",\n  \"it_key_points\": [\n    \"Innalzamento della soglia finanziaria per evitare tagli automatici ai pagamenti dei medici.\",\n    \"Limite alle variazioni annuali delle tariffe Medicare a un massimo del 2,5%.\",\n    \"Aggiornamento regolare dei costi di gestione degli studi medici, inclusi stipendi del personale e attrezzature.\",\n    \"Introduzione di un sistema per correggere gli errori di pagamento basati su stime imprecise dell'utilizzo dei servizi.\"\n  ],\n  \"nl_ai_title\": \"Wet op de stabiliteit van vergoedingen voor zorgverleners van 2026\",\n  \"nl_summary\": \"Deze wet is bedoeld om de betalingen aan artsen binnen Medicare te stabiliseren, zodat patiënten verzekerd blijven van toegang tot zorg. Het voorkomt plotselinge verlagingen van vergoedingen door financiële regels aan te passen en jaarlijkse schommelingen te beperken.\",\n  \"nl_key_points\": [\n    \"Verhoging van de financiële drempel om automatische kortingen op artsenvergoedingen te voorkomen.\",\n    \"Beperking van de jaarlijkse schommelingen in Medicare-tarieven tot maximaal 2,5%.\",\n    \"Regelmatige updates van de praktijkkosten, zoals personeelssalarissen en medische apparatuur.\",\n    \"Invoering van een systeem om betalingsfouten op basis van onjuiste gebruiksschattingen te corrigeren.\"\n  ],\n  \"pt_ai_title\": \"Lei de Estabilidade no Reembolso de Prestadores de Saúde de 2026\",\n  \"pt_summary\": \"Esta lei visa estabilizar os pagamentos aos médicos no âmbito do Medicare para garantir que os pacientes tenham acesso contínuo a cuidados de saúde. Evita cortes repentinos nos honorários médicos através da atualização de regras financeiras e limites anuais.\",\n  \"pt_key_points\": [\n    \"Aumento do limite financeiro para evitar cortes automáticos nos pagamentos aos médicos.\",\n    \"Limite às variações anuais das taxas do Medicare a um máximo de 2,5%.\",\n    \"Atualização regular dos custos de funcionamento dos consultórios, incluindo salários de funcionários e equipamentos.\",\n    \"Criação de um mecanismo para corrigir erros de pagamento baseados em estimativas incorretas de uso de serviços.\"\n  ],\n  \"category\": [\"Health\"]\n}"
    },
    {
      "timestamp": "2026-04-13T14:17:39.440Z",
      "source_url": "https://www.congress.gov/119/bills/hr8163/BILLS-119hr8163ih.htm",
      "model": "gemini-flash-latest",
      "prompt_sent": "\nJesteś ekspertem od prawa Stanów Zjednoczonych, który ma za zadanie analizować dokumenty ustaw, uchwał oraz innych dokumentów legislacyjnych, a następnie przygotowywać z nich informacje w przystępny sposób dla obywateli. Twoim celem jest przedstawienie informacji tak, aby obywatele mogli sami ocenić wpływ legislacji na ich życie, nawet bez posiadania specjalistycznej wiedzy legislacyjnej. Skup się na faktach i obiektywnych skutkach wprowadzanych zmian, unikając wartościowania i osobistych opinii. Wszelki żargon prawny jest zabroniony. Prezentuj informacje w jasny, zwięzły i angażujący sposób, tak aby były zrozumiałe dla osoby bez wykształcenia prawniczego. Unikaj długich, złożonych zdań. Zamiast pisać \"projekt ma na celu nowelizację kodeksu podatkowego...\", napisz \"Zmiany w podatkach: nowe ulgi i obowiązki dla...\". Kontynuuj swoją pracę, dopóki nie rozwiążesz swojego zadania. Jeśli nie masz pewności co do generowanej treści, przeanalizuj dokument ponownie – nie zgaduj. Rozplanuj dobrze swoje zadanie przed przystąpieniem do niego. W podsumowaniu i kluczowych punktach, jeśli to możliwe i uzasadnione, podkreśl, jakie konkretne korzyści lub skutki (pozytywne lub negatywne) wprowadza ustawa dla życia codziennego obywateli, ich praw i obowiązków, finansów osobistych, bezpieczeństwa i innych ważnych kwestii (np. kategorycznych zakazów i nakazów czy najważniejszych konkretnych alokacji finansowych i terytorialnych).\n\nTwoja odpowiedź MUSI być w formacie JSON - i zawierać następujące klucze.\nZanim zwrócisz odpowiedź, dokładnie zweryfikuj, czy cała struktura JSON jest w 100% poprawna, włącznie ze wszystkimi przecinkami, nawiasami klamrowymi, kwadratowymi oraz cudzysłowami. Błędny JSON jest nieakceptowalny i uniemożliwi przetworzenie Twojej pracy.\n\nPrzeanalizuj dokładnie poniższy tekst dokumentu prawnego. To jest treść, na podstawie której masz wygenerować podsumowanie i kluczowe punkty:\n--- POCZĄTEK DOKUMENTU ---\n[Congressional Bills 119th Congress] [From the U.S. Government Publishing Office] [H.R. 8163 Introduced in House (IH)] <DOC> 119th CONGRESS 2d Session H. R. 8163 To amend title XVIII of the Social Security Act to ensure stability for provider payments under the Medicare program. _______________________________________________________________________ IN THE HOUSE OF REPRESENTATIVES March 30, 2026 Mr. Murphy (for himself, Mr. Schneider, Mr. Joyce of Pennsylvania, Mr. Suozzi, Mr. Onder, Mr. Panetta, Mrs. Miller-Meeks, Ms. Schrier, and Ms. Kelly of Illinois) introduced the following bill; which was 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 _______________________________________________________________________ A BILL To amend title XVIII of the Social Security Act to ensure stability for provider payments under the Medicare program. Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled, SECTION 1. SHORT TITLE. This Act may be cited as the ``Provider Reimbursement Stability Act of 2026''. SEC. 2. UPDATING THE BUDGET NEUTRALITY THRESHOLD. Section 1848(c)(2)(B)(ii)(II) of the Social Security Act (42 U.S.C. 1395w-4(c)(2)(B)(ii)(II)) is amended-- (1) by striking ``Subject to'' and inserting the following: ``(aa) In general.--Subject to''; (2) in item (aa), as inserted by paragraph (1), by striking ``$20,000,000'' and inserting ``the amount specified in item (bb) for such year''; and (3) by adding at the end the following new items: ``(bb) Amount specified.-- For purposes of item (aa), subject to item (cc), the amount specified in this item is-- ``(AA) for years before 2027, $20,000,000; ``(BB) for 2027, $54,300,000; and ``(CC) for 2028 and each subsequent year, the amount specified in this item for the preceding year. ``(cc) Indexing limitation on annual adjustments.--For 2032 and every subsequent fifth year, the Secretary shall increase the amount specified in item (bb) for such year by the cumulative percentage increase in the MEI (as defined in section 1842(i)(3)) applicable to physicians' services for each year occurring during the 5-year period ending on the last day of the preceding year.''. SEC. 3. BUDGET NEUTRALITY CORRECTIONS RELATING TO ESTIMATED UTILIZATION. (a) In General.--Section 1848(c)(2)(B) of the Social Security Act (42 U.S.C. 1395w-4(c)(2)(B)) is amended by adding at the end the following new clause: ``(vii) Budget neutrality corrections relating to estimated utilization.-- ``(I) In general.--In the case of a budget neutrality adjustment applied pursuant to clause (ii)(II) for a year (beginning with 2027) that is determined in part using estimated utilization (as defined in subclause (II)(bb)) with respect to a specified service (as defined in subclause (II)(cc)), the Secretary shall, as part of the final rule establishing the physician fee schedule under this section for the assumption correction period (as defined in subclause (II)(aa)) with respect to such year-- ``(aa) determine the difference between expenditures for such service in such year using estimated utilization and actual utilization for such service (in a manner determined appropriate by the Secretary); and ``(bb) in the case that the Secretary determines the difference described in item (aa) is greater than the threshold amount (as defined in subclause (II)(dd)) for such year, adjust the conversion factor under this section for such assumption correction period by such amount to reconcile such difference (which may be positive or negative), as determined by the Secretary. ``(II) Definitions.--For purposes of this clause: ``(aa) Assumption correction period.--The term `assumption correction period' means, with respect to a year, the second year beginning after such year. ``(bb) Estimated utilization.--The term `estimated utilization' means an estimate of utilization used for purposes of applying clause (ii)(II). ``(cc) Specified service.-- The term `specified service' means, with respect to a year, a service-- ``(AA) with expected expenditures for such year under this part based on estimated utilization that exceed the threshold amount (as defined in item (dd)) for such year; and ``(BB) for which payment had been bundled into payment for another service during the preceding year and for which a separate payment or add-on payment is made during such year. ``(dd) Threshold amount.-- The term `threshold amount' means, with respect to a year, 0.1 percent of the total estimated expenditures under this part for services furnished under this section during such year.''. (b) Nonapplication of Budget Neutrality to Reconciliation Adjustments.--Section 1848(c)(2)(B) of the Social Security Act (42 U.S.C. 1395w-4(c)(2)(B)) is amended-- (1) in clause (iv)-- (A) in subclause (V), by striking ``and'' at the end; (B) in subclause (VI), by striking the period and inserting ``; and''; and (C) by adding at the end the following new subclause: ``(VII) clause (vii)(I)(bb) for an assumption correction period (as defined in clause (vii)(II)) shall not be taken into account in applying clause (ii)(II) with respect to such period.''; and (2) in clause (v), by adding at the end the following new subclause: ``(XII) Reductions attributable to an assumption correction.--For an assumption correction period (as defined in clause (vii)(II)), reduced expenditures attributable to application of clause (vii)(I)(bb) with respect to such period.''. SEC. 4. TIMELY UPDATES TO DIRECT COSTS USED TO CALCULATE PRACTICE EXPENSE RVUS. Section 1848(c)(2)(B) of the Social Security Act (42 U.S.C. 1395w- 4(c)(2)(B)), as amended by section 3, is further amended by adding at the end the following new clause: ``(viii) Timely updates to direct costs used to calculate practice expense relative value units.-- ``(I) Simultaneous updates to direct cost inputs at least once every 5 years.--The Secretary shall, not less often than every 5 years, update the prices and rates, as applicable, on a category-wide basis for each of the categories of direct cost inputs described in subclause (II) used in the methodology for calculating the practice expense relative value units under this subsection for physicians' services. Updates made pursuant to the previous sentence shall be made in the same year for all categories of direct cost inputs described in such subclause. ``(II) Direct cost inputs categories described.--For purposes of this clause, the categories of direct cost inputs described in this subclause are clinical staff wage rates, prices of medical supplies, prices of equipment, and any other category of such inputs used in the methodology described in subclause (I) (as specified by the Secretary). ``(III) Consultation.--In making the updates under this clause, the Secretary shall consult with relevant stakeholders, including physician specialty societies.''. SEC. 5. LIMITATION ON YEAR-TO-YEAR CONVERSION FACTOR VARIANCE. Section 1848(c)(2)(B) of the Social Security Act (42 U.S.C. 1395w- 4(c)(2)(B)), as amended by sections 3 and 4, is further amended by adding at the end the following new clause: ``(ix) Limitation on conversion factor variance.-- ``(I) In general.--Beginning with 2027, the Secretary may not, for purposes of complying with clause (ii)(II), apply a budget neutrality adjustment to a conversion factor established under subsection (d) for such year that would cause such factor, not taking into account any adjustment to such factor for such year provided under such subsection, to vary by more than 2.5 percent compared to such factor so established for the preceding year. ``(II) Continued applicability of budget neutrality requirement.--Nothing in subclause (I) may be construed to alter the requirement described in clause (ii)(II).''. <all>\n--- KONIEC DOKUMENTU ---\n\nPAMIĘTAJ: Twoja odpowiedź MUSI być wyłącznie poprawnym obiektem JSON. Nie dodawaj żadnych dodatkowych znaków, komentarzy ani tekstu przed znacznikiem '{' ani po znaczniku '}'. Cała odpowiedź musi być parsowalna jako JSON.\nNa podstawie POWYŻSZEGO dokumentu, wypełnij poniższą strukturę JSON:\nOto struktura JSON, której oczekuję (wypełnij ją treścią):\n{\n  \"pl_ai_title\": \"Nowy, krótki tytuł dla aktu prawnego po polsku, oddający sedno wprowadzanych zmian (np. maksymalnie 10-12 słów).\",\n  \"pl_summary\": \"2-3 zdania zwięzłego podsumowania treści aktu prawnego po polsku, napisane z perspektywy wpływu na życie codzienne obywateli.\",\n  \"pl_key_points\": [\n    \"Pierwszy krótki punkt po polsku dotyczący najważniejszych wprowadzanych rozwiązań lub zmian.\",\n    \"Drugi krótki punkt po polsku...\"\n  ],\n  \"eng_ai_title\": \"A new, short title for the legal act in English, capturing the essence of the changes (e.g., max 10-12 words).\",\n  \"eng_summary\": \"2-3 sentences summarizing the legal act in English, from the perspective of its impact on citizens' daily lives.\",\n  \"eng_key_points\": [\n    \"First short bullet point in English regarding the most important solutions or changes being introduced.\",\n    \"Second short bullet point in English...\"\n  ],\n  \"de_ai_title\": \"Ein neuer, kurzer Titel für das Rechtsdokument auf Deutsch, der den Kern der Änderungen erfasst (z.B. max. 10-12 Wörter).\",\n  \"de_summary\": \"2-3 Sätze Zusammenfassung des Rechtsdokuments auf Deutsch, aus der Perspektive seiner Auswirkungen auf das tägliche Leben der Bürger.\",\n  \"de_key_points\": [\n    \"Erster kurzer Stichpunkt auf Deutsch zu den wichtigsten eingeführten Lösungen oder Änderungen.\",\n    \"Zweiter kurzer Stichpunkt auf Deutsch...\"\n  ],\n  \"fr_ai_title\": \"Un nouveau titre court pour l'acte juridique en français, saisissant l'essence des changements (par exemple, 10-12 mots maximum).\",\n  \"fr_summary\": \"Résumé de 2-3 phrases de l'acte juridique en français, du point de vue de son impact sur la vie quotidienne des citoyens.\",\n  \"fr_key_points\": [\n    \"Premier court point en français concernant les solutions ou changements les plus importants introduits.\",\n    \"Deuxième court point en français...\"\n  ],\n  \"es_ai_title\": \"Un nuevo título breve para el acto jurídico en español, que recoja la esencia de los cambios (por ejemplo, máximo 10-12 palabras).\",\n  \"es_summary\": \"Resumen de 2-3 frases del acto jurídico en español, desde la perspectiva de su impacto en la vida cotidiana de los ciudadanos.\",\n  \"es_key_points\": [\n    \"Primer punto breve en español sobre las soluciones o cambios más importantes que se introducen.\",\n    \"Segundo punto breve en español...\"\n  ],\n  \"it_ai_title\": \"Un nuovo titolo breve per l'atto giuridico in italiano, che colga l'essenza delle modifiche (ad es. massimo 10-12 parole).\",\n  \"it_summary\": \"Riepilogo di 2-3 frasi dell'atto giuridico in italiano, dal punto di vista del suo impatto sulla vita quotidiana dei cittadini.\",\n  \"it_key_points\": [\n    \"Primo breve punto in italiano riguardante le soluzioni o le modifiche più importanti introdotte.\",\n    \"Secondo breve punto in italiano...\"\n  ],\n  \"nl_ai_title\": \"Een nieuwe, korte titel voor de rechtshandeling in het Nederlands, die de essentie van de wijzigingen weergeeft (bijv. max. 10-12 woorden).\",\n  \"nl_summary\": \"Samenvatting van 2-3 zinnen van de rechtshandeling in het Nederlands, vanuit het perspectief van de impact op het dagelijks leven van burgers.\",\n  \"nl_key_points\": [\n    \"Eerste korte punt in het Nederlands betreffende de belangrijkste geïntroduceerde oplossingen of wijzigingen.\",\n    \"Tweede korte punt in het Nederlands...\"\n  ],\n  \"pt_ai_title\": \"Um novo título curto para o ato jurídico em português, capturando a essência das mudanças (por exemplo, máx. 10-12 palavras).\",\n  \"pt_summary\": \"Resumo de 2-3 frases do ato jurídico em português, na perspetiva do seu impacto na vida quotidiana dos cidadãos.\",\n  \"pt_key_points\": [\n    \"Primeiro ponto curto em português sobre as soluções ou alterações mais importantes introduzidas.\",\n    \"Segundo ponto curto em português...\"\n  ],\n  \"category\": [\"Categorize the document into one category by default, based on the field it primarily concerns. Choose up to 3 if the document also touches upon SIGNIFICANT issues from other categories. You MUST select categories ONLY from the following list: Health, Education, Family, Taxes, Labor, Security, Environment, Courts and Law, Transport, Benefits, Real Estate, Media and Culture, Local Government, Migration, Agriculture, Public Investments, Informatization, Economy. If the document does not definitively fit any of these, you MUST use \"Other\". If you use \"Other\", it should be the ONLY category selected. Do NOT invent new categories. The response must be an array of strings, e.g., [\"Taxes\", \"Family\"].\"]\n}\n\n",
      "ai_response_raw": "{\n  \"pl_ai_title\": \"Ustawa o stabilizacji wynagrodzeń lekarzy w programie Medicare\",\n  \"pl_summary\": \"Projekt ma na celu zapewnienie stabilności finansowej lekarzom świadczącym usługi w ramach Medicare, co chroni pacjentów przed nagłymi zmianami w dostępie do opieki. Dzięki nowym przepisom stawki płac dla medyków będą bardziej przewidywalne i odporne na gwałtowne cięcia budżetowe.\",\n  \"pl_key_points\": [\n    \"Podniesienie progu finansowego dla korekt budżetowych, co zapobiegnie automatycznym obniżkom wynagrodzeń lekarzy.\",\n    \"Wprowadzenie limitu zmian stawek płatności w Medicare do maksymalnie 2,5% w skali roku.\",\n    \"Obowiązek regularnej aktualizacji kosztów prowadzenia gabinetów, takich jak pensje personelu i ceny sprzętu medycznego.\",\n    \"Wprowadzenie mechanizmu korygowania błędnych szacunków dotyczących liczby wykonywanych usług medycznych.\"\n  ],\n  \"eng_ai_title\": \"Provider Reimbursement Stability Act of 2026\",\n  \"eng_summary\": \"This bill aims to stabilize payments to healthcare providers under Medicare to ensure patients have consistent access to care. It prevents sudden, large cuts to doctor fees by updating financial rules and limiting annual payment changes.\",\n  \"eng_key_points\": [\n    \"Increases the financial threshold to prevent automatic payment cuts to doctors.\",\n    \"Limits annual changes in Medicare payment rates to a maximum of 2.5%.\",\n    \"Requires regular updates to the costs of running a medical practice, including staff wages and equipment prices.\",\n    \"Creates a system to correct payment errors based on inaccurate estimates of medical service usage.\"\n  ],\n  \"de_ai_title\": \"Gesetz zur Stabilisierung der Vergütung von Gesundheitsdienstleistern 2026\",\n  \"de_summary\": \"Dieses Gesetz zielt darauf ab, die Zahlungen an Ärzte im Rahmen von Medicare zu stabilisieren, um eine kontinuierliche Versorgung der Patienten zu gewährleisten. Es verhindert plötzliche Honorarkürzungen durch die Aktualisierung von Finanzregeln und die Begrenzung jährlicher Schwankungen.\",\n  \"de_key_points\": [\n    \"Erhöhung der finanziellen Schwellenwerte, um automatische Kürzungen der Arztgehälter zu vermeiden.\",\n    \"Begrenzung der jährlichen Schwankungen der Medicare-Zahlungssätze auf maximal 2,5 %.\",\n    \"Regelmäßige Aktualisierung der Betriebskosten für Arztpraxen, wie Personalgehälter und Materialpreise.\",\n    \"Einführung eines Mechanismus zur Korrektur von Zahlungsfehlern, die auf falschen Schätzungen der Inanspruchnahme von Leistungen beruhen.\"\n  ],\n  \"fr_ai_title\": \"Loi de 2026 sur la stabilité du remboursement des prestataires de soins\",\n  \"fr_summary\": \"Ce projet de loi vise à stabiliser les paiements versés aux médecins dans le cadre de Medicare afin de garantir un accès constant aux soins pour les patients. Il limite les baisses soudaines de revenus pour les professionnels de santé en ajustant les règles budgétaires.\",\n  \"fr_key_points\": [\n    \"Augmentation du seuil financier pour éviter les coupes automatiques dans les paiements aux médecins.\",\n    \"Limitation des variations annuelles des tarifs Medicare à un maximum de 2,5 %.\",\n    \"Mise à jour régulière des coûts de fonctionnement des cabinets médicaux, incluant les salaires et l'équipement.\",\n    \"Création d'un système pour corriger les erreurs de paiement basées sur des estimations inexactes de l'utilisation des services.\"\n  ],\n  \"es_ai_title\": \"Ley de Estabilidad en el Reembolso a Proveedores de Salud de 2026\",\n  \"es_summary\": \"Esta ley busca estabilizar los pagos a los médicos bajo el programa Medicare para asegurar que los pacientes mantengan su acceso a la atención médica. Evita recortes bruscos en los honorarios médicos mediante la actualización de normas financieras y límites anuales.\",\n  \"es_key_points\": [\n    \"Aumento del umbral financiero para evitar recortes automáticos en los pagos a los médicos.\",\n    \"Límite a las variaciones anuales de las tarifas de Medicare a un máximo del 2,5 %.\",\n    \"Actualización periódica de los costos operativos de las clínicas, como salarios del personal y suministros médicos.\",\n    \"Implementación de un mecanismo para corregir errores de pago derivados de estimaciones incorrectas sobre el uso de servicios.\"\n  ],\n  \"it_ai_title\": \"Legge del 2026 sulla stabilità dei rimborsi per gli operatori sanitari\",\n  \"it_summary\": \"Questa legge mira a stabilizzare i pagamenti ai medici nell'ambito di Medicare per garantire ai pazienti un accesso costante alle cure. Impedisce tagli improvvisi ai compensi dei medici aggiornando le soglie finanziarie e limitando le variazioni annuali.\",\n  \"it_key_points\": [\n    \"Innalzamento della soglia finanziaria per evitare tagli automatici ai pagamenti dei medici.\",\n    \"Limite alle variazioni annuali delle tariffe Medicare a un massimo del 2,5%.\",\n    \"Aggiornamento regolare dei costi di gestione degli studi medici, inclusi stipendi del personale e attrezzature.\",\n    \"Introduzione di un sistema per correggere gli errori di pagamento basati su stime imprecise dell'utilizzo dei servizi.\"\n  ],\n  \"nl_ai_title\": \"Wet op de stabiliteit van vergoedingen voor zorgverleners van 2026\",\n  \"nl_summary\": \"Deze wet is bedoeld om de betalingen aan artsen binnen Medicare te stabiliseren, zodat patiënten verzekerd blijven van toegang tot zorg. Het voorkomt plotselinge verlagingen van vergoedingen door financiële regels aan te passen en jaarlijkse schommelingen te beperken.\",\n  \"nl_key_points\": [\n    \"Verhoging van de financiële drempel om automatische kortingen op artsenvergoedingen te voorkomen.\",\n    \"Beperking van de jaarlijkse schommelingen in Medicare-tarieven tot maximaal 2,5%.\",\n    \"Regelmatige updates van de praktijkkosten, zoals personeelssalarissen en medische apparatuur.\",\n    \"Invoering van een systeem om betalingsfouten op basis van onjuiste gebruiksschattingen te corrigeren.\"\n  ],\n  \"pt_ai_title\": \"Lei de Estabilidade no Reembolso de Prestadores de Saúde de 2026\",\n  \"pt_summary\": \"Esta lei visa estabilizar os pagamentos aos médicos no âmbito do Medicare para garantir que os pacientes tenham acesso contínuo a cuidados de saúde. Evita cortes repentinos nos honorários médicos através da atualização de regras financeiras e limites anuais.\",\n  \"pt_key_points\": [\n    \"Aumento do limite financeiro para evitar cortes automáticos nos pagamentos aos médicos.\",\n    \"Limite às variações anuais das taxas do Medicare a um máximo de 2,5%.\",\n    \"Atualização regular dos custos de funcionamento dos consultórios, incluindo salários de funcionários e equipamentos.\",\n    \"Criação de um mecanismo para corrigir erros de pagamento baseados em estimativas incorretas de uso de serviços.\"\n  ],\n  \"category\": [\"Health\"]\n}"
    },
    {
      "timestamp": "2026-04-13T14:17:37.440Z",
      "source_url": "https://www.congress.gov/119/bills/hr8163/BILLS-119hr8163ih.htm",
      "model": "gemini-flash-latest",
      "prompt_sent": "\nJesteś ekspertem od prawa Stanów Zjednoczonych, który ma za zadanie analizować dokumenty ustaw, uchwał oraz innych dokumentów legislacyjnych, a następnie przygotowywać z nich informacje w przystępny sposób dla obywateli. Twoim celem jest przedstawienie informacji tak, aby obywatele mogli sami ocenić wpływ legislacji na ich życie, nawet bez posiadania specjalistycznej wiedzy legislacyjnej. Skup się na faktach i obiektywnych skutkach wprowadzanych zmian, unikając wartościowania i osobistych opinii. Wszelki żargon prawny jest zabroniony. Prezentuj informacje w jasny, zwięzły i angażujący sposób, tak aby były zrozumiałe dla osoby bez wykształcenia prawniczego. Unikaj długich, złożonych zdań. Zamiast pisać \"projekt ma na celu nowelizację kodeksu podatkowego...\", napisz \"Zmiany w podatkach: nowe ulgi i obowiązki dla...\". Kontynuuj swoją pracę, dopóki nie rozwiążesz swojego zadania. Jeśli nie masz pewności co do generowanej treści, przeanalizuj dokument ponownie – nie zgaduj. Rozplanuj dobrze swoje zadanie przed przystąpieniem do niego. W podsumowaniu i kluczowych punktach, jeśli to możliwe i uzasadnione, podkreśl, jakie konkretne korzyści lub skutki (pozytywne lub negatywne) wprowadza ustawa dla życia codziennego obywateli, ich praw i obowiązków, finansów osobistych, bezpieczeństwa i innych ważnych kwestii (np. kategorycznych zakazów i nakazów czy najważniejszych konkretnych alokacji finansowych i terytorialnych).\n\nTwoja odpowiedź MUSI być w formacie JSON - i zawierać następujące klucze.\nZanim zwrócisz odpowiedź, dokładnie zweryfikuj, czy cała struktura JSON jest w 100% poprawna, włącznie ze wszystkimi przecinkami, nawiasami klamrowymi, kwadratowymi oraz cudzysłowami. Błędny JSON jest nieakceptowalny i uniemożliwi przetworzenie Twojej pracy.\n\nPrzeanalizuj dokładnie poniższy tekst dokumentu prawnego. To jest treść, na podstawie której masz wygenerować podsumowanie i kluczowe punkty:\n--- POCZĄTEK DOKUMENTU ---\n[Congressional Bills 119th Congress] [From the U.S. Government Publishing Office] [H.R. 8163 Introduced in House (IH)] <DOC> 119th CONGRESS 2d Session H. R. 8163 To amend title XVIII of the Social Security Act to ensure stability for provider payments under the Medicare program. _______________________________________________________________________ IN THE HOUSE OF REPRESENTATIVES March 30, 2026 Mr. Murphy (for himself, Mr. Schneider, Mr. Joyce of Pennsylvania, Mr. Suozzi, Mr. Onder, Mr. Panetta, Mrs. Miller-Meeks, Ms. Schrier, and Ms. Kelly of Illinois) introduced the following bill; which was 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 _______________________________________________________________________ A BILL To amend title XVIII of the Social Security Act to ensure stability for provider payments under the Medicare program. Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled, SECTION 1. SHORT TITLE. This Act may be cited as the ``Provider Reimbursement Stability Act of 2026''. SEC. 2. UPDATING THE BUDGET NEUTRALITY THRESHOLD. Section 1848(c)(2)(B)(ii)(II) of the Social Security Act (42 U.S.C. 1395w-4(c)(2)(B)(ii)(II)) is amended-- (1) by striking ``Subject to'' and inserting the following: ``(aa) In general.--Subject to''; (2) in item (aa), as inserted by paragraph (1), by striking ``$20,000,000'' and inserting ``the amount specified in item (bb) for such year''; and (3) by adding at the end the following new items: ``(bb) Amount specified.-- For purposes of item (aa), subject to item (cc), the amount specified in this item is-- ``(AA) for years before 2027, $20,000,000; ``(BB) for 2027, $54,300,000; and ``(CC) for 2028 and each subsequent year, the amount specified in this item for the preceding year. ``(cc) Indexing limitation on annual adjustments.--For 2032 and every subsequent fifth year, the Secretary shall increase the amount specified in item (bb) for such year by the cumulative percentage increase in the MEI (as defined in section 1842(i)(3)) applicable to physicians' services for each year occurring during the 5-year period ending on the last day of the preceding year.''. SEC. 3. BUDGET NEUTRALITY CORRECTIONS RELATING TO ESTIMATED UTILIZATION. (a) In General.--Section 1848(c)(2)(B) of the Social Security Act (42 U.S.C. 1395w-4(c)(2)(B)) is amended by adding at the end the following new clause: ``(vii) Budget neutrality corrections relating to estimated utilization.-- ``(I) In general.--In the case of a budget neutrality adjustment applied pursuant to clause (ii)(II) for a year (beginning with 2027) that is determined in part using estimated utilization (as defined in subclause (II)(bb)) with respect to a specified service (as defined in subclause (II)(cc)), the Secretary shall, as part of the final rule establishing the physician fee schedule under this section for the assumption correction period (as defined in subclause (II)(aa)) with respect to such year-- ``(aa) determine the difference between expenditures for such service in such year using estimated utilization and actual utilization for such service (in a manner determined appropriate by the Secretary); and ``(bb) in the case that the Secretary determines the difference described in item (aa) is greater than the threshold amount (as defined in subclause (II)(dd)) for such year, adjust the conversion factor under this section for such assumption correction period by such amount to reconcile such difference (which may be positive or negative), as determined by the Secretary. ``(II) Definitions.--For purposes of this clause: ``(aa) Assumption correction period.--The term `assumption correction period' means, with respect to a year, the second year beginning after such year. ``(bb) Estimated utilization.--The term `estimated utilization' means an estimate of utilization used for purposes of applying clause (ii)(II). ``(cc) Specified service.-- The term `specified service' means, with respect to a year, a service-- ``(AA) with expected expenditures for such year under this part based on estimated utilization that exceed the threshold amount (as defined in item (dd)) for such year; and ``(BB) for which payment had been bundled into payment for another service during the preceding year and for which a separate payment or add-on payment is made during such year. ``(dd) Threshold amount.-- The term `threshold amount' means, with respect to a year, 0.1 percent of the total estimated expenditures under this part for services furnished under this section during such year.''. (b) Nonapplication of Budget Neutrality to Reconciliation Adjustments.--Section 1848(c)(2)(B) of the Social Security Act (42 U.S.C. 1395w-4(c)(2)(B)) is amended-- (1) in clause (iv)-- (A) in subclause (V), by striking ``and'' at the end; (B) in subclause (VI), by striking the period and inserting ``; and''; and (C) by adding at the end the following new subclause: ``(VII) clause (vii)(I)(bb) for an assumption correction period (as defined in clause (vii)(II)) shall not be taken into account in applying clause (ii)(II) with respect to such period.''; and (2) in clause (v), by adding at the end the following new subclause: ``(XII) Reductions attributable to an assumption correction.--For an assumption correction period (as defined in clause (vii)(II)), reduced expenditures attributable to application of clause (vii)(I)(bb) with respect to such period.''. SEC. 4. TIMELY UPDATES TO DIRECT COSTS USED TO CALCULATE PRACTICE EXPENSE RVUS. Section 1848(c)(2)(B) of the Social Security Act (42 U.S.C. 1395w- 4(c)(2)(B)), as amended by section 3, is further amended by adding at the end the following new clause: ``(viii) Timely updates to direct costs used to calculate practice expense relative value units.-- ``(I) Simultaneous updates to direct cost inputs at least once every 5 years.--The Secretary shall, not less often than every 5 years, update the prices and rates, as applicable, on a category-wide basis for each of the categories of direct cost inputs described in subclause (II) used in the methodology for calculating the practice expense relative value units under this subsection for physicians' services. Updates made pursuant to the previous sentence shall be made in the same year for all categories of direct cost inputs described in such subclause. ``(II) Direct cost inputs categories described.--For purposes of this clause, the categories of direct cost inputs described in this subclause are clinical staff wage rates, prices of medical supplies, prices of equipment, and any other category of such inputs used in the methodology described in subclause (I) (as specified by the Secretary). ``(III) Consultation.--In making the updates under this clause, the Secretary shall consult with relevant stakeholders, including physician specialty societies.''. SEC. 5. LIMITATION ON YEAR-TO-YEAR CONVERSION FACTOR VARIANCE. Section 1848(c)(2)(B) of the Social Security Act (42 U.S.C. 1395w- 4(c)(2)(B)), as amended by sections 3 and 4, is further amended by adding at the end the following new clause: ``(ix) Limitation on conversion factor variance.-- ``(I) In general.--Beginning with 2027, the Secretary may not, for purposes of complying with clause (ii)(II), apply a budget neutrality adjustment to a conversion factor established under subsection (d) for such year that would cause such factor, not taking into account any adjustment to such factor for such year provided under such subsection, to vary by more than 2.5 percent compared to such factor so established for the preceding year. ``(II) Continued applicability of budget neutrality requirement.--Nothing in subclause (I) may be construed to alter the requirement described in clause (ii)(II).''. <all>\n--- KONIEC DOKUMENTU ---\n\nPAMIĘTAJ: Twoja odpowiedź MUSI być wyłącznie poprawnym obiektem JSON. Nie dodawaj żadnych dodatkowych znaków, komentarzy ani tekstu przed znacznikiem '{' ani po znaczniku '}'. Cała odpowiedź musi być parsowalna jako JSON.\nNa podstawie POWYŻSZEGO dokumentu, wypełnij poniższą strukturę JSON:\nOto struktura JSON, której oczekuję (wypełnij ją treścią):\n{\n  \"pl_ai_title\": \"Nowy, krótki tytuł dla aktu prawnego po polsku, oddający sedno wprowadzanych zmian (np. maksymalnie 10-12 słów).\",\n  \"pl_summary\": \"2-3 zdania zwięzłego podsumowania treści aktu prawnego po polsku, napisane z perspektywy wpływu na życie codzienne obywateli.\",\n  \"pl_key_points\": [\n    \"Pierwszy krótki punkt po polsku dotyczący najważniejszych wprowadzanych rozwiązań lub zmian.\",\n    \"Drugi krótki punkt po polsku...\"\n  ],\n  \"eng_ai_title\": \"A new, short title for the legal act in English, capturing the essence of the changes (e.g., max 10-12 words).\",\n  \"eng_summary\": \"2-3 sentences summarizing the legal act in English, from the perspective of its impact on citizens' daily lives.\",\n  \"eng_key_points\": [\n    \"First short bullet point in English regarding the most important solutions or changes being introduced.\",\n    \"Second short bullet point in English...\"\n  ],\n  \"de_ai_title\": \"Ein neuer, kurzer Titel für das Rechtsdokument auf Deutsch, der den Kern der Änderungen erfasst (z.B. max. 10-12 Wörter).\",\n  \"de_summary\": \"2-3 Sätze Zusammenfassung des Rechtsdokuments auf Deutsch, aus der Perspektive seiner Auswirkungen auf das tägliche Leben der Bürger.\",\n  \"de_key_points\": [\n    \"Erster kurzer Stichpunkt auf Deutsch zu den wichtigsten eingeführten Lösungen oder Änderungen.\",\n    \"Zweiter kurzer Stichpunkt auf Deutsch...\"\n  ],\n  \"fr_ai_title\": \"Un nouveau titre court pour l'acte juridique en français, saisissant l'essence des changements (par exemple, 10-12 mots maximum).\",\n  \"fr_summary\": \"Résumé de 2-3 phrases de l'acte juridique en français, du point de vue de son impact sur la vie quotidienne des citoyens.\",\n  \"fr_key_points\": [\n    \"Premier court point en français concernant les solutions ou changements les plus importants introduits.\",\n    \"Deuxième court point en français...\"\n  ],\n  \"es_ai_title\": \"Un nuevo título breve para el acto jurídico en español, que recoja la esencia de los cambios (por ejemplo, máximo 10-12 palabras).\",\n  \"es_summary\": \"Resumen de 2-3 frases del acto jurídico en español, desde la perspectiva de su impacto en la vida cotidiana de los ciudadanos.\",\n  \"es_key_points\": [\n    \"Primer punto breve en español sobre las soluciones o cambios más importantes que se introducen.\",\n    \"Segundo punto breve en español...\"\n  ],\n  \"it_ai_title\": \"Un nuovo titolo breve per l'atto giuridico in italiano, che colga l'essenza delle modifiche (ad es. massimo 10-12 parole).\",\n  \"it_summary\": \"Riepilogo di 2-3 frasi dell'atto giuridico in italiano, dal punto di vista del suo impatto sulla vita quotidiana dei cittadini.\",\n  \"it_key_points\": [\n    \"Primo breve punto in italiano riguardante le soluzioni o le modifiche più importanti introdotte.\",\n    \"Secondo breve punto in italiano...\"\n  ],\n  \"nl_ai_title\": \"Een nieuwe, korte titel voor de rechtshandeling in het Nederlands, die de essentie van de wijzigingen weergeeft (bijv. max. 10-12 woorden).\",\n  \"nl_summary\": \"Samenvatting van 2-3 zinnen van de rechtshandeling in het Nederlands, vanuit het perspectief van de impact op het dagelijks leven van burgers.\",\n  \"nl_key_points\": [\n    \"Eerste korte punt in het Nederlands betreffende de belangrijkste geïntroduceerde oplossingen of wijzigingen.\",\n    \"Tweede korte punt in het Nederlands...\"\n  ],\n  \"pt_ai_title\": \"Um novo título curto para o ato jurídico em português, capturando a essência das mudanças (por exemplo, máx. 10-12 palavras).\",\n  \"pt_summary\": \"Resumo de 2-3 frases do ato jurídico em português, na perspetiva do seu impacto na vida quotidiana dos cidadãos.\",\n  \"pt_key_points\": [\n    \"Primeiro ponto curto em português sobre as soluções ou alterações mais importantes introduzidas.\",\n    \"Segundo ponto curto em português...\"\n  ],\n  \"category\": [\"Categorize the document into one category by default, based on the field it primarily concerns. Choose up to 3 if the document also touches upon SIGNIFICANT issues from other categories. You MUST select categories ONLY from the following list: Health, Education, Family, Taxes, Labor, Security, Environment, Courts and Law, Transport, Benefits, Real Estate, Media and Culture, Local Government, Migration, Agriculture, Public Investments, Informatization, Economy. If the document does not definitively fit any of these, you MUST use \"Other\". If you use \"Other\", it should be the ONLY category selected. Do NOT invent new categories. The response must be an array of strings, e.g., [\"Taxes\", \"Family\"].\"]\n}\n\n",
      "ai_response_raw": "{\n  \"pl_ai_title\": \"Ustawa o stabilizacji wynagrodzeń lekarzy w programie Medicare\",\n  \"pl_summary\": \"Projekt ma na celu zapewnienie stabilności finansowej lekarzom świadczącym usługi w ramach Medicare, co chroni pacjentów przed nagłymi zmianami w dostępie do opieki. Dzięki nowym przepisom stawki płac dla medyków będą bardziej przewidywalne i odporne na gwałtowne cięcia budżetowe.\",\n  \"pl_key_points\": [\n    \"Podniesienie progu finansowego dla korekt budżetowych, co zapobiegnie automatycznym obniżkom wynagrodzeń lekarzy.\",\n    \"Wprowadzenie limitu zmian stawek płatności w Medicare do maksymalnie 2,5% w skali roku.\",\n    \"Obowiązek regularnej aktualizacji kosztów prowadzenia gabinetów, takich jak pensje personelu i ceny sprzętu medycznego.\",\n    \"Wprowadzenie mechanizmu korygowania błędnych szacunków dotyczących liczby wykonywanych usług medycznych.\"\n  ],\n  \"eng_ai_title\": \"Provider Reimbursement Stability Act of 2026\",\n  \"eng_summary\": \"This bill aims to stabilize payments to healthcare providers under Medicare to ensure patients have consistent access to care. It prevents sudden, large cuts to doctor fees by updating financial rules and limiting annual payment changes.\",\n  \"eng_key_points\": [\n    \"Increases the financial threshold to prevent automatic payment cuts to doctors.\",\n    \"Limits annual changes in Medicare payment rates to a maximum of 2.5%.\",\n    \"Requires regular updates to the costs of running a medical practice, including staff wages and equipment prices.\",\n    \"Creates a system to correct payment errors based on inaccurate estimates of medical service usage.\"\n  ],\n  \"de_ai_title\": \"Gesetz zur Stabilisierung der Vergütung von Gesundheitsdienstleistern 2026\",\n  \"de_summary\": \"Dieses Gesetz zielt darauf ab, die Zahlungen an Ärzte im Rahmen von Medicare zu stabilisieren, um eine kontinuierliche Versorgung der Patienten zu gewährleisten. Es verhindert plötzliche Honorarkürzungen durch die Aktualisierung von Finanzregeln und die Begrenzung jährlicher Schwankungen.\",\n  \"de_key_points\": [\n    \"Erhöhung der finanziellen Schwellenwerte, um automatische Kürzungen der Arztgehälter zu vermeiden.\",\n    \"Begrenzung der jährlichen Schwankungen der Medicare-Zahlungssätze auf maximal 2,5 %.\",\n    \"Regelmäßige Aktualisierung der Betriebskosten für Arztpraxen, wie Personalgehälter und Materialpreise.\",\n    \"Einführung eines Mechanismus zur Korrektur von Zahlungsfehlern, die auf falschen Schätzungen der Inanspruchnahme von Leistungen beruhen.\"\n  ],\n  \"fr_ai_title\": \"Loi de 2026 sur la stabilité du remboursement des prestataires de soins\",\n  \"fr_summary\": \"Ce projet de loi vise à stabiliser les paiements versés aux médecins dans le cadre de Medicare afin de garantir un accès constant aux soins pour les patients. Il limite les baisses soudaines de revenus pour les professionnels de santé en ajustant les règles budgétaires.\",\n  \"fr_key_points\": [\n    \"Augmentation du seuil financier pour éviter les coupes automatiques dans les paiements aux médecins.\",\n    \"Limitation des variations annuelles des tarifs Medicare à un maximum de 2,5 %.\",\n    \"Mise à jour régulière des coûts de fonctionnement des cabinets médicaux, incluant les salaires et l'équipement.\",\n    \"Création d'un système pour corriger les erreurs de paiement basées sur des estimations inexactes de l'utilisation des services.\"\n  ],\n  \"es_ai_title\": \"Ley de Estabilidad en el Reembolso a Proveedores de Salud de 2026\",\n  \"es_summary\": \"Esta ley busca estabilizar los pagos a los médicos bajo el programa Medicare para asegurar que los pacientes mantengan su acceso a la atención médica. Evita recortes bruscos en los honorarios médicos mediante la actualización de normas financieras y límites anuales.\",\n  \"es_key_points\": [\n    \"Aumento del umbral financiero para evitar recortes automáticos en los pagos a los médicos.\",\n    \"Límite a las variaciones anuales de las tarifas de Medicare a un máximo del 2,5 %.\",\n    \"Actualización periódica de los costos operativos de las clínicas, como salarios del personal y suministros médicos.\",\n    \"Implementación de un mecanismo para corregir errores de pago derivados de estimaciones incorrectas sobre el uso de servicios.\"\n  ],\n  \"it_ai_title\": \"Legge del 2026 sulla stabilità dei rimborsi per gli operatori sanitari\",\n  \"it_summary\": \"Questa legge mira a stabilizzare i pagamenti ai medici nell'ambito di Medicare per garantire ai pazienti un accesso costante alle cure. Impedisce tagli improvvisi ai compensi dei medici aggiornando le soglie finanziarie e limitando le variazioni annuali.\",\n  \"it_key_points\": [\n    \"Innalzamento della soglia finanziaria per evitare tagli automatici ai pagamenti dei medici.\",\n    \"Limite alle variazioni annuali delle tariffe Medicare a un massimo del 2,5%.\",\n    \"Aggiornamento regolare dei costi di gestione degli studi medici, inclusi stipendi del personale e attrezzature.\",\n    \"Introduzione di un sistema per correggere gli errori di pagamento basati su stime imprecise dell'utilizzo dei servizi.\"\n  ],\n  \"nl_ai_title\": \"Wet op de stabiliteit van vergoedingen voor zorgverleners van 2026\",\n  \"nl_summary\": \"Deze wet is bedoeld om de betalingen aan artsen binnen Medicare te stabiliseren, zodat patiënten verzekerd blijven van toegang tot zorg. Het voorkomt plotselinge verlagingen van vergoedingen door financiële regels aan te passen en jaarlijkse schommelingen te beperken.\",\n  \"nl_key_points\": [\n    \"Verhoging van de financiële drempel om automatische kortingen op artsenvergoedingen te voorkomen.\",\n    \"Beperking van de jaarlijkse schommelingen in Medicare-tarieven tot maximaal 2,5%.\",\n    \"Regelmatige updates van de praktijkkosten, zoals personeelssalarissen en medische apparatuur.\",\n    \"Invoering van een systeem om betalingsfouten op basis van onjuiste gebruiksschattingen te corrigeren.\"\n  ],\n  \"pt_ai_title\": \"Lei de Estabilidade no Reembolso de Prestadores de Saúde de 2026\",\n  \"pt_summary\": \"Esta lei visa estabilizar os pagamentos aos médicos no âmbito do Medicare para garantir que os pacientes tenham acesso contínuo a cuidados de saúde. Evita cortes repentinos nos honorários médicos através da atualização de regras financeiras e limites anuais.\",\n  \"pt_key_points\": [\n    \"Aumento do limite financeiro para evitar cortes automáticos nos pagamentos aos médicos.\",\n    \"Limite às variações anuais das taxas do Medicare a um máximo de 2,5%.\",\n    \"Atualização regular dos custos de funcionamento dos consultórios, incluindo salários de funcionários e equipamentos.\",\n    \"Criação de um mecanismo para corrigir erros de pagamento baseados em estimativas incorretas de uso de serviços.\"\n  ],\n  \"category\": [\"Health\"]\n}"
    },
    {
      "timestamp": "2026-04-13T14:17:19.094Z",
      "source_url": "https://www.congress.gov/119/bills/hr8163/BILLS-119hr8163ih.htm",
      "model": "gemini-flash-latest",
      "prompt_sent": "\nJesteś ekspertem od prawa Stanów Zjednoczonych, który ma za zadanie analizować dokumenty ustaw, uchwał oraz innych dokumentów legislacyjnych, a następnie przygotowywać z nich informacje w przystępny sposób dla obywateli. Twoim celem jest przedstawienie informacji tak, aby obywatele mogli sami ocenić wpływ legislacji na ich życie, nawet bez posiadania specjalistycznej wiedzy legislacyjnej. Skup się na faktach i obiektywnych skutkach wprowadzanych zmian, unikając wartościowania i osobistych opinii. Wszelki żargon prawny jest zabroniony. Prezentuj informacje w jasny, zwięzły i angażujący sposób, tak aby były zrozumiałe dla osoby bez wykształcenia prawniczego. Unikaj długich, złożonych zdań. Zamiast pisać \"projekt ma na celu nowelizację kodeksu podatkowego...\", napisz \"Zmiany w podatkach: nowe ulgi i obowiązki dla...\". Kontynuuj swoją pracę, dopóki nie rozwiążesz swojego zadania. Jeśli nie masz pewności co do generowanej treści, przeanalizuj dokument ponownie – nie zgaduj. Rozplanuj dobrze swoje zadanie przed przystąpieniem do niego. W podsumowaniu i kluczowych punktach, jeśli to możliwe i uzasadnione, podkreśl, jakie konkretne korzyści lub skutki (pozytywne lub negatywne) wprowadza ustawa dla życia codziennego obywateli, ich praw i obowiązków, finansów osobistych, bezpieczeństwa i innych ważnych kwestii (np. kategorycznych zakazów i nakazów czy najważniejszych konkretnych alokacji finansowych i terytorialnych).\n\nTwoja odpowiedź MUSI być w formacie JSON - i zawierać następujące klucze.\nZanim zwrócisz odpowiedź, dokładnie zweryfikuj, czy cała struktura JSON jest w 100% poprawna, włącznie ze wszystkimi przecinkami, nawiasami klamrowymi, kwadratowymi oraz cudzysłowami. Błędny JSON jest nieakceptowalny i uniemożliwi przetworzenie Twojej pracy.\n\nPrzeanalizuj dokładnie poniższy tekst dokumentu prawnego. To jest treść, na podstawie której masz wygenerować podsumowanie i kluczowe punkty:\n--- POCZĄTEK DOKUMENTU ---\n[Congressional Bills 119th Congress] [From the U.S. Government Publishing Office] [H.R. 8163 Introduced in House (IH)] <DOC> 119th CONGRESS 2d Session H. R. 8163 To amend title XVIII of the Social Security Act to ensure stability for provider payments under the Medicare program. _______________________________________________________________________ IN THE HOUSE OF REPRESENTATIVES March 30, 2026 Mr. Murphy (for himself, Mr. Schneider, Mr. Joyce of Pennsylvania, Mr. Suozzi, Mr. Onder, Mr. Panetta, Mrs. Miller-Meeks, Ms. Schrier, and Ms. Kelly of Illinois) introduced the following bill; which was 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 _______________________________________________________________________ A BILL To amend title XVIII of the Social Security Act to ensure stability for provider payments under the Medicare program. Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled, SECTION 1. SHORT TITLE. This Act may be cited as the ``Provider Reimbursement Stability Act of 2026''. SEC. 2. UPDATING THE BUDGET NEUTRALITY THRESHOLD. Section 1848(c)(2)(B)(ii)(II) of the Social Security Act (42 U.S.C. 1395w-4(c)(2)(B)(ii)(II)) is amended-- (1) by striking ``Subject to'' and inserting the following: ``(aa) In general.--Subject to''; (2) in item (aa), as inserted by paragraph (1), by striking ``$20,000,000'' and inserting ``the amount specified in item (bb) for such year''; and (3) by adding at the end the following new items: ``(bb) Amount specified.-- For purposes of item (aa), subject to item (cc), the amount specified in this item is-- ``(AA) for years before 2027, $20,000,000; ``(BB) for 2027, $54,300,000; and ``(CC) for 2028 and each subsequent year, the amount specified in this item for the preceding year. ``(cc) Indexing limitation on annual adjustments.--For 2032 and every subsequent fifth year, the Secretary shall increase the amount specified in item (bb) for such year by the cumulative percentage increase in the MEI (as defined in section 1842(i)(3)) applicable to physicians' services for each year occurring during the 5-year period ending on the last day of the preceding year.''. SEC. 3. BUDGET NEUTRALITY CORRECTIONS RELATING TO ESTIMATED UTILIZATION. (a) In General.--Section 1848(c)(2)(B) of the Social Security Act (42 U.S.C. 1395w-4(c)(2)(B)) is amended by adding at the end the following new clause: ``(vii) Budget neutrality corrections relating to estimated utilization.-- ``(I) In general.--In the case of a budget neutrality adjustment applied pursuant to clause (ii)(II) for a year (beginning with 2027) that is determined in part using estimated utilization (as defined in subclause (II)(bb)) with respect to a specified service (as defined in subclause (II)(cc)), the Secretary shall, as part of the final rule establishing the physician fee schedule under this section for the assumption correction period (as defined in subclause (II)(aa)) with respect to such year-- ``(aa) determine the difference between expenditures for such service in such year using estimated utilization and actual utilization for such service (in a manner determined appropriate by the Secretary); and ``(bb) in the case that the Secretary determines the difference described in item (aa) is greater than the threshold amount (as defined in subclause (II)(dd)) for such year, adjust the conversion factor under this section for such assumption correction period by such amount to reconcile such difference (which may be positive or negative), as determined by the Secretary. ``(II) Definitions.--For purposes of this clause: ``(aa) Assumption correction period.--The term `assumption correction period' means, with respect to a year, the second year beginning after such year. ``(bb) Estimated utilization.--The term `estimated utilization' means an estimate of utilization used for purposes of applying clause (ii)(II). ``(cc) Specified service.-- The term `specified service' means, with respect to a year, a service-- ``(AA) with expected expenditures for such year under this part based on estimated utilization that exceed the threshold amount (as defined in item (dd)) for such year; and ``(BB) for which payment had been bundled into payment for another service during the preceding year and for which a separate payment or add-on payment is made during such year. ``(dd) Threshold amount.-- The term `threshold amount' means, with respect to a year, 0.1 percent of the total estimated expenditures under this part for services furnished under this section during such year.''. (b) Nonapplication of Budget Neutrality to Reconciliation Adjustments.--Section 1848(c)(2)(B) of the Social Security Act (42 U.S.C. 1395w-4(c)(2)(B)) is amended-- (1) in clause (iv)-- (A) in subclause (V), by striking ``and'' at the end; (B) in subclause (VI), by striking the period and inserting ``; and''; and (C) by adding at the end the following new subclause: ``(VII) clause (vii)(I)(bb) for an assumption correction period (as defined in clause (vii)(II)) shall not be taken into account in applying clause (ii)(II) with respect to such period.''; and (2) in clause (v), by adding at the end the following new subclause: ``(XII) Reductions attributable to an assumption correction.--For an assumption correction period (as defined in clause (vii)(II)), reduced expenditures attributable to application of clause (vii)(I)(bb) with respect to such period.''. SEC. 4. TIMELY UPDATES TO DIRECT COSTS USED TO CALCULATE PRACTICE EXPENSE RVUS. Section 1848(c)(2)(B) of the Social Security Act (42 U.S.C. 1395w- 4(c)(2)(B)), as amended by section 3, is further amended by adding at the end the following new clause: ``(viii) Timely updates to direct costs used to calculate practice expense relative value units.-- ``(I) Simultaneous updates to direct cost inputs at least once every 5 years.--The Secretary shall, not less often than every 5 years, update the prices and rates, as applicable, on a category-wide basis for each of the categories of direct cost inputs described in subclause (II) used in the methodology for calculating the practice expense relative value units under this subsection for physicians' services. Updates made pursuant to the previous sentence shall be made in the same year for all categories of direct cost inputs described in such subclause. ``(II) Direct cost inputs categories described.--For purposes of this clause, the categories of direct cost inputs described in this subclause are clinical staff wage rates, prices of medical supplies, prices of equipment, and any other category of such inputs used in the methodology described in subclause (I) (as specified by the Secretary). ``(III) Consultation.--In making the updates under this clause, the Secretary shall consult with relevant stakeholders, including physician specialty societies.''. SEC. 5. LIMITATION ON YEAR-TO-YEAR CONVERSION FACTOR VARIANCE. Section 1848(c)(2)(B) of the Social Security Act (42 U.S.C. 1395w- 4(c)(2)(B)), as amended by sections 3 and 4, is further amended by adding at the end the following new clause: ``(ix) Limitation on conversion factor variance.-- ``(I) In general.--Beginning with 2027, the Secretary may not, for purposes of complying with clause (ii)(II), apply a budget neutrality adjustment to a conversion factor established under subsection (d) for such year that would cause such factor, not taking into account any adjustment to such factor for such year provided under such subsection, to vary by more than 2.5 percent compared to such factor so established for the preceding year. ``(II) Continued applicability of budget neutrality requirement.--Nothing in subclause (I) may be construed to alter the requirement described in clause (ii)(II).''. <all>\n--- KONIEC DOKUMENTU ---\n\nPAMIĘTAJ: Twoja odpowiedź MUSI być wyłącznie poprawnym obiektem JSON. Nie dodawaj żadnych dodatkowych znaków, komentarzy ani tekstu przed znacznikiem '{' ani po znaczniku '}'. Cała odpowiedź musi być parsowalna jako JSON.\nNa podstawie POWYŻSZEGO dokumentu, wypełnij poniższą strukturę JSON:\nOto struktura JSON, której oczekuję (wypełnij ją treścią):\n{\n  \"pl_ai_title\": \"Nowy, krótki tytuł dla aktu prawnego po polsku, oddający sedno wprowadzanych zmian (np. maksymalnie 10-12 słów).\",\n  \"pl_summary\": \"2-3 zdania zwięzłego podsumowania treści aktu prawnego po polsku, napisane z perspektywy wpływu na życie codzienne obywateli.\",\n  \"pl_key_points\": [\n    \"Pierwszy krótki punkt po polsku dotyczący najważniejszych wprowadzanych rozwiązań lub zmian.\",\n    \"Drugi krótki punkt po polsku...\"\n  ],\n  \"eng_ai_title\": \"A new, short title for the legal act in English, capturing the essence of the changes (e.g., max 10-12 words).\",\n  \"eng_summary\": \"2-3 sentences summarizing the legal act in English, from the perspective of its impact on citizens' daily lives.\",\n  \"eng_key_points\": [\n    \"First short bullet point in English regarding the most important solutions or changes being introduced.\",\n    \"Second short bullet point in English...\"\n  ],\n  \"de_ai_title\": \"Ein neuer, kurzer Titel für das Rechtsdokument auf Deutsch, der den Kern der Änderungen erfasst (z.B. max. 10-12 Wörter).\",\n  \"de_summary\": \"2-3 Sätze Zusammenfassung des Rechtsdokuments auf Deutsch, aus der Perspektive seiner Auswirkungen auf das tägliche Leben der Bürger.\",\n  \"de_key_points\": [\n    \"Erster kurzer Stichpunkt auf Deutsch zu den wichtigsten eingeführten Lösungen oder Änderungen.\",\n    \"Zweiter kurzer Stichpunkt auf Deutsch...\"\n  ],\n  \"fr_ai_title\": \"Un nouveau titre court pour l'acte juridique en français, saisissant l'essence des changements (par exemple, 10-12 mots maximum).\",\n  \"fr_summary\": \"Résumé de 2-3 phrases de l'acte juridique en français, du point de vue de son impact sur la vie quotidienne des citoyens.\",\n  \"fr_key_points\": [\n    \"Premier court point en français concernant les solutions ou changements les plus importants introduits.\",\n    \"Deuxième court point en français...\"\n  ],\n  \"es_ai_title\": \"Un nuevo título breve para el acto jurídico en español, que recoja la esencia de los cambios (por ejemplo, máximo 10-12 palabras).\",\n  \"es_summary\": \"Resumen de 2-3 frases del acto jurídico en español, desde la perspectiva de su impacto en la vida cotidiana de los ciudadanos.\",\n  \"es_key_points\": [\n    \"Primer punto breve en español sobre las soluciones o cambios más importantes que se introducen.\",\n    \"Segundo punto breve en español...\"\n  ],\n  \"it_ai_title\": \"Un nuovo titolo breve per l'atto giuridico in italiano, che colga l'essenza delle modifiche (ad es. massimo 10-12 parole).\",\n  \"it_summary\": \"Riepilogo di 2-3 frasi dell'atto giuridico in italiano, dal punto di vista del suo impatto sulla vita quotidiana dei cittadini.\",\n  \"it_key_points\": [\n    \"Primo breve punto in italiano riguardante le soluzioni o le modifiche più importanti introdotte.\",\n    \"Secondo breve punto in italiano...\"\n  ],\n  \"nl_ai_title\": \"Een nieuwe, korte titel voor de rechtshandeling in het Nederlands, die de essentie van de wijzigingen weergeeft (bijv. max. 10-12 woorden).\",\n  \"nl_summary\": \"Samenvatting van 2-3 zinnen van de rechtshandeling in het Nederlands, vanuit het perspectief van de impact op het dagelijks leven van burgers.\",\n  \"nl_key_points\": [\n    \"Eerste korte punt in het Nederlands betreffende de belangrijkste geïntroduceerde oplossingen of wijzigingen.\",\n    \"Tweede korte punt in het Nederlands...\"\n  ],\n  \"pt_ai_title\": \"Um novo título curto para o ato jurídico em português, capturando a essência das mudanças (por exemplo, máx. 10-12 palavras).\",\n  \"pt_summary\": \"Resumo de 2-3 frases do ato jurídico em português, na perspetiva do seu impacto na vida quotidiana dos cidadãos.\",\n  \"pt_key_points\": [\n    \"Primeiro ponto curto em português sobre as soluções ou alterações mais importantes introduzidas.\",\n    \"Segundo ponto curto em português...\"\n  ],\n  \"category\": [\"Categorize the document into one category by default, based on the field it primarily concerns. Choose up to 3 if the document also touches upon SIGNIFICANT issues from other categories. You MUST select categories ONLY from the following list: Health, Education, Family, Taxes, Labor, Security, Environment, Courts and Law, Transport, Benefits, Real Estate, Media and Culture, Local Government, Migration, Agriculture, Public Investments, Informatization, Economy. If the document does not definitively fit any of these, you MUST use \"Other\". If you use \"Other\", it should be the ONLY category selected. Do NOT invent new categories. The response must be an array of strings, e.g., [\"Taxes\", \"Family\"].\"]\n}\n\n",
      "ai_response_raw": "{\n  \"pl_ai_title\": \"Ustawa o stabilizacji wynagrodzeń lekarzy w programie Medicare\",\n  \"pl_summary\": \"Projekt ma na celu zapewnienie stabilności finansowej lekarzom świadczącym usługi w ramach Medicare, co chroni pacjentów przed nagłymi zmianami w dostępie do opieki. Dzięki nowym przepisom stawki płac dla medyków będą bardziej przewidywalne i odporne na gwałtowne cięcia budżetowe.\",\n  \"pl_key_points\": [\n    \"Podniesienie progu finansowego dla korekt budżetowych, co zapobiegnie automatycznym obniżkom wynagrodzeń lekarzy.\",\n    \"Wprowadzenie limitu zmian stawek płatności w Medicare do maksymalnie 2,5% w skali roku.\",\n    \"Obowiązek regularnej aktualizacji kosztów prowadzenia gabinetów, takich jak pensje personelu i ceny sprzętu medycznego.\",\n    \"Wprowadzenie mechanizmu korygowania błędnych szacunków dotyczących liczby wykonywanych usług medycznych.\"\n  ],\n  \"eng_ai_title\": \"Provider Reimbursement Stability Act of 2026\",\n  \"eng_summary\": \"This bill aims to stabilize payments to healthcare providers under Medicare to ensure patients have consistent access to care. It prevents sudden, large cuts to doctor fees by updating financial rules and limiting annual payment changes.\",\n  \"eng_key_points\": [\n    \"Increases the financial threshold to prevent automatic payment cuts to doctors.\",\n    \"Limits annual changes in Medicare payment rates to a maximum of 2.5%.\",\n    \"Requires regular updates to the costs of running a medical practice, including staff wages and equipment prices.\",\n    \"Creates a system to correct payment errors based on inaccurate estimates of medical service usage.\"\n  ],\n  \"de_ai_title\": \"Gesetz zur Stabilisierung der Vergütung von Gesundheitsdienstleistern 2026\",\n  \"de_summary\": \"Dieses Gesetz zielt darauf ab, die Zahlungen an Ärzte im Rahmen von Medicare zu stabilisieren, um eine kontinuierliche Versorgung der Patienten zu gewährleisten. Es verhindert plötzliche Honorarkürzungen durch die Aktualisierung von Finanzregeln und die Begrenzung jährlicher Schwankungen.\",\n  \"de_key_points\": [\n    \"Erhöhung der finanziellen Schwellenwerte, um automatische Kürzungen der Arztgehälter zu vermeiden.\",\n    \"Begrenzung der jährlichen Schwankungen der Medicare-Zahlungssätze auf maximal 2,5 %.\",\n    \"Regelmäßige Aktualisierung der Betriebskosten für Arztpraxen, wie Personalgehälter und Materialpreise.\",\n    \"Einführung eines Mechanismus zur Korrektur von Zahlungsfehlern, die auf falschen Schätzungen der Inanspruchnahme von Leistungen beruhen.\"\n  ],\n  \"fr_ai_title\": \"Loi de 2026 sur la stabilité du remboursement des prestataires de soins\",\n  \"fr_summary\": \"Ce projet de loi vise à stabiliser les paiements versés aux médecins dans le cadre de Medicare afin de garantir un accès constant aux soins pour les patients. Il limite les baisses soudaines de revenus pour les professionnels de santé en ajustant les règles budgétaires.\",\n  \"fr_key_points\": [\n    \"Augmentation du seuil financier pour éviter les coupes automatiques dans les paiements aux médecins.\",\n    \"Limitation des variations annuelles des tarifs Medicare à un maximum de 2,5 %.\",\n    \"Mise à jour régulière des coûts de fonctionnement des cabinets médicaux, incluant les salaires et l'équipement.\",\n    \"Création d'un système pour corriger les erreurs de paiement basées sur des estimations inexactes de l'utilisation des services.\"\n  ],\n  \"es_ai_title\": \"Ley de Estabilidad en el Reembolso a Proveedores de Salud de 2026\",\n  \"es_summary\": \"Esta ley busca estabilizar los pagos a los médicos bajo el programa Medicare para asegurar que los pacientes mantengan su acceso a la atención médica. Evita recortes bruscos en los honorarios médicos mediante la actualización de normas financieras y límites anuales.\",\n  \"es_key_points\": [\n    \"Aumento del umbral financiero para evitar recortes automáticos en los pagos a los médicos.\",\n    \"Límite a las variaciones anuales de las tarifas de Medicare a un máximo del 2,5 %.\",\n    \"Actualización periódica de los costos operativos de las clínicas, como salarios del personal y suministros médicos.\",\n    \"Implementación de un mecanismo para corregir errores de pago derivados de estimaciones incorrectas sobre el uso de servicios.\"\n  ],\n  \"it_ai_title\": \"Legge del 2026 sulla stabilità dei rimborsi per gli operatori sanitari\",\n  \"it_summary\": \"Questa legge mira a stabilizzare i pagamenti ai medici nell'ambito di Medicare per garantire ai pazienti un accesso costante alle cure. Impedisce tagli improvvisi ai compensi dei medici aggiornando le soglie finanziarie e limitando le variazioni annuali.\",\n  \"it_key_points\": [\n    \"Innalzamento della soglia finanziaria per evitare tagli automatici ai pagamenti dei medici.\",\n    \"Limite alle variazioni annuali delle tariffe Medicare a un massimo del 2,5%.\",\n    \"Aggiornamento regolare dei costi di gestione degli studi medici, inclusi stipendi del personale e attrezzature.\",\n    \"Introduzione di un sistema per correggere gli errori di pagamento basati su stime imprecise dell'utilizzo dei servizi.\"\n  ],\n  \"nl_ai_title\": \"Wet op de stabiliteit van vergoedingen voor zorgverleners van 2026\",\n  \"nl_summary\": \"Deze wet is bedoeld om de betalingen aan artsen binnen Medicare te stabiliseren, zodat patiënten verzekerd blijven van toegang tot zorg. Het voorkomt plotselinge verlagingen van vergoedingen door financiële regels aan te passen en jaarlijkse schommelingen te beperken.\",\n  \"nl_key_points\": [\n    \"Verhoging van de financiële drempel om automatische kortingen op artsenvergoedingen te voorkomen.\",\n    \"Beperking van de jaarlijkse schommelingen in Medicare-tarieven tot maximaal 2,5%.\",\n    \"Regelmatige updates van de praktijkkosten, zoals personeelssalarissen en medische apparatuur.\",\n    \"Invoering van een systeem om betalingsfouten op basis van onjuiste gebruiksschattingen te corrigeren.\"\n  ],\n  \"pt_ai_title\": \"Lei de Estabilidade no Reembolso de Prestadores de Saúde de 2026\",\n  \"pt_summary\": \"Esta lei visa estabilizar os pagamentos aos médicos no âmbito do Medicare para garantir que os pacientes tenham acesso contínuo a cuidados de saúde. Evita cortes repentinos nos honorários médicos através da atualização de regras financeiras e limites anuais.\",\n  \"pt_key_points\": [\n    \"Aumento do limite financeiro para evitar cortes automáticos nos pagamentos aos médicos.\",\n    \"Limite às variações anuais das taxas do Medicare a um máximo de 2,5%.\",\n    \"Atualização regular dos custos de funcionamento dos consultórios, incluindo salários de funcionários e equipamentos.\",\n    \"Criação de um mecanismo para corrigir erros de pagamento baseados em estimativas incorretas de uso de serviços.\"\n  ],\n  \"category\": [\"Health\"]\n}"
    }
  ]
}