1. Extending incentive payments for participation in eligible alternative payment models (a) In general Section 1833(z) of the Social Security Act ( 42 U.S.C. 1395l(z) ) is amended— (1) in paragraph (1)— (A) in subparagraph (A)— (i) by striking In the case and inserting Subject to subparagraph (E), in the case ; (ii) by striking ending with 2025 and inserting ending with 2026 ; and (iii) by inserting and 2026 after with respect to 2025 ; and (B) by adding at the end the following new subparagraph: (E) Special payment rule for 2026 With respect to an amount payable under subparagraph (A) for 2026 to an eligible professional who is a qualifying APM participant for such year, such amount shall be reduced, in the case such participant has received payment under such subparagraph— (i) for at least 4 years but fewer than 7 years, by 34 percent; or (ii) for 7 years, by 67 percent. ; (2) in paragraph (2)— (A) in subparagraph (B)— (i) in the subparagraph heading, by striking 2025 and inserting 2026 ; and (ii) in the matter preceding clause (i), by striking 2025 and inserting 2026 ; (B) in subparagraph (C)— (i) in the subparagraph heading, by striking 2026 and inserting 2027 ; and (ii) in the matter preceding clause (i), by striking 2026 and inserting 2027 ; and (C) in subparagraph (D), by striking 2024, and 2025 and inserting 2024, 2025, and 2026 ; and (3) in paragraph (4)(B), by striking 2025 and inserting 2025 and 2026 . (b) Conforming amendments Section 1848(q)(1)(C)(iii) of the Social Security Act ( 42 U.S.C. 1395w–4(q)(1)(C)(iii) is amended— (1) in subclause (II), by striking 2025 and inserting 2026 ; and (2) in subclause (III), by striking 2026 and inserting 2027 .