1. Short title This Act may be cited as the Providers and Payers COMPETE Act . 2. Annual report on the impact of certain Medicare regulations on provider and payer consolidation; public comment on provider and payer consolidation for certain proposed rules (a) Annual report Not later than December 30, 2026, and annually thereafter, the Secretary of Health and Human Services (in this section referred to as the Secretary ) shall submit to Congress a report on the impact in the aggregate on provider and payer consolidation with respect to regulations for parts B, C, and D of title XVIII of the Social Security Act ( 42 U.S.C. 1395j et seq. ) implemented in the calendar year immediately prior to such report. Such report shall include regulations that— (1) implement a change to an applicable payment system, a rate schedule, or another payment system under part B, C, or D of such title