Project 2025 Tracker / What’s done, what’s next

14. Department of Health and Human Services · Major · Needs Congress

Repeal the Medicare Shared Savings Program and the Inflation Reduction Act

Not started

Printed page 465 14. Department of Health and Human Services · abridged

“Repeal harmful health policies enacted under the Obama and Biden Administrations such as the Medicare Shared Savings Program and Inflation Reduction Act.”

What has happened

  1. Not started

    Neither has been repealed, and the administration has entrenched both. The CY 2026 Physician Fee Schedule final rule updates Medicare Shared Savings Program requirements and codifies the Inflation Reduction Act's Prescription Drug Inflation Rebate Program and other IRA provisions (effective 2026-01-01); the CY 2027 proposed rule of 2026-07-16 carries the Shared Savings Program forward again. No bill repealing either has been introduced.

Research log

What was searched, and what didn’t count as evidence

Research notes

  • Negative searches run 2026-08-27: the titles of the bills we keep and search, for “Shared Savings” — 0 hits; for “Inflation Reduction Act” — 1 hit, H.R. 191 “Inflation Reduction Act of 2025,” an unrelated bill of the same name referred to committee on 2025-01-03. Among the public laws we keep and search, from congress.gov, none of the window repeals either program.
  • Public Law 119-21 repealed several of the Inflation Reduction Act’s clean-energy provisions. That is a different part of the same statute from the health provisions this Recommendation names, and the Mandate’s sentence is about “harmful health policies,” so it is not treated as partial performance of this ask.
  • Recorded as not started with the contrary action dated and sourced: when the government moves away from an ask, the Status stays not started and the action that moved the other way is its Evidence.
Action
repeal
Object
Medicare Shared Savings Program and Inflation Reduction Act
ID
1269