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The 34 undersigned organizations write to urge swift Congressional action to stop a portion of
the recently finalized rule published by the Centers for Medicare & Medicaid Services
(CMS) on October 31st (90 Fed. Reg. 32352 et seq.), that reduces the work Relative Value
Units (RVUs) and intra-service time for all non-time-based codes by 2.5 percent in 2026,
with additional reductions expected every 3 years indefinitely.

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