The Physician Payment Review Commission (PPRC) was established in 1986 as an independent legislative advisory commission under the authority of Sec. 9305 of the Consolidated Omnibus Budget Reconciliation Act of 1985. The Commission was formed to advise the U. S. Congress on methods used to pay physicians for services to Medicare beneficiaries. In addition, the Commission provides opportunities for beneficiaries, physicians, and other interested parties to have their views considered in policy deliberations and physical payment issues; conducts analyses to provide a basis for policy to alter Medicare’s method of paying physicians; and performs design work necessary to implement major changes in physician payment.