They're not happening again, so you're not getting hit, uh, like a, a compounded, uh, negative two point five percent, but it's already been taken out of that work RVU, uh, for twenty twenty-seven proposed rule.

So I, I'd say the other thing is that the one positive thing that I think we got done early last year that we normally do is Congress recognized that there was issues with the Medicare payment system, and they did proactively enact a two point five percent boost, um, to the conversion factor for twenty twenty-six.

But then the f- the rule was finalized, and then we have the efficiency policy that just sort of took that two point five and sort of wiped it out.

So we did a lot of advocacy, and our members really were really tremendous in getting engaged in trying to educate Congress on the fact that, you know, you gave us this, l- you know, two point five percent boost, and now the, the rule is gonna take it away.

And, you know, we were really hoping to get Congress to, you know, maybe pause the, um, enact or implementation of the, uh, efficiency adjustment policy and the indirect policy before the end of last year.

And that didn't happen, but I think, you know, the positive is that Congress still did listen to what we were saying, and we did get legislation introduced earlier this year to address the efficiency adjustment that, you know, put that pause on that two point five percent.

And that was important because, you know, Con-- or CMS said they were gonna, you know, revisit this, like, every three years.

[chuckles] Can you, can you walk us through some of the strategies for where we go from here?