The Medicare Access and CHIP Reauthorization Act (MACRA), H.R. 2 was passed overwhelmingly by the House of Representatives on March 26, 2015 by a vote of 392 to 37, approved by the Senate on April 14 by a vote of 92 to 8, and then signed by the President on April 16. This law not only eliminates the failed Medicare Sustainable Growth Rate (SGR) formula, but also fundamentally revamps how Medicare pays physicians. So, what is actually included in this new law and why should physicians support and get prepared for it?