Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), (H.R. 2, Pub.L. 114–10 (text) (PDF)) commonly called the Permanent Doc Fix, is a United States statute. Revising the Balanced Budget Act of 1997, the Bipartisan Act was the largest scale change to the American health care system following the Affordable Care Act in 2010.