To the Editor We are dismayed by the number of US adults with uncontrolled blood pressure (BP), as reported in a recent Research Letter. We wish to bring additional attention to the current national quality performance measure target for high BP control of less than 140/90 mm Hg, which has been both outdated and stagnant since 2005. Since 2017, this measure has remained misaligned with national guidelines endorsed by the American Heart Association (AHA) and the American College of Cardiology (ACC), which recommend control for adults with stage 2 and stage 1 confirmed high BP who are at increased risk for cardiovascular disease (CVD).