I
119THCONGRESS
1
STSESSION H. R. 1708
To amend title XVIII of the Social Security Act to adjust allowable direct
and indirect costs for nursing and allied health education programs.
IN THE HOUSE OF REPRESENTATIVES
FEBRUARY27, 2025
Mr. L
AHOOD(for himself, Ms. CRAIG, and Mrs. FISCHBACH) introduced the
following bill; which was referred to the Committee on Ways and Means
A BILL
To amend title XVIII of the Social Security Act to adjust
allowable direct and indirect costs for nursing and allied
health education programs.
Be it enacted by the Senate and House of Representa-1
tives of the United States of America in Congress assembled, 2
SECTION 1. SHORT TITLE. 3
This Act may be cited as the ‘‘Rebuild America’s 4
Health Care Schools Act of 2025’’. 5
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SEC. 2. ADJUSTING ALLOWABLE DIRECT AND INDIRECT 1
COSTS FOR NURSING AND ALLIED HEALTH 2
EDUCATION PROGRAMS. 3
(a) I
NGENERAL.—Section 1861(v)(1) of the Social 4
Security Act (42 U.S.C. 1395x(v)(1)) is amended by add-5
ing at the end the following new subparagraph: 6
‘‘(X)(i) In determining such reasonable costs for 7
nursing and allied health education furnished by a hos-8
pital, beginning with respect to cost reporting periods be-9
ginning on or after the date of the enactment of the Re-10
build America’s Health Care Schools Act of 2025, the Sec-11
retary shall include as reasonable costs all direct and indi-12
rect costs incurred by a hospital participating in a nursing 13
and allied health education program licensed by State law 14
or accredited by a national or regional professional organi-15
zation, including costs that— 16
‘‘(I) were directly incurred by the hospital; 17
‘‘(II) were allocated to the hospital by a related 18
entity holding the applicable State license or accredi-19
tation by a national or regional professional organi-20
zation; or 21
‘‘(III) were associated with the training of a 22
program participant at the hospital or at a related 23
entity. 24
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‘‘(ii) For purposes of clause (i), the term ‘related enti-1
ty’ means, with respect to a hospital, any entity that is 2
related by common ownership or control to— 3
‘‘(I) the hospital itself; or 4
‘‘(II) an entity— 5
‘‘(aa) in which the hospital (or another en-6
tity that is a related entity with respect to the 7
hospital) is the sole corporate member; 8
‘‘(bb) that is the sole corporate member of 9
the hospital; 10
‘‘(cc) that is part of the same legal entity 11
as the hospital; or 12
‘‘(dd) that shares a board with the hos-13
pital.’’. 14
(b) A
LLOWINGHEALTHSYSTEMS AND HOSPITAL- 15
B
ASEDSCHOOLSTOPROVIDECLINICALTRAINING AND 16
S
UPPORT.—Not later than 120 days after the date of the 17
enactment of this section, the Secretary of Health and 18
Human Services shall issue such rules as are necessary 19
to carry out the amendments made by subsection (a). 20
(c) P
ROHIBITINGRECOUPMENT OF CERTAINCOSTS 21
U
NDERMEDICARE.— 22
(1) I
N GENERAL.—Beginning on the date of the 23
enactment of this section, the Secretary of Health 24
and Human Services may not recoup or reduce pay-25
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ments made to a hospital under part A of title 1
XVIII of the Social Security Act (42 U.S.C. 1395c 2
et seq.) for costs related to an approved nursing or 3
allied health education program that are included on 4
the Medicare cost report for such hospital if such 5
costs would be allowable after the amendments made 6
by subsection (a) take effect. 7
(2) R
EFUND OF AMOUNTS RECOUPED .—If, dur-8
ing the 6-year period ending on the date of the en-9
actment of this section, the Secretary recouped or 10
reduced payments made to a hospital under such 11
part A for costs described in paragraph (1), the Sec-12
retary shall refund to the hospital the amount so re-13
couped or reduced. 14
Æ
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