Us Congress 2025-2026 Regular Session

Us Congress Senate Bill SB335

Introduced
1/30/25  

Caption

Rural Hospital Support ActThis bill modifies and extends certain payment adjustments for rural hospitals under Medicare's inpatient prospective payment system.Specifically, the bill indexes payment adjustments for sole community hospitals and Medicare-dependent hospitals to FY2016 operating costs, if it results in higher payments for such hospitals. The bill also makes payment adjustments for Medicare-dependent hospitals and low-volume hospitals permanent (the adjustments currently expire on March 31, 2025).

Impact

If enacted, the Rural Hospital Support Act could significantly alter the financial landscape for sole community and Medicare-dependent hospitals. The new payment structures would potentially provide these facilities with more substantial funding, ensuring they can maintain essential services in rural regions. By extending the Medicare-dependent hospital program and instituting protections against payment adjustments, the act strives to create a more stable economic foundation for healthcare providers that are critical to the communities they serve.

Summary

SB335, known as the Rural Hospital Support Act, aims to amend title XVIII of the Social Security Act by rebasing the calculation of payments for sole community hospitals and Medicare-dependent hospitals. This legislation seeks to enhance the financial viability of these critical healthcare providers, which often serve populations in rural areas where healthcare access is limited. The act introduces a new methodology for determining payment amounts, allowing for increased reimbursements based on updated cost reporting periods that start from October 1, 2025.

Contention

While the bill has garnered support as a means of strengthening rural healthcare, there is ongoing debate surrounding its implementation. Critics might argue that the focus on payment adjustments could divert attention from broader systemic issues in healthcare access and quality in rural areas. Additionally, concerns about sustaining long-term funding for these changes arise, as stakeholders discuss the implications of such financial adjustments on the overall Medicare budget and healthcare services at large. Therefore, the successful navigation of these potential conflicts will be vital to the bill's future.

Congress_id

119-S-335

Policy_area

Health

Introduced_date

2025-01-30

Companion Bills

No companion bills found.

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