| 1 | 1 | | II |
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| 2 | 2 | | 119THCONGRESS |
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| 3 | 3 | | 1 |
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| 4 | 4 | | STSESSION S. 552 |
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| 5 | 5 | | To amend title XVIII of the Social Security Act to provide for the treatment |
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| 6 | 6 | | of critical access hospital services furnished by a critical access hospital |
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| 7 | 7 | | located in a noncontiguous State. |
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| 8 | 8 | | IN THE SENATE OF THE UNITED STATES |
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| 9 | 9 | | FEBRUARY12, 2025 |
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| 10 | 10 | | Mr. S |
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| 11 | 11 | | ULLIVAN(for himself and Mr. SCHATZ) introduced the following bill; |
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| 12 | 12 | | which was read twice and referred to the Committee on Finance |
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| 13 | 13 | | A BILL |
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| 14 | 14 | | To amend title XVIII of the Social Security Act to provide |
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| 15 | 15 | | for the treatment of critical access hospital services fur- |
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| 16 | 16 | | nished by a critical access hospital located in a non- |
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| 17 | 17 | | contiguous State. |
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| 18 | 18 | | Be it enacted by the Senate and House of Representa-1 |
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| 19 | 19 | | tives of the United States of America in Congress assembled, 2 |
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| 20 | 20 | | SECTION 1. SHORT TITLE. 3 |
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| 21 | 21 | | This Act may be cited as the ‘‘Comprehensive Reim-4 |
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| 22 | 22 | | bursement Initiative Targeting Investment and Care in 5 |
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| 23 | 23 | | rural Locations’’ or the ‘‘CRITICAL Act’’. 6 |
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| 24 | 24 | | VerDate Sep 11 2014 22:29 Mar 07, 2025 Jkt 059200 PO 00000 Frm 00001 Fmt 6652 Sfmt 6201 E:\BILLS\S552.IS S552 |
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| 25 | 25 | | ssavage on LAPJG3WLY3PROD with BILLS 2 |
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| 26 | 26 | | •S 552 IS |
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| 27 | 27 | | SEC. 2. TREATMENT OF CRITICAL ACCESS HOSPITALS LO-1 |
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| 28 | 28 | | CATED IN A NONCONTIGUOUS STATE. 2 |
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| 29 | 29 | | (a) I |
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| 30 | 30 | | NPATIENTCRITICALACCESSHOSPITALSERV-3 |
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| 31 | 31 | | ICES.—Section 1814(l)(1) of the Social Security Act (42 4 |
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| 32 | 32 | | U.S.C. 1395f(l)(1)) is amended by inserting ‘‘(or, in the 5 |
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| 33 | 33 | | case of inpatient critical access hospital services furnished 6 |
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| 34 | 34 | | on or after January 1, 2026, by a critical access hospital 7 |
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| 35 | 35 | | that is located in a noncontiguous State, 105 percent)’’ 8 |
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| 36 | 36 | | after ‘‘101 percent’’. 9 |
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| 37 | 37 | | (b) O |
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| 38 | 38 | | UTPATIENTCRITICALACCESSHOSPITALSERV-10 |
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| 39 | 39 | | ICES.—Section 1834(g)(1) of the Social Security Act (42 11 |
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| 40 | 40 | | U.S.C. 1395m(g)(1)) is amended by inserting ‘‘(or, in the 12 |
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| 41 | 41 | | case of outpatient critical access hospital services fur-13 |
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| 42 | 42 | | nished on or after January 1, 2026, by a critical access 14 |
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| 43 | 43 | | hospital that is located in a noncontiguous State, 105 per-15 |
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| 44 | 44 | | cent)’’ after ‘‘101 percent’’. 16 |
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| 45 | 45 | | (c) A |
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| 46 | 46 | | MBULANCESERVICES.—Section 1834(l)(8) of 17 |
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| 47 | 47 | | the Social Security Act (42 U.S.C. 1395m(l)(8)) is amend-18 |
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| 48 | 48 | | ed by inserting ‘‘(or, in the case of ambulance services fur-19 |
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| 49 | 49 | | nished on or after January 1, 2026, by a critical access 20 |
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| 50 | 50 | | hospital that is located in a noncontiguous State or by an 21 |
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| 51 | 51 | | entity that is owned and operated by a critical access hos-22 |
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| 52 | 52 | | pital that is located in a noncontiguous State, 105 per-23 |
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| 53 | 53 | | cent)’’ after ‘‘101 percent’’. 24 |
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| 54 | 54 | | (d) S |
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| 55 | 55 | | KILLEDNURSINGFACILITYSERVICES.—Sec-25 |
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| 56 | 56 | | tion 1883(a)(3) of the Social Security Act (42 U.S.C. 26 |
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| 58 | 58 | | ssavage on LAPJG3WLY3PROD with BILLS 3 |
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| 59 | 59 | | •S 552 IS |
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| 60 | 60 | | 1395tt(a)(3)) is amended by inserting ‘‘(or, in the case 1 |
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| 61 | 61 | | of covered skilled nursing facility services furnished on or 2 |
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| 62 | 62 | | after January 1, 2026, under an agreement under this 3 |
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| 63 | 63 | | section by a critical access hospital that is located in a 4 |
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| 64 | 64 | | noncontiguous State, 105 percent)’’ after ‘‘101 percent’’. 5 |
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| 65 | 65 | | Æ |
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| 66 | 66 | | VerDate Sep 11 2014 22:29 Mar 07, 2025 Jkt 059200 PO 00000 Frm 00003 Fmt 6652 Sfmt 6301 E:\BILLS\S552.IS S552 |
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| 67 | 67 | | ssavage on LAPJG3WLY3PROD with BILLS |
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