Rural Emergency Hospital Financial Stability Act

[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 4277 Introduced in House (IH)]

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119th CONGRESS
  1st Session
                                H. R. 4277

  To amend Title XIX of the Social Security Act to clarify that rural 
emergency hospitals are treated as outpatient hospitals for purposes of 
               Medicaid payment, and for other purposes.


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                    IN THE HOUSE OF REPRESENTATIVES

                              July 2, 2025

 Mr. Davis of North Carolina (for himself and Mr. Bergman) introduced 
 the following bill; which was referred to the Committee on Energy and 
                                Commerce

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                                 A BILL


 
  To amend Title XIX of the Social Security Act to clarify that rural 
emergency hospitals are treated as outpatient hospitals for purposes of 
               Medicaid payment, and for other purposes.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Rural Emergency Hospital Financial 
Stability Act''.

SEC. 2. CLARIFICATION OF MEDICAID PAYMENT FOR RURAL EMERGENCY 
              HOSPITALS.

    (a) Amendment to Medicaid Statute.--Paragraph (2)(A) of Section 
1905(a) of the Social Security Act (42 U.S.C. 1396d(a)) is amended by 
inserting the following after ``outpatient hospital services'': 
``(including rural emergency hospital services, as defined in section 
1861(kkk), when such services are available),'';
    (b) Nursing Facility Amendment.--Paragraph (4)(A) of Section 
1905(a) of the Social Security Act (42 U.S.C. 1396d(a)) is amended by 
inserting ``but including services provided in a nursing facility that 
is a distinct part unit of a rural emergency hospital, as defined in 
section 1861(kkk)(2)'' after ``diseases''.
    (c) Effective Date.--The amendments made by this Act shall take 
effect on the date of enactment, and shall apply to services furnished 
on or after such date.

SEC. 3. RULEMAKING.

    Not later than 12 months after the date of enactment of this Act, 
the Secretary of Health and Human Services shall issue final 
regulations to carry out the amendments made by this Act.
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