Protect Medicaid and Rural Hospitals Act

[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[S. 2279 Introduced in Senate (IS)]

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119th CONGRESS
  1st Session
                                S. 2279

  To repeal the changes to Medicaid State provider tax authority and 
  State directed payments made by the One Big Beautiful Bill Act and 
 provide increased funding for the rural health transformation program.


_______________________________________________________________________


                   IN THE SENATE OF THE UNITED STATES

                             July 15, 2025

  Mr. Hawley introduced the following bill; which was read twice and 
                  referred to the Committee on Finance

_______________________________________________________________________

                                 A BILL


 
  To repeal the changes to Medicaid State provider tax authority and 
  State directed payments made by the One Big Beautiful Bill Act and 
 provide increased funding for the rural health transformation program.

    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 ``Protect Medicaid and Rural Hospitals 
Act''.

SEC. 2. REPEAL OF CHANGES TO MEDICAID STATE PROVIDER TAX AUTHORITY.

    Section 71115 of the Act titled ``An Act to provide for 
reconciliation pursuant to title II of H. Con. Res. 14'' (Public Law 
119-21) is repealed and title XIX of the Social Security Act (42 U.S.C. 
1396 et seq.) shall be applied as if such section and the amendments 
made by such section had not been enacted.

SEC. 3. REPEAL OF CHANGES TO MEDICAID STATE DIRECTED PAYMENTS.

    (a) Repeal.--Section 71116 of the Act titled ``An Act to provide 
for reconciliation pursuant to title II of H. Con. Res. 14'' (Public 
Law 119-21) is repealed and the provisions of such section shall have 
no force and effect.
    (b) Rescission.--The amounts appropriated under section 71116(e) of 
the Act titled ``An Act to provide for reconciliation pursuant to title 
II of H. Con. Res. 14'' (Public Law 119-21) are hereby rescinded.

SEC. 4. INCREASED FUNDING FOR THE RURAL HEALTH TRANSFORMATION PROGRAM.

    Section 2105(h)(1)(A) of the Social Security Act (42 U.S.C. 
1397ee(h)(1)(A)), as added by section 71401 of the Act titled ``An Act 
to provide for reconciliation pursuant to title II of H. Con. Res. 14'' 
(Public Law 119-21), is amended--
            (1) in clause (iv), by striking ``and'' after the 
        semicolon;
            (2) in clause (v), by striking the period and inserting a 
        semicolon; and
            (3) by adding at the end the following new clauses:
                            ``(vi) $10,000,000,000 for fiscal year 
                        2031.
                            ``(vii) $10,000,000,000 for fiscal year 
                        2032.
                            ``(viii) $10,000,000,000 for fiscal year 
                        2033.
                            ``(ix) $10,000,000,000 for fiscal year 
                        2034.
                            ``(x) $10,000,000,000 for fiscal year 
                        2035.''.
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