119 HR 4250 IH: Save our Lone Emergency Services Act U.S. House of Representatives 2025-06-30 text/xml EN Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.

I119th CONGRESS1st SessionH. R. 4250IN THE HOUSE OF REPRESENTATIVESJune 30, 2025Mr. Begich (for himself and Ms. Tokuda) introduced the following bill; which was referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concernedA BILLTo amend title XVIII of the Social Security Act to establish a floor on payments to sole community hospitals located in Alaska and Hawaii under the hospital outpatient prospective payment system.

1.

Short title

This Act may be cited as the Save our Lone Emergency Services Act or the SOLES Act.

2.

Treatment of sole community hospitals located in Alaska and Hawaii under hospital outpatient prospective payment system

Section 1833(t) of the Social Security Act (42 U.S.C. 1395l(t)) is amended by adding at the end the following new paragraph: (23)

Treatment of sole community hospitals located in Alaska and Hawaii

(A)

In general

If the Secretary determines that the amount of payment under this subsection for covered OPD services furnished by a sole community hospital (as defined in section 1886(d)(5)(D)(iii)) that is located in Alaska or Hawaii is less than 94 percent of the reasonable costs (as defined in section 1861(v)) of the hospital providing such services, the amount of payment under this subsection shall be increased by the amount of such difference. (B)

No effect on copayments

Nothing in this paragraph shall be construed to affect the copayment amount under paragraph (8). (C)

Application without regard to budget neutrality

The additional payments made under this paragraph— (i)shall not be considered an adjustment under paragraph (2)(E); and (ii)shall not be implemented in a budget neutral manner. (D)

Rulemaking

Not later than 6 months after the date of enactment of this paragraph, the Secretary shall promulgate regulations to carry out this paragraph, which shall be effective with respect to covered OPD services furnished on or after the first January 1 after such date..