119 HR 4269 IH: Ensuring Outpatient Quality for Rural States 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. 4269IN THE HOUSE OF REPRESENTATIVESJune 30, 2025Ms. Tokuda (for herself and Mr. Begich) 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 provide for the application of a cost-of-living adjustment to the non-labor related portion for hospital outpatient department services furnished in Alaska and Hawaii.

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Short title

This Act may be cited as the Ensuring Outpatient Quality for Rural States Act.

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Application of cost-of-living adjustment to non-labor related portion for hospital outpatient department services furnished in Alaska and Hawaii

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)

Application of cost-of-living adjustment to non-labor related portion for hospital outpatient department services furnished in Alaska and Hawaii

With respect to covered OPD services furnished on or after January 1, 2026, the Secretary may provide for adjustments to the payment amounts under this subsection for such services in the same manner that is provided under section 1886(d)(5)(H) with respect to the application of the cost-of-living adjustment to the non-labor related portion of such payment amounts to take into account the unique circumstances of hospitals located in Alaska or Hawaii. The preceding sentence shall not be applied in a budget neutral manner..