119 HR 4277 IH: Rural Emergency Hospital Financial Stability Act U.S. House of Representatives 2025-07-02 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. 4277IN THE HOUSE OF REPRESENTATIVESJuly 2, 2025Mr. Davis of North Carolina (for himself and Mr. Bergman) introduced the following bill; which was referred to the Committee on Energy and CommerceA BILLTo 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.

1.

Short title

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

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.

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.