Bills · HR 4269
IN COMMITTEE· 119TH CONGRESS
House BillHR 4269Health
Ensuring Outpatient Quality for Rural States Act
INTRO JUN 30· LAST ACTION JUN 30
READING
2MIN
COSPONSORS
2BIPARTISAN
READER REACTIONS0 TOTAL
NO VOTES YET · BE THE FIRST
- Introduced only
LEGISLATIVE PROGRESS
STEP 2 / 8Introduced
In Committee
Reported
Passed House
Passed Senate
Conference
To President
Became Law
WHAT THE BILL DOES
AI-writtenThis bill matters because it addresses the unique financial challenges faced by hospitals in states with exceptionally high costs of living and doing business. If it becomes law, hospitals in Alaska and Hawaii would receive more equitable Medicare payments that better reflect their actual expenses for providing outpatient care, potentially preventing service cuts or closures in rural and remote areas. This could help ensure continued access to quality healthcare for residents in these states.
Without this bill, hospitals in Alaska and Hawaii might continue to struggle with payment rates that don't fully cover their non-wage related operational costs, potentially leading to financial strain or reduced services. By providing these additional adjustments, the bill aims to support the financial viability of healthcare providers in these high-cost regions, ensuring that patients continue to have access to necessary outpatient care.
KEY PROVISIONS
3AI-extractedPROVISION 01
Medicare payments for hospital outpatient services in Alaska and Hawaii would include an adjustment for non-labor related costs.
This ensures that a broader range of high operational costs in these states are accounted for in Medicare payments.
PROVISION 02
The adjustment for non-labor related costs would not be offset by reductions in other Medicare payments.
This means the payment increase for these services in Alaska and Hawaii would be a net increase in Medicare spending.
PROVISION 03
These changes would apply to hospital outpatient services furnished on or after January 1, 2026.
This establishes a clear effective date for when the new payment methodology would begin.
SPONSORSHIP
1 + 2
D· Hawaii
YRS IN OFFICE
3
BILLS LED
42
COSPONSOR BREAKDOWNBIPARTISAN · 100%
DEM 1 REP 1 IND 0
ACTION TIMELINE
2 EVENTSJUN 30
Introduced in House
JUN 30
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 concerned.
BILL INFO
TypeHouse Bill
NumberHR 4269
Congress119th
StatusIn Committee
IntroducedJun 30, 2025
Last actionJun 30, 2025
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IN COMMITTEE· 119TH CONGRESS · WAYS AND MEANS COMMITTEE · INTRODUCED JUN 30, 2025
House BillHR 4269Health
Ensuring Outpatient Quality for Rural States Act
INTRODUCED JUN 30, 2025· LAST ACTION JUN 30, 2025
PASSAGE CHANCES
—%
READING
2 min
COSPONSORS
2
COMPLEXITY
Moderate
