Securing Access to Care for Seniors in Critical Condition Act of 2025

This bill amends Medicare payment rules for long-term care hospitals to ensure they receive full payments for treating seniors in critical condition. It adds a new "high acuity criterion" requiring discharges to be assigned to a specific Medicare payment category (MS-LTC-DRG) with a relative weight of at least 0.8, effective October 1, 2026. Hospitals meeting this criterion for eligible discharges will avoid reduced payments ("site-neutral payments") that would otherwise apply. The change directly affects long-term care hospitals treating Medicare patients with high-acuity conditions and ensures these facilities receive full reimbursement for critical care services.