Improving Access to Medicare Coverage Act of 2026

The Improving Access to Medicare Coverage Act of 2026 changes how Medicare counts time spent in hospital observation toward the three-day waiting period required for skilled nursing facility coverage. Starting in 2026, individuals receiving outpatient observation services will be treated as inpatients for this purpose, and the date they stop receiving such care will count as their official hospital discharge date. This provision applies to observation periods beginning on or after January 1, 2026, with limited exceptions for appeals made within 90 days of the bill's enactment. The law also allows the Department of Health and Human Services to implement these changes through interim regulations before the official start date.