The Rural Hospital Cybersecurity Enhancement Act requires the Secretary of Health and Human Services to develop a workforce strategy for rural hospitals within one year of enactment. This strategy must address cybersecurity staffing challenges, create partnerships with educational institutions, and develop training materials tailored to rural hospital needs. The bill also mandates the creation of accessible cybersecurity instructional materials for hospital staff and annual congressional briefings on progress. It directly affects rural hospitals - defined as non-urban facilities providing inpatient, emergency, and diagnostic care - without authorizing new funding. Implementation must use existing resources, focusing on practical workforce development and training.
This bill adjusts Medicare payments for hospital outpatient services in Alaska and Hawaii starting in 2026. It allows the Medicare Secretary to apply a special cost-of-living adjustment to non-labor costs (like supplies and equipment) for these hospitals, similar to adjustments used for other providers. The change specifically addresses the higher operating costs unique to Alaska and Hawaii, without requiring budget neutrality. It directly affects Medicare reimbursement for outpatient departments in those two states.
HR 3222, the SMART Health Care Act, aims to improve Medicare efficiency and affordability. It requires Medicare Advantage plans to use two years of diagnostic data for risk adjustment starting in 2026, affecting how these plans are funded. The bill also implements site-neutral payments for outpatient services (ending exceptions after 2025) and mandates that covered entities provide Medicare patients with drugs at the purchase price minus discounts, with public reporting of pricing data. These changes directly impact Medicare Advantage insurers, hospitals, outpatient departments, and drug providers, focusing on cost control and transparency.
This bill establishes a 6-year Medicare pilot program to provide medically tailored home-delivered meals to high-risk Medicare beneficiaries after hospital discharge. It requires selected hospitals (40 total, meeting quality ratings and program integrity standards) to screen eligible patients with diet-impacted conditions (like diabetes or heart failure), provide 2 tailored meals daily for 12+ weeks, and offer medical nutrition therapy. The program aims to improve health outcomes and reduce readmissions by covering costs without patient copays, using existing Medicare funding with budget-neutral adjustments to hospital payments. Hospitals must submit data on health outcomes and costs for evaluation by Medicare.
This bill amends Medicare payment rules to allow certain outpatient services provided by off-campus hospital departments to be paid under the hospital outpatient department system starting in 2027. It specifically targets services in physician specialties where the total Medicare payments for all such services in the previous year were less than $2 million. This change directly affects hospitals operating off-campus outpatient departments serving lower-volume physician specialties. The key provision shifts payment methodology for these specific services to align with hospital outpatient department rates, aiming to stabilize funding for smaller specialty programs. The bill does not alter existing Medicare coverage or create new benefits.
Rebuild America’s Health Care Schools Act of 2025 This bill allows hospitals to receive reimbursement under Medicare for certain costs associated with training nursing and allied health students in settings other than the hospital itself. Currently, hospitals may receive reimbursement under Medicare for the reasonable costs associated with training nursing and allied health students if certain conditions are met; the criteria vary depending on whether the students are enrolled in an educational program that is operated by the hospital or another entity. If the students are part of a program that is operated by another entity, the training must occur at the hospital itself or in areas immediately surrounding the hospital in order to qualify for reimbursement (among other requirements). The bill allows hospitals to receive reimbursement for these costs if the training is conducted at an entity that is related to the hospital (i.e., common ownership or control). The bill requires the Centers for Medicare & Medicaid Services (CMS) to update regulations to reflect these changes. Additionally, the CMS may not recoup or reduce payments to hospitals with respect to costs that are allowed under the bill and must refund any such recoupments or reductions that occurred during the six-year period prior to the bill's enactment.
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.
This bill adjusts Medicare eligibility rules for rural emergency hospitals. It expands eligibility to include off-campus emergency departments that operate as dedicated emergency services in rural counties, meeting specific federal definitions. Hospitals previously classified as outpatient departments could now qualify for Medicare payments if they maintained a dedicated emergency department in a rural area. The change modifies the Social Security Act to allow these facilities to be recognized under the rural emergency hospital designation program. This directly affects rural healthcare providers seeking Medicare reimbursement for emergency services.
HR 6393, the "DSH in Tennessee Act," permanently restores and guarantees specific federal hospital funding for Tennessee starting in fiscal year 2026. It directs the federal government to provide Tennessee with a Disproportionate Share Hospital (DSH) allotment equal to the state's 2015 level, adjusted annually for inflation based on the Consumer Price Index. This funding directly supports hospitals in Tennessee that serve large numbers of low-income patients, ensuring they receive consistent federal financial assistance. The bill treats Tennessee as a "low DSH state" for future funding calculations, establishing a permanent, inflation-adjusted funding formula.
Rural Hospital Closure Relief Act of 2025 This bill temporarily allows additional hospitals to qualify as critical access hospitals (CAHs) that receive special payment under Medicare. Currently, in order to qualify as a CAH under Medicare, a hospital must either (1) be located more than 35 miles (or 15 miles in mountainous regions or areas with only secondary roads) from another hospital, or (2) have been certified prior to January 1, 2006, by the state as a necessary provider of services in the area. The bill allows a hospital to also qualify if the hospital is a small, rural hospital that (1) serves a health professional shortage area, or a high number of low-income individuals or Medicare beneficiaries; (2) has experienced financial losses for two consecutive years; and (3) attests to having a strategic plan to address financial solvency and to committing to provide a service that is in high demand in the hospital's service area. This authority expires nine years after the bill's enactment. The Government Accountability Office must study the effects of the bill's implementation. In addition, the Medicare Payment Advisory Commission must study and recommend payment systems for rural hospitals under Medicare. The Centers for Medicare & Medicaid Services must subsequently establish a mechanism and issue guidance on how newly designated CAHs may transition to different payment models under Medicare, including any new payment models recommended by the commission.
