S. 2279

119th CONGRESS 1st Session

To repeal the changes to Medicaid State provider tax authority and State directed payments made by the One Big Beautiful Bill Act and provide increased funding for the rural health transformation program.

IN THE SENATE OF THE UNITED STATES · July 15, 2025 · Sponsor: Mr. Hawley · Committee: Committee on Finance

Table of contents

• S. 2279
  • SEC. 1. Short title
  • SEC. 2. Repeal of changes to Medicaid State provider tax authority
  • SEC. 3. Repeal of changes to Medicaid State directed payments
  • SEC. 4. Increased funding for the rural health transformation program

SEC. 1. Short title

• This Act may be cited as the Protect Medicaid and Rural Hospitals Act.

SEC. 2. Repeal of changes to Medicaid State provider tax authority

• Section 71115 of the Act titled () is repealed and title XIX of the Social Security Act () shall be applied as if such section and the amendments made by such section had not been enacted. An Act to provide for reconciliation pursuant to title II of H. Con. Res. 14 Public Law 119–21; 42 U.S.C. 1396 et seq.

SEC. 3. Repeal of changes to Medicaid State directed payments

• (a) Repeal
  • Section 71116 of the Act titled () is repealed and the provisions of such section shall have no force and effect. An Act to provide for reconciliation pursuant to title II of H. Con. Res. 14 Public Law 119–21
  • Repeal
• (b) Rescission
  • The amounts appropriated under section 71116(e) of the Act titled () are hereby rescinded. An Act to provide for reconciliation pursuant to title II of H. Con. Res. 14 Public Law 119–21

SEC. 4. Increased funding for the rural health transformation program

• Section 2105(h)(1)(A) of the Social Security Act (), as added by section 71401 of the Act titled (), is amended— An Act to provide for reconciliation pursuant to title II of H. Con. Res. 14 42 U.S.C. 1397ee(h)(1)(A); Public Law 119–21
  • in clause (iv), by striking after the semicolon;
  • in clause (v), by striking the period and inserting a semicolon; and
    • (vi) $10,000,000,000 for fiscal year 2031.
    • (vii) $10,000,000,000 for fiscal year 2032.
    • (viii) $10,000,000,000 for fiscal year 2033.
    • (ix) $10,000,000,000 for fiscal year 2034.
    • (x) $10,000,000,000 for fiscal year 2035.
  • by adding at the end the following new clauses: