H.R. 4277

119th CONGRESS 1st Session

To amend Title XIX of the Social Security Act to clarify that rural emergency hospitals are treated as outpatient hospitals for purposes of Medicaid payment, and for other purposes.

IN THE HOUSE OF REPRESENTATIVES · July 2, 2025 · Sponsor: Mr. Davis of North Carolina · Committee: Committee on Energy and Commerce

Table of contents

• H.R. 4277
  • SEC. 1. Short title
  • SEC. 2. Clarification of Medicaid payment for rural emergency hospitals
  • SEC. 3. Rulemaking

SEC. 1. Short title

• This Act may be cited as the Rural Emergency Hospital Financial Stability Act.

SEC. 2. Clarification of Medicaid payment for rural emergency hospitals

• (a) Amendment to Medicaid statute
  • Paragraph (2)(A) of Section 1905(a) of the Social Security Act () is amended by inserting the following after : ; 42 U.S.C. 1396d(a)
• (b) Nursing facility amendment
  • Paragraph (4)(A) of Section 1905(a) of the Social Security Act () is amended by inserting after . 42 U.S.C. 1396d(a)
• (c) Effective date
  • The amendments made by this Act shall take effect on the date of enactment, and shall apply to services furnished on or after such date.

SEC. 3. Rulemaking

• Not later than 12 months after the date of enactment of this Act, the Secretary of Health and Human Services shall issue final regulations to carry out the amendments made by this Act.