119-hr4258

[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 4258 Introduced in House

    (IH) ]

<DOC>

119th CONGRESS
 1st Session
 H. R. 4258

 To amend title XVIII of the Social Security Act to expand the 
 definition of critical access hospital under the Medicare program to 
 include certain hospitals on Indian reservations.

_______________________________________________________________________

 IN THE HOUSE OF REPRESENTATIVES

 June 30, 2025

 Mr. Newhouse introduced the following bill; which was referred to the 
 Committee on Ways and Means

_______________________________________________________________________

 A BILL

 To amend title XVIII of the Social Security Act to expand the 
 definition of critical access hospital under the Medicare program to 
 include certain hospitals on Indian reservations.

 Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. EXPANDING THE DEFINITION OF CRITICAL ACCESS HOSPITAL UNDER 
 THE MEDICARE PROGRAM TO INCLUDE CERTAIN HOSPITALS ON 
 INDIAN RESERVATIONS.

 

Section 1820
            (c) (2) of the Social Security Act (42 U.S.C. 1395i-
4
            (c) (2) ) is amended--

    (1) in subparagraph
        (B)
            (i) 
            (I) , by inserting ``subject to 
 subparagraph
        (F) ,'' before ``is located'';

    (2) in subparagraph
        (E)
            (ii) , by striking ``The total'' and 
 inserting ``Subject to subparagraph
        (F) , the total''; and

    (3) by adding at the end the following new subparagraph:
 ``
        (F) Hospitals on indian reservations.--
 ``
            (i) In general.--Beginning August 1, 
 2025, a State may designate a facility as a 
 critical access hospital if the facility--
 ``
            (I) is located on a reservation 
 (as defined in 

section 4 of the Indian 
 Health Care Improvement Act); and
 ``
            (II) is located more than a 35-
 mile drive (or, in the case of 
 mountainous terrain or in areas with 
 only secondary roads available, a 15-
 mile drive) from a hospital, or another 
 facility described in this subsection, 
 that--
 ``

    (aa) is located on a 
 reservation (as so defined); or
 ``

    (bb) is operated by the 
 Indian Health Service, an 
 Indian tribe or tribal 
 organization, or an urban 
 Indian organization (as defined 
 in 

section 4 of the Indian 
 Health Care Improvement Act).
 ``
            (ii) Psychiatric and rehabilitation 
 distinct part units.--A facility described in 
 clause
            (i) may establish a distinct part unit 
 under subparagraph
        (E) without regard to the 
 limitation on number of beds under clause
            (ii) of such subparagraph.''.
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