119-hr4345

[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 4345 Introduced in House

    (IH) ]

<DOC>

119th CONGRESS
 1st Session
 H. R. 4345

 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

 July 10, 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, without regard to the 
 distance between the facility and a hospital 
 (or another facility described in this 
 subsection), if the facility is located on a 
 reservation (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. The Secretary may not 
 take a distinct part unit so established by 
 such facility into account when determining 
 whether such facility is primarily engaged in 
 providing the services described in 

section 1861

    (e)

    (1) .''.
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