Rural Emergency Hospital Financial Stability Act

[Congressional Bills 119th Congress] [From the U.S. Government Publishing Office] [H.R. 4277 Introduced in House (IH)] <DOC> 119th CONGRESS 1st Session H. R. 4277 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 Mr. Davis of North Carolina (for himself and Mr. Bergman) introduced the following bill; which was referred to the Committee on Energy and Commerce _______________________________________________________________________ A BILL 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. Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled, SECTION 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 (42 U.S.C. 1396d(a)) is amended by inserting the following after ``outpatient hospital services'': ``(including rural emergency hospital services, as defined in section 1861(kkk), when such services are available),''; (b) Nursing Facility Amendment.--Paragraph (4)(A) of Section 1905(a) of the Social Security Act (42 U.S.C. 1396d(a)) is amended by inserting ``but including services provided in a nursing facility that is a distinct part unit of a rural emergency hospital, as defined in section 1861(kkk)(2)'' after ``diseases''. (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 aft