Long-Term Rural Health Investment Act of 2026

[Congressional Bills 119th Congress] [From the U.S. Government Publishing Office] [H.R. 10729 Introduced in House (IH)] <DOC> 119th CONGRESS 2d Session H. R. 10729 To amend Public Law 119-21 to adjust limitations on State directed payments under the Medicaid program, and to repeal certain provisions related to provider taxes. _______________________________________________________________________ IN THE HOUSE OF REPRESENTATIVES October 5, 2026 Ms. Davids of Kansas introduced the following bill; which was referred to the Committee on Energy and Commerce _______________________________________________________________________ A BILL To amend Public Law 119-21 to adjust limitations on State directed payments under the Medicaid program, and to repeal certain provisions related to provider taxes. 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 ``Long-Term Rural Health Investment Act of 2026''. SEC. 2. ADJUSTING LIMITATIONS ON STATE DIRECTED PAYMENTS. (a) In General.--Section 71116 of Public Law 119-21 is amended-- (1) by amending subsection (a) to read as follows: ``(a) In General.--The Secretary of Health and Human Services (in this section referred to as the Secretary) shall revise section 438.6(c)(2)(iii) of title 42, Code of Federal Regulations (or a successor regulation), such that, with respect to a payment described in such subsection made for a service furnished during a rating period beginning on or after January 1, 2030, the total payment rate for such service is limited to 200 percent of the specified total published Medicare payment rate (or, in the absence of a specified total published Medicare payment rate, the average commercial rate in the State).''; (2) by amending subsection (b) to read as follows: ``(b) Grandfathering Certain Payments.--In the case of a payment described in section 438.6(c)(2)(iii) of title 42, Code of Federal Regulation