To amend the Internal Revenue Code of 1986 to apply a 39.6 percent individual income tax rate, and to provide additional funding and specify eligible providers under the Rural Health Transformation Program.

This amendment, proposed by Ms. Collins, aims to add two main components to the bill:

Income Tax Changes

• It creates a 39.6 percent income tax rate bracket.
• This rate applies to taxable income that exceeds $50,000,000 for surviving spouses and married individuals filing joint returns, and $25,000,000 for all other cases.
• These changes take effect for taxable years starting after December 31, 2025.

Rural Health Transformation Program Modifications

• It increases funding by changing two instances of $10,000,000,000 to $22,500,000,000.
• It expands the types of health care providers included in the program. The amendment adds a detailed list of eligible providers, including:
  • Various types of hospitals, such as rural referral centers, long-term care hospitals, and not-for-profit hospitals in urban areas.
  • Specialized facilities like skilled nursing facilities, hospice care providers, and those providing psychiatric or rehabilitation services.
  • Community health centers and providers of ambulance services.
  • Facilities providing services for individuals with intellectual or developmental disabilities.
  • Hospitals operated by the Indian Health Service or an Indian Tribe.
  • Community behavioral health providers who rely heavily on State Medicaid plan payments.