Bill · H.R. 4258· House(119-HR-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.
- Introduced
- 6/30/2025
- Last activity
- 6/30/2025 — Referred to the House Committee on Ways and Means.
- Sponsored by
- Dan Newhouse
- Cosponsors
- None
- Introduced
- In Committee
What this bill would do
This bill seeks to amend title XVIII of the Social Security Act regarding the Medicare program. It proposes to expand the definition of a critical access hospital to include certain hospitals located on Indian reservations. Under this proposal, a State could designate a facility as a critical access hospital if it meets specific location requirements regarding reservations and distance from other facilities. Additionally, the bill would allow these specific hospitals to establish certain distinct part units. These changes are intended to take effect starting August 1, 2025.
Yes· 3 of 7
Would Native Americans be better off under this?+8
The bill directly expands healthcare access and capacity for hospitals on Indian reservations.
Does this make health care easier to get in general?+7
It expands critical access hospital designations to improve care availability for reservation communities.
Does this make mental health care easier to get?+6
By allowing more psychiatric unit beds, it expands access to mental health services on reservations.
The opposite
No question was scored the opposite.
Who it would affect, and how
Potential Positive Impacts for People
-
Expanded Hospital Designations: Certain hospitals located on Indian reservations could be designated as critical access hospitals if they are located on a reservation and are a specific distance away from other hospitals or facilities operated by the Indian Health Service, tribes, or related organizations (Section 1, subparagraph (F)(i)).
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Increased Capacity for Specialized Care: Facilities designated under this new rule may establish psychiatric and rehabilitation distinct part units without being restricted by the current limitations on the number of beds (Section 1, subparagraph (F)(ii)).
Potential Negative Impacts for People
- No negative impacts or burdens are explicitly stated in the provided text.
Groups and Interests Ranking
Every group the model scored this bill for, from -10 to +10. Hover a score for the reason it gave.
- Demographic And Interest Groups
- Good For Native Americans+8Good For Low Income Households+5Good For Rural Residents+5
- Healthcare
- Improves Healthcare Access+7Improves Mental Health Access+6Increases Medicare Funding+5
- Social Issues And Justice
- Improves Racial Equity+6
- 6/30/2025
- Referred to the House Committee on Ways and Means.
- Introduced in House