Bill · H.R. 5064· House(119-HR-5064)
Save our Safety-Net Hospitals Act of 2025
- Introduced
- 8/29/2025
- Last activity
- 8/29/2025 — Referred to the House Committee on Energy and Commerce.
- Sponsored by
- Nick LaLota
- Cosponsors
- - 4 - 6
- Introduced
- In Committee
What this bill would do
The "Save our Safety-Net Hospitals Act of 2025" proposes changes to how disproportionate share hospital (DSH) payment adjustments are handled under the Medicaid program. It modifies the Social Security Act to change limitations on these payments. The bill also allows States to use unspent allotments from certain prior years to increase payment adjustments to hospitals.
Yes· 3 of 25
Would households on low incomes be better off under this?+8
Directly supports the hospitals that provide critical care to low-income individuals.
Does this make health care easier to get in general?+7
Supporting safety-net hospitals ensures continued care for low-income populations.
Would people in cities be better off under this?+6
Urban areas have a high concentration of safety-net hospitals.
The opposite
Does this reduce what the federal government owes?-2
Increasing payment adjustments to hospitals likely increases federal spending.
Does this reduce what the federal government spends?-2
The bill facilitates the distribution of more federal funds to hospitals.
Does this make the government pay for what it commits to?-2
It allows for retroactive modification of state plans to increase spending.
Who it would affect, and how
Potential Positive Impacts for People
- Support for Safety-Net Hospitals: By modifying limitations on DSH payment adjustments in Section 2(a), the bill aims to support hospitals that serve a high number of low-income patients.
- Increased Hospital Funding: Section 2(b)(2)(A) allows States to use unspent Federal allotments from rate years beginning on or after October 1, 2021, to increase payment adjustments to hospitals.
- Protection of Hospital Payments: Section 2(b)(2)(B) prevents States from recouping payment adjustments already made to hospitals if those payments followed the rules in effect on October 1, 2021.
Potential Negative Impacts for People
- No negative impacts for individuals or groups 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 Low Income Households+8Good For Rural Residents+6Good For Urban Residents+6Good For Immigrants+5Good For People With Disabilities+5Good For Retirees+5Good For Seniors+5Good For African Americans+4Good For Hispanic Americans+4Good For Native Americans+4Good For Asian Americans+2Good For Children+2Good For L G B T Q Community+2Good For Men+2Good For Middle Aged+2Good For Veterans+2Good For White Americans+2Good For Women+2Good For Young Adults+2
- Healthcare
- Improves Healthcare Access+7Increases Medicaid Funding+6
- Economy And Finance
- Improves Fiscal Responsibility-2Reduces Government Spending-2Reduces National Debt-2
- Social Issues And Justice
- Improves Poverty Reduction+3Improves Racial Equity+2
- Environment Energy And Infrastructure
- Improves Rural Development+4
- Governance And Ideology
- Increase States Rights+3
- 1/13/2026
- 1 Cosponsor added.
- 12/17/2025
- 1 Cosponsor added.
- 12/2/2025
- 1 Cosponsor added.
- 10/31/2025
- 1 Cosponsor added.
- 10/28/2025
- 1 Cosponsor added.
- 10/17/2025
- 1 Cosponsor added.
- 10/8/2025
- 1 Cosponsor added.
- 8/29/2025
- Referred to the House Committee on Energy and Commerce.
- 3 Cosponsors added.
- Introduced in House
4 bills Congress.gov lists as related to this one — companions in the other chamber, earlier versions, and bills this one absorbed or was folded into.
Yvette ClarkeDemocrat · New York
Andrew GarbarinoRepublican · New York
Laura GillenDemocrat · New York
Young KimRepublican · California
Michael LawlerRepublican · New York
Doris MatsuiDemocrat · California
Frank MrvanDemocrat · Indiana
Claudia TenneyRepublican · New York
Gabe VasquezDemocrat · New Mexico
Eugene VindmanDemocrat · Virginia