Bill · S. 2279· Senate(119-S-2279)
Protect Medicaid and Rural Hospitals Act
- Introduced
- 7/15/2025
- Last activity
- 7/15/2025 — Read twice and referred to the Committee on Finance.
- Sponsored by
- Josh Hawley
- Cosponsors
- None
- Introduced
- In Committee
What this bill would do
This bill, known as the "Protect Medicaid and Rural Hospitals Act," seeks to undo specific changes made by the One Big Beautiful Bill Act. It aims to repeal changes regarding Medicaid State provider tax authority and State directed payments. Additionally, the bill works to increase funding for the rural health transformation program. This funding increase is distributed across five fiscal years.
Yes· 3 of 6
Would people in rural areas be better off under this?+8
The bill specifically targets rural health through a $50 billion investment over several years.
Does this put more money into Medicaid, the health coverage for people on low incomes?+7
The bill restores Medicaid provider tax authority and adds $50 billion in cumulative funding for rural health transformation.
Would households on low incomes be better off under this?+6
Increased Medicaid funding and rural health support directly benefit low-income populations relying on these services.
The opposite
Does this reduce what the federal government owes?-3
The bill rescinds previous appropriations, which reduces overall spending but increases the deficit through new mandatory funding.
Does this reduce what the federal government spends?-3
The bill involves rescissions of prior funding but adds significant new multi-year funding obligations.
Who it would affect, and how
Potential Positive Impacts for People
-
Restoration of Medicaid Authority: The bill repeals changes to Medicaid State provider tax authority, which reverts the law to how it functioned before the One Big Beautiful Bill Act was enacted (Section 2).
-
Restoration of State Directed Payments: The bill repeals changes to Medicaid State directed payments, meaning those previous provisions will have no force and effect (Section 3(a)).
-
Increased Funding for Rural Health: The bill adds $10,000,000,000 for each fiscal year from 2031 through 2035 to the rural health transformation program (Section 4).
Potential Negative Impacts for People
- Rescission of Funds: The bill rescinds amounts that were previously appropriated under section 71116(e) of the One Big Beautiful Bill Act (Section 3(b)).
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 Rural Residents+8Good For Low Income Households+6
- Healthcare
- Increases Medicaid Funding+7Improves Healthcare Access+6
- Economy And Finance
- Reduces Government Spending-3Reduces National Debt-3
- Environment Energy And Infrastructure
- Improves Rural Development+5
- Governance And Ideology
- Increase States Rights+5
- 7/15/2025
- Read twice and referred to the Committee on Finance.
- Introduced in Senate