Bill · S. 3688· Senate(119-S-3688)
RURAL Rate Act
- Introduced
- 1/15/2026
- Last activity
- 1/15/2026 — Read twice and referred to the Committee on Finance.
- Sponsored by
- Dan Sullivan
- Cosponsors
- None
- Introduced
- In Committee
What this bill would do
This bill, known as the "Rural Underpayment Remedy through Adjusted Local Rate Act" or the "RURAL Rate Act," aims to amend title XVIII of the Social Security Act. The primary goal is to increase the floor for practice expense and work geographic indices for specific areas. Specifically, it directs the Secretary to increase certain indices to 1.67 if they would otherwise be lower. This change applies to services furnished in the described state on or after January 1, 2026.
Yes· 3 of 9
Would people in rural areas be better off under this?+5
The act directly targets the underpayment of medical services in specific rural areas to improve local service availability.
Does this make health care easier to get in general?+4
By increasing the payment floor for practice expenses, the bill helps ensure medical services remain available in underserved rural areas.
Would people over 65 be better off under this?+3
Increasing Medicare reimbursement floors helps ensure that seniors in specific rural areas maintain access to healthcare providers.
The opposite
No question was scored the opposite.
Who it would affect, and how
Potential Positive Impacts for People
- Increased Index Floor: The bill requires the Secretary to increase the practice expense and work geographic indices to 1.67 if they would otherwise be less than that amount, which could provide higher payment rates for services provided in certain areas (Section 2).
Potential Negative Impacts for People
- No negative impacts 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 Rural Residents+5Good For Native Americans+3Good For Seniors+3Good For Low Income Households+2
- Healthcare
- Improves Healthcare Access+4Increases Medicare Funding+3
- Environment Energy And Infrastructure
- Improves Rural Development+3
- Economy And Finance
- Increases Job Creation+2
- Social Issues And Justice
- Improves Poverty Reduction+1
- 1/15/2026
- Read twice and referred to the Committee on Finance.
- Introduced in Senate