H.R. 4258

[Congressional Bills 119th Congress] [From the U.S. Government Publishing Office] [H.R. 4258 Introduced in House (IH)] <DOC> 119th CONGRESS 1st Session H. R. 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. _______________________________________________________________________ IN THE HOUSE OF REPRESENTATIVES June 30, 2025 Mr. Newhouse introduced the following bill; which was referred to the Committee on Ways and Means _______________________________________________________________________ A BILL 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. Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled, SECTION 1. EXPANDING THE DEFINITION OF CRITICAL ACCESS HOSPITAL UNDER THE MEDICARE PROGRAM TO INCLUDE CERTAIN HOSPITALS ON INDIAN RESERVATIONS. Section 1820(c)(2) of the Social Security Act (42 U.S.C. 1395i- 4(c)(2)) is amended-- (1) in subparagraph (B)(i)(I), by inserting ``subject to subparagraph (F),'' before ``is located''; (2) in subparagraph (E)(ii), by striking ``The total'' and inserting ``Subject to subparagraph (F), the total''; and (3) by adding at the end the following new subparagraph: ``(F) Hospitals on indian reservations.-- ``(i) In general.--Beginning August 1, 2025, a State may designate a facility as a critical access hospital if the facility-- ``(I) is located on a reservation (as defined in section 4 of the Indian Health Care Improvement Act); and ``(II) is located more than a 35- mile drive (or, in the case of mountainous terrain or in areas with only secondary roads available, a 15- mile drive) from a hospital, or another facility described in this subsection, that-- ``(aa) is located on a reservation (as so defined); or ``(bb) is operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization (as defined in section 4 of the Indian Health Care Improvement Act). ``(ii) Psychiatric and rehabilitation distinct part units.--A facility described in clause (i) may establish a distinct part unit under subparagraph (E) without regard to the limitation on number of beds under clause (ii) of such subparagraph.''. <all>