United States 119th Congress Status: In Committee Bipartisan · 9 R · 8 D cosponsors

S 335 — Rural Hospital Support Act

Last action — Read twice and referred to the Committee on Finance.

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  1. ✓
    Introduced
  2. 2
    In Committee
  3. 3
    Passed Senate
  4. 4
    Passed House
  5. 5
    To Executive
  6. 6
    Enacted

This bill is in committee in the Senate. Introduced January 30, 2025. It must pass committee before a floor vote.

Next likely step: a committee vote, then a floor vote in the Senate.

Prognosis

Advancing 42% · moderate confidence

Where this bill stands today.

Odds of enactment

Low

How often bills like it became law.

  • In Committee

    Current position in the legislative process.

  • 17 sponsors

    1 primary, 16 co-sponsors signed on.

  • Bipartisan support

    Sponsored across 2 parties (9 R · 8 D) — cross-party backing.

Prognosis reads this bill's own signals — stage, sponsorship breadth, committee status, recorded votes and cross-state momentum. Odds come from a model trained on which bills have become law.

Summary

Rural Hospital Support ActThis bill modifies and extends certain payment adjustments for rural hospitals under Medicare's inpatient prospective payment system.Specifically, the bill indexes payment adjustments for sole community hospitals and Medicare-dependent hospitals to FY2016 operating costs, if it results in higher payments for such hospitals. The bill also makes payment adjustments for Medicare-dependent hospitals and low-volume hospitals permanent (the adjustments currently expire on March 31, 2025).

Bill Text

How this bill changes current law

11 changes Share ↗

Compared against current U.S. Code AI-generated reading aid — verify against the official bill.

The bill amends the Social Security Act to rebase payments for sole community hospitals and Medicare-dependent hospitals and extends payment methodologies related to these hospitals.

  • 42 U.S.C. 1395ww(b)(3)

    (M)(i) For cost reporting periods beginning on or after October 1, 2025, in the case of a sole community hospital there shall be substituted for the amount otherwise determined under subsection (d)(5)(D)(i) of this section, if such substitution results in a greater amount of payment under this section for the hospital, the subparagraph (M) rebased target amount.

    Introduces a new provision for rebasing payments for sole community hospitals.

  • 42 U.S.C. 1395ww(b)(3)

    subparagraphs (I) and (L) → subparagraphs (I), (L), and (M)

    Updates the references in subparagraph (C) to include the new rebased target amount for sole community hospitals.

  • 42 U.S.C. 1395ww(b)(3)

    subparagraph (K) → subparagraphs (K) and (N)

    Updates the references in subparagraph (D) to include a new provision for Medicare-dependent hospitals.

  • 42 U.S.C. 1395ww(d)(4)(C)

    The Secretary → Subject to clause (v), the Secretary

    Modifies the authority of the Secretary regarding adjustments to payments for hospitals using rebased target amounts.

  • 42 U.S.C. 1395ww(d)(5)(G)

    , and before April 1, 2025

    Extends the payment methodology for Medicare-dependent hospitals beyond April 1, 2025.

  • 42 U.S.C. 1395ww(b)(3)(D)

    , and before April 1, 2025

    Extends the target amount calculation for Medicare-dependent hospitals beyond April 1, 2025.

  • 42 U.S.C. 1395ww(b)(3)(D)

    through fiscal year 2024 and the portion of fiscal year 2025 beginning on October 1, 2024, and ending on March 31, 2025 → or a subsequent fiscal year

    Allows extension of payment authorities for Medicare-dependent hospitals into subsequent fiscal years.

  • 42 U.S.C. 1395ww note

    fiscal year 2000 through fiscal year 2024, or the portion of fiscal year 2025 beginning on October 1, 2024, and ending on March 31, 2025 → a subsequent fiscal year

    Alters the eligibility criteria for hospitals to decline to reclassify beyond the previously set dates.

  • 42 U.S.C. 1395(d)(12)

    and for discharges occurring during the portion of fiscal year 2025 beginning on April 1, 2025, and ending on September 30, 2025

    Extends increased payment provisions for low-volume hospitals indefinitely beyond FY 2025.

  • 42 U.S.C. 1395(d)(12)(C)(i)

    fiscal years 2011 through 2024 and the portion of fiscal year 2025 beginning on October 1, 2024, and ending on March 31, 2025 → fiscal year 2011 and subsequent fiscal years

    Updates the time frame for applicable percentage increases in payments to low-volume hospitals.

  • 42 U.S.C. 1395(d)(12)(C)(iii)

    each of fiscal years 2019 through 2024 and the portion of fiscal year 2025 beginning on October 1, 2024, and ending on March 31, 2025 → fiscal year 2019 and each subsequent fiscal year

    Ensures that increases for low-volume hospitals are applicable through FY 2019 and afterwards.

Action History

  1. Introduced in Senate

  2. Read twice and referred to the Committee on Finance.

Sponsors

Sponsorship breakdown

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1 sponsors · 16 co-sponsors · 530 not signed on

Sponsors (1)

Co-sponsors (16)

Not signed on (530)

530 members have not signed on to this bill.

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"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Subjects

healthcare health-insurance
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Frequently asked questions

What does S 335 do?
Rural Hospital Support ActThis bill modifies and extends certain payment adjustments for rural hospitals under Medicare's inpatient prospective payment system.Specifically, the bill indexes payment adjustments for sole community hospitals and Medicare-dependent hospitals to FY2016 operating costs, if it results in higher payments for such hospitals. The bill also makes payment adjustments for Medicare-dependent hospitals and low-volume hospitals permanent (the adjustments currently expire on March 31, 2025).
Who sponsors S 335?
S 335 is sponsored by Grassley, Chuck (Republican), Welch, Peter (Democratic), Capito, Shelley Moore (Republican), Kaine, Tim (Democratic), Wicker, Roger F. (Republican), Shaheen, Jeanne (Democratic), Moran, Jerry (Republican), Smith, Tina (Democratic), Hyde-Smith, Cindy (Republican), Fetterman, John (Democratic), Boozman, John (Republican), Kelly, Mark (Democratic), Marshall, Roger (Republican), Peters, Gary C. (Democratic), Kennedy, John (Republican), Budd, Ted (Republican), and Warner, Mark R. (Democratic).
What is the current status of S 335?
This bill is in committee in the Senate. Introduced January 30, 2025. It must pass committee before a floor vote.
Where can I track S 335?
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