HR 6596 — To amend title XVIII of the Social Security Act to adjust the eligibility for the rural emergency hospital designation under the Medicare program.
Last action — Referred to the House Committee on Ways and Means.
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✓Introduced
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2In Committee
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3Passed House
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4Passed Senate
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5To Executive
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6Enacted
This bill is in committee in the House. Introduced December 10, 2025. It must pass committee before a floor vote.
Next likely step: a committee vote, then a floor vote in the House.
Odds of enactment
Low chanceBased on the sponsor, cosponsors, and committee posture, this bill has a low chance of becoming law.
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A statistical estimate from our own model of past outcomes — an insight, not a guarantee. Policymaking is volatile.
Prognosis
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In Committee
Current position in the legislative process.
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2 sponsors
1 primary, 1 co-sponsors signed on.
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Single-party support
Sponsorship is currently within one party (2 R).
Based on stage, sponsorship breadth, committee status, recorded votes, and cross-state momentum — a description of the observable signals, not a prediction.
Bill Text
- Introduced Introduced in House Current html December 10, 2025
Compared against current U.S. Code AI-generated reading aid — verify against the official bill.
The bill expands the eligibility criteria for rural emergency hospital designation under Medicare by including certain off-campus outpatient departments.
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42 U.S.C. 1395x(kkk)(3)
as of→ , at any point during the period beginning on January 1, 2015, and ending onThis change updates the time reference for eligibility from a specific date to a broader period.
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42 U.S.C. 1395x(kkk)(3)
orThis change modifies the list formatting, allowing for an additional condition to be added.
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42 U.S.C. 1395x(kkk)(3)
.→ ; orThis change sets up for an additional condition by altering the sentence structure.
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42 U.S.C. 1395x(kkk)(3)
(C) was an off-campus outpatient department of a hospital (as defined in section 1833(t)(21)(B)) that--
This addition expands the eligibility criteria to include off-campus outpatient departments that meet specific definitions.
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42 U.S.C. 1395x(kkk)(3)
(i) was a dedicated emergency department (as defined in section 489.24(b) of title 42, Code of Federal Regulations (or any successor regulation)); and
This addition specifies one of the eligibility conditions related to dedicated emergency departments.
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42 U.S.C. 1395x(kkk)(3)
(ii) was located in a county (or equivalent unit of local government) in a rural area (as defined in section 1886(d)(2)(D)).
This addition specifies another eligibility condition based on geographic location in a rural area.
Action History
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Introduced in House
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Introduced in House
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Referred to the House Committee on Ways and Means.
Sponsors
- Derek Schmidt · Primary
- Ron Estes · Cosponsor
Sponsorship breakdown
Export CSV (upgrade) →1 sponsors · 1 co-sponsors · 545 not signed on
Sponsors (1)
- Schmidt, Derek Republican
Co-sponsors (1)
- Estes, Ron Republican
Not signed on (545)
545 members have not signed on to this bill.
Show all 545 →"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.
Subjects
Frequently asked questions
- Who sponsors HR 6596?
- HR 6596 is sponsored by Schmidt, Derek (Republican) and Estes, Ron (Republican).
- What is the current status of HR 6596?
- This bill is in committee in the House. Introduced December 10, 2025. It must pass committee before a floor vote.
- Where can I track HR 6596?
- Track HR 6596 free on One Click Politics — get push/email alerts when it moves.
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Last checked for changes 3 months ago · updated continuously
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