United States 119th Congress Status: In Committee 2 R cosponsors

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.

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

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 chance

Based 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

Stalled 18% · moderate confidence
  • In Committee

    Current position in the legislative process.

  • 2 sponsors

    1 primary, 1 co-sponsors signed on.

  • 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

How this bill changes current law

6 changes Share ↗

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.

  • 42 U.S.C. 1395x(kkk)(3)

    as of → , at any point during the period beginning on January 1, 2015, and ending on

    This change updates the time reference for eligibility from a specific date to a broader period.

  • 42 U.S.C. 1395x(kkk)(3)

    or

    This change modifies the list formatting, allowing for an additional condition to be added.

  • 42 U.S.C. 1395x(kkk)(3)

    . → ; or

    This change sets up for an additional condition by altering the sentence structure.

  • 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.

  • 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.

  • 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

  1. Introduced in House

  2. Introduced in House

  3. Referred to the House Committee on Ways and Means.

Sponsors

Sponsorship breakdown

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1 sponsors · 1 co-sponsors · 545 not signed on

Sponsors (1)

Co-sponsors (1)

Not signed on (545)

545 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

Cross-referencing the record. Reading this bill against every other bill in the corpus by meaning, not keywords. Only the first open is slow. It’s instant for you after this. Matching · Ranking · Engrossing

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?
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Last checked for changes 3 months ago · updated continuously

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