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HR 4250 · in committee · niche

SOLES Act

What this bill does

  • The bill requires Medicare to pay sole community hospitals in Alaska and Hawaii at least 94% of their reasonable costs for outpatient services.
  • Hospitals in Alaska and Hawaii that serve as the only emergency healthcare provider in their area are affected.
  • The change takes effect through Medicare payment adjustments with no specified sunset date.

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Community Threads

Started by Cosponsor

  1. 01

    How would guaranteeing 94% cost reimbursement to sole community hospitals in Alaska and Hawaii affect Medicare's overall budget and payment rates for hospitals in other regions?

  2. 02

    What evidence exists that current Medicare reimbursement rates are insufficient for sole community hospitals in these states to maintain emergency services?

  3. 03

    Which communities would be most vulnerable to healthcare access disruptions if this bill does not pass and reimbursement rates remain unchanged?

Cosponsor writes these to seed civic discussion — they aren't user posts. Sign in to reply.

Sponsor · R-AK

Nicholas J. Begich III

Citizen cosponsors

0

In Congress

2/ 435

House Reps cosponsoring

Introduced 2025-06-30

Joining the bill

Legislative timeline

  1. 2025-06-30 · house · IntroReferral

    Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.

  2. 2025-06-30 · house · IntroReferral

    Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.

  3. 2025-06-30 · IntroReferral

    Introduced in House

  4. 2025-06-30 · IntroReferral

    Introduced in House

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