HR 4269 · in committee · significant
Ensuring Outpatient Quality for Rural States Act
- healthcare
What this bill does
- This bill allows Medicare to adjust payment rates for hospital outpatient services in Alaska and Hawaii to account for higher cost of living.
- Rural hospitals in Alaska and Hawaii are affected, along with Medicare beneficiaries in those states.
- The adjustment mechanism takes effect for Medicare payments without a specified sunset date or cost estimate.
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Community Threads
Started by Cosponsor
- 01
How should Medicare decide whether Alaska and Hawaii's higher costs of living justify different payment rates than other states?
- 02
What evidence supports that current Medicare outpatient payment rates inadequately cover rural hospital operating costs in Alaska and Hawaii?
- 03
If payment adjustments increase Medicare spending in these states, how should Congress offset those costs or prioritize this funding?
Cosponsor writes these to seed civic discussion — they aren't user posts. Sign in to reply.

Sponsor · D-HI-2
Jill N. Tokuda
Citizen cosponsors
0
In Congress
2/ 435
House Reps cosponsoring
Introduced 2025-06-30
Joining the bill
Legislative timeline
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.
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.
2025-06-30 · IntroReferral
Introduced in House
2025-06-30 · IntroReferral
Introduced in House

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