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HR 4269 · in committee · significant

Ensuring Outpatient Quality for Rural States Act

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

  1. 01

    How should Medicare decide whether Alaska and Hawaii's higher costs of living justify different payment rates than other states?

  2. 02

    What evidence supports that current Medicare outpatient payment rates inadequately cover rural hospital operating costs in Alaska and Hawaii?

  3. 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

  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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