SOLES Act
Sponsored By: Representative Rep. Begich, Nicholas J. [R-AK-At Large]
Introduced
Summary
Creates a 94% payment floor for Medicare outpatient services at sole community hospitals in Alaska and Hawaii. The bill would require the outpatient prospective payment system to top up payments so those hospitals receive at least 94% of their reasonable costs for covered outpatient department services.
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Bill Overview
Analyzed Economic Effects
1 provisions identified: 1 benefits, 0 costs, 0 mixed.
More Medicare outpatient pay for Alaska, Hawaii sole community hospitals
If enacted, sole community hospitals in Alaska or Hawaii would get at least 94% of their reasonable costs for Medicare outpatient care. When current outpatient payments are below that level, Medicare would pay the difference. Patient copays would not change. Medicare would not lower other outpatient rates to offset this. The Secretary would issue rules within 6 months, effective for services on or after the first January 1 after the rules are issued.
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Sponsors & CoSponsors
Sponsor
Rep. Begich, Nicholas J. [R-AK-At Large]
AK • R
Cosponsors
Rep. Tokuda, Jill N. [D-HI-2]
HI • D
Sponsored 6/30/2025
Rep. Case, Ed [D-HI-1]
HI • D
Sponsored 7/2/2025
Roll Call Votes
No roll call votes available for this bill.
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