# 119-hr-10398: CHC REBASE Act of 2026

119-hr-10398, CHC REBASE Act of 2026, is a 119th Congress bill sponsored by Rep. Rulli, Michael A. [R-OH-6] (R-OH); status introduced; PRIA reads it as touching household money (as of 2026-10-07).

- Canonical: https://policyrisk.com/legislation/119-hr-10398
- As of: 2026-10-07
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-10398
- Congress: 119
- Title: CHC REBASE Act of 2026
- Status: introduced
- Introduced: 2026-09-15
- Sponsor: Rep. Rulli, Michael A. [R-OH-6] (R-OH)
- Cosponsors: 14
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-10-07

## Summary

**Rebase Federally Qualified Health Center payments to match actual costs.** This bill would create a data-driven process to reset FQHC Prospective Payment System rates and expand telehealth and Medicare Advantage payment rules. - FQHCs and clinics: Would be required to submit cost reports and other health center data and participate in a Secretary-convened working group that must recommend PPS changes. The Secretary would adjust 2028 rates so aggregate prospective payments equal 100% of estimated reasonable costs. - Telehealth patients and clinics: Telehealth services furnished by FQHCs and Rural Health Clinics beginning January 1, 2027 would be paid as FQHC or RHC services under their payment systems. Costs of providing those telehealth services would be treated as allowable costs. - Medicare Advantage enrollees and FQHCs in MA networks: CMS would have to issue guidance by December 31, 2026 to standardize wraparound payments and bar requiring MA contract terms as a condition for payment. The Comptroller General would report within 180 days on FQHC inclusion in MA networks and recommend steps to improve access for rural and underserved populations.

## Cosponsors (14)

- Rep. Soto, Darren [D-FL-9] (D-FL), 2026-10-05T00:00:00.000Z
- Rep. Carbajal, Salud O. [D-CA-24] (D-CA), 2026-10-05T00:00:00.000Z
- Rep. Langworthy, Nicholas A. [R-NY-23] (R-NY), 2026-10-05T00:00:00.000Z
- Rep. Mackenzie, Ryan [R-PA-7] (R-PA), 2026-10-05T00:00:00.000Z
- Rep. Dingell, Debbie [D-MI-6] (D-MI), 2026-09-15T00:00:00.000Z
- Rep. Thompson, Glenn [R-PA-15] (R-PA), 2026-09-15T00:00:00.000Z
- Rep. Bilirakis, Gus M. [R-FL-12] (R-FL), 2026-09-15T00:00:00.000Z
- Rep. Landsman, Greg [D-OH-1] (D-OH), 2026-09-15T00:00:00.000Z
- Rep. Barragán, Nanette Diaz [D-CA-44] (D-CA), 2026-09-15T00:00:00.000Z
- Rep. Taylor, David J. [R-OH-2] (R-OH), 2026-09-15T00:00:00.000Z
- Rep. Carter, Troy A. [D-LA-2] (D-LA), 2026-09-15T00:00:00.000Z
- Rep. Pfluger, August [R-TX-11] (R-TX), 2026-09-15T00:00:00.000Z
- Rep. Tokuda, Jill N. [D-HI-2] (D-HI), 2026-09-15T00:00:00.000Z
- Rep. Trahan, Lori [D-MA-3] (D-MA), 2026-09-15T00:00:00.000Z

## Provisions PRIA read

- Higher Medicare payments for community clinics: benefit, medium. If enacted, this bill would require HHS to reset Medicare payment rates for community health centers so aggregate prospective payments for services in 2028 equal 100% of estimated reasonable costs. The calculation would be done without a per-visit payment limit or a productivity screen and before c…
- Standardized Medicare wrap payments for clinics: benefit, low. If enacted, the Secretary would issue guidance by December 31, 2026 on how community health centers should calculate and claim Medicare Advantage wraparound payments. The guidance would require Medicare contractors to standardize timely and accurate payments and would bar contractors from demanding…
- Telehealth pay parity for community clinics: benefit, low. If enacted, telehealth services provided by community health centers and rural clinics on or after January 1, 2027 would be paid under the clinics' Medicare payment methods. Costs of furnishing those telehealth services would count as allowable costs for those payment systems. This would support co…

## Related bills

- 119-hr-7567: Farm, Food, and National Security Act of 2026
- 119-hr-9877: Health Equity and Accountability Act of 2026
- 119-hr-3514: Improving Seniors’ Timely Access to Care Act of 2025
- 119-hr-909: Crime Victims Fund Stabilization Act of 2025
- 119-hr-1262: Mikaela Naylon Give Kids a Chance Act
- 119-hr-842: Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act

## Sources
- [119-hr-10398 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/10398)

## Related
- [119-hr-7567: Farm, Food, and National Security Act of 2026](https://policyrisk.com/legislation/119-hr-7567)
- [119-hr-9877: Health Equity and Accountability Act of 2026](https://policyrisk.com/legislation/119-hr-9877)
- [119-hr-3514: Improving Seniors’ Timely Access to Care Act of 2025](https://policyrisk.com/legislation/119-hr-3514)
- [119-hr-909: Crime Victims Fund Stabilization Act of 2025](https://policyrisk.com/legislation/119-hr-909)
- [119-hr-1262: Mikaela Naylon Give Kids a Chance Act](https://policyrisk.com/legislation/119-hr-1262)
- [119-hr-842: Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage A…](https://policyrisk.com/legislation/119-hr-842)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-10398 (as of 2026-10-07).