# 119-hr-10731: Rural Surgery Sustainability Act of 2026

119-hr-10731, Rural Surgery Sustainability Act of 2026, is a 119th Congress bill sponsored by Rep. Davids, Sharice [D-KS-3] (D-KS); status introduced; PRIA reads it as touching household money (as of 2026-10-16).

- Canonical: https://policyrisk.com/legislation/119-hr-10731
- As of: 2026-10-16
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-10731
- Congress: 119
- Title: Rural Surgery Sustainability Act of 2026
- Status: introduced
- Introduced: 2026-10-05
- Sponsor: Rep. Davids, Sharice [D-KS-3] (D-KS)
- Cosponsors: 0
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-10-16

## Summary

**Expands Medicare cost-pass-through payments for certified registered nurse anesthetists (CRNAs)** to support surgical care in smaller hospitals while tying payment growth to the Medicare Economic Index and regular reviews. - Non–labor-and-delivery hospitals would see the surgical procedure volume cap for CRNA cost pass-throughs rise from 500 to 1,250 procedures. Hospitals that have an active labor and delivery unit would not get the higher volume cap. - Hospitals with active labor and delivery units would be exempt from any annual hours limit on anesthetist services beginning in 2027. For other hospitals the hours limit would be revised to track the higher volume cap. - Medicare payment limits for these cost-based CRNA services would be set each year by increasing the prior-year limit by the Medicare Economic Index. The Secretary would do a biannual review of the volume and hours limits in consultation with the American Association of Nurse Anesthetists, and the Medicare Payment Advisory Commission would report within one year on on-call CRNA services and sustainable payment options.

## Provisions PRIA read

- More Medicare support for nurse anesthetists: benefit, low. If enacted, this bill would raise the Medicare procedure count that qualifies for the nurse-anesthetist cost pass-through from 500 to 1,250 procedures. The change would take effect for services furnished on or after January 1, 2027. The increase would not apply to a hospital in any year it has an a…

## Related bills

- 119-hr-4669: FEMA Act of 2025
- 119-hr-7977: Energy Bills Relief Act
- 119-hr-7481: Department of Homeland Security Appropriations Act, 2026
- 119-hr-7973: Momnibus Act
- 119-hr-7853: PrEP Access and Coverage Act of 2026
- 119-hr-5862: American Energy Independence and Affordability Act

## Sources
- [119-hr-10731 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/10731)

## Related
- [119-hr-4669: FEMA Act of 2025](https://policyrisk.com/legislation/119-hr-4669)
- [119-hr-7977: Energy Bills Relief Act](https://policyrisk.com/legislation/119-hr-7977)
- [119-hr-7481: Department of Homeland Security Appropriations Act, 2026](https://policyrisk.com/legislation/119-hr-7481)
- [119-hr-7973: Momnibus Act](https://policyrisk.com/legislation/119-hr-7973)
- [119-hr-7853: PrEP Access and Coverage Act of 2026](https://policyrisk.com/legislation/119-hr-7853)
- [119-hr-5862: American Energy Independence and Affordability Act](https://policyrisk.com/legislation/119-hr-5862)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-10731 (as of 2026-10-16).