# 119-hr-3263: PATCH Act

119-hr-3263, PATCH Act, is a 119th Congress bill sponsored by Rep. Tokuda, Jill N. [D-HI-2] (D-HI); status introduced; PRIA reads it as touching household money (as of 2026-04-21).

- Canonical: https://policyrisk.com/legislation/119-hr-3263
- As of: 2026-04-21
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-3263
- Congress: 119
- Title: PATCH Act
- Status: introduced
- Introduced: 2025-05-07
- Sponsor: Rep. Tokuda, Jill N. [D-HI-2] (D-HI)
- Cosponsors: 1
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-04-21

## Summary

**Guarantees a minimum 1.5 work geographic index for Medicare physician payments in Hawaii.** The bill would require Medicare to raise the work geographic index to 1.5 for services furnished in Hawaii on or after January 1, 2026 when the calculated index is lower, and it specifies that this increase will not be applied in a budget-neutral manner.

## Cosponsors (1)

- Rep. Case, Ed [D-HI-1] (D-HI), 2025-05-07T00:00:00.000Z

## Provisions PRIA read

- Higher Medicare pay for Hawaii doctors: benefit, low. Starting January 1, 2026, Medicare payments in Hawaii would use a minimum work index of 1.5. If the calculated index is lower, HHS would raise it to 1.5. This would increase payments to doctors for services in Hawaii and is not budget neutral. Medicare patients in Hawaii could see better access to…

## Related bills

- 119-hr-9877: Health Equity and Accountability Act of 2026
- 119-hr-3151: SHIPS for America Act of 2025
- 119-hr-7977: Energy Bills Relief Act
- 119-hr-4669: FEMA Act of 2025
- 119-hr-7481: Department of Homeland Security Appropriations Act, 2026
- 119-hr-7973: Momnibus Act

## Sources
- [119-hr-3263 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/3263)

## Related
- [119-hr-9877: Health Equity and Accountability Act of 2026](https://policyrisk.com/legislation/119-hr-9877)
- [119-hr-3151: SHIPS for America Act of 2025](https://policyrisk.com/legislation/119-hr-3151)
- [119-hr-7977: Energy Bills Relief Act](https://policyrisk.com/legislation/119-hr-7977)
- [119-hr-4669: FEMA Act of 2025](https://policyrisk.com/legislation/119-hr-4669)
- [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)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-3263 (as of 2026-04-21).