Federal RuleAug 21
62
DOL Rewrites Disability Rules for 'Merit-Based Opportunity' Push
RuleLabor DepartmentFederal Contract Compliance Programs OfficeSignificant Wallet
119-hr-3954119th CongressWALLET
Improving Access to Medicare Coverage Act of 2025
Sponsored By: Representative Courtney, Joe [D-CT-2]
Introduced
Summary
Deems outpatient observation time as inpatient days for the Medicare 3-day hospital-stay rule for skilled nursing facility (SNF) coverage. This change would let outpatient observation periods count toward the hospital stay needed to qualify for Medicare-covered SNF care.
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Bill Overview
Analyzed Economic Effects
1 provisions identified: 1 benefits, 0 costs, 0 mixed.
Observation time counts toward Medicare nursing home
If enacted, this bill would treat time you spend receiving outpatient observation services as inpatient time for Medicare. That time would count toward the 3-day hospital stay Medicare requires to pay for skilled nursing facility (nursing home) care. The rule would apply to observation that begins on or after January 1, 2026. If your post-hospital nursing care ended before the bill is enacted, it would only apply if you file an administrative appeal within 90 days after enactment. The HHS Secretary would be able to implement the change by interim final rule, program instruction, or other guidance.
Sponsors & CoSponsors
Sponsor
Courtney, Joe [D-CT-2]
CT • D
Cosponsors
Rep. Pocan, Mark [D-WI-2]
WI • D
Sponsored 9/28/2026
Rep. Thompson, Glenn [R-PA-15]
PA • R
Sponsored 6/12/2025
Rep. DelBene, Suzan K. [D-WA-1]
WA • D
Sponsored 6/12/2025
Rep. Estes, Ron [R-KS-4]
KS • R
Sponsored 6/12/2025
Rep. Golden, Jared F. [D-ME-2]
ME • D
Sponsored 7/16/2025
Rep. Brownley, Julia [D-CA-26]
CA • D
Sponsored 9/8/2025
Rep. Doggett, Lloyd [D-TX-37]
TX • D
Sponsored 9/15/2025
Rep. Davis, Donald G. [D-NC-1]
NC • D
Sponsored 9/30/2025
Rep. Moore, Gwen [D-WI-4]
WI • D
Sponsored 10/6/2025
Rep. Nunn, Zachary [R-IA-3]
IA • R
Sponsored 10/17/2025
Rep. Sánchez, Linda T. [D-CA-38]
CA • D
Sponsored 10/17/2025
Rep. Suozzi, Thomas R. [D-NY-3]
NY • D
Sponsored 10/17/2025
Rep. Smith, Adrian [R-NE-3]
NE • R
Sponsored 10/21/2025
Rep. Ross, Deborah K. [D-NC-2]
NC • D
Sponsored 10/21/2025
Rep. Beyer, Donald S. [D-VA-8]
VA • D
Sponsored 10/31/2025
Rep. Pingree, Chellie [D-ME-1]
ME • D
Sponsored 11/7/2025
Rep. Gottheimer, Josh [D-NJ-5]
NJ • D
Sponsored 11/21/2025
Rep. Kennedy, Timothy M. [D-NY-26]
NY • D
Sponsored 11/25/2025
Rep. Johnson, Julie [D-TX-32]
TX • D
Sponsored 11/25/2025
Rep. Schneider, Bradley Scott [D-IL-10]
IL • D
Sponsored 12/3/2025
Rep. Horsford, Steven [D-NV-4]
NV • D
Sponsored 12/3/2025
Rep. Rutherford, John H. [R-FL-5]
FL • R
Sponsored 12/3/2025
Rep. Mann, Tracey [R-KS-1]
KS • R
Sponsored 12/10/2025
Rep. Thompson, Mike [D-CA-4]
CA • D
Sponsored 12/17/2025
Rep. Amo, Gabe [D-RI-1]
RI • D
Sponsored 1/7/2026
Rep. Tlaib, Rashida [D-MI-12]
MI • D
Sponsored 2/3/2026
Rep. Scanlon, Mary Gay [D-PA-5]
PA • D
Sponsored 2/3/2026
Rep. Lynch, Stephen F. [D-MA-8]
MA • D
Sponsored 2/10/2026
Del. Norton, Eleanor Holmes [D-DC-At Large]
DC • D
Sponsored 2/17/2026
Rep. Meuser, Daniel [R-PA-9]
PA • R
Sponsored 3/4/2026
Rep. Raskin, Jamie [D-MD-8]
MD • D
Sponsored 3/4/2026
Rep. Larsen, Rick [D-WA-2]
WA • D
Sponsored 4/15/2026
Rep. Frost, Maxwell [D-FL-10]
FL • D
Sponsored 4/15/2026
Rep. Grijalva, Adelita S. [D-AZ-7]
AZ • D
Sponsored 4/28/2026
Rep. Tonko, Paul [D-NY-20]
NY • D
Sponsored 5/12/2026
Rep. McBride, Sarah [D-DE-At Large]
DE • D
Sponsored 6/4/2026
Rep. Bacon, Don [R-NE-2]
NE • R
Sponsored 6/8/2026
Rep. Meng, Grace [D-NY-6]
NY • D
Sponsored 6/10/2026
Rep. Fields, Cleo [D-LA-6]
LA • D
Sponsored 6/10/2026
Rep. Deluzio, Christopher R. [D-PA-17]
PA • D
Sponsored 6/15/2026
Rep. Bynum, Janelle S. [D-OR-5]
OR • D
Sponsored 6/18/2026
Rep. Carter, Troy A. [D-LA-2]
LA • D
Sponsored 7/2/2026
Rep. Vindman, Eugene Simon [D-VA-7]
VA • D
Sponsored 7/15/2026
Rep. Gonzalez, Vicente [D-TX-34]
TX • D
Sponsored 8/6/2026
Rep. Stanton, Greg [D-AZ-4]
AZ • D
Sponsored 8/10/2026
Rep. Panetta, Jimmy [D-CA-19]
CA • D
Sponsored 8/17/2026
Rep. Dean, Madeleine [D-PA-4]
PA • D
Sponsored 9/1/2026
Rep. Walkinshaw, James R. [D-VA-11]
VA • D
Sponsored 9/8/2026
Rep. Thanedar, Shri [D-MI-13]
MI • D
Sponsored 9/14/2026
Roll Call Votes
No roll call votes available for this bill.
View on Congress.gov