# 119-hr-4250: SOLES Act

119-hr-4250, SOLES Act, is a 119th Congress bill sponsored by Rep. Begich, Nicholas J. [R-AK-At Large] (R-AK); status introduced; PRIA reads it as touching household money (as of 2026-04-21).

- Canonical: https://policyrisk.com/legislation/119-hr-4250
- 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-4250
- Congress: 119
- Title: SOLES Act
- Status: introduced
- Introduced: 2025-06-30
- Sponsor: Rep. Begich, Nicholas J. [R-AK-At Large] (R-AK)
- Cosponsors: 2
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-04-21

## 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.

## Cosponsors (2)

- Rep. Tokuda, Jill N. [D-HI-2] (D-HI), 2025-06-30T00:00:00.000Z
- Rep. Case, Ed [D-HI-1] (D-HI), 2025-07-02T00:00:00.000Z

## Provisions PRIA read

- More Medicare outpatient pay for Alaska, Hawaii sole community hospitals: benefit, low. 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 outpatien…

## Related bills

- 119-hr-9877: Health Equity and Accountability Act of 2026
- 119-hr-4669: FEMA Act of 2025
- 119-hr-4206: CONNECT for Health Act of 2025
- 119-hr-3151: SHIPS for America Act of 2025
- 119-hr-2294: To reauthorize the Integrated Coastal and Ocean Observation System Act of 2009.
- 119-hr-3332: Pacific Partnership Act

## Sources
- [119-hr-4250 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/4250)

## Related
- [119-hr-9877: Health Equity and Accountability Act of 2026](https://policyrisk.com/legislation/119-hr-9877)
- [119-hr-4669: FEMA Act of 2025](https://policyrisk.com/legislation/119-hr-4669)
- [119-hr-4206: CONNECT for Health Act of 2025](https://policyrisk.com/legislation/119-hr-4206)
- [119-hr-3151: SHIPS for America Act of 2025](https://policyrisk.com/legislation/119-hr-3151)
- [119-hr-2294: To reauthorize the Integrated Coastal and Ocean Observation System Act of 2009.](https://policyrisk.com/legislation/119-hr-2294)
- [119-hr-3332: Pacific Partnership Act](https://policyrisk.com/legislation/119-hr-3332)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-4250 (as of 2026-04-21).