# 119-hr-7666: SOS: Sustaining Outpatient Services Act

119-hr-7666, SOS: Sustaining Outpatient Services Act, is a 119th Congress bill sponsored by Rep. Smith, Adrian [R-NE-3] (R-NE); status introduced; PRIA reads it as touching household money (as of 2026-04-21).

- Canonical: https://policyrisk.com/legislation/119-hr-7666
- 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-7666
- Congress: 119
- Title: SOS: Sustaining Outpatient Services Act
- Status: introduced
- Introduced: 2026-02-24
- Sponsor: Rep. Smith, Adrian [R-NE-3] (R-NE)
- Cosponsors: 1
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-04-21

## Summary

**This bill would move payment for certain off-campus outpatient services to the hospital outpatient prospective payment system.** It applies starting in 2027 to items or services furnished by an off-campus outpatient department when the physician specialty’s total physician-fee-schedule payments in the prior year were less than $2 million. - Off-campus outpatient departments: Services that meet this rule would be paid under the hospital outpatient prospective payment system beginning in 2027. - Smaller physician specialties: If a specialty's total prior-year payments under the physician fee schedule were under $2 million, items they furnish at off-campus outpatient departments would be shifted from physician-fee-schedule payments to hospital outpatient prospective payment determinations. - Medicare payment rules: For the covered items and services, Medicare would replace prior physician-fee-schedule-based payments with hospital outpatient prospective payment system rates when the prior-year specialty threshold is met.

## Cosponsors (1)

- Rep. McGovern, James P. [D-MA-2] (D-MA), 2026-02-24T00:00:00.000Z

## Provisions PRIA read

- Medicare payment shift for off-campus care: mixed, low. If enacted, beginning in 2027 Medicare would pay some services given at off-campus outpatient departments under the hospital outpatient prospective payment system instead of the physician fee schedule. The rule would apply when the physician specialty had less than $2,000,000 in physician-fee-sched…

## Related bills

- 119-hr-6500: Continuing Appropriations and Extensions Act, 2027
- 119-hr-137: TCJA Permanency Act
- 119-hr-6766: Essential Caregivers 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
- 119-hr-3277: Ensuring Lasting Smiles Act

## Sources
- [119-hr-7666 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/7666)

## Related
- [119-hr-6500: Continuing Appropriations and Extensions Act, 2027](https://policyrisk.com/legislation/119-hr-6500)
- [119-hr-137: TCJA Permanency Act](https://policyrisk.com/legislation/119-hr-137)
- [119-hr-6766: Essential Caregivers Act of 2025](https://policyrisk.com/legislation/119-hr-6766)
- [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)
- [119-hr-3277: Ensuring Lasting Smiles Act](https://policyrisk.com/legislation/119-hr-3277)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-7666 (as of 2026-04-21).