119-hr-8271119th CongressWALLET

ICU Bed Act of 2026

Sponsored By: Representative Obernolte, Jay [R-CA-23]

Introduced

Summary

Real-time ICU bed reporting would become a condition of Medicare participation for hospitals, critical access hospitals, and rural emergency hospitals. The bill would also require regional data sharing and coordinated patient-transfer plans to manage ICU capacity.

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  • Hospitals, critical access hospitals, and rural emergency hospitals would have to join a shared, real-time system that shows ICU bed availability and keep a shared strategy to transfer patients when ICUs reach or near capacity. This reporting requirement would start 1 year after enactment and would be tied to Medicare participation.
  • Patients and families would benefit from coordinated transfers when local ICUs fill, because hospitals in a region must maintain plans to move patients efficiently to available ICU beds.
  • The Secretary would set regions for data sharing based on geography and travel time to make transfers practical. Hospitals in the same region would see each other’s real-time ICU counts.
  • The bill adds patient-transfer planning to federal public health emergency preparedness activities and extends the related authorities through fiscal years 2026 through 2031.

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Bill Overview

Analyzed Economic Effects

1 provisions identified: 0 benefits, 0 costs, 1 mixed.

New Medicare rules for ICU beds

If enacted, this bill would require hospitals, critical access hospitals, and rural emergency hospitals to join a shared system. That system would report ICU bed availability in real time to other hospitals in the same Secretary-defined region. Starting one year after enactment, complying with these reporting and transfer rules would be a condition of participation in Medicare. The Secretary would set regions based on geography, population, and travel time. The bill would also extend certain hospital preparedness grants through fiscal years 2026–2031.

Sponsors & CoSponsors

Sponsor

Obernolte, Jay [R-CA-23]

CA • R

Cosponsors

  • Rep. Kelly, Mike [R-PA-16]

    PA • R

    Sponsored 10/5/2026

  • Rep. Dingell, Debbie [D-MI-6]

    MI • D

    Sponsored 4/14/2026

  • Rep. Bentz, Cliff [R-OR-2]

    OR • R

    Sponsored 6/23/2026

  • Rep. Tenney, Claudia [R-NY-24]

    NY • R

    Sponsored 7/9/2026

  • Rep. Rulli, Michael A. [R-OH-6]

    OH • R

    Sponsored 7/13/2026

Roll Call Votes

No roll call votes available for this bill.

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