# 119-s-335: Rural Hospital Support Act

119-s-335, Rural Hospital Support Act, is a 119th Congress bill sponsored by Sen. Grassley, Chuck [R-IA] (R-IA); status introduced; PRIA reads it as touching household money (as of 2025-12-21).

- Canonical: https://policyrisk.com/legislation/119-s-335
- As of: 2025-12-21
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-s-335
- Congress: 119
- Title: Rural Hospital Support Act
- Status: introduced
- Introduced: 2025-01-30
- Sponsor: Sen. Grassley, Chuck [R-IA] (R-IA)
- Cosponsors: 16
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2025-12-21

## Summary

**Rebasing and permanent extensions of Medicare payments for rural hospitals.** This bill would let certain rural hospitals use FY2016 cost data to reset their Medicare inpatient payment targets when that raises their payments, and it would extend key Medicare payment programs for rural providers. - Sole Community Hospitals would be allowed to substitute a rebased target amount using the 12‑month cost reporting period beginning in FY2016 for discharges on or after October 1, 2025. If that rebased target yields higher payments then the hospital may receive the larger amount. - Medicare‑Dependent Hospitals would be able to rebase their target amounts to FY2016 data for discharges on or after October 1, 2025 and the MDH payment method would be made permanent rather than expiring March 31, 2025. The bill would also let hospitals decline reclassification under the MDH program and would limit the Secretary’s authority to lower rebased MDH targets in the rebasing context. - Low‑Volume Hospitals would see their payment increases extended and regularized into a continuous framework for fiscal years after 2010. The bill would also bar certain adjustments to rebased target amounts for earlier periods before October 1, 2015.

## Cosponsors (16)

- Sen. Welch, Peter [D-VT] (D-VT), 2025-01-30T00:00:00.000Z
- Sen. Capito, Shelley Moore [R-WV] (R-WV), 2025-01-30T00:00:00.000Z
- Sen. Kaine, Tim [D-VA] (D-VA), 2025-01-30T00:00:00.000Z
- Sen. Wicker, Roger F. [R-MS] (R-MS), 2025-01-30T00:00:00.000Z
- Sen. Shaheen, Jeanne [D-NH] (D-NH), 2025-01-30T00:00:00.000Z
- Sen. Moran, Jerry [R-KS] (R-KS), 2025-01-30T00:00:00.000Z
- Sen. Smith, Tina [D-MN] (D-MN), 2025-01-30T00:00:00.000Z
- Sen. Hyde-Smith, Cindy [R-MS] (R-MS), 2025-01-30T00:00:00.000Z
- Sen. Fetterman, John [D-PA] (D-PA), 2025-01-30T00:00:00.000Z
- Sen. Boozman, John [R-AR] (R-AR), 2025-01-30T00:00:00.000Z
- Sen. Kelly, Mark [D-AZ] (D-AZ), 2025-01-30T00:00:00.000Z
- Sen. Marshall, Roger [R-KS] (R-KS), 2025-02-03T00:00:00.000Z
- Sen. Peters, Gary C. [D-MI] (D-MI), 2025-02-03T00:00:00.000Z
- Sen. Kennedy, John [R-LA] (R-LA), 2025-03-05T00:00:00.000Z
- Sen. Budd, Ted [R-NC] (R-NC), 2025-07-16T00:00:00.000Z
- Sen. Warner, Mark R. [D-VA] (D-VA), 2025-07-16T00:00:00.000Z

## Provisions PRIA read

- Higher Medicare pay for rural hospitals: benefit, medium. If enacted, some rural hospitals could use a rebased payment target tied to the 12‑month cost period starting in fiscal year 2016. This rebasing would apply for cost reporting periods or discharges on or after October 1, 2025, and only if it raises the hospital's Medicare payment. The bill would al…
- Keep higher pay for low-volume hospitals: benefit, medium. If enacted, low‑volume hospitals would keep their higher Medicare payment percentages beyond prior year cutoffs. The bill would make those increases apply from fiscal year 2011 and each year after, and from fiscal year 2019 and each year after.

## Related bills

- 119-s-2296: National Defense Authorization Act for Fiscal Year 2026
- 119-s-4784: National Defense Authorization Act for Fiscal Year 2027
- 119-s-1261: CONNECT for Health Act of 2025
- 119-sres-913: A resolution relating to the death of the Honorable Nancy Kassebaum, former United States Senator for the State of Kansas.
- 119-sres-897: A resolution honoring the life, service, and legacy of the Honorable Jon Llewellyn Kyl, former Senator for the State of Arizona.
- 119-sres-801: A resolution honoring the life and legacy of the Honorable Lindsey Olin Graham, a Senator from the State of South Carolina.

## Sources
- [119-s-335 on Congress.gov](https://www.congress.gov/bill/119th-congress/senate-bill/335)

## Related
- [119-s-2296: National Defense Authorization Act for Fiscal Year 2026](https://policyrisk.com/legislation/119-s-2296)
- [119-s-4784: National Defense Authorization Act for Fiscal Year 2027](https://policyrisk.com/legislation/119-s-4784)
- [119-s-1261: CONNECT for Health Act of 2025](https://policyrisk.com/legislation/119-s-1261)
- [119-sres-913: A resolution relating to the death of the Honorable Nancy Kassebaum, former Uni…](https://policyrisk.com/legislation/119-sres-913)
- [119-sres-897: A resolution honoring the life, service, and legacy of the Honorable Jon Llewel…](https://policyrisk.com/legislation/119-sres-897)
- [119-sres-801: A resolution honoring the life and legacy of the Honorable Lindsey Olin Graham,…](https://policyrisk.com/legislation/119-sres-801)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-s-335 (as of 2025-12-21).