# 119-s-3688: RURAL Rate Act

119-s-3688, RURAL Rate Act, is a 119th Congress bill sponsored by Sen. Sullivan, Dan [R-AK] (R-AK); status introduced; PRIA reads it as touching household money (as of 2026-04-21).

- Canonical: https://policyrisk.com/legislation/119-s-3688
- As of: 2026-04-21
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-s-3688
- Congress: 119
- Title: RURAL Rate Act
- Status: introduced
- Introduced: 2026-01-15
- Sponsor: Sen. Sullivan, Dan [R-AK] (R-AK)
- Cosponsors: 0
- Policy area: Social Welfare
- Touches household money: yes
- Last recorded action: 2026-04-21

## Summary

**Raises the Medicare geographic payment floors to 1.67 for the state named in current law.** This bill would change how Medicare's Physician Fee Schedule is calculated for that state so the practice expense and work geographic indices cannot be lower than 1.67 when computing payments for services on or after January 1, 2026. It directs the Secretary to increase either index to 1.67 if it would otherwise fall below that level.

## Provisions PRIA read

- Higher Medicare rates for providers in State: benefit, medium. This bill would raise two Medicare geographic payment indices for services in the referenced State. This would apply to payments on or after January 1, 2026. The Secretary would set the practice expense index and the work geographic index to at least 1.67. After computing the usual indices, the Sec…

## Related bills

- 119-s-524: Coast Guard Authorization Act of 2025
- 119-s-3923: Weather Research and Forecasting Innovation Reauthorization Act of 2026
- 119-s-1541: SHIPS for America Act of 2025
- 119-s-2142: GOLDEN DOME Act of 2025
- 119-s-306: Fire Ready Nation Act of 2025
- 119-s-688: Fighting Foreign Illegal Seafood Harvests Act of 2025

## Sources
- [119-s-3688 on Congress.gov](https://www.congress.gov/bill/119th-congress/senate-bill/3688)

## Related
- [119-s-524: Coast Guard Authorization Act of 2025](https://policyrisk.com/legislation/119-s-524)
- [119-s-3923: Weather Research and Forecasting Innovation Reauthorization Act of 2026](https://policyrisk.com/legislation/119-s-3923)
- [119-s-1541: SHIPS for America Act of 2025](https://policyrisk.com/legislation/119-s-1541)
- [119-s-2142: GOLDEN DOME Act of 2025](https://policyrisk.com/legislation/119-s-2142)
- [119-s-306: Fire Ready Nation Act of 2025](https://policyrisk.com/legislation/119-s-306)
- [119-s-688: Fighting Foreign Illegal Seafood Harvests Act of 2025](https://policyrisk.com/legislation/119-s-688)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-s-3688 (as of 2026-04-21).