# 119-s-3908: SOS: Sustaining Outpatient Services Act

119-s-3908, SOS: Sustaining Outpatient Services Act, is a 119th Congress bill sponsored by Sen. Hoeven, John [R-ND] (R-ND); status introduced; PRIA reads it as touching household money (as of 2026-04-21).

- Canonical: https://policyrisk.com/legislation/119-s-3908
- 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-3908
- Congress: 119
- Title: SOS: Sustaining Outpatient Services Act
- Status: introduced
- Introduced: 2026-02-25
- Sponsor: Sen. Hoeven, John [R-ND] (R-ND)
- Cosponsors: 1
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-04-21

## Summary

**This bill would shift payment for certain off‑campus outpatient services from the physician fee schedule to the hospital outpatient prospective payment system.** It targets items and services furnished at off‑campus outpatient departments and uses a prior‑year payment threshold to decide which services move beginning in 2027. - Hospitals and off‑campus outpatient departments: Qualifying items and services furnished at off‑campus outpatient departments would be paid under the hospital outpatient prospective payment system instead of the physician fee schedule starting in 2027. - Physician specialties: A service qualifies for the change for a given year if the greatest total amount paid to that physician specialty under the physician fee schedule in the prior year was less than $2.0 million. - Medicare program administration: The bill changes which Medicare payment system applies to these services and relies on the law's definition of "provider" to identify affected facilities.

## Cosponsors (1)

- Sen. Klobuchar, Amy [D-MN] (D-MN), 2026-02-25T00:00:00.000Z

## Provisions PRIA read

- Medicare reclassifies some off-campus services: mixed, low. This bill would change Medicare payment rules starting in 2027. Items and services provided during a year at an off‑campus outpatient department would be paid under the hospital outpatient prospective payment system (OPPS) if the physician specialty that billed most for those services had less than…

## Related bills

- 119-s-4668: Protect College Sports Act of 2026
- 119-s-1748: Kids Online Safety Act
- 119-s-2256: Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act, 2026
- 119-s-3923: Weather Research and Forecasting Innovation Reauthorization Act of 2026
- 119-s-3257: John A. Hauser Mental Health in Aviation Act
- 119-s-5025: Lindsey O. Graham Sanctioning Russia Act of 2026

## Sources
- [119-s-3908 on Congress.gov](https://www.congress.gov/bill/119th-congress/senate-bill/3908)

## Related
- [119-s-4668: Protect College Sports Act of 2026](https://policyrisk.com/legislation/119-s-4668)
- [119-s-1748: Kids Online Safety Act](https://policyrisk.com/legislation/119-s-1748)
- [119-s-2256: Agriculture, Rural Development, Food and Drug Administration, and Related Agenc…](https://policyrisk.com/legislation/119-s-2256)
- [119-s-3923: Weather Research and Forecasting Innovation Reauthorization Act of 2026](https://policyrisk.com/legislation/119-s-3923)
- [119-s-3257: John A. Hauser Mental Health in Aviation Act](https://policyrisk.com/legislation/119-s-3257)
- [119-s-5025: Lindsey O. Graham Sanctioning Russia Act of 2026](https://policyrisk.com/legislation/119-s-5025)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-s-3908 (as of 2026-04-21).