# 119-s-474: Fair Funding for Rural Hospitals Act

119-s-474, Fair Funding for Rural Hospitals Act, is a 119th Congress bill sponsored by Sen. Barrasso, John [R-WY] (R-WY); status introduced; PRIA reads it as touching household money (as of 2025-12-21).

- Canonical: https://policyrisk.com/legislation/119-s-474
- 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-474
- Congress: 119
- Title: Fair Funding for Rural Hospitals Act
- Status: introduced
- Introduced: 2025-02-06
- Sponsor: Sen. Barrasso, John [R-WY] (R-WY)
- Cosponsors: 3
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2025-12-21

## Summary

**Guarantees a minimum of $20 million per state** in Medicaid disproportionate-share hospital (DSH) funding starting in fiscal year 2025. The floor holds for FY2025–FY2029 and then increases with inflation in later years, and it applies even if other DSH formulas or required reductions would lower a state's allotment.

## Cosponsors (3)

- Sen. Schatz, Brian [D-HI] (D-HI), 2025-02-06T00:00:00.000Z
- Sen. Cramer, Kevin [R-ND] (R-ND), 2025-02-06T00:00:00.000Z
- Sen. Welch, Peter [D-VT] (D-VT), 2025-02-06T00:00:00.000Z

## Provisions PRIA read

- At least $20M DSH per State: benefit, high. If enacted, this bill would set a minimum Medicaid DSH allotment for every State starting in fiscal year 2025. Each State would receive at least $20 million in DSH funds in fiscal years 2025 through 2029. Beginning in fiscal year 2030, the minimum would be the prior year's minimum increased for inf…

## Related bills

- 119-s-1748: Kids Online Safety Act
- 119-s-4744: Take Care of America’s Veterans Act
- 119-s-1241: Sanctioning Russia Act of 2025
- 119-s-1261: CONNECT for Health Act of 2025
- 119-s-1289: 25th Anniversary of 9/11 Commemorative Coin Act
- 119-s-1032: Major Richard Star Act

## Sources
- [119-s-474 on Congress.gov](https://www.congress.gov/bill/119th-congress/senate-bill/474)

## Related
- [119-s-1748: Kids Online Safety Act](https://policyrisk.com/legislation/119-s-1748)
- [119-s-4744: Take Care of America’s Veterans Act](https://policyrisk.com/legislation/119-s-4744)
- [119-s-1241: Sanctioning Russia Act of 2025](https://policyrisk.com/legislation/119-s-1241)
- [119-s-1261: CONNECT for Health Act of 2025](https://policyrisk.com/legislation/119-s-1261)
- [119-s-1289: 25th Anniversary of 9/11 Commemorative Coin Act](https://policyrisk.com/legislation/119-s-1289)
- [119-s-1032: Major Richard Star Act](https://policyrisk.com/legislation/119-s-1032)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-s-474 (as of 2025-12-21).