HR4807119th CongressWALLET

Protect Our Hospitals Act

Sponsored By: Representative Landsman, Greg [D-OH-1]

Introduced

Summary

Restores pre-Section 71115 Medicaid provider tax rules. The bill would repeal Section 71115 of Public Law 119-21 and return the Medicaid provider tax framework to how it operated before that change.

Show full summary
  • Hospitals and health systems: Would see the provider-tax rules that apply to them restored to the prior legal framework, which governs how states design taxes tied to Medicaid payments.
  • State governments: Would work under the earlier provider-tax rules when structuring Medicaid financing, reversing the specific changes made by Section 71115.
  • Legal effect: The bill repeals Section 71115 and instructs that the provisions it amended be read as if Section 71115 had never been enacted, without creating new programs or funding mechanisms.

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Bill Overview

Analyzed Economic Effects

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

Undo Medicaid provider tax changes

This bill would repeal Section 71115 of Public Law 119-21. It would restore the prior Medicaid provider tax rules, as if that section never passed. States would return to the older framework for taxing hospitals and other providers to help fund Medicaid. Hospitals and Medicaid providers could see funding and reimbursement change. There is no new money; changes would start upon enactment.

Sponsors & CoSponsors

Sponsor

Landsman, Greg [D-OH-1]

OH • D

Cosponsors

  • Rep. Ruiz, Raul [D-CA-25]

    CA • D

    Sponsored 7/29/2025

  • Rep. Kelly, Robin L. [D-IL-2]

    IL • D

    Sponsored 7/29/2025

  • Rep. Dingell, Debbie [D-MI-6]

    MI • D

    Sponsored 7/29/2025

  • Rep. Correa, J. Luis [D-CA-46]

    CA • D

    Sponsored 8/1/2025

  • Rep. Larson, John B. [D-CT-1]

    CT • D

    Sponsored 8/1/2025

  • Rep. Tlaib, Rashida [D-MI-12]

    MI • D

    Sponsored 8/1/2025

  • Rep. Fields, Cleo [D-LA-6]

    LA • D

    Sponsored 8/1/2025

  • Rep. Krishnamoorthi, Raja [D-IL-8]

    IL • D

    Sponsored 8/1/2025

  • Rep. Larsen, Rick [D-WA-2]

    WA • D

    Sponsored 8/1/2025

  • Rep. Tonko, Paul [D-NY-20]

    NY • D

    Sponsored 8/5/2025

  • Rep. Salinas, Andrea [D-OR-6]

    OR • D

    Sponsored 8/5/2025

  • Budzinski

    IL • D

    Sponsored 8/5/2025

  • Kennedy (NY)

    NY • D

    Sponsored 8/8/2025

  • Costa

    CA • D

    Sponsored 8/8/2025

  • Rep. Gottheimer, Josh [D-NJ-5]

    NJ • D

    Sponsored 8/8/2025

  • Rep. Dexter, Maxine [D-OR-3]

    OR • D

    Sponsored 8/15/2025

  • Fletcher

    TX • D

    Sponsored 8/15/2025

  • Rep. Frankel, Lois [D-FL-22]

    FL • D

    Sponsored 9/2/2025

  • Randall

    WA • D

    Sponsored 9/8/2025

  • Craig

    MN • D

    Sponsored 9/8/2025

  • Rep. Ross, Deborah K. [D-NC-2]

    NC • D

    Sponsored 9/9/2025

  • Rep. Balint, Becca [D-VT-At Large]

    VT • D

    Sponsored 10/8/2025

  • Rep. Thanedar, Shri [D-MI-13]

    MI • D

    Sponsored 10/31/2025

Roll Call Votes

No roll call votes available for this bill.

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