PRIA Logo™
HR7666119th CongressWALLET

SOS: Sustaining Outpatient Services Act

Sponsored By: Representative Smith, Adrian [R-NE-3]

Introduced

Summary

This bill would move payment for certain off-campus outpatient services to the hospital outpatient prospective payment system. It applies starting in 2027 to items or services furnished by an off-campus outpatient department when the physician specialty’s total physician-fee-schedule payments in the prior year were less than $2 million.

Show full summary
  • Off-campus outpatient departments: Services that meet this rule would be paid under the hospital outpatient prospective payment system beginning in 2027.
  • Smaller physician specialties: If a specialty's total prior-year payments under the physician fee schedule were under $2 million, items they furnish at off-campus outpatient departments would be shifted from physician-fee-schedule payments to hospital outpatient prospective payment determinations.
  • Medicare payment rules: For the covered items and services, Medicare would replace prior physician-fee-schedule-based payments with hospital outpatient prospective payment system rates when the prior-year specialty threshold is met.

Personalized for You

How does this bill affect your finances?

Personalize government policy and PRIA will tell you what this bill means for your household, plus every other piece of legislation we track. PRIA reads each provision against your financial profile to show you exactly what matters to your wallet.

Free to download

Bill Overview

Analyzed Economic Effects

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

Medicare payment shift for off-campus care

If enacted, beginning in 2027 Medicare would pay some services given at off-campus outpatient departments under the hospital outpatient prospective payment system instead of the physician fee schedule. The rule would apply when the physician specialty had less than $2,000,000 in physician-fee-schedule payments for those same services in the prior year. The change would move payment from doctor-fee rules to hospital outpatient rates. That shift could change what Medicare beneficiaries pay out of pocket for the affected services.

Sponsors & CoSponsors

Sponsor

Smith, Adrian [R-NE-3]

NE • R

Cosponsors

  • Rep. McGovern, James P. [D-MA-2]

    MA • D

    Sponsored 2/24/2026

Roll Call Votes

No roll call votes available for this bill.

View on Congress.gov
Back to Legislation