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H.R. 4345: To amend title XVIII of the Social Security Act to expand the definition of critical access hospital under the Medicare program to include certain hospitals on Indian reservations.

This bill proposes to modify the definition of "critical access hospital" as it pertains to the Medicare program. The primary change is that effective August 1, 2025, certain hospitals located on Indian reservations would be able to be designated as critical access hospitals without needing to consider the distance from other hospitals or facilities.

Key Provisions

  • Facility Designation: States would have the authority to designate hospitals on Indian reservations as critical access hospitals based solely on their location, regardless of how far they are from other medical facilities.
  • Psychiatric and Rehabilitation Units: Hospitals qualifying under this definition could also establish distinct psychiatric and rehabilitation units without being restricted by bed limitations that usually apply to other facilities. This means they could offer more specialized care without worrying about previous constraints.

The bill aims to enhance healthcare accessibility for Native American populations residing on reservations by allowing these facilities to receive critical access hospital status, which can provide them with additional financial support and resources under the Medicare program.

Implementation Date

The changes proposed in this bill would take effect starting August 1, 2025, giving states and facilities time to prepare for the new designation rules.

Impact on Healthcare Services

By expanding the definition of critical access hospitals, the bill seeks to improve healthcare services on Indian reservations, which may face unique challenges due to geographic and socioeconomic factors. The legislation is intended to bolster the healthcare infrastructure in these areas, potentially enhancing overall health outcomes for the communities served.

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Sponsors

1 sponsor

Actions

2 actions

Date Action
Jul. 10, 2025 Introduced in House
Jul. 10, 2025 Referred to the House Committee on Ways and Means.

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