[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 4269 Introduced in House (IH)]

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119th CONGRESS
  1st Session
                                H. R. 4269

  To amend title XVIII of the Social Security Act to provide for the 
  application of a cost-of-living adjustment to the non-labor related 
portion for hospital outpatient department services furnished in Alaska 
                              and Hawaii.


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                    IN THE HOUSE OF REPRESENTATIVES

                             June 30, 2025

Ms. Tokuda (for herself and Mr. Begich) introduced the following bill; 
  which was referred to the Committee on Energy and Commerce, and in 
    addition to the Committee on Ways and Means, for a period to be 
subsequently determined by the Speaker, in each case for consideration 
  of such provisions as fall within the jurisdiction of the committee 
                               concerned

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                                 A BILL


 
  To amend title XVIII of the Social Security Act to provide for the 
  application of a cost-of-living adjustment to the non-labor related 
portion for hospital outpatient department services furnished in Alaska 
                              and Hawaii.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Ensuring Outpatient Quality for 
Rural States Act''.

SEC. 2. APPLICATION OF COST-OF-LIVING ADJUSTMENT TO NON-LABOR RELATED 
              PORTION FOR HOSPITAL OUTPATIENT DEPARTMENT SERVICES 
              FURNISHED IN ALASKA AND HAWAII.

    Section 1833(t) of the Social Security Act (42 U.S.C. 1395l(t)) is 
amended by adding at the end the following new paragraph:
            ``(23) Application of cost-of-living adjustment to non-
        labor related portion for hospital outpatient department 
        services furnished in alaska and hawaii.--With respect to 
        covered OPD services furnished on or after January 1, 2026, the 
        Secretary may provide for adjustments to the payment amounts 
        under this subsection for such services in the same manner that 
        is provided under section 1886(d)(5)(H) with respect to the 
        application of the cost-of-living adjustment to the non-labor 
        related portion of such payment amounts to take into account 
        the unique circumstances of hospitals located in Alaska or 
        Hawaii. The preceding sentence shall not be applied in a budget 
        neutral manner.''.
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