HR 4258 Re-checks Congress.gov for new actions and updates the bill's status, and fills in any sponsors, committees, or related bills that are missing. It does not re-pull sponsors/cosponsors/committees/related — those rarely change — and it skips all work if nothing has changed upstream, so it's cheap to click.
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.
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.
Summary
- Allows states to designate facilities on Indian reservations as critical access hospitals under Medicare, beginning August 1, 2025, if located more than 35 miles by drive (or 15 miles in mountainous terrain) from another qualifying hospital.
- Defines qualifying comparison hospitals to include facilities on reservations or operated by the Indian Health Service, Indian tribes, or urban Indian organizations.
- Permits critical access hospitals on Indian reservations to establish psychiatric and rehabilitation distinct part units without the normal bed-count limitations.
AI-generated plain-language summary of the bill text — neutral, and may be imperfect. See the full text below for the exact wording.
Sponsor (1)
-
![Rep. Newhouse, Dan [R-WA-4]](https://media.civicgate.org/people/d/politicians/N000189.thumb.jpg)
Rep. Newhouse, Dan (R-WA) [#4]
Money behind the sponsor
Top reported contributors to Dan Newhouse’s campaign committee (2024 cycle) — who funds the bill’s sponsor, not a claim about this bill. Data from FEC.
- Employer not reported $25,950
- N/A TRIBE $23,100
- TRIBE $14,200
- SCHWEITZER ENGINEERING LABS $13,200
- CORNERSTONE GOVERNMENT AFFAIRS $11,800
Organizations whose employees gave the most — itemized individual contributions grouped by the donor’s reported employer (FEC Schedule A). Full finance for Dan Newhouse → · Outside spending →
Actions (2)
- Jun 30, 2025 Referred to the House Committee on Ways and Means. · house
- Jun 30, 2025 Introduced in House
Similar bills (6)
Bills with similar text or summary — includes reintroductions across Congresses. Ranked by semantic similarity of the bill text (computed locally); a neutral discovery aid, not a claim the bills are duplicates.
Text versions (1)
Bills are re-published as they move (Introduced → Reported → Engrossed → Enrolled …). Each stage below is a separate text; pick two to see what changed. Data from Congress.gov.
Full text
IN THE HOUSE OF REPRESENTATIVES
June 30, 2025
Mr. Newhouse introduced the following bill; which was referred to the Committee on Ways and Means
A BILL
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.
Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled,
SECTION 1. EXPANDING THE DEFINITION OF CRITICAL ACCESS HOSPITAL UNDER THE MEDICARE PROGRAM TO INCLUDE CERTAIN HOSPITALS ON INDIAN RESERVATIONS.
Section 1820(c)(2) of the Social Security Act (42 U.S.C. 1395i- 4(c)(2)) is amended—
(1) in subparagraph (B)(i)(I), by inserting “subject to subparagraph (F),” before “is located”;
(2) in subparagraph (E)(ii), by striking “The total” and inserting “Subject to subparagraph (F), the total”; and
(3) by adding at the end the following new subparagraph:
“(F) Hospitals on indian reservations.—
“(i) In general.—Beginning August 1, 2025, a State may designate a facility as a critical access hospital if the facility—
“(I) is located on a reservation (as defined in section 4 of the Indian Health Care Improvement Act); and
“(II) is located more than a 35- mile drive (or, in the case of mountainous terrain or in areas with only secondary roads available, a 15- mile drive) from a hospital, or another facility described in this subsection, that— “(aa) is located on a reservation (as so defined); or “(bb) is operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization (as defined in section 4 of the Indian Health Care Improvement Act).
“(ii) Psychiatric and rehabilitation distinct part units.—A facility described in clause (i) may establish a distinct part unit under subparagraph (E) without regard to the limitation on number of beds under clause (ii) of such subparagraph.”. <all>
Comments