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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
This bill expands the Medicare program's definition of "critical access hospital" to include hospitals located on Indian reservations, effective August 1, 2025. Currently, critical access hospital designation requires hospitals to be a certain distance from other hospitals; this bill removes that distance requirement for hospitals on Indian reservations, allowing states to designate them as critical access hospitals based solely on their reservation location. The bill also permits these hospitals to establish psychiatric and rehabilitation units without the normal limits on the number of beds that apply to other critical access hospitals. The changes are intended to expand access to healthcare services for communities on Indian reservations under the Medicare program.
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] (R-WA)
Actions (2)
- Jul 10, 2025 Referred to the House Committee on Ways and Means. · house
- Jul 10, 2025 Introduced in House
Similar bills (6)
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Text versions (1)
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Full text
IN THE HOUSE OF REPRESENTATIVES
July 10, 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, without regard to the distance between the facility and a hospital (or another facility described in this subsection), if the facility is located on a reservation (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. The Secretary may not take a distinct part unit so established by such facility into account when determining whether such facility is primarily engaged in providing the services described in section 1861(e)(1).”. <all>
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