Skip to main content
CivicGate

HR 538
Introduced 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.

Critical Access Hospital Relief Act of 2025

To amend title XVIII of the Social Security Act to remove the 96-hour physician certification requirement for inpatient critical access hospital services.

Introduced Jan 16, 2025

Latest action (Jan 16, 2025) Referred to the House Committee on Ways and Means.

Summary

This bill amends Medicare rules for critical access hospitals by removing a requirement that physicians certify inpatient stays as medically necessary within 96 hours of admission. Critical access hospitals are small rural facilities that play an important role in providing healthcare access to underserved areas. The 96-hour physician certification has been a condition for Medicare reimbursement of inpatient critical access hospital services, and this bill eliminates that requirement. The change takes effect for services furnished on or after January 1, 2026.

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)

Actions (2)

  1. Jan 16, 2025 Referred to the House Committee on Ways and Means. · house
  2. Jan 16, 2025 Introduced in House

More bills on these subjects (8)

Other bills that carry the most legislative subjects in common with this one (topical discovery — distinct from the procedural related bills above).

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)

  • Introduced in House · Jan 16, 2025

Only one text version is on file, so there’s no earlier version to compare against yet.

Full text

IN THE HOUSE OF REPRESENTATIVES

January 16, 2025

Mr. Smith of Nebraska (for himself and Ms. Sewell) 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 remove the 96-hour physician certification requirement for inpatient critical access hospital services.

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 “Critical Access Hospital Relief Act of 2025”.

SEC. 2. REMOVING MEDICARE 96-HOUR PHYSICIAN CERTIFICATION REQUIREMENT FOR INPATIENT CRITICAL ACCESS HOSPITAL SERVICES.

(a) In General.—Section 1814(a) of the Social Security Act (42 U.S.C. 1395f(a)) is amended—

(1) in paragraph (6), by adding “and” at the end;

(2) in paragraph (7), at the end of subparagraph (E), by striking “; and” and inserting a period; and

(3) by striking paragraph (8).

(b) Application.—The amendments made by subsection (a) shall apply with respect to items and services furnished on or after January 1, 2026. <all>

Comments

Comments

Loading comments…