HR 7666 — SOS: Sustaining Outpatient Services Act

Summary

Amends Medicare payment rules to allow certain items and services furnished by off-campus outpatient departments of providers to be paid under the hospital outpatient prospective payment system instead of the physician fee schedule.
Makes this payment method change effective beginning in 2027.
Applies the payment change only to items and services where the greatest total amount paid under the physician fee schedule in the previous year for that physician specialty was less than $2,000,000.

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. Smith, Adrian (R-NE) [#3]

1 cosponsor

Rep. McGovern, James P. (D-MA) [#2]

Money behind the sponsor

Top reported contributors to Adrian Smith’s campaign committee (2024 cycle) — who funds the bill’s sponsor, not a claim about this bill. Data from FEC.

SANDHILLS PUBLISHING $19,800
TREGO/DUGAN AVIATION OF GRAND ISLAND $6,600
HUB INTERNATIONAL $6,600
ALLEGIS $6,600
BAXTER AUTOMOTIVE GROUP $6,600

Organizations whose employees gave the most — itemized individual contributions grouped by the donor’s reported employer (FEC Schedule A). Full finance for Adrian Smith → · Outside spending →

Actions (2)

Feb 24, 2026 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. · house
Feb 24, 2026 Introduced in House

Related bills (1)

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.

Full text

IN THE HOUSE OF REPRESENTATIVES

February 24, 2026

Mr. Smith of Nebraska (for himself and Mr. McGovern) 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

A BILL

To amend title XVIII of the Social Security Act to allow payments under the Medicare program for certain items and services furnished by off- campus outpatient departments of a provider to be determined under the prospective payment system for hospital outpatient department services, and for other purposes.

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 “SOS: Sustaining Outpatient Services Act”.

SEC. 2. ALLOWING MEDICARE PAYMENTS FOR CERTAIN ITEMS AND SERVICES FURNISHED BY OFF-CAMPUS OUTPATIENT DEPARTMENTS OF A PROVIDER TO BE DETERMINED UNDER THE PROSPECTIVE PAYMENT SYSTEM FOR HOSPITAL OUTPATIENT DEPARTMENT SERVICES.

Section 1833(t)(1)(B) of the Social Security Act (42 U.S.C. 1395l(t)(1)(B)) is amended—

(1) in clause (iv), by striking “and” at the end;

(2) in clause (v)—

(A) by inserting before “does not include” the following: “subject to clause (vi),”; and

(B) by striking the period at the end and inserting “; and”; and

(3) by adding at the end the following new clause:

“(vi) includes, with respect to a year (beginning with 2027), any item or service—

“(I) that is furnished during such year by an off-campus outpatient department of a provider (as defined in subparagraph (B) of paragraph (21)); and

“(II) with respect to which the greatest total amount paid with respect to a physician speciality under the physician fee schedule under section 1848 for all such items or services furnished by physicians in such specialty during the previous year was less than $2,000,000.”. <all>

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