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SOS: Sustaining Outpatient Services Act
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.
Summary
This bill amends Medicare to change how it pays for certain items and services provided by off-campus outpatient departments of hospitals and other providers. Beginning in 2027, Medicare payments for these services can be determined under the prospective payment system for hospital outpatient department services, rather than other payment methods. This provision applies only to physician specialties where the total amount paid under the physician fee schedule for such services in the previous year was less than $2,000,000. The bill aims to expand payment flexibility for off-campus outpatient services that meet specified criteria.
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] (R-NE)
1 cosponsor
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
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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