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SOS: Sustaining Outpatient Services Act

Record date · December 17, 2024

Introduced
Committee
Floor Vote
Passed
Law

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What This Bill Would Do

This bill changes how Medicare pays for certain medical services provided at off-campus hospital outpatient departments starting in 2024. It allows these services to be reimbursed under the hospital outpatient if they meet specific spending criteria.

Why it matters

This change affects how hospitals are reimbursed for outpatient care, potentially altering the financial viability of off-campus clinics for services where annual physician specialty spending is below $2 million.

Background
  • The Social Security Act is the foundational federal law that established the Medicare program. context

Who It Would Affect

Groups the bill's text would affect if enacted, as described in the record. Being affected is not a position for or against it.

Directly affected

Hospital outpatient departments

The bill changes the payment methodology for specific services provided at off-campus locations.

Directly affected

Medicare providers

Providers are subject to new payment determinations for outpatient services under the prospective payment system.

Key Facts

You don't have to trust us. Each fact below is taken straight from the official document - click any one to see the exact passage, highlighted in the original.

Frequently Asked Questions

When does this change take effect?
The changes apply to items or services furnished beginning in the year 2024.
Which services are affected by this change?
The change applies to services provided at s where the total annual physician specialty spending under the was less than $2 million in the previous year.

What else do you want to know?

News Coverage

No news coverage found yet. Articles are indexed twice daily.

Where This Stands

Currently filed. The next step in the legislative lifecycle is Committee.

Version history

Only one version on file - nothing to compare yet. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.

View official text →

Full breakdown

Who this bill affects and the strongest case for and against it, written only from the bill’s own text.

Discoveries

1 pattern noticed across the record

Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.

policy shift100% confidence

Medicare Payment Methodology Adjustment

The bill shifts specific off-campus outpatient services into the hospital prospective payment system based on a $2 million annual spending threshold.

Connected Entities

42 U.S.C. 1395l(t)(1)(B), House Ways and Means Committee, H.R. 955 and 4 more
bill number42 U.S.C. 1395l(t)(1)(B)“Section of the Social Security Act being amended”Map →
OrganizationHouse Ways and Means Committee“Committee responsible for reviewing the bill”Map →
bill numberH.R. 955“The bill's identification number”Map →
OrganizationHouse Energy and Commerce Committee“Committee responsible for reviewing the bill”Map →
PersonMr. McGovern“Co-sponsor of the bill”Map →
bill numberSocial Security Act“The legislation amends this act”Map →
PersonMr. Smith of Nebraska“Sponsor of the bill”Map →

Sources

Open source document

www.congress.gov

Analysis Score

0–100
  • Significance65
    How much this matters to a regular citizen
  • Controversy30
    Intensity of disagreement among stakeholders
  • Entertainment5
    Compellingness for a non-policy-wonk reader
  • Buzz20
    Current news / social attention level

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