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HR955FEDERALIN_COMMITTEE

SOS: Sustaining Outpatient Services Act

December 17, 2024

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Where This Stands

Introduced
Committee
Floor Vote
Passed
Signed

Currently IN_COMMITTEE. The next step in the legislative lifecycle is Floor Vote.

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 →

The Frame

What this does

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.

Who is mentioned in the record

Potentially affected actors named in the source documents. Mention is not a position.

Hospital outpatient departments

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

Medicare providers

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

What changed

Current stage: IN_COMMITTEE.

What's next

Floor Vote.

Background

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

Summary

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.

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.

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.

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.

News Coverage

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

Sponsors

Discoveries

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

organizationCommittee on Energy and CommerceCommittee responsible for reviewing the billMap →
bill_number42 U.S.C. 1395l(t)(1)(B)Section of the Social Security Act being amendedMap →
organizationCommittee on Ways and MeansCommittee responsible for reviewing the billMap →
bill_numberH.R. 955The bill's identification numberMap →
personMr. McGovernCo-sponsor of the billMap →
bill_numberSocial Security ActThe legislation amends this actMap →
personMr. Smith of NebraskaSponsor of the billMap →

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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