SITE Act

The SITE Act (S 1869) has two main provisions. First, it requires Medicare to implement site-neutral billing for off-campus hospital departments by January 1, 2025, mandating separate unique health identifiers for these departments and requiring them to use these identifiers when billing. Second, it establishes a new program to fund graduate nursing education through "Hubs" at eligible hospitals, providing specific funding for training advanced practice registered nurses (APRNs) with annual position limits that increase over time (starting at 10,000 in 2026 and reaching 20,000+ by 2032). The bill also requires at least one-third of training to occur in ambulatory care settings and sets specific requirements for Hub selection and operation. These provisions directly affect hospitals, nursing schools, Medicare billing systems, and the training of APRNs.