SOLES Act

HR 4250, the SOLES Act, adjusts Medicare payments for outpatient services at sole community hospitals located only in Alaska or Hawaii. If a hospital’s Medicare payment for outpatient services is less than 94% of its reasonable costs, the bill requires the government to increase the payment to cover the shortfall. The bill explicitly states this adjustment won’t affect patient copayments or count toward budget neutrality requirements. Regulations implementing the changes must be finalized within six months of the bill’s enactment.