HR 8109 United States House · 119th Congress

Save Struggling Hospitals Act

The Save Struggling Hospitals Act adjusts Medicare reimbursement rates for hospitals in low-wage areas to help them remain financially viable. It directly affects hospitals located in regions where the average hospital wages fall below the 25th percentile nationally. The bill increases the area wage index for these struggling hospitals by half the difference between their current index and the 25th percentile threshold, starting with discharges on or after October 1, 2019. These adjustments are designed to be budget neutral, meaning the increased payments to low-wage hospitals are offset by reductions elsewhere without decreasing payments to hospitals in the top 75th percentile or reducing any hospital's payment by more than 5 percent from the previous year.
Bill status in committee 1 of 4 stages cleared
Introduction
Mar 2026
Committee Review
Floor Vote
President
Introduced Mar 26, 2026 Last action Mar 26, 2026
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Full legislative history

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Total actions
2
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0
Committee
1
Mar 26, 2026
Committee
Referred to the House Committee on Ways and Means.
lower
Mar 26, 2026
Introduced
Introduced in House
lower
1 primary · 6 co-sponsors

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