S 4233 United States Senate · 119th Congress

Save Struggling Hospitals Act

This bill, known as the Save Struggling Hospitals Act, modifies Medicare reimbursement rules to provide additional financial support to hospitals in low-wage areas. It directly affects hospitals whose geographic area wage index falls below the 25th percentile, increasing their reimbursement rates by half the difference between their current index and the 25th percentile threshold. The adjustment applies to discharges occurring on or after October 1, 2019, and is designed to be budget neutral, meaning the total amount paid out remains unchanged while redistributing funds from higher-wage to lower-wage areas. The law also includes safeguards to prevent hospitals in the 75th percentile or higher from losing funding and ensures no hospital's reimbursement drops below 95 percent of the previous year's rate.
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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Total actions
2
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0
Committee
1
Mar 26, 2026
Committee
Read twice and referred to the Committee on Finance.
upper
Mar 26, 2026
Introduced
Introduced in Senate
upper
1 primary · 6 co-sponsors

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