H.R. 4269 · Where this bill is now
In committee
Introduced in the House, sent to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned, Jun 30, 2025
What this bill does
In plain words · AI-written from the official summaryMedicare adjusts outpatient payments for Alaska and Hawaii
This bill lets Medicare increase its payments for certain outpatient hospital services in Alaska and Hawaii to account for the higher cost of living in those states. Right now, Medicare payments are set without these adjustments, which can mean hospitals in these locations get less reimbursement than the actual costs they face.
How it affects you
If you're a Medicare beneficiary in Alaska or Hawaii, this could help ensure hospitals in your state have the resources to provide outpatient care—services like emergency visits, surgery, and imaging that don't require an overnight hospital stay. Hospitals in these states may also be better positioned to continue offering these services to their communities.
Read the official summary (Introduced in House, Jun 30, 2025)
Ensuring Outpatient Quality for Rural States Act
This bill allows Medicare payments for covered hospital outpatient services in Alaska or Hawaii to include certain cost-of-living adjustments.
Written by AI (Claude) using only the official summary by the Congressional Research Service, the Library of Congress’s nonpartisan research staff. It can miss nuance, so check the official summary and the bill text for details.
1st SessionH. R. 4269
A BILL
Ensuring Outpatient Quality for Rural States Act
Sponsor: Rep. Jill N. Tokuda (D-HI-2) · Introduced Jun 30, 2025 · Health · 1 version of the text
Sources: Congress.gov actions and votes · bill text from GovInfo · latest official action Jun 30, 2025: “Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.”