Extension of increased inpatient hospital payment adjustment for certain low-volume hospitals

(a) In general Section 1886(d)(12) of the Social Security Act (42 U.S.C. 1395ww(d)(12)) is amended— (1) in subparagraph (B), by striking in fiscal year 2026 and inserting during the portion of fiscal year 2026 beginning on November 22, 2025, and ending on September 30, 2026, and in fiscal year 2027; (2) in subparagraph (C)(i)— (A) in the matter preceding subclause (I)— (i) by inserting or portion of a fiscal year after for a fiscal year; and (ii) by inserting and the portion of fiscal year 2026 beginning on October 1, 2025, and ending on November 21, 2025 after through 2025; (B) in subclause (III), by inserting and the portion of fiscal year 2026 beginning on October 1, 2025, and ending on November 21, 2025 after through 2025; and (C) in subclause (IV), by striking fiscal year 2026 and inserting the portion of fiscal year 2026 beginning on November 22, 2025, and ending on September 30, 2026, and fiscal year 2027; and (3) in subparagraph (D)— (A) in the matter preceding clause (i), by inserting or during the portion of fiscal year 2026 beginning on October 1, 2025, and ending on November 21, 2025 after through 2025; and (B) in clause (ii), by inserting and the portion of fiscal year 2026 beginning on October 1, 2025, and ending on November 21, 2025 after through 2025. (b) Implementation Notwithstanding any other provision of law, the Secretary of Health and Human Services may implement the amendments made by this section by program instruction or otherwise.

(a) In general Section 1886(d)(12) of the Social Security Act (42 U.S.C. 1395ww(d)(12)) is amended— (1) in subparagraph (B), by striking in fiscal year 2026 and inserting during the portion of fiscal year 2026 beginning on January 31, 2026, and ending on September 30, 2026, and in fiscal year 2027; (2) in subparagraph (C)(i)— (A) in the matter preceding subclause (I)— (i) by inserting or portion of a fiscal year after for a fiscal year; and (ii) by inserting and the portion of fiscal year 2026 beginning on October 1, 2025, and ending on January 30, 2026 after through 2025; (B) in subclause (III), by inserting and the portion of fiscal year 2026 beginning on October 1, 2025, and ending on January 30, 2026 after through 2025; and (C) in subclause (IV), by striking fiscal year 2026 and inserting the portion of fiscal year 2026 beginning on January 31, 2026, and ending on September 30, 2026, and fiscal year 2027; and (3) in subparagraph (D)— (A) in the matter preceding clause (i), by inserting or during the portion of fiscal year 2026 beginning on October 1, 2025, and ending on January 30, 2026 after through 2025; and (B) in clause (ii), by inserting and the portion of fiscal year 2026 beginning on October 1, 2025, and ending on January 30, 2026 after through 2025. (b) Implementation Notwithstanding any other provision of law, the Secretary of Health and Human Services may implement the amendments made by this section by program instruction or otherwise.