Extension of the Medicare-dependent hospital (MDH) program

(a) In general Section 1886(d)(5)(G) of the Social Security Act (42 U.S.C. 1395ww(d)(5)(G)) is amended— (1) in clause (i), by striking October 1, 2025 and inserting November 22, 2025; January 31, 2026; and (2) in clause (ii)(II), by striking October 1, 2025 and inserting November 22, 2025. January 31, 2026. (b) Conforming amendments (1) In general Section 1886(b)(3)(D) of the Social Security Act (42 U.S.C. 1395ww(b)(3)(D)) is amended— (A) in the matter preceding clause (i), by striking October 1, 2025 and inserting November 22, 2025; January 31, 2026; and (B) in clause (iv), by inserting and the portion of fiscal year 2026 beginning on October 1, 2025, and ending on November 21, 2025 January 30, 2026 after through fiscal year 2025. (2) Permitting hospitals to decline reclassification Section 13501(e)(2) of the Omnibus Budget Reconciliation Act of 1993 (42 U.S.C. 1395ww note) is amended by inserting, or the portion of fiscal year 2026 beginning on October 1, 2025, and ending on November 21, 2025 January 30, 2026 after through fiscal year 2025.