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 during the portion of fiscal year 2026 beginning on January 31, 2026, and ending on September 30, 2026, and in fiscal year 2027 and inserting during the portion of fiscal year 2027 beginning on January 1, 2027, and ending on September 30, 2027, and in fiscal year 2028; (2) in subparagraph (C)(i)— (A) in the matter preceding subclause (I), by striking through 2025 and the portion of fiscal year 2026 beginning on October 1, 2025, and ending on January 30, 2026 and inserting through 2026 and the portion of fiscal year 2027 beginning on October 1, 2026, and ending on December 31, 2026; (B) in subclause (III), by striking through 2025 and the portion of fiscal year 2026 beginning on October 1, 2025, and ending on January 30, 2026 and inserting through 2026 and the portion of fiscal year 2027 beginning on October 1, 2026, and ending on December 31, 2026; and (C) in subclause (IV), by striking the portion of fiscal year 2026 beginning on January 31, 2026, and ending on September 30, 2026, and fiscal year 2027 and inserting the portion of fiscal year 2027 beginning on January 1, 2027, and ending on September 30, 2027, and fiscal year 2028; and (3) in subparagraph (D)— (A) in the matter preceding clause (i), by striking through 2025 or during the portion of fiscal year 2026 beginning on October 1, 2025, and ending on January 30, 2026 and inserting through 2026 or during the portion of fiscal year 2027 beginning on October 1, 2026, and ending on December 31, 2026; and (B) in clause (ii), by striking through 2025 and the portion of fiscal year 2026 beginning on October 1, 2025, and ending on January 30, 2026 and inserting through 2026 and the portion of fiscal year 2027 beginning on October 1, 2026, and ending on December 31, 2026. (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 during the portion of fiscal year 2026 beginning on January 31, 2026, and ending on September 30, 2026, and in fiscal year 2027 and inserting during the portion of fiscal year 2027 beginning on January 1, 2027, and ending on September 30, 2027, and in fiscal year 2028; (2) in subparagraph (C)(i)— (A) in the matter preceding subclause (I), by striking through 2025 and the portion of fiscal year 2026 beginning on October 1, 2025, and ending on January 30, 2026 and inserting through 2026 and the portion of fiscal year 2027 beginning on October 1, 2026, and ending on December 31, 2026; (B) in subclause (III), by striking through 2025 and the portion of fiscal year 2026 beginning on October 1, 2025, and ending on January 30, 2026 and inserting through 2026 and the portion of fiscal year 2027 beginning on October 1, 2026, and ending on December 31, 2026; and (C) in subclause (IV), by striking the portion of fiscal year 2026 beginning on January 31, 2026, and ending on September 30, 2026, and fiscal year 2027 and inserting the portion of fiscal year 2027 beginning on January 1, 2027, and ending on September 30, 2027, and fiscal year 2028; and (3) in subparagraph (D)— (A) in the matter preceding clause (i), by striking through 2025 or during the portion of fiscal year 2026 beginning on October 1, 2025, and ending on January 30, 2026 and inserting through 2026 or during the portion of fiscal year 2027 beginning on October 1, 2026, and ending on December 31, 2026; and (B) in clause (ii), by striking through 2025 and the portion of fiscal year 2026 beginning on October 1, 2025, and ending on January 30, 2026 and inserting through 2026 and the portion of fiscal year 2027 beginning on October 1, 2026, and ending on December 31, 2026. (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.