Application of cost-of-living adjustment to non-labor related portion for hospital outpatient department services furnished in Alaska and Hawaii

Section 1833(t) of the Social Security Act (42 U.S.C. 1395l(t)) is amended by adding at the end the following new paragraph: (23) Application of cost-of-living adjustment to non-labor related portion for hospital outpatient department services furnished in Alaska and Hawaii With respect to covered OPD services furnished on or after January 1, 2026, the Secretary may provide for adjustments to the payment amounts under this subsection for such services in the same manner that is provided under section 1886(d)(5)(H) with respect to the application of the cost-of-living adjustment to the non-labor related portion of such payment amounts to take into account the unique circumstances of hospitals located in Alaska or Hawaii. The preceding sentence shall not be applied in a budget neutral manner..