To amend title XVIII of the Social Security Act to expand the definition of critical access hospital under the Medicare program to include certain hospitals on Indian reservations.
About This Bill
Committee
Latest Action · June 30, 2025
Referred to the House Committee on Ways and Means.
H.R. 4258 expands Medicare's definition of "critical access hospital" to include certain hospitals located on Indian reservations, starting August 1, 2025. Under current law, critical access hospitals must meet specific distance requirements from other hospitals; this bill allows states to designate reservation-based facilities as critical access hospitals if they are located more than 35 miles (or 15 miles in mountainous terrain) from another hospital on a reservation or one operated by the Indian Health Service, tribal organizations, or urban Indian organizations. The bill also allows these designated hospitals to establish psychiatric and rehabilitation units without being subject to bed limitations that normally apply. This change aims to improve healthcare access for Native Americans in remote reservation areas by giving qualifying hospitals access to critical access hospital benefits and Medicare funding. The legislation was introduced on June 30, 2025, and referred to the House Committee on Ways and Means.
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