HR3263-119

1. Short title This Act may be cited as the Protecting Access To Care in Hawaii Act or the PATCH Act.

2. Floor on work geographic index for physicians' services furnished in Hawaii Section 1848(e) of the Social Security Act (42 U.S.C. 1395w–4(e)) is amended— in paragraph (1)(A), in the matter preceding clause (i), by striking and (I) and inserting (I), and (J); and by adding at the end the following new subparagraph: For purposes of payment for services furnished in Hawaii on or after January 1, 2026, after calculating the work geographic index in subparagraph (A)(iii), the Secretary shall increase the work geographic index to 1.5 if such index would otherwise be less than 1.5. The preceding sentence shall not be applied in a budget neutral manner. (J) Floor on work geographic index for services furnished in Hawaii For purposes of payment for services furnished in Hawaii on or after January 1, 2026, after calculating the work geographic index in subparagraph (A)(iii), the Secretary shall increase the work geographic index to 1.5 if such index would otherwise be less than 1.5. The preceding sentence shall not be applied in a budget neutral manner. .