HR833-118

Introduced

To amend titles XVIII and XIX of the Social Security Act to provide for enhanced payments to rural health care providers under the Medicare and Medicaid programs, and for other purposes.

118th Congress Introduced Feb 6, 2023

Summary

What This Bill Does

The bill requires short title; table of contents This Act may be cited as the Save America’s Rural Hospitals Act, creates eliminating Medicare sequestration for rural hospitals Section 256(d)(7) of the Balanced Budget and Emergency Deficit Control Act of 1985 (2 U.S.C, and creates reversing cuts to reimbursement of bad debt for critical access hospitals (CAHs) and rural hospitals Section 1861(v)(1)(T)(v) of the Social Security Act (42 U.S.C. It relies on compliance mandates, definition changes, reporting requirements, and grants. The main policy areas are Education, Agriculture, Healthcare, and Environment.

Who Benefits and How

Patients and health care consumers affected by the bill could face lower compliance burdens, Agricultural producers and rural communities affected by the bill could face reduced risk, and Public beneficiaries or protected communities affected by the clause could face reduced risk.

Who Bears the Burden and How

Federal, state, or local agencies responsible for implementing the clause would take on compliance duties, Patients and health care consumers affected by the bill would take on compliance duties, and Agricultural producers and rural communities affected by the bill would take on compliance duties.

Key Provisions

  • Requires short title; table of contents This Act may be cited as the Save America’s Rural Hospitals Act.
  • Creates eliminating Medicare sequestration for rural hospitals Section 256(d)(7) of the Balanced Budget and Emergency Deficit Control Act of 1985 (2 U.S.C.
  • Creates reversing cuts to reimbursement of bad debt for critical access hospitals (CAHs) and rural hospitals Section 1861(v)(1)(T)(v) of the Social Security Act (42 U.S.C.
  • Requires extending Medicaid primary care payments Section 1902(a)(13)(C) of the Social Security Act (42 U.S.C.
  • Requires restoring State authority to waive the 35-mile rule for certain Medicare critical access hospital designations Section 1820 of the Social Security Act (42 U.S.C.

Evidence Chain:

This summary is generated from the full bill text using AI analysis. Expand "Detailed Analysis" below for identified beneficiaries/burden bearers with clause-level evidence links.

At a Glance

What This Bill Does

The bill requires short title; table of contents This Act may be cited as the Save America’s Rural Hospitals Act, creates eliminating Medicare sequestration for rural hospitals Section 256(d)(7) of the Balanced Budget and Emergency Deficit Control Act of 1985 (2 U.S.C, and creates reversing cuts to reimbursement of bad debt for critical access hospitals (CAHs) and rural hospitals Section 1861(v)(1)(T)(v) of the Social Security Act (42 U.S.C.

Key Policy Areas

Education, Agriculture, Healthcare, Environment

Primary Purpose

The bill requires short title; table of contents This Act may be cited as the Save America’s Rural Hospitals Act, creates eliminating Medicare sequestration for rural hospitals Section 256(d)(7) of the Balanced Budget and Emergency Deficit Control Act of 1985 (2 U.S.C, and creates reversing cuts to reimbursement of bad debt for critical access hospitals (CAHs) and rural hospitals Section 1861(v)(1)(T)(v) of the Social Security Act (42 U.S.C.

Policy Domains

Education Agriculture Healthcare Environment

Whole bill

Identified Gains
  • Patients and health care consumers affected by the bill
  • Agricultural producers and rural communities affected by the bill
  • Public beneficiaries or protected communities affected by the clause
  • Law enforcement, justice-system actors, and affected communities
  • Financial services firms and customers affected by the bill
Model: codex-gpt-5:bulk-repair | Version: bill_summary_v2 | Source: ih
Patients and health care consumers affected by the bill: , , , ,
Financial services firms and customers affected by the bill:
Law enforcement, justice-system actors, and affected communities:
Agricultural producers and rural communities affected by the bill: , , , ,
Public beneficiaries or protected communities affected by the clause: , , ,
Identified Costs
  • Federal, state, or local agencies responsible for implementing the clause
  • Patients and health care consumers affected by the bill
  • Agricultural producers and rural communities affected by the bill
  • Environmental and public health interests affected by the bill
  • Educational institutions and students affected by the bill
Model: codex-gpt-5:bulk-repair | Version: bill_summary_v2 | Source: ih
Patients and health care consumers affected by the bill: , , , , , ,
Educational institutions and students affected by the bill: ,
Environmental and public health interests affected by the bill: , ,
Agricultural producers and rural communities affected by the bill: , , , , , ,
Federal, state, or local agencies responsible for implementing the clause: , , , , , , , , , ,

Legislative Progress

Introduced
Introduced Committee Passed
Feb 6, 2023

Mr. Graves of Missouri (for himself and Mr. Huffman) introduced …

Stakeholder Effects

cui bono?

How this legislation distributes effects. Mention counts reflect frequency, not effect magnitude.

Law Enforcement
1 mention across 1 clause
+1 positive

Law enforcement, justice-system actors, and affected communities

12/18
sections analyzed
Full impact breakdown

Bill Structure & Actor Mappings

Who is "The Secretary" in each section?

Domains
Education Agriculture Healthcare Environment

We use a combination of our own taxonomy and classification in addition to large language models to assess meaning and potential beneficiaries. High confidence means strong textual evidence. Always verify with the original bill text.

Learn more about our methodology