United States · Bill · HR
H.R. 3225 (114th)
Save Rural Hospitals Act
Introduced
27 July 2015
Last action
5 August 2015 · Referred
Status
Referred to the Subcommittee on Health.
Sponsors
Rep. Graves, Sam [R-MO-6], Rep. Loebsack, David [D-IA-2], Rep. Grothman, Glenn [R-WI-6], Rep. Stewart, Chris [R-UT-2], Rep. Young, David [R-IA-3], Rep. Kind, Ron [D-WI-3], Rep. Thornberry, Mac [R-TX-13], Rep. Peterson, Collin C. [D-MN-7], Rep. Hastings, Alcee L. [D-FL-20], Rep. Kirkpatrick, Ann [D-AZ-2], Rep. Pocan, Mark [D-WI-2], Rep. Farenthold, Blake [R-TX-27], Rep. Neugebauer, Randy [R-TX-19], Rep. Ribble, Reid J. [R-WI-8], Rep. Walz, Timothy J. [D-MN-1], Rep. Abraham, Ralph Lee [R-LA-5], Rep. Hinojosa, Ruben [D-TX-15], Rep. Huffman, Jared [D-CA-2], Rep. Williams, Roger [R-TX-25], Sen. Cramer, Kevin [R-ND], Rep. Clarke, Yvette D. [D-NY-9], Rep. Harper, Gregg [R-MS-3], Rep. Takai, Mark [D-HI-1], Rep. Lucas, Frank D. [R-OK-3], Rep. Bustos, Cheri [D-IL-17], Rep. Stivers, Steve [R-OH-15], Rep. Conaway, K. Michael [R-TX-11], Rep. Thompson, Glenn [R-PA-15], Rep. Marino, Tom [R-PA-10], Rep. Vela, Filemon [D-TX-34], Rep. Johnson, Eddie Bernice [D-TX-30], Rep. Palazzo, Steven M. [R-MS-4], Rep. Boustany, Charles W., Jr. [R-LA-3], Rep. DesJarlais, Scott [R-TN-4], Del. Radewagen, Aumua Amata Coleman [R-AS-At Large]
Subjects
Healthcare, Budget
Source updated
12 August 2025
Summary
Save Rural Hospitals Act This bill amends titles XVIII (Medicare) of the Social Security Act (SSAct) to increase payments to, and modify various requirements regarding, rural health care providers under the Medicare program. Among other provisions, the bill: (1) reverses cuts to reimbursement of bad debt for critical access hospitals (CAHs) and rural hospitals, as well as alters certain requirements with regard to CAHs; (2) extends payment levels for low-volume hospitals and Medicare-dependent hospitals (MDHs); (3) reinstates revised diagnosis-related group payments to MDHs and sole community hospitals (SCHs), as well as reinstates hold harmless treatment for hospital outpatient services for SCHs; (4) delays the application of penalties for a rural hospital's failure to become a meaningful electronic health record user; (5) makes permanent increased Medicare payments for ground ambulance services in rural areas; (6) alters certain supervision requirements for therapeutic hospital outpatient services; (7) modifies requirements related to the use and payment of recovery audit contractors; and (8) establishes a program under which rural hospitals meeting specified requirements may be eligible for enhanced payment for qualified outpatient services. In addition, the bill amends the Balanced Budget and Emergency Deficit Control Act of 1985 to eliminate Medicare sequestration for rural hospitals. The bill also amends title XIX (Medicaid) of SSAct to extend Medicaid primary care payments. With respect to both the Medicare and Medicaid programs, the bill eliminates disproportionate share hospital payment reductions for rural hospitals. The bill also amends the Public Health Service Act to authorize several competitive grant programs to assist eligible rural hospitals.
This text is taken from the official record. PoliticalRepo does not editorialize.
Timeline
27 July 2015
Introduced
Referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, and the Budget, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Source: IntroReferral
27 July 2015
Introduced
Referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, and the Budget, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Source: IntroReferral
27 July 2015
Introduced
Introduced in House
Source: IntroReferral
27 July 2015
Introduced
Introduced in House
Source: IntroReferral
31 July 2015
Referred
Referred to the Subcommittee on Health.
Source: Committee
5 August 2015
Referred
Referred to the Subcommittee on Health.
Source: Committee
Votes
No vote records are attached yet.
Versions
- Introduced in House · 27 July 2015 · Download file
Documents
3 official files
Introduced in House (text)
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Introduced in House (text)
Introduced in House · EN · 27 July 2015
Introduced in House (PDF)
Introduced in House · EN · 27 July 2015
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Introduced in House
summary · EN · 27 July 2015
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Sponsors
- Rep. Graves, Sam [R-MO-6] · R · Sponsor
- Rep. Loebsack, David [D-IA-2] · D · Sponsor
- Rep. Grothman, Glenn [R-WI-6] · R · Cosponsor
- Rep. Stewart, Chris [R-UT-2] · R · Cosponsor
- Rep. Young, David [R-IA-3] · R · Cosponsor
- Rep. Kind, Ron [D-WI-3] · D · Cosponsor
- Rep. Thornberry, Mac [R-TX-13] · R · Cosponsor
- Rep. Peterson, Collin C. [D-MN-7] · D · Cosponsor
- Rep. Hastings, Alcee L. [D-FL-20] · D · Cosponsor
- Rep. Kirkpatrick, Ann [D-AZ-2] · D · Cosponsor
- Rep. Pocan, Mark [D-WI-2] · D · Cosponsor
- Rep. Farenthold, Blake [R-TX-27] · R · Cosponsor
- Rep. Neugebauer, Randy [R-TX-19] · R · Cosponsor
- Rep. Ribble, Reid J. [R-WI-8] · R · Cosponsor
- Rep. Walz, Timothy J. [D-MN-1] · D · Cosponsor
- Rep. Abraham, Ralph Lee [R-LA-5] · R · Cosponsor
- Rep. Hinojosa, Ruben [D-TX-15] · D · Cosponsor
- Rep. Huffman, Jared [D-CA-2] · D · Cosponsor
- Rep. Williams, Roger [R-TX-25] · R · Cosponsor
- Sen. Cramer, Kevin [R-ND] · R · Cosponsor
- Rep. Clarke, Yvette D. [D-NY-9] · D · Cosponsor
- Rep. Harper, Gregg [R-MS-3] · R · Cosponsor
- Rep. Takai, Mark [D-HI-1] · D · Cosponsor
- Rep. Lucas, Frank D. [R-OK-3] · R · Cosponsor
- Rep. Bustos, Cheri [D-IL-17] · D · Cosponsor
- Rep. Stivers, Steve [R-OH-15] · R · Cosponsor
- Rep. Conaway, K. Michael [R-TX-11] · R · Cosponsor
- Rep. Thompson, Glenn [R-PA-15] · R · Cosponsor
- Rep. Marino, Tom [R-PA-10] · R · Cosponsor
- Rep. Vela, Filemon [D-TX-34] · D · Cosponsor
- Rep. Johnson, Eddie Bernice [D-TX-30] · D · Cosponsor
- Rep. Palazzo, Steven M. [R-MS-4] · R · Cosponsor
- Rep. Boustany, Charles W., Jr. [R-LA-3] · R · Cosponsor
- Rep. DesJarlais, Scott [R-TN-4] · R · Cosponsor
- Del. Radewagen, Aumua Amata Coleman [R-AS-At Large] · R · Cosponsor
- · hswm00 · Standing
- · hsif00 · Standing
- · hsbu00 · Standing
Related records
- related to → Protecting Access to Rural Therapy Services (PARTS) Act
- related to → Medicare Audit Improvement Act of 2015
- related to → Protecting Access to Rural Therapy Services (PARTS) Act
- related to → Save Rural Hospitals Act
Sources
PoliticalRepo is an index and interpretation layer, not the authoritative legal source.
- Official source: https://www.congress.gov/bill/114th-congress/house-bill/3225
- Open data entity: https://api.congress.gov/v3/bill/114/hr/3225
- us · 114-hr-3225 · source updated 12 August 2025