S4233Referred to Committee

Save Struggling Hospitals Act

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Introduced
In Committee
3
Passed One Chamber
4
Passed Both
5
Signed into Law
119th
Congress
2026-03-26
Introduced
5
Cosponsors
S
ⓘ
Type

Sponsor

Mark R. Warner
Mark R. Warner
Democrat · VA · Senator
Votes with party: 53.0% (317 recorded votes)

Full profile: /officials/W000805

Source: Congress.gov · FEC

Cosponsors (5)

Members who have signed on to support this bill since introduction. Source: Congress.gov.

Latest Action

The most recent step in the bill's legislative path. Committee Activity below shows referrals and reports; the full action-by-action history including floor proceedings lives at Congress.gov →

Read twice and referred to the Committee on Finance.

2026-03-26

Source: Congress.gov

Committee Activity

Currently in

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Plain-English Summary

This bill would provide financial assistance to hospitals that are struggling financially, likely through grants, loans, or other federal support to help them stay open and continue serving their communities. The aid would primarily benefit rural and underserved hospitals that face challenges competing with larger medical centers or dealing with high uninsured patient populations. Patients in these areas would be the main beneficiaries, as the funding aims to prevent hospital closures that could leave communities without nearby medical care.

AI-assisted summary generated from the official bill metadata (title, subjects, actions) sourced from Congress.gov. Cached and reviewed. Always verify against the official text linked below.

Subjects

Health

Full Bill Text

Verbatim text published on Congress.gov via GovInfo. Use Cmd+F / Ctrl+F to search within this excerpt.

[Congressional Bills 119th Congress] [From the U.S. Government Publishing Office] [S. 4233 Introduced in Senate (IS)] <DOC> 119th CONGRESS 2d Session S. 4233 To amend title XVIII of the Social Security Act to codify the Medicare low-wage index hospital policy. _______________________________________________________________________ IN THE SENATE OF THE UNITED STATES March 26, 2026 Mr. Warner (for himself, Mrs. Blackburn, Mrs. Hyde-Smith, and Mr. Tuberville) introduced the following bill; which was read twice and referred to the Committee on Finance _______________________________________________________________________ A BILL To amend title XVIII of the Social Security Act to codify the Medicare low-wage index hospital policy. Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled, SECTION 1. SHORT TITLE. This Act may be cited as the ``Save Struggling Hospitals Act''. SEC. 2. CODIFICATION OF THE MEDICARE LOW-WAGE INDEX HOSPITAL POLICY. Section 1886(d)(3)(E) of the Social Security Act (42 U.S.C. 1395ww(d)(3)(E)) is amended-- (1) in clause (i), in the first sentence, by striking ``or (iv)'' and inserting ``, (iv), or (v)''; and (2) by adding at the end the following new clause: ``(v) Area wage index adjustment for low- wage hospitals.-- ``(I) In general.--For discharges occurring on or after October 1, 2019, the area wage index applicable under this subparagraph for a fiscal year to a hospital with an area wage index (determined without regard to this clause) below the 25th percentile area wage index shall be increased by \1/2\ of the difference between the otherwise applicable final area wage index for such fiscal year for such hospital and the 25th percentile area wage index for such fiscal year across all hospitals. ``(II) Budget neutrality.-- Pursuant to the fourth sentence of clause (i), this clause shall be applied in a budget neutral manner. Any adjustments made for the purposes of such application of budget neutrality may not-- ``(aa) decrease the area wage index applicable under this subparagraph to a hospital with an area wage index (determined without regard to this clause) below the 75th percentile area wage index for the fiscal year; or ``(bb) result in an area wage index applicable under this subparagraph to a hospital for such fiscal year that is less than 95 percent of the area wage index applicable under this subparagraph to such hospital for the preceding fiscal year.''. <all>
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