Bills · HR 4258
IN COMMITTEE· 119TH CONGRESS
House BillHR 4258Native Americans
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.
INTRO JUN 30· LAST ACTION JUN 30
READING
2MIN
COSPONSORS
0
READER REACTIONS0 TOTAL
NO VOTES YET · BE THE FIRST
- Introduced only
LEGISLATIVE PROGRESS
STEP 2 / 8Introduced
In Committee
Reported
Passed House
Passed Senate
Conference
To President
Became Law
WHAT THE BILL DOES
AI-writtenThis bill matters because it addresses healthcare access and funding for communities on Indian reservations, which often face significant challenges in healthcare. Many reservations are remote, and the hospitals serving these communities may struggle financially due to low patient volumes or limited resources. By making it easier for these hospitals to qualify as critical access hospitals, the bill could help stabilize their finances through improved Medicare reimbursement rates.
If this bill becomes law, it could lead to better-funded hospitals on reservations, potentially improving the quality and availability of healthcare services for tribal members. Without this bill, these hospitals might continue to face financial strain, which could lead to service reductions or even closures, further exacerbating health disparities in these communities.
KEY PROVISIONS
3AI-extractedPROVISION 01
Allows states to designate hospitals on Indian reservations as critical access hospitals if they meet specific distance requirements from other reservation or tribal healthcare facilities.
This provision creates a tailored pathway for reservation hospitals to receive critical access hospital status, acknowledging their unique geographical and healthcare landscape.
PROVISION 02
Sets a distance requirement of more than a 35-mile drive (or 15 miles in difficult terrain) from another reservation-based hospital or one operated by the Indian Health Service, a tribe, or an urban Indian organization.
This establishes the specific criteria for designation, focusing on access within the unique context of tribal health systems rather than general proximity to any hospital.
PROVISION 03
Permits critical access hospitals on Indian reservations to establish psychiatric and rehabilitation units without the typical limitations on the number of beds.
This allows these hospitals to offer more comprehensive mental health and rehabilitation services to their communities without restrictive bed count ceilings.
SPONSORSHIP
1 + 0
R· Washington
YRS IN OFFICE
11
BILLS LED
29
ACTION TIMELINE
2 EVENTSJUN 30
Introduced in House
JUN 30
Referred to the House Committee on Ways and Means.
BILL INFO
TypeHouse Bill
NumberHR 4258
Congress119th
StatusIn Committee
IntroducedJun 30, 2025
Last actionJun 30, 2025
READER REACTIONS
OVERALL SENTIMENT
No reactions yet. Be the first to weigh in.
Discussion
Loading comments...
IN COMMITTEE· 119TH CONGRESS · WAYS AND MEANS COMMITTEE · INTRODUCED JUN 30, 2025
House BillHR 4258Native Americans
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.
INTRODUCED JUN 30, 2025· LAST ACTION JUN 30, 2025
PASSAGE CHANCES
—%
READING
2 min
COSPONSORS
0
COMPLEXITY
Moderate
