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H.R. 4258

U.S. House•In House Committee

Summary

H.R. 4258, 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, was introduced in the House on Jun 30, 2025 by Rep. Dan Newhouse (R). It was referred to Ways And Means, and last saw action on Jun 30, 2025: Referred to the House Committee on Ways and Means.

Record

Text

H.R. 4258 has no co-sponsors and has not gone to a roll call.

hb4258/introduced-in-house.txt
119 HR 4258 IH: 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.
 U.S. House of Representatives
 2025-06-30
 text/xml
 EN
 Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.
 I  119th CONGRESS  1st Session  H. R. 4258  IN THE HOUSE OF REPRESENTATIVES   June 30, 2025   Mr. Newhouse  introduced the following bill; which was referred to the  Committee on Ways and Means    A BILL
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.
1.
Expanding the definition of critical access hospital under the Medicare program to include certain hospitals on Indian reservations
Section 1820(c)(2) of the Social Security Act ( 42 U.S.C. 1395i–4(c)(2) ) is amended—
(1)
in subparagraph (B)(i)(I), by inserting  subject to subparagraph (F),  before  is located ;
(2)
in subparagraph (E)(ii), by striking  The total  and inserting  Subject to subparagraph (F), the total ; and
(3)
by adding at the end the following new subparagraph:
(F)
Hospitals on Indian reservations
(i)
In general
Beginning August 1, 2025, a State may designate a facility as a critical access hospital if the facility—
(I)
is located on a reservation (as defined in section 4 of the Indian Health Care Improvement Act); and
(II)
is located more than a 35-mile drive (or, in the case of mountainous terrain or in areas with only secondary roads available, a 15-mile drive) from a hospital, or another facility described in this subsection, that—
(aa)
is located on a reservation (as so defined); or
(bb)
is operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization (as defined in section 4 of the Indian Health Care Improvement Act).
(ii)
Psychiatric and rehabilitation distinct part units
A facility described in clause (i) may establish a distinct part unit under subparagraph (E) without regard to the limitation on number of beds under clause (ii) of such subparagraph.
 .

Tracker

The tracker indicates the progress of this legislation as it moves through the legislative process.

  1. Introduced2025-06-30
  2. Passed House
  3. Passed Senate
  4. Conference
  5. To President
  6. Became Law

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.

Sponsors

Rep. Dan Newhouse (R) sponsors H.R. 4258 alone.

Dan Newhouse

Rep. · R–WA-4 · Sponsor

Committees

H.R. 4258 went before 1 committee: Ways and Means.

Ways and Means
Ways and Means
Referred To · Jun 30, 2025 · 1,160 Bills

Actions

H.R. 4258 has taken 2 actions since Jun 30, 2025.

ChamberAction
Jun 30, 2025
House
Introduced in House
Jun 30, 2025
House
Referred to the House Committee on Ways and Means.Ways and Means Committee

Votes

H.R. 4258 has not gone to a roll call.

Titles

H.R. 4258 goes by 2 titles.

  • 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. — Official Title as Introduced
  • 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. — Display Title

Classification

The Congressional Research Service files H.R. 4258 under Native Americans, one of its 31 policy areas.

CRS Subjects

CRS assigns every bill one policy area from its 31; H.R. 4258’s is Native Americans.

hr4258/policy-areas.txt
Native AmericansAgriculture and FoodAnimalsArmed Forces and National SecurityArts, Culture, ReligionCivil Rights and Liberties, Minority IssuesCommerceCongressCrime and Law EnforcementEconomics and Public FinanceEducationEmergency ManagementEnergyEnvironmental ProtectionFamiliesFinance and Financial SectorForeign Trade and International FinanceGovernment Operations and PoliticsHealthHousing and Community DevelopmentImmigrationInternational AffairsLabor and EmploymentLawPublic Lands and Natural ResourcesScience, Technology, CommunicationsSocial WelfareSports and RecreationTaxationTransportation and Public WorksWater Resources Development

Source: congress.gov · legiscan.com