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H.R. 7666
U.S. House•In House Committee
Summary
H.R. 7666, the SOS: Sustaining Outpatient Services Act, was introduced in the House on Feb 24, 2026 by Rep. Adrian Smith (R) with 1 co-sponsor. It was referred to Energy And Commerce, and last saw action on Feb 24, 2026: Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, 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.
Record
Text
H.R. 7666 has 1 co-sponsor.
hb7666/introduced-in-house.txt119 HR 7666 IH: SOS: Sustaining Outpatient Services ActU.S. House of Representatives2026-02-24text/xmlENPursuant 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 2d Session H. R. 7666 IN THE HOUSE OF REPRESENTATIVES February 24, 2026 Mr. Smith of Nebraska (for himself and Mr. McGovern ) introduced the following bill; which was referred to the Committee on Energy and Commerce , and in addition to the Committee on Ways and Means , 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 A BILLTo amend title XVIII of the Social Security Act to allow payments under the Medicare program for certain items and services furnished by off-campus outpatient departments of a provider to be determined under the prospective payment system for hospital outpatient department services, and for other purposes.1.Short titleThis Act may be cited as the SOS: Sustaining Outpatient Services Act .2.Allowing Medicare payments for certain items and services furnished by off-campus outpatient departments of a provider to be determined under the prospective payment system for hospital outpatient department servicesSection 1833(t)(1)(B) of the Social Security Act ( 42 U.S.C. 1395l(t)(1)(B) ) is amended—(1)in clause (iv), by striking and at the end;(2)in clause (v)—(A)by inserting before does not include the following: subject to clause (vi), ; and(B)by striking the period at the end and inserting ; and ; and(3)by adding at the end the following new clause:(vi)includes, with respect to a year (beginning with 2027), any item or service—(I)that is furnished during such year by an off-campus outpatient department of a provider (as defined in subparagraph (B) of paragraph (21)); and(II)with respect to which the greatest total amount paid with respect to a physician speciality under the physician fee schedule under section 1848 for all such items or services furnished by physicians in such specialty during the previous year was less than $2,000,000..
Tracker
The tracker indicates the progress of this legislation as it moves through the legislative process.
- Introduced2026-02-24
- Passed House
- Passed Senate
- Conference
- To President
- Became Law
CRS Summary
The summaries are the Congressional Research Service’s, one per stage. Read them in full.
Introduced in House Feb 24, 2026
hb7666/introduced-in-house.mdShown Here:
Introduced in House (02/24/2026)
SOS: Sustaining Outpatient Services Act
This bill allows for payment under the Medicare prospective payment system for hospital outpatient department services of certain items and services that are furnished at off-campus outpatient departments. Specifically, the bill allows for payment of items and services for which payments to physician specialists (under the Medicare physician fee schedule) did not exceed $2 million during the previous year.
Sponsors
Rep. Adrian Smith (R) sponsors H.R. 7666, and 1 member has co-sponsored it from the day it was introduced.
Committees
H.R. 7666 went before 2 committees: Ways and Means and Energy and Commerce.
Actions
H.R. 7666 has taken 2 actions since Feb 24, 2026.
| Chamber | Action | |||
|---|---|---|---|---|
Feb 24, 2026 | House | Introduced in House | ||
Feb 24, 2026 | House | Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, 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.Energy and Commerce Committee |
Votes
H.R. 7666 has not gone to a roll call.
Related bills
1 bill is related to H.R. 7666.
Titles
H.R. 7666 goes by 3 titles, 1 of them short titles.
- SOS: Sustaining Outpatient Services Act — Display Title
- SOS: Sustaining Outpatient Services Act — Short Title(s) as Introduced
- To amend title XVIII of the Social Security Act to allow payments under the Medicare program for certain items and services furnished by off-campus outpatient departments of a provider to be determined under the prospective payment system for hospital outpatient department services, and for other purposes. — Official Title as Introduced
Lobbying
1 client hired 1 firm and 4 registered lobbyists who named H.R. 7666 in 6 quarterly filings, 2025 to 2026. Reported under the Lobbying Disclosure Act; a filing’s income covers everything its registrant worked that quarter, so the amounts below are the filings’, not this bill’s.
Filed under Budget/Appropriations, Health Issues, Medical/Disease Research/Clinical Labs, Medicare/Medicaid, Taxation/Internal Revenue Code.
Clients
Who paid to be heard, by how many filings named the bill.
| Client | Business | State | Firms | Filings | Reported |
|---|---|---|---|---|---|
| MENTAL HEALTH AMERICA | Nonprofit dedicated to promoting mental health, well-being, and illness prevention. | Virginia | 1 | 6 | $90K |
Firms
Registrants who filed on the bill, by filings.
| Registrant | Clients | Filings | Reported |
|---|---|---|---|
| ALPINE GROUP PARTNERS, LLC. | 1 | 6 | $90K |
Lobbyists
Named on the filings that cite the bill.
| Lobbyist | Firms | Clients | Filings |
|---|---|---|---|
| HANNAH SCHMIDT | 1 | 1 | 6 |
| KEENAN AUSTIN REED | 1 | 1 | 6 |
| SHAYNE WOODS | 1 | 1 | 6 |
| ERIN MENDELSOHN | 1 | 1 | 5 |
Filings
The documents themselves, on the Senate’s Lobbying Disclosure site, largest reported first.
| Client | Registrant | Period | Reported | Document |
|---|---|---|---|---|
| MENTAL HEALTH AMERICA | ALPINE GROUP PARTNERS, LLC. | 2025 first_quarter | $40K | 1st Quarter - Report |
| MENTAL HEALTH AMERICA | ALPINE GROUP PARTNERS, LLC. | 2026 second_quarter | $10K | 2nd Quarter - Report |
| MENTAL HEALTH AMERICA | ALPINE GROUP PARTNERS, LLC. | 2026 first_quarter | $10K | 1st Quarter - Report |
| MENTAL HEALTH AMERICA | ALPINE GROUP PARTNERS, LLC. | 2025 fourth_quarter | $10K | 4th Quarter - Report |
| MENTAL HEALTH AMERICA | ALPINE GROUP PARTNERS, LLC. | 2025 third_quarter | $10K | 3rd Quarter - Report |
| MENTAL HEALTH AMERICA | ALPINE GROUP PARTNERS, LLC. | 2025 second_quarter | $10K | 2nd Quarter - Report |
Classification
The Congressional Research Service files H.R. 7666 under Health, one of its 31 policy areas.
CRS Subjects
CRS assigns every bill one policy area from its 31; H.R. 7666’s is Health.
hr7666/policy-areas.txtConstitutional authority
The clause the sponsor cites as Congress’s power to enact H.R. 7666, as entered in the Congressional Record.
[Congressional Record Volume 172, Number 36 (Tuesday, February 24, 2026)][House]From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]By Mr. SMITH of Nebraska:H.R. 7666.Congress has the power to enact this legislation pursuantto the following:Article 1 Section 8[Page H2297]
Source: congress.gov · legiscan.com
