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H.R. 3422 111th Congress House

Medicare Support for Rural Hospitals Act

Official title: To amend title XVIII of the Social Security Act to make temporary improvements to the Medicare inpatient payment adjustment for low-volume hospitals, and for other purposes.

Introduced: July 30, 2009 See on congress.gov
Health Child healthCitizenship and naturalizationHealth care costs and insuranceHealth facilities and institutions
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Hospital careMedicaidMedicarePoverty and welfare assistanceRural conditions and development
This bill died when the 111th Congress ended
It never became law before the 111th Congress (2009–2010) adjourned, and bills don't carry over to the next Congress. It would have to be reintroduced. You can still save it for reference, but it won't receive updates.
 Everywhere this bill has been 5 steps
Introduced
In committee
Reported out
Passed House
Passed Senate
To President
Became law
Jul 31, 2009
Referred to the Subcommittee on Health.
Jul 30, 2009
Referred to House Energy and Commerce
Jul 30, 2009
Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, 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.
Jul 30, 2009
Referred to House Ways and Means
Jul 30, 2009
Introduced in House
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 Latest action July 31, 2009

Referred to the Subcommittee on Health.

 Plain-English summary Congressional Research Service

Medicare Support for Rural Hospitals Act - Amends title XVIII (Medicare) of the Social Security Act (SSA) with respect to the additional inpatient hospital service payment (payment adjustment) for low-volume hospitals (usually meaning a "subsection (d) hospital" located more than 25 road miles from another subsection (d) hospital and having less than 800 discharges during the fiscal year.)

(Generally, a subsection (d) hospital is an acute care hospital, particularly one that receives payments under Medicare's inpatient prospective payment system (IPPS) when providing covered inpatient services to eligible beneficiaries.)

Redefines low-volume hospital, for discharges occurring during FY2010 only, as a subsection (d) hospital located more than 15 (instead of 25) road miles from another subsection (d) hospital and having less than 1,500 (instead of 800) discharges of individuals entitled to, or enrolled for, Medicare part A (Hospital Insurance) benefits ("tweeners,'' or hospitals too large to be critical access hospitals, but too small to be financially viable under the Medicare hospital prospective payment system [PPS]).

Revises, for FY2010 only, the temporary applicable percentage in the formula for determining the payment adjustment for such hospitals.

Requires the use of the non-wage adjusted PPS rate during FY2010 under the Medicare-dependent hospital (MDH) program.

Amends the Children's Health Insurance Program Reauthorization Act of 2009 to repeal the state option to verify a declaration of U.S. citizenship or nationality for purposes of Medicaid (SSA title XIX) or CHIP (Children's Health Insurance) (SSA title XXI) eligibility through verification of a name and Social Security number with the Commissioner of Social Security, as an alternative to the current documentation requirement.

 Related & companion bills 1
 Bill text 1 version

Source documents hosted by congress.gov.

 Committees of jurisdiction 3
Cite this page click to expand
APA
U.S. Congress. (2026). H.R. 3422: Medicare Support for Rural Hospitals Act. 111th Congress. Open America. https://openamerica.io/bill/111-HR-3422/
MLA
"H.R. 3422: Medicare Support for Rural Hospitals Act." 111th Congress, 2026, Open America, https://openamerica.io/bill/111-HR-3422/.
Bluebook (legal)
H.R. 3422, 111th Cong. (2026), https://openamerica.io/bill/111-HR-3422/.
Markdown link
[H.R. 3422: Medicare Support for Rural Hospitals Act](https://openamerica.io/bill/111-HR-3422/)
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