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H.R. 4178 115th Congress House

HEART Act

Official title: To amend title XVIII of the Social Security Act to provide for reform to and a permanent extension of the Medicare-dependent hospital program, and for other purposes.

Introduced: April 25, 2018 Introduced by: Jodey C. Arrington Republican · Texas See on congress.gov
Health Health care coverage and accessHealth facilities and institutionsHospital careMedicareRural conditions and development
This bill died when the 115th Congress ended
It never became law before the 115th Congress (2017–2018) 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 3 steps
Introduced
In committee
Reported out
Passed House
Passed Senate
To President
Became law
Nov 1, 2017
Sponsor introductory remarks on measure. (CR H8304)
Oct 31, 2017
Referred to the House Committee on Ways and Means.
Oct 31, 2017
Introduced in House
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 Latest action November 1, 2017

Sponsor introductory remarks on measure. (CR H8304)

 Plain-English summary Congressional Research Service

Healthcare Enhancement for Americas Rural Towns Act or the HEART Act

This bill permanently extends and otherwise revises the Medicare-Dependent Hospital program (which provides increased payments to certain smaller, rural hospitals that serve a proportionally high number of Medicare patients). The bill also extends through FY 2019 the program for increased payments under Medicare for low-volume hospitals.

 Related & companion bills 2
 Bill text 1 version

Source documents hosted by congress.gov.

 Committees of jurisdiction 1
Cite this page click to expand
APA
U.S. Congress. (2026). H.R. 4178: HEART Act. 115th Congress. Open America. https://openamerica.io/bill/115-HR-4178/
MLA
"H.R. 4178: HEART Act." 115th Congress, 2026, Open America, https://openamerica.io/bill/115-HR-4178/.
Bluebook (legal)
H.R. 4178, 115th Cong. (2026), https://openamerica.io/bill/115-HR-4178/.
Markdown link
[H.R. 4178: HEART Act](https://openamerica.io/bill/115-HR-4178/)
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