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S. 1869 118th Congress Senate

SITE Act

Official title: A bill to amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services … Show full official titleShow less

Official title: A bill to amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes.

Introduced: June 7, 2023 See on congress.gov
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This bill died when the 118th Congress ended
It never became law before the 118th Congress (2023–2024) 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 2 steps
Introduced
In committee
Reported out
Passed House
Passed Senate
To President
Became law
Jun 7, 2023
Read twice and referred to the Committee on Finance.
Jun 7, 2023
Introduced in Senate
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 Latest action June 7, 2023

Read twice and referred to the Committee on Finance.

 Plain-English summary Congressional Research Service

Site-based Invoicing and Transparency Enhancement Act or the SITE Act 

This bill modifies the payment methodology for services that are furnished at off-campus outpatient departments of hospitals under Medicare. It also establishes a nurse training program through hospitals.

Under current law, off-campus outpatient departments of hospitals that began billing prior to November 2, 2015, or that were under construction as of that date, are exempt from certain site-neutral payment requirements under Medicare. The bill ends this exemption. It also (1) reduces payments for services furnished at off-campus outpatient emergency departments that are six or fewer miles from a hospital, and (2) requires off-campus outpatient departments of hospitals to have unique health identifiers.

Additionally, the bill provides for funding of regional nurse education hubs. The Centers for Medicare & Medicaid Services may select one hospital in each referral region to operate as a hub for training, in coordination with nursing schools, Medicare and Medicaid providers, and other training partners. The bill provides for up to 20,000 nursing student positions in the program by 2030.

 Bill text 1 version

Source documents hosted by congress.gov.

 Committees of jurisdiction 1
 Lobbying activity 48

Registered lobbyists who named this bill in their disclosure filings. Source: federal Lobbying Disclosure Act filings.

Bodies those filers lobbied

A filing lists the bills it worked on and the parts of government it contacted in separate sections, so these are the bodies those filers named anywhere in the filing, not a per-bill breakdown.

See all 48 filings →
 Cosponsors 2
All 2 Democratic 1 Republican 1
D
Hassan, Margaret Wood
New Hampshire · Jun 7, 2023
 R
Kennedy, John
Louisiana · Jun 7, 2023
Cite this page click to expand
APA
U.S. Congress. (2026). S. 1869: SITE Act. 118th Congress. Open America. https://openamerica.io/bill/118-S-1869/
MLA
"S. 1869: SITE Act." 118th Congress, 2026, Open America, https://openamerica.io/bill/118-S-1869/.
Bluebook (legal)
S. 1869, 118th Cong. (2026), https://openamerica.io/bill/118-S-1869/.
Markdown link
[S. 1869: SITE Act](https://openamerica.io/bill/118-S-1869/)
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