H.R. 4250 119th Congress House

SOLES Act

Official title: To amend title XVIII of the Social Security Act to establish a floor on payments to sole community hospitals located in Alaska and Hawaii under the hospital outpatient prospective payment system.

Introduced: June 30, 2025 Introduced by: Nicholas J. Begich III Republican · Alaska See on congress.gov

Health

Everywhere this bill has been 2 steps

Introduced

In committee

Reported out

Passed House

Passed Senate

To President

Became law

Jun 30, 2025

Introduced in House

Jun 30, 2025

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.

Votes taken on this bill 1

Date	Chamber	What was voted on	Result	Yes–No
Oct 9, 1998	Senate · vote #311	On the Motion to Table H.R. 4250	Agreed To	50–47	See who voted →

Ask about this bill AI · grounded in the bill text

Have a question about what this bill does? Ask in plain English; the answer is drawn from the bill's actual text and official record, and it'll tell you when something isn't in the text rather than guess.

AI answers can be imperfect; always confirm against the full bill text.

What's happening now June 30, 2025

Plain-English summary Congressional Research Service

Save our Lone Emergency Services Act or the SOLES Act

This bill requires Medicare payments to sole community hospitals in Alaska or Hawaii to cover at least 94% of the reasonable costs of covered outpatient services.

Related & companion bills 1

Bill text 1 version

Introduced in House Formatted Text PDF Formatted XML

Source documents hosted by congress.gov.

Committees of jurisdiction 2

Energy and Commerce Committee
House of Representatives
Ways and Means Committee
House of Representatives

Lobbying activity 1

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

HARGAN STRATEGIES, FORMERLY REPORTED AS HARGAN AND ASSOCIATES
for FOUNDATION HEALTH PARTNERS · Alaska · 3rd Quarter 2026 (July 1 - Sep 30)

Bodies those filers lobbied

HOUSE OF REPRESENTATIVES
1 filing
SENATE
1 filing

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.

Cosponsors 2

Case, Ed

Hawaii · Jul 2, 2025

Tokuda, Jill N.

Hawaii · Jun 30, 2025

Cite this page click to expand

APA

U.S. Congress. (2026). H.R. 4250: SOLES Act. 119th Congress. Open America. https://openamerica.io/bill/119-HR-4250/

MLA

"H.R. 4250: SOLES Act." 119th Congress, 2026, Open America, https://openamerica.io/bill/119-HR-4250/.

Bluebook (legal)

H.R. 4250, 119th Cong. (2026), https://openamerica.io/bill/119-HR-4250/.

Markdown link

[H.R. 4250: SOLES Act](https://openamerica.io/bill/119-HR-4250/)