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S. 4641 119th Congress Senate

Improving Access to Medicare Coverage Act of 2026

Official title: A bill to amend title XVIII of the Social Security Act to count a period of receipt of outpatient observation services in a hospital toward satisfying the 3-da… Show full official titleShow less

Official title: A bill to amend title XVIII of the Social Security Act to count a period of receipt of outpatient observation services in a hospital toward satisfying the 3-day inpatient hospital requirement for coverage of skilled nursing facility services under Medicare.

Introduced: May 21, 2026 Introduced by: Susan M. Collins Republican · Maine See on congress.gov
 Everywhere this bill has been 2 steps
Introduced
In committee
Reported out
Passed House
Passed Senate
To President
Became law
May 21, 2026
Read twice and referred to the Committee on Finance.
May 21, 2026
Introduced in Senate
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What's happening now May 21, 2026

Read twice and referred to the Committee on Finance.

 Plain-English summary Congressional Research Service

Improving Access to Medicare Coverage Act of 2026

This bill deems an individual receiving outpatient observation services in a hospital as an inpatient for purposes of satisfying the three-day inpatient hospital-stay requirement with respect to Medicare coverage of skilled nursing facility (SNF) services. (Generally, individuals must have been an inpatient at a hospital for at least three days in order to qualify for SNF services. An individual's time spent under observation at a hospital for purposes of determining whether the individual should be admitted does not count towards this requirement.)

 Related & companion bills 1
 Bill text 1 version

Source documents hosted by congress.gov.

 Committees of jurisdiction 1
 Lobbying activity 7

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

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APA
U.S. Congress. (2026). S. 4641: Improving Access to Medicare Coverage Act of 2026. 119th Congress. Open America. https://openamerica.io/bill/119-S-4641/
MLA
"S. 4641: Improving Access to Medicare Coverage Act of 2026." 119th Congress, 2026, Open America, https://openamerica.io/bill/119-S-4641/.
Bluebook (legal)
S. 4641, 119th Cong. (2026), https://openamerica.io/bill/119-S-4641/.
Markdown link
[S. 4641: Improving Access to Medicare Coverage Act of 2026](https://openamerica.io/bill/119-S-4641/)
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