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S. 474 119th Congress Senate

Fair Funding for Rural Hospitals Act

Official title: A bill to amend title XIX of the Social Security Act to establish a minimum Medicaid disproportionate share hospital allotment for States.

Introduced: February 6, 2025 Introduced by: John Barrasso Republican · Wyoming See on congress.gov
Health Health care coverage and accessHealth facilities and institutionsMedicaidRural conditions and development
 Everywhere this bill has been 2 steps
Introduced
In committee
Reported out
Passed House
Passed Senate
To President
Became law
Feb 6, 2025
Read twice and referred to the Committee on Finance. (text: CR S796)
Feb 6, 2025
Introduced in Senate
 Votes taken on this bill 1
DateChamberWhat was voted onResultYes–No
Jun 2, 1992 Senate · vote #111 On Passage of the Bill S. 474 Passed 88–5 See who voted →
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What's happening now February 6, 2025

Read twice and referred to the Committee on Finance. (text: CR S796)

 Plain-English summary Congressional Research Service

Fair Funding for Rural Hospitals Act

This bill establishes a minimum funding allotment for Medicaid disproportionate-share hospitals (DSHs). (DSHs are hospitals that receive additional payments under Medicaid for treating a large share of low-income patients.)

Specifically, the bill establishes a minimum allotment of $20 million per state for FY2025-FY2029, increased for inflation in subsequent years, despite any required reductions or other applicable funding calculations.

 Bill text 1 version

Source documents hosted by congress.gov.

 Committees of jurisdiction 1
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APA
U.S. Congress. (2026). S. 474: Fair Funding for Rural Hospitals Act. 119th Congress. Open America. https://openamerica.io/bill/119-S-474/
MLA
"S. 474: Fair Funding for Rural Hospitals Act." 119th Congress, 2026, Open America, https://openamerica.io/bill/119-S-474/.
Bluebook (legal)
S. 474, 119th Cong. (2026), https://openamerica.io/bill/119-S-474/.
Markdown link
[S. 474: Fair Funding for Rural Hospitals Act](https://openamerica.io/bill/119-S-474/)
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