Rural Surgery Sustainability Act of 2026

Sharice Davids

Democrat · KS · Representative

Source: Congress.gov · FEC

No cosponsors on record. Bills can pass without cosponsors — this often means the sponsor introduced the bill alone, either because it's a messaging bill, a chairman's mark, or simply early in the legislative cycle.

Referred to the House Committee on Ways and Means.

2026-10-05

Source: Congress.gov

Plain-English summary pending. Introduced on 2026-10-05. Check back soon — summaries are generated as bills progress through Congress.

[Congressional Bills 119th Congress] [From the U.S. Government Publishing Office] [H.R. 10731 Introduced in House (IH)] <DOC> 119th CONGRESS 2d Session H. R. 10731 To adjust the cost pass-through for certified registered nurse anesthetists under the Medicare program. _______________________________________________________________________ IN THE HOUSE OF REPRESENTATIVES October 5, 2026 Ms. Davids of Kansas introduced the following bill; which was referred to the Committee on Ways and Means _______________________________________________________________________ A BILL To adjust the cost pass-through for certified registered nurse anesthetists under the Medicare program. Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled, SECTION 1. SHORT TITLE. This Act may be cited as the ``Rural Surgery Sustainability Act of 2026''. SEC. 2. ADJUSTING THE COST PASS-THROUGH FOR CERTIFIED REGISTERED NURSE ANESTHETISTS UNDER THE MEDICARE PROGRAM. (a) In General.--Section 9320(k) of the Omnibus Budget Reconciliation Act of 1986, as added by section 608(c) of the Family Support Act of 1988 and as amended by section 6132 of the Omnibus Budget Reconciliation Act of 1989, is amended-- (1) in paragraph (2)-- (A) by striking ``500'' and inserting ``1,250''; and (B) by adding at the end the following new sentence: ``The preceding sentence shall not apply to a hospital for a year in the case such hospital has an active labor and delivery unit during such year.''. (2) by adding at the end the following new paragraphs: ``(4) The Secretary shall, not less frequently than once every 2 years and in consultation with the American Association of Nurse Anesthetists, review the limit on the volume of surgical procedures applicable under paragraph (2) and the limit on the total number of hours of service furnished by anesthetists under section 412.113(c)(2)(i)(B) of title 42, Code of Federal Regulations (or a successor regulation), and update such limits to reflect any general increase in the frequency of furnishing such procedures, including any such increase attributable to new procedures. ``(5) Notwithstanding paragraph (3), in applying any limit on payment for services furnished during a year payable on a reasonable cost basis pursuant to this subsection, the Secretary shall set such limit at an amount equal to the limit on such payment that would have applied to such services if furnished in the preceding year, increased by the percentage increase in the MEI (as defined in section 1842(i)(3) of the Social Security Act) for such year. ``(6) The Secretary shall revise section 412.113(c)(2)(i)(B) of title 42, Code of Federal Regulations (or a successor regulation), to ensure that, for 2027 and each subsequent year, no limit on the total number of hours of service furnished by anesthetists applies in the case of a hospital that has an active labor and delivery unit during such year.''. (b) Revision of Number of Hours Limit.--The Secretary of Health and Human Services shall revise the limit on the total number of hours of service furnished by anesthetists applicable under section 412.113(c)(2)(i)(B) of title 42, Code of Federal Regulation, for services furnished on or after January 1, 2027, in a manner that reflects the increase in the limit on the volume of surgical procedures provided under the amendment made by subsection (a)(1). (c) Report.--Not later than 1 year after the date of the enactment of this Act, the Medicare Payment Advisory Commission shall submit to Congress a report on-- (1) including on-call certified registered nurse anesthetist services as services payable pursuant to section 9320(k) of the Omnibus Budget Reconciliation Act of 1986; and (2) potential sustainable payment modifications for services payable pursuant to such section. (d) Effective Date.--The amendments made by subsection (a) shall apply with respect…

to services furnished on or after January 1, 2027. <all>

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