July 15, 2025
Mr. Hawley introduced the following bill; which was read twice and referred to the Committee on Finance
To repeal the changes to Medicaid State provider tax authority and State directed payments made by the One Big Beautiful Bill Act and provide increased funding for the rural health transformation program.
Section 1. Short title
This Act may be cited as the Protect Medicaid and Rural Hospitals Act
.
Sec. 2. Repeal of changes to Medicaid State provider tax authority
Section 71115 of the Act titled An Act to provide for reconciliation pursuant to title II of H. Con. Res. 14
(Public Law 119–21) is repealed and title XIX of the Social Security Act (42 U.S.C. 1396 et seq.) shall be applied as if such section and the amendments made by such section had not been enacted.
Sec. 3. Repeal of changes to Medicaid State directed payments
(a) Repeal
Section 71116 of the Act titled An Act to provide for reconciliation pursuant to title II of H. Con. Res. 14
(Public Law 119–21) is repealed and the provisions of such section shall have no force and effect.
(b) Rescission
The amounts appropriated under section 71116(e) of the Act titled An Act to provide for reconciliation pursuant to title II of H. Con. Res. 14
(Public Law 119–21) are hereby rescinded.
Sec. 4. Increased funding for the rural health transformation program
Section 2105(h)(1)(A) of the Social Security Act (42 U.S.C. 1397ee(h)(1)(A)), as added by section 71401 of the Act titled An Act to provide for reconciliation pursuant to title II of H. Con. Res. 14
(Public Law 119–21), is amended—
(1)
in clause (iv), by striking and
after the semicolon;
(2)
in clause (v), by striking the period and inserting a semicolon; and
(3)
by adding at the end the following new clauses:
(vi)
$10,000,000,000 for fiscal year 2031.
(vii)
$10,000,000,000 for fiscal year 2032.
(viii)
$10,000,000,000 for fiscal year 2033.
(ix)
$10,000,000,000 for fiscal year 2034.
(x)
$10,000,000,000 for fiscal year 2035.