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Contact Congress about S. 551: Ensuring Outpatient Quality for Rural States Act

Hospitals in Alaska and Hawaii could get higher Medicare payments for some outpatient care. The bill lets Medicare add a cost-of-living bump for non-wage costs, starting January 1, 2026.

Modern Action explains legislation in plain English, helps you choose whether to support, oppose, or ask for changes, and drafts a message tied to the bill, your stance, and the elected officials who can act on it.

Ensuring Outpatient Quality for Rural States Act is a Senate bill in committee. The latest recorded action: Read twice and referred to the Committee on Finance.

Latest action on S. 551: Read twice and referred to the Committee on Finance.

Who this affects: This bill mainly affects hospitals in Alaska and Hawaii that provide outpatient care to Medicare patients. Rural and remote hospitals could feel it most because they often pay more for supplies, utilities, shipping, and other basic costs. Medicare patients in those states could be affected if the extra payments help local hospitals stay financially stable or keep services available. The federal Medicare program could also spend more, but the bill does not give a dollar amount.

Why this matters: Hospitals in Alaska and Hawaii often pay more to run basic services, and this bill could let Medicare account for those higher costs. Distance, shipping, utilities, and local prices can make outpatient care more expensive to provide. Higher payments could help hospitals, especially in rural or remote areas. The tradeoff is that Medicare spending could rise, and the bill does not say how large that increase might be.

Key provisions in S. 551

  • The bill applies to Medicare payments for hospital outpatient department services in Alaska and Hawaii. These are hospital services that do not require an overnight stay.
  • The bill focuses on non-wage costs. That means supplies, equipment, utilities, overhead, and similar expenses, not staff pay.
  • The Health and Human Services Secretary could add a cost-of-living bump for those non-wage costs. This would let Medicare account for higher prices in those states.
  • The bill uses a method Medicare already uses for some inpatient hospital payments in Alaska and Hawaii. Inpatient care means hospital care that includes an overnight stay.
  • The change would start with covered outpatient services provided on or after January 1, 2026. Services before that date would not be covered by this change.

How Modern Action helps you take action on S. 551

You do not have to start with a blank letter. Modern Action turns the bill, your position, and the relevant congressional context into a message you can edit and send. The goal is to make contacting Congress clear, specific, and useful without forcing you to parse bill text or figure out the right office on your own.

Questions people ask about S. 551

What is S. 551?
Hospitals in Alaska and Hawaii could get higher Medicare payments for some outpatient care. The bill lets Medicare add a cost-of-living bump for non-wage costs, starting January 1, 2026.
How do I support or oppose S. 551?
Choose support, oppose, or ask for changes on Modern Action. The action flow drafts the message for you and keeps the wording tied to this bill.
Who should I contact about S. 551?
Modern Action uses your location to route the action to the congressional offices relevant to the bill and your representation.
Can Modern Action explain S. 551 before I act?
Yes. Modern Action gives you a plain-English summary, current status, and action context before you send anything.

Keep acting on Modern Action

More ways to act on this issue

Compare the broader issue and related bills without leaving Modern Action.

Related issues

  • Contact your reps on Rural and Special Hospital Outpatient Payment ProtectionsTargeted Medicare outpatient payment floors, Alaska and Hawaii cost adjustments, rural hospital payment protections, sole community hospital policies, and patient cost-sharing protections tied to added hospital payments.

Related bills

  • Take action on H.R. 4269: Ensuring Outpatient Quality for Rural States Act
  • Take action on H.R. 4250: SOLES Act
  • Take action on S. 553: SOLES Act
  • Take action on H.R. 833: Save America’s Rural Hospitals Act