I 118th CONGRESS 1st Session H. R. 2433 IN THE HOUSE OF REPRESENTATIVES March 30, 2023 Mr. Meuser (for himself, Ms. Wild , and Mr. Moolenaar ) introduced the following bill; which was referred to the Committee on Ways and Means A BILL To amend title XVIII of the Social Security Act to update the calculation of the hospital specific rate for such hospitals, and for other purposes.

1. Short title This Act may be cited as the Fairness for Rural Teaching Hospitals Act of 2023 . 2. Update to calculation of hospital specific rate for medicare-dependent hospitals Section 1886(d)(5)(G) of the Social Security Act ( 42 U.S.C. 1395ww(d)(5)(G) ) is amended by inserting after clause (ii) the following: For purposes of clause (ii)(II), in calculating the amount determined under paragraph (1)(A)(iii) with respect to discharges occurring on or after the first day of the first fiscal year following the date of enactment of the Fairness for Rural Teaching Hospitals Act of 2023 , the Secretary shall exclude an estimate of indirect medical costs in accordance with the requirements specified in paragraph (2)(C)(i). Following such calculation, the Secretary shall provide for an additional payment to a hospital for the indirect medical costs incurred by such hospital. .