S. 2690Senate115th Congress (2017-2019)In Committee

A bill to amend title XVIII of the Social Security Act to permit review of certain Medicare payment determinations for disproportionate share hospitals, and for other purposes.

AI-Generated Summary

Updated April 15, 2026 at 9:17 PM UTC

The bill amends the Social Security Act to allow Medicare payment decisions for disproportionate share hospitals—those that serve many low‑income patients—to be reviewed. By removing a specific restriction, the law lets affected hospitals challenge certain payment determinations, and the change applies to any claim that is still pending when the law takes effect.

Key Provisions

Removes paragraph (3) of Section 1886(r) of the Social Security Act, which previously limited review of Medicare payment determinations for disproportionate share hospitals.
The amendment takes effect for any claim relating to a determination under paragraph (2) of that section that is pending on or after the enactment date.

Legislative Activity

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SenateIntro Referral Latest Action

Read twice and referred to the Committee on Finance.

Finance Committee

April 17, 2018

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SenateIntro Referral

Introduced in Senate

April 17, 2018

SenateIntro Referral

Read twice and referred to the Committee on Finance.

Finance Committee

April 17, 2018

Bill Text

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Introduced in SenateIssued April 17, 2018

115th CONGRESS

2d Session

S. 2690

IN THE SENATE OF THE UNITED STATES

April 17, 2018

Mr. Rubio (for himself, Ms. Stabenow, Mr. Cornyn, and Mr. Nelson) introduced the following bill; which was read twice and referred to the Committee on Finance

A BILL

To amend title XVIII of the Social Security Act to permit review of certain Medicare payment determinations for disproportionate share hospitals, and for other purposes.

Review of Medicare payment determinations for disproportionate share hospitals

(a)

In General

Section 1886(r) of the Social Security Act (42 U.S.C. 1395ww(r)) is amended by striking paragraph (3).

(b)

Effective Date

The amendment made by subsection (a) shall apply with respect to any claim relating to a determination made under paragraph (2) of such section 1886(r) that is pending on a date that is on or after the date of the enactment of this Act.