What This Bill Does · Plain English
Summary · Congress.gov
SOS: Sustaining Outpatient Services Act This bill allows for payment under the Medicare prospective payment system for hospital outpatient department services of certain items and services that are furnished at off-campus outpatient departments. Specifically, the bill allows for payment of items and services for which payments to physician specialists (under the Medicare physician fee schedule) did not exceed $2 million during the previous year.
Frequently Asked Questions
Did HR.7666 pass?
HR.7666 is still alive. Current stage: COMMITTEE. Pass likelihood: pending.
What does HR.7666 do?
SOS: Sustaining Outpatient Services Act This bill allows for payment under the Medicare prospective payment system for hospital outpatient department services of certain items and services that are furnished at off-campus outpatient departments. Specifically, the bill allows for payment of items and services for which payments to physician specialists (under the Medicare physician fee schedule) did not exceed $2 million during the previous year.
Who sponsored HR.7666?
HR.7666 was sponsored by Adrian Smith (R-Nebraska).
Full Bill Text
119 HR 7666 IH: SOS: Sustaining Outpatient Services Act U.S. House of Representatives 2026-02-24 text/xml EN Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain. I 119th CONGRESS 2d Session H. R. 7666 IN THE HOUSE OF REPRESENTATIVES February 24, 2026 Mr. Smith of Nebraska (for himself and Mr. McGovern ) introduced the following bill; which was referred to the Committee on Energy and Commerce , and in addition to the Committee on Ways and Means , for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned A BILL To amend title XVIII of the Social Security Act to allow payments under the Medicare program for certain items and services furnished by off-campus outpatient departments of a provider to be determined under the prospective payment system for hospital outpatient department services, and for other purposes. 1. Short title This Act may be cited as the SOS: Sustaining Outpatient Services Act . 2. Allowing Medicare payments for certain items and services furnished by off-campus outpatient departments of a provider to be determined under the prospective payment system for hospital outpatient department services Section 1833(t)(1)(B) of the Social Security Act ( 42 U.S.C. 1395l(t)(1)(B) ) is amended— (1) in clause (iv), by striking and at the end; (2) in clause (v)— (A) by inserting before does not include the following: subject to clause (vi), ; and (B) by striking the period at the end and inserting ; and ; and (3) by adding at the end the following new clause: (vi) includes, with respect to a year (beginning with 2027), any item or service— (I) that is furnished during such year by an off-campus outpatient department of a provider (as defined in subparagraph (B) of paragraph (21)); and (II) with respect to which the greatest total amount paid with respect to a physician speciality under the physician fee schedule under section 1848 for all such items or services furnished by physicians in such specialty during the previous year was less than $2,000,000. .
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