Catastrophic Specialty Hospital Act of 2025

This bill would change how Medicare pays certain long-term care hospitals that the federal health secretary designates as "catastrophic specialty hospitals." Designated hospitals would be paid outside the standard long-term care hospital payment system. To qualify, a hospital must show over the prior three years that at least 80 percent of discharges involved spinal cord or acquired brain injury, at least 175 discharges per year for each injury type, at least 30 percent of inpatients came from out of state, a continuum of inpatient and outpatient care, and a commitment to neurorehabilitation research or training. A designation would last three years, and the hospital could be redesignated if it still meets the criteria, with 60 days to submit more information if it is found not to qualify.

Full text and official record on Congress.gov

Sponsors

• Barry Loudermilk Republican sponsor
• 6 cosponsors