Long-Term Rural Health Investment Act of 2026

This bill changes Medicaid rules on "state directed payments," which are payments states require Medicaid managed care plans to make to health care providers. Starting with rating periods on or after January 1, 2030, these payments would be capped at 200 percent of the Medicare rate (or the state's average commercial rate if there is no Medicare rate), and certain existing payments above that level would be reduced by 10 percent each year until they reach the cap. Until January 1, 2030, federal officials would apply the payment rules that were in effect before Public Law 119-21 was enacted. Beginning in 2027, states would have to report detailed data on these payments to the federal government. The bill also repeals two sections of Public Law 119-21 related to provider taxes and rescinds money appropriated under one of those sections.

Full text and official record on Congress.gov

Sponsors

• Sharice Davids Democrat sponsor
• 0 cosponsors