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Site-based Invoicing and Transparency Enhancement Act (SITE Act)

This bill amends Title XVIII of the Social Security Act to promote Medicare site-neutral payments. It sunsets certain payment exceptions for services furnished by off-campus hospital outpatient departments starting in 2025 and mandates separate health identifiers for these locations. Additionally, the bill establishes funding for Graduate Nursing Education costs to train Advanced Practice Registered Nurses (APRNs) through an educational 'Hub' structure.
Key points
Promoting Site-Neutral Payments: Starting January 1, 2025, the bill sunsets certain payment exceptions for items and services furnished by off-campus hospital outpatient departments and introduces a 30 percent payment reduction for certain off-campus emergency departments.
Billing Transparency: Off-campus hospital outpatient departments must obtain and use a separate unique health identifier (NPI) on claim forms for services furnished on or after January 1, 2025.
Nurse Training Funding: A new program will fund the training of thousands of Advanced Practice Registered Nurses (scaling up to 20,000 annually by 2030-2031) to address workforce needs in primary care and rural areas.
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Expired
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Additional Information
Print number: 118_S_1869
Sponsor: Sen. Braun, Mike [R-IN]
Process start date: 2023-06-07
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Summarized by: gemini-3-pro-preview
Source data: api.congress.gov
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OFFICIAL LEGAL TITLE

SITE Act

FREQUENTLY ASKED QUESTIONS

What is the official ID of this bill?

The official print number for this legislation is 118_S_1869.

Which chamber initiated this legislation?

This legislation was initiated in the Senate.

When did the legislative process begin?

The process officially started on 2023-06-07.

What are the main provisions?

Key points include:

  • Promoting Site-Neutral Payments: Starting January 1, 2025, the bill sunsets certain payment exceptions for items and services furnished by off-campus hospital outpatient departments and introduces a 30 percent payment reduction for certain off-campus emergency departments.
  • Billing Transparency: Off-campus hospital outpatient departments must obtain and use a separate unique health identifier (NPI) on claim forms for services furnished on or after January 1, 2025.
  • Nurse Training Funding: A new program will fund the training of thousands of Advanced Practice Registered Nurses (scaling up to 20,000 annually by 2030-2031) to address workforce needs in primary care and rural areas.
What is the specific legal status?

The current status is Expired.

Where can I read the full text of this legislation?

The full official text is available at: View full text

Who is the primary sponsor?

The primary sponsor is Sen. Braun, Mike [R-IN].

What is the latest detailed status?

The latest detailed status is: Introduced in Senate

Is this summary verified?

Yes. This content was analyzed by AI and verified by the Lustra Judge System on 2025-12-30.

CATEGORIES

Health