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Save Struggling Hospitals Act

This bill codifies the Medicare low-wage index hospital policy. It increases the area wage index for hospitals with an index below the 25th percentile.
Key points
Increases the area wage index for hospitals below the 25th percentile area wage index.
The increase is half the difference between the hospital's otherwise applicable index and the 25th percentile index across all hospitals.
Ensures a hospital's area wage index is not less than 95 percent of its index from the preceding fiscal year.
Adjustments must be budget neutral and cannot decrease the index for hospitals below the 75th percentile.
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Status:
Introduced
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Additional Information
Save Struggling Hospitals Act
Print number: S 4233
Sponsor: Sen. Warner, Mark R. [D-VA]
Process start date: 2026-03-26
System Note: Lustra is free, publicly auditable civic infrastructure, with full source code available on GitHub. You are reading sterilized legislative data, processed by our radical neutrality engine to strip political spin and retain factual mechanics. We process only official government data. Original documents remain the authoritative source, always verify them if you can.
Summarized by: gemini-3.1-pro-preview
Source data: api.congress.gov
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Summary & Status

Key Questions about Save Struggling Hospitals Act

A structured overview of the legislative process, official sources, status and civic context.

What is the official ID of this bill?

The official print number for this legislation is S 4233.

Which chamber initiated this legislation?

This legislation was initiated in the Senate.

When did the legislative process begin?

The process officially started on 2026-03-26.

What are the main provisions?

Key points include:

  • Increases the area wage index for hospitals below the 25th percentile area wage index.
  • The increase is half the difference between the hospital's otherwise applicable index and the 25th percentile index across all hospitals.
  • Ensures a hospital's area wage index is not less than 95 percent of its index from the preceding fiscal year.
  • Adjustments must be budget neutral and cannot decrease the index for hospitals below the 75th percentile.

What is the specific legal status?

The current status is Introduced.

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. Warner, Mark R. [D-VA].

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 2026-04-13.

Analysis and Potential Impact of S 4233

We don't know, that is up to you to decide. Summarizing raw data with AI is fundamentally different from predicting socio-economic outcomes. As of 2026, we believe impact assessment strictly requires a human in the loop to verify and judge. Review our public AI processing logs for full transparency, and use Lustra to track active legislation for instant status push notifications.

CATEGORIES

Health