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.

# Summary of HR 7666 **What the Bill Would Do** This bill would change how Medicare pays for medical services provided at off-campus outpatient departments (clinics or facilities that are not located on a hospital's main campus but are owned by hospitals). Currently, these facilities are often paid under different rules than hospital-based outpatient departments. The bill would allow them to be paid using the same payment system used for hospital outpatient services, called the prospective payment system. **Who It Affects** The bill primarily affects Medicare (the federal health insurance program for seniors and some disabled individuals), hospitals that operate off-campus clinics, and potentially patients who use these facilities.

It could also impact healthcare costs if payment rates change. **Current Status** HR 7666 was introduced by Representative Adrian Smith (R-Nebraska) in the 119th Congress and is currently in committee, meaning it has not yet been debated or voted on by the full House of Representatives. The bill's specific provisions beyond the main payment change are not detailed in the information provided.