A bill 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 S 3908 **What the Bill Does:** This bill would change how Medicare pays for medical services provided at off-campus outpatient departments—clinics and facilities operated by hospitals but located away from the main hospital campus. Currently, these facilities may be paid under different rules than hospital outpatient departments. The bill would allow them to be paid under the same "prospective payment system" used for regular hospital outpatient services, which sets payment rates in advance based on the type of service provided. **Who It Affects:** The bill primarily affects Medicare beneficiaries (seniors and some disabled individuals), hospitals and their off-campus clinics, and ultimately taxpayers who fund Medicare.

Healthcare providers operating these off-campus facilities would see changes in their reimbursement rates from the government. **Current Status:** S 3908 is currently in committee, meaning it has been introduced but has not yet been debated or voted on by the full Senate. The bill was sponsored by Senator John Hoeven (R-ND). Without additional details on the specific payment impacts or cost estimates, it's unclear whether this would increase or decrease Medicare spending.