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Hearing: bill would peg tribal‑reservation rural hospital payments to allowable costs for Toppenish Hospital
Summary
Committee heard testimony supporting Senate Bill 6,194 to align Medicaid reimbursement for Toppenish Hospital (located on a federally recognized Indian reservation) with allowable‑cost payments used for critical access hospitals; hospital leaders described service closures and large operating losses.
Senate Bill 6,194 would permit Medicaid payments based on allowable costs for a rural hospital located on a federally recognized Indian reservation, specifically the Toppenish Hospital, with an anticipated implementation timeline and material fiscal implications.
Sandy Stith, staff to the committee, said the bill would allow payments based on allowable costs for inpatient and outpatient services for a hospital located on reservation land and noted estimated general‑fund costs in staff materials (examples:…
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