Appropriations committee advances S190 with one-year reference-based pricing pilot and reinsurance authorization

May 21, 2026

The House Appropriations Committee voted to report S190 as amended, adopting Representative Alyssa Black's amendment to limit some reference-based pricing authority to hospital fiscal year 2027, add a reinsurance/section 1332 waiver authorization, and require reporting on hospital outsourcing and Medicare outpatient cost-sharing for critical access hospitals.

The full story

The House Appropriations Committee voted May 21 to report S190 to the full House after adopting an Appropriations-version amendment that narrows some hospital payment changes to hospital fiscal year 2027, adds authority for a reinsurance plan and a section 1332 waiver, and requires reporting on outsourced hospital services and Medicare outpatient cost-sharing for critical access hospitals.

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