Bill raises rural clinic numbing medicine billing limits to 1,250 per year.
H.R. 10731 — Rural Surgery Sustainability Act of 2026 · Filed by Sharice Davids (D-KS) · Introduced Oct 5, 2026 · Referred to committee
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What it does
The bill raises the numbing procedure limit to 1,250 per year. The old limit was 500. Clinics with birth units face no limit. The government must check these limits every two years. Payment amounts go up each year to match inflation. Starting in 2027, clinics with birth units can bill with no time limits.
Who it affects
Rural clinics and nurses who give numbing medicine can bill for more work. Rural people on Medicare may get easier access to surgery in their areas. All Medicare people may pay more because the bill spends more money without saving it elsewhere.
One thing to notice
Clinics with birth units have no limit on numbing medicine billing. Other rural clinics are capped at 1,250 procedures. This may push clinics to keep or start birth units to bill more.
From the analysis of the bill text, linked under Primary records below.
Where it stands
- Oct 5, 2026 — Introduced · Congress.gov: “Introduced in House”
- Oct 5, 2026 — Referred to House Committee on Ways and Means · Congress.gov: “Referred to the House Committee on Ways and Means”
Dates and quoted wording are Congress.gov's action record; the timeline shows status changes, not every procedural step.
Words to know
- Medicare — The federal government's health insurance program for people age 65 and older.
- rural — Areas far from cities, with fewer people and fewer clinics.
- inflation — When prices go up over time, so money buys less than before.
How this was measured
Analysis — Quorum's AI read the bill text published by Congress.gov (3,138 characters) on Oct 8, 2026. Section numbers in the findings refer to that text, linked below; transparency and hidden-provision scores are compared against the median of 16,222 analysed bills.
Status and sponsors — Congress.gov's bill record — actions, committee referrals and cosponsors — loaded nightly. The timeline shows status changes, not every procedural action.
As of — page rendered 2026-10-20.
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