Congress moves to restore state Medicaid provider taxes, raising hospital costs
H.R. 4807 — Protect Our Hospitals Act · Filed by Greg Landsman (D-OH) · 23 cosponsors · Introduced Jul 29, 2025 · Referred to committee
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What it does
This bill repeals Section 71115 of Public Law 119-21, which had made changes to how states tax Medicaid providers (hospitals, nursing homes, etc.). By repealing that section, the bill restores the Medicaid provider tax rules to what they were before those changes took effect, undoing whatever restrictions or modifications that section had imposed.
Why we flagged it
The bill's sole function is to undo a prior restriction on state Medicaid provider taxes by repealing the section that imposed it. This is a straightforward restoration of prior tax authority, not a new policy initiative.
What the text implies
- The bill's effect depends entirely on what Section 71115 of P.L. 119-21 actually restricted. Without access to that section's text, the precise scope of restored provider tax authority cannot be determined from this bill alone.
- Restoring provider taxes may increase Medicaid program costs for states, potentially triggering budget pressures or requiring offsetting cuts elsewhere in state budgets.
The full analysis lists 4 implications of this text.
Who stands to gain
state governments (via restored provider tax revenue); state Medicaid programs (via increased funding)