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The SOLES Act amends Medicare's hospital outpatient payment rules to establish a payment floor for sole community hospitals located in non-contiguous states (Alaska and Hawaii). Beginning January 1, 2025, if a hospital's outpatient prospective payment system (PPS) amount falls below its pre-1997 baseline payment level, Medicare would increase the payment by 94 percent of that difference, effectively ensuring these hospitals receive higher minimum payments.
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