Will work to fix Medicare payment formulas so rural and lower-wage hospitals are treated more fairly and can keep their doors open.

David Kustoff · Tennessee · Republican

policy impact 0.78 specificity 0.89 extraction confidence 95%

Commitment kind: unknown. Promised action: not established. Promised outcome: not established. Deadline: unknown; not assumed expired.

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Occurrences

Evidence

unverified · Source version 16104 · locator unknown

"Congressman David Kustoff (R-TN) and Congresswoman Terri Sewell (D-AL) introduced the bipartisan Save Struggling Hospitals Act, legislation to fix Medicare payment formulas that do not account for the cost pressures facing hospitals in rural and lower-wage areas."

Unverified model/legacy excerpt; not proof. AI summary (separate from source): Kustoff publicly announced and introduced legislation directly aimed at the Medicare payment formula problem described in the claim, which is a concrete action but not completion of the promise.

partial same_term A for effort

Congressman David Kustoff Introduces Bipartisan Save Struggling Hospitals Act | Congressman David Kustoff
primary · model gpt-5.4-mini · confidence 98%

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unverified · Source version 999 · locator unknown

"Mr. Kustoff (for himself and Ms. Sewell) introduced the following bill; which was referred to the Committee on Ways and Means" and the bill's full title is "To amend title XVIII of the Social Security Act to codify the Medicare low-wage index hospital policy."

Unverified model/legacy excerpt; not proof. AI summary (separate from source): Official bill metadata confirms Kustoff introduced H.R. 8109 to codify the low-wage index hospital policy, but the bill remained at referral stage and does not show enactment.

partial same_term A for effort

H.R. 8109 - Save Struggling Hospitals Act | GovInfo
primary · model gpt-5.4-mini · confidence 99%

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unverified · Source version 59669 · locator unknown

The Senate companion bill was introduced and referred to the Committee on Finance; the title is "To amend title XVIII of the Social Security Act to codify the Medicare low-wage index hospital policy."

Unverified model/legacy excerpt; not proof. AI summary (separate from source): A Senate companion was introduced alongside Kustoff's House bill, showing coordinated legislative effort on the same Medicare payment-formula fix, but still only at the introduction stage.

partial same_term A for effort

S. 4233 (IS) - Save Struggling Hospitals Act - BILLS-119s4233is | Content Details | GovInfo
secondary · model gpt-5.4-mini · confidence 93%

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unverified · Source version 59664 · locator unknown

Newest: H. Morgan Griffith (R-VA), Aug 31, 2026

Unverified model/legacy excerpt; not proof. AI summary (separate from source): Within the 2026-08-20 to 2026-09-18 lookback window, H.R. 8109 gained an additional cosponsor, showing continued legislative support but not enactment.

partial same_term A for effort

H.R. 8109: Save Struggling Hospitals Act | Docket
secondary · model gpt-5.5 · confidence 86%

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verified · Source version 59666 · locator 384

Mr. Kustoff (for himself and Ms. Sewell) introduced the following bill; which was referred to the Committee on Ways and Means

Fetched verbatim passage. AI summary (separate from source): Official bill text confirms Kustoff introduced the House bill, but it was referred to committee rather than enacted.

partial same_term A for effort

H.R. 8109 Introduced in House - Save Struggling Hospitals Act
secondary · model gpt-5.5 · confidence 99%

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verified · Source version 59666 · locator 162

To amend title XVIII of the Social Security Act to codify the Medicare low-wage index hospital policy.

Fetched verbatim passage. AI summary (separate from source): The bill directly targets the Medicare low-wage index hospital policy, matching the promise to fix Medicare payment formulas for lower-wage hospitals.

partial same_term A for effort

H.R. 8109 Introduced in House - Save Struggling Hospitals Act
secondary · model gpt-5.5 · confidence 99%

Contest this evidence item

verified · Source version 59666 · locator 1415

a hospital with an area wage index (determined without regard to this clause) below the 25th percentile area wage index shall be increased by \1/2\ of the difference

Fetched verbatim passage. AI summary (separate from source): The bill text specifies the proposed Medicare wage-index adjustment for low-wage hospitals, demonstrating a concrete formula fix but not its adoption into law.

partial same_term A for effort

H.R. 8109 Introduced in House - Save Struggling Hospitals Act
secondary · model gpt-5.5 · confidence 98%

Contest this evidence item

verified · Source version 59668 · locator 6183

CMS is finalizing the proposal to discontinue the low wage index hospital policy for FY 2026 and subsequent years.

Fetched verbatim passage. AI summary (separate from source): CMS confirmed the low-wage index policy was being discontinued absent a statutory fix, so Kustoff's bill remained relevant but the promised payment-formula change was not delivered administratively.

unresolved same_term

FY 2026 Hospital Inpatient Prospective Payment System (IPPS) and Long-Term Care Hospital Prospective Payment System (LTCH PPS) Final Rule — CMS-1833-F | CMS
secondary · model gpt-5.5 · confidence 96%

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verified · Source version 59669 · locator 1242

Mr. Warner (for himself, Mrs. Blackburn, Mrs. Hyde-Smith, and Mr. Tuberville) introduced the following bill; which was read twice and referred to the Committee on Finance

Fetched verbatim passage. AI summary (separate from source): Official Senate companion metadata shows a parallel bipartisan Senate effort, but referral to committee still does not show enactment.

partial same_term A for effort

S. 4233 (IS) - Save Struggling Hospitals Act - BILLS-119s4233is | Content Details | GovInfo
secondary · model gpt-5.5 · confidence 95%

Contest this evidence item

Assessments

Public state: unverified As of unknown · legacy_unverified · . Original AI recommendation (not independently established): partial. same_term A for effort

Kustoff publicly introduced the bipartisan Save Struggling Hospitals Act and official bill metadata shows he co-sponsored H.R. 8109 to codify the Medicare low-wage index hospital policy, which directly matches the promise’s policy goal. But the evidence only shows introduction and committee referral, not enactment or an actual change in Medicare payment formulas, so the promise was materially advanced but not fulfilled.

provider codex_cli · model gpt-5.4-mini · confidence 98%

Public state: unverified As of unknown · legacy_unverified · . Original AI recommendation (not independently established): partial. same_term A for effort

Kustoff publicly introduced the bipartisan Save Struggling Hospitals Act, with a Senate companion, to codify the Medicare low-wage index hospital policy and address the exact payment-formula issue in the claim. That is a concrete legislative attempt, but the evidence shows only introduction and committee referral, not enactment or implemented policy change, so the promise was not fully delivered.

provider codex_cli · model gpt-5.4-mini · confidence 99%

Public state: unverified As of unknown · legacy_unverified · . Original AI recommendation (not independently established): never. same_term A for effort

Kustoff introduced the bipartisan Save Struggling Hospitals Act to codify a Medicare low-wage index hospital policy, directly addressing the promised rural and lower-wage hospital payment-formula issue. However, the evidence shows the bill was only introduced and referred to committee, with no enactment or completed Medicare payment-formula fix. This is a serious legislative effort in the same federal term, but the promised policy outcome was not delivered.

provider codex_cli · model gpt-5.5 · confidence 96%