US SB2279

Repeals Section 71115 of Public Law 119-21 (One Big Beautiful Bill Act), restoring previous Medicaid state provider tax authority rules under Title XIX of the Social Security Act

Repeals Section 71116 of Public Law 119-21, eliminating changes to Medicaid state directed payments and rescinding any funds appropriated under that section

Adds $50 billion in new funding for the rural health transformation program: $10 billion annually for fiscal years 2031 through 2035

Introduced by Senator Hawley on July 15, 2025, and referred to the Committee on Finance