PlainBillCongress, translated.Legislation. Context. Public interest.Congressional Research Service
Version 00 · Introduced in Senate · Jun 7, 2023
Site-based Invoicing and Transparency Enhancement Act or the SITE Act
This bill modifies the payment methodology for services that are furnished at off-campus outpatient departments of hospitals under Medicare. It also establishes a nurse training program through hospitals.
Under current law, off-campus outpatient departments of hospitals that began billing prior to November 2, 2015, or that were under construction as of that date, are exempt from certain site-neutral payment requirements under Medicare. The bill ends this exemption. It also (1) reduces payments for services furnished at off-campus outpatient emergency departments that are six or fewer miles from a hospital, and (2) requires off-campus outpatient departments of hospitals to have unique health identifiers.
Additionally, the bill provides for funding of regional nurse education hubs. The Centers for Medicare & Medicaid Services may select one hospital in each referral region to operate as a hub for training, in coordination with nursing schools, Medicare and Medicaid providers, and other training partners. The bill provides for up to 20,000 nursing student positions in the program by 2030.
People & committees
Sen. Braun, Mike [R-IN] · R–IN
Legislative record
A procedural vote is different from passage. Passage in one chamber does not establish enactment. Explore the glossary.
Read twice and referred to the Committee on Finance.
Introduced in Senate
Primary sources
Text links open the official source. We currently store references to these documents.
No related bills are listed in this snapshot. This does not establish whether the proposal has appeared in earlier Congresses.
Source last updated: May 27, 2025. Consult Congress.gov for the current record.
AI Conversation Starters
Choose a perspective, copy a prompt, and paste it into your preferred AI. Each prompt includes the bill version and available official source links, and asks for counterarguments as well as supporting evidence.
Analyze S.1869 as objectively as possible. Explain its main provisions, who would be affected, possible benefits and harms, implementation, exceptions, and uncertainties. Present the strongest arguments for and against it, and identify evidence needed to assess its public impact.
Examine S.1869 through a progressive lens, focusing on fairness, access, economic inequality, and effects on vulnerable communities. Explain potential benefits, costs, and unintended consequences. Consider the strongest counterarguments and distinguish stated goals from demonstrated outcomes.
Examine S.1869 through a conservative lens, focusing on fiscal responsibility, institutional stability, federalism, and the scope of government. Explain potential benefits, costs, and unintended consequences. Consider the strongest counterarguments and any provisions that challenge this perspective.
Examine S.1869 through a civil-liberties and limited-government lens. Consider individual rights, privacy, voluntary choice, accountability, and government power. Explain tradeoffs, possible safeguards, and the strongest counterarguments without assuming the proposal is beneficial or harmful.