The official bill title and text published by Congress and GovInfo.
Improving Access to Medicare Coverage Act of 2026
What this bill does
Congressional Research Service · Official summary · Last checked October 12, 2026
Summary for Introduced in Senate
May 21, 2026 · Summary last updated June 29, 2026
Version of the bill text this summary covers: Introduced in Senate · May 21, 2026
This summary from the Congressional Research Service is matched to an exact version of the bill text using the official record. We link a vote to that text only when the official record for the vote points to the same text.
Improving Access to Medicare Coverage Act of 2026
This bill deems an individual receiving outpatient observation services in a hospital as an inpatient for purposes of satisfying the three-day inpatient hospital-stay requirement with respect to Medicare coverage of skilled nursing facility (SNF) services. (Generally, individuals must have been an inpatient at a hospital for at least three days in order to qualify for SNF services. An individual's time spent under observation at a hospital for purposes of determining whether the individual should be admitted does not count towards this requirement.)
Read summaries at Congress.gov ↗ · Official GovInfo record ↗ · How we write summaries
Every committee, chamber, and clerk-recorded action attached to its date.
Every roll call on this measure—or a clear notice when no individual vote exists.
The measure's progress
In committee
Read twice and referred to the Committee on Finance.
Recorded May 21, 2026, as the clerk wrote it
- Congress.gov bill page
- The bill text, as published by GPO GovInfo
- Article I, Section 7 of the Constitution: how a bill becomes law
- Status, sponsor and actions from the official GovInfo record, read October 11, 2026 · see sources
Cite this record
- Reference number
bill-119-s4641- Permanent link
- https://votefiles.com/cite/bill-119-s4641
- Official source
- Congress.gov ↗
- Last checked
- Status and actions last read from the official GovInfo BILLSTATUS record
Vote Files, "S. 4641 (119th Congress): Improving Access to Medicare Coverage Act of 2026," last checked Oct. 11, 2026, citing Congress.gov, https://votefiles.com/cite/bill-119-s4641
Vote Files. (2026, October 11). S. 4641 (119th Congress): Improving Access to Medicare Coverage Act of 2026 [Bill record]. Retrieved October 12, 2026, from https://votefiles.com/cite/bill-119-s4641
Vote Files. "S. 4641 (119th Congress): Improving Access to Medicare Coverage Act of 2026." Last modified October 11, 2026. Accessed October 12, 2026. https://votefiles.com/cite/bill-119-s4641.
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title = {{S. 4641 (119th Congress): Improving Access to Medicare Coverage Act of 2026}},
year = {2026},
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note = {Reference number bill-119-s4641; official source: Congress.gov, https://www.congress.gov/bill/119th-congress/senate-bill/4641; last checked October 11, 2026; accessed October 12, 2026}
}https://votefiles.com/cite/bill-119-s4641
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CBO cost estimates and CRS reports on S. 4641
No official record has been found at this time. We are watching for updates.
Listed only where the Congressional Budget Office names this bill number in its estimate's title and that title matches the bill's own, or where the Congressional Research Service lists this bill among a report's related materials. Titles and dates are the publishers' own. All watchdog and scorekeeper reports
No recorded vote
No roll call has been taken on this measure, so no member's position on it is on the record. Most measures never get one.