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The bill keeps provisions that are expected to cut $800B in Medicaid funding while adding more stringent work requirements.
Medicaid cuts would be expected to increase uncompensated care for hospitals as 7.6 people become uninsured.
CMS calls the scheme perpetuated in Democratic states California, Massachusetts, New York and swing state Michigan "money laundering."
House GOP members are demanding cuts of at least $1.5 billion in federal spending, but Senate Republicans are divided.
Starting Jan. 1, 2026, payers must send prior authorization decisions within 7 days and expedited decisions within 72 hours.
Cuts in Medicaid would likely mean that many beneficiaries would lose coverage, leading to more uncompensated care for hospitals.
Hospitals would face the largest revenue losses and burden of uncompensated care increases, report finds.
The model is designed to focus exclusively on improving maternal healthcare for people enrolled in Medicaid and CHIP.
Coverage applies to specific facilities, including the Indian Health Service, the 17th largest healthcare system in the nation, director says.
Most states ended the unwinding process with higher total Medicaid and CHIP enrollment than in February 2020.
