House bill · 119th Congress · Latest step: Introduced
Ensuring Outpatient Quality for Rural States Act
Official title: To amend title XVIII of the Social Security Act to provide for the application of a cost-of-living adjustment to the non-labor related portion for hospital outpatient department services furnished in Alaska and Hawaii.
Sponsor: Rep. Jill Tokuda D-HIWhere it went
- IntroducedJun 30, 2025
- Committee action—
- Passed House—
- Passed Senate—
- To the President—
- Became law—
Latest action: Jun 30, 2025 — Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Cost and committee reports
Official records Congress.gov attaches to H.R. 4269.
- Constitutional authority statementThe sponsor’s statement of where the Constitution gives Congress the power to pass this bill. Statement by Ms. TOKUDA, as printed in the Congressional Record (Vol. 171, No. 113, June 30, 2025, Page H3037):Article I, Section 8, Clauses 1 and 18 of the United States Constitution.Source: Congress.gov, Congressional Record June 30, 2025 ↗
Evidence
- Field in the Congress.gov record
- constitutionalAuthorityStatementText
- Statement length
- 73 characters
- Congress.gov bill record
- H.R. 4269, 119th Congress
- Congress.gov API record
- https://api.congress.gov/v3/bill/119/hr/4269
- Record last updated by Congress.gov
- December 5, 2025
- PORKER copy retrieved
- September 13, 2026
- Stored copy, SHA-256 of the file
01f43b86ced39bac5aa0ea3dd0a4f92ce7eda4598da53a6489847252046c4288
PORKER shows the statement exactly as printed, with the page markup removed. It is the sponsor’s claim; it is not a legal finding.
Congress.gov’s record for this bill does not list a CBO cost estimate or a committee report (as of December 5, 2025). Not every bill gets one.
From the Congress.gov bill record for H.R. 4269, last updated December 5, 2025. PORKER’s copy was retrieved September 13, 2026 and is refreshed nightly. Open “Evidence” on any line for the record, field and file fingerprint.
Vote results
No recorded roll-call votes on this bill in PORKER’s records (voice votes and unanimous consent are not roll calls; roll-call records start in 2011).
Cosponsors
2 cosponsors — 1 Republican, 1 Democrat
1 of 2 cosponsors (50%) are from the other party.
More from the sponsor
Other 119th Congress bills sponsored by Rep. Jill Tokuda.
- H.R. 375 (119th) Continued Rapid Ohia Death Response Act of 2025
- H.R. 8945 (119th) To designate the facility of the United States Postal Service located at 86-014 Farrington Highway in Wai'anae, Hawai'i, as the "U.S.…
- H.R. 4967 (119th) Keep Seniors Fed Act
- H.R. 3373 (119th) GHOST Act of 2025
- H.Res. 1278 (119th) Reaffirming congressional support for the Taiwan Relations Act and longstanding bipartisan Taiwan policy.
- H.R. 5217 (119th) Rural Behavioral Health Improvement Act of 2025
Related bills
Relationships as recorded by Congress.gov.
Sponsor’s state and district
Data as of Sep 13, 2026 · bill record checked by PORKER from Congress.gov · votes from Senate.gov and the House Clerk. PORKER is non-partisan.