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News -1 > LeadingAge National Updates > Senate Introduces Bipartisan Observation Stays Bill

Senate Introduces Bipartisan Observation Stays Bill

Senate Bill 4641 has been introduced, requiring all hospital days to count toward Medicare's 3-day SNF qualifying stay, joining a companion House bill already in progress.

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Senators Susan Collins (R-ME) and Peter Welch (D-VT) introduced bipartisan legislation on May 22 to protect seniors from high post-acute care costs. S. 4641 would require all hospital days — regardless of inpatient or outpatient observation status — to count toward the three-day qualifying stay required for Medicare fee-for-service coverage of skilled nursing facility (SNF) services.

The Senate bill joins the Improving Access to Medicare Coverage Act (H.R. 3954), introduced in the House by Rep. Joe Courtney (D-CT) in June 2025. Together, the bills represent growing bipartisan momentum toward closing a long-standing gap that has left many seniors facing unexpected out-of-pocket costs for post-hospital care.

LeadingAge has long supported the House bill and welcomes the Senate companion legislation, continuing to work with coalition partners to advance both measures.

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