Senate committee substitute to the 2nd edition replaces the content of the previous edition with the following and makes conforming title changes.

Directs the Department of Health and Human Services (DHHS), to the extent allowed under federal law, to ensure that the Medicaid program does not reimburse for facility fees unless the services are provided on a hospital's main campus, at a facility that includes an emergency department, or at an ambulatory surgical facility. Defines facility fee as any fee charged or billed by a health care provider for outpatient services provided in a hospital-based facility that is (1) intended to compensate the health care provider for the operational expenses of the health care provider, (2) separate and distinct from a professional fee, and (3) charged regardless of the modality through which the health care services were provided.

Specifies that DHHS is not required to maintain, after June 30, 2027, any modifications to the Medicaid program required by this act, except for statutory changes or where otherwise specified.

Requires that the act be implemented as soon as practicable after the date that it becomes law.