Reps. Obernolte and Dingell Introduce Bipartisan Legislation to Improve ICU Capacity Transparency and Patient Transfers

WASHINGTON, D.C. — Representatives Jay Obernolte (R-California) and Debbie Dingell (D-Michigan) introduced the Improving Care Utilization Through Bed Exchange and Data Sharing Act of 2026, or ICU Bed Act of 2026, bipartisan legislation to strengthen hospital coordination, reduce delays in care, and improve patient outcomes by requiring real-time reporting of intensive care unit (ICU) bed availability. 

At the height of the COVID-19 pandemic, hospitals across the country were pushed to their limits. In many cases, families and doctors were left calling hospital after hospital, searching for an available ICU bed while precious minutes slipped away. In some regions, facilities were completely overwhelmed, while others just miles away still had capacity but no reliable way to share that information in real time. Those gaps in communication cost time, and in critical care, time can mean everything. 

“Patients shouldn’t face delays in critical care because hospitals can’t see available ICU beds just miles away,” said Rep. Obernolte. “We saw during COVID what happens when hospitals are operating in the dark. In rural communities especially, where hospitals are often many miles apart, coordination can mean the difference between life and death. This bill improves transparency, strengthens coordination, and helps ensure every patient gets timely, life-saving care.” 

"Better communication leads to better care, and that is why I am proud to champion this bipartisan legislation to improve patient outcomes," said Rep. Dingell. "If you need to go to the ICU, you want to know if there will be a bed waiting for you when life and death can be a matter of minutes or miles. Every person has a role to play in supporting their own health, but this legislation ensures hospitals are playing their part by strengthening communications regarding their ICU capacity." 

Hospitals continue to face challenges managing ICU capacity during periods of high demand, whether from public health emergencies, seasonal surges, or everyday strain on the system. Without real-time visibility into available beds, critically ill patients can experience dangerous delays, and hospitals are left relying on outdated or manual processes to coordinate transfers. 

The Improving Care Utilization Through Bed Exchange and Data Sharing Act addresses these challenges by modernizing how hospitals share critical capacity data and coordinate patient care across regions, ensuring that no available ICU bed goes unseen when a patient is in need. 

Specifically, the legislation requires the Department of HHS to build a platform that: 
• Requires hospitals participating in Medicare to report ICU bed availability in real time 
• Establishes regional data sharing systems so hospitals can view capacity across nearby facilities 
• Requires hospitals to develop coordinated strategies to facilitate timely patient transfers when facilities approach or reach capacity 

This issue is especially urgent in rural and underserved communities, where long distances and limited resources can make access to care even more difficult. By improving coordination and transparency, this legislation helps ensure that patients, no matter where they live, can access the critical care they need when they need it most. 

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