HR2191119th CongressWALLET

Physician Led and Rural Access to Quality Care Act

Sponsored By: Representative Griffith

Introduced

Summary

This bill would revise Medicare's physician self-referral rules and create a new "covered rural hospital" category. It would allow physician-owned hospitals to expand while excluding certain rural hospitals from the exemption.

Show full summary
  • Defines "covered rural hospital" as a hospital in a rural area that is more than a 35-mile drive from another hospital or critical access hospital, or more than 15 miles in mountainous terrain or where only secondary roads exist.
  • Establishes a sunset of the federal prohibition on expansion for physician-owned hospitals, so those hospitals would be able to expand upon enactment.
  • Changes who qualifies for the physician self-referral exemption, which could increase physician-owned hospital capacity outside covered rural hospitals and affect local Medicare patient options.

Your PRIA Score

Score Hidden

Personalized for You

How does this bill affect your finances?

Sign up for a PRIA Policy Scan to see your personalized alignment score for this bill and every other piece of legislation we track. We analyze your financial profile against policy provisions to show you exactly what matters to your wallet.

Free to start

Bill Overview

Analyzed Economic Effects

2 provisions identified: 2 benefits, 0 costs, 0 mixed.

New rules for rural physician-owned hospitals

If enacted, Medicare would define a "covered rural hospital." A hospital would qualify if it is in a rural area and more than a 35-mile drive from another hospital or a critical access hospital, or 15 miles in mountains or where only secondary roads exist. The bill would say that two parts of the physician self-referral exception would not apply to these covered rural hospitals. These changes would take effect at enactment and would apply when the hospital enrolls in Medicare.

Physician-owned hospitals could expand again

If enacted, the current ban on expansions by physician-owned hospitals would end. The change would start on the date this new paragraph is enacted. The bill also updates cross-references so the law points to the new rule.

Sponsors & CoSponsors

Sponsor

Griffith

VA • R

Cosponsors

  • Hern (OK)

    OK • R

    Sponsored 3/18/2025

  • Gonzalez, V.

    TX • D

    Sponsored 3/18/2025

  • Joyce (PA)

    PA • R

    Sponsored 3/18/2025

  • Correa

    CA • D

    Sponsored 3/18/2025

  • Balderson

    OH • R

    Sponsored 3/18/2025

  • Valadao

    CA • R

    Sponsored 3/18/2025

  • Pfluger

    TX • R

    Sponsored 3/18/2025

  • Dunn (FL)

    FL • R

    Sponsored 3/18/2025

  • Davis (NC)

    NC • D

    Sponsored 3/18/2025

  • Yakym

    IN • R

    Sponsored 3/18/2025

  • Weber (TX)

    TX • R

    Sponsored 3/18/2025

  • Miller-Meeks

    IA • R

    Sponsored 3/18/2025

  • Scott, Austin

    GA • R

    Sponsored 3/18/2025

  • McCormick

    GA • R

    Sponsored 3/21/2025

  • Wilson (SC)

    SC • R

    Sponsored 3/24/2025

  • Harris (MD)

    MD • R

    Sponsored 3/25/2025

  • Van Duyne

    TX • R

    Sponsored 4/1/2025

  • Sessions

    TX • R

    Sponsored 4/7/2025

  • Evans (CO)

    CO • R

    Sponsored 4/7/2025

  • Tokuda

    HI • D

    Sponsored 4/7/2025

  • Onder

    MO • R

    Sponsored 4/17/2025

  • Higgins (LA)

    LA • R

    Sponsored 4/17/2025

  • Bice

    OK • R

    Sponsored 5/13/2025

  • Spartz

    IN • R

    Sponsored 6/6/2025

  • Bera

    CA • D

    Sponsored 6/6/2025

  • Cloud

    TX • R

    Sponsored 7/14/2025

  • Johnson (TX)

    TX • D

    Sponsored 9/18/2025

  • Kennedy (UT)

    UT • R

    Sponsored 10/3/2025

  • Moran

    TX • R

    Sponsored 10/3/2025

  • Smucker

    PA • R

    Sponsored 10/21/2025

  • Rulli

    OH • R

    Sponsored 11/17/2025

  • Carter (GA)

    GA • R

    Sponsored 11/19/2025

Roll Call Votes

No roll call votes available for this bill.

View on Congress.gov
Back to Legislation

Take It Personal

Get Your Personalized Policy View

Start a Free Government Policy Watch to see how policy affects your household, then upgrade to PRIA Full Coverage for year-round monitoring.

Already have an account? Sign in