Patient Access to Higher Quality Health Care Act of 2025
Sponsored By: Representative Van Duyne
Introduced
Summary
Restores the pre‑2010 Medicare exception to the prohibition on certain physician referrals for hospitals. This bill would repeal Sections 6001 and 10601 of the Patient Protection and Affordable Care Act and Section 1106 of the Health Care and Education Reconciliation Act of 2010 and put the prior statutory rules back in place as if those reforms had never been enacted.
Show full summary
- Hospitals: Hospitals would operate under the earlier referral rules that applied before the ACA and HCERA changes, affecting which physician referrals interact with the Medicare referral prohibition.
- Physicians: Physicians would follow the prior exception when making referrals to hospitals, changing which referral arrangements are covered by the referral prohibition.
- Medicare program rules: The statutory framework for the Medicare referral exception would revert to its pre‑reform form. The bill does not create new programs or new funding and does not change benefit eligibility.
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Bill Overview
Analyzed Economic Effects
1 provisions identified: 0 benefits, 0 costs, 1 mixed.
Would restore old Medicare referral rules
If enacted, this would repeal ACA-era changes to Medicare’s ban on some doctor self-referrals to hospitals. It would restore the older exception. Doctors and hospitals would have broader room for referral and ownership arrangements under Medicare. Medicare patients could see different referral patterns that may affect care choices or costs. The excerpt does not give an effective date.
Sponsors & CoSponsors
Sponsor
Van Duyne
TX • R
Cosponsors
Cuellar
TX • D
Sponsored 6/12/2025
Hern (OK)
OK • R
Sponsored 6/12/2025
Miller-Meeks
IA • R
Sponsored 6/12/2025
Biggs (AZ)
AZ • R
Sponsored 6/12/2025
Yakym
IN • R
Sponsored 6/12/2025
Harris (MD)
MD • R
Sponsored 6/12/2025
Dunn (FL)
FL • R
Sponsored 6/12/2025
Pfluger
TX • R
Sponsored 6/12/2025
McCormick
GA • R
Sponsored 6/12/2025
Westerman
AR • R
Sponsored 9/11/2025
Gill (TX)
TX • R
Sponsored 12/17/2025
Hurd (CO)
CO • R
Sponsored 3/5/2026
Roll Call Votes
No roll call votes available for this bill.
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