# 119-hr-1805: ARCH Act

119-hr-1805, ARCH Act, is a 119th Congress bill sponsored by Rep. Miller, Carol D. [R-WV-1] (R-WV); status introduced; PRIA reads it as touching household money (as of 2026-04-21).

- Canonical: https://policyrisk.com/legislation/119-hr-1805
- As of: 2026-04-21
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-1805
- Congress: 119
- Title: ARCH Act
- Status: introduced
- Introduced: 2025-03-03
- Sponsor: Rep. Miller, Carol D. [R-WV-1] (R-WV)
- Cosponsors: 3
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-04-21

## Summary

**This bill would extend Medicare payment protections for rural hospitals** by lengthening Medicare-Dependent Hospital and Low-Volume Hospital payment authorities through 2031 and into fiscal year 2032. It would also require the Comptroller General to report on rural hospital classifications and overlaps. - Rural hospitals: Keeps MDH and LVH payment methods, reclassification options, and target-amount calculations in effect through 2031 and parts of fiscal year 2032, prolonging Medicare support tied to those designations. - Rural patients and communities: By sustaining targeted Medicare payments, the bill aims to help preserve local hospital finances and maintain access to inpatient and emergency services in rural areas. - Policymakers: Would require the Government Accountability Office to submit a report within 180 days listing counts by classification for the prior five fiscal years, analyzing overlap, and recommending simplification and criteria changes to promote financial sustainability.

## Cosponsors (3)

- Rep. Sewell, Terri A. [D-AL-7] (D-AL), 2025-03-03T00:00:00.000Z
- Rep. Tokuda, Jill N. [D-HI-2] (D-HI), 2025-05-19T00:00:00.000Z
- Rep. Vindman, Eugene Simon [D-VA-7] (D-VA), 2025-11-07T00:00:00.000Z

## Provisions PRIA read

- Longer support for rural Medicare hospitals: benefit, medium. If enacted, this would extend special Medicare payment rules for rural hospitals through 2031. It would move several deadlines, including changing April 1, 2025 to October 1, 2031, and one item to fiscal year 2032. Hospitals that qualify as Medicare-dependent or low-volume would keep adjusted payme…

## Related bills

- 119-hr-9877: Health Equity and Accountability Act of 2026
- 119-hr-4669: FEMA Act of 2025
- 119-hr-4206: CONNECT for Health Act of 2025
- 119-hr-3151: SHIPS for America Act of 2025
- 119-hr-6766: Essential Caregivers Act of 2025
- 119-hr-1262: Mikaela Naylon Give Kids a Chance Act

## Sources
- [119-hr-1805 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/1805)

## Related
- [119-hr-9877: Health Equity and Accountability Act of 2026](https://policyrisk.com/legislation/119-hr-9877)
- [119-hr-4669: FEMA Act of 2025](https://policyrisk.com/legislation/119-hr-4669)
- [119-hr-4206: CONNECT for Health Act of 2025](https://policyrisk.com/legislation/119-hr-4206)
- [119-hr-3151: SHIPS for America Act of 2025](https://policyrisk.com/legislation/119-hr-3151)
- [119-hr-6766: Essential Caregivers Act of 2025](https://policyrisk.com/legislation/119-hr-6766)
- [119-hr-1262: Mikaela Naylon Give Kids a Chance Act](https://policyrisk.com/legislation/119-hr-1262)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-1805 (as of 2026-04-21).