# 119-hr-4002: Patient Access to Higher Quality Health Care Act of 2025

119-hr-4002, Patient Access to Higher Quality Health Care Act of 2025, is a 119th Congress bill sponsored by Rep. Van Duyne, Beth [R-TX-24] (R-TX); status introduced; PRIA reads it as touching household money (as of 2026-04-21).

- Canonical: https://policyrisk.com/legislation/119-hr-4002
- 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-4002
- Congress: 119
- Title: Patient Access to Higher Quality Health Care Act of 2025
- Status: introduced
- Introduced: 2025-06-12
- Sponsor: Rep. Van Duyne, Beth [R-TX-24] (R-TX)
- Cosponsors: 12
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-04-21

## 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. - 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.

## Cosponsors (12)

- Rep. Cuellar, Henry [D-TX-28] (D-TX), 2025-06-12T00:00:00.000Z
- Rep. Hern, Kevin [R-OK-1] (R-OK), 2025-06-12T00:00:00.000Z
- Rep. Miller-Meeks, Mariannette [R-IA-1] (R-IA), 2025-06-12T00:00:00.000Z
- Rep. Biggs, Andy [R-AZ-5] (R-AZ), 2025-06-12T00:00:00.000Z
- Rep. Yakym, Rudy [R-IN-2] (R-IN), 2025-06-12T00:00:00.000Z
- Rep. Harris, Andy [R-MD-1] (R-MD), 2025-06-12T00:00:00.000Z
- Rep. Dunn, Neal P. [R-FL-2] (R-FL), 2025-06-12T00:00:00.000Z
- Rep. Pfluger, August [R-TX-11] (R-TX), 2025-06-12T00:00:00.000Z
- Rep. McCormick, Richard [R-GA-7] (R-GA), 2025-06-12T00:00:00.000Z
- Rep. Westerman, Bruce [R-AR-4] (R-AR), 2025-09-11T00:00:00.000Z
- Rep. Gill, Brandon [R-TX-26] (R-TX), 2025-12-17T00:00:00.000Z
- Rep. Hurd, Jeff [R-CO-3] (R-CO), 2026-03-05T00:00:00.000Z

## Provisions PRIA read

- Would restore old Medicare referral rules: mixed, high. 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 patt…

## Related bills

- 119-hr-703: Main Street Tax Certainty Act
- 119-hr-1301: Death Tax Repeal Act
- 119-hr-425: Repealing Big Brother Overreach Act
- 119-hr-38: Constitutional Concealed Carry Reciprocity Act of 2025
- 119-hr-5267: American Franchise Act
- 119-hres-719: Honoring the life and legacy of Charles Charlie James Kirk.

## Sources
- [119-hr-4002 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/4002)

## Related
- [119-hr-703: Main Street Tax Certainty Act](https://policyrisk.com/legislation/119-hr-703)
- [119-hr-1301: Death Tax Repeal Act](https://policyrisk.com/legislation/119-hr-1301)
- [119-hr-425: Repealing Big Brother Overreach Act](https://policyrisk.com/legislation/119-hr-425)
- [119-hr-38: Constitutional Concealed Carry Reciprocity Act of 2025](https://policyrisk.com/legislation/119-hr-38)
- [119-hr-5267: American Franchise Act](https://policyrisk.com/legislation/119-hr-5267)
- [119-hres-719: Honoring the life and legacy of Charles Charlie James Kirk.](https://policyrisk.com/legislation/119-hres-719)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-4002 (as of 2026-04-21).