HR2191119th CongressWALLET

Physician Led and Rural Access to Quality Care Act

Sponsored By: Representative Griffith, H. Morgan [R-VA-9]

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.

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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, H. Morgan [R-VA-9]

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

  • Rep. Correa, J. Luis [D-CA-46]

    CA • D

    Sponsored 3/18/2025

  • Balderson

    OH • R

    Sponsored 3/18/2025

  • Rep. Valadao, David G. [R-CA-22]

    CA • R

    Sponsored 3/18/2025

  • Pfluger

    TX • R

    Sponsored 3/18/2025

  • Rep. Dunn, Neal P. [R-FL-2]

    FL • R

    Sponsored 3/18/2025

  • Davis (NC)

    NC • D

    Sponsored 3/18/2025

  • Rep. Yakym, Rudy [R-IN-2]

    IN • R

    Sponsored 3/18/2025

  • Rep. Weber, Randy K. Sr. [R-TX-14]

    TX • R

    Sponsored 3/18/2025

  • Rep. Miller-Meeks, Mariannette [R-IA-1]

    IA • R

    Sponsored 3/18/2025

  • Rep. Scott, Austin [R-GA-8]

    GA • R

    Sponsored 3/18/2025

  • Rep. McCormick, Richard [R-GA-7]

    GA • R

    Sponsored 3/21/2025

  • Rep. Wilson, Joe [R-SC-2]

    SC • R

    Sponsored 3/24/2025

  • Rep. Harris, Andy [R-MD-1]

    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

  • Rep. Tokuda, Jill N. [D-HI-2]

    HI • D

    Sponsored 4/7/2025

  • Onder

    MO • R

    Sponsored 4/17/2025

  • Rep. Higgins, Clay [R-LA-3]

    LA • R

    Sponsored 4/17/2025

  • Rep. Bice, Stephanie I. [R-OK-5]

    OK • R

    Sponsored 5/13/2025

  • Spartz

    IN • R

    Sponsored 6/6/2025

  • Rep. Bera, Ami [D-CA-6]

    CA • D

    Sponsored 6/6/2025

  • Rep. Cloud, Michael [R-TX-27]

    TX • R

    Sponsored 7/14/2025

  • Rep. Johnson, Julie [D-TX-32]

    TX • D

    Sponsored 9/18/2025

  • Rep. Kennedy, Mike [R-UT-3]

    UT • R

    Sponsored 10/3/2025

  • Rep. Moran, Nathaniel [R-TX-1]

    TX • R

    Sponsored 10/3/2025

  • Rep. Smucker, Lloyd [R-PA-11]

    PA • R

    Sponsored 10/21/2025

  • Rep. Rulli, Michael A. [R-OH-6]

    OH • R

    Sponsored 11/17/2025

  • Rep. Carter, Earl L. "Buddy" [R-GA-1]

    GA • R

    Sponsored 11/19/2025

  • Rep. Owens, Burgess [R-UT-4]

    UT • R

    Sponsored 4/28/2026

Roll Call Votes

No roll call votes available for this bill.

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