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A bill to amend title XVIII of the Social Security Act to revise certain physician self-referral exemptions relating to physician-owned hospitals.
To amend title XVIII of the Social Security Act to revise certain physician self-referral exemptions relating to physician-owned hospitals.
Summary
This bill amends Medicare law to revise physician self-referral restrictions related to physician-owned hospitals. It creates an exemption for "covered rural hospitals"—hospitals located in rural areas that meet certain Medicare eligibility criteria—exempting them from certain self-referral restrictions. The bill also removes existing prohibitions on the expansion of physician-owned hospitals, allowing them to expand their facilities and services. These changes aim to increase physician-owned healthcare access in rural areas.
AI-generated plain-language summary of the bill text — neutral, and may be imperfect. See the full text below for the exact wording.
Sponsor (1)
- Sen. Lankford, James [R-OK] (R-OK)
9 cosponsors
- Sen. Barrasso, John [R-WY] (R-WY)
- Sen. Boozman, John [R-AR] (R-AR)
- Sen. Budd, Ted [R-NC] (R-NC)
- Sen. Cassidy, Bill [R-LA] (R-LA)
- Sen. Cornyn, John [R-TX] (R-TX)
- Sen. Justice, James C. [R-WV] (R-WV)
- Sen. Marshall, Roger [R-KS] (R-KS)
- Sen. Mullin, Markwayne [R-OK] (R-OK)
- Sen. Tillis, Thomas [R-NC] (R-NC)
Actions (2)
- Apr 9, 2025 Read twice and referred to the Committee on Finance. · senate
- Apr 9, 2025 Introduced in Senate
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Full text
IN THE SENATE OF THE UNITED STATES
April 9, 2025
Mr. Lankford (for himself, Mr. Marshall, Mr. Cassidy, Mr. Tillis, Mr. Cornyn, Mr. Mullin, Mr. Boozman, Mr. Barrasso, and Mr. Budd) introduced the following bill; which was read twice and referred to the Committee on Finance
A BILL
To amend title XVIII of the Social Security Act to revise certain physician self-referral exemptions relating to physician-owned hospitals.
Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the “Physician Led and Rural Access to Quality Care Act”.
SEC. 2. REVISING CERTAIN PHYSICIAN SELF-REFERRAL EXEMPTIONS RELATING TO PHYSICIAN-OWNED HOSPITALS.
(a) In General.—Section 1877 of the Social Security Act (42 U.S.C. 1395nn) is amended—
(1) in subsection (d)—
(A) in paragraph (2)(C), by inserting “(other than a covered rural hospital (as defined in subsection
(h)))” after “a hospital”; and
(B) in paragraph (3)(D), by inserting “in the case of a hospital other than a covered rural hospital (as defined in subsection (h)),” before “the hospital”; and
(2) in subsection (h), by adding at the end the following new paragraph:
“(8) Covered rural hospital.—
“(A) In general.—The term ‘covered rural hospital’ means a hospital that—
“(i) is located in a rural area (as defined in section 1886(d)(2)(D)); and
“(ii) as of the date that such hospital enrolls under this title, meets the criteria described in clause (i)(I) of section 1820(c)(2)(B).
“(B) Clarification.—Nothing in this paragraph shall be interpreted as requiring a covered rural hospital to meet any other criteria under section 1820(c)(2)(B).”.
(b) Allowing for Expansion of Existing Physician-Owned Hospitals.— Section 1877(i) of the Social Security Act (42 U.S.C. 1395nn(i)) is amended—
(1) in paragraph (1)(B), by striking “in paragraph (3)” and inserting “in paragraph (3) or (7)”; and
(2) by adding at the end the following new paragraph:
“(7) Sunset of expansion prohibition.—The requirement described in paragraph (1)(B) shall not apply beginning on the date of the enactment of this paragraph.”. <all>
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