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H.R. 538

U.S. HouseIn House Committee

Summary

H.R. 538, the Critical Access Hospital Relief Act of 2025, was introduced in the House on Jan 16, 2025 by Rep. Adrian Smith (R) with 2 co-sponsors. It was referred to Ways And Means, and last saw action on Jan 16, 2025: Referred to the House Committee on Ways and Means.


Record

Text

H.R. 538 has 2 co-sponsors.

hb538/introduced-in-house.txt
119 HR 538 IH: Critical Access Hospital Relief Act of 2025
U.S. House of Representatives
2025-01-16
text/xml
EN
Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.
I 119th CONGRESS 1st Session H. R. 538 IN THE HOUSE OF REPRESENTATIVES January 16, 2025 Mr. Smith of Nebraska (for himself and Ms. Sewell ) introduced the following bill; which was referred to the Committee on Ways and Means A BILL
To amend title XVIII of the Social Security Act to remove the 96-hour physician certification requirement for inpatient critical access hospital services.
1.
Short title
This Act may be cited as the Critical Access Hospital Relief Act of 2025 .
2.
Removing Medicare 96-hour physician certification requirement for inpatient critical access hospital services
(a)
In general
Section 1814(a) of the Social Security Act ( 42 U.S.C. 1395f(a) ) is amended—
(1)
in paragraph (6), by adding and at the end;
(2)
in paragraph (7), at the end of subparagraph (E), by striking ; and and inserting a period; and
(3)
by striking paragraph (8).
(b)
Application
The amendments made by subsection (a) shall apply with respect to items and services furnished on or after January 1, 2026.

Tracker

The tracker indicates the progress of this legislation as it moves through the legislative process.

  1. Introduced2025-01-16
  2. Passed House
  3. Passed Senate
  4. Conference
  5. To President
  6. Became Law

CRS Summary

The summaries are the Congressional Research Service’s, one per stage. Read them in full.

Introduced in House Jan 16, 2025

hb538/introduced-in-house.md

Shown Here:
Introduced in House (01/16/2025)

Sponsors

Rep. Adrian Smith (R) sponsors H.R. 538, and 2 members have co-sponsored it, 1 of them from the day it was introduced.

Committees

H.R. 538 went before 1 committee: Ways and Means.

Ways and Means
Ways and Means
Referred To · Jan 16, 2025 · 1,160 Bills

Actions

H.R. 538 has taken 2 actions since Jan 16, 2025.

ChamberAction
Jan 16, 2025
House
Introduced in House
Jan 16, 2025
House
Referred to the House Committee on Ways and Means.Ways and Means Committee

Votes

H.R. 538 has not gone to a roll call.

Titles

H.R. 538 goes by 3 titles, 1 of them short titles.

  • Critical Access Hospital Relief Act of 2025 — Display Title
  • Critical Access Hospital Relief Act of 2025 — Short Title(s) as Introduced
  • To amend title XVIII of the Social Security Act to remove the 96-hour physician certification requirement for inpatient critical access hospital services. — Official Title as Introduced

Lobbying

8 clients hired 8 firms and 60 registered lobbyists who named H.R. 538 in 29 quarterly filings, 2025 to 2026. Reported under the Lobbying Disclosure Act; a filing’s income covers everything its registrant worked that quarter, so the amounts below are the filings’, not this bill’s.

Filed under Health Issues, Medicare/Medicaid, Budget/Appropriations, Pharmacy, Immigration, Taxation/Internal Revenue Code, Insurance, Education.

Clients

Who paid to be heard, by how many filings named the bill.

ClientBusinessStateFirmsFilingsReported
AMERICA'S HEALTH INSURANCE PLANS INC (AHIP)District of Columbia16
CALIFORNIA HOSPITAL ASSOCIATIONCalifornia16
SOCIETY OF HOSPITAL MEDICINEOrganization representing hospitalists and the practice of hospital medicinePennsylvania15$200K
CHARTERCARE HEALTH OF RI (FORRMERLY KNOWN AS CHARTERCARE HEALTH PARTNERS)healthcareRhode Island15$100K
TRINITY HEALTHMichigan14
AMERICAN HOSPITAL ASSOCIATIONDistrict of Columbia11
HEALTHCARE ASSOCIATION OF NYSNew York11
HOSPITAL & HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIAPennsylvania11

Firms

Registrants who filed on the bill, by filings.

Lobbyists

Named on the filings that cite the bill. The 20 named most often, of 60.

Filings

The documents themselves, on the Senate’s Lobbying Disclosure site, largest reported first.

ClientRegistrantPeriodReportedDocument
AMERICAN HOSPITAL ASSOCIATIONAMERICAN HOSPITAL ASSOCIATION2025 second_quarter$6.2M2nd Quarter - Report
AMERICA'S HEALTH INSURANCE PLANS INC (AHIP)AMERICA'S HEALTH INSURANCE PLANS, INC. (AHIP)2026 first_quarter$5.3M1st Quarter - Report
AMERICA'S HEALTH INSURANCE PLANS INC (AHIP)AMERICA'S HEALTH INSURANCE PLANS, INC. (AHIP)2025 first_quarter$4.8M1st Quarter - Report
AMERICA'S HEALTH INSURANCE PLANS INC (AHIP)AMERICA'S HEALTH INSURANCE PLANS, INC. (AHIP)2025 third_quarter$4.2M3rd Quarter - Report
AMERICA'S HEALTH INSURANCE PLANS INC (AHIP)AMERICA'S HEALTH INSURANCE PLANS, INC. (AHIP)2025 fourth_quarter$4.1M4th Quarter - Report
AMERICA'S HEALTH INSURANCE PLANS INC (AHIP)AMERICA'S HEALTH INSURANCE PLANS, INC. (AHIP)2025 second_quarter$4.1M2nd Quarter - Report
AMERICA'S HEALTH INSURANCE PLANS INC (AHIP)AMERICA'S HEALTH INSURANCE PLANS, INC. (AHIP)2026 second_quarter$3M2nd Quarter - Report
CALIFORNIA HOSPITAL ASSOCIATIONCALIFORNIA HOSPITAL ASSOCIATION2025 third_quarter$730K3rd Quarter - Report
CALIFORNIA HOSPITAL ASSOCIATIONCALIFORNIA HOSPITAL ASSOCIATION2025 fourth_quarter$520K4th Quarter - Report
CALIFORNIA HOSPITAL ASSOCIATIONCALIFORNIA HOSPITAL ASSOCIATION2026 first_quarter$500K1st Quarter - Report
CALIFORNIA HOSPITAL ASSOCIATIONCALIFORNIA HOSPITAL ASSOCIATION2025 second_quarter$490K2nd Quarter - Report
CALIFORNIA HOSPITAL ASSOCIATIONCALIFORNIA HOSPITAL ASSOCIATION2025 first_quarter$490K1st Quarter - Report
CALIFORNIA HOSPITAL ASSOCIATIONCALIFORNIA HOSPITAL ASSOCIATION2026 second_quarter$410K2nd Quarter - Report
TRINITY HEALTHTRINITY HEALTH2026 second_quarter$240K2nd Quarter - Report
TRINITY HEALTHTRINITY HEALTH2026 first_quarter$240K1st Quarter - Report
TRINITY HEALTHTRINITY HEALTH2025 fourth_quarter$240K4th Quarter - Report
TRINITY HEALTHTRINITY HEALTH2025 third_quarter$240K3rd Quarter - Report
HEALTHCARE ASSOCIATION OF NYSHEALTHCARE ASSOCIATION OF NYS2025 first_quarter$140K1st Quarter - Report
HOSPITAL & HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIATHE HOSPITAL & HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA2026 second_quarter$70K2nd Quarter - Report
SOCIETY OF HOSPITAL MEDICINECHAMBER HILL STRATEGIES2026 second_quarter$40K2nd Quarter - Report

Classification

The Congressional Research Service files H.R. 538 under Health, one of its 31 policy areas, and gives it 6 legislative subjects.

CRS Subjects

CRS assigns every bill one policy area from its 31; H.R. 538’s is Health.

hr538/policy-areas.txt
HealthAgriculture and FoodAnimalsArmed Forces and National SecurityArts, Culture, ReligionCivil Rights and Liberties, Minority IssuesCommerceCongressCrime and Law EnforcementEconomics and Public FinanceEducationEmergency ManagementEnergyEnvironmental ProtectionFamiliesFinance and Financial SectorForeign Trade and International FinanceGovernment Operations and PoliticsHousing and Community DevelopmentImmigrationInternational AffairsLabor and EmploymentLawNative AmericansPublic Lands and Natural ResourcesScience, Technology, CommunicationsSocial WelfareSports and RecreationTaxationTransportation and Public WorksWater Resources Development

Legislative Subjects

H.R. 538 carries 6 of CRS’s legislative subjects, from Health care coverage and access to Rural conditions and development.

hr538/subjects.txt
Health care coverage and accessHealth facilities and institutionsHealth personnelHospital careMedicareRural conditions and development

Source: congress.gov · legiscan.com