- H.R. 10171August 27, 2026
- H.R. 10156August 27, 2026
- H.R. 10172August 27, 2026
- H.R. 10160August 27, 2026
- H.R. 10181August 27, 2026
- H.R. 10176August 27, 2026
- H.Res. 1496August 27, 2026
- H.R. 10164August 27, 2026
- H.R. 10170August 27, 2026
- H.Res. 1494August 27, 2026
- H.R. 10163August 27, 2026
- H.R. 10157August 27, 2026
- Administration
- Agriculture
- Agriculture, Nutrition, And Forestry
- Appropriations
- Armed Services
- Banking, Housing, And Urban Affairs
- Budget
- Commerce, Science, And Transportation
- Education and Workforce
- Energy And Commerce
- Energy And Natural Resources
- Environment And Public Works
- Ethics
- Finance
- Financial Services
- Foreign Affairs
- Foreign Relations
- Health, Education, Labor, And Pensions
- Homeland Security
- Homeland Security And Governmental Affa…
- Indian Affairs
- Indian and Insular Affairs
- Intelligence
- Judiciary
- Natural Resources
- Oversight And Government Reform
- Permanent Select Intelligence
- Rules
- Rules And Administration
- Science, Space, And Technology
- Select Intelligence
- Small Business
- Small Business And Entrepreneurship
- Subcommittee on Aviation
- Subcommittee on Border Security and Enf…
- Subcommittee on Coast Guard and Maritim…
- Subcommittee on Commodity Markets, Digi…
- Subcommittee on Conservation, Research,…
- Subcommittee on Counterterrorism and In…
- Subcommittee on Cybersecurity and Infra…
- Subcommittee on Disability Assistance a…
- Subcommittee on Economic Development, P…
- Subcommittee on Economic Opportunity
- Subcommittee on Emergency Management an…
- Subcommittee on Energy and Mineral Reso…
- Subcommittee on Federal Lands
- Subcommittee on Forestry and Horticultu…
- Subcommittee on General Farm Commoditie…
- Subcommittee on Health
- Subcommittee on Highways and Transit
- Subcommittee on Livestock, Dairy, and P…
- Subcommittee on Nutrition and Foreign A…
- Subcommittee on Oversight and Investiga…
- Subcommittee on Oversight, Investigatio…
- Subcommittee on Railroads, Pipelines, a…
- Subcommittee on Transportation and Mari…
- Subcommittee on Water Resources and Env…
- Subcommittee on Water, Wildlife and Fis…
- Transportation And Infrastructure
- Veterans' Affairs
- Ways And Means

H.R. 538
U.S. House•In 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.txt119 HR 538 IH: Critical Access Hospital Relief Act of 2025U.S. House of Representatives2025-01-16text/xmlENPursuant 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 BILLTo amend title XVIII of the Social Security Act to remove the 96-hour physician certification requirement for inpatient critical access hospital services.1.Short titleThis 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 generalSection 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)ApplicationThe 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.
- Introduced2025-01-16
- Passed House
- Passed Senate
- Conference
- To President
- 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.mdShown 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.
Actions
H.R. 538 has taken 2 actions since Jan 16, 2025.
| Chamber | Action | |||
|---|---|---|---|---|
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.
| Client | Business | State | Firms | Filings | Reported |
|---|---|---|---|---|---|
| AMERICA'S HEALTH INSURANCE PLANS INC (AHIP) | — | District of Columbia | 1 | 6 | — |
| CALIFORNIA HOSPITAL ASSOCIATION | — | California | 1 | 6 | — |
| SOCIETY OF HOSPITAL MEDICINE | Organization representing hospitalists and the practice of hospital medicine | Pennsylvania | 1 | 5 | $200K |
| CHARTERCARE HEALTH OF RI (FORRMERLY KNOWN AS CHARTERCARE HEALTH PARTNERS) | healthcare | Rhode Island | 1 | 5 | $100K |
| TRINITY HEALTH | — | Michigan | 1 | 4 | — |
| AMERICAN HOSPITAL ASSOCIATION | — | District of Columbia | 1 | 1 | — |
| HEALTHCARE ASSOCIATION OF NYS | — | New York | 1 | 1 | — |
| HOSPITAL & HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA | — | Pennsylvania | 1 | 1 | — |
Firms
Registrants who filed on the bill, by filings.
| Registrant | Clients | Filings | Reported |
|---|---|---|---|
| AMERICA'S HEALTH INSURANCE PLANS, INC. (AHIP) | 1 | 6 | — |
| CALIFORNIA HOSPITAL ASSOCIATION | 1 | 6 | — |
| CAPITOL CITY GROUP, LTD. | 1 | 5 | $100K |
| CHAMBER HILL STRATEGIES | 1 | 5 | $200K |
| TRINITY HEALTH | 1 | 4 | — |
| AMERICAN HOSPITAL ASSOCIATION | 1 | 1 | — |
| HEALTHCARE ASSOCIATION OF NYS | 1 | 1 | — |
| THE HOSPITAL & HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA | 1 | 1 | — |
Lobbyists
Named on the filings that cite the bill. The 20 named most often, of 60.
| Lobbyist | Firms | Clients | Filings |
|---|---|---|---|
| ADAM BECK | 1 | 1 | 6 |
| ANDREW SHINE | 1 | 1 | 6 |
| ANNA DUNBAR-HESTER | 1 | 1 | 6 |
| ANNE O'ROURKE | 1 | 1 | 6 |
| ANTHONY MITCHELL | 1 | 1 | 6 |
| ARON GRIFFIN | 1 | 1 | 6 |
| GARY BECK | 1 | 1 | 6 |
| JEANETTE THORNTON | 1 | 1 | 6 |
| MARK HAMELBURG | 1 | 1 | 6 |
| MICHAEL TUFFIN | 1 | 1 | 6 |
| SEAN DICKSON | 1 | 1 | 6 |
| SEAN DUGAN | 1 | 1 | 6 |
| SHANE HAND | 1 | 1 | 6 |
| SOHINI GUPTA | 1 | 1 | 6 |
| CHRISTOPHER VITALE | 1 | 1 | 5 |
| GERALD HARRINGTON | 1 | 1 | 5 |
| JENNIFER BELL | 1 | 1 | 5 |
| KELLEY SCHULTZ | 1 | 1 | 5 |
| ZACHARY SCHULZ | 1 | 1 | 5 |
| JENNIFER HOLLAND | 1 | 1 | 4 |
Filings
The documents themselves, on the Senate’s Lobbying Disclosure site, largest reported first.
| Client | Registrant | Period | Reported | Document |
|---|---|---|---|---|
| AMERICAN HOSPITAL ASSOCIATION | AMERICAN HOSPITAL ASSOCIATION | 2025 second_quarter | $6.2M | 2nd Quarter - Report |
| AMERICA'S HEALTH INSURANCE PLANS INC (AHIP) | AMERICA'S HEALTH INSURANCE PLANS, INC. (AHIP) | 2026 first_quarter | $5.3M | 1st Quarter - Report |
| AMERICA'S HEALTH INSURANCE PLANS INC (AHIP) | AMERICA'S HEALTH INSURANCE PLANS, INC. (AHIP) | 2025 first_quarter | $4.8M | 1st Quarter - Report |
| AMERICA'S HEALTH INSURANCE PLANS INC (AHIP) | AMERICA'S HEALTH INSURANCE PLANS, INC. (AHIP) | 2025 third_quarter | $4.2M | 3rd Quarter - Report |
| AMERICA'S HEALTH INSURANCE PLANS INC (AHIP) | AMERICA'S HEALTH INSURANCE PLANS, INC. (AHIP) | 2025 fourth_quarter | $4.1M | 4th Quarter - Report |
| AMERICA'S HEALTH INSURANCE PLANS INC (AHIP) | AMERICA'S HEALTH INSURANCE PLANS, INC. (AHIP) | 2025 second_quarter | $4.1M | 2nd Quarter - Report |
| AMERICA'S HEALTH INSURANCE PLANS INC (AHIP) | AMERICA'S HEALTH INSURANCE PLANS, INC. (AHIP) | 2026 second_quarter | $3M | 2nd Quarter - Report |
| CALIFORNIA HOSPITAL ASSOCIATION | CALIFORNIA HOSPITAL ASSOCIATION | 2025 third_quarter | $730K | 3rd Quarter - Report |
| CALIFORNIA HOSPITAL ASSOCIATION | CALIFORNIA HOSPITAL ASSOCIATION | 2025 fourth_quarter | $520K | 4th Quarter - Report |
| CALIFORNIA HOSPITAL ASSOCIATION | CALIFORNIA HOSPITAL ASSOCIATION | 2026 first_quarter | $500K | 1st Quarter - Report |
| CALIFORNIA HOSPITAL ASSOCIATION | CALIFORNIA HOSPITAL ASSOCIATION | 2025 second_quarter | $490K | 2nd Quarter - Report |
| CALIFORNIA HOSPITAL ASSOCIATION | CALIFORNIA HOSPITAL ASSOCIATION | 2025 first_quarter | $490K | 1st Quarter - Report |
| CALIFORNIA HOSPITAL ASSOCIATION | CALIFORNIA HOSPITAL ASSOCIATION | 2026 second_quarter | $410K | 2nd Quarter - Report |
| TRINITY HEALTH | TRINITY HEALTH | 2026 second_quarter | $240K | 2nd Quarter - Report |
| TRINITY HEALTH | TRINITY HEALTH | 2026 first_quarter | $240K | 1st Quarter - Report |
| TRINITY HEALTH | TRINITY HEALTH | 2025 fourth_quarter | $240K | 4th Quarter - Report |
| TRINITY HEALTH | TRINITY HEALTH | 2025 third_quarter | $240K | 3rd Quarter - Report |
| HEALTHCARE ASSOCIATION OF NYS | HEALTHCARE ASSOCIATION OF NYS | 2025 first_quarter | $140K | 1st Quarter - Report |
| HOSPITAL & HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA | THE HOSPITAL & HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA | 2026 second_quarter | $70K | 2nd Quarter - Report |
| SOCIETY OF HOSPITAL MEDICINE | CHAMBER HILL STRATEGIES | 2026 second_quarter | $40K | 2nd 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.txtLegislative Subjects
H.R. 538 carries 6 of CRS’s legislative subjects, from Health care coverage and access to Rural conditions and development.
hr538/subjects.txtSource: congress.gov · legiscan.com