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H.R. 3878
U.S. House•In House Committee
Summary
H.R. 3878, the RNs for Rural Health Act of 2025, was introduced in the House on Jun 10, 2025 by Rep. Ashley Hinson (R) with 5 co-sponsors. It was referred to Energy And Commerce, and last saw action on Jun 10, 2025: Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Record
Text
H.R. 3878 has 5 co-sponsors.
hr3878/introduced-in-house.txt119 HR 3878 IH: RNs for Rural Health Act of 2025U.S. House of Representatives2025-06-10text/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. 3878 IN THE HOUSE OF REPRESENTATIVES June 10, 2025 Mrs. Hinson (for herself and Ms. Scholten ) introduced the following bill; which was referred to the Committee on Energy and Commerce , and in addition to the Committee on Ways and Means , for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned A BILLTo amend title XVIII of the Social Security Act to ensure adequate coverage of annual wellness visits at rural health clinics under the Medicare program.1.Short titleThis Act may be cited as the RNs for Rural Health Act of 2025 .2.Ensuring adequate coverage of outpatient annual wellness visits at rural health clinics under the Medicare program(a)In generalSection 1861(aa)(1) of the Social Security Act ( 42 U.S.C. 1395x(aa)(1) ) is amended—(1)in subparagraph (C), by striking and at the end;(2)in subparagraph (D), by adding and at the end; and(3)by inserting after subparagraph (D) the following:(E)personalized prevention plan services (as defined in section 1861(hhh)(1)) if furnished by a registered nurse who is licensed to practice nursing in the State in which such services are performed and such services and supplies furnished as an incident to such services as would otherwise be covered if furnished by a physician or as an incident to a physician’s service,.(b)Effective dateThe amendments made by subsection (a) shall apply with respect to items and services furnished on or after the date of the enactment of this Act.
Tracker
The tracker indicates the progress of this legislation as it moves through the legislative process.
- Introduced2025-06-10
- Passed House
- Passed Senate
- Conference
- To President
- Became Law
To amend title XVIII of the Social Security Act to ensure adequate coverage of annual wellness visits at rural health clinics under the Medicare program.
Sponsors
Rep. Ashley Hinson (R) sponsors H.R. 3878, and 5 members have co-sponsored it, 1 of them from the day it was introduced.

Rep. · R–IA-2 · Sponsor
Introduced Jun 10, 2025

Rep. · D–MI-3 · Co-sponsor
Joined Jun 10, 2025 · Original

Rep. · R–MN-1 · Co-sponsor
Joined Jul 10, 2025

Rep. · D–VA-7 · Co-sponsor
Joined Sep 26, 2025

Rep. · D–MN-2 · Co-sponsor
Joined Sep 30, 2025

Rep. · D–CA-18 · Co-sponsor
Joined May 7, 2026
Committees
H.R. 3878 went before 2 committees: Ways and Means and Energy and Commerce.
Actions
H.R. 3878 has taken 2 actions since Jun 10, 2025.
| Chamber | Action | |||
|---|---|---|---|---|
Jun 10, 2025 | House | Introduced in House | ||
Jun 10, 2025 | House | Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.Energy and Commerce Committee |
Votes
H.R. 3878 has not gone to a roll call.
Titles
H.R. 3878 goes by 3 titles, 1 of them short titles.
- RNs for Rural Health Act of 2025 — Display Title
- RNs for Rural Health Act of 2025 — Short Title(s) as Introduced
- To amend title XVIII of the Social Security Act to ensure adequate coverage of annual wellness visits at rural health clinics under the Medicare program. — Official Title as Introduced
Lobbying
2 clients hired 2 firms and 32 registered lobbyists who named H.R. 3878 in 13 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 Budget/Appropriations, Health Issues, Medicare/Medicaid, Education, Immigration, Taxation/Internal Revenue Code, Indian/Native American Affairs, Veterans.
Clients
Who paid to be heard, by how many filings named the bill.
| Client | Business | State | Firms | Filings | Reported |
|---|---|---|---|---|---|
| AMERICAN MEDICAL ASSOCIATION | — | District of Columbia | 1 | 7 | — |
| NATIONAL ASSOCIATION OF RURAL HEALTH CLINICS | — | Michigan | 1 | 6 | $600K |
Firms
Registrants who filed on the bill, by filings.
| Registrant | Clients | Filings | Reported |
|---|---|---|---|
| AMERICAN MEDICAL ASSOCIATION | 1 | 7 | — |
| CAPITOL ASSOCIATES, INC. | 1 | 6 | $600K |
Lobbyists
Named on the filings that cite the bill. The 20 named most often, of 32.
| Lobbyist | Firms | Clients | Filings |
|---|---|---|---|
| ALEXIS PIERCE | 1 | 1 | 7 |
| ANDREW WANKUM | 1 | 1 | 7 |
| ASHLEY DELOSH | 1 | 1 | 7 |
| BRYAN HULL | 1 | 1 | 7 |
| CHRISTOPHER SHERIN | 1 | 1 | 7 |
| DANA LICHTENBERG | 1 | 1 | 7 |
| JASON MARINO | 1 | 1 | 7 |
| JEFFREY COUGHLIN | 1 | 1 | 7 |
| KATHERINE DAPPER | 1 | 1 | 7 |
| KORYN RUBIN | 1 | 1 | 7 |
| LINDSEY BRILL | 1 | 1 | 7 |
| LISA MYERS | 1 | 1 | 7 |
| MARGARET GARIKES | 1 | 1 | 7 |
| MATTHEW REID | 1 | 1 | 7 |
| PHILIP LYNCH | 1 | 1 | 7 |
| ROBERT REDDING | 1 | 1 | 7 |
| SANDRA MARKS | 1 | 1 | 7 |
| SHANNON CURTIS | 1 | 1 | 7 |
| SUZANNE JOY | 1 | 1 | 7 |
| TODD ASKEW | 1 | 1 | 7 |
Filings
The documents themselves, on the Senate’s Lobbying Disclosure site, largest reported first.
| Client | Registrant | Period | Reported | Document |
|---|---|---|---|---|
| AMERICAN MEDICAL ASSOCIATION | AMERICAN MEDICAL ASSOCIATION | 2026 first_quarter | $8M | 1st Quarter - Amendme… |
| AMERICAN MEDICAL ASSOCIATION | AMERICAN MEDICAL ASSOCIATION | 2026 first_quarter | $8M | 1st Quarter - Report |
| AMERICAN MEDICAL ASSOCIATION | AMERICAN MEDICAL ASSOCIATION | 2025 fourth_quarter | $5.5M | 4th Quarter - Report |
| AMERICAN MEDICAL ASSOCIATION | AMERICAN MEDICAL ASSOCIATION | 2026 second_quarter | $5.1M | 2nd Quarter - Amendme… |
| AMERICAN MEDICAL ASSOCIATION | AMERICAN MEDICAL ASSOCIATION | 2025 second_quarter | $5M | 2nd Quarter - Report |
| AMERICAN MEDICAL ASSOCIATION | AMERICAN MEDICAL ASSOCIATION | 2025 third_quarter | $4.6M | 3rd Quarter - Report |
| AMERICAN MEDICAL ASSOCIATION | AMERICAN MEDICAL ASSOCIATION | 2026 second_quarter | $513K | 2nd Quarter - Report |
| NATIONAL ASSOCIATION OF RURAL HEALTH CLINICS | CAPITOL ASSOCIATES, INC. | 2026 second_quarter | $100K | 2nd Quarter - Report |
| NATIONAL ASSOCIATION OF RURAL HEALTH CLINICS | CAPITOL ASSOCIATES, INC. | 2026 first_quarter | $100K | 1st Quarter - Amendme… |
| NATIONAL ASSOCIATION OF RURAL HEALTH CLINICS | CAPITOL ASSOCIATES, INC. | 2026 first_quarter | $100K | 1st Quarter - Report |
| NATIONAL ASSOCIATION OF RURAL HEALTH CLINICS | CAPITOL ASSOCIATES, INC. | 2025 fourth_quarter | $100K | 4th Quarter - Report |
| NATIONAL ASSOCIATION OF RURAL HEALTH CLINICS | CAPITOL ASSOCIATES, INC. | 2025 third_quarter | $100K | 3rd Quarter - Report |
| NATIONAL ASSOCIATION OF RURAL HEALTH CLINICS | CAPITOL ASSOCIATES, INC. | 2025 second_quarter | $100K | 2nd Quarter - Report |
Classification
The Congressional Research Service files H.R. 3878 under Health, one of its 31 policy areas.
CRS Subjects
CRS assigns every bill one policy area from its 31; H.R. 3878’s is Health.
hr3878/policy-areas.txtConstitutional authority
The clause the sponsor cites as Congress’s power to enact H.R. 3878, as entered in the Congressional Record.
[Congressional Record Volume 171, Number 99 (Tuesday, June 10, 2025)][House]From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]By Mrs. HINSON:H.R. 3878.Congress has the power to enact this legislation pursuantto the following:Article I, Section 8, Clause 18[Page H2616]
Source: congress.gov · legiscan.com