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H.R. 4204
U.S. House•In House Committee
Summary
H.R. 4204, the Medicare Patient Choice Act, was introduced in the House on Jun 26, 2025 by Rep. Lloyd Smucker (R) with 6 co-sponsors. It was referred to Ways And Means, and last saw action on Jun 26, 2025: Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, 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. 4204 has 6 co-sponsors.
hb4204/introduced-in-house.txt119 HR 4204 IH: Medicare Patient Choice ActU.S. House of Representatives2025-06-26text/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. 4204 IN THE HOUSE OF REPRESENTATIVES June 26, 2025 Mr. Smucker (for himself and Mr. Davis of North Carolina ) introduced the following bill; which was referred to the Committee on Ways and Means , and in addition to the Committee on Energy and Commerce , 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 allow Medicare beneficiaries to choose their physical and occupational therapists, speech-language pathologists, audiologists, and chiropractors.1.Short titleThis Act may be cited as the Medicare Patient Choice Act .2.Free choice of therapists for Medicare beneficiariesSection 1802(b) of the Social Security Act ( 42 U.S.C. 1395a(b) ) is amended—(1)in paragraph (1)—(A)in the matter preceding subparagraph (A), by striking physician or practitioner and inserting physician, practitioner, therapist, or qualified audiologist ; and(B)in subparagraph (B), in the matter preceding clause (i), by striking physician or practitioner and inserting physician, practitioner, therapist, or qualified audiologist ;(2)in paragraph (2)(B)—(A)in clause (i), by striking physician or practitioner and inserting physician, practitioner, therapist, or qualified audiologist ;(B)in clause (v), by striking physicians or practitioners and inserting physicians, practitioners, therapists, or qualified audiologists ; and(C)in the matter following clause (v), by striking physician or practitioner and inserting physician, practitioner, therapist, or qualified audiologist ;(3)in paragraph (3)—(A)in the heading, by strikingphysician or practitioner and insertingphysician, practitioner, therapist, or qualified audiologist ;(B)in subparagraph (A), by striking physician or practitioner and inserting physician, practitioner, therapist, or qualified audiologist ;(C)in subparagraph (B)—(i)in clause (i), by striking physician or practitioner each place it appears and inserting physician, practitioner, therapist, or qualified audiologist ; and(ii)in clause (ii), by striking physician or practitioner and inserting physician, practitioner, therapist, or qualified audiologist ;(D)in subparagraph (C)—(i)in the matter preceding clause (i), by striking physician or practitioner and inserting physician, practitioner, therapist, or qualified audiologist ;(ii)in clause (i), by striking physician or practitioner and inserting physician, practitioner, therapist, or qualified audiologist ; and(iii)in clause (ii), by striking physician or practitioner and inserting physician, practitioner, therapist, or qualified audiologist ; and(E)in subparagraph (D), by striking physician or practitioner each place it appears and inserting physician, practitioner, therapist, or qualified audiologist ;(4)in paragraph (5)—(A)in the heading, by strikingphysicians and practitioners and insertingphysicians, practitioners, therapists, and qualified audiologists ;(B)in subparagraph (A), by striking physicians and practitioners and inserting physicians, practitioners, therapists, and qualified audiologists ; and(C)in subparagraph (B)—(i)in the manner preceding clause (i), by striking physicians and practitioners and inserting physicians, practitioners, therapists, and qualified audiologists ;(ii)in clause (iv), by striking physicians and practitioners and inserting physicians, practitioners, therapists, and qualified audiologists ; and(iii)in clause (v), by striking physicians and practitioners and inserting physicians, practitioners, therapists, and qualified audiologists ; and(5)in paragraph (6)—(A)in subparagraph (B), by striking paragraphs (1), (2), (3), and (4) of ;(B)in subparagraph (D)—(i)in the heading, by strikingphysician or practitioner and insertingphysician, practitioner, therapist, or qualified audiologist ; and(ii)by striking physician or practitioner each place it appears and inserting physician, practitioner, therapist, or qualified audiologist ; and(C)by adding at the end the following:(E)TherapistThe term therapist means a qualified physical therapist (as such term is used in section 1861(p)), a qualified occupational therapist (as such term is used in 1861(g)), or a qualified speech-language pathologist (as defined in 1861(ll)(4)(A)).(F)Qualified audiologistThe term qualified audiologist has the meaning given such term in section 1861(ll)(4)(B)..
Tracker
The tracker indicates the progress of this legislation as it moves through the legislative process.
- Introduced2025-06-26
- Passed House
- Passed Senate
- Conference
- To President
- Became Law
To amend title XVIII of the Social Security Act to allow Medicare beneficiaries to choose their physical and occupational therapists, speech-language pathologists, audiologists, and chiropractors.
Sponsors
Rep. Lloyd Smucker (R) sponsors H.R. 4204, and 6 members have co-sponsored it, 1 of them from the day it was introduced.

Rep. · R–PA-11 · Sponsor
Introduced Jun 26, 2025

Rep. · D–NC-1 · Co-sponsor
Joined Jun 26, 2025 · Original

Rep. · R–OK-1 · Co-sponsor
Joined Jul 15, 2025

Rep. · D–LA-6 · Co-sponsor
Joined Aug 8, 2025

Rep. · D–DC-0 · Co-sponsor
Joined Aug 29, 2025

Rep. · R–WI-6 · Co-sponsor
Joined Dec 1, 2025

Rep. · R–PA-16 · Co-sponsor
Joined Mar 27, 2026
Committees
H.R. 4204 went before 2 committees: Energy and Commerce and Ways and Means.
Actions
H.R. 4204 has taken 2 actions since Jun 26, 2025.
| Chamber | Action | |||
|---|---|---|---|---|
Jun 26, 2025 | House | Introduced in House | ||
Jun 26, 2025 | House | Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, 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.Ways and Means Committee |
Votes
H.R. 4204 has not gone to a roll call.
Titles
H.R. 4204 goes by 3 titles, 1 of them short titles.
- Medicare Patient Choice Act — Display Title
- Medicare Patient Choice Act — Short Title(s) as Introduced
- To amend title XVIII of the Social Security Act to allow Medicare beneficiaries to choose their physical and occupational therapists, speech-language pathologists, audiologists, and chiropractors. — Official Title as Introduced
Lobbying
7 clients hired 7 firms and 31 registered lobbyists who named H.R. 4204 in 32 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 Medicare/Medicaid, Health Issues, Education, Defense, Veterans, Medical/Disease Research/Clinical Labs, Budget/Appropriations, Law Enforcement/Crime/Criminal Justice.
Clients
Who paid to be heard, by how many filings named the bill.
| Client | Business | State | Firms | Filings | Reported |
|---|---|---|---|---|---|
| AMERICAN PHYSICAL THERAPY ASSOCIATION | healthcare association | Virginia | 1 | 7 | — |
| THE AMERICAN OCCUPATIONAL THERAPY ASSOCIATION, INC. (AOTA) | — | Maryland | 1 | 6 | — |
| APTA PRIVATE PRACTICE | Association representing physical therapists in business. | Virginia | 1 | 5 | $100K |
| AMERICAN CHIROPRACTIC ASSOCIATION | — | Virginia | 1 | 5 | — |
| AMERICAN SOCIETY OF HAND THERAPISTS | Organization of licensed therapists specializing in upper extremity treatments. | New Jersey | 1 | 4 | $80K |
| AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION | — | Maryland | 1 | 4 | — |
| THE SOCIETY OF THORACIC SURGEONS | — | District of Columbia | 1 | 1 | — |
Firms
Registrants who filed on the bill, by filings.
Lobbyists
Named on the filings that cite the bill. The 20 named most often, of 31.
| Lobbyist | Firms | Clients | Filings |
|---|---|---|---|
| AARON BISHOP | 1 | 1 | 7 |
| ANDREW AMARI | 1 | 1 | 7 |
| BRIAN ALLEN | 1 | 1 | 7 |
| JUSTIN ELLIOTT | 1 | 1 | 7 |
| JUSTIN MOORE | 1 | 1 | 7 |
| MICHAEL MATLACK | 1 | 1 | 7 |
| RACHEL MILLER | 1 | 1 | 7 |
| STEVE KLINE | 1 | 1 | 7 |
| ABRAHAM SAFFER | 1 | 1 | 6 |
| ANDREW BOPP | 1 | 1 | 6 |
| HEATHER PARSONS | 1 | 1 | 6 |
| RYAN YEAGER | 1 | 1 | 6 |
| JOHN FALARDEAU | 1 | 1 | 5 |
| KELLY DELMORE | 1 | 1 | 5 |
| MONICA MASSARO | 1 | 1 | 5 |
| CAROLINE BERGNER | 1 | 1 | 4 |
| ERIC MASTEN | 1 | 1 | 4 |
| INOKA TENNAKOON | 1 | 1 | 4 |
| JAMES FLEISCHMANN | 1 | 1 | 4 |
| JERRY WHITE | 1 | 1 | 4 |
Filings
The documents themselves, on the Senate’s Lobbying Disclosure site, largest reported first.
| Client | Registrant | Period | Reported | Document |
|---|---|---|---|---|
| AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION | AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION | 2025 fourth_quarter | $400K | 4th Quarter - Report |
| AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION | AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION | 2026 first_quarter | $360K | 1st Quarter - Report |
| THE SOCIETY OF THORACIC SURGEONS | THE SOCIETY OF THORACIC SURGEONS | 2026 first_quarter | $333.6K | 1st Quarter - Report |
| AMERICAN PHYSICAL THERAPY ASSOCIATION | AMERICAN PHYSICAL THERAPY ASSOCIATION | 2025 third_quarter | $318.9K | 3rd Quarter - Report |
| AMERICAN PHYSICAL THERAPY ASSOCIATION | AMERICAN PHYSICAL THERAPY ASSOCIATION | 2025 second_quarter | $318.9K | 2nd Quarter - Amendme… |
| AMERICAN PHYSICAL THERAPY ASSOCIATION | AMERICAN PHYSICAL THERAPY ASSOCIATION | 2026 second_quarter | $312.7K | 2nd Quarter - Report |
| AMERICAN PHYSICAL THERAPY ASSOCIATION | AMERICAN PHYSICAL THERAPY ASSOCIATION | 2026 first_quarter | $312.7K | 1st Quarter - Amendme… |
| AMERICAN PHYSICAL THERAPY ASSOCIATION | AMERICAN PHYSICAL THERAPY ASSOCIATION | 2026 first_quarter | $301.4K | 1st Quarter - Report |
| AMERICAN PHYSICAL THERAPY ASSOCIATION | AMERICAN PHYSICAL THERAPY ASSOCIATION | 2025 fourth_quarter | $301.4K | 4th Quarter - Report |
| AMERICAN PHYSICAL THERAPY ASSOCIATION | AMERICAN PHYSICAL THERAPY ASSOCIATION | 2025 second_quarter | $301.4K | 2nd Quarter - Report |
| AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION | AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION | 2025 third_quarter | $290K | 3rd Quarter - Report |
| AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION | AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION | 2026 second_quarter | $280K | 2nd Quarter - Report |
| THE AMERICAN OCCUPATIONAL THERAPY ASSOCIATION, INC. (AOTA) | THE AMERICAN OCCUPATIONAL THERAPY ASSOCIATION, INC. (AOTA) | 2026 second_quarter | $189K | 2nd Quarter - Report |
| THE AMERICAN OCCUPATIONAL THERAPY ASSOCIATION, INC. (AOTA) | THE AMERICAN OCCUPATIONAL THERAPY ASSOCIATION, INC. (AOTA) | 2026 first_quarter | $189K | 1st Quarter - Report |
| THE AMERICAN OCCUPATIONAL THERAPY ASSOCIATION, INC. (AOTA) | THE AMERICAN OCCUPATIONAL THERAPY ASSOCIATION, INC. (AOTA) | 2025 fourth_quarter | $189K | 4th Quarter - Report |
| THE AMERICAN OCCUPATIONAL THERAPY ASSOCIATION, INC. (AOTA) | THE AMERICAN OCCUPATIONAL THERAPY ASSOCIATION, INC. (AOTA) | 2025 third_quarter | $189K | 3rd Quarter - Amendme… |
| THE AMERICAN OCCUPATIONAL THERAPY ASSOCIATION, INC. (AOTA) | THE AMERICAN OCCUPATIONAL THERAPY ASSOCIATION, INC. (AOTA) | 2025 third_quarter | $189K | 3rd Quarter - Report |
| THE AMERICAN OCCUPATIONAL THERAPY ASSOCIATION, INC. (AOTA) | THE AMERICAN OCCUPATIONAL THERAPY ASSOCIATION, INC. (AOTA) | 2025 second_quarter | $189K | 2nd Quarter - Report |
| AMERICAN CHIROPRACTIC ASSOCIATION | AMERICAN CHIROPRACTIC ASSOCIATION | 2026 second_quarter | $63K | 2nd Quarter - Report |
| AMERICAN CHIROPRACTIC ASSOCIATION | AMERICAN CHIROPRACTIC ASSOCIATION | 2026 first_quarter | $63K | 1st Quarter - Report |
Classification
The Congressional Research Service files H.R. 4204 under Health, one of its 31 policy areas.
CRS Subjects
CRS assigns every bill one policy area from its 31; H.R. 4204’s is Health.
hr4204/policy-areas.txtConstitutional authority
The clause the sponsor cites as Congress’s power to enact H.R. 4204, as entered in the Congressional Record.
[Congressional Record Volume 171, Number 110 (Thursday, June 26, 2025)][House]From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]By Mr. SMUCKER:H.R. 4204.Congress has the power to enact this legislation pursuantto the following:Article I, Section VIII of the U.S. Constitution[Page H3012]
Source: congress.gov · legiscan.com