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H.R. 4204

U.S. HouseIn 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.txt
119 HR 4204 IH: Medicare Patient Choice Act
U.S. House of Representatives
2025-06-26
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. 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 BILL
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.
1.
Short title
This Act may be cited as the Medicare Patient Choice Act .
2.
Free choice of therapists for Medicare beneficiaries
Section 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 striking
physician or practitioner and inserting
physician, 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 striking
physicians and practitioners and inserting
physicians, 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 striking
physician or practitioner and inserting
physician, 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)
Therapist
The 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 audiologist
The 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.

  1. Introduced2025-06-26
  2. Passed House
  3. Passed Senate
  4. Conference
  5. To President
  6. 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.

Committees

H.R. 4204 went before 2 committees: Energy and Commerce and Ways and Means.

Energy and Commerce
Energy and Commerce
Referred To · Jun 26, 2025 · 1,636 Bills
Ways and Means
Ways and Means
Referred To · Jun 26, 2025 · 1,160 Bills

Actions

H.R. 4204 has taken 2 actions since Jun 26, 2025.

ChamberAction
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.

ClientBusinessStateFirmsFilingsReported
AMERICAN PHYSICAL THERAPY ASSOCIATIONhealthcare associationVirginia17
THE AMERICAN OCCUPATIONAL THERAPY ASSOCIATION, INC. (AOTA)Maryland16
APTA PRIVATE PRACTICEAssociation representing physical therapists in business.Virginia15$100K
AMERICAN CHIROPRACTIC ASSOCIATIONVirginia15
AMERICAN SOCIETY OF HAND THERAPISTSOrganization of licensed therapists specializing in upper extremity treatments.New Jersey14$80K
AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATIONMaryland14
THE SOCIETY OF THORACIC SURGEONSDistrict of Columbia11

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.

Filings

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

ClientRegistrantPeriodReportedDocument
AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATIONAMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION2025 fourth_quarter$400K4th Quarter - Report
AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATIONAMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION2026 first_quarter$360K1st Quarter - Report
THE SOCIETY OF THORACIC SURGEONSTHE SOCIETY OF THORACIC SURGEONS2026 first_quarter$333.6K1st Quarter - Report
AMERICAN PHYSICAL THERAPY ASSOCIATIONAMERICAN PHYSICAL THERAPY ASSOCIATION2025 third_quarter$318.9K3rd Quarter - Report
AMERICAN PHYSICAL THERAPY ASSOCIATIONAMERICAN PHYSICAL THERAPY ASSOCIATION2025 second_quarter$318.9K2nd Quarter - Amendme…
AMERICAN PHYSICAL THERAPY ASSOCIATIONAMERICAN PHYSICAL THERAPY ASSOCIATION2026 second_quarter$312.7K2nd Quarter - Report
AMERICAN PHYSICAL THERAPY ASSOCIATIONAMERICAN PHYSICAL THERAPY ASSOCIATION2026 first_quarter$312.7K1st Quarter - Amendme…
AMERICAN PHYSICAL THERAPY ASSOCIATIONAMERICAN PHYSICAL THERAPY ASSOCIATION2026 first_quarter$301.4K1st Quarter - Report
AMERICAN PHYSICAL THERAPY ASSOCIATIONAMERICAN PHYSICAL THERAPY ASSOCIATION2025 fourth_quarter$301.4K4th Quarter - Report
AMERICAN PHYSICAL THERAPY ASSOCIATIONAMERICAN PHYSICAL THERAPY ASSOCIATION2025 second_quarter$301.4K2nd Quarter - Report
AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATIONAMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION2025 third_quarter$290K3rd Quarter - Report
AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATIONAMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION2026 second_quarter$280K2nd Quarter - Report
THE AMERICAN OCCUPATIONAL THERAPY ASSOCIATION, INC. (AOTA)THE AMERICAN OCCUPATIONAL THERAPY ASSOCIATION, INC. (AOTA)2026 second_quarter$189K2nd Quarter - Report
THE AMERICAN OCCUPATIONAL THERAPY ASSOCIATION, INC. (AOTA)THE AMERICAN OCCUPATIONAL THERAPY ASSOCIATION, INC. (AOTA)2026 first_quarter$189K1st Quarter - Report
THE AMERICAN OCCUPATIONAL THERAPY ASSOCIATION, INC. (AOTA)THE AMERICAN OCCUPATIONAL THERAPY ASSOCIATION, INC. (AOTA)2025 fourth_quarter$189K4th Quarter - Report
THE AMERICAN OCCUPATIONAL THERAPY ASSOCIATION, INC. (AOTA)THE AMERICAN OCCUPATIONAL THERAPY ASSOCIATION, INC. (AOTA)2025 third_quarter$189K3rd Quarter - Amendme…
THE AMERICAN OCCUPATIONAL THERAPY ASSOCIATION, INC. (AOTA)THE AMERICAN OCCUPATIONAL THERAPY ASSOCIATION, INC. (AOTA)2025 third_quarter$189K3rd Quarter - Report
THE AMERICAN OCCUPATIONAL THERAPY ASSOCIATION, INC. (AOTA)THE AMERICAN OCCUPATIONAL THERAPY ASSOCIATION, INC. (AOTA)2025 second_quarter$189K2nd Quarter - Report
AMERICAN CHIROPRACTIC ASSOCIATIONAMERICAN CHIROPRACTIC ASSOCIATION2026 second_quarter$63K2nd Quarter - Report
AMERICAN CHIROPRACTIC ASSOCIATIONAMERICAN CHIROPRACTIC ASSOCIATION2026 first_quarter$63K1st 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.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

Constitutional 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