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H.R. 4277
U.S. House•In House Committee
Summary
H.R. 4277, the Rural Emergency Hospital Financial Stability Act, was introduced in the House on Jul 2, 2025 by Rep. Donald Davis (D) with 1 co-sponsor. It was referred to Energy And Commerce, and last saw action on Jul 2, 2025: Referred to the House Committee on Energy and Commerce.
Record
Text
H.R. 4277 has 1 co-sponsor.
hb4277/introduced-in-house.txt119 HR 4277 IH: Rural Emergency Hospital Financial Stability ActU.S. House of Representatives2025-07-02text/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. 4277 IN THE HOUSE OF REPRESENTATIVES July 2, 2025 Mr. Davis of North Carolina (for himself and Mr. Bergman ) introduced the following bill; which was referred to the Committee on Energy and Commerce A BILLTo amend Title XIX of the Social Security Act to clarify that rural emergency hospitals are treated as outpatient hospitals for purposes of Medicaid payment, and for other purposes.1.Short titleThis Act may be cited as the Rural Emergency Hospital Financial Stability Act .2.Clarification of Medicaid payment for rural emergency hospitals(a)Amendment to Medicaid statuteParagraph (2)(A) of Section 1905(a) of the Social Security Act ( 42 U.S.C. 1396d(a) ) is amended by inserting the following after outpatient hospital services : (including rural emergency hospital services, as defined in section 1861(kkk), when such services are available), ;(b)Nursing facility amendmentParagraph (4)(A) of Section 1905(a) of the Social Security Act ( 42 U.S.C. 1396d(a) ) is amended by inserting but including services provided in a nursing facility that is a distinct part unit of a rural emergency hospital, as defined in section 1861(kkk)(2) after diseases .(c)Effective dateThe amendments made by this Act shall take effect on the date of enactment, and shall apply to services furnished on or after such date.3.RulemakingNot later than 12 months after the date of enactment of this Act, the Secretary of Health and Human Services shall issue final regulations to carry out the amendments made by this Act.
Tracker
The tracker indicates the progress of this legislation as it moves through the legislative process.
- Introduced2025-07-02
- Passed House
- Passed Senate
- Conference
- To President
- Became Law
To amend Title XIX of the Social Security Act to clarify that rural emergency hospitals are treated as outpatient hospitals for purposes of Medicaid payment, and for other purposes.
Sponsors
Rep. Donald Davis (D) sponsors H.R. 4277, and 1 member has co-sponsored it from the day it was introduced.
Committees
H.R. 4277 went before 1 committee: Energy and Commerce.
Actions
H.R. 4277 has taken 2 actions since Jul 2, 2025.
| Chamber | Action | |||
|---|---|---|---|---|
Jul 2, 2025 | House | Introduced in House | ||
Jul 2, 2025 | House | Referred to the House Committee on Energy and Commerce.Energy and Commerce Committee |
Votes
H.R. 4277 has not gone to a roll call.
Titles
H.R. 4277 goes by 3 titles, 1 of them short titles.
- To amend Title XIX of the Social Security Act to clarify that rural emergency hospitals are treated as outpatient hospitals for purposes of Medicaid payment, and for other purposes. — Official Title as Introduced
- Rural Emergency Hospital Financial Stability Act — Display Title
- Rural Emergency Hospital Financial Stability Act — Short Title(s) as Introduced
Lobbying
2 clients hired 2 firms and 19 registered lobbyists who named H.R. 4277 in 6 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, Insurance, Medicare/Medicaid, Pharmacy, Taxation/Internal Revenue Code.
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 | 4 | — |
| UNIVERSITY HEALTH SYSTEMS OF EASTERN CAROLINA, INC. D/B/A ECU HEALTH | Healthcare | North Carolina | 1 | 2 | — |
Firms
Registrants who filed on the bill, by filings.
| Registrant | Clients | Filings | Reported |
|---|---|---|---|
| AMERICA'S HEALTH INSURANCE PLANS, INC. (AHIP) | 1 | 4 | — |
| UNIVERSITY HEALTH SYSTEMS OF EASTERN CAROLINA, INC. D/B/A ECU HEALTH | 1 | 2 | — |
Lobbyists
Named on the filings that cite the bill.
| Lobbyist | Firms | Clients | Filings |
|---|---|---|---|
| ADAM BECK | 1 | 1 | 4 |
| ANDREW SHINE | 1 | 1 | 4 |
| ANNA DUNBAR-HESTER | 1 | 1 | 4 |
| ANTHONY MITCHELL | 1 | 1 | 4 |
| ARON GRIFFIN | 1 | 1 | 4 |
| GARY BECK | 1 | 1 | 4 |
| JEANETTE THORNTON | 1 | 1 | 4 |
| MARK HAMELBURG | 1 | 1 | 4 |
| MICHAEL TUFFIN | 1 | 1 | 4 |
| SEAN DICKSON | 1 | 1 | 4 |
| SEAN DUGAN | 1 | 1 | 4 |
| SHANE HAND | 1 | 1 | 4 |
| SOHINI GUPTA | 1 | 1 | 4 |
| KELLEY SCHULTZ | 1 | 1 | 3 |
| JASON LOWRY | 1 | 1 | 2 |
| KARA JONES | 1 | 1 | 2 |
| MARCY BUCKNER | 1 | 1 | 2 |
| MEGHAN STRINGER | 1 | 1 | 2 |
| ANNA RUSSELL | 1 | 1 | 1 |
Filings
The documents themselves, on the Senate’s Lobbying Disclosure site, largest reported first.
| Client | Registrant | Period | Reported | Document |
|---|---|---|---|---|
| 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 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) | 2026 second_quarter | $3M | 2nd Quarter - Report |
| UNIVERSITY HEALTH SYSTEMS OF EASTERN CAROLINA, INC. D/B/A ECU HEALTH | UNIVERSITY HEALTH SYSTEMS OF EASTERN CAROLINA, INC. D/B/A ECU HEALTH | 2026 first_quarter | $41.1K | 1st Quarter - Amendme… |
| UNIVERSITY HEALTH SYSTEMS OF EASTERN CAROLINA, INC. D/B/A ECU HEALTH | UNIVERSITY HEALTH SYSTEMS OF EASTERN CAROLINA, INC. D/B/A ECU HEALTH | 2026 first_quarter | $10K | 1st Quarter - Report |
Classification
The Congressional Research Service files H.R. 4277 under Health, one of its 31 policy areas.
CRS Subjects
CRS assigns every bill one policy area from its 31; H.R. 4277’s is Health.
hr4277/policy-areas.txtSource: congress.gov · legiscan.com