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H.R. 4277

U.S. HouseIn 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.txt
119 HR 4277 IH: Rural Emergency Hospital Financial Stability Act
U.S. House of Representatives
2025-07-02
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. 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 BILL
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.
1.
Short title
This 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 statute
Paragraph (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 amendment
Paragraph (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 date
The 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.
Rulemaking
Not 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.

  1. Introduced2025-07-02
  2. Passed House
  3. Passed Senate
  4. Conference
  5. To President
  6. 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.

Energy and Commerce
Energy and Commerce
Referred To · Jul 2, 2025 · 1,636 Bills

Actions

H.R. 4277 has taken 2 actions since Jul 2, 2025.

ChamberAction
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.

ClientBusinessStateFirmsFilingsReported
AMERICA'S HEALTH INSURANCE PLANS INC (AHIP)District of Columbia14
UNIVERSITY HEALTH SYSTEMS OF EASTERN CAROLINA, INC. D/B/A ECU HEALTHHealthcareNorth Carolina12

Firms

Registrants who filed on the bill, by filings.

Lobbyists

Named on the filings that cite the bill.

Filings

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

ClientRegistrantPeriodReportedDocument
AMERICA'S HEALTH INSURANCE PLANS INC (AHIP)AMERICA'S HEALTH INSURANCE PLANS, INC. (AHIP)2026 first_quarter$5.3M1st Quarter - Report
AMERICA'S HEALTH INSURANCE PLANS INC (AHIP)AMERICA'S HEALTH INSURANCE PLANS, INC. (AHIP)2025 third_quarter$4.2M3rd Quarter - Report
AMERICA'S HEALTH INSURANCE PLANS INC (AHIP)AMERICA'S HEALTH INSURANCE PLANS, INC. (AHIP)2025 fourth_quarter$4.1M4th Quarter - Report
AMERICA'S HEALTH INSURANCE PLANS INC (AHIP)AMERICA'S HEALTH INSURANCE PLANS, INC. (AHIP)2026 second_quarter$3M2nd Quarter - Report
UNIVERSITY HEALTH SYSTEMS OF EASTERN CAROLINA, INC. D/B/A ECU HEALTHUNIVERSITY HEALTH SYSTEMS OF EASTERN CAROLINA, INC. D/B/A ECU HEALTH2026 first_quarter$41.1K1st Quarter - Amendme…
UNIVERSITY HEALTH SYSTEMS OF EASTERN CAROLINA, INC. D/B/A ECU HEALTHUNIVERSITY HEALTH SYSTEMS OF EASTERN CAROLINA, INC. D/B/A ECU HEALTH2026 first_quarter$10K1st 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.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

Source: congress.gov · legiscan.com