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H.R. 2191: Physician Led and Rural Access to Quality Care Act

This bill, titled the Physician Led and Rural Access to Quality Care Act, proposes amendments to the Social Security Act specifically relating to physician-owned hospitals. The key components of this legislation include:

Revisions to Self-Referral Exemptions

The bill aims to amend existing self-referral provisions that apply to physician-owned hospitals. This involves modifying language to clarify the applicability of these provisions for different types of hospitals. Specifically:

  • It revises certain exemptions that allow physicians to refer patients to hospitals they own, subject to specific conditions.
  • It introduces a new classification called covered rural hospital, which refers to hospitals in rural areas that are significantly distanced from other healthcare facilities, thereby emphasizing access to quality care in rural settings.

Definition of Covered Rural Hospital

The legislation defines a covered rural hospital as a hospital that:

  • Is located in a rural area as determined by the appropriate federal definitions.
  • Is situated more than 35 miles away from the nearest hospital, or 15 miles away in cases of difficult terrain or limited road access, at the time it enrolls for Medicare services.

Expansion of Existing Physician-Owned Hospitals

Furthermore, the bill allows for the expansion of existing physician-owned hospitals by removing restrictions that currently apply:

  • It eliminates a previous prohibition on the expansion of these hospitals, thereby permitting physician-owned hospitals to grow and potentially enhance their services and reach within their communities.

Implementation Timeline

The changes proposed in this bill would take effect upon its enactment, facilitating immediate adjustments to how physician-owned hospitals operate under the law.

Targeted Provisions

This legislation is designed to address the needs of rural healthcare systems and improve access to medical services in less populated areas, aligning healthcare availability with the realities faced by rural populations.

Relevant Companies

None found

This is an AI-generated summary of the bill text. There may be mistakes.

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Sponsors

27 bill sponsors

Actions

2 actions

Date Action
Mar. 18, 2025 Introduced in House
Mar. 18, 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.

Corporate Lobbying

2 companies lobbying

Potentially Relevant Congressional Stock Trades

Estimated excess return of the underlying stock since the transaction
Politician Stock Transaction Filed Traded
Congress pfp
Ro Khanna D / House
ELV logo
ELV ELEVANCE HEALTH INC CMN
Sale $1,001 - $15,000
Aug 07, 2025 Jul 25, 2025 +10.96%
Congress pfp
Lisa C. McClain R / House
ELV logo
ELV ELEVANCE HEALTH, INC. COMMON STOCK
Purchase $1,001 - $15,000
Aug 13, 2025 Jul 10, 2025 -9.14%
Congress pfp
Lisa C. McClain R / House
ELV logo
ELV ELEVANCE HEALTH, INC. COMMON STOCK
Purchase $1,001 - $15,000
Aug 13, 2025 Jun 24, 2025 -19.60%
Congress pfp
Michael T. McCaul R / House
ELV logo
ELV ELEVANCE HEALTH INC
Sale $15,001 - $50,000
Jul 07, 2025 Jun 16, 2025 -20.65%
Congress pfp
Gilbert Ray Cisneros, Jr. D / House
ELV logo
ELV ELEVANCE HEALTH, INC. COMMON STOCK
Sale $1,001 - $15,000
Jun 06, 2025 May 30, 2025 -24.69%
Congress pfp
Ro Khanna D / House
ELV logo
ELV ELEVANCE HEALTH INC CMN
Purchase $1,001 - $15,000
Jun 10, 2025 May 28, 2025 -23.69%
Congress pfp
Ro Khanna D / House
ELV logo
ELV ELEVANCE HEALTH INC CMN
Sale $1,001 - $15,000
Jun 10, 2025 May 19, 2025 -27.84%
Congress pfp
Jared Moskowitz D / House
HCA logo
HCA HCA HEALTHCARE, INC. COMMON STOCK
Purchase $1,001 - $15,000
Jun 27, 2025 May 15, 2025 -3.11%
Congress pfp
Robert Bresnahan R / House
ELV logo
ELV ELEVANCE HEALTH, INC. COMMON STOCK
Sale $15,001 - $50,000
May 31, 2025 May 15, 2025 -25.82%
Congress pfp
Jared Moskowitz D / House
HCA logo
HCA HCA HEALTHCARE, INC. COMMON STOCK
Purchase $1,001 - $15,000
Jun 27, 2025 May 15, 2025 -3.11%
Congress pfp
Jefferson Shreve R / House
ELV logo
ELV ELEVANCE HEALTH, INC. COMMON STOCK
Sale $15,001 - $50,000
Jun 22, 2025 May 12, 2025 -32.50%
Congress pfp
Ro Khanna D / House
HCA logo
HCA HCA HEALTHCARE, INC CMN
Sale $1,001 - $15,000
Jun 10, 2025 May 07, 2025 -1.60%
Congress pfp
Ro Khanna D / House
HCA logo
HCA HCA HEALTHCARE, INC CMN
Sale $15,001 - $50,000
Jun 10, 2025 May 07, 2025 -1.60%
Congress pfp
Ro Khanna D / House
HCA logo
HCA HCA HEALTHCARE, INC CMN
Sale $1,001 - $15,000
Jun 10, 2025 May 07, 2025 -1.60%
Congress pfp
Gilbert Ray Cisneros, Jr. D / House
ELV logo
ELV ELEVANCE HEALTH, INC. COMMON STOCK
Purchase $1,001 - $15,000
May 06, 2025 Apr 29, 2025 -37.63%
Congress pfp
Dan Newhouse R / House
ELV logo
ELV ELEVANCE HEALTH, INC. COMMON STOCK
Sale $1,001 - $15,000
May 16, 2025 Apr 11, 2025 -46.72%
Congress pfp
Julie Johnson D / House
HCA logo
HCA HCA HEALTHCARE, INC. COMMON STOCK
Sale $1,001 - $15,000
May 14, 2025 Apr 07, 2025 -3.79%
Congress pfp
Ro Khanna D / House
HCA logo
HCA HCA HEALTHCARE, INC CMN
Purchase $1,001 - $15,000
Apr 10, 2025 Mar 12, 2025 +15.22%
Congress pfp
Ro Khanna D / House
ELV logo
ELV ELEVANCE HEALTH INC CMN
Purchase $1,001 - $15,000
Apr 10, 2025 Mar 12, 2025 -36.17%
Congress pfp
Jared Moskowitz D / House
ELV logo
ELV ELEVANCE HEALTH, INC. COMMON STOCK
Sale $1,001 - $15,000
Apr 08, 2025 Mar 10, 2025 -35.50%
Congress pfp
Jared Moskowitz D / House
ELV logo
ELV ELEVANCE HEALTH, INC. COMMON STOCK
Sale $1,001 - $15,000
Apr 08, 2025 Mar 10, 2025 -35.50%
Congress pfp
Jared Moskowitz D / House
ELV logo
ELV ELEVANCE HEALTH, INC. COMMON STOCK
Sale $1,001 - $15,000
Apr 08, 2025 Mar 10, 2025 -35.50%
Congress pfp
Ro Khanna D / House
HCA logo
HCA HCA HEALTHCARE, INC CMN
Purchase $1,001 - $15,000
Mar 06, 2025 Feb 25, 2025 +14.20%
Congress pfp
Robert Bresnahan R / House
HCA logo
HCA HCA HEALTHCARE, INC. COMMON STOCK
Sale $1,001 - $15,000
Mar 27, 2025 Feb 25, 2025 +14.20%
Congress pfp
Jefferson Shreve R / House
ELV logo
ELV ELEVANCE HEALTH, INC. COMMON STOCK
Purchase $15,001 - $50,000
Mar 09, 2025 Feb 24, 2025 -23.54%
Congress pfp
Ro Khanna D / House
HCA logo
HCA HCA HEALTHCARE, INC CMN
Sale $1,001 - $15,000
Feb 06, 2025 Jan 22, 2025 +21.54%
Congress pfp
Ro Khanna D / House
HCA logo
HCA HCA HEALTHCARE, INC CMN
Purchase $1,001 - $15,000
Feb 06, 2025 Jan 17, 2025 +23.68%
Congress pfp
Robert Bresnahan R / House
ELV logo
ELV ELEVANCE HEALTH, INC. COMMON STOCK
Sale $1,001 - $15,000
Feb 13, 2025 Jan 13, 2025 -28.83%
Congress pfp
Michael T. McCaul R / House
ELV logo
ELV ELEVANCE HEALTH INC
Sale $15,001 - $50,000
Feb 11, 2025 Jan 09, 2025 -25.70%
Congress pfp
Michael T. McCaul R / House
ELV logo
ELV ELEVANCE HEALTH INC
Sale $15,001 - $50,000
Dec 16, 2024 Nov 19, 2024 -26.71%
Congress pfp
Michael T. McCaul R / House
ELV logo
ELV ELEVANCE HEALTH INC
Sale $15,001 - $50,000
Dec 16, 2024 Nov 19, 2024 -26.71%
Congress pfp
Ro Khanna D / House
ELV logo
ELV ELEVANCE HEALTH INC CMN
Sale $1,001 - $15,000
Dec 05, 2024 Nov 15, 2024 -28.88%
Congress pfp
Ro Khanna D / House
ELV logo
ELV ELEVANCE HEALTH INC CMN
Sale $1,001 - $15,000
Dec 05, 2024 Nov 12, 2024 -29.22%
Congress pfp
Jared Moskowitz D / House
ELV logo
ELV ELEVANCE HEALTH, INC. COMMON STOCK
Purchase $1,001 - $15,000
Dec 09, 2024 Nov 08, 2024 -30.78%
Congress pfp
Ro Khanna D / House
HCA logo
HCA HCA HEALTHCARE, INC CMN
Sale $1,001 - $15,000
Nov 08, 2024 Oct 15, 2024 -9.24%
Congress pfp
Ro Khanna D / House
HCA logo
HCA HCA HEALTHCARE, INC CMN
Sale $1,001 - $15,000
Nov 08, 2024 Oct 15, 2024 -9.24%
Congress pfp
John James R / House
ELV logo
ELV ELEVANCE HEALTH, INC. COMMON STOCK
Sale $1,001 - $15,000
Sep 06, 2024 Sep 04, 2024 -57.38%
Congress pfp
Michael T. McCaul R / House
ELV logo
ELV ELEVANCE HEALTH INC
Sale $50,001 - $100,000
Sep 16, 2024 Aug 26, 2024 -55.04%
Congress pfp
Ro Khanna D / House
ELV logo
ELV ELEVANCE HEALTH INC CMN
Sale $1,001 - $15,000
Sep 06, 2024 Aug 02, 2024 -59.94%
Congress pfp
Jared Moskowitz D / House
ELV logo
ELV ELEVANCE HEALTH, INC. COMMON STOCK
Purchase $1,001 - $15,000
Aug 06, 2024 Jul 05, 2024 -54.69%
Congress pfp
Jared Moskowitz D / House
ELV logo
ELV ELEVANCE HEALTH, INC. COMMON STOCK
Purchase $1,001 - $15,000
Aug 06, 2024 Jul 01, 2024 -57.14%
Congress pfp
Ro Khanna D / House
HCA logo
HCA HCA HEALTHCARE, INC CMN
Sale $1,001 - $15,000
Jul 08, 2024 Jun 12, 2024 +0.87%
Congress pfp
Ro Khanna D / House
ELV logo
ELV ELEVANCE HEALTH INC CMN
Purchase $1,001 - $15,000
Jun 05, 2024 May 29, 2024 -57.95%
Congress pfp
Ro Khanna D / House
HCA logo
HCA HCA HEALTHCARE, INC CMN
Purchase $1,001 - $15,000
Jun 05, 2024 May 28, 2024 +6.60%
Congress pfp
Ro Khanna D / House
ELV logo
ELV ELEVANCE HEALTH INC CMN
Sale $1,001 - $15,000
Jun 05, 2024 May 28, 2024 -58.77%
Congress pfp
Dan Newhouse R / House
ELV logo
ELV ELEVANCE HEALTH, INC. COMMON STOCK
Purchase $1,001 - $15,000
Apr 25, 2024 Apr 10, 2024 -61.07%
Congress pfp
Michael T. McCaul R / House
ELV logo
ELV ELEVANCE HEAKTH INC
Sale $100,001 - $250,000
Apr 16, 2024 Mar 25, 2024 -60.02%
Congress pfp
Michael T. McCaul R / House
ELV logo
ELV ELEVANCE HEAKTH INC
Sale $100,001 - $250,000
Apr 16, 2024 Mar 25, 2024 -60.02%
Congress pfp
Josh Gottheimer D / House
HCA logo
HCA HCA HEALTHCARE, INC. COMMON STOCK
Sale $1,001 - $15,000
Apr 07, 2024 Mar 01, 2024 +5.30%
Congress pfp
Jared Moskowitz D / House
ELV logo
ELV ELEVANCE HEALTH, INC. COMMON STOCK
Purchase $1,001 - $15,000
Aug 21, 2024 Feb 13, 2024 -65.89%
Congress pfp
Ro Khanna D / House
HCA logo
HCA HCA HEALTHCARE, INC CMN
Purchase $1,001 - $15,000
Mar 06, 2024 Feb 13, 2024 +3.68%
Congress pfp
Jared Moskowitz D / House
ELV logo
ELV ELEVANCE HEALTH, INC. COMMON STOCK
Purchase $1,001 - $15,000
Aug 21, 2024 Feb 01, 2024 -65.86%
Congress pfp
Jared Moskowitz D / House
ELV logo
ELV ELEVANCE HEALTH, INC. COMMON STOCK
Purchase $1,001 - $15,000
Aug 06, 2024 Feb 01, 2024 -65.86%
Congress pfp
Ro Khanna D / House
HCA logo
HCA HCA HEALTHCARE, INC CMN
Purchase $1,001 - $15,000
Feb 05, 2024 Jan 10, 2024 +9.34%
Congress pfp
Ro Khanna D / House
HCA logo
HCA HCA HEALTHCARE, INC CMN
Purchase $1,001 - $15,000
Jan 04, 2024 Dec 05, 2023 +20.54%
Congress pfp
Ro Khanna D / House
ELV logo
ELV ELEVANCE HEALTH INC CMN
Purchase $1,001 - $15,000
Jan 04, 2024 Dec 05, 2023 -73.43%
Congress pfp
John R. Curtis R / House
ELV logo
ELV ELEVANCE HEALTH, INC.
Sale $1,001 - $15,000
Dec 15, 2023 Dec 04, 2023 -73.53%
Congress pfp
Ro Khanna D / House
HCA logo
HCA HCA HEALTHCARE, INC CMN
Purchase $1,001 - $15,000
Jan 04, 2024 Dec 04, 2023 +17.69%
Congress pfp
Josh Gottheimer D / House
HCA logo
HCA HCA HEALTHCARE, INC.
Sale $1,001 - $15,000
Dec 08, 2023 Nov 28, 2023 +23.84%
Congress pfp
John James R / House
ELV logo
ELV ELEVANCE HEALTH, INC. COMMON STOCK
Purchase $1,001 - $15,000
Sep 02, 2024 Nov 16, 2023 -72.78%
Congress pfp
Josh Gottheimer D / House
HCA logo
HCA HCA HEALTHCARE, INC.
Sale $1,001 - $15,000
Dec 08, 2023 Nov 13, 2023 +31.03%
Congress pfp
John James R / House
ELV logo
ELV ELEVANCE HEALTH, INC. COMMON STOCK
Purchase $1,001 - $15,000
Sep 02, 2024 Nov 10, 2023 -75.07%
Congress pfp
Ro Khanna D / House
HCA logo
HCA HCA HEALTHCARE, INC CMN
Purchase $1,001 - $15,000
Dec 06, 2023 Nov 03, 2023 +28.56%
Congress pfp
Ro Khanna D / House
ELV logo
ELV ELEVANCE HEALTH INC CMN
Purchase $1,001 - $15,000
Nov 08, 2023 Oct 31, 2023 -81.63%
Congress pfp
Ro Khanna D / House
HCA logo
HCA HCA HEALTHCARE, INC CMN
Sale $15,001 - $50,000
Nov 08, 2023 Oct 31, 2023 +26.35%
Congress pfp
Greg Stanton D / House
ELV logo
ELV ELEVANCE HEALTH, INC.
Sale $1,001 - $15,000
Nov 09, 2023 Oct 24, 2023 -80.04%
Congress pfp
Byron Donalds R / House
ELV logo
ELV ELEVANCE HEALTH INC (ELV)
Exchange $1,001 - $15,000
Nov 08, 2024 Oct 19, 2023 -80.66%
Congress pfp
Michael T. McCaul R / House
ELV logo
ELV ELEVANCE HEALTH INC
Purchase $50,001 - $100,000
Nov 13, 2023 Oct 13, 2023 -77.53%
Congress pfp
Michael T. McCaul R / House
ELV logo
ELV ELEVANCE HEALTH INC
Purchase $50,001 - $100,000
Nov 13, 2023 Oct 13, 2023 -77.53%
Congress pfp
Ro Khanna D / House
ELV logo
ELV ELEVANCE HEALTH INC CMN
Purchase $1,001 - $15,000
Nov 08, 2023 Oct 10, 2023 -76.64%
Congress pfp
Markwayne Mullin R / Senate
ELV logo
ELV Elevance Health, Inc. Common Stock
Purchase $1,001 - $15,000
Nov 01, 2023 Oct 03, 2023 -77.61%
Congress pfp
Ro Khanna D / House
ELV logo
ELV DC ELEVANCE HEALTH INC CMN
Sale $1,001 - $15,000
Nov 08, 2023 Oct 02, 2023 -76.70%
Congress pfp
Ro Khanna D / House
HCA logo
HCA HCA HEALTHCARE, INC CMN
Sale $1,001 - $15,000
Nov 08, 2023 Oct 02, 2023 +14.36%
Congress pfp
Michael T. McCaul R / House
ELV logo
ELV ELEVANCE HEALTH INC
Purchase $50,001 - $100,000
Nov 13, 2023 Sep 29, 2023 -75.89%
Congress pfp
Michael T. McCaul R / House
ELV logo
ELV ELEVANCE HEALTH INC
Purchase $50,001 - $100,000
Nov 13, 2023 Sep 29, 2023 -75.89%
Congress pfp
Greg Stanton D / House
ELV logo
ELV ELEVANCE HEALTH, INC.
Purchase $1,001 - $15,000
Nov 09, 2023 Sep 26, 2023 -77.97%
Congress pfp
Michael T. McCaul R / House
ELV logo
ELV ELEVANCE HEALTH INC
Purchase $100,001 - $250,000
Oct 18, 2023 Sep 15, 2023 -71.09%
Congress pfp
Michael T. McCaul R / House
ELV logo
ELV ELEVANCE HEALTH INC
Purchase $50,001 - $100,000
Oct 18, 2023 Sep 15, 2023 -71.09%
Congress pfp
Ro Khanna D / House
HCA logo
HCA HCA HEALTHCARE, INC CMN
Purchase $1,001 - $15,000
Oct 06, 2023 Sep 13, 2023 +11.26%
Congress pfp
Ro Khanna D / House
HCA logo
HCA HCA HEALTHCARE, INC CMN
Purchase $1,001 - $15,000
Oct 06, 2023 Sep 13, 2023 +11.26%
Congress pfp
Markwayne Mullin R / Senate
ELV logo
ELV Elevance Health, Inc. Common Stock
Purchase $15,001 - $50,000
Oct 12, 2023 Sep 13, 2023 -70.74%
Congress pfp
Ro Khanna D / House
ELV logo
ELV ELEVANCE HEALTH INC CMN
Sale $1,001 - $15,000
Oct 06, 2023 Sep 06, 2023 -71.30%