H.R. 2474 · 118th Congress

Strengthening Medicare for Patients and Providers Act

Introduced on Apr 3, 2023 by Raul Ruiz (D-CA-25). 172 cosponsors, 47 of them from another party. Latest action (Dec 17, 2024): Referred to the Subcommittee on Health.

Stage
Introduced
Introduced
Apr 3, 2023
Cosponsors
172
47 from the other party
Policy area
Health
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Progress

The furthest stage the measure reached. Simple and concurrent resolutions do not go to the President.

  1. Introduced
  2. 2Reported by committee
  3. 3Passed one chamber
  4. 4Passed both chambers
  5. 5Sent to the President
  6. 6Became law

Official title

To amend title XVIII of the Social Security Act to provide for an update to a single conversion factor under the Medicare physician fee schedule that is based on the Medicare economic index.

Subjects

  • Health personnel
  • Health programs administration and funding
  • Medicare

Summary

The Congressional Research Service has not summarized this measure yet.

Sponsor and cosponsors

Cosponsors by party as of the day they signed on. Original cosponsors signed on the day of introduction.

Raul RuizD-CA-25Sponsor

Democrats · 125

Republicans · 47

Roll calls

Recorded votes on the measure. Most measures move by voice vote or unanimous consent, which record no individual positions.

No recorded roll call on this measure: it moved by voice vote or unanimous consent, or has not reached the floor.

History

Every action as published, oldest first. Roll calls link to how each member voted.

  1. Apr 3, 2023Introduced in House
  2. Apr 3, 2023Introduced in House
  3. Apr 3, 2023 · HouseReferred 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.
  4. Apr 3, 2023 · HouseReferred 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.
  5. Apr 14, 2023 · HouseReferred to the Subcommittee on Health.
  6. Dec 17, 2024 · HouseReferred to the Subcommittee on Health.

Committees

Committees and subcommittees the measure was referred to.

Agencies in its committees' jurisdiction

Analisa's mapping of committee jurisdiction to federal agencies; the bill may touch others, or none of these.

Who lobbied on it

Organizations whose lobbying reports (LD-2) name this measure. Spending is what they reported for those quarters on all issues, not on this measure alone.

  1. American Medical Association20 reports
    $30.1M reported (all issues)Federal contractor: AMERICAN MEDICAL ASSOCIATION$371K in contracts, FY2026AI match · 99%
  2. Digestive Health Physicians Association10 reports
    $590K reported (all issues)
  3. athenahealth, Inc.9 reports
    $260K reported (all issues)
  4. COLLEGE OF AMERICAN PATHOLOGISTS8 reports
    $1.4M reported (all issues)Federal contractor: COLLEGE OF AMERICAN PATHOLOGISTS$18M in contracts, FY2026AI match · 99%
  5. Large Urology Group Practice Association8 reports
    $720K reported (all issues)
  6. AMERICAN ACADEMY OF OPHTHALMOLOGY7 reports
    $1.5M reported (all issues)
  7. AMERICAN SOCIETY OF ANESTHESIOLOGISTS7 reports
    $1.6M reported (all issues)
  8. American Psychological Association Services Inc.(FKA American Psychological Assn7 reports
    $2.9M reported (all issues)Federal contractor: AMERICAN PSYCHOLOGICAL ASSOCIATION$710.8K in contracts, FY2026AI match · 99%
  9. MASSACHUSETTS MEDICAL SOCIETY7 reports
    $330K reported (all issues)
  10. McKesson Corporation & affiliates U.S. Oncology and Rx Savings Solutions6 reports
    $5.4M reported (all issues)
  11. SOCIETY FOR VASCULAR SURGERY6 reports
    $430K reported (all issues)
  12. ALLIANCE FOR PHYSICAL THERAPY QUALITY AND INNOVATION5 reports
  13. AMERICAN ACADEMY OF DERMATOLOGY ASSOCIATION5 reports
    $3.3M reported (all issues)
  14. AMERICAN ACADEMY OF NEUROLOGY5 reports
    $1.5M reported (all issues)
  15. AMERICAN ACADEMY OF OTOLARYNGOLOGY-HEAD AND NECK SURGERY5 reports
    $1.4M reported (all issues)
  16. AMERICAN ASSOCIATION OF ORAL AND MAXILLOFACIAL SURGEONS5 reports
    $360K reported (all issues)
  17. AMERICAN ASSOCIATION OF ORTHOPAEDIC SURGEONS5 reports
    $2.3M reported (all issues)
  18. AMERICAN CHIROPRACTIC ASSOCIATION5 reports
    $404.1K reported (all issues)
  19. AMERICAN COLLEGE OF CARDIOLOGY5 reports
    $2.3M reported (all issues)
  20. AMERICAN COLLEGE OF EMERGENCY PHYSICIANS5 reports
    $2.3M reported (all issues)Federal contractor: AMERICAN COLLEGE OF EMERGENCY PHYSICIANS$92K in contracts, FY2026AI match · 100%
  21. AMERICAN COLLEGE OF GASTROENTEROLOGY5 reports
  22. AMERICAN COLLEGE OF PHYSICIAN SERVICES, INC5 reports
    $1.6M reported (all issues)
  23. AMERICAN COLLEGE OF PHYSICIANS5 reports
    $564.3K reported (all issues)
  24. AMERICAN COLLEGE OF RHEUMATOLOGY5 reports
    $460K reported (all issues)
  25. AMERICAN COLLEGE OF SURGEONS PROFESSIONAL ASSOCIATION5 reports
    $90K reported (all issues)
  26. AMERICAN OPTOMETRIC ASSOCIATION5 reports
    $3.4M reported (all issues)
  27. AMERICAN PHYSICAL THERAPY ASSOCIATION5 reports
    $1.3M reported (all issues)
  28. AMERICAN PSYCHIATRIC ASSOCIATION5 reports
    $1.2M reported (all issues)Federal contractor: AMERICAN PSYCHIATRIC ASSOCIATION$645K in contracts, FY2026AI match · 100%
  29. AMERICAN SOCIETY FOR RADIATION ONCOLOGY5 reports
    $888.9K reported (all issues)Federal contractor: AMERICAN SOCIETY FOR RADIATION ONCOLOGY$307.1K in contracts, FY2026AI match · 100%
  30. AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION5 reports
    $1.7M reported (all issues)
  31. ASSOCIATION FOR CLINICAL ONCOLOGY5 reports
    $1.1M reported (all issues)
  32. American Academy of Physical Medicine and Rehabilitation5 reports
    $120K reported (all issues)
  33. American College of Obstetricians and Gynecologists5 reports
    $985K reported (all issues)
  34. American College of Osteopathic Family Physicians5 reports
    $290K reported (all issues)
  35. American College of Surgeons5 reports
    $1.1M reported (all issues)Federal contractor: AMERICAN COLLEGE OF SURGEONS$2.1M in contracts, FY2026AI match · 100%
  36. American Society of Echocardiography5 reports
    $250K reported (all issues)
  37. American Society of Hand Therapists5 reports
    $100K reported (all issues)
  38. American Society of Hematology5 reports
    $150K reported (all issues)
  39. American Society of Nephrology5 reports
    $400K reported (all issues)Federal contractor: AMERICAN SOCIETY OF NEPHROLOGY INCAI match · 100%
  40. Association of American Medical Colleges5 reports
    $3.1M reported (all issues)Federal contractor: ASSOCIATION OF AMERICAN MEDICAL COLLEGESAI match · 100%

Reports filed in 2023, 2024, 2025, 2026.

Sources and method

Every figure on this page traces to these records.

  • Bill status: bills and resolutions, sponsors, actions, subjects and CRS summaries (U.S. Government Publishing Office (GovInfo), from Congress.gov (Library of Congress))GovInfo Bill Status bulk data (Congress.gov; summaries by the Congressional Research Service) · data current to Oct 9, 2026 · loaded Oct 9, 2026 · license: Public domain (U.S. Government work, 17 U.S.C. § 105)
  • Members of Congress, their terms, committees and identifiers (The @unitedstates project (from the Biographical Directory of the U.S. Congress, the House and the Senate))unitedstates/congress-legislators: legislators, committees and current committee membership · data current to Oct 3, 2026 · loaded Oct 3, 2026 · license: CC0 1.0 (public domain dedication)
  • House roll-call votes (Office of the Clerk, U.S. House of Representatives)Office of the Clerk, U.S. House of Representatives, roll-call vote records · data current to Oct 3, 2026 · loaded Oct 3, 2026 · license: Public domain (U.S. Government work, 17 U.S.C. § 105)
  • Senate roll-call votes and DW-NOMINATE scores (Voteview (UCLA Department of Political Science))Lewis, Jeffrey B., Keith Poole, Howard Rosenthal, Adam Boche, Aaron Rudkin, and Luke Sonnet (2026). Voteview: Congressional Roll-Call Votes Database. https://voteview.com/ · data current to Oct 3, 2026 · loaded Oct 3, 2026 · license: Free to use with the required citation
  • Lobbying disclosures (LD-1 registrations, LD-2 quarterly reports, LD-203 contribution reports) (Clerk of the U.S. House of Representatives)Clerk of the House, Lobbying Disclosure Act filings (organizations only; lobbyists' names are not loaded) · data current to Oct 9, 2026 · loaded Oct 9, 2026 · license: Public domain (U.S. Government work, 17 U.S.C. § 105)
  • Positions are shown only where a roll call recorded them; voice votes and unanimous consent record none.
  • Money and votes are shown side by side; neither explains the other.