H.R. 6430 · 118th Congress

ARCH Act

Introduced on Nov 15, 2023 by Carol D. Miller (R-WV-1). 8 cosponsors, 6 of them from another party. Latest action (Dec 17, 2024): Referred to the Subcommittee on Health.

Stage
Introduced
Introduced
Nov 15, 2023
Cosponsors
8
6 from the other party
Policy area
Health
Open in the Congress explorerCongress.govAlert me

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 extend Medicare-dependent hospital and Medicare low-volume hospital payments, and to direct the Comptroller General of the United States to carry out a report on Medicare rural hospital classifications.

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.

Carol D. MillerR-WV-1Sponsor

Democrats · 6

Republicans · 2

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. Nov 15, 2023Introduced in House
  2. Nov 15, 2023Introduced in House
  3. Nov 15, 2023 · HouseReferred to the House Committee on Ways and Means.
  4. 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 HOSPITAL ASSOCIATION5 reports
    $32.2M reported (all issues)Federal contractor: AMERICAN HOSPITAL ASSOCIATION$1.2M in contracts, FY2026AI match · 99%
  2. Alliance for Rural Hospital Access5 reports
    $320K reported (all issues)
  3. FEDERATION OF AMERICAN HOSPITALS5 reports
    $2.9M reported (all issues)
  4. TEXAS HOSPITAL ASSOCIATION2 reports
    $100K reported (all issues)
  5. VIZIENT, INC.2 reports
    $530K reported (all issues)Federal contractor: VIZIENT INC$18.2K in contracts, FY2026AI match · 98%
  6. HEALTHCARE ASSOCIATION OF NYS1 report
    $110K reported (all issues)Federal contractor: HEALTHCARE ASSOCIATION OF NEW YORK STATE, INC.AI match · 100%
  7. UNIVERSITY OF PITTSBURGH MEDICAL CENTER1 report
    $260K reported (all issues)
  8. VIRGINIA COMMONWEALTH UNIVERSITY1 report
    $30K reported (all issues)Federal contractor: VIRGINIA COMMONWEALTH UNIVAI match · 100%

Reports filed in 2023, 2024.

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.