H.R. 1924 · 119th Congress

Securing Access to Care for Seniors in Critical Condition Act of 2025

Introduced on Mar 6, 2025 by Kevin Hern (R-OK-1). 9 cosponsors, 2 of them from another party. Latest action (Mar 6, 2025): Referred to the House Committee on Ways and Means.

Stage
Introduced
Introduced
Mar 6, 2025
Cosponsors
9
2 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 establish a new criterion for the nonapplication of site-neutral payments to long-term care hospitals under the Medicare program.

Summary

By the Congressional Research Service (Introduced in House, Mar 6, 2025). Public domain.

Securing Access to Care for Seniors in Critical Condition Act of 2025

This bill exempts discharges from long-term care hospitals (LTCHs) from the Medicare site-neutral payment rate if the discharge meets specified high acuity criteria and occurs on or after October 1, 2026. (The site-neutral rate is the lower of Medicare’s acute care hospital payment rate under the inpatient prospective payment system or 100% of the cost of the stay. LTCH stays that do not qualify for the specialized LTCH payment rate under Medicare are instead paid at the site-neutral rate.)

Sponsor and cosponsors

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

Kevin HernR-OK-1Sponsor

Democrats · 2

Republicans · 7

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. Mar 6, 2025Introduced in House
  2. Mar 6, 2025Introduced in House
  3. Mar 6, 2025 · HouseReferred to the House Committee on Ways and Means.

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. AMERICA'S HEALTH INSURANCE PLANS, INC. (AHIP)6 reports
    $25.6M reported (all issues)
  2. National Association of Long Term Hospitals6 reports
    $160K reported (all issues)
  3. THE HOSPITAL AND HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA6 reports
    $420K reported (all issues)Federal contractor: THE HOSPITAL AND HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIAAI match · 100%
  4. CHC Community Care, LLC5 reports
    $200K reported (all issues)
  5. Kindred Healthcare d/b/a ScionHealth (fka Kindred Healthcare Operating, Inc)5 reports
    $169K reported (all issues)Federal contractor: KINDRED HEALTHCARE OPERATING INCAI match · 100%
  6. PAM Health, LLC5 reports
    $300K reported (all issues)
  7. Priority Hospital Group5 reports
    $100K reported (all issues)
  8. RiverBridge Specialty Hospital5 reports
    $100K reported (all issues)
  9. AMERICAN HOSPITAL ASSOCIATION2 reports
    $13.2M reported (all issues)Federal contractor: AMERICAN HOSPITAL ASSOCIATION$1.2M in contracts, FY2026AI match · 99%
  10. Coalition of Long Term Acute Care Hospitals1 report
    $28.8K reported (all issues)
  11. Kindred Healthcare d/b/a ScionHealth1 report
    $60K reported (all issues)

Reports filed in 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 10, 2026 · loaded Oct 10, 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 10, 2026 · loaded Oct 10, 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.