H.R. 4231 · 119th Congress

Treat and Reduce Obesity Act of 2025

Introduced on Jun 27, 2025 by Mike Kelly (R-PA-16). 85 cosponsors, 65 of them from another party. Latest action (Jun 27, 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.

Stage
Introduced
Introduced
Jun 27, 2025
Cosponsors
85
65 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 the coordination of programs to prevent and treat obesity, and for other purposes.

Summary

By the Congressional Research Service (Introduced in House, Jun 27, 2025). Public domain.

Treat and Reduce Obesity Act of 2025

This bill expands Medicare coverage of intensive behavioral therapy for obesity. Specifically, the bill allows coverage for therapy that is provided by (1) a physician who is not a primary care physician; or (2) other health care providers (e.g., physician assistants and nurse practitioners) and approved counseling programs, if provided upon a referral from, and in coordination with, a physician or primary care practitioner. Currently, such therapy is covered only if provided by a primary care practitioner.

The bill also allows coverage under Medicare's prescription drug benefit of drugs used for the treatment of obesity or for weight loss management for individuals who are overweight.

Sponsor and cosponsors

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

Mike KellyR-PA-16Sponsor

Democrats · 65

Republicans · 20

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. Jun 27, 2025Introduced in House
  2. Jun 27, 2025Introduced in House
  3. Jun 27, 2025 · 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. Jun 27, 2025 · 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.

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. ACADEMY OF NUTRITION AND DIETETICS (FORMERLY AS AMERICAN DIETETIC ASSOCIATION)5 reports
    $507K reported (all issues)
  2. NATIONAL KIDNEY FOUNDATION5 reports
    $380K reported (all issues)Federal contractor: NATIONAL KIDNEY FOUNDATION, INCAI match · 100%
  3. AMERICA'S HEALTH INSURANCE PLANS, INC. (AHIP)4 reports
    $16.7M reported (all issues)
  4. Alliance for Patient Access4 reports
    $80K reported (all issues)
  5. Currax Pharmaceuticals LLC4 reports
    $200K reported (all issues)
  6. NOVO NORDISK INC.4 reports
  7. National Association of Pediatric Nurse Practitioners3 reports
    $72K reported (all issues)
  8. ASSOCIATION OF AMERICAN RAILROADS2 reports
    $2.4M reported (all issues)
  9. BCBSM, Inc.2 reports
    $60K reported (all issues)
  10. ELI LILLY AND COMPANY2 reports
    Federal contractor: ELI LILLY AND COMPANY$286.4K in contracts, FY2026AI match · 100%
  11. Eli Lilly and Company fka Lilly USA, LLC2 reports
    $100K reported (all issues)
  12. Gerontological Society of America2 reports
    $60K reported (all issues)
  13. Lilly USA, LLC2 reports
    $100K reported (all issues)Federal contractor: THE LILLY COMPANYAI match · 97%
  14. BLUE CROSS AND BLUE SHIELD OF KANSAS, INC.1 report
    $10K reported (all issues)
  15. BLUE CROSS BLUE SHIELD OF MICHIGAN1 report
    $266K reported (all issues)
  16. Blue Cross and Blue Shield Association1 report
    $1.2M reported (all issues)
  17. Blue Cross and Blue Shield of Florida, Inc.1 report
    $80K 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.