119th Congress · introduced in the House · Mar 3, 2025
ARCH Act
Official title from Congress.gov
Latest action (Mar 3, 2025): Referred to the House Committee on Ways and Means.
View on Congress.govPolicy area: Health
Congressional Research Service summary, version: Introduced in House (Mar 3, 2025)
Assistance for Rural Community Hospitals Act or the ARCH Act
This bill extends through FY2031 (1) the Medicare-Dependent Hospital Program, which provides additional payments to certain small rural hospitals that have a high proportion of Medicare patients; and (2) certain increased payment adjustments for low-volume hospitals under Medicare's inpatient prospective payment system.
It also requires the Government Accountability Office to report on the number of hospitals that received certain classifications for purposes of payment under Medicare, including low-volume hospitals and Medicare-dependent hospitals.
Includes amendment, cloture, and procedural votes. Each is labeled with its exact question; only a passage question is a vote to pass the bill.
No recorded roll calls on this bill in coverage.
Referred to the House Committee on Ways and Means.
Introduced in House
Introduced in House
Actions from Congress.gov, newest first.
LD-2 reports whose issue descriptions explicitly cite this bill (bill type and number validated against Congress.gov records). A citation does not establish the client's position or any contact with a member.
Loading lobbying reportsCoverage: reports for 2025 onward, posted Jan 1, 2025 through Oct 24, 2026.
26 citations; showing the 25 most recently posted.
AMERICAN HOSPITAL ASSOCIATION · lobbying firm or registrant: AMERICAN HOSPITAL ASSOCIATION
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Medicare/Medicaid
$3,840,000
Spent on own lobbying
H.R. 1805, Assistance for Rural Community Hospitals (ARCH) Act, all provisions; S. 1261 / H.R. 4206, CONNECT for Health Act of 2025, all provisions; H.R. 2191, Physician…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
ALLIANCE FOR RURAL HOSPITAL ACCESS · lobbying firm or registrant: MCDERMOTT+ LLC
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 6, 2026 · issue area: Medicare/Medicaid
$40,000
Paid to lobbying firm
…hospitals (SCHs) and Medicare dependent hospitals(MDHs), including the Rural Hospital Support Act (S.335) and the Assistance for Rural Community Hospitals Act (H.R.1805).
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICA'S HEALTH INSURANCE PLANS INC (AHIP) · lobbying firm or registrant: AMERICA'S HEALTH INSURANCE PLANS, INC. (AHIP)
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 20, 2026 · issue area: Medicare/Medicaid
$3,010,000
Spent on own lobbying
…h, Michelle - Minimum nursing home staffing H.R. 1775 - Second Chances for Rural Hospitals Act - Rep. Arrington, Jodey -Definition of rural emergency hospitals H.R. 1805 - ARCH Act - Rep. Miller, Carol - Extend Medicare-dependent and low-value hospitals payments H.R. 1924 - Securing Access to Care for Seniors in Critical Condit…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN HOSPITAL ASSOCIATION · lobbying firm or registrant: AMERICAN HOSPITAL ASSOCIATION
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 20, 2026 · issue area: Medicare/Medicaid
$4,470,000
Spent on own lobbying
…ESULTS) Act, all provisions; H.R. 5142, The Home Health Stabilization Act, all provisions; S. 1261 / H.R. 4206, CONNECT for Health Act of 2025, all provisions; H.R. 1805, Assistance for Rural Community Hospitals (ARCH) Act, all provisions; H.R. 2191, Physician Led and Rural Access to Quality Care Act, all provisions; S. 335, Ru…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
ALLIANCE FOR RURAL HOSPITAL ACCESS · lobbying firm or registrant: MCDERMOTT+ LLC
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 6, 2026 · issue area: Medicare/Medicaid
$60,000
Paid to lobbying firm
…hospitals (SCHs) and Medicare dependent hospitals(MDHs), including the Rural Hospital Support Act (S.335) and the Assistance for Rural Community Hospitals Act (H.R.1805).
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICA'S HEALTH INSURANCE PLANS INC (AHIP) · lobbying firm or registrant: AMERICA'S HEALTH INSURANCE PLANS, INC. (AHIP)
2026 Q1 report (Jan 1, 2026 – Mar 31, 2026) · posted Apr 20, 2026 · issue area: Medicare/Medicaid
$5,320,000
Spent on own lobbying
…h, Michelle - Minimum nursing home staffing H.R. 1775 - Second Chances for Rural Hospitals Act - Rep. Arrington, Jodey -Definition of rural emergency hospitals H.R. 1805 - ARCH Act - Rep. Miller, Carol - Extend Medicare-dependent and low-value hospitals payments H.R. 1924 - Securing Access to Care for Seniors in Critical Condit…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN HOSPITAL ASSOCIATION · lobbying firm or registrant: AMERICAN HOSPITAL ASSOCIATION
2026 Q1 report (Jan 1, 2026 – Mar 31, 2026) · posted Apr 20, 2026 · issue area: Medicare/Medicaid
$6,080,000
Spent on own lobbying
….R. 4313 / S. 2237, Hospital Inpatient Services Modernization Act of 2025, all provisions; S. 1261 / H.R. 4206, CONNECT for Health Act of 2025, all provisions; H.R. 1805, Assistance for Rural Community Hospitals (ARCH) Act, all provisions; H.R. 2191, Physician Led and Rural Access to Quality Care Act, all provisions; S. 335, Ru…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
FEDERATION OF AMERICAN HOSPITALS · lobbying firm or registrant: FEDERATION OF AMERICAN HOSPITALS
2026 Q1 report (Jan 1, 2026 – Mar 31, 2026) · posted Apr 20, 2026 · issue area: Medicare/Medicaid
$440,000
Spent on own lobbying
…e - payment delays, denials, downcoding, and network adequacy for post-acute care H.R. 5454 / S. 2879 - Medicare Advantage Prompt Pay Act re: MA payment policy H.R. 1805 - "The Assistance for Rural Community Hospitals (ARCH) Act" - re: Discussions on Medicare rural extenders (LVH/MDH) Medicaid Disproportionate Share Hospital…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
ALLIANCE FOR RURAL HOSPITAL ACCESS · lobbying firm or registrant: MCDERMOTT+ LLC
2026 Q1 report (Jan 1, 2026 – Mar 31, 2026) · posted Apr 2, 2026 · issue area: Medicare/Medicaid
$60,000
Paid to lobbying firm
…hospitals (SCHs) and Medicare dependent hospitals(MDHs), including the Rural Hospital Support Act (S.335) and the Assistance for Rural Community Hospitals Act (H.R.1805).
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICA'S HEALTH INSURANCE PLANS INC (AHIP) · lobbying firm or registrant: AMERICA'S HEALTH INSURANCE PLANS, INC. (AHIP)
2025 Q4 report (Oct 1, 2025 – Dec 31, 2025) · posted Jan 21, 2026 · issue area: Medicare/Medicaid
$4,120,000
Spent on own lobbying
…h, Michelle - Minimum nursing home staffing H.R. 1775 - Second Chances for Rural Hospitals Act - Rep. Arrington, Jodey -Definition of rural emergency hospitals H.R. 1805 - ARCH Act - Rep. Miller, Carol - Extend Medicare-dependent and low-value hospitals payments H.R. 1924 - Securing Access to Care for Seniors in Critical Condit…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
FEDERATION OF AMERICAN HOSPITALS · lobbying firm or registrant: FEDERATION OF AMERICAN HOSPITALS
2025 Q4 report (Oct 1, 2025 – Dec 31, 2025) · posted Jan 20, 2026 · issue area: Medicare/Medicaid
$710,000
Spent on own lobbying
…ntage - payment delays, denials, downcoding, and post-acute care network adequacy H.R. 5454 / S. 2879 - Medicare Advantage Prompt Pay Act re: MA payment policy H.R. 1805 - "The Assistance for Rural Community Hospitals (ARCH) Act" - re: Discussions on Medicare rural extenders (LVH/MDH) Medicaid Disproportionate Share Hospital…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN HOSPITAL ASSOCIATION · lobbying firm or registrant: AMERICAN HOSPITAL ASSOCIATION
2025 Q4 report (Oct 1, 2025 – Dec 31, 2025) · posted Jan 20, 2026 · issue area: Medicare/Medicaid
$6,570,000
Spent on own lobbying
….R. 4313 / S. 2237, Hospital Inpatient Services Modernization Act of 2025, all provisions; S. 1261 / H.R. 4206, CONNECT for Health Act of 2025, all provisions; H.R. 1805, Assistance for Rural Community Hospitals (ARCH) Act, all provisions; H.R. 2191, Physician Led and Rural Access to Quality Care Act, all provisions; S. 335, Ru…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
ALLIANCE FOR RURAL HOSPITAL ACCESS · lobbying firm or registrant: MCDERMOTT+ LLC
2025 Q4 report (Oct 1, 2025 – Dec 31, 2025) · posted Jan 5, 2026 · issue area: Medicare/Medicaid
$60,000
Paid to lobbying firm
…hospitals (SCHs) and Medicare dependent hospitals(MDHs), including the Rural Hospital Support Act (S.335) and the Assistance for Rural Community Hospitals Act (H.R.1805).
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICA'S HEALTH INSURANCE PLANS INC (AHIP) · lobbying firm or registrant: AMERICA'S HEALTH INSURANCE PLANS, INC. (AHIP)
2025 Q3 report (Jul 1, 2025 – Sep 30, 2025) · posted Oct 20, 2025 · issue area: Medicare/Medicaid
$4,230,000
Spent on own lobbying
…h, Michelle - Minimum nursing home staffing H.R. 1775 - Second Chances for Rural Hospitals Act - Rep. Arrington, Jodey -Definition of rural emergency hospitals H.R. 1805 - ARCH Act - Rep. Miller, Carol - Extend Medicare-dependent and low-value hospitals payments H.R. 1924 - Securing Access to Care for Seniors in Critical Condit…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
FEDERATION OF AMERICAN HOSPITALS · lobbying firm or registrant: FEDERATION OF AMERICAN HOSPITALS
2025 Q3 report (Jul 1, 2025 – Sep 30, 2025) · posted Oct 20, 2025 · issue area: Medicare/Medicaid
$725,000
Spent on own lobbying
…ity Review Choice Demonstration (IRF RCD) - re: implementation concerns Post-Acute Care - discussions re: network adequacy, reimbursement updates for IRF, LTCH H.R. 1805 - "The Assistance for Rural Community Hospitals (ARCH) Act" - re: Discussions on Medicare rural extenders (LVH/MDH) Medicaid Disproportionate Share Hospital (…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN HOSPITAL ASSOCIATION · lobbying firm or registrant: AMERICAN HOSPITAL ASSOCIATION
2025 Q3 report (Jul 1, 2025 – Sep 30, 2025) · posted Oct 20, 2025 · issue area: Medicare/Medicaid
$5,720,000
Spent on own lobbying
….R. 4313 / S. 2237, Hospital Inpatient Services Modernization Act of 2025, all provisions; S. 1261 / H.R. 4206, CONNECT for Health Act of 2025, all provisions; H.R. 1805, Assistance for Rural Community Hospitals (ARCH) Act, all provisions; H.R. 2191, Physician Led and Rural Access to Quality Care Act, all provisions; S. 335, Ru…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
ALLIANCE FOR RURAL HOSPITAL ACCESS · lobbying firm or registrant: MCDERMOTT+ LLC
2025 Q3 report (Jul 1, 2025 – Sep 30, 2025) · posted Oct 3, 2025 · issue area: Medicare/Medicaid
$80,000
Paid to lobbying firm
…hospitals (SCHs) and Medicare dependent hospitals(MDHs), including the Rural Hospital Support Act (S.335) and the Assistance for Rural Community Hospitals Act (H.R.1805).
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICA'S HEALTH INSURANCE PLANS INC (AHIP) · lobbying firm or registrant: AMERICA'S HEALTH INSURANCE PLANS, INC. (AHIP)
2025 Q2 report (Apr 1, 2025 – Jun 30, 2025) · posted Jul 22, 2025 · issue area: Medicare/Medicaid
$4,050,000
Spent on own lobbying
…h, Michelle - Minimum nursing home staffing H.R. 1775 - Second Chances for Rural Hospitals Act - Rep. Arrington, Jodey -Definition of rural emergency hospitals H.R. 1805 - ARCH Act - Rep. Miller, Carol - Extend Medicare-dependent and low-value hospitals payments H.R. 1924 - Securing Access to Care for Seniors in Critical Condit…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN HOSPITAL ASSOCIATION · lobbying firm or registrant: AMERICAN HOSPITAL ASSOCIATION
2025 Q2 report (Apr 1, 2025 – Jun 30, 2025) · posted Jul 21, 2025 · issue area: Medicare/Medicaid
$6,150,000
Spent on own lobbying
…ality Care Act, all provisions; S. 335, Rural Hospital Support Act, all provisions; H.R. 1683, Protecting America's Seniors Access to Care Act, all provisions; H.R. 1805, Assistance for Rural Community Hospitals (ARCH) Act, all provisions; H.R. 1924, Securing Access to Care for Seniors in Critical Condition Act of 2025, all pro…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
FEDERATION OF AMERICAN HOSPITALS · lobbying firm or registrant: FEDERATION OF AMERICAN HOSPITALS
2025 Q2 report (Apr 1, 2025 – Jun 30, 2025) · posted Jul 17, 2025 · issue area: Medicare/Medicaid
$1,130,000
Spent on own lobbying
Medicare Advantage - re: prior authorization reform, payment delays and denials, and the prompt payment of claims in MA program H.R. 1805 - "The Assistance for Rural Community Hospitals (ARCH) Act" - re: Discussions on Medicare rural extenders (LVH/MDH) Post-Acute Care - discussions re: network…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
ALLIANCE FOR RURAL HOSPITAL ACCESS · lobbying firm or registrant: MCDERMOTT+ LLC
2025 Q2 report (Apr 1, 2025 – Jun 30, 2025) · posted Jun 30, 2025 · issue area: Medicare/Medicaid
$80,000
Paid to lobbying firm
…hospitals (SCHs) and Medicare dependent hospitals(MDHs), including the Rural Hospital Support Act (S.335) and the Assistance for Rural Community Hospitals Act (H.R.1805).
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICA'S HEALTH INSURANCE PLANS INC (AHIP) · lobbying firm or registrant: AMERICA'S HEALTH INSURANCE PLANS, INC. (AHIP)
2025 Q1 report (Jan 1, 2025 – Mar 31, 2025) · posted Apr 22, 2025 · issue area: Medicare/Medicaid
$4,830,000
Spent on own lobbying
…, Michelle - Minimum nursing home staffing H.R. 1775 - Second Chances for Rural Hospitals Act - Rep. Arrington, Jodey - Definition of rural emergency hospitals H.R. 1805 - ARCH Act - Rep. Miller, Carol - Extend Medicare-dependent and low-value hospitals payments H.R. 1924 - Securing Access to Care for Seniors in Critical Condit…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN HOSPITAL ASSOCIATION · lobbying firm or registrant: AMERICAN HOSPITAL ASSOCIATION
2025 Q1 report (Jan 1, 2025 – Mar 31, 2025) · posted Apr 21, 2025 · issue area: Medicare/Medicaid
$7,030,000
Spent on own lobbying
…e Medical Education program and solutions to address workforce shortages in rural areas; DRAFT Bill, Resident Physician Shortage Reduction Act, All provisions; H.R. 1805, Assistance for Rural Community Hospitals (ARCH) Act, All provisions; H.R. 1924, Securing Access to Care for Seniors in Critical Condition Act of 2025, All pro…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
HEALTHCARE ASSOCIATION OF NYS · lobbying firm or registrant: HEALTHCARE ASSOCIATION OF NYS
2025 Q1 report (Jan 1, 2025 – Mar 31, 2025) · posted Apr 21, 2025 · issue area: Medicare/Medicaid
$140,000
Spent on own lobbying
…pricing program -Opposition to site-neutral cuts included in Lower Cost More Transparency Act and Bipartisan Primary Care and Health Workforce Act -Support for H.R. 1805, Assistance for Rual Community Hospitals Act -Support for H.R. 538, Critical Access Hospital Relief Act -Support for H.R. 929, Dr. Lorna Breen Health Care Prov…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
FEDERATION OF AMERICAN HOSPITALS · lobbying firm or registrant: FEDERATION OF AMERICAN HOSPITALS
2025 Q1 report (Jan 1, 2025 – Mar 31, 2025) · posted Apr 11, 2025 · issue area: Medicare/Medicaid
$1,000,000
Spent on own lobbying
…cut delay, telehealth flexibilities Medicare Advantage prior authorization reforms, payment delays and denials, and the prompt payment of claims in MA program H.R. 1805 - "The Assistance for Rural Community Hospitals (ARCH) Act" - re: Discussions on Medicare rural extenders (LVH/MDH) Discussions re: post-acute reimbursement an…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing