119th Congress · introduced in the House · Mar 6, 2025
Securing Access to Care for Seniors in Critical Condition Act of 2025
Official title from Congress.gov
Latest action (Mar 6, 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 6, 2025)
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.)
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 23, 2026.
71 citations; showing the 25 most recently posted.
AMERICA'S HEALTH INSURANCE PLANS INC (AHIP) · lobbying firm or registrant: AMERICA'S HEALTH INSURANCE PLANS, INC. (AHIP)
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Medicare/Medicaid
$3,010,000
Spent on own lobbying
…akis, Gus - Medicaid registration audits H.R. 1598 - Ensuring Access to Medicaid Buy-in Programs Act - Rep. Ciscomani, Juan - Medicaid eligibility requirements H.R. 1924 - Securing Access to Care for Seniors in Critical Condition Act - Rep. Hern, Kevin - Medicare site-neutral payments for LTC hospitals H.R. 2045 - Medicare Dent…
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
HOSPITAL & HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA · lobbying firm or registrant: THE HOSPITAL & HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Medicare/Medicaid
$60,000
Spent on own lobbying
…nts Medicaid provider assessment Medicaid state directed payments Medicare site neutral payments Securing Access to Care for Seniors in Critical Condition Act (H.R. 1924) Medicare Dependent Hospital Program Low Volume Hospital Program Hospital at Home Program STAR Act
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
NATIONAL ASSOCIATION OF LONG TERM HOSPITALS · lobbying firm or registrant: CAPITOL DECISIONS, INC.
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Medicare/Medicaid
$30,000
Paid to lobbying firm
…t of long term care hospitals Medicare Advantage, Prior authorization related issues Patient Access to LTCH Care Act, Reimbursement of long term care hospitals H.R.1924, Securing Access to Care for Seniors in Critical Condition Act of 2025, LTCH relief issues H.R.9468, Saving Todays Acute-Care Resources Act (STAR Act), Entiret…
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
HOSPITAL & HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA · lobbying firm or registrant: THE HOSPITAL & HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 21, 2026 · issue area: Medicare/Medicaid
$70,000
Spent on own lobbying
…nts Medicaid provider assessment Medicaid state directed payments Medicare site neutral payments Securing Access to Care for Seniors in Critical Condition Act (H.R. 1924) Medicare Dependent Hospital Program Low Volume Hospital Program Hospital at Home Program
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
…rrington, 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 Condition Act - Rep. Hern, Kevin - Medicare site-neutral payments for LTC hospitals H.R. 2045 - Medicare Dent…
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
NATIONAL ASSOCIATION OF LONG TERM HOSPITALS · lobbying firm or registrant: CAPITOL DECISIONS, INC.
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 17, 2026 · issue area: Medicare/Medicaid
$30,000
Paid to lobbying firm
…t of long term care hospitals Medicare Advantage, Prior authorization related issues Patient Access to LTCH Care Act, Reimbursement of long term care hospitals H.R.1924, Securing Access to Care for Seniors in Critical Condition Act of 2025, LTCH relief issues H.R.9468, Saving Todays Acute-Care Resources Act (STAR Act), Entiret…
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
…rrington, 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 Condition Act - Rep. Hern, Kevin - Medicare site-neutral payments for LTC hospitals H.R. 2045 - Medicare Dent…
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
HOSPITAL & HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA · lobbying firm or registrant: THE HOSPITAL & HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA
2026 Q1 report (Jan 1, 2026 – Mar 31, 2026) · posted Apr 20, 2026 · issue area: Medicare/Medicaid
$70,000
Spent on own lobbying
…nts Medicaid provider assessment Medicaid state directed payments Medicare site neutral payments Securing Access to Care for Seniors in Critical Condition Act (H.R. 1924) Medicare Dependent Hospital Program Low Volume Hospital Program Hospital at Home Program IRF RCD program
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
NATIONAL ASSOCIATION OF LONG TERM HOSPITALS · lobbying firm or registrant: CAPITOL DECISIONS, INC.
2026 Q1 report (Jan 1, 2026 – Mar 31, 2026) · posted Apr 17, 2026 · issue area: Medicare/Medicaid
$20,000
Paid to lobbying firm
…t of long term care hospitals Medicare Advantage, Prior authorization related issues Patient Access to LTCH Care Act, Reimbursement of long term care hospitals H.R.1924, Securing Access to Care for Seniors in Critical Condition Act of 2025, LTCH relief issues
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
PAM HEALTH, LLC · lobbying firm or registrant: THE PICARD GROUP, LLC
2026 Q1 report (Jan 1, 2026 – Mar 31, 2026) · posted Apr 16, 2026 · issue area: Health Issues
$60,000
Paid to lobbying firm
long term acute care issues and inpatient rehabilitation facility policy issues; H.R. 1924 Securing Access to Care for Seniors in Critical Condition Act of 2025; Medicare Advantage
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
PAM HEALTH, LLC · lobbying firm or registrant: THE PICARD GROUP, LLC
2026 Q1 report (Jan 1, 2026 – Mar 31, 2026) · posted Apr 16, 2026 · issue area: Medicare/Medicaid
$60,000
Paid to lobbying firm
long term acute care issues and inpatient rehabilitation facility policy issues; H.R. 1924 Securing Access to Care for Seniors in Critical Condition Act of 2025; Medicare Advantage
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
CHC COMMUNITY CARE, LLC · lobbying firm or registrant: THE PICARD GROUP, LLC
2026 Q1 report (Jan 1, 2026 – Mar 31, 2026) · posted Apr 16, 2026 · issue area: Health Issues
$40,000
Paid to lobbying firm
H.R. 1924 Securing Access to Care for Seniors in Critical Condition Act of 2025; Medicare Advantage
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
CHC COMMUNITY CARE, LLC · lobbying firm or registrant: THE PICARD GROUP, LLC
2026 Q1 report (Jan 1, 2026 – Mar 31, 2026) · posted Apr 16, 2026 · issue area: Medicare/Medicaid
$40,000
Paid to lobbying firm
H.R. 1924 Securing Access to Care for Seniors in Critical Condition Act of 2025; Medicare Advantage
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
PRIORITY HOSPITAL GROUP · lobbying firm or registrant: THE PICARD GROUP, LLC
2026 Q1 report (Jan 1, 2026 – Mar 31, 2026) · posted Apr 16, 2026 · issue area: Health Issues
$20,000
Paid to lobbying firm
H.R. 1924 Securing Access to Care for Seniors in Critical Condition Act of 2025; Medicare Advantage
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
PRIORITY HOSPITAL GROUP · lobbying firm or registrant: THE PICARD GROUP, LLC
2026 Q1 report (Jan 1, 2026 – Mar 31, 2026) · posted Apr 16, 2026 · issue area: Medicare/Medicaid
$20,000
Paid to lobbying firm
H.R. 1924 Securing Access to Care for Seniors in Critical Condition Act of 2025; Medicare Advantage
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
RIVERBRIDGE SPECIALTY HOSPITAL · lobbying firm or registrant: THE PICARD GROUP, LLC
2026 Q1 report (Jan 1, 2026 – Mar 31, 2026) · posted Apr 16, 2026 · issue area: Health Issues
$20,000
Paid to lobbying firm
H.R. 1924 Securing Access to Care for Seniors in Critical Condition Act of 2025; Medicare Advantage
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
RIVERBRIDGE SPECIALTY HOSPITAL · lobbying firm or registrant: THE PICARD GROUP, LLC
2026 Q1 report (Jan 1, 2026 – Mar 31, 2026) · posted Apr 16, 2026 · issue area: Medicare/Medicaid
$20,000
Paid to lobbying firm
H.R. 1924 Securing Access to Care for Seniors in Critical Condition Act of 2025; Medicare Advantage
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
KINDRED HEALTHCARE D/B/A SCIONHEALTH (FKA KINDRED HEALTHCARE OPERATING, INC) · lobbying firm or registrant: RUBIN HEALTH POLICY CONSULTING, LLC
2026 Q1 report (Jan 1, 2026 – Mar 31, 2026) · posted Apr 8, 2026 · issue area: Health Issues
$26,000
Paid to lobbying firm
…that impact access to acute and long term acute care hospital services, including: the "Securing Access to Care for Seniors in Critical Condition Act of 2025 (H.R. 1924)", the "Continuing Appropriations Act, 2026 (H.R. 7148)" and the "Breaking the Gridlock Act (H.R. 1834)".
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
…rrington, 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 Condition Act - Rep. Hern, Kevin - Medicare site-neutral payments for LTC hospitals H.R. 2045 - Medicare Dent…
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
HOSPITAL & HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA · lobbying firm or registrant: THE HOSPITAL & HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA
2025 Q4 report (Oct 1, 2025 – Dec 31, 2025) · posted Jan 20, 2026 · issue area: Medicare/Medicaid
$60,000
Spent on own lobbying
…irected payments Medicaid block grant Medicaid capitated payments Medicare site neutral payments Securing Access to Care for Seniors in Critical Condition Act (H.R. 1924) Medicare Dependent Hospital Program Low Volume Hospital Program Hospital at Home Program IRF RCD program
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
NATIONAL ASSOCIATION OF LONG TERM HOSPITALS · lobbying firm or registrant: CAPITOL DECISIONS, INC.
2025 Q4 report (Oct 1, 2025 – Dec 31, 2025) · posted Jan 19, 2026 · issue area: Medicare/Medicaid
$40,000
Paid to lobbying firm
…t of long term care hospitals Medicare Advantage, Prior authorization related issues Patient Access to LTCH Care Act, Reimbursement of long term care hospitals H.R.1924, Securing Access to Care for Seniors in Critical Condition Act of 2025, LTCH relief issues
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
PAM HEALTH, LLC · lobbying firm or registrant: THE PICARD GROUP, LLC
2025 Q4 report (Oct 1, 2025 – Dec 31, 2025) · posted Jan 19, 2026 · issue area: Health Issues
$60,000
Paid to lobbying firm
long term acute care issues and inpatient rehabilitation facility policy issues; H.R. 1924 Securing Access to Care for Seniors in Critical Condition Act of 2025; Medicare Advantage
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
PAM HEALTH, LLC · lobbying firm or registrant: THE PICARD GROUP, LLC
2025 Q4 report (Oct 1, 2025 – Dec 31, 2025) · posted Jan 19, 2026 · issue area: Medicare/Medicaid
$60,000
Paid to lobbying firm
long term acute care issues and inpatient rehabilitation facility policy issues; H.R. 1924 Securing Access to Care for Seniors in Critical Condition Act of 2025; Medicare Advantage
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
CHC COMMUNITY CARE, LLC · lobbying firm or registrant: THE PICARD GROUP, LLC
2025 Q4 report (Oct 1, 2025 – Dec 31, 2025) · posted Jan 19, 2026 · issue area: Health Issues
$40,000
Paid to lobbying firm
H.R. 1924 Securing Access to Care for Seniors in Critical Condition Act of 2025; Medicare Advantage
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
CHC COMMUNITY CARE, LLC · lobbying firm or registrant: THE PICARD GROUP, LLC
2025 Q4 report (Oct 1, 2025 – Dec 31, 2025) · posted Jan 19, 2026 · issue area: Medicare/Medicaid
$40,000
Paid to lobbying firm
H.R. 1924 Securing Access to Care for Seniors in Critical Condition Act of 2025; Medicare Advantage
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