119th Congress · introduced in the House · Mar 18, 2025
Physician Led and Rural Access to Quality Care Act
Official title from Congress.gov
Latest action (Mar 18, 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.
View on Congress.govPolicy area: Health
Congressional Research Service summary, version: Introduced in House (Mar 18, 2025)
Physician Led and Rural Access to Quality Care Act
This bill expands flexibilities for physicians and physician-owned hospitals under the Stark law (i.e., the Physician Self-Referral Law).
The Stark law generally prohibits physicians from referring patients to receive services that are payable under Medicare or Medicaid from entities in which the physician or an immediate family member has a financial relationship. The bill allows physicians or their immediate family members to have financial interests in rural hospitals that are located more than 35 miles (or 15 miles in certain mountainous areas or areas with only secondary roads) from a hospital or critical access hospital.
The Stark law also generally prohibits physician-owned hospitals from expanding the number of operating rooms, procedure rooms, or beds beyond the number in existence as of March 23, 2010, in order to be excepted under the Stark law. The bill removes this restriction.
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 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.
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.
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.
143 citations; showing the 25 most recently posted.
CONGRESS OF NEUROLOGICAL SURGEONS · lobbying firm or registrant: CONGRESS OF NEUROLOGICAL SURGEONS
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Medicare/Medicaid
$35,000
Spent on own lobbying
S. 1390/H.R.2191, Physician-Led and Rural Access to Quality Care Act: To revise certain physician self-referral exemptions relating to physician-owned hospitals. S. 1640, the M…
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 ASSOCIATION OF NEUROLOGICAL SURGEONS · lobbying firm or registrant: AMERICAN ASSOCIATION OF NEUROLOGICAL SURGEONS
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Medicare/Medicaid
$35,000
Spent on own lobbying
S. 1390/H.R.2191, Physician-Led and Rural Access to Quality Care Act: To revise certain physician self-referral exemptions relating to physician-owned hospitals. S. 1640, the M…
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 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 Led and Rural Access to Quality Care Act, all provisions; S. 335, Rural Hospital Support Act, all provisions; S.1816 / H.R.3514, Improving Seniors T…
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
ELEVANCE HEALTH, INC. · lobbying firm or registrant: ELEVANCE HEALTH, INC.
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Health Issues
$1,410,000
Spent on own lobbying
…H.R. 5582 & S. 2355) No Surprises Act Implementation No Surprises Act Enforcement Act (H.R. 4710 & S. 2420) Physician Led and Rural Access to Quality Care Act (H.R. 2191) One Big Beautiful Bill Act (H.R. 1) Consolidated Appropriations Act of 2026 (H.R.7148) Senate Fiscal Year 2027 Labor, Health and Human Services, Education and…
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
ELEVANCE HEALTH, INC. · lobbying firm or registrant: ELEVANCE HEALTH, INC.
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Insurance
$1,410,000
Spent on own lobbying
…582 & S. 2355) No Surprises Act Implementation (IDR) No Surprises Act Enforcement Act (H.R. 4710 & S. 2420) Physician Led and Rural Access to Quality Care Act (H.R. 2191) One Big Beautiful Bill Act (H.R. 1) Consolidated Appropriations Act of 2026 (H.R.7148) Senate Fiscal Year 2027 Labor, Health and Human Services, Education and…
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 COLLEGE OF RHEUMATOLOGY · lobbying firm or registrant: AMERICAN COLLEGE OF RHEUMATOLOGY
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Health Issues
$50,000
Spent on own lobbying
…4002) Biosimilar Red Tape Elimination Act (HR 5526/S. 1954) Medical Foods and Formulas Access Act (HR 5684) Physician Led and Rural Access to Quality Care Act (HR 2191/S. 1390) Claims Data Act, H.R. 4331 Rural Residency Planning and development Act of 2025, H.R. 6468 To exempt H-1B health care workers from the restriction und…
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 COLLEGE OF RHEUMATOLOGY · lobbying firm or registrant: AMERICAN COLLEGE OF RHEUMATOLOGY
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Budget/Appropriations
$50,000
Spent on own lobbying
…4002) Biosimilar Red Tape Elimination Act (HR 5526/S. 1954) Medical Foods and Formulas Access Act (HR 5684) Physician Led and Rural Access to Quality Care Act (HR 2191/S. 1390) Claims Data Act, H.R. 4331 Rural Residency Planning and development Act of 2025, H.R. 6468 To exempt H-1B health care workers from the restriction und…
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 COLLEGE OF RHEUMATOLOGY · lobbying firm or registrant: AMERICAN COLLEGE OF RHEUMATOLOGY
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Medicare/Medicaid
$50,000
Spent on own lobbying
…4002) Biosimilar Red Tape Elimination Act (HR 5526/S. 1954) Medical Foods and Formulas Access Act (HR 5684) Physician Led and Rural Access to Quality Care Act (HR 2191/S. 1390) Claims Data Act, H.R. 4331 Rural Residency Planning and development Act of 2025, H.R. 6468 To exempt H-1B health care workers from the restriction und…
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
PHYSICIAN-LED HEALTHCARE FOR AMERICA · lobbying firm or registrant: THORN RUN PARTNERS
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Health Issues
$40,000
Paid to lobbying firm
Educating about and expanding the ability for physician-owned hospitals to operate. H.R.2191 - Physician Led and Rural Access to Quality Care 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
PHYSICIAN-LED HEALTHCARE FOR AMERICA · lobbying firm or registrant: THORN RUN PARTNERS
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Medical/Disease Research/Clinical Labs
$40,000
Paid to lobbying firm
Educating about and expanding the ability for physician-owned hospitals to operate. H.R.2191 - Physician Led and Rural Access to Quality Care 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
HCA · lobbying firm or registrant: THE SMITH-FREE GROUP, LLC
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Medicare/Medicaid
$70,000
Paid to lobbying firm
…ving proposed changes to the Rural Emergency Hospital program Discussions relating to site neutral payment reform Discussions pertaining to prior authorization H.R. 2191 Physician Led and Rural Access to Quality Care Act (all sections of full text) Monitored discussions involving GME reform proposals impacting Medicare reimburs…
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
HCA HEALTHCARE, INC. · lobbying firm or registrant: HCA HEALTHCARE, INC.
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 19, 2026 · issue area: Medicare/Medicaid
$750,000
Spent on own lobbying
HR 2191, Physician Led and Rural Access to Quality Care Act; S 1816, Improving Seniors' Timely Access to Care Act of 2025; S 46, Health Care Affordability Act of 2025;…
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
HCA HEALTHCARE, INC. · lobbying firm or registrant: HCA HEALTHCARE, INC.
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 19, 2026 · issue area: Health Issues
$750,000
Spent on own lobbying
HR 2191, Physician Led and Rural Access to Quality Care Act; S 1816, Improving Seniors' Timely Access to Care Act of 2025; S 46, Health Care Affordability Act of 2025;…
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
MASSACHUSETTS MEDICAL SOCIETY · lobbying firm or registrant: MASSACHUSETTS MEDICAL SOCIETY
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 19, 2026 · issue area: Health Issues
$50,000
Spent on own lobbying
…verage - no specific bill Issues related to mental and behavioral health care - no specific bill Issues related to Private Equity/Healthcare - no specific bill H.R. 2191, Physician Led and Rural Access to Quality Care Act Support of community water fluoridation - no specific bill Extend Premium Tax Credits - no specific bill He…
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
MASSACHUSETTS MEDICAL SOCIETY · lobbying firm or registrant: MASSACHUSETTS MEDICAL SOCIETY
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 19, 2026 · issue area: Medicare/Medicaid
$50,000
Spent on own lobbying
…verage - no specific bill Issues related to mental and behavioral health care - no specific bill Issues related to Private Equity/Healthcare - no specific bill H.R. 2191, Physician Led and Rural Access to Quality Care Act Support of community water fluoridation - no specific bill Extend Premium Tax Credits - no specific bill He…
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 MEDICAL ASSOCIATION · lobbying firm or registrant: AMERICAN MEDICAL ASSOCIATION
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 19, 2026 · issue area: Health Issues
$4,540,000
Spent on own lobbying
…4 - The Stop Corporate Takeovers of Physicians Act, all provisions H.R.1520 - Charlotte Woodward Organ Transplant Discrimination Prevention Act, all provisions H.R.2191 - Physician Led and Rural Access to Quality Care Act, all provisions H.R.2332 - SHARE Act of 2025, all provisions H.R.2483 - SUPPORT for Patients and Communiti…
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 ACADEMY OF OTOLARYNGOLOGY-HEAD AND NECK SURGERY · lobbying firm or registrant: AMERICAN ACADEMY OF OTOLARYNGOLOGY-HEAD AND NECK SURGERY
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 15, 2026 · issue area: Health Issues
$388,538
Spent on own lobbying
…t of 2025. H.R.929/S.266, Dr. Lorna Breen Health Care Provider Protection Reauthorization Act. H.R.2028/S.942, Resident Education Deferred Interest (REDI) Act. H.R.2191/S.1390, Physician Led and Rural Access to Quality Care Act. H.R.2433, Reducing Medically Unnecessary Delays in Care Act of 2025. H.R.2757/S.1996, Medicare Audi…
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 ACADEMY OF OTOLARYNGOLOGY-HEAD AND NECK SURGERY · lobbying firm or registrant: AMERICAN ACADEMY OF OTOLARYNGOLOGY-HEAD AND NECK SURGERY
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 15, 2026 · issue area: Medicare/Medicaid
$388,538
Spent on own lobbying
…er 25. H.R.539/S.106, Chiropractic Medicare Coverage Modernization Act of 2025. H.R.879/S.1640, Medicare Patient Access and Practice Stabilization Act of 2025. H.R.2191/S.1390, Physician Led and Rural Access to Quality Care Act. H.R.2433, Reducing Medically Unnecessary Delays in Care Act of 2025. H.R.2757/S.1996, Medicare Audi…
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 COLLEGE OF SURGEONS PROFESSIONAL ASSOCIATION · lobbying firm or registrant: AMERICAN COLLEGE OF SURGEONS PROFESSIONAL ASSOCIATION
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 15, 2026 · issue area: Medicare/Medicaid
$40,000
Spent on own lobbying
…alty Physicians Advancing Rural Care (SPARC) Act S. 2031 - Workforce Mobility Act S. 1410 - Find it Early Act S. 1935 - Expanding Access to Palliative Care Act H.R. 2191 - Physician Led and Rural Access to Quality Care Act S.1816/H.R.3514 - Improving Seniors Timely Access to Care Act S. 4582/H.R. 7198 - Reintroduction of Ensuri…
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 COLLEGE OF SURGEONS PROFESSIONAL ASSOCIATION · lobbying firm or registrant: AMERICAN COLLEGE OF SURGEONS PROFESSIONAL ASSOCIATION
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 15, 2026 · issue area: Health Issues
$40,000
Spent on own lobbying
…alty Physicians Advancing Rural Care (SPARC) Act S. 2031 - Workforce Mobility Act S. 1410 - Find it Early Act S. 1935 - Expanding Access to Palliative Care Act H.R. 2191 - Physician Led and Rural Access to Quality Care Act S.1816/H.R.3514 - Improving Seniors Timely Access to Care Act S. 4582/H.R. 7198 - Reintroduction of Ensuri…
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 COLLEGE OF SURGEONS · lobbying firm or registrant: AMERICAN COLLEGE OF SURGEONS
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 15, 2026 · issue area: Medicare/Medicaid
$230,000
Spent on own lobbying
…alty Physicians Advancing Rural Care (SPARC) Act S. 2031 - Workforce Mobility Act S. 1410 - Find it Early Act S. 1935 - Expanding Access to Palliative Care Act H.R. 2191 - Physician Led and Rural Access to Quality Care Act S.1816/H.R.3514 - Improving Seniors Timely Access to Care Act S. 4582/H.R. 7198 - Reintroduction of Ensuri…
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 COLLEGE OF SURGEONS · lobbying firm or registrant: AMERICAN COLLEGE OF SURGEONS
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 15, 2026 · issue area: Health Issues
$230,000
Spent on own lobbying
…alty Physicians Advancing Rural Care (SPARC) Act S. 2031 - Workforce Mobility Act S. 1410 - Find it Early Act S. 1935 - Expanding Access to Palliative Care Act H.R. 2191 - Physician Led and Rural Access to Quality Care Act S.1816/H.R.3514 - Improving Seniors Timely Access to Care Act S. 4582/H.R. 7198 - Reintroduction of Ensuri…
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 ASSOCIATION OF ORTHOPAEDIC SURGEONS · lobbying firm or registrant: AMERICAN ASSOCIATION OF ORTHOPAEDIC SURGEONS
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 14, 2026 · issue area: Medicare/Medicaid
$400,000
Spent on own lobbying
…amend title XVIII of the Social Security Act to extend incentive payments for participation in eligible alternative payment models under the Medicare program. H.R. 2191 Physician Led and Rural Access to Care Act: To amend title XVIII of the Social Security Act to revise certain physician self-referral exemptions relating to ph…
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 ASSOCIATION OF ORTHOPAEDIC SURGEONS · lobbying firm or registrant: AMERICAN ASSOCIATION OF ORTHOPAEDIC SURGEONS
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 14, 2026 · issue area: Health Issues
$400,000
Spent on own lobbying
H.R. 751 HEALTH Panel Act S. 1390 Physician Led and Rural Access to Care Act H.R. 2191 Physician Led and Rural Access to Care 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
AMERICAN COLLEGE OF CARDIOLOGY · lobbying firm or registrant: AMERICAN COLLEGE OF CARDIOLOGY
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 14, 2026 · issue area: Health Issues
$600,000
Spent on own lobbying
…26 (H.R. 9058); Lorna Breen Health Care Provider Protection Reauthorization Act (H.R. 929/S. 266; Physician Led and Rural Access to Access to Quality Care Act (H.R. 2191/S. 1390); Section 232, National Security Investigation of Imports of Pharmaceuticals and Pharmaceutical Ingredients; and to protect health care workers from vi…
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