119th Congress · introduced in the House · Jan 16, 2025
Critical Access Hospital Relief Act of 2025
Official title from Congress.gov
Latest action (Jan 16, 2025): Referred to the House Committee on Ways and Means.
View on Congress.govPolicy area: Health
Congressional Research Service summary, version: Introduced in House (Jan 16, 2025)
Critical Access Hospital Relief Act of 2025
This bill repeals the 96-hour physician-certification requirement for inpatient critical access hospital services under Medicare. Under current law, as a condition for Medicare payment for such services, a physician must certify that a patient may reasonably be expected to be discharged or transferred to a hospital within 96 hours after admission to the critical access hospital.
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.
Health care coverage and access · Health facilities and institutions · Health personnel · Hospital care · Medicare · Rural conditions and development
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.
32 citations; showing the 25 most recently posted.
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: Health Issues
$60,000
Spent on own lobbying
…mergers and acquisition H1-B Visas H.R. 9393, Lower Costs, More Transparency Act of 2026 H.R. 9390, Prices on the Wall Act Critical Access Hospital Relief Act (H.R. 538) Rural Hospital Support Act (S. 335) Medicare Advantage Prompt Pay Act (H.R.5454) Protect Our Hospitals Act (H.R. 4807) Resident Physician Shortage Reduction A…
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
CALIFORNIA HOSPITAL ASSOCIATION · lobbying firm or registrant: CALIFORNIA HOSPITAL ASSOCIATION
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 19, 2026 · issue area: Health Issues
$370,000
Spent on own lobbying
Q3 Lobbying Report (July 1-September 30) HCR FEMA re: COVID-19 related reimbursement Critical Access Hospital Relief Act (H.R. 538) Rural Hospital Support Act (S. 335) Expanding Medical Education Act (H.R. 2106) Preserving Emergency Access in Key Sites Act (H.R. 3778/S.1860) Improving Seni…
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
SOCIETY OF HOSPITAL MEDICINE · lobbying firm or registrant: CHAMBER HILL STRATEGIES
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 19, 2026 · issue area: Medicare/Medicaid
$40,000
Paid to lobbying firm
…Practice Stabilization Act; S. 1816/HR 3514, the Improving Seniors' Timely Access to Care Act; S. 4641/HR 3954, the Improving Access to Medicare Coverage Act; HR 538, the Critical Access Hospitals Relief Act of 2025; provisions in CMS-1832-F, the CY 2026 Medicare Physician Fee Schedule Final Rule; health policy extensions i…
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
CHARTERCARE HEALTH OF RI (FORRMERLY KNOWN AS CHARTERCARE HEALTH PARTNERS) · lobbying firm or registrant: CAPITOL CITY GROUP, LTD.
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · amended · posted Jul 23, 2026 · issue area: Health Issues
$20,000
Paid to lobbying firm
…ospital Transparency Compliance Act; HR 1339 Safeguarding Social Security and Medicare Act; HR 879 Medicare Patient Access and Practice Stabilization Act 2025; HR 538 Critical Access Hospital Relief Act 2025; H.R.3023 Preventing Hospital Overbilling of Medicare Act; H.R.3684 Save Americas Rural Hospitals 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
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: Health Issues
$70,000
Spent on own lobbying
…mergers and acquisition H1-B Visas H.R. 9393, Lower Costs, More Transparency Act of 2026 H.R. 9390, Prices on the Wall Act Critical Access Hospital Relief Act (H.R. 538) Rural Hospital Support Act (S. 335) Medicare Advantage Prompt Pay Act (H.R.5454) Protect Our Hospitals Act (H.R. 4807) Resident Physician Shortage Reduction A…
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
…, Pharmacy Benefit Manager financing and regulation H.R. 497 - Medicaid Third Party Liability Act - Rep. Crenshaw, Dan - Medicaid liable third-party exceptions H.R. 538 - Critical Access Hospital Relief Act - Rep. Smith, Adrian - Medicare physician certification requirement H.R. 584 - No Medicaid for Illegal Immigrants Act - R…
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
CALIFORNIA HOSPITAL ASSOCIATION · lobbying firm or registrant: CALIFORNIA HOSPITAL ASSOCIATION
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 20, 2026 · issue area: Health Issues
$410,000
Spent on own lobbying
Q2 Lobbying Report (April 1-June 30) HCR FEMA re: COVID-19 related reimbursement Critical Access Hospital Relief Act (H.R. 538) Rural Hospital Support Act (S. 335) Expanding Medical Education Act (H.R. 2106) Preserving Emergency Access in Key Sites Act (H.R. 3778/S.1860) Improving Seni…
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
SOCIETY OF HOSPITAL MEDICINE · lobbying firm or registrant: CHAMBER HILL STRATEGIES
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 19, 2026 · issue area: Medicare/Medicaid
$40,000
Paid to lobbying firm
…Practice Stabilization Act; S. 1816/HR 3514, the Improving Seniors' Timely Access to Care Act; S. 4137/HR 3954, the Improving Access to Medicare Coverage Act; HR 538, the Critical Access Hospitals Relief Act of 2025; provisions in CMS-1832-F, the CY 2026 Medicare Physician Fee Schedule Final Rule; health policy extensions i…
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
TRINITY HEALTH · lobbying firm or registrant: TRINITY HEALTH
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 17, 2026 · issue area: Medicare/Medicaid
$240,000
Spent on own lobbying
…Radiation Oncology Case Rate (ROCR) Value Based Program Act S. 1087 Rebuild Americas Health Care Schools Act HR 3890 Resident Physician Shortage Reduction Act HR 538 Critical Access Hospital Relief Act of 2025 HR 3222 SMART Health Care Act HR 4559 Prompt and Fair Pay Act HR 6199 Medical Nutrition Therapy Act S 2834/HR 5439…
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
TRINITY HEALTH · lobbying firm or registrant: TRINITY HEALTH
2026 Q1 report (Jan 1, 2026 – Mar 31, 2026) · posted May 4, 2026 · issue area: Medicare/Medicaid
$240,000
Spent on own lobbying
…Radiation Oncology Case Rate (ROCR) Value Based Program Act S. 1087 Rebuild Americas Health Care Schools Act HR 3890 Resident Physician Shortage Reduction Act HR 538 Critical Access Hospital Relief Act of 2025 HR 3222 SMART Health Care Act HR 4559 Prompt and Fair Pay Act HR 6199 Medical Nutrition Therapy Act S 2834/HR 5439…
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
…, Pharmacy Benefit Manager financing and regulation H.R. 497 - Medicaid Third Party Liability Act - Rep. Crenshaw, Dan - Medicaid liable third-party exceptions H.R. 538 - Critical Access Hospital Relief Act - Rep. Smith, Adrian - Medicare physician certification requirement H.R. 584 - No Medicaid for Illegal Immigrants Act - R…
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
CALIFORNIA HOSPITAL ASSOCIATION · lobbying firm or registrant: CALIFORNIA HOSPITAL ASSOCIATION
2026 Q1 report (Jan 1, 2026 – Mar 31, 2026) · posted Apr 16, 2026 · issue area: Health Issues
$500,000
Spent on own lobbying
Q1 Lobbying Report (Jan. 1-March 31) HCR FEMA re: COVID-19 related reimbursement Critical Access Hospital Relief Act (H.R. 538) Rural Hospital Support Act (S. 335) Expanding Medical Education Act (H.R. 2106) Preserving Emergency Access in Key Sites Act (H.R. 3778/S.1860) Improving Seni…
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
SOCIETY OF HOSPITAL MEDICINE · lobbying firm or registrant: CHAMBER HILL STRATEGIES
2026 Q1 report (Jan 1, 2026 – Mar 31, 2026) · posted Apr 6, 2026 · issue area: Medicare/Medicaid
$40,000
Paid to lobbying firm
…Practice Stabilization Act; S. 1816/HR 3514, the Improving Seniors' Timely Access to Care Act; S. 4137/HR 3954, the Improving Access to Medicare Coverage Act; HR 538, the Critical Access Hospitals Relief Act of 2025; provisions in CMS-1832-F, the CY 2026 Medicare Physician Fee Schedule Final Rule; health policy extensions i…
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
CALIFORNIA HOSPITAL ASSOCIATION · lobbying firm or registrant: CALIFORNIA HOSPITAL ASSOCIATION
2025 Q4 report (Oct 1, 2025 – Dec 31, 2025) · posted Jan 22, 2026 · issue area: Health Issues
$520,000
Spent on own lobbying
Q4 Lobbying Report (October 1-December 31) HCR FEMA re: COVID-19 related reimbursement Critical Access Hospital Relief Act (H.R. 538) Rural Hospital Support Act (S. 335) Expanding Medical Education Act (H.R. 2106) Preserving Emergency Access in Key Sites Act (H.R. 3778/S.1860) Improving Seni…
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
…, Pharmacy Benefit Manager financing and regulation H.R. 497 - Medicaid Third Party Liability Act - Rep. Crenshaw, Dan - Medicaid liable third-party exceptions H.R. 538 - Critical Access Hospital Relief Act - Rep. Smith, Adrian - Medicare physician certification requirement H.R. 584 - No Medicaid for Illegal Immigrants Act - R…
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
CHARTERCARE HEALTH OF RI (FORRMERLY KNOWN AS CHARTERCARE HEALTH PARTNERS) · lobbying firm or registrant: CAPITOL CITY GROUP, LTD.
2025 Q4 report (Oct 1, 2025 – Dec 31, 2025) · posted Jan 20, 2026 · issue area: Health Issues
$20,000
Paid to lobbying firm
…ospital Transparency Compliance Act; HR 1339 Safeguarding Social Security and Medicare Act; HR 879 Medicare Patient Access and Practice Stabilization Act 2025; HR 538 Critical Access Hospital Relief Act 2025; H.R.3023 Preventing Hospital Overbilling of Medicare Act; H.R.3684 Save Americas Rural Hospitals 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
SOCIETY OF HOSPITAL MEDICINE · lobbying firm or registrant: CHAMBER HILL STRATEGIES
2025 Q4 report (Oct 1, 2025 – Dec 31, 2025) · posted Jan 20, 2026 · issue area: Medicare/Medicaid
$40,000
Paid to lobbying firm
…Practice Stabilization Act; S. 1816/HR 3514, the Improving Seniors' Timely Access to Care Act; S. 4137/HR 3954, the Improving Access to Medicare Coverage Act; HR 538, the Critical Access Hospitals Relief Act of 2025; provisions in CMS-1832-F, the CY 2026 Medicare Physician Fee Schedule Final Rule; health policy extensions i…
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
TRINITY HEALTH · lobbying firm or registrant: TRINITY HEALTH
2025 Q4 report (Oct 1, 2025 – Dec 31, 2025) · posted Jan 19, 2026 · issue area: Medicare/Medicaid
$240,000
Spent on own lobbying
…Radiation Oncology Case Rate (ROCR) Value Based Program Act S. 1087 Rebuild Americas Health Care Schools Act HR 3890 Resident Physician Shortage Reduction Act HR 538 Critical Access Hospital Relief Act of 2025 HR 3222 SMART Health Care Act HR 4559 Prompt and Fair Pay Act HR 6199 Medical Nutrition Therapy 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
CALIFORNIA HOSPITAL ASSOCIATION · lobbying firm or registrant: CALIFORNIA HOSPITAL ASSOCIATION
2025 Q3 report (Jul 1, 2025 – Sep 30, 2025) · posted Oct 21, 2025 · issue area: Health Issues
$730,000
Spent on own lobbying
Q3 Lobbying Report (July 1-September 30) HCR FEMA re: COVID-19 related reimbursement Critical Access Hospital Relief Act (H.R. 538) Rural Hospital Support Act (S. 335) Expanding Medical Education Act (H.R. 2106) Preserving Emergency Access in Key Sites Act (H.R. 3778/S.1860) Improving Seni…
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
…, Pharmacy Benefit Manager financing and regulation H.R. 497 - Medicaid Third Party Liability Act - Rep. Crenshaw, Dan - Medicaid liable third-party exceptions H.R. 538 - Critical Access Hospital Relief Act - Rep. Smith, Adrian - Medicare physician certification requirement H.R. 584 - No Medicaid for Illegal Immigrants Act - R…
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
SOCIETY OF HOSPITAL MEDICINE · lobbying firm or registrant: CHAMBER HILL STRATEGIES
2025 Q3 report (Jul 1, 2025 – Sep 30, 2025) · posted Oct 17, 2025 · issue area: Medicare/Medicaid
$40,000
Paid to lobbying firm
…Practice Stabilization Act; S. 1816/HR 3514, the Improving Seniors' Timely Access to Care Act; S. 4137/HR 3954, the Improving Access to Medicare Coverage Act; HR 538, the Critical Access Hospitals Relief 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
TRINITY HEALTH · lobbying firm or registrant: TRINITY HEALTH
2025 Q3 report (Jul 1, 2025 – Sep 30, 2025) · posted Oct 17, 2025 · issue area: Medicare/Medicaid
$240,000
Spent on own lobbying
…Radiation Oncology Case Rate (ROCR) Value Based Program Act S. 1087 Rebuild Americas Health Care Schools Act HR 3890 Resident Physician Shortage Reduction Act HR 538 Critical Access Hospital Relief Act of 2025 HR 3222 SMART Health Care Act HR 4559 Prompt and Fair Pay 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
CHARTERCARE HEALTH OF RI (FORRMERLY KNOWN AS CHARTERCARE HEALTH PARTNERS) · lobbying firm or registrant: CAPITOL CITY GROUP, LTD.
2025 Q3 report (Jul 1, 2025 – Sep 30, 2025) · posted Oct 16, 2025 · issue area: Health Issues
$20,000
Paid to lobbying firm
…ospital Transparency Compliance Act; HR 1339 Safeguarding Social Security and Medicare Act; HR 879 Medicare Patient Access and Practice Stabilization Act 2025; HR 538 Critical Access Hospital Relief Act 2025; H.R.3023 Preventing Hospital Overbilling of Medicare Act.;H.R.3684 Save Americas Rural Hospitals Act,,HR 1 Big Beauti…
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
…, Pharmacy Benefit Manager financing and regulation H.R. 497 - Medicaid Third Party Liability Act - Rep. Crenshaw, Dan - Medicaid liable third-party exceptions H.R. 538 - Critical Access Hospital Relief Act - Rep. Smith, Adrian - Medicare physician certification requirement H.R. 584 - No Medicaid for Illegal Immigrants Act - R…
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
…pitals are eligible for Medicaid hospital reimbursement; S. Amdt. 2554 to S. Amdt. 2360 to H.R.1, Scott, Crapo, Johnson, Lee, Lummis Amendment, all provisions; H.R. 538, Critical Access Hospital Relief Act of 2025, all provisions; H.R.2232, Protecting Access to Ground Ambulance; Medical Services Act of 2025, all provisions; H.…
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