119th Congress · introduced in the House · Jan 28, 2025
Rural Health Care Access Act of 2025
Official title from Congress.gov
Latest action (Jan 28, 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 28, 2025)
Rural Health Care Access Act of 2025
This bill eliminates certain criteria that hospitals must meet in order to qualify as critical access hospitals that receive special payment under Medicare.
Specifically, the bill eliminates the requirement that a hospital must either (1) be located more than 35 miles (15 miles in mountainous regions or areas with only secondary roads) from another hospital, or (2) have been certified prior to January 1, 2006, by the state as a necessary provider of services in the area.
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 programs administration and funding · Hospital care · Medicare · State and local government operations · Urban and suburban affairs 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 23, 2026.
15 citations.
AMERICAN COLLEGE OF EMERGENCY PHYSICIANS · lobbying firm or registrant: AMERICAN COLLEGE OF EMERGENCY PHYSICIANS
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 21, 2026 · issue area: Medicare/Medicaid
$393,240
Spent on own lobbying
…ty Act to provide Medicare coverage for all physicians services furnished by doctors of chiropractic within the scope of their license, and for other purposes. H.R. 771-Rural Health Care Access Act of 2025, to eliminate the 35-mile requirement to qualify as a critical access hospital H.R. 772-Rural ER Access Act, to require th…
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 RURAL HEALTH CLINICS · lobbying firm or registrant: CAPITOL ASSOCIATES, INC.
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 16, 2026 · issue area: Medicare/Medicaid
$100,000
Paid to lobbying firm
…payments intended to increase availability of health care services in underserved or health professional shortage areas. Rural Health Care Access Act of 2025 (H.R.771) Removes the requirement that prevents hospitals from pursuing a Critical Access Hospital (CAH) designation if it falls within 35-miles of another CAH. Improvi…
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 EMERGENCY PHYSICIANS · lobbying firm or registrant: AMERICAN COLLEGE OF EMERGENCY PHYSICIANS
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 30, 2026 · issue area: Medicare/Medicaid
$498,299
Spent on own lobbying
…ty Act to provide Medicare coverage for all physicians services furnished by doctors of chiropractic within the scope of their license, and for other purposes. H.R. 771-Rural Health Care Access Act of 2025, to eliminate the 35-mile requirement to qualify as a critical access hospital H.R. 772-Rural ER Access Act, to require th…
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 RURAL HEALTH CLINICS · lobbying firm or registrant: CAPITOL ASSOCIATES, INC.
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 14, 2026 · issue area: Medicare/Medicaid
$100,000
Paid to lobbying firm
…payments intended to increase availability of health care services in underserved or health professional shortage areas. Rural Health Care Access Act of 2025 (H.R.771) Removes the requirement that prevents hospitals from pursuing a Critical Access Hospital (CAH) designation if it falls within 35-miles of another CAH. Improvi…
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 EMERGENCY PHYSICIANS · lobbying firm or registrant: AMERICAN COLLEGE OF EMERGENCY PHYSICIANS
2026 Q1 report (Jan 1, 2026 – Mar 31, 2026) · posted May 5, 2026 · issue area: Medicare/Medicaid
$468,727
Spent on own lobbying
…ty Act to provide Medicare coverage for all physicians services furnished by doctors of chiropractic within the scope of their license, and for other purposes. H.R. 771-Rural Health Care Access Act of 2025, to eliminate the 35-mile requirement to qualify as a critical access hospital H.R. 772-Rural ER Access Act, to require th…
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 RURAL HEALTH CLINICS · lobbying firm or registrant: CAPITOL ASSOCIATES, INC.
2026 Q1 report (Jan 1, 2026 – Mar 31, 2026) · amended · posted Apr 17, 2026 · issue area: Medicare/Medicaid
$100,000
Paid to lobbying firm
…payments intended to increase availability of health care services in underserved or health professional shortage areas. Rural Health Care Access Act of 2025 (H.R.771) Removes the requirement that prevents hospitals from pursuing a Critical Access Hospital (CAH) designation if it falls within 35-miles of another CAH. Improvi…
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 RURAL HEALTH CLINICS · lobbying firm or registrant: CAPITOL ASSOCIATES, INC.
2025 Q4 report (Oct 1, 2025 – Dec 31, 2025) · posted Jan 29, 2026 · issue area: Medicare/Medicaid
$100,000
Paid to lobbying firm
…payments intended to increase availability of health care services in underserved or health professional shortage areas. Rural Health Care Access Act of 2025 (H.R.771) Removes the requirement that prevents hospitals from pursuing a Critical Access Hospital (CAH) designation if it falls within 35-miles of another CAH. Improvi…
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 EMERGENCY PHYSICIANS · lobbying firm or registrant: AMERICAN COLLEGE OF EMERGENCY PHYSICIANS
2025 Q4 report (Oct 1, 2025 – Dec 31, 2025) · posted Jan 21, 2026 · issue area: Medicare/Medicaid
$501,071
Spent on own lobbying
…ty Act to provide Medicare coverage for all physicians services furnished by doctors of chiropractic within the scope of their license, and for other purposes. H.R. 771-Rural Health Care Access Act of 2025, to eliminate the 35-mile requirement to qualify as a critical access hospital H.R. 772-Rural ER Access Act, to require th…
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 EMERGENCY PHYSICIANS · lobbying firm or registrant: AMERICAN COLLEGE OF EMERGENCY PHYSICIANS
2025 Q3 report (Jul 1, 2025 – Sep 30, 2025) · posted Oct 21, 2025 · issue area: Medicare/Medicaid
$408,597
Spent on own lobbying
…ty Act to provide Medicare coverage for all physicians services furnished by doctors of chiropractic within the scope of their license, and for other purposes. H.R. 771-Rural Health Care Access Act of 2025, to eliminate the 35-mile requirement to qualify as a critical access hospital H.R. 772-Rural ER Access Act, to require th…
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 RURAL HEALTH CLINICS · lobbying firm or registrant: CAPITOL ASSOCIATES, INC.
2025 Q3 report (Jul 1, 2025 – Sep 30, 2025) · posted Oct 16, 2025 · issue area: Medicare/Medicaid
$100,000
Paid to lobbying firm
…payments intended to increase availability of health care services in underserved or health professional shortage areas. Rural Health Care Access Act of 2025 (H.R.771) Removes the requirement that prevents hospitals from pursuing a Critical Access Hospital (CAH) designation if it falls within 35-miles of another CAH. Improvi…
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
…aft Bill, Issues pertaining to proposed changes to the Medicare Graduate Medical Education program and solutions to address workforce shortages in rural areas; H.R. 771, Rural Health Care Access Act of 2025, all provisions; Draft Bill, Clarifying that Rural Emergency Hospitals are eligible for Medicaid hospital reimbursement;…
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 EMERGENCY PHYSICIANS · lobbying firm or registrant: AMERICAN COLLEGE OF EMERGENCY PHYSICIANS
2025 Q2 report (Apr 1, 2025 – Jun 30, 2025) · posted Jul 21, 2025 · issue area: Medicare/Medicaid
$387,539
Spent on own lobbying
…ty Act to provide Medicare coverage for all physicians services furnished by doctors of chiropractic within the scope of their license, and for other purposes. H.R. 771-Rural Health Care Access Act of 2025, to eliminate the 35-mile requirement to qualify as a critical access hospital H.R. 772-Rural ER Access Act, to require th…
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 RURAL HEALTH CLINICS · lobbying firm or registrant: CAPITOL ASSOCIATES, INC.
2025 Q2 report (Apr 1, 2025 – Jun 30, 2025) · posted Jul 18, 2025 · issue area: Medicare/Medicaid
$100,000
Paid to lobbying firm
…payments intended to increase availability of health care services in underserved or health professional shortage areas. Rural Health Care Access Act of 2025 (H.R.771) Removes the requirement that prevents hospitals from pursuing a Critical Access Hospital (CAH) designation if it falls within 35-miles of another CAH. Improvi…
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 EMERGENCY PHYSICIANS · lobbying firm or registrant: AMERICAN COLLEGE OF EMERGENCY PHYSICIANS
2025 Q1 report (Jan 1, 2025 – Mar 31, 2025) · posted Apr 23, 2025 · issue area: Medicare/Medicaid
$498,834
Spent on own lobbying
…g Medicare three-day inpatient stay prerequisite for skilled nursing facility (SNF) coverage Eliminating prior authorization requirements in Medicare Advantage H.R. 771-Rural Health Care Access Act of 2025, to eliminate the 35-mile requirement to qualify as a critical access hospital H.R. 772-Rural ER Access Act, to require th…
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
…nce for Rural Community Hospitals (ARCH) Act, All provisions; H.R. 1924, Securing Access to Care for Seniors in Critical Condition Act of 2025, All provisions; H.R. 771, Rural Health Care Access Act of 2025, All provisions; DRAFT Bill, Supporting Healthy Moms and Babies Act, All provisions; S. 502, Rural Hospital Closure Relie…
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