119th Congress · introduced in the House · Jun 25, 2026
STAR Act
Official title from Congress.gov
Latest action (Jul 15, 2026): Ordered to be Reported in the Nature of a Substitute by the Yeas and Nays: 40 - 0.
View on Congress.govPolicy area: Health
No official summary has been published for this bill.
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.
Ordered to be Reported in the Nature of a Substitute by the Yeas and Nays: 40 - 0.
Committee Consideration and Mark-up Session Held
Referred to the House Committee on Ways and Means.
Introduced in House
Introduced in House
Actions from Congress.gov, newest first.
Health care costs and insurance · Hospital care · Long-term, rehabilitative, and terminal care · Medicare
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.
20 citations.
FEDERATION OF AMERICAN HOSPITALS · lobbying firm or registrant: FEDERATION OF AMERICAN HOSPITALS
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Medicare/Medicaid
$760,000
Spent on own lobbying
Medicaid policy re: State Directed Payments; Provider Taxes H.R. 9468, Saving Today's Acute-Care Resources (STAR) Act re: long term care hospital Medicare payment H.R.3108 / S.1535, Rural Patient Monitoring Access Act re: remote…
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
…4384, Medicare Advantage Improvement Act, all provisions; H.R. 8967 / S. 4460, Rural Community Hospital Demonstration Program Reauthorization, all provisions; H.R. 9468, Saving Today's Acute Care Resources (STAR) Act, all provisions; H.R. 8891, Rural Maternity Options for Medial Support (Rural MOMS) Act, all provisions; H.R. 3…
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
COALITION OF LONG TERM ACUTE CARE HOSPITALS · lobbying firm or registrant: DEBRUNNER & ASSOCIATES
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Medicare/Medicaid
$23,750
Paid to lobbying firm
HR9468 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
COALITION OF LONG TERM ACUTE CARE HOSPITALS · lobbying firm or registrant: DEBRUNNER & ASSOCIATES
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Health Issues
$23,750
Paid to lobbying firm
HR 9468 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
…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), Entirety H.R.8375, Medicare Advantage Improvement Act of 2026, Entirety
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 · lobbying firm or registrant: FIERCE GOVERNMENT RELATIONS
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Medicare/Medicaid
$60,000
Paid to lobbying firm
Issues relating to long term acute care (LTAC); H.R.9468 - Saving Todays Acute Care Resources Act of 2026; General business 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 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 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. 9468 The STAR Act; 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 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 16, 2026 · issue area: Health Issues
$20,000
Paid to lobbying firm
H.R. 9468, The STAR Act; 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 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 16, 2026 · issue area: Medicare/Medicaid
$20,000
Paid to lobbying firm
H.R. 9468 The STAR Act; 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 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 16, 2026 · issue area: Medicare/Medicaid
Amount not reported
H.R. 9468 The STAR Act; 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. View filing
PRIORITY HOSPITAL GROUP · lobbying firm or registrant: THE PICARD GROUP, LLC
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 16, 2026 · issue area: Medicare/Medicaid
$20,000
Paid to lobbying firm
H.R. 9468, The STAR Act; 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 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 12, 2026 · issue area: Health Issues
$52,000
Paid to lobbying firm
Monitored proposals that impact access to acute and long term acute care hospital services, including: the "Saving Today's Acute-Care Resources Act (H.R. 9468)", the "Lower Costs, More Transparency Act (H.R. 9393)", the "Medicare Advantage Improvement Act (S. 4384/H.R. 8375)" and the "Continuing Appropriations and Ex…
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
…4384, Medicare Advantage Improvement Act, all provisions; H.R. 8967 / S. 4460, Rural Community Hospital Demonstration Program Reauthorization, all provisions; H.R. 9468, Saving Today's Acute Care Resources (STAR) Act, all provisions; H.R. 8261, Chronic Care Management Improvement Act, all provisions; DRAFT, HCA Mission Act, al…
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
…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), Entirety H.R.8375, Medicare Advantage Improvement Act of 2026, Entirety
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 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 16, 2026 · issue area: Health Issues
$39,000
Paid to lobbying firm
…s to acute and long term acute care hospital services, including: the "Rural Patient Monitoring Act (H.R. 3108)", the "Saving Today's Acute-Care Resources Act (H.R. 9468)", the "Lower Costs, More Transparency Act (H.R. 9393)" and the "Medicare Advantage Improvement Act (S. 4384/H.R. 8375)".
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 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 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. 9468 The STAR Act; 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 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 16, 2026 · issue area: Health Issues
$20,000
Paid to lobbying firm
H.R. 9468, The STAR Act; 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 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 16, 2026 · issue area: Medicare/Medicaid
$20,000
Paid to lobbying firm
H.R. 9468 The STAR Act; 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 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 15, 2026 · issue area: Medicare/Medicaid
$20,000
Paid to lobbying firm
H.R. 9468, The STAR Act; 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 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 15, 2026 · issue area: Medicare/Medicaid
$20,000
Paid to lobbying firm
H.R. 9468 The STAR Act; 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