119th Congress · introduced in the Senate · Jan 30, 2025
Rural Hospital Support Act
Official title from Congress.gov
Latest action (Jan 30, 2025): Read twice and referred to the Committee on Finance.
View on Congress.govPolicy area: Health
Congressional Research Service summary, version: Introduced in Senate (Jan 30, 2025)
Rural Hospital Support Act
This bill modifies and extends certain payment adjustments for rural hospitals under Medicare's inpatient prospective payment system.
Specifically, the bill indexes payment adjustments for sole community hospitals and Medicare-dependent hospitals to FY2016 operating costs, if it results in higher payments for such hospitals. The bill also makes payment adjustments for Medicare-dependent hospitals and low-volume hospitals permanent (the adjustments currently expire on March 31, 2025).
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.
Read twice and referred to the Committee on Finance.
Introduced in Senate
Actions from Congress.gov, newest first.
Health care coverage and access · Health facilities and institutions · 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.
37 citations; showing the 25 most recently posted.
SUTTER HEALTH · lobbying firm or registrant: VENABLE LLP
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Health Issues
$80,000
Paid to lobbying firm
…r authorization (S. 1816 / H.R. 3514); Telehealth and digital health and remote monitoring; Home health / Hospice; Rural health and Rural Hospital Support Act (S. 335); Graduate medical education; Artificial intelligence; RESULTS Act (H.R. 5269 / S. 2761); Equitable Community Access to Pharmacist Services (ECAPS) Act (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
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
…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 Timely Access to Care Act, all provisions; S. 502, Rural Hospital Closure Rel…
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: Health Issues
$60,000
Spent on own lobbying
…. 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 Act of 2025 (H.R. 4731/S.2439) H-1Bs…
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 Seniors Timely Access to Care Act (H.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
SUTTER HEALTH · lobbying firm or registrant: VENABLE LLP
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · amended · posted Oct 18, 2026 · issue area: Health Issues
$80,000
Paid to lobbying firm
…Drug Pricing; MA prior authorization (S. 1816 / H.R. 3514); Telehealth and digital health; Home health / Hospice; Rural health and Rural Hospital Support Act (S. 335); Graduate medical education; Artificial intelligence; The Affordable Care Act; RESULTS Act (H.R. 5269 / S. 2761); Equitable Community Access to Pharmacist Ser…
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
CATHOLIC HEALTH ASSOCIATION OF THE UNITED STATES · lobbying firm or registrant: CATHOLIC HEALTH ASSOCIATION OF THE UNITED STATES
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 15, 2026 · issue area: Medicare/Medicaid
$116,445
Spent on own lobbying
(S.335) - The Rural Hospital Support Act - Expressed support for the Rural Hospital Support Act. This legislation would provide assistance to rural hospitals through…
Congress inferred from the report year; bill number matches Congress.gov records and the bill predates the report; no title was cited with it. 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
ALLIANCE FOR RURAL HOSPITAL ACCESS · lobbying firm or registrant: MCDERMOTT+ LLC
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 6, 2026 · issue area: Medicare/Medicaid
$40,000
Paid to lobbying firm
…mbursement for rural referral centers (RRCs), sole community hospitals (SCHs) and Medicare dependent hospitals(MDHs), including the Rural Hospital Support Act (S.335) and the Assistance for Rural Community Hospitals Act (H.R.1805).
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
…. 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 Act of 2025 (H.R. 4731/S.2439) H-1Bs…
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
…H.R. 1805, Assistance for Rural Community Hospitals (ARCH) Act, 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 Timely Access to Care Act, all provisions; S. 502, Rural Hospital Closure Rel…
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 Seniors Timely Access to Care Act (H.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
CATHOLIC HEALTH ASSOCIATION OF THE UNITED STATES · lobbying firm or registrant: CATHOLIC HEALTH ASSOCIATION OF THE UNITED STATES
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 20, 2026 · issue area: Medicare/Medicaid
$240,651
Spent on own lobbying
…e costs, ensuring patients have access to critical services in their community, including trauma care, burn units, maternal care, and high-risk neonatal care. (S.335) - The Rural Hospital Support Act - Expressed support for the Rural Hospital Support Act. This legislation would provide assistance to rural hospitals through…
Congress inferred from the report year; bill number matches Congress.gov records and the bill predates the report; no title was cited with it. 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
ALLIANCE FOR RURAL HOSPITAL ACCESS · lobbying firm or registrant: MCDERMOTT+ LLC
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 6, 2026 · issue area: Medicare/Medicaid
$60,000
Paid to lobbying firm
…mbursement for rural referral centers (RRCs), sole community hospitals (SCHs) and Medicare dependent hospitals(MDHs), including the Rural Hospital Support Act (S.335) and the Assistance for Rural Community Hospitals Act (H.R.1805).
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 Q1 report (Jan 1, 2026 – Mar 31, 2026) · posted Apr 20, 2026 · issue area: Medicare/Medicaid
$6,080,000
Spent on own lobbying
…H.R. 1805, Assistance for Rural Community Hospitals (ARCH) Act, 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 Timely Access to Care Act, all provisions; S. 502 / H.R. 6240 , Rural Hospit…
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
CATHOLIC HEALTH ASSOCIATION OF THE UNITED STATES · lobbying firm or registrant: CATHOLIC HEALTH ASSOCIATION OF THE UNITED STATES
2026 Q1 report (Jan 1, 2026 – Mar 31, 2026) · posted Apr 20, 2026 · issue area: Medicare/Medicaid
$140,055
Spent on own lobbying
…e costs, ensuring patients have access to critical services in their community, including trauma care, burn units, maternal care, and high-risk neonatal care. (S.335) - The Rural Hospital Support Act - Expressed support for the Rural Hospital Support Act. This legislation would provide assistance to rural hospitals through…
Congress inferred from the report year; bill number matches Congress.gov records and the bill predates the report; no title was cited with it. 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 Seniors Timely Access to Care Act (H.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
SUTTER HEALTH · lobbying firm or registrant: VENABLE LLP
2026 Q1 report (Jan 1, 2026 – Mar 31, 2026) · posted Apr 8, 2026 · issue area: Health Issues
$80,000
Paid to lobbying firm
…tral; 340B Program and Drug Pricing; MA prior authorization; Telehealth and digital health; Home health / Hospice; Rural health and Rural Hospital Support Act (S. 335); Lorna Breen Health Care Worker Safety Reauthorization Act (S. 266 / H.R. 929); Graduate medical education; Artificial intelligence; The Affordable 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
ALLIANCE FOR RURAL HOSPITAL ACCESS · lobbying firm or registrant: MCDERMOTT+ LLC
2026 Q1 report (Jan 1, 2026 – Mar 31, 2026) · posted Apr 2, 2026 · issue area: Medicare/Medicaid
$60,000
Paid to lobbying firm
…mbursement for rural referral centers (RRCs), sole community hospitals (SCHs) and Medicare dependent hospitals(MDHs), including the Rural Hospital Support Act (S.335) and the Assistance for Rural Community Hospitals Act (H.R.1805).
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
…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 Seniors Timely Access to Care Act (H.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 Q4 report (Oct 1, 2025 – Dec 31, 2025) · posted Jan 20, 2026 · issue area: Medicare/Medicaid
$6,570,000
Spent on own lobbying
…H.R. 1805, Assistance for Rural Community Hospitals (ARCH) Act, 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 Timely Access to Care Act, all provisions; S. 502, Rural Hospital Closure Rel…
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
CATHOLIC HEALTH ASSOCIATION OF THE UNITED STATES · lobbying firm or registrant: CATHOLIC HEALTH ASSOCIATION OF THE UNITED STATES
2025 Q4 report (Oct 1, 2025 – Dec 31, 2025) · posted Jan 20, 2026 · issue area: Medicare/Medicaid
$152,536
Spent on own lobbying
…e costs, ensuring patients have access to critical services in their community, including trauma care, burn units, maternal care, and high-risk neonatal care. (S.335) - The Rural Hospital Support Act - Expressed support for the Rural Hospital Support Act. This legislation would provide assistance to rural hospitals through…
Congress inferred from the report year; bill number matches Congress.gov records and the bill predates the report; no title was cited with it. 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
SUTTER HEALTH · lobbying firm or registrant: VENABLE LLP
2025 Q4 report (Oct 1, 2025 – Dec 31, 2025) · posted Jan 13, 2026 · issue area: Health Issues
$80,000
Paid to lobbying firm
…tral; 340B Program and Drug Pricing; MA prior authorization; Telehealth and digital health; Home health / Hospice; Rural health and Rural Hospital Support Act (S. 335); Lorna Breen Health Care Worker Safety Reauthorization Act (S. 266 / H.R. 929); Mobile stroke unit funding and Medicare reimbursement; Graduate medical educat…
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
ALLIANCE FOR RURAL HOSPITAL ACCESS · lobbying firm or registrant: MCDERMOTT+ LLC
2025 Q4 report (Oct 1, 2025 – Dec 31, 2025) · posted Jan 5, 2026 · issue area: Medicare/Medicaid
$60,000
Paid to lobbying firm
…mbursement for rural referral centers (RRCs), sole community hospitals (SCHs) and Medicare dependent hospitals(MDHs), including the Rural Hospital Support Act (S.335) and the Assistance for Rural Community Hospitals Act (H.R.1805).
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 Seniors Timely Access to Care Act (H.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 Q3 report (Jul 1, 2025 – Sep 30, 2025) · posted Oct 20, 2025 · issue area: Medicare/Medicaid
$5,720,000
Spent on own lobbying
…H.R. 1805, Assistance for Rural Community Hospitals (ARCH) Act, 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 Timely Access to Care Act, all provisions; S. 502, Rural Hospital Closure Rel…
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
CATHOLIC HEALTH ASSOCIATION OF THE UNITED STATES · lobbying firm or registrant: CATHOLIC HEALTH ASSOCIATION OF THE UNITED STATES
2025 Q3 report (Jul 1, 2025 – Sep 30, 2025) · posted Oct 20, 2025 · issue area: Medicare/Medicaid
$146,466
Spent on own lobbying
…their communities, revisit the minimum staff requirement for long-term care facilities, and protect the role and tax-exempt status of non-profit health care. (S.335) - The Rural Hospital Support Act - Expressed support for the Rural Hospital Support Act. This legislation would provide assistance to rural hospitals through…
Congress inferred from the report year; bill number matches Congress.gov records and the bill predates the report; no title was cited with it. 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