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H.R. 1924

U.S. HouseIn House Committee

Summary

H.R. 1924, the Securing Access to Care for Seniors in Critical Condition Act of 2025, was introduced in the House on Mar 6, 2025 by Rep. Kevin Hern (R) with 8 co-sponsors. It was referred to Ways And Means, and last saw action on Mar 6, 2025: Referred to the House Committee on Ways and Means.


Record

Text

H.R. 1924 has 8 co-sponsors.

hb1924/introduced-in-house.txt
119 HR 1924 IH: Securing Access to Care for Seniors in Critical Condition Act of 2025
U.S. House of Representatives
2025-03-06
text/xml
EN
Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.
I 119th CONGRESS 1st Session H. R. 1924 IN THE HOUSE OF REPRESENTATIVES March 6, 2025 Mr. Hern of Oklahoma (for himself, Mr. Boyle of Pennsylvania , Mr. Joyce of Pennsylvania , Mrs. Miller of West Virginia , Mr. Smucker , and Ms. Tenney ) introduced the following bill; which was referred to the Committee on Ways and Means A BILL
To amend title XVIII of the Social Security Act to establish a new criterion for the nonapplication of site-neutral payments to long-term care hospitals under the Medicare program.
1.
Short title
This Act may be cited as the Securing Access to Care for Seniors in Critical Condition Act of 2025 .
2.
Establishing a new criterion for the nonapplication of site-neutral payments to long-term care hospitals under the Medicare program
Section 1886(m)(6)(A) of the Social Security Act ( 42 U.S.C. 1395ww(m)(6)(A) ) is amended—
(1)
in clause (ii)(I), by striking or the ventilator criterion under clause (iv) and inserting , the ventilator criterion under clause (iv), or the high acuity criterion described in clause (v) ; and
(2)
by adding at the end the following new clause:
(v)
High acuity criterion
The criterion specified in this clause (in this paragraph referred to as the high acuity criterion ) for a discharge from a long-term care hospital in a fiscal year is that—
(I)
the discharge was assigned to a Medicare-Severity-Long-Term-Care-Diagnosis-Related-Group (MS-LTC-DRG) with a relative weight for such fiscal year that was equal to or greater than 0.8; and
(II)
the discharge occurred on or after October 1, 2026.
.

Tracker

The tracker indicates the progress of this legislation as it moves through the legislative process.

  1. Introduced2025-03-06
  2. Passed House
  3. Passed Senate
  4. Conference
  5. To President
  6. Became Law

CRS Summary

The summaries are the Congressional Research Service’s, one per stage. Read them in full.

Introduced in House Mar 6, 2025

hb1924/introduced-in-house.md

Shown Here:
Introduced in House (03/06/2025)

Securing Access to Care for Seniors in Critical Condition Act of 2025

This bill exempts discharges from long-term care hospitals (LTCHs) from the Medicare site-neutral payment rate if the discharge meets specified high acuity criteria and occurs on or after October 1, 2026. (The site-neutral rate is the lower of Medicare’s acute care hospital payment rate under the inpatient prospective payment system or 100% of the cost of the stay. LTCH stays that do not qualify for the specialized LTCH payment rate under Medicare are instead paid at the site-neutral rate.)

Sponsors

Rep. Kevin Hern (R) sponsors H.R. 1924, and 8 members have co-sponsored it, 5 of them from the day it was introduced.

Committees

H.R. 1924 went before 1 committee: Ways and Means.

Ways and Means
Ways and Means
Referred To · Mar 6, 2025 · 1,160 Bills

Actions

H.R. 1924 has taken 2 actions since Mar 6, 2025.

ChamberAction
Mar 6, 2025
House
Introduced in House
Mar 6, 2025
House
Referred to the House Committee on Ways and Means.Ways and Means Committee

Votes

H.R. 1924 has not gone to a roll call.

Titles

H.R. 1924 goes by 3 titles, 1 of them short titles.

  • Securing Access to Care for Seniors in Critical Condition Act of 2025 — Display Title
  • Securing Access to Care for Seniors in Critical Condition Act of 2025 — Short Title(s) as Introduced
  • To amend title XVIII of the Social Security Act to establish a new criterion for the nonapplication of site-neutral payments to long-term care hospitals under the Medicare program. — Official Title as Introduced

Lobbying

11 clients hired 8 firms and 65 registered lobbyists who named H.R. 1924 in 47 quarterly filings, 2025 to 2026. Reported under the Lobbying Disclosure Act; a filing’s income covers everything its registrant worked that quarter, so the amounts below are the filings’, not this bill’s.

Filed under Medicare/Medicaid, Health Issues, Budget/Appropriations, Taxation/Internal Revenue Code, Insurance, Medical/Disease Research/Clinical Labs, Pharmacy, Education.

Clients

Who paid to be heard, by how many filings named the bill.

ClientBusinessStateFirmsFilingsReported
NATIONAL ASSOCIATION OF LONG TERM HOSPITALSAssociation for long-term care hospitals and patientsConnecticut16$160K
AMERICA'S HEALTH INSURANCE PLANS INC (AHIP)District of Columbia16
HOSPITAL & HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIAPennsylvania16
PAM HEALTH, LLChealthcare systemPennsylvania15$300K
CHC COMMUNITY CARE, LLCOperator of long-term acute care hospitals.Texas15$200K
KINDRED HEALTHCARE D/B/A SCIONHEALTH (FKA KINDRED HEALTHCARE OPERATING, INC)Healthcare companyKentucky15$169K
PRIORITY HOSPITAL GROUPinpatient, post-acute care hospital companyLouisiana15$100K
RIVERBRIDGE SPECIALTY HOSPITALHospitalLouisiana15$100K
AMERICAN HOSPITAL ASSOCIATIONDistrict of Columbia12
KINDRED HEALTHCARE D/B/A SCIONHEALTHOwner and Operator of Nursing Homes and Long Term Acute Care HospitalsKentucky11$60K
COALITION OF LONG TERM ACUTE CARE HOSPITALSA coalition of long term acute care hospitalsVirginia11$28.8K

Firms

Registrants who filed on the bill, by filings.

Lobbyists

Named on the filings that cite the bill. The 20 named most often, of 65.

Filings

The documents themselves, on the Senate’s Lobbying Disclosure site, largest reported first.

ClientRegistrantPeriodReportedDocument
AMERICAN HOSPITAL ASSOCIATIONAMERICAN HOSPITAL ASSOCIATION2025 first_quarter$7M1st Quarter - Report
AMERICAN HOSPITAL ASSOCIATIONAMERICAN HOSPITAL ASSOCIATION2025 second_quarter$6.2M2nd Quarter - Report
AMERICA'S HEALTH INSURANCE PLANS INC (AHIP)AMERICA'S HEALTH INSURANCE PLANS, INC. (AHIP)2026 first_quarter$5.3M1st Quarter - Report
AMERICA'S HEALTH INSURANCE PLANS INC (AHIP)AMERICA'S HEALTH INSURANCE PLANS, INC. (AHIP)2025 first_quarter$4.8M1st Quarter - Report
AMERICA'S HEALTH INSURANCE PLANS INC (AHIP)AMERICA'S HEALTH INSURANCE PLANS, INC. (AHIP)2025 third_quarter$4.2M3rd Quarter - Report
AMERICA'S HEALTH INSURANCE PLANS INC (AHIP)AMERICA'S HEALTH INSURANCE PLANS, INC. (AHIP)2025 fourth_quarter$4.1M4th Quarter - Report
AMERICA'S HEALTH INSURANCE PLANS INC (AHIP)AMERICA'S HEALTH INSURANCE PLANS, INC. (AHIP)2025 second_quarter$4.1M2nd Quarter - Report
AMERICA'S HEALTH INSURANCE PLANS INC (AHIP)AMERICA'S HEALTH INSURANCE PLANS, INC. (AHIP)2026 second_quarter$3M2nd Quarter - Report
HOSPITAL & HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIATHE HOSPITAL & HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA2025 first_quarter$90K1st Quarter - Report
HOSPITAL & HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIATHE HOSPITAL & HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA2026 second_quarter$70K2nd Quarter - Report
HOSPITAL & HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIATHE HOSPITAL & HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA2026 first_quarter$70K1st Quarter - Report
HOSPITAL & HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIATHE HOSPITAL & HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA2025 second_quarter$70K2nd Quarter - Report
PAM HEALTH, LLCTHE PICARD GROUP, LLC2026 first_quarter$60K1st Quarter - Report
HOSPITAL & HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIATHE HOSPITAL & HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA2025 fourth_quarter$60K4th Quarter - Report
PAM HEALTH, LLCTHE PICARD GROUP, LLC2025 fourth_quarter$60K4th Quarter - Report
HOSPITAL & HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIATHE HOSPITAL & HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA2025 third_quarter$60K3rd Quarter - Report
PAM HEALTH, LLCTHE PICARD GROUP, LLC2025 third_quarter$60K3rd Quarter - Report
PAM HEALTH, LLCTHE PICARD GROUP, LLC2025 second_quarter$60K2nd Quarter - Report
KINDRED HEALTHCARE D/B/A SCIONHEALTHFIERCE GOVERNMENT RELATIONS2025 first_quarter$60K1st Quarter - Report
PAM HEALTH, LLCTHE PICARD GROUP, LLC2025 first_quarter$60K1st Quarter - Report

Classification

The Congressional Research Service files H.R. 1924 under Health, one of its 31 policy areas.

CRS Subjects

CRS assigns every bill one policy area from its 31; H.R. 1924’s is Health.

hr1924/policy-areas.txt
HealthAgriculture and FoodAnimalsArmed Forces and National SecurityArts, Culture, ReligionCivil Rights and Liberties, Minority IssuesCommerceCongressCrime and Law EnforcementEconomics and Public FinanceEducationEmergency ManagementEnergyEnvironmental ProtectionFamiliesFinance and Financial SectorForeign Trade and International FinanceGovernment Operations and PoliticsHousing and Community DevelopmentImmigrationInternational AffairsLabor and EmploymentLawNative AmericansPublic Lands and Natural ResourcesScience, Technology, CommunicationsSocial WelfareSports and RecreationTaxationTransportation and Public WorksWater Resources Development

Constitutional authority

The clause the sponsor cites as Congress’s power to enact H.R. 1924, as entered in the Congressional Record.

[Congressional Record Volume 171, Number 43 (Thursday, March 6, 2025)][House]From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]By Mr. HERN of Oklahoma:H.R. 1924.Congress has the power to enact this legislation pursuantto the following:Article 1 Section 8[Page H1039]

Source: congress.gov · legiscan.com