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H.R. 1924
U.S. House•In 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.txt119 HR 1924 IH: Securing Access to Care for Seniors in Critical Condition Act of 2025U.S. House of Representatives2025-03-06text/xmlENPursuant 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 BILLTo 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 titleThis 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 programSection 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 criterionThe 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.
- Introduced2025-03-06
- Passed House
- Passed Senate
- Conference
- To President
- 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.mdShown 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.

Rep. · R–OK-1 · Sponsor
Introduced Mar 6, 2025

Rep. · D–PA-2 · Co-sponsor
Joined Mar 6, 2025 · Original

Rep. · R–PA-13 · Co-sponsor
Joined Mar 6, 2025 · Original

Rep. · R–WV-1 · Co-sponsor
Joined Mar 6, 2025 · Original

Rep. · R–PA-11 · Co-sponsor
Joined Mar 6, 2025 · Original

Rep. · R–NY-24 · Co-sponsor
Joined Mar 6, 2025 · Original

Rep. · D–NC-1 · Co-sponsor
Joined Apr 9, 2025

Rep. · R–OH-15 · Co-sponsor
Joined Jun 4, 2025

Rep. · R–TX-1 · Co-sponsor
Joined Apr 13, 2026
Committees
H.R. 1924 went before 1 committee: Ways and Means.
Actions
H.R. 1924 has taken 2 actions since Mar 6, 2025.
| Chamber | Action | |||
|---|---|---|---|---|
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.
| Client | Business | State | Firms | Filings | Reported |
|---|---|---|---|---|---|
| NATIONAL ASSOCIATION OF LONG TERM HOSPITALS | Association for long-term care hospitals and patients | Connecticut | 1 | 6 | $160K |
| AMERICA'S HEALTH INSURANCE PLANS INC (AHIP) | — | District of Columbia | 1 | 6 | — |
| HOSPITAL & HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA | — | Pennsylvania | 1 | 6 | — |
| PAM HEALTH, LLC | healthcare system | Pennsylvania | 1 | 5 | $300K |
| CHC COMMUNITY CARE, LLC | Operator of long-term acute care hospitals. | Texas | 1 | 5 | $200K |
| KINDRED HEALTHCARE D/B/A SCIONHEALTH (FKA KINDRED HEALTHCARE OPERATING, INC) | Healthcare company | Kentucky | 1 | 5 | $169K |
| PRIORITY HOSPITAL GROUP | inpatient, post-acute care hospital company | Louisiana | 1 | 5 | $100K |
| RIVERBRIDGE SPECIALTY HOSPITAL | Hospital | Louisiana | 1 | 5 | $100K |
| AMERICAN HOSPITAL ASSOCIATION | — | District of Columbia | 1 | 2 | — |
| KINDRED HEALTHCARE D/B/A SCIONHEALTH | Owner and Operator of Nursing Homes and Long Term Acute Care Hospitals | Kentucky | 1 | 1 | $60K |
| COALITION OF LONG TERM ACUTE CARE HOSPITALS | A coalition of long term acute care hospitals | Virginia | 1 | 1 | $28.8K |
Firms
Registrants who filed on the bill, by filings.
| Registrant | Clients | Filings | Reported |
|---|---|---|---|
| THE PICARD GROUP, LLC | 4 | 20 | $700K |
| AMERICA'S HEALTH INSURANCE PLANS, INC. (AHIP) | 1 | 6 | — |
| CAPITOL DECISIONS, INC. | 1 | 6 | $160K |
| THE HOSPITAL & HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA | 1 | 6 | — |
| RUBIN HEALTH POLICY CONSULTING, LLC | 1 | 5 | $169K |
| AMERICAN HOSPITAL ASSOCIATION | 1 | 2 | — |
| DEBRUNNER & ASSOCIATES, INC. | 1 | 1 | $28.8K |
| FIERCE GOVERNMENT RELATIONS | 1 | 1 | $60K |
Lobbyists
Named on the filings that cite the bill. The 20 named most often, of 65.
| Lobbyist | Firms | Clients | Filings |
|---|---|---|---|
| HUNTER HALL | 1 | 4 | 20 |
| HELEN DWIGHT | 1 | 4 | 12 |
| CATHERINE LENZ | 1 | 4 | 8 |
| ADAM BECK | 1 | 1 | 6 |
| ANDREW SHINE | 1 | 1 | 6 |
| ANNA DUNBAR-HESTER | 1 | 1 | 6 |
| ANTHONY MITCHELL | 1 | 1 | 6 |
| ARON GRIFFIN | 1 | 1 | 6 |
| GARY BECK | 1 | 1 | 6 |
| HOLLY STRAIN | 1 | 1 | 6 |
| JEANETTE THORNTON | 1 | 1 | 6 |
| JOHN MYERS | 1 | 1 | 6 |
| MARK HAMELBURG | 1 | 1 | 6 |
| MICHAEL TUFFIN | 1 | 1 | 6 |
| SEAN DICKSON | 1 | 1 | 6 |
| SEAN DUGAN | 1 | 1 | 6 |
| SHANE HAND | 1 | 1 | 6 |
| SOHINI GUPTA | 1 | 1 | 6 |
| KELLEY SCHULTZ | 1 | 1 | 5 |
| NELEEN EISINGER | 1 | 1 | 5 |
Filings
The documents themselves, on the Senate’s Lobbying Disclosure site, largest reported first.
| Client | Registrant | Period | Reported | Document |
|---|---|---|---|---|
| AMERICAN HOSPITAL ASSOCIATION | AMERICAN HOSPITAL ASSOCIATION | 2025 first_quarter | $7M | 1st Quarter - Report |
| AMERICAN HOSPITAL ASSOCIATION | AMERICAN HOSPITAL ASSOCIATION | 2025 second_quarter | $6.2M | 2nd Quarter - Report |
| AMERICA'S HEALTH INSURANCE PLANS INC (AHIP) | AMERICA'S HEALTH INSURANCE PLANS, INC. (AHIP) | 2026 first_quarter | $5.3M | 1st Quarter - Report |
| AMERICA'S HEALTH INSURANCE PLANS INC (AHIP) | AMERICA'S HEALTH INSURANCE PLANS, INC. (AHIP) | 2025 first_quarter | $4.8M | 1st Quarter - Report |
| AMERICA'S HEALTH INSURANCE PLANS INC (AHIP) | AMERICA'S HEALTH INSURANCE PLANS, INC. (AHIP) | 2025 third_quarter | $4.2M | 3rd Quarter - Report |
| AMERICA'S HEALTH INSURANCE PLANS INC (AHIP) | AMERICA'S HEALTH INSURANCE PLANS, INC. (AHIP) | 2025 fourth_quarter | $4.1M | 4th Quarter - Report |
| AMERICA'S HEALTH INSURANCE PLANS INC (AHIP) | AMERICA'S HEALTH INSURANCE PLANS, INC. (AHIP) | 2025 second_quarter | $4.1M | 2nd Quarter - Report |
| AMERICA'S HEALTH INSURANCE PLANS INC (AHIP) | AMERICA'S HEALTH INSURANCE PLANS, INC. (AHIP) | 2026 second_quarter | $3M | 2nd Quarter - Report |
| HOSPITAL & HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA | THE HOSPITAL & HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA | 2025 first_quarter | $90K | 1st Quarter - Report |
| HOSPITAL & HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA | THE HOSPITAL & HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA | 2026 second_quarter | $70K | 2nd Quarter - Report |
| HOSPITAL & HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA | THE HOSPITAL & HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA | 2026 first_quarter | $70K | 1st Quarter - Report |
| HOSPITAL & HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA | THE HOSPITAL & HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA | 2025 second_quarter | $70K | 2nd Quarter - Report |
| PAM HEALTH, LLC | THE PICARD GROUP, LLC | 2026 first_quarter | $60K | 1st Quarter - Report |
| HOSPITAL & HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA | THE HOSPITAL & HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA | 2025 fourth_quarter | $60K | 4th Quarter - Report |
| PAM HEALTH, LLC | THE PICARD GROUP, LLC | 2025 fourth_quarter | $60K | 4th Quarter - Report |
| HOSPITAL & HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA | THE HOSPITAL & HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA | 2025 third_quarter | $60K | 3rd Quarter - Report |
| PAM HEALTH, LLC | THE PICARD GROUP, LLC | 2025 third_quarter | $60K | 3rd Quarter - Report |
| PAM HEALTH, LLC | THE PICARD GROUP, LLC | 2025 second_quarter | $60K | 2nd Quarter - Report |
| KINDRED HEALTHCARE D/B/A SCIONHEALTH | FIERCE GOVERNMENT RELATIONS | 2025 first_quarter | $60K | 1st Quarter - Report |
| PAM HEALTH, LLC | THE PICARD GROUP, LLC | 2025 first_quarter | $60K | 1st 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.txtConstitutional 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