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S. 1390

U.S. SenateIn Senate Committee

Summary

S. 1390, the Physician Led and Rural Access to Quality Care Act, was introduced in the Senate on Apr 9, 2025 by Sen. James Lankford (R) with 10 co-sponsors. It was referred to Finance, and last saw action on Apr 9, 2025: Read twice and referred to the Committee on Finance.


Record

Text

S. 1390 has 10 co-sponsors.

sb1390/introduced-in-senate.txt
119 S1390 IS: Physician Led and Rural Access to Quality Care Act
U.S. Senate
2025-04-09
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.
II 119th CONGRESS 1st Session S. 1390 IN THE SENATE OF THE UNITED STATES April 9, 2025 Mr. Lankford (for himself, Mr. Marshall , Mr. Cassidy , Mr. Tillis , Mr. Cornyn , Mr. Mullin , Mr. Boozman , Mr. Barrasso , and Mr. Budd ) introduced the following bill; which was read twice and referred to the Committee on Finance A BILL
To amend title XVIII of the Social Security Act to revise certain physician self-referral exemptions relating to physician-owned hospitals.
1.
Short title
This Act may be cited as the Physician Led and Rural Access to Quality Care Act .
2.
Revising certain physician self-referral exemptions relating to physician-owned hospitals
(a)
In general
Section 1877 of the Social Security Act ( 42 U.S.C. 1395nn ) is amended—
(1)
in subsection (d)—
(A)
in paragraph (2)(C), by inserting (other than a covered rural hospital (as defined in subsection (h))) after a hospital ; and
(B)
in paragraph (3)(D), by inserting in the case of a hospital other than a covered rural hospital (as defined in subsection (h)), before the hospital ; and
(2)
in subsection (h), by adding at the end the following new paragraph:
(8)
Covered rural hospital
(A)
In general
The term covered rural hospital means a hospital that—
(i)
is located in a rural area (as defined in section 1886(d)(2)(D)); and
(ii)
as of the date that such hospital enrolls under this title, meets the criteria described in clause (i)(I) of section 1820(c)(2)(B).
(B)
Clarification
Nothing in this paragraph shall be interpreted as requiring a covered rural hospital to meet any other criteria under section 1820(c)(2)(B).
.
(b)
Allowing for expansion of existing physician-Owned hospitals
Section 1877(i) of the Social Security Act ( 42 U.S.C. 1395nn(i) ) is amended—
(1)
in paragraph (1)(B), by striking in paragraph (3) and inserting in paragraph (3) or (7) ; and
(2)
by adding at the end the following new paragraph:
(7)
Sunset of expansion prohibition
The requirement described in paragraph (1)(B) shall not apply beginning on the date of the enactment of this paragraph.
.

Tracker

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

  1. Introduced2025-04-09
  2. Passed Senate
  3. Passed House
  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 Senate Apr 9, 2025

sb1390/introduced-in-senate.md

Shown Here:
Introduced in Senate (04/09/2025)

Physician Led and Rural Access to Quality Care Act

This bill expands flexibilities for physicians and physician-owned hospitals under the Stark law (i.e., the Physician Self-Referral Law).

The Stark law generally prohibits physicians from referring patients to receive services that are payable under Medicare or Medicaid from entities in which the physician or an immediate family member has a financial relationship. The bill allows physicians or their immediate family members to have financial interests in rural hospitals that are located more than 35 miles (or 15 miles in certain mountainous areas or areas with only secondary roads) from a hospital or critical access hospital.

The Stark law also generally prohibits physician-owned hospitals from expanding the number of operating rooms, procedure rooms, or beds beyond the number in existence as of March 23, 2010, in order to be excepted under the Stark law. The bill removes this restriction.

Sponsors

Sen. James Lankford (R) sponsors S. 1390, and 10 members have co-sponsored it, 8 of them from the day it was introduced.

Committees

S. 1390 went before 1 committee: Finance.

Finance
Finance
Referred To · Apr 9, 2025 · 902 Bills

Actions

S. 1390 has taken 2 actions since Apr 9, 2025.

ChamberAction
Apr 9, 2025
Senate
Read twice and referred to the Committee on Finance.Finance Committee
Apr 9, 2025
Introduced in Senate

Votes

S. 1390 has not gone to a roll call.

1 bill is related to S. 1390.

Titles

S. 1390 goes by 3 titles, 1 of them short titles.

  • Physician Led and Rural Access to Quality Care Act — Display Title
  • Physician Led and Rural Access to Quality Care Act — Short Title(s) as Introduced
  • A bill to amend title XVIII of the Social Security Act to revise certain physician self-referral exemptions relating to physician-owned hospitals. — Official Title as Introduced

Lobbying

9 clients hired 9 firms and 89 registered lobbyists who named S. 1390 in 34 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, Budget/Appropriations, Health Issues, Labor Issues/Antitrust/Workplace, Education, Taxation/Internal Revenue Code, Tobacco, Veterans.

Clients

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

ClientBusinessStateFirmsFilingsReported
AMERICAN MEDICAL ASSOCIATIONDistrict of Columbia17
AMERICAN ASSOCIATION OF ORTHOPAEDIC SURGEONSIllinois16
AMERICAN ACADEMY OF OTOLARYNGOLOGY-HEAD AND NECK SURGERYVirginia15
AMERICAN COLLEGE OF CARDIOLOGYDistrict of Columbia15
AMERICAN ASSOCIATION OF NEUROLOGICAL SURGEONSDistrict of Columbia13
AMERICAN COLLEGE OF RHEUMATOLOGYGeorgia13
CONGRESS OF NEUROLOGICAL SURGEONSDistrict of Columbia13
PHYSICIANS ADVOCACY INSTITUTEAdvocacy OrganizationNorth Carolina11$40K
AMERICAN HOSPITAL ASSOCIATIONDistrict of Columbia11

Firms

Registrants who filed on the bill, by filings.

Lobbyists

Named on the filings that cite the bill. The 20 named most often, of 89.

Filings

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

ClientRegistrantPeriodReportedDocument
AMERICAN MEDICAL ASSOCIATIONAMERICAN MEDICAL ASSOCIATION2026 first_quarter$8M1st Quarter - Amendme…
AMERICAN MEDICAL ASSOCIATIONAMERICAN MEDICAL ASSOCIATION2026 first_quarter$8M1st Quarter - Report
AMERICAN HOSPITAL ASSOCIATIONAMERICAN HOSPITAL ASSOCIATION2025 second_quarter$6.2M2nd Quarter - Report
AMERICAN MEDICAL ASSOCIATIONAMERICAN MEDICAL ASSOCIATION2025 fourth_quarter$5.5M4th Quarter - Report
AMERICAN MEDICAL ASSOCIATIONAMERICAN MEDICAL ASSOCIATION2026 second_quarter$5.1M2nd Quarter - Amendme…
AMERICAN MEDICAL ASSOCIATIONAMERICAN MEDICAL ASSOCIATION2025 second_quarter$5M2nd Quarter - Report
AMERICAN MEDICAL ASSOCIATIONAMERICAN MEDICAL ASSOCIATION2025 third_quarter$4.6M3rd Quarter - Report
AMERICAN COLLEGE OF CARDIOLOGYAMERICAN COLLEGE OF CARDIOLOGY2026 second_quarter$680K2nd Quarter - Report
AMERICAN COLLEGE OF CARDIOLOGYAMERICAN COLLEGE OF CARDIOLOGY2026 first_quarter$600K1st Quarter - Report
AMERICAN COLLEGE OF CARDIOLOGYAMERICAN COLLEGE OF CARDIOLOGY2025 third_quarter$580K3rd Quarter - Report
AMERICAN ASSOCIATION OF ORTHOPAEDIC SURGEONSAMERICAN ASSOCIATION OF ORTHOPAEDIC SURGEONS2025 first_quarter$519.3K1st Quarter - Report
AMERICAN ASSOCIATION OF ORTHOPAEDIC SURGEONSAMERICAN ASSOCIATION OF ORTHOPAEDIC SURGEONS2025 second_quarter$516.2K2nd Quarter - Report
AMERICAN MEDICAL ASSOCIATIONAMERICAN MEDICAL ASSOCIATION2026 second_quarter$513K2nd Quarter - Report
AMERICAN COLLEGE OF CARDIOLOGYAMERICAN COLLEGE OF CARDIOLOGY2025 second_quarter$500K2nd Quarter - Report
AMERICAN COLLEGE OF CARDIOLOGYAMERICAN COLLEGE OF CARDIOLOGY2025 fourth_quarter$480K4th Quarter - Report
AMERICAN ASSOCIATION OF ORTHOPAEDIC SURGEONSAMERICAN ASSOCIATION OF ORTHOPAEDIC SURGEONS2026 first_quarter$465K1st Quarter - Report
AMERICAN ASSOCIATION OF ORTHOPAEDIC SURGEONSAMERICAN ASSOCIATION OF ORTHOPAEDIC SURGEONS2025 third_quarter$458.4K3rd Quarter - Report
AMERICAN ASSOCIATION OF ORTHOPAEDIC SURGEONSAMERICAN ASSOCIATION OF ORTHOPAEDIC SURGEONS2026 second_quarter$400K2nd Quarter - Report
AMERICAN ASSOCIATION OF ORTHOPAEDIC SURGEONSAMERICAN ASSOCIATION OF ORTHOPAEDIC SURGEONS2025 fourth_quarter$376.8K4th Quarter - Report
AMERICAN ACADEMY OF OTOLARYNGOLOGY-HEAD AND NECK SURGERYAMERICAN ACADEMY OF OTOLARYNGOLOGY-HEAD AND NECK SURGERY2025 third_quarter$319.2K3rd Quarter - Report

Classification

The Congressional Research Service files S. 1390 under Health, one of its 31 policy areas.

CRS Subjects

CRS assigns every bill one policy area from its 31; S. 1390’s is Health.

s1390/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

Source: congress.gov · legiscan.com