- H.R. 10171August 27, 2026
- H.R. 10156August 27, 2026
- H.R. 10172August 27, 2026
- H.R. 10160August 27, 2026
- H.R. 10181August 27, 2026
- H.R. 10176August 27, 2026
- H.Res. 1496August 27, 2026
- H.R. 10164August 27, 2026
- H.R. 10170August 27, 2026
- H.Res. 1494August 27, 2026
- H.R. 10163August 27, 2026
- H.R. 10157August 27, 2026
- Administration
- Agriculture
- Agriculture, Nutrition, And Forestry
- Appropriations
- Armed Services
- Banking, Housing, And Urban Affairs
- Budget
- Commerce, Science, And Transportation
- Education and Workforce
- Energy And Commerce
- Energy And Natural Resources
- Environment And Public Works
- Ethics
- Finance
- Financial Services
- Foreign Affairs
- Foreign Relations
- Health, Education, Labor, And Pensions
- Homeland Security
- Homeland Security And Governmental Affa…
- Indian Affairs
- Indian and Insular Affairs
- Intelligence
- Judiciary
- Natural Resources
- Oversight And Government Reform
- Permanent Select Intelligence
- Rules
- Rules And Administration
- Science, Space, And Technology
- Select Intelligence
- Small Business
- Small Business And Entrepreneurship
- Subcommittee on Aviation
- Subcommittee on Border Security and Enf…
- Subcommittee on Coast Guard and Maritim…
- Subcommittee on Commodity Markets, Digi…
- Subcommittee on Conservation, Research,…
- Subcommittee on Counterterrorism and In…
- Subcommittee on Cybersecurity and Infra…
- Subcommittee on Disability Assistance a…
- Subcommittee on Economic Development, P…
- Subcommittee on Economic Opportunity
- Subcommittee on Emergency Management an…
- Subcommittee on Energy and Mineral Reso…
- Subcommittee on Federal Lands
- Subcommittee on Forestry and Horticultu…
- Subcommittee on General Farm Commoditie…
- Subcommittee on Health
- Subcommittee on Highways and Transit
- Subcommittee on Livestock, Dairy, and P…
- Subcommittee on Nutrition and Foreign A…
- Subcommittee on Oversight and Investiga…
- Subcommittee on Oversight, Investigatio…
- Subcommittee on Railroads, Pipelines, a…
- Subcommittee on Transportation and Mari…
- Subcommittee on Water Resources and Env…
- Subcommittee on Water, Wildlife and Fis…
- Transportation And Infrastructure
- Veterans' Affairs
- Ways And Means

S. 1390
U.S. Senate•In 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.txt119 S1390 IS: Physician Led and Rural Access to Quality Care ActU.S. Senate2025-04-09text/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.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 BILLTo amend title XVIII of the Social Security Act to revise certain physician self-referral exemptions relating to physician-owned hospitals.1.Short titleThis 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 generalSection 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 generalThe 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)ClarificationNothing 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 hospitalsSection 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 prohibitionThe 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.
- Introduced2025-04-09
- Passed Senate
- Passed House
- Conference
- To President
- 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.mdShown 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.

Sen. · R–OK · Sponsor
Introduced Apr 9, 2025

Sen. · R–WY · Co-sponsor
Joined Apr 9, 2025 · Original

Sen. · R–AR · Co-sponsor
Joined Apr 9, 2025 · Original

Sen. · R–NC · Co-sponsor
Joined Apr 9, 2025 · Original

Sen. · R–LA · Co-sponsor
Joined Apr 9, 2025 · Original

Sen. · R–TX · Co-sponsor
Joined Apr 9, 2025 · Original

Sen. · R–KS · Co-sponsor
Joined Apr 9, 2025 · Original

Sen. · R–OK · Co-sponsor
Joined Apr 9, 2025 · Original

Sen. · R–NC · Co-sponsor
Joined Apr 9, 2025 · Original

Sen. · R–WV · Co-sponsor
Joined May 14, 2025
Committees
S. 1390 went before 1 committee: Finance.
Actions
S. 1390 has taken 2 actions since Apr 9, 2025.
| Chamber | Action | |||
|---|---|---|---|---|
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.
Related bills
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.
| Client | Business | State | Firms | Filings | Reported |
|---|---|---|---|---|---|
| AMERICAN MEDICAL ASSOCIATION | — | District of Columbia | 1 | 7 | — |
| AMERICAN ASSOCIATION OF ORTHOPAEDIC SURGEONS | — | Illinois | 1 | 6 | — |
| AMERICAN ACADEMY OF OTOLARYNGOLOGY-HEAD AND NECK SURGERY | — | Virginia | 1 | 5 | — |
| AMERICAN COLLEGE OF CARDIOLOGY | — | District of Columbia | 1 | 5 | — |
| AMERICAN ASSOCIATION OF NEUROLOGICAL SURGEONS | — | District of Columbia | 1 | 3 | — |
| AMERICAN COLLEGE OF RHEUMATOLOGY | — | Georgia | 1 | 3 | — |
| CONGRESS OF NEUROLOGICAL SURGEONS | — | District of Columbia | 1 | 3 | — |
| PHYSICIANS ADVOCACY INSTITUTE | Advocacy Organization | North Carolina | 1 | 1 | $40K |
| AMERICAN HOSPITAL ASSOCIATION | — | District of Columbia | 1 | 1 | — |
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.
| Lobbyist | Firms | Clients | Filings |
|---|---|---|---|
| ALEXIS PIERCE | 1 | 1 | 7 |
| ANDREW WANKUM | 1 | 1 | 7 |
| ASHLEY DELOSH | 1 | 1 | 7 |
| BRYAN HULL | 1 | 1 | 7 |
| CHRISTOPHER SHERIN | 1 | 1 | 7 |
| DANA LICHTENBERG | 1 | 1 | 7 |
| JASON MARINO | 1 | 1 | 7 |
| JEFFREY COUGHLIN | 1 | 1 | 7 |
| KATHERINE DAPPER | 1 | 1 | 7 |
| KORYN RUBIN | 1 | 1 | 7 |
| LINDSEY BRILL | 1 | 1 | 7 |
| LISA MYERS | 1 | 1 | 7 |
| MARGARET GARIKES | 1 | 1 | 7 |
| MATTHEW REID | 1 | 1 | 7 |
| PHILIP LYNCH | 1 | 1 | 7 |
| ROBERT REDDING | 1 | 1 | 7 |
| SANDRA MARKS | 1 | 1 | 7 |
| SHANNON CURTIS | 1 | 1 | 7 |
| SUZANNE JOY | 1 | 1 | 7 |
| TODD ASKEW | 1 | 1 | 7 |
Filings
The documents themselves, on the Senate’s Lobbying Disclosure site, largest reported first.
| Client | Registrant | Period | Reported | Document |
|---|---|---|---|---|
| AMERICAN MEDICAL ASSOCIATION | AMERICAN MEDICAL ASSOCIATION | 2026 first_quarter | $8M | 1st Quarter - Amendme… |
| AMERICAN MEDICAL ASSOCIATION | AMERICAN MEDICAL ASSOCIATION | 2026 first_quarter | $8M | 1st Quarter - Report |
| AMERICAN HOSPITAL ASSOCIATION | AMERICAN HOSPITAL ASSOCIATION | 2025 second_quarter | $6.2M | 2nd Quarter - Report |
| AMERICAN MEDICAL ASSOCIATION | AMERICAN MEDICAL ASSOCIATION | 2025 fourth_quarter | $5.5M | 4th Quarter - Report |
| AMERICAN MEDICAL ASSOCIATION | AMERICAN MEDICAL ASSOCIATION | 2026 second_quarter | $5.1M | 2nd Quarter - Amendme… |
| AMERICAN MEDICAL ASSOCIATION | AMERICAN MEDICAL ASSOCIATION | 2025 second_quarter | $5M | 2nd Quarter - Report |
| AMERICAN MEDICAL ASSOCIATION | AMERICAN MEDICAL ASSOCIATION | 2025 third_quarter | $4.6M | 3rd Quarter - Report |
| AMERICAN COLLEGE OF CARDIOLOGY | AMERICAN COLLEGE OF CARDIOLOGY | 2026 second_quarter | $680K | 2nd Quarter - Report |
| AMERICAN COLLEGE OF CARDIOLOGY | AMERICAN COLLEGE OF CARDIOLOGY | 2026 first_quarter | $600K | 1st Quarter - Report |
| AMERICAN COLLEGE OF CARDIOLOGY | AMERICAN COLLEGE OF CARDIOLOGY | 2025 third_quarter | $580K | 3rd Quarter - Report |
| AMERICAN ASSOCIATION OF ORTHOPAEDIC SURGEONS | AMERICAN ASSOCIATION OF ORTHOPAEDIC SURGEONS | 2025 first_quarter | $519.3K | 1st Quarter - Report |
| AMERICAN ASSOCIATION OF ORTHOPAEDIC SURGEONS | AMERICAN ASSOCIATION OF ORTHOPAEDIC SURGEONS | 2025 second_quarter | $516.2K | 2nd Quarter - Report |
| AMERICAN MEDICAL ASSOCIATION | AMERICAN MEDICAL ASSOCIATION | 2026 second_quarter | $513K | 2nd Quarter - Report |
| AMERICAN COLLEGE OF CARDIOLOGY | AMERICAN COLLEGE OF CARDIOLOGY | 2025 second_quarter | $500K | 2nd Quarter - Report |
| AMERICAN COLLEGE OF CARDIOLOGY | AMERICAN COLLEGE OF CARDIOLOGY | 2025 fourth_quarter | $480K | 4th Quarter - Report |
| AMERICAN ASSOCIATION OF ORTHOPAEDIC SURGEONS | AMERICAN ASSOCIATION OF ORTHOPAEDIC SURGEONS | 2026 first_quarter | $465K | 1st Quarter - Report |
| AMERICAN ASSOCIATION OF ORTHOPAEDIC SURGEONS | AMERICAN ASSOCIATION OF ORTHOPAEDIC SURGEONS | 2025 third_quarter | $458.4K | 3rd Quarter - Report |
| AMERICAN ASSOCIATION OF ORTHOPAEDIC SURGEONS | AMERICAN ASSOCIATION OF ORTHOPAEDIC SURGEONS | 2026 second_quarter | $400K | 2nd Quarter - Report |
| AMERICAN ASSOCIATION OF ORTHOPAEDIC SURGEONS | AMERICAN ASSOCIATION OF ORTHOPAEDIC SURGEONS | 2025 fourth_quarter | $376.8K | 4th Quarter - Report |
| AMERICAN ACADEMY OF OTOLARYNGOLOGY-HEAD AND NECK SURGERY | AMERICAN ACADEMY OF OTOLARYNGOLOGY-HEAD AND NECK SURGERY | 2025 third_quarter | $319.2K | 3rd 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.txtSource: congress.gov · legiscan.com
