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H.R. 4002

U.S. HouseIn House Committee

Summary

H.R. 4002, the Patient Access to Higher Quality Health Care Act of 2025, was introduced in the House on Jun 12, 2025 by Rep. Elizabeth Van Duyne (R) with 12 co-sponsors. It was referred to Energy And Commerce, and last saw action on Jun 12, 2025: Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.


Record

Text

H.R. 4002 has 12 co-sponsors.

hb4002/introduced-in-house.txt
119 HR 4002 IH: Patient Access to Higher Quality Health Care Act of 2025
U.S. House of Representatives
2025-06-12
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. 4002 IN THE HOUSE OF REPRESENTATIVES June 12, 2025 Ms. Van Duyne (for herself, Mr. Cuellar , Mr. Hern of Oklahoma , Mrs. Miller-Meeks , Mr. Biggs of Arizona , Mr. Yakym , Mr. Harris of Maryland , Mr. Dunn of Florida , Mr. Pfluger , and Mr. McCormick ) introduced the following bill; which was referred to the Committee on Energy and Commerce , and in addition to the Committee on Ways and Means , for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned A BILL
To repeal changes made by health care reform laws to the Medicare exception to the prohibition on certain physician referrals for hospitals.
1.
Short title
This Act may be cited as the Patient Access to Higher Quality Health Care Act of 2025 .
2.
Repeal of health care reform provisions limiting Medicare exception to the prohibition on certain physician referrals for hospitals
Sections 6001 and 10601 of the Patient Protection and Affordable Care Act ( Public Law 111–148 ; 124 Stat. 684, 1005) and section 1106 of the Health Care and Education Reconciliation Act of 2010 ( Public Law 111–152 ; 124 Stat. 1049) are repealed and the provisions of law amended by such sections are restored as if such sections had never been enacted.

Tracker

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

  1. Introduced2025-06-12
  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 Jun 12, 2025

hb4002/introduced-in-house.md

Shown Here:
Introduced in House (06/12/2025)

Patient Access to Higher Quality Health Care Act of 2025

This bill repeals provisions under the Stark law (i.e., the Physician Self-Referral Law) that limit, for purposes of Medicare participation, self-referrals by newly constructed or expanded physician-owned hospitals.

Sponsors

Rep. Elizabeth Van Duyne (R) sponsors H.R. 4002, and 12 members have co-sponsored it, 9 of them from the day it was introduced.

Committees

H.R. 4002 went before 2 committees: Ways and Means and Energy and Commerce.

Ways and Means
Ways and Means
Referred To · Jun 12, 2025 · 1,160 Bills
Energy and Commerce
Energy and Commerce
Referred To · Jun 12, 2025 · 1,636 Bills

Actions

H.R. 4002 has taken 2 actions since Jun 12, 2025.

ChamberAction
Jun 12, 2025
House
Introduced in House
Jun 12, 2025
House
Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.Energy and Commerce Committee

Votes

H.R. 4002 has not gone to a roll call.

Titles

H.R. 4002 goes by 3 titles, 1 of them short titles.

  • Patient Access to Higher Quality Health Care Act of 2025 — Display Title
  • Patient Access to Higher Quality Health Care Act of 2025 — Short Title(s) as Introduced
  • To repeal changes made by health care reform laws to the Medicare exception to the prohibition on certain physician referrals for hospitals. — Official Title as Introduced

Lobbying

12 clients hired 12 firms and 107 registered lobbyists who named H.R. 4002 in 39 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, Immigration, Taxation/Internal Revenue Code, Education, Labor Issues/Antitrust/Workplace, Veterans.

Clients

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

ClientBusinessStateFirmsFilingsReported
AMERICAN MEDICAL ASSOCIATIONDistrict of Columbia17
AMERICAN HOSPITAL ASSOCIATIONDistrict of Columbia14
MASSACHUSETTS MEDICAL SOCIETYMassachusetts14
AMERICAN ACADEMY OF DERMATOLOGY ASSOCIATIONDistrict of Columbia13
AMERICAN ACADEMY OF OTOLARYNGOLOGY-HEAD AND NECK SURGERYVirginia13
AMERICAN ASSOCIATION OF NEUROLOGICAL SURGEONSDistrict of Columbia13
AMERICAN COLLEGE OF CARDIOLOGYDistrict of Columbia13
AMERICAN COLLEGE OF RHEUMATOLOGYGeorgia13
AMERICANS FOR PROSPERITYVirginia13
CONGRESS OF NEUROLOGICAL SURGEONSDistrict of Columbia13
ASSOCIATION OF AMERICAN UNIVERSITIESDistrict of Columbia12
MEDICAL GROUP MANAGEMENT ASSNDistrict 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 107.

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 fourth_quarter$6.6M4th Quarter - Report
AMERICAN HOSPITAL ASSOCIATIONAMERICAN HOSPITAL ASSOCIATION2026 first_quarter$6.1M1st Quarter - Report
AMERICAN HOSPITAL ASSOCIATIONAMERICAN HOSPITAL ASSOCIATION2025 third_quarter$5.7M3rd 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 HOSPITAL ASSOCIATIONAMERICAN HOSPITAL ASSOCIATION2026 second_quarter$4.5M2nd Quarter - Report
AMERICANS FOR PROSPERITYAMERICANS FOR PROSPERITY2026 first_quarter$700K1st Quarter - Report
AMERICAN COLLEGE OF CARDIOLOGYAMERICAN COLLEGE OF CARDIOLOGY2026 second_quarter$680K2nd Quarter - Report
AMERICANS FOR PROSPERITYAMERICANS FOR PROSPERITY2026 second_quarter$660K2nd Quarter - Report
AMERICAN ACADEMY OF DERMATOLOGY ASSOCIATIONAMERICAN ACADEMY OF DERMATOLOGY ASSOCIATION2026 first_quarter$620K1st Quarter - Report
AMERICAN COLLEGE OF CARDIOLOGYAMERICAN COLLEGE OF CARDIOLOGY2026 first_quarter$600K1st Quarter - Report
AMERICAN ACADEMY OF DERMATOLOGY ASSOCIATIONAMERICAN ACADEMY OF DERMATOLOGY ASSOCIATION2026 second_quarter$580K2nd Quarter - Report
AMERICAN MEDICAL ASSOCIATIONAMERICAN MEDICAL ASSOCIATION2026 second_quarter$513K2nd Quarter - Report
AMERICAN COLLEGE OF CARDIOLOGYAMERICAN COLLEGE OF CARDIOLOGY2025 fourth_quarter$480K4th Quarter - Report
AMERICAN ACADEMY OF DERMATOLOGY ASSOCIATIONAMERICAN ACADEMY OF DERMATOLOGY ASSOCIATION2025 fourth_quarter$450K4th Quarter - Report
AMERICANS FOR PROSPERITYAMERICANS FOR PROSPERITY2025 second_quarter$340K2nd Quarter - Report

Classification

The Congressional Research Service files H.R. 4002 under Health, one of its 31 policy areas.

CRS Subjects

CRS assigns every bill one policy area from its 31; H.R. 4002’s is Health.

hr4002/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. 4002, as entered in the Congressional Record.

[Congressional Record Volume 171, Number 101 (Thursday, June 12, 2025)][House]From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]By Ms. VAN DUYNE:H.R. 4002.Congress has the power to enact this legislation pursuantto the following:Article 1, Section 8[Page H2823]

Source: congress.gov · legiscan.com