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H.R. 4002
U.S. House•In 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.txt119 HR 4002 IH: Patient Access to Higher Quality Health Care Act of 2025U.S. House of Representatives2025-06-12text/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. 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 BILLTo repeal changes made by health care reform laws to the Medicare exception to the prohibition on certain physician referrals for hospitals.1.Short titleThis 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 hospitalsSections 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and section 1106 of the Health Care and Education Reconciliation Act of 2010 ( Public Law 111–152 ; 124 Stat. 1049) are repealed and the provisions of law amended by such sections are restored as if such sections had never been enacted.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.
- Introduced2025-06-12
- 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 Jun 12, 2025
hb4002/introduced-in-house.mdShown 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.

Rep. · R–TX-24 · Sponsor
Introduced Jun 12, 2025

Rep. · R–AZ-5 · Co-sponsor
Joined Jun 12, 2025 · Original

Rep. · D–TX-28 · Co-sponsor
Joined Jun 12, 2025 · Original

Rep. · R–FL-2 · Co-sponsor
Joined Jun 12, 2025 · Original

Rep. · R–MD-1 · Co-sponsor
Joined Jun 12, 2025 · Original

Rep. · R–OK-1 · Co-sponsor
Joined Jun 12, 2025 · Original

Rep. · R–GA-7 · Co-sponsor
Joined Jun 12, 2025 · Original

Rep. · R–IA-1 · Co-sponsor
Joined Jun 12, 2025 · Original

Rep. · R–TX-11 · Co-sponsor
Joined Jun 12, 2025 · Original

Rep. · R–IN-2 · Co-sponsor
Joined Jun 12, 2025 · Original
Committees
H.R. 4002 went before 2 committees: Ways and Means and Energy and Commerce.
Actions
H.R. 4002 has taken 2 actions since Jun 12, 2025.
| Chamber | Action | |||
|---|---|---|---|---|
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.
| Client | Business | State | Firms | Filings | Reported |
|---|---|---|---|---|---|
| AMERICAN MEDICAL ASSOCIATION | — | District of Columbia | 1 | 7 | — |
| AMERICAN HOSPITAL ASSOCIATION | — | District of Columbia | 1 | 4 | — |
| MASSACHUSETTS MEDICAL SOCIETY | — | Massachusetts | 1 | 4 | — |
| AMERICAN ACADEMY OF DERMATOLOGY ASSOCIATION | — | District of Columbia | 1 | 3 | — |
| AMERICAN ACADEMY OF OTOLARYNGOLOGY-HEAD AND NECK SURGERY | — | Virginia | 1 | 3 | — |
| AMERICAN ASSOCIATION OF NEUROLOGICAL SURGEONS | — | District of Columbia | 1 | 3 | — |
| AMERICAN COLLEGE OF CARDIOLOGY | — | District of Columbia | 1 | 3 | — |
| AMERICAN COLLEGE OF RHEUMATOLOGY | — | Georgia | 1 | 3 | — |
| AMERICANS FOR PROSPERITY | — | Virginia | 1 | 3 | — |
| CONGRESS OF NEUROLOGICAL SURGEONS | — | District of Columbia | 1 | 3 | — |
| ASSOCIATION OF AMERICAN UNIVERSITIES | — | District of Columbia | 1 | 2 | — |
| MEDICAL GROUP MANAGEMENT ASSN | — | 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 107.
| 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 fourth_quarter | $6.6M | 4th Quarter - Report |
| AMERICAN HOSPITAL ASSOCIATION | AMERICAN HOSPITAL ASSOCIATION | 2026 first_quarter | $6.1M | 1st Quarter - Report |
| AMERICAN HOSPITAL ASSOCIATION | AMERICAN HOSPITAL ASSOCIATION | 2025 third_quarter | $5.7M | 3rd 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 HOSPITAL ASSOCIATION | AMERICAN HOSPITAL ASSOCIATION | 2026 second_quarter | $4.5M | 2nd Quarter - Report |
| AMERICANS FOR PROSPERITY | AMERICANS FOR PROSPERITY | 2026 first_quarter | $700K | 1st Quarter - Report |
| AMERICAN COLLEGE OF CARDIOLOGY | AMERICAN COLLEGE OF CARDIOLOGY | 2026 second_quarter | $680K | 2nd Quarter - Report |
| AMERICANS FOR PROSPERITY | AMERICANS FOR PROSPERITY | 2026 second_quarter | $660K | 2nd Quarter - Report |
| AMERICAN ACADEMY OF DERMATOLOGY ASSOCIATION | AMERICAN ACADEMY OF DERMATOLOGY ASSOCIATION | 2026 first_quarter | $620K | 1st Quarter - Report |
| AMERICAN COLLEGE OF CARDIOLOGY | AMERICAN COLLEGE OF CARDIOLOGY | 2026 first_quarter | $600K | 1st Quarter - Report |
| AMERICAN ACADEMY OF DERMATOLOGY ASSOCIATION | AMERICAN ACADEMY OF DERMATOLOGY ASSOCIATION | 2026 second_quarter | $580K | 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 fourth_quarter | $480K | 4th Quarter - Report |
| AMERICAN ACADEMY OF DERMATOLOGY ASSOCIATION | AMERICAN ACADEMY OF DERMATOLOGY ASSOCIATION | 2025 fourth_quarter | $450K | 4th Quarter - Report |
| AMERICANS FOR PROSPERITY | AMERICANS FOR PROSPERITY | 2025 second_quarter | $340K | 2nd 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.txtConstitutional 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