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Physician Led and Rural Access to Quality Care Act

H.R. 2191 · 119th Congress · Mar 18, 2025 · Lineage

A BILL

To amend title XVIII of the Social Security Act to revise certain physician self-referral exemptions relating to physician-owned hospitals.

Section 1 Short title

This Act may be cited as the “Physician Led and Rural Access to Quality Care Act”.

Sec. 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—The term “covered rural hospital” means a hospital that—

“(A) is located in a rural area (as defined in section 1886(d)(2)(D)); and

“(B) as of the date that such hospital enrolls under this title, is located more than a 35-mile drive (or, in the case of mountainous terrain or in areas with only secondary roads available, a 15-mile drive) from a hospital or a critical access hospital.”

(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.”