119-s1390

[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[S. 1390 Introduced in Senate

    (IS) ]

<DOC>

119th CONGRESS
 1st Session
 S. 1390

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

_______________________________________________________________________

 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.

 Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

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.--
 ``
        (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.''.
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