H.R. 1805 119th Congress House

ARCH Act

Official title: To amend title XVIII of the Social Security Act to extend Medicare-dependent hospital and Medicare low-volume hospital payments, and to direct the Comptroller … Show full official titleShow less

Introduced: March 3, 2025 Introduced by: Carol D. Miller Republican · West Virginia See on congress.gov

Health

Everywhere this bill has been 2 steps

Introduced

In committee

Reported out

Passed House

Passed Senate

To President

Became law

Mar 3, 2025

Introduced in House

Mar 3, 2025

Referred to the House Committee on Ways and Means.

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What's happening now March 3, 2025

Referred to the House Committee on Ways and Means.

Plain-English summary Congressional Research Service

Assistance for Rural Community Hospitals Act or the ARCH Act

This bill extends through FY2031 (1) the Medicare-Dependent Hospital Program, which provides additional payments to certain small rural hospitals that have a high proportion of Medicare patients; and (2) certain increased payment adjustments for low-volume hospitals under Medicare's inpatient prospective payment system.

It also requires the Government Accountability Office to report on the number of hospitals that received certain classifications for purposes of payment under Medicare, including low-volume hospitals and Medicare-dependent hospitals.

Bill text 1 version

Introduced in House Formatted Text PDF Formatted XML

Source documents hosted by congress.gov.

Committees of jurisdiction 1

Ways and Means Committee
House of Representatives

Lobbying activity 26

Registered lobbyists who named this bill in their disclosure filings. Source: federal Lobbying Disclosure Act filings.

AMERICAN HOSPITAL ASSOCIATION
for AMERICAN HOSPITAL ASSOCIATION · District of Columbia · 3rd Quarter 2026 (July 1 - Sep 30)
MCDERMOTT+ LLC
for ALLIANCE FOR RURAL HOSPITAL ACCESS · District of Columbia · 3rd Quarter 2026 (July 1 - Sep 30)
AMERICA'S HEALTH INSURANCE PLANS, INC. (AHIP)
for AMERICA'S HEALTH INSURANCE PLANS INC (AHIP) · District of Columbia · 2nd Quarter 2026 (Apr 1 - June 30)
AMERICAN HOSPITAL ASSOCIATION
for AMERICAN HOSPITAL ASSOCIATION · District of Columbia · 2nd Quarter 2026 (Apr 1 - June 30)
MCDERMOTT+
for ALLIANCE FOR RURAL HOSPITAL ACCESS · District of Columbia · 2nd Quarter 2026 (Apr 1 - June 30)
AMERICA'S HEALTH INSURANCE PLANS, INC. (AHIP)
for AMERICA'S HEALTH INSURANCE PLANS INC (AHIP) · District of Columbia · 1st Quarter 2026 (Jan 1 - Mar 31)

Bodies those filers lobbied

HOUSE OF REPRESENTATIVES
26 filings
SENATE
26 filings
Centers For Medicare and Medicaid Services (CMS)
20 filings
Health & Human Services, Dept of (HHS)
13 filings
White House Office
8 filings
Homeland Security, Dept of (DHS)
6 filings
Labor, Dept of (DOL)
5 filings
Federal Trade Commission (FTC)
4 filings

A filing lists the bills it worked on and the parts of government it contacted in separate sections, so these are the bodies those filers named anywhere in the filing, not a per-bill breakdown.

See all 26 filings →

Cosponsors 3