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ARCH Act

3/21/2025, 3:42 PM

Summary of Bill HR 1805

Bill 119 HR 1805, also known as the Medicare Dependent Hospital and Medicare Low-Volume Hospital Improvement Act of 2021, aims to make changes to Medicare payments for certain types of hospitals. The bill seeks to extend Medicare-dependent hospital and Medicare low-volume hospital payments, which are crucial for hospitals that serve a high percentage of Medicare patients or are located in rural areas with low patient volumes.

Specifically, the bill would extend these payment provisions to ensure that these hospitals continue to receive adequate reimbursement for the care they provide to Medicare beneficiaries. Additionally, the bill directs the Comptroller General of the United States to conduct a report on Medicare rural hospital classifications. This report will provide valuable information on how rural hospitals are classified under Medicare and how these classifications impact their reimbursement rates.

Overall, Bill 119 HR 1805 aims to support Medicare-dependent and low-volume hospitals by ensuring they receive appropriate payments for the services they provide. The bill also seeks to improve understanding of how rural hospitals are classified under Medicare, which can help inform future policy decisions related to Medicare reimbursement for these facilities.

Congressional Summary of HR 1805

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.

Current Status of Bill HR 1805

Bill HR 1805 is currently in the status of Bill Introduced since March 3, 2025. Bill HR 1805 was introduced during Congress 119 and was introduced to the House on March 3, 2025.  Bill HR 1805's most recent activity was Referred to the House Committee on Ways and Means. as of March 3, 2025

Bipartisan Support of Bill HR 1805

Total Number of Sponsors
1
Democrat Sponsors
0
Republican Sponsors
1
Unaffiliated Sponsors
0
Total Number of Cosponsors
1
Democrat Cosponsors
1
Republican Cosponsors
0
Unaffiliated Cosponsors
0

Policy Area and Potential Impact of Bill HR 1805

Primary Policy Focus

Health

Alternate Title(s) of Bill HR 1805

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 General of the United States to carry out a report on Medicare rural hospital classifications.
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 General of the United States to carry out a report on Medicare rural hospital classifications.

Comments

Celine Farrell profile image

Celine Farrell

649

11 months ago

This bill is so dumb, like why would they even pass it? It's gonna mess everything up for us. I can't believe they're actually going through with this. It's gonna be a disaster, mark my words. Just wait and see what happens when it goes into effect. SMH.