United States 119th Congress Status: In Committee Bipartisan · 1 D · 1 R cosponsors

HR 4277 — Rural Emergency Hospital Financial Stability Act

Last action — Referred to the House Committee on Energy and Commerce.

  1. ✓
    Introduced
  2. 2
    In Committee
  3. 3
    Passed House
  4. 4
    Passed Senate
  5. 5
    To Executive
  6. 6
    Enacted

This bill is in committee in the House. Introduced July 02, 2025. It must pass committee before a floor vote.

Next likely step: a committee vote, then a floor vote in the House.

Odds of enactment

Low chance

Based on the sponsor, cosponsors, and committee posture, this bill has a low chance of becoming law.

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A statistical estimate from our own model of past outcomes — an insight, not a guarantee. Policymaking is volatile.

Prognosis

Advancing 34% · moderate confidence

  • In Committee

    Current position in the legislative process.

  • 2 sponsors

    1 primary, 1 co-sponsors signed on.

  • Bipartisan support

    Sponsored across 2 parties (1 D · 1 R) — cross-party backing.

Based on stage, sponsorship breadth, committee status, recorded votes, and cross-state momentum — a description of the observable signals, not a prediction.

In plain language

HR 4277 addresses important issues in energy and commerce.

This bill, introduced in the House, aims to tackle challenges related to energy and commerce sectors. It is currently under review by the House Committee on Energy and Commerce.

Bill Text

How this bill changes current law

2 changes Share ↗

Compared against current U.S. Code AI-generated reading aid — verify against the official bill.

The bill clarifies that rural emergency hospitals are to be treated as outpatient hospitals for Medicaid payment purposes.

  • 42 U.S.C. 1396d(a)

    (including rural emergency hospital services, as defined in section 1861(kkk), when such services are available),

    This addition explicitly includes rural emergency hospital services in the Medicaid definition of outpatient hospital services.

  • 42 U.S.C. 1396d(a)

    but including services provided in a nursing facility that is a distinct part unit of a rural emergency hospital, as defined in section 1861(kkk)(2)

    This addition specifies that nursing facility services can be provided within a rural emergency hospital's distinct part unit under Medicaid.

Action History

  1. Introduced in House

  2. Introduced in House

  3. Referred to the House Committee on Energy and Commerce.

Sponsors

Sponsorship breakdown

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1 sponsors · 1 co-sponsors · 545 not signed on

Sponsors (1)

Co-sponsors (1)

Not signed on (545)

545 members have not signed on to this bill.

Show all 545 →

"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Subjects

environment healthcare health-insurance agriculture
Cross-referencing the record. Reading this bill against every other bill in the corpus by meaning, not keywords. Only the first open is slow. It’s instant for you after this. Matching · Ranking · Engrossing

Frequently asked questions

Who sponsors HR 4277?
HR 4277 is sponsored by Bergman, Jack (Republican) and Davis, Donald G. (Democratic).
What is the current status of HR 4277?
This bill is in committee in the House. Introduced July 02, 2025. It must pass committee before a floor vote.
Where can I track HR 4277?
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Last checked for changes 3 months ago · updated continuously

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