United States 119th Congress Status: In Committee 3 D cosponsors

S 4085 — Take Back Our Hospitals Act of 2026

Last action — Read twice and referred to the Committee on Finance.

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

This bill is in committee in the Senate. Introduced March 12, 2026. It must pass committee before a floor vote.

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

Prognosis

Stalled 20% · moderate confidence

Where this bill stands today.

Odds of enactment

Low

How often bills like it became law.

  • In Committee

    Current position in the legislative process.

  • 3 sponsors

    1 primary, 2 co-sponsors signed on.

  • Single-party support

    Sponsorship is currently within one party (3 D).

Prognosis reads this bill's own signals — stage, sponsorship breadth, committee status, recorded votes and cross-state momentum. Odds come from a model trained on which bills have become law.

Bill Text

How this bill changes current law

1 change Share ↗

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

The bill adds a new prohibition preventing certain firms from owning or controlling hospitals or skilled nursing facilities participating in the Medicare program.

  • 42 U.S.C. 1395y

    ``(p) Prohibition on Payments to Hospitals and Skilled Nursing Facilities Owned by Certain Firms.-- ``(1) In general.-- ``(A) Prohibition.--No payment may be made under this title to a hospital or skilled nursing facility that is owned or controlled by a covered firm or an affiliate of a covered firm. ``(B) Exception.--If, on the date of enactment of this subsection, a hospital or skilled nursing facility is owned or controlled by a covered firm or an affiliate of such a firm, such hospital or skilled nursing facility shall not be considered in violation of subparagraph (A) until the date that is 3 years after such date of enactment. ``(2) Notice, hearing, and judicial review.--Any hospital or skilled nursing facility found to be in violation of paragraph (1) shall be entitled to reasonable notice and opportunity for hearing as described in section 1128(f). ``(3) Joint and several liability.--A covered firm or an affiliate of such a firm that owns or is an affiliate of a hospital or skilled nursing facility that is in violation of paragraph (1) shall be jointly and severally liable for any penalty or obligation such hospital or skilled nursing facility receives for such violation. ``(4) Definitions.--In this subsection: ``(A) Affiliate.--The term `affiliate' means an entity that controls, is controlled by, or is under common control with another entity. ``(B) Control.-- ``(i) In general.--The term `control' means to possess the power, directly or indirectly, to direct, or cause the direction of, the management, administrative functions, assets, or policies of an entity through owning voting securities in such entity, contracting with such entity (except for contracting with such entity for goods or non-management services), or other similar means, as determined by the Secretary. ``(ii) Voting securities.--A person shall be considered to control an entity if such person directly or indirectly owns, has rights over, or holds with the power to vote, 10 percent or more of the voting securities of such entity. ``(C) Corporation.--The term `corporation' means-- ``(i) a joint-stock company; ``(ii) a company or partnership association organized under a law that makes only the capital subscribed or callable up to a specified amount responsible for the debts of the company or partnership association, and includes a limited partnership and a limited liability company; ``(iii) a trust; or ``(iv) an association that-- ``(I) possesses the power or privilege of a private corporation under State law; and ``(II) does not possess the power or privilege of a sole proprietorship or partnership under State law. ``(D) Covered firm.--The term `covered firm' means-- ``(i) a private equity fund; ``(ii) a corporation that is owned or controlled by a private equity fund; or ``(iii) a real estate investment trust. ``(E) Private equity fund.--The term `private equity fund' means a person who-- ``(i) would be considered an investment company under section 3 of the Investment Company Act of 1940 (15 U.S.C. 80a-3) but for the application of paragraph (1) or (7) of subsection (c) of such section; and ``(ii) directly, or through an affiliate, acts as a control person of such company. ``(F) Real estate investment trust.--The term `real estate investment trust' has the meaning given such term in section 856 of the Internal Revenue Code of 1986.''.

    This addition establishes new restrictions on Medicare payments to certain hospitals and skilled nursing facilities based on their ownership.

Action History

  1. Introduced in Senate

  2. Read twice and referred to the Committee on Finance.

Sponsors

Sponsorship breakdown

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1 sponsors · 2 co-sponsors · 544 not signed on

Sponsors (1)

Co-sponsors (2)

Not signed on (544)

544 members have not signed on to this bill.

Show all 544 →

"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

healthcare health-insurance
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 S 4085?
S 4085 is sponsored by Blumenthal, Richard (Democratic), Merkley, Jeff (Democratic), and Murphy, Christopher (Democratic).
What is the current status of S 4085?
This bill is in committee in the Senate. Introduced March 12, 2026. It must pass committee before a floor vote.
Where can I track S 4085?
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