To amend title XVIII of the Social Security Act to repeal the Obamacare ban on provider-owned hospitals, and for other purposes.
Analysis under review: This bill has generated analysis that may be too generic or incomplete. Clause-level evidence remains available below.
Summary
What This Bill Does
The bill repeals Affordable Care Act restrictions on physician-owned hospitals by striking subsections (d)(2)(C), (d)(3)(D), and the entire subsection (i) from Section 1877 of the Social Security Act (Stark Law). It relies on repeal and exemptions. The main policy areas are Healthcare.
Who Benefits and How
Physician-owned specialty hospitals (orthopedic, cardiac, surgical centers) could face lower compliance burdens, Physician groups seeking to own or invest in hospitals could face fewer barriers, and Healthcare real estate investors and developers could gain revenue opportunities.
Who Bears the Burden and How
Traditional community hospitals could lose revenue opportunities and CMS administrators (must update regulations and guidance) would take on compliance duties.
Key Provisions
- Repeals Affordable Care Act restrictions on physician-owned hospitals by striking subsections (d)(2)(C), (d)(3)(D), and the entire subsection (i) from Section 1877 of the Social Security Act (Stark Law).
Evidence Chain:
This summary is generated from the full bill text using AI analysis. Expand "Detailed Analysis" below for identified beneficiaries/burden bearers with clause-level evidence links.
At a Glance
What This Bill Does
The bill repeals Affordable Care Act restrictions on physician-owned hospitals by striking subsections (d)(2)(C), (d)(3)(D), and the entire subsection (i) from Section 1877 of the Social Security Act (Stark Law).
Key Policy Areas
Healthcare
Primary Purpose
The bill repeals Affordable Care Act restrictions on physician-owned hospitals by striking subsections (d)(2)(C), (d)(3)(D), and the entire subsection (i) from Section 1877 of the Social Security Act (Stark Law).
Policy Domains
Section 1 - Short Title
Identified Gains
- Physician-owned specialty hospitals (orthopedic, cardiac, surgical centers)
- Physician groups seeking to own or invest in hospitals
- Healthcare real estate investors and developers
Identified Costs
- Traditional community hospitals
- CMS administrators (must update regulations and guidance)
Legislative Progress
IntroducedMrs. Spartz introduced the following bill; which was referred to …
Stakeholder Effects
cui bono?How this legislation distributes effects. Mention counts reflect frequency, not effect magnitude.
CMS administrators (must update regulations and guidance), Healthcare real estate investors and developers, Physician groups seeking to own or invest in hospitals
Positive-direction: Healthcare real estate investors and developers, Physician groups seeking to own or invest in hospitals, Physician-owned specialty hospitals (orthopedic, cardiac, surgical centers)
Negative-direction: CMS administrators (must update regulations and guidance), Traditional community hospitals
Bill Structure & Actor Mappings
Who is "The Secretary" in each section?
- "centers_for_medicare_medicaid_services"
- → CMS - agency administering Medicare/Medicaid
Key Definitions
Terms defined in this bill
Commonly known as the Stark Law, which prohibits physician self-referral for designated health services payable by Medicare or Medicaid
Restrictions on physician-owned hospitals enacted as part of the Affordable Care Act, limiting their ability to expand or be newly established
Provisions related to rural provider exceptions to ownership or investment prohibitions
Provisions related to hospital exceptions to ownership or investment prohibitions
We use a combination of our own taxonomy and classification in addition to large language models to assess meaning and potential beneficiaries. High confidence means strong textual evidence. Always verify with the original bill text.
Learn more about our methodology