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HR 1805 119th Congress

ARCH Act

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.

Official Title as Introduced Congress.gov

Introduced Mar 3, 2025 Latest action Mar 3, 2025 Sponsor: Rep. Miller, Carol D. [R-WV-1] Health
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Source: Congress.govUpdated 2026-09-17 21:09:44 UTC.

Source-linked procedural record

Bill journey

5 dated records

This is a chronology, not a progress score. Politically.com does not classify stages or infer what comes next. Records sharing a date are grouped because not every source field supplies a time.

Congress.gov Recently refreshed U.S. Senate XML Recently refreshed
Introduction 1 One supplied introduction date.
Official actions 3 3 dated action records.
Committees 1 1 undated relationship.
Amendments 0 No record is cached.
Text versions 1 1 dated, 0 without a supplied date.
House roll calls 0 No exact legislation-key match in the House-vote cache.
Senate roll calls 0 No exact document-key match in the Senate-vote cache.
Related measures 0 No related-measure relationship is cached.
Linked law 0 No linked law record is cached; this does not predict outcome.

  1. Official action Congress.gov

    Referred to the House Committee on Ways and Means.

    IntroReferral · House floor actions · Code H11100

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    Official action Congress.gov

    Introduced in House

    IntroReferral · Library of Congress · Code Intro-H

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    Official action Congress.gov

    Introduced in House

    IntroReferral · Library of Congress · Code 1000

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    Text version Congress.gov

    Introduced in House

    A dated text-version record is available.

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View the complete bill journey as an accessible table
Every dated cached record linked to HR 1805. Same-date row order does not assert procedural sequence.
Date and timeRecordOfficial detailSource
IntroductionIntroduced Introduced in the House. Congress.gov
Official actionReferred to the House Committee on Ways and Means. No additional detail supplied.IntroReferral · House floor actions · Code H11100 Congress.gov
Official actionIntroduced in House No additional detail supplied.IntroReferral · Library of Congress · Code Intro-H Congress.gov
Official actionIntroduced in House No additional detail supplied.IntroReferral · Library of Congress · Code 1000 Congress.gov
Text versionIntroduced in House A dated text-version record is available. Congress.gov

House roll calls join only on matching Congress, legislation type, and number. Senate roll calls join only on matching source-supplied document type and number, not question text. Committee and related-measure relationships have no date in their relationship records and therefore are counted above but never placed on the chronology.

Congressional Research Service

CRS summary

Introduced in House Mar 3, 2025

Assistance for Rural Community Hospitals Act or the ARCH ActThis 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.

Official documents

Text versions