HR 6430 United States House · 118th Congress

ARCH Act

The ARCH Act extends funding for two critical rural hospital payment programs through 2029 (instead of 2024). It directly affects rural hospitals classified as Medicare-dependent hospitals (MDHs) or low-volume hospitals (LVHs), ensuring continued financial support. Key provisions include extending payment methodologies, allowing hospitals to decline reclassification, and requiring a GAO report analyzing rural hospital classification overlaps and recommending improvements. The GAO must report within 180 days on classification criteria, overlaps, and potential changes to improve rural hospital sustainability and patient access.
Bill status in committee 1 of 4 stages cleared
Introduction
Nov 2023
Committee Review
Floor Vote
President
Introduced Nov 15, 2023 Last action Dec 17, 2024
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Full legislative history

Actions timeline

Total actions
3
Key actions
0
Committee
2
Dec 17, 2024
Committee
Referred to the Subcommittee on Health.
lower
Nov 15, 2023
Committee
Referred to the House Committee on Ways and Means.
lower
Nov 15, 2023
Introduced
Introduced in House
lower
1 primary · 8 co-sponsors

Sponsors