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Allow people who spend time in observation status at a hospital to count those days toward the requirement for Medicare coverage of nursing home care.

One policy goal, tracked across every bill that has carried it.

Known asImproving Access to Medicare Coverage Act of 2025Improving Access to Medicare Coverage Act of 2026Improving Access to Medicare Coverage Act of 2023Improving Access to Medicare Coverage Act of 2024

What’s happening with Improving Access to Medicare Coverage Act of 2025?

The Improving Access to Medicare Coverage Act of 2025 is stalled in the House Ways and Means and Energy and Commerce committees as of June 11, 2025. The House committees must hold a vote to move the bill forward, but committee inaction is the most common way legislation ends in Congress. No action has occurred on the House bill since June 11, 2025, and the Senate version has remained in the Committee on Finance since May 20, 2026.

Updated July 9, 2026 · Generated by AI. Always verify with official sources.

Where it stands

Now carried by Improving Access to Medicare Coverage Act of 2025 (H.R. 3954 (119th)) →

Legislative Progress

House

No action since June 2025

Senate
President
Law

Next up: A house committee · Nothing moves until they act.

How we got here

Every bill that has carried this goal, oldest first.

  1. Died with Congress · Jan 3, 2025

    Died when the 118th Congress ended without final passage. Bills must be reintroduced under a new number to be revived.

  2. Reintroduced · Jan 3, 2025

    Reintroduced from H.R. 5138 (118th), which died when its Congress ended.

    H.R. 5138 (118th)
  3. Reintroduced · Jan 3, 2025

    Reintroduced from S. 4137 (118th), which died when its Congress ended.

    S. 4137 (118th)

Vehicles

Who’s behind it

Joe Courtney (D-CT)Wrote and sponsored the current bill.