The bill
ARC Act of 2025
HR. 307, 119th Congress — read as touching Hospitals & Health Systems.
Sponsored by
Rep. McIver, LaMonica [D-NJ-10]
ID: M001229
Follow the money
The bill
HR. 307, 119th Congress — read as touching Hospitals & Health Systems.
The sponsor
Every bill has someone who introduced it. That name is where the paper trail starts.
The money
23 itemised contributions to this sponsor, pulled from FEC filings.
Track this bill's progress through the legislative process
Latest Action
Sponsor introductory remarks on measure. (CR H122)
January 13, 2025
📍 Current Status
Next: The bill will be reviewed by relevant committees who will debate, amend, and vote on it.
1. Introduction: A member of Congress introduces a bill in either the House or Senate.
2. Committee Review: The bill is sent to relevant committees for study, hearings, and revisions.
3. Floor Action: If approved by committee, the bill goes to the full chamber for debate and voting.
4. Other Chamber: If passed, the bill moves to the other chamber (House or Senate) for the same process.
5. Conference: If both chambers pass different versions, a conference committee reconciles the differences.
6. Presidential Action: The President can sign the bill into law, veto it, or take no action.
7. Became Law: If signed (or if Congress overrides a veto), the bill becomes law!
Another "feel-good" bill from the geniuses in Congress. The ARC Act of 2025, short for Amputation Reduction and Compassion Act (because who doesn't love a good acronym?). Let's dissect this mess.
**New Regulations:** This bill amends titles XVIII and XIX of the Social Security Act to provide coverage for peripheral artery disease (PAD) screening tests under Medicare and Medicaid without cost-sharing requirements. Because, you know, people with PAD are just dying to get screened (pun intended).
**Affected Industries and Sectors:**
* Healthcare providers: They'll need to adapt to new screening protocols and guidelines. * Medical device manufacturers: Expect a surge in demand for ankle-brachial index testing equipment and arterial duplex scans. * Pharmaceutical companies: Get ready to peddle your statins and other cardiovascular meds.
**Compliance Requirements and Timelines:**
* The Secretary of Health and Human Services (HHS) has 180 days to establish standards for PAD screening tests. * Healthcare providers must implement these new guidelines within a year of the bill's enactment. * Patients will be screened, diagnosed, and treated according to the latest "evidence-based" guidelines. Because we all know how well that works in practice.
**Enforcement Mechanisms and Penalties:**
* HHS will monitor compliance through audits and surveys (because nothing says "effective enforcement" like a survey). * Providers who fail to comply may face penalties, including fines and exclusion from Medicare and Medicaid programs. * Patients who don't get screened? Well, they might just lose their limbs. No pressure.
**Economic and Operational Impacts:**
* Estimated costs for the PAD education program: $6 million per year for five years (a drop in the bucket compared to the overall healthcare budget). * Increased demand for screening tests will drive up costs for Medicare and Medicaid. * Providers may need to hire additional staff or invest in new equipment, which could lead to higher costs and reduced productivity.
**The Real Motivation:**
This bill is a classic example of "legislative theater." It's designed to make lawmakers look compassionate while lining the pockets of healthcare providers, medical device manufacturers, and pharmaceutical companies. The actual impact on patient outcomes? Minimal at best. But hey, who needs effective policy when you can have a catchy acronym and a press release?
In conclusion, the ARC Act of 2025 is a perfect example of how Congress loves to "help" people by creating more bureaucratic red tape, driving up costs, and enriching special interests. Now, if you'll excuse me, I need to go treat some actual patients – not just the ones with PAD.
Rep. McIver, LaMonica [D-NJ-10]
Congress 119 • 2024 Election Cycle
No PAC contributions found
No committee contributions found
This bill has 10 cosponsors. Below are their top campaign contributors.
ID: J000309
Top Contributors
10
ID: K000385
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ID: W000822
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No contribution data available
ID: S001185
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ID: D000629
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ID: J000288
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ID: M001143
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ID: T000472
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ID: B001285
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ID: M001137
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10
Hub layout: Politicians in center, donors arranged by type in rings around them.
Showing 53 nodes and 35 connections (36 secondary connections hidden)
Total contributions: $114,350
Showing top 23 donors by contribution amount
Which industries are materially affected by specific provisions in this bill. 3 helped.
Section 3(a)(1)(B) adds peripheral artery disease screening tests to Medicare coverage under Section 1861(s)(2)(KK), and Section 3(c)(1)(A)(iii) provides payment of 100% of the lesser of actual charge or amount determined under section 1848 for such tests, increasing utilization and revenue for hospitals providing these services.
Section 3(a)(2) defines peripheral artery disease screening tests to include noninvasive physiologic studies (ankle-brachial index) and arterial duplex scans, which are medical devices, and Section 3(c) establishes Medicare payment for these tests, creating a market for device manufacturers.
Section 5 requires development of quality measures for nontraumatic lower-limb major amputation utilizing diagnostic screening including peripheral artery disease screening, which may increase demand for biomarker and diagnostic technologies from biotech firms.