ARC Act of 2025

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Bill ID: 119/hr/307
Last Updated: July 17, 2026

Sponsored by

Rep. McIver, LaMonica [D-NJ-10]

ID: M001229

Follow the money

The bill

ARC Act of 2025

HR. 307, 119th Congress — read as touching Hospitals & Health Systems.

The sponsor

Rep. McIver, LaMonica [D-NJ-10]

Every bill has someone who introduced it. That name is where the paper trail starts.

The money

$67,150 raised

23 itemised contributions to this sponsor, pulled from FEC filings.

Bill's Journey to Becoming a Law

Track this bill's progress through the legislative process

Latest Action

Sponsor introductory remarks on measure. (CR H122)

January 13, 2025

Introduced

📍 Current Status

Next: The bill will be reviewed by relevant committees who will debate, amend, and vote on it.

🏛️

Committee Review

🗳️

Floor Action

Passed House

🏛️

Senate Review

🎉

Passed Congress

🖊️

Presidential Action

⚖️

Became Law

📚 How does a bill become a law?

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!

Bill Summary

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.

Generated using Llama 3.1 70B (Dr. Haus personality)

💰 Campaign Finance Network

Rep. McIver, LaMonica [D-NJ-10]

Congress 119 • 2024 Election Cycle

Total Contributions
$67,150
23 donors
PACs
$0
Organizations
$1,250
Committees
$0
Individuals
$65,650

No PAC contributions found

1
ELECTION FUND OF CRAIG J. COUGHLIN
1 transaction
$1,000
2
ELECTION FUND OF PATRICK COUNCIL
1 transaction
$250

No committee contributions found

1
JACOBS, IRWIN
1 transaction
$3,300
2
HANINI, SAMER
1 transaction
$3,300
3
JACOBS, JOSEPH
1 transaction
$3,300
4
PANEPINTO, JOSEPH
1 transaction
$3,300
5
GOMES, JOE
1 transaction
$3,300
6
ISSA, MARK
1 transaction
$3,300
7
JORGE, LEE
1 transaction
$3,300
8
PAGLIERI, WAYNE
1 transaction
$3,300
9
SALERMO, RALPH
1 transaction
$3,300
10
BAPTISTE, LEON
1 transaction
$3,300
11
BOHLIN, TIFFANY
1 transaction
$3,300
12
ERMEUS, BREITNER
1 transaction
$3,300
13
FERRARA, JOAQUIN
1 transaction
$3,300
14
GENOVA, ANGELO
1 transaction
$3,300
15
GUPTA, URMILA
1 transaction
$3,300
16
GUPTA, VIJAY
1 transaction
$3,300
17
MEROLA, MICHAEL
1 transaction
$3,300
18
KUKREJA, MAHESH
1 transaction
$3,300
19
GUPTA, NEERU
1 transaction
$3,250
20
PARRA, MARK
1 transaction
$3,000

Cosponsors & Their Campaign Finance

This bill has 10 cosponsors. Below are their top campaign contributors.

Rep. Jackson, Jonathan L. [D-IL-1]

ID: J000309

Top Contributors

10

1
DUDA, KENNETH
ARISTA NETWORKS INC.SOFTWARE ENGINEERING
IndividualMENLO PARK, CA
$6,600
Jun 21, 2024
2
GUPTA, ANUJA
VERANDAHFOUNDER
IndividualHANOVER PARK, IL
$6,600
Mar 19, 2024
3
BURKLE, RON
THE YUCAIPA COMPANIES, LLCMANAGING PARTNER
IndividualWEST HOLLYWOOD, CA
$6,600
Apr 16, 2024
4
DUDA, KENNETH
ARISTA NETWORKS INC.SOFTWARE ENGINEERING
IndividualMENLO PARK, CA
$6,600
Jun 21, 2024
5
KAMANZI, OLIVIER
NOT EMPLOYEDNOT EMPLOYED
IndividualCHICAGO, IL
$5,000
Jun 29, 2024
6
ADAMS, HAYDEN
UNISWAP LABSFOUNDER AND CEO
IndividualNEW YORK, NY
$3,300
Aug 14, 2024
7
CHU MA, SUM
SELFRESTURANT OWNER
IndividualCHICAGO, IL
$3,300
Aug 27, 2024
8
DUDA, JENNIFER
NOT EMPLOYEDNOT EMPLOYED
IndividualMENLO PARK, CA
$3,300
Jul 24, 2024
9
GABLE, WILLIE
NOT EMPLOYEDNOT EMPLOYED
IndividualNEW ORLEANS, LA
$3,300
Sep 14, 2024
10
KNOWLING, ROBERT
EAGLES LANDING PARTNERSEXECUTIVE
IndividualGLENNVILLE, GA
$3,300
May 21, 2024

Rep. Kelly, Robin L. [D-IL-2]

ID: K000385

Top Contributors

10

1
CROKE FOR ILLINOIS
OrganizationCHICAGO, IL
$1,000
Feb 28, 2024
2
COMMITTEE TO ELECT JUSTICE COBBS
OrganizationMATTESON, IL
$500
Feb 28, 2024
3
KELLY, MELINDA
IndividualOAK LAWN, IL
$4,400
Oct 23, 2024
4
AUSTRIACO, AURORA
VALENTINE AUSTRIACO AND BUESCHELATTORNEY
IndividualPARK RIDGE, IL
$4,000
Dec 4, 2023
5
AUSTRIACO, AURORA
IndividualPARK RIDGE, IL
$4,000
Dec 5, 2023
6
ROGERS, LARRY R
POWER ROGERS, L.L.P.ATTORNEY
IndividualCHICAGO, IL
$3,407
Oct 21, 2024
7
ANTUNOVICH, JOSEPH
ANTUNOVICH ASSOCIATESARCHITECT
IndividualCHICAGO, IL
$3,407
Sep 28, 2023
8
BONGARD, BETH A.
RETIREDRETIRED
IndividualOLYMPIA FIELDS, IL
$3,300
Mar 18, 2024
9
LEWIS, KATRICE
SELF EMPLOYEDMANAGER
IndividualSOUTH HOLLAND, IL
$3,300
Mar 18, 2024
10
MARQUIS, D.L
MARQUIS ENERGYPRESIDENT & CEO
IndividualPEORIA, IL
$3,300
Mar 4, 2024

Rep. Watson Coleman, Bonnie [D-NJ-12]

ID: W000822

Top Contributors

0

No contribution data available

Rep. Sewell, Terri A. [D-AL-7]

ID: S001185

Top Contributors

10

1
BUFFALO ROCK COMPANY
OrganizationBIRMINGHAM, AL
$5,000
Oct 15, 2024
2
POARCH BAND OF CREEK INDIANS
OrganizationATMORE, AL
$3,300
Mar 26, 2024
3
POARCH BAND OF CREEK INDIANS
OrganizationATMORE, AL
$3,300
Sep 21, 2023
4
BUFFALO ROCK COMPANY
OrganizationBIRMINGHAM, AL
$2,500
Sep 10, 2024
5
BUFFALO ROCK COMPANY
OrganizationBIRMINGHAM, AL
$2,500
Sep 30, 2024
6
LAW OFFICES OF FREDERICK GRAEFE LLC
OrganizationWASHINGTON, DC
$500
Sep 30, 2023
7
CHIROPRACTIC CARE INC.
OrganizationGULF SHORES, AL
$250
Feb 26, 2024
8
BROWN, CANDACE P.
NONERETIRED
IndividualFLORENCE, SC
$4,500
Sep 6, 2024
9
BROWN, JAMES A.
SMS COMPANYVICE PRESIDENT
IndividualFLORENCE, SC
$4,500
Sep 6, 2024
10
LEHMAN, WILLIAM
NOT EMPLOYEDNOT EMPLOYED
IndividualAVENTURA, FL
$3,300
Dec 9, 2024

Rep. Davids, Sharice [D-KS-3]

ID: D000629

Top Contributors

10

1
HO-CHUNK NATION
OrganizationBLACK RIVER FALLS, WI
$3,300
Oct 21, 2024
2
LEECH LAKE BAND OF OJIBWE
OrganizationCASS LAKE, MN
$3,300
Nov 4, 2024
3
MATCH-E-BE-NASH-SHE-WISH BAND OF POTTAWATOMI INDIANS
OrganizationSHELBYVILLE, MI
$3,300
Oct 23, 2024
4
PASCUA YAQUI TRIBE
OrganizationTUCSON, AZ
$3,300
Nov 1, 2024
5
PRAIRIE ISLAND TRIBAL COUNCIL
OrganizationWELCH, MN
$3,300
Oct 23, 2024
6
REDDING RANCHERIA
OrganizationREDDING, CA
$3,300
Nov 5, 2024
7
THE UTE INDIAN TRIBE
OrganizationFORT DUCHESNE, UT
$3,300
Nov 15, 2024
8
CHEROKEE NATION
OrganizationTAHLEQUAH, OK
$3,300
Dec 29, 2023
9
CHEROKEE NATION
OrganizationTAHLEQUAH, OK
$3,300
Dec 29, 2023
10
HO CHUNK NATION
OrganizationBLACK RIVER FALLS, WI
$3,300
Dec 8, 2023

Rep. Johnson, Henry C. "Hank" [D-GA-4]

ID: J000288

Top Contributors

10

1
JAVED, MUHAMMAD
RICELAND HEALTHCARECEO
IndividualBEAUMONT, TX
$3,300
Oct 9, 2024
2
BEY, N. JOHN
BEY & ASSOCIATESATTORNEY
IndividualATLANTA, GA
$3,300
Feb 29, 2024
3
BRYSON, JAN P.
BENCHMARK MANAGEMENTFOUNDER
IndividualATLANTA, GA
$3,300
Feb 22, 2024
4
CRAWFORD, JESS
N/ARETIRED
IndividualBROOKHAVEN, GA
$3,300
Feb 23, 2024
5
LEVETT, GREGORY B. SR
GREGORY B. LEVETT FUNERAL HOMEFUNERAL DIRECTOR
IndividualSCOTTDALE, GA
$3,300
Feb 19, 2024
6
AGGARWAL, SHIV
AMSREAL EATATE
IndividualJOHNS CREEK, GA
$2,500
Feb 27, 2024
7
WALKER, CEDRIC
SOUL CIRCUS INCCEO
IndividualFAYETTEVILLE, GA
$2,500
Feb 22, 2024
8
CHO, CHOONG SHIK
HOPEWELL ENTERPRISESCEO
IndividualATLANTA, GA
$2,000
Nov 21, 2024
9
HOLLIS, JULIUS H.
SELF-EMPLOYEDBUSINESS OWNER
IndividualROSWELL, GA
$2,000
Feb 19, 2024
10
RUSSELL, MICHAEL
HJ RUSSELL & COMPANYBUSINESS OWNER
IndividualATLANTA, GA
$2,000
Feb 19, 2024

Rep. McCollum, Betty [D-MN-4]

ID: M001143

Top Contributors

10

1
LEECH LAKE BAND OF OJIBWE
OrganizationCASS LAKE, MN
$3,300
Oct 18, 2024
2
PRAIRIE ISLAND INDIAN COMMUNITY
OrganizationWELCH, MN
$3,300
Oct 21, 2024
3
SNOQUALMIE TRIBE
OrganizationSNOQUALMIE, WA
$3,300
Oct 23, 2024
4
POARCH BAND OF CREEK INDIANS
OrganizationATMORE, AL
$3,300
Mar 30, 2023
5
CHEROKEE NATION
OrganizationCATOOSA, OK
$3,300
Jun 20, 2024
6
PUYALLUP TRIBE OF INDIANS
OrganizationTACOMA, WA
$3,300
Jun 27, 2024
7
WHITE EARTH BAND OF CHIPPEWA
OrganizationWHITE EARTH, MN
$3,300
Jun 20, 2024
8
CHEROKEE NATION
OrganizationCATOOSA, OK
$3,300
Sep 23, 2024
9
MOORETOWN RANCHERIA
OrganizationOROVILLE, CA
$3,300
Sep 27, 2024
10
PECHANGA BAND OF LUISENO INDIANS
OrganizationTEMECULA, CA
$3,300
Sep 30, 2024

Rep. Takano, Mark [D-CA-39]

ID: T000472

Top Contributors

10

1
SEIU COPE (SERVICE EMPLOYEES INTERNATIONAL UNION COMMITTEE ON POLITICAL EDUCATION)
PACWASHINGTON, DC
$5,000
Mar 30, 2023
2
FEDERATED INDIANS OF GRATON RANCHERIA
OrganizationROHNERT PARK, CA
$3,300
Jun 28, 2023
3
FEDERATED INDIANS OF GRATON RANCHERIA
OrganizationROHNERT PARK, CA
$3,300
Jun 28, 2023
4
HABEMATOLEL POMO OF UPPER LAKE TRIBE OF CALIFORNIA
OrganizationUPPER LAKE, CA
$3,300
May 1, 2023
5
MS BAND OF CHOCTAW INDIANS
OrganizationCHOCTAW, MS
$1,000
Oct 10, 2024
6
BECKER, TODD
LAW OFFICES OF TODD B BECKERATTORNEY
IndividualPASADENA, CA
$3,300
Oct 17, 2023
7
ELDRIDGE, SEAN
STAND UP AMERICAPRESIDENT
IndividualNEW YORK, NY
$3,300
Nov 29, 2023
8
HUH, JIHEE
PAFCOVICE CHAIRMAN
IndividualROLLING HILLS, CA
$3,300
Oct 17, 2023
9
HUH, PETER
PAFCOCHAIRMAN
IndividualPALOS VERDES PENINSULA, CA
$3,300
Oct 17, 2023
10
LI, LI
MEBO INTERNATIONALPRESIDENT
IndividualARCADIA, CA
$3,300
Oct 17, 2023

Rep. Brownley, Julia [D-CA-26]

ID: B001285

Top Contributors

10

1
FEDERATED INDIANS OF GRATON RANCHERIA
OrganizationROHNERT PARK, CA
$3,300
Mar 5, 2024
2
FEDERATED INDIANS OF GRATON RANCHERIA
OrganizationROHNERT PARK, CA
$3,300
Mar 5, 2024
3
BARONA BAND OF MISSION INDIANS
OrganizationLAKESIDE, CA
$2,000
Jun 28, 2024
4
MORONGO BAND OF MISSION INDIANS
OrganizationBANNING, CA
$1,000
Feb 23, 2024
5
PRISELAC, TOM M.
CEDAR SINAI HEALTH SYSTEMSEXECUTIVE
IndividualSANTA MONICA, CA
$3,300
Oct 31, 2024
6
BUCHMAN, MICHELLE J.
N/ANOT EMPLOYED
IndividualCARBONDALE, CO
$3,300
Nov 18, 2023
7
CONROY, ROBERTA
N/ANOT EMPLOYED
IndividualSANTA MONICA, CA
$3,300
Dec 1, 2023
8
SAVAGE, KEVIN
N/ANOT EMPLOYED
IndividualBEVERLY HILLS, CA
$3,300
Dec 31, 2023
9
STEVENS, SETH R.
SOUTHERN CA PERMANENTE GROUPDERMATOLOGIST
IndividualNEWBURY PARK, CA
$3,300
Oct 28, 2023
10
UNTERMAN, JANET M.
N/ANOT EMPLOYED
IndividualPACIFIC PALISADES, CA
$3,300
Dec 8, 2023

Rep. Meeks, Gregory W. [D-NY-5]

ID: M001137

Top Contributors

10

1
AGUA CALIENTE BAN OF CAHUILLA INDIANS
OrganizationPALM SPRINGS, CA
$3,300
Jul 19, 2023
2
AK-CHIN INDIAN COMMUNITY
OrganizationMARICOPA, AZ
$3,300
Mar 30, 2023
3
AK-CHIN INDIAN COMMUNITY
OrganizationMARICOPA, AZ
$2,500
Sep 30, 2024
4
CROWN, LESTER
N/ARETIRED
IndividualCHICAGO, IL
$6,600
Jul 18, 2024
5
LIPPMAN, MARIE C.
IndividualMIAMI BEACH, FL
$5,000
Mar 7, 2023
6
CUKIERMAN, JORAM
CITADELFINANCE
IndividualSCARSDALE, NY
$3,300
Oct 28, 2024
7
SILVERMAN, DOUG
SENATOR INVESTMENT GROUP LPMANAGING PARTNER
IndividualNEW YORK, NY
$3,300
Oct 22, 2024
8
SHAMAH, ALAN
FIT FOR LIFE LLCBUSINESS EXECUTIVE
IndividualBROOKLYN, NY
$3,300
Oct 22, 2024
9
SHAMAH, JOSEPH
FIT FOR LIFE LLCCO-FOUNDER & CEO
IndividualBROOKLYN, NY
$3,300
Oct 22, 2024
10
ARMSTRONG, BRIAN
COINBASECEO
IndividualSAN FRANCISCO, CA
$3,300
Aug 29, 2023

Donor Network - Rep. McIver, LaMonica [D-NJ-10]

PACs
Organizations
Individuals
Politicians

Hub layout: Politicians in center, donors arranged by type in rings around them.

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Showing 53 nodes and 35 connections (36 secondary connections hidden)

Total contributions: $114,350

Top Donors - Rep. McIver, LaMonica [D-NJ-10]

Showing top 23 donors by contribution amount

2 Orgs1 Committee20 Individuals

Industry Impact

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.

  • +Medical Devicesconfidence 0.85

    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.

  • +Biotech & Researchconfidence 0.70

    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.

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