Medicare Access to Rural Anesthesiology Act

Sponsored by Rep. John R. Moolenaar (R-MI) · 10 active

Latest action: Ordered to be Reported in the Nature of a Substitute by the Yeas and Nays: 41 - 0.

Read the summary

Where it standsBefore the House

Hasn’t passed either chamber

House: next
Senate: not yet
President: not yet

73 representatives score as swing votes

Summary

, via Congress.gov

Summary on Congress.gov

Medicare Access to Rural Anesthesiology Act

This bill modifies the Medicare payment methodology for anesthesiologists in rural hospitals.

Specifically, the bill provides that payment must be made on a reasonable cost basis for anesthesiologists in rural hospitals and critical access hospitals that have no more than 800 surgical procedures requiring anesthesia services per year (or a higher number set by the Centers for Medicare & Medicaid Services).

Committees and subjects

Committees

House Committee on Ways and Means · HouseMarkup by · Referred to

Subjects

Administrative law and regulatory procedures
Department of Health and Human Services
Health care costs and insurance
Health care coverage and access
Hospital care
Medicare
Rural conditions and development
Surgery and anesthesia

Senate · 100 House · 433

Model

v3defaultv2

Directional: count only breaks toward the other party Why do scores change?

How the House breaks down

73Swing 70–100
196Middle 30–70
158Entrenched 0–30
6Insufficient data not ranked

Members fall into . 6 representatives don’t have enough data yet and are marked “insufficient data”. Non-voting delegates are not counted.

Key players in the House

Ranked by swing score, 0–100 · swing-v3, directional

: only movement toward the other party counts, so members who sit further from the center than their party no longer score as swing votes.

Bars show each input from 0 to 100: ideology gap, scorecard gap, , and the . is the seat’s partisan lean, and shows how much of the input data a score has.

Similar past votes, House

Earlier behind swing-v3’s input

Similar votes count toward swing-v3 in the House: total similarity weight 9.5 (needs 5.0).

H.R. 6703 · Dec 17, 2025 · Roll call 348On PassageLower Health Care Premiums for All Americans Act
PassedShared subjects×1.0
H.R. 5378 · Dec 11, 2023 · Roll call 703On Motion to Suspend the Rules and Pass, as AmendedLower Costs, More Transparency Act
PassedShared subjects×1.0
H.R. 498 · Dec 18, 2025 · Roll call 361On PassageDo No Harm in Medicaid Act
PassedSame policy area×0.5
H.R. 2483 · Jun 4, 2025 · Roll call 150On PassageSUPPORT for Patients and Communities Reauthorization Act
PassedSame policy area×0.5
H.R. 2483 · Jun 4, 2025 · Roll call 149On Agreeing to the Amendment
FailedSame policy area×0.5
H.R. 8333 · Sep 9, 2024 · Roll call 1120On Motion to Suspend the Rules and Pass, as AmendedBIOSECURE Act
PassedSame policy area×0.5
H.R. 3843 · Mar 7, 2024 · Roll call 785On Motion to Suspend the Rules and PassAction for Dental Health Act
PassedSame policy area×0.5
H.R. 485 · Feb 7, 2024 · Roll call 758On PassageProtecting Health Care for All Patients Act
PassedSame policy area×0.5

Show 9 more

H.R. 6918 · Jan 18, 2024 · Roll call 735On PassageSupporting Pregnant and Parenting Women and Families Act
PassedSame policy area×0.5
H.R. 4531 · Dec 12, 2023 · Roll call 710On Motion to Suspend the Rules and Pass, as AmendedSupport for Patients and Communities Reauthorization Act
PassedSame policy area×0.5
H.R. 185 · Feb 8, 2023 · Roll call 115On PassageTo terminate the requirement imposed by the Director of the Centers for Disease Control and Prevention for proof of COVID-19 vaccination for foreign travelers, and for other purposes
PassedSame policy area×0.5
H.R. 185 · Feb 8, 2023 · Roll call 113On Agreeing to the Amendment

Cosponsors

10 active

Show all 10 cosponsors

Daniel Meuser (R-PA-9)
Gregory F. Murphy (R-NC-3)
Jared Huffman (D-CA-2)
Thomas R. Suozzi (D-NY-3)
Barry Moore (R-AL-1)
Monica De La Cruz (R-TX-15)
David G. Valadao (R-CA-22)
Marie Gluesenkamp Perez (D-WA-3)
Austin Scott (R-GA-8)
Eric Sorensen (D-IL-17)

How the swing score works

Ideology gapHow far a member’s DW-NOMINATE voting score sits from their party’s median in the same chamber.

Scorecard gapHow far their Heritage Action and LCV ratings stray from their party’s average, using the groups’ votes on similar bills where available.

Cross-pressureHow strongly their district or state leans toward the other party, from our own computed partisan lean.

Similar votesHow often they voted against their own party on earlier roll calls about this bill or similar ones.

Committee bonusMembers of the committees handling the bill decide whether it moves, so they get a boost.

Cosponsor checkThe sponsor and active cosponsors have already committed, so they drop toward entrenched.

1
Brian K. FitzpatrickRepublican · Pennsylvania 1st · Lean D+1House Committee on Ways and MeansOn the ballot
Ideology gap
Scorecard gap
Cross-pressure
Similar votes
Committee
Broke with party on 23% of 17 similar votes
100Swing
ContactCall 202-225-4276 Website
2
Jared F. GoldenDemocrat · Maine 2nd · Lean R+4On the ballot
Ideology gap
Scorecard gap
Cross-pressure
Similar votes
CommitteeNo committee seatBroke with party on 24% of 17 similar votes
95Swing
ContactCall 202-225-6306 Website
3
Michael LawlerRepublican · New York 17th · Lean D+1On the ballot
Ideology gap
Scorecard gap
Cross-pressure
Similar votes
CommitteeNo committee seatBroke with party on 12% of 17 similar votes
92Swing
ContactCall 202-225-6506 Website
4
Don BaconRepublican · Nebraska 2nd · Lean D+3On the ballot
Ideology gap
Scorecard gap
Cross-pressure
Similar votes
CommitteeNo committee seatBroke with party on 10% of 16 similar votes
91Swing
ContactCall 202-225-4155 Website
5
Henry CuellarDemocrat · Texas 28th · Lean R+2On the ballot
Ideology gap
Scorecard gap
Cross-pressure
Similar votes
CommitteeNo committee seatBroke with party on 21% of 17 similar votes
91Swing
ContactCall 202-225-1640 Website
6
Thomas H. KeanRepublican · New Jersey 7th · Lean EVENOn the ballot
Ideology gap
Scorecard gap
Cross-pressure
Similar votes
CommitteeNo committee seatBroke with party on 12% of 17 similar votes
90Swing
ContactCall 202-225-5361 Website
7
Donald G. DavisDemocrat · North Carolina 1st · Lean R+1On the ballot
Ideology gap
Scorecard gap
Cross-pressure
Similar votes
CommitteeNo committee seatBroke with party on 25% of 17 similar votes
89Swing
ContactCall 202-225-3101 Website
8
Adam GrayDemocrat · California 13th · Lean R+1On the ballot
Ideology gap
Scorecard gap
Cross-pressure
Similar votes
CommitteeNo committee seatBroke with party on 27% of 4 similar votes
88Swing
ContactCall 202-225-1947 Website
9
Laura GillenDemocrat · New York 4th · Lean D+2On the ballot
Ideology gap
Scorecard gap
Cross-pressure
Similar votes
CommitteeNo committee seatBroke with party on 18% of 4 similar votes
88Swing
ContactCall 202-225-5516 Website
10
Josh GottheimerDemocrat · New Jersey 5th · Lean D+2On the ballot
Ideology gap
Scorecard gap
Cross-pressure
Similar votes
CommitteeNo committee seatBroke with party on 10% of 15 similar votes
87Swing
ContactCall 202-225-4465 Website