HR 2191 — Physician Led and Rural Access to Quality Care Act
Congress 119 · introduced 2025-03-18
Latest action: — Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Sponsors
- Owens, Burgess (R, UT-4) — cosponsor
- Valadao, David G. (R, CA-22) — cosponsor
- Bera, Ami (D, CA-6) — cosponsor
- Cloud, Michael (R, TX-27) — cosponsor
- Rulli, Michael A. (R, OH-6) — cosponsor
- Hern, Kevin (R, OK-1) — cosponsor
- Harris, Andy (R, MD-1) — cosponsor
- Yakym, Rudy (R, IN-2) — cosponsor
- Davis, Donald G. (D, NC-1) — cosponsor
- Bice, Stephanie I. (R, OK-5) — cosponsor
- Johnson, Julie (D, TX-32) — cosponsor
- Spartz, Victoria (R, IN-5) — cosponsor
- Scott, Austin (R, GA-8) — cosponsor
- Onder, Robert F. (R, MO-3) — cosponsor
Lobbied by (6)
LDA filings that named this bill in their activity descriptions. The lobbying firm (registrant) is paid by the client to lobby on this and related issues.
| Filing | Period | Registrant (lobbying firm) | Client | Income | Matched |
|---|---|---|---|---|---|
| 1st Quarter - Report | 2026 first_quarter | AMERICAN COLLEGE OF SURGEONS PROFESSIONAL ASSOCIATION | AMERICAN COLLEGE OF SURGEONS PROFESSIONAL ASSOCIATION | — | H.R. 2191 |
| 1st Quarter - Report | 2026 first_quarter | AMERICAN COLLEGE OF SURGEONS | AMERICAN COLLEGE OF SURGEONS | — | H.R. 2191 |
| 1st Quarter - Report | 2026 first_quarter | AMERICAN ACADEMY OF OTOLARYNGOLOGY-HEAD AND NECK SURGERY | AMERICAN ACADEMY OF OTOLARYNGOLOGY-HEAD AND NECK SURGERY | — | H.R.2191 |
| 1st Quarter - Report | 2026 first_quarter | MASSACHUSETTS MEDICAL SOCIETY | MASSACHUSETTS MEDICAL SOCIETY | — | H.R. 2191 |
| 1st Quarter - Report | 2026 first_quarter | AMERICAN ASSOCIATION OF NEUROLOGICAL SURGEONS | AMERICAN ASSOCIATION OF NEUROLOGICAL SURGEONS | — | H.R.2191 |
| 1st Quarter - Report | 2026 first_quarter | CONGRESS OF NEUROLOGICAL SURGEONS | CONGRESS OF NEUROLOGICAL SURGEONS | — | H.R.2191 |
Action timeline
- · H11100 — Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
- · H11100 — Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
- · Intro-H — Introduced in House
- · 1000 — Introduced in House
Text versions
- Introduced in House · 2025-03-18 — open
Connected on the graph
Inbound (20)
| date | from | type | amount | role | source |
|---|---|---|---|---|---|
| — | Owens, Burgess | cosponsor_of_bill | — | cosponsor | sponsorship |
| — | Rulli, Michael A. | cosponsor_of_bill | — | cosponsor | sponsorship |
| — | Valadao, David G. | cosponsor_of_bill | — | cosponsor | sponsorship |
| — | Bera, Ami | cosponsor_of_bill | — | cosponsor | sponsorship |
| — | Cloud, Michael | cosponsor_of_bill | — | cosponsor | sponsorship |
| — | Davis, Donald G. | cosponsor_of_bill | — | cosponsor | sponsorship |
| — | Hern, Kevin | cosponsor_of_bill | — | cosponsor | sponsorship |
| — | Yakym, Rudy | cosponsor_of_bill | — | cosponsor | sponsorship |
| — | Spartz, Victoria | cosponsor_of_bill | — | cosponsor | sponsorship |
| — | Bice, Stephanie I. | cosponsor_of_bill | — | cosponsor | sponsorship |
| — | Johnson, Julie | cosponsor_of_bill | — | cosponsor | sponsorship |
| — | Onder, Robert F. | cosponsor_of_bill | — | cosponsor | sponsorship |
| — | Scott, Austin | cosponsor_of_bill | — | cosponsor | sponsorship |
| — | Harris, Andy | cosponsor_of_bill | — | cosponsor | sponsorship |
| 2026-01-01 | AMERICAN ASSOCIATION OF NEUROLOGICAL SURGEONS | lobbies_on_bill | — | H.R.2191 | lobbying_bill_mention |
| 2026-01-01 | AMERICAN COLLEGE OF SURGEONS PROFESSIONAL ASSOCIATION | lobbies_on_bill | — | H.R. 2191 | lobbying_bill_mention |
| 2026-01-01 | MASSACHUSETTS MEDICAL SOCIETY | lobbies_on_bill | — | H.R. 2191 | lobbying_bill_mention |
| 2026-01-01 | AMERICAN ACADEMY OF OTOLARYNGOLOGY-HEAD AND NECK SURGERY | lobbies_on_bill | — | H.R.2191 | lobbying_bill_mention |
| 2026-01-01 | CONGRESS OF NEUROLOGICAL SURGEONS | lobbies_on_bill | — | H.R.2191 | lobbying_bill_mention |
| 2026-01-01 | AMERICAN COLLEGE OF SURGEONS | lobbies_on_bill | — | H.R. 2191 | lobbying_bill_mention |
Who matters
Members ranked by combined influence on this bill: role (sponsor 5 / cosponsor 1), capped speech count from the Congressional Record, and recorded-vote engagement.
| # | Member | Role | Speeches | Voted | Score |
|---|---|---|---|---|---|
| 1 | Davis, Donald G. (D, house NC-1) | cosponsor | 3 | — | 4 |
| 2 | Bice, Stephanie I. (R, house OK-5) | cosponsor | 2 | — | 3 |
| 3 | Cloud, Michael (R, house TX-27) | cosponsor | 2 | — | 3 |
| 4 | Onder, Robert F. (R, house MO-3) | cosponsor | 1 | — | 2 |
| 5 | Valadao, David G. (R, house CA-22) | cosponsor | 1 | — | 2 |
| 6 | Bera, Ami (D, house CA-6) | cosponsor | 0 | — | 1 |
| 7 | Harris, Andy (R, house MD-1) | cosponsor | 0 | — | 1 |
| 8 | Hern, Kevin (R, house OK-1) | cosponsor | 0 | — | 1 |
| 9 | Johnson, Julie (D, house TX-32) | cosponsor | 0 | — | 1 |
| 10 | Owens, Burgess (R, house UT-4) | cosponsor | 0 | — | 1 |
| 11 | Rulli, Michael A. (R, house OH-6) | cosponsor | 0 | — | 1 |
| 12 | Scott, Austin (R, house GA-8) | cosponsor | 0 | — | 1 |
| 13 | Spartz, Victoria (R, house IN-5) | cosponsor | 0 | — | 1 |
| 14 | Yakym, Rudy (R, house IN-2) | cosponsor | 0 | — | 1 |
Who's influencing them
Orgs ranked by combined money flow on this bill: LDA filings citing the bill + individual contributions in cycle 2026from donors whose employer matches the org name (Schedule A) to any principal committee in the "who matters" list above.
| # | Org | LDA filings | LDA spend | Donor employees | Employee donations | Total |
|---|---|---|---|---|---|---|
| 1 | none | 0 | $0 | 172 | $34,224 | $34,224 |
| 2 | retired | 0 | $0 | 473 | $31,569 | $31,569 |
| 3 | not employed | 0 | $0 | 53 | $15,427 | $15,427 |
| 4 | self employed | 0 | $0 | 15 | $8,330 | $8,330 |
| 5 | story partners | 0 | $0 | 1 | $7,000 | $7,000 |
| 6 | minnesota urology | 0 | $0 | 15 | $6,500 | $6,500 |
| 7 | verano | 0 | $0 | 1 | $6,500 | $6,500 |
| 8 | continental realty corporation | 0 | $0 | 1 | $6,000 | $6,000 |
| 9 | jushi holdings | 0 | $0 | 2 | $5,000 | $5,000 |
| 10 | dragonfly | 0 | $0 | 1 | $3,500 | $3,500 |
| 11 | daniel defense | 0 | $0 | 1 | $3,500 | $3,500 |
| 12 | method security | 0 | $0 | 1 | $3,500 | $3,500 |
| 13 | third point llc | 0 | $0 | 1 | $3,500 | $3,500 |
| 14 | heritage construction + materials | 0 | $0 | 1 | $3,300 | $3,300 |
| 15 | thorsen french advocacy | 0 | $0 | 2 | $3,000 | $3,000 |
| 16 | h2 capital, inc. | 0 | $0 | 1 | $2,500 | $2,500 |
| 17 | united states hispanic business counci | 0 | $0 | 1 | $2,500 | $2,500 |
| 18 | dr strategic services llc | 0 | $0 | 1 | $2,000 | $2,000 |
| 19 | buckeye relief | 0 | $0 | 1 | $2,000 | $2,000 |
| 20 | rancho teresita dairy | 0 | $0 | 1 | $2,000 | $2,000 |
| 21 | uc davis | 0 | $0 | 1 | $2,000 | $2,000 |
| 22 | self-employed | 0 | $0 | 12 | $2,000 | $2,000 |
| 23 | kelly & associates insurance group, in | 0 | $0 | 1 | $2,000 | $2,000 |
| 24 | kelly benefits | 0 | $0 | 2 | $2,000 | $2,000 |
| 25 | healthcare | 0 | $0 | 1 | $2,000 | $2,000 |
Predicted vote
Aggregated from: actual roll-call votes (when present) → sponsor → cosponsor → party median (predicts YES when ≥25% of the caucus sponsored/cosponsored). Each row labels its confidence tier so you can see why a position was predicted.
14 predicted yes (3%) · 3 predicted no (1%) · 526 unknown (96%)
By party: · R: 11 yes / 0 no / 266 unknown · D: 3 yes / 0 no / 260 unknown · I: 0 yes / 3 no
14 high-confidence positions (voted + sponsor + cosponsor)
- Bera, Ami (D · house · CA-6) · cosponsor
- Bice, Stephanie I. (R · house · OK-5) · cosponsor
- Cloud, Michael (R · house · TX-27) · cosponsor
- Davis, Donald G. (D · house · NC-1) · cosponsor
- Harris, Andy (R · house · MD-1) · cosponsor
- Hern, Kevin (R · house · OK-1) · cosponsor
- Johnson, Julie (D · house · TX-32) · cosponsor
- Onder, Robert F. (R · house · MO-3) · cosponsor
- Owens, Burgess (R · house · UT-4) · cosponsor
- Rulli, Michael A. (R · house · OH-6) · cosponsor
- Scott, Austin (R · house · GA-8) · cosponsor
- Spartz, Victoria (R · house · IN-5) · cosponsor
- Valadao, David G. (R · house · CA-22) · cosponsor
- Yakym, Rudy (R · house · IN-2) · cosponsor
Activity
Every typed-graph event involving this entity, newest first. Each row is one edge in the influence graph; click the date to jump to its provenance.
- 2026-05-17 · cosponsored by Cloud, Michael (cosponsor) · sponsorship
- 2026-05-17 · cosponsored by Yakym, Rudy (cosponsor) · sponsorship
- 2026-05-17 · cosponsored by Davis, Donald G. (cosponsor) · sponsorship
- 2026-05-17 · cosponsored by Spartz, Victoria (cosponsor) · sponsorship
- 2026-05-17 · cosponsored by Scott, Austin (cosponsor) · sponsorship
- 2026-05-17 · cosponsored by Bera, Ami (cosponsor) · sponsorship
- 2026-05-17 · cosponsored by Rulli, Michael A. (cosponsor) · sponsorship
- 2026-05-17 · cosponsored by Harris, Andy (cosponsor) · sponsorship
- 2026-05-17 · cosponsored by Hern, Kevin (cosponsor) · sponsorship
- 2026-05-17 · cosponsored by Onder, Robert F. (cosponsor) · sponsorship
- 2026-05-17 · cosponsored by Owens, Burgess (cosponsor) · sponsorship
- 2026-05-17 · cosponsored by Johnson, Julie (cosponsor) · sponsorship
- 2026-05-17 · cosponsored by Bice, Stephanie I. (cosponsor) · sponsorship
- 2026-05-17 · cosponsored by Valadao, David G. (cosponsor) · sponsorship
- 2026-01-01 · lobbied on by AMERICAN ASSOCIATION OF NEUROLOGICAL SURGEONS (h.r.2191) · lobbying_bill_mention
- 2026-01-01 · lobbied on by AMERICAN COLLEGE OF SURGEONS PROFESSIONAL ASSOCIATION (h.r. 2191) · lobbying_bill_mention
- 2026-01-01 · lobbied on by CONGRESS OF NEUROLOGICAL SURGEONS (h.r.2191) · lobbying_bill_mention
- 2026-01-01 · lobbied on by MASSACHUSETTS MEDICAL SOCIETY (h.r. 2191) · lobbying_bill_mention
- 2026-01-01 · lobbied on by AMERICAN COLLEGE OF SURGEONS (h.r. 2191) · lobbying_bill_mention
- 2026-01-01 · lobbied on by AMERICAN ACADEMY OF OTOLARYNGOLOGY-HEAD AND NECK SURGERY (h.r.2191) · lobbying_bill_mention