HR 4204 — Medicare Patient Choice Act
Congress 119
Latest action: — Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, 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
- Hern, Kevin (R, OK-1) — cosponsor
- Davis, Donald G. (D, NC-1) — 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 | WHEAT SHROYER GOVERNMENT RELATIONS LLC | AMERICAN SOCIETY OF HAND THERAPISTS | $10,000 | H.R.4204 |
| 1st Quarter - Amendment | 2026 first_quarter | AMERICAN PHYSICAL THERAPY ASSOCIATION | AMERICAN PHYSICAL THERAPY ASSOCIATION | — | H.R. 4204 |
| 1st Quarter - Report | 2026 first_quarter | AMERICAN PHYSICAL THERAPY ASSOCIATION | AMERICAN PHYSICAL THERAPY ASSOCIATION | — | H.R. 4204 |
| 1st Quarter - Report | 2026 first_quarter | AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION | AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION | — | H.R. 4204 |
| 1st Quarter - Report | 2026 first_quarter | THE AMERICAN OCCUPATIONAL THERAPY ASSOCIATION, INC. (AOTA) | THE AMERICAN OCCUPATIONAL THERAPY ASSOCIATION, INC. (AOTA) | — | H.R.4204 |
| 1st Quarter - Report | 2026 first_quarter | AMERICAN CHIROPRACTIC ASSOCIATION | AMERICAN CHIROPRACTIC ASSOCIATION | — | HR 4204 |
Action timeline
- · H11100 — Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, 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 Ways and Means, and in addition to the Committee on Energy and Commerce, 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 · 2025-06-26 — open
Connected on the graph
Inbound (8)
| date | from | type | amount | role | source |
|---|---|---|---|---|---|
| — | Davis, Donald G. | cosponsor_of_bill | — | cosponsor | sponsorship |
| — | Hern, Kevin | cosponsor_of_bill | — | cosponsor | sponsorship |
| 2026-01-01 | AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION | lobbies_on_bill | — | H.R. 4204 | lobbying_bill_mention |
| 2026-01-01 | THE AMERICAN OCCUPATIONAL THERAPY ASSOCIATION, INC. (AOTA) | lobbies_on_bill | — | H.R.4204 | lobbying_bill_mention |
| 2026-01-01 | AMERICAN SOCIETY OF HAND THERAPISTS | lobbies_on_bill | — | H.R.4204 | lobbying_bill_mention |
| 2026-01-01 | AMERICAN CHIROPRACTIC ASSOCIATION | lobbies_on_bill | — | HR 4204 | lobbying_bill_mention |
| 2026-01-01 | AMERICAN PHYSICAL THERAPY ASSOCIATION | lobbies_on_bill | — | H.R. 4204 | lobbying_bill_mention |
| 2026-01-01 | AMERICAN PHYSICAL THERAPY ASSOCIATION | lobbies_on_bill | — | H.R. 4204 | 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 | Hern, Kevin (R, house OK-1) | 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 | AMERICAN SOCIETY OF HAND THERAPISTS | 1 | $10,000 | 0 | $0 | $10,000 |
| 2 | not employed | 0 | $0 | 11 | $3,926 | $3,926 |
| 3 | method security | 0 | $0 | 1 | $3,500 | $3,500 |
| 4 | dragonfly | 0 | $0 | 1 | $3,500 | $3,500 |
| 5 | thorsen french advocacy | 0 | $0 | 2 | $3,000 | $3,000 |
| 6 | united states hispanic business counci | 0 | $0 | 1 | $2,500 | $2,500 |
| 7 | healthcare | 0 | $0 | 1 | $2,000 | $2,000 |
| 8 | canada life reinsurance company | 0 | $0 | 1 | $1,250 | $1,250 |
| 9 | canada life re : for the acli ceo even | 0 | $0 | 1 | $1,250 | $1,250 |
| 10 | martin fein interests, ltd. | 0 | $0 | 1 | $1,000 | $1,000 |
| 11 | cerity partners | 0 | $0 | 1 | $1,000 | $1,000 |
| 12 | gulf coast bag, inc. | 0 | $0 | 1 | $1,000 | $1,000 |
| 13 | raizner slania llp | 0 | $0 | 1 | $1,000 | $1,000 |
| 14 | the sterling group | 0 | $0 | 1 | $1,000 | $1,000 |
| 15 | self employed | 0 | $0 | 4 | $700 | $700 |
| 16 | capitol counsel | 0 | $0 | 1 | $500 | $500 |
| 17 | harberg & huvard llp | 0 | $0 | 1 | $500 | $500 |
| 18 | peter damon group | 0 | $0 | 1 | $500 | $500 |
| 19 | smith-free group | 0 | $0 | 1 | $500 | $500 |
| 20 | harberg + huvard llp | 0 | $0 | 1 | $500 | $500 |
| 21 | pcma | 0 | $0 | 1 | $275 | $275 |
| 22 | elco mutual | 0 | $0 | 1 | $250 | $250 |
| 23 | cambridge health alliance | 0 | $0 | 1 | $200 | $200 |
| 24 | bama | 0 | $0 | 1 | $100 | $100 |
| 25 | washington university | 0 | $0 | 1 | $66 | $66 |
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.
2 predicted yes (0%) · 3 predicted no (1%) · 538 unknown (99%)
By party: · R: 1 yes / 0 no / 276 unknown · D: 1 yes / 0 no / 262 unknown · I: 0 yes / 3 no
2 high-confidence positions (voted + sponsor + cosponsor)
- Davis, Donald G. (D · house · NC-1) · cosponsor
- Hern, Kevin (R · house · OK-1) · 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 Hern, Kevin (cosponsor) · sponsorship
- 2026-05-17 · cosponsored by Davis, Donald G. (cosponsor) · sponsorship
- 2026-01-01 · lobbied on by AMERICAN SOCIETY OF HAND THERAPISTS (h.r.4204) · lobbying_bill_mention
- 2026-01-01 · lobbied on by AMERICAN PHYSICAL THERAPY ASSOCIATION (h.r. 4204) · lobbying_bill_mention
- 2026-01-01 · lobbied on by AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION (h.r. 4204) · lobbying_bill_mention
- 2026-01-01 · lobbied on by AMERICAN CHIROPRACTIC ASSOCIATION (hr 4204) · lobbying_bill_mention
- 2026-01-01 · lobbied on by AMERICAN PHYSICAL THERAPY ASSOCIATION (h.r. 4204) · lobbying_bill_mention
- 2026-01-01 · lobbied on by THE AMERICAN OCCUPATIONAL THERAPY ASSOCIATION, INC. (AOTA) (h.r.4204) · lobbying_bill_mention