S 4583 — A bill to amend title XVIII of the Social Security Act to establish a Medicare payment option for patients and eligible professionals to freely contract, without penalty, for Medicare fee-for-service items and services, while allowing Medicare beneficiaries to use their Medicare benefits.
Congress 119
Latest action: — Read twice and referred to the Committee on Finance.
Sponsors
- Paul, Rand (R, KY-S) — sponsor · 2026-05-20
- Murkowski, Lisa (R, AK-S) — cosponsor · 2026-05-20
Action timeline
No actions on file yet — BILLSTATUS ingest fills this for every bill currently in the index. Run npm run db:ingest -- --source=bill-status --congress=119 to pull this bill's actions on demand.
Text versions
No text versions on file yet — same ingest as the action timeline populates these. Each version has direct links to the XML / HTML / PDF at govinfo.gov.
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 | Murkowski, Lisa (R, senate AK) | cosponsor | 6 | — | 6 |
| 2 | Paul, Rand (R, senate KY) | sponsor | 0 | — | 5 |
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 | retired | 0 | $0 | 5,445 | $1,505,122 | $1,505,122 |
| 2 | self-employed | 0 | $0 | 502 | $206,551 | $206,551 |
| 3 | homemaker | 0 | $0 | 120 | $45,608 | $45,608 |
| 4 | self | 0 | $0 | 20 | $25,316 | $25,316 |
| 5 | golden age farm llc | 0 | $0 | 2 | $21,000 | $21,000 |
| 6 | self employed | 0 | $0 | 18 | $20,705 | $20,705 |
| 7 | conocophillips | 0 | $0 | 4 | $12,800 | $12,800 |
| 8 | not employed | 0 | $0 | 4 | $12,250 | $12,250 |
| 9 | gci | 0 | $0 | 5 | $11,500 | $11,500 |
| 10 | asrc energy | 0 | $0 | 1 | $11,000 | $11,000 |
| 11 | beal bank | 0 | $0 | 1 | $10,500 | $10,500 |
| 12 | corporex | 0 | $0 | 1 | $10,500 | $10,500 |
| 13 | stripe inc | 0 | $0 | 1 | $10,500 | $10,500 |
| 14 | captive aire systems | 0 | $0 | 1 | $10,500 | $10,500 |
| 15 | g&j pepsi cola bottles inc | 0 | $0 | 1 | $9,600 | $9,600 |
| 16 | pbdc | 0 | $0 | 1 | $9,300 | $9,300 |
| 17 | tribe | 0 | $0 | 2 | $9,100 | $9,100 |
| 18 | antero | 0 | $0 | 1 | $7,500 | $7,500 |
| 19 | diona davis foundation | 0 | $0 | 1 | $7,500 | $7,500 |
| 20 | agri-power inc | 0 | $0 | 2 | $7,500 | $7,500 |
| 21 | j.w. childs associates | 0 | $0 | 1 | $7,054 | $7,054 |
| 22 | edward c levy company | 0 | $0 | 1 | $7,000 | $7,000 |
| 23 | independence tube corp. | 0 | $0 | 1 | $7,000 | $7,000 |
| 24 | rcm | 0 | $0 | 1 | $7,000 | $7,000 |
| 25 | blue cross blue shield association | 0 | $0 | 5 | $7,000 | $7,000 |
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.
2 predicted yes (0%) · 266 predicted no (49%) · 275 unknown (51%)
By party: · R: 2 yes / 0 no / 275 unknown · D: 0 yes / 263 no · I: 0 yes / 3 no
2 high-confidence positions (voted + sponsor + cosponsor)
- Paul, Rand (R · senate · KY) · sponsor
- Murkowski, Lisa (R · senate · AK) · cosponsor