S 4641 — A bill to amend title XVIII of the Social Security Act to count a period of receipt of outpatient observation services in a hospital toward satisfying the 3-day inpatient hospital requirement for coverage of skilled nursing facility services under Medicare.
Congress 119
Latest action: — Read twice and referred to the Committee on Finance.
Sponsors
- Collins, Susan M. (R, ME-S) — sponsor · 2026-05-21
- Welch, Peter (D, VT-S) — cosponsor · 2026-05-21
- Capito, Shelley Moore (R, WV-S) — cosponsor · 2026-05-21
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
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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 | Collins, Susan M. (R, senate ME) | sponsor | 4 | — | 9 |
| 2 | Welch, Peter (D, senate VT) | cosponsor | 8 | — | 6 |
| 3 | Capito, Shelley Moore (R, senate WV) | 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 | retired | 0 | $0 | 1,802 | $1,999,687 | $1,999,687 |
| 2 | self | 0 | $0 | 259 | $502,283 | $502,283 |
| 3 | self employed | 0 | $0 | 46 | $67,760 | $67,760 |
| 4 | homemaker | 0 | $0 | 22 | $61,800 | $61,800 |
| 5 | not employed | 0 | $0 | 45 | $61,553 | $61,553 |
| 6 | self-employed | 0 | $0 | 31 | $57,198 | $57,198 |
| 7 | american airlines | 0 | $0 | 24 | $37,520 | $37,520 |
| 8 | antero resources | 0 | $0 | 7 | $33,500 | $33,500 |
| 9 | apollo | 0 | $0 | 9 | $32,000 | $32,000 |
| 10 | necessity ventures | 0 | $0 | 2 | $29,000 | $29,000 |
| 11 | the deane group | 0 | $0 | 2 | $25,500 | $25,500 |
| 12 | apollo global management | 0 | $0 | 7 | $24,500 | $24,500 |
| 13 | cordish companies | 0 | $0 | 2 | $24,000 | $24,000 |
| 14 | charter communications | 0 | $0 | 8 | $22,500 | $22,500 |
| 15 | blackstone | 0 | $0 | 5 | $19,300 | $19,300 |
| 16 | fierce government relations | 0 | $0 | 5 | $18,500 | $18,500 |
| 17 | whitecase llp | 0 | $0 | 2 | $18,000 | $18,000 |
| 18 | leidos | 0 | $0 | 25 | $17,850 | $17,850 |
| 19 | cumberland development | 0 | $0 | 2 | $17,500 | $17,500 |
| 20 | weekley properties | 0 | $0 | 2 | $17,500 | $17,500 |
| 21 | audax group | 0 | $0 | 2 | $17,500 | $17,500 |
| 22 | general motors | 0 | $0 | 7 | $17,000 | $17,000 |
| 23 | targeted victory | 0 | $0 | 12 | $15,365 | $15,365 |
| 24 | pivotal ventures | 0 | $0 | 2 | $14,050 | $14,050 |
| 25 | darma capital | 0 | $0 | 1 | $14,000 | $14,000 |
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.
3 predicted yes (1%) · 3 predicted no (1%) · 537 unknown (98%)
By party: · R: 2 yes / 0 no / 275 unknown · D: 1 yes / 0 no / 262 unknown · I: 0 yes / 3 no
3 high-confidence positions (voted + sponsor + cosponsor)
- Collins, Susan M. (R · senate · ME) · sponsor
- Capito, Shelley Moore (R · senate · WV) · cosponsor
- Welch, Peter (D · senate · VT) · cosponsor