[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 7920 Introduced in House (IH)]

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119th CONGRESS
  2d Session
                                H. R. 7920

To amend title XVIII of the Social Security Act to prevent hospitals or 
    skilled nursing facilities that are owned by certain firms from 
                 participating in the Medicare program.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                             March 12, 2026

 Ms. Scanlon (for herself, Ms. DeLauro, Mr. Deluzio, Ms. Jayapal, Mr. 
 Moulton, Mr. Thanedar, and Ms. Tlaib) introduced the following bill; 
which was 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

_______________________________________________________________________

                                 A BILL


 
To amend title XVIII of the Social Security Act to prevent hospitals or 
    skilled nursing facilities that are owned by certain firms from 
                 participating in the Medicare program.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Take Back Our Hospitals Act of 
2026''.

SEC. 2. PREVENTING HOSPITALS AND SKILLED NURSING FACILITIES OWNED BY 
              CERTAIN FIRMS FROM PARTICIPATING IN MEDICARE.

    Section 1862 of the Social Security Act (42 U.S.C. 1395y) is 
amended by adding at the end the following new subsection:
    ``(p) Prohibition on Payments to Hospitals and Skilled Nursing 
Facilities Owned by Certain Firms.--
            ``(1) In general.--
                    ``(A) Prohibition.--No payment may be made under 
                this title to a hospital or skilled nursing facility 
                that is owned or controlled by a covered firm or an 
                affiliate of a covered firm.
                    ``(B) Exception.--If, on the date of enactment of 
                this subsection, a hospital or skilled nursing facility 
                is owned or controlled by a covered firm or an 
                affiliate of such a firm, such hospital or skilled 
                nursing facility shall not be considered in violation 
                of subparagraph (A) until the date that is 3 years 
                after such date of enactment.
            ``(2) Notice, hearing, and judicial review.--Any hospital 
        or skilled nursing facility found to be in violation of 
        paragraph (1) shall be entitled to reasonable notice and 
        opportunity for hearing as described in section 1128(f).
            ``(3) Joint and several liability.--A covered firm or an 
        affiliate of such a firm that owns or is an affiliate of a 
        hospital or skilled nursing facility that is in violation of 
        paragraph (1) shall be jointly and severally liable for any 
        penalty or obligation such hospital or skilled nursing facility 
        receives for such violation.
            ``(4) Definitions.--In this subsection:
                    ``(A) Affiliate.--The term `affiliate' means an 
                entity that controls, is controlled by, or is under 
                common control with another entity.
                    ``(B) Control.--
                            ``(i) In general.--The term `control' means 
                        to possess the power, directly or indirectly, 
                        to direct, or cause the direction of, the 
                        management, administrative functions, assets, 
                        or policies of an entity through owning voting 
                        securities in such entity, contracting with 
                        such entity (except for contracting with such 
                        entity for goods or non-management services), 
                        or other similar means, as determined by the 
                        Secretary.
                            ``(ii) Voting securities.--A person shall 
                        be considered to control an entity if such 
                        person directly or indirectly owns, has rights 
                        over, or holds with the power to vote, 10 
                        percent or more of the voting securities of 
                        such entity.
                    ``(C) Corporation.--The term `corporation' means--
                            ``(i) a joint-stock company;
                            ``(ii) a company or partnership association 
                        organized under a law that makes only the 
                        capital subscribed or callable up to a 
                        specified amount responsible for the debts of 
                        the company or partnership association, and 
                        includes a limited partnership and a limited 
                        liability company;
                            ``(iii) a trust; or
                            ``(iv) an association that--
                                    ``(I) possesses the power or 
                                privilege of a private corporation 
                                under State law; and
                                    ``(II) does not posses the power or 
                                privilege of a sole proprietorship or 
                                partnership under State law.
                    ``(D) Covered firm.--The term `covered firm' 
                means--
                            ``(i) a private equity fund;
                            ``(ii) a corporation that is owned or 
                        controlled by a private equity fund; or
                            ``(iii) a real estate investment trust.
                    ``(E) Private equity fund.--The term `private 
                equity fund' means a person who--
                            ``(i) would be considered an investment 
                        company under section 3 of the Investment 
                        Company Act of 1940 (15 U.S.C. 80a-3) but for 
                        the application of paragraph (1) or (7) of 
                        subsection (c) of such section; and
                            ``(ii) directly, or through an affiliate, 
                        acts as a control person of such company.
                    ``(F) Real estate investment trust.--The term `real 
                estate investment trust' has the meaning given such 
                term in section 856 of the Internal Revenue Code of 
                1986.''.
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