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H.R.1358 / 119th Congress

No Patient Left Alone Act of 2025

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.

Official summary

Version 00 · Introduced in House · Feb 13, 2025

No Patient Left Alone Act of 2025

This bill requires hospitals, as a condition of Medicare participation, to have certain written policies and procedures that provide for patient visitation rights and to inform patients of such rights, including any applicable restrictions.

Read the summary on Congress.gov

Who introduced it

Rep. Van Drew, Jefferson [R-NJ-2] · R–NJ

Committees

  • Energy and Commerce Committee
  • Ways and Means Committee
0 cosponsorship records, including any withdrawals

    Actions

    A procedural vote is different from passage. Passage in one chamber does not establish enactment. Explore the glossary.

    1. 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.

    2. 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.

    3. Introduced in House

    4. Introduced in House

    Bill text & related measures

    Text links open the official source. We also preserved the text version used in the PlainBill explanation below.

    Related bills identified by Congress.gov

    No related bills are listed in this snapshot. This does not establish whether the proposal has appeared in earlier Congresses.

    Source last updated: Mar 21, 2025. Consult Congress.gov for the current record.

    Explore the bill from different angles

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    Neutral evidence review

    Objective

    Analyze H.R.1358 as objectively as possible. Explain its main provisions, who would be affected, possible benefits and harms, implementation, exceptions, and uncertainties. Present the strongest arguments for and against it, and identify evidence needed to assess its public impact.

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    Fairness and public impact

    Progressive lens

    Examine H.R.1358 through a progressive lens, focusing on fairness, access, economic inequality, and effects on vulnerable communities. Explain potential benefits, costs, and unintended consequences. Consider the strongest counterarguments and distinguish stated goals from demonstrated outcomes.

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    Institutions and government scope

    Conservative lens

    Examine H.R.1358 through a conservative lens, focusing on fiscal responsibility, institutional stability, federalism, and the scope of government. Explain potential benefits, costs, and unintended consequences. Consider the strongest counterarguments and any provisions that challenge this perspective.

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    Individual rights and government power

    Liberty lens

    Examine H.R.1358 through a civil-liberties and limited-government lens. Consider individual rights, privacy, voluntary choice, accountability, and government power. Explain tradeoffs, possible safeguards, and the strongest counterarguments without assuming the proposal is beneficial or harmful.

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    Read the proposal in plain language

    AI-generated · Source-checked by AI · Oct 31, 2026

    Based on the full Introduced in House · 2025-02-13 text. This explanation has not received human editorial review. This overview describes the proposal’s major provisions; it does not establish what its real-world effects would be.

    What it would do

    The proposed No Patient Left Alone Act of 2025 would require institutions covered by the amended Social Security Act provision to explain patients’ visitation rights and restrictions. Patients could choose their visitors and withdraw consent. Institutions could impose clinically necessary or reasonable restrictions, but would have to provide equal visitation privileges and prohibit discrimination on specified grounds.

    Check the sources
    This Act may be cited as the No Patient Left Alone Act of 2025.
    Official bill text · Introduced in House · 2025-02-13
    has written policies and procedures regarding the visitation rights of individuals receiving items and services at the institution, which shall include a description of any clinically necessary or reasonable restriction or limitation that such institution may need to place on such rights and the reasons for the clinical restriction or limitation
    Official bill text · Introduced in House · 2025-02-13
    (B) inform each such individual of the right, subject to the individual’s consent, to receive the visitors whom the individual designates, including a spouse, another family member, or a friend, and the individual’s right to withdraw or deny such consent at any time; (C) may not restrict, limit, or otherwise deny visitation privileges on the basis of race, color, national origin, religion, sex, or disability; and (D) ensure that all visitors enjoy full and equal visitation privileges consistent with this paragraph;
    Official bill text · Introduced in House · 2025-02-13

    How it would work

    The bill would add a requirement for written visitation policies and procedures to section 1861(e) of the Social Security Act. Those policies would have to describe any clinically necessary or reasonable visitation restrictions the institution may need and explain the reasons for clinical restrictions.

    Check the sources
    Section 1861 of the Social Security Act (42 U.S.C. 1395x) is amended— (1) in subsection (e)
    Official bill text · Introduced in House · 2025-02-13
    (9) has written policies and procedures regarding the visitation rights of individuals receiving items and services at the institution, which shall include a description of any clinically necessary or reasonable restriction or limitation that such institution may need to place on such rights and the reasons for the clinical restriction or limitation
    Official bill text · Introduced in House · 2025-02-13

    Institutions would have to tell each person receiving items and services about their visitation rights, including any clinical restrictions or limits.

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    (A) inform each such individual of his or her visitation rights, including any clinical restriction or limitation on such rights;
    Official bill text · Introduced in House · 2025-02-13

    Institutions would have to tell patients that they may designate visitors, including a spouse, another family member, or a friend. Visits would depend on the patient’s consent, which the patient could withdraw or deny at any time.

    Check the source
    (B) inform each such individual of the right, subject to the individual’s consent, to receive the visitors whom the individual designates, including a spouse, another family member, or a friend, and the individual’s right to withdraw or deny such consent at any time;
    Official bill text · Introduced in House · 2025-02-13

    Institutions could not restrict or deny visitation privileges because of race, color, national origin, religion, sex, or disability. They would have to give all visitors full and equal privileges consistent with the proposed visitation requirements.

    Check the source
    (C) may not restrict, limit, or otherwise deny visitation privileges on the basis of race, color, national origin, religion, sex, or disability; and (D) ensure that all visitors enjoy full and equal visitation privileges consistent with this paragraph;
    Official bill text · Introduced in House · 2025-02-13

    To make room for the visitation requirement, the bill would renumber existing paragraph (9) as paragraph (10) and update references in subsections (e) and (f). The supplied text does not reproduce the existing provisions affected by those reference changes.

    Check the sources
    (B) by redesignating paragraph (9) as paragraph (10); (C) by inserting after paragraph (8) the following new paragraph:
    Official bill text · Introduced in House · 2025-02-13
    (D) in the matter following paragraph (10), as redesignated, by striking paragraph (9) each place it appears and inserting paragraph (10) in each such place; and (2) in subsection (f), by striking (9) and inserting (10).
    Official bill text · Introduced in House · 2025-02-13

    What the record shows

    The supplied actions snapshot, updated March 21, 2025, records introduction in the House on February 13, 2025, and referral that day to the Ways and Means and Energy and Commerce committees for consideration within their respective jurisdictions.

    Check the sources
    Source snapshot updated 2025-03-21T16:34:10Z.
    Official legislative record · 2025-03-21T16:34:10Z
    2025-02-13: Introduced in House
    Official legislative record · 2025-03-21T16:34:10Z
    2025-02-13: 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.
    Official legislative record · 2025-03-21T16:34:10Z

    Riders & Targeted Benefits

    Reviewed version: Introduced in House · 2025-02-13. These findings describe provisions and who may benefit; they are not judgments of waste, corruption, or motive.

    This review covers the supplied bill text. “None identified” does not rule out provisions in later versions or accompanying reports and disclosures.

    Riders

    Provisions outside the bill’s main subject, or policy changes attached to appropriations.

    None identified in the reviewed text

    No unrelated provision or policy change attached to appropriations was identified in the complete supplied introduced text. This conclusion is limited to that version and does not establish absence in other versions or accompanying materials.

    Earmarks

    Spending directed to particular recipients or places outside ordinary competitive or formula-based allocation.

    None identified in the reviewed text

    No congressionally directed spending for particular recipients or places was identified in the complete supplied introduced text. This conclusion is limited to that version and does not establish absence in other versions or accompanying materials.

    Other targeted benefits

    Narrow exceptions, exemptions, or preferential treatment that warrant a closer look.

    None identified in the reviewed text

    No materially narrow preferential treatment, carve-out, or special exemption was identified in the complete supplied introduced text. Equal visitation protections do not by themselves constitute preferential treatment. This conclusion is limited to that version and does not establish absence in other versions or accompanying materials.

    What this analysis cannot establish

    • The bundle supplies the complete introduced bill text, not enacted law. The March 21, 2025 actions snapshot does not establish whether the bill advanced or became law after the recorded actions.
    • The existing Social Security Act provisions are not reproduced. The evidence therefore does not fully establish which institutions are covered, how the new requirement would interact with existing law, or what existing enforcement mechanisms would apply.
    • The introduced text specifies no implementation date, termination condition, separate enforcement procedure, or penalty. It does not define which visitation restrictions would qualify as clinically necessary or reasonable.
    • No member earmark requests, disclosures, committee reports, or conference materials are supplied; formal earmark status cannot be assessed beyond what the introduced text shows.

    Full text preserved for this analysis. Legislative record snapshot: Mar 21, 2025. How PlainBill uses AI