H.R. 1358 (119th)Bill Overview

No Patient Left Alone Act of 2025

Health|HealthHealth facilities and institutions
Cosponsors
Support
Republican
Introduced
Feb 13, 2025
Discussions
Bill Text
Current stageCommittee

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 c…

Introduced
Committee
Floor
President
Law
Congressional Activities
01 · The brief
Plain-English summaryWhat this bill actually does

The No Patient Left Alone Act of 2025 adds a patient visitation-rights requirement to section 1861 of the Social Security Act. It requires Medicare/Medicaid-participating institutions to adopt written visitation policies, disclose any clinically necessary restrictions, and inform patients of their right to designate visitors, including spouse, family, or friends.

Why people may split

Whether omission of sexual orientation and gender identity is a civil-rights gap.

Watch point

Narrow, patient-focused change with modest cost and administrative scope likely to attract broad support.

The No Patient Left Alone Act of 2025 adds a patient visitation-rights requirement to section 1861 of the Social Security Act.

It requires Medicare/Medicaid-participating institutions to adopt written visitation policies, disclose any clinically necessary restrictions, and inform patients of their right to designate visitors, including spouse, family, or friends.

The bill prohibits restricting visitation based on race, color, national origin, religion, sex, or disability, and requires equal visitation privileges consistent with the provision.

Passage50/100

Modest, administrable patient-rights bill with limited fiscal impact, but some policy controversies and federalization raise moderate risk.

CredibilityPartial

How solid the drafting looks.

Contention50/100

Whether omission of sexual orientation and gender identity is a civil-rights gap.

02 · What it does

Who stands to gain, and who may push back.

Likely benefits vs burdens50% / 50%
FamiliesLikely burdened

These are examples from the analysis, not a ranked list of the most-affected groups.

Likely helped
  • Potential benefitIncreases patient access to designated visitors, potentially improving emotional support during hospitalization.
  • Potential benefitClarifies and standardizes visitation policies across Medicare-participating institutions.
  • FamiliesSecures rights to designate visitors including spouses, family, or friends, increasing patient autonomy.
Likely burdened
  • Potential burdenMay constrain hospitals' ability to restrict visitors during infectious disease outbreaks or other emergencies.
  • Potential burdenImposes administrative compliance costs to draft policies, inform patients, and train staff.
  • Potential burdenCould increase safety risks or interfere with care if visitors disrupt clinical operations.
03 · Why people split

Why the argument around this bill splits.

Whether omission of sexual orientation and gender identity is a civil-rights gap.
Progressive85%

Generally supportive of codifying patient-centered visitation and nondiscrimination protections.

Concerned about omissions and weak enforcement: sexual orientation and gender identity are not listed, and the bill permits vaguely defined "clinical" restrictions without oversight.

Wants stronger civil-rights language and explicit enforcement, especially for LGBTQ patients and family access.

Leans supportive
Centrist75%

Likely favorable toward a clear, patient-centered visitation baseline that preserves clinical discretion.

Wants clearer definitions for "clinically necessary" restrictions and assurances this won't hamper infection-control or privacy.

Would support the bill with modest clarifications on implementation, recordkeeping, and minimal administrative burden.

Leans supportive
Conservative50%

Some support in principle for family visitation and patient choice, but wary of new federal mandates on hospitals.

Concerned about federal overreach, administrative burden, and litigation risk for providers.

Emphasizes preserving hospitals' ability to restrict visitors for legitimate clinical, safety, or religious reasons.

Split reaction
04 · Can it pass?

The path through Congress.

Introduced

Reached or meaningfully advanced

Committee

Reached or meaningfully advanced

Floor

Still ahead

President

Still ahead

Law

Still ahead

Passage likelihood50/100

Modest, administrable patient-rights bill with limited fiscal impact, but some policy controversies and federalization raise moderate risk.

Scope and complexity
24%
Scopenarrow
24%
Complexitylow
Why this could stall
  • Enforcement mechanism and penalties absent from text
  • How CMS would implement via regulations and timing
05 · Recent votes

Recent votes on the bill.

No vote history yet

The bill has not accumulated any surfaced votes yet.

06 · Go deeper

Go deeper than the headline read.

Included on this page

Whether omission of sexual orientation and gender identity is a civil-rights gap.

Modest, administrable patient-rights bill with limited fiscal impact, but some policy controversies and federalization raise moderate risk.

Unlocked analysis

Pro readers get the full perspective split, passage barriers, legislative design review, stakeholder impact map, and lens-based policy tradeoff analysis for No Patient Left Alone Act of 2025.

Go beyond the headline summary with full stakeholder mapping, legislative design analysis, passage barriers, and lens-by-lens tradeoff breakdowns.

Perspective breakdownsPassage barriersLegislative design reviewStakeholder impact map
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