H.R. 2936 (119th)Bill Overview

Addressing Boarding and Crowding in the Emergency Department

Health|Health
Cosponsors
Support
Lean Democratic
Introduced
Apr 17, 2025
Discussions
Bill Text
Current stageCommittee

Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, 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

Creates authorization for certain Public Health Data Modernization grants to build real-time, statewide or regional systems tracking hospital bed capacity and related emergency department (ED) metrics, including public dashboards with privacy protections. Directs CMS Innovation Center to include two new pilot model types improving ED care for older adults and for individuals experiencing acute psychiatric crises.

Why people may split

Supporters emphasize transparency and care for vulnerable patients

Watch point

Relative to its intended legislative type, this bill is a targeted statutory amendment package that adds grant-eligible activities for public health data modernization to track hospital capacity, expands CMMI model categories to address older adults and psychiatric crisis care in emergency departments, and mandates a GAO study with a one-year reporting deadline.

Creates authorization for certain Public Health Data Modernization grants to build real-time, statewide or regional systems tracking hospital bed capacity and related emergency department (ED) metrics, including public dashboards with privacy protections.

Directs CMS Innovation Center to include two new pilot model types improving ED care for older adults and for individuals experiencing acute psychiatric crises.

Requires the Government Accountability Office to study best practices for hospital-capacity data systems and report to Congress within one year.

Passage70/100

Technocratic, targeted health-care improvements and study provisions have historically fared well, though funding and procedural hurdles remain.

CredibilityPartially aligned

Relative to its intended legislative type, this bill is a targeted statutory amendment package that adds grant-eligible activities for public health data modernization to track hospital capacity, expands CMMI model categories to address older adults and psychiatric crisis care in emergency departments, and mandates a GAO study with a one-year reporting deadline. The statutory amendments are placed directly into existing authorities, and the GAO study provides an evaluative mechanism.

Contention55/100

Supporters emphasize transparency and care for vulnerable patients

02 · What it does

Who stands to gain, and who may push back.

Likely benefits vs burdens50% / 50%
CitiesStates

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

Likely helped
  • CitiesReal-time capacity tracking could reduce emergency department boarding and patient wait times.
  • Potential benefitPublic dashboards increase transparency for patients, EMS, and policymakers.
  • Potential benefitGrants for data modernization may create jobs in health IT, analytics, and public health operations.
Likely burdened
  • Potential burdenPublic dashboards could risk patient privacy or re-identification despite promised redactions.
  • StatesHospitals could face administrative and technical burdens integrating electronic records with statewide tracking system…
  • StatesUpfront implementation costs could exceed grant coverage, straining hospital or state budgets.
03 · Why people split

Why the argument around this bill splits.

Supporters emphasize transparency and care for vulnerable patients
Progressive85%

Likely supportive: advances transparency, targets ED crowding, and funds pilots for older adults and psychiatric crises.

Privacy and adequate funding for public-health and long-term-care supports are legitimate concerns; implementation impacts are speculative.

Leans supportive
Centrist70%

Generally favorable but pragmatic: supports better data and targeted pilots while seeking clear cost estimates and measurable evaluation metrics.

Will want safeguards against unfunded mandates and evidence that pilots improve outcomes.

Leans supportive
Conservative35%

Skeptical: concerned this increases federal involvement in health data and burdens hospitals with mandates and public reporting.

May cautiously support goals to reduce ED boarding if state flexibility and non-duplication guaranteed; cost and privacy concerns are primary.

Likely resistant
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 likelihood70/100

Technocratic, targeted health-care improvements and study provisions have historically fared well, though funding and procedural hurdles remain.

Scope and complexity
24%
Scopenarrow
24%
Complexitylow
Why this could stall
  • Whether additional appropriations will be required
  • State willingness and capacity to integrate data systems
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

Supporters emphasize transparency and care for vulnerable patients

Technocratic, targeted health-care improvements and study provisions have historically fared well, though funding and procedural hurdles re…

Unlocked analysis

Relative to its intended legislative type, this bill is a targeted statutory amendment package that adds grant-eligible activities for public health data modernization to track hospital capacity, expands CMMI model cate…

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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