Contact Congress about S. 4804: Health Over Wealth Act

Private equity firms would need federal approval before buying or investing in many health care providers. For-profit health care owners would also have to report more data, plan ahead for closures, and face penalties for breaking the rules.

Modern Action explains what the legislation does, helps you choose whether to support, oppose, or ask for changes, and drafts a message tied to the bill, your stance, and the elected officials who can act on it.

Health Over Wealth Act is a Senate bill in Congress.

Who this affects: This bill mainly affects private equity firms, for-profit health care owners, and the health care facilities they own or finance. It could also affect patients, workers, and communities that rely on hospitals or other providers that may cut services or close. Federal and state regulators would get new reporting, review, licensing, and enforcement duties.

Why this matters: This bill matters because many people get care from facilities owned or financed by for-profit companies. The bill tries to make those owners show how their financial choices affect care, staffing, safety, and access. It would give regulators more tools to act before a closure, major service cut, or risky financial deal harms patients or workers. The real effect would depend on how HHS writes the rules, defines essential services, and uses its enforcement powers.

Key provisions in S. 4804

• The bill creates a new group called covered firms. This means for-profit corporations that own or are tied to health care entities, including hospitals, doctor practices, skilled nursing facilities, hospices, behavioral health providers, opioid treatment programs, and some Medicare providers.
• Covered firms would have to send HHS repeat reports with 10 years of past data. The reports would cover money structure, debt, ownership, political spending, staffing, facility capacity, and service changes. Firms controlled by private equity would have to report even more.
• HHS would have to build a system to collect, check, and publicly post covered firm reports. HHS would also report to Congress each year on how ownership type connects to access, quality, and patient safety.
• HHS could make private equity-controlled covered firms set up escrow accounts, which hold money for a required purpose. HHS could also require capital investments or other steps to fund at least five years of operations and reduce harm from closures, essential service cuts, or staff shortages.
• Health care entities and covered firms could not enter certain real estate investment trust deals, often called REIT deals, if the sale or lease would weaken long-term finances or risk public health. HHS would review these deals and could reject them.

How Modern Action helps you take action on S. 4804

You do not have to start with a blank letter. Modern Action turns the bill, your position, and the relevant congressional context into a message you can edit and send. The goal is to make contacting Congress clear, specific, and useful without forcing you to parse bill text or figure out the right office on your own.

Questions people ask about S. 4804

What is S. 4804?

Private equity firms would need federal approval before buying or investing in many health care providers. For-profit health care owners would also have to report more data, plan ahead for closures, and face penalties for breaking the rules.

How do I support or oppose S. 4804?

Choose support, oppose, or ask for changes on Modern Action. The action flow drafts the message for you and keeps the wording tied to this bill.

Who should I contact about S. 4804?

Modern Action uses your location to route the action to the congressional offices relevant to the bill and your representation.

How does Modern Action help me act on S. 4804?

Modern Action gives you bill-specific context, lets you choose support, opposition, or changes, and drafts a message from your position and reasons.