H.R. 9851 (119th)Bill Overview

Protecting Access to Spiritual Treatment and Organized Religion Act of 2026

domestic policy
Cosponsors
Support
Republican
Introduced
Jul 22, 2026
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

Amends Social Security Act section 1866(a)(1) to require that, beginning January 1, 2028, health care providers allow a patient-designated member of the clergy access to that patient upon request. This access must be allowed even when section 1135 waivers are in place, but the clergy must comply with safety measures and protocols set by the Secretary in consultation with providers, States, and religious organizations.

Why people may split

Whether overriding section 1135 waivers jeopardizes public health

Watch point

Relative to its intended legislative type, this bill is a focused substantive policy change that amends a specific provision of the Social Security Act to require providers to permit patient-designated clergy access and to limit the effect of section 1135 waivers.

Amends Social Security Act section 1866(a)(1) to require that, beginning January 1, 2028, health care providers allow a patient-designated member of the clergy access to that patient upon request.

This access must be allowed even when section 1135 waivers are in place, but the clergy must comply with safety measures and protocols set by the Secretary in consultation with providers, States, and religious organizations.

Passage45/100

Modest, administratively feasible change with bipartisan appeal but risks from public-health concerns and Senate procedural barriers.

CredibilityPartially aligned

Relative to its intended legislative type, this bill is a focused substantive policy change that amends a specific provision of the Social Security Act to require providers to permit patient-designated clergy access and to limit the effect of section 1135 waivers. It specifies an effective date and delegates safety protocol detail to the Secretary.

Contention65/100

Whether overriding section 1135 waivers jeopardizes public health

02 · What it does

Who stands to gain, and who may push back.

Likely benefits vs burdens50% / 50%
Likely helpedLikely burdened

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

Likely helped
  • Potential benefitEnsures patients can receive in-person spiritual support even during declared emergencies.
  • Potential benefitMay improve patient well-being and satisfaction through timely pastoral or spiritual care.
  • Potential benefitAffirms religious accommodation rights within Medicare-participating facilities.
Likely burdened
  • Potential burdenCould undermine public health emergency infection-control measures by creating additional in-person visits.
  • Potential burdenImposes administrative compliance tasks on providers to verify clergy adherence to protocols.
  • Potential burdenMay increase provider liability or exposure risk if visits lead to infections or incidents.
03 · Why people split

Why the argument around this bill splits.

Whether overriding section 1135 waivers jeopardizes public health
Progressive50%

Likely supportive of accommodating patients' spiritual needs but cautious about public-health and civil-rights implications.

Concerned that overriding section 1135 waivers could undermine infection-control flexibility during emergencies and that the bill lacks explicit protections against proselytizing or coercion.

Split reaction
Centrist65%

Generally favorable to enabling clergy access because it supports patient choice and continuity of care, but wants clearer operational rules.

Will look for safeguards that preserve infection-control flexibility and limit administrative burden on providers.

Split reaction
Conservative90%

Strongly supportive: seen as restoring and protecting religious liberty and patients' rights to pastoral access, including during emergencies.

Views the requirement as correcting policies that barred clergy access in past crises.

Leans supportive
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 likelihood45/100

Modest, administratively feasible change with bipartisan appeal but risks from public-health concerns and Senate procedural barriers.

Scope and complexity
24%
Scopenarrow
24%
Complexitylow
Why this could stall
  • Definition and vetting of "member of clergy"
  • Interaction with HIPAA and patient privacy rules
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 overriding section 1135 waivers jeopardizes public health

Modest, administratively feasible change with bipartisan appeal but risks from public-health concerns and Senate procedural barriers.

Unlocked analysis

Relative to its intended legislative type, this bill is a focused substantive policy change that amends a specific provision of the Social Security Act to require providers to permit patient-designated clergy access and…

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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