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Bill to Ban Private Equity from Owning Medical Practices

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Why This Matters

This bill targets a major driver of soaring U.S. health care costs: the rapid corporate and private equity takeover of medical practices, which now employ over 80% of doctors. By banning private equity and management services organizations from controlling medical practices, the legislation aims to protect patient care quality and curb price increases that have outpaced inflation for decades. Its introduction signals growing political momentum to rein in financialized health care ownership nationwide.

Key Takeaways

More than 80 percent of doctors are employed by corporate entities — a massive increase from 62 percent seven years ago.

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A group of Democrats has introduced bicameral legislation to ban private equity from owning medical practices as increasingly widespread corporate ownership continues driving up health care costs each year.

The bill was introduced Wednesday by Sen. Elizabeth Warren (D-Massachusetts) with the support of 12 other members of the Senate and House. The legislation was based on a law in Oregon aimed at beating back the corporate takeover of health care providers that took effect this year. The law has already been successfully used by physicians in Eugene to prevent a corporate takeover.

Warren’s bill would ban for-profit corporations like private equity funds and insurance companies from owning medical practices, while also prohibiting entities known as management services organizations, which conduct business operations for practices, from controlling such offices.

Such a prohibition could help stanch the rapid rise in health care costs. Between 2000 and 2004, KFF found, costs for medical care far outpaced costs for goods and services at large, increasing by 121 percent compared to 86 percent for the rest of the consumer price index.

The growing grip of private equity on health care, like in other sectors, has played a major role in this rise in costs. In 2000, private equity invested $5 billion in health care; by 2024, this had risen to $104 billion. Since private equity firms are focused not on patient care, but on maximizing profits, research has found that private equity ownership is associated with worse outcomes for patients as well as higher costs, particularly in nursing homes.

In large part due to rising costs for care, health coverage costs are slated to rise precipitously next year. A recent survey found that employers expect health care plan costs to rise by an average of 11 percent per worker in 2027, unless benefits are cut. This could translate to higher costs for workers and patients on job-based insurance if employers shift the burden onto them; costs for plans through the Affordable Care Act are also expected to rise significantly due to Republicans’ massive slashes via the One Big Beautiful Bill.

“Patients want to know that decisions about their health are being made by their doctors, not by Wall Street investors,” said Warren. “If we’re going to lower costs and un-rig the health care system, we need to stop the corporate takeover of medicine.”

The passage of the bill could also help allow physicians to retain control in their practices, including in their medical decisionmaking, at a time when private equity and other corporate actors are close to gobbling up almost the entire field of medical providers.

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