This bill proposes to amend the Social Security Act to prohibit Medicare payments to certain healthcare providers. Specifically, it would prevent hospitals and skilled nursing facilities from receiving payments if they are owned or controlled by designated "covered firms." The legislation aims to restrict the involvement of particular corporate structures in the federal healthcare program. A "covered firm" is defined to include private equity funds , corporations owned or controlled by private equity funds, and real estate investment trusts (REITs) . The bill specifies that "control" encompasses the direct or indirect power to direct management, assets, or policies, such as owning 10 percent or more of an entity's voting securities. An important provision grants a three-year grace period for facilities already under the ownership or control of a covered firm at the time of the bill's enactment. Additionally, any covered firm found in violation would be held jointly and severally liable for penalties or obligations incurred by the non-compliant hospital or skilled nursing facility.