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    <updateDate>2023-01-15T22:33:34Z</updateDate>
    <updateDateIncludingText>2023-01-15T22:33:34Z</updateDateIncludingText>
    <originChamber>House</originChamber>
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    <introducedDate>2003-03-20</introducedDate>
    <congress>108</congress>
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        <chamber>House</chamber>
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      <item>
        <title>Medicare Safety Net Access Act of 2003</title>
        <congress>108</congress>
        <number>654</number>
        <type>S</type>
        <latestAction>
          <actionDate>2003-03-18</actionDate>
          <text>Read twice and referred to the Committee on Finance.</text>
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        <text>Referred to the Subcommittee on Health, for a period to be subsequently determined by the Chairman.</text>
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        <text>Referred to the Subcommittee on Health.</text>
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        <actionDate>2003-03-20</actionDate>
        <text>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 consideration of such provisions as fall within the jurisdiction of the committee concerned.</text>
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        <text>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 consideration of such provisions as fall within the jurisdiction of the committee concerned.</text>
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      <item>
        <actionDate>2003-03-20</actionDate>
        <text>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 consideration of such provisions as fall within the jurisdiction of the committee concerned.</text>
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    <sponsors>
      <item>
        <bioguideId>W000273</bioguideId>
        <fullName>Rep. Weller, Jerry [R-IL-11]</fullName>
        <firstName>GERALD</firstName>
        <lastName>WELLER</lastName>
        <party>R</party>
        <state>IL</state>
        <middleName>C.</middleName>
        <district>11</district>
        <isByRequest>N</isByRequest>
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      <item>
        <bioguideId>L000287</bioguideId>
        <fullName>Rep. Lewis, John [D-GA-5]</fullName>
        <firstName>JOHN</firstName>
        <lastName>LEWIS</lastName>
        <party>D</party>
        <state>GA</state>
        <district>5</district>
        <sponsorshipDate>2003-03-20</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>H000814</bioguideId>
        <fullName>Rep. Houghton, Amo [R-NY-29]</fullName>
        <firstName>AMO</firstName>
        <lastName>HOUGHTON</lastName>
        <party>R</party>
        <state>NY</state>
        <district>29</district>
        <sponsorshipDate>2003-03-20</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>M000590</bioguideId>
        <fullName>Rep. McNulty, Michael R. [D-NY-21]</fullName>
        <firstName>MICHAEL</firstName>
        <lastName>MCNULTY</lastName>
        <party>D</party>
        <state>NY</state>
        <middleName>R.</middleName>
        <district>21</district>
        <sponsorshipDate>2003-03-20</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>F000030</bioguideId>
        <fullName>Rep. Farr, Sam [D-CA-17]</fullName>
        <firstName>SAM</firstName>
        <lastName>FARR</lastName>
        <party>D</party>
        <state>CA</state>
        <district>17</district>
        <sponsorshipDate>2003-03-20</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>S001045</bioguideId>
        <fullName>Rep. Stupak, Bart [D-MI-1]</fullName>
        <firstName>BART</firstName>
        <lastName>STUPAK</lastName>
        <party>D</party>
        <state>MI</state>
        <district>1</district>
        <sponsorshipDate>2003-03-20</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>H000627</bioguideId>
        <fullName>Rep. Hinchey, Maurice D. [D-NY-22]</fullName>
        <firstName>MAURICE</firstName>
        <lastName>HINCHEY</lastName>
        <party>D</party>
        <state>NY</state>
        <middleName>D.</middleName>
        <district>22</district>
        <sponsorshipDate>2003-03-20</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>F000392</bioguideId>
        <fullName>Rep. Frost, Martin [D-TX-24]</fullName>
        <firstName>MARTIN</firstName>
        <lastName>FROST</lastName>
        <party>D</party>
        <state>TX</state>
        <district>24</district>
        <sponsorshipDate>2003-03-27</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>E000187</bioguideId>
        <fullName>Rep. English, Phil [R-PA-3]</fullName>
        <firstName>PHIL</firstName>
        <lastName>ENGLISH</lastName>
        <party>R</party>
        <state>PA</state>
        <district>3</district>
        <sponsorshipDate>2003-03-27</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>P000149</bioguideId>
        <fullName>Rep. Payne, Donald M. [D-NJ-10]</fullName>
        <firstName>DONALD</firstName>
        <lastName>PAYNE</lastName>
        <party>D</party>
        <state>NJ</state>
        <middleName>M.</middleName>
        <district>10</district>
        <sponsorshipDate>2003-03-27</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>M000477</bioguideId>
        <fullName>Rep. McInnis, Scott [R-CO-3]</fullName>
        <firstName>SCOTT</firstName>
        <lastName>MCINNIS</lastName>
        <party>R</party>
        <state>CO</state>
        <district>3</district>
        <sponsorshipDate>2003-03-27</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>R000053</bioguideId>
        <fullName>Rep. Rangel, Charles B. [D-NY-15]</fullName>
        <firstName>CHARLES</firstName>
        <lastName>RANGEL</lastName>
        <party>D</party>
        <state>NY</state>
        <middleName>B.</middleName>
        <district>15</district>
        <sponsorshipDate>2003-03-27</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>P000583</bioguideId>
        <fullName>Rep. Paul, Ron [R-TX-14]</fullName>
        <firstName>RON</firstName>
        <lastName>PAUL</lastName>
        <party>R</party>
        <state>TX</state>
        <district>14</district>
        <sponsorshipDate>2003-03-27</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>C000754</bioguideId>
        <fullName>Rep. Cooper, Jim [D-TN-5]</fullName>
        <firstName>JAMES</firstName>
        <lastName>COOPER</lastName>
        <party>D</party>
        <state>TN</state>
        <middleName>H.</middleName>
        <district>5</district>
        <sponsorshipDate>2003-03-27</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>B001249</bioguideId>
        <fullName>Rep. Burns, Max [R-GA-12]</fullName>
        <firstName>Max</firstName>
        <lastName>Burns</lastName>
        <party>R</party>
        <state>GA</state>
        <district>12</district>
        <sponsorshipDate>2003-03-27</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>H000636</bioguideId>
        <fullName>Rep. Hinojosa, Ruben [D-TX-15]</fullName>
        <firstName>RUBEN</firstName>
        <lastName>HINOJOSA</lastName>
        <party>D</party>
        <state>TX</state>
        <district>15</district>
        <sponsorshipDate>2003-03-27</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>F000339</bioguideId>
        <fullName>Rep. Frank, Barney [D-MA-4]</fullName>
        <firstName>BARNEY</firstName>
        <lastName>FRANK</lastName>
        <party>D</party>
        <state>MA</state>
        <district>4</district>
        <sponsorshipDate>2003-03-27</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>G000545</bioguideId>
        <fullName>Rep. Green, Mark [R-WI-8]</fullName>
        <firstName>MARK</firstName>
        <lastName>GREEN</lastName>
        <party>R</party>
        <state>WI</state>
        <district>8</district>
        <sponsorshipDate>2003-04-08</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>C000984</bioguideId>
        <fullName>Rep. Cummings, Elijah E. [D-MD-7]</fullName>
        <firstName>ELIJAH</firstName>
        <lastName>CUMMINGS</lastName>
        <party>D</party>
        <state>MD</state>
        <middleName>E.</middleName>
        <district>7</district>
        <sponsorshipDate>2003-04-08</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>D000482</bioguideId>
        <fullName>Rep. Doyle, Michael F. [D-PA-14]</fullName>
        <firstName>MIKE</firstName>
        <lastName>DOYLE</lastName>
        <party>D</party>
        <state>PA</state>
        <district>14</district>
        <sponsorshipDate>2003-04-08</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>P000034</bioguideId>
        <fullName>Rep. Pallone, Frank, Jr. [D-NJ-6]</fullName>
        <firstName>FRANK</firstName>
        <lastName>PALLONE</lastName>
        <party>D</party>
        <state>NJ</state>
        <district>6</district>
        <sponsorshipDate>2003-04-08</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>H001031</bioguideId>
        <fullName>Rep. Hoeffel, Joseph M. [D-PA-13]</fullName>
        <firstName>JOSEPH</firstName>
        <lastName>HOEFFEL</lastName>
        <party>D</party>
        <state>PA</state>
        <middleName>M.</middleName>
        <district>13</district>
        <sponsorshipDate>2003-04-08</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>K000172</bioguideId>
        <fullName>Rep. Kildee, Dale E. [D-MI-5]</fullName>
        <firstName>DALE</firstName>
        <lastName>KILDEE</lastName>
        <party>D</party>
        <state>MI</state>
        <middleName>E.</middleName>
        <district>5</district>
        <sponsorshipDate>2003-04-08</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>O000159</bioguideId>
        <fullName>Rep. Owens, Major R. [D-NY-11]</fullName>
        <firstName>MAJOR</firstName>
        <lastName>OWENS</lastName>
        <party>D</party>
        <state>NY</state>
        <middleName>R.</middleName>
        <district>11</district>
        <sponsorshipDate>2003-04-08</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>M000472</bioguideId>
        <fullName>Rep. McHugh, John M. [R-NY-23]</fullName>
        <firstName>JOHN</firstName>
        <lastName>MCHUGH</lastName>
        <party>R</party>
        <state>NY</state>
        <middleName>M.</middleName>
        <district>23</district>
        <sponsorshipDate>2003-04-08</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>D000168</bioguideId>
        <fullName>Rep. Deal, Nathan [R-GA-10]</fullName>
        <firstName>NATHAN</firstName>
        <lastName>DEAL</lastName>
        <party>R</party>
        <state>GA</state>
        <district>10</district>
        <sponsorshipDate>2003-04-09</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>E000172</bioguideId>
        <fullName>Rep. Emerson, Jo Ann [R-MO-8]</fullName>
        <firstName>JO</firstName>
        <lastName>EMERSON</lastName>
        <party>R</party>
        <state>MO</state>
        <middleName>ANN</middleName>
        <district>8</district>
        <sponsorshipDate>2003-04-09</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>F000238</bioguideId>
        <fullName>Rep. Foley, Mark [R-FL-16]</fullName>
        <firstName>MARK</firstName>
        <lastName>FOLEY</lastName>
        <party>R</party>
        <state>FL</state>
        <district>16</district>
        <sponsorshipDate>2003-04-09</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>H001033</bioguideId>
        <fullName>Rep. Hart, Melissa A. [R-PA-4]</fullName>
        <firstName>MELISSA</firstName>
        <lastName>HART</lastName>
        <party>R</party>
        <state>PA</state>
        <middleName>A.</middleName>
        <district>4</district>
        <sponsorshipDate>2003-04-09</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>I000055</bioguideId>
        <fullName>Rep. Isakson, Johnny [R-GA-6]</fullName>
        <firstName>Johnny</firstName>
        <lastName>Isakson</lastName>
        <party>R</party>
        <state>GA</state>
        <district>6</district>
        <sponsorshipDate>2003-04-09</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>L000553</bioguideId>
        <fullName>Rep. LaTourette, Steven C. [R-OH-14]</fullName>
        <firstName>STEVEN</firstName>
        <lastName>LATOURETTE</lastName>
        <party>R</party>
        <state>OH</state>
        <middleName>C.</middleName>
        <district>14</district>
        <sponsorshipDate>2003-04-09</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>P000588</bioguideId>
        <fullName>Rep. Pearce, Stevan [R-NM-2]</fullName>
        <firstName>Stevan</firstName>
        <lastName>Pearce</lastName>
        <party>R</party>
        <state>NM</state>
        <district>2</district>
        <sponsorshipDate>2003-04-09</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>D000599</bioguideId>
        <fullName>Rep. Davis, Lincoln [D-TN-4]</fullName>
        <firstName>Lincoln</firstName>
        <lastName>Davis</lastName>
        <party>D</party>
        <state>TN</state>
        <district>4</district>
        <sponsorshipDate>2003-04-10</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>J000286</bioguideId>
        <fullName>Rep. Janklow, William J. [R-SD-At Large]</fullName>
        <firstName>William</firstName>
        <lastName>Janklow</lastName>
        <party>R</party>
        <state>SD</state>
        <middleName>J.</middleName>
        <district>0</district>
        <sponsorshipDate>2003-04-10</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>G000280</bioguideId>
        <fullName>Rep. Goode, Virgil H., Jr. [R-VA-5]</fullName>
        <firstName>VIRGIL</firstName>
        <lastName>GOODE</lastName>
        <party>R</party>
        <state>VA</state>
        <middleName>H.</middleName>
        <district>5</district>
        <sponsorshipDate>2003-05-06</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>S000522</bioguideId>
        <fullName>Rep. Smith, Christopher H. [R-NJ-4]</fullName>
        <firstName>CHRISTOPHER</firstName>
        <lastName>SMITH</lastName>
        <party>R</party>
        <state>NJ</state>
        <middleName>H.</middleName>
        <district>4</district>
        <sponsorshipDate>2003-05-06</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>D000275</bioguideId>
        <fullName>Rep. Deutsch, Peter [D-FL-20]</fullName>
        <firstName>PETER</firstName>
        <lastName>DEUTSCH</lastName>
        <party>D</party>
        <state>FL</state>
        <district>20</district>
        <sponsorshipDate>2003-05-06</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>S000033</bioguideId>
        <fullName>Rep. Sanders, Bernard [I-VT-At Large]</fullName>
        <firstName>Bernard</firstName>
        <lastName>Sanders</lastName>
        <party>I</party>
        <state>VT</state>
        <district>0</district>
        <sponsorshipDate>2003-05-06</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>D000602</bioguideId>
        <fullName>Rep. Davis, Artur [D-AL-7]</fullName>
        <firstName>Artur</firstName>
        <lastName>Davis</lastName>
        <party>D</party>
        <state>AL</state>
        <district>7</district>
        <sponsorshipDate>2003-05-06</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>J000032</bioguideId>
        <fullName>Rep. Jackson-Lee, Sheila [D-TX-18]</fullName>
        <firstName>SHEILA</firstName>
        <lastName>JACKSON-LEE</lastName>
        <party>D</party>
        <state>TX</state>
        <district>18</district>
        <sponsorshipDate>2003-05-06</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>G000410</bioguideId>
        <fullName>Rep. Green, Gene [D-TX-29]</fullName>
        <firstName>GENE</firstName>
        <lastName>GREEN</lastName>
        <party>D</party>
        <state>TX</state>
        <district>29</district>
        <sponsorshipDate>2003-05-19</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>E000215</bioguideId>
        <fullName>Rep. Eshoo, Anna G. [D-CA-14]</fullName>
        <firstName>ANNA</firstName>
        <lastName>ESHOO</lastName>
        <party>D</party>
        <state>CA</state>
        <middleName>G.</middleName>
        <district>14</district>
        <sponsorshipDate>2003-05-19</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
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      <item>
        <bioguideId>B000617</bioguideId>
        <fullName>Rep. Bonilla, Henry [R-TX-23]</fullName>
        <firstName>HENRY</firstName>
        <lastName>BONILLA</lastName>
        <party>R</party>
        <state>TX</state>
        <district>23</district>
        <sponsorshipDate>2003-05-19</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>D000399</bioguideId>
        <fullName>Rep. Doggett, Lloyd [D-TX-10]</fullName>
        <firstName>LLOYD</firstName>
        <lastName>DOGGETT</lastName>
        <party>D</party>
        <state>TX</state>
        <district>10</district>
        <sponsorshipDate>2003-05-19</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>S000044</bioguideId>
        <fullName>Rep. Sandlin, Max [D-TX-1]</fullName>
        <firstName>MAX</firstName>
        <lastName>SANDLIN</lastName>
        <party>D</party>
        <state>TX</state>
        <district>1</district>
        <sponsorshipDate>2003-05-19</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>N000051</bioguideId>
        <fullName>Rep. Nethercutt, George R., Jr. [R-WA-5]</fullName>
        <firstName>GEORGE</firstName>
        <lastName>NETHERCUTT</lastName>
        <party>R</party>
        <state>WA</state>
        <district>5</district>
        <sponsorshipDate>2003-05-19</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>N000147</bioguideId>
        <fullName>Del. Norton, Eleanor Holmes [D-DC-At Large]</fullName>
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        <lastName>NORTON</lastName>
        <party>D</party>
        <state>DC</state>
        <middleName>HOLMES</middleName>
        <district>0</district>
        <sponsorshipDate>2003-05-19</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>S000248</bioguideId>
        <fullName>Rep. Serrano, Jose E. [D-NY-16]</fullName>
        <firstName>JOSE</firstName>
        <lastName>SERRANO</lastName>
        <party>D</party>
        <state>NY</state>
        <middleName>E.</middleName>
        <district>16</district>
        <sponsorshipDate>2003-05-19</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>T000424</bioguideId>
        <fullName>Rep. Turner, Jim [D-TX-2]</fullName>
        <firstName>JIM</firstName>
        <lastName>TURNER</lastName>
        <party>D</party>
        <state>TX</state>
        <district>2</district>
        <sponsorshipDate>2003-05-19</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>S001150</bioguideId>
        <fullName>Rep. Schiff, Adam B. [D-CA-29]</fullName>
        <firstName>ADAM</firstName>
        <lastName>SCHIFF</lastName>
        <party>D</party>
        <state>CA</state>
        <middleName>B.</middleName>
        <district>29</district>
        <sponsorshipDate>2003-05-19</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>S000303</bioguideId>
        <fullName>Rep. Shaw, E. Clay, Jr. [R-FL-22]</fullName>
        <firstName>E.</firstName>
        <lastName>SHAW</lastName>
        <party>R</party>
        <state>FL</state>
        <middleName>CLAY</middleName>
        <district>22</district>
        <sponsorshipDate>2003-05-19</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>S000097</bioguideId>
        <fullName>Rep. Saxton, Jim [R-NJ-3]</fullName>
        <firstName>H.</firstName>
        <lastName>SAXTON</lastName>
        <party>R</party>
        <state>NJ</state>
        <middleName>JAMES</middleName>
        <district>3</district>
        <sponsorshipDate>2003-05-19</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
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      <item>
        <bioguideId>V000081</bioguideId>
        <fullName>Rep. Velazquez, Nydia M. [D-NY-12]</fullName>
        <firstName>NYDIA</firstName>
        <lastName>VELAZQUEZ</lastName>
        <party>D</party>
        <state>NY</state>
        <middleName>M.</middleName>
        <district>12</district>
        <sponsorshipDate>2003-05-19</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
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      <item>
        <bioguideId>N000143</bioguideId>
        <fullName>Rep. Northup, Anne M. [R-KY-3]</fullName>
        <firstName>ANNE</firstName>
        <lastName>NORTHUP</lastName>
        <party>R</party>
        <state>KY</state>
        <middleName>M.</middleName>
        <district>3</district>
        <sponsorshipDate>2003-05-19</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>G000548</bioguideId>
        <fullName>Rep. Garrett, Scott [R-NJ-5]</fullName>
        <firstName>Scott</firstName>
        <lastName>Garrett</lastName>
        <party>R</party>
        <state>NJ</state>
        <district>5</district>
        <sponsorshipDate>2003-05-22</sponsorshipDate>
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      <item>
        <bioguideId>R000515</bioguideId>
        <fullName>Rep. Rush, Bobby L. [D-IL-1]</fullName>
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        <lastName>RUSH</lastName>
        <party>D</party>
        <state>IL</state>
        <middleName>L.</middleName>
        <district>1</district>
        <sponsorshipDate>2003-05-22</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>J000284</bioguideId>
        <fullName>Rep. Jones, Stephanie Tubbs [D-OH-11]</fullName>
        <firstName>STEPHANIE</firstName>
        <lastName>JONES</lastName>
        <party>D</party>
        <state>OH</state>
        <middleName>TUBBS</middleName>
        <district>11</district>
        <sponsorshipDate>2003-06-02</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>G000551</bioguideId>
        <fullName>Rep. Grijalva, Raúl M. [D-AZ-7]</fullName>
        <firstName>Raúl</firstName>
        <lastName>Grijalva</lastName>
        <party>D</party>
        <state>AZ</state>
        <middleName>M.</middleName>
        <district>7</district>
        <sponsorshipDate>2003-06-02</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>C000794</bioguideId>
        <fullName>Rep. Costello, Jerry F. [D-IL-12]</fullName>
        <firstName>JERRY</firstName>
        <lastName>COSTELLO</lastName>
        <party>D</party>
        <state>IL</state>
        <middleName>F.</middleName>
        <district>12</district>
        <sponsorshipDate>2003-06-02</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>L000562</bioguideId>
        <fullName>Rep. Lynch, Stephen F. [D-MA-9]</fullName>
        <firstName>Stephen</firstName>
        <lastName>Lynch</lastName>
        <party>D</party>
        <state>MA</state>
        <middleName>F.</middleName>
        <district>9</district>
        <sponsorshipDate>2003-06-02</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>G000535</bioguideId>
        <fullName>Rep. Gutierrez, Luis V. [D-IL-4]</fullName>
        <firstName>LUIS</firstName>
        <lastName>GUTIERREZ</lastName>
        <party>D</party>
        <state>IL</state>
        <middleName>V.</middleName>
        <district>4</district>
        <sponsorshipDate>2003-06-02</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>O000107</bioguideId>
        <fullName>Rep. Ortiz, Solomon P. [D-TX-27]</fullName>
        <firstName>SOLOMON</firstName>
        <lastName>ORTIZ</lastName>
        <party>D</party>
        <state>TX</state>
        <middleName>P.</middleName>
        <district>27</district>
        <sponsorshipDate>2003-06-02</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
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      <item>
        <bioguideId>B001238</bioguideId>
        <fullName>Rep. Ballance, Frank W.,  Jr. [D-NC-1]</fullName>
        <firstName>Frank</firstName>
        <lastName>Ballance</lastName>
        <party>D</party>
        <state>NC</state>
        <middleName>W.</middleName>
        <district>1</district>
        <sponsorshipDate>2003-06-02</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
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      <item>
        <bioguideId>N000002</bioguideId>
        <fullName>Rep. Nadler, Jerrold [D-NY-8]</fullName>
        <firstName>JERROLD</firstName>
        <lastName>NADLER</lastName>
        <party>D</party>
        <state>NY</state>
        <district>8</district>
        <sponsorshipDate>2003-06-02</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>M001148</bioguideId>
        <fullName>Rep. Meek, Kendrick B. [D-FL-17]</fullName>
        <firstName>Kendrick</firstName>
        <lastName>Meek</lastName>
        <party>D</party>
        <state>FL</state>
        <middleName>B.</middleName>
        <district>17</district>
        <sponsorshipDate>2003-06-02</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>L000551</bioguideId>
        <fullName>Rep. Lee, Barbara [D-CA-9]</fullName>
        <firstName>BARBARA</firstName>
        <lastName>LEE</lastName>
        <party>D</party>
        <state>CA</state>
        <district>9</district>
        <sponsorshipDate>2003-06-02</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>K000078</bioguideId>
        <fullName>Rep. Kelly, Sue W. [R-NY-19]</fullName>
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        <lastName>KELLY</lastName>
        <party>R</party>
        <state>NY</state>
        <middleName>W.</middleName>
        <district>19</district>
        <sponsorshipDate>2003-06-09</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>W000738</bioguideId>
        <fullName>Rep. Woolsey, Lynn C. [D-CA-6]</fullName>
        <firstName>LYNN</firstName>
        <lastName>WOOLSEY</lastName>
        <party>D</party>
        <state>CA</state>
        <district>6</district>
        <sponsorshipDate>2003-06-09</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>B000657</bioguideId>
        <fullName>Rep. Boucher, Rick [D-VA-9]</fullName>
        <firstName>RICK</firstName>
        <lastName>BOUCHER</lastName>
        <party>D</party>
        <state>VA</state>
        <district>9</district>
        <sponsorshipDate>2003-06-09</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>M000087</bioguideId>
        <fullName>Rep. Maloney, Carolyn B. [D-NY-14]</fullName>
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        <party>D</party>
        <state>NY</state>
        <middleName>B.</middleName>
        <district>14</district>
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        <bioguideId>W000099</bioguideId>
        <fullName>Rep. Walsh, James T. [R-NY-25]</fullName>
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        <lastName>WALSH</lastName>
        <party>R</party>
        <state>NY</state>
        <middleName>T.</middleName>
        <district>25</district>
        <sponsorshipDate>2003-06-10</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
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      <item>
        <bioguideId>U000038</bioguideId>
        <fullName>Rep. Udall, Mark [D-CO-2]</fullName>
        <firstName>MARK</firstName>
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        <party>D</party>
        <state>CO</state>
        <district>2</district>
        <sponsorshipDate>2003-06-25</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
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      <item>
        <bioguideId>J000283</bioguideId>
        <fullName>Rep. Jackson, Jesse L., Jr. [D-IL-2]</fullName>
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        <party>D</party>
        <state>IL</state>
        <middleName>L.</middleName>
        <district>2</district>
        <sponsorshipDate>2004-02-25</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
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    <policyArea>
      <name>Health</name>
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    <subjects>
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          <name>Access to health care</name>
        </item>
        <item>
          <name>Administrative procedure</name>
        </item>
        <item>
          <name>Ambulatory care</name>
        </item>
        <item>
          <name>Bribery</name>
        </item>
        <item>
          <name>Coinsurance</name>
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        <item>
          <name>Communication in medicine</name>
        </item>
        <item>
          <name>Crime and Law Enforcement</name>
        </item>
        <item>
          <name>Department of Health and Human Services</name>
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        <item>
          <name>Economics and Public Finance</name>
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        <item>
          <name>Federal aid to health facilities</name>
        </item>
        <item>
          <name>Finance and Financial Sector</name>
        </item>
        <item>
          <name>Government Operations and Politics</name>
        </item>
        <item>
          <name>Health maintenance organizations</name>
        </item>
        <item>
          <name>Hospital rates</name>
        </item>
        <item>
          <name>Law</name>
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        <item>
          <name>Managed care</name>
        </item>
        <item>
          <name>Medical fees</name>
        </item>
        <item>
          <name>Medicare</name>
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        <item>
          <name>Nursing homes</name>
        </item>
        <item>
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        <item>
          <name>Preventive medicine</name>
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        <item>
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        <item>
          <name>Rebates</name>
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        <item>
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        </item>
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      <policyArea>
        <name>Health</name>
      </policyArea>
    </subjects>
    <summaries>
      <summary>
        <versionCode>00</versionCode>
        <actionDate>2003-03-20</actionDate>
        <actionDesc>Introduced in House</actionDesc>
        <updateDate>2006-11-28T17:35:40Z</updateDate>
        <text><![CDATA[Medicare Safety Net Access Act of 2003 - Amends title XVIII (Medicare) of the Social Security Act (SSA) to: (1) provide for coverage of Medicare-covered ambulatory services by Federally qualified health centers (FQHCs); and (2) ensure FQHC reimbursement under hospital and skilled nursing facility prospective payment systems.<p>Amends SSA title XI with respect to criminal penalties for acts involving Federal health care programs, particularly illegal remunerations (kickbacks). Exempts from the prohibition against such remunerations any remuneration: (1) between a certain kind of public or nonprofit private health center entity and any individual or entity providing goods, items, services, donations, loans, or a combination, to such health center entity pursuant to an agreement, if such agreement contributes to the ability of the health center entity to maintain or increase the availability, or enhance the quality, of services provided to a medically underserved population served by the health center entity; and (2) between a FQHC (or an entity controlled by such a health center) and a Medicare+Choice organization pursuant to a specified written agreement.<p>Directs the Secretary of Health and Human Services to establish standards relating to the exception for health center entity arrangements to specified anti-kickback penalties.<p>Amends SSA title XVIII to revise the payment for certain FQHC services furnished to an individual enrolled with a Medicare+Choice organization under Medicare part C (Medicare+Choice), allowing for supplemental reimbursement, among other changes.<p>Amends Medicare+Choice to add additional Medicare+Choice contract requirements.]]></text>
      </summary>
    </summaries>
    <title>Medicare Safety Net Access Act of 2003</title>
    <titles>
      <item>
        <titleType>Display Title</titleType>
        <title>Medicare Safety Net Access Act of 2003</title>
      </item>
      <item>
        <titleType>Official Title as Introduced</titleType>
        <title>To amend title XVIII of the Social Security Act to enhance the access of Medicare beneficiaries who live in medically underserved areas to critical primary and preventive health care benefits, to improve the Medicare+Choice program, and for other purposes.</title>
        <billTextVersionName>Introduced in House</billTextVersionName>
        <billTextVersionCode>IH</billTextVersionCode>
      </item>
      <item>
        <titleType>Short Titles as Introduced</titleType>
        <title>Medicare Safety Net Access Act of 2003</title>
      </item>
    </titles>
    <textVersions>
      <item>
        <type>Introduced in House</type>
        <date>2003-03-20T05:00:00Z</date>
        <formats/>
      </item>
    </textVersions>
    <latestAction>
      <actionDate>2003-04-10</actionDate>
      <text>Referred to the Subcommittee on Health, for a period to be subsequently determined by the Chairman.</text>
    </latestAction>
  </bill>
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    <dc:rights>Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.</dc:rights>
    <dc:contributor>Congressional Research Service, Library of Congress</dc:contributor>
    <dc:description>This file contains bill summaries and statuses for federal legislation. A bill summary describes the most significant provisions of a piece of legislation and details the effects the legislative text may have on current law and federal programs. Bill summaries are authored by the Congressional Research Service (CRS) of the Library of Congress. As stated in Public Law 91-510 (2 USC 166 (d)(6)), one of the duties of CRS is "to prepare summaries and digests of bills and resolutions of a public general nature introduced in the Senate or House of Representatives". For more information, refer to the User Guide that accompanies this file.</dc:description>
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