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  <version>3.0.0</version>
  <bill>
    <number>2175</number>
    <updateDate>2023-01-15T15:33:24Z</updateDate>
    <updateDateIncludingText>2023-01-15T15:33:24Z</updateDateIncludingText>
    <originChamber>House</originChamber>
    <originChamberCode>H</originChamberCode>
    <type>HR</type>
    <introducedDate>2003-05-20</introducedDate>
    <congress>108</congress>
    <committees>
      <item>
        <systemCode>hsif00</systemCode>
        <name>Energy and Commerce Committee</name>
        <chamber>House</chamber>
        <type>Standing</type>
        <subcommittees>
          <item>
            <systemCode>hsif14</systemCode>
            <name>Health Subcommittee</name>
            <activities>
              <item>
                <name>Referred to</name>
                <date>2003-06-02T21:27:45Z</date>
              </item>
            </activities>
          </item>
        </subcommittees>
        <activities>
          <item>
            <name>Referred to</name>
            <date>2003-05-20T13:03:20Z</date>
          </item>
        </activities>
      </item>
      <item>
        <systemCode>hswm00</systemCode>
        <name>Ways and Means Committee</name>
        <chamber>House</chamber>
        <type>Standing</type>
        <subcommittees>
          <item>
            <systemCode>hswm02</systemCode>
            <name>Health Subcommittee</name>
            <activities>
              <item>
                <name>Referred to</name>
                <date>2003-05-27T17:57:47Z</date>
              </item>
            </activities>
          </item>
        </subcommittees>
        <activities>
          <item>
            <name>Referred to</name>
            <date>2003-05-20T13:03:15Z</date>
          </item>
        </activities>
      </item>
    </committees>
    <actions>
      <item>
        <actionDate>2003-06-02</actionDate>
        <committees>
          <item>
            <systemCode>hsif14</systemCode>
            <name>Health Subcommittee</name>
          </item>
        </committees>
        <sourceSystem>
          <code>1</code>
          <name>House committee actions</name>
        </sourceSystem>
        <text>Referred to the Subcommittee on Health.</text>
        <type>Committee</type>
      </item>
      <item>
        <actionDate>2003-05-27</actionDate>
        <committees>
          <item>
            <systemCode>hswm02</systemCode>
            <name>Health Subcommittee</name>
          </item>
        </committees>
        <sourceSystem>
          <code>1</code>
          <name>House committee actions</name>
        </sourceSystem>
        <text>Referred to the Subcommittee on Health.</text>
        <type>Committee</type>
      </item>
      <item>
        <actionDate>2003-05-21</actionDate>
        <text>Sponsor introductory remarks on measure. (CR E1011)</text>
        <type>IntroReferral</type>
        <actionCode>B00100</actionCode>
        <sourceSystem>
          <code>9</code>
          <name>Library of Congress</name>
        </sourceSystem>
      </item>
      <item>
        <actionDate>2003-05-20</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>
        <type>IntroReferral</type>
        <actionCode>H11100</actionCode>
        <sourceSystem>
          <code>2</code>
          <name>House floor actions</name>
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          <item>
            <systemCode>hsif00</systemCode>
            <name>Energy and Commerce Committee</name>
          </item>
        </committees>
      </item>
      <item>
        <actionDate>2003-05-20</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>
        <type>IntroReferral</type>
        <actionCode>H11100-A</actionCode>
        <sourceSystem>
          <code>9</code>
          <name>Library of Congress</name>
        </sourceSystem>
      </item>
      <item>
        <actionDate>2003-05-20</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>
        <type>IntroReferral</type>
        <actionCode>H11100</actionCode>
        <sourceSystem>
          <code>2</code>
          <name>House floor actions</name>
        </sourceSystem>
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            <systemCode>hswm00</systemCode>
            <name>Ways and Means Committee</name>
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        <actionDate>2003-05-20</actionDate>
        <text>Introduced in House</text>
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          <code>9</code>
          <name>Library of Congress</name>
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      <item>
        <actionDate>2003-05-20</actionDate>
        <text>Introduced in House</text>
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        <actionCode>1000</actionCode>
        <sourceSystem>
          <code>9</code>
          <name>Library of Congress</name>
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    </actions>
    <sponsors>
      <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>
        <isByRequest>N</isByRequest>
      </item>
    </sponsors>
    <cosponsors>
      <item>
        <bioguideId>B000420</bioguideId>
        <fullName>Rep. Berry, Marion [D-AR-1]</fullName>
        <firstName>MARION</firstName>
        <lastName>BERRY</lastName>
        <party>D</party>
        <state>AR</state>
        <district>1</district>
        <sponsorshipDate>2003-05-20</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>M000485</bioguideId>
        <fullName>Rep. McIntyre, Mike [D-NC-7]</fullName>
        <firstName>MIKE</firstName>
        <lastName>MCINTYRE</lastName>
        <party>D</party>
        <state>NC</state>
        <district>7</district>
        <sponsorshipDate>2003-05-20</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>R000573</bioguideId>
        <fullName>Rep. Ross, Mike [D-AR-4]</fullName>
        <firstName>MIKE</firstName>
        <lastName>ROSS</lastName>
        <party>D</party>
        <state>AR</state>
        <district>4</district>
        <sponsorshipDate>2003-05-20</sponsorshipDate>
        <isOriginalCosponsor>True</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>2003-05-20</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
    </cosponsors>
    <policyArea>
      <name>Health</name>
    </policyArea>
    <subjects>
      <legislativeSubjects>
        <item>
          <name>Access to health care</name>
        </item>
        <item>
          <name>Administrative procedure</name>
        </item>
        <item>
          <name>Ambulances</name>
        </item>
        <item>
          <name>Ambulatory care</name>
        </item>
        <item>
          <name>Clinics</name>
        </item>
        <item>
          <name>Coinsurance</name>
        </item>
        <item>
          <name>Congress</name>
        </item>
        <item>
          <name>Congressional reporting requirements</name>
        </item>
        <item>
          <name>Department of Health and Human Services</name>
        </item>
        <item>
          <name>Drugs</name>
        </item>
        <item>
          <name>Emergency Management</name>
        </item>
        <item>
          <name>Emergency medicine</name>
        </item>
        <item>
          <name>Finance and Financial Sector</name>
        </item>
        <item>
          <name>Government Operations and Politics</name>
        </item>
        <item>
          <name>Government publicity</name>
        </item>
        <item>
          <name>Governmental investigations</name>
        </item>
        <item>
          <name>Home care services</name>
        </item>
        <item>
          <name>Hospital care</name>
        </item>
        <item>
          <name>Hospital personnel</name>
        </item>
        <item>
          <name>Hospital rates</name>
        </item>
        <item>
          <name>Hospitals</name>
        </item>
        <item>
          <name>Housing and Community Development</name>
        </item>
        <item>
          <name>Labor and Employment</name>
        </item>
        <item>
          <name>Law</name>
        </item>
        <item>
          <name>Medical economics</name>
        </item>
        <item>
          <name>Medical fees</name>
        </item>
        <item>
          <name>Medical laboratories</name>
        </item>
        <item>
          <name>Medical personnel</name>
        </item>
        <item>
          <name>Medical technology</name>
        </item>
        <item>
          <name>Medical tests</name>
        </item>
        <item>
          <name>Medically uninsured</name>
        </item>
        <item>
          <name>Medicare</name>
        </item>
        <item>
          <name>Nursing homes</name>
        </item>
        <item>
          <name>Physicians</name>
        </item>
        <item>
          <name>Rural health</name>
        </item>
        <item>
          <name>Science, Technology, Communications</name>
        </item>
        <item>
          <name>Social Welfare</name>
        </item>
        <item>
          <name>Transportation and Public Works</name>
        </item>
        <item>
          <name>Wages</name>
        </item>
        <item>
          <name>Welfare recipients</name>
        </item>
      </legislativeSubjects>
      <policyArea>
        <name>Health</name>
      </policyArea>
    </subjects>
    <summaries>
      <summary>
        <versionCode>00</versionCode>
        <actionDate>2003-05-20</actionDate>
        <actionDesc>Introduced in House</actionDesc>
        <updateDate>2006-11-28T17:35:40Z</updateDate>
        <text><![CDATA[Rural Healthcare Access Improvement Act of 2003 - Amends title XVIII (Medicare) of the Social Security Act (SSA) to revise requirements with regard to rural health care, including: (1) urban and rural standardized payment amounts under the Medicare inpatient hospital prospective payment system (PPS); (2) the disproportionate share hospital (DSH) adjustment for rural hospitals; (3) the payment adjustment for low-volume hospitals; (4) the adjustment to the Medicare inpatient hospital PPS wage index to revise its labor-related share; (5) treatment of certain sole community hospitals to limit the decline in payment under the PPS for hospital outpatient department (ODP) services; and (6) the critical access hospital program.<p>Provides for a temporary increase for: (1) home health services furnished in a rural area; (2) certain services furnished by small rural hospitals under the Medicare prospective payment system for OPD services; and (3) ground ambulance services furnished in a rural area.<p>Amends SSA title XVIII to provide for: (1) exclusion of certain rural health clinic and Federally qualified health center services from the Medicare PPS for skilled nursing facilities; and (2) Medicare incentive program changes.<p>Provides for two-year treatment of certain clinical diagnostic laboratory tests furnished by a sole community hospital.<p>Amends SSA title XVIII to provide for establishment of a floor on geographic adjustments of payments for physicians' services.]]></text>
      </summary>
    </summaries>
    <title>Rural Healthcare Access Improvement Act of 2003</title>
    <titles>
      <item>
        <titleType>Display Title</titleType>
        <title>Rural Healthcare Access Improvement Act of 2003</title>
      </item>
      <item>
        <titleType>Official Title as Introduced</titleType>
        <title>To amend title XVIII of the Social Security Act to enhance beneficiary access in rural areas to quality health care services under the Medicare Program.</title>
        <billTextVersionName>Introduced in House</billTextVersionName>
        <billTextVersionCode>IH</billTextVersionCode>
      </item>
      <item>
        <titleType>Short Titles as Introduced</titleType>
        <title>Rural Healthcare Access Improvement Act of 2003</title>
      </item>
    </titles>
    <textVersions>
      <item>
        <type>Introduced in House</type>
        <date>2003-05-20T04:00:00Z</date>
        <formats/>
      </item>
    </textVersions>
    <latestAction>
      <actionDate>2003-06-02</actionDate>
      <text>Referred to the Subcommittee on Health.</text>
    </latestAction>
  </bill>
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    <dc:language>EN</dc:language>
    <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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