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    <number>2409</number>
    <updateDate>2023-01-15T16:18:31Z</updateDate>
    <updateDateIncludingText>2023-01-15T16:18:31Z</updateDateIncludingText>
    <originChamber>House</originChamber>
    <originChamberCode>H</originChamberCode>
    <type>HR</type>
    <introducedDate>2003-06-10</introducedDate>
    <congress>108</congress>
    <committees>
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        <systemCode>hsif00</systemCode>
        <name>Energy and Commerce Committee</name>
        <chamber>House</chamber>
        <type>Standing</type>
        <subcommittees>
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            <systemCode>hsif14</systemCode>
            <name>Health Subcommittee</name>
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                <name>Referred to</name>
                <date>2003-06-24T13:48:11Z</date>
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            <name>Referred to</name>
            <date>2003-06-10T14:26:30Z</date>
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      <item>
        <title>Medicare Prescription Drug, Improvement, and Modernization Act of 2003</title>
        <congress>108</congress>
        <number>1</number>
        <type>HR</type>
        <latestAction>
          <actionDate>2003-12-08</actionDate>
          <text>Became Public Law No: 108-173.</text>
        </latestAction>
        <relationshipDetails>
          <item>
            <type>Related bill</type>
            <identifiedBy>CRS</identifiedBy>
          </item>
        </relationshipDetails>
      </item>
      <item>
        <title>Safety Net Hospital Pharmacy Access Act of 2003</title>
        <congress>108</congress>
        <number>1195</number>
        <type>S</type>
        <latestAction>
          <actionDate>2003-06-05</actionDate>
          <text>Read twice and referred to the Committee on Finance.</text>
        </latestAction>
        <relationshipDetails>
          <item>
            <type>Related bill</type>
            <identifiedBy>CRS</identifiedBy>
          </item>
        </relationshipDetails>
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      <item>
        <actionDate>2003-06-24</actionDate>
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            <name>Health Subcommittee</name>
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          <name>House committee actions</name>
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        <text>Referred to the Subcommittee on Health.</text>
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      <item>
        <actionDate>2003-06-10</actionDate>
        <text>Referred to the House Committee on Energy and Commerce.</text>
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          <name>House floor actions</name>
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            <systemCode>hsif00</systemCode>
            <name>Energy and Commerce Committee</name>
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        <actionDate>2003-06-10</actionDate>
        <text>Introduced in House</text>
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          <name>Library of Congress</name>
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        <actionDate>2003-06-10</actionDate>
        <text>Introduced in House</text>
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          <name>Library of Congress</name>
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    <sponsors>
      <item>
        <bioguideId>S000275</bioguideId>
        <fullName>Rep. Shadegg, John B. [R-AZ-3]</fullName>
        <firstName>JOHN</firstName>
        <lastName>SHADEGG</lastName>
        <party>R</party>
        <state>AZ</state>
        <district>3</district>
        <isByRequest>N</isByRequest>
      </item>
    </sponsors>
    <cosponsors>
      <item>
        <bioguideId>N000159</bioguideId>
        <fullName>Rep. Norwood, Charles W. [R-GA-9]</fullName>
        <firstName>CHARLES</firstName>
        <lastName>NORWOOD</lastName>
        <party>R</party>
        <state>GA</state>
        <middleName>W.</middleName>
        <district>9</district>
        <sponsorshipDate>2003-06-10</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>M000133</bioguideId>
        <fullName>Rep. Markey, Edward J. [D-MA-7]</fullName>
        <firstName>Edward</firstName>
        <lastName>Markey</lastName>
        <party>D</party>
        <state>MA</state>
        <middleName>J.</middleName>
        <district>7</district>
        <sponsorshipDate>2003-06-10</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>T000326</bioguideId>
        <fullName>Rep. Towns, Edolphus [D-NY-10]</fullName>
        <firstName>EDOLPHUS</firstName>
        <lastName>TOWNS</lastName>
        <party>D</party>
        <state>NY</state>
        <district>10</district>
        <sponsorshipDate>2003-06-10</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>B000213</bioguideId>
        <fullName>Rep. Barton, Joe [R-TX-6]</fullName>
        <firstName>JOE</firstName>
        <lastName>BARTON</lastName>
        <party>R</party>
        <state>TX</state>
        <middleName>L.</middleName>
        <district>6</district>
        <sponsorshipDate>2003-06-17</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>E000179</bioguideId>
        <fullName>Rep. Engel, Eliot L. [D-NY-17]</fullName>
        <firstName>ELIOT</firstName>
        <lastName>ENGEL</lastName>
        <party>D</party>
        <state>NY</state>
        <middleName>L.</middleName>
        <district>17</district>
        <sponsorshipDate>2003-06-17</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>M000316</bioguideId>
        <fullName>Rep. McCarthy, Karen [D-MO-5]</fullName>
        <firstName>KAREN</firstName>
        <lastName>MCCARTHY</lastName>
        <party>D</party>
        <state>MO</state>
        <district>5</district>
        <sponsorshipDate>2003-06-17</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>2003-07-07</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
    </cosponsors>
    <notes>
      <item>
        <text><![CDATA[For further action, see H.R. 1, which became Public Law 108-173 on 12/8/2003.]]></text>
        <links>
          <link>
            <name>H.R. 1</name>
            <url>https://www.congress.gov/bill/108th-congress/house-bill/1</url>
          </link>
        </links>
      </item>
    </notes>
    <policyArea>
      <name>Health</name>
    </policyArea>
    <subjects>
      <legislativeSubjects>
        <item>
          <name>Auditing</name>
        </item>
        <item>
          <name>Business records</name>
        </item>
        <item>
          <name>Commerce</name>
        </item>
        <item>
          <name>Drug industry</name>
        </item>
        <item>
          <name>Drugs</name>
        </item>
        <item>
          <name>Finance and Financial Sector</name>
        </item>
        <item>
          <name>Government Operations and Politics</name>
        </item>
        <item>
          <name>Government paperwork</name>
        </item>
        <item>
          <name>Medicaid</name>
        </item>
        <item>
          <name>Prescription pricing</name>
        </item>
        <item>
          <name>Public hospitals</name>
        </item>
        <item>
          <name>Rebates</name>
        </item>
        <item>
          <name>Social Welfare</name>
        </item>
      </legislativeSubjects>
      <policyArea>
        <name>Health</name>
      </policyArea>
    </subjects>
    <summaries>
      <summary>
        <versionCode>00</versionCode>
        <actionDate>2003-06-10</actionDate>
        <actionDesc>Introduced in House</actionDesc>
        <updateDate>2003-10-23T13:48:11Z</updateDate>
        <text><![CDATA[ <p>Safety Net Hospital Pharmacy Access Act of 2003 - States that the Constitutional authority upon which this Act rests is the power of the Congress to regulate commerce with foreign nations and among the several States.</p> <p>Amends title XIX (Medicaid) of the Social Security Act (SSA) to include inpatient prices charged to disproportionate share (DSH) hospitals in the best price exemptions for the Medicaid drug rebate program. (Thus allows certain high-volume DSH safety net providers to negotiate with pharmaceutical companies and receive the lowest price they can get for inpatient drugs. Currently such entities are only able to receive discounts on the prices of outpatient drugs because of a Center for Medicare and Medicaid Services interpretation of the best price exemption under the Medicaid drug rebate program).</p> <p>Subjects such drugs purchased by high-volume DSH hospital safety net providers for inpatient use to specified auditing and recordkeeping requirements.</p>]]></text>
      </summary>
    </summaries>
    <title>Safety Net Hospital Pharmacy Access Act of 2003</title>
    <titles>
      <item>
        <titleType>Display Title</titleType>
        <title>Safety Net Hospital Pharmacy Access Act of 2003</title>
      </item>
      <item>
        <titleType>Official Title as Introduced</titleType>
        <title>To amend title XIX of the Social Security Act to clarify that inpatient drug prices charged to certain public hospitals are included in the best price exemptions for the Medicaid drug rebate program.</title>
        <billTextVersionName>Introduced in House</billTextVersionName>
        <billTextVersionCode>IH</billTextVersionCode>
      </item>
      <item>
        <titleType>Short Titles as Introduced</titleType>
        <title>Safety Net Hospital Pharmacy Access Act of 2003</title>
      </item>
    </titles>
    <textVersions>
      <item>
        <type>Introduced in House</type>
        <date>2003-06-10T04:00:00Z</date>
        <formats/>
      </item>
    </textVersions>
    <latestAction>
      <actionDate>2003-06-24</actionDate>
      <text>Referred to the Subcommittee on Health.</text>
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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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