<?xml version="1.0" encoding="utf-8" standalone="no"?>
<billStatus>
  <version>3.0.0</version>
  <bill>
    <number>787</number>
    <updateDate>2023-01-15T22:04:00Z</updateDate>
    <updateDateIncludingText>2023-01-15T22:04:00Z</updateDateIncludingText>
    <originChamber>House</originChamber>
    <originChamberCode>H</originChamberCode>
    <type>HR</type>
    <introducedDate>2003-02-13</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>2003-03-10T15:27:38Z</date>
              </item>
            </activities>
          </item>
        </subcommittees>
        <activities>
          <item>
            <name>Referred to</name>
            <date>2003-02-13T15:10:20Z</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>2003-02-27T18:42:47Z</date>
              </item>
            </activities>
          </item>
        </subcommittees>
        <activities>
          <item>
            <name>Referred to</name>
            <date>2003-02-13T15:10:15Z</date>
          </item>
        </activities>
      </item>
    </committees>
    <actions>
      <item>
        <actionDate>2003-03-10</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, for a period to be subsequently determined by the Chairman.</text>
        <type>Committee</type>
      </item>
      <item>
        <actionDate>2003-02-27</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>2003-02-13</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>
        <committees>
          <item>
            <systemCode>hsif00</systemCode>
            <name>Energy and Commerce Committee</name>
          </item>
        </committees>
      </item>
      <item>
        <actionDate>2003-02-13</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>2003-02-13</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>
        <committees>
          <item>
            <systemCode>hswm00</systemCode>
            <name>Ways and Means Committee</name>
          </item>
        </committees>
      </item>
      <item>
        <actionDate>2003-02-13</actionDate>
        <text>Introduced in House</text>
        <type>IntroReferral</type>
        <actionCode>Intro-H</actionCode>
        <sourceSystem>
          <code>9</code>
          <name>Library of Congress</name>
        </sourceSystem>
      </item>
      <item>
        <actionDate>2003-02-13</actionDate>
        <text>Introduced in House</text>
        <type>IntroReferral</type>
        <actionCode>1000</actionCode>
        <sourceSystem>
          <code>9</code>
          <name>Library of Congress</name>
        </sourceSystem>
      </item>
    </actions>
    <sponsors>
      <item>
        <bioguideId>C000071</bioguideId>
        <fullName>Rep. Camp, Dave [R-MI-4]</fullName>
        <firstName>DAVE</firstName>
        <lastName>CAMP</lastName>
        <party>R</party>
        <state>MI</state>
        <district>4</district>
        <isByRequest>N</isByRequest>
      </item>
    </sponsors>
    <cosponsors>
      <item>
        <bioguideId>S001143</bioguideId>
        <fullName>Rep. Souder, Mark E. [R-IN-3]</fullName>
        <firstName>MARK</firstName>
        <lastName>SOUDER</lastName>
        <party>R</party>
        <state>IN</state>
        <middleName>EDWARD</middleName>
        <district>3</district>
        <sponsorshipDate>2003-04-03</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
    </cosponsors>
    <policyArea>
      <name>Health</name>
    </policyArea>
    <subjects>
      <legislativeSubjects>
        <item>
          <name>Administrative procedure</name>
        </item>
        <item>
          <name>Administrative remedies</name>
        </item>
        <item>
          <name>Awards, medals, prizes</name>
        </item>
        <item>
          <name>Commemorations</name>
        </item>
        <item>
          <name>Communication in medicine</name>
        </item>
        <item>
          <name>Department of Health and Human Services</name>
        </item>
        <item>
          <name>Education</name>
        </item>
        <item>
          <name>Employment tests</name>
        </item>
        <item>
          <name>Government Operations and Politics</name>
        </item>
        <item>
          <name>Higher education</name>
        </item>
        <item>
          <name>Labor and Employment</name>
        </item>
        <item>
          <name>Law</name>
        </item>
        <item>
          <name>Mediation</name>
        </item>
        <item>
          <name>Medicaid</name>
        </item>
        <item>
          <name>Medical education</name>
        </item>
        <item>
          <name>Medicare</name>
        </item>
        <item>
          <name>Nursing homes</name>
        </item>
        <item>
          <name>Paramedical personnel</name>
        </item>
        <item>
          <name>Patient satisfaction</name>
        </item>
        <item>
          <name>Physicians</name>
        </item>
        <item>
          <name>Quality of care</name>
        </item>
        <item>
          <name>Quality of life</name>
        </item>
        <item>
          <name>Social Welfare</name>
        </item>
        <item>
          <name>Surveys</name>
        </item>
        <item>
          <name>Welfare waivers</name>
        </item>
      </legislativeSubjects>
      <policyArea>
        <name>Health</name>
      </policyArea>
    </subjects>
    <summaries>
      <summary>
        <versionCode>00</versionCode>
        <actionDate>2003-02-13</actionDate>
        <actionDesc>Introduced in House</actionDesc>
        <updateDate>2006-11-28T17:35:40Z</updateDate>
        <text><![CDATA[Medicare and Medicaid Nursing Facility Quality Improvement Act of 2003 - Amends titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act (SSA) to revise the Federal survey and certification process of skilled nursing facilities.<p>Revises requirements for nurse aide training and competency evaluation programs and for nurse aide competency evaluation programs to state that the prohibition against approval of a program offered by or in a skilled nursing facility which is operating under a waiver, subject to an extended survey, or has been assessed a civil penalty shall not be continued when the facility involved through on-site verification demonstrates compliance with the applicable standards.<p>Authorizes the Secretary to: (1) waive the skilled nursing survey and certification process in order to test and implement innovative alternatives to the otherwise applicable survey process; and (2) continue payments for up to one year under certain conditions, pending remediation, to a nursing facility that no longer meets the specified requirements.<p>Requires each State to establish an informal and independent dispute resolution process to allow facilities to settle disputes involving compliance with nursing facility requirements.<p>Requires surveyors to defer to the diagnosis and treatment decisions of the resident's attending physician and of the facility's medical director. Requires the Secretary to implement programs to monitor and correct instances of failure of surveyors to do so.<p>Declares that nothing shall be construed as precluding members of survey teams from providing information to faculty and staff on best or innovative practices for assuring quality care in nursing facilities.<p>Requires the Secretary to provide incentives for operators with histories of good compliance to acquire facilities with poor compliance histories.<p>Permits nursing facilities to appeal deficiency determinations.<p>Requires the Secretary to establish a program that rewards skilled nursing facilities that provide the highest quality of care.]]></text>
      </summary>
    </summaries>
    <title>Medicare and Medicaid Nursing Facility Quality Improvement Act of 2003</title>
    <titles>
      <item>
        <titleType>Display Title</titleType>
        <title>Medicare and Medicaid Nursing Facility Quality Improvement Act of 2003</title>
      </item>
      <item>
        <titleType>Official Title as Introduced</titleType>
        <title>To amend titles XVIII and XIX of the Social Security Act with respect to reform of Federal survey and certification process of nursing facilities under the Medicare and Medicaid Programs.</title>
        <billTextVersionName>Introduced in House</billTextVersionName>
        <billTextVersionCode>IH</billTextVersionCode>
      </item>
      <item>
        <titleType>Short Titles as Introduced</titleType>
        <title>Medicare and Medicaid Nursing Facility Quality Improvement Act of 2003</title>
      </item>
    </titles>
    <textVersions>
      <item>
        <type>Introduced in House</type>
        <date>2003-02-13T05:00:00Z</date>
        <formats/>
      </item>
    </textVersions>
    <latestAction>
      <actionDate>2003-03-10</actionDate>
      <text>Referred to the Subcommittee on Health, for a period to be subsequently determined by the Chairman.</text>
    </latestAction>
  </bill>
  <dublinCore xmlns:dc="http://purl.org/dc/elements/1.1/">
    <dc:format>text/xml</dc:format>
    <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>
  </dublinCore>
</billStatus>
