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    <number>1220</number>
    <updateDate>2023-01-15T16:48:44Z</updateDate>
    <updateDateIncludingText>2023-01-15T16:48:44Z</updateDateIncludingText>
    <originChamber>Senate</originChamber>
    <originChamberCode>S</originChamberCode>
    <type>S</type>
    <introducedDate>2003-06-10</introducedDate>
    <congress>108</congress>
    <committees>
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        <systemCode>ssfi00</systemCode>
        <name>Finance Committee</name>
        <chamber>Senate</chamber>
        <type>Standing</type>
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            <name>Referred to</name>
            <date>2003-06-10T17:03:37Z</date>
          </item>
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      </item>
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        <actionDate>2003-06-10</actionDate>
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            <systemCode>ssfi00</systemCode>
            <name>Finance Committee</name>
          </item>
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        <sourceSystem>
          <name>Senate</name>
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        <text>Read twice and referred to the Committee on Finance. (text of measure as introduced: CR S7626-7627)</text>
        <type>IntroReferral</type>
      </item>
      <item>
        <actionDate>2003-06-10</actionDate>
        <text>Sponsor introductory remarks on measure. (CR S7626)</text>
        <type>IntroReferral</type>
        <actionCode>B00100</actionCode>
        <sourceSystem>
          <code>9</code>
          <name>Library of Congress</name>
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      <item>
        <actionDate>2003-06-10</actionDate>
        <text>Introduced in Senate</text>
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        <actionCode>10000</actionCode>
        <sourceSystem>
          <code>9</code>
          <name>Library of Congress</name>
        </sourceSystem>
      </item>
    </actions>
    <sponsors>
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        <bioguideId>A000109</bioguideId>
        <fullName>Sen. Allard, Wayne [R-CO]</fullName>
        <firstName>A.</firstName>
        <lastName>ALLARD</lastName>
        <party>R</party>
        <state>CO</state>
        <middleName>WAYNE</middleName>
        <isByRequest>N</isByRequest>
      </item>
    </sponsors>
    <cosponsors>
      <item>
        <bioguideId>W000779</bioguideId>
        <fullName>Sen. Wyden, Ron [D-OR]</fullName>
        <firstName>Ron</firstName>
        <lastName>Wyden</lastName>
        <party>D</party>
        <state>OR</state>
        <sponsorshipDate>2003-06-10</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>S001142</bioguideId>
        <fullName>Sen. Smith, Gordon H. [R-OR]</fullName>
        <firstName>GORDON</firstName>
        <lastName>SMITH</lastName>
        <party>R</party>
        <state>OR</state>
        <middleName>H.</middleName>
        <sponsorshipDate>2003-06-10</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>I000025</bioguideId>
        <fullName>Sen. Inouye, Daniel K. [D-HI]</fullName>
        <firstName>DANIEL</firstName>
        <lastName>INOUYE</lastName>
        <party>D</party>
        <state>HI</state>
        <middleName>KEN</middleName>
        <sponsorshipDate>2003-06-10</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>A000069</bioguideId>
        <fullName>Sen. Akaka, Daniel K. [D-HI]</fullName>
        <firstName>DANIEL</firstName>
        <lastName>AKAKA</lastName>
        <party>D</party>
        <state>HI</state>
        <middleName>KOHIKINA</middleName>
        <sponsorshipDate>2003-06-10</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>C001057</bioguideId>
        <fullName>Sen. Coleman, Norm [R-MN]</fullName>
        <firstName>Norm</firstName>
        <lastName>Coleman</lastName>
        <party>R</party>
        <state>MN</state>
        <sponsorshipDate>2003-06-10</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>H001016</bioguideId>
        <fullName>Sen. Hutchison, Kay Bailey [R-TX]</fullName>
        <firstName>KAY</firstName>
        <lastName>HUTCHISON</lastName>
        <party>R</party>
        <state>TX</state>
        <middleName>BAILEY</middleName>
        <sponsorshipDate>2003-06-10</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>C000077</bioguideId>
        <fullName>Sen. Campbell, Ben Nighthorse [R-CO]</fullName>
        <firstName>BEN</firstName>
        <lastName>CAMPBELL</lastName>
        <party>R</party>
        <state>CO</state>
        <middleName>NIGHTHORSE</middleName>
        <sponsorshipDate>2003-06-10</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>F000061</bioguideId>
        <fullName>Sen. Feingold, Russell D. [D-WI]</fullName>
        <firstName>RUSSELL</firstName>
        <lastName>FEINGOLD</lastName>
        <party>D</party>
        <state>WI</state>
        <middleName>D.</middleName>
        <sponsorshipDate>2003-06-12</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
    </cosponsors>
    <policyArea>
      <name>Health</name>
    </policyArea>
    <subjects>
      <legislativeSubjects>
        <item>
          <name>Coinsurance</name>
        </item>
        <item>
          <name>Finance and Financial Sector</name>
        </item>
        <item>
          <name>Government Operations and Politics</name>
        </item>
        <item>
          <name>Government contractors</name>
        </item>
        <item>
          <name>Health maintenance organizations</name>
        </item>
        <item>
          <name>Managed care</name>
        </item>
        <item>
          <name>Medical economics</name>
        </item>
        <item>
          <name>Medicare</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 Senate</actionDesc>
        <updateDate>2006-11-28T17:35:40Z</updateDate>
        <text><![CDATA[Medicare Cost Contract Extension and Refinement Act of 2003 - Amends title XVIII (Medicare) of the Social Security Act (SSA) to: (1) extend reasonable cost contracts under the Medicare program and the period during which cost contracts may expand service areas; (2) apply certain Medicare+Choice requirements under Medicare part C (Medicare+Choice) to cost contracts to allow beneficiaries to be informed about the option of cost contracts, apply quality assurance requirements, prevent plans from discriminating against certain patients by offering lower premiums, and prohibit States from taxing cost contract premiums; and (3) permit dedicated group practice health maintenance organizations to participate in the Medicare cost contract program.]]></text>
      </summary>
    </summaries>
    <title>Medicare Cost Contract Extension and Refinement Act of 2003</title>
    <titles>
      <item>
        <titleType>Display Title</titleType>
        <title>Medicare Cost Contract Extension and Refinement Act of 2003</title>
      </item>
      <item>
        <titleType>Official Title as Introduced</titleType>
        <title>A bill to amend title XVIII of the Social Security Act to extend reasonable cost contracts under the medicare program, to expand the area in which plans offered under such contracts may operate, to apply certain provisions of the Medicare+Choice program to such plans, and for other purposes.</title>
        <billTextVersionName>Introduced in Senate</billTextVersionName>
        <billTextVersionCode>IS</billTextVersionCode>
      </item>
      <item>
        <titleType>Short Titles as Introduced</titleType>
        <title>Medicare Cost Contract Extension and Refinement Act of 2003</title>
      </item>
    </titles>
    <textVersions>
      <item>
        <type>Introduced in Senate</type>
        <date>2003-06-10T04:00:00Z</date>
        <formats/>
      </item>
    </textVersions>
    <latestAction>
      <actionDate>2003-06-10</actionDate>
      <text>Read twice and referred to the Committee on Finance. (text of measure as introduced: CR S7626-7627)</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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