<?xml version="1.0" encoding="utf-8" standalone="no"?>
<billStatus>
  <version>3.0.0</version>
  <bill>
    <number>172</number>
    <updateDate>2023-01-15T21:34:10Z</updateDate>
    <updateDateIncludingText>2023-01-15T21:34:10Z</updateDateIncludingText>
    <originChamber>Senate</originChamber>
    <originChamberCode>S</originChamberCode>
    <type>S</type>
    <introducedDate>2003-01-15</introducedDate>
    <congress>108</congress>
    <committees>
      <item>
        <systemCode>ssfi00</systemCode>
        <name>Finance Committee</name>
        <chamber>Senate</chamber>
        <type>Standing</type>
        <activities>
          <item>
            <name>Referred to</name>
            <date>2003-01-15T20:44:31Z</date>
          </item>
        </activities>
      </item>
    </committees>
    <actions>
      <item>
        <actionDate>2003-01-15</actionDate>
        <committees>
          <item>
            <systemCode>ssfi00</systemCode>
            <name>Finance Committee</name>
          </item>
        </committees>
        <sourceSystem>
          <name>Senate</name>
        </sourceSystem>
        <text>Read twice and referred to the Committee on Finance. (text of measure as introduced:  CR S856-859)</text>
        <type>IntroReferral</type>
      </item>
      <item>
        <actionDate>2003-01-15</actionDate>
        <text>Introduced in Senate</text>
        <type>IntroReferral</type>
        <actionCode>10000</actionCode>
        <sourceSystem>
          <code>9</code>
          <name>Library of Congress</name>
        </sourceSystem>
      </item>
    </actions>
    <sponsors>
      <item>
        <bioguideId>D000596</bioguideId>
        <fullName>Sen. Dayton, Mark [D-MN]</fullName>
        <firstName>MARK</firstName>
        <lastName>DAYTON</lastName>
        <party>D</party>
        <state>MN</state>
        <isByRequest>N</isByRequest>
      </item>
    </sponsors>
    <policyArea>
      <name>Health</name>
    </policyArea>
    <subjects>
      <legislativeSubjects>
        <item>
          <name>Access to health care</name>
        </item>
        <item>
          <name>Ambulances</name>
        </item>
        <item>
          <name>Ambulatory care</name>
        </item>
        <item>
          <name>Coinsurance</name>
        </item>
        <item>
          <name>Congress</name>
        </item>
        <item>
          <name>Congressional investigations</name>
        </item>
        <item>
          <name>Congressional reporting requirements</name>
        </item>
        <item>
          <name>Debt</name>
        </item>
        <item>
          <name>Disabled</name>
        </item>
        <item>
          <name>Emergency Management</name>
        </item>
        <item>
          <name>Emergency medicine</name>
        </item>
        <item>
          <name>Finance and Financial Sector</name>
        </item>
        <item>
          <name>Governmental investigations</name>
        </item>
        <item>
          <name>Home care services</name>
        </item>
        <item>
          <name>Hospital care</name>
        </item>
        <item>
          <name>Hospital rates</name>
        </item>
        <item>
          <name>Housing and Community Development</name>
        </item>
        <item>
          <name>Long-term care</name>
        </item>
        <item>
          <name>Medical economics</name>
        </item>
        <item>
          <name>Medical fees</name>
        </item>
        <item>
          <name>Medicare</name>
        </item>
        <item>
          <name>Mental health services</name>
        </item>
        <item>
          <name>Rehabilitation of the disabled</name>
        </item>
        <item>
          <name>Rural health</name>
        </item>
        <item>
          <name>Social Welfare</name>
        </item>
      </legislativeSubjects>
      <policyArea>
        <name>Health</name>
      </policyArea>
    </subjects>
    <summaries>
      <summary>
        <versionCode>00</versionCode>
        <actionDate>2003-01-15</actionDate>
        <actionDesc>Introduced in Senate</actionDesc>
        <updateDate>2006-11-28T17:35:40Z</updateDate>
        <text><![CDATA[Rural Health Care Equity Act of 2003 - Amends title XVIII (Medicare) of the Social Security Act (SSA) to: (1) permit hospitals to allocate swing beds and acute care inpatient beds subject to a total limit of 25 beds; (2) eliminate the isolation test for cost-based Medical critical access hospital (CAH) facility ambulance services; (3) provide for a specified alternative adjustment to the wage index; (4) establish a single standardized amount under the Medicare inpatient hospital prospective payment system (PPS); (5) restore the full market basket update for inpatient PPS hospitals; (6) freeze at 6.5 percent the indirect medical education adjustment percentage; (7) provide for establishment of a rural community hospital (RCH) program; (8) remove certain barriers to establishment of distinct part units by RCH and Medicare CAH facilities; (9) revise the CAH program, making various specified payment-related changes; and (10) extend the Medicare rural hospital flexibility program for five years.<p>Directs the Comptroller General to study and report to Congress on wage indexing and placement of hospitals in metropolitan statistical areas.]]></text>
      </summary>
    </summaries>
    <title>Rural Health Care Equity Act of 2003</title>
    <titles>
      <item>
        <titleType>Display Title</titleType>
        <title>Rural Health Care Equity 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 improve the access of medicare beneficiaries to services in rural hospitals and critical access hospitals, and for other purposes.</title>
        <billTextVersionName>Introduced in Senate</billTextVersionName>
        <billTextVersionCode>IS</billTextVersionCode>
      </item>
      <item>
        <titleType>Short Titles as Introduced</titleType>
        <title>Rural Health Care Equity Act of 2003</title>
      </item>
    </titles>
    <textVersions>
      <item>
        <type>Introduced in Senate</type>
        <date>2003-01-15T05:00:00Z</date>
        <formats/>
      </item>
    </textVersions>
    <latestAction>
      <actionDate>2003-01-15</actionDate>
      <text>Read twice and referred to the Committee on Finance. (text of measure as introduced:  CR S856-859)</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>
