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  <bill>
    <number>1897</number>
    <updateDate>2023-01-15T09:03:29Z</updateDate>
    <updateDateIncludingText>2023-01-15T09:03:29Z</updateDateIncludingText>
    <originChamber>Senate</originChamber>
    <originChamberCode>S</originChamberCode>
    <type>S</type>
    <introducedDate>2003-11-20</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>2003-11-20T16:38:21Z</date>
          </item>
        </activities>
      </item>
    </committees>
    <actions>
      <item>
        <actionDate>2003-11-20</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>
        <type>IntroReferral</type>
      </item>
      <item>
        <actionDate>2003-11-20</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>S000663</bioguideId>
        <fullName>Sen. Snowe, Olympia J. [R-ME]</fullName>
        <firstName>Olympia</firstName>
        <lastName>Snowe</lastName>
        <party>R</party>
        <state>ME</state>
        <middleName>J.</middleName>
        <isByRequest>N</isByRequest>
      </item>
    </sponsors>
    <cosponsors>
      <item>
        <bioguideId>D000563</bioguideId>
        <fullName>Sen. Durbin, Richard J. [D-IL]</fullName>
        <firstName>Richard</firstName>
        <lastName>Durbin</lastName>
        <party>D</party>
        <state>IL</state>
        <middleName>J.</middleName>
        <sponsorshipDate>2004-06-15</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
    </cosponsors>
    <policyArea>
      <name>Health</name>
    </policyArea>
    <subjects>
      <legislativeSubjects>
        <item>
          <name>Education</name>
        </item>
        <item>
          <name>Federal aid to education</name>
        </item>
        <item>
          <name>Higher education</name>
        </item>
        <item>
          <name>Hospitals</name>
        </item>
        <item>
          <name>Medical education</name>
        </item>
        <item>
          <name>Medical residents</name>
        </item>
        <item>
          <name>Medicare</name>
        </item>
        <item>
          <name>Osteopathy and osteopaths</name>
        </item>
        <item>
          <name>Social Welfare</name>
        </item>
      </legislativeSubjects>
      <policyArea>
        <name>Health</name>
      </policyArea>
    </subjects>
    <summaries>
      <summary>
        <versionCode>00</versionCode>
        <actionDate>2003-11-20</actionDate>
        <actionDesc>Introduced in Senate</actionDesc>
        <updateDate>2003-12-15T16:36:08Z</updateDate>
        <text><![CDATA[ <p>Amends title XVIII (Medicare) of the Social Security Act with respect to the counting of residents in approved allopathic and osteopathic medical residency training programs for purposes of indirect medical education and direct graduate medical education payments. Requires the Secretary of Health and Human Services to reimburse teaching hospitals for residents in nonprovider settings, when the hospital incurs all, or substantially all, the costs of training in that setting, starting from the effective date of a written agreement between the hospital and the entity owning or operating the nonprovider setting. Requires the effective date to be determined in accordance with generally accepted accounting principles. Defines all, or substantially all, of the costs for the training program in that setting as the residents' stipends and benefits and other costs, if any, as determined by the parties.</p>]]></text>
      </summary>
    </summaries>
    <title>Medicare Education Payment Clarification Act of 2003</title>
    <titles>
      <item>
        <titleType>Display Title</titleType>
        <title>Medicare Education Payment Clarification 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 provide a clarification of congressional intent regarding the counting of residents in a nonprovider setting for purposes making payment for medical education under the medicare program.</title>
        <billTextVersionName>Introduced in Senate</billTextVersionName>
        <billTextVersionCode>IS</billTextVersionCode>
      </item>
      <item>
        <titleType>Short Titles as Introduced</titleType>
        <title>Medicare Education Payment Clarification Act of 2003</title>
      </item>
    </titles>
    <textVersions>
      <item>
        <type>Introduced in Senate</type>
        <date>2003-11-20T05:00:00Z</date>
        <formats/>
      </item>
    </textVersions>
    <latestAction>
      <actionDate>2003-11-20</actionDate>
      <text>Read twice and referred to the Committee on Finance.</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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