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    <number>2492</number>
    <updateDate>2023-01-15T04:49:20Z</updateDate>
    <updateDateIncludingText>2023-01-15T04:49:20Z</updateDateIncludingText>
    <originChamber>Senate</originChamber>
    <originChamberCode>S</originChamberCode>
    <type>S</type>
    <introducedDate>2004-06-02</introducedDate>
    <congress>108</congress>
    <committees>
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        <systemCode>ssfi00</systemCode>
        <name>Finance Committee</name>
        <chamber>Senate</chamber>
        <type>Standing</type>
        <activities>
          <item>
            <name>Referred to</name>
            <date>2004-06-02T21:32:00Z</date>
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        <actionDate>2004-06-02</actionDate>
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            <systemCode>ssfi00</systemCode>
            <name>Finance Committee</name>
          </item>
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        <sourceSystem>
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        </sourceSystem>
        <text>Read twice and referred to the Committee on Finance.</text>
        <type>IntroReferral</type>
      </item>
      <item>
        <actionDate>2004-06-02</actionDate>
        <text>Sponsor introductory remarks on measure. (CR S6362-6363)</text>
        <type>IntroReferral</type>
        <actionCode>B00100</actionCode>
        <sourceSystem>
          <code>9</code>
          <name>Library of Congress</name>
        </sourceSystem>
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      <item>
        <actionDate>2004-06-02</actionDate>
        <text>Introduced in Senate</text>
        <type>IntroReferral</type>
        <actionCode>10000</actionCode>
        <sourceSystem>
          <code>9</code>
          <name>Library of Congress</name>
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    <sponsors>
      <item>
        <bioguideId>C000705</bioguideId>
        <fullName>Sen. Conrad, Kent [D-ND]</fullName>
        <firstName>KENT</firstName>
        <lastName>CONRAD</lastName>
        <party>D</party>
        <state>ND</state>
        <isByRequest>N</isByRequest>
      </item>
    </sponsors>
    <policyArea>
      <name>Health</name>
    </policyArea>
    <subjects>
      <legislativeSubjects>
        <item>
          <name>Education</name>
        </item>
        <item>
          <name>Higher education</name>
        </item>
        <item>
          <name>Hospital care</name>
        </item>
        <item>
          <name>Hospital rates</name>
        </item>
        <item>
          <name>Medical education</name>
        </item>
        <item>
          <name>Medical fees</name>
        </item>
        <item>
          <name>Medicare</name>
        </item>
        <item>
          <name>Midwives</name>
        </item>
        <item>
          <name>Social Welfare</name>
        </item>
      </legislativeSubjects>
      <policyArea>
        <name>Health</name>
      </policyArea>
    </subjects>
    <summaries>
      <summary>
        <versionCode>00</versionCode>
        <actionDate>2004-06-02</actionDate>
        <actionDesc>Introduced in Senate</actionDesc>
        <updateDate>2004-07-07T19:07:10Z</updateDate>
        <text><![CDATA[ <p>Improving Access to Nurse-Midwife Care Act of 2004 - Amends title XVIII (Medicare) of the Social Security Act to provide for the coverage of and payment for certified midwife services (currently only certified nurse-midwife services are covered) under Medicare part B (Supplementary Medical Insurance). Declares that nothing precludes certified nurse-midwives and certified midwives from teaching or supervising an intern or resident-in-training.</p> <p>Authorizes payment for such services to a person or entity (or the agent of such person or entity) the certified nurse-midwife (CNM) or certified midwife (CM) may designate under an agreement between the CNM or CM and such person or entity (by implication, including a free-standing birth center).</p>]]></text>
      </summary>
    </summaries>
    <title>Improving Access to Nurse-Midwife Care Act of 2004</title>
    <titles>
      <item>
        <titleType>Display Title</titleType>
        <title>Improving Access to Nurse-Midwife Care Act of 2004</title>
      </item>
      <item>
        <titleType>Official Title as Introduced</titleType>
        <title>A bill to amend title XVIII of the Social Security Act to provide for reimbursement of certified midwife services and to provide for more equitable reimbursement rates for certified nurse-midwife services.</title>
        <billTextVersionName>Introduced in Senate</billTextVersionName>
        <billTextVersionCode>IS</billTextVersionCode>
      </item>
      <item>
        <titleType>Short Titles as Introduced</titleType>
        <title>Improving Access to Nurse-Midwife Care Act of 2004</title>
      </item>
    </titles>
    <textVersions>
      <item>
        <type>Introduced in Senate</type>
        <date>2004-06-02T04:00:00Z</date>
        <formats/>
      </item>
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    <latestAction>
      <actionDate>2004-06-02</actionDate>
      <text>Read twice and referred to the Committee on Finance.</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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