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    <number>2545</number>
    <updateDate>2023-01-15T04:49:22Z</updateDate>
    <updateDateIncludingText>2023-01-15T04:49:22Z</updateDateIncludingText>
    <originChamber>Senate</originChamber>
    <originChamberCode>S</originChamberCode>
    <type>S</type>
    <introducedDate>2004-06-17</introducedDate>
    <congress>108</congress>
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        <name>Finance Committee</name>
        <chamber>Senate</chamber>
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            <name>Referred to</name>
            <date>2004-06-17T23:22:13Z</date>
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        <actionDate>2004-06-17</actionDate>
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        <text>Read twice and referred to the Committee on Finance. (text of measure as introduced: CR 6/18/2004 S7017-7018)</text>
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        <actionDate>2004-06-17</actionDate>
        <text>Sponsor introductory remarks on measure. (CR 6/18/2004 S7016-7017)</text>
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        <actionDate>2004-06-17</actionDate>
        <text>Introduced in Senate</text>
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    <sponsors>
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        <bioguideId>N000032</bioguideId>
        <fullName>Sen. Nelson, Bill [D-FL]</fullName>
        <firstName>CLARENCE</firstName>
        <lastName>NELSON</lastName>
        <party>D</party>
        <state>FL</state>
        <middleName>WILLIAM</middleName>
        <isByRequest>N</isByRequest>
      </item>
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        <bioguideId>R000361</bioguideId>
        <fullName>Sen. Rockefeller, John D., IV [D-WV]</fullName>
        <firstName>JAY</firstName>
        <lastName>ROCKEFELLER</lastName>
        <party>D</party>
        <state>WV</state>
        <sponsorshipDate>2004-06-17</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>L000504</bioguideId>
        <fullName>Sen. Lugar, Richard G. [R-IN]</fullName>
        <firstName>RICHARD</firstName>
        <lastName>LUGAR</lastName>
        <party>R</party>
        <state>IN</state>
        <middleName>GREEN</middleName>
        <sponsorshipDate>2004-07-08</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
    </cosponsors>
    <policyArea>
      <name>Health</name>
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    <subjects>
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        <item>
          <name>Communication in medicine</name>
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        <item>
          <name>Congress</name>
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        <item>
          <name>Congressional investigations</name>
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        <item>
          <name>Congressional reporting requirements</name>
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        <item>
          <name>Directories</name>
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        <item>
          <name>Economics and Public Finance</name>
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        <item>
          <name>Federal preemption</name>
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          <name>Government Operations and Politics</name>
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          <name>Government paperwork</name>
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          <name>Government publicity</name>
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          <name>Grants-in-aid</name>
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          <name>Health counseling</name>
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          <name>Health education</name>
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          <name>Health information systems</name>
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          <name>Health maintenance organizations</name>
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          <name>Law</name>
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          <name>Living wills</name>
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          <name>Managed care</name>
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        <item>
          <name>Medicaid</name>
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        <item>
          <name>Medical fees</name>
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        <item>
          <name>Medical records</name>
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        <item>
          <name>Medicare</name>
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        <item>
          <name>Patients' rights</name>
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        <item>
          <name>Physicians</name>
        </item>
        <item>
          <name>Power of attorney</name>
        </item>
        <item>
          <name>Public service advertising</name>
        </item>
        <item>
          <name>Science, Technology, Communications</name>
        </item>
        <item>
          <name>Social Welfare</name>
        </item>
        <item>
          <name>State laws</name>
        </item>
        <item>
          <name>Telephone</name>
        </item>
        <item>
          <name>Terminal care</name>
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      </legislativeSubjects>
      <policyArea>
        <name>Health</name>
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    <summaries>
      <summary>
        <versionCode>00</versionCode>
        <actionDate>2004-06-17</actionDate>
        <actionDesc>Introduced in Senate</actionDesc>
        <updateDate>2004-07-08T21:35:09Z</updateDate>
        <text><![CDATA[ <p>Advance Directives Improvement and Education Act of 2004 - Amends title XVIII (Medicare) of the Social Security Act, as amended by the Medicare Prescription Drug, Improvement, and Modernization Act of 2003, to provide for Medicare coverage of end-of-life planning consultations. Requires a service provider, Medicare Advantage organization, or prepaid or eligible organization to give effect to an advance directive executed outside the State in which it is presented, even one that does not appear to meet the formalities of execution, form, or language required by the State in which it is presented, to the same extent as such provider or organization would give effect to an advanced directive that meets such requirements. Permits a provider or organization to decline to honor such a directive if the provider or organization can reasonably demonstrate that it is not an authentic expression of the individual's wishes concerning his or her health care. Makes such advance directive requirements applicable under Medicaid, title XIX of the Social Security Act. </p> <p>Amends the Public Health Service Act to provide for grant programs to increase awareness of advance directive planning issues. Directs the Secretary to conduct a national public education campaign to: (1) raise public awareness of the importance of planning for care near the end of life; (2) improve the public's understanding of the various situations in which individuals may find themselves if they become unable to express their health care wishes; (3) explain the need for readily available legal documents that express an individual's wishes, through advance directives (including living wills, comfort care orders, and durable powers of attorney for health care); and (4) educate the public about the availability of hospice care and palliative care.</p> <p>Directs the Secretary to provide for the establishment of a national, toll-free, information clearinghouse as well as clearinghouses that the public may access to find out about State-specific information regarding advance directive and end-of-life decisions.</p> <p></p> <p>Requires General Accounting Office studies and reports on end-of-life planning issues. </p>]]></text>
      </summary>
    </summaries>
    <title>Advance Directives Improvement and Education Act of 2004</title>
    <titles>
      <item>
        <titleType>Display Title</titleType>
        <title>Advance Directives Improvement and Education Act of 2004</title>
      </item>
      <item>
        <titleType>Official Title as Introduced</titleType>
        <title>A bill to amend titles XVIII and XIX of the Social Security Act and title III of the Public Health Service Act to improve access to information about individuals' health care options and legal rights for care near the end of life, to promote advance care planning and decisionmaking so that individuals' wishes are known should they become unable to speak for themselves, to engage health care providers in disseminating information about and assisting in the preparation of advance directives, which include living wills and durable powers of attorney for health care, and for other purposes.</title>
        <billTextVersionName>Introduced in Senate</billTextVersionName>
        <billTextVersionCode>IS</billTextVersionCode>
      </item>
      <item>
        <titleType>Short Titles as Introduced</titleType>
        <title>Advance Directives Improvement and Education Act of 2004</title>
      </item>
    </titles>
    <textVersions>
      <item>
        <type>Introduced in Senate</type>
        <date>2004-06-17T04:00:00Z</date>
        <formats/>
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    <latestAction>
      <actionDate>2004-06-17</actionDate>
      <text>Read twice and referred to the Committee on Finance. (text of measure as introduced: CR 6/18/2004 S7017-7018)</text>
    </latestAction>
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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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