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<billStatus>
  <version>3.0.0</version>
  <bill>
    <number>2570</number>
    <updateDate>2023-01-15T04:49:23Z</updateDate>
    <updateDateIncludingText>2023-01-15T04:49:23Z</updateDateIncludingText>
    <originChamber>Senate</originChamber>
    <originChamberCode>S</originChamberCode>
    <type>S</type>
    <introducedDate>2004-06-23</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>2004-06-23T23:51:50Z</date>
          </item>
        </activities>
      </item>
    </committees>
    <actions>
      <item>
        <actionDate>2004-06-23</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>2004-06-23</actionDate>
        <text>Introduced in Senate</text>
        <type>IntroReferral</type>
        <actionCode>10000</actionCode>
        <sourceSystem>
          <code>9</code>
          <name>Library of Congress</name>
        </sourceSystem>
      </item>
      <item>
        <actionDate>2004-06-22</actionDate>
        <text>Sponsor introductory remarks on measure. (mislabeled in CR as S.2558:  CR S7183-7189)</text>
        <type>IntroReferral</type>
        <actionCode>B00100</actionCode>
        <sourceSystem>
          <code>9</code>
          <name>Library of Congress</name>
        </sourceSystem>
      </item>
    </actions>
    <sponsors>
      <item>
        <bioguideId>S000709</bioguideId>
        <fullName>Sen. Specter, Arlen [R-PA]</fullName>
        <firstName>ARLEN</firstName>
        <lastName>SPECTER</lastName>
        <party>R</party>
        <state>PA</state>
        <isByRequest>N</isByRequest>
      </item>
    </sponsors>
    <cosponsors>
      <item>
        <bioguideId>H000206</bioguideId>
        <fullName>Sen. Harkin, Tom [D-IA]</fullName>
        <firstName>THOMAS</firstName>
        <lastName>HARKIN</lastName>
        <party>D</party>
        <state>IA</state>
        <middleName>RICHARD</middleName>
        <sponsorshipDate>2004-06-23</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
    </cosponsors>
    <policyArea>
      <name>Health</name>
    </policyArea>
    <subjects>
      <legislativeSubjects>
        <item>
          <name>Administrative fees</name>
        </item>
        <item>
          <name>Administrative procedure</name>
        </item>
        <item>
          <name>Agricultural labor</name>
        </item>
        <item>
          <name>Agriculture and Food</name>
        </item>
        <item>
          <name>Anesthetics</name>
        </item>
        <item>
          <name>Appropriations</name>
        </item>
        <item>
          <name>Associations, institutions, etc.</name>
        </item>
        <item>
          <name>Business records</name>
        </item>
        <item>
          <name>Career education</name>
        </item>
        <item>
          <name>Chambers of commerce</name>
        </item>
        <item>
          <name>Child health</name>
        </item>
        <item>
          <name>Churches</name>
        </item>
        <item>
          <name>Civil Rights and Liberties, Minority Issues</name>
        </item>
        <item>
          <name>Clergy</name>
        </item>
        <item>
          <name>Coinsurance</name>
        </item>
        <item>
          <name>Commerce</name>
        </item>
        <item>
          <name>Communication in medicine</name>
        </item>
        <item>
          <name>Community and school</name>
        </item>
        <item>
          <name>Computers</name>
        </item>
        <item>
          <name>Congress</name>
        </item>
        <item>
          <name>Congressional reporting requirements</name>
        </item>
        <item>
          <name>Consumer education</name>
        </item>
        <item>
          <name>Continuing education</name>
        </item>
        <item>
          <name>Cooperative societies</name>
        </item>
        <item>
          <name>Curricula</name>
        </item>
        <item>
          <name>Data banks</name>
        </item>
        <item>
          <name>Department of Health and Human Services</name>
        </item>
        <item>
          <name>Discrimination in insurance</name>
        </item>
        <item>
          <name>Discrimination in medical care</name>
        </item>
        <item>
          <name>Economics and Public Finance</name>
        </item>
        <item>
          <name>Education</name>
        </item>
        <item>
          <name>Electronic data interchange</name>
        </item>
        <item>
          <name>Elementary and secondary education</name>
        </item>
        <item>
          <name>Emergency Management</name>
        </item>
        <item>
          <name>Emergency medicine</name>
        </item>
        <item>
          <name>Employee health benefits</name>
        </item>
        <item>
          <name>Excise tax</name>
        </item>
        <item>
          <name>Families</name>
        </item>
        <item>
          <name>Federal aid to child health services</name>
        </item>
        <item>
          <name>Federal aid to education</name>
        </item>
        <item>
          <name>Federal aid to health facilities</name>
        </item>
        <item>
          <name>Federal aid to research</name>
        </item>
        <item>
          <name>Finance and Financial Sector</name>
        </item>
        <item>
          <name>Government Operations and Politics</name>
        </item>
        <item>
          <name>Government paperwork</name>
        </item>
        <item>
          <name>Government publicity</name>
        </item>
        <item>
          <name>Government trust funds</name>
        </item>
        <item>
          <name>Grants-in-aid</name>
        </item>
        <item>
          <name>Health care fraud</name>
        </item>
        <item>
          <name>Health education</name>
        </item>
        <item>
          <name>Health information systems</name>
        </item>
        <item>
          <name>Health insurance</name>
        </item>
        <item>
          <name>Health insurance continuation</name>
        </item>
        <item>
          <name>Health insurance portability</name>
        </item>
        <item>
          <name>Health promotion</name>
        </item>
        <item>
          <name>Higher education</name>
        </item>
        <item>
          <name>Hospital personnel</name>
        </item>
        <item>
          <name>Immigrant health</name>
        </item>
        <item>
          <name>Immigrants</name>
        </item>
        <item>
          <name>Immigration</name>
        </item>
        <item>
          <name>Information technology</name>
        </item>
        <item>
          <name>Insurance premiums</name>
        </item>
        <item>
          <name>Labor and Employment</name>
        </item>
        <item>
          <name>Law</name>
        </item>
        <item>
          <name>Licenses</name>
        </item>
        <item>
          <name>Living wills</name>
        </item>
        <item>
          <name>Married people</name>
        </item>
        <item>
          <name>Maternal health services</name>
        </item>
        <item>
          <name>Mathematics</name>
        </item>
        <item>
          <name>Medicaid</name>
        </item>
        <item>
          <name>Medical economics</name>
        </item>
        <item>
          <name>Medical education</name>
        </item>
        <item>
          <name>Medical fees</name>
        </item>
        <item>
          <name>Medical malpractice</name>
        </item>
        <item>
          <name>Medical records</name>
        </item>
        <item>
          <name>Medical research</name>
        </item>
        <item>
          <name>Medical statistics</name>
        </item>
        <item>
          <name>Medical technology</name>
        </item>
        <item>
          <name>Medically uninsured</name>
        </item>
        <item>
          <name>Medicare</name>
        </item>
        <item>
          <name>Mentoring</name>
        </item>
        <item>
          <name>Migrant labor</name>
        </item>
        <item>
          <name>Nonprofit organizations</name>
        </item>
        <item>
          <name>Nurse practitioners</name>
        </item>
        <item>
          <name>Nurses</name>
        </item>
        <item>
          <name>Nutrition</name>
        </item>
        <item>
          <name>Parents</name>
        </item>
        <item>
          <name>Patients' rights</name>
        </item>
        <item>
          <name>Payroll deductions</name>
        </item>
        <item>
          <name>Physicians' assistants</name>
        </item>
        <item>
          <name>Poor children</name>
        </item>
        <item>
          <name>Pregnant women</name>
        </item>
        <item>
          <name>Preventive medicine</name>
        </item>
        <item>
          <name>Professional associations</name>
        </item>
        <item>
          <name>Public service advertising</name>
        </item>
        <item>
          <name>Quality of care</name>
        </item>
        <item>
          <name>Religion</name>
        </item>
        <item>
          <name>Research grants</name>
        </item>
        <item>
          <name>Science, Technology, Communications</name>
        </item>
        <item>
          <name>Scientific education</name>
        </item>
        <item>
          <name>Seasonal labor</name>
        </item>
        <item>
          <name>Secondary education</name>
        </item>
        <item>
          <name>Self-insurance</name>
        </item>
        <item>
          <name>Small business</name>
        </item>
        <item>
          <name>Social Welfare</name>
        </item>
        <item>
          <name>Standards</name>
        </item>
        <item>
          <name>State laws</name>
        </item>
        <item>
          <name>Tax penalties</name>
        </item>
        <item>
          <name>Taxation</name>
        </item>
        <item>
          <name>Trade associations</name>
        </item>
        <item>
          <name>Valuation</name>
        </item>
        <item>
          <name>Welfare eligibility</name>
        </item>
        <item>
          <name>Women</name>
        </item>
        <item>
          <name>Women's health</name>
        </item>
        <item>
          <name>Youth</name>
        </item>
      </legislativeSubjects>
      <policyArea>
        <name>Health</name>
      </policyArea>
    </subjects>
    <summaries>
      <summary>
        <versionCode>00</versionCode>
        <actionDate>2004-06-23</actionDate>
        <actionDesc>Introduced in Senate</actionDesc>
        <updateDate>2004-11-12T21:09:37Z</updateDate>
        <text><![CDATA[ <p>Health Care Assurance Act of 2004 - Amends the Employee Retirement Income Security Act of 1974 (ERISA) and the Public Health Service Act to: (1) develop a target actuarial value for standard health care coverage offered by any plan or group or individual health insurance coverage; (2) specify how premiums for health care coverage are to be set; and (3) require health plans and issuers to disclose rating practices.</p> <p>Sets forth provisions governing the operation (including premium setting and enrollment) of qualified small employer purchasing groups, qualified association plans, church plans, multi-employer plans, plans maintained by rural electric cooperatives, and plans maintained by rural telephone cooperatives.</p> <p>Requires small employers to offer, but not contribute to, standard health care coverage.</p> <p>Amends the Internal Revenue Code to impose taxes on the failure of specified health insurance plans to comply with this Act.</p> <p>Sets forth provisions regarding &quot;continuation coverage&quot; (COBRA), including regarding deductibles, terminating coverage, length of coverage, and coverage of dependent children.</p> <p>Amends title XXI (State Children's Health Insurance) (SCHIP) of the Social Security Act (SSA) to: (1) revise the definition of an eligible ''low-income child'' to mean a child whose family income is at or below 233 percent (currently, 200 percent) of the poverty line;<i> </i> and (2) authorize States to extend SCHIP coverage to include health care assistance for low-income parents and pregnant women.</p> <p>Increases the authorized appropriations for the Account for Medicare Integrity Program.</p> <p>Requires the Secretary to provide for reporting systems, training, education, and a national database to reduce medical errors.</p> <p>Establishes the Trust Fund for Medical Treatment Outcomes Research to be funded using taxes related to health insurance policies.</p> <p>Sets forth provisions regarding information technology, including regarding how the use of such technology can be encouraged.</p> <p>Requires the Secretary to educate the public about health care choices and to develop ways to improve advance directives and living wills.</p> <p>Amends the title XVIII (Medicare) of the SSA to increase the reimbursement rate for physician assistants, nurse practitioners, and clinical nurse specialists.</p> <p>Requires the Secretary to establish programs to recruit high school or college students to careers in general medicine.</p>]]></text>
      </summary>
    </summaries>
    <title>Health Care Assurance Act of 2004</title>
    <titles>
      <item>
        <titleType>Display Title</titleType>
        <title>Health Care Assurance Act of 2004</title>
      </item>
      <item>
        <titleType>Official Title as Introduced</titleType>
        <title>A bill entitled "The Health Care Assurance Act of 2004".</title>
        <billTextVersionName>Introduced in Senate</billTextVersionName>
        <billTextVersionCode>IS</billTextVersionCode>
      </item>
      <item>
        <titleType>Short Titles as Introduced</titleType>
        <title>Health Care Assurance Act of 2004</title>
      </item>
    </titles>
    <textVersions>
      <item>
        <type>Introduced in Senate</type>
        <date>2004-06-23T04:00:00Z</date>
        <formats/>
      </item>
    </textVersions>
    <latestAction>
      <actionDate>2004-06-23</actionDate>
      <text>Read twice and referred to the Committee on Finance.</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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