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    <number>2614</number>
    <updateDate>2023-01-14T22:48:24Z</updateDate>
    <updateDateIncludingText>2023-01-14T22:48:24Z</updateDateIncludingText>
    <originChamber>Senate</originChamber>
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    <introducedDate>2004-07-07</introducedDate>
    <congress>108</congress>
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        <name>Finance Committee</name>
        <chamber>Senate</chamber>
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            <name>Referred to</name>
            <date>2004-07-07T20:50:32Z</date>
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        <actionDate>2004-07-07</actionDate>
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            <name>Finance Committee</name>
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        <text>Read twice and referred to the Committee on Finance.</text>
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        <actionDate>2004-07-07</actionDate>
        <text>Sponsor introductory remarks on measure. (CR S7752-7753)</text>
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        <actionCode>B00100</actionCode>
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          <code>9</code>
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        <actionDate>2004-07-07</actionDate>
        <text>Introduced in Senate</text>
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          <code>9</code>
          <name>Library of Congress</name>
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    <sponsors>
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        <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>
    <cosponsors>
      <item>
        <bioguideId>S000059</bioguideId>
        <fullName>Sen. Santorum, Rick [R-PA]</fullName>
        <firstName>RICK</firstName>
        <lastName>SANTORUM</lastName>
        <party>R</party>
        <state>PA</state>
        <sponsorshipDate>2004-07-07</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>M001111</bioguideId>
        <fullName>Sen. Murray, Patty [D-WA]</fullName>
        <firstName>Patty</firstName>
        <lastName>Murray</lastName>
        <party>D</party>
        <state>WA</state>
        <sponsorshipDate>2004-09-07</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>M001153</bioguideId>
        <fullName>Sen. Murkowski, Lisa [R-AK]</fullName>
        <firstName>Lisa</firstName>
        <lastName>Murkowski</lastName>
        <party>R</party>
        <state>AK</state>
        <sponsorshipDate>2004-09-23</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>C000127</bioguideId>
        <fullName>Sen. Cantwell, Maria [D-WA]</fullName>
        <firstName>Maria</firstName>
        <lastName>Cantwell</lastName>
        <party>D</party>
        <state>WA</state>
        <sponsorshipDate>2004-09-27</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>B000468</bioguideId>
        <fullName>Sen. Bingaman, Jeff [D-NM]</fullName>
        <firstName>JESSE</firstName>
        <lastName>BINGAMAN</lastName>
        <party>D</party>
        <state>NM</state>
        <middleName>FRANCIS</middleName>
        <sponsorshipDate>2004-11-16</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
    </cosponsors>
    <policyArea>
      <name>Health</name>
    </policyArea>
    <subjects>
      <legislativeSubjects>
        <item>
          <name>Ambulatory care</name>
        </item>
        <item>
          <name>Case mix (Medical care)</name>
        </item>
        <item>
          <name>Congress</name>
        </item>
        <item>
          <name>Congressional investigations</name>
        </item>
        <item>
          <name>Congressional reporting requirements</name>
        </item>
        <item>
          <name>Governmental investigations</name>
        </item>
        <item>
          <name>Health education</name>
        </item>
        <item>
          <name>Health surveys</name>
        </item>
        <item>
          <name>Home care services</name>
        </item>
        <item>
          <name>Kidney diseases</name>
        </item>
        <item>
          <name>Medical economics</name>
        </item>
        <item>
          <name>Medical fees</name>
        </item>
        <item>
          <name>Medical research</name>
        </item>
        <item>
          <name>Medicare</name>
        </item>
        <item>
          <name>Nurse practitioners</name>
        </item>
        <item>
          <name>Nurses</name>
        </item>
        <item>
          <name>Physicians</name>
        </item>
        <item>
          <name>Physicians' assistants</name>
        </item>
        <item>
          <name>Quality of care</name>
        </item>
        <item>
          <name>Science, Technology, Communications</name>
        </item>
        <item>
          <name>Self-care</name>
        </item>
        <item>
          <name>Social Welfare</name>
        </item>
        <item>
          <name>Social work</name>
        </item>
        <item>
          <name>Surgeons</name>
        </item>
        <item>
          <name>Surgery</name>
        </item>
        <item>
          <name>Transplantation of organs, tissues, etc.</name>
        </item>
      </legislativeSubjects>
      <policyArea>
        <name>Health</name>
      </policyArea>
    </subjects>
    <summaries>
      <summary>
        <versionCode>00</versionCode>
        <actionDate>2004-07-07</actionDate>
        <actionDesc>Introduced in Senate</actionDesc>
        <updateDate>2004-07-19T17:07:42Z</updateDate>
        <text><![CDATA[ <p>ESRD Modernization 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 an annual update mechanism under the Medicare end stage renal disease (ESRD) program to adjust the payment rates for changes in input prices and inflation. </p> <p>Directs the Secretary of Health and Human Services to establish demonstration projects to: (1) increase public awareness about the factors that lead to chronic kidney disease, how to prevent it, how to treat it, and how to avoid kidney failure; and (2) enhance surveillance systems and expand research to better assess the prevalence and incidence of chronic kidney diseases. </p> <p>Requires the Secretary to establish demonstration projects to enable individuals with ESRD to develop self-management skills. </p> <p>Provides for Medicare coverage of kidney disease patient education services.</p> <p>Directs the Secretary to: (1) establish demonstration projects to evaluate how blood flow monitoring affects the quality and cost of care for Medicare beneficiaries with ESRD; (2) provide appropriate incentives to improve the home dialysis benefit for individuals on behalf of whom payment may be made; (3) enter into an arrangement with the Institute of Medicine of the National Academy of Sciences to evaluate the barriers to increasing the number of individuals with ESRD who elect to receive home dialysis services under the Medicare program; (4) review the surgical procedures and evaluate whether to include in such procedures the full range of dialysis access procedures and to revise such units to reflect evaluation findings; (5) review the relative value units under Medicare that are applicable with respect to physicians' services for vascular access procedures and revise them to reflect accurately the difficulty of such procedures; and (6) establish demonstration projects under which the Secretary shall evaluate methods that improve the quality of care provided to Medicare beneficiaries with ESRD.</p> <p>Directs the Comptroller General to study and report to Congress on the impact of the temporary codes for nephrologists' services applicable under the fee schedule for physicians' services.</p>]]></text>
      </summary>
    </summaries>
    <title>ESRD Modernization Act of 2004</title>
    <titles>
      <item>
        <titleType>Display Title</titleType>
        <title>ESRD Modernization 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 improve the benefits under the medicare program for beneficiaries with kidney disease, and for other purposes.</title>
        <billTextVersionName>Introduced in Senate</billTextVersionName>
        <billTextVersionCode>IS</billTextVersionCode>
      </item>
      <item>
        <titleType>Short Titles as Introduced</titleType>
        <title>ESRD Modernization Act of 2004</title>
      </item>
    </titles>
    <textVersions>
      <item>
        <type>Introduced in Senate</type>
        <date>2004-07-07T04:00:00Z</date>
        <formats/>
      </item>
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    <latestAction>
      <actionDate>2004-07-07</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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