<?xml version="1.0" encoding="utf-8" standalone="no"?>
<billStatus>
  <version>3.0.0</version>
  <bill>
    <number>816</number>
    <updateDate>2023-01-15T23:33:12Z</updateDate>
    <updateDateIncludingText>2023-01-15T23:33:12Z</updateDateIncludingText>
    <originChamber>Senate</originChamber>
    <originChamberCode>S</originChamberCode>
    <type>S</type>
    <introducedDate>2003-04-08</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>2003-04-08T19:53:52Z</date>
          </item>
        </activities>
      </item>
    </committees>
    <actions>
      <item>
        <actionDate>2003-04-08</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>2003-04-08</actionDate>
        <text>Sponsor introductory remarks on measure. (CR S4962-4963)</text>
        <type>IntroReferral</type>
        <actionCode>B00100</actionCode>
        <sourceSystem>
          <code>9</code>
          <name>Library of Congress</name>
        </sourceSystem>
      </item>
      <item>
        <actionDate>2003-04-08</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>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>T000162</bioguideId>
        <fullName>Sen. Thomas, Craig [R-WY]</fullName>
        <firstName>CRAIG</firstName>
        <lastName>THOMAS</lastName>
        <party>R</party>
        <state>WY</state>
        <sponsorshipDate>2003-04-08</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <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>2003-04-08</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>G000386</bioguideId>
        <fullName>Sen. Grassley, Chuck [R-IA]</fullName>
        <firstName>Charles</firstName>
        <lastName>Grassley</lastName>
        <party>R</party>
        <state>IA</state>
        <middleName>E.</middleName>
        <sponsorshipDate>2003-04-08</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>S001142</bioguideId>
        <fullName>Sen. Smith, Gordon H. [R-OR]</fullName>
        <firstName>GORDON</firstName>
        <lastName>SMITH</lastName>
        <party>R</party>
        <state>OR</state>
        <middleName>H.</middleName>
        <sponsorshipDate>2003-04-08</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <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>2003-04-08</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>R000307</bioguideId>
        <fullName>Sen. Roberts, Pat [R-KS]</fullName>
        <firstName>PAT</firstName>
        <lastName>ROBERTS</lastName>
        <party>R</party>
        <state>KS</state>
        <sponsorshipDate>2003-04-08</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>D000064</bioguideId>
        <fullName>Sen. Daschle, Thomas A. [D-SD]</fullName>
        <firstName>THOMAS</firstName>
        <lastName>DASCHLE</lastName>
        <party>D</party>
        <state>SD</state>
        <middleName>ANDREW</middleName>
        <sponsorshipDate>2003-04-08</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>D000432</bioguideId>
        <fullName>Sen. Dorgan, Byron L. [D-ND]</fullName>
        <firstName>BYRON</firstName>
        <lastName>DORGAN</lastName>
        <party>D</party>
        <state>ND</state>
        <middleName>LESLIE</middleName>
        <sponsorshipDate>2003-04-08</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>D000407</bioguideId>
        <fullName>Sen. Domenici, Pete V. [R-NM]</fullName>
        <firstName>PETE</firstName>
        <lastName>DOMENICI</lastName>
        <party>R</party>
        <state>NM</state>
        <middleName>VICHI</middleName>
        <sponsorshipDate>2003-04-08</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>L000035</bioguideId>
        <fullName>Sen. Lincoln, Blanche L. [D-AR]</fullName>
        <firstName>BLANCHE</firstName>
        <lastName>LINCOLN</lastName>
        <party>D</party>
        <state>AR</state>
        <middleName>LAMBERT</middleName>
        <sponsorshipDate>2003-04-08</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>B001126</bioguideId>
        <fullName>Sen. Burns, Conrad R. [R-MT]</fullName>
        <firstName>CONRAD</firstName>
        <lastName>BURNS</lastName>
        <party>R</party>
        <state>MT</state>
        <middleName>R.</middleName>
        <sponsorshipDate>2003-04-08</sponsorshipDate>
        <isOriginalCosponsor>True</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>2003-04-08</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>J000072</bioguideId>
        <fullName>Sen. Jeffords, James M. [I-VT]</fullName>
        <firstName>JAMES</firstName>
        <lastName>JEFFORDS</lastName>
        <party>I</party>
        <state>VT</state>
        <middleName>MERRILL</middleName>
        <sponsorshipDate>2003-04-08</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>J000177</bioguideId>
        <fullName>Sen. Johnson, Tim [D-SD]</fullName>
        <firstName>TIM</firstName>
        <lastName>JOHNSON</lastName>
        <party>D</party>
        <state>SD</state>
        <sponsorshipDate>2003-04-08</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>L000261</bioguideId>
        <fullName>Sen. Levin, Carl [D-MI]</fullName>
        <firstName>CARL</firstName>
        <lastName>LEVIN</lastName>
        <party>D</party>
        <state>MI</state>
        <middleName>MILTON</middleName>
        <sponsorshipDate>2003-04-08</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>T000024</bioguideId>
        <fullName>Sen. Talent, Jim [R-MO]</fullName>
        <firstName>JIM</firstName>
        <lastName>TALENT</lastName>
        <party>R</party>
        <state>MO</state>
        <sponsorshipDate>2003-04-08</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>D000596</bioguideId>
        <fullName>Sen. Dayton, Mark [D-MN]</fullName>
        <firstName>MARK</firstName>
        <lastName>DAYTON</lastName>
        <party>D</party>
        <state>MN</state>
        <sponsorshipDate>2003-04-08</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>B000611</bioguideId>
        <fullName>Sen. Bond, Christopher S. [R-MO]</fullName>
        <firstName>CHRISTOPHER</firstName>
        <lastName>BOND</lastName>
        <party>R</party>
        <state>MO</state>
        <middleName>S.</middleName>
        <sponsorshipDate>2003-04-08</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>E000286</bioguideId>
        <fullName>Sen. Edwards, John [D-NC]</fullName>
        <firstName>JOHN</firstName>
        <lastName>EDWARDS</lastName>
        <party>D</party>
        <state>NC</state>
        <sponsorshipDate>2003-04-08</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>C000567</bioguideId>
        <fullName>Sen. Cochran, Thad [R-MS]</fullName>
        <firstName>Thad</firstName>
        <lastName>Cochran</lastName>
        <party>R</party>
        <state>MS</state>
        <sponsorshipDate>2003-04-08</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>P000590</bioguideId>
        <fullName>Sen. Pryor, Mark L. [D-AR]</fullName>
        <firstName>Mark</firstName>
        <lastName>Pryor</lastName>
        <party>D</party>
        <state>AR</state>
        <middleName>Lunsford</middleName>
        <sponsorshipDate>2003-04-08</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>2003-04-08</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <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>
        <sponsorshipDate>2003-04-08</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>C001057</bioguideId>
        <fullName>Sen. Coleman, Norm [R-MN]</fullName>
        <firstName>Norm</firstName>
        <lastName>Coleman</lastName>
        <party>R</party>
        <state>MN</state>
        <sponsorshipDate>2003-04-08</sponsorshipDate>
        <isOriginalCosponsor>True</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>2003-04-08</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>L000174</bioguideId>
        <fullName>Sen. Leahy, Patrick J. [D-VT]</fullName>
        <firstName>Patrick</firstName>
        <lastName>Leahy</lastName>
        <party>D</party>
        <state>VT</state>
        <sponsorshipDate>2003-04-09</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>I000025</bioguideId>
        <fullName>Sen. Inouye, Daniel K. [D-HI]</fullName>
        <firstName>DANIEL</firstName>
        <lastName>INOUYE</lastName>
        <party>D</party>
        <state>HI</state>
        <middleName>KEN</middleName>
        <sponsorshipDate>2003-04-10</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>I000024</bioguideId>
        <fullName>Sen. Inhofe, James M. [R-OK]</fullName>
        <firstName>Jim</firstName>
        <lastName>Inhofe</lastName>
        <party>R</party>
        <state>OK</state>
        <sponsorshipDate>2003-04-11</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>S000770</bioguideId>
        <fullName>Sen. Stabenow, Debbie [D-MI]</fullName>
        <firstName>Debbie</firstName>
        <lastName>Stabenow</lastName>
        <party>D</party>
        <state>MI</state>
        <sponsorshipDate>2003-04-28</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>C001035</bioguideId>
        <fullName>Sen. Collins, Susan M. [R-ME]</fullName>
        <firstName>Susan</firstName>
        <lastName>Collins</lastName>
        <party>R</party>
        <state>ME</state>
        <middleName>M.</middleName>
        <sponsorshipDate>2003-04-28</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>H001028</bioguideId>
        <fullName>Sen. Hagel, Chuck [R-NE]</fullName>
        <firstName>CHUCK</firstName>
        <lastName>HAGEL</lastName>
        <party>R</party>
        <state>NE</state>
        <sponsorshipDate>2003-04-29</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>E000285</bioguideId>
        <fullName>Sen. Enzi, Michael B. [R-WY]</fullName>
        <firstName>MICHAEL</firstName>
        <lastName>ENZI</lastName>
        <party>R</party>
        <state>WY</state>
        <middleName>B.</middleName>
        <sponsorshipDate>2003-06-02</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>C000880</bioguideId>
        <fullName>Sen. Crapo, Mike [R-ID]</fullName>
        <firstName>Mike</firstName>
        <lastName>Crapo</lastName>
        <party>R</party>
        <state>ID</state>
        <sponsorshipDate>2003-06-04</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>W000154</bioguideId>
        <fullName>Sen. Warner, John [R-VA]</fullName>
        <firstName>JOHN</firstName>
        <lastName>WARNER</lastName>
        <party>R</party>
        <state>VA</state>
        <middleName>WILLIAM</middleName>
        <sponsorshipDate>2003-10-22</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
    </cosponsors>
    <policyArea>
      <name>Health</name>
    </policyArea>
    <subjects>
      <legislativeSubjects>
        <item>
          <name>Access to health care</name>
        </item>
        <item>
          <name>Ambulances</name>
        </item>
        <item>
          <name>Ambulatory care</name>
        </item>
        <item>
          <name>Authorization</name>
        </item>
        <item>
          <name>Building construction</name>
        </item>
        <item>
          <name>Capital investments</name>
        </item>
        <item>
          <name>Case mix (Medical care)</name>
        </item>
        <item>
          <name>Clinics</name>
        </item>
        <item>
          <name>Community health services</name>
        </item>
        <item>
          <name>Department of Health and Human Services</name>
        </item>
        <item>
          <name>Economics and Public Finance</name>
        </item>
        <item>
          <name>Emergency Management</name>
        </item>
        <item>
          <name>Emergency medicine</name>
        </item>
        <item>
          <name>Federal aid to health facilities</name>
        </item>
        <item>
          <name>Federally-guaranteed loans</name>
        </item>
        <item>
          <name>Finance and Financial Sector</name>
        </item>
        <item>
          <name>Government Operations and Politics</name>
        </item>
        <item>
          <name>Government lending</name>
        </item>
        <item>
          <name>Government trust funds</name>
        </item>
        <item>
          <name>Hospital care</name>
        </item>
        <item>
          <name>Hospital rates</name>
        </item>
        <item>
          <name>Hospitals</name>
        </item>
        <item>
          <name>Housing and Community Development</name>
        </item>
        <item>
          <name>Interest rates</name>
        </item>
        <item>
          <name>Labor and Employment</name>
        </item>
        <item>
          <name>Land transfers</name>
        </item>
        <item>
          <name>Maintenance and repair</name>
        </item>
        <item>
          <name>Medical fees</name>
        </item>
        <item>
          <name>Medical laboratories</name>
        </item>
        <item>
          <name>Medical tests</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>Revolving funds</name>
        </item>
        <item>
          <name>Rural health</name>
        </item>
        <item>
          <name>Social Welfare</name>
        </item>
        <item>
          <name>Subsidies</name>
        </item>
        <item>
          <name>Transportation and Public Works</name>
        </item>
        <item>
          <name>Wages</name>
        </item>
      </legislativeSubjects>
      <policyArea>
        <name>Health</name>
      </policyArea>
    </subjects>
    <summaries>
      <summary>
        <versionCode>00</versionCode>
        <actionDate>2003-04-08</actionDate>
        <actionDesc>Introduced in Senate</actionDesc>
        <updateDate>2006-11-28T17:35:40Z</updateDate>
        <text><![CDATA[Health Care Access and Rural Equity Act of 2003 - Amends title XVIII (Medicare) of the Social Security Act (SSA) to make a variety of changes with regard to rural health care and such matters as: (1) urban and rural standardized payment amounts under the Medicare inpatient hospital prospective payment system (PPS); (2) disproportionate share hospital (DSH) adjustment for rural hospitals; (3) payment adjustment for low-volume hospitals; (4) adjustment to the Medicare inpatient hospital PPS wage index to revise the labor-related share of such index; (5) treatment of certain sole community hospitals to limit the decline in payment under the PPS for hospital outpatient department services; (6) the critical access hospital program; and (7) permanent treatment of certain physician pathology services under Medicare.<p>Directs the Secretary of Health and Human Services to publish and use alternative guidelines for geographic reclassification of certain hospitals located in sparsely populated States.<p>Amends the Public Health Service Act to give the Secretary the authority to make and guarantee loans from the loan fund to any rural entity for projects for capital improvements.<p>Amends SSA title XVIII to provide for a five-year extension of the authorization for appropriations for certain Medicare rural grants.]]></text>
      </summary>
    </summaries>
    <title>Health Care Access and Rural Equity Act of 2003</title>
    <titles>
      <item>
        <titleType>Display Title</titleType>
        <title>Health Care Access and Rural Equity 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 protect and preserve access of medicare beneficiaries to health care provided by hospitals in rural areas, and for other purposes.</title>
        <billTextVersionName>Introduced in Senate</billTextVersionName>
        <billTextVersionCode>IS</billTextVersionCode>
      </item>
      <item>
        <titleType>Short Titles as Introduced</titleType>
        <title>Health Care Access and Rural Equity Act of 2003</title>
      </item>
    </titles>
    <textVersions>
      <item>
        <type>Introduced in Senate</type>
        <date>2003-04-08T04:00:00Z</date>
        <formats/>
      </item>
    </textVersions>
    <latestAction>
      <actionDate>2003-04-08</actionDate>
      <text>Read twice and referred to the Committee on Finance.</text>
    </latestAction>
  </bill>
  <dublinCore xmlns:dc="http://purl.org/dc/elements/1.1/">
    <dc:format>text/xml</dc:format>
    <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>
  </dublinCore>
</billStatus>
