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    <number>987</number>
    <updateDate>2023-01-15T16:03:45Z</updateDate>
    <updateDateIncludingText>2023-01-15T16:03:45Z</updateDateIncludingText>
    <originChamber>Senate</originChamber>
    <originChamberCode>S</originChamberCode>
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    <introducedDate>2003-05-05</introducedDate>
    <congress>108</congress>
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        <name>Finance Committee</name>
        <chamber>Senate</chamber>
        <type>Standing</type>
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            <name>Referred to</name>
            <date>2003-05-05T20:23:10Z</date>
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        <actionDate>2003-05-05</actionDate>
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            <name>Finance Committee</name>
          </item>
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        <sourceSystem>
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        <text>Read twice and referred to the Committee on Finance.</text>
        <type>IntroReferral</type>
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      <item>
        <actionDate>2003-05-05</actionDate>
        <text>Sponsor introductory remarks on measure. (CR S5731-5733)</text>
        <type>IntroReferral</type>
        <actionCode>B00100</actionCode>
        <sourceSystem>
          <code>9</code>
          <name>Library of Congress</name>
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        <actionDate>2003-05-05</actionDate>
        <text>Introduced in Senate</text>
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        <actionCode>10000</actionCode>
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          <code>9</code>
          <name>Library of Congress</name>
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    <sponsors>
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        <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>
        <isByRequest>N</isByRequest>
      </item>
    </sponsors>
    <cosponsors>
      <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>2003-05-05</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>L000550</bioguideId>
        <fullName>Sen. Landrieu, Mary L. [D-LA]</fullName>
        <firstName>MARY</firstName>
        <lastName>LANDRIEU</lastName>
        <party>D</party>
        <state>LA</state>
        <sponsorshipDate>2003-06-03</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
    </cosponsors>
    <policyArea>
      <name>Health</name>
    </policyArea>
    <subjects>
      <legislativeSubjects>
        <item>
          <name>Access to health care</name>
        </item>
        <item>
          <name>Economics and Public Finance</name>
        </item>
        <item>
          <name>Federal-state relations</name>
        </item>
        <item>
          <name>Government Operations and Politics</name>
        </item>
        <item>
          <name>Hospital care</name>
        </item>
        <item>
          <name>Hospitals</name>
        </item>
        <item>
          <name>Housing and Community Development</name>
        </item>
        <item>
          <name>Medical economics</name>
        </item>
        <item>
          <name>Medicare</name>
        </item>
        <item>
          <name>Rural health</name>
        </item>
        <item>
          <name>Social Welfare</name>
        </item>
        <item>
          <name>State finance</name>
        </item>
      </legislativeSubjects>
      <policyArea>
        <name>Health</name>
      </policyArea>
    </subjects>
    <summaries>
      <summary>
        <versionCode>00</versionCode>
        <actionDate>2003-05-05</actionDate>
        <actionDesc>Introduced in Senate</actionDesc>
        <updateDate>2006-11-28T17:35:40Z</updateDate>
        <text><![CDATA[Rural Health Care Fairness and Medicare Equity Act of 2003 - Amends title XVIII (Medicare) of the Social Security Act (SSA) to direct the Secretary of Health and Human Services, for discharges occurring in a fiscal year beginning with FY 2004, to compute a standardized amount for hospitals in rural and small urban areas that is equal to the standardized amount computed for the previous fiscal year for hospitals located in a large urban area increased by the applicable percentage increase for the fiscal year involved.<p>Sets the wage index at 62 percent for discharges occurring in FY 2004, except that hospitals receiving lower payments as a result of such new wage index would be held harmless.<p>Creates a wage index floor for use in determining payments for discharges occurring in FY 2004 for hospitals with a wage index under 0.85.<p>Directs the Secretary to publish and use alternative guidelines for geographic reclassification of certain hospitals located in sparsely populated States.<p>Establishes a floor of 1.00 for the work geographic cost-of-practice index under the physician payment system.]]></text>
      </summary>
    </summaries>
    <title>Rural Health Care Fairness and Medicare Equity Act of 2003</title>
    <titles>
      <item>
        <titleType>Display Title</titleType>
        <title>Rural Health Care Fairness and Medicare 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 provide for national standardized payment amounts for inpatient hospital services furnished under the medicare program and to make other rural health care improvements.</title>
        <billTextVersionName>Introduced in Senate</billTextVersionName>
        <billTextVersionCode>IS</billTextVersionCode>
      </item>
      <item>
        <titleType>Short Titles as Introduced</titleType>
        <title>Rural Health Care Fairness and Medicare Equity Act of 2003</title>
      </item>
    </titles>
    <textVersions>
      <item>
        <type>Introduced in Senate</type>
        <date>2003-05-05T04:00:00Z</date>
        <formats/>
      </item>
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    <latestAction>
      <actionDate>2003-05-05</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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