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<billStatus>
  <version>3.0.0</version>
  <bill>
    <number>5866</number>
    <updateDate>2023-01-12T17:52:36Z</updateDate>
    <updateDateIncludingText>2023-01-12T17:52:36Z</updateDateIncludingText>
    <originChamber>House</originChamber>
    <originChamberCode>H</originChamberCode>
    <type>HR</type>
    <introducedDate>2006-07-24</introducedDate>
    <congress>109</congress>
    <committees>
      <item>
        <systemCode>hsif00</systemCode>
        <name>Energy and Commerce Committee</name>
        <chamber>House</chamber>
        <type>Standing</type>
        <subcommittees>
          <item>
            <systemCode>hsif14</systemCode>
            <name>Health Subcommittee</name>
            <activities>
              <item>
                <name>Referred to</name>
                <date>2006-08-01T19:38:01Z</date>
              </item>
            </activities>
          </item>
        </subcommittees>
        <activities>
          <item>
            <name>Referred to</name>
            <date>2006-07-24T16:30:50Z</date>
          </item>
        </activities>
      </item>
      <item>
        <systemCode>hswm00</systemCode>
        <name>Ways and Means Committee</name>
        <chamber>House</chamber>
        <type>Standing</type>
        <activities>
          <item>
            <name>Referred to</name>
            <date>2006-07-24T16:31:00Z</date>
          </item>
        </activities>
      </item>
    </committees>
    <actions>
      <item>
        <actionDate>2006-09-13</actionDate>
        <text>Sponsor introductory remarks on measure. (CR H6526-6532)</text>
        <type>IntroReferral</type>
        <actionCode>B00100</actionCode>
        <sourceSystem>
          <code>9</code>
          <name>Library of Congress</name>
        </sourceSystem>
      </item>
      <item>
        <actionDate>2006-09-06</actionDate>
        <text>Sponsor introductory remarks on measure. (CR H6275-6276)</text>
        <type>IntroReferral</type>
        <actionCode>B00100</actionCode>
        <sourceSystem>
          <code>9</code>
          <name>Library of Congress</name>
        </sourceSystem>
      </item>
      <item>
        <actionDate>2006-08-01</actionDate>
        <committees>
          <item>
            <systemCode>hsif14</systemCode>
            <name>Health Subcommittee</name>
          </item>
        </committees>
        <sourceSystem>
          <code>1</code>
          <name>House committee actions</name>
        </sourceSystem>
        <text>Referred to the Subcommittee on Health.</text>
        <type>Committee</type>
      </item>
      <item>
        <actionDate>2006-07-28</actionDate>
        <text>Sponsor introductory remarks on measure. (CR H6022-6023)</text>
        <type>IntroReferral</type>
        <actionCode>B00100</actionCode>
        <sourceSystem>
          <code>9</code>
          <name>Library of Congress</name>
        </sourceSystem>
      </item>
      <item>
        <actionDate>2006-07-24</actionDate>
        <text>Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.</text>
        <type>IntroReferral</type>
        <actionCode>H11100</actionCode>
        <sourceSystem>
          <code>2</code>
          <name>House floor actions</name>
        </sourceSystem>
        <committees>
          <item>
            <systemCode>hswm00</systemCode>
            <name>Ways and Means Committee</name>
          </item>
        </committees>
      </item>
      <item>
        <actionDate>2006-07-24</actionDate>
        <text>Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.</text>
        <type>IntroReferral</type>
        <actionCode>H11100-A</actionCode>
        <sourceSystem>
          <code>9</code>
          <name>Library of Congress</name>
        </sourceSystem>
      </item>
      <item>
        <actionDate>2006-07-24</actionDate>
        <text>Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.</text>
        <type>IntroReferral</type>
        <actionCode>H11100</actionCode>
        <sourceSystem>
          <code>2</code>
          <name>House floor actions</name>
        </sourceSystem>
        <committees>
          <item>
            <systemCode>hsif00</systemCode>
            <name>Energy and Commerce Committee</name>
          </item>
        </committees>
      </item>
      <item>
        <actionDate>2006-07-24</actionDate>
        <text>Introduced in House</text>
        <type>IntroReferral</type>
        <actionCode>Intro-H</actionCode>
        <sourceSystem>
          <code>9</code>
          <name>Library of Congress</name>
        </sourceSystem>
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      <item>
        <actionDate>2006-07-24</actionDate>
        <text>Introduced in House</text>
        <type>IntroReferral</type>
        <actionCode>1000</actionCode>
        <sourceSystem>
          <code>9</code>
          <name>Library of Congress</name>
        </sourceSystem>
      </item>
    </actions>
    <sponsors>
      <item>
        <bioguideId>B001248</bioguideId>
        <fullName>Rep. Burgess, Michael C. [R-TX-26]</fullName>
        <firstName>Michael</firstName>
        <lastName>Burgess</lastName>
        <party>R</party>
        <state>TX</state>
        <middleName>C.</middleName>
        <district>26</district>
        <isByRequest>N</isByRequest>
      </item>
    </sponsors>
    <cosponsors>
      <item>
        <bioguideId>N000159</bioguideId>
        <fullName>Rep. Norwood, Charles W. [R-GA-9]</fullName>
        <firstName>CHARLES</firstName>
        <lastName>NORWOOD</lastName>
        <party>R</party>
        <state>GA</state>
        <middleName>W.</middleName>
        <district>9</district>
        <sponsorshipDate>2006-07-24</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>W000267</bioguideId>
        <fullName>Rep. Weldon, Dave [R-FL-15]</fullName>
        <firstName>DAVE</firstName>
        <lastName>WELDON</lastName>
        <party>R</party>
        <state>FL</state>
        <district>15</district>
        <sponsorshipDate>2006-07-24</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>B001255</bioguideId>
        <fullName>Rep. Boustany, Charles W., Jr. [R-LA-7]</fullName>
        <firstName>Charles</firstName>
        <lastName>Boustany</lastName>
        <party>R</party>
        <state>LA</state>
        <middleName>W.</middleName>
        <district>7</district>
        <sponsorshipDate>2006-07-24</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>G000550</bioguideId>
        <fullName>Rep. Gingrey, Phil [R-GA-11]</fullName>
        <firstName>Phil</firstName>
        <lastName>Gingrey</lastName>
        <party>R</party>
        <state>GA</state>
        <district>11</district>
        <sponsorshipDate>2006-07-25</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>B001149</bioguideId>
        <fullName>Rep. Burton, Dan [R-IN-5]</fullName>
        <firstName>DAN</firstName>
        <lastName>BURTON</lastName>
        <party>R</party>
        <state>IN</state>
        <district>5</district>
        <sponsorshipDate>2006-07-27</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>K000364</bioguideId>
        <fullName>Rep. Kuhl, John R. "Randy", Jr. [R-NY-29]</fullName>
        <firstName>John</firstName>
        <lastName>Kuhl</lastName>
        <party>R</party>
        <state>NY</state>
        <middleName>R. "Randy"</middleName>
        <district>29</district>
        <sponsorshipDate>2006-07-27</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>D000597</bioguideId>
        <fullName>Rep. Davis, Jo Ann [R-VA-1]</fullName>
        <firstName>JO ANN</firstName>
        <lastName>DAVIS</lastName>
        <party>R</party>
        <state>VA</state>
        <district>1</district>
        <sponsorshipDate>2006-07-28</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>W000413</bioguideId>
        <fullName>Rep. Whitfield, Ed [R-KY-1]</fullName>
        <firstName>EDWARD</firstName>
        <lastName>WHITFIELD</lastName>
        <party>R</party>
        <state>KY</state>
        <district>1</district>
        <sponsorshipDate>2006-09-06</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>S000250</bioguideId>
        <fullName>Rep. Sessions, Pete [R-TX-32]</fullName>
        <firstName>PETE</firstName>
        <lastName>SESSIONS</lastName>
        <party>R</party>
        <state>TX</state>
        <district>32</district>
        <sponsorshipDate>2006-09-07</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>G000549</bioguideId>
        <fullName>Rep. Gerlach, Jim [R-PA-6]</fullName>
        <firstName>Jim</firstName>
        <lastName>Gerlach</lastName>
        <party>R</party>
        <state>PA</state>
        <district>6</district>
        <sponsorshipDate>2006-09-07</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>T000238</bioguideId>
        <fullName>Rep. Thornberry, Mac [R-TX-13]</fullName>
        <firstName>WILLIAM</firstName>
        <lastName>THORNBERRY</lastName>
        <party>R</party>
        <state>TX</state>
        <middleName>M.</middleName>
        <district>13</district>
        <sponsorshipDate>2006-09-07</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>G000377</bioguideId>
        <fullName>Rep. Granger, Kay [R-TX-12]</fullName>
        <firstName>KAY</firstName>
        <lastName>GRANGER</lastName>
        <party>R</party>
        <state>TX</state>
        <district>12</district>
        <sponsorshipDate>2006-09-07</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>H000444</bioguideId>
        <fullName>Rep. Hefley, Joel [R-CO-5]</fullName>
        <firstName>JOEL</firstName>
        <lastName>HEFLEY</lastName>
        <party>R</party>
        <state>CO</state>
        <district>5</district>
        <sponsorshipDate>2006-09-07</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>C001051</bioguideId>
        <fullName>Rep. Carter, John R. [R-TX-31]</fullName>
        <firstName>John</firstName>
        <lastName>Carter</lastName>
        <party>R</party>
        <state>TX</state>
        <middleName>R.</middleName>
        <district>31</district>
        <sponsorshipDate>2006-09-07</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>M001138</bioguideId>
        <fullName>Rep. Manzullo, Donald A. [R-IL-16]</fullName>
        <firstName>DONALD</firstName>
        <lastName>MANZULLO</lastName>
        <party>R</party>
        <state>IL</state>
        <district>16</district>
        <sponsorshipDate>2006-09-07</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>H000067</bioguideId>
        <fullName>Rep. Hall, Ralph M. [R-TX-4]</fullName>
        <firstName>RALPH</firstName>
        <lastName>HALL</lastName>
        <party>R</party>
        <state>TX</state>
        <middleName>M.</middleName>
        <district>4</district>
        <sponsorshipDate>2006-09-07</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>W000268</bioguideId>
        <fullName>Rep. Weldon, Curt [R-PA-7]</fullName>
        <firstName>CURT</firstName>
        <lastName>WELDON</lastName>
        <party>R</party>
        <state>PA</state>
        <district>7</district>
        <sponsorshipDate>2006-09-07</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>K000078</bioguideId>
        <fullName>Rep. Kelly, Sue W. [R-NY-19]</fullName>
        <firstName>SUE</firstName>
        <lastName>KELLY</lastName>
        <party>R</party>
        <state>NY</state>
        <middleName>W.</middleName>
        <district>19</district>
        <sponsorshipDate>2006-09-12</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>B001244</bioguideId>
        <fullName>Rep. Bonner, Jo [R-AL-1]</fullName>
        <firstName>Jo</firstName>
        <lastName>Bonner</lastName>
        <party>R</party>
        <state>AL</state>
        <district>1</district>
        <sponsorshipDate>2006-09-14</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>R000409</bioguideId>
        <fullName>Rep. Rohrabacher, Dana [R-CA-46]</fullName>
        <firstName>DANA</firstName>
        <lastName>ROHRABACHER</lastName>
        <party>R</party>
        <state>CA</state>
        <district>46</district>
        <sponsorshipDate>2006-09-14</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>L000491</bioguideId>
        <fullName>Rep. Lucas, Frank D. [R-OK-3]</fullName>
        <firstName>FRANK</firstName>
        <lastName>LUCAS</lastName>
        <party>R</party>
        <state>OK</state>
        <middleName>D.</middleName>
        <district>3</district>
        <sponsorshipDate>2006-09-14</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>S001155</bioguideId>
        <fullName>Rep. Sullivan, John [R-OK-1]</fullName>
        <firstName>John</firstName>
        <lastName>Sullivan</lastName>
        <party>R</party>
        <state>OK</state>
        <district>1</district>
        <sponsorshipDate>2006-09-14</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>M001157</bioguideId>
        <fullName>Rep. McCaul, Michael T. [R-TX-10]</fullName>
        <firstName>Michael</firstName>
        <lastName>McCaul</lastName>
        <party>R</party>
        <state>TX</state>
        <middleName>T.</middleName>
        <district>10</district>
        <sponsorshipDate>2006-09-14</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>C001063</bioguideId>
        <fullName>Rep. Cuellar, Henry [D-TX-28]</fullName>
        <firstName>Henry</firstName>
        <lastName>Cuellar</lastName>
        <party>D</party>
        <state>TX</state>
        <district>28</district>
        <sponsorshipDate>2006-09-14</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>M001158</bioguideId>
        <fullName>Rep. Marchant, Kenny [R-TX-24]</fullName>
        <firstName>Kenny</firstName>
        <lastName>Marchant</lastName>
        <party>R</party>
        <state>TX</state>
        <district>24</district>
        <sponsorshipDate>2006-09-14</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>G000180</bioguideId>
        <fullName>Rep. Gilchrest, Wayne T. [R-MD-1]</fullName>
        <firstName>WAYNE</firstName>
        <lastName>GILCHREST</lastName>
        <party>R</party>
        <state>MD</state>
        <middleName>T.</middleName>
        <district>1</district>
        <sponsorshipDate>2006-09-14</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>R000572</bioguideId>
        <fullName>Rep. Rogers, Mike J. [R-MI-8]</fullName>
        <firstName>Mike</firstName>
        <lastName>Rogers</lastName>
        <party>R</party>
        <state>MI</state>
        <district>8</district>
        <sponsorshipDate>2006-09-14</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>M001120</bioguideId>
        <fullName>Rep. Murtha, John P. [D-PA-12]</fullName>
        <firstName>JOHN</firstName>
        <lastName>MURTHA</lastName>
        <party>D</party>
        <state>PA</state>
        <middleName>P.</middleName>
        <district>12</district>
        <sponsorshipDate>2006-09-14</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>F000448</bioguideId>
        <fullName>Rep. Franks, Trent [R-AZ-2]</fullName>
        <firstName>Trent</firstName>
        <lastName>Franks</lastName>
        <party>R</party>
        <state>AZ</state>
        <district>2</district>
        <sponsorshipDate>2006-09-14</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>M001152</bioguideId>
        <fullName>Rep. Musgrave, Marilyn N. [R-CO-4]</fullName>
        <firstName>Marilyn</firstName>
        <lastName>Musgrave</lastName>
        <party>R</party>
        <state>CO</state>
        <middleName>N.</middleName>
        <district>4</district>
        <sponsorshipDate>2006-09-14</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>P000589</bioguideId>
        <fullName>Rep. Porter, Jon C. [R-NV-3]</fullName>
        <firstName>Jon</firstName>
        <lastName>Porter</lastName>
        <party>R</party>
        <state>NV</state>
        <middleName>C.</middleName>
        <district>3</district>
        <sponsorshipDate>2006-09-19</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>G000280</bioguideId>
        <fullName>Rep. Goode, Virgil H., Jr. [R-VA-5]</fullName>
        <firstName>VIRGIL</firstName>
        <lastName>GOODE</lastName>
        <party>R</party>
        <state>VA</state>
        <middleName>H.</middleName>
        <district>5</district>
        <sponsorshipDate>2006-09-21</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>M001147</bioguideId>
        <fullName>Rep. McCotter, Thaddeus G. [R-MI-11]</fullName>
        <firstName>Thaddeus</firstName>
        <lastName>McCotter</lastName>
        <party>R</party>
        <state>MI</state>
        <middleName>G.</middleName>
        <district>11</district>
        <sponsorshipDate>2006-09-21</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>C001062</bioguideId>
        <fullName>Rep. Conaway, K. Michael [R-TX-11]</fullName>
        <firstName>K.</firstName>
        <lastName>Conaway</lastName>
        <party>R</party>
        <state>TX</state>
        <middleName>Michael</middleName>
        <district>11</district>
        <sponsorshipDate>2006-09-26</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>G000552</bioguideId>
        <fullName>Rep. Gohmert, Louie [R-TX-1]</fullName>
        <firstName>Louie</firstName>
        <lastName>Gohmert</lastName>
        <party>R</party>
        <state>TX</state>
        <district>1</district>
        <sponsorshipDate>2006-09-26</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>T000260</bioguideId>
        <fullName>Rep. Tiahrt, Todd [R-KS-4]</fullName>
        <firstName>TODD</firstName>
        <lastName>TIAHRT</lastName>
        <party>R</party>
        <state>KS</state>
        <district>4</district>
        <sponsorshipDate>2006-09-26</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>S001149</bioguideId>
        <fullName>Rep. Sweeney, John E. [R-NY-20]</fullName>
        <firstName>JOHN</firstName>
        <lastName>SWEENEY</lastName>
        <party>R</party>
        <state>NY</state>
        <middleName>E.</middleName>
        <district>20</district>
        <sponsorshipDate>2006-09-28</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>C001047</bioguideId>
        <fullName>Rep. Capito, Shelley Moore [R-WV-2]</fullName>
        <firstName>Shelley</firstName>
        <lastName>Capito</lastName>
        <party>R</party>
        <state>WV</state>
        <middleName>Moore</middleName>
        <district>2</district>
        <sponsorshipDate>2006-09-28</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>M001144</bioguideId>
        <fullName>Rep. Miller, Jeff [R-FL-1]</fullName>
        <firstName>Jeff</firstName>
        <lastName>Miller</lastName>
        <party>R</party>
        <state>FL</state>
        <district>1</district>
        <sponsorshipDate>2006-09-28</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>B001254</bioguideId>
        <fullName>Rep. Boren, Dan [D-OK-2]</fullName>
        <firstName>Dan</firstName>
        <lastName>Boren</lastName>
        <party>D</party>
        <state>OK</state>
        <district>2</district>
        <sponsorshipDate>2006-09-28</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>G000289</bioguideId>
        <fullName>Rep. Goodlatte, Bob [R-VA-6]</fullName>
        <firstName>ROBERT</firstName>
        <lastName>GOODLATTE</lastName>
        <party>R</party>
        <state>VA</state>
        <middleName>W.</middleName>
        <district>6</district>
        <sponsorshipDate>2006-09-28</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>S000583</bioguideId>
        <fullName>Rep. Smith, Lamar [R-TX-21]</fullName>
        <firstName>LAMAR</firstName>
        <lastName>SMITH</lastName>
        <party>R</party>
        <state>TX</state>
        <district>21</district>
        <sponsorshipDate>2006-09-29</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>S001166</bioguideId>
        <fullName>Rep. Sekula Gibbs, Shelley [R-TX-22]</fullName>
        <firstName>Shelley</firstName>
        <lastName>Sekula Gibbs</lastName>
        <party>R</party>
        <state>TX</state>
        <district>22</district>
        <sponsorshipDate>2006-11-15</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>C000962</bioguideId>
        <fullName>Rep. Cubin, Barbara [R-WY-At Large]</fullName>
        <firstName>BARBARA</firstName>
        <lastName>CUBIN</lastName>
        <party>R</party>
        <state>WY</state>
        <district>0</district>
        <sponsorshipDate>2006-12-06</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
    </cosponsors>
    <policyArea>
      <name>Health</name>
    </policyArea>
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      <legislativeSubjects>
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          <name>Administrative procedure</name>
        </item>
        <item>
          <name>Chronically ill</name>
        </item>
        <item>
          <name>Commerce</name>
        </item>
        <item>
          <name>Communication in medicine</name>
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        <item>
          <name>Competitive bidding</name>
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        <item>
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        <item>
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        </item>
        <item>
          <name>Education</name>
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        <item>
          <name>Federal advisory bodies</name>
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        <item>
          <name>Finance and Financial Sector</name>
        </item>
        <item>
          <name>Government Operations and Politics</name>
        </item>
        <item>
          <name>Government contractors</name>
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        <item>
          <name>Government paperwork</name>
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        <item>
          <name>Government trust funds</name>
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        <item>
          <name>Governmental investigations</name>
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        <item>
          <name>Health information systems</name>
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        <item>
          <name>Health insurance</name>
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        <item>
          <name>Health maintenance organizations</name>
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        <item>
          <name>Higher education</name>
        </item>
        <item>
          <name>Housing and Community Development</name>
        </item>
        <item>
          <name>Imaging systems in medicine</name>
        </item>
        <item>
          <name>Information technology</name>
        </item>
        <item>
          <name>Insurance companies</name>
        </item>
        <item>
          <name>Insurance premiums</name>
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        <item>
          <name>Law</name>
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        <item>
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        <item>
          <name>Medicaid</name>
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        <item>
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        <item>
          <name>Medical economics</name>
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        <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>Medicare</name>
        </item>
        <item>
          <name>Minorities</name>
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        <item>
          <name>Minority health</name>
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        <item>
          <name>Patient satisfaction</name>
        </item>
        <item>
          <name>Performance measurement</name>
        </item>
        <item>
          <name>Physicians</name>
        </item>
        <item>
          <name>Preferred provider organizations (Medical care)</name>
        </item>
        <item>
          <name>Prescription pricing</name>
        </item>
        <item>
          <name>Quality of care</name>
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        <item>
          <name>Rural health</name>
        </item>
        <item>
          <name>Science, Technology, Communications</name>
        </item>
        <item>
          <name>Social Welfare</name>
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      <policyArea>
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    <summaries>
      <summary>
        <versionCode>00</versionCode>
        <actionDate>2006-07-24</actionDate>
        <actionDesc>Introduced in House</actionDesc>
        <updateDate>2006-09-25T21:37:18Z</updateDate>
        <text><![CDATA[ <p>Medicare Physician Payment Reform and Quality Improvement Act of 2006 - Amends title XVIII (Medicare) of the Social Security Act (SSA) to revise physician payment requirements under the Medicare program, including the physician payment update and quality measures for physicians' services.</p> <p>Terminates application of the sustainable growth rate (SGR), replacing it with a single conversion factor, the Medicare economic index (MEI) minus 1%.</p> <p>Requires the Secretary of Health and Human Services to provide for the selection of quality performance measures (Q-measures) for assessing physician, non-physician practitioner, and supplier services and determining ratings for them. Requires such Q-measures to be developed in conjunction with physician specialty organizations and consensus-building organizations. </p> <p>Eliminates specified limitations on the balance billing of highest income beneficiaries.</p> <p>Revises requirements for the quality improvement program (QIO), including program administration, data disclosure, use of evaluation and competition, quality improvement funding, and qualifications for QIOs under part B (Peer Review) of SSA title XI.</p> <p>Amends SSA title XIX (Medicaid) to permit alternative quality improvement programs under such program.</p> <p>Terminates the availability of funds from the MA Regional Plan Stabilization Fund.</p> <p>Directs the Board of Trustees of the Federal Hospital Insurance Trust Fund and of the Federal Supplementary Medical Insurance Trust Fund to monitor and examine the extent to which the different Medicare funding mechanisms provide an appropriate alignment with the program goals of the respective parts.</p> <p>Provides for a one-year delay in Medicare adjustments in payments for imaging services.</p> <p></p> <p>Eliminates the three-year phase-in for implementation of the reduction in Medicare part B premium subsidies for higher income beneficiaries (thus requiring immediate application of the reduction adjustment).</p> <p></p>]]></text>
      </summary>
    </summaries>
    <title>Medicare Physician Payment Reform and Quality Improvement Act of 2006</title>
    <titles>
      <item>
        <titleType>Display Title</titleType>
        <title>Medicare Physician Payment Reform and Quality Improvement Act of 2006</title>
      </item>
      <item>
        <titleType>Official Title as Introduced</titleType>
        <title>To amend titles XI and XVIII of the Social Security Act to reform physician payment under the Medicare Program, to modernize the quality improvement organization (QIO) program, and for other purposes.</title>
        <billTextVersionName>Introduced in House</billTextVersionName>
        <billTextVersionCode>IH</billTextVersionCode>
      </item>
      <item>
        <titleType>Short Titles as Introduced</titleType>
        <title>Medicare Physician Payment Reform and Quality Improvement Act of 2006</title>
      </item>
    </titles>
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        <type>Introduced in House</type>
        <date>2006-07-24T04:00:00Z</date>
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      </item>
    </textVersions>
    <latestAction>
      <actionDate>2006-09-13</actionDate>
      <text>Sponsor introductory remarks on measure. (CR H6526-6532)</text>
    </latestAction>
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    <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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