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  <bill>
    <number>4452</number>
    <updateDate>2023-01-11T13:15:39Z</updateDate>
    <updateDateIncludingText>2023-01-11T13:15:39Z</updateDateIncludingText>
    <originChamber>House</originChamber>
    <originChamberCode>H</originChamberCode>
    <type>HR</type>
    <introducedDate>2007-12-11</introducedDate>
    <congress>110</congress>
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        <name>Ways and Means Committee</name>
        <chamber>House</chamber>
        <type>Standing</type>
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            <name>Referred to</name>
            <date>2007-12-11T15:31:35Z</date>
          </item>
        </activities>
      </item>
    </committees>
    <actions>
      <item>
        <actionDate>2007-12-11</actionDate>
        <text>Referred to the House Committee on Ways and Means.</text>
        <type>IntroReferral</type>
        <actionCode>H11100</actionCode>
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            <name>Ways and Means Committee</name>
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        <actionDate>2007-12-11</actionDate>
        <text>Introduced in House</text>
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          <name>Library of Congress</name>
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      <item>
        <actionDate>2007-12-11</actionDate>
        <text>Introduced in House</text>
        <type>IntroReferral</type>
        <actionCode>1000</actionCode>
        <sourceSystem>
          <code>9</code>
          <name>Library of Congress</name>
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    </actions>
    <sponsors>
      <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>
        <isByRequest>N</isByRequest>
      </item>
    </sponsors>
    <cosponsors>
      <item>
        <bioguideId>S000465</bioguideId>
        <fullName>Rep. Skelton, Ike [D-MO-4]</fullName>
        <firstName>IKE</firstName>
        <lastName>SKELTON</lastName>
        <party>D</party>
        <state>MO</state>
        <district>4</district>
        <sponsorshipDate>2008-05-20</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
    </cosponsors>
    <policyArea>
      <name>Health</name>
    </policyArea>
    <subjects>
      <legislativeSubjects>
        <item>
          <name>Access to health care</name>
        </item>
        <item>
          <name>Hospital rates</name>
        </item>
        <item>
          <name>Hospitals</name>
        </item>
        <item>
          <name>Housing and Community Development</name>
        </item>
        <item>
          <name>Medicare</name>
        </item>
        <item>
          <name>Rural health</name>
        </item>
        <item>
          <name>Social Welfare</name>
        </item>
      </legislativeSubjects>
      <policyArea>
        <name>Health</name>
      </policyArea>
    </subjects>
    <summaries>
      <summary>
        <versionCode>00</versionCode>
        <actionDate>2007-12-11</actionDate>
        <actionDesc>Introduced in House</actionDesc>
        <updateDate>2008-02-08T22:36:24Z</updateDate>
        <text><![CDATA[ <p>CAH Designation Waiver Authority Act of 2007 - Amends title XVIII (Medicare) of the Social Security Act with respect to the Medicare rural hospital flexibility program a state may establish.</p> <p>Authorizes state designation of a Medicare critical access hospital (CAH), even if it does not comply with the requirement that it be located more than a 35-mile drive from another hospital, if it is certified by the state on or after enactment of this Act as being a necessary provider of health care services to residents in the area. (Thus restores state authority that existed before January 1, 2006, to waive the 35-mile rule.)</p>]]></text>
      </summary>
    </summaries>
    <title>CAH Designation Waiver Authority Act of 2007</title>
    <titles>
      <item>
        <titleType>Display Title</titleType>
        <title>CAH Designation Waiver Authority Act of 2007</title>
      </item>
      <item>
        <titleType>Short Titles as Introduced</titleType>
        <title>CAH Designation Waiver Authority Act of 2007</title>
      </item>
      <item>
        <titleType>Official Title as Introduced</titleType>
        <title>To amend title XVIII of the Social Security Act to restore State authority to waive the 35-mile rule for designating critical access hospitals under the Medicare Program.</title>
      </item>
    </titles>
    <textVersions>
      <item>
        <type>Introduced in House</type>
        <date>2007-12-11T05:00:00Z</date>
        <formats>
          <item>
            <url>https://www.govinfo.gov/content/pkg/BILLS-110hr4452ih/xml/BILLS-110hr4452ih.xml</url>
          </item>
        </formats>
      </item>
    </textVersions>
    <latestAction>
      <actionDate>2007-12-11</actionDate>
      <text>Referred to the House Committee on Ways and Means.</text>
    </latestAction>
  </bill>
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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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