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    <number>3236</number>
    <updateDate>2022-02-03T05:09:27Z</updateDate>
    <updateDateIncludingText>2022-02-03T05:09:27Z</updateDateIncludingText>
    <originChamber>Senate</originChamber>
    <originChamberCode>S</originChamberCode>
    <type>S</type>
    <introducedDate>2008-07-09</introducedDate>
    <congress>110</congress>
    <actions>
      <item>
        <actionDate>2008-07-11</actionDate>
        <sourceSystem>
          <name>Senate</name>
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        <text>Read the second time. Placed on Senate Legislative Calendar under General Orders. Calendar No. 874.</text>
        <type>Calendars</type>
      </item>
      <item>
        <actionDate>2008-07-09</actionDate>
        <sourceSystem>
          <name>Senate</name>
        </sourceSystem>
        <text>Introduced in the Senate. Read the first time. Placed on Senate Legislative Calendar under Read the First Time. (text of measure as introduced: CR S6506-6509)</text>
        <type>Calendars</type>
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        <actionDate>2008-07-09</actionDate>
        <text>Introduced in Senate</text>
        <type>IntroReferral</type>
        <actionCode>10000</actionCode>
        <sourceSystem>
          <code>9</code>
          <name>Library of Congress</name>
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    <sponsors>
      <item>
        <bioguideId>M000355</bioguideId>
        <fullName>Sen. McConnell, Mitch [R-KY]</fullName>
        <firstName>Mitch</firstName>
        <lastName>McConnell</lastName>
        <party>R</party>
        <state>KY</state>
        <isByRequest>N</isByRequest>
      </item>
    </sponsors>
    <cosponsors>
      <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>2008-07-09</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>K000352</bioguideId>
        <fullName>Sen. Kyl, Jon [R-AZ]</fullName>
        <firstName>Jon</firstName>
        <lastName>Kyl</lastName>
        <party>R</party>
        <state>AZ</state>
        <middleName>Llewellyn</middleName>
        <sponsorshipDate>2008-07-09</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
    </cosponsors>
    <policyArea>
      <name>Health</name>
    </policyArea>
    <subjects>
      <legislativeSubjects>
        <item>
          <name>Access to health care</name>
        </item>
        <item>
          <name>Accreditation (Medical care)</name>
        </item>
        <item>
          <name>Armed Forces and National Security</name>
        </item>
        <item>
          <name>Armed forces reserves</name>
        </item>
        <item>
          <name>Cancer</name>
        </item>
        <item>
          <name>Congress</name>
        </item>
        <item>
          <name>Congressional investigations</name>
        </item>
        <item>
          <name>Congressional reporting requirements</name>
        </item>
        <item>
          <name>Department of Health and Human Services</name>
        </item>
        <item>
          <name>Diabetes</name>
        </item>
        <item>
          <name>Drug therapy</name>
        </item>
        <item>
          <name>Executive reorganization</name>
        </item>
        <item>
          <name>Government Operations and Politics</name>
        </item>
        <item>
          <name>Health education</name>
        </item>
        <item>
          <name>Hospitals</name>
        </item>
        <item>
          <name>Medicaid</name>
        </item>
        <item>
          <name>Medical fees</name>
        </item>
        <item>
          <name>Medical laboratories</name>
        </item>
        <item>
          <name>Medical supplies</name>
        </item>
        <item>
          <name>Medical tests</name>
        </item>
        <item>
          <name>Medically uninsured</name>
        </item>
        <item>
          <name>Medicare</name>
        </item>
        <item>
          <name>Ombudsman</name>
        </item>
        <item>
          <name>Physicians</name>
        </item>
        <item>
          <name>Prosthesis</name>
        </item>
        <item>
          <name>Quality of care</name>
        </item>
        <item>
          <name>Radiotherapy</name>
        </item>
        <item>
          <name>Sexual abstinence</name>
        </item>
        <item>
          <name>Social Welfare</name>
        </item>
        <item>
          <name>Subcontractors</name>
        </item>
      </legislativeSubjects>
      <policyArea>
        <name>Health</name>
      </policyArea>
    </subjects>
    <summaries>
      <summary>
        <versionCode>00</versionCode>
        <actionDate>2008-07-09</actionDate>
        <actionDesc>Introduced in Senate</actionDesc>
        <updateDate>2008-09-12T20:45:25Z</updateDate>
        <text><![CDATA[ <p>Medicare and Medicaid Extension Act of 2008 - Amends title XVIII (Medicare) of the Social Security Act (SSA) to extend: (1) the physician payment update; (2) the floor on the work geographic adjustment under the Medicare physician fee schedule; (3) the treatment of certain physician pathology services; (4) the exceptions process for therapy caps; (5) the payment rule for brachytherapy and therapeutic radiopharmaceuticals; and (6) the accommodation of physicians ordered to active duty in the Armed Services.</p> <p>Delays generally until after 2011 full implementation of the Medicare competitive acquisition program for the purchase of durable medical equipment (DME), prosthetics, orthotics, and supplies (DMEPOS).</p><p>Revises such program, dividing its implementation into two rounds, and specifying covered item updates for 2009-2014.</p><p>Prescribes requirements for application of accreditation in implementing quality standards.</p><p>Requires suppliers to disclose subcontractors.</p><p>Directs the Secretary of Health and Human Services to provide for a competitive acquisition ombudsman within the Centers for Medicare &amp; Medicaid Services to respond to complaints and inquiries by suppliers and individuals.</p><p>Specifies topics for the Comptroller General's required study and report to Congress on the impact of competitive acquisition of DME on suppliers, manufacturers, and patients.</p> <p>Sets forth a special rule for the competitive acquisition program for diabetic testing strips.</p> <p>Amends SSA title XIX (Medicaid) to extend the qualifying individual (QI), transitional medical assistance (TMA), abstinence education, and Medicaid disproportionate share hospital (DSH) programs.</p>]]></text>
      </summary>
    </summaries>
    <title>Medicare and Medicaid Extension Act of 2008</title>
    <titles>
      <item>
        <titleType>Short Titles as Introduced</titleType>
        <title>Medicare and Medicaid Extension Act of 2008</title>
      </item>
      <item>
        <titleType>Display Title</titleType>
        <title>Medicare and Medicaid Extension Act of 2008</title>
      </item>
      <item>
        <titleType>Official Title as Introduced</titleType>
        <title>A bill to amend titles XVIII and XIX of the Social Security Act to extend provisions under Medicare and Medicaid programs, and for other purposes.</title>
      </item>
    </titles>
    <textVersions>
      <item>
        <type>Placed on Calendar Senate</type>
        <date>2008-07-11T04:00:00Z</date>
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          <item>
            <url>https://www.govinfo.gov/content/pkg/BILLS-110s3236pcs/xml/BILLS-110s3236pcs.xml</url>
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    <latestAction>
      <actionDate>2008-07-11</actionDate>
      <text>Read the second time. Placed on Senate Legislative Calendar under General Orders. Calendar No. 874.</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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