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    <updateDate>2019-11-15T21:57:52Z</updateDate>
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    <introducedDate>2008-07-22</introducedDate>
    <congress>110</congress>
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            <date>2008-07-22T16:53:11Z</date>
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      <item>
        <title>Rural Hospital Assistance Act of 2008</title>
        <congress>110</congress>
        <number>6912</number>
        <type>HR</type>
        <latestAction>
          <actionDate>2008-09-16</actionDate>
          <text>Referred to the Subcommittee on Health.</text>
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        <actionDate>2008-07-22</actionDate>
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            <name>Finance Committee</name>
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        <text>Read twice and referred to the Committee on Finance. (text of measure as introduced: CR S7300)</text>
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        <actionDate>2008-07-22</actionDate>
        <text>Sponsor introductory remarks on measure. (CR S7075)</text>
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          <name>Library of Congress</name>
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        <actionDate>2008-07-22</actionDate>
        <text>Introduced in Senate</text>
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        <fullName>Sen. Grassley, Chuck [R-IA]</fullName>
        <firstName>Charles</firstName>
        <lastName>Grassley</lastName>
        <party>R</party>
        <state>IA</state>
        <middleName>E.</middleName>
        <isByRequest>N</isByRequest>
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        <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>2008-09-18</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
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    <policyArea>
      <name>Health</name>
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    <subjects>
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          <name>Conflict of interests</name>
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          <name>Hospital rates</name>
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        <item>
          <name>Hospitals</name>
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        <item>
          <name>Housing and Community Development</name>
        </item>
        <item>
          <name>Medical ethics</name>
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        <item>
          <name>Medicare</name>
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        <item>
          <name>Physicians</name>
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          <name>Rural health</name>
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          <name>Social Welfare</name>
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      <policyArea>
        <name>Health</name>
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    <summaries>
      <summary>
        <versionCode>00</versionCode>
        <actionDate>2008-07-22</actionDate>
        <actionDesc>Introduced in Senate</actionDesc>
        <updateDate>2008-10-23T21:18:20Z</updateDate>
        <text><![CDATA[ <p>Rural Hospital Assistance Act of 2008 - Amends title XVIII (Medicare) of the Social Security Act with respect to the additional inpatient hospital service payment (payment adjustment) for low-volume hospitals (usually meaning a &quot;subsection (d) hospital&quot; located more than 25 road miles from another subsection (d) hospital and having less than 800 discharges during the fiscal year.)</p> <p>Redefines low-volume hospital, for discharges occurring during FY2009 only, as a &quot;subsection (d) hospital&quot; located more than 15 (instead of 25) road miles from another &quot;subsection (d) hospital&quot; and having less than 1,500 (instead of 800) discharges of individuals entitled to, or enrolled for, Medicare part A (Hospital Insurance) benefits (&quot;tweeners,'' or hospitals too large to be critical access hospitals, but too small to be financially viable under the Medicare hospital prospective payment system (PPS)).</p> <p>Revises, for FY2009 only, the temporary applicable percentage in the formula for determining the payment adjustment for such hospitals.</p> <p>Requires the use of the non-wage adjusted prospective payment rate (PPS) rate during FY2009 under the Medicare-dependent hospital (MDH) program.</p> <p>Prescribes requirements for hospitals to qualify for a Medicare hospital exception to the prohibition on certain physician referrals to hospitals in which such physicians have an ownership or investment interest in the entity. (Eliminates the Medicare hospital exception for physician-owned hospitals, but provides a limited exception for existing facilities.)</p>]]></text>
      </summary>
    </summaries>
    <title>Rural Hospital Assistance Act of 2008</title>
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      <item>
        <titleType>Short Titles as Introduced</titleType>
        <title>Rural Hospital Assistance Act of 2008</title>
      </item>
      <item>
        <titleType>Display Title</titleType>
        <title>Rural Hospital Assistance Act of 2008</title>
      </item>
      <item>
        <titleType>Official Title as Introduced</titleType>
        <title>A bill to amend title XVIII of the Social Security Act to provide for temporary improvements to the Medicare inpatient hospital payment adjustment for low-volume hospitals and to provide for the use of the non-wage adjusted PPS rate under the Medicare-dependent hospital (MDH) program, and for other purposes.</title>
      </item>
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        <type>Introduced in Senate</type>
        <date>2008-07-22T04:00:00Z</date>
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    <latestAction>
      <actionDate>2008-07-22</actionDate>
      <text>Read twice and referred to the Committee on Finance. (text of measure as introduced: CR S7300)</text>
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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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