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    <number>3483</number>
    <updateDate>2023-01-11T13:18:22Z</updateDate>
    <updateDateIncludingText>2023-01-11T13:18:22Z</updateDateIncludingText>
    <originChamber>House</originChamber>
    <originChamberCode>H</originChamberCode>
    <type>HR</type>
    <introducedDate>2009-07-31</introducedDate>
    <congress>111</congress>
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        <name>Energy and Commerce Committee</name>
        <chamber>House</chamber>
        <type>Standing</type>
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            <systemCode>hsif14</systemCode>
            <name>Health Subcommittee</name>
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                <date>2009-09-08T15:56:00Z</date>
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            <name>Referred to</name>
            <date>2009-07-31T13:15:49Z</date>
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      <item>
        <title>Medical Rights and Reform Act of 2009</title>
        <congress>111</congress>
        <number>3970</number>
        <type>HR</type>
        <latestAction>
          <actionDate>2009-12-08</actionDate>
          <text>Referred to the Subcommittee on Health, Employment, Labor, and Pensions.</text>
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        <actionDate>2009-09-08</actionDate>
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            <name>Health Subcommittee</name>
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        <text>Referred to the Subcommittee on Health.</text>
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        <actionDate>2009-07-31</actionDate>
        <text>Referred to House Energy and Commerce</text>
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            <name>Energy and Commerce Committee</name>
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      <item>
        <actionDate>2009-07-31</actionDate>
        <text>Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, 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>
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        <sourceSystem>
          <code>9</code>
          <name>Library of Congress</name>
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      <item>
        <actionDate>2009-07-31</actionDate>
        <text>Referred to House Ways and Means</text>
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    <sponsors>
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        <bioguideId>H001041</bioguideId>
        <fullName>Rep. Heller, Dean [R-NV-2]</fullName>
        <firstName>Dean</firstName>
        <lastName>Heller</lastName>
        <party>R</party>
        <state>NV</state>
        <district>2</district>
        <isByRequest>N</isByRequest>
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    <policyArea>
      <name>Health</name>
    </policyArea>
    <subjects>
      <legislativeSubjects>
        <item>
          <name>Alternative dispute resolution, mediation, arbitration</name>
        </item>
        <item>
          <name>Cancer</name>
        </item>
        <item>
          <name>Cardiovascular and respiratory health</name>
        </item>
        <item>
          <name>Civil actions and liability</name>
        </item>
        <item>
          <name>Computers and information technology</name>
        </item>
        <item>
          <name>Education programs funding</name>
        </item>
        <item>
          <name>Evidence and witnesses</name>
        </item>
        <item>
          <name>Federal preemption</name>
        </item>
        <item>
          <name>Health care costs and insurance</name>
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        <item>
          <name>Health care coverage and access</name>
        </item>
        <item>
          <name>Health care quality</name>
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        <item>
          <name>Health personnel</name>
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        <item>
          <name>Health promotion and preventive care</name>
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        <item>
          <name>Health technology, devices, supplies</name>
        </item>
        <item>
          <name>Income tax deductions</name>
        </item>
        <item>
          <name>Judicial procedure and administration</name>
        </item>
        <item>
          <name>Medical education</name>
        </item>
        <item>
          <name>Medical tests and diagnostic methods</name>
        </item>
        <item>
          <name>Medicare</name>
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        <item>
          <name>Motor fuels</name>
        </item>
        <item>
          <name>Prescription drugs</name>
        </item>
        <item>
          <name>Sales and excise taxes</name>
        </item>
        <item>
          <name>Student aid and college costs</name>
        </item>
        <item>
          <name>Trade agreements and negotiations</name>
        </item>
        <item>
          <name>Trade restrictions</name>
        </item>
        <item>
          <name>Transportation costs</name>
        </item>
        <item>
          <name>Veterans' medical care</name>
        </item>
        <item>
          <name>Women's health</name>
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      </legislativeSubjects>
      <policyArea>
        <name>Health</name>
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    <summaries>
      <summary>
        <versionCode>00</versionCode>
        <actionDate>2009-07-31</actionDate>
        <actionDesc>Introduced in House</actionDesc>
        <updateDate>2010-01-29T20:04:15Z</updateDate>
        <text><![CDATA[ <p>Steps Toward Access and Reform Act of 2009 or the STAR Act of 2009 - Sets conditions for lawsuits arising from health care liability claims regarding health care goods or services or any medical product affecting interstate commerce. </p> <p> Sets a statute of limitations of three years after the date of manifestation of injury or one year after the claimant discovers the injury, with certain exceptions. <p>Provides that nothing in this Act limits recovery of the full amount of available economic damages. Limits noneconomic damages to $250,000. Makes each party liable only for the amount of damages directly proportional to such party's percentage of responsibility. <p>Allows the court to restrict the payment of attorney contingency fees. Limits the fees to a decreasing percentage based on the increasing value of the amount awarded. <p> <p>Allows the introduction of collateral source benefits and the amount paid to secure such benefits as evidence. Prohibits a provider of such benefits from recovering any amount from an award in a health care lawsuit involving injury or wrongful death. <p>Authorizes the award of punitive damages only where: (1) it is proven by clear and convincing evidence that a person acted with malicious intent to injure the claimant or deliberately failed to avoid unnecessary injury the claimant was substantially certain to suffer; and (2) compensatory damages are awarded. Limits punitive damages to the greater of two times the amount of economic damages or $250,000. <p>Denies punitive damages in the case of products approved, cleared, or licensed by the Food and Drug Administration (FDA) or otherwise considered in compliance with FDA standards. </p> <p>Provides for periodic payments of future damages.</p> <p>Directs the Secretary of Health and Human Services (HHS) to carry out a program of loan forgiveness for primary health care providers who agree to provide medical services in medically underserved communities for a period of not less than four years. </p> <p>Amends the Internal Revenue Code to allow: (1) providers of medical care a bad debt tax deduction for up to 75% of their cost in providing uncompensated medical care to low-income individuals; and (2) a refund of excise tax on fuel used in mobile mammography vehicles; and (3) a tax deduction for the travel expenses of veterans and a family member to a medical center of the Department of Veterans Affairs.</p> <p>Amends the Bipartisan Trade Promotion Authority Act of 2002 to include among the overall trade negotiating objectives of the United States avoiding negotiating trade agreements that could restrict, or be interpreted to restrict, the access of consumers in the United States to certain pharmaceutical imports.</p> <p>Amends title XVIII (Medicare) of the Social Security Act to authorize payment after January 1, 2010, for chest radiology services that use computer-aided detection technology for the early detection of lung cancer.</p>]]></text>
      </summary>
    </summaries>
    <title>Steps Toward Access and Reform Act of 2009</title>
    <titles>
      <item>
        <titleType>Display Title</titleType>
        <title>Steps Toward Access and Reform Act of 2009</title>
      </item>
      <item>
        <titleType>Official Title as Introduced</titleType>
        <title>To reform the medical liability system, improve access to health care for rural and indigent patients, enhance access to affordable prescription drugs, and for other purposes.</title>
        <billTextVersionName>Introduced in House</billTextVersionName>
        <billTextVersionCode>IH</billTextVersionCode>
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      <item>
        <titleType>Short Titles as Introduced</titleType>
        <title>Steps Toward Access and Reform Act of 2009</title>
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      <item>
        <titleType>Short Titles as Introduced</titleType>
        <title>STAR Act of 2009</title>
      </item>
    </titles>
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        <type>Introduced in House</type>
        <date>2009-07-31T04:00:00Z</date>
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    <latestAction>
      <actionDate>2009-09-08</actionDate>
      <text>Referred to the Subcommittee on Health.</text>
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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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