<?xml version="1.0" encoding="utf-8" standalone="no"?>
<billStatus>
  <version>3.0.0</version>
  <bill>
    <number>4138</number>
    <updateDate>2023-01-11T13:17:16Z</updateDate>
    <updateDateIncludingText>2023-01-11T13:17:16Z</updateDateIncludingText>
    <originChamber>House</originChamber>
    <originChamberCode>H</originChamberCode>
    <type>HR</type>
    <introducedDate>2009-11-19</introducedDate>
    <congress>111</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>2009-12-01T20:06:36Z</date>
              </item>
            </activities>
          </item>
        </subcommittees>
        <activities>
          <item>
            <name>Referred to</name>
            <date>2009-11-19T15:06:42Z</date>
          </item>
        </activities>
      </item>
      <item>
        <systemCode>hsju00</systemCode>
        <name>Judiciary Committee</name>
        <chamber>House</chamber>
        <type>Standing</type>
        <activities>
          <item>
            <name>Referred to</name>
            <date>2009-11-19T15:06:44Z</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>2009-11-19T15:06:43Z</date>
          </item>
        </activities>
      </item>
    </committees>
    <actions>
      <item>
        <actionDate>2009-12-01</actionDate>
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          <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>2009-11-19</actionDate>
        <text>Referred to House Judiciary</text>
        <type>IntroReferral</type>
        <actionCode>H11100</actionCode>
        <sourceSystem>
          <code>2</code>
          <name>House floor actions</name>
        </sourceSystem>
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            <systemCode>hsju00</systemCode>
            <name>Judiciary Committee</name>
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        </committees>
      </item>
      <item>
        <actionDate>2009-11-19</actionDate>
        <text>Referred to House Ways and Means</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>2009-11-19</actionDate>
        <text>Referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, and the Judiciary, 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>2009-11-19</actionDate>
        <text>Referred to House Energy and Commerce</text>
        <type>IntroReferral</type>
        <actionCode>H11100</actionCode>
        <sourceSystem>
          <code>2</code>
          <name>House floor actions</name>
        </sourceSystem>
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          <item>
            <systemCode>hsif00</systemCode>
            <name>Energy and Commerce Committee</name>
          </item>
        </committees>
      </item>
      <item>
        <actionDate>2009-11-19</actionDate>
        <text>Introduced in House</text>
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        <actionCode>Intro-H</actionCode>
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          <code>9</code>
          <name>Library of Congress</name>
        </sourceSystem>
      </item>
      <item>
        <actionDate>2009-11-19</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>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>
        <isByRequest>N</isByRequest>
      </item>
    </sponsors>
    <cosponsors>
      <item>
        <bioguideId>C001075</bioguideId>
        <fullName>Rep. Cassidy, Bill [R-LA-6]</fullName>
        <firstName>Bill</firstName>
        <lastName>Cassidy</lastName>
        <party>R</party>
        <state>LA</state>
        <district>6</district>
        <sponsorshipDate>2009-11-19</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>F000456</bioguideId>
        <fullName>Rep. Fleming, John [R-LA-4]</fullName>
        <firstName>John</firstName>
        <lastName>Fleming</lastName>
        <party>R</party>
        <state>LA</state>
        <district>4</district>
        <sponsorshipDate>2009-11-19</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>B001236</bioguideId>
        <fullName>Rep. Boozman, John [R-AR-3]</fullName>
        <firstName>John</firstName>
        <lastName>Boozman</lastName>
        <party>R</party>
        <state>AR</state>
        <district>3</district>
        <sponsorshipDate>2009-11-19</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>H000528</bioguideId>
        <fullName>Rep. Herger, Wally [R-CA-2]</fullName>
        <firstName>WALLY</firstName>
        <lastName>HERGER</lastName>
        <party>R</party>
        <state>CA</state>
        <district>2</district>
        <sponsorshipDate>2009-11-19</sponsorshipDate>
        <isOriginalCosponsor>True</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>2009-11-19</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>C001048</bioguideId>
        <fullName>Rep. Culberson, John Abney [R-TX-7]</fullName>
        <firstName>JOHN</firstName>
        <lastName>CULBERSON</lastName>
        <party>R</party>
        <state>TX</state>
        <middleName>ABNEY</middleName>
        <district>7</district>
        <sponsorshipDate>2009-11-19</sponsorshipDate>
        <isOriginalCosponsor>True</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>2009-11-19</sponsorshipDate>
        <isOriginalCosponsor>True</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>2009-11-19</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>S000364</bioguideId>
        <fullName>Rep. Shimkus, John [R-IL-19]</fullName>
        <firstName>JOHN</firstName>
        <lastName>SHIMKUS</lastName>
        <party>R</party>
        <state>IL</state>
        <middleName>M.</middleName>
        <district>19</district>
        <sponsorshipDate>2009-11-19</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>B001203</bioguideId>
        <fullName>Rep. Buyer, Steve [R-IN-4]</fullName>
        <firstName>STEPHEN</firstName>
        <lastName>BUYER</lastName>
        <party>R</party>
        <state>IN</state>
        <middleName>E.</middleName>
        <district>4</district>
        <sponsorshipDate>2009-11-19</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>M001134</bioguideId>
        <fullName>Rep. Myrick, Sue Wilkins [R-NC-9]</fullName>
        <firstName>SUE</firstName>
        <lastName>MYRICK</lastName>
        <party>R</party>
        <state>NC</state>
        <middleName>WILKINS</middleName>
        <district>9</district>
        <sponsorshipDate>2009-11-19</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>P000594</bioguideId>
        <fullName>Rep. Paulsen, Erik [R-MN-3]</fullName>
        <firstName>Erik</firstName>
        <lastName>Paulsen</lastName>
        <party>R</party>
        <state>MN</state>
        <district>3</district>
        <sponsorshipDate>2009-11-19</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>R000583</bioguideId>
        <fullName>Rep. Rooney, Thomas J. [R-FL-16]</fullName>
        <firstName>Thomas</firstName>
        <lastName>Rooney</lastName>
        <party>R</party>
        <state>FL</state>
        <middleName>J.</middleName>
        <district>16</district>
        <sponsorshipDate>2009-11-19</sponsorshipDate>
        <isOriginalCosponsor>True</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>2009-11-19</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>R000580</bioguideId>
        <fullName>Rep. Roskam, Peter J. [R-IL-6]</fullName>
        <firstName>Peter</firstName>
        <lastName>Roskam</lastName>
        <party>R</party>
        <state>IL</state>
        <middleName>J.</middleName>
        <district>6</district>
        <sponsorshipDate>2009-11-19</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>B001243</bioguideId>
        <fullName>Rep. Blackburn, Marsha [R-TN-7]</fullName>
        <firstName>Marsha</firstName>
        <lastName>Blackburn</lastName>
        <party>R</party>
        <state>TN</state>
        <district>7</district>
        <sponsorshipDate>2009-11-19</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>P000591</bioguideId>
        <fullName>Rep. Price, Tom [R-GA-6]</fullName>
        <firstName>Tom</firstName>
        <lastName>Price</lastName>
        <party>R</party>
        <state>GA</state>
        <district>6</district>
        <sponsorshipDate>2009-11-19</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>R000582</bioguideId>
        <fullName>Rep. Roe, David P. [R-TN-1]</fullName>
        <firstName>David</firstName>
        <lastName>Roe</lastName>
        <party>R</party>
        <state>TN</state>
        <middleName>P.</middleName>
        <district>1</district>
        <sponsorshipDate>2009-11-19</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>C000071</bioguideId>
        <fullName>Rep. Camp, Dave [R-MI-4]</fullName>
        <firstName>DAVE</firstName>
        <lastName>CAMP</lastName>
        <party>R</party>
        <state>MI</state>
        <district>4</district>
        <sponsorshipDate>2009-12-01</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>R000004</bioguideId>
        <fullName>Rep. Radanovich, George [R-CA-19]</fullName>
        <firstName>GEORGE</firstName>
        <lastName>RADANOVICH</lastName>
        <party>R</party>
        <state>CA</state>
        <middleName>P.</middleName>
        <district>19</district>
        <sponsorshipDate>2009-12-01</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>W000796</bioguideId>
        <fullName>Rep. Westmoreland, Lynn A. [R-GA-3]</fullName>
        <firstName>Lynn</firstName>
        <lastName>Westmoreland</lastName>
        <party>R</party>
        <state>GA</state>
        <middleName>A.</middleName>
        <district>3</district>
        <sponsorshipDate>2009-12-07</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>P000373</bioguideId>
        <fullName>Rep. Pitts, Joseph R. [R-PA-16]</fullName>
        <firstName>JOSEPH</firstName>
        <lastName>PITTS</lastName>
        <party>R</party>
        <state>PA</state>
        <middleName>R.</middleName>
        <district>16</district>
        <sponsorshipDate>2009-12-09</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>2009-12-09</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>S000275</bioguideId>
        <fullName>Rep. Shadegg, John B. [R-AZ-3]</fullName>
        <firstName>JOHN</firstName>
        <lastName>SHADEGG</lastName>
        <party>R</party>
        <state>AZ</state>
        <district>3</district>
        <sponsorshipDate>2009-12-09</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>2009-12-09</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>K000362</bioguideId>
        <fullName>Rep. King, Steve [R-IA-5]</fullName>
        <firstName>Steve</firstName>
        <lastName>King</lastName>
        <party>R</party>
        <state>IA</state>
        <district>5</district>
        <sponsorshipDate>2009-12-09</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>C001053</bioguideId>
        <fullName>Rep. Cole, Tom [R-OK-4]</fullName>
        <firstName>Tom</firstName>
        <lastName>Cole</lastName>
        <party>R</party>
        <state>OK</state>
        <district>4</district>
        <sponsorshipDate>2009-12-09</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>2009-12-09</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>O000168</bioguideId>
        <fullName>Rep. Olson, Pete [R-TX-22]</fullName>
        <firstName>Pete</firstName>
        <lastName>Olson</lastName>
        <party>R</party>
        <state>TX</state>
        <district>22</district>
        <sponsorshipDate>2009-12-09</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>2009-12-09</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>B000208</bioguideId>
        <fullName>Rep. Bartlett, Roscoe G. [R-MD-6]</fullName>
        <firstName>ROSCOE</firstName>
        <lastName>BARTLETT</lastName>
        <party>R</party>
        <state>MD</state>
        <middleName>G.</middleName>
        <district>6</district>
        <sponsorshipDate>2009-12-09</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>J000289</bioguideId>
        <fullName>Rep. Jordan, Jim [R-OH-4]</fullName>
        <firstName>Jim</firstName>
        <lastName>Jordan</lastName>
        <party>R</party>
        <state>OH</state>
        <district>4</district>
        <sponsorshipDate>2009-12-09</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>B001250</bioguideId>
        <fullName>Rep. Bishop, Rob [R-UT-1]</fullName>
        <firstName>Rob</firstName>
        <lastName>Bishop</lastName>
        <party>R</party>
        <state>UT</state>
        <district>1</district>
        <sponsorshipDate>2009-12-09</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>L000564</bioguideId>
        <fullName>Rep. Lamborn, Doug [R-CO-5]</fullName>
        <firstName>Doug</firstName>
        <lastName>Lamborn</lastName>
        <party>R</party>
        <state>CO</state>
        <district>5</district>
        <sponsorshipDate>2009-12-09</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>P000599</bioguideId>
        <fullName>Rep. Posey, Bill [R-FL-15]</fullName>
        <firstName>Bill</firstName>
        <lastName>Posey</lastName>
        <party>R</party>
        <state>FL</state>
        <district>15</district>
        <sponsorshipDate>2009-12-09</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>T000467</bioguideId>
        <fullName>Rep. Thompson, Glenn [R-PA-5]</fullName>
        <firstName>Glenn</firstName>
        <lastName>Thompson</lastName>
        <party>R</party>
        <state>PA</state>
        <district>5</district>
        <sponsorshipDate>2009-12-09</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>B000461</bioguideId>
        <fullName>Rep. Bilbray, Brian P. [R-CA-50]</fullName>
        <firstName>BRIAN</firstName>
        <lastName>BILBRAY</lastName>
        <party>R</party>
        <state>CA</state>
        <middleName>P.</middleName>
        <district>50</district>
        <sponsorshipDate>2009-12-09</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>A000358</bioguideId>
        <fullName>Rep. Akin, W. Todd [R-MO-2]</fullName>
        <firstName>W.</firstName>
        <lastName>AKIN</lastName>
        <party>R</party>
        <state>MO</state>
        <middleName>TODD</middleName>
        <district>2</district>
        <sponsorshipDate>2009-12-09</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>F000453</bioguideId>
        <fullName>Rep. Fallin, Mary [R-OK-5]</fullName>
        <firstName>Mary</firstName>
        <lastName>Fallin</lastName>
        <party>R</party>
        <state>OK</state>
        <district>5</district>
        <sponsorshipDate>2009-12-09</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>2009-12-10</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>2009-12-10</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>F000445</bioguideId>
        <fullName>Rep. Forbes, J. Randy [R-VA-4]</fullName>
        <firstName>J.</firstName>
        <lastName>Forbes</lastName>
        <party>R</party>
        <state>VA</state>
        <middleName>Randy</middleName>
        <district>4</district>
        <sponsorshipDate>2009-12-15</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>S001179</bioguideId>
        <fullName>Rep. Schock, Aaron [R-IL-18]</fullName>
        <firstName>Aaron</firstName>
        <lastName>Schock</lastName>
        <party>R</party>
        <state>IL</state>
        <district>18</district>
        <sponsorshipDate>2009-12-16</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>L000568</bioguideId>
        <fullName>Rep. Lee, Christopher J. [R-NY-26]</fullName>
        <firstName>Christopher</firstName>
        <lastName>Lee</lastName>
        <party>R</party>
        <state>NY</state>
        <middleName>J.</middleName>
        <district>26</district>
        <sponsorshipDate>2009-12-16</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>S001143</bioguideId>
        <fullName>Rep. Souder, Mark E. [R-IN-3]</fullName>
        <firstName>MARK</firstName>
        <lastName>SOUDER</lastName>
        <party>R</party>
        <state>IN</state>
        <middleName>EDWARD</middleName>
        <district>3</district>
        <sponsorshipDate>2010-01-19</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>Y000033</bioguideId>
        <fullName>Rep. Young, Don [R-AK-At Large]</fullName>
        <firstName>DON</firstName>
        <lastName>YOUNG</lastName>
        <party>R</party>
        <state>AK</state>
        <middleName>E.</middleName>
        <district>0</district>
        <sponsorshipDate>2010-01-21</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
    </cosponsors>
    <policyArea>
      <name>Health</name>
    </policyArea>
    <subjects>
      <legislativeSubjects>
        <item>
          <name>Administrative law and regulatory procedures</name>
        </item>
        <item>
          <name>Civil actions and liability</name>
        </item>
        <item>
          <name>Department of Health and Human Services</name>
        </item>
        <item>
          <name>Drug safety, medical device, and laboratory regulation</name>
        </item>
        <item>
          <name>Government trust funds</name>
        </item>
        <item>
          <name>Health care quality</name>
        </item>
        <item>
          <name>Health information and medical records</name>
        </item>
        <item>
          <name>Health personnel</name>
        </item>
        <item>
          <name>Intellectual property</name>
        </item>
        <item>
          <name>Judicial procedure and administration</name>
        </item>
        <item>
          <name>Legal fees and court costs</name>
        </item>
        <item>
          <name>Licensing and registrations</name>
        </item>
        <item>
          <name>Medicare</name>
        </item>
      </legislativeSubjects>
      <policyArea>
        <name>Health</name>
      </policyArea>
    </subjects>
    <summaries>
      <summary>
        <versionCode>00</versionCode>
        <actionDate>2009-11-19</actionDate>
        <actionDesc>Introduced in House</actionDesc>
        <updateDate>2009-11-27T22:38:47Z</updateDate>
        <text><![CDATA[ <p>Medicare SGR Improvement and Reform Act of 2009 - Amends title XVIII (Medicare) of the Social Security Act to provide an increased annual update for the Sustainable Growth Mechanism (SGR) formula for determining rates in the fee schedule for Medicare physician payments.</p> <p>Sets a three-year time limit for the commencement of a health care lawsuit.</p> <p>Prescribes requirements for: (1) unlimited damages for a claimant's actual economic losses in health care lawsuits; (2) court supervision of arrangements for payment of such damages, including limitation of contingent attorney fees; (3) restrictions on punitive damages; and (4) payment of future damages to claimants in health care suits.</p> <p>Terminates funding of the Medicare Improvement Fund as of January 1, 2010.</p> <p>Amends the Public Health Service Act to prescribe requirements for the licensure of biological products as biosimilar or interchangeable.</p> <p>Includes under the Federal Food, Drug, and Cosmetic Act fees relating to the licensure of a biological product.</p> <p>Amends patent law with respect to biosimilar products.</p> <p>Directs the Secretary of Health and Human Services (HHS) to adopt a single set of consensus-based operating rules for each health information transaction.</p>]]></text>
      </summary>
    </summaries>
    <title>Medicare SGR Improvement and Reform Act of 2009</title>
    <titles>
      <item>
        <titleType>Display Title</titleType>
        <title>Medicare SGR Improvement and Reform Act of 2009</title>
      </item>
      <item>
        <titleType>Official Title as Introduced</titleType>
        <title>To amend title XVIII of the Social Security Act to provide for an update under the Medicare physician fee schedule, to be fully paid for through medical liability reform, a pathway for biosimilar biological products, and other means.</title>
        <billTextVersionName>Introduced in House</billTextVersionName>
        <billTextVersionCode>IH</billTextVersionCode>
      </item>
      <item>
        <titleType>Short Titles as Introduced</titleType>
        <title>Medicare SGR Improvement and Reform Act of 2009</title>
      </item>
    </titles>
    <textVersions>
      <item>
        <type>Introduced in House</type>
        <date>2009-11-19T05:00:00Z</date>
        <formats>
          <item>
            <url>https://www.govinfo.gov/content/pkg/BILLS-111hr4138ih/xml/BILLS-111hr4138ih.xml</url>
          </item>
        </formats>
      </item>
    </textVersions>
    <latestAction>
      <actionDate>2009-12-01</actionDate>
      <text>Referred to the Subcommittee on Health.</text>
    </latestAction>
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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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