<?xml version="1.0" encoding="utf-8" standalone="no"?>
<billStatus>
  <version>3.0.0</version>
  <bill>
    <number>4199</number>
    <updateDate>2023-01-11T13:17:00Z</updateDate>
    <updateDateIncludingText>2023-01-11T13:17:00Z</updateDateIncludingText>
    <originChamber>House</originChamber>
    <originChamberCode>H</originChamberCode>
    <type>HR</type>
    <introducedDate>2009-12-03</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>2009-12-07T20:16:28Z</date>
              </item>
            </activities>
          </item>
        </subcommittees>
        <activities>
          <item>
            <name>Referred to</name>
            <date>2009-12-03T15:03:49Z</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>2009-12-03T15:03:50Z</date>
          </item>
        </activities>
      </item>
    </committees>
    <actions>
      <item>
        <actionDate>2009-12-07</actionDate>
        <committees>
          <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>2009-12-03</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>2009-12-03</actionDate>
        <text>Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, 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>2009-12-03</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>
        <committees>
          <item>
            <systemCode>hsif00</systemCode>
            <name>Energy and Commerce Committee</name>
          </item>
        </committees>
      </item>
      <item>
        <actionDate>2009-12-03</actionDate>
        <text>Sponsor introductory remarks on measure. (CR E2890-2891)</text>
        <type>IntroReferral</type>
        <actionCode>B00100</actionCode>
        <sourceSystem>
          <code>9</code>
          <name>Library of Congress</name>
        </sourceSystem>
      </item>
      <item>
        <actionDate>2009-12-03</actionDate>
        <text>Introduced in House</text>
        <type>IntroReferral</type>
        <actionCode>Intro-H</actionCode>
        <sourceSystem>
          <code>9</code>
          <name>Library of Congress</name>
        </sourceSystem>
      </item>
      <item>
        <actionDate>2009-12-03</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>B001251</bioguideId>
        <fullName>Rep. Butterfield, G. K. [D-NC-1]</fullName>
        <firstName>G. K.</firstName>
        <lastName>Butterfield</lastName>
        <party>D</party>
        <state>NC</state>
        <district>1</district>
        <isByRequest>N</isByRequest>
      </item>
    </sponsors>
    <cosponsors>
      <item>
        <bioguideId>J000255</bioguideId>
        <fullName>Rep. Jones, Walter B., Jr. [R-NC-3]</fullName>
        <firstName>WALTER</firstName>
        <lastName>JONES</lastName>
        <party>R</party>
        <state>NC</state>
        <middleName>B.</middleName>
        <district>3</district>
        <sponsorshipDate>2009-12-03</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>K000369</bioguideId>
        <fullName>Rep. Kissell, Larry [D-NC-8]</fullName>
        <firstName>Larry</firstName>
        <lastName>Kissell</lastName>
        <party>D</party>
        <state>NC</state>
        <district>8</district>
        <sponsorshipDate>2009-12-03</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>M000485</bioguideId>
        <fullName>Rep. McIntyre, Mike [D-NC-7]</fullName>
        <firstName>MIKE</firstName>
        <lastName>MCINTYRE</lastName>
        <party>D</party>
        <state>NC</state>
        <district>7</district>
        <sponsorshipDate>2009-12-03</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>C000556</bioguideId>
        <fullName>Rep. Coble, Howard [R-NC-6]</fullName>
        <firstName>HOWARD</firstName>
        <lastName>COBLE</lastName>
        <party>R</party>
        <state>NC</state>
        <district>6</district>
        <sponsorshipDate>2009-12-03</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>M001154</bioguideId>
        <fullName>Rep. Miller, Brad [D-NC-13]</fullName>
        <firstName>Brad</firstName>
        <lastName>Miller</lastName>
        <party>D</party>
        <state>NC</state>
        <district>13</district>
        <sponsorshipDate>2009-12-03</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>A000361</bioguideId>
        <fullName>Rep. Alexander, Rodney [R-LA-5]</fullName>
        <firstName>Rodney</firstName>
        <lastName>Alexander</lastName>
        <party>R</party>
        <state>LA</state>
        <district>5</district>
        <sponsorshipDate>2009-12-03</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>M001159</bioguideId>
        <fullName>Rep. McMorris Rodgers, Cathy [R-WA-5]</fullName>
        <firstName>Cathy</firstName>
        <lastName>McMorris Rodgers</lastName>
        <party>R</party>
        <state>WA</state>
        <district>5</district>
        <sponsorshipDate>2009-12-03</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>B001259</bioguideId>
        <fullName>Rep. Braley, Bruce L. [D-IA-1]</fullName>
        <firstName>Bruce</firstName>
        <lastName>Braley</lastName>
        <party>D</party>
        <state>IA</state>
        <middleName>L.</middleName>
        <district>1</district>
        <sponsorshipDate>2009-12-11</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>H000712</bioguideId>
        <fullName>Rep. Holden, Tim [D-PA-17]</fullName>
        <firstName>TIM</firstName>
        <lastName>HOLDEN</lastName>
        <party>D</party>
        <state>PA</state>
        <district>17</district>
        <sponsorshipDate>2009-12-11</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>B000716</bioguideId>
        <fullName>Rep. Boyd, Allen [D-FL-2]</fullName>
        <firstName>ALLEN</firstName>
        <lastName>BOYD</lastName>
        <party>D</party>
        <state>FL</state>
        <middleName>JR.</middleName>
        <district>2</district>
        <sponsorshipDate>2009-12-11</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>R000575</bioguideId>
        <fullName>Rep. Rogers, Mike D. [R-AL-3]</fullName>
        <firstName>Mike</firstName>
        <lastName>Rogers</lastName>
        <party>R</party>
        <state>AL</state>
        <district>3</district>
        <sponsorshipDate>2009-12-15</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>E000172</bioguideId>
        <fullName>Rep. Emerson, Jo Ann [R-MO-8]</fullName>
        <firstName>JO</firstName>
        <lastName>EMERSON</lastName>
        <party>R</party>
        <state>MO</state>
        <middleName>ANN</middleName>
        <district>8</district>
        <sponsorshipDate>2009-12-15</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>P000258</bioguideId>
        <fullName>Rep. Peterson, Collin C. [D-MN-7]</fullName>
        <firstName>COLLIN</firstName>
        <lastName>PETERSON</lastName>
        <party>D</party>
        <state>MN</state>
        <middleName>C.</middleName>
        <district>7</district>
        <sponsorshipDate>2009-12-16</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>H001040</bioguideId>
        <fullName>Rep. Hare, Phil [D-IL-17]</fullName>
        <firstName>Phil</firstName>
        <lastName>Hare</lastName>
        <party>D</party>
        <state>IL</state>
        <district>17</district>
        <sponsorshipDate>2009-12-16</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>E000226</bioguideId>
        <fullName>Rep. Etheridge, Bob [D-NC-2]</fullName>
        <firstName>BOB</firstName>
        <lastName>ETHERIDGE</lastName>
        <party>D</party>
        <state>NC</state>
        <district>2</district>
        <sponsorshipDate>2009-12-16</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>P000523</bioguideId>
        <fullName>Rep. Price, David E. [D-NC-4]</fullName>
        <firstName>DAVID</firstName>
        <lastName>PRICE</lastName>
        <party>D</party>
        <state>NC</state>
        <middleName>E.</middleName>
        <district>4</district>
        <sponsorshipDate>2010-01-13</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>W000800</bioguideId>
        <fullName>Rep. Welch, Peter [D-VT-At Large]</fullName>
        <firstName>Peter</firstName>
        <lastName>Welch</lastName>
        <party>D</party>
        <state>VT</state>
        <district>0</district>
        <sponsorshipDate>2010-01-13</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>S001178</bioguideId>
        <fullName>Rep. Schauer, Mark H. [D-MI-7]</fullName>
        <firstName>Mark</firstName>
        <lastName>Schauer</lastName>
        <party>D</party>
        <state>MI</state>
        <middleName>H.</middleName>
        <district>7</district>
        <sponsorshipDate>2010-01-13</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>P000600</bioguideId>
        <fullName>Rep. Perriello, Thomas S.P. [D-VA-5]</fullName>
        <firstName>Thomas</firstName>
        <lastName>Perriello</lastName>
        <party>D</party>
        <state>VA</state>
        <middleName>S.P.</middleName>
        <district>5</district>
        <sponsorshipDate>2010-01-20</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>E000289</bioguideId>
        <fullName>Rep. Ellsworth, Brad [D-IN-8]</fullName>
        <firstName>Brad</firstName>
        <lastName>Ellsworth</lastName>
        <party>D</party>
        <state>IN</state>
        <district>8</district>
        <sponsorshipDate>2010-01-20</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>T000074</bioguideId>
        <fullName>Rep. Taylor, Gene [D-MS-4]</fullName>
        <firstName>GENE</firstName>
        <lastName>TAYLOR</lastName>
        <party>D</party>
        <state>MS</state>
        <district>4</district>
        <sponsorshipDate>2010-01-20</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>H001043</bioguideId>
        <fullName>Rep. Hodes, Paul W. [D-NH-2]</fullName>
        <firstName>Paul</firstName>
        <lastName>Hodes</lastName>
        <party>D</party>
        <state>NH</state>
        <middleName>W.</middleName>
        <district>2</district>
        <sponsorshipDate>2010-01-26</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>S001170</bioguideId>
        <fullName>Rep. Shea-Porter, Carol [D-NH-1]</fullName>
        <firstName>Carol</firstName>
        <lastName>Shea-Porter</lastName>
        <party>D</party>
        <state>NH</state>
        <district>1</district>
        <sponsorshipDate>2010-02-03</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>R000571</bioguideId>
        <fullName>Rep. Rehberg, Denny [R-MT-At Large]</fullName>
        <firstName>DENNY</firstName>
        <lastName>REHBERG</lastName>
        <party>R</party>
        <state>MT</state>
        <district>0</district>
        <sponsorshipDate>2010-02-03</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>G000557</bioguideId>
        <fullName>Rep. Griffith, Parker [R-AL-5]</fullName>
        <firstName>Parker</firstName>
        <lastName>Griffith</lastName>
        <party>R</party>
        <state>AL</state>
        <district>5</district>
        <sponsorshipDate>2010-02-03</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>B001242</bioguideId>
        <fullName>Rep. Bishop, Timothy H. [D-NY-1]</fullName>
        <firstName>Timothy</firstName>
        <lastName>Bishop</lastName>
        <party>D</party>
        <state>NY</state>
        <middleName>H.</middleName>
        <district>1</district>
        <sponsorshipDate>2010-02-23</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>C001074</bioguideId>
        <fullName>Rep. Childers, Travis [D-MS-1]</fullName>
        <firstName>Travis</firstName>
        <lastName>Childers</lastName>
        <party>D</party>
        <state>MS</state>
        <district>1</district>
        <sponsorshipDate>2010-02-26</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>C001069</bioguideId>
        <fullName>Rep. Courtney, Joe [D-CT-2]</fullName>
        <firstName>Joe</firstName>
        <lastName>Courtney</lastName>
        <party>D</party>
        <state>CT</state>
        <district>2</district>
        <sponsorshipDate>2010-04-14</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>B000652</bioguideId>
        <fullName>Rep. Boswell, Leonard L. [D-IA-3]</fullName>
        <firstName>LEONARD</firstName>
        <lastName>BOSWELL</lastName>
        <party>D</party>
        <state>IA</state>
        <middleName>L.</middleName>
        <district>3</district>
        <sponsorshipDate>2010-05-12</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>R000581</bioguideId>
        <fullName>Rep. Richardson, Laura [D-CA-37]</fullName>
        <firstName>Laura</firstName>
        <lastName>Richardson</lastName>
        <party>D</party>
        <state>CA</state>
        <district>37</district>
        <sponsorshipDate>2010-05-12</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>R000011</bioguideId>
        <fullName>Rep. Rahall, Nick J., II [D-WV-3]</fullName>
        <firstName>NICK</firstName>
        <lastName>RAHALL</lastName>
        <party>D</party>
        <state>WV</state>
        <middleName>J.</middleName>
        <district>3</district>
        <sponsorshipDate>2010-05-20</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>L000560</bioguideId>
        <fullName>Rep. Larsen, Rick [D-WA-2]</fullName>
        <firstName>RICK</firstName>
        <lastName>LARSEN</lastName>
        <party>D</party>
        <state>WA</state>
        <district>2</district>
        <sponsorshipDate>2010-07-20</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>W000799</bioguideId>
        <fullName>Rep. Walz, Timothy J. [D-MN-1]</fullName>
        <firstName>Timothy</firstName>
        <lastName>Walz</lastName>
        <party>D</party>
        <state>MN</state>
        <middleName>J.</middleName>
        <district>1</district>
        <sponsorshipDate>2010-07-29</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>B000420</bioguideId>
        <fullName>Rep. Berry, Marion [D-AR-1]</fullName>
        <firstName>MARION</firstName>
        <lastName>BERRY</lastName>
        <party>D</party>
        <state>AR</state>
        <district>1</district>
        <sponsorshipDate>2010-09-14</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>R000573</bioguideId>
        <fullName>Rep. Ross, Mike [D-AR-4]</fullName>
        <firstName>MIKE</firstName>
        <lastName>ROSS</lastName>
        <party>D</party>
        <state>AR</state>
        <district>4</district>
        <sponsorshipDate>2010-09-22</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>H001037</bioguideId>
        <fullName>Rep. Herseth Sandlin, Stephanie [D-SD-At Large]</fullName>
        <firstName>Stephanie</firstName>
        <lastName>Herseth Sandlin</lastName>
        <party>D</party>
        <state>SD</state>
        <district>0</district>
        <sponsorshipDate>2010-11-18</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
    </cosponsors>
    <policyArea>
      <name>Health</name>
    </policyArea>
    <subjects>
      <legislativeSubjects>
        <item>
          <name>Administrative law and regulatory procedures</name>
        </item>
        <item>
          <name>Competition and antitrust</name>
        </item>
        <item>
          <name>Consumer affairs</name>
        </item>
        <item>
          <name>Department of Health and Human Services</name>
        </item>
        <item>
          <name>Health care costs and insurance</name>
        </item>
        <item>
          <name>Health care coverage and access</name>
        </item>
        <item>
          <name>Health personnel</name>
        </item>
        <item>
          <name>Health programs administration and funding</name>
        </item>
        <item>
          <name>Medicare</name>
        </item>
        <item>
          <name>Prescription drugs</name>
        </item>
        <item>
          <name>Retail and wholesale trades</name>
        </item>
      </legislativeSubjects>
      <policyArea>
        <name>Health</name>
      </policyArea>
    </subjects>
    <summaries>
      <summary>
        <versionCode>00</versionCode>
        <actionDate>2009-12-03</actionDate>
        <actionDesc>Introduced in House</actionDesc>
        <updateDate>2010-05-12T17:43:01Z</updateDate>
        <text><![CDATA[ <p>Patient Health and Real Medication Access Cost Savings Act of 2009 or the PHARMACY Bill - Declares that a consumer shall have the right to choose to purchase prescription drugs from any domestic pharmacy that meets all applicable federal and state license and permit requirements.</p> <p>Directs the Secretary of Health and Human Services (HHS) to issue regulations that: (1) prohibit a pharmacy benefit manager (PBM) from providing incentives to, encouraging, or requiring pharmacy benefit plan enrollees to use certain pharmacies or from excluding an eligible pharmacy from a plan's pharmacy network; (2) require a PBM to ensure that pharmacy benefit plan enrollees pay a specified copayment for brand name drugs; (3) require a PBM to reimburse a pharmacy in the network of a pharmacy benefit plan that is federally funded, at specified rates, for brand-name drugs, generic drugs, and additional professional services; (4) require a PBM to be reimbursed by a pharmacy benefit plan sponsor for adjudicating and processing claims; (5) limit the amount that a PBM charges a pharmacy benefit plan sponsor for a drug that is dispensed to enrollees to the amount the PBM paid the pharmacy for such drug; (6) require a manufacturer of prescription drugs to pay all rebates directly to the pharmacy benefit plan sponsor and not to a PBM; and (7) require a pharmacy benefit plan sponsor to provide a list of the wholesale acquisition costs of the top 500 most frequently prescribed drugs to physicians in a plan any insurance-related charge of which is underwritten by a federal, state, or local government.</p> <p>Amends title XVIII (Medicare) of the Social Security Act to include pharmacist services as &quot;medical and other health services&quot; under Medicare.</p> <p>Directs the Secretary, by January 1, 2011, to establish a pharmaceutical access program to provide affordable prescription drugs to individuals who receive drug benefits under federal programs (except Medicaid). Requires: (1) a pharmacy that dispenses prescription drugs in the United States to remit to the Secretary 50 cents for each brand name prescription and $1.00 for generic drug prescription dispensed; and (2) the sponsor of a pharmacy benefit plan that is not federally funded to increase the professional dispensing fee paid to pharmacies by the same amounts. Requires the use of funds generated from such fees to provide affordable access to prescription drugs to low-income individuals who have enrolled in the program.</p>]]></text>
      </summary>
    </summaries>
    <title>Patient Health and Real Medication Access Cost Savings Act of 2009</title>
    <titles>
      <item>
        <titleType>Display Title</titleType>
        <title>Patient Health and Real Medication Access Cost Savings Act of 2009</title>
      </item>
      <item>
        <titleType>Official Title as Introduced</titleType>
        <title>To ensure patient choice in pharmacies by regulating pharmacy benefit managers and to establish a program to improve access to prescription drugs for certain individuals.</title>
        <billTextVersionName>Introduced in House</billTextVersionName>
        <billTextVersionCode>IH</billTextVersionCode>
      </item>
      <item>
        <titleType>Short Titles as Introduced</titleType>
        <title>Patient Health and Real Medication Access Cost Savings Act of 2009</title>
      </item>
      <item>
        <titleType>Short Titles as Introduced</titleType>
        <title>PHARMACY Bill</title>
      </item>
    </titles>
    <textVersions>
      <item>
        <type>Introduced in House</type>
        <date>2009-12-03T05:00:00Z</date>
        <formats>
          <item>
            <url>https://www.govinfo.gov/content/pkg/BILLS-111hr4199ih/xml/BILLS-111hr4199ih.xml</url>
          </item>
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      </item>
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    <latestAction>
      <actionDate>2009-12-07</actionDate>
      <text>Referred to the Subcommittee on Health.</text>
    </latestAction>
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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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