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    <number>4813</number>
    <updateDate>2023-01-11T13:16:25Z</updateDate>
    <updateDateIncludingText>2023-01-11T13:16:25Z</updateDateIncludingText>
    <originChamber>House</originChamber>
    <originChamberCode>H</originChamberCode>
    <type>HR</type>
    <introducedDate>2010-03-10</introducedDate>
    <congress>111</congress>
    <committees>
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        <systemCode>hsju00</systemCode>
        <name>Judiciary Committee</name>
        <chamber>House</chamber>
        <type>Standing</type>
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          <item>
            <systemCode>hsju01</systemCode>
            <name>Immigration Integrity, Security, and Enforcement Subcommittee</name>
            <activities>
              <item>
                <name>Referred to</name>
                <date>2010-04-26T19:35:47Z</date>
              </item>
            </activities>
          </item>
          <item>
            <systemCode>hsju03</systemCode>
            <name>Courts, Intellectual Property, and the Internet Subcommittee</name>
            <activities>
              <item>
                <name>Referred to</name>
                <date>2010-04-26T19:35:40Z</date>
              </item>
            </activities>
          </item>
        </subcommittees>
        <activities>
          <item>
            <name>Referred to</name>
            <date>2010-03-10T15:03:41Z</date>
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      <item>
        <systemCode>hsed00</systemCode>
        <name>Education and the Workforce Committee</name>
        <chamber>House</chamber>
        <type>Standing</type>
        <subcommittees>
          <item>
            <systemCode>hsed02</systemCode>
            <name>Health, Employment, Labor, and Pensions Subcommittee</name>
            <activities>
              <item>
                <name>Referred to</name>
                <date>2010-03-22T20:21:04Z</date>
              </item>
            </activities>
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        <activities>
          <item>
            <name>Referred to</name>
            <date>2010-03-10T15:03:44Z</date>
          </item>
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      </item>
      <item>
        <systemCode>hswm00</systemCode>
        <name>Ways and Means Committee</name>
        <chamber>House</chamber>
        <type>Standing</type>
        <activities>
          <item>
            <name>Referred to</name>
            <date>2010-03-10T15:03:43Z</date>
          </item>
        </activities>
      </item>
      <item>
        <systemCode>hsgo00</systemCode>
        <name>Oversight and Accountability Committee</name>
        <chamber>House</chamber>
        <type>Standing</type>
        <activities>
          <item>
            <name>Referred to</name>
            <date>2010-03-10T15:03:42Z</date>
          </item>
        </activities>
      </item>
      <item>
        <systemCode>hsif00</systemCode>
        <name>Energy and Commerce Committee</name>
        <chamber>House</chamber>
        <type>Standing</type>
        <activities>
          <item>
            <name>Referred to</name>
            <date>2010-03-10T15:03:39Z</date>
          </item>
        </activities>
      </item>
    </committees>
    <actions>
      <item>
        <actionDate>2010-04-26</actionDate>
        <committees>
          <item>
            <systemCode>hsju01</systemCode>
            <name>Immigration Integrity, Security, and Enforcement Subcommittee</name>
          </item>
        </committees>
        <sourceSystem>
          <code>1</code>
          <name>House committee actions</name>
        </sourceSystem>
        <text>Referred to the Subcommittee on Immigration, Citizenship, Refugees, Border Security, and International Law.</text>
        <type>Committee</type>
      </item>
      <item>
        <actionDate>2010-04-26</actionDate>
        <committees>
          <item>
            <systemCode>hsju03</systemCode>
            <name>Courts, Intellectual Property, and the Internet Subcommittee</name>
          </item>
        </committees>
        <sourceSystem>
          <code>1</code>
          <name>House committee actions</name>
        </sourceSystem>
        <text>Referred to the Subcommittee on Courts and Competition Policy.</text>
        <type>Committee</type>
      </item>
      <item>
        <actionDate>2010-03-22</actionDate>
        <committees>
          <item>
            <systemCode>hsed02</systemCode>
            <name>Health, Employment, Labor, and Pensions Subcommittee</name>
          </item>
        </committees>
        <sourceSystem>
          <code>1</code>
          <name>House committee actions</name>
        </sourceSystem>
        <text>Referred to the Subcommittee on Health, Employment, Labor, and Pensions.</text>
        <type>Committee</type>
      </item>
      <item>
        <actionDate>2010-03-10</actionDate>
        <text>Referred to House Education and Labor</text>
        <type>IntroReferral</type>
        <actionCode>H11100</actionCode>
        <sourceSystem>
          <code>2</code>
          <name>House floor actions</name>
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            <systemCode>hsed00</systemCode>
            <name>Education and the Workforce Committee</name>
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      <item>
        <actionDate>2010-03-10</actionDate>
        <text>Referred to House Ways and Means</text>
        <type>IntroReferral</type>
        <actionCode>H11100</actionCode>
        <sourceSystem>
          <code>2</code>
          <name>House floor actions</name>
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        <committees>
          <item>
            <systemCode>hswm00</systemCode>
            <name>Ways and Means Committee</name>
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        </committees>
      </item>
      <item>
        <actionDate>2010-03-10</actionDate>
        <text>Referred to House Oversight and Government Reform</text>
        <type>IntroReferral</type>
        <actionCode>H11100</actionCode>
        <sourceSystem>
          <code>2</code>
          <name>House floor actions</name>
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        <committees>
          <item>
            <systemCode>hsgo00</systemCode>
            <name>Oversight and Accountability Committee</name>
          </item>
        </committees>
      </item>
      <item>
        <actionDate>2010-03-10</actionDate>
        <text>Referred to House Judiciary</text>
        <type>IntroReferral</type>
        <actionCode>H11100</actionCode>
        <sourceSystem>
          <code>2</code>
          <name>House floor actions</name>
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        <committees>
          <item>
            <systemCode>hsju00</systemCode>
            <name>Judiciary Committee</name>
          </item>
        </committees>
      </item>
      <item>
        <actionDate>2010-03-10</actionDate>
        <text>Referred to the Committee on Energy and Commerce, and in addition to the Committees on the Judiciary, Oversight and Government Reform, Ways and Means, and Education and Labor, 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>
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          <code>9</code>
          <name>Library of Congress</name>
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      <item>
        <actionDate>2010-03-10</actionDate>
        <text>Referred to House Energy and Commerce</text>
        <type>IntroReferral</type>
        <actionCode>H11100</actionCode>
        <sourceSystem>
          <code>2</code>
          <name>House floor actions</name>
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            <systemCode>hsif00</systemCode>
            <name>Energy and Commerce Committee</name>
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        <actionDate>2010-03-10</actionDate>
        <text>Introduced in House</text>
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          <code>9</code>
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        <actionDate>2010-03-10</actionDate>
        <text>Introduced in House</text>
        <type>IntroReferral</type>
        <actionCode>1000</actionCode>
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          <code>9</code>
          <name>Library of Congress</name>
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    </actions>
    <sponsors>
      <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>
        <isByRequest>N</isByRequest>
      </item>
    </sponsors>
    <cosponsors>
      <item>
        <bioguideId>D000599</bioguideId>
        <fullName>Rep. Davis, Lincoln [D-TN-4]</fullName>
        <firstName>Lincoln</firstName>
        <lastName>Davis</lastName>
        <party>D</party>
        <state>TN</state>
        <district>4</district>
        <sponsorshipDate>2010-03-16</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>2010-06-09</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
    </cosponsors>
    <policyArea>
      <name>Health</name>
    </policyArea>
    <subjects>
      <legislativeSubjects>
        <item>
          <name>Abortion</name>
        </item>
        <item>
          <name>Business ethics</name>
        </item>
        <item>
          <name>Business records</name>
        </item>
        <item>
          <name>Competition and antitrust</name>
        </item>
        <item>
          <name>Disability and health-based discrimination</name>
        </item>
        <item>
          <name>Drug safety, medical device, and laboratory regulation</name>
        </item>
        <item>
          <name>Employee benefits and pensions</name>
        </item>
        <item>
          <name>Government trust funds</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>Income tax deductions</name>
        </item>
        <item>
          <name>Internet and video services</name>
        </item>
        <item>
          <name>Internet, web applications, social media</name>
        </item>
        <item>
          <name>Licensing and registrations</name>
        </item>
        <item>
          <name>Marketing and advertising</name>
        </item>
        <item>
          <name>Medicaid</name>
        </item>
        <item>
          <name>Medicare</name>
        </item>
        <item>
          <name>Prescription drugs</name>
        </item>
        <item>
          <name>Trade restrictions</name>
        </item>
      </legislativeSubjects>
      <policyArea>
        <name>Health</name>
      </policyArea>
    </subjects>
    <summaries>
      <summary>
        <versionCode>00</versionCode>
        <actionDate>2010-03-10</actionDate>
        <actionDesc>Introduced in House</actionDesc>
        <updateDate>2010-04-09T20:48:12Z</updateDate>
        <text><![CDATA[ <p>Amends the McCarran-Ferguson Act to restore application of the Clayton Act and other antitrust laws to insurers.</p> <p> Prohibits premium variation except by geographic premium rating area and by family enrollment.</p> <p>Requires each health benefits plan issuer that offers health insurance coverage in the individual or group market in a state to accept every employer and individual in the state that applies for such coverage.</p> <p></p> <p>Places restrictions on federal funding of abortion, except in cases of certain physical conditions, rape, or incest.</p> <p>Limits a health benefits plan to selling health insurance coverage to U.S. citizens and lawful resident aliens.</p> <p>Amends title XVIII (Medicare) and title XIX (Medicaid) of the Social Security Act to revise requirements for: (1) Medicare Advantage, with respect to the blended benchmark amount and elimination of the MA Regional Plan Stabilization Fund; (2) an increase in the physician fee schedule practice expense geographic adjustment; (3) establishment of a Medicare operated prescription drug plan option; and (4) pharmacy reimbursement.</p> <p>Amends the Federal Food, Drug, and Cosmetic Act (FFDCA) to revise requirements for the importation of prescription drugs. Requires the registration of importers and exporters.</p> <p>Prescribes requirements for: (1) the disposition of certain drugs denied admission into the United States; (2) alternative identification of the chain of custody of certain prescription drugs, including through the use of standardized anti-counterfeiting or track-and-trace technologies; and (3) the sale of prescription drugs through an Internet site.</p> <p>Prohibits the introduction of restricted transactions with unregistered foreign pharmacies into a payment system or the completion of such transactions using a payment system.</p> <p>Amends the Internal Revenue Code to disallow a deduction from income for advertising and promotional expenses for <br> prescription pharmaceuticals.</p> <p>Requires a pharmacy benefit manager with a contract with a health benefits plan to comply with fiduciary standards established by the Secretary of Health and Human Services (HHS).</p> <p>Amends SSA title XIX (Medicaid) to require any drug manufacturer with a rebate agreement concerning covered outpatient drugs to report to the HHS Secretary following a rebate period the total number of units used to calculate the monthly average manufacturer price for each covered outpatient drug.</p>]]></text>
      </summary>
    </summaries>
    <title>To provide for insurance reform (including health insurance reform), amend title XVIII of the Social Security Act to reform Medicare Advantage and reduce disparities in the Medicare Program, regulate the importation of prescription drugs, and for other purposes.</title>
    <titles>
      <item>
        <titleType>Display Title</titleType>
        <title>To provide for insurance reform (including health insurance reform), amend title XVIII of the Social Security Act to reform Medicare Advantage and reduce disparities in the Medicare Program, regulate the importation of prescription drugs, and for other purposes.</title>
      </item>
      <item>
        <titleType>Official Title as Introduced</titleType>
        <title>To provide for insurance reform (including health insurance reform), amend title XVIII of the Social Security Act to reform Medicare Advantage and reduce disparities in the Medicare Program, regulate the importation of prescription drugs, and for other purposes.</title>
        <billTextVersionName>Introduced in House</billTextVersionName>
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        <type>Introduced in House</type>
        <date>2010-03-10T05:00:00Z</date>
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            <url>https://www.govinfo.gov/content/pkg/BILLS-111hr4813ih/xml/BILLS-111hr4813ih.xml</url>
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    <latestAction>
      <actionDate>2010-04-26</actionDate>
      <text>Referred to the Subcommittee on Immigration, Citizenship, Refugees, Border Security, and International Law.</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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