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    <number>6459</number>
    <updateDate>2023-01-11T13:21:18Z</updateDate>
    <updateDateIncludingText>2023-01-11T13:21:18Z</updateDateIncludingText>
    <originChamber>House</originChamber>
    <originChamberCode>H</originChamberCode>
    <type>HR</type>
    <introducedDate>2010-11-30</introducedDate>
    <congress>111</congress>
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        <systemCode>hswm00</systemCode>
        <name>Ways and Means Committee</name>
        <chamber>House</chamber>
        <type>Standing</type>
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            <name>Referred to</name>
            <date>2010-11-30T15:31:20Z</date>
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      </item>
      <item>
        <systemCode>hsif00</systemCode>
        <name>Energy and Commerce Committee</name>
        <chamber>House</chamber>
        <type>Standing</type>
        <activities>
          <item>
            <name>Referred to</name>
            <date>2010-11-30T15:31:15Z</date>
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    </committees>
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        <actionDate>2010-11-30</actionDate>
        <text>Referred to House Ways and Means</text>
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          <name>House floor actions</name>
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            <name>Ways and Means Committee</name>
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      <item>
        <actionDate>2010-11-30</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>2010-11-30</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>2010-11-30</actionDate>
        <text>Introduced in House</text>
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          <code>9</code>
          <name>Library of Congress</name>
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      <item>
        <actionDate>2010-11-30</actionDate>
        <text>Introduced in House</text>
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        <actionCode>1000</actionCode>
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          <code>9</code>
          <name>Library of Congress</name>
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    <sponsors>
      <item>
        <bioguideId>G000544</bioguideId>
        <fullName>Rep. Gonzalez, Charles A. [D-TX-20]</fullName>
        <firstName>CHARLES</firstName>
        <lastName>GONZALEZ</lastName>
        <party>D</party>
        <state>TX</state>
        <middleName>A.</middleName>
        <district>20</district>
        <isByRequest>N</isByRequest>
      </item>
    </sponsors>
    <cosponsors>
      <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>2010-12-08</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>T000469</bioguideId>
        <fullName>Rep. Tonko, Paul [D-NY-21]</fullName>
        <firstName>Paul</firstName>
        <lastName>Tonko</lastName>
        <party>D</party>
        <state>NY</state>
        <district>21</district>
        <sponsorshipDate>2010-12-08</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>D000355</bioguideId>
        <fullName>Rep. Dingell, John D. [D-MI-15]</fullName>
        <firstName>JOHN</firstName>
        <lastName>DINGELL</lastName>
        <party>D</party>
        <state>MI</state>
        <middleName>D.</middleName>
        <district>15</district>
        <sponsorshipDate>2010-12-08</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>R000576</bioguideId>
        <fullName>Rep. Ruppersberger, C. A. Dutch [D-MD-2]</fullName>
        <firstName>C. A.</firstName>
        <lastName>Ruppersberger</lastName>
        <party>D</party>
        <state>MD</state>
        <middleName>Dutch</middleName>
        <district>2</district>
        <sponsorshipDate>2010-12-16</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>M001178</bioguideId>
        <fullName>Rep. Murphy, Scott [D-NY-20]</fullName>
        <firstName>Scott</firstName>
        <lastName>Murphy</lastName>
        <party>D</party>
        <state>NY</state>
        <district>20</district>
        <sponsorshipDate>2010-12-16</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>2010-12-17</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
    </cosponsors>
    <policyArea>
      <name>Health</name>
    </policyArea>
    <subjects>
      <legislativeSubjects>
        <item>
          <name>Health personnel</name>
        </item>
        <item>
          <name>Medicare</name>
        </item>
      </legislativeSubjects>
      <policyArea>
        <name>Health</name>
      </policyArea>
    </subjects>
    <summaries>
      <summary>
        <versionCode>00</versionCode>
        <actionDate>2010-11-30</actionDate>
        <actionDesc>Introduced in House</actionDesc>
        <updateDate>2011-01-05T16:52:31Z</updateDate>
        <text><![CDATA[ <p>Amends title XVIII (Medicare) of the Social Security Act to revise requirements for determining the relative value of physicians' services for fee payment purposes.</p> <p>Directs the Secretary of Health and Human Services (HHS) to provide for a 4-year transition applicable in the case of codes (for services) for which: (1) a single code is used for payment for services for which multiple codes were previously used; and (2) a change in relative value units results in a reduction in such units of 10% or more. Applies this 4-year transition to the number of percentage points of the reduction in excess of 10%.</p>]]></text>
      </summary>
    </summaries>
    <title>To amend section 1848 of the Social Security Act to provide for a 4-year transition in reductions in relative value units for certain newly bundled services to allow physician practice time to adjust to new payment rates.</title>
    <titles>
      <item>
        <titleType>Display Title</titleType>
        <title>To amend section 1848 of the Social Security Act to provide for a 4-year transition in reductions in relative value units for certain newly bundled services to allow physician practice time to adjust to new payment rates.</title>
      </item>
      <item>
        <titleType>Official Title as Introduced</titleType>
        <title>To amend section 1848 of the Social Security Act to provide for a 4-year transition in reductions in relative value units for certain newly bundled services to allow physician practice time to adjust to new payment rates.</title>
        <billTextVersionName>Introduced in House</billTextVersionName>
        <billTextVersionCode>IH</billTextVersionCode>
      </item>
    </titles>
    <textVersions>
      <item>
        <type>Introduced in House</type>
        <date>2010-11-30T05:00:00Z</date>
        <formats>
          <item>
            <url>https://www.govinfo.gov/content/pkg/BILLS-111hr6459ih/xml/BILLS-111hr6459ih.xml</url>
          </item>
        </formats>
      </item>
    </textVersions>
    <latestAction>
      <actionDate>2010-11-30</actionDate>
      <text>Referred to House Ways and Means</text>
    </latestAction>
  </bill>
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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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