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  <version>3.0.0</version>
  <bill>
    <number>6146</number>
    <updateDate>2019-11-15T21:43:02Z</updateDate>
    <updateDateIncludingText>2019-11-15T21:43:02Z</updateDateIncludingText>
    <originChamber>House</originChamber>
    <originChamberCode>H</originChamberCode>
    <type>HR</type>
    <introducedDate>2012-07-18</introducedDate>
    <congress>112</congress>
    <constitutionalAuthorityStatementText><![CDATA[<pre>From the Congressional Record Online through the Government Publishing Office [<a href='http://www.gpo.gov'>www.gpo.gov</a>]By Mr. HINOJOSA:H.R. 6146.Congress has the power to enact this legislation pursuantto the following:The Congress enacts this bill pursuant to Clause 1 ofSection 8 of Article I of the United States Constitution andAmendment XVI of the United States Constitution.[Page H5009]</pre>]]></constitutionalAuthorityStatementText>
    <committees>
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        <systemCode>hswm00</systemCode>
        <name>Ways and Means Committee</name>
        <chamber>House</chamber>
        <type>Standing</type>
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            <systemCode>hswm02</systemCode>
            <name>Health Subcommittee</name>
            <activities>
              <item>
                <name>Referred to</name>
                <date>2012-07-25T21:11:32Z</date>
              </item>
            </activities>
          </item>
        </subcommittees>
        <activities>
          <item>
            <name>Referred to</name>
            <date>2012-07-18T14:00:38Z</date>
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    </committees>
    <actions>
      <item>
        <actionDate>2012-07-25</actionDate>
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            <systemCode>hswm02</systemCode>
            <name>Health Subcommittee</name>
          </item>
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        <text>Referred to the Subcommittee on Health.</text>
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      <item>
        <actionDate>2012-07-18</actionDate>
        <text>Referred to the House Committee on Ways and Means.</text>
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        <actionCode>H11100</actionCode>
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            <name>Ways and Means Committee</name>
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        <actionDate>2012-07-18</actionDate>
        <text>Introduced in House</text>
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          <name>Library of Congress</name>
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        <actionDate>2012-07-18</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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      </item>
    </actions>
    <sponsors>
      <item>
        <bioguideId>H000636</bioguideId>
        <fullName>Rep. Hinojosa, Ruben [D-TX-15]</fullName>
        <firstName>RUBEN</firstName>
        <lastName>HINOJOSA</lastName>
        <party>D</party>
        <state>TX</state>
        <district>15</district>
        <isByRequest>N</isByRequest>
      </item>
    </sponsors>
    <cosponsors>
      <item>
        <bioguideId>J000285</bioguideId>
        <fullName>Rep. Johnson, Timothy V. [R-IL-15]</fullName>
        <firstName>TIMOTHY</firstName>
        <lastName>JOHNSON</lastName>
        <party>R</party>
        <state>IL</state>
        <middleName>V.</middleName>
        <district>15</district>
        <sponsorshipDate>2012-07-18</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
    </cosponsors>
    <policyArea>
      <name>Health</name>
    </policyArea>
    <subjects>
      <legislativeSubjects>
        <item>
          <name>Health care coverage and access</name>
        </item>
        <item>
          <name>Hospital care</name>
        </item>
        <item>
          <name>Medicare</name>
        </item>
        <item>
          <name>Nursing</name>
        </item>
        <item>
          <name>Rural conditions and development</name>
        </item>
        <item>
          <name>Surgery and anesthesia</name>
        </item>
      </legislativeSubjects>
      <policyArea>
        <name>Health</name>
      </policyArea>
    </subjects>
    <summaries>
      <summary>
        <versionCode>00</versionCode>
        <actionDate>2012-07-18</actionDate>
        <actionDesc>Introduced in House</actionDesc>
        <updateDate>2012-09-13T21:34:43Z</updateDate>
        <text><![CDATA[ <p>Amends the Omnibus Budget Reconciliation Act of 1986, as amended by the Omnibus Budget Reconciliation Act of 1989, to treat a critical access hospital as rural, notwithstanding the reclassification of its location county as an urban county ("Lugar county") under title XVIII (Medicare) of the Social Security Act, in order to permit pass-through payment for the reasonable costs of certified registered nurse anesthetist (CRNA) services.</p> <p>Counts on-call and standby costs for such services as reasonable CRNA costs.</p>]]></text>
      </summary>
    </summaries>
    <title>To permit pass-through payment for reasonable costs of certified registered nurse anesthetist services in critical access hospitals notwithstanding the reclassification of such hospitals as urban hospitals, including hospitals located in "Lugar counties", and for on-call and standby costs for such services.</title>
    <titles>
      <item>
        <titleType>Display Title</titleType>
        <title>To permit pass-through payment for reasonable costs of certified registered nurse anesthetist services in critical access hospitals notwithstanding the reclassification of such hospitals as urban hospitals, including hospitals located in "Lugar counties", and for on-call and standby costs for such services.</title>
      </item>
      <item>
        <titleType>Official Title as Introduced</titleType>
        <title>To permit pass-through payment for reasonable costs of certified registered nurse anesthetist services in critical access hospitals notwithstanding the reclassification of such hospitals as urban hospitals, including hospitals located in "Lugar counties", and for on-call and standby costs for such services.</title>
      </item>
    </titles>
    <textVersions>
      <item>
        <type>Introduced in House</type>
        <date>2012-07-18T04:00:00Z</date>
        <formats>
          <item>
            <url>https://www.govinfo.gov/content/pkg/BILLS-112hr6146ih/xml/BILLS-112hr6146ih.xml</url>
          </item>
        </formats>
      </item>
    </textVersions>
    <latestAction>
      <actionDate>2012-07-25</actionDate>
      <text>Referred to the Subcommittee on Health.</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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