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    <updateDate>2023-01-11T13:20:43Z</updateDate>
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    <originChamber>Senate</originChamber>
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    <introducedDate>2011-01-25</introducedDate>
    <congress>112</congress>
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        <name>Finance Committee</name>
        <chamber>Senate</chamber>
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            <name>Referred to</name>
            <date>2011-01-25T19:42:11Z</date>
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      <item>
        <title>State Leadership in Health Care Act</title>
        <congress>112</congress>
        <number>439</number>
        <type>HR</type>
        <latestAction>
          <actionDate>2011-02-09</actionDate>
          <text>Referred to the Subcommittee on Health.</text>
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        <actionDate>2011-01-25</actionDate>
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            <name>Finance Committee</name>
          </item>
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          <name>Senate</name>
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        <text>Read twice and referred to the Committee on Finance.</text>
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        <actionDate>2011-01-25</actionDate>
        <text>Introduced in Senate</text>
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          <name>Library of Congress</name>
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        <bioguideId>S000033</bioguideId>
        <fullName>Sen. Sanders, Bernard [I-VT]</fullName>
        <firstName>Bernard</firstName>
        <lastName>Sanders</lastName>
        <party>I</party>
        <state>VT</state>
        <isByRequest>N</isByRequest>
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    <cosponsors>
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        <fullName>Sen. Leahy, Patrick J. [D-VT]</fullName>
        <firstName>Patrick</firstName>
        <lastName>Leahy</lastName>
        <party>D</party>
        <state>VT</state>
        <sponsorshipDate>2011-01-25</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>I000025</bioguideId>
        <fullName>Sen. Inouye, Daniel K. [D-HI]</fullName>
        <firstName>DANIEL</firstName>
        <lastName>INOUYE</lastName>
        <party>D</party>
        <state>HI</state>
        <middleName>KEN</middleName>
        <sponsorshipDate>2011-02-16</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>A000069</bioguideId>
        <fullName>Sen. Akaka, Daniel K. [D-HI]</fullName>
        <firstName>DANIEL</firstName>
        <lastName>AKAKA</lastName>
        <party>D</party>
        <state>HI</state>
        <middleName>KOHIKINA</middleName>
        <sponsorshipDate>2011-04-05</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
    </cosponsors>
    <policyArea>
      <name>Health</name>
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    <subjects>
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          <name>Health care costs and insurance</name>
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        <item>
          <name>Health care coverage and access</name>
        </item>
        <item>
          <name>State and local government operations</name>
        </item>
      </legislativeSubjects>
      <policyArea>
        <name>Health</name>
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    <summaries>
      <summary>
        <versionCode>00</versionCode>
        <actionDate>2011-01-25</actionDate>
        <actionDesc>Introduced in Senate</actionDesc>
        <updateDate>2011-02-17T18:40:04Z</updateDate>
        <text><![CDATA[ <p>State Leadership in Health Care Act - Amends the Patient Protection and Affordable Care Act (PPACA) to allow states to apply for a waiver of specified requirements under PPACA with respect to health insurance coverage within that state due to implementation of a state plan that provides comparable coverage for plan years beginning in 2014 (currently, 2017). Permits the Secretary of Health and Human Services (HHS) or the Secretary of the Treasury to deny waivers only if: (1) the state plan does not meet requirements for granting a waiver, (2) the Secretary of HHS or Treasury notifies the state in writing of the requirements that the state plan did not meet and provides the state with information used in making such a determination, and (3) the state is given an opportunity to appeal.</p> <p>Requires the Secretary of HHS or Treasury to reconsider the determination in the event of an appeal and issue a written decision within 60 days.</p>]]></text>
      </summary>
    </summaries>
    <title>State Leadership in Health Care Act</title>
    <titles>
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        <titleType>Display Title</titleType>
        <title>State Leadership in Health Care Act</title>
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      <item>
        <titleType>Official Title as Introduced</titleType>
        <title>A bill to provide for an earlier start for State health care coverage innovation waivers under the Patient Protection and Affordable Care Act, and for other purposes.</title>
        <billTextVersionName>Introduced in Senate</billTextVersionName>
        <billTextVersionCode>IS</billTextVersionCode>
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        <titleType>Short Titles as Introduced</titleType>
        <title>State Leadership in Health Care Act</title>
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    <textVersions>
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        <type>Introduced in Senate</type>
        <date>2011-01-25T05:00:00Z</date>
        <formats>
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            <url>https://www.govinfo.gov/content/pkg/BILLS-112s73is/xml/BILLS-112s73is.xml</url>
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    <latestAction>
      <actionDate>2011-01-25</actionDate>
      <text>Read twice and referred to the Committee on Finance.</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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