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    <number>3769</number>
    <updateDate>2023-01-11T13:23:35Z</updateDate>
    <updateDateIncludingText>2023-01-11T13:23:35Z</updateDateIncludingText>
    <originChamber>House</originChamber>
    <originChamberCode>H</originChamberCode>
    <type>HR</type>
    <introducedDate>2013-12-12</introducedDate>
    <congress>113</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. SMITH of Nebraska:H.R. 3769.Congress has the power to enact this legislation pursuantto the following:The constitutional authority on which this bill rests isthe power of Congress as enumerated in Article 1, Section 8,Clause 1 of the United States Constitution.[Page H8111]</pre>]]></constitutionalAuthorityStatementText>
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                <name>Referred to</name>
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            <name>Referred to</name>
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        <actionDate>2013-12-13</actionDate>
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        <text>Referred to the Subcommittee on Health.</text>
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        <actionDate>2013-12-12</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>
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            <name>Ways and Means Committee</name>
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        <actionDate>2013-12-12</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>
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        <text>Introduced in House</text>
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    <sponsors>
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        <bioguideId>S001172</bioguideId>
        <fullName>Rep. Smith, Adrian [R-NE-3]</fullName>
        <firstName>Adrian</firstName>
        <lastName>Smith</lastName>
        <party>R</party>
        <state>NE</state>
        <district>3</district>
        <isByRequest>N</isByRequest>
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    <cosponsors>
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        <bioguideId>J000290</bioguideId>
        <fullName>Rep. Jenkins, Lynn [R-KS-2]</fullName>
        <firstName>Lynn</firstName>
        <lastName>Jenkins</lastName>
        <party>R</party>
        <state>KS</state>
        <district>2</district>
        <sponsorshipDate>2013-12-12</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
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      <item>
        <bioguideId>L000111</bioguideId>
        <fullName>Rep. Latham, Tom [R-IA-3]</fullName>
        <firstName>TOM</firstName>
        <lastName>LATHAM</lastName>
        <party>R</party>
        <state>IA</state>
        <district>3</district>
        <sponsorshipDate>2014-03-12</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <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>2014-03-24</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
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    <policyArea>
      <name>Health</name>
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    <subjects>
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          <name>Administrative law and regulatory procedures</name>
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          <name>Congressional oversight</name>
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          <name>Department of Health and Human Services</name>
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        <item>
          <name>Government studies and investigations</name>
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        <item>
          <name>Health facilities and institutions</name>
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        <item>
          <name>Home and outpatient care</name>
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        <item>
          <name>Hospital care</name>
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          <name>Medicare</name>
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          <name>Rural conditions and development</name>
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      <policyArea>
        <name>Health</name>
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    <summaries>
      <summary>
        <versionCode>00</versionCode>
        <actionDate>2013-12-12</actionDate>
        <actionDesc>Introduced in House</actionDesc>
        <updateDate>2014-01-27T17:56:51Z</updateDate>
        <text><![CDATA[ <p>Directs the Secretary of Health and Human Services (HHS), during a specified extension period, to extend the therapy supervision nonenforcement instruction (the enforcement instruction on supervision requirements for outpatient therapeutic services in critical access and small rural hospitals, as extended for calendar year 2013 by the Centers for Medicare &amp; Medicaid Services).</p> <p>Directs the Secretary to study the impact (including the economic impact and the impact upon hospital staffing needs, if any) on critical access hospitals and small rural hospitals of not extending the therapy supervision nonenforcement instruction.</p>]]></text>
      </summary>
    </summaries>
    <title>To extend the nonenforcement instruction for the Medicare direct supervision requirement for therapeutic hospital outpatient services insofar as it applies to critical access hospitals and rural hospitals, to require a study of the impact on critical access hospitals and rural hospitals of a failure to extend such instruction, and for other purposes.</title>
    <titles>
      <item>
        <titleType>Display Title</titleType>
        <title>To extend the nonenforcement instruction for the Medicare direct supervision requirement for therapeutic hospital outpatient services insofar as it applies to critical access hospitals and rural hospitals, to require a study of the impact on critical access hospitals and rural hospitals of a failure to extend such instruction, and for other purposes.</title>
      </item>
      <item>
        <titleType>Official Title as Introduced</titleType>
        <title>To extend the nonenforcement instruction for the Medicare direct supervision requirement for therapeutic hospital outpatient services insofar as it applies to critical access hospitals and rural hospitals, to require a study of the impact on critical access hospitals and rural hospitals of a failure to extend such instruction, and for other purposes.</title>
        <billTextVersionName>Introduced in House</billTextVersionName>
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    <textVersions>
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        <type>Introduced in House</type>
        <date>2013-12-12T05:00:00Z</date>
        <formats>
          <item>
            <url>https://www.govinfo.gov/content/pkg/BILLS-113hr3769ih/xml/BILLS-113hr3769ih.xml</url>
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        </formats>
      </item>
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    <latestAction>
      <actionDate>2013-12-13</actionDate>
      <text>Referred to the Subcommittee on Health.</text>
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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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