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    <number>574</number>
    <updateDate>2022-11-15T16:32:51Z</updateDate>
    <updateDateIncludingText>2022-11-15T16:32:51Z</updateDateIncludingText>
    <originChamber>House</originChamber>
    <originChamberCode>H</originChamberCode>
    <type>HR</type>
    <introducedDate>2013-02-06</introducedDate>
    <congress>113</congress>
    <constitutionalAuthorityStatementText><![CDATA[<pre>[Pages H5347-H5349]From the Congressional Record Online through the Government Publishing Office [<a href='http://www.gpo.gov'>www.gpo.gov</a>]By Mr. NEUGEBAUER:H.J. Res. 57.Congress has the power to enact this legislation pursuantto the following:Constitutional Amendments Article VThe Congress, whenever two thirds of both Houses shall deemit necessary, shall propose Amendments to this Constitution,or, on the Application of the Legislatures of two thirds ofthe several States, shall call a Convention for proposingAmendments, which in either Case, shall be valid to allIntents and Purposes, as Part of this Constitution, whenratified by the Legislatures of three fourths of the severalStates or by Conventions in three fourths thereof, as the oneor the other Mode of Ratification may be proposed by theCongress; Provided that no Amendment which may be made priorto the Year One thousand eight hundred and eight shall in anyManner affect the first and fourth Clauses in the NinthSection of the first Article; and that no State without itsConsent, shall be deprived of its equal Suffrage in theSenate.ADDITIONAL SPONSORSUnder clause 7 of rule XII, sponsors were added to public bills andresolutions as follows:[[Page H5348]]H.R. 60: Mr. Danny K. Davis of Illinois.H.R. 148: Mr. Enyart.H.R. 182: Mr. Sires.H.R. 183: Mr. Enyart.H.R. 262: Mr. Heck of Nevada and Mr. Schock.H.R. 279: Mr. Ruiz.H.R. 281: Ms. Kaptur.H.R. 292: Mr. George Miller of California.H.R. 301: Mr. Gardner and Mr. Wittman.H.R. 310: Mr. Kilmer.H.R. 362: Mr. George Miller of California.H.R. 363: Mr. George Miller of California.H.R. 366: Ms. Jenkins and Mr. Schneider.H.R. 419: Mr. Kelly of Pennsylvania.H.R. 460: Mr. Perlmutter.H.R. 474: Mr. Ellison.H.R. 485: Ms. Tsongas.H.R. 491: Mr. Sherman.H.R. 508: Mr. Quigley, Mr. Barber, and Mr. Gibson.H.R. 523: Mr. Smith of Missouri.H.R. 525: Mr. Ryan of Ohio.H.R. 533: Mr. Cartwright and Mr. DeFazio.H.R. 543: Mr. George Miller of California.H.R. 574: Mr. Clay.H.R. 578: Mr. Womack.H.R. 580: Mr. Cartwright.H.R. 620: Mr. Ellison.H.R. 621: Mr. Barletta.H.R. 647: Mr. Pascrell, Mrs. Miller of Michigan, Mr.Johnson of Georgia, Ms. Fudge, Mr. McDermott, and Mr. Neal.H.R. 679: Mr. Scott of Virginia.H.R. 685: Ms. Moore, Mr. Price of Georgia, Mr. Al Green ofTexas, Mr. Kilmer, Mr. Neal, Mrs. Lowey, and Mr. Womack.H.R. 690: Mr. Barletta and Mr. Walden.H.R. 702: Mr. Cohen and Mr. Langevin.H.R. 720: Mr. Cartwright.H.R. 724: Mr. Swalwell of California.H.R. 755: Ms. Esty.H.R. 792: Mr. Gowdy.H.R. 795: Mr. Stockman.H.R. 846: Mr. Nunnelee, Mr. Courtney, Mr. Cohen, Mr. Kline,Mr. Sam Johnson of Texas, Ms. Fudge, Mr. Stutzman, and Mr.Pocan.H.R. 920: Mr. Gallego.H.R. 938: Mr. Thornberry.H.R. 961: Mr. Bera of California.H.R. 975: Mr. Price of North Carolina.H.R. 1001: Mr. Bishop of New York and Mr. Cole.H.R. 1014: Mr. Rothfus.H.R. 1015: Mr. Huffman, Mr. Bachus, and Mr. Barletta.H.R. 1020: Mr. Danny K. Davis of Illinois, Mr. Renacci, andMr. Womack.H.R. 1024: Ms. Clarke, Mrs. Miller of Michigan, and Ms.Kuster.H.R. 1074: Ms. DeGette.H.R. 1091: Mr. Sam Johnson of Texas, Mr. Goodlatte, and Mr.Massie.H.R. 1094: Mr. Bera of California and Mr. Serrano.H.R. 1105: Mr. Matheson and Mr. Bachus.H.R. 1146: Mr. McHenry.H.R. 1175: Ms. Bass.H.R. 1176: Mr. Wittman.H.R. 1237: Mr. Stivers.H.R. 1249: Mr. Griffin of Arkansas.H.R. 1250: Mr. Courtney, Mrs. Miller of Michigan, and Ms.Esty.H.R. 1252: Mr. Cook, Mr. Runyan, and Mr. Pearce.H.R. 1276: Mrs. Miller of Michigan, Mr. Fortenberry, Ms.Duckworth, Mr. Farr, and Mrs. Capps.H.R. 1318: Ms. Sewell of Alabama, Mr. Neal, and Mr. Clay.H.R. 1327: Ms. McCollum.H.R. 1346: Mr. Lowenthal.H.R. 1354: Mr. Kilmer.H.R. 1389: Ms. Frankel of Florida and Ms. Esty.H.R. 1416: Mr. Israel and Mr. Wilson of South Carolina.H.R. 1428: Mr. Gerlach.H.R. 1476: Mr. Bentivolio.H.R. 1518: Ms. Pingree of Maine.H.R. 1526: Mr. Coffman.H.R. 1563: Ms. Wilson[...]</pre>]]></constitutionalAuthorityStatementText>
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            <name>Health Subcommittee</name>
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        <text>Referred to the Subcommittee on Health.</text>
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        <text>Referred to the Subcommittee on Health.</text>
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        <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>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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        <fullName>Rep. Schwartz, Allyson Y. [D-PA-13]</fullName>
        <firstName>Allyson</firstName>
        <lastName>Schwartz</lastName>
        <party>D</party>
        <state>PA</state>
        <middleName>Y.</middleName>
        <district>13</district>
        <isByRequest>N</isByRequest>
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        <bioguideId>H001055</bioguideId>
        <fullName>Rep. Heck, Joseph J. [R-NV-3]</fullName>
        <firstName>Joseph</firstName>
        <lastName>Heck</lastName>
        <party>R</party>
        <state>NV</state>
        <middleName>J.</middleName>
        <district>3</district>
        <sponsorshipDate>2013-02-06</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
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      <item>
        <bioguideId>B000574</bioguideId>
        <fullName>Rep. Blumenauer, Earl [D-OR-3]</fullName>
        <firstName>EARL</firstName>
        <lastName>BLUMENAUER</lastName>
        <party>D</party>
        <state>OR</state>
        <district>3</district>
        <sponsorshipDate>2013-02-06</sponsorshipDate>
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      <item>
        <bioguideId>C000380</bioguideId>
        <fullName>Del. Christensen, Donna M. [D-VI-At Large]</fullName>
        <firstName>DONNA</firstName>
        <lastName>CHRISTENSEN</lastName>
        <party>D</party>
        <state>VI</state>
        <middleName>M.</middleName>
        <district>0</district>
        <sponsorshipDate>2013-02-06</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
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      <item>
        <bioguideId>C001083</bioguideId>
        <fullName>Rep. Carney, John C., Jr. [D-DE-At Large]</fullName>
        <firstName>John</firstName>
        <lastName>Carney</lastName>
        <party>D</party>
        <state>DE</state>
        <middleName>C.</middleName>
        <district>0</district>
        <sponsorshipDate>2013-02-06</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
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      <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>2013-02-06</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
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      <item>
        <bioguideId>P000598</bioguideId>
        <fullName>Rep. Polis, Jared [D-CO-2]</fullName>
        <firstName>Jared</firstName>
        <lastName>Polis</lastName>
        <party>D</party>
        <state>CO</state>
        <district>2</district>
        <sponsorshipDate>2013-02-06</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
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        <bioguideId>F000043</bioguideId>
        <fullName>Rep. Fattah, Chaka [D-PA-2]</fullName>
        <firstName>CHAKA</firstName>
        <lastName>FATTAH</lastName>
        <party>D</party>
        <state>PA</state>
        <district>2</district>
        <sponsorshipDate>2013-02-06</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>C001066</bioguideId>
        <fullName>Rep. Castor, Kathy [D-FL-14]</fullName>
        <firstName>Kathy</firstName>
        <lastName>Castor</lastName>
        <party>D</party>
        <state>FL</state>
        <district>14</district>
        <sponsorshipDate>2013-02-06</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>B001227</bioguideId>
        <fullName>Rep. Brady, Robert A. [D-PA-1]</fullName>
        <firstName>ROBERT</firstName>
        <lastName>BRADY</lastName>
        <party>D</party>
        <state>PA</state>
        <middleName>A.</middleName>
        <district>1</district>
        <sponsorshipDate>2013-02-12</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>S001180</bioguideId>
        <fullName>Rep. Schrader, Kurt [D-OR-5]</fullName>
        <firstName>Kurt</firstName>
        <lastName>Schrader</lastName>
        <party>D</party>
        <state>OR</state>
        <district>5</district>
        <sponsorshipDate>2013-02-12</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>T000469</bioguideId>
        <fullName>Rep. Tonko, Paul [D-NY-20]</fullName>
        <firstName>Paul</firstName>
        <lastName>Tonko</lastName>
        <party>D</party>
        <state>NY</state>
        <district>20</district>
        <sponsorshipDate>2013-02-13</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>E000292</bioguideId>
        <fullName>Rep. Enyart, William L. [D-IL-12]</fullName>
        <firstName>William</firstName>
        <lastName>Enyart</lastName>
        <party>D</party>
        <state>IL</state>
        <middleName>L.</middleName>
        <district>12</district>
        <sponsorshipDate>2013-02-13</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
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      <item>
        <bioguideId>S001157</bioguideId>
        <fullName>Rep. Scott, David [D-GA-13]</fullName>
        <firstName>David</firstName>
        <lastName>Scott</lastName>
        <party>D</party>
        <state>GA</state>
        <district>13</district>
        <sponsorshipDate>2013-02-13</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
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        <bioguideId>B000490</bioguideId>
        <fullName>Rep. Bishop, Sanford D., Jr. [D-GA-2]</fullName>
        <firstName>SANFORD</firstName>
        <lastName>BISHOP</lastName>
        <party>D</party>
        <state>GA</state>
        <middleName>D.</middleName>
        <district>2</district>
        <sponsorshipDate>2013-03-14</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
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        <bioguideId>M001171</bioguideId>
        <fullName>Rep. Maffei, Daniel B. [D-NY-24]</fullName>
        <firstName>Daniel</firstName>
        <lastName>Maffei</lastName>
        <party>D</party>
        <state>NY</state>
        <middleName>B.</middleName>
        <district>24</district>
        <sponsorshipDate>2013-03-14</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
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        <bioguideId>R000599</bioguideId>
        <fullName>Rep. Ruiz, Raul [D-CA-36]</fullName>
        <firstName>Raul</firstName>
        <lastName>Ruiz</lastName>
        <party>D</party>
        <state>CA</state>
        <district>36</district>
        <sponsorshipDate>2013-03-14</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
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        <bioguideId>R000515</bioguideId>
        <fullName>Rep. Rush, Bobby L. [D-IL-1]</fullName>
        <firstName>BOBBY</firstName>
        <lastName>RUSH</lastName>
        <party>D</party>
        <state>IL</state>
        <middleName>L.</middleName>
        <district>1</district>
        <sponsorshipDate>2013-03-14</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>B001287</bioguideId>
        <fullName>Rep. Bera, Ami [D-CA-7]</fullName>
        <firstName>Ami</firstName>
        <lastName>Bera</lastName>
        <party>D</party>
        <state>CA</state>
        <district>7</district>
        <sponsorshipDate>2013-03-14</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>K000368</bioguideId>
        <fullName>Rep. Kirkpatrick, Ann [D-AZ-1]</fullName>
        <firstName>Ann</firstName>
        <lastName>Kirkpatrick</lastName>
        <party>D</party>
        <state>AZ</state>
        <district>1</district>
        <sponsorshipDate>2013-03-14</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>C001078</bioguideId>
        <fullName>Rep. Connolly, Gerald E. [D-VA-11]</fullName>
        <firstName>Gerald</firstName>
        <lastName>Connolly</lastName>
        <party>D</party>
        <state>VA</state>
        <middleName>E.</middleName>
        <district>11</district>
        <sponsorshipDate>2013-03-14</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>M000485</bioguideId>
        <fullName>Rep. McIntyre, Mike [D-NC-7]</fullName>
        <firstName>MIKE</firstName>
        <lastName>MCINTYRE</lastName>
        <party>D</party>
        <state>NC</state>
        <district>7</district>
        <sponsorshipDate>2013-03-19</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
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        <bioguideId>P000597</bioguideId>
        <fullName>Rep. Pingree, Chellie [D-ME-1]</fullName>
        <firstName>Chellie</firstName>
        <lastName>Pingree</lastName>
        <party>D</party>
        <state>ME</state>
        <district>1</district>
        <sponsorshipDate>2013-03-20</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>M001163</bioguideId>
        <fullName>Rep. Matsui, Doris O. [D-CA-6]</fullName>
        <firstName>Doris</firstName>
        <lastName>Matsui</lastName>
        <party>D</party>
        <state>CA</state>
        <middleName>O.</middleName>
        <district>6</district>
        <sponsorshipDate>2013-04-09</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>W000797</bioguideId>
        <fullName>Rep. Wasserman Schultz, Debbie [D-FL-23]</fullName>
        <firstName>Debbie</firstName>
        <lastName>Wasserman Schultz</lastName>
        <party>D</party>
        <state>FL</state>
        <district>23</district>
        <sponsorshipDate>2013-04-09</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>C001080</bioguideId>
        <fullName>Rep. Chu, Judy [D-CA-27]</fullName>
        <firstName>Judy</firstName>
        <lastName>Chu</lastName>
        <party>D</party>
        <state>CA</state>
        <district>27</district>
        <sponsorshipDate>2013-04-09</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>Q000023</bioguideId>
        <fullName>Rep. Quigley, Mike [D-IL-5]</fullName>
        <firstName>Mike</firstName>
        <lastName>Quigley</lastName>
        <party>D</party>
        <state>IL</state>
        <district>5</district>
        <sponsorshipDate>2013-04-10</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>H001047</bioguideId>
        <fullName>Rep. Himes, James A. [D-CT-4]</fullName>
        <firstName>James</firstName>
        <lastName>Himes</lastName>
        <party>D</party>
        <state>CT</state>
        <middleName>A.</middleName>
        <district>4</district>
        <sponsorshipDate>2013-04-12</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>D000096</bioguideId>
        <fullName>Rep. Davis, Danny K. [D-IL-7]</fullName>
        <firstName>DANNY</firstName>
        <lastName>DAVIS</lastName>
        <party>D</party>
        <state>IL</state>
        <middleName>K.</middleName>
        <district>7</district>
        <sponsorshipDate>2013-04-12</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
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        <bioguideId>T000468</bioguideId>
        <fullName>Rep. Titus, Dina [D-NV-1]</fullName>
        <firstName>Dina</firstName>
        <lastName>Titus</lastName>
        <party>D</party>
        <state>NV</state>
        <district>1</district>
        <sponsorshipDate>2013-04-16</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
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        <bioguideId>G000556</bioguideId>
        <fullName>Rep. Grayson, Alan [D-FL-9]</fullName>
        <firstName>Alan</firstName>
        <lastName>Grayson</lastName>
        <party>D</party>
        <state>FL</state>
        <district>9</district>
        <sponsorshipDate>2013-04-26</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
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        <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>2013-05-20</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>F000462</bioguideId>
        <fullName>Rep. Frankel, Lois [D-FL-22]</fullName>
        <firstName>Lois</firstName>
        <lastName>Frankel</lastName>
        <party>D</party>
        <state>FL</state>
        <district>22</district>
        <sponsorshipDate>2013-06-19</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>H001064</bioguideId>
        <fullName>Rep. Heck, Denny [D-WA-10]</fullName>
        <firstName>Denny</firstName>
        <lastName>Heck</lastName>
        <party>D</party>
        <state>WA</state>
        <district>10</district>
        <sponsorshipDate>2013-06-28</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>B001259</bioguideId>
        <fullName>Rep. Braley, Bruce L. [D-IA-1]</fullName>
        <firstName>Bruce</firstName>
        <lastName>Braley</lastName>
        <party>D</party>
        <state>IA</state>
        <middleName>L.</middleName>
        <district>1</district>
        <sponsorshipDate>2013-07-09</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>G000572</bioguideId>
        <fullName>Rep. Gallego, Pete P. [D-TX-23]</fullName>
        <firstName>Pete</firstName>
        <lastName>Gallego</lastName>
        <party>D</party>
        <state>TX</state>
        <middleName>P.</middleName>
        <district>23</district>
        <sponsorshipDate>2013-07-23</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>C001049</bioguideId>
        <fullName>Rep. Clay, Wm. Lacy [D-MO-1]</fullName>
        <firstName>WM.</firstName>
        <lastName>CLAY</lastName>
        <party>D</party>
        <state>MO</state>
        <middleName>LACY</middleName>
        <district>1</district>
        <sponsorshipDate>2013-08-01</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>H000324</bioguideId>
        <fullName>Rep. Hastings, Alcee L. [D-FL-20]</fullName>
        <firstName>ALCEE</firstName>
        <lastName>HASTINGS</lastName>
        <party>D</party>
        <state>FL</state>
        <middleName>L.</middleName>
        <district>20</district>
        <sponsorshipDate>2013-09-10</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>L000579</bioguideId>
        <fullName>Rep. Lowenthal, Alan S. [D-CA-47]</fullName>
        <firstName>Alan</firstName>
        <lastName>Lowenthal</lastName>
        <party>D</party>
        <state>CA</state>
        <middleName>S.</middleName>
        <district>47</district>
        <sponsorshipDate>2013-09-25</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>L000565</bioguideId>
        <fullName>Rep. Loebsack, David [D-IA-2]</fullName>
        <firstName>David</firstName>
        <lastName>Loebsack</lastName>
        <party>D</party>
        <state>IA</state>
        <district>2</district>
        <sponsorshipDate>2013-10-23</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>M000312</bioguideId>
        <fullName>Rep. McGovern, James P. [D-MA-2]</fullName>
        <firstName>JAMES</firstName>
        <lastName>MCGOVERN</lastName>
        <party>D</party>
        <state>MA</state>
        <middleName>P.</middleName>
        <district>2</district>
        <sponsorshipDate>2013-12-09</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
    </cosponsors>
    <policyArea>
      <name>Health</name>
    </policyArea>
    <subjects>
      <legislativeSubjects>
        <item>
          <name>Congressional oversight</name>
        </item>
        <item>
          <name>Government information and archives</name>
        </item>
        <item>
          <name>Government studies and investigations</name>
        </item>
        <item>
          <name>Health personnel</name>
        </item>
        <item>
          <name>Medicare</name>
        </item>
      </legislativeSubjects>
      <policyArea>
        <name>Health</name>
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    </subjects>
    <summaries>
      <summary>
        <versionCode>00</versionCode>
        <actionDate>2013-02-06</actionDate>
        <actionDesc>Introduced in House</actionDesc>
        <updateDate>2013-03-07T20:02:15Z</updateDate>
        <text><![CDATA[ <p>Medicare Physician Payment Innovation Act of 2013 - Amends title XVIII (Medicare) of the Social Security Act (SSA) to revise requirements for payments for physician's services to eliminate the sustainable growth rate system from the formula for determination of the fee schedules for such services.</p> <p>Sets at 0.0 the 2014 update to the single conversion factor in such formula. </p> <p>Establishes updates for separate primary care and other service categories beginning January 1, 2015, as well as separate conversion factors and separate updates through 2018 for each service category.</p> <p>Directs the Secretary, through the Center for Medicare and Medicaid Innovation, to: (1) expand testing of each innovative payment and service delivery model in at least three geographic regions; and (2) include analysis of average implementation costs, per physician, in evaluations of models in phase 1 testing.</p> <p>Specifies as such a model, subject to testing, payment for outpatient therapy services and speech language pathology services on the basis of a treatment session, an episode of care, or other bundled payment methodology as a model to be tested during phase 1 testing.</p> <p>Directs the Comptroller General to study the evaluations of each model tested.</p> <p>Directs the Secretary to release to the public a comprehensive list of such health care delivery models identified as likely to: (1) reduce spending without reducing quality of care, or (2) improve the quality of patient care without increasing spending.</p> <p>Requires the Secretary to inform physicians, nurse practitioners, group practices, and institutions employing Medicare part B (Supplementary Medical Insurance) providers on how best to transition to alternative health care delivery and payment models aimed at improving the coordination, quality, and efficiency of health care. </p> <p>Freezes the physician fee schedule for 2019 by requiring 0.0 updates to the relevant conversion factors.</p> <p>Directs the Secretary to: (1) contract and agree with regional extension centers to provide guidance and assistance on how physicians may transition to implementation of alternative health care delivery models identified as represernting best practices; and (2) make certain funding available to the Office of the National Coordinator for Health Care Technology to award grants and incentive payments under a competitive process to regional extension centers and other qualified entities for such activities.</p> <p>Requires the Office to: (1) establish a process for the competitive selection of regional extension centers (and other qualified entities) in the third quarter of 2015, and (2) authorize the initial distribution of funds to such centers and entities.</p> <p>Prescribes updates to conversion factors for 2020-2023, but freezes them again beginning in 2024.</p> <p>Requires the Secretary to consider certain factors in determining the growth rates to be recognized beginning with 2020 for alternative payment and delivery models.</p> <p>Directs the Secretary to report to Congress on the impact on spending and on access to services under Medicare resulting from changes to the Medicare delivery and payments systems, including those made by this Act.</p>]]></text>
      </summary>
    </summaries>
    <title>Medicare Physician Payment Innovation Act of 2013</title>
    <titles>
      <item>
        <titleType>Display Title</titleType>
        <title>Medicare Physician Payment Innovation Act of 2013</title>
      </item>
      <item>
        <titleType>Short Titles as Introduced</titleType>
        <title>Medicare Physician Payment Innovation Act of 2013</title>
      </item>
      <item>
        <titleType>Official Title as Introduced</titleType>
        <title>To amend part B of title XVIII of the Social Security Act to reform Medicare payment for physicians' services by eliminating the sustainable growth rate system and providing incentives for the adoption of innovative payment and delivery models to improve quality and efficiency.</title>
      </item>
    </titles>
    <textVersions>
      <item>
        <type>Introduced in House</type>
        <date>2013-02-06T05:00:00Z</date>
        <formats>
          <item>
            <url>https://www.govinfo.gov/content/pkg/BILLS-113hr574ih/xml/BILLS-113hr574ih.xml</url>
          </item>
        </formats>
      </item>
    </textVersions>
    <latestAction>
      <actionDate>2013-02-14</actionDate>
      <text>Referred to the Subcommittee on Health.</text>
    </latestAction>
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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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