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    <number>4185</number>
    <updateDate>2023-01-11T13:32:30Z</updateDate>
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    <originChamber>House</originChamber>
    <type>HR</type>
    <introducedDate>2015-12-08</introducedDate>
    <congress>114</congress>
    <constitutionalAuthorityStatementText><![CDATA[<pre>[Congressional Record Volume 161, Number 177 (Tuesday, December 8, 2015)]From the Congressional Record Online through the Government Publishing Office [<a href='http://www.gpo.gov'>www.gpo.gov</a>]By Mr. TOM PRICE of Georgia:H.R. 4185.Congress has the power to enact this legislation pursuantto the following:Consistent with the understanding and interpretation of theCommerce Clause, Congress has the authority to enact thislegislation in accordance with Clause 3 of Section 8, Article1 of the U.S. Constitution.[Page H9079]</pre>]]></constitutionalAuthorityStatementText>
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        <title>DME Access and Stabilization Act of 2015</title>
        <congress>114</congress>
        <number>2312</number>
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          <actionDate>2015-11-19</actionDate>
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        <fullName>Rep. Price, Tom [R-GA-6]</fullName>
        <firstName>Tom</firstName>
        <lastName>Price</lastName>
        <party>R</party>
        <state>GA</state>
        <district>6</district>
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        <fullName>Rep. McMorris Rodgers, Cathy [R-WA-5]</fullName>
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        <fullName>Rep. Blackburn, Marsha [R-TN-7]</fullName>
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        <state>TN</state>
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        <state>IL</state>
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        <fullName>Rep. Loebsack, David [D-IA-2]</fullName>
        <firstName>David</firstName>
        <lastName>Loebsack</lastName>
        <party>D</party>
        <state>IA</state>
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        <fullName>Rep. Ryan, Tim [D-OH-13]</fullName>
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        <lastName>RYAN</lastName>
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        <state>OH</state>
        <district>13</district>
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        <fullName>Rep. Roe, David P. [R-TN-1]</fullName>
        <firstName>David</firstName>
        <lastName>Roe</lastName>
        <party>R</party>
        <state>TN</state>
        <middleName>P.</middleName>
        <district>1</district>
        <sponsorshipDate>2015-12-08</sponsorshipDate>
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        <bioguideId>N000184</bioguideId>
        <fullName>Rep. Noem, Kristi L. [R-SD-At Large]</fullName>
        <firstName>Kristi</firstName>
        <lastName>Noem</lastName>
        <party>R</party>
        <state>SD</state>
        <middleName>L.</middleName>
        <district>0</district>
        <sponsorshipDate>2015-12-08</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
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        <bioguideId>K000210</bioguideId>
        <fullName>Rep. King, Peter T. [R-NY-2]</fullName>
        <firstName>PETER</firstName>
        <lastName>KING</lastName>
        <party>R</party>
        <state>NY</state>
        <middleName>T.</middleName>
        <district>2</district>
        <sponsorshipDate>2015-12-08</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
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        <bioguideId>Z000018</bioguideId>
        <fullName>Rep. Zinke, Ryan K. [R-MT-At Large]</fullName>
        <firstName>Ryan</firstName>
        <lastName>Zinke</lastName>
        <party>R</party>
        <state>MT</state>
        <middleName>K.</middleName>
        <district>0</district>
        <sponsorshipDate>2015-12-08</sponsorshipDate>
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        <bioguideId>T000470</bioguideId>
        <fullName>Rep. Tipton, Scott  R. [R-CO-3]</fullName>
        <firstName>Scott</firstName>
        <lastName>Tipton</lastName>
        <party>R</party>
        <state>CO</state>
        <middleName>R.</middleName>
        <district>3</district>
        <sponsorshipDate>2015-12-08</sponsorshipDate>
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        <bioguideId>B001294</bioguideId>
        <fullName>Rep. Blum, Rod [R-IA-1]</fullName>
        <firstName>Rod</firstName>
        <lastName>Blum</lastName>
        <party>R</party>
        <state>IA</state>
        <district>1</district>
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        <fullName>Rep. Cramer, Kevin [R-ND-At Large]</fullName>
        <firstName>Kevin</firstName>
        <lastName>Cramer</lastName>
        <party>R</party>
        <state>ND</state>
        <district>0</district>
        <sponsorshipDate>2015-12-08</sponsorshipDate>
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        <fullName>Rep. McClintock, Tom [R-CA-4]</fullName>
        <firstName>Tom</firstName>
        <lastName>McClintock</lastName>
        <party>R</party>
        <state>CA</state>
        <district>4</district>
        <sponsorshipDate>2015-12-08</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
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        <bioguideId>K000375</bioguideId>
        <fullName>Rep. Keating, William R. [D-MA-9]</fullName>
        <firstName>William</firstName>
        <lastName>Keating</lastName>
        <party>D</party>
        <state>MA</state>
        <middleName>R.</middleName>
        <district>9</district>
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        <isOriginalCosponsor>True</isOriginalCosponsor>
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        <bioguideId>D000533</bioguideId>
        <fullName>Rep. Duncan, John J., Jr. [R-TN-2]</fullName>
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        <lastName>DUNCAN</lastName>
        <party>R</party>
        <state>TN</state>
        <middleName>J.</middleName>
        <district>2</district>
        <sponsorshipDate>2015-12-08</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
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      <item>
        <bioguideId>E000291</bioguideId>
        <fullName>Rep. Ellmers, Renee L. [R-NC-2]</fullName>
        <firstName>Renee</firstName>
        <lastName>Ellmers</lastName>
        <party>R</party>
        <state>NC</state>
        <middleName>L.</middleName>
        <district>2</district>
        <sponsorshipDate>2015-12-08</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
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        <bioguideId>H001045</bioguideId>
        <fullName>Rep. Harper, Gregg [R-MS-3]</fullName>
        <firstName>Gregg</firstName>
        <lastName>Harper</lastName>
        <party>R</party>
        <state>MS</state>
        <district>3</district>
        <sponsorshipDate>2015-12-08</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
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      <item>
        <bioguideId>S001189</bioguideId>
        <fullName>Rep. Scott, Austin [R-GA-8]</fullName>
        <firstName>Austin</firstName>
        <lastName>Scott</lastName>
        <party>R</party>
        <state>GA</state>
        <district>8</district>
        <sponsorshipDate>2015-12-08</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
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      <item>
        <bioguideId>S001195</bioguideId>
        <fullName>Rep. Smith, Jason [R-MO-8]</fullName>
        <firstName>Jason</firstName>
        <lastName>Smith</lastName>
        <party>R</party>
        <state>MO</state>
        <district>8</district>
        <sponsorshipDate>2015-12-09</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>M001144</bioguideId>
        <fullName>Rep. Miller, Jeff [R-FL-1]</fullName>
        <firstName>Jeff</firstName>
        <lastName>Miller</lastName>
        <party>R</party>
        <state>FL</state>
        <district>1</district>
        <sponsorshipDate>2015-12-09</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>R000575</bioguideId>
        <fullName>Rep. Rogers, Mike D. [R-AL-3]</fullName>
        <firstName>Mike</firstName>
        <lastName>Rogers</lastName>
        <party>R</party>
        <state>AL</state>
        <district>3</district>
        <sponsorshipDate>2015-12-09</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
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        <bioguideId>J000295</bioguideId>
        <fullName>Rep. Joyce, David P. [R-OH-14]</fullName>
        <firstName>David</firstName>
        <lastName>Joyce</lastName>
        <party>R</party>
        <state>OH</state>
        <middleName>P.</middleName>
        <district>14</district>
        <sponsorshipDate>2015-12-09</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>L000559</bioguideId>
        <fullName>Rep. Langevin, James R. [D-RI-2]</fullName>
        <firstName>JAMES</firstName>
        <lastName>LANGEVIN</lastName>
        <party>D</party>
        <state>RI</state>
        <middleName>R.</middleName>
        <district>2</district>
        <sponsorshipDate>2015-12-09</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
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        <bioguideId>T000467</bioguideId>
        <fullName>Rep. Thompson, Glenn [R-PA-5]</fullName>
        <firstName>Glenn</firstName>
        <lastName>Thompson</lastName>
        <party>R</party>
        <state>PA</state>
        <district>5</district>
        <sponsorshipDate>2015-12-10</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
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        <bioguideId>W000821</bioguideId>
        <fullName>Rep. Westerman, Bruce [R-AR-4]</fullName>
        <firstName>Bruce</firstName>
        <lastName>Westerman</lastName>
        <party>R</party>
        <state>AR</state>
        <district>4</district>
        <sponsorshipDate>2015-12-10</sponsorshipDate>
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        <bioguideId>H001052</bioguideId>
        <fullName>Rep. Harris, Andy [R-MD-1]</fullName>
        <firstName>Andy</firstName>
        <lastName>Harris</lastName>
        <party>R</party>
        <state>MD</state>
        <district>1</district>
        <sponsorshipDate>2015-12-10</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
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        <bioguideId>G000563</bioguideId>
        <fullName>Rep. Gibbs, Bob [R-OH-7]</fullName>
        <firstName>Bob</firstName>
        <lastName>Gibbs</lastName>
        <party>R</party>
        <state>OH</state>
        <district>7</district>
        <sponsorshipDate>2015-12-10</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
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        <bioguideId>C001094</bioguideId>
        <fullName>Rep. Cook, Paul [R-CA-8]</fullName>
        <firstName>Paul</firstName>
        <lastName>Cook</lastName>
        <party>R</party>
        <state>CA</state>
        <district>8</district>
        <sponsorshipDate>2015-12-10</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
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        <bioguideId>B001289</bioguideId>
        <fullName>Rep. Byrne, Bradley [R-AL-1]</fullName>
        <firstName>Bradley</firstName>
        <lastName>Byrne</lastName>
        <party>R</party>
        <state>AL</state>
        <district>1</district>
        <sponsorshipDate>2015-12-10</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>L000569</bioguideId>
        <fullName>Rep. Luetkemeyer, Blaine [R-MO-3]</fullName>
        <firstName>Blaine</firstName>
        <lastName>Luetkemeyer</lastName>
        <party>R</party>
        <state>MO</state>
        <district>3</district>
        <sponsorshipDate>2015-12-10</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
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        <bioguideId>A000055</bioguideId>
        <fullName>Rep. Aderholt, Robert B. [R-AL-4]</fullName>
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        <lastName>ADERHOLT</lastName>
        <party>R</party>
        <state>AL</state>
        <middleName>B.</middleName>
        <district>4</district>
        <sponsorshipDate>2015-12-10</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
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        <bioguideId>P000609</bioguideId>
        <fullName>Rep. Palmer, Gary J. [R-AL-6]</fullName>
        <firstName>Gary</firstName>
        <lastName>Palmer</lastName>
        <party>R</party>
        <state>AL</state>
        <middleName>J.</middleName>
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        <bioguideId>G000552</bioguideId>
        <fullName>Rep. Gohmert, Louie [R-TX-1]</fullName>
        <firstName>Louie</firstName>
        <lastName>Gohmert</lastName>
        <party>R</party>
        <state>TX</state>
        <district>1</district>
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        <bioguideId>L000564</bioguideId>
        <fullName>Rep. Lamborn, Doug [R-CO-5]</fullName>
        <firstName>Doug</firstName>
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        <party>R</party>
        <state>CO</state>
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        <bioguideId>M001184</bioguideId>
        <fullName>Rep. Massie, Thomas [R-KY-4]</fullName>
        <firstName>Thomas</firstName>
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        <party>R</party>
        <state>KY</state>
        <district>4</district>
        <sponsorshipDate>2015-12-10</sponsorshipDate>
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        <fullName>Rep. Long, Billy [R-MO-7]</fullName>
        <firstName>Billy</firstName>
        <lastName>Long</lastName>
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        <fullName>Rep. Collins, Doug [R-GA-9]</fullName>
        <firstName>Doug</firstName>
        <lastName>Collins</lastName>
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        <district>9</district>
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        <fullName>Rep. Bilirakis, Gus M. [R-FL-12]</fullName>
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        <lastName>Bilirakis</lastName>
        <party>R</party>
        <state>FL</state>
        <middleName>M.</middleName>
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        <fullName>Rep. Bishop, Sanford D., Jr. [D-GA-2]</fullName>
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        <lastName>BISHOP</lastName>
        <party>D</party>
        <state>GA</state>
        <middleName>D.</middleName>
        <district>2</district>
        <sponsorshipDate>2015-12-11</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>M001158</bioguideId>
        <fullName>Rep. Marchant, Kenny [R-TX-24]</fullName>
        <firstName>Kenny</firstName>
        <lastName>Marchant</lastName>
        <party>R</party>
        <state>TX</state>
        <district>24</district>
        <sponsorshipDate>2015-12-11</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>W000800</bioguideId>
        <fullName>Rep. Welch, Peter [D-VT-At Large]</fullName>
        <firstName>Peter</firstName>
        <lastName>Welch</lastName>
        <party>D</party>
        <state>VT</state>
        <district>0</district>
        <sponsorshipDate>2015-12-11</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>C001103</bioguideId>
        <fullName>Rep. Carter, Earl L. "Buddy" [R-GA-1]</fullName>
        <firstName>Earl</firstName>
        <lastName>Carter</lastName>
        <party>R</party>
        <state>GA</state>
        <middleName>L. "Buddy"</middleName>
        <district>1</district>
        <sponsorshipDate>2015-12-11</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>J000292</bioguideId>
        <fullName>Rep. Johnson, Bill [R-OH-6]</fullName>
        <firstName>Bill</firstName>
        <lastName>Johnson</lastName>
        <party>R</party>
        <state>OH</state>
        <district>6</district>
        <sponsorshipDate>2015-12-11</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>B001282</bioguideId>
        <fullName>Rep. Barr, Andy [R-KY-6]</fullName>
        <firstName>Andy</firstName>
        <lastName>Barr</lastName>
        <party>R</party>
        <state>KY</state>
        <district>6</district>
        <sponsorshipDate>2015-12-11</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>B001274</bioguideId>
        <fullName>Rep. Brooks, Mo [R-AL-5]</fullName>
        <firstName>Mo</firstName>
        <lastName>Brooks</lastName>
        <party>R</party>
        <state>AL</state>
        <district>5</district>
        <sponsorshipDate>2015-12-11</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <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>2015-12-11</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>R000395</bioguideId>
        <fullName>Rep. Rogers, Harold [R-KY-5]</fullName>
        <firstName>HAROLD</firstName>
        <lastName>ROGERS</lastName>
        <party>R</party>
        <state>KY</state>
        <district>5</district>
        <sponsorshipDate>2015-12-15</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>B001275</bioguideId>
        <fullName>Rep. Bucshon, Larry [R-IN-8]</fullName>
        <firstName>Larry</firstName>
        <lastName>Bucshon</lastName>
        <party>R</party>
        <state>IN</state>
        <district>8</district>
        <sponsorshipDate>2015-12-15</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>W000413</bioguideId>
        <fullName>Rep. Whitfield, Ed [R-KY-1]</fullName>
        <firstName>EDWARD</firstName>
        <lastName>WHITFIELD</lastName>
        <party>R</party>
        <state>KY</state>
        <district>1</district>
        <sponsorshipDate>2015-12-15</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>L000562</bioguideId>
        <fullName>Rep. Lynch, Stephen F. [D-MA-8]</fullName>
        <firstName>Stephen</firstName>
        <lastName>Lynch</lastName>
        <party>D</party>
        <state>MA</state>
        <middleName>F.</middleName>
        <district>8</district>
        <sponsorshipDate>2015-12-15</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>M001179</bioguideId>
        <fullName>Rep. Marino, Tom [R-PA-10]</fullName>
        <firstName>Tom</firstName>
        <lastName>Marino</lastName>
        <party>R</party>
        <state>PA</state>
        <district>10</district>
        <sponsorshipDate>2015-12-15</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>R000591</bioguideId>
        <fullName>Rep. Roby, Martha [R-AL-2]</fullName>
        <firstName>Martha</firstName>
        <lastName>Roby</lastName>
        <party>R</party>
        <state>AL</state>
        <district>2</district>
        <sponsorshipDate>2015-12-15</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>B001273</bioguideId>
        <fullName>Rep. Black, Diane [R-TN-6]</fullName>
        <firstName>Diane</firstName>
        <lastName>Black</lastName>
        <party>R</party>
        <state>TN</state>
        <district>6</district>
        <sponsorshipDate>2015-12-16</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>G000558</bioguideId>
        <fullName>Rep. Guthrie, Brett [R-KY-2]</fullName>
        <firstName>Brett</firstName>
        <lastName>Guthrie</lastName>
        <party>R</party>
        <state>KY</state>
        <district>2</district>
        <sponsorshipDate>2015-12-16</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>B001297</bioguideId>
        <fullName>Rep. Buck, Ken [R-CO-4]</fullName>
        <firstName>Ken</firstName>
        <lastName>Buck</lastName>
        <party>R</party>
        <state>CO</state>
        <district>4</district>
        <sponsorshipDate>2015-12-16</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>S001185</bioguideId>
        <fullName>Rep. Sewell, Terri A. [D-AL-7]</fullName>
        <firstName>Terri</firstName>
        <lastName>Sewell</lastName>
        <party>D</party>
        <state>AL</state>
        <middleName>A.</middleName>
        <district>7</district>
        <sponsorshipDate>2015-12-16</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>K000376</bioguideId>
        <fullName>Rep. Kelly, Mike [R-PA-3]</fullName>
        <firstName>Mike</firstName>
        <lastName>Kelly</lastName>
        <party>R</party>
        <state>PA</state>
        <district>3</district>
        <sponsorshipDate>2015-12-16</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>W000796</bioguideId>
        <fullName>Rep. Westmoreland, Lynn A. [R-GA-3]</fullName>
        <firstName>Lynn</firstName>
        <lastName>Westmoreland</lastName>
        <party>R</party>
        <state>GA</state>
        <middleName>A.</middleName>
        <district>3</district>
        <sponsorshipDate>2015-12-16</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <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>2015-12-16</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>P000601</bioguideId>
        <fullName>Rep. Palazzo, Steven M. [R-MS-4]</fullName>
        <firstName>Steven</firstName>
        <lastName>Palazzo</lastName>
        <party>R</party>
        <state>MS</state>
        <middleName>M.</middleName>
        <district>4</district>
        <sponsorshipDate>2015-12-16</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>B001255</bioguideId>
        <fullName>Rep. Boustany, Charles W., Jr. [R-LA-3]</fullName>
        <firstName>Charles</firstName>
        <lastName>Boustany</lastName>
        <party>R</party>
        <state>LA</state>
        <middleName>W.</middleName>
        <district>3</district>
        <sponsorshipDate>2015-12-16</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>D000616</bioguideId>
        <fullName>Rep. DesJarlais, Scott [R-TN-4]</fullName>
        <firstName>Scott</firstName>
        <lastName>DesJarlais</lastName>
        <party>R</party>
        <state>TN</state>
        <district>4</district>
        <sponsorshipDate>2015-12-16</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>O000168</bioguideId>
        <fullName>Rep. Olson, Pete [R-TX-22]</fullName>
        <firstName>Pete</firstName>
        <lastName>Olson</lastName>
        <party>R</party>
        <state>TX</state>
        <district>22</district>
        <sponsorshipDate>2015-12-16</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>F000445</bioguideId>
        <fullName>Rep. Forbes, J. Randy [R-VA-4]</fullName>
        <firstName>J.</firstName>
        <lastName>Forbes</lastName>
        <party>R</party>
        <state>VA</state>
        <middleName>Randy</middleName>
        <district>4</district>
        <sponsorshipDate>2015-12-16</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>V000108</bioguideId>
        <fullName>Rep. Visclosky, Peter J. [D-IN-1]</fullName>
        <firstName>PETER</firstName>
        <lastName>VISCLOSKY</lastName>
        <party>D</party>
        <state>IN</state>
        <middleName>J.</middleName>
        <district>1</district>
        <sponsorshipDate>2015-12-17</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>L000566</bioguideId>
        <fullName>Rep. Latta, Robert E. [R-OH-5]</fullName>
        <firstName>Robert</firstName>
        <lastName>Latta</lastName>
        <party>R</party>
        <state>OH</state>
        <middleName>E.</middleName>
        <district>5</district>
        <sponsorshipDate>2015-12-17</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <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>2015-12-17</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>W000815</bioguideId>
        <fullName>Rep. Wenstrup, Brad R. [R-OH-2]</fullName>
        <firstName>Brad</firstName>
        <lastName>Wenstrup</lastName>
        <party>R</party>
        <state>OH</state>
        <middleName>R.</middleName>
        <district>2</district>
        <sponsorshipDate>2015-12-17</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>P000258</bioguideId>
        <fullName>Rep. Peterson, Collin C. [D-MN-7]</fullName>
        <firstName>COLLIN</firstName>
        <lastName>PETERSON</lastName>
        <party>D</party>
        <state>MN</state>
        <middleName>C.</middleName>
        <district>7</district>
        <sponsorshipDate>2015-12-17</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>Y000066</bioguideId>
        <fullName>Rep. Young, David [R-IA-3]</fullName>
        <firstName>David</firstName>
        <lastName>Young</lastName>
        <party>R</party>
        <state>IA</state>
        <district>3</district>
        <sponsorshipDate>2015-12-18</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>Y000063</bioguideId>
        <fullName>Rep. Yoder, Kevin [R-KS-3]</fullName>
        <firstName>Kevin</firstName>
        <lastName>Yoder</lastName>
        <party>R</party>
        <state>KS</state>
        <district>3</district>
        <sponsorshipDate>2015-12-18</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>R000593</bioguideId>
        <fullName>Rep. Ross, Dennis A. [R-FL-15]</fullName>
        <firstName>Dennis</firstName>
        <lastName>Ross</lastName>
        <party>R</party>
        <state>FL</state>
        <middleName>A.</middleName>
        <district>15</district>
        <sponsorshipDate>2015-12-18</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>H001053</bioguideId>
        <fullName>Rep. Hartzler, Vicky [R-MO-4]</fullName>
        <firstName>Vicky</firstName>
        <lastName>Hartzler</lastName>
        <party>R</party>
        <state>MO</state>
        <district>4</district>
        <sponsorshipDate>2016-01-05</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>B001284</bioguideId>
        <fullName>Rep. Brooks, Susan W. [R-IN-5]</fullName>
        <firstName>Susan</firstName>
        <lastName>Brooks</lastName>
        <party>R</party>
        <state>IN</state>
        <middleName>W.</middleName>
        <district>5</district>
        <sponsorshipDate>2016-01-05</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>E000294</bioguideId>
        <fullName>Rep. Emmer, Tom [R-MN-6]</fullName>
        <firstName>Tom</firstName>
        <lastName>Emmer</lastName>
        <party>R</party>
        <state>MN</state>
        <district>6</district>
        <sponsorshipDate>2016-01-05</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>M001182</bioguideId>
        <fullName>Rep. Mulvaney, Mick [R-SC-5]</fullName>
        <firstName>Mick</firstName>
        <lastName>Mulvaney</lastName>
        <party>R</party>
        <state>SC</state>
        <district>5</district>
        <sponsorshipDate>2016-01-06</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>F000449</bioguideId>
        <fullName>Rep. Fortenberry, Jeff [R-NE-1]</fullName>
        <firstName>Jeff</firstName>
        <lastName>Fortenberry</lastName>
        <party>R</party>
        <state>NE</state>
        <district>1</district>
        <sponsorshipDate>2016-01-13</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>T000238</bioguideId>
        <fullName>Rep. Thornberry, Mac [R-TX-13]</fullName>
        <firstName>WILLIAM</firstName>
        <lastName>THORNBERRY</lastName>
        <party>R</party>
        <state>TX</state>
        <middleName>M.</middleName>
        <district>13</district>
        <sponsorshipDate>2016-02-01</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>N000189</bioguideId>
        <fullName>Rep. Newhouse, Dan [R-WA-4]</fullName>
        <firstName>Dan</firstName>
        <lastName>Newhouse</lastName>
        <party>R</party>
        <state>WA</state>
        <district>4</district>
        <sponsorshipDate>2016-02-01</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>2016-02-09</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>2016-02-09</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>H001058</bioguideId>
        <fullName>Rep. Huizenga, Bill [R-MI-2]</fullName>
        <firstName>Bill</firstName>
        <lastName>Huizenga</lastName>
        <party>R</party>
        <state>MI</state>
        <district>2</district>
        <sponsorshipDate>2016-04-28</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
    </cosponsors>
    <policyArea>
      <name>Health</name>
    </policyArea>
    <subjects>
      <legislativeSubjects>
        <item>
          <name>Administrative law and regulatory procedures</name>
        </item>
        <item>
          <name>Department of Health and Human Services</name>
        </item>
        <item>
          <name>Health technology, devices, supplies</name>
        </item>
        <item>
          <name>Licensing and registrations</name>
        </item>
        <item>
          <name>Medicare</name>
        </item>
        <item>
          <name>Public contracts and procurement</name>
        </item>
        <item>
          <name>Transportation costs</name>
        </item>
      </legislativeSubjects>
      <policyArea>
        <name>Health</name>
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    <summaries>
      <summary>
        <versionCode>00</versionCode>
        <actionDate>2015-12-08</actionDate>
        <actionDesc>Introduced in House</actionDesc>
        <updateDate>2016-11-17T17:55:12Z</updateDate>
        <text><![CDATA[ <p><strong>Protecting Access through Competitive-pricing Transition Act of 2015 or the PACT&nbsp;Act of 2015</strong></p> <p>This bill amends titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act to modify provisions relating to payment for durable medical equipment (DME) under the Medicare and Medicaid programs. (DME includes&nbsp;certain medically necessary equipment such as walkers, wheelchairs, and hospital beds.)</p> <p>With respect to DME furnished in areas that are not competitive acquisition areas, current regulations require the Centers for Medicare &amp; Medicaid (CMS) to phase in, over a two-year period,&nbsp;Medicare payment adjustments using information from competitive&nbsp;acquisition programs. (Through such programs, payment amounts for each area are determined based on competitive bids submitted by suppliers, rather than&nbsp;according to an&nbsp;established fee schedule.) The bill codifies this requirement and specifies that CMS&nbsp;shall adjust fee schedule amounts to the lesser of: (1) a specified percentage of the regional amount; and (2) the amount that would otherwise be determined according to the fee schedule, with specified&nbsp;adjustments. </p> <p>In determining&nbsp;Medicare payment&nbsp;adjustments for areas that are not competitive acquisition areas,&nbsp;CMS shall&nbsp;solicit stakeholder input and take into account several specified factors.</p> <p>CMS may not accept a bid under the competitive acquisition program unless the bidder: (1) meets applicable state licensure requirements; and (2) has submitted a cash deposit as a bond, as specified by the bill.</p> <p>CMS must establish a six-year market pricing demonstration project, under which auctions are conducted in eligible areas for the furnishing of market-priced DME items and services. The bill establishes project requirements related to auction design, contract terms, transparency, and monitoring.</p>]]></text>
      </summary>
    </summaries>
    <title>PACT Act of 2015</title>
    <titles>
      <item>
        <titleType>Display Title</titleType>
        <title>PACT Act of 2015</title>
      </item>
      <item>
        <titleType>Official Title as Introduced</titleType>
        <title>To make adjustments, including by amending title XVIII of the Social Security Act, relating to competitive bidding program and durable medical equipment under the Medicare program, to amend such title to establish a DMEPOS market pricing program demonstration project, and for other purposes.</title>
        <billTextVersionName>Introduced in House</billTextVersionName>
        <billTextVersionCode>IH</billTextVersionCode>
      </item>
      <item>
        <titleType>Short Titles as Introduced</titleType>
        <title>PACT Act of 2015</title>
      </item>
      <item>
        <titleType>Short Titles as Introduced</titleType>
        <title>Protecting Access through Competitive-pricing Transition Act of 2015</title>
      </item>
    </titles>
    <textVersions>
      <item>
        <type>Introduced in House</type>
        <date>2015-12-08T05:00:00Z</date>
        <formats>
          <item>
            <url>https://www.govinfo.gov/content/pkg/BILLS-114hr4185ih/xml/BILLS-114hr4185ih.xml</url>
          </item>
        </formats>
      </item>
    </textVersions>
    <latestAction>
      <actionDate>2015-12-11</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>
  </dublinCore>
</billStatus>
