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    <updateDate>2023-04-24T20:39:49Z</updateDate>
    <updateDateIncludingText>2023-04-24T20:39:49Z</updateDateIncludingText>
    <originChamber>Senate</originChamber>
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    <introducedDate>2015-05-22</introducedDate>
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        <chamber>Senate</chamber>
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            <name>Reported by</name>
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            <name>Referred to</name>
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        <citation>S. Rept. 114-109</citation>
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      <item>
        <title>To provide for the extension of the enforcement instruction on supervision requirements for outpatient therapeutic services in critical access and small rural hospitals through 2015.</title>
        <congress>114</congress>
        <number>2878</number>
        <type>HR</type>
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          <text>Referred to the Subcommittee on Health.</text>
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        <title>A bill to provide for the extension of the enforcement instruction on supervision requirements for outpatient therapeutic services in critical access and small rural hospitals through 2016.</title>
        <congress>114</congress>
        <number>3129</number>
        <type>S</type>
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          <text>Read twice and referred to the Committee on Finance.</text>
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        <title>CAH Act of 2016</title>
        <congress>114</congress>
        <number>5613</number>
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          <actionDate>2016-09-22</actionDate>
          <text>Received in the Senate and Read twice and referred to the Committee on Finance.</text>
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        <text>Signed by President.</text>
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          <code>9</code>
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        <text>Motion to reconsider laid on the table Agreed to without objection.</text>
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        <text>Considered by unanimous consent. (consideration: CR H9062-9063)</text>
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          <code>2</code>
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        <text>Mr. Burgess asked unanimous consent to discharge from committee and consider. (consideration: CR H9062)</text>
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          <code>2</code>
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          <code>2</code>
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          <code>2</code>
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      <item>
        <actionDate>2015-12-08</actionDate>
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          <code>9</code>
          <name>Library of Congress</name>
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            <systemCode>hsif00</systemCode>
            <name>Energy and Commerce Committee</name>
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      <item>
        <actionDate>2015-12-08</actionDate>
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        <actionCode>5500</actionCode>
        <sourceSystem>
          <code>9</code>
          <name>Library of Congress</name>
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        <committees>
          <item>
            <systemCode>hswm00</systemCode>
            <name>Ways and Means Committee</name>
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        </committees>
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      <item>
        <actionDate>2015-09-18</actionDate>
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            <systemCode>hsif14</systemCode>
            <name>Health Subcommittee</name>
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        </committees>
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        <text>Referred to the Subcommittee on Health.</text>
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      <item>
        <actionDate>2015-09-14</actionDate>
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          <item>
            <systemCode>hswm02</systemCode>
            <name>Health Subcommittee</name>
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        <text>Referred to the Subcommittee on Health.</text>
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        <actionDate>2015-09-11</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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        <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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          <code>9</code>
          <name>Library of Congress</name>
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      <item>
        <actionDate>2015-09-11</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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          <code>2</code>
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            <systemCode>hsif00</systemCode>
            <name>Energy and Commerce Committee</name>
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        <actionDate>2015-09-11</actionDate>
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          <name>Senate</name>
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        <text>Message on Senate action sent to the House.</text>
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        <actionDate>2015-09-11</actionDate>
        <actionTime>13:26:29</actionTime>
        <text>Received in the House.</text>
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        <actionCode>H14000</actionCode>
        <sourceSystem>
          <code>2</code>
          <name>House floor actions</name>
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      <item>
        <actionDate>2015-09-10</actionDate>
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          <name>Senate</name>
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        <text>Passed Senate with an amendment by Unanimous Consent. (consideration: CR S6610; text as passed Senate: CR S6610)</text>
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      <item>
        <actionDate>2015-09-10</actionDate>
        <text>Passed/agreed to in Senate: Passed Senate with an amendment by Unanimous Consent.(consideration: CR S6610; text as passed Senate: CR S6610)</text>
        <type>Floor</type>
        <actionCode>17000</actionCode>
        <sourceSystem>
          <code>9</code>
          <name>Library of Congress</name>
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        <actionDate>2015-07-30</actionDate>
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          <name>Senate</name>
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        <text>Placed on Senate Legislative Calendar under General Orders. Calendar No. 188.</text>
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        <actionDate>2015-07-30</actionDate>
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            <systemCode>ssfi00</systemCode>
            <name>Finance Committee</name>
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        <sourceSystem>
          <name>Senate</name>
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        <text>Committee on Finance. Reported by Senator Hatch with an amendment in the nature of a substitute. With written report No. 114-109.</text>
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      <item>
        <actionDate>2015-07-30</actionDate>
        <text>Committee on Finance. Reported by Senator Hatch with an amendment in the nature of a substitute. With written report No. 114-109.</text>
        <type>Committee</type>
        <actionCode>14000</actionCode>
        <sourceSystem>
          <code>9</code>
          <name>Library of Congress</name>
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          <item>
            <systemCode>ssfi00</systemCode>
            <name>Finance Committee</name>
          </item>
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      <item>
        <actionDate>2015-06-24</actionDate>
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          <item>
            <systemCode>ssfi00</systemCode>
            <name>Finance Committee</name>
          </item>
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        <sourceSystem>
          <name>Senate</name>
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        <text>Committee on Finance. Ordered to be reported without amendment favorably.</text>
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      <item>
        <actionDate>2015-05-22</actionDate>
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          <item>
            <systemCode>ssfi00</systemCode>
            <name>Finance Committee</name>
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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>2015-05-22</actionDate>
        <text>Introduced in Senate</text>
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          <code>9</code>
          <name>Library of Congress</name>
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        <fullName>Sen. Thune, John [R-SD]</fullName>
        <firstName>John</firstName>
        <lastName>Thune</lastName>
        <party>R</party>
        <state>SD</state>
        <middleName>R.</middleName>
        <isByRequest>N</isByRequest>
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        <fullName>Sen. Cantwell, Maria [D-WA]</fullName>
        <firstName>Maria</firstName>
        <lastName>Cantwell</lastName>
        <party>D</party>
        <state>WA</state>
        <sponsorshipDate>2015-05-22</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
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      <item>
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        <fullName>Sen. Moran, Jerry [R-KS]</fullName>
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        <lastName>Moran</lastName>
        <party>R</party>
        <state>KS</state>
        <sponsorshipDate>2015-05-22</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
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        <fullName>Sen. Tester, Jon [D-MT]</fullName>
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        <lastName>Tester</lastName>
        <party>D</party>
        <state>MT</state>
        <sponsorshipDate>2015-05-22</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
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        <fullName>Sen. Stabenow, Debbie [D-MI]</fullName>
        <firstName>Debbie</firstName>
        <lastName>Stabenow</lastName>
        <party>D</party>
        <state>MI</state>
        <sponsorshipDate>2015-06-18</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
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      <item>
        <bioguideId>S000148</bioguideId>
        <fullName>Sen. Schumer, Charles E. [D-NY]</fullName>
        <firstName>Charles</firstName>
        <lastName>Schumer</lastName>
        <party>D</party>
        <state>NY</state>
        <middleName>E.</middleName>
        <sponsorshipDate>2015-06-23</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
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      <item>
        <bioguideId>H001069</bioguideId>
        <fullName>Sen. Heitkamp, Heidi [D-ND]</fullName>
        <firstName>Heidi</firstName>
        <lastName>Heitkamp</lastName>
        <party>D</party>
        <state>ND</state>
        <sponsorshipDate>2015-07-09</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>R000605</bioguideId>
        <fullName>Sen. Rounds, Mike [R-SD]</fullName>
        <firstName>Mike</firstName>
        <lastName>Rounds</lastName>
        <party>R</party>
        <state>SD</state>
        <sponsorshipDate>2015-07-27</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
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      <item>
        <pubDate>2015-07-13T18:35:00Z</pubDate>
        <title>S. 1461, a bill to provide for the extension of the enforcement instruction on supervision requirements</title>
        <url>https://www.cbo.gov/publication/50381</url>
        <description>As ordered reported by the Senate Committee on Finance on June 24,&amp;nbsp;2015</description>
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        <type>Public Law</type>
        <number>114-112</number>
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    <policyArea>
      <name>Health</name>
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          <name>Health personnel</name>
        </item>
        <item>
          <name>Home and outpatient care</name>
        </item>
        <item>
          <name>Hospital care</name>
        </item>
        <item>
          <name>Medicare</name>
        </item>
        <item>
          <name>Rural conditions and development</name>
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      <policyArea>
        <name>Health</name>
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    <summaries>
      <summary>
        <versionCode>00</versionCode>
        <actionDate>2015-05-22</actionDate>
        <actionDesc>Introduced in Senate</actionDesc>
        <updateDate>2015-06-12T16:36:28Z</updateDate>
        <text><![CDATA[ <p>This bill requires the Department of Health and Human Services to continue to instruct Medicare contractors not to enforce requirements for direct physician supervision of outpatient therapeutic services in critical access and small rural hospitals through 2015.</p>]]></text>
      </summary>
      <summary>
        <versionCode>01</versionCode>
        <actionDate>2015-07-30</actionDate>
        <actionDesc>Reported to Senate with amendment(s)</actionDesc>
        <updateDate>2015-08-14T17:40:22Z</updateDate>
        <text><![CDATA[ <p>(Sec. 1) This bill requires the Department of Health and Human Services to continue to instruct Medicare contractors not to enforce requirements for direct physician supervision of outpatient therapeutic services in critical access and small rural hospitals through 2015.</p>]]></text>
      </summary>
      <summary>
        <versionCode>35</versionCode>
        <actionDate>2015-09-10</actionDate>
        <actionDesc>Passed Senate amended</actionDesc>
        <updateDate>2015-09-15T20:52:12Z</updateDate>
        <text><![CDATA[ <p>(This measure has not been amended since it was reported to the Senate on July 30, 2015. The summary of that version is repeated here.)</p> <p>(Sec. 1) This bill requires the Department of Health and Human Services to continue to instruct Medicare contractors not to enforce requirements for direct physician supervision of outpatient therapeutic services in critical access and small rural hospitals through 2015.</p>]]></text>
      </summary>
      <summary>
        <versionCode>81</versionCode>
        <actionDate>2015-12-08</actionDate>
        <actionDesc>Passed House without amendment</actionDesc>
        <updateDate>2016-01-04T16:00:41Z</updateDate>
        <text><![CDATA[ <p>(This measure has not been amended since it was reported to the Senate on July 30, 2015. The summary of that version is repeated here.)</p> <p>(Sec. 1) This bill requires the Department of Health and Human Services to continue to instruct Medicare contractors not to enforce requirements for direct physician supervision of outpatient therapeutic services in critical access and small rural hospitals through 2015.</p>]]></text>
      </summary>
      <summary>
        <versionCode>49</versionCode>
        <actionDate>2015-12-18</actionDate>
        <actionDesc>Public Law</actionDesc>
        <updateDate>2016-01-07T15:19:43Z</updateDate>
        <text><![CDATA[ <p>(This measure has not been amended since it was reported to the Senate on July 30, 2015. The summary of that version is repeated here.)</p> <p>(Sec. 1) This bill requires the Department of Health and Human Services to continue to instruct Medicare contractors not to enforce requirements for direct physician supervision of outpatient therapeutic services in critical access and small rural hospitals through 2015.</p>]]></text>
      </summary>
    </summaries>
    <title>A bill to provide for the extension of the enforcement instruction on supervision requirements for outpatient therapeutic services in critical access and small rural hospitals through 2015.</title>
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        <title>A bill to provide for the extension of the enforcement instruction on supervision requirements for outpatient therapeutic services in critical access and small rural hospitals through 2015.</title>
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        <date>2015-09-11T04:00:00Z</date>
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        <date>2015-09-10T04:00:00Z</date>
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            <url>https://www.govinfo.gov/content/pkg/BILLS-114s1461es/xml/BILLS-114s1461es.xml</url>
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      </item>
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        <date>2015-07-30T04:00:00Z</date>
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        <date>2015-05-22T04:00:00Z</date>
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      </item>
      <item>
        <date>2015-12-19T04:59:59Z</date>
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      <text>Became Public Law No: 114-112.</text>
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    <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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