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    <updateDate>2023-01-11T13:38:34Z</updateDate>
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    <originChamber>Senate</originChamber>
    <type>S</type>
    <introducedDate>2017-09-18</introducedDate>
    <congress>115</congress>
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        <name>Finance Committee</name>
        <chamber>Senate</chamber>
        <type>Standing</type>
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            <name>Referred to</name>
            <date>2017-09-18T20:06:06Z</date>
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      <item>
        <title>To amend title XVIII of the Social Security Act to improve the accuracy of geographic adjustment factors under the Medicare program and to permanently extend certain adjustments to such factors for certain localities, and for other purposes.</title>
        <congress>115</congress>
        <number>3817</number>
        <type>HR</type>
        <latestAction>
          <actionDate>2017-09-22</actionDate>
          <text>Referred to the Subcommittee on Health.</text>
        </latestAction>
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            <type>Identical bill</type>
            <identifiedBy>CRS</identifiedBy>
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        <actionDate>2017-09-18</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>Read twice and referred to the Committee on Finance.</text>
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      <item>
        <actionDate>2017-09-18</actionDate>
        <text>Introduced in Senate</text>
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        <actionCode>10000</actionCode>
        <sourceSystem>
          <code>9</code>
          <name>Library of Congress</name>
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    <sponsors>
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        <bioguideId>G000386</bioguideId>
        <fullName>Sen. Grassley, Chuck [R-IA]</fullName>
        <firstName>Charles</firstName>
        <lastName>Grassley</lastName>
        <party>R</party>
        <state>IA</state>
        <middleName>E.</middleName>
        <isByRequest>N</isByRequest>
      </item>
    </sponsors>
    <cosponsors>
      <item>
        <bioguideId>B001230</bioguideId>
        <fullName>Sen. Baldwin, Tammy [D-WI]</fullName>
        <firstName>Tammy</firstName>
        <lastName>Baldwin</lastName>
        <party>D</party>
        <state>WI</state>
        <sponsorshipDate>2017-09-18</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>E000295</bioguideId>
        <fullName>Sen. Ernst, Joni [R-IA]</fullName>
        <firstName>Joni</firstName>
        <lastName>Ernst</lastName>
        <party>R</party>
        <state>IA</state>
        <sponsorshipDate>2017-09-18</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>J000293</bioguideId>
        <fullName>Sen. Johnson, Ron [R-WI]</fullName>
        <firstName>Ron</firstName>
        <lastName>Johnson</lastName>
        <party>R</party>
        <state>WI</state>
        <sponsorshipDate>2017-09-18</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
    </cosponsors>
    <policyArea>
      <name>Health</name>
    </policyArea>
    <subjects>
      <legislativeSubjects>
        <item>
          <name>Health information and medical records</name>
        </item>
        <item>
          <name>Health personnel</name>
        </item>
        <item>
          <name>Iowa</name>
        </item>
        <item>
          <name>Medicare</name>
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        <item>
          <name>Wages and earnings</name>
        </item>
        <item>
          <name>Wisconsin</name>
        </item>
      </legislativeSubjects>
      <policyArea>
        <name>Health</name>
      </policyArea>
    </subjects>
    <summaries>
      <summary>
        <versionCode>00</versionCode>
        <actionDate>2017-09-18</actionDate>
        <actionDesc>Introduced in Senate</actionDesc>
        <updateDate>2019-09-07T19:38:04Z</updateDate>
        <text><![CDATA[ <p>This bill alters provisions relating to the determination of geographic adjustment factors for the payment of physician services under Medicare, and makes permanent certain adjustments for services furnished&nbsp;in Wisconsin and Iowa.<br /></p>]]></text>
      </summary>
    </summaries>
    <title>A bill to amend title XVIII of the Social Security Act to improve the accuracy of geographic adjustment factors under the Medicare program and to permanently extend certain adjustments to such factors for certain localities, and for other purposes.</title>
    <titles>
      <item>
        <titleType>Display Title</titleType>
        <title>A bill to amend title XVIII of the Social Security Act to improve the accuracy of geographic adjustment factors under the Medicare program and to permanently extend certain adjustments to such factors for certain localities, and for other purposes.</title>
      </item>
      <item>
        <titleType>Official Title as Introduced</titleType>
        <title>A bill to amend title XVIII of the Social Security Act to improve the accuracy of geographic adjustment factors under the Medicare program and to permanently extend certain adjustments to such factors for certain localities, and for other purposes.</title>
      </item>
    </titles>
    <textVersions>
      <item>
        <type>Introduced in Senate</type>
        <date>2017-09-18T04:00:00Z</date>
        <formats>
          <item>
            <url>https://www.govinfo.gov/content/pkg/BILLS-115s1825is/xml/BILLS-115s1825is.xml</url>
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      </item>
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    <latestAction>
      <actionDate>2017-09-18</actionDate>
      <text>Read twice and referred to the Committee on Finance.</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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