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    <number>3431</number>
    <updateDate>2022-11-01T13:50:57Z</updateDate>
    <updateDateIncludingText>2022-11-01T13:50:57Z</updateDateIncludingText>
    <originChamber>House</originChamber>
    <type>HR</type>
    <introducedDate>2019-06-24</introducedDate>
    <congress>116</congress>
    <constitutionalAuthorityStatementText><![CDATA[<pre>[Congressional Record Volume 165, Number 106 (Monday, June 24, 2019)][House]From the Congressional Record Online through the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]By Mrs. AXNE:H.R. 3431.Congress has the power to enact this legislation pursuantto the following:This bill is enacted pursuant to the power granted toCongress under Article I, Section 8, Clause 18 of the UnitedStates Constitution.[Page H5076]</pre>]]></constitutionalAuthorityStatementText>
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        <title>HEARTS and Rural Relief Act</title>
        <congress>116</congress>
        <number>3416</number>
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          <actionDate>2019-06-24</actionDate>
          <text>Referred to the Subcommittee on Health.</text>
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        <number>3429</number>
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          <actionDate>2020-12-07</actionDate>
          <text>Reported (Amended) by the Committee on Ways and Means. H. Rept. 116-620, Part I.</text>
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        <actionDate>2019-06-24</actionDate>
        <text>Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.</text>
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        <text>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. Axne, Cynthia [D-IA-3]</fullName>
        <firstName>Cynthia</firstName>
        <lastName>Axne</lastName>
        <party>D</party>
        <state>IA</state>
        <district>3</district>
        <isByRequest>N</isByRequest>
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        <fullName>Rep. Smith, Adrian [R-NE-3]</fullName>
        <firstName>Adrian</firstName>
        <lastName>Smith</lastName>
        <party>R</party>
        <state>NE</state>
        <district>3</district>
        <sponsorshipDate>2019-06-24</sponsorshipDate>
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    <policyArea>
      <name>Health</name>
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          <name>Health personnel</name>
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          <name>Home and outpatient care</name>
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        <actionDate>2019-06-24</actionDate>
        <actionDesc>Introduced in House</actionDesc>
        <updateDate>2021-01-25T18:48:32Z</updateDate>
        <text><![CDATA[ <p>This bill extends the instruction from the Centers for Medicare & Medicaid Services for contractors not to enforce the requirements for direct physician supervision of outpatient therapeutic services in critical access and small rural hospitals through 2021.</p>]]></text>
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    <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 2021.</title>
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        <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 2021.</title>
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        <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 2021.</title>
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    <latestAction>
      <actionDate>2019-06-25</actionDate>
      <text>Referred to the Subcommittee on Health.</text>
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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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