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    <number>4040</number>
    <updateDate>2022-11-01T13:50:19Z</updateDate>
    <updateDateIncludingText>2022-11-01T13:50:19Z</updateDateIncludingText>
    <originChamber>House</originChamber>
    <type>HR</type>
    <introducedDate>2019-07-25</introducedDate>
    <congress>116</congress>
    <constitutionalAuthorityStatementText><![CDATA[<pre>[Congressional Record Volume 165, Number 126 (Thursday, July 25, 2019)][House]From the Congressional Record Online through the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]By Mr. LEWIS:H.R. 4040.Congress has the power to enact this legislation pursuantto the following:This bill is enacted pursuant to the power granted toCongress under Article I of the United States Constitutionand its subsequent amendments, and further clarified andinterpreted by the Supreme Court of the United States.[Page H7470]</pre>]]></constitutionalAuthorityStatementText>
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            <name>Health Subcommittee</name>
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                <name>Referred to</name>
                <date>2019-07-25T19:03:02Z</date>
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        <actionDate>2019-07-25</actionDate>
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        <text>Referred to the Subcommittee on Health.</text>
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        <actionDate>2019-07-25</actionDate>
        <text>Referred to the House Committee on Ways and Means.</text>
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    <sponsors>
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        <bioguideId>L000287</bioguideId>
        <fullName>Rep. Lewis, John [D-GA-5]</fullName>
        <firstName>JOHN</firstName>
        <lastName>LEWIS</lastName>
        <party>D</party>
        <state>GA</state>
        <district>5</district>
        <isByRequest>N</isByRequest>
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        <bioguideId>C001121</bioguideId>
        <fullName>Rep. Crow, Jason [D-CO-6]</fullName>
        <firstName>Jason</firstName>
        <lastName>Crow</lastName>
        <party>D</party>
        <state>CO</state>
        <district>6</district>
        <sponsorshipDate>2019-07-25</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
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      <item>
        <bioguideId>P000593</bioguideId>
        <fullName>Rep. Perlmutter, Ed [D-CO-7]</fullName>
        <firstName>Ed</firstName>
        <lastName>Perlmutter</lastName>
        <party>D</party>
        <state>CO</state>
        <district>7</district>
        <sponsorshipDate>2019-07-25</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>M001208</bioguideId>
        <fullName>Rep. McBath, Lucy [D-GA-6]</fullName>
        <firstName>Lucy</firstName>
        <lastName>McBath</lastName>
        <party>D</party>
        <state>GA</state>
        <district>6</district>
        <sponsorshipDate>2019-07-25</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
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      <item>
        <bioguideId>D000197</bioguideId>
        <fullName>Rep. DeGette, Diana [D-CO-1]</fullName>
        <firstName>DIANA</firstName>
        <lastName>DEGETTE</lastName>
        <party>D</party>
        <state>CO</state>
        <district>1</district>
        <sponsorshipDate>2019-07-25</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
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    <policyArea>
      <name>Health</name>
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          <name>Health care costs and insurance</name>
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        <item>
          <name>Health programs administration and funding</name>
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        <item>
          <name>Hospital care</name>
        </item>
        <item>
          <name>Long-term, rehabilitative, and terminal care</name>
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        <item>
          <name>Medicare</name>
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        <item>
          <name>Neurological disorders</name>
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      <policyArea>
        <name>Health</name>
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    <summaries>
      <summary>
        <versionCode>00</versionCode>
        <actionDate>2019-07-25</actionDate>
        <actionDesc>Introduced in House</actionDesc>
        <updateDate>2020-11-09T14:27:47Z</updateDate>
        <text><![CDATA[ <p><b>Protecting Access to Spinal Surgeries Act</b></p> <p>This bill extends an exception to the application of site-neutral payment rates under the Medicare inpatient prospective payment system. </p> <p>Currently, certain long-term care hospitals that primarily treat spinal cord injuries are excluded from such payment rates through FY2019 if they meet certain other criteria (e.g., a significant number of discharges of out-of-state patients in FY2014). The bill extends this exception through FY2024. </p>]]></text>
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    </summaries>
    <title>Protecting Access to Spinal Surgeries Act</title>
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        <titleType>Display Title</titleType>
        <title>Protecting Access to Spinal Surgeries Act</title>
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        <titleType>Official Title as Introduced</titleType>
        <title>To amend title XVIII of the Social Security Act to extend the temporary exception to the application of the site neutral IPPS payment rate to discharges from certain spinal cord specialty hospitals, and for other purposes.</title>
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        <titleType>Short Title(s) as Introduced</titleType>
        <title>Protecting Access to Spinal Surgeries Act</title>
        <billTextVersionName>Introduced in House</billTextVersionName>
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    </titles>
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        <type>Introduced in House</type>
        <date>2019-07-25T04:00:00Z</date>
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          <item>
            <url>https://www.govinfo.gov/content/pkg/BILLS-116hr4040ih/xml/BILLS-116hr4040ih.xml</url>
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        </formats>
      </item>
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    <latestAction>
      <actionDate>2019-07-25</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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