<?xml version="1.0" encoding="utf-8" standalone="no"?>
<billStatus>
  <version>3.0.0</version>
  <bill>
    <number>4393</number>
    <updateDate>2022-11-01T13:49:58Z</updateDate>
    <updateDateIncludingText>2022-11-01T13:49:58Z</updateDateIncludingText>
    <originChamber>House</originChamber>
    <type>HR</type>
    <introducedDate>2019-09-18</introducedDate>
    <congress>116</congress>
    <constitutionalAuthorityStatementText><![CDATA[<pre>[Congressional Record Volume 165, Number 150 (Wednesday, September 18, 2019)][House]From the Congressional Record Online through the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]By Mr. SWALWELL of California:H.R. 4393.Congress has the power to enact this legislation pursuantto the following:Article I, Section 8, Clauses 1 and 8 of the United StatesConstitution.[Page H7774]</pre>]]></constitutionalAuthorityStatementText>
    <committees>
      <item>
        <systemCode>hsif00</systemCode>
        <name>Energy and Commerce Committee</name>
        <chamber>House</chamber>
        <type>Standing</type>
        <subcommittees>
          <item>
            <systemCode>hsif14</systemCode>
            <name>Health Subcommittee</name>
            <activities>
              <item>
                <name>Referred to</name>
                <date>2019-09-19T16:17:57Z</date>
              </item>
            </activities>
          </item>
        </subcommittees>
        <activities>
          <item>
            <name>Referred to</name>
            <date>2019-09-18T14:02:30Z</date>
          </item>
        </activities>
      </item>
    </committees>
    <relatedBills>
      <item>
        <title>Ending the Diagnostic Odyssey Act of 2019</title>
        <congress>116</congress>
        <number>3116</number>
        <type>S</type>
        <latestAction>
          <actionDate>2019-12-19</actionDate>
          <text>Read twice and referred to the Committee on Finance. (Sponsor introductory remarks on measure: CR S7211)</text>
        </latestAction>
        <relationshipDetails>
          <item>
            <type>Related bill</type>
            <identifiedBy>CRS</identifiedBy>
          </item>
        </relationshipDetails>
      </item>
    </relatedBills>
    <actions>
      <item>
        <actionDate>2019-09-19</actionDate>
        <committees>
          <item>
            <systemCode>hsif14</systemCode>
            <name>Health Subcommittee</name>
          </item>
        </committees>
        <sourceSystem>
          <code>1</code>
          <name>House committee actions</name>
        </sourceSystem>
        <text>Referred to the Subcommittee on Health.</text>
        <type>Committee</type>
      </item>
      <item>
        <actionDate>2019-09-18</actionDate>
        <text>Referred to the House Committee on Energy and Commerce.</text>
        <type>IntroReferral</type>
        <actionCode>H11100</actionCode>
        <sourceSystem>
          <code>2</code>
          <name>House floor actions</name>
        </sourceSystem>
        <committees>
          <item>
            <systemCode>hsif00</systemCode>
            <name>Energy and Commerce Committee</name>
          </item>
        </committees>
      </item>
      <item>
        <actionDate>2019-09-18</actionDate>
        <text>Introduced in House</text>
        <type>IntroReferral</type>
        <actionCode>Intro-H</actionCode>
        <sourceSystem>
          <code>9</code>
          <name>Library of Congress</name>
        </sourceSystem>
      </item>
      <item>
        <actionDate>2019-09-18</actionDate>
        <text>Introduced in House</text>
        <type>IntroReferral</type>
        <actionCode>1000</actionCode>
        <sourceSystem>
          <code>9</code>
          <name>Library of Congress</name>
        </sourceSystem>
      </item>
    </actions>
    <sponsors>
      <item>
        <bioguideId>S001193</bioguideId>
        <fullName>Rep. Swalwell, Eric [D-CA-15]</fullName>
        <firstName>Eric</firstName>
        <lastName>Swalwell</lastName>
        <party>D</party>
        <state>CA</state>
        <district>15</district>
        <isByRequest>N</isByRequest>
      </item>
    </sponsors>
    <cosponsors>
      <item>
        <bioguideId>F000466</bioguideId>
        <fullName>Rep. Fitzpatrick, Brian K. [R-PA-1]</fullName>
        <firstName>Brian</firstName>
        <lastName>Fitzpatrick</lastName>
        <party>R</party>
        <state>PA</state>
        <middleName>K.</middleName>
        <district>1</district>
        <sponsorshipDate>2019-09-18</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>G000574</bioguideId>
        <fullName>Rep. Gallego, Ruben [D-AZ-7]</fullName>
        <firstName>Ruben</firstName>
        <lastName>Gallego</lastName>
        <party>D</party>
        <state>AZ</state>
        <district>7</district>
        <sponsorshipDate>2019-09-18</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>R000616</bioguideId>
        <fullName>Rep. Rouda, Harley [D-CA-48]</fullName>
        <firstName>Harley</firstName>
        <lastName>Rouda</lastName>
        <party>D</party>
        <state>CA</state>
        <district>48</district>
        <sponsorshipDate>2019-09-18</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>N000147</bioguideId>
        <fullName>Del. Norton, Eleanor Holmes [D-DC-At Large]</fullName>
        <firstName>ELEANOR</firstName>
        <lastName>NORTON</lastName>
        <party>D</party>
        <state>DC</state>
        <middleName>HOLMES</middleName>
        <district>0</district>
        <sponsorshipDate>2019-09-18</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>R000606</bioguideId>
        <fullName>Rep. Raskin, Jamie [D-MD-8]</fullName>
        <firstName>Jamie</firstName>
        <lastName>Raskin</lastName>
        <party>D</party>
        <state>MD</state>
        <district>8</district>
        <sponsorshipDate>2019-10-11</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>P000604</bioguideId>
        <fullName>Rep. Payne, Donald M., Jr. [D-NJ-10]</fullName>
        <firstName>Donald</firstName>
        <lastName>Payne</lastName>
        <party>D</party>
        <state>NJ</state>
        <middleName>M.</middleName>
        <district>10</district>
        <sponsorshipDate>2019-10-11</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>M001206</bioguideId>
        <fullName>Rep. Morelle, Joseph D. [D-NY-25]</fullName>
        <firstName>Joseph</firstName>
        <lastName>Morelle</lastName>
        <party>D</party>
        <state>NY</state>
        <middleName>D.</middleName>
        <district>25</district>
        <sponsorshipDate>2019-10-18</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>S001200</bioguideId>
        <fullName>Rep. Soto, Darren [D-FL-9]</fullName>
        <firstName>Darren</firstName>
        <lastName>Soto</lastName>
        <party>D</party>
        <state>FL</state>
        <district>9</district>
        <sponsorshipDate>2019-11-12</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>2019-11-12</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>D000191</bioguideId>
        <fullName>Rep. DeFazio, Peter A. [D-OR-4]</fullName>
        <firstName>PETER</firstName>
        <lastName>DEFAZIO</lastName>
        <party>D</party>
        <state>OR</state>
        <middleName>A.</middleName>
        <district>4</district>
        <sponsorshipDate>2019-11-12</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>M001160</bioguideId>
        <fullName>Rep. Moore, Gwen [D-WI-4]</fullName>
        <firstName>Gwen</firstName>
        <lastName>Moore</lastName>
        <party>D</party>
        <state>WI</state>
        <district>4</district>
        <sponsorshipDate>2019-12-17</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>B001251</bioguideId>
        <fullName>Rep. Butterfield, G. K. [D-NC-1]</fullName>
        <firstName>G. K.</firstName>
        <lastName>Butterfield</lastName>
        <party>D</party>
        <state>NC</state>
        <district>1</district>
        <sponsorshipDate>2020-01-08</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>T000483</bioguideId>
        <fullName>Rep. Trone, David J. [D-MD-6]</fullName>
        <firstName>David</firstName>
        <lastName>Trone</lastName>
        <party>D</party>
        <state>MD</state>
        <middleName>J.</middleName>
        <district>6</district>
        <sponsorshipDate>2020-01-09</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>R000515</bioguideId>
        <fullName>Rep. Rush, Bobby L. [D-IL-1]</fullName>
        <firstName>BOBBY</firstName>
        <lastName>RUSH</lastName>
        <party>D</party>
        <state>IL</state>
        <middleName>L.</middleName>
        <district>1</district>
        <sponsorshipDate>2020-01-09</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>W000822</bioguideId>
        <fullName>Rep. Watson Coleman, Bonnie [D-NJ-12]</fullName>
        <firstName>Bonnie</firstName>
        <lastName>Watson Coleman</lastName>
        <party>D</party>
        <state>NJ</state>
        <district>12</district>
        <sponsorshipDate>2020-01-09</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>S001175</bioguideId>
        <fullName>Rep. Speier, Jackie [D-CA-14]</fullName>
        <firstName>Jackie</firstName>
        <lastName>Speier</lastName>
        <party>D</party>
        <state>CA</state>
        <district>14</district>
        <sponsorshipDate>2020-01-14</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>H000324</bioguideId>
        <fullName>Rep. Hastings, Alcee L. [D-FL-20]</fullName>
        <firstName>ALCEE</firstName>
        <lastName>HASTINGS</lastName>
        <party>D</party>
        <state>FL</state>
        <middleName>L.</middleName>
        <district>20</district>
        <sponsorshipDate>2020-01-27</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>L000582</bioguideId>
        <fullName>Rep. Lieu, Ted [D-CA-33]</fullName>
        <firstName>Ted</firstName>
        <lastName>Lieu</lastName>
        <party>D</party>
        <state>CA</state>
        <district>33</district>
        <sponsorshipDate>2020-01-28</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>H001090</bioguideId>
        <fullName>Rep. Harder, Josh [D-CA-10]</fullName>
        <firstName>Josh</firstName>
        <lastName>Harder</lastName>
        <party>D</party>
        <state>CA</state>
        <district>10</district>
        <sponsorshipDate>2020-01-28</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>B001285</bioguideId>
        <fullName>Rep. Brownley, Julia [D-CA-26]</fullName>
        <firstName>Julia</firstName>
        <lastName>Brownley</lastName>
        <party>D</party>
        <state>CA</state>
        <district>26</district>
        <sponsorshipDate>2020-01-28</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>G000559</bioguideId>
        <fullName>Rep. Garamendi, John [D-CA-3]</fullName>
        <firstName>John</firstName>
        <lastName>Garamendi</lastName>
        <party>D</party>
        <state>CA</state>
        <district>3</district>
        <sponsorshipDate>2020-02-04</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>M001200</bioguideId>
        <fullName>Rep. McEachin, A. Donald [D-VA-4]</fullName>
        <firstName>A.</firstName>
        <lastName>McEachin</lastName>
        <party>D</party>
        <state>VA</state>
        <middleName>Donald</middleName>
        <district>4</district>
        <sponsorshipDate>2020-02-04</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>S000344</bioguideId>
        <fullName>Rep. Sherman, Brad [D-CA-30]</fullName>
        <firstName>BRAD</firstName>
        <lastName>SHERMAN</lastName>
        <party>D</party>
        <state>CA</state>
        <district>30</district>
        <sponsorshipDate>2020-02-04</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>B001278</bioguideId>
        <fullName>Rep. Bonamici, Suzanne [D-OR-1]</fullName>
        <firstName>Suzanne</firstName>
        <lastName>Bonamici</lastName>
        <party>D</party>
        <state>OR</state>
        <district>1</district>
        <sponsorshipDate>2020-02-05</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>2020-02-05</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>W000825</bioguideId>
        <fullName>Rep. Wexton, Jennifer [D-VA-10]</fullName>
        <firstName>Jennifer</firstName>
        <lastName>Wexton</lastName>
        <party>D</party>
        <state>VA</state>
        <district>10</district>
        <sponsorshipDate>2020-02-05</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>K000385</bioguideId>
        <fullName>Rep. Kelly, Robin L. [D-IL-2]</fullName>
        <firstName>Robin</firstName>
        <lastName>Kelly</lastName>
        <party>D</party>
        <state>IL</state>
        <middleName>L.</middleName>
        <district>2</district>
        <sponsorshipDate>2020-02-05</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>W000808</bioguideId>
        <fullName>Rep. Wilson, Frederica S. [D-FL-24]</fullName>
        <firstName>Frederica</firstName>
        <lastName>Wilson</lastName>
        <party>D</party>
        <state>FL</state>
        <middleName>S.</middleName>
        <district>24</district>
        <sponsorshipDate>2020-02-21</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>V000131</bioguideId>
        <fullName>Rep. Veasey, Marc A. [D-TX-33]</fullName>
        <firstName>Marc</firstName>
        <lastName>Veasey</lastName>
        <party>D</party>
        <state>TX</state>
        <middleName>A.</middleName>
        <district>33</district>
        <sponsorshipDate>2020-02-21</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>D000631</bioguideId>
        <fullName>Rep. Dean, Madeleine [D-PA-4]</fullName>
        <firstName>Madeleine</firstName>
        <lastName>Dean</lastName>
        <party>D</party>
        <state>PA</state>
        <district>4</district>
        <sponsorshipDate>2020-02-21</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>L000591</bioguideId>
        <fullName>Rep. Luria, Elaine G. [D-VA-2]</fullName>
        <firstName>Elaine</firstName>
        <lastName>Luria</lastName>
        <party>D</party>
        <state>VA</state>
        <middleName>G.</middleName>
        <district>2</district>
        <sponsorshipDate>2020-02-21</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>B001270</bioguideId>
        <fullName>Rep. Bass, Karen [D-CA-37]</fullName>
        <firstName>Karen</firstName>
        <lastName>Bass</lastName>
        <party>D</party>
        <state>CA</state>
        <district>37</district>
        <sponsorshipDate>2020-02-26</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>K000389</bioguideId>
        <fullName>Rep. Khanna, Ro [D-CA-17]</fullName>
        <firstName>Ro</firstName>
        <lastName>Khanna</lastName>
        <party>D</party>
        <state>CA</state>
        <district>17</district>
        <sponsorshipDate>2020-02-26</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>C001067</bioguideId>
        <fullName>Rep. Clarke, Yvette D. [D-NY-9]</fullName>
        <firstName>Yvette</firstName>
        <lastName>Clarke</lastName>
        <party>D</party>
        <state>NY</state>
        <middleName>D.</middleName>
        <district>9</district>
        <sponsorshipDate>2020-03-03</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>W000826</bioguideId>
        <fullName>Rep. Wild, Susan [D-PA-7]</fullName>
        <firstName>Susan</firstName>
        <lastName>Wild</lastName>
        <party>D</party>
        <state>PA</state>
        <district>7</district>
        <sponsorshipDate>2020-03-03</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>G000590</bioguideId>
        <fullName>Rep. Green, Mark E. [R-TN-7]</fullName>
        <firstName>Mark</firstName>
        <lastName>Green</lastName>
        <party>R</party>
        <state>TN</state>
        <middleName>E.</middleName>
        <district>7</district>
        <sponsorshipDate>2020-03-03</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>A000378</bioguideId>
        <fullName>Rep. Axne, Cynthia [D-IA-3]</fullName>
        <firstName>Cynthia</firstName>
        <lastName>Axne</lastName>
        <party>D</party>
        <state>IA</state>
        <district>3</district>
        <sponsorshipDate>2020-03-12</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>M000312</bioguideId>
        <fullName>Rep. McGovern, James P. [D-MA-2]</fullName>
        <firstName>JAMES</firstName>
        <lastName>MCGOVERN</lastName>
        <party>D</party>
        <state>MA</state>
        <middleName>P.</middleName>
        <district>2</district>
        <sponsorshipDate>2020-05-15</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>D000598</bioguideId>
        <fullName>Rep. Davis, Susan A. [D-CA-53]</fullName>
        <firstName>SUSAN</firstName>
        <lastName>DAVIS</lastName>
        <party>D</party>
        <state>CA</state>
        <middleName>A.</middleName>
        <district>53</district>
        <sponsorshipDate>2020-09-30</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
    </cosponsors>
    <policyArea>
      <name>Health</name>
    </policyArea>
    <subjects>
      <legislativeSubjects>
        <item>
          <name>Birth defects</name>
        </item>
        <item>
          <name>Cancer</name>
        </item>
        <item>
          <name>Cardiovascular and respiratory health</name>
        </item>
        <item>
          <name>Congressional oversight</name>
        </item>
        <item>
          <name>Digestive and metabolic diseases</name>
        </item>
        <item>
          <name>Genetics</name>
        </item>
        <item>
          <name>Government studies and investigations</name>
        </item>
        <item>
          <name>Health care coverage and access</name>
        </item>
        <item>
          <name>Health care quality</name>
        </item>
        <item>
          <name>Health personnel</name>
        </item>
        <item>
          <name>Health programs administration and funding</name>
        </item>
        <item>
          <name>Health promotion and preventive care</name>
        </item>
        <item>
          <name>Hospital care</name>
        </item>
        <item>
          <name>Medicaid</name>
        </item>
        <item>
          <name>Medical research</name>
        </item>
        <item>
          <name>Medical tests and diagnostic methods</name>
        </item>
        <item>
          <name>Neurological disorders</name>
        </item>
        <item>
          <name>State and local finance</name>
        </item>
        <item>
          <name>State and local government operations</name>
        </item>
      </legislativeSubjects>
      <policyArea>
        <name>Health</name>
      </policyArea>
    </subjects>
    <summaries>
      <summary>
        <versionCode>00</versionCode>
        <actionDate>2019-09-18</actionDate>
        <actionDesc>Introduced in House</actionDesc>
        <updateDate>2020-10-29T13:05:14Z</updateDate>
        <text><![CDATA[ <p><b>Advancing Access to Precision Medicine Act</b></p> <p>This bill allows state Medicaid programs to cover DNA sequencing clinical services for certain individuals. </p> <p>Specifically, states may cover such services for individuals under the age of 21 (or a lower age, if the state chooses) and for former foster youth under the age of 26 who (1) have been referred or admitted to a pediatric intensive care unit and seen by a medical specialist for a chronic or undiagnosed disease, and (2) are suspected by a medical specialist to have a pediatric-onset genetic disease. The Centers for Medicare &amp; Medicaid Services may award grants to assist states in developing plans to cover such services. </p> <p>Additionally, the National Academy of Medicine must study the effects of genetic and genomic testing and ways to expand health insurance coverage of such services, including under Medicare and Medicaid.</p>]]></text>
      </summary>
    </summaries>
    <title>Advancing Access to Precision Medicine Act</title>
    <titles>
      <item>
        <titleType>Display Title</titleType>
        <title>Advancing Access to Precision Medicine Act</title>
      </item>
      <item>
        <titleType>Official Title as Introduced</titleType>
        <title>To amend title XIX of the Social Security Act to provide for a State option under the State Medicaid plan to provide DNA sequencing clinical services for certain children, provide for a study by the National Academy of Medicine on the use of genetic and genomic testing to improve health care, and for other purposes.</title>
        <billTextVersionName>Introduced in House</billTextVersionName>
        <billTextVersionCode>IH</billTextVersionCode>
      </item>
      <item>
        <titleType>Short Title(s) as Introduced</titleType>
        <title>Advancing Access to Precision Medicine Act</title>
        <billTextVersionName>Introduced in House</billTextVersionName>
        <billTextVersionCode>IH</billTextVersionCode>
      </item>
    </titles>
    <textVersions>
      <item>
        <type>Introduced in House</type>
        <date>2019-09-18T04:00:00Z</date>
        <formats>
          <item>
            <url>https://www.govinfo.gov/content/pkg/BILLS-116hr4393ih/xml/BILLS-116hr4393ih.xml</url>
          </item>
        </formats>
      </item>
    </textVersions>
    <latestAction>
      <actionDate>2019-09-19</actionDate>
      <text>Referred to the Subcommittee on Health.</text>
    </latestAction>
  </bill>
  <dublinCore xmlns:dc="http://purl.org/dc/elements/1.1/">
    <dc:format>text/xml</dc:format>
    <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>
