<?xml version="1.0" encoding="utf-8" standalone="no"?>
<billStatus>
  <version>3.0.0</version>
  <bill>
    <number>5212</number>
    <updateDate>2022-10-28T01:46:11Z</updateDate>
    <updateDateIncludingText>2022-10-28T01:46:11Z</updateDateIncludingText>
    <originChamber>House</originChamber>
    <type>HR</type>
    <introducedDate>2019-11-21</introducedDate>
    <congress>116</congress>
    <constitutionalAuthorityStatementText><![CDATA[<pre>[Congressional Record Volume 165, Number 187 (Thursday, November 21, 2019)][House]From the Congressional Record Online through the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]By Mr. ARRINGTON:H.R. 5212.Congress has the power to enact this legislation pursuantto the following:Article 1 Section 8: to provide for the general welfare ofthe United States[Page H9169]</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>2019-11-22T16:55:41Z</date>
              </item>
            </activities>
          </item>
        </subcommittees>
        <activities>
          <item>
            <name>Referred to</name>
            <date>2019-11-21T14:02:25Z</date>
          </item>
        </activities>
      </item>
      <item>
        <systemCode>hswm00</systemCode>
        <name>Ways and Means Committee</name>
        <chamber>House</chamber>
        <type>Standing</type>
        <activities>
          <item>
            <name>Referred to</name>
            <date>2019-11-21T14:02:20Z</date>
          </item>
        </activities>
      </item>
    </committees>
    <relatedBills>
      <item>
        <title>Rural ACO Improvement Act</title>
        <congress>116</congress>
        <number>2648</number>
        <type>S</type>
        <latestAction>
          <actionDate>2019-10-21</actionDate>
          <text>Read twice and referred to the Committee on Finance.</text>
        </latestAction>
        <relationshipDetails>
          <item>
            <type>Related bill</type>
            <identifiedBy>CRS</identifiedBy>
          </item>
        </relationshipDetails>
      </item>
    </relatedBills>
    <actions>
      <item>
        <actionDate>2019-11-22</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>2019-11-21</actionDate>
        <text>Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, 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>
        <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>2019-11-21</actionDate>
        <text>Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, 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>
        <type>IntroReferral</type>
        <actionCode>H11100</actionCode>
        <sourceSystem>
          <code>2</code>
          <name>House floor actions</name>
        </sourceSystem>
        <committees>
          <item>
            <systemCode>hswm00</systemCode>
            <name>Ways and Means Committee</name>
          </item>
        </committees>
      </item>
      <item>
        <actionDate>2019-11-21</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>2019-11-21</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>A000375</bioguideId>
        <fullName>Rep. Arrington, Jodey C. [R-TX-19]</fullName>
        <firstName>Jodey</firstName>
        <lastName>Arrington</lastName>
        <party>R</party>
        <state>TX</state>
        <middleName>C.</middleName>
        <district>19</district>
        <isByRequest>N</isByRequest>
      </item>
    </sponsors>
    <cosponsors>
      <item>
        <bioguideId>D000617</bioguideId>
        <fullName>Rep. DelBene, Suzan K. [D-WA-1]</fullName>
        <firstName>Suzan</firstName>
        <lastName>DelBene</lastName>
        <party>D</party>
        <state>WA</state>
        <middleName>K.</middleName>
        <district>1</district>
        <sponsorshipDate>2019-11-21</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>M001198</bioguideId>
        <fullName>Rep. Marshall, Roger [R-KS-1]</fullName>
        <firstName>Roger</firstName>
        <lastName>Marshall</lastName>
        <party>R</party>
        <state>KS</state>
        <district>1</district>
        <sponsorshipDate>2019-11-21</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>B001287</bioguideId>
        <fullName>Rep. Bera, Ami [D-CA-7]</fullName>
        <firstName>Ami</firstName>
        <lastName>Bera</lastName>
        <party>D</party>
        <state>CA</state>
        <district>7</district>
        <sponsorshipDate>2019-11-21</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>K000376</bioguideId>
        <fullName>Rep. Kelly, Mike [R-PA-16]</fullName>
        <firstName>Mike</firstName>
        <lastName>Kelly</lastName>
        <party>R</party>
        <state>PA</state>
        <district>16</district>
        <sponsorshipDate>2019-12-18</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>M001187</bioguideId>
        <fullName>Rep. Meadows, Mark [R-NC-11]</fullName>
        <firstName>Mark</firstName>
        <lastName>Meadows</lastName>
        <party>R</party>
        <state>NC</state>
        <district>11</district>
        <sponsorshipDate>2019-12-18</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>B001296</bioguideId>
        <fullName>Rep. Boyle, Brendan F. [D-PA-2]</fullName>
        <firstName>Brendan</firstName>
        <lastName>Boyle</lastName>
        <party>D</party>
        <state>PA</state>
        <middleName>F.</middleName>
        <district>2</district>
        <sponsorshipDate>2020-01-09</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>2020-01-17</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>S001214</bioguideId>
        <fullName>Rep. Steube, W. Gregory [R-FL-17]</fullName>
        <firstName>W.</firstName>
        <lastName>Steube</lastName>
        <party>R</party>
        <state>FL</state>
        <middleName>Gregory</middleName>
        <district>17</district>
        <sponsorshipDate>2020-01-28</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>H001065</bioguideId>
        <fullName>Rep. Holding, George [R-NC-2]</fullName>
        <firstName>George</firstName>
        <lastName>Holding</lastName>
        <party>R</party>
        <state>NC</state>
        <district>2</district>
        <sponsorshipDate>2020-01-29</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>L000585</bioguideId>
        <fullName>Rep. LaHood, Darin [R-IL-18]</fullName>
        <firstName>Darin</firstName>
        <lastName>LaHood</lastName>
        <party>R</party>
        <state>IL</state>
        <district>18</district>
        <sponsorshipDate>2020-02-07</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>G000589</bioguideId>
        <fullName>Rep. Gooden, Lance [R-TX-5]</fullName>
        <firstName>Lance</firstName>
        <lastName>Gooden</lastName>
        <party>R</party>
        <state>TX</state>
        <district>5</district>
        <sponsorshipDate>2020-02-12</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>S001183</bioguideId>
        <fullName>Rep. Schweikert, David [R-AZ-6]</fullName>
        <firstName>David</firstName>
        <lastName>Schweikert</lastName>
        <party>R</party>
        <state>AZ</state>
        <district>6</district>
        <sponsorshipDate>2020-03-10</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>J000301</bioguideId>
        <fullName>Rep. Johnson, Dusty [R-SD-At Large]</fullName>
        <firstName>Dusty</firstName>
        <lastName>Johnson</lastName>
        <party>R</party>
        <state>SD</state>
        <district>0</district>
        <sponsorshipDate>2020-03-10</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>H001082</bioguideId>
        <fullName>Rep. Hern, Kevin [R-OK-1]</fullName>
        <firstName>Kevin</firstName>
        <lastName>Hern</lastName>
        <party>R</party>
        <state>OK</state>
        <district>1</district>
        <sponsorshipDate>2020-11-16</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
    </cosponsors>
    <policyArea>
      <name>Health</name>
    </policyArea>
    <subjects>
      <legislativeSubjects>
        <item>
          <name>Health care costs and insurance</name>
        </item>
        <item>
          <name>Health care quality</name>
        </item>
        <item>
          <name>Health programs administration and funding</name>
        </item>
        <item>
          <name>Medicare</name>
        </item>
        <item>
          <name>Performance measurement</name>
        </item>
      </legislativeSubjects>
      <policyArea>
        <name>Health</name>
      </policyArea>
    </subjects>
    <summaries>
      <summary>
        <versionCode>00</versionCode>
        <actionDate>2019-11-21</actionDate>
        <actionDesc>Introduced in House</actionDesc>
        <updateDate>2020-11-17T17:29:45Z</updateDate>
        <text><![CDATA[ <p><b>Accountable Care in Rural America Act</b></p> <p>This bill requires the Centers for Medicare &amp; Medicaid Services (CMS) to exclude certain components from a methodology used under the Medicare Shared Savings Program. The program enables accountable care organizations (ACOs) to receive payments for savings stemming from care coordination and management. </p> <p>Specifically, the bill requires the CMS to exclude an ACO's assigned Medicare fee-for-service beneficiaries from certain regional adjustments to the ACO's benchmark for savings determinations, and to otherwise ensure that an ACO is not in a less favorable financial position due to its share of assigned beneficiaries in the region. </p>]]></text>
      </summary>
    </summaries>
    <title>Accountable Care in Rural America Act</title>
    <titles>
      <item>
        <titleType>Display Title</titleType>
        <title>Accountable Care in Rural America Act</title>
      </item>
      <item>
        <titleType>Official Title as Introduced</titleType>
        <title>To amend title XVIII of the Social Security Act to improve the benchmarking process for the Medicare Shared Savings Program.</title>
        <billTextVersionName>Introduced in House</billTextVersionName>
        <billTextVersionCode>IH</billTextVersionCode>
      </item>
      <item>
        <titleType>Short Title(s) as Introduced</titleType>
        <title>Accountable Care in Rural America Act</title>
        <billTextVersionName>Introduced in House</billTextVersionName>
        <billTextVersionCode>IH</billTextVersionCode>
      </item>
    </titles>
    <textVersions>
      <item>
        <type>Introduced in House</type>
        <date>2019-11-21T05:00:00Z</date>
        <formats>
          <item>
            <url>https://www.govinfo.gov/content/pkg/BILLS-116hr5212ih/xml/BILLS-116hr5212ih.xml</url>
          </item>
        </formats>
      </item>
    </textVersions>
    <latestAction>
      <actionDate>2019-11-22</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>
