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    <updateDate>2022-11-01T04:17:49Z</updateDate>
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    <originChamber>Senate</originChamber>
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    <introducedDate>2019-10-21</introducedDate>
    <congress>116</congress>
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        <name>Finance Committee</name>
        <chamber>Senate</chamber>
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            <name>Referred to</name>
            <date>2019-10-21T20:25:23Z</date>
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      <item>
        <title>Accountable Care in Rural America Act</title>
        <congress>116</congress>
        <number>5212</number>
        <type>HR</type>
        <latestAction>
          <actionDate>2019-11-22</actionDate>
          <text>Referred to the Subcommittee on Health.</text>
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            <type>Related bill</type>
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        <actionDate>2019-10-21</actionDate>
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            <name>Finance Committee</name>
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        <text>Read twice and referred to the Committee on Finance.</text>
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        <text>Introduced in Senate</text>
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        <sourceSystem>
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          <name>Library of Congress</name>
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        <bioguideId>C001113</bioguideId>
        <fullName>Sen. Cortez Masto, Catherine [D-NV]</fullName>
        <firstName>Catherine</firstName>
        <lastName>Cortez Masto</lastName>
        <party>D</party>
        <state>NV</state>
        <isByRequest>N</isByRequest>
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    </sponsors>
    <cosponsors>
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        <bioguideId>R000307</bioguideId>
        <fullName>Sen. Roberts, Pat [R-KS]</fullName>
        <firstName>PAT</firstName>
        <lastName>ROBERTS</lastName>
        <party>R</party>
        <state>KS</state>
        <sponsorshipDate>2019-10-21</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
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      <item>
        <bioguideId>T000476</bioguideId>
        <fullName>Sen. Tillis, Thomas [R-NC]</fullName>
        <firstName>Thomas</firstName>
        <lastName>Tillis</lastName>
        <party>R</party>
        <state>NC</state>
        <middleName>Roland</middleName>
        <sponsorshipDate>2019-11-20</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
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    </cosponsors>
    <policyArea>
      <name>Health</name>
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      <legislativeSubjects>
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          <name>Health care costs and insurance</name>
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        <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>
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      </legislativeSubjects>
      <policyArea>
        <name>Health</name>
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    <summaries>
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        <actionDate>2019-10-21</actionDate>
        <actionDesc>Introduced in Senate</actionDesc>
        <updateDate>2020-11-16T21:49:09Z</updateDate>
        <text><![CDATA[ <p><b>Rural ACO Improvement 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>
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    </summaries>
    <title>Rural ACO Improvement Act</title>
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        <titleType>Display Title</titleType>
        <title>Rural ACO Improvement Act</title>
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        <titleType>Short Title(s) as Introduced</titleType>
        <title>Rural ACO Improvement Act</title>
        <billTextVersionName>Introduced in Senate</billTextVersionName>
        <billTextVersionCode>IS</billTextVersionCode>
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      <item>
        <titleType>Official Title as Introduced</titleType>
        <title>A bill to amend title XVIII of the Social Security Act to improve the benchmarking process for the Medicare Shared Savings Program.</title>
        <billTextVersionName>Introduced in Senate</billTextVersionName>
        <billTextVersionCode>IS</billTextVersionCode>
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        <type>Introduced in Senate</type>
        <date>2019-10-21T04:00:00Z</date>
        <formats>
          <item>
            <url>https://www.govinfo.gov/content/pkg/BILLS-116s2648is/xml/BILLS-116s2648is.xml</url>
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      </item>
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    <latestAction>
      <actionDate>2019-10-21</actionDate>
      <text>Read twice and referred to the Committee on Finance.</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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