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    <updateDate>2022-11-01T13:49:34Z</updateDate>
    <updateDateIncludingText>2022-11-01T14:27:36Z</updateDateIncludingText>
    <originChamber>Senate</originChamber>
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    <introducedDate>2019-01-03</introducedDate>
    <congress>116</congress>
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        <name>Finance Committee</name>
        <chamber>Senate</chamber>
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            <name>Referred to</name>
            <date>2019-01-03T19:38:38Z</date>
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      <item>
        <title>Public Option Deficit Reduction Act</title>
        <congress>116</congress>
        <number>1419</number>
        <type>HR</type>
        <latestAction>
          <actionDate>2019-03-01</actionDate>
          <text>Referred to the Subcommittee on Health.</text>
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            <type>Related bill</type>
            <identifiedBy>CRS</identifiedBy>
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        <actionDate>2019-01-03</actionDate>
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            <systemCode>ssfi00</systemCode>
            <name>Finance Committee</name>
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        <text>Read twice and referred to the Committee on Finance.</text>
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        <actionDate>2019-01-03</actionDate>
        <text>Introduced in Senate</text>
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        <sourceSystem>
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          <name>Library of Congress</name>
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    <sponsors>
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        <bioguideId>C000141</bioguideId>
        <fullName>Sen. Cardin, Benjamin L. [D-MD]</fullName>
        <firstName>Ben</firstName>
        <lastName>Cardin</lastName>
        <party>D</party>
        <state>MD</state>
        <isByRequest>N</isByRequest>
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    </sponsors>
    <policyArea>
      <name>Health</name>
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    <subjects>
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        <item>
          <name>Business records</name>
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        <item>
          <name>Child health</name>
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        <item>
          <name>Comprehensive health care</name>
        </item>
        <item>
          <name>Department of Health and Human Services</name>
        </item>
        <item>
          <name>Executive agency funding and structure</name>
        </item>
        <item>
          <name>Health care costs and insurance</name>
        </item>
        <item>
          <name>Health care coverage and access</name>
        </item>
        <item>
          <name>Health programs administration and funding</name>
        </item>
        <item>
          <name>Income tax credits</name>
        </item>
        <item>
          <name>Medicaid</name>
        </item>
        <item>
          <name>Medicare</name>
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        <item>
          <name>Prescription drugs</name>
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        <item>
          <name>Public contracts and procurement</name>
        </item>
        <item>
          <name>Retail and wholesale trades</name>
        </item>
      </legislativeSubjects>
      <policyArea>
        <name>Health</name>
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    </subjects>
    <summaries>
      <summary>
        <versionCode>00</versionCode>
        <actionDate>2019-01-03</actionDate>
        <actionDesc>Introduced in Senate</actionDesc>
        <updateDate>2019-07-24T17:27:31Z</updateDate>
        <text><![CDATA[ <p><b>Keeping Health Insurance Affordable Act of 2019</b></p> <p>This bill alters and establishes several programs relating to health insurance and prescription drugs. </p> <p>Specifically, the bill requires the Department of Health and Human Services (HHS) to establish a public health insurance option through health insurance exchanges. The bill sets forth corresponding implementing provisions, including criteria for payment rates and provider participation. (For example, initial payment rates for providers and services must be set at the same rates as under Medicare; HHS may subsequently alter payment rates in accordance with a specified administrative process.)</p> <p>The bill also expands eligibility for (1) the health insurance premium tax credit, and (2) repayment limitations for excess advance payments of the premium tax credit. </p> <p>Additionally, the bill requires drug manufacturers, as a condition of participation in the Medicare prescription drug benefit, to issue rebates to the Centers for Medicare &amp; Medicaid Services (CMS) for drugs dispensed to certain low-income enrollees.</p> <p>The bill also requires the CMS to (1) negotiate with pharmaceutical companies regarding prices for drugs covered under the Medicare prescription drug benefit, and (2) serve as a prescription drug plan sponsor for a nationwide prescription drug plan under Medicare. </p>]]></text>
      </summary>
    </summaries>
    <title>Keeping Health Insurance Affordable Act of 2019</title>
    <titles>
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        <titleType>Display Title</titleType>
        <title>Keeping Health Insurance Affordable Act of 2019</title>
      </item>
      <item>
        <titleType>Short Title(s) as Introduced</titleType>
        <title>Keeping Health Insurance Affordable Act of 2019</title>
        <billTextVersionName>Introduced in Senate</billTextVersionName>
        <billTextVersionCode>IS</billTextVersionCode>
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      <item>
        <titleType>Official Title as Introduced</titleType>
        <title>A bill to bring stability to the individual insurance market, make insurance coverage more affordable, lower prescription drug prices, and improve Medicaid.</title>
        <billTextVersionName>Introduced in Senate</billTextVersionName>
        <billTextVersionCode>IS</billTextVersionCode>
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        <type>Introduced in Senate</type>
        <date>2019-01-03T05:00:00Z</date>
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            <url>https://www.govinfo.gov/content/pkg/BILLS-116s3is/xml/BILLS-116s3is.xml</url>
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    <latestAction>
      <actionDate>2019-01-03</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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