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    <number>4040</number>
    <updateDate>2023-03-08T20:11:56Z</updateDate>
    <updateDateIncludingText>2023-03-08T20:11:56Z</updateDateIncludingText>
    <originChamber>House</originChamber>
    <type>HR</type>
    <introducedDate>2021-06-22</introducedDate>
    <congress>117</congress>
    <constitutionalAuthorityStatementText><![CDATA[<pre>[Congressional Record Volume 167, Number 108 (Tuesday, June 22, 2021)][House]From the Congressional Record Online through the Government Publishing Office [<a href="https://www.gpo.gov">www.gpo.gov</a>]By Ms. CHENEY:H.R. 4040.Congress has the power to enact this legislation pursuantto the following:Clause 16 of Section 8 of Article I of the Constitution: Tomake all Laws which shall be necessary and proper forcarrying into Execution the foregoing Powers, and all otherPowers vested by this Constitution in the Government of theUnited States, or in any Department or Officer thereof.[Page H3007]</pre>]]></constitutionalAuthorityStatementText>
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        <chamber>Senate</chamber>
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        <title>Providing for consideration of the bill (H.R. 263) to amend the Lacey Act Amendments of 1981 to clarify provisions enacted by the Captive Wildlife Safety Act, to further the conservation of certain wildlife species, and for other purposes, and providing for consideration of the bill (H.R. 4040) to amend title XVIII of the Social Security Act to extend telehealth flexibilities under the Medicare program, and for other purposes.</title>
        <congress>117</congress>
        <number>1256</number>
        <type>HRES</type>
        <latestAction>
          <actionDate>2022-07-27</actionDate>
          <text>Motion to reconsider laid on the table Agreed to without objection.</text>
          <actionTime>12:02:56</actionTime>
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        <title>Greater Access to Telehealth Act</title>
        <congress>117</congress>
        <number>8489</number>
        <type>HR</type>
        <latestAction>
          <actionDate>2022-07-26</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>
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        <actionDate>2022-07-28</actionDate>
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        <text>Received in the Senate and Read twice and referred to the Committee on Finance.</text>
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        <actionDate>2022-07-27</actionDate>
        <actionTime>18:09:58</actionTime>
        <text>Motion to reconsider laid on the table Agreed to without objection.</text>
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        <actionDate>2022-07-27</actionDate>
        <actionTime>18:09:56</actionTime>
        <text>On passage Passed by recorded vote: 416 - 12 (Roll no. 400). (text: CR H7189-7190)</text>
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        <actionCode>H37100</actionCode>
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            <sessionNumber>2</sessionNumber>
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        <actionDate>2022-07-27</actionDate>
        <actionTime>18:09:56</actionTime>
        <text>Passed/agreed to in House: On passage Passed by recorded vote: 416 - 12 (Roll no. 400).(text: CR H7189-7190)</text>
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      <item>
        <actionDate>2022-07-27</actionDate>
        <actionTime>17:59:55</actionTime>
        <text>On motion to recommit Failed by the Yeas and Nays: 205 - 221 (Roll no. 399).</text>
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            <date>2022-07-27T21:59:55Z</date>
            <sessionNumber>2</sessionNumber>
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        </recordedVotes>
      </item>
      <item>
        <actionDate>2022-07-27</actionDate>
        <actionTime>17:52:46</actionTime>
        <text>Considered as unfinished business. (consideration: CR H7221-7223)</text>
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        <actionCode>H8D000</actionCode>
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          <code>2</code>
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      <item>
        <actionDate>2022-07-27</actionDate>
        <actionTime>13:28:52</actionTime>
        <text>POSTPONED PROCEEDINGS - The Chair put the question on the Schweikert motion to recommit and by voice vote, announced that the noes had prevailed. Mr. Schweikert demanded the yeas and nays and the Chair postponed further proceedings on the motion to recommit until a time to be announced.</text>
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          <name>House floor actions</name>
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      <item>
        <actionDate>2022-07-27</actionDate>
        <actionTime>13:28:43</actionTime>
        <text>The previous question on the motion to recommit was ordered pursuant to clause 2(b) of rule XIX.</text>
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        <actionCode>H8A000</actionCode>
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          <code>2</code>
          <name>House floor actions</name>
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      <item>
        <actionDate>2022-07-27</actionDate>
        <actionTime>13:28:32</actionTime>
        <text>Mr. Schweikert moved to recommit to the Committee on Energy and Commerce.</text>
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        <actionCode>H36200</actionCode>
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          <code>2</code>
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            <systemCode>hsif00</systemCode>
            <name>Energy and Commerce Committee</name>
          </item>
        </committees>
      </item>
      <item>
        <actionDate>2022-07-27</actionDate>
        <actionTime>13:28:11</actionTime>
        <text>The previous question was ordered pursuant to the rule.</text>
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        <actionCode>H35000</actionCode>
        <sourceSystem>
          <code>2</code>
          <name>House floor actions</name>
        </sourceSystem>
      </item>
      <item>
        <actionDate>2022-07-27</actionDate>
        <actionTime>12:41:22</actionTime>
        <text>DEBATE - The House proceeded with one hour of debate on H.R. 4040.</text>
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      <item>
        <actionDate>2022-07-27</actionDate>
        <actionTime>12:40:32</actionTime>
        <text>Rule provides for consideration of H.R. 263 and H.R. 4040. Resolution provides for one hour of general debate and one motion to recommit on each bill. H. Res. 517 is considered adopted.</text>
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        <actionCode>H8D000</actionCode>
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      <item>
        <actionDate>2022-07-27</actionDate>
        <actionTime>12:40:27</actionTime>
        <text>Considered under the provisions of rule H. Res. 1256. (consideration: CR H7189-7197)</text>
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        <actionCode>H30000</actionCode>
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          <code>2</code>
          <name>House floor actions</name>
        </sourceSystem>
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      <item>
        <actionDate>2022-07-27</actionDate>
        <actionTime>12:02:55</actionTime>
        <text>Rule H. Res. 1256 passed House.</text>
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        <actionCode>H1L220</actionCode>
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          <code>2</code>
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        <actionDate>2022-07-26</actionDate>
        <actionTime>15:43:12</actionTime>
        <text>Rules Committee Resolution H. Res. 1256 Reported to House. Rule provides for consideration of H.R. 263 and H.R. 4040. Resolution provides for one hour of general debate and one motion to recommit on each bill. H. Res. 517 is considered adopted.</text>
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        <actionCode>H1L210</actionCode>
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          <code>2</code>
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      <item>
        <actionDate>2021-06-23</actionDate>
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            <systemCode>hsif14</systemCode>
            <name>Health Subcommittee</name>
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        <text>Referred to the Subcommittee on Health.</text>
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        <actionDate>2021-06-22</actionDate>
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        <text>Referred to the Subcommittee on Health.</text>
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      <item>
        <actionDate>2021-06-22</actionDate>
        <text>Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, 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>
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            <name>Ways and Means Committee</name>
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      <item>
        <actionDate>2021-06-22</actionDate>
        <text>Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, 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>
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        <actionDate>2021-06-22</actionDate>
        <text>Introduced in House</text>
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          <code>9</code>
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    <sponsors>
      <item>
        <bioguideId>C001109</bioguideId>
        <fullName>Rep. Cheney, Liz [R-WY-At Large]</fullName>
        <firstName>Liz</firstName>
        <lastName>Cheney</lastName>
        <party>R</party>
        <state>WY</state>
        <isByRequest>N</isByRequest>
      </item>
    </sponsors>
    <cosponsors>
      <item>
        <bioguideId>D000624</bioguideId>
        <fullName>Rep. Dingell, Debbie [D-MI-12]</fullName>
        <firstName>Debbie</firstName>
        <lastName>Dingell</lastName>
        <party>D</party>
        <state>MI</state>
        <district>12</district>
        <sponsorshipDate>2021-06-22</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>G000588</bioguideId>
        <fullName>Rep. Gonzalez, Anthony [R-OH-16]</fullName>
        <firstName>Anthony</firstName>
        <lastName>Gonzalez</lastName>
        <party>R</party>
        <state>OH</state>
        <district>16</district>
        <sponsorshipDate>2021-09-03</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>G000583</bioguideId>
        <fullName>Rep. Gottheimer, Josh [D-NJ-5]</fullName>
        <firstName>Josh</firstName>
        <lastName>Gottheimer</lastName>
        <party>D</party>
        <state>NJ</state>
        <district>5</district>
        <sponsorshipDate>2021-09-03</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>T000460</bioguideId>
        <fullName>Rep. Thompson, Mike [D-CA-5]</fullName>
        <firstName>MIKE</firstName>
        <lastName>THOMPSON</lastName>
        <party>D</party>
        <state>CA</state>
        <district>5</district>
        <sponsorshipDate>2022-07-22</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>K000382</bioguideId>
        <fullName>Rep. Kuster, Ann M. [D-NH-2]</fullName>
        <firstName>Ann</firstName>
        <lastName>Kuster</lastName>
        <party>D</party>
        <state>NH</state>
        <middleName>M.</middleName>
        <district>2</district>
        <sponsorshipDate>2022-07-22</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>C001068</bioguideId>
        <fullName>Rep. Cohen, Steve [D-TN-9]</fullName>
        <firstName>Steve</firstName>
        <lastName>Cohen</lastName>
        <party>D</party>
        <state>TN</state>
        <district>9</district>
        <sponsorshipDate>2022-07-26</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>M001163</bioguideId>
        <fullName>Rep. Matsui, Doris O. [D-CA-6]</fullName>
        <firstName>Doris</firstName>
        <lastName>Matsui</lastName>
        <party>D</party>
        <state>CA</state>
        <middleName>O.</middleName>
        <district>6</district>
        <sponsorshipDate>2022-07-26</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>T000474</bioguideId>
        <fullName>Rep. Torres, Norma J. [D-CA-35]</fullName>
        <firstName>Norma</firstName>
        <lastName>Torres</lastName>
        <party>D</party>
        <state>CA</state>
        <middleName>J.</middleName>
        <district>35</district>
        <sponsorshipDate>2022-07-26</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>M000687</bioguideId>
        <fullName>Rep. Mfume, Kweisi [D-MD-7]</fullName>
        <firstName>KWEISI</firstName>
        <lastName>MFUME</lastName>
        <party>D</party>
        <state>MD</state>
        <district>7</district>
        <sponsorshipDate>2022-07-26</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
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      <item>
        <pubDate>2022-07-26T19:28:00Z</pubDate>
        <title>H.R. 4040, the Advancing Telehealth Beyond COVID-19 Act of 2022</title>
        <url>https://www.cbo.gov/publication/58332</url>
        <description>As posted in Rules Committee Print 117-59 by the House Committee on Rules on July 26, 2022, with Manager’s Amendment</description>
      </item>
    </cboCostEstimates>
    <policyArea>
      <name>Health</name>
    </policyArea>
    <subjects>
      <legislativeSubjects>
        <item>
          <name>Drug, alcohol, tobacco use</name>
        </item>
        <item>
          <name>Fraud offenses and financial crimes</name>
        </item>
        <item>
          <name>Health care coverage and access</name>
        </item>
        <item>
          <name>Health facilities and institutions</name>
        </item>
        <item>
          <name>Health personnel</name>
        </item>
        <item>
          <name>Health technology, devices, supplies</name>
        </item>
        <item>
          <name>Internet and video services</name>
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        <item>
          <name>Internet, web applications, social media</name>
        </item>
        <item>
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        <item>
          <name>Mental health</name>
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        <item>
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        <item>
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        <name>Health</name>
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    <summaries>
      <summary>
        <versionCode>00</versionCode>
        <actionDate>2021-06-22</actionDate>
        <actionDesc>Introduced in House</actionDesc>
        <updateDate>2021-12-30T21:22:16Z</updateDate>
        <text><![CDATA[ <p><b>Advancing Telehealth Beyond COVID-19 Act of 2021</b></p> <p>This bill makes permanent several telehealth flexibilities under Medicare that were initially authorized during the public health emergency relating to COVID-19. </p> <p>Specifically, the bill permanently allows (1) federally qualified health centers and rural health clinics to serve as the distant site (i.e., the location of the health care practitioner); (2) beneficiaries to receive telehealth services at any site, regardless of type or location; (3) any type of practitioner to furnish telehealth services, subject to approval by the Centers for Medicare &amp; Medicaid Services; and (4) audio-only evaluation and management and behavioral health services.</p>]]></text>
      </summary>
      <summary>
        <versionCode>53</versionCode>
        <actionDate>2022-07-27</actionDate>
        <actionDesc>Passed House</actionDesc>
        <updateDate>2022-08-03T17:49:45Z</updateDate>
        <text><![CDATA[ <p><b>Advancing Telehealth Beyond COVID-19 Act of </b><b>2022</b></p> <p> <p>This bill modifies the extension of certain Medicare telehealth flexibilities after the end of the COVID-19 public health emergency.</p> <p>Specifically, the bill provides that certain flexibilities continue to apply until December 31, 2024, if the emergency period ends before that date. The bill allows </p> <ul> <li>beneficiaries to continue to receive telehealth services at any site, regardless of type or location (e.g., the beneficiary's home); </li> <li>occupational therapists, physical therapists, speech-language pathologists, and audiologists to continue to furnish telehealth services;</li> <li> federally qualified health centers and rural health clinics to continue to serve as the distant site (i.e., the location of the health care practitioner);</li> <li>evaluation and management and behavioral health services to continue to be provided via audio-only technology; and</li> <li>hospice physicians and nurse practitioners to continue to complete certain requirements relating to patient recertifications via telehealth.</li> </ul> <p>The bill also delays implementation of certain in-person evaluation requirements for mental health telehealth services until January 1, 2025, or the first day after the end of the emergency period, whichever is later. </p>]]></text>
      </summary>
    </summaries>
    <title>Advancing Telehealth Beyond COVID–19 Act of 2021</title>
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        <titleType>Display Title</titleType>
        <title>Advancing Telehealth Beyond COVID–19 Act of 2021</title>
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        <title>To amend title XVIII of the Social Security Act to extend telehealth flexibilities under the Medicare program, and for other purposes.</title>
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    <amendments>
      <amendment>
        <number>305</number>
        <congress>117</congress>
        <type>HAMDT</type>
        <description>Pursuant to the provisions of H. Res. 1256, the amendment in the nature of a substitute consisting of the text of Rules Committee Print 117-59, modified by the amendment printed in part B of House Report 117-444 is considered adopted.</description>
        <updateDate>2022-07-28T07:16:20Z</updateDate>
        <latestAction>
          <actionDate>2022-07-27</actionDate>
          <text>On agreeing to the Rules amendment (A001) Agreed to by voice vote.</text>
        </latestAction>
        <sponsors>
          <item>
            <name>Rules Committee</name>
          </item>
        </sponsors>
        <submittedDate>2022-07-27T04:00:00Z</submittedDate>
        <chamber>House of Representatives</chamber>
        <amendedBill>
          <congress>117</congress>
          <type>HR</type>
          <originChamber>House</originChamber>
          <originChamberCode>H</originChamberCode>
          <number>4040</number>
          <title>Advancing Telehealth Beyond COVID–19 Act of 2021</title>
          <updateDateIncludingText>2023-03-08T20:11:56Z</updateDateIncludingText>
        </amendedBill>
        <actions>
          <count>5</count>
          <actions>
            <item>
              <actionDate>2022-07-27</actionDate>
              <text>On agreeing to the Rules amendment (A001) Agreed to by voice vote.</text>
              <type/>
              <actionCode>72500</actionCode>
              <sourceSystem>
                <code>9</code>
                <name>Library of Congress</name>
              </sourceSystem>
            </item>
            <item>
              <actionDate>2022-07-27</actionDate>
              <text>Amendment in the nature of a substitute reported by the House Committee on Rules.</text>
              <type/>
              <actionCode>72500</actionCode>
              <sourceSystem>
                <code>9</code>
                <name>Library of Congress</name>
              </sourceSystem>
            </item>
            <item>
              <actionDate>2022-07-27</actionDate>
              <text>House amendment offered</text>
              <type>Floor</type>
              <actionCode>71000</actionCode>
              <sourceSystem>
                <code>9</code>
                <name>Library of Congress</name>
              </sourceSystem>
            </item>
            <item>
              <actionDate>2022-07-27</actionDate>
              <text>House amendment agreed to: On agreeing to the Rules amendment (A001) Agreed to by voice vote.</text>
              <type>Floor</type>
              <actionCode>72000</actionCode>
              <sourceSystem>
                <code>9</code>
                <name>Library of Congress</name>
              </sourceSystem>
            </item>
          </actions>
        </actions>
      </amendment>
    </amendments>
    <textVersions>
      <item>
        <type>Referred in Senate</type>
        <date>2022-07-28T04:00:00Z</date>
        <formats>
          <item>
            <url>https://www.govinfo.gov/content/pkg/BILLS-117hr4040rfs/xml/BILLS-117hr4040rfs.xml</url>
          </item>
        </formats>
      </item>
      <item>
        <type>Engrossed in House</type>
        <date>2022-07-27T04:00:00Z</date>
        <formats>
          <item>
            <url>https://www.govinfo.gov/content/pkg/BILLS-117hr4040eh/xml/BILLS-117hr4040eh.xml</url>
          </item>
        </formats>
      </item>
      <item>
        <type>Introduced in House</type>
        <date>2021-06-22T04:00:00Z</date>
        <formats>
          <item>
            <url>https://www.govinfo.gov/content/pkg/BILLS-117hr4040ih/xml/BILLS-117hr4040ih.xml</url>
          </item>
        </formats>
      </item>
    </textVersions>
    <latestAction>
      <actionDate>2022-07-28</actionDate>
      <text>Received in the Senate and Read twice and referred to the Committee on Finance.</text>
    </latestAction>
  </bill>
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    <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>
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