<?xml version="1.0" encoding="utf-8" standalone="no"?>
<billStatus>
  <version>3.0.0</version>
  <bill>
    <number>4438</number>
    <updateDate>2024-12-20T09:06:13Z</updateDate>
    <updateDateIncludingText>2024-12-20T09:06:13Z</updateDateIncludingText>
    <originChamber>House</originChamber>
    <originChamberCode>H</originChamberCode>
    <type>HR</type>
    <introducedDate>2023-06-30</introducedDate>
    <congress>118</congress>
    <cdata>
      <constitutionalAuthorityStatementText>&lt;pre&gt;[Congressional Record Volume 169, Number 114 (Friday, June 30, 2023)][House]From the Congressional Record Online through the Government Publishing Office [&lt;a href="https://www.gpo.gov"&gt;www.gpo.gov&lt;/a&gt;]By Ms. SALAZAR:H.R. 4438.Congress has the power to enact this legislation pursuantto the following:Article I, Section 8, Clause 18The single subject of this legislation is:Rare diseases[Page H3162]&lt;/pre&gt;</constitutionalAuthorityStatementText>
    </cdata>
    <committees>
      <item>
        <systemCode>hswm00</systemCode>
        <name>Ways and Means Committee</name>
        <chamber>House</chamber>
        <type>Standing</type>
        <subcommittees>
          <item>
            <systemCode>hswm02</systemCode>
            <name>Health Subcommittee</name>
            <activities>
              <item>
                <name>Referred to</name>
                <date>2024-12-17T16:29:44Z</date>
              </item>
            </activities>
          </item>
        </subcommittees>
        <activities>
          <item>
            <name>Unknown</name>
            <date>2023-06-30T18:08:30Z</date>
          </item>
          <item>
            <name>Referred to</name>
            <date>2023-06-30T18:08:30Z</date>
          </item>
        </activities>
      </item>
      <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>2023-07-07T19:11:58Z</date>
              </item>
            </activities>
          </item>
        </subcommittees>
        <activities>
          <item>
            <name>Unknown</name>
            <date>2023-06-30T18:08:25Z</date>
          </item>
          <item>
            <name>Referred to</name>
            <date>2023-06-30T18:08:25Z</date>
          </item>
        </activities>
      </item>
    </committees>
    <actions>
      <item>
        <actionDate>2024-12-17</actionDate>
        <committees>
          <item>
            <systemCode>hswm02</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>2023-07-07</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>2023-06-30</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>
        <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>2023-06-30</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>
        <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>2023-06-30</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>2023-06-30</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>S000168</bioguideId>
        <fullName>Rep. Salazar, Maria Elvira [R-FL-27]</fullName>
        <firstName>Maria</firstName>
        <lastName>Salazar</lastName>
        <party>R</party>
        <state>FL</state>
        <middleName>Elvira</middleName>
        <district>27</district>
        <isByRequest>N</isByRequest>
      </item>
    </sponsors>
    <cosponsors>
      <item>
        <bioguideId>P000597</bioguideId>
        <fullName>Rep. Pingree, Chellie [D-ME-1]</fullName>
        <firstName>Chellie</firstName>
        <lastName>Pingree</lastName>
        <party>D</party>
        <state>ME</state>
        <district>1</district>
        <sponsorshipDate>2023-06-30</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>P000599</bioguideId>
        <fullName>Rep. Posey, Bill [R-FL-8]</fullName>
        <firstName>Bill</firstName>
        <lastName>Posey</lastName>
        <party>R</party>
        <state>FL</state>
        <district>8</district>
        <sponsorshipDate>2023-06-30</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>T000469</bioguideId>
        <fullName>Rep. Tonko, Paul [D-NY-20]</fullName>
        <firstName>Paul</firstName>
        <lastName>Tonko</lastName>
        <party>D</party>
        <state>NY</state>
        <district>20</district>
        <sponsorshipDate>2023-06-30</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>W000797</bioguideId>
        <fullName>Rep. Wasserman Schultz, Debbie [D-FL-25]</fullName>
        <firstName>Debbie</firstName>
        <lastName>Wasserman Schultz</lastName>
        <party>D</party>
        <state>FL</state>
        <district>25</district>
        <sponsorshipDate>2023-06-30</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>K000375</bioguideId>
        <fullName>Rep. Keating, William R. [D-MA-9]</fullName>
        <firstName>William</firstName>
        <lastName>Keating</lastName>
        <party>D</party>
        <state>MA</state>
        <middleName>R.</middleName>
        <district>9</district>
        <sponsorshipDate>2023-06-30</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>P000613</bioguideId>
        <fullName>Rep. Panetta, Jimmy [D-CA-19]</fullName>
        <firstName>Jimmy</firstName>
        <lastName>Panetta</lastName>
        <party>D</party>
        <state>CA</state>
        <district>19</district>
        <sponsorshipDate>2023-06-30</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>C001078</bioguideId>
        <fullName>Rep. Connolly, Gerald E. [D-VA-11]</fullName>
        <firstName>Gerald</firstName>
        <lastName>Connolly</lastName>
        <party>D</party>
        <state>VA</state>
        <middleName>E.</middleName>
        <district>11</district>
        <sponsorshipDate>2023-06-30</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>H001038</bioguideId>
        <fullName>Rep. Higgins, Brian [D-NY-26]</fullName>
        <firstName>Brian</firstName>
        <lastName>Higgins</lastName>
        <party>D</party>
        <state>NY</state>
        <district>26</district>
        <sponsorshipDate>2023-06-30</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>D000230</bioguideId>
        <fullName>Rep. Davis, Donald G. [D-NC-1]</fullName>
        <firstName>Donald</firstName>
        <lastName>Davis</lastName>
        <party>D</party>
        <state>NC</state>
        <middleName>G.</middleName>
        <district>1</district>
        <sponsorshipDate>2023-07-14</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>R000305</bioguideId>
        <fullName>Rep. Ross, Deborah K. [D-NC-2]</fullName>
        <firstName>Deborah</firstName>
        <lastName>Ross</lastName>
        <party>D</party>
        <state>NC</state>
        <middleName>K.</middleName>
        <district>2</district>
        <sponsorshipDate>2023-07-27</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>B001298</bioguideId>
        <fullName>Rep. Bacon, Don [R-NE-2]</fullName>
        <firstName>Don</firstName>
        <lastName>Bacon</lastName>
        <party>R</party>
        <state>NE</state>
        <district>2</district>
        <sponsorshipDate>2023-08-11</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>O000086</bioguideId>
        <fullName>Rep. Owens, Burgess [R-UT-4]</fullName>
        <firstName>Burgess</firstName>
        <lastName>Owens</lastName>
        <party>R</party>
        <state>UT</state>
        <district>4</district>
        <sponsorshipDate>2023-09-12</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>D000632</bioguideId>
        <fullName>Rep. D'Esposito, Anthony [R-NY-4]</fullName>
        <firstName>Anthony</firstName>
        <lastName>D'Esposito</lastName>
        <party>R</party>
        <state>NY</state>
        <district>4</district>
        <sponsorshipDate>2023-09-14</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>L000600</bioguideId>
        <fullName>Rep. Langworthy, Nicholas A. [R-NY-23]</fullName>
        <firstName>Nicholas</firstName>
        <lastName>Langworthy</lastName>
        <party>R</party>
        <state>NY</state>
        <middleName>A.</middleName>
        <district>23</district>
        <sponsorshipDate>2023-09-18</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>2023-09-18</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>K000398</bioguideId>
        <fullName>Rep. Kean, Thomas H. [R-NJ-7]</fullName>
        <firstName>Thomas</firstName>
        <lastName>Kean</lastName>
        <party>R</party>
        <state>NJ</state>
        <middleName>H.</middleName>
        <district>7</district>
        <sponsorshipDate>2023-09-20</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>E000297</bioguideId>
        <fullName>Rep. Espaillat, Adriano [D-NY-13]</fullName>
        <firstName>Adriano</firstName>
        <lastName>Espaillat</lastName>
        <party>D</party>
        <state>NY</state>
        <district>13</district>
        <sponsorshipDate>2023-09-20</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <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>2023-10-10</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>P000096</bioguideId>
        <fullName>Rep. Pascrell, Bill, Jr. [D-NJ-9]</fullName>
        <firstName>WILLIAM</firstName>
        <lastName>PASCRELL</lastName>
        <party>D</party>
        <state>NJ</state>
        <middleName>J.</middleName>
        <district>9</district>
        <sponsorshipDate>2023-10-13</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>L000598</bioguideId>
        <fullName>Rep. LaLota, Nick [R-NY-1]</fullName>
        <firstName>Nick</firstName>
        <lastName>LaLota</lastName>
        <party>R</party>
        <state>NY</state>
        <district>1</district>
        <sponsorshipDate>2023-10-24</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>M001163</bioguideId>
        <fullName>Rep. Matsui, Doris O. [D-CA-7]</fullName>
        <firstName>Doris</firstName>
        <lastName>Matsui</lastName>
        <party>D</party>
        <state>CA</state>
        <middleName>O.</middleName>
        <district>7</district>
        <sponsorshipDate>2023-10-24</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>B001287</bioguideId>
        <fullName>Rep. Bera, Ami [D-CA-6]</fullName>
        <firstName>Ami</firstName>
        <lastName>Bera</lastName>
        <party>D</party>
        <state>CA</state>
        <district>6</district>
        <sponsorshipDate>2023-10-25</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>S001172</bioguideId>
        <fullName>Rep. Smith, Adrian [R-NE-3]</fullName>
        <firstName>Adrian</firstName>
        <lastName>Smith</lastName>
        <party>R</party>
        <state>NE</state>
        <district>3</district>
        <sponsorshipDate>2023-10-26</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>R000599</bioguideId>
        <fullName>Rep. Ruiz, Raul [D-CA-25]</fullName>
        <firstName>Raul</firstName>
        <lastName>Ruiz</lastName>
        <party>D</party>
        <state>CA</state>
        <district>25</district>
        <sponsorshipDate>2023-11-02</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>S001207</bioguideId>
        <fullName>Rep. Sherrill, Mikie [D-NJ-11]</fullName>
        <firstName>Mikie</firstName>
        <lastName>Sherrill</lastName>
        <party>D</party>
        <state>NJ</state>
        <district>11</district>
        <sponsorshipDate>2023-11-03</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>C001125</bioguideId>
        <fullName>Rep. Carter, Troy [D-LA-2]</fullName>
        <firstName>Troy</firstName>
        <lastName>Carter</lastName>
        <party>D</party>
        <state>LA</state>
        <district>2</district>
        <sponsorshipDate>2023-11-09</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>C001121</bioguideId>
        <fullName>Rep. Crow, Jason [D-CO-6]</fullName>
        <firstName>Jason</firstName>
        <lastName>Crow</lastName>
        <party>D</party>
        <state>CO</state>
        <district>6</district>
        <sponsorshipDate>2023-11-21</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>V000133</bioguideId>
        <fullName>Rep. Van Drew, Jefferson [R-NJ-2]</fullName>
        <firstName>Jefferson</firstName>
        <lastName>Van Drew</lastName>
        <party>R</party>
        <state>NJ</state>
        <district>2</district>
        <sponsorshipDate>2023-11-28</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>2023-11-29</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>T000460</bioguideId>
        <fullName>Rep. Thompson, Mike [D-CA-4]</fullName>
        <firstName>MIKE</firstName>
        <lastName>THOMPSON</lastName>
        <party>D</party>
        <state>CA</state>
        <district>4</district>
        <sponsorshipDate>2023-11-30</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>P000608</bioguideId>
        <fullName>Rep. Peters, Scott H. [D-CA-50]</fullName>
        <firstName>Scott</firstName>
        <lastName>Peters</lastName>
        <party>D</party>
        <state>CA</state>
        <middleName>H.</middleName>
        <district>50</district>
        <sponsorshipDate>2023-12-01</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>K000394</bioguideId>
        <fullName>Rep. Kim, Andy [D-NJ-3]</fullName>
        <firstName>Andy</firstName>
        <lastName>Kim</lastName>
        <party>D</party>
        <state>NJ</state>
        <district>3</district>
        <sponsorshipDate>2023-12-01</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>C001134</bioguideId>
        <fullName>Rep. Caraveo, Yadira [D-CO-8]</fullName>
        <firstName>Yadira</firstName>
        <lastName>Caraveo</lastName>
        <party>D</party>
        <state>CO</state>
        <district>8</district>
        <sponsorshipDate>2023-12-01</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>A000370</bioguideId>
        <fullName>Rep. Adams, Alma S. [D-NC-12]</fullName>
        <firstName>Alma</firstName>
        <lastName>Adams</lastName>
        <party>D</party>
        <state>NC</state>
        <middleName>S.</middleName>
        <district>12</district>
        <sponsorshipDate>2024-01-11</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>S000522</bioguideId>
        <fullName>Rep. Smith, Christopher H. [R-NJ-4]</fullName>
        <firstName>CHRISTOPHER</firstName>
        <lastName>SMITH</lastName>
        <party>R</party>
        <state>NJ</state>
        <middleName>H.</middleName>
        <district>4</district>
        <sponsorshipDate>2024-01-12</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>C001119</bioguideId>
        <fullName>Rep. Craig, Angie [D-MN-2]</fullName>
        <firstName>Angie</firstName>
        <lastName>Craig</lastName>
        <party>D</party>
        <state>MN</state>
        <district>2</district>
        <sponsorshipDate>2024-01-17</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>L000557</bioguideId>
        <fullName>Rep. Larson, John B. [D-CT-1]</fullName>
        <firstName>JOHN</firstName>
        <lastName>LARSON</lastName>
        <party>D</party>
        <state>CT</state>
        <middleName>B.</middleName>
        <district>1</district>
        <sponsorshipDate>2024-01-17</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>M001228</bioguideId>
        <fullName>Rep. Maloy, Celeste [R-UT-2]</fullName>
        <firstName>Celeste</firstName>
        <lastName>Maloy</lastName>
        <party>R</party>
        <state>UT</state>
        <district>2</district>
        <sponsorshipDate>2024-01-18</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>J000308</bioguideId>
        <fullName>Rep. Jackson, Jeff [D-NC-14]</fullName>
        <firstName>Jeff</firstName>
        <lastName>Jackson</lastName>
        <party>D</party>
        <state>NC</state>
        <district>14</district>
        <sponsorshipDate>2024-01-29</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>N000194</bioguideId>
        <fullName>Rep. Nickel, Wiley [D-NC-13]</fullName>
        <firstName>Wiley</firstName>
        <lastName>Nickel</lastName>
        <party>D</party>
        <state>NC</state>
        <district>13</district>
        <sponsorshipDate>2024-02-01</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>F000475</bioguideId>
        <fullName>Rep. Finstad, Brad [R-MN-1]</fullName>
        <firstName>Brad</firstName>
        <lastName>Finstad</lastName>
        <party>R</party>
        <state>MN</state>
        <district>1</district>
        <sponsorshipDate>2024-03-08</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>M000317</bioguideId>
        <fullName>Rep. Malliotakis, Nicole [R-NY-11]</fullName>
        <firstName>Nicole</firstName>
        <lastName>Malliotakis</lastName>
        <party>R</party>
        <state>NY</state>
        <district>11</district>
        <sponsorshipDate>2024-03-15</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>L000599</bioguideId>
        <fullName>Rep. Lawler, Michael [R-NY-17]</fullName>
        <firstName>Michael</firstName>
        <lastName>Lawler</lastName>
        <party>R</party>
        <state>NY</state>
        <district>17</district>
        <sponsorshipDate>2024-03-19</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>W000828</bioguideId>
        <fullName>Rep. Williams, Brandon [R-NY-22]</fullName>
        <firstName>Brandon</firstName>
        <lastName>Williams</lastName>
        <party>R</party>
        <state>NY</state>
        <district>22</district>
        <sponsorshipDate>2024-03-19</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>V000129</bioguideId>
        <fullName>Rep. Valadao, David G. [R-CA-22]</fullName>
        <firstName>David</firstName>
        <lastName>Valadao</lastName>
        <party>R</party>
        <state>CA</state>
        <middleName>G.</middleName>
        <district>22</district>
        <sponsorshipDate>2024-04-09</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>K000397</bioguideId>
        <fullName>Rep. Kim, Young [R-CA-40]</fullName>
        <firstName>Young</firstName>
        <lastName>Kim</lastName>
        <party>R</party>
        <state>CA</state>
        <district>40</district>
        <sponsorshipDate>2024-04-12</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>R000575</bioguideId>
        <fullName>Rep. Rogers, Mike D. [R-AL-3]</fullName>
        <firstName>Mike</firstName>
        <lastName>Rogers</lastName>
        <party>R</party>
        <state>AL</state>
        <district>3</district>
        <sponsorshipDate>2024-05-02</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>B001257</bioguideId>
        <fullName>Rep. Bilirakis, Gus M. [R-FL-12]</fullName>
        <firstName>Gus</firstName>
        <lastName>Bilirakis</lastName>
        <party>R</party>
        <state>FL</state>
        <middleName>M.</middleName>
        <district>12</district>
        <sponsorshipDate>2024-05-08</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>G000582</bioguideId>
        <fullName>Rescom. González-Colón, Jenniffer [R-PR-At Large]</fullName>
        <firstName>Jenniffer</firstName>
        <lastName>González-Colón</lastName>
        <party>R</party>
        <state>PR</state>
        <district>0</district>
        <sponsorshipDate>2024-05-08</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>M001217</bioguideId>
        <fullName>Rep. Moskowitz, Jared [D-FL-23]</fullName>
        <firstName>Jared</firstName>
        <lastName>Moskowitz</lastName>
        <party>D</party>
        <state>FL</state>
        <district>23</district>
        <sponsorshipDate>2024-05-10</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>M001156</bioguideId>
        <fullName>Rep. McHenry, Patrick T. [R-NC-10]</fullName>
        <firstName>Patrick</firstName>
        <lastName>McHenry</lastName>
        <party>R</party>
        <state>NC</state>
        <middleName>T.</middleName>
        <district>10</district>
        <sponsorshipDate>2024-05-22</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>F000477</bioguideId>
        <fullName>Rep. Foushee, Valerie P. [D-NC-4]</fullName>
        <firstName>Valerie</firstName>
        <lastName>Foushee</lastName>
        <party>D</party>
        <state>NC</state>
        <middleName>P.</middleName>
        <district>4</district>
        <sponsorshipDate>2024-05-22</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>G000597</bioguideId>
        <fullName>Rep. Garbarino, Andrew R. [R-NY-2]</fullName>
        <firstName>Andrew</firstName>
        <lastName>Garbarino</lastName>
        <party>R</party>
        <state>NY</state>
        <middleName>R.</middleName>
        <district>2</district>
        <sponsorshipDate>2024-06-07</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>R000603</bioguideId>
        <fullName>Rep. Rouzer, David [R-NC-7]</fullName>
        <firstName>David</firstName>
        <lastName>Rouzer</lastName>
        <party>R</party>
        <state>NC</state>
        <district>7</district>
        <sponsorshipDate>2024-06-07</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>R000609</bioguideId>
        <fullName>Rep. Rutherford, John H. [R-FL-5]</fullName>
        <firstName>John</firstName>
        <lastName>Rutherford</lastName>
        <party>R</party>
        <state>FL</state>
        <middleName>H.</middleName>
        <district>5</district>
        <sponsorshipDate>2024-06-26</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>H001067</bioguideId>
        <fullName>Rep. Hudson, Richard [R-NC-9]</fullName>
        <firstName>Richard</firstName>
        <lastName>Hudson</lastName>
        <party>R</party>
        <state>NC</state>
        <district>9</district>
        <sponsorshipDate>2024-07-08</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>K000402</bioguideId>
        <fullName>Rep. Kennedy, Timothy M. [D-NY-26]</fullName>
        <firstName>Timothy</firstName>
        <lastName>Kennedy</lastName>
        <party>D</party>
        <state>NY</state>
        <middleName>M.</middleName>
        <district>26</district>
        <sponsorshipDate>2024-07-22</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>G000559</bioguideId>
        <fullName>Rep. Garamendi, John [D-CA-8]</fullName>
        <firstName>John</firstName>
        <lastName>Garamendi</lastName>
        <party>D</party>
        <state>CA</state>
        <district>8</district>
        <sponsorshipDate>2024-09-18</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>P000616</bioguideId>
        <fullName>Rep. Phillips, Dean [D-MN-3]</fullName>
        <firstName>Dean</firstName>
        <lastName>Phillips</lastName>
        <party>D</party>
        <state>MN</state>
        <district>3</district>
        <sponsorshipDate>2024-10-01</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
    </cosponsors>
    <policyArea>
      <name>Health</name>
    </policyArea>
    <subjects>
      <legislativeSubjects>
        <item>
          <name>Cardiovascular and respiratory health</name>
          <updateDate>2023-11-20T21:15:35Z</updateDate>
        </item>
        <item>
          <name>Genetics</name>
          <updateDate>2023-11-20T21:15:35Z</updateDate>
        </item>
        <item>
          <name>Health care coverage and access</name>
          <updateDate>2023-11-20T21:15:35Z</updateDate>
        </item>
        <item>
          <name>Health personnel</name>
          <updateDate>2023-11-20T21:15:35Z</updateDate>
        </item>
        <item>
          <name>Hereditary and development disorders</name>
          <updateDate>2023-11-20T21:15:35Z</updateDate>
        </item>
        <item>
          <name>Home and outpatient care</name>
          <updateDate>2023-11-20T21:15:35Z</updateDate>
        </item>
        <item>
          <name>Medicare</name>
          <updateDate>2023-11-20T21:15:35Z</updateDate>
        </item>
      </legislativeSubjects>
      <policyArea>
        <name>Health</name>
        <updateDate>2023-08-07T21:15:21Z</updateDate>
      </policyArea>
    </subjects>
    <summaries>
      <summary>
        <versionCode>00</versionCode>
        <actionDate>2023-06-30</actionDate>
        <actionDesc>Introduced in House</actionDesc>
        <updateDate>2023-10-18T21:42:30Z</updateDate>
        <cdata>
          <text>&lt;p&gt;&lt;b&gt;John W. Walsh Alpha-1 Home Infusion Act of &lt;/b&gt;&lt;b&gt;2023&lt;/b&gt;&lt;/p&gt; &lt;p&gt;This bill provides for Medicare coverage of treatment for alpha-1 antitrypsin (AAT) deficiency (a protein deficiency that raises the risk of lung and other diseases). Specifically, the bill provides for coverage of at-home augmentation therapy for beneficiaries with emphysema as a result of severe hereditary AAT deficiency. Treatment must be provided through qualified home infusion therapy suppliers; beneficiaries must be under the care of a physician, nurse practitioner, or physician assistant.&lt;/p&gt;</text>
        </cdata>
      </summary>
    </summaries>
    <title>John W. Walsh Alpha-1 Home Infusion Act of 2023</title>
    <titles>
      <item>
        <titleType>Display Title</titleType>
        <titleTypeCode>45</titleTypeCode>
        <title>John W. Walsh Alpha-1 Home Infusion Act of 2023</title>
        <updateDate>2024-06-08T08:05:19Z</updateDate>
      </item>
      <item>
        <titleType>Short Title(s) as Introduced</titleType>
        <titleTypeCode>101</titleTypeCode>
        <title>John W. Walsh Alpha-1 Home Infusion Act of 2023</title>
        <updateDate>2024-05-24T13:38:00Z</updateDate>
        <billTextVersionName>Introduced in House</billTextVersionName>
        <billTextVersionCode>IH</billTextVersionCode>
      </item>
      <item>
        <titleType>Official Title as Introduced</titleType>
        <titleTypeCode>6</titleTypeCode>
        <title>To amend title XVIII of the Social Security Act to provide for coverage and payment of Alpha-1 Antitrypsin Deficiency Disorder treatment under part B of such title, and for other purposes.</title>
        <updateDate>2024-03-18T21:05:47Z</updateDate>
        <billTextVersionName>Introduced in House</billTextVersionName>
        <billTextVersionCode>IH</billTextVersionCode>
      </item>
    </titles>
    <textVersions>
      <item>
        <type>Introduced in House</type>
        <date>2023-06-30T04:00:00Z</date>
        <formats>
          <item>
            <url>https://www.govinfo.gov/content/pkg/BILLS-118hr4438ih/xml/BILLS-118hr4438ih.xml</url>
          </item>
        </formats>
      </item>
    </textVersions>
    <latestAction>
      <actionDate>2024-12-17</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>
