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   &lt;pre&gt;[Congressional Record Volume 167, Number 14 (Monday, January 25, 2021)][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. STEFANIK:H.R. 489.Congress has the power to enact this legislation pursuantto the following:Article I, section 8 of the Constitution of the UnitedStates.[Page H233]&lt;/pre&gt;
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     &lt;p&gt;&lt;b&gt;Protecting Rural Access to Care Act&lt;/b&gt;&lt;/p&gt; &lt;p&gt;This bill limits the scope of guidance issued by the Centers for Medicare &amp;amp; Medicaid Services (CMS) regarding the secondary road criteria for Medicare critical access hospitals (CAHs).&lt;/p&gt; &lt;p&gt;Currently, in order to qualify as a CAH under Medicare, a hospital must either (1) be located more than 35 miles (15 miles in mountainous regions or areas with only secondary roads) from another hospital, or (2) have been certified prior to January 1, 2006, by the state as a necessary provider of services in the area. &lt;/p&gt; &lt;p&gt;The CMS issued guidance on July 31, 2015, that provided more detail as to the differences between primary and secondary roads for purposes of CAH certification. The bill specifies that this guidance does not apply to CAHs that were certified prior to July 31, 2015, and that these CAHs are instead subject to the standards that were in place before the guidance was issued. Ongoing CAH certifications are also subject to pre-guidance standards until the CMS issues new guidance after a specified public comment period.&lt;/p&gt;
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   Protecting Rural Access to Care Act
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     To amend title XVIII of the Social Security Act to clarify the application of the 15-mile secondary road distance requirement with respect to previously designated critical access hospitals under the Medicare program.
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   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.
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2021-01-28
Health Subcommittee
hswm02
1
House committee actions
Referred to the Subcommittee on Health.
Committee
H11100
2021-01-25
Ways and Means Committee
hswm00
2
House floor actions
Referred to the House Committee on Ways and Means.
IntroReferral
Intro-H
2021-01-25
9
Library of Congress
Introduced in House
IntroReferral
1000
2021-01-25
9
Library of Congress
Introduced in House
IntroReferral
2021-01-25T18:35:05Z
Referred to
House
Ways and Means Committee
2021-01-28T15:00:10Z
Referred to
Health Subcommittee
hswm02
hswm00
Standing
D000630
19
Antonio
Rep. Delgado, Antonio [D-NY-19]
Delgado
D
2021-01-25
NY
J000020
27
Chris
Rep. Jacobs, Chris [R-NY-27]
Jacobs
R
2021-02-04
NY
T000478
22
Claudia
Rep. Tenney, Claudia [R-NY-22]
Tenney
R
2021-04-08
NY
Congressional Research Service, Library of Congress
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.
text/xml
EN
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.
2021-01-25
2021-01-28
Referred to the Subcommittee on Health.
House
Health
S001196
21
Elise
Rep. Stefanik, Elise M. [R-NY-21]
N
Stefanik
M.
R
NY
Administrative law and regulatory procedures Department of Health and Human Services Health care coverage and access Health facilities and institutions Hospital care Medicare Public participation and lobbying Roads and highways Rural conditions and development
2021-01-25
Introduced in House
 <p><b>Protecting Rural Access to Care Act</b></p> <p>This bill limits the scope of guidance issued by the Centers for Medicare &amp; Medicaid Services (CMS) regarding the secondary road criteria for Medicare critical access hospitals (CAHs).</p> <p>Currently, in order to qualify as a CAH under Medicare, a hospital must either (1) be located more than 35 miles (15 miles in mountainous regions or areas with only secondary roads) from another hospital, or (2) have been certified prior to January 1, 2006, by the state as a necessary provider of services in the area. </p> <p>The CMS issued guidance on July 31, 2015, that provided more detail as to the differences between primary and secondary roads for purposes of CAH certification. The bill specifies that this guidance does not apply to CAHs that were certified prior to July 31, 2015, and that these CAHs are instead subject to the standards that were in place before the guidance was issued. Ongoing CAH certifications are also subject to pre-guidance standards until the CMS issues new guidance after a specified public comment period.</p>
2021-03-02T00:21:53Z
00
2021-01-25T05:00:00Z
Introduced in House
https://www.govinfo.gov/content/pkg/BILLS-117hr489ih/xml/BILLS-117hr489ih.xml
Protecting Rural Access to Care Act
Protecting Rural Access to Care Act
Display Title
IH
Introduced in House
To amend title XVIII of the Social Security Act to clarify the application of the 15-mile secondary road distance requirement with respect to previously designated critical access hospitals under the Medicare program.
Official Title as Introduced
IH
Introduced in House
Protecting Rural Access to Care Act
Short Title(s) as Introduced
HR
2023-01-11T13:43:28Z
2023-01-11T13:43:28Z
3.0.0
2021-01-28
Health Subcommittee
hswm02
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House committee actions
Referred to the Subcommittee on Health.
Committee
H11100
2021-01-25
Ways and Means Committee
hswm00
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Referred to the House Committee on Ways and Means.
IntroReferral
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2021-01-25
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Library of Congress
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1000
2021-01-25
9
Library of Congress
Introduced in House
IntroReferral
S001196
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Elise
Rep. Stefanik, Elise M. [R-NY-21]
N
Stefanik
M.
R
NY
D000630
19
Antonio
Rep. Delgado, Antonio [D-NY-19]
Delgado
D
2021-01-25
NY
J000020
27
Chris
Rep. Jacobs, Chris [R-NY-27]
Jacobs
R
2021-02-04
NY
T000478
22
Claudia
Rep. Tenney, Claudia [R-NY-22]
Tenney
R
2021-04-08
NY
Administrative law and regulatory procedures Department of Health and Human Services Health care coverage and access Health facilities and institutions Hospital care Medicare Public participation and lobbying Roads and highways Rural conditions and development
2021-01-25
Introduced in House
 <p><b>Protecting Rural Access to Care Act</b></p> <p>This bill limits the scope of guidance issued by the Centers for Medicare &amp; Medicaid Services (CMS) regarding the secondary road criteria for Medicare critical access hospitals (CAHs).</p> <p>Currently, in order to qualify as a CAH under Medicare, a hospital must either (1) be located more than 35 miles (15 miles in mountainous regions or areas with only secondary roads) from another hospital, or (2) have been certified prior to January 1, 2006, by the state as a necessary provider of services in the area. </p> <p>The CMS issued guidance on July 31, 2015, that provided more detail as to the differences between primary and secondary roads for purposes of CAH certification. The bill specifies that this guidance does not apply to CAHs that were certified prior to July 31, 2015, and that these CAHs are instead subject to the standards that were in place before the guidance was issued. Ongoing CAH certifications are also subject to pre-guidance standards until the CMS issues new guidance after a specified public comment period.</p>
2021-03-02T00:21:53Z
00
Protecting Rural Access to Care Act
Protecting Rural Access to Care Act
Display Title
IH
Introduced in House
To amend title XVIII of the Social Security Act to clarify the application of the 15-mile secondary road distance requirement with respect to previously designated critical access hospitals under the Medicare program.
Official Title as Introduced
IH
Introduced in House
Protecting Rural Access to Care Act
Short Title(s) as Introduced
2021-01-28
Referred to the Subcommittee on Health.