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          <title>WashingtonWatch.com - S. 318, The Medicare Rural Health Access Improvement Act of 2009</title>
          <link>http://www.washingtonwatch.com/bills</link>
          <description></description>
          <managingEditor>info@washingtonwatch.com</managingEditor>
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<title>Revision by webmaster (February 13, 2009, 01:00:00)</title>
<link>http://www.washingtonwatch.com/bills/history/111_SN_318.html?rev=39485</link>
<description>&lt;p&gt;S. 318 would amend title XVIII of the Social Security Act to improve access to health care under the Medicare program for beneficiaries residing in rural areas.&lt;/p&gt;


&lt;h2 id=&quot;toc0&quot;&gt; Detailed Summary &lt;/h2&gt;
&lt;p&gt;Medicare Rural Health Access Improvement Act of 2009 - Amends title XVIII (Medicare) of the Social Security Act to: (1) extend Medicare flex grants; (2) revise requirements for the Medicare-dependent hospital (MDH) program; (3) revise the Medicare inpatient hospital payment adjustment for low-volume hospitals; (4) eliminate temporarily the disproportionate share hospital (DSH) adjustment cap; and (5) extend and revise the Medicare hold harmless provision under the prospective payment system (PPS) for hospital outpatient department (HOPD) services for certain hospitals.&lt;/p&gt;

&lt;p&gt;Revises requirements for the treatment of rural sole community hospitals and Medicare dependent, small rural hospitals under the PPS for HOPD services.&lt;/p&gt;

&lt;p&gt;Provides for recognition of equality of physician work in all geographic areas under the Medicare physician fee schedule.&lt;/p&gt;

&lt;p&gt;Revises the practice expense geographic adjustment under the Medicare physician fee schedule.&lt;/p&gt;

&lt;p&gt;Extends the treatment of certain physician pathology services, and increased Medicare payments for rural ground ambulance services.&lt;/p&gt;

&lt;p&gt;Directs the Secretary of Health and Human Services to set $92 as the maximum rate of payment per visit in 2010 for independent rural health clinics.&lt;/p&gt;

&lt;p&gt;Requires the Secretary to exempt from competitive acquisition requirements rural areas and small metropolitan statistical areas (MSAs) with a population of 600,000 or less.&lt;/p&gt;

&lt;p&gt;Permits physician assistants to order post-hospital extended care services. Recognizes attending physician assistants as attending physicians for the purpose of serving hospice patients.&lt;/p&gt;

&lt;p&gt;&amp;lt;br&amp;gt;&lt;/p&gt;


&lt;!--Leave in the 'summary' tags if you want the latest summary from the Congressional Research Service automatically to replace the text between the tags once it becomes available. --&gt;

&lt;h2 id=&quot;toc1&quot;&gt; Status of the Legislation &lt;/h2&gt;
&lt;p&gt;Latest Major Action: 1/26/2009: Referred to Senate committee. Status: Read twice and referred to the Committee on Finance.&lt;/p&gt;


&lt;!-- Leave in the 'status' tags if you want the latest reported status from THOMAS automatically to replace the text between the tags once it becomes available. --&gt;

&lt;h2 id=&quot;toc2&quot;&gt; Points in Favor &lt;/h2&gt;
&lt;p&gt;(Log in to edit the wiki and be the first to show why the bill should pass!)&lt;br /&gt;

&lt;!-- First editor: Go ahead and take out the sentence in parentheses, and this notice! --&gt;
&lt;/p&gt;


&lt;h2 id=&quot;toc3&quot;&gt; Points Against &lt;/h2&gt;
&lt;p&gt;(Log in to edit the wiki and be the first to show why the bill should not pass!)&lt;br /&gt;

&lt;!-- First editor: Go ahead and take out the sentence in parentheses, and this notice! --&gt;
&lt;/p&gt;

</description>
<guid isPermaLink="false">39485@http://www.washingtonwatch.com</guid>
<pubDate>Fri, 13 Feb 2009 00:00:00 EST</pubDate>
</item>
<item>
<title>Revision by webmaster (January 27, 2009, 01:00:00)</title>
<link>http://www.washingtonwatch.com/bills/history/111_SN_318.html?rev=37687</link>
<description>&lt;p&gt;S. 318 would amend title XVIII of the Social Security Act to improve access to health care under the Medicare program for beneficiaries residing in rural areas.&lt;/p&gt;


&lt;h2 id=&quot;toc4&quot;&gt; Detailed Summary &lt;/h2&gt;
&lt;p&gt;(Log in to edit the wiki and be the first to provide a detailed summary of the bill!)&lt;/p&gt;


&lt;!--Leave in the 'summary' tags if you want the latest summary from the Congressional Research Service automatically to replace the text between the tags once it becomes available. --&gt;

&lt;h2 id=&quot;toc5&quot;&gt; Status of the Legislation &lt;/h2&gt;
&lt;p&gt;(Log in to edit the wiki and be the first to update the status of the bill!)&lt;/p&gt;


&lt;!-- Leave in the 'status' tags if you want the latest reported status from THOMAS automatically to replace the text between the tags once it becomes available. --&gt;

&lt;h2 id=&quot;toc6&quot;&gt; Points in Favor &lt;/h2&gt;
&lt;p&gt;(Log in to edit the wiki and be the first to show why the bill should pass!)&lt;br /&gt;

&lt;!-- First editor: Go ahead and take out the sentence in parentheses, and this notice! --&gt;
&lt;/p&gt;


&lt;h2 id=&quot;toc7&quot;&gt; Points Against &lt;/h2&gt;
&lt;p&gt;(Log in to edit the wiki and be the first to show why the bill should not pass!)&lt;br /&gt;

&lt;!-- First editor: Go ahead and take out the sentence in parentheses, and this notice! --&gt;
&lt;/p&gt;

</description>
<guid isPermaLink="false">37687@http://www.washingtonwatch.com</guid>
<pubDate>Tue, 27 Jan 2009 00:00:00 EST</pubDate>
</item>
<item>
<title>Revision by webmaster (January 27, 2009, 01:00:00)</title>
<link>http://www.washingtonwatch.com/bills/history/111_SN_318.html?rev=37688</link>
<description>&lt;p&gt;S. 318 would amend title XVIII of the Social Security Act to improve access to health care under the Medicare program for beneficiaries residing in rural areas.&lt;/p&gt;


&lt;h2 id=&quot;toc8&quot;&gt; Detailed Summary &lt;/h2&gt;
&lt;p&gt;(Log in to edit the wiki and be the first to provide a detailed summary of the bill!)&lt;/p&gt;


&lt;!--Leave in the 'summary' tags if you want the latest summary from the Congressional Research Service automatically to replace the text between the tags once it becomes available. --&gt;

&lt;h2 id=&quot;toc9&quot;&gt; Status of the Legislation &lt;/h2&gt;
&lt;p&gt;Latest Major Action: 1/26/2009: Referred to Senate committee. Status: Read twice and referred to the Committee on Finance.&lt;/p&gt;


&lt;!-- Leave in the 'status' tags if you want the latest reported status from THOMAS automatically to replace the text between the tags once it becomes available. --&gt;

&lt;h2 id=&quot;toc10&quot;&gt; Points in Favor &lt;/h2&gt;
&lt;p&gt;(Log in to edit the wiki and be the first to show why the bill should pass!)&lt;br /&gt;

&lt;!-- First editor: Go ahead and take out the sentence in parentheses, and this notice! --&gt;
&lt;/p&gt;


&lt;h2 id=&quot;toc11&quot;&gt; Points Against &lt;/h2&gt;
&lt;p&gt;(Log in to edit the wiki and be the first to show why the bill should not pass!)&lt;br /&gt;

&lt;!-- First editor: Go ahead and take out the sentence in parentheses, and this notice! --&gt;
&lt;/p&gt;

</description>
<guid isPermaLink="false">37688@http://www.washingtonwatch.com</guid>
<pubDate>Tue, 27 Jan 2009 00:00:00 EST</pubDate>
</item>
<item>
<title>Status as of January 26, 2009</title>
<link>http://www.washingtonwatch.com/bills/show/111_SN_318.html</link>
<description>1/26/2009: Referred to Senate committee. Status: Read twice and referred to the Committee on Finance.</description>
<guid isPermaLink="false">42765@http://www.washingtonwatch.com</guid>
<pubDate>Mon, 26 Jan 2009 00:00:00 EST</pubDate>
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