<?xml version="1.0" encoding="UTF-8"?>
<bill>
  <bill-type>h</bill-type>
  <hot-bill-category-id type="integer" nil="true"></hot-bill-category-id>
  <id type="integer">57714</id>
  <introduced type="integer">1242705600</introduced>
  <is-frontpage-hot type="boolean">false</is-frontpage-hot>
  <last-speech type="integer" nil="true"></last-speech>
  <last-vote-date type="integer" nil="true"></last-vote-date>
  <last-vote-roll type="integer" nil="true"></last-vote-roll>
  <last-vote-where nil="true"></last-vote-where>
  <lastaction type="integer">1242705600</lastaction>
  <number type="integer">2501</number>
  <page-views-count type="integer">227</page-views-count>
  <pl nil="true"></pl>
  <plain-language-summary nil="true"></plain-language-summary>
  <rolls nil="true"></rolls>
  <session type="integer">111</session>
  <sponsor-id type="integer">400323</sponsor-id>
  <summary>	5/19/2009--Introduced.&lt;br/&gt;Medicare Cost Contract Extension and Refinement Act of 2009 - Amends title XVIII (Medicare) of the Social Security Act (SSA) with respect to reasonable cost reimbursement contracts with qualified health maintenance organizations (HMOs) or competitive medical plans for Medicare reimbursement of hospitals and skilled nursing facilities (SNFs). Extends until January 1, 2013, the period during which such reasonable cost reimbursement contracts can remain in the market. Revises conditions for approval of an application for a modification to a reasonable cost contract to expand the contract's service area. Applies to extended or renewed reasonable cost contracts certain requirements under Medicare part C (Medicare Advantage).&lt;br/&gt;</summary>
  <topresident-date type="integer">1242705600</topresident-date>
  <topresident-datetime type="date">2009-05-19</topresident-datetime>
  <updated type="timestamp">Fri Sep 18 19:48:23 -0500 2009</updated>
  <bill-titles type="array">
    <bill-title>
      <as>introduced</as>
      <bill-id type="integer">57714</bill-id>
      <fti-titles>'act':7 '2009':9 'cost':2 'refin':6 'extens':4 'medicar':1 'contract':3</fti-titles>
      <id type="integer">73730</id>
      <is-default type="boolean">false</is-default>
      <title>Medicare Cost Contract Extension and Refinement Act of 2009</title>
      <title-type>short</title-type>
    </bill-title>
    <bill-title>
      <as>introduced</as>
      <bill-id type="integer">57714</bill-id>
      <fti-titles>'act':9 'cost':13 'titl':3 'amend':2 'secur':8 'xviii':4 'extend':11 'reason':12 'social':7 'medicar':16 'contract':14</fti-titles>
      <id type="integer">73465</id>
      <is-default type="boolean">false</is-default>
      <title>To amend title XVIII of the Social Security Act to extend reasonable cost contracts under Medicare.</title>
      <title-type>official</title-type>
    </bill-title>
  </bill-titles>
  <last-action>
    <action-type>action</action-type>
    <amendment-id type="integer" nil="true"></amendment-id>
    <bill-id type="integer">57714</bill-id>
    <created-at type="timestamp" nil="true"></created-at>
    <date type="integer">1242705600</date>
    <datetime type="timestamp">Tue May 19 00:00:00 -0500 2009</datetime>
    <how nil="true"></how>
    <id type="integer">195725</id>
    <result nil="true"></result>
    <roll-call-id type="integer" nil="true"></roll-call-id>
    <roll-call-number type="integer" nil="true"></roll-call-number>
    <text>Referred to House Energy and Commerce</text>
    <vote-type nil="true"></vote-type>
    <where nil="true"></where>
  </last-action>
  <sponsor>
    <biography nil="true"></biography>
    <bioguideid>P000422</bioguideid>
    <birthday type="date">1952-09-02</birthday>
    <congress-office>1501 Longworth House Office Building</congress-office>
    <contact-webform>http://www.house.gov/formpomeroy/zipauth.htm</contact-webform>
    <district>0</district>
    <email nil="true"></email>
    <fax>202-226-0893</fax>
    <firstname>Earl</firstname>
    <fti-names>'d':4 '-0':6 'nd':5 'rep':1 'earl':2,7,9 'pomeroy':3,8,10</fti-names>
    <gender>M</gender>
    <id type="integer">400323</id>
    <lastname>Pomeroy</lastname>
    <metavid-id>Earl_Pomeroy</metavid-id>
    <middlename>Ralph</middlename>
    <name>Rep. Earl Pomeroy [D, ND-0]</name>
    <nickname nil="true"></nickname>
    <osid>N00008113</osid>
    <page-views-count type="integer">7336</page-views-count>
    <party>Democrat</party>
    <phone>202-225-2611</phone>
    <religion>Presbyterian</religion>
    <state>ND</state>
    <sunlight-nickname nil="true"></sunlight-nickname>
    <title>Rep.</title>
    <unaccented-name>Earl Pomeroy</unaccented-name>
    <url nil="true"></url>
    <user-approval type="float" nil="true"></user-approval>
    <watchdog-id nil="true"></watchdog-id>
    <website>http://www.pomeroy.house.gov/</website>
    <youtube-id>earlpomeroy</youtube-id>
  </sponsor>
  <co-sponsors type="array">
    <co-sponsor type="Person">
      <biography nil="true"></biography>
      <bioguideid>A000014</bioguideid>
      <birthday type="date">1938-06-26</birthday>
      <congress-office>1502 Longworth House Office Building</congress-office>
      <contact-webform>http://www.house.gov/abercrombie/e_form.shtml</contact-webform>
      <district>1</district>
      <email nil="true"></email>
      <fax>202-225-4580</fax>
      <firstname>Neil</firstname>
      <fti-names>'d':4 '-1':6 'hi':5 'rep':1 'neil':2,7,9 'abercrombi':3,8,10</fti-names>
      <gender>M</gender>
      <id type="integer">400001</id>
      <lastname>Abercrombie</lastname>
      <metavid-id>Neil_Abercrombie</metavid-id>
      <middlename nil="true"></middlename>
      <name>Rep. Neil Abercrombie [D, HI-1]</name>
      <nickname nil="true"></nickname>
      <osid>N00007665</osid>
      <page-views-count type="integer">9182</page-views-count>
      <party>Democrat</party>
      <phone>202-225-2726</phone>
      <religion nil="true"></religion>
      <state>HI</state>
      <sunlight-nickname nil="true"></sunlight-nickname>
      <title>Rep.</title>
      <unaccented-name>Neil Abercrombie</unaccented-name>
      <url nil="true"></url>
      <user-approval type="float">1.5</user-approval>
      <watchdog-id nil="true"></watchdog-id>
      <website>http://www.house.gov/abercrombie/</website>
      <youtube-id nil="true"></youtube-id>
    </co-sponsor>
    <co-sponsor type="Person">
      <biography nil="true"></biography>
      <bioguideid>D000197</bioguideid>
      <birthday type="date">1957-07-29</birthday>
      <congress-office>1527 Longworth House Office Building</congress-office>
      <contact-webform>http://www.house.gov/formdegette/zip_auth.htm</contact-webform>
      <district>1</district>
      <email nil="true"></email>
      <fax>202-225-5657</fax>
      <firstname>Diana</firstname>
      <fti-names>'d':4 '-1':6 'co':5 'rep':1 'diana':2,7,9 'degett':3,8,10</fti-names>
      <gender>F</gender>
      <id type="integer">400101</id>
      <lastname>DeGette</lastname>
      <metavid-id>Diana_DeGette</metavid-id>
      <middlename>L.</middlename>
      <name>Rep. Diana DeGette [D, CO-1]</name>
      <nickname nil="true"></nickname>
      <osid>N00006134</osid>
      <page-views-count type="integer">7617</page-views-count>
      <party>Democrat</party>
      <phone>202-225-4431</phone>
      <religion>Presbyterian</religion>
      <state>CO</state>
      <sunlight-nickname nil="true"></sunlight-nickname>
      <title>Rep.</title>
      <unaccented-name>Diana DeGette</unaccented-name>
      <url nil="true"></url>
      <user-approval type="float">3.47058823529412</user-approval>
      <watchdog-id nil="true"></watchdog-id>
      <website>http://www.house.gov/degette/index.shtml</website>
      <youtube-id>ddegette</youtube-id>
    </co-sponsor>
    <co-sponsor type="Person">
      <biography nil="true"></biography>
      <bioguideid>P000594</bioguideid>
      <birthday type="date">1965-05-14</birthday>
      <congress-office>126 Cannon House Office Building</congress-office>
      <contact-webform>https://forms.house.gov/paulsen/contact-form.shtml</contact-webform>
      <district>3</district>
      <email nil="true"></email>
      <fax>202-225-6351</fax>
      <firstname>Erik</firstname>
      <fti-names>'r':4 '-3':6 'mn':5 'rep':1 'erik':2,7,9 'paulsen':3,8,10</fti-names>
      <gender>M</gender>
      <id type="integer">412303</id>
      <lastname>Paulsen</lastname>
      <metavid-id nil="true"></metavid-id>
      <middlename nil="true"></middlename>
      <name>Rep. Erik Paulsen [R, MN-3]</name>
      <nickname nil="true"></nickname>
      <osid>N00029391</osid>
      <page-views-count type="integer">2824</page-views-count>
      <party>Republican</party>
      <phone>202-225-2871</phone>
      <religion nil="true"></religion>
      <state>MN</state>
      <sunlight-nickname nil="true"></sunlight-nickname>
      <title>Rep.</title>
      <unaccented-name>Erik Paulsen</unaccented-name>
      <url nil="true"></url>
      <user-approval type="float">5.0</user-approval>
      <watchdog-id nil="true"></watchdog-id>
      <website>http://paulsen.house.gov/</website>
      <youtube-id nil="true"></youtube-id>
    </co-sponsor>
    <co-sponsor type="Person">
      <biography nil="true"></biography>
      <bioguideid>S001158</bioguideid>
      <birthday type="date">1953-07-21</birthday>
      <congress-office>1531 Longworth House Office Building</congress-office>
      <contact-webform>http://www.house.gov/salazar/contact.shtml</contact-webform>
      <district>3</district>
      <email nil="true"></email>
      <fax>202-226-9669</fax>
      <firstname>John</firstname>
      <fti-names>'d':4 '-3':6 'co':5 'rep':1 'john':2,7,9 'salazar':3,8,10</fti-names>
      <gender>M</gender>
      <id type="integer">400620</id>
      <lastname>Salazar</lastname>
      <metavid-id>John_T._Salazar</metavid-id>
      <middlename>Tony</middlename>
      <name>Rep. John Salazar [D, CO-3]</name>
      <nickname nil="true"></nickname>
      <osid>N00026431</osid>
      <page-views-count type="integer">6411</page-views-count>
      <party>Democrat</party>
      <phone>202-225-4761</phone>
      <religion nil="true"></religion>
      <state>CO</state>
      <sunlight-nickname nil="true"></sunlight-nickname>
      <title>Rep.</title>
      <unaccented-name>John Salazar</unaccented-name>
      <url nil="true"></url>
      <user-approval type="float">5.375</user-approval>
      <watchdog-id nil="true"></watchdog-id>
      <website>http://www.house.gov/salazar/</website>
      <youtube-id nil="true"></youtube-id>
    </co-sponsor>
  </co-sponsors>
  <actions type="array">
    <action type="BillAction">
      <action-type>action</action-type>
      <amendment-id type="integer" nil="true"></amendment-id>
      <bill-id type="integer">57714</bill-id>
      <created-at type="timestamp" nil="true"></created-at>
      <date type="integer">1242705600</date>
      <datetime type="timestamp">Tue May 19 00:00:00 -0500 2009</datetime>
      <how nil="true"></how>
      <id type="integer">195725</id>
      <result nil="true"></result>
      <roll-call-id type="integer" nil="true"></roll-call-id>
      <roll-call-number type="integer" nil="true"></roll-call-number>
      <text>Referred to House Energy and Commerce</text>
      <vote-type nil="true"></vote-type>
      <where nil="true"></where>
    </action>
    <action type="BillAction">
      <action-type>action</action-type>
      <amendment-id type="integer" nil="true"></amendment-id>
      <bill-id type="integer">57714</bill-id>
      <created-at type="timestamp" nil="true"></created-at>
      <date type="integer">1242705600</date>
      <datetime type="timestamp">Tue May 19 00:00:00 -0500 2009</datetime>
      <how nil="true"></how>
      <id type="integer">195724</id>
      <result nil="true"></result>
      <roll-call-id type="integer" nil="true"></roll-call-id>
      <roll-call-number type="integer" nil="true"></roll-call-number>
      <text>Referred to House Ways and Means</text>
      <vote-type nil="true"></vote-type>
      <where nil="true"></where>
    </action>
    <action type="BillAction">
      <action-type>action</action-type>
      <amendment-id type="integer" nil="true"></amendment-id>
      <bill-id type="integer">57714</bill-id>
      <created-at type="timestamp" nil="true"></created-at>
      <date type="integer">1242705600</date>
      <datetime type="timestamp">Tue May 19 00:00:00 -0500 2009</datetime>
      <how nil="true"></how>
      <id type="integer">195723</id>
      <result nil="true"></result>
      <roll-call-id type="integer" nil="true"></roll-call-id>
      <roll-call-number type="integer" nil="true"></roll-call-number>
      <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>
      <vote-type nil="true"></vote-type>
      <where nil="true"></where>
    </action>
    <action type="BillAction">
      <action-type>introduced</action-type>
      <amendment-id type="integer" nil="true"></amendment-id>
      <bill-id type="integer">57714</bill-id>
      <created-at type="timestamp" nil="true"></created-at>
      <date type="integer">1242705600</date>
      <datetime type="timestamp">Tue May 19 00:00:00 -0500 2009</datetime>
      <how nil="true"></how>
      <id type="integer">195722</id>
      <result nil="true"></result>
      <roll-call-id type="integer" nil="true"></roll-call-id>
      <roll-call-number type="integer" nil="true"></roll-call-number>
      <text nil="true"></text>
      <vote-type nil="true"></vote-type>
      <where nil="true"></where>
    </action>
  </actions>
  <roll-calls type="array"/>
</bill>
