<?xml version="1.0" encoding="UTF-8"?>
<bill>
  <bill-type>s</bill-type>
  <blog-article-count type="integer">6</blog-article-count>
  <hot-bill-category-id type="integer" nil="true"></hot-bill-category-id>
  <id type="integer">58718</id>
  <introduced type="integer">1245902400</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">1245902400</lastaction>
  <news-article-count type="integer" nil="true"></news-article-count>
  <number type="integer">1355</number>
  <page-views-count type="integer">405</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">412251</sponsor-id>
  <summary>	6/25/2009--Introduced.Rural Health Clinic Patient Access and Improvement Act of 2009 - Amends title XVIII (Medicare) of the Social Security Act with respect to rural health clinic reimbursement. Directs the Secretary of Health and Human Services (HHS) to make incentive payments to rural health clinic employees or contractors for satisfactory reporting of data on clinic quality measures. Amends the Public Health Service Act to allow a community health center to contract with a federally certified rural health clinic for the delivery of primary health care services to individuals who would otherwise be eligible for free or reduced cost care if they were able to obtain it at the community health center. Directs the Comptroller General to report to Congress on the diabetes education and medical nutrition therapy counseling services provided by federally qualified health clinics. Directs the Secretary to establish a demonstration project of grants to states to examine whether health care professionals can be recruited or retained to work in underserved rural areas by providing them with medical malpractice subsidies. States that a rural health clinic qualified under Medicare or Medicaid may be defined and certified by the Secretary as rural even if it fails to satisfy the requirement that it not be located in an urbanized area. Amends SSA title XVIII to establish the minimum Medicare Advantage plan payment rate for services furnished by a rural health clinic. Expresses the sense of the Senate concerning the adequacy of network-based health plans.</summary>
  <topresident-date type="integer">1245902400</topresident-date>
  <topresident-datetime type="date">2009-06-25</topresident-datetime>
  <updated type="timestamp">Sat Nov 14 09:26:05 -0600 2009</updated>
  <bill-titles type="array">
    <bill-title>
      <as>introduced</as>
      <bill-id type="integer">58718</bill-id>
      <fti-titles>'act':8 '2009':10 'rural':1 'access':5 'clinic':3 'health':2 'improv':7 'patient':4</fti-titles>
      <id type="integer">75684</id>
      <is-default type="boolean">false</is-default>
      <title>Rural Health Clinic Patient Access and Improvement Act of 2009</title>
      <title-type>short</title-type>
    </bill-title>
    <bill-title>
      <as>introduced</as>
      <bill-id type="integer">58718</bill-id>
      <fti-titles>'act':11 'area':24 'bill':2 'care':17 'titl':5 'amend':4 'resid':20 'rural':23 'secur':10 'xviii':6 'access':14 'health':16 'improv':13 'purpos':28 'social':9 'individu':19 'underserv':22</fti-titles>
      <id type="integer">75072</id>
      <is-default type="boolean">false</is-default>
      <title>A bill to amend title XVIII of the Social Security Act to improve access to health care for individuals residing in underserved rural areas and for other purposes.</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">58718</bill-id>
    <created-at type="timestamp" nil="true"></created-at>
    <date type="integer">1245902400</date>
    <datetime type="timestamp">Thu Jun 25 00:00:00 -0500 2009</datetime>
    <how nil="true"></how>
    <id type="integer">200734</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>Read twice and referred to the Committee on Finance.</text>
    <vote-type nil="true"></vote-type>
    <where nil="true"></where>
  </last-action>
  <sponsor>
    <biography nil="true"></biography>
    <bioguideid>B001261</bioguideid>
    <birthday type="date">1952-07-21</birthday>
    <blog-article-count type="integer">2490</blog-article-count>
    <congress-office>307 Dirksen Senate Office Building</congress-office>
    <contact-webform>http://barrasso.senate.gov/public/index.cfm?FuseAction=ContactUs.ContactForm</contact-webform>
    <district nil="true"></district>
    <email nil="true"></email>
    <fax>202-224-1724</fax>
    <firstname>John</firstname>
    <fti-names>'r':4 'wy':5 'sen':1 'john':2,6,8 'barrasso':3,7,9</fti-names>
    <gender>M</gender>
    <id type="integer">412251</id>
    <lastname>Barrasso</lastname>
    <metavid-id>John_Barrasso</metavid-id>
    <middlename>A.</middlename>
    <name>Sen. John Barrasso [R, WY]</name>
    <news-article-count type="integer">1268</news-article-count>
    <nickname nil="true"></nickname>
    <osid>N00006236</osid>
    <page-views-count type="integer">4236</page-views-count>
    <party>Republican</party>
    <phone>202-224-6441</phone>
    <religion nil="true"></religion>
    <state>WY</state>
    <sunlight-nickname nil="true"></sunlight-nickname>
    <title>Sen.</title>
    <unaccented-name>John Barrasso</unaccented-name>
    <url nil="true"></url>
    <user-approval type="float">3.53846153846154</user-approval>
    <watchdog-id nil="true"></watchdog-id>
    <website>http://barrasso.senate.gov</website>
    <youtube-id nil="true"></youtube-id>
  </sponsor>
  <co-sponsors type="array">
    <co-sponsor type="Person">
      <biography nil="true"></biography>
      <bioguideid>W000779</bioguideid>
      <birthday type="date">1949-05-03</birthday>
      <blog-article-count type="integer">7610</blog-article-count>
      <congress-office>223 Dirksen Senate Office Building</congress-office>
      <contact-webform>http://wyden.senate.gov/contact/</contact-webform>
      <district nil="true"></district>
      <email nil="true"></email>
      <fax>202-228-2717</fax>
      <firstname>Ron</firstname>
      <fti-names>'d':4 'ron':2,6,8 'sen':1 'wyden':3,7,9</fti-names>
      <gender>M</gender>
      <id type="integer">300100</id>
      <lastname>Wyden</lastname>
      <metavid-id>Ron_Wyden</metavid-id>
      <middlename nil="true"></middlename>
      <name>Sen. Ron Wyden [D, OR]</name>
      <news-article-count type="integer">3344</news-article-count>
      <nickname nil="true"></nickname>
      <osid>N00007724</osid>
      <page-views-count type="integer">10200</page-views-count>
      <party>Democrat</party>
      <phone>202-224-5244</phone>
      <religion>Jewish</religion>
      <state>OR</state>
      <sunlight-nickname nil="true"></sunlight-nickname>
      <title>Sen.</title>
      <unaccented-name>Ron Wyden</unaccented-name>
      <url nil="true"></url>
      <user-approval type="float">3.64516129032258</user-approval>
      <watchdog-id nil="true"></watchdog-id>
      <website>http://wyden.senate.gov/</website>
      <youtube-id>SenRonWyden</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">58718</bill-id>
      <created-at type="timestamp" nil="true"></created-at>
      <date type="integer">1245902400</date>
      <datetime type="timestamp">Thu Jun 25 00:00:00 -0500 2009</datetime>
      <how nil="true"></how>
      <id type="integer">200734</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>Read twice and referred to the Committee on Finance.</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">58718</bill-id>
      <created-at type="timestamp" nil="true"></created-at>
      <date type="integer">1245902400</date>
      <datetime type="timestamp">Thu Jun 25 00:00:00 -0500 2009</datetime>
      <how nil="true"></how>
      <id type="integer">200733</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>Sponsor introductory remarks on measure. (CR S7077-7078)</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">58718</bill-id>
      <created-at type="timestamp" nil="true"></created-at>
      <date type="integer">1245902400</date>
      <datetime type="timestamp">Thu Jun 25 00:00:00 -0500 2009</datetime>
      <how nil="true"></how>
      <id type="integer">200732</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>
