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Tokuda, Jill N. [D-HI-2]","N.","HI","D","T000487","2025-12-05T22:49:52Z",[],"House",119,false,"Ensuring Outpatient Quality for Rural States Act",[],2,0,4,"hr",[],[],"https:\u002F\u002Fwww.congress.gov\u002Fbill\u002F119th-congress\u002Fhouse-bill\u002F4269","\u003Cpre>\n[Congressional Record Volume 171, Number 113 (Monday, June 30, 2025)]\n[House]\nFrom the Congressional Record Online through the Government Publishing Office [\u003Ca href=\"https:\u002F\u002Fwww.gpo.gov\">www.gpo.gov\u003C\u002Fa>]\nBy Ms. TOKUDA:\nH.R. 4269.\nArticle I, Section 8, Clauses 1 and 18 of the United States\nConstitution.\n[Page H3037]\n\u003C\u002Fpre>","Health",{"date":6,"text":33},"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.",4269,"in_committee","2026-05-13T20:35:57.882Z","To amend title XVIII of the Social Security Act to provide for the application of a cost-of-living adjustment to the non-labor related portion for hospital outpatient department services furnished in Alaska and Hawaii.","2026-05-22T23:50:30.435Z","health",[41,42,43,44,45,46,47,48,49,50,51,52,53,54,55,56,57,58,59,60,61,62,63,64,65,66,67,68,69,70,71,72,73,74,75,76,77,78,79,80,81,82,83,84,85,86,87,88,89,90,91,92,93,94,95,96,97,98,99,100,101,102,103,104,105,106,107,108,109,110,111,112,113,114,115,116,117,118,119,120,121,122,123,124,125,126,127,128,129,130,131,132,133,134,135,136,137,138,139,140,141,142,143,144,145,146,147,148,149,150,151,152,153,154,155,156,157,158,159,160,161,162,163,164,165,166,167,168,169,170,171,172,173,174,175,176,177,178,179,180,181,182,183,184,185,186,187,188,189,190,191,192,193,194,195,196,197,198,199,200,201],"ensuring","en","ens","ensu","ensur","ensuri","ensurin","outpatient","ou","out","outp","outpa","outpat","outpati","outpatie","outpatien","quality","qu","qua","qual","quali","qualit","for","rural","ru","rur","rura","states","st","sta","stat","state","act","to","amend","am","ame","amen","title","ti","tit","titl","xviii","xv","xvi","xvii","of","the","social","so","soc","soci","socia","security","se","sec","secu","secur","securi","securit","provide","pr","pro","prov","provi","provid","application","ap","app","appl","appli","applic","applica","applicat","applicati","applicatio","cost","co","cos","living","li","liv","livi","livin","adjustment","ad","adj","adju","adjus","adjust","adjustm","adjustme","adjustmen","non","labor","la","lab","labo","related","re","rel","rela","relat","relate","portion","po","por","port","porti","portio","hospital","ho","hos","hosp","hospi","hospit","hospita","department","de","dep","depa","depar","depart","departm","departme","departmen","services","ser","serv","servi","servic","service","furnished","fu","fur","furn","furni","furnis","furnish","furnishe","in","alaska","al","ala","alas","alask","and","hawaii","ha","haw","hawa","hawai","rep","tokuda","tok","toku","tokud","jill","ji","jil","hi",[],true,[205],{"versionCode":206,"actionDate":6,"actionDesc":207,"text":208,"updateDate":209},"00","Introduced in House","\u003Cp>\u003Cstrong>Ensuring Outpatient Quality for Rural States Act\u003C\u002Fstrong>\u003C\u002Fp>\u003Cp>This bill allows Medicare payments for covered hospital outpatient services in Alaska or Hawaii to include certain cost-of-living adjustments.\u003C\u002Fp>","2025-08-05T21:34:57Z",[211,216],{"bioguideId":212,"fullName":213,"party":14,"state":13,"district":214,"sponsorshipDate":215,"isOriginalCosponsor":20,"withdrawn":20,"sponsorshipWithdrawnDate":3},"C001055","Rep. Case, Ed [D-HI-1]","1","2025-07-02",{"bioguideId":217,"fullName":218,"party":219,"state":220,"district":221,"sponsorshipDate":6,"isOriginalCosponsor":203,"withdrawn":20,"sponsorshipWithdrawnDate":3},"B001323","Rep. Begich, Nicholas J. 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