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Official portrait of Rep. King, Steve [R-IA-4]

Rep. King, Steve [R-IA-4]

United States · Official source

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2,508 records where Rep. King, Steve [R-IA-4] is listed as a sponsor, author, or other actor. Search with topics and years

Bill· HRH.R. 3410 (116th)referred

To amend the renewable fuel program under the Clean Air Act to account for small refinery exemptions, and for other purposes.

United States · United States Congress · 21 June 2019

This bill revises requirements for exemptions given to small refineries of crude oil under the renewable fuel program, which requires transportation fuel to contain a minimum volume of renewable fuel. Specifically, the bill requires the Environmental Protection Agency to ensure that exemptions granted to small refineries do not result in a reduction to the national quantity of renewable fuel required under the program.

Bill· HRH.R. 3218 (116th)referred

Diamond and Silk Act

United States · United States Congress · 12 June 2019

End Sanctuaries and Help Our American Homeless and Veterans Act or the Diamond and Silk Act This bill imposes penalties on any state or local jurisdiction that has an ordinance, policy, or practice that prohibits or restricts federal, state, or local government entities, officials, or other personnel from enforcing or assisting with enforcing immigration laws. Such a jurisdiction shall be barred from receiving any federal financial assistance, and certain funds that would have gone to the jurisdiction shall be reallocated to programs to reduce homelessness and address mental illness. A victim (or certain family members if the victim is deceased) of any felony for which an alien was convicted and sentenced to at least one year in prison may sue a state or local jurisdiction if (1) the jurisdiction knew the alien was unlawfully present in the United States and released the alien prior to the crime's commission, or (2) the crime was a consequence of the jurisdiction refusing to honor a detainer or warrant issued for an alien believed to be unlawfully present and in violation of controlled substances laws. A prevailing plaintiff shall be entitled to reasonable attorney's fees and costs. A jurisdiction that receives federal financial assistance shall waive sovereign immunity against such lawsuits.

Bill· HRH.R. 3183 (116th)referred

FEEDD Act

United States · United States Congress · 10 June 2019

Feed Emergency Enhancement During Disasters Act or the FEEDD Act This bill modifies the federal crop insurance program to authorize agricultural producers who harvest second crops as a result of a prevented planting to be eligible for specific crop insurance if certain conditions are met. Specifically, a producer may collect an indemnity that is equal to 100% of the prevented planting guarantee for the acreage of the first crop if (1) the acres planted are in an area with low hay or forage supplies due to widespread excessive moisture, flood, or drought; (2) the second crop will be planted with an intended use of animal feed that is hayed, gazed, or chopped; and (3) the second crop will be donated or used by the producer.

Bill· HRH.R. 3155 (116th)referred

75th Anniversary of the End of World War II Commemorative Coin Act

United States · United States Congress · 6 June 2019

75th Anniversary of the End of World War II Commemorative Coin Act This bill directs the Department of the Treasury to mint and issue up to 50,000 $5 coins, 500,000 $1 coins, and 750,000 half-dollar coins in commemoration of the 75th anniversary of the end of World War II. The coins shall be emblematic of the sacrifices made by millions of people of the United States 75 years ago in bringing an end to World War II. The design on each coin shall represent the World War II Victory Medal, which was awarded to all 16 million U.S. military personnel who served from December 7, 1941, to December 31, 1946. The bill requires all sales of such coins include specified surcharges, which shall be paid by Treasury to the congressionally designated National WWII Museum to fund its educational mission of telling the story of the U.S. experience in World War II.

Bill· HRH.R. 3145 (116th)referred

PARK IT Act

United States · United States Congress · 5 June 2019

Protecting Americans from the Risks of Keyless Ignition Technology Act or the PARK IT Act This bill directs the Department of Transportation (DOT) to finalize regulations relating to automatic shutoff systems for motor vehicles and standards to prevent the movement of vehicles in specific situations. Specifically, DOT must require manufacturers to install technology in each motor vehicle with a keyless ignition device and an internal combustion engine to automatically shut off the motor vehicle after the motor vehicle has idled for a period necessary to prevent carbon monoxide poisoning; and a keyless ignition device and automatic transmission to prevent movement (i.e., rollaway) of the motor vehicle if (1) the transmission of the motor vehicle is not in the park setting, (2) the motor vehicle does not exceed the speed determined by DOT, (3) the door for the operator of the motor vehicle is open, (4) the seat belt of the operator of the motor vehicle is unbuckled, and (5) the service brake of the motor vehicle is not engaged.

Bill· HRH.R. 3107 (116th)referred

Improving Seniors’ Timely Access to Care Act of 2019

United States · United States Congress · 5 June 2019

Improving Seniors' Timely Access to Care Act of 2019 This bill establishes several prohibitions, requirements, and standards relating to prior authorization processes under Medicare Advantage (MA) plans. Specifically, the bill prohibits MA plans from instituting additional prior authorization requirements for surgeries (including related items) that are furnished to a patient during other surgeries for which prior authorization was not required or was already received. Additionally, MA plans must (1) establish an electronic prior authorization program that meets specified standards, including the ability to provide real-time decisions in response to requests for items and services that are routinely approved; (2) annually publish specified prior authorization information, including the percentage of requests approved and the average response time; and (3) meet other standards, as set by the Centers for Medicare & Medicaid Services, relating to the quality and timeliness of prior authorization determinations.

Bill· HRH.R. 3149 (116th)referred

A PLUS Act

United States · United States Congress · 5 June 2019

Academic Partnerships Lead Us to Success Act or the A PLUS Act   This bill creates a framework under which states may receive federal elementary and secondary education funds on a consolidated basis and use such funds for any educational purpose permitted by state law.

Bill· HRH.R. 2989 (116th)referred

Criminal Alien Removal Clarification Act of 2019

United States · United States Congress · 23 May 2019

Criminal Alien Removal Clarification Act of 2019 This bill subjects to deportation an alien who at any time after admission has been convicted of a felony or two misdemeanors under state or federal law. Currently, an alien is subject to deportation for a single conviction for certain felonies (such as an aggravated felony), two or more convictions for crimes involving moral turpitude, or being a drug addict.

Bill· HRH.R. 2973 (116th)referred

Arrest Statistics Reporting Act of 2019

United States · United States Congress · 23 May 2019

Arrest Statistics Reporting Act of 2019 This bill directs U.S. Immigration and Customs Enforcement (ICE) to annually issue a public report regarding the immigration status of certain arrested persons. Specifically, the report shall include each arrested person (1) who has been the subject of an information request from a law enforcement agency to the Law Enforcement Support Center within ICE, or (2) whose information has been forwarded under the information sharing program between the Department of Justice and the Department of Homeland Security. For each person, the report shall include (1) the person's immigration status, (2) the person's nationality, and (3) the crime for which the person was arrested. The Federal Bureau of Investigation shall (1) revise the Uniform Crime Reports to include such information in each arrest report, and (2) publish tables summarizing such information.

Bill· HRH.R. 2994 (116th)referred

Restoring Maximum Mobility to Our Nation’s Veterans Act of 2019

United States · United States Congress · 23 May 2019

Restoring Maximum Mobility to Our Nation's Veterans Act of 2019 This bill requires the Department of Veterans Affairs (VA) to ensure that each wheelchair furnished to a veteran because of a service-connected disability restores the maximum achievable mobility and function in the activities of daily life, employment, and recreation. The VA may furnish a wheelchair to a veteran because the wheelchair restores an ability that relates exclusively to participation in a recreational activity.

Bill· HRH.R. 3006 (116th)referred

Renewable Fuel Standard Integrity Act of 2019

United States · United States Congress · 23 May 2019

Renewable Fuel Standard Integrity Act of 2019 This bill revises requirements for exemptions given to small refineries of crude oil under the renewable fuel program, which requires transportation fuel to contain a minimum volume of renewable fuel. Specifically, the bill establishes an annual deadline for petitions by small refineries for exemptions and subjects information in the petition to public disclosure requirements.

Bill· HRH.R. 2955 (116th)referred

PLANE Act

United States · United States Congress · 23 May 2019

Prohibiting Local Airports from Neglecting Enforcement Act or the PLANE Act This bill prohibits the Department of Transportation from issuing grants to airports that impose unreasonable conditions or restrictions on air carriers operating under an agreement with a government agency, including the U.S. Immigration and Customs Enforcement.

Bill· HRH.R. 2903 (116th)referred

Blocking Investment In Our Adversaries Act

United States · United States Congress · 22 May 2019

Blocking Investment In Our Adversaries Act This bill limits the investments of the International Stock Index Investment Fund (I Fund) under the Thrift Savings Plan. Specifically, it prohibits the I Fund from investing in any entity based in a peer or near-peer competitor nation, including China or Russia.

Bill· HRH.R. 2859 (116th)referred

PRIME Act

United States · United States Congress · 21 May 2019

Processing Revival and Intrastate Meat Exemption Act or the PRIME Act This bill expands the exemption of custom slaughtering of animals from federal inspection requirements. Under current law, the exemption applies if the meat is slaughtered for personal, household, guest, and employee uses. The bill expands the exemption to include meat that is slaughtered and prepared at a custom slaughter facility in accordance with the laws of the state where the facility is located; and prepared exclusively for distribution to household consumers in the state or restaurants, hotels, boarding houses, grocery stores, or other establishments in the state that either prepare meals served directly to consumers or offer meat and food products for sale directly to consumers in the state. The bill does not preempt any state law concerning (1) the slaughter of animals or the preparation of carcasses, parts thereof, meat and meat food products at a custom slaughter facility; or (2) the sale of meat or meat food products.

Bill· HRH.R. 2771 (116th)referred

Protecting HOME Act of 2019

United States · United States Congress · 15 May 2019

Protecting Home Oxygen and Medical Equipment Act of 2019 or the Protecting HOME Act of 2019 This bill requires the Centers for Medicare & Medicaid Services to apply specified payment adjustments for durable medical equipment under Medicare. The bill also excludes the creation of separate payment classes and monthly payment rates for oxygen items under Medicare from certain budget neutrality requirements.

Bill· HRH.R. 2770 (116th)referred

Huntington’s Disease Parity Act of 2019

United States · United States Congress · 15 May 2019

Huntington's Disease Parity Act of 2019 This bill waives, for individuals diagnosed with Huntington's Disease, the 24-month waiting period for Medicare coverage. Current law generally applies this waiting period to individuals deemed eligible for Old-Age, Survivors, and Disability Insurance benefits.

Bill· HRH.R. 2742 (116th)referred

Abortion Is Not Health Care Act of 2019

United States · United States Congress · 15 May 2019

Abortion Is Not Health Care Act of 2019 This bill prohibits expenses for an abortion from being taken into account for the purpose of the tax deduction for medical expenses.

Bill· HRH.R. 2573 (116th)referred

Home Health Payment Innovation Act of 2019

United States · United States Congress · 8 May 2019

Home Health Payment Innovation Act of 2019 This bill makes a series of changes relating to payment and coverage of home health services under Medicare and Medicare Advantage (MA). Specifically, the bill allows the home-confinement requirement (also known as the homebound requirement) for home health services to be waived under Medicare and MA. Currently, as a condition of eligibility for such services, a physician must certify that an individual has difficulty leaving home without assistance (e.g., a wheelchair, special transportation, or help from another person) due to an illness or injury. The bill also alters the payment methodology under the Medicare prospective payment system for home health services, including by eliminating the requirement that such methodology include certain behavioral assumptions regarding the implementation of specified changes to units of payment and case-mix adjustment factors.

Bill· HRH.R. 2571 (116th)referred

National Right-to-Work Act

United States · United States Congress · 8 May 2019

National Right-to-Work Act This bill repeals those provisions of the National Labor Relations Act and the Railway Labor Act that permit employers, pursuant to a collective bargaining agreement that is a union security agreement, to require employees to join a union as a condition of employment (including provisions permitting railroad carriers to require, pursuant to such an agreement, payroll deduction of union dues or fees as a condition of employment).

Bill· HRH.R. 2493 (116th)referred

ACT for Veterans Act

United States · United States Congress · 2 May 2019

Addressing Care Timelines for Veterans Act or the ACT for Veterans Act This bill modifies the Veterans Community Care Program to extend the authorization period for emergency treatment in non-Department of Veterans Affairs (VA) medical facilities. Specifically, the bill requires the VA to deem as authorized emergency care or services provided by a non-VA health care provider to a covered veteran if such veteran applies for authorization within 96 hours (currently 72 hours under VA regulations) of admission for care. Covered veterans are those who are enrolled in the VA health care system or those who are not enrolled but are eligible for care due to a service-connected disability.

Bill· HRH.R. 2508 (116th)referred

BREATHE Act

United States · United States Congress · 2 May 2019

Better Respiration through Expanding Access to Tele-Health Act or the BREATHE Act This bill requires the Centers for Medicare & Medicaid Services to establish a pilot program in which qualifying respiratory therapists may provide telehealth services under Medicare. Specifically, the program must allow respiratory therapists to provide telehealth disease management services (e.g., smoking cessation counseling) for individuals with chronic obstructive pulmonary disease.

Bill· HRH.R. 2412 (116th)referred

Muslim Brotherhood Terrorist Designation Act of 2019

United States · United States Congress · 30 April 2019

Muslim Brotherhood Terrorist Designation Act of 2019 This bill requires the Department of State to report to Congress within 60 days indicating (1) whether the Muslim Brotherhood meets the criteria for designation as a foreign terrorist organization; and (2) if not, which criteria have not been met.

Bill· HRH.R. 2408 (116th)referred

Ensuring Access to Quality Complex Rehabilitation Technology Act of 2019

United States · United States Congress · 30 April 2019

Ensuring Access to Quality Complex Rehabilitation Technology Act of 2019 This bill establishes a specific benefit category (i.e., classification) for complex rehabilitation technology items under Medicare. The Centers for Medicare & Medicaid Services must set payment for such items in accordance with a specified methodology that includes certain clinical conditions and quality standards. The bill also excludes such items from Medicare's competitive acquisition program (in which rates are set through a competitive bidding program rather than by an established fee schedule). The bill defines complex rehabilitation technology item to include complex rehabilitation manual and power wheelchairs, specialized seating and positioning items, and adaptive equipment such as standing frames and gait trainers, including associated accessories.

Bill· HRH.R. 2350 (116th)referred

Ghost Army Congressional Gold Medal Act

United States · United States Congress · 22 April 2019

Ghost Army Congressional Gold Medal Act This bill directs the Speaker of the House of Representatives and the President pro tempore of the Senate to award a Congressional Gold Medal to the 23rd Headquarters Special Troops, known as the "Ghost Army," collectively, in recognition of its service during World War II.

Bill· HRH.R. 2293 (116th)referred

Protecting Access to Wheelchairs Act

United States · United States Congress · 12 April 2019

Protecting Access to Wheelchairs Act This bill excludes specified wheelchairs and associated accessories from Medicare's competitive acquisition program (in which rates are set through a competitive bidding program rather than by an established fee schedule).

Bill· HRH.R. 2284 (116th)referred

Disaster Tax Relief Act of 2019

United States · United States Congress · 10 April 2019

Disaster Tax Relief Act of 2019 This bill allows various tax credits, tax deductions, and modifications to existing rules for individuals and businesses affected by federally declared disasters that occurred after December 31, 2018, and before April 15, 2019. With respect to individuals and businesses in the affected areas, the bill waives the 10% additional tax on certain early distributions from retirement plans, permits individuals to recontribute funds to retirement plans if the funds were distributed for a home purchase that was cancelled on account of a disaster, increases the limit and extends the repayment deadline for loans from retirement plans, allows an employee retention tax credit for employers affected by disasters, temporarily increases the limitation on tax deductions for charitable contributions for relief efforts in disaster areas, modifies the rules for the deduction for personal casualty losses, and allows taxpayers residing in disaster areas to use earned income from the immediately preceding year for the purpose of determining earned income for the earned income tax credit and the child tax credit.

Bill· HRH.R. 2260 (116th)referred

E-bonding for Immigration Integrity Act of 2019

United States · United States Congress · 10 April 2019

E-bonding for Immigration Integrity Act of 2019 This bill requires an alien who is in one of the following nonimmigrant categories to post a bond prior to being issued a U.S. entry visa: (1) an alien who is from a country with a visa overstay rate greater than 1.5%; or (2) a B-visa tourist or business entrant, an F-visa foreign student, an H-visa temporary specialty profession or nonagricultural worker, or a K-visa fiance/fiancee. The Department of Homeland Security (DHS) shall (1) establish a $2,500-$10,000 bond amount, which shall be reviewed annually, for each visa category based upon overstay risk; and (2) identify nonimmigrant visa category overstay rates, including categories with overstay rates greater than 1.5%. The bond shall be released to the posting alien upon (1) receiving notification that the alien has left the United States and returned to the country of origin, or (2) the alien changing or adjusting to an immigration status for which no bond is required. The bill establishes the E-bond Enforcement Fund which shall be funded by forfeited bonds and used to ensure compliance with this bill and to administer enforcement programs. DHS shall report to Congress annually regarding: (1) visa overstay rates by nonimmigrant category, (2) categories with overstay rates greater than 1.5%, (3) bond amounts, and (4) fund information.

Bill· HRH.R. 2235 (116th)referred

HELLPP Act

United States · United States Congress · 10 April 2019

Helping Ensure Life- and Limb-Saving Access to Podiatric Physicians Act or the HELLPP Act This bill adds podiatrists as covered physicians under the Medicaid program. Additionally, the bill revises certain documentation requirements related to Medicare coverage of therapeutic shoes for individuals with diabetes. Finally, the bill subjects payments made to a Medicaid provider or supplier to a continuing levy for federal taxes owed by the provider or supplier.

Bill· HRH.R. 2259 (116th)referred

Truth in Employment Act of 2019

United States · United States Congress · 10 April 2019

Truth in Employment Act of 2019 This bill amends the National Labor Relations Act to provide that nothing relating to the prohibitions against unfair labor practices in that Act shall be construed as requiring an employer to employ any person who seeks or has sought employment with the employer in furtherance of other employment or agency status.

Bill· HRH.R. 2244 (116th)referred

Higher Education Transparency Act of 2019

United States · United States Congress · 10 April 2019

Higher Education Transparency Act of 2019 This bill expands disclosure requirements for an institution of higher education (IHE) that participates in student assistance programs. Specifically, the bill requires an IHE to post online the full content of any agreement between the IHE and a foreign source that provides language and cultural teaching resources and services to its students.

Bill· HRH.R. 2219 (116th)referred

Mongolia Third Neighbor Trade Act

United States · United States Congress · 10 April 2019

Mongolia Third Neighbor Trade Act This bill allows the President to provide duty-free treatment for certain apparel and textile articles imported from Mongolia.

Bill· HRH.R. 2207 (116th)referred

Protect Medical Innovation Act of 2019

United States · United States Congress · 10 April 2019

Protect Medical Innovation Act of 201 9 This bill repeals the excise tax on the sale of a medical device by the manufacturer, producer, or importer.

Bill· HRH.R. 2174 (116th)referred

To remove fish and wildlife as an authorized purpose of the Missouri River Mainstem Reservoir System and to make flood control the highest priority of authorized purposes of such system, and for other purposes.

United States · United States Congress · 9 April 2019

This bill addresses the management of the Missouri River Mainstem Reservoir System. Specifically, it designates flood control as the highest priority of the system. The system may not be managed for the protection of fish and wildlife.

Bill· HRH.R. 2150 (116th)referred

Home Health Care Planning Improvement Act of 2019

United States · United States Congress · 9 April 2019

Home Health Care Planning Improvement Act of 2019 This bill allows Medicare payment for home health services ordered by a nurse practitioner, a clinical nurse specialist, a certified nurse-midwife, or a physician assistant. Currently, coverage is provided only for services ordered by a physician.

Bill· HRH.R. 2178 (116th)referred

Metastatic Breast Cancer Access to Care Act

United States · United States Congress · 9 April 2019

Metastatic Breast Cancer Access to Care Act This bill exempts individuals with metastatic breast cancer from certain waiting periods for disability insurance benefits under the Old-Age, Survivors, and Disability Insurance program and related Medicare coverage.

Bill· HRH.R. 2177 (116th)referred

Faith in Health Savings Accounts Act of 2019

United States · United States Congress · 9 April 2019

Faith in Health Savings Accounts Act of 201 9 This bill modifies the requirements for health savings accounts (HSAs) to treat membership in a tax-exempt health care sharing ministry as coverage under a high deductible health plan for purposes of the tax deduction for contributions to an HSA.

Bill· HRH.R. 2161 (116th)referred

Pell Flexibility Act of 2019

United States · United States Congress · 9 April 2019

Pell Flexibility Act of 2019 This bill directs the Department of Education to implement a demonstration program allowing institutions of higher education to award job training Pell Grants to students in approved short-term career and technical education programs.

Bill· HRH.R. 2147 (116th)referred

RURAL Act of 2019

United States · United States Congress · 9 April 2019

Revitalizing Underdeveloped Rural Areas and Lands Act of 2019 or the RURAL Act of 2019 This bill modifies the definition of income used to determine the tax-exempt status of a mutual or cooperative telephone or electric company to exclude certain government grants, contributions, and assistance. Specifically, the bill excludes from income (1) grants, contributions, and assistance provided under the Robert T. Stafford Disaster Relief and Emergency Assistance Act or by local, state, or regional governmental entities for disasters or emergencies; and (2) certain grants or contributions provided by a government entity for electric, communications, broadband, internet, or other utility facilities or services.

Resolution· HRESH.Res. 296 (116th)passed

Affirming the United States record on the Armenian Genocide.

United States · United States Congress · 8 April 2019

This resolution states that it is U.S. policy to (1) commemorate the Armenian Genocide, the killing of 1.5 million Armenians by the Ottoman Empire from 1915 to 1923; (2) reject efforts to associate the U.S. government with efforts to deny the existence of the Armenian Genocide or any genocide; and (3) encourage education and public understanding about the Armenian Genocide.

Resolution· HRESH.Res. 295 (116th)referred

Reaffirming that voting is a fundamental right of all eligible United States citizens and recognizing that allowing illegal immigrants the right to vote devalues the franchise and diminishes the voting power of United States citizens.

United States · United States Congress · 8 April 2019

This resolution reaffirms that voting is a fundamental right of citizenship and declares that allowing immigrants not legally in the country the right to vote devalues the franchise and diminishes the voting power of U.S. citizens.

Bill· HRH.R. 2089 (116th)referred

Biodiesel Tax Credit Extension Act of 2019

United States · United States Congress · 4 April 2019

Biodiesel Tax Credit Extension Act of 2019 This bill extends the following tax provisions through 2019: the income tax credit for biodiesel and renewable diesel used as fuel, the excise tax credit for biodiesel mixtures, and the payments that are equivalent to the excise tax credit for biodiesel mixtures.

Bill· HRH.R. 2014 (116th)referred

Conscience Protection Act of 2019

United States · United States Congress · 1 April 2019

Conscience Protection Act of 2019 This bill provides statutory authority for certain restrictions prohibiting discrimination against health care providers that refuse to perform abortions. Specifically, the bill prohibits the federal government, as well as state and local governments that receive federal financial assistance for health-related activities, from penalizing or discriminating against a health care provider based on the provider's refusal to be involved in, or provide coverage for, abortions. Currently, similar provider nondiscrimination requirements apply to certain employment or personnel decisions (the Church Amendments), abortion services training (the Coats-Snowe Amendment), and qualified health plans offered through health insurance exchanges. Annual appropriations bills for the Department of Health and Human Services (HHS) and other federal agencies have also included similar language (the Weldon Amendment). The HHS Office for Civil Rights, in coordination with the Department of Justice (DOJ), must investigate complaints alleging discrimination based on an individual's religious belief, moral conviction, or refusal to be involved in an abortion. DOJ or any entity adversely affected by such discrimination may obtain equitable or legal relief in a civil action. Administrative remedies do not need to be sought or exhausted prior to commencing an action or granting relief. Such an action may be brought against a governmental entity and may include money damages against such entity.

Bill· HRH.R. 1944 (116th)referred

VA Medical Center Facility Transparency Act

United States · United States Congress · 28 March 2019

VA Medical Center Facility Transparency Act This bill requires the directors of medical facilities of the Department of Veterans Affairs (VA) to submit to the VA and Congress an annual pamphlet containing certain statistics (such as how many veterans were treated at each facility), as well as plans for improvements and descriptions of successes experienced by the facilities. The bill also requires the pamphlets to be made publicly available online and as hard copies at the medical facilities.

Bill· HRH.R. 1970 (116th)referred

Medicare Access to Radiology Care Act of 2019

United States · United States Congress · 28 March 2019

Medicare Access to Radiology Care Act of 2019 This bill provides for Medicare coverage of services that are furnished by a certified radiologist assistant under the supervision of a radiologist. Payment must be made to the supervising radiologist.

Bill· HRH.R. 1959 (116th)referred

Preserving Patient Access to Compounded Medications Act of 2019

United States · United States Congress · 28 March 2019

Preserving Patient Access to Compounded Medications Act of 2019 This bill addresses regulations governing compounding pharmacies. The bill expands the circumstances under which a drug may be compounded (i.e., manufactured at small scale) to allow pharmacists and physicians to compound drugs for administration to patients in an office or clinical setting, in accordance with state law. (Compounded drugs are not required to meet certain federal requirements regarding manufacturing, labeling, or approval.) Dietary supplements may be used in the compounding of a drug. The bill exempts from interstate distribution limits the dispensing of a compounded drug from the facility where it is compounded to a patient or health facility. The bill limits the scope of Food and Drug Administration (FDA) inspections of compounding pharmacies to certain equipment, materials, containers, and labeling. This aligns the scope of inspections of compounding pharmacies with the scope of inspections of other pharmacies. (Currently, the scope of inspections of compounding pharmacies is the same as the scope of inspections of drug manufacturers.) The bill also eliminates the requirement for compounding pharmacies to register with the FDA as drug manufacturers.