United States · Bill · HR
H.R. 3416 (116th)
HEARTS and Rural Relief Act
Introduced
21 June 2019
Last action
24 June 2019 · Referred
Status
Referred to the Subcommittee on Health.
Sponsors
Rep. Sewell, Terri A. [D-AL-7], Adrian Smith
Subjects
Healthcare, Defence
Source updated
20 January 2026
Summary
HEARTS and Rural Relief Act This bill makes a series of changes relating to Medicare coverage and requirements, particularly with respect to military retirees. Specifically, the bill (1) exempts certain military retirees who are under 65 years of age, and who no longer receive Social Security Disability Insurance benefits, from the requirement to enroll in Medicare medical services in order to be eligible for TRICARE; (2) increases funding for the Medicare Improvement Fund; and (3) temporarily provides for Medicare coverage of certain prostate cancer DNA Specimen Provenance Assay tests. The bill also makes other changes to Medicare payment systems for certain items and services. Among other things, the bill (1) requires the Centers for Medicare & Medicaid Services (CMS) to specify the criteria used to exclude certain procedures from the list of covered surgical procedures that may be performed in an ambulatory surgical center under Medicare, and (2) extends the instruction from the CMS for contractors not to enforce the requirements for direct physician supervision of outpatient therapeutic services in critical access and small rural hospitals through 2021.
This text is taken from the official record. PoliticalRepo does not editorialize.
Timeline
21 June 2019
Introduced
Referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, and Armed Services, 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.
Source: IntroReferral
21 June 2019
Introduced
Introduced in House
Source: IntroReferral
21 June 2019
Introduced
Introduced in House
Source: IntroReferral
24 June 2019
Referred
Referred to the Subcommittee on Military Personnel.
Source: Committee
Votes
No vote records are attached yet.
Versions
- Introduced in House · 21 June 2019 · Official file
Documents
3 official files
Introduced in House (text)
Introduced in House (text)
Introduced in House · EN · 21 June 2019
Introduced in House (PDF)
Introduced in House · EN · 21 June 2019
Introduced in House
summary · EN · 21 June 2019
Sponsors
- Rep. Sewell, Terri A. [D-AL-7] · D · Sponsor
- Adrian Smith · R · Sponsor
- · hsif00 · Standing
- · hsas00 · Standing
- · hswm00 · Standing
Related records
- related to → Protecting Access to Wheelchairs Act
- related to → HEARTS Act of 2019
- related to ← To provide for the extension of the enforcement instruction on supervision requirements for outpatient therapeutic services in critical access and small rural hospitals through 2021.
- related to ← ASC Payment Transparency Act of 2019
- related to ← HEARTS and Rural Relief Act
Sources
PoliticalRepo is an index and interpretation layer, not the authoritative legal source.
- Official source: https://www.congress.gov/bill/116th-congress/house-bill/3416
- Open data entity: https://api.congress.gov/v3/bill/116/hr/3416
- us · 116-hr-3416 · source updated 20 January 2026