United States · Bill · HR
H.R. 362 (111th)
Rural Hospital Assistance Act of 2009
Introduced
9 January 2009
Last action
14 January 2009 · Referred
Status
Referred to the Subcommittee on Health.
Sponsors
Rep. Boswell, Leonard L. [D-IA-3], Rep. Loebsack, David [D-IA-2], Rep. Berry, Marion [D-AR-1], Rep. Braley, Bruce L. [D-IA-1], Rep. Emerson, Jo Ann [R-MO-8], Rep. Skelton, Ike [D-MO-4], Rep. Boren, Dan [D-OK-2], Rep. Carney, Christopher P. [D-PA-10], Rep. Wilson, Charles A. [D-OH-6], Rep. Jackson Lee, Sheila [D-TX-18], Rep. Salazar, John T. [D-CO-3], Rep. Oberstar, James L. [D-MN-8], Rep. Peterson, Collin C. [D-MN-7], Rep. Carnahan, Russ [D-MO-3], Rep. Filner, Bob [D-CA-51], Sen. Moran, Jerry [R-KS], Rep. Tiahrt, Todd [R-KS-4]
Subjects
Healthcare, Taxation
Source updated
14 August 2025
Summary
Rural Hospital Assistance Act of 2009 - Amends title XVIII (Medicare) of the Social Security Act with respect to the additional inpatient hospital service payment (payment adjustment) for low-volume hospitals (usually meaning a "subsection (d) hospital" located more than 25 road miles from another subsection (d) hospital and having less than 800 discharges during the fiscal year.) (Generally, a subsection (d) hospital is an acute care hospital, particularly one that receives payments under Medicare's inpatient prospective payment system (IPPS) when providing covered inpatient services to eligible beneficiaries.) Redefines low-volume hospital, for discharges occurring during FY2009 only, as a subsection (d) hospital located more than 15 (instead of 25) road miles from another subsection (d) hospital and having less than 1,500 (instead of 800) discharges of individuals entitled to, or enrolled for, Medicare part A (Hospital Insurance) benefits ("tweeners,'' or hospitals too large to be critical access hospitals, but too small to be financially viable under the Medicare hospital prospective payment system (PPS)). Revises, for FY2010 only, the temporary applicable percentage in the formula for determining the payment adjustment for such hospitals. Requires the use of the non-wage adjusted prospective payment rate (PPS) rate during FY2010 under the Medicare-dependent hospital (MDH) program. Prescribes requirements for hospitals to qualify for a Medicare hospital exception to the prohibition on certain physician referrals to hospitals in which such physicians have an ownership or investment interest in the entity. (Eliminates the Medicare hospital exception for physician-owned hospitals, but provides a limited exception for existing facilities.)
This text is taken from the official record. PoliticalRepo does not editorialize.
Timeline
9 January 2009
Introduced
Referred to House Ways and Means
Source: IntroReferral
9 January 2009
Introduced
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.
Source: IntroReferral
9 January 2009
Introduced
Introduced in House
Source: IntroReferral
9 January 2009
Introduced
Introduced in House
Source: IntroReferral
14 January 2009
Referred
Referred to the Subcommittee on Health.
Source: Committee
Votes
No vote records are attached yet.
Versions
- Introduced in House · 9 January 2009 · Download file
Documents
3 official files
Introduced in House (text)
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Introduced in House (text)
Introduced in House · EN · 9 January 2009
Introduced in House (PDF)
Introduced in House · EN · 9 January 2009
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Introduced in House
summary · EN · 9 January 2009
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Sponsors
- Rep. Boswell, Leonard L. [D-IA-3] · D · Sponsor
- Rep. Loebsack, David [D-IA-2] · D · Sponsor
- Rep. Berry, Marion [D-AR-1] · D · Sponsor
- Rep. Braley, Bruce L. [D-IA-1] · D · Sponsor
- Rep. Emerson, Jo Ann [R-MO-8] · R · Sponsor
- Rep. Skelton, Ike [D-MO-4] · D · Cosponsor
- Rep. Boren, Dan [D-OK-2] · D · Cosponsor
- Rep. Carney, Christopher P. [D-PA-10] · D · Cosponsor
- Rep. Wilson, Charles A. [D-OH-6] · D · Cosponsor
- Rep. Jackson Lee, Sheila [D-TX-18] · D · Cosponsor
- Rep. Salazar, John T. [D-CO-3] · D · Cosponsor
- Rep. Oberstar, James L. [D-MN-8] · D · Cosponsor
- Rep. Peterson, Collin C. [D-MN-7] · D · Cosponsor
- Rep. Carnahan, Russ [D-MO-3] · D · Cosponsor
- Rep. Filner, Bob [D-CA-51] · D · Cosponsor
- Sen. Moran, Jerry [R-KS] · R · Cosponsor
- Rep. Tiahrt, Todd [R-KS-4] · R · Cosponsor
- · hsif00 · Standing
- · hswm00 · Standing
Related records
- related to ← Medicare Support for Rural Hospitals Act
- related to ← Patient Protection and Affordable Care Act
Sources
PoliticalRepo is an index and interpretation layer, not the authoritative legal source.
- Official source: https://www.congress.gov/bill/111th-congress/house-bill/362
- Open data entity: https://api.congress.gov/v3/bill/111/hr/362
- us · 111-hr-362 · source updated 14 August 2025