United States · Bill · HR
H.R. 3911 (106th)
Medicare Certified Registered Nurse First Assistant Direct Reimbursement Act of 2000
Introduced
14 March 2000
Last action
21 March 2000 · Referred
Status
Referred to the Subcommittee on Health and Environment.
Sponsors
Rep. Collins, Mac [R-GA-3], Rep. Norwood, Charles W. [R-GA-9], Rep. Hoekstra, Peter [R-MI-2], Rep. Greenwood, James C. [R-PA-8], Rep. English, Phil [R-PA-3], Rep. Deal, Nathan [R-GA-9], Rep. Foley, Mark [R-FL-16], Rep. Lewis, John [D-GA-5], Rep. Johnson, Nancy L. [R-CT-5], Rep. Wise, Robert E., Jr. [D-WV-2], Rep. Goss, Porter J. [R-FL-14], Rep. Capps, Lois [D-CA-24], Rep. McDermott, Jim [D-WA-7], Rep. DeGette, Diana [D-CO-1], Rep. Gallegly, Elton [R-CA-24], Rep. Thurman, Karen L. [D-FL-5], Rep. Cooksey, John [R-LA-5], Rep. Shaw, E. Clay, Jr. [R-FL-22], Rep. Gillmor, Paul E. [R-OH-5], Rep. Kennedy, Patrick J. [D-RI-1], Rep. Thompson, Mike [D-CA-4], Rep. Strickland, Ted [D-OH-6], Rep. Pickering, Charles W. "Chip" [R-MS-3], Rep. Inslee, Jay [D-WA-1], Rep. Kaptur, Marcy [D-OH-9]
Subjects
Healthcare
Source updated
3 June 2026
Summary
Medicare Certified Registered Nurse First Assistant Direct Reimbursement Act of 2000 - Amends title XVIII (Medicare) of the Social Security Act to provide for coverage of surgical first assisting services furnished by certified registered nurse first assistants. Provides for payment of such nurses on an assignment-related basis. Excludes services of such nurses from the definition of "covered skilled nursing facility services" for purposes of applying a prospective payment formula for such services. Directs the Secretary of Health and Human Services to reduce the amount of Medicare payments otherwise made to hospitals to eliminate estimated duplicate payments for historical or current costs attributable to surgical first assisting services furnished by certified registered nurse first assistants. Requires the Secretary to report to Congress on recommendations for adjustments to the payment amounts established under part B (Supplementary Medical Insurance) of Medicare for surgical first assisting services furnished by such nurses to ensure that the payment amounts reflect the approximate costs of furnishing such services, taking into account the costs of compensation, overhead, and supervision attributable to such nurses.
This text is taken from the official record. PoliticalRepo does not editorialize.
Timeline
14 March 2000
Introduced
Referred to the Committee on 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.
Source: IntroReferral
14 March 2000
Introduced
Referred to the Committee on 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.
Source: IntroReferral
14 March 2000
Introduced
Sponsor introductory remarks on measure. (CR E310-311)
Source: IntroReferral
14 March 2000
Introduced
Introduced in House
Source: IntroReferral
14 March 2000
Introduced
Introduced in House
Source: IntroReferral
21 March 2000
Referred
Referred to the Subcommittee on Health.
Source: Committee
Votes
No vote records are attached yet.
Versions
- Introduced in House · 14 March 2000 · Download file
Documents
3 official files
Introduced in House (text)
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Introduced in House (text)
Introduced in House · EN · 14 March 2000
Introduced in House (PDF)
Introduced in House · EN · 14 March 2000
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Introduced in House
summary · EN · 14 March 2000
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Sponsors
- Rep. Collins, Mac [R-GA-3] · R · Sponsor
- Rep. Norwood, Charles W. [R-GA-9] · R · Sponsor
- Rep. Hoekstra, Peter [R-MI-2] · R · Sponsor
- Rep. Greenwood, James C. [R-PA-8] · R · Sponsor
- Rep. English, Phil [R-PA-3] · R · Sponsor
- Rep. Deal, Nathan [R-GA-9] · R · Sponsor
- Rep. Foley, Mark [R-FL-16] · R · Sponsor
- Rep. Lewis, John [D-GA-5] · D · Sponsor
- Rep. Johnson, Nancy L. [R-CT-5] · R · Sponsor
- Rep. Wise, Robert E., Jr. [D-WV-2] · D · Sponsor
- Rep. Goss, Porter J. [R-FL-14] · R · Sponsor
- Rep. Capps, Lois [D-CA-24] · D · Sponsor
- Rep. McDermott, Jim [D-WA-7] · D · Sponsor
- Rep. DeGette, Diana [D-CO-1] · D · Cosponsor
- Rep. Gallegly, Elton [R-CA-24] · R · Cosponsor
- Rep. Thurman, Karen L. [D-FL-5] · D · Cosponsor
- Rep. Cooksey, John [R-LA-5] · R · Cosponsor
- Rep. Shaw, E. Clay, Jr. [R-FL-22] · R · Cosponsor
- Rep. Gillmor, Paul E. [R-OH-5] · R · Cosponsor
- Rep. Kennedy, Patrick J. [D-RI-1] · D · Cosponsor
- Rep. Thompson, Mike [D-CA-4] · D · Cosponsor
- Rep. Strickland, Ted [D-OH-6] · D · Cosponsor
- Rep. Pickering, Charles W. "Chip" [R-MS-3] · R · Cosponsor
- Rep. Inslee, Jay [D-WA-1] · D · Cosponsor
- Rep. Kaptur, Marcy [D-OH-9] · D · Cosponsor
- · hsif00 · Standing
- · hswm00 · Standing
Related records
No cross-record relationships stored yet.
Sources
PoliticalRepo is an index and interpretation layer, not the authoritative legal source.
- Official source: https://www.congress.gov/bill/106th-congress/house-bill/3911
- Open data entity: https://api.congress.gov/v3/bill/106/hr/3911
- us · 106-hr-3911 · source updated 3 June 2026