United States · Bill · HR
H.R. 4291 (103rd)
To direct the Secretary of Health and Human Services to revise existing regulations concerning the conditions of payment under part B of the medicare program relating to anesthesia services furnished by certified registered nurse anesthetists, and for other purposes.
Introduced
21 April 1994
Last action
10 May 1994 · Referred
Status
Referred to the Subcommittee on Health and the Environment.
Sponsors
Rep. Kreidler, Mike [D-WA-9], Rep. Collins, Barbara-Rose [D-MI-15], Rep. Towns, Edolphus [D-NY-10], Rep. Smith, Christopher H. [R-NJ-4], Rep. Swift, Al [D-WA-2], Rep. Dickey, Jay [R-AR-4], Rep. Johnson, Eddie Bernice [D-TX-30], Rep. Goodling, William F. [R-PA-19], Rep. Coyne, William J. [D-PA-14], Rep. Minge, David [D-MN-2], Sen. Brown, Sherrod [D-OH], Rep. Barcia, James A. [D-MI-5], Rep. Thompson, Bennie G. [D-MS-2], Rep. Sabo, Martin Olav [D-MN-5], Rep. Jefferson, William J. [D-LA-2], Rep. Bonior, David E. [D-MI-10], Rep. Pelosi, Nancy [D-CA-11], Rep. Furse, Elizabeth [D-OR-1], Rep. Hoekstra, Peter [R-MI-2], Rep. Stump, Bob [R-AZ-3], Rep. Neal, Stephen L. [D-NC-5], Rep. Deal, Nathan [R-GA-9], Rep. Spence, Floyd [R-SC-2], Rep. Stupak, Bart [D-MI-1], Rep. Kildee, Dale E. [D-MI-5], Rep. Kopetski, Mike [D-OR-5]
Subjects
Healthcare
Source updated
3 June 2026
Summary
Instructs the Secretary of Health and Human Services to revise Medicare regulations governing payment of anesthesia services to compensate: (1) certified registered nurse anesthetists (CRNAs) for their services; and (2) physician supervision of CRNAs. Amends title XVIII (Medicare) of the Social Security Act to provide guidelines for split payments for anesthesia services furnished jointly by a physician and a CRNA.
This text is taken from the official record. PoliticalRepo does not editorialize.
Timeline
21 April 1994
Introduced
Referred to the House Committee on Energy and Commerce.
Source: IntroReferral
21 April 1994
Introduced
Introduced in House
Source: IntroReferral
21 April 1994
Introduced
Introduced in House
Source: IntroReferral
25 April 1994
Introduced
Sponsor introductory remarks on measure. (CR E761)
Source: IntroReferral
27 April 1994
Referred
Referred to the Subcommittee on Health.
Source: Committee
10 May 1994
Referred
Referred to the Subcommittee on Health and the Environment.
Source: Committee
Votes
No vote records are attached yet.
Versions
- Introduced in House · 21 April 1994 · Download file
Documents
3 official files
Introduced in House (text)
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Introduced in House (text)
Introduced in House · EN · 21 April 1994
Introduced in House (PDF)
Introduced in House · EN · 21 April 1994
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Introduced in House
summary · EN · 21 April 1994
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Documentvertaling op verzoek met downloadbare PDF (logo + link naar de officiële bron). Het bronbestand blijft leidend.
Sponsors
- Rep. Kreidler, Mike [D-WA-9] · D · Sponsor
- Rep. Collins, Barbara-Rose [D-MI-15] · D · Cosponsor
- Rep. Towns, Edolphus [D-NY-10] · D · Cosponsor
- Rep. Smith, Christopher H. [R-NJ-4] · R · Cosponsor
- Rep. Swift, Al [D-WA-2] · D · Cosponsor
- Rep. Dickey, Jay [R-AR-4] · R · Cosponsor
- Rep. Johnson, Eddie Bernice [D-TX-30] · D · Cosponsor
- Rep. Goodling, William F. [R-PA-19] · R · Cosponsor
- Rep. Coyne, William J. [D-PA-14] · D · Cosponsor
- Rep. Minge, David [D-MN-2] · D · Cosponsor
- Sen. Brown, Sherrod [D-OH] · D · Cosponsor
- Rep. Barcia, James A. [D-MI-5] · D · Cosponsor
- Rep. Thompson, Bennie G. [D-MS-2] · D · Cosponsor
- Rep. Sabo, Martin Olav [D-MN-5] · D · Cosponsor
- Rep. Jefferson, William J. [D-LA-2] · D · Cosponsor
- Rep. Bonior, David E. [D-MI-10] · D · Cosponsor
- Rep. Pelosi, Nancy [D-CA-11] · D · Cosponsor
- Rep. Furse, Elizabeth [D-OR-1] · D · Cosponsor
- Rep. Hoekstra, Peter [R-MI-2] · R · Cosponsor
- Rep. Stump, Bob [R-AZ-3] · R · Cosponsor
- Rep. Neal, Stephen L. [D-NC-5] · D · Cosponsor
- Rep. Deal, Nathan [R-GA-9] · D · Cosponsor
- Rep. Spence, Floyd [R-SC-2] · R · Cosponsor
- Rep. Stupak, Bart [D-MI-1] · D · Cosponsor
- Rep. Kildee, Dale E. [D-MI-5] · D · Cosponsor
- Rep. Kopetski, Mike [D-OR-5] · 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/103rd-congress/house-bill/4291
- Open data entity: https://api.congress.gov/v3/bill/103/hr/4291
- us · 103-hr-4291 · source updated 3 June 2026