United States · Bill · HR
H.R. 4481 (101st)
Rural Hospital Payment Equity Act of 1990
Introduced
4 April 1990
Last action
12 April 1990 · Referred
Status
Referred to the Subcommittee on Health.
Sponsors
Sen. Dorgan, Byron L. [D-ND], Rep. Flippo, Ronnie G. [D-AL-5], Rep. Synar, Mike [D-OK-2], Rep. Tauke, Thomas Joseph [R-IA-2], Rep. Pickle, J. J. [D-TX-10], Sen. Johnson, Tim [D-SD], Rep. Jontz, Jim [D-IN-5], Rep. Penny, Timothy J. [D-MN-1], Rep. Stangeland, Arlan [R-MN-7], Rep. Volkmer, Harold L. [D-MO-9], Rep. Stenholm, Charles W. [D-TX-17], Rep. Emerson, Bill [R-MO-8], Rep. Alexander, Bill [D-AR-1], Rep. Smith, Virginia [R-NE-3], Rep. Lancaster, H. Martin [D-NC-3], Rep. Grant, Bill [R-FL-2], Rep. Rahall, Nick J., II [D-WV-3], Rep. Poshard, Glenn [D-IL-22], Rep. Sarpalius, Bill [D-TX-13], Rep. Espy, Mike [D-MS-2], Rep. Watkins, Wes [R-OK-3], Rep. Upton, Fred [R-MI-6], Rep. Harris, Claude [D-AL-7], Rep. Smith, Lamar [R-TX-21], Rep. Gunderson, Steve [R-WI-3], Rep. English, Glenn [D-OK-6], Rep. Rowland, J. Roy [D-GA-8], Sen. Roberts, Pat [R-KS], Rep. Clarke, James McC. [D-NC-11], Rep. Whittaker, Bob [R-KS-5], Rep. Chapman, Jim [D-TX-1], Rep. Miller, Clarence E. [R-OH-10], Rep. Studds, Gerry E. [D-MA-10], Rep. Hefner, W. G. (Bill) [D-NC-8], Rep. Grandy, Fred [R-IA-6], Rep. Anthony, Beryl, Jr. [D-AR-4], Rep. Marlenee, Ron [R-MT-2], Rep. Combest, Larry [R-TX-19], Sen. Durbin, Richard J. [D-IL], Rep. Staggers, Harley O., Jr. [D-WV-2], Rep. Clinger, William F., Jr. [R-PA-5], Rep. AuCoin, Les [D-OR-1], Rep. Murphy, Austin J. [D-PA-20], Sen. Craig, Larry E. [R-ID], Rep. Bereuter, Doug [R-NE-1], Sen. Brown, Hank [R-CO], Rep. Payne, Lewis F., Jr. [D-VA-5], Rep. Derrick, Butler C. [D-SC-3]
Subjects
Healthcare
Source updated
26 August 2025
Summary
Rural Hospital Payment Equity Act of 1990 - Amends title XVIII (Medicare) of the Social Security Act to equalize average standardized Medicare payments for urban and rural hospitals. Requires the Security of Health and Human Services to collect data on compensation and paid hours of employment for hospital employees in various occupational categories and use such data to establish a professional and non-professional occupational component for each area wage index used in reimbursing hospitals for wage-related costs. Directs the Secretary to develop a legislative proposal allowing for the adjustment of a rural hospital's wage index by substituting the professional occupational component of the wage index used in the nearest metropolitan area for the professional occupational component that would otherwise apply to such rural hospital's area wage index.
This text is taken from the official record. PoliticalRepo does not editorialize.
Timeline
4 April 1990
Introduced
Referred to the House Committee on Ways and Means.
Source: IntroReferral
4 April 1990
Introduced
Introduced in House
Source: IntroReferral
4 April 1990
Introduced
Introduced in House
Source: IntroReferral
12 April 1990
Referred
Referred to the Subcommittee on Health.
Source: Committee
Votes
No vote records are attached yet.
Versions
- Introduced in House · — · Download file
Documents
2 official files
Introduced in House (text)
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Leesvertaling
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Introduced in House (text)
Introduced in House · EN
Introduced in House
summary · EN · 4 April 1990
Leesvertaling
Vertaal dit document naar jouw taal. PoliticalRepo bewaart geen aparte kopie per EU-taal.
Documentvertaling op verzoek met downloadbare PDF (logo + link naar de officiële bron). Het bronbestand blijft leidend.
Sponsors
- Sen. Dorgan, Byron L. [D-ND] · D · Sponsor
- Rep. Flippo, Ronnie G. [D-AL-5] · D · Sponsor
- Rep. Synar, Mike [D-OK-2] · D · Sponsor
- Rep. Tauke, Thomas Joseph [R-IA-2] · R · Sponsor
- Rep. Pickle, J. J. [D-TX-10] · D · Sponsor
- Sen. Johnson, Tim [D-SD] · D · Sponsor
- Rep. Jontz, Jim [D-IN-5] · D · Sponsor
- Rep. Penny, Timothy J. [D-MN-1] · D · Sponsor
- Rep. Stangeland, Arlan [R-MN-7] · R · Sponsor
- Rep. Volkmer, Harold L. [D-MO-9] · D · Sponsor
- Rep. Stenholm, Charles W. [D-TX-17] · D · Sponsor
- Rep. Emerson, Bill [R-MO-8] · R · Sponsor
- Rep. Alexander, Bill [D-AR-1] · D · Sponsor
- Rep. Smith, Virginia [R-NE-3] · R · Sponsor
- Rep. Lancaster, H. Martin [D-NC-3] · D · Sponsor
- Rep. Grant, Bill [R-FL-2] · R · Sponsor
- Rep. Rahall, Nick J., II [D-WV-3] · D · Sponsor
- Rep. Poshard, Glenn [D-IL-22] · D · Sponsor
- Rep. Sarpalius, Bill [D-TX-13] · D · Sponsor
- Rep. Espy, Mike [D-MS-2] · D · Sponsor
- Rep. Watkins, Wes [R-OK-3] · D · Sponsor
- Rep. Upton, Fred [R-MI-6] · R · Sponsor
- Rep. Harris, Claude [D-AL-7] · D · Sponsor
- Rep. Smith, Lamar [R-TX-21] · R · Sponsor
- Rep. Gunderson, Steve [R-WI-3] · R · Sponsor
- Rep. English, Glenn [D-OK-6] · D · Sponsor
- Rep. Rowland, J. Roy [D-GA-8] · D · Sponsor
- Sen. Roberts, Pat [R-KS] · R · Cosponsor
- Rep. Clarke, James McC. [D-NC-11] · D · Cosponsor
- Rep. Whittaker, Bob [R-KS-5] · R · Cosponsor
- Rep. Chapman, Jim [D-TX-1] · D · Cosponsor
- Rep. Miller, Clarence E. [R-OH-10] · R · Cosponsor
- Rep. Studds, Gerry E. [D-MA-10] · D · Cosponsor
- Rep. Hefner, W. G. (Bill) [D-NC-8] · D · Cosponsor
- Rep. Grandy, Fred [R-IA-6] · R · Cosponsor
- Rep. Anthony, Beryl, Jr. [D-AR-4] · D · Cosponsor
- Rep. Marlenee, Ron [R-MT-2] · R · Cosponsor
- Rep. Combest, Larry [R-TX-19] · R · Cosponsor
- Sen. Durbin, Richard J. [D-IL] · D · Cosponsor
- Rep. Staggers, Harley O., Jr. [D-WV-2] · D · Cosponsor
- Rep. Clinger, William F., Jr. [R-PA-5] · R · Cosponsor
- Rep. AuCoin, Les [D-OR-1] · D · Cosponsor
- Rep. Murphy, Austin J. [D-PA-20] · D · Cosponsor
- Sen. Craig, Larry E. [R-ID] · R · Cosponsor
- Rep. Bereuter, Doug [R-NE-1] · R · Cosponsor
- Sen. Brown, Hank [R-CO] · R · Cosponsor
- Rep. Payne, Lewis F., Jr. [D-VA-5] · D · Cosponsor
- Rep. Derrick, Butler C. [D-SC-3] · D · Cosponsor
Showing 48 of 67 sponsors and actors.
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/101st-congress/house-bill/4481
- Open data entity: https://api.congress.gov/v3/bill/101/hr/4481
- us · 101-hr-4481 · source updated 26 August 2025