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United States · Bill · HR

H.R. 4788 (99th)

Rural Health Care Improvement Act of 1986

referredUnited States· United States Congress· EN

Introduced

8 May 1986

Last action

15 May 1986 · Referred

Status

Referred to Subcommittee on Health and the Environment.

Sponsors

Rep. Jones, James R. [D-OK-1], Sen. Dorgan, Byron L. [D-ND], Rep. Tauke, Thomas Joseph [R-IA-2], Rep. Synar, Mike [D-OK-2], Rep. Skelton, Ike [D-MO-4], Rep. Watkins, Wes [R-OK-3], Rep. Boulter, Beau [R-TX-13], Rep. Kindness, Thomas N. [R-OH-8], Rep. Huckaby, Thomas J. (Jerry) [D-LA-5], Rep. Jones, Walter B. [D-NC-1], Rep. Lightfoot, Jim [R-IA-3], Rep. Gunderson, Steve [R-WI-3], Rep. McCurdy, Dave [D-OK-4], Rep. Oberstar, James L. [D-MN-8], Rep. Bereuter, Doug [R-NE-1], Rep. Johnson, Nancy L. [R-CT-5], Rep. Combest, Larry [R-TX-19], Rep. Volkmer, Harold L. [D-MO-9], Rep. Bedell, Berkley W. [D-IA-6], Sen. Breaux, John B. [D-LA], Rep. Rowland, J. Roy [D-GA-8], Rep. Lloyd, Marilyn [D-TN-3], Rep. Whittaker, Bob [R-KS-5], Rep. Hammerschmidt, John P. [R-AR-3], Rep. Anthony, Beryl, Jr. [D-AR-4], Rep. Rahall, Nick J., II [D-WV-3], Rep. Weber, Vin [R-MN-2], Rep. Young, Don [R-AK-At Large], Rep. Hendon, Bill [R-NC-11], Rep. Boehlert, Sherwood [R-NY-24], Rep. Fazio, Vic [D-CA-3], Rep. Pashayan, Charles, Jr. [R-CA-17], Rep. Richardson, Bill [D-NM-3], Rep. Tallon, Robert M. (Robin) [D-SC-6], Rep. Barton, Joe [R-TX-6], Rep. Stangeland, Arlan [R-MN-7], Rep. Hutto, Earl [D-FL-1], Sen. Craig, Larry E. [R-ID], Rep. Mollohan, Alan B. [D-WV-1], Rep. Strang, Michael L. [R-CO-3], Rep. Schuette, Bill [R-MI-10]

Subjects

Healthcare

Source updated

3 June 2026

Healthcare

Official sourceView documentsShare

Summary

Rural Health Care Improvement Act of 1986 - Amends part A (General Provisions) of title XI of the Social Security Act to require that whenever the Secretary of Health and Human Services proposes a regulation or promulgates a final version of a regulation under titles XVIII (Medicare), XIX (Medicaid), or part B (Peer Review) of title XI of the Act which will have a substantial impact on small rural hospitals, the Secretary make a regulatory impact analysis available to the public. Amends the Medicare program to continue, beyond FY 1986, current law regarding Medicare payment to sole community hospitals for capital-related costs, treating such costs as distinct from operating costs of inpatient hospital services. Provides certain small sole community and rural hospitals with payment for extremely high cost cases (outlier payments) which represent five or six percent of the total payments made to such hospitals. Sets aside ten percent of amounts expended by the Secretary on certain experiments and demonstration projects for projects relating exclusively to rural health issues. Requires fiscal intermediaries to pay certain small rural hospitals for Medicare claims, at the latest, 30 days after receiving the request for such payment. Amends title VII (Administration) of the Act to establish an Office of Rural Health Policy in the Office of the Administrator of the Health Care Financing Administration to: (1) advise the Administrator regarding the effects of changes in the Medicare and Medicaid programs on rural health; and (2) oversee compliance with provisions of this Act requiring regulatory impact analysis and rural health demonstration projects.

This text is taken from the official record. PoliticalRepo does not editorialize.

Timeline

  1. 8 May 1986

    Introduced

    Referred to House Committee on Energy and Commerce.

    Source: IntroReferral

  2. 8 May 1986

    Introduced

    Introduced in House

    Source: IntroReferral

  3. 8 May 1986

    Introduced

    Introduced in House

    Source: IntroReferral

  4. 15 May 1986

    Referred

    Referred to Subcommittee on Health and the Environment.

    Source: Committee

Votes

No vote records are attached yet.

Versions

No version snapshots stored. Document URLs remain at the source.

Documents

1 official file

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Sources

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