United States · Bill · S
S. 816 (108th)
Health Care Access and Rural Equity Act of 2003
Introduced
8 April 2003
Last action
8 April 2003 · Introduced
Status
Read twice and referred to the Committee on Finance.
Sponsors
Sen. Conrad, Kent [D-ND], Sen. Thomas, Craig [R-WY], Sen. Harkin, Tom [D-IA], Sen. Grassley, Chuck [R-IA], Sen. Smith, Gordon H. [R-OR], Sen. Rockefeller, John D., IV [D-WV], Sen. Roberts, Pat [R-KS], Sen. Daschle, Thomas A. [D-SD], Sen. Dorgan, Byron L. [D-ND], Sen. Domenici, Pete V. [R-NM], Sen. Lincoln, Blanche L. [D-AR], Sen. Burns, Conrad R. [R-MT], Sen. Bingaman, Jeff [D-NM], Sen. Jeffords, James M. [I-VT], Sen. Johnson, Tim [D-SD], Sen. Levin, Carl [D-MI], Sen. Talent, Jim [R-MO], Sen. Dayton, Mark [D-MN], Sen. Bond, Christopher S. [R-MO], Sen. Edwards, John [D-NC], Sen. Cochran, Thad [R-MS], Sen. Pryor, Mark L. [D-AR], Sen. Murray, Patty [D-WA], Sen. Snowe, Olympia J. [R-ME], Sen. Coleman, Norm [R-MN], Sen. Cantwell, Maria [D-WA], Sen. Leahy, Patrick J. [D-VT], Sen. Inouye, Daniel K. [D-HI], Sen. Inhofe, James M. [R-OK], Sen. Stabenow, Debbie [D-MI], Sen. Collins, Susan M. [R-ME], Sen. Hagel, Chuck [R-NE], Sen. Enzi, Michael B. [R-WY], Sen. Crapo, Mike [R-ID], Sen. Warner, John [R-VA]
Subjects
Healthcare
Source updated
18 August 2025
Summary
Health Care Access and Rural Equity Act of 2003 - Amends title XVIII (Medicare) of the Social Security Act (SSA) to make a variety of changes with regard to rural health care and such matters as: (1) urban and rural standardized payment amounts under the Medicare inpatient hospital prospective payment system (PPS); (2) disproportionate share hospital (DSH) adjustment for rural hospitals; (3) payment adjustment for low-volume hospitals; (4) adjustment to the Medicare inpatient hospital PPS wage index to revise the labor-related share of such index; (5) treatment of certain sole community hospitals to limit the decline in payment under the PPS for hospital outpatient department services; (6) the critical access hospital program; and (7) permanent treatment of certain physician pathology services under Medicare. Directs the Secretary of Health and Human Services to publish and use alternative guidelines for geographic reclassification of certain hospitals located in sparsely populated States. Amends the Public Health Service Act to give the Secretary the authority to make and guarantee loans from the loan fund to any rural entity for projects for capital improvements. Amends SSA title XVIII to provide for a five-year extension of the authorization for appropriations for certain Medicare rural grants.
This text is taken from the official record. PoliticalRepo does not editorialize.
Timeline
8 April 2003
Introduced
Read twice and referred to the Committee on Finance.
Source: IntroReferral
8 April 2003
Introduced
Sponsor introductory remarks on measure. (CR S4962-4963)
Source: IntroReferral
8 April 2003
Introduced
Introduced in Senate
Source: IntroReferral
Votes
No vote records are attached yet.
Versions
- Introduced in Senate · 8 April 2003 · Download file
Documents
3 official files
Introduced in Senate (text)
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Introduced in Senate (text)
Introduced in Senate · EN · 8 April 2003
Introduced in Senate (PDF)
Introduced in Senate · EN · 8 April 2003
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Introduced in Senate
summary · EN · 8 April 2003
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Documentvertaling op verzoek met downloadbare PDF (logo + link naar de officiële bron). Het bronbestand blijft leidend.
Sponsors
- Sen. Conrad, Kent [D-ND] · D · Sponsor
- Sen. Thomas, Craig [R-WY] · R · Sponsor
- Sen. Harkin, Tom [D-IA] · D · Sponsor
- Sen. Grassley, Chuck [R-IA] · R · Sponsor
- Sen. Smith, Gordon H. [R-OR] · R · Sponsor
- Sen. Rockefeller, John D., IV [D-WV] · D · Sponsor
- Sen. Roberts, Pat [R-KS] · R · Sponsor
- Sen. Daschle, Thomas A. [D-SD] · D · Sponsor
- Sen. Dorgan, Byron L. [D-ND] · D · Sponsor
- Sen. Domenici, Pete V. [R-NM] · R · Sponsor
- Sen. Lincoln, Blanche L. [D-AR] · D · Sponsor
- Sen. Burns, Conrad R. [R-MT] · R · Sponsor
- Sen. Bingaman, Jeff [D-NM] · D · Sponsor
- Sen. Jeffords, James M. [I-VT] · I · Sponsor
- Sen. Johnson, Tim [D-SD] · D · Sponsor
- Sen. Levin, Carl [D-MI] · D · Sponsor
- Sen. Talent, Jim [R-MO] · R · Sponsor
- Sen. Dayton, Mark [D-MN] · D · Sponsor
- Sen. Bond, Christopher S. [R-MO] · R · Sponsor
- Sen. Edwards, John [D-NC] · D · Sponsor
- Sen. Cochran, Thad [R-MS] · R · Sponsor
- Sen. Pryor, Mark L. [D-AR] · D · Sponsor
- Sen. Murray, Patty [D-WA] · D · Sponsor
- Sen. Snowe, Olympia J. [R-ME] · R · Sponsor
- Sen. Coleman, Norm [R-MN] · R · Sponsor
- Sen. Cantwell, Maria [D-WA] · D · Sponsor
- Sen. Leahy, Patrick J. [D-VT] · D · Cosponsor
- Sen. Inouye, Daniel K. [D-HI] · D · Cosponsor
- Sen. Inhofe, James M. [R-OK] · R · Cosponsor
- Sen. Stabenow, Debbie [D-MI] · D · Cosponsor
- Sen. Collins, Susan M. [R-ME] · R · Cosponsor
- Sen. Hagel, Chuck [R-NE] · R · Cosponsor
- Sen. Enzi, Michael B. [R-WY] · R · Cosponsor
- Sen. Crapo, Mike [R-ID] · R · Cosponsor
- Sen. Warner, John [R-VA] · R · Cosponsor
- · ssfi00 · Standing
Related records
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Sources
PoliticalRepo is an index and interpretation layer, not the authoritative legal source.
- Official source: https://www.congress.gov/bill/108th-congress/senate-bill/816
- Open data entity: https://api.congress.gov/v3/bill/108/s/816
- us · 108-s-816 · source updated 18 August 2025