PlainBillCongress, translated.Legislation. Context. Public interest.Referred to the Subcommittee on Health.
Congressional Research Service
Version 00 · Introduced in House · Nov 20, 2003
Rural Healthcare Improvement Act of 2003 - Amends title XVIII (Medicare) the Social Security Act (SSA) with respect to services in rural areas, inpatient hospital services, physician services, physician updates, home health services, and the Office of Rural Health Policy.
Amends SSA title XIX (Medicaid) to provide for a special, temporary increase in disproportionate share hospital (DSH) allotments on a one-time, non-cumulative basis, and an increase in the floor for treatment as a low DSH State. Provides for allotment adjustments for FY 2004 and 2005 for States without a DSH allotment owing to revocation or termination of a certain waiver.
(The Medicare provisions of H.R. 3549 are identical to title I of S. 1926, the Support Our Health Care Providers Act of 2003, which in turn is identical, except with respect to any provider cuts or premium increases, to title IV of the conference report of H.R. 1, the Medicare Prescription Drug and Modernization Act of 2003, which became Public Law 108-173 on December 8, 2003. The Medicaid provision is very similar to one in title VI, subtitle A of H.R. 3549.)
People & committees
Rep. Hill, Baron P. [D-IN-9] · D–IN
Legislative record
A procedural vote is different from passage. Passage in one chamber does not establish enactment. Explore the glossary.
Referred to the Subcommittee on Health.
Referred to the Subcommittee on Health.
Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, 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.
Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, 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.
Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, 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.
Introduced in House
Introduced in House
Primary sources
Text links open the official source. We currently store references to these documents.
No related bills are listed in this snapshot. This does not establish whether the proposal has appeared in earlier Congresses.
Source last updated: Aug 18, 2025. Consult Congress.gov for the current record.
AI Conversation Starters
Choose a perspective, copy a prompt, and paste it into your preferred AI. Each prompt includes the bill version and available official source links, and asks for counterarguments as well as supporting evidence.
Analyze H.R.3549 as objectively as possible. Explain its main provisions, who would be affected, possible benefits and harms, implementation, exceptions, and uncertainties. Present the strongest arguments for and against it, and identify evidence needed to assess its public impact.
Examine H.R.3549 through a progressive lens, focusing on fairness, access, economic inequality, and effects on vulnerable communities. Explain potential benefits, costs, and unintended consequences. Consider the strongest counterarguments and distinguish stated goals from demonstrated outcomes.
Examine H.R.3549 through a conservative lens, focusing on fiscal responsibility, institutional stability, federalism, and the scope of government. Explain potential benefits, costs, and unintended consequences. Consider the strongest counterarguments and any provisions that challenge this perspective.
Examine H.R.3549 through a civil-liberties and limited-government lens. Consider individual rights, privacy, voluntary choice, accountability, and government power. Explain tradeoffs, possible safeguards, and the strongest counterarguments without assuming the proposal is beneficial or harmful.