Protecting Access to Spinal Surgeries Act

Referred to the Subcommittee on Health.

Congressional Research Service

Official summary

Version 00 · Introduced in House · Jul 25, 2019

Protecting Access to Spinal Surgeries Act

This bill extends an exception to the application of site-neutral payment rates under the Medicare inpatient prospective payment system.

Currently, certain long-term care hospitals that primarily treat spinal cord injuries are excluded from such payment rates through FY2019 if they meet certain other criteria (e.g., a significant number of discharges of out-of-state patients in FY2014). The bill extends this exception through FY2024.

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People & committees

Who introduced it

Rep. Lewis, John [D-GA-5] · D–GA

Committees

Ways and Means Committee

4 cosponsorship records, including any withdrawals

Legislative record

Actions

A procedural vote is different from passage. Passage in one chamber does not establish enactment. Explore the glossary.

Jul 25, 2019
Referred to the Subcommittee on Health.
Jul 25, 2019
Referred to the House Committee on Ways and Means.
Jul 25, 2019
Introduced in House
Jul 25, 2019
Introduced in House

Primary sources

Bill text & related measures

Text links open the official source. We currently store references to these documents.

Introduced in House · Jul 25, 2019 Formatted Text PDF Formatted XML

Related bills identified by Congress.gov

No related bills are listed in this snapshot. This does not establish whether the proposal has appeared in earlier Congresses.

Source last updated: Jan 3, 2025. Consult Congress.gov for the current record.

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Neutral evidence review

Objective

Analyze H.R.4040 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.

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Discuss H.R.4040, 116th Congress: Protecting Access to Spinal Surgeries Act

Official record: https://www.congress.gov/bill/116th-congress/house-bill/4040

Text version to examine: Introduced in House · 2019-07-25.

Official full text: https://www.congress.gov/116/bills/hr4040/BILLS-116hr4040ih.htm

Imported record last updated by the source: 2025-01-03T03:09:13Z. Verify current status and distinguish any later version from the version above.

Read the official text before answering. If you cannot access it, say so and ask me to provide it; do not assume a link means you have read the document. Distinguish proposals from enacted law, cite sources, and separate facts, interpretation, and uncertain predictions. Include counterarguments even when using a particular perspective.

Analyze H.R.4040 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.

Fairness and public impact

Progressive lens

Examine H.R.4040 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.

View full prompt & sources

Discuss H.R.4040, 116th Congress: Protecting Access to Spinal Surgeries Act

Official record: https://www.congress.gov/bill/116th-congress/house-bill/4040

Text version to examine: Introduced in House · 2019-07-25.

Official full text: https://www.congress.gov/116/bills/hr4040/BILLS-116hr4040ih.htm

Imported record last updated by the source: 2025-01-03T03:09:13Z. Verify current status and distinguish any later version from the version above.

Read the official text before answering. If you cannot access it, say so and ask me to provide it; do not assume a link means you have read the document. Distinguish proposals from enacted law, cite sources, and separate facts, interpretation, and uncertain predictions. Include counterarguments even when using a particular perspective.

Examine H.R.4040 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.

Institutions and government scope

Conservative lens

Examine H.R.4040 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.

View full prompt & sources

Discuss H.R.4040, 116th Congress: Protecting Access to Spinal Surgeries Act

Official record: https://www.congress.gov/bill/116th-congress/house-bill/4040

Text version to examine: Introduced in House · 2019-07-25.

Official full text: https://www.congress.gov/116/bills/hr4040/BILLS-116hr4040ih.htm

Imported record last updated by the source: 2025-01-03T03:09:13Z. Verify current status and distinguish any later version from the version above.

Read the official text before answering. If you cannot access it, say so and ask me to provide it; do not assume a link means you have read the document. Distinguish proposals from enacted law, cite sources, and separate facts, interpretation, and uncertain predictions. Include counterarguments even when using a particular perspective.

Examine H.R.4040 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.

Individual rights and government power

Liberty lens

Examine H.R.4040 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.

View full prompt & sources

Discuss H.R.4040, 116th Congress: Protecting Access to Spinal Surgeries Act

Official record: https://www.congress.gov/bill/116th-congress/house-bill/4040

Text version to examine: Introduced in House · 2019-07-25.

Official full text: https://www.congress.gov/116/bills/hr4040/BILLS-116hr4040ih.htm

Imported record last updated by the source: 2025-01-03T03:09:13Z. Verify current status and distinguish any later version from the version above.

Read the official text before answering. If you cannot access it, say so and ask me to provide it; do not assume a link means you have read the document. Distinguish proposals from enacted law, cite sources, and separate facts, interpretation, and uncertain predictions. Include counterarguments even when using a particular perspective.

Examine H.R.4040 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.