To exclude certain general service wages and hours associated with a separate skilled nursing facility owned by certain hospitals in determining a hospital's eligibility for continued geographic reclassification under the Medicare program.

Referred to the House Committee on Ways and Means.

Congressional Research Service

Official summary

Version 00 · Introduced in House · Sep 24, 1996

Directs the Secretary of Health and Human Services, in calculating a municipality-owned hospital's average hourly wage for purposes of continued geographic reclassification as an urban hospital under title XVIII (Medicare) of the Social Security Act, to exclude the general service wages and hours of personnel associated with a separate skilled nursing facility owned by the hospital or the same municipality and physically separated from the hospital to the extent that such wages and hours are not shared with the hospital, and are separately documented.

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People & committees

Who introduced it

Rep. Ramstad, Jim [R-MN-3] · R–MN

Committees

Ways and Means Committee

1 cosponsorship records, including any withdrawals

Rep. Minge, David [D-MN-2]

Legislative record

Actions

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

Sep 24, 1996
Referred to the House Committee on Ways and Means.
Sep 24, 1996
Introduced in House
Sep 24, 1996
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 · Sep 24, 1996 Formatted Text PDF

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: Feb 7, 2024. Consult Congress.gov for the current record.

AI Conversation Starters

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Neutral evidence review

Objective

Analyze H.R.4158 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.

View full prompt & sources

Discuss H.R.4158, 104th Congress: To exclude certain general service wages and hours associated with a separate skilled nursing facility owned by certain hospitals in determining a hospital's eligibility for continued geographic reclassification under the Medicare program.

Official record: https://www.congress.gov/bill/104th-congress/house-bill/4158

Text version to examine: Introduced in House · 1996-09-24.

Official full text: https://www.congress.gov/104/bills/hr4158/BILLS-104hr4158ih.htm

Imported record last updated by the source: 2024-02-07T16:40:37Z. 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.4158 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.4158 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.4158, 104th Congress: To exclude certain general service wages and hours associated with a separate skilled nursing facility owned by certain hospitals in determining a hospital's eligibility for continued geographic reclassification under the Medicare program.

Official record: https://www.congress.gov/bill/104th-congress/house-bill/4158

Text version to examine: Introduced in House · 1996-09-24.

Official full text: https://www.congress.gov/104/bills/hr4158/BILLS-104hr4158ih.htm

Imported record last updated by the source: 2024-02-07T16:40:37Z. 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.4158 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.4158 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.4158, 104th Congress: To exclude certain general service wages and hours associated with a separate skilled nursing facility owned by certain hospitals in determining a hospital's eligibility for continued geographic reclassification under the Medicare program.

Official record: https://www.congress.gov/bill/104th-congress/house-bill/4158

Text version to examine: Introduced in House · 1996-09-24.

Official full text: https://www.congress.gov/104/bills/hr4158/BILLS-104hr4158ih.htm

Imported record last updated by the source: 2024-02-07T16:40:37Z. 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.4158 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.4158 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.4158, 104th Congress: To exclude certain general service wages and hours associated with a separate skilled nursing facility owned by certain hospitals in determining a hospital's eligibility for continued geographic reclassification under the Medicare program.

Official record: https://www.congress.gov/bill/104th-congress/house-bill/4158

Text version to examine: Introduced in House · 1996-09-24.

Official full text: https://www.congress.gov/104/bills/hr4158/BILLS-104hr4158ih.htm

Imported record last updated by the source: 2024-02-07T16:40:37Z. 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.4158 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.