PlainBillCongress, translated.Legislation. Context. Public interest.Referred to the Subcommittee on Health and Environment.
Congressional Research Service
Version 00 · Introduced in House · Jan 5, 1995
TABLE OF CONTENTS: Title I: Programs of Health Care Financing Administration Subtitle A: Medicare Program Subtitle B: Other Programs Title II: Programs of Public Health Service Title III: Antitrust Provisions Title IV: Commission on Reducing the Burden of Regulations and Paperwork on Small Rural Hospitals Rural Hospital Survival Act of 1995 - Title I: Programs of Health Care Financing Administration - Subtitle A: Medicare Program - Amends title XVIII (Medicare) of the Social Security Act regarding guidelines for determining a national adjusted DRG (diagnosis-related group) prospective payment rate to instruct the Secretary of Health and Human Services to compute, for rural hospital discharges, beginning FY 1995, the portion of the average standardized amount attributable to wages and wage-related costs. States that the portion of such amount not attributable to wages and wage-related rural hospital costs shall be equal to such portions of such amount for hospitals in another urban area. Requires the Secretary to adjust the proportion of hospitals' costs taking into account only costs attributable to wages and salaries, employee benefits, and professional fees. (This eliminates payment differentials between urban and rural hospitals.) Expresses the sense of the Congress that payment reductions made to providers under Medicare should be adjusted to reduce their disproportionate impact upon providers in rural areas. Subtitle B: Other Programs - Amends the Omnibus Budget Reconciliation Act of 1987 to increase the authorization of appropriations for rural health transition grants. Title II: Programs of Public Health Service - Amends the Public Health Service Act to authorize the Secretary to make grants to public and private entities for demonstration projects for: (1) telecommunications which make medical advice and technologies available to rural area health professionals; and (2) increased access of rural populations to primary health services. Authorizes appropriations. Title III: Antitrust Provisions - Provides antitrust exemption guidelines for certain rural hospitals. Title IV: Commission on Reducing the Burden of Regulations and Paperwork on Small Rural Hospitals - Establishes the Advisory Commission on Reducing the Burden of Regulations and Paperwork on Small Rural Hospitals to analyze and report to the Secretary and the Congress on the impact on such hospitals of governmental regulations and paperwork. Authorizes appropriations.
People & committees
Rep. Clinger, William F., Jr. [R-PA-5] · R–PA
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 and Environment.
Referred to the Subcommittee on Government Management, Information and Technology.
Referred to the Subcommittee on Health.
Referred to the Committee on Commerce, and in addition to the Committees on Ways and Means, the Judiciary, and Government Reform and Oversight, 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 Commerce, and in addition to the Committees on Ways and Means, the Judiciary, and Government Reform and Oversight, 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 Commerce, and in addition to the Committees on Ways and Means, the Judiciary, and Government Reform and Oversight, 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 Commerce, and in addition to the Committees on Ways and Means, the Judiciary, and Government Reform and Oversight, 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 Commerce, and in addition to the Committees on Ways and Means, the Judiciary, and Government Reform and Oversight, 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: Jun 3, 2026. 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.424 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.424 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.424 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.424 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.