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H.R.4378 / 103rd Congress

Rural Hospital Survival Act of 1994

See H.R.3600.

Official summary

Version 00 · Introduced in House · May 10, 1994

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 1994 - 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 (the Secretary) 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 extend through FY 1997 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.

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Who introduced it

Rep. Clinger, William F., Jr. [R-PA-5] · R–PA

Committees

  • Judiciary Committee
  • Energy and Commerce Committee
  • Ways and Means Committee
  • Oversight and Government Reform Committee
6 cosponsorship records, including any withdrawals

Actions

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

  1. See H.R.3600.

  2. Referred to the Subcommittee on Economic and Commercial Law.

  3. Referred to the Subcommittee on Health and the Environment.

  4. Referred to the Subcommittee on Health.

  5. Referred to the Subcommittee on Legislation and National Security.

  6. Referred to the House Committee on Ways and Means.

  7. Referred to the House Committee on Judiciary.

  8. Referred to the House Committee on Energy and Commerce.

  9. Referred to the House Committee on Government Operations.

  10. Sponsor introductory remarks on measure. (CR H3193-3195)

  11. Introduced in House

  12. Introduced in House

Bill text & related measures

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Related bills identified by Congress.gov

Source last updated: Jun 3, 2026. Consult Congress.gov for the current record.

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Objective

Analyze H.R.4378 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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Fairness and public impact

Progressive lens

Examine H.R.4378 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.

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Institutions and government scope

Conservative lens

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Individual rights and government power

Liberty lens

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