A bill to permit pass-through payment for reasonable costs of certified registered nurse anesthetist services in critical access hospitals notwithstanding the reclassification of such hospitals as urban hospitals, including hospitals located in "Lugar counties", and for on-call and standby costs for such services.

Read twice and referred to the Committee on Finance. (text of measure as introduced: CR S8871)

S.1585 through Congress

S.1585 keeps its number as it moves between the House and Senate.

SenateAug 5, 2009IntroducedOfficial record

Major milestones in the imported record. See all actions.

No House action is available in our imported record yet.

Separate related House measures (1)

These are different measures identified as related by Congress.gov. Their text and outcomes may differ; they are not the House stage of S.1585.

Related House bill: H.R.3151 Rural Access to Nurse Anesthesia Services Act of 2009

Congressional Research Service

Official summary

Version 00 · Introduced in Senate · Aug 5, 2009

Amends the Omnibus Budget Reconciliation Act of 1986, as amended by the Family Support Act of 1988 and the Omnibus Budget Reconciliation Act of 1989, to treat a critical access hospital as rural, notwithstanding the reclassification of its location county as an urban county ("Lugar county") under title XVIII (Medicare) of the Social Security Act, in order to permit pass-through payment for the reasonable costs of certified registered nurse anesthetist (CRNA) services.

Counts on-call and standby costs for such services as reasonable CRNA costs.

Read the summary on Congress.gov

PlainBill analysis is coming later. This page presents official source data. We have not yet published a PlainBill explanation for this bill.

People & committees

Who introduced it

Sen. Durbin, Richard J. [D-IL] · D–IL

Committees

Finance Committee

0 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.

Aug 5, 2009
Read twice and referred to the Committee on Finance. (text of measure as introduced: CR S8871)
Aug 5, 2009
Sponsor introductory remarks on measure. (CR S8871)
Aug 5, 2009
Introduced in Senate

Primary sources

Bill text & related measures

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

Introduced in Senate · Aug 5, 2009 Formatted Text PDF Formatted XML

Related bills identified by Congress.gov

HR 3151 · Rural Access to Nurse Anesthesia Services Act of 2009

Source last updated: Dec 5, 2025. Consult Congress.gov for the current record.

AI Conversation Starters

Explore the bill from different angles

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.

Neutral evidence review

Objective

Analyze S.1585 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 S.1585, 111th Congress: A bill to permit pass-through payment for reasonable costs of certified registered nurse anesthetist services in critical access hospitals notwithstanding the reclassification of such hospitals as urban hospitals, including hospitals located in "Lugar counties", and for on-call and standby costs for such services.

Official record: https://www.congress.gov/bill/111th-congress/senate-bill/1585

Text version to examine: Introduced in Senate · 2009-08-05.

Official full text: https://www.congress.gov/111/bills/s1585/BILLS-111s1585is.htm

Imported record last updated by the source: 2025-12-05T20:23:06Z. 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 S.1585 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 S.1585 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 S.1585, 111th Congress: A bill to permit pass-through payment for reasonable costs of certified registered nurse anesthetist services in critical access hospitals notwithstanding the reclassification of such hospitals as urban hospitals, including hospitals located in "Lugar counties", and for on-call and standby costs for such services.

Official record: https://www.congress.gov/bill/111th-congress/senate-bill/1585

Text version to examine: Introduced in Senate · 2009-08-05.

Official full text: https://www.congress.gov/111/bills/s1585/BILLS-111s1585is.htm

Imported record last updated by the source: 2025-12-05T20:23:06Z. 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 S.1585 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 S.1585 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 S.1585, 111th Congress: A bill to permit pass-through payment for reasonable costs of certified registered nurse anesthetist services in critical access hospitals notwithstanding the reclassification of such hospitals as urban hospitals, including hospitals located in "Lugar counties", and for on-call and standby costs for such services.

Official record: https://www.congress.gov/bill/111th-congress/senate-bill/1585

Text version to examine: Introduced in Senate · 2009-08-05.

Official full text: https://www.congress.gov/111/bills/s1585/BILLS-111s1585is.htm

Imported record last updated by the source: 2025-12-05T20:23:06Z. 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 S.1585 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 S.1585 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 S.1585, 111th Congress: A bill to permit pass-through payment for reasonable costs of certified registered nurse anesthetist services in critical access hospitals notwithstanding the reclassification of such hospitals as urban hospitals, including hospitals located in "Lugar counties", and for on-call and standby costs for such services.

Official record: https://www.congress.gov/bill/111th-congress/senate-bill/1585

Text version to examine: Introduced in Senate · 2009-08-05.

Official full text: https://www.congress.gov/111/bills/s1585/BILLS-111s1585is.htm

Imported record last updated by the source: 2025-12-05T20:23:06Z. 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 S.1585 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.