Health Information Technology Promotion Act of 2006

Bill: 109-hr-4157
Sponsor: Rep. Johnson, Nancy L. [R-CT-5]
Introduced: 2005-10-27 in the House
Policy area: Health
Subjects: Administrative procedure
Civil Rights and Liberties, Minority Issues
Commerce
Communication in medicine
Confidential communications
Conflict of interests
Congress
Congressional reporting requirements
Department of Health and Human Services
Electronic data interchange
Executive orders
Executive reorganization
Federal advisory bodies
Federal officials
Federal preemption
Fines (Penalties)
Government Operations and Politics
Governmental investigations
Health information systems
Information technology
Internet
Law
Medical ethics
Medical records
Medical statistics
Patients' rights
Physicians
Presidential appointments
Restrictive trade practices
Right of privacy
Science, Technology, Communications
Standards
State laws
Strategic planning

Summary:
action_date: 2005-10-27
text: 
Health Information Technology Promotion Act of 2005 - Amends the Public Health Service Act to add a new title II part D (Health Information Technology).
 
Establishes within the Department of Health and Human Services an Office of the National Coordinator for Health Information Technology.
 
Directs the National Coordinator to: (1) maintain, direct, and oversee the continuous improvement of a strategic plan to guide the nationwide implementation of interoperable health information in both the public and private health care sectors; and (2) serve as the coordinator of federal government activities relating to health information technology.
 
Prescribes conditions under which any nonmonetary remuneration (in the form of health information technology and related training services) made by a hospital or a critical access hospital to a physician shall not be considered a prohibited payment (subject to civil and criminal penalties) made as an inducement to reduce or limit services to certain individuals.
 

 
Directs the Secretary of Health and Human Services to study and report to Congress on whether pertinent state laws and current federal standards should be conformed to create a single set of national standards to preserve and protect the security and confidentality of patient health information. 
 
Amends SSA title XI to provide for establishment of uniform confidentality and security standards with respect to individually identifiiable patient health information.
 
Directs the Secretary to: (1) promulgate a final rule for upgrading specified Accredited Standards Committee X12 (ASC X12) and National Council For Prescription Drug Programs (NCPDP) Telecommunications standards and International Statistical Classification of Diseases and Related Health Problems, 9th revision, Clinical Modification (ICD-9-CM) codes; and (2) develop a strategic plan related to the need for coordination in the area of health information technology.

action_date: 2006-07-26
text: 
Better Health Information System Act of 2006 - 
Title I: Coordination For, Planning For, And Interoperability of Health Information Technology
 - (Sec. 101) Amends the Public Health Service Act to add a new title II part D (Health Information Technology).

Establishes within the Department of Health and Human Services (HHS) an Office of the National Coordinator for Health Information Technology.
 
Directs the National Coordinator to: (1) provide for a strategic plan for nationwide implementation of interoperable health information technology in both the public and private health care sectors; (2) serve as the principal advisor to the Secretary regarding such technology, and coordinate HHS policies and programs for promoting its use; (3) ensure that such policies and programs are coordinated with those of relevant federal agencies and departments; (4) identify funding sources to promote and support information technology planning and adoption in medically underserved communities; and (5) collaborate with the Agency for Healthcare Research and Quality and the Health Services Resources Administration and other federal agencies to support technical assistance and resource development for such medically underserved communities, particularly those seeking to establish electronic health information networks across providers.
 
Declares that Executive Order 13335 shall not have any force or effect after the enactment of this Act.
 
(Sec. 102) Requires the Secretary of Health and Human Services to report to Congress on the work conducted by the American Health Information Community, as established by the Secretary.
 
(Sec. 103) Amends the Public Health Service Act to direct the National Coordinator to: (1) publish a strategic plan and schedule for assessment and endorsement of core interoperability guidelines for significant use cases; (2) endorse a subset of core interoperability guidelines for such cases; and (3) continue endorsing such subsets annually, consistent with the schedule, with endorsement of all such guidelines completed by August 31, 2009. Makes compliance with such guidelines voluntary.
 
Directs the National Coordinator to conduct one or more surveys designed to measure the capability of entities to exchange electronic health information by appropriate significant use case.
 Directs the President to take measures to ensure that federal activities involving the broad collection and submission of health information are consistent with an endorsed core interoperability guideline within three years after the date of such endorsement. 
Directs the President to take measures to allow timely access to useful categories of non-identifiable health information in records maintained by the federal government or by federal contractors to advance health care quality and health research where such information is in a form that can be used in such research.
 
Requires the National Coordinator to: (1) review annually for five years the operation of health information collection by and submission to the federal government and the purchases (and planned purchases) of health information technology by the federal government; and (2) recommend to the President and the Congress methods to streamline federal health information collection and submission systems, improve collection and submission efficiency and the ability to assess health care quality, and reduce health care costs.
 
(Sec. 104) Deems any health care provider participating in a health care program receiving federal funds as meeting any requirement for the maintenance of data in paper form if the required data is maintained in an electronic format. 
 
(Sec. 105) Directs the Secretary to study and report to Congress on issues related to the development, operation, and implementation of state, regional, and community health information exchanges.
 
(Sec. 106) Authorizes the Secretary to make grants to integrated health care systems for projects to better coordinate the provision of health care through the adoption of new health information technology, or the significant improvement of existing health information technology, in order to improve provision of health care to uninsured, underinsured, and medically underserved individuals through health-related information. Authorizes appropriations for FY2007-FY2008.
 
(Sec. 107) Directs the Secretary to establish a demonstration program of grants to small physician practices located in rural areas or medically underserved urban areas for the purchase and support of health information technology. Authorizes appropriations for FY2007-FY2008.
 

Title II: Expedited Modification Procedures For And Adoption of Transactional Standards And Codes
 - (Sec. 201) Amends title XI of the Social Security Act (SSA) to direct the Secretary to provide for an expedited upgrade program for adoption of additions and modifications to electronic transaction standards. 
 
(Sec. 202) Directs the Secretary to provide by notice in the Federal Register for the following replacements of standards applicable to transactions occurring on or after April 1, 2009: (1) the replacement of the Accredited Standards Committee X12 (ASC X12) version 4010 with the ASC X12 version 5010; and (2) the replacement of the National Council for Prescription Drug Programs (NCPDP) Telecommunications Standards version 5.1 with the latest version as approved by the Council and reviewed by the National Committee on Vital Health Statistics as of April 1, 2007.
 
(Sec. 203) Provides that in any regulation or other action implementing the International Classification of Diseases, 10th revision, Clinical Modification (ICD-10-CM), the International Classification of Diseases, 10th revision, Procedure Coding System (ICD-10-PCS), or other version of the International Classification of Disease, 10th revision, the Secretary is required to ensure that no health care provider is required to code to a level of specificity that would require documentation of non-medical information on the external cause of any given type of injury.
 

Title III: Promoting The Use Of Health Information Technology To Better Coordinate Health Care
 - (Sec. 301) Amends SSA title XI to create safe harbors from civil and criminal penalties in current anti-kickback laws for providing certain health information technology and training services.
 
Excludes from among prohibited monetary inducements by a hospital to a physician to reduce or limit services the practical or other advantages resulting from health information technology or related installation, maintenance, support, or training services.
 
Excludes from the illegal remunerations subject to criminal penalties any nonmonetary remuneration in the form of health information technology or training services made to a person by a hospital, group practice, prescription drug plan sponsor, or Medicare Advantage organization if it is pursuant to a written agreement, but one that does not limit the technology's use by the entity, does not limit its use in conjunction with other health information technology, nor conditions such use on the referral of patients. Requires that the remunerating entity has not taken any action to disable any basic feature of any hardware or software component of such remuneration that would permit interoperability.
 
Requires the Inspector General of HHS to study and report to Congress on the impact of such safe harbors.
 
(Sec. 302) Creates a safe harbor from current physician ownership and compensation arrangement (self-referral) prohibitions any nonmonetary remuneration in the form of health information technology or training services made to a person by a hospital, group practice, prescription drug plan sponsor, or Medicare Advantage organization if it is pursuant to a written agreement, but one that does not limit the technology's use by the entity, does not limit its use in conjunction with other health information technology, nor conditions such use on the referral of patients. Requires that the remunerating entity has not taken any action to disable any basic feature of any hardware or software component of such remuneration that would permit interoperability.
 
Requires a similar HHS Inspector General study and report to Congress.

action_date: 2006-07-26
text: 
Health Information Technology Promotion Act of 2006 - (Sec. 2) Amends the Public Health Service Act to add a new title II part D (Health Information Technology).

Establishes within the Department of Health and Human Services (HHS) an Office of the National Coordinator for Health Information Technology.
 
Directs the National Coordinator to: (1) maintain, direct, and oversee the continuous improvement of a strategic plan to guide the nationwide implementation of interoperable health information technology in both the public and private health care sectors; (2) serve as the principal advisor to the Secretary of Health and Human Services regarding such technology, and coordinate HHS policies and programs; (3) serve as the coordinator of federal government activities relating to health information technology; and (4) ensure that such policies and programs are coordinated with those of relevant federal agencies and departments to avoid duplication of effort and to ensure that each agency or department conducts programs within its areas of greatest expertise and mission in order to create an efficient and effective national interoperable health information system. Authorizes appropriations for FY2006-FY2010.
 
Provides that Executive Order 13335 shall not have any force or effect after the enactment of this Act.
 
(Sec. 3) Amends SSA title XI to create a safe harbor from civil monetary penalties under the anti-kickback statute for health information technology and related services provided by a hospital including critical access hospitals) to a physician, if the provision of remuneration is made without a condition that limits the technology's use by the hospital, limits its use in conjunction with other health information technology, or takes into account the volume or value of physician referrals or other business generated to the hospital.
 
Excludes from the illegal remunerations subject to criminal penalties under the anti-kickback statute any nonmonetary remuneration in the form of health information technology and related services solicited or received by a physician, if the same requirements are met.
 
Includes among the exceptions to current physician ownership and compensation arrangement (self-referral) prohibitions any nonmonetary remuneration in the form of health information technology and related services provided by an entity to a physician, if the same requirements are met.
 
Directs the Secretary to study and report to Congress on the impact of such safe harbors and exception.
 
(Sec. 4) Directs the Secretary, for purposes of promoting development of a nationwide interoperable health information technology infrastructure, to study and report to Congress on the impact of variation and commonality in state laws, as well as current federal standards, for security and confidentiality upon the timely exchange of health information in order to ensure the availability of information necessary to make medical decisions at the location in which the medical care is provided.
 
Gives Congress 18 months following receipt of the Secretary's report to enact legislation to implement its recommendations. Directs the Secretary, if Congress fails to act within that time period, to modify by regulation current federal security and confidentiality standards based on such recommendations. 
 
(Sec. 5) Directs the Secretary to provide by notice in the Federal Register for the following replacements of standards applicable to transactions occurring on or after April 1, 2009: (1) the replacement of the Accredited Standards Committee X12 (ASC X12) version 4010 with the ASC X12 version 5010; and (2) the replacement of the National Council for Prescription Drug Programs (NCPDP) Telecommunications Standards version 5.1 with the latest version as approved by the Council and reviewed by the National Committee on Vital Health Statistics as of April 1, 2008. Exempts the latter replacement from judicial review.
 

 
Directs the Secretary to provide by notice in the Federal Register for the replacement of the International Classification of Diseases, 9th revision, Clinical Modification (ICD-9-CM) with both ICD-10-CM and ICD-10-PCS (Procedure Coding System). Applies such replacement to services furnished on or after October 1, 2009.
 
Amends SSA title XVII to provide for the application of such upgraded standards under Medicare part A (Hospital Insurance).
 
(Sec. 6) Amends title XI of the Social Security Act (SSA) to direct the Secretary to provide for an expedited upgrade program for adoption of additions and modifications to electronic transaction standards.
 
(Sec. 7) Requires the Secretary to report to Congress on the work conducted by the American Health Information Community, as established by the Secretary.
 
(Sec. 8) Directs the Secretary to develop a strategic plan related to the need for coordination in the area of health information technology. 
 
(Sec. 9) Requires the Secretary, in coordination with representatives of states, physicians, health care practitioners, and patient advocate, to encourage and facilitate the adoption of state reciprocity agreements for practitioner licensure in order to expedite the provision of telehealth services across state lines.
 
Directs the Secretary, acting through the Director of the Office for the Advancement of Telehealth, to study and report to Congress on the use of store and forward technologies in the provision of telehealth services for which payment may be made under the Medicare program. 
 
Requires the Secretary, in coordination with the Office for the Advancement of Telehealth, the Agency for Healthcare Research and Quality, and the Centers for Medicare and Medicaid Services, to study and report to Congress on the feasibility, advisability, and the costs of: (1) including coverage and payment for home health-related telehealth services as part of home health services under SSA title XVIII; and (2) expanding the health care facilities at which Medicare-covered telehealth facilities are provided to include publicly funded mental health facilities.

action_date: 2006-07-27
text: 
Health Information Technology Promotion Act of 2006 - Declares that nothing in this Act shall be construed to affect the scope, substance, or applicability of the Health Insurance Portability and Accountability Act of 1996 (HIPAA, or HIPPA) and any related regulation regarding the privacy of individually identifiable health information, particularly the non-preemption of more stringent state law.
 
 

Title I: Coordination For, Planning For, And Interoperability of Health Information Technology 
- (Sec. 101) Amends the Public Health Service Act to add a new title II part D (Health Information Technology).
 
Establishes within the Department of Health and Human Services (HHS) an Office of the National Coordinator for Health Information Technology.
 
Directs the National Coordinator to: (1) provide for a strategic plan for nationwide implementation of interoperable health information technology in both the public and private health care sectors; (2) serve as the principal advisor to the Secretary regarding such technology, and coordinate HHS policies and programs for promoting its use; (3) ensure that such policies and programs are coordinated with those of relevant federal agencies and departments; (4) identify funding sources to promote and support information technology planning and adoption in medically underserved communities; and (5) collaborate with the Agency for Healthcare Research and Quality and the Health Services Resources Administration and other federal agencies to support technical assistance and resource development for such medically underserved communities, particularly those seeking to establish electronic health information networks across providers.
 
Declares that Executive Order 13335 shall not have any force or effect after the enactment of this Act.
 
Requires the National Coordinator to study and report to the Congress on the development and implementation of health information technology in medically underserved communities.
 
(Sec. 102) Requires the Secretary of Health and Human Services to report to Congress on the work conducted by the American Health Information Community, as established by the Secretary.
 
(Sec. 103) Amends the Public Health Service Act to direct the National Coordinator to: (1) publish a strategic plan and schedule for assessment and endorsement of core interoperability guidelines for significant use cases; (2) endorse a subset of core interoperability guidelines for such cases; and (3) continue endorsing such subsets annually, consistent with the schedule, with endorsement of all such guidelines completed by August 31, 2009. Makes compliance with such guidelines voluntary.
 
Directs the National Coordinator to conduct one or more surveys designed to measure the capability of entities to exchange electronic health information by appropriate significant use case.
 Directs the President to take measures to ensure that federal activities involving the broad collection and submission of health information are consistent with an endorsed core interoperability guideline within three years after the date of such endorsement. 
Directs the President to take measures to allow timely access to useful categories of non-identifiable health information in records maintained by the federal government or by federal contractors to advance health care quality and health research where such information is in a form that can be used in such research.
 
Requires the National Coordinator to: (1) review annually for five years the operation of health information collection by and submission to the federal government and the purchases (and planned purchases) of health information technology by the federal government; and (2) recommend to the President and the Congress methods to streamline federal health information collection and submission systems, improve collection and submission efficiency and the ability to assess health care quality, and reduce health care costs.
 
(Sec. 104) Authorizes the Secretary to make grants to integrated health care systems for projects to better coordinate the provision of health care through the adoption of new health information technology, or the significant improvement of existing health information technology, in order to improve provision of health care to uninsured, underinsured, and medically underserved individuals through health-related information. Authorizes appropriations for FY2007-FY2008.
 
(Sec. 105) Directs the Secretary to establish a demonstration program of grants to small physician practices located in rural areas or medically underserved urban areas for the purchase and support of health information technology. Authorizes appropriations for FY2007-FY2008.
 

Title II: Transaction Standards, Codes, and Information
 - (Sec. 201) Amends title XI of the Social Security Act (SSA) to direct the Secretary to provide for an expedited upgrade program for adoption of additions and modifications to electronic transaction standards. 
 
(Sec. 202) Directs the Secretary to provide by notice in the Federal Register for the following replacements of standards applicable to transactions occurring on or after April 1, 2009: (1) the replacement of the Accredited Standards Committee X12 (ASC X12) version 4010 with the ASC X12 version 5010; and (2) the replacement of the National Council for Prescription Drug Programs (NCPDP) Telecommunications Standards version 5.1 with the latest version as approved by the Council and reviewed by the National Committee on Vital Health Statistics as of April 1, 2007. Exempts the latter replacement from judicial review.
 
(Sec. 203) Directs the Secretary to provide by notice in the Federal Register for the replacement of the International Classification of Diseases, 9th revision, Clinical Modification (ICD-9-CM) with both ICD-10-CM and ICD-10-PCS (Procedure Coding System). Applies such replacement to services furnished on or after October 1, 2010.
 
Provides that in any regulation or other action implementing the International Classification of Diseases, 10th revision, Clinical Modification (ICD-10-CM), the International Classification of Diseases, 10th revision, Procedure Coding System (ICD-10-PCS), or other version of the International Classification of Disease, 10th revision, the Secretary is required to ensure that no health care provider is required to code to a level of specificity that would require documentation of non-medical information on the external cause of any given type of injury.
 
(Sec. 204) Directs the Secretary to develop a strategic plan with respect to the need for coordination in the implementation of: (1) certain transactional standards; and (2) any ICD update versions, including the replacement of ICD-9 provided for under this Act.
 
(Sec. 205) Amends part C (Administrative Simplification) of SSA title XI to direct the Secretary, for purposes of promoting development of a nationwide interoperable health information technology infrastructure, to study and report to Congress on the impact of variation and commonality in state laws, as well as current federal standards, for security and confidentiality upon the timely exchange of health information in order to ensure the availability of information necessary to make medical decisions at the location in which the medical care is provided.
 
(Sec. 206) Directs the Secretary to evaluate for Congress: (1) the applicability of health care classification methodologies and codes for purposes beyond the coding of services for diagnostic documentation or billing purposes; (2) the usefulness, accuracy, and completeness of such methodologies and codes for such purposes; and (3) the capacity of such methodologies and codes to produce erroneous or misleading information with respect to such purpose. 
 

Title III: Promoting The Use Of Health Information Technology To Better Coordinate Health Care
 - (Sec. 301) Amends SSA title XI to create safe harbors from civil and criminal penalties in current anti-kickback laws for providing certain health information technology and training services.
 
Excludes from among prohibited monetary inducements by a hospital to a physician to reduce or limit services the practical or other advantages resulting from health information technology or related installation, maintenance, support, or training services.
 
Excludes from the illegal remunerations subject to criminal penalties any nonmonetary remuneration in the form of health information technology or training services made to a person by a hospital, group practice, prescription drug plan sponsor, or Medicare Advantage organization if it is pursuant to a written agreement, but one that does not limit the technology's use by the entity, does not limit its use in conjunction with other health information technology, or condition such use on the referral of patients. Requires that the remunerating entity has not taken any action to disable any basic feature of any hardware or software component of such remuneration that would permit interoperability.
 
Preempts state law imposing civil or criminal penalties where the conditions of this Act have been met.
 
Requires the Secretary to study and report to Congress on the impact of such safe harbors.
 
(Sec. 302) Creates a safe harbor from current physician ownership and compensation arrangement (self-referral) prohibitions for any nonmonetary remuneration in the form of health information technology or training services made to a person by a hospital, group practice, prescription drug plan sponsor, or Medicare Advantage organization if it is pursuant to a written agreement, but one that does not limit the technology's use by the entity, does not limit its use in conjunction with other health information technology, or condition such use on the referral of patients. Requires that the remunerating entity has not taken any action to disable any basic feature of any hardware or software component of such remuneration that would permit interoperability.
 
Preempts state law imposing civil or criminal penalties where the conditions of this Act have been met.
 
Requires a similar study and report to Congress by the Secretary.
 
(Sec. 303) Declares that nothing in this title shall be construed as preventing a hospital, group practice, prescription drug plan sponsor, a Medicare Advantage organization, or any other such entity specified by the Secretary, consistent with the specific requirements of this title, from forming a consortium composed of health care providers, payers, employers, and other interested entities collectively to purchase and donate health information technology, or from offering health care providers a choice of health information technology products in order to take into account the varying needs of such providers receiving such products.
 

Title IV: Additional Provisions
 - (Sec. 401) Directs the Secretary, in coordination with physicians, health care practitioners, patient advocates, and representatives of states, to encourage and facilitate the adoption of state reciprocity agreements for practitioner licensure in order to expedite the provision of telehealth services across state lines.
 
(Sec. 402) Requires the Secretary to study and report to Congress on the feasibility, advisability, and the costs of: (1) including coverage and payment for home health-related telehealth services as part of Medicare home health services; and (2) expanding the list of telehealth payment-eligible originating sites (e.g. physician's office, critical access hospital, rural health clinic, federally qualified health center, or hospital) to include county mental health clinics or other publicly funded mental health facilities.
 
(Sec. 403) Directs the Secretary, acting through the Director of the Office for the Advancement of Telehealth, to study and report to Congress on the use of store and forward technologies in the provision of telehealth services.
 
(Sec. 404) Amends the Public Health Service Act to deem that any health care provider participating in Public Health Service Act programs or the Medicaid (SSA title XIX), SCHIP (State Children's Health Insurance Program) (SSA title XXI), or Maternal and Child Health Services program (SSA title V) meets any requirement for the maintenance of data in paper form if the required data is maintained in an electronic form.
 
(Sec. 405) Amends SSA title XVIII to deem any health care provider participating in the Medicare program as meeting any requirement for the maintenance of data in paper form if the required data is maintained in an electronic form.
 
(Sec. 406) Directs the Secretary to study and report to Congress on issues related to the development, operation, and implementation of state, regional, and community health information exchanges.
 
(Sec. 407) Requires the Secretary to establish a two-year project to demonstrate the impact of health information technology on disease management for individuals entitled to medical assistance under a state Medicaid plan.


Legislative actions:
action_date: 2006-09-05
text: Read the second time. Placed on Senate Legislative Calendar under General Orders. Calendar No. 587.
action_date: 2006-08-03
text: Read the first time. Placed on Senate Legislative Calendar under Read the First Time.
action_date: 2006-07-28
text: Received in the Senate.
action_date: 2006-07-27
text: The title of the measure was amended. Agreed to without objection.
action_date: 2006-07-27
text: Motion to reconsider laid on the table Agreed to without objection.
action_date: 2006-07-27
text: On passage Passed by recorded vote: 270 - 148 (Roll no. 416).
action_date: 2006-07-27
text: Passed/agreed to in House: On passage Passed by recorded vote: 270 - 148 (Roll no. 416).
action_date: 2006-07-27
text: On motion to recommit with instructions Failed by recorded vote: 198 - 222 (Roll no. 415).
action_date: 2006-07-27
text: The previous question on the motion to recommit with instructions was ordered without objection. (consideration: CR H6002)
action_date: 2006-07-27
text: Floor summary: DEBATE - The House proceeded with 10 minutes of debate on the Doggett motion to recommit with instructions.
action_date: 2006-07-27
text: Mr. Doggett moved to recommit with instructions to Energy and Commerce and Ways and Means. (consideration: CR H6001-6003; text: CR H6001)
action_date: 2006-07-27
text: The House adopted the amendments en gross as agreed to by the Committee of the Whole House on the state of the Union.
action_date: 2006-07-27
text: The previous question was ordered pursuant to the rule. (consideration: CR H6001)
action_date: 2006-07-27
text: The House rose from the Committee of the Whole House on the state of the Union to report H.R. 4157.
action_date: 2006-07-27
text: UNFINISHED BUSINESS - The Chair announced that the unfinished business was the question of adoption of an amendment which was debated earlier and on which further proceedings were postponed.
action_date: 2006-07-27
text: DEBATE - Pursuant to the provisions of H. Res. 952, the Committee of the Whole proceeded with 10 minutes of debate on the McMorris amendment.
action_date: 2006-07-27
text: DEBATE - Pursuant to the provisions of H. Res. 952, the Committee of the Whole proceeded with 10 minutes of debate on the Price (GA) amendment.
action_date: 2006-07-27
text: DEBATE - Pursuant to the provisions of H. Res. 952, the Committee of the Whole proceeded with 10 minutes of debate on the Cuellar amendment.
action_date: 2006-07-27
text: DEBATE - Pursuant to the provisions of H. Res. 952, the Committee of the Whole proceeded with 10 minutes of debate on the Jackson (IL) amendment.
action_date: 2006-07-27
text: POSTPONED PROCEEDINGS - At the conclusion of debate on the Towns amendment, the Chair put the question on adoption of the amendment and by voice vote, announced that the ayes had prevailed. Mr. Pallone demanded a recorded vote and the Chair postponed further proceedings on the question of adoption of the amendment until later in the legislative day.
action_date: 2006-07-27
text: DEBATE - Pursuant to the provisions of H. Res. 952, the Committee of the Whole proceeded with 10 minutes of debate on the Towns amendment.
action_date: 2006-07-27
text: DEBATE - Pursuant to the provisions of H. Res. 952, the Committee of the Whole proceeded with 10 minutes of debate on the Hinojosa amendment.
action_date: 2006-07-27
text: GENERAL DEBATE - The Committee of the Whole proceeded with one hour of general debate on H.R. 4157.
action_date: 2006-07-27
text: The Speaker designated the Honorable Michael K. Simpson to act as Chairman of the Committee.
action_date: 2006-07-27
text: House resolved itself into the Committee of the Whole House on the state of the Union pursuant to H. Res. 952 and Rule XVIII.
action_date: 2006-07-27
text: Rule provides for consideration of H.R. 4157 with 1 hour of general debate. Previous question shall be considered as ordered without intervening motions except motion to recommit with or without instructions. Measure will be considered read. Specified amendments are in order.
action_date: 2006-07-27
text: Considered under the provisions of rule H. Res. 952. (consideration: CR H5978-6004; text of measure as reported in House: CR H5988-5995)
action_date: 2006-07-27
text: Rule H. Res. 952 passed House.
action_date: 2006-07-26
text: Rules Committee Resolution H. Res. 952 Reported to House. Rule provides for consideration of H.R. 4157 with 1 hour of general debate. Previous question shall be considered as ordered without intervening motions except motion to recommit with or without instructions. Measure will be considered read. Specified amendments are in order.
action_date: 2006-07-26
text: Placed on the Union Calendar, Calendar No. 347.
action_date: 2006-07-26
text: Reported (Amended) by the Committee on Ways and Means. H. Rept. 109-601, Part II.
action_date: 2006-07-26
text: Reported (Amended) by the Committee on Ways and Means. H. Rept. 109-601, Part II.
action_date: 2006-07-26
text: Reported (Amended) by the Committee on Energy and Commerce. H. Rept. 109-601, Part I.
action_date: 2006-07-26
text: Reported (Amended) by the Committee on Energy and Commerce. H. Rept. 109-601, Part I.
action_date: 2006-06-15
text: Ordered to be Reported (Amended).
action_date: 2006-06-15
text: Committee Consideration and Mark-up Session Held.
action_date: 2006-06-08
text: Forwarded by Subcommittee to Full Committee (Amended) by Voice Vote .
action_date: 2006-06-08
text: Subcommittee Consideration and Mark-up Session Held.
action_date: 2005-11-04
text: Referred to the Subcommittee on Health.
action_date: 2005-10-27
text: Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, 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.
action_date: 2005-10-27
text: Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, 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.
action_date: 2005-10-27
text: Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, 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.
action_date: 2005-10-27
text: Introduced in House
action_date: 2005-10-27
text: Introduced in House