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HR 1585 101th Congress House Health Ambulatory care Information services Medicaid Medicare Midwives Nurse practitioners Physicians' assistants Public assistance programs Rural public health Social Welfare Social workers

To amend title XVIII of the Social Security Act to permit nurse-midwife services to be counted towards meeting the staffing requirements for rural health clinics under the medicare program, to…

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To amend title XVIII of the Social Security Act to permit nurse-midwife services to be counted towards meeting the staffing requirements for rural health clinics under the medicare program, to provide for the coverage of social worker services in such clinics under such program, and for other purposes.

Introduced: March 23, 1989 See on congress.gov
This bill died when the 101st Congress ended
It never became law before the 101st Congress (1989–1990) adjourned, and bills don't carry over to the next Congress. It would have to be reintroduced. You can still save it for reference, but it won't receive updates.
 Everywhere this bill has been 5 steps
Introduced
In committee
Reported out
Passed House
Passed Senate
To President
Became law
Apr 17, 1989
Referred to the Subcommittee on Health and the Environment.
Apr 3, 1989
Referred to the Subcommittee on Health.
Mar 23, 1989
Referred to the House Committee on Energy and Commerce.
Mar 23, 1989
Referred to the House Committee on Ways and Means.
Mar 23, 1989
Introduced in House
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 Plain-English summary Congressional Research Service

Amends title XVIII (Medicare) of the Social Security Act to require rural health clinics to have a nurse practitioner, physician assistant, or certified nurse-midwife available to furnish patient care services at least 50 percent of the time the clinic operates. Covers social worker services furnished to outpatients of rural health clinics. Expands the area within which rural health clinics may be located.

Directs the Secretary of Health and Human Services to provide health care facilities and the chief executive officer, chief health officer, and chief human services officer of each State with applications and information enabling such facilities to apply for rural health clinic designation under the Medicare or Medicaid (title XIX of the Act) program.

What's happening now April 17, 1989

Referred to the Subcommittee on Health and the Environment.

 Bill text 1 version

Source documents hosted by congress.gov.

 Committees of jurisdiction 4
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APA
U.S. Congress. (2026). H.R. 1585: To amend title XVIII of the Social Security Act to permit nurse-midwife services to be counted towards meeting the staffing requirements for rural health clinics under the medicare program, to provide for the coverage of social worker services in such clinics under such program, and for other purposes.. 101st Congress. Open America. https://openamerica.io/bill/101-HR-1585/
MLA
"H.R. 1585: To amend title XVIII of the Social Security Act to permit nurse-midwife services to be counted towards meeting the staffing requirements for rural health clinics under the medicare program, to provide for the coverage of social worker services in such clinics under such program, and for other purposes.." 101st Congress, 2026, Open America, https://openamerica.io/bill/101-HR-1585/.
Bluebook (legal)
H.R. 1585, 101st Cong. (2026), https://openamerica.io/bill/101-HR-1585/.
Markdown link
[H.R. 1585: To amend title XVIII of the Social Security Act to permit nurse-midwife services to be counted towards meeting the staffing requirements for rural health clinics under the medicare program, to provide for the coverage of social worker services in such clinics under such program, and for other purposes.](https://openamerica.io/bill/101-HR-1585/)
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