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HR 4481 101th Congress House Health Hospitals Legislation Medicare Rural public health Social Welfare Wage surveys Wages

Rural Hospital Payment Equity Act of 1990

Introduced: April 4, 1990 See on congress.gov
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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 3 steps
Introduced
In committee
Reported out
Passed House
Passed Senate
To President
Became law
Apr 12, 1990
Referred to the Subcommittee on Health.
Apr 4, 1990
Referred to the House Committee on Ways and Means.
Apr 4, 1990
Introduced in House
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 Plain-English summary Congressional Research Service

Rural Hospital Payment Equity Act of 1990 - Amends title XVIII (Medicare) of the Social Security Act to equalize average standardized Medicare payments for urban and rural hospitals.

Requires the Security of Health and Human Services to collect data on compensation and paid hours of employment for hospital employees in various occupational categories and use such data to establish a professional and non-professional occupational component for each area wage index used in reimbursing hospitals for wage-related costs. Directs the Secretary to develop a legislative proposal allowing for the adjustment of a rural hospital's wage index by substituting the professional occupational component of the wage index used in the nearest metropolitan area for the professional occupational component that would otherwise apply to such rural hospital's area wage index.

What's happening now April 12, 1990

Referred to the Subcommittee on Health.

 Bill text 1 version

Source documents hosted by congress.gov.

 Committees of jurisdiction 2
 Cosponsors 1
All 1 Democratic 1
D
Durbin, Richard J.
Illinois · May 1, 1990
Cite this page click to expand
APA
U.S. Congress. (2026). H.R. 4481: Rural Hospital Payment Equity Act of 1990. 101st Congress. Open America. https://openamerica.io/bill/101-HR-4481/
MLA
"H.R. 4481: Rural Hospital Payment Equity Act of 1990." 101st Congress, 2026, Open America, https://openamerica.io/bill/101-HR-4481/.
Bluebook (legal)
H.R. 4481, 101st Cong. (2026), https://openamerica.io/bill/101-HR-4481/.
Markdown link
[H.R. 4481: Rural Hospital Payment Equity Act of 1990](https://openamerica.io/bill/101-HR-4481/)
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