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HR 3309 102th Congress House Health Hospitals Indexing (Economic policy) Medicare Prospective payment systems (Medical care) Urban areas Wages

To amend title XVIII of the Social Security Act to prevent a reduction in the hospital wage index for an urban area, with a wage index below the rural wage index for the State, as a result of a…

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To amend title XVIII of the Social Security Act to prevent a reduction in the hospital wage index for an urban area, with a wage index below the rural wage index for the State, as a result of a reclassification of a hospital, and for other purposes.

Introduced: September 11, 1991 Introduced by: Neal, Richard E. Democratic · Massachusetts See on congress.gov
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This bill died when the 102nd Congress ended
It never became law before the 102nd Congress (1991–1992) 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
Sep 13, 1991
Referred to the Subcommittee on Health.
Sep 11, 1991
Referred to the House Committee on Ways and Means.
Sep 11, 1991
Introduced in House
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 Plain-English summary Congressional Research Service

Amends title XVIII (Medicare) of the Social Security Act to provide that: (1) notwithstanding budget neutrality requirements, in the case of an urban area with a wage index below the rural wage index applicable in the State, any decision rendered by the Medicare Geographic Classification Review Board or by the Secretary of Health and Human Services on an application by a hospital for a change in geographic classification may result in a reduction of that urban area's wage index; and (2) no urban wage index in a State may be below the rural wage index applicable in the State.

What's happening now September 13, 1991

Referred to the Subcommittee on Health.

 Bill text 1 version

Source documents hosted by congress.gov.

 Committees of jurisdiction 2
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APA
U.S. Congress. (2026). H.R. 3309: To amend title XVIII of the Social Security Act to prevent a reduction in the hospital wage index for an urban area, with a wage index below the rural wage index for the State, as a result of a reclassification of a hospital, and for other purposes.. 102nd Congress. Open America. https://openamerica.io/bill/102-HR-3309/
MLA
"H.R. 3309: To amend title XVIII of the Social Security Act to prevent a reduction in the hospital wage index for an urban area, with a wage index below the rural wage index for the State, as a result of a reclassification of a hospital, and for other purposes.." 102nd Congress, 2026, Open America, https://openamerica.io/bill/102-HR-3309/.
Bluebook (legal)
H.R. 3309, 102nd Cong. (2026), https://openamerica.io/bill/102-HR-3309/.
Markdown link
[H.R. 3309: To amend title XVIII of the Social Security Act to prevent a reduction in the hospital wage index for an urban area, with a wage index below the rural wage index for the State, as a result of a reclassification of a hospital, and for other purposes.](https://openamerica.io/bill/102-HR-3309/)
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