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HR 4291 103th Congress House

To direct the Secretary of Health and Human Services to revise existing regulations concerning the conditions of payment under part B of the medicare program relating to anesthesia services furnished…

Official title: To direct the Secretary of Health and Human Services to revise existing regulations concerning the conditions of payment under part B of the medicare program r… Show full official titleShow less

Official title: To direct the Secretary of Health and Human Services to revise existing regulations concerning the conditions of payment under part B of the medicare program relating to anesthesia services furnished by certified registered nurse anesthetists, and for other purposes.

Introduced: May 16, 1994 See on congress.gov
Health Administrative procedureAnestheticsDepartment of Health and Human ServicesGovernment Operations and Politics
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Medical feesMedicareMedicare fraudNursesPhysicians
This bill died when the 103rd Congress ended
It never became law before the 103rd Congress (1993–1994) 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 6 steps
Introduced
In committee
Reported out
Passed House
Passed Senate
To President
Became law
May 10, 1994
Referred to the Subcommittee on Health and the Environment.
Apr 27, 1994
Referred to the Subcommittee on Health.
Apr 25, 1994
Sponsor introductory remarks on measure. (CR E761)
Apr 21, 1994
Referred to the House Committee on Ways and Means.
Apr 21, 1994
Referred to the House Committee on Energy and Commerce.
Apr 21, 1994
Introduced in House
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 Latest action May 10, 1994

Referred to the Subcommittee on Health and the Environment.

 Plain-English summary Congressional Research Service

Instructs the Secretary of Health and Human Services to revise Medicare regulations governing payment of anesthesia services to compensate: (1) certified registered nurse anesthetists (CRNAs) for their services; and (2) physician supervision of CRNAs.

Amends title XVIII (Medicare) of the Social Security Act to provide guidelines for split payments for anesthesia services furnished jointly by a physician and a CRNA.

 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. 4291: To direct the Secretary of Health and Human Services to revise existing regulations concerning the conditions of payment under part B of the medicare program relating to anesthesia services furnished by certified registered nurse anesthetists, and for other purposes.. 103rd Congress. Open America. https://openamerica.io/bill/103-HR-4291/
MLA
"H.R. 4291: To direct the Secretary of Health and Human Services to revise existing regulations concerning the conditions of payment under part B of the medicare program relating to anesthesia services furnished by certified registered nurse anesthetists, and for other purposes.." 103rd Congress, 2026, Open America, https://openamerica.io/bill/103-HR-4291/.
Bluebook (legal)
H.R. 4291, 103rd Cong. (2026), https://openamerica.io/bill/103-HR-4291/.
Markdown link
[H.R. 4291: To direct the Secretary of Health and Human Services to revise existing regulations concerning the conditions of payment under part B of the medicare program relating to anesthesia services furnished by certified registered nurse anesthetists, and for other purposes.](https://openamerica.io/bill/103-HR-4291/)
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