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HR 4520 115th Congress House

To provide for the extension of the enforcement instruction on supervision requirements for outpatient therapeutic services in critical access and small rural hospitals through 2017.

Introduced: December 1, 2017 See on congress.gov
Health Health personnelHome and outpatient careHospital careMedicareRural conditions and development
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This bill died when the 115th Congress ended
It never became law before the 115th Congress (2017–2018) 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
Dec 8, 2017
Referred to the Subcommittee on Health.
Dec 1, 2017
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.
Dec 1, 2017
Introduced in House
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 Latest action December 8, 2017

Referred to the Subcommittee on Health.

 Plain-English summary Congressional Research Service

This bill requires the Department of Health and Human Services to continue to instruct Medicare contractors not to enforce requirements for direct physician supervision of outpatient therapeutic services in critical access and small rural hospitals through 2017.

 Bill text 1 version

Source documents hosted by congress.gov.

 Committees of jurisdiction 3
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APA
U.S. Congress. (2026). H.R. 4520: To provide for the extension of the enforcement instruction on supervision requirements for outpatient therapeutic services in critical access and small rural hospitals through 2017.. 115th Congress. Open America. https://openamerica.io/bill/115-HR-4520/
MLA
"H.R. 4520: To provide for the extension of the enforcement instruction on supervision requirements for outpatient therapeutic services in critical access and small rural hospitals through 2017.." 115th Congress, 2026, Open America, https://openamerica.io/bill/115-HR-4520/.
Bluebook (legal)
H.R. 4520, 115th Cong. (2026), https://openamerica.io/bill/115-HR-4520/.
Markdown link
[H.R. 4520: To provide for the extension of the enforcement instruction on supervision requirements for outpatient therapeutic services in critical access and small rural hospitals through 2017.](https://openamerica.io/bill/115-HR-4520/)
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