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S. 198 118th Congress Senate

Rural Health Clinic Burden Reduction Act

Official title: A bill to amend title XVIII of the Social Security Act to modernize provisions relating to rural health clinics under Medicare.

Introduced: February 1, 2023 Introduced by: John Barrasso Republican · Wyoming See on congress.gov
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This bill died when the 118th Congress ended
It never became law before the 118th Congress (2023–2024) 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 2 steps
Introduced
In committee
Reported out
Passed House
Passed Senate
To President
Became law
Feb 1, 2023
Read twice and referred to the Committee on Finance.
Feb 1, 2023
Introduced in Senate
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 Latest action February 1, 2023

Read twice and referred to the Committee on Finance.

 Plain-English summary Congressional Research Service

Rural Health Clinic Burden Reduction Act

This bill makes a series of changes to requirements that apply to rural health clinics under Medicare.

For example, the bill allows rural health clinics that are not directed by physicians to enter into arrangements with physician assistants or nurse practitioners that generally comply with state laws (regarding scope of practice), rather than other specific requirements.

It also specifies that rural health clinics (1) need only have prompt access to clinical laboratory services (as opposed to having to directly provide these services); (2) must be located in a non-urban area with a population that is less than 50,000; (3) may contract with (as opposed to employ) physician assistants or nurse practitioners; and (4) may primarily provide mental health services if located in a designated mental health professional shortage area.

 Related & companion bills 1
 Bill text 1 version

Source documents hosted by congress.gov.

 Committees of jurisdiction 1
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APA
U.S. Congress. (2026). S. 198: Rural Health Clinic Burden Reduction Act. 118th Congress. Open America. https://openamerica.io/bill/118-S-198/
MLA
"S. 198: Rural Health Clinic Burden Reduction Act." 118th Congress, 2026, Open America, https://openamerica.io/bill/118-S-198/.
Bluebook (legal)
S. 198, 118th Cong. (2026), https://openamerica.io/bill/118-S-198/.
Markdown link
[S. 198: Rural Health Clinic Burden Reduction Act](https://openamerica.io/bill/118-S-198/)
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