HR-3429 : Still Just a Bill


HEARTS and Rural Relief Act

This bill makes a series of changes relating to Medicare coverage and requirements, particularly with respect to military retirees. Specifically, the bill (1) exempts certain military retirees who are under 65 years of age, and who no longer receive Social Security Disability Insurance benefits, from the requirement to enroll in Medicare medical services in order to be eligible for TRICARE; (2) increases funding for the Medicare Improvement Fund; and (3) temporarily provides for Medicare coverage of certain prostate cancer DNA Specimen Provenance Assay tests.

The bill also makes other changes to Medicare payment systems for certain items and services. Among other things, the bill (1) requires the Centers for Medicare & Medicaid Services (CMS) to specify the criteria used to exclude certain procedures from the list of covered surgical procedures that may be performed in an ambulatory surgical center under Medicare, and (2) extends the instruction from the CMS for contractors not to enforce the requirements for direct physician supervision of outpatient therapeutic services in critical access and small rural hospitals through 2021.

Action Timeline

Action DateTypeTextSource
2020-12-07CommitteeReported (Amended) by the Committee on Ways and Means. H. Rept. 116-620, Part I.House floor actions
2019-06-26CommitteeOrdered to be Reported in the Nature of a Substitute by Voice Vote.House committee actions
2019-06-26CommitteeCommittee Consideration and Mark-up Session Held.House committee actions
2019-06-25CommitteeReferred to the Subcommittee on Health.House committee actions
2019-06-25CommitteeReferred to the Subcommittee on Military Personnel.House committee actions
2019-06-24IntroReferralReferred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, and Armed Services, 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.House floor actions
2019-06-24IntroReferralReferred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, and Armed Services, 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.House floor actions
2019-06-24IntroReferralReferred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, and Armed Services, 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.House floor actions
2019-06-24IntroReferralIntroduced in HouseLibrary of Congress

Policy Area :

Health
Related Subjects
  • Cancer
  • Congressional oversight
  • Disability and paralysis
  • Disability assistance
  • Genetics
  • Government information and archives
  • Government trust funds
  • Health care costs and insurance
  • Health care coverage and access
  • Health information and medical records
  • Health personnel
  • Health programs administration and funding
  • Health technology, devices, supplies
  • Home and outpatient care
  • Hospital care
  • Long-term, rehabilitative, and terminal care
  • Medical tests and diagnostic methods
  • Medicare
  • Military personnel and dependents
  • Rural conditions and development
  • Veterans' medical care
Related Geographic Entities
Related Organizations

Related Bills

See Related Bills