My Legislation

H.R. 4895, Detaining Terrorists to Protect Americans Act of 2016

  • Prohibits the use of funds to transfer or release within the United States or to foreign country detainees at Naval Station Guantanamo Bay, Cuba (GTMO), prohibits funds to construct any facilities in the United States to house any detainee at GTMO, and prohibits funds to close, abandon, or relinquish control of GTMO to Cuba or implement modifications to the Treaty Between the United State of America and Cuba that constructively closes GTMO.

H.R. 1202, Medicare Patient Access to Hospice Act of 2015

  • Physician assistants (PAs) provide high-quality, cost-effective medical care in virtually all healthcare settings, and they are one of three types of healthcare professionals that provide primary medical care.  Unfortunately, outdated policies prevent PAs from being able to provide hospice care to their Medicare patients.  This bill removes this harmful barrier to care.

H.R. 1270, Restoring Access to Medication Act of 2015

  • Eliminates the unnecessary requirement that individuals have a prescription from a physician in order to purchase over-the-counter medicines with their health savings accounts and flexible spending accounts. Second, it allows contributions to HSA accounts to match that of their high-deductible health plan deductibles. Third, it recoups Obamacare subsidy overpayments to a sliding income scale.

H.R. 1784, Making the Education of Nurses Dependable for Schools Act

  • Protect hospital based-nursing programs across the United States as they face conflicting regulatory requirements from Centers for Medicare and Medicaid Services (CMS) and their accreditation bodies. The MEND Act allows hospital-based nursing programs to meet the strict and ever-evolving standards of national accreditation bodies by updating CMS regulations to allow those nursing programs to both retain their accreditation and receive Medicare funding.  

H.R. 1877, Mental Health First Aid Act of 2015

  • This bill will help our local firefighters, police officers, and first responders receive training in spotting signs of mental illness so that people in need can get help.
  • As amended, it includes $15 million in funding each year through FY2022.
  • Section 9010 in H.R. 34, 21st Century Cures Act

H.R. 2138, Medicare Access to Rural Anesthesiology Act of 2015

  • As an incentive program to attract providers to small rural hospitals, Medicare may pay for the services of anesthesia providers through a program that uses an alternative Medicare Part A, cost-based, “pass-through” mechanism.  The program is limited to small, low volume rural facilities.  Medicare should extend this incentive program to all anesthesia providers – including physician anesthesiologists, who are presently excluded by law from participation.

H.R. 2519, Audiology Patient Choice Act of 2015

  • Providing Medicare patients with direct access to audiologists, without requiring an order from a medical doctor.

H.R. 5613, The Contuining Access to Hosptials Act of 2016

  • This bill requires CMS 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 2016.
  • Section 16004 of H.R. 34, 21st Century Cures Act

H.R. 3355, To amend title XVIII of the Social Security Act to allow physician assistants, nurse practitioners, and clinical nurse specialists to supervise cardiac, intensive cardiac, and pulmonary rehabilitation programs

  • To amend title XVIII of the Social Security Act to allow physician assistants, nurse practitioners, and clinical nurse specialists to supervise cardiac, intensive cardiac, and pulmonary rehabilitation programs. This bipartisan legislation would allow physician assistants, nurse practitioners, and clinical nurse specialists to supervise cardiac and pulmonary rehabilitation. Current law only allows physicians to directly supervise these rehabilitation programs, imposing a significant barrier that restricts patients’ access to these high-quality programs.

H.R. 4723, Protecting Taxpayers by Recovering Improper Obamacare Subsidy Overpayments Act

  • Requires those who receive exchange subsidies to which they are not entitled to repay the full amount of overpayments
  • Included in HR 1270

H.R. 5164, Rural Hospital Regulatory Relief Act of 2016

  • Permanently extends the Centers for Medicare & Medicaid Services’ (CMS) enforcement moratorium on its “direct supervision” rule for outpatient therapeutic services provided in CAHs and small, rural hospitals with 100 or fewer beds.

HR 5667, the Rural ACO Provider Equity Act of 2016

  • Under current law, only primary care services provided by a physician count towards an Accountable Care Organizations (ACO) savings score with the Centers for Medicare and Medicaid Services (CMS).
  • This bill will allow Physician Assistants and Certified Nurse Practitioners to perform primary care services that count towards the saving score, so that rural practices can join an ACO, share in the bonus payments, and keep their lights on to serve more people.
  • Section 17007 of H.R. 34, 21st Century Cures Act

HR 5721, LCDC Act of 2016

  • Reform Medicare appeals process. Make it more transparent, and establish new avenue for appeals. H.R. 5721 would: (1) require Medicare Administrative Contractors (MACs) to have  open and public Carrier Advisory Committee meetings that are on the record; (2) require MACs to disclose the rationale for an LCD and the evidence upon which they relied at the outset of the LCD process rather than when the LCD is finalized; (3) provide interested parties with a meaningful reconsideration process outside of the of the  MAC that finalized the LCD; and (4) eliminate backdoor National Coverage Decisions by prohibiting MACs from adopting an LCD from another jurisdiction without first conducting its own independent evaluation of the evidence. 

HR 5799, the Rural Access to Hospice Act of 2016

  • When patients enroll in hospice, they select a physician or nurse practitioner to serve as their attending physician. Typically, the attending physician is reimbursed for these services under Medicare Part B.  The issue is that Rural Health Centers (RHCs) and Federally Qualified Health Centers (FQHCs) do not bill under Medicare Part B – they are paid a fixed, all-inclusive payment for all services to Medicare beneficiaries – but due to statutory oversight, hospice is not included in this all-inclusive payment.  The end result is that some patients can’t have their primary care physician of like 20 years serve as their attending physician while they are in hospice, meaning some people end up not enrolling in a hospice at all.

H.R. 6261, ACO Assignment Improvement Act of 2016

  • Creates new options within the Medicare Shared Savings Program to increase patient access to quality care while reducing costs in underserved areas. H.R. 6261 would allow patients seen by mid-levels to be attributed to the ACO; whereas, current federal rules only allow patients that have been seen by a physician to be attributed to an ACO. This is a companion bill to HR 5667. This is essentially step 1 to that bill’s step 2.

H.Res. 487, Recognizing the importance of cancer program accreditation in ensuring comprehensive, high quality, patient-centered cancer care

  • Recognizing the importance of accreditation for cancer programs in Kansas and across the country

H.R. 2333, To authorize the Secretary of the Interior to acquire certain property related to the Fort Scott National Historic Site in Fort Scott, Kansas

  • Transfers the Civil War era block house known as Lunette Blair in Fort Scott under the stewardship of the National Park Service at Fort Scott National Historic Site.

H.R. 2904, To amend title 49, United States Code, to clarify the use of a towaway trailer transportation combination, and for other purposes

  • Allows local manufacturers of small towaway trailers to deliver two trailers at a time to customers, subject to a reasonable length limitation and a low maximum weight limit.
  • This legislation was adopted by amendment to H.R. 22, the Fixing America’s Surface Transportation (FAST) Act highway bill, which became law in late 2015. Prior to this language becoming law, a light horse trailer, for example, being towed empty to a dealer for sale was treated the same as a large, cargo-carrying freight trailer, even though the smaller horse trailer presents far fewer safety issues

H.R. 3356, Safe Food for Seniors Act of 2015

  • Allows for a Medicare Skilled Nursing Facility (SNF) or a Medicaid nursing facility without a full-time qualified dietitian to require its director of food services to be: a Certified Dietary Manager meeting the requirements of the Certifying Board for Dietary Managers; a Dietetic Technician, Registered meeting with the requirements published by the Commission on Dietetic Registration; or an individual with equivalent military or academic qualifications.
  • Foodborne illness is a serious public health threat to all Americans, but seniors are most at risk as they are more susceptible to death or long-term health effects from foodborne-induced gastroenteritis. H.R.3356 raises the standard of care in Medicare- and Medicaid-subsidized SNFs by strengthening regulations to ensure that SNFs receiving federal funds have their director of food services, if not a full-time dietitian, trained as one of the aforementioned qualified individuals.
  • In September 2016, Centers for Medicare & Medicaid Services finalized improvements in care, safety, and consumer protections for long-term care facility residents that closely resembled my legislation.

H.Res.537, Expressing the sense of the House of Representatives that Federal law prohibits the transfer of individuals detained at United States Naval Station, Guantanamo Bay, Cuba, to the United States.

  • Expresses the sense of the House of Representatives that any transfer to the United States of the 107 detainees imprisoned for reasons of national security at the U.S. Naval Station, Guantanamo Bay, Cuba, would violate federal law and the appropriations powers enumerated to Congress in article 1 of the Constitution, and may result in the President's committing illegal actions.

H.Con.Res.63, To express the sense of the Congress that any Executive order that infringes on the powers and duties of the Congress under article I, section 8 of the Constitution, or that would require the expenditure of Federal funds not specifically appropriated for the purpose of the Executive order, is advisory only and has no force or effect unless enacted as law. 

  • Expresses the sense of Congress that any executive order issued by the President before, on, or after the approval of this resolution that infringes on the powers and duties of Congress under article I, section 8 of the Constitution, or that would require the expenditure of federal funds not specifically appropriated for such executive order, is advisory only and has no force or effect unless enacted as law

H.R. 721, Short Line Railroad Rehabilitation and Investment Act of 2015

  • Extends from 2015 to 2016 the 45G short line rail maintenance tax credit, allow the nation’s small, local freight railroads to increase their reinvestments to upgrade and expand the “first and last mile” of transportation infrastructure.
  • This legislation was incorporated into the Protecting Americans from Tax Hikes (PATH) Act in late 2015.

H.R. 4626, BRACE Act

  • Makes permanent the 45G short line rail maintenance tax credit, the Building Rail Access for Customers and the Economy (BRACE) Act would allow the nation’s small, local freight railroads to increase their reinvestments to upgrade and expand the “first and last mile” of transportation infrastructure.

H.R. 4672, To amend the Internal Revenue Code of 1986 to make permanent the exception for marginal production from the taxable income limit on percentage depletion for oil and natural gas wells

  • Makes permanent the suspension of the taxable income limitation on percentage depletion for oil and natural gas produced from marginal properties of small energy producers.

H.R. 6260, ECORA Act of 2016

  • Provides that when a local community bank lends to a farmer and the loan is secured by agricultural real estate, interest received on the loan is not taxable. Similarly, interest on a bank loan secured by a single family home which is the principal residence of the borrower is not taxable, provided the home is located in a rural area or community, as defined by the Act.
  • This legislation assists lenders to help farmers remain viable in this challenging market environment. It will give lenders more flexibility to work with farmers who could have trouble servicing their debt.

H.Res. 180, Congratulating the University of Kansas for 150 years of outstanding service to the State of Kansas, the United States, and the world

  • Recognizes and celebrates KU’s sesquicentennial.

H.Res 478, Commemorating the 150th Anniversary of Ottawa University in Ottawa, Kansas

  • Recognizes and celebrates Ottawa University’s sesquicentennial.

H.R.5741 - Nonessential Government Printing Reduction Act of 2016

  • This legislation will stop the daily distribution and printing of paper copies of the Federal Register to all Congressional offices. However, if Congressional offices wish to continue yearly subscriptions or purchase day to day issues, this bill will allow them to do so.
  • The Federal Register is a document that is accessible on the internet where they provide an entire database of issues and volumes dating back to 1994. This bill will create the permanent use of electronic format for the distribution of the Federal Register.

H.R. 5237 – Workplace Advancement Act

  • The Workplace Advancement Act would permit employees to discuss compensation with other employees in order to ensure they are receiving equal compensation for equal work
  • Currently, studies show fear or threat of termination over discussing pay can negatively impact equal compensation as it stops employees from discussing their compensation for the purposes of determing equal pay for equal work. This legislation would give protection to employees seeking to determine equal compensation. 


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    repName John Smith  
    helpWithFedAgencyAddress Haverhill District Office
    1234 S. Courthouse
    Haverhill, CA 35602
    district 21st District of California  
    academyUSCitizenDate July 1, 2012  
    academyAgeDate July 1, 2012  
    academyApplicationDueDate October 20, 2012  
    repStateABBR AZ  
    repDistrict 1  
    repState Arizona  
    repDistrictText 1st  
    SponsoredBills Sponsored Bills  
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