{"database": "press", "table": "releases", "rows": [["http://adriansmith.house.gov/press-release/smiths-rural-hospital-relief-provision-passes-house", "Smith's Rural Hospital Relief Provision Passes House", "2016-11-30", "2016", "2016-11", "Republican", "House", "NE", "Adrian Smith", "S001172", "adriansmith.house.gov", null, null, "legacy", "Congressman Adrian Smith (R-NE) released the following statement after voting in favor of H.R. 34, the 21st Century Cures Act. The bill, which passed the House today, contains Smith\u2019s provision requiring the Medicare Payment Advisory Commission (MedPAC) to report on the economic and staffing impacts of physician supervision requirements on Critical Access Hospitals.\n\tPhysician supervision rules require a physician\u2019s presence and supervision over nearly all routine procedures administered in hospitals, which can be especially burdensome for rural hospitals with fewer doctors and resources.\n\t\u201cToday\u2019s passage of 21st Century Cures opens the door to more personalized treatments and brings regulatory relief to rural hospitals to help make quality care accessible to more patients,\u201d Smith said. \u201cThough rural providers know best which procedures can be safely performed in their facilities, the heavy hand of the federal government makes it more difficult for these professionals to serve their patients. Based on discussions I have had with hospitals across Nebraska\u2019s Third District, I expect MedPAC\u2019s findings will make a strong case for repealing these arbitrary rules outright.\n\u201cMindful of our country\u2019s $19 trillion debt, I am pleased these advancements will be made without increasing mandatory spending. This bill is an important step toward better care and greater choice for all patients.\u201d", 1, "2026-03-30T12:14:52Z", "2026-03-30T12:14:52Z"]], "columns": ["url", "title", "date", "year", "month", "party", "chamber", "state", "member_name", "bioguide_id", "domain", "scraper", "source", "date_source", "text", "has_text", "collected_at", "updated_at"], "primary_keys": ["url"], "primary_key_values": ["http://adriansmith.house.gov/press-release/smiths-rural-hospital-relief-provision-passes-house"], "units": {}, "query_ms": 1.1717029847204685, "source": "dwillis/congress-press", "source_url": "https://github.com/dwillis/congress-press", "license": "MIT", "license_url": "https://github.com/dwillis/congress-press/blob/main/LICENSE"}