To extend the nonenforcement instruction for the Medicare direct supervision requirement for therapeutic hospital outpatient services insofar as it applies to critical access hospitals and rural hospitals, to require a study of the impact on critical access hospitals and rural hospitals of a failure to extend such instruction, and for other purposes.

Cost and committee reports

Official records Congress.gov attaches to H.R. 3769.

• Constitutional authority statementThe sponsor’s statement of where the Constitution gives Congress the power to pass this bill. Statement by Mr. SMITH of Nebraska, as printed in the Congressional Record (Page H8111):
  The constitutional authority on which this bill rests is the power of Congress as enumerated in Article 1, Section 8, Clause 1 of the United States Constitution.
  Source: Congress.gov, record updated January 3, 2025 ↗

  Evidence

  Field in the Congress.gov record

  constitutionalAuthorityStatementText

  Statement length

  161 characters

  Congress.gov bill record

  H.R. 3769, 113th Congress

  Congress.gov API record

  https://api.congress.gov/v3/bill/113/hr/3769

  Record last updated by Congress.gov

  January 3, 2025

  PORKER copy retrieved

  September 23, 2026

  Stored copy, SHA-256 of the file

  f3906a4df9bad66ababae32b5a7d63dd9f22618e17b804f4200c83b75066d922

  PORKER shows the statement exactly as printed, with the page markup removed. It is the sponsor’s claim; it is not a legal finding.

Congress.gov’s record for this bill does not list a CBO cost estimate or a committee report (as of January 3, 2025). Not every bill gets one.

From the Congress.gov bill record for H.R. 3769, last updated January 3, 2025. PORKER’s copy was retrieved September 23, 2026 and is refreshed nightly. Open “Evidence” on any line for the record, field and file fingerprint.