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The RPA Health Policy Handbook - Renal Physicians Association

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T H e a D V o C a T e f o R e X C e l l e n C e I n n e P H R o l o G Y P R a C T I C e<br />

aPPenDIX a<br />

How a Bill Becomes a Law<br />

introdUction coMMittee action floor action enactMent<br />

bill<br />

Introduced<br />

in House<br />

legislation often<br />

begins as similar<br />

proposals in both<br />

the house and<br />

senate<br />

bill<br />

Introduced<br />

in senate<br />

Referred to<br />

House<br />

committee,<br />

which holds<br />

hearings and<br />

recommends<br />

passage to<br />

House floor<br />

Referred to<br />

senate<br />

committee,<br />

which holds<br />

hearings and<br />

recommends<br />

passage to<br />

senate floor<br />

House<br />

debates<br />

and passes<br />

select House<br />

and senate<br />

Members<br />

convene in<br />

Conference<br />

Committee,<br />

reach<br />

compromise on<br />

all differences<br />

between the<br />

two versions<br />

senate<br />

debates<br />

and passes<br />

House and<br />

senate<br />

approve<br />

compromise<br />

legislation<br />

all bills must<br />

be approved<br />

by the house<br />

and senate in<br />

identical form<br />

before they<br />

can be sent to<br />

the president<br />

President<br />

signs into<br />

law or<br />

vetoes<br />

health policy handbook for nephrology practitioners<br />

aPPenDIX a<br />

27

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