I 115th CONGRESS 1st Session H. R. 4178 IN THE HOUSE OF REPRESENTATIVES October 31, 2017 Mr. Arrington (for himself, Mr. Gohmert , and Mr. Conaway ) introduced the following bill; which was referred to the Committee on Ways and Means A BILL To amend title XVIII of the Social Security Act to provide for reform to and a permanent extension of the Medicare-dependent hospital program, and for other purposes.