National Health Insurance bill

TABLE OF CONTENTS:

Title I: Benefits and Eligibility

Title II: Participation of Physicians, Dentists, Nurses,

Hospitals, and Others

Title III: Local Administration

Title IV: State Administration

Title V: National Health Insurance Board; National Advisory

Medical Policy Council; General Administrative Provisions

Title VI: Eligibility Determinations, Complaints, Hearings,

and Judicial Review

Title VII: Application of Act to Individuals Covered Under

Medicare Program

Title VIII: Fiscal Provisions

Title IX: Miscellaneous Provisions

Title X: Value Added Tax and National Health Care Trust Fund

Title XI: Study and Development of Cost Control Mechanisms

National Health Insurance Act - Title I: Benefits and Eligibility - (Sec. 101) Makes medical services available to eligible individuals.

(Sec. 102) Authorizes the National Health Insurance Board to limit services when personnel, facilities, or funds are inadequate.

(Sec. 103) Allows patient choice of physicians and hospitals.

(Sec. 105) Makes Federal grants to States under the Social Security Act available to the States for services for uninsured needy individuals.

Title II: Participation of Physicians, Dentists, Nurses, Hospitals, and Others - (Sec. 205) Authorizes State agreements with individuals or organizations for service provision.

(Sec. 208) Regulates payment bases and rates, requiring local adjustments.

(Sec. 210) Allows providers to choose their practice locality and, consistent with State law and professional ethics, reject patients.

Title III: Local Administration - (Sec. 301) Decentralizes administration to local administrative committees or officers.

(Sec. 303) Requires establishment in each health service area of a local area committee and local professional committees.

Title IV: State Administration - (Sec. 401) Expresses the intent of the Congress that benefit provisions be administered by each State. Provides for Board administration if State plans are not approved and complied with.

Title V: National Health Insurance Board; National Advisory Medical Policy Council; General Administrative Provisions - (Sec. 501) Establishes: (1) in the Department of Health and Human Services the National Health Insurance Board; (2) the National Advisory Medical Policy Council.

Title VI: Eligibility Determinations, Complaints, Hearings, and Judicial Review - (Sec. 601) Requires that the Secretary of Health and Human Services determine benefit eligibility.

(Sec. 602) Describes complaint investigation procedures.

Title VII: Application of Act to Individuals Covered Under Medicare Program - (Sec. 701) Limits, for individuals entitled to benefits under title XVIII (Medicare) of the Social Security Act, benefits under this Act to services for which the individual is not eligible under Medicare.

(Sec. 702) Mandates a study of the relationship of this Act's program and Medicare.

Title VIII: Fiscal Provisions - (Sec. 801) Makes National Health Care Trust Fund amounts available for expenditures under this Act.

(Sec. 802) Directs the Board to determine amounts to be made available from the Fund and allotments to the States.

(Sec. 803) Authorizes grants to: (1) educational institutions regarding the training of personnel providing or administering benefits; and (2) individuals in courses regarding the provision or administration of benefits. Requires that funds be made available.

Title IX: Miscellaneous Provisions - (Sec. 902) Requires that benefits first become available on a specified date.

Title X: Value Added Tax and National Health Care Trust Fund - (Sec. 1001) Amends the Internal Revenue Code to impose a tax on each taxable transaction (the sale of property, performance of services, and importing of property by a taxable person in a commercial-type transaction). Sets the tax rate at zero for: (1) retail food, principal residence housing (sale and rental), and medical care; (2) certain transactions involving governmental entities; and (3) certain tax-exempt organizations. Makes the person selling the property or services liable for the tax.

(Sec. 1002) Establishes the National Health Care Trust Fund. Appropriates to the Fund amounts received from the value added tax. Allows the Fund to be used only to carry out the program under this Act.

Title XI: Study and Development of Cost Control Mechanisms - (Sec. 1101) Directs the Secretary of Health and Human Services to: (1) conduct a study on controlling benefit costs, including malpractice claims and malpractice insurance costs; (2) report to the Congress; and (3) implement the report's recommendations.