To provide for comprehensive health care and health care cost containment.
TABLE OF CONTENTS:
Title I: Federal and State Administration
Subtitle A: Federal Administration
Subtitle B: State Administration
Title II: Health Care Services
Subtitle A: National Health Insurance Program
Subtitle B: Payment Amounts for Health Care Practitioner
Services and for Covered District Health Care
Services
Title III: Malpractice Insurance Reform
Title IV: Provisions Relating to ERISA and Federal and State
Antitrust Laws
Title V: Health Care Education Trust Fund
Title VI: Tax Treatment of Health Insurance Premiums
Title VII: Private Options
Title VIII: Prescription Drug Review Board
Title IX: Termination of Programs
Comprehensive Health Care and Cost Containment Act of 1993 - Title I: Federal and State Administration - Subtitle A: Federal Administration - Subtitle A: Federal Administration - Establishes within the Department of Health and Human Services a Federal Health Board. Requires the Board to: (1) determine national per capita spending rates for covered district health care services and for health care practitioner services; (2) establish a single national insurance premium for enrollment catgories; (3) make Federal payments to States and insurers; (4) certify State compliance with this Act; (5) enter into reciprocity agreements with foreign countries; and (6) report to the Congress on duplicative Federal health care programs.
Requires an annual report to the Congress on the status of the health care system in the United States.
Establishes within the Department of Education a Federal Health Education Commission to manage the Federal grant program to States for consumer education programs and for primary care practitioners.
Subtitle B: State Administration - Requires each State to provide for a State Health Board to establish health districts to appoint district health care boards, set global budgets for each health care district, establish fee schedules for practitioner groups, and develop long-range plans for future health care infrastructure.
Requires each State Health Board to establish a State Health Care Education Commission to be responsible for specified activities.
Title II: Health Care Services - Subtitle A: National Health Insurance Program - Sets forth national standards for health insurance for district health care services or health care practitioner services, including enrollment requirements. Authorizes reduced premiums for low-income individuals.
Subtitle B: Payment Amounts for Health Care Practitioner Services and for Covered District Health Care Services - Requires each State to provide for the chartering of practitioner associations with respect to fee schedules and medical malpractice insurance.
Provides for the establishment of annual per capita rates for district health care costs and the development of State and district budgets for health care services. Requires the Board to disseminate Federal payments to States for such services.
Title III: Malpractice Insurance Reform - Sets forth requirements for States with respect to physician medical malpractice liability in order to be eligible for Federal payments.
Title IV: Provisions Relating to ERISA and Federal and State Antitrust Laws - Declares that provisions of the Employee Retirement Income Security Act are superseded to the extent inconsistent with the requirements of this Act. Provides that the antitrust laws do not apply to health service entities covered under this Act.
Title V: Health Care Education Trust Fund - Establishes the Health Care Education Trust Fund to be administered by the Federal Health Care Commission in making grants for health care consumer education. Authorizes appropriations.
Amends the Internal Revenue Code to increase the tax on cigarettes and distilled spirits.
Title VI: Tax Treatment of Health Insurance Premiums - Allows a tax deduction for health insurance expenses, whether or not the taxpayer itemizes deductions.
Title VII: Private Options - States that individuals are not precluded from obtaining insurance for services that are covered health care services.
Title VIII: Prescription Drug Review Board - Establishes in the executive branch the Prescription Drug Price Review Board to develop guidelines for determining excessive prescription drug prices. Permits the Board, after following specified procedures, to determine: (1) if such a price is excessive; and (2) to revoke the patent of a drug determined to have an excessive price.
Title IX: Termination of Programs - Amends the Social Security Act to repeal the Medicare and Medicaid programs. Repeals specified CHAMPUS provisions. Repeals the Federal Employees Health Benefits Program.
Reported (Amended) by the Committee on Post Office and Civil Service. H. Rept. 103-601, Part VII.
Introduced in House
Introduced in House
Referred to the House Committee on Armed Services.
Referred to the House Committee on Education and Labor.
Referred to the House Committee on Energy and Commerce.
Referred to the House Committee on Judiciary.
Referred to the House Committee on Post Office and Civil Service.
Referred to the House Committee on Ways and Means.
Referred to the Subcommittee on Economic and Commercial Law.
Referred to the Subcommittee on Compensation and Employee Benefits.
Referred to the Subcommittee on Military Forces and Personnel.
Executive Comment Requested from DOD.
Referred to the Subcommittee on Health.
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Referred to the Subcommittee on Commerce, Consumer Protection and Competitiveness.
Referred to the Subcommittee on Health and the Environment.
Referred to the Subcommittee on Labor-Management Relations.
See H.R.3600.