A bill to provide health benefits to employees and their immediate families, and to provide for the distribution of health benefits, for medical education.
Health Benefits and Health Services Distribution Education Act - Title I: Findings, Purposes, and Definitions - Declares that the Federal Government has an obligation to insure that each area of the country has adequate health personnel and facilities. Sets forth the definitions of terms used in this Act.
Title II: Minimum Health Benefits - Requires that business associations and other entities engaged in commerce shall provide to their employees and families, as a cost of doing business, a minimum level of health benefits, including: (1) one complete diagnostic examination and associated tests sufficient to analyze a person's overall medical condition; (2) such visits to a physician, an outpatient clinic, or other ambulatory health facilities which may be necessary for treatment of an illness or injury necessary for the prevention of illness or injury; (3) up to twelve days of inpatient hospital care for treatment of a serious illness or injury, or for surgery; and (4) up to ten days of care in an extended care unit necessary for recovery from a serious illness, accident, or surgery.
Sets forth limitations on such minimum benefits. Authorizes the Secretary to issue regulations to insure a high quality of minimum benefits.
Provides that a person entitled to minimum benefits who has been denied provision of those benefits may sue in Federal district court for the costs of his lost benefits, reasonable damages, and for a court order requiring him to be provided with the minimum benefits to which he is entitled.
Title III: Creation of Community Health and Education Corporations - Authorizes to be created community health and education corporations whose purposes shall be: (1) to provide health services to an identified population on an accessible basis in a specified service area; (2) to provide minimum health benefits to which persons may be entitled from a contractee; (3) to provide for the education and development of qualified health personnel necessary to provide health services and minimum health benefits; and (4) to provide for the operation of facilities required to provide health service, benefits, and for the education of health personnel. States that a corporation shall have a board of fifteen directors consisting of individuals who are citizens of the United States. Provides for the financing of corporations through the issuance of common and preferred stock.
Enumerates the general powers of the corporation, including to provide comprehensive health care services and minimum health benefits through prospective contracts, arrangements for prepaid group practices or through other efficient arrangements and to contract with States and the United States for the provision of health services authorized by the Social Security Act. Sets forth the duties of community health and education corporations.
Provides that a physician, optometrist, or podiatrist legally authorized to practice his profession in a State is a qualified provider of services for a corporation or as an employee of a corporation, subject to specified limitations. States the circumstances under which a general hospital and a skilled nursing home are qualified providers for a corporation or as a division of a corporation.
Title IV: Federal Financial Assistance - Authorizes to be appropriated to the Secretary in each fiscal year through fiscal year 1990 such sums as may be necessary for payment to corporations for the purpose of assisting in: (1) the initial organization and operation of corporations; (2) the financing of health care services to low-income individuals; (3) the financing of health care benefits through corporations for employees of small businesses and charitable organizations; (4) for the subsidization of medical education; and (5) for the construction and staffing of hospitals, and ambulatory and diagnostic centers.
Provides for record-keeping procedures and audits of corporations.
Title V: Regional Planning Councils - Directs the Secretary to establish planning councils in each major geographic region of the country. States the purposes of such councils, including to develop plans for the provision of comprehensive health services to all persons within the region and for the allocation of health manpower and facilities adequate to provide comprehensive health services to all persons within the region.
Provides for the appointment of members of the regional planning councils by the Secretary, specifying their terms of office. Authorizes to be appropriated to the Secretary such funds as may be necessary to carry out the purposes of this title.
Title VI: Miscellaneous Provisions - Provides that the provisions of this Act supersede any other provisions of law in conflict with the purposes of this Act.
Introduced in Senate
Referred to Senate Committee on Labor and Public Welfare.
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