A bill to amend the Internal Revenue Code of 1954 and the Social Security Act to provide a comprehensive program of health care by strengthening the organization and delivery of health care nationwide and by making comprehensive health care nationwide and by making comprehensive health care insurance (including coverage for medical catastrophes) available to all Americans, and for other purposes.
National Health Care Act of 1979 - Title I: Findings and Declaration of Purpose - States the findings and purposes of the Act.
Title II: Provisions to Strengthen Health Planning - Amends title XV of the Public Health Service Act (National Health Planning and Development) to direct State health planning and development agencies (State Agencies) to designate as surplus, institutional health services which are found to be unneeded according to certificate-of-need standards. Provides that such designation shall have the effect of certificate-of-need denial for purposes of the State certificate-of-need program and the limitation on Federal participation for capital expenditures under the Social Security Act.
Authorizes the Secretary of Health, Education, and Welfare to make grants to institutions which have discontinued such surplus health services.
Directs State Agencies to establish health data consortiums to serve the common data needs of itself and specified groups, including health care institutions, insurance companies underwriting health insurance plans, and health systems agencies.
Directs the Secretary to issue guidelines to be used in establishing certificate-of-need programs, including specified criteria.
Requires the governing body or executive committee of a health systems agency to have at least one member representing a service benefit plan and one member representing an insurance company underwriting health plans.
Revises the formula for planning grants to designated health systems agencies. Extends the authorization of appropriations through fiscal year 1980 for: (1) planning grants to health systems agencies and State Agencies; (2) grants to State Agencies for rate regulation; (3) grants for centers for health planning; (4) State allotments for health resources development; and (5) the loan guarantee fund for health resources development.
Title III: Provisions to Encourage Comprehensive Ambulatory Health Care Centers - Amends title VI of the Public Health Service Act (Assistance for Construction and Modernization of Hospitals and Other Medical Facilities) to authorize grants for the construction and modernization of comprehensive ambulatory health care centers. Places priority upon the construction of such facilities located in densely populated areas where such facilities do not now exist.
Authorizes and places priority upon grants to train persons to administer and staff comprehensive ambulatory health care centers.
Title IV: Provisions to Assure a Coordinated National Health Policy - Directs the President to transmit to the Congress an annual health report setting forth the present status of the health care system of the Nation with an appraisal of trends and a review of the programs and activities of the Federal, State, and local governments.
Establishes a Health Policy Board to advise the President with respect to such report and other health care issues.
Directs all agencies of the Federal Government to include in every recommendation with respect to legislation or other actions, statements regarding the effect of such action on the Nation's health care.
Title V: Provisions to Make Comprehensive Health Care Insurance Available to All - Establishes minimum standard health care benefits. Specifies that such standard shall be 100 percent of specified examinations, X-rays and laboratory tests and 80 percent of specified hospital, surgical, professional, and ambulatory health care.
Amends the Internal Revenue Code to prohibit, after a transitional period, any tax deduction by an employer for payments to an employee health care plan unless the plan offers coverage to the employee's family, the employer pays at least 50 percent of the plan's cost, and the plan provides the minimum health care benefits specified by this title. Allows an unlimited personal tax deduction for premiums paid by the taxpayer for a health care plan covering himself or his dependents which provides the minimum benefits specified by this Act.
Specifies such minimum health care benefits, including basic dental, maternal, child, family planning and mental health care, which must be extended by health plans in order to qualify for the income tax deductions provided by this Act. Requires that such plans provide an annual deductible of $100, with a carryover of any unused portion.
Prohibits the award of damages for the cost of remedial services for which a party is compensated under this Act, in any malpractice action arising out of the furnishing of services covered under a health care plan or under the Social Security Act.
Adds to the Social Security Act, "Title XXI - Grants to States for Qualified State Health Care Plans for the Needy". Authorizes the appropriation of such funds as necessary to provide comprehensive health care insurance to needy individuals and families.
Allows individuals or families eligible for enrollment in the qualified State health care plan to elect coverage under an arrangement between the administering carrier and an approved health maintenance organization.
States that every resident individual or family who is not eligible to enroll in a qualified employee health care plan, who is enrolled in the supplementary medical insurance program for the aged and who meets the requirements concerning income, shall be eligible to enroll in the qualified State health care plan. Sets forth a formula for determining premium rates to be paid by participating individuals and families.
States that in the operation of a qualified State health care plan no charge for services rendered or supplies furnished by any hospital, skilled nursing facility, or home health agency shall be reimbursed to the extent that such charges exceed the rates approved by a State health care institution cost commission established pursuant to this Act. Makes it the duty of the Secretary of Health, Education, and Welfare to review the level of rates of institutional reimbursement, approved by the commission, for such categories of health care institutions as shall be established by the Secretary. Requires the Secretary to order a reduction in the level of rates approved for a given category of health care institution upon a determination that such rates are unjustifiably high.
Stipulates that each State must establish a health care benefits pool. Directs that the premiums collected pursuant to Title XXI, as introduced in this Act, be paid into the pool. Makes such pool available to pay claims and other specified expenses associated with the program.
Prohibits any class of individuals or families receiving all, or substantially all, of their medical care under a Federal program from receiving coverage under a qualified State health care plan unless the Federal Government provides payment as required by the Act.
Makes the State insurance commissioner responsible for assuring the establishment and regulation of a facility to underwrite or reinsure minimum standard health care benefits for individuals, families, and groups of less than 50 employees or members to whom such benefits would not otherwise be available.
Introduced in House
Introduced in House
Referred to House Committee on Ways and Means.
Referred to House Committee on Interstate and Foreign Commerce.
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