A bill to provide for more equitable treatment of health maintenance organizations, and for other purposes.
Health Maintenance Organization Amendments of 1981 - Amends the Public Health Service Act to eliminate specified health maintenance organization (HMO) funding provisions including: (1) feasibility studies; (2) planning and initial development; (3) ambulatory health facility construction; (4) program evaluation; and (5) annual reports.
Eliminates HMO grant or contract authority (continues current loan authority). Makes HMO application requirements applicable to the National Health Maintenance Organization Intern Program.
Extends loan and loan guarantees for initial operating costs through fiscal year 1983. Permits interest rates to be adjusted for HMO loans. Authorizes specified appropriations for fiscal years 1982-1984.
Authorizes specified appropriations for training (including the National Health Maintenance Organization Intern Program) and technical assistance for fiscal years 1982-1984.
Eliminates certain mental health and alcohol and drug abuse services from the definition of "basic health services" and includes them in the definition of "supplemental health services" for HMO related purposes.
Repeals specified policymaking body membership requirements. Permits nonmetropolitan HMOs to provide certain basic health services outside their service areas if such services are not otherwise available. Removes certain restrictions on contracting with individual physicians. Revises HMO dual choice provisions. Repeals community rating requirements.
Placed on Union Calendar No: 70.
Introduced in House
Introduced in House
Referred to House Committee on Energy and Commerce.
For Further Action See H.R.3398.
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