Multiple Sector Health Care Strategy Act of 1984

Multiple Sector Health Care Strategy Act of 1984 - Title I: Multicare Program - Permits every U.S. resident to apply to the Secretary of Health and Human Services for a "Medicard" which can be: (1) used to purchase health care services on a fee-for-service basis; (2) exchanged for health care insurance; or (3) exchanged for the provision of health care services from a prepaid provider.

Directs the Secretary to establish fee schedules for services and prescription drugs which will set the maximum "Medicard" payment amounts. Provides for reimbursement to a fee-for-service provider: (1) in the case of a charge which is less than the fee schedule charge, of the lesser of the amount charged or 80 percent of the fee schedule charge; or (2) in the case of a charge which is more than the fee schedule charge, of 80 percent of the fee schedule charge by any amount exceeding the fee schedule. Provides that in the case of inpatient hospital services furnished to Medicare (title XVIII of the Social Security Act) eligible individuals, the payment amounts shall be 100 percent instead of 80 percent, reduced by coinsurance amounts of: (1) ten percent for the first ten days of inpatient hospital services in a year; and (2) five percent for the next 50 days, with no such reductions thereafter. Reduces the amount otherwise payable annually to an eligible individual by $250, but provides that the reduction for a family of four or more shall not exceed $1,000. Sets forth exceptions to the provisions of the preceding three sentences.

Provides that in the case of an individual enrolled in a health insurance plan or with a prepaid provider, the plan or provider is entitled to a capitation payment equal to: (1) 95 percent, or 100 percent for Medicaid (title XIX of the Social Security Act) eligible individuals, of the estimated cost to the Government of payments of services made on the fee-for-service basis; and (2) 100 percent of the amount by which the per capita annual fee-for-service administrative costs to the Government exceeds such costs under the paragraph. Sets forth the requirements for a qualified plan or provider.

Sets forth covered services.

Provides for catastrophic coverage for expenses incurred during that part of a calendar year after covered members incur, in the 15 month period ending with December of the year, covered medical expenses equal to the stop loss amount. Provides that for a family with an annual income which is: (1) not over $5,000, the annual stop-loss amount is $500; (2) over $5,000 but not over $7,500, the annual stop-loss amount is $500 plus 25 percent of the amount by which such income exceeds $5,000; or (3) over $7,500 the annual stop-loss amount is $1,125 plus 35 percent of the amount by which such income exceeds $7,500. Sets forth application and income certification guidelines.

Establishes the Multicare Benefits Trust Fund (the Fund) which shall consist of the assets in the Federal Hospital Insurance, gifts and bequests, and such amounts as may be deposited in or appropriated to the Fund. Appropriates and transfers to the Fund revenues from employment related hospital insurance taxes and other specified Federal health related revenues. Creates a board of trustees for the Fund and sets forth its duties (which include reports to Congress).

Establishes in the office of the Assistant Secretary of Health in the Department of Health and Human Services a Health Care Benefits Administration, to be headed by an Administrator appointed by the Secretary. Requires the Administrator to: (1) educate the public concerning the operation of this Act; (2) monitor the delivery of services under this Act and report annually to Congress; and (3) determine the eligibility of qualified Multicare providers.

Establishes in the Office of the Assistant Secretary of Health in the Department of Health and Human Services a Technology Evaluation Center for Health, to be headed by a Director appointed by the Secretary. Requires the Director to: (1) gather and analyze data for use by the Health Care Financing Administration and by the Health Care Benefits Administration; (2) monitor medical technology developments and disseminate the Center's findings; (3) assist the Prospective Payment Assessment Commission; and (4) monitor and coordinate the technology evaluation activities of Federal entities.

Title II: Revenue Provisions - Amends the Internal Revenue Code to impose a tax on an eligible individual based upon the health care benefits imputed to such individual. Imputes to the individual for income tax purposes payments made on behalf of the individual under this Act for health care. Requires providers providing imputed benefit income to send to each eligible individual to whom services were provided a statement of the amount of income imputed.

Taxes employer contributions to accident and health plans.

Repeals the medical expenses deduction.

Title III: Conforming Amendments to Medicare, Medicaid, and Other Programs - Repeals part A (Hospital Insurance) of title XVIII (Medicare) of the Social Security Act. Sets forth the additional benefits specified under this Act which shall be provided under part B (Supplementary Medical Insurance) of Medicare. Makes other Medicare conforming amendments.

Coordinates the provisions of the Act with those of: (1) Medicaid; (2) the Federal employees health benefits program; (3) the Civil Health and Medical Program of the Uniformed Services (CHAMPUS); and (4) the Veterans' health care program.