JOURNAL OF THE

1090

T90.10 JUNE 30

SECTION 1. PERMITTING MEDICARE SELECT

POLICIES TO BE OFFERED IN ALL

STATES FOR AN EXTENDED PERIOD.

Section 4358(c) of the Omnibus Budget Reconciliation Act of 1990, as amended by section 172(a) of the Social Security Act Amendments of 1994, is amended to read as follows:

‘‘(c) EFFECTIVE DATE.—(1) The amendments

made by this section shall only apply—

‘‘(A) in 15 States (as determined by the

Secretary of Health and Human Services)

and such other States as elect such amendments to apply to them, and

‘‘(B) subject to paragraph (2), during the

61⁄2-year period beginning with 1992.

For purposes of this paragraph, the term

‘State’ has the meaning given such term by

section 210(h) of the Social Security Act (42

U.S.C. 410(h)).

‘‘(2)(A) The Secretary of Health and

Human Services shall conduct a study that

compares the health care costs, quality of

care, and access to services under medicare

select policies with that under other medicare supplemental policies. The study shall

be based on surveys of appropriate age-adjusted sample populations. The study shall

be completed by June 30, 1997.

‘‘(B) Not later than December 31, 1997, the

Secretary shall determine, based on the results of the study under subparagraph (A), if

any of the following findings are true:

‘‘(i) The amendments made by this section

have not resulted in savings of premium

costs to those enrolled in medicare select

policies (in comparison to their enrollment

in medicare supplemental policies that are

not medicare select policies and that provide

comparable coverage).

‘‘(ii) There have been significant additional

expenditures under the medicare program as

a result of such amendments.

‘‘(iii) Access to and quality of care has

been significantly diminished as a result of

such amendments.

‘‘(C) The amendments made by this section

shall remain in effect beyond the 61⁄2-year period described in paragraph (1)(B) unless the

Secretary determines that any of the findings described in clause (i), (ii), or (iii) of

subparagraph (B) are true.

‘‘(3) The Comptroller General shall conduct

a study to determine the extent to which individuals who are continuously covered

under a medicare supplemental policy are

subject to medical underwriting if they

change the policy under which they are covered, and to identify options, if necessary,

for modifying the medicare supplemental insurance market to make sure that continuously insured beneficiaries are able to switch

plans without medical underwriting. By not

later than June 30, 1996, the Comptroller

General shall submit to the Congress as report on the study. The report shall include a

description of the potential impact on the

cost and availability of medicare supplemental policies of each option identified in

the study.’’.

And the Senate agree to the same.

TOM BLILEY,

MICHAEL BILIRAKIS,

DENNIS HASTERT,

BILL ARCHER,

WILLIAM THOMAS,

NANCY L. JOHNSON,

Managers on the Part of the House.

BOB PACKWOOD,

BOB DOLE,

DANIEL PATRICK MOYNIHAN,

Managers on the Part of the Senate.

When said conference report was considered.

After debate,

Pursuant to House Resolution 180 the

previous question was considered as ordered to its adoption or rejection.

The question being put, viva voce,

Will the House agree to said conference report?

The SPEAKER pro tempore, Mr.

EWING, announced that the yeas had

it.

Mr. DINGELL objected to the vote on

the ground that a quorum was not

present and not voting.

A quorum not being present,

The roll was called under clause 4,

rule XV, and the call was taken by

electronic device.

When there appeared Yeas ....... 350 ! Nays ...... 68

T90.10 [Roll No. 467]

YEAS—350

Ackerman

Allard

Andrews

Archer

Armey

Bachus

Baesler

Baker (CA)

Baker (LA)

Baldacci

Ballenger

Barcia

Barr

Barrett (NE)

Barrett (WI)

Bartlett

Barton

Bass

Bateman

Becerra

Beilenson

Bentsen

Bereuter

Berman

Bevill

Bilbray

Bilirakis

Bishop

Bliley

Blute

Boehlert

Bonilla

Bono

Brewster

Browder

Brown (CA)

Brown (OH)

Brownback

Bryant (TN)

Bunn

Bunning

Burr

Burton

Buyer

Callahan

Calvert

Camp

Canady

Cardin

Castle

Chabot

Chambliss

Chapman

Chenoweth

Christensen

Chrysler

Clayton

Clinger

Coble

Collins (GA)

Combest

Condit

Cooley

Costello

Cox

Cramer

Crane

Crapo

Cremeans

Cubin

Cunningham

Danner

Davis

de la Garza

Deal

DeLauro

DeLay

Deutsch

Diaz-Balart

Dickey

Dicks

Dixon

Doggett

Dooley

Doolittle

Dornan

Doyle

Dreier

Duncan

Dunn

Durbin

Edwards

Ehlers

Ehrlich

Emerson

Engel

English

Ensign

Eshoo

Everett

Ewing

Farr

Fawell

Fazio

Flake

Flanagan

Foley

Forbes

Fowler

Fox

Franks (CT)

Franks (NJ)

Frelinghuysen

Frisa

Frost

Funderburk

Furse

Ganske

Gejdenson

Gekas

Gephardt

Geren

Gilchrest

Gillmor

Gilman

Goodlatte

Goodling

Gordon

Goss

Graham

Green

Greenwood

Gunderson

Gutierrez

Gutknecht

Hall (OH)

Hall (TX)

Hamilton

Hancock

Hansen

Harman

Hastert

Hastings (WA)

Hayes

Hayworth

Hefley

Hefner

Heineman

Herger

Hilleary

Hobson

Hoekstra

Hoke

Holden

Horn

Hostettler

Houghton

Hoyer

Hunter

Hutchinson

Hyde

Inglis

Istook

Jackson-Lee

Jacobs

Johnson (CT)

Johnson (SD)

Johnson, E. B.

Johnson, Sam

Johnston

Jones

Kaptur

Kasich

Kelly

Kennedy (MA)

Kennelly

Kim

King

Kingston

Kleczka

Klug

Knollenberg

Kolbe

LaHood

Lantos

Largent

Latham

LaTourette

Laughlin

Lazio

Leach

Levin

Lewis (CA)

Lewis (KY)

Lightfoot

Lincoln

Linder

Lipinski

Livingston

LoBiondo

Lofgren

Longley

Lowey

Lucas

Luther

Maloney

Manzullo

Martini

Mascara

Matsui

McCarthy

McCollum

McCrery

McDade

McHale

McHugh

McInnis

McIntosh

McKeon

McNulty

Meehan

Menendez

Metcalf

Meyers

Mfume

Mica

Miller (FL)

Mineta

Minge

Molinari

Mollohan

Montgomery

Moorhead

Moran

Morella

Myers

Myrick

Neal

Nethercutt

Neumann

Ney

Nussle

Oberstar

Obey

Ortiz

Orton

Oxley

Packard

Pallone

Parker

Pastor

Paxon

Payne (VA)

Peterson (FL)

Peterson (MN)

Petri

Pickett

Pombo

Pomeroy

Porter

Portman

Poshard

Pryce

Quillen

Quinn

Radanovich

Rahall

Ramstad

Reed

Regula

Richardson

Riggs

Rivers

Roberts

Roemer

Rogers

Rohrabacher

Ros-Lehtinen

Rose

Roth

Roukema

Roybal-Allard

Royce

Sabo

Salmon

Sanford

Sawyer

Saxton

Scarborough

Schaefer

Schiff

Schumer

Scott

Seastrand

Sensenbrenner

Serrano

Shadegg

Shaw

Shays

Shuster

Sisisky

Skeen

Skelton

Smith (MI)

Smith (NJ)

Smith (TX)

Smith (WA)

Solomon

Souder

Spence

Spratt

Stearns

Stockman

Stump

Talent

Tanner

Tate

Tauzin

Taylor (MS)

Taylor (NC)

Tejeda

Thomas

Thornberry

Thornton

Thurman

Tiahrt

Torkildsen

Traficant

Upton

Vento

Volkmer

Vucanovich

Waldholtz

Walker

Wamp

Ward

Weldon (FL)

Weldon (PA)

Weller

White

Whitfield

Wicker

Wilson

Wise

Wolf

Woolsey

Wynn

Young (FL)

Zeliff

Zimmer

NAYS—68

Abercrombie

Bonior

Borski

Brown (FL)

Clay

Clyburn

Coleman

Collins (IL)

Collins (MI)

Conyers

Coyne

DeFazio

Dingell

Evans

Fattah

Fields (LA)

Filner

Foglietta

Ford

Frank (MA)

Gibbons

Gonzalez

Hastings (FL)

Hilliard

Hinchey

Jefferson

Kanjorski

Kennedy (RI)

Kildee

Klink

LaFalce

Lewis (GA)

Manton

Markey

Martinez

McDermott

Meek

Miller (CA)

Mink

Murtha

Nadler

Olver

Owens

Payne (NJ)

Pelosi

Rangel

Rush

Sanders

Schroeder

Skaggs

Slaughter

Stark

Stokes

Studds

Stupak

Thompson

Torres

Torricelli

Towns

Tucker

Velazquez

Visclosky

Waters

Watt (NC)

Waxman

Williams

Wyden

Yates

NOT VOTING—16

Boehner

Boucher

Bryant (TX)

Clement

Coburn

Dellums

Fields (TX)

Gallegly

McKinney

Moakley

Norwood

Reynolds

Stenholm

Walsh

Watts (OK)

Young (AK)

So the conference report was agreed

to.

A motion to reconsider the vote

whereby said conference report was

agreed to was, by unanimous consent,

laid on the table.

Pursuant to House Resolution 180,

the concurrent resolution of the Senate

(S. Con. Res. 19) to correct the enrollment of H.R. 483 was considered as

agreed to.

Ordered, That the Clerk notify the

Senate thereof.

T90.11 PROVIDING FOR THE

CONSIDERATION OF AN ADJOURNMENT

RESOLUTION

Mrs. WALDHOLTZ, by direction of

the Committee on Rules, called up the

following resolution (H. Res. 179):

Resolved, That immediately upon the adoption of this resolution it shall be in order,