```

[Journal of the House of Representatives, 1995]
[Thursday, April 6, 1995 (57), Para 57.25 Recorded Vote]
[Pages 595-596]
[From the U.S. Government Publishing Office, www.gpo.gov]

para.57.25  recorded vote

  A recorded vote by electronic device was ordered in the Committee of 
the Whole on the following amendment in

[[Page 596]]

the nature of a substitute submitted by Mr. WAXMAN:

       Strike all after the enacting clause and insert the 
     following:

     SECTION 1. EXTENDING MEDICARE SELECT POLICIES TO ALL STATES 
                   FOR AN ADDITIONAL 5-YEAR 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--
       (1) by striking ``The amendments'' and inserting ``(1) 
     Subject to paragraph (2), the amendments'';
       (2) by inserting ``and, subject to paragraph (3), those 
     other States that elect them to apply'' after ``15 States (as 
     determined by the Secretary of Health and Human Services)'';
       (3) by striking ``3\1/2\-year'' and inserting ``8\1/2\-
     year''; and
       (4) by adding at the end the following new paragraphs:
       ``(2) The amendments made by this section shall apply to a 
     State after the first 3\1/2\ years of the 8\1/2\-year period 
     described in paragraph (1) only if the State provides that 
     the premiums for a medicare select policy do not vary at 
     renewal (or at any other time premiums change) on the basis 
     of the age attained by the policy-holder or 
     certificateholder.
       ``(3)(A) The amendments made by this section shall apply to 
     a State other than the 15 States referred to in paragraph (1) 
     only if the State provides that the issuer of a medicare 
     select policy makes available to a policy-holder or 
     certificateholder, at each of the times described in 
     subparagraph (B), a policy described in subparagraph (C) 
     (whether or not otherwise offered by the issuer to 
     individuals in the State and whether issued directly by that 
     issuer or under an arrangement with another issuer) under 
     terms and conditions described in subparagraph (C).
       ``(B) The times described in this subparagraph are--
       ``(i) the time the policyholder or certificateholder moves 
     out of the service area of the issuer of the medicare select 
     policy,
       ``(ii) the time of renewal of such policy, and
       ``(iii) at the end of the 12-month-period beginning on the 
     date such policy first becomes effective if the policy is 
     canceled or nonrenewed by the policyholder or 
     certificateholder at the end of such period.
       ``(C) A policy described in this subparagraph is a policy 
     that meets the 1991 Model NAIC Regulation or 1991 Federal 
     Regulation and other requirements of section 1882 of the 
     Social Security Act (without regard to subsection (t)) and 
     the terms and conditions (including premium levels) described 
     in this subparagraph are terms and conditions comparable to 
     the terms and conditions that the policyholder or 
     certificateholder would have had if the policyholder or 
     certificateholder had been enrolled in a policy not under 
     section 1882(t) of such Act during the period in which the 
     policyholder or certificateholder was enrolled in a policy 
     under such section 1882(t).
       ``(D) The Secretary of Health and Human Services is 
     authorized to issue such regulations as may be necessary to 
     carry out this paragraph.''. 

It was decided in the

Yeas

175

negative

Nays

246
```