Extends coverage of immunosuppressives to 48 months. Minimum core benefits would consist of the existing Medicare benefits. Only HCFA would be required to offer a plan providing only core benefits. Enrollee access to discounted prices continues after cap is reached. One exclusive contract per region.
Government bears the risk for cost and utilization.
Provides incentives for employers to retain retiree drug coverage. All plan sponsors must offer a high option plan which includes drug and stop-loss coverage. Establishes a Medicare Board to oversee the program. Board would have extensive authority to establish standards, educate beneficiaries, negotiate premiums and benefits, and determine plan payment adjustments. Board would operate under a government charter and would have the ability to hire without regard to civil service requirements and salary restrictions.