service area and meets such requirements as the 
Board or a State health security program may speci-
fy. 
(10) 
ADDITIONAL
REQUIREMENTS.—Each 
CHSO must meet— 
(A) such requirements relating to min-
imum enrollment; 
(B) such requirements relating to financial 
solvency; 
(C) such requirements relating to quality 
and availability of care; and 
(D) such other requirements, 
as the Board or a State health security program 
may specify. 
(d) PROVISION OF EMERGENCY SERVICES TO NON-
ENROLLEES.—A CHSO may furnish emergency services 
to persons who are not enrolled in the organization. Pay-
ment for such services, if they are covered services to eligi-
ble persons, shall be made to the organization unless the 
organization requests that it be made to the individual 
provider who furnished the services. 
SEC. 304. LIMITATION ON CERTAIN PHYSICIAN REFERRALS. 
(a) APPLICATION TO AMERICAN HEALTH SECURITY 
PROGRAM.—Section 1877 of the Social Security Act, as 
amended by subsections (b) and (c), shall apply under this 
VerDate Aug 31 2005 
01:51 Mar 01, 2007
Jkt 059200
PO 00000
Frm 00058
Fmt 6652
Sfmt 6201
E:\BILLS\H1200.IH
H1200
mstockstill on PROD1PC66 with BILLS
Act in the same manner as it applies under title XVIII 
of the Social Security Act; except that in applying such 
section under this Act any references in such section to 
the Secretary or title XVIII of the Social Security Act are 
deemed references to the Board and the American Health 
Security Program under this Act, respectively. 
(b) EXPANSION OF PROHIBITION TO CERTAIN ADDI-
TIONAL DESIGNATED SERVICES.—Section 1877(h)(6) of 
the Social Security Act (42 U.S.C. 1395nn(h)(6)) is 
amended by adding at the end the following: 
‘‘(L) Ambulance services. 
‘‘(M) Home infusion therapy services.’’. 
(c) CONFORMING AMENDMENTS.—Section 1877 of 
such Act is further amended— 
(1) in subsection (a)(1)(A), by striking ‘‘for 
which payment otherwise may be made under this 
title’’ and inserting ‘‘for which a charge is imposed’’; 
(2) in subsection (a)(1)(B), by striking ‘‘under 
this title’’; 
(3) by amending paragraph (1) of subsection 
(g) to read as follows: 
‘‘(1) DENIAL OF PAYMENT.—No payment may 
be made under a State health security program for 
a designated health service for which a claim is pre-
sented in violation of subsection (a)(1)(B). No indi-
VerDate Aug 31 2005 
01:51 Mar 01, 2007
Jkt 059200
PO 00000
Frm 00059
Fmt 6652
Sfmt 6201
E:\BILLS\H1200.IH
H1200
mstockstill on PROD1PC66 with BILLS
vidual, third party payor, or other entity is liable for 
payment for designated health services for which a 
claim is presented in violation of such subsection.’’; 
and 
(4) in subsection (g)(3), by striking ‘‘for which 
payment may not be made under paragraph (1)’’ 
and inserting ‘‘for which such a claim may not be 
presented under subsection (a)(1)’’. 
TITLE IV—ADMINISTRATION 
Subtitle A—General Administrative 
Provisions 
SEC. 
401. 
AMERICAN 
HEALTH 
SECURITY 
STANDARDS 
BOARD. 
(a) ESTABLISHMENT.—There is hereby established 
an American Health Security Standards Board. 
(b) APPOINTMENT AND TERMS OF MEMBERS.— 
(1) IN
GENERAL.—The Board shall be com-
posed of— 
(A) the Secretary of Health and Human 
Services; and 
(B) 6 other individuals (described in para-
graph (2)) appointed by the President with the 
advice and consent of the Senate. 
The President shall first nominate individuals under 
subparagraph (B) on a timely basis so as to provide 
VerDate Aug 31 2005 
01:51 Mar 01, 2007
Jkt 059200
PO 00000
Frm 00060
Fmt 6652
Sfmt 6201
E:\BILLS\H1200.IH
H1200
mstockstill on PROD1PC66 with BILLS