pay arrangements between the visitor and the provider of 
care. 
SEC. 102. BENEFITS AND PORTABILITY. 
(a) IN GENERAL.—The health care benefits under 
this Act cover all medically necessary services, including 
at least the following: 
(1) Primary care and prevention. 
(2) Approved dietary and nutritional therapies. 
(3) Inpatient care. 
(4) Outpatient care. 
(5) Emergency care. 
(6) Prescription drugs. 
(7) Durable medical equipment. 
(8) Long-term care. 
(9) Palliative care. 
(10) Mental health services. 
(11) The full scope of dental services, services, 
including 
periodontics, 
oral 
surgery, 
and 
endodontics, but not including cosmetic dentistry. 
(12) Substance abuse treatment services. 
(13) Chiropractic services, not including elec-
trical stimulation. 
(14) Basic vision care and vision correction 
(other than laser vision correction for cosmetic pur-
poses). 
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(15) Hearing services, including coverage of 
hearing aids. 
(16) Podiatric care. 
(b) PORTABILITY.—Such benefits are available 
through any licensed health care clinician anywhere in the 
United States that is legally qualified to provide the bene-
fits. 
(c) NO
COST-SHARING.—No deductibles, copay-
ments, coinsurance, or other cost-sharing shall be imposed 
with respect to covered benefits. 
SEC. 103. QUALIFICATION OF PARTICIPATING PROVIDERS. 
(a) REQUIREMENT TO BE PUBLIC OR NON-PROF-
IT.— 
(1) IN GENERAL.—No institution may be a par-
ticipating provider unless it is a public or not-for- 
profit institution. Private physicians, private clinics, 
and private health care providers shall continue to 
operate as private entities, but are prohibited from 
being investor owned. 
(2) CONVERSION
OF
INVESTOR-OWNED
PRO-
VIDERS.—For-profit providers of care opting to par-
ticipate shall be required to convert to not-for-profit 
status. 
(3) PRIVATE
DELIVERY
OF
CARE
REQUIRE-
MENT.—For-profit providers of care that convert to 
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non-profit status shall remain privately owned and 
operated entities. 
(4) COMPENSATION
FOR
CONVERSION.—The 
owners of such for-profit providers shall be com-
pensated for reasonable financial losses incurred as 
a result of the conversion from for-profit to non- 
profit status. 
(5) FUNDING.—There are authorized to be ap-
propriated from the Treasury such sums as are nec-
essary to compensate investor-owned providers as 
provided for under paragraph (3). 
(6) REQUIREMENTS.—The payments to owners 
of converting for-profit providers shall occur during 
a 15-year period, through the sale of U.S. Treasury 
Bonds. Payment for conversions under paragraph 
(3) shall not be made for loss of business profits. 
(7) MECHANISM FOR CONVERSION PROCESS.— 
The Secretary shall promulgate a rule to provide a 
mechanism to further the timely, efficient, and fea-
sible conversion of for-profit providers of care. 
(b) QUALITY STANDARDS.— 
(1) IN GENERAL.—Health care delivery facili-
ties must meet State quality and licensing guidelines 
as a condition of participation under such program, 
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including guidelines regarding safe staffing and 
quality of care. 
(2) LICENSURE REQUIREMENTS.—Participating 
clinicians must be licensed in their State of practice 
and meet the quality standards for their area of 
care. No clinician whose license is under suspension 
or who is under disciplinary action in any State may 
be a participating provider. 
(c) PARTICIPATION OF HEALTH MAINTENANCE OR-
GANIZATIONS.— 
(1) IN
GENERAL.—Non-profit health mainte-
nance organizations that deliver care in their own 
facilities and employ clinicians on a salaried basis 
may participate in the program and receive global 
budgets or capitation payments as specified in sec-
tion 202. 
(2) EXCLUSION OF CERTAIN HEALTH MAINTE-
NANCE ORGANIZATIONS.—Other health maintenance 
organizations which principally contract to pay for 
services delivered by non-employees shall be classi-
fied as insurance plans. Such organizations shall not 
be participating providers, and are subject to the 
regulations promulgated by reason of section 104(a) 
(relating to prohibition against duplicating cov-
erage). 
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(d) FREEDOM OF CHOICE.—Patients shall have free 
choice of participating physicians and other clinicians, 
hospitals, and inpatient care facilities. 
SEC. 104. PROHIBITION AGAINST DUPLICATING COVERAGE. 
(a) IN GENERAL.—It is unlawful for a private health 
insurer to sell health insurance coverage that duplicates 
the benefits provided under this Act. 
(b) CONSTRUCTION.—Nothing in this Act shall be 
construed as prohibiting the sale of health insurance cov-
erage for any additional benefits not covered by this Act, 
such as for cosmetic surgery or other services and items 
that are not medically necessary. 
TITLE II—FINANCES 
Subtitle A—Budgeting and 
Payments 
SEC. 201. BUDGETING PROCESS. 
(a) ESTABLISHMENT OF OPERATING BUDGET AND 
CAPITAL EXPENDITURES BUDGET.— 
(1) IN GENERAL.—To carry out this Act there 
are established on an annual basis consistent with 
this title— 
(A) 
an 
operating 
budget, 
including 
amounts for optimal physician, nurse, and other 
health care professional staffing; 
(B) a capital expenditures budget; 
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