HR 381 IH
SEC. 6. DESIGNATION OF COMPREHENSIVE HEALTH AC-
CESS DISTRICTS AND CERTIFICATION OF
COMPREHENSIVE 
COMMUNITY-BASED
HEALTH ACCESS PLANS.
The Secretary shall designate a community that
meets the criteria set forth in section 2(a) of this Act a
comprehensive health access district and shall certify an
entity that meets the criteria set forth in section 5 of this
Act as a comprehensive health access plan. Each such cer-
tification and designation shall be reviewed every five
years. The Secretary may delegate all or part of the cer-
tification function to the State in which the health access
plan operates.
SEC. 7. NATIONAL HEALTH OUTCOMES RESEARCH AND
EVALUATION.
(a) PROVISION OF INFORMATION.—In order to evalu-
ate the performance of health access plans in improving
the health status of persons living in comprehensive health
access districts, each health access plan shall provide the
Secretary, at a time and in a manner specified by the Sec-
retary, at least the following information:
(1) Information on the characteristics of enroll-
ees that may affect their need for or use of health
services.
(2) Information on the types of treatments and
services and outcomes of treatments with respect to
HR 381 IH
the clinical health, functional status and well-being
of enrollees.
(3) Information on enrollee satisfaction.
(4) Information on health care expenditures,
volume and prices of procedures, and use of special-
ized services.
(b) ANALYSIS
OF INFORMATION.—The Secretary
shall analyze the information reported by health access
plans in order to report to Congress, the plans and the
public, no less than annually, on the following:
(1) The health status of persons living in com-
prehensive health access districts (particularly those
indicators listed in section 2(a) of this Act).
(2) The level and rate of expenditures by health
access plans on medical services and other programs
to improve health status.
(3) The effectiveness of health access plans in
improving health outcomes (particularly outcomes
related to health indicators listed in section 2(a) of
this Act).
(c) RESEARCH.—
(1) The Secretary shall examine the relation-
ship between socioeconomic factors and health status
and, based on his findings, suggest interventions ap-
propriate to comprehensive health access districts.
HR 381 IH
(2) The Secretary may contract with non-
governmental entities to perform this research. Per-
sons undertaking this work shall have access to the
information provided by the health access plans to
the Secretary.
SEC. 8. CHANGES TO THE MEDICAID STATUTE TO FACILI-
TATE STATE CONTRACTS WITH COMPREHEN-
SIVE COMMUNITY-BASED HEALTH ACCESS
PLANS.
(a) Section 1903(m)(2) of the Social Security Act (42
U.S.C. 1396b(m)(2)) is amended by adding after subpara-
graph (H) the following new subparagraph:
‘‘(I) Clause (ii) of subparagraph (A) does not
apply to any entity certified as a comprehensive
health access plan pursuant to section 6 of the Com-
prehensive Health Access District Act.’’
(b) This amendment shall apply to payments for med-
ical assistance for calendar quarters beginning on or after
July 1, 1996.
SEC. 9. REGULATIONS AND EFFECTIVE DATE.
(a) The Secretary shall promulgate regulations nec-
essary to implement this Act.
HR 381 IH
(b) This Act shall take effect on July 1, 1996, with-
out regard to whether or not final regulations to carry out
this Act have been promulgated by such date.
Æ