I
103D CONGRESS
1ST SESSION
H. R. 2624
To provide for comprehensive health care and health care cost containment.
IN THE HOUSE OF REPRESENTATIVES
JULY 13, 1993
Mr. PETERSON of Minnesota introduced the following bill; which was referred
jointly to the Committees on Energy and Commerce, Ways and Means,
Education and Labor, the Judiciary, Armed Services, and Post Office
and Civil Service
A BILL
To provide for comprehensive health care and health care
cost containment.
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled,
SECTION 1. SHORT TITLE; TABLE OF CONTENTS.
(a) SHORT TITLE.—This Act may be cited as the
‘‘Comprehensive Health Care and Cost Containment Act
of 1993’’.
(b) TABLE OF CONTENTS.—The table of contents of
this Act is as follows:
Sec. 1. Short title; table of contents.
Sec. 2. Findings and program goals.
Sec. 3. Definitions.
TITLE I—FEDERAL AND STATE ADMINISTRATION
Subtitle A—Federal Administration
Sec. 101. Federal Health Board.
Sec. 102. Federal Health Education Commission.
Subtitle B—State Administration
Sec. 111. State Health Boards.
Sec. 112. Health care districts and boards.
Sec. 113. State Health Care Education Commissions.
TITLE II—HEALTH CARE SERVICES
Subtitle A—National Health Insurance Program
Sec. 201. National standards for health insurance; requirement of enrollment.
Sec. 202. Coverage of all necessary and appropriate health care practitioner
services.
Sec. 203. Premiums; reduction in premiums for low income individuals.
Sec. 204. Use of standardized forms.
Sec. 205. Payments to practitioners.
Subtitle B—Payment Amounts for Health Care Practitioner Services and for
Covered District Health Care Services
PART 1—HEALTH CARE PRACTITIONER SERVICES
Sec. 211. State-chartered practitioners associations.
Sec. 212. Establishment of fee schedules.
PART 2—PAYMENTS FOR COVERED DISTRICT HEALTH CARE SERVICES
Sec. 221. Establishment of annual per capita rates.
Sec. 222. State budgets for covered district health care services.
Sec. 223. District budgets for covered district health care services.
Sec. 224. Payments from Federal government to States for covered district
health care services.
Sec. 225. State program budgets.
TITLE III—MALPRACTICE INSURANCE REFORM
Sec. 301. Eligibility requirements for Federal payments for State plans.
Sec. 302. State-chartered practitioners association assumption of responsibility
for malpractice insurance coverage and payment of damages.
Sec. 303. Prohibition against punitive damages.
Sec. 304. Medical malpractice claim defined.
TITLE IV—PROVISIONS RELATING TO ERISA AND FEDERAL AND
STATE ANTITRUST LAWS
Sec. 401. Relation to ERISA.
Sec. 402. Relation to Federal and State Antitrust laws.
TITLE V—HEALTH CARE EDUCATION TRUST FUND
Sec. 501. Health Care Education Trust Fund.
Sec. 502. Increase in taxes on cigarettes and distilled spirits.
TITLE VI—TAX TREATMENT OF HEALTH INSURANCE PREMIUMS
Sec. 601. Deduction for health insurance premiums.
TITLE VII—PRIVATE OPTIONS
Sec. 701. Additional insurance.
TITLE VIII—PRESCRIPTION DRUG REVIEW BOARD
Sec. 801. Establishment of Board.
Sec. 802. Powers of Board.
Sec. 803. Functions of the Board.
Sec. 804. Sanctions and remedies.
Sec. 805. Manufacturers.
Sec. 806. Study.
TITLE IX—TERMINATION OF PROGRAMS
Sec. 901. Termination of certain Federal health care programs.
Sec. 902. Transition.
SEC. 2. FINDINGS AND PROGRAM GOALS.
(a) FINDINGS.—Congress finds the following:
(1) RISING
COSTS
OF
HEALTH
CARE.—(A)
Health care spending in the United States has
grown at a rate that substantially exceeds the rise
in the gross national product.
(B) Between 1965 and 1989, national health
care spending doubled, increasing from 5.9 percent
to 11.6 percent of the gross national product.
(C) National spending on health care has been
increasing at a greater rate than the general cost-
of-living index and the growth in the gross national
product for a number of years.
(D) In 1989, spending on health care was $604
billion, an amount which exceeds the proportion of