Sec. 602. Computation of individual and State capitation amounts. 
Sec. 603. State health security budgets. 
Sec. 604. Federal payments to States. 
Sec. 605. Account for health professional education expenditures. 
Subtitle B—Payments by States to Providers 
Sec. 611. Payments to hospitals and other facility-based services for operating 
expenses on the basis of approved global budgets. 
Sec. 612. Payments to health care practitioners based on prospective fee sched-
ule. 
Sec. 613. Payments to comprehensive health service organizations. 
Sec. 614. Payments for community-based primary health services. 
Sec. 615. Payments for prescription drugs. 
Sec. 616. Payments for approved devices and equipment. 
Sec. 617. Payments for other items and services. 
Sec. 618. Payment incentives for medically underserved areas. 
Sec. 619. Authority for alternative payment methodologies. 
Subtitle C—Mandatory Assignment and Administrative Provisions 
Sec. 631. Mandatory assignment. 
Sec. 632. Procedures for reimbursement; appeals. 
TITLE VII—PROMOTION OF PRIMARY HEALTH CARE; DEVELOP-
MENT OF HEALTH SERVICE CAPACITY; PROGRAMS TO ASSIST 
THE MEDICALLY UNDERSERVED 
Subtitle A—Promotion and Expansion of Primary Care Professional Training 
Sec. 701. Role of Board; establishment of primary care professional output 
goals. 
Sec. 702. Establishment of Advisory Committee on Health Professional Edu-
cation. 
Sec. 703. Grants for health professions education, nurse education, and the Na-
tional Health Service Corps. 
Subtitle B—Direct Health Care Delivery 
Sec. 711. Set-aside for public health. 
Sec. 712. Set-aside for primary health care delivery. 
Sec. 713. Primary care service expansion grants. 
Subtitle C—Primary Care and Outcomes Research 
Sec. 721. Set-aside for outcomes research. 
Sec. 722. Office of Primary Care and Prevention Research. 
Subtitle D—School-Related Health Services 
Sec. 731. Authorizations of appropriations. 
Sec. 732. Eligibility for development and operation grants. 
Sec. 733. Preferences. 
Sec. 734. Grants for development of projects. 
Sec. 735. Grants for operation of projects. 
Sec. 736. Federal administrative costs. 
Sec. 737. Definitions. 
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TITLE VIII—FINANCING PROVISIONS; AMERICAN HEALTH 
SECURITY TRUST FUND 
Sec. 800. Amendment of 1986 code; Section 15 not to apply. 
Subtitle A—American Health Security Trust Fund 
Sec. 801. American Health Security Trust Fund. 
Subtitle B—Taxes Based on Income and Wages 
Sec. 811. Payroll tax on employers. 
Sec. 812. Health care income tax. 
TITLE IX—CONFORMING AMENDMENTS TO THE EMPLOYEE 
RETIREMENT INCOME SECURITY ACT OF 1974 
Sec. 901. ERISA inapplicable to health coverage arrangements under State 
health security programs. 
Sec. 902. Exemption of State health security programs from ERISA preemp-
tion. 
Sec. 903. Prohibition of employee benefits duplicative of benefits under State 
health security programs; coordination in case of workers’ com-
pensation. 
Sec. 904. Repeal of continuation coverage requirements under ERISA and cer-
tain other requirements relating to group health plans. 
Sec. 905. Effective date of title. 
TITLE X—ADDITIONAL CONFORMING AMENDMENTS 
Sec. 1001. Repeal of certain provisions in Internal Revenue Code of 1986. 
Sec. 1002. Repeal of certain provisions in the Employee Retirement Income Se-
curity Act of 1974. 
Sec. 1003. Repeal of certain provisions in the Public Health Service Act and 
related provisions. 
Sec. 1004. Effective date of title. 
TITLE I—ESTABLISHMENT OF A 
STATE-BASED 
AMERICAN 
HEALTH 
SECURITY 
PRO-
GRAM; UNIVERSAL ENTITLE-
MENT; ENROLLMENT 
SEC. 101. ESTABLISHMENT OF A STATE-BASED AMERICAN 
HEALTH SECURITY PROGRAM. 
(a) IN GENERAL.—There is hereby established in the 
United States a State-Based American Health Security 
Program to be administered by the individual States in 
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