‘‘SEC. 7527. ADVANCE PAYMENT OF HEALTH INSURANCE
CREDIT FOR PURCHASERS OF QUALIFIED
HEALTH INSURANCE.
‘‘(a) GENERAL RULE.—In the case of an eligible indi-
vidual, the Secretary shall make payments to the provider
of such individual’s qualified health insurance equal to
such individual’s qualified health insurance credit advance
amount with respect to such provider.
‘‘(b) ELIGIBLE INDIVIDUAL.—For purposes of this
section, the term ‘eligible individual’ means any
individual—
‘‘(1) who purchases qualified health insurance
(as defined in section 35(c)), and
‘‘(2) for whom a qualified health insurance
credit eligibility certificate is in effect.
‘‘(c) QUALIFIED HEALTH INSURANCE CREDIT ELIGI-
BILITY CERTIFICATE.—For purposes of this section, a
qualified health insurance credit eligibility certificate is a
statement furnished by an individual to the Secretary
which—
‘‘(1) certifies that the individual will be eligible
to receive the credit provided by section 35 for the
taxable year,
‘‘(2) estimates the amount of such credit for
such taxable year, and
‘‘(3) provides such other information as the
Secretary may require for purposes of this section.
‘‘(d) QUALIFIED HEALTH INSURANCE CREDIT AD-
VANCE AMOUNT.—For purposes of this section, the term
‘qualified health insurance credit advance amount’ means,
with respect to any provider of qualified health insurance,
the Secretary’s estimate of the amount of credit allowable
under section 35 to the individual for the taxable year
which is attributable to the insurance provided to the indi-
vidual by such provider.
‘‘(e) REGULATIONS.—The Secretary shall prescribe
such regulations as may be necessary to carry out the pur-
poses of this section.’’.
(b) CLERICAL AMENDMENT.—The table of sections
for chapter 77 of such Code is amended by adding at the
end the following new item:
‘‘Sec. 7527. Advance payment of health insurance credit for pur-
chasers of qualified health insurance.’’.
(c) EFFECTIVE DATE.—The amendments made by
this section shall take effect on January 1, 2000.
TITLE II—STUDY OF SAFETY-NET
HEALTH 
INSURANCE 
PRO-
GRAMS FOR THE MEDICALLY
UNINSURABLE
SEC. 201. STUDY OF STATE SAFETY-NET HEALTH INSUR-
ANCE PROGRAMS FOR THE MEDICALLY UNIN-
SURABLE.
(a) STUDY.—
(1) IN GENERAL.—The Secretary of Health and
Human Services shall provide for a study on the
current state of all existing State safety-net health
insurance programs (as defined in subsection (c)).
The study shall determine which forms of such pro-
grams are the most successful in making health in-
surance available to all willing payers regardless of
their health status.
(2) CONSULTATION.—In conducting the study
the Secretary shall consult with representatives of
the National Governors Association, the National
Association of Insurance Commissioners, national
associations representing health insurers, insurance
companies that administer and participate in State
safety-net health insurance programs, and individ-
uals who receive their health insurance through such
programs.
(b) REPORT.—The Secretary shall submit to Con-
gress, by not later than October 1, 2000, a detailed report
on the study conducted under subsection (a). The report
shall include recommendations on how Congress can best
strengthen State safety-net health insurance programs
where they currently exist and can encourage their estab-
lishment in States where they do not exist.
(c) STATE SAFETY-NET HEALTH INSURANCE PRO-
GRAM DEFINED.—For purposes of this section, the term
‘‘State safety-net health insurance program’’ means a high
risk pool or similar arrangement provided under State law
for providing access of medically uninsurable individuals
to health insurance coverage. Such term may include such
other arrangements as the Secretary finds appropriate for
assuring the provision of health insurance coverage to
such individuals.
Æ