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The summary below was written by the Congressional Research Service, which is a nonpartisan division of the Library of Congress, and was published on Jun 4, 1991.
National Health Care and Cost Containment Act - Title I: Federal Contributions and Payments - Requires an annual Federal payment comprising payments under the Medicare and Medicaid programs (titles XVIII and XIX respectively of the Social Security Act) and a payment in the form of a block grant to States which have been certified by the Secretary of Health and Human Services as having established a universal, comprehensive health plan which meets the terms and conditions set forth in title II of this Act. Title II: State Health Care Insurance Plans - Outlines criteria concerning administration, comprehensiveness, universality, portability, and accessibility that the State's health care insurance plan must satisfy in order to receive the Federal payment under title I of this Act. Title III: Budget-Neutral Financing of the Federal Block Grant - Amends the Internal Revenue Code to impose a surtax, on both the regular income tax and the minimum tax, to replace revenues used for block grants under this Act. Creates in the Treasury the National Health Care Block Grant Trust Fund to finance the block grants made available under title I of this Act.