H.R. 3115 (103rd): Competitive Affordable Health Care Act of 1993

Introduced:
Sep 22, 1993 (103rd Congress, 1993–1994)
Status:
Died (Referred to Committee)
Sponsor
David Dreier
Representative for California's 28th congressional district
Party
Republican
Text
Read Text »
Last Updated
Sep 22, 1993
Length
93 pages
Related Bills
H.R. 3600 (Related)
Health Security Act

Reported by Committee
Last Action: Jun 23, 1994

 
Status

This bill was introduced on September 22, 1993, in a previous session of Congress, but was not enacted.

Progress
Introduced Sep 22, 1993
Referred to Committee Sep 22, 1993
 
Full Title

To improve access, affordability, and competition in health care, through the implementation of flexible savings accounts and malpractice reform, and for other purposes.

Summary

No summaries available.

Cosponsors
none
Committees

House Energy and Commerce

House Judiciary

Regulatory Reform, Commercial, and Antitrust Law

House Ways and Means

Health

The committee chair determines whether a bill will move past the committee stage.

 
Primary Source

THOMAS.gov (The Library of Congress)

GovTrack gets most information from THOMAS, which is updated generally one day after events occur. Activity since the last update may not be reflected here. Data comes via the congress project.

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Citation

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Notes

H.R. stands for House of Representatives bill.

A bill must be passed by both the House and Senate in identical form and then be signed by the president to become law.

The bill’s title was written by its sponsor.

GovTrack’s Bill Summary

We don’t have a summary available yet.

Library of Congress Summary

The summary below was written by the Congressional Research Service, which is a nonpartisan division of the Library of Congress.


9/22/1993--Introduced.
TABLE OF CONTENTS:
Title I - Tax Provisions Encouraging Low-Cost Health Plans and Health Care Savings Accounts Title II: Health Care Cost Containment Subtitle A: Health Care Liability Reform Subtitle B: Limit on Self-Referrals by Health Care Provider Subtitle C: Administrative Cost Savings Subtitle D: Limitation of Antitrust Recovery for Certain Hospital Joint Ventures Subtitle E: Medicaid Program Flexibility Title III: Refundable Credit for Costs of Providing Emergency Indigent Care Competitive Affordable Health Care Act of 1993
Title I - Tax Provisions Encouraging Low-Cost Health Plans and Health Care Savings Accounts
Amends the Internal Revenue Code to allow a refundable tax credit in the case of individuals not covered under an employer-provided health plan for 15 percent of the lesser of:
(1) the health care expenses of the taxpayer (amount allowable as a medical expense deduction); or
(2) the maximum health care expense amount (limited, based on number of personal exemptions).
Allows such individuals an alternative election of a deduction for the lesser of the health care expenses of the taxpayer or the maximum health care expense amount.
Denies the use of the medical expense deduction for the credited amount or the deducted amount.
Repeals the special rules for health insurance costs for self-employed individuals under the trade or business expense deduction.
Section 102 -
Limits the amount excludable from gross income for employer-provided coverage to the lowest-cost available market health plan.
Section 103 -
Excludes from the gross income of an employee amounts contributed by the employer to a health care savings account of such employee. Describes the terms and conditions applicable to a health care savings account used to pay the health care expenses of the account beneficiary.
Title II - Health Care Cost Containment
Subtitle A - Health Care Liability Reform
Reforms health care liability actions regarding: (1) a statute of limitations; (2) use of alternative dispute resolution systems (ADRs); (3) noneconomic and punitive damages; (4) mandatory offsets for collateral source payments; (5) contingent attorney's fees; (6) several and joint liability; and (7) supersedure of certain State laws.
Subtitle B - Limit on Self-Referrals by Health Care Provider
Sets forth requirements for health care providers that refer patients to facilities in which they have a financial interest.
Subtitle C - Administrative Cost Savings
Regulates: (1) data elements, uniform claims forms, and uniform electronic transmission of data elements; (2) provider claims submission; and (3) hospital and non-hospital electronic medical data.
Section 242 -
Requires hospitals, in order to participate in Medicare, to maintain and electronically transmit clinical data on patients in a set of electronic comprehensive data elements.
Section 243 -
Provides for electronic transmission of data elements to Federal agencies.
Section 244 -
Establishes an advisory commission to monitor and advise the Secretary of Health and Human Services concerning standards and operational concerns.
Section 251 -
Provides for a comparative health care value program in each State. Authorizes grants and appropriations.
Section 252 -
Requires each Federal agency concerned with health insurance or care to develop comparative value information.
Section 253 -
Mandates model systems for the gathering and analysis of data on health care cost, quality, and outcome. Authorizes appropriations.
Section 261 -
Provides for standards regarding Medicare and Medicaid identification cards. Establishes a Medicare and Medicaid system to provide information on primary payors. Authorizes appropriations.
Section 262 -
Nullifies any State law requiring that medical or health insurance records be maintained in written rather than electronic form.
Section 263 -
Provides for standards regarding: (1) beneficiary and provider identification numbers; and (2) coordination of benefits.
Subtitle D - Limitation of Antitrust Recovery for Certain Hospital Joint Ventures
Limits antitrust recovery to actual damages if certain requirements are met, including the filing and publication of information regarding hospital joint ventures.
Subtitle E - Medicaid Program Flexibility
Amends title XIX (Medicaid) of the Social Security Act to modify: (1) Federal requirements to allow States more flexibility in contracting for coordinated care services under Medicaid; and (2) provisions regarding the extension of certain waivers.
Title III - Refundable Credit for Costs of Providing Emergency Indigent Care
Amends the Internal Revenue Code to allow a tax credit of 15 percent of the unreimbursed eligible costs incurred in providing emergency health care services to indigent individuals. Provides for payments to tax-exempt entities in lieu of such credit.

House Republican Conference Summary

The summary below was written by the House Republican Conference, which is the caucus of Republicans in the House of Representatives.


No summary available.

House Democratic Caucus Summary

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