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HR 483 - 104

An Act to amend the Omnibus Budget Reconciliation Act of 1990 to permit medicare select policies to be offered in all States.

Became Public Law No: 104-18.

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Healthcare
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Health

An Act to amend the Omnibus Budget Reconciliation Act of 1990 to permit medicare select policies to be offered in all States. Became Public Law No: 104-18. Health

An Act to amend the Omnibus Budget Reconciliation Act of 1990 to permit medicare select policies to be offered in all States. Became Public Law No: 104-18. Health

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Summary

48 Conference report filed in House May 7, 2001

Amends the Omnibus Budget Reconciliation Act of 1990, as amended by the Social Security Act Amendments of 1994, to: (1) extend the current 15-State Medicare Select demonstration program under which insurers can market Medicare supplemental (Medigap) policies that are the same as other Medigap policies except that supplemental benefits are paid only if services are provided through designated providers; and (2) permit Medicare Select policies to be offered in all States, at State option, until June 30, 1998. Directs the Secretary of Health and Human Services to conduct a study that compares the health care costs, quality of care, and access to services under Medicare Select policies with those under other Medigap policies. Declares that such amendments shall remain in effect beyond the extended period unless the Secretary determines by December 31, 1997, based on the study, that as a result of such amendments: (1) there have been no savings in premium costs to Select enrollees as compared to their enrollment in Medigap policies with comparable coverage which are not Medicare Select policies; (2) there have been significant additional expenditures under the Medicare program; or (3) access to and quality of care have been significantly diminished. Directs the Comptroller General to study and report, by June 30, 1996, to the Congress on: (1) the extent to which individuals who are continuously covered under a Medigap policy are subject to medical underwriting if they change the policy under which they are covered; and (2) the options, if necessary, for modifying the Medigap insurance market to make sure that continuously insured beneficiaries are able to switch plans without medical underwriting. Requires such report to describe the potential impact on the cost and availability of Medigap policies of each option identified.

36 Passed House amended May 7, 2001

Amends the Omnibus Budget Reconciliation Act of 1990, as amended by the Social Security Act Amendments of 1994, to: (1) extend the current 15-State Medicare Select demonstration program under which insurers can market Medicare supplemental (Medigap) policies that are the same as other Medigap policies except that supplemental benefits are paid only if services are provided through designated providers; and (2) permit Medicare Select policies to be offered in all States, at State option, for an extended period of eight and one-half (instead of only three and one-half) years beginning with 1992. Directs the Secretary of Health and Human Services to: (1) conduct a study that compares the health care costs, quality of care, and access to services under Medicare Select policies with those under other Medigap policies; and (2) determine during 1999 whether the amendments made by this Act shall remain in effect beyond such extended period. Declares that such amendments shall remain in effect beyond the extended period unless the Secretary determines, based on the study, that as a result of such amendments: (1) there have been no savings in premium costs to Select enrollees as compared to their enrollment in Medigap policies with comparable coverage which are not Medicare Select policies; (2) there have been significant additional expenditures under the Medicare program; or (3) access to and quality of care have been significantly diminished.

00 Introduced in House May 7, 2001

Amends the Omnibus Budget Reconciliation Act of 1990 to: (1) make permanent the Medicare select policy program; and (2) allow access to Medicare select policies in all States. Amends title XVIII (Medicare) of the Social Security Act to revise the Medicare select policy program and provide for a civil penalty for misrepresentations made in connection with a Medicare select policy.

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Timeline

Jul 7, 1995

Signed by President.

Jul 7, 1995

Signed by President.

Jul 7, 1995

Became Public Law No: 104-18.

Jul 7, 1995

Became Public Law No: 104-18.

Jun 30, 1995

Rule H. Res. 180 passed House.

Jun 30, 1995

Mr. Bliley brought up conference report H. Rept. 104-157 for consideration under the provisions of H. Res. 180.

Jun 30, 1995

DEBATE - The House proceeded with one hour of debate on the conference report.

Jun 30, 1995

Conference report agreed to in House: On agreeing to the conference report Agreed to by the Yeas and Nays: 350 - 68 (Roll no. 467).(consideration: CR H6675)

Jun 30, 1995

Motion to reconsider laid on the table Agreed to without objection.

Jun 30, 1995

On agreeing to the conference report Agreed to by the Yeas and Nays: 350 - 68 (Roll no. 467). (consideration: CR H6675)

Jun 30, 1995

Presented to President.

Jun 30, 1995

Presented to President.

Jun 29, 1995

Rules Committee Resolution H. Res. 180 Reported to House. Rule provides for consideration of the conference report to H.R. 483 with 1 hour of general debate. Previous question shall be considered as ordered without intervening motions. Providing for the consideration of the in the House. Upon adoption of the conference report, S. Con. Res. 19 shall be considered as agreed to by the House.

Jun 27, 1995

Message on Senate action sent to the House.

Jun 26, 1995

Conference report agreed to in Senate: Senate agreed to conference report by Voice Vote.(consideration: CR S9088)

Jun 26, 1995

Senate agreed to conference report by Voice Vote. (consideration: CR S9088)

Jun 22, 1995

Conference committee actions: Conferees agreed to file conference report.

Jun 22, 1995

Conferees agreed to file conference report.

Jun 22, 1995

Conference report filed: Conference report H. Rept. 104-157 filed.(text of conference report: CR H6256-6257)

Jun 22, 1995

Conference report H. Rept. 104-157 filed. (text of conference report: CR H6256-6257)

Jun 22, 1995

Conference papers: Senate report and managers' statement and official papers held at the desk in Senate.

Jun 6, 1995

Message on Senate action sent to the House.

Jun 5, 1995

Senate insists on its amendment agrees to request for a conference, appoints conferees Packwood; Dole; Moynihan. (consideration: CR S7696)

May 25, 1995

Mr. Bliley asked unanimous consent that the House disagree to the Senate amendment, and request a conference.

May 25, 1995

On motion that the House disagree to the Senate amendment, and request a conference Agreed to without objection.

May 25, 1995

Mr. Doggett moved that the House instruct conferees.

May 25, 1995

DEBATE - The House proceeded with one hour of debate on the motion to instruct conferees on the part of the House to resolve the differences between the House's 8 1/2-year program and the Senate's 5-year program of medicare select policies, in light of the changes in Medicare contemplated in the Budget resolution to increase beneficiary cost-sharing and impose limitations on provider choices.

May 25, 1995

DEBATE - The House resumed debate on the motion to instruct conferees.

May 25, 1995

The previous question was ordered without objection.

May 25, 1995

On motion that the House instruct conferees Failed by the Yeas and Nays: 197 - 224 (Roll no. 355). (consideration: CR H5585-5586)

May 25, 1995

Motion to reconsider laid on the table Agreed to without objection.

May 25, 1995

The Speaker appointed conferees: Bliley, Bilirakis, Hastert, Archer, Thomas, Johnson (CT), Dingell, Waxman, Gibbons, and Stark.

May 25, 1995

Message on House action received in Senate and at the desk: House requests a conference.

May 18, 1995

Message on Senate action sent to the House.

May 17, 1995

Motion to proceed to consideration of measure made in Senate.

May 17, 1995

Measure laid before Senate by unanimous consent. (consideration: CR S6794-6797)

May 17, 1995

Amendment SP 1108 proposed by Senator Chafee for Senator Packwood.

May 17, 1995

Amendment SP 1108 agreed to in Senate by Voice Vote.

May 17, 1995

Passed/agreed to in Senate: Passed Senate with an amendment by Voice Vote.

May 17, 1995

Passed Senate with an amendment by Voice Vote.

Apr 24, 1995

Read the second time. Placed on Senate Legislative Calendar under General Orders. Calendar No. 92.

Apr 7, 1995

Received in the Senate. Read the first time. Placed on Senate Legislative Calendar under Read the First Time.

Apr 6, 1995

Rule H. Res. 130 passed House.

Apr 6, 1995

Reported (Amended) by the Committee on Commerce. H. Rept. 104-79, Part II.

Apr 6, 1995

Reported (Amended) by the Committee on Commerce. H. Rept. 104-79, Part II.

Apr 6, 1995

Placed on the Union Calendar, Calendar No. 49.

Apr 6, 1995

Considered under the provisions of rule H. Res. 130. (consideration: CR H4383-4394)

Apr 6, 1995

Rule provides for consideration of H.R. 483 with 1 hour of general debate. Previous question shall be considered as ordered without intervening motions except motion to recommit. Measure will be read by section. Specified amendments are in order. It shall be in order to consider an amendment in the nature of a substitute consisting of the text of H.R. 1391 as an original bill for the purpose of amendment. No further amendment shall be in order except an amendment in the nature of a substitute to be offered by Representative Dingell, debatable for one hour, and shall not be subject to further amendment. It shall be in order for the Committee on Commerce to file a report on H.R. 483 at any time.

Apr 6, 1995

House resolved itself into the Committee of the Whole House on the state of the Union pursuant to H. Res. 130 and Rule XXIII.

Apr 6, 1995

The Speaker designated the Honorable Henry Bonilla to act as Chairman of the Committee.

Apr 6, 1995

GENERAL DEBATE - The Committee of the Whole proceeded with one hour of general debate.

Apr 6, 1995

DEBATE - Pursuant to the provisions of H. Res. 130, the Committee of the Whole proceeded with one hour of debate on the Waxman substitute.

Apr 6, 1995

The House rose from the Committee of the Whole House on the state of the Union to report H.R. 483.

Apr 6, 1995

The previous question was ordered pursuant to the rule.

Apr 6, 1995

The House adopted the amendment in the nature of a substitute as agreed to by the Committee of the Whole House on the state of the Union.

Apr 6, 1995

Passed/agreed to in House: On passage Passed by recorded vote: 408 - 14 (Roll no. 302).

Apr 6, 1995

On passage Passed by recorded vote: 408 - 14 (Roll no. 302).

Apr 6, 1995

Motion to reconsider laid on the table Agreed to without objection.

Apr 6, 1995

The Clerk was authorized to correct section numbers, punctuation, and cross references, and to make other necessary technical and conforming corrections in the engrossment of H.R. 483.

Apr 5, 1995

Rules Committee Resolution H. Res. 130 Reported to House. Rule provides for consideration of H.R. 483 with 1 hour of general debate. Previous question shall be considered as ordered without intervening motions except motion to recommit. Measure will be read by section. Specified amendments are in order. It shall be in order to consider an amendment in the nature of a substitute consisting of the text of H.R. 1391 as an original bill for the purpose of amendment. No further amendment shall be in order except an amendment in the nature of a substitute to be offered by Representative Dingell, debatable for one hour, and shall not be subject to further amendment. It shall be in order for the Committee on Commerce to file a report on H. R. 483 at any time.

Apr 3, 1995

Committee Consideration and Mark-up Session Held.

Apr 3, 1995

Ordered to be Reported (Amended) by Voice Vote.

Mar 22, 1995

Subcommittee Consideration and Mark-up Session Held.

Mar 22, 1995

Forwarded by Subcommittee to Full Committee (Amended) by Voice Vote.

Mar 15, 1995

Reported (Amended) by the Committee on Ways and Means. H. Rept. 104-79, Part I.

Mar 15, 1995

Reported (Amended) by the Committee on Ways and Means. H. Rept. 104-79, Part I.

Mar 8, 1995

Committee Consideration and Mark-up Session Held.

Mar 8, 1995

Ordered to be Reported (Amended) by the Yeas and Nays: 31 - 2.

Feb 23, 1995

Subcommittee Consideration and Mark-up Session Held.

Feb 23, 1995

Forwarded by Subcommittee to Full Committee (Amended) by the Yeas and Nays: 10 - 3.

Feb 6, 1995

Referred to the Subcommittee on Health and Environment, for a period to be subsequently determined by the Chairman.

Jan 17, 1995

Referred to the Subcommittee on Health.

Jan 11, 1995

Introduced in House

Jan 11, 1995

Introduced in House

Jan 11, 1995

Sponsor introductory remarks on measure. (CR E76)

Jan 11, 1995

Referred to the Committee on Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.

Jan 11, 1995

Referred to the Committee on Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.

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