Text: H.R.5182 — 101st Congress (1989-1990)All Information (Except Text)

There is one version of the bill.

Text available as:

Shown Here:
Introduced in House

 
 
HR 5182 IH
101st CONGRESS
2d Session
 H. R. 5182
To establish the Health Care Crisis Policy Commission.
IN THE HOUSE OF REPRESENTATIVES
June 27, 1990
Mr. NEAL of North Carolina introduced the following bill; which was referred
jointly to the Committees on Energy and Commerce and Ways and Means
A BILL
To establish the Health Care Crisis Policy Commission.
  Be it enacted by the Senate and House of Representatives of the United
  States of America in Congress assembled,
SECTION 1. SHORT TITLE.
  This Act may be cited as the `Health Care Crisis Policy Commission Act'.
SEC. 2. FINDINGS.
  The Congress finds that--
  (1) the people of the United States will find it increasingly difficult
  to pay for their medical care if the increases in the cost of that care
  are not reduced;
  (2) in 1988, an estimated 37,000,000 Americans lacked health insurance
  and another 50,000,000 were underinsured, leading to high levels of
  uncompensated medical care;
  (3) there exists a tremendous need in the United States for access to
  basic medical care services;
  (4) as the average age of Americans increases, there will be a growing
  demand for health care;
  (5) in 1988, the average cost of a stay of one year in a long-term health
  care facility was $25,000;
  (6) adequate long-term health care insurance is unavailable;
  (7) the medical care system of the Department of Veterans Affairs is not
  adequate to deal with the health care needs of American veterans;
  (8) 11 percent of the gross national product of the United States is made
  up of spending for medical care;
  (9) medical malpractice tort reform is necessary because the high cost of
  malpractice insurance inflates medical costs;
  (10) there is a shortage of prenatal, infant delivery, and well-baby care
  services in the United States even though it has been proven that such
  services reduce medical costs over the long-term;
  (11) a large percentage of health care expenditures are made for
  extraordinary medical procedures performed near the end of individuals'
  lives rather than for preventative measures early in their lives;
  (12) Federal income tax incentives for employer-paid group health insurance
  need to be improved; and
  (13) businesses that offer only self-insured health care coverage for
  their employees need to have such coverage regulated to guarantee adequate
  coverage, as such coverage is the fastest growing segment of health care
  insurance; and
  (14) concern exists regarding the continued solvency of the Medicare system
  with physicians becoming reluctant to participate because Federal payment
  rates are too low; and
  (15) health care in many rural areas is inadequate and some rural hospitals
  are closing.
SEC. 3. ESTABLISHMENT.
  There is established a commission to be known as the `Health Care Crisis
  Policy Commission' (hereafter in this Act referred to as the `Commission').
SEC. 4. DUTIES OF COMMISSION.
  The Commission shall conduct a study of the problems of the cost and
  delivery of medical care in the United States. In conducting the study,
  the Commission shall--
  (1) examine the escalating costs of medical care and health care insurance
  and its effect on the availability of medical care to Americans;
  (2) investigate alternatives for providing medical care to those who do not
  have health care insurance or who do not have adequate health care insurance;
  (3) evaluate how the private sector could most effectively offer adequate
  health care insurance to all employed individuals in the United States;
  (4) review the demands that will be placed on the Nation's health care
  system in the future as our population ages;
  (5) examine the costs of long-term institutional and home health care and
  the affordability and availability of insurance for such care;
  (6) evaluate the health care delivery system of the Department of Veterans
  Affairs;
  (7) investigate reforms that could be made to the medical malpractice
  liability system and the effect that system has on medical malpractice
  insurance and on the cost of health care;
  (8) examine the need for prenatal, delivery, and well-baby health care
  and how such care impacts on the cost of health care in the long term;
  (9) review the Federal income tax incentives used by businesses for employer
  sponsored group health insurance;
  (10) research the trend of businesses to be self-insured in their health
  insurance coverage and how such coverage is regulated;
  (11) examine the delivery of health care in the rural areas of the United
  States and the reasons for the closing of many of the hospitals in those
  areas;
  (12) evaluate the financial stability and effectiveness of, and
  physician reimbursements from, title XVIII of the Social Security Act
  (42 U.S.C. 1395-1395ccc; commonly known as Medicare);
  (13) investigate financing options and costs for each health care delivery
  system recommended by the Commission as an alternative to the systems used
  in the United States as of the date of the enactment of this Act;
  (14) investigate systems of organizing and delivering health care and
  types of incentives that could be used to improve the efficiency of the
  provision of health care while improving the quality of care; and
  (15) investigate other areas relating to the efficient and cost effective
  delivery of health care that the Commission believes is necessary.
SEC. 5. MEMBERSHIP.
  (a) NUMBER AND APPOINTMENT- The Commission shall be composed of 15 members
  appointed as follows:
  (1) 5 members appointed by the President;
  (2) 5 members appointed by the Speaker of the House of Representatives; and
  (3) 5 members appointed by the Majority Leader of the Senate.
  (b) QUALIFICATIONS FOR AND LIMITATIONS ON APPOINTMENT- Each member shall be
  knowledgeable about the delivery or financing of health care, or both, or
  in the economics, administration, or legal aspects of health care. Members
  must be selected from consumers of health care, health care providers,
  employers, or health care financial institutions or organizations that
  represent such persons. Not more than 1 member appointed under each
  paragraph of subsection (a) may be an employee or officer of the United
  States or of any State or local government or be a Member of Congress.
  (c) VACANCIES- A vacancy in the Commission shall be filled in the manner
  in which the original appointment was made.
  (d) WAIVER OF LIMITATION ON EXECUTIVE SCHEDULE POSITIONS- Appointments may
  be made under this section without regard to section 5311(b) of title 5,
  United States Code (relating to the limitation of the number of individuals
  who can hold an office paid at an Executive Schedule level).
  (e) POLITICAL AFFILIATION- Not more than 3 members of the Commission
  appointed under each paragraph of subsection (a) may be of the same
  political party.
  (f) TERMS- Members shall be appointed for the life of the Commission.
  (g) BASIC PAY-
  (1) RATES OF PAY- Except as provided in paragraph (2), members of the
  Commission shall each be paid at a rate equal to the rate of basic pay
  payable for level IV of the Executive Schedule for each day (including
  travel time) during which they are engaged in the actual performance of
  duties vested in the Commission.
  (2) PAY OF FEDERAL EMPLOYEES AND MEMBERS OF CONGRESS- Members of the
  Commission who are full-time officers or employees of the United States
  or Members of the Congress shall receive no additional pay, allowances,
  or benefits, except those provided in paragraph (3), by reason of their
  service on the Commission.
  (3) TRAVEL EXPENSES- Each member of the Commission shall receive travel
  expenses, including per diem in lieu of subsistence, in the same manner
  as is permitted under sections 5702 and 5703 of title 5, United States Code.
  (h) QUORUM- Eight members of the Commission shall constitute a quorum but
  a lesser number may hold hearings.
  (i) CHAIRMAN AND VICE CHAIRMAN- The Chairman and Vice Chairman of the
  Commission shall be elected by the members of the Commission.
  (j) MEETINGS- The Commission shall meet at the call of the Chairman or a
  majority of its members.
SEC. 6. STAFF OF COMMISSION; EXPERTS AND CONSULTANTS.
  (a) IN GENERAL- The Chairman shall, in accordance with the provisions of
  title 5, United States Code, governing appointments in the competitive
  service, and other applicable laws and regulations, hire such staff as is
  necessary to carry out the duties of the Commission.
  (b) PAY- The staff of the Commission shall be paid in accordance with the
  provisions of chapter 51 and subchapter III of chapter 53 of title 5, United
  States Code, relating to classification and General Schedule pay rates.
  (c) EXPERTS AND CONSULTANTS- The Chairman may procure temporary and
  intermittent services of experts and consultants under section 3109(b)
  of title 5, United States Code.
  (d) STAFF OF FEDERAL DEPARTMENTS AND AGENCIES- Upon request of the
  Commission, the head of any department or agency of the United States is
  authorized to detail, on a reimbursable basis, any of the personnel of
  such agency to the Commission to assist the Commission in carrying out
  its duties under this Act.
SEC. 7. POWERS OF COMMISSION.
  (a) HEARINGS AND SESSIONS-
  (1) IN GENERAL- The Commission may, for the purpose of carrying out this
  Act, hold hearings, sit and act at times and places, take testimony,
  and receive evidence, as the Commission considers appropriate.
  (2) OPEN MEETINGS- The Commission shall be considered an agency for the
  purposes of section 552b of title 5, United States Code (relating to the
  requirement that meetings of Federal agencies be open to the public).
  (b) POWERS OF MEMBERS AND AGENTS- Any member or agent of the Commission may,
  if so authorized by the Commission, take any action which the Commission
  is authorized to take by this section.
  (c) OBTAINING OFFICIAL DATA- All officers and employees of departments
  and agencies of the United States shall cooperate with the Commission in
  the performance of its duties. Subject to sections 552 and 552a of title
  5, United States Code (relating to the availability of information of
  departments and agencies of the United States to the public), the Commission
  may secure directly from any department or agency of the United States
  information necessary to enable it to carry out this Act. Upon request
  of the Chairman of the Commission, the head of such department or agency
  shall furnish such information to the Commission.
  (d) GIFTS- The Commission may accept, use, and dispose of gifts or donations
  of services or property.
  (e) MAILS- The Commission may use the United States mails in the same
  manner and under the same conditions as other departments and agencies of
  the United States.
  (f) ADMINISTRATIVE SUPPORT SERVICES- The Administrator of General Services
  shall provide to the Commission on a reimbursable basis such administrative
  support services as the Commission may request.
SEC. 8. REPORT.
  The Commission shall transmit to the President and to the Congress a report
  not later than 2 years after the date of enactment of this Act. The report
  shall contain a detailed statement of the findings and conclusions of the
  study conducted pursuant to section 4, together with its recommendations
  for such legislation and administrative actions, at the Federal, State,
  and local level, and for actions that should be undertaken by the private
  sector, as it considers appropriate.
SEC. 9. TERMINATION.
  The Commission shall cease to exist 10 days after submitting its final
  report pursuant to section 8.