Summary: S.3180 — 102nd Congress (1991-1992)All Information (Except Text)

There is one summary for S.3180. Bill summaries are authored by CRS.

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Introduced in Senate (08/12/1992)

State Care Act of 1992 - Amends the Social Security Act (SSA) to add a new title XXI, State Comprehensive Health Coverage And Cost Containment Demonstration Projects, establishing a program under which the State-Based Comprehensive Health Care Commission (established below) is required to select States to participate in health coverage and cost containment demonstration projects (State Care projects).

Establishes the State-Based Comprehensive Health Care Commission (the Commission) to review, approve, and oversee State Care projects. Authorizes appropriations.

Requires States desiring grants to develop State Care projects to establish a State Health Care Authority through which to develop such projects. Exempts from this requirement States that have enacted comprehensive health care plans (State Care plans) within 12 months of enactment of this Act.

Establishes Federal standards for approval of applications for grants for demonstrations in up to ten States.

Specifies State Care plan requirements, including those for standard and basic benefit packages, cost-control mechanisms, and quality control procedures. Details the various items and services which constitute each respective package. Sets limits on the amount, scope, and duration of certain benefits under the standard package. Details cost-sharing under the respective packages, and provides for limits on out-of-pocket package expenses.

Authorizes the Commission to award grants to States receiving approval of a State Care project grant application for: (1) establishment of a data base infrastructure necessary to measure and evaluate State Care plan success in achieving cost containment and access goals; and (2) consolidation of health care budgeting, regulating, financing, and delivery responsibilities of the State. Authorizes appropriations.

Prohibits payments under Medicaid (SSA title XIX) for State Care project services if payment for them may be made under the State Care plan. Directs the Secretary of Health and Human Services to pay to each State participating in a State Care project an amount equal to the amount of any payments that, as a result of such prohibition, were not made under Medicaid because payment was made under the State Care plan.

Sets forth provisions governing the application of Medicare (SSA title XVIII) and ERISA (Employee Retirement Income Security Act of 1974) with respect to any approved State Care project.

Requires periodic reports by the Commission to the Congress on the reforms undertaken in States participating in State Care projects, along with recommendations for increased Federal funding for reform initiatives and project grants. Requires additional Commission reports on continued financing of State Care plans and, if no national comprehensive health care system has been established, on establishing such a system that utilizes the experiences of State Care projects.