Text: H.R.483 — 104th Congress (1995-1996)All Information (Except Text)
Public Law No: 104-18 (07/07/1995)
[104th Congress Public Law 18]
[From the U.S. Government Printing Office]
[[Page 109 STAT. 192]]
Public Law 104-18
To amend the Omnibus Budget Reconciliation Act of 1990 to permit
medicare select policies to be offered in all States. <<NOTE: July 7,
1995 - [H.R. 483]>>
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. PERMITTING MEDICARE SELECT POLICIES TO BE OFFERED IN ALL
STATES FOR AN EXTENDED PERIOD.
Section 4358(c) of the Omnibus Budget Reconciliation Act of 1990,
as amended by section 172(a) of the Social Security Act Amendments of
1994, <<NOTE: 42 USC 1320c-3 note.>> is amended to read as follows:
``(c) Effective Date.--(1) The amendments made by this section
shall only apply--
``(A) in 15 States (as determined by the Secretary of Health
and Human Services) and such other States as elect such
amendments to apply to them, and
``(B) subject to paragraph (2), during the 6\1/2\-year
period beginning with 1992.
For purposes of this paragraph, the term `State' has the meaning given
such term by section 210(h) of the Social Security Act (42 U.S.C.
``(2)(A) The Secretary of Health and Human Services shall conduct
a study that compares the health care costs, quality of care, and access
to services under medicare select policies with that under other
medicare supplemental policies. The study shall be based on surveys of
appropriate age-adjusted sample populations. The study shall be
completed by June 30, 1997.
``(B) Not later than December 31, 1997, the Secretary shall
determine, based on the results of the study under subparagraph (A), if
any of the following findings are true:
``(i) The amendments made by this section have not resulted
in savings of premium costs to those enrolled in medicare select
policies (in comparison to their enrollment in medicare
supplemental policies that are not medicare select policies and
that provide comparable coverage).
``(ii) There have been significant additional expenditures
under the medicare program as a result of such amendments.
``(iii) Access to and quality of care has been significantly
diminished as a result of such amendments.
``(C) The amendments made by this section shall remain in effect
beyond the 6\1/2\-year period described in paragraph (1)(B) unless the
Secretary determines that any of the findings described in clause (i),
(ii), or (iii) of subparagraph (B) are true.
``(3) The Comptroller General shall conduct a study to determine
the extent to which individuals who are continuously covered under
[[Page 109 STAT. 193]]
a medicare supplemental policy are subject to medical underwriting if
they change the policy under which they are covered, and to identify
options, if necessary, for modifying the medicare supplemental insurance
market to make sure that continuously insured beneficiaries are able to
switch plans without medical underwriting. By not later than June 30,
1996, the Comptroller General <<NOTE: Reports.>> shall submit to the
Congress a report on the study. The report shall include a description
of the potential impact on the cost and availability of medicare
supplemental policies of each option identified in the study.''.
Approved July 7, 1995.
LEGISLATIVE HISTORY--H.R. 483:
HOUSE REPORTS: Nos. 104-79, Pt. 1 (Comm. on Ways and Means) and Pt. 2
(Comm. on Commerce), and 104-157 (Comm. of Conference).
CONGRESSIONAL RECORD, Vol. 141 (1995):
Apr. 6, considered and passed House.
May 17, considered and passed Senate, amended.
June 26, Senate agreed to conference report.
June 30, House agreed to conference report.