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evant fields, including hospital executives, hospital
data base managers, physicians, health services re
searchers, insurers, other third-party payors, and
representatives of labor and business.
(3) REPORT TO CONGRESS.—Not later than 3
years after the date of the enactment of this Act, the
(1) IN GENERAL.-Section 1866(a)(1)(F) of the
Social Security Act (42 U.S.C. 1395cc(a)(1)(F)) is
“(I) must maintain clinical data in elec
tronic form on all inpatients, and
"(II) must transmit, electronically to the
Secretary or a utilization and quality control peer review organization, a common set of clini
cal inpatient hospital data (maintained under
subclause (1)) relating to any individual who
has received inpatient hospital services for
section 301(a) of the Health Equity and Access Reform Today Act of 1991,".
(2) EFFECTIVE DATE.-The amendment made
by paragraph (1) shall be effective for participation
agreements as of 8 years after the date of the enact
ment of this Act.
(c) DEMONSTRATIONS AND RESEARCH ON MON
11 ITORING AND IMPROVING PATIENT CARE.—The Secretary
12 shall provide grants to qualified entities to demonstrate 13 (and conduct research concerning) the application of com
14 prehensive information systems,
(1) in continuously monitoring patient care, and 16
(2) in improving patient care. 17 Up to $10,000,000 shall be available each fiscal year (be18 ginning with fiscal year 1994 and ending with fiscal year 19 1998) from the Federal Hospital Insurance Trust Fund 20 for grants under this subsection.
To amend the Social Security Act and the Internal Revenue Code of 1986
to provide for improvements in health insurance coverage through employer health insurance reform, for health care cost containment, for improvements in medicare prevention benefits, and for other purposes.
IN THE HOUSE OF REPRESENTATIVES
OCTOBER 24, 1991 Mr. ROSTENKOWSKI introduced the following bill; which was referred jointly
to the Committees on Ways and Means and Energy and Commerce
To amend the Social Security Act and the Internal Revenue
Code of 1986 to provide for improvements in health insurance coverage through employer health insurance reform, for health care cost containment, for improvements in medicare prevention benefits, and for other purposes.
Be it enacted by the Senate and House of Representa
2 tives of the United States of America in Congress assembled,
3 SECTION 1. SHORT TITLE; TABLE OF CONTENTS.
(a) SHORT TITLE.—This Act may be cited as the
5 "Health Insurance Reform and Cost Control Act of
1 (b) TABLE OF CONTENTS.—The table of contents of
2 this Act is as follows:
Sec. 1. Short title; table of contents.
TITLE I-INCREASE IN DEDUCTION FOR HEALTH INSURANCE
FOR SELF-EMPLOYED INDIVIDUALS
Sec. 101. Indefinite extension of deduction for health insurance costs of self
employed individuals. Sec. 102. Increase in amount of deduction for years after 1992.
TITLE II—IMPROVEMENTS IN HEALTH INSURANCE FOR SMALL
SUBTITLE A-STANDARDS AND REQUIREMENTS OF SMALL EMPLOYER
HEALTH INSURANCE REFORM
Sec. 201. Standards and requirements of small employer health insurance.
"TITLE XXI-HEALTH INSURANCE STANDARDS
"PART A-SMALL EMPLOYER HEALTH INSURANCE STANDARDS
“Subpart 1-General Standards;
“Sec. 2101. Standards and requirements of small employer health insur
"Subpart 2-Small Employer Health Insurance Reform
“Sec. 2111. General requirements for health insurance plans issued to
small employers. “Sec. 2112. Requirements related to restrictions on rating practices. “Sec. 2113. Requirements for small employer health insurance benefit
SUBTITLE B–Tax PENALTY ON NONCOMPLYING INSURERS
Sec. 211. Excise tax on premiums received on health insurance policies which
do not meet certain requirements.
SUBTITLE C-STUDIES AND REPORTS
Sec. 221. GAO study and report on rating requirements for small group health
TITLE III-IMPROVEMENTS IN PORTABILITY OF PRIVATE
Sec. 301. Excise tax imposed on failure to provide for preexisting condition.
"PART B-PROHIBITION OF DISCRIMINATION BASED ON HEALTH STATUS
FOR CERTAIN SERVICES
“Sec. 2131. In general.
TITLE IV-HEALTH CARE COST CONTAINMENT
Sec. 401. Establishment of National Health Care Cost Commission.
TITLE V-MEDICARE PREVENTION BENEFITS
Sec. 501. Coverage of colorectal screening.
1 TITLE I–INCREASE IN DEDUC2
TION FOR HEALTH INSUR-
5 SEC. 101. INDEFINITE EXTENSION OF DEDUCTION FOR
HEALTH INSURANCE COSTS OF SELF-EM
Subsection (1) of section 162 of the Internal Revenue
9 Code of 1986 (relating to special rules for health insur
10 ance costs of self-employed individuals) is amended by
11 striking paragraph (6).
12 SEC. 102. INCREASE IN AMOUNT OF DEDUCTION FOR
(a) GENERAL RULE.-Section 162(1) of the Internal
15 Revenue Code of 1986 is amended