1 2 3 4 5 6 7 8 9 10 11 52 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 Secretary shall report to Congress recommendations regarding restructuring the medicare peer review quality assurance program given the availability of hospital data in electronic form. (b) REQUIREMENT FOR SHARING OF HOSPITAL IN12 FORMATION.— (1) IN GENERAL.-Section 1866(a)(1)(F) of the Social Security Act (42 U.S.C. 1395cc (a)(1)(F)) is amended by adding at the end the following new clause: "(iii) in the case of hospitals "(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 (I)) relating to any individual who has received inpatient hospital services for 1 2 3 4 5 6 7 8 9 10 53 which payment may be made under part A of this title, in accordance with the standards developed under section 301(a) of the Health Equity and Access Re form 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 enactment of this Act. (c) DEMONSTRATIONS AND RESEARCH ON MON11 ITORING AND IMPROVING PATIENT CARE.-The Secretary 12 shall provide grants to qualified entities to demonstrate 13 (and conduct research concerning) the application of com14 prehensive information systems— 15 16 (1) in continuously monitoring patient care, and (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. O I 102D CONGRESS 1ST SESSION H. R. 3626 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 Mr. ROSTENKOWSKI introduced the following bill; which was referred jointly to the Committees on Ways and Means and Energy and Commerce A BILL 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 Representa2 tives of the United States of America in Congress assembled, 3 SECTION 1. SHORT TITLE; TABLE OF CONTENTS. 4 (a) SHORT TITLE.-This Act may be cited as the 5 "Health Insurance Reform and Cost Control Act of 6 1991". 2 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 selfemployed 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 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; Definitions "Sec. 2101. Standards and requirements of small employer health insur ance. "Sec. 2102. Establishment of standards. "Sec. 2103. Definitions. "Subpart 2-Small Employer Health Insurance Reform "Sec. 2111. General requirements for health insurance plans issued to "Sec. 2112. Requirements related to restrictions on rating practices. 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 insurance. TITLE III-IMPROVEMENTS IN PORTABILITY OF PRIVATE HEALTH INSURANCE Sec. 301. Excise tax imposed on failure to provide for preexisting condition. ices. "PART B-PROHIBITION OF DISCRIMINATION BASED ON HEALTH STATUS FOR CERTAIN SERVICES 3 "Sec. 2131. In general. "Sec. 2132. Treatment of preexisting condition exclusions for all services. "Sec. 2133. Definitions. 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. Sec. 502. Coverage of certain immunizations. Sec. 503. Coverage of well-child care. Sec. 504 Annual screening mammography. Sec. 505 Demonstration projects for coverage of other preventive services. 1 TITLE I-INCREASE IN DEDUC 8 HEALTH INSURANCE COSTS OF SELF-EM PLOYED INDIVIDUALS. Subsection (1) of section 162 of the Internal Revenue 9 Code of 1986 (relating to special rules for health insur10 ance costs of self-employed individuals) is amended by 11 striking paragraph (6). 12 SEC. 102. INCREASE IN AMOUNT OF DEDUCTION FOR 14 (a) GENERAL RULE.-Section 162(1) of the Internal 15 Revenue Code of 1986 is amended— |