SUMMARY AS OF:
1/6/1999--Introduced.
TABLE OF CONTENTS:
Title I: Benefits and Eligibility
Title II: Participation of Physicians, Dentists, Nurses,
Hospitals, and Others
Title III: Local Administration
Title IV: State Administration
Title V: National Health Insurance Board; National Advisory
Medical Policy Council; General Administrative
Provisions
Title VI: Eligibility Determinations, Complaints, Hearings,
and Judicial Review
Title VII: Application of Act to Individuals Covered Under
Medicare Program
Title VIII: Fiscal Provisions
Title IX: Miscellaneous Provisions
Title X: Value Added Tax and National Health Care Trust Fund
Title XI: Study and Development of Cost Control Mechanisms
National Health Insurance Act - Title I: Benefits and Eligibility -
Makes medical services available to eligible individuals.
(Sec. 102) Authorizes the National Health Insurance Board to limit services
when personnel, facilities, or funds are inadequate.
(Sec. 103) Allows patient choice of physicians and hospitals.
(Sec. 105) Makes Federal grants to States under the Social Security Act
available to the States for services for uninsured needy individuals.
Title II: Participation of Physicians, Dentists, Nurses, Hospitals, and
Others - Authorizes State agreements with individuals or organizations for
service provision.
(Sec. 208) Regulates payment bases and rates, requiring local adjustments.
(Sec. 210) Allows providers to choose their practice locality and, consistent
with State law and professional ethics, reject patients.
Title III: Local Administration - Decentralizes administration to
local administrative committees or officers.
(Sec. 303) Requires establishment in each health service area of a local area
committee and local professional committees.
Title IV: State Administration - Expresses the intent of the Congress
that benefit provisions be administered by each State. Provides for Board
administration if State plans are not approved and complied with.
Title V: National Health Insurance Board; National Advisory Medical Policy
Council; General Administrative Provisions - Establishes: (1) in the
Department of Health and Human Services the National Health Insurance Board; and
(2) the National Advisory Medical Policy Council.
Title VI: Eligibility Determinations, Complaints, Hearings, and Judicial
Review - Requires that the Secretary of Health and Human Services determine
benefit eligibility.
(Sec. 602) Describes complaint investigation procedures.
Title VII: Application of Act to Individuals Covered Under Medicare
Program - Limits, for individuals entitled to benefits under title XVIII
(Medicare) of the Social Security Act, benefits under this Act to services for
which the individual is not eligible under Medicare.
(Sec. 702) Mandates a study of the relationship of this Act's program and
Medicare.
Title VIII: Fiscal Provisions - Makes National Health Care Trust Fund
amounts available for expenditures under this Act.
(Sec. 802) Directs the Board to determine amounts to be made available from
the Fund and allotments to the States.
(Sec. 803) Authorizes grants to: (1) educational institutions regarding the
training of personnel providing or administering benefits; and (2) individuals
in courses regarding the provision or administration of benefits. Requires that
funds be made available.
Title IX: Miscellaneous Provisions - Requires that benefits first
become available on a specified date.
Title X: Value Added Tax and National Health Care Trust Fund - Amends
the Internal Revenue Code to impose a tax on each taxable transaction (the sale
of property, performance of services, and importing of property by a taxable
person in a commercial-type transaction). Sets the tax rate at zero for: (1)
retail food, principal residence housing (sale and rental), and medical care;
(2) certain transactions involving governmental entities; and (3) certain
tax-exempt organizations. Makes the person selling the property or services
liable for the tax.
(Sec. 1002) Establishes the National Health Care Trust Fund. Appropriates to
the Fund amounts received from the value added tax. Allows the Fund to be used
only to carry out the program under this Act.
Title XI: Study and Development of Cost Control Mechanisms - Directs
the Secretary of Health and Human Services to: (1) conduct a study on
controlling benefit costs, including malpractice claims and malpractice
insurance costs; (2) report to the Congress; and (3) implement the report's
recommendations.