[Congressional Bills 104th Congress]
[From the U.S. Government Publishing Office]
[H.R. 483 Received in Senate (RDS)]







104th CONGRESS
  1st Session
                                 H.R. 483


_______________________________________________________________________


                   IN THE SENATE OF THE UNITED STATES

                April 7 (legislative day, April 5), 1995

                     Received; read the first time

_______________________________________________________________________

                                 AN ACT


 
  To amend title XVIII of the Social Security Act to permit medicare 
  select policies to be offered in all States, and for other purposes.

    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, 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 8\1/2\ year 
        period beginning with 1992.
    ``(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 December 31, 1998.
    ``(B) The Secretary shall determine during 1999 whether the 
amendments made by this section shall remain in effect beyond the 8\1/
2\ year period described in paragraph (1)(B). Such amendments shall 
remain in effect beyond such period unless the Secretary determines 
(based on the results of the study under subparagraph (A)) that--
            ``(i) such amendments have not resulted in savings of 
        premiums 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, or
            ``(iii) access to and quality of care has been 
        significantly diminished as a result of such amendments.''.

            Passed the House of Representatives April 6, 1995.

            Attest:

                                                ROBIN H. CARLE,

                                                                 Clerk.