109 HR 3891 IH: States’ Right To Innovate in Health Care Act of 2005 U.S. House of Representatives 2005-09-22 text/xml EN Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.

I 109th CONGRESS 1st Session H. R. 3891 IN THE HOUSE OF REPRESENTATIVES September 22, 2005 Mr. Tierney (for himself, Mr. Brady of Pennsylvania, Mr. Capuano, Mr. Conyers, Mr. Davis of Illinois, Mr. DeFazio, Mr. Evans, Mr. Fattah, Mr. Filner, Mr. Gutierrez, Mr. Hinchey, Ms. Jackson-Lee of Texas, Mr. Kennedy of Rhode Island, Mr. Kildee, Mr. Lantos, Ms. Lee, Mr. Lewis of Georgia, Mr. Lynch, Mrs. Maloney, Mr. McDermott, Mr. McGovern, Mr. Meehan, Mr. Nadler, Mr. Olver, Mr. Owens, Mr. Sanders, Ms. Solis, Mr. Stark, Mr. Thompson of Mississippi, Mr. Udall of New Mexico, Mr. Weiner, Mr. Delahunt, Ms. Baldwin, Mr. Payne, Ms. Norton, Mr. George Miller of California, Mr. Hastings of Florida, Mr. Kucinich, Mrs. Christensen, Mrs. Jones of Ohio, Ms. Millender-McDonald, and Ms. Carson) introduced the following bill; which was referred to the Committee on Energy and Commerce A BILL To amend the Social Security Act to provide grants and flexibility through demonstration projects for States to provide universal, comprehensive, cost-effective systems of health care coverage, with simplified administration.

1.

Short title; table of contents

(a)

Short title

This Act may be cited as the States’ Right To Innovate in Health Care Act of 2005. (b)

Table of contents

The table of contents of this Act is as follows: Sec. 1. Short title; table of contents Sec. 2. Findings and purposes Sec. 3. Amendment to Social Security Act Title XXII—State comprehensive health care and cost containment demonstration projects Sec. 2201. Planning grants Sec. 2202. Demonstration grants Sec. 2203. State plan requirements Sec. 2204. Interstate arrangements Sec. 2205. Definitions

2.

Findings and purposes

(a)

Findings

Congress finds the following: (1)In 2002, in response to a request from the Secretary of Health and Human Services (SHHS), the Institute of Medicine (IOM) established a Committee, officially known as the Committee on Rapid Advance Demonstration Projects: Health Care Finance and Delivery Systems, with the goal of formulating models for broader health care reform. The committee recommended a 10-year commitment to State demonstration projects as a means to encourage States to develop their own systems of universal care and facilitate innovation. (2)In 2003, annual health care expenditures in the United States totaled $1.7 trillion, or $5,670 per person. (3)In 2003, health care expenditures represented 15.3 percent of the gross domestic product (GDP) in the United States and grew at the rate of 7.7 percent while the gross domestic product grew only at the rate of 4.9 percent. (4)Center for Medicare and Medicaid Studies (CMS) actuaries report that the United States as a whole spent an estimated $1.5 trillion on health care in 2003, or 14.9 percent of GDP of $10.9 trillion. They project by 2013 the United States will spend about $3.36 trillion on health care, or 18.4 percent of a GDP of $18.24 trillion. (5)Because many individuals do not have health insurance coverage, they may incur health care costs which they do not fully reimburse, resulting in cost-shifting to others. (6)According to the Kaiser Family Foundation and Health Research Educational Trust, the total premium for a typical employment-based health insurance policy for a family in 2003 was $8,800, split between employer and employee. Health Administration costs in the United States total over $1,000 per capita, adding to the high cost of insurance. In 2003 health insurance enrollment declined by nearly a percentage point for a third year in a row. (b)

Purpose

It is the purpose of this Act to encourage States— (1)to develop plans for universal, comprehensive, cost-effective systems of health care with simplified administration to individuals residing in such States; and (2)to implement such plans by offering transitional grants and by removing Federal statutory and administrative barriers that may inhibit or discourage efforts by States to provide such health care while maintaining Federal payments for health care under Federal health care programs.

3.

Amendment to Social Security Act

The Social Security Act (42 U.S.C. 301 et seq.) is amended by adding at the end the following new title: .