[Congressional Record Volume 140, Number 87 (Friday, July 1, 1994)]
[Extensions of Remarks]
[Page E]
From the Congressional Record Online through the Government Printing Office [www.gpo.gov]


[Congressional Record: July 1, 1994]
From the Congressional Record Online via GPO Access [wais.access.gpo.gov]

 
                E X T E N S I O N   O F   R E M A R K S


           HEALTH CARE REFORM VOTES, WAYS AND MEANS COMMITTEE

                                 ______


                         HON. ROBERT H. MICHEL

                              of illinois

                    in the house of representatives

                        Thursday, June 30, 1994

  Mr. MICHEL. Mr. Speaker, I submit for the Record the rollcall votes 
on health care reform which took place in the Ways and Means Committee 
on June 27, 1994.

       The following recorded votes were taken on June 27, 1994 in 
     the Committee on Ways and Means during consideration of 
     Acting Chairman Gibbons' substitute proposal for H.R. 3600, 
     The Health Security Act of 1994:
       An amendment by Mr. Thomas exempting dentistry from the 
     physician self-referral ban that prohibits physicians who 
     have a financial relationship with clinical laboratories from 
     referring Medicare patients to those entities. The Mark 
     extends application of the physician self-referral ban to 
     services including dentistry. Defeated 23-15.


                               democrats

       Mr. Gibbons, nay.
       Mr. Rostenkowski, nay by proxy.
       Mr. Pickle, nay.
       Mr. Rangel, nay by proxy.
       Mr. Stark, nay.
       Mr. Jacobs, nay.
       Mr. Ford (TN), nay by proxy.
       Mr. Matsui, nay.
       Mrs. Kennelly, nay.
       Mr. Coyne, nay.
       Mr. Andrews (TX), nay.
       Mr. Levin, nay.
       Mr. Cardin, nay.
       Mr. McDermott, nay.
       Mr. Kleczka, nay.
       Mr. Lewis (GA), nay.
       Mr. Payne (VA), nay.
       Mr. Neal, nay.
       Mr. Hoagland, yea.
       Mr. McNulty, nay.
       Mr. Kopetski, nay.
       Mr. Jefferson, nay.
       Mr. Brewster, nay by proxy.
       Mr. Reynolds, nay by proxy.


                              republicans

       Mr. Archer, yea.
       Mr. Crane, yea.
       Mr. Thomas (CA), yea.
       Mr. Shaw, yea.
       Mr. Sundquist, yea.
       Mrs. Johnson (CT), yea.
       Mr. Bunning, yea by proxy.
       Mr. Grandy, yea.
       Mr. Houghton, yea.
       Mr. Herger, yea.
       Mr. McCrery, yea.
       Mr. Hancock, yea.
       Mr. Santorum, yea.
       Mr. Camp, yea.
       An amendment by Mr. Thomas expanding the exemption to 
     physician self-referral prohibitions for certain managed care 
     arrangements. The bill limits the exemption for managed case 
     arrangements to capitated arrangements only; it does not 
     allow exemption for personnel risk arrangement. Current law 
     exempts services paid to a physician or physician group on a 
     capitulated basis. The amendment would have furthered this 
     exemption to include (i) provider organizations as well as 
     physician groups, (ii) methods of financial risk other than 
     capitulation, including withholds and global fixed fees, and 
     (iii) health plans that furnish designated health services 
     directly or through subsidiary organizations, and who pay for 
     such services through the acceptance of a premium or 
     capitulation. Defeated 24-14.


                               democrats

       Mr. Gibbons, nay.
       Mr. Rostenkowski, nay by proxy.
       Mr. Pickle, nay.
       Mr. Rangel, nay by proxy.
       Mr. Stark, nay.
       Mr. Jacobs, nay.
       Mr. Ford (TN), nay by proxy.
       Mr. Matsui, nay.
       Mrs. Kennelly, nay.
       Mr. Coyne, nay.
       Mr. Andrews (TX), nay.
       Mr. Levin, nay.
       Mr. Cardin, nay.
       Mr. McDermott, nay.
       Mr. Kleczka, nay.
       Mr. Lewis (GA), nay.
       Mr. Payne (VA), nay.
       Mr. Neal, nay.
       Mr. Hoagland, yea.
       Mr. McNulty, nay.
       Mr. Kopetski, nay.
       Mr. Jefferson, nay by proxy.
       Mr. Brewster, nay by proxy.
       Mr. Reynolds, nay by proxy.


                              republicans

       Mr. Archer, yea.
       Mr. Crane, yea.
       Mr. Thomas (CA), yea.
       Mr. Shaw, yea.
       Mr. Sundquist, yea.
       Mrs. Johnson (CT), yea.
       Mr. Bunning, yea by proxy.
       Mr. Grandy, yea.
       Mr. Houghton, yea.
       Mr. Herger, yea.
       Mr. McCrery, yea.
       Mr. Hancock, yea.
       Mr. Santorum, yea.
       Mr. Camp, yea.
       An amendment by Mr. McCrery replacing the Mark's 
     requirement that all long-term care policies include 
     nonforfeiture benefits, with a requirement that insurers 
     offer the purchaser the option to obtain nonforfeiture 
     benefits. Nonforfeiture benefits would be excluded only if 
     the insured individual rejected in writing the option to 
     obtain such coverage. Defeated 20-18.


                               Democrats

       Mr. Gibbons, nay.
       Mr. Rostenkowski, nay by proxy.
       Mr. Pickle, nay.
       Mr. Rangel, nay by proxy.
       Mr. Stark, nay.
       Mr. Jacobs, nay.
       Mr. Ford (TN), nay by proxy.
       Mr. Matsui, nay.
       Mrs. Kennelly, yea.
       Mr. Coyne, nay by proxy.
       Mr. Andrews (TX), yea by proxy.
       Mr. Levin, nay.
       Mr. Cardin, nay.
       Mr. McDermott, nay.
       Mr. Kleczka, nay.
       Mr. Lewis (GA), nay.
       Mr. Payne (VA), nay by proxy.
       Mr. Neal, yea.
       Mr. Hoagland, yea.
       Mr. McNulty, nay.
       Mr. Kopetski, nay.
       Mr. Jefferson, nay by proxy.
       Mr. Brewster, nay by proxy.
       Mr. Reynolds, nay by proxy.


                              Republicans

       Mr. Archer, yea.
       Mr. Crane, yea.
       Mr. Thomas (CA), yea.
       Mr. Shaw, yea.
       Mr. Sundquist, yea.
       Mrs. Johnson (CT), yea.
       Mr. Bunning, yea.
       Mr. Grandy, yea.
       Mr. Houghton, yea.
       Mr. Herger, yea.
       Mr. McCrery, yea.
       Mr. Hancock, yea.
       Mr. Santorum, yea.
       Mr. Camp, yea.

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