[Congressional Record Volume 140, Number 118 (Friday, August 19, 1994)]
[Senate]
[Page S]
From the Congressional Record Online through the Government Printing Office [www.gpo.gov]


[Congressional Record: August 19, 1994]
From the Congressional Record Online via GPO Access [wais.access.gpo.gov]

 
                          AMENDMENTS SUBMITTED

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                        THE HEALTH SECURITY ACT

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               HUTCHISON (AND OTHERS) AMENDMENT NO. 2571

  Mrs. HUTCHISON (for herself, Mr. Gregg, and Mr. Kempthorne) proposed 
an amendment to amendment No. 2560 proposed by Mr. Mitchell to the bill 
(S. 2351) to achieve universal health insurance coverage, and for other 
purposes; as follows:

       On page 182, strike lines 11 through 19.
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                 HARKIN (AND OTHERS) AMENDMENT NO. 2572

  Mr. HARKIN (for himself, Mr. Kennedy, Mr. Daschle, Mr. Reid, and Mr. 
Rockefeller) proposed an amendment to amendment No. 2560 proposed by 
Mr. Mitchell to the bill S. 2351, supra; as follows:

       At the appropriate place in part 1 of subtitle C of title 
     I, insert the following new section:

     SEC.   . FLEXIBLE SERVICES OPTION.

       (a) Extra Contractual Services.--A health plan may provide 
     coverage to individuals enrolled under the plan for extra 
     contractual items and services determined appropriate by the 
     plan and the individual (or in appropriate circumstances the 
     parent or legal guardian of the individual).
       (b) Disputed Claims.--A decision by a health plan to permit 
     or deny the provision of extra contractual services shall not 
     be subject to a benefit determination review under this Act.
       (c) Definition.--As used in this section, the term ``extra 
     contractual items and services'' means, with respect to a 
     health plan, case management services, medical foods, and 
     other appropriate alternatives (either alternative items or 
     services or alternative care settings) to traditional covered 
     items or services that are determined by the health plan to 
     be the most cost effective way to provide appropriate 
     treatment to the enrolled individual.

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