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Public Law104th CongressHealth
H.R. 483Became Law

An Act to amend the Omnibus Budget Reconciliation Act of 1990 to permit medicare select policies to be offered in all States.

This bill became law

Filed
Comm.
Floor
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Law

What it doesSummary conference report filed in house (Jun 22, 1995)

Amends the Omnibus Budget Reconciliation Act of 1990, as amended by the Social Security Act Amendments of 1994, to: (1) extend the current 15-State Medicare Select demonstration program under which insurers can market Medicare supplemental (Medigap) policies that are the same as other Medigap policies except that supplemental benefits are paid only if services are provided through designated providers; and (2) permit Medicare Select policies to be offered in all States, at State option, until June 30, 1998.

Directs the Secretary of Health and Human Services to conduct a study that compares the health care costs, quality of care, and access to services under Medicare Select policies with those under other Medigap policies.

Declares that such amendments shall remain in effect beyond the extended period unless the Secretary determines by December 31, 1997, based on the study, that as a result of such amendments: (1) there have been no savings in premium costs to Select enrollees as compared to their enrollment in Medigap policies with comparable coverage which are not Medicare Select policies; (2) there have been significant additional expenditures under the Medicare program; or (3) access to and quality of care have been significantly diminished.

Directs the Comptroller General to study and report, by June 30, 1996, to the Congress on: (1) the extent to which individuals who are continuously covered under a Medigap policy are subject to medical underwriting if they change the policy under which they are covered; and (2) the options, if necessary, for modifying the Medigap insurance market to make sure that continuously insured beneficiaries are able to switch plans without medical underwriting. Requires such report to describe the potential impact on the cost and availability of Medigap policies of each option identified.

What just happenedJul 7, 1995

Became Public Law No: 104-18.

Who’s behind it

Rep. Johnson, Nancy L. [R-CT-6](R-CT)Sponsor
132 cosponsors55 D77 R
Read on Congress.gov
132cosponsors2committees79actions3amendments6related bills22subjects
  1. Jul 7, 1995PresidentE40000

    Became Public Law No: 104-18.

  2. Jul 7, 1995BecameLaw36000

    Became Public Law No: 104-18.

  3. Jul 7, 1995PresidentE30000

    Signed by President.

  4. Jul 7, 1995BecameLaw36000

    Signed by President.

  5. Jun 30, 1995FloorE20000

    Presented to President.

  6. Jun 30, 1995President28000

    Presented to President.

  7. Jun 30, 1995ResolvingDifferencesH42510

    On agreeing to the conference report Agreed to by the Yeas and Nays: 350 - 68 (Roll no. 467). (consideration: CR H6675)

  8. Jun 30, 1995ResolvingDifferencesH42831

    Motion to reconsider laid on the table Agreed to without objection.

  9. Jun 30, 1995ResolvingDifferences21000

    Conference report agreed to in House: On agreeing to the conference report Agreed to by the Yeas and Nays: 350 - 68 (Roll no. 467).(consideration: CR H6675)

  10. Jun 30, 1995FloorH8D000

    DEBATE - The House proceeded with one hour of debate on the conference report.

  11. Jun 30, 1995ResolvingDifferencesH40200

    Mr. Bliley brought up conference report H. Rept. 104-157 for consideration under the provisions of H. Res. 180.

  12. Jun 30, 1995FloorH1L220

    Rule H. Res. 180 passed House.

  13. Jun 29, 1995FloorH1L210

    Rules Committee Resolution H. Res. 180 Reported to House. Rule provides for consideration of the conference report to H.R. 483 with 1 hour of general debate. Previous question shall be considered as ordered without intervening motions. Providing for the consideration of the in the House. Upon adoption of the conference report, S. Con. Res. 19 shall be considered as agreed to by the House.

  14. Jun 27, 1995Floor

    Message on Senate action sent to the House.

  15. Jun 26, 1995ResolvingDifferences

    Senate agreed to conference report by Voice Vote. (consideration: CR S9088)

  16. Jun 26, 1995ResolvingDifferences23000

    Conference report agreed to in Senate: Senate agreed to conference report by Voice Vote.(consideration: CR S9088)

  17. Jun 22, 1995ResolvingDifferences

    Conference papers: Senate report and managers' statement and official papers held at the desk in Senate.

  18. Jun 22, 1995ResolvingDifferencesH25200

    Conference report H. Rept. 104-157 filed. (text of conference report: CR H6256-6257)

  19. Jun 22, 1995ResolvingDifferences20900

    Conference report filed: Conference report H. Rept. 104-157 filed.(text of conference report: CR H6256-6257)

  20. Jun 22, 1995ResolvingDifferences

    Conferees agreed to file conference report.

  21. Jun 22, 1995ResolvingDifferences20800

    Conference committee actions: Conferees agreed to file conference report.

  22. Jun 6, 1995Floor

    Message on Senate action sent to the House.

  23. Jun 5, 1995ResolvingDifferences

    Senate insists on its amendment agrees to request for a conference, appoints conferees Packwood; Dole; Moynihan. (consideration: CR S7696)

  24. May 25, 1995Floor

    Message on House action received in Senate and at the desk: House requests a conference.

  25. May 25, 1995ResolvingDifferencesH41800

    The Speaker appointed conferees: Bliley, Bilirakis, Hastert, Archer, Thomas, Johnson (CT), Dingell, Waxman, Gibbons, and Stark.

  26. May 25, 1995ResolvingDifferencesH41931

    Motion to reconsider laid on the table Agreed to without objection.

  27. May 25, 1995ResolvingDifferencesH41610

    On motion that the House instruct conferees Failed by the Yeas and Nays: 197 - 224 (Roll no. 355). (consideration: CR H5585-5586)

  28. May 25, 1995ResolvingDifferencesH41400

    The previous question was ordered without objection.

  29. May 25, 1995FloorH8D000

    DEBATE - The House resumed debate on the motion to instruct conferees.

  30. May 25, 1995FloorH8D000

    DEBATE - The House proceeded with one hour of debate on the motion to instruct conferees on the part of the House to resolve the differences between the House's 8 1/2-year program and the Senate's 5-year program of medicare select policies, in light of the changes in Medicare contemplated in the Budget resolution to increase beneficiary cost-sharing and impose limitations on provider choices.

  31. May 25, 1995ResolvingDifferencesH40150

    Mr. Doggett moved that the House instruct conferees.

  32. May 25, 1995ResolvingDifferencesH41610

    On motion that the House disagree to the Senate amendment, and request a conference Agreed to without objection.

  33. May 25, 1995ResolvingDifferencesH41931

    Motion to reconsider laid on the table Agreed to without objection.

  34. May 25, 1995ResolvingDifferencesH40110

    Mr. Bliley asked unanimous consent that the House disagree to the Senate amendment, and request a conference.

  35. May 18, 1995Floor

    Message on Senate action sent to the House.

  36. May 17, 1995Floor

    Passed Senate with an amendment by Voice Vote.

  37. May 17, 1995Floor17000

    Passed/agreed to in Senate: Passed Senate with an amendment by Voice Vote.

  38. May 17, 1995Floor

    Amendment SP 1108 agreed to in Senate by Voice Vote.

  39. May 17, 1995Floor

    Amendment SP 1108 proposed by Senator Chafee for Senator Packwood.

  40. May 17, 1995Floor

    Measure laid before Senate by unanimous consent. (consideration: CR S6794-6797)

  41. May 17, 1995Floor

    Motion to proceed to consideration of measure made in Senate.

  42. Apr 24, 1995Calendars

    Read the second time. Placed on Senate Legislative Calendar under General Orders. Calendar No. 92.

  43. Apr 7, 1995Calendars

    Received in the Senate. Read the first time. Placed on Senate Legislative Calendar under Read the First Time.

  44. Apr 6, 1995FloorH38900

    The Clerk was authorized to correct section numbers, punctuation, and cross references, and to make other necessary technical and conforming corrections in the engrossment of H.R. 483.

  45. Apr 6, 1995FloorH38310

    Motion to reconsider laid on the table Agreed to without objection.

  46. Apr 6, 1995FloorH37100

    On passage Passed by recorded vote: 408 - 14 (Roll no. 302).

  47. Apr 6, 1995Floor8000

    Passed/agreed to in House: On passage Passed by recorded vote: 408 - 14 (Roll no. 302).

  48. Apr 6, 1995FloorH34400

    The House adopted the amendment in the nature of a substitute as agreed to by the Committee of the Whole House on the state of the Union.

  49. Apr 6, 1995FloorH35000

    The previous question was ordered pursuant to the rule.

  50. Apr 6, 1995FloorH32600

    The House rose from the Committee of the Whole House on the state of the Union to report H.R. 483.

  51. Apr 6, 1995FloorH8D000

    DEBATE - Pursuant to the provisions of H. Res. 130, the Committee of the Whole proceeded with one hour of debate on the Waxman substitute.

  52. Apr 6, 1995FloorH8D000

    GENERAL DEBATE - The Committee of the Whole proceeded with one hour of general debate.

  53. Apr 6, 1995FloorH32400

    The Speaker designated the Honorable Henry Bonilla to act as Chairman of the Committee.

  54. Apr 6, 1995FloorH32020

    House resolved itself into the Committee of the Whole House on the state of the Union pursuant to H. Res. 130 and Rule XXIII.

  55. Apr 6, 1995FloorH8D000

    Rule provides for consideration of H.R. 483 with 1 hour of general debate. Previous question shall be considered as ordered without intervening motions except motion to recommit. Measure will be read by section. Specified amendments are in order. It shall be in order to consider an amendment in the nature of a substitute consisting of the text of H.R. 1391 as an original bill for the purpose of amendment. No further amendment shall be in order except an amendment in the nature of a substitute to be offered by Representative Dingell, debatable for one hour, and shall not be subject to further amendment. It shall be in order for the Committee on Commerce to file a report on H.R. 483 at any time.

  56. Apr 6, 1995FloorH30000

    Considered under the provisions of rule H. Res. 130. (consideration: CR H4383-4394)

  57. Apr 6, 1995CalendarsH12410

    Placed on the Union Calendar, Calendar No. 49.

  58. Apr 6, 1995CommitteeH12200

    Reported (Amended) by the Committee on Commerce. H. Rept. 104-79, Part II.

    Energy and Commerce Committee
  59. Apr 6, 1995Committee5000

    Reported (Amended) by the Committee on Commerce. H. Rept. 104-79, Part II.

    Energy and Commerce Committee
  60. Apr 6, 1995FloorH1L220

    Rule H. Res. 130 passed House.

  61. Apr 5, 1995FloorH1L210

    Rules Committee Resolution H. Res. 130 Reported to House. Rule provides for consideration of H.R. 483 with 1 hour of general debate. Previous question shall be considered as ordered without intervening motions except motion to recommit. Measure will be read by section. Specified amendments are in order. It shall be in order to consider an amendment in the nature of a substitute consisting of the text of H.R. 1391 as an original bill for the purpose of amendment. No further amendment shall be in order except an amendment in the nature of a substitute to be offered by Representative Dingell, debatable for one hour, and shall not be subject to further amendment. It shall be in order for the Committee on Commerce to file a report on H. R. 483 at any time.

  62. Apr 3, 1995CommitteeH19000

    Ordered to be Reported (Amended) by Voice Vote.

    Energy and Commerce Committee
  63. Apr 3, 1995CommitteeH15000-B

    Committee Consideration and Mark-up Session Held.

    Energy and Commerce Committee
  64. Mar 22, 1995CommitteeH23000

    Forwarded by Subcommittee to Full Committee (Amended) by Voice Vote.

    Health and Environment Subcommittee
  65. Mar 22, 1995CommitteeH22000

    Subcommittee Consideration and Mark-up Session Held.

    Health and Environment Subcommittee
  66. Mar 15, 1995CommitteeH12200

    Reported (Amended) by the Committee on Ways and Means. H. Rept. 104-79, Part I.

    Ways and Means Committee
  67. Mar 15, 1995Committee5000

    Reported (Amended) by the Committee on Ways and Means. H. Rept. 104-79, Part I.

    Ways and Means Committee
  68. Mar 8, 1995CommitteeH19000

    Ordered to be Reported (Amended) by the Yeas and Nays: 31 - 2.

    Ways and Means Committee
  69. Mar 8, 1995CommitteeH15000-B

    Committee Consideration and Mark-up Session Held.

    Ways and Means Committee
  70. Feb 23, 1995CommitteeH23000

    Forwarded by Subcommittee to Full Committee (Amended) by the Yeas and Nays: 10 - 3.

    Health Subcommittee
  71. Feb 23, 1995CommitteeH22000

    Subcommittee Consideration and Mark-up Session Held.

    Health Subcommittee
  72. Feb 6, 1995CommitteeH11000

    Referred to the Subcommittee on Health and Environment, for a period to be subsequently determined by the Chairman.

    Health and Environment Subcommittee
  73. Jan 17, 1995CommitteeH11000

    Referred to the Subcommittee on Health.

    Health Subcommittee
  74. Jan 11, 1995IntroReferralH11100

    Referred to the Committee on Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.

    Ways and Means Committee
  75. Jan 11, 1995IntroReferralH11100-A

    Referred to the Committee on Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.

  76. Jan 11, 1995IntroReferralH11100

    Referred to the Committee on Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.

    Energy and Commerce Committee
  77. Jan 11, 1995IntroReferralB00100

    Sponsor introductory remarks on measure. (CR E76)

  78. Jan 11, 1995IntroReferralIntro-H

    Introduced in House

  79. Jan 11, 1995IntroReferral1000

    Introduced in House

Conference report filed in HouseJun 22, 199548

Amends the Omnibus Budget Reconciliation Act of 1990, as amended by the Social Security Act Amendments of 1994, to: (1) extend the current 15-State Medicare Select demonstration program under which insurers can market Medicare supplemental (Medigap) policies that are the same as other Medigap policies except that supplemental benefits are paid only if services are provided through designated providers; and (2) permit Medicare Select policies to be offered in all States, at State option, until June 30, 1998.

Directs the Secretary of Health and Human Services to conduct a study that compares the health care costs, quality of care, and access to services under Medicare Select policies with those under other Medigap policies.

Declares that such amendments shall remain in effect beyond the extended period unless the Secretary determines by December 31, 1997, based on the study, that as a result of such amendments: (1) there have been no savings in premium costs to Select enrollees as compared to their enrollment in Medigap policies with comparable coverage which are not Medicare Select policies; (2) there have been significant additional expenditures under the Medicare program; or (3) access to and quality of care have been significantly diminished.

Directs the Comptroller General to study and report, by June 30, 1996, to the Congress on: (1) the extent to which individuals who are continuously covered under a Medigap policy are subject to medical underwriting if they change the policy under which they are covered; and (2) the options, if necessary, for modifying the Medigap insurance market to make sure that continuously insured beneficiaries are able to switch plans without medical underwriting. Requires such report to describe the potential impact on the cost and availability of Medigap policies of each option identified.

Passed House amendedApr 6, 199536

Amends the Omnibus Budget Reconciliation Act of 1990, as amended by the Social Security Act Amendments of 1994, to: (1) extend the current 15-State Medicare Select demonstration program under which insurers can market Medicare supplemental (Medigap) policies that are the same as other Medigap policies except that supplemental benefits are paid only if services are provided through designated providers; and (2) permit Medicare Select policies to be offered in all States, at State option, for an extended period of eight and one-half (instead of only three and one-half) years beginning with 1992.

Directs the Secretary of Health and Human Services to: (1) conduct a study that compares the health care costs, quality of care, and access to services under Medicare Select policies with those under other Medigap policies; and (2) determine during 1999 whether the amendments made by this Act shall remain in effect beyond such extended period.

Declares that such amendments shall remain in effect beyond the extended period unless the Secretary determines, based on the study, that as a result of such amendments: (1) there have been no savings in premium costs to Select enrollees as compared to their enrollment in Medigap policies with comparable coverage which are not Medicare Select policies; (2) there have been significant additional expenditures under the Medicare program; or (3) access to and quality of care have been significantly diminished.

Introduced in HouseJan 11, 199500

Amends the Omnibus Budget Reconciliation Act of 1990 to: (1) make permanent the Medicare select policy program; and (2) allow access to Medicare select policies in all States.

Amends title XVIII (Medicare) of the Social Security Act to revise the Medicare select policy program and provide for a civil penalty for misrepresentations made in connection with a Medicare select policy.