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H.R. 4572Became Law

To direct the Secretary of Health and Human Services to waive certain requirements under the medicaid program during 1992 and 1993 for health maintenance organizations operated by the Dayton Area Health Plan in Dayton, Ohio.

Directs the Secretary of Health and Human Services, between May 1, 1992, and January 31, 1994: (1) with respect to the unincorporated association affiliated with the Dayton Area Health Plan, Inc., known as the Health Plan Network, to waive a provision of the Social Security Act governing State plans eligible for medical assistance under Medicaid that requires that Medicare and Medicaid beneficiaries constitute less than 75 percent of the membership of any prepaid medical provider; and (2) not to treat specified persons (up to 4,000 children born after September 30, 1983, who have attained the age of six but not the age of 19 and whose family incomes do not exceed a specified poverty level) as individuals enrolled in the Plan on a prepaid basis for purposes of determining the compliance of the DAYMED Health Maintenance Plan, Inc., with such membership requirement.

Became Public Law No: 102-276.

Rep. Hall, Tony P. [D-OH-3](D-OH)Sponsor
8 cosponsors5 D3 R
8cosponsors1committees25actions1amendments9subjects
  1. PresidentE40000

    Became Public Law No: 102-276.

  2. BecameLaw36000

    Became Public Law No: 102-276.

  3. PresidentE30000

    Signed by President.

  4. BecameLaw36000

    Signed by President.

  5. FloorE20000

    Presented to President.

  6. President28000

    Presented to President.

  7. Floor

    Message on Senate action sent to the House.

  8. Floor

    Received in the Senate, read twice, considered, read the third time, and passed without amendment by Voice Vote.

  9. Floor17000

    Passed/agreed to in Senate: Received in the Senate, read twice, considered, read the third time, and passed without amendment by Voice Vote.

  10. FloorH38800

    The title of the measure was amended. Agreed to without objection.

  11. FloorH38310

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

  12. FloorH37100

    On passage Passed without objection.

  13. Floor8000

    Passed/agreed to in House: On passage Passed without objection.

  14. FloorH30000

    Considered by unanimous consent.

  15. FloorH30200

    Mr. Waxman asked unanimous consent for the immediate consideration in the House.

  16. CalendarsH12410

    Placed on the Union Calendar, Calendar No. 289.

  17. CommitteeH12200

    Reported (Amended) by the Committee on Energy and Commerce. H. Rept. 102-494.

    Energy and Commerce Committee
  18. Committee5000

    Reported (Amended) by the Committee on Energy and Commerce. H. Rept. 102-494.

    Energy and Commerce Committee
  19. CommitteeH25000

    Subcommittee on Health and the Environment Discharged.

    Energy and Commerce Committee
  20. CommitteeH15000-B

    Committee Consideration and Mark-up Session Held.

    Energy and Commerce Committee
  21. CommitteeH19000

    Ordered to be Reported (Amended) by Voice Vote.

    Energy and Commerce Committee
  22. CommitteeH11000

    Referred to the Subcommittee on Health and the Environment.

    Health and Environment Subcommittee
  23. IntroReferralH11100

    Referred to the House Committee on Energy and Commerce.

    Energy and Commerce Committee
  24. IntroReferralIntro-H

    Introduced in House

  25. IntroReferral1000

    Introduced in House

Apr 10, 199236

Directs the Secretary of Health and Human Services, between May 1, 1992, and January 31, 1994: (1) with respect to the unincorporated association affiliated with the Dayton Area Health Plan, Inc., known as the Health Plan Network, to waive a provision of the Social Security Act governing State plans eligible for medical assistance under Medicaid that requires that Medicare and Medicaid beneficiaries constitute less than 75 percent of the membership of any prepaid medical provider; and (2) not to treat specified persons (up to 4,000 children born after September 30, 1983, who have attained the age of six but not the age of 19 and whose family incomes do not exceed a specified poverty level) as individuals enrolled in the Plan on a prepaid basis for purposes of determining the compliance of the DAYMED Health Maintenance Plan, Inc., with such membership requirement.

Mar 25, 199200

Directs the Secretary of Health and Human Services, during quarters in calendar years 1992 and 1993, with respect to: (1) the Health Plan Network operated by the Dayton Area Health Plan, to waive a provision of the Social Security Act governing eligible State plans for medical assistance under Medicaid that requires that Medicare and Medicaid beneficiaries constitute less than 75 percent of the membership of any prepaid medical provider; and (2) the Day-Med HMP and Health Power programs operated by such Plan, not to treat any individuals enrolled in the Health Start program carried out by the Director of the Ohio Department of Human Services as Medicare or Medicaid beneficiaries for purposes of determining the compliance of the programs with such requirement.

Makes such provision inapplicable with respect to quarters in a calendar year unless the Secretary finds that the State of Ohio has adopted and is enforcing enhanced quality assurance standards regarding specified services provided by the Plan.