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H.R.1391 / 104th Congress

To amend section 4358(c) of the Omnibus Budget Reconciliation Act of 1990 to permit medicare select policies to be offered in all States on an extended basis.

For Further Action See H.R.483.

Official summary

Version 00 · Introduced in House · Apr 4, 1995

Amends the Omnibus Budget Reconciliation Act of 1990 to permit Medicare select policies to be offered in all States, at State option, for an extended period of eight-and-a-half (instead of only three-and-a-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 Medicare supplemental 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 Medicare supplemental 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.

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Who introduced it

Rep. Johnson, Nancy L. [R-CT-6] · R–CT

Committees

  • Ways and Means Committee
  • Energy and Commerce Committee
4 cosponsorship records, including any withdrawals

Actions

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  1. For Further Action See H.R.483.

  2. 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.

  3. 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.

  4. 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.

  5. Introduced in House

  6. Introduced in House

Bill text & related measures

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Related bills identified by Congress.gov

Source last updated: Apr 7, 2025. Consult Congress.gov for the current record.

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Neutral evidence review

Objective

Analyze H.R.1391 as objectively as possible. Explain its main provisions, who would be affected, possible benefits and harms, implementation, exceptions, and uncertainties. Present the strongest arguments for and against it, and identify evidence needed to assess its public impact.

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Fairness and public impact

Progressive lens

Examine H.R.1391 through a progressive lens, focusing on fairness, access, economic inequality, and effects on vulnerable communities. Explain potential benefits, costs, and unintended consequences. Consider the strongest counterarguments and distinguish stated goals from demonstrated outcomes.

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Institutions and government scope

Conservative lens

Examine H.R.1391 through a conservative lens, focusing on fiscal responsibility, institutional stability, federalism, and the scope of government. Explain potential benefits, costs, and unintended consequences. Consider the strongest counterarguments and any provisions that challenge this perspective.

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Individual rights and government power

Liberty lens

Examine H.R.1391 through a civil-liberties and limited-government lens. Consider individual rights, privacy, voluntary choice, accountability, and government power. Explain tradeoffs, possible safeguards, and the strongest counterarguments without assuming the proposal is beneficial or harmful.

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