PlainBillCongress, translated.Legislation. Context. Public interest.Congressional Research Service
Version 00 · Introduced in House · Jan 5, 1993
TABLE OF CONTENTS: Title I: Immediate Health Care Reforms Title II: National Health Care Reform Proposals American Consumers Health Care Reform Act of 1993 - Title I: Immediate Health Care Reforms - (Sec. 101) Amends title XIX (Medicaid) of the Social Security Act to modify eligibility, coverage, and cost-sharing requirements and the Federal medical assistance percentage. Terminates certain payments to States. Mandates standards for long-term care plans. Establishes an assistance program for Medicaid acute care services and cost-sharing. Requires Medicaid payments for certain services to be the same as under title XVIII (Medicare) of the Social Security Act. Mandates encouragement of managed care. (Sec. 111) Provides for the consolidation of Medicare parts A (Hospital Insurance) and B (Supplementary Medical Insurance) administration. (Sec. 121) Preempts State mandatory benefits and anti-managed care laws. Restricts preexisting condition limitations. Institutes small employer insurance market reforms. (Sec. 127) Amends the Internal Revenue Code to impose a tax on the failure of carriers or small employers to comply with standards. (Sec. 131) Provides for medical malpractice reforms. (Sec. 171) Amends the Social Security Act to authorize appropriations regarding research on outcomes of health care services and procedures. (Sec. 181) Amends Medicare and Public Health Service Act provisions to provide for primary care physician education. (Sec. 183) Mandates health care delivery system reforms. (Sec. 187) Provides for the consolidation of Federal nutrition activities. (Sec. 188) Establishes demonstration projects on informed decision making regarding the use of expensive life-sustaining technology. Authorizes appropriations. (Sec. 191) Mandates standards for the collection and disclosure of health care data. Authorizes appropriations. (Sec. 198) Amends the Internal Revenue Code to allow businesses, employees, and self-employed individuals deductions for health coverage, up to the minimum benefit package. Title II: National Health Care Reform Proposals - (Sec. 201) Establishes the National Health Care Reform Commission to develop national health care goals to improve access to health care, safeguard and improve quality, and control costs. (Sec. 211) Establishes demonstration projects on alternative structures for the U.S. health care financing and delivery system.
People & committees
Rep. Gekas, George W. [R-PA-17] · R–PA
Legislative record
A procedural vote is different from passage. Passage in one chamber does not establish enactment. Explore the glossary.
See H.R.3600.
Referred to the Subcommittee on Labor-Management Relations.
Referred to the Subcommittee on Economic and Commercial Law.
Referred to the Subcommittee on Health and the Environment.
Referred to the Subcommittee on Commerce, Consumer Protection and Competitiveness.
Referred to the Subcommittee on Health.
Referred to the House Committee on Ways and Means.
Referred to the House Committee on Rules.
Referred to the House Committee on Judiciary.
Referred to the House Committee on Energy and Commerce.
Referred to the House Committee on Education and Labor.
Introduced in House
Introduced in House
Primary sources
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Source last updated: Jun 3, 2026. Consult Congress.gov for the current record.
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