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H.R.2261 / 103rd Congress

To contain the rate of growth in health care costs and enhance the quality of health care by improving and making more efficient the provision of medical and health insurance information, and for other purposes.

Referred to the Subcommittee on Health and the Environment.

Official summary

Version 00 · Introduced in House · May 25, 1993

TABLE OF CONTENTS: Title I: Standardization of Claims Processing Title II: Electronic Medical Data Standards Title III: Development and Distribution of Comparative Value Information Title IV: Additional Standards and Requirements; Research and Demonstrations Title I: Standardization of Claims Processing - Requires the Secretary of Health and Human Services to adopt standards relating to each of the following: (1) data elements for use in paper and electronic claims processing under health benefit plans, as well as for use in utilization review and management of care; (2) uniform claims forms; and (3) uniform electronic transmission of the data elements. Title II: Electronic Medical Data Standards - Requires the Secretary to promulgate standards for hospitals concerning electronic medical data, including: (1) a definition of a standard set of data elements for use by utilization and quality control peer review organizations; (2) a definition of the set of comprehensive data elements; (3) standards for an electronic patient care information system; (4) standards concerning the transmission of electronic medical data; and (5) standards relating to confidentiality of patient-specific information. Establishes an advisory commission to advise the Secretary concerning the standards. Authorizes appropriations. Title III: Development and Distribution of Comparative Value Information - Provides for the development and implementation in each State of a comparative health care value information program that covers the prices of health care services and health insurance plans. Authorizes appropriations. Title IV: Additional Standards and Requirements; Research and Demonstrations - Provides for: (1) magnetized identification cards under both Medicare and Medicaid; and (2) a Medicare and Medicaid data bank that provides information on health plan payors under Medicare and Medicaid. Authorizes appropriations. Preempts State quill pen laws. Requires the use of standard identification numbers by health benefit plans. Provides for the coordination of benefits when two or more health benefit plans are liable, if the Secretary determines there is a need for such coordination.

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Who introduced it

Rep. Thomas, William M. [R-CA-21] · R–CA

Committees

  • Energy and Commerce Committee
  • Education and Workforce Committee
  • Veterans' Affairs Committee
  • Ways and Means Committee
4 cosponsorship records, including any withdrawals

Actions

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  1. Referred to the Subcommittee on Health and the Environment.

  2. Referred to the Subcommittee on Commerce, Consumer Protection and Competitiveness.

  3. Referred to the Subcommittee on Labor-Management Relations.

  4. Referred to the Subcommittee on Hospitals and Health Care.

  5. Referred to the Subcommittee on Health.

  6. Referred to the House Committee on Ways and Means.

  7. Referred to the House Committee on Veterans' Affairs.

  8. Referred to the House Committee on Energy and Commerce.

  9. Referred to the House Committee on Education and Labor.

  10. Introduced in House

  11. Introduced in House

Bill text & related measures

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Related bills identified by Congress.gov

No related bills are listed in this snapshot. This does not establish whether the proposal has appeared in earlier Congresses.

Source last updated: Jun 3, 2026. Consult Congress.gov for the current record.

Explore the bill from different angles

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Neutral evidence review

Objective

Analyze H.R.2261 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.2261 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.2261 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.2261 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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