PlainBillCongress, translated.Legislation. Context. Public interest.
H.R.4186 / 105th Congress

Medicare Contracting Flexibility Act of 1998

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

Official summary

Version 00 · Introduced in House · Jun 25, 1998

Medicare Contracting Flexibility Act of 1998 - Amends title XVIII (Medicare) of the Social Security Act with respect to flexibility in contracting for Medicare claims processing. Allows the Secretary of Health and Human Services, through the Health Care Financing Administration, to contract for claims processing with carriers that are not insurance companies. Requires the Secretary, at least every five years, to permit each service provider, including a group of hospitals or a group of another class of providers under common ownership by or control of a particular entity, to choose a fiscal intermediary from among those the Secretary proposes. Revises and reduces the number of contract performance requirements the Secretary must develop for fiscal intermediaries. Permits the non-competitive term renewal of a contract with any fiscal intermediary that has met or exceeded performance requirements. Waives competitive requirements for fiscal intermediary contracts entered within into within a certain period after enactment of this Act. Requires year 2000 compliance by fiscal intermediaries and carriers.

Read the summary on Congress.gov
PlainBill analysis is coming later. This page presents official source data. We have not yet published a PlainBill explanation for this bill.

Who introduced it

Rep. Stark, Fortney Pete [D-CA-13] · D–CA

Committees

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

    Actions

    A procedural vote is different from passage. Passage in one chamber does not establish enactment. Explore the glossary.

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

    2. Referred to the Subcommittee on Health.

    3. Referred to House Commerce

    4. Referred to the Committee on Ways and Means, and in addition to the Committee on Commerce, 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. Referred to House Ways and Means

    6. Sponsor introductory remarks on measure. (CR E1232-1233)

    7. Introduced in House

    8. Introduced in House

    Bill text & related measures

    Text links open the official source. We currently store references to these documents.

    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

    Choose a perspective, copy a prompt, and paste it into your preferred AI. Each prompt includes the bill version and available official source links, and asks for counterarguments as well as supporting evidence.

    Neutral evidence review

    Objective

    Analyze H.R.4186 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.

    View full prompt & sources
    Fairness and public impact

    Progressive lens

    Examine H.R.4186 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.

    View full prompt & sources
    Institutions and government scope

    Conservative lens

    Examine H.R.4186 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.

    View full prompt & sources
    Individual rights and government power

    Liberty lens

    Examine H.R.4186 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.

    View full prompt & sources