United States · Bill · HR
H.R. 1255 (102nd)
Universal Health Insurance Act of 1991
Introduced
5 March 1991
Last action
18 March 1991 · Referred
Status
Referred to the Subcommittee on Health and the Environment.
Sponsors
Rep. Pease, Donald J. [D-OH-13]
Subjects
Healthcare, Taxation
Source updated
3 June 2026
Summary
Universal Health Insurance Act of 1991 - Adds a new title XXI to the Social Security Act entitled "Basic Health Insurance." Provides, under title XXI, for: (1) the establishment of one or more service areas within each State to deliver health care services; (2) the establishment of benefit standards; (3) the selection of carriers through competitive bidding; and (4) outreach services. Directs the Secretary of Health and Human Services in establishing the benefit standards to include the types of coverage normally provided by health insurance plans, including maternity, prenatal, and postnatal care and catastrophic protection. Provides that every U.S. national and lawfully admitted alien shall be eligible to enroll with a participating carrier. Determines the annual premium for such insurance by the use of a formula which takes into account an individual's income and net assets so that such premium increases with one's wealth. Provides that coverage under a title XXI plan shall: (1) be secondary in payment to any other insurance or benefit plan; and (2) not require any evidence of medical insurability or restrict coverage because of a preexisting condition or previous treatment. Provides a premium discount to enrollees who make little or no use of such insurance. Authorizes appropriations to carry out new title XXI in an amount equal to: (1) 100 percent of the cigarette excise tax; and (2) such additional amounts as may be required. Requires such funds to be used for making payments to health insurance carriers for health insurance coverage contracted for by the Secretary under title XXI. Amends the Internal Revenue Code to impose an additional tax on cigarettes. Imposes an excise tax, of six percent of total wages paid, on employers who do not offer their employees a health plan meeting title XXI benefit standards.
This text is taken from the official record. PoliticalRepo does not editorialize.
Timeline
5 March 1991
Introduced
Referred to the House Committee on Energy and Commerce.
Source: IntroReferral
5 March 1991
Introduced
Introduced in House
Source: IntroReferral
5 March 1991
Introduced
Introduced in House
Source: IntroReferral
13 March 1991
Referred
Referred to the Subcommittee on Human Resources.
Source: Committee
18 March 1991
Referred
Referred to the Subcommittee on Health and the Environment.
Source: Committee
Votes
No vote records are attached yet.
Versions
- Introduced in House · undated · Official file
Documents
2 official files
Introduced in House (text)
Introduced in House (text)
Introduced in House · EN
Introduced in House
summary · EN · 5 March 1991
Sponsors
- Rep. Pease, Donald J. [D-OH-13] · D · Sponsor
- · hsif00 · Standing
- · hswm00 · Standing
Related records
No cross-record relationships stored yet.
Sources
PoliticalRepo is an index and interpretation layer, not the authoritative legal source.
- Official source: https://www.congress.gov/bill/102nd-congress/house-bill/1255
- Open data entity: https://api.congress.gov/v3/bill/102/hr/1255
- us · 102-hr-1255 · source updated 3 June 2026