United States · Bill · HR
H.R. 191 (103rd)
American Consumers Health Care Reform Act of 1993
Introduced
5 January 1993
Last action
2 August 1994 · Committee
Status
See H.R.3600.
Sponsors
Rep. Gekas, George W. [R-PA-17], Rep. Blute, Peter I. [R-MA-3]
Subjects
Healthcare, Taxation, Education
Source updated
3 June 2026
Healthcare · Taxation · Education
Summary
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.
This text is taken from the official record. PoliticalRepo does not editorialize.
Timeline
5 January 1993
Introduced
Introduced in House
Source: IntroReferral
5 January 1993
Introduced
Introduced in House
Source: IntroReferral
5 January 1993
Introduced
Referred to the House Committee on Education and Labor.
Source: IntroReferral
25 January 1993
Referred
Referred to the Subcommittee on Health.
Source: Committee
3 February 1993
Referred
Referred to the Subcommittee on Commerce, Consumer Protection and Competitiveness.
Source: Committee
10 February 1993
Referred
Referred to the Subcommittee on Economic and Commercial Law.
Source: Committee
11 February 1993
Referred
Referred to the Subcommittee on Labor-Management Relations.
Source: Committee
2 August 1994
Committee
See H.R.3600.
Source: Committee
Votes
No vote records are attached yet.
Versions
- Introduced in House · 5 January 1993 · Download file
Documents
3 official files
Introduced in House (text)
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Introduced in House (text)
Introduced in House · EN · 5 January 1993
Introduced in House (PDF)
Introduced in House · EN · 5 January 1993
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Introduced in House
summary · EN · 5 January 1993
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Sponsors
- Rep. Gekas, George W. [R-PA-17] · R · Sponsor
- Rep. Blute, Peter I. [R-MA-3] · R · Cosponsor
- · hsed00 · Standing
- · hsju00 · Standing
- · hsif00 · Standing
- · hswm00 · Standing
- · hsru00 · Standing
Related records
- related to ← Health Security Act
Sources
PoliticalRepo is an index and interpretation layer, not the authoritative legal source.
- Official source: https://www.congress.gov/bill/103rd-congress/house-bill/191
- Open data entity: https://api.congress.gov/v3/bill/103/hr/191
- us · 103-hr-191 · source updated 3 June 2026