Patients' Bill of Rights Plus Act

passedUnited States· United States Congress· EN

Introduced

30 September 1999

Last action

1 February 2000 · ResolvingDifferences

Status

Motion to reconsider laid on the table Agreed to without objection.

Summary

Quality Care for the Uninsured Act of 1999 - Title I: Tax-Related Health Care Provisions - Amends the Internal Revenue Code to phase-in a 100 percent deduction (for both itemizers and nonitemizers) for the health and long-term care insurance costs of individuals not participating in employer-subsidized health plans. (Sec. 102) Provides for the deduction of 100 percent of the health insurance costs of self-employed individuals. (Sec. 103) Revises medical savings accounts provisions to: (1) repeal the limitation on the number of accounts; (2) make all employers (currently limited to small employers) eligible to offer accounts; (3) increase contribution deduction amounts; (4) permit employer and employee contributions; (5) reduce high deductible health plan deductibles; and (6) permit accounts to be offered under cafeteria plans. (Sec. 104) Permits offering long-term care insurance under cafeteria plans and flexible spending arrangements. (Sec. 105) Permits a taxpayer an additional exemption for certain elderly family members who need long-term care and who reside with the taxpayer. (Sec. 106) Expands the time frame for human clinical trials qualifying for the orphan drug credit. (Sec. 107) Adds to the list of taxable vaccines any conjugate vaccine of streptococcus pneumoniae. (Sec. 108) Establishes a limited credit for "qualified medical innovation expenses." Defines such expenses as amounts paid by a taxpayer to any qualified academic institution for clinical testing research activities. Title II: Greater Access and Choice Through Association Health Plans - Amends the Employee Retirement Income Security Act of 1974 (ERISA) to establish rules governing health plans sponsored by certain associations, including requirements for: (1) certification; (2) sponsors and boards of trustees, and treatment of franchised networks and collectively bargained plans; (3) participation and coverage of employers and individuals and of previously uninsured employees; (4) plan documents, contribution rates, and benefit options; (5) maintenance of reserves, excess-stop loss insurance, and solvency indemnification for plans providing health benefits in addition to health insurance coverage; (6) applications and related reporting; (7) notice for voluntary termination; (8) corrective actions and mandatory termination; and (9) church plans. (Sec. 201) Directs the Secretary of Labor to apply, to the appropriate Federal district court, to be appointed trustee of certain insolvent association health plans which provide health benefits in addition to health insurance coverage. Allows a State to impose a contribution tax on an association health plan that begins operations in such State after the enactment of this Act. Directs the Secretary to report to specified congressional committees on the effect association health plans have had, if any, on reducing the number of uninsured individuals. (Sec. 202) Revises requirements for treatment of single employer arrangements. (Sec. 203) Revises requirements for certain collectively bargained arrangements. (Sec. 204) Sets forth enforcement requirements relating to association health plans. (Sec. 205) Sets forth State responsibilities, and requirements for cooperation between Federal and State authorities, with respect to association health plans. (Sec. 206) Prescribes special rules for certain existing health benefits programs. Title III: Greater Access and Choice Through Healthmarts - Amends the Public Health Service Act to create a new title on HealthMarts. Requires that HealthMarts: (1) be nonprofit entities composed of employers, employees health care providers, and entities that underwrite or administer health benefits coverage; and (2) make available health coverage to all employers and eligible employees at rates established by the insurance issuer on a policy or product specific basis. Deems HealthMarts group health plans for purposes of specified provisions ERISA and the Internal Revenue Code. Requires that coverage made available to an eligible employee in a geographic area be offered to all eligible employees in the same area. Declares that the HealthMart: (1) provides coverage only through contracts with issuers and does not assume insurance risk; (2) provides administrative services for purchasers; and (3) collects and disseminates consumer information on all offered coverage options. Requires that HealthMart coverage provide full portability of creditable coverage for individuals who remain members of the same HealthMart notwithstanding that they change employers. Allows HealthMart coverage to include coverage through an HMO, a preferred provider or licensed provider-sponsored organization, an insurance company, a medical savings or flexible spending account, a point-of-service option, a community health organization, or any combination of those coverages. Requires a HealthMart to permit any employer to contract for coverage and prohibits varying eligibility conditions. Prohibits the purchaser from obtaining or sponsoring coverage other than through the HealthMart. Prohibits enrollment discrimination based on health. Requires HealthMarts to make at least two coverage options available. Supersedes certain related State laws. Provides for the application of: (1) certain existing ERISA and Public Health Service Act requirements; and (2) renewability requirements when the contract between a HealthMart and an issuer is terminated. Directs the Secretary of Health and Human Services to administer this subtitle through a separate Health Care Marketplace Division. Title IV: Community Health Organizations - Permits the waiver of State licensure requirements for certain community health organizations.

This text is taken from the official record. PoliticalRepo does not editorialize.

Timeline

30 September 1999
Introduced
Referred to the Committee on Commerce, and in addition to the Committees on Ways and Means, and Education and the Workforce, 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.
Source: IntroReferral
30 September 1999
Introduced
Referred to the Committee on Commerce, and in addition to the Committees on Ways and Means, and Education and the Workforce, 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.
Source: IntroReferral
30 September 1999
Introduced
Introduced in House
Source: IntroReferral
30 September 1999
Introduced
Introduced in House
Source: IntroReferral
5 October 1999
Reported
Rules Committee Resolution H. Res. 323 Reported to House. Rule provides for consideration of H.R. 2990 and H.R. 2723. Provides two hours of debate on H.R. 2990 and waives all points of order against the bill. Provides one motion to recommit the bill. Provides three hours of debate on H.R. 2723 and waives all points of order against the bill. The amendments to H.R. 2723, printed in Part A of H. Rept. 106-366 shall be considered as adopted. Further provides for consideration of amendments printed in Part B of H. Rept. 106-366 and waives all points of order against them except that the adoption of an amendment in the nature of a substitute shall constitute the conclusion of the bill for amendment. In the engrossment of H.R. 2990, the Clerk shall add the text of H.R. 2723, as passed by the House, as a new matter at the end of H.R. 2990, and then lay H.R. 2723 on the table.
Source: Floor
6 October 1999
Passed
Motion to reconsider laid on the table Agreed to without objection.
Source: Floor
6 October 1999
Vote
On passage Passed by the Yeas and Nays: 227 - 205 (Roll no. 485).
Source: Floor
6 October 1999
Vote
Passed/agreed to in House: On passage Passed by the Yeas and Nays: 227 - 205 (Roll no. 485).
Source: Floor
6 October 1999
Vote
On motion to recommit with instructions Failed by recorded vote: 211 - 220 (Roll no. 484). (consideration: CR H9473)
Source: Floor
6 October 1999
Floor
The previous question on the motion to recommit with instructions was ordered without objection.
Source: Floor
6 October 1999
Floor
Mr. Rangel moved to recommit with instructions to Ways and Means.
Source: Floor
6 October 1999
Floor
The previous question was ordered pursuant to the rule.
Source: Floor
6 October 1999
Passed
Rule provides for consideration of H.R. 2990 and H.R. 2723. Provides two hours of debate on H.R. 2990 and waives all points of order against the bill. Provides one motion to recommit the bill. Provides three hours of debate on H.R. 2723 and waives all points of order against the bill. The amendments to H.R. 2723, printed in Part A of H. Rept. 106-366 shall be considered as adopted. Further provides for consideration of amendments printed in Part B of H. Rept. 106-366 and waives all points of order against them except that the adoption of an amendment in the nature of a substitute shall constitute the conclusion of the bill for amendment. In the engrossment of H.R. 2990, the Clerk shall add the text of H.R. 2723, as passed by the House, as a new matter at the end of H.R. 2990, and then lay H.R. 2723 on the table.
Source: Floor
6 October 1999
Floor
Considered under the provisions of rule H. Res. 323. (consideration: CR H9431-9474)
Source: Floor
14 October 1999
Passed
Passed/agreed to in Senate: Passed Senate with an amendment by Unanimous Consent.
Source: Floor
14 October 1999
ResolvingDifferences
Senate insisted on its amendment, requested a conference. (consideration: CR S12654)
Source: ResolvingDifferences
14 October 1999
Floor
Measure laid before Senate by unanimous consent. (consideration: CR S12654)
Source: Floor
14 October 1999
Introduced
Received in the Senate, read twice.
Source: IntroReferral
15 October 1999
ResolvingDifferences
Senate appointed conferees Jeffords; Gregg; Frist; Hutchinson; Nickles; Gramm; Enzi; Kennedy; Dodd; Harkin; Mikulski; Rockefeller.
Source: ResolvingDifferences
18 October 1999
Floor
Message on Senate action sent to the House.
Source: Floor
1 November 1999
Reported
Rules Committee Resolution H. Res. 348 Reported to House. Rule provides for consideration of Senate amendment to H.R. 2990. Providing that the House disagrees to the Senate amendment and agrees to the conference requested by the Senate thereon.
Source: Floor
2 November 1999
Passed
Rule H. Res. 348 passed House.
Source: Floor
3 November 1999
ResolvingDifferences
The Speaker appointed conferees - from the Committee on Commerce for consideration of the House bill, and the Senate amendment, and modifications committee to conference: Bliley, Bilirakis, Shadegg, Dingell, and Pallone.
Source: ResolvingDifferences
3 November 1999
Passed
Motion to reconsider laid on the table Agreed to without objection.
Source: ResolvingDifferences
3 November 1999
Vote
On motion that the House instruct conferees Agreed to by the Yeas and Nays: 257 - 167 (Roll no. 558). (consideration: CR H11390)
Source: ResolvingDifferences
3 November 1999
Passed
DEBATE - The House is debating the motion to instruct conferees for one hour. Mr. Dingell moved that the managers on the part of the House at the conference on the disagreeing votes of the two Houses on the Senate amendment to the bill H.R. 2990 be instructed to insist on the provisions of the bipartisan Consensus Managed Care Improvement Act of 1999 (Division B of H.R. 2990 as passed by the House), and within the scope of conference to insist that such provisions be paid for.
Source: Floor
3 November 1999
ResolvingDifferences
Mr. Dingell moved that the House instruct conferees. (consideration: CR H11395)
Source: ResolvingDifferences
1 February 2000
Passed
Motion to reconsider laid on the table Agreed to without objection.
Source: ResolvingDifferences
1 February 2000
Vote
On motion that the House instruct conferees Agreed to by the Yeas and Nays: 207 - 175, 28 Present (Roll no. 6). (consideration: CR H129-137)
Source: ResolvingDifferences
1 February 2000
ResolvingDifferences
The previous question was ordered without objection.
Source: ResolvingDifferences
1 February 2000
Passed
Mr. Berry moved that the managers on the part of the House at the conference on the disagreeing votes of the two Houses on the Senate amendment to H.R. 2990 be instructed 1) to take all necessary steps to begin meetings of the conference committee in order to report back expeditiously to the House; and 2) to insist on the provisions of the bipartisan Consensus Managed Care Improvement Act of 1999 (Division B of H.R. 2990 as passed by the House), and within the scope of conference to insist that such provisions be paid for.
Source: Floor
1 February 2000
ResolvingDifferences
Mr. Berry moved that the House instruct conferees.
Source: ResolvingDifferences

Votes

No vote records are attached yet.

Versions

Received in Senate · 14 October 1999 · Download file
Engrossed Amendment Senate · 14 October 1999 · Download file
Engrossed in House · 7 October 1999 · Download file
Introduced in House · 30 September 1999 · Download file

Documents

11 official files

Engrossed Amendment Senate (text)

View file Download file

This file cannot be previewed here. Use View or Download.

Leesvertaling

Vertaal dit document naar jouw taal. PoliticalRepo bewaart geen aparte kopie per EU-taal.

Vertaal naar

Documentvertaling op verzoek met downloadbare PDF (logo + link naar de officiële bron). Het bronbestand blijft leidend.

Engrossed Amendment Senate (text)
Engrossed Amendment Senate · EN · 14 October 1999
View Download Open at official source
Engrossed Amendment Senate (PDF)
Engrossed Amendment Senate · EN · 14 October 1999
View Download Open at official source
Leesvertaling
Vertaal dit document naar jouw taal. PoliticalRepo bewaart geen aparte kopie per EU-taal.
Vertaal naar
Documentvertaling op verzoek met downloadbare PDF (logo + link naar de officiële bron). Het bronbestand blijft leidend.
Received in Senate (text)
Received in Senate · EN · 14 October 1999
View Download Open at official source
Leesvertaling
Vertaal dit document naar jouw taal. PoliticalRepo bewaart geen aparte kopie per EU-taal.
Vertaal naar
Documentvertaling op verzoek met downloadbare PDF (logo + link naar de officiële bron). Het bronbestand blijft leidend.
Received in Senate (PDF)
Received in Senate · EN · 14 October 1999
View Download Open at official source
Leesvertaling
Vertaal dit document naar jouw taal. PoliticalRepo bewaart geen aparte kopie per EU-taal.
Vertaal naar
Documentvertaling op verzoek met downloadbare PDF (logo + link naar de officiële bron). Het bronbestand blijft leidend.
Passed Senate amended
summary · EN · 14 October 1999
Open at official source
Leesvertaling
Vertaal dit document naar jouw taal. PoliticalRepo bewaart geen aparte kopie per EU-taal.
Vertaal naar
Documentvertaling op verzoek met downloadbare PDF (logo + link naar de officiële bron). Het bronbestand blijft leidend.
Engrossed in House (text)
Engrossed in House · EN · 7 October 1999
View Download Open at official source
Leesvertaling
Vertaal dit document naar jouw taal. PoliticalRepo bewaart geen aparte kopie per EU-taal.
Vertaal naar
Documentvertaling op verzoek met downloadbare PDF (logo + link naar de officiële bron). Het bronbestand blijft leidend.
Engrossed in House (PDF)
Engrossed in House · EN · 7 October 1999
View Download Open at official source
Leesvertaling
Vertaal dit document naar jouw taal. PoliticalRepo bewaart geen aparte kopie per EU-taal.
Vertaal naar
Documentvertaling op verzoek met downloadbare PDF (logo + link naar de officiële bron). Het bronbestand blijft leidend.
Passed House amended
summary · EN · 6 October 1999
Open at official source
Leesvertaling
Vertaal dit document naar jouw taal. PoliticalRepo bewaart geen aparte kopie per EU-taal.
Vertaal naar
Documentvertaling op verzoek met downloadbare PDF (logo + link naar de officiële bron). Het bronbestand blijft leidend.
Introduced in House (text)
Introduced in House · EN · 30 September 1999
View Download Open at official source
Leesvertaling
Vertaal dit document naar jouw taal. PoliticalRepo bewaart geen aparte kopie per EU-taal.
Vertaal naar
Documentvertaling op verzoek met downloadbare PDF (logo + link naar de officiële bron). Het bronbestand blijft leidend.
Introduced in House (PDF)
Introduced in House · EN · 30 September 1999
View Download Open at official source
Leesvertaling
Vertaal dit document naar jouw taal. PoliticalRepo bewaart geen aparte kopie per EU-taal.
Vertaal naar
Documentvertaling op verzoek met downloadbare PDF (logo + link naar de officiële bron). Het bronbestand blijft leidend.
Introduced in House
summary · EN · 30 September 1999
Open at official source
Leesvertaling
Vertaal dit document naar jouw taal. PoliticalRepo bewaart geen aparte kopie per EU-taal.
Vertaal naar
Documentvertaling op verzoek met downloadbare PDF (logo + link naar de officiële bron). Het bronbestand blijft leidend.

Related records

Sources

PoliticalRepo is an index and interpretation layer, not the authoritative legal source.

Official source: https://www.congress.gov/bill/106th-congress/house-bill/2990
Open data entity: https://api.congress.gov/v3/bill/106/hr/2990
us · 106-hr-2990 · source updated 21 July 2025