United States · Bill · HR
H.R. 491 (106th)
Medicare+Choice Program Improvement Act of 1999
Introduced
2 February 1999
Last action
—
Status
Referred to the Subcommittee on Health and Environment, for a period to be subsequently determined by the Chairman.
Sponsors
—
Subjects
Discovery layer
Source updated
3 June 2026
Summary
Medicare+Choice Program Improvement Act of 1999 - Amends parts C (Medicare+Choice) and D (Miscellaneous Provisions) of title XVIII (Medicare) of the Social Security Act concerning the Medicare+Choice and Medigap programs to, among other things: (1) allow enrollment in alternative Medicare+Choice plans of Medicare beneficiaries whose Medicare+Choice organizations or group health plans under which they are enrolled have provided notice of intended coverage termination; (2) guarantee access for certain Medicare beneficiaries to Medigap policies in case of involuntary termination of coverage under a Medicare+Choice plan; (3) apply Medicare+Choice and Medigap consumer protections to disabled and end-stage renal disease Medicare beneficiaries; (4) prohibit attained-age rating of premiums for Medigap policies; (5) provide for non-preemption of State prescription drug coverage mandates in case of approved State Medigap waivers; (6) prohibit "cold-call" marketing of Medicare+Choice plans; (7) grant flexibility in the definition of the term "service area" under the Medicare+Choice program; (8) provide for a three-year phase-in of risk adjustment of Medicare+Choice plan payments; (9) allow delays in certain deadlines under the Medicare+Choice program, such as delay in the rate promulgation deadline; (10) account for costs of Departments of Veterans Affairs and Defense military facility services to Medicare-eligible beneficiaries in calculating Medicare+Choice plan payment rates; (11) increase civil monetary penalties for failure to meet Medigap open enrollment requirements; and (12) provide for National Association of Insurance Commissioners, at the request of the Secretary of Health and Human Services, review, and, along with the Secretary, update of benefit packages for Medigap policies.
This text is taken from the official record. PoliticalRepo does not editorialize.
Timeline
No timeline events have been ingested for this record yet.
Votes
No vote records are attached yet.
Versions
No version snapshots stored. Document URLs remain at the source.
Documents
3 official files
Introduced in House (text)
Introduced in House (text)
Introduced in House · EN · 2 February 1999
Introduced in House (PDF)
Introduced in House · EN · 2 February 1999
Introduced in House
summary · EN · 2 February 1999
Sponsors
No sponsors or actors listed by the source.
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/106th-congress/house-bill/491
- Open data entity: https://api.congress.gov/v3/bill/106/hr/491