Targeted Individual Health Insurance Reform Act of 1995

Summary

TABLE OF CONTENTS: Title I: Definitions and Special Rules Title II: Access to and Fair Rating of Health Insurance Coverage for Individuals Subtitle A: Increased Availability and Continuity of Health Insurance Coverage for Individuals Subtitle B: Establishment of Standards; Enforcement; Effective Dates Targeted Individual Health Insurance Reform Act of 1995 - Title I: Definitions and Special Rules - Sets forth definitions for this Act, including defining "medisave coverage" as consisting of: (1) coverage of expenses exceeding a catastrophic deductible amount; and (2) a cash benefit that accumulates while not used, to be used for deductibles, cost-sharing, and other expenses. Title II: Access to and Fair Rating of Health Insurance Coverage for Individuals - Subtitle A: Increased Availability and Continuity of Health Insurance Coverage for Individuals - Regulates the periods during which insurers of individuals may deny, limit, or exclude coverage based on health status or related matters. (Sec. 2002) Reduces any exclusion period by any time in continuous coverage. Considers newborns and adopted children as not having any preexisting condition. (Sec. 2003) Prohibits cancellation (or denial of renewal) except for premium nonpayment, fraud, or plan noncompliance, or if the insurer is ceasing to provide any such coverage. (Sec. 2011) Requires insurers of individuals to meet the standards of these provisions. Provides for determination by the Secretary of Health and Human Services that a private entity has established standards for provider networks. (Sec. 2012) Prohibits coverage denial on the basis of a utilization review program unless the program meets the standards determined by the Secretary to have been established by a private entity. (Sec. 2021) Requires insurers of individuals to make available general, catastrophic, and medisave coverage. (Sec. 2022) Prohibits rates from varying except for specified factors. Subtitle B: Establishment of Standards; Enforcement; Effective Dates - Provides for development: (1) by the National Association of Insurance Commissioners of standards regarding subtitle A; and (2) by a private entity regarding utilization review standards. (Sec. 2102) Allows States to elect whether to enforce standards under this Act. Directs the Secretary to enforce them if a State does not. (Sec. 2103) Preempts related State or local standards and laws, including certain State anti-managed care laws.

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Timeline

1. 21 February 1995

   Introduced

   Referred to the Committee on Commerce, and in addition to the Committee on Economic and Educational Opportunities, 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

2. 21 February 1995

   Introduced

   Referred to the Committee on Commerce, and in addition to the Committee on Economic and Educational Opportunities, 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

3. 21 February 1995

   Introduced

   Introduced in House

   Source: IntroReferral

4. 21 February 1995

   Introduced

   Introduced in House

   Source: IntroReferral

5. 22 February 1995

   Introduced

   Sponsor introductory remarks on measure. (CR E402-403)

   Source: IntroReferral

6. 27 February 1995

   Referred

   Referred to the Subcommittee on Health and Environment.

   Source: Committee

7. 10 March 1995

   Referred

   Referred to the Subcommittee on Employer-Employee Relations.

   Source: Committee

8. 24 March 1995

   Committee

   Executive Comment Requested from Labor, HHS.

   Source: Committee

9. 28 March 1995

   Committee

   Subcommittee Hearings Held.

   Source: Committee

Votes

No vote records are attached yet.

Versions

• Introduced in House · 21 February 1995 · Download file

Documents

3 official files

• Introduced in House (text)

  Introduced in House · EN · 21 February 1995

  ViewDownloadOpen at official source

• Introduced in House (PDF)

  Introduced in House · EN · 21 February 1995

  ViewDownloadOpen at official source

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• Introduced in House

  summary · EN · 21 February 1995

  Open at official source

  Leesvertaling

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  Vertaal naarNL · DutchDE · GermanFR · FrenchES · SpanishIT · ItalianPL · PolishPT · PortugueseSV · SwedishDA · DanishFI · FinnishEL · GreekCS · CzechHU · HungarianRO · RomanianBG · BulgarianHR · CroatianSK · SlovakSL · SlovenianLT · LithuanianLV · LatvianET · EstonianGA · IrishMT · Maltese

  Vertaal document

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

Sponsors

• Rep. Fawell, Harris W. [R-IL-13] · R · Sponsor
• Rep. Goodling, William F. [R-PA-19] · R · Sponsor
• Rep. Petri, Thomas E. [R-WI-6] · R · Sponsor
• Rep. Roukema, Marge [R-NJ-5] · R · Sponsor
• Rep. Ballenger, Cass [R-NC-10] · R · Sponsor
• Rep. Hoekstra, Peter [R-MI-2] · R · Sponsor
• Rep. McKeon, Howard P. "Buck" [R-CA-25] · R · Sponsor
• Rep. Meyers, Jan [R-KS-3] · R · Sponsor
• Sen. Talent, Jim [R-MO] · R · Sponsor
• Rep. Greenwood, James C. [R-PA-8] · R · Sponsor
• Sen. Hutchinson, Tim [R-AR] · R · Sponsor
• Rep. Knollenberg, Joe [R-MI-9] · R · Sponsor
• Sen. Graham, Lindsey [R-SC] · R · Sponsor
• Rep. Weldon, Dave [R-FL-15] · R · Sponsor
• Rep. McIntosh, David M. [R-IN-2] · R · Sponsor
• Rep. Cunningham, Randy (Duke) [R-CA-50] · R · Cosponsor
• Rep. Weller, Jerry [R-IL-11] · R · Cosponsor
• Rep. McHugh, John M. [R-NY-23] · R · Cosponsor
• Rep. Calvert, Ken [R-CA-41] · R · Cosponsor
• Sen. Allard, Wayne [R-CO] · R · Cosponsor
• Rep. Pickett, Owen B. [D-VA-2] · D · Cosponsor
• Rep. Cooley, Wes [R-OR-2] · R · Cosponsor
• Rep. English, Phil [R-PA-3] · R · Cosponsor
• Rep. Porter, John Edward [R-IL-10] · R · Cosponsor
• Rep. Souder, Mark E. [R-IN-3] · R · Cosponsor
• Rep. Riggs, Frank [R-CA-1] · R · Cosponsor
• Rep. Solomon, Gerald B. H. [R-NY-22] · R · Cosponsor
• · hsed00 · Standing
• · hsif00 · Standing

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