To temporarily waive the enrollment composition rule under the Medicaid program for certain health maintenance organizations.

Waives for contract periods beginning on July 1, 1996, and ending on June 30, 1998, with respect to facilities of HealthCare USA, Inc. and Ultramedix Health Care Systems Inc. operating in Florida, the requirement under the Social Security Act that Medicare and Medicaid beneficiaries constitute less than 75 percent of the membership of a participating health maintenance organization.

Waives the enrollment composition rule (the requirement under the Social Security Act that Medicare and Medicaid beneficiaries constitute less than 75 percent of the membership of a participating health maintenance organization) for certain health maintenance organizations for contract periods beginning on July 1, 1996, and ending on June 30, 1998.

[Congressional Bills 104th Congress]
[From the U.S. Government Printing Office]
[H.R. 4227 Introduced in House (IH)]







104th CONGRESS
  2d Session
                                H. R. 4227

To temporarily waive the enrollment composition rule under the Medicaid 
         program for certain health maintenance organizations.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                           September 26, 1996

Mrs. Thurman (for herself, Mrs. Fowler, Mr. Deutsch, and Mr. Bilirakis) 
 introduced the following bill; which was referred to the Committee on 
                                Commerce

_______________________________________________________________________

                                 A BILL


 
To temporarily waive the enrollment composition rule under the Medicaid 
         program for certain health maintenance organizations.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. WAIVER OF 75/25 MEDICAID ENROLLMENT RULE FOR CERTAIN MANAGED 
              CARE ORGANIZATIONS.

    The requirement of section 1903(m)(2)(A)(ii) of the Social Security 
Act (42 U.S.C. 1396b(m)(2)(A)(ii)) is waived with respect to facilities 
of HealthCare USA, Inc. and Ultramedix Health Care Systems Inc. 
operating in Florida for contract periods beginning on July 1, 1996, 
and ending on June 30, 1998.
                                 <all>