HR 4572 · 102th Congress · Health
To direct the Secretary of Health and Human Services to waive certain requirements under the medicaid program during 1992 and 1993 for health maintenance organizations operated by the Dayton Area Health Plan in Dayton, Ohio.
Bill Progress
1
Introduced✓
Committee✓
House Vote✓
Senate✓
EnactedLatest: Became Public Law No: 102-276.(1992-04-28)
Plain Language Summary
[AI summary unavailable — showing source text]
Directs the Secretary of Health and Human Services, during quarters in calendar years 1992 and 1993, with respect to: (1) the Health Plan Network operated by the Dayton Area Health Plan, to waive a provision of the Social Security Act governing eligible State plans for medical assistance under Medicaid that requires that Medicare and Medicaid beneficiaries constitute less than 75 percent of the membership of any prepaid medical provider; and (2) the Day-Med HMP and Health Power programs operated by such Plan, not to treat any individuals enrolled in the Health Start program carried out by the Director of the Ohio Department of Human Services as Medicare or Medicaid beneficiaries for purposes of determining the compliance of the programs with such requirement. Makes such provision inapplicable with respect to quarters in a calendar year unless the Secretary finds that the State of Ohio has adopted and is enforcing enhanced quality assurance standards regarding specified services provided by the Plan.…
Summarized by Claude AI · Non-partisan · For informational purposes only