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SEC. 191. HEALTH COVERAGE AVAILABILITY STUDIES.

                                                                                                                                                                                                                                                                                                                        

 Title[ Title I\Subtitle C                                                            Contents

                                                                                                                                                                                                                                                                                                                       


<<NOTE: 42 USC 300gg note.>>  


            Subtitle C--General and Miscellaneous Provisions


    (a) Studies.--

            (1) Study on effectiveness of reforms.--The Secretary of

        Health and Human Services shall provide for a study on the

        effectiveness of the provisions of this title and the various

        State laws, in ensuring the availability of reasonably priced

        health coverage to employers purchasing group coverage and

        individuals purchasing coverage on a non-group basis.


            (2) Study on access and choice.--The Secretary also shall

        provide for a study on--

                    (A) the extent to which patients have direct access

                to, and choice of, health care providers, including

                specialty providers, within a network plan, as well as

                the opportunity to utilize providers outside of the

                network plan, under the various types of coverage

                offered under the provisions of this title; and


                    (B) the cost and cost-effectiveness to health

                insurance issuers of providing access to out-of-network

                providers, and the potential impact of providing such

                access on the cost and quality of health insurance

                coverage offered under provisions of this title.


            (3) Consultation.--The studies under this subsection shall

        be conducted in consultation with the Secretary of Labor,

        representatives of State officials, consumers, and other

        representatives of individuals and entities that have expertise

        in health insurance and employee benefits.


    (b) Reports.--Not later than January 1, 2000, the Secretary shall

submit to the appropriate committees of Congress a report on each of the

studies under subsection (a).


 

                                                                                                                                                                                                                                                                                                                                                                        

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