Home > 106th Congressional Bills > S. 2546 (is) To amend the Clean Air Act to prohibit the use of methyl tertiary butyl ether, to provide flexibility within the oxygenate requirement of the reformulated gasoline program of the Environmental Protection Agency, to promote the use of renewabl...

S. 2546 (is) To amend the Clean Air Act to prohibit the use of methyl tertiary butyl ether, to provide flexibility within the oxygenate requirement of the reformulated gasoline program of the Environmental Protection Agency, to promote the use of renewabl...


Google
 
Web GovRecords.org








108th CONGRESS
  2d Session
                                S. 2544

   To provide for the certification of programs to provide uninsured 
employees of small businesses access to health coverage, and for other 
                               purposes.


_______________________________________________________________________


                   IN THE SENATE OF THE UNITED STATES

                             June 17, 2004

Ms. Stabenow (for herself, Mrs. Lincoln, and Mr. Levin) introduced the 
 following bill; which was read twice and referred to the Committee on 
                                Finance

_______________________________________________________________________

                                 A BILL


 
   To provide for the certification of programs to provide uninsured 
employees of small businesses access to health coverage, and for other 
                               purposes.

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

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Health Care Access for Small 
Businesses Act of 2004''.

SEC. 2. THREE-SHARE PROGRAMS.

    The Social Security Act (42 U.S.C. 301 et seq.) is amended by 
adding at the end the following:

               ``TITLE XXII--PROVIDING FOR THE UNINSURED

``SEC. 2201. THREE-SHARE PROGRAMS.

    ``(a) Pilot Programs.--The Secretary, acting through the 
Administrator, shall award grants under this section for the startup 
and operation of 50 eligible three-share pilot programs for a 5-year 
period.
    ``(b) Grants for Three-Share Programs.--
            ``(1) Establishment.--The Administrator may award grants to 
        eligible entities--
                    ``(A) to establish three-share programs;
                    ``(B) to provide for contributions to the premiums 
                assessed for coverage under a three-share program as 
                provided for in subsection (c)(2)(B)(iii); and
                    ``(C) to establish risk pools.
            ``(2) Three-share program plan.--Each entity desiring a 
        grant under this subsection shall develop a plan for the 
        establishment and operation of a three-share program that meets 
        the requirements of paragraphs (2) and (3) of subsection (c).
            ``(3) Application.--Each entity desiring a grant under this 
        subsection shall submit an application to the Administrator at 
        such time, in such manner and containing such information as 
        the Administrator may require, including--
                    ``(A) the three-share program plan described in 
                paragraph (2); and
                    ``(B) an assurance that the eligible entity will--
                            ``(i) determine a benefit package;
                            ``(ii) recruit businesses and employees for 
                        the three-share program;
                            ``(iii) build and manage a network of 
                        health providers or contract with an existing 
                        network or licensed insurance provider;
                            ``(iv) manage all administrative needs; and
                            ``(v) establish relationships among 
                        community, business, and provider interests.
            ``(4) Priority.--In awarding grants under this section the 
        Secretary shall give priority to an applicant--
                    ``(A) that is an existing three-share program;
                    ``(B) that is an eligible three-share program that 
                has demonstrated community support; or
                    ``(C) that is located in a State with insurance 
                laws and regulations that permit three-share program 
                expansion.
    ``(c) Grant Eligibility.--
            ``(1) In general.--The Secretary, acting through the 
        Administrator, shall promulgate regulations providing for the 
        eligibility of three-share programs for participation in the 
        pilot program under this section.
            ``(2) Three-share program requirements.--
                    ``(A) In general.--To be determined to be an 
                eligible three-share program for purposes of 
                participation in the pilot program under this section a 
                three-share program shall--
                            ``(i) be either a non-profit or local 
                        governmental entity;
                            ``(ii) define the region in which such 
                        program will provide services;
                            ``(iii) have the capacity to carry out 
                        administrative functions of managing health 
                        plans, including monthly billings, 
                        verification/enrollment of eligible employers 
                        and employees, maintenance of membership 
                        rosters, development of member materials (such 
                        as handbooks and identification cards), 
                        customer service, and claims processing; and
                            ``(iv) have demonstrated community 
                        involvement.
                    ``(B) Payment.--To be eligible under paragraph (1), 
                a three-share program shall pay the costs of services 
                provided under subparagraph (A)(ii) by charging a 
                monthly premium for each covered individual to be 
                divided as follows:
                            ``(i) Not more than 30 percent of such 
                        premium shall be paid by a qualified employee 
                        desiring coverage under the three-share 
                        program.
                            ``(ii) Not more than 30 percent of such 
                        premium shall be paid by the qualified employer 
                        of such a qualified employee.
                            ``(iii) At least 40 percent of such premium 
                        shall be paid from amounts provided under a 
                        grant under this section.
                            ``(iv) Any remaining amount shall be paid 
                        by the three-share program from other public, 
                        private, or charitable sources.
                    ``(C) Program flexibility.--A three-share program 
                may set an income eligibility guideline for enrollment 
                purposes.
            ``(3) Coverage.--
                    ``(A) In general.--To be an eligible three-share 
                program under this section, the three-share program 
                shall provide at least the following benefits:
                            ``(i) Physicians services.
                            ``(ii) In-patient hospital services.
                            ``(iii) Out-patient services.
                            ``(iv) Emergency room visits.
                            ``(v) Emergency ambulance services.
                            ``(vi) Diagnostic lab fees and x-rays.
                            ``(vii) Prescription drug benefits.
                    ``(B) Limitation.--Nothing in subparagraph (A) 
                shall be construed to require that a three-share 
                program provide coverage for services performed outside 
                the region described in paragraph (2)(A)(i).
                    ``(C) Preexisting conditions.--A program described 
                in subparagraph (A) shall not be an eligible three-
                share program under paragraph (1) if any individual can 
                be excluded from coverage under such program because of 
a preexisting health condition.
    ``(d) Grants for Existing Three-Share Programs To Meet 
Certification Requirements.--
            ``(1) In general.--The Administrator may award grants to 
        three-share programs that are operating on the date of 
        enactment of this section.
            ``(2) Application.--Each eligible entity desiring a grant 
        under this subsection shall submit an application to the 
        Administrator at such time, in such manner, and containing such 
        information as the Administrator may require.
    ``(e) Application of State Laws.--Nothing in this section shall be 
construed to preempt State law.
    ``(f) Distressed Business Formula.--
            ``(1) In general.--Not later than 60 days after the date of 
        enactment of this section, the Administrator of the Health 
        Resources and Services Administration shall develop a formula 
        to determine which businesses qualify as distressed businesses 
        for purposes of this section.
            ``(2) Effect on insurance market.--Granting eligibility to 
        a distressed business using the formula under paragraph (1) 
        shall not interfere with the insurance market. Any business 
        found to have reduced benefits to qualify as a distressed 
        business under the formula under paragraph (1) shall not be 
        eligible to be a three-share program for purposes of this 
        section.
    ``(g) Definitions.--In this section:
            ``(1) Administrator.--The term `Administrator' means the 
        Administrator of the Health Resources and Services 
        Administration.
            ``(2) Covered individual.--The term `covered individual' 
        means--
                    ``(A) a qualified employee; or
                    ``(B) a child under the age of 23 or a spouse of 
                such qualified employee who--
                            ``(i) lacks access to health care coverage 
                        through their employment or employer;
                            ``(ii) lacks access to health coverage 
                        through a family member;
                            ``(iii) is not eligible for coverage under 
                        the medicare program under title XVIII or the 
                        medicaid program under title XIX; and
                            ``(iv) does not qualify for benefits under 
                        the State Children's Health Insurance Program 
                        under title XXI.
            ``(3) Distressed business.--The term `distressed business' 
        means a business that--
                    ``(A) in light of economic hardship and rising 
                health care premiums may be forced to discontinue or 
                scale back its health care coverage; and
                    ``(B) qualifies as a distressed business according 
                to the formula under subsection (g).
            ``(4) Eligible entity.--The term `eligible entity' means an 
        entity that meets the requirements of subsection (a)(2)(A).
            ``(5) Qualified employee.--The term `qualified employee' 
        means any individual employed by a qualified employer who meets 
        certain criteria including--
                    ``(A) lacking access to health coverage through a 
                family member or common law partner;
                    ``(B) not being eligible for coverage under the 
                medicare program under title XVIII or the medicaid 
                program under title XIX; and
                    ``(C) agreeing that the share of fees described in 
                subsection (a)(2)(B)(i) shall be paid in the form of 
                payroll deductions from the wages of such individual.
            ``(6) Qualified employer.--The term `qualified employer' 
        means an employer as defined in section 3(d) of the Fair Labor 
        Standards Act of 1938 (29 U.S.C. 203(d)) who--
                    ``(A) is a small business concern as defined in 
                section 3(a) of the Small Business Act (15 U.S.C. 632);
                    ``(B) is located in the region described in 
                subsection (a)(2)(A)(i); and
                    ``(C) has not contributed to the health care 
                benefits of its employees for at least 12 months 
                consecutively or currently provides insurance but is 
                classified as a distressed business.
    ``(h) Evaluation.--Not later than 90 days after the end of the 5-
year period during which grants are available under this section, the 
General Accounting Office shall submit to the Secretary and the 
appropriate committees of Congress a report concerning--
            ``(1) the effectiveness of the programs established under 
        this section;
            ``(2) the number of individuals covered under such 
        programs;
            ``(3) any resulting best practices; and
            ``(4) the level of community involvement.
    ``(i) Authorization of Appropriations.--There are authorized to be 
appropriated to carry out this section $100,000,000 for each of fiscal 
years 2005 through 2010.''.
                                 <all>

Pages: 1

Other Popular 106th Congressional Bills Documents:

1 H.R. 1235 (rs) To authorize the Secretary of the Interior to enter into contracts with the Solano County Water Agency, California, to use Solano Project facilities for impounding, storage, and carriage of nonproject water for domestic, municipal, industri...
2 H.R. 5234 (ih) To amend the Hmong Veterans' Naturalization Act of 2000 to extend the applicability of that Act to certain former spouses of deceased Hmong veterans. [Introduced in House] ...
3 H.R. 2143 (ih) To suspend for 3 years the duty on 2,6-dichlorotoluene. [Introduced in House] ...
4 H.R. 2346 (ih) To authorize the enforcement by State and local governments of certain Federal Communications Commission regulations regarding use of citizens band radio equipment. [Introduced in House] ...
5 H.R. 5237 (ih) To institute a moratorium on the imposition of the death penalty at the Federal and State level until a National Commission on the Death Penalty studies its use and policies ensuring justice, fairness, and due process are implemented. [Intr...
6 H.R. 4788 (eas) [Engrossed Amendment Senate] ...
7 S. 954 (is) To amend title 18, United States Code, to protect citizens' rights under the Second Amendment to obtain firearms for legal use, and for other purposes. [Introduced in Senate] ...
8 H.R. 2952 (rs) To redesignate the facility of the United States Postal Service located at 100 Orchard Park Drive in Greenville, South Carolina, as the ``Keith D. Oglesby Station''. [Reported in Senate] ...
9 S. 953 (is) To direct the Secretary of Agriculture to convey certain land in the State of South Dakota to the Terry Peak Ski Area. [Introduced in Senate] ...
10 H.Con.Res. 52 (eh) [Engrossed in House] ...
11 H.R. 5454 (ih) For the relief of Louise Ingrid Wallace. [Introduced in House] ...
12 H.Con.Res. 300 (ih) Recognizing and commending our Nation's Federal workforce for successfully preparing our Nation to withstand any catastrophic Year 2000 computer problem disruptions. [Introduced in House] ...
13 H.Res. 457 (rh) Providing for consideration of the bill (H.R. 3660) to amend title 18, United States Code, to ban partial-birth abortions. [Reported in House] ...
14 H.R. 3046 (rfs) To preserve limited Federal agency reporting requirements on banking and housing matters to facilitate congressional oversight and public accountability, and for other purposes. [Referred in Senate] ...
15 H.R. 4791 (ih) To amend title 38, United States Code, to establish a presumption of service connection for the occurrence of hepatitis C in certain veterans. [Introduced in House] ...
16 S. 1837 (is) To amend title XIX of the Social Security Act to provide low-income medicare beneficiaries with medical assistance for out-of-pocket expenditures for outpatient prescription drugs. [Introduced in Senate] ...
17 H.R. 4615 (ih) To redesignate the facility of the United States Postal Service located at 3030 Meredith Avenue in Omaha, Nebraska, as the ``Reverend J.C. Wade Post Office''. [Introduced in House] ...
18 H.R. 5630 (eh) To authorize appropriations for fiscal year 2001 for intelligence and intelligence-related activities of the United States Government, the Community Management Account, and the Central Intelligence Agency Retirement and Disability System, a...
19 S. 1963 (is) To authorize a study of alternatives to the current management of certain Federal lands in Arizona. [Introduced in Senate] ...
20 S. 956 (is) To establish programs regarding early detection, diagnosis, and interventions for newborns and infants with hearing loss. [Introduced in Senate] ...
21 S.Res. 236 (ats) To authorize the printing of a revised edition of the Nomination and Election of the President and Vice President of the United States. [Agreed to Senate] ...
22 S. 3266 (is) To amend the Delta Development Act to expand the area covered by the Lower Mississippi Delta Development Commission to include Natchitoches Parish, Louisiana. [Introduced in Senate] ...
23 S. 700 (is) To amend the National Trails System Act to designate the Ala Kahakai Trail as a National Historic Trail. [Introduced in Senate] ...
24 H.R. 899 (ih) To provide for the liquidation of Libyan assets to pay for the costs of travel to and from the Hague of families of the victims of the crash of Pan Am flight 103 for the purpose of attending the trial of the terrorist suspects in the crash....
25 S. 453 (es) To designate the Federal building located at 709 West 9th Street in Juneau, Alaska, as the ``Hurff A. Saunders Federal Building''. [Engrossed in Senate] ...
26 H.R. 2837 (ih) To amend the Higher Education Act of 1965 to require institutions of higher education to widely distribute information describing their procedures for receiving and responding to complaints concerning harassment. [Introduced in House] %%Fil...
27 S.Res. 24 (is) Expressing the sense of the Senate that the income tax should be eliminated and replaced with a national sales tax. [Introduced in Senate] ...
28 H.R. 4052 (rh) To preserve certain reporting requirements under the jurisdiction of the Committee on Transportation and Infrastructure of the House of Representatives, and for other purposes. [Reported in House] ...
29 H.R. 3064 (enr) Making appropriations for the District of Columbia, and for the Departments of Labor, Health and Human Services, and Education, and Related Agencies for the fiscal year ending September 30, 2000, and for other purposes. [Enrolled bill] %%F...
30 H.R. 1973 (ih) To direct the Secretary of Veterans Affairs to establish a national cemetery for veterans in the Pittsburgh, Pennsylvania, metropolitan area. [Introduced in House] ...


Other Documents:

106th Congressional Bills Records and Documents

GovRecords.org presents information on various agencies of the United States Government. Even though all information is believed to be credible and accurate, no guarantees are made on the complete accuracy of our government records archive. Care should be taken to verify the information presented by responsible parties. Please see our reference page for congressional, presidential, and judicial branch contact information. GovRecords.org values visitor privacy. Please see the privacy page for more information.
House Rules:

104th House Rules
105th House Rules
106th House Rules

Congressional Bills:

104th Congressional Bills
105th Congressional Bills
106th Congressional Bills
107th Congressional Bills
108th Congressional Bills

Supreme Court Decisions

Supreme Court Decisions

Additional

1995 Privacy Act Documents
1997 Privacy Act Documents
1994 Unified Agenda
2004 Unified Agenda

Congressional Documents:

104th Congressional Documents
105th Congressional Documents
106th Congressional Documents
107th Congressional Documents
108th Congressional Documents

Congressional Directory:

105th Congressional Directory
106th Congressional Directory
107th Congressional Directory
108th Congressional Directory

Public Laws:

104th Congressional Public Laws
105th Congressional Public Laws
106th Congressional Public Laws
107th Congressional Public Laws
108th Congressional Public Laws

Presidential Records

1994 Presidential Documents
1995 Presidential Documents
1996 Presidential Documents
1997 Presidential Documents
1998 Presidential Documents
1999 Presidential Documents
2000 Presidential Documents
2001 Presidential Documents
2002 Presidential Documents
2003 Presidential Documents
2004 Presidential Documents

Home Executive Judicial Legislative Additional Reference About Privacy