The following is based on a draft of the President's plan dated Sept. 7, 1993.
Guaranteed health coverage for all Americans by the end of 1997.
Employers would be required to pay 80 percent of the cost of employees' coverage.
Doctors, hospitals, and clinics would be expected to organize themselves into "health-care networks'' that would compete to provide services and keep costs low.
States would create "regional health-care alliances''--independent
state agencies or nonprofit corporations whose members would include
most businesses, school districts and other government agencies, the
self-employed, and others. Most Americans would obtain health coverage
through their regional alliances. The alliances would negotiate the
cost of services with health-care networks and insurers. They would
approve the creation of the networks, monitor their quality and
cost-effectiveness, and report their findings to the public. Each
alliance would offer at least one "fee for service'' plan. Companies
employing 5,000 or more workers could choose to create their own
A National Health Board appointed by the President would monitor the regional alliances and set systemwide regulations.
No one would be denied coverage due to a pre-existing condition.
People who changed jobs would retain their coverage.
Employers could not drop coverage for employees' dependents due to
Every health-care network would be required to offer a standard
benefits package at the same cost to everyone.
STANDARD BENEFITS PACKAGE
Most services now covered under traditional private health
Immunizations for infants for eight diseases.
Family-planning and pregnancy-related services.
Preventive dental services and eye exams for children under 18.
Health-education classes, including stress management and
Mental-health services, including treatment for drug and alcohol
The Administration estimates it will cost $700 billion over five
years to launch the program.
Costs partially offset by controls on Medicaid and Medicare
Higher taxes proposed on tobacco.
Federal grants to states to increase the number of school clinics
and broaden the scope of their services. Emphasis would be placed on
regions that currently lack adequate health services.
Among other things, clinics could offer mental-health and
family-planning services and immunizations.
Services provided through school clinics would be automatically
covered under all health-care plans.
Federal grants to states for school-based health-education programs
for adolescents and adults. Emphasis would be placed on sex-education
and AIDS-prevention programs and other efforts to reduce high-risk
The federal government would pay premiums for poor and disabled
persons who are unemployed.
Funding could be used to pay for services at school-based
Federal funding to help establish health-care networks in rural
Development of new "academic health centers'' to support rural
Dependent students in boarding schools or at college would be
covered under their parents' plans, or could join regional health
alliances where they attend school.