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Health Maintenance Organization Act of 1973

The Health Maintenance Organization Act of 1973 (Pub. L. 93-222 codified as 42 U.S.C. §300e) is a United States statute enacted on December 29, 1973. The Health Maintenance Organization Act, informally known as the federal HMO Act, is a federal law that provides for a trial federal program to promote and encourage the development of health maintenance organizations (HMOs). The federal HMO Act amended the Public Health Service Act, which Congress passed in 1944. The principal sponsor of the federal HMO Act was Sen. Edward M. Kennedy (MA).

Long title

An Act to amend the Public Health Service Act to provide assistance and encouragement for the establishment and expansion of health maintenance organizations, and for other purposes.

Commission on Quality Health Care Act

the 93rd United States Congress

December 29, 1973

93-222

87 Stat. 914

Public Health Service Act of 1944

42 U.S.C.: Public Health and Social Welfare

42 U.S.C. ch. 6A § 300e et seq.

Money for development

Override of specific restrictive State laws

Mandate offered to specific employers to offer an optional HMO plan as part of their employee benefits package

Federal Financial Assistance for developing HMOs—Assisted individual HMOs in obtaining endorsement (referred to as qualification) from the federal government

[9]

Marketing Support through Dual Choice Mandate—Required employers to offer coverage from at least one federally qualified HMO to all employees (dual choice).

October 8, 1976: , P.L. 94-460, 90 Stat. 1945[11]

Health Maintenance Organization Amendments of 1976

November 1, 1978: , P.L. 95-559, 92 Stat. 2131

Health Maintenance Organization Amendments of 1978

July 10, 1979: , P.L. 96-32, 93 Stat. 82

Joint resolution to amend the Public Health Services Act and related health laws to correct printing and other technical errors

August 13, 1981: , P.L. 97-35, 95 Stat. 357

Omnibus Budget Reconciliation Act of 1981

October 24, 1988: , P.L. 100-517, 102 Stat. 2578

Health Maintenance Organization Amendments of 1988

August 21, 1996: (HIPAA), P.L. 104-191, 110 Stat. 1936

Health Insurance Portability and Accountability Act

Hall, Mark A.; ; Orentlicher, David (February 20, 2008). The law of health care finance and regulation. New York: Aspen Publishers. p. 648. ISBN 978-0-7355-7299-7. OCLC 183928753.

Bobinski, Mary Anne

Leiyu Shi; Douglas A. Singh (2010). Essentials of the U.S. health care system (2nd ed.). Sudbury, Mass.: Jones and Bartlett Publishers.  978-0-7637-6380-0.

ISBN

J. L. Dorsey (January 1975). "The Health Maintenance Organization Act of 1973 (P.L. 93-222) and prepaid group practice plans". Medical Care. 13 (1): 1–9. :10.1097/00005650-197501000-00001. PMID 803289.

doi

Richard M. Nixon (December 29, 1973). . Online by Gerhard Peters and John T. Woolley: The American Presidency Project.

"Statement on Signing the Health Maintenance Organization Act of 1973"

Definitions[edit]

A Health Maintenance Organization (HMO) is a managed care plan that incorporates financing and delivery of an inclusive set of health care services to individuals enrolled in a network.[12]