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HEALTH CARE REFORM

HEARINGS

BEFORE THE

SUBCOMMITTEE ON HEALTH

OF THE

COMMITTEE ON WAYS AND MEANS
HOUSE OF REPRESENTATIVES

ONE HUNDRED THIRD CONGRESS

VOLUME XII

President's Health Care Reform Proposals:
Impact on Providers and Consumers

OCTOBER 7, 21, 22, 26; NOVEMBER 15, 1993; FEBRUARY 1 AND 4, 1994

PART 3 OF 3

FEBRUARY 1 AND 4, 1993

Serial 103-91

Printed for the use of the Committee on Ways and Means

83-037 CC

U.S. GOVERNMENT PRINTING OFFICE

WASHINGTON: 1994

For sale by the U.S. Government Printing Office

Superintendent of Documents, Congressional Sales Office, Washington, DC 20402

ISBN 0-16-046334-3

1

KFan

•W344 1943 volila

COMMITTEE ON WAYS AND MEANS

DAN ROSTENKOWSKI, Illinois, Chairman

SAM M. GIBBONS, Florida
J.J. PICKLE, Texas

CHARLES B. RANGEL, New York
FORTNEY PETE STARK, California
ANDY JACOBS, JR., Indiana
HAROLD E. FORD, Tennessee
ROBERT T. MATSUI, California

BARBARA B. KENNELLY, Connecticut
WILLIAM J. COYNE, Pennsylvania
MICHAEL A. ANDREWS, Texas
SANDER M. LEVIN, Michigan
BENJAMIN L. CARDIN, Maryland
JIM MCDERMOTT, Washington
GERALD D. KLECZKA, Wisconsin
JOHN LEWIS, Georgia
L.F. PAYNE, Virginia

RICHARD E. NEAL, Massachusetts
PETER HOAGLAND, Nebraska
MICHAEL R. MCNULTY, New York
MIKE KOPETSKI, Oregon

WILLIAM J. JEFFERSON, Louisiana
BILL K. BREWSTER, Oklahoma
MEL REYNOLDS, Illinois

BILL ARCHER, Texas
PHILIP M. CRANE, Illinois
BILL THOMAS, California
E. CLAY SHAW, JR., Florida
DON SUNDQUIST, Tennessee
NANCY L. JOHNSON, Connecticut
JIM BUNNING, Kentucky
FRED GRANDY, Iowa

AMO HOUGHTON, New York
WALLY HERGER, California
JIM MCCRERY, Louisiana
MEL HANCOCK, Missouri
RICK SANTORUM, Pennsylvania
DAVE CAMP, Michigan

JANICE MAYS, Chief Counsel and Staff Director
CHARLES M. BRAIN, Assistant Staff Director
PHILLIP D. MOSELEY, Minority Chief of Staff

SUBCOMMITTEE ON HEALTH

FORTNEY PETE STARK, California, Chairman

SANDER M. LEVIN, Michigan BENJAMIN L. CARDIN, Maryland MICHAEL A. ANDREWS, Texas JIM MCDERMOTT, Washington GERALD D. KLECZKA, Wisconsin JOHN LEWIS, Georgia

BILL THOMAS, California
NANCY L. JOHNSON, Connecticut
FRED GRANDY, Iowa

JIM MCCRERY, Louisiana

CONTENTS

PRESIDENT'S HEALTH CARE REFORM PROPOSALS: IMPACT ON
PROVIDERS AND CONSUMERS

Page

American Association of Colleges of Nursing, Geraldine Bednash
American Association of Colleges of Osteopathic Medicine, Olen E. Jones,

221

Jr

228

American Medical Peer Review Association, David B. Nash, M.D
American Medical Student Association, Suzanne M. El-Attar, M.D
American Society of Association Executives, David B. Kreidler
Association for Electronic Health Care Transactions, Jim H. Houtz
Association of Academic Health Sciences Library Directors, Linda A. Watson
Association of American Medical Colleges, Spencer Foreman, M.D
Bednash, Geraldine, American Association of Colleges of Nursing
C4SI, Inc., Robert Peterson

103

214

273

255

269

184

221

264

Coalition for Consumer Protection and Quality in Health Care Reform, Paul
Kerschner

133

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