TOM HARKIN, Iowa

SUBCOMMITTEE ON LABOR

HOWARD M. METZENBAUM, Ohio, Chairman

CHRISTOPHER J. DODD, Connecticut
EDWARD M. KENNEDY, Massachusetts
PAUL D. WELLSTONE, Minnesota

ORRIN G. HATCH, Utah

NANCY LANDON KASSEBAUM, Kansas
JAMES M. JEFFORDS, Vermont
STROM THURMOND, South Carolina

MICHELE L. VARNHAGEN, Chief Counsel and Staff Director
PATRICIA KNIGHT, Minority Counsel

мои

±94666-5
10-21-94

CONTENTS

STATEMENTS

FEBRUARY 3, 1994

Metzenbaum, Hon. Howard M., a U.S. Senator from the State of Ohio, pre-
pared statement

....

Mikulski, Hon. Barbara A., a U.S. Senator from the State of Maryland,

prepared statement

Hatch, Hon. Orrin G., a U.S. Senator from the State of Utah, prepared

statement

Puhl, Penny, Chicago, IL; Karin Smith, Nashoteh, WI; Steven Bosworth,

Simi Valley, CA; William Rand, M.D., Pompano Beach, FL; and John P.

Tooker, M.D., F.A.C.P., chairman-elect, Board of Governors, American Col-

lege of Physicians, Portland, ME

Prepared statements of:

Mr. Bosworth

Dr. Tooker

Nichols, Sara, staff attorney, Public Citizen's Congress Watch, Washington,

DC; Gail Shearer, manager, policy analysis, Consumers Union, Washington,

DC; Geraldine Dallek, MPH, Center for Health Care Rights, on behalf

of the Coalition for Consumer Protection and Quality, Los Angeles, CA;

and David Lyons, vice president, National Association of Insurance Com-

missioners, Commissioner of Insurance, State of Iowa, Des Moines, IA

Prepared statements of:

Ms. Shearer

Ms. Dallek

Mr. Lyons

.........

Group Health Association of America, prepared statement (with attachment)

Family Health Plan Cooperative, prepared statement

Arizona Health Care Cost Containment System, prepared statement

Maricopa Managed Care Systems, prepared statement

American Osteopathic Association, Laurence Bouchard, D.O., prepared state-

ment

164

165

167

ADDITIONAL MATERIAL

Articles, publications, etc.:

Submission by Ms. Karin Smith

HMO Provider Contract

Will Quality Survive in American Health Care? A Physician's Perspec-

tive

119

HMO Physicians' Shared Risk Pools Are Dangerous To Patients' Health,

by Ronald Bronow, from HealthSpan, Vol. 10, No. 1, January 1993 ....

White Paper On Consumer Due Process Protections, November 30, 1993,

from the Coalition for Consumer Protection and Quality in Health

Care Reform

White Paper on Minimum Requirements for Consumer Information, from

the Coalition for Consumer Protection and Quality in Health Care

Reform