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H.R. 1230 102nd Congress House

Universal Health Benefits Empowerment and Partnership Act of 1991

Official title: To provide for universal access to basic group health benefits coverage and to remove barriers and provide incentives in order to make such coverage more affordable.

Introduced: March 5, 1991 See on congress.gov
Health Catastrophic health insuranceEmployee benefit plansExecutive reorganizationFederal advisory bodies
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Federal preemptionGovernment paperworkGrants-in-aidHealth insuranceIncome taxInsurance premiumsMalpracticeMedical economicsMedical researchNational health insuranceRetiree health benefitsSelf-employedTax deductionsTax-exempt organizations
This bill died when the 102nd Congress ended
It never became law before the 102nd Congress (1991–1992) adjourned, and bills don't carry over to the next Congress. It would have to be reintroduced. You can still save it for reference, but it won't receive updates.
 Everywhere this bill has been 8 steps
Introduced
In committee
Reported out
Passed House
Passed Senate
To President
Became law
Mar 21, 1991
Referred to the Subcommittee on Labor-Management Relations.
Mar 18, 1991
Referred to the Subcommittee on Commerce, Consumer Protection and Competitiveness.
Mar 18, 1991
Referred to the Subcommittee on Health and the Environment.
Mar 13, 1991
Referred to the Subcommittee on Health.
Mar 5, 1991
Referred to the House Committee on Ways and Means.
Mar 5, 1991
Referred to the House Committee on Energy and Commerce.
Mar 5, 1991
Referred to the House Committee on Education and Labor.
Mar 5, 1991
Introduced in House
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 Latest action March 21, 1991

Referred to the Subcommittee on Labor-Management Relations.

 Plain-English summary Congressional Research Service

Universal Health Benefits Empowerment and Partnership Act of 1991 - Amends the Employee Retirement Income Security Act of 1974 (ERISA) to provide for universal coverage under group health plans and State health benefits systems.

Requires employers to offer coverage for eligible individuals under basic group health plans or group health payroll deduction plans.

Sets forth requirements for State health benefit systems, including reporting, participation, benefits, and contribution requirements. Directs the Secretary of Health and Human Services (HHS) to prescribe regulations for State systems.

Provides for State health benefits system coverage for uninsurable risks and preexisting conditions.

Provides for certain basic health benefits systems as alternatives to State health benefits systems.

Directs the Secretary of HHS to establish a program of grants to State health benefits systems and alternative basic health benefits systems in order to facilitate the effectuation of universal coverage. Authorizes appropriations.

Preempts State laws which mandate certain health benefits or restrict managed medical care under employee welfare benefit plans.

Amends the Internal Revenue Code (IRC) to remove certain restrictions on the tax-exempt status of multiple employer welfare arrangements (MEWAs) providing basic health benefits. Establishes certain annual reporting requirements for such MEWAs.

Amends the Public Health Service Act (PHSA) to revise provisions for the Agency for Health Care Policy and Research and the Office of the Forum for Quality and Effectiveness in Health Care.

Requires the Federal Advisory Council on Health Care Coverage and Costs (established by this Act) to: (1) study how practice guidelines may be used in reducing medical malpractice costs; and (2) report results and recommendations to the Secretary of HHS.

Authorizes appropriations under the PHSA.

Establishes a Federal Advisory Council on Health Care Coverage and Costs. Directs the Council to report at least annually to the Secretaries of HHS and of Labor, until the Secretary of HHS requests a final report. Terminates the Council upon submission of its final report.

Amends the IRC to increase the deduction for health insurance costs of self-employed individuals from 25 percent (currently and in 1992 and 1993) to 50 percent (in 1994 and 1995) and to 100 percent (in 1996 and thereafter).

 Bill text 1 version

Source documents hosted by congress.gov.

 Committees of jurisdiction 4
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APA
U.S. Congress. (2026). H.R. 1230: Universal Health Benefits Empowerment and Partnership Act of 1991. 102nd Congress. Open America. https://openamerica.io/bill/102-HR-1230/
MLA
"H.R. 1230: Universal Health Benefits Empowerment and Partnership Act of 1991." 102nd Congress, 2026, Open America, https://openamerica.io/bill/102-HR-1230/.
Bluebook (legal)
H.R. 1230, 102nd Cong. (2026), https://openamerica.io/bill/102-HR-1230/.
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[H.R. 1230: Universal Health Benefits Empowerment and Partnership Act of 1991](https://openamerica.io/bill/102-HR-1230/)
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