State Health Reform Opportunity Act of 1991

State Health Reform Opportunity Act of 1991 - Mandates grants to States to assist in developing and implementing a health care process that will result in development of a single, unified health care plan designed to accomplish specified goals, including to: (1) guarantee access to health care for all State residents; (2) eliminate disparities in access on the basis of race, income, health status, and geographic location; (3) reduce the rate of growth in health care costs; and (4) provide for progressive and equitable financing. Authorizes appropriations.

Transfers to a State any payments for services covered under the State plan which would otherwise have been paid to residents or health care providers under: (1) the Medicare (title XVIII), Medicaid (title XIX), or Maternal and Child Health Services (title V) programs of the Social Security Act; or (2) any other Federal health care program providing health care services to qualified recipients within the State. Declares that these provisions supersede any provisions of law that otherwise entitle individuals or providers to payment under such programs.