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HR 4653 105th Congress House Health Commerce Finance and Financial Sector Government Operations and Politics Health insurance continuation Health insurance industry Health maintenance organizations Managed care Medicare Medicare managed care Metropolitan areas Social Welfare Urban affairs

Medicare HMO Improvement Act of 1998

Introduced: September 28, 1998 See on congress.gov
This bill died when the 105th Congress ended
It never became law before the 105th Congress (1997–1998) 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 6 steps
Introduced
In committee
Reported out
Passed House
Passed Senate
To President
Became law
Sep 30, 1998
Referred to the Subcommittee on Health and Environment, for a period to be subsequently determined by the Chairman.
Sep 29, 1998
Sponsor introductory remarks on measure. (CR E1845)
Sep 28, 1998
Referred to House Commerce
Sep 28, 1998
Referred to the Committee on Ways and Means, and in addition to the Committee on Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Sep 28, 1998
Referred to House Ways and Means
Sep 28, 1998
Introduced in House
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 Plain-English summary Congressional Research Service

Medicare HMO Improvement Act of 1998 - Amends part C (Medicare+Choice) of title XVIII (Medicare) of the Social Security Act with regard to contracts with Medicare+Choice organizations to: (1) provide for extension of the initial Medicare+Choice contract period from one year to three years; and (2) require termination of any contract with an organization that terminates coverage for any part of a metropolitan statistical area (or a New England County Metropolitan Area).

Authorizes the Secretary of Health and Human Services to delay the effectiveness of a Medicare+Choice organization's termination of its plan with respect to all individuals in an area, if: (1) the termination would cause an imminent and serious health risk to enrollees; (2) the termination would result in a significant reduction in the Medicare+Choice plans available in the area affected; or (3) the chief executive officer of the State in which the termination occurs requests such a delay.

Provides for continuity of care, for a limited period, in certain cases of involuntary termination (other than for cause) of an individual's enrollment with a Medicare+Choice plan.

What's happening now September 30, 1998

Referred to the Subcommittee on Health and Environment, for a period to be subsequently determined by the Chairman.

 Bill text 1 version

Source documents hosted by congress.gov.

 Committees of jurisdiction 3
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APA
U.S. Congress. (2026). H.R. 4653: Medicare HMO Improvement Act of 1998. 105th Congress. Open America. https://openamerica.io/bill/105-HR-4653/
MLA
"H.R. 4653: Medicare HMO Improvement Act of 1998." 105th Congress, 2026, Open America, https://openamerica.io/bill/105-HR-4653/.
Bluebook (legal)
H.R. 4653, 105th Cong. (2026), https://openamerica.io/bill/105-HR-4653/.
Markdown link
[H.R. 4653: Medicare HMO Improvement Act of 1998](https://openamerica.io/bill/105-HR-4653/)
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