S. 733Senate110th Congress (2007-2009)In Committee

Promoting Health Care Purchasing Cooperatives Act

Introduced March 1, 2007

Legislative Activity

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2 earlier actions
SenateIntro Referral Latest Action

Read twice and referred to the Committee on Health, Education, Labor, and Pensions. (text of measure as introduced: CR S2499-2500)

March 1, 2007

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SenateIntro Referral

Introduced in Senate

March 1, 2007

SenateIntro Referral

Sponsor introductory remarks on measure. (CR S2499)

March 1, 2007

SenateIntro Referral

Read twice and referred to the Committee on Health, Education, Labor, and Pensions. (text of measure as introduced: CR S2499-2500)

March 1, 2007

Floor Debate

16 members

What members said about S. 733 on the floor

8 Republicans8 Democrats
Christopher J. Dodd
Sen. Christopher J. DoddD-CT · Mar 1, 2007

Mr. President, as we move forward in the coming months in the Senate Committee on Rules and Administration on critical election reform hearings, I wanted to take this opportunity to re-introduce my…

Susan M. Collins
Sen. Susan M. CollinsR-ME · Mar 1, 2007

Mr. President, from Pickerel Pond to Lake Auburn, from Sebago Lake to Bryant Pond, lakes and ponds in Maine are under attack. Aquatic invasive species threaten Maine's drinking water systems,…

Mary L. Landrieu
Sen. Mary L. LandrieuD-LA · Mar 1, 2007

Mr. President, as I come to the floor today to speak, there are countless small businesses in the Gulf Coast, right this moment, that are open for business. The fact that they are open at all is a…

Jeff Bingaman
Sen. Jeff BingamanD-NM · Mar 1, 2007

Mr. President, today I am reintroducing legislation entitled the Children's Dental Health Improvement Act of 2007, along with several of my colleagues. This legislation is designed to improve the…

Carl Levin
Sen. Carl LevinD-MI · Mar 1, 2007

Mr. President, every day across our Nation, families, friends, and entire communities mourn the loss of fallen soldiers, sailors, airmen and marines. Michigan has lost 130 heroes in the wars in Iraq…

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Edward M. Kennedy
Sen. Edward M. KennedyD-MA · Mar 1, 2007

Mr. President, in the wake of the tragic events of September 11, Congress, the Administration and the country faced the urgent need to do all we can to strengthen our national security and…

Ken Salazar
Sen. Ken SalazarD-CO · Mar 1, 2007

Mr. President, I rise today to speak about legislation I introduced today. The Rocky Flats Special Exposure Cohort Act will at long last repay our debt to the patriotic American workers of Rocky…

Russell D. Feingold
Sen. Russell D. FeingoldD-WI · Mar 1, 2007

Mr. President, today, along with my colleague Senator Collins from Maine, I am introducing legislation to help businesses form group-purchasing cooperatives to obtain enhanced benefits, to reduce…

Russell D. Feingold
Sen. Russell D. FeingoldD-WI · Mar 1, 2007

Mr. President, today, along with my colleague Senator Collins from Maine, I am introducing legislation to help businesses form group-purchasing cooperatives to obtain enhanced benefits, to reduce…

Arlen Specter
Sen. Arlen SpecterR-PA · Mar 1, 2007

Mr. President, I have sought recognition to introduce legislation to provide relief to the rising number of taxpayers impacted by the Alternative Minimum Tax (AMT). Between a lack of indexing for…

Thad Cochran
Sen. Thad CochranR-MS · Mar 1, 2007

Mr. President, today, I am introducing the Teaching Geography is Fundamental Act. I am pleased to be joined by my friend from Connecticut Mr. Dodd. The purpose of this bill is to improve geographic…

Pete V. Domenici
Sen. Pete V. DomeniciR-NM · Mar 1, 2007

Mr. President, I rise today to talk about a project of great importance to my State and our environment--one that has been discussed before on this floor when I helped unveil a vision that would…

Michael B. Enzi
Sen. Michael B. EnziR-WY · Mar 1, 2007

Mr. President, today I am pleased to introduce the Freedom to Travel to Cuba Act with Senator Dorgan and a number of Senators. This legislation addresses only the travel provisions of our Cuba…

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Barack Obama
Sen. Barack ObamaD-IL · Mar 1, 2007

Mr. President. I am proud to introduce the Voter Advocate and Democracy Index Act of 2007 with the goal of having the Act help inform voters and State officials on how well their States are doing on…

Norm Coleman
Sen. Norm ColemanR-MN · Mar 1, 2007

Mr. President, the legislation that I am introducing today along with Senator's Kennedy and Kyl will install tougher penalties on those who commit terrorism hoaxes. This is a very important issue to…

Jon Kyl
Sen. Jon KylR-AZ · Mar 1, 2007

Mr. President, today I am pleased to join with Senator McCain introducing the Walnut Canyon Study Act of 2007. I cosponsored similar legislation in the last Congress. That legislation had a favorable…

John McCain
Sen. John McCainR-AZ · Mar 1, 2007

Mr. President, I am pleased to be joined by Senator Kyl in reintroducing legislation to authorize a special resources and land management study for lands adjacent to the Walnut Canyon National…

Bill Text

Latest available legislative text

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Introduced in SenateIssued March 1, 2007

II

110th CONGRESS

1st Session

S. 733

IN THE SENATE OF THE UNITED STATES

March 1, 2007

Mr. Feingold (for himself and Ms. Collins) introduced the following bill; which was read twice and referred to the Committee on Health, Education, Labor, and Pensions

A BILL

To promote the development of health care cooperatives that will help businesses to pool the health care purchasing power of employers, and for other purposes.

1.

Short title

This Act may be cited as the Promoting Health Care Purchasing Cooperatives Act.

2.

Findings and purpose

(a)

Findings

Congress makes the following findings:

(1)

Health care spending in the United States has reached 16 percent of the Gross Domestic Product of the United States, yet 46,000,000 people remains uninsured.

(2)

After nearly a decade of manageable increases in commercial insurance premiums, many employers are now faced with consecutive years of double digit premium increases.

(3)

Purchasing cooperatives owned by participating businesses are a proven method of achieving the bargaining power necessary to manage the cost and quality of employer-sponsored health plans and other employee benefits.

(4)

The Employer Health Care Alliance Cooperative has provided its members with health care purchasing power through provider contracting, data collection, activities to enhance quality improvements in the health care community, and activities to promote employee health care consumerism.

(5)

According to the National Business Coalition on Health, there are nearly 80 employer-led coalitions across the United States that collectively purchase health care, proactively challenge high costs and the inefficient delivery of health care, and share information on quality. These coalitions represent more than 10,000 employers.

(b)

Purpose

It is the purpose of this Act to build off of successful local employer-led health insurance initiatives by improving the value of their employees' health care.

3.

Grants to self insured businesses to form health care cooperatives

(a)

Authorization

The Secretary of Health and Human Services (in this Act referred to as the Secretary), acting through the Director of the Agency for Healthcare Research and Quality, is authorized to award grants to eligible groups that meet the criteria described in subsection (d), for the development of health care purchasing cooperatives. Such grants may be used to provide support for the professional staff of such cooperatives, and to obtain contracted services for planning, development, and implementation activities for establishing such health care purchasing cooperatives.

(b)

Eligible group defined

(1)

In general

In this section, the term eligible group means a consortium of 2 or more self-insured employers, including agricultural producers, each of which are responsible for their own health insurance risk pool with respect to their employees.

(2)

No transfer of risk

Individual employers who are members of an eligible group may not transfer insurance risk to such group.

(c)

Application

An eligible group desiring a grant under this section shall submit to the Secretary an application at such time, in such manner, and accompanied by such information as the Secretary may require.

(d)

Criteria

(1)

Feasibility study grants

(A)

In general

An eligible group may submit an application under subsection (c) for a grant to conduct a feasibility study concerning the establishment of a health insurance purchasing cooperative. The Secretary shall approve applications submitted under the preceding sentence if the study will consider the criteria described in paragraph (2).

(B)

Report

After completion of a feasibility study under a grant under this section, an eligible group shall submit to the Secretary a report describing the results of such study.

(2)

Grant criteria

The criteria described in this paragraph include the following with respect to the eligible group:

(A)

The ability of the group to effectively pool the health care purchasing power of employers.

(B)

The ability of the group to provide data to employers to enable such employers to make data-based decisions regarding their health plans.

(C)

The ability of the group to drive quality improvement in the health care community.

(D)

The ability of the group to promote health care consumerism through employee education, self-care, and comparative provider performance information.

(E)

The ability of the group to meet any other criteria determined appropriate by the Secretary.

(e)

Cooperative grants

After the submission of a report by an eligible group under subsection (d)(1)(B), the Secretary shall determine whether to award the group a grant for the establishment of a cooperative under subsection (a). In making a determination under the preceding sentence, the Secretary shall consider the criteria described in subsection (d)(2) with respect to the group.

(f)

Cooperatives

(1)

In general

An eligible group awarded a grant under subsection (a) shall establish or expand a health insurance purchasing cooperative that shall—

(A)

be a nonprofit organization;

(B)

be wholly owned, and democratically governed by its member-employers;

(C)

exist solely to serve the membership base;

(D)

be governed by a board of directors that is democratically elected by the cooperative membership using a 1-member, 1-vote standard; and

(E)

accept any new member in accordance with specific criteria, including a limitation on the number of members, determined by the Secretary.

(2)

Authorized cooperative activities

A cooperative established under paragraph (1) shall—

(A)

assist the members of the cooperative in pooling their health care insurance purchasing power;

(B)

provide data to improve the ability of the members of the cooperative to make data-based decisions regarding their health plans;

(C)

conduct activities to enhance quality improvement in the health care community;

(D)

work to promote health care consumerism through employee education, self-care, and comparative provider performance information; and

(E)

conduct any other activities determined appropriate by the Secretary.

(g)

Review

(1)

In general

Not later than 1 year after the date on which grants are awarded under this section, and every 2 years thereafter, the Secretary shall study programs funded by grants under this section and provide to the appropriate committees of Congress a report on the progress of such programs in improving the access of employees to quality, affordable health insurance.

(2)

Sliding scale funding

The Secretary shall use the information included in the report under paragraph (1) to establish a schedule for scaling back payments under this section with the goal of ensuring that programs funded with grants under this section are self sufficient within 10 years.

4.

Grants to small businesses to form health care cooperatives

The Secretary shall carry out a grant program that is identical to the grant program provided in section 3, except that an eligible group for a grant under this section shall be a consortium of 2 or more employers, including agricultural producers, each of which—

(1)

have 99 employees or less; and

(2)

are purchasers of health insurance (are not self-insured) for their employees.

5.

Authorization of appropriations

From the administrative funds provided to the Secretary, the Secretary may use not more than a total of $60,000,000 for fiscal years 2008 through 2017 to carry out this Act.