Pub. L. 91-515, tit. II, pt. A, sec. 201

Sec. 201. (a) (1) Section 304(a) of the Public Health Service Act is amended— (A) by inserting “(1)” immediately after “Sec. 304. (a)”; (B) by redesignating clauses (1) and (2) as clauses (A) and (B), respectively; and (C) by redesignating clauses (A), (B), and (C) as clauses (i), (ii), and (iii), respectively. (2) Section 304(b) of such Act is amended— (A) by striking out “(b)” and inserting in lieu thereof “(2)”; and (B) by striking out “this section” each place it appears therein and inserting in lieu thereof “this subsection”. (3) Section 304(c) of such Act is amended— (A) by striking out “(c)” and inserting in lieu thereof “(3)”; and (B) by striking out “this section” each place it appears therein and inserting in lieu thereof “this subsection”. (b) Section 304 of such Act is further amended by adding after the provision thereof redesignated as paragraph (3) by subsection (a)(3)(A) of this section the following new subsection: “Systems Analysis of National Health Care Plans “(b) (1) (A) The Secretary shall develop, through utilization of the systems analysis method, plans for health care systems designed adequately to meet the health needs of the American people. For purposes of the preceding sentence, the systems analysis method means the analytical method by which various means of obtaining a desired result or goal is associated with the costs and benefits involved. “(B) The Secretary shall complete the development of the plans referred to in subparagraph (A), within such period as may be necessary to enable him to submit to the Congress not later than September 30, 1971, a report thereon which shall describe each plan so developed in terms of— “(i) the number of people who would be covered under the plan; “(ii) the kind and type of health care which would be covered under the plan; “(iii) the cost involved in carrying out the plan and how such costs would be financed; 84 Stat. 1302 “(iv) the number of additional physicians and other health care personnel and the number and type of health care facilities needed to enable the plan to become fully effective; “(v) the new and improved methods, if any, of delivery of health care services which would be developed in order to effectuate the plan; “(vi) the accessibility of the benefits of such plan to various socioeconomic classes of persons; “(vii) the relative effectiveness and efficiency of such plan as compared to existing means of financing and delivering health care; and “(viii) the legislative, administrative, and other actions which would be necessary to implement the plan. “(C) In order to assure that the advice and service of experts in the various fields concerned will be obtained in the plans authorized by this paragraph and that the purposes of this paragraph will fully be carried out— “(i) the Secretary shall utilize, whenever appropriate, personnel from the various agencies, bureaus, and other departmental subdivisions of the Department of Health, Education, and Welfare; “(ii) the Secretary is authorized, with the consent of the head of the department or agency involved, to utilize (on a reimbursable basis) the personnel and other resources of other departments and agencies of the Federal Government; and “(iii) the Secretary is authorized to consult with appropriate State or local public agencies, private organizations, and individuals. “Cost and Coverage Report on Existing Legislative Proposals “(2) (A) The Secretary shall, in accordance with this paragraph, conduct a study of each legislative proposal which is introduced in the Senate or the House of Representatives during the Ninety-first Congress, and which undertakes to establish a national health insurance plan or similar plan designed to meet the needs of health insurance or for health services of all or the overwhelming majority of the people of the United States. “(B) In conducting such study with respect to each such legislative proposal, the Secretary shall evaluate and analyze such proposal with a view to determining— “(i) the costs of carrying out the proposal; and “(ii) the adequacy of the proposal in terms of (I) the portion of the population covered by the proposal, (II) the type health care provided, paid for, or insured against under the proposal, (III) whether, and if so, to what extent, the proposal provides for the development of new and improved methods for the delivery of health care and services. “(C) Not later than March 31, 1971, the Secretary shall submit to the Congress a report on each legislative proposal which he has been directed to study under this paragraph, together with an analysis and evaluation of such proposal” (c) Subsection (d) of section 304 of such Act is hereby redesignated as subsection (c) and is amended to read as follows: “(c) (1) There are authorized to be appropriated for payment of grants or under contracts under subsection (a), and for purposes of carrying out the provisions of subsection (b), $71,000,000 for the fiscal year ending June 30, 1971 (of which not less than $2,000,000 shall be available only for purposes of carrying out the provisions of subsection84 Stat. 1303 (b)), $82,000,000 for the fiscal year ending June 30, 1972, and $94,000,000 for the fiscal year ending June 30, 1973. “(2) In addition to the funds authorized to be appropriated under paragraph (1) to carry out the provisions of subsection (b) there are hereby authorized to lie appropriated to carry out such provisions for each fiscal year such sums as may be necessary.” (d) The amendments made by subsection (c) of this section shall be effective only with respect to fiscal years ending after June 30, 1970.