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FOIA Number:
2006-0885-F
FOIA
MARKER
This is not a textual record. This is used as an
administrative marker by the William J. Clinton
Presidential Library Staff.
Collection/Record Group:
Clinton Presidential Records
Subgroup/Office of Origin:
Health Care Task Force
Series/Staff Member:
Margherio
Subseries:
OA/ID Number:
4805
FolderlD:
Folder Title:
Technical Corrections
Stack:
Row:
Section:
Shelf:
Position:
S
53
3
5
2
�TO LYNN MARGHERIO AND CHRISTINE HEENAN
From: Stan Herr
Subject: Technical Corrections t o Health Security Act
November 15, 1993
Enclosed p l e a s e f i n d s i x pages o f t h e d r a f t a c t and l a r g e l y
explanatory corrections.
p. 410, 1 . 10
self-
delete "[review]"
p. 3 9 1 , 1.12
S t y l i s t i c a l l y should t h e number "4" i n t e x t be
s p e l l e d out? The U. o f Chicago S t y l e Manual 8.2 suggests t h a t t h e
answer s h o u l d be yes; i s t h e r e a d i f f e r e n t s t y l e r u l e f o r
legislation?
p. 392 1 . 22
d e l e t e c l e a r t y p o "whose"
p. 393 1 . 6 f o r c o n s i s t e n c y w i t h p r i o r headings a t sec.
2 1 0 3 ( a ) ( 2 ) and ( 3 ) [pages 391, 1. 23 and page 393 1 . 1 ] , I
b e l i e v e t h e c o r r e c t heading should be "CHILDREN WITH SEVERE
DISABILITY OR CHRONIC MEDICAL CONDITION" , n o t SEVERELY DISABLED
CHILDREN.
T h i s s o - c a l l e d "people f i r s t " language i s much p r e f e r r e d by t h e
d i s a b i l i t y community and g i v e s p r i m a r y a t t e n t i o n t o t h e c h i l d and
n o t t h e d i s a b i l i t y . The l o n g e r heading t r a c k s t h e language on
page 393, l i n e s 8-9
p. 398, 1 . 18
same query as a t page 391, above.
p. 402, 1 . 5 The word " i n p u t " seems j a r r i n g and i m p r e c i s e i n
t h i s c o n t e x t . Webster's d e f i n e s i n p u t as " i n f o r m a t i o n f e d i n t o a
d a t a p r o c e s s i n g system o r computer" which i s n o t e x a c t l y t h e
image t h a t , I t h i n k , we wish t o convey. "Feedback" i s a l s o
computer-speak language t h a t seems t o o i n f o r m a l f o r t h i s purpose,
and " p a r t i c i p a t i o n " w h i l e i t would do f i n e i n t h i s c o n t e x t i s
used i n a s u b - s e c t i o n immediately below a t page 402, l i n e 10.
I would suggest r e p l a c i n g t h e word " i n p u t " w i t h t h e word
" e v a l u a t i o n s " which seems t o be what we're s e e k i n g , i . e ,
consumer surveys and o t h e r forms o f meaningful consumer
evaluations.
cc: C a r o l H. Rasco
�Titk II, Subtitle B
Health Security Act
410
1
(B) such index, as so measured, for the
2
second precedingfiscalyear.
3
(4) DISABLED POPULATION FACTOR.—For pur-
4
poses of paragraph (2)(B), the factor described in
5
this paragraph for a fiscal year is 100 percent plus
6
(or minus) the percentage increase (or decrease)
7
change in the disabled population of the United
8
States (as determined for purposes of the most re-
9
cent update under subsection (b)(3)(D).
10
11
([r&vim)^ (5)
ADDITIONAL FUNDS DUE TO MED-
ICAID O F F S E T S . —
12
(A)
I N GENERAL.—Each
participating
13
State must provide the Secretary with informa-
14
tion concerning offsets and reductions in the
15
medicaid program resulting from home and
16
community-based services provided under this
17
title, that would have been paid for under the
18
State medicaid plan but for the provision of
19
similar services under the program under this
20
title.
21
(B) REPORTS.—Each State with a pro-
22
gram under this title shall submit such reports
23
to the Secretary as the Secretary may require
24
in order to monitor compliance with subpara-
25
graph (A).
�ibtitU B
Title II, Subtitle B
Health Security Act
391
ion of
1
(2) meets the requirements of subsection (a).
proc-
2
(c) MONITORING.—The Secretary shall monitor the
3 comphance of State plans with the eligibility requirements
3 Sa>
4 of section 2103 and may monitor the comphance of such
it the
5 plans with other requirements of this subpart.
6
(d) REGULATIONS.—The Secretary shall issue such
NG.—
7 regulations as may be appropriate to carry out this sub-
rovide
8 part on a timely basis.
used
itures
9 SEC. 2103. INDIVIDUALS WITH DISABILITIES DEFINED.
10
(a) I N GENERAL.—In this subpart, the term "individ-
11 uaJ with disabilities" means any individual within one or
12 more of the following 4 categories of individuals:
13
(1) INDIVIDUALS REQUIRING HELP WITH AC-
14
TIVITEES OF DAILY LIVING.—An individual of any
15
age who—
16
(A) requires hands-on or standby assist-
17
ance, supervision, or cueing (as defined in regu-
18
lations) to perform three or more activities of
19
daily living (as defined in subsection (c)), and
20
(B) is expected to require such assistance,
21
supervision, or cueing over a period of at least
22
100 days.
con-
23
(2) INDIVIDUALS WITH SEVERE COGNITIVE OR
rep-
24
MENTAL IMPAIRMENT.—An individual of any age—
�Health Security Act
Title II, Subtitle B
Health
392
1
(A) whose score, on a standard mental sta-
1
2
tus protocol (or protocols) appropriate for
2
3
measuring the individual's particular condition
3
4
specified by the Secretary, indicates either se-
4
5
vere cognitive impairment or severe mental im-
5
6
pairment, or both;
6
7
(B) who—
7
8
(i) requires hands-on or standby as-
8
9
sistance, supervision, or cueing with one or
9
10
more activities of daily living,
10
11
(ii) requires hands-on or standby as-
11
12
sistance, supervision, or cueing with at
12
13
least such instrumental activity (or activi-
13
14
ties) of daily living related to cognitive or
14
15
mental impairment as the Secretary speci-
15
16
fies, or
16
17
(iii) displays symptoms of one or more
17
18
serious behavioral problems (that is on a
18
19
list of such problems specified by the Sec-
19
20
retary) which create a need for supervision
20
21
to prevent harm to self or others, and
21
22
(\whose>s e^cted to meet the
^
22
23
ments of subparagraphs (A) and (B) over a pe-
23
24
riod of at least 100 days.
24
25
�Title II, Subtitle B
Health Security Act
393
1 sta-
1
(3) INDIVIDUALS WITH SEVERE OR PROFOUND
• for
2
MENTAL RETARDATION.—An individual of any age
iition
3
who has severe or profound mental retardation (as
;r se-
4
determined according to a protocol specified by the
J im-
5
Secretary).
y a:5-
8
-ne or
9
J p * *
CHrLDRE?/—An indi-
6
7
^ ^
vidual under 6 years of age who—
(A) has a severe disability or chronic medical condition,
10
(B) but^for receiving personal assistance
11
senices or any of the services described in sec-
12
tion 2104(d)(1), would require institutionaliza-
ictivi-
13
tion in a hospital, nursing facility, or intermedi-
ive or
14
ate care facility for the mentally retarded, and
speci-
15
(C) is expected to have such disability or
16
condition and require such senices over a pe-
17
riod of at least 100 days.
»y £U5-
th at
more
1
!
on a
18
i See-
19
(1) IN GENERAL.—The determination of wheth-
vision
20
er an individual is an individual with disabilities
21
shall be made, by persons or entities specified under
22
23
the State plan, using a uniform protocol consisting
24
the Secretary. A State may collect additional infor-
25
mation, at the time of obtaining information to
1
quire-
i
a pe1
(b) DETERMINATION.—
of an initial screening and assessment specified by
ftj^
^7
^
c
�Health Security
Act
Title 11, Subtitle B
Healt
398
1
(F) Adult day services.
2
(G) Habilitation and rehabilitation.
3
(H) Supported employment.
4
(I) Home health services.
5
(J) Any other care or assistive services
6
(approved by the Secretary) that the State de-
7
termines will help individuals with disabilities to
8
remain in their homes and communities.
9
(2) CRITERIA FOR SELECTION OF SERVICES.—
10
The State plan shall specify—
11
(A) the methods and standards used to se-
12
lect the types, and the amount, duration, and
13
scope, of senices to be covered under the plan
14
and to be available to each category of individ-
15
uals with disabilities, and
16
(B) how the types, and the amount, dura-
17
tion, and scope, of senices specified meet the
18
needs of individuals within each of the 4 cat-
19
egories of individuals with disabilities.
20
21
22
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
(e) EXCLUSIONS AND LIMITATIONS.—
(1)
I N GENERAL.—A
State plan may not pro-
vide for coverage of—
23
(A) room and board,
24
(B) services furnished in a hospital, nurs-
25
ing facility, intermediate care facility for the
21
22
23
24
�Health Security Act
Title II, Subtitle B
402
1
(3) the minimum competency requirements for
2
agency provider employees who provide direct serv-
3
ices under this subpart and how the competency of
4
such employees will be enforced,
5
(4) obtaining meaningful consumer input, in-
6
eluding consumer surveys that measure the extent to
7
which participants receive the services described in
8
the plan of care and participant satisfaction with
9
such services,
10
11
(5) participation in quality assurance activities,
and
12
(6) specifying the role of the long-term care om-
13
budsman (under the Older Americans Act of 1965)
14
and the Protection and Advocacy Agency (under the
15
Developmental Disabihties Assistance and Bill of
16
Rights Act) in assuring quality of services and pro-
17
tecting the rights of individuals with disabilities.
18
(b) SAFEGUARDS.—
19
(1)
CONFIDENTIAUTY.—The
State plan shall
20
provide safeguards which restrict the use or disclo-
21
sure of information concerning applicants and bene-
22
ficiaries
to purposes directly connected with the ad-
23
ministration of the plan (including performance re-
24
views under section 2602).
H
�
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Health Care Task Force Records
Creator
An entity primarily responsible for making the resource
White House Health Care Task Force
Is Part Of
A related resource in which the described resource is physically or logically included.
<a href="https://catalog.archives.gov/id/10443060" target="_blank">National Archives Catalog Description</a>
Description
An account of the resource
<p>This collection contains records on President Clinton’s efforts to overhaul the health care system in the United States. In 1993 he appointed First Lady Hillary Rodham Clinton to be the head of the Health Care Task Force (HCTF). She traveled across the country holding hearings, conferred with Senators and Representatives, and sought advice from sources outside the government in an attempt to repair the health care system in the United States. However, the administration’s health care plan, introduced to Congress as the Health Security Act, failed to pass in 1994.</p>
<p>Due to the vast amount of records from the Health Care Task Force the collection has been divided into segments. Segments will be made available as they are digitized.</p>
<p><a href="http://clinton.presidentiallibraries.us/items/browse?advanced%5B0%5D%5Belement_id%5D=43&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=2006-0885-F+Segment+1"><strong>Segment One</strong></a><br /> This collection consists of Ira Magaziner’s Health Care Task Force files including: correspondence, reports, news clippings, press releases, and publications. Ira Magaziner a Senior Advisor to President Clinton for Policy Development was heavily involved in health care reform. Magaziner assisted the Task Force by coordinating health care policy development through numerous working groups. Magaziner and the First Lady were the President’s primary advisors on health care. The Health Care Task Force eventually produced the administration’s health care plan, introduced to Congress as the Health Security Act. This bill failed to pass in 1994.<br /> Contains 1065 files from 109 boxes.</p>
<p><a href="http://clinton.presidentiallibraries.us/items/browse?advanced%5B0%5D%5Belement_id%5D=43&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=2006-0885-F+Segment+2"><strong>Segment Two</strong></a><br /> This segment consists of records describing the efforts of First Lady Hillary Rodham Clinton to get health care reform through Congress. This collection consists of correspondence, newspaper and magazine articles, memos, papers, and reports. A significant feature of the records are letters from constituents describing their feelings about health care reform and disastrous financial situations they found themselves in as the result of inadequate or inappropriate health insurance coverage. The collection also contains records created by Robert Boorstin, Roger Goldblatt, Steven Edelstein, Christine Heenan, Lynn Margherio, Simone Rueschemeyer, Meeghan Prunty, Marjorie Tarmey, and others.<br /> Contains 697 files from 47 boxes.</p>
<p><a href="http://clinton.presidentiallibraries.us/items/browse?advanced%5B0%5D%5Belement_id%5D=43&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=2006-0885-F+Segment+3"><strong>Segment Three</strong></a><br /> The majority of the records in this collection consist of reports, polls, and surveys concerning nearly all aspects of health care; many letters from the public, medical professionals and organizations, and legislators to the Task Force concerning its mission; as well as the telephone message logs of the Task Force.<br /> Contains 592 files from 44 boxes.</p>
<p><a href="http://clinton.presidentiallibraries.us/items/browse?advanced%5B0%5D%5Belement_id%5D=43&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=2006-0885-F+Segment+4"><strong>Segment Four</strong></a><br /> This collection consists of records describing the efforts of the Clinton Administration to pass the Health Security Act, which would have reformed the health care system of the United States. This collection contains memoranda, correspondence, handwritten notes, reports, charts, graphs, bills, drafts, booklets, pamphlets, lists, press releases, schedules, newspaper articles, and faxes. The collection contains lists of experts from the field of medicine willing to testify to the viability of the Health Security Act. Much of the remaining material duplicates records from the previous segments.<br /> Contains 590 files from 52 boxes.</p>
<p><strong><a href="http://clinton.presidentiallibraries.us/items/browse?advanced%5B0%5D%5Belement_id%5D=43&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=2006-0885-F+Segment+5">Segment Five</a></strong><br /> This collection of the Health Care Task Force records consists of materials from the files of Robert Boorstin, Alice Dunscomb, Richard Veloz and Walter Zelman. The files contain memoranda, correspondence, handwritten notes, reports, charts, graphs, bills, drafts, booklets, pamphlets, lists, press releases, schedules, statements, surveys, newspaper articles, and faxes. Much of the material in this segment duplicates records from the previous segments.<br /> Contains 435 files from 47 boxes.</p>
<p><strong><a href="http://clinton.presidentiallibraries.us/items/browse?advanced%5B0%5D%5Belement_id%5D=43&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=2006-0885-F+Segment+6">Segment Six</a></strong><br /> This collection consists of the files of the Health Care Task Force, focusing on material from Jack Lew and Lynn Margherio. Lew’s records reflect a preoccupation with figures, statistics, and calculations of all sorts. Graphs and charts abound on the effect reform of the health care system would have on the federal budget. Margherio, a Senior Policy Analyst on the Domestic Policy Council, has documents such as: memoranda, notes, summaries, and articles on individuals (largely doctors) deemed to be experts on the Health Security Act of 1993 qualified to travel across the country and speak to groups in glowing terms about the groundbreaking initiative put forward by President Clinton in his first year in the White House. <br /> Contains 804 files from 40 boxes.</p>
Publisher
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William J. Clinton Presidential Library & Museum
Identifier
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2006-0885-F
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Original Format
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Paper
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Technical Corrections
Creator
An entity primarily responsible for making the resource
Task Force on National Health Care
White House Health Care Task Force
Lynn Margherio
Identifier
An unambiguous reference to the resource within a given context
2006-0885-F Segment 2
Is Part Of
A related resource in which the described resource is physically or logically included.
Box 29
<a href="http://clintonlibrary.gov/assets/Documents/Finding-Aids/2006/2006-0885-F-2.pdf" target="_blank">Collection Finding Aid</a>
<a href="https://catalog.archives.gov/id/12093088" target="_blank">National Archives Catalog Description</a>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Format
The file format, physical medium, or dimensions of the resource
Adobe Acrobat Document
Medium
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Preservation-Reproduction-Reference
Date Created
Date of creation of the resource.
2/6/2015
Source
A related resource from which the described resource is derived
42-t-12093088-20060885F-Seg2-029-006-2015
12093088