Fed Regist. 1991 Sep 20;56(183):47763-6.
This notice announces the Secretary's conditional determination of the 15 States in which Medicare supplemental insurance policies (commonly referred to as "Medigap" policies) may be issued as Medicare SELECT policies. The Omnibus Budget Reconciliation Act of 1990 (OBRA '90), Public Law 101-508, amended section 1882 of the Social Security Act to provide for the simplification and standardization of Medicare supplemental insurance policies and to authorize the approval of Medicare SELECT policies in fifteen States, as determined by the Secretary, for a three-year period. Under State-approved Medicare SELECT policies, insurers may restrict full Medicare supplemental insurance benefits to items and services provided by a network of physicians and providers under contract with the insurer. This notice implements section 4358(c) of OBRA '90, which provides for the designation of the 15 States in which Medicare SELECT policies may be approved for issuance during the period January 1, 1992 through December 31, 1994.
本通知宣布了部长对15个州的有条件认定，在这些州，医疗保险补充保险政策（通常称为“医疗差额保险”政策）可作为“选择型医疗保险”政策发行。1990年《综合预算协调法案》（《1990年预算法案》），公法第101 - 508号，修订了《社会保障法》第1882条，规定简化和规范医疗保险补充保险政策，并授权部长认定在15个州批准发行“选择型医疗保险”政策，为期三年。根据州批准的“选择型医疗保险”政策，保险公司可将全额医疗保险补充保险福利限制于由与保险公司签订合同的医生和医疗服务提供者网络所提供的项目和服务。本通知实施了《1990年预算法案》第4358(c)条，该条规定了对15个州的指定，在1992年1月1日至1994年12月31日期间可批准在这些州发行“选择型医疗保险”政策。
