Health Security Act of 1994


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 Access to quality health care is essential to all people. For a long time, there had been many proposals developed as a response on the best way through which the problems in the way health care in America was delivered could be solved. This would therefore mean a transformation in the system of health care delivery in the United States of America. For decades, there had been calls to have the health system modified.

This would thus mean a control of the high costs and accessibility to basic health care services. However, this had not been successful but instead heath care services were diminishing for a large number of Americans. It is then that President Clinton introduced the Health Security Act for the Americans. First, it was introduced in 1993 and changes made in the Health Security Act of 1994.


 The Health Security Act of 1994 was introduced to ensure the provision of health care for all Americans. This meant that the Americans would get benefits on health insurance and thus there would be security on health. Therefore, this was termed as a big step towards the correct direction and thus meant a greater improvement on what the American people had at the time (Bradford, 2007). However, this would not be the final step on the road to provision of quality health care to all Americans.

The Health Security Act states that it is the federal government which sets the framework of the health care system. This includes the access to health care and the benefits. However, it was also flexible in such a way that the sates were allowed to act as the agencies of the federal government (Mariner, 1994). Therefore, the states act as the health care insurance agencies. According to the Health Security Act of 1994, there would be health plans whose responsibility would be to guarantee the coverage of people.

This means the insurance benefits that Americans would get to access health care. Thus, the states would contract the providers of these benefits. The act also required people to enroll in health care plans. These plans would assure basic health care coverage for the consumers. However, the consumers could also buy other health care services even if they were not under the cover of the health plan.

This also meant that the consumers could buy other health care insurance covers outside the basic package of benefit that was offered by the federal government and the states. However, the payments for the premiums would be varied. For instance, it meant that a family would pay based on their general premium share and class, the availability of SSI (Supplemental Security Income) or the AFDC (Aid to Families with Dependent Children).

This act provided an advantage in that if one failed to pay the amounts owed, they would not loose their coverage. Rather, the alliances at the regional level may collect the owed amounts through other procedures for example interest charges. Under this security act, several groups of people were covered. These are the American citizens, aliens on permanent residence in America, and non-immigrant on long-term basis.

However, prisoners as well as aliens who were not documented were not eligible and thus could not enroll in any health plan. It was the proposition of the Health Security Act that all Americans would be assured of broad health coverage. This package of benefits would be inclusive of services at the hospitals and these services would be offered by professionals in the health sector, outpatient health care services, home care, emergency care including ambulance surgical and medical services, and also the medical equipment would be durable and efficient.

Though these services were not subject to certain duration, in some way, the Health Security Act limited them. An example of the limitations was on pap smears which could only be allowed once in three years and only the women of the age 20-39 were eligible. The act also included Medicaid services. (Ricardo-Campbell, 1995). The Health Security Act of 1994 made changes on the Health Security Act of 1993. The focus of the 1993 act was on the provision of quality health care to all Americans. It also focused on the control of the health care costs.

To improve on this act, the act of 1994 included health care hospital benefits as well as benefits on insurance. This then further meant that the health care provision would be made even better. Health care insurance would be essential since it covers the medical costs. For instance, there are the older adults who maybe could not be able to afford the access to quality health care. Therefore, the health insurance would be very beneficial to them.


 Due to individual choices on health for example poor habits of eating, smoking, the health care costs continued to rise. According to Fickenscher & Kindig (1993), the 1993 act could not succeed in controlling health care costs and thus, the health insurance as cited in the 1994 act provided a good option for health care improvement.


Bradford, J. (2007). The proposed Health Security Act of 1994. Retrieved from: Accessed February 16, 2011.

Fickenscher, K. & Kindig, D. (1993). Elements of the American Health Security Act of 1993. Retrieved from: Accessed February 16, 2011.

Health Security Act. (1994). Press release. Retrieved from: Accessed February 16, 2011.

Mariner, W. K. (1994). Am J Public Health: Patients’ rights to care under Clinton’s Health Security Act: the structure of reform. 84(8): 1330–1335.

Ricardo-Campbell, R. (1995). The New England journal of medicine: Health Care Reform in the United States. 333:195

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