Health Equity and Access Reform Today Act of 1993

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The Health Equity and Access Reform Today Act of 1993 (S. 1770, abbreviated HEART) was a health care reform bill introduced into the United States Senate on November 22, 1993 by John Chafee, who was then a Republican senator from Rhode Island.[1] It was also co-sponsored by eighteen other Republican senators, including then-Senate Majority Leader Bob Dole.[2] It was read twice in the Senate, but was neither debated nor voted upon.[3][4] It was introduced to keep another 1993 healthcare proposal, which had been unveiled earlier that year by then-President Bill Clinton, from succeeding.[5] As a bipartisan bill, it was one of a few comprehensive health care reform bills not to be introduced along party lines (as of 2008).[6][7] It shared many important features with the Affordable Care Act, which was unveiled by President Barack Obama in 2010 and signed into law on March 23, 2010, including the individual mandate.[2] However, there were some differences between HEART and the ACA, including that HEART did not require employers to contribute to the cost of their employees' premiums, while the ACA does.[1] Also, HEART did not expand Medicaid like the ACA originally required, and HEART, unlike the ACA, included medical malpractice tort reform.[8]

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