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?BTSJp.CUMENT I S TBE PROPERTY OP H I S BRITANNIC
MAJESTY'S
i
C
B
HOME
V
SECRET.
A
I N
E
AFFAIRS
T.
COMMITTEE.
NATIONAL HE A Iff H INSURANCE
CP.196.(24)
.
.
This B i l l
c
BY
THE
is required
MINISTER
OF
o
p
^
Y
HEALTH.
i n order to d e a l w i t h the
a r i s i n g from the award by the r e c e n t
capitation rate
BILL.
......
MEMORANDUM
GOVERNMENT.
position
Court of I n q u i r y of a
of payment of 9 s . per insured person per annum
to Insurance doctors from the 1st January, 1924, and from the
c e s s a t i o n on December 31st l a s t
of the p r o v i s i o n made by the
N a t i o n a l Health Insurance A c t , 1922, under which the cost
medical b e n e f i t
beyond the amount f i x e d by the Act o f
paid out of the funds of
I
Approved
1920, was
Societies.
The t o t a l cost of medical b e n e f i t
in England from 1st
January, 1924, i n c l u d i n g payments to d o c t o r s , cost of
travelling
lls.lO$d.
allowances,
of
drugs,
and c e r t a i n other minor i t e m s , w i l l be
per insured person per annum.
of 9 s . 6 d . i s provided from funds
of Approved S o c i e t i e s
Section 7 of the N a t i o n a l Health Insurance
present B i l l provides t h a t
Towards t h i s
as
by
Act 1920, and the
f o r the t h r e e years
of 2s.4rd s h a l l be provided
a sum
1924-28 the balance
follows
1. Fran t h e Approved S o c i e t i e s
7/9t.hs of 2d per insured
person
per annum.
2 . From the Central Fund (a fund whose main purpose la
assist
Societies
In d e f i c i e n c y
on v a l u a t i o n )
7/9ths
of
to
ls8?d.
per insured person per annum.
3 . From the
excess i n t e r e s t
earned on investments
of
S o c i e t i e s ' Funds by the N a t i o n a l Debt Commissioners beyond the
' rate payable to S o c i e t i e s . 7/9ths of 6d. per Insured person
^
per annum,
4. From the Exchequer the remaining 2/9ths of
the sums
specified
tin 1, 2 and 3 above.
Two-ninths
of the whole of Jthe cost of medical
benefit
is o r d i n a r i l y provided from the Exchequer i n accordance with the
general p r o v i s i o n s
of the N a t I o n a 3 f Health Insurance
-
1 ­
Acts.
The Government have been, a d v i s e d t h a t ths
Fund and t h e -Investment Income Account can b e a r the
c h a r g e s f o r the l i m i t e d p e r i o d and the p r o p o s a l s
i n the B i l l
all
have
*
T^o-ninths
ia
proposed
contained
a l s o boon a c c e p t e d by Approved S o c i e t i e s
types.
benefit
Central
of
'
of the whole o f the c o s t of
medical
o r d i n a r i l y p r o v i d e d from t h e Exchequer i n
w i t h the g e n e r a l p r o v i s i o n s
of t h e N a t i o n a l
accordance
H e a l t h Insurance
Act3.
The above f i g i i r e s
require modification
S c o t l a n d and Wales r e s p e c t i v e l y ,
c l a u s e making t h e n e c e s s a r y
There i s
for
and the B i l l c o n t a i n s a
modifications.
also a clause to re-enact
as from the
January, 1925, t o t h e 31st December, 1925, the p r o v i s i o n s
1st
of
S e c t i o n 3 o f the N a t i o n a l H e a l t h Insurance A c t , . 1922, which
l a p s e d on 31st December, 1922; and under which a s s i s t a n c e was
g i v e n t o Approved S o c i e t i e s
from the Unclaimed Stamps Account
t o enable them t o pay b e n e f i t s
t o t h e i r members who would
othervd.se have been suspended from b e n e f i t by r e a s o n o f
a r r e a r s due t o p r o l o n g e d unemplpyment.
(Intd.)
stry of
Health,
March 19th,
1924.
J , W.
14.GEO. 5.]
National Health
Insurance,
DRAFT
OF A
I
L
L
TO
Make further provision with respect to the cost of A.D. 1924.
medical benefit and to the expenses of the
administration of benefits under the Acts relating
to national health insurance, and to amend
section twenty-nine of the National Health
Insurance Act, 1918, and for purposes connected
therewith.
B
E it enacted by the King's most Excellent Majesty,
: by and with the advice and consent of the Lords
Spiritual and Temporal, and Commons, in this present
Parliament assembled, and by the authority of the same,
., l . - ( l ) . There shall in respect of each year during Provision as
which this Act continues in force be paid:—
cost of
' - (a) to insurance committees in England on account benefit and
of the cost, and the expenses of the adminis- a d m i n i s ­
10
tration of medical benefit, by way of addition tration
- \
. to the sums payable under subsection (1) of expenses,
section seven of the National Health Insurance 10 & 11
:. ... Act, 1920, and, subject to such conditions as Geo. 5.
. . . . maybe prescribed, a sum at such yearly rate ' '
15 ... ..' vas may be-prescribed, but not. exceeding two
sliillings and twopence three farthings per year,
in respect of each of the total number of the
. ­
persons in respect of whom payments are made
. ......
undetthe said section seven (in this Act referred
20
to as "the total number of persons for the;
purposes of the said section seven " ) ; and
. //
90-2
A
t o
c
;
2
AD;
1924.
National
Health Insurance.
[14 GEO. 5.]
(6) to the Minister of Health, on account of the
expenses incurred by him in connection with
the administration of benefits, a sum at such
yearly rate as may be prescribed, but not
exceeding three half-pence per year, in respect 5
of each of the total number (calculated in the
prescribed manner) of the members of each
approved society.
(2) The sums to be paid as aforesaid shall in each
10
year be provided as follows, that is to say—­
(a) there shall be paid out of the benefit fund of
each approved society an amount representing
twopence in respect of each of the total number
of persons for the purposes of the said section
15
seven who is a member of the society;
(b) there shall be paid out of the Central Fund an
amount equal to seven-ninths of a sum repre­
senting one shilling and eightpence farthing in
respect of each of the total number of persons
20
for the purposes of the said section seven;
(c) there shall be paid out of the sums standing to
the credit of the Income Account of the
National Health Insurance Fund (Investment)
Account in the books of the National Debt
Commissioners kept in accordance with the 25
regulations made by the Treasury under sub­
section (3) of section fifty-four of the National
Insurance Act, 1911, an amount equal to
seven-ninths of a sum representing the amount
by which the sum prescribed under paragraph 30
* (a) of subsection (1) of this section exceeds the
sum of one sMlling and tenpence farthing in
respect of each of the total number of persons .
. for the purposes of the said section seven;
(d) there shall be paid out of moneys provided by 35
Parliament an amount equal to two-sevenths of
the aggregate sums paid under paragraphs (6)
and (c) of this subsection,
(3) There shall in respect of every member of an
approved society who has attained the age of seventy 40
years in respect of every year during which this Act
continues in force be paid out of the Central Fund and
out of the Income Account mentioned in paragraph (c)
[ 1 4 GEO. 5.]
National
Health
Insurance.
3
of the last preceding subsection, amounts at the like rates AD. 1924
at which payments are to be made out of the said Fund
—
and the said Account under paragraph (b) and para-'
graph (c) respectively of the said subsection.
5
(4) In this section the expression " benefit fund "
means the fund out of which benefits are payable under
Part I. of the National Insurance Act, 1911.
2. Out of the residue of the sums unclaimed in the Payments
Stamps Sales Accounts for England, Scotland and Wales into Central
10 respectively, which residue is under section twenty-nine P h
of the National Health Insurance Act, 1918, which relates
to the disposal of sums unclaimed in the said Accounts
to be applied in such manner as may be prescribed, there
shall be paid forthwith into the Central Fund the sum of
15 one hundred thousand pounds, and the sum so to be
paid shall be apportioned between the said Accounts for
England, Scotland and Wales respectively in such manner
as the Joint Committee may direct.
unc
3.—(1) Such part as the National Health Insurance
20 Joint Committee may direct of the sums which under
section twenty-nine of the National Health Insurance
Act, 1918 (which provides for the disposal of sums
unclaimed in the Stamp Sales Account), are to be carried
, to the Central Fund shall, instead of being so carried, be
25 credited to approved societies in accordance with a
scheme to be made by the said Committee with the
approval of the Treasury, and any sums credited under
this section to an approved society shall be applied by
the society in such manner as the scheme may provide
30 for the purpose of preventing such members of the society
as are in arrears from being or continuing to be suspended
from benefit.
(2) This section shall be deemed to have effect as
from the first day of January, nineteen hundred and
35 twenty-three, and shall continue in force until the
thirty-first day of December, nineteen hundred and
twenty-five.
Application
* part of
^"i . :
i
account'
towards
cancellation
­
0
113 u
s t a m p
n
g a
e s
o f a r r e a r s
­
4. There shall be paid out of the Central Fund to Payment
the Ministry of Labour for Northern Ireland t o . b e out of
*40 applied for the purposes of national health insurance in Ji^yf
Northern Ireland in such way as the Parliament of p^po^f
Northern Ireland may direct, such sums as the National Heath
90
A 2
Insurance
4
National Health Insurance.
[ 1 4 GEO. 5.]
A.D. 1924. Health Insurance Joint Committee shall determine to he
proper to be so paid, having regard to the sums paid out
in Northern of the Central Fund under this Act for the purposes of
Ireland.
national health insurance in Great Britain.
5.-^(1) This Act shall apply to Scotland, subject to 5
the following modifications, that is to say—­
(a) one shilhng and tenpence halfpenny shall be
substituted for two shillings and twopence three
farthings;
(6) the Scottish Board of Health shall be substituted 10
for the Minister of Health;
(c) twopence shall be substituted for three-half­
pence;
(d)
pence shall be substituted for twopence;
(e)
"
15
section one of this Act shall have effect as if there were
inserted after the word " benefits " in paragraph (6) of
subsection ( 1 ) thereof the words " and the provision of a
" medical service for insured persons in such districts of
" Scotland (other than the Highlands and Islands within 20
" the meaning of the Highlands and Islands (Medical
" Service Grant) Act, 1913), as may be determined, by the
" Scottish Board of Health to be necessitous."
( 2 ) This Act shall apply to Wales subject, to the
following modifications, that is to say, two shillings and 25
eightpence farthing shall be substituted for two shillings
and twopence three farthings, and one penny three
farthings for three-halfpence.
( 3 ) This Act shall not (except as therein otherwise ­
- 30
. expressly provided) apply to Ireland.
:
6.—(1) This Act may be cited as the National Health
Insurance Act, 1924, and shallbe construed as one with
the National Health Insurance Acts, 1911 to 1922, and
those Acts and this Act may be cited together as the
35
National Health Insurance Acts, 1911 to 1922.
( 2 ) This Act shall (save as therein otherwise
expressly provided) be deemed to have had effect as
from the first day of January, nineteen hundred and
twenty-four, and shall continue in force until the ­
thirty-first day of December, nineteen hundred and 40
twenty-six.
^National Health
Insurance,
D R A F T
OF A
B I L L
T o make further provision with respect
to the cost of medical benefit and to
the expenses of the administration
of benefits under the Acts relating
national health insurance, and to
amend section twenty-nine of the
National Health Insurance Act, 1918,
and for purposes connected there­
with.
LXXII.
(2.)
20th March
1924.