Expand All Collapse All Extent 47 folders, approximately 887 pages Summary This collection contains materials related to Medical Savings Accounts, Health Savings Accounts, and high deductible insurance. It consists of press materials, draft papers, legislation, correspondence, and reports. Topics include the Golden Rule Insurance Company, health care reform, the Health Insurance and Portability and Accountability Act of 1996, Health Maintenance Organizations (HMOs), high-deductible health insurance, Medicare, and the Patients’ Bill of Rights. Within this collection, the White House Staff and Office Files originating the Domestic Policy Council and the First Lady’s Office have all been previously processed and opened under the names of their respective staffers. In addition, there are several folder titles from previously processed collections within the Health Care Task Force and Public Liaison offices. Scope and Content Note The materials in FOIA 2014-0225-F are a selective body of documents responsive to the topic of the FOIA. Researchers should consult the archivist about related material. The Medical Savings Account (MSA) was a concept that grew from the efforts to enact health care reform during the Clinton Administration. As the name suggests, they are special accounts used primarily to pay personal medical expenses and were normally coupled with tax incentives or other financial benefits. The driving requirement was that the consumer must subscribe to a “catastrophic” insurance plan with a high deductible rather than a normal comprehensive plan. The consumer (and possibly government subsidies) would contribute tax-free dollars to the MSA which would pay the deductible and have the benefit of lower premiums. Insurance coverage would commence once the deductible had been met. The White House Staff and Office Files listed under the Domestic Policy Council - Devorah Adler, Chris Jennings, Jennifer Klein, and Carol Rasco - are already processed and released under various individual systematically processed projects. Please see those cases for the processed material. Under the First Lady’s Office, the files of Jennifer Klein and Melanne Verveer are also released and available with those cases. Finally, there are several folder titles from previously processed collections under the Health Care Task Force and Public Liaison. The collection consists of articles, drafts, emails, legislation, letters, memos, press releases, Q&As, reports, and research. Topics include the Golden Rule Insurance Company, health care reform, the Health Insurance and Portability and Accountability Act of 1996, Health Maintenance Organizations (HMOs), high-deductible health insurance, Kennedy-Kassebaum, Medicare, and Patients’ Bill of Rights. The collection’s email correspondence concerning MSA consists mostly of drafts of a memo to the President from Chuck Brain and Sylvia M. Mathews. The memo is dated August 25, 2000 and dealt with preparation for the President’s conversation with Speaker Hastert during a trip to Columbia. Mathews and Brain advised President Clinton on several topics to discuss with Hastert including the Patient’s Bill of Rights and MSA expansion. Record Type Textual System of Arrangement Records that are responsive to this FOIA request were found in these collection areas—Clinton Presidential Records: White House Office of Records Management (WHORM) Subject Files, Clinton Presidential Records: White House Staff and Office Files, Clinton Presidential Records: ARMS Emails, and Clinton Presidential Records: TRP Emails. The White House Office of Records Management (WHORM) contains a variety of series created to organize and track documents and correspondence. The WHORM Subject file was compiled by the White House Office of Records Management and is a series of categories designated by a letter/number combination. Staff and Office files were maintained at the folder level by staff members within their individual offices and document all levels of administration activity. WHORM files are processed at the document level; whereas, Staff and Office files are processed at the folder level, that is, individual documents are not selected and removed from a folder for processing. While this method maintains folder integrity, it frequently results in the incidental processing of documents that are not wholly responsive to the subject area. The Automated Records Management System (ARMS) is a database that contains email records of the Executive Office of the President. This system maintained unclassified Presidential email. The ARMS database is comprised of six sub-series of email records called "buckets." The buckets generally represent a specific White House office. The buckets are titled: NPR for National Performance Review, OPD for Office of Policy Development, POTUS for President of the United States, WHO for White House Office, CEA for Council of Economic Advisers, and Default for emails not associated with an office. The OPD bucket contains email created or received by an individual with an Office of Policy Development (OPD) White House user account. The WHO bucket contains email created or received by individual with an Executive Office of the President White House user account not identified as CEA, NPR, or OPD. ARMS emails are arranged by topic, there-under by bucket, and there-under chronologically by creation date. The Tape Restoration Project (TRP) is a database consisting of restored emails from the Automated Records Management System (ARMS) from July 1994 through June of 2000. The TRP is a database that contains email records of the Executive Office of the President. This system maintained unclassified Presidential record email. The TRP database is comprised of the same six sub-series of email as in ARMS. TRP emails are arranged by topic, there-under by bucket, and there-under chronologically by creation date. FOIA 2014-0225-F includes WHORM records from these subject codes: [FG001-08] [Federal Government-Organizations-Presidential Phone Calls] [FI004] [Finance-Budget-Appropriations] [HE] [Health] [HE004] [Health-Services] Access Collection is open to all researchers. Access to Clinton Presidential Records is governed by the Presidential Records Act (PRA) (44 U.S.C. Chapter 22, as amended) and the Freedom of Information Act (FOIA) (5 U.S.C. 552, as amended) and therefore records may be restricted in whole or in part in accordance with legal exemptions. Copyright Documents in this collection that were prepared by officials of the United States government as part of their official duties are in the public domain. Researchers are advised to consult the copyright law of the United States (17 U.S.C. Chapter 1) which governs the making of photocopies or other reproductions of copyrighted material. Processed by Staff Archivist, 2016. Previously restricted materials are added as they are released. Last Modified Date 2016-12-01 Container List The following is a list of documents and folders processed in response to FOIA 2014-0225-F: Box 1 Clinton Presidential Records: WHORM: Subject File Category Case Number FG001-08 173832SS FI004 229487 403277 HE 139670 169495 HE004 169695SS 169824 424635 428782 Clinton Presidential Records: White House Staff and Office Files Chief of Staff O’Connor, Jennifer [Medical Savings Accounts] [Loose] [OA/ID 8145] Stephanopoulos, George Republican MSA [Medical Savings Account] Proposal [OA/ID 8036] Communications Gehrke, Mike Patients’ Bill of Rights/Medical Savings Accounts [OA/ID 1998] Domestic Policy Council Adler, Devorah Binder #12 DPC [Domestic Policy Council] Documents: Medical Savings Account Demonstration 07/23/97 [OA/ID 103503] Jennings, Chris Medicare [Medical Savings Accounts] [1] [OA/ID 102201] Medicare [Medical Savings Accounts] [2] [OA/ID 102201] Medicare [Medical Savings Accounts] [3] [OA/ID 102201] Medicare [Medical Savings Accounts] [4] [OA/ID 102201] Medicare [Medical Savings Accounts] [5] [OA/ID 102201] Medicare [Medical Savings Accounts] [6] [OA/ID 102201] Medicare [Medical Savings Accounts] [7] [OA/ID 102201] Klein, Jennifer MSAs [Medical Savings Accounts] [OA/ID 104240] MSAs [Medical Savings Accounts] Managed Care Choices [1] [OA/ID 104240] MSAs [Medical Savings Accounts] Managed Care Choices [2] [OA/ID 104240] Domestic Policy Council Klein, Jennifer MSAs [Medical Savings Accounts] Studies/Op-Eds [OA/ID 104240] Rasco, Carol Medical Savings Accounts [OA/ID 100006] First Lady’s Office Klein, Jennifer Kaiser Family: Medical Savings Accounts for Medicare Beneficiaries [OA/ID 104847] Vouchers/MSAs [Medical Savings Accounts] [OA/ID 104843] Verveer, Melanne Health Care: MSAs [Medical Savings Accounts] [OA/ID 104476] Medical Savings Account – Health Reform [OA/ID 104497] Health Care Task Force General Files Medical Savings Accounts [OA/ID 3590] Heenan, Christine Medical Savings Accounts [OA/ID 3535] Margherio, Lynn Medical Savings Accounts [OA/ID 4804] Tarmey, Marjorie Controlling Health Care Costs with Medical Savings Accounts [OA/ID 1968] [Medical Care Savings Accounts] [Loose] [OA/ID 1972] Intergovernmental Affairs Hart, John Medical Savings Accounts [OA/ID 9727] Legislative Affairs Murguia, Janet Health Care [1]: Medical Savings Accounts [OA/ID 11030] National Economic Council Sperling, Gene Medical Savings Account [Binder] [1] [OA/ID 19167] Medical Savings Account [Binder] [2] [OA/ID 19167] Medical Savings Account [Binder] [3] [OA/ID 19167] Subject Files MSAs [Medical Savings Accounts] [OA/ID 8483] Public Liaison White, William, Jr. MSAs [Medical Savings Accounts] Kennedy/Kassebaum [OA/ID 14204] Wooley, Barbara Medical Savings Accounts [OA/ID 8240] Yager, Marilyn Medical Savings Account [OA/ID 8818] Box 2 Clinton Presidential Records: Automated Records Management System [Email] OPD [OA/ID 250000] [Medical Savings and Health Savings Account] [07/20/1994 – 09/13/2000] WHO [OA/ID 500000] [Medical Savings and Health Savings Account] [08/05/1994 – 09/11/2000] Clinton Presidential Records: Tape Restoration Project [Email] OPD [OA/ID 250000] [Medical Savings and Health Savings Account] [07/23/1998] WHO [OA/ID 500000] [Medical Savings and Health Savings Account] [05/21/1997 – 09/08/1998]