Title IV, SEC. 4251. MEDICAID COMMISSION. 
      (a) Establishment. There is established a commission to be known as the 
    ``Medicaid Commission'' (in this section referred to as the 
    ``Commission''). 

      (b) Membership. (1) The Commission shall be composed of 15  members 
    appointed by the Secretary for the life of the Commission. 

        (2) Members shall include representatives of the Federal Government and 
      State Governments. 

        (3) The Administrator of the Health Care Financing Administration shall 
      be an ex officio member of the Commission. 

        (4) Individuals, while serving as members of the Commission, shall not 
      be entitled to compensation, other than travel expenses, including per 
      diem in lieu of subsistence, in accordance with sections 5702 and 5703 of 
      title 5, United States Code. 

      (c) Study. The Commission shall study options with respect to each of the 
    following in relation to the medicaid program under title XIX of the Social 
    Security Act: 

        (1) Use of block grant. Whether, and (if so) how, to convert payments 
      for services not covered in the comprehensive benefit package (for all 
      recipients, including AFDC and SSI recipients defined in section 1902 of 
      the Health Security Act) into new financing mechanisms that give the 
      States greater flexibility in targeting and delivering needed services. 

        (2) Integration of acute and long-term care services for health plans. 
      Whether, and (if so) how, to integrate long-term care services and the 
      home and community-based services program under part 1 of subtitle B of 
      title II with the services covered under the comprehensive benefit 
      package offered by health plans. 

        (3) Consolidating institutional and home and community-based long-term 
      care. Whether, and (if so) how, to offer States an option to combine 
      together expenditures under the home and community-based services program 
      (under part 1 of subtitle B of title II) with continuing home and 
      community-based services and institutional care under the medicaid 
      program into a global budget for long-term care services, and how such a 
      combined program could be implemented. 

      (d) Report and Recommendations. The Commission shall submit to the 
    Secretary and the National Health Board, not later than 1 year after the 
    date of the enactment of this Act, a report on its study under subsection 
    (c). The Commission shall include in such report such recommendations for 
    changes in the medicaid program, and the programs under this Act, as it 
    deems appropriate. 

      (e) Operations. (1) The Commission shall appoint a chair from among its 
    members. 

        (2) Upon request of the Chair of the Commission, the head of any 
      Federal department or agency may detail, on a reimbursable basis, any of 
      the personnel of that department or agency to the Commission to assist it 
      in carrying out its duties under this section. 

        (3) The Commission may secure directly from any department or agency of 
      the United States information necessary to enable it to carry out this 
      section. Upon request of the Chair of the Commission, the head of that 
      department or agency shall furnish that information to the Commission. 

        (4) Upon the request of the Commission, the Administrator of General 
      Services shall provide to the Commission, on a reimbursable basis, the 
      administrative support services necessary for the Commission to carry out 
      its responsibilities under this section. 

      (e) Termination. The Commission shall terminate 90 days after the date of 
    submission of its report under subsection (d). 

      (f) Authorization of Appropriations. There are authorized to be 
    appropriate such sums as may be necessary to carry out this section.