It was scheduled to take effect October 1991, with full implementation by January 1993. The Insurance Act was tabled in 1992 pending reassessment of several provisions. These were presented in November 1992 by the Interministerial Working Group on Health Insurance to the Parliament of the Russian Federation and the President for approval. The modified legislation was signed into law in April 1993 by President Yeltsin while he was attending the Vancouver Summit with President Clinton (Potapchik, 1993).