The world's political record
Person
![Official portrait of Rep. Pelosi, Nancy [D-CA-11]](https://www.congress.gov/img/member/p000197_200.jpg)
United States · Official source
5,290 records where Rep. Pelosi, Nancy [D-CA-11] is listed as a sponsor, author, or other actor. Search with topics and years
United States · United States Congress · 3 January 2001
Federal Elections Review Commission Act - Establishes the Federal Elections Review Commission to study and report to the President and the Congress on the nature and consequences of the Federal electoral process, making recommendations to ensure the integrity of, and public confidence in, Federal elections.
United States · United States Congress · 3 January 2001
Expresses the sense of the House of Representatives that: (1) the full realization of the rights of women is vital to the development and well-being of people of all nations; and (2) the Senate should give its advice and consent to the ratification of the Convention on the Elimination of All Forms of Discrimination Against Women.
United States · United States Congress · 3 January 2001
Welcomes the Model Nuclear Weapons Convention as a discussion document intended to further negotiations on complete nuclear disarmament. Urges the President to initiate multilateral negotiations leading to the early conclusion of a nuclear weapons convention. Requests the President to inform the Secretary-General of the United Nations (UN) of the efforts and measures the United States has taken on the implementation of the UN General Assembly Resolution 52/38 O and nuclear disarmament.
United States · United States Congress · 3 January 2001
Expresses the sense of Congress that a Federal holiday should be established to honor Cesar Chavez.
United States · United States Congress · 1 November 2000
Medicare, Medicaid, and SCHIP Benefits Improvement and Beneficiary Protection Act of 2000 - Title I: Medicare Beneficiary Improvements - Subtitle A: Improved Preventive Benefits - Amends title XVIII (Medicare) of the Social Security Act (SSA) to provide for: (1) coverage of biennial screening pap smear and pelvic exams; (2) coverage of screening for glaucoma; (3) coverage of screening colonoscopy for average risk individuals; (4) revision of payments and standards for screening mammography; (5) coverage of medical nutrition therapy services for beneficiaries with diabetes or a renal disease; and (6) extension of Medicare part A (Hospital Insurance) coverage for workers with disabilities. Subtitle B: Other Beneficiary Improvements - Amends SSA title XVIII to provide for: (1) acceleration of reduction of beneficiary copayment for hospital outpatient department (OPD) services; (2) preservation of coverage of drugs and biologicals under Medicare part B (Supplementary Medical Insurance); (3) elimination of time limitation on Medicare benefits for immunosuppressive drugs; (4) imposition of billing limits on drugs; and (5) availability of application forms for medical assistance for Medicare cost-sharing. (Sec. 116) Amends SSA title II (Old Age, Survivors and Disability Insurance) (OASDI) to provide for a waiver of 24-month waiting period for Medicare coverage of individuals disabled with amyotrophic lateral sclerosis. Subtitle C: Demonstration Projects and Studies - Outlines: (1) a Health and Human Services (HHS) demonstration project for disease management for severely chronically ill Medicare beneficiaries; (2) HHS demonstration projects for cancer prevention and treatment for ethnic and racial minorities; (3) a National Academy of Sciences study on the addition of coverage of routine thyroid screening using a thyroid stimulating hormone test as a preventive benefit provided to Medicare beneficiaries; (4) a Medicare Payment Advisory Commission (MEDPAC) study on consumer coalitions in marking Medicare+Choice (SSA title XVIII part C) plans; (5) an HHS study on the effect of limitations on State payment for Medicare cost-sharing on access to services for qualified Medicare beneficiaries; (6) HHS studies on preventive interventions in primary care for older Americans; and (7) a MEDPAC study on Medicare coverage of cardiac and pulmonary rehabilitation therapy services. Title II: Rural Health Care Improvements - Subtitle A: Critical Access Hospital Provisions - Amends SSA title XVII to: (1) prohibit beneficiary cost-sharing for clinical diagnostic laboratory tests furnished by critical access hospitals; (2) increase the amount a critical access hospital may elect to be paid for outpatient critical access hospital (OCAH) services with respect to the fee schedule payment for OCAH professional services; (3) exempt critical access hospital swing beds from the skilled nursing facility (SNF) prospective payment system (PPS); (4) provide for payment in critical access hospitals for emergency room on-call physicians; and (5) provide for the treatment of ambulance services furnished by certain critical access hospitals. (Sec. 206) Requires the General Accounting Office (GAO) to conduct a study on certain eligibility requirements for critical access hospitals. Subtitle B: Other Rural Hospitals Provisions - Amends SSA title XVIII with regard to payment to hospitals for inpatient hospital services to provide for: (1) application of a uniform threshold for urban and rural hospitals to be classified as disproportionate share hospitals (DSHs) for discharges occurring on or after October 1, 2001; (2) adjustment of payment formulas for various specified hospitals, including hospitals that are both sole community hospitals and rural referral centers for discharges occurring during such period; (3) an option to base eligibility for the Medicare dependent, small rural hospital program on discharges during two of the three most recently audited cost reporting periods; and (4) extension of the option to use rebased target amounts to all sole community hospitals. (Sec. 214) Directs MEDPAC, in its study and report to Congress on rural providers under the Medicare, Medicaid, and SCHIP Balanced Budget Refinement Act of 1999, to analyze the impact of volume on the per unit cost of rural hospitals with psychiatric units, and recommend whether special treatment for such hospitals may be warranted. Subtitle C: Other Rural Provisions - Amends SSA title XVIII with regard to special payment rules for particular items and services to provide transitional assistance for providers of ambulance services in rural areas. (Sec. 222) Amends SSA title XVIII part B with regard to the use of carriers for administration of benefits concerning payment for certain physician assistant services. (Sec. 223) Amends BBA'97 to: (1) set a time limit for Medicare reimbursement for telehealth services; and (2) provide for an expansion of Medicare payment for such services. (Sec. 224) Amends SSA title XVIII part B to provide for expanding access to rural health clinics. (Sec. 225) Directs MEDPAC to study the effect of low patient and procedure volume on the financial status of low-volume, isolated rural health care providers participating in Medicare. Title III: Provisions Relating to Part A - Subtitle A: Inpatient Hospital Services - Amends SSA title XVIII to provide for elimination of the reduction in the PPS hospital payment update. (Sec. 301) Directs the Secretary, when rebasing and revising the hospital market basket index, to consider the prices of blood and blood products purchased by hospitals and to determine whether those prices are adequately reflected in such index. Amends SSA title XVIII with respect to payment to hospitals for inpatient hospital services and updating previous standardized amounts to provide for: (1) an adjustment for inpatient case mix changes; (2) modification of the transition for indirect medical education percentage adjustment for DSHs; and (3) decreases in reductions for DSH payments. (Sec. 304) Provides for a three-year effective period for any decision of the Medicare Geographic Classification Review Board to reclassify a DSH for purposes of adjusting the diagnosis-related group (DRG) prospective payment rate for hospital wage level area differences for FY 2001 or any fiscal year thereafter. Requires the Secretary to establish procedures under which a DSH hospital may elect to terminate such reclassification before the end of such period. Directs the Secretary to: (1) establish a process under which an appropriate statewide entity may apply to have all the geographic areas in a State treated as a single geographic area for purposes of computing and applying the area wage index; and (2) provide for the collection of data every three years on occupational mix for employees of each DSH in the provision of inpatient hospital services in order to construct an occupational mix adjustment in the applicable hospital area wage index. (Sec. 305) Amends SSA title XVIII with respect to prospective payment for inpatient rehabilitation hospital services and: (1) assistance with administrative costs associated with completion of patient assessment; as well as (2) a rehabilitation facility election to apply full prospective payment rate without phase-in. (Sec. 306) Provides that, with respect to the inpatient services of psychiatric hospitals and certain psychiatric units, in making incentive payments to such hospitals for cost reporting periods from October 1, 2000, through October 1, 2001, the Secretary shall increase the percent of the target amount used in determining such payments. (Sec. 307) Amends SSA title XVIII to provide for: (1) increased target amounts and caps for long-term care hospitals before implementation of the PPS required under the Medicare, Medicaid, and SCHIP Balanced Budget Refinement Act of 1999 for payment for inpatient hospital services provided in long-term care hospitals; (2) alternative implementation of such PPS by the Secretary based on the use of existing hospital DRGs that have been modified; and (3) increase in the base payment for Puerto Rico DSH hospitals. Subtitle B: Adjustments to PPS Payments for Skilled Nursing Facilities - Amends SSA title XVIII with respect to payment to SNFs for routine service costs to revise updating requirements, among other changes eliminating the reduction in the skilled nursing facility market basket update in 2001. (Sec. 311) Directs the Comptroller General to report to Congress on the adequacy of Medicare payment rates to SNFs and the extent to which Medicare contributes to the financial viability of such facilities. (Sec. 312) Directs the Secretary to increase the nursing component of the case-mix adjusted Federal prospective payment rate specified in the final rule published in the Federal Register by the Health Care Financing Administration on July 31, 2000, effective for services furnished on or after April 1, 2001, and before October 1, 2002. Requires the Comptroller General to conduct an audit for Congress of nursing staffing ratios in a representative sample of Medicare SNFs. (Sec. 313) Amends SSA title XVIII to limit application of the SNF consolidated billing requirement to a period during which the resident is provided Medicare part A (Hospital Insurance) covered post-hospital extended care services. Requires the Secretary to monitor payments made under Medicare part B for items and services furnished to SNF residents during a time in which they are not being provided Medicare covered post-hospital extended care services, in order to ensure that there is not duplicate billing for services or excessive services provided. (Sec. 314) Provides that, for purposes of computing payments for certain covered SNF services, the Secretary shall increase the adjusted Federal per diem rate for covered SNF services for specified RUG-III (resource utilization group) rehabilitation groups furnished to an individual during the period in which such individual is classified in such a RUG-III category. Directs the HHS Inspector General to review the Medicare payment structure for services classified within RUGs and report to Congress on whether payment incentives exist for the delivery of inadequate care. (Sec. 315) Authorizes the Secretary to establish a procedure for the geographic reclassification of a SNF for purposes of payment for covered SNF services under the PPS for SNFs for routine service costs. Subtitle C: Hospice Care - Amends SSA title XVIII to provide for a full market basket increase for hospice care for FY 2001 and 2002. (Sec. 322) Requires that the certification regarding an individual's terminal illness be based on the physician's or medical director's clinical judgment regarding the normal course of the illness. (Sec. 323) Directs MEDPAC to conduct a study on the factors affecting the use of hospice benefits under Medicare program and differences in such use between urban and rural hospice programs and based upon the presenting condition of the patient. Subtitle D: Other Provisions - Amends SSA title XVIII to provide for a reduction in Medicare part A late enrollment premium increases (penalty) for a qualified State or local government retiree group in the case where a State, a local government, or an agency or instrumentality of a State or local government, determines to pay, for the life of each individual in such a group, the monthly premiums due. (Sec. 332) Outlines provisions for hospital geographic reclassification for labor costs applicable to other PPS systems and for grants to States for improvements in nursing home staffing and quality. Title IV: Provisions Relating to Part B - Subtitle A: Hospital Outpatient Services - Amends SSA title XVIII with respect to the PPS for hospital OPD services to provide for: (1) a full market basket increase for such services for 2001; (2) adjustment for service mix changes; (3) use of categories in determining eligibility of a device for pass-through payments; (4) application of OPD PPS transitional corridor payments to certain hospitals that did not submit a 1996 cost report; (5) treatment of children's hospitals under the PPS; (6) inclusion of temperature monitored cryoablation in transitional pass-through for certain medical devices, drugs, and biologicals under the PPS; and (7) the Secretary to create additional groups of covered OPD services that classify separately those procedures that utilize contrast media from those that do not. (Sec. 404) Provides that, for purposes of making determinations of provider-based status under Medicare on or after October 1, 2000, any facility or organization that is treated as provider-based in relation to a hospital or critical access hospital under Medicare as of October 1, 2000: (1) shall continue to be treated as provider-based in relation to such hospital or critical access hospital under Medicare during the two year period beginning on October 1, 2000; and (2) the requirements, limitations, and exclusions specified in appropriate Federal regulations detailing requirements for a determination that a facility or an organization has provider-based status shall not apply to such facility or organization in relation to such hospital or critical access hospital until after the end of such two- year period. Prohibits a facility or organization for which a determination of provider-based status in relation to a hospital or critical access hospital is requested during FY 2001 or 2002 from being treated as not having such status in relation to such a hospital for any period before a determination is made with respect to such status pursuant to such request and in making a determination with respect to such status for any facility or organization in relationship to such a hospital on or after October 1, 2000, the facility or organization shall be treated as satisfying any requirements and standards for geographic location in relation to such a hospital if the facility or organization: (1) satisfies appropriate Federal regulations pertaining to location in immediate vicinity or is located not more than 35 miles from the main campus of the hospital or critical access hospital; and (2) is owned and operated by a hospital or critical access hospital that meets specified criteria. Subtitle B: Provisions Relating to Physicians' Services - Directs the Comptroller General to conduct a study on: (1) the appropriateness of furnishing in physicians' offices specialist physicians' services which are ordinarily furnished in hospital outpatient departments; and (2) the refinements to the practice expense relative value units during the transition to a resource-based practice expense system for physician payments under Medicare. (Sec. 412) Amends SSA title XVIII to require the Secretary to conduct demonstration projects to test and, if proven effective, expand the use of incentives to health care groups participating in Medicare that: (1) encourage coordination of the care furnished to individuals under Medicare parts A and B by institutional and other providers, practitioners, and suppliers of health care items and services; (2) encourage investment in administrative structures and processes to ensure efficient service delivery; and (3) reward physicians for improving health outcomes. (Sec. 413) Directs the Comptroller General to study the current Medicare enrollment process for groups that retain independent contractor physicians with particular emphasis on hospital-based physicians. Subtitle C: Other Services - Amends SSA title XVIII to provide for a one-year extension of the moratorium on certain physical therapy services caps. (Sec. 421) Directs the Secretary to study the implications: (1) of eliminating the "in the room" supervision requirement for Medicare payment for services of physical therapy assistants supervised by physical therapists; and (2) of such requirement on the cap imposed under Medicare on physical therapy services. (Sec. 422) Amends SSA title XVIII with respect to Medicare coverage for end stage renal disease (ESRD) patients to increase the update for dialysis services furnished on or after January 1, 2001. Directs the Secretary to: (1) collect data and develop an ESRD market basket whereby the Secretary can estimate, before the beginning of a year, the percentage by which the costs for the year of the mix of labor and nonlabor goods and services included in the ESRD composite rate will exceed the costs of such mix for the preceding year; and (2) develop a system which includes in such composite rate, to the maximum extent feasible, payment for clinical diagnostic laboratory tests and drugs that are routinely used in furnishing dialysis services to Medicare beneficiaries, but which are currently separately billable by renal dialysis facilities. (Sec. 423) Amends SSA title XVIII with respect to payment for ambulance services to provide for: (1) restoration of the full consumer price index (CPI) increase for 2001; and (2) continued phase-in of the application of the payment rates under the ambulance services fee schedule in an efficient and fair manner; except that when the Secretary implements such fee schedule, such phase-in shall provide for full payment of any national mileage rate for ambulance services provided by suppliers that are paid by carriers in any of the 50 States where payment by a carrier for such services for all such suppliers in such State, before the fee schedule's implementation, did not include a separate amount for all mileage within the county from which the beneficiary is transported. (Sec. 424) Prohibits the Secretary from implementing a revised PPS for services of ambulatory surgical facilities before January 1, 2002. Amends the Medicare, Medicaid, and SCHIP Balanced Budget Refinement Act of 1999 with respect to the phase-in of the PPS for ambulatory surgical centers to: (1) extend the phase-in to four years; and (2) direct the Secretary, by January 1, 2003, to incorporate data from a 1999 Medicare cost survey or a subsequent cost survey for purposes of implementing or revising such PPS. (Sec. 425) Amends SSA title XVIII, with respect to special payment rules for particular items and services, to provide for: (1) the full update for durable medical equipment, orthotics, and prosthetics in 2001; and (2) addition of special payment provisions and requirements for prosthetics and certain custom fabricated orthotic items. (Sec. 428) Amends SSA title XVIII to provide for the replacement of, and payment for, prosthetic devices and parts. (Sec. 429) Directs the Comptroller General to study the reimbursement for drugs and biologicals under the current Medicare payment methodology and for related services under Medicare part B, with recommendations for revised payment methodologies. Directs the Secretary to revise such payment methodology based on such recommendations. (Sec. 430) Amends SSA title XVIII part D (Miscellaneous) to revise the qualifications for community mental health centers under provisions defining partial hospitalization services. (Sec. 431) Makes a hospital or a free-standing ambulatory care clinic, whether operated by the Indian Health Service or by an Indian tribe or tribal organization, eligible for payments for services for which payment is made under Medicare part B for physicians' services if and for so long as it meets all of the requirements which are applicable generally to such payments, services, hospitals, and clinics. (Sec. 432) Directs the Comptroller General to study the effect on Medicare and on Medicare beneficiaries of coverage of surgical first assisting services of certified registered nurse first assistants. (Sec. 433) Directs MEDPAC to study the appropriateness of: (1) the current Medicare payment rates for services provided by a certified nurse-midwife, a physician assistant, a nurse practitioner, and a clinical nurse specialist; and (2) Medicare coverage for services provided by a surgical technologist, a marriage counselor, a marriage and family therapist, a pastoral care counselor, and a licensed professional counselor of mental health. (Sec. 435) Directs the Comptroller General to study: (1) the costs of providing emergency and medical transportation services across the range of acuity levels of conditions for which such transportation services are provided; (2) the post-payment audit process under Medicare as such process applies to physicians; and (3) the aggregate effects of regulatory, audit, oversight, and paperwork burdens on physicians and other health care providers participating in Medicare. (Sec. 437) Directs MEDPAC to study the barriers to coverage and payment for outpatient interventional pain medicine procedures under Medicare. Title V: Provisions Relating to Parts A and B - Subtitle A: Home Health Services - Amends SSA title XVIII to provide for a two-year additional delay in the application of the 15 percent reduction on payment limits for home health services. (Sec. 501) Amends the Medicare, Medicaid, and SCHIP Balanced Budget Refinement Act of 1999 to delay for an additional year the 15 percent reduction in payment rates for home health services after implementation of the PPS. Requires the Comptroller General, instead of the Secretary (as currently required), to report to Congress an analysis of the need for such a reduction. Amends SSA title XVIII with regard to the PPS for home health services concerning the annual update to provide for an adjustment for case mix changes. (Sec. 502) Amends SSA title XVIII to provide for restoration of the full home health market basket update for home health services for FY 2001. Establishes a special rule for payment under the PPS for home health services for FY 2001 based on adjusted prospective payment amounts. (Sec. 503) Provides for a temporary two-month extension of periodic interim payments under BBA '97 in the case of a home health agency receiving periodic interim payments as of September 30, 2000. (Sec. 504) Amends SSA title XVIII to provide for the use of telehealth in the delivery of home health services. (Sec. 505) Directs the Comptroller General to study variations in prices paid by home health agencies furnishing home health services under Medicare in purchasing nonroutine medical supplies and volumes if such supplies used determine the effect (if any) of variations on prices and volumes in the provision of such services. (Sec. 506) Provides that, in determining for Medicare purposes whether an office of a home health agency constitutes a branch office or a separate home health agency, neither the time nor distance between a parent office of the home health agency and a branch office shall be the sole determinant of a home health agency's branch office status. (Sec. 507) Amends SSA title XVIII with regard to the Medicare home health benefit to declare that absences from home to receive medical treatment shall not disqualify an individual from such benefit. (Sec. 508) Provides for a temporary payment increase for home health services furnished in a rural area for2001 and 2002. Subtitle B: Direct Graduate Medical Education - Amends SSA title XVIII to provide for an increase in the floor for direct graduate medical education payments for FY 2002. (Sec. 512) Changes the distribution formula for Medicare+Choice-related nursing and allied health education costs. Subtitle C: Changes in Medicare Coverage and Appeals Process - Amends SSA title XVIII to revise the Medicare appeals process. Provides for initial determinations of entitlement and benefits by the Secretary, by a utilization and quality control peer review organization, or by an independent contractor. Provides for redeterminations of denied benefit claims. Specifies appeal rights, including the right of an individual to request a medically exigent review from the contractor who made the initial determination. (Sec. 522) Provides for the review of coverage determinations under the Medicare appeals process. Amends SSA title XI to require any advisory committee on certain Medicare coverage exclusions to: (1) assure the full participation of a nonvoting member in its deliberations; and (2) provide such nonvoting member access to all information and data (with certain exceptions) made available to the committee's voting members. Provides that, if such committee organizes into panels of experts according to types of items or services, any such panel may report directly to the Secretary without prior approval. Subtitle D: Improving Access to New Technologies - Amends SSA title XVIII to establish a new payment rule for any clinical diagnostic laboratory test performed on or after January 1, 2001, that is a new test for which no limitation amount has previously been established. (Sec. 531) Directs the Secretary to: (1) establish procedures for coding and payment determinations for the categories of new clinical diagnostic laboratory tests and new durable medical equipment under Medicare part B that permit public consultation in a manner consistent with the procedures established for implementing coding modifications for ICD-9-CM; and (2) report to Congress on the specific procedures used under Medicare part B to adjust payments for clinical diagnostic laboratory tests and durable medical equipment which are classified to existing codes where, because of a technology advance, there has been a significant increase or decrease in the resources used in the test or in the manufacture of the equipment, and a significant improvement in test or equipment performance. (Sec. 532) Directs the Secretary to: (1) maintain and continue through December 31, 2003, the use of level III codes of the HCPCS (Health Care Financing Administration (HCFA) Common Procedure Coding System) coding system (as such system was in effect on August 16, 2000); and (2) make such codes publicly available. (Sec. 533) Directs the Secretary to: (1) report to Congress on methods of expeditiously incorporating new medical services and technologies into the clinical coding system used with respect to Medicare payment for inpatient hospital services, together with a detailed description of the Secretary's preferred methods to achieve this purpose; and (2) implement such preferred methods. Amends SSA title XVIII to direct the Secretary to establish a mechanism to recognize the costs of new medical services and technologies with respect to inpatient hospital services under the hospital reimbursement control system. Subtitle E: Other Provisions - Amends SSA title XVIII to reduce from 45 percent to 30 percent the reduction in the amount of bad debts otherwise treated as allowable costs attributable to the deductibles and coinsurance amounts under Medicare for FY 2001 and subsequent fiscal years in determining the reasonable costs of outpatient hospital services (thus increasing by 15 percent the amount that may be reimbursed). (Sec. 542) Provides for the treatment of certain physician pathology services under Medicare. (Sec. 543) Amends SSA title XI to make permanent the authority for the Secretary to issue written advisory opinions under provisions for guidance regarding application of health care fraud and abuse sanctions. (Sec. 544) Amends SSA title XVIII to make various specified changes in annual MEDPAC reporting with regard to revision of deadlines for submission of reports and on the record votes on recommendations. (Sec. 545) Directs the Secretary to report to specified congressional committees on the development of standard instruments for the assessment of the health and functional status of patients, for whom specified items and services are furnished. (Sec. 546) Directs the Comptroller General to report to specified congressional committees on the effect of the Emergency Medical Treatment and Active Labor Act on hospitals, emergency physicians, and physicians covering emergency department call throughout the United States. (Sec. 547) Amends SSA title XVIII with respect to agreements with providers of services to provide for the application of the bloodborne pathogen standard to certain hospitals. Title VI: Provisions Relating to Part C (Medicare+Choice Program) and Other Medicare Managed Care Provisions - Subtitle A: Medicare+Choice Payment Reforms - Amends SSA title XVIII part C with regard to payments to Medicare+Choice organizations to: (1) increase the payment amount for 2001 through 2003 for accountable Medicare+Choice coordinated care plans; and (2) provide for a ten-year phase-in of risk adjustment. (Sec. 603) Provides for a transition to revised Medicare+Choice payment rates. (Sec. 604) Amends SSA title XVIII part C to provide for revision of payment rates for ESRD patients enrolled in Medicare+Choice plans. (Sec. 605) Amends SSA title XVIII part C with regard to premiums to permit Medicare part B premium reductions as additional benefits under Medicare+Choice plans. (Sec. 606) Amends SSA title XVIII part C with regard to payments to Medicare+Choice organizations to: (1) ensure full implementation of risk adjustment methodology for congestive heart failure enrollees for 2001; and (2) provide for the expansion of the application of Medicare+Choice's new entry bonus. (Sec. 608) Directs the Secretary to report to Congress on a method to phase-in the costs of military facility services furnished by the Department of Veterans Affairs, and those furnished by the Department of Defense, to Medicare-eligible beneficiaries in the calculation of an area's Medicare+Choice capitation payment. Subtitle B: Other Medicare+Choice Reforms - Amends SSA title XVIII part C to provide for payment of additional amounts for new Medicare+Choice benefits covered during a contract term. (Sec. 612) Prohibits the Secretary from implementing, other than at the beginning of a calendar year, regulations that impose significant regulatory requirements on a Medicare+Choice organization or plan. (Sec. 613) Provides for timely approval of marketing material that follows model marketing language, and for avoiding duplicative regulation with respect to plan requirements. (Sec. 615) Provides that, in the case of a Medicare+Choice organization that offers a Medicare+Choice plan in an area in which more than one local coverage policy is applied with respect to different parts of the area, the organization may elect to have the local coverage policy for the part of the area that is most beneficial to Medicare+Choice enrollees apply with respect to all Medicare+Choice enrollees enrolled in the plan. (Sec. 616) Requires: (1) the quality assurance program under the Medicare+Choice program to include a separate focus on racial and ethnic minorities; and (2) the Secretary to submit to Congress a report regarding how such quality assurance programs focus on racial and ethnic minorities. (Sec. 617) Authorizes the Secretary to waive or to modify requirements that hinder the design of, the offering of, or enrollment in Medicare+Choice plans under contracts between Medicare+Choice organizations and employers, labor organizations, or the trustees of a fund established by one or more employers or labor organizations (or combination thereof) to furnish benefits to the entity's employees, former employees (or combination thereof) or to members or former members (or combination thereof) of the labor organizations. (Sec. 618) Amends SSA title XVIII part D with regard to special Medicare supplemental health insurance enrollment anti-discrimination provision for certain beneficiaries. (Sec. 619) Amends SSA title XVIII part C to restore the effective date of elections and changes of elections of Medicare+Choice plans. (Sec. 620) Permits ESRD beneficiaries to enroll in another Medicare+Choice plan if the plan in which they are enrolled is terminated. (Sec. 621) Provides that, in covering post-hospital extended care services, a Medicare+Choice plan shall provide for such coverage through a home SNF if: (1) the enrollee elects to receive such coverage through such SNF; and (2) the SNF has a contract with the Medicare+Choice organization for the provision of such services, or the SNF agrees to accept substantially similar payment under the same terms and conditions that apply to similarly situated SNFs under contract with the Medicare+Choice organization through which the enrollee would otherwise receive such services. (Sec. 622) Directs HCFA's Chief Actuary to review the actuarial assumptions and data used by the Medicare+Choice organization with respect to such rates, amounts, and values to determine the appropriateness of such assumptions and data. (Sec. 623) Amends SSA title XVIII to provide for civil monetary penalties for contract default by a Medicare+Choice organization. Subtitle C: Other Managed Care Reforms - Amends the Omnibus Budget Reconciliation Act of 1987 to provide for a one-year extension of the social health maintenance organization demonstration project authority. (Sec. 632) Amends the Medicare, Medicaid, and SCHIP Balanced Budget Refinement Act of 1999 to provide for revised terms and conditions for extension of Medicare community nursing organization demonstration project. (Sec. 633) Amends the Consolidated Omnibus Budget Reconciliation Act of 1985 to provide for a two-year extension of Medicare municipal health services demonstration projects. (Sec. 634) Amends SSA title XVIII part D with regard to payments to health maintenance organizations and competitive medical plans and service area expansion for Medicare cost contracts during transition period. Title VII: Medicaid - Amends SSA title XIX with respect to DSH payments and: (1) continuation of Medicaid DSH allotments at FY 2000 levels for FY 2001 and 2002; and (2) a special rule for Medicaid DSH allotment for extremely low DSH States. (Sec. 701) Outlines provisions for: (1) assuring identification of Medicaid managed care patients for purposes of making DSH payments; (2) application of the Medicaid DSH transition rule to public hospitals in all States; (3) assistance for certain public hospitals; and (4) DSH payment accountability standards. (Sec. 702) Amends SSA title XIX to create a new PPS for Federally-qualified health centers and rural health clinics. (Sec. 703) Amends SSA XI to establish an approval process for a State's application for an extension of any State-wide comprehensive demonstration project for which a waiver of compliance with Medicaid requirements is granted. (Sec. 704) Amends the Consolidated Omnibus Budget Reconciliation Act of 1985 with respect to Medicaid county-organized health systems. (Sec. 705) Directs the Secretary to issue a final regulation based on the proposed rule announced on October 5, 2000, that: (1) modifies the upper payment limit test applied to State Medicaid spending for inpatient hospital services, outpatient hospital services, nursing facility services, intermediate care facility services for the mentally retarded, and clinic services by applying an aggregate upper payment limit to payments made to government facilities that are not State-owned or operated facilities; and (2) provides for a specified transition period. (Sec. 706) Prescribes a formula for the Federal medical assistance percentage for Alaska for purposes of SSA titles XIX and XXI (State Children's Health Insurance Program) (SCHIP), which shall apply only for FY 2001 through 2005. (Sec. 707) Amends SSA title XIX to provide for optional coverage of legal immigrants under Medicaid. (Sec. 708) Makes additional entities qualified to determine Medicaid presumptive eligibility for low-income children. (Sec. 709) Provides for a one year extension of provisions on eligibility for medical assistance under Medicaid. (Sec. 710) Includes as Medicaid medical assistance any services furnished by a physician assistant which the assistant is legally authorized to perform under State law and with the supervision of a physician. (Sec. 711) Gives States the option of allowing families of disabled children to purchase Medicaid coverage for such children. Title VIII: State Children's Health Insurance Program - Amends SSA title XXI to: (1) establish a rule for redistribution and extended availability of unused FY 1998 and 1999 SCHIP allotments; (2) provide authority to pay Medicaid expansion SCHIP costs from SCHIP appropriations; (3) eliminate requirement to reduce a SCHIP allotment by Medicaid expansion SCHIP costs; (4) provide authority to transfer SCHIP appropriations to the Medicaid appropriation account as reimbursement for Medicaid expenditures for Medicaid expansion SCHIP services; and (5) provide optional coverage of certain legal immigrants under SCHIP. Title IX: Other Provisions - Subtitle A: PACE Program - Amends BBA '97 with respect to programs of all-inclusive care for the elderly (PACE programs) to provide for an extension of transition for the current PACE demonstration project waiver authority. (Sec. 902) Amends SSA title XVIII with respect to payments to, and coverage of benefits under, PACE programs, and regulations and use of PACE protocol to provide for the continuation of modifications or waivers of operational requirements under demonstration status. (Sec. 903) Directs the Secretary to approve or deny a request for a modification or a waiver of provisions of the PACE protocol not later than 90 days after the Secretary receives the request, in order to provide flexibility in exercising waiver authority. Permits the Secretary to exercise authority to modify or to waive such provisions in a manner that responds promptly to the needs of PACE programs relating to areas of employment and the use of community-based primary care physicians in order to provide flexibility in exercising waiver authority. Subtitle B: Outreach to Eligible Low-Income Medicare Beneficiaries - Amends SSA title XI to direct the Commissioner of Social Security to: (1) conduct outreach efforts to identify individuals entitled to Medicare benefits who may be eligible for medical assistance for payment of the cost of Medicare cost-sharing under Medicaid; and (2) notify such individuals of the availability of such medical assistance. (Sec. 911) Directs the Comptroller General to study the impact of such outreach efforts on the enrollment of individuals for Medicare cost-sharing under Medicaid. Subtitle C: Maternal and Child Health Block Grant - Amends SSA title V (Maternal and Child Health Services) to increase the authorization of appropriations for the Maternal and Child Health Services block grant for FY 2001 and each fiscal year thereafter. Subtitle D: Diabetes - Amends the Public Health Service Act to increase FY 2001 through 2003 appropriations for special diabetes programs for children with type I diabetes and for special diabetes programs for Indians. (Sec. 931) Amends BBA '97 to extend the final report on diabetes grant programs. (Sec. 932) Amends the Ricky Ray Hemophilia Relief Fund Act of 1998 to make appropriations to the Ricky Ray Hemophilia Relief Fund for FY 2001.
United States · United States Congress · 27 October 2000
Expresses the sense of the House of Representatives that the future of Taiwan should be resolved peacefully through a democratic mechanism and with the express consent of the Taiwanese people.
United States · United States Congress · 26 October 2000
Energy Independence Act of 2000 - Directs the Secretary of Energy to: (1) develop and transmit to Congress a strategic plan to ensure that the United States is energy self-sufficient by the year 2010; and (2) develop a program for the acquisition of certain commercially available fuel cell power plants and power generated therefrom for use at federally owned or operated facilities. Directs the President, in coordination with designated Secretaries, to establish: (1) a demonstration program for fuel cell proton exchange membrane technology for commercial, residential, and transportation applications (including buses) within the Secretaries' respective areas; and (2) a comprehensive proton exchange membrane fuel cell bus demonstration program to address hydrogen production, storage, and use in transit bus applications. Mandates that each Federal agency that maintains a motor vehicle fleet develop a plan for fleet transition to vehicles powered by fuel cell technology. Directs the Secretary of Energy to establish a fuel cell technology grant program for State or local government to meet their energy requirements, including such technology as a motor vehicle power source. Authorizes appropriations.
United States · United States Congress · 17 October 2000
Calls upon the President to: (1) take all appropriate action to provide relief from injury caused by steel imports; and (2) immediately request the U.S. Trade Commission to commence an expedited investigation for positive adjustment of such steel imports under section 201 of the Trade Act of 1974.
United States · United States Congress · 12 October 2000
Safer Guns for Safer Communities Act - Authorizes the Attorney General to provide up to 50 grants to eligible States and units of local government for up to three years for the purchase of firearms from a licensed importer or manufacturer which is in compliance with certain handgun standards outlined under this Act, including that such handguns: (1) have certain lock and safety devices; (2) have passed certain performance tests; (3) do not accept large capacity ammunition feeding devices; (4) contain certain packaging warnings; (5) are part of an inventory tracking plan; (6) are included in quarterly reporting of handgun sales to the Bureau of Alcohol, Tobacco, and Firearms (ATF); and (7) are not marketed to minors under 18 years of age. Prohibits a law enforcement agency from disposing of a firearm except by destroying it or transferring it to another law enforcement agency. Requires the disposing agency to notify the ATF with certain handgun identifying information. Directs the National Institute of Justice to evaluate the effect of the grant program in reducing gun-related crime in participating jurisdictions.
United States · United States Congress · 12 October 2000
Bring Our Children Home Act - Amends the Federal judicial code to provide that a contestant may bring an action in district court to determine which of conflicting State court child custody determinations shall prevail. Directs the Attorney General (AG) to establish a registry for all custody orders entered by State courts. Authorizes law enforcement officers of a State or local government to hold, for no more than 24 hours, any child listed as missing for proper disposition under the latest valid custody determination. Requires the Secretary of State to prepare a report on progress made by the United States in negotiating and entering into bilateral treaties relating to international child abduction with countries that are not contracting parties under the Hague Convention on the Civil Aspects of International Child Abduction. Amends the Foreign Assistance Act of 1961 to require information on each country's efforts to prohibit international child abduction. Requires the AG to prepare a report describing the status of each case involving a request for extradition in cases involving international kidnaping by parents.
United States · United States Congress · 10 October 2000
Cost of Living Measurement and Index Act of 2000 - Direct the Commissioner of Labor Statistics to conduct a study to develop a methodology for determining the cost of living in each State, that accounts for the costs of housing, goods, and services, to improve Government management and the economy and management of Government operations and activities that rely on accurate economic information. Requires the Comptroller General to conduct a study in which the methodology is applied to determine how Federal benefits provided to beneficiaries in each State would be increased if: (1) such benefits were determined based on each State's cost of living under such methodology; and (2) the methodology were applied subject to a hold harmless provision under which benefits would only be increased for high cost of living States.
United States · United States Congress · 5 October 2000
Veterans Commemoration Act of 2000 - Directs the Secretary of the Treasury to mint and issue a maximum of 500,000 $1 coins to commemorate the service of veterans of the United States armed forces. Mandates that the proceeds from sale surcharges be paid promptly to the Disabled American Veterans to fund the transportation of veterans to and from hospitals administered by the Secretary of Veterans Affairs.
United States · United States Congress · 29 September 2000
Energy Efficient Buildings Incentives Act - Amends the Internal Revenue Code to establish, for a limited time period, deductions and credits for commercial and residential properties using specified energy efficient construction or reconstruction materials or technologies, including solar energy. Sets forth provisions concerning: (1) allocation of deductions for public property; and (2) property financed by subsidized energy financing. Requires the Secretary of Energy to establish specified certification and compliance procedures. Authorizes appropriations to the Department of Energy.
United States · United States Congress · 28 September 2000
United States Cruise Vessel Act - Title I: Operations Under Certificate of Documentation - Directs the Secretary of Transportation to issue a certificate of documentation with a temporary coastwise endorsement for an eligible foreign-built cruise vessel to operate in domestic itineraries in the transportation of passengers in the coastwise trade between U.S. ports if such vessel meets certain requirements, including that: (1) the operator of the vessel promises that any repairs to it will be performed in a U.S. shipyard; and (2) such operator, with a specified exception, executes a contract with one or more U.S. shipyards for the construction of two or more cruise vessels with a total combined berth or stateroom capacity equal to at least that of the operator's vessel to which a certificate of documentation has been issued. Terminates the coastwise endorsement for an eligible cruise vessel 24 months after the delivery date for the replacement vessel(s) for it. Authorizes the operator of an eligible cruise vessel that has been issued a certificate of documentation, or a cruise vessel that has been constructed under contract, to place such vessel under foreign registry. Prohibits eligible cruise vessels operating in domestic itineraries from operating as a ferry, regularly carrying for hire both passengers and vehicles or other cargo, or operating between or among the Hawaiian Islands. Directs the Secretary to give priority to U.S.- built cruise vessels over other eligible foreign-built cruise vessels in a comparable market that have been issued a certificate of documentation if the Secretary, after notice and an opportunity for public comment, determines that the employment in the coastwise trade of an eligible foreign-built cruise vessel will adversely affect the coastwise trade business of any person operating a vessel not documented under this Act. Title II: Other Provisions - Requires new or otherwise available permits for U.S.-flag vessels carrying passengers for hire into Glacier Bay or other National Park Service areas.
United States · United States Congress · 28 September 2000
Declares that the House of Representatives supports the Secretary of Transportation's policy announced on December 18, 1995, to delay implementation of certain provisions of the North American Free Trade Agreement (NAFTA) that allow increased access for Mexican trucks to U.S. roads. Recognizes compelling data reported by the Department of Transportation (DOT) Inspector General regarding the danger posed on both sides of the United States-Mexico border by unsafe Mexican trucks. Calls on the President to refuse access to U.S. roads outside the commercial zones along the United States-Mexico border to Mexican trucks that are currently restricted to these zones until the DOT Inspector General has certified that: (1) Mexican trucks and drivers are complying with standards of safety, environmental protection, and driver competency, licensing, and hours of service equivalent to standards that apply to U.S. trucks on U.S. roads; and (2) Mexican trucks inspected on entering the United States are passing inspection in the same percentage as Canadian trucks inspected on entering the United States.
United States · United States Congress · 28 September 2000
Welcomes the participation of Chinese athletes in, and the support of the Chinese people for, the Olympic Games. Expresses the sense of the House of Representatives that the 2008 Olympic Games should not be held in Beijing because the deplorable human rights record of the People's Republic of China violates international human rights standards which that Government has pledged to uphold and its actions are inconsistent with the Olympic ideal.
United States · United States Congress · 26 September 2000
Condemns the violent deaths of Father John Kaiser and others who worked to promote human rights and justice in Kenya. Calls for: (1) an independent investigation of such deaths, in addition to the initiatives of the Government of Kenya; (2) the Secretary of State, acting through the Assistant Secretary of State for Democracy, Human Rights, and Labor, to report to Congress on the progress of such investigation and initiatives; (3) the findings of such investigation to be made public; and (4) the President to support such investigation through all diplomatic means.
United States · United States Congress · 21 September 2000
East Timor Transition to Independence Act of 2000 - Expresses the sense of Congress that the United States should support democracy and economic recovery in East Timor, strengthen its security, and promote its ability to play a positive role in the Asia-Pacific region and in international organizations. Sets forth requirements with respect to the provision to East Timor of bilateral assistance, multilateral assistance, Peace Corps assistance, certain trade and investment assistance, scholarships for East Timorese students, and security assistance.
United States · United States Congress · 20 September 2000
Vaccines for the New Millennium Act of 2000 - Amends the Internal Revenue Code to establish a limited vaccine research credit and a limited lifesaving vaccine sales credit.
United States · United States Congress · 19 September 2000
Veterans' Oral History Project Act - Requires the Director of the American Folklife Center at the Library of Congress to establish an oral history program to collect video and audio recordings of personal histories and testimonials of American war veterans.
United States · United States Congress · 14 September 2000
Live Performing Arts Labor Relations Amendments - Amends the National Labor Relations Act to exempt, from a prohibition against employer or labor organization boycotts, any leaders, contractors, purchasers of live entertainment or live music, promoters, producers, or persons similarly engaged or involved in an integrated production or performance of any kind in the live entertainment industry. Allows employers who hire, or contract for the services of, persons engaged in the live performing arts to make agreements covering such persons with labor organizations of which performing artists are members (provided that certain unfair labor practices are not involved), even if the majority status of such labor organization has been previously established or such agreement requires membership in such labor organization as a condition of employment. Revises definitions of: (1) employer, to include purchasers of live musical performance services regardless of whether the performer is an independent contractor, employer, or employee of another employer; and (2) employee, to include independent contractors (other than employers) engaged to perform live musical services.
United States · United States Congress · 14 September 2000
Calls for: (1) Congress and the executive branch to communicate directly with elected and appointed top Taiwanese officials; and (2) the United States to revise, with a view toward reducing, restrictions on high-level visits by Taiwanese officials to the United States.
United States · United States Congress · 12 September 2000
Expresses condolences to the families and co-workers of Carlos Caceres of Puerto Rico, Samson Aregahegn of Ethiopia, and Pero Simundza of Croatia, the United Nations High Commissioner for Refugees (UNHCR) staff members killed in the militia attack on UNHCR offices in West Timor. Calls upon the U.S. Government and the Government of Indonesia to ensure thorough and transparent investigations of these murders and to bring the perpetrators to justice. Expresses the belief that the United States should suspend all military relations and cooperation with the armed forces of Indonesia, including a cutoff of all security assistance and joint training programs, until: (1) certain conditions in the Foreign Operations Appropriations Act, Fiscal Year 2000 are fulfilled; (2) the disarming and disbanding of all militias in East Timor and West Timor is accomplished; and (3) civilian rule and the rule of law have been established in Indonesia. Calls upon the U.S. Government to: (1) persist in urging the Indonesian Government to disarm and disband all militias in West Timor, arrest known militia leaders, and extradite to East Timor those who committed crimes in that country; and (2) continue economic and development assistance and other similar support for the people of East Timor and of Indonesia.
United States · United States Congress · 7 September 2000
National Media Campaign to Prevent Underage Drinking Act of 2000 - Directs the Secretary of Health and Human Services to develop, implement, and conduct a national media campaign for the purpose of reducing and preventing underage drinking in the United States. Authorizes appropriations.
United States · United States Congress · 6 September 2000
National Health Service Corps Reauthorization Act of 2000 - Amends the Public Health Service Act to extend through FY 2005 (currently terminated after FY 2000) the authorization of appropriations for certain programs for the National Health Service Corps.
United States · United States Congress · 6 September 2000
Expresses the sense of Congress that: (1) Taiwan and its people deserve appropriate participation in the United Nations and other international organizations such as the World Health Organization; and (2) the United States should fulfill its commitment made in the 1994 Taiwan Policy Review to support more actively Taiwan's membership in appropriate international organizations.
United States · United States Congress · 27 July 2000
Direct Graduate Medical Education Equity Act of 2000 - Amends title XVIII (Medicare) of the Social Security Act to increase the payment floor from 70 percent to 100 percent of the locality adjusted national average per resident amount for direct graduate medical education under the Medicare Program for FY 2001.
United States · United States Congress · 27 July 2000
Nazi and Japanese War Crimes Disclosure Act - Amends the Nazi War Crimes Disclosure Act to: (1) extend the authority of the Nazi War Criminal Records Interagency Working Group for an additional two years; and (2) change the name of the Act to the Nazi and Japanese War Crimes of World War II Disclosure Act. Revises the term "Nazi war criminal records" to include classified records (or portions thereof) that pertain to any transaction as to which the U.S. Government, in its sole discretion, has grounds to believe involved assets taken from persecuted persons during the period beginning on January 1, 1931, and ending on December 31, 1945, by, under the direction of, on behalf of, or under authority granted by the Nazi government of Germany or any nation then allied with that government. Changes the name Nazi War Criminal Records Interagency Working Group to Nazi and Japanese War Criminal Records Interagency Working Group. Authorizes appropriations. Expresses the sense of Congress that foreign nations, and in particular Japan, should make every effort possible to cooperate with the Nazi and Japanese War Criminal Records Interagency Working Group in carrying out its duties.
United States · United States Congress · 27 July 2000
Affordable HIV-AIDS Medicines for Poor Countries Act - Directs the Secretary of the Treasury, the Administrator of the U.S. Agency for International Development, and the U.S. Trade Representative (USTR) to encourage developing countries (including sub-Saharan African countries) and pharmaceutical companies to make HIV-AIDS pharmaceuticals and medical technologies available to people who live in such countries without charge or at affordable prices. Sets forth certain restrictions and limitations, including that: (1) appropriated funds made available to U.S. agencies may not be obligated to seek the revocation or revision of any intellectual property or competition law or policy of a developing country (including any sub- Saharan African country) that regulates HIV-AIDS pharmaceuticals or medical technologies if such law or policy promotes access to such drugs and technologies to the country's population; and (2) the USTR may not initiate a proceeding in the World Trade Organization (WTO) challenging and law or policy of a developing country (including a sub-Saharan African country) that promotes access to HIV-AIDS pharmaceuticals or medical technologies to the population of the country. Requires the President to direct the U.S. representative to the WTO to urge the WTO and member countries to exempt developing countries (including sub-Saharan African countries) from the application of any provision of the Agreement on Trade-Related Aspects of Intellectual Property Rights or any other international agreement relating to intellectual property rights that would prohibit or restrict such countries from establishing or implementing any law or policy that promotes access to HIV-AIDS pharmaceuticals or medical technologies to their population.
United States · United States Congress · 24 July 2000
Requires the Speaker of the House of Representatives and the President Pro Tempore of the Senate to make arrangements for the presentation, on behalf of Congress, of a gold medal to Tiger Woods in recognition of his service to the Nation in promoting excellence and good sportsmanship, and in breaking barriers with grace and dignity by showing that golf is a sport for all people. Authorizes funding.
United States · United States Congress · 19 July 2000
Community Reinvestment Modernization Act of 2000 - Title I: Modernization of Community Reinvestment Act of 1977 and Community Service Obligations - Amends the Bank Holding Company Act of 1956 to subject to the Community Reinvestment Act of 1977 (CRA) in the same manner as regulated financial institutions all nonbank affiliates of bank holding companies that engage in lending or offer banking products or services. (Sec. 101) Mandates that: (1) the Federal regulatory agency with jurisdiction over the affiliate's bank holding company take into account the record of any such affiliate in meeting community credit, investment, and consumer needs; (2) the Federal financial supervisory agency perform separate evaluations of a depository institution's State, metropolitan, and community service areas; and (3) the CRA rating of a regulated financial institution be reduced to reflect predatory or negative credit practices. (Sec. 104) Places upon each securities company, mortgage bank, and insurance company the affirmative obligation to meet the need for their respective services in low- and moderate-income neighborhoods as regards each community constituting an assessment area of such entities. (Sec. 105) Sets forth a statutory framework within which the Securities and Exchange Commission and the Secretary of Housing and Urban Development (HUD), respectively, shall develop a program to ensure that such financial entities meet their obligations. (Sec. 106) Authorizes the Secretary of HUD to impose specified limitations upon mortgage and insurance companies that engage in practices with negative impacts upon their respective assessment areas. (Sec. 107) Requires all bank holding company affiliates of securities, mortgage, and insurance companies to maintain satisfactory CRA ratings. Title II: Data Disclosure Requirements - Subtitle A: Disclosure of Insurance Availability and Insurer Investment Information - Insurance Disclosure Act - Directs the Secretary of HUD to establish data reporting requirements incumbent upon insurers, rural, and small business insurers in order to ascertain the availability and affordability of insurance by type and coverage in connection with: (1) census tract; (2) low- and moderate-income neighborhoods; (3) race and gender of policyholders; and (4) location of principal place of agents and their termination by race. (Sec. 206) Requires the Financial Institutions Examination Council to determine annually the extent to which each private mortgage insurer makes private mortgage insurance information available to the public and to the appropriate agency in the same manner as mortgage insurance information is required to be reported under the Home Mortgage Disclosure Act of 1975 (HMDA). (Sec. 207) Directs the Secretary of HUD to require each insurer that makes an investment in a property or business to submit annually data detailing direct loans and loan purchases in connection with: (1) commercial real estate loans; (2) single-family mortgages; (3) commercial and industrial loans; and (4) other investments. Sets forth civil penalties for violations of such insurance data disclosures. Subtitle B: Improvements in Other Data Disclosure Requirements - Amends the CRA to declare that it may not be construed as authorizing any Federal agency to exempt a depository institution from data disclosure requirements pertaining to farm and small business loans (except an institution that is not an affiliate of a either a bank holding company or savings and loan company). (Sec. 221) Requires regulated financial institutions to collect data regarding farm and small business loan applications that details: (1) applicant race and gender; (2) minority-owned and women-owned enterprises; (3) the revenue of such applicants; and (4) the actual census tract of the applicants' locale. Title III: Regulatory and Structural Reforms - Sets forth antiredlining requirements for financial holding companies. Amends certain bank regulatory Acts to require notice and public comment prior to establishing a financial holding company or transacting bank acquisitions, consolidations, or mergers if regulatory authorities believe there will be a substantial public impact. (Sec. 304) Amends the CRA to reduce the small banks examination schedule by one year. (Sec. 306) Requires the appropriate Federal banking agency to prohibit a financial holding company or insured depository institution from continued engagement in expanded financial activities if any subsidiary or affiliate of such entities has received in a CRA rating of less than "satisfactory record of meeting community credit needs" in its most recent examination. (Sec. 307) Amends the HMDA to prohibit a Federal regulatory agency from exempting a depository institution from HMDA reporting requirements. Mandates expanded data disclosure from depository institutions regarding: (1) prime and subprime mortgage loans; (2) loan pricing and terms; and (3) manufactured home loans that are not treated as real estate loans by depository institutions. Subjects HMDA depository institutions to specified Federal Deposit Insurance Act requirements. Grants the Secretary of HUD enforcement powers regarding compliance with such requirements.
United States · United States Congress · 13 July 2000
Native American Elders Assistance Act - Provides that any portion of the first $5,000 of income of an Indian tribe received in any calendar year by a member of the tribe who has attained 50 years of age shall not be considered income or resources in determining the eligibility of the member or the member's household for any benefit under specified means-tested public assistance programs (including Medicaid or Supplemental Security Income) or the amount or kind of any benefit provided by reason of program eligibility for so long as such portion is retained by the member.
United States · United States Congress · 13 July 2000
Railroad Retirement and Survivors' Improvement Act of 2000 - Title I: Amendments to the Railroad Retirement Act of 1974 - Amends the Railroad Retirement Act of 1974 to increase benefits to railroad employees and their beneficiaries and to revise financing of the pension part (tier II) of the railroad retirement system. (Sec. 101) Increases benefits for widows and widowers by guaranteeing to them all of the tier II annuity the employee was entitled to at the time of the death. (Sec. 102) Makes employees with 30 years of service eligible to retire at age 60 with unreduced tier I and tier II annuities. Makes spouses of such employees eligible for unreduced annuities at age 60. (Sec. 103) Reduces the vesting requirement for tier II retirement annuities from ten years to five years of service after December 1995. Makes employees with at least five years of such service, but less than ten years of total service, eligible for a tier I disability annuity if their combined railroad retirement and social security earnings credits would satisfy social security eligibility requirements. Makes spouses, divorced spouses, and survivors of employees with at least five years of such service, but less than ten years of total service, eligible for a tier I annuity if they would have been entitled to a social security benefit based on combined service. (Sec. 104) Repeals a limit on the total amount of monthly railroad retirement benefits payable to an employee and spouse at the time the employee's annuity begins. (Sec. 105) Establishes a Railroad Retirement Trust Fund (the Fund) and a Railroad Retirement Investment Trust (RRIT) to manage and invest the assets of the Fund. Declares that RRIT is not an agency, department, or instrumentality of the U.S. Government. Requires RRIT to be administered by a Board of Trustees (the Trustees) with seven members (three representing labor, three representing employers, and one representing the general public) with experience and expertise in the management of financial investments and pension plans. Requires the Trustees to be appointed by a unanimous vote of the Railroad Retirement Board (RRB). Prohibits RRB members from being Trustees. Applies specified reporting requirements and fiduciary standards to the RRIT. Requires the Trustees to diversify investments so as to minimize the risk of large losses. Authorizes the Trustees to invest Fund assets in non-Governmental assets. (Sec. 106) Abolishes the Railroad Retirement Supplemental Annuity Account and provides for transfer of its funds to the Fund. (Sec. 107) Requires the RRB, upon the establishment of the Fund, to determine the portion of the Railroad Retirement Account not needed to pay current administrative expenses and direct the Secretary of the Treasury to transfer that amount into the Fund. Requires the Fund to transfer the necessary amount of funds to pay benefits and related administrative expenses to the disbursing agent. Transfers to the Fund Social Security Equivalent Benefit account funds not needed to pay current benefits, but requires that such funds only be used to pay benefits or to invest in U.S. Government or Government-guaranteed securities. Transfers to the disbursing agent from the Dual Benefit Account the amount necessary to make dual benefit payments. Requires the Trustees to consult with the Secretary of the Treasury to develop an appropriate method for transferring or converting existing account obligations. (Sec. 108) Requires the RRB to calculate the ratio of assets to benefits to determine annual tier II tax rates for employers, employee representatives, and employees. Establishes schedules for: (1) decreasing tax rates if the average account benefits ratio, based on the ratios for the ten most recent fiscal years, is above six; and (2) increasing employer and employee representatives' tax rates if the ratio is below four. Title II: Amendments to the Internal Revenue Code of 1986 - Amends the Internal Revenue Code to exempt the Railroad Retirement Trust Fund (the Fund) from taxation. (Sec. 203) Repeals a supplemental annuity tax that railroad employers pay to finance a benefit for long-time rail employees. (Sec. 204) Provides for adjustments to railroad employers, employee representatives, and employee tier II tax rates. Decreases such rates in 2001 and in 2002 for employers and employee representatives. Provides in the years after 2002 for tax rate schedules, based on the ten-year average account benefit ratio, for employers, employee representatives, and employees.
United States · United States Congress · 13 July 2000
Violence Against Women Office Act - Establishes within the Department of Justice (DOJ) a Violence Against Women Office, headed by a Director. Specifies the duties of the Director, including serving as special counsel to the Attorney General on the subject of, and carrying out DOJ functions under the Violence Against Women Act of 1994 and on matters relating to, violence against women.
United States · United States Congress · 11 July 2000
Children's Dental Health Preservation Act of 2000 - Directs the Secretary of Health and Human Services to make grants to States for the purpose of: (1) identifying children, eligible for Federal programs, at risk of developing dental caries and for the provision of preventative and therapeutic services in accordance with State practice acts to reduce oral disease occurrence; and (2) training of health care professionals to educate parents on oral disease prevention.
United States · United States Congress · 11 July 2000
Congratulates: (1) the people and Government of the United Mexican States for the successful completion of the democratic multiparty elections for president and the legislature; and (2) President-elect Vincente Fox for his election victory and his commitment to democracy and a free-market oriented economy. Commends all Mexican citizens and political parties for their participation in the democratic process and their support for the strengthening of their democracy. Reaffirms the United States friendship with Mexico and our unequivocal commitment to encouraging democracy throughout Latin America.
United States · United States Congress · 11 July 2000
Expresses the sense of the Congress that Turkey should: (1) withdraw all its armed forces from the island of Cyprus; and (2) negotiate for the reunification of the Republic of Cyprus on the basis of existing United Nations Security Council resolutions.
United States · United States Congress · 29 June 2000
Immigration Services and Infrastructure Improvements Act of 2000 - Directs the Attorney General to take necessary measures to: (1) reduce the immigration application backlog and ensure that a subsequent backlog does not develop; and (2) make infrastructure improvements to effectively provide immigration services. Authorizes appropriations which shall be designated in the Treasury as the Immigration Services and Infrastructure Improvements Account. Directs the Attorney General to make specified backlog elimination reports.
United States · United States Congress · 27 June 2000
Medicare Guaranteed and Defined Rx Benefit and Health Provider Relief Act of 2000 - Title I: Medicare Prescription Medicine Benefit Program - Amends title XVIII (Medicare) of the Social Security Act (SSA) to add a new part D (Prescription Medicine Benefit for the Aged and Disabled) which establishes a voluntary insurance program to provide defined prescription medicine benefits, including pharmacy services, for eligible individuals who are aged or disabled or who have end-stage renal disease, and who voluntarily elect to enroll. States that the program shall be financed from enrollee premium payments together with contributions from funds appropriated by the Federal Government. (Sec. 101) Requires the Secretary of Health and Human Services (HHS) to submit to Congress a legislative proposal for: (1) the delivery of home infusion therapy services under Medicare; and (2) a system of payment for such a benefit that coordinates items and services furnished under Medicare parts B (Supplementary Medical Insurance) and D. Creates within the Federal Supplemental Medical Insurance Trust Fund the Prescription Medicine Insurance Account. Directs the Secretary to provide for administration of part D benefits through a private benefit administrator for certain enrolled individuals residing in each geographic service area or, where that is impossible, with a fiscal intermediary under Medicare part A (Hospital Insurance) or a carrier under Medicare part B. Requires the Secretary to: (1) ensure that all beneficiaries have guaranteed access to the full range of pharmaceuticals under part D, with special attention to access, pharmacist counseling, and delivery in rural and hard-to-serve areas, including use of incentives such as bonus payments to retail pharmacists in rural areas and extra payments to the benefit administrator for the cost of rapid delivery of pharmaceuticals; and (2) develop and implement the Employer Incentive Program that encourages employers and other sponsors of employment-based health care coverage who meet specified requirements to provide adequate prescription medicine benefits to retired individuals, and maintain existing benefit programs, by subsidizing, in part, the cost of providing coverage under qualifying plans. Provides for part D enrollment for individuals whose employment-based retiree health coverage ends under certain conditions. Authorizes appropriations. (Sec. 102) Amends SSA title XIX (Medicaid), with regard to the prescription medicine benefit for certain low-income individuals, to provide for coverage of part D premiums as medical assistance for individuals dually eligible for other SSA assistance or for other medical care. Requires State Medicaid plans to provide that, in the case of any individual whose eligibility for medical assistance is not limited to Medicare or Medicare medicine cost-sharing, and for whom the State elects to pay monthly premiums under part D, the State will purchase all prescription medicines for such individual in accordance with the provisions part D, without regard to whether the basic benefit limitation for such individual has been reached. Requires Government payment of Medicare medicine cost-sharing for qualified Medicare beneficiaries and for Medicare beneficiaries with incomes between 100 and 150 percent of the Federal poverty line. Amends SSA title XVIII part D to outline special eligibility, enrollment, and copayment rules for low-income individuals, which include options for continuation of Medicaid coverage or enrollment under such part. (Sec. 103) Provides that if the mid-summer 2000 budget estimate prepared by the Director of the Congressional Budget Office results in a higher-than-projected level of projected on-budget surplus over the ten fiscal year period beginning with FY 2001, there shall be (beginning with FY 2003) transfers to the Prescription Medicine Insurance Account in a fiscal year to offset the costs attributable to provisions added to Medicare by this Act that relate to catastrophic benefit payments in that fiscal year. (Sec. 104) Directs the Comptroller General of the United States to analyze and report to Congress on an ongoing basis about the part D prescription medicine benefit program. Directs the Secretary to: (1) report to Congress on possible tax and trade law changes to encourage increased original research on new pharmaceutical breakthrough products designed to address disease and illness; (2) study and report to Congress on methods used by the pharmaceutical industry to advertise and sell to consumers and to educate and sell to providers; and (3) study and report to Congress on the costs of, and needs for, pharmaceutical research, and the role that the taxpayer provides in encouraging such research. Requires the Secretary to report to Congress on the retail price of major pharmaceutical products in various developed nations, compared to prices for the same or similar products in the United States. Title II: Improvement In Beneficiary Services - Subtitle A: Improvement of Medicare Coverage and Appeals Process - Amends SSA title XVIII to revise requirements with respect to Medicare determinations and appeals, including initial determinations, expedited determinations, and publication on the Internet of decisions of hearings of the Secretary. (Sec. 201) Amends SSA title XVIII part C (Medicare+Choice) to apply the limitations on liability of qualified independent contractors to certain Medicare+Choice independent contractors who conduct reconsiderations of initial determinations. (Sec. 202) Amends SSA title XVIII to limit the liability of beneficiaries for repayment with respect to Medicare claims not paid or paid incorrectly. Includes in the explanation of Medicare benefits statement lists of each item or service furnished and the amount of the individual's liability for payment, as well as the toll-free telephone number for information and questions concerning the statement, individual liability for payment, and appeal rights. (Sec. 203) Amends SSA title XI to revise the meaning of waiver of coinsurance and deductible amounts (excluded from the meaning of unlawful remuneration subject to civil monetary penalties) to include a waiver offered as part of a supplemental insurance policy or retiree health plan. Subtitle B: Establishment of Medicare Ombudsman - Establishes a Medicare Ombudsman within the Health Care Financing Administration of the HHS Department to: (1) receive complaints, grievances, and requests for information submitted by a Medicare beneficiary concerning the Medicare program; and (2) provide assistance with respect to such complaints, grievances, and requests. Title III: Medicare+Choice Reforms; Preservation of Medicare Part B Drug Benefit - Subtitle A: Medicare+Choice Reforms - Amends SSA title XVIII part C with regard to calculation of annual Medicare+Choice capitation rates to: (1) reduce the national per capita Medicare+Choice growth percentage for 2001 and 2002; (2) remove permanently application of budget neutrality beginning in 2002; (3) increase the minimum payment amount for 2002; (4) increase the update for payment areas with only one or no Medicare+Choice contracts; and (5) permit higher negotiated rates in certain Medicare+Choice payment areas below the national average. (Sec. 307) Amends SSA title XVIII part C to provide for a ten year phase-in of the risk adjustment to the capitation rate based on data from all settings. Subtitle B: Preservation of Medicare Coverage of Drugs and Biologicals - Amends SSA title XVIII to: (1) cover under Medicare part B injectable and infusable drugs and biologicals which are not usually self-administered by the patient (currently only drugs and biologicals which cannot be self-administered are covered under Medicare part B); and (2) revise Medicare coverage for immunosuppressive drugs, establishing a part D catastrophic limit on part B copayments for such drugs. Subtitle C: Improvement of Certain Preventive Benefits - Amends SSA title XVIII to allow coverage of annual screening pap smear and pelvic exams. Title IV: Adjustments to Payment Provisions of the Balanced Budget Act - Subtitle A: Payments for Inpatient Hospital Services - Amends SSA title XVIII to eliminate the reduction in the hospital market basket update for FY 2001. (Sec. 402) Eliminates specified further reductions in indirect medical education (IME) and in disproportionate share hospital (DSH) payments (and freezes Medicaid DSH payments) for FY 2001. (Sec. 404) Revises the formula for the increase in base payment to certain Puerto Rico hospitals for inpatient hospital discharges. Subtitle B: Payments for Skilled Nursing Services - Amends SSA title XVIII to eliminate the reduction in the skilled nursing facility (SNF) market basket update for FY 2001. (Sec. 412) Extends through 2002 the moratorium on therapy caps. Subtitle C: Payments for Home Health Services - Amends SSA title XVIII to delay for one more year the application of the 15 percent reduction on payment limits for home health services. (Sec. 422) Applies the full market basket update for home health services for FY 2001. Subtitle D: Rural Provider Provisions - Amends SSA title XVIII to eliminate the scheduled reduction in hospital outpatient market basket increase for rural hospitals in 2001 and 2002. Subtitle E: Other Providers - Amends SSA title XVIII to increase the update in the renal dialysis composite rate. Subtitle F: Provision for Additional Adjustments - Provides for specified aggregate amounts from estimated Social Security surpluses for the five fiscal year and ten fiscal year periods beginning in FY 2001 for additional improvements to the Medicare and Medicaid programs and payments to providers.
United States · United States Congress · 26 June 2000
Children's Day Care Health and Safety Improvement Act - Authorizes appropriations to carry out this Act. Requires the Secretary of Health and Human Services to make allotments to States and territories to enable them to establish programs to improve the health and safety of children receiving child care outside the home by preventing illnesses and injuries associated with such care and promoting the health and well-being of such children. Sets forth an allotment formula. Requires States to submit applications to the Secretary in order to be eligible for an allotment. Describes activities to be carried out by States through the use of such allotments.
United States · United States Congress · 23 June 2000
Wartime Parity and Justice Act of 2000 - Allows certain individuals of Japanese ancestry who were brought forcibly to the United States from countries in Latin America during World War II and interned in the United States to be provided restitution under the Civil Liberties Act of 1988. (Sec. 3) Declares that the United States apologizes to such individuals for the fundamental violations of their basic civil liberties and constitutional rights. Urges the President to transmit to each such individual a personal letter of apology on behalf of the United States. (Sec. 4) Places upon the Attorney General responsibility to identify and locate eligible individuals under this Act within 12 months. Authorizes any eligible individual to notify the Attorney General that the individual is eligible and provide documentation to that effect within six years. Directs the Attorney General to make a final determination of eligibility within one year after locating or receiving notification from an individual. Authorizes judicial review of a denial of compensation. Permits an individual covered by this Act who has accepted payment on a related claim against the United States before this Act's enactment to receive an appropriately reduced payment under this Act. (Sec. 5) Directs that: (1) individuals covered by this Act not be considered to have been present in the United States unlawfully during the evacuation, relocation, or internment period; and (2) each U.S. department or agency correct any records that indicate that such individuals were in the United States unlawfully. (Sec. 6) Directs: (1) the appropriate agencies to disclose to the public all information relating to the forcible removal of individuals from Latin America and their internment in the United States during that period; and (2) the President to share such information with other countries and to encourage those countries to make that information available to people in those countries. (Sec. 7) Reestablishes in the Treasury the Civil Liberties Public Education Fund to be available for such restitution. (Sec. 8) Establishes the Civil Liberties Public Education Fund Board of Directors which shall be responsible for making disbursements from the Fund: (1) to sponsor research and public education activities; and (2) for reasonable administrative expenses.
United States · United States Congress · 22 June 2000
Expresses the sense of the Congress that: (1) the United States, through the U.S. Agency for International Development, should work with foreign law enforcement and judicial agencies to enact legal system reforms to more effectively address the investigation and prosecution of so- called honor crimes, and make resources available to local organizations to provide refuge and rehabilitation for women who are victims of such crimes and their children; and (2) the Department of State, when preparing yearly Country Reports on Human Rights Practices, should include information relating to the incidence of honor violence in foreign countries, the steps taken to address such problem, and all relevant actions taken by the United States to reduce the incidence of such violence and to increase investigations and prosecutions of such crimes. Calls for: (1) the United States to communicate to the United Nations (UN) the concern over the high rate of honor-related violence toward women worldwide and request that the appropriate UN bodies propose actions to be taken to encourage these countries to end such violence; and (2) the President and the Secretary of State to communicate directly with leaders of countries where honor killings, dowry deaths, and related practices are endemic in order to convey the serious concerns over these gross violations of human rights and urge these leaders to investigate and prosecute all such acts as murder, with the appropriate penalties.
United States · United States Congress · 21 June 2000
Community Economic Adjustment Act of 2000 - Authorizes the Secretary of Commerce to establish in the Economic Development Administration (EDA) an Office of Community Economic Adjustment to coordinate the Federal Government's response to communities experiencing sudden economic distress caused by a loss of jobs due to plant closures, significant layoffs, or significant relocation of jobs to other communities for any reason, including shifting patterns in international trade, natural disasters, or other problems, by: (1) identifying relevant programs and resources to ensure that communities are aware of all available Federal resources that complement or support state and local resources and programs; (2) working with specified departments and agencies to ensure that communities receive Federal assistance in a targeted, integrated manner; and (3) assigning a project manager to work with an affected community. Directs such Office to: (1) provide technical assistance, planning grants, and other assistance to help communities organize themselves, develop, and carry out economic adjustment strategies for replacing industry and jobs that have been lost or are threatened by the economic downturn; and (2) help eligible applicants in completing applications for other assistance that may be useful in alleviating the economic distress in such communities. Authorizes appropriations for FY 2001 through 2005 for community adjustment assistance under the economic adjustment program of the EDA, including specified amounts for such Office and for communities successfully completing planning grants to implement their approved plans.
United States · United States Congress · 21 June 2000
Legal Immigrant Children's Health Improvement Act of 2000 - Amends titles XIX (Medicaid) and XXI (Children's Health Insurance) (CHIP) of the Social Security Act (SSA) to grant States the option of covering certain categories of eligible women and child resident aliens under the Medicaid and CHIP programs.
United States · United States Congress · 19 June 2000
Calls upon the Government of Japan to: (1) formally issue an apology for the war crimes committed by the Japanese military during World War II; and (2) pay reparations to the victims.
United States · United States Congress · 15 June 2000
Provides for: (1) the identification and discipline (which may include civil money penalties and loss of annuity or retirement pay in addition to current removal authority) of members and employees of county and area agricultural committees who discriminate against other persons in administering agricultural programs; and (2) due process requirements.
United States · United States Congress · 15 June 2000
USDA Accountability and Equity Act of 2000 - Title I: Improved Accountability of County and Area Committees and Their Employees - Amends the Soil Conservation and Domestic Allotment Act to increase the size of the county committees by two members who shall be: (1) appointed by the Secretary of Agriculture; and (2) demographically representative of local producers. (Sec. 102) Directs the Secretary to prescribe uniform guidelines for conducting county and area committee elections. (Sec. 103) Provides for the conversion of permanent and temporary county committee employees to Federal civil service status. Title II: Improved Program Equity - Amends the Food Security Act of 1985 respecting the environmental quality incentives program to: (1) increase program funding; (2) reduce the livestock set-aside; and (3) give priority to, establish set-asides, and waive cost-share requirements for socially disadvantaged farmers and ranchers. (Sec. 202) Amends the National Agricultural Research, Extension, and Teaching Policy Act of 1977 to make permanent appropriations for 1890 land grant college grants. (Sec. 203) Amends the Food, Agriculture, Conservation, and Trade Act of 1990 to make permanent appropriations for: (1) outreach and technical assistance programs for socially disadvantaged farmers and ranchers; and (2) Indian reservation extension education programs. (Sec. 205) Amends the Consolidated Farm and Rural Development Act to make permanent appropriations for farm operating and ownership loans.
United States · United States Congress · 15 June 2000
Expresses the sense of Congress that: (1) the Secretary of State, in cooperation with the Secretary of Defense, should work with the Government of the Philippines and with appropriate nongovernmental organizations in the United States and the Philippines to fully identify and share all relevant information concerning environmental contamination and health effects emanating from former U.S. military facilities in the Philippines following the departure of U.S. military forces; and (2) the United States should work with the Philippine Government to help ameliorate such environmental contamination and health effects.
United States · United States Congress · 14 June 2000
Directs the Director of the Centers for Disease Control and Prevention to, through the LIFE Initiative program, establish and carry out pilot programs for sub-Saharan Africa and India to prevent mother-to-child HIV/AIDS transmission through effective partnerships with nongovernmental organizations and university-based research facilities. Authorizes appropriations.
United States · United States Congress · 13 June 2000
Amends the Trade Act of 1974 to require certification of a group of workers (including agricultural firm or subdivision workers) as eligible to apply for trade adjustment assistance under such Act if the Secretary of Labor determines that a significant number or proportion of them in the workers' firm (or subdivision) have become totally or partially separated (or threatened with total or partial separation), and either: (1) that the firm's (or subdivision's) sales or production, or both, have decreased absolutely, imports from the People's Republic of China of like or directly competitive articles have increased by reason of the extension of normal trade relations treatment, and such increase in imports contributed importantly to such workers' separation (or threat thereof) and to the decline in the firm's (or subdivision's) sales or production; or (2) that there has been a shift in production by the workers' firm (or subdivision) to the People's Republic of China of articles like or directly competitive with the firm's (or subdivision's) articles by reason of such extension of normal trade relations treatment.