United States · United States Congress · 12 March 1991
Medicaid Breast and Cervical Cancer Amendments of 1991 - Amends title XIX (Medicaid) of the Social Security Act to require States to provide Medicaid coverage of: (1) screening mammograms for women who are at least 35, but under 65, years of age according to frequency guidelines similar to those imposed by the Omnibus Budget Reconciliation Act of 1990 under the Medicare program (title XVIII of the Social Security Act); and (2) screening pap smears. Provides for Federal assumption of 100 percent of the cost of providing such screening services.
United States · United States Congress · 12 March 1991
Medicaid AIDS and HIV Amendments of 1991 - Amends title XIX (Medicaid) of the Social Security Act to allow each State to provide Medicaid coverage of HIV-related services for individuals who have the HIV virus and an abnormally low immune function that places them at risk of contracting opportunistic diseases or life-threatening conditions related to acquired immune deficiency syndrome (AIDS) and whose income and resources do not exceed the maximum amounts allowed under the State Medicaid program for disabled individuals. Allows States to provide Medicaid home and community-based services to children who have the HIV virus and an abnormally low immune function for which medical intervention is indicated to prevent hospitalization. Applies the same income and resource eligibility standards as would apply if such children were hospitalized. Includes as federally-qualified health centers an entity receiving a grant under the Ryan White Comprehensive AIDS Resources Emergency Act of 1990 for the provision of early intervention services to individuals who have the HIV virus. Authorizes States to provide Medicaid coverage of the early intervention services provided by federally qualified health centers under such grant program to low-income individuals who have the HIV virus. Authorizes a Health and Human Services residential care facility demonstration program for certain Medicaid-eligible individuals who have the HIV virus and need housing or attendant care to allow them to remain at home.
United States · United States Congress · 12 March 1991
Medicaid Child Health Amendments of 1991 - Amends title XIX (Medicaid) of the Social Security Act to permit States to provide Medicaid coverage to all children who have attained age six but not age 19 and whose family income does not exceed 185 percent of the Federal poverty level. (Currently, States are required to cover only certain children between such ages, and only those whose family income does not exceed 133 percent of the Federal poverty level.) Permits States to provide an additional 12 months (currently, 12 months total) of extended Medicaid coverage to families whose AFDC eligibility ends due to the caretaker relative's employment. Requires States which provide prospective Medicaid payments to hospitals to reimburse hospitals which serve a disproportionate share of low-income patients for exceptionally costly or lengthy stays by children up to age 19. Directs States to provide Medicaid coverage for disabled children under age 19 but who are not eligible for benefits under title XVI (Supplemental Security Income) of the Social Security Act. Prohibits the discontinuance of the Medicaid benefits of a child under age 19 until he or she is determined to be ineligible for such benefits on any basis. Allows States to extend Medicaid coverage to: (1) foster care children under age 19 whose incomes are above State cash assistance eligibility levels but below the Federal poverty level; and (2) migratory agricultural workers and their families.
United States · United States Congress · 12 March 1991
Medicaid Infant Mortality Amendments of 1991 - Amends title XIX (Medicaid) of the Social Security Act to require mandatory State coverage of pregnant women and infants whose family income is below 185 percent of the Federal poverty level. Provides 100 percent Federal financing of the costs of services to pregnant women and infants whose family income is between 133 and 185 percent of the Federal poverty level. Prohibits application of resource testing to pregnant women and infants. Authorizes States to provide Medicaid coverage of home visitation services with respect to high-risk infants. Provides for flexibility in determining the limitation on Federal payments to States for Medicaid services provided to pregnant women and infants. Requires States to include in their Medicaid benefit packages primary health services for residents of public housing provided by an entity which meets the requirements to receive a grant under the Public Health Service Act to fund the provision of such services.
United States · United States Congress · 7 March 1991
Prohibits the shipment in interstate or foreign commerce of steel jaw leghold traps and of articles of fur derived from animals trapped in such traps. Prescribes criminal penalties for violations of this Act. Directs the Secretary of the Interior to reward nongovernment informers for information leading to a conviction under this Act. Empowers enforcement officials to detain, search, and seize suspected merchandise or documents and to make arrests with and without warrants. Subjects seized merchandise to forfeiture.
United States · United States Congress · 7 March 1991
Visual Pollution Control Act of 1991 - Authorizes (current law requires) reduction of Federal highway funds by up to five (currently, equal to ten) percent of apportioned funds for States that have not made provision for effective control of outdoor signs, displays, or devices (advertising) along Federal-aid highways. Requires, as part of effective control, that: (1) each State maintain an annual inventory of such advertising, identify such advertising as illegal, nonconforming, or conforming under State law, and assure that any prohibited advertising shall be removed; and (2) no State allow or undertake any vegetation removal or other alteration of the highway right-of-way to improve visibility of such advertising or permit modification of nonconforming advertising to improve its visibility or prolong its useful life. Prohibits any new advertising from being erected under Federal highway provisions after October 1, 1991, and treats advertising erected between such date and the effective date of this Act as nonconforming. Sets forth provisions with respect to the removal and acquisition of advertising and Federal participation in costs incurred by the State for such removal. Bars outdoor advertising by Federal agencies on public lands (excluding Indian lands and reservations) that fail to conform to regulations issued by the Federal agency with jurisdiction over, or responsibility for, such land. Requires such regulations to be at least as stringent as the requirements of the State in which the land is located.
United States · United States Congress · 7 March 1991
Peace, Democracy and Development in El Salvador Act of 1991 - Expresses the sense of the Congress that the United States shall use diplomacy to encourage the Government of El Salvador and the Farabundo Marti National Liberation Front (FMLN) to: (1) participate in good-faith negotiations to achieve a cease-fire and permanent settlement of the conflict in El Salvador; (2) adhere to the terms of agreements signed in Geneva, Switzerland, Caracas, Venezuela, and San Jose, Costa Rica; and (3) support the role of the Secretary General of the United Nations in advancing proposals on the outstanding issues defined in the Caracas accords to resolve the conflict. Withholds from El Salvador unobligated military assistance for FY 1991 and prior fiscal years and military assistance allocated for FY 1992 and 1993 until the Congress enacts a joint resolution authorizing the provision of such assistance and the President reports to the Congress that: (1) those responsible for ordering and carrying out, or obstructing the investigation into, the November 1989 murders of certain priests and civilians have been apprehended and brought to justice; (2) internationally recognized workers' rights have been extended to Salvadoran workers; (3) the El Salvadoran Government has pursued legal avenues to bring to trial and obtain verdicts for those responsible for the murders of Archbishop Romero and certain land reformers and for the bombings of the FENASTRAS headquarters; (4) the El Salvadoran Government is complying with international standards of respect for humanitarian and medical workers; (5) steps have been taken to place the El Salvadoran military under the control of the civilian government; (6) the El Salvadoran Government is negotiating to achieve a cease-fire and a settlement of the conflict and has not rejected a plan for the settlement of the conflict put forth by the United Nations Secretary General; and (7) the El Salvadoran Government, through its military and security forces, has not engaged in assassinations of, or acts of violence against, civilians and has not failed to control such activities by elements subject to the control of such forces. Prohibits funding for: (1) the stationing of U.S. military personnel in El Salvador as trainers or advisors to the El Salvadoran armed forces; and (2) the financing of covert operations in El Salvador or for covert military assistance to the El Salvadoran Government. Establishes the Demobilization, Transition, and Reconstruction Fund to assist with the cost of monitoring a permanent settlement of the conflict, the demobilization of combatants in the conflict and their transition to peaceful pursuits, and the reconstruction of El Salvador. Makes the Fund available only upon the President's notification to the Congress that the El Salvadoran Government and the FMLN have reached a permanent settlement to the conflict. Requires the President, upon notification of a permanent settlement or on September 30, 1992, if no notification has occurred prior to such date, to transfer withheld military assistance to the Fund. Prohibits economic support fund (ESF) assistance from being obligated as balance-of-payments or cash assistance for El Salvador. Makes ESF assistance for El Salvador available only for projects for child nutrition, health, clean water, basic education, agrarian reform, and other human needs of the people of El Salvador. Requires such assistance to be used only for programs implemented solely by civilian agencies. Subjects ESF assistance for El Salvador to reprogramming notifications under the Foreign Assistance Act of 1961.
United States · United States Congress · 7 March 1991
Middle East Post-War Stability and Arms Restraint Act of 1991 - Requires the President to enter into discussions with the governments of the major arms suppliers to the Middle East concerning the establishment of a commission that would restrict and limit arms sales in the region. States that the commission would be: (1) modeled after the Coordinating Committee for Multilateral Export Controls and the Nuclear Suppliers Group; and (2) comprised of the five permanent members of the United Nations Security Council and other weapons supplier nations. Declares that the commission should: (1) negotiate supplier nation restrictions on the sale or transfer of combat weaponry and the technology of conventional arms production to the Middle East; (2) seek to enhance stability and peace in the Middle East by seeking to maintain a balance of power among major military powers in the region; (3) coordinate with the Australia Group and the Missile Technology Control Regime to enhance controls on the proliferation of chemical and biological weapons and ballistic missile technology; and (4) address other areas pertinent to limiting the sale or transfer of arms.
United States · United States Congress · 7 March 1991
Requires each presidential candidate who is entitled to receive payments from the Presidential Election Campaign Fund to make six public presentations of his or her views on policy issues of national importance, as selected by the chairmen of the national committees of the candidates' parties.
United States · United States Congress · 7 March 1991
Urges the President to instruct the Attorney General to appoint an independent counsel to investigate the involvement of Government officials in the savings and loan scandal.
United States · United States Congress · 6 March 1991
California Fish and Wildlife Protection Act of 1991 - Title I: Upper Sacramento River - Directs the Secretary of the Interior to establish a ten-year program to restore salmon and steel head trout populations, reestablish a continuous riparian ecosystem, and meet specified goals for anadromous fisheries along the Sacramento River, and its California tributaries, and its drainage basin above the confluence with the Feather River. Establishes the Upper Sacramento River Fisheries Task Force to assist the Secretary and coordinate activities with governmental and private anadromous fish restoration projects within the basin. Terminates the Task Force on September 30, 2000. Title II: Central Valley of California - Directs the Secretary of the Interior (Secretary) to implement a program to restore the population and habitat of migratory birds and anadromous fisheries in the Central Valley, California. Requires that the Secretary, every three years, review and make such adjustments to assure that fish, wildlife, and habitat restoration goals are met and provide a copy of such review to specified congressional committees. Requires the Secretary to deliver dependable water supplies of suitable quality to certain Central Valley refuges, including additions to refuges or refuges in the Central Valley not included in the Refuge Water Supply Report. Requires the Secretary to complete plans for the recovery of endangered species in the Central Valley. Authorizes the Secretary to provide water to other Federal, State, and private wetlands and other fish and wildlife habitats in the Central Valley. Title III: Commission on Central Valley Fish and Wildlife Restoration - Establishes the Commission on Central Valley Fish and Wildlife Restoration to examine and make recommendations on Federal and State actions to restore fish and wildlife in the Central Valley to meet the goals of this Act. Terminates the Commission on January 1, 2000, or earlier if the Secretary determines the goals of this Act have been substantially completed. Requires, on termination, that all records and materials of the Commission be transferred to the National Archives and Records Administration. Title IV: General Provisions - Declares the national interest with regard to water conservation in the Central Valley. Requires a report on administrative inhibitions on water conservation by Central Valley Project contractors, and actions which could remove barriers to conservation. Authorizes the Secretary to encourage water conservation by contractors through incentives, pricing, and other measures. Authorizes the Secretary of Energy, acting through the Administrator of the Western Area Power Administration, to utilize power from the Central Valley Project power generation facilities to meet the requirements of this Act. Reserves a minimum portion of the transmission capacity of the Harold T. (Bizz) Johnson California-Pacific Northwest Intertie line to serve the needs of Department of Energy laboratories and wildlife refuges in California. Provides for citizen suits to enforce this Act. Requires fish and wildlife habitat lost as a result of construction or operation of the Project to be replaced with ecologically equivalent habitat before or at the same time as it is lost. Authorizes appropriations. Directs the Secretary to study and implement cost allocations of the Project, including the provisions of this Act.
United States · United States Congress · 6 March 1991
Amends title XIX (Medicaid) of the Social Security Act to provide Medicaid coverage of screening mammographies for women age 35 and older. Varies the permissible frequency of such covered tests on the basis of a woman's age and her risk of developing breast cancer. Directs the Secretary to periodically review and revise permissible frequencies of such tests.
United States · United States Congress · 6 March 1991
Universal Health Care Act of 1991 - Amends the Social Security Act to add a new title XXI (National Health Insurance) to establish a national, single-payer health insurance program under which every U.S. citizen would be eligible for enrollment. Allows individuals to choose their own health care providers from among those providers participating in the program. Provides for comprehensive health care under the program with the following benefits provided without any payment of coinsurance or deductibles: (1) inpatient hospital services; (2) nursing facility services; (3) home health services; (4) hospice care; (5) medical care; (6) prescription drugs and biologicals; (7) preventive health services; (8) home and community-based services; (9) mental health care; and (10) such other medical or health care items or services as the Secretary of Health and Human Services determines to be appropriate. Incorporates into the National Health Care program various practice guidelines and trust fund administrative provisions under the Medicare program (title XVIII of the Social Security Act) as well as Medicare-related provisions in titles XI and II (Old Age, Survivors and Disability Insurance) (OASDI) of the Act, including those provisions relating to outcomes of research and peer review under title XI and administration of OASDI and Medicare trust funds under title II. Outlines provisions regarding payments to providers. Provides monthly payments to hospitals and nursing homes on the basis of prospective global budgets established annually after review by the State advisory board and approval by the designated government agency. Provides payment to physicians and other health care professionals according to fee schedules established by the Secretary and adjusted by geographic region. Provides payment for health care (including hospice care) furnished outside of a hospital or nursing home on the basis of either global budgets or fee schedules, or instead on the basis of another prospective payment method (including capitation) which has been approved and reviewed as appropriate. Restricts payments to Federal health care services providers. Requires health care providers to accept payments under the program for items and services as payment in full. Changes the functions of the Prospective Payment Assessment Commission and the Physician Payment Review Commission (renamed the Professional Payment Review Commission) to require such bodies to instead furnish advice to the Secretary, concerning the global budgets of hospitals and nursing homes and fee schedules of physicians and other health care professionals. Creates the Long-Term Care Payment Review Commission and the General Health Care Payment Review Commission to furnish advice to the Secretary concerning the payment mechanism for health care (including hospice care) furnished outside of hospitals or nursing homes and fee schedules for services which have not been described above. Requires all such bodies to report annually to the Congress and the Secretary on the modification of various payment systems described above to meet its objectives. Sets forth administrative provisions. Requires administration of the program at the national level by the Secretary. Allows States to administer the program at the State level. Requires the Secretary to establish a national health budget and State health budgets specifying the amount to be spent per calendar year for health care and how revenues from the National Health Trust Fund will be used under the program. Indexes the national budget each year according to corresponding increases in the gross national product. Establishes expenditure targets to control the growth of health care costs. Requires the national budget to set aside separate amounts for capital expenses and direct medical education and to specify the manner of division among the States. Creates advisory boards representing both consumers and health care providers to advise on the implementation of the program at the national and State levels. Authorizes the Secretary or State to enter into contracts with qualified entities to process claims. Allows only one contract per State. Requires the Secretary to establish applicable reporting systems for the program. Establishes the National Health Trust Fund to finance this Act's initiatives with revenues from: (1) specified tax increases outlined below; (2) hospital insurance taxes imposed on additional State and local government employees and additional changes made to the Internal Revenue Code over time to fund the program; (3) long-term care/health care premiums imposed on elderly individuals who do not have low incomes; (4) State payments determined according to a specified formula tied to corresponding increases in the gross national product; and (5) amounts remaining in the trust funds supporting the Medicare program after the settlement of claims for payment under Medicare has been completed and amounts applicable to Medicare and OASDI trust fund provisions incorporated into the National Health Care program resulting from gifts and bequests, investments, and overpayments. Amends the Internal Revenue Code to: (1) increase personal and corporate income taxes, employer hospital insurance taxes, and the amount of social security benefits subject to income taxation; (2) repeal the limitation on the amount of wages subject to employee and employer hospital insurance taxes; and (3) expand the category of employees subject to hospital insurance taxes as described above. Terminates the Medicare and Medicaid (title XIX of the Social Security Act) programs, Federal Employees Health Benefits Program, Civilian Health and Medical Program of the Uniformed Services, and the Department of Veterans Affairs health benefits and medical care program.
United States · United States Congress · 6 March 1991
Prostate Cancer Public Awareness Act of 1991 - Amends the Public Health Service Act to provide for a program of public and patient information on prostate cancer.
United States · United States Congress · 6 March 1991
Amends part B (Supplementary Medical Insurance) of title XVIII (Medicare) of the Social Security Act to revise the breast cancer screening benefit provided under the Omnibus Budget Reconciliation Act of 1990 to cover on an annual basis (currently, biennial) routine breast cancer screening for women over age 64.
United States · United States Congress · 6 March 1991
Declares that: (1) Iraq must pay restitution, commensurate to the damage caused, to Kuwait and those states, including Israel, which were subject to Iraqi aggression; and (2) Israel cannot be excluded from the Iraqi reparation plans at the United Nations for political purposes.
United States · United States Congress · 5 March 1991
Amends the State Justice Institute Act of 1984 to authorize the use of Institute funds to conduct up to five projects to: (1) investigate and carry out research regarding State judicial decisions relating to child custody litigation involving domestic violence; (2) develop training curricula to assist State courts to develop an understanding of, and appropriate responses to, child custody litigation involving domestic violence; and (3) disseminate the results of such investigation and research and the curricula to State courts.
United States · United States Congress · 5 March 1991
Battered Women's Testimony Act of 1991 - Directs the State Justice Institute, by grants to or contracts with a single eligible entity, to: (1) collect and analyze information regarding the admissibility and quality of expert testimony on the experiences of battered women offered as part of the defense in criminal cases under State law and regarding sources of, and methods to obtain, funds to pay costs incurred to provide such testimony, particularly in cases involving indigent women defendants; (2) develop training materials to assist battered women, operators of domestic violence shelters, battered women's advocates, and attorneys in using such testimony in appropriate cases and to assist individuals with expertise in the experiences of battered women in developing skills appropriate to providing such testimony; and (3) disseminate such information and training materials and provide related technical assistance to battered women, shelter operators, advocates, attorneys, and individuals providing testimony.
United States · United States Congress · 5 March 1991
Illegal Dumping Prevention Act of 1991 - Amends the Marine Protection, Research, and Sanctuaries Act of 1972 to authorize the seizure and forfeiture of vessels illegally dumping wastes into ocean waters.
United States · United States Congress · 5 March 1991
Women's Health and Mental Health Research Act - Amends the Public Health Service Act to establish in the Office of the Administrator of the Alcohol, Drug Abuse, and Mental Health Administration (ADAMHA) the Office of Research on Women's Health and Mental Health (Office) to ensure that women's health and mental health research is identified and addressed by ADAMHA. Establishes in the Office the Coordinating Committee for Research on Women's Health and the Advisory Committee for Research on Women's Health. Requires that the Administrator establish: (1) a single data system for the collection, analysis, and dissemination of information regarding women's health and mental health research, including a registry of clinical trials of experimental treatments; and (2) a program to provide information on women's health and mental health research. Provides for grants or contracts for the development and operation of Centers of Excellence in Women's Health and Mental Health Research using a single institution or a consortium for each Center. Provides, subject to appropriations, for three centers, with support covering five years. Allows extension of support if recommended by a technical and scientific peer review group. Authorizes appropriations.
United States · United States Congress · 5 March 1991
Women's Health Research Act - Amends the Public Health Service Act to establish within the Office of the Director of the National Institutes of Health (NIH) the Office of Research on Women's Health (Office) to ensure that women's health research is identified and addressed by NIH. Establishes in the Office the Coordinating Committee for Research on Women's Health and the Advisory Committee for Research on Women's Health. Mandates that the Director of the Office prepare and annually review a plan for establishing a program for clinical research on obstetrics and gynecology to be conducted by the Director of the National Institute of Child Health and Human Development (NICHHD). Requires the NICHHD Director to establish a program of contracts with individuals who agree to conduct obstetrics and gynecology research in return for the Federal Government paying, to a specified maximum, the educational loans of the individuals. Requires the NIH Director to establish a single data system for the collection, analysis, and dissemination of information regarding women's health research conducted or supported by NIH, including a registry of clinical trials of experimental treatments. Requires the NIH Director to establish and operate a program to provide information on research and prevention activities relating to women's health research. Provides for grants or contracts for the development and operation of Centers of Excellence in Women's Health Research using a single institution or a consortium for each Center. Provides, subject to appropriations, for three centers, with support covering five years. Allows extension of support if recommended by a technical and scientific peer review group. Authorizes appropriations for specified provisions of this Act.
United States · United States Congress · 5 March 1991
Domestic Violence Housing Act - Amends the United States Housing Act of 1937 to: (1) increase FY 1991 and 1992 budget authority for section 8 certificate and voucher assistance; (2) require that such increases be used to assist families affected by domestic violence, including specified shared housing arrangements.
United States · United States Congress · 5 March 1991
Expresses the sense of the Congress that: (1) expert testimony concerning the nature and effect of domestic violence, including descriptions of the experiences of battered women, should be admissible when offered in a State court by a defendent in a criminal case to assist the trier of fact in understanding the behavior, beliefs, or perceptions of such defendent in a domestic relationship in which abuse has occurred; (2) a witness should be qualified to testify as an expert witness based upon her or his knowledge, skill, experience, training, or education, and should be permitted to testify in the form of an opinion or otherwise; and (3) a domestic relationship about which such expert testimony should be admissible includes relationships between spouses, former spouses, cohabitants, former cohabitants, partners or former partners, and between persons who are in, or have been in, a dating courtship, or intimate relationship.
United States · United States Congress · 5 March 1991
Expresses the sense of the Congress that: (1) all Arab nations should enter into direct negotiations with Israel to recognize Israel, end the economic boycott against Israel, and end the state of belligerency with Israel; and (2) the United States should use all available means to influence and encourage the Arab states which were allied with it in the Gulf War to achieve those objectives.
United States · United States Congress · 4 March 1991
Amends Federal highway provisions to authorize the Secretary of Transportation (current law authorizes the State) to determine whether certain vehicle weight limitations for the interstate highway system apply under applicable State statutes.
United States · United States Congress · 28 February 1991
Privacy for Consumers and Workers Act - Requires employers who engage in electronic monitoring to provide each affected employee with prior written notice describing specified aspects of the electronic monitoring directly affecting the employee. Requires employers to notify prospective employees at personal interviews or meetings of existing forms of electronic monitoring which may directly affect them and, upon request, provide them with the written notice provided to employees. Requires employers to provide affected employees with some form of visual or aural notice that indicates that electronic monitoring is taking place, at periodic intervals unless the monitoring is continuous during each of the employee's shifts. Requires employers to provide affected customers with some form of visual or aural notice, at periodic intervals, indicating that telephone service observation is taking place. Requires employers to permit employees or their authorized agents to have access to all personal data obtained by electronic monitoring of their work. Prohibits employers from collecting personal data on an employee which is not relevant to the employee's work performance. Prohibits employers from disclosing personal data obtained by electronic monitoring to any person or business except to the individual employee to whom that data pertains or without the employee's prior written consent, unless disclosure would be: (1) to the employer's officers and employees who need it to perform their duties; (2) to a law enforcement agency for a criminal investigation or prosecution; or (3) pursuant to a proper court order. Prohibits employers from using personal data obtained by electronic monitoring as the exclusive basis for individual employee performance evaluation or disciplinary action, unless the employee is given an opportunity to review the data within a reasonable time after it is obtained. Prohibits employers from using personal data or collective data obtained by electronic monitoring as the sole basis for setting production quotas or work performance expectations. Prohibits employers from maintaining, collecting, using, or disseminating personal data obtained by electronic monitoring which describes how an employee exercises First Amendment rights, unless such use is: (1) expressly authorized by statute or by the employee; or (2) pertinent to and within the scope of an authorized law enforcement activity. Sets forth the following enforcement provisions: (1) civil penalties; (2) injunctive actions by the Secretary of Labor; and (3) private civil actions. Prohibits waiver of rights and procedures provided by this Act, unless such waiver is part of a written settlement by the parties to a pending action or complaint. Directs the Secretary of Labor to issue rules and regulations to carry out this Act within six months. Makes this Act inapplicable to otherwise permissible electronic monitoring by law enforcement agencies in criminal investigations.
United States · United States Congress · 28 February 1991
International Family Planning Protection Act - Prohibits international population assistance funds from being denied to nongovernmental or multilateral organizations on the basis of any criterion that is not applicable to foreign governments that receive such funds.
United States · United States Congress · 28 February 1991
Title I: Federal Programs - Directs the Secretary of Energy (the Secretary) to establish the Federal Energy Efficiency Fund to provide financing to enable Federal agencies to install energy conservation measures. Directs the Secretary to report annually to the Congress detailing funds allocation and the projected energy savings from installed measures. Authorizes appropriations. Sets deadlines by which Federal agencies must: (1) report to the Secretary a list of energy conservation projects that will meet a ten-year payback criterion; and (2) substantially complete energy conservation projects. Permits exceptions for reasons of impracticability. Exempts from this program Federal facilities engaged in either electric energy generation or transmission or uranium enrichment activities. Provides for the continued availability of appropriations for energy conservation purposes through the following fiscal year to agencies that achieve energy cost savings. Authorizes Federal entities to participate in certain gas and electric utility energy management programs (including acceptance of utility financial incentives). Sets forth guidelines under which the Secretary shall develop a simplified method of contracting for shared energy savings contract services. Directs the Secretary to establish a financial bonus program to reward outstanding energy managers at Federal plants. Requires the Administrator of the General Services Administration to ensure that the average fleet fuel efficiency in each class of federally purchased vehicles is at least equal to the average fuel economy level for that class in the previous model year. Sets a deadline by which the Secretary must establish an energy efficiency technologies demonstration program at Federal facilities that have received Federal financial assistance for research and development. Title II: Utilities - Amends the Internal Revenue Code to declare that gross income does not include the value of a subsidy (rebate) provided by a public utility to a customer for the purchase or installation of any energy conservation measure. Amends the Public Utility Regulatory Policies Act of 1978 to provide that the rates allowed to be charged by a State-regulated electric utility shall be such that its investments and expenditures for energy conservation and energy efficiency resources are as profitable as its investments and expenditures for the construction of new generation facilities. Requires the Secretary to report to the President and the Congress on: (1) the extent to which State regulatory practices require least-cost planning by electric utilities; and (2) an evaluation of likely results of least-cost energy planning. Prohibits the Federal Energy Regulatory Commission (FERC) from approving interstate electric power sales by a utility unless the utility has adopted a least-cost plan complying with State requirements. Requires the purchaser or transferee of an interstate electric power sale to furnish FERC with a statement that such transfer is the least costly means by which it can obtain power. Requires the Tennessee Valley Authority to adopt a least-cost plan. Prohibits the Western Area Power Administration from selling power to a purchaser that does not have a least-cost plan in effect. Requires the Secretary of Energy to devise plans for the implementation of: (1) energy conservation standards and labeling for specified electric appliances and window systems; and (2) an insulation value rating system. Title III: Building and Housing - Amends the Internal Revenue Code to establish an income tax credit for granting oil retrofit conservation expenditures. Outlines standards for the Secretary of Energy and the Secretary of Housing and Urban Development to develop energy efficiency rating guidelines for new and existing residential buildings. Permits certain residential buildings with heating, cooling, or hot water systems operated directly by renewable energy sources to have their energy usage credited toward the building's energy efficiency rating. Directs the Secretary to establish a five-year program to provide technical and financial assistance to State and local organizations for residential energy efficiency rating systems. Requires the Secretary of Energy to ensure that Federal mortgage assistance is not permitted unless certain small family dwellings have met with minimum residential energy efficiency ratings. Authorizes appropriations. Directs the Secretary of Energy to: (1) recommend improved commercial building energy efficiency standards to State and local governments for adoption in their building codes; (2) initiate a three-year technical assistance program to promote adoption of such standards; (3) develop model incentives for increasing energy efficiency in commercial buildings beyond the energy efficiency ratings program; and (4) establish a task force to assist in the development of the energy efficiency program and review its results. Authorizes appropriations. Title IV: Improvement of Industrial Audits and Voluntary Guidelines For Industrial Insulation - Directs the Secretary to: (1) select and assist a nonprofit organization to develop industrial insulation guidelines; (2) review the status of industrial energy auditing procedures; (3) conduct an education and technical assistance program concerning such procedures; and (4) report to the Congress on the program. Authorizes appropriations. Title V: International Market Assessments and Export Promotion - Directs the Secretary to: (1) issue an annual report on at least three countries detailing the market potential for energy efficiency technologies; (2) issue a biannual report on the research and development of energy efficiency technologies in major industrialized countries; (3) conduct a specified number of trade missions to countries identified as good markets for energy efficiency technologies; (4) conduct a training and technical assistance program to assist other countries in policy design and program development to accelerate the adoption of energy efficiency technologies; and (5) present a program evaluation report to the Congress. Authorizes appropriations. Title VI: Transportation - Amends the Motor Vehicle Information and Cost Savings Act to present guidelines under which the Secretary of Transportation shall by regulation establish a program encouraging the removal from the marketplace of motor vehicles manufactured before model year 1980. Amends the Internal Revenue Code to prohibit employer deductions for parking expenses on behalf of employees unless the employer provides either a cash or a mass transit, car pool, or van subsidy alternative.
United States · United States Congress · 28 February 1991
Medicare Skilled Nursing Facility and Home Health Benefit Act of 1991 - Amends title XVIII (Medicare) of the Social Security Act to: (1) eliminate the requirement that extended care services be provided within a certain period following hospitalization in order to be covered under the Hospital Insurance Program; and (2) cover nursing care and home health aide services provided or needed on an intermittent basis.
United States · United States Congress · 28 February 1991
Recycled Paper Procurement Act of 1991 - Amends the Solid Waste Disposal Act to provide that a requirement that federally-procured items over $10,000 be composed of the highest percentage of recovered materials practicable shall not apply (with respect to the $10,000 amount) to paper procured by the Congress. Requires, by FY 1993, at least 50 percent of the paper purchased by procuring agencies to be recycled paper. Provides that a decision not to procure recycled paper may be made only if such paper: (1) is not available within a reasonable period of time; (2) fails to meet specified performance standards; or (3) is available only at an unreasonable price.
United States · United States Congress · 28 February 1991
Children's and Communities' Mental Health Systems Improvement Act of 1991 - Amends the Public Health Service Act to replace a subpart relating to State comprehensive mental health services plans with a subpart relating to comprehensive mental health services for children with serious emotional disturbance. Directs the Secretary of Health and Human Services, through the Director of the National Institute of Mental Health, to make grants to States for comprehensive community mental health services to children with serious emotional disturbance. Prohibits the Secretary from making a grant to a State unless the State is receiving payments under alcohol and drug abuse and mental health services block grant provisions. Requires non-Federal contributions in a specified ratio. Requires State grantees to: (1) establish and operate one or more systems, through grants or contracts, to provide specified types of mental health services to children under 22 years of age; (2) enter into a memorandum of understanding with providers of medical, educational, vocational counseling and vocational rehabilitation, and protection and advocacy services to facilitate the provision of such services without use of grant funds or non-Federal contributions made with respect to the grant; (3) provide case management services; (4) provide services in the language and cultural context that is most appropriate for the child involved; and (5) develop and implement an individualized plan of services for each child admitted to the system. Describes additional services for which a State system may provide. Prohibits the Secretary from making a grant to a State unless the State has a plan, approved by the Secretary, for the development of a State-wide system of care for community-based services for children with serious emotional disturbance. Requires that parents of children with serious emotional disturbances be included as members of the mental health planning council established under existing provisions. Requires that, if a charge is imposed for services under a grant, the charge be made according to a public schedule, adjusted to reflect the income of the family of the child, and not imposed on any child whose family has income and resources at or below the poverty line. Limits grants to States to five years. Allows a State system established under a grant to receive grant funds for three years. Directs the Secretary to provide to a State, on request: (1) technical assistance regarding grant applications; and (2) training and technical assistance on the planning, development, and operation of the systems under this Act. Authorizes the Secretary to provide the technical assistance directly or through grants or contracts. Authorizes appropriations, earmarking a specified sum for the technical assistance and training. Limits the number of grants to ten in FY 1992.
United States · United States Congress · 27 February 1991
Women's Health Equity Act of 1991 - Title I: Research - Subtitle A: Women's Health Research Act - Women's Health Research Act - Amends the Public Health Service Act to establish within the Office of the Director of the National Institutes of Health (NIH) the Office of Research on Women's Health (Office) to ensure that women's health reseach is identified and addressed by NIH. Establishes in the Office the Coordinating Committee for Research on Women's Health and the Advisory Committee for Research on Women's Health. Mandates that the Director of the Office prepare and annually review a plan for establishing a program for clinical research on obstetrics and gynecology to be conducted by the Director of the National Institute of Child Health and Human Development (NICHHD). Requires the NICHHD Director to establish a program of contracts with individuals who agree to conduct obstetrics and gynecology research in return for the Federal Government paying, to a specified maximum, the educational loans of the individuals. Requires the NIH Director to establish a single data system for the collection, analysis, and dissemination of information regarding women's health research conducted or supported by NIH, including a registry of clinical trials of experimental treatments. Requires the NIH Director to establish and operate a program to provide information on research and prevention activities relating to women's health research. Provides for grants or contracts for the development and operation of Centers of Excellence in Women's Health Research using a single institution or a consortium for each Center. Provides, subject to appropriations, for three centers, with support covering five years. Allows extension of support if recommended by a technical and scientific peer review group. Authorizes appropriations for specified provisions of this subtitle. Subtitle B: Clinical Trials Fairness Act - Clinical Trials Fairness Act - Amends provisions of the Public Health Service Act relating to the national research institutes and provisions relating to the Alcohol, Drug Abuse, and Mental Health Administration (ADAMHA) to direct the Secretary of Health and Human Services to ensure, in conducting or supporting clinical research, that women and minority groups are included as research subjects, unless inappropriate. Requires that any project be designed and carried out so as to provide for a valid analysis of whether the research variables affect women or minorities differently than other subjects. Directs the Secretary to establish within the advisory council of each agency of an institute and ADAMHA a Clinical Research Equity Subcommittee to review all clinical research of that agency to determine whether the research is being conducted in accordance with requirements of this Act. Provides for suspension or revocation of the authority for any project the Secretary determines is not being conducted in accordance with those requirements. Defines "minority groups" to mean racial and ethnic minority groups. Requires that the technical and scientific peer review process in the institutes and ADAMHA include an evaluation of the inclusion of women and minority groups as research subjects. Subtitle C: Women's Health and Mental Health Research Act - Women's Health and Mental Health Research Act - Amends the Public Health Service Act to establish in the Office of the Administrator of the Alcohol, Drug Abuse, and Mental Health Administration (ADAMHA) the Office of Research on Women's Health and Mental Health (Office) to ensure that women's health and mental health research is identified and addressed by ADAMHA. Establishes in the Office the Coordinating Committee for Research on Women's Health and the Advisory Committee for Research on Women's Health. Requires that the Administrator establish: (1) a single data system for the collection, analysis, and dissemination of information regarding women's health and mental health research, including a registry of clinical trials of experimental treatments; and (2) a program to provide information on women's health and mental health research. Provides for grants or contracts for the development and operation of Centers of Excellence in Women's Health and Mental Health Research using a single institution or a consortium for each Center. Provides, subject to appropriations, for three centers, with support covering five years. Allows extension of support if recommended by a technical and scientific peer review group. Authorizes appropriations. Subtitle D: Women and Alcohol Research Equity Act - Women and Alcohol Research Equity Act of 1991 - Amends the Public Health Service Act to authorize appropriations for research on alcohol abuse and alcoholism, earmarking certain amounts for such research relating to women. Subtitle E: Breast Cancer Basic Research Act - Authorizes to be appropriated, in addition to sums already authorized, a certain amount to the National Cancer Institute for breast cancer research other than research which involves treatment or clinical trials. Subtitle F: Contraceptive and Infertility Research Centers Act - Contraception and Infertility Research Centers Act of 1991 - Amends the Public Health Service Act to require the Director of the Institute of Child Health and Human Development to make grants and enter into contracts for centers for improving methods of contraception and centers for diagnosing and treating infertility. Requires the Director, subject to appropriations, to provide for three centers with respect to contraception and two centers with respect to infertility. Requires each center to: (1) conduct clinical and other applied research; (2) develop training protocols for and conduct training of physicians, scientists, nurses, and other health and allied health professionals; (3) develop model continuing education programs; and (4) disseminate information to such professionals. Allows a center to use the funds to provide: (1) stipends for health and allied health professionals enrolled in the training programs; and (2) fees to individuals serving as subjects in the clinical trials. Requires each center to use the facilities of a single institution, or be formed from a consortium of cooperating institutions, meeting requirements as prescribed by the Secretary of Health and Human Serivces. Allows support for a center to be for a period of up to five years, with extensions of one or more periods of up to five years if the center's operations have been reviewed by a peer review group and the group has so recommended. Authorizes appropriations. Amends the Public Health Service Act to direct the Secretary to establish a program of entering into agreements with health professionals, including graduate students, under which the professionals agree to conduct research with respect to contraception or infertility in consideration of the Government agreeing to repay, for each year of such service, not more than a specified amount of the principal and interest of their educational loans. Applies provisions of the National Health Service Corps Loan Repayment Program to this program, except as inconsistent. Authorizes appropriations. Requires amounts appropriated to remain available until the end of the second fiscal year after they are appropriated. Subtitle G: Sense of Congress Regarding Contraceptive Research - Declares that it is the sense of the Congress that it should: (1) establish a program of research for the development of methods of contraception and methods of diagnosing and treating infertility; (2) provide adequate long-term resources for the program; (3) ensure that Federal programs with respect to sexually transmitted diseases adequately respond to the role of such diseases in infertility; (4) ensure public education on contraception and infertility; (5) establish as Federal goals the development, by the year 2010, of improved barrier methods to protect against pregnancy and diseases, new methods of contraception for use by men, a vaccine-like drug for women that prevents pregnancy for a significant period of time without other specified effects, and new and improved techniques of diagnosing and treating infertility; (6) require the Secretary of Health and Human Services to reestablish the Ethical Advisory Board in order to facilitate research with respect to infertility; (7) review the policies and procedures of the Food and Drug Administration with respect to expediting approval of drugs and devices for use by the public, especially with respect to contraception and infertility; and (8) determine to what extent measures can be implemented by public or private entities to resolve liability issues involved with drugs and devices concerned with contraception and infertility. Subtitle H: Women and AIDS Research Initiative - Women and AIDS Research Initiative Amendments of 1991 - Amends the Public Health Service Act to direct the Secretary of Health and Human Services, through the Director of the National Institutes of Health (NIH), the Administrator of the Alcohol, Drug Abuse, and Mental Health Administration, or both, to establish a program to conduct biomedical and behavioral research on cases of infection with the etiologic agent for acquired immune deficiency syndrome (AIDS) in women. Authorizes the Secretary to conduct the research directly or through grants. Specifies forms of research to be included. Authorizes appropriations. Authorizes appropriations for grants for community-based clinical trials on experimental treatments for such infection for women. Allows the Director of the NIH to authorize grantees to expend the grants to provide individuals with transportation, child care, and other incidental services necessary to enable the individuals to participate as subjects in the trials. Subtitle I: Ovarian Cancer Research Act - Ovarian Cancer Research Act of 1991 - Directs the Secretary of Health and Human Services, through the Director of the National Institutes of Health and the Director of the National Cancer Institute, to conduct or support basic research on certain aspects of ovarian cancer. Prohibits the Secretary from conducting or supporting clinical research on the same matters. Authorizes appropriations. Subtitle J: Osteoporosis and Related Research Act - Osteoporosis and Related Bone Disorders Research, Education, and Health Services Act of 1991 - Amends the Public Health Service Act to require the Director of the National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMSD), the Director of the National Institute on Aging (NIA), and the Director of the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDKD) to expand and intensify research on osteoporosis and related bone disorders. Requires, with respect to osteoporosis and related bone disorders: (1) the NIAMSD Director to increase the number of Specialized Centers of Research; (2) the NIA Director to increase the number of program project grants devoted to creating centers of excellence; and (3) the NIDDKD Director to increase the number of grants in osteoporosis. Authorizes appropriations. Establishes in the Department of Health and Human Services the Interagency Council on Osteoporosis and Related Disorders and the Advisory Panel on Osteoporosis and Related Disorders. Authorizes appropriations for the Advisory Panel. Requires the NIAMSD Director to make grants or enter into contracts to establish a Resource Center on Osteoporosis and Related Disorders to: (1) disseminate information about research results, services, and educational materials to health professionals, patients, and the public; and (2) coordinate leadership training for the development of health professional resource networks. Requires grant and contract recipients to establish: (1) a central computerized information system to translate scientific and technical information into information readily understandable by the general public; and (2) a national toll-free telephone information line. Requires the grant or contract recipient to charge fees for providing information, but allows exceptions for individuals and organizations unable to pay. Authorizes appropriations. Title II: Services - Subtitle A: Breast Cancer Informed Decision Act - Breast Cancer Treatment Informed Consent Act - Requires any State receiving funds under titles V (Maternal and Child Health Block Grant) or XIX (Medicaid) of the Social Security Act or under the preventive health service provisions of the Public Health Service Act to require any physician or surgeon licensed to practice medicine in such State to inform any breast cancer patient of alternative methods of treatment for breast cancer before such treatment is begun. Requires that the patients be informed by means of: (1) a standardized written summary in layman's language and in a language understood by the patient of alternative methods of treatment; and (2) an explanation of the treatment options described in such written summary together with the risks associated with each procedure relative to each patient's particular medical circumstances. Subtitle B: Women's Health Care Coverage Expansion Act - Women's Health Care Coverage Expansion Act of 1991 - Amends titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act to provide Medicare and Medicaid coverage of obstetrical and gynecological services furnished by nurse practitioners. Subtitle C: Mickey Leland Adolescent Pregnancy and Parenthood Act - Mickey Leland Adolescent Pregnancy Prevention and Parenthood Act of 1991 - Amends the Public Health Service Act to replace the title on adolescent family life demonstration projects with a title on adolescent pregnancy prevention, care, and research grants. Authorizes the Secretary of Health and Human Services to make grants to provide, supplement, or improve the quality of care services to pregnant adolescents and their male partners and adolescent parents and prevention services to nonpregnant adolescents. Requires grantees to charge fees for services only under a fee schedule, approved by the Secretary, based on the income of the person and taking into account the difficulty adolescents face in obtaining resources to pay for services. Prohibits discrimination because of an individual's inability to pay for services. Sets forth priorities in making grants, including giving priority to applicants that: (1) serve an area with a high incidence of adolescent pregnancy; and (2) serve an area with a high proportion of low-income families and low availability of care programs. Requires that the amount of a grant be set by the Secretary. Limits a grant, subject to waiver for one year, to 75 percent of the cost of a program. Specifies the information and assurances which must accompany a grant application. Directs the Secretary to coordinate Federal policies and programs providing services relating to the prevention of initial and recurrent adolescent pregnancies and providing care services, including by requiring grantees under these provisions to report concerning Federal, State, and local policies that interfere with delivery and coordination of programs of care for pregnant adolescents and adolescent parents. Authorizes the Secretary to make grants to institutions of higher education to support and disseminate the results of research relating to adolescent pregnancy. Limits grants or contracts to: (1) one year, subject to renewal for four additional one-year periods; and (2) subject to waiver, a specified dollar amount. Allows funds to be used for descriptive or explanatory surveys, evaluation studies, longitudinal studies, or limited programs for services for the purpose of increasing knowledge and understanding of specified matters. Directs the Secretary to establish a system for the review of grant and contract applications which is similar to the system of scientific peer review of the National Institutes of Health. Restricts grants to programs determined by the review panel to have scientific merit. Authorizes appropriations, earmarking at least two-thirds of appropriated funds for services, with no more than one-third to be used for grants for prevention services. Prohibits using such funds for the performance of an abortion. Subtitle D: Adolescent Health Demonstration Projects - Directs the Secretary of Health and Human Services to make grants in FY 1991 through 1995 for the establishment or support of adolescent health demonstration projects. Requires such projects to: (1) provide health care information and services, including related social services; (2) serve adolescents before their graduation from high school; (3) encourage family participation; and (4) establish community advisory committees. Directs the Secretary to give priority to project applicants who will serve areas with low-income or minority populations. States that no grant funds may be used to perform or pay for abortions. Subtitle E: COBRA Displaced Family Amendments - COBRA Displaced Family Amendments of 1991 - Amends the Internal Revenue Code, the Employee Retirement Income Security Act of 1974 (ERISA), and the Public Health Service Act (the Acts) to declare that specified provisions relating to the required period of group health plan continuation coverage do not apply to the qualifying events of death, divorce, or legal separation involving a beneficiary who is 50 years old or older. Requires that coverage continue until the 23rd birthday, or 36 months after the qualifying event, whichever is later, for an individual who is a dependent child beneficiary at the time of such an event involving a covered employee 50 years old or older. Amends the Acts to modify: (1) the termination of extended average for disability and the general rule for other qualifying events, as they relate to the maximum required period of continuation coverage; and (2) dates by which certain notice must be given. Amends the Acts to require that notice of the option to enroll under a conversion plan be given during the 120-day period ending 60 days before the expiration of the continuation coverage. (Current law requires such notice be given during the 180-day period ending on the expiration date of the continuation coverage.) Subtitle F: Federal Employee Family Building Act - Federal Employee Family-Building Act of 1991 - Requires any contract for health benefits for Federal employees that provides obstetrical benefits to also provide benefits for family-building procedures. Provides that payment terms or conditions under such contracts shall be no more restrictive for family-building benefits than for obstetrical benefits. Defines "family-building procedure" as a medical procedure to overcome infertility (including procedures to achieve pregnancy and procedures to carry pregnancy to term) and procedures relating to child adoption. Requires such contracts to provide that: (1) benefits shall consist of reimbursement for reasonable and necessary medical expenses and counseling fees directly relating to the adoption of a child; and (2) benefits shall be available in connection with obstetrical care for the biological mother and medical care for the child if, or to the extent that, the pre-adoptive or adoptive parent or parents are legally responsible for the cost of such care. Directs the Office of Personnel Management to authorize the use of sick leave for purposes relating to family-building procedures. Title III: Prevention - Subtitle A: Medicaid Infant Mortality Amendments - Medicaid Infant Mortality Amendments of 1991 - Amends title XIX (Medicaid) of the Social Security Act to phase-in mandatory State coverage of pregnant women and infants whose family income is below 185 percent of the Federal poverty level. Deducts child and medical care costs from the income eligibility test. Authorizes States to provide Medicaid coverage of prenatal home visitation services for high-risk pregnant women and/or postpartum home visitation services for high-risk infants. Subtitle B: Breast Cancer Screening and Safety Act - Breast Cancer Screening Safety Act of 1991 - Amends the Public Health Service Act to require certification in order for a facility to perform or interpret mammograms, inspect equipment, or conduct quality assurance oversight related to mammography. Authorizes the Secretary of Health and Human Services to issue and renew certificates for up to two years. Requires, in order to be certified, that a facility be accredited. Allows the Secretary to approve a private nonprofit organization to be an accreditation body which meets certain requirements, including inspecting facilities. Directs the Secretary to: (1) establish standards for facilities to assure the safety and accuracy of mammography; (2) specify organizations eligible to certify individuals to perform radiological procedures; (3) specify boards eligible to certify individuals to interpret screening mammograms; (4) establish standards regarding the qualifications for individuals to interpret screening mammograms; and (5) specify boards eligible to certify individuals to inspect screening mammography equipment and oversee quality assurance practices. Directs the Secretary to conduct annual announced and unannounced inspections of certified facilities. Provides for: (1) intermediate sanctions for certain violations; (2) suspension, revocation, and limitation of certificates; and (3) injunctions. Requires fees for certificate issuance and renewal, and for inspections, sufficient to cover costs. Requires annual publication of a list of facilities convicted of fraud and abuse, false billings, or kickbacks, facilities that have had certificates revoked, suspended, or limited, and facilities that have been the subject of a sanction or other similar matters. Allows the Secretary to exempt facilities in a State with more stringent requirements from compliance with this Act. Directs the Secretary to: (1) make grants for research on new methods of establishing a Mammography Registry; and (2) based on the research, establish the Registry. Amends title XVIII (Medicare) of the Social Security Act to require that screening mammographies paid for under Medicare be performed by a facility: (1) certified under this Act; and (2) in compliance with specified provisions of this Act. Subtitle C: Medicaid Coverage for Mammographies and Pap Smears - Medicaid Women's Basic Health Coverage Act of 1991 - Amends title XIX (Medicaid) of the Social Security Act to provide Medicaid coverage of: (1) screening mammographies for women age 35 and older conducted in accordance with the frequency guidelines established by the Omnibus Budget Reconciliation Act of 1990 for such coverage under the Medicare Program (title XVIII of the Social Security Act); and (2) screening pap smears. Subtitle D: Medicare Bone Mass Measurement Coverage Act - Medicare Bone Mass Measurement Coverage Act of 1991 - Amends title XVIII (Medicare) of the Social Security Act to provide Medicare coverage of bone mass measurements. Subtitle E: Women and AIDS Outreach and Prevention - Women and AIDS Outreach and Prevention Act - Amends the Public Health Service Act to authorize the Secretary of Health and Human Services to make grants regarding prevention of acquired immune deficiency syndrome (AIDS) and other sexually transmitted diseases in women, including preventive health services, screening, providing treatment (for such diseases other than AIDS), referrals, and follow-up services. Requires that a grantee be an entity that provides health or voluntary family planning services: (1) to a significant number of low-income women; and (2) in an area with a significant number of AIDS cases in women and in newborn infants. Requires that grantees maintain the confidentiality of information on individuals, subject to complying with applicable law. Authorizes appropriations. Subtitle F: Infertility Prevention Act - Infertility Prevention Act of 1991 - Amends the Public Health Service Act to authorize the Secretary of Health and Human Services, with regard to any treatable sexually transmitted disease that can cause infertility in women if treatment is not received for the disease, to make grants for specified activities, including counseling, screening, treatment, referrals, outreach, public information and education, training for health care providers, and data collection. Directs the Secretary to establish criteria for ensuring the quality of screening for such diseases. Limits grants to three years, with annual approval by the Secretary. Authorizes appropriations. Authorizes the Secretary to make grants for research on improving the delivery of services under this subtitle. Authorizes appropriations.
United States · United States Congress · 26 February 1991
International Voluntary Family Planning Assistance Act of 1991 - Authorizes appropriations for international population planning assistance. Earmarks a specified amount of such funds for the United Nations Population Fund if: (1) the Fund maintains such funds in a separate account, without commingling; (2) none of the funds are made available for China; and (3) any agreement to obligate such funds expressly states that the full amount granted by the agreement will be refunded to the United States if U.S. funds are used for family planning in China or abortions in any country. Requires a specified amount of population planning assistance to be used to increase family planning service delivery in countries with large population growth. Prohibits any funds appropriated under this Act from being used for abortions.
United States · United States Congress · 21 February 1991
Women and AIDS Outreach and Prevention Act - Amends the Public Health Service Act to authorize the Secretary of Health and Human Services to make grants regarding prevention of acquired immune deficiency syndrome (AIDS) and other sexually transmitted diseases in women, including preventive health services, screening, providing treatment (for such diseases other than AIDS), referrals, and follow-up services. Requires that a grantee be an entity that provides health or voluntary family planning services: (1) to a significant number of low-income women; and (2) in an area with a significant number of AIDS cases in women and in newborn infants. Requires that grantees maintain the confidentiality of information on individuals, subject to complying with applicable law. Authorizes appropriations.
United States · United States Congress · 21 February 1991
Women and AIDS Research Initiative Amendments of 1991 - Amends the Public Health Service Act to direct the Secretary of Health and Human Services, through the Director of the National Institutes of Health (NIH), the Administrator of the Alcohol, Drug Abuse, and Mental Health Administration, or both, to establish a program to conduct biomedical and behavioral research on cases of infection with the etiologic agent for acquired immune deficiency syndrome (AIDS) in women. Authorizes the Secretary to conduct the research directly or through grants. Specifies forms of research to be included. Authorizes appropriations. Authorizes appropriations for grants for community-based clinical trials on experimental treatments for such infection for women. Allows the Director of the NIH to authorize grantees to expend the grants to provide individuals with such transportation, child care, and other incidental services as may be necessary to enable the individuals to participate as subjects in the trials.
United States · United States Congress · 20 February 1991
National Recycling Resource Act - Amends the Solid Waste Disposal Act to prohibit the sale of beer, mineral water, soda water, wine coolers, or carbonated soft drinks in beverage containers by retailers and distributors unless such containers carry a refund value of ten cents. Requires distributors to collect from retailers the refund value for each beverage sold to such retailers. Directs retailers to collect from consumers the refund value for each beverage sold to such consumers. Requires retailers and distributors to pay the refund on returned containers of brands (in the same kind and size of container) sold by such retailers or distributors. Directs distributors to pay annually to the Administrator of the Environmental Protection Agency unclaimed refund amounts (the amount by which the total refund value of all containers sold by such distributors exceeds the amount paid by distributors to retailers). Makes unclaimed refunds available to the Administrator for administration of this Act and to carry out pollution prevention and recycling programs. Prohibits distributors and retailers from selling beverages in metal beverage containers with detachable openings. Makes this Act inapplicable (except for the prohibition on the sale of metal containers with detachable openings) to Michigan, Massachusetts, Oregon, Iowa, New York, Delaware, Connecticut, Vermont, Maine, and any State that: (1) has established a program to expend amounts equal to total unclaimed refunds for solid waste management plans; and (2) has adopted requirements identical to those under this Act for beverage containers, or has demonstrated to the Administrator that the State has achieved a 70 percent return rate for such containers. Prohibits States or political subdivisions from imposing any tax on the sale of beverage containers. Requires the Administrator to promulgate regulations to provide for the adjustment for inflation of the ten cent refund amount at ten-year intervals. Prescribes civil penalties for violations of this Act.
United States · United States Congress · 6 February 1991
Mineral Exploration and Development Act of 1991 - Title I: Mineral Exploration and Development - Sets forth guidelines for mineral exploration on public domain lands. Declares that holders of mining claims executed under this Act have the exclusive right of possession and may use such land only for mining activities. Prescribes rules for mining claim recordation and use of public land surveys. Sets forth rental fees and diligent development requirements. Directs the Secretary of the Interior to make non-mining lands available to record holders of mining claims for mineral milling, processing, and beneficiation activities. Prohibits the issuance of patents for vein, lode, placer, and mill site mining claims unless administrative requirements are met. Amends Federal law to declare that after the date of enactment of this Act, all mineral materials deposits shall only be subject to disposal under the terms of the Materials Act of 1947. Renames specified Federal laws: (1) the Surface Resources Act of 1955; and (2) the Materials Act of 1947. Repeals the Building Stone Act. Declares that all building stone shall be subject to disposal only under the Materials Act of 1947. Title II: Environmental Considerations of Mineral Exploration and Development - Prescribes surface management non-degradation guidelines to which claim holders must adhere or be subject to suspension of operations. Requires claim holders to reclaim mining-affected areas. Directs the Secretary of the Interior to ensure that all management planning decisions treat public domain lands subject to mineral claims according to environmental guidelines. Designates lands which are not open to the location of mining claims under this Act. Title III: Abandoned Minerals Mine Reclamation Fund - Amends the Surface Mining Control and Reclamation Act of 1977 to establish the Abandoned Minerals Mine Reclamation Fund to be administered by the Secretary (acting through the Director, Office of Surface Mining Reclamation and Enforcement) for the reclamation and restoration of land and water resources adversely affected by past minerals and mineral materials mining. Designates lands and waters eligible for reclamation expenditures. Sets forth Fund allocation and expenditure guidelines to be distributed as grants among eligible States. Authorizes appropriations. Title IV: Administrative and Miscellaneous Provisions - Sets forth jurisdiction and policy function guidelines for the Secretary and for the Secretary of Agriculture. Authorizes the Secretary of Agriculture to administer Federal mining law activities on National Forest System lands. Authorizes user fees to reimburse the United States for administrative expenses.
United States · United States Congress · 6 February 1991
Ancient Forest Protection Act of 1991 - Establishes the National Ancient Forest Reserve System. Designates certain lands in California, Oregon, and Washington as components of such System. Declares that all Federal lands in such States which qualify as ancient forest or associated forest and are not designated as components of the System shall be managed as if they are. Requires the Secretary of Agriculture and the Secretary of the Interior to issue regulations with respect to the removal of commercial timber from such lands. Declares it to be U.S. policy to develop and utilize scientific information to study and identify the biological and ecological requirements of ancient forest ecosystems. Directs the Chairman of the Council on Environmental Quality to study and report to appropriate congressional committees on the biological and physical requirements for the survival of such ecosystems.
United States · United States Congress · 6 February 1991
Municipal and Industrial Water Conservation Act of 1991 - Directs the Administrator of the Environmental Protection Agency to establish an Office of Water Conservation to perform specified duties, including: (1) the support of programs to reduce water use and loss in municipal, industrial, commercial, institutional, and residential sectors; (2) the support of dissemination of model water conservation programs; and (3) the promotion of least-cost approaches to water planning and regional approaches to management of water and sewer systems. Calls for intergovernmental coordination in water conservation efforts. Requires the Office to provide technical assistance to States, Indian tribes, utilities, local governments, and others in efforts to implement water conservation policies. Requires regular consultations with major water resources development agencies to target limited resources. Requires the Office to develop a series of model water conservation programs with policy options for States, Indian tribes, water utilities, and municipalities. Allows such water users to request feasibility studies of their current and potential water conservation activities. Allocates the costs of such studies, allowing smaller studies to be conducted at full Federal cost. Amends the Federal Water Pollution Control Act (as amended by the Water Quality Act of 1987) to require the Administrator to make capitalization grants to State water pollution control revolving funds for conducting municipal and industrial water conservation activities which will reduce operating and capital costs of and needs for waste water treatment facilities. Directs the Office to provide, upon request, technical assistance to businesses and institutions for water efficiency campaigns, plumbing system leak-detection, water use audits, and other water conservation measures. Requires the development of model water conservation programs for businesses and institutions and studies, upon request, of their programs. Directs the Administrator to establish a National Clearinghouse on Water Conservation to collect and disseminate, free of charge, information on water conservation technologies and practices. Establishes the Advisory Council on Water Conservation to make recommendations to the Administrator on activities under this Act. Requires the President's Council on Environmental Quality to require, by rulemaking authority, the consideration of water conservation activities in all relevant environmental impact studies conducted under specified provisions of the National Environmental Policy Act of 1969. Authorizes appropriations through FY 1996 to carry out this Act.
United States · United States Congress · 6 February 1991
Amends the International Air Transportation Competition Act of 1979 to repeal a provision relating to the regulation of air carrier flights from Love Field, Texas, to destinations outside the State of Texas.
United States · United States Congress · 6 February 1991
Amends Federal law to provide that no adjournment of either House of Congress, other than an adjournment sine die to end a Congress, prevents the return of a bill by the President. Authorizes the Clerk of the House of Representatives and the Secretary of the Senate to receive bills returned by the President any time their respective Houses are not in session.
United States · United States Congress · 6 February 1991
Lead Battery Recycling Incentives Act - Amends the Solid Waste Disposal Act to direct the Administrator of the Environmental Protection Agency (EPA) to promulgate regulations for persons who generate, transport, store, recycle, or dispose of spent lead-acid batteries. Requires the Administrator, in developing such regulations, to conduct an analysis of the economic impact of the regulations on the recycling industry. Sets forth required elements of such regulations, including specific requirements for: (1) the storage and transfer of batteries by generators; (2) recordkeeping by battery generators, transporters, and recyclers; and (3) management practices of recyclers. Directs battery retailers to accept from customers spent lead-acid batteries of the same type and quantity of the batteries sold. Requires transporters to acquire an identification number from the EPA or the State enforcing this Act. Directs the Administrator to implement education activities to inform the public about the environmental and safety hazards associated with improper handling and disposal of spent lead-acid batteries. Authorizes appropriations. Applies such requirements to batteries which are transported to or managed by a lead-acid battery recycling facility, a secondary lead smelter, or any facility that prepares batteries for recycling. Requires producers or importers of lead-acid batteries to recycle, for the ten-year period beginning 24 months after this Act's enactment, an amount of spent lead equal to at least the amount determined by multiplying the amount of lead in the batteries produced or imported by such persons by the recycling percentage established by the Administrator. Authorizes compliance with such requirement by: (1) reclaiming lead from such batteries and using it in the production of new batteries; (2) purchasing reclaimed lead from secondary lead smelters for purposes of producing new batteries or shielding; or (3) purchasing recycling credits. Directs producers or importers to report annually to the Administrator on the amount of virgin and secondary lead used in new lead-acid batteries produced or imported by such persons. Sets the recycling percentage at 80 percent. Increases such percentage by two points annually. Authorizes the Administrator to reduce or waive the two percent increase if the rate exceeds 95 percent. Directs the Administrator to promulgate regulations to allow: (1) producers of lead-acid batteries to create credits for recycling an amount of batteries greater than required; and (2) producers of new batteries to purchase such credits for purposes of complying with this Act. Sets forth minimum requirements for the credit system. Applies battery recycling requirements to persons who produce or import more than 10,000 pounds of new lead-acid batteries annually. Sets the recycling percentage at 90 percent if the Administrator fails to promulgate recycling regulations.
United States · United States Congress · 6 February 1991
Oil Recycling Incentives Act - Amends the Solid Waste Disposal Act to prohibit the Administrator of the Environmental Protection Agency (EPA) from identifying used oil or affiliated materials as hazardous wastes under the Solid Waste Disposal Act. Defines "affiliated materials" as used oil filters and any materials used for cleaning up after changing oil that are contaminated with used oil. Provides that any fuel derived from used oil that does not meet used oil specifications established by the Administrator and would otherwise be identified as a hazardous waste shall be deemed to be a hazardous waste. Directs the Administrator to promulgate regulations for persons who generate, store, transport, recycle, or dispose of used oil. Requires the Administrator, in developing such regulations, to conduct an analysis of the economic impact of such regulations on the used oil recycling industry. Provides that regulations for used oil generators shall: (1) prohibit the storage of used oil in an underground storage tank unless such tank meets requirements under this Act; (2) prohibit the storage of used oil for more than 12 months; (3) require generators to transfer such oil to specified permitted used oil recycling or disposal facilities or transporters; and (4) require generators to keep specified records on such oil. Requires used oil transporter regulations to provide that such transporters: (1) acquire identification numbers from EPA; (2) meet applicable financial responsibility requirements; and (3) keep specified records. Includes intermediate storage requirements in transporter regulations. Provides that used oil recycler regulations shall require recyclers to: (1) keep specified records; (2) test fuel produced from the recycling process before departure from the facility; and (3) obtain certain permits. Directs the Administrator to promulgate regulations for exempt refineries that recycle used oil as necessary to protect human health and the environment. Sets forth minimum requirements for such regulations. Requires used oil disposal and affiliated material regulations to prohibit mixing used oil with any hazardous waste identified under the Solid Waste Disposal Act unless the mixture is stored, treated, or disposed of at a permitted facility. Directs the Administrator to promulgate regulations requiring owners or operators of new and existing recycling facilities to have class permits. Sets forth permit requirements. Provides for annual inspections of such facilities to assure permit compliance. Sets forth requirements for interim class permits. Exempts from permit requirements: (1) facilities which refine at least 10,000 barrels daily of crude oil into petroleum products, are classified as S.I.C. number 2911 (pursuant to the Office of Management and Budget Standard Classification Manual) facilities, and at which the amount of refined used oil is equal to no more than the amount of used oil that the owner is required to recycle and the used oil contains less than a specified amount of halogens; and (2) facilities which compound or blend lubricating base oil into finished lubricant products as their principal activity, are classified as S.I.C. number 2899 or 2992 facilities, and whose volume of used oil compounded or blended into such products is no more than ten percent of the lubricating base oil compounded or blended annually. Exempts from used oil regulation requirements on-site activities at facilities classified as S.I.C. number 4911 facilities. Directs the Administrator to promulgate regulations governing such facilities. Requires the Administrator to promulgate regulations establishing specification standards for fuel derived from used oil to be burned in furnaces and boilers. Sets forth requirements to be effective if the Administrator fails to promulgate used oil regulations by the applicable deadline. Requires the Administrator to implement education programs to inform the public and small businesses about the environmental and safety hazards associated with improper handling and disposal of used oil and the benefits derived from used oil recycling. Authorizes appropriations. Sets forth labeling requirements for oil packages and oil filters to encourage the return of used oil to collection centers. Requires States to develop plans for making information available to the public about recycling of used oil and oil filters. Directs the Administrator to establish a toll-free telephone line to give out information about State used oil recycling programs. Requires producers or importers of lubricating oil to recycle for a period of ten years an amount of used oil equal to at least the amount determined by multiplying the amount of lubricating oil produced or imported that year by such persons by the recycling percentage established by the Administrator. Authorizes such individuals to comply with this Act by: (1) recycling (through re-refining) used oil or purchasing re-refined oil for purposes of producing lubricating oil; or (2) purchasing recycling credits under this Act. Requires producers and importers to report annually to the Administrator on the amount of oil produced or imported by such persons. Requires a producer or importer to be treated as having recycled two units of used oil for each unit of re-refined oil or lubricant base stock purchased. Directs the Administrator to establish a recycling percentage that is two points higher than the existing recycling rate for lubricating oil. Provides for increases in such percentage of two points annually for ten years. Requires the Administrator to promulgate regulations allowing recyclers to create credits for used oil recycling and producers or importers of lubricating oil to purchase such credits. Provides that such regulations shall require: (1) specified records to be kept by recyclers and by importers or producers; and (2) recyclers to sell or distribute in commerce such oil as specification used oil, off-specification used oil, industrial specification used oil, or re-refined oil. Directs the Administrator to report to the Congress on such regulations and to include: (1) a discussion of the effects of such regulations on the oil industry and the environment; and (2) an evaluation of the level of the recycling percentage and whether such percentage should be increased in future years. Requires an updated version of such report to be submitted within ten years of this Act's enactment. Applies recycling requirements to persons who import or produce more than 100,000 gallons of lubricating oil annually. Sets the recycling percentage at 40 percent if the Administrator fails to promulgate such regulations.
United States · United States Congress · 6 February 1991
Elementary School Counseling Demonstration Act - Authorizes appropriations for the Secretary of Education to make demonstration grants to local education agencies to establish effective and innovative elementary school counseling programs that can serve as national models. Directs the Secretary to establish an Office of School Counseling, headed by a Director, in the Department of Education.
United States · United States Congress · 6 February 1991
Newsprint Recycling Incentives Act - Amends the Solid Waste Disposal Act to require producers or importers of newsprint to recycle, through methods specified under this Act, an amount of newsprint equal to at least the amount determined by multiplying the amount of newsprint produced or imported annually by such individuals by the recycling percentage established by the Administrator of the Environmental Protection Agency (EPA). Authorizes such individuals to comply with this Act by: (1) recycling (through deinking) newsprint; (2) purchasing recycled newsprint to combine with shipments of virgin newsprint; or (3) purchasing recycling credits under this Act. Requires the recycling percentage to be at least 20 percent. Provides for increases in such percentage of two points annually for the next ten years. Requires the Administrator to promulgate regulations to allow newsprint producers or importers to create or purchase recycling credits. Provides that such regulations shall require: (1) producers and importers to keep specified records; (2) producers of recycled newsprint to notify EPA of capacity to recycle old newsprint; (3) importers of recycled newsprint to notify the U.S. Customs Service of the amount of newsprint being imported and to have certifications of the accuracy of such amount from the trade representative of the country shipping such newsprint to the United States; and (4) producers and importers to report to the Administrator on the amount of recycled newsprint produced or imported annually and the number of credits purchased from, or sold to, other producers or importers. Directs the Administrator to report to the Congress on such regulations and to include: (1) a discussion of the effects of such regulations on the newsprint and newspaper industry and the environment; and (2) an evaluation of the level of the recycling percentage and whether such percentage should be increased in future years. Requires an updated report to be submitted within ten years of this Act's enactment. Applies recycling requirements to persons who produce or import more than ten tons of newsprint annually. Sets the recycling percentage at 20 percent if the Administrator fails to promulgate such regulations. Prescribes civil penalties for violations of this Act. Directs the Administrator to submit to the Congress and implement a plan for the recycling of post-consumer high grade paper. Authorizes appropriations.
United States · United States Congress · 6 February 1991
RU-486 Regulatory Fairness Act of 1991 - Declares that a specified import alert issued by the Food and Drug Administration (FDA) with respect to the drug RU-486 shall not have any legal effect and shall be withdrawn by the FDA. (RU-486 has been used outside the United States to abort pregnancies.) Prohibits the FDA from taking any action to bar the import of that drug unless the FDA finds that it is being imported for an illegal use. Requires the FDA to give consideration in accordance with provisions relating to new drug approval when an application is submitted under such provisions for RU-486.
United States · United States Congress · 6 February 1991
Tire Recycling Incentives Act - Amends the Solid Waste Disposal Act to require tire producers or importers to recycle an amount of scrap tires equal to at least the amount determined by multiplying the amount of tires produced or imported that year by the recycling percentage established by the Administrator of the Environmental Protection Agency. Authorizes compliance by: (1) recycling scrap tires through reintroducing the recovered rubber into a manufacturing process to produce new tires or retread old tire casings; or (2) purchasing recycling credits under this Act. Requires such individuals to report annually to the Administrator on the amount of tires produced or imported. Directs the Administrator to establish a recycling percentage that is five percentage points higher than the existing recycling rate for tires. Provides for increases in such percentage of five points annually in the ten years following the date of enactment of this Act. Requires the Administrator to promulgate regulations allowing recyclers to create credits for tire recycling and tire producers or importers to purchase such credits. Sets forth: (1) specified recordkeeping requirements for owners or operators of tire sale and installation facilities, scrap tire collection facilities, and tire producers and importers; and (2) the amount of credits allowed for scrap tires. Directs the Attorney General to determine the effects of the credit system on competition within the tire and scrap tire recycling industries and to report annually to the Congress. Sets the recycling percentage at 60 percent if the Administrator fails to promulgate regulations. Prescribes civil penalties for violations of recycling requirements. Considers a scrap tire recycling or disposal facility to be a solid waste disposal facility for purposes of Internal Revenue Code provisions concerning exempt facility bonds. Directs the Administrator to: (1) publish in the Federal Register minimum requirements for State scrap tire management and procedures under which such requirements shall be incorporated into State solid waste management plans; (2) provide for expedited review of State plans which include specified scrap tire recycling measures; and (3) establish standards to minimize health and environmental damages from the improper disposal and storage of tires. Requires such standards to provide for: (1) bans on the disposal of tires in land disposal facilities and on the intentional infliction of damage on tire casings to preclude casings from being used in retreading; (2) State inventories of scrap tire collection facilities, tire advisory boards, and scrap tire abatement plans; (3) agreements between facilities which distribute more than 1,000 tires annually and licensed tire haulers for the exclusive hauling of scrap tires by licensed haulers; and (4) prohibitions on the transportation of scrap tires by transporters without transportation identification numbers, with specified exceptions. Directs the Administrator to publish guidelines for States for the issuance of permits to scrap tire collection facilities. Provides for: (1) limits on the size of scrap tire piles at such facilities; (2) bans on open burning within 50 feet of a scrap tire pile; (3) regulations on vegetation, rodent, and mosquito control at such facilities; and (4) different requirements for collection facilities located in 100-year flood plains or other areas where water resources are critical. Requires the Administrator to promulgate guidelines for States for facility emergency plans. Directs facility owners or operators to maintain and update emergency preparedness manuals. Requires facility owners or operators to notify the State immediately in the event of an emergency with potential offsite impacts. Sets forth specified emergency and operational recordkeeping, reporting, and inspection requirements. Requires all regulated facilities to have appropriate financial responsibility or insurance to maintain the facility for at least five years after closure. Exempts specified persons from permitting requirements. Directs the Administrator to promulgate regulations for the State to use to issue permits to scrap tire recycling facilities. Requires the Secretary of the Interior, together with the heads of agencies responsible for public lands or military installations, to implement a plan to remediate tire piles. Applies plan requirements to the National Railroad Passenger Corporation. Directs the Administrator to develop a guideline for procuring items that make use of scrap or used tires. Requires Federal departments, if the Administrator fails to promulgate such guideline, to procure items containing at least 75 percent of post-consumer scrap rubber from scrap tires if the rubber is available within a reasonable amount of time at a reasonable price and meets performance standards. Directs the Secretary of Commerce, acting through the Director of the National Institute of Standards and Technology, to publish standards to determine the life-cycle costs and benefits of items that make use of rubber from scrap or used tires as compared with items that make use of rubber other than from scrap or used tires. Requires such standards to be used by Federal departments covered by the procurement guideline. Directs the Secretary of Transportation to determine and report to the Congress on: (1) direct worker environmental health effects relating to asphalt made from crumb rubber from scrap tires; (2) the recyclability of asphalt road surfaces made from crumb rubber from scrap tires; and (3) the estimated life of existing asphalt road surfaces made from crumb rubber from scrap tires. Permits States to: (1) enter into consent agreements with owners and operators of scrap tire collection facilities for proper management and abatement of scrap tires; and (2) levy fines on facilities for noncompliance. Imposes fines on tire facilities and landfills for specified violations of this Act. Authorizes appropriations.
![Official portrait of Rep. Beilenson, Anthony C. [D-CA-24]](https://www.congress.gov/img/member/b000318_200.jpg)