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Official portrait of Rep. Berkley, Shelley [D-NV-1]

Rep. Berkley, Shelley [D-NV-1]

United States · Official source

Records

3,424 records where Rep. Berkley, Shelley [D-NV-1] is listed as a sponsor, author, or other actor. Search with topics and years

Bill· HRH.R. 326 (107th)referred

Ovarian Cancer Research and Information Amendments of 2001

United States · United States Congress · 31 January 2001

Ovarian Cancer Research and Information Amendments of 2001 - Amends the Public Health Service Act to authorize appropriations for ovarian cancer research. Specifies material to be included in ovarian cancer information and education programs. Requires the National Cancer Advisory Board to include at least one member who is at high risk for developing ovarian cancer.

Bill· HRH.R. 365 (107th)referred

Campaign Telemarketers Disclosure Act of 2001

United States · United States Congress · 31 January 2001

Campaign Telemarketers Disclosure Act of 2001 - Amends the Federal Election Campaign Act of 1971 to require disclosure during certain campaign-related telephone calls of the identification of persons financing them.

Bill· HRH.R. 322 (107th)referred

Tax Deduction Fairness Act of 2001

United States · United States Congress · 31 January 2001

Tax Deduction Fairness Act of 2001 - Amends the Internal Revenue Code to allow a taxpayer to elect, when itemizing, to deduct State and local general sales taxes in lieu of State income taxes. Limits such deduction to a tax imposed at one rate in respect of the sale at retail of a broad range of classes of items (including food, clothing, medical supplies, and motor vehicles).

Bill· HRH.R. 303 (107th)open

Retired Pay Restoration Act of 2001

United States · United States Congress · 30 January 2001

Retired Pay Restoration Act of 2001 - Permits retired members of the armed forces with service-connected disabilities to be paid both military retired pay and veterans' disability compensation. Repeals a special compensation program for certain severely disabled military retirees.

Bill· HRH.R. 267 (107th)referred

Broadband Internet Access Act of 2001

United States · United States Congress · 30 January 2001

Broadband Internet Access Act of 2001 - Amends the Internal Revenue Code to establish the broadband credit which shall be the sum of: (1) the current generation broadband credit; plus (2) the next generation broadband credit. Defines terms.

Bill· HRH.R. 250 (107th)referred

Postmasters Fairness and Rights Act of 2001

United States · United States Congress · 30 January 2001

Postmasters Fairness and Rights Act of 2001 - Amends Federal law to prescribe guidelines within which the Postal Service shall propose changes in pay policies, schedules, and fringe benefit programs affecting postmasters which are to be in effect during the period covered by a collective bargaining agreement between the Postal Service and certain recognized bargaining representatives. Grants certain qualified postmasters' organizations the right to participate in program planning and development pertaining to pay policies, schedules, and fringe benefits.

Bill· HRH.R. 28 (107th)open

Violence Against Women Office Act

United States · United States Congress · 3 January 2001

Violence Against Women Office Act - Establishes within the Department of Justice (DOJ) a Violence Against Women Office. Specifies the duties of the Office Director, including carrying out DOJ functions under the Violence Against Women Act of 1994 and on matters relating to violence against women.

Bill· HRH.R. 90 (107th)referred

Know Your Caller Act of 2001

United States · United States Congress · 3 January 2001

Know Your Caller Act of 2001 - Amends the Communications Act of 1934 to make it unlawful for any person making a telephone solicitation to: (1) interfere with or circumvent a caller identification service from accessing or providing the call recipient with identifying information about the call; or (2) fail to provide caller identification information that is accessible by a caller identification service, if such person has the capability to provide such information. Provides a cause of action for a person or entity, or a State attorney general on behalf of its residents, for violations of such prohibition or regulations.

Law· HRH.R. 93 (107th)enacted

Federal Firefighters Retirement Age Fairness Act

United States · United States Congress · 3 January 2001

Federal Firefighters Retirement Age Fairness Act - Amends Federal civil service law relating to the Civil Service Retirement System and the Federal Employees' Retirement System to provide that the mandatory separation age for Federal firefighters (currently, 55) be made the same as the age that applies with respect to Federal law enforcement officers (currently, 57).

Bill· HRH.R. 65 (107th)open

Military Retirement Equity Act of 2001

United States · United States Congress · 3 January 2001

Military Retirement Equity Act of 2001 - Permits retired members of the armed forces to be paid retirement pay concurrently with compensation for any service-connected disability, with an exception for members retired with less than 20 years of creditable service. Reduces the retirement pay of individuals receiving both types of pay by a specified percentage of the disability compensation which decreases as the disability rating increases. Prohibits any reduction in the retirement pay of a disabled person when the disability rating is total. Provides retired pay amounts for members who retired with 20 years or more of service due to a physical disability.

Bill· HRH.R. 179 (107th)open

Keep Our Promise to America's Military Retirees Act

United States · United States Congress · 3 January 2001

Keep Our Promise to America's Military Retirees Act - Amends Federal employee provisions to include the following as an employee, for purposes of authorized enrollment under the Federal Employees Health Benefits (FEHB) Program: (1) a member of the armed forces who began service before June 7, 1956, and retired after a minimum of 20 years of such service or by reason of a service-connected disability; and (2) the surviving widow or widower of such member. Directs the Secretary of Defense to enter into an agreement with the Office of Personnel Management to provide FEHB coverage to the following eligible beneficiaries: (1) a member or former member entitled to military retired or retainer pay; (2) an unremarried former spouse who was married to a member for at least 20 years, during which such member performed at least 20 years of retirement-creditable military service; (3) a dependent of a deceased qualifying member or former member; (4) a dependent of a living member or former member; and (5) a family member.

Bill· HRH.R. 164 (107th)referred

Faith-Based Lending Protection Act

United States · United States Congress · 3 January 2001

Faith-Based Lending Protection Act - Amends the Federal Credit Union Act to exempt extensions of credit to a nonprofit religious organization from a specified limitation on member business loans made by a Federal credit union.

Bill· HRH.R. 162 (107th)referred

Mental Health and Substance Abuse Parity Amendments of 2001

United States · United States Congress · 3 January 2001

Mental Health and Substance Abuse Parity Amendments of 2001 - Amends the Employee Retirement Income Security Act of 1974 (ERISA), the Internal Revenue Code, and the Public Health Service Act to prohibit group and individual health plans from imposing treatment limitations or financial requirements on the coverage of mental health benefits, or substance abuse and chemical dependency benefits, if similar limitations or requirements are not imposed on medical and surgical benefits. Amends the Health Insurance Portability and Accountability Act of 1986 to provide for coordination in implementation of such amendments.

Bill· HRH.R. 218 (107th)referred

Community Protection Act of 2001

United States · United States Congress · 3 January 2001

Community Protection Act of 2001- Amends the Federal criminal code to authorize qualified law enforcement officers (including qualified retired officers) carrying the photographic identification issued by the governmental agency for which the individual is, or was, employed as a law enforcement officer, notwithstanding State or local laws, to carry a concealed firearm that has been shipped or transported in interstate or foreign commerce. Specifies that this Act shall not be construed to supersede or limit the laws of any State that: (1) permit private persons or entities to prohibit or restrict the possession of concealed firearms on their property; or (2) prohibit or restrict the possession of firearms on any State or local government property, installation, building, base, or park.

Bill· HRH.R. 87 (107th)referred

Keeping Families Together Act of 2001

United States · United States Congress · 3 January 2001

Keeping Families Together Act of 2001 - Amends the Illegal Immigration Reform and Immigrant Responsibility Act of 1996 (Act) to repeal the provision amending the definition of "aggravated felony," and restore provisions of law amended by such provision as if it had not been enacted, including residency-or status-related rights of an affected legal alien. Amends the Immigration and Nationality Act to revise detention of criminal alien provisions, effective as if included in the Act. Repeals, as if included in the Act: (1) certain provisions respecting termination of continuous presence or physical presence in the United States; and (2) the definition of "conviction." Authorizes the Attorney General to admit certain lawfully admitted permanent resident aliens returning to the United States who temporarily proceeded abroad voluntarily and not under an order of deportation or removal, effective as of a specified date, as if certain sections of the Antiterrorism and Effective Death Penalty Act of 1996 and the Illegal Immigration Reform and Immigrant Responsibility Act of 1996 had not been enacted. Revises provisions respecting judicial review of removal orders. Requires the Attorney General to establish a post-proceeding removal relief process for affected aliens.

Bill· HRH.R. 97 (107th)referred

Notch Fairness Act of 2001

United States · United States Congress · 3 January 2001

Notch Fairness Act of 2001 - Amends title II (Old Age, Survivors and Disability Insurance) (OASDI) of the Social Security Act to revise the formula for the computation of minimum Old Age Insurance benefits for individuals who reached age 65 in or after 1979 and to whom applies the 15-year transition period for the changes in benefit computation rules enacted in the Social Security Amendments of 1977. Sets forth a schedule of additional benefit increases for such beneficiaries (and related beneficiaries), with percentages declining from 55 percent to five percent and keyed to the year an individual became eligible for such benefits between 1979 and 1988. Allows such beneficiaries, in the alternative, to receive lump sum payments over four years totaling $5,000. Directs the Director of the Office of Management and Budget, when estimating any additional spending under the Balanced Budget and Emergency Deficit Control Act of 1985 (Gramm-Rudman-Hollings Act) resulting from this Act, to decrease the adjusted discretionary spending limits for budget authority and outlays for FY 2002 set forth in such Act by the increase in direct spending estimated to result from enactment of this Act for that fiscal year.

Bill· HRH.R. 183 (107th)referred

Women's Health Environmental Research Centers Act of 2000

United States · United States Congress · 3 January 2001

Women's Health Environmental Research Centers Act of 2000 - Amends the Public Health Service Act to require the National Institute of Environmental Health Sciences to make grants for the development and operation of not more than six centers to conduct multidisciplinary research on environmental factors that may be related to the development of women's health conditions. Requires each center to conduct basic and clinical research, develop training protocols, conduct training, develop model continuing education programs, and disseminate information to professionals and the public, with priority to prevention activities. Allows a center to use grant funds for stipends for health and allied health professionals in that training. Requires each center to: (1) collaborate with community organizations; and (2) use the facilities of a single institution or be formed from a consortium of institutions. Limits support to five years but allows extensions if recommended by a technical and scientific peer review group appointed by the Institute's director. Authorizes appropriations.

Bill· HRH.R. 122 (107th)referred

Social Security Benefits Tax Relief Act of 2001

United States · United States Congress · 3 January 2001

Social Security Benefits Tax Relief Act of 2001 - Amends the Internal Revenue Code to repeal the 85 percent (second tier) taxation of Social Security and Railroad Retirement benefits. Appropriates, from the general fund, to the Hospital Insurance Trust Fund amounts equal to the reduction in revenue lost because of the repeal. Requires an annual report concerning the funds transferred from the general fund to the Trust Fund.

Bill· HRH.R. 12 (107th)referred

IRA Fairness Act of 2001

United States · United States Congress · 3 January 2001

IRA Fairness Act of 2001 - Amends the Internal Revenue Code to increase the annual limitation on deductible individual retirement account contributions to $5000.

Resolution· HRESH.Res. 18 (107th)open

Expressing the sense of the House of Representatives that the Senate should ratify the Convention on the Elimination of All Forms of Discrimination Against Women.

United States · United States Congress · 3 January 2001

Expresses the sense of the House of Representatives that: (1) the full realization of the rights of women is vital to the development and well-being of people of all nations; and (2) the Senate should give its advice and consent to the ratification of the Convention on the Elimination of All Forms of Discrimination Against Women.

Bill· HRH.R. 5624 (106th)referred

Campaign Telemarketers Disclosure Act of 2000

United States · United States Congress · 2 November 2000

Campaign Telemarketers Disclosure Act of 2000 - Amends the Federal Election Campaign Act of 1971 to require disclosure during any such telephone call of the identification of persons financing certain campaign-related telephone calls.

Bill· HRH.R. 5612 (106th)referred

Medicare, Medicaid, and SCHIP Benefits Improvement and Beneficiary Protection Act of 2000

United States · United States Congress · 1 November 2000

Medicare, Medicaid, and SCHIP Benefits Improvement and Beneficiary Protection Act of 2000 - Title I: Medicare Beneficiary Improvements - Subtitle A: Improved Preventive Benefits - Amends title XVIII (Medicare) of the Social Security Act (SSA) to provide for: (1) coverage of biennial screening pap smear and pelvic exams; (2) coverage of screening for glaucoma; (3) coverage of screening colonoscopy for average risk individuals; (4) revision of payments and standards for screening mammography; (5) coverage of medical nutrition therapy services for beneficiaries with diabetes or a renal disease; and (6) extension of Medicare part A (Hospital Insurance) coverage for workers with disabilities. Subtitle B: Other Beneficiary Improvements - Amends SSA title XVIII to provide for: (1) acceleration of reduction of beneficiary copayment for hospital outpatient department (OPD) services; (2) preservation of coverage of drugs and biologicals under Medicare part B (Supplementary Medical Insurance); (3) elimination of time limitation on Medicare benefits for immunosuppressive drugs; (4) imposition of billing limits on drugs; and (5) availability of application forms for medical assistance for Medicare cost-sharing. (Sec. 116) Amends SSA title II (Old Age, Survivors and Disability Insurance) (OASDI) to provide for a waiver of 24-month waiting period for Medicare coverage of individuals disabled with amyotrophic lateral sclerosis. Subtitle C: Demonstration Projects and Studies - Outlines: (1) a Health and Human Services (HHS) demonstration project for disease management for severely chronically ill Medicare beneficiaries; (2) HHS demonstration projects for cancer prevention and treatment for ethnic and racial minorities; (3) a National Academy of Sciences study on the addition of coverage of routine thyroid screening using a thyroid stimulating hormone test as a preventive benefit provided to Medicare beneficiaries; (4) a Medicare Payment Advisory Commission (MEDPAC) study on consumer coalitions in marking Medicare+Choice (SSA title XVIII part C) plans; (5) an HHS study on the effect of limitations on State payment for Medicare cost-sharing on access to services for qualified Medicare beneficiaries; (6) HHS studies on preventive interventions in primary care for older Americans; and (7) a MEDPAC study on Medicare coverage of cardiac and pulmonary rehabilitation therapy services. Title II: Rural Health Care Improvements - Subtitle A: Critical Access Hospital Provisions - Amends SSA title XVII to: (1) prohibit beneficiary cost-sharing for clinical diagnostic laboratory tests furnished by critical access hospitals; (2) increase the amount a critical access hospital may elect to be paid for outpatient critical access hospital (OCAH) services with respect to the fee schedule payment for OCAH professional services; (3) exempt critical access hospital swing beds from the skilled nursing facility (SNF) prospective payment system (PPS); (4) provide for payment in critical access hospitals for emergency room on-call physicians; and (5) provide for the treatment of ambulance services furnished by certain critical access hospitals. (Sec. 206) Requires the General Accounting Office (GAO) to conduct a study on certain eligibility requirements for critical access hospitals. Subtitle B: Other Rural Hospitals Provisions - Amends SSA title XVIII with regard to payment to hospitals for inpatient hospital services to provide for: (1) application of a uniform threshold for urban and rural hospitals to be classified as disproportionate share hospitals (DSHs) for discharges occurring on or after October 1, 2001; (2) adjustment of payment formulas for various specified hospitals, including hospitals that are both sole community hospitals and rural referral centers for discharges occurring during such period; (3) an option to base eligibility for the Medicare dependent, small rural hospital program on discharges during two of the three most recently audited cost reporting periods; and (4) extension of the option to use rebased target amounts to all sole community hospitals. (Sec. 214) Directs MEDPAC, in its study and report to Congress on rural providers under the Medicare, Medicaid, and SCHIP Balanced Budget Refinement Act of 1999, to analyze the impact of volume on the per unit cost of rural hospitals with psychiatric units, and recommend whether special treatment for such hospitals may be warranted. Subtitle C: Other Rural Provisions - Amends SSA title XVIII with regard to special payment rules for particular items and services to provide transitional assistance for providers of ambulance services in rural areas. (Sec. 222) Amends SSA title XVIII part B with regard to the use of carriers for administration of benefits concerning payment for certain physician assistant services. (Sec. 223) Amends BBA'97 to: (1) set a time limit for Medicare reimbursement for telehealth services; and (2) provide for an expansion of Medicare payment for such services. (Sec. 224) Amends SSA title XVIII part B to provide for expanding access to rural health clinics. (Sec. 225) Directs MEDPAC to study the effect of low patient and procedure volume on the financial status of low-volume, isolated rural health care providers participating in Medicare. Title III: Provisions Relating to Part A - Subtitle A: Inpatient Hospital Services - Amends SSA title XVIII to provide for elimination of the reduction in the PPS hospital payment update. (Sec. 301) Directs the Secretary, when rebasing and revising the hospital market basket index, to consider the prices of blood and blood products purchased by hospitals and to determine whether those prices are adequately reflected in such index. Amends SSA title XVIII with respect to payment to hospitals for inpatient hospital services and updating previous standardized amounts to provide for: (1) an adjustment for inpatient case mix changes; (2) modification of the transition for indirect medical education percentage adjustment for DSHs; and (3) decreases in reductions for DSH payments. (Sec. 304) Provides for a three-year effective period for any decision of the Medicare Geographic Classification Review Board to reclassify a DSH for purposes of adjusting the diagnosis-related group (DRG) prospective payment rate for hospital wage level area differences for FY 2001 or any fiscal year thereafter. Requires the Secretary to establish procedures under which a DSH hospital may elect to terminate such reclassification before the end of such period. Directs the Secretary to: (1) establish a process under which an appropriate statewide entity may apply to have all the geographic areas in a State treated as a single geographic area for purposes of computing and applying the area wage index; and (2) provide for the collection of data every three years on occupational mix for employees of each DSH in the provision of inpatient hospital services in order to construct an occupational mix adjustment in the applicable hospital area wage index. (Sec. 305) Amends SSA title XVIII with respect to prospective payment for inpatient rehabilitation hospital services and: (1) assistance with administrative costs associated with completion of patient assessment; as well as (2) a rehabilitation facility election to apply full prospective payment rate without phase-in. (Sec. 306) Provides that, with respect to the inpatient services of psychiatric hospitals and certain psychiatric units, in making incentive payments to such hospitals for cost reporting periods from October 1, 2000, through October 1, 2001, the Secretary shall increase the percent of the target amount used in determining such payments. (Sec. 307) Amends SSA title XVIII to provide for: (1) increased target amounts and caps for long-term care hospitals before implementation of the PPS required under the Medicare, Medicaid, and SCHIP Balanced Budget Refinement Act of 1999 for payment for inpatient hospital services provided in long-term care hospitals; (2) alternative implementation of such PPS by the Secretary based on the use of existing hospital DRGs that have been modified; and (3) increase in the base payment for Puerto Rico DSH hospitals. Subtitle B: Adjustments to PPS Payments for Skilled Nursing Facilities - Amends SSA title XVIII with respect to payment to SNFs for routine service costs to revise updating requirements, among other changes eliminating the reduction in the skilled nursing facility market basket update in 2001. (Sec. 311) Directs the Comptroller General to report to Congress on the adequacy of Medicare payment rates to SNFs and the extent to which Medicare contributes to the financial viability of such facilities. (Sec. 312) Directs the Secretary to increase the nursing component of the case-mix adjusted Federal prospective payment rate specified in the final rule published in the Federal Register by the Health Care Financing Administration on July 31, 2000, effective for services furnished on or after April 1, 2001, and before October 1, 2002. Requires the Comptroller General to conduct an audit for Congress of nursing staffing ratios in a representative sample of Medicare SNFs. (Sec. 313) Amends SSA title XVIII to limit application of the SNF consolidated billing requirement to a period during which the resident is provided Medicare part A (Hospital Insurance) covered post-hospital extended care services. Requires the Secretary to monitor payments made under Medicare part B for items and services furnished to SNF residents during a time in which they are not being provided Medicare covered post-hospital extended care services, in order to ensure that there is not duplicate billing for services or excessive services provided. (Sec. 314) Provides that, for purposes of computing payments for certain covered SNF services, the Secretary shall increase the adjusted Federal per diem rate for covered SNF services for specified RUG-III (resource utilization group) rehabilitation groups furnished to an individual during the period in which such individual is classified in such a RUG-III category. Directs the HHS Inspector General to review the Medicare payment structure for services classified within RUGs and report to Congress on whether payment incentives exist for the delivery of inadequate care. (Sec. 315) Authorizes the Secretary to establish a procedure for the geographic reclassification of a SNF for purposes of payment for covered SNF services under the PPS for SNFs for routine service costs. Subtitle C: Hospice Care - Amends SSA title XVIII to provide for a full market basket increase for hospice care for FY 2001 and 2002. (Sec. 322) Requires that the certification regarding an individual's terminal illness be based on the physician's or medical director's clinical judgment regarding the normal course of the illness. (Sec. 323) Directs MEDPAC to conduct a study on the factors affecting the use of hospice benefits under Medicare program and differences in such use between urban and rural hospice programs and based upon the presenting condition of the patient. Subtitle D: Other Provisions - Amends SSA title XVIII to provide for a reduction in Medicare part A late enrollment premium increases (penalty) for a qualified State or local government retiree group in the case where a State, a local government, or an agency or instrumentality of a State or local government, determines to pay, for the life of each individual in such a group, the monthly premiums due. (Sec. 332) Outlines provisions for hospital geographic reclassification for labor costs applicable to other PPS systems and for grants to States for improvements in nursing home staffing and quality. Title IV: Provisions Relating to Part B - Subtitle A: Hospital Outpatient Services - Amends SSA title XVIII with respect to the PPS for hospital OPD services to provide for: (1) a full market basket increase for such services for 2001; (2) adjustment for service mix changes; (3) use of categories in determining eligibility of a device for pass-through payments; (4) application of OPD PPS transitional corridor payments to certain hospitals that did not submit a 1996 cost report; (5) treatment of children's hospitals under the PPS; (6) inclusion of temperature monitored cryoablation in transitional pass-through for certain medical devices, drugs, and biologicals under the PPS; and (7) the Secretary to create additional groups of covered OPD services that classify separately those procedures that utilize contrast media from those that do not. (Sec. 404) Provides that, for purposes of making determinations of provider-based status under Medicare on or after October 1, 2000, any facility or organization that is treated as provider-based in relation to a hospital or critical access hospital under Medicare as of October 1, 2000: (1) shall continue to be treated as provider-based in relation to such hospital or critical access hospital under Medicare during the two year period beginning on October 1, 2000; and (2) the requirements, limitations, and exclusions specified in appropriate Federal regulations detailing requirements for a determination that a facility or an organization has provider-based status shall not apply to such facility or organization in relation to such hospital or critical access hospital until after the end of such two- year period. Prohibits a facility or organization for which a determination of provider-based status in relation to a hospital or critical access hospital is requested during FY 2001 or 2002 from being treated as not having such status in relation to such a hospital for any period before a determination is made with respect to such status pursuant to such request and in making a determination with respect to such status for any facility or organization in relationship to such a hospital on or after October 1, 2000, the facility or organization shall be treated as satisfying any requirements and standards for geographic location in relation to such a hospital if the facility or organization: (1) satisfies appropriate Federal regulations pertaining to location in immediate vicinity or is located not more than 35 miles from the main campus of the hospital or critical access hospital; and (2) is owned and operated by a hospital or critical access hospital that meets specified criteria. Subtitle B: Provisions Relating to Physicians' Services - Directs the Comptroller General to conduct a study on: (1) the appropriateness of furnishing in physicians' offices specialist physicians' services which are ordinarily furnished in hospital outpatient departments; and (2) the refinements to the practice expense relative value units during the transition to a resource-based practice expense system for physician payments under Medicare. (Sec. 412) Amends SSA title XVIII to require the Secretary to conduct demonstration projects to test and, if proven effective, expand the use of incentives to health care groups participating in Medicare that: (1) encourage coordination of the care furnished to individuals under Medicare parts A and B by institutional and other providers, practitioners, and suppliers of health care items and services; (2) encourage investment in administrative structures and processes to ensure efficient service delivery; and (3) reward physicians for improving health outcomes. (Sec. 413) Directs the Comptroller General to study the current Medicare enrollment process for groups that retain independent contractor physicians with particular emphasis on hospital-based physicians. Subtitle C: Other Services - Amends SSA title XVIII to provide for a one-year extension of the moratorium on certain physical therapy services caps. (Sec. 421) Directs the Secretary to study the implications: (1) of eliminating the "in the room" supervision requirement for Medicare payment for services of physical therapy assistants supervised by physical therapists; and (2) of such requirement on the cap imposed under Medicare on physical therapy services. (Sec. 422) Amends SSA title XVIII with respect to Medicare coverage for end stage renal disease (ESRD) patients to increase the update for dialysis services furnished on or after January 1, 2001. Directs the Secretary to: (1) collect data and develop an ESRD market basket whereby the Secretary can estimate, before the beginning of a year, the percentage by which the costs for the year of the mix of labor and nonlabor goods and services included in the ESRD composite rate will exceed the costs of such mix for the preceding year; and (2) develop a system which includes in such composite rate, to the maximum extent feasible, payment for clinical diagnostic laboratory tests and drugs that are routinely used in furnishing dialysis services to Medicare beneficiaries, but which are currently separately billable by renal dialysis facilities. (Sec. 423) Amends SSA title XVIII with respect to payment for ambulance services to provide for: (1) restoration of the full consumer price index (CPI) increase for 2001; and (2) continued phase-in of the application of the payment rates under the ambulance services fee schedule in an efficient and fair manner; except that when the Secretary implements such fee schedule, such phase-in shall provide for full payment of any national mileage rate for ambulance services provided by suppliers that are paid by carriers in any of the 50 States where payment by a carrier for such services for all such suppliers in such State, before the fee schedule's implementation, did not include a separate amount for all mileage within the county from which the beneficiary is transported. (Sec. 424) Prohibits the Secretary from implementing a revised PPS for services of ambulatory surgical facilities before January 1, 2002. Amends the Medicare, Medicaid, and SCHIP Balanced Budget Refinement Act of 1999 with respect to the phase-in of the PPS for ambulatory surgical centers to: (1) extend the phase-in to four years; and (2) direct the Secretary, by January 1, 2003, to incorporate data from a 1999 Medicare cost survey or a subsequent cost survey for purposes of implementing or revising such PPS. (Sec. 425) Amends SSA title XVIII, with respect to special payment rules for particular items and services, to provide for: (1) the full update for durable medical equipment, orthotics, and prosthetics in 2001; and (2) addition of special payment provisions and requirements for prosthetics and certain custom fabricated orthotic items. (Sec. 428) Amends SSA title XVIII to provide for the replacement of, and payment for, prosthetic devices and parts. (Sec. 429) Directs the Comptroller General to study the reimbursement for drugs and biologicals under the current Medicare payment methodology and for related services under Medicare part B, with recommendations for revised payment methodologies. Directs the Secretary to revise such payment methodology based on such recommendations. (Sec. 430) Amends SSA title XVIII part D (Miscellaneous) to revise the qualifications for community mental health centers under provisions defining partial hospitalization services. (Sec. 431) Makes a hospital or a free-standing ambulatory care clinic, whether operated by the Indian Health Service or by an Indian tribe or tribal organization, eligible for payments for services for which payment is made under Medicare part B for physicians' services if and for so long as it meets all of the requirements which are applicable generally to such payments, services, hospitals, and clinics. (Sec. 432) Directs the Comptroller General to study the effect on Medicare and on Medicare beneficiaries of coverage of surgical first assisting services of certified registered nurse first assistants. (Sec. 433) Directs MEDPAC to study the appropriateness of: (1) the current Medicare payment rates for services provided by a certified nurse-midwife, a physician assistant, a nurse practitioner, and a clinical nurse specialist; and (2) Medicare coverage for services provided by a surgical technologist, a marriage counselor, a marriage and family therapist, a pastoral care counselor, and a licensed professional counselor of mental health. (Sec. 435) Directs the Comptroller General to study: (1) the costs of providing emergency and medical transportation services across the range of acuity levels of conditions for which such transportation services are provided; (2) the post-payment audit process under Medicare as such process applies to physicians; and (3) the aggregate effects of regulatory, audit, oversight, and paperwork burdens on physicians and other health care providers participating in Medicare. (Sec. 437) Directs MEDPAC to study the barriers to coverage and payment for outpatient interventional pain medicine procedures under Medicare. Title V: Provisions Relating to Parts A and B - Subtitle A: Home Health Services - Amends SSA title XVIII to provide for a two-year additional delay in the application of the 15 percent reduction on payment limits for home health services. (Sec. 501) Amends the Medicare, Medicaid, and SCHIP Balanced Budget Refinement Act of 1999 to delay for an additional year the 15 percent reduction in payment rates for home health services after implementation of the PPS. Requires the Comptroller General, instead of the Secretary (as currently required), to report to Congress an analysis of the need for such a reduction. Amends SSA title XVIII with regard to the PPS for home health services concerning the annual update to provide for an adjustment for case mix changes. (Sec. 502) Amends SSA title XVIII to provide for restoration of the full home health market basket update for home health services for FY 2001. Establishes a special rule for payment under the PPS for home health services for FY 2001 based on adjusted prospective payment amounts. (Sec. 503) Provides for a temporary two-month extension of periodic interim payments under BBA '97 in the case of a home health agency receiving periodic interim payments as of September 30, 2000. (Sec. 504) Amends SSA title XVIII to provide for the use of telehealth in the delivery of home health services. (Sec. 505) Directs the Comptroller General to study variations in prices paid by home health agencies furnishing home health services under Medicare in purchasing nonroutine medical supplies and volumes if such supplies used determine the effect (if any) of variations on prices and volumes in the provision of such services. (Sec. 506) Provides that, in determining for Medicare purposes whether an office of a home health agency constitutes a branch office or a separate home health agency, neither the time nor distance between a parent office of the home health agency and a branch office shall be the sole determinant of a home health agency's branch office status. (Sec. 507) Amends SSA title XVIII with regard to the Medicare home health benefit to declare that absences from home to receive medical treatment shall not disqualify an individual from such benefit. (Sec. 508) Provides for a temporary payment increase for home health services furnished in a rural area for2001 and 2002. Subtitle B: Direct Graduate Medical Education - Amends SSA title XVIII to provide for an increase in the floor for direct graduate medical education payments for FY 2002. (Sec. 512) Changes the distribution formula for Medicare+Choice-related nursing and allied health education costs. Subtitle C: Changes in Medicare Coverage and Appeals Process - Amends SSA title XVIII to revise the Medicare appeals process. Provides for initial determinations of entitlement and benefits by the Secretary, by a utilization and quality control peer review organization, or by an independent contractor. Provides for redeterminations of denied benefit claims. Specifies appeal rights, including the right of an individual to request a medically exigent review from the contractor who made the initial determination. (Sec. 522) Provides for the review of coverage determinations under the Medicare appeals process. Amends SSA title XI to require any advisory committee on certain Medicare coverage exclusions to: (1) assure the full participation of a nonvoting member in its deliberations; and (2) provide such nonvoting member access to all information and data (with certain exceptions) made available to the committee's voting members. Provides that, if such committee organizes into panels of experts according to types of items or services, any such panel may report directly to the Secretary without prior approval. Subtitle D: Improving Access to New Technologies - Amends SSA title XVIII to establish a new payment rule for any clinical diagnostic laboratory test performed on or after January 1, 2001, that is a new test for which no limitation amount has previously been established. (Sec. 531) Directs the Secretary to: (1) establish procedures for coding and payment determinations for the categories of new clinical diagnostic laboratory tests and new durable medical equipment under Medicare part B that permit public consultation in a manner consistent with the procedures established for implementing coding modifications for ICD-9-CM; and (2) report to Congress on the specific procedures used under Medicare part B to adjust payments for clinical diagnostic laboratory tests and durable medical equipment which are classified to existing codes where, because of a technology advance, there has been a significant increase or decrease in the resources used in the test or in the manufacture of the equipment, and a significant improvement in test or equipment performance. (Sec. 532) Directs the Secretary to: (1) maintain and continue through December 31, 2003, the use of level III codes of the HCPCS (Health Care Financing Administration (HCFA) Common Procedure Coding System) coding system (as such system was in effect on August 16, 2000); and (2) make such codes publicly available. (Sec. 533) Directs the Secretary to: (1) report to Congress on methods of expeditiously incorporating new medical services and technologies into the clinical coding system used with respect to Medicare payment for inpatient hospital services, together with a detailed description of the Secretary's preferred methods to achieve this purpose; and (2) implement such preferred methods. Amends SSA title XVIII to direct the Secretary to establish a mechanism to recognize the costs of new medical services and technologies with respect to inpatient hospital services under the hospital reimbursement control system. Subtitle E: Other Provisions - Amends SSA title XVIII to reduce from 45 percent to 30 percent the reduction in the amount of bad debts otherwise treated as allowable costs attributable to the deductibles and coinsurance amounts under Medicare for FY 2001 and subsequent fiscal years in determining the reasonable costs of outpatient hospital services (thus increasing by 15 percent the amount that may be reimbursed). (Sec. 542) Provides for the treatment of certain physician pathology services under Medicare. (Sec. 543) Amends SSA title XI to make permanent the authority for the Secretary to issue written advisory opinions under provisions for guidance regarding application of health care fraud and abuse sanctions. (Sec. 544) Amends SSA title XVIII to make various specified changes in annual MEDPAC reporting with regard to revision of deadlines for submission of reports and on the record votes on recommendations. (Sec. 545) Directs the Secretary to report to specified congressional committees on the development of standard instruments for the assessment of the health and functional status of patients, for whom specified items and services are furnished. (Sec. 546) Directs the Comptroller General to report to specified congressional committees on the effect of the Emergency Medical Treatment and Active Labor Act on hospitals, emergency physicians, and physicians covering emergency department call throughout the United States. (Sec. 547) Amends SSA title XVIII with respect to agreements with providers of services to provide for the application of the bloodborne pathogen standard to certain hospitals. Title VI: Provisions Relating to Part C (Medicare+Choice Program) and Other Medicare Managed Care Provisions - Subtitle A: Medicare+Choice Payment Reforms - Amends SSA title XVIII part C with regard to payments to Medicare+Choice organizations to: (1) increase the payment amount for 2001 through 2003 for accountable Medicare+Choice coordinated care plans; and (2) provide for a ten-year phase-in of risk adjustment. (Sec. 603) Provides for a transition to revised Medicare+Choice payment rates. (Sec. 604) Amends SSA title XVIII part C to provide for revision of payment rates for ESRD patients enrolled in Medicare+Choice plans. (Sec. 605) Amends SSA title XVIII part C with regard to premiums to permit Medicare part B premium reductions as additional benefits under Medicare+Choice plans. (Sec. 606) Amends SSA title XVIII part C with regard to payments to Medicare+Choice organizations to: (1) ensure full implementation of risk adjustment methodology for congestive heart failure enrollees for 2001; and (2) provide for the expansion of the application of Medicare+Choice's new entry bonus. (Sec. 608) Directs the Secretary to report to Congress on a method to phase-in the costs of military facility services furnished by the Department of Veterans Affairs, and those furnished by the Department of Defense, to Medicare-eligible beneficiaries in the calculation of an area's Medicare+Choice capitation payment. Subtitle B: Other Medicare+Choice Reforms - Amends SSA title XVIII part C to provide for payment of additional amounts for new Medicare+Choice benefits covered during a contract term. (Sec. 612) Prohibits the Secretary from implementing, other than at the beginning of a calendar year, regulations that impose significant regulatory requirements on a Medicare+Choice organization or plan. (Sec. 613) Provides for timely approval of marketing material that follows model marketing language, and for avoiding duplicative regulation with respect to plan requirements. (Sec. 615) Provides that, in the case of a Medicare+Choice organization that offers a Medicare+Choice plan in an area in which more than one local coverage policy is applied with respect to different parts of the area, the organization may elect to have the local coverage policy for the part of the area that is most beneficial to Medicare+Choice enrollees apply with respect to all Medicare+Choice enrollees enrolled in the plan. (Sec. 616) Requires: (1) the quality assurance program under the Medicare+Choice program to include a separate focus on racial and ethnic minorities; and (2) the Secretary to submit to Congress a report regarding how such quality assurance programs focus on racial and ethnic minorities. (Sec. 617) Authorizes the Secretary to waive or to modify requirements that hinder the design of, the offering of, or enrollment in Medicare+Choice plans under contracts between Medicare+Choice organizations and employers, labor organizations, or the trustees of a fund established by one or more employers or labor organizations (or combination thereof) to furnish benefits to the entity's employees, former employees (or combination thereof) or to members or former members (or combination thereof) of the labor organizations. (Sec. 618) Amends SSA title XVIII part D with regard to special Medicare supplemental health insurance enrollment anti-discrimination provision for certain beneficiaries. (Sec. 619) Amends SSA title XVIII part C to restore the effective date of elections and changes of elections of Medicare+Choice plans. (Sec. 620) Permits ESRD beneficiaries to enroll in another Medicare+Choice plan if the plan in which they are enrolled is terminated. (Sec. 621) Provides that, in covering post-hospital extended care services, a Medicare+Choice plan shall provide for such coverage through a home SNF if: (1) the enrollee elects to receive such coverage through such SNF; and (2) the SNF has a contract with the Medicare+Choice organization for the provision of such services, or the SNF agrees to accept substantially similar payment under the same terms and conditions that apply to similarly situated SNFs under contract with the Medicare+Choice organization through which the enrollee would otherwise receive such services. (Sec. 622) Directs HCFA's Chief Actuary to review the actuarial assumptions and data used by the Medicare+Choice organization with respect to such rates, amounts, and values to determine the appropriateness of such assumptions and data. (Sec. 623) Amends SSA title XVIII to provide for civil monetary penalties for contract default by a Medicare+Choice organization. Subtitle C: Other Managed Care Reforms - Amends the Omnibus Budget Reconciliation Act of 1987 to provide for a one-year extension of the social health maintenance organization demonstration project authority. (Sec. 632) Amends the Medicare, Medicaid, and SCHIP Balanced Budget Refinement Act of 1999 to provide for revised terms and conditions for extension of Medicare community nursing organization demonstration project. (Sec. 633) Amends the Consolidated Omnibus Budget Reconciliation Act of 1985 to provide for a two-year extension of Medicare municipal health services demonstration projects. (Sec. 634) Amends SSA title XVIII part D with regard to payments to health maintenance organizations and competitive medical plans and service area expansion for Medicare cost contracts during transition period. Title VII: Medicaid - Amends SSA title XIX with respect to DSH payments and: (1) continuation of Medicaid DSH allotments at FY 2000 levels for FY 2001 and 2002; and (2) a special rule for Medicaid DSH allotment for extremely low DSH States. (Sec. 701) Outlines provisions for: (1) assuring identification of Medicaid managed care patients for purposes of making DSH payments; (2) application of the Medicaid DSH transition rule to public hospitals in all States; (3) assistance for certain public hospitals; and (4) DSH payment accountability standards. (Sec. 702) Amends SSA title XIX to create a new PPS for Federally-qualified health centers and rural health clinics. (Sec. 703) Amends SSA XI to establish an approval process for a State's application for an extension of any State-wide comprehensive demonstration project for which a waiver of compliance with Medicaid requirements is granted. (Sec. 704) Amends the Consolidated Omnibus Budget Reconciliation Act of 1985 with respect to Medicaid county-organized health systems. (Sec. 705) Directs the Secretary to issue a final regulation based on the proposed rule announced on October 5, 2000, that: (1) modifies the upper payment limit test applied to State Medicaid spending for inpatient hospital services, outpatient hospital services, nursing facility services, intermediate care facility services for the mentally retarded, and clinic services by applying an aggregate upper payment limit to payments made to government facilities that are not State-owned or operated facilities; and (2) provides for a specified transition period. (Sec. 706) Prescribes a formula for the Federal medical assistance percentage for Alaska for purposes of SSA titles XIX and XXI (State Children's Health Insurance Program) (SCHIP), which shall apply only for FY 2001 through 2005. (Sec. 707) Amends SSA title XIX to provide for optional coverage of legal immigrants under Medicaid. (Sec. 708) Makes additional entities qualified to determine Medicaid presumptive eligibility for low-income children. (Sec. 709) Provides for a one year extension of provisions on eligibility for medical assistance under Medicaid. (Sec. 710) Includes as Medicaid medical assistance any services furnished by a physician assistant which the assistant is legally authorized to perform under State law and with the supervision of a physician. (Sec. 711) Gives States the option of allowing families of disabled children to purchase Medicaid coverage for such children. Title VIII: State Children's Health Insurance Program - Amends SSA title XXI to: (1) establish a rule for redistribution and extended availability of unused FY 1998 and 1999 SCHIP allotments; (2) provide authority to pay Medicaid expansion SCHIP costs from SCHIP appropriations; (3) eliminate requirement to reduce a SCHIP allotment by Medicaid expansion SCHIP costs; (4) provide authority to transfer SCHIP appropriations to the Medicaid appropriation account as reimbursement for Medicaid expenditures for Medicaid expansion SCHIP services; and (5) provide optional coverage of certain legal immigrants under SCHIP. Title IX: Other Provisions - Subtitle A: PACE Program - Amends BBA '97 with respect to programs of all-inclusive care for the elderly (PACE programs) to provide for an extension of transition for the current PACE demonstration project waiver authority. (Sec. 902) Amends SSA title XVIII with respect to payments to, and coverage of benefits under, PACE programs, and regulations and use of PACE protocol to provide for the continuation of modifications or waivers of operational requirements under demonstration status. (Sec. 903) Directs the Secretary to approve or deny a request for a modification or a waiver of provisions of the PACE protocol not later than 90 days after the Secretary receives the request, in order to provide flexibility in exercising waiver authority. Permits the Secretary to exercise authority to modify or to waive such provisions in a manner that responds promptly to the needs of PACE programs relating to areas of employment and the use of community-based primary care physicians in order to provide flexibility in exercising waiver authority. Subtitle B: Outreach to Eligible Low-Income Medicare Beneficiaries - Amends SSA title XI to direct the Commissioner of Social Security to: (1) conduct outreach efforts to identify individuals entitled to Medicare benefits who may be eligible for medical assistance for payment of the cost of Medicare cost-sharing under Medicaid; and (2) notify such individuals of the availability of such medical assistance. (Sec. 911) Directs the Comptroller General to study the impact of such outreach efforts on the enrollment of individuals for Medicare cost-sharing under Medicaid. Subtitle C: Maternal and Child Health Block Grant - Amends SSA title V (Maternal and Child Health Services) to increase the authorization of appropriations for the Maternal and Child Health Services block grant for FY 2001 and each fiscal year thereafter. Subtitle D: Diabetes - Amends the Public Health Service Act to increase FY 2001 through 2003 appropriations for special diabetes programs for children with type I diabetes and for special diabetes programs for Indians. (Sec. 931) Amends BBA '97 to extend the final report on diabetes grant programs. (Sec. 932) Amends the Ricky Ray Hemophilia Relief Fund Act of 1998 to make appropriations to the Ricky Ray Hemophilia Relief Fund for FY 2001.

Bill· HRH.R. 5522 (106th)referred

To prohibit United States assistance for the Palestinain Authority and for programs, projects, and activities in the West Bank and Gaza.

United States · United States Congress · 19 October 2000

Prohibits U.S. assistance (except humanitarian assistance) to the Palestinian Authority (or to any successor or related entity) or for programs, projects, and activities to the West Bank or Gaza unless the President determines and certifies to specified congressional committees that: (1) the leadership of the Palestinian Authority has publicly renounced violence as a means of political expression and has taken all actions to bring an end to the violence which commenced in early October 2000 in the West Bank and Gaza; and (2) the violence in the West Bank and Gaza has subsided.

Resolution· HRESH.Res. 635 (106th)referred

Calling on the President to take all appropriate action within his power to provide relief from injury caused by steel imports and to immediately request the United States International Trade Commission to commence an expedited investigation for positive adjustment under section 201 of the Trade Act of 1974 of those steel imports.

United States · United States Congress · 17 October 2000

Calls upon the President to: (1) take all appropriate action to provide relief from injury caused by steel imports; and (2) immediately request the U.S. Trade Commission to commence an expedited investigation for positive adjustment of such steel imports under section 201 of the Trade Act of 1974.

Bill· HRH.R. 5456 (106th)referred

Bring Our Children Home Act

United States · United States Congress · 12 October 2000

Bring Our Children Home Act - Amends the Federal judicial code to provide that a contestant may bring an action in district court to determine which of conflicting State court child custody determinations shall prevail. Directs the Attorney General (AG) to establish a registry for all custody orders entered by State courts. Authorizes law enforcement officers of a State or local government to hold, for no more than 24 hours, any child listed as missing for proper disposition under the latest valid custody determination. Requires the Secretary of State to prepare a report on progress made by the United States in negotiating and entering into bilateral treaties relating to international child abduction with countries that are not contracting parties under the Hague Convention on the Civil Aspects of International Child Abduction. Amends the Foreign Assistance Act of 1961 to require information on each country's efforts to prohibit international child abduction. Requires the AG to prepare a report describing the status of each case involving a request for extradition in cases involving international kidnaping by parents.

Resolution· HCONRESH.Con.Res. 426 (106th)open

Concerning the violence in the Middle East.

United States · United States Congress · 12 October 2000

Expresses the solidarity of Congress with the state and people of Israel at this time of crisis. Condemns the Palestinian leadership for encouraging the violence and doing so little for so long to stop it. Calls upon the Palestinian leadership to: (1) refrain from exhortations to public incitement; and (2) vigorously use its security forces to act immediately to stop all violence, to show respect for all holy sites, and to settle all grievances through negotiations. Commends successive Administrations on their continuing efforts to achieve peace in the Middle East. Calls upon: (1) the current Administration to use its veto power at the United Nations Security Council to ensure that the Security Council does not again adopt unbalanced resolutions addressing the uncontrolled violence in the areas controlled by the Palestinian Authority; and (2) all involved parties to make all possible efforts to reinvigorate the peace process.

Bill· HRH.R. 5397 (106th)referred

Veterans Commemoration Act of 2000

United States · United States Congress · 5 October 2000

Veterans Commemoration Act of 2000 - Directs the Secretary of the Treasury to mint and issue a maximum of 500,000 $1 coins to commemorate the service of veterans of the United States armed forces. Mandates that the proceeds from sale surcharges be paid promptly to the Disabled American Veterans to fund the transportation of veterans to and from hospitals administered by the Secretary of Veterans Affairs.

Law· HRH.R. 5331 (106th)enacted

To authorize the Frederick Douglass Gardens, Inc., to establish a memorial and gardens on Department of the Interior lands in the District of Columbia or its environs in honor and commemoration of Frederick Douglass.

United States · United States Congress · 28 September 2000

Authorizes Frederick Douglass Gardens, Inc., to establish a memorial and gardens on Department of the Interior lands in the District of Columbia or its environs in honor and commemoration of Frederick Douglass.

Bill· HRH.R. 5315 (106th)referred

Death Tax Relief Now Act of 2000

United States · United States Congress · 27 September 2000

Death Tax Relief Now Act of 2000 - Amends the Internal Revenue Code to: (1) reduce the estate tax rates; (2) increase (and provide a cost of living adjustment for) the exemption equivalent of the unified credit; (3) repeal the family-owned business interests deduction provisions; (4) repeal provisions providing for a credit for State death taxes and provide for the deduction from an estate's value of State death taxes paid; and (5) increase the permissible number of partners or shareholders in a closely held business for purposes of eligibility for an extension of estate tax payments.

Bill· HRH.R. 5238 (106th)referred

Safe Notification and Information for Fragrances Act

United States · United States Congress · 21 September 2000

Safe Notification and Information for Fragrances Act - Amends the Federal Food, Drug, and Cosmetic Act to label a cosmetic as misbranded if it is a fragrance that contains a known toxic substance or allergen unless it bears a label stating that fact and the common or usual name of such substance or allergen.

Bill· HRH.R. 5258 (106th)referred

Lance Armstrong Congressional Gold Medal Act

United States · United States Congress · 21 September 2000

Lance Armstrong Congressional Gold Medal Act - Authorizes the President to present a congressional gold medal to Lance Armstrong, in recognition of his outstanding performance as two-time winner of the Tour de France and his courageous spirit in overcoming cancer. Authorizes the Secretary of the Treasury to strike and sell bronze duplicates. Requires deposit of sale proceeds in the United States Mint Public Enterprise Fund.

Law· HRH.R. 5212 (106th)enacted

Veterans' Oral History Project Act

United States · United States Congress · 19 September 2000

Veterans' Oral History Project Act - Requires the Director of the American Folklife Center at the Library of Congress to establish an oral history program to collect video and audio recordings of personal histories and testimonials of American war veterans.

Resolution· HCONRESH.Con.Res. 404 (106th)open

Calling for the immediate release of Mr. Edmond Pope from prison in the Russian Federation for Humanitarian reasons, and for other purposes.

United States · United States Congress · 19 September 2000

Calls on the Russian Federation to immediately release Edmond Pope and to ensure that proper and qualified medical attention is provided to him. Expresses the sense of Congress that if Pope is not released immediately, the President should continue efforts to secure his release, including consideration of: (1) terminating all assistance to the Government of the Russian Federation under the Foreign Assistance Act of 1961 and the annual Foreign Operations, Export Financing, and Related Programs Appropriations Act for purposes of preparing the Russian Federation's entrance or accession to the World Trade Organization; and (2) opposing any further debt relief of obligations owed to the U.S. Government from the Government of the Russian Federation. Urges the President to increase efforts to secure appropriate medical attention for Pope.

Bill· HRH.R. 5200 (106th)referred

Medicare Billing and Education Act of 2000

United States · United States Congress · 18 September 2000

Medicare Billing and Education Act of 2000 - Title I: Regulatory Reform - Amends title XVIII (Medicare) of the Social Security Act (SSA) with regard to: (1) the prospective-only, non-retroactive application of regulations of the Secretary of Health and Human Services that establish or change a substantive legal standard governing the scope of benefits, the payment for services, or the eligibility of individuals, entities, or organizations to furnish or to receive Medicare services or benefits; and (2) allowance of civil actions against the Secretary challenging the constitutionality of regulations or policies. Prohibits the Secretary from recovering past Medicare overpayments by offsetting future payments to a health care provider, or while a provider is appealing a determination that an overpayment has been made or the amount of such an overpayment. Title II: Appeals Process Reforms - Revises requirements for the post-payment audit process, particularly the recoupment of overpayments. Requires the Secretary to permit any health care provider to appeal any determination of the Secretary under Medicare on behalf of a deceased beneficiary where no substitute party is available. Title III: Education Components - Amends SSA title XVIII to provide for education programs for physicians, providers of services, and suppliers. Requires fiscal intermediaries and carriers to do their utmost to provide health care providers with one, straight, and correct answer regarding Medicare billing and cost reporting questions, as well as their true first and last names. Requires the Secretary to establish a process for providers to request assistance in writing (advisory opinions) from fiscal intermediaries or carriers in addressing questionable Medicare coverage, billing, documentation, coding and cost reporting procedures. Title IV: Sustainable Growth Rate Reforms - Requires the inclusion of regulatory costs in the estimate of the sustainable growth rate for all physicians' services for a fiscal year. Title V: Studies and Reports - Requires the Comptroller General to: (1) audit and report to Congress on Health Care Financing Administration compliance with statutes administered by it and with administrative procedure and other requirements under Federal civil service law; and (2) study and report to Congress on whether policies or enforcement efforts against health care providers have reduced access to care for Medicare beneficiaries.

Law· HRH.R. 5178 (106th)enacted

Needlestick Safety and Prevention Act

United States · United States Congress · 14 September 2000

Needlestick Safety and Prevention Act - Revises the bloodborne pathogens standard, in effect under the Occupational Safety and Health Act of 1970 (OSHA), to include safer medical devices, such as sharps with engineered sharps injury protections and needleless systems, as examples of engineering controls designed to eliminate or minimize occupational exposure to bloodborne pathogens through needlestick and other percutaneous injuries. Requires certain employers to: (1) review and update exposure control plans to reflect changes in technology that eliminate or reduce such exposure, and document their consideration and implementation of appropriate commercially available and effective safer medical devices for such purpose; (2) maintain a sharps injury log, noting the type and brand of device used, where the injury occurred, and an explanation of the incident (exempting employers who are not required to maintain specified OSHA logs); and (3) seek input on such engineering and work practice controls from the affected health care workers (exempting employers who are not required to establish exposure control plans). Requires such modifications of the standard to: (1) be in force until superseded by regulations promulgated by the Secretary of Labor under OSHA; and (2) take effect without regard to specified procedural requirements.

Bill· HRH.R. 5189 (106th)referred

Energy Employees Occupational Illness Compensation Act of 2000

United States · United States Congress · 14 September 2000

Energy Employees Occupational Illness Compensation Act of 2000 - Authorizes the Secretary to designate additional entities as beryllium vendors for purposes of coverage under this Act if such entities engage in activities relating to the production or processing of beryllium for sale to, or use by, DOE. Authorizes the Secretary of Health and Human Services (HHS) to specify the means of establishing the existence of a covered beryllium illness for purposes of this Act. Part A: Beryllium, Silicosis, and Radiation Compensation - Determines, in the absence of substantial evidence to the contrary, a covered beryllium employee to have been exposed to beryllium in the performance of duties for purposes of this Act if such employee was: (1) employed at a DOE facility; or (2) present at a DOE facility, or a facility owned and operated by a beryllium vendor, because of employment by the United States, a beryllium vendor, or a contractor or subcontractor of the Department of Defense, during a period when beryllium dust, particles, or vapor may have been present at such facility. (Sec. 6) Determines a covered employee with chronic silicosis to have been exposed to silica in the performance of duty if such employee was present during the mining of tunnels at a DOE facility for tests or experiments related to an atomic weapon. Determines a DOE employee, contractor employee, or atomic weapons employee to have sustained a cancer in the performance of duty if such employee: (1) contracted cancer after beginning such employment; and (2) falls within certain guidelines established by the HHS Secretary which are based on radiation dosage received during such duty. Directs the HHS Secretary to: (1) establish methods for determining radiation dosage received by such employees; (2) provide to such employees an estimate of the dosage received; and (3) establish an independent review process to assess such dosage determinations and estimates. (Sec. 7) Directs the HHS Secretary to establish an Advisory Board on Radiation and Worker Health to advise the Secretaries of HHS, Energy, and Labor on: (1) the development of guidelines to be used to determine exposures to covered hazards; (2) the scientific validity and quality of dosage estimates and reconstruction efforts being performed to implement employee compensation programs; and (3) other matters relating to radiation and worker health at DOE facilities. (Sec. 8) Requires the Advisory Board, upon request, to advise the HHS Secretary whether there is a class of DOE employees who likely were exposed to radiation at a facility but for whom it is not feasible to estimate the dosage received. Allows such class of employees to be considered members of the Special Exposure Cohort if there is a reasonable likelihood that the radiation dose received may have endangered the health of members of that class. (Sec. 9) Authorizes the Secretary to Labor to pay compensation, and furnish certain other employee services and benefits, for the disability or death of covered employees under this Act. Requires such Secretary to provide appropriate assistance for claimants, including assistance in securing medical testing and diagnostic services to establish the existence of a covered illness or cancer. Directs the Secretary of Energy to inform and assist covered employees who are potential claimants of the availability of compensation, services, and benefits under this Act. (Sec. 10) Allows a covered employee, or a survivor of a deceased covered employee, to elect to receive compensation of $200,000 in lieu of any other compensation under this Act. Provides a conditional time limit for such election. (Sec. 11) Outlines procedures for the submission, adjudication, and administration of claims for compensation by covered employees, with time limits. Directs the Secretary of Labor to make awards for or against such compensation. Allows for decision appeals through Energy Employees' Compensation Appeals Panels. Part B: Exposure to Other Toxic Substances - Authorizes the Secretary of Energy, through the Director of the Office of Workers' Compensation Advocacy, to enter into agreements with the Governor of a State to provide assistance to a DOE contractor employee filing a claim under the appropriate State workers' compensation system. Outlines procedures to be undertaken by such Director in assisting with such claims, including submitting claim applications to a physicians panel for determination whether or not the illness or death arose in the course of employment by DOE and exposure to a toxic substance at a DOE facility. Requires a report from the Comptroller General to Congress on the implementation and effectiveness of this Part. Part C: General Provisions - Provides for the tax and insurance treatment of compensation or benefits paid or received under this Act. (Sec. 16) Requires forfeiture of benefits by individuals convicted of fraud in the application for or receipt of any benefit under this Title or any Federal or State workers' compensation law. (Sec. 17) Provides limitations on the right to receive benefits under this Act. (Sec. 18) Requires individuals eligible to receive compensation under both this and from a State workers' compensation system to elect which benefits to receive, unless: (1) at the time of the injury, workers' compensation coverage was secured by a policy or contract of insurance; and (2) the Secretary of Labor waives the election requirement. Requires the coordination of benefits under this Act with both Federal and State workers' compensation laws and requirements. (Sec. 21) Prohibits dual Federal compensation for employees covered by this Act, with exceptions. (Sec. 23) Provides for the exclusivity of remedies provided by this Act against the United States and its contractors and subcontractors, as well as against beryllium vendors and atomic weapons employers. (Sec. 25) Provides a Federal right of subrogation when a person or entity other than the United States is also responsible under a claim. (Sec. 26) Establishes in the Treasury the Energy Employees' Occupational Illness Compensation Fund for the payment of compensation claims under this Act. (Sec. 28) Establishes within DOE an Office of Workers' Compensation Advocate to provide information, research reports, and studies to support the implementation of this Act.

Law· HRH.R. 5164 (106th)enacted

Transportation Recall Enhancement, Accountability, and Documentation (TREAD) Act

United States · United States Congress · 13 September 2000

Transportation Recall Enhancement, Accountability, and Documentation Act - Amends Federal transportation law to require a manufacturer, not later than five days after determining (or after receiving notification that the government of a foreign country has determined) to conduct a safety recall or other safety campaign in a foreign country on a motor vehicle, tire, or motor vehicle equipment that is also offered for sale in the United States, to report such determination to the Secretary of Transportation. Sets forth similar requirements with respect to the reporting of possible defects in such vehicle or equipment that have resulted in a significant number of serious injuries or fatalities in a foreign country. Directs the Administrator of the National Highway Traffic Safety Administration to promulgate a rule requiring manufacturers of tires to report periodically to the Administration data on claims submitted to it for personal injury (including death) and property damage from alleged defects in the manufacturer's tires. Declares that a remedy provided without charge by a dealer of new motor vehicles or motor vehicle equipment does not apply if such vehicle or replacement equipment was bought by the first purchaser more than eight years, or the tire (including an original equipment tire), was bought by the first purchaser more than five years (currently, three years), before notice of a defect or of noncompliance with motor vehicle safety standards with respect to such equipment is given by the manufacturer to the Secretary or an order is issued by the Secretary with respect to such defect or noncompliance, whichever is earlier. Revises provisions to increase civil penalties for a manufacturer, distributor, or dealer who violates requirements prohibiting the manufacture, sale, or importation of motor vehicles and equipment that do not comply with Federal motor vehicle safety standards. Sets forth a civil penalty for such persons who violate certain inspection, investigation, and records requirements with respect to such standards. Requires the Administrator to conduct a rulemaking to revise and update the tire standard published at 49 CFR 571.109 and 49 CFR 571.119. Authorizes appropriations to the Office of Defects and Investigation of the National Highway Traffic Safety Administration.

Bill· HRH.R. 5109 (106th)referred

Department of Veterans Affairs Health Care Personnel Act of 2000

United States · United States Congress · 6 September 2000

Department of Veterans Affairs Health Care Personnel Act of 2000 - Title I: Personnel Matters - Revises pay adjustment authority for nurses employed by the Department of Veterans Affairs to require the director of such Department health-care facility to use third-party industry wage surveys in making such adjustments. Prohibits any adjustment from reducing the rate of basic pay applicable to any nurse grade. Prohibits a director, in determining whether to carry out an adjustment, from considering the absence of a current recruitment or retention problem for personnel in that position. Requires a director to make such determination based on whether there is a significant pay-related staffing problem for such position at that facility. Authorizes the Department's Under Secretary for Health to modify any adjustment determination made by a facility director. Requires each director to report annually to the Secretary of Veterans Affairs on staffing for covered positions at that facility. Requires the Secretary to report annually on such staffing to the congressional veterans' committees. Makes annual (currently terminated in 1993) a reporting requirement from the Secretary to the veterans' committees regarding pay adjustments. Requires the Under Secretary to ensure that: (1) the director of a geographic service area, in formulating policy for the provision of patient care, consult regularly with a senior nurse executive(s); and (2) the director of a health-care facility include a registered nurse on any committee providing recommendations or decisions on medical center operations or policies affecting clinical services, clinical outcomes, budget, or resources. (Sec. 102) Increases the special pay for dentists for: (1) full-time status; (2) completing a post-graduate year of accredited hospital-based training; (3) length-of-service pay; (4) scarce specialty pay; (5) service in a geographic location in which there exists extraordinary difficulties in the recruitment and retention of qualified dentists; and (6) service in certain executive positions. Credits toward civil service retirement calculations 25 percent of the special pay for length-of-service pay for each two years that the dentist completes as a dentist in the Veterans Health Administration (VHA). (Sec. 103) Exempts VHA pharmacists from a required ceiling on special salary rates for certain VHA health professionals. (Sec. 104) Requires a physician assistant with appropriate experience to advise the Under Secretary on all matters relating to the utilization and employment of VHA physician assistants. (Sec. 105) Revises generally provisions regarding the temporary appointment of graduates of physician assistant training programs. Provides a three-year term for temporary full-time appointments of certain medical support personnel (with authorized renewals for additional three-year periods). (Sec. 106) Requires VHA social workers to be licensed or certified to independently practice social work in a State (with an authorized waiver on an individual basis for a reasonable period). (Sec. 107) Amends the Department of Veterans Affairs Employment Reduction Assistance Act of 1999 to: (1) revise the number of authorized participants in a plan for voluntary separation incentive payments; (2) revise the percentage of required agency contributions to the Civil Service Retirement and Disability Fund to cover such payments; and (3) extend payment authority through 2002. Title II: Construction Authorization - Authorizes the Secretary to carry out major medical facility projects at Department medical centers in Palo Alto, California, Miami, Florida, and Long Beach, California. Authorizes the Secretary to carry out a renovation project at the Department medical center in Murfreesboro, Tennessee. (Sec. 202) Authorizes appropriations for FY 2001 and 2002 for the Construction, Major Projects, account for such projects. Title III: Military Service Issues - Directs the Secretary to ensure that: (1) a protocol is used during at least one clinical evaluation of a patient to identify pertinent military experiences and exposures that may contribute to the health of the patient; and (2) such information is included in the patient's medical records. Requires a report from the Secretary to the veterans' committees on the feasibility and desirability of using a computer-based system in conducting such evaluations. (Sec. 302) Directs the Secretary to contract with an appropriate entity to conduct a follow-up study on post-traumatic stress disorder in Vietnam veterans. Requires a report to the veterans' committees. Title IV: Medical Administration - Authorizes the Secretary to carry out a pilot program in not more than four geographically dispersed areas to improve access to and coordination of inpatient care of eligible veterans. Terminates the pilot program on September 30, 2005. Authorizes the Secretary, under such program to pay the cost of hospital care and medical services furnished on an inpatient basis in a non-Department hospital to a veteran participant. Directs the Secretary to limit program care and services to general medical and surgical services, and to require that such services be provided only upon preauthorization by the Secretary. Makes eligible for the program a veteran who: (1) is enrolled to receive medical services from a nearby Department outpatient clinic; (2) has received care within 24 months preceding the veteran's application for program enrollment (3) requires such care and services for a non-service-connected condition and could not receive such care and services from a Department clinic; and (4) elects to receive such care and services under an entitled health plan. Directs the Secretary to ensure that at least 15 percent of program participants are veterans without a health care plan. Requires two reports from the Secretary to the veterans' committees on program implementation and operation. Limits to $50 million the total authorized program expenditure for any fiscal year. (Sec. 402) Authorizes the payment of veterans' disability compensation for veterans who are disabled during participation in a compensated work therapy program. (Sec. 403) Extends through December 31, 2005, the authority of the Secretary to establish nonprofit research and education corporations. (Sec. 404) Authorizes the Secretary to furnish temporary lodging in Fisher houses (guest houses) or other appropriate facilities, in connection with the examination, care, and treatment of a veteran, to: (1) a veteran who must travel a significant distance to receive such care and treatment; and (2) a family member and others who accompany such veteran and provide familial support. Authorizes the Secretary to establish charges for such lodging. (Sec. 405) Extends through 2004 an annual reporting requirement describing activities of the Committee on Care of Severely Chronically Mentally Ill Veterans. (Sec. 406) Excludes from the right of the Department to recover certain costs from a State for veterans' care facilities not so used for at least 20 years the establishment and operation of an outpatient clinic at such a facility. (Sec. 407) Prohibits the Secretary from entering into an enhanced-use lease of Department property until 90 days after notifying the veterans' committees of the intention to designate property for such use. (Sec. 409) Authorizes the Secretary to employ veterans claims examiners (also known as veterans service representatives) on a fee basis. Requires two reports on the implementation of such authority. (Sec. 410) Directs the Secretary to release a reversionary interest in certain real property in Johnson City, Tennessee, previously transferred to the State of Tennessee.

Resolution· HCONRESH.Con.Res. 390 (106th)open

Expressing the sense of the Congress regarding Taiwan's participation in the United Nations.

United States · United States Congress · 6 September 2000

Expresses the sense of Congress that: (1) Taiwan and its people deserve appropriate participation in the United Nations and other international organizations such as the World Health Organization; and (2) the United States should fulfill its commitment made in the 1994 Taiwan Policy Review to support more actively Taiwan's membership in appropriate international organizations.

Bill· HRH.R. 5015 (106th)referred

National Student Dropout Prevention and Recovery Act of 2000

United States · United States Congress · 27 July 2000

National Student Dropout Prevention and Recovery Act of 2000 - Amends the Elementary and Secondary Education Act of 1965 to revise and rename title V part C (Assistance to Address School Dropout Prevention Problems, also currently known as the School Dropout Assistance Act) as School Dropout Prevention Programs. Requires the Director of the Office of Dropout Prevention and Program Completion (established by this Act in the Department of Education) to carry out provisions for: (1) a model school dropout prevention grant program; (2) a national school dropout prevention grant program; and (3) a national clearinghouse on effective school dropout prevention, intervention programs, and reentry programs. Authorizes appropriations for such part C programs. Amends the Department of Education Organization Act to establish an Office of Dropout Prevention and Program Completion, to be administered by a Director who shall report directly to the Under Secretary of Education. Sets forth the Director's duties and their scope.

Bill· HRH.R. 4983 (106th)referred

Access to Capital for Individuals With Disabilities Act of 2000

United States · United States Congress · 26 July 2000

Access to Capital for Individuals With Disabilities Act of 2000 - Amends the Small Business Investment Act of 1958 to include the expansion of business development by individuals with disabilities among the public policy goals of State development companies.

Bill· HRH.R. 4976 (106th)referred

Middle East Peace Process Support Act

United States · United States Congress · 26 July 2000

Middle East Peace Process Support Act - Prohibits U.S. assistance to any unilaterally-declared Palestinian state. Directs the President to instruct the U.S. Representative to the United Nations to oppose admission to the United Nations of a unilaterally-declared Palestinian state or formal recognition by the United Nations of such a state.

Bill· HRH.R. 4945 (106th)referred

Small Business Competition Preservation Act of 2000

United States · United States Congress · 25 July 2000

Small Business Competition Preservation Act of 2000 - Directs the Administrator of the Small Business Administration to develop and maintain a database containing data and information regarding: (1) each bundled contract (two or more procurement contracts bundled together, the result of which is likely to make such contract unsuitable for small businesses due to the complexity or quantity required by the bundled contract) awarded by a Federal agency; and (2) each small business that has been displaced as a prime contractor as the result of the award of such a contract. Directs the Administrator, for each bundled contract, to determine: (1) the amount of savings and benefits achieved by bundling the contract requirements; and (2) whether such savings and benefits will continue if such contract remains bundled, and whether such savings and benefits would be greater if the procurement requirements were divided into separate solicitations suitable for award to small businesses. Requires an annual report from the Administrator to the congressional small business committees on contract bundling.

Bill· HRH.R. 4938 (106th)referred

Medicare Early Access and Tax Credit Act of 2000

United States · United States Congress · 24 July 2000

Medicare Early Access and Tax Credit Act of 2000 - Title I: Access to Medicare Benefits for Individuals 62-to-65 Years of Age - Amends title XVIII (Medicare) of the Social Security Act (SSA) to add a new part D (Purchase of Medicare Benefits by Certain Individuals Age 62-to-65 Years of Age) under which an enrollee is entitled to the same Medicare benefits as an individual entitled to benefits under Medicare part A (Hospital Insurance) and enrolled under Medicare part B (Supplementary Medical Insurance). Provides for the determination and payment of monthly premiums under the new part D program. Creates in the Treasury the Medicare Early Access Trust Fund to hold the premiums paid pursuant to this Act and savings from new fraud and abuse initiatives that are obtained pursuant to the Medicare Fraud and Reimbursement Reform Act of 1999. Provides for oversight and accountability concerning the status of the Trust Fund. Title II: Access to Medicare Benefits for Displaced Workers 55-to-62 years of Age - Amends SSA title XVIII to provide access to Medicare benefits to displaced workers (and their spouse) 55-to-62 years of age. Title III: COBRA Protection for Early Retirees - Subtitle A: Amendments to the Employee Retirement Income Security Act of 1974 - Amends the Employee Retirement Income Security Act of 1974 (ERISA) to provide for COBRA (Consolidated Omnibus Budget Reconciliation Act of 1985) continuation benefits for certain retired workers who lose retiree health coverage. Subtitle B: Amendments to the Public Health Service Act - Amends the Public Health Service Act to provide for COBRA continuation benefits for certain retired workers who lose retiree health coverage. Subtitle C: Amendments to the Internal Revenue Code of 1986 - Amends the Internal Revenue Code to provide for COBRA continuation benefits for certain retired workers who lose retiree health coverage. Title IV: Financing - Provides that any increase in Medicare payments resulting from enactment of this Act shall be offset by reductions in Medicare payments pursuant to the anti-fraud and -abuse provisions of the Medicare Fraud and Reimbursement Reform Act of 1999. Title V: Credit Against Income Tax for Medicare Buy-In Premiums and for Certain COBRA Continuation Coverage Premiums - Amends the Internal Revenue Code to provide an individual with a tax credit for 25 percent of certain COBRA continuation coverage premiums and Medicare buy-in premiums.

Bill· HRH.R. 4927 (106th)referred

FamilyCare Act of 2000

United States · United States Congress · 24 July 2000

FamilyCare Act of 2000 - Renames the State Children's Health Insurance program (SCHIP) under title XXI of the Social Security Act (SSA) as the FamilyCare program to provide for: (1) FamilyCare coverage of parents under Medicaid (SSA title XIX) as well as new SSA title XXI; (2) optional FamilyCare coverage of parents of targeted low-income children; (3) automatic eligibility for FamilyCare coverage of children born to a parent on Family Care assistance; (4) optional coverage of legal immigrants and of children through age 20 under both Medicaid and FamilyCare; (5) application of simplified FamilyCare procedures under Medicaid; (6) increased welfare-to-work transition (from six months to 12 months) under FamilyCare; (7) elimination of the 100 hour rule and other SSA title IV part A (Temporary Assistance for Needy Families) (TANF) related eligibility restrictions under FamilyCare; (8) limitations on specified conflicts of interests under SSA titles XIX and XXI; (9) increased FamilyCare allotment for FY 2002 through 2004; and (10) authority to pay Medicaid expansion costs from the FamilyCare appropriation. Makes appropriations. Directs the Secretary of Health and Human Services to establish a program to award demonstration grants to States to allow them to demonstrate the effectiveness of innovative ways to increase access to health insurance through market reforms and other innovative means. Authorizes appropriations. Directs the Secretary to award demonstration grants to a limited number of States to conduct innovative programs designed to improve outreach to homeless individuals and families under specified programs for the homeless (including SCHIP) with respect to enrollment of such individuals and families under such programs and the provision of services under such programs. Makes appropriations. Amends the Public Health Service Act to authorize the Secretary to make grants to eligible entities for the purpose of assisting the development of integrated health care delivery systems to: (1) serve communities of individuals who are uninsured and individuals who are underinsured; (2) expand the scope of services provided; and (3) improve the efficiency and coordination among the providers of such services. Authorizes appropriations.

Bill· HRH.R. 4926 (106th)referred

To provide for the award of a gold medal on behalf of the Congress to Tiger Woods, in recognition of his service to the Nation in promoting excellence and good sportsmanship, and in breaking barriers with grace and dignity by showing that golf is a sport for all people.

United States · United States Congress · 24 July 2000

Requires the Speaker of the House of Representatives and the President Pro Tempore of the Senate to make arrangements for the presentation, on behalf of Congress, of a gold medal to Tiger Woods in recognition of his service to the Nation in promoting excellence and good sportsmanship, and in breaking barriers with grace and dignity by showing that golf is a sport for all people. Authorizes funding.