United States · United States Congress · 23 March 2000
Stamp Out Breast Cancer Reauthorization Act - Amends the Stamp Out Breast Cancer Act to extend until July 29, 2002, or the end of the two-year period beginning on this Act's enactment, whichever is later, the authority under which postal patrons may contribute to funding for breast cancer research through the voluntary purchase of certain specially issued U.S. postage stamps. Requires the Comptroller General to make a report to Congress on the operation of this Act, in addition to a previous mandated report.
United States · United States Congress · 20 March 2000
Bulletproof Vest Partnership Grant Act of 2000 - Amends the matching grant program for law enforcement armor vests under the Omnibus Crime Control and Safe Streets Act of 1968 to direct that the matching portion equal 50 percent if: (1) such grant is to a unit of local government with fewer than 100,000 residents; (2) the Director of the Bureau of Justice Assistance determines that the quantity of vests to be purchased with such grant is reasonable; and (3) such portion does not cause such grant to violate certain maximum amount requirements. Directs that: (1) funds available be awarded, without regard to specified "preferential consideration" provisions, to each qualifying unit of local government with fewer than 100,000 residents; and (2) any remaining funds available be awarded to other qualifying applicants. Provides that if an application is submitted in conjunction with a transaction for the purchase of armor vests, grant amounts may not be used to fund any portion of that purchase unless, before the application is submitted, the applicant: (1) receives clear and conspicuous notice that receipt of the grant amounts requested in the application is uncertain; and (2) expressly assumes the obligation to carry out the transaction regardless of whether such amounts are received. Redefines "armor vest" to include body armor which has been tested through a specified voluntary compliance testing program, and found to meet or exceed the requirements of NIJ Standard 0115.00, or any subsequent revision of such standard. Authorizes appropriations.
United States · United States Congress · 16 March 2000
Directs the Secretary of State to initiate and report to Congress a U.S. plan to endorse and obtain observer status for Taiwan at the annual week-long summit of the World Health Assembly in May 2000 in Geneva, Switzerland, and instruct the U.S. delegation to Geneva to implement such plan.
United States · United States Congress · 15 March 2000
Designates the U.S. Postal Service facility located at 14900 Southwest 30th Street in Miramar City, Florida, as the Vicki Coceano Post Office Building.
United States · United States Congress · 15 March 2000
Subsidy Termination for Overdue Payments Act of 2000 - Prohibits a Federal agency or instrumentality from providing financial assistance unless the applicant provides a certification attesting that the applicant: (1) is not 60 days delinquent in adjudicated child support payments; or (2) if so delinquent, is in compliance with an agreed upon child support payment plan. Exempts from such proscription financial assistance subject to garnishment for failure to pay child support, and certain good cause circumstances.
United States · United States Congress · 15 March 2000
Resolves that Congress: (1) joins the American Hellenic Educational Progressive Association (AHEPA) in recognizing AHEPA members who served as members of the U.S. armed forces; and (2) acknowledges the honor with which that service is being commemorated by the presentation of the special commemorative AHEPA Medal for Military Service to those members on March 20, 2000.
United States · United States Congress · 9 March 2000
Long-Term Care and Retirement Security Act of 2000 - Amends the Internal Revenue Code to allow: (1) a deduction for eligible long-term care insurance premiums for a taxpayer and the taxpayer's spouse and dependents; and (2) a credit for eligible caregivers caring for certain individuals with long-term care needs.
United States · United States Congress · 2 March 2000
Oil Price Reduction Act of 2000 - Declares it to be U.S. policy: (1) to determine the political, economic, and security relations of the United States with the major net oil exporting countries according to whether they engage in oil price fixing; and (2) to work multilaterally with other countries that are major net oil importers to bring about the complete dismantlement of international oil price fixing arrangements. Directs the President to report to Congress with respect to: (1) the overall economic and security relationship between the United States and each major net oil exporting country (including Organization of Petroleum Exporting Countries (OPEC)); (2) the effect that coordination among such countries with respect to oil production and pricing has had on the U.S. economy and global energy supplies; (3) information on all assistance provided to such countries under the Foreign Assistance Act of 1961 and the Arms Export Control Act (including licenses for the export of defense articles and defense services); and (4) the President's determination as to whether or not each such country is engaging in oil price fixing to the detriment of the U.S. economy. Requires the President to reduce, suspend, or terminate such assistance to each country determined to be engaged in oil price fixing to the detriment of the U.S. economy. Expresses the sense of Congress that the United States should continue to undertake a diplomatic campaign to convince : (1) all major net oil exporting countries that the current oil price levels are unsustainable and will negatively affect global economic growth rates in oil consuming and developing countries; and (2) other major net oil importing countries to join in multilateral efforts to bring about the complete dismantlement of international oil price fixing arrangements. Requires the President to report to Congress with respect to such diplomatic efforts.
United States · United States Congress · 16 February 2000
2002 Winter Olympic Commemorative Coin Act - Directs the Secretary of the Treasury to mint and issue five dollar gold coins and one dollar silver coins emblematic of the participation of American athletes in the 2002 Olympic Winter Games. Mandates that coin design be selected by the Secretary after consultation with: (1) the Commission of Fine Arts; (2) the United States Olympic Committee; and (3) Olympic Properties of the United States-Salt Lake 2002 (created and owned by the Salt Lake Organizing Committee). States that all surcharges from the coin sales ($35 for a $5 coin and $10 for a $1 coin) shall be distributed by the Secretary to: (1) Salt Lake Organizing Committee for the Olympic Winter Games of 2002; and (2) the United States Olympic Committee.
United States · United States Congress · 16 February 2000
President's Commission on Veterans and Smoking Act - Establishes the President's Commission on Veterans and Smoking to study and report to the President and Congress on issues including: (1) the extent to which the past policy of the armed forces contributed to veterans becoming smokers; (2) the percentage of veteran smokers compared to the percentage of smokers in the general U.S. population; and (3) the incidence and severity of smoking-related illnesses among veterans compared to the general U.S. population. Authorizes appropriations.
United States · United States Congress · 16 February 2000
Expresses the sense of Congress that: (1) Federal spending on veterans programs should be increased by at least the rate of inflation for each of the next ten fiscal years; (2) at least 20 percent of the funds received by the Federal Government for claims arising from smoking-related illnesses or an increased risk of such illnesses should be used for veterans health programs; and (3) all funds received for such claims brought on behalf of veterans should be used for veterans health programs.
United States · United States Congress · 16 February 2000
Expresses the sense of the Congress that: (1) the United States-Canada Softwood Lumber Agreement of 1996 should terminate on a specified date, with no extension or further quota agreement; and (2) the President should consult with appropriate stakeholders and continue discussions with the Government of Canada to promote open trade of softwood lumber between Canada and the United States.
United States · United States Congress · 15 February 2000
Ombudsman Reauthorization Act of 2000 - Amends the Solid Waste Disposal Act to extend the termination date for the Office of Ombudsman to the date ten years after this Act's enactment. (Current law provides for termination four years after November 8, 1984.) Requires the Ombudsman to report to Congress on the status of health and environmental concerns addressed by cases brought before the Ombudsman and recommend improvements to the hazardous waste programs for which the Environmental Protection Agency (EPA) and the Agency for Toxic Substances and Disease Registry are responsible. Directs the EPA Administrator to facilitate the structuring of the Office to conform to the structure reflected in the Model Ombudsman Statute of the American Bar Association.
United States · United States Congress · 15 February 2000
Amends the Internal Revenue Code to exclude from gross income payments made under Department of Defense education loan repayment programs to members of the armed forces and Selected Reserve with specified military and critical specialties and specified health and critical medical skills.
United States · United States Congress · 10 February 2000
Timber and Agriculture Environmental Fairness Act - Amends the Federal Water Pollution Control Act to prohibit the Administrator of the Environmental Protection Agency from requiring a national pollutant discharge elimination system permit for discharges composed entirely of agricultural stormwater discharges or for discharges from silviculture operations. Excludes discharges of stormwater runoff from silvicultural operations from the definition of "point source."
United States · United States Congress · 8 February 2000
Installment Tax Correction Act of 2000 - Amends the Internal Revenue Code (as amended by the Ticket to Work and Work Incentives Improvement Act of 1999) to repeal revisions to the Code (made by the Act) which repealed the use of the installment method of accounting for accrual method taxpayers and modified the pledge rules of installment obligations.
United States · United States Congress · 8 February 2000
Authorizes presentation of a gold medal on behalf of Congress to former President Ronald Reagan and his wife Nancy Reagan. Authorizes specified sums to be charged against the United States Mint Public Enterprise Fund for medal costs. Mandates that sale proceeds from duplicate bronze medals be deposited into such Fund.
United States · United States Congress · 8 February 2000
Declares that Congress supports the goals and ideas of National Donor Day. Encourages all Americans to learn about the importance of organ, tissue, bone marrow, and blood donation and to discuss such donation with their families and friends.
United States · United States Congress · 2 February 2000
Keep Our Promise to America's Military Retirees Act - Includes as an employee, for purposes of Federal provisions authorizing 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 of such member. Repeals a provision prohibiting coverage under the Civilian Health and Medical Program of the Uniformed Services for persons entitled to hospital insurance benefits under part A of title XVIII (Medicare) of the Social Act.
United States · United States Congress · 1 February 2000
Recognizes the 50th anniversary of the Korean War, and expresses the gratitude of the American people for the service of members of the armed forces during such War.
United States · United States Congress · 24 January 2000
Religious Broadcasting Freedom Act - Prohibits the Federal Communications Commission (FCC) from establishing, expanding, or otherwise modifying requirements relating to the service obligations of noncommercial educational television stations except by means of Federal agency rulemaking procedures. Terminates the additional guidance contained in the FCC's memorandum opinion and order in WQED Pittsburgh (FCC 99-393), except as such guidance is prescribed in accordance with the above rulemaking procedures.
United States · United States Congress · 22 November 1999
Chimpanzee Health Improvement, Maintenance and Protection Act - Amends title IV of the Public Health Service Act to direct the Secretary of Health and Human Services to provide for the establishment and operation of a national sanctuary system for all surplus federally owned chimpanzees that are no longer needed in research conducted or supported by the National Institutes of Health, the Food and Drug Administration, or other Federal agencies. Mandates that any surplus chimpanzee that is not owned by the Federal Government be accepted into the system if the owner transfers title to the chimpanzee to the sanctuary system. Provides for standards for permanent retirement of chimpanzees into the system. Requires such standards to empower the Secretary to authorize imposition of a fee (except in certain circumstances) for accepting a non-Federal chimpanzee into the system. Directs the Secretary to contract with a nonprofit private entity to establish and operate the system. Provides for funding. Authorizes the Secretary to make grants or contracts for the operation of facilities that provide for the retirement of chimpanzees in accordance with the same standards that apply to the sanctuary system.
United States · United States Congress · 18 November 1999
United States Training on and Commemoration of the Armenian Genocide Resolution - Calls upon the President: (1) to provide for appropriate training and materials to all Foreign Service officers, officials of the Department of State, and any other executive branch employee involved in responding to issues related to human rights, ethnic cleansing, and genocide by familiarizing them with the U.S. record relating to the Armenian Genocide and the consequences of the failure to enforce the judgments of the Turkish courts against the responsible officials; and (2) in his annual message commemorating the Armenian Genocide issued on or about April 24, to characterize the systematic and deliberate annihilation of 1.5 million Armenians as genocide and to recall the proud history of U.S. intervention in opposition to the Armenian Genocide.
United States · United States Congress · 10 November 1999
Authorizes the American Battle Monuments Commission to place within the Vietnam Veterans Memorial a plaque to honor those Vietnam veterans who died after service in the Vietnam War, but as a direct result of such service, and whose names are not otherwise eligible for placement on the Memorial wall.
United States · United States Congress · 10 November 1999
Children's Health Research and Prevention Amendments of 1999 - Title I: Revision and Extension of Programs - Subtitle A: Pediatric Research Initiative - Pediatric Research Initiative Act of 1999 - Amends the Public Health Service Act (the Act) to mandate establishment, in the National Institutes of Health (NIH), of a Pediatric Research Initiative. Authorizes appropriations. Directs the Secretary of Health and Human Services (HHS) (Secretary) to make available within the National Institute of Child Health and Human Development enhanced support for extramural activities relating to the training and career development of pediatric researchers. Authorizes appropriations. Subtitle B: Other Programs - Extends through FY 2003 programs under the Act for: (1) immunizations; (2) screenings, referrals, and education regarding lead poisoning; and (3) the prevention and control of injuries, including traumatic brain injury. Title II: Children's Health Research and Prevention Activities - Subtitle A: Early Detection, Diagnosis, and Treatment Regarding Hearing Loss in Infants - Newborn and Infant Hearing Screening and Intervention Act of 1999 - Mandates grants or cooperative agreements to: (1) develop statewide newborn and infant hearing screening, evaluation, and intervention programs and systems; and (2) provide technical assistance to State agencies to complement an intramural program and to conduct applied research related to newborn and infant hearing screening, evaluation, and intervention programs and systems. Requires NIH to continue a program of research and development on the efficacy of new screening techniques and technology. Mandates Federal coordination and collaboration with State and local agencies, consumer groups, national medical, health, and education specialty organizations, deaf or hard-of-hearing individuals and their families, qualified professional personnel, and related commercial industries. Authorizes appropriations. Subtitle B: Autism - Chapter 1: Surveillance and Research Regarding Prevalence and Pattern of Autism - Autism Statistics, Surveillance, Research, and Epidemiology Act of 1999 (ASSURE) - Authorizes grants and cooperative agreements for the collection, analysis, and reporting of data on autism and pervasive developmental disabilities. Mandates establishment, through grants or cooperative agreements, of three to five centers of excellence in autism and pervasive developmental disabilities epidemiology to collect and analyze autism information. Requires that the Centers for Disease Control and Prevention (CDCP) serve as the coordinating agency for autism and pervasive development disabilities surveillance through the establishment of a clearinghouse for data generated from the monitoring programs created under this chapter. Mandates establishment of an Advisory Committee for Autism and Pervasive Developmental Disabilities Epidemiology Research. Authorizes appropriations. Chapter 2: Expansion, Intensification, and Coordination of Activities of Department of Health and Human Services With Respect to Autism - Advancement in Pediatric Autism Research Act of 1999 - Directs the NIH Director to expand, intensify, and coordinate the activities of NIH with respect to autism. Requires such Director, among other things, to make awards of grants or contracts to public or nonprofit entities for centers of excellence regarding research on autism. Authorizes appropriations. Authorizes the Secretary to make awards of grants and cooperative agreements for the collection, analysis, and reporting of data on autism and pervasive developmental disabilities. Directs the Secretary to establish no less than three regional centers of excellence in autism and pervasive developmental disabilities epidemiology to collect and analyze information on the number, incidence, correlates, and causes of autism and related developmental disabilities. Directs the Secretary to: (1) establish a clearinghouse within the CDCP for the collection and storage of such data; and (2) coordinate the Federal response to requests for assistance regarding potential or alleged autism or developmental disability clusters. Authorizes appropriations. Requires the Secretary to establish a program to provide information and education on autism to health professionals and the general public. Authorizes appropriations. Directs the Secretary to establish an Autism Coordinating Committee to coordinate HHS efforts concerning autism. Subtitle C: Poison Control Center Enhancement and Awareness - Poison Control Center Enhancement and Awareness Act - Directs the Secretary to provide coordination and assistance to regional poison control centers for the establishment of a nationwide toll-free telephone number to be used to access such centers. Authorizes appropriations. Mandates a national media campaign to educate the public about poison prevention and the availability of local poison control resources and to conduct advertising campaigns concerning the nationwide toll-free number. Authorizes appropriations. Mandates grants for certified regional poison control centers to achieve financial stability and to prevent, and provide treatment recommendations for, poisoning. Mandates other grant uses. Sets forth center certification requirements. Authorizes appropriations. Subtitle D: Birth Defects Prevention Activities - Chapter 1: Folic Acid - Folic Acid Promotion and Birth Defects Prevention Act of 1999 - Directs the Secretary to carry out a program, directly or through grants or contracts, for professional and public education and training, research, and epidemiological activities regarding folic acid and birth defects. Authorizes appropriations. Chapter 2: National Center on Birth Defects and Developmental Disabilities - Establishes a National Center on Birth Defects and Developmental Disabilities to: (1) collect, analyze, and make available date on birth defects; (2) conduct applied epidemiological research on prevention of such defects; and (3) provide birth defect prevention information and education to the public. Transfers to such Center all activities, budgets, and personnel of the National Center for Environmental Health that relate to birth defects, folic acid, cerebral palsy, mental retardation, child development, newborn screening, autism, fragile X syndrome, fetal alcohol syndrome, pediatric genetics, and disability prevention. Authorizes appropriations. Subtitle E: Safe Motherhood Monitoring and Prevention Research - Safe Motherhood Monitoring and Prevention Research Act - Authorizes the Secretary to: (1) establish a national monitoring and surveillance program to identify and promote the investigation of deaths and severe complications that occur during pregnancy; (2) expand the Pregnancy Risk Assessment Monitoring System to provide surveillance and collect data in each State; and (3) expand the Maternal and Child Health Epidemiology Program to provide technical support, financial assistance, or the time-limited assignment of senior epidemiologists to maternal and child health programs in each State. Authorizes appropriations. Permits the Secretary to carry out specified activities to promote safe motherhood. Authorizes appropriations. Subtitle F: Pregnant Mothers and Infants Health Promotion - Pregnant Mothers and Infants Health Protection Act - Requires the Secretary to: (1) collect, analyze, and make available data on prenatal smoking and alcohol and illegal drug usage; (2) conduct applied epidemiological research on the prevention of prenatal and postnatal smoking and alcohol and illegal drug usage; (3) support, conduct, and evaluate the effectiveness of educational and cessation programs; and (4) provide information and education to the public on the prevention and implications of prenatal and postnatal smoking and alcohol and illegal drug usage. Authorizes appropriations. Subtitle G: Utilization of Preventive Health Services - Directs the Secretary to make grants to public or nonprofit entities to establish and operate regional centers for identifying particular populations of patients and to facilitate the appropriate utilization of preventive health services by such patients. Requires the Secretary to give priority to various populations of infants, young children, and their mothers. Requires the evaluation of strategies developed through grant funding. Authorizes appropriations. Subtitle H: Research and Development Regarding Fragile X - Fragile X Research Breakthrough Act of 1999 - Requires the Director of the National Institute of Child Health and Human Development to: (1) expand, intensify, and coordinate the Institute's activities respecting research on the mental retardation disease known as fragile X; and (2) make grants to, and enter into contracts with, public or private nonprofit entities for the development and operation of at least three centers for fragile X research. Requires each center to conduct basic and clinical research, which may include clinical trials of new or improved diagnostic methods and drugs or other treatment approaches. Allows such centers to use grant funds to provide fees to individuals serving as subjects in clinical trials. Requires the Director to provide for the coordination of the centers' activities, including the exchange of information. Requires each center to use the facilities of a single institution, or be formed from a consortium of cooperating institutions. Allows support to be provided to a center for up to five years, with authorized extensions. Authorizes appropriations. Requires the Secretary to enter into contracts with qualified health professionals who agree to conduct fragile X research in return for repayment (up to $35,000 for each year of service) of such health professionals' educational loans. Authorizes appropriations. Subtitle I: Children and Epilepsy - Directs the Secretary, through grants to or contracts with public or nonprofit private entities, to develop and implement public health surveillance, education, research, and intervention strategies to improve the lives of persons with epilepsy, with a particular emphasis on children. Authorizes appropriations. Authorizes the Secretary to make grants to State and local governments for carrying out demonstration projects to improve access to health and other services regarding seizures to encourage early detection and treatment in children and others residing in medically underserved areas. Authorizes appropriations. Subtitle J: Asthma Treatment Services for Children - Children's Asthma Relief Act of 1999 - Directs the Secretary to award grants to eligible entities to establish an asthma treatment grants program providing comprehensive asthma services for children and other individuals. Authorizes appropriations. Directs the Secretary to encourage States to implement plans to carry out activities to assist children with asthma in accordance with the guidelines of the National Asthma Education and Prevention Program and the National Heart, Lung, and Blood Institute (Institute). Provides that if a State child health plan under title XXI (Children's Health Insurance) of the Social Security Act provides for such activities to the Secretary's satisfaction, the Secretary shall make a grant to assist the State in carrying them out. Sets forth certain matching funds requirements. Authorizes appropriations. Amends the Act to include, within the preventive health and health services block grant, any system for reducing asthma and asthma-related illnesses, especially with regard to children, through urban cockroach pest management in public facilities through a combination of biological, cultural, physical, and chemical tools that minimizes economic, health, and environmental risks. Requires the Institute Director to: (1) identify all Federal programs carrying out asthma-related activities; (2) develop a Federal plan for responding to asthma; and (3) submit recommendations to Congress on ways to strengthen and improve Federal coordination of such activities. Authorizes appropriations. Requires the CDCP Director to: (1) conduct local asthma surveillance activities to collect data on the prevalence and severity of asthma and the quality of asthma management; and (2) compile and publish annually data on the prevalence of children suffering from asthma in each State and the childhood mortality rate associated with asthma nationally and in each State. Subtitle K: Juvenile Arthritis and Related Conditions - Requires the Directors of the National Institute of Arthritis and Musculoskeletal and Skin Diseases and the National Institute of Allergies and Infectious Diseases to expand and intensify their respective programs of research and related activities concerning juvenile arthritis and related conditions. Requires the NIH Director, through a grant, cooperative agreement, or contract, to establish an information resource center on arthritis and related conditions. Authorizes appropriations. Subtitle L: Childhood Skeletal Malignancies - Directs the Secretary to: (1) study environmental and other risk factors for childhood skeletal cancers; (2) carry out projects to improve outcomes among children with such cancers and related secondary conditions; and (3) ensure that such activities are coordinated with other Public Health Service activities focused on childhood cancers and limb loss. Authorizes appropriations. Subtitle M: Reducing Burden of Diabetes Among Children and Youth - Directs the Secretary to: (1) develop a system to collect data on juvenile diabetes, including its incidence and prevalence, and to establish a national database for such data; (2) conduct or support long-term epidemiological studies concerning juvenile diabetes; (3) implement a national public health effort to address type 2 diabetes in youth; (4) support regional clinical centers for the cure of juvenile diabetes; and (5) implement a national effort to develop a vaccine for type 1 diabetes. Authorizes appropriations. Subtitle N: Miscellaneous Provisions - Requires the NIH Director to report to Congress concerning research activities with respect to rare diseases in children.
United States · United States Congress · 9 November 1999
Declares that: (1) notice is given to the Government of Panama of the decree of nullity of the 1977 Carter-Torrijos treaties; and (2) the United States recognizes the Hay-Bunau-Varilla Treaty of 1903 has never been voided and remains legally binding.
United States · United States Congress · 4 November 1999
Calls on the President to condition any discussion: (1) of Turkey's debt relief or debt refinancing of foreign military finance direct or guaranteed loans on finding a solution to the Cyprus problem; and (2) pertaining to disbursement of Turkey's foreign military finance undisbursed direct or guaranteed loans on settlement of the Cyprus situation.
United States · United States Congress · 1 November 1999
Expresses the sense of Congress that the President should direct the U.S. representative to the Free Trade Area of the Americas (FTAA) negotiations to use all available means to secure Miami, Florida, as the permanent site of the FTAA Secretariat after February 28, 2005.
United States · United States Congress · 28 October 1999
Declares that Congress: (1) deplores the slaying of the Prime Minister of Armenia, Vazgen Sargsian, the Chairman of the Armenian Parliament, Karen Demirchian, the Deputy Chairman of the Armenian Parliament, Yuri Bakhshian, the Minister of Operative Issues, Leonard Petrossian, and other members of the Armenian Government; (2) strongly shares the determination of the Armenian people that the perpetrators will be swiftly brought to justice so that Armenia may demonstrate its resolute opposition to acts of terror; (3) commends the efforts of the late Prime Minister and the Armenian Government for their commitment to democracy and the rule of law and for supporting free market movements internationally; and (4) continues to cherish the strong alliance between Armenia and the United States.
United States · United States Congress · 26 October 1999
Health Care Restoration Act of 1999 - Title II (sic): Provisions Relating to Part B - Subtitle A: Payment for Physician Services - Amends part B (Supplementary Medical Insurance) of title XVIII (Medicare) of the Social Security Act (SSA) with regard to payment for physicians' services to provide for: (1) an update to the specified conversion factor for years beginning with 2001; (2) modification of requirements concerning conversion factors, updates, and sustainable growth rate; and (3) inclusion of a limitation on application of the practice expense site-of-service differential and of a revision to 1997 relative value units (RVUs) under provisions for computation of RVUs for components. (Sec. 202) Directs the Secretary of Health and Human Services (HHS), for a report to Congress, to use data collected or developed by entities and organizations other than HHS to supplement its data in determining the practice expense component used for purposes of determining relative values for payment for physicians' services under the Medicare fee schedule. (Sec. 203) Directs the Administrator of the Health Care Financing Administration to study and report to Congress on the physician and non-physician clinical resources necessary to provide safe outpatient cancer therapy services and the appropriate payment rates for such services under Medicare. Subtitle B: Hospital Outpatient Services - Amends SSA title XVIII part B with regard to the prospective payment system (PPS) for hospital outpatient department (OPD) services to require the Secretary to provide for outlier adjustment and for transitional pass-through payment for additional costs of innovative medical devices, drugs, and biologicals. Provides for application of such new adjustments on a budget neutral basis. Limits judicial review for such new adjustments. (Sec. 211) Includes medical devices as covered OPD services. Limits variation of costs of services classified within a group. (Sec. 212) Adds a transitional adjustment to limit decline in payment for certain covered OPD services furnished before January 1, 2002 and during 2002 and 2003, pursuant to specified guidelines. Directs the Secretary to report to Congress on whether the PPS for covered OPD services furnished under Medicare should apply to various specified providers of outpatient items and services for which payment is made under Medicare, including rural health clinics and rural referral centers. (Sec. 213) Adds to the special rules for certain hospitals rules for cancer and small rural hospitals pertaining to the amount of PPS payment for covered OPD services furnished before January 1, 2005. (Sec. 214) Revises provisions on periodic review and adjustments components of PPS, mandating at least an annual review by the Secretary, among other changes. Subtitle C: Other - Amends SSA title XVIII part B to place a two-year moratorium on the caps for certain physical and occupational therapy services. Amends the Balanced Budget Act of 1997 (BBA '97) to modify congressional reporting requirements pertaining to HHS recommendations on the establishment of a revised coverage policy for outpatient physical and occupational therapy services. Directs the Secretary to study and report to Congress on utilization patterns for such services, and speech-language pathology services covered under Medicare. (Sec. 222) Provides that if the Secretary implements a revised PPS for services of ambulatory surgical facilities under Medicare part B before incorporating data from the 1999 Medicare cost survey, such system shall be implemented consistent with specified principles, such as the principle of budget neutrality. (Sec. 223) Amends BBA '97 to expand coverage to direct services for Medicare beneficiaries participating in certain demonstration projects. Directs the Secretary to study and report to Congress on the use of telemedicine. (Sec. 224) Amends part D (Miscellaneous) of SSA title XVIII with regard to determination of facility specific per diem rates under the PPS for skilled nursing facilities for routine service costs. (Sec. 225) Directs the Administrator for Health Care Policy and Research to provide for a study and report to Congress that compares the differences in quality of ultrasound and other imaging services (including error rates and resulting complications) furnished under the Medicare and Medicaid (SSA title XIX) programs between such services furnished by individuals who are credentialed by private entities or organizations and by those who are not so credentialed. Requires the study to examine and evaluate differences in error rates and patient outcomes as a result of the differences in credentialing. (Sec. 226) Requires the Medicare Payment Advisory Commission (MEDPac) to study and report to Congress on the regulatory burdens placed on all classes of health care providers under Medicare parts A (Hospital Insurance) and B (Supplementary Medical Insurance) to determine the costs these burdens imposed on the nation's health care system. (Sec. 227) Amends part D of SSA title XVIII to eliminate the time limitation on Medicare benefits for immunosuppressive drugs. Title III: Provisions Relating to Parts A and B - Subtitle A: Home Health Services - Directs the following officials to do the following: (1) the Secretary to report to Congress and the Comptroller General (CG) on specified matters with respect to the data collection requirement of patients of Medicare home health agencies under the Outcome and Assessment Information Set (OASIS) standard as part of the comprehensive assessment of patients; and (2) the CG to conduct an independent audit for a report to Congress on the costs incurred by such agencies in complying with such requirement. (Sec. 302) Amends BBA' 97 to limit OASIS data collection requirements to Medicare and Medicaid patients. (Sec. 303) Amends part D of SSA title XVIII to provide for a phase-in and partial elimination of the 15 percent reduction in payments under the PPS for home health services. (Sec. 304) Amends part B of SSA title XVIII with regard to home health agency consolidated billing for durable medical equipment. (Sec. 305) Amends part D of SSA title XVIII to include under the PPS for home health services provisions on use of PPS payments for costs associated with the use of telecommunications systems. Subtitle B: Other - Amends part D of SSA title XVIII to permit the reclassification of certain urban hospitals as rural hospitals. (Sec. 312) Directs the MEDPac to study and report to Congress on Medicare payment policy with respect to graduate clinical training of different classes of non-physician health care professionals and the basis for any differences in treatment among such classes. Title V: Provisions Relating to Part C (Medicare+Choice Program) - Subtitle A: Medicare+Choice - Amends part C (Medicare+Choice) of SSA title XVIII to provide for the phase-in of a new risk adjustment methodology under provisions for payments to Medicare+Choice organizations. (Sec. 502) Directs the Secretary to provide for the computation and the publication, on an annual basis at the time of publication of the annual Medicare+Choice capitation rates, of information on the level of the average annual per capita costs for each Medicare+Choice payment area. (Sec. 503) Makes various specified changes in Medicare+Choice special election period rules and associated Medicare supplemental health insurance (Medigap) policies provisions permitting enrollment in alternative Medicare+Choice plans in case of involuntary termination of Medicare+Choice enrollment. (Sec. 504) Allows variation in premium waivers within a service area if Medicare+Choice payment rates vary within the area. (Sec. 505) Delays to not later than July 1 (currently, not later than May 1) of each year the submission by each Medicare+Choice organization to the Secretary of adjusted community rate, proposed premium, and related information. Modifies provisions with respect to provision of notice and list of plans and comparison of plan options. (Sec. 506) Revises treatment of accreditation provisions under the Medicare+Choice quality assurance program, directing the Secretary to determine, within 90 days after receiving an application by a private accrediting organization, whether its process meets certain requirements considering the factors described under provisions on the effect of accreditation. (Sec. 507) Reduces from 0.5 to 0.3 percentage points the adjustment in national per capita Medicare+Choice growth percentage for 2001 and 2002. (Sec. 508) Allows the Secretary to extend or renew a reasonable cost reimbursement contract beyond December 31, 2005. (Sec. 509) Amends part C (Medicare+Choice) of SSA title XVIII to reduce from five to two years the re-entry period after a contract with a Medicare+Choice organization. (Sec. 510) Directs MEDPac to: (1) study and report to Congress on risk adjustment; and (2) report to Congress on specific legislative changes that should be made to make Medicare Medical Savings Account plans a viable option under the Medicare+Choice program. (Sec. 512) Amends part C (Medicare+Choice) of SSA title XVIII to permit religious fraternal benefit societies to offer a range of Medicare+Choice plans. Subtitle B: Other Managed Care Provisions - Amends BBA '97 to provide for a delay in implementation of the Medicare prepaid competitive pricing demonstration project. (Sec. 522) Amends part D of SSA title XVIII to make OASIS inapplicable to a PACE (program of all-inclusive care for the elderly) program. Title VI: Medicaid - Amends BBA '97 to: (1) make the Medicaid disproportionate share hospital (DSH) transitional rule permanent; (2) increase the DSH allotment for the District of Columbia, Minnesota, New Mexico, and Wyoming for FY 2000 through 2002; (3) establish a new PPS for Federally-qualified health centers and rural health clinics; and (4) revise the formula used by the Secretary to determine payment amounts to each State which has an approved Medicaid plan. Title VII: State Children's Health Insurance Program (SCHIP) - Amends SSA XXI (Children's Health Insurance) (CHIP) to: (1) modify provisions on allotments, among other changes replacing provisions on floor for States with provisions on floors and ceilings in State allotments; and (2) increase appropriations for described territories and commonwealths under CHIP.
United States · United States Congress · 18 October 1999
Amends Federal rail transportation law to prohibit a railroad carrier (including its officers and agents) from requiring a train employee who has been on duty or available for it for any portion of each of seven consecutive days to go on duty or be available for it until at least 72 consecutive hours have passed after the employee is released from duty or availability.
United States · United States Congress · 14 October 1999
Medicare Balanced Budget Refinement Act of 1999 - Title I: Provisions Relating to Part A - Subtitle A: PPS Hospitals - Amends SSA title XVIII part D (Miscellaneous), as amended by the Balanced Budget Act of 1997 (BBA '97), to provide for a one-year delay in the transition of the indirect teaching adjustment factor (under the prospective payment system (PPS) for hospital outpatient department (OPD) services) to its permanent value on or after October 1, 2001 (currently, on or after October 1, 2000) used in determining an additional payment amount for certain hospitals with indirect costs of medical education. Subtitle B: PPS Exempt Hospitals - Amends SSA title XVIII part D to: (1) limit the target amount for described hospitals that are exempt from PPS payment; and (2) direct the Secretary to provide for an appropriate wage adjustment with regard to such hospitals. (Sec. 112) Provides for increased target amounts in computing payments for long-term care and psychiatric hospitals until development of a PPS for those hospitals. (Sec. 113) Directs the Secretary to develop, implement, and report to Congress on: (1) a per discharge PPS for payment for inpatient hospital services of Medicare long-term care hospitals; and (2) develop a per diem PPS for payment for inpatient hospital services of Medicare psychiatric hospitals. Subtitle C: Adjustments to PPS Payments for Skilled Nursing Facilities - Directs the Secretary, for purposes of computing prospective payments for covered skilled nursing facilities (SNFs), to temporarily increase payments for covered skilled nursing facility services for certain high cost patients. (Sec. 122) Amends SSA title XVIII part D to revise provisions on payment to hospitals for inpatient hospital services to: (1) increase for FY 2001 the SNF unadjusted federal per diem rate; (2) permit a SNF to waive a three year transition period and elect to have the amount of payment for all covered facility costs determined pursuant to the adjusted Federal per diem rate applicable to it; (3) exclude certain additional items and services from being covered facility items and services (thus providing for Medicare part A (Hospital Insurance) pass-through payment for such items and services, including certain ambulance services and chemotherapy items) while ensuring budget neutrality for FY 2001; (4) apply to facilities participating in the Nursing Home Case-Mix and Quality Demonstration Project requirements for determining base payments on a per diem basis; and (5) modify requirements for the first cost reporting period update that is used in determining facility specific per diem rates. Title II: Provisions Relating to Part B - Subtitle A: Adjustments to Physician Payment Updates - Amends SSA title XVIII part B (Supplementary Medical Insurance) to modify provisions on: (1) payment for physicians' services with regard to updates to provide for new guidelines for determining updates for years beginning with 2000; and (2) sustainable growth rate with regard to publication and with regard to the data to be used in determining such updates. Subtitle B: Hospital Outpatient Services - Amends SSA title XVIII part B to revise requirements for the PPS for hospital OPD services to: (1) require the Secretary to provide for a specified outlier adjustment for covered OPD services, as well as transitional pass-through payments for additional costs of "innovative" medical devices, drugs, and biologicals, while ensuring budget neutrality; (3) include medical devices as covered OPD services; (4) allow the Secretary to elect to establish relative payment weights based on mean hospital costs for covered OPD services; (5) limit, generally, the variation of costs of covered OPD services classified within a group for purposes of comparable treatment with respect to the use of resources; (6) change the Secretary's optional periodic review of PPS components to a mandatory annual review; and (7) establish a transitional adjustment in the amount of PPS payment for covered OPD services to limit declining payments under Medicare for such services. Subtitle C: Other - Amends SSA title XVIII to provide for: (1) application of separate currently existing caps for speech-language pathology and for other outpatient physical therapy services on a per beneficiary, per facility basis; (2) optional, limited exemption of certain therapy services facilities from any applicable caps for 2000 and 2001; (3) mandatory annual increases in end stage renal disease dialysis composite rate payment amounts; and (4) revised annual covered item updates for 2001 and 2002 for certain durable medical equipment. Title III: Provisions Relating to Parts A and B - Subtitle A: Home Health Services - Provides, in the case of a home health agency that furnishes home health services to a Medicare beneficiary, that for each beneficiary furnished such services during the agency's cost reporting period beginning in FY 2000, the Secretary shall, in accordance with specified restrictions, pay the agency a specified amount out of the Medicare trust funds in addition to any other amount of payment to defray agency costs attributable to data collection and reporting requirements under the Outcome and Assessment Information (OASIS) required under BBA '97. (Sec. 302) Amends BBA '97 and Medicare with regard to the PPS for home health services to delay for one year the application of the 15 percent reduction in payment rates for home health services. Subtitle B: Direct Graduate Medical Education - Amends SSA title XVIII to provide for the use of national average per resident payment system in computing payments for direct graduate medical education (DGME) costs. Title IV: Rural Provider Provisions - Amends SSA title XVIII to permit the reclassification of certain urban hospitals as rural ones. (Sec. 402) Ties the standards applied for geographic reclassification of certain rural hospitals to the most recently available census data. (Sec. 403) Revises the critical access hospital program, permitting for-profit hospitals to qualify for designation as a critical access hospital. Provides for an all-inclusive payment option for outpatient critical access hospital services. Eliminates coinsurance payments for clinical diagnostic laboratory tests furnished by a critical access hospital on an outpatient basis. Allows certain currently excluded hospitals to be providers of extended care services. (Sec. 404) Extends for five years the Medicare-dependent, small rural hospital program. (Sec. 405) Mandates rebasing for certain sole community hospitals that elect such treatment, in accordance with specified guidelines with respect to select fiscal year discharges. (Sec. 406) Revises provisions on payments for direct and indirect graduate medical education costs to expand current graduate medical education training programs for hospitals located in rural areas, and to encourage the training of physicians in underserved rural areas. (Sec. 407) Eliminates the requirement for State certification of need and certain restrictions on a hospital with more than 49 beds that provides extended care services. (Sec. 408) Authorizes the Secretary to award grants to assist eligible small rural hospitals in meeting the costs of implementing data systems required to meet Medicare requirements established by BBA '97. (Sec. 409) Directs the Medicare Payment Advisory Commission (MEDPAC) to study and report to Congress on rural providers under Medicare. Title V: Provisions Relating to Part C (Medicare+Choice Program) - Subtitle A: Medicare+Choice - Amends SSA title XVIII part C (Medicare+Choice) and D (Miscellaneous) to provide for: (1) phased-in new risk adjustment methodology under provisions for payments to Medicare+Choice organizations; (2) increased monthly payments under such provisions for a limited period to encourage the offering of Medicare+Choice plans in certain areas where such a plan has either not been offered or is offered but slated for termination; (3) modification of the five-year reentry rule for Medicare+Choice organizations whose contracts have been terminated; (4) continued annual computation and publication of county-specific per capita fee-for-service expenditure information; (5) enrollment in alternative Medicare+Choice plans and Medicare supplemental health insurance policy (Medigap) coverage in case of involuntary termination of Medicare+Choice enrollment; (6) authorized variation in premium values within a service area if the annual Medicare+Choice capitation rates vary within the area; (7) a delayed deadline for submission of adjusted community rates and related information; (8) extension of Medicare reasonable cost reimbursement contracts under provisions for payments to health maintenance organizations (HMOs) and competitive medical plans; and (9) permission for religious fraternal benefit societies to offer a range of Medicare+Choice plans. (Sec. 510) Directs MEDPAC to report to Congress on specific legislative changes that should be made to make Medicare medical savings account plans a viable option under the Medicare+Choice program. Subtitle B: Social Health Maintenance Organizations (SHMOs) - Amends the Omnibus Budget Reconciliation Act of 1987 to: (1) extend social health maintenance organization (SHMO) demonstration project authority; and (2) replace the current limit on the number of individuals who may participate in a SHMO I or II project site with an aggregate limit for all sites.
United States · United States Congress · 7 October 1999
Expresses the sense of the House of Representatives that: (1) the Federal Government has a responsibility to continue to increase diabetes research funding, endeavor to raise awareness of the importance of the early detection and proper treatment, and consider ways to improve access to, and the quality of, health care services for diagnosing and treating diabetes; (2) all Americans should take an active role in fighting diabetes by using all the means available; and (3) national and community organizations and health care providers should endeavor to promote awareness of diabetes and its complications, and encourage early detection.
United States · United States Congress · 4 October 1999
Amends title XVIII (Medicare) of the Social Security Act to provide for the treatment of certified diabetes educators recognized by the National Certification Board of Diabetes Educators as certified providers for purposes of outpatient diabetes education services under part B (Supplementary Medical Insurance) of title XVIII (Medicare) of the Social Security Act.
United States · United States Congress · 30 September 1999
Quality Care for the Uninsured Act of 1999 - Title I: Tax-Related Health Care Provisions - Amends the Internal Revenue Code to phase-in a 100 percent deduction (for both itemizers and nonitemizers) for the health and long-term care insurance costs of individuals not participating in employer-subsidized health plans. (Sec. 102) Provides for the deduction of 100 percent of the health insurance costs of self-employed individuals. (Sec. 103) Revises medical savings accounts provisions to: (1) repeal the limitation on the number of accounts; (2) make all employers (currently limited to small employers) eligible to offer accounts; (3) increase contribution deduction amounts; (4) permit employer and employee contributions; (5) reduce high deductible health plan deductibles; and (6) permit accounts to be offered under cafeteria plans. (Sec. 104) Permits offering long-term care insurance under cafeteria plans and flexible spending arrangements. (Sec. 105) Permits a taxpayer an additional exemption for certain elderly family members who need long-term care and who reside with the taxpayer. (Sec. 106) Expands the time frame for human clinical trials qualifying for the orphan drug credit. (Sec. 107) Adds to the list of taxable vaccines any conjugate vaccine of streptococcus pneumoniae. (Sec. 108) Establishes a limited credit for "qualified medical innovation expenses." Defines such expenses as amounts paid by a taxpayer to any qualified academic institution for clinical testing research activities. Title II: Greater Access and Choice Through Association Health Plans - Amends the Employee Retirement Income Security Act of 1974 (ERISA) to establish rules governing health plans sponsored by certain associations, including requirements for: (1) certification; (2) sponsors and boards of trustees, and treatment of franchised networks and collectively bargained plans; (3) participation and coverage of employers and individuals and of previously uninsured employees; (4) plan documents, contribution rates, and benefit options; (5) maintenance of reserves, excess-stop loss insurance, and solvency indemnification for plans providing health benefits in addition to health insurance coverage; (6) applications and related reporting; (7) notice for voluntary termination; (8) corrective actions and mandatory termination; and (9) church plans. (Sec. 201) Directs the Secretary of Labor to apply, to the appropriate Federal district court, to be appointed trustee of certain insolvent association health plans which provide health benefits in addition to health insurance coverage. Allows a State to impose a contribution tax on an association health plan that begins operations in such State after the enactment of this Act. Directs the Secretary to report to specified congressional committees on the effect association health plans have had, if any, on reducing the number of uninsured individuals. (Sec. 202) Revises requirements for treatment of single employer arrangements. (Sec. 203) Revises requirements for certain collectively bargained arrangements. (Sec. 204) Sets forth enforcement requirements relating to association health plans. (Sec. 205) Sets forth State responsibilities, and requirements for cooperation between Federal and State authorities, with respect to association health plans. (Sec. 206) Prescribes special rules for certain existing health benefits programs. Title III: Greater Access and Choice Through Healthmarts - Amends the Public Health Service Act to create a new title on HealthMarts. Requires that HealthMarts: (1) be nonprofit entities composed of employers, employees health care providers, and entities that underwrite or administer health benefits coverage; and (2) make available health coverage to all employers and eligible employees at rates established by the insurance issuer on a policy or product specific basis. Deems HealthMarts group health plans for purposes of specified provisions ERISA and the Internal Revenue Code. Requires that coverage made available to an eligible employee in a geographic area be offered to all eligible employees in the same area. Declares that the HealthMart: (1) provides coverage only through contracts with issuers and does not assume insurance risk; (2) provides administrative services for purchasers; and (3) collects and disseminates consumer information on all offered coverage options. Requires that HealthMart coverage provide full portability of creditable coverage for individuals who remain members of the same HealthMart notwithstanding that they change employers. Allows HealthMart coverage to include coverage through an HMO, a preferred provider or licensed provider-sponsored organization, an insurance company, a medical savings or flexible spending account, a point-of-service option, a community health organization, or any combination of those coverages. Requires a HealthMart to permit any employer to contract for coverage and prohibits varying eligibility conditions. Prohibits the purchaser from obtaining or sponsoring coverage other than through the HealthMart. Prohibits enrollment discrimination based on health. Requires HealthMarts to make at least two coverage options available. Supersedes certain related State laws. Provides for the application of: (1) certain existing ERISA and Public Health Service Act requirements; and (2) renewability requirements when the contract between a HealthMart and an issuer is terminated. Directs the Secretary of Health and Human Services to administer this subtitle through a separate Health Care Marketplace Division. Title IV: Community Health Organizations - Permits the waiver of State licensure requirements for certain community health organizations.
United States · United States Congress · 28 September 1999
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 who is also entitled to hospital insurance benefits under part A of title XVIII (Medicare) of the Social Security Act; (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 who is entitled to Medicare hospital insurance benefits; and (5) a family member of such member. Repeals a provision prohibiting coverage under the Civilian Health and Medical Program of the Uniformed Services for persons entitled to hospital insurance benefits under part A of title XVIII (Medicare) of the Social Act.
United States · United States Congress · 23 September 1999
Medicare Beneficiary Prescription Drug Assistance and Stop-Loss Protection Act of 1999 - Amends the Public Health Service Act to add a new title XXVIII for the following purposes: (1) promoting qualified prescription drug coverage assistance for low-income Medicare (title XVIII of the Social Security Act) beneficiaries; (2) providing Medicare outpatient prescription drug stop-loss protection; and (3) providing access to prescription drug coverage under Medicare supplemental (Medigap) policies.
United States · United States Congress · 22 September 1999
Calls upon the President: (1) not to participate in any international negotiation in which antidumping or antisubsidy rules are part of the negotiating agenda; (2) to refrain from submitting for congressional approval agreements that require changes to the current antidumping and countervailing duty laws and enforcement policies of the United States; and (3) to enforce the antidumping and countervailing duty laws vigorously in all pending and future cases.
United States · United States Congress · 22 September 1999
Commends Greece and Turkey for their mutual and swift response to the recent earthquakes in both countries by providing to each other humanitarian assistance and rescue relief. Encourages: (1) the United States to continue its efforts in aiding both countries as they seek to rebuild; and (2) the countries themselves to persevere in resolving outstanding issues between themselves. Recognizes the renewed spirit of cooperation and the importance of the talks between such countries.
United States · United States Congress · 21 September 1999
Amends the National School Lunch Act, with respect to the child and adult care food program, to revise eligibility requirements for private organizations providing nonresidential day care services. Requires only that at least 25 percent of the children served by it meet the income eligibility criteria for free or reduced price meals. (Current law limits institutional eligibility to an organization receiving compensation under title XX (Block Grants to States for Social Services) of the Social Security Act for at least 25 percent of its enrolled children or 25 percent of its licensed capacity, whichever is less.)
United States · United States Congress · 17 September 1999
Expresses the sense of the Congress that the U.S. Government should: (1) request that the new Government of Panama, under the leadership of President Mireya Moscoso, nullify the lease agreements for the Balboa and the Cristobal port facilities on each end of the Panama Canal and initiate a new bidding process that is both transparent and fair; (2) request that the new Government of Panama investigate charges of corruption related to the granting of the Panama Canal port leases by the previous Balladares administration; and (3) negotiate security arrangements with the Government of Panama that will protect the canal and ensure the territorial integrity of the Republic of Panama.
United States · United States Congress · 8 September 1999
Authorizes the President, on behalf of the Congress, to present congressional gold medals to astronauts Neil A. Armstrong, Buzz Aldrin, and Michael Collins, in recognition of their monumental and unprecedented feat of space exploration, as well as their achievements in the advancement of science and promotion of the space program. Authorizes the Secretary of the Treasury to strike and sell bronze duplicates. Requires receipts from such sales to be deposited in the U.S. Mint Public Enterprise Fund.
United States · United States Congress · 5 August 1999
Policyholder Disaster Protection Act of 1999 - Amends the Internal Revenue Code to provide for the creation of disaster protection funds by property and casualty insurance companies for the payment of policyholders' claims arising from certain catastrophic events.
United States · United States Congress · 5 August 1999
Commends the veterans of service in the United States Army who fought during World War II in the German Ardennes offensive known as the Battle of the Bulge. Honors those who gave their lives during that battle. Authorizes the President to issue a proclamation calling upon the people of the United States to honor the veterans of the Battle of the Bulge with appropriate programs, ceremonies, and activities. Calls upon the President to reaffirm the bonds of friendship between the United States and Belgium.
United States · United States Congress · 5 August 1999
Expresses the sense of the House of Representatives that: (1) all Americans, and above all women, should take an active role in the fight against breast cancer by using all the means available to them; (2) the role played by national and community organizations and health care providers in promoting awareness of the importance of regular clinical and self-examinations, regular mammograms, and biopsies (when appropriate), and in providing information, support, and access to services, should be recognized and applauded; and (3) the Federal Government has a responsibility, among other things, to continue to fund research so that the causes of, and improved treatment for, breast cancer may be discovered.
United States · United States Congress · 20 July 1999
Commends President Glafcos Clerides of Cyprus for his decision to cancel the deployment of the S-300 antiaircraft missiles in Cyprus. Urges the President of the United States to use the influence of the U.S. Government to ensure full compliance with the call of the Group of Eight (G-8) leaders and United Nations (UN) Security Council Resolution 1250 for comprehensive negotiations, without preconditions, in the autumn of 1999. Declares that Congress believes that any solution must be based on all relevant UN National Security Council Resolutions, including Resolution 1217.
United States · United States Congress · 14 July 1999
Adoption Awareness Act of 1999 - Amends the Public Health Service Act to direct the Secretary of Health and Human Services to make grants to national adoption organizations for programs to train the staff of eligible health centers in providing adoption counseling to pregnant women and infertile married couples. Makes it a condition for receipt of such a grant that the national adoption organization involved agree to make reasonable efforts to ensure that the eligible health centers with respect to which training under the grant is provided include centers that: (1) receive grants relating to voluntary family planning projects; (2) receive grants relating to community health centers, migrant health centers, and centers regarding homeless individuals and residents of public housing; (3) receive grants for the provision of services in schools; and (4) do not perform or make referrals for abortions, or provide or make referrals for counseling that presents abortion as an option. Directs the Secretary to require programs providing voluntary family planning services with such a grant to provide nondirective counseling and referrals regarding prenatal care and delivery, infant care, foster care, and adoption. Makes religious organizations eligible for such grants without discrimination and mandates their independence from Federal, State, and local governments, providing certain safeguards to ensure such independence. Provides the beneficiaries of assistance from religious organizations with certain rights, including the right not to be discriminated against by the religious organization. Authorizes appropriations.
United States · United States Congress · 14 July 1999
Health Research and Quality Act of 1999 - Amends the Public Health Service Act to establish within the Public Health Service (PHS) an Agency for Health Research and Quality, headed by a director (Agency Director) appointed by the Secretary of Health and Human Services, to replace the current Agency for Health Care Policy and Research. Directs the Secretary to carry out the provisions of this Act relating to the new Agency and its mission and duties through the Agency Director. (Sec. 2) Directs the Agency to identify and disseminate methods or systems used to assess health care research results, particularly to rate the strength of the scientific evidence behind health care practice and technology recommendations in the research. Requires the Agency to employ research strategies and mechanisms that will link research directly with clinical practice in geographically diverse locations throughout the United States, including: (1) Health Care Improvement Research Centers that combine demonstrated multidisciplinary expertise in outcomes or quality improvement research with linkages to relevant sites of care; (2) Provider-based Research Networks, including plan, facility, or delivery system sites of care (especially primary care), that can evaluate and promote quality improvement; and (3) other innovative mechanisms or strategies. Authorizes the Agency to provide specified scientific and technical support for private and public efforts to improve health care quality, including accrediting organizations. Directs the Secretary, acting through the Agency Director, to establish a program of grants for one or more centers to conduct: (1) state-of-the-art research on drugs, biological products, and devices; (2) research on the comparative effectiveness, cost-effectiveness, and safety of drugs, biological products, and devices; and (3) other appropriate activities (excluding the review of new drugs). Requires the Agency Director to: (1) collect certain data on the cost and quality of health care; (2) support research on and initiatives to advance the use of information systems for the study of health care quality; and (3) provide ongoing administrative, research, and technical support for the Preventive Services Task Force, which shall review scientific evidence on the effectiveness, appropriateness, and cost-effectiveness of clinical preventive services regarding their usefulness in daily clinical practice. Establishes within the Agency a Center for Primary Care Research to serve as the principal funding source for Department of Health and Human Services primary care delivery research and demonstrations with respect to the first contact when illness or health concerns arise, the diagnosis, treatment or referral to specialty care, preventive care, and the relationship between the clinician and the patient in the context of the family and community. Requires the Agency Director by specified activities to promote innovation in evidence-based clinical practice and health care technologies. Requires the Secretary, acting through the Director, to coordinate all research, evaluations, and demonstrations related to health services research and quality measurement and improvement activities undertaken and supported by the Federal Government. . Establishes an Advisory Council for Health Care Research and Quality to replace the current Advisory Council for Health Care Policy, Research, and Evaluation. Requires the Agency Director to establish technical and scientific peer review groups to review each application for a grant, cooperative agreement, or contract under the provisions of this Act relating to the new Agency and its mission and duties. Repeals the mandates for: (1) a demonstration program regarding centers for education and research on therapeutics; and (2) the Office of the Forum for Quality and Effectiveness in Health Care. Authorizes appropriations. (Sec. 3) Directs the Secretary, acting through appropriate PHS agencies, to make grants to public or nonprofit private entities for the establishment and operation of regional centers to identify particular populations of patients and facilitate appropriate patient utilization of preventive health services through developing and disseminating strategies to improve the methods used by public and private health care programs and providers in interacting with such patients. Requires applicant entities to meet certain requirements with regard to quality management in order to be eligible to receive such a grant. Authorizes appropriations.
United States · United States Congress · 13 July 1999
Cardiac Arrest Survival Act of 1999 - Amends the Public Health Service Act to direct the Secretary of Health and Human Services to: (1) assist in providing for an improvement in the survival rates of individuals who experience cardiac arrest in Federal buildings by publishing in the Federal Register for public comment recommendations with respect to placing automatic external defibrillators in such buildings; and (2) assist Federal agencies in implementing programs for such placement. Requires the Secretary to determine criteria for: (1) the selection of the Federal public buildings in which defibrillators should be placed; (2) defibrillator maintenance; and (3) the coordination of the use of the defibrillators in public buildings with emergency medical services providers for the geographic areas in which the buildings are located. Provides that any person who provides emergency medical care through the use of a defibrillator, any person who maintained, tested, or provided training in the use of the device, any physician who provided medical oversight of the device, and the person who acquired the device (if specified conditions have been met) is immune from civil liability for any personal injury or wrongful death resulting from the provision of such care, unless the person engaged in gross negligence or willful or wanton misconduct under the applicable circumstances.
![Official portrait of Rep. Bilirakis, Michael [R-FL-9]](https://www.congress.gov/img/member/b000463_200.jpg)