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United States · Official source
2,862 records where Rep. Crockett, George W., Jr. [D-MI-13] is listed as a sponsor, author, or other actor. Search with topics and years
United States · United States Congress · 6 January 1987
Establishes in the House of Representatives the Select Committee on Hunger to conduct a continuing comprehensive study of the problems of hunger and malnutrition. Requires an annual report from such committee, including a summary of its activities.
United States · United States Congress · 9 October 1986
Homecare Quality Assurance Act of 1986 - Adds a new title XXI to the Social Security Act entitled "Homecare Quality Assurance." Defines "homecare services" to include home help services (i.e., homemaker, personal care, and sitter services) and Medicare (title XVIII of the Act) home health services. Requires the Secretary of Health and Human Services to promulgate a homecare consumer's bill of rights which includes rights: (1) facilitating consumer participation in the planning and delivery of services; (2) requiring consumer notification regarding services, charges for services, and the termination or reduction of services; (3) protecting consumer dignity, privacy, and property; and (4) ensuring service from properly trained and competent individuals. Requires homecare providers to: (1) satisfy Medicare home care agency requirements, unless they provide only home help services; (2) provide consumers with copies of the homecare bill of rights; (3) implement grievance review procedures and provide copies of such procedures to consumers; (4) provide consumers with schedules of the services to be provided; (5) have methods for identifying and reviewing a homecare consumer's needs and coordinating the provision of services with other providers; and (6) receive training and disclose the extent of such training to consumers. Conditions coverage of durable medical equipment services on providers: (1) issuing written instructions to and training the homecare consumer and staff in the operation of such equipment; and (2) formulating an emergency plan for providing services to the consumer. Authorizes the Secretary to modify homecare requirements to meet the circumstances of individual providers, but prohibits modifications which exempt a provider from training requirements or infringe upon the consumers' bill of rights. Directs the Secretary to promulgate regulations, within one year of this Act's enactment, pursuant to which peer review organizations (PROs) shall monitor the provision of home health services, devoting at least 50 percent of their efforts to quality assurance. Requires each State to appoint a home help monitoring agent to monitor the provision of home help services. Requires each State to establish a Consumer Advisory Board, within one year of this Act's enactment, to oversee the quality assurance review activities of PROs and the home help monitoring agent. Directs the Board to report to the Secretary and the State's chief executive on October 1 of each year regarding such quality assurance review activities. Requires the Secretary to develop methods and criteria for monitoring the quality of homecare, requiring that such monitoring include direct contact with homecare consumers. Requires that PROs and home help monitoring agents: (1) establish and operate statewide toll-free hotlines for receiving homecare questions and complaints; and (2) assist consumers in resolving homecare quality problems. Directs Consumer Advisory Boards, PROs, and home help monitoring agents to establish programs to educate consumers regarding quality assurance programs and the assistance available for consumers with quality assurance problems. Directs the Secretary to encourage States to develop ombudsman programs for nonelderly homecare consumers. Requires the Secretary to establish and the States to develop procedures for imposing sanctions against providers failing to comply with this Act. Requires the Secretary to report to the Congress on January 1 of each year regarding the availability, adequacy, and use of sanctions. Directs the Secretary to: (1) encourage States to develop homecare provider licensing and certification policies; and (2) issue a biennial report on State implementation of such policies. Establishes a Homecare Quality Assurance Council with which the Secretary must consult in implementing title XXI of the Social Security Act. Directs the Secretary to award grants for homecare provider training programs and furnish States and providers with training materials. Directs the Secretary to establish guidelines and fund: (1) studies on homecare quality assurance measures; and (2) demonstration projects which include State models for monitoring homecare quality and projects exploring the feasibility of developing certification requirements for individuals providing homecare services. Requires the Secretary to report to the Congress on January 1 of each year and States to report to the Secretary on October 1 of each year regarding the nature and performance during the preceding fiscal year of the homecare quality assurance system. Authorizes appropriations for: (1) the home health monitoring activities of PROs and home help monitoring agents; (2) home health training program grants; and (3) the studies and demonstration projects established pursuant to this Act. Amends the Older Americans Act of 1965 to extend the long-term care ombudsman program to homecare services. Requires each State to establish a toll-free telephone hotline to facilitate the communication of complaints regarding long-term and homecare services. Increases authorized appropriations for old-age services in FY 1987. Increases the portion of appropriated funds which may be allotted to the ombudsman programs. Requires the Secretary to report on the effectiveness of demonstration projects established pursuant to this Act within three years of this Act's enactment.
United States · United States Congress · 9 October 1986
Denies most-favored-nation treatment to imports from Yugoslavia unless, within ten days of enactment of this Act, the President reports to the Congress that Yugoslavia has released all U.S. citizens who have been detained without justification and that Yugoslavia has ceased to implement a program which results in such unjustified detainment of U.S citizens. Requires such denial of most-favored-nation treatment, if it goes into effect, to remain in effect until such conditions are met.
United States · United States Congress · 8 October 1986
Expresses the sense of the House of Representatives that the President should direct the Secretary of Education to form a National Task Force on the Problem of Functional Illiteracy.
United States · United States Congress · 6 October 1986
Designates March 16, 1987, as Freedom of Information Day.
United States · United States Congress · 26 September 1986
Expresses the sense of the House of Representatives that the President should attend a summit meeting of the leaders of the "front-line states" that border South Africa to discuss Southern Africa.
United States · United States Congress · 25 September 1986
Declares that the House of Representatives denounces Yasuhiro Nakasone, the Prime Minister of Japan, for his derogatory and racist statements with respect to the intelligence of American blacks and Hispanics. Expresses the sense of the House of Representatives that the President should retract U.S. acceptance of Nakasone's explanation for the statements and demand that he retract such statements and offer the United States a formal apology.
United States · United States Congress · 24 September 1986
Designates February 4, 1987, as National Women in Sports Day.
United States · United States Congress · 23 September 1986
Designates the week commencing February 9, 1987, as National Burn Awareness Week.
United States · United States Congress · 16 September 1986
Prohibits an agency from requesting or requiring that an employee submit to a drug test unless at least two individuals having supervisory or oversight authority with respect to such employee concur that: (1) the employee's performance is impaired; and (2) there is reason to believe the impairment is due to the employee's being under the influence of a controlled substance. Declares that an employee having a positive result in a drug test may be requested or required to submit to a confirmatory drug test. Authorizes an agency to take action against any employee who tests out positive in a confirmatory drug test, or who refuses to submit to a confirmatory drug test. Directs the Office of Personnel Management to establish general guidelines to carry out this Act. Authorizes persons aggrieved by a violation of this Act to bring a civil action in the appropriate U.S. district court. Declares that employees subject to collective bargaining agreements shall not be subject to drug tests: (1) if, or to the extent, such tests would violate such agreement; or (2) if drug tests are not covered by such agreement, unless or until there has been consultation in accordance with applicable law. Declares that this Act does not apply to employees of the Central Intelligency or the National Security Agency. Makes this Act applicable to an executive agency, a military department, a court of the United States, the Administrative Office of the United States, the Library of Congress, the Botanic Garden, and the Government Printing Office.
United States · United States Congress · 11 September 1986
Expresses the sense of the House of Representatives that the President should convene a summit meeting of world leaders to adopt a program against international terrorism.
United States · United States Congress · 11 September 1986
Commends the Peace Corps and the many Americans who are serving or have served as Peace Corps volunteers and staff on their contributions to international development and mutual understanding throughout the 25 years of the existence of the Peace Corps.
United States · United States Congress · 9 September 1986
Designates the week beginning November 30, 1986, as National Home Health Care Week.
United States · United States Congress · 15 August 1986
Designates July 2 and July 3, 1987, as United States-Canada Days of Peace and Friendship.
United States · United States Congress · 14 August 1986
Prevention, Identification, and Treatment of Elder Abuse Act of 1986 - Directs the Secretary of Health and Human Services to establish an office known as the National Clearinghouse on Elder Abuse to: (1) compile an annual summary of recently conducted research on elder abuse; (2) develop and maintain an information clearinghouse on all programs for the prevention and treatment of such abuse; (3) compile training materials for personnel engaged in elder abuse prevention; (4) provide technical assistance for the planning and implementation of programs relating to the problems of elder abuse; and (5) investigate the causes and national incidence of elder abuse. Authorizes the Secretary to make grants to or enter into contracts with public agencies or nonprofit organizations for demonstration projects designed to prevent and treat elder abuse. Sets forth the terms and conditions for such grants. Authorizes the Secretary to make grants to States for the development and implementation of elder abuse prevention and treatment programs. Requires such States to have in effect a State elder abuse law with mandatory reporting provisions. Sets forth other requirements for eligibility. Prohibits the use of assistance for construction of facilities. Directs the Secretary to establish criteria to achieve equitable distribution of assistance among the States. Authorizes appropriations.
United States · United States Congress · 14 August 1986
Designates the week beginning October 6, 1986, as National Children's Television Awareness Week.
United States · United States Congress · 14 August 1986
Designates the week beginning October 5, 1986, as National Birds of Prey Conservation Week.
United States · United States Congress · 13 August 1986
Designates the year beginning October 1, 1986, as the National Institutes of Health Centennial Year.
United States · United States Congress · 11 August 1986
Designates the week of October 26 through November 1, 1986, as National Adult Immunization Awareness Week.
United States · United States Congress · 7 August 1986
Designates the month of September 1986 as National Back to School-Back Off Drugs Month. Sets forth drug abuse prevention activities in which schools should engage.
United States · United States Congress · 5 August 1986
Designates the week of December 14 through December 20, 1986, as National Drunk and Drugged Driving Awareness Week.
United States · United States Congress · 1 August 1986
Bank and Thrift Branch Closure Act of 1986 - Requires any national bank, District bank, or Federal savings and loan association to provide written notice to the Comptroller of the Currency or, in the case of a savings and loan, the Federal Home Loan Bank Board, between 90 and 180 days before closing any branch. Includes among notice requirements: (1) a detailed justification of such action; (2) a financial analysis of deposit and loan activity at such branch for the previous three years and projected activity if the branch were to remain open; (3) a detailed map of the area served by the branch showing the location of all other branches of depository institutions; and (4) a description and the location of any limited or full-service facility planned for such area. Requires such a bank or savings and loan to provide notice of such proposed action to branch customers by: (1) posting a general notice in a conspicuous place on branch premises at least 90 days before the branch is to be closed; and (2) inserting a notice in at least one of any periodic statements mailed to account holders during the period beginning 180 days and ending 90 days before the branch is to be closed. Directs the Comptroller or the Board to determine whether the closing of such branch will result in a significant reduction in the availability of depository institution services in the area and, if so, to consult with leaders in the area and appropriate depository institutions to explore the feasibility of replacing the branch with adequate banking facilities, including a community development credit union.
United States · United States Congress · 1 August 1986
Amends the Internal Revenue Code to allow certain steel companies to elect a 15-year carryback of 50 percent of investment tax credit carryforwards in existence as of the beginning of their first taxable year beginning after December 31, 1985. Requires any steel company receiving a refund due to such carryback to use such a refund either: (1) to purchase an insurance policy to provide employee life and health insurance coverage for one year after the beginning of bankruptcy proceedings; or (2) directly in connection with the trade or business of the corporation in the manufacture or production of steel.
United States · United States Congress · 1 August 1986
Designates the week beginning November 16, 1986, as National Arts Week.
United States · United States Congress · 1 August 1986
Designates the week of October 19 through October 26, 1986, as National Housing Week.
United States · United States Congress · 31 July 1986
Amends the Public Health Service Act to direct the Secretary of Health and Human Services to make grants for the establishment of networks of comprehensive health and support systems for individuals who have acquired immune deficiency syndrome (AIDS) or are infected with the AIDS virus, including: (1) comprehensive ambulatory care services; (2) home health care, hospice, and respite care services; (3) counseling and mental health services; (4) case management services; and (5) education for health personnel. Provides that such grant shall not be used for: (1) the construction or major renovation of facilities; (2) payments for debts incurred prior to the date on which the entity received such grant; (3) payments for items or services which could be made under Medicare and Medicaid; or (4) inpatient hospital care. Sets forth grant application requirements Authorizes appropriations for FY 1987. Directs the Secretary to conduct a survey on children with AIDS.
United States · United States Congress · 29 July 1986
Amends the Federal Aviation Act of 1958 to prohibit air carriers from discriminating against handicapped persons. Directs the Secretary of Transportation to: (1) revise Federal regulations regarding the carriage of handicapped persons to ensure that all subparts of such regulations apply to all air carriers; (2) review air carrier procedures for the carriage of handicapped persons; and (3) direct that such procedures be brought into conformity with Federal regulations.
United States · United States Congress · 24 July 1986
Drug Abuse Education and Prevention Act of 1986 - Extends through FY 1989 the authorization of appropriations for the Department of Justice Assets Forfeiture Fund. Amends the Tariff Act of 1930 to extend through FY 1989 the authorization of appropriations for the Customs Forfeiture Fund. Provides for the use of both such funds by: (1) the Secretary of Health and Human Services to assist the States in providing drug abuse education and prevention programs; and (2) the Secretary of Education to assist the States in providing statewide elementary and secondary school drug abuse education programs.
United States · United States Congress · 24 July 1986
Honors the United Way on the occasion of its 100th anniversary. Encourages the United Way to continue its fine work and achieve its goal of doubling its resources by 1991.
United States · United States Congress · 24 July 1986
Designates August 12, 1986, as National Civil Rights Day.
United States · United States Congress · 22 July 1986
Designates October 1986 as Crack/Cocaine Awareness Month.
United States · United States Congress · 21 July 1986
Congressional Advisory Commission on Intercollegiate Athletics Act - Establishes the Congressional Advisory Commission on Intercollegiate Athletics to investigate and advise the Congress on issues related to athletic programs at colleges and universities, including: (1) the balance between athletics and academics; (2) the impact of television on athletics; (3) the use of drugs by athletes; and (4) the extent of Federal and State government involvement in intercollegiate athletics. Requires the Commission to report to the Congress on its findings not later than one year after its organizational meeting and terminates the Commission 60 days after the date of submission of such report.
United States · United States Congress · 21 July 1986
Amends the Internal Revenue Code to include certain low-income individuals aged 55 or older as members of a targeted group for purposes of the targeted jobs credit. Extends the targeted jobs credit from 1985 to 1988.
United States · United States Congress · 17 July 1986
Anti-Cocaine Amendments Act of 1986 - Amends the Controlled Substances Act and the Controlled Substances Import and Export Act to impose criminal penalties for dealing in: (1) five grams or more of cocaine, its salts, optical and geometric isomers, and salts of isomers, or a substance chemically identical thereto; and (2) 100 or more grams of other schedule I or II narcotic drugs. (Current law imposes such increased penalties on a kilogram or more of some schedule I or II narcotic drugs.)
United States · United States Congress · 17 July 1986
Designates the week beginning March 29, 1987, as American Physiologists Week.
United States · United States Congress · 17 July 1986
Declares that the House of Representatives commends the Government of Ghana for its establishment of the W.E.B. DuBois Memorial Center for Pan-African Culture and the Shrine for the entombment of his remains.
United States · United States Congress · 16 July 1986
Anti-Apartheid Petroleum Sanctions Act - Provides for divestiture of U.S. investments in the oil industry in South Africa and for a ban on oil exports to South Africa unless the following conditions are met within 12-months of enactment of this Act: (1) certification by the President to the Congress that South Africa has freed Nelson Mandela and all political prisoners and has entered into good faith negotiations with truly representative leaders of the black majority for a new political system or has totally dismantled apartheid; and (2) enactment of a joint resolution approving such certification. Provides for expedited consideration of such joint resolution. Requires the divestiture of U.S. investments in the oil industry in South Africa to be effective six months after such 12-month period. Makes the prohibition on U.S. exports of oil to South Africa effective at the end of such 12-month period. Prohibits any Federal agency from issuing a lease or permit for the exploration, development, or production of coal, gas, or oil to anyone who violates the divestiture provision or the export prohibition of this Act. Provides for enforcement of this Act. Sets forth additional penalties for violations of this Act.
United States · United States Congress · 16 July 1986
Designates 1987 as the Year of the Reader.
United States · United States Congress · 15 July 1986
Designates the week beginning August 31, 1986, as National Pedestrian Safety Week.
United States · United States Congress · 14 July 1986
Amends the Federal Aviation Act of 1958 to prohibit an air carrier from: (1) unjustly discriminating against a handicapped person; and (2) imposing unreasonable restrictions upon placing equipment on board an aircraft if needed by such person to use the air carrier's facilities. Requires air carriers to provide: (1) handicapped persons the same services as are provided to non-handicapped persons; and (2) equipment to enable handicapped persons to use the air carrier's facilities. Permits aggrieved persons to bring a civil action in a United States district court for violations of this Act.
United States · United States Congress · 14 July 1986
Amends the Internal Revenue Code to provide an additional exemption of $600 to taxpayers for the deafness of the taxpayer, the taxpayer's spouse, or any of the taxpayer's dependents. Provides an annual cost-of-living adjustment to the exemption amount. Provides that the determination of whether an individual who dies during the taxable year is deaf must be made as of the time of such death. Provides that an individual is deaf if the ability of the individual to hear is so seriously impaired that the individual receives spoken language, if at all, primarily through other sense organs by means such as lip reading, sign language, finger spelling, or reading.
United States · United States Congress · 26 June 1986
Homeless Persons' Survival Act of 1986 - Title I: Emergency Relief for the Homeless - Subtitle A: Emergency Shelter for the Homeless - Declares that every homeless individual is entitled to decent overnight shelter. Amends the Social Security Act to make emergency assistance mandatory for needy families with children and for homeless persons. Subtitle B: Social Security Assistance to the Homeless - Amends the Social Security Act to provide for an outreach program to homeless persons who may be eligible for OASDI and SSI benefits. Extends SSI eligibility to public shelter residents. Subtitle C: Health and Mental Health Care for the Homeless - Provides health and mental health care services to homeless persons. Subtitle D: Emergency Food for the Homeless - Amends the Food Stamp Act of 1977 to provide for food stamp outreach to homeless persons. Makes establishments that feed homeless persons eligible to redeem food stamps. Amends the Temporary Emergency Food Assistance Act of 1983 to increase the FY 1987 authorization of appropriations and extend funding through FY 1989. Subtitle E: Emergency Assistance to Homeless Families and Children - Amends the General Education Provisions Act to require a State or local educational agency to provide free public education to homeless children in order to receive federal assistance. Amends the Runaway and Homeless Youth Act to define "providing temporary shelter" as providing shelter until permanent shelter can be provided elsewhere. Provides for grants for the establishment or expansion of shelters for homeless parents and infants. Subtitle F: Job Training for the Homeless - Amends the Job Training Partnership Act to include homeless persons in the definition of economically disadvantaged. Subtitle G: Entitlements Eligibility for the Homeless - States that the lack of a permanent address shall not make a person ineligible for assistance under: (1) the AFDC program; (2) the SSI program; (3) Medicaid; or (4) veterans' pension programs. Title II: Prevention of Homelessness - Subtitle A: Prevention of Evictions - Sets forth conditions which must be met before evicting a tenant from any federally assisted rental housing project. Directs the Secretary of Housing and Urban Development to provide grants for emergency rent relief payments to landlords on behalf of tenants facing eviction. Authorizes FY 1987 appropriations. Establishes in the Treasury an Emergency Rent Relief Fund. Subtitle B: Preservation of Low Income Housing - Provides for the preservation of single room occupancy buildings under the following programs: (1) community development block grants; (2) urban development action grants; (3) the existing housing program; and (4) the moderate rehabilitation program. Authorizes FY 1987 appropriations for rural housing. Subtitle C: Prevention of Homelessness of Disabled and Institutionalized Persons - Provides for the eligibility of mentally ill persons for federally assisted housing. Amends the Social Security Act to provide for: (1) immediate SSI payments for chronically mentally ill persons; (2) full SSI payments through the third month of institutionalization; and (3) pre-release procedures for such institutionalized persons. Amends the Food Stamp Act of 1977 to provide for a single application for SSI and food stamp benefits by SSI pre-release persons. Subtitle D: Prevention of Homelessness of Families and Children - Amends the Social Security Act to modify specified AFDC rules regarding dependent children in extended families. Title III: Increased Low Income Housing - Increases funding for existing housing and moderate rehabilitation programs. Authorizes FY 1987 appropriations. Provides for the increased availability of tax-foreclosed property to house the homeless. Obligates funds for FY 1987 under the community development block grants and housing for the elderly or handicapped programs for mentally ill homeless persons. Title IV: Effective Date - Makes the provisions of this Act effective on October 1, 1986.
United States · United States Congress · 26 June 1986
Amends the Temporary Emergency Food Assistance Act of 1983 to require that excess cheese held by the Commodity Credit Corporation be made available, at the request of the chief executive officer of a State, upon a showing of need, and without charge, for distribution by eligible agencies in the State.
United States · United States Congress · 26 June 1986
Expresses the support of the Congress for the programs regarding the understanding of slavery of the National Council for Education and Economic Development, Incorporated, and for the program to raise an endowment to assure the permanent location of a commemorative structure within the National Park System dedicated to understanding, knowledge, opportunity, and equality for all people.
United States · United States Congress · 23 June 1986
USHealth Program Act - Title I: Eligibility and Enrollment - Amends title XVIII (Medicare) of the Social Security Act to establish the USHealth Program (Program) for the provision of comprehensive medical care, without regard to age or disability status to: (1) permanent U.S. residents; and (2) aliens who are employed with a foreign government or international organization and reside in the United States, provided an executive agreement can be arranged with such government or organization for payments into the Program. Provides for the possibility of incorporating foreign visitors into the program. Repeals title XIX (Medicaid) of the Act and provisions of various other benefit programs rendered superfluous by the comprehensive nature of the USHealth Program. Title II: Benefits and Providers - Lists Program benefits which comprise: (1) inpatient hospital and inpatient psychiatric hospital services; (2) medical and other health services; (3) comprehensive outpatient rehabilitation facility services; (4) extended care services; (5) home health services; (6) hospice care; (7) respite care; (8) alcohol and drug abuse rehabilitation services; and (9) outpatient mental health services. Amends the Medicare program to expand covered medical and other health services to include: (1) periodic screening and diagnosis of individuals under age 21 to ascertain their physical or mental defects and the care necessary to correct or ameliorate discovered defects; (2) family planning services and supplies for individuals of child-bearing age; (3) private duty nursing services; (4) State authorized nurse-midwife services; (5) eyeglasses and dental services, with specified conditions; (6) prescribed drugs and prosthetic devices; (7) physical therapy; (8) other diagnostic, preventive, and rehabilitative services; and (9) other medical or remedial care furnished by licensed practitioners within the scope of their practice or as specified by the USHealth Board. Expands extended care services to include services furnished to inpatients in intermediate care facilities. Makes the Program the primary payor where items and services provided may also be covered by a group health plan. Provides that before providers are paid for extended care services a physician must certify that the patient needed daily nursing or rehabilitation services which as a practical matter could only be provided in skilled nursing or intermediate care facilities. Sets forth certification standards for comprehensive outpatient rehabilitation facility services, outpatient physical therapy services, and outpatient speech pathology services which require that such services be furnished pursuant to a plan that is periodically reviewed by a physician. Title III: Payments for Services - Ties changes in the payment rate for services provided under the Program to changes in the gross national product (GNP) over a payment period, with adjustments in payments among services being made in response to changes in the utilization of such services. Sets forth a formula for determining the payment due to hospitals for capital-related costs which takes into account capital resource use associated with differing diagnosis-related groups as well as changes in the GNP. Directs the USHealth Board (Board) to establish a payment schedule for each class of covered health care services and periodically adjust such schedules to reflect GNP changes as well as regional and qualitative differences in services provision. Authorizes the Board to provide for the payment of services under an alternative reimbursement system established by a State, provided the system does not increase the cost or reduce the quality of such services. Provides funding to States establishing such a system. Cuts a State's required contribution to the Program by 50 percent of the savings which result from use of the State's alternative system. Prohibits providers from changing beneficiaries or third parties for services covered by this Act. Increases the rate of payment for each class of individuals enrolled with a health maintenance organization (HMO) to 100 percent of the cost for that class. (Currently, 95 percent of the costs are covered.) Restricts coverage to HMOs qualified under the Public Health Service Act. Requires HMOs to provide enrollees with all services covered by this Act. Directs the Board to conduct a national campaign encouraging eligible individuals to enroll with HMOs. Title IV: Financing Program - Requires USHealth beneficiaries to pay, subject to specified maximum payment limits, 25 percent of the payments provided for custodial long-term care services and 20 percent of the payments provided for other services (in addition to nominal copayments). Waives the coinsurance requirement where such payments would place a family's income below the Federal poverty level. Provides that the failure to pay coinsurance amounts will not result in loss of benefit entitlement. Sets forth the formula for determining the monthly premium for individuals age 65 or older, authorizing the reduction or elimination of such premium when the individual's family income falls below the Federal poverty level. Extends the wages on which the Hospital Insurance tax is levied to an unlimited dollar amount after 1991. Amends the Internal Revenue Code to impose an excise tax, to be paid into the USHealth Program Trust Fund (Trust Fund), on wages and self-employment income, including in such tax certain Federal, State, and church employment. Increases the Federal excise tax on cigarettes. Applies the increase to the Trust Fund. Adjusts the rate of such taxes to reflect changes in the GNP. Amends the Medicare program to require the States to pay into the Trust Fund an amount equal to 50 percent of Program payments made to families whose income falls below the Federal poverty level. Amends the Internal Revenue Code to impose a surtax on personal income to cover the amount by which estimated Program costs for a calendar year will exceed Program revenues. Amends the Medicare program to establish the USHealth Program Trust Fund which is to replace the Federal Hospital Insurance Trust Fund and the Federal Supplementary Medical Insurance Trust Fund and be administered by the Board. Provides for off-budget treatment of receipts and disbursements of the Trust Fund. Amends the Internal Revenue Code to repeal the exclusion of employer health insurance contributions from income computations. Title V: Quality Assurance - Amends part B (Peer Review) of title XI of the Act to establish a National Council on Quality Assurance. Directs the Director of the Congressional Office of Technology Assessment to provide for the appointment of members of the Council. States that the general functions of the Council shall be to: (1) provide oversight of the operations of the quality assurance system; and (2) make recommendations annually to the Board and the Congress for improvements in the system. Sets forth the Council's functions more specifically. Requires the Council to report annually to the Congress on the functioning and progress of the Council. Authorizes appropriations. Requires contracts with peer review organizations to provide that: (1) at least one-half of the organizations' efforts must be on quality assurance activities; (2) quality assurance activities shall be conducted with respect to all the different types of items and services covered by Medicare, Medicaid, or through a private payor; and (3) the level of activity for each of the different types of Medicare services and items shall reasonably reflect the proportion of Medicare payments made for that type of service or item. Adds to the definition of the term "peer review organization" so as to require such an entity to: (1) include in its composition representatives of other individuals responsible for the provision of services and items for which the organization is responsible for conducting quality assurance activities; and (2) have a consumer advisory board. Defines a "consumer advisory board." Requires any peer review organization to: (1) educate USHealth beneficiaries; (2) provide for a toll-free telephone number, which shall be provided to USHealth beneficiaries for the purpose of receiving questions and complaints from USHealth beneficiaries; (3) assist in resolving any such complaints that are legitimate; (4) make available to its consumer advisory boards appropriate information received from the telephone service; and (5) train members of its consumer advisory board. Appropriates funds, in addition to any other amounts appropriated to carry out part B of title XI, from the Trust Fund for distribution to peer review organizations. Amends the Medicare program to require hospitals to implement a discharge planning process which meets guidelines and standards to be established by the Board, in conjunction with the National Council on Quality Assurance, to: (1) protect against inappropriate early hospital discharges; (2) ensure a timely and smooth transition to the most appropriate type of and setting for post-hospital care; and (3) permit early initiation of the authorization process for continuing care services. Amends part B of title XI of the Act to require peer review organizations to monitor hospitals' compliance with discharge planning process requirements. Sets forth study and reporting requirements. Title VI: Administration and Miscellaneous - Amends part B (Supplemenatry Medical Insurance) of title XVIII (Medicare) of the Act to replace the heading of part B with the heading, "Part B-USHealth Administration." Establishes as an independent executive agency a USHealth Administration (Administration). Provides that it shall be the duty of the Administration to administer the USHealth Program. Provides that the Administration shall be governed by a USHealth Board. Requires the Board to study and make recommendations as to the most effective methods of providing for the health care of permanent U.S. residents and as to legislation and matters of administrative policy. Establishes in the Administration: (1) a USHealth Administrator; (2) a Deputy USHealth Administrator; (3) a General Counsel; (4) an Inspector General; and (5) an office of the USHealth Ombudsman, to be headed by a USHealth Ombudsman who shall represent the interests of USHealth beneficiaries wtihin the Administration. Requires the annual report of the Board to include a description of the activities of the Ombudsman. Requires the Board to make annual budgetary recommendations relating to the Administration. Requires that appropriations requests by the Administration for staffing and personnel be based upon a comprehensive workforce plan as established by the Board. Provides for the apportionment of administrative costs. Requires the annual report of the Board to include a section reflecting the use of budget authority provided to the Administration. Requires that authority for automated data processing procurement and facilities construction be provided in the form of contract authority covering the total cost of such acquisitions. Makes amounts needed for the liquidation of contract authority so provided available from the Trust Fund to the extent that such amounts are not needed to meet current obligations for benefit payments. Requires the Board to cause a seal of office to be made and judicial notice taken thereof. Directs the Administrator and the Board to report to the Congress within 120 days after the beginning of each regular session on their administration under this Act. Requires the Board and the Director of the Office of Personnel Management to implement demonstration projects relating to personnel matters. Directs the Board and the Administrator of General Services to implement such projects relating to delegations from such Administrator. Specifies the authorities which are to be delegated to the Board from the Administrator of General Services and the Director. Requires the Comptroller General to report to specified congressional committees concerning such projects, including an evaluation of the Board's readiness to assume full and permanent authority. Provides for the transfer to the Administration of all functions carried out by the Secretary of Health and Human Services with respect to the programs and activities which have been administered by the Health Care Financing Administration. Abolishes the position of Administrator of the Health Care Financing Administration in the Department of Health and Human Services. Sets forth effective date and transitional rule provisions. Title VII: Miscellaneous Provisions - Makes this Act inapplicable to Medicare or Medicaid services furnished before 1992.
United States · United States Congress · 19 June 1986
Opportunities for Employment Preparation Act of 1986 - Amends the Job Training Partnership Act (the Act) to establish a program of targeted assistance for severely economically disadvantaged individuals. Defines "severely economically disadvantaged" as individuals who have received benefits under Aid to Families with Dependent Children (AFDC) provisions of the Social Security Act for a specified period and who have been unemployed or without city employment for a specified period. Requires the job training program in each service delivery area to establish a feeder system using community based organizations to conduct outreach and provide preemployment services to severely economically disadvantaged individuals. Requires such outreach and feeder system to include: (1) skills assessment; (2) registration with the Bureau of Employment Security; (3) preemployment training, including an eight-week internship with a private or public agency; (4) employment training, including vocational, adult, and community college and other postsecondary programs; and (5) on-the-job and other employment preparation activities available under the Act. Requires preemployment services to include: (1) educational preparation and basic skills development to increase literacy and computational skills; (2) programs to strengthen attitude and motivation for work; (3) guidance and counseling to assist with occupational choices and selection of employment preparation programs; (4) counseling and information and referral for those experiencing personal or family problems; and (5) parenting and home and family living skills, including nutrition and health education, targeted to teenage parents. Requires supportive services, including child care and transportation assistance, to be given to program participants. Provides that program participants will not lose any other Federal benefits because of program participation. Requires State plans to include descriptions of coordination of other programs with such targeted assistance program.
United States · United States Congress · 19 June 1986
Long-Term Care Patient Advocacy Act of 1986 - Amends the Older Americans Act of 1965 to authorize ombudsmen to designate agents to perform ombudsman functions. Directs the State agency administering the programs under such Act to establish a mandatory training program for ombudsmen and their agents, providing instruction on investigative techniques and the laws and regulations pertaining to long-term care facilities. Protects ombudsmen and their agents from liability if they exercise reasonable care in pursuit of their duties. Directs the State agency to establish: (1) a statewide register which lists information relating to reported incidents of abuse in skilled nursing or intermediate care facilities; and (2) a procedure by which an employee of such facilities or an ombudsman may enter a report in the statewide register detailing alleged incidents of abuse. Amends titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act to require ombudsmen access to patient records in skilled nursing and intermediate care facilities upon the patient's consent and the establishment of reasonable cause. Imposes civil fines and other sanctions upon skilled nursing or intermediate care facilities failing to satisfy Medicare skilled nursing facility requirements. Grants skilled nursing facilities a hearing before the imposition of sanctions. Prohibits the reinstatement of skilled nursing or intermediate care facility participation in the Medicare or Medicaid program earlier than two years from the termination of their participation by reason of their failure to satisfy program requirements. Requires the administrative staff of skilled nursing or intermediate care facilities to clear a criminal background check. Prohibits such facilities from employing individuals within 12 months of their having been dismissed from a facility and cited in a report to the statewide register as suspected abusers of patients in such a facility. Requires skilled nursing and intermediate care facilities to consider only the severity of an applicant's illness and the application date in deciding admissions, unless at least 80 percent of the facility's population are Medicare or Medicaid beneficiaries. Sets forth reporting requirements regarding the quality of care and conditions at long-term and intermediate care facilities.
United States · United States Congress · 19 June 1986
Medicare Timely Payment Amendments of 1986 - Amends parts A (Hospital Insurance) and B (Supplementary Medical Insurance) of title XVIII (Medicare) of the Social Security Act to require fiscal intermediaries and carriers to pay the claims of Medicare providers and beneficiaries, and give such providers and beneficiaries notice of improperly submitted claims, within 22 days of receiving such claims (unless payment is made on a periodic interim payment basis). Requires the Federal Government to pay the interest accruing on such claims for the period during which the payment or notice is past due. Prohibits the Secretary of Health and Human Services from modifying certain regulations relating to the periodic interim payment method of reimbursing providers.
United States · United States Congress · 19 June 1986
Aid to Families and Employment Transition Act of 1986 - Amends part A (Aid to Families with Dependent Children) of title IV of the Social Security Act to provide that AFDC beneficiaries making the transition to unsubsidized employment by participating in employment preparation programs established pursuant to the Employment Preparation Act of 1986 shall have their salary excluded from the AFDC eligibility determination for one year following the initial placement. Continues Medicaid (title XIX of the Act) coverage of individuals making such a transition to unsubsidized employment until the individual either becomes eligible for an employer health plan, or 15 months elapse since his or her placement in unsubsidized employment. Provides AFDC benefits to two-parent families if at least one parent participates in an employment preparation program.
United States · United States Congress · 18 June 1986
Social Security Administrative and Investment Reform Act of 1986 - Title I: Establishment of the Social Security Administration - Amends title VII (Administration) of the Social Security Act to establish as an independent executive agency a Social Security Administration, headed by a Social Security Board. Provides that it shall be the duty of the Administration to administer the programs established by titles II (Old Age, Survivors and Disability Insurance) and XVI (Supplemental Security Income) of the Social Security Act. Requires the Board to study and make recommendations as to the most effective methods of providing economic security through social insurance and as to legislation and matters of administrative policy. Establishes in the Administration: (1) a Commissioner of Social Security; (2) a Deputy Commissioner of Social Security; (3) a General Counsel; (4) an Inspector General; and (5) an Office of the Beneficiary Ombudsman, to be headed by a Beneficiary Ombudsman who shall represent the interests of beneficiaries under the Old Age, Survivors and Disability Insurance program and the Supplemental Security Income Program within the Administration. Requires the annual report of the Board to include a description of the activities of the Beneficiary Ombudsman. Requires the Board to make annual budgetary recommendations relating to the Administration. Requires that appropriations requests by the Administration for staffing and personnel be based upon a comprehensive workforce plan as established by the Board. Provides for the apportionment of administrative costs. Requires the annual report of the Board to include a section reflecting the use of budget authority provided to the Administration. Requires that authority for automated data processing procurement and facilities construction be provided in the form of contract authority covering the total cost of such acquisitions. Makes amounts needed for the liquidation of contract authority so provided available from the Federal Old-Age and Survivors Insurance Trust Fund and the Federal Disability Insurance Trust Fund to the extent that such amounts are not needed to meet current obligations for benefit payments. Requires the Board and the Director of the Office of Personnel Management to implement demonstration projects relating to personnel matters. Directs the Board and the Administrator of General Services to implement such projects relating to delegations from the Administrator. Specifies the authorities which are to be delegated to the Board from the Administrator and the Director. Requires the Comptroller General to report to specified congressional committees concerning such projects, including an evaluation of the Board's readiness to assume full and permanent authority. Requires the Board to cause a seal of office to be made and judicial notice taken thereof. Provides for the transfer to the Administration of all functions carried out by the Secretary of Health and Human Services with respect to the programs and activities to be carried out by the Administration under this Act. Abolishes the position of Commissioner of Social Security in the Department of Health and Human Services. Sets forth effective date and transitional rule provisions. Title II: Conforming Amendments and Rules of Construction - Requires the Secretary and the Board to report to the Congress within 120 days after the beginning of each regular session on their administration under this Act. Requires the Secretary to study and make recommendations on the most effective methods of providing economic security and on the administrative policy for the programs. Directs the Board to appoint, quadrennially, an Advisory Council on the Old-Age, Survivors, and Disability Insurance Program and an Advisory Council on Health and Supplementary Medical Insurance to review the relation of the trust funds supporting the OASDI program and the Medicare program and the long-term commitments of those programs. Requires each council to submit a report to the Board for transmittal to the Congress and the Board of Trustees of each Trust Fund. Title III: Management of the Federal Old-Age and Survivors Insurance Trust Fund and the Federal Disability Insurance Trust Fund - Amends the OASDI program to direct the Managing Trustee of the Federal Old-Age and Survivors Insurance Trust Fund and the Federal Disability Insurance Trust Fund (OASDI trust funds) to immediately invest that portion of the OASDI trust funds which is not required for current withdrawals. Requires the investment to be made in accordance with policies established by the Social Security Board. Prohibits the sale and redemption of OASDI trust fund assets or the expenditure of OASDI trust fund amounts for purposes other than those specified in title II of the Act. Requires members of such trust funds' Board of Trustees to faithfully execute their duties, but does not impose a fiduciary duty. Requires that, in consideration of the public debt limit, required investment of trust fund amounts occur prior to the issuance of other obligations. Directs that tax receipts earmarked for the OASDI program be immediately transferred (currently, monthly transfers are made) from the general fund of the Treasury to the OASDI trust funds. Requires the Board of Trustees of the OASDI trust funds to meet at least twice each year. Sets forth provisions requiring reports by the Board of Trustees and the Managing Trustees to the Congress regarding the operation and status of the OASDI trust funds. Title IV: Additional Matters - Amends the OASDI program to prohibit the payment of OASDI benefits to individuals who have been deported pursuant to the Immigration and Nationality Act because of activities conducted under the direction of or in association with the Nazi government of Germany or its allies. Requires individuals to be paid interim benefits in cases where an administrative law judge has determined their entitlement to certain OASDI or SSI (Supplementary Security Income) benefits, but the Secretary's final decision has not been issued within 90 days of the judge's decision. Excludes any representative of the Department of Health and Human Services, the Social Security Administration, any other agency of such department, or an involved State agency from appearing as a party at an OASDI or SSI benefit hearing or participating in the development of the record of such hearing, unless, in the latter case, the presiding officer requests such participation.