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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 · 23 April 1986
Designates December 1 through December 7, 1986, as National Aplastic Anemia Awareness Week.
United States · United States Congress · 22 April 1986
Declares that the United States and the Soviet Union should initiate a joint effort to immunize all the children of the world by the year 1990.
United States · United States Congress · 21 April 1986
Expresses the sense of the Congress in opposition to employment discrimination against persons who have, or have had, cancer.
United States · United States Congress · 17 April 1986
Medicare Quality Protection Act of 1986 - Title I: Quality Assurance in Inpatient Hospital Settings - Requires the Secretary of Health and Human Services to develop and submit to the Congress a legislative proposal to improve the prospective payment system established under title XVIII (Medicare) of the Social Security Act so that it more accurately approximates the costs of inpatient hospital services and accounts for variations in case complexity. Amends the Medicare program to require a hospital to give Medicare beneficiaries, upon their admission to the hospital, a written statement explaining: (1) the individual's rights to benefits for inpatient hospital and post-hospital Medicare services; (2) the circumstances under which such individual will be liable for charges for a continued hospital stay; (3) the individual's right to appeal denials of continued hospital services; and (4) the individual's liability for payment for services if such a denial of benefits is upheld on appeal. Amends part B (Peer Review) of title XI of the Act to require peer review organizations receiving a hospital inpatient's request for review of a hospital's decision that the patient no longer needs inpatient care to inform the patient of its decision within two days of receiving the request. Prohibits hospitals from charging patients for inpatient hospital services provided while patients wait for a peer review organization to respond to their timely review requests. Imposes a civil money penalty on hospitals which make payments to physicians and on physicians who knowingly receive payments which constitute an inducement to curtail the stay of, or services provided to, an identifiable patient. Directs the Secretary to study the adequacy of standards used for hospital compliance with Medicare participation conditions in assuring the quality of hospital services. Requires the Secretary to study the adequacy with which the prospective payment system compensates hospitals, and distributes such compensation among hospitals, for costs attributable to patients' extended hospital stays necessitated by delays in patient placement in skilled nursing facilities. Title II: Access to Appropriate Post-Hospital Care - Amends part B (Supplementary Medical Insurance) of the Medicare program to require hospitals to implement a discharge planning process which meets guidelines and standards, to be established by the Secretary, ensuring patients a timely and smooth transition to the most appropriate type of, and setting for, post-hospital or rehabilitative care. Extends the limitations on beneficiary liability for disallowed Medicare claims to cover home health services provided to certain unqualified individuals. Provides that skilled nursing facilities and home health agencies which keep their services for which Medicare coverage is denied below specified percentages and comply with certain administrative requirements shall not subsequently be denied payment for care provided. Sets forth reporting requirements. Directs the Secretary to develop a uniform needs assessment instrument enabling health care providers and fiscal intermediaries to evaluate an individual's need and ability to pay for post-hospital extended care, home-health, and long-term care services. Requires the Secretary to develop procedures to expedite fiscal intermediaries' determinations as to whether provider claims for post-hospital extended care and home health services may be reimbursed under the Medicare program. Directs the Secretary to provide for prompt response (within 24 hours) to beneficiary requests as to whether the beneficiary's Medicare coverage for post-hospital extended care services has been exhausted. Authorizes providers to represent beneficiaries on appeals of benefit determinations. Permits beneficiary appeals of the Secretary's denials of claims for home health service benefits. Amends the Social Security Amendments of 1983 to extend, through 1989, the annual report on the impact of the prospective payment system and require the inclusion of information in such reports regarding the quality, and accessibility to Medicare beneficiaries, of post-hospital services. Title III: Improved Review of Quality by Peer Review Organizations - Amends part B (Peer Review) of title XI of the Act to require hospitals to submit data to peer review organizations on a monthly basis. Requires peer review organizations to review selected cases where individuals are readmitted to a hospital within 30 days of their most recent hospital discharge to determine if the previous inpatient hospital services and post-hospital services met professionally recognized health care standards. Directs each peer review organization to commit a reasonable proportion of its activities to review of the quality of services provided in cases and settings where potential quality problems have been identified. Requires the Secretary to identify methods facilitating the discovery of such cases. Requires each peer review organization to have at least one consumer representative on its board of directors. Directs such organizations to investigate all written beneficiary complaints about the quality of Medicare services which are filed with the organization. Requires peer review organizations to share data with organizations responsible for accrediting providers or State officials responsible for assuring quality care if such data reflects a substantial failure by providers or practitioners to provide quality care. Title IV: Study to Develop a Strategy for Quality Review and Assurance - Directs the Secretary to arrange a study which will serve as the basis for establishing a strategy for reviewing and assuring the quality of care provided under the Medicare program. Requires the Secretary to report to the Congress regarding the study within two years of enactment of this Act.
United States · United States Congress · 17 April 1986
Medicaid Infant Mortality Amendments of 1986 - Amends title XIX (Medicaid) of the Social Security Act to give States the option of extending coverage to women in need of pregnancy-related medical services and infants up to age one whose family income exceeds current income eligibility thresholds, but does not exceed a State maximum income level to be established at or below the Federal poverty level. Allows States to continue such coverage for women until 60 days after pregnancy without regard to any change in her family income. Requires the State maximum income level for eligibility under this program to be no less than the payment level applicable to a family with no income under part A (Aid to Families with Dependent Children) of title IV of the Act. Prohibits States which provide coverage pursuant to this Act from reducing AFDC payment levels.
United States · United States Congress · 17 April 1986
Medicare Fair Hospital Deductible Act - Amends title XVIII (Medicare) of the Social Security Act to change the date by which the Secretary of Health and Human Services must determine the inpatient hospital deductible for the year. Limits the increase in such deductible to no more than the cost-of-living increase reflected in benefit payments under title II (Old Age, Survivors and Disability Insurance) of the Act. Provides that the extended care coinsurance amount for any spell of illness in any year shall equal one-twelfth of the inpatient hospital deductible for illnesses beginning in such year.
United States · United States Congress · 17 April 1986
Amends title II (Old Age, Survivors and Disability Insurance) of the Social Security Act to eliminate the requirement that there be at least a three-percent rise in the Consumer Price Index before a cost-of-living adjustment of benefits is made.
United States · United States Congress · 16 April 1986
Agricultural Credit Act of 1986 - Title I: Interest Subsidy Incentives for Restructuring Loans - Directs the Secretary of Agriculture, and a State at its option, to provide interest rate subsidies to lenders who defer principal or interest payments on agricultural loans. Limits eligible aggregate loan amounts. Sets forth rate reductions. Establishes a three-year deferral period. States that at the end of such period lenders may not charge interest rates in excess of existing comparable rates. Permits lenders to enforce pre-deferral loan terms in the event of a nonmonetary borrower default. Requires lenders to make a good faith effort to reduce principal or interest due before foreclosing, except in the case of a bankruptcy. Requires lenders to develop debt restructuring guidelines. Terminates Federal and State subsidy payments upon foreclosure. Directs the Secretary to use the Agricultural Credit Insurance Fund to carry out such subsidy program. Authorizes the use of additional specified funds under the Consolidated Farm and Rural Development Act. Title II: Conservation Provisions - Amends the Food Security Act of 1985 to prohibit such loan deferral assistance to producers who cultivate crops on erodible land or wetlands. Title III: Accounting Provisions - Amends the Federal Deposit Insurance Act to require the appropriate Federal banking agency to: (1) permit an insured agricultural bank to account for debt restructuring according to generally accepted accounting principles by not requiring a change in the recorded investment unless the investment exceeds total, reasonably anticipated, future receipts given the new terms of the loan; (2) establish a program of capital standard forbearance for such an insured bank for which capital reduction is attributable to problems in the agricultural sectors of the economy; and (3) implement call report requirements for renegotiated loans which authorize such loans to be disclosed as "restructured and in compliance with modified terms." Requires States to conform their appropriate regulations to such amendments. Prohibits a national banking association from holding real estate under mortgage or purchased to secure debts for longer than ten years with no extension (currently, five years with a five-year extension if approved by the Comptroller of the Currency). Directs the Comptroller of the Currency to establish new lending limits for banks covered by the capital standard forbearance program. Prohibits such lending limitation from exceeding 20 percent of the unimpaired capital and unimpaired surplus of the lending institution. Title IV: Miscellaneous - Directs the Secretary to prescribe implementing regulations within 30 days. States that any State law prohibiting fixed rate loans shall not apply to credit extensions under this Act. Sets forth penalties for misuse of funds under this Act.
United States · United States Congress · 16 April 1986
Designates the Month of November 1986 as National Diabetes Month.
United States · United States Congress · 16 April 1986
Expresses the respect and friendship of the Congress for the Australian people and its sense that the United States should contribute to Australia's bicentennial observance in a manner indicative of our respect and affection for that nation.
United States · United States Congress · 15 April 1986
Designates April 17, 1986, as National Pension Day.
United States · United States Congress · 10 April 1986
Designates the week beginning May 4, 1986, as National Correctional Officers Week.
United States · United States Congress · 9 April 1986
Amends the American Folklife Preservation Act to extend through FY 1989 the authorization of appropriations for the American Folklife Center, located in the Library of Congress. Repeals a restriction on the Center's use of FY 1985 or 1986 funds to pay for any personnel position established after August 21, 1984.
United States · United States Congress · 9 April 1986
Designates the week beginning on November 9, 1986, as National Women Veterans Recognition Week.
United States · United States Congress · 9 April 1986
Designates the month of November 1986 as National Hospice Month.
United States · United States Congress · 9 April 1986
Designates June 21, 1986, as National Save American Industry and Jobs Day.
United States · United States Congress · 8 April 1986
Designates November 18, 1986, as National Community Education Day.
United States · United States Congress · 8 April 1986
Expresses the sense of the House of Representatives that the Secretary of Agriculture should take immediate steps to investigate alternative animal identification procedures in lieu of hot-iron cheek branding.
United States · United States Congress · 25 March 1986
Designates the week beginning September 7, 1986, as National Freedom of Information Act Awareness Week.
United States · United States Congress · 25 March 1986
Designates April 20, 1986, as Education Day, U.S.A.
United States · United States Congress · 21 March 1986
Non-Smokers' Protection Act of 1986 - Establishes the policy of the United States to provide an environment free from tobacco smoke to the maximum extent practicable in Government buildings. Directs the Secretary of Health and Human Services, in consultation with the Surgeon General, to promulgate regulations to carry out such policy. Requires such regulations, at a minimum, to provide that smoking be prohibited in buildings or building sections occupied by the Government. Authorizes the Secretary to exempt certain limited areas from such restriction and grants precedence to the rights of nonsmokers in any dispute. Requires the posting of signs where smoking is permitted in a building. Directs the Secretary to solicit comments from labor organizations prior to promulgating regulations. Prohibits such regulations from superseding those that provide more stringent restrictions on smoking. Declares that nothing in this Act prevents more stringent regulations from being promulgated.
United States · United States Congress · 21 March 1986
Nursing Home Resident Protection Act of 1986 - Title I: Medicare and Medicaid Programs - Amends title XIX (Medicaid) of the Social Security Act to require intermediate care facilities (other than mental health institutions) to meet skilled nursing facility requirements established under title XVIII (Medicare) of the Act. Makes changes in the conditions placed upon skilled nursing facilities' Medicare participation relating to: (1) the quality and fairness of care; (2) patient participation in facility decision-making; and (3) the extent to which care approximates a patient's particular needs. Substantiates such objectives by providing a nonexclusive list of patients' rights at such facilities. Prohibits State agencies which have agreed to survey nursing facilities' compliance with Medicare participation conditions from providing such facilities with consultation services regarding such conditions. Requires that nursing facility survey results be posted in a place accessible to patients. Requires that nursing facility surveys be: (1) unannounced; (2) conducted by a multidisciplinary team of professionals trained and tested for their duties; (3) focused on the quality of care provided to patients; and (4) performed for each facility on a regular basis, the frequency of such surveys depending upon the facility's record. Directs State agencies to provide for the investigation of complaints against nursing facilities and to use specialized survey teams to survey and carry out enforcement action against chronically substandard facilities and other facilities threatening patients' well-being. Directs the Secretary of Health and Human Services to establish criteria and procedures for evaluating an institution's plans for the correction of its violations of nursing facility standards. Directs the Secretary to conduct a random annual sample of skilled nursing and intermediate care facilities in order to validate State determinations regarding provider compliance with Medicaid requirements. Directs the Secretary to develop and implement intermediate sanctions applicable to Medicare nursing or Medicaid intermediate care facilities which do not substantially satisfy the requirements placed on such facilities, but which do not immediately jeopardize the health, safety, and well-being of their patients. Gives such facilities the right to a hearing after the determination regarding such deficiencies is made. Amends part A (General Provisions) of title XI of the Act to give an individual entitled to inpatient hospital services in a nursing or intermediate care facility the right to bring an action in an appropriate Federal district court when such facility's failure to meet the requirements of the Act adversely affects such individual. Title II: Amendments to the Older Americans Act of 1965 - Amends the ombudsman program of the Older Americans Act of 1965 to: (1) authorize an ombudsman to designate a representative to perform ombudsman functions; (2) increase the minimum which must be allotted to the program from grants to States for the provision of social services for the aged; (3) immunize ombudsmen and their representatives from liability under State and Federal law in the performance of their duties, so long as such duties are performed with due care; and (4) provide technical assistance and training for ombudsmen and their representatives. Establishes the National Long-Term Care Ombudsman Program Advisory Council in the Department of Health and Human Services to advise the Secretary regarding the development and operation of the ombudsman program. Requires the Secretary to report annually to the Congress regarding data collected on complaints and conditions in long-term care facilities.
United States · United States Congress · 21 March 1986
Designates the weekend of August 1 through August 3, 1986, as National Family Reunion Weekend.
United States · United States Congress · 20 March 1986
Authorizes the Peace Garden Project to establish a garden on Federal land in the District of Columbia, chosen by the Secretary of the Interior.
United States · United States Congress · 20 March 1986
Extended Unemployment Insurance Reform Act of 1986 - Title I: Improved Program of Extended Unemployment Compensation - Amends the Federal-State Extended Unemployment Compensation Act of 1970 to limit the amount of extended compensation payable to an individual to the amount established in an individual's extended compensation account. Increases the limit on the amount established in an individual's extended compensation account. Sets forth the formula for determining the new limit. Limits an individual's eligibility period for extended compensation to the number of weeks equal to the applicable limit for an individual's compensation account. Requires the amount and duration of extended compensation payable under the interstate benefit payment plan to be the same as if the individual were filing the claim in the State which establishes the individual's extended compensation account. Requires that each unemployment benefit duration period shall be a three-month period beginning on the first Sunday of January of each year and the first Sunday of every third month thereafter. Sets forth formulas, based upon each State's insured unemployment rate, for determining whether a benefit duration period shall be an eight-percent, seven-percent, six-percent, five-percent, or four-percent period. Requires that a benefit duration period shall be a "low-unemployment period" if the State's adjusted insured unemployment rate for the first week of such benefit duration period and the immediately preceding 12 weeks was less than four percent. Sets forth an alternative method of determining a benefit duration period based upon the total rate of unemployment. Requires that each State be paid an amount equal to the applicable percentage of the sum of the sharable extended compensation and the sharable regular compensation paid to individuals under State law. Sets forth the applicable percentage for eight-percent, seven-percent, six-percent, five-percent, and four-percent periods. Defines sharable regular compensation. Amends title IX (Employment Security) of the Social Security Act to authorize appropriations into the extended unemployment compensation account. Sets forth transition provisions. Title II: Demonstration Projects - Directs the Secretary of Labor (the Secretary) to enter into a demonstration program agreement with at least three States whereby extended unemployment compensation under the Act would be available for certain substate areas with specified levels of unemployment. Directs the Secretary to enter into a demonstration program agreement with at least five States for promotion of training programs for unemployment compensation recipients. Directs the Secretary to provide model criteria, technical assistance, and specified information for such State training programs. Directs State Governors to designate State agencies to approve training programs and participants. Directs the Secretary to transmit a study of such demonstration program to the Congress by October 1, 1988. Provides, under the Social Security Act, for interest credits to a State's account in the Unemployment Trust Fund on the basis of State payments of unemployment compensation to individuals in approved training. Sets forth State reporting requirements. Requires the Secretary to report annually, beginning not later than October 31, 1986, on the implementation of such training program provisions and on State regulations and procedures to comply with specified Internal Revenue Code provisions relating to unemployment compensation. Provides that the training program provisions under this title shall not be taken into consideration in determining whether there has been a net decrease in the solvency of any State unemployment compensation system. Title III: Procurement Targeting in Labor Surplus Areas - Directs the head of each Federal agency which procured supplies and equipment at a rate in excess of $1,000,000,000 in FY 1985 to set targets, for FY 1987 and each fiscal year thereafter, for such procurement within labor surplus areas, as defined by the Secretary of Labor. Directs the Director of the Office of Management and Budget to report annually to specified congressional committees on: (1) the number, amount, and percentage of contracts awarded by each Federal agency in labor surplus areas; (2) the impact of such contracts on the area unemployment rate and on the Federal costs under the extended unemployment compensation program; and (3) whether such contracts could be increased without adverse impact on Federal procurement. Title IV: Report - Directs the Secretary of Labor, within six months of the enactment of this Act, to report to the Congress on the nationwide computerized job bank and matching program authorized under the Job Training Partnership Act.
United States · United States Congress · 20 March 1986
Effective Schools and Even Start Act - Requires each State receiving an allotment under a certain provision of the Education Consolidation and Improvement Act of 1981 after enactment of this Act to use a specified portion of such allotment to: (1) plan for, and review proposed changes in, effective schools programs; (2) implement and support effective schools programs; (3) obtain technical assistance and consultant services with respect to effective schools programs from qualified nonprofit educational organizations; (4) design, develop, and publish educational materials on effective schools programs; (5) develop and implement data collection and analysis systems concerning effective schools programs; (6) promote State and local educational agency awareness of effective schools information; (7) conduct evaluations of effective schools programs; and/or (8) otherwise identify and disseminate information concerning exemplary effective schools programs. Requires the Secretary of Education (the Secretary) to provide assistance in order to inform State educational agencies of the requirements of this Act and to help such agencies comply with such requirements. Requires the Secretary to make grants from specified funds appropriated pursuant to the Education Consolidation and Improvement Act of 1981 and the Adult Education Act to provide a program of adult literacy training which includes involving parents and children together in an effort to enhance the likelihood of educational achievement. Sets forth the elements to be included in such program. Defines an eligible program participant as a parent or child (aged three to seven) from a family: (1) that includes a parent who is eligible for participation in an adult basic education program under the Adult Education Act; and (2) that resides with a child (aged three to seven) in a certain type of school attendance area. Declares that any agency that operates an adult basic education program and serves an area which has an especially high concentration of children from low-income families is eligible to apply for a grant under the Even Start program. Sets forth the requirements for a grant application. Requires that two-thirds of the applications selected for final review shall be from urban areas and one-third shall be from rural areas. Provides for the creation of a review panel to make the final selection of grant recipients. Requires any State educational agency required to use funds for an effective school program to amend its application under a specified section of the Education Consolidation and Improvement Act of 1981 to reflect the activities to be conducted with such funds. Requires such a State educational agency and an Even Start program applicant who has been selected to receive funding to enter into a program agreement with the Secretary. Sets forth the information to be included in such agreements. Requires the Secretary to analyze the effective schools programs conducted pursuant to this Act and report to the Congress on such programs by September 30, 1989. Requires the Secretary to provide for annual evaluations of the effectiveness of Even Start programs in providing specified services. Requires the results of the evaluations to be submitted to the national diffusion network for possible dissemination.
United States · United States Congress · 19 March 1986
Employment Opportunities for Disabled Americans Act - Makes permanent provisions which provide benefits under title XVI (Supplemental Security Income) of the Social Security Act for individuals who perform substantial gainful activity despite a severe medical impairment. Removes SSI limitations for the first two months of an individual's stay in a health facility if such individual was eligible for the benefits made permanent by this Act during the month preceding admission to the facility. Requires the district offices of the Social Security Administration to each designate a staff member to implement the program providing benefits to individuals who perform substantial gainful activity despite severe medical impairment. Revises the eligibility requirements for such benefits. Directs the Secretary of Health and Human Services to establish and implement procedures which provide that whenever an individual is formally notified of his or her SSI eligibility, such individual will also be notified of the availability of assistance under title XIX (Medicaid) of such Act. Directs the Secretary, when any individual receives SSI benefits on the basis of a disability, to notify such individual of his or her potential eligibility for the SSI benefits available for those performing substantial gainful activity despite a severe medical impairment. Directs the Comptroller General to conduct a study of the operation of the SSI section which provides benefits for individuals who perform substantial gainful activity despite a severe medical impairment, with the particular objective of evaluating the work incentive provisions of such section. Requires the Comptroller General to report to the Congress the findings of such study. Provides that when an individual becomes ineligible for SSI benefits upon entitlement to child's insurance benefits under title II (Old Age, Survivors and Disability Insurance) of the Act, such individual shall be treated for Medicaid purposes as continuing to receive SSI benefits so long as he or she would otherwise be eligible for such benefits. Authorizes the Secretary to conduct demonstration projects designed to assess the advantages and disadvantages of various work incentive programs under the OASDI and SSI programs. Sets forth reporting requirements.
United States · United States Congress · 19 March 1986
Expresses the sense of the House of Representatives that Federal excise taxes and tariffs when incurred by business in the production of income should remain deductible for Federal income tax purposes.
United States · United States Congress · 18 March 1986
Designates May 1986 as National Women's Health Awareness Month.
United States · United States Congress · 17 March 1986
Amends the Low-Income Home Energy Assistance Act of 1981 to authorize home energy grants for FY 1987 through 1989. Deems the full amount of home energy assistance payments, regardless of whether made directly to a household or indirectly for its benefit, to be heating or cooling expenses for purposes of the excess shelter expense deduction under the Food Stamp Act of 1977.
United States · United States Congress · 13 March 1986
Designates the month of October 1986 as National Down Syndrome Month.
United States · United States Congress · 11 March 1986
Designates the month of May 1986 as National Child Safety Month.
United States · United States Congress · 11 March 1986
Designates the month of April 1986 as Fair Housing Month.
United States · United States Congress · 11 March 1986
Directs the President to provide, within seven days, to the House of Representatives documents relating to the use of specified funds appropriated for humanitarian assistance for the Nicaraguan democratic resistance.
United States · United States Congress · 10 March 1986
Designates the week beginning on March 16, 1986, as National Congregate and Meals on Wheels Week.
United States · United States Congress · 6 March 1986
Medicare Continuing Care, Equity, and Quality Assurance Act of 1986 - Title I: Continuing Care Reforms - Amends part A (General Provisions) of title XI of the Social Security Act to direct the Secretary of Health and Human Services to establish a Continuing Care Policy Council composed of members with expertise in geriatrics or rehabilitative practices. Requires the Council to make recommendations to the Secretary concerning the administration of continuing care services under titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act and as such services are affected by title I of this Act. Amends part A (Hospital Insurance) of the Medicare program to require the Secretary to establish medical claims standards which are to be applied uniformly and take into account a patient's medical profile, condition, and other practical considerations in determining the medical reasonableness and necessity of claims for continuing care services (defined to include extended care and home health services). Requires the Secretary to annually review and, if necessary, revise the standards. Authorizes a fiscal intermediary which has initially determined that some or all of a continuing care services claim may be denied, but has not yet officially denied the claim, to consult with the service provider, patient, and patient's physician to review the determination and approve a modified claim if the services are appropriate and the patient concurs in the modification. Directs the Secretary, in determining whether payments to home health agencies and skilled nursing facilities should be denied, to continue certain presumptions of compliance with reasonable and necessary services requirements until a system providing for case-by-case determinations of authorizations for continuing care services is implemented. Requires system implementation within 30 months of enactment of this Act. Requires a fiscal intermediary to reimburse a provider of continuing care for services provided to an individual for whom there was reasonable evidence of entitlement if the provider makes a timely request that the intermediary determine whether the individual is entitled to such services. Sets forth deadlines by which fiscal intermediaries must respond to provider inquiries concerning the medical necessity of continuing care services. Requires intermediaries to reimburse providers for medically unnecessary services provided over periods during which the intermediary's response is past due. Indemnifies beneficiaries who pay providers for continuing care services without knowing that they are unqualified for such services or that such services are medically unnecessary. Requires the Secretary to investigate allegations that a skilled nursing facility or home health agency has delayed or restricted acceptance of an individual until its receipt of the intermediary's response to its entitlement or medical necessity inquiries. Entitles individuals whose claim for continuing care services has been denied to a hearing by the Secretary and judicial review of the Secretary's final decision. Authorizes provider appeals on behalf of beneficiaries. Provides that, when a fiscal intermediary denies payment for continuing care services or a provider first furnishes such services, such organizations must inform beneficiaries regarding the individual's rights under this Act to appeal payment determinations. Amends part B (Peer Review) of title XI of the Act to require peer review organizations, in certain situations to be determined by the Secretary, to perform independent medical reviews of fiscal intermediary denials of payment for continuing care services. Requires each peer review organization to annually report to the Secretary regarding such reviews. Directs peer review organizations to authorize payment for services which would not otherwise meet payment conditions where such organization certifies that exceptional circumstances exist to justify the cost-effective provision of the services. Amends part A (Hospital Insurance) of the Medicare program to establish a special benefit consisting of payments to hospitals which retain patients who require only the level of care provided in a skilled nursing facility, but cannot transfer to such a facility due to the unavailability of space in such facilities. Requires the Secretary to establish performance standards for fiscal intermediary medical claims review which: (1) weigh the accuracy and timeliness of such review commensurately with cost savings from such review; (2) specify the qualifications required of review personnel; and (3) require an intensive level of review for new providers and providers with poor performance records. Requires the Secretary to annually inform the Continuing Care Policy Council regarding the intermediaries' performance under these standards. Directs the Secretary to establish a Medicare benefits management demonstration program, including projects which: (1) substitute, for the process of submitting separate claims by providers for an individual beneficiary, a single benefits manager that would identify and track the benefits most appropriate to the beneficiary; and (2) provide additional benefits to Medicare beneficiaries, including noncovered benefits if no additional costs are thereby imposed on beneficiaries or Medicare. Title II: Quality Assurance Reforms - 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 on the operations of the quality assurance system under the Medicare program; and (2) make recommendations annually to the Secretary of Health and Human Services 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; and (3) the level of activity for each of the different types of 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 Medicare beneficiaries; (2) provide for a toll-free 24 hour telephone number, which shall be provided to Medicare beneficiaries for the purpose of receiving questions and complaints from Medicare 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 Federal Hospital Insurance Trust Fund and the Federal Supplementary Medical Insurance Trust Fund for distribution to peer review organizations. Amends part B (Supplementary Medical Insurance) of the Medicare program to require hospitals to implement a discharge planning process which meets guidelines and standards to be established by the Secretary, in conjunction with the Continuing Care Policy Council and 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. Requires peer review organizations to monitor hospitals' compliance with discharge planning process requirements. Sets forth study and reporting requirements.
United States · United States Congress · 6 March 1986
Designates the week beginning November 24, 1986, as National Family Caregivers Week.
United States · United States Congress · 6 March 1986
Designates the week beginning May 18, 1986, as National Digestive Disease Awareness Week.
United States · United States Congress · 6 March 1986
Authorizes and requests the President to designate May 11 through May 18, 1986, as Jewish Heritage Week.
United States · United States Congress · 5 March 1986
Social Security Act Mental Health Amendments of 1986 - Amends titles XVI (Supplemental Security Income), XVIII (Medicare), and XIX (Medicaid) of the Social Security Act to provide benefits for chronically mentally ill individuals. Requires State plans under title XIX to include case management services and home and community-based services for such individuals. Requires any hospital receiving funds under titles XVIII or XIX to have a case plan established for, and a case manager assigned to such individuals prior to their discharge. Treats certain chronically mentally ill individuals about to be discharged from an institution as presumptively disabled for purposes of title XVI. Extends the period during which certain institutionalized mentally ill may receive SSI benefits if such individuals are expected to return home upon discharge. Provides Medicaid coverage for certain SSI recipients who are chronically mentally ill and would be institutionalized but for such coverage. Preserves the eligibility of such individuals for SSI benefits for the period during which they are in transitional living facilities. Repeals limits on coverage of outpatient services relating to mental illness under part B (Supplementary Medical Insurance) of Medicare.
United States · United States Congress · 5 March 1986
State Comprehensive Mental Health Services Plan Act of 1986 - Amends title XIX (Block Grants) of the Public Health Service Act to authorize the Secretary of Health and Human Services to make grants to States for the development of State comprehensive mental health services plans. Authorizes appropriations for FY 1987. Sets forth the requirements for such plans, which include: (1) establishing objectives for providing mental health prevention and treatment services; (2) describing the resources devoted to, and the activities to be carried out under, such plan; (3) providing case management services for each chronically mentally ill individual; (4) establishing and implementing a program of outreach to, and services for, chronically mentally ill individuals who are homeless; and (5) providing, to the maximum extent feasible, for the delivery of services through community mental health centers. Requires each State to transmit a report to the Secretary describing the progress made by such State in implementing its comprehensive plan. Requires each State to establish an Advisory Council on Mental Health Planning. Directs the Secretary to: (1) establish national goals and objectives for a community-based system of mental health care; and (2) conduct a review, at least every three years, of each State's program to determine whether it is in accordance with the national goals and objectives. Authorizes appropriations for Alcohol and Drug Abuse and Mental Health Services Block Grants through FY 1988. Authorizes the Secretary to make grants for demonstration projects to provide services for homeless mentally ill individuals. Authorizes appropriations for FY 1987 through 1989.
United States · United States Congress · 5 March 1986
Housing for the Chronically Mentally Ill Act of 1986 - Amends the Housing and Community Development Act of 1974 to permit State mental health authorities, or other private nonprofit or public agencies designated by a State, to use vacant residential property to provide supervised living for the chronically mentally ill. Authorizes appropriations for FY 1986 and for each fiscal year thereafter. Amends the Housing Act of 1959 to set aside specified amounts beginning in FY 1986 for handicapped family housing loans. Amends the United States Housing Act of 1937 to authorize a housing voucher program for the chronically mentally ill. Authorizes FY 1986 through 1988 appropriations.
United States · United States Congress · 5 March 1986
Designates the week beginning on October 5, 1986, as Mental Illness Awareness Week.
United States · United States Congress · 5 March 1986
Authorizes and requests the President to designate May 1986 as National Physical Fitness and Sports Month.
United States · United States Congress · 4 March 1986
Parental and Medical Leave Act of 1986 - Title I: General Requirements for Parental and Medical Leave - Entitles employees to parental leave for specified periods in cases involving the birth, adoption, or serious health condition of a child. Entitles employees to temporary medical leave for specified periods in cases involving inability to work because of a serious health condition. Sets forth conditions for certification for such types of leave. Provides that such leave may be without pay. Allows employees to substitute other types of paid leave to cover part of such leave period. Sets forth employment and benefits protections relating to such leave. Provides for administrative enforcement of this title by the Secretary of Labor, as well as enforcement by civil action. Sets forth provisions for injunctive relief, monetary relief, and attorneys' fees. Requires employers to post notice of the pertinent provisions of this title. Title II: Parental Leave and Temporary Medical Leave for Civil Service Employees - Amends specified Federal law to entitle civil service employees to parental leave and temporary medical leave for specified periods. Provides that such leave will be without pay. Allows employees to substitute other types of paid leave for part of such leave. Sets forth protection for job position and health insurance benefits of employees using such leave. Directs the Office of Personnel Management to prescribe regulations for administration of this title which are consistent with the regulations prescribed by the Secretary of Labor under title I of this Act. Title III: Commission on Paid Parental and Medical Leave - Establishes the Commission on Paid Parental and Medical Leave. Requires the Commission to report on its study of paid parental and medical leave to the Congress within two years after the Commission first meets. Terminates the Commission within 30 days after its final report. Title IV: Miscellaneous Provisions - Sets forth the effect of this Act on existing laws and existing employment benefits. Directs the Secretary of Labor to prescribe regulations to carry out title I of this Act.
United States · United States Congress · 4 March 1986
Designates the month of May 1986 as National Birds of Prey Month.
United States · United States Congress · 4 March 1986
Declares that the House of Representatives calls upon the President to urge: (1) Jean-Claude Duvalier to return to the Haitian people the wealth he has taken illegally; and (2) other countries to deny him asylum until he returns such funds.
United States · United States Congress · 27 February 1986
Long-Term Care Patients' Rights Act of 1986 - Amends title XIX (Medicaid) of the Social Security Act to require States to establish written standards and procedures protecting and enforcing the rights of residents of long-term care facilities. Lists residents' rights encompassing: (1) medical care and treatment rights, including the right to be fully informed of one's condition and treatment, if such knowledge is not medically detrimental, and participate in planning such treatment; (2) the right to privacy during treatment and visits; (3) the right of confidentiality regarding one's personal records and mail; (4) freedom of association, including both the right to organize and to refuse to participate in group activities; (5) medical experimentation rights, requiring residents to give informed, voluntary, and written consent before involvement in such experimentation; (6) freedom from physical and mental abuse, including the right to refuse to work for the facility and the right to retain personal possessions; and (7) the right to manage, and remain informed of, one's personal financial affairs. Prohibits long-term care facilities from denying admission to, transferring, or discharging residents on the basis of the residents' source of payment for services, or medical history or condition (if the facility can adequately care for such condition). Prohibits resident transfers or discharge for nonmedical reasons without the resident's consent and reasonable notice, unless the resident is a threat to others or does not pay charges. Directs each long-term care facility, at specified times, to provide each resident with an oral, written, and understandable explanation of: (1) the resident's rights and responsibilities; (2) facility rules and regulations; and (3) services available in the facility. Requires public notice of such information as well as information concerning State procedures for enforcing residents' rights. Requires States to annually submit a written plan to the Secretary of Health and Human Services concerning State procedures for protecting and enforcing residents' rights. Specifies the State and community organizations responsible for developing the State plans. Requires State plans to provide for: (1) a procedure for the expeditious review and resolution of residents' complaints by each long-term care facility and by the State, when complaints are not satisfactorily resolved by the facility; (2) a process by which residents and facilities may appeal adverse complaint decisions; (3) a State ombudsman with the responsibility to receive, file, and investigate residents' complaints; (4) programs by which facilities educate their staff regarding residents' rights, facility rules and regulations, and complaint review procedures; and (5) a statewide uniform reporting and recording system of all rights violation complaints and their disposition, as well as a system for reporting cases of resident abuse or neglect so that designated State officials can redress such abuse. Provides that the rights and recourses set forth in this Act are nonexclusive. Requires States to prohibit Medicaid providers from discriminating against, or giving preference to, individuals merely because they receive Medicaid assistance. Creates a private right of action whereby Medicaid applicants and recipients may enforce, in Federal district courts, Federal laws and regulations protecting their welfare and rights.
United States · United States Congress · 27 February 1986
Amends part B (Peer Review) of title IX of the Social Security Act to require peer review organizations receiving a Medicare beneficiary's request, while such beneficiary is still a hospital inpatient, for reconsideration of a determination denying payment for continuing inpatient hospital care to give the beneficiary notice of its reconsidered determination within two days of receiving the request.
United States · United States Congress · 27 February 1986
Designates May 7, 1986, as National Barrier Awareness Day.