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Official portrait of Rep. Donnelly, Brian J. [D-MA-11]

Rep. Donnelly, Brian J. [D-MA-11]

United States · Official source

Memberships

  • · House of Representatives · present
  • D · D · present

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Bill· HRH.R. 6080 (102nd)referred

Employee Leasing Act of 1992

United States · United States Congress · 1 October 1992

Employee Leasing Act of 1992 - Amends the Internal Revenue Code to provide an additional safe harbor of retirement protection for employees of leasing organizations. Specifies the circumstances under which a leasing organization is treated as the sole employer of a leased employee. Provides that if a recipient utilizes a leased employee of an organization that maintains a retirement plan with a funding deficiency, then the recipient is treated as the employer for retirement purposes. Directs the Secretary of the Treasury to prescribe regulations to ensure prompt reporting and deposits of withholding and payroll taxes by qualified leasing organizations, including procedures for registering such organizations.

Bill· HRH.R. 5842 (102nd)referred

To award a congressional gold medal to John Birks "Dizzy" Gillespie.

United States · United States Congress · 12 August 1992

Authorizes the President, on behalf of the Congress, to present a gold medal to John Birks "Dizzy" Gillespie in recognition of his accomplishments as a musician. Authorizes appropriations. Authorizes the Secretary of the Treasury to provide for the sale of bronze duplicates of the medal.

Bill· HRH.R. 5872 (102nd)referred

Women in the Armed Forces Commemorative Coins Act

United States · United States Congress · 12 August 1992

Women in the Armed Forces Commemorative Coins Act - Directs the Secretary of the Treasury to: (1) mint and issue coins to commemorate the women who have served in the armed forces of the United States; and (2) transfer the surcharges received from coin sales to the Women in Military Service for America Memorial Foundation and endow and dedicate the Women in the Armed Forces Memorial.

Bill· HRH.R. 5652 (102nd)open

To amend the Internal Revenue Code of 1986 to extend the period for the rollover of gain on the sale of a principal residence for the period the taxpayer has substantial frozen deposits in a financial institution.

United States · United States Congress · 22 July 1992

Amends the Internal Revenue Code to suspend the two-year rollover period on the gain on sale of a principal residence for taxpayers who have substantial deposits frozen in a financial institution. Prohibits such suspended period from extending beyond five years after the date of sale of the old residence. Describes substantial frozen deposits as those in excess of 50 percent of the net amount realized from the sale of the old residence.

Bill· HRH.R. 5672 (102nd)referred

To amend the Social Security Act to provide for findings of presumptive disability under title II of such Act in the same manner and to the same extent as is currently applicable under title XVI of such Act.

United States · United States Congress · 22 July 1992

Amends title II (Old Age, Survivors and Disability Insurance) of the Social Security Act (SSA) to provide for findings of presumptive disability under such title in the same manner and to the same extent as are currently applicable under SSA title XVI (Supplemental Security Income). Amends SSA title XVI to provide that any individual who receives a benefit under SSA title II on the basis of presumptive disability shall be deemed for purposes of SSA title XIX (Medicaid) to be a recipient of a benefit under SSA title XVI in any case in which he or she would be eligible for such benefit under SSA title XVI if the amount of such benefit under SSA title II were disregarded.

Bill· HRH.R. 5624 (102nd)referred

To amend the Internal Revenue Code of 1986 to exclude from gross income certain employer-sponsored scholarships.

United States · United States Congress · 21 July 1992

Amends the Internal Revenue Code to exclude from gross income employer-sponsored scholarships if: (1) the scholarship does not exceed $5,000 for any calendar year; and (2) the adjusted gross income of the recipient does not exceed $50,000 for such year. Reduces the limitation on the maximum exclusion from gross income for employer-provided educational assistance by reason of this Act.

Bill· HRH.R. 5600 (102nd)open

Children's Initiative

United States · United States Congress · 9 July 1992

Children's Initiative - Family Preservation Act of 1992 - States that titles I through V of this Act may be cited as the Family Preservation Act of 1992 - Title I: Child Welfare Services - Amends part B (Child Welfare Services) of title IV of the Social Security Act (SSA) to create a capped entitlement program to provide child welfare services designed to strengthen and preserve families. Provides for allotments, reallotments, and payments to States of entitlement funds. Requires use of part of such funds to develop or expand specialized child welfare service programs for families in crisis due to substance abuse. Requires uses of remaining funds to develop or expand certain family and child service programs. Repeals provisions for incentive payments to States which maintain a foster care inventory, information system, and case review system; but requires States to provide such protections and other services designed to keep families together or reunify them, or to place children for adoption, with a legal guardian, or in some other planned, permanent living arrangement. Requires States to submit the following types of reports on child welfare services and expenditures: (1) pre-expenditure reports; (2) post-expenditure reports; and (3) comparative financial contributions reports. Requires the Secretary of Health and Human Services to transmit to specified congressional committees annual summaries of the information in such comparative financial contributions reports. Requires such information to be made available to the public. Reserves entitlement funds for grants to State court systems to assess and improve procedures in child welfare cases in carrying out parts B and E (Foster Care and Adoption Assistance) of SSA title IV. Sets forth application requirements and formulas for determining the amount of such grants for FY 1994 through 1998. Directs the HHS Secretary to submit interim and final reports to the Congress on the information obtained from assessments conducted with such grants and the impact of such grant program on State court procedures and functions. Requires each State to compile periodically a detailed directory of programs designed to keep families together or reunify them or place children permanently, identifying which of such programs provides specialized child welfare services to families in crisis due to substance abuse. Requires States to report on measures taken to comply with the Indian Child Welfare Act. Title II: Foster Care And Adoption Assistance - Amends SSA title IV to add a new part C, Comprehensive Service Projects to grant States flexibility and resources to develop comprehensive and coordinated services designed to: (1) preserve and strengthen families with children at risk of placement outside their homes; (2) reunite children with their families expeditiously if an out-of-home placement is found to be necessary; and (3) place children in adoptive homes or other permanent arrangements in a timely fashion if reunification with their families is not appropriate. Permits any State to apply to the HHS Secretary for permission to: (1) conduct a comprehensive service project in a selected area or areas; and (2) suspend certain child welfare services and foster care and adoption assistance requirements with respect to State activities in such area or areas during the project. Sets forth application requirements and administrative provisions for such projects. Prohibits the HHS Secretary from requiring as a condition of approval of a project application: (1) the State to select any area or areas in which to conduct the project; or (2) the project to comply with any requirements not specified in the project authorization. Sets forth those requirements with which such a project must comply. Provides for determining the expenses for which a State might properly seek reimbursement, for purposes of calculating such grant amount. Authorizes the HHS Secretary to increase such grant amount, to the extent appropriate, by taking specified factors into account. Sets forth requirements for notification to States of grant amounts, and for grant payments in equal quarterly installments. Prohibits a State from carrying out such a project in a manner that impairs the entitlement of any child to: (1) the foster care benefits he or she would have receive if the HHS Secretary had approved the State plan and had not authorized the State to conduct such a project; or (2) any other benefit to which the child is legally entitled. Deems a State to have in effect an approved foster care and adoption assistance plan during the period in which it conducts such a project for purposes of State plan requirements under part A (Aid to Families with Dependent Children) (AFDC) of SSA title IV. Requires States to report annually on project funds expended to the HHS Secretary and the Advisory Commission on Children and Families. Provides for administrative remedies for unsuccessful projects. Provides for project termination. Makes abandoned children entering foster care eligible for foster care maintenance payments. Makes the adoptive parents of any such child with respect to whom foster care maintenance payments may be made eligible for adoption assistance payments. Makes technical revisions to the foster care maintenance payments program and the adoption assistance program to expand the removal from home requirement to include removal from legal custody. Provides for retroactive application of such new requirement under the adoption assistance program. Makes children whose adoption has been set aside by a court eligible for foster care maintenance payments. Makes the adoptive parents of any such child with respect to whom foster care maintenance payments may be made eligible for adoption assistance payments. Establishes a respite care program for foster parents with children who have special needs. Limits the expenses eligible for reimbursement under such program. Expands the definition of children with special needs, for purposes of the adoption assistance program, to include: (1) those children for whom information is known and available about their genetic or social history indicating a high risk of medical conditions or physical, mental, or emotional handicaps which makes it reasonable to conclude that they cannot be placed for adoption without providing part E adoption assistance or Medicaid (SSA title XIX) medical assistance; and (2) those children that have been adopted, that were under the care and responsibility of the State agency responsible for administering the State's part E programs immediately before adoption, and that have a mental, physical, or emotional handicap that either existed before the adoption but was not diagnosed until afterwards, or first manifests itself after the adoption but is congenital or was caused beforehand. Extends to relatives (as well as foster parents) who are prospective adoptive parents, and with whom the child has significant emotional ties while in their care, the exception to the requirement that an effort be made to place special needs children with appropriate adoptive parents without providing adoption or Medicaid assistance. Requires each State to submit to the HHS Secretary the factors and conditions it uses to identify children with special needs for purposes of the adoption assistance program, and any modifications to such factors and conditions. Directs the HHS Secretary to establish an Advisory Committee on Foster Care Placement to study and report to the Secretary and the Congress on the implementation of specified requirements, under State plans for foster care and adoption assistance, that reasonable efforts be made: (1) before placement of a child in a foster home, to prevent or eliminate the need for removal of the child from the child's home; and (2) to make it possible for the child to return to the child's home. Provides Federal coverage of 90 percent of State costs in developing and installing certain statewide mechanized data collection and information retrieval systems. Covers 50 percent of State costs for operation of such systems. Provides that all State expenditures for development, installation, and operation of such systems shall be treated as necessary for proper and efficient administration of the State plan, without regard to whether the systems may be used with respect to foster or adoptive children other than those on behalf of whom payments may be made for foster care maintenance or adoption assistance. Reduces, after three years, from 90 to 50 percent the Federal matching payment for development and installation of such systems. Defers a deadline for implementation of automated systems until one year after certain regulations are promulgated. Directs the Secretary to establish a work group to advise on planning and implementation of the system to be used for collection of data relating to adoption and foster care in the United States. Requires the State plan to provide for: (1) a triennial review of the amounts paid as foster care maintenance payments and adoption assistance to assure their continuing appropriateness; and (2) a report to the HHS Secretary on the results. Sets forth requirements concerning dispositional hearings to determine the final status of a foster child. Revises the time frame for judicial determinations on voluntary placements. Sets forth case plan requirements for placement of children in out-of-State foster care. Requires annual review, with the child present, of the status of children in out-of-State foster care placements. Requires States to collect data on the numbers of children in out-of-State foster care placements. Requires a State, in order to receive payments for expenditures after FY 1994 for foster care maintenance payments made with respect to children placed in foster care outside the State, to conduct and submit a study to the HHS Secretary, by the end of such fiscal year, identifying the number and common characteristics of such children and the reasons why they were not placed in foster care in the State. Provides for the treatment of assets of youth participating in the independent living program. Eliminates the ceilings on Federal foster care payments to States and the State's authority to transfer unused foster care funds to child welfare services programs. Directs the HHS Secretary to: (1) establish an advisory committee; and (2) issue final regulations for training of staff of agencies responsible for administering foster care and adoption assistance programs, and for training of foster care and adoptive parents. Directs the Secretary annually to publish information, on a State-by-State basis, on expenditures for, and the operation of, the Child Welfare Services program, the Foster Care and Adoption Assistance program, and Comprehensive Service Projects. Amends SSA title IV to add a new part G, Child Welfare Review System. Directs the HHS Secretary to establish such system to: (1) review each State child welfare program to assess whether the requirements of the Act are being carried out; (2) impose financial penalties in cases of substantial failure to comply; and (3) provide technical assistance to any such program. Sets forth provisions relating to effects of noncompliance, suspension and rescission of financial penalties, and administrative and judicial review. Requires that all State child welfare programs be reviewed at least once by the end of FY 1997. Prohibits the Secretary from reducing or withholding any payment, or seeking any repayment from any State under part B or E, by reason of a determination made in connection with specified reviews or audits for certain periods. Prohibits suspension of payments with respect to any claim for reimbursement 30 days after the HHS Secretary receives the quarterly statement of expenditures that contains the report of the claim. Provides that within ten months after the Secretary takes any action to suspend payment with respect to such a claim, the Secretary shall: (1) determine the allowability of the claim; or (2) if unable to make such a determination, make payment with respect to the claim, subject to a later determination of allowability. Title III: Social Services Block Grant - Amends SSA title XX (Block Grants to States for Social Services) to authorize increased appropriations for title XX programs. Provides for the allocation to tribal organizations of program funds otherwise allotted to the State in which the Indians represented by such an organization reside. Title IV: Research, Demonstration, and Evaluation Activities - Amends part A (General Provisions) of SSA title XI to require the Director of the Office of Technology Assessment (OTA) to establish an Advisory Commission on Children and Families. Requires the Commission to collect and assess specified types of information in order to identify cost-effective approaches to protect and enhance the physical, mental, emotional, and financial well-being of children and their families. Directs OTA to report annually to the Congress on the Commission and its assessment. Requires the Commission to conduct, through contracts with independent research organizations, the following research and evaluation projects: (1) the evaluation of child welfare service programs, including intensive family preservation programs; (2) foster care evaluations; (3) longitudinal child welfare data bases, and studies of child welfare population dynamics; and (4) comprehensive service projects evaluations. Requires the Commission to study child separation guidelines. Directs the HHS Secretary to conduct the following research and evaluations: (1) a study (under contract with an independent research organization) to assess the prevalence and nature of risks to the safety of employees of child welfare systems; and (2) a three-year study (under contract with an organization with demonstrated appropriate experience) to examine methodologies for measuring the workloads of providers of child welfare services and community mental health services. Directs the HHS Secretary to make grants to States or localities for child welfare demonstration projects concerning abandoned child permanent placement. Directs the HHS Secretary to authorize eligible institutions to conduct demonstration projects to train eligible individuals to deliver culturally sensitive and bilingual child welfare services in U.S. areas that border on Mexico. Directs the HHS Secretary to make grants to eligible institutions to conduct projects to train eligible institutions to deliver culturally sensitive and bilingual welfare services in urban centers which have a high proportion of historically unserved or underserved populations. Authorizes the HHS Secretary to make grants to State or local government agencies to conduct demonstration projects designed to: (1) develop and implement innovative recruitment or retention strategies for trained staff in public and private nonprofit agencies working with children and adolescents at risk of being placed in foster care; and (2) test the effect of joint training programs for the staff of child welfare, mental health, and juvenile justice agencies, and for judicial personnel and judges. Authorizes the HHS Secretary to conduct demonstration projects designed to test the feasibility of eliminating income and resource requirements respecting foster care and adoption assistance payments. Directs the HHS Secretary to provide technical assistance to States for: (1) interpreting and implementing parts B, C, and E; (2) disseminating information on innovative child welfare agencies; (3) correcting problems identified through Federal audits and reviews and carrying out corrective action plans under part E; (4) implementing the foster care and adoption data collection system; and (5) addressing other matters identified by the HHS Secretary. Title V: Miscellaneous Human Resources Amendments - Amends the AFDC program to give States the option of using retrospective budgeting without monthly reporting under AFDC. Increases the amount of stepparent income disregarded under AFDC. Amends the Family Support Act of 1988 to extend demonstration projects for evaluating model procedures for reviewing child support awards. Amends the Omnibus Budget Reconciliation Act of 1989 and the Omnibus Budget Reconciliation Act of 1990 to make technical corrections relating to human resource and income security provisions. Title VI: Childhood Hunger Relief - Mickey Leland Childhood Hunger Relief Act - Subtitle A: Ensuring Adequate Food Assistance - Amends the Food Stamp Act of 1977 to remove the excess shelter deduction cap for purposes of food stamp program eligibility. (Sets forth transitional caps through 1996.) Eliminates food stamp reductions for households reapplying for program reinstatement within 30 days. Excludes 100 percent (currently only a specified portion) of third party payments for transitional housing for the homeless from consideration as program income. Increases funding for the nutrition assistance program in Puerto Rico. Excludes general assistance vendor payments from consideration as program income. Excludes the income of high school students from consideration as program income. (Current law excludes income until a student's eighteenth birthday.) Subtitle B: Promoting Self-Sufficiency - Excludes from consideration as program income: (1) the first $50 a month received as child support; and (2) child support payments to non-household members. Increases annually the fair market value limit of vehicles that program recipients may own. Subtitle C: Simplifying the Provision of Food Assistance - Permits related adults living in the same household to apply for separate program benefits under specified conditions. Repeals provisions authorizing benefit reductions due to insufficient funding. Subtitle D: Commodity Distribution to Needy Families - Amends the Emergency Food Assistance Act of 1983 to provide for increased allotments in FY 1993 for commodity purchases under the emergency food assistance program. Subtitle E: Implementation and Effective Dates - Sets forth the effective dates for provisions of this title. Title VII: Funding - Amends the Internal Revenue Code to impose a surtax on individuals with incomes over $1,000,000.

Bill· HRH.R. 5545 (102nd)referred

Fiscal Accountability and Impact Reform Act (FAIR Act)

United States · United States Congress · 2 July 1992

Fiscal Accountability and Impact Reform Act (FAIR Act) - States that one purpose of this Act is to assist the Congress in consideration of proposed legislation establishing or revising Federal programs to assure that, to the maximum extent practicable, legislation enacted will: (1) minimize the burden of such legislation on expenditure of scarce local public resources by State and local governments; (2) minimize inefficient allocation of economic resources; and (3) reduce the adverse effect of such legislation on the ability of State and local governments to use local public resources to meet local needs, and on allocation of economic resources, full employment, and international competitiveness. States that a second purpose of this Act is to require Federal agencies to exercise discretionary authority and implement statutory requirements in a manner which, consistent with agency mission and Federal law, minimizes the impact of regulations and other major Federal actions affecting the economy on: (1) the ability of State and local governments to use local public resources to meet local needs; and (2) the allocation of economic resources, full employment, and international competitiveness of American goods and services. Title I: Legislative Reform - Provides that whenever a committee of either House reports a bill to its House which mandates unfunded requirements upon State and local governments or the private sector, the report accompanying that bill shall analyze the effect of the new requirements on: (1) State and local government expenditures necessary to comply with Federal mandates; (2) private businesses; and (3) economic growth and competitiveness. Title II: Agency Impact Analysis - Requires, to the fullest extent practicable, that: (1) the policies, regulations, and public laws of the United States be interpreted and administered in accordance with the purposes of this Act; (2) all Federal agencies, consistent with attainment of the requirements of Federal law, minimize the adverse effects of rules affecting the economy; and (3) Federal agencies take certain actions in promulgating new rules, reviewing existing rules, developing legislative proposals, or initiating any other major Federal action affecting the economy whenever an agency identifies two or more alternatives which will satisfy the agency's statutory obligations. Provides that, whenever an agency publishes a general notice of proposed rulemaking, promulgates a final rule, or before initiating or implementing any other major Federal action affecting the economy, the agency shall prepare and make available for public comment an Economic Impact Assessment. Specifies the contents of such an assessment. Provides for judicial review of final agency actions for compliance with this title.

Bill· HRH.R. 5502 (102nd)referred

Health Care Cost Containment and Reform Act of 1992

United States · United States Congress · 26 June 1992

Health Care Cost Containment and Reform Act of 1992 - Title I: Cost Containment - Subtitle A: National Health Budget - Establishes a national health expenditure budget for each calendar year beginning with 1994. Specifies the total amount of such budget for 1994 and a formula for subsequent year budgets. Sets forth guidelines for computing a budget baseline for 1993. Provides for establishment of classes of health care services and the annual allocation of the national health expenditure budget among such classes. Subtitle B: Maximum Payment Rates - Provides for the establishment and general application and enforcement of maximum payment rates. Sets forth exceptions to maximum payment rates, which include an exception for health maintenance organizations (HMOs). Provides for conforming payment rates under Medicare and Medicaid (Social Security Act (SSA) titles XVIII and XIX). Details various methodologies for determining maximum rates of payment for inpatient hospital services and class of physicians' services and other professional medical services. Provides for development of prospectively-determined payment rates for each class of services for which payment rates are not specified and are not determined on a prospective basis. Subtitle C: State Provider Payment Control Systems - Provides that, if the Secretary of Health and Human Services (HHS) approves a State provider payment control system under this Act, the payment rates provided under such system shall apply to services covered under the system and furnished in the State, instead of the maximum payment rates otherwise applicable to such services under subtitle B of this title. Details the process for approval of a State system. Specifies conditions for approval. Authorizes sanctions against a State with aggregate system expenditures in excess of specified limits. Lists such sanctions. Provides for termination of approval of State systems. Subtitle D: Incentives for Expansion of Qualified Health Maintenance Organizations - Repeals the termination date set under the Health Maintenance Organization Amendments of 1988 for dual choice requirements under the Public Health Service Act. Amends the Public Health Service Act to revise such requirements to provide for multiple options for HMO membership. Provides that health benefit plans shall make available, to each individual eligible to enroll with a qualified HMO under such an option, such marketing materials as the HMO provides to the plan. Preempts State law restrictions on the ability of an HMO to negotiate reimbursement rates with providers or to contract selectively with one provider or a limited number of providers. Amends the Medicare program to provide for adjustment in Medicare capitation payments to account for regional variations in application of secondary payor provisions. Requires a General Accounting Office (GAO) study and report to the Congress on additional measures that may be taken to encourage HMO development and expansion. Title II: Health Systems Reform - Subtitle A: Health Insurance Reform - Amends the Internal Revenue Code to impose an excise tax on any health benefit plan that is not certified under new SSA title XXI added by this Act, or is providing coverage in violation of certain title XXI requirements. Requires that the amount of such tax be equal to: (1) 50 percent of the gross premiums received by the issuer attributable to the period during which the plan is not certified or is providing coverage in violation of certain requirements, in the case of an insured health benefit plan; and (2) 50 percent of the expenditures under a self-insured health benefit plan during such a period, in the case of a self-insured health benefit plan. Provides that in the case of an insured health benefit plan, the issuer of the insurance or subscriber contract under which such plan is provided shall be liable for the tax imposed above. Provides generally that in the case of a self-insured plan, the employer maintaining such plan shall be liable for the tax imposed above. Amends SSA to add a new title XXI, Health Benefit Plan Standards. Provides that no health benefit plan may be issued unless it has been certified as meeting specific standards established by the Secretary. Requires such standards to implement specified requirements relating to: (1) health benefit plan coverage and health status; (2) premium charges within self-insured health benefit plans; (3) a prohibition against self-insured plans for small employers; (4) insured health benefit plan enrollment, issuance, and renewal; (5) use of community-rated premium rates for insured health plans; (6) minimum insured plan periods; (7) payment of commissions; and (8) insured plans that are multiple employer welfare arrangements. Prohibits States from establishing or enforcing any law or regulation that prevents the health benefit plan of a college or university from offering eligible individuals continuation of coverage under the plan. Subtitle B: Administrative Simplification - Requires each health benefit plan to issue to each U.S. resident entitled to benefits under it a uniform health claims card meeting specified requirements. Mandates uniform claims submission. Sets forth enforcement provisions. Provides for standards for uniform claims. Sets forth the administrative framework for eligibility and benefit verification and claims processing through health claims clearinghouses for residents and providers in areas within the United States designated as clearinghouse areas. Provides for the use of clearinghouses by health benefit plans. Requires that each hospital, for each cost reporting period under Medicare beginning during or after FY 1993, provide for the reporting of information to the Secretary with respect to any hospital care provided in a uniform manner consistent with standards established by the Secretary to carry out certain provisions of the Omnibus Budget Reconciliation Act of 1987. Subtitle C: Fraud and Abuse - Provides for the establishment in the HHS Office of the Inspector General of a program to coordinate programs to: (1) restrict fraud and abuse in health care programs; and (2) facilitate the enforcement of SSA title XI provisions concerning the exclusion of certain individuals and entities from participation in Medicare and State health care programs. Provides for coordination with law enforcement agencies in carrying out such program. Authorizes appropriations. Creates in the Treasury the Anti-Fraud and Abuse Trust Fund for purposes related to such program. Amends SSA title XI for the application of Federal anti-fraud and abuse sanctions to fraud and abuse involving any health benefit plan. Adds treble damages to the list of criminal penalties for acts involving Medicare, State health care programs, or health benefit plans. Makes any act subject to such SSA criminal penalties a "racketeering activity" as defined under the Federal criminal code. Subjects to SSA civil money penalties any offer of inducements to receive covered items or services to individuals enrolled under or employed by Medicare or other health programs or plans. Provides for intermediate sanctions for HMO violations under Medicare. Sets forth procedures for imposing such sanctions. Requires written agreements between HMOs and peer review organizations. Requires the Secretary to develop a model of the agreement that an HMO with a risk-sharing contract must enter into with a peer review organization with respect to HMO services. Requires a GAO study and report to the Congress on the costs incurred by HMOs with risk-sharing contracts of complying with the requirement to enter into a written agreement with a peer review organization with respect to HMO services, together with an analysis of how information generated by such organizations is used by the Secretary to assess the quality of HMO services. Modifies the self-referral ban on Medicare payment for clinical laboratory services provided in connection with improper physician referrals to extend such ban to payment by other payors for additional specified services. Makes changes in exceptions relating to compensation arrangements under Medicare. Subtitle D: Other Provisions - Requires the Physician Payment Review Commission to study and report to the Congress on: (1) the need for tort reforms with respect to medical malpractice liability claims; and (2) the impact of such reforms on expenditures for health care services and on access to such services, the quality of health care services, and access of injured patients to the medical malpractice system. Requires the Secretary to establish a national data base on patient outcomes to demonstrate the feasibility and benefits of the collection of information on the outcomes of treatment. Requires the Secretary to select a certain number of conditions, disorders, or diseases for which outcomes data shall be collected for the database. Sets forth guidelines for the collection of information for the database. Requires the Secretary to publish and distribute an annual report on patient outcomes, including information on individual providers, based on information from the data base and appropriate utilization information available from health claims clearinghouses. Requires the Secretary to develop a model questionnaire to measure patient satisfaction with health service providers. Authorizes a demonstration project concerned with the furnishing of durable medical equipment by a physician-owned oncology facility. Title III: Expansion of Health Benefits and Other Initiatives - Subtitle A: Medicaid Benefits Improvements - Sets a floor on Medicaid payment levels for inpatient hospital services and physicians' services. Provides for expanded Medicaid eligibility for certain low-income individuals. Provides for full Federal payment for new mandated expenditures under Medicaid, including expenditures for medical assistance attributable to such low-income individuals. Subtitle B: Expansion of Medicare Benefits - Amends the Medicare program to provide for coverage of: (1) annual screening mammography for women over age 65; (2) colorectal screening; (3) certain immunization; (4) well-child care; and (5) certain prescription drugs. Sets forth payment and administrative provisions applicable to such preventive benefits and prescription drugs. Authorizes demonstration projects for the coverage of other preventive services. Specifies the services to be covered under such projects. Authorizes appropriations. Requires the Director of the Office of Technology Assessment to provide for the appointment of a Prescription Drug Payment Review Commission. Requires the Commission to submit an annual report to the Congress concerning methods of determining payment for prescription drugs. Authorizes appropriations. Provides for coverage of prescription drugs for qualified Medicare beneficiaries and qualified disabled and working individuals. Makes adjustments to payments under Medicare for graduate medical education. Subtitle C: Health Insurance Deduction for the Self-Employed - Amends the Internal Revenue Code to make permanent and increase the deduction for health insurance costs of self-employed individuals. Subtitle D: Health Insurance Program for Children - Amends SSA to add a new title XXII, Health Insurance For Children. Provides that children who are U.S. citizens or permanent residents, and are under age 19, are eligible to enroll for benefits under such new title. Provides for periods of enrollment and coverage. Requires program benefits, except those for newborn and well-baby care, to consist generally of the same benefits that are available under Medicare to individuals entitled to benefits under Medicare part A (Hospital Insurance) and enrolled under Medicare part B (Supplementary Medical Insurance). Provides for newborn and well-baby care, waiver of cost-sharing for well-child services, and special rules for the deductible for covered outpatient drugs. Details payment provisions. Discusses premium rates to be charged under such program. Creates in the Treasury the Children's Health Insurance Trust Fund for purposes related to the health insurance program for children established above. Authorizes appropriations.

Bill· HRH.R. 5437 (102nd)referred

To require the construction of a memorial on Federal land in the District of Columbia or its environs to honor members of the Armed Forces who served in World War II and to commemorate United States participation in that conflict.

United States · United States Congress · 18 June 1992

Directs the National World War II Memorial Fund, Inc., to construct a memorial on Federal land in the District of Columbia or its environs to: (1) honor members of the armed forces who served in World War II; and (2) commemorate U.S. participation in that conflict. Directs the fund to plan, design, and oversee the construction of the Memorial. Establishes the World War II Memorial Advisory Board to: (1) promote and encourage the donation of private funds for the construction of the Memorial; and (2) recommend the site for and assist in the selection of the design of the Memorial. Terminates the Board within 30 days after completion of the Memorial or on the lapse of the authority provided by this Act. Authorizes the Fund to solicit and accept private contributions for construction of the Memorial. States that the requirements and authority of this Act shall lapse if: (1) construction of the Memorial is not commenced within seven years of its enactment; or (2) before such construction, the Secretary of the Interior certifies that funds are not available in an amount sufficient to ensure its completion.

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