United States · United States Congress · 20 August 1994
TABLE OF CONTENTS: Title I: Retirement Savings Incentives Subtitle A: Restoration of IRA Deduction Subtitle B: Nondeductible Tax-Free IRAs Title II: Penalty-Free Distributions Title III: Aid to Families with Dependent Children Savings and Investment Incentive Act of 1994 - Title I: Retirement Savings Incentives - Subtitle A: Restoration of IRA Deduction - Amends the Internal Revenue Code to remove the limitation on the deductibility of contributions to individual retirement plans (IRAs) by active participants in employer-maintained plans, thereby restoring the IRA deduction. Provides an inflation adjustment after 1995. Allows certain spouses a full deduction for contributions to an IRA. Subtitle B: Nondeductible Tax-Free IRAs - Allows individuals to establish individual retirement plus (IRA Plus) accounts with tax treatment similar to that for individual retirement plans. Makes contributions to such accounts nondeductible. Title II: Penalty-Free Distributions - Allows distributions from certain retirement plans without penalty to purchase first homes, pay higher education expenses and financially devastating medical expenses, and assist certain unemployed individuals. Title III: Aid to Families with Dependent Children - Amends part A (Aid to Families with Dependent Children) (AFDC) of title IV of the Social Security Act to exclude from AFDC eligibility determinations certain income and resources that are to be used for education, training, and employability purposes. Requires the Secretary of Health and Human Services to report to the Congress on a revision of the AFDC limit on automobiles in order to increase the employability of AFDC recipients.
United States · United States Congress · 20 August 1994
Commends the U.S. rice industry for its decision to establish an industry organization. Recognizes the success such decision will have in promoting the interests of the rice industry and the rice-consuming public.
United States · United States Congress · 10 August 1994
Fairness in Musical Licensing Act of 1994 - Exempts from copyright infringement the communication of a performance or work by television or radio sets located in a business establishment, or the performance of a nondramatic musical work by a choral group of a nonprofit educational institution choral group, unless persons are charged to see or hear the performance. Provides that in any civil action for copyright infringement involving a nondramatic musical work that is licensed by a performing rights society or other organization authorized to license public performances of such works, if the defendant admits liability but contests the amount of the license fee charged by such society or organization, the dispute may, if requested by either party, be submitted to arbitration under the Federal judicial code. Requires such societies or organizations to make available, free of charge, to licensees or those negotiating licenses, on-line computer access to their entire repertoire, including information regarding the title of the work, the name, address, and telephone number of the author and the copyright owner (if different), and the names of any artists known to have performed the work.
United States · United States Congress · 29 July 1994
TABLE OF CONTENTS: Title I: Consolidation of Federal Employment Assistance Programs Subtitle A: Block Grants to States Subtitle B: Consolidation and Repeal of Certain Federal Employment Assistance Programs Title II: Notice of Availability of Earned Income Credit Title III: Repeal of Temporary Futa Surtax Employment Enhancement Reform Act - Title I: Consolidation of Federal Employment Assistance Programs - Subtitle A: Block Grants to States - Establishes a block grant program to prepare individuals for employment by increasing their occupational and educational skills. Authorizes the Secretary of Labor to make such grants, for up to five-year periods subject to annual approval and availability of appropriations, to States to provide employment assistance to eligible individuals. Reserves funds for grants to Indian tribes and migrant and seasonal farm worker organizations. (Sec. 103) Allocates such grants to States on the basis of relative numbers of: (1) unemployed in areas of substantial unemployment; (2) excess unemployed; and (3) economically disadvantaged adults. (Sec. 104) Sets forth requirements for applications, use of grants, and conduct of State programs. Requires State programs to provide employment assistance to the following types of eligible individuals: (1) economically disadvantaged and 14 years or older; (2) certain types of dislocated workers; (3) individuals with disabilities; (4) Armed Forces members being separated under other than adverse conditions; (5) unemployed veterans; and (6) displaced homemakers. Requires States to: (1) profile and evaluate individuals to determine the employment assistance services to be provided; (2) notify individuals of other sources of supportive services; (3) provide appropriate employment assistance, within specified limits; (4) monitor rates of individuals successfully obtaining employment after separation from the program, according to specified criteria; and (5) establish one-stop-shop centers throughout the State for program information and profiling and evaluation. Authorizes certain discretionary activities under State programs. (Sec. 107) Directs the Secretary to make biennial determinations of State success in placing individuals in employment. Authorizes reduction or termination of payments when a State has not been successful, and reinstatement or increase of payments when a State implements appropriate modifications of its program. (Sec. 110) Authorizes appropriations. Subtitle B: Consolidation and Repeal of Certain Federal Employment Assistance Programs - Chapter 1: Consolidation of Programs - Amends the Stewart B. McKinney Homeless Assistance Act to eliminate community mental health services demonstration projects for homeless individuals who are chronically mentally ill. (Sec. 112) Amends the Rehabilitation Act of 1973 to add requirements for State collaborative programs of supported employment services for individuals with the most severe disabilities, special recreation activities and services, and projects with industry. Repeals other provisions for special project grants for supported employment programs, special recreational programs, projects with industry, and supported employment services for individuals with severe disabilities. Chapter 2: Repeal of Programs - Repeals Higher Education Act of 1965 provisions for special programs for students whose families are engaged in migrant and seasonal farmwork. (Sec. 122) Repeals: (1) the disabled veterans outreach program and the local veterans employment representative program under Federal law relating to veterans; and (2) the homeless veterans reintegration project under the Stewart B. McKinney Homeless Assistance Act. (Sec. 123) Repeals: (1) the Foster Grandparent and Senior Companion programs under the Domestic Volunteer Service Act; (2) employment and training program provisions under the Food Stamp Act of 1977 (but allowing college students who are parents responsible for care of a dependent child under age 6 to be eligible for the food stamp program); and (3) the older American community service employment program under the Older Americans Act of 1965. (Sec. 124) Repeals the Job Training Partnership Act, except those provisions relating to the Job Corps. Authorizes appropriations for the Job Corps. (Sec. 125) Repeals the Appalachian vocational and other educational facilities and operations program under the Appalachian Regional Development Act of 1965. (Sec. 126) Repeals certain provisions relating to rules for computing the targeted job credit under the Internal Revenue Code. (Sec. 127) Repeals the JOBS (job opportunities and basic skills training) program provisions for recipients of AFDC (aid to families with dependent children) under the Social Security Act. (Sec. 128) Repeals: (1) the Service Members Occupational Conversion and Training Act of 1992; (2) the Adult Education Act; (3) the Carl D. Perkins Vocational and Applied Technology Education Act; (4) the National Literacy Act of 1991; and (5) and the Indian Employment, Training and Related Services Demonstration Act of 1992. (Sec. 133) Repeals special programs relating to adult education for Indians, under the Indian Education Act of 1988. (Sec. 134) Repeals special Social Security Act provisions relating to Indian tribes and JOBS training programs. (Sec. 135) Repeals provisions for for the VISTA Literacy Corps under the Domestic Volunteer Service Act of 1973. (Sec. 136) Repeals: (1) the Wagner-Peyser Act (employment agencies); (2) the adult education for the homeless grants program and the job training for the homeless demonstration grants program under the Stewart B. McKinney Homeless Assistance Act; (3) the trade adjustment assistance for workers program under the Trade Act of 1974; (4) FY 1993 and 1994 authorizations of appropriations for certain grants, as well as certain technical assistance conditions, under the Homeownership and Opportunity through HOPE Act; and (5) the State legalization impact-assistance grants program under the Immigration Reform and Control Act of 1986. Subtitle C: Effective Dates - Sets forth effective dates. Title II: Notice of Availability of Earned Income Credit - Amends the Social Security Act and the Food Stamp Act of 1977 to require that notice of availability of the earned income tax credit be provided to applicants for and former recipients of AFDC, Medicaid, or food stamps. (Sec. 202) Amends the Omnibus Budget Reconciliation Act of 1990 to require printing of a notice of the availability of the earned income tax credit and the dependent care tax credit on W-4 forms for employee withholding exemptions. Title III: Repeal of Temporary FUTA Surtax - Repeals the temporary FUTA (Federal Unemployment Tax Act) surtax under the Internal Revenue Code.
United States · United States Congress · 25 July 1994
Expresses the sense of the Congress that the Secretary of Agriculture should refuse to subsidize the export of durum wheat under the Export Enhancement Program or any other program in any calendar year: (1) succeeding a calendar year in which the domestic harvest of durum wheat is inadequate to meet the needs of U.S. pasta producers; and (2) in which there are trade restrictions in effect on the importation into the United States of such wheat, including quotas, ad valorem tariffs, or tariff rate quotas.
United States · United States Congress · 19 July 1994
Expresses the sense of the Congress that the United States should not undertake any military action against Haiti unless the President first certifies to the Congress that there exists a clear and present danger to the citizens of the United States and that U.S. interests require such action.
United States · United States Congress · 30 June 1994
First-Time Homebuyers Assistance Act - Amends the Internal Revenue Code to set forth the conditions under which builders will be allowed to compute on the installment sales method income from the sale of newly constructed one-family residential real property.
United States · United States Congress · 8 June 1994
TABLE OF CONTENTS: Title I: Tax and Insurance Provisions Subtitle A: Tax Treatment of Health Care Expenses Subtitle B: Insurance Provisions Subtitle C: Employer Provisions Subtitle D: Federal Preemption Subtitle E: Report Title II: Medicare and Medicaid Reforms Subtitle A: Medicare Subtitle B: Medicaid Title III: Health Care Liability Reform Title IV: Administrative Cost Savings Subtitle A: Standardization of Claims Processing Subtitle B: Electronic Medical Data Standards Subtitle C: Development and Distribution of Comparative Value Information Subtitle D: Preemption of State Quill Pen Laws Title V: Anti-Fraud Subtitle A: Criminal Prosecution of Health Care Fraud Subtitle B: Coordination of Health Care Anti-Fraud and Abuse Activities Title VI: Antitrust Provisions Title VII: Long-Term Care Title VIII: Welfare Restrictions for Aliens Title IX: Increase in Assistance to Community and Migrant Health Centers from Residual Savings Consumer Choice Health Security Act of 1994 - Title I: Tax and Insurance Provisions - Subtitle A: Tax Treatment of Health Care Expenses - Amends the Internal Revenue Code to allow a tax credit for health care expenses based upon percentages of qualified health insurance premiums and adjusted gross income. Provides for employers to make advance payments of such credit. (Sec. 102) Allows individuals a tax credit for a percentage of contributions made to a medical care savings account established for the benefit of an eligible individual. Exempts such accounts from taxation. Establishes an excise tax for excess contributions to medical care savings accounts and makes such accounts subject to the tax on prohibited transactions. (Sec. 103) Terminates the medical expense deduction, the deduction for health insurance costs of self-employed individuals, and the exclusion for employer-provided health insurance. Subtitle B: Insurance Provisions - Part I: Federally Qualified Health Insurance Plans - Sets forth requirements for federally qualified health insurance plans, including coverage for acute medical care, cost-sharing, premium rating practices, and guaranteed issuance and renewability. Part II: Certification of Federally Qualified Health Insurance Plans - Requires States to meet standards for regulatory programs for the certification of federally qualified health insurance plans. Subtitle C: Employer Provisions - Requires employers to: (1) withhold health insurance premiums from employee wages and remit such premiums to the employee's chosen insurer; and (2) notify each employee of their right to claim an advance refundable tax credit for such premiums. (Sec. 122) Provides for the conversion of existing insurance plans to required coverage under this Act. (Sec. 125) Establishes the Benefits Cash Out Commission to propose a procedure under which individuals may cash out Federal health benefits. Provides for congressional consideration of such proposal prior to its implementation. (Sec. 126) Imposes excise taxes on employers and health insurance carriers for noncompliance with this Act. Subtitle D: Federal Preemption - Preempts specified State laws concerning health insurance. Subtitle E: Report - Requires the Secretary of Health and Human Services to report to the Congress five years after the enactment of this Act on certain aspects of health insurance coverage. Title II: Medicare and Medicaid Reforms - Subtitle A: Medicare - Directs the Secretary to study and report to the Congress on the feasibility of permitting future Medicare beneficiaries to elect, upon attaining Medicare eligibility, to retain private health insurance coverage and receive, in lieu of Medicare benefits, certificates for use in purchasing private health insurance coverage. (Sec. 202) Amends title XVIII (Medicare) of the Social Security Act (SSA) to eliminate Medicare hospital disproportionate share adjustment payments. (Sec. 203) Revises the formula to reduce the adjustment for indirect medical education. (Sec. 204) Declares that the amount payable for post-hospital extended care services furnished an individual during any spell of illness shall be reduced by a copayment equal to 20 percent of the average of all per day costs for such services. (Sec. 205) Changes payment updates for all payment rates under the hospital insurance program from a fiscal year to a calendar year basis. (Sec. 206) Revises the existing schedule to accelerate the transition to prospective rates for facility costs in hospital outpatient departments. Subtitle B: Medicaid - Amends SSA title XIX (Medicaid) to specify a cap on Federal payments for acute medical services furnished under the Medicaid program. (Sec. 212) Directs the Secretary to establish a process under which a State with an approved plan may apply for waivers of SSA requirements in order to establish innovative and cost effective programs for furnishing acute medical services to eligible Medicaid recipients. (Sec. 213) Terminates disproportionate share payments. (Sec. 214) Directs the Secretary to make grants to States for programs under which individuals with incomes below 150 percent of the income official poverty line are provided health insurance coverage, acute medical services, preventive care, and disease prevention services. Title III: Health Care Liability Reform - Health Care Liability Reform Act of 1994 - Applies this subtitle to any health care malpractice action filed in any Federal or State court and any such claim resolved through arbitration. (Sec. 303) Limits to $100,000 what any person may be required to pay in a single payment in damages for expenses to be incurred in the future, but allows for periodic payments. States that the total amount of damages received by an individual shall be reduced by any other compensatory payments received under certain Federal, State, or private programs. Sets a statute of limitations for medical malpractice liability claims of two years after an alleged injury should reasonably have been discovered, but in no event more than four years after the alleged injury occurred (or in the case of a minor under age six, no later than the tenth birthday). Sets forth limitations on attorney's fees. (Sec. 304) Prohibits the application of strict liability to any manufacturer or seller of a health care product approved by the Food and Drug Administration (FDA) for any injury alleged to have resulted from: (1) a defect in product design; or (2) a failure to warn or instruct regarding a risk posed by the product that was neither known nor reasonably knowable at the time the product left the manufacturer's or seller's control. States that a manufacturer or seller of a health care product that is to be prescribed by, or used at the direction of, a health care professional shall not be liable (except in specified circumstances) for harm allegedly caused by a failure to warn or instruct the ultimate product user or recipient (unless the FDA specifically requires a warning or instruction to the ultimate user or recipient), if the manufacturer or seller provided adequate warning or instruction to the user's or recipient's health care professional. (Sec. 305) Limits to $250,000 the total amount of noneconomic damages awardable to a plaintiff and family for losses resulting from the injury which is the subject of a medical malpractice liability action. Declares that the liability of each defendant in such an action shall be several only and not joint, and limited to the defendant's percentage of responsibility. Allows punitive damages only if clear and convincing evidence establishes that the claimant suffered harm as the result of conduct by the defendant exhibiting conscious, flagrant indifference to the health of persons who might be harmed by the product. Prohibits the award of punitive damages against a manufacturer or seller (except in specified circumstances) for harm caused by an FDA-approved health care product. Title IV: Administrative Cost Savings - Subtitle A: Standardization of Claims Processing - Directs the HHS Secretary to adopt (taking into account the recommendations of specified taskforces) standards relating to: (1) data elements for use in paper and electronic claims processing; (2) uniform claims forms; and (3) uniform electronic transmission of the data elements. Sets forth requirements for application of such standards, and their periodic review and revision. Subtitle B: Electronic Medical Data Standards - Directs the HHS Secretary to promulgate electronic medical data standards meeting specified criteria for hospitals and other providers. Sets a deadline for each hospital with a Medicare participation agreement to meet such standards. (Sec. 413) Authorizes the heads of appropriate Federal agencies, as of January 1, 2000, to require health care providers to present and transmit data elements electronically according to such standards. (Sec. 415) Directs the HHS Secretary to establish an advisory commission to monitor and advise about the standards established under this subtitle and operational concerns about their implementation. Authorizes appropriations. Subtitle C: Development and Distribution of Comparative Value Information - Requires States to develop and implement a health care value information program meeting certain criteria according to a specified schedule. Authorizes the HHS Secretary to make grants to States to enable them to develop such programs. (Sec. 422) Directs the HHS Secretary to take necessary action to implement a comparable information program in any State that fails to develop and implement one. (Sec. 423) Requires the head of each Federal agency responsible for provision of health insurance or of health care services to individuals to develop promptly health care comparative value information. Subtitle D: Preemption of State Quill Pen Laws - Preempts any State law that requires medical or health insurance records (including billing information) to be maintained in written rather than electronic form. Title V: Anti-Fraud - Subtitle A: Criminal Prosecution of Health Care Fraud - Amends the Federal criminal code to impose penalties upon a health care provider that knowingly engages in any scheme or artifice to defraud a person in connection with the provision of health care. (Sec. 502) Authorizes the Attorney General to pay a reward of up to $10,000 to a person who furnishes information unknown to the Government relating to a possible prosecution for health care fraud, with exceptions. Subtitle B: Coordination of Health Care Anti-Fraud and Abuse Activities - Amends the Social Security Act to provide for: (1) the application of Federal health anti-fraud and abuse sanctions to all fraud and abuse against any health insurance plan; and (2) treble damages for making or causing to be made false statements or representations involving Medicare or State health care programs, for illegal remuneration, and for false statements or representations with respect to the condition or operation of health care institutions. Directs the Secretary of Health and Human Services, in consultation with State and local health care officials, to: (1) identify opportunities for the satisfaction of community service obligations that a court may impose upon the conviction of a criminal offense involving Medicare or State health care programs; and (2) make information concerning such opportunities available to Federal and State law enforcement officers and State and local health care officials. Title VI: Antitrust Provisions - Exempts from the antitrust laws specified "safe harbor" activities related to the provision of health care services. Sets forth provisions regarding the award of attorney fees and costs of suit to the prevailing party in an action based on a claim involving activity found to be exempt. (Sec. 602) Lists as safe harbors specified: (1) activities relating to health care services of combinations of health care providers with market share below a specified threshold; (2) activities of medical self-regulatory entities relating to standard setting or enforcement activities not conducted for purposes of financial gain; (3) participation of a health care provider in a written survey of the prices of services, reimbursement levels, or the compensation and benefits of employees and personnel; (4) activities relating to health care joint ventures for high technology and costly equipment and services; (5) activities relating to hospital mergers; (6) joint purchasing arrangements; and (7) negotiations. (Sec. 603) Directs the Attorney General to publish a notice in the Federal Register soliciting proposals for additional safe harbors and to review and report to the Congress on proposed safe harbors. Sets forth criteria in establishing safe harbors, including: (1) the extent to which a competitive or collaborative activity will accomplish an increase in health care access and quality, the establishment of cost efficiencies, and increased ability of health care facilities to provide services in medically underserved areas or to underserved populations; and (2) whether designation as a safe harbor will result in specified desirable outcomes. (Sec. 604) Directs the Attorney General to issue certificates of review for providers of health care services and to assist persons in applying for such certificates. Sets forth provisions regarding applications for, revocation of, and review of determinations regarding such certificates. Limits the disclosure of information. (Sec. 605) Sets forth provisions regarding notifications providing for a reduction in certain penalties under the antitrust laws for health care cooperative ventures. (Sec. 606) Directs the Attorney General to: (1) review the safe harbors and certificates of review periodically; and (2) promulgate such rules, regulations, and guidelines as necessary to carry out provisions of this title. Title VII: Long-Term Care - Amends the Internal Revenue Code to exclude from gross income certain amounts withdrawn from individual retirement accounts and certain employer cash or deferred arrangements to pay long-term care premiums. (Sec. 702) Provides for the nonrecognition of gain or loss on the exchange of any life insurance contract or an endowment or annuity contract for a long- term care insurance contract. (Sec. 703) Provides for the exclusion as a death benefit of any amount paid or advanced to an individual under a life insurance contract because such individual is terminally ill, or chronically ill and has been permanently confined to a qualified facility. Title VIII: Welfare Restrictions for Aliens - Makes aliens (with exceptions for refugees, aged, and current residents) ineligible for specified public welfare assistance (except for emergency medical assistance). Amends the Social Security Act to require State Aid to Families with Dependent Children (AFDC) agencies to provide information on illegal aliens to the Immigration and Naturalization Service. Title IX: Increase in Assistance to Community and Migrant Health Centers From Residual Savings - Directs the HHS Secretary to provide for a program of grants to migrant and community health centers to promote primary health care services for underserved individuals. Authorizes appropriations. (Sec. 901) Requires the Secretary to study and report to Congress on the impact of such grants on access to health care, birth outcomes, and the use of emergency room services.
United States · United States Congress · 26 May 1994
TABLE OF CONTENTS: Title I: Protection of Consumer Choice Title II: Certification of Managed Care Plans and Utilization Review Programs Title III: Choice Requirements for Point of Service Plans Title IV: Choice of Health Plans for Enrollment Patient Protection Act of 1994 - Title I: Protection of Consumer Choice - Declares that this Act shall not be construed as prohibiting either: (1) an individual from purchasing health care services with his own funds, whether such services are covered within the individual's standard benefit package or from another provider; or (2) an employer from providing benefit coverage in addition to the comprehensive benefit package. Title II: Certification of Managed Care Plans and Utilization Review Programs - Sets forth a certification scheme for managed care plans and for qualified utilization review programs. Title III: Choice Requirements for Point of Service Plans - Sets forth choice and payment disclosure requirements for point of service plans. Title IV: Choice of Health Plans for Enrollment - Requires each health benefit plan sponsor and each voluntary health insurance purchasing cooperative or sponsor to provide a choice among the health plans offered.
United States · United States Congress · 24 May 1994
Designates September 16, 1994, as National POW/MIA Recognition Day. Requires the display of the National League of Families POW/MIA flag at: (1) all national cemeteries and the National Vietnam Veterans Memorial on May 30, 1994 (Memorial Day), September 16, 1994 (National POW/MIA Recognition Day), and November 11, 1994 (Veterans Day); and (2) the White House and the buildings containing the primary offices of the Secretaries of State, Defense, and Veterans Affairs and the Director of the Selective Service System on September 16, 1994 (National POW/MIA Recognition Day).
United States · United States Congress · 24 May 1994
Instructs the House Committees on Agriculture; Banking, Finance and Urban Affairs; Government Operations; the Judiciary; and Small Business to commence hearings on issues within their jurisdiction relating to Madison Guaranty Savings and Loan Association, Whitewater Development Corporation, Capital Management Services Inc., Ray E. Friedman and Company, Lasater and Company, and such appropriate related issues by August 15, 1994, and to submit written findings concerning such matter to the House by the sine die adjournment of the Congress. Directs the respective committees to work to accommodate the work of Special Counsel Robert B. Fiske, Jr., and to not grant immunity, under specified provisions of the Federal criminal code, over the objection of the Special Counsel to any witness called to testify at these hearings. Instructs the Speaker and the majority and minority leaders to meet to determine the appropriate timetable, procedures, and other relevant issues relating to congressional oversight.
United States · United States Congress · 12 May 1994
TABLE OF CONTENTS: Title I: Federal Responsibilities Subtitle A: Federal Workforce Preparation and Development Council Subtitle B: National Commission for Employment Policy Subtitle C: Federal Waiver Authority for Provisions of Workforce Preparation and Development Programs Subtitle D: Implementation Grants and Technical Assistance Title II: State Responsibilities Subtitle A: State Human Resource Investment Council Subtitle B: Unified Single State Plan Subtitle C: Unified Service Areas Subtitle D: Local Workforce Development Boards Subtitle E: Community Job Resource Centers Title III: Consolidation of Federal Workforce Preparation and Development Programs Subtitle A: Adult Education and Literacy State Block Grant Programs Subtitle B: Vocational and Technical Education State Block Grant Program Subtitle C: State Vocational Rehabilitation Block Grant Program Subtitle D: Adult Employment and Training System Subtitle E: Youth Employment and Training Block Grant Program Subtitle F: Native Americans' Employment, Training, and Education Block Grant Program Subtitle G: Migrant and Seasonal Farmworkers Employment, Training, and Education Block Grant Program Title IV: Miscellaneous Provisions Title V: Effective Dates and Transition Consolidated and Reformed Education, Employment, and Retraining Systems Act (CAREERS Act) - Establishes a comprehensive workforce preparation and development (WPD) system. Title I: Federal Responsibilities - Subtitle A: Federal Workforce Preparation and Development Council - Establishes the Federal Workforce Preparation and Development Council, consisting of the Secretaries of Labor, Education, Health and Human Services, and Commerce, the Director of the Office of Management and the Budget, and any other Federal agency heads the President may designate. Requires the Federal Council to develop a strategic WPD plan for the United States and report to the President and the Congress. Subtitle B: National Commission for Employment Policy - Amends the Job Training Partnership Act to establish a National Commission for Employment Policy. Directs the Commission to study existing WPD programs and develop recommendations on reforms necessary for a comprehensive WPD system for the President, the Congress, and the Federal Council. Subtitle C: Federal Waiver Authority for Provisions of Workforce Preparation and Development Programs - Authorizes the Federal Council to waive provisions of law or regulations relating to State planning and reporting, performance standards, or other provisions with respect to WPD programs under unified State plans. Sets forth provisions for waiver applications, review, approval or disapproval, and revocation. Subtitle D: Implementation Grants and Technical Assistance - Authorizes the Federal Council to provide grants and technical assistance to States that have an approved application to carry out the single State plan. Requires a State to provide at least 70 percent of such a grant to the Local Boards. Authorizes appropriations. Title II: State Responsibilities - Subtitle A: State Human Resource Investment Council - Requires any participant State to establish a State human resource investment council to assist the Governor in developing a coordinated State strategy for WPD programs, including school-to-work transition and lifelong learning programs. Subtitle B: Unified Single State Plan - Requires any participant State to: (1) establish a unified single State plan to coordinate services under WPD programs; and (2) report annually to the Federal Council on progress in achieving plan goals. Expresses the sense of the Congress that States and unified service areas should use cost-effective methods for collecting data for post-program follow-up of participants of WPD programs. Subtitle C: Unified Service Areas - Requires any participant State to ensure establishment of unified service areas throughout the State to provide community-wide WPD services. Subtitle D: Local Workforce Development Boards - Requires any participant State to ensure establishment of a Local Workforce Development Board in each unified service area. Requires a participant Local Board, in partnership with local governments, to submit an annual unified local plan to the State Council for approval. Subtitle E: Community Job Resource Centers - Requires any participant State to ensure that each Local Board designates or establishes a network of community job resource centers in its unified service area, to be composed of specified entities. Title III: Consolidation of Federal Workforce Preparation and Development Programs - Subtitle A: Adult Education and Literacy State Block Grant Programs - Amends the Adult Education Act (AEA) to authorize appropriations for FY 1995 and 1996 for: (1) the State Block Grant program authorized under the State Adult Education and Literacy Program, with a limited portion for certain additional State activities; and (2) national activities, including the National Institute for Literacy. (Sec. 302) Allows a portion of such block grants to States to also be used for the following additional programs: correctional education, State literacy resource centers, workplace literacy, English literacy, and training of literacy teachers and volunteers. (Sec. 303) Revises four-year State plan provisions to require description of steps to be taken in continuing programs for correctional education, State literacy resource centers, workforce literacy, and the homeless. Focuses on use and training of adult and elderly volunteers. (Sec. 304) Repeals specified AEA provisions, including: (1) a reservation of funds for national activities; (2) mandatory reserved funds for programs for corrections education and education of other institutionalized individuals; (3) mandatory reserved funds for special experimental demonstration projects and teacher training; (4) grants for State literacy resource centers; (5) grants for adult literacy volunteer training from certain reserved funds; and (6) workplace literacy and English literacy grants. (Sec. 306) Repeals provisions of the: (1) National Literacy Act relating to literacy for incarcerated individuals; (2) Domestic Volunteer Service Act of 1973 relating to the Vista Literacy Corps; and (3) Stewart B. McKinney Homeless Assistance Act relating to literacy initiatives for adult homeless individuals. Subtitle B: Vocational and Technical Education State Block Grant Program - Amends the Carl D. Perkins Vocational and Applied Technology Education Act to authorize appropriations for FY 1995 and 1996 for: (1) the State Block Grant program, with certain amounts for territories and for employment and training block grant programs for Native Americans under the Job Training Partnership Act (JTPA); and (2) national activities, with a certain amount for the National Council on Vocational Education. (Sec. 312) Revises provisions for State allotments and within-State allocation. Repeals provisions relating to State administration and for authorization of appropriations for State councils on vocational education. (Sec. 313) Requires State plans to describe the extent to which the State Vocational Education Block Grant provides for programs for single parents, displaced homemakers, single pregnant women, sex equity, and tech prep. Adds to authorized activities under State programs: business-labor-education partnerships, corrections education, and support for consumer and homemaking education. Includes under authorized activities for other State-administered programs: comprehensive career guidance and counseling and consumer and homemaking education. (Sec. 314) Revises provisions for mandatory use of funds for programs for single parents, displaced homemakers, and single pregnant women, and for sex equity. Repeals provisions for programs for criminal offenders. (Sec. 315) Eliminates a special rule for minimal allocation. Establishes a tech-prep education program. Directs State Boards to award grants for four-year tech-prep education programs to consortia of specified secondary and higher education entities. (Sec. 316) Repeals provisions for various Special Programs. (Sec. 317) Revises provisions for demonstration programs to authorize the Secretary of Education to make demonstration grants to improve vocational education programs. (Currently requires such grants to be made for specific types of programs.) Repeals provisions for Bilingual Vocational Training. Subtitle C: State Vocational Rehabilitation Block Grant Program - Amends the Rehabilitation Act of 1973 (RA) to consolidate certain employment-related programs, including supported employment for individuals with most severe disabilities, special recreation activities and services, and projects with industry. Reserves certain RA funds for Native American employment and training block grant programs under JTPA. Subtitle D: Adult Employment and Training System - Allows a State or eligible unified service area to combine funds received under one or more programs described in this subtitle or the Wagner-Peyser Act to develop and implement an integrated adult employment and training system. Requires a single application and State plan to combine such funds. Allows an eligible unified service area to combine such funds, with State approval and consistent with the State plan approved by the Secretary of Labor, if it has adopted a one-stop delivery system. Chapter 1: Disadvantaged Adult Employment and Training Block Grant Program - Amends the Job Training Partnership Act (JTPA) to revise allocation and allotment provisions, including State reservations of funds, limitations, and State activities. (Sec. 342) Requires each service delivery area to ensure equitable provision of training and placement opportunities for older individuals in private sector jobs. (Sec 343) Renames JTPA title II part A as the Disadvantaged Adult Employment and Training Block Grant Program. Authorizes appropriations. Repeals: (1) incentive grants for certain JTPA title II programs that exceed performance standards; and (2) certain program design provisions for services for older individuals. Repeals specified provisions for job training for the homeless under the Stewart B. McKinney Homeless Assistance Act (except homeless veterans' reintegration projects). Chapter 2: Dislocated Worker Employment and Training Block Grant Program - Amends JTPA title III dislocated worker provisions to include skills upgrading under authorized retraining services. (Sec. 352) Requires that special consideration for eligibility for needs-related payments be given to workers dislocated due to Federal policies, including trade policy, in particular the North American Free-Trade Agreement, or reductions of defense spending or closures of military facilities. (Sec. 353) Authorizes appropriations for the JTPA title III Dislocated Worker Employment and Training Block Grant Program for FY 1995 and thereafter. Repeals JTPA provisions relating to programs for: (1) defense conversion adjustment; (2) defense diversification; and (3) clean air employment transition assistance. Repeals the program of adjustment assistance for workers under the Trade Act of 1974. Renames JTPA title III as the Dislocated Worker Employment and Training Block Grant Program. (Sec. 354) Makes funds from such aforementioned repealed programs under JTPA and the Trade Act of 1974 available for JTPA title III. Chapter 3: Veterans' Employment and Training Block Grant Program - Renames and revises JTPA title IV part C veterans' employment programs provisions as the Veterans' Employment and Training Block Grant Program. (Sec. 362) Makes available for such JTPA program any unobligated or unexpended funds under the Service Members Occupational Conversion and Training Act of 1992 and specified provisions of Federal laws relating to: (1) disabled veterans outreach; (2) local veterans employment representatives; (3) homeless veterans' reintegration projects; (4) veterans' vocational rehabilitation; and (5) job counseling, training and placement service for veterans. (Sec. 363) Directs the Secretary of Labor, through the Assistant Secretary of Veterans Employment and Training and in cooperation with the Secretary of Defense, to provide for orderly implementation of the Veterans' Employment and Training Block Grant Program under JTPA. (Sec. 364) Repeals, after a transition period, the Service Members Occupational Conversion and Training Act of 1992 and specified provisions of Federal law relating to: (1) veterans' employment and training opportunities and employment assistance; (2) disabled veterans outreach, local veterans employment representatives, and their performance; and (3) homeless veterans' reintegration projects. (Sec. 365) Authorizes appropriations. Chapter 4: Job Opportunities and Basic Skills Act - Amends the Social Security Act to transfer authority over the Job Opportunities and Basic Skills (JOBS) program to the Secretary of Labor. Directs the Secretary to develop performance standards for such program and issue regulations to coordinate administration of such program at Federal, State, and local levels with JTPA programs. Subtitle E: Youth Employment and Training Block Grant Program - Amends JTPA title II part C youth training program provisions to provide for a comprehensive range of integrated education, training, employment and social services to disadvantaged and at risk disadvantaged youth not currently served, or underserved, by existing Federal education and training programs particularly in areas of high poverty or crime. (Sec. 373) Sets age 14 through 21 as part of eligibility criteria. (Sec. 374) Includes under authorized services specified outreach and recruitment efforts. Requires use of strategies and practices based on comprehensive and integrated service delivery, innovative approaches to serving hardest-to-serve youths, and programs with community support that make use of various resources and entities. Allows a portion of youth training funds to be used for specified summer youth employment and training activities. (Sec. 375) Adds to JTPA youth training program linkages the School-to-Work Opportunities Act of 1994. (Sec. 376) Renames JTPA title II part C youth training programs provisions as the Disadvantaged Youth Employment and Training Block Grant Program. Authorizes appropriations. Repeals JTPA title II part B summer youth employment and training program and title IV part H Youth Fair Chance program. Subtitle F: Native Americans' Employment, Training, and Education Block Grant Program - Amends JTPA title IV part A Native American programs to include tribally controlled postsecondary vocational institutions among program providers. (Sec. 383) Adds to comprehensive plan requirements, including strategic overviews and coordination with similar programs. (Sec 384) Directs the Native American Employment and Training Council to advise the Secretaries of Education and of the Interior, as well as the Secretary of Labor, and to recommend ways of consolidating other Native American employment and training programs into the JTPA program. (Sec 385) Makes available for the JTPA Native American Block Grant program unobligated or unexpended funds under the specified Act and portions of Acts which are repealed in the following section. (Sec. 386) Repeals the Indian Employment, Training, and Related Services Act of 1992 and specified provisions under the Indian Education Act, the Social Security Act, the Carl D. Perkins Vocational and Applied Technology Education Act, and the Rehabilitation Act of 1973. (Sec. 387) Renames the JTPA program as the Native American Block Grant program. Authorizes appropriations. Subtitle G: Migrant and Seasonal Farmworkers Employment, Training, and Education Block Grant Program - Amends JTPA title IV part A migrant and seasonal farmworker programs to require their being designed to help such farmworkers complete a secondary education and begin and successfully complete the first year of postsecondary education. (Sec. 392) Makes available for the JTPA farmworker block grant program unobligated or unexpended funds under the specified provisions repealed under other Acts in the following section. (Sec. 393) Repeals: (1) special programs for students whose families are engaged in migrant and seasonal farmwork, under the Higher Education Act of 1965; and (2) the adult migrant farmworker and immigrant education program, under the Adult Education Act. (Sec. 394) Renames the JTPA program as the Migrant and Seasonal Farmworker Block Grant program. Authorizes appropriations. Title IV: Miscellaneous Provisions - Amends JTPA to revise and rename State education coordination and grants provisions as State workforce preparation and development coordination and innovation grants. Requires program coordination and linkages with specified other JTPA programs and with the Elementary and Secondary Education Act of 1965, Carl D. Perkins Vocational and Applied Technology Act, Individuals with Disabilities Education Act, Adult Education Act, JOBS program, Goals 2000: Educate America Act, School-to-Work Opportunities Act of 1994, and National and Community Service Act of 1990. (Sec. 402) Amends the Wagner-Peyser Act to require the local employment service office to participate in the operation of the community job resource centers established under this Act based on the plan developed by the Local Board. Allows such offices to apply to be designated as such centers. Repeals specified provisions under the Food Stamp Act of 1977, Immigration Reform and Control Act of 1986, Domestic Volunteer Service Act of 1973, Internal Revenue Code, Higher Education Act of 1965, and Appalachian Regional Development Act of 1965. Title V: Effective Dates and Transition - Sets forth effective dates and transition provisions.
United States · United States Congress · 12 May 1994
TABLE OF CONTENTS: Title I: Restrictions for Aliens Title II: Restrictions for Drug Addicts and Alcoholics Title III: Benefits for Children Title IV: Fraud Title I: Restrictions For Aliens - Amends title XVI (Supplemental Security Income) (SSI) of the Social Security Act (SSA) to make certain aliens ineligible for SSI benefits. Amends SSA title IV part A (Aid to Families with Dependent Children) (AFDC) to require State AFDC plans to require the State agency to provide the Immigration and Naturalization Service (INS) with identifying information on any unlawful alien with any children who are U.S. citizens. Title II: Restrictions for Drug Addicts and Alcoholics - Amends SSA title XVI, among other things, to: (1) suspend SSI benefits for certain recipients who test positive for illegal drugs or alcohol until such time that the recipient tests negative; and (2) make various specified representative payee changes, including requiring SSI disability payments based on substance abuse to be paid through representative payees. Title III: Benefits for Children - Amends SSA title XVI to: (1) replace the current cash benefit with a medical voucher for children below 18 to use for items associated with treating child blindness or disability the costs of which are not covered under SSA title XIX (Medicaid); and (2) require disability reviews for SSI recipients upon reaching 18. Title IV: Fraud - Amends SSA title XVI to add additional requirements for: (1) foreign language translation under provisions for filing of applications and furnishing of information; (2) preventing fraud in the SSI program, for example, by establishing civil monetary penalties and assessments, and by making SSI fraud a felony; and (3) developing profiles of cases involving a high probability of fraud. Directs the Secretary of Health and Human Services to request INS and the Centers for Disease Control to provide any relevant medical information for determining alien eligibility for SSI. Directs the Secretary to report annually to appropriate congressional committees on reviews of SSI cases.
United States · United States Congress · 28 April 1994
Amends the Defense Base Closure and Realignment Act of 1990 to postpone until 1997 (currently 1995) scheduled military base closures and realignments announced by the Defense Base Closure and Realignment Commission.
United States · United States Congress · 20 April 1994
Health Research Act of 1994 - Establishes in the Treasury the National Fund for Health Research. Requires regional and corporate health alliances formed under a comprehensive health care reform program to set aside and transfer specified amounts each calendar year into the Fund. Amends the Internal Revenue Code to authorize individuals (other than nonresident aliens) to designate for payment into the Fund at least $1 of a cash contribution or of any tax overpayment made. Requires the Secretary of Health and Human Services to distribute specified amounts from the Fund for various health research activities of the National Institutes of Health and the National Center for Research Resources. Excludes Fund amounts from any budget enforcement procedures under the Congressional Budget Act of 1974 or the Balanced Budget Emergency Deficit Control Act of 1985 (Gramm-Rudman-Hollings Act).
United States · United States Congress · 14 April 1994
Voter Turnout Enhancement Study Commission Act - Establishes the Voter Turnout Enhancement Study Commission to examine the possibility of changing the filing date of Federal income tax returns to the first Tuesday after the first Monday in November (election day). Terminates the Commission upon submission of a required report. Authorizes appropriations.
United States · United States Congress · 24 March 1994
United States Botanic Garden Commemorative Coin Act of 1995 - Directs the Secretary of the Treasury to: (1) issue one-dollar silver coins to commemorate the 175th anniversary of the founding of the United States Botanic Garden; and (2) pay all surcharges received from such coin sales to the National Fund for the United States Botanic Garden.
United States · United States Congress · 17 March 1994
Interstate Municipal Solid Waste Control Act - Amends the Solid Waste Disposal Act to authorize State Governors to limit the quantity of out-of-State municipal solid waste (MSW) received for disposal at landfills or incinerators to an annual quantity equal to that received during 1990, 1991, or 1992, whichever is less. Limits the quantity of out-of-State MSW received to an annual quantity no greater than 30 percent of all MSW received in 1990, 1991, or 1992, whichever is less, if, during such year, the landfill or incinerator received documented shipments of more than 50,000 tons of out-of-State MSW representing more than 30 percent of all MSW received during the calendar year concerned. Provides for further limits in 1995 through 1997. Authorizes State Governors to prohibit the disposal of out-of-State MSW in: (1) new landfills or incinerators; or (2) landfills or incinerators that do not meet certain requirements of Federal and State laws. Permits State Governors to treat any out-of-State industrial solid waste as out-of-State MSW if it is disposed of at a landfill or incinerator that receives MSW. Authorizes counties to exercise the same authorities with respect to out-of-State MSW as State Governors, except that the 30 percent limitation described in this Act shall be 20 percent. Prohibits discrimination against shipments of out-of-State solid waste on the basis of State of origin. Authorizes a State Governor to limit or prohibit the exportation outside the State of MSW generated in the State, except for materials that have been separated from MSW for recycling. Exempts from the requirements of this Act: (1) material that has been separated or diverted from MSW and has been transported into the State for purposes of recycling and any material returned from a dispenser or distributor to the manufacturer for credit, evaluation, or reuse (this section does not apply to material disposed of in a landfill or incinerator); (2) solid waste generated by an industrial facility and transported for purposes of treatment, storage, or disposal to a facility owned or operated by the waste generator; and (3) solid waste generated incident to the provision of air transportation.
United States · United States Congress · 16 March 1994
Amends the Federal criminal code to require the imposition of the death penalty for espionage that resulted in the identification by a foreign power of an individual acting as an agent of the United States and, consequently, in the death of that individual.
United States · United States Congress · 8 March 1994
Amends the Federal Insecticide, Fungicide, and Rodenticide Act to extend the compliance date for certain provisions of the worker protection standard relating to pesticide safety requirements to October 23, 1995. Directs the Administrator of the Environmental Protection Agency to: (1) develop and distribute pesticide safety training materials that convey, at a minimum, specified information set forth in the Code of Federal Regulations; and (2) assist the appropriate State, Federal, and tribal agencies in implementing pesticide safety training programs. Extends the compliance date for meeting a requirement for worker protection labeling statements on certain pesticide products from April 21, 1994, to October 23, 1995.
United States · United States Congress · 3 March 1994
TABLE OF CONTENTS: Title I: Insurance Reform Subtitle A: Increased Availability and Continuity of Health Coverage for Employees and Their Families Subtitle B: Reform of Health Insurance Marketplace for Small Business Subtitle C: Preemption Subtitle D: Health Deduction Fairness Title II: Preventing Fraud and Abuse Subtitle A: Establishment of All-Payer Health Care Fraud and Abuse Control Program Subtitle B: Revisions to Current Sanctions for Fraud and Abuse Subtitle C: Administrative and Miscellaneous Provisions Subtitle D: Amendments to Criminal Law Title III: Malpractice Reform Subtitle A: Findings; Purpose; Definitions Subtitle B: Uniform Standards for Malpractice Claims Subtitle C: Requirements for State Alternative Dispute Resolution Systems (ADE) Title IV: Paperwork Reduction and Administrative Simplification Title V: Expanding Access/Preventive Care Subtitle A: Expanding Access Through Community Health Authorities Subtitle B: Expansion of Public Health Programs on Preventive Health Title VI: Antitrust Provisions Title VII: Prefunding Government Health Benefits for Certain Annuitants Health Reform Consensus Act of 1994 - Title I: Insurance Reform - Subtitle A: Increased Availability and Continuity of Health Coverage for Employees and Their Families - Requires each employer to make available to each eligible employee a group health plan under which: (1) coverage of each eligible individual with respect to such employee may be elected on an annual basis; (2) coverage is provided for at least the required coverage specified; and (3) employees may elect to have premiums collected through payroll deduction. Does not require employer contributions to the cost of coverage under such a plan. Provides for the exclusion of: (1) employers who have been employers for less than two years or who have no more than two eligible employees or no more than two eligible employees not covered under any group health plan; and (2) family members under specified circumstances. Specifies that a group health plan shall not be treated as failing to meet the requirements of this Act solely because a period of service by an eligible employee of not more than 60 days is required for coverage. Specifies that the required coverage is standard coverage, except that in the case of a small employer that has not contributed during the previous plan year to the cost of coverage for any eligible employee under any group health plan, the required coverage for the plan year is coverage under a standard plan and a catastrophic plan. Provides for a five-year transition for existing group health plans. (Sec. 1002) Sets forth provisions regarding: (1) compliance with applicable requirements through multiple employer health arrangements; and (2) coverage options under a State medical health allowance program. (Sec. 1011) Prohibits a group health plan from imposing (and an insurer from requiring an employer from imposing through a waiting period for coverage under a plan or similar requirement) a limitation or exclusion of benefits relating to treatment of a preexisting condition if: (1) the condition relates to a condition that was not diagnosed or treated within three months before the date of coverage under the plan; or (2) the limitation or exclusion extends over more than six month after the date of coverage, applies to an individual who, as of the date of birth, was covered under the plan, or relates to pregnancy. Specifies that, in the case of an individual who is eligible for coverage under a plan but for a waiting period imposed by the employer, the individual shall be treated as having been covered under the plan as of the earliest date of the beginning of the waiting period. (Sec. 1012) Requires each group health plan to waive any period applicable to a preexisting condition for similar benefits with respect to an individual to the extent that the individual, prior to enrollment in such plan, was covered for the condition under any other health plan. (Sec. 1013) Prohibits: (1) a multiemployer plan and an exempted multiple employer health plan from canceling or denying renewal of coverage under such a plan for an employer other than for nonpayment of contributions, fraud or other misrepresentation, noncompliance with plan provisions, failure to maintain minimum participation rates (in the case of a small employer) misuse of a provider network provision, or because the plan is ceasing to provide any coverage in a geographic area; (2) an insurer from canceling a health insurance plan or denying renewal of coverage other than as prescribed above; and (3) an insurer who terminates the offering of health insurance plans in an area from offering such a plan to any employer in the area until five years after the date of the termination. (Sec. 1021) Makes provisions of the Employee Retirement Income Security Act of 1974 applicable with respect to enforcement of this Act (by the Department of Labor). Imposes a civil penalty ($100 per day for each individual involved, subject to specified limitations) on the failure of an insurer to comply with the requirements of sections 1011 through 1013, unless the Secretary of Health and Human Services (Secretary) determines that the State has in effect a regulatory enforcement mechanism that provides adequate sanctions. Subtitle B: Reform of Health Insurance Marketplace for Small Business - Requires each insurer that makes available a health insurance plan to a small employer in a State to make available to each small employer in the State a standard plan and a catastrophic plan, with exceptions for health maintenance organizations (HMOs) and if a State provides for guaranteed availability (rather than guaranteed issue). Requires each insurer that offers a standard or catastrophic plan to a small employer in a State to accept: (1) every small employer in the State that applies for coverage; and (2) every eligible individual who applies for enrollment on a timely basis. Sets forth provision regarding: (1) special rules for HMOs; (2) timely enrollment requirements; and (3) enrollment of spouses and dependents. Makes such requirements inapplicable in a State that has provided (in accordance with specified standards) a mechanism under which each insurer offering a health insurance plan to a small employer in the State must participate in a program for assigning high-risk small employer groups (or individuals within such a group) among some or all such insurers, if the insurers comply. (Sec. 1102) Defines "health plan" as a health insurance plan that: (1) is designed to provide standard coverage with substantial cost-sharing or only catastrophic coverage; (2) meets applicable requirements relating to guaranteed issue; (3) meets specified consumer protection standards; and (4) meets any participation requirements with respect to an applicable reinsurance or allocation of risk mechanism. States that standard coverage includes: (1) inpatient and outpatient hospital care; (2) inpatient and outpatient physicians' services; (3) diagnostic tests; (4) specified preventive services; and (5) specified inpatient hospital care for mental disorders. Sets forth coverage scope, including that there be no limits on the amount, scope, or duration of items number one, two, and three in the preceding sentence. Sets forth exceptions. Sets forth limitations on deductibles, copayments and coinsurance, and out-of-pocket expenses. Defines a catastrophic benefits package. Provides for the determination of target actuarial values for standard and catastrophic coverage. (Sec. 1103) Directs the Secretary to request NAIC to develop model regulations that specify standards with respect to requirements: (1) that insurers make available health plans; (2) of guaranteed availability of health plans to small employers; (3) relating to limits on premiums and certain consumer protections; (4) relating to limitation of annual premium increases; and (5) for standard and catastrophic coverage. Requires the Secretary to review such standards and, if NAIC fails to specify standards meeting such requirements, to promulgate standards. Sets forth provisions regarding: (1) the application of health plan standards and consumer protection standards by the States; (2) the Federal role; and (3) consumer protection standards. (Sec. 1104) Sets forth provisions: (1) regarding limits on premiums and annual premium increases; and (2) requiring an insurer, at the time of offering a health insurance plan to a small employer, to fully disclose rating practices for health insurance plans, including rating practices for different populations and benefit designs. (Sec. 1106) Directs the Secretary to: (1) request NAIC to develop models for reinsurance or allocation of risk mechanisms for health insurance plans made available to small employers for whom an insurer is at risk of incurring high costs under the plan; and (2) review such models or specify models. Sets forth provisions regarding implementation of reinsurance or allocation of risk mechanisms by the States and the Federal role. (Sec. 1108) Directs the Secretary to establish an Office of Private Health Care Coverage. Requires the Office Director to submit to the Congress annual reports evaluating health care coverage reform. (Sec. 1109) Authorizes the Director to conduct: (1) research on the impact of this subtitle on the availability of affordable health coverage for employees and dependents in the small employers group health care coverage market and other specified topics; and (2) demonstration projects relating to such topics. Requires the Director to develop: (1) methods for measuring the relative health risks of eligible individuals in terms of the expected costs of providing benefits under health insurance plans and, in particular, health plans; (2) a model for equitably distributing health risks among insurers in the small employer health care coverage market. Authorizes appropriations. Subtitle C: Preemption - Prohibits: (1) State benefit mandates for group health plans; and (2) State or local law prohibitions against two or more employers obtaining coverage under an insured multiple employer health plan. (Sec. 1203) Preempts State restrictions concerning: (1) reimbursement rates or selective contracting; (2) differential financial incentives; and (3) utilization review methods. Directs the Comptroller General to conduct a study of the benefits and cost effectiveness of the use of managed care in the delivery of health services. (Sec. 1211) Amends the Employee Retirement Income Security Act of 1974 (ERISA) to allow a limited exemption under preemption rules for multiple employer plans providing health benefits subject to certain Federal standards. Relieves exempted multiple employer plans providing medical care benefits of certain restrictions on preemption of State law. Treats such plans as employee welfare benefit plans. Allows commencement of new arrangements only if such exemption is in effect or an application is pending and the Secretary of Labor determines that provisional protection is appropriate. Sets forth exemption procedures, eligibility requirements, and additional requirements applicable to exempted arrangements. Requires certain disclosures to participating employers, maintenance of reserves, and corrective actions. Provides for expiration, suspension, and revocation of exemptions, and for review of actions by the Secretary. (Sec. 1213) Revises provisions relating to scope of preemption rules, and to treatment of single employer arrangements and of certain collectively bargained arrangements. (Sec. 1215) Establishes special rules for employee leasing healthcare arrangements. Treats such arrangements as multiple employer welfare arrangements except when they are multiple employer health plans. (Sec. 1216) Sets forth enforcement provisions relating to multiple employer welfare arrangements and employee leasing health care arrangements. (Sec. 1217) Sets forth filing requirements for multiple employer welfare arrangements. (Sec. 1218) Provides for cooperation between Federal and State authorities in enforcing ERISA requirements for multiple employer welfare arrangements with the limited exemption. (Sec. 1221) Amends the Internal Revenue Code to eliminate the commonality of interest or geographic location requirement for tax exempt trust status for multiple employer health plans and insured multiple employer health plans if they meet certain requirements under ERISA and this Act. (Sec. 1231) Amends ERISA to direct the Secretary of Labor to prescribe an alternative method providing for a single annual report with respect to all employers who are covered under the same insured multiple employer health plan. (Sec. 1241) Provides for compliance with applicable coverage requirements through multiemployer plans and other multiple employer health arrangements. Subtitle D: Health Deduction Fairness - Amends the Internal Revenue Code to provide for a permanent extension and increase in the health insurance tax deduction for self-employed individuals. Title II: Preventing Fraud and Abuse - Subtitle A: Establishment of All-Payer Health Care Fraud and Abuse Control Program - Directs the Attorney General to establish a program to: (1) coordinate Federal, State, and local law enforcement programs to control health care fraud and abuse; (2) conduct investigations, audits, and inspections relating to the delivery of payment for health care; and (3) facilitate enforcement of provisions of the Social Security and other Acts applicable to health care fraud and abuse. Authorizes additional appropriations as necessary. (Sec. 2003) Establishes the Anti-Fraud and Abuse Trust Fund. Subtitle B: Revisions to Current Sanctions for Fraud and Abuse - Excludes from participation in Medicare and State health care programs any individual or entity convicted of: (1) fraud in connection the delivery of a health care item or service; or (2) a felony related to a controlled substance. (Sec. 2103) Subjects to a civil monetary penalty any individual or entity offering inducements to individuals to receive any service or supply from a particular provider. (Sec. 2104) Permits the imposition of intermediate sanctions in addition to the current option of termination, for Medicare health maintenance organizations. Subtitle C: Administrative and Miscellaneous Provisions - Directs the Secretary to establish a national health care fraud and abuse data collection program for the reporting of final adverse actions against health care providers, suppliers, or practitioners. Requires each government agency and health care plan to report to the Secretary any final adverse action taken against a health care provider, supplier, or practitioner. Subtitle D: Amendments to Criminal Law - Establishes a penalty of up to five years' imprisonment for knowingly: (1) defrauding any health care plan; or (2) fraudulently obtaining money or property in connection with the delivery of health care items, benefits, or services. Permits a payment of up to $10,000 to any person furnishing information relating to any such crime. Title III: Malpractice Reform - Subtitle A: Findings; Purpose; Definitions - Sets forth, for this title, findings, purposes, and definitions. Subtitle B: Uniform Standards for Malpractice Claims - Makes this subtitle applicable to any medical malpractice liability action brought in a Federal or State court and to any medical malpractice claim subject to an alternative dispute resolution system. (Sec. 3102) Prohibits bringing a medical malpractice liability action in either a State or Federal court unless there has been an initial resolution of the action under an alternative dispute resolution system. Directs the Attorney General to establish an alternative dispute resolution process for medical malpractice liability claims brought against the United States. (Sec. 3104) Sets limits on both noneconomic damages and punitive damages. (Sec. 3105) Provides for the periodic payment of future losses. (Sec. 3106) Limits attorney's fees. (Sec. 3108) Sets forth special provisions for certain obstetric services. Subtitle C: Requirements for State Alternative Dispute Resolution System (ADR) -Requires a State's alternative dispute resolution system, among other things to: (1) apply to all medical malpractice liability claims within the jurisdiction of the State's courts; (2) issue a written opinion resolving the dispute within six months of a defendant receiving notice; (3) qualify individuals who hear and resolve claims under the system; and (4) notify the appropriate State agency if there is a finding of malpractice, unless the provider contests the ADR decision. (Sec. 3202) Directs the Secretary to establish an Alternative Dispute Resolution Advisory Board in order to advise the Secretary regarding the establishment of State and Federal ADR systems. Provides for the certification of State ADR systems by the Board. Title IV: Paperwork Reduction and Administrative Simplification - Preempts State quill pen laws. (Sec. 4102) Provides for the confidentiality of electronic health care information. (Sec. 4003) Directs the Secretary to establish national goals for the health care industry concerning: (1) standardization for the electronic receipt and transmission of health plan information; (2) use of uniform health claims forms and identification numbers; (3) priority of insurers when benefits are payable under two or more health plans; and (4) availability of information among health plans when benefits are payable under two more plans. Requires the Secretary to promulgate requirements if the industry does not meet the goals. Provides for monetary penalties on any health plan that does not meet the Secretary's requirements. Title V: Expanding Access/Preventive Care - Subtitle A: Expanding Access Through Community Health Authorities - Amends title XIX (Medicaid) of the Social Security Act to direct the Secretary to operate a program under which States establish projects to demonstrate the effectiveness of various innovative health care delivery approaches through the operation of community health authorities. Requires a community health authority to be a nonprofit entity that: (1) serves a geographic area that includes those designated by the Public Health Service Act as medically underserved or as being in a health professions shortage area; (2) enrolls the Medicaid eligible; and (3) provides for the provision of at least preventive services, primary care services, inpatient and outpatient hospital services, and other services. (Sec. 5002) Authorizes the Secretary to make grants to migrant and community health centers for the development of health service networks to serve high impact areas, medically underserved areas, or medically underserved populations. Authorizes appropriations through FY 1999. Subtitle B: Expansion of Public Health Programs on Preventive Health - Authorizes appropriations, under the Public Health Service Act, for the following: (1) immunizations against vaccine-preventable diseases; (2) prevention, control, and elimination of tuberculosis; (3) lead poisoning prevention; (4) preventive health measures with respect to breast and cervical cancers; (5) the Office of Minority Health Disease Prevention and Health Promotion; and (6) the Office of Minority Health; and (7) the preventive health and health services block grant. Title VI: Antitrust Provisions - Directs the Attorney General to: (1) provide for the development and publication of explicit guidelines on the application of antitrust laws to the activities of health plans; and (2) establish a review process under which the administrator or sponsor of a health plan may submit a request to the Attorney General to obtain a prompt opinion from the Department of Justice on the plan's conformity with Federal antitrust laws. (Sec. 6002) Authorizes the issuance of a certificate of public advantage by the Attorney General to each eligible health care collaborative activity if there is a finding that the benefits that are likely to result from carrying out the activity outweigh any reduction in competition that is likely to result and such reduction is reasonably necessary. Title VII: Prefunding Government Health Benefits for Certain Annuitants - Requires certain executive branch agencies to prefund government health benefits contributors for their annuitants.
United States · United States Congress · 3 March 1994
Tax Fairness for Agriculture Act of 1994 - Amends the Internal Revenue Code to prohibit agricultural or horticultural organizations from treating member dues (limited to a specified amount) as unrelated business taxable income.
United States · United States Congress · 3 March 1994
Designates March 23, 1994, the 92d birthday of the Rabbi Menachem Mendel Schneerson (leader of the worldwide Lubavitch movement), as Education and Sharing Day, U.S.A.
United States · United States Congress · 24 February 1994
Amends title XVI (Supplemental Security Income) (SSI) of the Social Security Act (SSA) to terminate the eligibility of children under 16 for SSI by reason of disability. Amends SSA title XIX (Medicaid) to preserve the Medicaid eligibility of such disabled children who otherwise meet non-disability-related requirements for Medicaid eligibility.
United States · United States Congress · 23 February 1994
Private Property Owners Bill of Rights - Requires Federal agency heads to: (1) comply with applicable State and tribal government laws in implementing and enforcing the Endangered Species Act of 1973 (ESA) and the permitting program for dredged or filled material under the Federal Water Pollution Control Act (FWPCA); (2) administer and implement the Acts in a manner that least affects the private property owners' constitutional and other legal rights; (3) develop and implement rules and regulations for ensuring that such rights are protected when making any final decision that restricts the use of private property; (4) obtain the consent of the property owner and provide appropriate notice before entering privately-owned property in order to collect information on it; and (5) give the property owner an opportunity to review and dispute the data collected before using it to implement or enforce any of the Acts. Amends ESA and FWPCA to provide for administrative appeals of certain actions, including those related to the denial of permits and the imposition of administrative penalties. Entitles a private property owner deprived of 50 percent or more of the fair market value or the economically viable use of a portion of property as a consequence of a final qualified agency action to receive compensation upon request in accordance with specified guidelines. Amends ESA to require the Secretary of the Interior to notify all private property owners or lessees of property subject to a management agreement and provide an appropriate opportunity for their participation in such an agreement when the Secretary enters into it with any non-Federal person establishing restrictions on property use.
United States · United States Congress · 23 February 1994
Declares that for purposes of budget scorekeeping by the Office of Management and Budget and the Congressional Budget Office, any proposed change in law (such as those made by the Health Security Act) respecting: (1) any obligation, payroll tax, assessment, premium, or fee to be paid to a particular entity established pursuant to Federal law shall be treated as a Federal receipt; and (2) any related expenditure made by any such entity required pursuant to Federal law shall be treated as a Federal outlay.
United States · United States Congress · 23 February 1994
Expresses the sense of the Congress that the President should: (1) not have extended diplomatic recognition to the Skopje regime that insists on using the Greek name of Macedonia; and (2) reconsider this decision and withdraw diplomatic recognition until such time as such regime renounces its use of the name Macedonia, removes objectionable language in paragraph 49 of its constitution (calling for the unification of neighboring territories in Greece and Bulgaria with the Macedonian Republic), removes symbols which imply territorial expansion such as the Star of Vergina in its flag, ceases propaganda against Greece, and adheres fully to Conference on Security and Cooperation in Europe norms and principles.
United States · United States Congress · 11 February 1994
Requires all House of Representatives hearings and meetings at the subcommittee, full committee, and conference committee level regarding health care legislation to be open to the public and the media, except where disclosures would endanger the national security, violate a law or rule of the House, or tend to defame, degrade, or incriminate any person. Expresses the sense of the House that the Senate and the executive branch should guarantee public and media access to meetings and hearings concerning health care reform legislation.
![Official portrait of Rep. Gekas, George W. [R-PA-17]](https://www.congress.gov/img/member/g000121_200.jpg)