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United States · Official source
1,645 records where Rep. Gibbons, Sam [D-FL-11] is listed as a sponsor, author, or other actor. Search with topics and years
United States · United States Congress · 29 September 1995
Amends the Internal Revenue Code to provide for a deduction for lobbying expenses in the case of any State legislature.
United States · United States Congress · 19 September 1995
Foreign Trust Tax Compliance Act of 1995 - Amends the Internal Revenue Code to revise the requirements regarding information that must be reported regarding certain foreign trusts. (Sec. 3) Modifies the circumstances (with regard to foreign trusts having one or more U.S. beneficiaries) in which a transferor is treated as the owner. (Sec. 4) Replaces provisions setting forth a special rule applicable to foreign grantors with provisions declaring that provisions relating to treating grantors and others as substantial owners shall apply only when that application results in an amount being currently taken into account in computing the income of a U.S. citizen or resident or a domestic corporation. (Sec. 5) Requires a United States person to report information regarding foreign gifts or bequests when the gifts' aggregate value during a taxable year exceeds $10,000. (Sec. 6) Modifies requirements regarding the interest charge on accumulation distributions from foreign trusts. (Sec. 7) Changes the circumstances in which an estate or trust is included in the definition of "United States person." Modifies the definition of "foreign estate" and "foreign trust." Requires (for provisions relating to the imposition of a tax on transfers to avoid income tax) treating a trust which is not a foreign trust and which becomes a foreign trust as having transferred, immediately before becoming a foreign trust, all of its assets to a foreign trust.
United States · United States Congress · 13 September 1995
Requires that any markup in the committees or subcommittees of the House of Representatives of any legislation changing existing law concerning Medicare or Medicaid pursuant to the reconciliation instructions of the concurrent resolution on the budget for FY 1996 be preceded by a minimum of four weeks for public disclosure of and public hearings on the legislative text of such changes. Prohibits such legislation from being considered in the House until such requirements have been met. Expresses the sense of the House that the Senate should adopt a similar schedule for public disclosure and hearings on the legislative text of any such changes.
United States · United States Congress · 4 August 1995
Expresses the sense of the House of Representatives that: (1) the Speaker of the House should move to appoint conferees on S. 4 (granting the President legislative line item veto rescission authority) immediately so that the House and Senate may resolve their differences on this important legislation; and (2) no conference report on any appropriation bill or the reconciliation bill required by H. Con. Res. 67 (congressional budget for FY 1996 through 2002) should be considered by the House unless such conference report makes the provisions of S. 4, as passed by the House, applicable to that bill, or Congress has considered the conference report on S. 4.
United States · United States Congress · 24 July 1995
Directs the Secretary of the Interior to make such corrections to specified Coastal Barrier Resources System maps as necessary to ensure consistency with the depictions of areas on maps on file with the Secretary.
United States · United States Congress · 19 July 1995
TABLE OF CONTENTS: Title I: Assuring Availability and Continuity of Health Coverage Subtitle A: Insurance Reform Subtitle B: Benefits Subtitle C: Standards and Certification; Enforcement; Preemption; General Provisions Subtitle D: Definitions; General Provisions Title II: Removal of Financial Barriers to Access Subtitle A: Tax Deductibility for Individuals and Self- Employed Subtitle B: Premium and Cost-Sharing Subsidy Program and Supplemental Benefits Program for Low-Income Individuals Title III: Access Improvements Subtitle A: Improved Access in Rural Areas Subtitle B: Public Health Grants Subtitle C: Academic Health Centers Title IV: Malpractice Reform Subtitle A: Findings; Purpose; Definitions Subtitle B: Uniform Standards for Malpractice Claims Subtitle C: Requirements for State Alternative Dispute Resolution Systems (ADR) Subtitle D: Grants to States for Development of Practice Guidelines Title V: Market Incentives to Containing Costs Subtitle A: Administrative Simplification Subtitle B: Antitrust Title VI: Medicare Subtitle A: Increased Beneficiary Choice; Improved Program Efficiency Subtitle B: Savings Health Care Improvement Act of 1995 - Title I: Assuring Availability and Continuity of Health Coverage - Subtitle A: Insurance Reform - Requires each carrier that offers health insurance coverage in the individual and small group market to make coverage available to each qualified individual or small employer and to accept every applying small employer and qualifying individual. Prohibits denial, cancellation, or refusal to renew except for specified reasons. Limits preexisting condition exclusions. Regulates enrollment periods. (Sec. 1011) Sets forth requirements for plans that use managed care, including regarding consumer disclosure and provider disclosure and due process. Prohibits requiring physician referral for obstetric or gynecological services. Preempts certain State law restrictions on managed care. (Sec. 1012) Mandates a study and report on utilization review. (Sec. 1013) Amends the Internal Revenue Code (IRC) to treat the account beneficiary of a medical savings account (MSA) as the owner of the account and subjects them to taxation on the account in accordance with specified provisions. Includes in gross income, and imposes a penalty regarding, any account expenditure not used exclusively for medical expenses of the beneficiary or the beneficiary's spouse or dependents. Excludes limited employer payments to an MSA from the employee's gross income and from the definition of "wages" for purposes of provisions relating to Social Security contributions. Amends the Social Security Act to make a similar change in the definition of "wages." Amends the IRC to exclude such payments from the definition of: (1) "compensation" for provisions relating to railroad retirement taxes; and (2) "wages" for provisions relating to unemployment taxes and to withholding. (Sec. 1021) Regulates premium rate variation, allowing limited variation based on the factors of age, geographic area, family class (individual, individual with children, couple without children, or couple with children), benefit design, and administrative categories. (Sec. 1022) Requires each carrier or plan to accept and apply any premium certificate issued under a State premium assistance program under specified Social Security Act provisions. (Sec. 1023) Mandates development of a model risk adjustment system composed of one or more risk adjustment mechanisms. Requires each State to establish and maintain a conforming risk adjustment system. (Sec. 1031) Sets forth information carriers and plans must disclose to prospective enrollees, brokers, plans, and States. (Sec. 1032) Prohibits carriers from: (1) varying or conditioning remuneration to a person, or terminating or failing to renew an agent or broker, based on the claims experience or health status of individuals enrolled by or through the person; or (2) conditioning coverage on the purchase of any other product. (Sec. 1033) Requires carriers and plans to meet Social Security Act requirements relating to advance directives. Subtitle B: Benefits - Defines "qualified health coverage" as meeting the requirements of subtitle A above and including standard or high-deductible coverage consistent with this subtitle. (Sec. 1102) Includes in standard coverage: (1) hospital, surgical, in-hospital medical, ambulatory, supplemental, and obstetrical services; (2) drugs, medicines, and prosthetic devices; (3) routine medical costs of treatment as part of an approved research trial; (4) drug off-label use if listed in specified compendia; and (5) preventive measures (without cost sharing). Sets forth actuarial value requirements. Prohibits benefits in any benefit category from being less than the narrowest scope and shortest duration in any of the plans under the Federal Employees Health Benefits Program. (Sec. 1103) Requires that high-deductible coverage provide the benefits of standard coverage and use the deductible amount established under this Act, with the actuarial value of coverage equivalent to 80 percent of the actuarial value for standard coverage. (Sec. 1104) Authorizes the Secretary of Health and Human Services to establish and modify benefit valuation procedures. Directs the Secretary to establish: (1) the deductible amount for high-deductible coverage; and (2) model benefit packages. (Sec. 1105) Regulates supplemental coverage. (Sec. 1106) Requires each carrier and plan to provide for an option under which children under 26 years old are treated as family members. (Sec. 1107) Mandates certain coverage relating to Christian Science. Subtitle C: Standards and Certification; Enforcement; Preemption; General Provisions - Mandates development of standards regarding the requirements of this subtitle. (Sec. 1202) Requires each State to report on steps the State is taking to implement and enforce the standards. Provides for Federal action in the event of uncorrected State deficiency. (Sec. 1204) Deems provisions of this title, as they relate to plans or employers and for purposes of administration and enforcement provisions of the Employee Retirement Income Security Act of 1974 (ERISA), to be provisions of ERISA. Amends the IRC to impose a tax on the failure of a carrier to comply with specified provisions of this Act. (Sec. 1205) Prohibits a single employer plan from offering coverage other than through a carrier unless the plan has at least 100 eligible employees. Subtitle D: Definitions; General Provisions - Sets forth definitions for this Act and effective dates for this title. Title II: Removal of Financial Barriers to Access - Subtitle A: Tax Deductibility for Individuals and Self-Employed - Amends the IRC to phase in a permanent 100 percent deduction for the health insurance costs of self-employed individuals. (Sec. 2002) Allows individuals who are not self-employed to deduct 25 percent of the amount paid for insurance which constitutes medical care for the taxpayer, spouse, and dependents, except for months in which the taxpayer is eligible to participate in any subsidized plan maintained by an employer of the taxpayer or the taxpayer's spouse. Allows the deduction whether or not the taxpayer itemizes other deductions. (Sec. 2003) Includes in employee gross income employer-provided coverage provided through a flexible spending or similar arrangement if any amount of cost-sharing may be paid for or reimbursed under the arrangement. Amends the definition of "qualified benefit," for cafeteria plan provisions, to exclude any benefits or coverage if any amount of cost-sharing or more than 20 percent of any premium may be paid for or reimbursed under the plan. Provides for transfers from flexible spending arrangements to medical savings accounts during 1997. Subtitle B: Premium and Cost-Sharing Subsidy Program and Supplemental Benefits Program for Low-Income Individuals - Amends the Social Security Act (SSA) to add a new title XXI entitled "State Acute Care Benefits Programs For Low-Income Individuals." Outlines specific requirements for State premium and cost-sharing subsidy programs, as well as State supplemental acute care benefits programs, for low- income individuals. Requires operation of a premium and cost-sharing subsidy program as a State plan requirement under Medicaid. (Sec. 2102) Amends SSA title XIX (Medicaid) to provide for the division of Medicaid benefits into core benefits and supplemental benefits for AFDC, SSI, and non-cash Medicaid beneficiaries. Places a limitation on the amount of Federal financial participation for benefits for acute medical services for such beneficiaries. Title III: Access Improvements - Subtitle A: Improved Access in Rural Areas - Mandates grants to an eligible State for the development of plans to increase access to health care services for residents of chronically underserved areas. (Sec. 3002) Requires that funds be made available for technical assistance (including regarding eligibility for other Federal programs) and advice, concerning establishing or enhancing a community rural health network in an underserved rural area, for: (1) entities receiving a grant under this subtitle for such a network; (2) state or local governmental units; and (3) entities providing health care services (including health professional education services) in the area. Authorizes appropriations. (Sec. 3003) Mandates financial assistance for the development and implementation of such networks. Authorizes appropriations. Declares that, in order to provide for that authorization of appropriations and notwithstanding any other provision of law, no funds are authorized to be appropriated to carry out, after FY 1996: (1) the rural health transition grant program of the Omnibus Budget Reconciliation Act of 1987; and (2) the rural health outreach program. (Sec. 3011) Amends the Internal Revenue Code to exclude from gross income any payment made on behalf of the taxpayer by the National Health Service Corps Loan Repayment Program. (Sec. 3012) Amends the Public Health Service Act to require that, for frontier health professional shortage areas, the decision on whether the area is a rational area for the delivery of health services be made without regard to the travel time between population centers or to contiguous area resources. (Sec. 3013) Authorizes appropriations to carry out provisions relating to the Scholarship Program (mandating a set-aside for nurse education) and the Loan Repayment Program. (Sec. 3021) Authorizes grants to States to improve the availability and quality of emergency medical services through the operation of State offices of emergency medical services. Requires that projects under existing provisions relating to communications technologies and rural trauma care include demonstration projects to establish telecommunications between rural medical facilities and facilities with useful expertise or equipment. Authorizes appropriations to carry out specified provisions relating to trauma care and emergency medical services. (Sec. 3022) Mandates grants to States for the creation or enhancement of air medical transport systems that provide victims of medical emergencies in rural areas with access to treatment. Authorizes appropriations. (Sec. 3031) Mandates a demonstration project to increase the number and percentage of medical students entering primary care practice. Requires a portion of direct graduate medical education cost payments (under title XVIII (Medicare) of the Social Security Act) be used for payments to States and training consortia. Authorizes grants to States and consortia for developing and evaluating the projects. Authorizes appropriations. (Sec. 3041) Mandates demonstration projects to increase the number and percentage of medical students entering primary care practice. Requires payments to participating health care training consortia and prohibits payments under Medicare for direct and indirect costs of graduate medical education during the participation. Subtitle B: Public Health Grants - Amends the Public Health Service Act to authorize grants to States for specified public health programs. Authorizes appropriations. (Sec. 3102) Mandates programs of scholarships and educational loan repayment for attendance at schools of public health in return for the scholarship and loan recipients agreeing to provide services in public health positions, approved by the Secretary of Health and Human Services, serving a population with significant unmet need. Applies to these programs existing provisions of the National Health Service Corps scholarship and loan repayment programs. Authorizes appropriations. Subtitle C: Academic Health Centers - Mandates studies of: (1) the feasibility and desirability of making payments to facilities that are not hospitals for the direct and indirect costs of graduate medical education costs attributable to residents trained at the facilities; (2) the funding needs of health professions schools. Title IV: Malpractice Reform - Subtitle A: Findings; Purpose; Definitions - Sets forth findings and, regarding this title, purposes and definitions. Subtitle B: Uniform Standards for Malpractice Claims - Applies this subtitle to any medical malpractice liability action in a Federal or State court, and to any medical malpractice claim subject to an alternative dispute resolution system (ADR), initiated after a specified date. (Sec. 4102) Prohibits medical malpractice actions in State or Federal courts unless the claim has been initially resolved under an ADR. Requires establishment of an ADR process for claims against the United States. (Sec. 4103) Sets forth filing procedures, including regarding a certificate of merit and standard interrogatories and requests. (Sec. 4104) Limits the dollar amount of noneconomic damages. Prohibits punitive or exemplary damages against manufacturers of medical products. Requires several and prohibits joint liability for noneconomic damages, except for defendants found liable as a result of gross negligence or fraud. Requires the total amount of punitive damages to be paid to the State in which the action is brought or in which the services were rendered to carry out activities to assure the safety and quality of health care. Requires development and submission to the Congress of alternative limits on noneconomic damages, including separate limits for specified categories of limits. (Sec. 4105) Prohibits requiring a single payment of damages for future economic loss over a specified amount, subject to waiver. (Sec. 4106) Requires claims to be initiated within 2 years after the alleged injury was or should have been discovered. (Sec. 4107) Prohibits finding malpractice against a provider of services during labor or delivery, if the provider did not previously treat the claimant, unless the malpractice is proved by clear and convincing evidence. (Sec. 4108) Allows finding malpractice only if the defendant's conduct was not reasonable unless, in accordance with State law, the action is based on a strict liability theory. (Sec. 4110) Declares that this title supersedes any State law only to the extent that State law permits greater damages or establishes a less strict standard of proof. Subtitle C: Requirements for State Alternative Dispute Resolution Systems (ADR) - Sets forth basic requirements for State ADRs, including: (1) application to all medical malpractice claims; (2) if multiple ADR procedures are available, allowing the parties to select the procedure to be used, assigning a procedure if the parties do not agree; and (3) transmitting findings of malpractice to the State agency responsible for monitoring or disciplining health care professionals and providers. Applies the provisions of subtitle B of this title, subject to exception, to claims brought under the State ADR. (Sec. 4202) Provides for State certification of ADRs meeting applicable requirements. Mandates establishment of a Federal ADR system for the resolution of claims in States without certified ADRs. (Sec. 4203) Mandates grants to States for implementing and operating ADRs. Subtitle D: Grants to States for Development of Practice Guidelines - Mandates grants to States for the development of medical practice guidelines for health care professionals that may be applied to resolve claims and actions. Title V: Market Incentives to Containing Costs - Subtitle A: Administrative Simplification - Requires adoption of standards: (1) consistent with the objective of reducing the costs of providing and paying for health care; and (2) in use and generally accepted, developed, or modified by the standard-setting organizations accredited by the American National Standard Institute. (Sec. 5012) Mandates adoption of standards to make uniform and compatible for electronic transmission through the health information network the data elements of any health information the Secretary of Health and Human Services determines appropriate for transmission in connection with standard transactions under this subtitle. Establishes a system to provide for a standard unique health identifier for each individual, employer, plan sponsor, and provider. (Sec. 5013) Requires adoption of technical standards consistent with the health information network privacy standards under this subtitle relating to the transmission method for health information. Mandates regulations specifying procedures for the electronic transmission and authentication of signatures. (Sec. 5014) Requires adoption of information privacy standards. (Sec. 5021) Declares to be standard transactions (and requires the information transmitted in the transaction to be in the form of standard data elements): verification of benefit eligibility, coordination of benefits, claim submission, claim attachment submission, claim status notification, claim status verification, claim adjudication, payment and remittance advice, and certification or authorization of a referral to a non-network provider. (Sec. 5022) Requires a health information security organization certified under this subtitle to make certain non-identifiable information available to a Federal or State agency, on a cost-type contract, as requested by the agency to fulfill a requirement of this Act. (Sec. 5023) Mandates establishment of a procedure under which a sponsor or provider that does not have the ability to transmit standard data elements directly and does not have access to a health information network may comply with these provisions. (Sec. 5031) Requires the establishment of: (1) standards regarding the operation of health information network services; and (2) a certification procedure for network services. (Sec. 5032) Prohibits an individual or entity, after the establishment under this subtitle of standards to make data elements uniform and compatible for electronic transmission, from requiring any additional data element in connection with the transaction or an inquiry regarding the transaction. Makes a similar prohibition regarding the transmission method. Allows waivers. (Sec. 5033) Declares that a provision, requirement, or standard under this subtitle supersedes any contrary provision of State law. Subtitle B: Antitrust - Mandates the development and publication of explicit guidelines on the application of antitrust laws to the activities of health plans. (Sec. 5102) Directs the Attorney General to issue a certificate of public advantage to each eligible health care collaborative activity complying with the requirements of this paragraph. Declares that such activity and the parties to it shall not be liable under any of the antitrust laws (as defined in specified provisions of the Clayton Act, including specified provisions of the Federal Trade Commission Act relating to unfair methods of competition, and similar State laws). Requires issuance of the certificate if the likely benefits outweigh the likely reduction in competition and the reduction is necessary to obtain the benefits. Title VI: Medicare - Subtitle A: Increased Beneficiary Choice; Improved Program Efficiency - Outlines various specified requirements for HMOs and other eligible organizations under the Medicare program, including the use of metropolitan statistical areas to determine adjusted average per capita cost and enrollment periods for Medicare HMOs. (Sec. 6002) Amends the Omnibus Budget Reconciliation Act of 1990 to permit Medicare select policies in all States. Revises requirements of such policies under the Medicare program. (Sec. 6003) Includes notice of available HMOs in the annual notices to Medicare beneficiaries. (Sec. 6004) Requires the Secretary of Health and Human Services to develop and submit to the Congress a proposal for legislation which provides for the voluntary enrollment of Medicare beneficiaries in private health insurance plans. (Sec. 6005) Provides for optional interim enrollment of Medicare beneficiaries in private health plans. (Sec. 6011) Directs the Secretary to take such steps as may be necessary to consolidate the administration of Medicare parts A (Hospital Insurance) and B (Supplementary Medical Insurance) over a four year period. (Sec. 6021) Provides under Medicare for notice of advance directive rights to individuals entering Medicare. Subtitle B: Savings - Provides for a reduction in: (1) the conversion factor for the physician fee schedule for non-primary care services; and (2) hospital outpatient services through establishment of the prospective payment system. (Sec. 6103) Amends the Internal Revenue Code to provide for an increase in the Medicare part B premium for individuals with high income. (Sec. 6104) Provides for phased-in elimination of Medicare hospital disproportionate share adjustment payments. (Sec. 6105) Provides for imposition of 20 percent coinsurance on laboratory services.
United States · United States Congress · 18 July 1995
China Policy Act of 1995 - Urges the President to undertake diplomatic initiatives to persuade China to: (1) immediately and unconditionally release Harry Wu from detention; (2) adhere to international standards regarding the nonproliferation of weapons of mass destruction by, among other things, halting the export of ballistic missile technology and the provision of other weapons of mass destruction assistance, in violation of international standards, to Iran, Pakistan, and other countries of concern; (3) respect the internationally-recognized human rights of its citizens; (4) curtail excessive modernization and expansion of its military capabilities, and adopt defense transparency measures that will reassure its neighbors; (5) end provocative military actions in the South China Sea and elsewhere that threaten China's neighbors, and work with them to resolve disputes peacefully; (6) adhere to a rules-based international trade regime in which existing trade agreements are fully implemented and enforced, and equivalent and reciprocal market access is provided for U.S. goods and services there; and (7) reduce tensions with Taiwan. Requires the President to report to the Congress on: (1) the actions taken and the progress achieved by the United States with respect to these objectives; and (2) the actions taken in light of them with respect to China by the United Nations and other international organizations, including the World Bank and the World Trade Organization. Amends the United States International Broadcasting Act of 1994 to require the Director of the USIA to submit to the Congress a plan for the establishment of Radio Free Asia to broadcast into China. Requires Radio Free Asia to commence broadcasting to China within 90 days after enactment of this Act.
United States · United States Congress · 17 July 1995
Investment Competitiveness Act of 1995 - Amends the Internal Revenue Code to exempt interest-related dividends received from a regulated investment company from the 30 percent tax on the income of nonresident aliens and foreign corporations not connected with U.S. business. Provides exceptions. Provides for determining: (1) taxable-interest dividends; and (2) taxable estate stock of nonresident non-citizens in regulated investment companies. Applies the special rules for real estate investment trusts on the disposition of investment in U.S. real property to regulated investment companies.
United States · United States Congress · 13 July 1995
George Washington Commemorative Coin Act of 1995 - Requires the Secretary of Treasury to mint and issue five-dollar gold coins emblematic of George Washington. Mandates that the design for the coins be: (1) selected by the Secretary after consultation with the Mount Vernon Ladies' Association and the Commission of Fine Arts; and (2) reviewed by the Citizens Commemorative Coin Advisory Committee. Provides for the distribution of coin sale surcharges to the Mount Vernon Ladies' Association.
United States · United States Congress · 7 June 1995
Amends the Internal Revenue Code to prohibit the disclosure of any tax information to a State that is taxing the retirement income of an individual who is neither a resident nor a domiciliary of that State (pension source tax).
United States · United States Congress · 23 May 1995
James Madison Commemorative Coin Act - Directs the Secretary of the Treasury to issue commemorative one-dollar silver coins emblematic of the 250th anniversary of the birth of James Madison and the life and achievements of the fourth President of the United States. Requires the Secretary to turn over proceeds from surcharges to the National Trust for Historic Preservation to be used to: (1) establish an endowment as a permanent source for Montpelier (home of James Madison and a museum); and (2) fund capital restoration projects at Montpelier.
United States · United States Congress · 23 May 1995
Amends the Agricultural Act of 1949 and the Agricultural Adjustment Act of 1938 to terminate sugarcane and sugar beet price support, marketing quota, and acreage allotment programs. Makes related amendments to the Commodity Credit Corporation Charter Act and the Food Security Act of 1985.
United States · United States Congress · 3 May 1995
Amends the Internal Revenue Code to characterize as a redemption in part or full payment in exchange for stock a distribution in redemption of corporate-held stock if: (1) the redemption is part of a partial liquidation or not pro rata as to all shareholders; and (2) the corporation holding the stock would otherwise be entitled to a dividends received deduction.
United States · United States Congress · 2 May 1995
Amends the Internal Revenue Code to provide that if a U.S. citizen relinquishes citizenship, all property held by such citizen at the time immediately before relinquishment shall be treated as sold at such time for its fair market value and any gain or loss shall be subject to U.S. income tax. Allows an expatriate to elect to have property made subject to tax in the same manner as if the individual were a U.S. citizen if the individual: (1) provides security for payment of tax; (2) consents to waiver of treaty rights that would preclude tax assessment or collection; and (3) complies with other requirements prescribed by the Secretary of the Treasury. Excludes $600,000 in gain from taxation. Limits the amount of estate, gift, and generation-skipping transfer taxes in the event of such an election. Excepts U.S. real property interests and interest in certain retirement plans. Prescribes rules for the treatment of an expatriate's interests in a trust. Terminates, on the date on which property held by an individual is treated as sold under this Act, any deferral of recognition of income or gain and any extension of time for payment of tax. Imposes a tentative tax, immediately before the expatriation date, on income required to be included equal to the amount that would be imposed if the taxable year were a short taxable year ending on the expatriation date. Treats as the basis of property of a nonresident alien individual who becomes a U.S. citizen or resident, for purposes of determining gain or loss, the property's fair market value on the date on which: (1) the individual becomes a citizen or resident; or (2) the property first becomes subject to tax by reason of being used in a trade or business or by reason of becoming a U.S. real property interest.
United States · United States Congress · 1 May 1995
Condemns the bombing at the Alfred P. Murrah Federal Building in Oklahoma City, Oklahoma. Sends condolences to the families. Commends rescue and volunteer workers, law enforcement officials, and the President. Urges the President to use all necessary means to find and punish the perpetrators. Supports the President's and Attorney General's position that Federal prosecutors will seek the maximum penalty allowed by law, including the death penalty, for those responsible. Declares that the House of Representatives will expeditiously approve legislation to strengthen the authority and resources of all Federal agencies involved in combating such acts of terrorism.
United States · United States Congress · 7 April 1995
Public Pension Equity Restoration Act of 1995 - Amends the Internal Revenue Code to allow deferred compensation to be included in governmental retirement plans. Makes inapplicable to governmental plans the rule which limits benefits to 100 percent of the average compensation for the highest three years. Removes excess benefit arrangements and survivor and disability benefits from limitations on governmental plans. Provides a mechanism to pay benefits above limitations to certain employees.
United States · United States Congress · 5 April 1995
Amends the Internal Revenue Code to apply, with limitations, an estate tax credit equivalent to the limited marital deduction to a decedent in a case in which, as of the date of the decedent's death: (1) both the decedent and the surviving spouse were noncitizens of, and not lawful permanent residents of, the United States; and (2) either the decedent or his or her surviving spouse was a qualified international organization employee. Defines a qualified international organization employee as a full-time employee of an international organization whose principal place of employment with such organization is in the United States.
United States · United States Congress · 5 April 1995
Prohibits the shipment in interstate or foreign commerce of steel jaw leghold traps and of articles of fur derived from animals trapped in such traps. Prescribes criminal penalties for violations of this Act. Directs the Secretary of the Interior to reward nongovernment informers for information leading to a conviction under this Act. Empowers enforcement officials to detain, search, and seize suspected merchandise or documents and to make arrests with and without warrants. Subjects seized merchandise to forfeiture.
United States · United States Congress · 5 April 1995
George C. Marshall Commemorative Coin Act - Directs the Secretary of the Treasury to mint and issue one-dollar silver coins and half-dollar clad coins in commemoration of the 50th anniversary of the Marshall Plan and George C. Marshall, its author. Directs the Secretary to pay surcharges received from coin sales to: (1) the George C. Marshall Foundation to be used to support its educational and outreach programs; and (2) the Friends of George C. Marshall to be used solely for the construction of the George C. Marshall Memorial and Vistor Center in Uniontown, Pennsylvania.
United States · United States Congress · 3 April 1995
Requires the Secretary of State to publish the name of an individual who renounces his or her U.S. citizenship.
United States · United States Congress · 29 March 1995
Constitutional Amendment - Repeals the 22d amendment to the Constitution (limitation on presidential terms).
United States · United States Congress · 28 March 1995
Waterways Restoration Act of 1995 - Amends the Watershed Protection and Flood Prevention Act to delete the requirement that each watershed improvement under such Act must contain benefits directly related to agriculture that account for at least 20 percent of the total project benefits. Directs the Secretary of Agriculture to establish and implement a Waterways Restoration Program which provides technical assistance and grants, on a competitive basis, to eligible entities for carrying out waterway restoration projects. Requires such projects to achieve ecological restoration or protection and one or more of the following objectives: (1) flood damage reduction; (2) erosion control; (3) stormwater management; or (4) water quality enhancement. Provides project descriptions and priorities, including the location of projects in low-income or economically depressed areas adversely affected by poor watershed management. Outlines other project requirements, including a cost-benefit analysis. Requires the Secretary to designate Program administrators for each participating State (including a State agency if approved by the Secretary). Requires program grants to be awarded on an annual basis. Provides project application and selection requirements, including the establishment in each participating State of an interdisciplinary team of specialists to assist in reviewing project applications under the Program. Outlines conditions for receiving assistance under the Program, with sponsor and cosponsor requirements. Requires a non-Federal share of 25 percent of project costs, with a waiver for economically depressed communities. Limits the administrative and technical assistance costs of the Program. Requires the Governor of each participating State to establish a citizens oversight committee to evaluate management of the Program in that State. Requires program administrators to issue annual reports summarizing the Program evaluations of the oversight committees. Requires the Secretary to give a priority to waterways restoration projects in making funding decisions under such Act.
United States · United States Congress · 22 March 1995
Newborn Infant HIV Notification Act - Requires a State, if it requires that the results of the human immunodeficiency virus (HIV) testing of an infant be reported to it (or if the State conducts an HIV test of the infant), to disclose such results to: (1) the biological mother of the infant if the mother is the legal guardian; or (2) specified State agencies if the State is the legal guardian of the infant. Directs the State, in disclosing such results (other than to State agencies), to ensure that appropriate counseling on HIV is provided to the individual.
United States · United States Congress · 9 March 1995
TABLE OF CONTENTS: Title I: Establishment of a State-Based American Health Security Program; Universal Entitlement; Enrollment Title II: Comprehensive Benefits, Including Preventive Benefits and Benefits for Long Term Care Title III: Provider Participation Title IV: Administration Subtitle A: General Administrative Provisions Subtitle B: Control Over Fraud and Abuse Title V: Quality Assessment Title VI: National Health Security Budget; Payments; Cost Containment Measures Subtitle A: Budgeting and Payments to States Subtitle B: Payments by States to Providers Subtitle C: Mandatory Assignment and Administrative Provisions Title VII: Promotion of Primary Health Care; Development of Health Service Capacity; Programs to Assist the Medically Underserved Subtitle A: Promotion and Expansion of Primary Care Professional Training Subtitle B: Direct Health Care Delivery Subtitle C: Primary Care and Outcomes Research Subtitle D: School-Related Health Services Title VIII: Financing Provisions; American Health Security Trust Fund Subtitle A: American Health Security Trust Fund Subtitle B: Taxes Based on Income and Wages Subtitle C: Increase in Excise Taxes on Tobacco Products Title IX: Conforming Amendments to the Employee Retirement Income Security Act of 1974 American Health Security Act of 1995 - Title I: Establishment of a State-Based American Health Security Program; Universal Entitlement; Enrollment - Establishes in the United States an American Health Security Program (AHSP) to be administered by the States (including the District of Columbia and, if they so choose, U.S. territories) in accordance with Federal standards established under this Act. Requires a State to establish a State health security program (program) in accordance with this Act to receive Federal health care funding. (Sec. 102) Entitles every individual who is a resident of the United States and is a U.S. citizen or national or a lawful resident alien to benefits for health care services under this Act under the appropriate State program. Sets forth provisions regarding the treatment of nonimmigrants and other individuals. (Sec. 103) Requires each State program to: (1) provide a mechanism for the enrollment of individuals entitled or eligible for benefits (which includes a process for the automatic enrollment of individuals at the time of birth, immigration, or other acquisition of lawful resident status in the United States and provides for the enrollment of all individuals who are eligible to be enrolled as of January 1, 1995); and (2) issue a health security card to enrolled individuals. (Sec. 104) Makes benefits portable when enrollees move or travel between States. Prohibits imposition of a minimum residence or waiting period in excess of three months for program benefit eligibility. Allows reciprocal arrangements between programs in adjacent States for coverage for enrollees residing in the border region. (Sec. 105) Makes benefits available under this Act for items and services furnished on or after January 1, 1996. (Sec. 106) Supersedes Medicare, Medicaid, the Federal Employee Health Benefits Program, and CHAMPUS, which must pay for completion of services they covered before January 1, 1996. Specifies that nothing in this Act affects the eligibility of veterans for Veterans Administration health benefits and services, or of Indians for benefits and services of the Indian Health Service. Title II: Comprehensive Benefits, Including Preventive Benefits and Benefits for Long Term Care - Entitles all eligible individuals to have payment made (if medically necessary and appropriate for the maintenance of health or for the diagnosis, treatment, or rehabilitation of a health condition) for inpatient and outpatient hospital services, professional services of State-authorized practitioners, community-based primary health services, preventive services, long-term, acute, and chronic care services, prescription drugs, biologicals, insulin, and medical foods, dental services, mental health services and substance abuse treatment services, diagnostic tests, and other specified items and services, including outpatient therapy, durable medical equipment, home dialysis, ambulance, prosthetic devices, and other items and services specified by the American Health Security Standards Board (Board) (established by title IV of this Act). Specifies that: (1) no deductibles, coinsurance, or copayments may be charged for acute care benefits, except for specified cost-sharing for long-term care services; (2) no provider may charge a patient for covered services; (3) no private insurance may duplicate program benefits; and (4) States and employers may provide additional benefits at their own expense. (Sec. 203) Covers home and community-based long-term care services for persons unable to perform at least two of five listed activities of daily living without assistance. Limits the cost of such services to 65 percent (or an alternative percentage determined by the Board) of the cost of nursing home care for an individual in the same area in which the services were provided. (Sec. 204) Sets forth special delivery requirements for mental health and substance abuse treatment services provided to at-risk children. Directs the Board to make national determinations on coverage of experimental services, with professional and public input. Specifies that where the Board has recognized practice guidelines, coverage is limited to services provided according to the guidelines or any established exception process. Allows the Board to limit quantities of eyeglasses, contact lenses, hearing aids, and durable medical equipment that will be covered. Excludes from coverage cosmetic procedures, personal comfort items, and services furnished in non-participating facilities. (Sec. 205) Specifies that: (1) States may require providers to certify that covered services were provided according to program requirements; (2) quality review programs must meet Federal standards; and (3) States may require plans of care for coverage of certain services. Title III: Provider Participation - Requires providers, to receive payment, to agree: (1) not to discriminate based on race, national origin, income, religion, age, sex or sexual orientation, disability, handicapping condition, or (subject to the professional qualifications of the provider) illness; (2) not to charge patients for covered services; (3) to furnish necessary information to the Board or program; (4) not to employ other providers whose participation has been terminated for cause; and (5) to submit bills within a specified time frame. (Sec. 302) Considers a health care provider to be qualified if it is licensed or certified and meets State law requirements, applicable Federal requirements, and additional standards that the Board may specify. Requires: (1) the Board to establish, evaluate, and update national minimum standards to assure the quality of services provided and to monitor efforts by programs to assure such quality; (2) a reasonable transition period for any new standards; and (3) the Board to provide for an exchange of information among programs with respect to quality assurance and cost containment. (Sec. 303) Defines a "comprehensive health service organization" (CHSO) as a public or private organization which, in return for a capitated payment amount, furnishes or arranges a full range of health services and out-of-area coverage in the case of urgently needed services to an identified population in a specified service area which enrolls voluntarily in the organization. Sets forth various CHSO requirements regarding enrollment, withdrawal for cause, accessibility of services, continuity of care, consumer and provider representation on the board of directors, a patient grievance program, medical standards committees, premiums, utilization and bonus information, provision of services to enrollees at institutions operating under global budgets, marketing of services, and provision of emergency services to nonenrollees. (Sec. 304) Extends current Medicare prohibitions on physician self-referrals to other services and applies such prohibitions to AHSP. Title IV: Administration - Subtitle A: General Administrative Provisions - Establishes the American Health Security Standards Board to develop policies and procedures for enrollment, benefits, provider participation, national and State funding levels, assisting programs with planning for capital expenditures and service delivery, and other functions and to establish uniform reporting standards for health services and programs. Authorizes the Board to make statistical and other studies, test alternative payment methods, and develop and test information and budget systems. Provides for the appointment of an Executive Director of the Board and an Inspector General. (Sec. 402) Directs the Board to provide for an American Health Security Advisory Council to advise the Board on matters of general policy, in the formulation of regulations, and in the performance of the Board's duties and to study the operation of, and utilization of health services under, this Act. (Sec. 403) Directs the Board and the Secretary to consult with private entities. (Sec. 404) Requires: (1) each State to submit to the Board a plan for a program for providing health care services to residents of the State (but allows neighboring States to join in regional plans); (2) the Board to provide incentives for States to develop regional planning mechanisms to promote the rational distribution of, adequate access to, and efficient use of, tertiary care facilities, equipment, and services; (3) State programs to meet Federal standards, including single-agency administration, a State health security budget, provider payment and quality review methodologies consistent with Federal standards, freedom to choose providers, a consumer ombudsman, an annual report, and a fraud and abuse prevention and control unit; and (4) the Governor of each State to provide for appointment of a State Health Security Advisory Council to advise and make recommendations to the Governor and State regarding program implementation. Allows: (1) programs not meeting Federal requirements, after notice, to be placed in receivership under the Board's jurisdiction; and (2) States to use fiscal agents, after competitive bidding, to process claims. (Sec. 405) Requires the Secretary of Health and Human Services (Secretary) to direct all activities of the Department of Health and Human Services toward contributions to health of the people in a manner complementary to this Act. Subtitle B: Control Over Fraud and Abuse - Authorizes the Board to exclude providers from participation, impose civil monetary penalties, and seek criminal prosecution for fraud or abuse, based on current Medicaid standards. Requires providers to disclose relevant information about their ownership interest in health facilities and services, based on current Medicaid standards. (Sec. 412) Requires the Board: (1) through the Inspector General, to establish a national health care fraud and abuse data base, including the identity of any provider who has been convicted, had a license revoked, has been excluded or suspended from participation, or has been subjected to a civil penalty with respect to a State program, Medicare, Medicaid, or any other federally funded health program; and (2) to establish rules to protect the confidentiality of information in the data base. Requires States to provide relevant information for this purpose and to periodically inquire of the data base to determine provider qualifications to participate in programs. Sets penalties for submitting false information. (Sec. 413) Requires each program to establish and maintain a health care fraud and abuse unit. (Sec. 414) Directs the Board to provide for the assignment of a unique identifier to each participating provider and to each individual eligible for services, which shall be used for claims and payment. Title V: Quality Assessment - Establishes the American Health Security Quality Council in order to: (1) review and evaluate each practice guideline developed under specified provisions of the Public Health Service Act; (2) review and evaluate each standard of quality, performance measure, and medical review criterion developed under specified provisions of the Public Health Service Act; (3) develop criteria for entities conducting quality reviews; (4) report to the Board annually; and (5) perform the functions of the Council described in sections 502 and 505. (Sec. 502) Directs the Council to: (1) adopt methods for profiling the patterns of practice of health care professionals and for identifying outliers; (2) develop guidelines for certain medical procedures to be performed only at tertiary centers; (3) develop standards for education and sanctions with respect to outliers; and (4) disseminate such methods, guidelines, and standards to the States. (Sec. 503) Requires each participating State to establish an entity to conduct quality reviews of persons providing covered services under its program which meet Federal standards for the adoption of practice guidelines, identification of outliers, development of remedial programs and monitoring for outliers, and the application of sanctions. Allows the State to adopt alternative methodologies to those adopted by the Quality Council provided that the State can demonstrate that the efficacy of such review and education programs meets Federal standards. Requires the quality review entity to meet the criteria for competence for such entities developed by the Council. (Sec. 504) Expresses the intent to replace random utilization controls with a systematic review of patterns of practice that compromise the quality of care by January 1, 1998. Supersedes all existing Federal utilization review programs, including random case-by-case reviews and programs requiring pre-certification of medical procedures on a case-by-case basis, with exceptions. Specifies that nothing in this section shall preclude case management of catastrophic, mental health, or substance abuse cases where necessary to achieve appropriate, cost-effective, and beneficial comprehensive medical care. (Sec. 505) Requires: (1) each State program to develop and use a uniform electronic data base in order to perform systematic quality review and support comparative outcomes research and analysis; (2) the Council to establish a set of clinical data derived from patient medical records to be transmitted to State electronic data bases to be used by State health security programs; (3) the Board to designate standards for software in order to assure compatibility; and (4) the Council to establish standards, as specified, for the use and disclosure by a State health security program of such data. Title VI: Health Security Budget; Payments; Cost Containment Measures - Subtitle A: Budgeting and Payments to States - Directs the Board to establish a national health security budget which specifies the total expenditures to be made by the Federal Government and the States for covered health care services, and allocates those expenditures among the States. Prohibits such budget from exceeding the budget for the preceding year increased by the percentage increase in gross domestic product. Divides the budget into quality assessment, professional education, administrative, and operating components. (Sec. 602) Provides for the allocation of funds in the budget by the Board to the States, based on the national average per capita costs of covered services adjusted for differences among the States in costs and the health status of populations. Permits the use of statistical models to estimate State capitation amounts. Sets forth State adjustment factors to reflect differences in relative needs for funds and directs that such factors be applied in a budget-neutral manner resulting in no change in total Federal expenditures from the national per capita average. (Sec. 603) Requires each program to submit to the Board a proposed and final annual budget broken into quality assessment, professional training, administrative, and operating components, with the operating component broken into facility-based services, individual practitioner payments, payments to CHSOs, and payments for other items and services. Sets forth provisions regarding proposed and final budget deadlines, adjustments in allocations, and expenditure limits. Permits programs to provide for a process for the approval of capital expenditures based on information derived from regional planning agencies. (Sec. 604) Provides for programs to receive Federal funds equal to a weighted average of 86 percent of their population-based share of the budget, which the Board may adjust between 81 and 91 percent based on State economic conditions. (Sec. 605) Requires each program to establish a separate budget account for health professional education expenditures and to distribute funds consistent with the achievement of specified national and program goals, including the receipt by the Board of reports to monitor compliance, and taking into account the potentially higher costs of placing health professional students in clinical education programs in health professional shortage areas. Subtitle B: Payments by States to Providers - Directs that: (1) payment for operating expenses for institutional and facility- based care under State programs be made directly to each institution or facility under an annual prospective global budget approved under the program; (2) such budgets take into account discharges by diagnosis-related group, prior expenditures, the extent to which debt service for capital expenditures has been included in the proposed operating budget, the extent to which capital expenditures are financed directly or indirectly through reductions in direct care to patients, change in the consumer price index and other price indices, compensation, occupancy levels, past financial and clinical performance, training, technological changes, and incentives to maintain costs without reducing care; and (3) facility budgets be adjusted to reflect payments made by CHSOs. Allows programs to permit institutions and facilities to raise funds from private sources to pay for newly constructed facilities, major renovations, and equipment. (Sec. 612) Requires: (1) State programs to pay individual practitioners on a fee-for-service basis, as negotiated between States and practitioner representatives; (2) the Board to establish models for such payment and for global fee payment methodologies to encourage payment for combinations of services; and (3) practitioners to bill State programs within 30 days of providing services. Permits States to require electronic billing. (Sec. 613) Authorizes programs to pay CHSOs based on annual budgets or risk-adjusted capitation payments, reduced by the costs of covered services not provided by the CHSO. (Sec. 614) Directs that programs pay for community-based primary health services based on global budgets, basic primary care capitation amounts for enrollees, or fee-for-service, taking into account costs of serving non-covered patients, providing case management, transportation, and translation, and providing health professional education programs. (Sec. 615) Requires: (1) the Board to establish a list of approved prescription drugs and to determine maximum prices; and (2) each program to pay for such drugs based on such maximum prices and to pay separate dispensing fees to pharmacies. (Sec. 616) Directs the Board to establish a list of approved durable medical equipment and therapeutic devices and equipment and programs to pay for such items based on maximum prices determined by the Board. (Sec. 617) Requires State programs to pay for other items and services based on methodologies to be adopted by the Board, consistent with the State health security budget. (Sec. 618) Directs the Board to establish model payment methodologies and other incentives to promote the provision of services in medically underserved areas. Permits programs to adjust payments amounts within their budgets to encourage provision of appropriate services in underserved areas. (Sec. 619) Authorizes programs to utilize alternative payment methodologies, provided that such methodologies do not affect the entitlement of individuals to coverage, the weighting of fee schedules to encourage an increase in the number of primary care providers, the ability of individuals to choose among qualified providers, the benefits covered under the Program, or compliance with the State health security budget. Requires States to report on the operation and effectiveness of alternative methodologies to enable the Board to evaluate the appropriateness of applying such methodologies to other States. Subtitle C: Mandatory Assignment and Administrative Provisions - Specifies that participating providers: (1) must accept payment from a program as full payment for covered services; and (2) may not impose additional charges on patients. Permits the Board to exclude from participation and subject to civil penalties violators of such provision. (Sec. 632) Requires programs to establish: (1) procedures for reimbursing providers within 60 days of bill submission; and (2) an appeals process to handle grievances pertaining to provider payments. Title VII: Promotion of Primary Health Care; Development of Health Service Capacity; Programs to Assist the Medically Underserved - Subtitle A: Promotion and Expansion of Primary Care Professional Training - Makes the Board responsible for: (1) coordinating health professional education policies and goals to achieve national goals; (2) overseeing program health professional education expenditures; (3) developing and maintaining a system to monitor the number and specialties of individuals through their health professional education, any postgraduate training, and professional practice; and (4) developing, coordinating, and promoting other policies that expand the number of primary care practitioners. Sets as national goals that: (1) at least 50 percent of graduate medical residencies be in primary care within five years of this Act's enactment; and (2) there be a certain number, specified by the Board, of midlevel primary care practitioners employed in the health care system as of January 1, 2001. Directs the Board to: (1) establish a method of applying such goals to program goals for each medical residency program or consortium of programs and reducing payments for residency programs failing to meet their goals; (2) advise the Public Health Service on allocations of funding under specified programs to increase the supply of midlevel primary care practitioners; and (3) commission a study of the potential benefits and disadvantages of expanding the scope of practice authorized under State laws for any class of midlevel primary care practitioners. (Sec. 702) Requires the Board to establish an Advisory Committee on Health Professional Education to advise the Board concerning graduate medical education policies under this title. (Sec. 703) Directs the Board to transfer specified revenues from the American Health Security Trust Fund (Trust Fund) for specified existing programs supporting health professional education and nursing education and for the National Health Service Corps. Subtitle B: Direct Health Care Delivery - Requires the Board to transfer specified Trust Fund revenues to the Public Health Service for: (1) maternal and child health block grants, prevention and treatment of tuberculosis, prevention and treatment of sexually transmitted diseases, preventive health block grants, grants to States for community mental health services and prevention and treatment of substance abuse, grants for HIV health care services, and public health formula grants; and (2) primary care service expansion grants. (Sec. 713) Directs the Board to make primary service expansion grants to primary care centers (i.e., nonprofit community health centers, migrant health centers, and other federally qualified health centers) to serve medically underserved populations in urban and rural areas. Specifies that grant funds may be used to plan, develop, and deliver primary care in such areas. Subtitle C: Primary Care and Outcomes Research - Requires the Board to transfer specified Trust Fund revenues to the Agency for Health Care Policy and Research for health outcomes research. (Sec. 722) Amends the Public Health Service Act to establish within the Office of the Director of the National Institutes of Health (NIH) an Office of Primary Care and Prevention Research to be headed by a Director who shall identify and coordinate research activities relating to primary care and prevention, including care provided by multidisciplinary teams. Requires the Director of NIH to establish a national data system and clearinghouse on primary care and prevention research. Authorizes appropriations. Subtitle D: School-Related Health Services - Authorizes appropriations through FY 2002 for this subtitle. (Sec. 734) Directs the Secretary to make grants to State health agencies or to local community partnerships to develop and operate school health service sites. Requires preference in making grants to be given to those communities showing the most substantial level of need. Title VIII: Financing Provisions; American Health Security Trust Fund - Subtitle A: American Health Security Trust Fund - Amends the Internal Revenue Code to create the American Health Security Trust Fund. Appropriates to the trust fund the increase in tax liabilities attributable to the application of amendments made by this title and receipts from the following programs: Medicare, Medicaid, Federal employees' health benefits program, and the CHAMPUS program, Maternal and Child Health program (under title V of the Social Security Act), vocational rehabilitation programs, drug abuse and mental health services programs under the Public Health Service Act, programs providing general hospital or medical assistance, and certain other Federal programs. Transfers to such trust fund amounts in the Federal Hospital Insurance Trust Fund and the Federal Supplementary Medical Insurance Trust Fund. Subtitle B: Taxes Based on Income and Wages - Creates a health care excise tax on every employer with respect to each employee equal to 8.7 percent of wages paid. Imposes the tax on the self-employed, railroad employers, and railroad employee representatives. Imposes an individual health care income tax equal to 2.2 percent of taxable income. Prohibits credits against the tax and any effect on the minimum tax in relation to the individual health care income tax. Subtitle C: Increase in Excise Taxes on Tobacco Products - Increases the excise taxes on tobacco products. Title IX: Conforming Amendments to the Employee Retirement Income Security Act of 1974 - Makes ERISA inapplicable to health coverage arrangements under State health security programs. Exempts State health security programs from ERISA preemption. Prohibits employee benefits duplicating State health security program benefits and requires that a liable workers' compensation carrier reimburse the State health security plan. Repeals continuation coverage requirements under ERISA.
United States · United States Congress · 3 March 1995
Tax Technical Corrections Act of 1995 - Makes technical amendments to the Revenue Reconciliation Act of 1990 and the Revenue Reconciliation Act of 1993. Provides for the application of amendments made by title XII of the Omnibus Budget Reconciliation Act of 1990. Includes among such amendments clarification of U.S. shareholder interests in controlled foreign corporations with respect to dividends, modification of the election to include a child's unearned income on a parent's return, and certain investments in annuity contracts.
United States · United States Congress · 28 February 1995
Amends part B (Supplemental Medical Insurance) of title XVIII (Medicare) of the Social Security Act to include within Medicare coverage the use of blood-testing strips for individuals with Type I or II diabetes. Requires such strips to be included within a payment methodology covering inexpensive and routinely purchased equipment.
United States · United States Congress · 28 February 1995
Amends title XVIII (Medicare) of the Social Security Act to provide for Medicare coverage of diabetes outpatient self-management training services.
United States · United States Congress · 28 February 1995
Federal Employees Health Benefits Access Act - Prohibits a Government health services contract from being made or a plan approved unless the carrier agrees to offer to the general public the same benefits as would be offered under such contract or plan to Federal employees and annuitants and their family members. Requires premiums for coverage to be established in conformance with such requirements as the Office of Personnel Management (OPM) shall prescribe. Specifies that in no event shall this Act's enactment result in any: (1) increase in the level of individual or Government contributions required, including copayments or deductibles; (2) decrease in the types of benefits offered; or (3) other change that would adversely affect the coverage afforded to employees and annuitants and their family members. Permits a carrier to file an application with OPM setting forth reasons why it, or a plan provided by such carrier, should be excluded from the requirements of this Act. Allows OPM, in reviewing any such application, to consider such factors as: (1) any bona fide enrollment restrictions which would make the application of this Act inappropriate; (2) whether compliance would jeopardize the financial solvency of the plan or carrier or otherwise compromise its ability to offer health benefits; and (3) the anticipated duration of the requested exclusion and what efforts the plan or carrier proposes to take in order to be able to comply with this Act. Requires a claim for payment or reimbursement to be submitted on a standard form or in a standard manner as may be required by OPM in relation to health benefit plans. Directs OPM to: (1) prepare information relating to the use of advance directives regarding the type or intensity of care which an individual desires in the event that such individual becomes unable to communicate by reason of incapacity due to illness or injury; and (2) require, as a condition for contract approval, that appropriate provisions be included so that such information may be made available to enrollees of the plan involved. Requires OPM to conduct a demonstration project to assess the feasibility and desirability of offering the use of arbitration, instead of litigation, to resolve medical malpractice claims arising out of covered health care services. Sets forth provisions regarding project requirements and evaluation.
United States · United States Congress · 27 February 1995
Semiconductor Investment Act of 1995 - Amends the Internal Revenue Code to make the depreciable life of semiconductor manufacturing equipment three years for purposes of application of the accelerated cost recovery system.
United States · United States Congress · 24 February 1995
Repeals provisions of the Clean Air Act that require: (1) the use of reformulated gasoline in specified nonattainment areas; and (2) State implementation plan revisions for Severe ozone nonattainment areas to require employers to reduce work-related vehicle trips and miles traveled by employees.
United States · United States Congress · 23 February 1995
Ricky Ray Hemophilia Relief Fund Act of 1995 - Establishes in the U.S. Treasury the Ricky Ray Hemophilia Relief Fund. Authorizes appropriations. Specifies that any individual who submits to the Attorney General written medical documentation that the individual has a human immunodeficiency virus (HIV) infection shall receive $125,000 from amounts available in the Fund if the individual: (1) has a blood-clotting disorder and was treated with blood-clotting agents between January 1, 1980, and December 31, 1987; (2) is the lawful spouse of such individual or the former lawful spouse and was the lawful spouse of the individual at any time after a date within such period on which the individual was treated; or (3) acquired the HIV infection through perinatal transmission from a parent who is such an individual. Requires that a claim for payment be filed with the Attorney General by or on behalf of such individual and that the Attorney General determine that the claim meets the requirements of this Act. Specifies that a claim under this Act shall not be assignable or transferable. Sets limits regarding the number of claims per victim. Prohibits the Attorney General from paying claims filed under this Act unless filed within three years after this Act's enactment.
United States · United States Congress · 23 February 1995
Expresses the sense of the House of Representatives that in order to curb the deficit and to ameliorate the debt burden of future generations, reduction of the Federal deficit should be a very high budgetary priority of the Government and savings from the enactment of spending-reduction legislation should be applied primarily to deficit reduction.
United States · United States Congress · 16 February 1995
TABLE OF CONTENTS: Title I: Middle Class Tax Relief Title II: Provisions Relating to Individual Retirement Plans Subtitle A: Retirement Savings Incentives Subtitle B: Penalty-Free Distributions Middle-Class Bill of Rights Tax Relief Act of 1995 - Title I: Middle Class Tax Relief - Amends the Internal Revenue Code to allow individuals a tax credit of $300 per eligible child under the age of 13 years. Increases such credit to $500 per eligible child after December 31, 1998. Reduces such credit for incomes of $60,000 or more. Provides an inflation adjustment for such amounts beginning in 1999. (Sec. 102) Allows individuals a tax deduction for the qualified higher education expenses of the taxpayer and the taxpayer's spouse and dependents. Limits such deduction to $10,000 ($5,000 for years 1996, 1997, and 1998). Reduces such limitation for modified adjusted gross incomes of $70,000 or more ($100,000 for a joint return). Allows such deduction in computing adjusted gross income. Title II: Provisions Relating to Individual Retirement Plans - Subtitle A: Retirement Savings Incentives - Part I: IRA Deduction - Increases the income limitations on retirement savings deductions and provides a cost-of-living adjustment after 1994 for such limitations. (Sec. 202) Provides a cost-of-living adjustment for deductible retirement amounts after 1995. (Sec. 203) Coordinates the limit on such deduction with the elective deferral limit under other pension provisions. Part II: Nondeductible Tax-Free IRAs - Establishes special individual retirement accounts that are nondeductible. Makes such accounts nontaxable if earnings on contributions are held for at least five years. Applies the early withdrawal penalty to distributions made before the end of the five-year period. Subtitle B: Penalty-Free Distributions - Allows distributions from certain retirement plans without penalty to purchase first homes, pay higher education expenses and financially devastating medical expenses (including qualified long-term care services), and assist certain unemployed individuals. (Sec. 222) Requires contributions to such plans to be held for at least five years prior to such distributions.
United States · United States Congress · 16 February 1995
TABLE OF CONTENTS: Title I: Provisions Relating To the Earned Income Credit Title II: Provisions Relating To International Taxation Title III: Additional Empowerment Zones Tax Compliance Act of 1995 - Title I: Provisions Relating to the Earned Income Credit - Amends the Internal Revenue Code to deny the earned income tax credit to individuals without a social security number that is valid for employment purposes. (Sec. 102) Denies such credit to individuals whose interest and dividends includible in gross income exceeds $2,500. Title II: Provisions Relating to International Taxation - Provides that if a U.S. citizen relinquishes citizenship, all property held by such citizen at the time immediately before relinquishment shall be treated as sold at such time for its fair market value and any gain or loss shall be subject to U.S. income tax. Excludes $600,000 in gain from taxation. Excepts U.S. real property interests and interest in certain retirement plans. Allows the deferral of the tax on expatriation with respect to interests in closely-held businesses. (Sec. 202) Revises provisions governing information reporting on foreign trusts. Includes as reportable events a domestic trust becoming a foreign trust, the death of a citizen or U.S. resident who is a grantor of a foreign trust, and the residency starting date of a grantor of a foreign trust having one or more U.S. beneficiaries. Increases penalties for failure to file information returns with respect to certain foreign trusts. (Sec. 203) Modifies the rules relating to the taxation of foreign trusts having one or more U.S. beneficiaries to prevent abusive transactions with respect to transfers at death, sales to foreign trusts, pre-immigration trusts, and outbound trust migrations. (Sec. 204) Provides for a person to be treated as owning trust assets under the grantor trust rules only if that person is a U.S. citizen, U.S. resident, or domestic corporation. (Sec. 205) Authorizes the Secretary of the Treasury to recharacterize purported gifts by partnerships and foreign corporations to persons who are not partners or shareholders to prevent the avoidance of tax. (Sec. 206) Requires U.S. persons to report any gifts from foreign persons that exceed the value of $100,000. Establishes a penalty for failure to make such report. (Sec. 207) Modifies the rules regarding the rate of interest on accumulated distributions of foreign nongrantor trusts to make such rate correspond to the interest rate on underpayment of tax. Authorizes the Secretary to prescribe regulations to prevent abusive transactions. Provides for the taxation of the use of foreign trust property (valued at more than $2,500) by a trust participant as distributed income. (Sec. 208) Provides for the treatment as a domestic estate or trust one that: (1) a U.S. court is able to exercise primary supervision over its administration; and (2) in the case of a trust, one or more U.S. fiduciaries have the authority to control all substantial trust decisions. Title III: Additional Empowerment Zones - Authorizes the establishment of two additional urban empowerment zones. Increases the aggregate population of such zones that are eligible for such designation.
United States · United States Congress · 14 February 1995
Working Wage Increase Act of 1995 - Amends the Fair Labor Standards Act of 1938 to increase the minimum wage per hour to: (1) $4.70 during the year beginning July 4, 1995; and (2) $5.15 after July 3, 1996.
United States · United States Congress · 2 February 1995
Prohibits the Administrator of the Environmental Protection Agency from continuing or beginning to conduct administrative or judicial enforcement actions against the following persons under the Comprehensive Environmental Response, Compensation, and Liability Act of 1980 if such persons did not directly cause the release or threat of release of the hazardous substance concerned and did not have knowledge of such release: (1) persons who arranged for the disposal, treatment, or transport of hazardous substances by another party at a facility owned by another party; and (2) persons who accepted hazardous substances for transport to disposal or treatment facilities or sites from which a release occurs which causes the incurrence of response costs. Places a moratorium on the authority of persons to seek contribution from another person who is: (1) potentially liable for hazardous substance releases during or following any civil action; and (2) not a party to a settlement, in cases where such persons have resolved liability to the United States or a State for an environmental response action for some or all of the costs in an approved settlement. Applies such moratorium to judicial actions initiated before this Act's enactment date that are pending as well as those initiated after such date. Provides that limitation periods with regard to the commencement of actions for the recovery of specified costs and damages shall be tolled for the period that a moratorium under this Act is in effect.
United States · United States Congress · 1 February 1995
Medicaid Mammography Coverage Act of 1995 - Amends title XIX (Medicaid) of the Social Security Act to provide Medicaid coverage of screening mammographies for women aged 35 and older. Varies the permissible frequency of such covered tests on the basis of a woman's age and her risk of developing breast cancer. Directs the Secretary of Health and Human Services to periodically review and revise permissible frequencies of such tests. Makes such coverage mandatory. Prohibits imposition of charges against beneficiaries for such services. Provides for a 100 percent Federal match for such screening mammography services.
United States · United States Congress · 1 February 1995
Medicare Prostate Cancer Screening Act of 1995 - Amends title XVIII (Medicare) of the Social Security Act to provide for Medicare coverage of prostate cancer screening tests.
United States · United States Congress · 1 February 1995
Equal Access to Annual Screening Mammography Act of 1995 - Amends part B (Supplementary Medical Insurance) of title XVIII (Medicare) of the Social Security Act to revise the breast cancer screening benefit to cover on an annual basis (currently, biennial) routine breast cancer screening for women aged 65 and older (thus covering them on the same basis as those aged 49 through 64).
United States · United States Congress · 1 February 1995
Medicaid Prostate Cancer Screening Act of 1995 - Amends title XIX (Medicaid) of the Social Security Act to provide for Medicaid coverage of prostate cancer screening tests. Makes such coverage mandatory. Provides for a 100 percent Federal match for costs of such prostate cancer screening tests.
United States · United States Congress · 26 January 1995
Amends the Internal Revenue Code to allow certain spouses a full deduction for contributions to an individual retirement account.
United States · United States Congress · 20 January 1995
Fairness in Medicaid Funding Act of 1995 - Amends title XIX (Medicaid) of the Social Security Act to revise the State percentage factor and related factors in the Federal medical assistance percentage used under the Medicaid program. Bases payments to the States for administration costs on the Federal medical assistance percentage.
United States · United States Congress · 20 January 1995
Pharmacy Compounding Preservation Act of 1994 - Amends the Federal Food, Drug, and Cosmetic Act to make such Act inapplicable to: (1) licensed retail pharmacies that compound drugs in conformance with applicable local laws regulating the practice of pharmacy and medicine; and (2) bulk drug products intended to be used by pharmacies for compounding, except to the extent that such provisions relate directly to the purity and quality of such bulk drug products.
United States · United States Congress · 18 January 1995
TABLE OF CONTENTS: Title I: Relationship of NAFTA Implementation to the Operation of the Caribbean Basin Initiative Title II: Related Provisions Caribbean Basin Trade Security Act - Title I: Relationship of NAFTA Implementation to the Operation of the Caribbean Basin Initiative - Amends the Caribbean Basin Economic Recovery Act (the Act) to accord certain textile and apparel articles and certain other articles (including canned tuna and petroleum) from Caribbean beneficiary countries, for a specified transition period, the same tariff and quota treatment (lower tariffs or duty-free treatment) accorded any such articles imported from Mexico under the North American Free Trade Agreement (NAFTA). (Sec. 102) Directs the President to: (1) monitor the effects, if any, that implementation of NAFTA has on the access of beneficiary countries to U.S. markets for sugars, syrups, and molasses; and (2) take or propose any actions necessary to ameliorate any adverse effects such implementation may have on them. (Sec. 103) Grants duty-free treatment of Canadian liqueurs and spirituous beverages made from Caribbean rum. Title II: Related Provisions - Requires the President to meet with trade ministers of beneficiary countries in order to negotiate for their accession to the NAFTA, or to enter into free trade agreements with the United States that contain comparable provisions with those in the NAFTA and that would make progress in achieving certain trade negotiating objectives under the NAFTA. (Sec. 202) Directs the United States Trade Representative (USTR) to make an assessment of the economic development efforts and market oriented reforms in each beneficiary country, including each country's ability to undertake the obligations of the NAFTA. Requires the USTR, if such countries accede to the NAFTA or the United States negotiates a comparable free trade agreement with them, to provide to specified congressional committees a report on the economic impact of the new trade relationship on beneficiary countries.
United States · United States Congress · 11 January 1995
National Gambling Impact and Policy Commission Act - Establishes the National Gambling Impact and Policy Commission to: (1) study gambling in the United States and existing governmental policies and practices with respect to the legalization or prohibition of gambling activities; and (2) formulate and propose appropriate changes in such policies and practices for a report to the President and the Congress.
United States · United States Congress · 11 January 1995
Directs the Secretary of the Interior to make corrections to specified maps of the Coastal Barrier Resources System as necessary to ensure that: (1) those maps are consistent with other maps on file with the Secretary; and (2) the System does not include any area that, before enactment of this Act, was part of unit Q01 of the System.
United States · United States Congress · 11 January 1995
TABLE OF CONTENTS: Title I: Relationship of NAFTA Implementation to the Operation of the Caribbean Basin Initiative Title II: Caribbean Basin Free Trade Agreements Caribbean Basin Free Trade Agreements Act - Title I: Relationship of NAFTA Implementation to the Operation of the Caribbean Basin Initiative - Amends the Caribbean Basin Economic Recovery Act (the Act) to accord certain textile and apparel articles and certain other articles from Caribbean beneficiary countries, for a specified transition period, the same tariff and quota treatment (lower tariffs or duty-free treatment) accorded any such articles imported from Mexico under the North American Free Trade Agreement (NAFTA). (Sec. 102) Directs the President to: (1) monitor the effects, if any, that implementation of NAFTA has on the access of beneficiary countries to U.S. markets for sugars, syrups, and molasses; and (2) take or propose any actions necessary to ameliorate any adverse effects such implementation may have on them. Title II: Caribbean Basin Free Trade Agreements - Directs the United States Trade Representative (USTR) to determine the feasibility of any beneficiary countries either: (1) acceding to NAFTA and any supplemental agreements pertaining to environmental, labor, and import issues; or (2) entering into bilateral or multilateral agreements with the United States that contain provisions comparable to those contained in NAFTA, or which will achieve the objectives of the Act or the Omnibus Trade and Competitiveness Act of 1988. (Sec. 202) Authorizes the President to enter into trade agreements with beneficiary countries to provide for the elimination or reduction of any duty or trade barrier to, or other distortions of, trade with the United States. Requires the President to consult with the Congress before entering into such agreements.
United States · United States Congress · 9 January 1995
Constitutional Amendment - Prohibits Federal outlays of operating funds from exceeding receipts to such funds for any fiscal year plus any operating fund balances carried over from previous fiscal years. Waives such prohibition: (1) when a declaration of war is in effect; (2) when the United States by law is engaged in military conflict; or (3) if economic growth has been or will be negative for two consecutive quarters. Requires the President to propose a budget in accordance with this Act. Declares that total receipts exclude those derived from net borrowing. Declares that total outlays excludes those for repayment of debt principal and for capital investments in physical infrastructure that provide long-term economic returns but includes an annual debt servicing charge. Provides that the Federal Old-Age and Survivors Insurance Trust Fund and the Federal Disability Insurance Trust Fund shall not be counted as receipts or outlays.
United States · United States Congress · 5 January 1995
Expresses the sense of the House of Representatives that: (1) obstetrician-gynecologists should be designated as primary care providers for women in Federal laws relating to the provision of health care; and (2) legislative proposals that define primary care should include services performed by obstetrician-gynecologists in such definition.
United States · United States Congress · 4 January 1995
Amends Federal law to prohibit any State from imposing an income tax on the retirement income of any individual who is not a resident or domiciliary of that State.