United States · United States Congress · 12 March 1991
Collegiate Speech Protection Act of 1991 - Amends title VI (Federally Assisted Programs) of the Civil Rights Act of 1964 to prohibit a postsecondary educational institution that is a program or activity from subjecting any student to disciplinary sanctions solely on the basis of conduct that is speech or other communication protected from governmental restriction by the First Amendment of the Constitution. Authorizes civil actions for injunctive and declaratory relief, with awards of attorneys' fees and other costs. Exempts educational institutions controlled by a religious organization from application of this Act if application would be inconsistent with the religious tenets of the organization.
United States · United States Congress · 12 March 1991
Medicaid AIDS and HIV Amendments of 1991 - Amends title XIX (Medicaid) of the Social Security Act to allow each State to provide Medicaid coverage of HIV-related services for individuals who have the HIV virus and an abnormally low immune function that places them at risk of contracting opportunistic diseases or life-threatening conditions related to acquired immune deficiency syndrome (AIDS) and whose income and resources do not exceed the maximum amounts allowed under the State Medicaid program for disabled individuals. Allows States to provide Medicaid home and community-based services to children who have the HIV virus and an abnormally low immune function for which medical intervention is indicated to prevent hospitalization. Applies the same income and resource eligibility standards as would apply if such children were hospitalized. Includes as federally-qualified health centers an entity receiving a grant under the Ryan White Comprehensive AIDS Resources Emergency Act of 1990 for the provision of early intervention services to individuals who have the HIV virus. Authorizes States to provide Medicaid coverage of the early intervention services provided by federally qualified health centers under such grant program to low-income individuals who have the HIV virus. Authorizes a Health and Human Services residential care facility demonstration program for certain Medicaid-eligible individuals who have the HIV virus and need housing or attendant care to allow them to remain at home.
United States · United States Congress · 12 March 1991
Information Dissemination and Research Accountability Act - Establishes in the National Library of Medicine a National Center for Research Accountability to assist in eliminating duplication of effort in Federal research proposals involving live animals. Prohibits Federal agencies from carrying out or funding any research proposal involving live animals unless the proposal is submitted to the Center following agency approval. Prohibits Federal funding of any proposal the Center determines would duplicate other research completed or in process. Authorizes the Center to contract with private entities to assist in conducting comprehensive full-text literature searches. Directs the Center to report annually to the President and the Congress. Provides for modernization of biomedical information storage and dissemination by the National Library of Medicine. Authorizes the Library to award contracts to the private-sector data recording industry to improve: (1) the development of technologies for storage and dissemination of full-text biomedical information; and (2) dissemination of such information to medical libraries for research use. Requires the Library to report annually to the Congress on its progress. Authorizes appropriations.
United States · United States Congress · 12 March 1991
Medicaid Child Health Amendments of 1991 - Amends title XIX (Medicaid) of the Social Security Act to permit States to provide Medicaid coverage to all children who have attained age six but not age 19 and whose family income does not exceed 185 percent of the Federal poverty level. (Currently, States are required to cover only certain children between such ages, and only those whose family income does not exceed 133 percent of the Federal poverty level.) Permits States to provide an additional 12 months (currently, 12 months total) of extended Medicaid coverage to families whose AFDC eligibility ends due to the caretaker relative's employment. Requires States which provide prospective Medicaid payments to hospitals to reimburse hospitals which serve a disproportionate share of low-income patients for exceptionally costly or lengthy stays by children up to age 19. Directs States to provide Medicaid coverage for disabled children under age 19 but who are not eligible for benefits under title XVI (Supplemental Security Income) of the Social Security Act. Prohibits the discontinuance of the Medicaid benefits of a child under age 19 until he or she is determined to be ineligible for such benefits on any basis. Allows States to extend Medicaid coverage to: (1) foster care children under age 19 whose incomes are above State cash assistance eligibility levels but below the Federal poverty level; and (2) migratory agricultural workers and their families.
United States · United States Congress · 12 March 1991
Medicaid Infant Mortality Amendments of 1991 - Amends title XIX (Medicaid) of the Social Security Act to require mandatory State coverage of pregnant women and infants whose family income is below 185 percent of the Federal poverty level. Provides 100 percent Federal financing of the costs of services to pregnant women and infants whose family income is between 133 and 185 percent of the Federal poverty level. Prohibits application of resource testing to pregnant women and infants. Authorizes States to provide Medicaid coverage of home visitation services with respect to high-risk infants. Provides for flexibility in determining the limitation on Federal payments to States for Medicaid services provided to pregnant women and infants. Requires States to include in their Medicaid benefit packages primary health services for residents of public housing provided by an entity which meets the requirements to receive a grant under the Public Health Service Act to fund the provision of such services.
United States · United States Congress · 12 March 1991
Savings and Investment Incentive Act of 1991 - Title I: Retirement Savings Incentives - Amends the Internal Revenue Code to remove the limitations on deductions for individual retirement plans and provides a cost-of-living adjustment for deductible amounts. 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. Title II: Penalty-Free Distributions - Provides exemptions from the ten-percent penalty on early withdrawals from individual retirement plans for: (1) first home purchases; (2) higher education expenses; and (2) financially devastating medical expenses.
United States · United States Congress · 11 March 1991
Unemployment Insurance Reform Act of 1991 - Title I: Federal Supplemental Compensation Program - Subtitle A: Establishment of Program - Establishes a Federal supplemental unemployment compensation program. Allows any State to enter into and participate in an agreement with the Secretary of Labor (the Secretary) under which the State agency which administers the State unemployment compensation law will make payments of Federal supplemental compensation: (1) to individuals who have exhausted all rights to regular compensation under State law, have no rights to such regular compensation or any additional State or Federal compensation, and are not receiving Canadian compensation; and (2) for any week of unemployment begining in the individual's eligibility period. Sets forth provisions relating to exhaustion of regular benefits and weekly amount of supplemental benefits equal to regular benefits. Requires a State, under such an agreement, to establish a Federal supplemental compensation account with respect to the benefit year of each eligible individual who file an application. Limits benefit payments to not more than the amount in the individual's account. Sets forth formulas for determining the amount in such account. Provides that such amount shall be equal to the lesser of: (1) 100 percent of the total amount of regular compensation (including dependents' allowances) payable to the individual with respect to the most recent regular benefit year; or (2) the applicable limit times the average weekly benefit amount for the benefit year. Sets the applicable limit at: (1) 26 for an eight-percent period, i.e. one triggered by a total unemployment rate (TUR) of eight percent or more in the State, seasonally adjusted, for the most recent three months with available data; (2) 18 for a seven-percent period; and (3) nine for a six-percent period. Sets forth special rules relating to such applicable limits. Coordinates the Federal supplemental compensation program with the trade readjustment allowance program under the Trade Act of 1974. Sets forth general, special, and transitional rules for supplemental benefit periods, individual eligibility periods, State on and off indicators, and a temporary national trigger. Sets forth provisions for payments to States having such agreements for Federal supplemental compensation. Sets forth reachback provisions for certain individuals' eligibility for such benefits. Sets forth provisions relating to fraud and overpayments. Subtitle B: Repeal of Extended Program - Repeals the Federal-State Extended Unemployment Act of 1970, and references to the extended unemployment compensation program (established by such Act) in the Federal Unemployment Tax Act (FUTA) provisions of the Internal Revenue Code and in the Social Security Act (SSA). Title II: Modifications to Eligibility Provisions - Amends FUTA to limit the circumstances under which individuals may be disqualified for unemployment compensation under State law. Amends specified Federal law to repeal certain limitations on payment of unemployment compensation to former members of the Armed Forces. Amends FUTA to allow optional unemployment benefits for certain school employees, by making denial of such benefits discretionary rather than mandatory. Amends FUTA with respect to the treatment of certain determinations with respect to claims for unemployment compensation benefits under State law. Amends FUTA to require State agencies administering unemployment compensation to approve any training program involving classroom training, occupational skill training, basic or remedial education, or literacy or remedial English training, in the case of any individual who has received compensation under State law for ten weeks or more during the benefit year (thus allowing such individual to receive such compensation while participating in such training). Title III: Federal Job Search Assistance - Subtitle A: General Provisions - Requires State unemployment compensation law, for purposes of approval requirements under FUTA, to: (1) require certain unemployment compensation recipients to participate in a qualified intensive job search program (the program) after receiving such compensation for ten weeks during any benefit year; (2) entitle such individuals to an intensive job search program voucher; and (3) disqualify those who do not satisfactorily participate in such program from receiving such compensation for a specified period. Makes such program requirements applicable to such recipients if, during a specified three-year period, they had at least 126 weeks of employment at wages of $30 or more a week with their last employer (or an equivalent amount computed under prescribed regulations). Sets forth exceptions to such program requirements, special rules, and program qualifications. Provides that such vouchers entitle the organization (including the State employment service) providing the program to a payment from the State agency equal to the lesser of: (1) the reasonable costs of providing the program; or (2) the average weekly benefit amount in the State. Requires Federal payments to each State's account in the Unemployment Trust Fund in an amount equal to the payments made by the State agency for such program vouchers. Provides for payments on a calendar month basis, and for certification by the Secretary. Subtitle B: Conforming Amendments - Amends FUTA to add to requirements for approval of State unemployment compensation law the requirement for individual participation in intensive job search assistance programs and entitlement to such program vouchers. Makes conforming amendments to other FUTA and SSA provisions. Amends SSA provisions relating to payments from the supplemental compensation and reemployment assistance account to add references to such programs and vouchers. Subtitle C: Effective Date - Sets forth effective dates for specified provisions of this Act. Title IV: Financing Provisions - Subtitle A: Modifications to Federal Unemployment Tax - Amends FUTA provisions related to the rate of the Federal unemployment tax. Modifies the formula for determining such rate to make such FUTA excise tax on employers equal: (1) five and four-tenths percent of the total wages paid during the calendar year with respect to employment; and (2) a specified percentage of the total Federal taxable wages paid during the calendar year with respect to employment. (Provides that such percentage shall be lowered as it is phased-in, from 0.75 percent in 1992 to 0.3 percent in 1997 and thereafter.) Makes conforming modifications to credit provisions and tax computation provisions. Subtitle B: Financing Reforms - Amends the SSA to modify provisions for Federal unemployment accounts. Provides for an increase in quarterly credits for States with adequate balances. Provides for appropriate adjustments in transfers to the Federal unemployment account. Provides for borrowing between Federal accounts, under specified circumstances, with respect to: (1) the employment security administration account; (2) the Federal unemployment account; or (3) supplemental compensation and reemployment assistance account. Amends the SSA to revise provisions for entitlement grants to States to assist in the administration of their unemployment compensation laws (including administration pursuant to agreements under any Federal unemployment compensation law). Provides for an annual aggregate payment of such a State entitlement in the sum of: (1) the basic unemployment insurance service grant; and (2) the additional workload grant. Directs the Secretary, within 12 months, to report to the Congress a proposal for revising the method of allocating grants among the States for administration of the unemployment insurance program. Prohibits the Secretary from revising such method until 12 months after such report is submitted to the Congress. Amends the SSA to establish an Advisory Council on Unemployment Compensation. Directs the Secretary to establish such a council by December 31, 1991, and every fifth year thereafter. Requires each such council to evaluate the unemployment compensation program. Sets forth membership and staff provisions. Requires each council to report to the Congress by October 1 of the year following the year in which is required to be established. Terminates each council after it submits its report. Exempts the following unemployment compensation programs from any order issued under part C of the Balanced Budget and Emergency Deficit Control Act of 1985 for FY 1992 or any succeeding fiscal year: (1) Federal supplemental compensation program payments under title I of this Act; (2) Federal job search assistance payments under title III of this Act; and (3) employment security administration payments to States under title III of the Social Security Act.
United States · United States Congress · 7 March 1991
Comprehensive Indian Fetal Alcohol Syndrome Prevention and Treatment Act - Amends the Indian Alcohol and Substance Abuse Prevention and Treatment Act to authorize the Secretary of Health and Human Services to make grants to Indian tribes to establish Fetal Alcohol Syndrome (FAS) and Fetal Alcohol Effects (FAE) programs. Authorizes appropriations. Requires that ten percent of the funds appropriated be used for Urban Indian organizations funded under the Indian Health Care Improvement Act. Requires the Secretary to assist Indian tribes in: (1) the development, printing, and dissemination of education and prevention materials on FAS/FAE; and (2) the development and implementation of culturally sensitive assessment and diagnosis tools for use in tribal communities. Directs the Secretary to convene a FAS/FAE Task Force to: (1) examine the needs of Indian communities and current Federal resources; and (2) develop an annual plan for the prevention, intervention, treatment, and aftercare for those affected by FAS and FAE in Indian communities. Requires the Secretary to make grants to tribes and urban Indian organizations for applied research projects proposed to elevate the understanding of methods to prevent, intervene, treat, or provide aftercare for persons affected by FAS or FAE. Authorizes appropriations. Provides that 50 percent of such appropriated funds shall be used for such projects. Directs the Secretary to report annually to the Congress on the status of FAS/FES in the Indian population, along with recommendations on legislation needed to improve the prevention, intervention, treatment and aftercare of individuals affected by FAS/FAE in Indian communities. Authorizes the Secretary to contract the production of this report to a national organization specifically addressing the FAS/FAE issue. Authorizes appropriations.
United States · United States Congress · 7 March 1991
Amends the Internal Revenue Code to exclude State and local governmental plans from the limitation on benefits exceeding 100 percent of the participant's average compensation for the high three years. Provides that qualified governmental excess benefit arrangements shall not be taken into account in determining whether pension plans meet the limitations on benefits and contributions of qualified plans. Requires taxation of such benefits as if they were provided under a deferred compensation plan maintained by a corporation not exempt from tax which does not meet the requirements of qualified pension, profit-sharing, and stock bonus plans. Exempts disability income received as a pension, annuity, or similar allowance as a result of personal injuries or sickness from the reduced dollar limitation for defined benefit plans where the employee has less than ten years participation or the retirement benefit begins before the social security retirement age. Revises the special rule for State and local government plans which requires such limitation to equal the accrued benefit to allow the election of such rule to be revoked under certain circumstances.
United States · United States Congress · 7 March 1991
Amends the Wild and Scenic Rivers Act to designate certain segments of the Allegheny River in Pennsylvania as a component of the National Wild and Scenic Rivers System. Requires the Secretary of Agriculture to establish the Northern Advisory Council and the Southern Advisory Council to advise on the establishment of final boundaries and the management of the Allegheny National Recreation River. Designates certain segments of the river for study as potential additions to the system. Authorizes appropriations.
United States · United States Congress · 7 March 1991
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 · 7 March 1991
Disaster Relief Employment Act of 1991 - Amends the Job Training Partnership Act to provide emergency disaster relief employment assistance for humanitarian assistance for disaster victims and the reconstruction of areas affected by natural disasters. Authorizes appropriations.
United States · United States Congress · 7 March 1991
Jobs Corps Amendments of 1991 - Amends the Job Training Partnership Act (the Act) to revise provisions for the Job Corps. Raises the maximum age limit for Job Corps enrollees from 22 to 25, and repeals authority to waive the age limitation for handicapped individuals. Declares that nothing in the Act prohibits participation of Job Corps participants in Training Services programs for the disadvantaged. Increases from ten to 20 percent the maximum percentage of Job Corps enrollees who may be nonresident participants in any year. Gives priority as such nonresidential participants to single parents with dependent children. Prohibits any Department of Labor funds from being used to carry out any contract with a nongovernmental entity to administer or manage a Civilian Conservation Center of the Job Corps on public land. Directs the Secretary of Labor (the Secretary) to provide child care at or near Job Corps centers for the children of Job Corps participants. Requires each Job Corps Center to provide alcohol or drug abuse counseling and referral to related prevention services for enrollees. Directs the Secretary to provide all nonprofit Job Corps contractors with an equitable and negotiated management fee of not less than one percent of the contract amount.
United States · United States Congress · 7 March 1991
Peace, Democracy and Development in El Salvador Act of 1991 - Expresses the sense of the Congress that the United States shall use diplomacy to encourage the Government of El Salvador and the Farabundo Marti National Liberation Front (FMLN) to: (1) participate in good-faith negotiations to achieve a cease-fire and permanent settlement of the conflict in El Salvador; (2) adhere to the terms of agreements signed in Geneva, Switzerland, Caracas, Venezuela, and San Jose, Costa Rica; and (3) support the role of the Secretary General of the United Nations in advancing proposals on the outstanding issues defined in the Caracas accords to resolve the conflict. Withholds from El Salvador unobligated military assistance for FY 1991 and prior fiscal years and military assistance allocated for FY 1992 and 1993 until the Congress enacts a joint resolution authorizing the provision of such assistance and the President reports to the Congress that: (1) those responsible for ordering and carrying out, or obstructing the investigation into, the November 1989 murders of certain priests and civilians have been apprehended and brought to justice; (2) internationally recognized workers' rights have been extended to Salvadoran workers; (3) the El Salvadoran Government has pursued legal avenues to bring to trial and obtain verdicts for those responsible for the murders of Archbishop Romero and certain land reformers and for the bombings of the FENASTRAS headquarters; (4) the El Salvadoran Government is complying with international standards of respect for humanitarian and medical workers; (5) steps have been taken to place the El Salvadoran military under the control of the civilian government; (6) the El Salvadoran Government is negotiating to achieve a cease-fire and a settlement of the conflict and has not rejected a plan for the settlement of the conflict put forth by the United Nations Secretary General; and (7) the El Salvadoran Government, through its military and security forces, has not engaged in assassinations of, or acts of violence against, civilians and has not failed to control such activities by elements subject to the control of such forces. Prohibits funding for: (1) the stationing of U.S. military personnel in El Salvador as trainers or advisors to the El Salvadoran armed forces; and (2) the financing of covert operations in El Salvador or for covert military assistance to the El Salvadoran Government. Establishes the Demobilization, Transition, and Reconstruction Fund to assist with the cost of monitoring a permanent settlement of the conflict, the demobilization of combatants in the conflict and their transition to peaceful pursuits, and the reconstruction of El Salvador. Makes the Fund available only upon the President's notification to the Congress that the El Salvadoran Government and the FMLN have reached a permanent settlement to the conflict. Requires the President, upon notification of a permanent settlement or on September 30, 1992, if no notification has occurred prior to such date, to transfer withheld military assistance to the Fund. Prohibits economic support fund (ESF) assistance from being obligated as balance-of-payments or cash assistance for El Salvador. Makes ESF assistance for El Salvador available only for projects for child nutrition, health, clean water, basic education, agrarian reform, and other human needs of the people of El Salvador. Requires such assistance to be used only for programs implemented solely by civilian agencies. Subjects ESF assistance for El Salvador to reprogramming notifications under the Foreign Assistance Act of 1961.
United States · United States Congress · 7 March 1991
Middle East Post-War Stability and Arms Restraint Act of 1991 - Requires the President to enter into discussions with the governments of the major arms suppliers to the Middle East concerning the establishment of a commission that would restrict and limit arms sales in the region. States that the commission would be: (1) modeled after the Coordinating Committee for Multilateral Export Controls and the Nuclear Suppliers Group; and (2) comprised of the five permanent members of the United Nations Security Council and other weapons supplier nations. Declares that the commission should: (1) negotiate supplier nation restrictions on the sale or transfer of combat weaponry and the technology of conventional arms production to the Middle East; (2) seek to enhance stability and peace in the Middle East by seeking to maintain a balance of power among major military powers in the region; (3) coordinate with the Australia Group and the Missile Technology Control Regime to enhance controls on the proliferation of chemical and biological weapons and ballistic missile technology; and (4) address other areas pertinent to limiting the sale or transfer of arms.
United States · United States Congress · 7 March 1991
Women in Development Act of 1991 - Requires the Administrator of the Agency for International Development (AID) to ensure actions are taken to strengthen the AID's women in development policy, including: (1) incorporating the active participation of local women and local women's organizations in its development activities; (2) instructing AID staff to collect and analyze sex-disaggregated data and to insure that country strategies, projects, and programs are designed to reflect the impact on women in proportion to the higher of their traditional participation in the targeted activities or their proportion of the population; (3) insuring that project and program evaluations include an assessment of the extent to which the project integrates women in the development process and of the project's impact on women; (4) increasing the number and responsibility of women in positions within AID; and (5) establishing within AID a task force on women in development. Amends the Foreign Assistance Act of 1961 to require that specified amounts be made available for programs to integrate women into the agency responsible for integrating women into the development process and for administrative expenses of such agency. Authorizes appropriations for the United Nations Development Fund for Women and the United Nations International Research and Training Institute for the Advancement of Women. Requires the Director of the Peace Corps to take specified actions to strengthen the Peace Corps' women in development policy. Earmarks funding for the Peace Corps Office of Coordinator of Women in Development.
United States · United States Congress · 7 March 1991
Urges the President to instruct the Attorney General to appoint an independent counsel to investigate the involvement of Government officials in the savings and loan scandal.
United States · United States Congress · 7 March 1991
Calls on the President to instruct the Department of State to strongly request of Kuwait that contracts for the rebuilding of Kuwait be structured and compensated for in a manner that will encourage the maximum feasible usage of American workers, firms, and products. Encourages American firms to employ American workers at every level of the Kuwait reconstruction projects.
United States · United States Congress · 7 March 1991
Targeted Tax Relief Disclosure Resolution of 1991 - Amends rule X of the Rules of the House of Representatives to require that each public bill or joint resolution reported by the Committee on Ways and Means identify: (1) each provision (if any) of the bill or joint resolution which is intended to provide special benefits with respect to five or fewer taxpayers, transactions, events, items of property, projects, or issuances of bonds; (2) each beneficiary (known by the Committee) of such provision; (3) the Member or Members of the Congress who sponsored the inclusion of each such beneficiary in such provision; and (4) an estimate by the Joint Committee on Taxation of the loss in revenues resulting from such provision with respect to each such beneficiary for the fiscal year for which such loss in revenues first occurs and each of the five fiscal years thereafter.
United States · United States Congress · 6 March 1991
California Fish and Wildlife Protection Act of 1991 - Title I: Upper Sacramento River - Directs the Secretary of the Interior to establish a ten-year program to restore salmon and steel head trout populations, reestablish a continuous riparian ecosystem, and meet specified goals for anadromous fisheries along the Sacramento River, and its California tributaries, and its drainage basin above the confluence with the Feather River. Establishes the Upper Sacramento River Fisheries Task Force to assist the Secretary and coordinate activities with governmental and private anadromous fish restoration projects within the basin. Terminates the Task Force on September 30, 2000. Title II: Central Valley of California - Directs the Secretary of the Interior (Secretary) to implement a program to restore the population and habitat of migratory birds and anadromous fisheries in the Central Valley, California. Requires that the Secretary, every three years, review and make such adjustments to assure that fish, wildlife, and habitat restoration goals are met and provide a copy of such review to specified congressional committees. Requires the Secretary to deliver dependable water supplies of suitable quality to certain Central Valley refuges, including additions to refuges or refuges in the Central Valley not included in the Refuge Water Supply Report. Requires the Secretary to complete plans for the recovery of endangered species in the Central Valley. Authorizes the Secretary to provide water to other Federal, State, and private wetlands and other fish and wildlife habitats in the Central Valley. Title III: Commission on Central Valley Fish and Wildlife Restoration - Establishes the Commission on Central Valley Fish and Wildlife Restoration to examine and make recommendations on Federal and State actions to restore fish and wildlife in the Central Valley to meet the goals of this Act. Terminates the Commission on January 1, 2000, or earlier if the Secretary determines the goals of this Act have been substantially completed. Requires, on termination, that all records and materials of the Commission be transferred to the National Archives and Records Administration. Title IV: General Provisions - Declares the national interest with regard to water conservation in the Central Valley. Requires a report on administrative inhibitions on water conservation by Central Valley Project contractors, and actions which could remove barriers to conservation. Authorizes the Secretary to encourage water conservation by contractors through incentives, pricing, and other measures. Authorizes the Secretary of Energy, acting through the Administrator of the Western Area Power Administration, to utilize power from the Central Valley Project power generation facilities to meet the requirements of this Act. Reserves a minimum portion of the transmission capacity of the Harold T. (Bizz) Johnson California-Pacific Northwest Intertie line to serve the needs of Department of Energy laboratories and wildlife refuges in California. Provides for citizen suits to enforce this Act. Requires fish and wildlife habitat lost as a result of construction or operation of the Project to be replaced with ecologically equivalent habitat before or at the same time as it is lost. Authorizes appropriations. Directs the Secretary to study and implement cost allocations of the Project, including the provisions of this Act.
United States · United States Congress · 6 March 1991
Collision Damage Waiver Act - Prohibits rental car companies, in private passenger automobile rental agreements of 30 days or less, from: (1) holding any authorized driver liable for any damage, with specified exceptions; (2) requiring or requesting a security deposit for damage during the rental period or pending resolution of any dispute; or (3) offering or selling any collision damage waivers for any of the the specified exceptions or any applicable deductible. Subjects rental car companies to a penalty of from $500 to $1,000 for each violation of this Act.
United States · United States Congress · 6 March 1991
Expresses the policy of the U.S. Government to: (1) establish in each of the Baltic States a U.S. presence such as an information office to serve as a form of political recognition and support; (2) channel to the Baltic States directly U.S. Government humanitarian aid and economic assistance, including management and training assistance, in addition to private sector humanitarian aid. Calls for the United States to: (1) recognize, establish, and maintain direct contacts with the Parliaments of Lithuania, Latvia, and Estonia; and (2) propose and seek support for observer status for the Baltic States in the Conference on Security and Cooperation in Europe (CSCE) at the next meeting of foreign ministers of the CSCE participating states.
United States · United States Congress · 6 March 1991
Requests the Occupational Safety and Health Administration to publish, within one year, proposed amended regulations that specify the components of an adequate operator training program and certification system for operators of powered industrial trucks.
United States · United States Congress · 5 March 1991
Amends the Federal criminal code to make it a Federal criminal offense to leave or remain outside a State for the purpose of avoiding payment of arrearages in child support.
United States · United States Congress · 5 March 1991
Illegal Dumping Prevention Act of 1991 - Amends the Marine Protection, Research, and Sanctuaries Act of 1972 to authorize the seizure and forfeiture of vessels illegally dumping wastes into ocean waters.
United States · United States Congress · 5 March 1991
United States One Dollar Coin Act of 1991 - Amends Federal currency law to prescribe the color and content of one-dollar coins. Mandates that the obverse side of the one dollar coin have a design recognizing America's veterans. Directs the Secretary of the Treasury to cease regular production of one-dollar Federal Reserve notes by a specified date (except for such quantities as are required to meet collectors' needs). Mandates that the seigniorage of the new one-dollar coins be used to offset the reverse seigniorage resulting from the destruction of Susan B. Anthony dollar coins in Government storage.
United States · United States Congress · 5 March 1991
Amends the International Claims Settlement Act of 1949 to provide for the vesting in such officer or agency as the President may designate of a portion of Vietnamese property (other than property of private persons) in which transactions were prohibited as of April 30, 1975, under specified regulations. Requires the property vested to be a portion of property which, when liquidated, will render: (1) an amount necessary to pay all certified awards made by the Foreign Claims Settlement Commission of the United States for claims against Vietnam; and (2) an amount equal to five percent of the total of such certified awards to pay the costs of the Commission and the Department of the Treasury. Directs the designee of the President to liquidate the vested property as expeditiously as possible. Requires the proceeds from such liquidation to be covered over into the Claims Fund established for claims against Vietnam. Requires the United States, upon full payment of such certified awards, to succeed to all of the rights against Vietnam which form the basis of such awards. Directs the Secretary of the Treasury to require the recipients of such awards to release to the U.S. Government all claims against the U.S. Government or Vietnam arising from the expropriations that are the basis of such awards. Requires the Secretary of State, in developing the U.S. position for balancing of claims in future negotiations with Vietnam, to give full credit to Vietnam upon the establishment of formal diplomatic relations between Vietnam and the United States for the property vested under the provisions of this Act.
United States · United States Congress · 5 March 1991
Provides that former air traffic controllers shall not, as a class, be considered unsuitable or ineligible for: (1) positions as air traffic controllers in the Federal Aviation Administration (FAA) or the Department of Defense; or (2) positions in the FAA other than air traffic controller positions. Requires the Secretary of Transportation and the Director of the Office of Personnel Management to take action to ensure that in each of FY 1992 and 1993, at least 500 former controllers are appointed to permanent, full-time positions as air traffic controllers in the FAA. Provides for a waiver of the maximum-age limitation applicable to such appointments. Prescribes procedural guidelines for competitive and non-competitive appointments of such controllers. Precludes an applicant's role in the 1981 strike from being considered when making a determination of suitability for an air traffic controller position. Requires the Secretary of Transportation and the Secretary of Defense to prescribe regulations under which the appointment of a former controller to an air traffic controller position within their respective departments shall not become final unless a probationary period has been successfully completed. Sets forth guidelines for the computation of creditability of service for retirement purposes. Expresses the sense of the Congress that such reinstatements should not: (1) cause the separation or reduction in grade of any other air traffic controller; or (2) interfere with training opportunities which would otherwise be afforded to air traffic controllers seeking to become fully qualified.
United States · United States Congress · 5 March 1991
Expresses the sense of the Congress that: (1) all Arab nations should enter into direct negotiations with Israel to recognize Israel, end the economic boycott against Israel, and end the state of belligerency with Israel; and (2) the United States should use all available means to influence and encourage the Arab states which were allied with it in the Gulf War to achieve those objectives.
United States · United States Congress · 28 February 1991
Privacy for Consumers and Workers Act - Requires employers who engage in electronic monitoring to provide each affected employee with prior written notice describing specified aspects of the electronic monitoring directly affecting the employee. Requires employers to notify prospective employees at personal interviews or meetings of existing forms of electronic monitoring which may directly affect them and, upon request, provide them with the written notice provided to employees. Requires employers to provide affected employees with some form of visual or aural notice that indicates that electronic monitoring is taking place, at periodic intervals unless the monitoring is continuous during each of the employee's shifts. Requires employers to provide affected customers with some form of visual or aural notice, at periodic intervals, indicating that telephone service observation is taking place. Requires employers to permit employees or their authorized agents to have access to all personal data obtained by electronic monitoring of their work. Prohibits employers from collecting personal data on an employee which is not relevant to the employee's work performance. Prohibits employers from disclosing personal data obtained by electronic monitoring to any person or business except to the individual employee to whom that data pertains or without the employee's prior written consent, unless disclosure would be: (1) to the employer's officers and employees who need it to perform their duties; (2) to a law enforcement agency for a criminal investigation or prosecution; or (3) pursuant to a proper court order. Prohibits employers from using personal data obtained by electronic monitoring as the exclusive basis for individual employee performance evaluation or disciplinary action, unless the employee is given an opportunity to review the data within a reasonable time after it is obtained. Prohibits employers from using personal data or collective data obtained by electronic monitoring as the sole basis for setting production quotas or work performance expectations. Prohibits employers from maintaining, collecting, using, or disseminating personal data obtained by electronic monitoring which describes how an employee exercises First Amendment rights, unless such use is: (1) expressly authorized by statute or by the employee; or (2) pertinent to and within the scope of an authorized law enforcement activity. Sets forth the following enforcement provisions: (1) civil penalties; (2) injunctive actions by the Secretary of Labor; and (3) private civil actions. Prohibits waiver of rights and procedures provided by this Act, unless such waiver is part of a written settlement by the parties to a pending action or complaint. Directs the Secretary of Labor to issue rules and regulations to carry out this Act within six months. Makes this Act inapplicable to otherwise permissible electronic monitoring by law enforcement agencies in criminal investigations.
United States · United States Congress · 28 February 1991
District of Columbia Fiscal Fairness Act of 1991 - Amends the District of Columbia Self-Government and Governmental Relations Act to permit the Council of the District of Columbia to impose personal income taxes on nonresidents.
United States · United States Congress · 28 February 1991
Amends the Internal Revenue Code to extend the tax exemption for qualified small issue industrial bonds (bonds issued to finance manufacturing facilities and farm property) through 1996.
United States · United States Congress · 28 February 1991
International Family Planning Protection Act - Prohibits international population assistance funds from being denied to nongovernmental or multilateral organizations on the basis of any criterion that is not applicable to foreign governments that receive such funds.
United States · United States Congress · 28 February 1991
Clean and Fair Election Act of 1991 - Title I: House of Representatives Election Campaign Spending Limits and Benefits - Amends the Federal Election Campaign Act of 1971 to set forth: (1) primary and general election filing requirements; (2) primary ($300,000) and runoff ($110,000) expenditure limits (adjusted annually for inflation); (3) threshold contribution requirements; (4) personal and general election ($550,000, with specified adjustments) expenditure limits; (5) the treatment for certain legal and accounting expenditures; (6) the benefits for eligible candidates (including certain broadcast media and mailing rates); (7) guidelines for the use of voter communication vouchers issued to eligible candidates to defray communications expenditures. Directs the Secretary of the Treasury to maintain a House of Representatives Election Campaign Account as a separate account in the Presidential Election Campaign Fund to be used in redeeming voter communication vouchers. Prescribes the procedures by which voter communication voucher requests by eligible candidates will be accommodated. Directs the Federal Election Commission to examine and audit after each general election the campaign accounts of ten percent (randomly selected) of all candidates for office in the House of Representatives to determine compliance with expenditure limitations and conditions of eligibility. Sets forth sanctions for noncompliance, including specified repayment amounts. Sets forth criminal penalties for violations of this Act. Prescribes participation by the Commission in judicial proceedings regarding violations of this Act. Requires the Commission to report to the House of Representatives after each general election on: (1) candidate expenditures; (2) aggregate amount of voter communication vouchers; (3) the status of repayments; and (4) the balances remaining in the two campaign funds under this Act. Authorizes appropriations. Reduces the limitations on contributions per election: (1) from $1,000 to $500 for individuals; and (2) from $5,000 to $1,000 for nonparty multicandidate political committees. Prohibits a candidate from accepting more than 20 percent of the general election spending limits in nonparty multicandidate political committee (PAC) contributions. Amends the Communications Act of 1934 to set forth guidelines for: (1) the percentage of the lowest unit charge to be made by a broadcasting licensee to a candidate for (100 percent before a primary or runoff, 50 percent before a general) non-preemption of candidate use of a broadcasting station. Requires broadcast licensees to accept voter communications voucher from a candidate and provide broadcast time. Directs the Commission to take a random sampling to evaluate licensee compliance with the requirements of this Act. Amends Federal postal law to mandate reduced rates for certain House of Representatives candidates. Amends the Federal Election Campaign Act of 1971 to prescribe intended expenditure reporting requirements for candidates for the the House of Representatives who: (1) have not been certified to receive certain benefits (lowered broadcast media or mailing rates, and voter communication vouchers); (2) make independent expenditures over $10,000 during any general, primary, or runoff election period; or (3) during the election cycle expend more than ten percent of the general election expenditure limit from personal funds. Requires the Commission to transmit such reports to the Secretary of the Senate within two working days of receipt. Title II: Expenditures and Contributions - Subtitle A: Independent Expenditures - Defines the scope of cooperative expenditures and declares that cooperative expenditures shall not be treated as independent expenditures. Amends the Communications Act of 1934 to revise the equal broadcast time notification requirements for persons who reserve broadcast time through the payment of certain independent expenditures. Amends the Federal Election Campaign Act of 1971 to prescribe disclosure requirements for certain broadcast communications paid for through independent expenditures. Subtitle B: Provisions Relating to Soft Money of Political Parties - Limits the amount of expenditures which a State party committee may make with respect to the general election campaign of a candidate for President affiliated with such party. Subjects FECA reporting requirements any amount received or expended by party committees with respect to any Federal election. States that the limitations on contributions under the Act applies to transfers between and among political committees. Sets forth limitations on fundraising activities of Federal candidates and officeholders. Requires party national committees and congressional campaign committees to report all receipts and disbursements during certain periods whether or not they are connected to a Federal election. Subtitle C: Contributions - Sets limitations on contributions which may be accepted from a PAC by either a party congressional campaign committee or a party national committee. Revises the guidelines for contributions made through intermediaries and conduits on behalf of a particular candidate. Declares that contributions made by dependents not of voting age shall be treated as having been made by the individual upon whom they are dependent. Authorizes the retention by a candidate of certain excess contributions for future campaign purposes. Title III: Amendments to Internal Revenue Code - Amends the Internal Revenue Code to increase the checkoff amount for the Presidential Election Campaign Fund. Permits a tax credit for up to $100 of contributions to certain qualifying House of Representatives candidates. Provides that candidates shall not be eligible for payments from the Presidential Election Campaign Fund if they have received or solicited funds which are not subject to the reporting requirements of the Federal Election Campaign Act of 1971. Title IV: Miscellaneous - Amends the Federal Election Campaign Act of 1971 to prohibit an incumbent in or candidate for Federal office from establishing or controlling a political committee (other than the candidate's authorized committee, or a party committee). Proscribes fraudulent solicitation of political contributions. Authorizes appropriations for the "check-off" education program (a public education program regarding participation in the income tax check-off for presidential and congressional election campaigns).
United States · United States Congress · 28 February 1991
Recycled Paper Procurement Act of 1991 - Amends the Solid Waste Disposal Act to provide that a requirement that federally-procured items over $10,000 be composed of the highest percentage of recovered materials practicable shall not apply (with respect to the $10,000 amount) to paper procured by the Congress. Requires, by FY 1993, at least 50 percent of the paper purchased by procuring agencies to be recycled paper. Provides that a decision not to procure recycled paper may be made only if such paper: (1) is not available within a reasonable period of time; (2) fails to meet specified performance standards; or (3) is available only at an unreasonable price.
United States · United States Congress · 28 February 1991
Allows a technician employed in a position in which National Guard membership is required as a condition of employment who is separated from the National Guard, to continue to be employed as a technician under the following circumstances: (1) such technician has no less than 20 years of credible service for military retirement purposes; (2) such technician is involuntarily separated from the National Guard; and (3) the circumstances of the involuntary separation are other than for cause. Allows such technician to convert to competitive career status in the civil service.
United States · United States Congress · 28 February 1991
Enhanced Oil Recovery Act of 1991 - Amends the Internal Revenue Code to deny the deduction for intangible drilling costs in the case of oil and gas wells and geothermal wells with respect to any well located within the Alaska National Wildlife Refuge. Allows deduction of such costs for any injection wells drilled as part of a qualified enhanced oil recovery project. Establishes a formula to base the enhanced oil recovery credit on the price of oil. Allows the use of the percentage depletion deduction for domestic crude oil resulting from tertiary enhancement recovery methods of cyclic microbial injection and other types of permeability modification treatments. Specifies new processes to be treated as tertiary methods.
United States · United States Congress · 28 February 1991
Requires the Secretary of the Navy: (1) to review the cases of 50 Black sailors who were court-martialed for failing to resume naval loading activities at the Port Chicago, California, naval facility after an unexplained explosion there on July 17, 1944, to determine the extent to which racial prejudice affected the trial; (2) if he determines that such convictions were in error, to take appropriate corrective action; and (3) to recommend to the President and the Congress additional actions that should be taken with respect to the resolution of such cases.
United States · United States Congress · 28 February 1991
Requires the Architect of the Capitol to establish and operate a source-separated recycling program for newsprint, paper, plastic, bottles, and aluminum applicable to all offices and facilities within office buildings under the jurisdiction of the U.S. House of Representatives.
United States · United States Congress · 27 February 1991
Extends coverage under the National Labor Relations Act and the Fair Labor Standards Act of 1938 to certain foreign flagships and other vessels. Establishes the Commission on Compliance and Enforcement to study and report to the Congress on specified effects of this Act and problems with compliance and enforcement. Terminates the Commission 30 days after its report.
United States · United States Congress · 27 February 1991
Requires that, except in specified instances, Federal financial assistance be taken into account when determining losses or bad debts of savings and loans institutions (thus denying income tax deductions for losses or bad debts to the extent Federal assistance has compensated for them).
United States · United States Congress · 27 February 1991
Directs the Secretary of the Interior to transmit to the Congress a National Historic Landmark Theme Study on American Labor History which identifies key sites in American labor history for nomination as National Historic Landmarks. Requires the Secretary to prepare a list discussing the feasibility of including such sites in the National Park System. Authorizes appropriations.
United States · United States Congress · 27 February 1991
Women's Health Equity Act of 1991 - Title I: Research - Subtitle A: Women's Health Research Act - Women's Health Research Act - Amends the Public Health Service Act to establish within the Office of the Director of the National Institutes of Health (NIH) the Office of Research on Women's Health (Office) to ensure that women's health reseach is identified and addressed by NIH. Establishes in the Office the Coordinating Committee for Research on Women's Health and the Advisory Committee for Research on Women's Health. Mandates that the Director of the Office prepare and annually review a plan for establishing a program for clinical research on obstetrics and gynecology to be conducted by the Director of the National Institute of Child Health and Human Development (NICHHD). Requires the NICHHD Director to establish a program of contracts with individuals who agree to conduct obstetrics and gynecology research in return for the Federal Government paying, to a specified maximum, the educational loans of the individuals. Requires the NIH Director to establish a single data system for the collection, analysis, and dissemination of information regarding women's health research conducted or supported by NIH, including a registry of clinical trials of experimental treatments. Requires the NIH Director to establish and operate a program to provide information on research and prevention activities relating to women's health research. Provides for grants or contracts for the development and operation of Centers of Excellence in Women's Health Research using a single institution or a consortium for each Center. Provides, subject to appropriations, for three centers, with support covering five years. Allows extension of support if recommended by a technical and scientific peer review group. Authorizes appropriations for specified provisions of this subtitle. Subtitle B: Clinical Trials Fairness Act - Clinical Trials Fairness Act - Amends provisions of the Public Health Service Act relating to the national research institutes and provisions relating to the Alcohol, Drug Abuse, and Mental Health Administration (ADAMHA) to direct the Secretary of Health and Human Services to ensure, in conducting or supporting clinical research, that women and minority groups are included as research subjects, unless inappropriate. Requires that any project be designed and carried out so as to provide for a valid analysis of whether the research variables affect women or minorities differently than other subjects. Directs the Secretary to establish within the advisory council of each agency of an institute and ADAMHA a Clinical Research Equity Subcommittee to review all clinical research of that agency to determine whether the research is being conducted in accordance with requirements of this Act. Provides for suspension or revocation of the authority for any project the Secretary determines is not being conducted in accordance with those requirements. Defines "minority groups" to mean racial and ethnic minority groups. Requires that the technical and scientific peer review process in the institutes and ADAMHA include an evaluation of the inclusion of women and minority groups as research subjects. Subtitle C: Women's Health and Mental Health Research Act - Women's Health and Mental Health Research Act - Amends the Public Health Service Act to establish in the Office of the Administrator of the Alcohol, Drug Abuse, and Mental Health Administration (ADAMHA) the Office of Research on Women's Health and Mental Health (Office) to ensure that women's health and mental health research is identified and addressed by ADAMHA. Establishes in the Office the Coordinating Committee for Research on Women's Health and the Advisory Committee for Research on Women's Health. Requires that the Administrator establish: (1) a single data system for the collection, analysis, and dissemination of information regarding women's health and mental health research, including a registry of clinical trials of experimental treatments; and (2) a program to provide information on women's health and mental health research. Provides for grants or contracts for the development and operation of Centers of Excellence in Women's Health and Mental Health Research using a single institution or a consortium for each Center. Provides, subject to appropriations, for three centers, with support covering five years. Allows extension of support if recommended by a technical and scientific peer review group. Authorizes appropriations. Subtitle D: Women and Alcohol Research Equity Act - Women and Alcohol Research Equity Act of 1991 - Amends the Public Health Service Act to authorize appropriations for research on alcohol abuse and alcoholism, earmarking certain amounts for such research relating to women. Subtitle E: Breast Cancer Basic Research Act - Authorizes to be appropriated, in addition to sums already authorized, a certain amount to the National Cancer Institute for breast cancer research other than research which involves treatment or clinical trials. Subtitle F: Contraceptive and Infertility Research Centers Act - Contraception and Infertility Research Centers Act of 1991 - Amends the Public Health Service Act to require the Director of the Institute of Child Health and Human Development to make grants and enter into contracts for centers for improving methods of contraception and centers for diagnosing and treating infertility. Requires the Director, subject to appropriations, to provide for three centers with respect to contraception and two centers with respect to infertility. Requires each center to: (1) conduct clinical and other applied research; (2) develop training protocols for and conduct training of physicians, scientists, nurses, and other health and allied health professionals; (3) develop model continuing education programs; and (4) disseminate information to such professionals. Allows a center to use the funds to provide: (1) stipends for health and allied health professionals enrolled in the training programs; and (2) fees to individuals serving as subjects in the clinical trials. Requires each center to use the facilities of a single institution, or be formed from a consortium of cooperating institutions, meeting requirements as prescribed by the Secretary of Health and Human Serivces. Allows support for a center to be for a period of up to five years, with extensions of one or more periods of up to five years if the center's operations have been reviewed by a peer review group and the group has so recommended. Authorizes appropriations. Amends the Public Health Service Act to direct the Secretary to establish a program of entering into agreements with health professionals, including graduate students, under which the professionals agree to conduct research with respect to contraception or infertility in consideration of the Government agreeing to repay, for each year of such service, not more than a specified amount of the principal and interest of their educational loans. Applies provisions of the National Health Service Corps Loan Repayment Program to this program, except as inconsistent. Authorizes appropriations. Requires amounts appropriated to remain available until the end of the second fiscal year after they are appropriated. Subtitle G: Sense of Congress Regarding Contraceptive Research - Declares that it is the sense of the Congress that it should: (1) establish a program of research for the development of methods of contraception and methods of diagnosing and treating infertility; (2) provide adequate long-term resources for the program; (3) ensure that Federal programs with respect to sexually transmitted diseases adequately respond to the role of such diseases in infertility; (4) ensure public education on contraception and infertility; (5) establish as Federal goals the development, by the year 2010, of improved barrier methods to protect against pregnancy and diseases, new methods of contraception for use by men, a vaccine-like drug for women that prevents pregnancy for a significant period of time without other specified effects, and new and improved techniques of diagnosing and treating infertility; (6) require the Secretary of Health and Human Services to reestablish the Ethical Advisory Board in order to facilitate research with respect to infertility; (7) review the policies and procedures of the Food and Drug Administration with respect to expediting approval of drugs and devices for use by the public, especially with respect to contraception and infertility; and (8) determine to what extent measures can be implemented by public or private entities to resolve liability issues involved with drugs and devices concerned with contraception and infertility. Subtitle H: Women and AIDS Research Initiative - Women and AIDS Research Initiative Amendments of 1991 - Amends the Public Health Service Act to direct the Secretary of Health and Human Services, through the Director of the National Institutes of Health (NIH), the Administrator of the Alcohol, Drug Abuse, and Mental Health Administration, or both, to establish a program to conduct biomedical and behavioral research on cases of infection with the etiologic agent for acquired immune deficiency syndrome (AIDS) in women. Authorizes the Secretary to conduct the research directly or through grants. Specifies forms of research to be included. Authorizes appropriations. Authorizes appropriations for grants for community-based clinical trials on experimental treatments for such infection for women. Allows the Director of the NIH to authorize grantees to expend the grants to provide individuals with transportation, child care, and other incidental services necessary to enable the individuals to participate as subjects in the trials. Subtitle I: Ovarian Cancer Research Act - Ovarian Cancer Research Act of 1991 - Directs the Secretary of Health and Human Services, through the Director of the National Institutes of Health and the Director of the National Cancer Institute, to conduct or support basic research on certain aspects of ovarian cancer. Prohibits the Secretary from conducting or supporting clinical research on the same matters. Authorizes appropriations. Subtitle J: Osteoporosis and Related Research Act - Osteoporosis and Related Bone Disorders Research, Education, and Health Services Act of 1991 - Amends the Public Health Service Act to require the Director of the National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMSD), the Director of the National Institute on Aging (NIA), and the Director of the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDKD) to expand and intensify research on osteoporosis and related bone disorders. Requires, with respect to osteoporosis and related bone disorders: (1) the NIAMSD Director to increase the number of Specialized Centers of Research; (2) the NIA Director to increase the number of program project grants devoted to creating centers of excellence; and (3) the NIDDKD Director to increase the number of grants in osteoporosis. Authorizes appropriations. Establishes in the Department of Health and Human Services the Interagency Council on Osteoporosis and Related Disorders and the Advisory Panel on Osteoporosis and Related Disorders. Authorizes appropriations for the Advisory Panel. Requires the NIAMSD Director to make grants or enter into contracts to establish a Resource Center on Osteoporosis and Related Disorders to: (1) disseminate information about research results, services, and educational materials to health professionals, patients, and the public; and (2) coordinate leadership training for the development of health professional resource networks. Requires grant and contract recipients to establish: (1) a central computerized information system to translate scientific and technical information into information readily understandable by the general public; and (2) a national toll-free telephone information line. Requires the grant or contract recipient to charge fees for providing information, but allows exceptions for individuals and organizations unable to pay. Authorizes appropriations. Title II: Services - Subtitle A: Breast Cancer Informed Decision Act - Breast Cancer Treatment Informed Consent Act - Requires any State receiving funds under titles V (Maternal and Child Health Block Grant) or XIX (Medicaid) of the Social Security Act or under the preventive health service provisions of the Public Health Service Act to require any physician or surgeon licensed to practice medicine in such State to inform any breast cancer patient of alternative methods of treatment for breast cancer before such treatment is begun. Requires that the patients be informed by means of: (1) a standardized written summary in layman's language and in a language understood by the patient of alternative methods of treatment; and (2) an explanation of the treatment options described in such written summary together with the risks associated with each procedure relative to each patient's particular medical circumstances. Subtitle B: Women's Health Care Coverage Expansion Act - Women's Health Care Coverage Expansion Act of 1991 - Amends titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act to provide Medicare and Medicaid coverage of obstetrical and gynecological services furnished by nurse practitioners. Subtitle C: Mickey Leland Adolescent Pregnancy and Parenthood Act - Mickey Leland Adolescent Pregnancy Prevention and Parenthood Act of 1991 - Amends the Public Health Service Act to replace the title on adolescent family life demonstration projects with a title on adolescent pregnancy prevention, care, and research grants. Authorizes the Secretary of Health and Human Services to make grants to provide, supplement, or improve the quality of care services to pregnant adolescents and their male partners and adolescent parents and prevention services to nonpregnant adolescents. Requires grantees to charge fees for services only under a fee schedule, approved by the Secretary, based on the income of the person and taking into account the difficulty adolescents face in obtaining resources to pay for services. Prohibits discrimination because of an individual's inability to pay for services. Sets forth priorities in making grants, including giving priority to applicants that: (1) serve an area with a high incidence of adolescent pregnancy; and (2) serve an area with a high proportion of low-income families and low availability of care programs. Requires that the amount of a grant be set by the Secretary. Limits a grant, subject to waiver for one year, to 75 percent of the cost of a program. Specifies the information and assurances which must accompany a grant application. Directs the Secretary to coordinate Federal policies and programs providing services relating to the prevention of initial and recurrent adolescent pregnancies and providing care services, including by requiring grantees under these provisions to report concerning Federal, State, and local policies that interfere with delivery and coordination of programs of care for pregnant adolescents and adolescent parents. Authorizes the Secretary to make grants to institutions of higher education to support and disseminate the results of research relating to adolescent pregnancy. Limits grants or contracts to: (1) one year, subject to renewal for four additional one-year periods; and (2) subject to waiver, a specified dollar amount. Allows funds to be used for descriptive or explanatory surveys, evaluation studies, longitudinal studies, or limited programs for services for the purpose of increasing knowledge and understanding of specified matters. Directs the Secretary to establish a system for the review of grant and contract applications which is similar to the system of scientific peer review of the National Institutes of Health. Restricts grants to programs determined by the review panel to have scientific merit. Authorizes appropriations, earmarking at least two-thirds of appropriated funds for services, with no more than one-third to be used for grants for prevention services. Prohibits using such funds for the performance of an abortion. Subtitle D: Adolescent Health Demonstration Projects - Directs the Secretary of Health and Human Services to make grants in FY 1991 through 1995 for the establishment or support of adolescent health demonstration projects. Requires such projects to: (1) provide health care information and services, including related social services; (2) serve adolescents before their graduation from high school; (3) encourage family participation; and (4) establish community advisory committees. Directs the Secretary to give priority to project applicants who will serve areas with low-income or minority populations. States that no grant funds may be used to perform or pay for abortions. Subtitle E: COBRA Displaced Family Amendments - COBRA Displaced Family Amendments of 1991 - Amends the Internal Revenue Code, the Employee Retirement Income Security Act of 1974 (ERISA), and the Public Health Service Act (the Acts) to declare that specified provisions relating to the required period of group health plan continuation coverage do not apply to the qualifying events of death, divorce, or legal separation involving a beneficiary who is 50 years old or older. Requires that coverage continue until the 23rd birthday, or 36 months after the qualifying event, whichever is later, for an individual who is a dependent child beneficiary at the time of such an event involving a covered employee 50 years old or older. Amends the Acts to modify: (1) the termination of extended average for disability and the general rule for other qualifying events, as they relate to the maximum required period of continuation coverage; and (2) dates by which certain notice must be given. Amends the Acts to require that notice of the option to enroll under a conversion plan be given during the 120-day period ending 60 days before the expiration of the continuation coverage. (Current law requires such notice be given during the 180-day period ending on the expiration date of the continuation coverage.) Subtitle F: Federal Employee Family Building Act - Federal Employee Family-Building Act of 1991 - Requires any contract for health benefits for Federal employees that provides obstetrical benefits to also provide benefits for family-building procedures. Provides that payment terms or conditions under such contracts shall be no more restrictive for family-building benefits than for obstetrical benefits. Defines "family-building procedure" as a medical procedure to overcome infertility (including procedures to achieve pregnancy and procedures to carry pregnancy to term) and procedures relating to child adoption. Requires such contracts to provide that: (1) benefits shall consist of reimbursement for reasonable and necessary medical expenses and counseling fees directly relating to the adoption of a child; and (2) benefits shall be available in connection with obstetrical care for the biological mother and medical care for the child if, or to the extent that, the pre-adoptive or adoptive parent or parents are legally responsible for the cost of such care. Directs the Office of Personnel Management to authorize the use of sick leave for purposes relating to family-building procedures. Title III: Prevention - Subtitle A: Medicaid Infant Mortality Amendments - Medicaid Infant Mortality Amendments of 1991 - Amends title XIX (Medicaid) of the Social Security Act to phase-in mandatory State coverage of pregnant women and infants whose family income is below 185 percent of the Federal poverty level. Deducts child and medical care costs from the income eligibility test. Authorizes States to provide Medicaid coverage of prenatal home visitation services for high-risk pregnant women and/or postpartum home visitation services for high-risk infants. Subtitle B: Breast Cancer Screening and Safety Act - Breast Cancer Screening Safety Act of 1991 - Amends the Public Health Service Act to require certification in order for a facility to perform or interpret mammograms, inspect equipment, or conduct quality assurance oversight related to mammography. Authorizes the Secretary of Health and Human Services to issue and renew certificates for up to two years. Requires, in order to be certified, that a facility be accredited. Allows the Secretary to approve a private nonprofit organization to be an accreditation body which meets certain requirements, including inspecting facilities. Directs the Secretary to: (1) establish standards for facilities to assure the safety and accuracy of mammography; (2) specify organizations eligible to certify individuals to perform radiological procedures; (3) specify boards eligible to certify individuals to interpret screening mammograms; (4) establish standards regarding the qualifications for individuals to interpret screening mammograms; and (5) specify boards eligible to certify individuals to inspect screening mammography equipment and oversee quality assurance practices. Directs the Secretary to conduct annual announced and unannounced inspections of certified facilities. Provides for: (1) intermediate sanctions for certain violations; (2) suspension, revocation, and limitation of certificates; and (3) injunctions. Requires fees for certificate issuance and renewal, and for inspections, sufficient to cover costs. Requires annual publication of a list of facilities convicted of fraud and abuse, false billings, or kickbacks, facilities that have had certificates revoked, suspended, or limited, and facilities that have been the subject of a sanction or other similar matters. Allows the Secretary to exempt facilities in a State with more stringent requirements from compliance with this Act. Directs the Secretary to: (1) make grants for research on new methods of establishing a Mammography Registry; and (2) based on the research, establish the Registry. Amends title XVIII (Medicare) of the Social Security Act to require that screening mammographies paid for under Medicare be performed by a facility: (1) certified under this Act; and (2) in compliance with specified provisions of this Act. Subtitle C: Medicaid Coverage for Mammographies and Pap Smears - Medicaid Women's Basic Health Coverage Act of 1991 - Amends title XIX (Medicaid) of the Social Security Act to provide Medicaid coverage of: (1) screening mammographies for women age 35 and older conducted in accordance with the frequency guidelines established by the Omnibus Budget Reconciliation Act of 1990 for such coverage under the Medicare Program (title XVIII of the Social Security Act); and (2) screening pap smears. Subtitle D: Medicare Bone Mass Measurement Coverage Act - Medicare Bone Mass Measurement Coverage Act of 1991 - Amends title XVIII (Medicare) of the Social Security Act to provide Medicare coverage of bone mass measurements. Subtitle E: Women and AIDS Outreach and Prevention - Women and AIDS Outreach and Prevention Act - Amends the Public Health Service Act to authorize the Secretary of Health and Human Services to make grants regarding prevention of acquired immune deficiency syndrome (AIDS) and other sexually transmitted diseases in women, including preventive health services, screening, providing treatment (for such diseases other than AIDS), referrals, and follow-up services. Requires that a grantee be an entity that provides health or voluntary family planning services: (1) to a significant number of low-income women; and (2) in an area with a significant number of AIDS cases in women and in newborn infants. Requires that grantees maintain the confidentiality of information on individuals, subject to complying with applicable law. Authorizes appropriations. Subtitle F: Infertility Prevention Act - Infertility Prevention Act of 1991 - Amends the Public Health Service Act to authorize the Secretary of Health and Human Services, with regard to any treatable sexually transmitted disease that can cause infertility in women if treatment is not received for the disease, to make grants for specified activities, including counseling, screening, treatment, referrals, outreach, public information and education, training for health care providers, and data collection. Directs the Secretary to establish criteria for ensuring the quality of screening for such diseases. Limits grants to three years, with annual approval by the Secretary. Authorizes appropriations. Authorizes the Secretary to make grants for research on improving the delivery of services under this subtitle. Authorizes appropriations.
![Official portrait of Rep. Kostmayer, Peter H. [D-PA-8]](https://www.congress.gov/img/member/k000319_200.jpg)