United States · United States Congress · 20 May 1991
Farm Animal and Research Facilities Protection Act of 1991 - Amends title XIV of the Food Security Act of 1985 to add a new subtitle prohibiting (and establishing criminal penalties for) specified acts of destruction, theft, or damage to farm animal, research, and educational facilities. Directs the Secretary of Agriculture and the Attorney General to jointly conduct a study of the extent and effect of terrorism on animal research, production, and processing facilities. Grants jurisdiction for cases arising under these provisions to U.S. district courts. Establishes a private right of action.
United States · United States Congress · 20 May 1991
Rural Clinical Laboratory Personnel Shortage Act - Amends the Public Health Service Act to establish a program of contracts under which allied health professionals agree to serve in technical positions as employees in clinical laboratories that serve rural areas with shortages of employees in such positions in consideration of the Federal Government paying a limited amount of the principal and interest of the educational loans of the professionals. Authorizes appropriations. Mandates grants and contracts for the education and training of clinical laboratory personnel. Authorizes appropriations. Requires a program for the accreditation of entities engaged in the certification of clinical laboratory personnel. Provides, until establishment of accreditation standards, for a competency-based examination to determine the proficiency of individuals who do not meet formal educational qualifications.
United States · United States Congress · 16 May 1991
Authorizes the Speaker of the House of Representatives to commence, on the first Tuesday of each month, during the present Congress, a two-hour period to question a member of the President's Cabinet, after disposal of such specified business on the Speaker's table and before the Private Calendar. Counts only the time consumed in questions and answers against the two-hour period. Authorizes the Speaker to invite any member of the President's Cabinet to come before the House to answer questions during such period. Directs the Speaker to announce to the House the name of the Cabinet member who will be present to answer questions. Directs the majority and minority leaders to decide the questions to be asked and their order from among questions submitted by Members. Sets forth procedures for Members to submit such questions. Requires the majority and minority leaders to submit a list of questions to the: (1) Congressional Record for printing in a special part of it; and (2) Cabinet Member invited to answer the questions. Establishes procedures for carrying out such question period.
United States · United States Congress · 15 May 1991
Amends the Internal Revenue Code to allow farmers' cooperatives to elect to treat as ordinary income or loss certain capital gains and losses from the disposition of assets used in conducting business with or for patrons.
United States · United States Congress · 15 May 1991
Designates the week beginning July 21, 1991, as Korean War Veterans Remembrance Week. Requires the President to urge that the American flag be flown at half staff on July 27, 1991, in honor of those Americans who died as a result of their service in Korea.
United States · United States Congress · 13 May 1991
Community Mental Health Services Improvement Act of 1991 - Title I: Community Mental Health Services Block Grant - Amends title XIX (Block Grants) of the Public Health Service Act to replace provisions relating to State comprehensive mental health services plans with provisions directing the Secretary of Health and Human Services (HHS), through the Director of the National Institute of Mental Health, to make a grant to each State each year for providing, through community mental health centers, comprehensive community mental health services to adults with serious mental illness and to children with a serious emotional disturbance. Includes in the comprehensive package health, mental health, rehabilitation, employment, housing, educational, dental, and other support services. Requires, for such children, a system of integrated social, educational, juvenile, substance abuse, health, and mental health services. Sets forth criteria for the centers, including providing: (1) 24-hour-a-day emergency services; and (2) day treatment or other partial hospitalization services, or psychosocial rehabilitation services. Requires States to establish and maintain a State mental health planning council to: (1) serve as an advocate for individuals with mental illnesses or emotional problems; and (2) review the allocation and adequacy of mental health services in the State. Authorizes appropriations to carry out: (1) this title; and (2) provisions requiring annual data collection on mental illness. Provides, with regard to existing alcohol and drug abuse and mental health services block grant provisions and the provisions added by this title, for: (1) annual independent peer review to assess the quality and appropriateness of treatment services; (2) a single consolidated application for States to request funds; (3) considering programs or activities funded in whole or in part with funds under such provisions as programs or activities receiving Federal financial assistance for purposes of specified civil rights laws; (4) a prohibition of discrimination in such programs or activities on the basis of sex or religion; and (5) a prohibition of the Secretary delegating to the States the primary responsibility for interpreting governing provisions. Title II: Comprehensive Mental Health Services for Children with Serious Emotional Disturbances - Directs the Secretary of HHS, through the Director of the National Institute of Mental Health, to make grants to States and their political subdivisions for comprehensive community mental health services to seriously emotionally disturbed children. Allows such grants only to those already receiving payments under existing alcohol and drug abuse and mental health services block grant provisions. Requires, in making the grants, special consideration for an entity which agrees to provide non-Federal contributions greater than required. Requires non-Federal contributions in a specified ratio. Requires grantees to establish and operate, through grants and contracts, one system to provide specified mental health services to children under 22 years old, including 24-hour-a-day emergency services, home-based services, day treatment, respite care, and therapeutic foster care. Requires a memorandum of understanding, to facilitate the availability of services, with providers of medical, educational, vocational counseling, vocational rehabilitation, and mental health protection and advocacy services. Prohibits using grant funds or non-Federal contributions made with respect to the grant for such linked non-mental health services. Requires that the system: (1) enter into a memorandum of understanding regarding facilitation of services available under programs such as title XIX (Medicaid) of the Social Security Act and specified provisions of the Education of the Handicapped Act; (2) provide case management services; and (3) develop and implement an individualized plan of services for each child admitted to the system. Mandates submission by the States and approval by the Secretary of a system plan. Limits fees for system services. Limits grants to five years. Authorizes appropriations. Title III: Mental Health Research - Transfers provisions relating to service research on community-based mental health treatment programs from portions of the Public Health Service Act relating to State comprehensive mental health services plans to portions relating to mental health research. Requires set-aside of a specified percentage of funds appropriated under the Act for mental health research to carry out the transferred provisions. Replaces, in the transferred provisions, references to the Administrator of the Alcohol, Drug Abuse, and Mental Health Administration with references to the Director of the National Institute of Mental Health. Title IV: Protection and Advocacy for Mentally Ill Individuals - Amends the Protection and Advocacy for Mentally Ill Individuals Act of 1986 to include in the definition of "mentally ill individual" a person with a significant mental illness or emotional impairment who is imprisoned in a State or Federal facility. Authorizes appropriations to carry out provisions of such Act relating to protection and advocacy systems. Title V: Conforming Amendments - Amends the Public Health Service Act to conform to changes made by this Act. Title VI: Federal Accountability - Declares ineffective any rule or regulation of the Department of Health and Human Services inconsistent with the amendments made by this Act, including a specified regulation recognizing that, under the block grant programs, the States are primarily responsible for interpreting the governing statutory provisions. Title VII: General Provisions - Sets forth the effective date of this Act and the amendments made by this Act.
United States · United States Congress · 9 May 1991
Veterans' Health Care and Research Amendments of 1991 - Title I: Health-Care Benefits - Amends Federal veterans' benefits provisions to authorize the Secretary of Veterans Affairs to contract with non-Department of Veterans Affairs facilities for the treatment of any veteran who has a total and permanent service-connected disability. Authorizes the provision of dental care for a dental condition from which a veteran is suffering and when medically necessary in preparation for hospital admission or for a veteran otherwise receiving medical care and services. Increases from $500 to $1000 the annual per-person limitation on the provision of such dental care. Authorizes the Secretary to periodically review and adjust the yearly limit. Amends the Veterans' Health Care Amendments of 1986 to extend through FY 1992 an annual report requirement under such Act concerning the furnishing of non-service-connected health care to veterans. Increases certain authorized costs for home improvements and structural alterations furnished as part of necessary home health services available to disabled veterans. Extends through FY 1992 the authority for the operation of the Veterans Memorial Medical Center in the Philippines. Authorizes the Secretary to expand the current program of outreach and community-based residential care for homeless chronically mentally ill veterans by: (1) increasing the number of Department employees providing services; and (2) providing such services in at least four cities in which there is a significant unmet need for such assistance. Authorizes the Secretary to enter into agreements with public or nonprofit entities for the contractual provision of such services. Requires the agreeing entity to provide at least 25 percent of the cost of such services. Authorizes appropriations for both the current program and the program authorized by this provision. Allows such additional program to be carried out only if the amount appropriated for the FY 1992 medical care account of the Department is at least $100,000,000 greater than the amount requested in the President's budget for such account for such fiscal year. Title II: Health-Care Personnel - Provides the qualifications required for social workers employed by the Veterans Health Services and Research Administration of the Department. Requires a minimum two-year service requirement in the Department for graduates of the Department of Veterans Affairs Health Professional Scholarship Program. Authorizes the Secretary to purchase promotional items of nominal value for recruitment purposes. Title III: Administrative Provisions - Prohibits funds from being appropriated for any fiscal year, and prohibits the Secretary from obligating or expending funds, for any major medical project or major medical facility lease unless funds have been specifically authorized by law. Defines a "major medical facility lease" as a lease having an average annual rental amount of more than $300,000 (currently $500,000). Requires the Geriatrics and Gerontology Advisory Committee to submit to the Secretary such reports as considered appropriate (currently, only one report is required) on all appropriate matters of geriatrics and gerontology. Adds certain assessments to such report requirements. Directs the Secretary, in order to improve the quality of clinical care at Department health-care facilities, to carry out a pilot program for the conduct of medical research at Department medical centers in the areas of: (1) mental illness; (2) alcohol and substance abuse; or (3) neurological, psychiatric, and geriatric rehabilitation. Allows research under such program to be conducted only at a medical center at which its director has entered into an agreement with a medical school or other institution under which such institution agrees to provide partial funding or in-kind support for the proposed research. Requires the Secretary to solicit from Department employees proposals for research projects to be carried out under the program. Requires the FY 1992 medical and prosthetic research account of the Department to be increased by a specified amount before such research program may be conducted. Provides similar limitations for FY 1993 and 1994 research projects under the program. Authorizes appropriations for FY 1992 through 1994. Requires the Secretary, in consultation with the Secretary of Health and Human Services, to prescribe standards of performance by Department medical facility laboratories with respect to laboratory examinations and other procedures. Requires an implementation report. Authorizes the Secretary, in certain instances, to acquire and use real property: (1) before title to such property is approved under Federal statutes; and (2) even though the property will be held in other than a fee simple interest, as long as the Secretary determines that the interest acquired is sufficient for its intended purpose. Extends from three to four years the period allowed for a Department research corporation to establish itself as a tax-exempt entity under the Internal Revenue Code in order to avoid dissolution. Extends through FY 1994 the authority of the Department to establish such corporations. Authorizes the Secretary to provide for the operation of child care centers at Department facilities if the Secretary determines, based on employee demand, that such operation is in the best interests of the Department and that it is practicable to do so. Requires priority to be given to employees of: (1) the Department; (2) other Federal departments and agencies; and (3) affiliated schools and corporations, in that order. Authorizes the Secretary to provide such services to members of the public if necessary to ensure the financial success of the center. Directs the Secretary to establish reasonable charges for the provision of child care services at each center, in a sum at least sufficient to meet all operating expenses. Outlines specified actions authorized to be taken by the Secretary in connection with the establishment and operation of such centers. Authorizes the Secretary to enter into agreements for the joint acquisition of medical equipment. Outlines conditions to such joint acquisition, including payment of no more than one half of the purchase price of such equipment by the Secretary, the exchange of use of such equipment between the joint holders, and provision by the institution involved of its share of the purchase price. Authorizes the Secretary to transfer to the other joint holder its interest in the equipment if the Secretary determines that such transfer would be justified by compelling clinical considerations or the economic interest of the Department. Authorizes the Secretary to purchase the interest of the joint holder of such equipment under similar conditions. Authorizes the Secretary to enter into escrow agreements with institutions to facilitate the procurement of medical equipment. Outlines escrow agreement requirements. Requires the Secretary to report on the implementation of such joint acquisition under these provisions. States that Department quality assurance activities shall be deemed to be part of the operation of hospitals, nursing homes, and domiciliary facilities of the Department, without regard to the location of the duty stations of employees carrying out such activities. Title IV: Post-Traumatic Stress Disorder - Post-Traumatic Stress Disorder Treatment Act of 1991 - Directs the Secretary to implement the recommendations of the Chief Medical Director's Special Committee on Post-Traumatic Stress Disorder with respect to specialized inpatient and outpatient programs of the Department for the treatment of post-traumatic stress disorder (PTSD). Requires the Secretary, during FY 1992, to establish and operate: (1) not less than five new specialized inpatient PTSD units; (2) not less than ten new PTSD clinical treatment teams; and (3) not less than five outpatient programs for the treatment of veterans suffering from both PTSD and substance abuse problems. Authorizes appropriations for FY 1992 for such purposes. Directs the Secretary, in carrying out medical research and awarding grants, to designate a level of funding support for, and assign a priority to, the conduct of research on mental illness, including research regarding PTSD, PTSD in association with substance abuse, and the treatment of those disorders. Provides for the distribution of funds for such purposes. Requires the Secretary to provide an implementation report. Directs the Secretary to assess the needs for treatment and rehabilitative services of veterans believed to be suffering from PTSD. Requires the Secretary to develop a plan for providing such treatment and services, as well as for expanding and refining services available for the treatment of PTSD. Directs the Secretary to consult with the Special Committee in developing such plan and expansion and refining. Requires a report from the Secretary on the plan developed.
United States · United States Congress · 9 May 1991
Amends the Internal Revenue Code to allow penalty-free withdrawals from retirement plans by certain displaced workers. Sets forth a formula for the maximum amount of such withdrawals and provides a cost-of-living adjustment for such amount.
United States · United States Congress · 8 May 1991
Freedom from Want Act - Title I: Domestic Assistance Programs - Part A: Nutrition, Education, and Health Care - Expresses the sense of the Congress that it should make a commitment to increasing participation in the special supplemental food program for women, infants, and children (the WIC program) by 20 percent in each of FY 1992 through 1996, so that the goal of full participation may be reached by the end of FY 1996. Expresses the sense of the Congress that the Head Start Act should be fully funded so that the goal of participation of all eligible three- and four-year-old children in Head Start programs can be achieved by FY 1994. Amends the Older Americans Act of 1965 to increase the reimbursement provided by the Department of Agriculture for congregate and home-delivered meals for older Americans to 65.66 cents in FY 1992, with adjustments for inflation in FY 1993 and 1994. Amends the Public Health Service Act to direct the Secretary of Health and Human Services (HHS) to undertake a Children's Vaccine Initiative, for research, development, testing, and evaluation of children's vaccines, and for assisting in delivery of such vaccines in the United States and throughout the world. Directs the Secretary of HHS to consult with the World Health Organization and the United Nation's Children's Fund in organizing such Initiative. Requires the Director of the National Vaccine Program to plan and coordinate such Initiative, and ensure that the Public Health Service conducts activities under the Initiative in collaboration with nongovernment institutions and other Federal agencies. Authorizes appropriations. Directs the Secretary of Agriculture to ensure that rules issued under the Federal Meat Inspection Act that impose labeling standards for any meat or meat food product sold or offered for sale in commerce also impose equivalent labeling standards for meat or meat food products distributed by the Department of Agriculture through domestic commodity food assistance programs. Part B: Individual Development Account Demonstration - Amends the Internal Revenue Code to allow a deduction for payments (other than certain assistance from an organization of a demonstration project under this part) made by or on behalf of eligible individuals to an individual development account (IDA) to accumulate funds to pay the following qualified expenses: (1) postsecondary education expenses; (2) first-home purchase; (3) business capitalization; (4) retirement expenses; and (5) transfers to an IDA of the individual's spouse or dependent. Sets forth requirements relating to such IDAs. Establishes five-year IDA demonstration projects to determine: (1) the social, psychological, and economic effects of providing to individuals with limited means an opportunity to accumulate assets; and (2) the extent to which an asset-based welfare policy may be used to enable individuals with low income to achieve economic self-sufficiency. Allows any organization to apply to the Secretary of the Treasury for grants to conduct such a project. Requires each organization authorized to conduct such a project to establish a Reserve Fund drawn from investments, public and private funds, and IDA penalty amounts. Requires the organization to use Reserve Fund amounts to: (1) assist project participants in obtaining skills and information to achieve economic self-sufficiency through activities requiring IDA qualified expenses; (2) provide financial assistance to the IDAs of individuals selected by the organization to participate in the project; (3) administer the project; and (4) provide the organization evaluating the project with necessary information. Directs the organization to invest Reserve Fund amounts that are not immediately needed to carry out such project fund uses. Limits the administrative expenses. Requires that unused Federal grant funds be transferred to the Secretary when the project terminates. Makes eligible for IDA demonstration project assistance any individual who is a member of a household with: (1) a household income for the immediately preceding calendar year of not more th an 200 percent of the poverty threshold; and (2) a household net worth, as of the close of such year, of not more than $20,000. Directs the project organization to select individuals whom the organization deems suited to receive such assistance. Sets forth a table for organization contributions to an individual's IDA, based on: (1) the individual income for the applicable period, as a percentage of the poverty threshold; and (2) matched with the lesser of either a specified percentage of the qualified savings of the individual for the period, or a specified dollar amount. Provides for a greater organization contribution for individuals with lower incomes. Requires local control over demonstration projects by giving the organization sole authority over project administration, and allowing the Secretary of the Treasury to prescribe only regulations that are necessary to ensure compliance with approved applications and this Act. Requires each project organization to prepare ten semiannual progress reports for an oversight panel, the Secretary of the Treasury, and the Treasurer (or equivalent official) of the State in which the project is conducted. Directs the Secretary of the Treasury to establish an oversight panel for such demonstration projects. Authorizes the Secretary of the Treasury to revoke the original authorization for a demonstration project upon receipt of a notice that the project has failed to implement the oversight panel's recommendations. Sets forth required revocation actions and procedures. Requires the oversight panel to enter into a contract with an independent research organization to evaluate the IDA demonstration projects, individually and as a group, addressing specified questions. Authorizes appropriations for IDA demonstration projects. Requires that funds in the IDAs of demonstration project participants to be disregarded for purposes of all means-tested Federal programs. Part C: Microenterprise Programs - Amends the Social Security Act to include microenterprise training programs under the JOBS program under provisions for aid to families with dependent children (AFDC). Requires adjustment of performance standards for microenterprises to take account of the time required for their establishment. Provides for limited exclusions of microenterprise resources and income under the AFDC program. Defines a microenterprise as a commercial enterprise which has five or fewer employees, one or more of whom owns the enterprise; and (2) none of the owners of which has income exceeding 200 percent of the poverty threshold. Authorizes States to waive Federal AFDC requirements with respect to participants in State-approved microenterpise programs. Provides that participation in such State-approved microenterprise programs shall not affect the participants' means-tested Federal benefits. Amends the Consolidated Farm and Rural Development Act to make microenterprises eligible for rural development loans and grants. Expresses the sense of the Congress that one percent of funds for specified types of rural development assistance should be reserved for certain purposes relating to microenterprises. Amends the Housing and Community Development Act to make microenterprises eligible for assistance under community development block grants. Provides that certain assisted activities relating to microenterprises shall be considered to benefit persons of low and moderate income. Expresses the sense of the Congress that each grantee under the community development block grant program should reserve one percent of any grant received to provide assistance to facilitate commercial economic development through microenterprises. Amends the Small Business Act to express the sense of the Congress that: (1) one percent of specified funds for small business loans should be reserved for specified purposes relating to microenterprises; and (2) the Small Business Administrator should take such other necessary actions to maximize participation by microenterprises in programs under such Act and the Small Business Investment Act of 1958. Provides for small business loans for microenterprises. Amends the Job Training Partnership Act (JTPA) to authorize the use of funds for training activities with respect to microenterprises. Directs the State Governor to adjust performance standards relating to microenterprises to reflect the time required to establish and develop a stable income from such an enterprise as participants seek to achieve economic self-sufficiency. Provides for JTPA microenterprise grants. Directs the Secretary of Labor, from specified funds for FY 1992 through 1996, to make grants in limited amounts to not more than ten States per year to implement and enhance community-based microenterprise activities. Requires State matching funds and annual reports. Authorizes appropriations for such microenterprise grants. Part D: Increasing the Food Purchasing Power of Low-Income Households - Authorizes the Secretary of Agriculture to make grants to up to 20 nonprofit community-based organizations to carry out food retailing development projects to: (1) increase the access of individuals residing in communities underserved by supermarkets to more affordable and quality food; and (2) strengthen the operation of existing food retail stores in underserved communities by providing such stores with services that lower costs, improve management, and increase the quality and nutritional value of food inventories. Sets forth priorities in selecting grantees. Sets forth requirements for grant expenditures. Authorizes appropriations for such food retailing development program. Authorizes the Secretary of Agriculture to make grants to up to ten eligible entities to carry out a food stamp and producer direct marketing demonstration project to: (1) increase retail marketing opportunities for local agricultural producers through farmers markets, roadside stands, and other means; (2) increase the access to and consumption of fresh, perishable agricultural commodities by low-income individuals; (3) identify and implement successful strategies to increase the number of agricultural producers certified to redeem food stamp coupons in exchange for commodities sold directly to coupon recipients; and (4) increase the number of food stamp recipients who use such coupons to purchase such commodities from agricultural producers. Sets forth requirements for grant expenditures. Defines an eligible entity as a community-based organization with strong ties to both the farming community and to an anti-hunger organization. Authorizes appropriations for such food stamp and producer direct marketing demonstration program. Amends the Child Nutrition Act of 1966 to revise WIC farmers' market demonstration programs. Increases from ten to 20 the number of States allowed to provide WIC participants with coupons to purchase fresh fruit and vegetables from farmers markets. Sets forth requirements for program reports and review. Authorizes appropriations. Part E: Assessing Food Security within Communities - Amends the National Agricultural Research, Extension, and Teaching Policy Act of 1977 to provide for regional centers for community food security. Directs the Secretary of Agriculture, through the Federal Extension Service, to make competitive grants to seven land grant colleges and universities to establish seven regional centers for community food security, with one of them designated to serve as a coordinating center. Sets forth requirements for selection of recipients, use of grants, prohibited uses, term of grants, performance evaluations, and annual reports. Defines food security as the ability of all people at all times to purchase or receive from usual food sources enough nutritionally adequate food for an active and healthy life. Part F: Findings Regarding Communities Making the Transition to Hunger-Free Status - Expresses the sense of the Congress regarding criteria for communities making the transition to food secure status. Part G: Infant Mortality Reduction - Subpart 1: Low Birthweight and Infant Mortality - Establishes within the Department of Health and Human Services a program to make grants to States, municipalities, and nonprofit organizations to establish demonstration projects to reduce infant mortality by reducing the incidence of low birthweight births in high-risk communities. Sets forth grant application requirements and preferences in awards. Directs the Secretary of HHS to: (1) establish an Infant Mortality Advisory Panel; and (2) evaluate such projects and provide technical assistance to grantees. Requires annual reports from grantees. Limits project duration to three years. Authorizes appropriations. Subpart 2: Breast Feeding and Infant Morbidity and Mortality Study - Directs the Secretary of HHS to establish a program to award grants to conduct studies of the impact of breastfeeding on infant mortality and morbidity in certain high-risk populations. Authorizes appropriations for each fiscal year for conducting such study. Part H: Amendments to the Food Stamp Act of 1977 - Mickey Leland Childhood Hunger Relief Act - Subpart 1: General Provisions - Sets forth general provisions. Subpart 2: Ensuring Adequate Food Assistance - Amends the Food Stamp Act of 1977 to remove the excess shelter deduction cap for purposes of food stamp program (program) eligibility. (Sets forth transitional caps through FY 1995.) Requires the Secretary of Agriculture to adjust the basic benefit level upwards by specified increments at the beginning of each fiscal year until it reaches 105 percent of the cost of the thrifty food plan. Eliminates food stamp reductions for households reapplying for program reinstatement within 30 days. Excludes third party payments for transitional housing for the homeless from consideration as program income. Increases funding for the nutrition assistance program in Puerto Rico. Excludes general assistance vendor payments from consideration as program income. Subpart 3: Promoting Self-Sufficiency - Excludes from consideration as program income: (1) the first $50 a month received as child support; and (2) child support payments to non-household members. Increases annually the fair market value limit of vehicles that program recipients may own. Excludes from financial resources the value of a vehicle a household depends upon to carry heating fuel or water for home use where it has no other access to fuel or water. Increases dependent care deductions and participant and State agency reimbursements in connection with employment and training activities. Subpart 4: Simplifying the Provision of Food Assistance - Permits related adults living in the same household to apply for separate program benefits under specified conditions. Permits a participating family made up of, or including, an elderly or disabled member to own $300 in allowable financial resources. (Current law refers to a family member 60 years of age or older.) Makes program authorization of appropriations permanent. Subpart 5: Implementation and Effective Dates - Sets forth the effective dates for provisions of this Act. Title II: International Programs - Part A: Food as a Human Right - Declares that the United States should: (1) make a major effort toward strengthening the right to food in international law; and (2) propose to the United Nations General Assembly that a Declaration and Convention on the Right to Food be adopted and submitted to countries for ratification. Prohibits the provision of development assistance under the Foreign Assistance Act of 1961 and the provision or financing of agricultural commodities under the Agricultural Trade Development and Assistance Act of 1954 for countries that engage in a consistent pattern of violations of internationally recognized rights to food and medical care. Requires the United States to: (1) make a major effort toward reforming and restructuring the United Nations mechanism for responding to international disasters and humanitarian emergencies; and (2) evaluate the role of the United Nations Disaster Relief Organization and develop a proposal for strengthening the United Nations response to such emergencies. Part B: Democratic Empowerment - Amends the Foreign Assistance Act of 1961 to authorize the President, acting through the administrator of the agency responsible for administering development assistance (administering agency), to provide assistance for eligible emerging democracies. Defines an "eligible emerging democracy" as a least developed country that is making a transition from an undemocratic to a democratic system of government. Lists authorized assistance as development and relief and rehabilitation assistance and assistance for child survival, maternal health, basic nutrition, and basic education. Waives provisions of law that prohibit or restrict assistance to countries in arrears or default on loan or credit payments owed to the United States with respect to assistance for eligible emerging democracies. Establishes a Fund for Democratic Empowerment to carry out such assistance program. Authorizes appropriations. Part C: Children - Authorizes appropriations for FY 1992 and 1993 for U.S. contributions to the United Nations Children's Fund. Amends the Foreign Assistance Act of 1961 to authorize appropriations for the Child Survival Fund for FY 1992 and 1993. Earmarks amounts of foreign assistance for activities that deal directly with the special health needs of children and mothers. Requires the President, with respect to the provision of development assistance, to promote and undertake activities relating to research on, and the treatment and control of, acquired immune deficiency syndrome (AIDS) in developing countries. Designates such assistance as the International AIDS Prevention and Control Program. Earmarks amounts of development assistance for FY 1992 and 1993 for the Vitamin A Deficiency Program and programs to eliminate iodine deficiency. Expresses the sense of the Congress that the United States should join in a comprehensive initiative to reduce micronutrient deficiencies from iron, as well as leading in the elimination of vitamin A and iodine deficiency. Earmarks foreign assistance for basic education programs. Directs the President to report annually to the Congress on U.S. contributions to the goals and strategies of the World Declaration on the Survival, Protection and Development of Children; the Plan of Action for Implementing the Declaration; the World Declaration on Education for All; and the Framework for Action to Meet Basic Learning Needs. Part D: Women in Development - Removes a limitation on, and earmarks an amount of, assistance to promote the participation and integration of women in the development process in developing countries. Requires specified amounts of such assistance to be used to support the integration of women into programs of the administering agency and to support needs of such agency in administering the women in development policy. Part E: Refugees - Authorizes appropriations for FY 1992 and 1993 for migration and refugee assistance, with earmarked funds for programs of refugee assistance overseas. Expresses the sense of the Congress that other international donors should join with the United States in ensuring that refugee relief and rehabilitation efforts are adequately funded and supported. Part F: Agriculture and the Environment - Requires agricultural development programs supported by the United States under the Foreign Assistance Act of 1961 and in the multilateral development banks and International Monetary Fund (IMF) to incorporate principles of environmental sustainability. Directs the Administrator of the Agency for International Development (AID) to establish specified environmental sustainability guidelines and standards to be applied to all agricultural development programs supported under the Foreign Assistance Act of 1961, bilateral agricultural projects, and, where appropriate, environmental projects supported under such Act. Requires the U.S. executive directors of the multilateral development banks and the IMF to seek the adoption of requirements comparable to such standards by their respective institutions. Declares that AID should make a long-term commitment to research the ecological and socioeconomic components of sustainable agricultural development. Provides that research topics should include: (1) how traditional systems of agriculture respond to local ecological conditions and how such responses can be incorporated in agricultural development that aims to increase yields without degrading long-term productive potential or the ability to withstand ecological pressures; (2) the role of subsistence agriculture in meeting the nutritional needs of rural populations and the improvement of subsistence food production; and (3) the improvement of crops which comprise a substantial part of the diet of the poorest part of the population. Declares that the United States should encourage the Consultative Group on International Agriculture to incorporate such topics into its research priorities and to promote the application of research findings into project design and implementation. States that AID should increase its support for agricultural research institutions that have demonstrated a capacity to contribute to sustainable agricultural development. Directs the AID Administrator to report to the Congress on AID programs directed toward sustainability as a basis for agricultural assistance efforts. Part G: World Bank and International Monetary Fund - Expresses the sense of the Congress that the Secretary of the Treasury should instruct the U.S. executive directors of the International Bank for Reconstruction and Development (World Bank), the International Development Association (Association), and the IMF to seek the establishment by their institutions of programs and policies to assist in the realization of the right to food. Amends the International Financial Institutions Act to direct the Secretary of the Treasury to instruct: (1) the U.S. executive director of the Association to advocate, in the context of the Association's tenth replenishment, that at least 50 percent of the Association's loans go to countries that have developed a national development and poverty alleviation strategy; and (2) the U.S. executive directors of the World Bank and the IMF to urge such institutions to develop Policy Framework Papers (including sections on environmental goals) for borrowing countries. Expresses the sense of the Congress that the World Bank and the Association should: (1) give greater programmatic and budgetary priority to child survival and development; and (2) commit to devoting at least five percent of the annual lending programs to primary health and five percent to basic education. Directs the Secretary to instruct the U.S. executive directors of the World Bank and the Association to urge such institutions to: (1) promote environmental sustainability as a guiding principle in agricultural development projects; (2) emphasize food-based policies in agriculture by increasing funding for research focusing on improving foods which comprise a substantial portion of the diet of poor people; and (3) ensure that such projects target and integrate women. Amends the Bretton Woods Agreements Act to direct the Secretary of the Treasury to instruct the U.S. executive director of the IMF to urge the IMF to ensure that IMF programs are designed to avoid any deterioration in the provision of social services for basic human needs and to maintain sustainable use of the environment. Part H: Debt Relief - Amends the Foreign Assistance Act of 1961 to authorize the President to make certain debt relief authorities concerning relatively least developed countries with respect to which an IMF standby agreement or a World Bank or Association structural adjustment program or similar IMF program is in effect applicable to least developed countries pursuing specified national economic policy reforms, even if such an arrangement is not in effect. Part I: Private and Voluntary Organizations - Increases the amount of funding for private and voluntary organizations under the Foreign Assistance Act of 1961.
United States · United States Congress · 8 May 1991
Amends the Federal Aviation Act of 1958 to direct the Secretary of Transportation not to give consideration to the availability of slots (a reservation for an instrument flight rule takeoff or landing of an aircraft) at high density airports in determining the provision of basic essential air service to small communities and selecting an air carrier to provide such service. Requires the Secretary to ensure that a sufficient number of such slots are available to the air carrier providing such service at such airports. Provides for the transfer of slots at such airports.
United States · United States Congress · 8 May 1991
Expresses the gratitude of the Congress to this Nation's Federal civilian employees for their contributions to Operation Desert Shield and Operation Desert Storm. Commends and congratulates them on a job superbly done.
United States · United States Congress · 7 May 1991
Individuals With Disabilities' Trained Animals Parity Act of 1991 - Amends Federal law to allow as a benefit to certain veterans with service-connected disabilities the provision of an animal trained to assist individuals with the disability. (Present law encompasses only the provision of seeing-eye or guide dogs trained for the aid of the blind.) Makes similar changes (from "guide dogs" to "animals") to provisions requiring admission to public buildings and carrier rate charges for disabled individuals accompanied by assisting animals.
United States · United States Congress · 7 May 1991
Federally Assisted Health Clinics Legal Protection Act of 1991 - Amends the Public Health Service Act to include entities receiving Federal funds under provisions relating to migrant health centers, community health centers, or health services for the homeless, and officers, employees, or contractors of such entities who are licensed health care practitioners, in the coverage of provisions regulating civil actions for injury resulting from medical or related functions against commissioned officers or employees of the Public Health Service. Subrogates to the United States any insurance claim such an entity or person has. Prohibits grants under provisions relating to migrant or community health centers or health services for the homeless unless the applicant has: (1) implemented policies and procedures to assure against malpractice; and (2) no history of claims against it under such provisions relating to officers and employees of the Public Health Service.
United States · United States Congress · 7 May 1991
Rural Physicians' Incentives Act of 1991 - Amends the Internal Revenue Code to allow a deduction on medical education loan interest of a physician which accrues while the physician is living in and providing primary care to residents of a medically underserved rural area. Amends title XVIII (Medicare) of the Social Security Act to exempt services furnished in a rural area from a special fee schedule applicable to new physicians. Amends the Higher Education Act of 1965 to extend beyond the normal two-year limit, for borrowers serving an internship or residency program in preparation for practice in an area of primary care, the deferral of payments on: (1) insured student loans (Stafford Loans), including those eligible for interest subsidies; and (2) low-interest student loans (Perkins Loans). Amends titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act to modify provisions setting forth requirements concerning billing by one physician for services rendered by another physician in specified circumstances.
United States · United States Congress · 7 May 1991
Rural Health Leadership Education Act of 1991 - Amends the Rural Development Act of 1972, as amended by the Food, Agriculture, Conservation, and Trade Act of 1990, to authorize grants for rural health leadership development education programs.
United States · United States Congress · 7 May 1991
Rural Health Statistics Act of 1991 - Amends the Public Health Service Act to require that the geographic area description and analysis in a currently-mandated annual report on the health of the Nation's people include a description and analysis by rural area and urban area.
United States · United States Congress · 7 May 1991
Rural Medical Emergencies Air Transport Act of 1991 - Amends the Public Health Service Act to direct the Secretary of Health and Human Services to make grants to at least seven States to assist in the creation or enhancement of air medical transport systems that provide victims of medical emergencies in rural areas with access to treatments. Requires: (1) preference for States with plans to integrate the proposed air medical system into a comprehensive network or plan for regional or statewide emergency medical services; and (2) the grant to be administered by the State agency responsible for medical emergency or trauma services programs. Allows the State to award grant funds to public and private entities. Authorizes appropriations.
United States · United States Congress · 7 May 1991
Rural Mental Health Initiatives Act of 1991 - Amends the Public Health Service Act to establish, in the National Institute of Mental Health, the Office of Rural Mental Health. Mandates grants for demonstration projects to improve the availability of rural mental health services through providing such services in the same facilities as other health or social services, and otherwise integrating mental health, other health, and social services. Requires reports to the Congress. Requires that funds be made available to carry out these provisions from amounts appropriated under the Act for mental health research. Requires State comprehensive mental health services plans to describe how mental health services will be provided to rural residents.
United States · United States Congress · 7 May 1991
Amends the Omnibus Budget Reconciliation Act of 1987 to allow a consortium including one or more rural hospitals (including at least a small rural hospital and/or one or more rural health clinics) to participate in the rural health medical education demonstration project of the Department of Health and Human Services. Authorizes appropriations as necessary to pay costs of such project which are attributable to travel and living expenses of medical residents and travel expenses of supervising physicians, to the extent such costs are not reimbursed under the Medicare program.
United States · United States Congress · 7 May 1991
Rural Access to Obstetrical Care Act of 1991 - Requires the Secretary of Health and Human Services to: (1) provide for demonstration projects to reduce infant mortality by improving access in rural, underserved areas to obstetric services for eligible pregnant women under title XIX (Medicaid) of the Social Security Act; (2) develop and make available to the public each year a compendium of State initiatives to address the obstetric access crisis in rural areas; and (3) provide funding for a study, and report to the Congress on, obstetrical malpractice claims payment by Medicaid and private insurance companies.
United States · United States Congress · 7 May 1991
Amends the Public Health Service Act to require that between 25 and 50 percent (currently, at least 50 percent) of certain block grant funds be used for prevention and treatment with respect to intravenous drug abuse.
United States · United States Congress · 7 May 1991
Primary Care Training Amendments of 1991 - Amends provisions of the Public Health Service Act authorizing grants and contracts for training, traineeships, and fellowships in general internal medicine and general pediatrics to require that a school, hospital, or other entity, in order to receive a grant or contract, provide certain types of training related to family medicine. Adds demonstration of a commitment to family medicine to the criteria for establishing priority in making the grants and contracts.
United States · United States Congress · 7 May 1991
Improving Access to Health Care Through Telecommunications Act - Mandates grants to rural health care consortia for acquisition and operation of interactive telecommunications systems to improve delivery of health care services. Allows information uses to include consultations, x-ray transfers, professional education programs, patient record transfers, and claims processing. Limits grants to one consortium per State, subject to waiver for consortia serving two or more States. Authorizes appropriations.
United States · United States Congress · 7 May 1991
Provides for the awarding of the Purple Heart to former prisoners of war held captive before April 25, 1962, on the same basis at it may be awarded former prisoners of war captured on or after such date.
United States · United States Congress · 7 May 1991
Expresses the sense of the Congress that the Departments of Veterans Affairs and Health and Human Services should explore, expand, and promote opportunities for shared services in all areas, including alcohol and drug treatment, gerontology, mental health, pharmacy services, radiology, and other diagnostic specialties.
United States · United States Congress · 1 May 1991
Expedited Consideration of Proposed Rescissions Act of 1991 - Amends the Congressional Budget and Impoundment Control Act of 1974 to require a special message, in the case of budget authority proposed to be rescinded or reserved, to include language amending the law authorizing such programs to allow them to continue to function at the proposed new level of budget authority. Allows the President to transmit to both Houses of the Congress, for expedited consideration, one or more special messages proposing to rescind all or part of any item of budget authority provided in an appropriation bill. Requires that such special message be transmitted not later than three days after the President approves the appropriation bill and be accompanied by a draft bill or joint resolution that would, if enacted, rescind the budget authority proposed to be rescinded. Sets forth House and Senate procedures for the expedited consideration of such a proposal.
United States · United States Congress · 1 May 1991
Coach and Athlete's Bill of Rights - Prohibits the National Collegiate Athletic Association (NCAA) from taking any action against any coach or player for a team associated with the NCAA or against an institution of higher education associated with the NCAA without due process. Directs the NCAA to adopt rules to provide due process or else it shall be prohibited from imposing sanctions or penalties limiting interstate commerce telecommunications of such sporting events. Directs the Secretary of Commerce to report to the Congress on the impact of NCAA sanctions upon telecommunications and commercial activities of intercollegiate sporting events and the revenue loss caused by such sanctions.
United States · United States Congress · 30 April 1991
Amends the Magnuson Fishery Conservation and Management Act to direct the Secretary of Commerce to certify to the President each nation that is failing to comply with a specified United Nations General Assembly resolution on large-scale driftnet fishing.
United States · United States Congress · 30 April 1991
Expresses the sense of the Congress that Federal law governing the taxation of State and local government bonds should not be changed in order to increase Federal revenues.
United States · United States Congress · 29 April 1991
Emergency Supplemental Persian Gulf Refugee Assistance Act of 1991 - Authorizes supplemental appropriations for FY 1991 for: (1) emergency humanitarian assistance for Iraqi refugees and other persons displaced as a result of the Persian Gulf conflict; (2) peacekeeping activities in the Persian Gulf region; and (3) the reimbursement of appropriations accounts from which such assistance was provided before this Act's enactment. Raises the ceiling on the limitation on appropriations for the U.S. Emergency Refugee and Migration Assistance Fund for FY 1991. Provides that such assistance shall not be counted against certain ceiling limitations on international disaster assistance and the drawdown of defense articles and services and military education and training. Permits appropriations under this Act to be appropriated from the Defense Cooperation Account, the Persian Gulf Regional Defense Fund, or the General Fund of the Treasury.
United States · United States Congress · 25 April 1991
Family Caregiver Support Act of 1991 - Amends the Social Security Act to add a new title XXI entitled "Grants to States for Family Caregiver Support Programs" to establish a program to enable States to furnish services to support informal caregivers of individuals with functional disabilities. Outlines State plan requirements for such caregiver support services, including requirements that: (1) States must support 50 percent of program administration costs; (2) services may not supplant Medicare or Medicaid (titles XVIII and XIX of the Social Security Act) or private insurance otherwise available to eligible recipients of services; and (3) persons with incomes exceeding 200 percent of the Federal poverty level must pay on a sliding fee scale established by the State, up to a maximum annual income of $75,000. Caps total annual Federal expenditures at $2,400 per eligible recipient. Authorizes appropriations to carry out the new title.
United States · United States Congress · 24 April 1991
Torture Victim Protection Act of 1991 - Imposes civil liability on anyone who, under actual or apparent authority or under color of law of any foreign nation, subjects any individual to torture or extrajudicial killing. Directs a court to decline to hear a claim under this Act if the alleged offender establishes by clear and convincing evidence that the plaintiff has not exhausted adequate and available remedies in the place where the conduct giving rise to the claim occurred. Specifies that no statute of limitations shall apply to a claim under this Act.
United States · United States Congress · 24 April 1991
Amends the Solid Waste Disposal Act to authorize a State to enforce laws collecting fees in connection with the treatment and disposal within such State of solid waste generated in another State. Permits a State, after the submission to the Administrator of a certification under this Act, to enforce laws regulating the treatment and disposal of solid waste within the State. Authorizes any State which has adopted a 20-year solid waste management plan to submit a certification to the Administrator of the Environmental Protection Agency on the solid waste treatment and disposal capacity of the State. Sets forth minimum requirements of the plan. Permits the Governor of each State which has adopted a 20-year management plan to certify to the Administrator that the State has adequate capacity to manage all solid waste generated in the State or received from other States for the following 60-month period. Exempts specified types of waste from regulation under this Act. Grants congressional approval to agreements or compacts entered into by two or more States for cooperative efforts and mutual assistance for solid waste management. Authorizes the Administrator to promulgate regulations exempting waste types or recycling practices from the authority granted to States under this Act if such action promotes the development of an interstate market for recyclable materials or is necessary to promote environmentally sound waste disposal practices.
United States · United States Congress · 24 April 1991
Designates September 20, 1991, as National POW/MIA recognition Day. Requires the display of the National League of Families POW/MIA flag: (1) at all national cemeteries and the National Vietnam Veterans Memorial on May 30, 1991 (Memorial Day), September 20, 1991 (National POW/MIA Recognition Day), and November 11, 1991 (Veteran's Day); and (2) on, or on the grounds of, the White House, and the buildings containing the primary offices of the Secretaries of State, Defense, and Veterans Affairs, and the Director of the Selective Service Commission on September 20, 1991 (National POW/MIA Recognition Day).
United States · United States Congress · 23 April 1991
Amends the Davis-Bacon Act (the Act) to apply it to any contract (relating to public buildings or public works of the United States or the District of Columbia or buildings or works financed in whole or part by Federal loans, grants, or loan guarantees, with specified exceptions) in excess of $100,000 for new construction (including painting and decorating) or in excess of $15,000 for alteration, repair, renovation, rehabilitation, or reconstruction (including painting and decorating). Provides that State, local, or tribal government requirements for wages or fringe benefits applied to such contracts for federally-assisted construction or repair of buildings or works shall not be preempted by the Act unless there is a conflict in compliance with both. Provides that an individual shall be considered a laborer or mechanic if the contractor or subcontractor paid the individual, directly or through a subcontract, for such services performed to carry out the contract. Prohibits the use of multiple contracts to avoid application of the Act. Requires that any two or more contracts shall be treated as a single contract if they: (1) individually do not exceed the minimum amount necessary for the Act to apply; (2) in the aggregate do exceed such amount; and (3) all relate to the same work or related work at the same site. Permits any interested person to seek relief from violations of such provision in U.S. district court. Applies the Act also to contracts for the lease of a facility if construction, alteration, repair, renovation, rehabilitation, or reconstruction is required for a contract's fulfillment. Defines the terms "apprentice," "trainee," and "helper." Prescribes circumstances under which such persons may be paid less than the required wage rate under the Act. Directs the Secretary of Labor (the Secretary) to promulgate regulations defining such persons and prescribing the conditions under which they will not be subject to the required rate, the rate at which they will be employed, and other appropriate conditions. Requires the contractor or subcontractor to post the scale of wages required to be paid under such contract in a prominent and easily accessible place at the contract worksite. Provides that the wages required to be paid under the Act shall be the wages determined by the Secretary to be prevailing within three years of the date the contract was entered into. Provides that, if the Secretary has not made a prevailing wage determination within such three-year limitation, the prevailing wage shall be the highest wage prevailing in a comparable area in the State in which the contract is performed. Directs the Secretary, in making a prevailing wage determination, to consider the wages paid for all projects of the same character in the area under contracts for amounts not less than the minimum amounts necessary for the Act to apply. Provides that a contractor or subcontractor may only include contributions and costs relating to employee fringe benefits, as part of their prevailing wage payment, in an amount not exceeding the aggregate of such contributions and costs prevailing in the area. Authorizes the Secretary to investigate and secure compliance with requirements of the Act. Allows any interested person to petition the Secretary to review the determination of a Secretary of a department or an agency head that a contract entered into is not subject to the Act. Provides for judicial review of such coverage determinations. Permits any laborer, mechanic, or any interested person to petition the Administrator of the Wage and Hour Division of the Department of Labor to review the wage payments received to determine if they have been made in accordance with the Secretary's prevailing wage determination. Sets forth procedures for such wage review. Provides that the determination of the Administrator, an administrative law judge, or the Secretary on a petition for review of the wage payments may include the award of damages to the petitioner in the amount of twice the amount of wages not paid in accordance with the prevailing wage determination, if it is found that the petitioner was willfully not paid the required wages. Requires the defendant in such cases to pay a reasonable attorney's fee and the cost of the action. Makes any employer who violates the required wage rate provisions of the Act liable to each affected employee in the amount of unpaid wages and, if the violation was willful, in an additional equal amount as liquidated damages. Allows an action to recover such liability to be maintained against any employer in any Federal or State court of competent jurisdiction by any interested party, or by any employee on behalf of affected employees and other employees similarly situated. Prohibits any employee from being a party plaintiff to such an action unless the employee gives consent in writing to become a party and the consent is filed in the court in which the action is brought. Prohibits employees from bringing such a civil action with respect to their wages if they file a petition for review. Directs the court, in addition to any judgment awarded to the plaintiff or plaintiffs, to allow a reasonable attorney's fee and the cost of the action to be paid by the defendant. Requires the Comptroller General to pay directly to laborers and mechanics from any accrued payments withheld under the contract any wages found by the Secretary to be due. Directs the Secretary to distribute to all departments of the Government a list of the names of persons or firms who: (1) are found to have disregarded their obligations to employees and subcontractors; and (2) are debarred from Federal contracts for a specified time. (Removes the Comptroller General from such debarment process.) Declares that employees may bring an action against contractors and their sureties for the payment of unpaid wages. Specifies that the Secretary or the contracting officer may order accrued payments in amounts necessary to cover unpaid wages to be withheld from contractors found to have violated the Act. Requires that contracts subject to the Act contain a provision allowing the Government to terminate the contract if less than the required wage rate has been or is being paid. Makes the contractor and its sureties liable for any excess costs incurred by the Government because of such termination. Directs the Secretary to: (1) enforce the Act; and (2) promulgate standards and procedures to be observed by contracting officers. Amends the Copeland Anti-Kickback Act (which provides for the Secretary of Labor to make reasonable regulations for contractors and subcontractors in the construction or repair of public buildings or public works or buildings or works financed in whole or part by Federal loans or grants) to require such employers to report certain payroll information on a monthly (rather than a weekly) basis. Requires such information to include specified items (including rates of contributions or costs anticipated for bona fide fringe benefits). Requires such employers to maintain payroll and other related basic records for three years after completion of such work. Permits any interested person to obtain from any Federal department or agency a copy of any such payroll statement which has been filed by the contractor or subcontractor with the department or agency under such Act. Directs the Secretary of Labor to: (1) study the feasibility of employers using electronic methods to comply with reporting requirements under such Act; and (2) report to the Congress within one year on actions taken by the Secretary and employers to facilitate electronic reporting of payroll information.
United States · United States Congress · 23 April 1991
Designates May 22, 1991, as National Desert Storm Reservists Day to commemorate the accomplishments of the men and women of the reserve components of the U.S. Armed Forces who proudly served the United States during Operation Desert Storm.
United States · United States Congress · 22 April 1991
Forest Biodiversity and Clearcutting Prohibition Act of 1991 - Amends the Forest and Rangeland Renewable Resources Planning Act of 1974, the Federal Land Policy and Management Act of 1976, the National Wildlife Refuge System Administration Act of 1966, the National Indian Forest Resources Management Act, and Federal law to provide for the conservation of native biodiversity in each national forest community. Revises land management guidelines for such forests to prohibit any even-age logging or even-age management after one year of enactment of this Act. Directs the Secretary of Agriculture, on each site already under such management, to: (1) prescribe a shift to selection management within one year; or (2) cease managing for timber purposes and actively restore the native biodiversity, or permit each site to regain its native biodiversity.
United States · United States Congress · 17 April 1991
Long-Term Care Insurance Consumer Protection Act of 1991 - Amends title XIX (Medicaid) of the Social Security Act to afford Federal consumer protection to purchasers of long-term care insurance policies by requiring that, before such policies may be issued or sold, they must have been either certified by the Secretary of Health and Human Services as meeting the minimum Federal standards and requirements outlined below or approved by the State commissioner or superintendent of insurance under a regulatory program each State is required to establish that: (1) incorporates such standards and requirements; (2) provides consumers with access to basic information on issuers and policies; and (3) provides for an approval process for proposed premium increases. Outlines Federal standards long-term care insurance policies must meet, including those which mandate that such policies: (1) offer mandatory inflation protection features, nonforfeitable benefits after a certain vesting period should the policy lapse, and limited premium increases; (2) be guaranteed renewable except for nonpayment of premiums or material misrepresentation; (3) use standard language and a uniform format, with certain variations in language permitted; (4) disclose a detailed outline of coverage; (5) allow purchasers 30 days to rescind their purchase of the policy and to have the premium refunded; (6) not condition or limit eligibility for benefits, including non-institutional benefits, except in cases of preexisting conditions; (7) use functional assessment tools for determining home care eligibility; (8) provide a right to appeal denials for home care eligibility; (9) provide a six-month period of contestability after issuance of the policy; (10) prohibit discrimination in cases of individuals with Alzheimer's disease; and (11) provide benefits over a period of at least 12 consecutive months. Regulates the marketing of long-term care insurance policies by establishing prohibitions on certain sales practices, such as high pressure tactics, and on sales to Medicaid beneficiaries and sales of duplicate service benefit policies. Imposes additional requirements on issuers of long-term care insurance policies with respect to: (1) the prompt mailing of new policies after approval; (2) the furnishing of information to policyholders regarding denied claims and to the Secretary and appropriate State officials regarding policies, premiums, lapse, replacement, and rescission rates and denied claims; (3) the obtaining of medical assessments for elderly applicants if the policy is not guaranteed to issue; and (4) the limiting of compensation to agents for the sale of long-term care insurance policies. Sets forth penalties for issuing unapproved or uncertified policies and for violating prohibited sales practices and the requirements imposed on issuers of long-term care insurance policies. Requires reports on functional ability assessment tools and on solvency protections for such issuers. Requires a study to develop a standard measure of value for long-term care insurance policies. Authorizes appropriations to increase funding for long-term care insurance information, counseling, and assistance.
United States · United States Congress · 17 April 1991
Amends part B (Supplementary Medical Insurance) of title XVIII (Medicare) of the Social Security Act to repeal provisions enacted under the Omnibus Budget Reconciliation Act of 1990 which reduced Medicare reimbursement for new physicians and other new health care practitioners.
United States · United States Congress · 17 April 1991
Amends the Internal Revenue Code with respect to the tax-exempt status of a cooperative telephone company to provide for the tax treatment of income received from a nonmember telephone company for services by the cooperative which are indirectly paid for by members of the cooperative. Includes billing and collection services for a nonmember telephone company under such treatment.
![Official portrait of Rep. McCloskey, Frank [D-IN-8]](https://www.congress.gov/img/member/m000342_200.jpg)