United States · United States Congress · 5 May 1994
Expresses the sense of the Congress that any legislation enacted to provide for national health care reform should: (1) prohibit the denial of health insurance coverage to, or limitation of coverage or benefits for, any individual or family on the basis of a preexisting medical condition; (2) prohibit charging an unreasonable amount for such coverage and benefits on the basis of a preexisting medical condition; and (3) include among the individuals and families protected by such prohibitions those who wish to acquire health insurance coverage and benefits from an entity other than their current health care provider.
United States · United States Congress · 21 April 1994
Tobacco Advertising and Promotion Studies Act of 1994 - Directs the Federal Trade Commission to study and report to the Congress on specified aspects of tobacco advertising and promotion targeted at women and certain ethnic groups.
United States · United States Congress · 20 April 1994
Health Research Act of 1994 - Establishes in the Treasury the National Fund for Health Research. Requires regional and corporate health alliances formed under a comprehensive health care reform program to set aside and transfer specified amounts each calendar year into the Fund. Amends the Internal Revenue Code to authorize individuals (other than nonresident aliens) to designate for payment into the Fund at least $1 of a cash contribution or of any tax overpayment made. Requires the Secretary of Health and Human Services to distribute specified amounts from the Fund for various health research activities of the National Institutes of Health and the National Center for Research Resources. Excludes Fund amounts from any budget enforcement procedures under the Congressional Budget Act of 1974 or the Balanced Budget Emergency Deficit Control Act of 1985 (Gramm-Rudman-Hollings Act).
United States · United States Congress · 20 April 1994
Worker Rights and Labor Standards Trade Act of 1994 - Directs the President to seek the establishment of: (1) a working party within the General Agreement on Tariffs and Trade (GATT) to examine the relationship of fundamental internationally-recognized worker rights to specified articles of the GATT; and (2) a standing committee within the World Trade Organization to perform the functions of the working group.
United States · United States Congress · 19 April 1994
Authorizes and directs the Secretary of Defense to transfer on a nonreimbursable basis any excess industrial property to any nonprofit educational institution or training school when such entity's proposed use of such property will contribute materially to the national defense.
United States · United States Congress · 19 April 1994
Home Worker Tax Relief Act of 1994 - Amends the Internal Revenue Code to provide that a home office qualifies as a principal place of business for purposes of the deductibility of expenses if the office is the location where the taxpayer's essential administrative, management or telecommuting activities are conducted on a regular and systematic (and not incidental) basis. Allows individuals who work at home to deduct a proportionate amount of the equipment they use to telecommute.
United States · United States Congress · 13 April 1994
TABLE OF CONTENTS: Title I: Countervailing and Antidumping Duty Amendments Title II: Intellectual Property Amendments Title III: Market Opening Measures GATT Fair Trade Enforcement Act of 1994 - Title I: Countervailing and Antidumping Duty Amendments - Amends the Tariff Act of 1930 to require every importer of record making an entry of merchandise to declare: (1) whether such merchandise is subject to any antidumping or countervailing duty order; and (2) whether the importer disclosed to the manufacturer of such merchandise in the country of exportation that its destination is the United States. (Sec. 101) Requires such importer with respect to merchandise subject to an antidumping duty order to disclose to the manufacturer that such merchandise has been purchased for exportation to the United States, unless at the time of purchase, the importer did not: (1) intend to export the merchandise to the United States; (2) import it for a period of at least six months from the date of purchase; and (3) regularly engage in a pattern of importation of such merchandise. Subjects importers who fail to make such disclosures to Federal prosecution. (Sec. 102) Sets forth an alternative method for determining the exporter's sales price. (Sec. 103) Directs the International Trade Commission (ITC), with respect to the award of compensation, to forward to the Commissioner of the United States Customs Service within 60 days of the issuance of an antidumping or countervailing duty order a list of petitioners and companies that support the petition with respect to the dollar value of their shipments during the last year covered by the original ITC investigation. Requires the Secretary of the Treasury (Secretary) to establish a special compensation account composed of all antidumping or countervailing duties, including interest, that are collected under a antidumping or countervailing duty order. (Sec. 104) Declares that diversionary input dumping occurs when: (1) a manufacturer incorporates into merchandise under investigation a component which is the subject of an antidumping duty order, a finding issued under the Antidumping Act, 1921, or an international agreement or agreement to eliminate the injurious effect of imports that is entered into after an affirmative preliminary determination with respect to antidumping; and (2) such manufacturer under investigation purchased such component at a price which is less than the foreign market value. Requires the administering authority to commence an antidumping investigation whenever it has reasonable grounds to believe that: (1) diversionary input dumping is occurring; (2) it has a significant effect on the cost of producing the merchandise under investigation; and (3) subsequent to the imposition of an antidumping duty order or entry into force of an agreement relating to the components in question, U.S.-bound shipments of the merchandise under investigation have increased. Provides for extension of the period of time for preliminary determinations of diversionary input dumping by the administering authority. (Sec. 105) Requires the administering authority to decide that a competitive benefit has been bestowed when the price for the input product is lower than the price that the manufacturer of merchandise which is the subject of a countervailing duty proceeding would otherwise pay for the product in obtaining it from an unsubsidized seller (currently any seller) in an arms-length transaction. Sets forth specified factors to be considered in the determination of such price. (Sec. 106) Revises the method by which the administering authority determines the foreign market value of dumped merchandise with respect to their sale at less than the cost of production in their home market. (Sec. 107) Requires the administering authority, when determining whether imported parts or components are circumventing an antidumping or countervailing duty order or finding, and whether to include such parts or components in such order or finding, to consider, among other things, the value and sources of supply parts or components historically used in completion or assembly of the merchandise subject to such order. Authorizes the administering authority to include within the scope of such order or finding imported parts or components used in the completion or assembly of certain merchandise sold in the United States and subject to such order or finding, provided: (1) such merchandise is completed or assembled in the United States or a foreign country from parts or components supplied by the exporter or producer with respect to which such order or finding applies, from suppliers that have historically supplied the parts or components to that exporter or producer, or from any party in the exporting country supplying parts or components on behalf of such exporter or producer; (2) the difference between the value of such imported parts and components and the total value of all parts or components used in the assembly or completion operation, excluding packing, is significant; and (3) consideration of specified factors established a pattern of circumvention of such order or finding. (Sec. 108) Declares that if an antidumping duty petition alleges its petitioning members of the domestic industry account for 25 percent or more of the total production of the like product produced by it, the administering authority shall not be required to further investigate the standing of such petitioners unless a written objection to initiation is filed by a member of the domestic industry. (Sec. 109) Revises, for purposes of determining the foreign market value of imported merchandise, the method for calculating its constructed value. (Sec. 110) Revises provisions regarding the: (1) administrative review, and period of time for review, of quantitative import restriction agreements and antidumping duty or countervailing duty orders or findings; (2) revocation of such orders or findings; and (3) termination of suspended antidumping duty or countervailing duty investigations. (Sec. 111) Revises provisions regarding: (1) foreign market value determinations with respect to imported merchandise to include the effects of fluctuations in currency exchange rates; (2) sampling and averaging in determining the U.S. price or foreign market value of imported merchandise; (3) market viability as it relates to foreign market value determinations; (4) negligible imports as they affect material injury determinations; (5) captive production as it relates to defining the domestic industry; and (6) adjustments to the calculation of the exporter's sales price of merchandise. Title II: Intellectual Property Amendments - Amends the Omnibus Trade and Competitiveness Act of 1988 to revise and specify new U.S. objectives with respect to the international protection of intellectual property rights. (Sec. 202) Prohibits the President from negotiating any new free trade agreement with a foreign country, unless such country: (1) has substantially implemented the Uruguay Round Agreement on Trade-Related Aspects of Intellectual Property Rights (TRIPS); and (2) expresses willingness to negotiate an agreement with the United States to provide intellectual property protection equivalent to that set forth in the Model Intellectual Property Agreement. Requires the President to amend existing free trade agreements to provide greater protection of such rights. Prohibits fast track procedures from applying to any implementing legislation of a free trade agreement if the above-mentioned requirements are not met. (Sec. 203) Amends the Trade Act of 1974 to require the United States Trade Representative (USTR), among other things, to identify those foreign countries that deny non-discriminatory market access opportunities for U.S. persons, including access related to any exploitation or enjoyment of commercial benefits from exercising rights in protected works, fixations, or products embodying protected works. Sets forth additional factors the USTR must take into account in identifying a priority foreign country. Revises provisions regarding a foreign country's denial of: (1) adequate protection of intellectual property rights; and (2) fair market access. Specifies when a foreign country denies non-discriminatory market access opportunities for U.S. persons in respect of establishing business operations or any use, benefit, or exploitation of protected works, fixations, or products embodying protected rights. (Sec. 204) Amends the Tariff Act of 1930 to make it unlawful for an owner, distributor, or consignee to sell articles, including semiconductor chip products, in the United States that: (1) infringe a valid U.S. patent or copyright; (2) are made or mined by means of a process covered by a valid U.S. patent; (3) infringe a valid U.S. trademark; and (4) infringe a mask work. Requires the Secretary of Commerce to investigate any violations committed under this Act. Sets forth civil penalties. (Sec. 205) Amends the Trade Act of 1974 to prohibit the President, one year after the effective date of the Uruguay Round Agreement establishing the World Trade Organization, from designating any country a beneficiary developing country if it has not implemented the TRIPS. Authorizes the President to designate: (1) a least developed country a beneficiary developing country for four additional years; and (2) a non-least developed country certified to the Congress to be making significant progress toward implementation of TRIPS a beneficiary developing country for one additional year. (Sec. 206) Requires the USTR to: (1) maintain a Model Intellectual Property Agreement that embodies provisions for intellectual property protection that strengthen the standards contained in TRIPS and the North American Free Trade Agreement (NAFTA); and (2) review periodically the Model Intellectual Property Agreement to ensure it reflects new developments in intellectual property protection and new technologies. (Sec. 207) Requires the Secretary of State to instruct all heads of U.S. diplomatic missions abroad to include intellectual property protection as a priority objective of the mission. (Sec. 208) Requires the USTR to develop a procedure to ensure the exchange of information between interested U.S. private sector representatives and the USTR in preparation for international intellectual property-related dispute settlement proceedings to which the United States is a party. (Sec. 209) Authorizes the President to undertake specified actions with respect to developing countries to encourage them to improve their protection of intellectual property. (Sec. 210) Urges the USTR to negotiate with foreign countries the implementation of the border enforcement provisions against the importation of infringing goods enumerated in TRIPS, and if warranted, require those countries that chronically violate intellectual property rights to establish an export control monitoring system. Title III: Market Opening Measures - Amends the Trade Act of 1974 to authorize the President to impose civil penalties on foreign or domestic persons that engage in restrictive business practices, including price-fixing, bid-rigging, joint restraint of output, market allocation, boycotts, tying arrangements, or similar activities, when such practices foreclose U.S. exports or burden or restrict U.S. foreign commerce. Authorizes the President to negotiate settlement agreements with parties or governments which result in the elimination of: (1) the practice under investigation; or (2) the restriction on U.S. exports or the burden or restriction on U.S. commerce. Provides for the imposition of civil penalties. (Sec. 302) Authorizes the President to take trade action with respect to any area pertinent to relations with a foreign country that is that target of such action, including but not limited to, trade in any goods or services. Declares unreasonable any act, policy, or practice which denies fair and equitable provision of adequate and effective protection of intellectual property rights, notwithstanding that the foreign country may have implemented TRIPS or any other bilateral, regional, or multilateral agreement with respect to intellectual property protection. Requires the USTR to initiate an investigation whenever a petition alleges that: (1) a foreign country fails to provide adequate and effective protection of intellectual property rights; and (2) acts, policies, or practices of the country either deny benefits to the United States under a trade agreement, or burden or restrict U.S. commerce. (Sec. 303) Expresses the sense of the Congress that every effort be taken to conclude the Multilateral Steel Agreement (MSA) before implementation of the Uruguay Round of the General Agreement on Tariffs and Trade (GATT). Declares that a principal U.S. negotiating objective in the MSA shall be to obtain rules ensuring the elimination of all injurious subsidies. Requires, prior to implementation of GATT, that U.S. negotiators consider the potential impact the elimination of tariffs on specialty steel products would have on the specialty steel industry absent a successful conclusion of the MSA.
United States · United States Congress · 24 March 1994
Amends the Fair Labor Standards Act of 1938 to apply an overtime exemption to employees of any establishment (currently, any retail or service establishment) whose regular rate of pay exceeds one and one-half times the minimum wage and more than half of whose compensation represents commissions on goods or services.
United States · United States Congress · 24 March 1994
TABLE OF CONTENTS: Title I: Credit for Rural Business Enterprises Title II: Credit for Rural Infrastructure Title III: Credit for Rural Housing Rural Credit and Development Act of 1994 - Title I: Credit for Rural Business Enterprises - Amends the Farm Credit Act of 1971 to permit farm credit banks and production credit associations to purchase loans and loan interests from non-Farm Credit System institutions. Enlarges the scope of farm-related business for credit availability purposes. Authorizes banks for cooperatives to provide loans and other financial services to entities providing certain farm-related services or products under specified conditions. Title II: Credit for Rural Infrastructure - Authorizes Farm Credit banks to make community facility loans. Authorizes banks for cooperatives to finance utility-related services. Title III: Credit for Rural Housing - Enlarges rural housing credit availability by: (1) increasing eligible population areas; (2) increasing farm credit bank and production credit association loan portfolios for non-farmer rural housing loans; and (3) authorizing loans to rural residents for personal, family, or household needs other than housing finance.
United States · United States Congress · 24 March 1994
United States Botanic Garden Commemorative Coin Act of 1995 - Directs the Secretary of the Treasury to: (1) issue one-dollar silver coins to commemorate the 175th anniversary of the founding of the United States Botanic Garden; and (2) pay all surcharges received from such coin sales to the National Fund for the United States Botanic Garden.
United States · United States Congress · 21 March 1994
Encourages the President to take steps to ensure that certain unresolved American commercial claims against Saudi Arabia are resolved satisfactorily. Declares that such steps should include the issuance of a diplomatic demarche requesting that American firms be quickly and justly compensated for damage resulting from contract disputes with Saudi Arabia.
United States · United States Congress · 18 March 1994
Pesticide Food Safety Act of 1994 - Amends the Federal Food, Drug, and Cosmetic Act to exclude pesticide chemicals from the definition of "food additive." Modifies the circumstances in which the presence of a pesticide chemical residue renders a food adulterated. (Sec. 3) Replaces provisions relating to tolerance for pesticide chemicals in or on raw agricultural commodities with provisions relating to tolerances and exemptions for pesticide chemical residues. Deems a pesticide chemical residue unsafe, unless it is within an established tolerance or an exemption is in effect. Authorizes the Administrator of the Environmental Protection Agency to establish a separate tolerance for a pesticide chemical residue with respect to food at the time the food is harvested, purchased at retail, and processed. Allows a tolerance only if the risk to human health from dietary exposure to the residue is negligible. Sets forth criteria for determining whether the risk is negligible. Requires, in determining dietary exposure, consideration of all other sources (including drinking water) of dietary exposure occurring over a lifetime. Sets forth a special exposure rule allowing, in certain circumstances, calculation of exposure to a food based on reliable data that provide the Administrator with a valid statistical basis to identify the percentage of the food in which the residue actually occurs. Requires, if a tolerance or exemption is revoked and the residue will unavoidably persist in the environment and contaminate food, that a new tolerance be established at the lowest level that permits only the unavoidable levels to remain in the food. Prohibits the issuance of a tolerance for any pesticide that contains an active or inert ingredient that is a known or probable human carcinogen or highly hazardous to human health. Allows: (1) establishment, modification, or revocation of a tolerance or establishment or revocation of an exemption from a tolerance in response to a petition or on the initiative of the Administrator; and (2) an exemption if the residue is not a human or animal carcinogen and otherwise presents no risk to human health from dietary exposure. Conditions establishment and continuation of a tolerance or exemption on the existence of a practical method of residue detection that can be performed by the Secretary of Health and Human Services on a routine basis as part of surveillance and compliance sampling for residues. Allows any person to petition the Administrator for the establishment, modification, or revocation of a tolerance or exemption. Directs the Secretary to conduct surveillance and compliance sampling of food for pesticide chemical residues. (Sec. 4) Requires the Administrator to: (1) evaluate each existing tolerance or exemption; and (2) determine, for each method of detecting and measuring levels of residues, whether the method meets certain requirements of this Act. (Sec. 6) Mandates fees sufficient to provide, equip, and maintain adequate service with regard to the review of existing tolerances and exemptions and the review of methods of detecting and measuring levels of residues.
United States · United States Congress · 17 March 1994
Amends the Job Training Partnership Act to provide that specified funds for employment and training assistance for dislocated workers shall be used to provide counseling and guidance relating to postsecondary education options for eligible dislocated workers, including information on public and private programs of student financial assistance.
United States · United States Congress · 17 March 1994
Interstate Municipal Solid Waste Control Act - Amends the Solid Waste Disposal Act to authorize State Governors to limit the quantity of out-of-State municipal solid waste (MSW) received for disposal at landfills or incinerators to an annual quantity equal to that received during 1990, 1991, or 1992, whichever is less. Limits the quantity of out-of-State MSW received to an annual quantity no greater than 30 percent of all MSW received in 1990, 1991, or 1992, whichever is less, if, during such year, the landfill or incinerator received documented shipments of more than 50,000 tons of out-of-State MSW representing more than 30 percent of all MSW received during the calendar year concerned. Provides for further limits in 1995 through 1997. Authorizes State Governors to prohibit the disposal of out-of-State MSW in: (1) new landfills or incinerators; or (2) landfills or incinerators that do not meet certain requirements of Federal and State laws. Permits State Governors to treat any out-of-State industrial solid waste as out-of-State MSW if it is disposed of at a landfill or incinerator that receives MSW. Authorizes counties to exercise the same authorities with respect to out-of-State MSW as State Governors, except that the 30 percent limitation described in this Act shall be 20 percent. Prohibits discrimination against shipments of out-of-State solid waste on the basis of State of origin. Authorizes a State Governor to limit or prohibit the exportation outside the State of MSW generated in the State, except for materials that have been separated from MSW for recycling. Exempts from the requirements of this Act: (1) material that has been separated or diverted from MSW and has been transported into the State for purposes of recycling and any material returned from a dispenser or distributor to the manufacturer for credit, evaluation, or reuse (this section does not apply to material disposed of in a landfill or incinerator); (2) solid waste generated by an industrial facility and transported for purposes of treatment, storage, or disposal to a facility owned or operated by the waste generator; and (3) solid waste generated incident to the provision of air transportation.
United States · United States Congress · 17 March 1994
Amends the Higher Education Act of 1965 to revise the formula for calculation of need for student assistance for dislocated workers by defining their income as that for the year for which the determination is made.
United States · United States Congress · 16 March 1994
TABLE OF CONTENTS: Title I: Comprehensive Program for Worker Reemployment Title II: One-Stop Career Center System Title III: National Labor Market Information System Title IV: Reinvention Labs for Job Training for the Economically Disadvantaged Reemployment Act of 1994 - Establishes: (1) a comprehensive program for worker reemployment; (2) a one-stop career center system; (3) a national labor market information system; and (4) reinvention labs for job training for the economically disadvantaged. (Sec. 4) Authorizes appropriations for titles I, III, and IV of this Act. Title I: Comprehensive Program for Worker Reemployment - Allots funds among States and reserves certain funds for national activities. (Sec. 103) Makes certain permanently laid-off workers and long-term unemployed individuals (as well as workers facing imminent plant shutdowns and self-employed individuals unemployed because of community economic conditions or natural disasters) eligible for services under this title. Makes dislocated homemakers eligible if a State Governor deems this appropriate and certain conditions are met. Part A: State and Substate Delivery System - Makes States responsible for administrative and management systems under this title. (Sec. 112) Requires the Governor to designate or establish a dislocated worker unit at the State level, with specified rapid response, information, and coordination functions. Directs such unit to coordinate with substate grantees and career centers, and to promote worker-management transition assistance committees. Provides for rapid response coverage of certain layoffs, State funding of preliminary assessments of worker buyouts of plants, prohibition of State transfer of rapid response functions, and Federal oversight of such functions. (Sec. 113) Requires the Governor to develop and maintain a comprehensive labor market information system in the State that meets certain requirements relating to the national system of effective labor market information. (Sec. 114) Requires the Governor to coordinate programs under this title with the worker profiling system under the Social Security Act and the retraining income support program under this Act. (Sec. 115) Authorizes the Governor to award supplementary grants to eligible entities to provide authorized services to eligible individuals in areas of the State experiencing substantial increases in numbers of such individuals due to plant closures, base closures, and mass layoffs. Allows such grant funds to be used to establish additional service centers, including on-site transition centers. (Sec. 116) Authorizes the Governor to award job retention project grants for: (1) upgrading skills of workers at risk of permanent layoff; and (2) retraining workers in new technologies and work processes to help convert or restructure businesses into high performance work organizations and avert plant closings or substantial layoffs. Requires State and employer contributions. Requires consultation with unions. (Sec. 117) Requires establishment of substate area administrative structures. (Sec. 118) Requires each designated substate grantee to establish one or more career centers in that area. Allows additional, temporary on-site transition centers. (Sec. 119) Authorizes the use of substate area funds for the following services for eligible individuals: (1) basic reemployment services; (2) intensive reemployment services; (3) education and training services; (4) retraining income support; (5) supportive services; and (6) supplemental wage allowances for older workers. (Sec. 120) Allows a career center to issue a certificate of continuing eligibility for services to eligible individuals who are accepting employment at a significantly lower wage than their previous one or in an occupation significantly different from their previous one. Part B: Federal Service Delivery System - Directs the Secretary of Labor to establish a program of national discretionary grants to address large-scale economic dislocations resulting from plant closures, base closures, or mass layoffs. Allows the use of such grants to: (1) provide comprehensive planning services to assist communities in addressing and reducing the impact of an economic dislocation; and (2) establish on-site transition centers. (Sec. 132) Directs the Secretary to make funds available for disaster relief employment assistance to States for substate allocation. (Sec. 133) Directs the Secretary to provide for: (1) evaluation of programs under this title; (2) research on addressing economic dislocation, facilitating the transition of permanently laid-off workers to reemployment, and upgrading skills of employed workers; and (3) demonstration projects to develop and improve methods of addressing economic dislocation and promoting worker adjustment. (Sec. 134) Directs the Secretary to provide staff training and technical assistance to various entities to enhance their capacity to develop and deliver adjustment assistance services to workers, and to avert plant closings or substantial layoffs. Requires integration of such activities with those of the Capacity Building and Information and Dissemination Network. (Sec. 135) Directs the Secretary to provide for delivery of programs, activities, and services under this title in any State that chooses not to participate. Part C: Performance Standards and Quality Assurance Systems - Directs the Secretary to establish a process, including an annual meeting, in each State to promote development of a customer service compact among parties administering programs under this title. (Sec. 152) Directs the Secretary to prescribe performance standards relating separately to the substate grantees and the career centers. Directs Governors to prescribe adjustments to such standards and award incentive grants to grantees and centers exceeding such standards. (Sec. 153) Requires each substate grantee to establish methods for obtaining customer feedback from eligible individuals and employers who have received services from a career center. (Sec. 154) Makes providers of education and training services eligible to receive funds under this title if they are eligible to participate under student aid provisions of the Higher Education Act of 1965 or are determined eligible under alternative procedures established by Governors, and if they provide performance-based information. Exempts on-the-job training providers from such requirements. Part D: General Requirements - Sets forth general requirements for programs under this title, including provisions for benefits, labor standards, and grievance procedures. Part E: Fiscal Administrative Provisions - Sets forth various administrative provisions, including ones for program year, prompt allocation of funds, monitoring, fiscal controls and sanctions, reports, recordkeeping, and investigations, administrative adjudication, nondiscrimination, judicial review, nondiscrimination, and criminal provisions. Part F: Miscellaneous Provisions - Provides for transition, on July 1, 1995, to programs authorized under this title from the following programs, which this Act repeals, under employment and training assistance for dislocated workers provisions of the Job Training Partnership Act (JTPA): (1) Economic Dislocation and Worker Adjustment Assistance program; (2) Defense Conversion Adjustment Program; (3) Defense Diversification Program; and (4) Clean Air Employment Transition Assistance Program. Terminates the Disaster Relief Employment Assistance program under JTPA. Title II: One-Stop Career Center System - Part A: Components of Voluntary One-Stop Career Center System - Requires a State's one-stop career center system, in order to receive a grant or waiver under this title, to include: (1) local workforce investment boards; (2) one-stop career centers established in accordance with specified procedures; (3) provision of specified services; (4) participation of specified Federal programs; (5) operating agreements for such centers; (6) quality assurance systems; and (6) a State Human Resource Investment Council. (Sec. 212) Directs the Governor to designate one-stop service areas within the State. Directs local officials to establish a workforce investment board for each such area. (Sec. 213) Directs the Governor and local officials to jointly select a consortium option or a multiple independent operator option as the method for establishing one-stop career centers for each service area. (Sec. 214) Requires each center to make available: (1) certain basic services to the public free of charge; and (2) certain intensive services to participants in the title I comprehensive program for worker reemployment who are unable to obtain employment through the basic services (and, optionally, to other individuals in accordance with the written agreement). Authorizes each center to provide specialized services to employers and additional services specified in the agreement. Authorizes charging fees under specified conditions, with all program income to be used to expand or enhance services. (Sec. 215) Requires the following programs to be made available to participants through the centers (and to participate in operation of such centers as parties to the agreement): (1) comprehensive programs for worker reemployment under title I of this Act; (2) Wagner-Peyser Act programs (employment services); (3) job counseling, training, and placement for veterans; (4) training services for the disadvantaged under title II of JTPA; (5) community service employment for older Americans programs under title V of the Older Americans Act; and (6) programs authorized under Federal and State unemployment compensation laws. Allows other human resource programs to provide services through and participate in operation of the centers, under specified conditions, including the Job Opportunities and Basic Skills program for AFDC recipients, the Food Stamp Employment and Training program, the Job Corps, veterans' employment programs under JTPA, and programs under the Carl D. Perkins Vocational and Applied Technology Education Act, Adult Education Act, Vocational Rehabilitation Act, and School-to-Work Opportunities Act. (Sec. 216) Sets forth requirements for operating agreements and quality assurance systems. (Sec. 218) Requires each State to establish a State human resource investment council that meets specified JTPA requirements and carries out certain additional functions including advising on development and implementation of the one-stop career center system. Part B: Grants and Waivers to Promote the Development and Implementation of One-Stop Career Center System - Authorizes the Secretary to establish programs of competitive grants to States for planning and development and for implementation of comprehensive statewide networks of one-stop career centers. (Sec. 233) Allows a State, at any point during such development or implementation, to request from the Secretary a waiver of one or more statutory or regulatory provisions. Sets forth waiver criteria. Subjects to such waiver authority the mandatory participating programs of the centers. (Sec. 234) Provides for pooling of administrative resources. Part C: Additional Activities in Support of One-Stop Career Center Systems - Directs the Secretary to establish a process, with each State implementing the one-stop career center system, including an annual meeting, to promote development of a customer service compact among the parties administering the system. (Sec. 235) Makes each State implementing such a system responsible for administration, management, monitoring, and technical assistance. (Sec. 236) Makes the Secretary responsible for monitoring compliance, staff training and technical assistance (integrated with the Capacity Building and Information Dissemination Network under JTPA), a national logo and name, and evaluation of one-stop career center programs. Part D: Effective Date - Sets forth effective dates for this title and for performance standards. Title III: National Labor Market Information System - Directs the Secretary to develop, in coordination with other Federal, State, and local entities, a strategy to establish a nationwide system of local labor market information. (Sec. 303) Directs the Secretary, in cooperation with such other entities and public-private partnerships, to develop such system to make available specified types of information. Requires certain technical standards, consumer reports, and evaluation. (Sec. 304) Directs the Secretary to provide for coordination and integration of such system and appropriate dissemination of information. Title IV: Reinvention Labs for Job Training for the Economically Disadvantaged - Amends the Job Training Partnership Act (JTPA) to establish a five-year Reinvention Labs program to: (1) encourage innovative program designs to improve provision of services to and labor market outcomes for economically disadvantaged youth and adults; (2) develop, through service delivery areas (SDAs) and States, knowledge of effective approaches to providing employment and training to the economically disadvantaged; and (3) provide SDAs with increased flexibility in operating job training programs, in exchange for greater accountability. (Sec. 401) Sets forth requirements for SDA applications for waivers of Federal requirements relating to JTPA programs for employment and training of the economically disadvantaged. Authorizes the Secretary to waive certain of such requirements under specified conditions and to provide technical assistance to SDAs, States, and service providers for Reinvention Labs programs. (Sec. 402) Modifies the definition of tuition under JTPA.
United States · United States Congress · 8 March 1994
Helium Act of 1994 - Amends the Helium Act to authorize the Secretary of the Interior to: (1) enter into agreements with private parties for the recovery and disposal of helium on Federal lands; (2) grant leasehold rights to such helium; (3) store and transport crude helium; and (4) maintain and operate existing crude helium storage at the Bureau of Mines Cliffside Field. Directs the Secretary to: (1) cease producing, refining, and marketing refined helium; and (2) dispose of all facilities, equipment, and Federal property interests relating to refined helium activities. Requires the Secretary to impose fees for helium storage, withdrawal, or transportation services. Prescribes guidelines for: (1) the purchase of helium by Federal agencies from certain private persons; and (2) the sale of crude helium by the Secretary. Mandates that proceeds from helium sales be paid to the Treasury. Instructs the Secretary to eliminate helium stockpiles by a prescribed deadline. Repeals the Secretary's authority to borrow under the Helium Act.
United States · United States Congress · 3 March 1994
TABLE OF CONTENTS: Title I: Insurance Reform Subtitle A: Increased Availability and Continuity of Health Coverage for Employees and Their Families Subtitle B: Reform of Health Insurance Marketplace for Small Business Subtitle C: Preemption Subtitle D: Health Deduction Fairness Title II: Preventing Fraud and Abuse Subtitle A: Establishment of All-Payer Health Care Fraud and Abuse Control Program Subtitle B: Revisions to Current Sanctions for Fraud and Abuse Subtitle C: Administrative and Miscellaneous Provisions Subtitle D: Amendments to Criminal Law Title III: Malpractice Reform Subtitle A: Findings; Purpose; Definitions Subtitle B: Uniform Standards for Malpractice Claims Subtitle C: Requirements for State Alternative Dispute Resolution Systems (ADE) Title IV: Paperwork Reduction and Administrative Simplification Title V: Expanding Access/Preventive Care Subtitle A: Expanding Access Through Community Health Authorities Subtitle B: Expansion of Public Health Programs on Preventive Health Title VI: Antitrust Provisions Title VII: Prefunding Government Health Benefits for Certain Annuitants Health Reform Consensus Act of 1994 - Title I: Insurance Reform - Subtitle A: Increased Availability and Continuity of Health Coverage for Employees and Their Families - Requires each employer to make available to each eligible employee a group health plan under which: (1) coverage of each eligible individual with respect to such employee may be elected on an annual basis; (2) coverage is provided for at least the required coverage specified; and (3) employees may elect to have premiums collected through payroll deduction. Does not require employer contributions to the cost of coverage under such a plan. Provides for the exclusion of: (1) employers who have been employers for less than two years or who have no more than two eligible employees or no more than two eligible employees not covered under any group health plan; and (2) family members under specified circumstances. Specifies that a group health plan shall not be treated as failing to meet the requirements of this Act solely because a period of service by an eligible employee of not more than 60 days is required for coverage. Specifies that the required coverage is standard coverage, except that in the case of a small employer that has not contributed during the previous plan year to the cost of coverage for any eligible employee under any group health plan, the required coverage for the plan year is coverage under a standard plan and a catastrophic plan. Provides for a five-year transition for existing group health plans. (Sec. 1002) Sets forth provisions regarding: (1) compliance with applicable requirements through multiple employer health arrangements; and (2) coverage options under a State medical health allowance program. (Sec. 1011) Prohibits a group health plan from imposing (and an insurer from requiring an employer from imposing through a waiting period for coverage under a plan or similar requirement) a limitation or exclusion of benefits relating to treatment of a preexisting condition if: (1) the condition relates to a condition that was not diagnosed or treated within three months before the date of coverage under the plan; or (2) the limitation or exclusion extends over more than six month after the date of coverage, applies to an individual who, as of the date of birth, was covered under the plan, or relates to pregnancy. Specifies that, in the case of an individual who is eligible for coverage under a plan but for a waiting period imposed by the employer, the individual shall be treated as having been covered under the plan as of the earliest date of the beginning of the waiting period. (Sec. 1012) Requires each group health plan to waive any period applicable to a preexisting condition for similar benefits with respect to an individual to the extent that the individual, prior to enrollment in such plan, was covered for the condition under any other health plan. (Sec. 1013) Prohibits: (1) a multiemployer plan and an exempted multiple employer health plan from canceling or denying renewal of coverage under such a plan for an employer other than for nonpayment of contributions, fraud or other misrepresentation, noncompliance with plan provisions, failure to maintain minimum participation rates (in the case of a small employer) misuse of a provider network provision, or because the plan is ceasing to provide any coverage in a geographic area; (2) an insurer from canceling a health insurance plan or denying renewal of coverage other than as prescribed above; and (3) an insurer who terminates the offering of health insurance plans in an area from offering such a plan to any employer in the area until five years after the date of the termination. (Sec. 1021) Makes provisions of the Employee Retirement Income Security Act of 1974 applicable with respect to enforcement of this Act (by the Department of Labor). Imposes a civil penalty ($100 per day for each individual involved, subject to specified limitations) on the failure of an insurer to comply with the requirements of sections 1011 through 1013, unless the Secretary of Health and Human Services (Secretary) determines that the State has in effect a regulatory enforcement mechanism that provides adequate sanctions. Subtitle B: Reform of Health Insurance Marketplace for Small Business - Requires each insurer that makes available a health insurance plan to a small employer in a State to make available to each small employer in the State a standard plan and a catastrophic plan, with exceptions for health maintenance organizations (HMOs) and if a State provides for guaranteed availability (rather than guaranteed issue). Requires each insurer that offers a standard or catastrophic plan to a small employer in a State to accept: (1) every small employer in the State that applies for coverage; and (2) every eligible individual who applies for enrollment on a timely basis. Sets forth provision regarding: (1) special rules for HMOs; (2) timely enrollment requirements; and (3) enrollment of spouses and dependents. Makes such requirements inapplicable in a State that has provided (in accordance with specified standards) a mechanism under which each insurer offering a health insurance plan to a small employer in the State must participate in a program for assigning high-risk small employer groups (or individuals within such a group) among some or all such insurers, if the insurers comply. (Sec. 1102) Defines "health plan" as a health insurance plan that: (1) is designed to provide standard coverage with substantial cost-sharing or only catastrophic coverage; (2) meets applicable requirements relating to guaranteed issue; (3) meets specified consumer protection standards; and (4) meets any participation requirements with respect to an applicable reinsurance or allocation of risk mechanism. States that standard coverage includes: (1) inpatient and outpatient hospital care; (2) inpatient and outpatient physicians' services; (3) diagnostic tests; (4) specified preventive services; and (5) specified inpatient hospital care for mental disorders. Sets forth coverage scope, including that there be no limits on the amount, scope, or duration of items number one, two, and three in the preceding sentence. Sets forth exceptions. Sets forth limitations on deductibles, copayments and coinsurance, and out-of-pocket expenses. Defines a catastrophic benefits package. Provides for the determination of target actuarial values for standard and catastrophic coverage. (Sec. 1103) Directs the Secretary to request NAIC to develop model regulations that specify standards with respect to requirements: (1) that insurers make available health plans; (2) of guaranteed availability of health plans to small employers; (3) relating to limits on premiums and certain consumer protections; (4) relating to limitation of annual premium increases; and (5) for standard and catastrophic coverage. Requires the Secretary to review such standards and, if NAIC fails to specify standards meeting such requirements, to promulgate standards. Sets forth provisions regarding: (1) the application of health plan standards and consumer protection standards by the States; (2) the Federal role; and (3) consumer protection standards. (Sec. 1104) Sets forth provisions: (1) regarding limits on premiums and annual premium increases; and (2) requiring an insurer, at the time of offering a health insurance plan to a small employer, to fully disclose rating practices for health insurance plans, including rating practices for different populations and benefit designs. (Sec. 1106) Directs the Secretary to: (1) request NAIC to develop models for reinsurance or allocation of risk mechanisms for health insurance plans made available to small employers for whom an insurer is at risk of incurring high costs under the plan; and (2) review such models or specify models. Sets forth provisions regarding implementation of reinsurance or allocation of risk mechanisms by the States and the Federal role. (Sec. 1108) Directs the Secretary to establish an Office of Private Health Care Coverage. Requires the Office Director to submit to the Congress annual reports evaluating health care coverage reform. (Sec. 1109) Authorizes the Director to conduct: (1) research on the impact of this subtitle on the availability of affordable health coverage for employees and dependents in the small employers group health care coverage market and other specified topics; and (2) demonstration projects relating to such topics. Requires the Director to develop: (1) methods for measuring the relative health risks of eligible individuals in terms of the expected costs of providing benefits under health insurance plans and, in particular, health plans; (2) a model for equitably distributing health risks among insurers in the small employer health care coverage market. Authorizes appropriations. Subtitle C: Preemption - Prohibits: (1) State benefit mandates for group health plans; and (2) State or local law prohibitions against two or more employers obtaining coverage under an insured multiple employer health plan. (Sec. 1203) Preempts State restrictions concerning: (1) reimbursement rates or selective contracting; (2) differential financial incentives; and (3) utilization review methods. Directs the Comptroller General to conduct a study of the benefits and cost effectiveness of the use of managed care in the delivery of health services. (Sec. 1211) Amends the Employee Retirement Income Security Act of 1974 (ERISA) to allow a limited exemption under preemption rules for multiple employer plans providing health benefits subject to certain Federal standards. Relieves exempted multiple employer plans providing medical care benefits of certain restrictions on preemption of State law. Treats such plans as employee welfare benefit plans. Allows commencement of new arrangements only if such exemption is in effect or an application is pending and the Secretary of Labor determines that provisional protection is appropriate. Sets forth exemption procedures, eligibility requirements, and additional requirements applicable to exempted arrangements. Requires certain disclosures to participating employers, maintenance of reserves, and corrective actions. Provides for expiration, suspension, and revocation of exemptions, and for review of actions by the Secretary. (Sec. 1213) Revises provisions relating to scope of preemption rules, and to treatment of single employer arrangements and of certain collectively bargained arrangements. (Sec. 1215) Establishes special rules for employee leasing healthcare arrangements. Treats such arrangements as multiple employer welfare arrangements except when they are multiple employer health plans. (Sec. 1216) Sets forth enforcement provisions relating to multiple employer welfare arrangements and employee leasing health care arrangements. (Sec. 1217) Sets forth filing requirements for multiple employer welfare arrangements. (Sec. 1218) Provides for cooperation between Federal and State authorities in enforcing ERISA requirements for multiple employer welfare arrangements with the limited exemption. (Sec. 1221) Amends the Internal Revenue Code to eliminate the commonality of interest or geographic location requirement for tax exempt trust status for multiple employer health plans and insured multiple employer health plans if they meet certain requirements under ERISA and this Act. (Sec. 1231) Amends ERISA to direct the Secretary of Labor to prescribe an alternative method providing for a single annual report with respect to all employers who are covered under the same insured multiple employer health plan. (Sec. 1241) Provides for compliance with applicable coverage requirements through multiemployer plans and other multiple employer health arrangements. Subtitle D: Health Deduction Fairness - Amends the Internal Revenue Code to provide for a permanent extension and increase in the health insurance tax deduction for self-employed individuals. Title II: Preventing Fraud and Abuse - Subtitle A: Establishment of All-Payer Health Care Fraud and Abuse Control Program - Directs the Attorney General to establish a program to: (1) coordinate Federal, State, and local law enforcement programs to control health care fraud and abuse; (2) conduct investigations, audits, and inspections relating to the delivery of payment for health care; and (3) facilitate enforcement of provisions of the Social Security and other Acts applicable to health care fraud and abuse. Authorizes additional appropriations as necessary. (Sec. 2003) Establishes the Anti-Fraud and Abuse Trust Fund. Subtitle B: Revisions to Current Sanctions for Fraud and Abuse - Excludes from participation in Medicare and State health care programs any individual or entity convicted of: (1) fraud in connection the delivery of a health care item or service; or (2) a felony related to a controlled substance. (Sec. 2103) Subjects to a civil monetary penalty any individual or entity offering inducements to individuals to receive any service or supply from a particular provider. (Sec. 2104) Permits the imposition of intermediate sanctions in addition to the current option of termination, for Medicare health maintenance organizations. Subtitle C: Administrative and Miscellaneous Provisions - Directs the Secretary to establish a national health care fraud and abuse data collection program for the reporting of final adverse actions against health care providers, suppliers, or practitioners. Requires each government agency and health care plan to report to the Secretary any final adverse action taken against a health care provider, supplier, or practitioner. Subtitle D: Amendments to Criminal Law - Establishes a penalty of up to five years' imprisonment for knowingly: (1) defrauding any health care plan; or (2) fraudulently obtaining money or property in connection with the delivery of health care items, benefits, or services. Permits a payment of up to $10,000 to any person furnishing information relating to any such crime. Title III: Malpractice Reform - Subtitle A: Findings; Purpose; Definitions - Sets forth, for this title, findings, purposes, and definitions. Subtitle B: Uniform Standards for Malpractice Claims - Makes this subtitle applicable to any medical malpractice liability action brought in a Federal or State court and to any medical malpractice claim subject to an alternative dispute resolution system. (Sec. 3102) Prohibits bringing a medical malpractice liability action in either a State or Federal court unless there has been an initial resolution of the action under an alternative dispute resolution system. Directs the Attorney General to establish an alternative dispute resolution process for medical malpractice liability claims brought against the United States. (Sec. 3104) Sets limits on both noneconomic damages and punitive damages. (Sec. 3105) Provides for the periodic payment of future losses. (Sec. 3106) Limits attorney's fees. (Sec. 3108) Sets forth special provisions for certain obstetric services. Subtitle C: Requirements for State Alternative Dispute Resolution System (ADR) -Requires a State's alternative dispute resolution system, among other things to: (1) apply to all medical malpractice liability claims within the jurisdiction of the State's courts; (2) issue a written opinion resolving the dispute within six months of a defendant receiving notice; (3) qualify individuals who hear and resolve claims under the system; and (4) notify the appropriate State agency if there is a finding of malpractice, unless the provider contests the ADR decision. (Sec. 3202) Directs the Secretary to establish an Alternative Dispute Resolution Advisory Board in order to advise the Secretary regarding the establishment of State and Federal ADR systems. Provides for the certification of State ADR systems by the Board. Title IV: Paperwork Reduction and Administrative Simplification - Preempts State quill pen laws. (Sec. 4102) Provides for the confidentiality of electronic health care information. (Sec. 4003) Directs the Secretary to establish national goals for the health care industry concerning: (1) standardization for the electronic receipt and transmission of health plan information; (2) use of uniform health claims forms and identification numbers; (3) priority of insurers when benefits are payable under two or more health plans; and (4) availability of information among health plans when benefits are payable under two more plans. Requires the Secretary to promulgate requirements if the industry does not meet the goals. Provides for monetary penalties on any health plan that does not meet the Secretary's requirements. Title V: Expanding Access/Preventive Care - Subtitle A: Expanding Access Through Community Health Authorities - Amends title XIX (Medicaid) of the Social Security Act to direct the Secretary to operate a program under which States establish projects to demonstrate the effectiveness of various innovative health care delivery approaches through the operation of community health authorities. Requires a community health authority to be a nonprofit entity that: (1) serves a geographic area that includes those designated by the Public Health Service Act as medically underserved or as being in a health professions shortage area; (2) enrolls the Medicaid eligible; and (3) provides for the provision of at least preventive services, primary care services, inpatient and outpatient hospital services, and other services. (Sec. 5002) Authorizes the Secretary to make grants to migrant and community health centers for the development of health service networks to serve high impact areas, medically underserved areas, or medically underserved populations. Authorizes appropriations through FY 1999. Subtitle B: Expansion of Public Health Programs on Preventive Health - Authorizes appropriations, under the Public Health Service Act, for the following: (1) immunizations against vaccine-preventable diseases; (2) prevention, control, and elimination of tuberculosis; (3) lead poisoning prevention; (4) preventive health measures with respect to breast and cervical cancers; (5) the Office of Minority Health Disease Prevention and Health Promotion; and (6) the Office of Minority Health; and (7) the preventive health and health services block grant. Title VI: Antitrust Provisions - Directs the Attorney General to: (1) provide for the development and publication of explicit guidelines on the application of antitrust laws to the activities of health plans; and (2) establish a review process under which the administrator or sponsor of a health plan may submit a request to the Attorney General to obtain a prompt opinion from the Department of Justice on the plan's conformity with Federal antitrust laws. (Sec. 6002) Authorizes the issuance of a certificate of public advantage by the Attorney General to each eligible health care collaborative activity if there is a finding that the benefits that are likely to result from carrying out the activity outweigh any reduction in competition that is likely to result and such reduction is reasonably necessary. Title VII: Prefunding Government Health Benefits for Certain Annuitants - Requires certain executive branch agencies to prefund government health benefits contributors for their annuitants.
United States · United States Congress · 3 March 1994
TABLE OF CONTENTS: Title I: Establishment of a State-Based American Health Security Program; Universal Entitlement; Enrollment Title II: Comprehensive Benefits, Including Preventive Benefits and Benefits for Long Term Care Title III: Provider Participation Title IV: Administration Subtitle A: General Administrative Provisions Subtitle B: Control Over Fraud and Abuse Title V: Quality Assessment Title VI: National Health Security Budget; Payments; Cost Containment Measures Subtitle A: Budgeting and Payments to States Subtitle B: Payments by States to Providers Subtitle C: Mandatory Assignment and Administrative Provisions Title VII: Promotion of Primary Health Care; Development of Health Service Capacity; Programs to Assist the Medically Underserved Subtitle A: Promotion and Expansion of Primary Care Professional Training Subtitle B: Direct Health Care Delivery Subtitle C: Primary Care and Outcomes Research Subtitle D: School-Related Health Services Title VIII: Financing Provisions; American Health Security Trust Fund Subtitle A: American Health Security Trust Fund Subtitle B: Taxes Based on Income and Wages Subtitle C: Increase in Excise Taxes on Tobacco Products Subtitle D: Increase in Taxes on Firearms and Ammunition Title IX: Conforming Amendments to the Employee Retirement Income Security Act of 1974 American Health Security Act of 1994 - Title I: Establishment of a State-Based American Health Security Program; Universal Entitlement; Enrollment - Establishes in the United States an American Health Security Program (AHSP) to be administered by the States (including the District of Columbia and, if they so choose, U.S. territories) in accordance with Federal standards established under this Act. Requires a State to establish a State health security program (program) in accordance with this Act to receive Federal health care funding. (Sec. 102) Entitles every individual who is a resident of the United States and is a U.S. citizen or national or a lawful resident alien to benefits for health care services under this Act under the appropriate State program. Sets forth provisions regarding the treatment of nonimmigrants and other individuals. (Sec. 103) Requires each State program to: (1) provide a mechanism for the enrollment of individuals entitled or eligible for benefits (which includes a process for the automatic enrollment of individuals at the time of birth, immigration, or other acquisition of lawful resident status in the United States and provides for the enrollment of all individuals who are eligible to be enrolled as of January 1, 1995); and (2) issue a health security card to enrolled individuals. (Sec. 104) Makes benefits portable when enrollees move or travel between States. Prohibits imposition of a minimum residence or waiting period in excess of three months for program benefit eligibility. Allows reciprocal arrangements between programs in adjacent States for coverage for enrollees residing in the border region. (Sec. 105) Makes benefits available under this Act for items and services furnished on or after January 1, 1996. (Sec. 106) Supersedes Medicare, Medicaid, the Federal Employee Health Benefits Program, and CHAMPUS, which must pay for completion of services they covered before January 1, 1996. Specifies that nothing in this Act affects the eligibility of veterans for Veterans Administration health benefits and services, or of Indians for benefits and services of the Indian Health Service. Title II: Comprehensive Benefits, Including Preventive Benefits and Benefits for Long Term Care - Entitles all eligible individuals to have payment made (if medically necessary and appropriate for the maintenance of health or for the diagnosis, treatment, or rehabilitation of a health condition) for inpatient and outpatient hospital services, professional services of State-authorized practitioners, community-based primary health services, preventive services, long-term and chronic care services, prescription drugs, biologicals, insulin, and medical foods, dental services, mental health services, substance abuse treatment services, diagnostic tests, and other specified items and services, including outpatient therapy, durable medical equipment, home dialysis, ambulance, prosthetic devices, and other items and services specified by the American Health Security Standards Board (Board) (established by title IV of this Act). Specifies that: (1) no deductibles, coinsurance, or copayments may be charged for acute care benefits; (2) no provider may charge a patient for covered services; (3) no private insurance may duplicate program benefits; and (4) States and employers may provide additional benefits at their own expense. (Sec. 203) Covers home and community-based long-term care services for persons unable to perform at least two of five listed activities of daily living without assistance. Limits the cost of such services to 65 percent (or an alternative percentage determined by the Board) of the cost of nursing home care for an individual in the same area in which the services were provided. (Sec. 204) Makes mental health, substance abuse, nursing facility, and home health services subject to utilization review. Directs the Board to make national determinations on coverage of experimental services, with professional and public input. Specifies that where the Board has recognized practice guidelines, coverage is limited to services provided according to the guidelines or any established exception process. Allows the Board to limit quantities of eyeglasses, contact lenses, hearing aids, and durable medical equipment that will be covered. Excludes from coverage cosmetic procedures, personal comfort items, and services furnished in non-participating facilities. (Sec. 205) Specifies that: (1) States may require providers to certify that covered services were provided according to program requirements; (2) quality review programs must meet Federal standards; and (3) States may require plans of care for coverage of certain services. Title III: Provider Participation - Requires providers, to receive payment, to agree: (1) not to discriminate based on race, national origin, income, religion, age, sex or sexual orientation, disability, handicapping condition, or (subject to the professional qualifications of the provider) illness; (2) not to charge patients for covered services; (3) to furnish necessary information to the Board or program; (4) not to employ other providers whose participation has been terminated for cause; and (5) to submit bills within a specified time frame. (Sec. 302) Considers a health care provider to be qualified if it is licensed or certified and meets State law requirements, applicable Federal requirements, and additional standards that the Board may specify. Requires: (1) the Board to establish, evaluate, and update national minimum standards to assure the quality of services provided and to monitor efforts by programs to assure such quality; (2) a reasonable transition period for any new standards; and (3) the Board to provide for an exchange of information among programs with respect to quality assurance and cost containment. (Sec. 303) Defines a "comprehensive health service organization" (CHSO) as a public or private organization which, in return for a capitated payment amount, furnishes or arranges a full range of health services and out-of-area coverage in the case of urgently needed services to an identified population in a specified service area which enrolls voluntarily in the organization. Sets forth various CHSO requirements regarding enrollment, withdrawal for cause, accessibility of services, continuity of care, consumer and provider representation on the board of directors, a patient grievance program, medical standards committees, premiums, utilization and bonus information, provision of services to enrollees at institutions operating under global budgets, marketing of services, and provision of emergency services to nonenrollees. (Sec. 304) Extends current Medicare prohibitions on physician self-referrals for clinical laboratory services to other services and applies such prohibitions to AHSP. Title IV: Administration - Subtitle A: General Administrative Provisions - Establishes the American Health Security Standards Board to develop policies and procedures for enrollment, benefits, provider participation, national and State funding levels, assisting programs with planning for capital expenditures and service delivery, and other functions and to establish uniform reporting standards for health services and programs. Authorizes the Board to make statistical and other studies, test alternative payment methods, and develop and test information and budget systems. Provides for the appointment of an Executive Director of the Board and an Inspector General. (Sec. 402) Directs the Board to provide for an American Health Security Advisory Council to advise the Board on matters of general policy, in the formulation of regulations, and in the performance of the Board's duties and to study the operation of, and utilization of health services under, this Act. (Sec. 403) Directs the Board to appoint advisory committees on benefits, cost containment, primary care and the medically underserved, mental health and substance abuse treatment, and prescription drugs. Authorizes the Board to appoint other temporary advisory committees. (Sec. 404) Establishes an American Health Security Quality Council which shall be responsible for quality review activities (under title V). Directs the Quality Council to report to the Board annually on activities and findings from outcomes research and development of practice guidelines that may affect the Board's determination of coverage of services. (Sec. 405) Requires: (1) each State to submit to the Board a plan for a program for providing health care services to residents of the State (but allows neighboring States to join in regional plans); (2) the Board to provide incentives for States to develop regional planning mechanisms to promote the rational distribution of, adequate access to, and efficient use of, tertiary care facilities, equipment, and services; (3) State programs to meet Federal standards, including single-agency administration, a State health security budget, provider payment and quality review methodologies consistent with Federal standards, freedom to choose providers, a consumer ombudsman, an annual report, and a fraud and abuse prevention and control unit; and (4) the Governor of each State to provide for appointment of a State Health Security Advisory Council to advise and make recommendations to the Governor and State regarding program implementation. Allows: (1) programs not meeting Federal requirements, after notice, to be placed in receivership under the Board's jurisdiction; and (2) States to use fiscal agents, after competitive bidding, to process claims. (Sec. 406) Requires the Secretary of Health and Human Services (Secretary) to direct all activities of the Department of Health and Human Services toward contributions to health of the people in a manner complementary to this Act. Subtitle B: Control Over Fraud and Abuse - Authorizes the Board to exclude providers from participation, impose civil monetary penalties, and seek criminal prosecution for fraud or abuse, based on current Medicaid standards. Requires providers to disclose relevant information about their ownership interest in health facilities and services, based on current Medicaid standards. (Sec. 412) Requires the Board: (1) through the Inspector General, to establish a national health care fraud and abuse data base, including the identity of any provider who has been convicted, had a license revoked, has been excluded or suspended from participation, or has been subjected to a civil penalty with respect to a State program, Medicare, Medicaid, or any other federally funded health program; and (2) to establish rules to protect the confidentiality of information in the data base. Requires States to provide relevant information for this purpose and to periodically inquire of the data base to determine provider qualifications to participate in programs. Sets penalties for submitting false information. (Sec. 413) Requires each program to establish and maintain a health care fraud and abuse unit. (Sec. 414) Directs the Board to provide for the assignment of a unique identifier to each participating provider and to each individual eligible for services, which shall be used for claims and payment. Title V: Quality Assessment - Directs the Quality Council to: (1) collect data from outcomes research on an ongoing basis and develop practice guidelines on the basis of such data and existing clinical knowledge; (2) adopt methodologies for profiling the patterns of practice of health care professionals and for identifying outliers (i.e., health care providers whose patterns of practice suggest quality deficiencies); (3) develop standards for the development of centers of excellence for designated procedures and for education of and sanctions for outliers; and (4) disseminate all quality guidelines and standards to the States for implementation. (Sec. 502) Requires each participating State to establish an entity to conduct quality reviews of persons providing covered services under its program which meet Federal standards for the adoption of practice guidelines, identification of outliers, development of remedial programs and monitoring for outliers, and the application of sanctions. Allows the State to adopt alternative methodologies to those adopted by the Quality Council provided that the State can demonstrate that the efficacy of such review and education programs meets Federal standards. Mandates that the quality review entity be administratively independent of the individual or board that administers the program and not provide any financial incentive to reviewers to favor one pattern of practice over another. (Sec. 503) Expresses the intent to replace random utilization controls with a systematic review of patterns of practice that compromise the quality of care by January 1, 1998. Supersedes all existing Federal utilization review programs, including random case-by-case reviews and programs requiring pre-certification of medical procedures on a case-by-case basis, with exceptions. Specifies that nothing in this section shall preclude case management of catastrophic, mental health, or substance abuse cases where necessary to achieve appropriate, cost-effective, and beneficial comprehensive medical care. (Sec. 504) Requires: (1) each State program to develop and use a uniform electronic data base which uses software designated by the Board and which assures confidentiality for all patient records to enable systematic quality review and outcomes analysis; and (2) the Board to designate such software and establish standards designed to protect the privacy of patients. Limits access by government agencies to patient records. Title VI: Health Security Budget; Payments; Cost Containment Measures - Subtitle A: Budgeting and Payments to States - Directs the Board to establish a national health security budget which specifies the total expenditures to be made by the Federal Government and the States for covered health care services, and allocates those expenditures among the States. Prohibits such budget from exceeding the budget for the preceding year increased by the percentage increase in gross domestic product. Divides the budget into quality assessment, professional education, administrative, and operating components. (Sec. 602) Provides for the allocation of funds in the budget by the Board to the States, based on the national average per capita costs of covered services adjusted for differences among the States in costs and the health status of populations. Permits the use of statistical models to estimate State capitation amounts. Sets forth State adjustment factors to reflect differences in relative needs for funds and directs that such factors be applied in a budget-neutral manner resulting in no change in total Federal expenditures from the national per capita average. (Sec. 603) Requires each program to submit to the Board a proposed and final annual budget broken into quality assessment, professional training, administrative, and operating components, with the operating component broken into facility-based services, individual practitioner payments, payments to CHSOs, and payments for other items and services. Sets forth provisions regarding proposed and final budget deadlines, adjustments in allocations, and expenditure limits. Permits programs to provide for a process for the approval of capital expenditures based on information derived from regional planning agencies. (Sec. 604) Provides for programs to receive Federal funds equal to a weighted average of 86 percent of their population-based share of the budget, which the Board may adjust between 81 and 91 percent based on State economic conditions. (Sec. 605) Requires each program to establish a separate budget account for health professional education expenditures and to distribute funds consistent with the achievement of specified national and program goals, including the receipt by the Board of reports to monitor compliance, and taking into account the potentially higher costs of placing health professional students in clinical education programs in health professional shortage areas. Subtitle B: Payments by States to Providers - Directs that: (1) payment for operating expenses for institutional and facility-based care under State programs be made directly to each institution or facility under an annual prospective global budget approved under the program; (2) such budgets take into account discharges by diagnosis-related group, prior expenditures, the extent to which debt service for capital expenditures has been included in the proposed operating budget, change in the consumer price index and other price indices, compensation, occupancy levels, past financial and clinical performance, training, technological changes, and incentives to maintain costs without reducing care; and (3) facility budgets be adjusted to reflect payments made by CHSOs. Allows programs to permit institutions and facilities to raise funds from private sources to pay for newly constructed facilities, major renovations, and equipment. (Sec. 612) Requires: (1) State programs to pay individual practitioners on a fee-for-service basis, as negotiated between States and practitioner representatives; (2) the Board to establish models for such payment and for global fee payment methodologies to encourage payment for combinations of services; and (3) practitioners to bill State programs within 30 days of providing services. Permits States to require electronic billing. (Sec. 613) Authorizes programs to pay CHSOs based on annual budgets or risk-adjusted capitation payments, reduced by the costs of covered services not provided by the CHSO. (Sec. 614) Directs that programs pay for community-based primary health services based on global budgets, basic primary care capitation amounts for enrollees, or fee-for-service, taking into account costs of serving non-covered patients, providing case management, transportation, and translation, and providing health professional education programs. (Sec. 615) Requires: (1) the Board to establish a list of approved prescription drugs based on the recommendations of the Advisory Committee on Prescription Drugs and to negotiate maximum prices with manufacturers; and (2) each program to pay for such drugs based on such maximum prices and to pay separate dispensing fees to pharmacies. (Sec. 616) Directs the Board to establish a list of approved durable medical equipment and therapeutic devices and equipment and programs to pay for such items based on maximum prices determined by the Board. (Sec. 617) Requires State programs to pay for other items and services based on methodologies to be adopted by the Board, consistent with the State health security budget. (Sec. 618) Directs the Board to establish model payment methodologies and other incentives to promote the provision of services in medically underserved areas. Permits programs to adjust payments amounts within their budgets to encourage provision of appropriate services in underserved areas. (Sec. 619) Authorizes programs to utilize alternative payment methodologies, provided that such methodologies do not affect the entitlement of individuals to coverage, the weighting of fee schedules to encourage an increase in the number of primary care providers, the ability of individuals to choose among qualified providers, the benefits covered under the Program, or compliance with the State health security budget. Requires States to report on the operation and effectiveness of alternative methodologies to enable the Board to evaluate the appropriateness of applying such methodologies to other States. Subtitle C: Mandatory Assignment and Administrative Provisions - Specifies that participating providers: (1) must accept payment from a program as full payment for covered services; and (2) may not impose additional charges on patients. Permits the Board to exclude from participation and subject to civil penalties violators of such provision. (Sec. 632) Requires programs to establish: (1) procedures for reimbursing providers within 60 days of bill submission; and (2) an appeals process to handle grievances pertaining to provider payments. Title VII: Promotion of Primary Health Care; Development of Health Service Capacity; Programs to Assist the Medically Underserved - Subtitle A: Promotion and Expansion of Primary Care Professional Training - Makes the Board responsible for: (1) coordinating health professional education policies and goals to achieve national goals; (2) overseeing program health professional education expenditures; (3) developing and maintaining a system to monitor the number and specialties of individuals through their health professional education, any postgraduate training, and professional practice; and (4) developing, coordinating, and promoting other policies that expand the number of primary care practitioners. Sets as national goals that: (1) at least 50 percent of graduate medical residencies be in primary care within five years of this Act's enactment; and (2) there be a certain number, specified by the Board, of midlevel primary care practitioners employed in the health care system as of January 1, 2000. Directs the Board to: (1) establish a method of applying such goals to program goals for each medical residency program or consortium of programs and reducing payments for residency programs failing to meet their goals; (2) advise the Public Health Service on allocations of funding under specified programs to increase the supply of midlevel primary care practitioners; and (3) commission a study of the potential benefits and disadvantages of expanding the scope of practice authorized under State laws for any class of midlevel primary care practitioners. (Sec. 702) Requires the Board to establish an Advisory Committee on Health Professional Education to advise the Board concerning graduate medical education policies under this title. (Sec. 703) Directs the Board to transfer specified revenues from the American Health Security Trust Fund (Trust Fund) for specified existing programs supporting health professional education and nursing education and for the National Health Service Corps. Subtitle B: Direct Health Care Delivery - Requires the Board to transfer specified Trust Fund revenues to the Public Health Service for: (1) maternal and child health block grants, preventive health block grants, grants to States for community mental health services and prevention and treatment of substance abuse, and grants for HIV health care services; and (2) grants to nonprofit community health centers and similar facilities. (Sec. 713) Directs the Board to make grants to primary care centers (i.e., nonprofit community health centers, migrant health centers, and other federally qualified health centers) to serve medically underserved populations in urban and rural areas. Specifies that grant funds may be used to plan, develop, and deliver primary care in such areas. Subtitle C: Primary Care and Outcomes Research - Requires the Board to transfer specified Trust Fund revenues to the Agency for Health Care Policy and Research for health outcomes research. (Sec. 722) Amends the Public Health Service Act to establish within the Office of the Director of the National Institutes of Health (NIH) an Office of Primary Care and Prevention Research to be headed by a Director who shall identify and coordinate research activities relating to primary care and prevention, including care provided by multidisciplinary teams. Authorizes appropriations. Requires the Director of NIH to establish a national data system and clearinghouse on primary care and prevention research. Subtitle D: School-Related Health Services - Authorizes appropriations through FY 2001 for this subtitle. (Sec. 734) Directs the Secretary to make grants to State health agencies or to local community partnerships to develop and operate school health service sites. Requires preference in making grants to be given to those communities showing the most substantial level of need. Title VIII: Financing Provisions; American Health Security Trust Fund - Subtitle A: American Health Security Trust Fund - Amends the Internal Revenue Code to create the American Health Security Trust Fund. Appropriates to the trust fund the increase in tax liabilities attributable to the application of amendments made by this title and receipts from the following programs: Medicare, Medicaid, Federal employees' health benefits program, and the CHAMPUS program, Maternal and Child Health program (under title V of the Social Security Act), vocational rehabilitation programs, drug abuse and mental health services programs under the Public Health Service Act, programs providing general hospital or medical assistance, and certain other Federal programs. Transfers to such trust fund amounts in the Federal Hospital Insurance Trust Fund and the Federal Supplementary Medical Insurance Trust Fund. Subtitle B: Taxes Based on Income and Wages - Creates a health care excise tax on every employer with respect to each employee equal to the following percentages of wages paid: (1) four percent for each small employer; and (2) 8.4 percent for other employers. Defines a small employer as one who: (1) employs less than 75 full-time employees; and (2) pays less than $24,000 in average annual wages. Imposes the tax on the self-employed, railroad employers, and railroad employee representatives. Imposes an individual health care income tax equal to 2.1 percent of taxable income. Prohibits credits against the tax and any effect on the minimum tax in relation to the individual health care income tax. Subtitle C: Increase in Excise Taxes on Tobacco Products - Increases the excise taxes on tobacco products. Subtitle D: Increase in Taxes on Firearms and Ammunition - Imposes a tax upon the sale by the manufacturer or importer of any pistol, revolver, firearm, shell, or cartridge equal to 50 percent of its price. Title IX: Conforming Amendments to the Employee Retirement Income Security Act of 1974 - Makes ERISA inapplicable to health coverage arrangements under State health security programs. Exempts State health security programs from ERISA preemption. Prohibits employee benefits duplicating State health security program benefits. Repeals continuation coverage requirements under ERISA.
United States · United States Congress · 3 March 1994
Designates March 23, 1994, the 92d birthday of the Rabbi Menachem Mendel Schneerson (leader of the worldwide Lubavitch movement), as Education and Sharing Day, U.S.A.
United States · United States Congress · 3 March 1994
Honors James Norman Hall for his outstanding contributions to the United States, France, Tahiti, and the South Pacific. Requests the President to provide for the presentation of a copy of this concurrent resolution to the President of Tahiti Nui (French Polynesia) to be publicly displayed at the James Norman Hall Museum in Tahiti.
United States · United States Congress · 23 February 1994
1995 Special Olympics World Games Commemorative Coin Act - Directs the Secretary of the Treasury to issue one-dollar silver coins emblematic of the 1995 Special Olympics World Games. Mandates that the surcharges collected from the sale of such coins be paid to the 1995 Special Olympics World Games Organizing Committee, Inc.
United States · United States Congress · 22 February 1994
Urban Watershed Restoration Act of 1994 - Amends the Federal Water Pollution Control Act to require the Administrator of the Environmental Protection Agency (EPA) to establish a National Urban Watershed Restoration Program to be administered by each State which has a demonstrated successful urban river restoration program or by the Regional EPA Administrator in States without such programs. Allocates at least 25 percent of funds made available for nonpoint source pollution management to the Program. Provides for grants and technical assistance for projects meeting this Act's requirements. Limits the Federal share of a project's cost to 60 percent of the total cost. Sets forth conditions for project selection. Gives priority to projects that assist in the: (1) meeting of municipal stormwater discharge and combined sewer overflow permit program requirements; (2) implementation of national estuary plans; and (3) development and implementation of stream protection measures and monitoring. Establishes other factors with respect to priority consideration, including that a project will be carried out in a low-income area and will correct a problem which contributes to economic, social, and environmental degradation. Lists projects eligible for funding under the Program.
United States · United States Congress · 11 February 1994
Amends the Interstate Commerce Act to direct the Interstate Commerce Commission (ICC) to require a fair and equitable arrangement for protection of the interests of railroad employees who may be affected by an ICC order approving an application for construction or acquisition and operation of a railroad line. Requires such arrangement to be no less fair and beneficial to the interests of such employees than those established under specified provisions for employee protective arrangements in transactions involving rail carriers.
United States · United States Congress · 10 February 1994
Head Start Act Amendments of 1994 - Amends the Head Start Act to reauthorize and revise Head Start programs. (Sec. 2) Requires the Secretary of Health and Human Services (HHS) to establish quality standards for Head Start agencies and programs, including standards for performance in providing required health, education, parental involvement, social, and other services, for administrative and financial management, and for facilities' condition and location. Provides for monitoring and for corrective actions or terminations if minimum standards are not met. (Sec. 3) Eliminates a provision freezing regulations. Provides that terminations, reductions, or suspensions of financial assistance upheld in administrative hearings shall not be stayed pending any judicial appeal. (Sec. 4) Revises classroom teacher qualifications and waiver requirements. Directs the Secretary to: (1) provide technical assistance and training to enable Head Start agencies to establish positions for mentor teachers; and (2) review and revise standards for family service workers, and promote model curricula and credentials for such workers. Authorizes the Secretary to establish a program of Head Start Fellowships for staff in local Head Start programs and other individuals working in the field of child development and Directs the Secretary to develop model staffing pattern plans to guide local Head Start agencies and programs. (Sec. 5) Sets forth goals and priorities for training and technical assistance. (Sec. 6) Allocates funds for program expansion. (Sec. 7) Authorizes the Secretary to allow certain amounts to be allocated to quality improvement activities (in addition to the required 25 percent portion of appropriations). Sets forth goals and authorized activities for which quality improvement funds are to be used. (Sec. 8) Requires each Head Start agency to coordinate with schools and promote parental involvement to facilitate children's transition from program to school. Directs the Secretaries of HHS and of Education to assess results of demonstration projects under the Head Start Transition Project Act and provide technical assistance to communities to implement promising practices from those demonstrations. Extends the set-aside for the Head Start Transition Project Act. (Sec. 9) Directs the Secretary to carry on a continuing program of research, demonstrations, and evaluations of Head Start programs, and to report on such activities. (Sec. 10) Establishes programs for families with infants and toddlers. Directs the Secretary to make grants for: (1) programs providing family-centered services for low-income families with very young children, designed to promote child development, parental role fulfillment, and movement toward self-sufficiency; and (2) evaluation of, and training and technical assistance for, projects under the Comprehensive Child Development Centers Act of 1988. (Repeals the latter Act because its functions are being consolidated under the Head Start Act.) (Sec. 11) Revises parental involvement considerations with respect to designation of new Head Start agencies well as functions of such agencies. Requires agencies to offer family literacy services and parenting skills training to parents of participating children. Allows agencies also to opt to offer such parents parental social self-sufficiency training, substance abuse counseling, or other partnership in education activities. Requires a family needs assessment, including consultation with the parents, for each participating family. (Sec. 12) Authorizes appropriations. (Sec. 13) Revises the poverty line definition. Updates hold-harmless provisions for Indian and Migrant programs. Specifies that each Head Start program may use Head Start funds for full-day and full-year services and shall be permitted to provide more than one year of services to eligible children in the State.
United States · United States Congress · 10 February 1994
Brownfield Cleanup and Redevelopment Revolving Loan Fund Act - Directs the Administrator of the Environmental Protection Agency to establish a program to provide capitalization loans to States to establish or expand a State revolving loan fund for purposes of providing loans for voluntary environmental cleanups of eligible facilities. Defines "eligible facilities" as facilities or property that are determined by a State to have environmental contamination that: (1) could prevent the timely use, development, or reuse of the facility or property; and (2) is limited in scope and can be comprehensively and readily evaluated. Sets forth loan application requirements, including: (1) evidence that the State is carrying out a voluntary cleanup program for eligible facilities and will provide a matching share of at least 20 percent of the costs of such cleanup from either new or existing sources of State funding; (2) a description of the State's proposed revolving loan program and capability to manage the program; and (3) a statement that the State will begin repayment of the loan within five years (and evidence of the State's ability to repay) and that a loan from the revolving loan fund will not be used to pay for new construction, environmental fines or penalties, or for speculative assessments or rehabilitation at facilities with little or no potential for economic development. Directs the Administrator to determine the distribution of funds among the eligible States. Limits the amount of a capitalization loan made by the Administrator under this Act to a State to 15 percent of the amount available each year to all the eligible States. Authorizes appropriations.
United States · United States Congress · 10 February 1994
Brownfield Cleanup and Redevelopment Act - Directs the Administrator of the Environmental Protection Agency to: (1) establish certification criteria for State voluntary cleanup programs at eligible facilities; and (2) certify qualified States to carry out cleanup programs at eligible facilities in lieu of any Federal program that addresses the cleanup under the Comprehensive Environmental Response, Compensation, and Liability Act of 1980 or the Solid Waste Disposal Act. Defines "eligible facility" as a facility that is determined by a State to have environmental contamination that: (1) could prevent the timely use, development, or reuse; and (2) is limited in scope and can be readily evaluated. Requires the Administrator to ensure that State programs continue to meet the terms of certification by conducting biennial audits. Sets procedures for withdrawal of certification where deficiencies are not resolved. Directs the Administrator to require a State program, to be certified, to provide: (1) that only eligible facilities may paraticipate; (2) adequate opportunities for public participation in the development and implementation of cleanup plans; (3) technical assistance throughout each voluntary cleanup; (4) adequate oversight and enforcement authority to ensure that the voluntary cleanups comply with Federal and State laws; and (5) for State certification to the owner or prospective purchaser of an eligible facility that the cleanup is complete. Prohibits requiring a Federal, State, or local permit for any cleanup conducted under and in compliance with a certified State voluntary cleanup program.
United States · United States Congress · 9 February 1994
Vieques Lands Transfer Act of 1994 - Directs the Secretary of Defense to transfer all Federal interest in certain lands located in the western region of the municipality of Vieques, Puerto Rico, to such municipality to be used for public purposes (subject to a reversion if such lands cease to be so operated). Makes such lands eligible for transfer after the municipality submits a detailed plan for the public purposes for which the lands may be used to specified congressional committees.
United States · United States Congress · 8 February 1994
Rural Community Wastewater Treatment Affordability Act of 1994 - Amends the Federal Water Pollution Control Act to make activities involving the acquisition of lands, easements, and rights-of-way necessary for construction of publicly owned treatment works eligible for assistance from State revolving loan funds (SRFs). Makes certain nonprofit associations and other entities eligible for wastewater treatment and supply services under the Consolidated Farm and Rural Development Act eligible for SRF assistance as well. Adds to the list of conditions that a State must meet to receive a capitalization grant that the State will encourage the use of innovative and cost-effective technologies in the construction of treatment works financed with SRF assistance. Requires loans made from SRFs to be made to rural and disadvantaged communities at or below market interest rates for terms of up to 40 years or the useful life of the project being financed, whichever is earlier. Permits up to 15 percent of all loans made from an SRF to be used for negative-interest loans to rural and disadvantaged communities. Allows SRFs to be used to make grants to such communities for up to 75 percent of planning and predevelopment costs incurred with respect to construction or improvement of treatment works without regard to whether actual construction is carried out. Limits amounts available for grants per fiscal year. Authorizes the Administrator of the Environmental Protection Agency to make grants to the National Rural Water Association, the Rural Community Assistance Program, the Small Flows Clearinghouse, and other qualified organizations to provide training and technical assistance to rural and disadvantaged communities with respect to the planning, construction, and operation of treatment works. Authorizes appropriations.
United States · United States Congress · 8 February 1994
World War II Peace Accords Commemorative Coin Act - Expresses the sense of the Congress that: (1) the 50th anniversary of the signing of the World War II peace accords on the U.S.S. Missouri should not go unrecognized at the national level; and (2) the United States should recognize such anniversary by minting and issuing a commemorative coin. Sets forth specifications for half dollar clad coins. Mandates that the surcharges received from the sale of such coins be paid by the Secretary of the Treasury to the Admiral Nimitz Foundation for the purpose of preserving the Pacific War heritage of the United States.
![Official portrait of Rep. Murphy, Austin J. [D-PA-20]](https://www.congress.gov/img/member/m001088_200.jpg)