United States · United States Congress · 27 February 1991
Women's Health Equity Act of 1991 - Title I: Research - Subtitle A: Women's Health Research Act - Women's Health Research Act - Amends the Public Health Service Act to establish within the Office of the Director of the National Institutes of Health (NIH) the Office of Research on Women's Health (Office) to ensure that women's health reseach is identified and addressed by NIH. Establishes in the Office the Coordinating Committee for Research on Women's Health and the Advisory Committee for Research on Women's Health. Mandates that the Director of the Office prepare and annually review a plan for establishing a program for clinical research on obstetrics and gynecology to be conducted by the Director of the National Institute of Child Health and Human Development (NICHHD). Requires the NICHHD Director to establish a program of contracts with individuals who agree to conduct obstetrics and gynecology research in return for the Federal Government paying, to a specified maximum, the educational loans of the individuals. Requires the NIH Director to establish a single data system for the collection, analysis, and dissemination of information regarding women's health research conducted or supported by NIH, including a registry of clinical trials of experimental treatments. Requires the NIH Director to establish and operate a program to provide information on research and prevention activities relating to women's health research. Provides for grants or contracts for the development and operation of Centers of Excellence in Women's Health Research using a single institution or a consortium for each Center. Provides, subject to appropriations, for three centers, with support covering five years. Allows extension of support if recommended by a technical and scientific peer review group. Authorizes appropriations for specified provisions of this subtitle. Subtitle B: Clinical Trials Fairness Act - Clinical Trials Fairness Act - Amends provisions of the Public Health Service Act relating to the national research institutes and provisions relating to the Alcohol, Drug Abuse, and Mental Health Administration (ADAMHA) to direct the Secretary of Health and Human Services to ensure, in conducting or supporting clinical research, that women and minority groups are included as research subjects, unless inappropriate. Requires that any project be designed and carried out so as to provide for a valid analysis of whether the research variables affect women or minorities differently than other subjects. Directs the Secretary to establish within the advisory council of each agency of an institute and ADAMHA a Clinical Research Equity Subcommittee to review all clinical research of that agency to determine whether the research is being conducted in accordance with requirements of this Act. Provides for suspension or revocation of the authority for any project the Secretary determines is not being conducted in accordance with those requirements. Defines "minority groups" to mean racial and ethnic minority groups. Requires that the technical and scientific peer review process in the institutes and ADAMHA include an evaluation of the inclusion of women and minority groups as research subjects. Subtitle C: Women's Health and Mental Health Research Act - Women's Health and Mental Health Research Act - Amends the Public Health Service Act to establish in the Office of the Administrator of the Alcohol, Drug Abuse, and Mental Health Administration (ADAMHA) the Office of Research on Women's Health and Mental Health (Office) to ensure that women's health and mental health research is identified and addressed by ADAMHA. Establishes in the Office the Coordinating Committee for Research on Women's Health and the Advisory Committee for Research on Women's Health. Requires that the Administrator establish: (1) a single data system for the collection, analysis, and dissemination of information regarding women's health and mental health research, including a registry of clinical trials of experimental treatments; and (2) a program to provide information on women's health and mental health research. Provides for grants or contracts for the development and operation of Centers of Excellence in Women's Health and Mental Health Research using a single institution or a consortium for each Center. Provides, subject to appropriations, for three centers, with support covering five years. Allows extension of support if recommended by a technical and scientific peer review group. Authorizes appropriations. Subtitle D: Women and Alcohol Research Equity Act - Women and Alcohol Research Equity Act of 1991 - Amends the Public Health Service Act to authorize appropriations for research on alcohol abuse and alcoholism, earmarking certain amounts for such research relating to women. Subtitle E: Breast Cancer Basic Research Act - Authorizes to be appropriated, in addition to sums already authorized, a certain amount to the National Cancer Institute for breast cancer research other than research which involves treatment or clinical trials. Subtitle F: Contraceptive and Infertility Research Centers Act - Contraception and Infertility Research Centers Act of 1991 - Amends the Public Health Service Act to require the Director of the Institute of Child Health and Human Development to make grants and enter into contracts for centers for improving methods of contraception and centers for diagnosing and treating infertility. Requires the Director, subject to appropriations, to provide for three centers with respect to contraception and two centers with respect to infertility. Requires each center to: (1) conduct clinical and other applied research; (2) develop training protocols for and conduct training of physicians, scientists, nurses, and other health and allied health professionals; (3) develop model continuing education programs; and (4) disseminate information to such professionals. Allows a center to use the funds to provide: (1) stipends for health and allied health professionals enrolled in the training programs; and (2) fees to individuals serving as subjects in the clinical trials. Requires each center to use the facilities of a single institution, or be formed from a consortium of cooperating institutions, meeting requirements as prescribed by the Secretary of Health and Human Serivces. Allows support for a center to be for a period of up to five years, with extensions of one or more periods of up to five years if the center's operations have been reviewed by a peer review group and the group has so recommended. Authorizes appropriations. Amends the Public Health Service Act to direct the Secretary to establish a program of entering into agreements with health professionals, including graduate students, under which the professionals agree to conduct research with respect to contraception or infertility in consideration of the Government agreeing to repay, for each year of such service, not more than a specified amount of the principal and interest of their educational loans. Applies provisions of the National Health Service Corps Loan Repayment Program to this program, except as inconsistent. Authorizes appropriations. Requires amounts appropriated to remain available until the end of the second fiscal year after they are appropriated. Subtitle G: Sense of Congress Regarding Contraceptive Research - Declares that it is the sense of the Congress that it should: (1) establish a program of research for the development of methods of contraception and methods of diagnosing and treating infertility; (2) provide adequate long-term resources for the program; (3) ensure that Federal programs with respect to sexually transmitted diseases adequately respond to the role of such diseases in infertility; (4) ensure public education on contraception and infertility; (5) establish as Federal goals the development, by the year 2010, of improved barrier methods to protect against pregnancy and diseases, new methods of contraception for use by men, a vaccine-like drug for women that prevents pregnancy for a significant period of time without other specified effects, and new and improved techniques of diagnosing and treating infertility; (6) require the Secretary of Health and Human Services to reestablish the Ethical Advisory Board in order to facilitate research with respect to infertility; (7) review the policies and procedures of the Food and Drug Administration with respect to expediting approval of drugs and devices for use by the public, especially with respect to contraception and infertility; and (8) determine to what extent measures can be implemented by public or private entities to resolve liability issues involved with drugs and devices concerned with contraception and infertility. Subtitle H: Women and AIDS Research Initiative - Women and AIDS Research Initiative Amendments of 1991 - Amends the Public Health Service Act to direct the Secretary of Health and Human Services, through the Director of the National Institutes of Health (NIH), the Administrator of the Alcohol, Drug Abuse, and Mental Health Administration, or both, to establish a program to conduct biomedical and behavioral research on cases of infection with the etiologic agent for acquired immune deficiency syndrome (AIDS) in women. Authorizes the Secretary to conduct the research directly or through grants. Specifies forms of research to be included. Authorizes appropriations. Authorizes appropriations for grants for community-based clinical trials on experimental treatments for such infection for women. Allows the Director of the NIH to authorize grantees to expend the grants to provide individuals with transportation, child care, and other incidental services necessary to enable the individuals to participate as subjects in the trials. Subtitle I: Ovarian Cancer Research Act - Ovarian Cancer Research Act of 1991 - Directs the Secretary of Health and Human Services, through the Director of the National Institutes of Health and the Director of the National Cancer Institute, to conduct or support basic research on certain aspects of ovarian cancer. Prohibits the Secretary from conducting or supporting clinical research on the same matters. Authorizes appropriations. Subtitle J: Osteoporosis and Related Research Act - Osteoporosis and Related Bone Disorders Research, Education, and Health Services Act of 1991 - Amends the Public Health Service Act to require the Director of the National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMSD), the Director of the National Institute on Aging (NIA), and the Director of the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDKD) to expand and intensify research on osteoporosis and related bone disorders. Requires, with respect to osteoporosis and related bone disorders: (1) the NIAMSD Director to increase the number of Specialized Centers of Research; (2) the NIA Director to increase the number of program project grants devoted to creating centers of excellence; and (3) the NIDDKD Director to increase the number of grants in osteoporosis. Authorizes appropriations. Establishes in the Department of Health and Human Services the Interagency Council on Osteoporosis and Related Disorders and the Advisory Panel on Osteoporosis and Related Disorders. Authorizes appropriations for the Advisory Panel. Requires the NIAMSD Director to make grants or enter into contracts to establish a Resource Center on Osteoporosis and Related Disorders to: (1) disseminate information about research results, services, and educational materials to health professionals, patients, and the public; and (2) coordinate leadership training for the development of health professional resource networks. Requires grant and contract recipients to establish: (1) a central computerized information system to translate scientific and technical information into information readily understandable by the general public; and (2) a national toll-free telephone information line. Requires the grant or contract recipient to charge fees for providing information, but allows exceptions for individuals and organizations unable to pay. Authorizes appropriations. Title II: Services - Subtitle A: Breast Cancer Informed Decision Act - Breast Cancer Treatment Informed Consent Act - Requires any State receiving funds under titles V (Maternal and Child Health Block Grant) or XIX (Medicaid) of the Social Security Act or under the preventive health service provisions of the Public Health Service Act to require any physician or surgeon licensed to practice medicine in such State to inform any breast cancer patient of alternative methods of treatment for breast cancer before such treatment is begun. Requires that the patients be informed by means of: (1) a standardized written summary in layman's language and in a language understood by the patient of alternative methods of treatment; and (2) an explanation of the treatment options described in such written summary together with the risks associated with each procedure relative to each patient's particular medical circumstances. Subtitle B: Women's Health Care Coverage Expansion Act - Women's Health Care Coverage Expansion Act of 1991 - Amends titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act to provide Medicare and Medicaid coverage of obstetrical and gynecological services furnished by nurse practitioners. Subtitle C: Mickey Leland Adolescent Pregnancy and Parenthood Act - Mickey Leland Adolescent Pregnancy Prevention and Parenthood Act of 1991 - Amends the Public Health Service Act to replace the title on adolescent family life demonstration projects with a title on adolescent pregnancy prevention, care, and research grants. Authorizes the Secretary of Health and Human Services to make grants to provide, supplement, or improve the quality of care services to pregnant adolescents and their male partners and adolescent parents and prevention services to nonpregnant adolescents. Requires grantees to charge fees for services only under a fee schedule, approved by the Secretary, based on the income of the person and taking into account the difficulty adolescents face in obtaining resources to pay for services. Prohibits discrimination because of an individual's inability to pay for services. Sets forth priorities in making grants, including giving priority to applicants that: (1) serve an area with a high incidence of adolescent pregnancy; and (2) serve an area with a high proportion of low-income families and low availability of care programs. Requires that the amount of a grant be set by the Secretary. Limits a grant, subject to waiver for one year, to 75 percent of the cost of a program. Specifies the information and assurances which must accompany a grant application. Directs the Secretary to coordinate Federal policies and programs providing services relating to the prevention of initial and recurrent adolescent pregnancies and providing care services, including by requiring grantees under these provisions to report concerning Federal, State, and local policies that interfere with delivery and coordination of programs of care for pregnant adolescents and adolescent parents. Authorizes the Secretary to make grants to institutions of higher education to support and disseminate the results of research relating to adolescent pregnancy. Limits grants or contracts to: (1) one year, subject to renewal for four additional one-year periods; and (2) subject to waiver, a specified dollar amount. Allows funds to be used for descriptive or explanatory surveys, evaluation studies, longitudinal studies, or limited programs for services for the purpose of increasing knowledge and understanding of specified matters. Directs the Secretary to establish a system for the review of grant and contract applications which is similar to the system of scientific peer review of the National Institutes of Health. Restricts grants to programs determined by the review panel to have scientific merit. Authorizes appropriations, earmarking at least two-thirds of appropriated funds for services, with no more than one-third to be used for grants for prevention services. Prohibits using such funds for the performance of an abortion. Subtitle D: Adolescent Health Demonstration Projects - Directs the Secretary of Health and Human Services to make grants in FY 1991 through 1995 for the establishment or support of adolescent health demonstration projects. Requires such projects to: (1) provide health care information and services, including related social services; (2) serve adolescents before their graduation from high school; (3) encourage family participation; and (4) establish community advisory committees. Directs the Secretary to give priority to project applicants who will serve areas with low-income or minority populations. States that no grant funds may be used to perform or pay for abortions. Subtitle E: COBRA Displaced Family Amendments - COBRA Displaced Family Amendments of 1991 - Amends the Internal Revenue Code, the Employee Retirement Income Security Act of 1974 (ERISA), and the Public Health Service Act (the Acts) to declare that specified provisions relating to the required period of group health plan continuation coverage do not apply to the qualifying events of death, divorce, or legal separation involving a beneficiary who is 50 years old or older. Requires that coverage continue until the 23rd birthday, or 36 months after the qualifying event, whichever is later, for an individual who is a dependent child beneficiary at the time of such an event involving a covered employee 50 years old or older. Amends the Acts to modify: (1) the termination of extended average for disability and the general rule for other qualifying events, as they relate to the maximum required period of continuation coverage; and (2) dates by which certain notice must be given. Amends the Acts to require that notice of the option to enroll under a conversion plan be given during the 120-day period ending 60 days before the expiration of the continuation coverage. (Current law requires such notice be given during the 180-day period ending on the expiration date of the continuation coverage.) Subtitle F: Federal Employee Family Building Act - Federal Employee Family-Building Act of 1991 - Requires any contract for health benefits for Federal employees that provides obstetrical benefits to also provide benefits for family-building procedures. Provides that payment terms or conditions under such contracts shall be no more restrictive for family-building benefits than for obstetrical benefits. Defines "family-building procedure" as a medical procedure to overcome infertility (including procedures to achieve pregnancy and procedures to carry pregnancy to term) and procedures relating to child adoption. Requires such contracts to provide that: (1) benefits shall consist of reimbursement for reasonable and necessary medical expenses and counseling fees directly relating to the adoption of a child; and (2) benefits shall be available in connection with obstetrical care for the biological mother and medical care for the child if, or to the extent that, the pre-adoptive or adoptive parent or parents are legally responsible for the cost of such care. Directs the Office of Personnel Management to authorize the use of sick leave for purposes relating to family-building procedures. Title III: Prevention - Subtitle A: Medicaid Infant Mortality Amendments - Medicaid Infant Mortality Amendments of 1991 - Amends title XIX (Medicaid) of the Social Security Act to phase-in mandatory State coverage of pregnant women and infants whose family income is below 185 percent of the Federal poverty level. Deducts child and medical care costs from the income eligibility test. Authorizes States to provide Medicaid coverage of prenatal home visitation services for high-risk pregnant women and/or postpartum home visitation services for high-risk infants. Subtitle B: Breast Cancer Screening and Safety Act - Breast Cancer Screening Safety Act of 1991 - Amends the Public Health Service Act to require certification in order for a facility to perform or interpret mammograms, inspect equipment, or conduct quality assurance oversight related to mammography. Authorizes the Secretary of Health and Human Services to issue and renew certificates for up to two years. Requires, in order to be certified, that a facility be accredited. Allows the Secretary to approve a private nonprofit organization to be an accreditation body which meets certain requirements, including inspecting facilities. Directs the Secretary to: (1) establish standards for facilities to assure the safety and accuracy of mammography; (2) specify organizations eligible to certify individuals to perform radiological procedures; (3) specify boards eligible to certify individuals to interpret screening mammograms; (4) establish standards regarding the qualifications for individuals to interpret screening mammograms; and (5) specify boards eligible to certify individuals to inspect screening mammography equipment and oversee quality assurance practices. Directs the Secretary to conduct annual announced and unannounced inspections of certified facilities. Provides for: (1) intermediate sanctions for certain violations; (2) suspension, revocation, and limitation of certificates; and (3) injunctions. Requires fees for certificate issuance and renewal, and for inspections, sufficient to cover costs. Requires annual publication of a list of facilities convicted of fraud and abuse, false billings, or kickbacks, facilities that have had certificates revoked, suspended, or limited, and facilities that have been the subject of a sanction or other similar matters. Allows the Secretary to exempt facilities in a State with more stringent requirements from compliance with this Act. Directs the Secretary to: (1) make grants for research on new methods of establishing a Mammography Registry; and (2) based on the research, establish the Registry. Amends title XVIII (Medicare) of the Social Security Act to require that screening mammographies paid for under Medicare be performed by a facility: (1) certified under this Act; and (2) in compliance with specified provisions of this Act. Subtitle C: Medicaid Coverage for Mammographies and Pap Smears - Medicaid Women's Basic Health Coverage Act of 1991 - Amends title XIX (Medicaid) of the Social Security Act to provide Medicaid coverage of: (1) screening mammographies for women age 35 and older conducted in accordance with the frequency guidelines established by the Omnibus Budget Reconciliation Act of 1990 for such coverage under the Medicare Program (title XVIII of the Social Security Act); and (2) screening pap smears. Subtitle D: Medicare Bone Mass Measurement Coverage Act - Medicare Bone Mass Measurement Coverage Act of 1991 - Amends title XVIII (Medicare) of the Social Security Act to provide Medicare coverage of bone mass measurements. Subtitle E: Women and AIDS Outreach and Prevention - Women and AIDS Outreach and Prevention Act - Amends the Public Health Service Act to authorize the Secretary of Health and Human Services to make grants regarding prevention of acquired immune deficiency syndrome (AIDS) and other sexually transmitted diseases in women, including preventive health services, screening, providing treatment (for such diseases other than AIDS), referrals, and follow-up services. Requires that a grantee be an entity that provides health or voluntary family planning services: (1) to a significant number of low-income women; and (2) in an area with a significant number of AIDS cases in women and in newborn infants. Requires that grantees maintain the confidentiality of information on individuals, subject to complying with applicable law. Authorizes appropriations. Subtitle F: Infertility Prevention Act - Infertility Prevention Act of 1991 - Amends the Public Health Service Act to authorize the Secretary of Health and Human Services, with regard to any treatable sexually transmitted disease that can cause infertility in women if treatment is not received for the disease, to make grants for specified activities, including counseling, screening, treatment, referrals, outreach, public information and education, training for health care providers, and data collection. Directs the Secretary to establish criteria for ensuring the quality of screening for such diseases. Limits grants to three years, with annual approval by the Secretary. Authorizes appropriations. Authorizes the Secretary to make grants for research on improving the delivery of services under this subtitle. Authorizes appropriations.
United States · United States Congress · 27 February 1991
Medicaid Women's Basic Health Coverage Act of 1991 - Amends title XIX (Medicaid) of the Social Security Act to provide Medicaid coverage of: (1) screening mammographies for women age 35 and older conducted in accordance with the frequency guidelines established by the Omnibus Budget Reconciliation Act of 1990 for coverage of screening mammographies under the Medicare program (title XVIII of the Social Security Act); and (2) screening pap smears.
United States · United States Congress · 25 February 1991
Directs the Secretary of the Treasury to design and strike a silver commemorative medal for members of the U.S. armed forces who serve in a combat zone in connection with the Persian Gulf conflict.
United States · United States Congress · 21 February 1991
Construction Safety, Health, and Education Improvement Act of 1991 - Amends the Occupational Safety and Health Act of 1970 (the Act) to establish in the Occupational Safety and Health Administration (OSHA) an Office of Construction Safety, Health, and Education (the Office) to ensure safe and healthy working conditions in the performance of construction work. Directs the Secretary of Labor (the Secretary) to: (1) develop mandatory standards for construction safety and health plans and programs established under this Act; (2) assume control of a construction site to both prevent the destruction of any evidence that would assist in the investigation of a fatality, serious injury, or incident, (unless it must be moved or destroyed as a part of rescue operations) and monitor the rescue operations conducted in response to the incident; (3) assist the Advisory Committee on Construction Safety and Health in developing training courses and curriculum for the training of OSHA inspectors and other OSHA employees with duties related to construction safety; (4) advise and consult with construction employer associations, construction employers, construction employees, and labor organizations as to effective means of preventing fatalities and serious injuries in construction work; (5) increase awareness of construction site safety through education, training, and outreach programs; (6) identify construction employers who have high frequency rates of fatalities or serious injuries or patterns of noncompliance with health and safety standards; and (7) carry out specified duties for construction worksite inspections, investigations, reporting, and recordkeeping and for construction safety and health plans and programs. Establishes within OSHA the position of Deputy Assistant Secretary of Labor for Construction who is to: (1) be appointed by the Secretary; (2) coordinate Office activities with those of other offices and directorates within OSHA as they relate to safety, health, and education in the construction industry; and (3) coordinate the activities and advice of the Advisory Committee on Construction Safety and Health with all OSHA activities relating to such matters, ensuring that the Advisory Committee performs its functions under the Act and the Contract Work Hours and Safety Standards Act. Directs the Secretary, with the advice of the Advisory Committee on Construction Safety and Health, to determine the necessary qualifications and training for OSHA inspectors, including: (1) full understanding of the Act and the Secretary's standards and regulations for the construction industry; and (2) at least five years' experience working in the construction industry. Establishes requirements for construction safety and health plans and programs. Requires designation of a project constructor (the constructor) in construction project documents by the construction owner for every construction project covered by the Act. Gives the constructor: (1) responsibility for supervising and controlling all construction work on the worksite; and (2) overall responsibility for the safety and health of all construction employees at the construction worksite, and for performing constructor duties set out in the Act and regulations issued under it. Considers the construction owner as the project constructor if such owner does not designate a constructor. Directs the constructor for a worksite to establish and implement: (1) written safety and health plans by constructors, including the project safety and health programs of construction employers involved in the project; (2) hazard analyses that identify the potential for and provide instructions to prevent hazards in the construction process; and (3) construction process plans that include means to ensure worksite structural stability and worksite inspections. Requires that: (1) constructors designate project safety coordinators (coordinators) for construction projects and notify construction employers of their identity (although such coordinators may not be assigned overall responsibility for project safety); and (2) coordinators, on behalf of constructors, adequately monitor safety at construction sites, prepare project safety and health plans before construction commencement, and ensure construction employers' compliance with reporting requirements. Requires safety and health plans to provide for permit systems under which constructors authorize employers to engage in operations determined to pose a risk of death or serious injury (covered operations). Requires covered operations to include: (1) construction of trenches and excavations; (2) erection and dismantling of scaffolding; (3) demolition of any building or structure; (4) operation of cranes and derricks; (5) operations requiring employees to enter confined or enclosed spaces; (6) operations involving exposure to asbestos and other toxic materials; and (7) other operations designated by the Secretary. Requires constructors, in issuing such permits, to ensure that employers: (1) know of and show intent to comply with requirements of the Act and standards and regulations issued by the Secretary; and (2) have developed safety and health programs that adequately address the hazards of the covered operation. Requires construction employers (employers) involved in construction project worksites to develop and implement project safety programs commensurate with the scope of the work. Requires such programs to require: (1) employers to appoint one competent person for each project to be responsible for general program administration; (2) a competent person to be at each worksite at all times that employers are engaged in construction work; (3) competent persons to inspect worksites frequently and take all necessary actions to eliminate hazards, including work stoppage or removal of affected employees if necessary; (4) provision of prescribed general health and safety training for construction employees; (5) adequate worksite instruction in the recognition of unsafe and unhealthy conditions, applicable standards and regulations, use of construction worksite equipment, and the handling of toxic and harmful substances; (6) emergency evacuation plans, inspection procedures, reporting of incidents, regular safety meetings, and monitoring procedures; (7) a procedure for employees and employee representatives to obtain an immediate inspection or a written evaluation, or both, of a perceived hazardous condition or harmful substance by a qualified person at any time in the construction process; (8) upon determination that such condition or substance presents an imminent danger, for the project constructor to stop work at, or remove affected employees from, the area in which such danger exists; and (9) other requirements, including procedures for monitoring, notification, and safety meetings. Sets forth procedures for emergency waivers of such requirements under specified conditions. Exempts any construction worksite with only one employer and ten or fewer employees from requirements for construction safety and health plans and programs, unless the construction worksite is one at which one of the specified covered operations (under the permit system) occurs. Provides for inspections, investigations, reporting, and recordkeeping. Requires project constructors to submit, before construction work commences, specified types of information necessary for the Secretary to develop and conduct a system of prioritized inspections. Directs the Secretary to establish an effective system for construction worksite inspections. Requires such system to give priority to concentration of enforcement resources on construction worksites and operations with a high potential for fatalities or serious injuries, giving due weight to: (1) employers' and owners' worksite compliance records; and (2) frequency and severity rates of fatalities, serious injuries, and incidents attributable to particular owners and employers and particular types of construction projects, worksites, and operations. Prohibits such priority system from limiting: (1) inspections based on complaints by construction employees on their representatives or complaints of imminent dangers; or (2) inspections following up prior enforcement actions or proceedings. Prohibits the Secretary from excluding from construction worksite inspections any construction owner or employer. Requires project constructors to make and maintain accurate records concerning fatalities, serious injuries, and incidents at a worksite. Requires project constructors to report to the Secretary by telephone or telegraph, within four hours after its occurrence, any incident involving construction work that results in: (1) a serious injury; (2) a fatality; or (3) a structural failure. Requires such reports to specify certain information. Directs the Secretary to conduct site inspections to investigate all such reports of incidents, as the Secretary prescribes. Requires such inspections as soon as practicable or at least within 24 hours after receipt of the telephone or telegraph report, unless site conditions would make inspection dangerous. Requires the project constructor to prevent destruction of evidence. Directs the Secretary to make public a narrative description of the occurrence. Requires the project constructor, at project completion or at one-year intervals during the project, to report to the Secretary all fatalities and serious injuries and all structural failures. Requires such report to provide specified information. Grants the Advisory Committee on Construction Safety and Health specified powers to carry out its functions under the Act and under the Contract Work Hours and Safety Standards Act. Limits the terms of members of such Committee. Directs the Secretary to respond in writing within 60 days to any recommendation made by a majority of members of such Committee. Requires any State construction safety and health plan to comply with specified requirements for State plans under the Act and to provide for development and enforcement of requirements at least as effective as those imposed by the Act and the Contract Work Hours and Safety Standards Act. Authorizes the Secretary to make grants to States for administering and enforcing this Act. Sets forth formulas for determining the Federal share of such grants. Directs the Secretary to report to the President and the Congress: (1) annually on certain general subjects as these relate to the construction industry, including the operation of the Office; and (2) within 120 days after three years of Office operation, on whether specified relevant information supports the continued existence of the Office within OSHA or supports enactment of legislation to establish in the Department of Labor a Construction Industry Safety and Health Administration to be headed by an Assistant Secretary of Labor for Construction Safety and Health.
United States · United States Congress · 21 February 1991
Amends the Internal Revenue Code to permanently extend the period during which qualified mortgage bonds and mortgage credit certificates may be issued.
United States · United States Congress · 20 February 1991
Defense Production Act Extension and Amendments of 1991 - Amends the Defense Production Act of 1950 to extend its expiration date to October 20, 1991. Authorizes appropriations and sets spending limits under such Act through FY 1991. Repeals provisions of such Act granting immunity from civil and criminal suits and a defense to antitrust actions for persons engaging in voluntary agreements for defense preparedness programs and expansion of production capacity and supply. Authorizes the President, with respect to certain Defense Production Act activities, to exempt persons participating in a voluntary agreement or plan of action on behalf of the United States from Federal antitrust laws or any similar State law for activities engaged in as part of such voluntary agreement or plan. Requires an individual designated by the President to administer such an agreement or plan to provide prior written notice of the time, place, and nature of any meeting to carry out such agreement or plan to the Attorney General, the Chairman of the Federal Trade Commission, and the Congress. Outlines requirements for, and limitations to, the antitrust defense for participants in such agreements or plans. Exempts any activity or provision of such agreements or plans from the Federal Advisory Committee Act and other Federal law relating to advisory committees. Authorizes the President to order a priority in the allocation of materials, facilities, and services (currently, only materials and facilities) when requirements of national defense cannot otherwise be met. Requires the President to reach certain determinations concerning the critical shortages of such materials, facilities, and services before exercising such authority. Makes this Act effective (retroactively) on October 20, 1990.
United States · United States Congress · 20 February 1991
Federal Employee Family-Building Act of 1991 - Requires any contract for health benefits for Federal employees that provides obstetrical benefits to also provide benefits for family-building procedures. Provides that payment terms or conditions under such contracts shall be no more restrictive for family-building benefits than for obstetrical benefits. Defines "family-building procedure" as a medical procedure to overcome infertility (including procedures to achieve pregnancy and procedures to carry pregnancy to term) and procedures relating to child adoption. Requires such contracts to provide that: (1) benefits shall consist of reimbursement for reasonable and necessary medical expenses and counseling fees directly relating to the adoption of a child; and (2) benefits shall be available in connection with obstetrical care for the biological mother and medical care for the child if, or to the extent that, the pre-adoptive or adoptive parent or parents are legally responsible for the cost of such care. Directs the Office of Personnel Management to authorize the use of sick leave for purposes relating to family-building procedures.
United States · United States Congress · 20 February 1991
Amends the Omnibus Budget Reconciliation Act of 1990 to exclude the administrative expenses of the old-age, survivor, and disability insurance programs from Federal budget calculations. Exempts such expenses from sequestration under the Balanced Budget and Emergency Deficit Control Act of 1985 (Gramm-Rudman-Hollings Act). Makes technical and related corrections to the Social Security Act and the Omnibus Budget Reconciliation Act of 1990.
United States · United States Congress · 20 February 1991
Women and Alcohol Research Equity Act of 1991 - Amends the Public Health Service Act to authorize appropriations for research on alcohol abuse and alcoholism, earmarking certain amounts for such research relating to women.
United States · United States Congress · 19 February 1991
Older Americans' Freedom to Work Act of 1991 - Amends title II (Old Age, Survivors and Disability Insurance) of the Social Security Act to remove the limitation on the amount of outside income which beneficiaries who have attained retirement age may earn without incurring a reduction in benefits.
United States · United States Congress · 6 February 1991
Northern Ireland Fair Employment Practices Act - Prohibits an article from being imported into the United States from Northern Ireland unless documentation is presented at the time of entry indicating that the enterprise which manufactured or assembled such article complied at the time of manufacture with certain fair employment principles (such as freedom from religious discrimination). Bases such principles on the MacBride Principles, a nine point set of guidelines for fair employment in Northern Ireland. Requires any U.S. person who has a branch or office in Northern Ireland or who controls an enterprise in Northern Ireland in which more than 20 people are employed to insure implementation of such employment principles and compliance with this Act. Requires reports to the Secretary of Commerce on compliance with this Act. Sets forth the fair employment principles. Authorizes the President to waive the requirements of this Act in the interest of national security. Requires such waiver to become effective 90 days after the President submits a justification of such waiver to the Congress unless the Congress adopts a joint resolution disapproving the waiver. Provides for expedited consideration of such resolution.
United States · United States Congress · 6 February 1991
Social Security Notch Adjustment Act of 1991 - Amends title II (Old Age, Survivors and Disability Insurance) of the Social Security Act to establish a new formula for computing the primary insurance amount of individuals who attain age 65 in or after 1982 and would otherwise be subject to the benefit computation rules of the Social Security Amendments of 1977. Extends the application of such transitional benefit computation rules to those who become eligible for benefits before 1989. (Currently those who become eligible after 1983 are subject to the benefit computation rules of the Social Security Amendments of 1977.)
United States · United States Congress · 6 February 1991
Social Security Administrative Reform Act of 1991 - Title I: Establishment of the Social Security Administration as an Independent Agency - Amends title VII (Administration) of the Social Security Act to establish as an independent executive agency a Social Security Administration, governed by a Social Security Board, to administer the Old Age, Survivors and Disability Insurance (OASDI) program and the Supplemental Security Income program under titles II and XVI of the Social Security Act. Transfers to the Board all functions carried out by the Secretary of Health and Human Services (HHS) pertaining to such programs. Title II: Conforming Amendments and Rules of Construction - Makes conforming amendments to titles II and XVI of the Social Security Act. Requires the Board to report to the Congress within 120 days after the beginning of each regular session on its administration under the Social Security Act. Requires the Secretary of HHS to study and make recommendations on the most effective methods of providing economic security and on the administrative policy for the programs. Sets forth rules of construction.
United States · United States Congress · 6 February 1991
Social Security Caregiver Act of 1991 - Amends title II (Old Age, Survivors and Disability Insurance) of the Social Security Act to provide for an increase of up to five in the number of years of either zero or low earnings disregarded in determining average annual earnings on which benefits are based provided such years were used to provide care to a child under the age of 12 or to a chronically dependent spouse or relative.
United States · United States Congress · 5 February 1991
Provides that service performed by certain civilian employees of the Departments of Transportation or Defense holding positions for which experience as an air traffic controller is a prerequisite shall be creditable for retirement under the Civil Service and Federal Employees' Retirement Systems.
United States · United States Congress · 5 February 1991
Grand Canyon Protection Act - Directs the Secretary of the Interior to: (1) operate Glen Canyon Dam and take other reasonable mitigation measures to protect, mitigate adverse impacts to, and improve the condition of the environmental, cultural, and recreational resources of Grand Canyon National Park and Glen Canyon National Recreation Area; (2) promulgate interim operating procedures for Glen Canyon Dam in consultation with the Department of the Interior, the Secretary of Energy, specified State Governors, and Indian tribes and with the full participation of the general public, including the academic and scientific communities, environmental organizations, the recreation industry, and contractors for the purchase of Federal power produced at Glen Canyon Dam; (3) implement such procedures pending development of long-term operating procedures; and (4) establish and implement long-term monitoring requirements. Subjects such operating procedures to the water storage and delivery functions of Glen Canyon Dam pursuant to laws relating to allocation of the Colorado River. Authorizes the Secretary of the Interior to deviate from such interim operating procedures to: (1) comply with requirements under this Act; (2) respond to hydrologic extremes or power system operating emergencies; or (3) further reduce adverse impacts on resources downstream. Directs the Secretary, no later than December 31, 1993, to complete the Glen Canyon Environmental Studies and the final Glen Canyon Dam Impact Statement as required under the National Environmental Policy Act of 1969. Directs the Comptroller General to review the costs and benefits to water and power users and to natural, recreational, and cultural resources resulting from management policies and dam operations identified in the Impact Statement and report the results of such audit to the Secretary and the Congress. Directs the Secretary to implement the long-term operating procedures for the Dam, based on the Studies and the Statement and audit, alone or in combination with other reasonable mitigation measures, and to submit the Studies and the Statement and the long-term operating procedures to the Congress. Prohibits such long-term operating procedures from interfering with the primary water storage and delivery functions of the Glen Canyon Dam pursuant to laws relating to allocation of the Colorado River. Amends the Colorado River Storage Project Act to prohibit the Secretary from operating the hydroelectric powerplant at the Dam in a manner which causes significant and avoidable adverse effects on resources of the Grand Canyon National Park or the Glen Canyon National Recreation Area. Authorizes appropriations. Provides that nothing in this Act shall be interpreted as modifying or amending laws relating to environmental or natural resources protection, with regard to the operation of the Glen Canyon Dam.
United States · United States Congress · 5 February 1991
Pension Restoration Act of 1991 - Establishes a Federal annuity program, administered by the Pension Benefit Guaranty Corporation, to compensate participants in private pension plans which were terminated before September 1, 1974, for nonforfeitable pension benefits lost by reason of the termination. Sets forth provisions for such annuity program, relating to: (1) entitlement; (2) computation; (3) applications; (4) administrative appeals; (5) judicial review; (6) payment; (7) interagency coordination and cooperation; and (8) regulations. Provides for use of certain funds under the Employee Retirement Income Security Act of 1974 (ERISA) to pay such annuities and the administrative costs of such program.
United States · United States Congress · 4 February 1991
Extends the immediate retirement provisions applicable to Federal law enforcement officers to: (1) revenue officers for the Internal Revenue Service; (2) customs inspectors for the U.S. Customs Service; (3) customs canine enforcement officers for the U.S. Customs Service; and (4) inspectors for the Immigration and Naturalization Service.
United States · United States Congress · 30 January 1991
Military Family Preservation Act of 1991 - Directs the Secretary of Defense to prescribe regulations which prohibit the stationing of a member of the armed forces who is solely responsible for his or her dependents (or who together with a spouse also in the armed forces is solely responsible for such dependents) at a location at which facilities for dependents of such member are not reasonably available. Requires the Secretary of the military department concerned to provide assistance to a member and his or her family to develop alternative plans for the care of dependents when such member is to be stationed at a location lacking adequate dependent care facilities.
United States · United States Congress · 30 January 1991
Recycling Information Clearinghouse Act of 1991 - Amends the Solid Waste Disposal Act to require the Environmental Protection Agency to establish a clearinghouse for information about the recycling of municipal solid waste, to be administered by the Office of Solid Waste. Requires that the information collected and disseminated to the public by such clearinghouse include: (1) an annual estimate of the volume and rate of recycling of materials from the municipal solid waste stream; (2) an annual estimate of the balance of trade in recycled materials and products; (3) economic data comparing the costs and benefits of recycling various materials from the municipal solid waste stream; (4) a catalog of State and local laws that encourage or require the recycling of materials from the municipal solid waste stream; (5) a list of all purchases of recycled materials or products by the Federal Government, organized by agency and the type of recycled materials or products purchased; (6) a register announcing all solicitations by Federal agencies for the purchase of recycled materials or products; (7) information about state-of-the-art recycling methods, programs, or technologies; and (8) a register of all potential purchasers of recycled materials. Requires that a toll-free telephone hotline be established and made available to those seeking information from the clearinghouse. Provides that, to the extent feasible, such information should be computerized to facilitate its analysis and retrieval. Makes a State ineligible for solid waste disposal assistance after December 31, 1992, unless the State maintains and publicizes a register of potential purchasers of recycled materials known to the State solid waste planning authorities. Requires such register to be periodically updated and submitted to the clearinghouse. Authorizes appropriations for such clearinghouse.
United States · United States Congress · 30 January 1991
Amends the Internal Revenue Code to allow an income tax deduction for interest on certain indebtedness incurred to pay the educational expenses of the taxpayer, spouse, or dependent. (Under current law, such a loan must be secured by an interest in real property.)
United States · United States Congress · 29 January 1991
Expresses the sense of the Congress that Federal agencies should not engage in activities that threaten the civil liberties of U.S. citizens, or legal residents, of Arab descent. Urges the Federal Bureau of Investigation to: (1) inform Federal, State, and local law enforcement agencies that Arab Americans are potential victims of, and should be protected from, hate crimes and related discrimination; and (2) encourage such law enforcement agencies to work with community leaders to report such crimes and discrimination.
United States · United States Congress · 28 January 1991
Expresses the sense of the Congress that the President should submit to the Congress a proposed National Energy Policy Plan by a specified deadline. Cites possible national energy goals which the President should consider when establishing national energy objectives and strategies.
United States · United States Congress · 24 January 1991
Defense Production Act Extension and Amendments of 1991 - Amends the Defense Production Act of 1950 to extend its expiration date to October 20, 1991. Authorizes appropriations and sets spending limits on such Act through FY 1991. Repeals a provision of such Act which grants immunity from civil and criminal suits and a defense to antitrust law actions for those persons engaging in voluntary agreements for defense preparedness programs and expansion of production capacity and supply. Authorizes the President, with respect to certain Defense Production Act activities, to exempt persons who are employed without compensation and participating in a voluntary agreement on behalf of the United States from Federal antitrust laws or any similar State law for activities engaged in as part of such voluntary agreement. Requires an individual designated by the President to administer such a voluntary agreement or plan of action to provide prior written notice of the time, place, and nature of any meeting to carry out such agreement or plan to the Attorney General, the Chairman of the Federal Trade Commission, and the Congress. Outlines requirements for, and limitations to, the antitrust defense for participants in such voluntary agreements or plans of action. Exempts any activity or provision of such agreements or plans from the Federal Advisory Committee Act and other Federal law relating to advisory committees. Authorizes the President to order a priority in the allocation of materials, facilities, and services (currently, only materials and facilities) when requirements of national defense cannot otherwise be met. Requires the President to reach certain determinations concerning the critical shortages of such materials, facilities, and services before exercising such authority.
United States · United States Congress · 23 January 1991
Authorizes the appointment of chiropractors as commissioned officers in the Army, Navy, or Air Force Medical Service Corps. Provides special pay to chiropractic officers on active duty for not less than one year. Increases such special pay with service. Authorizes the payment of additional special pay for any 12-month period during which such an officer is not undergoing chiropractic internship training, with appropriate increases for years of service. Requires such an officer, to receive such additional special pay, to execute a written agreement to remain on duty for no less than one year. Authorizes the Secretary of the military department concerned to terminate the payment of such additional special pay at any time, with an appropriate refund required from the officer concerned for any period paid but unserved. Requires an officer who voluntarily terminates service for a period for which a special payment was made to refund the proper amount to the United States.
United States · United States Congress · 18 January 1991
Amends Federal law to require that members of the uniformed branch of the United States Postal Inspection Service be treated as law enforcement officers for civil service retirement purposes.
![Official portrait of Rep. Oakar, Mary Rose [D-OH-20]](https://www.congress.gov/img/member/o000001_200.jpg)