United States · United States Congress · 21 May 1975
Title I: Survey And Certification, Ratesetting And Audit, And General Regulation Of Long-Term Care Facilities Under Medicaid Programs - Requires that a State plan for medical assistance must provide that no skilled nursing facility may receive payments under such plan unless and until it is approved to receive payments under title XVIII (Medicare) of the Social Security Act. Provides that such State plan require that the State agency have the power to terminate reimbursement to a skilled nursing or intermediate care facility which violates its provider agreement. Requires such State plan to include that the inspection and medical review shall serve as the basis for determining the overpayment to such facility, and the amount such agency must refund. Requires such State plan to provide that any skilled nursing facility receiving payments under the plan be required to maintain with the State agency a bond to anticipate any and all claims for overpayment. Title II: Medical, Psychological, And Social Assessment Of Patients In Need Of Long-Term Care Under Medicare And Medicaid Programs - Requires that for payment of services furnished and individual under the Medicare and Medicaid programs that a physicain's certification be based on such patient assessment criteria as the Secretary of Health, Education, and Welfare may require. Provides that a State plan msut include a regular program of medical review utilizing such criteria as required by the Secretary of meeting their health care needs through alternative institutional or noninstitutional services.
United States · United States Congress · 21 May 1975
Authorizes the Secretary of Health, Education, and Welfare to make grants under the Public Health Service Act to colleges and universities to assist them in the establishment and operation of programs for the training of physicians' assistants. Authorizes appropriations of $10,000,000 annually commencing with fiscal year 1974 to carry out the provisions of this Act.
United States · United States Congress · 21 May 1975
Authorizes the Secretary of Health, Education, and Welfare to make grants to assist schools of medicine in the establishment and operation, within such schools, of conintuing education programs in geriatrics for physicians.
United States · United States Congress · 21 May 1975
Requires any nursing home, which provides services under State plans approved under title XIX (Medicaid) of the Social Security Act, fully to disclose to the State licensing agency the identity of each person who has any ownership interest in such home or is the owner (in whole or in part) of any mortgage, deed of trust, note, or other obligation secured (in whole or in part) by such home.
United States · United States Congress · 21 May 1975
Authorizes the Secretary of Health, Education, and Welfare to make grants to schools of medicine to train veterans, with appropriate experience as paramedical personnel, to serve as medical assistants in long-term health care facilities. Authorizes appropriations of $2,500,000 for fiscal year 1974 and $5,000,000 for each of the next three fiscal years to carry out the provisions of this Act.
United States · United States Congress · 21 May 1975
Authorizes an experimental program under the Social Security Act to provide for care for elderly individuals in their own homes. Authorizes appropriations of such sums as may be necessary carry out the purposes of this Act for fiscal year 1975 and for each fiscal year thereafter.
United States · United States Congress · 21 May 1975
Makes it an unfair labor practice under the National Labor Relations Act to discharge or otherwise discriminate against an employee because he has given testimony before any standing, special, or select committee of Congress, or in any proceeding before any agency or department of the Federal Government.
United States · United States Congress · 21 May 1975
Authorizes the Secretary of Health, Education and Welfare to make grants to assist schools of medicine in the establishment and operation, within such schools, of departments of geriatrics. Stipulates that such grants shall not be made to more than six schools of medicine and the amount of such grants to any school of medicine for any year shall not exceed $500,000. Authorizes to be appropriated for each fiscal year such sums as may be necessary to carry out the provisions of this section.
United States · United States Congress · 21 May 1975
Campuses for the Elderly Act - Authorizes the Secretary of Health, Education, and Welfare to institute a program under which qualified organizations, public and private, will submit plans for the development of carefully conceived and innovative projects to meet the special health care, housing, and related needs of elderly persons in the campus-type setting. Provides that from the plans submitted the Secretary shall select which he determines are most promising in furtherance of the objectives of this Act. Authorizes the Secretary to make, and contract to make, interest subsidy payments to the holder of any mortgage covering a project designed in accordance with a plan selected under this Act. Provides that as a condition for receiving such a subsidy the owner shall operate the project in accordance with such requirements as the Secretary may prescribe. Authorizes to be appropriated such sums as may be necessary to make such payments. Requires an evaluation of such projects not later than two years after their implementation to determine their effectiveness and suitability in meeting the needs of elderly persons. Provides that such evaluation shall be made by a committee consisting of the following members: (1) three members of the Congress to be appointed jointly by the President of the Senate and the Speaker of the House of Represenatives; and (2) six members to be appointed by the Secretary of which three shall be representative of the medical profession and three shall be persons who have had experience in the administration of health-care facilities, both proprietary and nonproprietary. Provides that the Committee shall submit to the Secretary for transmittal to the Congress a report with respect to its findings and recommendations not later than six months after the date on which the committee is fully organized. Authorizes to be appropriated such sums (not to exceed $70,000) as may be necessary to carry out this evaluation.
United States · United States Congress · 21 May 1975
Provides for the making of direct loans at 4 percent or the current market interest rate, whichever is lower, under the Public Health Service Act, for the construction and rehabilitation of nursing homes owned and operated by churches and other nonprofit organizations. Authorizes to be appropriated such sums as may be necessary to carry out the provisions of this Act.
United States · United States Congress · 21 May 1975
Elderly Day Care Center Act - Revises title XVIII (Medicare) of the Social Security Act to include "elderly care center" in the definition of "provider of service."
United States · United States Congress · 21 May 1975
National Home Health Care Act - Broadens the coverage of home health services under the supplementary medical insurance (Medicare) program of of the Social Security Act and removes the 100-visit limitation presently applicable to the home health service program. Extends the coverage of posthospital home health services to include payment for items and services which the indiviudal could otherwise obtain in a skilled nursing facility. Requires the inclusion of home health services in a State's medicaid program under the Social Security Act and permits the payment of rent under such program for elderly persons who would otherwise require nursing home care. Provides expanded Federal funding for congregate housing for the displaced and the elderly by increasing the amount available for such housing under the low income housing program. Establishes, in the Department of Health, Education, and Welfare, a home health patient ombudsman, who shall be appointed and provided with adequate staff and facilities by the Secretary. Makes it the duty and responsibility of the ombudsman to monitor specified programs under the Social Security and the various medical assistance programs under the State plans approved pursuant to such Act, and to maintain such oversight of those programs and their operation and administration as may be necessary to: (1) assure that home health patients under such programs are receiving the care to which they are entitled, (2) provide safeguards against over-charging for home health services, (3) identify abuses against home health patients, (4) receive, handle, and expedite complaints by home health patients, (5) recommend to the Secretary any changes in the regulations affecting home health services which may appear necessary or desirable, and (6) take appropriate action (including the transmission of findings to the Attorney General) with respect to abuses and violations of law affecting the provision or receipt of home health services under such programs. Makes the children over 18 of parents receiving nursing and home health care assistance under the medicaid program liable for a specified portion of the expenses of such assistance, depending upon the income of such child. Permits the waiver of such obligation in any case where the State agency determines, in accordance with regulations prescribed by the Secretary, that the imposition of such obligation or the making of such collection would impose undue hardship. Provides that any amount collected from or otherwise paid by any person in satisfaction of any obligation imposed by this section shall constitute a medical expense paid or incurred by such person for purposes of deductions under the Internal Revenue Code ot 1954.
United States · United States Congress · 21 May 1975
Provides 100 percent Federal funding of financial audits of skilled nursing and intermediate care facilities participating in the medicaid program conducted by State personnel pursuant to the Social Security Act.
United States · United States Congress · 21 May 1975
Provides, under the Public Health Service Act, that the Secretary of Health, Education, and Welfare may make grants to and enter into contracts with public or nonprofit private entities for the purposes of developing or operating programs for the training of nurse practicioners with special emphasis on nursing homes and the care of the aged. States that on or before March 1, 1975, after consultation with appropriate educational organizations and professional nursing and medical organizations, the Secretary shall prescribe program guidelines for nurse practicioners. Sets forth minimum guidelines, including a program of classroom instruction and supervised clinical practice aimed toward preparing nurses to deliver primary health care. Authorizes to be appropriated for the purposes of making payments under grants and contracts $5,000,000 for fiscal year 1975 and $7,500,000 for fiscal year 1976.
United States · United States Congress · 21 May 1975
Provides for the making of grants under the Public Health Service Act to public or nonprofit colleges and universities to assist them in establishing graduate programs for nurses in geriatrics and gerontology.
United States · United States Congress · 21 May 1975
Nursing Home Personnel In-Service Training Act - Authorizes the Secretary of Health, Education, and Welfare to make grants, not to exceed $100,000 per grant, to assist public or nonprofit private schools of nursing to meet the costs of developing short-term in-service training programs for nurses aids and orderlies for nursing homes. Provides that such programs shall emphasize the special problems of geriatric patients. Authorizes to be appropriated $1,000,000 for fiscal year 1975, and $1,000,000 for fiscal year 1976, to carry out the purposes of this Act.
United States · United States Congress · 21 May 1975
Provides criminal penalties under title XIX (Medicaid) of the Social Security Act for: (1) the solicitation or acceptance of any gift, money, or consideration over and above the rates established by the States; or (2) the acceptance of any gift, money, or donation, as a precondition of admitting a patient to a long-term care facility.
United States · United States Congress · 21 May 1975
Authorizes the States to incorporate financial incentives for good care within the context of their cost-related reimbursement formulae under the Medicare and Medicaid programs of the Social Security Act, effective July 1, 1976.
United States · United States Congress · 21 May 1975
Authorizes the Secretary of Health, Education, and Welfare to provide grants for the planning, development, construction, and rehabilitation of nursing homes in black and minority communities under the Public Health Service Act. Authorizes to be appropriated such sums as may be necessary to carry out the provisions of this Act.
United States · United States Congress · 21 May 1975
Requires States, under the Medicaid program of the Social Security Act, to establish ombudsman programs to investigate nursing home complaints and represent consumer interests.
United States · United States Congress · 21 May 1975
Provides for the 100 percent Federal financing of the State costs in inspecting nursing homes. Provides for Federal assistance for the States' new enforcement tools such as a citation system and protective custodianship and other alternatives to license revocation.
United States · United States Congress · 21 May 1975
Authorizes the Secretary of Health, Education, and Welfare, under title XX of the Social Security Act, to provide for a system of inspections of State inspection and enforcement mechanisms with regard to facilities receiving payments under the Medicare and Medicaid programs.
United States · United States Congress · 21 May 1975
Requires, under title XCIII (Medicare) of the Social Security Act, that nursing homes post their current license, medicare/medicaid certification, a list of owners of the facility, the names of staff, a patient's bill of rights as well as a description of services offered by the facility and the facility's charges therefor.
United States · United States Congress · 21 May 1975
Requires that accurate records of the handling of accounts, personal expense moneys, and valuables of patients receiving benefits under the Medicare program of the Social Security Act be maintained; that a receipt be given and recorded for such items; and that they be kept separate from similar items owned by the facility caring for such patients.
United States · United States Congress · 21 May 1975
Authorizes medicare or medicaid patients individually or as a class to bring suit under the Social Security Act for specific performance, without regard to the $10,000 jurisdictional amount, in Federal district court against a long-term care facility which is in violation of its provider agreement.
United States · United States Congress · 21 May 1975
Provides educational and performance requirements for long-term care facility personnel compensated with Federal funds who are responsible for determining whether such institutions comply with health and safety standards required under title XIX (Medicaid) of the Social Security Act.
United States · United States Congress · 21 May 1975
Requires a minimum ratios for nursing home personnel to patients, and for superviosry nurses to total nurses under titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act.
United States · United States Congress · 21 May 1975
Requires the Department of Health, Education, and Welfare to establish a rating system for nursing homes participating in Medicare and Medicaid programs of the Social Security Act as a guide to consumers. States that such ratings shall be based on surveys available to the Secretary under the Social Security Act.
United States · United States Congress · 21 May 1975
Requires that payment forms submitted from nursing homes for reimbursement under the Medicare and Medicaid programs of the Social Security Act contain warnings with regard to penalties imposed for misrepresentation of the amounts due under such Act.
United States · United States Congress · 21 May 1975
Provides, under the Social Security Act, for the establishment of an Inspector General for health administration. Authorizes the Inspector General to suspend any regulation, practice, or procedure found not to be in compliance with the provisions or purposes of the Medicare or Medicaid programs. Authorizes the Inspector General to make confidential expenditures of up to $50,000 in any fiscal year to make inspections, audit, or reviews in furtherance of the purposes of this Act.
United States · United States Congress · 21 May 1975
Requires physician visits to patients in skilled nursing facilities at least once every thirty days under title XVIII (Medicare) of the Social Security Act.
United States · United States Congress · 21 May 1975
Provides criminal penalties under the Social Security Act for the offer or receipt of consideration for the referral of patients, clients, or customers under the Medicare or Medicaid programs.
United States · United States Congress · 21 May 1975
Requires nursing homes participating in Federal programs pursuant to title XVIII (Medicare) of the Social Security Act to have in effect procedures to prevent epidemic diseases and accidents and for reporting them immediately to appropriate authority and next of kin of patients involved in any untoward incident affecting health and safety.
United States · United States Congress · 21 May 1975
Authorizes, under the Medicare program of the Social Security Act, the provision of intermediate care services to persons requiring institutional care, but not the degree of care provided by a hospital or skilled nursing facility.
United States · United States Congress · 21 May 1975
Provides for placing responsibility for medical care provided by skilled nursing facilities under the Medicare and Medicaid programs of the Social Security Act in a medical director who is a physician on call in emergencies and who either (1) spends 10 hours a week in each facility for which he is responsible or (2) spends 2 hours per week in such facility and is assisted by a nurse practitioner (whose functions are defined in the Act) who spends at least 20 hours per week at the facility.
United States · United States Congress · 21 May 1975
Requires State plans under the Medicaid program of the Social Security Act to be ratified by both the State's legislative and executive branch before being presented to the Secretary of Health, Education, and Welfare for his approval; and requires that such plans be posted and available to the public. Directs the Secretary to annually review a State's compliance with such plan and to publish performance ratings for the States. Creates a cause of action allowing Medicaid recipients individually or as a class to bring suit against a State for specific performance when a State fails to comply with the provisions of its plan.
United States · United States Congress · 21 May 1975
Allows the States to use supplementary security income payments plus a State supplement of not less than $100 per resident per month to provide care for residents in nonmedical shelter care facilities, if such residents are ambulatory and need only minimum supervision.
United States · United States Congress · 21 May 1975
Requires admissions contracts between nursing homes participating in Federal programs and the patients they serve under title XVIII (Medicare) of the Social Security Act.
United States · United States Congress · 21 May 1975
Requires under titles XVIII (Medicare) of the Social Security Act, that skilled nursing facilities employ at least one registered professional nurse twenty-four hours per day, seven days a week.
United States · United States Congress · 21 May 1975
Requires under titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act that only licensed personnel may set up or distribute medications in skilled nursing facilities.
United States · United States Congress · 21 May 1975
Allows a tax deduction under the Internal Revenue Code for amounts paid during the taxable year by the taxpayer for nursing home expenses for an individual who would be a dependent of such taxpayer if sufficient support were provided.
United States · United States Congress · 21 May 1975
Provides for the modification of the medicare reimbursement formula under title XVIII of the Social Security Act to allow small hospitals in rural areas with low occupancy to provide long term care in those areas where there are no appropriate nursing home beds available.
United States · United States Congress · 21 May 1975
Requires the Secretary of Agriculture to maintain a program by which the Department of Agriculture collects, prepares, makes available, and distributes information regarding the establishment and operation of farmers' markets and the potential of such markets for increasing the income of small farmers. Directs the Secretary to: (1) make available horticultural and marketing materials to small farmers; (2) obtain existing materials concerning farmers' markets, prepare new materials, and make available such materials to interested parties; and (3) conduct, or contract for, specified research. Defines "farmers' market" as any marketplace where at least 10 farmers congregate for the purpose of selling their agricultural commodities directly to consumers in a manner designed to lower the cost of food for the consumers while providing an increased income to the farmers. Authorizes to be appropriated such sums as are necessary to carry out the provisions of this Act.
United States · United States Congress · 21 May 1975
Mortgage Disclosure Act - Requires each financial institution which makes federally related mortgage loans to compile and make available to the public for inspection and copying at each office of that institution specified information concerning real estate loans, and savings accounts. Directs the Federal Reserve Board to prescribe such regulations as may be necessary to carry out the purposes of this Act. Requires the Federal Trade Commission to enforce the requirements imposed under this Act unless such enforcement is specifically charged to some other Government agengy.
United States · United States Congress · 21 May 1975
Authorizes Members of the House of Representatives to hire one additional staff member to assist with duties related to committee activities. Directs that such employment shall be terminated if the staff member performs services not related to committee activity. Establishes the maximum salary to be paid such staff members. Provides that salaries shall be payable from the contingent fund of the House of Representatives.
United States · United States Congress · 21 May 1975
Expresses the sense of the House of Representatives that the President submit to Congress a action plan which would provide a suitable multagency plan for monitoring the State and Federal investigations and actions related to nursing home abuses. Provides that possible linkages between scandals and nursing home problems be reported to local, State, and Federal law enforcement officials. Requests regular reports by th multiagency task force to Congress.
United States · United States Congress · 20 May 1975
National Electrical Energy Conservation Act - Title I: National Power Grid and Regional Bulk Power Distribution - Creates a National Power Grid Corporation to establish and operate a national power grid system consisting of electric power generating facilities and a system of very high voltage transmission lines which shall interconnect such generating facilities and the transmission systems of each regional corporation established by the Corporation pursuant to this Act. Provides that such regional corporations shall be the exclusive marketing agency for the National Grid in that region. Authorizes electric utilities, publicly or privately owned, to enter into agreements for services with the regional corporation. Places specified conditions on any such contract for services and the rates at which power marketed for the National Grid may be sold. Directs the National Grid to carry out a program of research and development in the area of electric power generation and transmission, giving perference to environmental protection and land use research priorities. Authorizes up to $250,000,000 per fiscal year to carry out such program. Transfers specified federally owned facilities to the National Grid. Title II: General Provisions Applicable to National Grid and to Regional Corporations - States that each corporation shall be subject to Federal, State, and local environmental standards. Specifies the interests to be represented on the Board of Directors of such corporations, and their composition, terms of members, and procedures for selecting the officers and employees of the corporations. States that the corporations shall have those powers conferred on nonprofit corporations pursuant to the District of Columbia Nonprofit Corporation Act and specified additional powers. Directs such corporations to at all times maintain complete and accurate books of accounts. Authorizes each corporation to issue and sell bonds for financing its activities, providing that the aggregate total of outstanding bonds shall not exceed $30,000,000,000. Authorizes each corporation to cause to be instituted condemnation proceedings against any lands or interests in land necessary to carry out the provisions of this Act. Requires each corporation to report annually to the President and provides for transmittal of such report to the Congress.
United States · United States Congress · 20 May 1975
Provides for the payment of a special housing allowance under the supplementary security income program of the Social Security Act to each recipient of supplemental security income benefits whose housing expenses exceed an amount equal to 25 per cent of his or her income, so as to reduce such expenses to that amount.
![Official portrait of Rep. Ottinger, Richard L. [D-NY-20]](https://www.congress.gov/img/member/o000134_200.jpg)