United States · United States Congress · 6 May 1986
Expresses the sense of the Congress that the President and the Secretary of State should insist at the Vienna Review Meeting of the Conference on Security and Cooperation in Europe, and in discussions with Communist Party and Soviet leaders, that imprisoned and exiled members of the Ukrainian and other Helsinki Monitoring Groups be released and allowed to emigrate to the countries of their choice. Expresses the sense of the Congress that: (1) the Secretary of State should ensure that the U.S. consulate in Kiev reports on Soviet human rights violations in the Ukraine; and (2) such information should be included in reports on compliance with the Helsinki Final Act.
United States · United States Congress · 30 April 1986
Amends the Balanced Budget and Emergency Deficit Control Act of 1985 (Gramm-Rudman-Hollings Act) to exempt from reduction under any sequestration order the Pell grant higher education assistance program under the Higher Education Act of 1965.
United States · United States Congress · 29 April 1986
Manufacture and Public Distribution of Certain Copyrighted Material Act - Amends the copyright law to extend indefinitely the manufacturing clause, which prohibits the importation of certain English language books not manufactured in the United States or Canada. Eliminates the Canadian exemption, per se, after 1988. Permits exemptions from such restriction if a foreign country, including Canada, is certified by the United States Trade Representative as providing adequate copyright protection for U.S. nationals and such country freely trades in printed matter with the United States or adheres to a bilateral or multilateral agreement with the United States and supports internationally recognized workers' rights.
United States · United States Congress · 23 April 1986
Vacates the proceedings by which H. Res. 427 (Members' outside earned income limitations) was adopted by the House of Representatives and provides that such resolution shall be considered to have been laid on the table.
United States · United States Congress · 22 April 1986
Expresses the sense of the Congress that a Children's Challenge Center for Space Science should be established in conjunction with the National Aeronautics and Space Administration at the Johnson Space Center as a memorial to the seven Challenger astronauts and others who gave their lives exploring space.
United States · United States Congress · 17 April 1986
Amends title VII (Unlawful Possession or Receipt of Firearms) of the Omnibus Crime Control and Safe Streets Act of 1968 to expand the firearms-related crimes for which persons with multiple convictions may receive increased penalties to include serious drug offenses and crimes of violence. (Previous law provided increased penalties for robbery and burglary only.)
United States · United States Congress · 17 April 1986
Medicare Quality Protection Act of 1986 - Title I: Quality Assurance in Inpatient Hospital Settings - Requires the Secretary of Health and Human Services to develop and submit to the Congress a legislative proposal to improve the prospective payment system established under title XVIII (Medicare) of the Social Security Act so that it more accurately approximates the costs of inpatient hospital services and accounts for variations in case complexity. Amends the Medicare program to require a hospital to give Medicare beneficiaries, upon their admission to the hospital, a written statement explaining: (1) the individual's rights to benefits for inpatient hospital and post-hospital Medicare services; (2) the circumstances under which such individual will be liable for charges for a continued hospital stay; (3) the individual's right to appeal denials of continued hospital services; and (4) the individual's liability for payment for services if such a denial of benefits is upheld on appeal. Amends part B (Peer Review) of title XI of the Act to require peer review organizations receiving a hospital inpatient's request for review of a hospital's decision that the patient no longer needs inpatient care to inform the patient of its decision within two days of receiving the request. Prohibits hospitals from charging patients for inpatient hospital services provided while patients wait for a peer review organization to respond to their timely review requests. Imposes a civil money penalty on hospitals which make payments to physicians and on physicians who knowingly receive payments which constitute an inducement to curtail the stay of, or services provided to, an identifiable patient. Directs the Secretary to study the adequacy of standards used for hospital compliance with Medicare participation conditions in assuring the quality of hospital services. Requires the Secretary to study the adequacy with which the prospective payment system compensates hospitals, and distributes such compensation among hospitals, for costs attributable to patients' extended hospital stays necessitated by delays in patient placement in skilled nursing facilities. Title II: Access to Appropriate Post-Hospital Care - Amends part B (Supplementary Medical Insurance) of the Medicare program to require hospitals to implement a discharge planning process which meets guidelines and standards, to be established by the Secretary, ensuring patients a timely and smooth transition to the most appropriate type of, and setting for, post-hospital or rehabilitative care. Extends the limitations on beneficiary liability for disallowed Medicare claims to cover home health services provided to certain unqualified individuals. Provides that skilled nursing facilities and home health agencies which keep their services for which Medicare coverage is denied below specified percentages and comply with certain administrative requirements shall not subsequently be denied payment for care provided. Sets forth reporting requirements. Directs the Secretary to develop a uniform needs assessment instrument enabling health care providers and fiscal intermediaries to evaluate an individual's need and ability to pay for post-hospital extended care, home-health, and long-term care services. Requires the Secretary to develop procedures to expedite fiscal intermediaries' determinations as to whether provider claims for post-hospital extended care and home health services may be reimbursed under the Medicare program. Directs the Secretary to provide for prompt response (within 24 hours) to beneficiary requests as to whether the beneficiary's Medicare coverage for post-hospital extended care services has been exhausted. Authorizes providers to represent beneficiaries on appeals of benefit determinations. Permits beneficiary appeals of the Secretary's denials of claims for home health service benefits. Amends the Social Security Amendments of 1983 to extend, through 1989, the annual report on the impact of the prospective payment system and require the inclusion of information in such reports regarding the quality, and accessibility to Medicare beneficiaries, of post-hospital services. Title III: Improved Review of Quality by Peer Review Organizations - Amends part B (Peer Review) of title XI of the Act to require hospitals to submit data to peer review organizations on a monthly basis. Requires peer review organizations to review selected cases where individuals are readmitted to a hospital within 30 days of their most recent hospital discharge to determine if the previous inpatient hospital services and post-hospital services met professionally recognized health care standards. Directs each peer review organization to commit a reasonable proportion of its activities to review of the quality of services provided in cases and settings where potential quality problems have been identified. Requires the Secretary to identify methods facilitating the discovery of such cases. Requires each peer review organization to have at least one consumer representative on its board of directors. Directs such organizations to investigate all written beneficiary complaints about the quality of Medicare services which are filed with the organization. Requires peer review organizations to share data with organizations responsible for accrediting providers or State officials responsible for assuring quality care if such data reflects a substantial failure by providers or practitioners to provide quality care. Title IV: Study to Develop a Strategy for Quality Review and Assurance - Directs the Secretary to arrange a study which will serve as the basis for establishing a strategy for reviewing and assuring the quality of care provided under the Medicare program. Requires the Secretary to report to the Congress regarding the study within two years of enactment of this Act.
United States · United States Congress · 17 April 1986
Amends title II (Old Age, Survivors and Disability Insurance) of the Social Security Act to eliminate the requirement that there be at least a three-percent rise in the Consumer Price Index before a cost-of-living adjustment of benefits is made.
United States · United States Congress · 17 April 1986
Declares that the House of Representatives, on behalf of the U.S. people, expresses its gratitude to the Government and people of the United Kingdom who assisted the United States in its exercise of self-defense against Libya and in the fight against state-sponsored international terrorism.
United States · United States Congress · 15 April 1986
Expresses the sense of the Congress that, in light of specified international human rights agreements, the Soviet Union should approve the exit visa applications of Doctor Naum Meiman and his wife, Inna Kitrosskaya, and arrange for them to go to the country of their choice. Urges the President to: (1) protest the Soviet Government's refusal to consider the exit visa applications of Dr. Meiman and his wife; (2) call upon all other signatory nations of the Helsinki Accords to join in such protest; and (3) instruct the U.S. delegation to the meeting of experts on human contacts organized under the auspices of the Conference on Security and Cooperation in Europe, to be held in Bern, Switzerland, to pursue this matter.
United States · United States Congress · 10 April 1986
Designates May 21, 1986, as National Andrei Sakharov Day. Authorizes and requests the President to urge the Soviet Union to permit Andrei Sakharov and Elena Bonner to freely choose their place of residence.
United States · United States Congress · 10 April 1986
Expresses the sense of the House of Representatives that the present three-year basis recovery rule on the taxation of retirement annuities for government employees should be maintained and provisions requiring the repeal of such treatment in certain tax reform legislation (H.R. 3838) should be deleted.
United States · United States Congress · 9 April 1986
Amends the American Folklife Preservation Act to extend through FY 1989 the authorization of appropriations for the American Folklife Center, located in the Library of Congress. Repeals a restriction on the Center's use of FY 1985 or 1986 funds to pay for any personnel position established after August 21, 1984.
United States · United States Congress · 9 April 1986
Prohibits the issuance of a letter of offer with respect to specified proposed sales of Sidewinder, Stinger, and Harpoon missiles and services to Saudi Arabia, as described in the April 8, 1986, certifications from the President to the Congress under the Arms Export Control Act.
United States · United States Congress · 8 April 1986
Expresses the sense of the House of Representatives that the Attorney General should examine all available evidence regarding the activities of Kurt Waldheim during the Second World War to determine whether he is ineligible to receive a visa and must be excluded from admission into the United States under provisions of the Immigration and Nationality Act.
United States · United States Congress · 21 March 1986
Nursing Home Resident Protection Act of 1986 - Title I: Medicare and Medicaid Programs - Amends title XIX (Medicaid) of the Social Security Act to require intermediate care facilities (other than mental health institutions) to meet skilled nursing facility requirements established under title XVIII (Medicare) of the Act. Makes changes in the conditions placed upon skilled nursing facilities' Medicare participation relating to: (1) the quality and fairness of care; (2) patient participation in facility decision-making; and (3) the extent to which care approximates a patient's particular needs. Substantiates such objectives by providing a nonexclusive list of patients' rights at such facilities. Prohibits State agencies which have agreed to survey nursing facilities' compliance with Medicare participation conditions from providing such facilities with consultation services regarding such conditions. Requires that nursing facility survey results be posted in a place accessible to patients. Requires that nursing facility surveys be: (1) unannounced; (2) conducted by a multidisciplinary team of professionals trained and tested for their duties; (3) focused on the quality of care provided to patients; and (4) performed for each facility on a regular basis, the frequency of such surveys depending upon the facility's record. Directs State agencies to provide for the investigation of complaints against nursing facilities and to use specialized survey teams to survey and carry out enforcement action against chronically substandard facilities and other facilities threatening patients' well-being. Directs the Secretary of Health and Human Services to establish criteria and procedures for evaluating an institution's plans for the correction of its violations of nursing facility standards. Directs the Secretary to conduct a random annual sample of skilled nursing and intermediate care facilities in order to validate State determinations regarding provider compliance with Medicaid requirements. Directs the Secretary to develop and implement intermediate sanctions applicable to Medicare nursing or Medicaid intermediate care facilities which do not substantially satisfy the requirements placed on such facilities, but which do not immediately jeopardize the health, safety, and well-being of their patients. Gives such facilities the right to a hearing after the determination regarding such deficiencies is made. Amends part A (General Provisions) of title XI of the Act to give an individual entitled to inpatient hospital services in a nursing or intermediate care facility the right to bring an action in an appropriate Federal district court when such facility's failure to meet the requirements of the Act adversely affects such individual. Title II: Amendments to the Older Americans Act of 1965 - Amends the ombudsman program of the Older Americans Act of 1965 to: (1) authorize an ombudsman to designate a representative to perform ombudsman functions; (2) increase the minimum which must be allotted to the program from grants to States for the provision of social services for the aged; (3) immunize ombudsmen and their representatives from liability under State and Federal law in the performance of their duties, so long as such duties are performed with due care; and (4) provide technical assistance and training for ombudsmen and their representatives. Establishes the National Long-Term Care Ombudsman Program Advisory Council in the Department of Health and Human Services to advise the Secretary regarding the development and operation of the ombudsman program. Requires the Secretary to report annually to the Congress regarding data collected on complaints and conditions in long-term care facilities.
United States · United States Congress · 17 March 1986
Community Services Programs Amendments of 1986 - Amends the Head Start Act to authorize appropriations for FY 1987 through 1990 to carry out the Head Start program. Amends the Follow Through Act to authorize appropriations for FY 1987 through 1990 to carry out the Follow Through program. Amends the Omnibus Reconciliation Act of 1981 to: (1) rename specified provisions as the "Dependent Care Programs Act"; and (2) authorize appropriations for FY 1987 through 1990 to make allotments to States for such dependent care programs. Amends the Community Services Block Grant Act (the Act) to authorize appropriations for FY 1987 through 1990 for grants to States to ameliorate poverty. Requires compliance evaluations to include identification of the impact the use of such funds has on children, homeless families, and the elderly poor. Authorizes the Secretary of Health and Human Services to provide for use of community services block grants under the Act for specified programs of the Community Economic Development Act of 1981. Authorizes appropriations for FY 1987 through 1990 for community food and nutrition programs under the Act.
United States · United States Congress · 17 March 1986
Amends the Foreign Assistance Act of 1961 to prohibit the Overseas Private Investment Corporation from providing financial support for any project to establish or expand production or processing of citrus crops for export.
United States · United States Congress · 13 March 1986
Expresses the House of Representatives' disapproval of any proposal to establish a Social Security Court or limit, in any other manner, the jurisdiction of U.S. district courts over appeals of administrative decisions concerning entitlement to social security benefits.
United States · United States Congress · 12 March 1986
Amends Federal veterans' benefits provisions to exempt from any sequestration of funds under the Balanced Budget and Emergency Deficit Control Act of 1985 (Gramm-Rudman-Hollings Act) certain benefits of veterans and their dependents and survivors which are based upon the service-connected disability or death of such veterans.
United States · United States Congress · 10 March 1986
Deems the specified disability of a named individual, for the purpose of determining his eligibility for wartime disability compensation, to be a disability resulting from personal injury suffered or disease contracted in the line of duty.
United States · United States Congress · 6 March 1986
Railroad Retirement and Unemployment Benefits Protection Act of 1986 - Amends the Railroad Retirement Act of 1974 to: (1) provide that certain cost of living increases in railroad retirement annuities shall not be prevented from taking effect by any provision of law other than such Act; (2) prohibit the sequestration of any amounts appropriated to the Dual Benefits Payment Account other than by such Act; and (3) prohibit the sequestration of administrative expenses for the Railroad Retirement Board other than by such Act. Amends the Railroad Unemployment Insurance Act to prohibit any: (1) legislative limitation from being placed upon the availability of railroad unemployment insurance benefit payments other than by such Act; and (2) sequestration of railroad unemployment insurance administration funds other than by such Act.
United States · United States Congress · 6 March 1986
Expresses the sense of the House of Representatives that: (1) the aspirations of the Angolan people deserve U.S. support; (2) the National Union for the Total Independence of Angola (UNITA) and its leader, Dr. Jonas Malheiro Savimbi, have the right to play a role in the political life of Angola; and (3) the Marxist Popular Movement for the Liberation of Angola (MPLA) has violated the rights of the Angolan people. Declares that the MPLA should agree to negotiations which will include UNITA, end the presence of Soviet and Cuban forces in Angola, result in national reconciliation within Angola, and facilitate the independence of Namibia. Urges the President to provide assistance to UNITA in order to promote a political solution and withdrawal of outside forces, and to help UNITA deter and resist continued Soviet, Cuban, and MPLA military escalation.
United States · United States Congress · 4 March 1986
Parental and Medical Leave Act of 1986 - Title I: General Requirements for Parental and Medical Leave - Entitles employees to parental leave for specified periods in cases involving the birth, adoption, or serious health condition of a child. Entitles employees to temporary medical leave for specified periods in cases involving inability to work because of a serious health condition. Sets forth conditions for certification for such types of leave. Provides that such leave may be without pay. Allows employees to substitute other types of paid leave to cover part of such leave period. Sets forth employment and benefits protections relating to such leave. Provides for administrative enforcement of this title by the Secretary of Labor, as well as enforcement by civil action. Sets forth provisions for injunctive relief, monetary relief, and attorneys' fees. Requires employers to post notice of the pertinent provisions of this title. Title II: Parental Leave and Temporary Medical Leave for Civil Service Employees - Amends specified Federal law to entitle civil service employees to parental leave and temporary medical leave for specified periods. Provides that such leave will be without pay. Allows employees to substitute other types of paid leave for part of such leave. Sets forth protection for job position and health insurance benefits of employees using such leave. Directs the Office of Personnel Management to prescribe regulations for administration of this title which are consistent with the regulations prescribed by the Secretary of Labor under title I of this Act. Title III: Commission on Paid Parental and Medical Leave - Establishes the Commission on Paid Parental and Medical Leave. Requires the Commission to report on its study of paid parental and medical leave to the Congress within two years after the Commission first meets. Terminates the Commission within 30 days after its final report. Title IV: Miscellaneous Provisions - Sets forth the effect of this Act on existing laws and existing employment benefits. Directs the Secretary of Labor to prescribe regulations to carry out title I of this Act.
United States · United States Congress · 4 March 1986
Declares that the House of Representatives calls upon the President to urge: (1) Jean-Claude Duvalier to return to the Haitian people the wealth he has taken illegally; and (2) other countries to deny him asylum until he returns such funds.
United States · United States Congress · 28 February 1986
Medicare Part C: Catastrophic Health Insurance Act of 1986 - Amends title XVIII (Medicare) of the Social Security Act to add a new part C entitled "Program for Catastrophic Coverage, Long-Term Care, and Certain Preventive Benefits." (Redesignates the current part C as part D.) Provides coverage for individuals who are entitled to part A (Hospital Insurance) benefits, are enrolled under part B (Supplementary Medical Insurance), and enroll with a public or private organization having a contract with the Secretary of Health and Human Services to provide part C services (part C organizations). Requires part C organizations to provide services without imposing deductibles, copayments, or coinsurance, or imposing time restrictions on benefits for inpatient hospital services or extended care services. Requires, in addition, that part C organizations provide: (1) routine biennial physical checkups; (2) routine eye care, including an annual vision examination and prescription eyeglasses; (3) dental services, including teeth cleaning, extractions, examinations, and dentures; (4) hearing examinations and aids; and (5) intermediate and long-term care services provided in the least restrictive environment. Directs part C organizations to provide additional health benefits to enrollees if the adjusted community payment rate for required services is less than the average per capita payment to the organization for the annual contract period. Authorizes the Secretary's contract with part C organizations to provide additional optional services if such services will not substantially discourage enrollments. Requires part C organizations to reimburse other organizations which provide medically and immediately necessary services to their enrollees in circumstances where such services could not reasonably have been obtained through the enrollee's organization. Requires the Secretary to make advance monthly payments to part C organizations in accordance with a per capita rate of payment for each class of enrollee, such rates to be determined annually pursuant to a specified formula. Authorizes retroactive payment adjustments to account for any difference between the actual number of individuals enrolled and the number estimated to be enrolled in determining the advance payment. Authorizes part C organizations to charge or permit providers to charge liable third parties or enrollees, to the extent they have been paid by third parties, for the organizations' services. Requires the Secretary's part C payments to be made exclusively to part C organizations. Provides that, where an individual receiving inpatient hospital services enrolls in a part C organization, such organization shall not be financially responsible for those services. Provides, however, that where part C enrollment is terminated while inpatient hospital services are being provided, the organization is financially responsible for such services from the date of enrollment to the date of discharge. Provides part C enrollees with protection against the risk of and responsibility for a part C organization's insolvency. Requires part C organizations to provide meaningful procedures for hearing and resolving grievances between the organization, or its service providers, and enrollees. Authorizes enrollee appeal to a local review board, at least one-half of which is composed of representatives of part C eligible individuals. Provides for further appeal to the Secretary where the amount in controversy is at least $100 and judicial review of the Secretary's determination if that amount equals or exceeds $1,000. Requires part C organizations to have an ongoing quality assurance program which stresses health outcomes and provides for the review of its health care services by health care professionals. Requires peer review organizations to review part C health care services. Directs the Secretary to annually review such services. Sets forth miscellaneous terms required in a part C organization's contract with the Secretary, including provisions facilitating the flow of information from such organizations. Requires each organization to have an annual 30-day open enrollment period and the Secretary to establish a single 30-day period where several organizations service the same area. Requires part C organizations to inform individuals seeking to enroll regarding benefits provided, premiums required, and such other information as the Secretary may require. Prohibits an organization's distribution of applications or promotional and informational materials unless such materials have been submitted to the Secretary at least 45 days before distribution and have not been disapproved. Terminates an individual's enrollment upon such individual's: (1) loss of entitlement to part A (Hospital Insurance) benefits; (2) termination from part B (Supplemenal Medical Insurance) enrollment; or (3) failure to pay part C premiums. Sets forth the procedure to be used in determining the monthly premium required of part C enrollees. Limits the monthly premium which may be required to a specified percentage of an individual's gross income, except in the case of late enrollments. Deposits such payments in the Federal Medicare Part C Trust Fund. Authorizes the Secretary to enter into agreements with States in order to effect the part C enrollment of eligible groups covered under certain State public assistance programs. Establishes the Medicare Part C Trust Fund in the Treasury. Transfers to such trust fund those amounts in other Medicare trust funds which would have been expended under parts A and B had the enrollee chosen coverage under those programs.
United States · United States Congress · 27 February 1986
Disapproves a proposed deferral (number D86-48) of $500,000,000 of budget authority for the community development block grant program, as set forth in the President's message to the Congress on February 5, 1986.