United States · United States Congress · 22 March 1977
Amends Titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act to require automatic sprinkler systems in all skilled nursing facilities and intermediate care facilities certified for participation in the Medicare or Medicaid programs unless a waiver of such requirement is granted in accordance with conditions set forth in this Act. Establishes a program of low-interest Federal loans to assist such facilities in constructing or purchasing and installing automatic sprinkler systems.
United States · United States Congress · 22 March 1977
Geriatric Health Personnel Training Act - Amends the Public Health Service Act (Health Research and Teaching Facilities and Training of Professional Health Personnel) to authorize the Secretary of Health, Education, and Welfare to grant $500,000 for each of six schools of medicine to assist in the establishment and operation of departments of geriatrics. Authorizes the Secretary to make grants to assist schools of medicine in the establishment and operation of continuing education programs in geriatrics for physicians. Authorizes the appropriation of $2,500,000 for fiscal year 1978, and $5,000,000 for each of the next three fiscal years to enable the Secretary to make grants to schools of medicine to assist in developing and conducting training programs designed to prepare armed forces veterans, with appropriate experience as paramedical personnel, to serve as medical assistants in long-term health care facilities. Authorizes the Secretary to make grants and enter into contracts with public or nonprofit colleges and universities for the development of graduate programs for nurses in geriatrics and gerontology. Amends the National Labor Relations Act to make it an unfair labor practice for an employer to discharge or otherwise discriminate against an employee who has testified before any congressional committee or any governmental agency or department.
United States · United States Congress · 22 March 1977
Amends Title XIX (Medicaid) of the Social Security Act to prohibit any expenditure to an individual to the extent to which an entity (other than a member of the individual's family) would be liable for payment for such care and services but for a provision of a contract or a State law which has the effect of limiting or excluding such liability because the individual is eligible or entitled to receive care or services under the plan. Provides that a lien may be imposed by the State against the estate of a deceased individual after the death of his surviving spouse, on account of medical assistance paid or to be paid on his behalf under Title XIX.
United States · United States Congress · 22 March 1977
Long-Term Care Services Act - Amends Title XI (General Provisions) of the Social Security Act to authorize the establishment of an experimental program to provide in-home care for elderly individuals. Authorizes the Secretary of Health, Education, and Welfare to subsidize families who agree to care for their dependents who are 65 years of age or older and who would otherwise require, because of physical or mental infirmities, the services of a skilled nursing facility or intermediate care facility, in their own homes. Amends Title XVIII (Medicare) of the Social Security Act to provide payment for elderly day care center services under the supplementary medical insurance program. Directs the Secretary 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 a campus-type setting. Authorizes the Secretary to make interest subsidy payments to holders of mortgages covering such projects. Amends the National Housing Act to authorize the Secretary of Housing and Urban Development to insure mortgages secured by properties in projects built pursuant to this Act. Amends Title XVIII to provide payment for extended and intermediate care services under the supplementary medical insurance program. Amends Title XVIII to provide for the creation of an alternative reimbursement formula which will allow participating hospitals with less than 100 beds and less than 60 percent average occupancy to provide long-term care without applying proportional allocation of overhead costs to all patients in such facilities.
United States · United States Congress · 22 March 1977
Nursing Home Reform Act - Amends the Internal Revenue Code to authorize a deduction for amounts paid during the taxable year by the taxpayer for nursing home expenses for an individual if such individual is a dependent of the taxpayer in all respects except the receipt of at least half of his support from such taxpayer. Permits the payment of supplemental security income to residents in nonmedical shelter care facilities in any State if such State certifies that the residents are ambulatory, needing only minimum supervision, and that the amount of State supplementation is not less than $100 per resident per month. Amends Title XVIII (Medicare) of the Social Security Act to redefine the term "skilled nursing facility" to require that such facilities, in order to qualify under Title XVIII, provide the services set forth in this Act. Requires the Secretary of Health, Education, and Welfare to conduct a review of State plans approved under Title XIX (Medicaid) of the Social Security Act at least once a year to determine each State's compliance with and the quality of the administration of its plan. Directs the Secretary to establish a rating system for nursing homes participating in the programs under titles XVIII and XIX of the Social Security Act. States that whoever shall offer, solicit, receive, or accept any consideration as compensation or inducement for referring patients, clients, or customers to any person for purposes of Titles XVIII and XIX shall be guilty of a misdemeanor. Requires nursing facilities to provide a program to insure the integrity of patients' accounts, moneys, or valuables and to insure that they are not mingled with those belonging to the facility. Specifies that the Secretary shall pay to the States an amount equal to 100 percent of the sums expended in the enactment of, conversion to, and enforcement of, new enforcement tools short of nursing home licensure revocation. Allows beneficiaries to bring suit for specific performance in any Federal district court without reference to the $10,000 jurisdictional amount. Authorizes the Secretary to make loans to any nonprofit organization, church, or association of churches to meet all or a part of the cost of construction or rehabilitation of a home which will be owned and operated by such church, organization, or association. Authorizes the Secretary to make interest reduction payments under specified circumstances with respect to a mortgage covering repair or rehabilitation of a nursing home in order to correct physical deficiencies and comply with Federal minimum standards. Establishes a program of grants to any church, association of churches, or other nonprofit organization to meet all or part of the cost of planning, developing, constructing, or rehabilitating a nursing home owned by such entity in black and other minority areas where there is a demonstrated shortage of nursing home beds. Expresses the sense of the Congress that the President submit to the Congress an action plan which would provide a suitable multiagency plan for dealing with nursing home abuses. Authorizes the President to call a White House Conference on Long-Term Care in 1978, in order to develop recommendations for action in establishing a national policy with respect to the needs of disabled Americans with primary emphasis on the physically and mentally impaired aged.
United States · United States Congress · 22 March 1977
Amends Title XVIII (Medicare) of the Social Security Act to provide payment under the supplementary medical insurance program for one comprehensive physical examination a year, dental care including dentures, eye examinations including eyeglasses, hearing aids including examination, treatment of foot conditions. Directs the Secretary of Health, Education, and Welfare to take steps to eliminate unnecessary or excessive medical appliance expenditures under the Medicare program by implementing appliance leasing, auditing of medical appliance manufacturers and providers, and by cross-referencing prevailing medical appliance rates. Includes under the term "medical appliance" hearing aids, eyeglasses, dentures, and similar health aids. States that the Federal Trade Commission should continue and increase scrutiny of the medical appliance industries in the interest of consumer protection. States that the Secretary of Health, Education, and Welfare should provide increased assistance to encourage the continuing education and training of hearing specialists, clinical audiologists, and physicians to improve the quality of hearing care, and to encourage the provision by State local governments of more and better hearing care for the elderly, including a network of examination and treatment sites.
United States · United States Congress · 22 March 1977
Geriatric Health Personnel Training Act - Amends the Public Health Service Act (Health Research and Teaching Facilities and Training of Professional Health Personnel) to authorize the Secretary of Health, Education, and Welfare to grant $500,000 for each of six schools of medicine to assist in the establishment and operation of departments of geriatrics. Authorizes the Secretary to make grants to assist schools of medicine in the establishment and operation of continuing education programs in geriatrics for physicians. Authorizes the appropriation of $2,500,000 for fiscal year 1978, and $5,000,000 for each of the next three fiscal years to enable the Secretary to make grants to schools of medicine to assist in developing and conducting training programs designed to prepare armed forces veterans, with appropriate experience as paramedical personnel, to serve as medical assistants in long-term health care facilities. Authorizes the Secretary to make grants and enter into contracts with public or nonprofit colleges and universities for the development of graduate programs for nurses in geriatrics and gerontology. Amends the National Labor Relations Act to make it an unfair labor practice for an employer to discharge or otherwise discriminate against an employee who has testified before any congressional committee or any governmental agency or department.
United States · United States Congress · 22 March 1977
Removes the limitation on the amount of outside income which an individual may earn while receiving benefits under title II (Old-Age, Survivors, and Disability Insurance) of the Social Security Act.
United States · United States Congress · 22 March 1977
Amends the Health Revenue Sharing and Health Services Act to permit the Secretary of Health, Education, and Welfare to make grants and loans for the initial costs of establishing and operating home health agencies and for expansion of their services. Permits the Secretary to make grants to educational institutions and other public and nonprofit private entities for programs for the training of guidance counselors, social workers, nurses, geriatric specialists, and other home health services personnel. Authorizes the appropriation of specified amounts for fiscal year 1977 for the purpose of making such grants. Amends title XIX (Medicaid) of the Social Security Act to include within its medical coverage: (1) preventive health care, including an annual comprehensive physical examination of older individuals, and diagnostic services; (2) hearing aids, foot care, dental care, and vision aids (including hearing and vision examinations for older individuals); (3) care and services provided by outpatient clinics for the elderly; (4) nutritional counseling; (5) professional guidance and counseling for aged and disabled individuals living alone at home; (6) periodic chore services; and (7) hospital outreach services. Revises such Act to require State comprehensive medical plans to include provisions for intermediate care facility services. Charges the Professional Standards Review Organization with the same responsibility for review of health care services in the case of skilled nursing homes, intermediate care facilities, and other long-term care providers as now required with respect to hospitals. Permits the Secretary to make grants to States to assist them in funding specified demonstration and pilot projects to determine the effectiveness of various home health and supportive services. Permits the Secretary to make grants to political subdivisions of States to enable them to conduct annual health fairs through which individuals over age 60 would be provided free medical checkups. Authorizes the Secretary to make demonstration grants to help meet the cost of establishing and operating private nonprofit entities to provide community care to persons over age 65. Authorizes the Secretary to make grants to political subdivisions of States to enable them to establish and operate programs to provide mobile health facilities to persons over age 60. Amends the Public Health Service Act to require that a minimum of $20,000,000 be obligated for grants and contracts for emergency medical services systems for the elderly.
United States · United States Congress · 22 March 1977
Nursing Home Reform Act - Amends the Internal Revenue Code to authorize a deduction for amounts paid during the taxable year by the taxpayer for nursing home expenses for an individual if such individual is a dependent of the taxpayer in all respects except the receipt of at least half of his support from such taxpayer. Permits the payment of supplemental security income to residents in nonmedical shelter care facilities in any State if such State certifies that the residents are ambulatory, needing only minimum supervision, and that the amount of State supplementation is not less than $100 per resident per month. Amends Title XVIII (Medicare) of the Social Security Act to redefine the term "skilled nursing facility" to require that such facilities, in order to qualify under Title XVIII, provide the services set forth in this Act. Requires the Secretary of Health, Education, and Welfare to conduct a review of State plans approved under Title XIX (Medicaid) of the Social Security Act at least once a year to determine each State's compliance with and the quality of the administration of its plan. Directs the Secretary to establish a rating system for nursing homes participating in the programs under titles XVIII and XIX of the Social Security Act. States that whoever shall offer, solicit, receive, or accept any consideration as compensation or inducement for referring patients, clients, or customers to any person for purposes of Titles XVIII and XIX shall be guilty of a misdemeanor. Requires nursing facilities to provide a program to insure the integrity of patients' accounts, moneys, or valuables and to insure that they are not mingled with those belonging to the facility. Specifies that the Secretary shall pay to the States an amount equal to 100 percent of the sums expended in the enactment of, conversion to, and enforcement of, new enforcement tools short of nursing home licensure revocation. Allows beneficiaries to bring suit for specific performance in any Federal district court without reference to the $10,000 jurisdictional amount. Authorizes the Secretary to make loans to any nonprofit organization, church, or association of churches to meet all or a part of the cost of construction or rehabilitation of a home which will be owned and operated by such church, organization, or association. Authorizes the Secretary to make interest reduction payments under specified circumstances with respect to a mortgage covering repair or rehabilitation of a nursing home in order to correct physical deficiencies and comply with Federal minimum standards. Establishes a program of grants to any church, association of churches, or other nonprofit organization to meet all or part of the cost of planning, developing, constructing, or rehabilitating a nursing home owned by such entity in black and other minority areas where there is a demonstrated shortage of nursing home beds. Expresses the sense of the Congress that the President submit to the Congress an action plan which would provide a suitable multiagency plan for dealing with nursing home abuses. Authorizes the President to call a White House Conference on Long-Term Care in 1978, in order to develop recommendations for action in establishing a national policy with respect to the needs of disabled Americans with primary emphasis on the physically and mentally impaired aged.
United States · United States Congress · 22 March 1977
Amends the Internal Revenue Code to provide that the charitable deduction allowed for expenses incurred in the operation of a motor vehicle shall include the depreciation, operation and maintenance costs allocable to such operation and shall be determined in the same manner as for a business related deduction.
United States · United States Congress · 22 March 1977
Amends Title XI (General Provisions) of the Social Security Act to provide that any patient of a nursing home or intermediate care facility which is participating in the hospital insurance program under Title XVIII (Medicare) or Title XIX (Medicaid) of the Social Security Act shall have the right to terminate any contract entered into for his or her care in such a facility upon giving the facility at least 30 days written notice. Prohibits such a facility from requiring any patient to turn over to it any periodic benefit check or other income received after the patient has given such notice.
United States · United States Congress · 22 March 1977
Removes the limitation on the amount of outside income which an individual may earn while receiving benefits under title II (Old-Age, Survivors, and Disability Insurance) of the Social Security Act.
United States · United States Congress · 22 March 1977
Amends the Internal Revenue Code to exempt from the excise tax, buses purchased by tax exempt organizations or by other persons for exclusive use in furnishing transportation for a State or local government or a tax exempt organization (currently, transportation must be limited to students and employees of schools).
United States · United States Congress · 22 March 1977
Appropriates $7,000,000 out of any money in the Treasury not otherwise appropriated as an additional amount for carrying out the home health services provisions of the Health Revenue Sharing and Health Services Act. Appropriates specified sums, out of any money in the Treasury not otherwise appropriated, for making multipurpose senior center grants under the Older Americans Act of 1965.
United States · United States Congress · 22 March 1977
Amends the Internal Revenue Code to provide that the charitable deduction allowed for expenses incurred in the operation of a motor vehicle shall include the depreciation, operation and maintenance costs allocable to such operation and shall be determined in the same manner as for a business related deduction.
United States · United States Congress · 22 March 1977
Medicare Long-Term Care Act - Repeals existing provisions for post-hospital home health services under Title XVIII (Medicare) of the Social Security Act. Establishes, within the hospital insurance program of such Title, a program of long-term care benefits to be provided for aged and disabled individuals including all recipients of supplemental security income benefits and to be financed without additional cost to such individuals, through the Federal Hospital Insurance Trust Fund, from funds appropriated by the Federal Government. States that the benefits provided to an individual by such program shall consist of: (1) home health services; (2) homemaker services; (3) nutrition services; (4) long-term institutional care services; (5) day care and foster home services; and (6) community mental health center outpatient services. Requires that, to the maximum extent possible, such benefits shall be provided by or through community long-term care centers, as defined in this Act; and, in any case where a State has an agency which performs the functions of planning and developing such centers and overseeing their operation the Secretary of Health, Education, and Welfare shall make grants to the State or State agency to reimburse it for expenses incurred in the performance of such functions. Directs the Secretary to pay 75 percent of the amount expended by a State for the operation of a State long-term care agency. Enumerates the functions of such an agency. Declares that a community long-term care center shall: (1) provide the items and services listed in this Act to each individual (i) who is eligible for benefits under this part, (ii) who resides in the area served by such center and (iii) who is certified as requiring such services; (2) evaluate and certify the long-term care needs of an individual for whom such care may be required in order to maintain such individual in an independent living arrangement which is reasonable given such individual's state of health and other circumstances (but not including such individual's economic circumstances); (3) maintain a continuous relationship with (and periodically evaluate not less than annually) each individual who is receiving any of the items and services listed in this Act; (4) provide full opportunity for such individual and his family to participate in the determinations and functions under this Act; (5) provide an organized system for making its existence and location known to all individuals in its service area who are eligible for benefits under this part, and for making known to such individuals the method or methods by which they may most efficiently obtain and use the services which it makes available; and (6) perform such other functions as the Secretary of Health, Education, and Welfare may by regulation prescribe in order to have such center most effectively carry out the purposes of this Act. Defines terms used in this Act, including the services to be provided by community long-term care centers. Directs the Secretary to develop and promulgate to community long-term care centers one or more methods of obtaining payment for the benefits covered under this Act. Requires the Secretary to prescribe regulations setting forth the standards of care for homemaker and nutritional services. Establishes the Federal Advisory Council on Long-Term Care. Sets forth the qualifications of the five members of such Council. States that it shall be the duty and function of the Council to provide advice and recommendations for the consideration of the Secretary on regulations under this Act and on matters of general policy with respect to this Act. States that no regulations of the Secretary under this Act shall become effective unless they have first been approved by the Council. States that the determination of whether an individual is entitled to benefits under this shall be made by the Secretary in accordance with regulations prescribed by him. Authorizes the appropriation to the Federal Hospital Insurance Trust Fund of such sums as the Secretary considers necessary for any fiscal year for the purposes of the program created by this Act. Authorizes the Secretary to make grants and enter into contracts with institutions to meet the cost of training programs in the techniques and methods of providing long-term health care.
United States · United States Congress · 22 March 1977
Older Americans Health Services Act - Amends the Older Americans Act of 1965 to specify the amounts authorized to be appropriated in fiscal year 1978 for purposes of informational exchange on the subject of retraining programs for older Americans. Allows the Secretary of Health, Education, and Welfare to make grants under such Act to cover the cost of administering and operating multipurpose senior centers. Declares the sense of Congress that any Federal legislation establishing a national health insurance program should include specified provisions relating to the availability of home health services for older persons.
United States · United States Congress · 22 March 1977
Amends the Internal Revenue Code to exempt from the excise tax, buses purchased by tax exempt organizations or by other persons for exclusive use in furnishing transportation for a State or local government or a tax exempt organization (currently, transportation must be limited to students and employees of schools).
United States · United States Congress · 22 March 1977
Amends Titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act to require automatic sprinkler systems in all skilled nursing facilities and intermediate care facilities certified for participation in the Medicare or Medicaid programs unless a waiver of such requirement is granted in accordance with conditions set forth in this Act. Establishes a program of low-interest Federal loans to assist such facilities in constructing or purchasing and installing automatic sprinkler systems.
United States · United States Congress · 22 March 1977
Authorizes a tax deduction, under the Internal Revenue Code, for any taxpayer who contributes the right to use any real property owned by the taxpayer to a tax-exempt organization for use by a multipurpose senior citizen center or outpatient geriatric clinic. Limits such deduction to 50 percent of the lesser of (1) the fair market rental value of such property or (2) the amount of State or local property taxes which are paid or incurred by the taxpayer and which are allocable to such property.
United States · United States Congress · 22 March 1977
Medicare Long-Term Care Act - Repeals existing provisions for post-hospital home health services under Title XVIII (Medicare) of the Social Security Act. Establishes, within the hospital insurance program of such Title, a program of long-term care benefits to be provided for aged and disabled individuals including all recipients of supplemental security income benefits and to be financed without additional cost to such individuals, through the Federal Hospital Insurance Trust Fund, from funds appropriated by the Federal Government. States that the benefits provided to an individual by such program shall consist of: (1) home health services; (2) homemaker services; (3) nutrition services; (4) long-term institutional care services; (5) day care and foster home services; and (6) community mental health center outpatient services. Requires that, to the maximum extent possible, such benefits shall be provided by or through community long-term care centers, as defined in this Act; and, in any case where a State has an agency which performs the functions of planning and developing such centers and overseeing their operation the Secretary of Health, Education, and Welfare shall make grants to the State or State agency to reimburse it for expenses incurred in the performance of such functions. Directs the Secretary to pay 75 percent of the amount expended by a State for the operation of a State long-term care agency. Enumerates the functions of such an agency. Declares that a community long-term care center shall: (1) provide the items and services listed in this Act to each individual (i) who is eligible for benefits under this part, (ii) who resides in the area served by such center and (iii) who is certified as requiring such services; (2) evaluate and certify the long-term care needs of an individual for whom such care may be required in order to maintain such individual in an independent living arrangement which is reasonable given such individual's state of health and other circumstances (but not including such individual's economic circumstances); (3) maintain a continuous relationship with (and periodically evaluate not less than annually) each individual who is receiving any of the items and services listed in this Act; (4) provide full opportunity for such individual and his family to participate in the determinations and functions under this Act; (5) provide an organized system for making its existence and location known to all individuals in its service area who are eligible for benefits under this part, and for making known to such individuals the method or methods by which they may most efficiently obtain and use the services which it makes available; and (6) perform such other functions as the Secretary of Health, Education, and Welfare may by regulation prescribe in order to have such center most effectively carry out the purposes of this Act. Defines terms used in this Act, including the services to be provided by community long-term care centers. Directs the Secretary to develop and promulgate to community long-term care centers one or more methods of obtaining payment for the benefits covered under this Act. Requires the Secretary to prescribe regulations setting forth the standards of care for homemaker and nutritional services. Establishes the Federal Advisory Council on Long-Term Care. Sets forth the qualifications of the five members of such Council. States that it shall be the duty and function of the Council to provide advice and recommendations for the consideration of the Secretary on regulations under this Act and on matters of general policy with respect to this Act. States that no regulations of the Secretary under this Act shall become effective unless they have first been approved by the Council. States that the determination of whether an individual is entitled to benefits under this shall be made by the Secretary in accordance with regulations prescribed by him. Authorizes the appropriation to the Federal Hospital Insurance Trust Fund of such sums as the Secretary considers necessary for any fiscal year for the purposes of the program created by this Act. Authorizes the Secretary to make grants and enter into contracts with institutions to meet the cost of training programs in the techniques and methods of providing long-term health care.
United States · United States Congress · 22 March 1977
Amends Title XIX (Medicaid) of the Social Security Act to prohibit any expenditure to an individual to the extent to which an entity (other than a member of the individual's family) would be liable for payment for such care and services but for a provision of a contract or a State law which has the effect of limiting or excluding such liability because the individual is eligible or entitled to receive care or services under the plan. Provides that a lien may be imposed by the State against the estate of a deceased individual after the death of his surviving spouse, on account of medical assistance paid or to be paid on his behalf under Title XIX.
United States · United States Congress · 22 March 1977
Amends the National Housing Act to direct the Secretary of Housing and Urban Development to give special emphasis to insuring mortgages covering medical practice facilities which are primarily for the purpose of providing preventive, diagnostic, and treatment services to elderly outpatients. Directs the Secretary to insure mortgages made in connection with senior centers offering health, nutritional, recreational, and social facilities to elderly persons, regardless of whether such centers offer housing facilities. Amends the Housing and Community Development Act of 1974 to entitle a grant recipient to an additional grant if such recipient plans to use such additional grant for the construction or maintenance of a senior center providing recreational, health and nutritional services.
United States · United States Congress · 22 March 1977
Amends Title XIX (Medicaid) of the Social Security Act to prohibit any expenditure to an individual to the extent to which an entity (other than a member of the individual's family) would be liable for payment for such care and services but for a provision of a contract or a State law which has the effect of limiting or excluding such liability because the individual is eligible or entitled to receive care or services under the plan. Provides that a lien may be imposed by the State against the estate of a deceased individual after the death of his surviving spouse, on account of medical assistance paid or to be paid on his behalf under Title XIX.
United States · United States Congress · 22 March 1977
Amends Title XX (Grants to States for Services) of the Social Security Act to reallot unused social services funds to States which will use such funds during the succeeding year in preventing or reducing inappropriate institutional care by providing for community-based care, home-based care, or other forms of less intensive care. Allocates additional Federal matching for multipurpose senior center programs. Directs the Secretary of Health, Education, and Welfare to clarify and standardize the eligibility requirements applicable to the provision of assistance to multipurpose senior centers.
United States · United States Congress · 22 March 1977
Amends Title XVIII (Medicare) of the Social Security Act to provide payment under the supplementary medical insurance program for one comprehensive physical examination a year, dental care including dentures, eye examinations including eyeglasses, hearing aids including examination, treatment of foot conditions. Directs the Secretary of Health, Education, and Welfare to take steps to eliminate unnecessary or excessive medical appliance expenditures under the Medicare program by implementing appliance leasing, auditing of medical appliance manufacturers and providers, and by cross-referencing prevailing medical appliance rates. Includes under the term "medical appliance" hearing aids, eyeglasses, dentures, and similar health aids. States that the Federal Trade Commission should continue and increase scrutiny of the medical appliance industries in the interest of consumer protection. States that the Secretary of Health, Education, and Welfare should provide increased assistance to encourage the continuing education and training of hearing specialists, clinical audiologists, and physicians to improve the quality of hearing care, and to encourage the provision by State local governments of more and better hearing care for the elderly, including a network of examination and treatment sites.
United States · United States Congress · 22 March 1977
Amends Title XVIII (Medicare) of the Social Security Act to provide payment under the supplementary medical insurance program for one comprehensive physical examination a year, dental care including dentures, eye examinations including eyeglasses, hearing aids including examination, treatment of foot conditions. Directs the Secretary of Health, Education, and Welfare to take steps to eliminate unnecessary or excessive medical appliance expenditures under the Medicare program by implementing appliance leasing, auditing of medical appliance manufacturers and providers, and by cross-referencing prevailing medical appliance rates. Includes under the term "medical appliance" hearing aids, eyeglasses, dentures, and similar health aids. States that the Federal Trade Commission should continue and increase scrutiny of the medical appliance industries in the interest of consumer protection. States that the Secretary of Health, Education, and Welfare should provide increased assistance to encourage the continuing education and training of hearing specialists, clinical audiologists, and physicians to improve the quality of hearing care, and to encourage the provision by State local governments of more and better hearing care for the elderly, including a network of examination and treatment sites.
United States · United States Congress · 22 March 1977
Amends the Older Americans Act of 1965 to add the following new title: Title VI - Legal Assistance for the Elderly in Connection with Home Health Services. Authorizes the Commissioner of the Administration on Aging to make grants to public or nonprofit private agencies or organizations for the purpose of providing legal assistance to individuals who are 60 years of age or older and who are unable to afford legal assistance in connection with their eligibility for home health care pursuant to Title XVIII (Medicare), Title XIX (Medicaid), and Title XX (Grants to States for Services) of the Social Security Act. Directs that preference in awarding grants under this title shall be given to national organizations of proven ability in providing legal services to individuals 60 years of age or older.
United States · United States Congress · 22 March 1977
Amends the Health Revenue Sharing and Health Services Act to permit the Secretary of Health, Education, and Welfare to make grants and loans for the initial costs of establishing and operating home health agencies and for expansion of their services. Permits the Secretary to make grants to educational institutions and other public and nonprofit private entities for programs for the training of guidance counselors, social workers, nurses, geriatric specialists, and other home health services personnel. Authorizes the appropriation of specified amounts for fiscal year 1977 for the purpose of making such grants. Amends title XIX (Medicaid) of the Social Security Act to include within its medical coverage: (1) preventive health care, including an annual comprehensive physical examination of older individuals, and diagnostic services; (2) hearing aids, foot care, dental care, and vision aids (including hearing and vision examinations for older individuals); (3) care and services provided by outpatient clinics for the elderly; (4) nutritional counseling; (5) professional guidance and counseling for aged and disabled individuals living alone at home; (6) periodic chore services; and (7) hospital outreach services. Revises such Act to require State comprehensive medical plans to include provisions for intermediate care facility services. Charges the Professional Standards Review Organization with the same responsibility for review of health care services in the case of skilled nursing homes, intermediate care facilities, and other long-term care providers as now required with respect to hospitals. Permits the Secretary to make grants to States to assist them in funding specified demonstration and pilot projects to determine the effectiveness of various home health and supportive services. Permits the Secretary to make grants to political subdivisions of States to enable them to conduct annual health fairs through which individuals over age 60 would be provided free medical checkups. Authorizes the Secretary to make demonstration grants to help meet the cost of establishing and operating private nonprofit entities to provide community care to persons over age 65. Authorizes the Secretary to make grants to political subdivisions of States to enable them to establish and operate programs to provide mobile health facilities to persons over age 60. Amends the Public Health Service Act to require that a minimum of $20,000,000 be obligated for grants and contracts for emergency medical services systems for the elderly.
United States · United States Congress · 22 March 1977
Amends the Health Revenue Sharing and Health Services Act to permit the Secretary of Health, Education, and Welfare to make grants and loans for the initial costs of establishing and operating home health agencies and for expansion of their services. Permits the Secretary to make grants to educational institutions and other public and nonprofit private entities for programs for the training of guidance counselors, social workers, nurses, geriatric specialists, and other home health services personnel. Authorizes the appropriation of specified amounts for fiscal year 1977 for the purpose of making such grants. Amends title XIX (Medicaid) of the Social Security Act to include within its medical coverage: (1) preventive health care, including an annual comprehensive physical examination of older individuals, and diagnostic services; (2) hearing aids, foot care, dental care, and vision aids (including hearing and vision examinations for older individuals); (3) care and services provided by outpatient clinics for the elderly; (4) nutritional counseling; (5) professional guidance and counseling for aged and disabled individuals living alone at home; (6) periodic chore services; and (7) hospital outreach services. Revises such Act to require State comprehensive medical plans to include provisions for intermediate care facility services. Charges the Professional Standards Review Organization with the same responsibility for review of health care services in the case of skilled nursing homes, intermediate care facilities, and other long-term care providers as now required with respect to hospitals. Permits the Secretary to make grants to States to assist them in funding specified demonstration and pilot projects to determine the effectiveness of various home health and supportive services. Permits the Secretary to make grants to political subdivisions of States to enable them to conduct annual health fairs through which individuals over age 60 would be provided free medical checkups. Authorizes the Secretary to make demonstration grants to help meet the cost of establishing and operating private nonprofit entities to provide community care to persons over age 65. Authorizes the Secretary to make grants to political subdivisions of States to enable them to establish and operate programs to provide mobile health facilities to persons over age 60. Amends the Public Health Service Act to require that a minimum of $20,000,000 be obligated for grants and contracts for emergency medical services systems for the elderly.
United States · United States Congress · 22 March 1977
Amends Title XI (General Provisions) of the Social Security Act to provide that any patient of a nursing home or intermediate care facility which is participating in the hospital insurance program under Title XVIII (Medicare) or Title XIX (Medicaid) of the Social Security Act shall have the right to terminate any contract entered into for his or her care in such a facility upon giving the facility at least 30 days written notice. Prohibits such a facility from requiring any patient to turn over to it any periodic benefit check or other income received after the patient has given such notice.
United States · United States Congress · 22 March 1977
Establishes within the Department of Health, Education, and Welfare a Home Health Clearinghouse. Directs such Clearinghouse to establish and maintain a computer system to gather information on services and benefits available to the elderly through public and private agencies. Directs the Clearinghouse to publish and keep current a publication describing services and benefits available to the elderly under Federal law. Creates in the Department an Assistant Secretary for Elderly Health, to perform specified duties, including the coordination of Department policy relating to the health of the elderly and coordination of the interagency task force on long-term home and institutional care of the elderly.
United States · United States Congress · 22 March 1977
Amends Title XI (General Provisions) of the Social Security Act to provide that any patient of a nursing home or intermediate care facility which is participating in the hospital insurance program under Title XVIII (Medicare) or Title XIX (Medicaid) of the Social Security Act shall have the right to terminate any contract entered into for his or her care in such a facility upon giving the facility at least 30 days written notice. Prohibits such a facility from requiring any patient to turn over to it any periodic benefit check or other income received after the patient has given such notice.
United States · United States Congress · 22 March 1977
Long-Term Care Services Act - Amends Title XI (General Provisions) of the Social Security Act to authorize the establishment of an experimental program to provide in-home care for elderly individuals. Authorizes the Secretary of Health, Education, and Welfare to subsidize families who agree to care for their dependents who are 65 years of age or older and who would otherwise require, because of physical or mental infirmities, the services of a skilled nursing facility or intermediate care facility, in their own homes. Amends Title XVIII (Medicare) of the Social Security Act to provide payment for elderly day care center services under the supplementary medical insurance program. Directs the Secretary 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 a campus-type setting. Authorizes the Secretary to make interest subsidy payments to holders of mortgages covering such projects. Amends the National Housing Act to authorize the Secretary of Housing and Urban Development to insure mortgages secured by properties in projects built pursuant to this Act. Amends Title XVIII to provide payment for extended and intermediate care services under the supplementary medical insurance program. Amends Title XVIII to provide for the creation of an alternative reimbursement formula which will allow participating hospitals with less than 100 beds and less than 60 percent average occupancy to provide long-term care without applying proportional allocation of overhead costs to all patients in such facilities.
United States · United States Congress · 22 March 1977
Amends Title XVIII (Medicare) of the Social Security Act to remove the limit of 100 visits which applies to post-hospital home health services. Drops the requirement that the home health care provided be of the same kind as provided in prior hospitalization. Eliminates the requirement that a physician review the home health care plan and that the patient be under the care of a physician. Requires that such functions be done by the appropriate health professional under regulation of the Secretary of Health, Education, and Welfare. Extends Medicare coverage to include periodic chore services, hospital outreach services, nutritional counseling, health and supportive services furnished in elderly day care centers, and expansion of professional standard review organization review functions. Requires the Secretary to establish a review plan which is adapted to meet the non-institutional nature of home health services. Extends Medicare coverage only to those outpatient rehabilitation services which are certified by a physician as being required.
United States · United States Congress · 22 March 1977
Appropriates $7,000,000 out of any money in the Treasury not otherwise appropriated as an additional amount for carrying out the home health services provisions of the Health Revenue Sharing and Health Services Act. Appropriates specified sums, out of any money in the Treasury not otherwise appropriated, for making multipurpose senior center grants under the Older Americans Act of 1965.
United States · United States Congress · 22 March 1977
Geriatric Health Personnel Training Act - Amends the Public Health Service Act (Health Research and Teaching Facilities and Training of Professional Health Personnel) to authorize the Secretary of Health, Education, and Welfare to grant $500,000 for each of six schools of medicine to assist in the establishment and operation of departments of geriatrics. Authorizes the Secretary to make grants to assist schools of medicine in the establishment and operation of continuing education programs in geriatrics for physicians. Authorizes the appropriation of $2,500,000 for fiscal year 1978, and $5,000,000 for each of the next three fiscal years to enable the Secretary to make grants to schools of medicine to assist in developing and conducting training programs designed to prepare armed forces veterans, with appropriate experience as paramedical personnel, to serve as medical assistants in long-term health care facilities. Authorizes the Secretary to make grants and enter into contracts with public or nonprofit colleges and universities for the development of graduate programs for nurses in geriatrics and gerontology. Amends the National Labor Relations Act to make it an unfair labor practice for an employer to discharge or otherwise discriminate against an employee who has testified before any congressional committee or any governmental agency or department.
United States · United States Congress · 22 March 1977
Appropriates $7,000,000 out of any money in the Treasury not otherwise appropriated as an additional amount for carrying out the home health services provisions of the Health Revenue Sharing and Health Services Act. Appropriates specified sums, out of any money in the Treasury not otherwise appropriated, for making multipurpose senior center grants under the Older Americans Act of 1965.
United States · United States Congress · 22 March 1977
Older Americans Health Services Act - Amends the Older Americans Act of 1965 to specify the amounts authorized to be appropriated in fiscal year 1978 for purposes of informational exchange on the subject of retraining programs for older Americans. Allows the Secretary of Health, Education, and Welfare to make grants under such Act to cover the cost of administering and operating multipurpose senior centers. Declares the sense of Congress that any Federal legislation establishing a national health insurance program should include specified provisions relating to the availability of home health services for older persons.
United States · United States Congress · 22 March 1977
Nursing Home Reform Act - Amends the Internal Revenue Code to authorize a deduction for amounts paid during the taxable year by the taxpayer for nursing home expenses for an individual if such individual is a dependent of the taxpayer in all respects except the receipt of at least half of his support from such taxpayer. Permits the payment of supplemental security income to residents in nonmedical shelter care facilities in any State if such State certifies that the residents are ambulatory, needing only minimum supervision, and that the amount of State supplementation is not less than $100 per resident per month. Amends Title XVIII (Medicare) of the Social Security Act to redefine the term "skilled nursing facility" to require that such facilities, in order to qualify under Title XVIII, provide the services set forth in this Act. Requires the Secretary of Health, Education, and Welfare to conduct a review of State plans approved under Title XIX (Medicaid) of the Social Security Act at least once a year to determine each State's compliance with and the quality of the administration of its plan. Directs the Secretary to establish a rating system for nursing homes participating in the programs under titles XVIII and XIX of the Social Security Act. States that whoever shall offer, solicit, receive, or accept any consideration as compensation or inducement for referring patients, clients, or customers to any person for purposes of Titles XVIII and XIX shall be guilty of a misdemeanor. Requires nursing facilities to provide a program to insure the integrity of patients' accounts, moneys, or valuables and to insure that they are not mingled with those belonging to the facility. Specifies that the Secretary shall pay to the States an amount equal to 100 percent of the sums expended in the enactment of, conversion to, and enforcement of, new enforcement tools short of nursing home licensure revocation. Allows beneficiaries to bring suit for specific performance in any Federal district court without reference to the $10,000 jurisdictional amount. Authorizes the Secretary to make loans to any nonprofit organization, church, or association of churches to meet all or a part of the cost of construction or rehabilitation of a home which will be owned and operated by such church, organization, or association. Authorizes the Secretary to make interest reduction payments under specified circumstances with respect to a mortgage covering repair or rehabilitation of a nursing home in order to correct physical deficiencies and comply with Federal minimum standards. Establishes a program of grants to any church, association of churches, or other nonprofit organization to meet all or part of the cost of planning, developing, constructing, or rehabilitating a nursing home owned by such entity in black and other minority areas where there is a demonstrated shortage of nursing home beds. Expresses the sense of the Congress that the President submit to the Congress an action plan which would provide a suitable multiagency plan for dealing with nursing home abuses. Authorizes the President to call a White House Conference on Long-Term Care in 1978, in order to develop recommendations for action in establishing a national policy with respect to the needs of disabled Americans with primary emphasis on the physically and mentally impaired aged.
United States · United States Congress · 22 March 1977
Older Americans Health Services Act - Amends the Older Americans Act of 1965 to specify the amounts authorized to be appropriated in fiscal year 1978 for purposes of informational exchange on the subject of retraining programs for older Americans. Allows the Secretary of Health, Education, and Welfare to make grants under such Act to cover the cost of administering and operating multipurpose senior centers. Declares the sense of Congress that any Federal legislation establishing a national health insurance program should include specified provisions relating to the availability of home health services for older persons.
United States · United States Congress · 22 March 1977
Removes the limitation on the amount of outside income which an individual may earn while receiving benefits under title II (Old-Age, Survivors, and Disability Insurance) of the Social Security Act.
United States · United States Congress · 22 March 1977
Authorizes a tax deduction, under the Internal Revenue Code, for any taxpayer who contributes the right to use any real property owned by the taxpayer to a tax-exempt organization for use by a multipurpose senior citizen center or outpatient geriatric clinic. Limits such deduction to 50 percent of the lesser of (1) the fair market rental value of such property or (2) the amount of State or local property taxes which are paid or incurred by the taxpayer and which are allocable to such property.
United States · United States Congress · 22 March 1977
Authorizes a tax deduction, under the Internal Revenue Code, for any taxpayer who contributes the right to use any real property owned by the taxpayer to a tax-exempt organization for use by a multipurpose senior citizen center or outpatient geriatric clinic. Limits such deduction to 50 percent of the lesser of (1) the fair market rental value of such property or (2) the amount of State or local property taxes which are paid or incurred by the taxpayer and which are allocable to such property.
United States · United States Congress · 22 March 1977
Amends the Internal Revenue Code to provide that the charitable deduction allowed for expenses incurred in the operation of a motor vehicle shall include the depreciation, operation and maintenance costs allocable to such operation and shall be determined in the same manner as for a business related deduction.
United States · United States Congress · 22 March 1977
Amends the National Housing Act to direct the Secretary of Housing and Urban Development to give special emphasis to insuring mortgages covering group practice facilities or medical practice facilities which are to be used primarily for the purpose of providing preventive, diagnostic, and treatment services to elderly outpatients. Amends the Housing and Community Development Act to entitle a grant recipient to an additional grant for the construction or maintenance of a senior center providing recreational, health, and nutritional services, regardless of whether such centers offer housing facilities. Directs the Secretary to prescribe eligibility requirements for block grants for senior centers. Redefines the term intermediate care facilities for purposes of the National Housing Act to include facilities that permit day health care services to the extent necessary to serve the needs of elderly persons served by the facility.
United States · United States Congress · 22 March 1977
Amends the National Housing Act to direct the Secretary of Housing and Urban Development to give special emphasis to insuring mortgages covering group practice facilities or medical practice facilities which are to be used primarily for the purpose of providing preventive, diagnostic, and treatment services to elderly outpatients. Amends the Housing and Community Development Act to entitle a grant recipient to an additional grant for the construction or maintenance of a senior center providing recreational, health, and nutritional services, regardless of whether such centers offer housing facilities. Directs the Secretary to prescribe eligibility requirements for block grants for senior centers. Redefines the term intermediate care facilities for purposes of the National Housing Act to include facilities that permit day health care services to the extent necessary to serve the needs of elderly persons served by the facility.
United States · United States Congress · 22 March 1977
Amends the Internal Revenue Code to exempt from the excise tax, buses purchased by tax exempt organizations or by other persons for exclusive use in furnishing transportation for a State or local government or a tax exempt organization (currently, transportation must be limited to students and employees of schools).
United States · United States Congress · 22 March 1977
Amends Title XX (Grants to States for Services) of the Social Security Act to reallot unused social services funds to States which will use such funds during the succeeding year in preventing or reducing inappropriate institutional care by providing for community-based care, home-based care, or other forms of less intensive care. Allocates additional Federal matching for multipurpose senior center programs. Directs the Secretary of Health, Education, and Welfare to clarify and standardize the eligibility requirements applicable to the provision of assistance to multipurpose senior centers.
![Official portrait of Rep. Pepper, Claude [D-FL-18]](https://www.congress.gov/img/member/p000218_200.jpg)