United States · United States Congress · 6 January 1977
Administrative Rule Making Reform Act - Requires a Federal agency preparing to hold a rule making session to make a reasonable effort to inform those likely to be affected by the proposed rule making. Requires that if the affected group is large, representatives of such group must be notified. Requires, in addition to present requirements, that the notice of rule making include the projected effective date of the rules, the purpose of the rule making, the text of the proposed rules, and the technical or other studies on which the agency intends to rely in the rule making proceedings. Applies the requirements of this Act to all rule making sessions except (1) those specifically authorized to be kept secret in the interest of national security, and (2) those relating to agency management. Requires public notice and public opportunity for comment of all rule making proceedings under this Act unless the agency finds that the rules to be proposed are emergency rules or are of routine or insignificant impact in which case the rule must be published with reasons for its adoption. Requires Federal agencies to give interested persons at least 45 days to participate in the rule making. Requires the agency to maintain a file of each proceeding to be made available to the courts, Congress, and to the public in connection with review of the rule. Limits the period for public comment to a maximum of 90 days. Requires a copy of all proposed rules to be sent to Congress. States that such rule, other than an emergency rule, shall not become effective if it is disapproved within 90 days by both Houses of Congress, or it is disapproved within 60 days by one House and no action is taken on the disapproval resolution by the other House. Provides that either House of Congress may, by resolution, require any agency to reconsider and resubmit any rule to which this Act applies. Requires that such proposed rule be repromulgated anew in accordance with all the provisions of this Act unless it is reconsidered and resubmitted to Congress within 180 days after the adoption of the resolution requiring such reconsideration. Requires the Administrative Conference of the United States to study Congressional review of agency rule making under this Act and report the effect of such review on such rule making before July 1, 1982. Authorizes to be appropriated $200,000 to finance such study. Makes this Act effective on the first day of the first session of the Ninety-fifth Congress. Terminates the Congressional review required by this Act at the adjournment of the Ninety-seventh Congress.
United States · United States Congress · 6 January 1977
Administrative Rule Making Reform Act - Requires a Federal agency preparing to hold a rule making session to make a reasonable effort to inform those likely to be affected by the proposed rule making. Requires that if the affected group is large, representatives of such group must be notified. Requires, in addition to present requirements, that the notice of rule making include the projected effective date of the rules, the purpose of the rule making, the text of the proposed rules, and the technical or other studies on which the agency intends to rely in the rule making proceedings. Applies the requirements of this Act to all rule making sessions except (1) those specifically authorized to be kept secret in the interest of national security, (2) those relating to agency management, and (3) those promulgating rules which are not enforceable by imprisonment, fine, civil penalty, or denial of future Federal benefits. Requires public notice and public opportunity for comment of all rule making proceedings under this Act unless the agency finds that the rules to be proposed are emergency rules or are of routine or insignificant impact in which case the rule must be published with reasons for its adoption. Requires Federal agencies to give interested persons at least 45 days to participate in the rule making. Requires the agency to maintain a file of each proceeding to be made available to the courts, Congress, and to the public in connection with review of the rule. Limits the period for public comment to a maximum of 90 days. Requires a copy of all proposed rules to be sent to Congress. States that such rule, other than an emergency rule, shall not become effective if it is disapproved within 90 days by both Houses of Congress, or it is disapproved within 60 days by one House and no action is taken on the disapproval resolution by the other House. Provides that either House of Congress may, by resolution, require any agency to reconsider and resubmit any rule to which this Act applies. Requires that such proposed rule be repromulgated anew in accordance with all the provisions of this Act unless it is reconsidered and resubmitted to Congress within 180 days after the adoption of the resolution requiring such reconsideration. Sets forth procedures for adoption of resolutions to approve, disapprove, or compel reconsideration for both Houses. Requires the Administrative Conference of the United States to study congressional review of agency rule making under this Act and report the effect of such review on such rule making before July 1, 1982. Authorizes to be appropriated $200,000 to finance such study. Makes this Act effective on the first day of the first session of the 95th Congress. Terminates the congressional review required by this Act at the adjournment of the 97th Congress.
United States · United States Congress · 6 January 1977
Administrative Rule Making Reform Act - Requires a Federal agency preparing to hold a rule making session to make a reasonable effort to inform those likely to be affected by the proposed rule making. Requires that if the affected group is large, representatives of such group must be notified. Requires, in addition to present requirements, that the notice of rule making include the projected effective date of the rules, the purpose of the rule making, the text of the proposed rules, and the technical or other studies on which the agency intends to rely in the rule making proceedings. Applies the requirements of this Act to all rule making sessions except (1) those specifically authorized to be kept secret in the interest of national security, and (2) those relating to agency management. Requires public notice and public opportunity for comment of all rule making proceedings under this Act unless the agency finds that the rules to be proposed are emergency rules or are of routine or insignificant impact in which case the rule must be published with reasons for its adoption. Requires Federal agencies to give interested persons at least 45 days to participate in the rule making. Requires the agency to maintain a file of each proceeding to be made available to the courts, Congress, and to the public in connection with review of the rule. Limits the period for public comment to a maximum of 90 days. Requires a copy of all proposed rules to be sent to Congress. States that such rule, other than an emergency rule, shall not become effective if it is disapproved within 90 days by both Houses of Congress, or it is disapproved within 60 days by one House and no action is taken on the disapproval resolution by the other House. Sets forth procedures for adoption of resolutions to approve or disapprove any such rule for both Houses. Requires the Administrative Conference of the United States to study Congressional review of agency rule making under this Act and report the effect of such review on such rule making before July 1, 1982. Authorizes to be appropriated $200,000 to finance such study. Makes this Act effective on the first day of the first session of the Ninety-fifth Congress. Terminates the Congressional review required by this Act at the adjournment of the Ninety-seventh Congress.
United States · United States Congress · 6 January 1977
Establishes as an independent agency of the executive branch the Solar Energy Loan Administration to provide financing to homeowners for the purchase of solar- powered residential heating and cooling equipment. Authorizes the Administrator of the Solar Energy Loan Administration to make loans, repayable at two percent interest, for the purchase and installation of such equipment. Requires that equipment meet such minimum standards as are developed under the Solar Heating and Cooling Demonstration Act. Authorizes up to $100,000,000 to be appropriated to provide an initial amount for the program under this Act.
United States · United States Congress · 6 January 1977
Amends the Rules of the House of Representatives to remove the 25-member limit to the number of sponsors of any House of Representatives bill. Permits the addition or deletion of any Member's name as the sponsor of any legislation by a request made by a Member to the Speaker on behalf of such Member.
United States · United States Congress · 4 January 1977
National Conference on Learning Disabilities and Juvenile Delinquency Act - Directs the Coordinating Council on Juvenile Justice and Delinquency Prevention to organize and convene a National Conference on Learning Disabilities and Juvenile Delinquency. Directs the Conference to formulate methods of disseminating extant knowledge and the results of ongoing research related to learning disabilities and handicaps to appropriate agencies and individuals. Makes it a goal of such Conference to develop coordinated plans of cooperation among disciplines to deliver all services feasible to the learning disabled. Sets forth the procedures under which the Conference shall operate and the qualifications for membership in it. Calls for the convening of meetings related to the Conference in each State or Region in preparation for the National Conference.
United States · United States Congress · 4 January 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 · 4 January 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 · 4 January 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 · 4 January 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 · 4 January 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 · 4 January 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 · 4 January 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 · 4 January 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 · 4 January 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 · 4 January 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 · 4 January 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 · 4 January 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 · 4 January 1977
Amends the Age Discrimination in Employment Act of 1967 to make the provisions, formerly applicable to persons between 40 and 65 years of age, applicable to anyone 40 years of age or older.
United States · United States Congress · 4 January 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 · 4 January 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 · 4 January 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 · 4 January 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 · 4 January 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 · 4 January 1977
Older Persons Comprehensive Counseling Assistance Act - Title I: General Provisions - Directs the United States Commissioner on Aging, through the National Information Resource Clearing House for the Aging, to collect, analyze, and disseminate information related to counseling services for older persons. Title II: Counseling Assistance Programs - Requires each State desiring a grant under this Act to submit a comprehensive State plan for providing counseling assistance to the elderly, such plan to conform to specified criteria. Directs the Secretary of Health, Education, and Welfare to make grants to States having approved plans, such grants to be distributed to area agencies on aging for counseling assistance programs for the elderly on the basis of statewide needs and priorities. Permits the use of grants to fund counseling assistance outreach programs, preretirement counseling programs, career counseling assistance programs, referral services, community activities, and counseling for families of sick and disabled senior citizens. Enumerates requirements for State programs and for State training and retraining programs for counseling personnel. Directs the Commissioner of the Administration on Aging to contract with postsecondary education institutions and area agencies on aging for the purpose of providing needed training and retraining of counseling personnel. Directs the Commissioner on Aging to carry out a program of demonstration and evaluation for specified purposes, including: (1) identification of existing effective practices in counseling older persons; (2) identification of areas where further development is needed; and (3) development of model training programs for professional counselors.
United States · United States Congress · 4 January 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 · 4 January 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 · 4 January 1977
Amends the Age Discrimination in Employment Act of 1967 to eliminate age limitations with respect to the requirement that all personnel actions affecting employees or applicants for employment in Federal agencies, the United States Postal Service, or the District of Columbia government be taken without regard to such employees' or applicants' age.
United States · United States Congress · 4 January 1977
National Home Health Care Act - Broadens the coverage of home health services under Title XVIII (Medicare) 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 individual could otherwise obtain in a skilled nursing facility. Amends Title XIX (Medicaid) of the Social Security Act to require the inclusion of home health services in a State's Medicaid program and permit the payment of rent under such program for elderly and handicapped 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. Requires the Secretary of Health, Education, and Welfare to conduct a study and report to the Congress on the feasibility of extending to the Medicare program the prospective cost-related method of computing payments to nursing homes and home health agencies which is currently provided under the Medicaid program.
United States · United States Congress · 4 January 1977
Title I: Survey and Certification, Rate-Setting and Audit, and General Regulation of Long Term Care Facilities Under Medicaid Programs - Directs that State plans under Title XIX (Medicaid) of the Social Security Act 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. Requires the State plan to give the State agency the power to terminate reimbursement to a skilled nursing or intermediate care facility which such agency has found has violated its provider agreement. States that payment of the skilled nursing facility and intermediate care facility services shall be based upon a prospective cost based method of computation in which the audited costs of rendering service in such facilities in a prior year is updated through the use of economic indices to the year in which payment is made. Requires that any skilled nursing facility or intermediate care facility receiving payments under such plan be required to maintain with the State agency a bond in such amount, under such terms, and in such form as the State agency may direct. Title II: Medical, Psychological, and Social Assessment of Patients In Need of Long Term Care under Medicare and Medicaid Programs - Directs that payments for services furnished an individual may be made only to eligible providers of services and only if a physician certifies that such services are necessary, based on such patient assessment criteria as the Secretary may require.
United States · United States Congress · 4 January 1977
Establishes an 11-member Commission on the Humane Treatment of Animals to study the treatment of animals. Requires that the membership include zoologists, veterinarians, and representatives from humane societies. Requires the Commission to determine if animals are caused needless pain or suffering as a result of their treatment on farms and in laboratory experimentation. Requires Commission investigation into domestic pet growth rates and the effectiveness of existing laws regarding the treatment of animals. Excludes the study of the treatment of animals occurring in connection with the exercise of any religion. Directs the Commission to report its findings to the Congress and the Commission 60 days after it submits its final report. Authorizes appropriations of $750,000 per year to carry out the provisions of this Act.
United States · United States Congress · 4 January 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 · 4 January 1977
Amends the Age Discrimination in Employment Act of 1967 to make the provisions, formerly applicable to persons between 40 and 65 years of age, applicable to anyone 40 years of age or older.
United States · United States Congress · 4 January 1977
Government Economy and Spending Reform Act - Title I: Authorization of New Budget Authority - Terminates all budget authority for Federal programs on specified dates according to the functional or subfunctional category of each program as set forth in the fiscal year 1977 budget. Requires the Comptroller General to report to Congress by April 1, 1977, on specified programs with respect to the laws under which such program is carried on, the amount of new budget authority received by such program during the four fiscal years ending before April 1, 1977, and to identify programs for which no outlays have been made during the last two fiscal years ending before April 1, 1977. Prohibits providing new budget authority after the applicable review date set forth in this Act unless the provision of such budget authority is specifically authorized by law or the standing rules of either House of Congress. Title II: Zero-Base Program Review - Sets forth a timetable for Congressional zero-base review of new budget authority. Defines "zero-base review" as an evaluation of a given program to determine the merits of its continuation at a level less than, equal to, or more than its existing level. Requires each congressional committee conducting a zero-based program review to adopt tentative and final review plans, receive reports from the Comptroller General and Federal agencies on the program being reviewed, and report to their respective House the results of such zero-base review of the program. Sets forth minimum objectives of inquiry for such reviews. Requires that any committee reporting pursuant to this Act recommend the extent to which any program reviewed should be continued or eliminated. Title III: Continuing Review - Amends the Legislative Reorganization Act of 1970 to require, whenever the Comptroller General issues a report which discloses any substantial deficiency in the achievement of the objectives of any Federal program, the agency conducting such program to report to specified congressional committees 60 days after such report and every six months thereafter to delineate the actions taken with respect to such deficiency. Requires that such agency continue to issue such reports until such time as the Comptroller General determines that no purpose is served by their submission. Amends the Budget and Accounting Act of 1921, to require the inclusion in the Budget of a statement of the specific objectives of each Government program, and a comparison, in each subsequent Budget, of the achievement of such objectives for the last completed fiscal year with the planned objectives of such year. Title IV: Miscellaneous - Requires the Director of Management and Budget to study the feasibility of zero-base budgeting for Federal agencies. Requires the Director of the Congressional Budget Office to study the feasibility of personnel ceilings on employees of the United States and their relationships to alternative methods of carrying out the activities of such employees. Requires that such reports be submitted to Congress. Requires Federal agency heads to report requests for new budget authority to Congress. Requires specified committees to study the effectiveness of the zero-base review procedures required by this Act.
United States · United States Congress · 4 January 1977
Amends the Internal Revenue Code to allow an income tax credit for 25 percent of the amount of rent paid by the taxpayer which is equal to the taxpayer's proportionate share of the local and State property taxes imposed on the land and building in which his dwelling unit is located.
United States · United States Congress · 4 January 1977
Amends the Local Public Works Capital Development and Investment Act of 1976 to increase the amount authorized to be appropriated under such Act to $6,000,000,000.
United States · United States Congress · 4 January 1977
Health Security Act - Title I: Health Security Benefits - Makes every resident of the U.S. (and every non-resident citizen when in the U.S.) eligible for covered services. Permits reciprocal and "buy-in" agreements for groups or non-resident aliens, and in some cases benefits to U.S. residents when visiting in other countries. Entitles every eligible person to have payments made by the Health Security Board for covered services provided within the United States by a participating provider. Extends coverage to all necessary professional services of physicians, wherever furnished. Extends coverage to: (1) comprehensive dental services (exclusive of most orthodontic services) for children under age 15, with the covered age group increasing by two years each year until all those under age 25 are covered; (2) inpatient and outpatient hospital services and services of a home health agency; and (3) pathology and radiology services as parts of institutional services. Limits payment for skilled nursing home care. Limits the psychiatric hospital benefit to 45 consecutive days of active treatment during a spell of illness. Extends coverage to two categories of drug use: prescribed medicines administered to inpatients or outpatients within participating hospitals; or to enrollees of comprehensive health service organizations, and drugs necessary for the treatment of specified chronic illnesses or conditions requiring long or expensive therapy. Requires the Board and the Secretary of Health, Education, and Welfare to establish two lists of approved drugs, taking into account the safety, efficacy and cost of each drug. Lists approved medicines available for use in institutions and by comprehensive health service organizations and those available for use outside such organized settings. Declares that the appliances benefit is similar in concept and operation to the drug benefit, subject to a limitation on aggregate cost. Extends coverage to professional services of optometrists and podiatrists, subject to regulations, and diagnostic or therapeutic services furnished by independent pathology laboratories and radiology services. Excludes from coverage: (1) health services furnished or paid for under a workmen's compensation law; and (2) services of a professional practitioner if they are furnished in a hospital which is not a participating provider. Requires that participating providers meet standards established in this title or by the Board. Makes professional practitioners licensed when the program becomes eligible to practice in the State where they are licensed and requires that all newly licensed applicants for participation meet national standards established by the Board in addition to existing State standards. Establishes conditions of participation for general hospitals. Makes psychiatric hospitals eligible to participate only if the Board finds that the hospital is engaged in furnishing active diagnostic, therapeutic and rehabilitative services to mentally ill patients. Establishes conditions of participation for skilled nursing homes similar to those established for extended care facilities under Medicare. Makes provisions for the participation of home health service agencies. Allows the participation of the following as providers of health services under this Act: (1) a health maintenance organization which undertakes to provide an enrolled population either with complete health care or, at least, with complete health security services (other than institutional services, mental health or dental services) for the maintenance of health and the care of ambulatory patients; (2) a foundation sponsored by a county or other local medical society; and (3) community health centers or the like which, though furnishing services as comprehensive as are required by this Act, do not serve an enrolled or otherwise predetermined population and may not meet other requirements of this Act. Authorizes the Board to deal separately with the primary care portion of a system of comprehensive health care where it is necessary to rely on arrangements with other providers. Permits the Board to contract directly with public or other nonprofit mental health centers and mental health day care services. Specifies the conditions under which independent pathology laboratories, independent radiological services, and providers of drugs, devices, appliances, equipment, or ambulance services may qualify as providers under Health Security. Requires that a participating skilled nursing home have in effect an agreement with at least one participating hospital for the transfer of patients and medical and other information as medically appropriate. Prohibits in malpractice judgments any damages to be awarded to the injured party for the cost of medical services which he is entitled to receive under this Act. Excludes the institutions of the Department of Defense and the Veterans Administration, and institutions of the Department of Health, Education, and Welfare serving merchant seamen or Indians or Alaskan natives, from serving as participating providers, as well as any employee of these institutions when acting as an employee. Allows reimbursement for any services furnished by such institutions or agencies to eligible persons who are not a part of their normal clientele. Permits a physician, dentist, optometrist, or podiatrist, licensed in one State and meeting the national standards, to furnish Health Security benefits in any other State. Grants similar authority to other professional and nonprofessional health personnel. Establishes the Health Security Trust Fund, to receive the net assets of existing (Medicare) funds taken over by the Health Security program, the yield of the Health Security taxes, and the Government's contribution from general revenues amounting to 100 percent of the yield from these taxes. Directs that three separate accounts be established in the Health Security Trust Fund: a Health Service Account, a Health Resources Development Account, and an Administration Account. Make provision for allocation of the Health Services account among the regions of the country. Stipulates that the allocation to each region shall be based on the aggregate sum expended during the most recent 12-month period for covered services (with appropriate modification for estimated changes in the consumer price index, the expected number of eligible beneficiaries, and estimated changes in the number of participating providers). Directs the Board to divide the allocation to each region into funds available to pay: institutional services; physician services; dental services; furnishing of drugs; furnishing of devices, appliances, equipment; and miscellaneous services. Stipulates that payments for covered services provided to eligible persons by participating providers shall be made from the Health Service Account in the Trust Fund. Authorizes the Board to experiment with other methods of reimbursement so long as the experimental method does not increase the cost of service or lead to overutilization or underutilization of services. Stipulates that skilled nursing homes and home health agencies shall be paid in the same manner as a general hospital (on an approved annual budget basis). Stipulates that a health organization shall be paid for covered services, on the basis of a fixed capitation rate multiplied by the number of eligible enrollees. Authorizes special improvement grants: (1) to any public or other nonprofit health agency or institution to establish improved coordination and linkages with other providers of services; and (2) to organizations providing comprehensive ambulatory care, to improve their utilization review, budget, statistical, or records and information retrieval systems, to acquire equipment needed for those purposes, or to acquire equipment useful for mass screening or for other diagnostic or therapeutic purposes. Sets forth the responsibilities and duties of the Secretary of HEW and the Board with regard to this title. Creates an administrative structure within the Department of Health, Education, and Welfare with exclusive responsibility for the administration of the Health Security program. Establishes a five-member, full-time Health Security Board serving under the Secretary of Health, Education, and Welfare. Requires that the members be appointed by the President with the advice and consent of the Senate, for five-year overlapping terms. Establishes a National Health Security Advisory Council, with the Chairman of the Board serving as the Council's Chairman and 20 additional members not in the employ of the Federal Government. Authorizes the Advisory Council to appoint professional or technical committees to assist in its functions. Directs the Advisory Council to advise the Board on matters of general policy in the administration of the program, the formulation of regulations and the allocation of funds for services. Charges the Board with responsibility for informing the public and providers about the administration and operation of the Health Security program. Requires the Board to make a continuing study and evaluation of the program, including adequacy, quality and costs of services. Authorizes the Board to make detailed statistical and other studies on a national, regional, or local basis of any aspect of the title; to develop and test incentive systems for improving quality of care, methods of peer review of drug utilization and of other service performances; to develop and test systems of information retrieval, budget programs, instrumentation for multiphasic screening or patient services, and reimbursement systems for drugs; and to make such other studies which it considers would improve the quality of services and the administration of the program. Grants authority to the Board, in accordance with regulations, to make determinations of who are participating providers of services, determinations of eligibility, of whether services are covered, and the amount to be paid to providers. Allows a provider of services who is dissatisfied with a final Board determination to obtain a hearing before a Board panel, and judicial review of a final decision. Authorizes the Board, with the advice and assistance of the Commission on the Quality of Health Care, to issue and review regulations assuring the quality of care furnished under this Act. Requires continuing professional education by physicians, dentists, optometrists, and podiatrists. Authorizes the appointment of a Deputy Secretary of HEW and an Under Secretary for Health and Science. Stipulates that no provision of this Act shall alter any contractual obligation of an employer to provide health services to his employees and their dependents. Title II: Health Security Taxes - Converts the existing Medicare hospital insurance payroll taxes into Health Security taxes, and raises the rates to one percent on employees and 3.5 percent on employers. Excludes from the gross income of employees, for income tax purposes, payment by their employers of part or all of the Health Security taxes on the employees. Converts the existing Medicare self-employment tax into a Health Security self-employment tax, raising the rate to 2.5 percent. Adds a new one percent Health Security Tax on unearned income (unless such income is less than $400 a year), subject to the same maximum on taxable income as is applicable to the employee and self-employment taxes. Title III: Commission on the Quality of Health Care - Establishes in the Department of HEW a Commission on the Quality of Health Care, with the primary responsibility of: (1) initiating and continuing development of methods of assessing the quality of health care furnished under the Health Security Act; and (2) submitting to the Secretary and the Health Security Board its findings and recommendations. Stipulates that in carrying out its duties the Commission shall emphasize, and give first consideration to, care furnished for those illnesses and conditions which have relatively high incidence in the population and which are relatively amenable to medical or other care. Title IV: Repeal or Amendment of Other Acts - Requires that after the effective date of benefits received under this Act no State shall be required to furnish any service covered under Health Security as a part of its State plan for participation under Medicaid. Title V: Studies Related to Health Security - Authorizes the Secretary of Health, Education, and Welfare in consultation with the Secretary of State and the Secretary of the Treasury to study the coverage of health services for U.S. residents in other countries. Directs the Secretary of HEW to study the feasibility and desirability of coordinating the Federal health benefit programs for merchant seamen and Indians and Alaskan natives and also veterans and members of the Armed Forces, with the Health Security Benefit Program.
United States · United States Congress · 4 January 1977
Young Adult Conservation Corps Act - Amends the Act which established the Youth Conservation Corps to direct the Secretaries of Agriculture and Interior to jointly extend the Youth Conservation Corps so as to make possible the year-round employment of young adults. States that individuals employed as Corps members under this Act shall be either between the ages of 18 and 24 exclusively or school dropouts who are at least age 16; shall meet applicable physical standards; shall be given preference for employment if they reside in counties in which the unemployment rate was equal to or in excess of six percent for three consecutive months; and may be employed for a total of not more than 12 months. Specifies guidelines to be followed by the Secretaries in administering this Act, including those relative to the types of jobs and projects to be given preference and the wages to be paid Corps members. Extends the program under which grants are made to States and to assist them in meeting the cost of projects for the employment of young people to develop and maintain non-Federal public lands and waters. Designates a time period during which the Secretaries are to develop a plan to carry out the activities authorized by this Act and prepare the site location, facilities, and equipment selected in such plan. Directs the Secretaries, in performing such functions, to plan for a capacity of the extended Corps to employ 100,000 young adults during the first fiscal year of operation, 300,000 during the second, 400,000 during the third, and 500,000 during the fourth.
United States · United States Congress · 4 January 1977
Consumer Communications Reform Act - States that Congress finds that the revenues from integrated interstate and foreign common carrier telecommunications services helped maintain a level of charges for telephone exchange service which is lower than otherwise would be required. Expresses the sense of Congress that the authorization of lines, facilities, or services of specialized carriers which duplicate the lines, facilities, or services of other telecommunications common carriers is contrary to the public interest. Reaffirms the intent of Congress that the complete authority to regulate terminal and station equipment used for telephone exchange service shall rest with the States even though such terminal and station equipment also may be used in connection with interstate services. Amends the Communications Act of 1934 to provide that no compensatory charges for or in connection with such communication service may be found to be unjust or unreasonable on the ground that it is too low. Prohibits the Federal Communications Commission from holding the charge of a carrier up to a particular level to protect the traffic or revenues from a communication service offered or provided by another carrier if such charge proposed by the carrier is compensation. Provides that the Commission shall not grant or authorize any construction permit, station license, or certificate, for the construction, acquisition, or operation of any communication or transmission line or facility, or extension thereof, or any modification or renewal thereof, unless the Commission shall find, after full opportunity for evidentiary hearing on the record, that such permit, license, or certificate will not result in increased charges or unnecessary duplication of communication lines.
United States · United States Congress · 4 January 1977
Adds Rule XLV to the Rules of the House of Representatives, allowing television and radio coverage of the proceedings in the House Chamber. Provides all television and radio broadcasting stations in the United States with access to all of the live coverage of the proceedings of the House. Restricts use of coverage to legitimate news or research purposes. Prohibits the commercial use or sponsorship of such coverage except in bona fide news or public affairs documentary programs. Prohibits the use in political campaigns of coverage provided under this resolution. Authorizes appropriations to carry out this Act. Directs that the coverage shall be carried out through the facilities and personnel of the television networks entered into by the Clerk with a television network pool.
United States · United States Congress · 4 January 1977
Amends rule X of the Rules of the House of Representatives to establish responsibility for investigating health measures generally, health facilities, health care programs, national health insurance, public health and quarantine, and biomedical research and development.
United States · United States Congress · 1 October 1976
Requests the President of the United States to transmit a report about the freedom of citizens of Romania to exercise their rights and cultural freedoms, and especially their right to emigrate, to each House of Congress and to the Commission on Security and Cooperation in Europe. Requests that such a report be transmitted each time the President makes a request for authority to waive the application of the Trade Act of 1974, or for authority to extend the United States-Romanian Trade Agreement itself. Requests the Commission on Security and Cooperation in Europe to transmit a report with respect to the freedom of the citizens of Romania to emigrate, and on the status of minorities in that country, to both Houses of Congress. Expresses the sense of the House of Representatives that if Romania restricts fundamental rights of its citizens, it should be denied its current most-favored nation treatment, and the 1975 United States-Romanian Trade Agreement should be ended. Provides an additional $50,000 for the Trade Subcommittee of the Committee on Ways and Means of the House to assist in carrying out its duties under the Trade Act of 1974.
United States · United States Congress · 30 September 1976
Amends Rule X of the Rules of the House of Representatives by replacing the Committee on the District of Columbia with the Committee on Urban and District of Columbia Affairs. States that the Committee shall have jurisdiction over all measures relating to the municipal affairs of the District of Columbia in general, other than appropriations therefor. Provides that the committee shall have the function of studying and investigating the problems confronting urban areas, including problems relating to municipal fiscal affairs.
United States · United States Congress · 29 September 1976
Youth Opportunities Industrialization Centers Job Creation and Training Act - Directs the Secretary of Labor to enter into contracts with Opportunities Industrialization Centers, Incorporated, and with any other nonprofit community-based organization for the provision of (1) comprehensive employment services and jobs for unemployed persons, especially unemployed youth; (2) career education and counseling services for secondary school students; (3) career education for unemployed persons, especially unemployed youth; or (4) work-study projects in community development and improvement for unemployed youth. Directs the head of each Federal agency administering enumerated revenue sharing and public works programs to assure that special consideration is given to Opportunities Industrialization Centers and other nonprofit community-based organizations for the provision of comprehensive employment services and job opportunities for unemployed persons. Specifies standards and guidelines relative to contracts entered into under this Act, including guidelines with respect to (1) persons and types of positions to be given priority under job placement programs, (2) mandatory benefits and maximum salaries of positions filled under job placement programs, and (3) hiring preference and working conditions regarding the staffs of contract programs. Amends the Comprehensive Employment and Training Act to authorize the Secretary of Labor to provide financial assistance for year-round jobs for economically disadvantaged youths. Amends the Internal Revenue Code to qualify wages paid to specified previously unemployed persons for the work incentive program expenses credit.
United States · United States Congress · 27 September 1976
Equity in Social Security for Individuals and Families Act - Amends Title II (Old-Age, Survivors, and Disability Insurance) of the Social Security Act to permit married couples to elect to share their income for social security purposes in a manner similar to the filing of a joint tax return. Provides that, for any year a husband and wife file a joint income tax return, both the husband and the wife shall each be considered to have been paid wages or to have derived self-employment income in such year for the purpose of determining the average monthly wage of the husband and the wife for Old-Age, Survivors, and Disability Insurance purposes. States that the amount with which each spouse will be credited shall be equal to the higher of: (1) one-half the total of the wages and self-employment income paid to or derived both of them in such year; or (2) three-fourths of the wages and self-employment income paid to or derived by whichever of them had the larger amount of such wages and self-employment income for such year. States that any person who: (1) is the spouse of a person entitled to old-age or disability insurance and who has no wages or self-employment income; or (2) is the surviving spouse of a fully insured individual shall be credited with the amount of any benefits received under such insurance in determining the average monthly wage of such person for Old-Age, Survivors, and Disability Insurance purposes. Lowers from 62 to 50 the age at which individuals become eligible for wife's, husband's, widow's, and widower's insurance benefits under the Old-Age, Survivor's, and Disability Insurance program. Establishes the percentage of the benefit amount of an eligible spouse or deceased eligible spouse to which an ineligible or surviving spouse shall be entitled at 75 percent of the amount to which the eligible spouse is or was entitled under Title II. States that, when the ineligible spouse becomes entitled to benefits in his or her own right, the portion of the other spouse's benefit amount to which the previously ineligible spouse shall be entitled shall be decreased to 25 percent. States that a spouse or surviving spouse not entitled to benefits under Title II but who is or was married to an individual who is or was insured for disability insurance benefits shall be considered insured for benefits with a primary insurance amount equal to the primary insurance amount of the insured spouse. Eliminates the requirement that husbands and widowers be receiving support from their wives in order to qualify for husband's and widower's benefits. Enables a child who is entitled to more than one child's insurance benefit to receive the total amount of all such benefits as a single monthly insurance benefit.
United States · United States Congress · 23 September 1976
Amends the Age Discrimination in Employment Act of 1967 to eliminate age limitations with respect to the requirement that all personnel actions affecting employees or applicants for employment in Federal agencies, the United States Postal Service, or the District of Columbia government be taken without regard to such employees' or applicants' age.
United States · United States Congress · 20 September 1976
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.
![Official portrait of Rep. Pepper, Claude [D-FL-18]](https://www.congress.gov/img/member/p000218_200.jpg)