To proclaim the week of October 16 through October 22, 1994, as "National Character Counts Week".
United States · United States Congress · 11 May 1994
Designates October 16 through 22, 1994, as National Character Counts Week.
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United States · United States Congress · 11 May 1994
Designates October 16 through 22, 1994, as National Character Counts Week.
United States · United States Congress · 10 May 1994
Amends the Internal Revenue Code to permit tax-free sales of diesel fuel for use in diesel-powered motorboats. Exempts from penalty dyed fuel used in such motorboats for which a diesel fuel tax has been paid.
United States · United States Congress · 4 May 1994
Designates October 1994 as Crime Prevention Month.
United States · United States Congress · 28 April 1994
Designates March 20 through 26, 1995, as National Long-Term Care Administrators Week.
United States · United States Congress · 21 April 1994
Designates April 25 to May 1, 1994, as Let's Stop Kids Killing Kids Week.
United States · United States Congress · 20 April 1994
National Security Budgeting and Deficit Control Act of 1994 - Amends the Balanced Budget and Emergency Deficit Control Act of 1985 (Gramm-Rudman-Hollings) to extend the caps on defense and nondefense discretionary spending through FY 1998. Requires the special budget authority adjustment required in the final sequestration report for FY 1995 under such Act to be equally divided between the defense and nondefense categories for each applicable fiscal year.
United States · United States Congress · 14 April 1994
Directs the Secretary of the Interior to make technical revisions to certain maps included in a set of maps entitled "Coastal Barrier Resources System."
United States · United States Congress · 14 April 1994
Designates July 16 through 24, 1994, as National Apollo Anniversary Observance.
United States · United States Congress · 13 April 1994
Enhanced Access to Support Enforcement Act of 1994 - Amends the Federal judicial code to require States to give full faith and credit to child support orders of other States.
United States · United States Congress · 24 March 1994
United States Botanic Garden Commemorative Coin Act of 1995 - Directs the Secretary of the Treasury to: (1) issue one-dollar silver coins to commemorate the 175th anniversary of the founding of the United States Botanic Garden; and (2) pay all surcharges received from such coin sales to the National Fund for the United States Botanic Garden.
United States · United States Congress · 24 March 1994
Amends the Food, Agriculture, Conservation, and Trade Act of 1990 to expand forest crop emergency disaster assistance to include commercially grown ornamental or other perennial plants.
United States · United States Congress · 24 March 1994
Designates October 2 through 8, 1994, as Mental Illness Awareness Week.
United States · United States Congress · 24 March 1994
Designates July 23 as General Bernardo de Galvez Day.
United States · United States Congress · 23 March 1994
Designates May 14, 1994, as National Police Survivors Day.
United States · United States Congress · 16 March 1994
Fairness in Medicaid Funding Act of 1994 - Amends title XIX (Medicaid) of the Social Security Act to change the Federal medical assistance percentage used under the Medicaid program. Bases payments to the States for administration costs on the Federal medical assistance percentage.
United States · United States Congress · 16 March 1994
TABLE OF CONTENTS: Title I: Definitions Title II: Compliance and Increased Participation Title III: Ratings and Incentives for Community Floodplain Management Programs Title IV: Mitigation of Flood and Erosion Risks Title V: Task Force, Advisory Council, and Studies Title VI: Miscellaneous Provisions National Flood Insurance Program Improvement Act of 1994 - Title I: Definitions - Defines specified terms under the Flood Disaster Protection Act of 1973 and the National Flood Insurance Act of 1968. Title II: Compliance and Increased Participation - Amends the Flood Disaster Protection Act of 1973 to expand flood insurance purchase requirements for borrowers securing loans through the Federal National Mortgage Association, the Federal Home Loan Mortgage Corporation, and Federal agency mortgage lenders. Requires residential real estate lenders to establish flood insurance premium escrow accounts. Requires Federal lenders and regulated lending institutions (banks, savings and loans, credit unions) and loan servicers to notify borrowers of special flood hazards and of the need to purchase and maintain flood insurance. Requires such entities, after 60 days' notice, to purchase such insurance on behalf of the borrower and charge the borrower for premium costs. Provides for review of special hazards determinations by the Director of the Federal Emergency Management Agency (FEMA). Requires the Director to develop a standard flood hazard determination form for use in connection with loans for residential properties located in an area of special flood hazards and in which flood insurance is available. Amends the Federal Deposit Insurance Act and the Federal Credit Union Act to require regulated lending institutions to conduct examinations and report to the Congress with respect to compliance with the National Flood Insurance Program. Provides penalties for lenders who fail to require flood insurance, maintain escrow accounts, or provide appropriate borrower notification with respect to the need for flood insurance. Amends the Federal Financial Institutions Examinations Council Act of 1978 to direct the Financial Examinations Council to coordinate with Federal entities for lending regulation to develop uniform lender standards. Title III: Ratings and Incentives for Community Floodplain Management Programs - Amends the National Flood Insurance Act of 1968 to provide for a community rating system and premium rate incentives for community floodplain management. Requires the FEMA Director to carry out a community erosion hazard management program which provides incentives for reduction of erosion damage and promotes the reduction of Federal flood insurance losses related to erosion hazards. Provides program funding. Title IV: Mitigation of Flood and Erosion Risks - Amends the Housing and Urban Development Act of 1968 to require the FEMA Director to coordinate all flood and erosion mitigation activities under the Federal Insurance Administrator. Provides funding for such activities. Amends the National Flood Insurance Act of 1968 to require the FEMA Director to develop and implement a State, community, and individual flood and erosion mitigation financial assistance program for structures insured under such Act. Requires such activities to be technically feasible and cost-effective. Provides assistance limitations. Repeals (with a transition period) the current program for the purchase of certain insured properties, as well as the current program for the demolition or relocation of threatened structures. Title V: Task Force, Advisory Council, and Studies - Establishes a two-year interagency Flood Insurance Task Force to: (1) develop standardized flood insurance enforcement procedures; (2) study Federal agency and secondary mortgage market assistance with respect to such enforcement; and (3) study the possibility of existing Federal and corporate flood insurance programs as models for new programs. Establishes the Technical Mapping Advisory Council to undertake certain activities with respect to the preparation, dissemination, and use of flood insurance rate maps. Authorizes appropriations. Requires the FEMA Director to report to the Congress on whether it would be feasible for the national flood insurance program to be administered by the private insurance industry, as well as on such industry's impact on the availability and affordability of flood insurance. Title VI: Miscellaneous Provisions - Amends the National Flood Insurance Act of 1968 to: (1) increase flood insurance coverage amounts for nonresidential, single family, and multifamily structures; (2) allow additional coverage for compliance with land use and control measures; (3) permit flood insurance private sector participation; and (4) require an assessment (and revision if necessary) of flood insurance maps (with identification of erosion hazard areas) at least every five years. Amends the National Flood Insurance Act of 1968 to: (1) allow for the repair and restoration of certain flood damaged agricultural structures; (2) require the National Flood Insurance Fund to be maintained as a separate account in the Treasury; (3) require the FEMA Director to establish a ten-day waiting period for the initial purchase of flood insurance; and (4) require the Director to include in a certain biennial report the effects of provisions of this Act on the national flood insurance program. Amends the Robert T. Stafford Disaster Relief and Emergency Assistance Act to prohibit the waiver of flood insurance purchase requirements for recipients of Federal disaster assistance.
United States · United States Congress · 10 March 1994
Designates May 11, 1994, as Vietnam Human Rights Day in support of efforts by the Non-Violent Movement for Human Rights in Vietnam.
United States · United States Congress · 9 March 1994
Designates July 27 of each year as National Korean War Veterans Armistice Day.
United States · United States Congress · 9 March 1994
Condemns the Hebron massacre and all acts of terror intended to disrupt the peace process or for any other purposes. Commends the Government of Israel for its strong condemnation of the Hebron killings, for reaching out to the victims' families, for taking swift and appropriate action to respond to the threat posed by the extremists, and for pledging its commitment to proceed immediately with resuming the peace talks. Supports President Clinton's efforts to reinvigorate the peace process. Urges all parties and others involved in the Middle East peace talks to apply renewed energy to achieve their prompt and just conclusion within the framework of the September 13, 1993, Declaration of Principles.
United States · United States Congress · 8 March 1994
Authorizes the Secretary of Veterans Affairs to reimburse a person for the costs of acquiring and inscribing a non-Government headstone or grave marker for placement in a cemetery other than a national cemetery in connection with the burial of a veteran. Authorizes (current law requires) the Secretary to provide a grave liner for each new grave in an open cemetery within the National Cemetery System.
United States · United States Congress · 3 March 1994
Authorizes Escambia County, Florida, to convey certain lands to a political subdivision of the State of Florida. (Currently, such lands may be conveyed by the County only by lease or to the Federal Government, the State of Florida, or a State agency.)
United States · United States Congress · 3 March 1994
Tax Fairness for Agriculture Act of 1994 - Amends the Internal Revenue Code to prohibit agricultural or horticultural organizations from treating member dues (limited to a specified amount) as unrelated business taxable income.
United States · United States Congress · 3 March 1994
Honors James Norman Hall for his outstanding contributions to the United States, France, Tahiti, and the South Pacific. Requests the President to provide for the presentation of a copy of this concurrent resolution to the President of Tahiti Nui (French Polynesia) to be publicly displayed at the James Norman Hall Museum in Tahiti.
United States · United States Congress · 24 February 1994
Designates the week beginning May 1, 1994, as Arson Awareness Week.
United States · United States Congress · 23 February 1994
1995 Special Olympics World Games Commemorative Coin Act - Directs the Secretary of the Treasury to issue one-dollar silver coins emblematic of the 1995 Special Olympics World Games. Mandates that the surcharges collected from the sale of such coins be paid to the 1995 Special Olympics World Games Organizing Committee, Inc.
United States · United States Congress · 23 February 1994
Designates June 4, 1994, as National Trails Day.
United States · United States Congress · 22 February 1994
Criminal Aliens Federal Responsibility Act of 1994 - Requires the Federal Government to incarcerate or to reimburse State and local governments for the cost of incarcerating specified criminal aliens.
United States · United States Congress · 9 February 1994
Amends Federal civil service law to entitle certain honorably discharged veterans who served on active duty to additional points on examinations for entrance into the competitive service.
United States · United States Congress · 3 February 1994
Designates March 20, 1994, as National Agriculture Day.
United States · United States Congress · 2 February 1994
Designates May 30 through June 6, 1994, as a Time for the National Observance of the Fiftieth Anniversary of World War II.
United States · United States Congress · 1 February 1994
Designates March 25, 1994, as Greek Independence Day: A National Day of Celebration of Greek and American Democracy.
United States · United States Congress · 25 January 1994
Expresses the sense of the Congress that a postage stamp should be issued to honor the 100th anniversary of the Jewish War Veterans of the United States and that the Citizens' Stamp Advisory Committee of the U.S. Postal Service should make such recommendation to the Postmaster General.
United States · United States Congress · 22 November 1993
Amends the Fair Labor Standards Act of 1938 to exempt from coverage under such Act inmates of penal or other correctional institutions who participate in correctional work programs.
United States · United States Congress · 22 November 1993
Community Reinvestment Credit for Historical Preservation - Amends the Community Reinvestment Act of 1977 to direct the appropriate Federal financial supervisory agency to consider, when assessing the record of a regulated financial institution, any financing provided by the institution for historic trust preservation.
United States · United States Congress · 22 November 1993
Amends Federal law to make adjustments to the Coastal Barrier Resources System maps.
United States · United States Congress · 22 November 1993
Expresses the sense of the Congress that the national policy of the United States should be to: (1) increase energy efficiency, as specified; (2) increase renewable energy technologies to 20 percent of the overall national energy mix by 2010; and (3) achieve these goals by adopting a specified national strategy.
United States · United States Congress · 19 November 1993
Propane Education and Research Act of 1993 - Directs the Secretary of Energy (the Secretary) to conduct a referendum among producers and retail marketers to authorize the creation of the Propane Education and Research Council and the levying of an assessment on odorized propane. Makes it the Council's mission to develop programs and enter into contracts for: (1) propane research and development; (2) consumer education; (3) propane market development; and (4) payment for program costs with funds collected under this Act. Prescribes guidelines under which the Council shall set annual assessments to cover program costs. Authorizes the Secretary to establish a program to coordinate Council operations with any State propane education and research council. Proscribes the use of Council funds for lobbying activities. Directs the Secretary to issue implementation regulations.
United States · United States Congress · 19 November 1993
TABLE OF CONTENTS: Title I: Thomas Jefferson Commemorative Coin Title II: U.S. Veterans Commemorative Coins Title III: Reform of Commemorative Coin Programs Title I: Thomas Jefferson Commemorative Coin - Jefferson Commemorative Coin Act of 1993 - Directs the Secretary of the Treasury to: (1) issue one-dollar coins emblematic of Thomas Jefferson and his home, Monticello; and (2) pay surcharges from coin sales to the Jefferson Endowment Fund and to the Corporation for Jefferson's Poplar Forest. Title II: U.S. Veterans Commemorative Coins - United States Veterans Commemorative Coin Act of 1993 - Directs the Secretary to issue the following three types of one-dollar commemorative coins: (1) emblematic of the experience of Americans who have been prisoners of war; (2) emblematic of the Vietnam Veterans Memorial; and (3) symbolic of women's service in the armed forces. Requires the Secretary to pay specified amounts of surcharges received from coin sales to: (1) the Secretary of the Interior for construction of the Andersonville Prisoner-of-War Museum in Andersonville, Georgia; (2) an endowment fund to be established by this Act for the maintenance of the Museum; (3) the Secretary of Veterans Affairs to maintain national cemeteries; (4) the Vietnam Veterans Memorial Fund to help raise an endowment for the Memorial's maintenance and for the addition of names; and (5) the Women in Military Service for America Memorial Foundation, Inc., to create, endow, and dedicate the Women in Military Service for America Memorial. Title III: Reform of Commemorative Coin Programs - Declares that specified congressional committees should not report or otherwise clear legislation for consideration by the House of Representatives or the Senate that provides more than two commemorative coin programs for any year, unless the committees determine, on the basis of a recommendation by the Citizens Commemorative Coin Advisory Committee, that extraordinary merit exists for an additional commemorative coin program. Requires: (1) recipients of commemorative coin surcharges to file quarterly and final expenditure reports with the Director of the United States Mint and the Comptroller General; and (2) the Comptroller General to report to the Congress on the payment and expenditure of any surcharges based on such reports.
United States · United States Congress · 19 November 1993
Designates 1994 as The Year of Gospel Music.
United States · United States Congress · 10 November 1993
United States Military Academy Bicentennial Commemorative Coin Act of 1993 - Directs the Secretary of the Treasury to issue five-dollar gold coins, one-dollar silver coins, and half dollar clad coins emblematic of the U.S. Military Academy. Mandates that surcharges collected from coin sales be paid to the Association of Graduates, U.S. Military Academy, to assist its efforts to provide direct support to the Corps of Cadets, U.S. Military Academy.
United States · United States Congress · 3 November 1993
Directs the President to declare June 7 through 14, 1994, as National Flag Celebration Week.
United States · United States Congress · 27 October 1993
Safe Drinking Water Act Amendments of 1993 - Amends the Safe Drinking Water Act to require the Administrator of the Environmental Protection Agency, in the case of specified contaminants listed in the Federal Register for which national primary drinking water regulations have not been promulgated, to: (1) publish maximum contaminant level goals and promulgate such regulations for those contaminants that occur in drinking water and are of public health concern; and (2) eliminate monitoring, compliance, and enforcement requirements for those contaminants that do not occur in drinking water at levels of public health concern. (Current law requires the promulgation of such goals and regulations for specified numbers of such contaminants by certain dates.) Directs the Administrator to promulgate such goals and regulations for new contaminants every five years. Requires the Administrator to establish in each national primary drinking water regulation best technology treatment techniques for public water systems serving fewer than 1,000, between 1,000 and 10,000, and more than 10,000 people, respectively. Directs the Administrator to promulgate national primary drinking water regulations for radionuclides, disinfection and corrosion byproducts, and sulfate. Revises provisions concerning variances from national drinking water regulations to permit the issuance of a variance by a State only if the water system cannot afford to install the best available technology to meet the maximum contaminant level and it is not feasible for the system to connect with another source of water that will meet the standards. Requires variances to be reviewed by the State at least every three years. Repeals provisions that authorize States to exempt public water systems from requirements respecting maximum contaminant levels or treatment techniques. Prohibits treated drinking water from being removed from a public water system or routed through any device or pipes outside the system and returned to the system. Includes such action in the definition of "tampering," a violation for which criminal penalties are imposed. Makes such prohibition inapplicable to pipes and devices totally within the control of one or more public water systems or to connections between water mains. Requires (currently, authorizes) the Administrator to conduct research relating to diseases and other impairments resulting from contaminants in drinking water or to the provision of a safe supply of drinking water. Authorizes appropriations. Extends the authorization of appropriations for grants for State public water system supervision programs. Requires the Administrator to promulgate revised regulations every five years that list up to 30 unregulated contaminants to be monitored by public water systems. Directs the Administrator to assemble a national drinking water occurrence data base to include information on the occurrence of regulated and unregulated contaminants.
United States · United States Congress · 26 October 1993
TABLE OF CONTENTS: Title I: Smuggling and Fraud Title II: Asylum Title III: Inspections Title IV: Authorization of Appropriations for the Immigration and Naturalization Service Immigration Enforcement and Asylum Reform Act of 1993 - Title I: Smuggling and Fraud - Amends the Immigration and Nationality Act to provide procedures for expedited exclusion of aliens who arrive without proper documentation or who are determined by a special asylum officer not to have a proper claim of asylum (based upon a credible fear of prosecution). Limits judicial review to habeas corpus. Creates a separate offense and penalty for an alien smuggler who seriously injures or jeopardizes the life of an alien. Extends penalties to persons who contract to bring illegal labor. Treats smuggling as an aggravated felony. Expands Immigration and Naturalization Service (INS) forfeiture authority to include any real or personal property used or intended to be used to smuggle aliens, or that constitutes, is derived from, or traceable to such activities. Exempts property used without the owner's consent or knowledge, or not to his or her benefit. Amends Federal law to authorize INS wiretaps for alien smuggling investigations. Brings alien smuggling operations under the purview of the Racketeer Influenced and Corrupt Organizations (RICO) provisions. Title II: Asylum - Revises asylum procedures. Sets forth mandatory and discretionary conditions for granting provisional asylum. States that asylum applications shall be determined by specially trained asylum officers. Terminates an alien's claim for failure to appear at the application provisional asylum hearing. Title III: Inspections - Directs the Attorney General to: (1) establish specified numbers of preinspection stations at foreign airports identified as last departure points for the greatest numbers of U.S.-arriving passengers and at those with the greatest numbers of U.S.-arriving undocumented aliens (and to assign additional immigration officers at such airports without preinspection stations); and (2) establish an expedited inspection process for U.S. citizens returning by air from abroad. Revises the pilot visa waiver program to: (1) make it permanent; (2) repeal certain paperwork requirements; (3) subject participants to exclusion or deportation without appeal (except for an asylum claim); and (4) require carriers to distribute program information to passengers. Provides for the training of airline personnel in detection of fraudulent documents. Authorizes the Attorney General to reduce, refund, or waive the fine for bringing illegal aliens into the United States if: (1) a carrier followed prescribed screening procedures; or (2) other justifiable circumstances exist. Title IV: Authorization of Appropriations for the Immigration and Naturalization Service - Authorizes appropriations for the Border Patrol.
United States · United States Congress · 26 October 1993
Provides that each State may furnish three (currently, two) statues for placement in National Statuary Hall in the Capitol. Prohibits a State from furnishing an additional statue for 100 years after it furnishes its third. Entitles a State to furnish one additional statue in each later 100-year period.
United States · United States Congress · 20 October 1993
Expresses the sense of the House of Representatives that the Department of Justice should repudiate its reinterpretation of Federal child pornography laws, defend the conviction won in lower courts in Knox v. United States, and vigorously prosecute sexual exploitation of children.
United States · United States Congress · 13 October 1993
Reduces discretionary spending limits for FY 1994 by the amount of rescissions under this Act.
United States · United States Congress · 12 October 1993
Designates May 1 through 7, 1994, as National Walking Week.
United States · United States Congress · 6 October 1993
TABLE OF CONTENTS: Title I: Managed Competition in Employer-Based Health Plans: Incentives to Control Costs Subtitle A: Use of Tax Incentives to Purchase Cost-Effective Plans Subtitle B: Health Plan Purchasing Cooperatives (HPPCs) Subtitle C: Accountable Health Plans (AHPs) Subtitle D: Health Care Standards Commission Subtitle E: Managed Competition in Rural and Urban Underserved Areas Subtitle F: Treatment of Chronically Underserved Areas Subtitle G: Repeal of COBRA Continuation Requirements Subtitle H: Definitions Title II: Low-Income Assistance for Health Coverage Subtitle A: Low-Income Assistance Subtitle B: Long-Term Care Phase-Down Assistance to States Subtitle C: Financing Subtitle D: Repeal of Medicaid Program Title III: Training and Education of Health Care Professionals Subtitle A: Reform of Federal Funding for Medical Residency Training Subtitle B: Other Medical Education Grants and Programs Title IV: Preventive Health and Individual Responsibility Subtitle A: Expansion of Public Health Programs Subtitle B: Medicare Title V: Malpractice Reform Subtitle A: Findings; Purpose; Definitions Subtitle B: Uniform Standards for Malpractice Claims Subtitle C: Requirements for State Alternative Dispute Resolution Systems (ADR) Subtitle D: Grants to States for Development of Practice Guidelines Title VI: Paperwork Reduction and Administrative Simplification Title VII: Additional Benefits On a Pay-As-You-Go Basis Managed Competition Act of 1993 - Title I: Managed Competition in Employer-Based Health Plans: Incentives to Control Costs - Subtitle A: Use of Tax Incentives to Purchase Cost-Effective Plans - Amends the Internal Revenue Code to impose a tax on the excess health plan expenses of any employer which are health plan expenses exceeding specific limits under an accountable health plan for a defined geographical area. (Sec. 1002) Increases to 100 percent and makes permanent the deduction for health plan premium expenses of self-employed individuals. (Sec. 1003) Permits the deduction for medical, dental, etc. expenses without regard to the limitation on such deduction with respect to amounts paid for premiums under an accountable health plan. (Sec. 1004) Provides for the exclusion from gross income of contributions by a partnership or S corporation to a health plan covering partners or shareholders. (Sec. 1006) Eliminates the commonality of interest and geographic location requirements with respect to group purchasing by large tax-exempt organizations. Subtitle B: Health Plan Purchasing Cooperatives (HPPCs) - Provides for the establishment of Health Plan Purchasing Cooperatives (HPPCs). Considers each State to be a HPPC, except that a State may subdivide into HPPC areas, and that there may be interstate HPPCs, as specified. Requires HPPCs to enter into agreements with accountable health plans and small employers, offer enrollment in accountable health plans, and charge premiums. Subtitle C: Accountable Health Plans (AHPs) - Directs the Health Care Standards Commission to provide a process whereby a health plan may be registered with the Commission by its sponsor as an accountable health plan. Sets forth requirements for a plan to be registered, including: (1) coverage for a specified uniform set of benefits, including cost-sharing for low-income individuals; (2) standard premiums for the uniform benefits; (3) grievance procedures; (4) collecting and providing specified information; (5) prohibiting discrimination in enrollment or benefits; and (6) financial solvency. (Sec. 1208) Sets forth additional requirements for open AHPs, which is any plan which is not closed. Defines a closed plan as one limited by structure or law to one or more large employers. (Sec. 1211) Requires each AHP to provide for payment of one percent of gross premium receipts to the National Medical Education Fund. (Sec. 1221) Sets forth provisions concerning the preemption of State laws for AHPs. (Sec. 1231) Directs the President to provide for the development and publication of guidelines on the application of Federal antitrust laws to AHPs. (Sec. 1232) Provides for the issuance of certificates of public advantage by the Attorney General to eligible health care joint ventures which, if followed, exempt such ventures from antitrust liability. Subtitle D: Health Care Standards Commission - Establishes, as an independent agency in the Executive Branch, a Health Care Standards Commission. Requires the Commission to transmit annually to the Congress recommendations for the uniform set of effective benefits. States that such recommendations shall apply unless the Congress passes a joint resolution of disapproval. (Sec. 1303) Directs the Commission to provide for the initial organization, as a nonprofit corporation, of the Benefits, Evaluations, and Data Standards Board in order to make recommendations to the Commission concerning the uniform set of effective benefits and matters related to the evaluation of health care services. (Sec. 1304) Directs the Commission to provide for the initial organization, as a nonprofit organization of the Health Plan Standards Board in order to make recommendations to the Commission concerning the standards for AHPs and concerning its assessment of risk-adjustment factors. (Sec. 1305) Sets forth provisions concerning the registration of AHPs. (Sec. 1306) Directs the Commission to establish rules for the process of risk-adjustment of premiums among AHPs by HPPCs. (Sec. 1307) Directs the Commission to publish information concerning procedures, their prices, and their quality. (Sec. 1309) Establishes, within the Department of Health and Human Services, the Agency for Clinical Evaluations which shall assume the responsibilities of the Director of the Office of Medical Applications of Research at the National Institutes of Health, the Director of the Office of Research and Demonstrations of the Health Care Financing Administration (insofar as such responsibilities relate to clinical evaluations), the Administrator for Health Care Policy and Research under title IX of the Public Health Service Act, as well as other specified responsibilities. Authorizes appropriations. (Sec. 1311) Prohibits the Commission from establishing or enforcing any controls on health care spending. (Sec. 1313) Authorizes appropriations for the Commission through FY 2000. Terminates the Commission on December 31, 1999. Subtitle E: Managed Competition in Rural and Urban Underserved Areas - Authorizes the Governor of any State to designate rural and urban areas of a State as underserved areas. Permits a HPPC serving such an area to require AHPs offered by the HPPC and with a service area adjoining such area to include the area as part of their service area. (Sec. 1411) Authorizes appropriations for: (1) technical assistance for entities seeking to establish a network plan in an underserved area; (2) financial assistance to eligible entities in order to provide for the development and implementation of AHPs in rural areas; and (3) under the Public Health Service Act, migrant health centers and community health centers. (Sec. 1422) Provides coverage under part B of title XVIII (Medicare) of the Social Security Act for rural emergency access care hospital services. (Sec. 1431) Directs the Secretary of Health and Human Services to make payments for transitional assistance to eligible hospitals. Requires any hospital accepting such assistance to provide a significant volume of services to persons unable to pay for services. Authorizes appropriations. Subtitle F: Treatment of Chronically Underserved Areas - Directs the Health Care Standards Commission to develop standards for the identification of chronically underserved areas. Makes provisions for addressing health care delivery in such areas. Subtitle G: Repeal of COBRA Continuation Requirements - Repeals the COBRA continuation requirements for group health plans and title XXII of the Public Health Service Act. Subtitle H: Definitions - Sets forth definitions for this title and title II. Title II: Low-Income Assistance for Health Coverage - Subtitle A: Low-Income Assistance - Provides premium assistance for very-low income individuals and moderately low-income individuals. Provides for nominal cost-sharing for such individuals and special assistance for certain items and services. Subtitle B: Long-Term Care Phase-Down Assistance to States - Provides for long-term care phase-down assistance to eligible States for each calendar quarter in 1995 through 1998. Subtitle C: Financing - Amends title XVIII (Medicare) of the Social Security Act to achieve savings under such program by: (1) reducing the update for inpatient hospital services; (2) reducing the conversion factor for the physician fee schedule for non-primary care services; and (3) reducing hospital outpatient services through establishing a prospective payment system. (Sec. 2204) Amends the Internal Revenue Code to impose a Medicare part B premium tax on higher-income individuals. (Sec. 2205) Achieves additional Medicare savings through the: (1) phased-in elimination of Medicare disproportionate share adjustment payments; (2) reduction of routine cost limits for home health services; (3) reduction in routine cost limits for extended care services; and (4) reductions in payments for hospice services. Subtitle D: Repeal of Medicaid Program - Repeals title XIX (Medicaid) of the Social Security Act. Title III: Training and Education of Health Care Professionals - Subtitle A: Reform of Federal Funding for Medical Residency Training - Directs the Health Care Standards Commission to approve a resident training position in medical residency program for purposes of funding approved medical residency training programs under this title. Provides funding, in addition, for physician retraining. Sets forth provisions concerning: (1) the allocation of entry positions among programs; and (2) the general distribution of positions among specialties. (Sec. 3004) Requires payment by AHPs of one percent of gross premium receipts to the National Medical Education Fund. Requires payments from the Medicare trust funds to the National Medical Education Fund. (Sec. 3005) Establishes the National Medical Education Fund. Subtitle B: Other Medical Education Grants and Programs - Authorizes appropriations under the Public Health Service Act for medical education programs, including: (1) the scholarship and loan repayment programs of the National Health Service Corps; (2) area education centers; (3) public health and preventive medicine; (4) family medicine; (5) general internal medicine and pediatrics; (6) physician assistants; (7) allied health projects grants and contracts; and (8) nurse practitioner and nurse midwife programs. Title IV: Preventive Health and Individual Responsibility - Subtitle A: Expansion of Public Health Programs - Authorizes appropriations under the Public Health Service Act for the following public health programs: (1) immunizations against vaccine-preventable diseases; (2) prevention, control, and elimination of tuberculosis; (3) lead poisoning prevention; (4) preventive health measures with respect to breast and cervical cancers; (5) the Office of Disease Prevention and Health Promotion; (6) the Office of Minority Health; (7) preventive health and health services block grant; (8) categorical grants for early intervention regarding acquired immune deficiency syndrome; and (9) programs of the Centers for Disease Control regarding the smoking of tobacco products. Directs the Office of Disease Prevention and Health Promotion to promote individual responsibility in personal health care and in the use of valuable health care resources. Subtitle B: Medicare - Provides Medicare coverage for: (1) screening fecal-occult blood tests and screening flexible sigmoidoscopies for the purpose of the early detection of cancer; (2) tetanus-diphtheria boosters; (3) well-child services; and (4) an annual screening mammography for women over age 64. Title V: Malpractice Reform - Subtitle A: Findings; Purpose; Definitions - Sets forth the findings, purpose, and definitions for this title. Subtitle B: Uniform Standards for Malpractice Claims - Prohibits bringing a medical malpractice liability action in a State court unless there has been an initial resolution under an alternative dispute resolution system. Limits the total noneconomic damages in such actions to $250,000. Sets limits on attorney's fees. Makes special provision for obstetric services. Subtitle C: Requirements for State Alternative Dispute Resolution Systems (ADR) - Establishes requirements for State alternative dispute resolution systems. Provides for grants to States to assist in implementation of such systems. Subtitle D: Grants to States for Development of Practice Guidelines - Directs the Secretary to make grants to States for the development of medical practice guidelines for health care professionals that may be applied to resolve medical malpractice liability claims. Title VI: Paperwork Reduction and Administrative Simplification - Preempts State quill pen laws. Ensures the confidential treatment of electronic health care information. Sets forth provisions which provide for: (1) the standardization of electronic health information; (2) uniform claims forms; (3) the liability of insurers when benefits are payable under two or more plans; and (4) the uniformity of the availability of information among health plans when benefits are payable under two or more plans. (Sec. 6007) Amends the Internal Revenue Code to impose a tax on a health plan not in compliance with specified requirements of this title. Title VII: Additional Benefits On a Pay-As-You-Go Basis - Expresses the sense of the Congress that additional benefits should be provided by the Federal Government to the extent that additional financing is made available on a pay-as-you-go basis.
United States · United States Congress · 6 October 1993
Emergency Immigrant Education Act of 1993 - Amends the Elementary and Secondary Education Act of 1965 to establish an emergency immigrant education program. Authorizes appropriations. Directs the Secretary of Education to allocate program payments to State educational agencies for services for immigrant children in elementary and secondary schools in local educational agency districts where the number of immigrant children is equal to at least 1,000 or at least five percent of the total number of students enrolled in public and nonpublic schools during that fiscal year. Allows a State to reserve not more than three percent of such funds for such services in local educational agencies which do not meet such criteria. Authorizes the Secretary, also under such program, to make district-wide immigrant grants for other services for immigrant children to local educational agencies whose districts include numbers of such children in public and nonpublic schools equal to at least 5,000 or at least ten percent.
United States · United States Congress · 30 September 1993
Designates November of each year as National American Indian Heritage Month.