United States · United States Congress · 16 March 1995
Declares that, upon proper request filed with the Customs Service within a specified period, any entry or withdrawal from warehouse for consumption of tamoxifen citrate made after December 31, 1993, and before January 1, 1995, and with respect to which there would have been no duty if such entry or withdrawal had been made on or after January 1, 1995, shall be liquidated or reliquidated (refunded) as though such entry or withdrawal had been made on or after January 1, 1995.
United States · United States Congress · 15 March 1995
Amends the Cuban Democracy Act of 1992 to exempt the provision of food by other foreign countries from provisions calling upon them to restrict trade with Cuba. Amends the Internal Revenue Code to terminate the denial of foreign tax credit with respect to Cuba.
United States · United States Congress · 14 March 1995
Long-Term Care Insurance Consumer Protection Act of 1995 - Amends the Public Health Service Act to prohibit the sale of long-term care insurance unless this Act is complied with. Imposes civil money penalties. Requires application of standards meeting the requirements of this Act, allowing State standards providing greater policyholder protection. Imposes a duty of good faith and fair dealing. Prohibits: (1) twisting, high pressure tactics, and cold lead advertising; (2) knowingly selling a policy to an individual eligible for assistance under title XIX (Medicaid) of the Social Security Act; (3) selling a service-benefit policy duplicating existing coverage; and (4) selling a policy to an organization's member without disclosing a financial arrangement between the seller and the organization. Imposes civil money penalties and applies Social Security Act provisions regarding civil money penalties. Requires issuers to return premiums if a policy is denied or returned, explain denials, and use pre-issuance medical assessments of applicants 75 years old or older, and limit agent sales compensation. Imposes civil money penalties and applies Social Security Act provisions regarding civil money penalties. Prohibits cancellation or nonrenewal except for nonpayment of premium or material misrepresentation. Regulates continuation and conversion rights. Requires policies to use uniform language and format and contain certain disclosures. Prohibits conditioning or limiting benefits in specified ways or placing certain limits or requirements on home health care services, if covered. Mandates a minimum coverage period. Prohibits treating benefits differently for individuals with certain dementias or mental illness differently from individuals with other conditions. Restricts preexisting condition limits. Requires policies to determine benefits based on a functional assessment. Requires policies to provide for annual increases in payment levels and the maximum payment limit and limits on annual premium increases. Requires policies to provide that, if a policy lapses after being in effect for a minimum period, the policy will provide certain benefits without additional premiums. Prohibits policy cancellation or claim denial based on issuance fraud or misrepresentation unless notice is provided within six months of issuance. Allows applicants to return a policy within 30 days and have the premium refunded. (Sec. 3) Amends Medicaid provisions to require each State Medicaid plan to establish a regulatory program to enforce the standards issued under this Act. Prohibits Medicaid payments to a State for nursing facility services if the State fails to establish a regulatory program. (Sec. 5) Authorizes appropriations for information, counseling, and assistance regarding the procurement of adequate and appropriate long-term care insurance.
United States · United States Congress · 9 March 1995
TABLE OF CONTENTS: Title I: Establishment of a State-Based American Health Security Program; Universal Entitlement; Enrollment Title II: Comprehensive Benefits, Including Preventive Benefits and Benefits for Long Term Care Title III: Provider Participation Title IV: Administration Subtitle A: General Administrative Provisions Subtitle B: Control Over Fraud and Abuse Title V: Quality Assessment Title VI: National Health Security Budget; Payments; Cost Containment Measures Subtitle A: Budgeting and Payments to States Subtitle B: Payments by States to Providers Subtitle C: Mandatory Assignment and Administrative Provisions Title VII: Promotion of Primary Health Care; Development of Health Service Capacity; Programs to Assist the Medically Underserved Subtitle A: Promotion and Expansion of Primary Care Professional Training Subtitle B: Direct Health Care Delivery Subtitle C: Primary Care and Outcomes Research Subtitle D: School-Related Health Services Title VIII: Financing Provisions; American Health Security Trust Fund Subtitle A: American Health Security Trust Fund Subtitle B: Taxes Based on Income and Wages Subtitle C: Increase in Excise Taxes on Tobacco Products Title IX: Conforming Amendments to the Employee Retirement Income Security Act of 1974 American Health Security Act of 1995 - Title I: Establishment of a State-Based American Health Security Program; Universal Entitlement; Enrollment - Establishes in the United States an American Health Security Program (AHSP) to be administered by the States (including the District of Columbia and, if they so choose, U.S. territories) in accordance with Federal standards established under this Act. Requires a State to establish a State health security program (program) in accordance with this Act to receive Federal health care funding. (Sec. 102) Entitles every individual who is a resident of the United States and is a U.S. citizen or national or a lawful resident alien to benefits for health care services under this Act under the appropriate State program. Sets forth provisions regarding the treatment of nonimmigrants and other individuals. (Sec. 103) Requires each State program to: (1) provide a mechanism for the enrollment of individuals entitled or eligible for benefits (which includes a process for the automatic enrollment of individuals at the time of birth, immigration, or other acquisition of lawful resident status in the United States and provides for the enrollment of all individuals who are eligible to be enrolled as of January 1, 1995); and (2) issue a health security card to enrolled individuals. (Sec. 104) Makes benefits portable when enrollees move or travel between States. Prohibits imposition of a minimum residence or waiting period in excess of three months for program benefit eligibility. Allows reciprocal arrangements between programs in adjacent States for coverage for enrollees residing in the border region. (Sec. 105) Makes benefits available under this Act for items and services furnished on or after January 1, 1996. (Sec. 106) Supersedes Medicare, Medicaid, the Federal Employee Health Benefits Program, and CHAMPUS, which must pay for completion of services they covered before January 1, 1996. Specifies that nothing in this Act affects the eligibility of veterans for Veterans Administration health benefits and services, or of Indians for benefits and services of the Indian Health Service. Title II: Comprehensive Benefits, Including Preventive Benefits and Benefits for Long Term Care - Entitles all eligible individuals to have payment made (if medically necessary and appropriate for the maintenance of health or for the diagnosis, treatment, or rehabilitation of a health condition) for inpatient and outpatient hospital services, professional services of State-authorized practitioners, community-based primary health services, preventive services, long-term, acute, and chronic care services, prescription drugs, biologicals, insulin, and medical foods, dental services, mental health services and substance abuse treatment services, diagnostic tests, and other specified items and services, including outpatient therapy, durable medical equipment, home dialysis, ambulance, prosthetic devices, and other items and services specified by the American Health Security Standards Board (Board) (established by title IV of this Act). Specifies that: (1) no deductibles, coinsurance, or copayments may be charged for acute care benefits, except for specified cost-sharing for long-term care services; (2) no provider may charge a patient for covered services; (3) no private insurance may duplicate program benefits; and (4) States and employers may provide additional benefits at their own expense. (Sec. 203) Covers home and community-based long-term care services for persons unable to perform at least two of five listed activities of daily living without assistance. Limits the cost of such services to 65 percent (or an alternative percentage determined by the Board) of the cost of nursing home care for an individual in the same area in which the services were provided. (Sec. 204) Sets forth special delivery requirements for mental health and substance abuse treatment services provided to at-risk children. Directs the Board to make national determinations on coverage of experimental services, with professional and public input. Specifies that where the Board has recognized practice guidelines, coverage is limited to services provided according to the guidelines or any established exception process. Allows the Board to limit quantities of eyeglasses, contact lenses, hearing aids, and durable medical equipment that will be covered. Excludes from coverage cosmetic procedures, personal comfort items, and services furnished in non-participating facilities. (Sec. 205) Specifies that: (1) States may require providers to certify that covered services were provided according to program requirements; (2) quality review programs must meet Federal standards; and (3) States may require plans of care for coverage of certain services. Title III: Provider Participation - Requires providers, to receive payment, to agree: (1) not to discriminate based on race, national origin, income, religion, age, sex or sexual orientation, disability, handicapping condition, or (subject to the professional qualifications of the provider) illness; (2) not to charge patients for covered services; (3) to furnish necessary information to the Board or program; (4) not to employ other providers whose participation has been terminated for cause; and (5) to submit bills within a specified time frame. (Sec. 302) Considers a health care provider to be qualified if it is licensed or certified and meets State law requirements, applicable Federal requirements, and additional standards that the Board may specify. Requires: (1) the Board to establish, evaluate, and update national minimum standards to assure the quality of services provided and to monitor efforts by programs to assure such quality; (2) a reasonable transition period for any new standards; and (3) the Board to provide for an exchange of information among programs with respect to quality assurance and cost containment. (Sec. 303) Defines a "comprehensive health service organization" (CHSO) as a public or private organization which, in return for a capitated payment amount, furnishes or arranges a full range of health services and out-of-area coverage in the case of urgently needed services to an identified population in a specified service area which enrolls voluntarily in the organization. Sets forth various CHSO requirements regarding enrollment, withdrawal for cause, accessibility of services, continuity of care, consumer and provider representation on the board of directors, a patient grievance program, medical standards committees, premiums, utilization and bonus information, provision of services to enrollees at institutions operating under global budgets, marketing of services, and provision of emergency services to nonenrollees. (Sec. 304) Extends current Medicare prohibitions on physician self-referrals to other services and applies such prohibitions to AHSP. Title IV: Administration - Subtitle A: General Administrative Provisions - Establishes the American Health Security Standards Board to develop policies and procedures for enrollment, benefits, provider participation, national and State funding levels, assisting programs with planning for capital expenditures and service delivery, and other functions and to establish uniform reporting standards for health services and programs. Authorizes the Board to make statistical and other studies, test alternative payment methods, and develop and test information and budget systems. Provides for the appointment of an Executive Director of the Board and an Inspector General. (Sec. 402) Directs the Board to provide for an American Health Security Advisory Council to advise the Board on matters of general policy, in the formulation of regulations, and in the performance of the Board's duties and to study the operation of, and utilization of health services under, this Act. (Sec. 403) Directs the Board and the Secretary to consult with private entities. (Sec. 404) Requires: (1) each State to submit to the Board a plan for a program for providing health care services to residents of the State (but allows neighboring States to join in regional plans); (2) the Board to provide incentives for States to develop regional planning mechanisms to promote the rational distribution of, adequate access to, and efficient use of, tertiary care facilities, equipment, and services; (3) State programs to meet Federal standards, including single-agency administration, a State health security budget, provider payment and quality review methodologies consistent with Federal standards, freedom to choose providers, a consumer ombudsman, an annual report, and a fraud and abuse prevention and control unit; and (4) the Governor of each State to provide for appointment of a State Health Security Advisory Council to advise and make recommendations to the Governor and State regarding program implementation. Allows: (1) programs not meeting Federal requirements, after notice, to be placed in receivership under the Board's jurisdiction; and (2) States to use fiscal agents, after competitive bidding, to process claims. (Sec. 405) Requires the Secretary of Health and Human Services (Secretary) to direct all activities of the Department of Health and Human Services toward contributions to health of the people in a manner complementary to this Act. Subtitle B: Control Over Fraud and Abuse - Authorizes the Board to exclude providers from participation, impose civil monetary penalties, and seek criminal prosecution for fraud or abuse, based on current Medicaid standards. Requires providers to disclose relevant information about their ownership interest in health facilities and services, based on current Medicaid standards. (Sec. 412) Requires the Board: (1) through the Inspector General, to establish a national health care fraud and abuse data base, including the identity of any provider who has been convicted, had a license revoked, has been excluded or suspended from participation, or has been subjected to a civil penalty with respect to a State program, Medicare, Medicaid, or any other federally funded health program; and (2) to establish rules to protect the confidentiality of information in the data base. Requires States to provide relevant information for this purpose and to periodically inquire of the data base to determine provider qualifications to participate in programs. Sets penalties for submitting false information. (Sec. 413) Requires each program to establish and maintain a health care fraud and abuse unit. (Sec. 414) Directs the Board to provide for the assignment of a unique identifier to each participating provider and to each individual eligible for services, which shall be used for claims and payment. Title V: Quality Assessment - Establishes the American Health Security Quality Council in order to: (1) review and evaluate each practice guideline developed under specified provisions of the Public Health Service Act; (2) review and evaluate each standard of quality, performance measure, and medical review criterion developed under specified provisions of the Public Health Service Act; (3) develop criteria for entities conducting quality reviews; (4) report to the Board annually; and (5) perform the functions of the Council described in sections 502 and 505. (Sec. 502) Directs the Council to: (1) adopt methods for profiling the patterns of practice of health care professionals and for identifying outliers; (2) develop guidelines for certain medical procedures to be performed only at tertiary centers; (3) develop standards for education and sanctions with respect to outliers; and (4) disseminate such methods, guidelines, and standards to the States. (Sec. 503) Requires each participating State to establish an entity to conduct quality reviews of persons providing covered services under its program which meet Federal standards for the adoption of practice guidelines, identification of outliers, development of remedial programs and monitoring for outliers, and the application of sanctions. Allows the State to adopt alternative methodologies to those adopted by the Quality Council provided that the State can demonstrate that the efficacy of such review and education programs meets Federal standards. Requires the quality review entity to meet the criteria for competence for such entities developed by the Council. (Sec. 504) Expresses the intent to replace random utilization controls with a systematic review of patterns of practice that compromise the quality of care by January 1, 1998. Supersedes all existing Federal utilization review programs, including random case-by-case reviews and programs requiring pre-certification of medical procedures on a case-by-case basis, with exceptions. Specifies that nothing in this section shall preclude case management of catastrophic, mental health, or substance abuse cases where necessary to achieve appropriate, cost-effective, and beneficial comprehensive medical care. (Sec. 505) Requires: (1) each State program to develop and use a uniform electronic data base in order to perform systematic quality review and support comparative outcomes research and analysis; (2) the Council to establish a set of clinical data derived from patient medical records to be transmitted to State electronic data bases to be used by State health security programs; (3) the Board to designate standards for software in order to assure compatibility; and (4) the Council to establish standards, as specified, for the use and disclosure by a State health security program of such data. Title VI: Health Security Budget; Payments; Cost Containment Measures - Subtitle A: Budgeting and Payments to States - Directs the Board to establish a national health security budget which specifies the total expenditures to be made by the Federal Government and the States for covered health care services, and allocates those expenditures among the States. Prohibits such budget from exceeding the budget for the preceding year increased by the percentage increase in gross domestic product. Divides the budget into quality assessment, professional education, administrative, and operating components. (Sec. 602) Provides for the allocation of funds in the budget by the Board to the States, based on the national average per capita costs of covered services adjusted for differences among the States in costs and the health status of populations. Permits the use of statistical models to estimate State capitation amounts. Sets forth State adjustment factors to reflect differences in relative needs for funds and directs that such factors be applied in a budget-neutral manner resulting in no change in total Federal expenditures from the national per capita average. (Sec. 603) Requires each program to submit to the Board a proposed and final annual budget broken into quality assessment, professional training, administrative, and operating components, with the operating component broken into facility-based services, individual practitioner payments, payments to CHSOs, and payments for other items and services. Sets forth provisions regarding proposed and final budget deadlines, adjustments in allocations, and expenditure limits. Permits programs to provide for a process for the approval of capital expenditures based on information derived from regional planning agencies. (Sec. 604) Provides for programs to receive Federal funds equal to a weighted average of 86 percent of their population-based share of the budget, which the Board may adjust between 81 and 91 percent based on State economic conditions. (Sec. 605) Requires each program to establish a separate budget account for health professional education expenditures and to distribute funds consistent with the achievement of specified national and program goals, including the receipt by the Board of reports to monitor compliance, and taking into account the potentially higher costs of placing health professional students in clinical education programs in health professional shortage areas. Subtitle B: Payments by States to Providers - Directs that: (1) payment for operating expenses for institutional and facility- based care under State programs be made directly to each institution or facility under an annual prospective global budget approved under the program; (2) such budgets take into account discharges by diagnosis-related group, prior expenditures, the extent to which debt service for capital expenditures has been included in the proposed operating budget, the extent to which capital expenditures are financed directly or indirectly through reductions in direct care to patients, change in the consumer price index and other price indices, compensation, occupancy levels, past financial and clinical performance, training, technological changes, and incentives to maintain costs without reducing care; and (3) facility budgets be adjusted to reflect payments made by CHSOs. Allows programs to permit institutions and facilities to raise funds from private sources to pay for newly constructed facilities, major renovations, and equipment. (Sec. 612) Requires: (1) State programs to pay individual practitioners on a fee-for-service basis, as negotiated between States and practitioner representatives; (2) the Board to establish models for such payment and for global fee payment methodologies to encourage payment for combinations of services; and (3) practitioners to bill State programs within 30 days of providing services. Permits States to require electronic billing. (Sec. 613) Authorizes programs to pay CHSOs based on annual budgets or risk-adjusted capitation payments, reduced by the costs of covered services not provided by the CHSO. (Sec. 614) Directs that programs pay for community-based primary health services based on global budgets, basic primary care capitation amounts for enrollees, or fee-for-service, taking into account costs of serving non-covered patients, providing case management, transportation, and translation, and providing health professional education programs. (Sec. 615) Requires: (1) the Board to establish a list of approved prescription drugs and to determine maximum prices; and (2) each program to pay for such drugs based on such maximum prices and to pay separate dispensing fees to pharmacies. (Sec. 616) Directs the Board to establish a list of approved durable medical equipment and therapeutic devices and equipment and programs to pay for such items based on maximum prices determined by the Board. (Sec. 617) Requires State programs to pay for other items and services based on methodologies to be adopted by the Board, consistent with the State health security budget. (Sec. 618) Directs the Board to establish model payment methodologies and other incentives to promote the provision of services in medically underserved areas. Permits programs to adjust payments amounts within their budgets to encourage provision of appropriate services in underserved areas. (Sec. 619) Authorizes programs to utilize alternative payment methodologies, provided that such methodologies do not affect the entitlement of individuals to coverage, the weighting of fee schedules to encourage an increase in the number of primary care providers, the ability of individuals to choose among qualified providers, the benefits covered under the Program, or compliance with the State health security budget. Requires States to report on the operation and effectiveness of alternative methodologies to enable the Board to evaluate the appropriateness of applying such methodologies to other States. Subtitle C: Mandatory Assignment and Administrative Provisions - Specifies that participating providers: (1) must accept payment from a program as full payment for covered services; and (2) may not impose additional charges on patients. Permits the Board to exclude from participation and subject to civil penalties violators of such provision. (Sec. 632) Requires programs to establish: (1) procedures for reimbursing providers within 60 days of bill submission; and (2) an appeals process to handle grievances pertaining to provider payments. Title VII: Promotion of Primary Health Care; Development of Health Service Capacity; Programs to Assist the Medically Underserved - Subtitle A: Promotion and Expansion of Primary Care Professional Training - Makes the Board responsible for: (1) coordinating health professional education policies and goals to achieve national goals; (2) overseeing program health professional education expenditures; (3) developing and maintaining a system to monitor the number and specialties of individuals through their health professional education, any postgraduate training, and professional practice; and (4) developing, coordinating, and promoting other policies that expand the number of primary care practitioners. Sets as national goals that: (1) at least 50 percent of graduate medical residencies be in primary care within five years of this Act's enactment; and (2) there be a certain number, specified by the Board, of midlevel primary care practitioners employed in the health care system as of January 1, 2001. Directs the Board to: (1) establish a method of applying such goals to program goals for each medical residency program or consortium of programs and reducing payments for residency programs failing to meet their goals; (2) advise the Public Health Service on allocations of funding under specified programs to increase the supply of midlevel primary care practitioners; and (3) commission a study of the potential benefits and disadvantages of expanding the scope of practice authorized under State laws for any class of midlevel primary care practitioners. (Sec. 702) Requires the Board to establish an Advisory Committee on Health Professional Education to advise the Board concerning graduate medical education policies under this title. (Sec. 703) Directs the Board to transfer specified revenues from the American Health Security Trust Fund (Trust Fund) for specified existing programs supporting health professional education and nursing education and for the National Health Service Corps. Subtitle B: Direct Health Care Delivery - Requires the Board to transfer specified Trust Fund revenues to the Public Health Service for: (1) maternal and child health block grants, prevention and treatment of tuberculosis, prevention and treatment of sexually transmitted diseases, preventive health block grants, grants to States for community mental health services and prevention and treatment of substance abuse, grants for HIV health care services, and public health formula grants; and (2) primary care service expansion grants. (Sec. 713) Directs the Board to make primary service expansion grants to primary care centers (i.e., nonprofit community health centers, migrant health centers, and other federally qualified health centers) to serve medically underserved populations in urban and rural areas. Specifies that grant funds may be used to plan, develop, and deliver primary care in such areas. Subtitle C: Primary Care and Outcomes Research - Requires the Board to transfer specified Trust Fund revenues to the Agency for Health Care Policy and Research for health outcomes research. (Sec. 722) Amends the Public Health Service Act to establish within the Office of the Director of the National Institutes of Health (NIH) an Office of Primary Care and Prevention Research to be headed by a Director who shall identify and coordinate research activities relating to primary care and prevention, including care provided by multidisciplinary teams. Requires the Director of NIH to establish a national data system and clearinghouse on primary care and prevention research. Authorizes appropriations. Subtitle D: School-Related Health Services - Authorizes appropriations through FY 2002 for this subtitle. (Sec. 734) Directs the Secretary to make grants to State health agencies or to local community partnerships to develop and operate school health service sites. Requires preference in making grants to be given to those communities showing the most substantial level of need. Title VIII: Financing Provisions; American Health Security Trust Fund - Subtitle A: American Health Security Trust Fund - Amends the Internal Revenue Code to create the American Health Security Trust Fund. Appropriates to the trust fund the increase in tax liabilities attributable to the application of amendments made by this title and receipts from the following programs: Medicare, Medicaid, Federal employees' health benefits program, and the CHAMPUS program, Maternal and Child Health program (under title V of the Social Security Act), vocational rehabilitation programs, drug abuse and mental health services programs under the Public Health Service Act, programs providing general hospital or medical assistance, and certain other Federal programs. Transfers to such trust fund amounts in the Federal Hospital Insurance Trust Fund and the Federal Supplementary Medical Insurance Trust Fund. Subtitle B: Taxes Based on Income and Wages - Creates a health care excise tax on every employer with respect to each employee equal to 8.7 percent of wages paid. Imposes the tax on the self-employed, railroad employers, and railroad employee representatives. Imposes an individual health care income tax equal to 2.2 percent of taxable income. Prohibits credits against the tax and any effect on the minimum tax in relation to the individual health care income tax. Subtitle C: Increase in Excise Taxes on Tobacco Products - Increases the excise taxes on tobacco products. Title IX: Conforming Amendments to the Employee Retirement Income Security Act of 1974 - Makes ERISA inapplicable to health coverage arrangements under State health security programs. Exempts State health security programs from ERISA preemption. Prohibits employee benefits duplicating State health security program benefits and requires that a liable workers' compensation carrier reimburse the State health security plan. Repeals continuation coverage requirements under ERISA.
United States · United States Congress · 8 March 1995
Bosnia and Herzegovina Self-Defense Act of 1995 - Directs the President to terminate the U.S. arms embargo of the Government of Bosnia and Herzegovina on the date of receipt of a request from such government for assistance in exercising its right of self-defense under the United Nations Charter or on May 1, 1995, whichever comes first.
United States · United States Congress · 3 March 1995
Amends the National Trails System Act to designate the route from Selma to Montgomery, Alabama (traveled by the march dramatizing the need for voting rights legislation), as a National Historic Trail.
United States · United States Congress · 3 March 1995
Medical Procedures Innovation and Affordability Act - Prohibits the issuance of a patent for any invention or discovery of a technique, method, or process for performing a surgical or medical procedure, administering a surgical or medical therapy, or making a medical diagnosis. Provides that if a technique, method, or process is performed by or as a necessary component of a machine, manufacture, or composition of matter or improvement which is itself patentable subject matter, the patent on such machine, manufacture, or composition may claim the technique, method, or process.
United States · United States Congress · 28 February 1995
Amends part B (Supplemental Medical Insurance) of title XVIII (Medicare) of the Social Security Act to include within Medicare coverage the use of blood-testing strips for individuals with Type I or II diabetes. Requires such strips to be included within a payment methodology covering inexpensive and routinely purchased equipment.
United States · United States Congress · 28 February 1995
Authorizes the Alpha Phi Alpha Fraternity to establish a memorial on Federal land in the District of Columbia or its environs to honor Martin Luther King, Jr. Prohibits the United States from paying any expense of establishing the memorial.
United States · United States Congress · 24 February 1995
Colorectal Cancer Screening Act of 1995 - Amends title XVIII (Medicare) of the Social Security Act to prescribe frequency and payment limits under Medicare part B (Supplementary Medical Insurance) for screening fecal-occult blood tests, flexible sigmoidoscopies, barium enemas, and colonoscopy.
United States · United States Congress · 24 February 1995
A Living Wage, Jobs for All Act - Declares that the Congress affirms the basic economic rights and responsibilities under the 1944 "Economic Bill of Rights," while updating and extending it to include that: (1) every adult American able and willing to earn a living through paid work has the right to a free choice among opportunities for useful and productive part- or full-time paid employment at decent real wages or for self-employment; (2) every adult American unable to work for pay or find employment has the right to an adequate standard of living that rises with increases in the wealth and productivity of the society; and (3) there are certain other rights relating to collective bargaining, a safe working environment, health services, information on trends in pollution sources and products and processes that impact on the well-being of workers throughout the world, voting and campaigning, and personal security. Recognizes specified personal responsibilities of persons benefitting from such rights. Makes it the responsibility of each Federal agency and commission, including the Board of Governors of the Federal Reserve System, to perform so as to help establish and maintain conditions under which all adult Americans may freely exercise the economic rights specified in 1944 and in this Act. Prohibits Federal agencies or commissions from directly or indirectly promoting recession, stagnation, or unemployment as a means of reducing wages and salaries or inflation. (Sec. 3) Directs the President to establish a program to implement such basic economic rights and responsibilities. Sets forth policies and projects to be included under such program. Includes such program in the annual submission of budget. (Sec. 4) Requires all budget messages transmitted from the President to the Congress to be based on policies and programs to reduce officially measured unemployment to the interim levels set forth in the Full Employment and Balanced Growth Act of 1978 and to include specified impact analyses and other information. (Sec. 5) Provides for Joint Economic Committee oversight of, and annual reports on, actions taken or proposed to be taken under this Act. Requires the Joint Economic Committee to submit an annual Concurrent Resolution on Economic Policy setting forth both in aggregate terms and in detail its proposed goals for employment by type of employment, with special attention to hours, wages, and social benefits, and for reducing unemployment, underemployment, and poverty in urban, suburban and rural areas. Requires these goals to serve as the framework for any concurrent resolutions on the Federal budget. (Sec. 6) Authorizes appropriations.
United States · United States Congress · 23 February 1995
Ricky Ray Hemophilia Relief Fund Act of 1995 - Establishes in the U.S. Treasury the Ricky Ray Hemophilia Relief Fund. Authorizes appropriations. Specifies that any individual who submits to the Attorney General written medical documentation that the individual has a human immunodeficiency virus (HIV) infection shall receive $125,000 from amounts available in the Fund if the individual: (1) has a blood-clotting disorder and was treated with blood-clotting agents between January 1, 1980, and December 31, 1987; (2) is the lawful spouse of such individual or the former lawful spouse and was the lawful spouse of the individual at any time after a date within such period on which the individual was treated; or (3) acquired the HIV infection through perinatal transmission from a parent who is such an individual. Requires that a claim for payment be filed with the Attorney General by or on behalf of such individual and that the Attorney General determine that the claim meets the requirements of this Act. Specifies that a claim under this Act shall not be assignable or transferable. Sets limits regarding the number of claims per victim. Prohibits the Attorney General from paying claims filed under this Act unless filed within three years after this Act's enactment.
United States · United States Congress · 21 February 1995
Veterans Housing Fairness Act - Authorizes the provision of loans guaranteed by the Department of Veterans Affairs to veterans for the purpose of purchasing residential property in a cooperative housing project if such cooperative is approved by the Secretary of Veterans Affairs.
United States · United States Congress · 16 February 1995
Expresses the sense of the Congress that the United States should: (1) use its influence as a permanent member of the United Nations Security Council to support the efforts of Greece, in its negotiations with the Former Yugoslav Republic of Macedonia, to find a solution which promotes a cooperative relationship between the two countries; and (2) not establish formal diplomatic relations with Macedonia until such a relationship is established.
United States · United States Congress · 15 February 1995
Older Women's Breast Cancer Detection Act of 1995 - Amends part B (Supplemental Medical Insurance) of title XVIII (Medicare) of the Social Security Act to revise the breast cancer screening benefit to cover on an annual (currently, biennial) basis routine breast cancer screening for women age 65 and older (thus covering them on the same basis as those age 49 through 64).
United States · United States Congress · 14 February 1995
Low-Income Housing Preservation Act of 1995 - Amends the Internal Revenue Code to provide a 15-year recovery period for the depreciation deduction for new investments to rehabilitate qualified low-income housing projects. Exempts $50,000 ($25,000 in the case of a separate return by a married individual) of such rehabilitation costs from the passive loss limitations. Provides a special rule for computing the depreciation deduction for such housing projects.
United States · United States Congress · 14 February 1995
Humanitarian Aid Corridor Act - Prohibits funds for foreign assistance from being made available for any country whose government prohibits or restricts the transport or delivery of U.S. humanitarian assistance. Waives such prohibition if the President notifies the Congress that providing such assistance is in the national security interest. Provides for a resumption of assistance when the President certifies to the Speaker of the House and the Senate Foreign Relations Committee that such country is no longer prohibiting or restricting such transports or deliveries.
United States · United States Congress · 14 February 1995
Revitalizing Cities Through Parks Enhancement Act - Directs the Secretary of Housing and Urban Development to make grants to qualified community organizations to develop open space on municipally owned vacant lots in urban areas. Authorizes appropriations.
United States · United States Congress · 13 February 1995
Directs the Secretary of State to establish guidelines which U.S. nationals should use in conducting business operations in any foreign country. Requires such guidelines to be based on principles contained in guidelines or standards of the Organization for Economic Cooperation and Development, the International Labor Organization, and the General Agreement on Tariffs and Trade as well as on the MacBride, Sullivan, Minnesota or Caux, and Slepak Principles. Directs U.S. nationals conducting business operations in any foreign country to submit a statement to the Secretary indicating whether they are complying with such guidelines and to register with the Secretary. Authorizes Federal agencies to intercede with foreign governments or nationals regarding export marketing activities on behalf of a U.S. national only if such national is in compliance with the guidelines.
United States · United States Congress · 13 February 1995
Colon Cancer Screening and Prevention Act - Amends title XVIII (Medicare) of the Social Security Act to prescribe frequency and payment limits under Medicare part B for screening fecal-occult blood tests, flexible sigmoidoscopies, and colonoscopy.
United States · United States Congress · 10 February 1995
Directs the Secretary of the Navy to provide for the retroactive award of the Navy Combat Ribbon with respect to participation in ground or surface combat during any period after July 4, 1943, and before March 1, 1961.
United States · United States Congress · 10 February 1995
TABLE OF CONTENTS: Title I: Commemorative Coins Title II: Circulating Coins Thomas Alva Edison Sesquicentennial Commemorative Coin Act - Title I: Commemorative Coins - Directs the Secretary of the Treasury to mint one-dollar silver coins emblematic of the inventions made by Thomas Alva Edison in commemoration of the sesquicentennial of his birth. Directs the Secretary to conduct an open design competition for the design of the obverse and reverse of the coins. Terminates the authority to mint such coins after December 31, 1997. Requires that certain surcharges received from coin sales be distributed to specified entities. Title II: Circulating Coins - Amends Federal law to declare that the obverse side of half-dollar coins minted between specified dates shall have the same likeness of Thomas Alva Edison as the commemorative coins minted under this Act.
United States · United States Congress · 9 February 1995
Department of Veterans Affairs Mammography Quality Standards Act - Prohibits a mammogram from being performed at a Department of Veterans Affairs facility unless the facility is accredited for such purpose by a private nonprofit organization designated by the Secretary of Veterans Affairs. Requires any such organization to meet the standards for accrediting bodies established under the Public Health Service Act (the Act). Directs the Secretary to prescribe quality assurance and control standards relating to performance and interpretation of mammograms and the use of Department mammogram equipment and facilities consistent with requirements of the Act. Requires the Secretary to provide for an annual inspection of Department mammogram equipment and facilities. Requires any Department mammograms contracted to a non-Department facility or provider to conform to the standards of the Act. Provides for: (1) a deadline for the prescribing of standards; (2) transition provisions covering mammograms performed prior to the enactment of this Act; and (3) an implementation report from the Secretary to specified congressional committees.
United States · United States Congress · 9 February 1995
Free Trade With Cuba Act - Amends the Foreign Assistance Act of 1961 to repeal the embargo on trade with Cuba. (Sec. 3) Prohibits the exercise by the President with respect to Cuba of certain authorities conferred by the Trading With the Enemy Act and exercised on July 1, 1977, as a result of a specified national emergency. Declares that any prohibition on exports to Cuba under the Export Administration Act of 1979 shall cease to be effective. Authorizes the President to impose export controls with respect to Cuba and exercise certain authorities under the International Emergency Economic Powers Act only on account of an unusual and extraordinary threat to U.S. national security that did not exist before enactment of this Act. Repeals the Cuban Democracy Act. Amends the Internal Revenue Code to terminate the denial of foreign tax credit with respect to Cuba. (Sec. 4) Authorizes common carriers to install, maintain, and repair telecommunications equipment and facilities in Cuba, and otherwise provide telecommunications services between the United States and Cuba. (Sec. 5) Prohibits regulation or banning of travel to and from Cuba by U.S. citizens or residents, or of any transactions incident to travel. (Sec. 6) Directs the U.S. Postal Service to provide direct mail service to and from Cuba. (Sec. 7) Urges the President to take all necessary steps to conduct negotiations with the Government of Cuba to: (1) settle claims of U.S. nationals against Cuba for the taking of property; and (2) secure protection of internationally recognized human rights.
United States · United States Congress · 8 February 1995
Firefighters Pay Fairness Act of 1995 - Amends Federal law to provide that, for Federal fire fighters, the annual rate of basic pay shall be calculated on the basis of 26 administrative biweekly work periods of up to 106 hours each. Prescribes a formula for computing the basic biweekly pay of Federal employees who are not fire fighters but perform fire fighting duties. Extends existing biweekly pay period and pay computation requirements to Federal fire fighters and employees in and under the judicial branch. Removes employees of the District of Columbia government from coverage by such requirements. Repeals the current exception from such requirements for employees on the Isthmus of Panama in the service of the Panama Canal Commission. Requires compensation at time-and-a-half per hour for any hours worked in excess of 106 during a biweekly pay period by fire fighters subject to the Fair Labor Standards Act of 1938. Prescribes basic rates of pay for fire fighters: (1) promoted to a supervisory position; and (2) selected and assigned for training. Adds certain pay retention rights for Federal firefighters subject to a reduction or termination of a rate of pay established under this Act. Authorizes a Federal agency to pay cash awards of up to five percent of basic pay to fire fighters or other employees performing fire fighting duties who make substantial use of: (1) special skills, such as handling hazardous materials; or (2) a certification or license, such as certification as an emergency medical technician. Requires the Office of Personnel Management to report to the Congress with respect to transition and funding increase plans and regulatory or legislative modifications necessary to prevent diminution in retirement benefits under this Act.
United States · United States Congress · 8 February 1995
American Farm Protection Act of 1995 - Amends the Internal Revenue Code to exclude from the gross estate tax the value of land subject to a qualified conservation easement (less the amount of any indebtedness secured by such land). Includes in the gross estate tax the value of each development right retained by the donor in the conveyance of the easement. Makes such tax due upon the disposition of the property. Provides that such land subject to the exclusion will have a carryover basis for purposes of determining gain or loss. Excludes from the gift tax transfers by gift of land subject to a conservation easement. Declares that for purposes of the alternative estate valuation method: (1) a qualified conservation contribution is not a disposition; and (2) land subject to a conservation easement is not disqualified.
United States · United States Congress · 8 February 1995
Amends the Federal Property and Administrative Services Act of 1949 to add providers of assistance to families or individuals with annual incomes below the poverty line to the list of organizations eligible to receive surplus personal property allocated by the Administrator of the General Services Administration.
United States · United States Congress · 6 February 1995
Lupus Research Amendments of 1995 - Amends the Public Health Service Act to require the Director of the National Institute of Arthritis and Musculoskeletal and Skin Diseases to expand and intensify research and related activities of the Institute with respect to lupus. Requires the Director to: (1) coordinate such activities with similar activities conducted by other national research institutes and agencies of the National Institutes of Health; and (2) conduct or support research to expand the understanding of the causes of, and to find a cure for, lupus, including research to determine the reasons underlying the elevated prevalence of the disease among African-American and other women. Authorizes appropriations.
United States · United States Congress · 3 February 1995
Medicaid Equalization Act of 1995 - Amends title XIX (Medicaid) of the Social Security Act to: (1) reduce the maximum Federal medical assistance percentage for a State from 83 percent to 60 percent; and (2) increase by 1.2 percentage points the medical assistance percentage for all States.
United States · United States Congress · 3 February 1995
Expresses the sense of the Congress that the current link should be maintained between: (1) the levels of earnings allowed for blind individuals entitled to disability insurance benefits; and (2) the exempt amounts allowed for purposes of the social security earnings test for individuals who have attained retirement age.
United States · United States Congress · 1 February 1995
Medicaid Mammography Coverage Act of 1995 - Amends title XIX (Medicaid) of the Social Security Act to provide Medicaid coverage of screening mammographies for women aged 35 and older. Varies the permissible frequency of such covered tests on the basis of a woman's age and her risk of developing breast cancer. Directs the Secretary of Health and Human Services to periodically review and revise permissible frequencies of such tests. Makes such coverage mandatory. Prohibits imposition of charges against beneficiaries for such services. Provides for a 100 percent Federal match for such screening mammography services.
United States · United States Congress · 1 February 1995
Medicare Prostate Cancer Screening Act of 1995 - Amends title XVIII (Medicare) of the Social Security Act to provide for Medicare coverage of prostate cancer screening tests.
United States · United States Congress · 1 February 1995
Equal Access to Annual Screening Mammography Act of 1995 - Amends part B (Supplementary Medical Insurance) of title XVIII (Medicare) of the Social Security Act to revise the breast cancer screening benefit to cover on an annual basis (currently, biennial) routine breast cancer screening for women aged 65 and older (thus covering them on the same basis as those aged 49 through 64).
United States · United States Congress · 1 February 1995
Medicaid Prostate Cancer Screening Act of 1995 - Amends title XIX (Medicaid) of the Social Security Act to provide for Medicaid coverage of prostate cancer screening tests. Makes such coverage mandatory. Provides for a 100 percent Federal match for costs of such prostate cancer screening tests.
United States · United States Congress · 1 February 1995
National African American Museum Act - Establishes within the Smithsonian Institution the National African American Museum to be operated as a center for scholarship and a location for museum training, public education, exhibits, and collection and study of items and materials relating to the life, art, history, and culture of African Americans. Authorizes the Board of Regents of the Smithsonian Institution to plan, design, reconstruct, and renovate the Arts and Industries Building to house the Museum. Establishes a Board of Trustees of the Museum in the Smithsonian Institution. Directs the Secretary of the Smithsonian Institution to appoint a Director to manage the Museum. Authorizes appropriations.
United States · United States Congress · 1 February 1995
Fire Safety Education Act - Authorizes the Administrator of the United States Fire Administration to enter into contracts, cooperative agreements, or grants with entities to obtain and distribute at the State and local level fire safety and prevention education programs and supporting educational resources. Authorizes funds provided to be used to educate the public in all aspects of fire safety and prevention. Requires funded programs to give priority to appropriate public education materials that have already been developed. Authorizes the Administrator to enter into contracts, cooperative agreements, or grants with States for the purpose of implementing the revised National Fire Incident Reporting System to improve the collection and analysis of fire data at the State and local levels. Authorizes appropriations.
United States · United States Congress · 1 February 1995
Code of Conduct on Arms Transfers Act of 1995 - Prohibits U.S. military assistance and arms transfers to a foreign government unless the President certifies to the Congress that the government: (1) meets specified conditions regarding democracy, including that it was chosen by free and fair elections and promotes civilian control of the military, the rule of law, and respect for individual rights; (2) does not engage in human rights violations, investigates and prosecutes those responsible for human rights violations, permits access to political prisoners by international organizations, and provides access to such organizations in situations of conflict or famine; (3) is not engaged in acts of armed aggression in violation of international law; and (4) is participating in the United Nations Register of Conventional Arms. Authorizes an exemption from such prohibition for a fiscal year if: (1) the President requests an exemption from the Congress stating that it is in the national security interest to provide military assistance and arms transfers to a government; and (2) the Congress enacts a law approving such request. Requires the President to submit initial certifications and requests for exemptions in conjunction with the submission of the annual request for enactment of authorizations and appropriations for foreign assistance. Expresses the sense of the Congress that the House International Relations Committee and the Senate Foreign Relations Committee should hold hearings on controversial certifications and all requests for exemptions.
United States · United States Congress · 31 January 1995
AIDS Cure Act - Requires the President to direct the Secretary of Health and Human Services to establish a project to develop a cure for acquired immune deficiency syndrome (AIDS). Prohibits the program from being administered by any officer or employee of the National Institutes of Health. Requires the Governing Council established in this Act to ensure that the project: (1) pursues comprehensive basic science investigations, based on diverse theories and schools of thought which elucidate the pathogenesis of AIDS; and (2) identifies, based on this work, all promising curatives and oversees their timely and adequate testing. Establishes a Governing Council to set policy and oversee research priorities, ethical standards, conflict of interest rules, and hiring of researchers and administrators. Establishes a coordinating committee to facilitate communication among the different scientists working on the project, evaluate the progress of its work, and convene the entire staff on a regular schedule (or when necessary) to evaluate the progress of the project as a whole, identify gaps in research, reevaluate its direction, and consider newly developed theories emanating from both within and outside the project. Requires the Secretary to convene a one-time national AIDS Congress solely to make recommendations to the President for selecting the Governing Council. Grants the Secretary extraordinary powers in carrying out such project, including the power to exercise the right of eminent domain to obtain samples of potential curatives and data on their development. Vests power in the Congress to reauthorize the project after five years of operation.
United States · United States Congress · 31 January 1995
Expresses the sense of the House of Representatives that the Federal Open Market Committee and the Board of Governors of the Federal Reserve System should defer any further increase in the Federal funds rate and the discount rate until at least September 1995 in order to assess the impact of past increases on the soundness of the American economy and the economic security of the American worker and his or her family.
United States · United States Congress · 30 January 1995
Amends the Internal Revenue Code to allow a limited deduction of partnership investment expenses for purposes of computing the alternative minimum tax.
United States · United States Congress · 27 January 1995
Systematic Application of Value Engineering Act of 1995 - Requires Federal agencies to apply value engineering, at a minimum, to identify and implement opportunities to reduce capital and operation costs and improve and maintain optimum quality of construction, administrative, program, acquisition, and grant projects. Requires Inspector General audits of reported agency savings attributable to such value engineering. Earmarks half of any such savings for Federal debt reduction, with the other half going back to the program, project, system, or development for use in the next fiscal year.
United States · United States Congress · 26 January 1995
Standby Guardianship Act - Amends part E (Foster Care and Adoption Assistance) of title IV of the Social Security Act to require States to have laws that permit a parent who is chronically ill or near death to designate a standby guardian for a minor child without surrendering parental rights.
United States · United States Congress · 23 January 1995
Women's Right To Know Act of 1995 - Amends title XI of the Civil Rights Act of 1964 to prohibit a governmental authority, in or through any program or activity that provides health care services or information, from limiting the right of any person to provide or to receive nonfraudulent information about the availability of reproductive health care services, including family planning, prenatal care, adoption, and abortion services.
United States · United States Congress · 20 January 1995
Requires the Administrator of the Agency for International Development to use development assistance for FY 1995 through 1998 for grants to nongovernmental organizations that have established programs under which Haitian Americans would help people in Haiti meet needs for trained manpower in recovering from destruction caused by the military coup of December 1991 and assist in the reconstruction of Haiti since the return of President Aristide. Directs the Administrator to ensure that such activities are similar to Peace Corps activities. Requires the Director of the Peace Corps to provide training to program participants. Provides for the reimbursement of training costs through the grants.
United States · United States Congress · 20 January 1995
Dr. Martin Luther King, Jr., 1 Dollar Coin Act - Directs the Secretary of the Treasury to redesign the one-dollar coin to commemorate Dr. Martin Luther King, Jr.
United States · United States Congress · 19 January 1995
Requires the House of Representatives, when the legislatures of an additional three States ratify the Equal Rights Amendment, to take any legislative action necessary to verify the ratification of the Amendment as a part of the Constitution.
United States · United States Congress · 18 January 1995
TABLE OF CONTENTS: Title I: Relationship of NAFTA Implementation to the Operation of the Caribbean Basin Initiative Title II: Related Provisions Caribbean Basin Trade Security Act - Title I: Relationship of NAFTA Implementation to the Operation of the Caribbean Basin Initiative - Amends the Caribbean Basin Economic Recovery Act (the Act) to accord certain textile and apparel articles and certain other articles (including canned tuna and petroleum) from Caribbean beneficiary countries, for a specified transition period, the same tariff and quota treatment (lower tariffs or duty-free treatment) accorded any such articles imported from Mexico under the North American Free Trade Agreement (NAFTA). (Sec. 102) Directs the President to: (1) monitor the effects, if any, that implementation of NAFTA has on the access of beneficiary countries to U.S. markets for sugars, syrups, and molasses; and (2) take or propose any actions necessary to ameliorate any adverse effects such implementation may have on them. (Sec. 103) Grants duty-free treatment of Canadian liqueurs and spirituous beverages made from Caribbean rum. Title II: Related Provisions - Requires the President to meet with trade ministers of beneficiary countries in order to negotiate for their accession to the NAFTA, or to enter into free trade agreements with the United States that contain comparable provisions with those in the NAFTA and that would make progress in achieving certain trade negotiating objectives under the NAFTA. (Sec. 202) Directs the United States Trade Representative (USTR) to make an assessment of the economic development efforts and market oriented reforms in each beneficiary country, including each country's ability to undertake the obligations of the NAFTA. Requires the USTR, if such countries accede to the NAFTA or the United States negotiates a comparable free trade agreement with them, to provide to specified congressional committees a report on the economic impact of the new trade relationship on beneficiary countries.
![Official portrait of Rep. Rangel, Charles B. [D-NY-15]](https://www.congress.gov/img/member/r000053_200.jpg)