United States · United States Congress · 5 January 1993
Equal Remedies Act of 1993 - Amends Federal law relating to damages in cases of intentional employment discrimination to remove provisions limiting the dollar amount of damages awarded for pecuniary and nonpecuniary losses and punitive damages.
United States · United States Congress · 5 January 1993
Equal Access to Annual Mammography Screening Act of 1993 - Amends part B (Supplementary Medical Insurance) of title XVIII (Medicare) of the Social Security Act to revise the breast cancer screening benefit provided under the Omnibus Budget Reconciliation Act of 1990 to cover on an annual basis (currently, biennial) routine breast cancer screening for women over age 64.
United States · United States Congress · 5 January 1993
Medicare Prostate Screening Act of 1993 - Amends title XVIII (Medicare) of the Social Security Act to provide for Medicare coverage of prostate cancer screening tests.
United States · United States Congress · 5 January 1993
Medicaid Prostate Screening Act of 1993 - Amends title XIX (Medicaid) of the Social Security Act to mandate coverage of prostate cancer screening tests under State Medicaid plans.
United States · United States Congress · 5 January 1993
Amends the Civil Service Retirement Spouse Equity Act of 1984 to eliminate the requirement of a post-September 15, 1978, divorce for certain former spouses of Federal employees in order for them to be eligible for a survivor annuity. Extends from May 7, 1989, to May 7, 1993, the deadline for applying for such annuity. Authorizes the Director of the Office of Personnel Management to waive such deadline under certain circumstances. Makes such spouses eligible for Federal health benefits.
United States · United States Congress · 5 January 1993
TABLE OF CONTENTS: Title I: Control of Congressional Campaign Spending Subtitle A--Senate Election Campaign Spending Limits and Benefits Subtitle B--Expenditure Limitations, Contribution Limitations, and Matching Funds for Eligible House of Representatives Candidates Subtitle C--General Provisions Title II: Independent Expenditures Title III: Expenditures Subtitle A--Personal Loans; Credit Subtitle B--Provisions Relating to Soft Money of Political Parties Title IV: Contributions Title V: Reporting Requirements Title VI: Federal Election Commission Title VII: Ballot Initiative Committees Title VIII: Miscellaneous Title IX: Effective Dates; Authorizations Congressional Campaign Spending Limit and Election Reform Act of 1993 - Title I: Control of Congressional Campaign Spending - Subtitle A: Senate Election Campaign Spending Limits and Benefits - (Sec. 101) Makes Senate candidates eligible to receive benefits under this title if they meet certain contribution and expenditure limits. Limits Senate primary expenditures for a candidate (or his or her authorized committees) to: (1) 67 percent of the general election expenditure limit; or (2) $2.75 million. Limits runoff expenditures. Sets a threshold contribution amount which triggers application of such primary and runoff limits. Limits the use by a Senate candidate (or authorized committees), during an entire election cycle, of the candidate's personal (or family) funds (including debt). Limits aggregate general election expenditures by an eligible Senate candidate (or authorized committees) to the lesser of: (1) $5,500,000; or (2) the greater of $950,000, or $400,000 plus 30 cents times the voting age population up to 4,000,000 and 25 cents times the voting age population over 4,000,000. Exempts from the general election expenditure limit qualified legal and accounting expenditures from a legal and accounting compliance fund meeting certain requirements. Entitles eligible Senate candidates to certain broadcast media rates, mailing rates, voter communication vouchers (up to a certain amount), and in certain circumstances, payments compensating for independent expenditures and excess expenditures (if any) on behalf of the candidate's opponent. Requires the Federal Election Commission (Commission) to certify an eligible Senate candidate within 48 hours after his or her application to the Secretary of the Senate. Requires the Commission to examine and audit, for FECA compliance, the campaign accounts of ten percent of all Senate candidates, and the campaign accounts of all opponents of such candidates as well. Requires candidates to refund to the Commission any excess payments, expenditures, or voter communication vouchers. Sets civil penalties for excess expenditures and contributions. Provides for judicial review of Commission actions and requires Commission reports to the Senate. Denies any payments to any eligible Senate candidate unless he or she certifies that all his or her television commercials permit closed captioning. (Sec.102) Reduces from $5,000 to $2,500 the maximum aggregate contributions of any multicandidate political committee to a Senate candidate (or authorized committees). Makes it unlawful for aggregate multicandidate political committees to contribute to any Senate candidate (or authorized committees) more than the lesser of: (1) $825,000; or (2) the greater of $375,000, or 20 percent of the sum of the general election spending limit plus the primary election spending limit (without regard to the candidate's eligibility for FECA benefits). Requires annual adjustments of such dollar amounts according to a specified price index. (Sec. 103) Sets forth reporting requirements for Senate candidates not eligible for FECA benefits. Requires reports to the Secretary within 24 hours of any contributions raised and expenditures made in excess of FECA limits. Allows the Commission to make its own determination of whether an ineligible candidate exceeds FECA limits. Requires any candidate for the Senate who, during the election cycle, exceeds limits on the use of personal and immediate family funds, and on personal loans incurred by the candidate and the candidate's immediate family, to report to the Secretary of the Senate within 24 hours after such expenditures have been made or loans incurred. Requires certain expenditure reports from any Senate candidate who held Federal, State, or local office during the same election cycle, and made any expenditures, before becoming a Senate candidate, which would have been treated as Senate candidate expenditures. Requires Senate candidates ineligible for FECA benefits to place on every paid or authorized political commercial or communication the declaration: "This candidate has not agreed to voluntary campaign spending limits." Subtitle B: Expenditure Limitations, Contribution Limitations, and Matching Funds for Eligible House of Representatives Candidates - (Sec. 121) Limits an eligible House of Representatives (House) candidate, in an election cycle, to aggregate expenditures of $600,000, of which not more than $500,000 may be expended in the general election period. Limits run-off election and special election expenditures for such a candidate, with additional allowances for closely contested primaries. Requires annual adjustment of such limits according to a specified price index, using calendar 1993 as the base year. Waives expenditure limitations for an eligible House candidate if any opponent is not eligible for FECA benefits and spends in excess of 80 percent of the general election period limit. Requires any noneligible House candidate who receives contributions exceeding 50 percent of the general election period limit, or makes expenditures exceeding 80 percent of such limit, to report to the Clerk of the House of Representatives within 48 hours. Excludes from the computation of expenditures subject to limits under this title: (1) any payments for legal and accounting compliance and Federal, State, or local taxes with respect to a candidate's authorized committees; and (2) certain fundraising costs, including salaries and overhead. Sets forth graduated civil penalties for low, medium, and large amounts of excess expenditures. Limits the aggregate contributions an eligible House candidate may accept with respect to any election cycle to $600,000. Waives contribution limitations for an eligible House candidate if any opponent is not eligible for FECA benefits and spends in excess of 50 percent of the general election period limit. Limits to $50,000 in any election cycle the personal contributions of an eligible House candidate from his or her own funds. Waives this limitation if any other House candidate in the same election is ineligible for FECA benefits and receives contributions exceeding 50 percent of the general election period limitation. Sets forth graduated civil penalties for low, medium, and large amounts of excess contributions. Excludes from the computation of contributions subject to limits under this title any used for legal and accounting compliance costs and Federal, State, or local taxes with respect to a candidate's authorized committees. Requires annual adjustment of contribution limitations according to a specified price index, using calendar 1993 as the base year. Entitles an eligible House candidate to receive, for a general election, an amount from the Commission matching up to $200,000 of contributions from individuals (but not to the extent that contributions from any individual during the election cycle exceed $250 in the aggregate). Entitles an eligible candidate to additional matching payments if independent expenditures totaling a certain amount are made against him or her or in favor of another candidate. Prohibits conversion of any matching funds to personal use other than for reimbursement of verifiable prior campaign expenditures. Requires the Commission to examine and audit, for FECA compliance, the campaign accounts of ten percent of the eligible House candidates, and the campaign accounts of all opponents of such candidates as well. Requires candidates to refund to the Commission any excess payments. Provides for judicial review of Commission actions and requires Commission reports to the House of Representatives. Denies any payments to any eligible House candidate unless he or she certifies that all his or her television commercials permit closed captioning. (Sec. 122) Limits to $200,000 the maximum aggregate contributions of political committees to a House candidate, and to the same amount the maximum aggregate contributions of persons other than political committees whose contributions run over $250 (large donors). Subtitle C: General Provisions - (Sec. 131) Amends the Communications Act of 1934 to require a broadcast station to make broadcast time available to all House and Senate candidates in the last 30 (currently 45) days before a primary and the last 45 (currently 60) days before a general election, at the lowest unit charge of the station for the same amount of time (currently, the same class and amount of time) for the same period on the same date. Allows Senate candidates to purchase broadcast time at 50 percent of the lowest unit rate for the 45 days before a general election. Prohibits broadcasters from preempting advertisements sold to political candidates at the lowest unit rate, unless the preemption is beyond the broadcaster's control. (Sec. 132) Amends Federal law to permit eligible House and Senate candidates to mail up to one piece per eligible voter (voting age population) at the lowest third-class non-profit postage rate, during a general election period only. (Sec. 134) Requires a clear statement of responsibility in advertisements with: (1) a clearly readable type and color contrasts for print advertisements; (2) clearly readable type, color contrasts, the candidate's image, and for a duration of at least four seconds, for television advertisements; and (3) a clearly spoken message by the candidate for both television and radio advertisements. (Sec. 136) Amends Federal law to prohibit a Senator who is a candidate for election to any public office from making a mass mailing under the frank during the calendar year of any primary or general election for such office. Restricts mass mailings of a Member of the House to the Member's district. Title II: Independent Expenditures - (Sec. 201) Amends FECA to define "independent expenditure" as an expenditure for an advertisement or other communication that: (1) contains express advocacy; and (2) is made without the participation or cooperation of a candidate or a candidate's representative. Excludes from the meaning of "independent expenditure" any expenditure by: (1) a political committee of a political party; (2) persons who communicate or receive information about activities that have a purpose of influencing a candidate's election; and (3) persons with other specified relationships with a candidate or candidate's agents in the same election cycle. Defines "express advocacy" as any communication that when taken as a whole: (1) expresses support for or opposition to a specific candidate, a specific group of candidates, or candidates of a particular political party; or (2) suggests taking action with respect to an election, such as voting for or against, contributing to, or participating in campaign activity. Title III: Expenditures - Subtitle A: Personal Loans; Credit - (Sec. 301) Amends FECA to prohibit the use of contributions after the date of a general election to repay loans to a candidate (or authorized committee) by the candidate himself or herself or by members of the candidate's family. (Sec. 302) Treats as a contribution any extension of credit of more than $1,000 for more than 60 days to Senate and House candidates (or authorized committees) by vendors of advertising and mass mailing services. Subtitle B: Provisions Relating to Soft Money of Political Parties - (Sec. 311) Amends FECA to limit to an aggregate $10,000 in any calendar year: (1) an individual's contributions to political committees established by a State committee of a political party; and (2) a multicandidate political committee's contributions to State party committees. Increases the $25,000 per year limit on an individual's contributions to a candidate by the amount of contributions (up to $5,000) made to State party committees. (Sec. 312) Prohibits a State party committee (including any subordinate committees) from making expenditures in connection with the general election presidential campaign of the party nominee which, in the aggregate, exceed a certain indexed amount. Subjects to certain limitations, prohibitions and reporting requirements any amount ("soft money") solicited, received, or expended directly or indirectly by a national, State, district, or local committee of a political party (including any subordinate committee) with respect to an activity (such as voter registration and get-out-the vote activities, among others) which, in whole or in part, is in connection with an election to Federal office. Prohibits a national political party committee from soliciting or accepting contributions not subject to FECA limitations, prohibitions, and reporting requirements. Cites conditions under which any amount received by the national, State, district, or local committee of a political party (including any subordinate committee) from a State or local candidate committee shall be treated as meeting the soft money requirements of this title. (Sec. 313) Places limitations on fundraising by Federal candidates and officeholders and certain political committees for State and local elections. Prohibits Federal candidates or officeholders from soliciting contributions to, or on behalf of, any tax-exempt organization if a significant portion of the organization's activities include voter registration or get-out-the-vote campaigns. (Sec. 314) Requires the national committee of a political party and any congressional campaign committee (and any subordinate committee) to report all receipts and disbursements during the reporting period, regardless of whether or not in connection with a Federal election. Title IV: Contributions - (Sec. 401) Specifies circumstances in which contributions made or arranged to be made directly or indirectly by a person to or on behalf of a particular candidate through an intermediary or conduit shall be treated as contributions from such intermediary or conduit to the candidate (thus subjecting them to the FECA limitations otherwise applicable to that intermediary or conduit). (Sec. 402) Treats contributions by a dependent not of voting age as having been made by the individual on whom that dependent is a dependent. (Sec. 403) Prohibits a candidate for Federal office from accepting, with respect to any election, any contribution from a State or local political party committee (or subordinate committee) if such contribution, when added to the total of contributions previously accepted from all such committees of that political party, exceeds the relevant contribution limitation. (Sec. 404) Excludes from the meaning of "contribution" any campaign expense voluntarily paid for by a campaign worker as an advance to the campaign, provided the amount does not exceed $500 and is reimbursed by the committee within ten days. Title V: Reporting Requirements - (Sec. 501) Requires all Federal candidates and authorized committees to aggregate information on their financial activity reports on an election cycle basis (instead of a calendar year basis, as at present). (Sec. 502) Requires candidates to report any expenditure in excess of the reporting threshold made to a person who provides services or materials for the candidate, whether the payment was made directly or indirectly under subcontract to another person providing personal or consulting services. (Sec. 503) Reduces from $200 to $50 the threshold for reporting certain information by persons other than political committees. (Sec. 504) Requires the Commission to maintain computerized indices of all contributions of at least $50 (currently $200). Title VI: Federal Election Commission - (Sec. 601) Prohibits a political committee that is not an authorized committee from using a candidate's name in a way to suggest that the candidate has authorized such committee. (Sec. 603) Provides for filling any vacancy in the office of general counsel, and revises the general counsel's rate of pay. (Sec. 604) Revises the basis for an enforcement proceeding from "reason to believe that a person has committed or is about to commit a violation of FECA" to "facts have been alleged or ascertained that, if true, give reason to believe that a person may have committed, or may be about to commit" such a violation. Authorizes the Commission to initiate a civil action for a temporary restraining order or a temporary injunction at any time during an enforcement proceeding that it believes there is substantial likelihood a FECA violation is occurring or about to occur, and the need for expeditious action meets certain criteria. (Sec. 606) Authorizes the Commission to conduct random audits of political committees. (Sec. 607) Prohibits contribution solicitation by false representation as a candidate or a representative of a candidate, a political committee, or a political party. (Sec. 608) Directs the Commission to promulgate rules to prohibit devices or arrangements which have the purpose or effect of undermining or evading provisions of FECA restricting the use of non-Federal money to affect Federal elections. Title VII: Ballot Initiative Committees - (Sec. 701) Defines a ballot initiative political committee as any committee, club, association or other group of persons which makes ballot initiative expenditures or receives ballot initiative contributions exceeding $1,000 during a calendar year in order to influence the outcome of any ballot initiative involving specified Federal issues voted on at the State, commonwealth, territory, or District of Columbia level. (Secs. 702 and 703) Excludes ballot initiative contributions and expenditures from the usual meaning of contributions and expenditures under FECA. (Secs. 704, 705, and 706) Makes the political committee organizational and reporting requirements (and attendant civil penalties) under FECA applicable to ballot initiative committees. (Sec. 707) Applies to ballot initiative contributions the current prohibition against: (1) making a contribution in the name of another person or knowingly permitting one's name to be used to effect such a contribution; and (2) knowingly accepting a contribution made by one person in the name of another person. (Sec. 708) Limits ballot initiative contributions of currency to an aggregate of $100 per person. Title VIII: Miscellaneous - (Sec. 801) Prohibits Federal candidates and officeholders from establishing, maintaining, or controlling any political committee (such as a "leadership committee") other than a principal campaign committee of the candidate, authorized committee, party committee, or other political committee designated as an authorized committee. (Sec. 802) Requires that contributions of polling data to Federal candidates be valued at fair market value on the date of the poll's completion, depreciated at a specified rate (Sec. 803) Denies FECA payments to any general election candidates of a political party for President or Vice President unless both candidates for such office agree in writing to at least four debates for the office of President, or at least one debate for the office of Vice President, sponsored by a nonpartisan or bipartisan organization, with all other candidates for the office eligible for FECA benefits. (Sec. 804) Prohibits foreign nationals from directly or indirectly directing, controlling, influencing or participating in any person's election-related activities, with respect to any local, State, or Federal office. (Sec. 805) Permits union and corporate expenditures for candidates appearances, debates and voter guides in Federal elections if certain conditions are met. (Sec. 806) Directs the Commission to study and report to the Congress on the feasibility of developing telephonic voting for persons with disabilities. (Sec. 807) Prohibits the use of any aircraft owned or operated by the Federal Government in connection with a Federal election, except for travel of the President or Vice President as long as the portion of the cost of any such travel allocable to election activities is paid by the President's authorized committee. (Sec. 808) Declares that it is the sense of Congress that the Congress should consider legislation providing a Constitutional amendment to set reasonable limits on campaign expenditures in Federal elections. Title IX: Effective Dates; Authorizations - Sets forth the general effective date of this Act. Provides for: (1) budget neutrality of this Act; and (2) direct, expedited appeal to the U.S. Supreme Court from any court rulings on the constitutionality of any provision of this Act or amendment made by it.
United States · United States Congress · 5 January 1993
New Columbia Admission Act - Declares the State of New Columbia (presently, the District of Columbia) to be a State of the United States of America. Admits New Columbia into the Union on an equal footing with the other States in all respects. Reserves Federal title to certain lands and property in the National Capital Service Area. Directs the Governor to report to the Congress each fiscal year on the effects on the revenues and expenditures of the State because of the presence of the Federal Government's seat within or adjacent to it. Prohibits the State from changing any provision of its Constitution concerning height limitations on buildings without the consent of the Congress. Declares that nothing in this Act or the Constitution or laws of the State may be construed to permit it to refuse to allow an individual to serve as a qualified registered elector of the State solely because the individual resides in the National Capital Service Area. Sets forth election protocol for popular ratification of statehood. Provides for election of one member of the House of Representatives as well as two Senators. Maintains the laws that were territorially in effect. Continues any lawsuits already pending in District of Columbia courts. Establishes a Statehood Transition Commission.
United States · United States Congress · 5 January 1993
Federal Employees Political Activities Act of 1993 - Prohibits an employee from using or attempting to use official authority or influence to interfere with or affect the result of any election. Prohibits the use of official authority to intimidate, threaten, coerce, or influence: (1) any individual for the purpose of interfering with the right to vote or not to vote for any candidate or measure in any election; (2) any person to give or withhold any political contribution; or (3) any person to engage, or not to engage, in any form of political activity. Prohibits an employee from: (1) giving or offering to give a political contribution to any individual either to vote or to refrain from voting; (2) soliciting, accepting, or receiving a political contribution to vote or refrain from voting; or (3) giving or handing over a political contribution to a superior. Prohibits an employee from soliciting, accepting, or receiving a political contribution: (1) from another employee (or a member of another employee's immediate family) with respect to whom the employee is a superior; or (2) in any room or building occupied in the discharge of official duties by a Federal employee, official, or contractor. Prohibits an employee from getting involved with political contributions with any person who: (1) has, or is seeking to obtain, contractual or other business relations with the employing agency; (2) conducts operations regulated by that agency; or (3) has interests which may be substantially affected by the performance of the employee's official duties. Prohibits an employee from engaging in political activity: (1) while on duty; (2) in any room or building occupied in the discharge of official duties by a Federal employee or official; (3) while wearing a uniform or official insignia identifying the office or position of the employee; or (4) while using any vehicle owned or leased by the Government. Exempts certain high level political appointees from such prohibitions if the costs associated with the political activity are not paid for by money derived from the Treasury. Authorizes leave without pay or accrued annual leave to an employee who is a candidate, upon request, to allow such employee to engage in activities relating to that candidacy. Applies this Act to postal employees and employees of the Postal Rate Commission.
United States · United States Congress · 5 January 1993
Amends the Immigration and Nationality Act to direct the Attorney General to provide, on an expedited basis, for a 30-day maximum parole admission of an alien into the United States to attend the funeral of an immediate blood relative.
United States · United States Congress · 5 January 1993
TABLE OF CONTENTS: Title I: Provisions Relating to Part A Title II: Provisions Relating to Part B Subtitle A: Physicians' Services Subtitle B: Ambulatory Surgical Services Subtitle C: Durable Medical Equipment Subtitle D: Other Provisions Title III: Provisions Relating to Parts A and B Title IV: Provisions Relating to Medicare Supplemental Insurance Policies Miscellaneous and Technical Medicare Amendments of 1993 - Amends title XVIII (Medicare) of the Social Security Act (SSA) parts A (Hospital Insurance) and B (Supplementary Medical Insurance). Title I: Provisions Relating to Part A - (Sec. 101) Requires the Secretary of Health and Human Services (HHS) to use the day outlier methodology in effect for: (1) FY 1992 for payment of discharges occurring on or after April 1, 1993, and before September 30, 1993; and (2) the first six months of FY 1993 for payment of discharges occurring during FY 1994. (Sec. 102) Modifies the Essential Access Community Hospital program. (Sec. 103) Provides that a change in classification of hospitals from one area to another may not result in a reduction in the wage index for an urban area under certain circumstances. (Sec. 104) Amends the Omnibus Budget Reconciliation Act of 1987 (OBRA-1987) to extend authorized appropriations for the rural health transition grant program. (The Omnibus Budget Reconciliation Acts of different years amended by this Act shall be denoted "OBRA-(year).") (Sec. 105) Permits hospitals to decline reclassification from rural to urban referral centers. (Sec. 106) Revises Medicare-dependent, small rural hospital payment provisions. (Sec. 107) Amends OBRA-1989 to extend additional Medicare payments for the hemophilia clotting factor. (Sec. 108) Prohibits the Secretary from recouping from or otherwise reducing Medicare payments to hospitals in New Jersey because of alleged overpayments during a hospital reimbursement demonstration project, until all relevant data are given to the State and hospitals located in it. (Sec. 109) Allows the care of hospital inpatients receiving qualified psychologist services to be supervised by a clinical psychologist to the extent such supervision is permitted under State law. (Sec. 110) Allows graduate medical education to be provided in a hospital-owned community health center. (Sec. 111) Requires a study on the feasibility and desirability of establishing joint medical facilities among the Department of Defense, the Department of Veterans' Affairs, and other public and private entities. (Sec. 112) Requires home health agencies and skilled nursing facilities to notify Medicare beneficiaries of the hospice benefit, except in certain circumstances. (Sec. 113) Directs the Secretary to begin collecting data on employee compensation and paid hours of employment in skilled nursing facilities (SNFs) to compute a wage index to adjust Medicare SNFs payments. (Sec. 115) Amends OBRA-1990 to require the Secretary to continue any rural hospital demonstration project at least through December 31, 1995. Title II: Provisions Relating to Part B - Subtitle A: Physicians' Services - (Sec. 201) Reinstates separate payment for electrocardiogram interpretations performed or ordered to be performed as part of or in conjunction with a visit to or consultation with a physician. (Sec. 202) Repeals provisions for reduced Medicare payments to new physicians and other practitioners during their first four years of practice. (Sec. 203) Prohibits the Secretary from modifying the methodology for determining the amount of time that may be billed under Medicare for anesthesia services. (Sec. 204) Requires the Secretary to study and report to specified congressional committees on the data necessary to review and revise geographical indices. (Sec. 205) Prohibits nonparticipating physicians and suppliers from billing or collecting an actual charge in excess of the Medicare limiting charge. (Sec. 206) Requires the Secretary to study, develop, and report to the Congress on relative values for pediatric services. (Sec. 208) Prohibits the Secretary and carriers from imposing user fees. Subtitle B: Ambulatory Surgical Services - (Sec. 211) Extends eligibility for designation as eye or eye and ear hospitals to certain hospitals. (Sec. 212) Amends OBRA-1990 to extend the cap on payments for intraocular lenses. Subtitle C: Durable Medical Equipment - (Sec. 221) Requires the Secretary to prescribe national standards which suppliers of medical equipment and supplies must meet to receive payment under Medicare for items furnished. (Sec. 222) Prohibits carrier forum shopping by suppliers filing claims. (Sec. 223) Prohibits unsolicited telephone contacts from suppliers of durable medical equipment to Medicare beneficiaries. (Sec. 224) Modifies SSA anti-kickback provisions. (Sec. 225) Specifies the circumstances under which Medicare beneficiaries are not liable for covered items furnished by suppliers on an unassigned basis. (Sec. 226) Revises special payment rules for particular items and services to provide for adjustments to final payment amounts for inherent reasonableness. (Sec. 227) Freezes reasonable charges for parenteral and enteral nutrients, supplies, and equipment. (Sec. 228) Removes aspirators and nebulizers from the category of durable medical equipment (DME) items requiring frequent and substantial servicing and includes accessories relating to aspirators and nebulizers in the category of inexpensive and other routinely purchased equipment. (Sec. 229) Adds payment rules for ostomy supplies, tracheostomy supplies, urologicals, and surgical dressings. (Sec. 230) Changes payment rates for tens devices. Subtitle D: Other Provisions - (Sec. 241) Revises payment conversion factors for services furnished by a medically directed certified registered nurse anesthetist. (Sec. 242) Amends OBRA-1990 to extend Alzheimer's disease demonstration projects. (Sec. 243) Modifies the limitation on the late enrollment penalty. (Secs. 244 and 245) Provides for Medicare coverage of: (1) oral cancer drugs that contain the same active ingredients as anticancer drugs covered by Medicare when administered intravenously; and (2) speech-language pathology and audiology services. (Sec. 246) Amends OBRA-1985, as amended by OBRA-1989, to extend municipal health service demonstration projects. (Sec. 247) Treats certain Indian health programs and facilities as federally-qualified health centers. (Sec. 248) Amends OBRA-1987 to extend the influenza vaccination demonstration project. Title III: Provisions Relating to Parts A and B - (Sec. 301) Modifies provisions relating to physician ownership and referral. Requires the Comptroller General to study and report to the Congress on shared facility arrangements. (Sec. 302) Adjusts procedures to determine graduate medical education costs. (Sec. 303) Extends the periods during which Medicare covers immunosuppressive drug therapy following a transplant procedure. Reduces Medicare payments for erythropoietin. (Sec. 304) Revises provisions with respect to Medicare secondary payers. (Secs. 305 and 306) Requires the Secretary to: (1) establish a method for obtaining information with a view to Medicaid payment of the Medicare out-of-pocket expenses of eligible Medicare beneficiaries; and (2) extend waivers for social health maintenance organization (HMO) demonstration projects. (Sec. 307) Repeals peer review organization precertification requirements for certain surgical procedures. (Sec. 308) Modifies hospital conditions of participation with respect to discharge planning under Medicare to require informing a patient of his or her entitlement to hospice services. (Sec. 309) Provides that there must be interest payments on clean claims if the claims are not paid within 30 days of receipt. (Sec. 311) Amends the Balanced Budget and Emergency Deficit Control Act of 1985 (Gramm-Rudman-Hollings Act) to adjust discretionary spending limits with respect to Medicare administrative costs. (Sec. 312) Adjusts Medicare capitation payments with respect to HMOs to account for regional variations in application of the secondary payor provisions. (Sec. 313) Amends the Employee Retirement Income Security Act of 1974 with regard to certain health care programs of the State of Hawaii. Title IV: Provisions Relating to Medicare Supplemental Insurance Policies - (Sec. 401) Revises certain standards for Medicare supplemental insurance policies.
United States · United States Congress · 5 January 1993
Amends the National Labor Relations Act and the Railway Labor Act to prohibit permanent replacement of strikers. Amends the National Labor Relations Act to make it an unfair labor practice for an employer to promise, threaten, or take other action to hire a permanent replacement for an employee who: (1) at the beginning of a labor dispute was in a bargaining unit in which a labor organization either was the certified or recognized exclusive representative or had filed, at least 30 days before such dispute began, a petition for a representational election on the basis of written authorizations by a majority of unit employees and the National Labor Relations Board (NLRB) has not completed the representation proceeding; and (2) in connection with that dispute has engaged in concerted activities for collective bargaining or other mutual aid and protection through that labor organization. Makes it an unfair labor practice for an employer to withhold or deny any other employment right or privilege to such an employee as described above who is working for or has unconditionally offered to return to work for the employer, out of preference for any other individual based on that individual's performing, having performed, or having indicated a willingness to perform bargaining unit work for the employer during the dispute. Amends the Railway Labor Act to prohibit any carrier or its officer or agent from offering or granting: (1) permanent replacement employee status in a craft or class during a labor dispute; or (2) any employment preference to an individual who worked or indicated a willingness to work in a craft or class during a labor dispute over an employee who exercised specified rights during such dispute and who is working for, or has unconditionally offered to return to work for, the carrier.
United States · United States Congress · 5 January 1993
Black Bear Protection Act of 1993 - Directs the Secretary of Commerce under the Export Administration Act of 1979 to prohibit the export of American black bear viscera. Requires the Secretary of the Interior to report to the Congress on the American black bear viscera trade. Requires the United States Trade Representative to discuss issues involving such trade with
United States · United States Congress · 5 January 1993
Reproductive Health Equity Act - Amends title XIX (Medicaid) of the Social Security Act, the Indian Health Care Improvement Act, the Peace Corps Act, the District of Columbia Self-Government and Governmental Reorganization Act, and other Federal laws covering armed forces personnel and dependents, certain veterans, Federal employees' health benefits, and Federal penal and correctional institutions to provide that services related to abortion be made available to the same extent as are other pregnancy-related services under federally-funded programs. Repeals provisions of the Indian Health Care Improvement Act requiring submission of a resource allocation plan to the Congress by December 17, 1981.
United States · United States Congress · 5 January 1993
Flight Attendant Duty Time Act - Amends the Federal Aviation Act of 1958 to direct the Secretary of Transportation to initiate a rulemaking proceeding to establish limitations on duty time for flight attendants. Requires the Secretary to issue final regulations by a specified deadline. Prohibits any air carrier from operating an aircraft using a flight attendant who has been on duty in excess of specified hours or who has had less than a specified number of hours of rest if such regulations have not been promulgated by a certain time. Permits modification of the specified hours of duty if the Secretary determines such modification is in the public interest and submits a copy of the modifying regulations to certain congressional committees.
United States · United States Congress · 5 January 1993
TABLE OF CONTENTS: Title I: General Provisions Regarding Title IV of Public Health Service Act Title II: National Institutes of Health in General Title III: General Provisions Respecting National Research Institutes Title IV: National Cancer Institute Title V: National Heart, Lung, and Blood Institute Title VI: National Institute on Diabetes and Digestive and Kidney Diseases Title VII: National Institute on Arthritis and Musculoskeletal and Skin Diseases Title VIII: National Institute on Aging Title IX: National Institute of Allergy and Infectious Diseases Title X: National Institute of Child Health and Human Development Title XI: National Eye Institute Title XII: National Institute of Neurological Disorders and Stroke Title XIII: National Institute of Environmental Health Sciences Title XIV: National Library of Medicine Title XV: Other Agencies of National Institutes of Health Title XVI: Awards and Training Title XVII: National Foundation for Biomedical Research Title XVIII: Research With Respect to Acquired Immune Deficiency Syndrome Title XIX: Studies Title XX: Miscellaneous Provisions Title XXI: Effective Dates National Institutes of Health Revitalization Amendments of 1993 - Title I: General Provisions Regarding title IV of Public Health Service Act - (Sec. 101) Amends the Public Health Service Act to condition research funding on human subject review and scientific and technical peer review. Prohibits withholding funding on ethical grounds unless an ethics advisory board so recommends. (Sec. 111) Regulates human fetal tissue transplantation research. (Sec. 121) Removes provisions regarding: (1) biomedical ethics; (2) waiver of a risk standard; and (3) the construction of title IV (National Research Institutes). Declares ineffective a Federal regulation relating to ethical advisory boards. (Sec. 131) Requires inclusion of women and minorities as subjects in each clinical research project under such title IV. (Sec. 141) Establishes: (1) the Office of Research on Women's Health; (2) the Coordinating Committee on Research on Women's Health; and (3) the Advisory Committee on Research on Women's Health. Mandates: (1) study of the representation of women among senior physicians and scientists of the national research institutes (NRIs) and among those conducting supported research; and (2) activities to increase that representation. Establishes a data system containing information on research on women's health. (Sec. 151) Establishes the Office of Scientific Integrity. Requires grant, contract, or cooperative agreement applicants to have a scientific misconduct report review process. Establishes the Commission on Scientific Integrity. Provides for employee whistle blower protection. Mandates measures against financial conflicts of interest. Title II: National Institutes of Health in General - (Sec. 201) Modifies the duties of the National Institute of Health's (NIH's) Associate Director for Prevention. (Sec. 202) Establishes a program to enhance competitiveness in States receiving little funding from the NRIs. (Sec. 203) Mandates activities, consistent with the global Children's Vaccine Initiative, to develop vaccines. Authorizes appropriations. (Sec. 204) Requires a plan regarding the use of animals in research. Establishes the Interagency Coordinating Committee on the Use of Animals in Research. Repeals similar provisions. (Sec. 205) Authorizes activities to increase the number of women and individuals from disadvantaged backgrounds in biomedical and behavioral research. (Sec. 206) Regulates surveys of human sexual behavior conducted or supported through NIH. (Sec. 207) Establishes a fund for use by the NIH Director to carry out NIH activities. Authorizes appropriations. (Sec. 208) Modifies NRI advisory council terms of office. Requires that at least half of NIH health education materials not exceed functional literacy. Authorizes a day care service for NIH employees. Title III: General Provisions Respecting National Research Institutes - (Sec. 301) Requires that the Secretary of Health and Human Services receive directly all funds appropriated for the Institute. Removes provisions authorizing the National Cancer Institute to directly receive such funds. Modifies requirements regarding the establishment of technical and scientific peer review groups. (Sec. 302) Requires expansion of research on osteoporosis, Paget's disease, and related bone disorders. Establishes a clearinghouse. Authorizes appropriations. (Sec. 303) Establishes a program of trauma research and the Trauma Research Interagency Coordinating Committee. Title IV: National Cancer Institute - (Sec. 401) Requires expanding National Cancer Institute (NCI) activities on breast and ovarian cancer, other cancers of the reproductive system of women, and prostate cancer. Authorizes appropriations. Removes authorizations of appropriations for NCI and the National Heart, Lung, and Blood Institute (NHLBI). Title V: National Heart, Lung, and Blood Institute - (Sec. 501) Requires NHLBI to conduct intramural training and education. Authorizes centers on cardiovascular diseases in children. Establishes the National Center on Sleep Disorders. Authorizes appropriations for NHLBI. Title VI: National Institute on Diabetes and Digestive and Kidney Diseases - (Sec. 601) Establishes a program on nutritional disorders. Provides for research and training centers. Title VII: National Institute on Arthritis and Musculoskeletal and Skin Diseases - (Sec. 701) Establishes a children's arthritis and musculoskeletal disease center. Renames the National Arthritis Advisory Board as the National Arthritis and Musculoskeletal and Skin Diseases Advisory Board and modifies its composition. Title VIII: National Institute on Aging - (Sec. 802) Mandates research into the aging processes of women. Authorizes appropriations for the National Institute on Aging. Title IX: National Institute of Allergy and Infectious Diseases - (Sec. 901) Includes tropical diseases in the purposes of the National Institute of Allergy and Infectious Diseases. Authorizes grants or contracts for centers for research on chronic fatigue syndrome. Establishes an extramural study section. Title X: National Institute of Child Health and Human Development - (Sec. 1001) Mandates grants or contracts for centers on contraception and infertility. Authorizes appropriations. (Sec. 1002) Establishes programs of: (1) agreements with health professionals to conduct research on contraception or infertility in return for educational loan repayment; and (2) obstetrics and gynecology intramural laboratory and clinical research. (Sec. 1021) Mandates child health research center support. (Sec. 1031) Mandates a longitudinal, large-scale study on the well-being of U.S. adolescents. Allocates funding. Title XI: National Eye Institute - (Sec. 1101) Authorizes grants for diabetic eye care clinical research centers. Title XII: National Institute of Neurological Disorders and Stroke - (Sec. 1201) Mandates research on multiple sclerosis. Title XIII: National Institute of Environmental Health Sciences - (Sec. 1301) Establishes the Applied Toxicological Research and Testing Program. Title XIV: National Library of Medicine - (Sec. 1401) Increases the limit on grants to medical libraries and related instrumentalities. Authorizes appropriations for the National Library of Medicine. Mandates grants for new educational technologies research. Establishes the National Information Center on Health Services Research and Health Care Technology. Title XV: Other Agencies of National Institutes of Health - (Sec. 1502) Authorizes grants to alter or construct research facilities. Establishes the Scientific and Technical Review Board on Biomedical and Behavioral Research Facilities. Authorizes appropriations. Reserves funds to construct or improve regional primate research centers. (Sec.1511) Redesignates the National Center for Nursing Research as the National Institute for Nursing Research. (Sec. 1521) Makes the National Center for Human Genome Research an NIH agency. Includes in Center purposes the mapping and sequencing of individual genes. Title XVI: Awards and Training - (Sec.1601) Provides for research recruitment and training for women and individuals from disadvantaged backgrounds. (Sec. 1611) Modifies existing and authorizes or mandates various new programs of scholarships and loan repayments for health professionals' education in exchange for specified service. (Sec. 1641) Authorizes appropriations related to National Research Service Awards. Requires a set-aside for provisions relating to residency programs in general dentistry. Title XVII: National Foundation for Biomedical Research - (Sec. 1701) Mandates the convening, by a specified date, of a meeting to appoint the Board of the National Foundation for Biomedical Research. Adds references to the Stevenson-Wydler Technology Innovation Act of 1980. Authorizes appropriations. Title XVIII: Research with Respect to Acquired Immune Deficiency Syndrome - (Sec. 1801) Modifies the duties of: (1) the AIDS Clinical Research Review Committee; and (2) the acquired immune deficiency syndrome (AIDS) clinical evaluation units at the National Cancer Institute and National Institute of Allergy and Infectious Diseases. Modifies international AIDS efforts support requirements. Authorizes appropriations. Requires that model protocols for clinical AIDS care include treatment and prevention for women. Authorizes appropriations. Requires the AIDS epidemiological data base to include information on the natural history of AIDS infection. Authorizes appropriations. Mandates a comprehensive plan for NIH AIDS research. Authorizes appropriations for fellowship and training programs relating to AIDS. Title XIX: Studies - (Sec. 1901) Mandates studies regarding AIDS on: (1) parallel-track drug-release mechanisms; (2) third-party payment incident to participation as subjects in clinical trials; and (3) coordination of AIDS advisory committees. Requires a plan for the inclusion in NIH human immunodeficiency virus (HIV) vaccine studies of women, infants, and children infected with HIV. Authorizes appropriations. (Sec. 1902) Requires studies on malnutrition and the elderly. Establishes an advisory panel. (Sec. 1903) Mandates reports or studies on NIH: (1) research on chronic fatigue syndrome; (2) assuming responsibility for all Federal research relating to medical countermeasures against biowarfare; (3) support staff retention, recruitment, vacancy, and turnover rates; and (4) procurement. Title XX: Miscellaneous Provisions - (Sec. 2001) Redesignates the Senior Biomedical Research Service as the Silvio O. Conte Senior Biomedical Research Service and increases the limit on the number of its members. (Sec. 2004) Mandates a master plan to replace or refurbish NIH infrastructure. (Sec. 2006) Authorizes appropriations (currently, authorizes the use of funds) to carry out cancer registries provisions. Title XXI: Effective Date - (Sec. 2101) Sets forth the effective date of this Act and its amendments.
United States · United States Congress · 5 January 1993
Medicaid Women's Basic Health Coverage Act of 1993 - Amends title XIX (Medicaid) of the Social Security Act to provide Medicaid coverage of: (1) screening mammographies for women age 35 and older conducted in accordance with the frequency guidelines established by the Omnibus Budget Reconciliation Act of 1990 for coverage of screening mammographies under the Medicare program (title XVIII of the Social Security Act); and (2) screening pap smears.
United States · United States Congress · 5 January 1993
TABLE OF CONTENTS: Title I: General Requirements for Leave Title II: Leave for Civil Service Employees Title III: Commission on Leave Title IV: Miscellaneous Provisions Title V: Coverage of Congressional Employees Family and Medical Leave Act of 1993 - Title I: General Requirements for Leave - Establishes certain requirements for family and medical leave for permanent employees. (Sec. 101) Makes employees eligible for such leave if they have been employed, by the employer from whom leave is sought, for at least: (1) 12 months; and (2) 1,250 hours of service during the previous 12-month period. (Excludes from such coverage: (1) employees at worksites at which the employer employs less than 50 persons, if the total number of employees of that employer within 75 miles of that worksite is less than 50; and (2) Federal officers and employees covered under title II of this Act.) (Sec. 102) Entitles employees to 12 workweeks of leave during any 12-month period because of: (1) the birth of their child; (2) the placement of a child for their adoption or foster care; (3) their care of a child, spouse, or parent who has a serious health condition; or (4) their own serious health condition which makes them unable to perform the functions of their position. Conditions such leave for the birth or placement of a child as follows: (1) the entitlement ends 12 months after the birth or placement; and (2) such leave may not be taken intermittently unless employee and employer agree otherwise. Allows intermittent leave for necessary medical treatment of an employee or family member. Allows the employer to require a temporary transfer to an equivalent alternative position that better accommodates such intermittent leave. Allows all leave under this title to: (1) be taken on a reduced leave schedule, upon agreement with the employer; and (2) consist of unpaid leave, except under specified conditions when substitution of certain types of paid leave may be elected or required. Does not require an employer to provide paid sick or medical leave in any situation in which the employer would not normally provide any such paid leave. Requires employees to: (1) give at least 30 days' notice of the need for leave to which they are entitled under this Act, when foreseeable; and (2) make a reasonable effort to schedule medical treatment or supervision so as not to disrupt unduly the employer's operations, subject to approval of the health care provider. Allows limitation of the dual aggregate leave entitlement to 12 weeks in any 12-month period, in the case of spouses employed by the same employer, if such leave is for the birth or placement of a child or for the care of a sick parent. (Sec. 103) Sets forth conditions of certification for leave entitlements under this Act. (Sec. 104) Requires restoration of the employee to his or her position or an equivalent position upon return from such leave. Allows an employer to deny such restoration to certain highly compensated employees, under specified conditions (the highest paid ten percent of the employer's employees within a 75-mile radius of a facility; the denial must be necessary to prevent substantial and grievous economic injury to the employer's operations). Requires maintenance of employee health benefits during such leave. (Sec. 105) Prohibits interference with or discrimination against employees exercising rights under this title. (Sec. 106) Sets forth the investigative authority of the Secretary of Labor under this title. (Sec. 107) Provides for enforcement of this Act. Provides for administrative and civil actions. Makes an employer who violates this title's prohibitions against interference or discrimination liable for damages in the amount of: (1) any wages, salary, employment benefits, or other compensation denied or lost; (2) (where such compensation has not been denied or lost) any actual monetary losses, such as the cost of providing care; (3) interest on such losses; and (4) liquidated damages under certain conditions. Makes such employers also liable for appropriate equitable relief, including, without limitation, employment, reinstatement, and promotion. Sets forth provisions for attorney's fees, limitation of actions, and injunctions. (Sec. 108) Sets forth special rules concerning employees of local educational agencies and of private elementary and secondary schools. (Sec. 109) Sets forth requirements for posting notice and for fines. (Sec. 110) Directs the Secretary of Labor to prescribe regulations to carry out this title. Title II: Leave for Civil Service Employees - (Sec. 201) Entitles eligible civil service employees to family and temporary medical leave for specified periods. Allows up to 12 administrative workweeks of leave without pay (or substituted paid leave) in any 12-month period for: (1) family leave (i.e., leave because of the birth or placement of a child or care of a sick spouse, child, or parent); or (2) temporary medical leave for a serious health condition that makes the employee unable to perform the functions of their position. Sets forth: (1) requirements for employees to give prior notice; (2) certification provisions; (3) protections for job position and health insurance benefits; and (4) prohibitions against coercion. Requires the Office of Personnel Management to prescribe regulations for this title which are consistent with the regulations prescribed by the Secretary of Labor under title I of this Act. Title III: Commission on Leave - (Sec. 301) Establishes the Commission on Leave. (Sec. 302) Requires the Commission to conduct a comprehensive study of: (1) existing and proposed leave policies; (2) the potential costs, benefits, and impact on productivity of such policies on employers; and (3) alternative and equivalent State enforcement of this Act with respect to employees of local educational agencies and private schools. Requires the Commission to report on such study to the Congress within two years after the Commission first meets. (Sec. 306) Terminates the Commission within 30 days after its report to the Congress. Title IV: Miscellaneous Provisions - (Sec. 401 and Sec. 402) Sets forth the effect of this Act on other laws and existing employment benefits. (Sec. 403) Provides that nothing in this Act shall be construed to discourage employers from adopting more generous leave policies. (Sec. 404) Directs the Secretary of Labor to prescribe regulations to carry out this title (except those provisions applicable to the Senate) within 60 days. Title V: Coverage of Congressional Employees - (Sec. 501) Applies the rights and protections established under specified provisions of title I of this Act to Senate employees. Makes specified provisions of the Government Employee Rights Act of 1991 applicable, with certain exceptions. Provides that allegations shall be considered by the Office of Senate Fair Employment Practices or another entity designated by the Senate. Requires such Office to ensure that Senate employees are informed of their rights under this Act. (Sec. 502) Applies the rights and protections under title I of this Act to employees of the House of Representatives, except for the exemption concerning highly compensated employees. Requires that the remedies and procedures under the Fair Employment Practices Resolution be applied in administering such coverage.
United States · United States Congress · 5 January 1993
Defense Nuclear Workers' Health Insurance Act of 1993 - Directs the Secretary of Energy to establish a health insurance program for certain former employees of Department of Energy defense nuclear facilities exposed to ionizing radiation for certain cancer health care expenses incurred above $25,000.
United States · United States Congress · 5 January 1993
Universal Student Nutrition Act of 1993 - Amends the National School Lunch Act to establish an optional universal school lunch and breakfast program. Requires that the Secretary of Agriculture's minimum nutritional requirements for the current school lunch and school breakfast programs be prescribed in accordance with the Dietary Guidelines for Americans developed by the Department of Agriculture. Amends the Child Nutrition Act of 1966 to require that grants to States for nutrition education and information be based on a rate of 50 cents for each child enrolled in schools or institutions in the State.
United States · United States Congress · 5 January 1993
Morris K. Udall Wilderness Act of 1993 - Designates specified lands in Alaska as the Arctic Coastal Plain Wilderness and a component of the National Wilderness Preservation System.
United States · United States Congress · 5 January 1993
Amends Federal law relating to veterans to provide that the remarriage of a veteran's spouse after age 55 shall not result in termination of dependency and indemnity compensation.
United States · United States Congress · 5 January 1993
Includes in the definition of a veteran (therefore eligible for all veterans' benefits) all persons considered to be Commonwealth Army veterans by reason of service with the armed forces during World War II in the Philippines.
United States · United States Congress · 5 January 1993
Employee Educational Assistance Act of 1993 - Amends the Internal Revenue Code to make permanent the income tax exclusion of amounts paid under employee educational assistance programs.
United States · United States Congress · 5 January 1993
Constitutional Amendment - Empowers the President to grant a reprieve or a pardon for an offense only to an individual who has been convicted of such offense.
United States · United States Congress · 5 January 1993
Constitutional Amendment - Declares that equality of rights under the law shall not be denied or abridged by the United States or any State on account of sex.
United States · United States Congress · 5 January 1993
Establishes in the House of Representatives the Select Committee on Children, Youth, and Families to conduct a continuing comprehensive study and review of the problems of children, youth, and families.
United States · United States Congress · 6 October 1992
Mammography Quality Standards Act of 1992 - Amends the Public Health Service Act to require certification (or provisional certification) in order for a facility to perform or interpret mammograms, inspect equipment, or provide for the processing of mammography film. Authorizes the Secretary of Health and Human Services to issue and renew certificates for a specified period of time. Provides for administrative appeals of certification denials. Allows the Secretary to approve a private nonprofit organization or State agency to be an accreditation body if it meets certain standards and provides certain assurances. Mandates standards to assure the safety and accuracy of mammograms, including regarding: (1) quality assurance and control programs; (2)radiation dose; (3) equipment used; (4) licensing, certification, and training of personnel; and (5) recordkeeping and retention. Directs the Secretary to conduct annual inspections of certified facilities during regular hours of operation. Requires notice of certain inspections. Provides for waiver of certain inspection requirements. Provides for: (1) directed plans of correction, on site monitoring costs payment, and civil money penalties; (2) suspension and revocation certificates; and (3) injunctions. Requires annual publication of a list of facilities convicted of fraud and abuse, false billings, or kickbacks, facilities that have had certificates revoked or suspended, and facilities that have been the subject of a sanction or other similar matters. Establishes the National Mammography Quality Assurance Advisory Committee. Mandates grants to establish surveillance systems to evaluate breast cancer screening programs. Authorizes grants for research on such systems. Empowers the Secretary to authorize a State to carry out certain certification program requirements and standards. Mandates fees to cover the costs of inspections. Authorizes appropriations to carry out this Act. Mandates a study of the certification program.
United States · United States Congress · 5 October 1992
Antiprogestin Testing Act of 1992 - Directs the Secretary of Health and Human Services to conduct and support research, including clinical trials, on antiprogestin drug safety and efficacy for any potential use, including termination of pregnancy, contraception, and therapeutic use for cancer, endocrine disorders, and endometriosis. Makes the research subject to provisions relating to institutional review boards and peer review.
United States · United States Congress · 5 October 1992
Establishes the position of Director of Criminal Investigations to be appointed by the Secretary of Defense from among civilians who have significant experience in criminal investigations. Requires the Director to report directly to the Secretary. Requires the Director to obtain, compile, store, monitor, and report information on each allegation of sexual misconduct of a member of the armed forces (or a dependent) against another member of the armed forces or a dependent of such member. Requires such Director to: (1) make such information available to the Secretary, the Secretaries of the military departments, the Congress, and any law enforcement agency or court concerned; (2) investigate each allegation made directly, or referred, to the Director; and (3) monitor the conduct of such investigations by units, offices, agencies, and other organizations within the Department of Defense (DOD) regarding allegations of sexual misconduct. Authorizes the Director to inspect and report to the Secretary on any other investigation being conducted within DOD. Authorizes the Director to refer for prosecution any case of sexual misconduct. Requires the Director to report each such referral to the Secretary. Requires each member of the armed forces and employee of DOD who receives an allegation of sexual misconduct to notify the Director. Directs the Secretary to report to the Congress annually on the number and disposition of cases of sexual misconduct by members of the armed forces and employees of DOD. Amends the Federal criminal code to provide criminal penalties for each member of the armed forces or DOD employee who fails to undertake an investigation (if so required) or who receives an allegation of sexual misconduct and fails to notify the Director. Provides lesser penalties for the failure of such members or employees to act on an allegation of civil sexual misconduct. Directs the Secretary to require that the commitment of an employee of DOD or a member of the armed forces to the elimination of sexual harassment in their place of work or duty and at other DOD installations and facilities be one of the factors considered in the preparation of performance evaluations and the determination of the appropriateness of promotions or selection for the receipt of financial performance awards. Requires the Secretary to report annually to the Congress on the implementation of such regulations. Prohibits the Secretary and the Secretary of the military department concerned from approving for a financial award or promotion any DOD employee or member of an armed force who: (1) has been convicted of a criminal offense involving sexual misconduct; or (2) has received any other disciplinary or adverse personnel action on the basis of having engaged in sexual misconduct. Directs the Secretary to prescribe regulations that prohibit officers and employees of DOD from retaliating or taking an adverse personnel action against any other officer or employee for reporting sexual misconduct by an officer or employee of DOD or member of the armed forces or for providing information in an investigation or other action relating to an allegation of sexual misconduct. Requires the Secretary of each military department to prescribe similar regulations prohibiting such retaliatory measures by members under their respective armed force. Makes violations of such regulations punishable under applicable provisions of the Uniform Code of Military Justice.
United States · United States Congress · 2 October 1992
School-Based Childhood Immunizations Program Amendments Act - Amends the Public Health Service Act to authorize grants for immunizations for children. Authorizes the grants only to local educational agencies with elementary schools in communities with substantial cases of vaccine-preventable diseases and substantial numbers of unimmunized children. Mandates community education. Specifies permissible uses of grant funds, including recruiting and retaining a school nurse. Authorizes appropriations.
United States · United States Congress · 17 September 1992
Family Investment Act of 1992 - Title I: Family and Medical Leave - Subtitle A: Short Title; Findings and Purposes - Family and Medical Leave Act of 1992 - Sets forth the short title of this title I, along with findings and purposes. Subtitle B: General Requirements for Leave - Establishes certain requirements for family and medical leave for permanent employees. Makes employees eligible for such leave if they have been employed, by the employer from whom leave is sought, for at least: (1) a total of 12 months; and (2) 1,250 hours of service during the previous 12-month period. (Excludes from such coverage: (1) employees at worksites at which the employer employs less than 50 persons, if the total number of employees of that employer within 75 miles of that worksite is less than 50; and (2) Federal officers and employees covered under subtitle C of this title.) Entitles employees to 12 workweeks of leave during any 12-month period because of: (1) the birth and care of their child; (2) the placement of a child for their adoption or foster care; (3) their care of a child, spouse, or parent who has a serious health condition; or (4) their own serious health condition which makes them unable to perform the functions of their position. Conditions such leave for the birth or placement of a child as follows: (1) the entitlement ends 12 months after the birth or placement; (2) such leave may not be taken intermittently unless employee and employer agree otherwise. Allows intermittent leave for necessary medical treatment of an employee or family member. Allows the employer to require a temporary transfer to an equivalent alternative position that better accommodates such intermittent leave. Allows all leave to which an employee is entitled under this subtitle: (1) to be taken on a reduced leave schedule, upon agreement with the employer; and (2) to consist of unpaid leave, except under specified conditions when substitution of certain types of paid leave may be elected or required. Declares that nothing in this Act shall require an employer to provide paid sick or medical leave in any situation in which the employer would not normally provide any such paid leave. Requires employees to: (1) give at least 30 days' notice of the need for leave to which they are entitled under this Act, when foreseeable; and (2) make a reasonable effort to schedule medical treatment or supervision so as not to disrupt unduly the employer's operations, subject to approval of the health care provider. Allows limitation of the dual aggregate leave entitlement to 12 weeks in any 12-month period, in the case of spouses employed by the same employer, if such leave is for the birth or placement of a child or for the care of a sick parent. Sets forth conditions of certification for leave entitlements under this title, including provisions relating to: (1) sufficient certification; (2) explanation of inability to perform job functions; (3) dates and duration of planned medical treatment in the case of intermittent leave; (4) second opinion; (5) resolution of conflicting opinions; and (6) subsequent recertification. Sets forth employment and benefits protections relating to leave entitlements under this title. Requires restoration of the employee to his or her position or an equivalent position upon return from such leave. Allows an employer to deny such restoration to certain highly compensated employees (i.e. those among the highest paid ten percent of the employer's employees within 75 miles of the facility at which the employee works), under specified conditions, if necessary to prevent substantial and grievous economic injury to the employer's operations. Requires maintenance of employee health benefits during such leave. Allows the employer to recover premiums paid for such coverage if the employee fails to return to work after the leave period has expired for reasons other than a certified serious health condition or other circumstances beyond the employee's control. Prohibits employers or other persons from: (1) interfering with employee rights under this title; or (2) from discriminating against any individual because of participation in proceedings or inquiries under this subtitle, or because the individual opposes any practice made unlawful by this subtitle. Sets forth the investigative authority of the Secretary of Labor (the Secretary) under this subtitle. Provides for enforcement of this title. Provides for administrative action by the Secretary to resolve complaints of violations under this subtitle in the same manner as under specified provisions of the Fair Labor Standards Act of 1938. Provides for civil actions by employees, and by the Secretary on their behalf. Makes an employer who violates this subtitle's prohibitions against interfering with employee exercise of rights or discriminating against employees liable for damages in the amount of: (1) any wages, salary, employment benefits, or other compensation denied or lost to the employee by reason of the violation; (2) (in any case where such compensation has not been denied or lost) any actual monetary losses sustained by the employee as a direct result of the violation, such as the cost of providing care, up to the amount of 12 weeks' wages or salary; (3) interest on such losses; and (4) an additional amount of liquidated damages equal to the sum of such losses and the interest (except that the court may reduce or eliminate such additional liquidated damages in cases where the employer can show good faith and reasonable grounds for believing that the act or omission was not a violation). Makes such employers also liable for appropriate equitable relief, including, without limitation, employment, reinstatement, and promotion. Requires the court to allow attorney's fees and other costs of the action to be paid by the defendant in addition to any judgment awarded to the plaintiff. Sets forth provisions for limitations of such civil actions. Sets forth provisions for action for injunction by the Secretary. Sets forth special rules concerning employees of local educational agencies and of private elementary and secondary schools, including provisions relating to intermittent leave for instructional employees, periods near the completion of an academic term, and reduction of liability. Requires employers to post notice of the pertinent provisions of this subtitle. Requires fines for willful violations of such requirement. Directs the Secretary of Labor to prescribe regulations to carry out this subtitle. Subtitle C: Leave for Civil Service Employees - Amends specified Federal law to entitle civil service employees to family and temporary medical leave for specified periods. Makes such employees eligible for such leave if they have been employed by an employing agency for at least 12 months on other than a temporary or intermittent basis. Allows such employees up to 12 administrative workweeks in any 12-month period for: (1) family leave (i.e., leave because of the birth or placement of a child or care of a sick spouse, child, or parent), but such leave may not be used at a time more than 12 months after such birth or placement; or (2) temporary medical leave for a serious health condition that makes the employee unable to perform the functions of their position. Provides that such leave shall be without pay. Allows employees to substitute other types of paid leave for any part of such leave. Sets forth requirements for employees to give prior notice of the need for such leave, when foreseeable, and to schedule medical treatments, if possible, so as to not unduly disrupt the employing agency's operations. Sets forth certification provisions. Provides for protection for job position and health insurance benefits of employees using such leave. Sets forth prohibitions against coercion. Requires the Office of Personnel Management to prescribe regulations for administration of this title which are consistent with the regulations prescribed by the Secretary of Labor under subtitle B of this title. Subtitle D: Commission on Leave - Establishes the Commission on Leave. Requires the Commission to conduct a comprehensive study of: (1) existing and proposed policies relating to leave; (2) the potential costs, benefits, and impact on productivity of such policies on employers; and (3) alternative and equivalent State enforcement of this title with respect to employees of local educational agencies and private schools. Requires the Commission to report on such study to the Congress within two years after the Commission first meets. Terminates the Commission within 30 days after its report to the Congress. Subtitle E: Miscellaneous Provisions - Sets forth the effect of this title on other laws and existing employment benefits. Provides that nothing in this title shall be construed to discourage employers from adopting more generous leave policies. Directs the Secretary of Labor to prescribe regulations to carry out this subtitle within 60 days. Subtitle F: Coverage of Congressional Employees - Applies the rights and protections established under specified provisions of subtitle B of this title to Senate employees and any employing office of the Senate. Makes specified provisions of the Government Employee Rights Act of 1991 applicable, with certain exceptions including limitations on the period for requests for counseling. Provides that allegations shall be considered by the Office of Senate Fair Employment Practices or another entity designated by the Senate. Requires such Office to ensure that Senate employees are informed of their rights under this title. Applies the rights and protections under subtitle B of this title to employees of the House of Representatives, except for the exemption concerning highly compensated employees. Requires that the remedies and procedures under the Fair Employment Practices Resolution be applied in administering such coverage. Title II: Head Start, Child Immunization, and WIC Programs as Emergency Funding for Budget Purposes - Amends the Balanced Budget and Emergency Deficit Control Act of 1985 (Gramm-Rudman-Hollings Act) to treat as emergency funding requirements not subject to discretionary spending limits the costs of carrying out Head Start programs under the Head Start Act, child immunizations under the Public Health Service Act, and the special supplemental food program (WIC) under the Child Nutrition Act of 1966. Title III: Parents as Teachers - Parents as Teachers: the Family Involvement in Education Act of 1992 - Amends the Elementary and Secondary Education Act of 1965 to establish a Parents as Teachers program. Authorizes the Secretary of Education (the Secretary) to make grants to States for parents as teachers programs, with special consideration for hard-to-serve populations. Makes eligible for such a grant any State which operates a parents as teachers program associated with the Parents as Teachers National Center in Missouri. Sets forth program requirements, limiting services to families during the period from the last three months of a mother's pregnancy to the child's attaining age three. Directs the Secretary to: (1) establish a Parents as Teachers National Center for information dissemination and technical and training assistance for States with such programs; and (2) evaluate such programs within four years. Provides for a declining Federal share in such program from 100 percent in the first year to 25 percent in the fifth year. Authorizes appropriations. Title IV: Family Preservation - Subtitle A: References to Social Security Act - States that, except as otherwise expressly provided, all amendments in this title are to the Social Security Act. Subtitle B: Child Welfare Services - Amends part B (Child Welfare Services) of title IV of the Social Security Act (SSA) to create an entitlement program for specialized child welfare services designed to keep together or reunify families in crises due to substance abuse, and prevent the need for placement in foster care. Repeals provisions for incentive payments to States which maintain a foster care inventory, information system, and case review system; but requires States to provide such protections and other services designed to keep families together or reunify them, or to place children for adoption, with a legal guardian, or in some other planned, permanent living arrangement. Requires States to submit the following types of reports on child welfare services and expenditures: (1) pre-expenditure reports; (2) post-expenditure reports; and (3) comparative financial contributions reports. Requires the Secretary of Health and Human Services to transmit annually to specified congressional committees a summary of the information in such contributions reports. Reserves funds for entitlement grants to State court systems to assess and improve procedures in child welfare cases, in carrying out SSA title IV parts B and E (Foster Care and Adoption Assistance). Sets forth application requirements and formulas for determining the amount of such grants for FY 1994 through 1998. Directs the Secretary to submit interim and final reports to the Congress on the information obtained from assessments conducted with such grants and the impact of such grant program on State court procedures and functions. Requires each State to compile biennially a detailed directory of programs designed to keep families together or reunify them or place children permanenty, identifying which of such programs provides specialized child welfare services to families in crisis due to substance abuse. Requires State part B plans to contain a description of the measures taken by the State to comply with the Indian Child Welfare Act. Subtitle C: Foster Care and Adoption Assistance - Amends SSA title IV to add a new part C, Comprehensive Service Projects to grant States the flexibility and resources to develop comprehensive and coordinated services designed to: (1) preserve and strengthen families with children at risk of placement outside their homes; (2) reunite children with their families expeditiously if an out-of-home placement is found to be necessary; and (3) place children in adoptive homes or other permanent arrangements in a timely fashion if reunification with their families is not appropriate. Permits any State to apply to the Secretary for permission to: (1) conduct a comprehensive service project in a selected area or areas; and (2) suspend certain child welfare services and foster care and adoption assistance requirements with respect to State activities in such area or areas during the project. Sets forth: (1) application requirements and administrative provisions for such projects; (2) requirements with which such a project must comply; (3) provisions for determining project grant amounts; and (4) requirements for notification to States of such amounts, and for grant payments in equal quarterly installments. Places restrictions on the manner in which a State may carry out such projects. Requires States to report annually on funds expended under such projects to the Secretary and the Advisory Commission on Children and Families. Provides for project termination. Permits foster care and adoption assistance payments to be made in certain cases involving abandoned children and children whose adoption has been set aside by a court. Makes technical changes in the foster care maintenance and adoption assistance programs with respect to the removal from home requirement. Gives States the option of providing for respite care for foster parents with children who have special needs. Expands the definition of children with special needs for purposes of the adoption assistance program. Requires each States to submit to the Secretary the factors and conditions it uses to identify children with special needs, for purpsoes of such program, and any modifications to such factors and conditions. Directs the Secretary to establish an Advisory Committee on Foster Care Placement to study and report to the Secretary and the Congress on reasonable efforts requirements under State part E plan provisions. Covers specified percentages of State costs in developing, installing, and operating statewide mechanized data collection and information retrieval systems which: (1) the Secretary determines are likely to enhance the administrations of programs under parts B and E; and (2) meet other specified requirements. Requires State part E plans to provide for: (1) a triennial review of the amounts paid as foster care maintenance payments and adoption assistance to assure their continuing appropriateness; and (2) a report to the Secretary on the results. Requires that the dispositional hearing to determine the final status of a foster child occur within 12 months of his or her original placement, rather than the current 18 months. Revises: (1) the definition of "case review system"; and (2) the time frame for judicial determinations on voluntary placements. Sets forth case plan requirements for placement of children in out-of-State foster care. Requires annual review of the status of children in out-of-State foster care placements with the child present, except under certain circumstances. Requires States to collect data on the numbers of children in out-of-State foster care placements. Requires a State, in order to receive payments for expenditures after FY 1994 for foster care maintenance payments with respect to children placed in foster care outside the State, to conduct and submit to the Secretary a study identifying the number and common characteristics of such children and the reason why they were not placed in foster care in the State. Permits States to allow foster children making the transition from foster care to independent living to accumulate assets for the purpose of establishing a household. Eliminates: (1) the ceilings on Federal foster care payments to States; and (2) the States' authority to transfer unused foster care funds to the Child Welfare Services program. Directs the Secretary to: (1) establish an advisory committee; and (2) after consultation with it, issue final regulations for training of staff of agencies responsible for administering foster care and adoption assistance programs and for training of foster and adoptive parents. Directs the Secretary to publish annually information, on a State-by-State basis, on expenditures for, and the operations of, the Child Welfare Services program, the Foster Care and Adoption Assistance program, and Comprehensive Service Projects. Amends SSA title IV to add a new part G, Child Welfare Review System, under which the Secretary is required to: (1) establish a new system for reviewing State child welfare program compliance with SSA requirements; and (2) take certain actions in cases of noncompliance, which include imposing financial penalties. Subtitle D: Social Services Block Grant - Amends SSA title XX (Block Grants to States for Social Services) to authorize increased appropriations under such grant program. Provides for the allocation of funds to Indian tribes and tribal organizations. Subtitle E: Research, Demonstration, and Evaluation Activities - Amends part A (General Provisions) of SSA title XI to require the Director of the Office of Technology Assessment (OTA) to establish an Advisory Commission on Children and Families. Requires the Commission to collect and assess specified types of information in order to identify cost-effective approaches to protect and enhance the physical, mental, emotional, and financial well-being of children and their families. Directs OTA to report annually to the Congress on the Commission and its assessment. Requires the Commission to conduct, directly or through contracts with independent research organizations, the following research and evaluation projects: (1) an evaluation of child welfare service programs, including intensive family preservation programs; (2) foster care evaluations; (3) longitudinal child welfare data bases, and studies of child welfare population dynamics; and (4) comprehensive service projects evaluations. Requires the Commission to study child separation guidelines. Directs the Secretary to contract with independent organizations to conduct the following research and evaluations: (1) a study to assess the prevalence and nature of risks to the safety of employees of child welfare systems; and (2) a three-year study to examine methodologies for measuring the workloads of providers of child welfare services and community mental health services. Directs the Secretary to authorize the following types of child welfare demonstration projects: (1) expeditious permanent placement of children; (2) child welfare worker training to deliver culturally sensitive and special needs services in U.S. areas that border on Mexico; (3) child welfare worker recruitment and retention strategies; and (4) joint training of child welfare workers and staff of mental health and juvenile justice agencies. Permits the Secretary to authorize foster care and adoption assistance demonstration projects to test the feasibility of eliminating certain SSA income and resources requirements, and allowing States to receive reimbursement for foster care and adoption assistance payments made with respect to children without regard to such income and resources. Directs the Secretary to provide technical assistance to States for: (1) implementing child welfare services, comprehensive service projects, and foster care and adoption assistance programs; (2) disseminating information on innovative child welfare agencies; (3) correcting problems identified through Federal audits and reviews and carrying out corrective action plans under foster care and adoption assistance programs; (4) implementing the foster care and adoption data collection system; and (5) addressing other matters identified by the Secretary. Subtitle F: Miscellaneous Human Resources Amendments - Amend SSA title IV part A (Aid to Families with Dependent Chidren) (AFDC) to: (1) give States the option to use retrospective budgeting without monthly reporting under the AFDC program; and (2) increase the stepparent income disregarded under the AFDC program. Amends the Family Support Act of 1988 to provide for an extension of the period for demonstration projects for evaluating model procedures for reviewing child support awards. Title V: Safe Children and Communities - Safe Children and Communities Act of 1992 - Authorizes the Secretary to make grants for projects to improve the safety of families with children in low-income, violent communities. Authorizes appropriations.
United States · United States Congress · 16 September 1992
Declares that it is U.S. policy to seek international agreements prohibiting the sale, transfer, or export, limiting the use, and terminating the production, possession, or deployment, of antipersonnel landmines. Expresses the sense of the Congress that the President should seek to negotiate an international agreement or a modification of the Convention on Prohibitions or Restrictions on the Use of Certain Conventional Weapons Which May Be Deemed to Be Excessively Injurious or To Have Indiscriminate Effects to prohibit the sale, transfer, or export of antipersonnel landmines. Prohibits, for a period of one year from this Act's enactment date: (1) sales, financing, transfers, and the issuance of licenses under the Arms Export Control with respect to antipersonnel landmines; and (2) assistance under the Foreign Assistance Act of 1961 with respect to the provision of such landmines.
United States · United States Congress · 15 September 1992
Mammography Quality Standards Act of 1992 - Amends the Public Health Service Act to require certification (or provisional certification) in order for a facility to perform or interpret mammograms, inspect equipment, or provide for the processing of mammography film. Authorizes the Secretary of Health and Human Services to issue and renew certificates for a specified period of time. Allows the Secretary to approve a private nonprofit organization or State agency to be an accreditation body if it meets certain standards. Mandates standards to assure the safety and accuracy of mammograms, including regarding: (1) quality assurance and control programs; (2) equipment used; (3) licensing, certification, and training of personnel; and (4) recordkeeping and retention. Directs the Secretary to conduct annual inspections of certified facilities. Requires, subject to waiver, 48 hours notice of inspections. Provides for: (1) directed plans of correction, on site monitoring costs payment, and civil money penalties; (2) suspension, revocation, and limitation of certificates; and (3) injunctions. Limits State inspection fees to the costs of conducting the inspections. Requires annual publication of a list of facilities convicted of fraud and abuse, false billings, or kickbacks, facilities that have had certificates revoked, suspended, or limited, and facilities that have been the subject of a sanction or other similar matters. Establishes the National Mammography Quality Assurance Advisory Committee. Mandates grants to establish surveillance systems to evaluate breast cancer screening programs. Authorizes appropriations to carry out this Act.
United States · United States Congress · 10 September 1992
United States Fish and Wildlife Service Law Enforcement Clarification and Enhancement Act -Amends the Fish and Wildlife Act of 1956 to establish the Division of Law Enforcement in the Office of the Director of the United States Fish and Wildlife Service.
United States · United States Congress · 12 August 1992
Defense Nuclear Workers' Health Insurance Act of 1992 - Mandates payment to certain former Department of Energy employees for health care services incurred (through insurance or out-of-pocket) above a specified dollar amount. Sets forth eligibility requirements, including that a former employee have had certain exposure to ionizing radiation or have worked in a facility in which radioactive materials were regularly stored, handled, or disposed of.
United States · United States Congress · 12 August 1992
Authorizes the President, on behalf of the Congress, to present a gold medal to John Birks "Dizzy" Gillespie in recognition of his accomplishments as a musician. Authorizes appropriations. Authorizes the Secretary of the Treasury to provide for the sale of bronze duplicates of the medal.
United States · United States Congress · 12 August 1992
Women Veterans Health Programs Act of 1992 - Title I: Sexual Trauma Services - Requires that a veteran who is diagnosed by a Department of Veterans Affairs (DVA) health professional designated by the Chief Medical Director (following an examination of the veteran by such professional) to be in need of counseling or treatment for sexual trauma resulting from events that occurred during the period of the veteran's service on active duty be furnished such care and services, even though such trauma has not been determined to be service-connected. Authorizes the Secretary of the DVA to enter into contracts with appropriate non-DVA facilities to furnish veterans with such care and services. Sets forth reporting requirements. Directs the Secretary to provide information and referrals concerning care and services related to sexual trauma that are available to veterans in the communities in which such veterans reside, including care and services available under programs of the DVA and from non-DVA agencies or organizations, by means of a telephone information system using a toll-free number. Requires the Secretary to ensure that such system: (1) is operated by DVA personnel who are trained in the provision of information and referrals to persons who have experienced sexual trauma; (2) is operated in a manner that protects the confidentiality of persons who place telephone calls to the system; (3) operates at all times; and (4) is visibly posted in DVA medical facilities and advertised through public service announcements, pamphlets, and other means. Directs the Secretary to commence a study of the needs of veterans for counseling, medical care, and other services for sexual trauma, including: (1) the extent to which women service members have experienced rape, sexual assault, sexual harassment, or other acts of sexual violence while on active military, naval, or air service; (2) the extent of any under-reporting of incidents of sexual violence among women members of the armed forces and the extent to which the rate of such under-reporting differs from the rate of under-reporting of such incidents among the general population of women in the United States; (3) the extent to which women members of the armed forces and women veterans who have experienced sexual trauma have used counseling, medical care, and other services furnished by the Department of Defense and the DVA in order to respond to such experiences; and (4) the same types of information with respect to men who are members of the armed forces and men who are veterans. Sets forth reporting requirements with respect to such study and the care and services furnished by DVA to veterans who have experienced sexual trauma. Directs the Secretary and the Secretary of Defense to jointly carry out a program to ensure that persons who are being separated from active military, naval, or air service are provided information on: (1) the counseling, medical care, and other services and assistance relating to sexual trauma that are available to veterans under programs carried out by the DVA; and (2) the requirements of eligibility for or entitlement to, and the procedures for applying for, such counseling, medical care, and other services and assistance. Requires the Secretaries to ensure that such information is provided in both a written and oral form through an in-person interview conducted by trained personnel with each person being separated. Requires the Secretary to submit to the Senate and House Committees on Veterans' Affairs a report relating to determinations of service connection for sexual trauma. Title II: Health Care for Women Veterans - Includes the term "well-women care services" within the definition of medical services for purposes of Federal veterans' provisions. Defines such term to mean health care services provided to women, including counseling and services relating to: (1) papanicolaou tests (pap smear); (2) breast examinations and mammography; (3) general reproductive health care and contraceptives; (4) the management of infertility and sexually transmitted diseases; (5) menopause; and (6) physical or psychological conditions arising out of acts of sexual violence. Authorizes contracts for hospital care and medical services with non-DVA facilities to furnish well-women care services for veterans on an ambulatory or outpatient basis, but only under contracts that expire not later than December 31, 1994. Directs the Secretary to: (1) submit to the Congress a report on the provision of health care services to women veterans; and (2) foster and encourage the initiation and expansion of research into matters relating to women's health. Requires the Comptroller General to carry out a study to determine: (1) the percentage of all admissions of women veterans to DVA facilities that are based on a diagnosis of psychotic illness; (2) the percentage of all admissions of men veterans to such facilities that are based on such diagnosis; and (3) an explanation of the difference, if any, in such percentages. Authorizes appropriations. Requires the Secretary, to the extent that the quantity and nature of information available to DVA personnel with respect to issues relating to health care for women veterans permit such personnel to carry out research relevant to the health care needs of women veterans, to take actions to ensure that medical research carried out by the Secretary gives consideration to issues relating to the health of the general population of adult women in the United States. Directs the Secretary to conduct an ongoing study to determine the needs of women veterans for health-care services. Sets forth reporting requirements. Authorizes appropriations. Requires the Secretary to submit to the Senate and House Committees on Veterans' Affairs a report on research relating to women veterans. Directs the Secretary to take appropriate actions to ensure that: (1) sufficient funding is provided to each DVA facility to permit the women veterans coordinator to carry out the functions of the coordinator at the facility; (2) sufficient clerical and communications support is provided to each such coordinator for that purpose; and (3) each such coordinator has direct access to the Director or Chief of Staff of the facility to which the coordinator is assigned. Directs the Secretary to appoint a full-time regional women veterans coordinator to serve in each regional office of the Veterans Health Administration. Sets forth responsibilities of such coordinators. Requires the Secretary to provide funds to be used for the members of the Advisory Committee on Women Veterans for: (1) travel in connection with a reasonable number of visits to DVA facilities to permit such members to carry out the responsibilities of the Advisory Committee; and (2) the conduct of meetings of the Advisory Committee.
United States · United States Congress · 12 August 1992
Persian Gulf War Health Registry Act - Requires the Secretary of Veterans Affairs (Secretary) to maintain a Persian Gulf War Health Registry for purposes of compiling information on Persian Gulf War veterans to assist in identifying possible disabilities which may result from service in the U.S. armed forces in southwest Asia during such war. Sets forth provisions regarding: (1) information to be included in the Registry, including a description of activities in which the veteran participated during the war that may have long-term health effects, locations in which the veteran served, and any investigation drugs administered to such veterans by the Department of Defense (DOD); and (2) steps that the Secretary may (and Secretary of Defense, upon request, shall) take, including a comprehensive mental and physical examination and follow-up consultation, to determine the current health status of such veterans. Directs the Secretary and Secretary of Defense to: (1) inform Gulf War veterans who are no longer members of the armed forces of the provisions of this Act and encourage such veterans to participate in the Registry; and (2) annually furnish to such veterans updated information on health risks of service in southwest Asia during the war. Requires DOD to reimburse the Department of Veterans Affairs each fiscal year, from funds appropriated for health care, for the cost of administering the Registry for Gulf War veterans who are members of the armed forces. Specifies that: (1) nothing in this Act shall be construed as authorizing the Secretary to provide Gulf War veterans in the Registry with hospital care, nursing home care, or outpatient medical services for the treatment of diseases or disabilities identified in an examination authorized pursuant to this Act; and (2) application for an examination shall not be construed as an application for any other benefit. Directs the Secretary to conduct a longitudinal study, over a 50-year period, to assess the short- and long-term health consequences of service in southwest Asia during the Gulf War, including an ongoing examination of the health consequences of petrochemical exposure, investigation drugs administered during the Gulf War, the fumes of burning trash, and diseases indigenous to the Middle East. Requires the Secretary and Secretary of Defense to submit to the Congress a joint annual report on the Registry. Directs the Secretary to: (1) establish the Registry (and have access to the registry established by the Secretary of Defense); and (2) submit to the Congress a research protocol for the 50-year study.
United States · United States Congress · 12 August 1992
Expresses the sense of the Congress that the Secretaries of the military departments should: (1) collect data on the number and disposition of sexual harassment and assault cases involving members of the armed forces; (2) ensure that crisis intervention and long-term counseling are available to the victims; (3) develop ongoing programs to educate members of the armed forces regarding the unacceptability and illegality of sexual harassment and assault and the sanctions imposed on violators; (4) implement an educational program for all members dealing with the prevention and risk reduction of sexual harassment and assault; (5) publicize their commitment against sexual harassment and assault by posting appropriate signs with phone numbers for victims to report incidents and obtain assistance; (6) reevaluate their existing methods of investigating and processing sexual harassment and assault complaints and consider alternative methods to provide effective enforcement; (7) reevaluate their existing sanctions to determine whether the sanctions serve as an effective deterrent; (8) determine whether adequate protections exist to ensure that members who report sexual harassment or assault do not experience retaliation and, if not, develop effective protections; and (9) protect members who report sexual harassment or assault against retaliation once a complaint is made and ensure that a subsequent investigation into the complainant's sexual orientation is not performed.
United States · United States Congress · 11 August 1992
Preventing Our Kids from Inhaling Deadly Smoke (PRO-KIDS) Act of 1992 - Prohibits, notwithstanding any other provision of law, any Federal funds or financial assistance from being provided to or used by any person for services for children under five without an enforced policy prohibiting smoking in each portion of an indoor facility used for the services, with exceptions only for portions in which the services are not normally provided to children and that are ventilated separately. Allows waivers in certain circumstances.
United States · United States Congress · 5 August 1992
Expresses the sense of the Congress that effective follow-up to achieve the goals of the agreements reached at the United Nations Conference on Environment and Development (UNCED) will depend on the following actions by the President and the U.S. Government: (1) adoption of a national strategy for environmentally sustainable development, based on an extensive process of nationwide consultations with all interested organizations and individuals; (2) the Government encouraging and facilitating means for adopting individual Agenda 21 plans of action, including the establishment of local, county, State, business, and other boards and commissions for achieving sustainable development; (3) the President establishing an effective mechanism to plan, initiate, and coordinate U.S. policy for implementing Agenda 21; and (4) policies being formulated for foreign policy and assistance to help developing countries, and for domestic actions to assure appropriate action to implement Agenda 21. Supports: (1) pursuing the research and policy initiatives urged in Agenda 21, including research on sustainable consumption and production patterns, creation of a policy framework for sustainable consumption patterns, identification of a strategy to eliminate or reduce subsidies for unsustainable natural resource exploitation, and improving pricing policies; (2) the Congress adopting a plan to reallocate an appropriate amount of savings from reduced defense spending to achieve its goals of global environmental protection and sustainable development over the next decade; and (3) the effective establishment of a high-level United Nations (UN) Commission on Sustainable Development. Urges the United States to call for periodic international meetings to continue the process toward developing and advancing international agreement to facilitate sustainable economic development. Calls on the President to: (1) urge and actively participate in multilateral efforts aimed at creating a more favorable international economic climate for developing countries to practice sustainable development; (2) affirm strong U.S. commitment to the Commission by appointing a high-level representative to the Commission and by encouraging the UN Secretary General to appoint an Under Secretary General for Sustainable Development; (3) submit and encourage all UN members to submit a national report to the Commission on activities the United States has undertaken to implement Agenda 21 both domestically and internationally, on progress made toward fulfilling other commitments undertaken at UNCED, and on other relevant environmental and developmental issues; and (4) submit an annual report to the Congress on the steps taken by the United States to implement Agenda 21 and the recommendations made by this Act and make information regarding such steps available to Members of the Congress upon request.
United States · United States Congress · 23 July 1992
Amends the Emergency Unemployment Compensation Act of 1991 (Public Law 102-164) to increase the number of weeks for which emergency unemployment compensation is payable. Amends the Internal Revenue Code to reduce a tax deduction for certain expenses for meals and entertainment.
United States · United States Congress · 23 July 1992
Balanced Budget Enforcement Act of 1992 - Title I: Balancing the Budget - Part A: Purposes - Repeals provisions of the Balanced Budget and Emergency Deficit Control Act of 1985 (Gramm-Rudman-Hollings Act) with respect to: (1) emergency powers to eliminate deficits in excess of the maximum deficit amount; (2) budgetary treatment of social security trust funds; and (3) miscellaneous and related provisions. Declares the purpose of this Act to balance the budget by FY 1998 and each year thereafter. Part B: The Deficit Elimination Act of 1992 - The Deficit Elimination Act of 1992 - Establishes deficit reduction targets for direct spending and receipts legislation for FY 1993 through 1998. Establishes discretionary funding limits in terms of new budget authority for FY 1994 through 1998. Requires, whenever appropriate, that adjustments to such limits be made to reflect: (1) changes in budget accounting concepts; (2) changes in inflation for each year and outyear (any of the four fiscal years that follow the budget year); (3) renewal/replacement multiyear subsidized housing contracts; (4) emergency requirements; (5) new limits for 1998 and thereafter; and (6) any law that raises excise taxes dedicated to a transportation trust fund. Provides that if at the start of the 1998 budget-year session the baseline assuming deficit reduction projects a deficit (or surplus) for that year, then the direct spending and receipts deficit reduction requirement for that year and the discretionary funding limit for that year shall each be changed by amounts that, when debt service effects are added, will produce a balanced budget. Requires these changes to be made through enactment of a spin-off law or, if a spin-off law is not enacted, an adjustment to the direct spending and receipts deficit reduction requirement by two-thirds of the required change (excluding debt service effects) and a one-third adjustment of the required change (excluding debt service effects) to the discretionary funding limit. Provides for preventing deficits starting with FY 1999. Provides for the enactment of a spin-off law through congressional budget procedures or other means to balance the budget in 1998 or prevent deficits after 1998. Establishes a scorecard for the recording of the estimated increase or decrease in deficit reduction for the current year, the budget year, and each fiscal year through 1998 due to enactment (after August 15, 1992) of any law, or the imposition of any sequestration, or the change in the baseline which relates to certain expiring provisions of law and to veterans' compensation, affecting the level of direct spending or the level of receipts. Requires the creation of a new scorecard for FY 1999 and thereafter for the estimated increase or decrease in the deficit or surplus for the budget year. Sets forth deficit reduction requirements for the scorecard. Provides for scoring any law that affects current-year direct spending or receipts. Divides the scorecard between changes in outlays for direct spending and changes in receipts. Excludes certain emergency legislation from the scorecard. Includes certain receipts resulting from an increase in an excise tax dedicated to a transportation fund. Establishes a scorecard for each fiscal year starting with 1994 for discretionary appropriations amounts due to: (1) the enactment of any law in the budget-year session; (2) the enactent of any law in any previous session of Congress; or (3) the imposition of any across-the-board reduction of discretionary programs. Sets forth the method of enforcing deficit reduction targets in direct spending programs through a targeted sequestration procedure. Requires enactment of a spin-off law to initiate such procedure. Establishes a comprehensive sequestration procedure if such spin-off bill is not enacted. Requires under such procedure a freeze of entitlement spending and some revenue provisions in the amount needed to meet deficit targets. Sets forth the method of sequestering discretionary programs through uniform across-the-board reductions, unless the excess of new budget authority is less than $250 million. Lists the budget accounts or activities exempted from sequestration. Authorizes the President to exempt some or all of the budgetary resources of any military personnel account from sequestration, pending notification of the Congress. Subjects Federal administrative expenses to sequestration orders, with specified exceptions. Provides for the permanent sequestration of direct spending and receipts and for determining applicable uniform percentages for reductions. Sets forth the method of making reductions for: (1) the non-JOBS and JOBS portion of the Aid to Families with Dependent Children Program (AFDC) under the Social Security Act; (2) the child support enforcement program; (3) the Commodity Credit Corporation; (4) the conservation reserve program; (5) extended unemployment compensation; (6) the Federal Employees Health Benefits Fund; (7) the Federal Housing Finance Board; (8) Federal pay; (9) the guaranteed student loan program; (10) Federal insurance program; (11) the Medicaid program; (12) the Medicare program; (13) the Postal Service Fund; (14) the Department of Energy power marketing administration funds or the Tennessee Valley Authority fund; (15) the uranium enrichment program; and (16) veterans' housing loans. Amends the Internal Revenue Code to establish the method of sequestration through tax changes. Requires an increase in the top marginal rates and modifies the indexing provision under a sequestration order. Imposes a tax surcharge on individuals and corporations. Sets forth the timetable for estimating assumptions and filing reports and orders by the President, the Office of Management and Budget (OMB), the Congressional Budget Office (CBO) and the Board of Estimates (established by this Act). Requires the making of sequestration reports, sequestration preview reports, and low-growth reports by CBO and OMB. Establishes the administrative procedures relative to such reports. Sets forth assumptions to be used in calculating the baseline for the budget year and each outyear with respect to direct spending and receipts and discretionary programs. Declares that a baseline assuming deficit reduction refers to a projection of current policy baseline surpluses or deficits into the budget year and the outlays that is adjusted in aggregate by: (1) assuming compliance with basic deficit reduction targets; (2) assuming compliance with the discretionary funding limits; and (3) excluding amounts resulting from legislation designated as an emergency requirement. Establishes as a deposit fund in the Treasury a Stabilization Reserve Fund to accumulate balances during years of comparative prosperity, which may later be used to cover the loss of receipts and the increase in outlays that occur during comparative economic distress. Requires annual surpluses to be paid into the Fund. Requires starting with FY 1999 that an additional $10 billion be paid to the Fund. Requires in each year starting with 2000 that an additional $20 billion be paid to such Fund. Prohibits Fund balances from receiving interest. Requires the enactment of a law to transfer balances to the General Fund of the Treasury. Establishes congressional procedures in the event of a low-growth report or a declaration of war. Establishes a Board of Estimates to choose the applicable sequestration report from OMB or CBO to submit to the President. Provides judicial review procedures for provisions of this title. Title II: Technical and Conforming Amendments - Makes technical and conforming amendments to the Congressional Budget and Impoundment Control Act of 1974, the Federal Credit Reform Act of 1990, the Rules of the House of Representatives, the Standing Rules of Senate, and specified other laws. Establishes the public debt limit.
United States · United States Congress · 23 July 1992
Downed Animal Protection Act of 1992 - Amends the Packers and Stockyards Act, 1921 to make it unlawful for any stockyard owner, market agency, or dealer to market, transfer, or hold nonambulatory livestock that has not been humanely euthanized.
United States · United States Congress · 21 July 1992
Expresses the sense of the Congress that the Secretary of the Treasury should release to Leona Benten the dosage of the drug RU-486 that was seized from her on July 1, 1992, for her personal use under the supervision of a physician of her choice.