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United States · Official source
2,400 records where Rep. Watt, Melvin L. [D-NC-12] is listed as a sponsor, author, or other actor. Search with topics and years
United States · United States Congress · 10 November 1995
Extends the law making further continuing appropriations for FY 1996.
United States · United States Congress · 26 October 1995
Voters' Choice Act - Permits a State that uses a system of limited voting, cumulative voting, or preference voting to establish multi-member congressional districts.
United States · United States Congress · 25 October 1995
Expresses the sense of the Congress that the current alternative minimum tax on profitable individuals and corporations with substantial economic income should be retained.
United States · United States Congress · 24 October 1995
Expresses the sense of the House of Representatives that: (1) the Los Angeles County District Attorney (DA) should file perjury charges against ex-Los Angeles Police Detective Mark Fuhrman; (2) the DA, the Attorney General of California, and the Attorney General of the United States should file charges against Mr. Fuhrman for any other crime that tape recordings and other evidence sufficiently indicate he may have committed; and (3) the Los Angeles Police Department and Chief of Police should expedite any reforms proposed by the July 9, 1991, report of the Independent Commission on the Los Angeles Police Department (the Christopher Commission) endorsed by the Los Angeles voters in 1992.
United States · United States Congress · 29 September 1995
Amends the Internal Revenue Code to place the burden of proof on the taxpayer in the case of any administrative proceeding and on the Secretary in the case of any court proceeding. Requires a 30-day notice before lien. Prohibits the Secretary from collecting any tax (or other sum) by levy without judicial consent. Requires a 30-day notice before seizure. Increases the limit on the recovery of civil damages for certain unauthorized collection actions to $1 million and excludes such damages from gross income.
United States · United States Congress · 28 September 1995
TABLE OF CONTENTS: Title I: Medicare Security Commission Title II: Medicare Savings Subtitle A: Savings in Medicare Part A Subtitle B: Savings in Medicare Part B Subtitle C: Savings in Parts A and B Subtitle D: Transfers to Part A Trust Fund Medicare Security Act of 1995 - Title I: Medicare Security Commission - Establishes the Medicare Security Commission to make specific recommendations to the Congress regarding revisions to the Medicare program under title XVIII of the Social Security Act (SSA) and health care financing and coverage generally to assure the continuing viability of the program during 2010 and thereafter when demographic changes are expected to expand Medicare's enrollment significantly. Title II: Medicare Savings - Subtitle A: Savings in Medicare Part A - Amends SSA title XVIII (Medicare) to make various specified technical payment-related changes with regard to Medicare part A (Hospital Insurance) matters involving: (1) update reductions for inpatient hospital services subject to the prospective payment system; (2) payments for ancillary costs of skilled nursing facilities under the physician fee schedule; (3) savings resulting from a temporary freeze on payment increases for skilled nursing facility services; and (4) continued reductions in payments for capital-related costs of inpatient hospital services. Subtitle B: Savings in Medicare Part B - Eliminates under Medicare part B (Supplementary Medical Insurance) formula-driven overpayments for certain outpatient hospital services, radiology services, and diagnostic procedures. Adds another 25 percent for FY 1997 to the reduction in practice expense relative value units for certain services. (Sec. 214) Directs the Secretary of Health and Human Services to establish a competitive acquisition process for durable medical equipment and clinical diagnostic laboratory tests, with a specified mandatory reduction in payment amounts if such competitive acquisition fails to achieve a ten percent minimum reduction in payment amounts. Subtitle C: Savings in Parts A and B - Amends SSA title XVIII to extend through FY 2002 certain Medicare as secondary payer data match requirements. (Sec. 222) Prohibits the Secretary, in establishing reasonable cost limits for payments for home health services, from taking into account any changes in the costs of such services with respect to cost reporting periods which began on or after July 1, 1994, and before July 1, 1996 (thus continuing the temporary freeze on payment increases for such services). (Sec. 223) Reduces from 95 percent to 89 percent the Federal share of the adjusted average per capita cost (AAPCC) payment to Medicare health maintenance organizations. Subtitle D: Transfers to Part A Trust Fund - Requires the Secretary of the Treasury to transfer to the Federal Hospital Insurance Trust Fund, each fiscal year, amounts equivalent to the estimate of what would have been expended during the fiscal year, but for this title, from the Federal Supplementary Medical Insurance Trust Fund.
United States · United States Congress · 25 September 1995
Congressional Award Act Amendments of 1995 - Amends the Congressional Award Act to extend through 1997 the requirement that the Comptroller General determine that the Director of the Congressional Award Program has ensured that appropriate procedures for fiscal control and fund accounting are established for the financial operations of the Program and that such operations are administered by personnel with expertise in accounting and financial management. Extends the Congressional Award Board until October 1, 1998.
United States · United States Congress · 14 September 1995
Individual Training Account Act of 1995 - Amends the Internal Revenue Code to allow an individual a deduction for amounts paid yearly into an individual training account for the benefit of such individual. Describes such account as one to pay the expenses of job training and job-related relocation.
United States · United States Congress · 13 September 1995
Requires that any markup in the committees or subcommittees of the House of Representatives of any legislation changing existing law concerning Medicare or Medicaid pursuant to the reconciliation instructions of the concurrent resolution on the budget for FY 1996 be preceded by a minimum of four weeks for public disclosure of and public hearings on the legislative text of such changes. Prohibits such legislation from being considered in the House until such requirements have been met. Expresses the sense of the House that the Senate should adopt a similar schedule for public disclosure and hearings on the legislative text of any such changes.
United States · United States Congress · 12 September 1995
Declares that it is the sense of the House of Representatives that: (1) the realization of women's rights is vital to people of all nations; and (2) the Senate should give its advice and consent to the ratification of the Convention on the Elimination of All Forms of Discrimination Against Women.
United States · United States Congress · 4 August 1995
Waives the time limitations relating to the posthumous award of a Medal of Honor to Ruben Rivers for acts of heroism during World War II.
United States · United States Congress · 4 August 1995
National Community Health Advisor Act - Mandates financial assistance to each applying State (or an agency designated by a State) for the development and operation of community health advisor programs. Sets forth a formula for determining the amount of allotments. Authorizes appropriations.
United States · United States Congress · 4 August 1995
Medical Nutrition Therapy Act of 1995 - Amends title XVIII (Medicare) of the Social Security Act to provide for Medicare coverage of medical nutrition therapy services of registered dieticians and nutrition professionals.
United States · United States Congress · 4 August 1995
Expresses the sense of the Congress in affirmation of the National Voter Registration Act of 1993, commonly known as the Motor Voter Act.
United States · United States Congress · 11 July 1995
Access to Emergency Medical Services Act of 1995 - Requires a health plan that provides any emergency services coverage to cover emergency services furnished to a plan enrollee without regard to: (1) whether the provider has an arrangement with the plan; and (2) prior authorization. Mandates prompt payment in a reasonable and appropriate amount and prohibits cost-sharing greater for hospital emergency services than for other settings. Requires specified measures relating to the timeliness of prior authorization determinations regarding needed care identified in initial evaluations. Prohibits plans from discouraging appropriate use of the 911 emergency telephone number or from denying coverage or payment for an item or service solely on the basis that an enrollee uses the number. Amends titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act to require health maintenance organizations, competitive medical plans, and managed care plans to meet the requirements of this paragraph. Allows State laws that provide protections exceeding those of this Act. Provides for civil money penalties for violations.
United States · United States Congress · 11 July 1995
Amends Federal civil service law to include under the Federal Employees Health Benefits Program medical foods (as defined by the Orphan Drug Act) as a specific supplemental benefit item for which coverage may be provided.
United States · United States Congress · 30 June 1995
Calls on the Government of France to cease nuclear testing at the Moruroa and Fangataufa atolls.
United States · United States Congress · 29 June 1995
Coastal Zone Management Reauthorization Act of 1995 - Amends the Coastal Zone Management Act of 1972 to authorize annual grants to States to develop coastal zone management programs. Limits each State to four (currently, two) grants. Authorizes grants to States to implement program changes. Allows financial assistance under existing provisions for research and monitoring in a national estuarine reserve to be used for research outside such a reserve if the activities support research inside the reserve. Authorizes appropriations for: (1) such development grants; (2) administering State management programs; (3) resource management improvement grants; (4) coastal zone enhancement grants; (5) grants under the National Estuarine Research Reserve System; (6) technical assistance; and (7) expenses incidental to the administration of the Act.
United States · United States Congress · 27 June 1995
Calls on France to abide by the international moratorium on nuclear testing, refrain from conducting its announced testing, and prepare to close its underground nuclear testing sites at the Moruroa and Fangataufa atolls.
United States · United States Congress · 15 June 1995
Employment Non-Discrimination Act of 1995 - Prohibits employment discrimination on the basis of sexual orientation by covered entities, including an employing authority to which specified provisions of the Government Employee Rights Act of 1991 or the Congressional Accountability Act of 1995 apply. Declares that: (1) this Act does not apply to the provision of employee benefits for the benefit of an employee's partner; and (2) a disparate impact does not establish a prima facie violation of this Act. Prohibits quotas and preferential treatment. Declares that this Act does not apply to: (1) religious organizations (except in their for-profit activities); (2) the armed forces; or (3) laws creating special rights or preferences for veterans. Provides for enforcement. Disallows State immunity. Makes the United States liable for all remedies (except punitive damages) to the same extent as a private person. Allows recovery of attorney's fees. Prohibits retaliation and coercion. Requires posting notices for employees and applicants.
United States · United States Congress · 8 June 1995
Equitable Health Care for Neurobiological Disorders Act of 1995 - States that the standards for the nondiscriminatory and equitable treatment by employer health benefit plans of individuals with neurobiological disorders require that such plans provide for coverage of services essential to the effective treatment of such disorders in a specified manner. Sets forth the criteria under which an employer plan may meet such standards. Amends the Internal Revenue Code to impose a tax of up to 25 percent of the amounts received by the carrier or under the plan for coverage if a carrier or an employer health benefit plan fails to comply with the standards relating to the nondiscriminatory treatment of neurobiological disorders under this Act.
United States · United States Congress · 7 June 1995
Black Revolutionary War Patriots Commemorative Coin Act - Directs the Secretary of the Treasury to mint and issue one-dollar silver coins emblematic of the Black Revolutionary War Patriots Memorial in Washington, D.C. Directs that coin sale surcharges be paid to the Black Revolutionary War Patriots Foundation for raising an endowment to support construction of the Memorial.
United States · United States Congress · 7 June 1995
Community Ambulance Support Act of 1995 - Amends title XVIII (Medicare) of the Social Security Act to provide for coverage of paramedic intercept services under Medicare part B (Supplementary Medical Insurance).
United States · United States Congress · 7 June 1995
TABLE OF CONTENTS: Title I: Specific Coins Authorized Title II: General Provisions United States Commemorative Coins Act of 1995 - Title I: Specific Coins Authorized - Requires the Secretary of the Treasury to mint and issue ten-dollar gold coins to commemorate the bicentennial of United States gold coinage. (Sec. 102) Requires the Secretary to mint and issue five-dollar gold coins and one-dollar silver coins to commemorate the 50th anniversary of the founding of the United Nations and the role of President Harry S. Truman. Directs coin sale surcharge distribution to the Harry S. Truman Library Foundation and the U.N. Association. (Sec. 103) Requires the Secretary to mint and issue coins commemorating: (1) the sesquicentennial of the founding of the Smithsonian Institution; (2) the public opening of the Franklin Delano Roosevelt Memorial, Washington, D.C.; (3) the 125th anniversary of the establishment of the first U.S. National Park, Yellowstone National Park; and (4) the sacrifices of law enforcement officers and their families in preserving public safety, with surcharge proceeds paid to the National Law Enforcement Officers Memorial Fund, Inc. Title II: General Provisions - Mandates that the design for the coins be: (1) selected by the Secretary after consultation with recipient organizations and the Commission of Fine Arts; and (2) reviewed by the Citizens Commemorative Coin Advisory Committee.
United States · United States Congress · 23 May 1995
James Madison Commemorative Coin Act - Directs the Secretary of the Treasury to issue commemorative one-dollar silver coins emblematic of the 250th anniversary of the birth of James Madison and the life and achievements of the fourth President of the United States. Requires the Secretary to turn over proceeds from surcharges to the National Trust for Historic Preservation to be used to: (1) establish an endowment as a permanent source for Montpelier (home of James Madison and a museum); and (2) fund capital restoration projects at Montpelier.
United States · United States Congress · 18 May 1995
Waives certain time limitations with respect to the posthumous award of the Congressional Medal of Honor to Doris Miller for acts of heroism while serving in the Navy during World War II.
United States · United States Congress · 12 May 1995
TABLE OF CONTENTS: Title I: Cancellation and Suspension Title II: Minor Use Crop Protection Act of 1995 Title III: Data Collection Activities to Assure the Health of Infants and Children and Other Measures Title IV: Amendments to the Federal Food, Drug, and Cosmetic Act Food Quality Protection Act of 1995 - Title I: Cancellation and Suspension - Amends provisions of the Federal Insecticide, Fungicide, and Rodenticide Act (FIFRA) relating to cancellations, changes in classifications, or other terms of registration with respect to the authority of the Administrator of the Environmental Protection Agency. Requires that a rulemaking under such provisions be based on a validated test or other significant evidence raising prudent concerns of unreasonable adverse effects to man or to the environment. Denies registration applications that are not in compliance with this Act. Title II: Minor Use Crop Protection Act of 1995 - Minor Use Crop Protection Act of 1995 - Amends FIFRA to define "minor use" as the use of a pesticide on an animal or commercial agricultural crop or site or for public health protection where: (1) the total U.S. acreage for the crop is less than 300,000 acres; or (2) the Administrator determines that the use does not provide sufficient economic incentive to support the initial or continuing registration of a pesticide for such use and there are insufficient alternatives available for the use, the alternatives pose greater environmental or health risks, or the pesticide plays or will play a significant part in managing pest resistance or in an integrated pest management program. Extends the period of exclusive data use for data submitted to support original registration applications for pesticides for an additional year for each three minor uses registered after this Act's enactment and before the expiration of the period of exclusive use, up to a total of three additional years for all minor uses registered by the Administrator if the Administrator determines that: (1) there are insufficient alternatives available for the use or the alternatives pose greater environmental or health risks; or (2) the pesticide plays or will play a significant part in managing pest resistance or in an integrated pest management program. Requires the Administrator, upon the request of a registrant, to extend the deadline for the production of residue chemistry data required solely to support a minor use subject to specified conditions. Applies the same extension conditions to data for reregistrations. Authorizes the Administrator to modify or revoke such extensions if the use may cause unreasonable adverse environmental effects. Permits the Administrator, in handling the registration of a pesticide for a minor use, to waive applicable data requirements if the absence of data will not prevent the Administrator from determining the risk presented by the pesticide and that the risk would not have an adverse environmental effect. Provides for expedited review (within one year of submission) of applications to support minor use pesticide registrations. Sets forth conditions for extensions of registrations for unsupported minor uses. Provides a procedure for meeting data requirements where a registrant has voluntarily cancelled a registration and another application is pending for registration of a pesticide that is for a minor use and is identical or substantially similar to, or for an identical or substantially similar use as, the cancelled pesticide. Directs the Administrator to establish a minor use program. Directs the Secretary of Agriculture to establish a Department of Agriculture minor use program and a separate matching fund program. Requires the matching fund program to be utilized to ensure the continued availability of minor use crop protection chemicals. Authorizes appropriations. Title III: Data Collection Activities to Assure the Health of Infants and Children and Other Measures - Directs the Secretary of Agriculture, in consultation with the Administrator and the Secretary of Health and Human Services, to coordinate the development and implementation of survey procedures to ensure collection of adequate data on food consumption patterns of infants and children. Requires residue surveillance activities of the Department of Agriculture to provide for the improved surveillance of pesticide residues, including increased sampling of foods most likely consumed by infants and children. Directs the Secretary of Agriculture to: (1) collect pesticide use data of statewide or regional significance for all the major crops and crops of dietary significance; and (2) in cooperation with the Administrator, implement research, demonstration, and education programs to support adoption of integrated pest management. Requires Federal agencies to use and promote integrated pest management techniques. Title IV: Amendments to the Federal Food, Drug, and Cosmetic Act - Amends the Federal Food, Drug, and Cosmetic Act (FDCA) to redefine "pesticide chemical," subject to exception, as any substance that is a pesticide, or any active ingredient thereof, within the meaning of FIFRA. Defines "pesticide chemical residue," subject to exception, as a residue in or on a raw agricultural commodity or processed food of a pesticide chemical or any other added substance present as a result of a pesticide chemical's metabolism or other degradation. Deems a processed food not to be adulterated, within the meaning of FDCA, if there are present pesticide chemical residues at tolerance levels not considered unsafe. (Current law treats only raw agricultural commodities in this manner.) Sets forth requirements relating to tolerances and exemptions from tolerances for pesticide chemical residues in food, including residues of degradation products, which allow the presence in processed food at the tolerance applicable to the raw agricultural commodity from which the processed food is made. Prohibits establishment of a tolerance that is more stringent than a level the Administrator determines is adequate to protect the public health (i.e., if the dietary risk posed by such level of residues is negligible). Allows a greater than negligible dietary risk if: (1) use protects from greater adverse health effects to humans or the environment; (2) use avoids greater risks from another pesticide; or (3) the unavailability of the pesticide would reduce the availability of an adequate, wholesome, and economical domestic supply of the food. Prohibits issuance of a final rule that revokes, modifies, or suspends a tolerance or exemption until the Administrator has taken any necessary action under FIFRA with respect to the registration of the pesticide involved. Requires the Administrator, where a pesticide is labeled for use on a particular food, to: (1) revoke any tolerance or exemption that allows the presence of a particular chemical or its residue in or on such food if the Administrator cancels the registration of each pesticide that contains the chemical or modifies it to prohibit the pesticide's use in connection with such food; and (2) suspend any such tolerance or exemption upon the suspension of the use of each pesticide that contains the chemical. Provides for: (1) tolerances for unavoidable residues in the case of a residue of a canceled or suspended pesticide chemical that will unavoidably persist in the environment and be present in or on a food; and (2) residues resulting from an application which was lawful at the time of application but with respect to which the tolerance or exemption has since been revoked, suspended, or modified. Prohibits, subject to exception, a State from enforcing any limit on a qualifying pesticide chemical residue (as defined in this Act) in or on any food which is not identical to Federal requirements. Prohibits a State, absent an unreasonable dietary risk, from enforcing a limit on the level of residues in any food if the sale of such food containing such residue level was lawful at the time of application of the pesticide. Authorizes appropriations for increased monitoring of pesticide residues in imported and domestic food.
United States · United States Congress · 9 May 1995
Amends rule XI of the House of Representatives to allow proxy voting in House committee that, by written rule, permits voting by proxy and requires that the proxy authorization be in writing, assert that the Member is absent to participate in debate on any measure or matter in the House or to attend a meeting of a standing committee for the consideration of any measure, is limited to a specific measure or matter and any amendments or motions pertaining thereto, and is for a designated period not to exceed two hours.
United States · United States Congress · 3 May 1995
Open Markets and Fair Trade Act of 1995 - Directs the Secretary of Commerce to report annually to the Congress on selected countries in which U.S. goods or services, that would otherwise be competitive there, do not have market access. Requires the Secretary, in selecting such countries and sectors, to give priority to any country: (1) with which the United States has a trade deficit if access to such country's markets is likely to have significant potential to increase exports of U.S. goods and services; and (2) in which access to the markets will result in significant employment benefits for producers of U.S. goods and services. (Sec. 3) Authorizes the President to enter into agreements with such countries for the purpose of obtaining access to their markets. (Sec. 4) Requires the Secretary, in making certain assessments, to monitor each country's compliance with such an agreement, or with any existing trade agreement with the United States. (Sec. 5) Requires, in instances where the United States Trade Representative (USTR) determines that the above-mentioned negotiations have not resulted in an agreement, each restriction on, or impediment to, access to the country's markets be considered, under the Trade Act of 1974, an act, policy, or practice that is unreasonable and discriminatory and restricts U.S. commerce. Requires the USTR, in each case where the Secretary determines that a country is not in material compliance with an agreement for access to their markets to determine what trade relief action to take under a specified section of the Trade Act of 1974. (Sec. 6) Sets forth expedited procedures for implementation of legislation for presidential action against foreign countries that have unfair trade barriers, or that do not comply with the aforementioned agreements.
United States · United States Congress · 7 April 1995
Propane Education and Research Act of 1995 - Authorizes the qualified industry organizations (the National Propane Gas Association, the Gas Processors Association, or successor organizations, or a group of retail marketers or producers who collectively represent at least 25 percent of the volume of propane sold or produced in the United States) to conduct, at their own expense, a referendum among producers and retail marketers for the creation of a Propane Education and Research Council. Directs the Council, if established, to develop programs (including programs to enhance consumer and employee safety and training) and enter into contracts for: (1) propane research and development; (2) consumer education; and (3) payment for program costs with funds collected under this Act. Requires the Council to reimburse the Secretary of Energy annually for any costs incurred by the United States, but not to exceed the average annual salary of Department of Energy employees. Prescribes guidelines under which the Council shall set annual assessments on odorized propane to cover program costs. Directs the Council to establish a program to coordinate its operations with any State propane education and research council. Prohibits Council funds from being used for lobbying activities. Directs the Secretary of Commerce to annually prepare and make available to the Council, the Secretary of Energy (Secretary), and the public, an analysis of changes in propane prices relative to other energy resources. Requires the Council to restrict its activities to research and development, training, and safety whenever in any year the five-year average rolling price index of consumer grade propane exceeds by more than 10.1 percent the five-year rolling average price composite index of residential electricity, residential natural gas, and refiner price to end users of Number 2 fuel oil. Requires the price of propane to be determined by market forces in all cases. Prohibits the Council from taking action to pass the cost of the annual assessments to consumers. Requires the Secretary of Commerce to report biennially to the Congress and the Secretary on: (1) whether operation of the Council, in conjunction with the cumulative effects of market changes and Federal programs, has had an effect on propane consumers, including residential, agriculture, process, and nonfuel users; and (2) whether there have been long-term and short-term effects on propane prices as a result of Council activities and Federal programs.
United States · United States Congress · 7 April 1995
Fair Pay Act of 1995 - Amends the Fair Labor Standards Act of 1938 to prohibit discrimination in the payment of wages on account of sex, race, or national origin. Directs courts, in any action brought under this section for violation of such prohibition, to allow expert fees as part of the costs awarded to prevailing plaintiffs. Allows any such action to be maintained as a class action. Requires employers subject to such prohibition to preserve records which document and support the method, system, calculations, and other bases used by the employer in establishing, adjusting, and determining the wages paid to their employees, for periods of time prescribed by the Equal Employment Opportunity Commission (EEOC), and make reports to the EEOC. Directs the EEOC to: (1) undertake studies and provide information and technical assistance to employers, labor organizations, and the general public concerning effective means available to implement the provisions of this Act; (2) carry on a continuing program of research, education, and technical assistance with specified components related to the purposes of this Act; and (3) include a separate evaluation and appraisal regarding the implementation of this Act in its annual report to the Congress.
United States · United States Congress · 7 April 1995
TABLE OF CONTENTS: Title I: Designation of Wilderness Title II: Administrative Provisions America's Red Rock Wilderness Act of 1995 - Title I: Designation of Wilderness - Designates specified lands in the following areas of Utah as components of the National Wilderness Preservation System: (1) Great Basin wilderness areas; (2) Zion and Mojave Desert wilderness areas; (3) the Grand Staircase Wilderness and the Kaiparowits Plateau Wilderness; (4) Escalante Canyon wilderness areas; (5) the Henry Mountains Wilderness; (6) the Dirty Devil River Wilderness; (7) Cedar Mesa wilderness areas; (8) Canyonlands wilderness areas; (9) San Rafael Swell wilderness areas; and (10) Book Cliffs and Uinta Basin wilderness areas. Title II: Administrative Provisions - Reserves the Federal Government's rights to a quantity of water sufficient for each wilderness area designated by this Act.
United States · United States Congress · 7 April 1995
Public Safety Employer-Employee Relations Act of 1995 - Provides collective bargaining rights for public safety officers employed by States or local governments. (Sec. 4) Declares that fire fighters and law enforcement officers have the right to self-organize, to form, join, or assist labor organizations, to bargain collectively through representatives of their own choosing, and to engage in other concerted activities for the purpose of collective bargaining or other mutual aid or protection. Applies this Act to any State and its local governments if such entity does not have a law or ordinance that provides greater or equal protection for the rights of fire fighters and law enforcement officers as established under this Act. Grants employers or employee labor organizations the right to petition the Director of the Federal Mediation and Conciliation Service (FMCS) to determine whether a State or local government is in compliance. Provides that existing collective bargaining units and agreements shall not be invalidated by this Act. Provides for conciliation of labor disputes involving fire fighters and law enforcement officers. Requires the Director, when the FMCS certifies an impasse, to establish a Board of Inquiry to investigate the issues in the dispute and report its findings and recommendations. Provides for enforcement of this Act through the appropriate U.S. District Court. Provides that a State is not immune from an action in Federal or State court of competent jurisdiction for a violation of this Act. (Sec. 5) Prohibits public safety employers and employees from engaging in lockouts or strikes. (Sec. 6) Sets forth provisions for suits by and against labor organizations representing public safety officers. (Sec. 7) Authorizes appropriations.
United States · United States Congress · 29 March 1995
TABLE OF CONTENTS: Title I: General Provisions Regarding Rights of Employees and Enforcement Authority of the National Labor Relations Board Title II: General Provisions Regarding Rights of Employees and Enforcement Authority for the National Labor Relations Board Title III: General Provisions Regarding Pension Plans Workplace Democracy Act of 1995 - Applies the provisions of the National Labor Relations Act (NLRA) to U.S. companies and their subsidiaries operating in any country signatory to a Free Trade Agreement. Gives workers of such companies and subsidiaries the right to file unfair labor practice complaints against the U.S. parent company under this Act and under the laws of the signatory country. Title I: General Provisions Regarding Rights of Employees and Enforcement Authority of the National Labor Relations Board - Amends the NLRA to give a union the option of sending a contract dispute to compulsory and binding arbitration, if by 45 days after certification a collective bargaining agreement has not been reached. (Sec. 102) Repeals specified prohibitions against strikes, boycotts, and hot cargo agreements. (Sec. 103) Repeals specified provisions relating to determinations of bargaining units by the National Labor Relations Board (the Board), including conditions relating to professional and non-professional employees, craft units, and guards. (Sec. 104) Directs the Board to promulgate rules which plainly define the characteristics of employee units appropriate for collective bargaining groups, including employee groups who have a community of interests. Requires the Board, upon receipt of a majority of signed union recognition cards of employees in an appropriate bargaining unit (as determined by the workers within such Board guidelines), to certify the labor organizations designated as the exclusive representatives of all employees in such unit. (Sec. 105) Revises provisions relating to enforcement and the authority of the Board in the prevention of unfair labor practices, including provisions relating to taking of testimony and to Board findings and orders. Adds to remedies for unfair labor practices making employees whole for the loss of economic benefits resulting from specified violations, as well as providing other remedial relief. Requires the Board to: (1) use its injunctive power upon determining that an employer has willfully violated unfair labor practice prohibitions; and (2) assess minimum civil penalties against employers for each willful violation of the NLRA. Requires an employer, upon issuance of a complaint alleging an unfair labor practice, to reinstate a discharged employee pending adjudication and final review of such complaint. Allows any person who suffers financial injury by reason of a violation of a specified unfair labor practice prohibition to bring a civil action for treble damages. Makes a final judgment or decree of the Board to the effect that a defendant has committed such a violation prima facie evidence in any such action. (Sec. 106) Repeals provisions which allow a State or Territory to prohibit union security agreements (which require union membership as a condition of employment). Title II: General Provisions Regarding Rights of Employees and Enforcement Authority for the National Labor Relations Board - Sets forth provisions relating to the rights and obligations of public employees, and establishes procedures governing employer-employee relations in the special context of public employment. (Sec. 202) Creates the National Public Employment Relations Commission (the Commission). (Sec. 203) Sets forth the rights of public employees, including the rights to form, join, or assist employee organizations and to bargain collectively with employers. Sets forth the rights of public employee organizations. (Sec. 204) Sets forth provisions relating to: (1) public employee representatives and collective bargaining units; (2) impasses in collective bargaining over terms and conditions of employment and other related matters; (3) disputes over the interpretation or application of agreements; (4) public employees' and their unions' right to strike, and conditions under which a restraining order or temporary or permanent injunction may be granted in a case involving such a strike; (5) impasse procedures for firefighters and public safety officers; (6) a prohibition against strikes, work stoppages, slowdowns, or withholding of service by firefighters or public safety officers or their unions; (7) unlawful acts by employers or employee organizations and exclusive representatives of public employees; (8) Commission prevention of such unlawful acts; and (9) State authority to adopt rules that give public employees additional rights. Title III: General Provisions Regarding Pension Plans - Amends the Employee Retirement Income Security Act of 1974 (ERISA) to require joint trusteeship of single-employer pension plans, with equal representation of the interests of the employer or employers maintaining the plan and of the those of the participants and their beneficiaries. Directs the Secretary of Labor to prescribe regulations relating to such requirement.
United States · United States Congress · 28 March 1995
Disadvantaged Minority Health Improvement Authorization Extension Act of 1995 - Amends the Public Health Service Act to authorize appropriations for: (1) the Office of Minority Health in the Office of the Assistant Secretary for Health; (2) health statistical and epidemiological activities of the National Center for Health Statistics; (3) grants for surveys or studies, data analysis, and research regarding ethnic and racial populations; (4) grants to States for demonstration programs to increase the availability of primary health care in health professional shortage areas; (5) grants to provide public housing residents with primary health services and health counseling and education services; (6) Federal capital contributions to student loan funds for individuals from disadvantaged backgrounds; (7) grants to schools of medicine, osteopathic medicine, and dentistry for scholarships for students of exceptional financial need; (8) grants to health professions schools for scholarships; (9) educational loan repayments for those agreeing to serve as members of the faculties of specified types of health professions schools; (10) grants and contracts with health or educational entities to assist in increasing the number of underrepresented minority faculty members; (11) grants to health professions schools to support programs of excellence in health professions education for minority individuals; and (12) grants and contracts to assist individuals from disadvantaged backgrounds to undertake education to enter a health profession. Declares that provisions of the National Health Service Corps Loan Repayment Program, except as inconsistent, shall apply to provisions regarding educational loan repayments of health professionals who agree to conduct clinical research as employees of the National Institutes of Health. (Current law applies some but not all of the provisions that would be applied under the amendment made by this Act.)
United States · United States Congress · 28 March 1995
Calls for: (1) the United States to use its influence with the Turkish Government and as a permanent member of the United Nations Security Council to suggest that the Turkish Government ensure the proper protection for the Patriarchate and all Orthodox faithful residing in Turkey, assure that positive steps are taken to reopen the Halki Patriarchal School of Theology, provide for the proper protection and safety of the Ecumenical Patriarch and the Patriarchate personnel, establish conditions that would prevent the recurrence of past terrorist activities and vandalism and other personal threats against the Patriarchate, establish conditions to ensure that the Patriarchate is free to carry out its religious mission, and do everything possible to find and punish the perpetrators of any provocative and terrorist acts against the Patriarchate; and (2) the Administration to report to the Congress the status and progress of such concerns on an annual basis.
United States · United States Congress · 23 March 1995
Honors the memory of the victims of the Armenian genocide. Calls for the United States to encourage the Republic of Turkey to acknowledge and commemorate the atrocity committed against the Armenian population of the Ottoman Empire from 1915 to 1923.
United States · United States Congress · 22 March 1995
Newborn Infant HIV Notification Act - Requires a State, if it requires that the results of the human immunodeficiency virus (HIV) testing of an infant be reported to it (or if the State conducts an HIV test of the infant), to disclose such results to: (1) the biological mother of the infant if the mother is the legal guardian; or (2) specified State agencies if the State is the legal guardian of the infant. Directs the State, in disclosing such results (other than to State agencies), to ensure that appropriate counseling on HIV is provided to the individual.
United States · United States Congress · 21 March 1995
Corporate Welfare Reduction Act of 1995 - Amends the Internal Revenue Code, with respect to determining the foreign tax credit, to replace the formula for reducing the amount of oil and gas extraction taxes taken into account. Disallows as creditable amounts: (1) any taxes paid or accrued to a foreign country with respect to foreign oil and gas income (including extraction income) which are not imposed under the country's generally applicable income tax law; and (2) any other taxes on such income to the extent that the country's law is structured or operates so that the tax amount imposed will generally be materially greater, over a reasonable period, than the amount generally imposed on other income. Separates such income, for purposes of certain limitations on the application of the credit, into foreign oil and gas extraction income and foreign oil related income. Removes the deferral, for purposes of taxation of controlled foreign corporations, of tax on extraction income or income from consumption in the foreign country. Provides that the Secretary of the Treasury's authority, in allocating income, deductions, credits, and allowances among taxpayers owned or controlled by the same interests, shall not be limited by any restriction on the ability of the entities to transfer or receive money or property. Terminates, effective with taxable years beginning January 1, 1996, the exclusion of foreign earned income and the housing cost amounts of U.S. citizens or residents living abroad. Treats the gain or loss of a nonresident alien individual or foreign corporation that is a ten-percent shareholder in a domestic corporation upon disposition of such a corporation's stock as if the taxpayer were engaged during the taxable year in a trade or business within the United States and such gain or loss attributable to a permanent U.S. trade or business establishment. Imposes a 26-percent minimum tax on nonresident alien individuals. Provides for the withholding of tax on such dispositions, except in the case of stock which is not regularly traded. Excepts such gain from the branch profits tax imposed on foreign corporations. Requires notice to the Secretary upon distributions by a U.S. person to a foreign person in redemption of stock or complete liquidation of a subsidiary. Removes the exemption of ten-percent shareholders from the tax on interest of nonresident alien individuals received from portfolio debt investments. Redefines portfolio interest as only interest paid on obligations issued by governmental entities. Provides special rules for determining the source of income from the sale of inventory property.
United States · United States Congress · 15 March 1995
TABLE OF CONTENTS: Title I: Improving Aid to Families with Dependent Children Title II: Making Work Pay Title III: Improving Child Support Enforcement Title IV: Reauthorization of Child Care and Development Block Grant Title V: Amendments to the Internal Revenue Code Title VI: Effective Date Family Stability and Work Act of 1995 - Title I: Improving Aid To Families With Dependent Children - Amends parts A (Aid to Families with Dependent Children) (AFDC) and F (Job Opportunities and Basic Skills Training Program) (JOBS) of title IV of the Social Security Act (SSA) to make various specified changes with regard to AFDC benefits, including changes: (1) increasing the standard earned income disregard under AFDC and State flexibility regarding recipient participation in the JOBS program; (2) eliminating the different treatment of two-parent families; (3) extending the transitional child care guarantee under AFDC; (4) increasing the Federal matching rates for child care under AFDC; (5) increasing JOBS program funding; (6) adding requirements for State JOBS program participation rates; (7) increasing JOBS and transitional child care matching rates for States whose recipients leave AFDC for paid employment; (8) increasing at-risk child care funding; and (9) establishing a jobs creation and work experience program under JOBS. Title II: Making Work Pay - Amends Medicaid and the Food Stamp Act of 1977 to provide for transitional Medicaid benefits and the continuation of food stamps in order to make work pay for former AFDC recipients. (Sec. 202) Provides for the temporary exclusion of earned income for purposes of determining rent paid for units in federally assisted housing. Title III: Improving Child Support Enforcement - Amends SSA title IV part D (Child Support and Establishment of Paternity) to make various specified changes with regard to: (1) State obligations to provide paternity establishment and child support enforcement services; (2) distribution of payments; (3) due process rights; (4) privacy safeguards; (5) program administration and funding, including funding for Secretarial assistance to State programs; (6) locate and case tracking, including providing for centralized collection and disbursement of support payments and an expanded Federal Parent Locator Service; and (7) State law requirements, including interstate enforcement of child support orders, expedited administrative and judicial procedures, and paternity establishment. (Sec. 351) Establishes a National Child Support Guidelines Commission to develop a national child support guideline for consideration by the Congress that is based on a study of various guideline models, the benefits and deficiencies of such models, and any needed improvements. (Sec. 361) Amends the Internal Revenue Code to provide for a change in the order of refund distributions and make other specified changes with regard to the enforcement of support orders, including providing for the Internal Revenue Service to collect child support arrears and revising the authority for support collection with respect to Federal employees. (Sec. 364) Provides for the enforcement of child support obligations of members of the armed forces through the establishment of a centralized personnel locator service. (Sec. 365) Makes other specified changes with regard to child support enforcement matters, including establishing State procedures for: (1) placing liens for arrears of child support on motor vehicle titles of individuals owing such arrears; (2) voiding fraudulent transfers in cases where a debtor transferred income or property to avoid payment of a child support creditor; (3) suspending driver's and other types of licenses in arrearage cases; and (4) charging for the collection of interest and penalties on arrearages. (Sec. 368) Modifies arrearage reporting to credit bureaus. (Sec. 389) Extends the statute of limitations for collection of arrearages. (Sec. 371) Provides for the denial of passports for nonpayment of child support. (Sec. 372) Expresses the sense of the Congress that the United States should ratify the United Nations Convention of 1956. Provides for the treatment of international child support cases as interstate cases. (Sec. 381) Makes a technical correction to the definition of medical child support order under the Employee Retirement Income Security Act of 1974. Title IV: Reauthorization of Child Care And Development Block Grant - Amends the Child Care and Development Block Grant Act of 1990 to reauthorize the child care and development block grant program. Title V: Amendments to the Internal Revenue Code - Amends the Internal Revenue Code to increase from 35 percent to 36.25 percent of a corporation's taxable income over $10 million the top marginal corporate tax rate. Title VI: Effective Date - Sets forth the effective date of this Act.
United States · United States Congress · 9 March 1995
Historically Black Colleges and Universities Historic Building Restoration and Preservation Act - Directs the Secretary of the Interior to administer a program of grants-in-aid, from amounts authorized to be appropriated to carry out the National Historic Preservation Act for FY 1996 through 1999, to eligible historically black colleges and universities for the preservation and restoration of historic buildings and structures on their campuses. Requires a grantee to covenant, for the period of time specified by the Secretary, that: (1) no alteration will be made in the property with respect to which the grant is made without the concurrence of the Secretary; and (2) reasonable public access will be permitted to such property for interpretive and educational purposes. Authorizes the Secretary to: (1) obligate funds for a grant with respect to a building or structure listed on the National Register of Historic Places only if the grantee agrees to match the amount of such grant with funds derived from non-Federal sources; and (2) waive this matching requirement if an extreme emergency exists or if such a waiver is in the public interest to assure the preservation of historically significant resources. Earmarks funds for FY 1996 for grants to: (1) Fisk University; (2) Knoxville College; and (3) historically black colleges and universities identified for inclusion in the Department of the Interior Historically Black College and University Historic Preservation Initiative.
United States · United States Congress · 9 March 1995
TABLE OF CONTENTS: Title I: Establishment of a State-Based American Health Security Program; Universal Entitlement; Enrollment Title II: Comprehensive Benefits, Including Preventive Benefits and Benefits for Long Term Care Title III: Provider Participation Title IV: Administration Subtitle A: General Administrative Provisions Subtitle B: Control Over Fraud and Abuse Title V: Quality Assessment Title VI: National Health Security Budget; Payments; Cost Containment Measures Subtitle A: Budgeting and Payments to States Subtitle B: Payments by States to Providers Subtitle C: Mandatory Assignment and Administrative Provisions Title VII: Promotion of Primary Health Care; Development of Health Service Capacity; Programs to Assist the Medically Underserved Subtitle A: Promotion and Expansion of Primary Care Professional Training Subtitle B: Direct Health Care Delivery Subtitle C: Primary Care and Outcomes Research Subtitle D: School-Related Health Services Title VIII: Financing Provisions; American Health Security Trust Fund Subtitle A: American Health Security Trust Fund Subtitle B: Taxes Based on Income and Wages Subtitle C: Increase in Excise Taxes on Tobacco Products Title IX: Conforming Amendments to the Employee Retirement Income Security Act of 1974 American Health Security Act of 1995 - Title I: Establishment of a State-Based American Health Security Program; Universal Entitlement; Enrollment - Establishes in the United States an American Health Security Program (AHSP) to be administered by the States (including the District of Columbia and, if they so choose, U.S. territories) in accordance with Federal standards established under this Act. Requires a State to establish a State health security program (program) in accordance with this Act to receive Federal health care funding. (Sec. 102) Entitles every individual who is a resident of the United States and is a U.S. citizen or national or a lawful resident alien to benefits for health care services under this Act under the appropriate State program. Sets forth provisions regarding the treatment of nonimmigrants and other individuals. (Sec. 103) Requires each State program to: (1) provide a mechanism for the enrollment of individuals entitled or eligible for benefits (which includes a process for the automatic enrollment of individuals at the time of birth, immigration, or other acquisition of lawful resident status in the United States and provides for the enrollment of all individuals who are eligible to be enrolled as of January 1, 1995); and (2) issue a health security card to enrolled individuals. (Sec. 104) Makes benefits portable when enrollees move or travel between States. Prohibits imposition of a minimum residence or waiting period in excess of three months for program benefit eligibility. Allows reciprocal arrangements between programs in adjacent States for coverage for enrollees residing in the border region. (Sec. 105) Makes benefits available under this Act for items and services furnished on or after January 1, 1996. (Sec. 106) Supersedes Medicare, Medicaid, the Federal Employee Health Benefits Program, and CHAMPUS, which must pay for completion of services they covered before January 1, 1996. Specifies that nothing in this Act affects the eligibility of veterans for Veterans Administration health benefits and services, or of Indians for benefits and services of the Indian Health Service. Title II: Comprehensive Benefits, Including Preventive Benefits and Benefits for Long Term Care - Entitles all eligible individuals to have payment made (if medically necessary and appropriate for the maintenance of health or for the diagnosis, treatment, or rehabilitation of a health condition) for inpatient and outpatient hospital services, professional services of State-authorized practitioners, community-based primary health services, preventive services, long-term, acute, and chronic care services, prescription drugs, biologicals, insulin, and medical foods, dental services, mental health services and substance abuse treatment services, diagnostic tests, and other specified items and services, including outpatient therapy, durable medical equipment, home dialysis, ambulance, prosthetic devices, and other items and services specified by the American Health Security Standards Board (Board) (established by title IV of this Act). Specifies that: (1) no deductibles, coinsurance, or copayments may be charged for acute care benefits, except for specified cost-sharing for long-term care services; (2) no provider may charge a patient for covered services; (3) no private insurance may duplicate program benefits; and (4) States and employers may provide additional benefits at their own expense. (Sec. 203) Covers home and community-based long-term care services for persons unable to perform at least two of five listed activities of daily living without assistance. Limits the cost of such services to 65 percent (or an alternative percentage determined by the Board) of the cost of nursing home care for an individual in the same area in which the services were provided. (Sec. 204) Sets forth special delivery requirements for mental health and substance abuse treatment services provided to at-risk children. Directs the Board to make national determinations on coverage of experimental services, with professional and public input. Specifies that where the Board has recognized practice guidelines, coverage is limited to services provided according to the guidelines or any established exception process. Allows the Board to limit quantities of eyeglasses, contact lenses, hearing aids, and durable medical equipment that will be covered. Excludes from coverage cosmetic procedures, personal comfort items, and services furnished in non-participating facilities. (Sec. 205) Specifies that: (1) States may require providers to certify that covered services were provided according to program requirements; (2) quality review programs must meet Federal standards; and (3) States may require plans of care for coverage of certain services. Title III: Provider Participation - Requires providers, to receive payment, to agree: (1) not to discriminate based on race, national origin, income, religion, age, sex or sexual orientation, disability, handicapping condition, or (subject to the professional qualifications of the provider) illness; (2) not to charge patients for covered services; (3) to furnish necessary information to the Board or program; (4) not to employ other providers whose participation has been terminated for cause; and (5) to submit bills within a specified time frame. (Sec. 302) Considers a health care provider to be qualified if it is licensed or certified and meets State law requirements, applicable Federal requirements, and additional standards that the Board may specify. Requires: (1) the Board to establish, evaluate, and update national minimum standards to assure the quality of services provided and to monitor efforts by programs to assure such quality; (2) a reasonable transition period for any new standards; and (3) the Board to provide for an exchange of information among programs with respect to quality assurance and cost containment. (Sec. 303) Defines a "comprehensive health service organization" (CHSO) as a public or private organization which, in return for a capitated payment amount, furnishes or arranges a full range of health services and out-of-area coverage in the case of urgently needed services to an identified population in a specified service area which enrolls voluntarily in the organization. Sets forth various CHSO requirements regarding enrollment, withdrawal for cause, accessibility of services, continuity of care, consumer and provider representation on the board of directors, a patient grievance program, medical standards committees, premiums, utilization and bonus information, provision of services to enrollees at institutions operating under global budgets, marketing of services, and provision of emergency services to nonenrollees. (Sec. 304) Extends current Medicare prohibitions on physician self-referrals to other services and applies such prohibitions to AHSP. Title IV: Administration - Subtitle A: General Administrative Provisions - Establishes the American Health Security Standards Board to develop policies and procedures for enrollment, benefits, provider participation, national and State funding levels, assisting programs with planning for capital expenditures and service delivery, and other functions and to establish uniform reporting standards for health services and programs. Authorizes the Board to make statistical and other studies, test alternative payment methods, and develop and test information and budget systems. Provides for the appointment of an Executive Director of the Board and an Inspector General. (Sec. 402) Directs the Board to provide for an American Health Security Advisory Council to advise the Board on matters of general policy, in the formulation of regulations, and in the performance of the Board's duties and to study the operation of, and utilization of health services under, this Act. (Sec. 403) Directs the Board and the Secretary to consult with private entities. (Sec. 404) Requires: (1) each State to submit to the Board a plan for a program for providing health care services to residents of the State (but allows neighboring States to join in regional plans); (2) the Board to provide incentives for States to develop regional planning mechanisms to promote the rational distribution of, adequate access to, and efficient use of, tertiary care facilities, equipment, and services; (3) State programs to meet Federal standards, including single-agency administration, a State health security budget, provider payment and quality review methodologies consistent with Federal standards, freedom to choose providers, a consumer ombudsman, an annual report, and a fraud and abuse prevention and control unit; and (4) the Governor of each State to provide for appointment of a State Health Security Advisory Council to advise and make recommendations to the Governor and State regarding program implementation. Allows: (1) programs not meeting Federal requirements, after notice, to be placed in receivership under the Board's jurisdiction; and (2) States to use fiscal agents, after competitive bidding, to process claims. (Sec. 405) Requires the Secretary of Health and Human Services (Secretary) to direct all activities of the Department of Health and Human Services toward contributions to health of the people in a manner complementary to this Act. Subtitle B: Control Over Fraud and Abuse - Authorizes the Board to exclude providers from participation, impose civil monetary penalties, and seek criminal prosecution for fraud or abuse, based on current Medicaid standards. Requires providers to disclose relevant information about their ownership interest in health facilities and services, based on current Medicaid standards. (Sec. 412) Requires the Board: (1) through the Inspector General, to establish a national health care fraud and abuse data base, including the identity of any provider who has been convicted, had a license revoked, has been excluded or suspended from participation, or has been subjected to a civil penalty with respect to a State program, Medicare, Medicaid, or any other federally funded health program; and (2) to establish rules to protect the confidentiality of information in the data base. Requires States to provide relevant information for this purpose and to periodically inquire of the data base to determine provider qualifications to participate in programs. Sets penalties for submitting false information. (Sec. 413) Requires each program to establish and maintain a health care fraud and abuse unit. (Sec. 414) Directs the Board to provide for the assignment of a unique identifier to each participating provider and to each individual eligible for services, which shall be used for claims and payment. Title V: Quality Assessment - Establishes the American Health Security Quality Council in order to: (1) review and evaluate each practice guideline developed under specified provisions of the Public Health Service Act; (2) review and evaluate each standard of quality, performance measure, and medical review criterion developed under specified provisions of the Public Health Service Act; (3) develop criteria for entities conducting quality reviews; (4) report to the Board annually; and (5) perform the functions of the Council described in sections 502 and 505. (Sec. 502) Directs the Council to: (1) adopt methods for profiling the patterns of practice of health care professionals and for identifying outliers; (2) develop guidelines for certain medical procedures to be performed only at tertiary centers; (3) develop standards for education and sanctions with respect to outliers; and (4) disseminate such methods, guidelines, and standards to the States. (Sec. 503) Requires each participating State to establish an entity to conduct quality reviews of persons providing covered services under its program which meet Federal standards for the adoption of practice guidelines, identification of outliers, development of remedial programs and monitoring for outliers, and the application of sanctions. Allows the State to adopt alternative methodologies to those adopted by the Quality Council provided that the State can demonstrate that the efficacy of such review and education programs meets Federal standards. Requires the quality review entity to meet the criteria for competence for such entities developed by the Council. (Sec. 504) Expresses the intent to replace random utilization controls with a systematic review of patterns of practice that compromise the quality of care by January 1, 1998. Supersedes all existing Federal utilization review programs, including random case-by-case reviews and programs requiring pre-certification of medical procedures on a case-by-case basis, with exceptions. Specifies that nothing in this section shall preclude case management of catastrophic, mental health, or substance abuse cases where necessary to achieve appropriate, cost-effective, and beneficial comprehensive medical care. (Sec. 505) Requires: (1) each State program to develop and use a uniform electronic data base in order to perform systematic quality review and support comparative outcomes research and analysis; (2) the Council to establish a set of clinical data derived from patient medical records to be transmitted to State electronic data bases to be used by State health security programs; (3) the Board to designate standards for software in order to assure compatibility; and (4) the Council to establish standards, as specified, for the use and disclosure by a State health security program of such data. Title VI: Health Security Budget; Payments; Cost Containment Measures - Subtitle A: Budgeting and Payments to States - Directs the Board to establish a national health security budget which specifies the total expenditures to be made by the Federal Government and the States for covered health care services, and allocates those expenditures among the States. Prohibits such budget from exceeding the budget for the preceding year increased by the percentage increase in gross domestic product. Divides the budget into quality assessment, professional education, administrative, and operating components. (Sec. 602) Provides for the allocation of funds in the budget by the Board to the States, based on the national average per capita costs of covered services adjusted for differences among the States in costs and the health status of populations. Permits the use of statistical models to estimate State capitation amounts. Sets forth State adjustment factors to reflect differences in relative needs for funds and directs that such factors be applied in a budget-neutral manner resulting in no change in total Federal expenditures from the national per capita average. (Sec. 603) Requires each program to submit to the Board a proposed and final annual budget broken into quality assessment, professional training, administrative, and operating components, with the operating component broken into facility-based services, individual practitioner payments, payments to CHSOs, and payments for other items and services. Sets forth provisions regarding proposed and final budget deadlines, adjustments in allocations, and expenditure limits. Permits programs to provide for a process for the approval of capital expenditures based on information derived from regional planning agencies. (Sec. 604) Provides for programs to receive Federal funds equal to a weighted average of 86 percent of their population-based share of the budget, which the Board may adjust between 81 and 91 percent based on State economic conditions. (Sec. 605) Requires each program to establish a separate budget account for health professional education expenditures and to distribute funds consistent with the achievement of specified national and program goals, including the receipt by the Board of reports to monitor compliance, and taking into account the potentially higher costs of placing health professional students in clinical education programs in health professional shortage areas. Subtitle B: Payments by States to Providers - Directs that: (1) payment for operating expenses for institutional and facility- based care under State programs be made directly to each institution or facility under an annual prospective global budget approved under the program; (2) such budgets take into account discharges by diagnosis-related group, prior expenditures, the extent to which debt service for capital expenditures has been included in the proposed operating budget, the extent to which capital expenditures are financed directly or indirectly through reductions in direct care to patients, change in the consumer price index and other price indices, compensation, occupancy levels, past financial and clinical performance, training, technological changes, and incentives to maintain costs without reducing care; and (3) facility budgets be adjusted to reflect payments made by CHSOs. Allows programs to permit institutions and facilities to raise funds from private sources to pay for newly constructed facilities, major renovations, and equipment. (Sec. 612) Requires: (1) State programs to pay individual practitioners on a fee-for-service basis, as negotiated between States and practitioner representatives; (2) the Board to establish models for such payment and for global fee payment methodologies to encourage payment for combinations of services; and (3) practitioners to bill State programs within 30 days of providing services. Permits States to require electronic billing. (Sec. 613) Authorizes programs to pay CHSOs based on annual budgets or risk-adjusted capitation payments, reduced by the costs of covered services not provided by the CHSO. (Sec. 614) Directs that programs pay for community-based primary health services based on global budgets, basic primary care capitation amounts for enrollees, or fee-for-service, taking into account costs of serving non-covered patients, providing case management, transportation, and translation, and providing health professional education programs. (Sec. 615) Requires: (1) the Board to establish a list of approved prescription drugs and to determine maximum prices; and (2) each program to pay for such drugs based on such maximum prices and to pay separate dispensing fees to pharmacies. (Sec. 616) Directs the Board to establish a list of approved durable medical equipment and therapeutic devices and equipment and programs to pay for such items based on maximum prices determined by the Board. (Sec. 617) Requires State programs to pay for other items and services based on methodologies to be adopted by the Board, consistent with the State health security budget. (Sec. 618) Directs the Board to establish model payment methodologies and other incentives to promote the provision of services in medically underserved areas. Permits programs to adjust payments amounts within their budgets to encourage provision of appropriate services in underserved areas. (Sec. 619) Authorizes programs to utilize alternative payment methodologies, provided that such methodologies do not affect the entitlement of individuals to coverage, the weighting of fee schedules to encourage an increase in the number of primary care providers, the ability of individuals to choose among qualified providers, the benefits covered under the Program, or compliance with the State health security budget. Requires States to report on the operation and effectiveness of alternative methodologies to enable the Board to evaluate the appropriateness of applying such methodologies to other States. Subtitle C: Mandatory Assignment and Administrative Provisions - Specifies that participating providers: (1) must accept payment from a program as full payment for covered services; and (2) may not impose additional charges on patients. Permits the Board to exclude from participation and subject to civil penalties violators of such provision. (Sec. 632) Requires programs to establish: (1) procedures for reimbursing providers within 60 days of bill submission; and (2) an appeals process to handle grievances pertaining to provider payments. Title VII: Promotion of Primary Health Care; Development of Health Service Capacity; Programs to Assist the Medically Underserved - Subtitle A: Promotion and Expansion of Primary Care Professional Training - Makes the Board responsible for: (1) coordinating health professional education policies and goals to achieve national goals; (2) overseeing program health professional education expenditures; (3) developing and maintaining a system to monitor the number and specialties of individuals through their health professional education, any postgraduate training, and professional practice; and (4) developing, coordinating, and promoting other policies that expand the number of primary care practitioners. Sets as national goals that: (1) at least 50 percent of graduate medical residencies be in primary care within five years of this Act's enactment; and (2) there be a certain number, specified by the Board, of midlevel primary care practitioners employed in the health care system as of January 1, 2001. Directs the Board to: (1) establish a method of applying such goals to program goals for each medical residency program or consortium of programs and reducing payments for residency programs failing to meet their goals; (2) advise the Public Health Service on allocations of funding under specified programs to increase the supply of midlevel primary care practitioners; and (3) commission a study of the potential benefits and disadvantages of expanding the scope of practice authorized under State laws for any class of midlevel primary care practitioners. (Sec. 702) Requires the Board to establish an Advisory Committee on Health Professional Education to advise the Board concerning graduate medical education policies under this title. (Sec. 703) Directs the Board to transfer specified revenues from the American Health Security Trust Fund (Trust Fund) for specified existing programs supporting health professional education and nursing education and for the National Health Service Corps. Subtitle B: Direct Health Care Delivery - Requires the Board to transfer specified Trust Fund revenues to the Public Health Service for: (1) maternal and child health block grants, prevention and treatment of tuberculosis, prevention and treatment of sexually transmitted diseases, preventive health block grants, grants to States for community mental health services and prevention and treatment of substance abuse, grants for HIV health care services, and public health formula grants; and (2) primary care service expansion grants. (Sec. 713) Directs the Board to make primary service expansion grants to primary care centers (i.e., nonprofit community health centers, migrant health centers, and other federally qualified health centers) to serve medically underserved populations in urban and rural areas. Specifies that grant funds may be used to plan, develop, and deliver primary care in such areas. Subtitle C: Primary Care and Outcomes Research - Requires the Board to transfer specified Trust Fund revenues to the Agency for Health Care Policy and Research for health outcomes research. (Sec. 722) Amends the Public Health Service Act to establish within the Office of the Director of the National Institutes of Health (NIH) an Office of Primary Care and Prevention Research to be headed by a Director who shall identify and coordinate research activities relating to primary care and prevention, including care provided by multidisciplinary teams. Requires the Director of NIH to establish a national data system and clearinghouse on primary care and prevention research. Authorizes appropriations. Subtitle D: School-Related Health Services - Authorizes appropriations through FY 2002 for this subtitle. (Sec. 734) Directs the Secretary to make grants to State health agencies or to local community partnerships to develop and operate school health service sites. Requires preference in making grants to be given to those communities showing the most substantial level of need. Title VIII: Financing Provisions; American Health Security Trust Fund - Subtitle A: American Health Security Trust Fund - Amends the Internal Revenue Code to create the American Health Security Trust Fund. Appropriates to the trust fund the increase in tax liabilities attributable to the application of amendments made by this title and receipts from the following programs: Medicare, Medicaid, Federal employees' health benefits program, and the CHAMPUS program, Maternal and Child Health program (under title V of the Social Security Act), vocational rehabilitation programs, drug abuse and mental health services programs under the Public Health Service Act, programs providing general hospital or medical assistance, and certain other Federal programs. Transfers to such trust fund amounts in the Federal Hospital Insurance Trust Fund and the Federal Supplementary Medical Insurance Trust Fund. Subtitle B: Taxes Based on Income and Wages - Creates a health care excise tax on every employer with respect to each employee equal to 8.7 percent of wages paid. Imposes the tax on the self-employed, railroad employers, and railroad employee representatives. Imposes an individual health care income tax equal to 2.2 percent of taxable income. Prohibits credits against the tax and any effect on the minimum tax in relation to the individual health care income tax. Subtitle C: Increase in Excise Taxes on Tobacco Products - Increases the excise taxes on tobacco products. Title IX: Conforming Amendments to the Employee Retirement Income Security Act of 1974 - Makes ERISA inapplicable to health coverage arrangements under State health security programs. Exempts State health security programs from ERISA preemption. Prohibits employee benefits duplicating State health security program benefits and requires that a liable workers' compensation carrier reimburse the State health security plan. Repeals continuation coverage requirements under ERISA.
United States · United States Congress · 9 March 1995
Declares that the House of Representatives affirms its continued support for the rights and protections granted and assured to all Americans in the conduct of their financial affairs by various Acts of Congress, including the right to: (1) a safe and sound banking system; (2) meaningful, uniform credit-term disclosures; (3) equal access to credit; (4) banks that reinvest and provide essential services in their local neighborhoods; (5) expedited access to funds; (6) fair and accurate savings accounts terms; (7) accurate and secure credit history; (8) freedom from abusive and unfair debt collection practices; and (9) protection against unauthorized use of credit and debit cards.
United States · United States Congress · 7 March 1995
Amends the Internal Revenue Code to exempt from the additional tax on early distribution from retirement plans distributions to individuals during periods of unemployment.
United States · United States Congress · 6 March 1995
Filipino Veterans Equity Act of 1995 - Amends Federal veterans' benefits provisions to include certain service in the organized military forces of the Philippines and service as Philippine Scouts within the definition of active U.S. military service for purposes of eligibility for various veterans' benefits for former active-duty military personnel.
United States · United States Congress · 3 March 1995
Amends the National Trails System Act to designate the route from Selma to Montgomery, Alabama (traveled by the march dramatizing the need for voting rights legislation), as a National Historic Trail.
United States · United States Congress · 2 March 1995
Amends the Internal Revenue Code to allow an election to defer the commencement of distributions under deferred compensation plans of State and local governments and tax-exempt organizations. Provides a cost-of-living adjustment for the maximum deferral amount.
United States · United States Congress · 28 February 1995
Amends part B (Supplemental Medical Insurance) of title XVIII (Medicare) of the Social Security Act to include within Medicare coverage the use of blood-testing strips for individuals with Type I or II diabetes. Requires such strips to be included within a payment methodology covering inexpensive and routinely purchased equipment.
United States · United States Congress · 28 February 1995
Amends title XVIII (Medicare) of the Social Security Act to provide for Medicare coverage of diabetes outpatient self-management training services.
United States · United States Congress · 28 February 1995
Multiple Sclerosis Home Treatment Act of 1995 - Amends title XVIII (Medicare) of the Social Security Act to provide coverage and payment for beta interferons approved by the Food and Drug Administration for self-administration by patients with multiple sclerosis.