United States · United States Congress · 22 November 1993
Haitian Refugee Fairness Act - Expresses the sense of the Congress with respect to U.S. obligations in support of the international law requirement of nonrefoulement. Prohibits the U.S. Government from returning or causing to be returned to Haiti any Haitian national (with specified exceptions for certain felons and persons who participated in persecutions) outside U.S. territorial waters, or inside territorial waters of another country, unless the Government has first determined the individual not to be a refugee. (Sec. 3) Provides: (1) temporary protected status for qualifying Haitians; and (2) reimbursement for related State and local costs. (Sec. 5) Obligates specified funds for: (1) the Community Relations Service; and (2) primary and secondary resettlement services for paroled Cubans and Haitians. (Sec. 6) Amends the Immigration and Nationality Act to authorize appropriations for a Cuban/Haitian Entrant Emergency Fund to be established in the Treasury. Requires the Attorney General to provide an annual estimation of Cuban and Haitian parolees.
United States · United States Congress · 22 November 1993
Organ Donation Insert Card Act - Requires the Secretary of the Treasury to include organ donation information with individual income tax refund payments.
United States · United States Congress · 20 November 1993
TABLE OF CONTENTS: Title I: Health Care Security Subtitle A: Universal Coverage and Individual Responsibility Subtitle B: Benefits Subtitle C: State Responsibilities Subtitle D: Health Alliances Subtitle E: Health Plans Subtitle F: Federal Responsibilities Subtitle G: Employer Responsibilities Subtitle J (sic): General Definitions; Miscellaneous Provisions Title II: New Benefits Subtitle A: Medicare Outpatient Prescription Drug Benefit Subtitle B: Long-Term Care Title III: Public Health Initiatives Subtitle A: Workforce Priorities Under Federal Payments Subtitle B: Academic Health Centers Subtitle C: Health Research Initiatives Subtitle D: Core Functions of Public Health Programs; National Initiatives Regarding Preventive Health Subtitle E: Health Services for Medically Underserved Populations Subtitle F: Mental Health; Substance Abuse Subtitle G: Comprehensive School Health Education; School-Related Health Services Subtitle H: Public Health Service Initiative Subtitle I: Coordination With COBRA Continuation Coverage Title IV: Medicare and Medicaid Subtitle A: Medicare and the Alliance System Subtitle B: Savings in Medicare Program Subtitle C: Medicaid Subtitle D: Increase in SSI Personal Needs Allowance Title V: Quality and Consumer Protection Subtitle A: Quality Management and Improvement Subtitle B: Information Systems, Privacy, and Administrative Simplification Subtitle C: Remedies and Enforcement Subtitle D: Medical Malpractice Subtitle E: Fraud and Abuse Subtitle F: McCarran-Ferguson Reform Title VI: Premium Caps; Premium-Based Financing; and Plan Payments Subtitle A: Premium Caps Subtitle B: Premium-Related Financing Subtitle C: Payments to Regional Alliance Health Plans Title VII: Revenue Provisions Subtitle A: Financing Provisions Subtitle B: Tax Treatment of Employer-Provided Health Care Subtitle C: Employment Status Provisions Subtitle D: Tax Treatment of Funding of Retiree Health Benefits Subtitle E: Coordination with COBRA Continuing Care Provisions Subtitle F: Tax Treatment of Organizations Providing Health Care Services and Related Organizations Subtitle G: Tax Treatment of Long-term Care Insurance and Services Subtitle H: Tax Incentives for Health Services Providers Subtitle I: Miscellaneous Provisions Title VIII: Health and Health-Related Programs of the Federal Government Subtitle A: Military Health Care Reform Subtitle B: Department of Veterans Affairs Subtitle C: Federal Employees Health Benefits Program Subtitle D: Indian Health Service Subtitle E: Amendments to the Employee Retirement Income Security Act of 1974 Subtitle F: Special Fund for WIC Program Title IX: Aggregate Government Payments to Regional Alliances Subtitle A: Aggregate State Payments Subtitle B: Aggregate Federal Alliance Payments Subtitle C: Borrowing Authority to Cover Cash-Flow Shortfalls Title X: Coordination of Medical Portion of Workers Compensation and Automobile Insurance Subtitle A: Workers Compensation Insurance Subtitle B: Automobile Insurance Subtitle C: Commission on Integration of Health Benefits Subtitle D: Federal Employees' Compensation Act Subtitle E: Davis-Bacon Act and Service Contract Act Subtitle F: Effective Dates Title XI: Transitional Insurance Reform Health Security Act - Title I: Health Care Security - Subtitle A: Universal Courage and Individual Responsibility - Entitles each eligible individual to: (1) the benefit provided under subtitle B through the applicable health plan in which the individual is enrolled; and (2) a health security card to be issued by the alliance or other entity that offers the applicable health plan in which the individual is enrolled. Defines an eligible individual as an individual who resides in the United States and is: (1) a citizen or national of the United States; (2) an alien permanently residing in the U.S. under color of law; or (3) a long-term nonimmigrant. Entitles a Medicare-eligible individual to benefits under Medicare instead of the above provisions of this Act. (Sec. 1002) Requires each eligible individual to enroll in an applicable health plan and pay any required premium. Prohibits disenrollment of an eligible individual until the individual is either enrolled in another plan or in Medicare. (Sec. 1003) States that nothing in this Act shall be construed as prohibiting: (1) an individual from purchasing any health services; (2) an individual from purchasing supplemental insurance; (3) an individual who is not an eligible individual from purchasing health insurance; or (4) employers from providing additional coverage. (Sec. 1004) States that a regional alliance health plan is the applicable plan for a family, unless a family member is eligible for a corporate alliance health plan. Allows military personnel, veterans, and Indians to enroll either with an alliance or with a military, veteran, or Indian plan respectively. (Sec. 1005) Prohibits an undocumented alien from enrolling in a health plan under this Act. (Sec. 1011) Defines a family as an eligible individual's eligible spouse and children. Defines couple as meaning an individual and the individual's spouse. Defines a child as being under age 18, or under age 24 in the case of a full-time student. Subtitle B: Benefits - Includes the following terms and services in the comprehensive benefit package: (1) hospital services; (2) services of health professionals; (3) emergency and ambulatory medical and surgical services; (4) clinical preventive services; (5) mental illness and substance abuse services; (6) family planning services and services for pregnant women; (7) hospice care; (8) home health care; (9) extended care services; (10) ambulance services; (11) outpatient laboratory, radiology, and diagnostic services; (12) outpatient prescription drugs and biologicals; (13) outpatient rehabilitation services; (14) durable medical equipment and prosthetic and orthotic devices; (15) vision care; (16) dental care; (17) health education classes; and (18) investigational treatments. Describes such items and services. (Sec. 1131) Requires each health plan to offer to its enrollees only one of the following cost sharing schedules: (1) lower cost sharing; (2) higher cost sharing; or (3) combination cost sharing. Provides that the annual maximum out-of-pocket expenses for an individual in any of the plans shall be $1500 and for a family the annual maximum shall be $3000. (Sec. 1135) Sets forth a table of copayments and coinsurance. (Sec. 1141) Excludes the following items and services: (1) an item or service that is not medically necessary or appropriate; (2) an item or service that the National Health Board may determine is not medically necessary or appropriate; (3) custodial care, except hospice care; (4) surgery performed solely for cosmetic purposes, unless required to correct a congenital anomaly or performed to correct a part of the body injured by either disease or accident; (5) hearing aids; (6) eyeglasses and contact lenses for individuals at least 18 years of age; (7) in vitro fertilization; (8) sex change surgery and related services; (9) private duty nursing; (10) personal comfort items, except in the case of hospice care; and (11) any dental procedures involving orthodontic care, inlays, gold or platinum fillings, bridges, crowns, pin/post retention, dental implants, surgical periodontal procedures, or the preparation of the mouth for the fitting or continued use of dentures, except as specified. (Sec. 1151) Gives the National Health Board the authority to promulgate such regulations or establish such guidelines as necessary to assure uniformity in the application of the comprehensive benefit package across all health plans. Permits the Board to expand the benefit package. (Sec. 1162) Permits a health professional or facility to refuse to provide a benefit if the professional or facility objects on the basis of a religious belief or moral conviction. Subtitle C: State Responsibilities - Requires a State, in order to be approved as a participating State, to submit a document describing the State's health care system. (Sec. 1201) Requires a participating State to: (1) establish one or more regional alliances; (2) establish and publish the criteria used in the certification of its health plan; (3) meet minimum financial solvency requirements for health plans established by the National Health Board; (4) designate an agency or official to coordinate State responsibilities under this Act; (5) conform State laws to meet the requirements of title X of this Act with respect to workers' compensation and automobile insurance; and (6) carry out all the responsibilities of a participating State specified in this Act. (Sec. 1221) Permits a State, with the Board's approval, to operate a single-payer system if specified requirements are met. Subtitle D: Health Alliances - Provides for regional alliances and corporate alliances. (Sec. 1302) Requires a regional alliance to be governed by a Board of Directors consisting of: (1) employers, including self-employed individuals; and (2) members who represent individuals purchasing coverage. Requires each regional alliance to establish a provider advisory board consisting of health care providers and professionals. (Sec. 1311) Includes in a corporate alliance an eligible sponsor who is either a large employer (more than 5,000 full-time employees) or a multiemployer plan (a plan with more than 5000 active participants). Excludes: (1) an employer whose primary business is employee leasing; (2) the Federal Government (other than the U.S. Postal Service); and (3) a State or local government. Excludes from corporate alliance eligibility the following classes of individuals: (1) AFDC recipients; (2) SSI recipients; (3) military personnel and families, veterans, and Indians who elect to enroll in specified plans specifically designed for them; and (4) seasonal or temporary employees. (Sec. 1321) Directs each regional alliance to enter into a contract with any State-certified health plan to contract with the alliance for the enrollment under the plan of eligible individuals. (Sec. 1322) Requires each regional alliance to offer a choice of health plans, including at least one fee-for-service plan. (Sec. 1326) Requires each regional alliance to establish and maintain an office of an ombudsman to assist consumers in dealing with problems that arise with health plans and the alliance. (Sec. 1329) Permits a regional alliance to adjust payments to plans or use other financial incentives to encourage health plans to expand into areas that have inadequate health services. (Sec. 1341) Set forth provisions concerning the collection of funds by regional alliances from individuals, employers, and others. (Sec. 1351) Requires each regional alliance to compute a blended plan per capita payment amount for each regional alliance health plan for enrollment in the alliance. (Sec. 1353) Requires each regional alliance to make payments to the Federal Government for academic health centers and graduate medical education. (Sec. 1361) Requires each regional alliance to comply with specified standards relating to the management of finances, maintenance of records, accounting practices, auditing procedures, financial reporting, and employer payments. (Sec. 1371) Provides for a reduction in cost sharing for low-income families. (Sec. 1373) Provides for premium discounts and reduction in liabilities for low-income families. (Sec. 1381) Permits each corporate alliance to: (1) offer coverage under either an appropriate self-insured health plan; or (2) negotiate with a State-certified plan to enter into a contract with the plan. (Sec. 1382) Requires each corporate alliance to provide a choice of health plans, including at least one fee-for-service plan and two health plans that are not fee-for-service plans. (Sec. 1385) Requires each corporate alliance to make an additional contribution towards the enrollment in health plans of the alliance by certain low-wage families. (Sec. 1386) Sets forth provisions relating to corporate alliances concerning: (1) consumer information and marketing; (2) plan and information requirements; (3) management of funds; (4) cost control; (5) payments by corporate alliance employers to corporate alliances; (6) ERISA; (7) disclosure and reserve requirements; (8) trusteeship of insolvent corporate alliance health plans; (9) imposition and collection of periodic assessments on self-insured corporate alliance plans; and (10) payments to the Federal Government by multiemployer corporate alliances for academic health centers and gradual medical education. Subtitle E: Health Plans - Requires a health plan to: (1) be either a self-insured plan (meaning a group health plan as defined by a the Employee Retirement Income Security Act of 1974) or a State-certified plan (meaning a plan certified by a State or the National Health Board); and (2) meet the applicable regulatory requirements. (Sec. 1402) Requires each health plan offered by either a regional or corporate alliance to accept for enrollment every alliance eligible individual, unless the plan has reached its enrollment limit. Prohibits the limit from being imposed on the basis of any personal characteristics of enrollees such as health status, need for health care, age, occupation, or affiliation with any person or entity. Prohibits a plan from: (1) restricting or terminating coverage for any reason, including nonpayment of premiums; (2) cancelling coverage for any eligible individual until that individual is enrolled in another plan; (3) excluding an eligible individual because of an existing medical condition; (4) imposing a waiting period before coverage begins; or (5) imposing a rider that excludes the coverage of particular eligible individuals. Prohibits discrimination by a health plan on the basis of race, national origin, sex, language, socio-economic status, age, disability, health status, or anticipated need for health services. (Sec. 1405) Requires each plan to have a grievance procedure. (Sec. 1421) Permits an entity to offer a supplemental insurance policy if the policy and the entity meet specified requirements. (Sec. 1431) Requires each health plan, with respect to each electing essential community provider located within the plan's service area, to either: (1) enter into a written provider participation agreement; or (2) enter into a written agreement under which the plan will make payment to the provider as specified. Provides a special rule for providers of school health services. Makes the provisions of the proceeding sentence applicable only to health plans offered by a health alliance during the five year period beginning with the first year in which any health plan is offered by the alliance. Directs the Secretary of Health and Human Services to study essential community providers and to make recommendations concerning such providers to the Congress. Provides that such recommendations shall apply unless a joint resolution of disapproval is enacted by the Congress. (Sec. 1441) Requires each health plan to meet specified requirements of title X of this Act with respect to workers' compensation and automobile medical liability services. Subtitle F: Federal Responsibilities - Establishes the National Health Board in the Executive Branch. Directs the President to appoint the Board's seven members. (Sec. 1503) Directs the Board to: (1) interpret the comprehensive benefit package; (2) adjust the delivery of preventive services; (3) take steps to assure that the comprehensive benefit package is available on a uniform national basis; (4) recommend to the President and the Congress appropriate revisions to the package; (5) oversee cost containment requirements; (6) develop and implement eligibility standards; (7) establish a performance based system of quality management; (8) develop and implement standards for a national health information system; (9) establish State requirements and monitor State compliance; (10) establish premium class factors; (11) develop a methodology for the risk-adjustment of premium payments; (12) establish financial requirements for guaranty funds; (13) establish standards for health plan grievance procedures; and (14) report annually to the President and the Congress. (Sec. 1506) Authorizes appropriations for the Board. (Sec. 1511) Requires the Board to approve a State health care system if the system meets the applicable requirements of this Act. Prohibits approval of a State health care system prior to 1996. (Sec. 1512) Provides for sanctions for States failing to meet conditions for compliance. (Sec. 1515) Provides for planning grants to States for implementation assistance. (Sec. 1521) Provides for the Federal assumption of responsibilities in the absence of a State system. Provides for increased premiums of 15 percent during Federal operation of a State system to provide reimbursement for the Federal cost of operating the system. (Sec. 1541) Directs the Board to develop a risk adjustment and reinsurance methodology. Sets forth guidelines for developing such methodology. (Sec. 1543) Directs the Board to establish an advisory committee to provide technical advice and recommendations regarding the risk adjustment and reinsurance methodology. (Sec. 1551) Directs the Board to establish minimum capital requirements for regional alliance health plans under which at least $500,000 of capital must be maintained for each plan in the area. Permits the Board to require additional capital. (Sec. 1552) Requires the Board to establish standards for guaranty funds established by the States. (Sec. 1571) Sets forth the responsibilities of the Secretary of Health and Human Services. Directs the Secretary to administer and implement all provisions of this Act, except those duties delegated to the Board, any other executive agency, or to any State. (Sec. 1572) Directs the Secretary to appoint an Advisory Council on Breakthrough Drugs that will examine the reasonableness of launch prices of new breakthrough drugs. (Sec. 1581) Provides for the certification of essential community providers. Sets forth the following categories of providers automatically certified (under provisions of the Public Health Service Act): (1) migrant health centers; (2) community health centers; (3) homeless program providers; (4) public housing providers; (5) family planning clinics; and (6) AIDS providers under the Ryan White Act. Includes as automatically certified (under other Acts) following: (1) Indian health programs under the Indian Health Act; and (2) maternal and child health providers and a federally qualified health center or rural health clinic under the Social Security Act. Includes as automatically certified (under provisions of this Act) the following: (1) providers of school health services; and (2) a qualified community practice network. Provides for the setting of standards for additional health providers. (Sec. 1591) Sets forth the responsibilities of the Secretary of Labor. Includes among those responsibilities the following: (1) enforcement requirements applicable to employers; (2) elections to become corporate alliances; (3) temporary assumption of insolvent self-insured corporate alliance health plans; (4) establishment and administration of the Corporate Alliance Health Plan Insolvency Fund; and (5) administering title I of ERISA as it relates to group health plans maintained by corporate alliances. Subtitle G: Employer Responsibilities - Requires employers to provide for the payments required under title VI of this Act. Sets forth other employer responsibilities including: (1) information reporting requirements; (2) requirements relating to new employees; (3) recordkeeping requirements; and (4) antidiscrimination requirements. (Sec. 1606) Prohibits self-funding of cost sharing benefits by regional alliance employers. (Sec. 1607) Requires an employer to make equal employer premium payments to all qualifying employees, if a voluntary premium payment is made. Places a limit on such voluntary employer premium payments. (Sec. 1608) Sets forth an employer's obligation to a qualifying retired beneficiary where the employer, as of October 1, 1993, was providing a threshold payment. (Sec. 1609) Authorizes the Secretary of Labor to impose a civil penalty of up to $10,000 for each violation of this subtitle with respect to each individual. Subtitle J (sic): General Definitions; Miscellaneous Provisions - Sets forth the definitions and rules used in this Act. Subtitle B: Miscellaneous Provisions (sic) - (Sec. 1911) Grants the National Health Board, the Secretary of Health and Human Services, and the Secretary of Labor authority to issue regulations as necessary to permit the timely implementation of this Act. Title II: New Benefits - Subtitle A: Medicare Outpatient Prescription Drug Benefit - (Secs. 2001 through 2005) Amends title XVIII of the Social Security Act to provide for: (1) Medicare coverage of covered outpatient prescription drugs and biologicals as well as home infusion drug therapy services; (2) payment rules and related requirements, such as those pertaining to deductibles, for covered outpatient prescription drugs; (3) manufacturer rebates to the Secretary under Medicare part B for covered outpatient prescription drugs; and (4) determination of the Medicare part B premium attributable to covered outpatient prescription drugs. Subtitle B: Long-Term Care - Establishes requirements for State plans for home and community-based services to individuals with disabilities. Includes among those requirements the following: (1) a prohibition of limiting eligibility of individuals with disabilities based on income, age, geography, severity of disability, residential setting, or other grounds specified by the Secretary; (2) a requirement to serve low-income individuals; (3) a requirement to specify how Federal and State funds will be managed; (4) quality assurance requirements; and (5) reporting requirements. Requires a State to consult with individuals and groups of individuals with disabilities when developing the plan in order to have the plan approved. (Sec. 2103) Defines "individuals with disabilities" to mean any individual within one or more of the following four categories: (1) individuals requiring help with the activities of daily living; (2) individuals with severe cognitive or mental impairment; (3) individuals with severe or profound mental retardation; and (4) severely disabled children. (Sec. 2104) Requires a State plan to specify the services available. Requires each individualized plan to be developed in close consultation with the individual and the individual's family. Prohibits a State plan from covering: (1) room and board; (2) services furnished in a hospital, nursing facility, intermediate care facility for the mentally retarded, or other specified institutional setting; or (3) items or services to the extent coverage is provided for an individual under a health plan or Medicare. (Sec. 2105) Sets forth provisions relating to: (1) cost sharing; (2) quality assurance and safeguards; (3) advisory groups; (4) payments to States; and (5) the total Federal budget for State plans and allotments to States. (Sec. 2301) directs the Secretary, with the advice and assistance of the National Long-Term Care Insurance Advisory Council to promulgate regulations as necessary to implement provisions concerning private long-term care insurance. Directs the Secretary to make appointments to such Council. Authorizes appropriations for such Council. (Sec. 2321) Directs the Secretary, after considering the Council's recommendations to promulgate regulations designed to: (1) standardize formats and terminology used in long-term care policies; (2) require insurers to provide information to customers on the range of public and private long-term care coverage available; and (3) establish other requirements promoting consumer understanding of benefits. (Sec. 2322) Directs the Secretary to promulgate regulations establishing requirements with respect to the terms of and benefits under long-term care policies, which shall include the following requirements that the policy may not: (1) limit coverage based on a preexisting condition, subject to an exception for a six month period; (2) condition eligibility for benefits based on the need or receipt of any other service; (3) condition eligibility for any benefit on any particular diagnosis; (4) condition eligibility for benefits by providers on compliance with requirements not required by State or Federal law; and (5) condition coverage of any service by a provider on the provision of such service at a higher level of care than required by the insured individual. Prohibits discrimination by diagnosis in the treatment of: (1) Alzheimer's disease; (2) any organic or inorganic mental illness; (3) mental retardation or any other cognitive or mental impairment; or (4) HIV infection or AIDS. Sets forth other requirements for such policies, including requirements related to: (1) premiums; (2) sales practices; (3) continuation, renewal, replacement, conversion, and cancellation of policies; and (4) payment of benefits. (Sec. 2342) Provides for grants to States to enforce the Federal standards concerning long-term care policies. Sets forth requirements for receiving such grants. Authorizes appropriations. Prohibits the sale of a long-term care policy in a State without a regulatory program. (Sec. 2361) Authorizes the Secretary to make grants for the development and implementation of long-term care information, counseling, and other programs to: (1) States; (2) regional alliances (at the option of States within which such alliances are located; and (3) national organizations representing insurance consumers, long-term care providers, and insurers. Authorizes appropriations for such grants. (Sec. 2601) Authorizes the Secretary to conduct a demonstration program to test the effectiveness of various approaches to financing and providing integrated acute and long-term care services for the chronically ill and disabled. Sets forth the services and benefits to be provided, including: (1) all benefits of the comprehensive benefit package provided under title I of this Act; (2) transitional benefits, including assessment and home care; (3) long-term care benefits, including adult day care, home-delivered meals, and nursing facility services in specialized care units; and (4) habilitation services. Permits any of the following to be eligible for such services under criteria to be established by the Secretary: (1) individuals with disabilities under a State program; (2) individuals entitled to benefits under the Medicare program; and (3) individuals entitled to Medicaid and who are also either entitled to Medicare or Supplemental Security Income benefits. Requires reports to the Congress on the demonstration program. Title III: Public Health Initiatives - Subtitle A: Workforce Priorities Under Federal Payments - Establishes within the Department of Health and Human Services the National Council on Graduate Medical Education. Directs the National Council to designate for each academic year the number of individuals nationwide who are authorized to be enrolled in each specified approval physician training program for each medical specialty. Sets forth provisions specifying: (1) Federal formula payments to approved physician training programs; (2) application for payments; and (3) amount of payments. (Sec. 3061) Directs the Secretary to carry out a program with respect to graduate nurse training programs that is equivalent to the program for approved physician training programs. Establishes a National Council on Graduate Nurse Education. (Sec. 3071) Authorizes appropriations for the following programs: (1) primary care physician and physician assistant training; (2) training of underrepresented minorities and disadvantaged persons; and (3) nurse training. (Sec. 3072) Authorizes appropriations for the following programs: (1) a program of skill upgrading and occupational retraining for health care workers; (2) a demonstration program to assist workers in health care institutions in obtaining advanced career positions; (3) a program to develop and operate health-worker job banks in local employment services agencies, subject to certain conditions; (4) a program to provide joint labor-management decision-making in the health care sector on workplace matters related to the restructuring of the health care delivery system of this Act; and (5) a program to facilitate the comprehensive workforce adjustment initiative. (Sec. 3073) Directs the Secretary of Health and Human Services and the Secretary of Labor to jointly establish the National Institute for Health Care Workforce Development. States that the Director of the Institute shall make recommendations to the Secretaries regarding: (1) the supply of health care workers; (2) the impact of this Act; and (3) the development and implementation of high-performance, high-quality health care delivery systems. Directs the Secretaries to establish an advisory board to assist in the development of such recommendations. Subtitle B: Academic Health Centers - Directs the Secretary to make payments to a qualified academic health center or qualified teaching hospital in order to assist such eligible institutions with costs that are not routinely incurred by other entities in providing health services, but are incurred by such institutions by virtue of the academic nature of such institutions. States that such costs include: (1) costs resulting from reduced staff productivity due to teaching responsibilities; (2) the uncompensated costs of clinical research; and (3) exceptional costs associated with an institutions specialized expertise. Provides that the funding for such payments will come from transfers from the Federal Hospital Insurance Trust Fund, payments made by regional alliances to the Federal government for academic health centers and graduate medical education, and payments from corporate alliances. (Sec. 3131) Provides for the access of regional and corporate alliance patients to academic health centers. Subtitle C: Health Research Initiatives - Amends the Public Health Service Act to ensure that the National Institutes of Health conducts and supports biomedical and behavioral research on promoting health and preventing diseases, disorders, and other health conditions. Provides for health services research. Authorizes appropriations for such research. Subtitle D: Core Functions of Public Health Programs; National Initiatives Regarding Preventive Health - Authorizes appropriations for the core functions of public health programs and national initiatives regarding health promotion and disease prevention. (Sec. 3312) Authorizes the Secretary to make grants to States to carry out one or more of the following core functions: (1) data collection; (2) activities to protect the environment and to assure the safety of housing, workplaces, and food and water; (3) investigation and control of adverse health conditions; (4) public information and education programs to reduce risks to health such as use of tobacco, alcohol, and drugs, sexual activities that increase the risk of HIV transmission and other sexually transmitted diseases, poor diet, physical inactivity, and low childhood immunization levels; (5) accountability and quality assurance activities; (6) provision of public health laboratory services to complement private clinical laboratory services that screen for diseases and conditions; (7) training and education to assure provision of care by all health professionals; and (8) leadership policy development and administrative activities. (Sec. 3331) Authorizes the Secretary to make grants to agencies of State or local government, private nonprofit organizations, and coalitions that link two or more of these groups for the purpose of carrying out projects to develop and implement innovative community-based strategies to provide for health promotion and disease prevention activities for which there is a significant need. Subtitle E: Health Services for Medically Underserved Populations - Directs the Secretary to make grants to migrant health centers and community health centers, which shall be in addition to other funds available to such centers. Authorizes appropriations. (Sec. 3412) Authorizes appropriations for: (1) grants and contracts for the development of qualified community health plans and practice networks; and (2) loans and guaranteeing the principal and interest to Federal and non-Federal lenders on behalf of public and private entities for the capital costs of developing qualified community health plans and practice networks. (Sec. 3461) Authorizes the Secretary to make grants and enter into contracts with qualified community health groups to provide enabling services such as transportation, community and patient outreach, patient education, and translation services in order to increase the capacity of individuals to utilize the items and services under title I of this Act. Authorizes appropriations. (Sec. 3471) Authorizes appropriations for: (1) the National Health Service Corps; and (2) such amounts as are necessary to ensure that at least 20 percent of participants in the Scholarship Program or the Loan Repayment Program of the Corps are nurses. (Sec. 3481) Entitles a hospital with a low-income utilization rate in a base year of at least 25 percent to a payment as specified. Requires 75 percent of the total available to be allocated to hospitals for low-income assistance. Requires 25 percent of the total available to be allocated to hospitals for assistance in furnishing inpatient hospital services that are not covered services under title I of this Act. Subtitle F: Mental Health; Substance Abuse - Authorizes appropriations to carry out this part. Provides for grants to: (1) increase access to mental health and substance abuse services; (2) improve State and local capacity to coordinate and monitor such services; (3) provide incentives to integrate public and private service systems; and (4) supplement any activity under part B (Alcohol and Drug Abuse and Mental Services Block Grant) of title XIX of the Public Health Service Act. (Sec. 3503) Authorizes the Secretary to make loans for the capital costs incurred in the development of non-acute, residential treatment centers and community-based ambulatory clinics. (Sec. 3521) Requires the establishment of a pilot program demonstrating the integration of the mental illness and substance abuse services of the States with the services included under title I of this Act. Subtitle G: Comprehensive School Health Education; School-Related Health Services - Authorizes appropriations for the programs of this subtitle. States that the purposes of the programs shall be to: (1) support, in kindergarten through grade 12, the provision of comprehensive health educator programs; (2) establish a national framework within which States can create comprehensive school health education programs that target the health risk behaviors of youth, including tobacco use, alcohol and drug abuse, sexual behaviors resulting in infections, injury prevention, dietary patterns, and sedentary lifestyles; (3) pay the initial costs of planning and establishing such programs; (4) support related Federal demonstrations and training; (5) motivate youth to stay in school, avoid teen pregnancy, and strive for success; (6) improve the knowledge of health education among youth; and (7) further the National Education Goals set forth in title I of the Goals 2000: Educate America Act. Defines "comprehensive school health education program." Requires such programs to be sensitive to cultural and ethnic issues, promote involvement by families, and promote personal responsibility. Sets forth requirements for applying for grants and selection of grantees. Subtitle H: Public Health Service Initiative - Establishes a Public Health Service Initiative consisting of specified amounts authorized to be appropriated for the Initiative. States that: (1) the Initiative includes the programs of subtitles C through G of this title and the programs of subtitle D of title VIII; and (2) amounts appropriated to carry out the Initiative, including subtitles A through F of this title, are available to carry out specific programs for which the amounts are appropriated. Subtitle I: Coordination with COBRA Continuation Coverage - Amends title XXII (Requirements for Certain Group Health Plans for Certain State and Local Employees) of the Public Health Service Act to provide for coordination with COBRA continuation coverage. Repeals such title XXII upon implementation of this Act. Title IV: Medicare and Medicaid - Subtitle A: Medicare and the Alliance System - Amends title XVIII of the Social Security Act to provide for optional State integration of Medicare beneficiaries into regional alliance plans. (Sec. 4002) Allows individuals to elect to remain in certain plans. (Sec. 4003) Provides for payments to regional alliances on behalf of certain Medicare-eligible individuals. (Sec. 4004) Extends protections for working aged and disabled individuals to group health plans of all employers. Repeals the limitation on the period of protection for individuals with end stage renal disease. Prohibits Medicare payment for items and services provided under any health plan under this Act. Simplifies Medicare benefit coordination in cases where the individual is also eligible for benefits under this Act's health plans. (Sec. 4011) Makes various changes concerning eligible organization and Medicare supplemental policy enrollment and comparative informational materials, eligible organization outlier payments, and participating provider point-of-service networks. (Sec. 4022) Provides for expanded Medicare coverage for physician assistant, nurse practitioner, and clinical nurse specialist services. (Sec. 4031) Amends title XI of the Social Security Act to: (1) provide for termination of the separate Medicare peer review program upon adoption of the National Quality Management Program above under subtitle A of title V of this Act; and (2) repeal provisions on surgical procedure review and second opinions. (Sec. 4032) Amends title XVIII of the Social Security Act to provide for mandatory assignment for all Medicare part B services. (Sec. 4033) Directs the Secretary of Health and Human Services to take such steps as may be necessary to consolidate administration of Medicare parts A and B and supersedes certain conflicting requirements to the extent required to achieve such purpose. (Sec. 4035) Prohibits the Secretary from implementing any change in procedures for billing and processing Medicare claims within six months of implementing any previous change. Adds advanced notification to providers as a requirement for carriers and fiscal intermediaries under Medicare. (Sec. 4041) Amends title XI of the Social Security Act to: (1) provide for civil monetary penalties for kickback violations under Medicare and State health care programs (the programs); (2) make other penalty-related changes, including increases in criminal and civil monetary penalties, a new criminal penalty exception for certain providers, additional civil monetary penalty offenses related to alliance systems, and requirements for the deposit of penalties collected into the All-Payer Account established above under title V of this Act; (3) revise exclusion provisions, with changes establishing a minimum period of exclusion for certain individuals and entities subject to permissive exclusion from the programs, and providing for program exclusions based on actions under alliance systems; and (4) modify sanction provisions, with changes removing certain conditions for imposing sanctions and setting specified civil money penalties for use in lieu of authorized sanctions. (Sec. 4042) Amends title XVIII of the Social Security Act to revise the limitations on physician self-referrals. (Sec. 4051) Provides for the termination of payments under Medicare for medical education costs and directs the Secretary to make specified transfers from certain Medicare trust funds to the new accounts established above for funding physician training programs and academic health centers. (Sec. 4061) Amends title XVIII of the Social Security Act to provide for the treatment of: (1) uniformed services and VA health plans as eligible organizations under Medicare; and (2) health care facilities of the Department of Veterans Affairs as providers under Medicare. Subtitle B: Savings in Medicare Program - Amends title XVIII of the Social Security Act to provide for: (1) reductions in the update for inpatient hospital services and the adjustment for indirect medical education costs, in payments for capital-related costs for inpatient hospital services; (2) revisions to payment adjustments for disproportionate share hospitals in States participating under this Act; and (3) an extension of the freeze on updates to routine service costs of skilled nursing facilities. (Sec. 4111) Amends title XVIII of the Social Security Act to provide for: (1) establishment of cumulative expenditure goals for physician services; (2) use of real gross domestic product for volume adjustments; (3) repeal of restrictions on the maximum reduction permitted in default update; (4) reduction in the conversion factor for the physician fee schedule for 1995; (5) place limitations on payment for physicians' services furnished by high-cost hospital medical staffs; (6) requirements for physicians to identify the hospital at which the service was furnished; (7) an increase in practice expense relative value units for certain services while assuring budget neutrality; (8) a study and report to the Congress by the Secretary on a resource-based system for determining practice expense relative value units for each physician's service; (9) an increase in work relative value units for office visits while assuring budget neutrality; (10) a reduction in relative values for office consultations; (11) adjustment of outlier intensity of relative values; (12) changes in underserved area bonus payments; (13) elimination of formula-driven payments for certain outpatient hospital services; (14) copayments for laboratory services; and (15) competitive acquisition procedures for Medicare part B items and services (including clinical diagnostic laboratory tests). (Sec. 4131) Makes changes with respect to: (1) Medicare as secondary payer; (2) payments for health maintenance organizations and competitive medical plans with risk-sharing contracts; and (3) routine cost limits and copayments for, respectively, home health services and visits. (Sec 4135) Directs the Secretary to use a competitive process to contract with centers of excellence for cataract surgery, coronary artery by-pass surgery, and such other services as the Secretary determines to be appropriate. (Sec. 4141) Amends title XVIII of the Social Security Act to revise Medicare part B premium provisions. (Sec. 4151) Requires the Secretary to submit a report to the Congress on the growth in spending under Medicare for FY 2000 through 2003. Subtitle C: Medicaid - Amends title XIX (Medicaid) of the Social Security Act to provide that if a State Medicaid plan provides for payment to regional alliances of the amounts required above it is not required to provide payment for items and services covered under the comprehensive benefit package for alliance eligible individuals and will receive no Federal financial assistance with respect to such items and services. (Sec. 4211) Provides for: (1) spenddown eligibility and increased income and resource disregard for nursing facility residents; and (2) informing such residents about the availability of assistance for home and community-based services. (Sec. 4221) Provides for: (1) treatment of items and services not covered under the comprehensive benefit package; and (2) establishment of a program under Medicare of noncovered items and services for poor children. (Sec. 4231) Discontinues certain payment policies under Medicaid. (Sec. 4241) Limits the frequency of changes in a State's billing and claims processing system, and provides for advance notification to providers of any major billing change. (Sec. 4251) Establishes the Medicaid Commission to study, report, and make recommendations with respect to options involving block grant use, integration of long-term care services, and consolidation of institutional and home- and community-based long-term care in relation to the Medicaid program. Authorizes appropriations. Subtitle D: Increase in SSI Personal Needs Allowance - Amends title XVI (Supplemental Security Income) (SSI) to provide for an increase in the SSI personal needs allowance. Title V: Quality and Consumer Protection - Subtitle A: Quality Management and Improvement - Requires the National Health Board to establish and oversee a performance-based program of quality management and improvement designed to enhance the quality, appropriateness, and effectiveness of heath care services and access to such services which will be called the National Quality Management Program. (Sec. 5002) Establishes the National Quality Management Council which shall: (1) administer the National Quality Management Program; (2) perform any other duty specified in this subtitle; and (3) advise the National Health Board with respect to its duties under this subtitle. Requires the Council to develop a set of national measures of quality performance to be used in the assessment of and the provision of access to health care services. Requires the Council, in addition, to: (1) recommend to the Board establishing goals for performance by health plans and health care providers on a subset of national measures of quality performance; (2) direct the Administrator for Health Care Policy and Research to develop, review, and disseminate practice guidelines to determine how diseases can most effectively be prevented, diagnosed, treated, and managed; and (3) direct the Administrator for Health Care Policy and Research to support research related to a five year priority list of performance measures. (Sec. 5008) Directs the National Health Board to: (1) establish and oversee regional professional foundations to perform such duties as develop lifetime learning programs for health professionals and conduct research on health care quality; and (2) establish the National Quality Consortium to perform such duties as establishing continuing education for health professionals and provide advice on research priorities. (Sec. 5012) Requires each regional alliance and each corporate alliance to: (1) disseminate specified information to consumers; and (2) ensure that performance and quality standards are continually improved. Subtitle B: Information Systems, Privacy, and Administrative Simplification - Directs the National Health Board to develop and implement a health information system, in consultation with Federal agencies, States, employers, health plans, and others, by which the Board shall collect, report, and regulate the collection and dissemination of health care information which shall be used for: (1) health care planning by Federal, State, and local government; (2) establishing and monitoring payments for health services; (3) assessing and improving the quality of health care; (4) managing and containing costs at the alliance and plan levels; and (5) other specified purposes. Requires the establishment of an electronic data network to collect, compile, and transmit information. (Sec. 5120) Sets forth provisions providing for health information privacy standards. (Sec. 5130) Directs the National Health Board to develop the following standard health care benefit forms: (1) an enrollment and disenrollment form; (2) a clinical encounter record; and (3) a claim form. (Sec. 5140) Establishes the National Privacy and Health Data Advisory Council in order to advise the National Health Board with respect to its duties under this subtitle. (Sec. 5141) Sets forth monetary penalties for violating health information system standards. Subtitle C: Remedies and Enforcement - Sets forth provisions with respect to the review of benefit determinations for enrolled individuals, including provisions: (1) regulating the time limits for notice of disposition of a claim; (2) governing a plan's duty to review claim denials; (3) concerning urgent requests for preauthorization; and (4) concerning other time limits with respect to time limits and notice. (Sec. 5202) Requires each State to establish a complaint review office for each regional alliance established by a State. Permits aggrieved individuals to file complaints with the appropriate review office. (Sec. 5205) Provides for a Federal Health Plan Review Board to review the decisions of complaint review office hearing officers. (Sec. 5207) Sets monetary penalties for a plan which unreasonably denies or delays payment or provision of benefits. (Sec. 5211) Directs each State to establish and maintain an Early Resolution Program in each complaint review office. Requires a program to include: (1) forums for mediation disputes; and (2) other forums of alternative dispute resolution as may be prescribed. Establishes guidelines for the eligibility of cases for submission to the Early Resolution Program. States that conclusions of the mediation proceedings shall be treated as nonbinding and shall not affect any rights to review. (Sec. 5231) Sets forth additional remedies and enforcement provisions. Subtitle D: Medical Malpractice - Prohibits any medical malpractice liability action until the final resolution of the claim under alternative dispute resolution. Requires each regional alliance health plan and corporate alliance health plan to adopt at least one specified method of alternative dispute resolution. Prohibits an individual from bringing a medical malpractice liability action unless the individual submits an affidavit that includes a report by a qualified specialist that states that there is a meritorious cause for filing the action. (Sec. 5311) Directs the Secretary to establish: (1) a project to demonstrate whether substituting liability for medical malpractice on the part of the health plan in which a physician participates for the personal liability of the physician will result in improvements in the quality of care, reductions in defense medical practices, and better risk management; (2) a pilot program under which the Secretary provides funds to one or more eligible States to determine the effect of applying practice guidelines in the resolution of medical malpractice liability actions. Subtitle E: Fraud and Abuse - Directs the Secretary and the Attorney General to establish a program: (1) to coordinate the functions of the Attorney General, the Secretary, and other organizations with respect to the prevention, detection, and control of health care fraud and abuse; (2) to conduct investigations, audits, evaluations, and inspections relating to the delivery of and payment for health care; and (3) to facilitate the enforcement of this and other statutes applicable to health care fraud. (Sec. 5402) Creates, in the Treasury, the All-Payer Health Care Fraud and Abuse Control Account which shall consist of: (1) gifts and bequests; (2) administrative penalties and assessments and portions of civil monetary penalties imposed under provisions of the Social Security Act; (3) all criminal fines imposed in cases involving a Federal health care offense; (4) penalties imposed under the False Claims Act involving claims related to the provision of health care items and services; and (5) amounts resulting from the forfeiture of property by reason of Federal health care offense. States that amounts in the fund may be used to cover costs incurred in operating the Program. (Sec. 5411) Excludes from participation in any health plan any individual or entity excluded from participation in a public program under provisions of the Social Security Act. (Sec. 5413) Sets forth physician self-referral limitations. (Sec. 5431) Amends the Federal criminal code to set penalties for knowingly executing a scheme or artifice to: (1) defraud any health alliance, health plan, or other person (alliance) in connection with the delivery of, or payment for, health care benefits, items, or services (benefits); and (2) obtain, by false or fraudulent means, money or property owned by, or under the custody of control of, any such alliance in connection with the delivery of, or payment for, health care benefits. (Sec. 5432) Amends: (1) the Federal criminal code to require the court, in imposing sentence on a person convicted of a Federal health care offense that poses a serious threat to the health of any person or has a significant detrimental impact on the health care system, to order such person to forfeit property used in the commission of the offense or that constitutes, or is derived from, proceeds traceable to the commission of the offense which is of a value proportionate to the seriousness of the offense; and (2) the Federal judicial code to require that all proceeds of forfeiture relating to Federal health care offenses be deposited into the Department of Justice Assets Forfeiture Fund. (Sec. 5433) Amends the Federal criminal code to set penalties for: (1) knowingly and willfully falsifying, concealing, or covering up a material fact, making any false, fictitious, or fraudulent statements or representations, or making or using any false writing or document knowing it to contain any false, fictitious, or fraudulent statement or entry, in any matter involving a health alliance or health plan; and (2) bribery of, and graft by, a health care official. (Sec. 5435) Authorizes: (1) the Attorney General to commence a civil action in Federal court to enjoin a Federal health care offense; and (2) a person privy to certain grand jury information concerning a health law violation to disclose that information to an attorney for the Government to use in any civil proceeding related to a Federal health care offense. (Sec. 5437) Sets penalties for: (1) theft or embezzlement in connection with a health alliance, health plan, or fund connected with such alliance or plan; and (2) misuse of a health security card issued, or unique identifier provided, pursuant to this Act. (Sec. 5441) Makes provisions of the Civil False Claims Act applicable to the use of false records or statements made to a health plan. Includes within the definition of "claim" for purposes of such Act any request or demand for money or property which is made or presented to a health plan. Subtitle F: McCarran-Ferguson Reform - Amends the McCarran-Ferguson Act to repeal the exemption under specified antitrust laws for the business of insurance to the extent that such business relates to the provision of health benefits. Title VI: Premium Caps; Premium-Based Financing; and Plan Payments - Subtitle A: Premium Caps - Sets forth provisions which provide for the computation of factors that limit the growth of premiums for the comprehensive benefit package in regional alliance health plans, including the computation of a: (1) regional alliance inflation factor; and (2) general health care inflation factor. (Sec. 6002) Directs the Board to determine: (1) a national per capita baseline premium target; (2) the national average per capita current coverage health expenditures; and (3) current health care expenditures. (Sec. 6003) Directs the Board to determine a regional alliance per capita premium. (Sec. 6004) Requires a regional alliance to annually obtain premium bids from each plan seeking to participate as a regional alliance health plan with respect to the alliance. (Sec. 6005) Permits any participating State to assume responsibility for containment of health care expenditures in the State consistent with this Act. (Sec. 6006) Directs the chair of the Board to establish an advisory commission on regional variations in health expenditures. Requires the commission to examine methods of eliminating variation in regional alliance per capita premium targets due to variation in practice patterns, not due to other factors. Requires the Board to submit its recommendations to the Congress. Requires such recommendations to apply unless a joint resolution of disapproval is passed. (Sec. 6011) Subjects each noncomplying regional alliance health plan for a year to a reduction in plan payment as specified, in order to assure that payments to regional alliance health plans by a regional alliance are consistent. Defines a noncomplying plan to include a plan in which the final accepted bid exceeds the maximum complying bid for the per capita target premium. Defines "maximum complying bid." (Sec. 6021) Directs the Board to develop a methodology for calculating an annual per capita expenditure equivalent for amounts paid for coverage for the comprehensive benefit package within a corporate alliance. (Sec. 6022) Terminates a corporate alliance with two excess years in a three year period. Provides that employers that were corporate alliance employers with respect to a terminated alliance shall become regional alliance employers. Defines an excess year as one in which the rate of increase for the corporate alliance exceeds the national corporate inflation factor. Defines rate of increase and national corporate inflation factor. (Sec. 6031) Sets forth special rules for a single-payer State. (Sec. 6041) Directs the Secretary to establish a program to monitor prices and expenditures in the U.S. health care system. Subtitle B: Premium-Related Financings - Makes each family enrolled in a regional health alliance plan or in a corporate alliance health plan in a class of family enrollment responsible for payment of the family share of premium payable for enrollment. Provides for income related discounts and specified credits. (Sec. 6102) Establishes the formula for determining the premiums. (Sec. 6111) Provides for the repayment of credit by certain families. (Sec. 6114) Provides for the special treatment of certain retirees and qualified spouses and children. (Sec. 6121) Requires each regional alliance employer to pay a monthly premium to the regional alliance for a qualifying employee. Sets forth provisions for determining such premium. Varies the premium depending upon such factors as the employer's size and average wages paid. (Sec. 6126) Sets forth provisions applicable to self-employed individuals. (Sec. 6131) Sets forth provisions for determining the corporate employer premium. Subtitle C: Payments to Regional Alliance Health Plans - Sets forth provisions to determine the computation of: (1) the blended plan per capita payment amount; and (2) the plan bid, AFDC, and SSI proportions. Title VII: Revenue Provisions - Subtitle A: Financing Provisions - Amends the Internal Revenue Code to increase the excise taxes on cigarettes and other tobacco products. (Sec. 7113) Imposes an excise tax on the manufacture or importation of roll-your-own tobacco. (Sec. 7121) Imposes an assessment on each corporate alliance employer and a temporary assessment on employers with retiree health benefit costs. Requires such assessments to be paid in the same manner as employment taxes. (Sec. 7131) Provides for the recapture of certain health care subsidies received by high-income individuals. Transfers such amounts to the Supplemental Medical Insurance Trust Fund. (Sec. 7141) Requires certain shareholders of S corporations and limited partners who materially participate in corporate activities to include their share of income or loss from such corporation when determining net earnings from self-employment. (Sec. 7142) Provides for extending Medicare coverage and applying the hospital insurance tax to all State and local government employees. Subtitle B: Tax Treatment of Employer-Provided Health Care - Provides exceptions to the exclusion of employer-provided contributions to an accident or health plan from the gross income of an employee. (Sec. 7202) Prohibits the provision of health benefit under cafeteria plans. (Sec. 7203) Makes permanent the deduction for health insurance costs of self-employed individuals. Increases such deduction to 100 percent of the basic coverage purchased from a health alliance with limitations. Subtitle C: Employment Status Provisions - Requires the Secretary of the Treasury to prescribe regulations defining an employee for employment tax purposes. (Sec. 7302) Increases the penalty for failure to file correct returns involving payments for services. (Sec. 7303) Sets forth rules to limit retroactive employment tax reclassifications. Subtitle D: Tax Treatment of Funding of Retiree Health Benefits - Requires additional reserves for post-retirement medical and life insurance benefits to cover not less than ten years of the working lives of covered employees and to be maintained as separate accounts. (Sec. 7402) Terminates the authority of pension plans to maintain health benefits accounts. Subtitle E: Coordination with COBRA Continuing Care Provisions - Repeals provisions concerning continuation coverage requirements of group health plans upon implementation of this Act. Subtitle F: Tax Treatment of Organizations Providing Health Care Services and Related Organizations - Provides for the tax treatment of charitable organizations providing health care services, insurance provided by health maintenance organizations, and certain private foundations. (Sec. 7602) Sets forth transitional rules for taxing certain organizations providing health insurance and other prepaid health care services as insurance companies other than life insurance companies. (Sec. 7603) Exempts regional alliances from income tax. Subtitle G: Tax Treatment of Long-term Care Insurance and Services - Treats qualified long-term care services as medical care for purposes of the medical expense deduction. (Sec. 7702) Provides for the treatment of long-term care insurance as accident and health insurance. (Sec. 7703) Allows accelerated death benefits under life insurance contracts to be paid to terminally ill individuals. Subtitle H: Tax Incentives for Health Service Providers - Allows a tax credit for certain qualified individuals who provide primary health services full time in a health professional shortage area. (Sec. 7802) Increases the allowable depreciation deduction for expensing certain medical equipment. Subtitle I: Miscellaneous Provisions - Allows a tax credit for the cost of personal assistance services required by an employed individual who for medical reasons is unable to engage in substantial gainful activity. (Sec. 7902) Denies tax-exempt status for private activity bonds of regional alliances, corporate alliances, or guaranty funds established under this Act. Title VIII: Health and Health-Related Programs of the Federal Government - Subtitle A: Military Health Care Reform - Directs the Secretary of Defense to establish one or more uniformed services health plans in order to provide health care services to members of the armed forces on active duty for 30 or more days as well as their covered beneficiaries. Requires conformity of such plans with health plan requirements set forth in this Act. (Sec. 8001b) Allows any such plan to rely upon the use of military health care facilities, supplemented by civilian health care providers or health plans under agreements entered into by the Secretary. Requires at least the items and services in the comprehensive benefit package under this Act to be included in each such plan. Preempts any conflicting State health plan requirements. Provides for plan enrollment, effect of failure to enroll, and choosing between a uniformed services health plan and other available plans. Prohibits the imposition of plan charges to an active-duty member other than subsistence charges, but allows the Secretary to impose limited charges for covered beneficiaries. Establishes in the Department of Defense a financial account for payments received in connection with a uniformed services health plan, allowing such funds to be used only for purposes directly related to the delivery and financing of health care services under this Subtitle. Subtitle B: Department of Veterans Affairs - Allows each veteran who is an eligible individual under this Act and individuals currently enrolled in a health plan under the Civilian Health and Medical Program of the Uniformed Services (CHAMPUS) to be enrolled with a Department of Veterans Affairs (VA) health plan. Requires conformity of such plans with health plan requirements set forth in this Act, with all the items and services of the comprehensive benefit package under this Act included. Allows such plans to offer supplemental health benefits and cost-sharing policies as consistent with this Act. Provides a limitation with regard to veterans enrolled with health plans outside the VA. Prohibits the imposition of any plan enrollment charges upon service-connected disabled veterans, veterans receiving disability compensation from the VA, former prisoners of war, and veterans unable to defray the costs of such care. Allows the Secretary of Veterans Affairs to establish plan charges for other veterans. Deems a VA facility to be a Medicare provider for purposes of any program administered by the Secretary of Health and Human Services. Allows for the recovery of certain care and services provided under a VA plan in the case of an individual who has coverage under another plan. Establishes in the Treasury the Department of Veterans Affairs Health Plan Fund to be used for VA health plan payments and services. Preserves existing benefits for VA facilities not operating within a health plan certified under this Act. (Sec. 8102) Directs the Secretary of Veterans Affairs to organize health plans and operate VA facilities as, or within, health plans under this Act. Preempts existing State health plan standards or requirements. Authorizes the Secretary to contract for the provision of services by a VA health plan when cost-effective, or to share resources with other health care plans, providers, or organizations. Authorizes appropriations to the VA for FY 1995 through 1997 for VA health plans under this Subtitle, subject to availability of appropriations. Requires a report from the Secretary to the Congress concerning the operation of the VA health care system within the requirements of this Act. Authorizes the Secretary to accept and use grants for health care services provided to special populations if used by the VA while operating under a VA health plan. Subtitle C: Federal Employees Health Benefits Programs - (Secs. 8202 through 8204) Provides for termination of the Federal Employees Health Benefits Program (FEHB) and treatment of Federal employees, annuitants, and other individuals (including those residing abroad) who would otherwise have been eligible for FEHBP under this Act's health plans. Subtitle D: Indian Health Service - Makes qualifying Indians eligible to enroll in a comprehensive benefits health program of the Indian Health Service. (Sec. 8303) Authorizes appropriations for supplemental Indian health care benefits. (Sec. 8305) Exempts tribal governments and organizations from making employer payments. (Sec. 8306) Sets forth provisions regarding health service to non-enrollees and non-Indians. (Sec. 8311) Requires each health program of the Indian Health Service to establish a comprehensive benefit package fund. (Sec. 8313) Authorizes appropriations for the Indian Health Service programs. Subtitle E: Amendments to the Employee Retirement Income Security Act of 1974 - Amends the Employee Retirement Income Security Act of 1974 (ERISA) to revise and limit the coverage of group health plans under ERISA. Makes certain ERISA provisions inapplicable with respect to State-certified health plans. Provides for an exception from ERISA civil action provisions where review is otherwise available under the Health Security Act (this Act, HSA). (Sec. 8402) Establishes ERISA requirements for expeditious reporting and disclosure applicable to group health plans, through special rules consistent with ERISA and HSA purposes. Excludes plans maintained by regional alliances from treatment as multiple employer welfare arrangements. (Sec. 8403) Revises certain ERISA provisions relating to continuation coverage under group health plans. Repeals such provisions upon implementation of HSA. (Sec. 8404) Makes ERISA standards for group health plans regarding: (1) cases of adoption applicable except to the extent otherwise provided in regulations of the National Health Board under HSA; and (2) coverage of pediatric vaccines inapplicable to a group health plan upon its becoming a corporate alliance health plan under HSA. (Sec. 8405) Requires group health plans under ERISA to comply with HSA requirements relating to health plan claims procedure. Subtitle F: Special Fund for WIC Program - Authorizes appropriations through FY 2000 for the special supplemental food program for women, infants, and children under the Child Nutrition Act of 1966. Title IX: Aggregate Government Payments - Subtitle A: Aggregate State Payments - Sets forth provisions which have formulas for determining each participating State's payment to regional alliances within the State. Provides two different formulas. Establishes one payment formula for non-cash assistance recipients. Establishes another formula relating to cash assistance recipients. Defines a non-cash assistance adult as an individual who is: (1) over 21 years; (2) a U.S. citizen or lawful alien; and (3) is not an AFDC or SSI recipient or a Medicare-eligible individual. (Sec. 9022) Directs the National Health Board to review appropriateness of such payments. Subtitle B: Aggregate Federal Alliance Payments - Sets forth the formula for determining Federal payments to regional alliances for cash assistance recipients. (Sec. 9102) States that this section constitutes budget authority in advance of appropriation Acts and obligates the Federal Government to provide for the payment to regional alliances of a capped Federal alliance payment amount. Defines "capped Federal alliance payment amount." Subtitle C: Borrowing Authority to Cover Cash-flow Shortfalls - Authorizes the Secretary to make available loans to regional alliances to cover any period of temporary cash-flow shortfall attributable to: (1) any estimation discrepancy; (2) a period of temporary cash-flow shortfall attributable to an administrative error; or (3) a period of temporary cash-flow shortfall relating to the relative timing during the year in which amounts are received and payments are required. Sets forth loan terms and conditions. Title X: Coordination of Medical Portion of Workers Compensation and Automobile Insurance - Subtitle A: Workers Compensation Insurance - Requires each health plan that provides services to enrollees through participating providers to make arrangements to provide workers compensation to such enrollees. (Sec. 10002) Requires each workers' compensation carrier that is liable for payment for workers' compensation services furnished by or through a health plan, regardless of whether or not the services are included in the comprehensive benefit package, to make payment for such services. (Sec. 10011) Sets forth requirements for participating States. (Sec. 10031) Authorizes demonstration projects in one or more States with respect to the treatment of work-related injuries and illnesses. Subtitle B: Automobile Insurance - Requires an individual entitled to automobile insurance medical benefits and enrolled in a health plan to receive automobile insurance medical services through the provision of such services by the health plan. (Sec. 10102) Requires each automobile insurance carrier that is liable for payment for automobile insurance medical services furnished by or through a health plan, regardless of whether or not the services are included in the comprehensive benefit package, to make payment for such services. (Sec. 10111) Requires each participating State to develop a fee schedule applicable to payment for automobile insurance medical services for which a fee is not included in the applicable fee schedule. Subtitle C: Commission on Integration of Health Benefits - Establishes the Commission on Integration of Health Benefits which shall study and report on the feasibility and appropriateness of transferring financial responsibility for all medical benefits, including those currently covered by workers compensation and automobile insurance, to health plans. Authorizes appropriations. Subtitle D: Federal Employees' Compensation Act - Requires the Federal Employees' Compensation Act to be interpreted and administered consistent with the provisions of subtitle A. Subtitle E: Davis-Bacon Act and Service Contract Act - Amends the Davis-Bacon Act and the Service Contract Act of 1965 to require Health Security Act benefits. Subtitle F: Effective Dates - Sets forth effective date provisions. Title XI: Transitional Insurance Reform - Sets forth transitional provisions concerning: (1) enforcement; (2) preservation of current coverage; (3) restrictions on premium increases during transition; (4) portability requirements; (5) restrictions limiting benefit reductions; and (6) the establishment of the National Transitional Health Insurance Risk Pool.
United States · United States Congress · 19 November 1993
Environmental Professionals Training and Certification Act of 1993 - Directs the Administrator of the Environmental Protection Agency to: (1) establish an Environmental Certification Board; and (2) issue regulations, based on the Board's recommendations, that establish minimum standards regulating environmental training and certification organizations for environmental professionals performing Phase I Environmental Site Assessments. Defines a "Phase I Environmental Site Assessment" as a process by which a person determines whether a parcel of real property is subject to recognized environmental conditions which indicate the likely presence of a hazardous substance or petroleum product and the likely release into the ground, groundwater, or surface water. Provides for approval of an organization if it meets minimum standards for curriculum, program, facilities, training, and certification methods. Makes such approval valid for up to five years. Bars unapproved organizations from issuing degrees signifying that a recipient is a certified environmental site assessor or qualified to perform a Phase I Environmental Site Assessment. Prescribes civil penalties for such violation. Authorizes appropriations.
United States · United States Congress · 10 November 1993
Great Falls Preservation and Redevelopment Act of 1993 - Establishes the Great Falls Historic District in Paterson, New Jersey, to be administered by the Secretary of the Interior. Authorizes the Secretary to enter into cooperative agreements with: (1) nonprofit entities for the purchase of property or easements, emergency stabilization, and the establishment of a coordinated fund to carry out this Act; (2) property owners for the preservation and interpretation of properties of historical or cultural significance; and (3) the State of New Jersey for rescue, firefighting, and law enforcement services in the District. Authorizes appropriations.
United States · United States Congress · 10 November 1993
United States Military Academy Bicentennial Commemorative Coin Act of 1993 - Directs the Secretary of the Treasury to issue five-dollar gold coins, one-dollar silver coins, and half dollar clad coins emblematic of the U.S. Military Academy. Mandates that surcharges collected from coin sales be paid to the Association of Graduates, U.S. Military Academy, to assist its efforts to provide direct support to the Corps of Cadets, U.S. Military Academy.
United States · United States Congress · 3 November 1993
Establishes within the Department of the Interior the Presidio Corporation to manage the leasing, maintenance, rehabilitation, repair, and improvement of the following properties within the Presidio in California leaseholds to which shall be transferred under this Act to the Corporation by the Secretary of the Interior: (1) the Letterman-LAIR complex; (2) Fort Scott; (3) Main Post; (4) Cavalry Stables; (5) Presidio Hill; (6) Wherry Housing; (7) East Housing; (8) the structures at Crissy Field; and (9) such other buildings within the Presidio as the Secretary determines appropriate. Requires the Corporation to establish competitive bidding procedures for issuance of leases and contracts under this Act. Reverts all interests and assets of the Corporation to the United States in the event the Corporation fails or defaults. Authorizes appropriations.
United States · United States Congress · 3 November 1993
Smoke-Free Environment Act of 1993 - Amends the Public Health Service Act to add a new title on smoke free environments. Requires the responsible entity for each public facility to adopt, implement, and post a policy prohibiting smoking in the facility and on facility property in the immediate vicinity of the facility's entrance. Allows designated smoking areas if: (1) the area is ventilated to exhaust directly to the outside; and (2) nonsmoking individuals do not have to enter the area for any purpose. Allows enforcement actions by any aggrieved person, any State or local government agency, or the Administrator of the Environmental Protection Agency. Provides for civil monetary penalties.
United States · United States Congress · 3 November 1993
Amends the Food Stamp Act of 1977 to redefine "retail food store" for purposes of food stamp program (program) eligibility as a store that sells food for home preparation and consumption and: (1) has 50 percent of its total sales volume in staple foods (as defined by this Act); or (2) offers on a continuous basis food in each of four staple food categories, including sales of perishable foods in at least two of such categories. Permits the use of program application information by Federal or State enforcement authorities and establishes fine and imprisonment penalties for information misuse. Directs the Secretary of Agriculture to use specified funds for demonstration projects aimed at coupon trafficking.
United States · United States Congress · 3 November 1993
Juvenile Firearm Regulation Act of 1993 - Amends the Federal criminal code to prohibit the transfer of a firearm or ammunition to an individual under age 18, unless a parent or legal guardian has consented to the transfer. Prohibits a juvenile from possessing a firearm or ammunition, except with respect to a juvenile: (1) who is under the supervision of an adult who is not prohibited by Federal, State, or local law from possessing a firearm; or (2) while engaged in a course of instruction or in hunting, target shooting, or other sporting activities, or while transporting the firearm or ammunition to or from the site of such activities, to the extent that the possession is specifically authorized by or under State law. Sets penalties for violations of this Act. Limits to six months the maximum term of imprisonment that would be authorized if a juvenile had been tried and convicted as an adult where the juvenile was found to be delinquent by reason of a violation of the prohibition against the unsupervised and unauthorized possession of a firearm or ammunition.
United States · United States Congress · 28 October 1993
Family Violence Prevention Act - Amends the Family Violence Prevention and Services Act to require: (1) State demonstration grant applications to contain a plan to address the needs of specified underserved populations; (2) State grantees to file performance reports as a prerequisite for funding; and (3) the Secretary of Health and Human Services to delegate to the Secretary of Education the power to implement and evaluate model programs to educate young people about domestic violence and violence among intimate partners and to transmit an evaluation of those plans to relevant congressional committees for review. Authorizes appropriations.
United States · United States Congress · 27 October 1993
Safe Drinking Water Act Amendments of 1993 - Amends the Safe Drinking Water Act to require the Administrator of the Environmental Protection Agency, in the case of specified contaminants listed in the Federal Register for which national primary drinking water regulations have not been promulgated, to: (1) publish maximum contaminant level goals and promulgate such regulations for those contaminants that occur in drinking water and are of public health concern; and (2) eliminate monitoring, compliance, and enforcement requirements for those contaminants that do not occur in drinking water at levels of public health concern. (Current law requires the promulgation of such goals and regulations for specified numbers of such contaminants by certain dates.) Directs the Administrator to promulgate such goals and regulations for new contaminants every five years. Requires the Administrator to establish in each national primary drinking water regulation best technology treatment techniques for public water systems serving fewer than 1,000, between 1,000 and 10,000, and more than 10,000 people, respectively. Directs the Administrator to promulgate national primary drinking water regulations for radionuclides, disinfection and corrosion byproducts, and sulfate. Revises provisions concerning variances from national drinking water regulations to permit the issuance of a variance by a State only if the water system cannot afford to install the best available technology to meet the maximum contaminant level and it is not feasible for the system to connect with another source of water that will meet the standards. Requires variances to be reviewed by the State at least every three years. Repeals provisions that authorize States to exempt public water systems from requirements respecting maximum contaminant levels or treatment techniques. Prohibits treated drinking water from being removed from a public water system or routed through any device or pipes outside the system and returned to the system. Includes such action in the definition of "tampering," a violation for which criminal penalties are imposed. Makes such prohibition inapplicable to pipes and devices totally within the control of one or more public water systems or to connections between water mains. Requires (currently, authorizes) the Administrator to conduct research relating to diseases and other impairments resulting from contaminants in drinking water or to the provision of a safe supply of drinking water. Authorizes appropriations. Extends the authorization of appropriations for grants for State public water system supervision programs. Requires the Administrator to promulgate revised regulations every five years that list up to 30 unregulated contaminants to be monitored by public water systems. Directs the Administrator to assemble a national drinking water occurrence data base to include information on the occurrence of regulated and unregulated contaminants.
United States · United States Congress · 27 October 1993
Higher Education Technical Amendments of 1993 - Amends the Higher Education Act of 1965 to make certain technical corrections and conforming amendments.
United States · United States Congress · 27 October 1993
Depository Institution Mutual Fund Sales Act - Amends the Federal Deposit Insurance Act to provide that an insured depository institution shall require a registered investment company conducting business on its premises to disclose in writing to prospective clients that the securities are not deposits and are not insured by the Federal Deposit Insurance Corporation or the Federal Government. Mandates that such disclosures also be included in any advertising and promotional materials issued by the depository institution with respect to such securities.
United States · United States Congress · 26 October 1993
Guam and the Northern Marianas Commemorative Coin Act - Directs the Secretary of the Treasury to issue one-dollar coins emblematic of the American forces that liberated Guam and the Northern Mariana Islands in World War II. Requires payment of surcharges received from the coin sales to the Secretary of the Interior to construct a visitors center and museum at: (1) the War in the Pacific National Historical Park on Guam; and (2) the American Memorial Park on Saipan.
United States · United States Congress · 26 October 1993
Driver's Privacy Protection Act of 1993 - Amends the Federal criminal code to prohibit disclosure of personal information derived from an individual's motor vehicle records to anyone other than that individual. Makes exceptions for use: (1) by any Federal or State court or agency in carrying out its functions; (2) in connection with matters of automobile and driver safety; (3) in the normal course of business by a legitimate business, in research activities, and in marketing activities (subject to specified limitations); (4) in any civil or criminal proceeding in any Federal or State court; and (5) by any insurer in connection with claims investigation or antifraud activities. Permits reselling the personal information for a permissible use under specified circumstances. Requires each State to establish and carry out procedures under which: (1) an individual to whom the information pertains may authorize its disclosure; and (2) a State motor vehicle department may enter into an agreement with any business based upon a certification that the business has consent from the individual to obtain the requested personal information. Prohibits: (1) knowingly obtaining or using personal information, derived from a motor vehicle record, for any impermissible purpose; and (2) making a false representation to obtain or use any such information. Sets penalties and remedies for willful and nonwillful violations by non-governmental entities and by governmental entities.
United States · United States Congress · 26 October 1993
Ballast Water Control Act - Directs the Secretary of Transportation to study ballast water technologies that prevent aquatic nonindigenous species from being introduced and spread through ballast water in the Great Lakes and other U.S. waters. Requires the Secretary, based on such study, to identify technologies and practices for a ballast water management demonstration program to prevent such introduction and spread of aquatic nonindigenous species. Requires the retrofitting of vessels with such technologies to be performed in U.S. shipyards. Authorizes appropriations.
United States · United States Congress · 26 October 1993
Urges the Attorney General and the Director of the Federal Bureau of Investigation (FBI) to cooperate with the U.S. Postal Service and the Polly Klaas Search Center to use nationwide mailings to disseminate information concerning the kidnapping of Polly Klaas. Commends the community of Petaluma, California, the Petaluma Police Department, and the FBI for their hard work on this case.
United States · United States Congress · 22 October 1993
Asset Forfeiture Justice Act - Amends the Tariff Act of 1930 (the Act) and the Federal criminal code to mandate that forfeiture proceedings be conducted only upon the conviction of the property owner for the relevant crime. (Sec. 4) Amends the Act to shift, in all forfeiture or recovery proceedings, to the Federal Government the burden of proof to establish by clear and convincing evidence that certain property (including vessels, aircraft, and vehicles) was subject to forfeiture. (Sec. 5) Amends the Controlled Substances Act, Federal criminal law, and the Act to modify the procedural guidelines and provide for a preliminary hearing for certain property subject to civil forfeiture. (Sec. 6) Amends the Act in connection with claims for seized property to: (1) eliminate the requirement for posting bond; and (2) provide for court-appointed counsel for claimants financially unable to obtain representation; and (3) provide the right to a jury trial. (Sec. 8) Amends Federal criminal law and the Controlled Substances Act to shield from liability to seizure any property which has been paid or pledged as bona fide attorney's fees. (Sec. 9) Amends Federal criminal law to authorize in personam proceedings, only upon conviction of violations, against the owner of certain seized vessels. (Sec. 11) Amends the Controlled Substances Act with respect to civil and criminal forfeitures to prohibit the value of the forfeited property from exceeding the pecuniary gain derived from the offense. (Sec. 12) Amends Federal criminal law and the Controlled Substances Act to repeal the relation-back doctrine with respect to any forfeited property subsequently transferred to other persons. (Sec. 13) Amends the Controlled Substances Act to revise the list of kinds of property subject to seizure. (Sec. 14) Amends the Act, Federal criminal law, and the Controlled Substances Act to specify that any forfeiture proceeds transferred to a State or local law enforcement agency that participated directly in the seizure proceedings be disposed of according to State law. (Sec. 15) Amends the Judicial Code to: (1) make the Department of Justice Assets Forfeiture Fund (the Fund) available to certain community-based crime control and drug programs; and (2) give priority to the communities in which the assets were seized. (Sec. 16) Amends certain Federal laws to revise the limit on amounts paid to informants to allow more than $250,000 in any case, but no more than that in any year. (Sec. 17) Amends the Controlled Substances Act and Federal monetary law to direct the Attorney General to assure that forfeited property transferred to a State or local law enforcement agency is not so transferred to a circumvent any requirement of State law that prohibits forfeiture or limits use or disposal of property forfeited to State or local agencies. (Sec. 18) Amends the Act to direct the Secretary of the Treasury to maintain individual records concerning certain forfeited property. (Sec. 19) Amends the judicial code to: (1) require payment of interest on certain seized property upon entry of judgment for the claimant; and (2) limit the amounts available from the Fund for certain administrative and contracting expenses. (Sec. 22) Amends the Controlled Substances Act to require the Attorney General to offer civilly or criminally forfeited real property of low value located in a metropolitan statistical area for sale, for nominal consideration, to tax-exempt organizations that provide direct services furthering community-based crime control, housing, or educational efforts in such area. (Sec. 23) Amends the judicial code to provide for Federal tort claims proceedings with respect to damage or loss to property while in the possession of a law enforcement officer because of negligence, misfeasance, malfeasance, or nonfeasance.
United States · United States Congress · 21 October 1993
Prohibits the U.S. Postal Service from expending, in any year, any amounts in connection with instituting a new logo if its total obligations and expenditures incurred in the previous year exceeded its total revenues.
United States · United States Congress · 19 October 1993
Domestic Violence Firearm Prevention Act - Amends the Federal criminal code to prohibit the sale or other disposal of firearms or ammunition to, or the receipt of firearms or ammunition by, persons convicted of offenses involving domestic abuse.
United States · United States Congress · 14 October 1993
Head Start Safety Act - Amends the Asbestos School Hazard Abatement Act of 1984 and the Toxic Substances Control Act to expand coverage of such Acts to include Head Start programs and facilities.
United States · United States Congress · 13 October 1993
1995 Franklin Delano Roosevelt Commemorative Coin Act - Directs the Secretary of the Treasury to issue commemorative one-dollar silver coins bearing a likeness of Franklin Delano Roosevelt. Requires the Secretary to distribute proceeds from surcharges ($10 per coin) in equal allocations to: (1) the National Park Foundation Restricted Account for the Franklin Delano Roosevelt Memorial; and (2) the National Park Service Restricted Construction Account for the Franklin Delano Roosevelt Memorial.
United States · United States Congress · 12 October 1993
Child Protection Act of 1993 - Requires each State to: (1) establish and maintain a program requiring persons convicted of a sex offense against a child victim to register a current address and other information deemed relevant by the Attorney General with a designated State law enforcement agency for 20 years after being released from prison or otherwise being freed from detention after the conviction becomes final; and (2) permit members of the public to inquire whether any registered offenders live in their vicinity and whether a named individual is so registered. Directs the Attorney General to establish guidelines for State registration programs, which shall include: (1) a requirement that the State obtain the fingerprints, physical description, and current photographs of each registered person; (2) annual updating of the registry information by each registered person; (3) criminal penalties for failing to comply with the registration requirements; and (4) a toll-free telephone number through which residents of the State may make inquiries. Sets forth provisions regarding: (1) State reporting requirements (and requires the Attorney General to publish an annual summary of convictions for sex offenses involving children, based on reported information); and (2) sanctions for noncompliance by a State. Requires: (1) a State to permit qualified entities to obtain from an authorized State agency a nationwide background check for the purpose of determining whether there is a report that a provider has been convicted of a background check crime; and (2) the Attorney General to provide to authorized State agencies information possessed by the Department of Justice that would enable the agency to make a background check (but assuring the currency and accuracy of the information and that the States maintain procedures to permit providers to check and correct information relating to them).
United States · United States Congress · 7 October 1993
Amends Federal law with respect to the Civil Service and Federal Employees' Retirement Systems to provide that certain requirements relating to reemployed annuitants shall not apply with respect to postal retirees who are reemployed, on a temporary basis, as rural postmasters or rural letter carriers.
United States · United States Congress · 6 October 1993
TABLE OF CONTENTS: Title I: Grants to States to Provide Worker Adjustment Assistance Benefits to Eligible Displaced Workers Title II: Worker Adjustment Assistance Benefits Subtitle A: Income Support Subtitle B: Wage Supplements Subtitle C: Training Subtitle D: Rapid Response Assistance, Basic Readjustment Services, Relocation Allowances, and Job Search Allowances Title III: General Provisions Displaced Worker Retraining Act of 1993 - Establishes a comprehensive program of adjustment assistance to workers displaced as a result of any program, project, or activity carried out under Federal law. Authorizes appropriations. Title I: Grants to States to Provide Worker Adjustment Assistance Benefits to Eligible Displaced Workers - Directs the Secretary of Labor to make grants to applicant States to provide worker adjustment assistance benefits to eligible dislocated workers. Title II: Worker Adjustment Assistance Benefits - Subtitle A: Income Support - Sets forth dislocated worker eligibility conditions. Requires a dislocated worker to be actively seeking employment or to be enrolled in training to be eligible for income support. Allows those eligible for income support to apply for training under subtitle C. Provides for weekly income support, including amount and duration, income support factors, additional weeks, adjustment of amount, wage supplement offsets, and application of State laws. Subtitle B: Wage Supplements - Provides for weekly wage supplements, in specified amounts for a maximum of 156 weeks, for eligible displaced workers. Makes dislocated workers who are eligible for such wage supplements also eligible to apply for part-time training under subtitle C. Offsets such wage supplement weeks by any income support weeks received under subtitle A. Subtitle C: Training - Sets forth conditions of State approval of training for displaced workers. Requires priority for training for occupations and industries that utilize new technologies. Sets forth requirements relating to State and Federal payment of training costs, as well as training costs paid from other sources. Lists types of training programs that may be approved. Sets certain restrictions on State approval. Makes 156 weeks of such training the maximum number which a dislocated worker may receive. Allows a State to authorize specified limited forms of supplemental assistance during such training. Directs a State to pay costs of any approved on-the-job training of a displaced worker, but only if certain conditions are met, such as nondisplacement of current workers, nonimpairment of collective bargaining agreements, and certification of continued employment for the trained worker. Prohibits declaring a displaced worker ineligible for State or Federal unemployment insurance or benefits under this Act because that individual is in or is entering approved training. Subtitle D: Rapid Response Assistance, Basic Readjustment Services, Relocation Allowances, and Job Search Allowances - Entitles to 13 weeks of rapid response assistance and 156 weeks of basic readjustment services: (1) any displaced worker, whether or not eligible for subtitle A or B benefits; or (2) any individual who has received notice of impending total or partial separation from employment and who had at least ten weeks of employment during the 52 weeks preceding such notice. Provides for State delivery of rapid response assistance, with oversight by the Secretary. Allows a displaced worker, whether or not eligible for subtitle A or B benefits, to apply to the State for: (1) a relocation allowance; and (2) a job search allowance. Sets forth conditions for approval of such allowances. Title III: General Provisions - Sets forth general provisions relating to fraud and recovery of overpayments, penalties, subpoena power, and regulations.
United States · United States Congress · 6 October 1993
Minority Health Opportunity Enhancement Act of 1993 - Amends the Public Health Service Act to direct the Office of Minority Health to establish a center to carry out programs to improve access to health care services for individuals lacking proficiency in speaking English. Establishes an Office of Minority Health in specified agencies of the Public Health Service. Provides for equitable allocation of appropriations for certain health programs. Revises the factors to be considered in designating medically underserved populations and health professional shortage areas to include the percentage of members of racial or ethnic minority groups and the extent of cultural and language barriers. Authorizes appropriations for grants to migrant health centers and community health centers for programs to reduce the extent to which a lack of proficiency in English or other cultural factors constitutes a significant barrier to obtaining health services. Provides funding for the Centers of Excellence, activities of the Agency for Health Care Policy and Research, and certain activities of the National Center for Health Statistics. Requires such entities to spend a portion of such funding on ethnic and racial minorities. Authorizes appropriations for a demonstration project relating to Hispanics, African Americans, and other populations that are at significant risk of contracting diabetes mellitus.
United States · United States Congress · 6 October 1993
TABLE OF CONTENTS: Title I: Education Improvement Title II: Additional Education Amendments Title III: Bilingual Education Title I: Education Improvement - Amends the Elementary and Secondary Education Act of 1965 (ESEA) to make limited-English-proficient (LEP) children eligible under the ESEA title I program for disadvantaged children. Provides for assessments to evaluate the effectiveness of such programs. Title II: Additional Educational Amendments - Revises payments for State administration to include funds for coordinating inclusion of LEP students and for developing linguistically accessible assessment instruments. Provides for supplemental capacity building grants for improving schools capacity to meet standards for economically deprived and LEP students, as well as research-based approaches for educating such students, and innovative school-wide projects for schools in which half or more of the students are economically deprived. Requires that review of State regulations include teachers who are familiar with effective instructional approaches for economically deprived and LEP children. Title III: Bilingual Education - Revises ESEA title VII, which is the Bilingual Education Act, and extends the authorization of appropriations. Provides for revised programs to develop exemplary bilingual education and educational programs for language-minority and LEP students through: (1) bilingual education capacity and demonstration grants, including grants for program and development and implementation, program enhancement projects, whole-school programs, system-wide improvement, Puerto Rico programs, and Bureau of Indian Affairs schools programs; (2) research, development, and dissemination, including a national bilingual education network, education statistics coordination, grants for State programs, evaluation and assessment centers, multifunctional resource centers, national clearinghouse on bilingual education, and Blue Ribbon Bilingual Education Schools; and (3) bilingual education teacher training, including programs for training for all teachers, bilingual education teachers and personnel grants, bilingual education career ladder, and graduate fellowships in bilingual education. Provides that the Office of Bilingual Education and Minority Affairs shall be headed by an Assistant Secretary (currently a Director). Directs the Secretary of Education to identify effective policies to strengthen the quality of education for all students, including language-minority and LEP students residing near the U.S. borders with Canada and Mexico, as well as Hawaii, the Commonwealth of Puerto Rico, the territories and freely associated nations. Requires readers and scorers of applications for grants involving conservation of Indian languages and other indigenous languages subject to losses to include individuals with expertise in such programs. Allows Bilingual Education Act funds to be used to: (1) acquire or develop educational technology or instructional materials; and (2) conduct language and cultural institutes, with priority to applications that include secondary school personnel. Requires allocation of bilingual education funds in proportion to the geographical distribution of LEP children throughout the Nation.
United States · United States Congress · 30 September 1993
Women's Health Services Act of 1993 - Amends title XVIII (Medicare) of the Social Security Act to: (1) provide for coverage under Medicare part B (Supplementary Medical Insurance) of bone mass measurements and annual screening mammography for women over age 64; and (2) make permanent the coverage of certain osteoporosis drugs under such part.
United States · United States Congress · 29 September 1993
Semiautomatic Assault Weapon Violence Prevention Act of 1993 - Amends the Federal criminal code to: (1) make it unlawful to transfer or possess a semiautomatic assault weapon; and (2) list weapons classified as semiautomatic assault weapons. Makes this Act inapplicable to the transfer or possession of a weapon: (1) by a Federal or State agency; (2) that was lawfully possessed before this Act's enactment or, in the case of a semiautomatic firearm designated as a semiautomatic assault weapon under this Act, before the designation is made; or (3) by a licensed manufacturer or importer for purposes of authorized testing or experimentation. Directs the Secretary of the Treasury to designate a rifle, pistol, or shotgun that is a semiautomatic firearm and meets specified criteria as a semiautomatic assault weapon. Requires the serial numbers of such weapons to clearly show if they were manufactured or imported after this Act's effective date.
United States · United States Congress · 28 September 1993
Provides that any health care reform legislation approved by the Congress should provide health care plans of comparable high quality and that Members of Congress should participate on an equal basis with all other Americans in the health care system that results from such legislation.
United States · United States Congress · 23 September 1993
TABLE OF CONTENTS: Title I: Amendments to the Elementary and Secondary Education Act of 1965 Title II: Amendments to the General Education Provisions Act Title III: Amendments to Other Acts Improving America's Schools Act of 1993 - Title I: Amendments to the Elementary and Secondary Education Act of 1965 - Amends the Elementary and Secondary Education Act of 1965 (ESEA) to revise and reauthorize ESEA. (Sec. 101) Establishes a title I program for Helping Children in Need Meet High Standards, which revises and reauthorizes some of the current title I chapter 1 programs of Financial Assistance to Meet the Special Educational Needs of Children. Authorizes appropriations for: (1) grants under the basic program; (2) Even Start; (3) education of migratory children; (4) education for neglected or delinquent youth; (5) capital expenses; (6) school improvement; and (7) Federal activities. Requires any State desiring to receive a grant (under the basic program for making high-poverty schools work) to submit State plans that are integrated with that State's plan under the Goals 2000: Educate America Act or with other State plans under this Act. Requires each State plan to describe high-quality standards for all children that will be used by the State, it local educational agencies (LEAs), and its schools to carry out this Act, including challenging content standards in the core academic subjects and challenging performance standards, as well as assessment provisions and other teaching and learning support provisions. Directs the Secretary of Education to establish a process for peer review and Secretarial approval. Requires LEAs receiving subgrants to have plans with standards and assessments provisions and other teaching and learning support provisions. Provides for State approval and shared program responsibility of schools and the LEA in deciding on schoolwide programs and targeted assistance schools. Allows an LEA to only use basic program funds in eligible school attendance areas in which the percentage of children from low-income families is at least as high as that in the LEA as a whole. Sets forth formulas for ranking eligible school attendance areas for purposes of such funding in various cases where there are insufficient funds. Sets forth criteria which a school must meet in order for the LEA to use basic program funds to upgrade the entire educational program at an eligible school (schoolwide programs). Provides that in participating schools that are ineligible for a schoolwide program or that choose not to operate a schoolwide program, an LEA may use basic program funds only for targeted assistance programs that provide services to eligible children identified as having the greatest need for special assistance (targeted assistance schools). Sets forth criteria for eligible children at such schools. Sets forth requirements for parental involvement and for participation of children enrolled in private schools. Provides for assessment and school and district improvement, including local review, designation of Distinguished Schools, school improvement identification, State review and LEA improvement, State establishment of a corps of Distinguished Educators, and State allocations for school improvement. Revises formulas for allocations of funds. Revises Even Start Family Literacy Programs to increase program services and high-poverty-area targeting and include teenage parents. Revises Education of Migratory Children to restrict eligibility to children who have moved within the previous two years. Revises Education of Neglected and Delinquent Youth to require a 20-hour instructional week. Eliminates title I provisions for the National Commission on Migrant Education, rural technical assistance centers, current chapter 2 State block grants under the partnership for educational improvement, national diffusion network, and law-related education. Eliminates under title I, but provides elsewhere for, evaluation and technical assistance and blue ribbon schools. Provides, later in this Act, for programs for handicapped children to be combined with programs under the Individuals with Disabilities Education Act. Establishes a new ESEA title II, Improving Teaching and Learning, with a new part A, Dwight D. Eisenhower Professional Development Program, to support professional development of elementary and secondary school teachers in core academic subjects. (This replaces the current Dwight D. Eisenhower Mathematics and Science Education Act programs.) Gives priority for professional development in mathematics and science. Authorizes appropriations. Establishes a new title II part B, Support and Assistance for ESEA Programs. (This replaces the current Foreign Languages Assistance Act programs.) Includes under such technical assistance program comprehensive regional centers and technology-based technical assistance. Provides for information collection, evaluation, and transition. Authorizes appropriations. Establishes a new ESEA title III, Expanding Opportunities for Learning. (The current title III, Magnet Schools Assistance, is transferred to a new title V, Promoting Equity.) Authorizes appropriations for the following title III parts: (A) Putting Technology to Work for All Students, including educational technology research, development, and demonstration, an Office of Educational Technology, a national long-range plan, and Federal leadership, as well as a revised Star Schools Program; (B) a revised and renamed Fund for the improvement of Education (currently under title IV as the Secretary's Fund for Innovation in Education); (C) a revised Jacob K. Javits Gifted and Talented Education Program (currently under title IV); (D) a new Charter Schools program to increase public school choice through grants for innovative programs and exemptions from regulations that limit school operational and management flexibility; (E) an expanded Arts in Education program; and (F) the Inexpensive Book Distribution Program. Establishes as ESEA title IV a Safe and Drug-Free Schools and Communities program, which replaces and revises the current title V Drug-Free Schools and Communities Act program. (The current title IV Special Programs are replaced as follows: (1) Women's Educational Equity, Gifted and Talented Children, Immigrant Education, and the Secretary's Fund for Innovation are transferred to other titles; and (2) Ellender Fellowships and certain Territorial Assistance are eliminated.) The new program includes: (1) State Grants for Drug and Violence Prevention Programs at State and local levels, including coordinating councils; (2) Postsecondary Drug and Violence Prevention Programs, including higher education institution grants and a national center; and (3) national programs. Establishes as ESEA title V, Promoting Equity, which authorizes appropriations for parts: (A) a revised Magnet Schools Assistance program; (B) a new Equalization Assistance program which provides technical and other assistance, including research, regarding school finance equity; and (C) a revised Women's Educational Equity program. Establishes a new ESEA title VI, Indian Education, which adds revised Indian Education Act programs to ESEA. (Eliminates the current title VI provisions for Projects and Programs Designed to Address School Dropout Problems and to Strengthen Basic Education.) Authorizes appropriations for the following title VI programs: (1) formula grants to LEAs; (2) discretionary programs to improve achievement of Indian children, through grants to Indian-controlled schools and demonstration grants; (3) professional development and adult education programs; (4) national activities and grants to States; and (5) Federal administration through the Office of Indian Education and the National Advisory Council on Indian Education. Revises ESEA title VII, Bilingual Education Programs, while transferring the Emergency Immigrant Education Program to title VII from title IV. Authorizes appropriations for: (1) financial assistance for bilingual education, including enhancement grants and comprehensive district grants; (2) research and evaluation, including academic excellence awards, State grants, and the National Clearinghouse for Bilingual Education; (3) professional development, including grants to higher education institutions, State educational agencies, and LEAs, and academic fellowships; and (4) the Emergency Immigrant Education Program. Establishes a new ESEA title VIII, Impact Aid. (The current impact aid laws are repealed later in this Act.) Revises the impact aid to LEAs by: (1) terminating payments for children whose parents either live on Federal land or work for the Federal Government; and (2) changing the payment formula for those children whose parents work for the Federal Government and live on Federal property, and those who live on Indian lands. Authorizes appropriations. Revises ESEA General Provisions, transferring them from title X to title IX. Provides for: (1) flexibility in the use of administrative and other funds, through consolidation of State administrative funds for elementary and secondary education programs and consolidation of funds for local administration; (2) coordination of programs, including consolidated State and local applications; (3) waivers of statutory and regulatory requirements; and (4) certain uniform provisions. Title II: Amendments to the General Education Provisions Act - Part A: Applicability of the General Education Provisions Act - Amends the General Education Provisions Act (GEPA) to revise applicability and other aspects. Part B: The Department of Education - Revises GEPA with respect to functions of the Department of Education, including an Office of Private Education. Part C: Appropriations and Evaluations - Revises GEPA with respect to availability of appropriations, contingent extension of programs, and biennial evaluation report. Part D: Administration of Education Program - Revises GEPA with respect to joint funding of programs, information collection and dissemination, review of application, use of withheld funds, applications, regulations, reduction of record retention requirements, and equity for students, teachers, and other program beneficiaries. Part E: Advisory Committees - Repeals specified GEPA provisions relating to Advisory Councils. Part F: Enforcement - Repeal specified GEPA provisions relating to use of recovered funds. Part G: Related Amendments to Other Acts - Makes related amendments to the Department of Education Organization Act and the Higher Education Act of 1965 (HEA). Part H: Conforming Amendments - Makes conforming amendments to the Rehabilitation Act of 1973 and to HEA. Title III: Amendments to Other Acts - Part A: Amendments to the Individuals with Disabilities Education Act - Amends the Individuals with Disabilities Education Act (IDEA) to revise provisions for allocations. Combines the current ESEA title I chapter I State agency program for the handicapped with the IDEA programs of grants to States and for infants and toddlers with disabilities. Part B: Amendments to the Stewart B. McKinney Homeless Assistance Act - Amends the Stewart B. McKinney Homeless Assistance Act to revise provisions with respect to grants for State literacy initiatives and grants for State and local activities for the education of homeless children and youth. Authorizes appropriations. Part C: Repeal of Impact Aid Statutes - Repeals certain Federal laws for impact aid. (Impact aid provisions are added to ESEA earlier in this Act.)
United States · United States Congress · 23 September 1993
Public Health and Safety Act of 1993 - Amends the Federal criminal code to prohibit the manufacture, import, export, sale, purchase, transfer, receipt, ownership, possession, transport, or use (transaction) of a handgun or handgun ammunition. Makes exceptions with respect to the military, law enforcement agencies, registered security guard services, and licensed handgun clubs and members of such clubs. Authorizes the Secretary of the Treasury to approve such a transaction by licensed manufacturers, importers, and dealers as necessary to meet the lawful requirements of such persons and entities covered by the exceptions. Specifies handgun club licensing requirements. Requires: (1) the Secretary to revoke the license of any such club that does not continue to meet such requirements; and (2) such club to pay to the Secretary an annual license fee of $25. Specifies security guard service registration requirements. Requires: (1) the Secretary to revoke such registration if the service does not continue to meet such requirements; and (2) such service to pay to the Secretary an annual registration fee of $50. Sets forth provisions with respect to: (1) recordkeeping (by licensed manufacturers, importers, dealers, handgun clubs or their members and by registered security guard services that transfer handguns or handgun ammunition); (2) reports of loss or theft; and (3) transfers to handgun clubs. Authorizes the voluntary delivery to any designated Federal, State, or local law enforcement agency of a handgun owned or possessed by a person. Directs the Secretary to: (1) arrange with each such agency to receive handguns for the transfer, destruction, or other disposition of such handguns; and (2) pay to such person $25 or the fair market value of the gun. Authorizes appropriations. Sets penalties for violations of this Act. Specifies that a person who voluntarily delivers a handgun under this Act after 180 days after enactment shall not be subject to criminal prosecution for possession of the handgun, but shall pay to the Secretary a civil penalty in an amount not to exceed $500. Establishes penalties for: (1) failure to report the loss or theft of a handgun; (2) negligent and intentional deliveries to an unauthorized place; (3) false statements or representations; and (4) failure to keep, or permit inspection of, records. Provides for the forfeiture of any handgun or handgun ammunition involved or used in a violation of this Act or of any other criminal law of the United States.
United States · United States Congress · 21 September 1993
Urges any health care reform legislation that is enacted to require a Senator or Representative in, or Delegate or Resident Commissioner to, the Congress and any individual holding a position in levels I through III of the Executive Schedule to enroll in a health plan offering the standard benefit package and to publicly disclose, on an annual basis, the health plan in which they are enrolled.
United States · United States Congress · 15 September 1993
Amends the Internal Revenue Code and title II of the Social Security Act (Old Age, Survivors and Disability Insurance) to set forth rules for filing returns with respect to domestic service employment taxes and requires such returns to be made on a calendar year basis. Subjects such taxes to estimated tax provisions. Makes filing requirements inapplicable to any employer liable for tax concerning remuneration for services other than domestic service in a private home. Authorizes the Secretary of the Treasury to enter into agreements with States to collect the State unemployment tax imposed on remuneration for domestic service and transfers such amounts to a State's account in the Unemployment Trust Fund. Treats such taxes as domestic service employment taxes. Requires the Secretary to inform domestic service employers in private homes of their tax obligations. Adjusts the threshold (from $50 a calendar quarter to $800 a year) for paying and withholding social security taxes on wages paid for domestic service in a private home. Requires the Secretary of Health and Human Services to adjust such threshold amount in the same manner as adjustments to certain social security insurance amounts. Excludes domestic service in a private home by an individual 16 years and under from amendments made by this Act.
United States · United States Congress · 14 September 1993
TABLE OF CONTENTS: Title I: Research on Women's Health Subtitle A: NIH Women Scientist Employment Opportunities Act Subtitle B: Women and AIDS Research Initiative Amendments of 1993 Subtitle C: Women and Alcohol Research Equity Act of 1993 Subtitle D: National Breast Cancer Strategy Act of 1993 Subtitle E: Lupus Research Amendments of 1993 Subtitle F: Women's Midlife Health Research Act Subtitle G: Osteoporosis and Related Bone Disorders Research Education, and Health Services Act of 1993 Subtitle H: Ovarian Cancer Research and Information Amendments of 1993 Subtitle I: Antiprogestin Testing Act of 1993 Subtitle J: Women's Health Environmental Factors Research Act of 1993 Subtitle K: Federal Risk Assessment in Women's Health Act of 1993 Subtitle L: Pharmaceutical Interactions Safety Act Subtitle M: Pharmaceutical Testing Fairness Act Subtitle N: Tobacco Advertising and Promotion Studies Act of 1993 Title II: Services Regarding Women's Health Subtitle A: Equity in Health Professions Education Act Subtitle B: Women's Health Office Act of 1993 Subtitle C: Women's Health Information Act of 1993 Subtitle D: Breast and Cervical Cancer Amendments of 1993 Subtitle E: Women's Preventive Health Amendments of 1993 Subtitle F: Postreproductive Health Care Act Subtitle G: Medicare Bone Mass Measurement Coverage Act of 1993 Subtitle H: Mickey Leland Adolescent Pregnancy Prevention and Parenthood Act of 1993 Subtitle I: Adolescent Health Demonstrations Projects Act of 1993 Subtitle J: Eating Disorders Information and Education Act of 1993 Subtitle K: Women and HIV Outreach and Prevention Act Subtitle L: Standby Guardianship Act Subtitle M: Federal Prohibition of Female Genital Mutilation Act of 1993 Subtitle N: Smoking Prevention and Cessation in WIC Clinics Act Subtitle O: Family and Medical Leave Health Care Reform Resolution of 1993 Subtitle P: Veteran Women's Health Improvement Act of 1993 Subtitle Q: Defense Women's Health Improvement Act of 1993 Subtitle R: International Population Stabilization and Reproductive Health Act Women's Health Equity Act of 1993 - Title I: Research on Women's Health - Subtitle A: Women Scientists Employment Opportunities Act - NIH Women Scientists Employment Opportunity Act - Amends the Public Health Service Act to require the Director of the National Institutes of Health to: (1) establish policies for NIH on matters relating to the employment of women scientists by NIH; and (2) monitor compliance with such policies and take appropriate actions if the policies have been violated. Authorizes appropriations. Subtitle B: Women and AIDS Research Initiative Amendments of 1993 - Women and Aids Research Initiative Amendments of 1993 - Directs the Secretary of Health and Human Services, with respect to cases of infection with the human immunodeficiency virus, to establish a program, under the Public Health Service Act, for the purpose of conducting biomedical and behavioral research on such cases in women, especially on the prevention of such cases. Authorizes appropriations. Subtitle C: Women and Alcohol Research Equity Act of 1993 - Women and Alcohol Research Equity Act of 1993 - Amends the Public Health Service Act to direct the Director of the National Institute on Alcohol Abuse and Alcoholism to obligate a specified amount to carry out research projects on alcohol abuse and alcoholism among women. Subtitle D: National Breast Cancer Strategy Act of 1993 - National Breast Cancer Strategy Act of 1993 - Establishes an Office of Breast Cancer within the Office of the Assistant Secretary for Health to coordinate activities of Federal agencies relating to breast cancer. (Sec. 118) Establishes the National Breast Cancer Commission to conduct a study on current efforts on both the public and private sectors relating to the prevention, early detection, treatment, education, and research relating to breast cancer. (Sec. 119) Authorizes appropriations for FY 1994 through 1996 for conducting and supporting research on breast cancer through the National Cancer Institute. (Sec. 120) Requires the Director of the National Cancer Institute to: (1) conduct and support biomedical and behavioral research and research training, the dissemination of health information, and other programs with respect to breast cancer; and (2) establish the Rose Kushner Scholarship Program for the purpose of entering into contracts with individuals under which the Institute provides scholarships to individuals for attending health professions schools and the individuals agree to study oncology and serve as employees of the National Institutes of Health for a specified period. (Sec. 121) Authorizes appropriations for FY 1994 through 1996 for at least ten research programs on breast cancer, lung cancer, or prostate cancer under designated programs. Subtitle E: Lupus Research Amendments of 1993 - Lupus Research Amendments of 1993 - Requires the Director of the National Institute of Arthritis and Musculoskeletal and Skin Diseases to expand and intensify research and related activities of the Institute with respect to lupus. Authorizes appropriations. Subpart F: Women's Midlife Health Research Act - Women's Midlife Health Research Act - Requires the Director of the National Institute on Aging to provide for the development or expansion of not less than five centers for research on: (1) the process by which the functioning of the ovaries diminishes or ceases completely; and (2) conditions arising from the diminished or complete cessation of the functioning of the ovaries. Subtitle G: Osteoporosis and Related Bone Disorders Research Education, and Health Services Act of 1993 - Osteoporosis and Related Bone Disorders Research, Education, and Health Services Act of 1993 - Requires the Director of the National Institute of Arthritis and Musculoskeletal and Skin Diseases, the Director of the National Institute on Aging, and the Director of the National Institute of Diabetes and Digestive and Kidney Diseases to expand and intensify research on osteoporosis and related bone disorders. Authorizes appropriations. Establishes in the Department of Health and Human Services an Interagency Council on Osteoporosis and Related Disorders. Sets forth the duties of such Council. Establishes in the Department of Health and Human Services an Advisory Panel on Osteoporosis and Related Disorders. Authorizes appropriations. Requires the Director of the National Institute of Arthritis and Musculoskeletal and Skin Diseases to make grants or enter into contracts with eligible organizations to establish a Resource Center on Osteoporosis and Related Disorders. Authorizes appropriations. Subtitle H: Ovarian Cancer Research and Information Amendments of 1993 - Ovarian Cancer Research and Information Amendments of 1993 - Amends provisions of the National Institutes of Health Revitalization Act of 1993 which added provisions to the Public Health Service Act to make revisions concerning ovarian cancer funding and public information education. Subtitle I: Antiprogestin Testing Act of 1993 - Antiprogestin Testing Act of 1993 - Provides for research on antiprogestin drugs for any potential use, including termination of pregnancy and contraception and when used therapeutically for cancer, endocrine disorders, and endometriosis. Subtitle J: Women's Health Environmental Factors Research Act of 1993 - Women's Health Environmental Factors Research Act of 1993 - Requires the Director of the National Institute of Environmental Health Sciences to carry out research on the effects that environmental factors have on women's health conditions. Authorizes appropriations. Subtitle K: Federal Risk Assessment in Women's Health Act of 1993 - Federal Risk Assessment in Women's Health Act of 1993 - Directs the Office of Science and Technology Policy to conduct a review of all Federal programs that assess or mitigate the risks to women's health from environmental exposures. Subtitle L: Pharmaceutical Interactions Safety Act - Pharmaceutical Interactions Safety Act - Amends the Federal Food, Drug, and Cosmetic Act and the Public Health Service Act to require clinical investigations to include investigations of the possible interaction of the drug or biological product with relevant female or male hormones, unless inappropriate. Subtitle M: Pharmaceutical Testing Fairness Act - Pharmaceutical Testing Fairness Act - Requires new drug clinical investigations, device clinical investigations, and biological products clinical investigations to include women and minority groups as subjects, unless inappropriate. Subtitle N: Tobacco Advertising and Promotion Studies Act of 1993 - Tobacco Advertising and Promotion Studies Act of 1993 - Directs the Federal Trade Commissions to conduct specified studies concerning tobacco advertising and its effect on women and minorities, as well as its targeting of women and girls concerning weight loss, and the demographics of such advertising. Title II: Services Regarding Women's Health - Subtitle A: Equity in Health Professions Education Act - Equity in Health Professions Education Act - Directs the Secretary of Health and Human Services to conduct a study to determine the extent to which health professions schools provide adequate education to students on women's health conditions. Subtitle B: Women's Health Office Act of 1993 - Women's Health Office Act of 1993 - Amends the Public Health Service Act to establish within the Office of the Assistant Secretary for Health an Office of Women's Health. Sets forth the duties of such Office. Authorizes appropriations. (Sec. 208) Establishes within the Office of the Director of the Centers for Disease Control and Prevention an Office of Women's Health. Sets forth the duties of such Office. Requires the Director of such Office to establish the Coordinating Committee on Research on Women's Health. Sets forth the duties of such Committee. (Sec. 209) Establishes within the Office of the Director of the Agency for Health Care Policy and Research an Office of Women's Health. Sets forth the duties of such Office. Requires the Director of such Office to establish the Coordinating Committee on Research on the Women's Health. Sets forth the duties of such Committee. (Sec. 210) Amends title VII of the Social Security Act to provide for the establishment within the Office of the Administrator of the Health Resources and Services Administration an Office of Women's Health. Sets forth the duties of such Office. Requires the Director of the Office to establish the Coordinating Committee on Research on Women's Health. Sets forth the duties of such Committee. (Sec. 210A) Amends the Federal Food, Drug, and Cosmetic Act to establish within the Office of Commissioner of the Food and Drug Administration an Office of Women's Health. Sets forth the duties of such Office. Requires the Director of such Office to establish the Coordinating Committee on Women's Health. Sets forth the duties of such Committee. Subtitle C: Women's Health Information Act of 1993 - Women's Health Information Act of 1993 - Directs the Secretary of Health and Human Services to establish an Interagency Committee on Health Communications to provide advice to the Secretary on developing and coordinating Federal promotion and education activities, including activities within the Public Health Service. Requires the Committee to give priority to carrying out activities regarding women's health. (Sec. 214) Directs the Assistant Secretary for Health to establish the Clearinghouse on Women's Health to compile, archive and disseminate information concerning women's health and to publish a yearly summary of such materials to be made available upon request. Subtitle D: Breast and Cervical Cancer Amendments of 1993 - Breast and Cervical Cancer Amendments of 1993 - Amends provisions of the program under the Public Health Service Act which provides for breast cancer screenings to place certain limits on the amounts which may be paid to promote entities for such screenings. Authorizes appropriations through FY 1998 for the screening program. Subtitle E: Women's Preventive Health Amendments of 1993 - Women's Preventive Health Amendments of 1993 - Provides for grants for demonstration projects relating to preventive health care for women. Authorizes appropriations. Subtitle F: Postreproductive Health Care Act - Postreproductive Health Care Act - Provides for grants to provide specified health services to women who are of menopause age or older. Authorizes appropriations. Subtitle G: Medicare Bone Mass Measurement Coverage Act of 1993 - Medicare Bone Mass Measurement Coverage Act of 1993 - Provides for Medicare coverage of bone mass measurements for qualified individuals. Subtitle H: Mickey Leland Adolescent Pregnancy Prevention and Parenthood Act of 1993 - Mickey Leland Adolescent Pregency Prevention and Parenthood Act of 1993 - Revises title XX of the Public Health Service Act. Renames such title as Adolescent Pregnancy Prevention, Care, and Research Grants. Authorizes the Secretary of Health and Human Services to make grants to provide prevention and care services to pregnant adolescents and their male partners, adolescent parents, and nonpregnant adolescents. Sets forth provisions affecting: (1) how such grants are to be used; (2) priorities, amounts, and duration of such grants; (3) grant application requirements; (4) program coordination; and (5) research. Authorizes appropriations. Subtitle I: Adolescent Health Demonstrations Projects Act of 1993 - Adolescent Health Demonstrations Projects Act of 1993 - Directs the Secretary to make grants to establish or support adolescent health demonstration projects in secondary schools for the purpose of demonstrating how such projects may be established throughout the United States. Requires that priority be given to projects serving low-income or minority populations. Prohibits the use of any project funds to perform or pay for abortions. Subtitle J: Eating Disorders Information and Education Act of 1993 - Eating Disorders Information and Education Act of 1993 - Provides for a program of information and education to the public on the prevention and treatment of eating disorders. Authorizes appropriations. Subtitle K: Women and HIV Outreach and Prevention Act - Women and HIV Outreach and Prevention Act - Authorizes the Secretary to make grants for a program that provides to women preventive health services that are related to acquired immune deficiency. Authorizes appropriations. (Sec. 253) Authorizes the Director of the Center for Substance Abuse Treatment to make grants for the treatment of women for substance abuse, including counseling to prevent infection with and transmission of AIDS. Authorizes appropriations. (Sec. 254) Authorizes appropriations for the AIDs early intervention program for women under the Public Health Service Act. Subtitle L: Standby Guardianship Act - Standby Guardianship Act - Amends part E of title IV of the Social Security Act to require a State, in order to be eligible for payments under such part, to have in effect standby guardianship laws and procedures. Subtitle M: Federal Prohibition of Female Genital Mutilation Act of 1993 - Federal Prohibition of Female Genital Mutilation Act of 1993 - Amends the Federal criminal code to provide for the imprisonment or fining of any individual who knowingly circumcises, excises, or infibulates the whole or any part of the labia majora or labia minora or clitoris of any person under the age of 18. Directs the Secretary to carry out outreach activities in communities that traditionally practice female circumcision. Subtitle N: Smoking Prevention and Cessation in WIC Clinics Act - Smoking Prevention and Cessation in WIC Clinics Act - Amends the Child Nutrition Act of 1966 to require the State agency responsible for nutrition education and drug abuse education to establish a smoking cessation demonstration program for pregnant participants. Subtitle O: Family and Medical Leave Health Care Reform Resolution of 1993 - Expresses the sense of the Congress that any bill to address the ongoing and unmet health insurance needs of this country that is enacted should require that paid or unpaid leave, as detailed in the Family and Medical Leave Act of 1993, be incorporated as a basic or elective option in specified situations. Subtitle P: Veteran Women's Health Improvement Act of 1993 - Veteran Women's Health Improvement Act of 1993 - Includes women's health services within the definition of medical services authorized to be furnished to eligible veterans. Includes as women's health services pap smears, breast examinations, and reproductive health care. Authorizes the Secretary of Veterans Affairs to contract with non-Department of Veterans Affairs facilities for outpatient women's health services when Department facilities are inadequate or inaccessible. Requires information on the provision of women's health services to be included in a report from the Secretary to the Congress concerning women veterans. (Sec. 278) Amends the Veterans Health Care Act of 1992 to: (1) require consultation by the Secretary with various officials, advisory committees, and task forces with regard to appropriate women's health research; (2) expand the research related to women to include specified topics; (3) include certain appropriate personnel of the Department in conducting such research, including women veterans and veteran members of minority groups; and (4) direct that a women veterans population study report required under such Act include an examination of the medical and demographic histories of women veterans comprising the study sample. (Sec. 279) Makes applicable to Department medical facilities provisions of the Public Health Service Act regarding mammography quality standards. Requires all Department facilities to meet such standards within two years. Subtitle Q: Defense Women's Health Improvement Act of 1993 - Requires female members and former members of the armed forces who are entitled to medical care under the Civilian Health and Medical Program of the Uniformed Services (CHAMPUS) to be furnished primary and preventive health care services for women as part of such care. Provides the same coverage for female dependents of members and former members of the armed forces. (Sec. 283) Directs the Secretary of Defense to prepare and submit to the Congress a report evaluating the provision of health care services through military medical treatment facilities and CHAMPUS to female members of the armed forces and female covered beneficiaries. Requires the Secretary to include a study to determine the needs of female members and dependents for health care services, including primary and preventive health care services for women. (Sec. 284) Directs the Secretary to establish a Defense Women's Health Research Center within the Department of the Army to be the coordinating agent for multidisciplinary and multiinstitutional research within the Department of Defense on women's health issues related to service in the armed forces. (Sec. 285) Directs the Secretary of the Army, during FY 1994, to continue the breast cancer research program as established under prior law. (Sec. 286) Directs the Secretary of Defense, in conducting or supporting clinical research, to ensure that women and minority group members of the armed forces are included as research subjects. Provides a waiver of such requirement. (Sec. 287) Directs the Secretary to submit three annual reports on research relating to female members and dependents within the armed forces. (Sec. 288) Directs the Secretary to establish at the F. Edward Hebert School of Medicine of the Uniformed Services University of the Health Sciences a women's health curriculum advisory committee to promote the comprehensive integration of women's health issues into the curriculum. Subtitle R: International Population Stabilization and Reproductive Health Act - International Population Stabilization and Reproductive Health Act - Amends the Foreign Assistance Act of 1961 to set forth population assistance authorities and requirements. (Sec. 292) Makes such assistance available to a country that: (1) accounts for a significant portion of the world's annual population increment; (2) has significant unmet needs for methods of contraception, prevention and treatment of sexually transmitted diseases, and obstetric and gynecological care and requires foreign assistance to sustain quality reproductive health services; or (3) demonstrates a strong commitment to population stabilization and reproductive health strategies. Prohibits nongovernmental and multilateral organizations from being subjected to requirements which are more restrictive than those applicable to foreign governments for such assistance. Makes funds available for: (1) the United Nations Population Fund if it agrees to prohibit the use of funds for coerced abortion or involuntary sterilization; and (2) the Special Programme of Research, Development and Research Training to further international cooperation in the development of contraceptive technology. Authorizes appropriations. (Sec. 294) Makes development assistance available on a priority basis for countries which have agreed to address specific education, literacy, and health issues. Authorizes the President to establish a grant program, to be known as the Safe Motherhood Initiative, to improve the access of girls and women to reproductive health care services. Earmarks amounts of development and economic assistance for programs in support of equalizing male and female levels of primary and secondary school enrollment. Authorizes appropriations for the Child Survival Fund, the Safe Motherhood Initiative, and for research on, and treatment and control of, acquired immune deficiency syndrome (AIDS) in developing countries. (Sec. 296) Requires the U.S. executive directors of specified international financial institutions to report annually to the Congress on allocations to population activities and, if such allocations total less than $1 million, to set forth actions to encourage increased allocations. (Sec. 297) Establishes the Commission on World Population Stabilization and Reproductive Health to coordinate U.S. participation in the 1994 International Conference on Population and Development. Authorizes appropriations. (Sec. 298) Provides for certain actions to support the United Nations Forward Looking Strategies for the Advancement of Women and the United Nations Convention on the Elimination of All Forms of Discrimination Against Women.
United States · United States Congress · 8 September 1993
Smokeless Tobacco Consumption Reduction and Education Act of 1993 - Amends the Internal Revenue Code to increase the excise tax on snuff and chewing tobacco equivalent to that on small cigarettes. Establishes in the Treasury the Smokeless Tobacco Education and Prevention Trust Fund. Requires ten percent of the net increase in revenues received by reason of this Act to be transferred to such Fund. Makes the Fund available for programs of public education regarding the risks of smokeless tobacco and other programs to reduce the consumption of smokeless tobacco.
United States · United States Congress · 8 September 1993
Smokeless Tobacco Distribution Control Act of 1993 - Prohibits the distribution of free samples of smokeless tobacco products. Directs the Secretary of Health and Human Services to monitor compliance.
United States · United States Congress · 6 August 1993
National Institute for the Environment Act - Establishes the National Institute for the Environment to: (1) increase scientific understanding of environmental issues by supporting scientific environmental research and other environmental programs; (2) assist decision-making on environmental issues by providing assessments of existing knowledge of such issues; (3) serve as the foremost provider of access to current scientific and technical information about the environment; (4) sponsor higher education and training in environmental fields; (5) support the development of methods and technologies that increase understanding of the environment and minimize adverse environmental impact; (6) evaluate the status and needs of the various environmental sciences and fields; (7) foster interchange of scientific information about the environment; (8) address emerging environmental issues and aspects of environmental problems; and (9) establish research priorities for environmental issues. Establishes a Governing Board for the Institute and an Interagency Advisory Committee to ensure that the environmental efforts of the Institute and Federal agencies are complementary. Makes scientists, engineers, and other researchers eligible to receive funding from the Institute.
United States · United States Congress · 6 August 1993
America Cares Act - Directs the Secretary of Health and Human Services to establish an America Cares Program of demonstration projects for the provision of vouchers and cash contributions for goods and services for the homeless. Authorizes appropriations.
United States · United States Congress · 5 August 1993
Chlorine Zero Discharge Act of 1993 - Amends the Federal Water Pollution Control Act to require pulp and paper manufacturing facilities to achieve zero discharge into water of organochlorine compounds, byproducts, or metabolites formulated as a result of the use of chlorine or any other chlorinated oxidizing agent in the pulp and paper manufacturing process. Requires permits for paper and pulp mills which use chlorine or chlorinated oxidizing agents to require compliance with the zero discharge requirement. Directs the Administrator of the Environmental Protection Agency to: (1) evaluate alternatives to the use of organochlorines in pulp and paper manufacturing and to publish a report on the transfer to chlorine-free technology in the pulp and paper industry as a model for pollution prevention; and (2) provide technical information and support to assist permit applicants in the use of such alternatives.
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