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United States · Official source
7,201 records where Sen. Baldwin, Tammy [D-WI] is listed as a sponsor, author, or other actor. Search with topics and years
United States · United States Congress · 3 January 2001
Reenacts chapter 12 (Adjustments of Debts of a Family Farmer) of the Federal bankruptcy code, as reenacted by division C of the Omnibus Consolidated and Emergency Supplemental Appropriations Act 1999.
United States · United States Congress · 3 January 2001
Women's Health Environmental Research Centers Act of 2000 - Amends the Public Health Service Act to require the National Institute of Environmental Health Sciences to make grants for the development and operation of not more than six centers to conduct multidisciplinary research on environmental factors that may be related to the development of women's health conditions. Requires each center to conduct basic and clinical research, develop training protocols, conduct training, develop model continuing education programs, and disseminate information to professionals and the public, with priority to prevention activities. Allows a center to use grant funds for stipends for health and allied health professionals in that training. Requires each center to: (1) collaborate with community organizations; and (2) use the facilities of a single institution or be formed from a consortium of institutions. Limits support to five years but allows extensions if recommended by a technical and scientific peer review group appointed by the Institute's director. Authorizes appropriations.
United States · United States Congress · 3 January 2001
Amends the Federal Food, Drug, and Cosmetic Act to require the wholesale distributor of certain drugs who is not the manufacturer or an authorized distributor of record for a calendar year (currently, the language "for a calendar year" is not in the Act) of a drug to provide to the recipient of the drug a statement identifying each prior sale, purchase, or trade of such drug.
United States · United States Congress · 3 January 2001
Same Day Voter Registration Act of 2001 - Amends the National Voter Registration Act of 1993 to require States to permit individuals to register to vote in an election for Federal office on the date of the election.
United States · United States Congress · 3 January 2001
IRA Fairness Act of 2001 - Amends the Internal Revenue Code to increase the annual limitation on deductible individual retirement account contributions to $5000.
United States · United States Congress · 3 January 2001
Expresses the sense of the House of Representatives that: (1) the full realization of the rights of women is vital to the development and well-being of people of all nations; and (2) the Senate should give its advice and consent to the ratification of the Convention on the Elimination of All Forms of Discrimination Against Women.
United States · United States Congress · 3 January 2001
Welcomes the Model Nuclear Weapons Convention as a discussion document intended to further negotiations on complete nuclear disarmament. Urges the President to initiate multilateral negotiations leading to the early conclusion of a nuclear weapons convention. Requests the President to inform the Secretary-General of the United Nations (UN) of the efforts and measures the United States has taken on the implementation of the UN General Assembly Resolution 52/38 O and nuclear disarmament.
United States · United States Congress · 8 December 2000
Directs the Secretary of Agriculture to make emergency market loss payments to dairy producers (in the 48 contiguous States) whenever the national average Class III milk price for a month is less than a specified target price.
United States · United States Congress · 1 November 2000
Medicare, Medicaid, and SCHIP Benefits Improvement and Beneficiary Protection Act of 2000 - Title I: Medicare Beneficiary Improvements - Subtitle A: Improved Preventive Benefits - Amends title XVIII (Medicare) of the Social Security Act (SSA) to provide for: (1) coverage of biennial screening pap smear and pelvic exams; (2) coverage of screening for glaucoma; (3) coverage of screening colonoscopy for average risk individuals; (4) revision of payments and standards for screening mammography; (5) coverage of medical nutrition therapy services for beneficiaries with diabetes or a renal disease; and (6) extension of Medicare part A (Hospital Insurance) coverage for workers with disabilities. Subtitle B: Other Beneficiary Improvements - Amends SSA title XVIII to provide for: (1) acceleration of reduction of beneficiary copayment for hospital outpatient department (OPD) services; (2) preservation of coverage of drugs and biologicals under Medicare part B (Supplementary Medical Insurance); (3) elimination of time limitation on Medicare benefits for immunosuppressive drugs; (4) imposition of billing limits on drugs; and (5) availability of application forms for medical assistance for Medicare cost-sharing. (Sec. 116) Amends SSA title II (Old Age, Survivors and Disability Insurance) (OASDI) to provide for a waiver of 24-month waiting period for Medicare coverage of individuals disabled with amyotrophic lateral sclerosis. Subtitle C: Demonstration Projects and Studies - Outlines: (1) a Health and Human Services (HHS) demonstration project for disease management for severely chronically ill Medicare beneficiaries; (2) HHS demonstration projects for cancer prevention and treatment for ethnic and racial minorities; (3) a National Academy of Sciences study on the addition of coverage of routine thyroid screening using a thyroid stimulating hormone test as a preventive benefit provided to Medicare beneficiaries; (4) a Medicare Payment Advisory Commission (MEDPAC) study on consumer coalitions in marking Medicare+Choice (SSA title XVIII part C) plans; (5) an HHS study on the effect of limitations on State payment for Medicare cost-sharing on access to services for qualified Medicare beneficiaries; (6) HHS studies on preventive interventions in primary care for older Americans; and (7) a MEDPAC study on Medicare coverage of cardiac and pulmonary rehabilitation therapy services. Title II: Rural Health Care Improvements - Subtitle A: Critical Access Hospital Provisions - Amends SSA title XVII to: (1) prohibit beneficiary cost-sharing for clinical diagnostic laboratory tests furnished by critical access hospitals; (2) increase the amount a critical access hospital may elect to be paid for outpatient critical access hospital (OCAH) services with respect to the fee schedule payment for OCAH professional services; (3) exempt critical access hospital swing beds from the skilled nursing facility (SNF) prospective payment system (PPS); (4) provide for payment in critical access hospitals for emergency room on-call physicians; and (5) provide for the treatment of ambulance services furnished by certain critical access hospitals. (Sec. 206) Requires the General Accounting Office (GAO) to conduct a study on certain eligibility requirements for critical access hospitals. Subtitle B: Other Rural Hospitals Provisions - Amends SSA title XVIII with regard to payment to hospitals for inpatient hospital services to provide for: (1) application of a uniform threshold for urban and rural hospitals to be classified as disproportionate share hospitals (DSHs) for discharges occurring on or after October 1, 2001; (2) adjustment of payment formulas for various specified hospitals, including hospitals that are both sole community hospitals and rural referral centers for discharges occurring during such period; (3) an option to base eligibility for the Medicare dependent, small rural hospital program on discharges during two of the three most recently audited cost reporting periods; and (4) extension of the option to use rebased target amounts to all sole community hospitals. (Sec. 214) Directs MEDPAC, in its study and report to Congress on rural providers under the Medicare, Medicaid, and SCHIP Balanced Budget Refinement Act of 1999, to analyze the impact of volume on the per unit cost of rural hospitals with psychiatric units, and recommend whether special treatment for such hospitals may be warranted. Subtitle C: Other Rural Provisions - Amends SSA title XVIII with regard to special payment rules for particular items and services to provide transitional assistance for providers of ambulance services in rural areas. (Sec. 222) Amends SSA title XVIII part B with regard to the use of carriers for administration of benefits concerning payment for certain physician assistant services. (Sec. 223) Amends BBA'97 to: (1) set a time limit for Medicare reimbursement for telehealth services; and (2) provide for an expansion of Medicare payment for such services. (Sec. 224) Amends SSA title XVIII part B to provide for expanding access to rural health clinics. (Sec. 225) Directs MEDPAC to study the effect of low patient and procedure volume on the financial status of low-volume, isolated rural health care providers participating in Medicare. Title III: Provisions Relating to Part A - Subtitle A: Inpatient Hospital Services - Amends SSA title XVIII to provide for elimination of the reduction in the PPS hospital payment update. (Sec. 301) Directs the Secretary, when rebasing and revising the hospital market basket index, to consider the prices of blood and blood products purchased by hospitals and to determine whether those prices are adequately reflected in such index. Amends SSA title XVIII with respect to payment to hospitals for inpatient hospital services and updating previous standardized amounts to provide for: (1) an adjustment for inpatient case mix changes; (2) modification of the transition for indirect medical education percentage adjustment for DSHs; and (3) decreases in reductions for DSH payments. (Sec. 304) Provides for a three-year effective period for any decision of the Medicare Geographic Classification Review Board to reclassify a DSH for purposes of adjusting the diagnosis-related group (DRG) prospective payment rate for hospital wage level area differences for FY 2001 or any fiscal year thereafter. Requires the Secretary to establish procedures under which a DSH hospital may elect to terminate such reclassification before the end of such period. Directs the Secretary to: (1) establish a process under which an appropriate statewide entity may apply to have all the geographic areas in a State treated as a single geographic area for purposes of computing and applying the area wage index; and (2) provide for the collection of data every three years on occupational mix for employees of each DSH in the provision of inpatient hospital services in order to construct an occupational mix adjustment in the applicable hospital area wage index. (Sec. 305) Amends SSA title XVIII with respect to prospective payment for inpatient rehabilitation hospital services and: (1) assistance with administrative costs associated with completion of patient assessment; as well as (2) a rehabilitation facility election to apply full prospective payment rate without phase-in. (Sec. 306) Provides that, with respect to the inpatient services of psychiatric hospitals and certain psychiatric units, in making incentive payments to such hospitals for cost reporting periods from October 1, 2000, through October 1, 2001, the Secretary shall increase the percent of the target amount used in determining such payments. (Sec. 307) Amends SSA title XVIII to provide for: (1) increased target amounts and caps for long-term care hospitals before implementation of the PPS required under the Medicare, Medicaid, and SCHIP Balanced Budget Refinement Act of 1999 for payment for inpatient hospital services provided in long-term care hospitals; (2) alternative implementation of such PPS by the Secretary based on the use of existing hospital DRGs that have been modified; and (3) increase in the base payment for Puerto Rico DSH hospitals. Subtitle B: Adjustments to PPS Payments for Skilled Nursing Facilities - Amends SSA title XVIII with respect to payment to SNFs for routine service costs to revise updating requirements, among other changes eliminating the reduction in the skilled nursing facility market basket update in 2001. (Sec. 311) Directs the Comptroller General to report to Congress on the adequacy of Medicare payment rates to SNFs and the extent to which Medicare contributes to the financial viability of such facilities. (Sec. 312) Directs the Secretary to increase the nursing component of the case-mix adjusted Federal prospective payment rate specified in the final rule published in the Federal Register by the Health Care Financing Administration on July 31, 2000, effective for services furnished on or after April 1, 2001, and before October 1, 2002. Requires the Comptroller General to conduct an audit for Congress of nursing staffing ratios in a representative sample of Medicare SNFs. (Sec. 313) Amends SSA title XVIII to limit application of the SNF consolidated billing requirement to a period during which the resident is provided Medicare part A (Hospital Insurance) covered post-hospital extended care services. Requires the Secretary to monitor payments made under Medicare part B for items and services furnished to SNF residents during a time in which they are not being provided Medicare covered post-hospital extended care services, in order to ensure that there is not duplicate billing for services or excessive services provided. (Sec. 314) Provides that, for purposes of computing payments for certain covered SNF services, the Secretary shall increase the adjusted Federal per diem rate for covered SNF services for specified RUG-III (resource utilization group) rehabilitation groups furnished to an individual during the period in which such individual is classified in such a RUG-III category. Directs the HHS Inspector General to review the Medicare payment structure for services classified within RUGs and report to Congress on whether payment incentives exist for the delivery of inadequate care. (Sec. 315) Authorizes the Secretary to establish a procedure for the geographic reclassification of a SNF for purposes of payment for covered SNF services under the PPS for SNFs for routine service costs. Subtitle C: Hospice Care - Amends SSA title XVIII to provide for a full market basket increase for hospice care for FY 2001 and 2002. (Sec. 322) Requires that the certification regarding an individual's terminal illness be based on the physician's or medical director's clinical judgment regarding the normal course of the illness. (Sec. 323) Directs MEDPAC to conduct a study on the factors affecting the use of hospice benefits under Medicare program and differences in such use between urban and rural hospice programs and based upon the presenting condition of the patient. Subtitle D: Other Provisions - Amends SSA title XVIII to provide for a reduction in Medicare part A late enrollment premium increases (penalty) for a qualified State or local government retiree group in the case where a State, a local government, or an agency or instrumentality of a State or local government, determines to pay, for the life of each individual in such a group, the monthly premiums due. (Sec. 332) Outlines provisions for hospital geographic reclassification for labor costs applicable to other PPS systems and for grants to States for improvements in nursing home staffing and quality. Title IV: Provisions Relating to Part B - Subtitle A: Hospital Outpatient Services - Amends SSA title XVIII with respect to the PPS for hospital OPD services to provide for: (1) a full market basket increase for such services for 2001; (2) adjustment for service mix changes; (3) use of categories in determining eligibility of a device for pass-through payments; (4) application of OPD PPS transitional corridor payments to certain hospitals that did not submit a 1996 cost report; (5) treatment of children's hospitals under the PPS; (6) inclusion of temperature monitored cryoablation in transitional pass-through for certain medical devices, drugs, and biologicals under the PPS; and (7) the Secretary to create additional groups of covered OPD services that classify separately those procedures that utilize contrast media from those that do not. (Sec. 404) Provides that, for purposes of making determinations of provider-based status under Medicare on or after October 1, 2000, any facility or organization that is treated as provider-based in relation to a hospital or critical access hospital under Medicare as of October 1, 2000: (1) shall continue to be treated as provider-based in relation to such hospital or critical access hospital under Medicare during the two year period beginning on October 1, 2000; and (2) the requirements, limitations, and exclusions specified in appropriate Federal regulations detailing requirements for a determination that a facility or an organization has provider-based status shall not apply to such facility or organization in relation to such hospital or critical access hospital until after the end of such two- year period. Prohibits a facility or organization for which a determination of provider-based status in relation to a hospital or critical access hospital is requested during FY 2001 or 2002 from being treated as not having such status in relation to such a hospital for any period before a determination is made with respect to such status pursuant to such request and in making a determination with respect to such status for any facility or organization in relationship to such a hospital on or after October 1, 2000, the facility or organization shall be treated as satisfying any requirements and standards for geographic location in relation to such a hospital if the facility or organization: (1) satisfies appropriate Federal regulations pertaining to location in immediate vicinity or is located not more than 35 miles from the main campus of the hospital or critical access hospital; and (2) is owned and operated by a hospital or critical access hospital that meets specified criteria. Subtitle B: Provisions Relating to Physicians' Services - Directs the Comptroller General to conduct a study on: (1) the appropriateness of furnishing in physicians' offices specialist physicians' services which are ordinarily furnished in hospital outpatient departments; and (2) the refinements to the practice expense relative value units during the transition to a resource-based practice expense system for physician payments under Medicare. (Sec. 412) Amends SSA title XVIII to require the Secretary to conduct demonstration projects to test and, if proven effective, expand the use of incentives to health care groups participating in Medicare that: (1) encourage coordination of the care furnished to individuals under Medicare parts A and B by institutional and other providers, practitioners, and suppliers of health care items and services; (2) encourage investment in administrative structures and processes to ensure efficient service delivery; and (3) reward physicians for improving health outcomes. (Sec. 413) Directs the Comptroller General to study the current Medicare enrollment process for groups that retain independent contractor physicians with particular emphasis on hospital-based physicians. Subtitle C: Other Services - Amends SSA title XVIII to provide for a one-year extension of the moratorium on certain physical therapy services caps. (Sec. 421) Directs the Secretary to study the implications: (1) of eliminating the "in the room" supervision requirement for Medicare payment for services of physical therapy assistants supervised by physical therapists; and (2) of such requirement on the cap imposed under Medicare on physical therapy services. (Sec. 422) Amends SSA title XVIII with respect to Medicare coverage for end stage renal disease (ESRD) patients to increase the update for dialysis services furnished on or after January 1, 2001. Directs the Secretary to: (1) collect data and develop an ESRD market basket whereby the Secretary can estimate, before the beginning of a year, the percentage by which the costs for the year of the mix of labor and nonlabor goods and services included in the ESRD composite rate will exceed the costs of such mix for the preceding year; and (2) develop a system which includes in such composite rate, to the maximum extent feasible, payment for clinical diagnostic laboratory tests and drugs that are routinely used in furnishing dialysis services to Medicare beneficiaries, but which are currently separately billable by renal dialysis facilities. (Sec. 423) Amends SSA title XVIII with respect to payment for ambulance services to provide for: (1) restoration of the full consumer price index (CPI) increase for 2001; and (2) continued phase-in of the application of the payment rates under the ambulance services fee schedule in an efficient and fair manner; except that when the Secretary implements such fee schedule, such phase-in shall provide for full payment of any national mileage rate for ambulance services provided by suppliers that are paid by carriers in any of the 50 States where payment by a carrier for such services for all such suppliers in such State, before the fee schedule's implementation, did not include a separate amount for all mileage within the county from which the beneficiary is transported. (Sec. 424) Prohibits the Secretary from implementing a revised PPS for services of ambulatory surgical facilities before January 1, 2002. Amends the Medicare, Medicaid, and SCHIP Balanced Budget Refinement Act of 1999 with respect to the phase-in of the PPS for ambulatory surgical centers to: (1) extend the phase-in to four years; and (2) direct the Secretary, by January 1, 2003, to incorporate data from a 1999 Medicare cost survey or a subsequent cost survey for purposes of implementing or revising such PPS. (Sec. 425) Amends SSA title XVIII, with respect to special payment rules for particular items and services, to provide for: (1) the full update for durable medical equipment, orthotics, and prosthetics in 2001; and (2) addition of special payment provisions and requirements for prosthetics and certain custom fabricated orthotic items. (Sec. 428) Amends SSA title XVIII to provide for the replacement of, and payment for, prosthetic devices and parts. (Sec. 429) Directs the Comptroller General to study the reimbursement for drugs and biologicals under the current Medicare payment methodology and for related services under Medicare part B, with recommendations for revised payment methodologies. Directs the Secretary to revise such payment methodology based on such recommendations. (Sec. 430) Amends SSA title XVIII part D (Miscellaneous) to revise the qualifications for community mental health centers under provisions defining partial hospitalization services. (Sec. 431) Makes a hospital or a free-standing ambulatory care clinic, whether operated by the Indian Health Service or by an Indian tribe or tribal organization, eligible for payments for services for which payment is made under Medicare part B for physicians' services if and for so long as it meets all of the requirements which are applicable generally to such payments, services, hospitals, and clinics. (Sec. 432) Directs the Comptroller General to study the effect on Medicare and on Medicare beneficiaries of coverage of surgical first assisting services of certified registered nurse first assistants. (Sec. 433) Directs MEDPAC to study the appropriateness of: (1) the current Medicare payment rates for services provided by a certified nurse-midwife, a physician assistant, a nurse practitioner, and a clinical nurse specialist; and (2) Medicare coverage for services provided by a surgical technologist, a marriage counselor, a marriage and family therapist, a pastoral care counselor, and a licensed professional counselor of mental health. (Sec. 435) Directs the Comptroller General to study: (1) the costs of providing emergency and medical transportation services across the range of acuity levels of conditions for which such transportation services are provided; (2) the post-payment audit process under Medicare as such process applies to physicians; and (3) the aggregate effects of regulatory, audit, oversight, and paperwork burdens on physicians and other health care providers participating in Medicare. (Sec. 437) Directs MEDPAC to study the barriers to coverage and payment for outpatient interventional pain medicine procedures under Medicare. Title V: Provisions Relating to Parts A and B - Subtitle A: Home Health Services - Amends SSA title XVIII to provide for a two-year additional delay in the application of the 15 percent reduction on payment limits for home health services. (Sec. 501) Amends the Medicare, Medicaid, and SCHIP Balanced Budget Refinement Act of 1999 to delay for an additional year the 15 percent reduction in payment rates for home health services after implementation of the PPS. Requires the Comptroller General, instead of the Secretary (as currently required), to report to Congress an analysis of the need for such a reduction. Amends SSA title XVIII with regard to the PPS for home health services concerning the annual update to provide for an adjustment for case mix changes. (Sec. 502) Amends SSA title XVIII to provide for restoration of the full home health market basket update for home health services for FY 2001. Establishes a special rule for payment under the PPS for home health services for FY 2001 based on adjusted prospective payment amounts. (Sec. 503) Provides for a temporary two-month extension of periodic interim payments under BBA '97 in the case of a home health agency receiving periodic interim payments as of September 30, 2000. (Sec. 504) Amends SSA title XVIII to provide for the use of telehealth in the delivery of home health services. (Sec. 505) Directs the Comptroller General to study variations in prices paid by home health agencies furnishing home health services under Medicare in purchasing nonroutine medical supplies and volumes if such supplies used determine the effect (if any) of variations on prices and volumes in the provision of such services. (Sec. 506) Provides that, in determining for Medicare purposes whether an office of a home health agency constitutes a branch office or a separate home health agency, neither the time nor distance between a parent office of the home health agency and a branch office shall be the sole determinant of a home health agency's branch office status. (Sec. 507) Amends SSA title XVIII with regard to the Medicare home health benefit to declare that absences from home to receive medical treatment shall not disqualify an individual from such benefit. (Sec. 508) Provides for a temporary payment increase for home health services furnished in a rural area for2001 and 2002. Subtitle B: Direct Graduate Medical Education - Amends SSA title XVIII to provide for an increase in the floor for direct graduate medical education payments for FY 2002. (Sec. 512) Changes the distribution formula for Medicare+Choice-related nursing and allied health education costs. Subtitle C: Changes in Medicare Coverage and Appeals Process - Amends SSA title XVIII to revise the Medicare appeals process. Provides for initial determinations of entitlement and benefits by the Secretary, by a utilization and quality control peer review organization, or by an independent contractor. Provides for redeterminations of denied benefit claims. Specifies appeal rights, including the right of an individual to request a medically exigent review from the contractor who made the initial determination. (Sec. 522) Provides for the review of coverage determinations under the Medicare appeals process. Amends SSA title XI to require any advisory committee on certain Medicare coverage exclusions to: (1) assure the full participation of a nonvoting member in its deliberations; and (2) provide such nonvoting member access to all information and data (with certain exceptions) made available to the committee's voting members. Provides that, if such committee organizes into panels of experts according to types of items or services, any such panel may report directly to the Secretary without prior approval. Subtitle D: Improving Access to New Technologies - Amends SSA title XVIII to establish a new payment rule for any clinical diagnostic laboratory test performed on or after January 1, 2001, that is a new test for which no limitation amount has previously been established. (Sec. 531) Directs the Secretary to: (1) establish procedures for coding and payment determinations for the categories of new clinical diagnostic laboratory tests and new durable medical equipment under Medicare part B that permit public consultation in a manner consistent with the procedures established for implementing coding modifications for ICD-9-CM; and (2) report to Congress on the specific procedures used under Medicare part B to adjust payments for clinical diagnostic laboratory tests and durable medical equipment which are classified to existing codes where, because of a technology advance, there has been a significant increase or decrease in the resources used in the test or in the manufacture of the equipment, and a significant improvement in test or equipment performance. (Sec. 532) Directs the Secretary to: (1) maintain and continue through December 31, 2003, the use of level III codes of the HCPCS (Health Care Financing Administration (HCFA) Common Procedure Coding System) coding system (as such system was in effect on August 16, 2000); and (2) make such codes publicly available. (Sec. 533) Directs the Secretary to: (1) report to Congress on methods of expeditiously incorporating new medical services and technologies into the clinical coding system used with respect to Medicare payment for inpatient hospital services, together with a detailed description of the Secretary's preferred methods to achieve this purpose; and (2) implement such preferred methods. Amends SSA title XVIII to direct the Secretary to establish a mechanism to recognize the costs of new medical services and technologies with respect to inpatient hospital services under the hospital reimbursement control system. Subtitle E: Other Provisions - Amends SSA title XVIII to reduce from 45 percent to 30 percent the reduction in the amount of bad debts otherwise treated as allowable costs attributable to the deductibles and coinsurance amounts under Medicare for FY 2001 and subsequent fiscal years in determining the reasonable costs of outpatient hospital services (thus increasing by 15 percent the amount that may be reimbursed). (Sec. 542) Provides for the treatment of certain physician pathology services under Medicare. (Sec. 543) Amends SSA title XI to make permanent the authority for the Secretary to issue written advisory opinions under provisions for guidance regarding application of health care fraud and abuse sanctions. (Sec. 544) Amends SSA title XVIII to make various specified changes in annual MEDPAC reporting with regard to revision of deadlines for submission of reports and on the record votes on recommendations. (Sec. 545) Directs the Secretary to report to specified congressional committees on the development of standard instruments for the assessment of the health and functional status of patients, for whom specified items and services are furnished. (Sec. 546) Directs the Comptroller General to report to specified congressional committees on the effect of the Emergency Medical Treatment and Active Labor Act on hospitals, emergency physicians, and physicians covering emergency department call throughout the United States. (Sec. 547) Amends SSA title XVIII with respect to agreements with providers of services to provide for the application of the bloodborne pathogen standard to certain hospitals. Title VI: Provisions Relating to Part C (Medicare+Choice Program) and Other Medicare Managed Care Provisions - Subtitle A: Medicare+Choice Payment Reforms - Amends SSA title XVIII part C with regard to payments to Medicare+Choice organizations to: (1) increase the payment amount for 2001 through 2003 for accountable Medicare+Choice coordinated care plans; and (2) provide for a ten-year phase-in of risk adjustment. (Sec. 603) Provides for a transition to revised Medicare+Choice payment rates. (Sec. 604) Amends SSA title XVIII part C to provide for revision of payment rates for ESRD patients enrolled in Medicare+Choice plans. (Sec. 605) Amends SSA title XVIII part C with regard to premiums to permit Medicare part B premium reductions as additional benefits under Medicare+Choice plans. (Sec. 606) Amends SSA title XVIII part C with regard to payments to Medicare+Choice organizations to: (1) ensure full implementation of risk adjustment methodology for congestive heart failure enrollees for 2001; and (2) provide for the expansion of the application of Medicare+Choice's new entry bonus. (Sec. 608) Directs the Secretary to report to Congress on a method to phase-in the costs of military facility services furnished by the Department of Veterans Affairs, and those furnished by the Department of Defense, to Medicare-eligible beneficiaries in the calculation of an area's Medicare+Choice capitation payment. Subtitle B: Other Medicare+Choice Reforms - Amends SSA title XVIII part C to provide for payment of additional amounts for new Medicare+Choice benefits covered during a contract term. (Sec. 612) Prohibits the Secretary from implementing, other than at the beginning of a calendar year, regulations that impose significant regulatory requirements on a Medicare+Choice organization or plan. (Sec. 613) Provides for timely approval of marketing material that follows model marketing language, and for avoiding duplicative regulation with respect to plan requirements. (Sec. 615) Provides that, in the case of a Medicare+Choice organization that offers a Medicare+Choice plan in an area in which more than one local coverage policy is applied with respect to different parts of the area, the organization may elect to have the local coverage policy for the part of the area that is most beneficial to Medicare+Choice enrollees apply with respect to all Medicare+Choice enrollees enrolled in the plan. (Sec. 616) Requires: (1) the quality assurance program under the Medicare+Choice program to include a separate focus on racial and ethnic minorities; and (2) the Secretary to submit to Congress a report regarding how such quality assurance programs focus on racial and ethnic minorities. (Sec. 617) Authorizes the Secretary to waive or to modify requirements that hinder the design of, the offering of, or enrollment in Medicare+Choice plans under contracts between Medicare+Choice organizations and employers, labor organizations, or the trustees of a fund established by one or more employers or labor organizations (or combination thereof) to furnish benefits to the entity's employees, former employees (or combination thereof) or to members or former members (or combination thereof) of the labor organizations. (Sec. 618) Amends SSA title XVIII part D with regard to special Medicare supplemental health insurance enrollment anti-discrimination provision for certain beneficiaries. (Sec. 619) Amends SSA title XVIII part C to restore the effective date of elections and changes of elections of Medicare+Choice plans. (Sec. 620) Permits ESRD beneficiaries to enroll in another Medicare+Choice plan if the plan in which they are enrolled is terminated. (Sec. 621) Provides that, in covering post-hospital extended care services, a Medicare+Choice plan shall provide for such coverage through a home SNF if: (1) the enrollee elects to receive such coverage through such SNF; and (2) the SNF has a contract with the Medicare+Choice organization for the provision of such services, or the SNF agrees to accept substantially similar payment under the same terms and conditions that apply to similarly situated SNFs under contract with the Medicare+Choice organization through which the enrollee would otherwise receive such services. (Sec. 622) Directs HCFA's Chief Actuary to review the actuarial assumptions and data used by the Medicare+Choice organization with respect to such rates, amounts, and values to determine the appropriateness of such assumptions and data. (Sec. 623) Amends SSA title XVIII to provide for civil monetary penalties for contract default by a Medicare+Choice organization. Subtitle C: Other Managed Care Reforms - Amends the Omnibus Budget Reconciliation Act of 1987 to provide for a one-year extension of the social health maintenance organization demonstration project authority. (Sec. 632) Amends the Medicare, Medicaid, and SCHIP Balanced Budget Refinement Act of 1999 to provide for revised terms and conditions for extension of Medicare community nursing organization demonstration project. (Sec. 633) Amends the Consolidated Omnibus Budget Reconciliation Act of 1985 to provide for a two-year extension of Medicare municipal health services demonstration projects. (Sec. 634) Amends SSA title XVIII part D with regard to payments to health maintenance organizations and competitive medical plans and service area expansion for Medicare cost contracts during transition period. Title VII: Medicaid - Amends SSA title XIX with respect to DSH payments and: (1) continuation of Medicaid DSH allotments at FY 2000 levels for FY 2001 and 2002; and (2) a special rule for Medicaid DSH allotment for extremely low DSH States. (Sec. 701) Outlines provisions for: (1) assuring identification of Medicaid managed care patients for purposes of making DSH payments; (2) application of the Medicaid DSH transition rule to public hospitals in all States; (3) assistance for certain public hospitals; and (4) DSH payment accountability standards. (Sec. 702) Amends SSA title XIX to create a new PPS for Federally-qualified health centers and rural health clinics. (Sec. 703) Amends SSA XI to establish an approval process for a State's application for an extension of any State-wide comprehensive demonstration project for which a waiver of compliance with Medicaid requirements is granted. (Sec. 704) Amends the Consolidated Omnibus Budget Reconciliation Act of 1985 with respect to Medicaid county-organized health systems. (Sec. 705) Directs the Secretary to issue a final regulation based on the proposed rule announced on October 5, 2000, that: (1) modifies the upper payment limit test applied to State Medicaid spending for inpatient hospital services, outpatient hospital services, nursing facility services, intermediate care facility services for the mentally retarded, and clinic services by applying an aggregate upper payment limit to payments made to government facilities that are not State-owned or operated facilities; and (2) provides for a specified transition period. (Sec. 706) Prescribes a formula for the Federal medical assistance percentage for Alaska for purposes of SSA titles XIX and XXI (State Children's Health Insurance Program) (SCHIP), which shall apply only for FY 2001 through 2005. (Sec. 707) Amends SSA title XIX to provide for optional coverage of legal immigrants under Medicaid. (Sec. 708) Makes additional entities qualified to determine Medicaid presumptive eligibility for low-income children. (Sec. 709) Provides for a one year extension of provisions on eligibility for medical assistance under Medicaid. (Sec. 710) Includes as Medicaid medical assistance any services furnished by a physician assistant which the assistant is legally authorized to perform under State law and with the supervision of a physician. (Sec. 711) Gives States the option of allowing families of disabled children to purchase Medicaid coverage for such children. Title VIII: State Children's Health Insurance Program - Amends SSA title XXI to: (1) establish a rule for redistribution and extended availability of unused FY 1998 and 1999 SCHIP allotments; (2) provide authority to pay Medicaid expansion SCHIP costs from SCHIP appropriations; (3) eliminate requirement to reduce a SCHIP allotment by Medicaid expansion SCHIP costs; (4) provide authority to transfer SCHIP appropriations to the Medicaid appropriation account as reimbursement for Medicaid expenditures for Medicaid expansion SCHIP services; and (5) provide optional coverage of certain legal immigrants under SCHIP. Title IX: Other Provisions - Subtitle A: PACE Program - Amends BBA '97 with respect to programs of all-inclusive care for the elderly (PACE programs) to provide for an extension of transition for the current PACE demonstration project waiver authority. (Sec. 902) Amends SSA title XVIII with respect to payments to, and coverage of benefits under, PACE programs, and regulations and use of PACE protocol to provide for the continuation of modifications or waivers of operational requirements under demonstration status. (Sec. 903) Directs the Secretary to approve or deny a request for a modification or a waiver of provisions of the PACE protocol not later than 90 days after the Secretary receives the request, in order to provide flexibility in exercising waiver authority. Permits the Secretary to exercise authority to modify or to waive such provisions in a manner that responds promptly to the needs of PACE programs relating to areas of employment and the use of community-based primary care physicians in order to provide flexibility in exercising waiver authority. Subtitle B: Outreach to Eligible Low-Income Medicare Beneficiaries - Amends SSA title XI to direct the Commissioner of Social Security to: (1) conduct outreach efforts to identify individuals entitled to Medicare benefits who may be eligible for medical assistance for payment of the cost of Medicare cost-sharing under Medicaid; and (2) notify such individuals of the availability of such medical assistance. (Sec. 911) Directs the Comptroller General to study the impact of such outreach efforts on the enrollment of individuals for Medicare cost-sharing under Medicaid. Subtitle C: Maternal and Child Health Block Grant - Amends SSA title V (Maternal and Child Health Services) to increase the authorization of appropriations for the Maternal and Child Health Services block grant for FY 2001 and each fiscal year thereafter. Subtitle D: Diabetes - Amends the Public Health Service Act to increase FY 2001 through 2003 appropriations for special diabetes programs for children with type I diabetes and for special diabetes programs for Indians. (Sec. 931) Amends BBA '97 to extend the final report on diabetes grant programs. (Sec. 932) Amends the Ricky Ray Hemophilia Relief Fund Act of 1998 to make appropriations to the Ricky Ray Hemophilia Relief Fund for FY 2001.
United States · United States Congress · 25 October 2000
Amends the Omnibus Consolidated and Emergency Supplemental Appropriations Act, 1999, as amended, to extend until June 1, 2001, the reenactment of chapter 12 of the Federal Bankruptcy Code (Adjustment of Debts of a Family Farmer with Regular Annual Income) (thereby extending family farmer bankruptcy relief). Makes this Act effective as of July 1, 2000 (the previous expiration date).
United States · United States Congress · 25 October 2000
Amends the Omnibus Consolidated and Emergency Supplemental Appropriations Act, 1999, as amended, to extend until April 1, 2001, the reenactment of chapter 12 of the Federal Bankruptcy Code (Adjustment of Debts of a Family Farmer with Regular Annual Income) (thereby extending family farmer bankruptcy relief). Makes this Act effective as of July 1, 2000 (the previous expiration date).
United States · United States Congress · 24 October 2000
Global Action and Investments for New Success for Women and Girls Act of 2000 (GAINS Act of 2000) - Title I: Integration of Women Into National Economies of Developing Countries - Amends the Support for East European Democracy (SEED) Act of 1989 and the Agricultural Trade Development and Assistance Act of 1954 to require such Acts to be administered so as to give particular attention to those programs, projects, and activities which tend to integrate women into the national economies of developing countries. (Sec. 104) Authorizes appropriations for the Office of Women in Development of the Agency for International Development (AID). (Sec. 105) Authorizes the President to make a voluntary contribution to the United Nations Development Fund for Women. Title II: Impact of Trade Agreements On Women - Directs the U.S. Trade Representative (USTR) to: (1) establish an Advisory Committee for Trade, Gender, and Development Policy; and (2) appoint to the Advisory Committee on Trade Policy two additional members, one with expertise in gender issues and one with expertise in international development issues. (Sec. 204) Directs the USTR, the Secretaries of Labor and of Health and Human Services, and the Administrator of AID to review: (1) the impact of U.S. trade agreements on the employment of women, women's health, and educational opportunities; and (2) the relationship between U.S. development assistance policies and U.S. trade policies, including the extent to which issues relating to gender are integrated into U.S. negotiation positions relating to trade agreements. (Sec. 205) Directs the Administrator of AID and the Secretary of State to conduct periodically time use surveys of unremunerated work performed in foreign countries, including surveys to determine the approximate monetary value of such work. Title III: Ensuring Opportunities for Women in Developing Countries - Amends the Foreign Assistance Act of 1961 to revise education and human resources development provisions to reaffirm the goals established by the Organization for Economic Cooperation and Development and the United Nations (UN) of achieving global gender equity in education by 2005 and universal access to basic education by 2015. (Sec. 302) Authorizes the President to provide grant assistance for programs to increase the availability of credit and other services to microenterprises lacking full access to capital, training, technical assistance, and business development (with 50 percent of all assistance to be targeted to very poor entrepreneurs). (Sec. 303) Establishes a U.S. Microfinance Loan Facility to pool and manage risk from natural disasters, war or civil conflict, national financial crisis, or short-term financial movements that threaten the long-term development of U.S.-supported microfinance institutions. Title IV: Promotion of Health of Women and Girls in Developing Countries - Authorizes appropriations for the U.S. voluntary contribution to the UN Population Fund. (Sec. 402) Provides for: (1) AID programs to provide maternal health assistance to individuals in need in developing countries; (2) AID programs to prevent and treat HIV/AIDS in developing countries; (3) assistance for the prevention, treatment, and control of tuberculosis; and (4) the establishment by AID of an index to measure the impact of its programs, projects, and activities on the health of children in developing countries. Title V: Human Rights of Women - Amends the Foreign Assistance Act of 1961 to direct the Administrator of AID to carry out programs to assist governments of developing countries to eliminate de jure discrimination against women. (Sec. 502) Directs the President to carry out programs in the United States and in foreign countries to prevent the trafficking of women and children. (Sec. 503) Expresses the sense of Congress that: (1) a specified congressional committee should hold hearings on the Convention on the Elimination of all Forms of Discrimination Against Women (CEDAW); and (2) the Senate should give its advice and consent to the ratification of CEDAW.
United States · United States Congress · 19 October 2000
Expresses the sense of Congress that: (1) Japan's continued defiance of International Whaling Commission (IWC) requests to halt its scientific whaling program undermines international efforts to conserve and protect the world's whale populations; (2) such behavior calls into question the credibility of commitments made by the Japanese Government to international organizations; and (3) the President should not support Japan's appointment to a permanent seat on the United Nations Security Council until Japan stops whaling and complies with IWC requirements.
United States · United States Congress · 17 October 2000
Amends the Omnibus Consolidated and Emergency Supplemental Appropriations Act, 1999, as amended, to extend until December 31, 2001, the reenactment of chapter 12 of the Federal Bankruptcy Code (Adjustment of Debts of a Family Farmer with Regular Annual Income) (thereby extending family farmer bankruptcy relief). Makes this Act effective as of July 1, 2000 (the previous expiration date).
United States · United States Congress · 17 October 2000
Calls upon the President to: (1) take all appropriate action to provide relief from injury caused by steel imports; and (2) immediately request the U.S. Trade Commission to commence an expedited investigation for positive adjustment of such steel imports under section 201 of the Trade Act of 1974.
United States · United States Congress · 12 October 2000
Bring Our Children Home Act - Amends the Federal judicial code to provide that a contestant may bring an action in district court to determine which of conflicting State court child custody determinations shall prevail. Directs the Attorney General (AG) to establish a registry for all custody orders entered by State courts. Authorizes law enforcement officers of a State or local government to hold, for no more than 24 hours, any child listed as missing for proper disposition under the latest valid custody determination. Requires the Secretary of State to prepare a report on progress made by the United States in negotiating and entering into bilateral treaties relating to international child abduction with countries that are not contracting parties under the Hague Convention on the Civil Aspects of International Child Abduction. Amends the Foreign Assistance Act of 1961 to require information on each country's efforts to prohibit international child abduction. Requires the AG to prepare a report describing the status of each case involving a request for extradition in cases involving international kidnaping by parents.
United States · United States Congress · 12 October 2000
Expresses the solidarity of Congress with the state and people of Israel at this time of crisis. Condemns the Palestinian leadership for encouraging the violence and doing so little for so long to stop it. Calls upon the Palestinian leadership to: (1) refrain from exhortations to public incitement; and (2) vigorously use its security forces to act immediately to stop all violence, to show respect for all holy sites, and to settle all grievances through negotiations. Commends successive Administrations on their continuing efforts to achieve peace in the Middle East. Calls upon: (1) the current Administration to use its veto power at the United Nations Security Council to ensure that the Security Council does not again adopt unbalanced resolutions addressing the uncontrolled violence in the areas controlled by the Palestinian Authority; and (2) all involved parties to make all possible efforts to reinvigorate the peace process.
United States · United States Congress · 6 October 2000
Renames the Stewart B.McKinney Homeless Assistance Act as the McKinney-Vento Homeless Assistance Act.
United States · United States Congress · 5 October 2000
Veterans Commemoration Act of 2000 - Directs the Secretary of the Treasury to mint and issue a maximum of 500,000 $1 coins to commemorate the service of veterans of the United States armed forces. Mandates that the proceeds from sale surcharges be paid promptly to the Disabled American Veterans to fund the transportation of veterans to and from hospitals administered by the Secretary of Veterans Affairs.
United States · United States Congress · 5 October 2000
Amends the Federal criminal code to provide criminal penalties for the placement of a writing (a representation or communication) with a consumer product without the consent of the product manufacturer, retailer, or authorized distributor.
United States · United States Congress · 28 September 2000
Fairness for National Guard Technicians Act - Requires National Guard military technicians (dual status) who are eligible, at the time dual status is lost, to an unreduced retirement annuity and are age 60 or older to be separated no later than 30 days after such status is lost. Requires such technicians who are not eligible to an unreduced annuity or who are not under age 60 at such time to be offered the opportunity to either reapply for a dual status position or apply for a civil service position that is not a technician position. States that a technician shall be considered to lose dual status upon: (1) being separated from the Selected Reserve; or (2) ceasing to hold the military grade specified for the technician position held.
United States · United States Congress · 19 September 2000
Veterans' Oral History Project Act - Requires the Director of the American Folklife Center at the Library of Congress to establish an oral history program to collect video and audio recordings of personal histories and testimonials of American war veterans.
United States · United States Congress · 19 September 2000
Calls on the Russian Federation to immediately release Edmond Pope and to ensure that proper and qualified medical attention is provided to him. Expresses the sense of Congress that if Pope is not released immediately, the President should continue efforts to secure his release, including consideration of: (1) terminating all assistance to the Government of the Russian Federation under the Foreign Assistance Act of 1961 and the annual Foreign Operations, Export Financing, and Related Programs Appropriations Act for purposes of preparing the Russian Federation's entrance or accession to the World Trade Organization; and (2) opposing any further debt relief of obligations owed to the U.S. Government from the Government of the Russian Federation. Urges the President to increase efforts to secure appropriate medical attention for Pope.
United States · United States Congress · 14 September 2000
Needlestick Safety and Prevention Act - Revises the bloodborne pathogens standard, in effect under the Occupational Safety and Health Act of 1970 (OSHA), to include safer medical devices, such as sharps with engineered sharps injury protections and needleless systems, as examples of engineering controls designed to eliminate or minimize occupational exposure to bloodborne pathogens through needlestick and other percutaneous injuries. Requires certain employers to: (1) review and update exposure control plans to reflect changes in technology that eliminate or reduce such exposure, and document their consideration and implementation of appropriate commercially available and effective safer medical devices for such purpose; (2) maintain a sharps injury log, noting the type and brand of device used, where the injury occurred, and an explanation of the incident (exempting employers who are not required to maintain specified OSHA logs); and (3) seek input on such engineering and work practice controls from the affected health care workers (exempting employers who are not required to establish exposure control plans). Requires such modifications of the standard to: (1) be in force until superseded by regulations promulgated by the Secretary of Labor under OSHA; and (2) take effect without regard to specified procedural requirements.
United States · United States Congress · 14 September 2000
Live Performing Arts Labor Relations Amendments - Amends the National Labor Relations Act to exempt, from a prohibition against employer or labor organization boycotts, any leaders, contractors, purchasers of live entertainment or live music, promoters, producers, or persons similarly engaged or involved in an integrated production or performance of any kind in the live entertainment industry. Allows employers who hire, or contract for the services of, persons engaged in the live performing arts to make agreements covering such persons with labor organizations of which performing artists are members (provided that certain unfair labor practices are not involved), even if the majority status of such labor organization has been previously established or such agreement requires membership in such labor organization as a condition of employment. Revises definitions of: (1) employer, to include purchasers of live musical performance services regardless of whether the performer is an independent contractor, employer, or employee of another employer; and (2) employee, to include independent contractors (other than employers) engaged to perform live musical services.
United States · United States Congress · 13 September 2000
Recognizes the 25th anniversary of the enactment of the Education for All Handicapped Children Act of 1975. Acknowledges the contributions of children with disabilities, their parents, teachers, related services personnel, and administrators. Reaffirms support for the Individuals with Disabilities Education Act so that all children with disabilities have access to a free public education.
United States · United States Congress · 6 September 2000
Department of Veterans Affairs Health Care Personnel Act of 2000 - Title I: Personnel Matters - Revises pay adjustment authority for nurses employed by the Department of Veterans Affairs to require the director of such Department health-care facility to use third-party industry wage surveys in making such adjustments. Prohibits any adjustment from reducing the rate of basic pay applicable to any nurse grade. Prohibits a director, in determining whether to carry out an adjustment, from considering the absence of a current recruitment or retention problem for personnel in that position. Requires a director to make such determination based on whether there is a significant pay-related staffing problem for such position at that facility. Authorizes the Department's Under Secretary for Health to modify any adjustment determination made by a facility director. Requires each director to report annually to the Secretary of Veterans Affairs on staffing for covered positions at that facility. Requires the Secretary to report annually on such staffing to the congressional veterans' committees. Makes annual (currently terminated in 1993) a reporting requirement from the Secretary to the veterans' committees regarding pay adjustments. Requires the Under Secretary to ensure that: (1) the director of a geographic service area, in formulating policy for the provision of patient care, consult regularly with a senior nurse executive(s); and (2) the director of a health-care facility include a registered nurse on any committee providing recommendations or decisions on medical center operations or policies affecting clinical services, clinical outcomes, budget, or resources. (Sec. 102) Increases the special pay for dentists for: (1) full-time status; (2) completing a post-graduate year of accredited hospital-based training; (3) length-of-service pay; (4) scarce specialty pay; (5) service in a geographic location in which there exists extraordinary difficulties in the recruitment and retention of qualified dentists; and (6) service in certain executive positions. Credits toward civil service retirement calculations 25 percent of the special pay for length-of-service pay for each two years that the dentist completes as a dentist in the Veterans Health Administration (VHA). (Sec. 103) Exempts VHA pharmacists from a required ceiling on special salary rates for certain VHA health professionals. (Sec. 104) Requires a physician assistant with appropriate experience to advise the Under Secretary on all matters relating to the utilization and employment of VHA physician assistants. (Sec. 105) Revises generally provisions regarding the temporary appointment of graduates of physician assistant training programs. Provides a three-year term for temporary full-time appointments of certain medical support personnel (with authorized renewals for additional three-year periods). (Sec. 106) Requires VHA social workers to be licensed or certified to independently practice social work in a State (with an authorized waiver on an individual basis for a reasonable period). (Sec. 107) Amends the Department of Veterans Affairs Employment Reduction Assistance Act of 1999 to: (1) revise the number of authorized participants in a plan for voluntary separation incentive payments; (2) revise the percentage of required agency contributions to the Civil Service Retirement and Disability Fund to cover such payments; and (3) extend payment authority through 2002. Title II: Construction Authorization - Authorizes the Secretary to carry out major medical facility projects at Department medical centers in Palo Alto, California, Miami, Florida, and Long Beach, California. Authorizes the Secretary to carry out a renovation project at the Department medical center in Murfreesboro, Tennessee. (Sec. 202) Authorizes appropriations for FY 2001 and 2002 for the Construction, Major Projects, account for such projects. Title III: Military Service Issues - Directs the Secretary to ensure that: (1) a protocol is used during at least one clinical evaluation of a patient to identify pertinent military experiences and exposures that may contribute to the health of the patient; and (2) such information is included in the patient's medical records. Requires a report from the Secretary to the veterans' committees on the feasibility and desirability of using a computer-based system in conducting such evaluations. (Sec. 302) Directs the Secretary to contract with an appropriate entity to conduct a follow-up study on post-traumatic stress disorder in Vietnam veterans. Requires a report to the veterans' committees. Title IV: Medical Administration - Authorizes the Secretary to carry out a pilot program in not more than four geographically dispersed areas to improve access to and coordination of inpatient care of eligible veterans. Terminates the pilot program on September 30, 2005. Authorizes the Secretary, under such program to pay the cost of hospital care and medical services furnished on an inpatient basis in a non-Department hospital to a veteran participant. Directs the Secretary to limit program care and services to general medical and surgical services, and to require that such services be provided only upon preauthorization by the Secretary. Makes eligible for the program a veteran who: (1) is enrolled to receive medical services from a nearby Department outpatient clinic; (2) has received care within 24 months preceding the veteran's application for program enrollment (3) requires such care and services for a non-service-connected condition and could not receive such care and services from a Department clinic; and (4) elects to receive such care and services under an entitled health plan. Directs the Secretary to ensure that at least 15 percent of program participants are veterans without a health care plan. Requires two reports from the Secretary to the veterans' committees on program implementation and operation. Limits to $50 million the total authorized program expenditure for any fiscal year. (Sec. 402) Authorizes the payment of veterans' disability compensation for veterans who are disabled during participation in a compensated work therapy program. (Sec. 403) Extends through December 31, 2005, the authority of the Secretary to establish nonprofit research and education corporations. (Sec. 404) Authorizes the Secretary to furnish temporary lodging in Fisher houses (guest houses) or other appropriate facilities, in connection with the examination, care, and treatment of a veteran, to: (1) a veteran who must travel a significant distance to receive such care and treatment; and (2) a family member and others who accompany such veteran and provide familial support. Authorizes the Secretary to establish charges for such lodging. (Sec. 405) Extends through 2004 an annual reporting requirement describing activities of the Committee on Care of Severely Chronically Mentally Ill Veterans. (Sec. 406) Excludes from the right of the Department to recover certain costs from a State for veterans' care facilities not so used for at least 20 years the establishment and operation of an outpatient clinic at such a facility. (Sec. 407) Prohibits the Secretary from entering into an enhanced-use lease of Department property until 90 days after notifying the veterans' committees of the intention to designate property for such use. (Sec. 409) Authorizes the Secretary to employ veterans claims examiners (also known as veterans service representatives) on a fee basis. Requires two reports on the implementation of such authority. (Sec. 410) Directs the Secretary to release a reversionary interest in certain real property in Johnson City, Tennessee, previously transferred to the State of Tennessee.
United States · United States Congress · 27 July 2000
National Family Farm Dairy Equity Act of 2000 - Directs the Secretary of Agriculture to make a direct payment to milk producers whenever the (three-month) average milk price for a given month is less than a specified target price.
United States · United States Congress · 27 July 2000
Medicare Fairness in Reimbursement Act of 2000 - Amends title XVIII (Medicare) of the Social Security Act with regard to payments to Medicare+Choice organizations concerning the calculation of annual Medicare+Choice capitation rates. Directs the Secretary of Health and Human Services to promptly conduct a new survey of levels of wages and wage-related costs for different occupational categories of hospital employees and to use the survey data in computing a certain hospital wage index for discharges occurring on or after October 1, 2001. Provides that, in applying any wage-related geographic area adjustment to a portion of a payment amount or rate under Medicare, the portion to which the adjustment is applied shall be 75 percent of the portion otherwise computed, and 25 percent of such portion shall not be subject to any such geographic area adjustment. Applies such provision to geographic adjustments made under specified Medicare provisions, including those with regard to home health and clinical laboratory services. Amends part C (Medicare+Choice) of title XVIII to permanently remove application of the budget neutrality factor under the Medicare+Choice program beginning in 2002. Allows a Medicare+Choice organization to elect to apply an area-specific percentage of 50 percent and a national percentage of 50 percent for 2002 rather than the rate currently applicable for that year in determining the blended capitation rate used in determining the calculation of annual Medicare+Choice capitation rates. Amends SSA title XVIII to require the Medicare Payment Advisory Commission to review the extent to which the adjustments made in payment rates on a geographical basis for variations in costs accurately reflect the actual costs of items and services in low reimbursement areas and the impact of such adjustments on the health infrastructure in such areas.
United States · United States Congress · 27 July 2000
Directs the Secretary of Agriculture, through the National Academy of Sciences, to report regarding the safety, monitoring, and approval of genetically engineered foods. Authorizes appropriations.
United States · United States Congress · 27 July 2000
Violence Against Women Civil Rights Restoration Act of 2000 - Rewrites provisions of the Violence Against Women Act regarding remedies for civil rights violations. Makes a person who commits a crime of violence motivated by gender and thus deprives another of a prescribed right liable to the injured party where: (1) in connection with the offense, the defendant or the victim travels in interstate or foreign commerce, the defendant or the victim uses a facility or instrumentality of interstate or foreign commerce, or the defendant employs a weapon, a narcotic or drug listed under the Controlled Substances Act, or other noxious or dangerous substances that have traveled in interstate or foreign commerce; (2) the offense interferes with commercial or other economic activity in which the victim is engaged; or (3) the offense was committed with intent to interfere with the victim's commercial or other economic activity. Authorizes the Attorney General, whenever there is reasonable cause to believe that any State, political subdivision, official, employee, or agent thereof has discriminated on the basis of gender in the investigation or prosecution of gender-based crimes and that discrimination is pursuant to a pattern or practice of resistance to investigating or prosecuting gender-based crimes, to institute a civil action in U.S. district court for appropriate equitable relief.
United States · United States Congress · 27 July 2000
Comprehensive Rural Telecommunications Act - Title I: Rural Telework - Amends the Consolidated Farm and Rural Development Act to direct the Secretary of Agriculture, acting through the Rural Utility Service, to establish a National Centers for Distance Working Program to provide grants to eligible organizations for the Federal share of establishing National Centers for Distance Working in rural areas. Directs a recipient Center to use grants for five-year projects to: (1) identify needed skills and provide training and employment-related services to persons in rural areas and Indian tribes to support the use of teleworking (the use of telecommunications to perform work functions over a distance) in technology fields; and (2) recruit employers and provide for high-speed employer-employee communications. Authorizes the Secretary to make limited grants for teleworking studies, including development of best practices for businesses that employ teleworkers. Authorizes appropriations. Title II: Rural Telecommunications Modernization - Amends the Internal Revenue Code to establish the rural telecommunications facilities investment tax credit. Title III: Rural Broadband Enhancement - Amends the Communications Act of 1934 to direct the Federal Communications Commission to initiate a proceeding to provide Federal universal service support for the deployment of broadband telecommunications service (high speed voice, data, graphic, and video telecommunications) to eligible rural communities (communities not located in an area designated as a metropolitan area by the Office of Management and Budget). Amends the National Telecommunications and Information Administrative Organization Act to direct the Rural Utilities Service of the Department of Agriculture to make loans or other credit extensions to eligible telecommunications carrier providers, or to companies that accept the obligations of such carriers, to finance the deployment of broadband service to eligible rural communities. Authorizes appropriations for FY 2001 through 2005.
United States · United States Congress · 27 July 2000
Health Security for All Americans Act - Title I: Health Security for All Americans - Expansion Phase (Phase I) - Amends the Social Security Act (SSA) to add a new title XXII (Health Security For All Americans) with a part A (Expansion Phase (Phase I) Plans) providing funds to participating States to enable them to ensure universal health insurance coverage by voluntarily establishing State administered systems which offer at least the benefits provided under the Federal Employees Health Benefits program standard Blue Cross-Blue Shield preferred provider option service benefit plan. Makes appropriations. Title II: Health Security for All Americans - Universal Phase (Phase II) - Amends SSA title XXII to add a part B (Universal Phase (Phase II) Plans) requiring States by January 1, 2006, to establish and implement State-administered systems to ensure universal health insurance coverage equal to the benefits provided under the Federal Employees Health Benefits program standard Blue Cross-Blue Shield preferred provider option service benefit plan. Provides for funds to States for the establishment and implementation of such systems. Makes necessary appropriations. (Sec. 202) Adds a part C (Consumer Protections) listing home care standards and providing for consumer protection: (1) in the event of termination or suspension of health services; (2) through disclosure of information regarding health care workers; and (3) through notice of changes in health care delivery. Title III: Patient Protections - Enacts into Federal law certain provisions of H.R. 2723 of the 106th Congress, as passed the House of Representatives on October 7, 1999 and H.R. 137 of the 106th Congress, as introduced on January 6, 1999. Title IV: Health Care Quality, Patient Safety, and Workforce Standards - Establishes within the Agency for Healthcare Research and Quality, the Health Care Quality, Patient Safety, and Workforce Standards Institute to: (1) demonstrate how patient safety issues and workplace conditions are linked to quality patient care and the reduction of the incidence of medical errors; and (2) reduce the incidence of medical errors and improve patient safety and quality of care. Authorizes appropriations. (Sec. 402) Establishes a Health Care Quality, Patient Safety, and Workforce Standards Committee to advise the Director of the Health Care Quality, Patient Safety, and Workforce Standards Institute. Title V: Improving Medicare Benefits - Requires that each individual entitled to benefits under Medicare part A (Hospital Insurance) or enrolled under Medicare part B (Supplementary Medical Insurance) be provided full mental health and substance abuse treatment parity under Medicare consistent with SSA title XXII (as added by this Act). Title VI: Long-Term and Home Health Care - Directs the Secretary of Health and Human Services to: (1) conduct studies and demonstration projects, through grant, contract, or interagency agreement, that are designed to identify model programs for the provision of long-term and home health care services; and (2) report to Congress on results. Title VII: Miscellaneous - Makes specified provisions of the Employee Retirement Income Security Act of 1974 (ERISA) inapplicable to health benefits provided under a group health plan qualified to offer such benefits under an expansion phase (phase I) plan or a universal phase (phase II) plan under SSA title XXII. (Sec. 702) Expresses the sense of Congress that any sums necessary for the implementation of this Act should be offset by: (1) general revenues available as a result of an on-budget surplus for a fiscal year; (2) direct savings in health care expenditures resulting from the implementation of this Act; and (3) reductions in unnecessary Federal tax benefits available only to individuals and large corporations in the maximum tax brackets.
United States · United States Congress · 27 July 2000
States that the Congress supports the goals and ideas of National Take Your Kids To Vote Day.
United States · United States Congress · 26 July 2000
Electric Power Industry Tax Modernization Act - Amends the Internal Revenue Code to permit a governmental unit to make an irrevocable election to terminate certain tax-exempt financing for electric output facilities. Sets forth provisions concerning independent transmission companies. Provides for the exclusion from gross income as contributions to capital of certain amounts received by electric utilities. Revises the special rules concerning the tax treatment of nuclear decommissioning costs.
United States · United States Congress · 26 July 2000
Middle East Peace Process Support Act - Prohibits U.S. assistance to any unilaterally-declared Palestinian state. Directs the President to instruct the U.S. Representative to the United Nations to oppose admission to the United Nations of a unilaterally-declared Palestinian state or formal recognition by the United Nations of such a state.
United States · United States Congress · 25 July 2000
Rural Access to Emergency Devices Act or the Rural AED Act - Directs the Secretary of Health and Human Services, acting through the Rural Health Outreach Office of the Health Resources and Services Administration, to award grants to qualified community partnerships to enable such partnerships to purchase automatic external defibrillators and to provide defibrillator and basic life support training in automated external defibrillator usage. Authorizes appropriations.
United States · United States Congress · 24 July 2000
FamilyCare Act of 2000 - Renames the State Children's Health Insurance program (SCHIP) under title XXI of the Social Security Act (SSA) as the FamilyCare program to provide for: (1) FamilyCare coverage of parents under Medicaid (SSA title XIX) as well as new SSA title XXI; (2) optional FamilyCare coverage of parents of targeted low-income children; (3) automatic eligibility for FamilyCare coverage of children born to a parent on Family Care assistance; (4) optional coverage of legal immigrants and of children through age 20 under both Medicaid and FamilyCare; (5) application of simplified FamilyCare procedures under Medicaid; (6) increased welfare-to-work transition (from six months to 12 months) under FamilyCare; (7) elimination of the 100 hour rule and other SSA title IV part A (Temporary Assistance for Needy Families) (TANF) related eligibility restrictions under FamilyCare; (8) limitations on specified conflicts of interests under SSA titles XIX and XXI; (9) increased FamilyCare allotment for FY 2002 through 2004; and (10) authority to pay Medicaid expansion costs from the FamilyCare appropriation. Makes appropriations. Directs the Secretary of Health and Human Services to establish a program to award demonstration grants to States to allow them to demonstrate the effectiveness of innovative ways to increase access to health insurance through market reforms and other innovative means. Authorizes appropriations. Directs the Secretary to award demonstration grants to a limited number of States to conduct innovative programs designed to improve outreach to homeless individuals and families under specified programs for the homeless (including SCHIP) with respect to enrollment of such individuals and families under such programs and the provision of services under such programs. Makes appropriations. Amends the Public Health Service Act to authorize the Secretary to make grants to eligible entities for the purpose of assisting the development of integrated health care delivery systems to: (1) serve communities of individuals who are uninsured and individuals who are underinsured; (2) expand the scope of services provided; and (3) improve the efficiency and coordination among the providers of such services. Authorizes appropriations.
United States · United States Congress · 19 July 2000
Community Reinvestment Modernization Act of 2000 - Title I: Modernization of Community Reinvestment Act of 1977 and Community Service Obligations - Amends the Bank Holding Company Act of 1956 to subject to the Community Reinvestment Act of 1977 (CRA) in the same manner as regulated financial institutions all nonbank affiliates of bank holding companies that engage in lending or offer banking products or services. (Sec. 101) Mandates that: (1) the Federal regulatory agency with jurisdiction over the affiliate's bank holding company take into account the record of any such affiliate in meeting community credit, investment, and consumer needs; (2) the Federal financial supervisory agency perform separate evaluations of a depository institution's State, metropolitan, and community service areas; and (3) the CRA rating of a regulated financial institution be reduced to reflect predatory or negative credit practices. (Sec. 104) Places upon each securities company, mortgage bank, and insurance company the affirmative obligation to meet the need for their respective services in low- and moderate-income neighborhoods as regards each community constituting an assessment area of such entities. (Sec. 105) Sets forth a statutory framework within which the Securities and Exchange Commission and the Secretary of Housing and Urban Development (HUD), respectively, shall develop a program to ensure that such financial entities meet their obligations. (Sec. 106) Authorizes the Secretary of HUD to impose specified limitations upon mortgage and insurance companies that engage in practices with negative impacts upon their respective assessment areas. (Sec. 107) Requires all bank holding company affiliates of securities, mortgage, and insurance companies to maintain satisfactory CRA ratings. Title II: Data Disclosure Requirements - Subtitle A: Disclosure of Insurance Availability and Insurer Investment Information - Insurance Disclosure Act - Directs the Secretary of HUD to establish data reporting requirements incumbent upon insurers, rural, and small business insurers in order to ascertain the availability and affordability of insurance by type and coverage in connection with: (1) census tract; (2) low- and moderate-income neighborhoods; (3) race and gender of policyholders; and (4) location of principal place of agents and their termination by race. (Sec. 206) Requires the Financial Institutions Examination Council to determine annually the extent to which each private mortgage insurer makes private mortgage insurance information available to the public and to the appropriate agency in the same manner as mortgage insurance information is required to be reported under the Home Mortgage Disclosure Act of 1975 (HMDA). (Sec. 207) Directs the Secretary of HUD to require each insurer that makes an investment in a property or business to submit annually data detailing direct loans and loan purchases in connection with: (1) commercial real estate loans; (2) single-family mortgages; (3) commercial and industrial loans; and (4) other investments. Sets forth civil penalties for violations of such insurance data disclosures. Subtitle B: Improvements in Other Data Disclosure Requirements - Amends the CRA to declare that it may not be construed as authorizing any Federal agency to exempt a depository institution from data disclosure requirements pertaining to farm and small business loans (except an institution that is not an affiliate of a either a bank holding company or savings and loan company). (Sec. 221) Requires regulated financial institutions to collect data regarding farm and small business loan applications that details: (1) applicant race and gender; (2) minority-owned and women-owned enterprises; (3) the revenue of such applicants; and (4) the actual census tract of the applicants' locale. Title III: Regulatory and Structural Reforms - Sets forth antiredlining requirements for financial holding companies. Amends certain bank regulatory Acts to require notice and public comment prior to establishing a financial holding company or transacting bank acquisitions, consolidations, or mergers if regulatory authorities believe there will be a substantial public impact. (Sec. 304) Amends the CRA to reduce the small banks examination schedule by one year. (Sec. 306) Requires the appropriate Federal banking agency to prohibit a financial holding company or insured depository institution from continued engagement in expanded financial activities if any subsidiary or affiliate of such entities has received in a CRA rating of less than "satisfactory record of meeting community credit needs" in its most recent examination. (Sec. 307) Amends the HMDA to prohibit a Federal regulatory agency from exempting a depository institution from HMDA reporting requirements. Mandates expanded data disclosure from depository institutions regarding: (1) prime and subprime mortgage loans; (2) loan pricing and terms; and (3) manufactured home loans that are not treated as real estate loans by depository institutions. Subjects HMDA depository institutions to specified Federal Deposit Insurance Act requirements. Grants the Secretary of HUD enforcement powers regarding compliance with such requirements.
United States · United States Congress · 18 July 2000
Corps of Engineers Reform Act of 2000 - Title I: Project Planning - Amends the Water Resources Development Act of 1986 to direct the Secretary of the Army to ensure that feasibility reports for the following water resources projects are subject to review by an independent panel of experts established under this title: (1) projects with an estimated cost of more than $25 million, including mitigation costs; and (2) controversial projects, as defined under this title. Establishes in the Army Corps of Engineers an Office of Independent Review to review the projects covered under this title. Defines as controversial projects those which: (1) are subject to a substantial degree of public controversy; (2) the affected State objects to; or (3) the U.S. Fish and Wildlife Service determines are likely to have a significant adverse effect on fish and wildlife after taking into account any proposed mitigation plan. Limits to $250,000 the cost of a review, authorizing the Secretary to waive such limit for good cause shown. (Sec. 102) Directs the Secretary to establish a stakeholder advisory group to assist the Secretary with the development of each feasibility study under this title and to enhance public participation in such study. (Sec. 103) Directs the Secretary to monitor the economic and environmental results of each project having an estimated total cost of more than $25 million and to report annually to Congress on such project's performance. (Sec. 104) Prohibits the Secretary from recommending a plan for a proposed project until all project costs, including mitigation, have been calculated. (Sec. 105) Directs the Secretary to revise the principles and guidelines for flood control projects to: (1) incorporate a national ecological restoration account, a national economic development account, and an optimum trade-off plan to maximize account benefits; (2) incorporate new techniques in risk and uncertainty analysis; (3) eliminate biases and disincentives for nonstructural flood damage projects; (4) incorporate new analytical techniques; and (5) encourage the restoration of aquatic ecosystems. (Sec. 106) Requires the Corp's Environmental Advisory Board to review all water resource reconnaissance studies to assess whether a proposed project is likely to have environmental impacts that cannot be successfully mitigated and to make recommendations to the Secretary based on such review. Title II: Mitigation - Requires the submission of a plan which will fully mitigate (currently, only mitigate) fish and wildlife losses created by a project before the Secretary may propose the authorization of such project to Congress. Directs the Secretary, in such mitigation, to meet the highest standards typically required of private parties under related Federal programs and to acquire and restore at least an acre of habitat to replace each acre negatively impacted by the project. Prohibits the Secretary from recommending a project alternative unless the Secretary determines that the mitigation plan for the alternative project will cost-effectively and successfully mitigate all adverse impacts of such project on aquatic resources and fish and wildlife. Requires the Secretary to complete all planned mitigation in a particular watershed before constructing any new project in that watershed. (Sec. 202) Requires the Secretary, to ensure concurrent mitigation, to complete 50 percent of all required project mitigation before beginning project construction and to use a proportionate amount of project funding to complete such mitigation.
United States · United States Congress · 17 July 2000
Veterans Claims Assistance Act of 2000 - Amends Federal veterans benefits provisions to require the Secretary of Veterans Affairs to take specified steps to assist claimants. Requires the Secretary: (1) to notify a claimant whose application is incomplete of the evidence necessary to complete the application (existing law), including the information and medical and lay evidence necessary to substantiate the claim and, as part of such notice, to indicate which portion of such evidence is to be provided by the claimant and which portion the Secretary will attempt to obtain on behalf of the claimant; (2) to make reasonable efforts to assist in obtaining evidence necessary to establish a claimant's eligibility for a benefit (but allows the Secretary to decide a claim without providing such assistance when no reasonable possibility exists that such assistance will aid in the establishment of eligibility) and to obtain relevant records that the claimant adequately identifies to the Secretary and authorizes the Secretary to obtain; and (3) to inform the claimant whenever the Secretary is unable to obtain such records and to request the claimant to notify the Secretary if the claimant intends to obtain such records independently. Requires, in the case of a veteran's claim for disability compensation, the Secretary to: (1) obtain the claimant's existing service medical records and, if the claimant has furnished sufficient information, other relevant service records, existing records of relevant medical treatment or examination of the veteran at Department of Veterans Affairs health care facilities or at the expense of the Department, and specified information to be furnished by other agencies; and (2) provide a medical examination or obtain a medical opinion when the evidence of record before the Secretary establishes that the claimant has a current disability or has current symptoms and that there was an event, injury, or disease (or combination thereof) during the claimant's active military, naval, or air service capable of causing or aggravating the claimant's current disability or symptoms, but is insufficient to establish service-connection. (Sec. 4) Places on the claimant the burden of proving entitlement to benefits (currently, of submitting evidence sufficient to justify a belief by a fair and impartial individual that the claim is well grounded). (Sec. 5) Prohibits any Federal department or agency from imposing any charge for providing to the Secretary information for purposes of determining benefit eligibility. (Sec. 6) Provides for: (1) the applicability of provisions of this Act concerning the burden of proof to claims filed before, and not final as of, the date of enactment of this Act; and (2) the readjudication of claims for benefits that were denied, because the claims were not well grounded, during the period between July 14, 1999, and this Act's enactment date.
United States · United States Congress · 13 July 2000
Privacy and Identity Protection Act of 2000 - Title I: Provisions Relating to the Social Security Account Number - Amends title II (Old Age, Survivors and Disability Insurance) (OASDI) of the Social Security Act (SSA) with regard to: (1) governmental use and treatment of social security account numbers, including restrictions on the sale of such account numbers by governmental agencies; and (2) prohibitions against public access to such account numbers in governmental agency possession, and against use of such account numbers on checks issued for payment by such agencies. (Sec. 101) Directs the Comptroller General to study and report to the Congress on: (1) the current usage by governmental agencies of the Social Security account numbers of individuals, and derivatives of such numbers, for identification purposes; and (2) the most effective means by which any such usage extending beyond the original purposes of the Social Security account number may be minimized. Amends SSA title II to provide for independent verification of birth records provided in support of applications for Social Security account numbers. Directs the Commissioner of Social Security and the Attorney General to report jointly to Congress on the progress of the Social Security Administration and the Immigration and Naturalization Service in implementing a process for enumeration at entry for aliens entering the United States. Amends SSA title II to prohibit: (1) the appearance of Social Security account numbers on driver's licenses or motor vehicle registrations; and (2) the display of such account numbers, or any derivative, on any card or tag provided by governmental agencies to their employees for identification purposes. (Sec. 102) Provides for the regulation and restriction of the sale and purchase of the Social Security account number in the private sector. (Sec. 103) Amends SSA title II to subject criminal penalties the sale and purchase of Social Security account numbers. (Sec. 104) Amends SSA title XI with regard to civil monetary penalty authority concerning treatment of withholding of material facts, and application of civil money penalties to elements of criminal violations. (Sec. 105) Amends SSA titles II and XVI (Supplementary Security Income) (SSI) to provide authority for judicial orders of restitution in cases of Social Security payments obtained by fraud. Amends SSA title VII (Administration) to provide for the establishment of a special fund in the Treasury for receipt of restitution payments. (Sec. 106) Amends the Fair Credit Reporting Act to provide for confidential treatment of credit report header information including the Social Security account number of the consumer or any derivative thereof. (Sec. 107) Amends SSA title VII to provide for law enforcement authority by special agents of the Office of the Inspector General of the Social Security Administration. Title II: Provisions Relating to Representative Payees - Amends SSA titles II and XVI to authorize reissue to beneficiaries or alternative representative payees of OASDI and SSI benefits misused by organizational representative payees. (Sec. 202) Amends SSA titles II and XVI to provide for: (1) oversight of nongovernmental organizational representative payees and disqualification from service as a representative payee upon a felony conviction; (2) fee forfeiture in case of benefit misuse by such a representative payees; (3) liability of representative payees for misused benefits; and (4) extension of civil monetary penalty authority with respect to representative payees.
United States · United States Congress · 13 July 2000
Railroad Retirement and Survivors' Improvement Act of 2000 - Title I: Amendments to the Railroad Retirement Act of 1974 - Amends the Railroad Retirement Act of 1974 to increase benefits to railroad employees and their beneficiaries and to revise financing of the pension part (tier II) of the railroad retirement system. (Sec. 101) Increases benefits for widows and widowers by guaranteeing to them all of the tier II annuity the employee was entitled to at the time of the death. (Sec. 102) Makes employees with 30 years of service eligible to retire at age 60 with unreduced tier I and tier II annuities. Makes spouses of such employees eligible for unreduced annuities at age 60. (Sec. 103) Reduces the vesting requirement for tier II retirement annuities from ten years to five years of service after December 1995. Makes employees with at least five years of such service, but less than ten years of total service, eligible for a tier I disability annuity if their combined railroad retirement and social security earnings credits would satisfy social security eligibility requirements. Makes spouses, divorced spouses, and survivors of employees with at least five years of such service, but less than ten years of total service, eligible for a tier I annuity if they would have been entitled to a social security benefit based on combined service. (Sec. 104) Repeals a limit on the total amount of monthly railroad retirement benefits payable to an employee and spouse at the time the employee's annuity begins. (Sec. 105) Establishes a Railroad Retirement Trust Fund (the Fund) and a Railroad Retirement Investment Trust (RRIT) to manage and invest the assets of the Fund. Declares that RRIT is not an agency, department, or instrumentality of the U.S. Government. Requires RRIT to be administered by a Board of Trustees (the Trustees) with seven members (three representing labor, three representing employers, and one representing the general public) with experience and expertise in the management of financial investments and pension plans. Requires the Trustees to be appointed by a unanimous vote of the Railroad Retirement Board (RRB). Prohibits RRB members from being Trustees. Applies specified reporting requirements and fiduciary standards to the RRIT. Requires the Trustees to diversify investments so as to minimize the risk of large losses. Authorizes the Trustees to invest Fund assets in non-Governmental assets. (Sec. 106) Abolishes the Railroad Retirement Supplemental Annuity Account and provides for transfer of its funds to the Fund. (Sec. 107) Requires the RRB, upon the establishment of the Fund, to determine the portion of the Railroad Retirement Account not needed to pay current administrative expenses and direct the Secretary of the Treasury to transfer that amount into the Fund. Requires the Fund to transfer the necessary amount of funds to pay benefits and related administrative expenses to the disbursing agent. Transfers to the Fund Social Security Equivalent Benefit account funds not needed to pay current benefits, but requires that such funds only be used to pay benefits or to invest in U.S. Government or Government-guaranteed securities. Transfers to the disbursing agent from the Dual Benefit Account the amount necessary to make dual benefit payments. Requires the Trustees to consult with the Secretary of the Treasury to develop an appropriate method for transferring or converting existing account obligations. (Sec. 108) Requires the RRB to calculate the ratio of assets to benefits to determine annual tier II tax rates for employers, employee representatives, and employees. Establishes schedules for: (1) decreasing tax rates if the average account benefits ratio, based on the ratios for the ten most recent fiscal years, is above six; and (2) increasing employer and employee representatives' tax rates if the ratio is below four. Title II: Amendments to the Internal Revenue Code of 1986 - Amends the Internal Revenue Code to exempt the Railroad Retirement Trust Fund (the Fund) from taxation. (Sec. 203) Repeals a supplemental annuity tax that railroad employers pay to finance a benefit for long-time rail employees. (Sec. 204) Provides for adjustments to railroad employers, employee representatives, and employee tier II tax rates. Decreases such rates in 2001 and in 2002 for employers and employee representatives. Provides in the years after 2002 for tax rate schedules, based on the ten-year average account benefit ratio, for employers, employee representatives, and employees.
United States · United States Congress · 13 July 2000
Violence Against Women Office Act - Establishes within the Department of Justice (DOJ) a Violence Against Women Office, headed by a Director. Specifies the duties of the Director, including serving as special counsel to the Attorney General on the subject of, and carrying out DOJ functions under the Violence Against Women Act of 1994 and on matters relating to, violence against women.
United States · United States Congress · 12 July 2000
Family Opportunity Act of 2000 - Amends title XVIII (Medicare) of the Social Security Act (SSA) to: (1) give States the option of allowing families of disabled children to purchase Medicaid coverage for such children; and (2) provide for treatment of inpatient psychiatric hospital services for individuals under age 21 under waivers allowing for payment for part or all of the cost of home or community-based services. Authorizes a State to apply to the Secretary of Health and Human Services for approval of a demonstration project to provide Medicaid coverage to up to a specified maximum number of children with a potentially severe disability. Amends SSA title V (Maternal and Child Health Services) to make appropriations to the Secretary for special projects of regional and national significance for development and support of family-to-family health information centers. Amends SSA title XIX to provide for the restoration of Medicaid eligibility to certain SSI (Supplemental Security Income) (SSA title XVI) beneficiaries under age 21.
United States · United States Congress · 12 July 2000
Recognizes the tenth anniversary of the initial activation of National Guard and Reserve personnel for Operation Desert Shield and Operation Desert Storm and the growing importance of the National Guard and Reserve to the security of the United States. Expresses support for ensuring the readiness of the National Guard and Reserve.
United States · United States Congress · 29 June 2000
Ryan White CARE Act Amendments of 2000 - Title I: Emergency Relief for Areas with Substantial Need for Services - Subtitle A: HIV Health Services Planning Councils - Amends the Public Health Service Act to require that an HIV (human immunodeficiency virus) planning council reflect the demographics of the population of individuals with HIV disease (currently, the demographics of the epidemic) in the eligible area involved. Modifies requirements regarding council composition, including requiring representatives of former prisoners. Requires that at least 33 percent of the council be people who: (1) are receiving HIV-related services pursuant to a grant under provisions relating to emergency relief for areas with a substantial need for services (substantial need grant); and (2) are not officers, employees, consultants, or representatives of any entity that receives substantial need grant amounts. (Sec. 102) Modifies council duties, including regarding: (1) determining the size, demographics, and needs of the HIV disease population; (2) council establishment of fund allocation priorities; and (3) coordination with Federal grantees that provide HIV-related services in the area. Directs the Secretary of Health and Human Services to: (1) develop epidemiologic measures for establishing the number of individuals with HIV disease who are not receiving HIV-related health services and for carrying out council duties; and (2) provide to the chief elected official receiving a substantial need grant guidelines and materials for training council members regarding council duties. (Sec. 103) Requires that council meetings and records be open to the public, subject to exception. Subtitle B: Type and Distribution of Grants - Makes permanent provisions requiring expedited disbursement of certain substantial need grant amounts. Requires, after fiscal year 2004, that the substantial need grant amount formula use the number of cases of HIV disease in the most recent year rather than the number of cases of acquired immune deficiency syndrome (AIDS) in the most recent ten years, but until FY 2007 conditions that change on the Secretary's determination that there is sufficiently accurate and reliable data on HIV disease cases from all eligible areas, requiring the Secretary to consider: (1) the findings of a study mandated by title V of this Act; (2) the fiscal impact of using or of not using that data; and (3) the impact of the use of that data on the organization and delivery of HIV-related services. Modifies requirements regarding increases in the amount of a substantial need grant under expedited disbursement provisions. (Sec. 112) Requires that the amount of supplemental substantial need grants be determined by the Secretary based on a weighting of specified factors, with severe need counting one-third. Includes the current HIV disease prevalence, an increasing need for services, and unmet need for services as factors the Secretary must consider in determining severe need. Directs the Secretary, in determining the required factors, to develop a mechanism to use national, quantitative incidence data by 18 months after enactment of this Act (currently, by May 20, 1998). Requires mechanism modification based on the findings of a study mandated by title V of this Act. Removes provisions basing the amount of substantial need grants on substantial need grant applications. Subtitle C: Other Provisions - Requires that substantial need grant funds be used, among other purposes, for: (1) outreach to identify individuals with HIV disease who are not receiving HIV-related services; and (2) early intervention services. Requires that substantial need grants be used to provide health and support services to infants, children, youth, and women (currently, infants, children, and women) with HIV disease in the same ratio as those groups with HIV disease bear to those groups in the general population. Requires that the chief elected official of a substantial need grant-receiving area establish a quality management program to assess whether HIV health services under the substantial need grant are consistent with the most recent Public Health Service guidelines. (Sec. 123) Requires that official to ensure that the area's planning council: (1) reviews existing, available data on expenditures by substantial need grant recipient entities from their overall budget for administrative costs; and (2) makes a determination whether the financial compensation of any of those entity's officers or employees exceeds that of the official. Title II: Care Grant Program - Subtitle A: General Grant Provisions - Requires that grants to States to improve the quality, availability and organization of health care and support services for individuals with HIV disease (care grants) be used to provide health and support services to infants, children, youth, and women (currently, infants, children, and women) with HIV disease in the same ratio as those groups with HIV disease bear to those groups in the general population. (Sec. 202) Allows care grants to be used for support services, outreach activities, early intervention, and quality management. (Sec. 203) Modifies requirements regarding grants to establish HIV care consortia. (Sec. 204) Allows a State to meet a requirement to use a portion of its care grant to provide therapeutics to treat HIV disease or prevent related health deterioration (including prevention and treatment of opportunistic infections) by paying for health insurance or plans whose coverage includes a full range of such therapeutics and primary care. (Sec. 205) Requires care grant applications to contain determinations of the size, demographics, and needs of the population of individuals with HIV disease in the State. Modifies requirements regarding the comprehensive plan. Requires the public health agency that administers care grants for a State to engage in a public advisory planning process. (Sec. 206) Doubles, subject to appropriations, the minimum care grant allotment to each State and U.S. territory. Requires, after fiscal year 2004, that the care grant amount formula use the number of cases of HIV disease in the most recent year rather than the number of cases of acquired immune deficiency syndrome (AIDS) in the most recent ten years, but until FY 2007 conditions that change on the Secretary's determination that there is sufficiently accurate and reliable data on HIV disease cases. Provides for increases in the formula amount. Requires, if an appropriations Act provides an amount exclusively for treatment drug grants, that two percent of that exclusive amount be reserved for supplemental grants to States whose HIV population's need is greater than the quantities available under treatment drug grants from the remaining unreserved 98 percent. Adds the Federated States of Micronesia and the Republic of Palau to the list of U.S. territories. Adds the Commonwealth of Puerto Rico to the list of territories for minimum allotment provisions but keeps it in the list of States for other care grant provisions. (Sec. 207) Replaces provisions mandating coordination by specified Federal agencies of Federal HIV programs with provisions directing the Secretary to make grants to States to supplement care grants for comprehensive services for communities that have a severe need for supplemental financial assistance to combat the HIV epidemic. Provides for funding for the supplemental grants. Subtitle B: Provisions Concerning Pregnancy and Perinatal Transmission of HIV - Removes provisions prohibiting (after testing of pregnant women and newborns has become a routine practice in U.S. health care) care grants to a State unless the State meets certain requirements regarding such testing. (Sec. 212) Adds HIV disease treatment services to the uses for which the Secretary may make a grant to a State that is following the recommendations of the Centers for Disease Control and Prevention (CDC) regarding HIV counseling and voluntary testing for pregnant women. Authorizes appropriations. Prohibits using care grant appropriations for grants under this section. (Sec. 213) Directs the Secretary to provide for a study and report to appropriate congressional committees regarding: (1) the number of newborns with HIV born in the United States in the most recent year for which the information is available; (2) barriers that prevent or discourage an obstetrician from routinely offering pregnant women an HIV test and routinely testing newborns when the mother's HIV status is unknown; and (3) recommendations for each State for reducing perinatal HIV transmission. Requires States to make reasonable progress toward meeting the recommendations. Subtitle C: Certain Partner Notification Programs - Authorizes the Secretary to make grants to States for partner counseling and referral services, provided the State meets certain requirements regarding: (1) partner notification and (for the partner and the infected individual) testing, counseling, and referral; (2) health entity reporting of positive test results to the State; (3) reporting to the CDC regarding partner notification; and (4) State cooperation with the CDC national partner notification. Prohibits grants to a State after fiscal year 2003 unless the State's reporting system for HIV cases produces sufficiently accurate and reliable data. Authorizes appropriations. Title III: Early Intervention Services - Subtitle A: Formula Grants for States - Repeals provisions mandating formula grants to States for outpatient early intervention services regarding HIV disease. Subtitle B: Categorical Grants - Requires giving preference to rural or underserved areas in making currently-authorized categorical grants for outpatient early intervention services. Allows planning grants to be used, subject to limitation, to assist the recipients to expand their capacity to provide services, including early intervention services, in low income communities and affected subpopulations that are underserved. Subtitle C: General Provisions - Requires that the counseling that categorical grant recipients are required to provide to HIV-infected individuals emphasize that it is the duty of infected individuals to disclose their status to their sexual and needle-sharing partners, provide advice on how to make the disclosures and emphasize that it is the infected individual's continuing duty to avoid behaviors that expose others to HIV. (Sec. 322) Increases the percentage limit on administrative expenses. Requires recipients to establish a quality management program to assess the extent to which medical services are consistent with Public Health Service guidelines for treatment of HIV disease and related opportunistic infections. Title IV: Other Programs and Activities - Subtitle A: Certain Programs for Research, Demonstrations, or Training - Replaces a requirement that, with regard to grants for providing opportunities for women, infants, children, and youth to participate in HIV research and for providing to those groups outpatient health care and additional services, that a significant number of individuals in those groups be participating in research with a requirement that the grant applicant demonstrate linkages to research and how access to research is being offered to patients. Directs the Secretary to examine the distribution and availability of research regarding grantees to enhance and expand HIV-related research, especially in underrepresented communities. Requires grantees to implement a quality management program. Authorizes appropriations. (Sec. 402) Includes, as a use of currently-authorized grants and contracts for training health personnel: (1) training in prenatal and other gynecological care for women with HIV disease; and (2) developing protocols for the medical care of such women. Directs the Secretary to implement a strategy for the dissemination of HIV treatment information to care providers and patients. Adds accredited dental hygiene programs as possible recipients of currently-authorized grants with respect to oral health care to (sic) patients with HIV disease. Authorizes appropriations. Authorizes grants to dental schools, post-doctoral dental education programs, and accredited dental hygiene programs that partner with community-based dentists to provide care to HIV patients in underserved areas. Authorizes appropriations. Authorizes appropriations for grants and contracts to assist public and nonprofit private entities and schools and academic health science centers to train health personnel, train faculty, and develop and disseminate curricula and resource materials regarding the care of HIV patients and prevention of HIV infection among at risk individuals. Subtitle B: General Provisions in Title XXVI - Extends the authorization of appropriations for grants and contracts to evaluate programs carried out under title XXVI of the Public Health Service Act (HIV Health Care Services Program). (Sec. 412) Authorizes appropriations for collecting and providing data for program planning and evaluation under title XXVI. (Sec. 413) Adds the Substance Abuse and Mental Health Services Administration and the Health Care Financing Administration to the list of agencies (currently, the Health Resources and Services Administration and the Centers for Disease Control and Prevention) charged with coordinating the planning, funding, and implementation (currently, coordinating the planning of the funding) of Federal HIV programs to enhance continuity of care and prevention services (currently, continuity of care). Requires that State, local, or private entities receiving title XXVI funds enhance continuity of care and prevention services (currently, continuity of care). (Sec. 414) Directs the Secretary to develop and submit to Congress a plan for the medical case management of and the provision of support services to individuals who had HIV disease on their date of release from the Federal or State penal system. (Sec. 415) Authorizes the Secretary to reduce title XXVI grants to a State or political subdivision if the State or subdivision fails to prepare audits. (Sec. 416) Directs the Secretary to: (1) develop and submit to Congress a plan for coordinating the disbursement of appropriations for substantial need grants with the disbursement for care grants; (2) within two years after enactment of this Act, implement the disbursement plan, notwithstanding any title XXVI provision inconsistent with the plan; (3) determine whether administration of those grants by the Secretary and grantee compliance efficiency would be improved by requiring biennial rather than annual applications; (4) develop and submit to Congress a plan for simplifying the application process for those grants; and (5) within two years after enactment of this Act, implement the simplified application plan, notwithstanding any title XXVI provision inconsistent with the plan. (Sec. 417) Removes provisions directing the Secretary to develop and implement a method for adjusting the percentages allocated to substantial need grants and care grants to account for substantial need grants to new areas and other relevant factors. Authorizes appropriations for substantial need and care grants. Title V: General Provisions - Directs the Secretary to provide for studies, and report to the appropriate congressional committees, on: (1) whether the surveillance system of each State provides for the reporting of HIV infection cases in a way that provides information on the number and demographic characteristics of the cases that is sufficiently accurate for the formula grants under substantial need and care grant provisions and, if not, recommendations for improvements; and (2) the appropriate epidemiological measures and their relationship to the financing and delivery of primary care and health related support services for low income, uninsured, and underinsured individuals with HIV disease. (Sec. 502) Requires the Director of the National Institutes of Health (NIH) to expand, intensify, and coordinate research and other NIH activities regarding development of reliable and affordable HIV tests that can be rapidly administered and whose results can be rapidly obtained (rapid HIV tests). Authorizes appropriations. Directs the Secretary: (1) to report to appropriate congressional committees on the progress made toward, and barriers to, the premarket review and commercial distribution of rapid HIV tests; and (2) promptly after rapid HIV test commercial distribution begins, to establish or update guidelines for States, hospitals, and other entities regarding the availability of those tests for administration to pregnant women in labor or late stage pregnancy and whose HIV status is unknown. (Sec. 503) Directs the Secretary, of the amounts available to the Secretary for program management at the Health Resources and Services Administration, to spend amounts necessary to ensure at least a 20 percent increase in fiscal year 2001 over fiscal year 2000 of full- time-equivalent staff of the Bureau of HIV/AIDS who administer programs under title XXVI. Title VI: Effective Date - Sets forth the effective dates for this Act and its amendments.
United States · United States Congress · 27 June 2000
Expresses the sense of the House of Representatives that: (1) the Federal Government has a responsibility to increase research funding to find a treatment and cure for polycystic kidney disease, to raise awareness about such disease, and to promote kidney organ donations; (2) all Americans should review their kidney health condition; and (3) organizations and health care providers should promote awareness of such disease and encourage its early detection.
United States · United States Congress · 23 June 2000
Military Deployment Health Research Act of 2000 - Title I: National Center for Military Deployment Health Research - Establishes the National Center for Military Deployment Health Research to coordinate and conduct private and public research on deployment-related health issues of members of the armed forces, veterans, and their families. Requires the Center to report to the Military and Veterans Health Coordinating Board, established by prior presidential directive. Requires the Research Working Group of such Board to be disestablished, and their functions assumed by the Center. Establishes a Center Governing Board. Requires the Center's research activities to include Federal research programs as well as Center-initiated research. Requires an annual Center activities report from the Governing Board to Congress. Title II: Centers for Research on Post-Deployment Illnesses in Department of Veterans Affairs - Directs the Secretary of Veterans Affairs to establish and operate centers for research, education, and clinical activities related to post-deployment illnesses, designating such centers as National Centers for Military Post-Deployment Illness Research. Defines a "post-deployment illness" as one having an association or relation to a military mission, including a peacekeeping mission. Allows the designation of no more than 25 centers, and requires geographical diversity of such centers. Requires the Under Secretary for Health of the Department of Veterans Affairs to establish a peer review panel to assess the scientific and clinical merit of proposals submitted for center designation. Authorizes appropriations.
United States · United States Congress · 23 June 2000
National and Community Service Amendments Act of 2000 - Title I: Amendments to National and Community Service Act of 1990 - Amends the National and Community Service Act of 1990 (NCSA) to reauthorize and revise various programs. (Sec. 103) Revises provisions for school-based and community-based service-learning programs to: (1) include Indian tribes as qualified organizations for program participation; and (2) eliminate a requirement that the Corporation for National and Community Service (CNCS) give priority to grant applications containing specified proposals. (Sec. 104) Revises provisions for the national service trust program to: (1) eliminate provisions authorizing CNCS to transfer funds to another Federal agency to support a national service program; (2) limit the CNCS's share of the aggregate cost of national service positions, through a formula based on a specified amount per participant; (3) eliminate Federal agency positions from eligibility for approval for national service positions or educational awards; (4) establish a State minimum for national service grant awards; (5) provide for grants to increase the participation of individuals with disabilities, and for demonstration programs of outreach to such individuals; (6) reserve certain funds to support programs reducing CNCS costs; and (7) modify provisions relating to participant performance, selection, terms of service, and living allowances. (Sec. 105) Revises provisions for the national service trust to include, as an allowable use of trust funds, national service scholarships (under the program established by this Act). Makes expenditures from the trust available for interest payments during forbearance on loan repayment and for national service scholarship awards. Provides that a prohibition against using the educational award to pay off loans made to parents also applies to loans made to parents under the direct student loan program. Allows educational awards to be used to pay off private or State loans. Permits the trust to be used to support a national service scholarship program to recognize secondary school juniors and seniors engaged in community service activities. (Sec. 106)Authorizes the Director of the Civilian Community Corps (CCC) to select individuals with prior supervisory or service experience to be team leaders. Requires team leaders to be selected without regard to a specified age limitation. Revises authorized benefits for CCC members. (Sec. 107) Repeals the authority of State commissions and any division of CNCS to enter into agreements for coordinating functions. (Sec. 108) Eliminates a provision relating to staggered terms for CNS board members. Allows appointed board members whose terms have expired to continue to serve for a specified limited period. Authorizes the chief executive officer (CEO) of CNCS to enter into agreements with other agencies to carry out activities to implement national service laws. (Sec. 109) Authorizes the CEO of CNCS to serve as an ex officio, nonvoting member of the board of directors of the Points of Light Foundation. (Sec. 110) Extends through FY 2005 the authorization of appropriations for programs under NCSA. Title II: Amendments to the Domestic Volunteer Service Act of 1973 - Amends the Domestic Volunteer Service Act of 1973 (DVSA) to reauthorize and revise: (1) title I National Volunteer Antipoverty Programs, part A Volunteers in Service to America (VISTA) including VISTA Literacy Corps, part B University Year for VISTA, part C Special Volunteer Programs including literacy challenge grants; and (2) title II National Senior Service Corps (currently National Senior Volunteer Corps), part A Retired and Senior Volunteer Program (RSVP), part B Foster Grandparent Program (FGP), and part C Senior Companion Program (SCP). (Sec. 203) Includes as a VISTA objective the encouragement of supportive efforts by local agencies and organizations to achieve long-term sustainability of programs in the absence of Federal assistance. Encourages the VISTA Director to enter into agreements under which public agencies and private organizations pay all or part of the direct cost of supporting volunteers. Authorizes the VISTA Director to provide a stipend of a maximum of $200 per month to individuals designated as volunteer leaders. (Sec. 204) Renames the National Senior Volunteer Corps as the National Senior Service Corps (NSSC). Eliminates the priority for enrolling individuals age 60 and older (but continues to allow individuals age 55 and older to enroll). Allows individuals age 55 (currently 60) or older to enroll in FGP, but gives priority to enrolling individuals age 60 or older. Requires any stipend under FGP to be at least $2.55 per hour and be adjusted for inflation once prior September 30, 2005. Allows individuals age 55 (currently 60) or older to enroll in SCP, but gives priority to enrolling individuals age 60 or older. Requires the SCP Director spend certain amounts each year to promote SCP. Prohibits awarding national significance grants for RSVP, FGP, or SCP unless the appropriated allocation for each program exceeds the appropriated allocations for each of the two preceding years. (Sec. 206) Extends through 2005 the authorization of appropriations for programs under DVSA. Title III: Technical Amendments to Other Laws - Revises references and makes other technical and conforming amendments to various other Federal laws.