United States · United States Congress · 26 January 1993
Condemns the systematic and widespread rape of women and girls in Bosnia-Herzegovina (Bosnia). Commends: (1) former Secretary of State Eagleburger for denouncing crimes against humanity in the conflict in Bosnia and for calling for an international crimes tribunal to prosecute such crimes; and (2) the adoption of United Nations (UN) Security Council Resolution 798 and the declaration of the Council of Ministers of the European Community which denounced the systematic rape of Moslem women in such conflict. Urges the President to: (1) publicly condemn systematic rape in such conflict; (2) state that rape and forced pregnancy as tactics of war are crimes against humanity and war crimes; (3) support the establishment by the UN of an international tribunal to prosecute such crimes; (4) declare that the United States will offer no safe haven to war criminals; and (5) urge the UN to provide adequate funding for the UN Commission of Experts and an international tribunal for the full investigation and prosecution of rape. Expresses the sense of the Senate that: (1) all countries and organizations participating in humanitarian relief efforts in the former Yugoslavia should allocate resources for the treatment of rape victims; and (2) all parties to the conflict should take steps to protect rights of women and girls.
United States · United States Congress · 21 January 1993
TABLE OF CONTENTS: Title I: Wilderness Additions Title II: Death Valley National Park Title III: Joshua Tree National Park Title IV: Mojave National Park Title V: National Park Wilderness Title VI: Miscellaneous Provisions Title VII: Definitions Title VIII: Military Lands and Overflights California Desert Protection Act of 1993 - Title I: Wilderness Additions - (Sec. 102, 108) Designates as additions to the National Wilderness Preservation System 74 wilderness areas within the California Desert Conservation Areas (CDCA), the Yuma District, and the Bakersfield District of the Bureau of Land Management. Permits grazing in such areas. States that non-designated areas within the CDCA have been adequately studied for inclusion in the System and releases them from otherwise applicable restrictions. (Sec. 109) Designates certain lands within the CDCA as the White Mountains Wilderness Study Area. (Sec. 111) Designates certain lands in the Havasu National Wildlife Refuge and the Imperial National Wildlife Refuge in California as components of the System. Title II: Death Valley National Park - (Sec. 202) Establishes the Death Valley National Historic Park which subsumes the Death Valley National Monument. Withdraws the additional lands from further exploitation under the mining laws. Preserves grazing privileges on such lands for persons holding permits as of July 1, 1991. Terminates all grazing on July 1, 2016. Title III: Joshua Tree National Park - (Sec. 302) Establishes the Joshua Tree National Park which subsumes the Joshua Tree National Monument. Withdraws the additional lands from further exploitation under the mining laws. (Sec. 306) Continues the validity of certain rights-of-way of the Metropolitan Water District (MWD). Title IV: Mojave National Park - (Sec. 402) Establishes the Mojave National Park which subsumes the East Mojave Scenic Area. (Sec. 407) Withdraws Federal lands within the Park from further exploitation under the mining laws. Authorizes the Secretary to regulate mining in the Park. Preserves grazing privileges on such lands for persons holding permits as of July 1, 1991. Terminates all grazing on July 1, 2016. (Sec. 411) Continues the validity of certain rights-of-way to the Southern California Edison Company and the Southern California Gas Company. (Sec. 413) Designates the Granite Mountains Natural Reserve within the Park. Title V: National Park Wilderness - (Sec. 501) Designates as wilderness the Death Valley National Park Wilderness, the Joshua Tree National Park Wilderness Additions, and the Mojave National Park Wilderness. Title VI: Miscellaneous Provisions - (Sec. 601) Directs the Secretary to transfer Red Rock Canyon State Park Additions in the CDCA to California. (Sec. 602) Establishes the Desert Lily Sanctuary within the CDCA. Withdraws Federal lands within the Sanctuary from further exploitation under the mining laws. (Sec. 604) Prohibits the Secretary and the Secretary of Agriculture from: (1) disposing of lands within the boundaries of any wilderness or park designated by this Act; (2) granting rights-of-way in lands within designated wilderness; and (3) making lands within such boundaries available for use by the MWD. (Sec. 606) Directs the Secretary to ensure access to the wilderness areas and parks, designated by this Act for traditional Indian cultural and religious purposes. (Sec. 607) Reserves Federal water rights for wilderness areas designated by this Act. (Sec. 608) Authorizes appropriations. (Sec. 609) Directs the Secretary, upon request of the affected parties, to enter into negotiations for agreements to exchange certain Federal lands for California State School Lands and Catellus Development Corporation lands located within the boundaries of the wilderness areas or park units designated by this Act. Title VII: Definitions - (Sec. 701) Sets forth specified definitions. Title VIII: Military Lands and Overflights - California Military Lands Withdrawal and Overflights Act of 1991 - (Sec. 802) States that nothing in this Act shall preclude military overflights over park or wilderness areas designated by this Act. (Sec. 803) Withdraws from appropriation under public land laws, and reserves for defense-related purposes by the Secretary of the Navy, specified lands in California known as the China Lake Naval Weapons Center and Chocolate Mountain. Withdraws such lands from the mining and mineral leasing laws. (Sec. 805) Directs the Secretary of the Navy to take necessary precautions to prevent and suppress brush and range fires occurring on such lands as a result of military activities. (Sec. 805) Assigns management responsibility for the China Lake area to the Secretary of the Navy. Directs the Secretary of the Interior to be responsible for the issuance of any lease, easement, right-of-way, and other authorization with respect to any activity on the withdrawn lands. (Sec. 806) Terminates land withdrawals under this Act 25 years after this Act's enactment. Requires the Secretary of the Navy to publish a draft environmental impact statement on the continued or renewed withdrawal of lands under this Act. (Sec. 807) Requires the Secretary of the Navy to maintain a decontamination program for such lands during their withdrawal. (Sec. 808) Requires the Secretary of the Navy to notify the Secretary of the Interior whether an extension is going to be requested and, if not, to what extent such lands are contaminated with hazardous materials. Requires the Secretary of the Navy to decontaminate relinquished lands, but if such decontamination is not practicable or economically feasible, authorizes the Secretary of the Interior to refuse to accept such lands. Requires the Secretary of the Navy to: (1) warn the public of risks of entry; (2) conduct only decontamination activities on such lands after the expiration of the withdrawal; and (3) report to the Secretary of the Interior and the Congress on the status of such lands. (Sec. 811) Exempts the United States from liability for damages resulting from nonmilitary activity on withdrawn lands. (Sec. 812) Authorizes the Navy's use of the El Centro Ranges in Imperial County, California, through 1995, subject to resource protection requirements.
United States · United States Congress · 21 January 1993
Social Security Notch Adjustment Act of 1993 - Amends title II (Old Age, Survivors and Disability Insurance) (OASDI) of the Social Security Act to establish a new alternative formula for computing the primary insurance amount (used in calculating the amount of OASDI benefits to which an individual is entitled) of workers born after 1916 and before 1927.
United States · United States Congress · 21 January 1993
Amends the Public Health Service Act to establish in the National Heart, Lung, and Blood Institute the National Center for Sleep Disorders Research to conduct and support such research, research training, information dissemination, and other programs. Mandates a comprehensive research plan, a Sleep Disorders Coordinating Committee, and a Sleep Disorders Research Advisory Board. Authorizes data collection, studies, and information dissemination concerning the impact of sleep disorders and sleep deprivation by the Secretaries of: (1) Transportation on transportation safety; (2) Defense on military readiness; (3) Education on learning and education; (4) Labor on the workplace and industry; and (5) Commerce on commerce and industrial capacity.
United States · United States Congress · 21 January 1993
Amends the National Labor Relations Act to make it an unfair labor practice for an employer to promise, threaten, or take other action to hire a permanent replacement for an employee who: (1) at the beginning of a labor dispute was in a bargaining unit in which a labor organization either was the certified or recognized exclusive representative or was seeking to be so certified or recognized, on the basis of written authorizations by a majority of unit employees; and (2) in connection with that dispute has engaged in concerted activities for collective bargaining or other mutual aid and protection through that labor organization. Makes it also an unfair labor practice for an employer to withhold or deny any other employment right or privilege to such an employee who is working for or has unconditionally offered to return to work for the employer, out of preference for any other individual based on that individual's performing, having performed, or having indicated a willingness to perform bargaining unit work for the employer during the dispute. Amends the Railway Labor Act to prohibit any carrier or its officer or agent from discriminating against an employee in a craft or class in any of the above ways prohibited to employers under the National Labor Relations Act.
United States · United States Congress · 21 January 1993
Hospital to Home- and Community-Care Linkage Development and Incentive Grant Program - Amends the Public health Service Act to direct the Secretary of Health and Human Services to disseminate information and materials to assist specified entities in replicating successful programs aimed at offering care management to hospitalized individuals in need of long-term care so that services to meet individual needs and preferences can be arranged in home- and community-based settings as an alternative to long-term nursing home placement. Authorizes the Secretary to provide technical assistance to such entities. Directs the Secretary to establish a program under which incentive grants may be awarded to assist agencies and organizations in developing and expanding programs and projects that facilitate the discharge of individuals in hospitals or other acute care facilities who are in need of long-term care services and placement of such individuals into home- and community-based settings. Sets forth provisions regarding: (1) eligibility to receive grants; (2) application requirements; (3) criteria for the award of grants; (4) use of, and limitations on, grants; and (5) evaluation and reports. Authorizes appropriations.
United States · United States Congress · 21 January 1993
Maternal and Child Investments Act of 1993 - Amends the Child Nutrition Act of 1966 to require the Secretary of the Treasury to provide specified FY 1994 through 1996 funds for the special supplemental food program for women, infants, and children (WIC). Establishes a WIC reserve fund in the Treasury.
United States · United States Congress · 21 January 1993
Authorizes the Secretary of Agriculture to accept title to any non-Federal lands within five miles of the exterior boundaries of the South Dakota portion of the Sioux Ranger District of Custer National Forest, which are found to be chiefly valuable for national forest purposes in exchange for national forest lands in Custer National Forest. Incorporates such lands into the forest.
United States · United States Congress · 21 January 1993
Amends the Child Nutrition Act of 1966 to: (1) require the Secretary of Agriculture (who, currently, is merely authorized) to carry out the special supplemental food program for women, infants, and children (WIC); (2) make WIC authorization of appropriations permanent; and (3) entitle an eligible individual to the full amount of benefits authorized.
United States · United States Congress · 21 January 1993
National Writing Project Reauthorization Act of 1993 - Amends the Education Council Act of 1991 (Public Law 102-62) to extend the authorization of appropriations for the National Writing Project. Revises provisions relating to the National Writing Project, including provisions for Federal share, evaluation, and research and development activities.
United States · United States Congress · 21 January 1993
National Institute of Nursing Research Act - Amends the Public Health Service Act to redesignate the National Center for Nursing Research as the National Institute of Nursing Research. Includes the Institute in the list of national research institutes of the National Institutes of Health.
United States · United States Congress · 21 January 1993
Amends the Internal Revenue Code to allow an individual an itemized deduction of travel expenses in connection with the trade or business of logging, including the miles to and from the individual's home.
United States · United States Congress · 21 January 1993
Medicare Amendments of 1993 - Amends title XVIII (Medicare) of the Social Security Act with respect to: (1) essential access community hospitals; (2) Medicare-dependent, small rural hospitals; (3) payments for electrocardiogram interpretation and new physicians and practitioners; (4) prohibitions on carrier forum shopping; and (5) the treatment of nebulizers and aspirators. Amends the Omnibus Budget Reconciliation Act (OBRA) of 1987 to reauthorize and extend the rural transition grant program. Amends OBRAs of 1990 and 1994 to, respectively, provide for an extension of rural hospital demonstration projects and regional referral centers.
United States · United States Congress · 21 January 1993
Amends the Internal Revenue Code to permit the investment tax credit in connection with depreciable solar energy property and geothermal property against the taxpayer's entire regular tax liability and minimum tax liability.
United States · United States Congress · 21 January 1993
Amends the Mount Rushmore Commemorative Coin Act to direct that a specified amount of the surcharges from the sale of such coins be paid to the Mount Rushmore National Memorial Society of Black Hills to assist its efforts to improve and enlarge the Mount Rushmore National Memorial. Mandates that the remainder be returned to the Treasury for purposes of reducing the national debt.
United States · United States Congress · 21 January 1993
Foreign Capital and Securities Markets Study Act of 1993 - Directs the Secretary of the Treasury to study and report to the Congress on the capital and securities markets of Japan and their implications for the United States.
United States · United States Congress · 21 January 1993
Amends the Internal Revenue Code to increase the standard mileage rate deduction for charitable use of a passenger automobile. Authorizes the Secretary of the Treasury, not later than December 15, 1993, and each subsequent calendar year, to prescribe an increase in such deduction for taxable years beginning in the succeeding calendar year.
United States · United States Congress · 21 January 1993
Amends the Internal Revenue Code with respect to the tax-exempt status of a cooperative telephone company to provide for the tax treatment of income received from a nonmember telephone company for services by the cooperative which are indirectly paid for by members of the cooperative. Includes billing and collection services for a nonmember telephone company under such treatment. Provides for the tax treatment of account reserve income that does not exceed a specified percentage of the company's total income. Subjects a portion of such investment income to unrelated business income tax.
United States · United States Congress · 21 January 1993
TABLE OF CONTENTS: Title I: Safe Streets for Women Subtitle A: Federal Penalties for Sex Crimes Subtitle B: Law Enforcement and Prosecution Grants to Reduce Violent Crimes Against Women Subtitle C: Safety for Women in Public Transit and Public Parks Subtitle D: National Commission on Violence Against Women Subtitle E: New Evidentiary Rules Subtitle F: Assistance to Victims of Sexual Assault Title II: Safe Homes for Women Subtitle A: Family Violence Prevention and Services Act Amendments Subtitle B: Interstate Enforcement Subtitle C: Arrest in Spousal Abuse Cases Subtitle D: Funding for Shelters Subtitle E: Family Violence Prevention and Services Act Amendments Subtitle F: Youth Education and Domestic Violence Subtitle G: Confidentiality for Abused Persons Subtitle H: Technical Amendments Subtitle I: Data and Research Title III: Civil Rights Title IV: Safe Campuses for Women Title V: Equal Justice for Women in the Courts Act Subtitle A: Education and Training for Judges and Court Personnel in State Courts Subtitle B: Education and Training for Judges and Court Personnel in Federal Courts Violence Against Women Act of 1993 - Title I: Safe Streets for Women - Safe Streets for Women Act of 1993 - Subtitle A: Federal Penalties for Sex Crimes - Amends the Federal criminal code to: (1) authorize judges to increase sentences for repeat sex offenders to up to twice that otherwise authorized by statute; and (2) require the U.S. Sentencing Commission to amend sentencing guidelines to increase the base offense level applicable to criminal sexual abuse. (Sec. 113) Requires that a court order restitution for violations of Federal sexual abuse laws. (Sec. 114) Authorizes appropriations to U.S. Attorneys to appoint victim/witness counselors for the prosecution of sex crimes and domestic violence crimes. Subtitle B: Law Enforcement and Prosecution Grants to Reduce Violent Crimes Against Women - Amends the Omnibus Crime Control and Safe Streets Act of 1968 to require the Director of the Bureau of Justice Assistance to make grants to areas of high intensity crime against women. Authorizes the Director to make general grants to: (1) States to reduce violent crimes against women; and (2) Indian tribes to reduce violent crimes against women in Indian country. Subtitle C: Safety for Women in Public Transit and Public Parks - Amends the Urban Mass Transportation Act of 1964 to direct the Secretary of Transportation, from funds authorized under existing provisions, to make capital grants for the prevention of crime and to increase security in existing and future public transportation systems. Authorizes the Secretary to make grants and loans to States and local public bodies to increase the safety of public transportation through lighting, camera surveillance, security phones, or other projects. Directs the Secretary to provide grants and loans to study ways to reduce violent crimes against women in public transit through better design or operation of public transit systems. (Sec. 132) Amends: (1) the National Park System Improvements in Administration Act to authorize the Secretary of the Interior to provide assistance to reduce violent crime in the National Park System; and (2) the Land and Water Conservation Fund Act of 1965 to direct such Secretary to provide grants for capital improvements and other measures to increase safety in urban parks and recreation areas. Subtitle D: National Commission on Violence Against Women - Establishes the National Commission on Violence Against Women to promote a national policy on violent crime against women and to make recommendations on reducing such crime. Subtitle E: New Evidentiary Rules - Amends the Federal Rules of Evidence to exclude, in criminal cases other than sex offense cases, reputation or opinion evidence of the past sexual behavior of a victim from admission into evidence. Allows other types of evidence of a victim's past sexual behavior in accordance with specified procedures if its probative value outweighs the danger of unfair prejudice. (Sec. 152) Makes reputation or opinion evidence of the plaintiff's past sexual behavior inadmissible in a civil action involving allegations of actionable sexual misconduct. Makes other types of evidence of a plaintiff's past sexual behavior admissible in accordance with specified procedures if its probative value outweighs the danger of unfair prejudice. (Sec. 154) Makes evidence of an alleged victim's clothing, in a criminal case under Federal laws relating to sexual abuse, inadmissible to show that the victim incited or invited the offense. Subtitle F: Assistance to Victims of Sexual Assault - Amends the Public Health Service Act to allow States to use amounts transferred by the State under block grant provisions for rape prevention and education programs conducted by rape crisis centers or similar nongovernmental nonprofit entities. (Sec. 162) Requires grant recipients under this title to incur the full cost of forensic medical exams for victims of sexual assault. (Sec. 163) Amends the Runaway and Homeless Youth Act to direct the Secretary of Health and Human Services (HHS) to make grants to private, nonprofit agencies for street-based outreach and education for female runaway, homeless, and street youth who have been subjected to or are at risk of being subjected to sexual abuse. (Sec. 164) Amends the Federal Rules of Criminal Procedure to provide for a victim's right to make a statement at the sentencing of a criminal defendant in cases involving a crime of violence or sexual abuse. Title II: Safe Homes for Women - Safe Homes for Women Act of 1993 - Subtitle A: Family Violence Prevention and Services Act Amendments - Amends the Family Violence Prevention and Services Act (FVPSA) to authorize the Secretary of HHS to award grants to one or more private, nonprofit entities to provide for the operation of a national, toll-free telephone hotline to provide information and assistance to victims of domestic violence. Subtitle B: Interstate Enforcement - Amends the Federal criminal code to provide for a Federal term of imprisonment or fine, in addition to any State penalties, for any person who: (1) in the course of or as a result of travelling across State lines injures his or her spouse or intimate partner (partner); (2) crosses State lines for the purpose of harassing, intimidating, or injuring a partner and who injures such partner; (3) causes a partner to cross State lines by force, coercion, duress, or fraud and who injures such partner; or (4) commits such acts in violation of a valid protection order issued by a State. Provides for temporary protection orders while a case under these provisions is pending. Mandates that a court order restitution to the victim of an offense under this Act. Requires, provided certain conditions are met, that a protection order issued by the court of one State be accorded full faith and credit by the court of another State. Subtitle C: Arrest in Spousal Abuse Cases - Amends the FVPSA to authorize the Secretary of HHS to make grants, with regard to spousal abuse, to: (1) implement pro-arrest programs and policies in police departments and improve case tracking; (2) centralize police enforcement, prosecution, or judicial responsibility for cases in one group of officers, prosecutors, or judges; (3) coordinate computer tracking systems to ensure communication between police, prosecutors, and both criminal and family courts; and (4) educate judges to improve judicial handling of cases. Subtitle D: Funding for Shelters - Amends the FVPSA to authorize appropriations to carry out that Act. Subtitle E: Family Violence Prevention and Services Act Amendments - Amends the FVPSA to require that: (1) applications for State demonstration grants include a plan to address the needs of underserved populations; and (2) upon completion of activities funded, the State grantee file a performance report explaining the activities carried out together with an assessment of the effectiveness of such activities. Subtitle F: Youth Education and Domestic Violence - Amends the FVPSA to direct the Secretary of Education to select, implement, and evaluate four model programs for education of young people about domestic violence and violence among intimate partners, with one program for each of primary, middle, and secondary schools, and institutions of higher education. Subtitle G: Confidentiality for Abused Persons - Requires the U.S. Postal Service to promulgate regulations to secure the confidentiality of abused persons' addresses. Subtitle H: Technical Amendments - Amends the FVPSA to: (1) include among the duties of State domestic violence coalitions to work with local domestic violence programs and providers of direct services to encourage appropriate responses to domestic violence within the State; and (2) make technical amendments to such Act. Subtitle I: Data and Research - Requires: (1) the Director of the National Institute of Justice (NIJ) to request the National Academy of Sciences to enter into a contract to develop a research agenda to increase the understanding and control of violence against women; (2) the NIJ to study and report to the States and the Congress on how the States may collect centralized databases on the incidence of domestic violence offenses within a State; and (3) the Secretary of HHS to conduct a study to obtain a national projection of the incidence of injuries resulting from domestic violence, the cost of injuries to health care facilities, and recommend health care strategies for reducing the incidence and cost of such injuries. Title III: Civil Rights - Civil Rights Remedies for Gender-Motivated Violence Act - Declares that all persons within the United States shall have the right to be free from crimes of violence motivated by the victim's gender. Makes any person, including a person who acts under color of any statute, ordinance, regulation, custom, or usage of any State, who deprives another of such right, liable to the injured party in an action for compensatory and punitive damages, injunctive and declaratory relief, and such other relief as the court deems appropriate. (Sec. 303) Allows the awarding of attorney's fees in actions to enforce this title. (Sec. 304) Expresses the sense of the Senate that news media, law enforcement officers, and other persons should exercise restraint, and respect a rape victim's privacy, by not disclosing the victim's identity to the general public or facilitating such disclosure without the victim's consent. Title IV: Safe Campuses for Women - Amends the Higher Education Amendments of 1992 to authorize appropriations for grants for campus sexual offenses education and prevention programs. Title V: Equal Justice for Women in the Courts Act of 1993 - Equal Justice for Women in the Courts Act of 1993 - Subtitle A: Education and Training for Judges and Court Personnel in State Courts - Authorizes the State Justice Institute to make grants for model programs to be used by States in training judges and court personnel in State laws on rape, sexual assault, domestic violence, and other crimes of violence motivated by the victim's gender. Subtitle B: Education and Training for Judges and Court Personnel in Federal Courts - Encourages the circuit judicial councils to conduct studies of any instances of gender bias in legal proceedings in their respective circuits. Authorizes the Federal Judicial Center to include in its educational and training programs information on issues related to gender bias in the courts. (Sec. 522) Directs the Judicial Conference to allocate funds (as specified) to Federal circuit courts that: (1) undertake studies under this subtitle in their circuits; or (2) implement reforms recommended as a result of such studies in their own or other circuits, including education and training.
United States · United States Congress · 21 January 1993
TABLE OF CONTENTS: Title I: General Requirements for Leave Title II: Leave for Civil Service Employees Title III: Commission on Leave Title IV: Miscellaneous Provisions Title V: Coverage of Congressional Employees Family and Medical Leave Act of 1993 - Title I: General Requirements for Leave - Establishes requirements for unpaid family and medical leave for permanent employees. (Sec. 101) Makes employees eligible for such leave if they have been employed, by the employer from whom leave is sought, for at least: (1) a total of 12 months; and (2) 1,250 hours of service during the previous 12-month period. (Excludes: (1) employees at worksites at which the employer employs less than 50 persons, if the total number of employees of that employer within 75 miles of that worksite is less than 50; and (2) Federal officers and employees covered under title II of this Act.) (Sec. 102) Entitles employees to 12 workweeks of leave during any 12-month period because of: (1) the birth of their child; (2) the placement of a child for their adoption or foster care; (3) their care of a child, spouse, or parent who has a serious health condition; or (4) their own serious health condition which makes them unable to perform the functions of their position. Conditions such leave for the birth or placement of a child as follows: (1) the entitlement ends 12 months after the birth or placement; and (2) such leave may not be taken intermittently unless employee and employer agree otherwise. Allows intermittent leave for necessary medical treatment of an employee or family member. Allows the employer to require a temporary transfer to an equivalent alternative position that better accommodates such intermittent leave. Allows all leave under this title to: (1) be taken on a reduced leave schedule, upon agreement with the employer; and (2) consist of unpaid leave, except under specified conditions when substitution of certain types of paid leave may be elected or required. Does not require an employer to provide paid sick or medical leave in any situation in which the employer would not normally provide any such paid leave. Provides that such unpaid leave shall not affect an employee's exempt status for purpose of certain wage and hour requirements under the Fair Standards Act of 1938. Requires employees to: (1) give at least 30 days' notice of the need for leave to which they are entitled under this Act, when foreseeable; and (2) make a reasonable effort to schedule medical treatment or supervision so as not to disrupt unduly the employer's operations, subject to approval of the health care provider. Allows limitation of the dual aggregate leave entitlement to 12 weeks in any 12-month period, in the case of spouses employed by the same employer, if such leave is for the birth or placement of a child or for the care of a sick parent. (Sec. 103) Sets forth conditions of certification for leave entitlements under this Act. (Sec. 104) Requires restoration of the employee to his or her position or an equivalent position upon return from such leave. Allows an employer to deny such restoration to certain highly compensated employees, under specified conditions (the highest paid ten percent of the employer's employees within a 75-mile radius of a facility; the denial must be necessary to prevent substantial and grievous economic injury to the employer's operations). Requires maintenance of employee health benefits during such leave. (Sec. 105) Prohibits interference with or discrimination against employees exercising rights under this title. (Sec. 106) Sets forth the investigative authority of the Secretary of Labor under this title. (Sec. 107) Provides for enforcement of this Act. Provides for administrative and civil actions. Makes an employer who violates this title's prohibitions against interference or discrimination liable for damages in the amount of: (1) any wages, salary, employment benefits, or other compensation denied or lost; (2) (where such compensation has not been denied or lost) any actual monetary losses, such as the cost of providing care; (3) interest on such losses; and (4) liquidated damages under certain conditions. Makes such employers also liable for appropriate equitable relief, including, without limitation, employment, reinstatement, and promotion. Sets forth provisions for attorney's fees, limitation of actions, injunctions, other equitable relief, and the Solicitor of Labor's role in such litigation. (Sec. 108) Sets forth special rules concerning employees of local educational agencies and of private elementary and secondary schools. (Sec. 109) Sets forth requirements for posting notice and for fines. Title II: Leave for Civil Service Employees - (Sec. 201) Entitles eligible civil service employees to family and temporary medical leave for specified periods. Allows up to 12 administrative workweeks of leave without pay (or substituted paid leave) in any 12-month period for: (1) family leave (i.e., leave because of the birth or placement of a child or care of a sick spouse, child, or parent); or (2) temporary medical leave for a serious health condition that makes the employee unable to perform the functions of their position. Sets forth: (1) requirements for employees to give prior notice; (2) certification provisions; (3) protections for job position and health insurance benefits; and (4) prohibitions against coercion. Requires the Office of Personnel Management to prescribe regulations for this title which are consistent with the regulations prescribed by the Secretary of Labor under title I of this Act. Title III: Commission on Leave - (Sec. 301) Establishes the Commission on Leave. (Sec. 302) Requires the Commission to conduct a comprehensive study of: (1) existing and proposed leave policies; (2) the potential costs, benefits, and impact on productivity of such policies on employers; and (3) alternative and equivalent State enforcement of this Act with respect to employees of local educational agencies and private schools. Requires the Commission to report on such study to the Congress within two years after the Commission first meets. (Sec. 306) Terminates the Commission within 30 days after its report to the Congress. Title IV: Miscellaneous Provisions - (Sec. 401 and Sec. 402) Sets forth the effect of this Act on other laws and existing employment benefits. (Sec. 403) Provides that nothing in this Act shall be construed to discourage employers from adopting more generous leave policies. (Sec. 404) Directs the Secretary of Labor to prescribe regulations to carry out this title (except those provisions applicable to the Senate) within 60 days. Title V: Coverage of Congressional Employees - (Sec. 501) Applies the rights and protections established under specified provisions of title I of this Act to Senate employees. Makes specified provisions of the Government Employee Rights Act of 1991 applicable, with certain exceptions. Provides that allegations shall be considered by the Office of Senate Fair Employment Practices or another entity designated by the Senate. Requires such Office to ensure that Senate employees are informed of their rights under this Act. (Sec. 502) Applies the rights and protections under title I of this Act to employees of the House of Representatives, except for the exemption concerning highly compensated employees. Makes the remedies and procedures under the Fair Employment Practices Resolution applicable in administering such coverage.
United States · United States Congress · 21 January 1993
Constitutional Amendment - Declares that the Congress has the power to set reasonable limits on campaign expenditures by, in support of, or in opposition to any candidate in any primary or other election for Federal office. Declares that the States have such power with respect to State or local elections.
United States · United States Congress · 21 January 1993
Amends rule XXV of the Standing Rules of the Senate to revise current committee structure by designating the following standing committees of the Senate: (1) National Priorities; (2) Agricultural Policy; (3) Defense Policy; (4) Commercial Policy; (5) Economic Policy; (6) Energy Policy; (7) Environmental Policy; (8) Foreign Policy; (9) Governmental Policy; (10) Judicial Policy; (11) Social Policy; (12) Native American Programs; (13) Senior American Programs; (14) Veteran American Programs; and (15) Entrepreneurial American Programs. Maintains the committees on Rules, Ethics, and Intelligence. Sets forth procedures for making committee assignments. Provides that each standing committee shall be responsible for appropriations legislation.
United States · United States Congress · 8 October 1992
Directs the Secretary of the Air Force to dispose of the interest of the United States in any tract of real property at a missile site that is surrounded by one or more tracts of land that are owned by one or more owners (currently, surrounded by lands that are adjacent to tracts of land owned by the Air Force that are owned in fee simple by one owner or by more than one owner jointly, in common, or by the entirety).
United States · United States Congress · 8 October 1992
Amends the Internal Revenue Code to allow a portion of the alcohol fuels credit to offset the tentative minimum tax. Allows an alcohol fuels credit for bio-additives (liquids derived from biological sources) used to produce diesel fuel. Excludes from gross income the alcohol fuel credit attributable to bio-additives and certain ethanol-based ethers.
United States · United States Congress · 5 October 1992
Persian Gulf War Veterans' Health Status Act - Directs the Secretary of Veterans Affairs to establish and maintain a special record to be known as the Persian Gulf War Veterans Health Registry containing health status information with respect to individuals who served as members of the armed forces in the Persian Gulf theater of operations during the Persian Gulf War. Requires claims for compensation due to ill health to be included within such Registry. Requires the Registry's information to be collected and maintained so as to enable easy cross-reference with a Registry for the Department of Defense established under this Act. Directs the Secretary to notify individuals in the Registry from time to time on significant developments in research on the health consequences of such military service during such War. Directs the Secretary to provide a health examination, consultation, and counseling to any veterans eligible for listing or inclusion in the Registry. Authorizes the Secretary to provide such examination, consultation, and counseling to any veteran eligible for listing or inclusion in any other similar health-related registry administered by the Secretary. Amends the National Defense Authorization Act for Fiscal Years 1992 and 1993 to direct the Secretary of Defense to establish a special record for members of the armed forces who served in Operation Desert Storm during the Persian Gulf War or who were exposed to the fumes of burning oil there. Requires such Secretary to establish such record with the advice of an independent scientific organization. Requires the Director of the Office of Technology Assessment to undertake a study making certain assessments with respect to the Registry and its utility and effectiveness in serving the needs of members serving in the Persian Gulf War. Directs each Secretary to provide the Director with access to required information in carying out such study. Requires reports to the Congress by the Director. Directs each Secretary to jointly seek to enter into an agreement with the Medical Follow-Up Agency (MFUA) of the National Academy of Sciences to review existing medical, scientific, and other information on the health consequences of military service in the Persian Gulf theater during such War. Permits MFUA, in conducting the review, to examine and evaluate the medical records of individuals included in the Registry and special record in order to identify illnesses. Requires such agreement to be entered into within 180 days after enactment of this Act. Requires the Academy to report to each Secretary and specified congressional committees on the results of the review carried out under the joint agreement. Requires each Secretary to provide amounts from their respective Department's FY 1993 funding to carry out the review. Provides that, if an agreement is reached with the Academy, each Secretary shall provide the Academy with funds in each of FY 1994 through 2003 for conducting epidemiological research with respect to military and veteran populations. Directs the President to designate (with authorized redesignation from time to time) the head of an appropriate Federal department or agency to coordinate all research activities undertaken by the executive branch on the health consequences of military service in the Persian Gulf theater of operations during such War. Requires the department or agency head so chosen to report annually to the Senate and House Veterans' Affairs Committees on the status and results of all such research activities during the previous year.
United States · United States Congress · 2 October 1992
Agricultural Credit Amendments Act of 1992 - Title I: Farmers Home Administration Loans - Amends the Consolidated Farm and Rural Development Act to state that the interest rate for loans sold into the secondary market may be lower than the interest rate on the retained portion, but may not exceed the average interest rate charged by the lender on loans made to farm and ranch borrowers. Provides for Federal-State coordination of assistance for beginning farmers and ranchers. Directs the Secretary of Agriculture (Secretary) to establish an Advisory Committee on Beginning Farmers and Ranchers. Authorizes the Secretary to make grants for rural passenger transportation services or facilities. Directs the Secretary to establish within the farm ownership loan program a ten-year down payment loan program for beginning farmers and ranchers. Sets forth loan terms. Limits the availability of certain agricultural loans and guarantees to beginning farmers and ranchers during specified applicable periods. Directs the Secretary to establish a program of assistance (ten-year maximum) for beginning farmers and ranchers. Requires an applicant to submit a farm operations plan (plan) to the appropriate county committee, which must be approved by the committee and by the Secretary. Provides assistance in the form of operation and equipment loan guarantees. Gives applicants priority for equipment purchases in the Farmers Home Administration (FmHA) inventory. Terminates assistance for avoidable failure to achieve plan goals. Directs the Secretary to: (1) establish a program to encourage borrowers with operating loans or guarantees to graduate to private commercial credit sources; and (2) provide for the graduation of FmHA direct loan borrowers to FmHA guaranteed loans. Authorizes the leasing or leasing-with-purchase-option of certain FmHA inventory land not otherwise suitable for sale. Sets forth provisions regarding the transfer of Indian lands pledged as FmHA loan collateral, including properties containing a hazardous substance. Sets forth debt service margin requirements, including establishment of a certified lenders program. Defines "qualified beginning farmer or rancher" for assistance purpose. Sets aside specified percentages of operating and ownership loan assistance for beginning farmers or ranchers. Permits a borrower to appeal a loan appraisal determination. Title II: Farm Credit System - Amends the Farm Credit Act of 1971 to repeal the prohibition against guarantees of debt instruments whose income is tax exempt. Authorizes the Farm Credit Administration to approve competitive charters of Farm Credit System institutions under specified circumstances. Title III: Miscellaneous - Amends the Agricultural Credit Act of 1987 to increase the Federal assistance ceiling for State agricultural loan mediation programs. Title IV: Recreational Hunting Safety - Recreational Hunting Safety and Preservation Act of 1991 - Makes it unlawful to intentionally obstruct a lawful hunt (as defined by this Act) within a national forest. Establishes: (1) civil penalties for such violations; (2) procedures for individual and government agent complaints; and (3) permitted uses of collected penalty money. Authorizes injunctive relief. Permits an affected individual or sportsman's organization to bring a civil action to recover actual and punitive damages and attorney's fees.
United States · United States Congress · 2 October 1992
Homeless Children's Assistance Act of 1992 - Amends the National School Lunch Act (NSLA) to specify that certain limitations on number of food service sites and number of children served at each site apply only to private nonprofit organizations, under provisions for demonstration projects to provide food service to homeless children under age six in emergency shelters. Amends the Child Nutrition Act of 1966 to revise provisions for allocation of funds for grants to public entities and private nonprofit organizations participating under such projects for homeless children's food services under NSLA, as well as provisions for allocation of certain returned funds.
United States · United States Congress · 28 September 1992
National Health Safety Net Infrastructure Act - Title I: Capital Financing Assistance for Safety Net Hospitals Providing Indigent Care - Amends the Social Security Act (SSA) to add a new title XXI, Capital Financing Assistance for Safety Net Hospitals. Directs the Secretary of Health and Human Services to make payments for capital financing assistance to eligible hospitals with approved applications. Sets forth general eligibility requirements for such assistance, including requirements that hospitals receive disproportionate share adjustments under Medicare (SSA title XVIII) and be owned or operated by a State or local government in order to be eligible for such assistance. Details application requirements and criteria for application approval. Imposes certain public service responsibilities on hospitals accepting capital financing assistance. Creates in the Treasury the Health Safety Net Infrastructure Trust Fund (Fund). Establishes a loan guarantee program under which the Trust Fund will provide a Federal guarantee of loan repayment to non-Federal lenders making loans to qualified hospitals for hospital replacement, modernization, and renovation projects. Sets forth eligibility criteria hospitals must meet in order to qualify for loan guarantees. Gives a preference for loan guarantees to certain projects in which State or local government entities participate. Sets forth special rules with respect to loan guarantees, including rules: (1) requiring at least 20 percent of the dollar value of loan guarantees to be allocated to eligible rural hospitals; (2) requiring at least $200 million of the annual dollar value of loan guarantees to be reserved for loans of under $50 million, if there are a sufficient number of applicants for loans of that size; and (3) allowing loan guarantees to be allocated for refinancing loans. Provides that hospitals will be charged a reasonable loan insurance premium. Sets forth procedures to be followed in the event of a loan default. Establishes an interest rate subsidy program that provides a partial Federal subsidy of debt service payment where State or local entities demonstrate a significant commitment to financing hospital replacement, modernization, and renovation projects by undertaking the issuance of bonds. Requires a hospital to receive assistance from non-Federal sources at least equal to the assistance received under such program in order to obtain an interest rate subsidy. Sets forth special rules with respect to interest rate subsidies, including rules: (1) reserving for rural hospitals at least 20 percent of the total value of all interest subsidies awarded in any given year; and (2) limiting the aggregate value of interest subsidies made to hospitals in any State in a given year. Requires the Secretary to provide direct matching loans to qualified hospitals unable otherwise to obtain essential financing. Sets forth special rules with respect to direct matching loans, including rules concerning the use of loans for refinancing. Requires the Secretary to make direct grants to qualified hospitals with urgent capital needs. Provides that direct grants shall be available to eligible hospitals for three types of projects: (1) emergency certification and licensure grants would be available to eligible hospitals that are threatened with closure or loss of accreditation or certification of a facility or of essential services as a result of life or safety code violations or similar facility or equipment failures; (2) emergency grants would be available for capital renovation, expansion, or replacement necessary to the maintenance or expansion of essential safety and health services; and (3) planning grants would be available to qualified hospitals which require pre-approval assistance to meet regulatory requirements related to management and finance in order to apply for loans, loan guarantees, and interest subsidies under this Act. Gives priority for direct grants to financially distressed hospitals. Sets forth special rules with respect to grants for capital expenditures and planning grants. Provides for adjustments to payments for capital-related costs under Medicare to take into account the extent to which capital-related costs incurred by a hospital are costs with respect to which the hospital received financial assistance under SSA title XXI. Title II: Amendment of the Tariff Act of 1930 - Amends the Tariff Act of 1930 to require unobligated amounts remaining in the Customs Forfeiture Fund to be deposited in the Health Safety Net Infrastructure Trust Fund.
United States · United States Congress · 25 September 1992
Medicare and Medicaid Amendments Act of 1992 - Title I: Amendments to Medicare Program - Subtitle A: Provisions Relating to Part A - Amends the Omnibus Budget Reconciliation Act (OBRA) of 1989 to provide that all hospitals classified as regional referral centers on September 30, 1992 shall retain such status through September 30, 1994. Provides that hospitals which fail to qualify as regional referral centers for FY 1993 as a result of a decision by the Medicare Geographic Classification Review Board shall be provided by the Secretary of Health and Human Services (HHS) with an opportunity to decline the reclassification. Prohibits the Secretary from revising standardized amounts to account for hospitals which decline the reclassification. Amends title XVIII (Medicare) of the Social Security Act (SSA) to revise Medicare-dependent, small rural hospital payment provisions. Sets forth provisions analogous to those above with respect to Medicare-dependent, small rural hospitals and: (1) reclassification declination; and (2) standardized amount adjustment. Amends the OBRA of 1987 to authorize appropriations for the rural health transition grant program. Amends Medicare to authorize appropriations for the Essential Access Community Hospital program. Modifies the length of stay requirement for State designation of rural primary care hospitals. Amends the OBRA of 1989 to extend additional payments for hemophilia clotting factor furnished through September 30, 1994. Amends the OBRA of 1990 to require the Secretary to continue any rural hospital demonstration project at least through December 31, 1995. Amends Medicare to provide that: (1) a change in classification of hospitals from one area to another may not result in a reduction in the wage index for an urban area if the area has a wage index below the rural wage index for the State, or if the urban area is located in a State without any rural areas; (2) for discharges occurring on or after the effective date of this paragraph and before October 1, 1993, the Secretary shall adjust the urban standardized amount by a factor of 0.999321; and (3) if a hospital was previously reclassified based on standards for Metropolitan Statistical Areas (MSAs) (and New England County Metropolitan Areas) published in the Federal Register on January 3, 1980, and the hospital is located in a rural county under the most recently available standards for designating MSAs, the Secretary shall treat the hospital as being located in the urban metropolitan statistical area to which the greatest number of workers in the country commute. Allows the care of hospital inpatients receiving qualified psychologist services to be supervised by a clinical psychologist to the extent such supervision is permitted under State law. Requires the Secretary to: (1) delay until April 1, 1993, recoupment of any amounts paid to hospitals under a State hospital reimbursement control system that exceed amounts that would have otherwise been paid under Medicare payment rules; and (2) make available to the State and the hospitals in it all relevant information used in determining the amount of such excess payments before undertaking a recoupment. Directs the Secretary to begin collecting data on employee compensation and paid hours of employment in skilled nursing facilities (SNFs) to compute a wage index to adjust Medicare SNFs payments. Requires the Prospective Payment Assessment Commission to study and report to the Congress on the impact of applying routine cost limits for skilled nursing facilities on a regional basis. Subtitle B: Provisions Relating to Part B - Amends Medicare part B (Supplementary Medical Insurance) to reinstate separate payment for electrocardiogram (EKG) interpretations performed or ordered to be performed as part of or in conjunction with a visit to or consultation with a physician. Repeals provisions providing reduced Medicare payments to new physicians and other practitioners during their first four years of practice. Prohibits the Secretary from modifying the methodology for determining the amount of time that may be billed for anesthesia services until January 1, 1997. Requires the Comptroller General to conduct a study and report to the Physician Payment Review Commission and specified congressional committees on time reported for anesthesia services. Provides that the initial review and revision of the geographic cost of practice index (GCPI) shall apply to services furnished on or after January 1, 1994 and shall be based on the most recent data on practice and malpractice expenses and physicians' work effort. Authorizes the Secretary to adjust GCPI to account for unique local circumstances. Requires the Secretary to study and report to specified congressional committees on the data necessary to review and revise geographical indices. Requires the Physician Payment Review Commission to study and report to specified congressional committees on the feasibility and desirability of providing for a special adjustment to the index value of the medical equipment and supplies input component of the index used with respect to services: (1) furnished by a physician who practices in an isolated area; (2) requiring the presence of expensive medical equipment and supplies in the physician's office; and (3) with respect to which the cost per service of operating the equipment is increased because of such physician's low volume of patients. Prohibits nonparticipating physicians and suppliers from billing or collecting an actual charge in excess of the Medicare limiting charge. Provides that no person is liable for payment of any amount billed in excess of the limiting charge. Requires that excess charges be refunded on a timely basis. Authorizes sanctions against physicians and suppliers who knowingly and willfully bill in excess of the limiting charge or fail to refund excess charges as required by this Act. Requires carriers to: (1) notify physicians and suppliers within 30 days if they have billed in excess of the limiting charge; and (2) include limiting charge information in the mailing explaining an individual's Medicare benefits after the submission of an unassigned claim on the individual's behalf which exceeds the limiting charge. Specifies the nonphysician practitioners that may only bill for services on an assignment-related basis. Provides that no person is liable for amounts billed in violation of such mandatory assignment rule. Requires the Secretary to report to the Congress on the extent to which actual charges exceed Medicare limiting charges, the number and types of services involved, and the average amount of excess charges. Directs the Secretary to appoint a Medicare Beneficiary Advisory Council to discuss proposed regulations, carrier manual instructions, and any other issues with an impact on delivery, cost, quality, or expansion of Medicare services. Requires the Secretary to provide for national standards which suppliers of medical equipment and supplies must meet in order to receive payment for items furnished. Prohibits payment unless a supplier also possesses a valid supplier number. Requires the Secretary to revise such standards to include specified requirements. Requires suppliers to meet such revised standards in order to receive a supplier number. Requires the Secretary to develop one or more standardized certificates of medical necessity for: (1) durable medical equipment (DME); (2) prosthetic devices; (3) orthotics and prosthetics; and (4) surgical dressings, and certain other devices. Modifies the OBRA of 1990 prohibition against the distribution of certificates of medical necessity by DME suppliers to extend its application, with certain exceptions, to suppliers of the other items directly listed above. Requires the Secretary to: (1) develop and establish uniform national coverage and utilization review criteria for 200 items of medical equipment and supplies selected in accordance with standards specified by this Act; (2) publish the criteria as part of the instructions provided to fiscal intermediaries and carriers; (3) review annually the coverage and utilization of such items to determine whether items not included among those selected should be subjected to such criteria (and, if appropriate, develop and apply such criteria to such additional items); and (4) report to specified congressional committees on the effect of uniform criteria on utilization of items. Prohibits the Secretary from issuing more than one supplier number to any supplier of medical equipment and supplies unless such issuance is appropriate to identify subsidiary or regional entities under the supplier's ownership or control. Amends SSA title XI to modify anti-kickback provisions. Amends Medicare to specify the circumstances under which Medicare beneficiaries are not financially liable for covered items furnished by suppliers on an unassigned basis. Removes aspirators and nebulizers from the category of DME items requiring frequent and substantial servicing, and includes supplies relating to aspirators and nebulizers in the category of inexpensive and other routinely purchased equipment. Adds payment rules for ostomy supplies, tracheostomy supplies, urologicals, surgical dressings, and other medical supplies. Provides for a freeze in reasonable charges for parenteral and enteral nutrients, supplies, and equipment during 1993. Directs the Comptroller General to study and report to specified congressional committees on: (1) the types, volume, and utilization of services and supplies furnished to Medicare-eligible nursing facility residents; and (2) changes made to descriptions relating to the codes for certain medical equipment and supplies. Modifies the definition of "certified nurse-midwife" by eliminating language that limits reimbursable services to those related to the care of mothers and babies during the maternity cycle. Revises payments provisions for services furnished by a certified registered nurse anesthetist who is medically directed. Amends the OBRA of 1986 to extend Alzheimer's disease demonstration projects for an additional year. Extends eligibility for designation as eye or eye and ear hospitals to hospitals that otherwise meet current law criteria but on October 1, 1987, operated as an eye or eye and ear specialty hospital or as a separate eye or eye and ear unit of a general acute care hospital which operates less than 20 percent of the beds that it operated on such date and has discontinued a substantial portion of its other acute care operations. Extends the OBRA of 1990's cap on payments for intraocular lenses through 1994. Expends the settings in which nurse practitioners, clinical nurse specialists, and physicians' assistants may bill Medicare part B for services performed. Provides for Medicare coverage of: (1) off-label cancer drugs that have been approved by the Food and Drug Administration, appeared in specified medical journals, or are included in one of three specified major medical compendia; and (2) oral cancer drugs that contain the same active ingredients as anticancer drugs covered by Medicare when administered intravenously. Subtitle C: Provisions Relating to Parts A and B - Permits Medicare Select policies to be offered in all States. Revises current law requirements applicable to Medicare Supplemental policies. Provides that a Medicare Select policy may be canceled or not renewed in the case of an individual who leaves the service area of the policy, except that if the individual moves to an area for which the issuer of the Medicare Select policy (or an affiliate) offers a Medicare Supplemental (Medigap) policy, the individual must be permitted to enroll in such policy if the benefits are comparable to or less than the benefits in the canceled or non-renewed policy. Authorizes sanctions against issuers of Medicare Supplemental policies who make misrepresentations or provide false information regarding such policies to the Secretary. Reduces Medicare payments for erythropoietin provided during 1993. Adds renal dialysis facilities to the list of institutions required under Medicare and Medicaid (SSA title XIX) to furnish patients with advanced directive information. Extends the periods during which Medicare: (1) is secondary to other payors for end stage renal disease beneficiaries; and (2) covers immunosuppressive drug therapy following a transplant procedure. Modifies general exceptions to prohibited physician referrals. Requires the Secretary to provide for an approved full-time equivalent (FTE) resident amount as the Secretary determines to be appropriate in the case of hospitals that in FY 1984 operated a primary care residency training program as their only approved residency program and had a base year per FTE resident amount of less than $10,000. Requires home health agencies and skilled nursing facilities to notify Medicare beneficiaries of the hospice benefit under Medicare, under certain conditions. Modifies hospital conditions of participation with respect to discharge planning to include an evaluation of a patient's need for hospice services. Amends the OBRA of 1987 to require the Secretary to extend the waivers for social health maintenance organization (SHMO) demonstration projects for an additional three years. Amends the Deficit Reduction Act of 1984 to expand SHMO demonstrations. Requires, for FY 1993, interest payments on clean claims if payment is not made within 30 days of the claim's receipt. Title II: Amendments to Medicaid Program - Subtitle A: Technical Corrections - Amends Medicaid to make technical corrections and, in certain instances, such as in item 1 of the list below, technical changes as well, to Medicaid provisions included in the OBRA of 1990 regarding: (1) reimbursement for prescribed drugs; (2) enrollment under group health plans; (3) low-income Medicare beneficiaries; (4) child health; (5) outreach locations; (6) payment for hospital services for children under age six; (7) payment adjustments for disproportionate share hospitals; (8) federally-qualified health centers; (9) substitute physicians; (10) home and community care for frail elderly; (11) community supported living arrangements; (12) COBRA continuation coverage; (13) Medicaid transition provisions for family assistance; (14) personal care services; (15) the Medicaid spend-down option; (16) optional State disability determinations; (17) special rules for health maintenance organizations (HMOs); (18) frail elderly waivers; (19) a certain demonstration project for low-income families; (20) coverage of HIV-positive individuals; (21) advanced directives; (22) physician services; and (23) nursing home reform. Makes other technical corrections to various Medicaid and Medicare provisions added or redesignated by the OBRA of 1990. Subtitle B: Other Amendments to Medicaid Provisions - Amends Medicaid to create an exception to the IMD (institution for mental diseases) exclusion for Medicaid-eligible individuals (of any age) who participate in a qualified comprehensive substance abuse treatment program under SSA title IV (thus allowing States to provide medical services to such individuals). Requires the Secretary to waive the requirements that all Medicaid services be provided on a statewide basis and in comparable amount, duration, and scope to all Medicaid beneficiaries where the Secretary determines that a waiver of such requirements is necessary and appropriate to enable a State to establish such a program. Gives State Medicaid programs the option of covering alcoholism and drug dependency residential treatment services for Medicaid-eligible pregnant women, caretaker parents, and their children. Requires States to operate a vaccine replacement system (VRS) under which childhood vaccines are purchased at the Centers for Disease Control price, or a lower price, if available, and provided free of charge to Medicaid providers unless the State already operates a universal vaccine distribution system or demonstrates to the Secretary's satisfaction that a VRS would not be appropriate or cost-effective. Gives States the option of reimbursing vaccine manufacturers directly when the manufacturer distributes childhood vaccines to Medicaid providers free-of-charge under a contract with the State. Requires the Secretary to establish a demonstration program to enable States to establish innovative immunization outreach demonstration programs. Extends the duration of the waivers used by States to establish primary care case-management systems (PCCMSs). Prohibits the Secretary from granting such a waiver to restrict an individual's freedom of choice of provider with respect to a comprehensive risk-based managed care plan unless the individual has a choice of at least two such plans in an area. Modifies the enrollment composition rule (ECR) which permits the Secretary to waive or modify the requirement that Medicare and Medicaid beneficiaries constitute less than 75 percent of the membership of any prepaid medical provider to: (1) allow a State to contract with a private (currently only a public) entity; (2) change the circumstances under which the Secretary may waive or modify such requirement; (3) require the Secretary to review annually the financial stability of any private entity that is granted a waiver or modification and revoke it if such entity is not financially stable; and (4) set limits on the duration of such waivers. Provides that if an individual enrolled in a Federally qualified HMO or PCCMS becomes ineligible for Medicaid benefits as a result of excess income or resources, such individual shall, at the option of the State, continue to be eligible for such benefits through the end of the month in which such benefits would have otherwise terminated. Provides that the enhanced match for expenditures related to external reviews of the quality of care furnished by entities with Medicaid managed care contracts shall be made available for external quality reviews performed by any organization approved by the Secretary which is unaffiliated with the State or with any entity with a Medicaid managed care contract. Authorizes the Secretary to approve waivers to authorize a State to approve managed care plans to be operated by political subdivisions of the State. Specifies conditions for approval. Authorizes the Secretary to extend retroactively the waiver of ECR granted to the District of Columbia Chartered Health Plan, Inc., if the Secretary determines that such entity continues to make progress toward achieving compliance with ECR. Provides that habilitation services shall be available for an individual participating in a home- and community-based services waiver program regardless of whether the individual was previously institutionalized. Permits public and nonprofit case management entities to pay providers directly, under certain conditions. Requires such entities to have a contract with the State under which they are required to maintain claims records and provide information to the Secretary or State agency about such claims. Allows States to restrict an individual's freedom of choice of case managers under home- and community-based waiver programs, under certain conditions. Provides that States are no longer required to bill third parties for case management services where the State demonstrates to the Secretary's satisfaction that it is not cost-effective to do so. Changes the inflation factor used in determining State expenditures for medical assistance with respect to home- and community-based services provided under certain waivers. Gives States the option of extending Medicaid coverage to certain children who have been placed in foster care. Directs the Secretary to provide for the establishment of demonstration projects to provide outreach services to individuals who are likely to be eligible for Medicaid payment of their Medicare out-of-pocket expenses. Amends the OBRAs of 1989 and 1990 to provide for the extension of certain demonstration projects extending Medicaid coverage to pregnant women, children, and certain low-income families not otherwise eligible for Medicaid. Requires the Secretary to provide that additional OBRA of 1990 demonstration projects extending Medicaid coverage to certain low-income families are conducted on a substate basis. Makes technical revisions in provisions for determining periods of ineligibility for Medicaid payment of nursing home expenses. Changes the methodology for determining the amount Medicaid pays for prescription drugs. Allows certified nurse midwives to be reimbursed for providing non-maternity related services, to the extent such practitioners are legally authorized under State law to provide such services. Requires HHS' Departmental Appeals Board to adjust the amount of a disallowance based on the nature of the State's violation. Amends SSA title XI to increase the annual cap on Federal Medicaid matching funds for Puerto Rico starting in FY 1994. Amends Medicaid to provide that beginning in FY 1993 any funds for community supported living arrangements services remaining available at the end of a fiscal year shall be available to be expended in the following fiscal year. Makes any Native Hawaiian Health Center a Federally Qualified Health Center under Medicaid. Title III: Miscellaneous Amendments - Amends SSA title V (Maternal and Child Health Services) to increase the authorization of appropriations for FY 1993. Provides for a set-aside for evaluations of SSA title V programs.
United States · United States Congress · 17 September 1992
Authorizes the President, on behalf of the Congress, to present a gold medal to John Birks "Dizzy" Gillespie in recognition of his accomplishments as a musician. Authorizes appropriations. Authorizes the Secretary of the Treasury to provide for the sale of bronze duplicates of the medal.
United States · United States Congress · 15 September 1992
Designates September 18, 1992, as National POW/MIA Recognition Day. Requires the POW/MIA flag to be flown on a flagstaff of the White House, the Departments of State, Defense, and Veterans Affairs, the Selective Service Commission, each national cemetery, and the National Vietnam Veterans Memorial on such day. Requires the flag to be flown on a flagstaff of each national cemetery and the National Vietnam Veterans Memorial on May 30, 1993 (Memorial Day), and on November 11, 1992 (Veterans Day). States that the flag shall be displayed as a symbol of national concern and commitment to resolving the fates of Americans still prisoner, missing, and unaccounted for.
United States · United States Congress · 12 August 1992
World War II 50th Anniversary Commemorative Coins Act - Expresses the sense of the Congress that the United States should recognize the 50th anniversary of World War II by minting and issuing commemorative coins for the anniversaries of: (1) World War II; (2) the Battle of Normandy; and (3) "D-Day." Directs the Secretary of the Treasury to: (1) issue and mint such coins in five-dollar gold, one-dollar silver, and half-dollar clad denominations; and (2) determine the role that the American Battle Monuments Commission and the Battle of Normandy Foundation shall have in coin promotion and marketing. Mandates that surcharges received from the sale of such coins be deposited in a coinage profit fund and allocated, upon separate congressional authorization, to the American Battle Monuments Commission to establish a World War II memorial and to the Battle of Normandy Foundation to dedicate, on the 50th anniversary of D-Day and Battle of Normandy Memorial in Normandy, France. Directs the Secretary to report semiannually to the Congress regarding implementation of this Act.
United States · United States Congress · 12 August 1992
Comprehensive Fetal Alcohol Syndrome Prevention Act - Amends the Public Health Service Act to establish: (1) a comprehensive program to prevent Fetal Alcohol Syndrome and Fetal Alcohol Effects and coordinate related Federal efforts; and (2) an Inter-Agency Task Force on Fetal Alcohol Syndrome and Fetal Alcohol Effects. Provides for related research, technical assistance, grants, cooperative agreements, and contracts, surveillance and prevention programs, professional and public education, and diagnostic criteria. Authorizes appropriations.
United States · United States Congress · 12 August 1992
State Care Act of 1992 - Amends the Social Security Act (SSA) to add a new title XXI, State Comprehensive Health Coverage And Cost Containment Demonstration Projects, establishing a program under which the State-Based Comprehensive Health Care Commission (established below) is required to select States to participate in health coverage and cost containment demonstration projects (State Care projects). Establishes the State-Based Comprehensive Health Care Commission (the Commission) to review, approve, and oversee State Care projects. Authorizes appropriations. Requires States desiring grants to develop State Care projects to establish a State Health Care Authority through which to develop such projects. Exempts from this requirement States that have enacted comprehensive health care plans (State Care plans) within 12 months of enactment of this Act. Establishes Federal standards for approval of applications for grants for demonstrations in up to ten States. Specifies State Care plan requirements, including those for standard and basic benefit packages, cost-control mechanisms, and quality control procedures. Details the various items and services which constitute each respective package. Sets limits on the amount, scope, and duration of certain benefits under the standard package. Details cost-sharing under the respective packages, and provides for limits on out-of-pocket package expenses. Authorizes the Commission to award grants to States receiving approval of a State Care project grant application for: (1) establishment of a data base infrastructure necessary to measure and evaluate State Care plan success in achieving cost containment and access goals; and (2) consolidation of health care budgeting, regulating, financing, and delivery responsibilities of the State. Authorizes appropriations. Prohibits payments under Medicaid (SSA title XIX) for State Care project services if payment for them may be made under the State Care plan. Directs the Secretary of Health and Human Services to pay to each State participating in a State Care project an amount equal to the amount of any payments that, as a result of such prohibition, were not made under Medicaid because payment was made under the State Care plan. Sets forth provisions governing the application of Medicare (SSA title XVIII) and ERISA (Employee Retirement Income Security Act of 1974) with respect to any approved State Care project. Requires periodic reports by the Commission to the Congress on the reforms undertaken in States participating in State Care projects, along with recommendations for increased Federal funding for reform initiatives and project grants. Requires additional Commission reports on continued financing of State Care plans and, if no national comprehensive health care system has been established, on establishing such a system that utilizes the experiences of State Care projects.
United States · United States Congress · 12 August 1992
Farmer Owned Reserve Improvements Act of 1992 - Amends the Agricultural Act of 1949 with regard to the farmer owned reserve program to authorize the Secretary of Agriculture to: (1) provide original price support loans for wheat and feed grains; (2) announce program conditions at any time; and (3) permit program entry as unforeseen market conditions warrant. Authorizes discretionary program exit for producers with original loans.
United States · United States Congress · 12 August 1992
Chief Big Foot National Memorial Park and Wounded Knee National Memorial Establishment Act of 1992 - Establishes the Big Foot National Memorial Park in South Dakota to protect the historical significance of the 1890 Wounded Knee Massacre site and to protect and promote Sioux history and culture. Authorizes the Secretary of the Interior (Secretary) to acquire lands for the Park by: (1) accepting leasehold interests in tribal trust lands located on the Pine Ridge Indian Reservation and the Cheyenne River Indian Reservation offered by the Oglala Sioux Tribe and the Cheyenne River Sioux Tribe, under specified conditions; and (2) purchase, donation, or condemnation of all surface and subsurface rights to any tract of fee patented land which the Director of the National Park Service deems necessary to include in the Park. Authorizes and directs the Secretary to provide all assistance necessary (including financial assistance) to the Oglala Sioux Tribe in acquiring lands within the Wounded Knee Massacre site as defined in the 1990 boundaries studies authorized by the National Park Service. Directs the Secretary, acting through the Director of the National Park Service, to manage such leasehold lands as a unit of the National Park System. Exempts all enrolled members of specified tribes from admission fees into the Park. Directs the Secretary to collect such fees from all other persons entering the Park. Authorizes the Secretary to enter into cooperative agreements with the Cheyenne River Sioux Tribe and the Oglala Sioux Tribe to provide training to tribal members on the interpretation, management, protection, and preservation of historical properties and in the provision of public services on their respective Reservation. Directs the Secretary to give preference to employing qualified members of such Tribes in the development, interpretation and management of the Park and in related activities. Requires the Secretary to plan, design, and construct, within the boundaries of the Park, the Wounded Knee National Memorial (a suitable and appropriate memorial dedicated to the Indian victims of the 1890 Wounded Knee Massacre). Vests responsibility in the Secretary, acting through the National Park Service, for the operation, maintenance, upkeep, and repair of the memorial and the related structure located on the Cheyenne River Reservation. Authorizes and directs the Secretary to study and report to the Congress on the feasibility of: (1) establishing and marking the route taken by Chief Big Foot and his band from the Cheyenne River Reservation to Wounded Knee as a national historic trail; (2) establishing an information/orientation center on Interstate 90 at Cactus Flats and a visitor center on the Cheyenne River Indian Reservation; and (3) establishing the Crazy Horse Memorial Highway (a scenic two lane highway) from Interstate 90 to Wounded Knee and westward from Wounded Knee to Highway 79. Prohibits a Federal agency from issuing a license or permit to any persons to conduct any activity within the Park which could affect the resources or values of it unless the Secretary determines that such proposed activity will be conducted in a manner consistent with the standards and criteria established pursuant to the general management plan required by this Act and will not have a significant adverse effect on the resources or values of the Park. Makes these provisions applicable only with respect to activities commencing and licenses or permits issued after the enactment of this Act. Establishes the Chief Big Foot National Memorial Park Advisory Commission within the Department of the Interior to advise the Director of the National Park Service on the planning, management, and administration of the Park. Requires the Secretary, acting through the National Park Service, to develop and transmit to specified congressional committees a general management plan for the park describing the appropriate uses and development of it. Authorizes the Secretary to enter into: (1) cooperative agreements with tribal organizations or nonprofit corporations to raise funds from private sources to supplement Federal funds authorized by this Act; and (2) a cooperative agreement with the Tribe or its designated agency or authority or, with the Tribe's approval, a nonprofit corporation to raise private funds to plan, design, construct, operate, and maintain specified projects. Authorizes appropriations.
United States · United States Congress · 12 August 1992
Amends the Trade Act of 1974 to prohibit the President from designating as an article eligible for duty-free treatment under the Generalized System of Preferences any import-sensitive agricultural article which will render ineffective, or materially interfere with, a loan or purchase program, or other industry-wide operation, of the Department of Agriculture. Requires the President to prescribe procedures under which articles may be granted eligible article status, including procedures under which interested persons may petition that articles be granted such status.
United States · United States Congress · 12 August 1992
Government Employee Labor Rights Act of 1992 - Amends the Civil Rights Act of 1991 (Public Law 102-166) to apply specified provisions of the National Labor Relations Act, the Fair Labor Standards Act of 1938, and the Occupational Safety and Health Act of 1970 to employees of the Senate, the House of Representatives, and instrumentalities of the Congress.
United States · United States Congress · 11 August 1992
Federal Crop Insurance Fairness Act - Amends the Federal Crop Insurance Act with respect to crop insurance yield coverage to: (1) base coverage on a producer's crop yields for a commodity over four-to-ten crop years; (2) establish a minimum yield coverage floor of not less than entry level coverage; (3) limit transitional yield data use to not more than four years; and (4) permit the use of previous yield or transitional yield data for new land. States that late planting coverage shall: (1) extend for up to 25 days after the final planting date; and (2) reduce yield guarantee by one percent per day for the first ten days and two percent per day for the next 15 days. Includes prevented planting coverage (with substitute crop option) as part of the basic crop insurance policy. Provides 50 percent coverage for a natural disaster-caused prevented planting. States that the insured producers shall not have their indemnity payment reduced because of a de minimis yield.
United States · United States Congress · 7 August 1992
Native American Veterans' Memorial Establishment Act - Authorizes the Board of Trustees of the National Museum of the American Indian to design, construct, and maintain a National Native American Veterans' Memorial.
United States · United States Congress · 7 August 1992
National Indian Policy Research Institute Act - Establishes as a federally chartered corporation the National Indian Policy Research Institute (Institute) which shall be located in the George Washington University, Washington, D.C. Directs the Institute to: (1) conduct research and analysis and provide public information relating to Indian public policy; (2) develop a data base and act as an information clearinghouse; (3) conduct public forums and symposia; and (4) provide fellowships as funds permit. Establishes in the Institute a Resource Advisory Council. Directs the Secretary of Health and Human Services, subject to congressional appropriation, to award a grant to the George Washington University for Institute activities. Authorizes the Institute to enter into agreements with and provide grants to specified tribal colleges. Sets forth reporting requirements. Authorizes appropriations.
United States · United States Congress · 31 July 1992
USDA National Appeals Division Act of 1992 - Directs the Secretary of Agriculture (Secretary) to establish and maintain an independent National Appeals Division within the Office of the Secretary to hear appeals of adverse decisions made by certain agencies within the Department of Agriculture. Requires the Secretary to develop a subject-matter index of all significant final determinations and make such index available to the public. Requires the Secretary to provide an appellant with notice and opportunity for hearing. Sets forth administrative appeal provisions regarding: (1) informal hearings and appealable decisions; (2) access to materials; (3) hearings; (4) administrative appeal review; (5) judicial review; (6) implementation of final determinations; (7) employee evaluation; and (8) prohibition of adverse action during a pending appeal. Authorizes appropriations. Amends the Agricultural Credit Act of 1987 to increase the Federal assistance ceiling for State agricultural loan mediation programs.
United States · United States Congress · 30 July 1992
Declares that it is U.S. policy to seek international agreements prohibiting the sale, transfer, or export; limiting the use; and terminating the production, possession, or deployment of antipersonnel landmines. Expresses the sense of the Congress that the President should seek to negotiate an international agreement or a modification of the Convention on Prohibitions or Restrictions on the Use of Certain Conventional Weapons Which May Be Deemed to Be Excessively Injurious or To Have Indiscriminate Effects to prohibit the sale, transfer, or export of antipersonnel landmines. Prohibits for a period of one year from this Act's enactment date: (1) sales, financing, transfers, and the issuance of licenses under the Arms Export Control with respect to antipersonnel landmines; and (2) assistance under the Foreign Assistance Act of 1961 with respect to the provision of such landmines.
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