United States · United States Congress · 23 July 1992
Midwest Dairy Equity Act - Amends the Agricultural Adjustment Act, reenacted with amendments by the Agricultural Marketing Agreement Act of 1937, to establish: (1) a uniform class I milk price adjustment of $1.80 per hundredweight for all marketing areas; and (2) the minimum fluid beverage milk price at $13.20 per hundredweight. Directs the Secretary of Agriculture to: (1) study and report to the appropriate congressional committees on the desirability and effects of fortifying beverage milk with nonfat solids; and (2) establish manufacturing allowances of $1.37 per hundredweight of milk for butter and nonfat dry milk, and $1.52 per hundredweight for cheese.
United States · United States Congress · 2 July 1992
Indian Agricultural Resources Management Act of 1992 - Title I: General Provisions - States that existing Federal laws do not sufficiently assure the adequate and necessary trust management of Indian rangelands and farmlands. Sets forth findings, purposes, and definitions. Title II: Rangeland and Farmland Enhancement - Directs the Secretary of the Interior to manage Indian rangelands and farmlands, using state-of-the-art technology, either directly or through cooperative agreements, self-determination contracts, and grants under the Indian Self-Determination and Education Assistance Act. Enumerates management conservation, agricultural production, agribusiness, leasing, and other objectives. Requires a reservation-by-reservation resource management planning program. Requires compliance with tribal laws pertaining to Indian agricultural lands. Establishes a task force to develop a comparative analysis of Federal investment and management efforts for Indian trust lands as compared to federally owned lands managed by other Federal agencies. Authorizes the Secretary to negotiate and lease highly fractionated undivided heirship lands to reduce idle acreage. Title III: Education in Agriculture and Natural Resource Management - Requires the establishment, in the Bureau of Indian Affairs or elsewhere, of at least 20 natural resources intern positions for Indians and Alaska Native students. Requires establishment of a cooperative education program for employment of Indian and Alaska Native students in Federal professional natural resource-related positions. Provides financial assistance under the program. Directs the creation of scholarships, outreach programs, postgraduate recruitment programs, education and training programs, and internships to attract and train Indians and Alaska Natives in careers in Indian natural resources management. Title IV: Authorization of Appropriations - Authorizes appropriations. Title V: Miscellaneous - Provides for regulations and severability of this Act. Prohibits construing this Act as diminishing or expanding U.S. trust responsibility.
United States · United States Congress · 2 July 1992
Women Veterans Sexual Trauma Services Act of 1992 - Requires a woman veteran who is diagnosed by a Department of Veterans Affairs health professional to be in need of counseling or treatment for sexual trauma to be furnished such care and services by the Department. Authorizes the Secretary of Veterans Affairs to enter into contracts with appropriate non-Department facilities in order to furnish such care and services. Directs the Secretary to report to the Senate and House Veterans' Affairs Committees on the use of such contracting authority. Prohibits any such contracts after September 30, 1994. Directs the Secretary to commence the provision of information and referrals by means of a toll-free telephone number of such available care and services in both Department and non-Department facilities. Requires the telephone information system to be operated at all times, and by personnel trained in providing information and referrals to sexual trauma victims. Directs the Secretary to study and report to the Congress on the needs of women veterans for counseling, medical care, and other services for sexual trauma. Directs the Secretary to make a comprehensive report to the Congress on such care and services furnished by the Department. Directs the Secretary and the Secretary of Defense to carry out a program to ensure that women who are being separated from active duty are provided information on the counseling, medical care, and other services and assistance relating to sexual trauma that are available under programs carried out by the Department. Directs the Secretary to report to the Congress the Secretary's: (1) assessment of the difficulties women veterans encounter in obtaining Department determinations that medical conditions relating to sexual trauma are service-connected, as well as the extent to which Department personnel fail to make such determinations; and (2) recommendation of actions to be taken to respond to such difficulties and eliminate such failures.
United States · United States Congress · 2 July 1992
Extends eligibility for burial in a national cemetery and receipt of a burial flag to any member of the armed forces who has performed at least 20 years of service under honorable conditions and who is eligible for retired pay. (Current law provides such eligibility only to active duty members who perform at least 24 months of continuous active-duty service.)
United States · United States Congress · 2 July 1992
Expresses the sense of the Senate that the President should expeditiously issue an executive order requiring all executive departments and agencies to declassify and release to the public (without compromising U.S. national security) all documents, files, and other materials pertaining to prisoners of war and missing in action.
United States · United States Congress · 1 July 1992
States that the criminal act of stalking other persons is of deep concern. Directs the Attorney General, acting through the Director of the National Institute of Justice, to: (1) evaluate anti-stalking legislation and proposed legislation in the States; (2) develop model anti-stalking legislation that is constitutional and enforceable; (3) prepare and disseminate to State authorities the findings made as a result of the evaluation; and (4) report to the Congress on the need for further Federal action.
United States · United States Congress · 1 July 1992
Cuban Democracy Act of 1992 - Sets forth U.S. policy with respect to Cuba. Declares that the President should encourage countries that conduct trade with Cuba to restrict their trade and credit regulations with Cuba in a manner consistent with this Act. Authorizes the President to impose the following sanctions against countries that provide assistance to Cuba: (1) ineligibility for assistance under the Foreign Assistance Act of 1961 or the Arms Export Control Act; (2) a prohibition on agreements with the United States for the establishment of free trade areas; and (3) ineligibility for forgiveness or reduction of debt owed to the U.S. Government. Terminates such sanctions if the President reports to the Congress that Cuba has met conditions established under this Act concerning democracy, human rights, and a free market economy. Prohibits restrictions on the export to Cuba of medicines, subject to specified conditions and inspection requirements. Permits telecommunications services between the United States and Cuba. Requires the U.S. Postal Service to provide direct mail service to and from Cuba. Authorizes the President to provide assistance to promote nonviolent democratic change in Cuba. Prohibits the issuance of licenses for certain transactions between U.S.-controlled firms in third countries and Cuba. Bars domestic concerns from receiving a tax deduction for the portion of the deductible expenses of such concerns which are allocated or apportioned to income derived from Cuba. Prohibits vessels which enter Cuba to engage in trade from loading or unloading any freight in the United States within 180 days after departure from Cuba. Prohibits: (1) vessels carrying goods or passengers to or from Cuba or carrying goods in which a Cuban national has an interest from entering a U.S. port, except as authorized by the Secretary of the Treasury; and (2) specified commodities authorized to be exported under a general license from being exported under such a license to any such vessels. Directs the President to establish strict limits on remittances to Cuba by U.S. persons for purposes of financing the travel of Cubans to the United States to assure that such remittances are not used by the Cuban Government as a means of gaining access to U.S. currency. Declares that food, medicine, and medical supplies for humanitarian purposes should be made available to Cuba under the Foreign Assistance Act of 1961 and the Agricultural Trade Development and Assistance Act of 1954 if the President certifies to the House Foreign Affairs Committee and the Senate Foreign Relations Committee that the Government of Cuba: (1) has made a commitment to hold free and fair elections for a new government within six months and is proceeding to implement that decision; (2) has made a commitment to respect and is respecting human rights and basic democratic freedoms; and (3) is not providing weapons or funds to any group in any other country that seeks the violent overthrow of the government of such country. Waives sanctions against Cuba under this Act if the President reports to the Congress that Cuba: (1) has held free and fair elections conducted under internationally recognized observers; (2) has permitted opposition parties ample time to campaign for such elections and has permitted full access to the media to all candidates; (3) is showing respect for basic civil liberties and human rights; (4) is moving toward establishing a free market economic system; and (5) has committed itself to constitutional change that would ensure regular free and fair elections. Requires the President, if he makes such report, to take the following actions with respect to a freely-elected Cuban Government: (1) encourage the admission of such government to international organizations and financial institutions; (2) provide emergency relief during Cuba's transition to a viable economic system; (3) take steps to end the U.S. trade embargo of Cuba; and (4) enter into negotiations for a trade agreement with Cuba. Requires the Secretary of the Treasury to exercise the authorities of the Trading With the Enemy Act in enforcing this Act. Authorizes appropriations. Amends the Trading With the Enemy Act to authorize the Secretary to impose a civil penalty on violators of such Act. Provides for forfeiture of any property or vessel that is the subject of a violation. Requires the Department of the Treasury to establish a branch of the Office of Foreign Assets Control in Miami, Florida.
United States · United States Congress · 30 June 1992
Amends title XVIII (Medicare) of the Social Security Act to repeal the prohibition against separate billing for electrocardiogram interpretations. Directs the Secretary of Health and Human Services to make separate payment under the Medicare fee schedule for any such interpretations performed or ordered to be performed as part of or in conjunction with a visit to or a consultation with a physician. Provides for adjustment of medical visit and consultation relative values so as not to include relative value units for electrocardiogram interpretation in the relative value for medical visits and consultations. Sets forth guidelines for the adjustment of Medicare fee schedule amounts to reflect the separate payment for electrocardiogram interpretations.
United States · United States Congress · 25 June 1992
Rural Development and Ancient Forest Ecosystem Conservation Act - Title I: Rural Development in Rural Communities - Subtitle A: Rural Development for Communities and Businesses - Establishes the Community Rural Development Investment Fund and individual Community Rural Development Commissions for Oregon, Washington, and California. Requires each Commission to distribute Fund monies, in the form of low-interest rural developemnt business loans, to communities associated with employment in wood products, log harvesting, or log hauling or transportation. Subtitle B: Dislocated Forest-Worker Assistance - Establishes the Dislocated Forest-Worker Assistance Account, funded with monies from timber sales from federally owned forests, to provide income supplements, vocational retraining stipends, job search allowances, relocation allowances, and other benefits to dislocated timber-harvesting and wood products industries employees who have exhausted State unemployment benefits. Subtitle C: Miscellaneous - Requires employment of persons to perform forest ecosystem management practices on Forest Service and Bureau of Land Management Lands. Allows withholding of sums from timber harvest contracts to fund such employment. Requires the Secretaries of the Interior and of Agriculture (the Secretaries), for each timber sale contract, to retain a cash deposit as security to ensure contract compliance. Expresses the sense of the Congress that annual Forest Service appropriations should not be less than those during the preceding ten years. Allows States west of the 100th meridian from which unprocessed logs are exported to establish export restrictions because of temporary shortages in the supply of timber. Provides special rules for exports to Canada and for a presidential suspension on restrictions if U.S. trade obligations are violated. States that western red cedar unprocessed logs from the Tongass National Forest may not be exported unless they are surplus to domestic processor needs. Provides special policies for conservation and management of the Pacific yew (used in the manufacture of taxol for the treatment of cancer). Amends the Wood Residue Utilization Act of 1980 to authorize appropriations for a pilot wood residue utilization project to demonstrate the commercial viability of cement fiber board products for use in the construction industry. Authorizes appropriations. Title II: Forest Ecosystem Conservation - Subtitle A: Westside Forests - Directs the Secretaries to manage late-successional/old-growth Westside forests in the ecoregions of Pacific Forest and Willamette-Puget Forest in a manner to maintain viable vertebrate species and restore biological diversity. Requires consistency with the Watershed and Fish Habitat Emphasis Option. Requires management of key Westside watersheds to restore ecological forest elements and protect habitats of potentially threatened and endangered fish species and stocks of anadromous salmonoids. Subtitle B: Eastside Forests - Requires a study of Federal forests in the ecoregion provinces of the Columbia Forest, Rocky Mountain Forest, Palouse Grassland, Intermoutain Sagebrush, Sierran Forest, and California Chaparral (Eastside forests) to determine ecosystem management strategies that will restore and protect the health of forests and their ecological elements. Provides for interim protection of Eastside watersheds and late-succession/old-growth forests. Subtitle C: Miscellaneous - Establishes Forest Ecosystem Advisory Committees to recommend ecosystem management objectives for all BLM and Forest Service forests. Requires Inspectors General of the Department of Agriculture and the Interior to conduct audits of standards used by the Secretaries in the development of land and resource management plans. Requires development of a definition for a "dead and dying" tree. Amends the Forest and Rangeland Renewable Resources Research Act of 1978 to require the establishment of a program of studies to facilitate implementation of an ecosystem-based approach to the management of federally owned forests. Authorizes appropriations.
United States · United States Congress · 18 June 1992
Legal Services Reauthorization Act of 1992 - Amends the Legal Services Corporation Act to authorize appropriations for the Legal Services Corporation for FY 1993 through 1997. Amends the Federal criminal code to: (1) apply Federal criminal laws against theft, fraud, and embezzlement to Corporation funds; and (2) make the Federal criminal statute against obstructing a Federal audit applicable with regard to auditors employed or retained by the Corporation. Specifies that certain provisions of the False Claims Act apply to the Corporation, any financial assistance recipient and other grantee or contractor of the Corporation (awardee), subgrantee or subcontractor of any such entity, or employee thereof (thus, giving the Attorney General the authority to bring a civil action against any person employed by or contracting with a recipient, subrecipient, grantee, or contractor who perpetuates a fraud with Corporation funds, but excluding from application to the Corporation and its recipients provisions which permit a private person to initiate a false claims action). Revises prohibitions on the use of Corporation funds for lobbying purposes to prohibit such use by an awardee: (1) to pay for publicity or propaganda intended or designed to support or defeat legislation pending before the Congress or State or local legislative bodies, or to influence any decision by a Federal, State, or local agency; (2) to pay for any personal service, advertisement, telegram, telephone communication, letter, printed matter, or other device intended or designed to influence: any decision by a Federal, State, or local agency, except when legal assistance is provided by an employee of an awardee of the Corporation to an eligible client on a particular matter which directly involves the client's legal rights or responsibilities; any Member of Congress or other Federal, State, or local elected official to favor or oppose any referendum, initiative, constitutional amendment, or similar procedure of the Congress, State legislature, local council, or similar governing body; or any such Member or official to favor or oppose legislation (with exceptions); or (3) for adminstrative or related costs associated with such prohibited activities. Permits the use of such funds in connection with any communication: (1) made in response to a Federal, State, or local agency or elected official; or (2) to a Federal, State, or local elected official pertaining to the authorization or appropriation of funds or any other measure affecting the authority, functions, or funding of, or pertaining to oversight measures directly affecting, the awardee or the Corporation, if the project director or designee of the awardee has expressly determined that the legislative body involved is considering such authorization, appropriation, or other measure, or is conducting oversight of the awardee or the Corporation. Requires the Corporation to: (1) arrange for evaluations to determine whether awardees are providing comprehensive, economical, and effective legal assistance to eligible clients; and (2) conduct monitoring and investigations into allegations that an awardee has violated applicable requirements. Sets forth provisions concerning investigation procedures. Directs the Board of Directors of the Corporation to provide for the enforcement of requirements with respect to such awardees. Permits the Corporation to suspend, reduce, or terminate financial assistance (with such termination only after consideration of other remedial measures and only after the employee has been afforded reasonable notice and opportunity for a timely, full, and fair hearing, to be conducted by an independent hearing examiner when requested), or deny an application for refunding (after affording the awardee an opportunity to correct the failure) when: (1) there has been a substantial failure to comply with applicable requirements; or (2) evaluations demonstrate that an awardee has consistently failed to provide economical and effective legal assistance. Authorizes the Corporation to deny an application for refunding when the Corporation has identified an applicant for financial assistance that is better able to provide comprehensive, economical, and effective legal assistance for the geographic area served by such awardee. Revises provisions concerning notice to awardees prior to the suspension or termination of assistance or the denial of a refunding application. Prohibits the annual level of assistance from being reduced by more than five percent or $20,000, whichever is less, unless the awardee has been afforded notice and, at the awardee's request, a timely and fair hearing. Sets forth Corporation monitoring requirements. Directs that standards and procedures adopted pursuant to such provision take into account: (1) the responsibility of the Corporation to provide for independent evaluations; (2) that each awardee has the responsibility to manage its day-to-day operations and to assure that its employees comply with all applicable law and deliver high quality legal assistance in an effective and economical manner; (3) that the personal privacy of eligible clients could be adversely affected by the public disclosure of records or documents obtained in connection with monitoring or investigation (and bars the Corporation from requiring disclosure of such records to the extent that they can be expected to contain information directly pertinent and necessary to an audit, or to an investigation of a likely pattern of discrimination, lack of compliance with the law, or poor performance by an awardee which is indicated by other external evidence); (4) the requirements of the Privacy Act of 1974, the privacy protections of State law, and the principle that matters and records that are personal or private and that relate to an individual employee should be protected from examination by the Corporation; and (5) the rules of ethics and professional responsibility that are applicable in the jurisdiction where an awardee delivers legal assistance. Requires the Corporation to develop criteria for evaluating the capability and performance of awardees. Specifies that the Inspector General of the Corporation shall not, in carrying out his or her functions, be subject to any restriction that: (1) is contained in the standards and procedures adopted by the Corporation under this provision; and (2) limits access by the Corporation to documents or other information. Directs the Corporation to require each grantee, contractor, or person or entity receiving financial assistance to provide for an independent annual financial audit and to submit the report of the audit to the Corporation. Bars the Corporation from selecting the auditor employed by such entity. Permits the Corporation to conduct its own audit or hire an independent auditor when necessary, with the costs to be borne by the Corporation. (Current law directs the Corporation to conduct, or require each such grantee, contractor, or person or entity to provide for, an annual financial audit.) Places restrictions on the bringing of a class action suit by an awardee with funds provided by the Corporation against the Federal Government or any State or local government. Requires awardees to adopt policies to attempt to negotiate settlements and to use alternative dispute resolution mechanisms, where appropriate, before filing suit. Prohibits the use of Corporation funds to alter, revise, or reapportion a legislative, judicial, or elective district at any level of government. Places restrictions on the use of Corporation funds for legal assistance for aliens. Revises requirements for governing bodies of grant or contract recipients to require a recipient's governing body to be comprised of (in the majority) attorneys who are appointed by State, county, or local bar associations the memberships of which represent a majority of the attorneys practicing law in the locality in which the recipient is to provide legal assistance. Sets forth requirements for governing or policy bodies of recipients and other awardees. Allows the governing body of a bar association to appoint members of the governing or policy bodies of more than one awardee of the Corporation. Makes technical and conforming changes with respect to the professional responsibilities of the Corporation and attorney employees of the Corporation. Specifies that neither the Corporation nor the Comptroller General shall have access to any reports or records protected from disclosure by the laws or rules of ethics or professional responsibility that apply in the jurisdiction where such reports or records are maintained. Requires the Corporation (with specified exceptions) to ensure that attorneys employed full-time in providing legal assistance supported in major part by the Corporation refrain from any: (1) outside practice of law in which the attorneys seek or receive compensation; and (2) uncompensated outside practice of law. (Current law bars attorneys employed full-time in legal assistance activities supported in major part by the Corporation from any compensated outside practice, and any uncompensated outside practice except as authorized in guidelines promulgated by the Corporation.) Prohibits the use of Corporation funds for initiating the defense of a person in a proceeding to evict such person from a public housing project if the person has been convicted of the illegal sale or distribution of a controlled substance and the proceeding has been brought by a public housing project agency because such person threatens the health or safety of other tenants or employees of such agency. Prohibits awardees (or employees) from engaging in precomplaint settlement negotiations, filing a complaint, or pursuing litigation against a defendant unless a written retainer agreement which enumerates the facts on which the claim is based has been signed by the plaintiffs. Specifies that, unless authorized by a court of competent jurisdiction, no awardee (or employee) may file a complaint or petition in a court until all plaintiffs known to plaintiff's counsel at the time have been specifically identified in the complaint or petition. Requires the Corporation to study, through the use of demonstration projects and other appropriate methods, the feasibility of utilizing a system of competition to improve the delivery of legal assistance and related activities. Sets forth reporting requirements. Specifies that a general restriction on training activities of the Corporation should not be construed to prohibit training of attorneys or paralegals as necessary to prepare them to advise any eligible client as to the nature of the legislative process, or to inform any such client of his or her rights under any statute, order, or regulation. Repeals a limitation on the use of non-Federal funds received by the Corporation. Directs the Corporation to require each awardee to maintain a system of time and recordkeeping that discloses the types of activities supported by Corporation and non-Corporation funds and allocates appropriate costs, including overhead, to activities funded by non-Corporation funds. Sets forth additional requirements regarding the specific type of system to be employed. Prohibits the use of alternative corporations to evade the provisions of this Act. Defines an "alternative corporation" as a group which has a single identity of interest with an awardee. Requires any awardee which shares employees with any other entity to specify with particularity the use of any funds by such employees. Directs the Corporation to ensure that all attorneys engaged in legal assistance activities supported by the Corporation refrain, while so engaged, from any political activity (current law) associated with a political party or the campaign of any candidate for public or party office. Requires grants and contracts made for calendar years 1993 through 1997 to be made for at least 12 months, except for any grant to a new program commencing operations after the beginning of the applicable calendar year. Sets forth provisions with respect to the establishment of local priorities and periodic analysis of the legal needs of clients in the area served by each such awardee. Revises the defintion of "staff attorney" to mean an attorney who: (1) is employed by a recipient organized in whole or in part for the provision of legal assistance to eligible clients under the Act; and (2) receives more than half of his or her annual professional salary from the proceeds of a grant or contract from the Corporation to such recipient. (Current law specifies an attorney who receives more than half of his annual professional income from a recipient organized solely for the provisions of legal assistance to eligible clients.) Directs the Corporation to conduct a study on legal assistance to older Americans.
United States · United States Congress · 18 June 1992
Medical Cost Containment Act of 1992 - Amends the Internal Revenue Code to exclude from gross income employer-provided coverage under an accident or health plan and medical care savings benefits. Describes such benefits as a health plan which provides that all or part of the premium differential (adjusted annually for inflation) realized by instituting a qualified higher deductible health plan is credited to participating employees to pay for medical care for a plan year. Requires amounts remaining at the end of such plan year to be deposited into a tax-exempt medical care savings account (subject to rules similar to those for retirement plans) for use by the participant for medical expenses. Allows an employee to be advanced, interest-free, amounts necessary to cover expenses for medical care which exceed the amounts in the employee's account, upon the employee's agreement to repay such advancement.
United States · United States Congress · 11 June 1992
Prohibits the transfer of construction or fire equipment from Department of Defense stocks to any foreign country or international organization under foreign assistance or military sales programs.
United States · United States Congress · 4 June 1992
GPO Gateway to Government Act of 1992 - Requires the Superintendant of Documents, under the direction of the Public Printer, to establish a Government Printing Office program to provide the public with online access to electronic public information of the Federal Government. Sets forth guidelines for determining fees for accessing such information. Permits depository libraries to access information through such program without charge. Authorizes appropriations.
United States · United States Congress · 4 June 1992
Medicare Enrollment Improvement and Protection Act of 1992 - Title I: Improving Enrollment - Amends title XVIII (Medicare) of the Social Security Act to require the Secretary of Health and Human Services' annual notice to Medicare beneficiaries to inform certain low-income Medicare beneficiaries of the requirements to qualify for Medicaid (title XIX of the Social Security Act) payment of their premiums, deductibles, and copayments under Medicare and how to apply for such benefit. Requires the notice described above to be prepared in a manner suitable for posting and distributed to physicians, hospital offices, other medical facilities, and entities receiving grants from the Secretary for programs designed to provide services to individuals age 65 or older. Requires the Secretary to establish a toll-free telephone number for information about such benefit. Amends the Medicaid program to require the Secretary to develop a simplified form for applying for such benefit for processing at social security offices. Amends the Medicare program to mandate direct enrollment of part A (Hospital Insurance) eligibles by the Secretary. Directs the Secretary to make grants to State agencies and organizations for the provision of outreach assistance to older individuals who may be eligible for such benefit. Authorizes appropriations to fund such grant program. Title II: Application of Other Medicaid Eligibility Rules - Amends the Medicaid program to permit retroactive payments of medical costs incurred by certain low-income Medicare beneficiaries in or after the third month before the month in which such an individual applied to have Medicaid cover such costs. Title III: Report - Directs the Secretary to submit reports to the Congress on Department activities to ensure enrollment and full implementation of the program under the Social Security Act for Medicaid payment of Medicare costs and the effectiveness of each such activity, along with any recommendations for appropriate legislation.
United States · United States Congress · 4 June 1992
Local Exchange Infrastructure Modernization Act of 1992 - Amends the Communications Act of 1934 to require the Federal Communications Commission (FCC) to exercise its authority to: (1) preserve and enhance universal telephone service at reasonable rates; (2) achieve universal availability of advanced network capabilities and information services; (3) assure a seamless nationwide distribution network through joint network planning, coordination, and service arrangements between and among local exchange carriers (LECs); (4) maintain high standards of quality for advanced network services; and (5) assure adequate communication for the public health, safety, defense, education, national security, and emergency preparedness. Defines "local exchange carrier" for purposes of such Act as a carrier that: (1) is required to provide upon request, under tariff or subject to other government oversight (by the FCC or a State commission), interstate and intrastate access services and telephone exchange service; (2) is, or was, a participant in one or more interstate pools established by the FCC, or would have been required to participate in one or more such pools had the carrier been engaged in interstate and intrastate access and telephone exchange service while such participation was mandatory; (3) is subject to the requirements imposed by the FCC or a State commission related to the provision of equal access; and (4) conforms with the provisions of the North American Numbering Plan applicable to the assignment of numbering resources for telephone exchange service, as defined by the Plan's Administrator. Requires the FCC to prescribe regulations that require: (1) joint coordinated network planning, design, and cooperative implementation among all LECs in the provision of public switched network infrastructure and services; (2) development of standards for interconnection between the LEC public switched network and others by appropriate standard-setting bodies; and (3) a LEC to share public switched network infrastructure and functionality with requesting LECs which serve a geographic area for which they lack economies of scale or scope for the particular required network functionality. Specifies that: (1) no LEC shall be prohibited from transporting or processing signalling and information for another LEC in adjoining or reasonably proximate serving areas upon request of that LEC to the same extent that the providing LEC is permitted to engage in such activities for itself; (2) nothing in such Act shall be construed to alter, limit, or supersede the authority of any State with respect to the regulation of intrastate communication service; and (3) nothing contained in Federal or State antitrust law shall render unlawful any action taken by a LEC or any individual or concerted action taken such as lobbying before the Congress, the FCC, or communicating by any means with other LECs, by any LEC, or its directors, officers, agents, employees, affiliates, subsidiaries, joint ventures, counsel, or other persons purporting to act on behalf of such carrier.
United States · United States Congress · 21 May 1992
Tax Extension Act of 1992 - Title I: Extension of Certain Expiring Tax Provisions - Amends the Internal Revenue Code to extend from August 1, 1992, until August 1, 1993, the provisions governing the allocation of research and experimental expenditures for purposes of determining sources of income. Extends the following provisions from June 30, 1992, until December 31, 1993: (1) the tax credit for increasing research activities; (2) the targeted jobs credit; (3) the authority to issue qualified mortgage bonds and qualified mortgage credit certificates; (4) the authority to issue qualified small issue bonds to finance manufactuiring facilities and farm property; (5) employer-provided educational assistance; (6) the tax exclusion for employer-provided group legal services plans; (7) the energy investment credit for solar and geothermal property; (8) the credit for clinical testing expenses for certain drugs for rare diseases or conditions; and (9) health insurance costs of self-employed individuals. Extends the low-income housing credit until December 31, 1993, with modifications. Expands the ten-year anti-churning rule waiver to certain projects substantially assisted, financed, or operated under the National Housing Act. Allows units occupied by certain full-time students to qualify for such credit. Authorizes the Treasury Department to waive penalties for certain de minimis errors and recertifications. Provides that certain community service facilities in projects in qualified census tracts are included in eligible basis as functionally related and subordinate facilities. Requires housing credit agencies, in determining whether the credit allocated to a building exceeds the amount necessary to assure the project's feasibility, to consider the reasonableness of total project costs and the appropriateness of amenities. Allows certain building owners to elect to use apartment size or family size in determining the credit's gross rent limitation. Provides for the tax treatment of resale price control and subsidy lien programs under mortgage revenue bond provisions. Amends the Internal Revenue Code to exclude from the five-year occupancy requirement under the tax-exempt mortgage revenue bond program any two-family residence which: (1) is a targeted area residence; or (2) is located in an area designated as an economic development zone or enterprise zone by Federal or State law. Amends the Railroad Retirement Solvency Act of 1983 to extend, from October 1, 1992, until January 1, 1994, the authority to transfer income tax revenues attributable to the taxation of tier railroad retirement benefits to the railroad retirement account. Extends the termination date of the nonconventional source fuels credit for one year. Repeals the tax preference for the appreciated property charitable deduction during 1992 and 1993. Requires a report by the Secrretary of the Treasury to certain congressional committees on an advance valuation procedure. Title II: Repeal of Certain Luxury Excise Taxes; Imposition of Tax on Diesel Fuel Used in Noncommercial Boats - Repeals the luxury excise tax on boats, aircraft, jewelry, and furs. Provides an inflation adjustment for the threshold amount on which luxury vehicles are taxed. Terminates the luxury tax on passenger vehicles after December 31, 1999. Extends the diesel fuels excise tax to diesel fuel used in noncommercial boats. Exempts from such tax diesel fuel used for fisheries or commercial navigation. Retains diesel fuel taxes in the general Treasury (instead of the Highway Trust Fund and the Leaking Underground Storage Tank Trust Fund).
United States · United States Congress · 21 May 1992
Experimental Program to Stimulate Competitive Research on Space and Aeronautics Act - Directs the Administrator of the National Aeronautics and Space Administration (NASA), using the National Science Foundation infrastructure, to make grants (and supplemental grants) to eligible States in areas of research important to NASA. Authorizes appropriations.
United States · United States Congress · 21 May 1992
Fair Trade Enforcement Act of 1992 - Amends the Trade Act of 1974 to make permanent the "Super 301" program which identifies certain trade priority practices. Requires the United States Trade Representative (USTR), not later than 60 days (currently 30 days) after the National Trade Estimates Report is submitted to the appropriate congressional committees, to identify as a priority practice: (1) any act, policy, or practice of a foreign country which constitutes a significant barrier to or distortion of U.S. exports of goods or services (including agricultural commodities and intellectual property) and U.S. foreign investment, and any other major barrier and trade distorting practice, the elimination of which is likely to have the most significant potential to increase U.S. exports; (2) any major barrier and trade distorting practice in the agricultural, manufacturing, and service sectors; and (3) the major barriers and trade distorting practices of each foreign country that accounted for at least 15 percent of any U.S. merchandise trade balance deficit for any calendar year excluding trade petroleum imports, if such country also had a global current account surplus for such year in an amount not less than such deficit. Relieves the USTR of the duty to identify practices in either the agricultural, manufacturing, or services sector where the USTR certifies to the Congress for any calendar year that major barriers and trade distorting practices do not exist or have been eliminated. Requires the USTR, at the time such identification is made, to submit to specified congressional committees and publish in the Federal Register, a report which lists: (1) the identified priority practices; and (2) the estimated amount of U.S. exports lost as a result of such practices. Directs the USTR to initiate an investigation with respect to such practices upon: (1) the adoption of a resolution by either the House Committee on Ways and Means or the Senate Committee on Finance; or (2) a joint resolution by either the Senate or the House of Representatives. Provides for "fast track" procedures for the latter. Directs the USTR, upon identification of a priority practice or the adoption of a resolution, to initiate an investigation to determine whether U.S. rights under a trade agreement are being denied or a foreign country is conducting unfair trade practices and to publish notice of the investigation in the Federal Register. Requires the USTR, if an investigation is initiated, to make an affirmative determination that: (1) the rights to which the United States is entitled under a trade agreement are being denied; or (2) an unfair trade act, policy, or practice of a foreign country exists. Requires the President, whenever a priority practice has been identified in cases where a trade dispute settlement cannot be resolved, to direct the USTR to take specified actions against such practices or submit to the Congress an alternative plan for their elimination. Provides for specified mandatory and discretionary authority for the USTR to take specified trade action against a foreign country whose acts, policies, or practices threaten to burden or restrict U.S. commerce. Declares that an act, policy, or practice that threatens to burden or restrict U.S. commerce is an act, policy, or practice that does not currently burden or restrict such commerce, but, if not corrected, is reasonably expected to do so.
United States · United States Congress · 20 May 1992
Homeless Children Nutrition Improvement Act of 1992 - Amends the National School Lunch Act to revise provisions for demonstration projects for food service for homeless children under the age of six in emergency shelters. Includes State, city, local, or county governments, and other public bodies (as well as private nonprofit organizations) among the entities which may participate in such projects. Provides that such projects shall receive reimbursement payments for meals and supplements served on Saturdays, Sundays, and holidays (in addition to payments for weekdays) at the request of the project sponsor. Allows specified meal pattern requirements to be modified as necessary by the Secretary of Agriculture (the Secretary) to take into account the needs of infants. Increases the minimum amounts which the Secretary is required to expend for such projects in FY 1993 and 1994. Directs the Secretary to advise each State of: (1) the availability of such projects for States, cities, counties, local governments, and other public bodies; and (2) application procedures for project participation. Authorizes the Secretary to conduct other demonstration projects to identify other effective means of providing food assistance to homeless children residing in temporary shelters.
United States · United States Congress · 20 May 1992
REFORM Commission Act of 1992 - Establishes a Reorganization for Efficient Field Office Reduction and Management Commission to review the Department of Agriculture's field structure.
United States · United States Congress · 20 May 1992
Child Nutrition Improvements Act of 1992 - Amends the Child Nutrition Act of 1966 to direct the Secretary of Health and Human Services, from amounts received in the form of gifts, bequests, and devises, to establish a program to promote breastfeeding as the best method of infant nutrition. Amends the National School Lunch Act to: (1) revise the definition of the term "institution"; and (2) extend two pilot projects under which for-profit organizations providing day care qualify under a child care and adult food program.
United States · United States Congress · 20 May 1992
WIC Farmers' Market Nutrition Act of 1992 - Amends the Child Nutrition Act of 1966 to revise and extend the authorization of appropriations through FY 1994 for the special supplemental food (WIC) farmers' market program. Makes funds available for additional State participation.
United States · United States Congress · 7 May 1992
Global Climate Protection Act - Directs the President to promulgate final regulations that will achieve stabilization of carbon dioxide emissions by January 1, 2000. Requires the Administrator of the Environmental Protection Agency to evaluate and report biennially to the Congress on the progress made pursuant to such regulations. Directs the President to promulgate additional regulations to achieve stabilization if the Administrator finds that the regulations will not achieve stabilization. Permits citizen suits against officers of the United States for failures to perform duties in accordance with this Act.
United States · United States Congress · 6 May 1992
Amends the Federal Food, Drug, and Cosmetic Act to allow, on order of a veterinarian: (1) a new animal drug approved for one use to be used for a different purpose; and (2) a new drug approved for human use to be used in non-food producing animals.
United States · United States Congress · 6 May 1992
Congratulates the residents of Jerusalem and the people of Israel on the 25th anniversary of the reunification of that city. Urges that: (1) Jerusalem remain an undivided city in which the rights of every ethnic and religious group are protected; and (2) the President and Secretary of State issue an unequivocal statement in support of such principle.
United States · United States Congress · 5 May 1992
Constitutional Amendment - Provides that the people of the several States and the District of Columbia shall elect the President and Vice President who shall be joined as candidates. Requires the electors of President and Vice President in each State to have the qualifications requisite for electors of the branch of the State legislature that has the greatest number of members. Provides that the persons joined as candidates having the greatest number of votes for President and Vice President shall be elected, if such number be at least 40 percent of the whole number of votes cast. Provides that if no person has such number, a runoff election shall be held in which the choice of President and Vice President shall be made from the persons who received the two highest number of votes. Requires: (1) each State legislature to determine the time, place, and manner of elections, which may be altered by the Congress; and (2) the Congress to determine the days for elections and the manner in which the results shall be ascertained and declared, but no election other than a runoff election shall be held later than the first Tuesday after the first Monday in November. Authorizes the Congress to provide for cases of the pre-election death, inability, or withdrawal of a candidate for President or Vice President.
United States · United States Congress · 28 April 1992
Title I: Interagency Council on the Homeless - Amends the Stewart B. McKinney Homeless Assistance Act to extend the authorization of appropriations for the Interagency Council on the Homeless, and the Council's authority, through October 1, 1994. Title II: Federal Emergency Management Food and Shelter Program - Amends the Stewart B. McKinney Homeless Assistance Act to extend the authorization of appropriations for the Federal emergency management food and shelter program.
United States · United States Congress · 9 April 1992
Department of Veterans Affairs Nurse Pay Amendments of 1992 - Revises the current pay grade schedule for nurses employed in the Veterans Health Administration (VHA) of the Department of Veterans Affairs (Department), replacing the four-grade pay schedule with a five-grade schedule. Makes permanent (currently expires September 30, 1992) the authority of the Secretary of Veterans Affairs to waive certain restrictions with respect to the receipt of retirement pay by nurses in the VHA. Authorizes the Secretary to establish and adjust the basic pay rates for covered employees at the Veterans Memorial Medical Center in the Philippines and at Department health-care facilities located outside of the United States in order to recruit and retain a sufficient number of health-care personnel. Authorizes the director of a Department health-care facility, in conducting a survey of the local labor market in order to determine competitive rates of pay for Department personnel, to conduct such survey in another labor market area when the size or composition of the local labor market area is insufficient to establish competitive salary rates. Provides similar provisions allowing certain alternate data to be used in determining any required adjustments to the pay rates of Department certified registered nurse anesthetists in a local labor market area when survey results are insufficient. Requires a director, when surveying for the "beginning rate of compensation" to be paid to a health-care employee, to survey the minimum rates actually paid to (currently, established for) corresponding personnel in non-Department health-care facilities. Authorizes the Secretary to establish, for a Department health-care employee who transfers at the request of the Secretary to another Department facility, a higher rate of pay than is otherwise paid at such facility when determined necessary to recruit the employee for such facility. Requires the Secretary to report to the Congress on the use of such pay increase authority. Makes permanent (currently expires September 30, 1992) the authority of the Secretary to furnish respite care to veterans eligible for Department hospital, nursing home, or domiciliary care. Extends through December 31, 1996 (currently, September 30, 1992) the authority to contract with the Veterans Memorial Medical Center in the Philippines to furnish medical care to U.S. veterans. Makes permanent (currently expires September 30, 1992) the authority of the Department to: (1) carry out the Department Health Professional Scholarship Program; and (2) make grants to States for the construction or renovation of veterans' nursing homes.
United States · United States Congress · 2 April 1992
Veterans' Employment and Training Act of 1992 - Directs the Secretary of Veterans Affairs (Secretary) and the Secretary of Labor to assist eligible veterans in obtaining employment with eligible employers in permanent and stable positions that require significant training by providing: (1) training assistance payments to employers who employ and train eligible veterans; and (2) training benefits and appropriate counseling to eligible veterans. Requires the Assistant Secretary of Labor for Veterans' Employment and Training to assist the Secretary of Labor in carrying out this Act. Makes eligible for such training programs veterans who: (1) are unemployed at the time they apply; and (2) have either been unemployed for ten of the previous 15 weeks prior to applying, or were separated from active duty not more than ten weeks before starting the program. Requires such eligible veterans to submit to the Secretary of Labor an application for a certificate of eligibility for participation in the training program. Outlines provisions concerning the granting or denial of such certificates, including the right to appeal a denial to the Secretary of Labor. Requires a veteran to commence participation in an appropriate training program within 90 days after the certificate is issued. Provides for certificate renewal. Defines as eligible employers employers who intend to provide training in a field of employment providing reasonable probability of stable, long-term employment. Provides job training program requirements, including the provision of compensation to a veteran during such training and the employment of such veteran in the position for which trained, if practicable. Provides certain positions of employment for which an employer is prohibited from training eligible veterans (those involving seasonal or temporary employment, training outside of the United States, or those which will displace current workers or delay the return of previously laid-off workers). Authorizes an eligible employer to provide job training through educational instruction, if appropriate. Limits the duration of such training periods to no less than six months and no more than two years, with an exception. Directs the Secretary of Labor to approve each job training program established by an employer for purposes of this Act. Requires each employer who intends to carry out a job training program to submit an application to the Secretary of Labor. Provides: (1) application requirements; (2) program approval requirements; (3) that apprenticeship or other on-job training shall be considered a job training program for this Act's purposes; and (4) conditions under which the approval of a job training program may be discontinued by the Secretary of Labor. Requires notification to an employer and any affected veterans of the disapproval of a job training program. Provides for reapproval of such program in appropriate circumstances. Directs the Secretary to pay training assistance to employers who provide job training to veterans in programs under this Act. Provides for payment amounts and requires such payments to be made on a quarterly basis, with an exception. Requires the Secretary of Labor to transmit to the Secretary notice of program approval before such payments may be made. Directs the Secretary to pay accommodation assistance to permit employers to modify their facilities or equipment in order to facilitate the training and employment of disabled veterans. Requires an employer desiring such assistance to submit to the Secretary of Labor a detailed proposal relating to such modifications as well as documentation of the completion of such modifications and their costs. Requires the Secretary of Labor to approve each proposal for modifications, approve modification costs, and transmit to the Secretary notice of such approval. Directs the Secretary, after receiving such notice, to pay the appropriate accommodation assistance. Limits such payments to $3,000 per employer. Requires each employer so paid to permit facility access to ensure compliance with modification requirements. Outlines provisions concerning the determination of overpayment of job training program assistance under this Act and the recovery by the Secretary of such overpayments. Directs the Secretary to pay training benefits to veterans who participate in programs under this Act in order to defray work-related expenses. Limits such payments to $1,500 per veteran. Requires a veteran desiring such payment to apply to the Secretary of Labor, stating the amount of expenses incurred. Requires the Secretary of Labor to approve such application before any payment may be made. Outlines provisions concerning payment administration, determinations of overpayments, and recovery of overpayments. Authorizes the Secretary to waive recovery of overpayments when recovery would be against equity and good conscience. States that an employer: (1) may not provide a veteran with job training under a program if the Secretary determines that there are insufficient funds; (2) must notify the Secretary 14 days before furnishing job training to a veteran and to commence such program unless advised otherwise by the Secretary within such period; and (3) who provides training under this Act shall provide the veteran with a copy of the application for approval of the program as submitted to the Secretary of Labor. Directs the Secretary of Labor to ensure that the job training programs are carried out in compliance with this Act. Authorizes the Secretary of Labor to investigate matters related to a program, to enter onto an employer's premises, and to have access to records maintained by an employer with respect to a job training program. Prohibits an employer from being paid training assistance on behalf of a veteran under this Act if, during the training period, the employer is allowed a tax credit or is paid an allowance for such veteran under various Federal provisions. Provides an identical prohibition for the payment to a veteran of training benefits under this Act for work-related expenses. Prohibits either such payment if the veteran has completed a program of job training under this Act or under the Veterans' Job Training Act. Authorizes the Secretary and the Secretary of Labor to provide certain employment counseling and guidance services to veterans who are issued certificates of eligibility for participation in a job training program under this Act. Requires such services to be coordinated with similar services under Federal veterans' benefits provisions. Directs the Secretary of Labor to establish a program of case management services under which each veteran participating in a job training program approved under this Act is provided a case manager who is a veterans' outreach program specialist. Outlines the case management services to be provided. Provides that the Secretary of Labor is not required to provide a veteran with case management services if: (1) the outreach specialist recommends that the veteran does not need such services; or (2) the Secretary of Labor determines that the employer has an appropriate assistance program or that the rate of successful completion of the program is more than 60 percent. Directs the Secretary and the Secretary of Labor to provide eligible veterans with notice and information with respect to the counseling and guidance services, the case management services, and certain supportive services available to service-connected disabled veterans who are recently separated from military service as provided under the Job Training Partnership Act. Authorizes the Secretary to enter into contracts with and pay (up to a specified limit) entities for the provision of all such services. Directs the Secretary and the Secretary of Labor to carry out a public information and outreach program under which the Secretaries: (1) inform veterans of job training and employment programs; (2) inform private businesses, institutions of higher education, trade associations, and labor organizations of such training programs and employment opportunities; and (3) promote the development of job training and employment opportunities for veterans by various means. Requires coordination of such program with other Federal, State, and local programs. Directs each Secretary to make available in his or her respective local and regional offices such personnel and services as determined necessary to carry out the provisions of this Act. Directs the Secretary of Labor to obtain from the Administrator of the Small Business Administration a list of small businesses that are suitable to carry out job training programs under this Act. Requires the Administrator to update such list on a regular basis. Directs the Secretary of Labor to use resources made available under this Act to assist service-connected disabled veterans and veterans recently separated from military service under provisions of the Job Training Partnership Act. Directs the Secretary of Labor to inform veterans who are denied certificates of eligibility for programs provided under this Act of the opportunities available to such veterans under the Job Training Partnership Act or other similar programs. Directs the Secretary of Labor, in each of FY 1993 through 1997, to award grants to nonpublic entities having appropriate expertise in such matters for providing employment assistance (including counseling) to homeless veterans. Provides a fiscal year funding limitation for such grants. Directs the Secretary of Labor, in consultation with the Secretary, to evaluate on an annual basis the status of the programs authorized and carried out under this Act in order to ensure that programs satisfy their purposes. Directs the Secretary of Labor to submit to the Senate and House veterans' and labor committees preliminary and annual reports on actions taken and costs to implement this Act and their assessments with respect to the programs provided. Terminates the provision of training assistance to employers and training benefits to a veteran under this Act for any training provided after September 30, 1997. Authorizes appropriations for FY 1993 through 1997. Prohibits the obligation of any more than five percent of such authorized amounts for administrative activities by either Secretary.
United States · United States Congress · 2 April 1992
Native American Veterans' Home Loan Equity Act of 1992 - Directs the Secretary of Veterans Affairs to establish and implement a pilot program under which the Secretary may make direct housing loans to aid Native American (Indian, Alaska or Hawaii native, or Pacific Islander) veterans in purchasing, constructing, or improving dwellings on trust land. Requires such loans to be made in a variety of geographic areas and in areas experiencing a variety of economic circumstances. Prohibits any such loans from being made after the end of FY 1997. Authorizes the Secretary to make such a direct housing loan to a Native American if: (1) the Secretary has entered into a memorandum of understanding with respect to such loans with the tribal organization having jurisdiction over such veteran; and (2) the memorandum is in effect when the loan is made. Outlines provisions to be included in each such memorandum. Prohibits entering into any such memorandum unless the Secretary determines that it provides standards and procedures necessary for the reasonable protection of the financial interests of the United States. Limits to $80,000 the principal amount of any such loan. Sets forth provisions governing loan interest rates. Directs the Secretary to: (1) establish minimum requirements for planning, construction or improvement, and general acceptability relating to any direct loan; and (2) establish credit underwriting standards to be used in evaluating such loans. Requires loans to be repaid in monthly installments. Authorizes the Secretary to: (1) make advances to provide for repairs, alterations, and improvements and to meet incidental expenses of the loan transaction; and (2) take any other actions and make any necessary determinations with respect to expenses, rules and regulations, and the use of persons, organizations, or departments or agencies to carry out his functions. Establishes in the Treasury a revolving fund to be known as the Native American Veterans Housing Loan Fund to carry out financial activities relating to the making of loans under this Act. Directs the Secretary, in carrying out the pilot program, to consider the views and recommendations of the Advisory Committee on Native-American Veterans established under the Veterans' Health-Care Amendments of 1986. Directs the Secretary to report annually in 1994 through 1998 to the Senate and House Veterans' Affairs Committees on the pilot program and recommendations for legislation regarding the program. Authorizes appropriations.
United States · United States Congress · 2 April 1992
American Health Security Plan - Title I: Eligibility and Enrollment - Entitles every U.S. resident citizen, national, and lawful resident alien to health care services and long-term care services under this Act. Requires each State program to provide for a mechanism for enrollment and issuance of an identification and processing card. Provides for portability. Title II: Benefits - Subtitle A: Health Care Services - Includes as covered services: (1) inpatient and outpatient hospital care; (2) diagnostic and screening tests; (3) services furnished by health care professionals; (4) preventive care; (5) prescription drugs, biologicals, and devices; (6) substance abuse services; (7) outpatient mental health services; (8) hospice care; (9) habilitation and rehabilitation; (10) home medical equipment and prosthetic devices; and (11) approved experimental treatment. Prohibits States from limiting the amount, duration, or scope of services except as provided in this Act. Excludes cosmetic surgery and certain inpatient amenities. Requires: (1) the Federal Health Board established by this Act to provide for copayments and out-of-pocket limits; and (2) the Federal Health Priorities Council established by this Act to study whether out-of-pocket limits should take into account family size and whether cost sharing should be different for individuals who engage in practices deemed to increase the likelihood of service use. Subtitle B: Long-Term Care Services - Requires that the Board set standards for eligibility, long-term care services coverage, income protection, and case management. Requires that long-term care include at least home- and community-based services, nursing home care, hospice care, home medical equipment, and services for individuals with developmental disabilities and mental illness. Requires the Board to establish an income-related cost sharing schedule. Requires reduction of cost sharing to ensure that the income and assets of the individual using long-term care services under this Act are sufficient to: (1) cover all items needed in addition to those provided by the long-term care facility; (2) maintain the individual's primary residence; and (3) maintain the individual's independence once the individual no longer needs long-term care services. Requires, for the protection of spouses and dependents, reduction of cost sharing. Provides for the appointment of a Long-Term Care Services Assessment Commission to make recommendations annually regarding specified aspects of long-term care under this Act. Authorizes appropriations. Subtitle C: Modification of Services - Requires annual recommendations by the Priorities Council regarding changes in services under this Act. Authorizes the Board to promulgate regulations for implementing the Council's recommendations. Gives the regulations the force of law unless Congress disapproves. Title III: Federal and State Administration - Subtitle A: Federal Administration - Establishes the Federal Health Board to administer this Act and take other actions, including establishing national minimum quality standards, establishing uniform reporting requirements, and reviewing and approving interstate consortia. Requires the Board to appoint the Federal Health Advisory Council. Establishes the Federal Health Priorities Council to conduct hearings and studies and make recommendations on how health care dollars should be allocated in the context of a publicly funded national health insurance plan. Authorizes appropriations for the Board, the Advisory Council, and the Priorities Council. Subtitle B: State Administration - Provides for Board review and approval of State programs. Includes in requirements for State programs: (1) financing of services through a designated fund; (2) designation of a single nonprofit State agency to administer the program; (3) establishment of boards to negotiate with hospitals and practitioners; and (4) freedom of individuals to choose providers. Allows States to contract with fiscal intermediaries, in a process of competitive bidding, to administer the State program. Provides for waivers for States to: (1) implement alternative and innovative provider reimbursement, cost sharing, and administration; and (2) provide services through a capitation method. Allows any group of States to establish a regional consortium in lieu of State programs. Provides for congressional disapproval of the consortium agreement. Mandates grants to States or regional consortia for the establishment and initial operation of the State or regional plan. Authorizes appropriations. Title IV: Financing - Subtitle A: Health Budgets - Requires the Board to establish an annual or biennial budget for Federal and State expenditures under this Act. Requires computation of national average per capita costs, adjustments for risk groups, and adjustments for specified factors in each State. Provides for determination by the Board of the Federal and State shares of expenditures, subject to congressional disapproval. Entitles each State with an approved State program to a Federal contribution of the Federal share plus that State's total projected expenditures for services under this Act. Prohibits a State, either by intention or as an unstated consequence of budget allocations, from restricting timely access to medically necessary and appropriate services under this Act or permitting queues to form that have the potential to be life threatening. Subtitle B: Payments to Providers - Provides for State payments to hospitals and other health care and long-term care institutions for the areas of operating, capital, and health training expenses. Sets forth principles for guiding State reimbursement negotiation boards in each such area. Requires the State practitioner reimbursement negotiation board to negotiate with the State organizations representing each of the practitioner disciplines to derive a relative value scale fee schedule fulfilling specified principles. Sets forth principles for negotiating reimbursement rates for nonphysician providers. Declares payment by a State program to be payment in full. Subtitle C: Revenues - Requires the Board to develop a mechanism for determining and collecting a premium from individuals and employers. Requires the Board, subject to congressional disapproval, to collect premiums from individuals and employers according to certain requirements, including that the premiums from: (1) individuals be income-based and progressive; and (2) employers be based on each employer's ability to pay. Amends the Internal Revenue Code to define "accident or health insurance," for purposes of provisions relating to exclusions from gross income, to mean an approved State program under this Act. Removes provisions relating to amounts paid to highly compensated individuals under a discriminatory self-insured medical expense reimbursement plan. Prohibits trade or business expense deductions for employer group health plan expenses unless the plan is an approved State plan under this Act. Removes provisions: (1) limiting deductions for health insurance costs of self-employed individuals to 25 percent of those costs; and (2) terminating, on a specified date, the allowance of any deductions for such costs for self-employed individuals. Modifies definitions under provisions allowing individual medical expense deductions, including defining "medical care" to mean premiums and cost-sharing under this Act. Terminates, after 1998, the child health insurance credit. Establishes in the Treasury the Federal Health Care Trust Fund. Appropriates to the Fund premiums under this Act and additional revenues received as a result of amendments made by this subtitle. Transfers to the Fund all remaining amounts in the Federal Hospital Insurance Trust Fund and the Federal Supplementary Medical Insurance Trust Fund. Authorizes and appropriates: (1) amounts equal to appropriations under title XIX (Medicaid) of the Social Security Act and under provisions of Federal law relating to the Civilian Health and Medical Plan of the Uniformed Services (CHAMPUS) and relating to health insurance for Federal officials and employees; (2) additional sums as required to cover administrative expenses; (3) payments to each State for the Federal share of expenditures under this Act; and (4) sums as determined by the Board to be necessary to cover contingencies. Declares that the receipts and disbursements of the Fund shall not be included in the totals of the U.S. budget and exempts them from any general budget limitation. Makes each State responsible for establishing a financing program for the implementation of the State program. Title V: Congressional Consideration - Sets forth rules, changeable as any other rule of the House of Representatives or the Senate, regarding congressional disapproval resolutions under this Act. Title VI: Private Options - Declares that this Act does not prohibit private insurance coverage supplementing the services covered under this Act. Allows private insurance coverage for services covered under this Act, subject to limitations, including: (1) prohibiting private coverage for the cost-sharing requirements for health care services and other non-long-term care services covered under this Act; (2) requiring issuers of private insurance to inform purchasers of any duplication in coverage; and (3) requiring the Comptroller General to review private insurance industry practices and make recommendations to the Congress regarding prevention of fraud and abuse in the sale of duplicative or supplemental private insurance. Declares that the purchase of any private insurance does not relieve the purchaser of the payment of premiums under this Act. Title VII: Expansion of Outcomes Research and Delivery of Services in Underserved Areas - Amends provisions of the Social Security Act relating to health care outcomes research to authorize appropriations. Authorizes appropriations to carry out provisions of the Public Health Service Act relating to the National Health Service Corps. Amends the Public Health Service Act to authorize grants to local communities for programs to finance the health-related education of residents of such communities, provided such residents agree to practice in a health-related field in that community for at least four years after graduation. Authorizes appropriations. Mandates grants to expand the availability of comprehensive primary health services in medically underserved areas. Allows community and migrant health centers in existence at enactment of this Act to use any increase in revenue resulting from the increase in the number of insured patients treated for the expansion of the amounts and types of services furnished, to serve additional patients or areas, or to promote the recruitment, training, or retention of personnel. Authorizes appropriations. Title VIII: Malpractice Reform - Requires the Board to make grants to States for the development and implementation of medical malpractice reforms meeting specified criteria. Authorizes appropriations. Title IX: Effective Dates; Terminations; Transition; Relation to ERISA - Repeals: (1) titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act; (2) provisions of the Internal Revenue Code relating to hospital insurance; (3) certain provisions of Federal law relating to the Civilian Health and Medical Program of the Uniformed Services (CHAMPUS); and (4) specified provisions of Federal law relating to health benefits for Federal officials and employees. Requires the Board to recommend to the Congress amendment or repeal of any other Federal program inconsistent with or duplicative of the principles of this Act. Supersedes, to the extent they are inconsistent with this Act, the provisions of the Employee Retirement Income Security Act.
United States · United States Congress · 2 April 1992
Truth in Budgeting Act of 1992 - Amends the Congressional Budget and Impoundment Control Act of 1974 to provide for the treatment of intragovernmental transactions involving certain trust funds, including various Social Security, railroad, and Federal retirement funds. Requires revenues that are dedicated by law to a particular trust fund to be offset against total budget authority and outlays of that trust fund. Requires interest paid by the Government to a trust fund on its investments in Government securities or guaranteed securities to be offset against the budget authority and outlays of the trust fund receiving the payment. Requires a Federal entity's payments as an employer into a trust fund to be offset against the budget authority and outlays of the trust fund receiving the payment.
United States · United States Congress · 1 April 1992
Authorizes the Secretary of Veterans Affairs to make loans to nonprofit organizations, States, and political subdivisions to finance the purchase of property for housing assistance for homeless veterans. Outlines loan conditions and requirements. Directs the Secretary to ensure that the terms and conditions are similar to those applied to housing and small business loans under applicable Federal provisions. Authorizes the Secretary to limit the number and amount of loans under this Act. Directs the Secretary to make available as housing for homeless veterans and their families during each fiscal year at least ten percent of the total properties in possession of the Secretary at the beginning of such fiscal year as a result of a default on a housing loan made, guaranteed, or insured through the Department of Veterans Affairs. Directs the Secretary to lease such properties to nonprofit organizations and State or local governments whose applications are approved. Directs the Secretary to collect from each approved entity a nominal rental charge for the property. Directs an approved entity to use such property solely for the provision of housing for homeless veterans and their families and to collect rent from occupants in an amount which may not exceed the costs incurred by the entity in operating and maintaining the property. Requires such entity to utilize the services of homeless veterans in maintaining, operating, and renovating the property. Prohibits the Secretary from making any properties available for such acquisition after FY 1997. Authorizes the Secretary to lease to a representative of the homeless for a term in excess of three years any real property for which an application has been approved by the Secretary of Health and Human Services under appropriate provisions of the Stewart B. McKinney Homeless Assistance Act. Requires such representative to use the property for the provision of services to homeless veterans and their families. Amends such Act to authorize appropriations through FY 1995 for a project aimed at reintegrating homeless veterans into the labor force.
United States · United States Congress · 1 April 1992
Amends the Community Reinvestment Act of 1977 to exempt from its examination requirements a regulated financial institution if: (1) its main office is located in an area of 15,000 or less population outside a metropolitan statistical area; (2) the institution and its parent bank holding company have maximum aggregate assets of $75,000,000; and (3) the aggregate outstanding balances of secured and unsecured loans made by the institution constitute at least 50 percent of its deposits.
United States · United States Congress · 1 April 1992
Prohibits any member or employee of the Senate from receiving from a congressional or other Federal entity any service or benefit at Government expense or at a discount that is of a kind or in an amount not typically provided by employers or that is not necessary or appropriate for the member or employee to perform his or her duties. Establishes the Commission on Senate Perquisites. Requires the Sergeant at Arms and Doorkeeper of the Senate to report to the Commission on: (1) the services and benefits available to Senate members and employees that are not equally available to all other persons or that are available in or near the Senate buildings at below fair market value; and (2) how such services and benefits contribute to the members' and employees' performance of their duties. Requires the Commission, upon receipt of such report, to review the services and benefits provided to Senate members and employees. Directs the Commission to report to the majority and minority leaders of the Senate proposing introduction of a resolution that: (1) describes those benefits and services that may not properly be made available in or near Senate buildings by Government or private sector employees at the expense of Senate members and employees; and (2) directs the appropriate Senate officers to arrange for the provision of such services and benefits at fair market value. Authorizes any Senate member to introduce such a resolution and provides for its consideration. Requires all payments received for such services and benefits provided by Government employees and all rent and other payments received from private contractors that provide such services and benefits to be paid into the deficit reduction account of the Treasury.
United States · United States Congress · 26 March 1992
National Triad Program Act - Requires the Director of the National Institute of Justice to conduct a national assessment of: (1) the nature and extent of crimes against the elderly; (2) the needs of law enforcement, health, and social service organizations in working to prevent, identify, investigate, and provide assistance to victims of such crimes; and (3) promising strategies to respond effectively to those challenges. Specifies that such assessment shall address: (1) the analysis and synthesis of data from a range of sources; (2) the problems of elderly who are living alone or in high crime areas and who are abused and neglected, and the fear of victimization; (3) the identification of strategies and techniques that have been shown to be effective or which show promise; (4) the analysis of the factors that enhance or inhibit development of a coordinated response by law enforcement, health care, and social service providers; and (5) the research agenda needed to develop a comprehensive understanding of the problems of crimes against the elderly. Requires the Director to disseminate the results of such assessment. Authorizes the Director to make awards to coalitions of local law enforcement agencies, victim service providers, and organizations representing the elderly for pilot programs and field tests of promising strategies and models for forging partnerships for crime prevention and service provision. Specifies that pilot programs funded under this Act may include existing general service coalitions of law enforcement, victim service, and elder advocate organizations that wish to use additional funds to work at a particular problem in their community or to target a particular geographic area in need of intensive services. Authorizes the Director to make awards to: (1) coalitions of national law enforcement, victim service, and elder advocate organizations for training and technical assistance in implementing pilot programs; (2) research organizations to investigate the types of elder victimization shown by the assessment to present particularly critical problems or emerging crimes about which little is known, to evaluate the effectiveness of selected pilot programs, and to conduct research and development identified as being critical; and (3) public service advertising coalitions to increase public awareness of, and promote ideas or programs to prevent, crimes against the elderly. Authorizes appropriations.
United States · United States Congress · 25 March 1992
Indian Health Care Amendments Act of 1992 - Amends the Indian Health Care Improvement Act to state that it is the intent of the Congress that the Nation meet specified health status objectives with respect to Indians and urban Indians by the year 2000. Directs the Secretary of Health and Human Services (Secretary) to report to the President, for transmission to the Congress, on the progress made in each area of the Indian Health Service (Service) toward meeting each stated objective. Title I: Indian Health Manpower - Directs the Secretary to make preparatory scholarship grants for: (1) up to two years on a full-time basis (or the part-time equivalent) to Indians who have demonstrated the capability to successfully complete courses of study in the health professions; and (2) up to four years (or the part-time equivalent) for pregraduate education of any grantee leading to a baccalaureate degree in an approved course of study preparatory to such health professions. Prohibits the Secretary from denying scholarship assistance to an eligible applicant solely by reason of such applicant's eligibility for assistance or benefits under any other Federal program. Authorizes the Secretary to grant health professions scholarships to Indians who are enrolled full or part-time in appropriately accredited schools and pursuing courses of study in the health professions, with an emphasis on certain ones. Makes an individual eligible for such scholarship in any year in which he or she is enrolled full or part-time in such course of study. Provides that the period for a part-time scholarship shall not exceed the part-time equivalent of four years. Directs the Secretary, acting through the Service, to establish a Placement Office to develop a national policy for the placement, to available vacancies within the Service, of health professionals required to meet the active duty obligation prescribed under the Public Health Service Act without regard to any competitive personnel system, agency personnel limitation, or Indian preference policy. Makes an individual liable to the United States for the amount paid to or on the individual's behalf under a written Indian health professions contract if it is breached in specified ways. Entitles the United States to recover an amount determined by a specified formula pursuant to the Indian Health Care Improvement Act, as amended, from any individual who breaches such contract by failing to begin or complete such service obligations. Authorizes the Secretary, acting through the Service, to provide: (1) continuing education allowances to nurses employed by the Service; and (2) grants to establish and develop clinics operated by nurses, nurse midwives, or nurse practitioners to provide primary health care services to Indians. Allocates funds for the training of nurse practitioners. Requires that at least 25 percent of retention bonuses awarded each year by the Secretary beginning in FY 1992 be awarded to nurses. Requires the Secretary, acting through the Service, to establish a program to enable licensed practical nurses, licensed vocational nurses, and registered nurses working in an Indian health program for at least one year to pursue advanced training in a residency program. Revises the Indian Health Service Loan Repayment Program with respect to: (1) eligibility requirements; (2) priority vacancy positions; (3) an individual's becoming a participant in the program; (4) extension of obligated service; (5) undergraduate loans; (6) repayment of loans; (7) tax liability reimbursements; and (8) the Secretary's annual report to the Congress. Directs the Secretary, acting through the Service, to assign one individual in each area office to be responsible on a full-time basis for recruitment activities. Requires the Secretary to provide a grant to a college or university to establish and maintain a program parallel to the Indians into Medicine Program (INMED) for the nursing and mental health professions. Directs the Secretary to provide matching grants to Indian tribes and tribal organizations to assist in educating Indians to serve as health professionals in Indian communities by providing them with scholarships, under specified conditions. Prohibits any scholarship recipient from discriminating against an individual seeking health care on the basis of ability to pay or that payment for such care will be provided by Medicare or Medicaid Programs under the Social Security Act. Directs the Secretary, under authority of the Snyder Act, to: (1) maintain a Community Health Aide Program in Alaska; and (2) provide, in a specified manner, a high standard of training to community health aides to ensure that they provide quality health care, health promotion, and disease prevention services to the villages served by the Program. Requires the Secretary, by contract or otherwise, to provide training for individuals in the administration and planning of tribal health programs. Authorizes appropriations for such training and for the Native Hawaiian Health Scholarship program. Directs the Secretary to consider an individual's ties to any Indian tribe when placing him or her in scholarship and loan repayment programs. Title II: Health Services - Authorizes the Secretary to expend appropriated funds under this Act to eliminate the deficiencies in health status and resources of all Indian tribes. Changes the threshold cost established by the Secretary: (1) for FY 1992 to a minimum of $20,000 (currently, a minimum of $10,000 to a maximum of $20,000) before a service unit can be eligible for reimbursement from the Catastrophic Health Emergency Fund for the cost of treatment of an individual; and (2) for each succeeding year to the cost of the previous year increased by the percentage increase in the medical care expenditure category of the consumer price index for all urban consumers. Directs the Secretary, acting through the Service, to provide health promotion and disease prevention services to Indians to achieve the health objectives set forth in this Act. Repeals the requirements that the Secretary establish from one to four demonstration projects to discover the most effective and cost-efficient means of providing health promotion and disease prevention services to Indians. Directs the Secretary to continue to maintain specified model diabetes projects in existence through FY 2000. Authorizes the Secretary to establish new model diabetes projects. Prohibits the establishment of a greater number of them in one service area than in another until there is an equal number established with respect to all service areas. Adds to the duties of the diabetes control officer employed in each area office of the Service the task of evaluating the effectiveness of services provided through model diabetes projects established under this Act. Requires the Service to report annually to the President for transmission to the Congress, on the mental health status of Indians. Requires any person employed as a psychologist or as a social worker to provide mental health care services to Indians in a clinical setting, under this Act or through a contract under the Indian Self-Determination Act, to be, within one year from the date of employment, licensed as such or working under the direct supervision of a licensed clinical psychologist or social worker. Directs the Secretary to study and report to the Congress on the: (1) feasibility and desirability of furnishing hospice care to terminally ill Indians; (2) the determination of the most efficient and effective means of furnishing such care; and (3) the feasibility of allowing an Indian tribe to purchase, directly or through the Service, managed care coverage under certain circumstances. Requires the Secretary to provide grants to eligible recipients to establish area epidemiology centers for specified activities. Directs the Secretary to provide at least one grant to an eligible recipient located in each Indian Health Service area. Requires such grant to be at least $250,000 a year for each area epidemiology center. Requires the Indian Health Service to assign one epidemiologist from each of its area offices to each area epidemiology center to provide technical assistance to it. Directs the Secretary to report to the Congress on the actions taken to carry out this Act and to report biannually thereafter, on the extent to which the area epidemiology centers have helped assess progress made towards meeting the health objectives under this Act. Authorizes appropriations. Title III: Health Facilities - Requires the Secretary, when evaluating for the Congress the likely impact of the closure of an Indian Health Service hospital or one of its outpatient health care facilities, to specify: (1) the level of use of such hospital or facility by all eligible Indians; and (2) the distance between such hospital or facility and the nearest operating Service hospital. Requires the Secretary, subject to the availability of appropriations, to enter into contracts or award grants for health care delivery demonstration projects taking into consideration applications received from all service areas. Prohibits the award of a greater number of such contracts or grants in one service area than in another until there is an equal number of them with respect to all service areas for which the Secretary receives applications under certain conditions. Requires the Secretary to submit to the President (currently, the Congress) for inclusion in the budget submittal for: (1) FY 1997, an interim report on such established demonstration projects; and (2) FY 1999, a final report. Authorizes the Secretary to accept any major renovation or modernization by any Indian tribe of any Service facility, or of any other Indian health facility operated pursuant to a contract entered into under the Indian Self-Determination Act under specified conditions. Entitles an Indian Tribe to recover an amount from the United States, based upon a specified formula, if any Service facility renovated or modernized by an Indian tribe ceases to be used as such during the 20-year period beginning on the completion date of such renovation or modernization. Authorizes appropriations. Title IV: Access to Health Services - Amends the Social Security Act to prohibit any payments received by any facility of the Service, whether operated by such Service or by an Indian tribe or tribal organization, for services provided to Indians eligible for Medicare benefits from being considered in determining appropriations for health care and services to Indians. Declares that the Secretary has no authority to provide services to an Indian beneficiary with coverage under Medicare in preference to an Indian beneficiary without such coverage. Makes a facility of the Indian Health Service or of an Indian tribe or tribal organization carrying out a contract, grant, or cooperative agreement under the Indian Self-Determination Act eligible for Medicare payments if it meets all of the conditions and requirements for such payments. Requires payments to any Service facility made under the Medicaid program to be placed in a special fund to be held by the Secretary and used, in a specified manner, exclusively for making any improvements in the facilities of such Service to achieve compliance with the applicable conditions and requirements of the Social Security Act. Terminates this requirement when the Secretary determines and certifies that substantially all Service health facilities are in compliance with such conditions and requirements. Prohibits payments received by such facility for services provided to Indians eligible for benefits under Medicaid from being considered in determining appropriations for the provision of health care and services to Indians. Requires the Secretary to submit to the President (currently, the Congress) for submission with the budget, an accounting of the amount and use of funds reimbursed through Medicare and Medicaid made available to Indian Health Services. Authorizes appropriations. Title V: Health Services for Urban Indians - Authorizes appropriations to make health services more accessible to the urban Indian population. Title VI: Organizational Improvements - Requires the Secretary to carry out, through the Director of the Service, all scholarship and loan functions under this Act. Authorizes appropriations. Title VII: Substance Abuse Programs - Redesignates Title VII of the Indian Health Care Improvement Act as Title VIII. Expands the responsibilities of the Indian Health Service with respect to the Memorandum of Agreement entered into under the Indian Alcohol and Substance Abuse Prevention and Treatment Act of 1986. Directs the Secretary, acting through the Service, to provide a program of comprehensive alcohol and substance abuse prevention and treatment to members of Indian tribes. Authorizes the Secretary, acting through the Service, to enter into contracts with public or private providers of alcohol and substance abuse treatment services to assist the Service in carrying out such programs. Directs the Secretary to: (1) provide assistance to Indian tribes in developing criteria for the certification and accreditation of service facilities which meet certain minimum standards; (2) develop and implement a program for acute detoxification and treatment for Indian youth who are alcohol and substance abusers; and (3) construct or renovate, and appropriately staff and operate, a youth regional treatment center in each area under the jurisdiction of an area office. Considers the area offices of the Service in Tucson and Phoenix, Arizona, as one area office. Authorizes the Secretary to make funds available to the Tanana Chiefs Conference, Incorporated, to lease, construct, renovate, operate and maintain a residential youth treatment facility in Fairbanks, Alaska. Directs the Secretary, acting through the Service, to: (1) identify and use, where appropriate, federally-owned structures suitable as local residential or regional alcohol and substance abuse treatment centers for Indian youth; and (2) establish guidelines to determine their suitability for such purpose. Directs the Secretary, in cooperation with the Secretary of the Interior, to develop and implement, within each Health Service unit, community-based rehabilitation and follow-up services designed to integrate long-term treatment and to monitor and support Indian youth who are alcohol or substance abusers after their return home. Requires the Secretary to provide for the inclusion of family members of a youth in such treatment programs or other appropriate services. Earmarks at least ten percent of funds appropriated to carry out such programs to be used for outpatient care of adult family members related to the treatment of an Indian youth. Directs the Secretary to study and report to the Congress on: (1) the incidence and prevalence of the abuse of multiple forms of drugs, including alcohol, among Indian youth residing on Indian reservations and in urban areas; and (2) the interrelationship of such abuse with the incidence of mental illness among such youth. Requires the Secretary, in cooperation with the Secretary of the Interior, to develop and implement, within each service unit, a program to provide training and community education in the areas of alcohol and substance abuse. Directs the Secretary, with respect to such programs, to take into consideration and make available, the results of the demonstration project for children of alcoholics funded by the Office of Minority Health of the Department of Health and Human Services. Requires the Secretary to make grants to the Navajo Nation to provide residential treatment for alcohol and substance abuse for the Tribe's adult and adolescent members and neighboring tribes. Directs the Navajo Nation to enter into a contract with a Gallup, New Mexico, area institution accredited by the Joint Commission of the Accreditation of Health Care Organizations to provide such comprehensive alcohol and drug treatment. Authorizes appropriations. Authorizes the Secretary to make grants to: (1) those urban Indian organizations with which the Secretary has entered into a contract under this Act for the provision of health-related services in prevention, treatment, or rehabilitation of, or school and community-based education in alcohol and substance abuse in urban centers; and (2) Indian tribes to establish fetal alcohol syndrome programs to meet the health status objective specified in this Act. Directs the Secretary to provide assistance to Indian tribes in the development, printing, and dissemination of education and prevention materials on fetal alcohol syndrome. Directs the Secretary, acting through the Service, to continue making grants through FY 1995 to the Eight Northern Indian Pueblos Council, San Juan Pueblo, New Mexico, to provide substance abuse treatment services to Indians in need of them. Requires the Secretary, acting through the Service, to establish: (1) the Regional Youth Alcohol and Substance Abuse Prevention and Treatment Center in Sacaton, Arizona, on the Gila River Indian Reservation; and (2) a youth alcohol and substance abuse prevention and treatment facility in Schurz, Nevada, as a unit of such regional center. Directs the Secretary, acting through the Service, to make grants to the Alaska Native Health Board for a two-part community-based demonstration project to reduce drug and alcohol abuse in Alaska Native villages and to rehabilitate families afflicted by such abuse. Requires the Secretary, acting through the Service, to evaluate and report to appropriate committees of the Congress on the evaluation of such project by January 1, 1993. Directs the Secretary, acting through the Service, to make a grant to the Thunderchild Treatment Center at Sheridan, Wyoming, to match funds already received by it through private contributions for the completion of construction of a multiple approach substance abuse treatment center which specializes in the treatment of alcohol and drug abuse of American Indians. Authorizes appropriations for the Center. Prohibits the use of such funds for: (1) staffing or operation of this facility; or (2) administrative purposes. Authorizes appropriations. Title VIII: Miscellaneous - Directs the President to include with submission of the budget: (1) certain reports and statements on meeting the objectives of this Act; and (2) a report on whether, and to what extent, new health care programs, benefits, initiatives, or financing systems have had an impact on it, and any steps taken by the Secretary to consult with Indian tribes to address such impact. Extends to FY 2000 the time during which Arizona is designated as a contract health service delivery area. Continues through FY 1995 the demonstration programs involving treatment for child sexual abuse that were conducted in FY 1991 through the Hopi Tribe and the Asiniboine and Sioux Tribes of Fort Peck Reservation. Authorizes the Secretary and the Secretary of the Interior to establish such programs in any service area, except that the establishment of a greater number of them in one service area than in another is prohibited until there is an equal number established with respect to all service areas. Authorizes appropriations for Indian health care programs through FY 2000. Title IX: Technical Corrections - Makes technical corrections to the Indian Health Care Improvement Act.
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