United States · United States Congress · 4 June 1991
Amends title XVIII (Medicare) of the Social Security Act to allow Medicare part B (Supplementary Medical Insurance) beneficiaries to elect to receive specified preventive care items and services provided by a primary care physician during an annual periodic health examination if they pay an additional monthly premium for such coverage. Authorizes Medicare part B coverage of certain immunizations for individuals who are at high risk of contracting infectious diseases presenting a public health problem. Waives copayments for the preventive care items and services and immunizations described above. Provides for a discount in the additional monthly premium described above if the beneficiary is certified by a physician for that year as maintaining a healthy lifestyle.
United States · United States Congress · 4 June 1991
Medicaid Glideslope Act of 1991 - Amends title XIX (Medicaid) of the Social Security Act to allow States to: (1) expand Medicaid coverage to individuals whose family incomes do not exceed 300 percent of the Federal poverty level; and (2) require Medicaid beneficiaries to contribute toward the cost of their Medicaid premiums and copayments on the basis of their ability to pay.
United States · United States Congress · 3 June 1991
Expresses the sense of the Congress that the American public should observe the 100th anniversary of filmmaking in 1993 and recognize the American Film Institute's leadership role in preserving the art of film.
United States · United States Congress · 24 May 1991
Authorizes the Peace Corps Volunteers Memorial Commission to establish a memorial on Federal land in the District of Columbia or its environs to honor service in the Peace Corps. Establishes the Peace Corps Volunteers Memorial Commission to provide for solicitation and acceptance of private contributions for the memorial and conduct such other activities necessary for its establishment. Terminates the Commission 30 days after the completion of the Memorial. Prohibits the use of Federal funds for the construction of the memorial, except for a fund hereby established in the Treasury for the sole purpose of carrying out this Act.
United States · United States Congress · 24 May 1991
Prohibits arms sales licenses under the Arms Export Control Act to countries listed pursuant to provisions of the Internal Revenue Code as countries that require participation in or cooperation with the international boycott against Israel.
United States · United States Congress · 23 May 1991
Procompetitiveness and Antiboycott Act of 1991 - Directs the U.S. Ambassador to the Organization for Economic Cooperation and Development (OECD) to discuss with representatives from other OECD member nations and to report to the Congress on: (1) the extent to which companies obey the secondary and tertiary boycotts of Israel by Arab nations; (2) the effectiveness of antiboycott laws of nations that have them; (3) the extent to which such boycotts have skewed global trade and investment, as well as in the Middle East; (4) the extent to which companies not obeying the boycotts are placed at a competitive disadvantage; (5) the extent to which such boycotts contradict OECD trade and investment policy; and (6) the development of guidelines, using the Arrangement on Export Credits as a model, that OECD nations can agree on to eliminate compliance with such boycotts. Requires the United States Trade Representative to enter into discussions with representatives from member nations of the General Agreement on Tariffs and Trade (GATT) and to report to the Congress on the extent to which: (1) the Arab boycotts of Israel have distorted trade; (2) members of and observers to the GATT encourage actions, including the furnishing of information or entering into agreements, which support such boycotts; (3) the GATT should work to eliminate the boycotts; and (4) GATT articles can be used to eliminate compliance with such boycotts. Requires the President to report to the Congress on progress made to end such boycotts.
United States · United States Congress · 22 May 1991
Rural Primary Care Act of 1991 - Title I: Tax Provisions - Amends the Internal Revenue Code to allow a nonrefundable personal income tax credit for any physician, physician assistant, or nurse practitioner who provides primary health services to residents of a rural health professional shortage area and who does not have certain connections with the National Health Service Corps loan repayment or scholarship programs. Excludes from gross income any payments made on behalf of a taxpayer by the National Health Service Corps loan repayment program. Amends provisions relating to election to expense certain depreciable business assets to specify a higher maximum aggregate cost to be taken into account for property used by a physician in providing primary health services in a rural health professional shortage area. Mandates a study to determine the present number of, and future need for, physician and nonphysician primary care providers in medically underserved urban areas. Requires that the determination form the basis for a study of the feasibility of extending the tax credit provided under this title. Title II: Public Health Service Provisions - Amends the Public Health Service Act to authorize appropriations to carry out provisions relating to area health education centers. Requires set-aside of a minimum amount of funds currently authorized for preventive health and health services block grants for the county health department grants mandated by this title. Requires grants to county health departments for preventive health services in areas within the county that are not urbanized. Requires such grants to be used to: (1) provide immunization services; (2) improve maternal and infant health; (3) reduce adolescent pregnancy and improve reproductive health; and (4) provide other appropriate services. Title III: State Health Service Corps Demonstration Projects - State Health Service Corps Demonstration Act - Amends the Public Health Service Act to direct the Secretary of Health and Human Services to establish a State Health Service Corps Demonstration Project. Directs the Secretary to make grants under the Project to up to ten States for the Federal share of training and employment of physician and nonphysician providers serving health professional shortage areas. Requires a recipient State to enter into an agreement with an area health education center for the planning, development, and operation of a program of training and employing such providers. Sets forth the responsibilities of a center. Authorizes appropriations. Requires each State carrying out a Project to establish a State Health Service Corps Scholarship Program involving a period of service in the service area or on the clinical staff of an area health education center or a medical school in return for a scholarship. Authorizes the official heading the State agency administering the Program to contract with an educational institution for the payment of scholarship or loan amounts.
United States · United States Congress · 22 May 1991
Urges the Government of Iran to extend to the Baha'i community the rights guaranteed by the Universal Declaration of Human Rights and other international agreements to which Iran is a party. Calls upon the President to continue to: (1) urge the Government of Iran to emancipate the Baha'i community by granting such rights; (2) emphasize that the United States regards the human rights practices of such Government, particularly its treatment of the Baha'is and other religious minorities, as a significant element in the development of U.S.-Iranian relations; and (3) cooperate with other governments and international organizations in efforts to protect the religious rights of the Baha'is and other minorities in Iran.
United States · United States Congress · 21 May 1991
Federal Aid Surface Transportation Act of 1991 - Title I: Federal-Aid Highway Act of 1991 - Federal-Aid Highway Act of 1991 - Authorizes appropriations out of the Highway Account of the Highway Trust Fund (HTF) for: (1) the National Highway and Bridge System; (2) the Urban and Rural Highway and Bridge Program; (3) emergency relief; (4) the Federal Lands Highway Program; (5) the University Transportation Centers Program; (6) the Right-of-Way Revolving Fund; and (7) the Territorial Highway Program. Specifies that unobligated balances of funds apportioned or allocated to a State under Federal highway provisions before October 1, 1991, shall be available for obligation in such State under the law, regulations, policies, and procedures relating to the obligation and expenditure of those funds in effect on September 30, 1991. Repeals the FY 1993 authorization under the Federal-Aid Highway Act of 1956. Authorizes appropriations for Interstate construction to complete the Interstate System out of the Highway Account of the HTF for each of FY 1992 through 1995. Provides for certain allocations for Massachusetts for such fiscal years. Sets forth a formula for the apportionment of authorized funds for such fiscal years among the States. Authorizes appropriations out of the Highway Account of the HTF for highway projects for the Interstate Substitution Program. Sets forth provisions with respect to obligation ceilings for Federal-aid highway programs, distribution of and limitations on obligation authority, and redistribution of unused obligation authority. Declares that national resources should be focused upon preserving the nation's investment in its Interstate systems, that broad national defense, economic, safety, and international policy goals are advanced by efficient transportation systems, that national transportation investments should increasingly encourage domestic and international commerce and trade, and that, based on congressionally established national transportation policy and objectives, a new Federal high priority highway network should be designated. Establishes the National Highway and Bridge System, to consist of all currently designated Interstate highways, an appropriate portion of the rural and urban principal arterial routes, including toll facilities, and national defense highways, and routes which meet specified criteria (including nationally significant truck routes, routes that provide nationally significant commodities with access to markets, access points to significant national parks, facilities that will provide logical connection between major population centers and the National Highway and Bridge System, and major urban corridors). Specifies that the National Highway System shall be based on a functional reclassification of roads and streets in each State which shall be designated not later than September 30, 1993, in accordance with guidelines issued by the Secretary of Transportation, and that the Secretary may add segments to the National Highway System as necessary to meet National Highway Program objectives. Directs the Secretary to establish criteria for reviewing projects to be funded as part of the National Highway and Bridge System which: (1) define eligible projects to include rehabilitation, resurfacing, restoration, capacity expansion, operational improvement, safety, and new highway construction; (2) ensure as a first priority for the use of available funds the protection of investments made in the Interstate highways in each State and the provision of suitable traveling quality by such highways; (3) permit funding in urbanized areas to be used to improve highway and transit systems, where it can be shown that the improvement will increase the level of service within the corridor of the National Highway and Bridge System; and (4) permit the use of such funds for intercity rail projects and projects for access to ports, airports, and related facilities. Sets forth additional provisions with respect to the discharge of responsibilities by the Secretary for National Highway and Bridge System projects. Directs the Secretary to establish an Urban and Rural Highway and Bridge Program to provide a category of funds that minimizes Federal requirements and provides flexibility in the use of available funds for either highway or transit projects. Specifies: (1) that the Urban and Rural Highway and Bridge Program shall consist of all public highways (including bridges) functionally classified as arterials, urban collectors, and rural collectors other than those designated as part of the National Highway and Bridge System; (2) that each State shall establish guidelines for implementing this program; and (3) eligible highways and projects. Authorizes the Secretary to approve innovative highway- and transit-related immediate action, non-capital intensive projects to help relieve congestion and transportation-related air quality problems in urbanized areas of more than 200,000 population, or projects in rural areas that respond to rural transportation problems through innovative approaches and strategies. Sets forth provisions with respect to project compliance with State and Federal requirements. Requires States to have an ongoing bridge inspection and inventory system. Directs the Secretary to set aside specified funds for Metropolitan and Rural Innovative Bonus Projects. Sets forth provisions with respect to the obligation of funds, and the Federal share of projects, for the construction of toll roads, bridges, tunnels, and ferries. Repeals provisions: (1) requiring each State to certify annually that it is enforcing all speed limits on public highways posted at the national maximum speed limit; (2) requiring the Secretary to withhold project approval in any State that fails to certify accordingly; (3) requiring States to submit to the Secretary compliance data for a 12-month period on the percentage of motor vehicles exceeding 55 miles per hour (mph) on their public highways posted at 55 mph; and (4) establishing a process under which a State could lose up to ten percent of its non-Interstate highway construction funds for the following fiscal year if the State's 12-month compliance data show that more than 50 percent of its motorists exceeded the posted 55 mph limit. Requires the Secretary, in each fiscal year, to allocate among the States amounts sufficient to ensure that: (1) the total of apportionments and minimum allocation for each State in each such fiscal year shall not be less than 90 percent (currently, 85 percent) of the percentage of estimated tax payments into the Highway Account of the HTF attributable to highway users in the State of total apportionments in each such fiscal year and allocations for the prior year; and (2) each State's total apportionment from the Highway Account of the HTF for the year is not less than that made during FY 1991 (excluding any Interstate construction funds in excess of FY 1992 one-half percent minimum, Interstate substitution, and amounts for demonstration or discretionary funding programs or projects). Directs the Secretary to cooperate with State and local officials in urbanized areas in the development of transportation plans and programs which are formulated with due consideration to comprehensive long-range land use plans, development objectives, innovative financing mechanisms, overall social, economic, environmental, and system performance, energy conservation goals and objectives and with due consideration to their probable effect on the future development of the area. Specifies that the transportation planning process, at a minimum, shall cover the existing urbanized area and the area expected to become urbanized within the forecast period, and that it may encompass the entire Metropolitan Statistical Area/Consolidated Metropolitan Statistical Area at the discretion of the Governor and the affected units of local government. Requires that transportation plans and programs in urbanized areas of more than 200,000 population be based on a continuing transportation planning process which: (1) is carried out by a metropolitan planning organization and is comprehensive to the degree appropriate based on the complexity of transportation problems in the area, including transportation-related air quality problems; and (2) considers all modes of transportation, including intermodal connectivity, the balance between future development and transportation needs, and an areawide multimodal congestion management system. Specifies that in nonattainment areas for transportation-related pollutants, the multimodal congestion management system shall address air quality considerations and be coordinated with the process for development of the transportation element of the State Implementation Plan required by the Clean Air Act. Requires that the costs and impacts of proposed action on both mobility and air quality be evaluated. Bars the Secretary from approving any highway project in urbanized areas of more than 200,000 population that by reconstruction or new construction significantly increases the vehicle carrying capacity of a transportation corridor unless the project is consistent with the congestion management system. Directs the metropolitan planning organization to cooperate with the State in the development of a congestion management, bridge management, pavement management, safety management, and traffic monitoring system. Requires that: (1) a metropolitan planning organization be designated in each urbanized area by agreement among the units of general purpose local government and the Governor to carry out such transportation planning process; (2) such organization develop a transportation improvement program that includes all projects proposed for funding within the study area under the National Highway and Bridge Program, the Urban and Rural Highway and Bridge Program, and the Bridge Program; and (3) in urbanized areas of 200,000 population or less, such organization, the State, and transit operators, at a minimum, meet the requirements of this Act by the development of such a transportation improvement program (including consideration of transportation-related air quality problems). Requires the Federal highway research program to include a coordinated long-term program of research: (1) on Intelligent Vehicle Highway Systems; and (2) for the development, use, and dissemination of performance indicators to measure the performance of the surface transportation system. Requires such program to continue those portions of the Strategic Highway Research Program that the Secretary deems important. Directs the Secretary to create and administer the Dwight David Eisenhower Transportation Fellowship Program, a program to attract qualified students to the field of transportation engineering and research. Provides for the funding of such program. Directs the Secretary to cooperate with the States in carrying out: (1) statewide transportation planning to support transportation programs and projects funded under this Act; and (2) State highway research. Sets forth provisions regarding State matching fund requirements and waiver of such requirements. Directs the Secretary: (1) in the Secretary's reports regarding future highway needs of the nation, to report as well on the condition and performance of the existing system and on the bridge needs of the nation; and (2) beginning with the report due in January 1995, to include the results of studies of the air quality impacts of transportation programs, including the air quality benefits realized from transportation control measures required under the Clean Air Act. Establishes within the Department of Transportation a Bureau of Transportation Statistics, which shall pursue a comprehensive, long-term program for the collection and analysis of data relating to the performance of the national transportation system. Requires the Director of such Bureau to: (1) produce annually unbiased and comparable estimates of factors, including productivity in the various portions of the transportation sector, traffic flow, travel times, travel costs of intracity commuting and intercity trips, frequency of vehicle and transportation facility repairs, accidents, and collateral damage to the human and natural environment; and (2) submit reports beginning on October 1, 1992, and every 12 months thereafter, to specified congressional committees describing the status of the U.S. transportation system. Authorizes the Secretary to: (1) undertake, on a cost-shared basis, collaborative research and development with non-Federal entities, including State, local, and foreign governments; and (2) enter into cooperative research and development agreements, except that the average Federal share in such agreements shall not exceed 50 percent (but allows the Secretary to approve a higher Federal level of participation where there is substantial public interest or benefit.) Authorizes the Secretary to withhold project approvals on National Highway and Bridge Program projects for failure of a State to have a bridge management, pavement management, safety management, and congestion management system. Requires each State to have a traffic monitoring system to provide statistically-based traffic data. Sets forth provisions regarding: (1) acquisition of rights-of-way; (2) private, State, and local donations; (3) wetland mitigation, conservation, and enhancement; (4) access to rights-of-way to accommodate needed passenger or commuter rail, high speed ground transportation systems (including magnetic levitation systems), and highway and nonhighway public mass transit facilities; and (5) the definition and scope of the Interstate System. Declares that: (1) the nation must redirect its efforts toward moving people, information, and goods rather than moving vehicles; (2) the new Federal program shall refocus national policies to respond to increasing inter-regional travel, relieving urban congestion, improving rural access, fostering intermodalism, enhancing air quality, conserving energy, and giving priority to projects that offer the best solutions to the transportation problems and environmental considerations of each region; and (3) the essential element for an effective future program is a new Federal, State, and local partnership that provides more funding, greater program flexibility, and greater program management and resource contribution responsibilities at the State and local levels. Sets forth provisions with respect to the apportionment of funds, including apportionment formulas under the: (1) National Highway and Bridge Program, based on the State's rural and urban lane miles, rural vehicle miles traveled, and diesel fuel consumption; and (2) Urban and Rural Highway and Bridge Program, in the ratio of tax payments of the Highway Account of the HTF attributable to the highway users of each State. Requires the Secretary to reduce up to ten percent of a State's apportionment of National Highway and Bridge Program funds in any fiscal year during which heavy vehicles, subject to a heavy vehicle use tax, may be lawfully registered in the State without having presented proof of payment of such tax. Sets forth provisions with respect to: (1) project agreements and obligations of funds; (2) availability of funds; (3) the Federal share payable with respect to certain projects; (4) project litigation expenses; and (5) the allocation and administration of Federal lands highways funds and the establishment of a coordinated Federal Lands Highways Program. Authorizes (subject to specified limitations): (1) States to use Federal highway funds to construct improved lanes, paths, or shoulders, traffic control devices, shelters, and parking facilities for bicycles and pedestrians, and carry out nonconstruction projects related to safe bicycle and pedestrian use; (2) the Secretary, where a highway bridge deck being replaced or rehabilitated with Federal financial participation is located on a highway on which bicycles or pedestrians are permitted to operate at each end of the bridge and where the Secretary determines that the safe accommodation of bicycles or pedestrians can be provided at reasonable cost, to replace or rehabilitate such bridge, making such accommodations; (3) Federal lands highways funds to be used for the construction of pedestrian walkways and bicycle routes; and (4) a State to expend Urban and Rural Highway and Bridge Program funds for such construction. Repeals a provision requiring that specified highways be free from tolls. Authorizes the Secretary to: (1) carry out a transportation assistance program that will provide highway and transportation agencies in urbanized areas of 50,000 to 1,000,000 population and rural areas access to modern highway technology; and (2) make grants to enter into contracts for education and training, technical assistance, and related support services to effectuate such program. Repeals a provision authorizing the Secretary to use photogrammetric methods in mapping and the utilization of commercial enterprise for such services. Authorizes the Secretary to engage in activities to inform the domestic highway community of technological innovations abroad that could significantly improve highway transportation in the United States, promote U.S. highway transportation expertise internationally, and increase transfers of U.S. highway transportation technology to foreign countries. Provides for a temporary waiver of the matching fund requirement for qualifying projects, with increases in the Federal share for any State to be repaid by March 30, 1994. Directs the Secretary to: (1) carry out experimental programs which allow the Federal Highway Administration and the States to demonstrate innovative or nontraditional design, construction, and management practices, or both, for highway projects while utilizing a competitive process for selection of contractors; and (2) evaluate and report on the results of such programs. Provides for: (1) a functional reclassification of all public roads; (2) the transfer of funds for transit projects to, for administration by, the Urban Mass Transportation Administration; and (3) a recodification of Federal highway-related provisions. Requires that construction standards adopted for the National Highway and Bridge System be those approved by the Secretary in cooperation with the State highway departments and the American Association of State Highway and Transportation Officials (currently, with respect to construction standards for the Interstate System, cooperation with such Association is not required). Directs the Secretary to issue guidelines for minimizing soil erosion from highway construction. Bars the Secretary from approving projects that will result in the severance or destruction of an existing major route for nonmotorized transportation traffic and light motorcycles, unless the project provides a reasonable alternative route or an alternative route exists. Requires: (1) projects for resurfacing, restoring, or rehabilitating specified highways to be constructed in accordance with standards to preserve and extend highway service life and enhance highway safety; and (2) States to charge, at a minimum, fair market value for the sale, use, lease, or lease renewals of right-of-way airspace acquired as a result of a project funded in whole or in part with Federal assistance made available from the Highway Account of the HTF, with exceptions. Provides that: (1) Indian contractors certified by State transportation or highway departments shall receive preference in the award of contracts on Indian reservations to the maximum extent practicable; and (2) contracts for Urban and Rural Highway and Bridge Program projects may be entered into with the prior concurrence of the Secretary in the award. Authorizes: (1) the State transportation or highway department to include warranty or guarantee provisions in construction contracts which, if used, shall be for a specified construction product or feature and may not include routine maintenance; and (2) projects (currently, requires projects) approved to include the amount of any interest earned and payable on bonds issued by the State to the extent that the proceeds of the bonds have actually been expended in the construction of the project. Authorizes the Secretary, except for projects administered under the Urban and Rural Highway and Bridge Program, to make payments to a State for costs incurred on a project. (Current law authorizes payment to States for construction.) Specifies that total payments shall not exceed total costs incurred by the State for the project. Requires any State transportation or highway (currently, highway) department which submits plans for a National Highway and Bridge Program or Interstate System project (currently, Interstate System project) to make its certification and report, indicating that consideration was given to the economic, social, environmental, and other effects of the plan, highway location or design, and various alternatives which were raised during the hearing or which were otherwise considered. (Current law does not mention the latter requirement.) Authorizes the Secretary to approve for Federal financial assistance from National Highway and Bridge Program funds: (1) projects designed to encourage the use of carpools, subject to specified limitations; and (2) the construction of exclusive or preferential high occupancy vehicle (HOV) lanes, highway traffic control devices, intercity and urban bus passenger loading areas and facilities, and fringe and transportation corridor parking to serve HOVs, intercity bus, and public transportation passengers. Specifies that if fees are charged for the use of any carpool or other publicly owned parking facility constructed pursuant to Federal highway provisions, the revenue in excess of that required for maintenance and operation of the facility and the cost of providing shuttle service to and from the facility, including compensation to any person for operating the facility and for providing shuttle service, shall be used for purposes authorized under Federal highway provisions. Requires that National Highway and Bridge System funds be made available to finance the Federal share of projects for exclusive or preferential HOV, truck, and emergency vehicle routes or lanes. Permits such routes on the Interstate System to have less than four lanes of traffic. Prohibits the approval of HOV projects unless the Secretary has received assurances from the owner or operator of the facility that HOV vehicles will fully utilize the proposed project and that essential operations and enforcement support of the facility will be provided. Specifies that, in any case where sufficient land exists within the publicly acquired rights-of-way of the National Highway System to accommodate needed nonhighway public mass transit facilities and where the accommodation can be accomplished without impairing automotive safety or future highway improvements, the Secretary may authorize a State to make those lands and rights-of-way available without charge to a publicly owned mass transit authority for such purposes wherever the public interest will be served. Directs the Secretary to require assurance from any State desiring to avail itself of benefits under Federal highway provisions that employment in connection with proposed projects be provided without discrimination based on race, color, religion, national origin, age, disability, or sex (currently, specifies "without regard to race, color, creed, national origin, or sex"). Requires that not to exceed one fourth of one percent of the funds apportioned to a State be available for highway construction training. Prohibits discrimination on the basis of sex under programs or activities receiving Federal assistance. Repeals a requirement that each State certify that it is enforcing all speed limits on public highways and that the Secretary not approve projects in States failing to make such certification. Requires each State to establish a procedure to certify that highway bridge inspectors meet national qualifications. (Current law requires that standards established by the Secretary include a procedure for national certification of such inspectors.) Directs the Secretary to withhold ten percent of the amount to be appropriated to any State on the first day of each fiscal year in which the purchase or public possession in that State of any alcoholic beverage by a person who is less than 21 years of age is lawful (current law specifies five percent on the first day of the fiscal year succeeding the first fiscal year beginning after September 30, 1985, and ten percent after the second fiscal year beginning after such date). Specifies that funds withheld from apportionment shall be apportioned to the other States in compliance and remain available for the period of time applicable to the category of funds withheld. (Currently, treatment of such funds varies based on whether funds were withheld on or before September 30, 1988.) Directs that construction estimated to cost $50,000 (currently, $15,000) or more per mile or per project for projects with a length of less than one mile on forest development roads and trails be advertised and let to contract, and allows projects with less than such cost, if no acceptable bid is received, to be done by the Secretary of Agriculture. Repeals provisions under the Territorial Highway Program providing that: (1) Federal financial assistance be granted on the basis of a Federal contribution of 100 percent of the cost of any project; and (2) the Governor must agree not to impose any toll, or permit any such toll to be charged, for use by vehicles or persons of any portion of the facilities constructed or operated to qualify for funding. Provides that, in addition to a specified percentage, sums provided (currently, two percent) for each fiscal year may be expended upon request of the Governor with the Secretary's approval under such Program. Requires (currently, authorizes the Secretary to make) expenditures with respect to the reconstruction of the Alaska-Canada international highway. Authorizes the Secretary to give priority of approval to, and expedite the construction of, projects that are recommended as important to the national defense. Modifies provisions regarding the National Highway Institute to: (1) require that private agencies and individuals pay the full cost of any education and training received by them; and (2) authorize the Institute to engage in all phases of contract authority for training purposes authorized under Federal highway provisions and to carry out its authority independently or in cooperation with any other branch of Government, authority, association, or person. Authorizes the Institute to establish and collect fees from any entity and place them in a special account.
United States · United States Congress · 21 May 1991
National Commemorative Events Advisory Act - Establishes the President's Advisory Commission on National Commemorative Events to: (1) establish criteria for recommending to the President that a proposed commemorative event be approved or disapproved; (2) review proposals for national commemorative events submitted in accordance with procedures published by the Commission; and (3) issue recommendations to the President concerning each proposal reviewed. Prohibits the Commission from issuing a recommendation to the President for approval of certain commemorative events. Provides that the specified period of time designated by the Commission for a commemorative event may not begin unless more than one year after such designation date. Prohibits the Commission from designating the same commemorative event within a single calendar year. Terminates the Commission five years after its first meeting.
United States · United States Congress · 21 May 1991
Condemns the murder of former Prime Minister Rajiv Gandhi and others in the bomb explosion on May 21, 1991. Expresses regret over the deaths of Gandhi and other victims of election violence in India. Offers condolences to Gandhi's widow and children and to the people of India. Stands in solidarity with the Indian people in their effort to sustain the most successful democratic tradition in the developing world.
United States · United States Congress · 20 May 1991
Mental Health Care Amendment Act of 1991 - Amends title XVIII (Medicare) of the Social Security Act to provide coverage of the services of marriage and family therapists, psychiatric nurses, and clinical mental health counselors and supplies furnished incident to such services.
United States · United States Congress · 16 May 1991
Uniformed Services Employment and Reemployment Rights Act of 1991 - Amends Federal veterans' benefits provisions to revise generally provisions relating to the employment and reemployment rights of members of the uniformed services. Expresses the sense of the Congress that the Government should be a model employer in carrying out the reemployment practices enumerated under this Act. States that a person's entitlement to rights and benefits under this Act is dependent upon an honorable discharge from the armed forces and therefore will be terminated in cases of a dishonorable or bad conduct discharge or a separation, release, or dismissal under conditions other than honorable. Prohibits the denial of initial employment, reemployment, retention in employment, promotion, or any benefit of employment by an employer against a person who performs, has performed, applies to perform, or has an obligation to perform service in a uniformed service on the basis of such service or obligation. States that such employer will be considered to have engaged in such prohibited conduct if the person's service, application for service, or obligation is a motivating factor in the employer's action, unless the employer can demonstrate that the action would have been taken in the absence of such service, application, or obligation. Prohibits an employer from discriminating in employment or taking any adverse employment action against any person who has acted to enforce a protection afforded by this Act. Entitles any person absent from employment by reason of the performance of military service to the employment and reemployment rights and benefits of this Act if: (1) the person has given advance notice of such service to the employer; (2) except under certain conditions, the cumulative length of the absence and any previous absences from employment by reason of military service does not exceed five years; and (3) the person reports or applies to such employer upon completion of service in accordance with requirements enumerated under this Act. States that no employer notice is required when precluded by military necessity or when otherwise impossible or unreasonable. Outlines certain conditions under which a person shall remain entitled to employment and reemployment rights and benefits provided under this Act even though the total period of absences from employment by reason of military service exceeds five years. Requires a person to report back to an employer within a specified period after release from duty in order to retain such rights and benefits. Requires a person, when applying for reemployment, to present appropriate documentation showing that the person's application is timely, that he or she has not exceeded the allowed period of service under a military absence, and that the person's entitlement to rights and benefits under this Act have not terminated. Outlines conditions under which the failure of the provision of such documentation by the person returning from service must be excused by the employer. Entitles a person to reemployment in the following positions upon return from duty in the armed forces: (1) if not disabled, to the position in which the person would have been employed if the employment had not been interrupted by such service or a similar position of like status and pay, the duties of which the person is qualified to perform; (2) if not disabled but not unqualified to perform the duties of such position, to the position in which the person was employed upon commencing service or a position with like status and pay, the duties of which the person is qualified to perform; or (3) if disabled, to a position under (1) or (2) above, or an appropriate lesser position that the person is qualified to perform, after the employer makes a reasonable accommodation for such person's disability. Requires the employer, in all cases of reemployment, to make a reasonable effort to train or update the skills required for a person to perform his or her employment duties. States that an employer is not required to reemploy a person if the employer's circumstances have so changed as to make such employment impossible or unreasonable. States that an employer is not required to make accommodations or provide training for a person if such effort would impose an undue hardship on the operation of the employer's business. Gives the employer the burden of proof in such cases. Requires any person who cannot requalify for a like position after duty in the armed forces to be reemployed in any other position that provides similar status and pay, consistent with the circumstances of each case. Provides that if the reemployment of a person under this Act in a particular Government position is not feasible, then the Director of the Office of Personnel Management (OPM) shall ensure that such person is offered an alternative position of employment in the executive branch. Makes such provision inapplicable to a person whose reemployment in a legislative or judicial branch position is not feasible if such person is not eligible to acquire the necessary civil service status. Entitles a person reemployed after duty in the armed forces to all seniority and other rights and benefits that such person would have attained if such employment had not been interrupted by such service. States that such duty will only be considered as a leave of absence for the purpose of determining rights and benefits accruing. Allows a person to be continued under an employer's insurance coverage for up to 18 months during such duty. Prohibits the imposition of an exclusion or waiting period on employer-offered health insurance in connection with coverage of such person upon reemployment if: (1) an exclusion or waiting period would not have been imposed under such coverage had coverage not been terminated as a result of such service; and (2) the condition of such person has been determined by the Secretary of Veterans Affairs not to have been incurred or aggravated in the line of duty. Limits the employer's ability to discharge a person reemployed after military duty, except for cause, for one year or 180 days, depending upon the length of such duty. States that a person whose employment is interrupted by military service shall be entitled to use during such interruption any annual leave with pay accumulated before the commencement of such service. Allows such person to accrue such annual leave during such military service and to use any such additional leave so accumulated. States that a person reemployed under this Act shall be treated as not having incurred a break in service with his or her employer for purposes of determining pension or retirement benefits, with the period of military service considered service with the employer. Requires the employer to fund any employee benefit pension plan in the appropriate amount for such employee. Requires a person reemployed to make appropriate payments to any plan that requires employee contributions for eligibility. States that a person's entitlement to a right or benefit under this Act does not depend on the timing, frequency, or duration of the person's performance of military service or on the nature of such service. Allows any person who claims to have been subject to a wrongful personnel action under this Act, whether involving a Federal, State, or private employer, to submit a complaint regarding such action to the Secretary of Labor (Secretary) for investigation and resolution. Requires the Secretary to carry out such responsibilities through the Assistant Secretary of Labor for Veterans' Employment and Training. Provides that, in the case of an unsuccessful resolution of a complaint for enforcement of rights with respect to a Federal employer, the person may request the Secretary to refer such complaint for litigation before the Merit Systems Protection Board through the Office of Special Counsel. Outlines complaint referral and litigation procedures in such case. Provides for appellate review of Board decisions. Provides that, in the case of an unsuccessful resolution of a complaint for enforcement of rights with respect to a State or private employer, the person may request that the Secretary refer such complaint for litigation in the appropriate U.S. district court through the Attorney General. Provides appropriate jurisdiction and venue for such proceedings. Provides all appropriate judicial remedies, including injunctions and restraining orders. Requires the Secretary, in carrying out investigations under this Act, to have reasonable access to documents considered relevant to the investigation. Gives the Secretary subpoena power for the attendance and testimony of witnesses and the production of documents. Authorizes the Secretary to prescribe regulations for the implementation of provisions of this Act with respect to provision of such rights and benefits by States and private employers. Authorizes the Director of OPM to prescribe such regulations with respect to the Federal Government as an employer. Directs the Secretary to provide those persons performing military service qualifying under this Act, as well as their employers, with information relating to the reemployment and other rights, benefits, and obligations for purposes of this Act. Requires the Secretary, the Attorney General, and the Special Counsel to each report to the Congress on their action taken in the implementation of this Act. Exempts the reemployment rights and benefits provided under this Act from general minimum active-duty service requirements applicable to other Federal veterans' benefits. Authorizes the use of armed forces' and vetrans' educational assistance for tuition and fees attributable to solo fligh training.
United States · United States Congress · 16 May 1991
Support for Democracy, Human Rights, and Fair Trade in China Act of 1991 - Prohibits most-favored-nation treatment for Chinese products. Terminates such prohibition upon the President's certification to the Congress that China: (1) has ceased committing violations of internationally recognized human rights; (2) has ceased persecution of pro-democracy movement members; (3) permits unrestricted emigration; (4) has ceased religious persecution in China and Tibet; (5) has provided adequate protection of U.S. intellectual property rights, opened access to markets, increased purchases of U.S. goods and services, and has not attempted to hide the origin of goods manufactured in China; (6) has demonstrated its good faith participation in international efforts to control the proliferation of sophisticated military weapons and chemical, biological, and nuclear technologies; and (7) has ceased exporting products manufactured by forced or convict labor.
United States · United States Congress · 16 May 1991
Amends the McFadden Act to authorize a national banking association (subject to the approval of the Comptroller of the Currency) to establish and operate interstate branches if the laws of the relevant States explicitly permit such branches within their borders.
United States · United States Congress · 14 May 1991
Elderly and Handicapped Transportation Improvement Act - Amends the Urban Mass Transportation Act of 1964 to authorize the Secretary of Transportation to make grants and loans to private nonprofit corporations and associations to be used to pay operating expenses related to new and existing mass transportation services for elderly and handicapped persons. Authorizes appropriations for FY 1992-1996.
United States · United States Congress · 9 May 1991
Amends the Higher Education Act of 1965 to authorize additional appropriations for the Mary McLeod Bethune Memorial Fine Arts Center of Bethune-Cookman College in Volusia County, Florida.
United States · United States Congress · 8 May 1991
Flight Attendant Duty Time Act - Amends the Federal Aviation Act of 1958 to direct the Secretary of Transportation to initiate a rulemaking proceeding to establish limitations on duty time for flight attendants. Requires the Secretary to issue final regulations by a specified deadline. Prohibits any air carrier from operating an aircraft using a flight attendant who has been on duty in excess of specified hours or who has had less than a specified number of hours of rest if such regulations have not been promulgated by a certain time. Permits modification of the specified hours of duty if the Secretary determines such modification is in the public interest and submits a copy of the modifying regulations to certain congressional committees. Treats a duty period with both domestic and international flight segments as international flying for purposes of calculating duty and rest requirements if the majority of the flight time during such period is on an international or domestic segment.
United States · United States Congress · 25 April 1991
Prevention, Identification, and Treatment of Elder Abuse Act of 1991 - Directs the Secretary of Health and Human Services to establish an office known as the National Center on Elder Abuse to: (1) compile an annual summary of recently conducted research on elder abuse; (2) develop and maintain an information clearinghouse on all programs for the prevention and treatment of such abuse; (3) compile training materials for personnel engaged in elder abuse prevention; (4) provide technical assistance for the planning and implementation of programs relating to the problems of elder abuse; and (5) investigate the causes and national incidence of elder abuse. Authorizes the Secretary to make grants to or enter into contracts with public agencies or nonprofit organizations for demonstration projects designed to prevent and treat elder abuse. Sets forth the terms and conditions for such grants. Authorizes the Secretary to make grants to States for the development and implementation of elder abuse prevention and treatment programs. Requires such States to have in effect a State elder abuse law with mandatory reporting provisions. Sets forth other requirements for eligibility. Prohibits the use of assistance for construction of facilities. Directs the Secretary to establish criteria to achieve equitable distribution of assistance among the States. Authorizes appropriations.
United States · United States Congress · 25 April 1991
Heinz Elder Life Program Act - Amends the Older Americans Act of 1965 to modify the definition of "information and referral" to include services for older individuals that: (1) assess their problems and capacities; (2) link older individuals to available opportunities and needed services; and (3) benefit the entire older community. Elevates the status of the Commissioner on Aging to Assistant Secretary. Directs the Assistant Secretary to establish a Commission to study existing reporting requirements and related programs and make legislative and regulatory recommendations to achieve specified objectives. Includes as functions of the Assistant Secretary the: (1) establishment of information and assistance services as priority services for the aged and aging; and (2) development of guidelines for choosing legal assistance providers and developers. Requires area agencies on aging: (1) to establish an informal grievance procedure for older individuals who are dissatisfied with, or denied, services with further appeal to the appropriate area agency on aging; and (2) in providing legal assistance, to give priority to legal problems related to income, health care, long-term care, nutrition, housing and utilities, defense of guardianship, abuse and neglect, and age discrimination. Requires State plans to also provide priority legal assistance in such areas. Requires technical assistance and training to State long-term care ombudsman programs to include assistance in recruiting and retaining volunteers for ombudsman programs by establishing a national program for recruitment efforts. Requires State agencies on aging to encourage adoption of memoranda of understanding between legal assistance providers and long-term care ombudsman providers that will ensure that the providers will coordinate services to the greatest extent possible. Requires the program for the prevention of abuse, neglect, and exploitation of older individuals to require that State agencies make all reasonable efforts to resolve any conflicts with other public agencies with respect to the confidentiality of information in complaints and other reports of abuse, neglect, or exploitation of older individuals by entering into memoranda of understanding that limit information disclosure according to current guidelines. Establishes a program to provide transportation services to older individuals. Authorizes appropriations. Makes legal assistance agencies eligible to participate in demonstration projects for developmental disabilities and mental illness established under the Developmental Disabilities Assistance and Bill of Rights Act and under the Protection and Advocacy for Mentally Ill Individuals Act of 1986. Reauthorizes and extends such demonstration projects through FY 1993. Adds a new section to provide for demonstration projects to determine the feasibility of using the aging network as the infrastructure for a comprehensive long-term care system. Authorizes appropriations. Directs the Assistant Secretary to establish a program of grants to State agencies to support and assist older individuals by providing legal assistance in areas such as living wills, durable powers of attorney, and other life planning areas. Authorizes appropriations.
United States · United States Congress · 25 April 1991
School-Based Meals for Older Individuals and Intergenerational Programs Act of 1990 - Amends the Older Americans Act of 1965 to establish a program for school-based meals for volunteer older individuals and intergenerational activities for volunteer older individuals and elementary and secondary school students. Directs the Commissioner on Aging to make grants to States for the establishment and operation of projects that: (1) are carried out in elementary and secondary schools; (2) provide hot meals to volunteer older individuals while such schools are in session, during the summer, and (unless waived by the State) on weekdays in the school year when the schools are not in session; (3) provide intergenerational activities in which volunteer older individuals and students interact; (4) provide social and recreational activities for older individuals; (5) develop skill banks that maintain and make available to school officials information on the skills and preferred activities of such individuals so that they may serve as tutors, teacher aides, living historians, special speakers, playground supervisors, and lunchroom assistants and in other roles; and (6) provide opportunities for volunteer older individuals to participate in school activities and use school facilities. Sets forth application procedures. Requires annual program evaluation reports by: (1) States receiving such grants, to the Commissioner; and (2) the Commissioner, summarizing such State reports, to the Congress. Authorizes appropriations. Prohibits program funding for a fiscal year unless certain other programs receive funding for that year which exceeds their FY 1990 levels.
United States · United States Congress · 25 April 1991
Microenterprise Development Act of 1991 - Authorizes the President, acting through the Administrator of the Agency for International Development (AID), to provide assistance for microenterprises in developing countries. Directs AID to establish specified criteria for determining the financial intermediaries that will receive such assistance. Requires a significant portion of such assistance to be used to support direct credit assistance by, and the institutional development of, financial intermediaries with a primary emphasis on assisting people living in absolute poverty, especially women. Outlines funding sources for such assistance. Permits the President, in order to generate local currencies for providing such assistance, to use development and economic support fund assistance to provide assistance to developing countries on a loan basis repayable in local currencies. Sets forth minimum levels of assistance to be provided under this Act. Requires the Administrator to develop a monitoring system to evaluate AID's microenterprise development activities.
United States · United States Congress · 25 April 1991
Designates May 22, 1991, as National Desert Storm Reservists Day to commemorate the accomplishments of the men and women of the reserve components of the U.S. Armed Forces who proudly served the United States during Operation Desert Storm.
United States · United States Congress · 25 April 1991
Expresses the sense of the Senate that: (1) the accession of Taiwan to the General Agreement on Tariffs and Trade (GATT) is in the best interest of the United States and of the world trading system and should be achieved in an expeditious manner; and (2) the United States should take the necessary steps to assure such country's membership in the GATT.
United States · United States Congress · 24 April 1991
Hatch Act Reform Amendments of 1991 - Declares that a Federal employee may take an active part in political management or in political campaigns, except that an employee may not: (1) use official authority or influence for the purpose of interfering with or affecting the result of an election; (2) knowingly solicit, accept, or receive a political contribution from any person, unless such person is a member of the same Federal labor organization or a Federal employee organization with a multicandidate political committee (PAC), such person is not a subordinate employee, and the solicitation is for a contribution to the organization's PAC; (3) run for nomination or election to a partisan political office; or (4) knowingly solicit or discourage the participation in any political activity of any person who has an application for any compensation, grant, contract, ruling, license, permit, or certificate pending before the employing office of such employee or who is the subject of, or a participant in, an ongoing audit, investigation, or enforcement action carried out by the employing office of such employee. Prohibits the employees of the Federal Election Commission (FEC) from: (1) giving a political contribution to another FEC employee, Member of Congress, or an officer of a uniformed service; (2) requesting or receiving such a contribution from any such individuals; or (3) taking an active part in political management or political campaigns. Excludes presidential appointees employed by the FEC from such prohibition. Prohibits an employee from engaging in political activity: (1) while on duty; (2) in any room or building occupied in the discharge of official duties by a Federal employee or official; (3) while wearing a uniform or official insignia identifying the office or position of the employee; or (4) while using any vehicle owned or leased by the Government. Exempts certain high level political appointees from such prohibitions if the costs associated with the political activity are not paid for by money derived from the Treasury. Authorizes the Office of Personnel Management (OPM) to prescribe regulations permitting employees residing in the immediate vicinity of the District of Columbia in Maryland or Virginia, or in a municipality where the majority of voters are Federal employees, to participate in political management and political campaigns involving their area of residence, if OPM determines that such political participation is in their domestic interest. Requires any employee who has been determined by the Merit Systems Protection Board to have twice violated political activity prohibitions to be removed from his or her position. Prohibits such an employee from holding any position of Federal employment other than an elected position. Amends the Federal criminal code to make it unlawful for any person to coerce or attempt to coerce any Federal employee to engage or not engage in any political activity, including: (1) voting; (2) making any political contribution; or (3) working on behalf of any candidate. Includes U.S. Postal Service, Postal Rate Commission, and District of Columbia employees within the coverage of this Act.
United States · United States Congress · 24 April 1991
Judicial Nomination and Confirmation Reform Act of 1991 - Amends the Federal judicial code to require the President to submit a nomination to the Senate to fill a vacancy in the office of a justice or judge within 180 calendar days after the vacancy occurs. Sets forth conditions and procedures for obtaining an extension of such time limitation. Requires the Senate Judiciary Committee, within 90 calendar days after receiving such a nomination, to review the nomination and report it to the Senate for advice and consent. Directs that: (1) a nomination not reported to the Senate within such time limit be discharged from the Committee, without recommendation, for a vote by the Senate on confirmation; and (2) the Senate vote on such confirmation no later than 30 calendar days after receiving it.
United States · United States Congress · 24 April 1991
State Health Service Corps Demonstration Act - Amends the Public Health Service Act to direct the Secretary of Health and Human Services to establish a State Health Service Corps Demonstration Project. Directs the Secretary to make grants under the Project to up to ten States for the Federal share of training and employment of physician and nonphysician providers serving health professional shortage areas. Requires a recipient State to enter into an agreement with an area health education center for the planning, development, and operation of a program of training and recruiting such providers. Sets forth the responsibilities of a center. Authorizes appropriations. Requires each State carrying out a Project to establish a State Health Service Corps Scholarship Program involving a period of service in the service area or on the clinical staff of an area health education center or a medical school in return for a scholarship. Authorizes the official heading the State agency administering the Program to contract with an educational institution for the payment of scholarship or loan amounts.
United States · United States Congress · 24 April 1991
School Readiness Act of 1991 - Title I: Public Health Service Act Provisions - Subtitle A: Comprehensive Primary and Preventive Care for Pregnant Women, Infants and Children - Comprehensive Maternal and Early Childhood Health Care Act - Replaces Public Health Service Act provisions authorizing appropriations for migrant health centers (MHCs) and community health centers (CHCs) with provisions requiring the use of funds appropriated under other provisions to develop, operate, and expand Comprehensive Perinatal and Early Childhood Health Programs in medically underserved areas. Mandates grants to MHCs and CHCs for such programs. Requires the use of funds appropriated under other provisions for planning and developing CHCs to serve medically underserved populations. Amends provisions relating to health services for the homeless to require use of funds appropriated under other provisions to develop, operate, and expand such programs. Mandates grants to grantees under the provisions relating to the homeless for such programs. Directs the Secretary of Health and Human Services, through the Centers for Disease Control (CDC), to provide vaccines to the health department of each State or large city that is operating an immunization project for distribution to grantees under specified provisions, federally qualified health centers, and public health professionals. Requires, in determining the quantity of vaccine needed, that the Administrator of the Health Resources and Services Administration make available to the CDC Director data from annual reports from such grantees and federally qualified health centers. Requires the CDC Director to direct the State or city health department to provide the recipients with an adequate supply of vaccine from the allotment provided to the grantee. Amends the Vaccine and Immunization Amendments of 1990 to replace provisions authorizing grants for vaccine outreach programs with provisions authorizing the Secretary, through the CDC Director, to make grants to States for demonstration projects related to immunization. Authorizes appropriations. Amends the Public Health Service Act to add substance abuse treatment and prevention services to the list of supplemental health services provided by MHCs and CHCs. Replaces provisions mandating grants for prevention, education, and treatment projects regarding drug and alcohol abuse relating to pregnant and postpartum women and their infants with provisions mandating demonstration grants for substance abuse prevention, education, and treatment projects serving such individuals. Requires that services under the grants be provided at locations accessible to low-income pregnant and postpartum women and in the most appropriate language and cultural context. Requires that services eligible for Medicaid payment be provided by an entity qualified to receive Medicaid payments. Limits fees for services. Requires non-Federal contributions in a specified ratio. Limits grants to five years but allows renewal. Makes grant payments subject to annual approval by the Secretary and to the availability of appropriations. Authorizes appropriations. Directs the Secretary, through the CDC Director, to assist the prenatal clinics in the United States in implementing smoking cessation programs to decrease rates of smoking during pregnancy. Authorizes grants to or contracts with State or local health departments and other public entities to assist in implementing programs and policies to prevent and encourage cessation of tobacco use during pregnancy. Authorizes appropriations. Subtitle B: Grants for Home-visiting Services for At-Risk Families - Mandates competitive grants for the Federal share of the costs of home visiting services. Requires that the grants be for at least three years. Requires that the services include case management, with a registered nurse or social worker assigned as the case manager for individual cases. Requires that the case manager develop a family service plan for the client. Sets the Federal share of the grants at a specified percentage. Authorizes appropriations. Title II: Head Start Act - Amends the Head Start Act to direct (currently, authorize) the Secretary, on application by an agency designated (currently, an agency eligible for designation) as a Head Start agency, to provide, subject to appropriations, financial assistance for Head Start programs. Entitles all eligible children to receive services through a Head Start program. Authorizes appropriations to carry out the Act. Declares that provisions of the Omnibus Budget Reconciliation Act of 1990 (excluding receipts and expenditures of the Federal Old-Age and Survivors Insurance Trust Fund and the Federal Disability Insurance Trust Fund from being counted as new budget authority, outlays, receipts, or deficit or surplus for purposes of the U.S. budget, the congressional budget, or the Balanced Budget and Emergency Deficit Control Act of 1985 (Gramm-Rudman-Hollings Act)) shall apply with respect to amounts appropriated under this authorization. Directs the Secretary to make a minimum amount available to carry out the Head Start Transition Project Act.
United States · United States Congress · 23 April 1991
Social Security State and Municipal Bond Fund Act of 1991 - Amends title II (Old Age, Survivors and Disability Insurance) of the Social Security Act to authorize the limited investment of Federal Old-Age and Survivors Insurance Trust Fund amounts in bonds issued by qualified State or local governments under supervision of the Social Security Investment Board established pursuant to this Act. Appropriates to the Federal Old-Age and Survivors Insurance Fund for deposit in the State and Municipal Bond Fund established pursuant to this Act, for each fiscal year, any extra amounts the Federal Old-Age and Survivors Insurance Trust Fund would have earned had its investments been limited to Treasury obligations.
United States · United States Congress · 18 April 1991
Veterans Post-Traumatic Stress Disorder Treatment Act of 1991 - Directs that a veteran diagnosed by the Department of Veterans Affairs as suffering from post-traumatic stress disorder (PTSD) be furnished care and services for such disorder by the Department, even if such disorder has not been determined to be service-connected. Makes eligible for such care and services a veteran who served on active duty in a theater of combat operations during World War II, the Korean conflict, the Vietnam era, the Persian Gulf War, or in any other area during a period in which hostilities occurred in such area. Requires a veteran who is referred by a Vet Center to a Department general health-care facility for a determination regarding such veteran's eligibility for PTSD care and services to be evaluated for diagnostic purposes within seven days of such referral. Requires the Secretary of Veterans Affairs, upon request of any eligible veteran, to furnish counseling to assist the veteran in overcoming any psychological problems associated with such service. Directs the Secretary, no later than December 1, 1991, to devise and initiate a plan to: (1) increase the availability of treatment of veterans suffering from PTSD to levels commensurate with their needs; and (2) enhance outreach activities to inform combat veterans (and their families) of the availability of such treatment and to encourage such veterans to participate in such treatment. Directs the Secretary to report to the Senate and House Veterans' Affairs Committees on the description and implementation of such plan. Directs the Secretary, in preparing such report, to consult with the Special Committee on Post-Traumatic Stress Disorder and the Advisory Committee on Readjustment of Vietnam Veterans.
United States · United States Congress · 18 April 1991
World Summit for Children Implementation Act of 1991 - Provides for assistance in implementing the plan of action adopted by the World Summit for Children. Expresses the sense of the Congress that: (1) the U.S. Government should commit to increasing participation in the special supplemental food program for women, infants, and children under the Child Nutrition Act (the WIC program) by 20 percent per year in FY 1992 through 1996, to reach full participation by the end of FY 1996; and (2) specified amounts should be appropriated for the WIC program in FY 1992 and 1993 to reach such full participation goal. Expresses the sense of the Congress that: (1) the commitment to provide full funding for the Head Start Program, contained in the Human Services Reauthorization Act of 1990, should be implemented in order that the goal of full participation of all eligible three- to five- year-old children can be reached by FY 1994; and (2) specified amounts should be authorized for such funding in FY 1992 through 1994. Amends the Public Health Service Act to direct the Secretary of Health and Human Services to undertake a Children's Vaccine Initiative. Requires that the Director of the National Vaccine Program: (1) plan and coordinate the Initiative; and (2) ensure that the Public Health Service conducts vaccine research, production, and delivery activities under the Initiative in collaboration with non-governmental institutions and with other Federal agencies to ensure the full use of U.S. scientific and industrial capacity to prevent infectious disease. Authorizes appropriations for FY 1992 and 1993. Authorizes appropriations for FY 1992 and 1993 for contributions to the United Nations Children's Fund for activities to promote child health and other assistance programs for children (to carry out specified provisions of the Foreign Assistance Act of 1961). Amends the Foreign Assistance Act of 1961 (the Act) to authorize appropriations for FY 1992 and 1993 for special health needs of children and mothers under the Child Survival Fund. Requires that specified amounts of funds under various provisions for FY 1992 and 1993 be reserved only for such specified child survival activities. Expresses the sense of the Congress that authorization, in such amounts as may be required, should be granted to the President to exercise the (Public Law 480) debt authority with respect to least developed countries that are pursuing reforms to promote long-term economic development (as provided in specified provisions of the Agricultural Trade Development and Assistance Act of 1954, as amended by the Food, Agriculture, Conservation, and Trade Act of 1990). Amends the Act to establish a Vitamin A Deficiency Program. Reserves for such Program specified amounts in FY 1992 and 1993 from funds for development assistance for agriculture, rural development, and nutrition. Requires that specified amounts from certain funds authorized for health-related activities under the Act in FY 1992 and 1993 be reserved for replicable community-based comprehensive reproductive health service programs that broaden other health programs by including strategies that specifically address women's reproductive health needs. Sets forth examples of such strategies, as well as congressional intent that such programs be planned and designed in consultation and participation with those whose needs they serve, and congressional encouragement for using international private voluntary organizations in building such programs. Amends the Act to direct the President, in carrying out provisions for development assistance for health-related activities to promote, encourage, and undertake activities relating to research on, and treatment and control of, acquired immune deficiency syndrome (AIDS) in developing countries. Authorizes appropriations for FY 1992 and 1993, for such purpose, to the International AIDS Prevention and Control Fund. Provides that such amounts shall be in addition to other amounts available for such purpose. Amends the Act to reserve specified amounts in FY 1992 and 1993, from funds for development assistance for education and under the provisions of the Act, for international basic education, including early childhood education, primary education, teacher training, other support activities, and adult literacy training. Expresses the sense of the Congress that at least specified minimum amounts should be appropriated for the Migration and Refugee Assistance account, and that at least specified minimum portions of such funds should be reserved for programs of refugee assistance overseas (in addition to amounts available for programs for Soviet, Eastern European, and other refugees resettling in Israel). Amends the Act to replace provisions for certain disadvantaged children in Asia with provisions for assistance to children in exceptionally difficult circumstances. Includes among such children street children, AIDS orphans, other orphaned and abandoned children, and children displaced by armed conflict, poverty, famine, or other disasters. Reserves specified minimum portions of certain funds under the Act in FY 1992 and 1993 for assistance for such children. Requires that such assistance be made available in accordance with policies and general authorities under certain disaster assistance provisions. Directs the President to report annually to the Congress on U.S. contributions to the achievement of the goals of the World Summit for Children, including U.S. efforts to achieve such goals in the United States and in other countries, with an analysis of past, current, and planned funding levels.
United States · United States Congress · 18 April 1991
Amends the Public Health Service Act to mandate grants to establish at least six projects in which addicted mothers in residential drug abuse treatment facilities are allowed to have their children reside with them during treatment. Authorizes appropriations.
United States · United States Congress · 18 April 1991
Requires interest income from certain qualified leased property transactions of rural electric cooperatives to be offset by rental expenses of such transactions before allocating income or expense to members and nonmembers of such cooperatives for purposes of the accelerated cost recovery system of the Internal Revenue Code.
United States · United States Congress · 18 April 1991
Amends the Internal Revenue Code to provide that certain revenue received by tax-exempt organizations that conduct amateur athletic events shall not be treated as taxable unrelated business income.
United States · United States Congress · 18 April 1991
Amends the Federal veterans' and armed forces educational assistance programs to provide that, in the case of an active-duty or reserve member student who fails to complete a course of study under such programs due to being called to active duty or given increased work in connection with the Persian Gulf War, both the amount of educational assistance received and the time spent pursuing that course of study will not be counted against such student for purposes of his or her general entitlement to educational benefits under the appropriate educational assistance program. Restores the full amount available to such student veteran as if the interrupted course had not been taken. States that such exclusion shall also apply to members of the Selected Reserve pursuing courses of study (and similarly interrupted) under the armed forces' educational assistance program. Amends Federal armed forces provisions to provide that, in the case of a member of the reserves called to active duty in connection with the Persian Gulf War: (1) the period of such active duty may not be considered in determining the expiration date for eligibility for educational assistance benefits provided under the Montgomery GI Bill; and (2) the member may not be considered to have been separated from the reserves, for purposes of commencement of the delimiting period for the use of such educational benefits.
United States · United States Congress · 18 April 1991
Fairness in Medicaid Funding Act of 1991 - Amends title XIX (Medicaid) of the Social Security Act to change the Federal medical assistance percentage used under the Medicaid program. Bases payments to the States for administration costs on the Federal medical assistance percentage.
United States · United States Congress · 18 April 1991
Declares that the Senate expresses its: (1) regret that Senator Pryor's illness will require his absence from the Senate Chamber; and (2) heartfelt wishes to him for a speedy and complete recovery, and that he return to his duties, serving the people of Arkansas, in the near future.
![Official portrait of Sen. Graham, Bob [D-FL]](https://www.congress.gov/img/member/g000352_200.jpg)