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Official portrait of Sen. Kassebaum, Nancy Landon [R-KS]

Sen. Kassebaum, Nancy Landon [R-KS]

United States · Official source

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2,143 records where Sen. Kassebaum, Nancy Landon [R-KS] is listed as a sponsor, author, or other actor. Search with topics and years

Bill· SS. 2216 (103rd)open

A bill to state the sense of Congress on the production, possession, transfer, and use of anti-personnel landmines, to place a moratorium on United States production of anti-personnel landmines, and for other purposes.

United States · United States Congress · 21 June 1994

Expresses the sense of the Congress that the President should actively seek: (1) an international agreement prohibiting the production, possession, transfer, and use of antipersonnel landmines; and (2) in the interim, international agreements to further limit the production, possession, transfer, and use of such landmines. Expresses the sense of the Congress that a U.S. moratorium on the purchase and production of such landmines would encourage other nations to adopt similar measures. Establishes such moratorium for a one-year period beginning 90 days after enactment of this Act. Calls for the President to urge other nations to adopt such a moratorium. Allows the moratorium to be extended. Earmarks funds authorized under the current Department of Defense Authorization Act for improving landmine detection and neutralization. Directs the Administrator of the Agency for International Development and the Secretary of State to jointly submit to the Congress a report containing an analysis of the social, economic, and environmental costs and effects of the use of antipersonnel landmines. Directs the Secretary of Defense to report to the Congress on the total number of U.S. military personnel killed or wounded by such landmines during World War II, the Korean conflict, the Vietnam era, and the Persian Gulf War.

Bill· SS. 2183 (103rd)referred

World War II Peace Accords Commemorative Coin Act

United States · United States Congress · 14 June 1994

World War II Peace Accords Commemorative Coin Act - Expresses the sense of the Congress that: (1) the 50th anniversary of the signing of the World War II peace accords on the U.S.S. Missouri should not go unrecognized at the national level; and (2) the United States should recognize such anniversary by minting and issuing a commemorative coin. Sets forth specifications for half dollar clad coins. Mandates that the surcharges received from the sale of such coins be paid by the Secretary of the Treasury to the Admiral Nimitz Foundation for the purpose of preserving the Pacific War heritage of the United States.

Bill· SS. 2168 (103rd)referred

Prescription Drug Marketing Reform Act of 1994

United States · United States Congress · 8 June 1994

Prescription Drug Marketing Reform Act of 1994 - Amends the Federal Food, Drug, and Cosmetic Act to prohibit the distribution of prescription drug samples. Exempts from such prohibition any programs established by drug manufacturers or distributors for specifically identified patients in financial need. Imposes criminal penalties for violations of this Act.

Bill· SS. 2127 (103rd)referred

Railroad Grade Crossing Safety Act of 1994

United States · United States Congress · 18 May 1994

Railroad Grade Crossing Safety Act of 1994 - Amends the Federal Railroad Safety Act of 1970 to direct the Secretary of Transportation (Secretary) to establish uniform standards regarding the allocation of responsibility for selection and installation of signal devices at public railroad-highway grade crossings. (Sec. 3) Requires the Secretary to conduct a rulemaking proceeding to require that each State highway safety management system include: (1) public railroad-highway grade crossing closure plans that are aimed at eliminating high-risk or redundant crossings; and (2) railroad-highway grade crossings policies that limit the creation of new at-grade crossings for vehicle or pedestrian traffic, recreational use, or any other purpose. (Sec. 4) Requires the Secretary to establish an emergency "800" telephone number notification system that the public can use to convey to railroads information about malfunctions or other safety problems at such crossings. Prohibits a court from holding the Secretary or other Federal agency, or State or local government agency liable for damages caused by any action or failure to perform a duty under this Act. Authorizes appropriations. (Sec. 5) Authorizes appropriations for Operation Lifesaver, Inc. (Sec. 6) Requires the Secretary to ensure that the National Intelligent Vehicle-Highway Systems Program addresses the use of intelligent vehicle-highway system technologies to promote safety at railroad-highway grade crossings. (Sec. 7) Directs the Secretary to promulgate regulations to prohibit the driver of a motor vehicle transporting hazardous materials in commerce, and of any commercial vehicle, from driving such vehicle onto a railroad-highway crossing without having sufficient space to drive through the crossing without stopping. Sets forth civil penalties for persons who deface signs or devices or who trespass on such crossings. (Sec. 8) Amends the Commercial Motor Vehicle Safety Act of 1986 to require the Secretary to issue regulations establishing sanctions and penalties for persons who operate a commercial motor vehicle and violate laws pertaining to railroad-highway grade crossings. (Sec. 9) Requires the National Highway Traffic Safety Administration, and the Office of Motor Carrier Safety within the Federal Highway Administration, to cooperate with the National Association of Governors' Highway Safety Representatives, the Commercial Vehicle Safety Alliance, and Operation Lifesaver, Inc., to improve enforcement of laws pertaining to railroad-highway grade crossings.

Bill· SS. 2071 (103rd)open

Congressional Accountability Act

United States · United States Congress · 4 May 1994

Congressional Accountability Act - Makes specified Federal statutes (or provisions thereof) applicable to the offices and employees of the legislative branch of the Federal Government, including (with exceptions): (1) the Fair Labor Standards Act of 1938 (FLSA); (2) the Occupational Safety and Health Act of 1970 (OSHA); (3) the Civil Rights Act of 1964; (4) the Age Discrimination in Employment Act of 1967; (5) the Americans with Disabilities Act of 1990 (ADA); (6) the Rehabilitation Act of 1973; (7) the Family and Medical Leave Act of 1993; (8) the Employee Polygraph Protection Act of 1988; (9) the Worker Adjustment and Retraining Notification Act; (10) the Freedom of Information Act (FOIA); (11) the Privacy Act of 1974 (Privacy Act); and (12) provisions governing Federal labor-management relations. (Sec. 3) Establishes in the legislative branch an Office of Compliance. Provides for a Board of Directors: (1) to issue regulations that specify the manner in which provisions of this Act shall be implemented to ensure compliance; (2) when proposing regulations, to recommend to the Congress any needed changes in or repeals of existing law to accommodate the application of such provision to its employees and offices; and (3) to study provisions of Federal law relating to employment, personnel actions, or availability of information to the public that are similar to such provision and that do not apply to congressional offices or employees, and recommend to the Congress whether any of those provisions should be applied to congressional offices or employees. Sets forth congressional disapproval procedures with respect to the issuance of regulations of, and rulemaking by, the Office. Requires the Board to carry out a program to inform Members of Congress, congressional employees, and heads of congressional offices as to the provisions, including remedies, made applicable to the legislative branch. (Sec. 5) Sets forth procedures for consideration of alleged violations of civil rights and personnel requirements, including: (1) step I, counseling; (2) step II, mediation; and (3) at the election of the employee alleging the violation, step IIIA, formal complaint and hearing by a hearing board, and step IV, judicial review of a hearing board decision by the U.S. Court of Appeals for the Federal Circuit, or step IIIB, a civil action in a U.S. district court. (Sec. 11) Sets forth procedures for consideration of alleged violations relating to: (1) information requirements; and (2) labor management and occupational health and safety requirements. (Sec. 13) Makes FOIA and the Privacy Act inapplicable to specified offices, including the personnel offices of Members of Congress, congressional committees, and the offices of any caucus or partisan organization related to the Congress. (Sec. 15) Treats intimidation of, or reprisal against, a congressional employee by any Member or officer of the Congress, any head of a congressional office, or any congressional employee, because of the exercise of a right under this Act, as an unlawful employment practice. (Sec. 16) Sets forth provisions regarding confidentiality with respect to counseling, mediation, hearings, release of records for judicial review, and access by congressional committees. (Sec. 17) Requires the Office, on a regular basis and at least once during each Congress, to request that the Secretary of Labor and the Architectural and Transportation Barriers Compliance Board detail to the Office such personnel as necessary to inspect the facilities of the legislative branch to ensure compliance with OSHA, FLSA, and ADA. (Sec. 18) Requires the executive director of the office (appointed by the chairperson of the Board) to: (1) collect information with respect to complaints filed under this Act; and (2) submit for publication in the Congressional Record a report containing such information, without identifying parties by name. (Sec. 19) Specifies that it shall not be a violation to consider the party affiliation, domicile, or political compatibility with the employing office of an employee with respect to employment decisions issued under this Act. (Sec. 20) Prohibits a congressional employee from commencing a judicial proceeding to redress practices prohibited under this Act, except as provided in this Act. (Sec. 22) Authorizes appropriations.

Resolution· SRESS.Res. 207 (103rd)passed

A resolution expressing the sense of the Senate regarding the tragic humanitarian and political catastrophe in Rwanda.

United States · United States Congress · 26 April 1994

Deplores the massacre of civilians and individuals sympathetic to the political opposition in Rwanda by the Rwandan military and associated groups, as well as the Rwandan Patriotic Front. Commends President Clinton for his condemnation of and response to this crisis and the U.S. Ambassador to Rwanda, David Rawson, for his efforts in ensuring the safe and swift evacuation of Americans. Calls on: (1) all parties to exercise restraint and control over their forces, accede to and respect an immediate ceasefire, ensure the safety of innocent civilians, guarantee free passage of humanitarian assistance, and recommit themselves to the principles set forth in the Arusha peace accords; and (2) the United Nations (UN) to consider military and diplomatic options which are consistent with the Arusha accords and will ensure the safety of innocent civilians, assist in monitoring an eventual ceasefire or peace agreement, facilitate the delivery of humanitarian relief, and ensure the viability of these options. Urges: (1) the UN and the Organization of African Unity to continue efforts to gain agreement on a credible ceasefire and to facilitate negotiations between the parties to the conflict based upon such accords; and (2) President Clinton to continue diplomatic efforts to achieve prompt resolution of the crisis in Rwanda.

Bill· SJRESS.J.Res. 181 (103rd)referred

United Negro College Fund 50th Anniversary Resolution

United States · United States Congress · 14 April 1994

United Negro College Fund 50th Anniversary Resolution - Designates May 8 through 14, 1994, as United Negro College Fund Week.

Bill· SS. 2010 (103rd)referred

Better Pharmaceuticals for Children Act

United States · United States Congress · 12 April 1994

Better Pharmaceuticals for Children Act - Amends the Federal Food, Drug, and Cosmetic Act to prescribe guidelines under which the Secretary of Health and Human Services shall defer for a six-month period the effective date for approved drug applications pending the conduct of clinical trials in the pediatric population.

Bill· SS. 2006 (103rd)referred

Private Property Rights Act of 1994

United States · United States Congress · 25 March 1994

Private Property Rights Act of 1994 - States that the Congress declares that it is the policy of the Federal Government to use all practicable means and measures to minimize Federal takings of private property. Directs Federal agencies to certify to the Attorney General that a private property taking impact analysis has been completed before initiating any action which could result in a taking or diminution of use or value of private property. Requires that the policies, regulations, and public laws of the United States be interpreted and administered in accordance with the policies under this Act. Specifies the content of such an analysis and requires a copy to be transmitted to the owner of the affected property, as well as made available to the public. Creates a rebuttable presumption that unmodified analyses five years or older are outdated for purposes of any agency action or administrative or judicial proceeding. Sets the statute of limitations for court actions for enforcing this Act.

Bill· SS. 1995 (103rd)reported

Health Centers Reauthorization Act of 1994

United States · United States Congress · 25 March 1994

Health Centers Reauthorization Act of 1994 - Amends the Public Health Service Act to reauthorize migrant, community, and homeless health center programs, and health services programs for residents of public housing.

Bill· SS. 1997 (103rd)referred

Poverty Data Improvement Act of 1994

United States · United States Congress · 25 March 1994

Poverty Data Improvement Act of 1994 - Requires the Secretary of Commerce to biennially produce and publish data relating to the incidence of poverty for each State, county or borough, and local government, including Alaska native villages, (compiled from the most recent decennial census and for each school district). Authorizes such data to be produced by means of sampling, estimation, or any other method that the Secretary determines will produce current, comprehensive, and reliable data. Authorizes the Secretary to aggregate school districts if reliable data could not otherwise be produced for each school district, but only to the extent necessary to achieve reliability. Requires such data to be appropriately identified and accompanied by a detailed explanation as to how and why aggregation was used (including the measures taken to minimize any such aggregation). Requires the Secretary, if unable to produce and publish such data for any area, to report to the President of the Senate and the Speaker of the House of Representatives on each government or school district excluded and the reasons therefor.

Bill· SS. 1981 (103rd)open

Orphan Drug Act Amendments of 1994

United States · United States Congress · 24 March 1994

Orphan Drug Act Amendments of 1994 - Amends the Federal Food, Drug, and Cosmetic Act to change from seven to four years the period of market exclusivity guaranteed to any approved orphan drug. Specifies that orphan drugs of "limited commercial potential," as defined by regulations to be issued by the Department of Health and Human Services, would qualify for an additional three years of exclusive marketing rights. Permits more than one company to put a particular orphan drug on the market in instances where both companies were working on the drug in roughly the same time frame. Provides for the withdrawal of exclusive marketing rights if the patient population for the approved treatment exceeds 200,000. Extends the authorization of the research grant program. Replaces the existing Orphan Products Board with an Office for Orphan Diseases and Conditions.

Bill· SS. 1955 (103rd)referred

Budget Process Reform Act

United States · United States Congress · 22 March 1994

TABLE OF CONTENTS: Title I: Statement of Congressional Purpose Title II: Binding Budget Law Title III: Enforcement Mechanics Title IV: Sustaining Mechanism Title V: Protection of Social Security Title VI: Timetable Title VII: Conforming Amendments Title VIII: Definitions and Rules of Interpretation Title IX: Effective Date Budget Process Reform Act - Title I: Statement of Congressional Purpose - Declares that the purpose of this Act is to facilitate rational, informed, and timely decisions by the Congress in the course of the Federal budget process. (Sec. 102) Expresses the sense of the Congress that the Federal budget process should focus the attention of policymakers and the public on the aggregate impact of Federal spending on the economy, and on the tradeoffs that must be made among priorities in order to control overall levels of spending. (Sec. 103) Declares that the budget process should contain safeguards against delay and inaction, so that temporary shut-downs of the Government may be avoided. Title II: Binding Budget Law - Requires the Congress to enact a binding budget law, in the form of a joint resolution, by April 15 of the calendar year before that in which the fiscal period commences. (Sec. 202) Makes it out of order in the House of Representatives of the Senate to consider any spending bill affecting spending in a major functional category unless and until a joint resolution on the budget is enacted. (Sec. 203) Amends the Congressional Budget Act of 1974 to prohibit baseline budgeting. (Sec. 204) Requires the President to submit to the Congress on or before the 15th day after a joint resolution on the budget is enacted a detailed budget for the fiscal period beginning on October 1 of the current calendar year. Title III: Enforcement Mechanics - Subtitle A: Supermajority Required to Break Budget Law - Requires a three-fifths majority vote in the House and the Senate to consider any spending bill prior to the enactment of the budget law. (Sec. 302) Requires the Congressional Budget Office to provide to the Congress an estimate of the costs in each major functional category of certain spending bills as soon as practicable after its introduction. Requires a three-fifths affirmative vote in the House and the Senate to consider over-budget spending bills. Requires a three-fifths affirmative vote in the House and the Senate to waive any provision of this Act. Subtitle B: Limited Enhanced Rescission Authority - Amends the Impoundment Control Act of 1974 to limit the President's rescission authority to spending that is above the limits of the budget law. Subtitle C: "Blank Check" Appropriations Prohibited - Declares the intent of the Congress to end open-ended, "blank check" appropriations which typically authorize spending "such sums as may be necessary." Requires fixed-dollar appropriations for every account except social security and interest on the debt. Prohibits open-ended appropriations. Requires Executive agencies to adjust benefit levels to ensure that appropriations for entitlement programs are not exceeded. (Sec. 309) Restricts budget authority and entitlement authority to one fiscal period. Subtitle D: "Pay As You Go" Requirement for New Spending - Prohibits the Congress from considering any legislation which exceeds the budget ceiling unless it offsets such increased spending with an equal amount of reductions. Requires a three-fifths affirmative vote in the House and the Senate to waive such prohibition. Title IV: Sustaining Mechanism - Makes appropriations to provide for an automatic continuing resolution if for any account an appropriation for a fiscal period does not become law before the beginning of such period. (Sec. 403) Restricts legislation providing funding to the Committees on Appropriations. Title V: Protection of Social Security - Provides that no reduction in benefits under title II of the Social Security Act (Old Age, Survivors and Disability Insurance) shall be made as a consequence of this Act. Title VI: Timetable - Revises the timetable for the congressional budget process. Title VII: Conforming Amendments - Makes various technical and conforming amendments, including changing references to a concurrent resolution on the budget to references to a joint resolution on the budget. Title VIII: Definitions and Rules of Interpretation - Sets forth definitions for specified terms. Title IX: Effective Date - Declares the effective date of this Act to be January 1, 1995, applicable to fiscal years beginning after September 30, 1995.

Bill· SS. 1942 (103rd)open

Local Rail Freight Assistance Reauthorization Act of 1994

United States · United States Congress · 17 March 1994

Local Rail Freight Assistance Reauthorization Act of 1994 - Amends the Department of Transportation Act with respect to local rail service assistance to authorize appropriations for FY 1995 through 1997.

Bill· SS. 1950 (103rd)open

Occupational Safety and Health Reform Act

United States · United States Congress · 17 March 1994

Occupational Safety and Health Reform Act - Amends the Occupational Safety and Health Act of 1970 (OSHA) to include coverage of Federal employees of the legislative, executive, and judicial branches. (Sec. 3) Requires a regulatory flexibility analysis for each OSHA standard promulgated. Requires a continuing comprehensive economic analysis of the costs and benefits of each OSHA standard, and biennial reports by the Secretary of Labor to the Congress. (Sec. 4) Prohibits citation for violation of a standard for which the employer has a variance pending for at least 90 days. (Sec. 5) Revises inspection provisions. Requires inspections to be conducted by at least one individual trained in and knowledgeable of the industry or the types of hazards. Provides for fire hazard inspection training and referral. Prohibits routine inspections of employers of ten or fewer employees if such employers are: (1) farming operations which do not maintain a temporary labor camp; and or (2) in a category of employers having an occupational injury or a lost day rate which is less than the national average. Grants the Secretary discretion in determining which employer complaints must receive formal inspection responses. (Sec. 6) Directs the Secretary to establish a voluntary compliance program granting partial exemption from OSHA general inspections for employers who either retain certain consultation or certification programs or have an exemplary safety record and a safety and health program meeting specified criteria. Makes certain restrictions under the National Labor Relations Act inapplicable to employer involvement with employee health and safety committees. (Sec. 7) Adds employer defenses of employee misconduct or alternative safer methods. (Sec. 8) Extends the period for employer contests of citations by the Occupational Safety and Health Review Commission. Requires deference to be given the Commission's reasonable conclusions with respect to questions of law. (Sec. 9) Revises procedures for discrimination protection for whistle-blowers under OSHA, including extending the time for filing complaints, and providing for reviews, appeals, and mediation. (Sec. 10) Revises enforcement, including special conditions and practices, a mandatory special emphasis program, and investigations of deaths and serious incidents. (Sec. 11) Revises penalties in general, and with respect to special assessments, citations, and victims' rights. (Sec. 12) Requires States to make their applicable labeling, content, and hazard information requirements identical to OSHA standards. Authorizes waivers to State safety and health programs. (Sec. 13) Authorizes employers to establish alcohol and substance abuse testing programs where there is a reasonable probability that any employee's safety or health could be endangered because of use of alcohol or a controlled substance in the workplace. Directs the Secretary to establish standards for such programs. (Sec. 14) Establishes small business assistance and training programs, including: (1) model injury prevention programs completion of which qualifies employers for certain exemptions and reductions in penalties; (2) technical assistance and consultative services for employers and employees, targeted at small businesses and the most hazardous industries; and (3) certain consultative services to employers provided under cooperative agreements between the States and the Occupational Safety and Health Administration. (Sec. 15) Directs the Secretary to periodically make an award to companies and other organizations which have exemplary safety and health programs.

Bill· SS. 1943 (103rd)referred

Job Training Consolidation Act of 1994

United States · United States Congress · 17 March 1994

TABLE OF CONTENTS: Title I: Use of Federal Funds for State Employment Training Activities Title II: Development of State Employment Training Systems Subtitle A: Commission on Employment and Training Subtitle B: Consolidation of Employment Training Programs Job Training Consolidation Act of 1994 - Consolidates Federal employment and training programs. Grants waivers to States and localities to coordinate program services during a transition period. Establishes a national commission to develop a national policy for a comprehensive system of such services, with State and local responsibility for, and private sector involvement in, design and implementation of such services. Title I: Use of Federal Funds for State Employment Training Activities - Allows States and localities that receive formula assistance for covered activities under specified Federal employment training programs, or certain discretionary assistance, or States that apply for funds for trade adjustment assistance services, to: (1) use such assistance to develop a comprehensive statewide employment training system; or (2) use assistance that would otherwise have been used for two or more covered activities to address unemployed persons' high priority needs for employment training services, improve efficiency in delivery of covered activities, or combine or eliminate overlapping or duplicative activities. (Sec. 105) Requires State and locality reports on use of such assistance. Title II: Development of State Employment Training Systems - Subtitle A: Commission on Employment and Training - Establishes the Commission on Employment and Training. (Sec. 204) Terminates the Commission after its report. (Sec. 205) Authorizes appropriations. Subtitle B: Consolidation of Employment and Training Programs - Repeals, 29 months after enactment of this Act, the following: (1) the Job Training Partnership Act; (2) the Carl D. Perkins Vocational and Applied Technology Act; (3) certain literacy programs under the Adult Education Act; (4) the JOBS program for AFDC recipients under the Social Security Act; (5) trade adjustment assistance services under the Trade Act of 1974; (6) the Wagner-Peyser Act (employment services); (7) vocational rehabilitation services under the Rehabilitation Act of 1973; (8) employment and training program provisions under the Food Stamp Act of 1977; (9) the Refugee Education Assistance Act of 1980; (10) the State legalization impact assistance grant program under the Immigration Reform and Control Act of 1986; (11) education, training, and community services programs under the Stewart B. McKinney Homeless Assistance Act; and (12) community service employment for older Americans under the Older Americans Act of 1965. (Sec. 212) Directs the Commission on Employment and Training to conduct a study to: (1) develop a single, coherent national policy to guide federally funded employment training efforts; (2) review specified programs and reports, and examine strategies to consolidate or eliminate the programs and activities scheduled to be repealed to create a single, comprehensive employment training system that gives States maximum flexibility and leads to single, integrated approaches to providing information on all available employment training services and to job training that involves private employers in locally established initiatives; (3) examine strategies involving private employers in local training linked to available employment opportunities; (4) determine the best administrative structure for such system, and the agency to conduct Federal oversight; (5) examine strategies for a national online labor market information system; and (6) determine standards for Federal measurement of program effectiveness, State provision of effective services, and a common terminology. Requires the Commission to submit: (1) a report on such study and recommendations to specified congressional committees; and (2) to the Congress, a draft of a joint resolution to consolidate or eliminate the covered programs and activities to create the national system, implement the strategies, establish or designate the agency and the structure, establish the labor market information system, and implement the standards. (Sec. 213) Sets forth an expedited procedure for congressional consideration of the Commission's proposed reforms in its draft of the joint resolution.

Bill· SS. 1933 (103rd)referred

A bill to repeal the Medicare and Medicaid Coverage Data Bank, and for other purposes.

United States · United States Congress · 15 March 1994

Abolishes the Medicare and Medicaid Coverage Data Bank established under the Omnibus Budget Reconciliation Act of 1993. Directs the Secretary of Health and Human Services to study and report to the Congress on how to achieve the former objectives of such entity in the most cost-effective manner.

Bill· SS. 1920 (103rd)referred

Safe Drinking Water Act Amendments of 1994

United States · United States Congress · 10 March 1994

Safe Drinking Water Act Amendments of 1994 - Amends the Safe Drinking Water Act to require the Administrator of the Environmental Protection Agency, in the case of specified contaminants listed in the Federal Register for which national primary drinking water regulations have not been issued, to: (1) publish maximum contaminant level (MCL) goals and issue such regulations for those contaminants that occur in drinking water at a level of public health concern; and (2) eliminate monitoring, compliance, and enforcement requirements for those contaminants that do not occur in drinking water at levels of public health concern. (Current law requires the promulgation of such goals and regulations for specified numbers of such contaminants by certain dates.) (Sec. 4) Directs the Administrator to promulgate such goals and regulations for new contaminants every five years. Requires the Administrator to identify best technology treatment techniques that may be used to meet MCLs for public water systems serving fewer than 1,000, between 1,000 and 10,000, and more than 10,000 people. Directs the Administrator to promulgate national primary drinking water regulations for radionuclides, disinfection and corrosion byproducts, and sulfate. (Sec. 7) Revises provisions concerning variances from such regulations to permit the issuance of a variance by a State only if the water system cannot afford to install the best available technology to meet the MCL and it is not feasible for the system to connect with another source of water that will meet the standards. Requires variances to be reviewed by the State at least every three years. (Sec. 8) Repeals provisions that authorize States to exempt public water systems from requirements respecting MCLs or treatment techniques. (Sec. 9) Prohibits treated drinking water from being removed from a public water system or routed through any device or pipes outside the system and returned to the system. Includes such action in the definition of "tampering," a violation for which criminal penalties are imposed. Makes such prohibition inapplicable to pipes and devices totally within the control of one or more public water systems or to connections between water mains. (Sec. 11) Requires (currently, authorizes) the Administrator to conduct research relating to diseases and other impairments resulting from contaminants in drinking water or to the provision of a safe supply of drinking water. Authorizes appropriations. (Sec. 12) Extends the authorization of appropriations for grants for State public water system supervision programs. (Sec. 13) Requires the Administrator to promulgate revised regulations every five years that list up to 30 unregulated contaminants to be monitored by public water systems. Directs the Administrator to assemble a national drinking water occurrence data base to include information on the occurrence of regulated and unregulated contaminants. (Sec. 16) Requires the Administrator to make capitalization grants to States to establish State drinking water treatment revolving loan funds. Reserves the following amounts from such grants: (1) one percent for financial assistance to Indian tribes for the improvement of public water systems; and (2) .5 percent to respond to public health emergencies. Sets aside specified dollar amounts for rural small drinking water systems technical assistance programs and drinking water health effects research. Authorizes the Administrator to make grants for public water system improvement to the District of Columbia and specified U.S. territories. Requires 15 percent of amounts in a State loan fund to be available solely for assistance to public water systems that serve fewer than 10,000 individuals. Directs States to prepare intended use plans prior to receiving grants. Requires priority for the use of funds to be given to systems that are in violation of a national primary drinking water regulation. Requires the Administrator to submit quadrennially to the Congress a survey of the needs of facilities eligible for State loan fund assistance. Authorizes appropriations. (Sec. 17) Permits the Administrator to provide financial assistance to minority communities with economic hardship for eligible wastewater treatment projects. (Sec. 18) Authorizes the Administrator to transfer funds to another Federal agency or award grants to any appropriate entity or border State (Arizona, California, New Mexico, or Texas) to provide assistance to low-income communities (colonias) in such areas that lack basic sanitation facilities for: (1) the conservation, development, use, and control of water; and (2) the construction or improvement of sewers, wastewater treatment works, and essential community facilities. Requires such funds to be used in communities subject to a significant health risk attributable to lack of access to a water supply system or wastewater treatment works. Authorizes appropriations.

Law· SS. 1913 (103rd)enacted

A bill to extend certain compliance dates for pesticide safety training and labeling requirements.

United States · United States Congress · 9 March 1994

Extends the compliance date for certain provisions of the worker protection standard with respect to pesticide safety requirements under the Code of Federal Regulations (CFR) from April 15, 1994, to January 1, 1995. Directs the Administrator of the Environmental Protection Agency to: (1) develop and distribute pesticide safety training materials that convey, at a minimum, information set forth in the CFR; and (2) assist the appropriate Federal, State, and tribal agencies in implementing required pesticide safety training programs. Provides that until January 1, 1995, the labeling requirements set forth for pesticides and devices in the CFR that are due to become effective on April 21, 1994, may be enforced only in a State that has established a worker protection program with respect to such pesticides and devices and for purposes of enforcing such a program. Considers State worker protection programs to have met CFR requirements until January 1, 1995, after which time the Administrator shall reassess such programs. Directs pesticide registrants, beginning April 22, 1994, to provide information for point-of-sale notification to inform purchasers of pesticides that the applicable compliance date for labeling is January 1, 1995.

Bill· SS. 1891 (103rd)open

Welfare and Medicaid Responsibility Exchange Act of 1994

United States · United States Congress · 7 March 1994

Welfare and Medicaid Responsibility Exchange Act of 1994 - Provides for the termination of AFDC (Aid to Families with Dependent Children), JOBS (Job Opportunities and Basic Skills Training Program), WIC (Special Supplemental Food Program for Women, Infants, and Children), and food stamp programs after FY 1995, shifting financial responsibility to the States for providing similar assistance to low-income individuals, with such assistance paid for out of a reduction in the State's share of Medicaid funding equivalent to the Federal welfare savings. Federalizes the Medicaid program after FY 2000, relieving States of their administrative or financial responsibility for it.

Bill· SS. 1889 (103rd)referred

A bill to amend title XIX of the Social Security Act to make certain technical corrections relating to physicians' services.

United States · United States Congress · 7 March 1994

Amends title XIX (Medicaid) of the Social Security Act to make technical corrections to provisions added by the Omnibus Budget Reconciliation Act of 1990 in order to allow children and pregnant women to receive Medicaid services from osteopathic physicians and in emergency departments of hospitals.

Bill· SS. 1884 (103rd)referred

Comprehensive Immigration and Asylum Reform Act of 1994

United States · United States Congress · 2 March 1994

TABLE OF CONTENTS: Title I: Alien Smuggling Control Title II: Port of Entry Inspections Title III: Penalties for Document Fraud and Misrepresentation Title IV: Asylum Reform Title V: Illegal Immigration and Border Security Title VI: Border Crossing User Fee Title VII: Detention of Illegal Aliens Title VIII: Public Benefits Abuse Title IX: Work Authorization Verification Title X: Numerical Limitations on Admission of Aliens into the United States Title XI: Miscellaneous Provisions Comprehensive Immigration and Asylum Reform Act of 1994 - Title I: Alien Smuggling Control - Amends the Immigration and Nationality Act to: (1) increase the penalty for alien smuggling; (2) provide an additional penalty for a smuggler who subjects an alien to a substantial risk of death or bodily harm; and (3) subject any smuggler to the death penalty for causing the death of an alien. (Sec. 103) Makes it a crime to smuggle aliens for the purpose of committing crimes in the United States. (Sec. 104) Adds smuggling to RICO. (Sec. 105) Expands Immigration and Naturalization Service (INS) seizure authority to permit the seizure of any property used for smuggling or harboring aliens. (Sec. 106) Grants the INS wiretap authority for alien smuggling investigations. (Sec. 111) Expands the definition of aggravated felony for purposes of the immigration laws to include firearms violations, child pornography, RICO violations, and specified other crimes. (Sec. 112) Presumes deportable any alien convicted of an aggravated felony. Provides for the elimination of an administrative hearing for an alien convicted of an aggravated felony who is not lawfully admitted for permanent resident or is a conditional permanent residence. Eliminates other specified deportation procedures for such aliens. (Sec. 113) Permits a U.S. district court to enter a judicial order of deportation at the time of sentencing an alien. (Sec. 114) Restricts certain defenses to deportation available for certain criminal aliens. (Sec. 115) Increases criminal and civil penalties for failing to depart. Title II: Port of Entry Inspections - Makes excludable any alien who presents forged, stolen, altered, or counterfeit documents. Excepts those with a credible fear of persecution or of return to persecution who used such documents. Defines credible fear of persecution or of return to persecution. (Sec. 203) Restricts judicial review to limited habeas corpus proceedings. Title III: Penalties for Document Fraud and Misrepresentation - Increases penalties for fraud and misuse of immigration documents and government issued identification documents. (Sec. 302) Establishes civil and criminal penalties for the preparers of false documents. (Sec. 303) Makes it unlawful to present fraudulent documents before boarding a common carrier or upon arrival. Title IV: Asylum and Reform - Places limits on an asylum applicant's authority to work. (Sec. 403) Grants the Attorney General authority for two years for a program to address the asylum backlog. (Sec. 405) Precludes counting any time in deportation proceedings towards the seven consecutive years defense. Title V: Illegal Immigration and Border Security - Provides for the hiring of 125 additional INS investigators and support staff. Provides additional funding for deportation costs. Title VI: Border Crossing User Fee - Providers for the imposition of fees at ports of entry sufficient to cover the INS's costs of maintaining and operating port of entry facilities. Requires fees to be deposited in the Land Border User Fee Account. Provides for the funding of 100 additional Border Patrol agents and support personnel from the Account. Title VII: Detention of Illegal Aliens - Provides for a two year pilot program of using closed military bases for the detention of illegal aliens. Title VIII: Public Benefits Abuse - Prohibits any unlawful alien from receiving any financial benefits under any Federal program except for specified emergency health care or child nutrition programs. (Sec. 802) Attributes sponsor income to family preference aliens. Title IX: Work Authorization Verification - Provides for the development and implementation of a counterfeit-resistant system to verify work eligibility and Federally-funded public assistance benefits eligibility for all individuals within the United States. Prohibits any document which may be issued under such program from being used as a national identification card. Title X: Numerical Limitations on Admission of Aliens into the United States - Reduces worldwide immigration during FY 1995 through 1999. Limits numerically the number of refugees that may be admitted in any year, unless the Congress enacts an exception. Title XI: Miscellaneous Provisions - Provides for the availability of information for use in criminal prosecutions. Provides for communications between Federal agencies and the INS.

Bill· SS. 1875 (103rd)referred

National Security Budgeting and Deficit Control Act of 1994

United States · United States Congress · 25 February 1994

National Security Budgeting and Deficit Control Act of 1994 - Amends the Balanced Budget and Emergency Deficit Control Act of 1985 (Gramm-Rudman-Hollings Act) to extend the caps on defense and nondefense discretionary spending through FY 1998.

Bill· SS. 1863 (103rd)open

Social Security Disability and Rehabilitation Act of 1994

United States · United States Congress · 23 February 1994

Social Security Disability and Rehabilitation Act of 1994 - Amends titles II (Old Age, Survivors and Disability Insurance) and XVI (Supplemental Security Income) (SSI) of the Social Security Act (SSA) to require individuals on drugs or alcohol to: (1) undergo, or be scheduled for, appropriate treatment for substance abuse if it is reasonably available; (2) comply with the terms of such treatment; and (3) have a qualified governmental representative payee in order to receive disability benefits under the social security disability insurance (SSDI) and SSI programs. Sets up a monitoring and testing program under each such title for ensuring such compliance, with benefits terminated or suspended in cases of noncompliance, and with all disability benefits related to substance abuse terminated after three years. Requires the proceeds derived from criminal activities to support substance abuse to be considered substantial gainful activity. Revises penalty provisions, with changes providing for the exclusion of SSDI and SSI program defrauders from such programs and other Federal health and social services programs. Authorizes appropriations. Directs the Secretary of Health and Human Services to: (1) assure that every individual on drugs or alcohol who is receiving SSDI or SSI disability benefits be given high priority for treatment through entities supported by State substance abuse block grants; and (2) provide for the establishment of referral and monitoring agencies for each State for carrying out treatment requirements under this Act.

Bill· SS. 1860 (103rd)referred

1995 Special Olympics World Games Commemorative Coin Act

United States · United States Congress · 23 February 1994

1995 Special Olympics World Games Commemorative Coin Act - Directs the Secretary of the Treasury to issue one-dollar silver coins emblematic of the 1995 Special Olympics World Games. Mandates that the surcharges collected from the sale of such coins be paid to the 1995 Special Olympics World Games Organizing Committee, Inc.

Bill· SS. 1852 (103rd)open

Head Start Act Amendments of 1994

United States · United States Congress · 10 February 1994

Head Start Act Amendments of 1994 - Amends the Head Start Act to reauthorize and revise Head Start programs. (Sec. 2) Requires the Secretary of Health and Human Services (HHS) to establish quality standards for Head Start agencies and programs, including standards for performance in providing required health, education, parental involvement, social, and other services, for administrative and financial management, and for facilities' condition and location. Provides for monitoring and for corrective actions or terminations if minimum standards are not met. (Sec. 3) Eliminates a provision freezing regulations. Provides that terminations, reductions, or suspensions of financial assistance upheld in administrative hearings shall not be stayed pending any judicial appeal. (Sec. 4) Revises classroom teacher qualifications and waiver requirements. Directs the Secretary to: (1) provide technical assistance and training to enable Head Start agencies to establish positions for mentor teachers; and (2) review and revise standards for family service workers, and promote model curricula and credentials for such workers. Authorizes the Secretary to establish a program of Head Start Fellowships for staff in local Head Start programs and other individuals working in the field of child development and family services. Provides for placement in appropriate settings. Directs the Secretary to develop model staffing pattern plans to guide local Head Start agencies and programs. (Sec. 5) Sets forth goals and priorities for training and technical assistance. (Sec. 6) Allocates funds for program expansion. (Sec. 7) Authorizes the Secretary to allow certain amounts to be allocated to quality improvement activities (in addition to the required 25 percent portion of appropriations). Sets forth goals and authorized activities for which quality improvement funds are to be used. (Sec. 8) Requires each Head Start agency to coordinate with schools and promote parental involvement to facilitate children's transition from program to school. Directs the Secretaries of HHS and of Education to assess results of demonstration projects under the Head Start Transition Project Act and provide technical assistance to communities to implement promising practices from those demonstrations. Extends the set-aside for the Head Start Transition Project Act. (Sec. 9) Directs the Secretary to carry on a continuing program of research, demonstrations, and evaluations of Head Start programs, and to report on such activities. (Sec. 10) Establishes programs for families with infants and toddlers. Directs the Secretary to make grants for: (1) programs providing family-centered services for low-income families with very young children, designed to promote child development, parental role fulfillment, and movement toward self-sufficiency; and (2) evaluation of, and training and technical assistance for, projects under the Comprehensive Child Development Centers Act of 1988. (Repeals the latter Act because its functions are being consolidated under the Head Start Act.) (Sec. 11) Revises parental involvement considerations with respect to designation of new Head Start agencies well as functions of such agencies. Requires agencies to offer family literacy services and parenting skills training to parents of participating children. Allows agencies also to opt to offer such parents parental social self-sufficiency training, substance abuse counseling, or other partnership in education activities. Requires a family needs assessment, including consultation with the parents, for each participating family. (Sec. 12) Authorizes appropriations. (Sec. 13) Revises the poverty line definition. Updates hold-harmless provisions for Indian and Migrant programs. Specifies that each Head Start program may use Head Start funds for full-day and full-year services and shall be permitted to provide more than one year of services to eligible children in the State.

Bill· SS. 1836 (103rd)referred

A bill for the relief of John Mitchell.

United States · United States Congress · 8 February 1994

Directs the President to award a medal of honor to a named individual for outstanding service to the Nation during World War II, notwithstanding time limitations otherwise applicable.

Resolution· SCONRESS.Con.Res. 60 (103rd)referred

A concurrent resolution expressing the sense of the Congress that a postage stamp should be issued to honor the 100th anniversary of the Jewish War Veterans of the United States of America.

United States · United States Congress · 7 February 1994

Expresses the sense of the Congress that a postage stamp should be issued to honor the 100th anniversary of the Jewish War Veterans of the United States and that the Citizens' Stamp Advisory Committee of the U.S. Postal Service should make such recommendation to the Postmaster General.

Bill· SS. 1813 (103rd)referred

River Bottom Lands Revitalization Act

United States · United States Congress · 1 February 1994

River Bottom Lands Revitalization Act - Appropriates an additional $50 million to repair damage from the 1993 Midwestern floods via the wetlands reserve program established under the Food Security Act of 1985. States that the eligibility to receive assistance under the levee rehabilitation assistance program of the U.S. Army Corps of Engineers within an area that was affected by such flooding shall not be affected by the status of participation (or lack of participation) of the public sponsor in the program. Provides application requirements of a public sponsor for such assistance, subject to specified conditions, including a 25 percent non-Federal share of program costs. Limits to $50 million the amount of the FY 1994 funding for the levee rehabilitation program that may be used to provide assistance to public sponsors who become eligible to receive assistance under such program as a result of this Act.

Bill· SS. 1791 (103rd)referred

CAP Act

United States · United States Congress · 25 January 1994

Child Abduction Prevention Act (CAP Act) - Amends the Federal criminal code to provide for mandatory life imprisonment of a person convicted of a second offense of kidnapping a person under age 18.

Bill· SS. 1774 (103rd)referred

Bone Marrow Donor Program Reauthorization Act of 1993

United States · United States Congress · 22 November 1993

Bone Marrow Donor Program Reauthorization Act of 1993 - Amends the Public Health Service Act to provide for the terms of office for members of the board of the National Bone Marrow Donor Registry. Modifies Registry functions. Authorizes grants and contracts to increase bone marrow donation, including through public education, training individuals in requesting donations, and testing and enrolling marrow donors. Authorizes appropriations. Mandates establishment, through grant or contract, of an office of patient advocacy and case management. (Current law requires the Registry to establish a system for patient advocacy.)

Bill· SS. 1770 (103rd)open

Health Equity and Access Reform Today Act of 1993

United States · United States Congress · 22 November 1993

TABLE OF CONTENTS Title I: Basic Reforms to Expand Access to Health Insurance coverage and to Ensure Universal Coverage Subtitle A: Universal Access Subtitle B: Qualified General Access Plans in the Small Employer and Individual Marketplace Subtitle C: Qualified Health Plans in the Large Employer Marketplace Subtitle D: Benefits; Benefits Commission Subtitle E: State and Federal Responsibilities in Relation to Qualified Health Plans Subtitle F: Universal Coverage Subtitle G: Definitions Title II: Tax Enforcement Provisions Subtitle A: General Tax Provisions Subtitle B: Provisions Relating to Acceleration of Death Benefits Subtitle C: Long-Term Care Tax Provisions Subtitle D: Enforcement Provisions Title III: Quality Assurance and Simplification Subtitle A: Quality Assurance Subtitle B: Administrative Simplification Title IV: Judicial Reforms Subtitle A: Medical Liability Reform Subtitle B: Anti-Fraud and Abuse Control Program Subtitle C: Treatment of Certain Activities Under the Antitrust Laws Title V: Special Assistance for Frontier, Rural, and Urban Underserved Areas Subtitle A: Frontier, Rural, and Urban Underserved Areas Subtitle B: Primary Care Provider Education Subtitle C: Programs Relating to Primary and Preventive Care Services Title VI: Treatment of Existing Federal Programs Subtitle A: Medicaid Program Subtitle B: Medicare Title VII: Patient's Right to Self-Determination Regarding Health Care Health Equity and Access Reform Today Act of 1993 - Title I: Basic Reforms to Expand Access to Health Insurance Coverage and to Ensure Universal Coverage - Subtitle A: Universal Access - Provides access to health insurance coverage under a qualified health plan for every citizen and lawful permanent resident of the United States. (Sec. 1003) Establishes a program under which persons with low incomes (and who are not eligible for Medicaid) will receive vouchers to buy insurance through purchasing groups. (Sec. 1004) Requires each employer to make available, either directly, through a purchasing group, or otherwise, enrollment in a qualified health plan to each eligible employee. Subtitle B: Qualified General Access Plan in the Small Employer and Individual Marketplace - Requires the National Association of Insurance Commissioners to develop specific standards to implement requirements concerning: (1) guaranteed eligibility, availability, and renewability of health insurance coverage; (2) nondiscrimination based on health status; (3) benefits offered; (4) insurer financial solvency; (5) enrollment process; (6) premium rating limitations; (7) risk adjustment; and (8) consumer protection. (Sec. 1119) Requires each qualified general access plan to: (1) establish and maintain a quality assurance program and a mediation procedures program; and (2) contain assurances of service to designated underserved areas. (Sec. 1141) Provides for the formation of purchasing groups by individuals and small employers. (Sec. 1161) Requires brokers or insurers to provide specified information to prospective enrollees. (Sec. 1162) Prohibits insurers from creating improper financial incentives and from selling duplicate coverage. Subtitle C: Qualified Health Plans in the Large Employer Marketplace - Requires the Secretary of Health and Human Services, in consultation with the Secretary of Labor, to establish standards for large employer plans similar to requirements applicable to small employer plans. (Sec. 1203) Requires large employers to offer to employees at least a standard package and a catastrophic package. (Sec. 1205) Allows two or more large employers to form purchasing groups, but not through an individual or small employer purchasing group. (Sec. 1206) Requires a semi-annual review of each large employer plan to determine whether requirements are being met and what corrective actions need to be taken. (Sec. 1221) Amends the Employee Retirement Income Security Act of 1974 and the Public Health Service Act to revise provisions to conform to this Act. Subtitle D: Benefits; Benefits Commission - Requires each qualified health plan to provide a standard package and a catastrophic package. Specifies items and services to be covered. (Sec. 1311) Establishes the Benefits Commission to develop and propose legislation that provides a clarification of covered items and services and includes specifications for cost sharing. (Sec. 1314) Provides for congressional consideration and implementation of such legislation. Subtitle E: State and Federal Responsibilities in Relation to Qualified Health Plans - Requires each State to establish a program to: (1) certify insured health plans; (2) disseminate information on health care coverage areas; (3) establish procedures for purchasing groups; (4) prepare information concerning plans and purchasing groups; (5) provide for a risk adjustment program, including an adjustment for differences in nonpayments among qualified insured health plans; (6) develop a binding arbitration process; and (7) specify an annual general enrollment period. (Sec. 1421) Allows the waiver of specified requirements. (Sec. 1431) Provides preemptions of certain State laws. (Sec. 1441) Specifies the Federal responsibilities with respect to multi-State employer plans and in case of State defaults. Subtitle F: Universal Coverage - Requires each citizen or lawful permanent resident to be covered under a qualified health plan or equivalent health care program by January 1, 2005. Provides an exception for any individual who is opposed for religious reasons to health plan coverage, including those who rely on healing using spiritual means through prayer alone. Subtitle G: Definitions - Defines terms used in this Act. Title II: Tax and Enforcement Provisions - Subtitle A: General Tax Provisions - Amends the Internal Revenue Code to exclude from an employee's gross income employer-provided coverage under a qualified health plan or employer-provided contributions to the employee's medical savings account. Includes excess employer contributions in such gross income. (Sec. 2002) Allows a business expense deduction for employer costs of qualified health plans or contributions to an employee's medical savings account. Increases the allowable deduction (from 25 percent to 100 percent) for the qualified health insurance costs of self-employed individuals. Makes such deduction permanent. (Sec. 2003) Allows individuals a tax deduction for contributions made to a medical care savings account established for the benefit of an eligible individual. Allows such deduction whether or not an individual itemizes deductions. Disallows distributions from such accounts as medical expense deductions. Excludes employer contributions to such accounts from employment taxes. Establishes an excise tax for excess contributions to medical care savings accounts. (Sec. 2004) Eliminates the commonality of interest and geographic location requirements with respect to group purchasing by large tax-exempt organizations. (Sec. 2005) Revises and repeals provisions concerning continuation coverage requirements of group health plans upon implementation of this Act. Subtitle B: Provisions Relating to Acceleration of Death Benefits - Requires payment under a life insurance contract on the life of an insured who is terminally ill to be treated as a death benefit, making such payment eligible for tax exclusion from gross income. (Sec. 2102) Provides that any reference to life insurance shall be treated as referring to a qualified terminal illness rider. Subtitle C: Long-Term Care Tax Provisions - Treats qualified long-term care services as medical care for purposes of the medical expense deduction. (Sec. 2202) Provides for the treatment of long-term care insurance as accident and health insurance. (Sec. 2301) Sets forth consumer protection provisions to be satisfied by qualified long-term care insurance contracts, including the model regulation and Act promulgated by National Association of Insurance Commissioners (NAIC). Requires NAIC to promulgate standards for the use of uniform language and definitions in such policies, with certain variations permitted. Subtitle D: Enforcement Provisions - Amends part A (General Provisions) of Social Security Act title XI to establish the Health Insurance Coverage Data Bank to: (1) further the purposes of coverage requirements under this Act; and (2) collect certain information reported by employers about individual employee group health plan coverage for purposes of identifying and collecting from responsible third parties any amounts owed to reimburse Medicare or Medicaid for health care items and services furnished to their beneficiaries. (Replaces the Medicare and Medicaid Coverage Data Bank.) (Sec. 2402) Amends the Internal Revenue Code to impose excise taxes on failures by employers and insurers to comply with provisions of this Act. (Sec. 2411) Amends the Employee Retirement Income Security Act of 1974 to make conforming changes regarding enforcement of employer failures. Title III: Quality Assurance and Simplification - Subtitle A: Quality Assurance - Directs the Secretary of Health and Human Services, in consultation with relevant agencies, to develop and publish standards for quality assurance programs and ensure that appropriate performance measures are established. Requires the standards to contain provider risk programs to prevent or provide early warning of practices that may result in injury. (Sec. 3002) Provides for the standardization of information through a national health data system. (Sec. 3003) Requires the Secretary to establish measures to determine quality of care in specialized centers of care. (Sec. 3004) Authorizes appropriations to examine the feasibility of creating an Agency for Clinical Evaluations by consolidating the responsibilities of specified other offices. (Sec. 3005) Requires the Secretary to report annually to the Congress on factors affecting universal coverage and make recommendations for increasing such coverage. (Sec. 3006) Requires the Secretary to monitor the reinsurance market for qualified health plans and periodically report to the Congress on the financial implications. (Sec. 3101) Amends the Public Health Service Act to establish within the Agency for Health Care Policy and Research a clearinghouse for information and research data concerning clinical trials. Requires the appointment of a fund investigator for the Agency. (Sec. 3201) Amends the Internal Revenue Code to establish the National Fund for Medical Research and provide for the designation of tax overpayments to such fund. Subtitle B: Administrative Simplification - Establishes a health care data interchange system to make data available on a uniform basis to all participants in the health care system. (Sec. 3302) Requires the Health Care Data Panel to develop regulations for the operation of an integrated electronic health care data interchange system. (Sec. 3304) Sets forth requirements for such system including: data and transaction standards, uniform working files, code sets, unique identifiers, standards for confidentiality, rules for the transfer of information, and periodic reviews. (Sec. 3313) Establishes the Health Care Data Panel and a National Health Informatics Commission to advise the Panel on its activities. Title IV: Judicial Reforms - Subtitle A: Medical Liability Reform - Requires a qualified health plan to provide effective mediation procedures for hearing and resolving health care malpractice claims. (Sec. 4013) Requires each State to adopt an alternative dispute resolution method for the resolution of health care malpractice claims and consumer grievances. (Sec. 4021) Establishes provisions with respect to liability under health care malpractice actions brought in State or Federal courts. (Sec. 4022) Limits attorney contingency fees and award amounts for noneconomic damages. (Sec. 4024) Establishes a two-year statute of limitations for health care malpractice claims, except in the case of minors. (Sec. 4025) Requires each State to establish a set of specialty clinical guidelines. Allows the use of such guidelines as a rebuttable presumption in a claim or action, if the service provided was the appropriate standard of medical care. (Sec. 4026) Prohibits the award of punitive damages against the producer of a drug or device that is approved by the Food and Drug Administration. (Sec. 4027) Requires a report to the appropriate congressional committees on the operation of this subtitle. Subtitle B: Anti-Fraud and Abuse Control Program - Requires the Secretary to establish in the Office of the Inspector General of the Department of Health and Human Services a program to control fraud and abuse under the universal health care plan. Establishes the Anti-Fraud and Abuse Trust Fund. (Sec. 4102) Amends title XI of the Social Security Act (SSA) to provide for the application of the penalties for Medicare and Medicaid fraud to all health care programs. (Sec. 4103) Requires the Secretary to establish a program through which Medicare-eligible individuals may report instances of suspected fraud under Medicare. (Sec. 4111) Revises current SSA title XI sanctions for fraud and abuse involving Medicare and State health care programs, with changes providing for: (1) program exclusion for individuals convicted of a felony relating to fraud or the unlawful manufacture or dispensing of a controlled substance; (2) new offenses under civil monetary penalty provisions, such as the offering of inducements to program-eligible individuals; (3) establishment of a minimum period of exclusion for practitioners and persons who fail to meet statutory obligations; (4) intermediate sanctions on eligible health maintenance organizations for program violations; and (5) procedures for imposing such sanctions. (Sec. 4121) Directs the Secretary to establish a national health care fraud and abuse data collection program for the reporting by each government agency and health care plan of final adverse actions against health care providers, suppliers, and practitioners. Requires program information to be made available to the public for a reasonable fee. (Sec. 4122) Amends SSA title XI to require the Secretary to publish in the Federal Register a listing of all final adverse actions taken during the quarter. (Sec. 4131) Amends the Federal criminal code to set penalties for knowingly executing a scheme or artifice to: (1) defraud any health care plan in connection with the delivery of, or payment for, health care benefits, items, or services (benefits); and (2) obtain, by means of false or fraudulent pretenses, representations, or promises, money or property owned by, or under the custody or control of, any health care plan or person in connection with the delivery of, or payment for, health care benefits. (Sec. 4132) Directs the court, upon a finding that a Federal health care offense is of a type that poses a serious threat to the health of any individual or has a significant detrimental impact on the health care system, to order a person convicted of that offense to forfeit property that was used in the commission of the offense or that constitutes or was derived from proceeds traceable to the offense that is of a value proportionate to the seriousness of the offense. (Sec. 4133) Authorizes the Attorney General to commence a civil action in Federal court to enjoin a violation constituting a Federal health care offense. (Sec. 4134) Makes commission of a Federal health care offense a predicate to a violation of the Racketeer Influenced and Corrupt Organizations Act. (Sec. 4141) Makes provisions of the Civil False Claims Act applicable to the use of false records or statements made to a health care plan. Includes within the definition of "claim" for purposes of such Act any request or demand for money or property which is made or presented to a health care plan. Subtitle C: Treatment of Certain Activities Under the Antitrust Laws - Exempts from the antitrust laws specified "safe harbor" activities related to the provision of health care services. Sets forth provisions regarding the award of attorney fees and costs of suit to the prevailing party in an action based on a claim involving activity found to be exempt. (Sec. 4202) Lists as safe harbors specified: (1) activities relating to health care services of combinations of health care providers with market share below a specified threshold; (2) activities of medical self-regulatory entities relating to standard setting or enforcement activities not conducted for purposes of financial gain; (3) participation of a health care provider in a written survey of the prices of services, reimbursement levels, or the compensation and benefits of employees and personnel; (4) activities relating to health care joint ventures for high technology and costly equipment and services; (5) activities relating to hospital mergers; (6) joint purchasing arrangements; and (7) negotiations. (Sec. 4203) Directs the Attorney General to publish a notice in the Federal Register soliciting proposals for additional safe harbors and to review and report to the Congress on proposed safe harbors. Sets forth criteria in establishing safe harbors, including: (1) the extent to which a competitive or collaborative activity will accomplish an increase in health care access and quality, the establishment of cost efficiencies, and increased ability of health care facilities to provide services in medically underserved areas or to underserved populations; and (2) whether designation as a safe harbor will result in specified desirable outcomes. (Sec. 4204) Directs the Attorney General to issue certificates of review for providers of health care services and assist persons in applying for such certificates. Sets forth provisions regarding applications for, revocation of, and review of determinations regarding such certificates. Limits the disclosure of information. (Sec. 4205) Sets forth provisions regarding notifications providing for a reduction in certain penalties under the antitrust laws for health care cooperative ventures. (Sec. 4206) Directs the Attorney General to: (1) review the safe harbors and certificates of review periodically; and (2) promulgate such rules, regulations, and guidelines as necessary to carry out provisions of this subtitle. (Sec. 4208) Establishes within the Department of Health and Human Services an Office of Health Care Competition Policy. Title V: Special Assistance for Frontier, Rural, and Urban Underserved Areas - Subtitle A: Frontier, Rural, and Urban Underserved Areas - Amends the Public Health Service Act to establish a program of allotments to States for grants for community-based primary health services to low-income or medically underserved populations regarding infant mortality and referrals for the health management of infants and pregnant women. Earmarks for the allotments specified percentages of appropriations under certain provisions added by this Act. (Sec. 5002) Mandates grants to federally qualified health centers (FQHCs) and other entities for providing access to services for medically underserved populations or in high impact areas not currently being served by a FQHC. Authorizes appropriations. Directs the Secretary to report to the appropriate congressional committees on the relationship and interaction between community health centers and hospitals in providing services to such populations. (Sec. 5003) Amends the Internal Revenue Code to: (1) allow a nonrefundable credit for certain primary health services providers for mandatory service periods in health professional shortage areas; (2) exclude from gross income qualified loan repayments to the National Health Service Corps; (3) increase the dollar limitation allowed for expensing medical equipment used in rural health shortage areas; and (4) allow a deduction for student loan payments by medical professionals practicing in rural areas. (Sec. 5004) Amends title XVIII (Medicare) of the Social Security Act (SSA) to provide for: (1) establishment of rural emergency access care hospitals under Medicare; and (2) coverage of and payment for rural emergency access care hospital services under Medicare part B (Supplementary Medical Insurance). (Sec. 5005) Amends the Public Health Service Act to direct the Secretary to make grants to States to assist in the creation or enhancement of air medical transport systems that provide victims of medical emergencies in rural areas with access to treatments. Sets forth provisions regarding: (1) application and State plan requirements; (2) considerations in awarding grants; (3) State administration and use of grants; (4) the number of grants; and (5) reporting requirements. Authorizes appropriations. (Sec. 5006) Authorizes the Secretary to conduct a demonstration project and grant program to encourage the development and operation of rural health networks. Authorizes appropriations. (Sec. 5007) Requires the Secretary to report to the Congress on improving access to benefits under qualified health plans for individuals residing in rural areas. Subtitle B: Primary Care Provider Education - Requires the Secretary to provide for the establishment of demonstration projects to evaluate mechanisms to increase the number and percentage of medical students entering primary care practice through funds otherwise available for direct graduate medical education costs under the Medicare program. (Sec. 5102) Allows funding under Medicare for training in nonhospital-owned facilities. (Sec. 5103) Increases authorized funding for the National Health Service Corps Scholarship and Loan Repayment Programs. Authorizes funding through FY 1998. (Sec. 5104) Increases and extends through FY 1997 authorized funding for training for certain health service providers. Subtitle C: Programs Relating to Primary and Preventive Care Services - Authorizes appropriations for a grant program to improve coordination of maternal and infant care. (Sec. 5202) Amends the Elementary and Secondary Education Act of 1965 to authorize appropriations to carry out a comprehensive school health education and prevention program for elementary and secondary school students. (Sec. 5203) Allows frontier States (including Alaska, Wyoming, and Montana) to implement proposals and participate in demonstration projects which give special consideration to their diverse needs. Title VI: Treatment of Existing Federal Programs - Subtitle A: Medicaid Program - Gives States the option of allowing the enrollment of Medicaid-eligible individuals (including a limited number of AFDC- and SSI-eligible individuals) in the standard benefit package under a qualified health plan, instead of enrollment in the State's Medicaid program. (Sec. 6001) Sets forth requirements for States exercising such option. Places a cap on Federal payments for acute medical services furnished under a State's Medicaid programs. (Sec. 6011) Discontinues reimbursement standards for inpatient hospital services. Revises the Federal medical assistance percentage for certain States. Modifies Federal requirements to allow States more flexibility in contracting for coordinated care services under Medicaid. (Sec. 6021) Provides for waivers from requirements on coordinated care programs. Gives States the option to guarantee the continued Medicaid eligibility of individuals enrolled with risk contracting and other managed care entities. (Sec. 6031) Provides for phased-in elimination of Medicaid hospital disproportionate share adjustment payments. Subtitle B: Medicare - Requires the Secretary to: (1) submit to the Congress a proposal for legislation which provides for the enrollment of Medicare beneficiaries in qualified health plans; and (2) provide for a monthly payment to a qualified health plan on behalf of enrolled Medicare beneficiaries. (Sec. 6111) Amends the Omnibus Budget Reconciliation Act of 1990 (OMBRA '90) to revise provisions for a modified payment methodology for risk contractors. (Sec. 6112) Requires the Secretary to provide for adjustment in Medicare capitation payments to take into account secondary payer status. Authorizes the Secretary to make additional payments to eligible organizations with risk-sharing contracts. (Sec. 6121) Amends OMBRA '90 to: (1) make permanent the Medicare select policy program; and (2) allow access to Medicare select policies in all States. Amends Medicare to revise the Medicare select policy program and provide for a civil penalty for misrepresentations made in connection with such a policy. (Sec. 6131) Makes specified changes with regard to monthly Medicare part B premium determinations for part B enrollees. (Sec. 6132) Amends the Internal Revenue Code to provide for an increase in the Medicare part B premium for individuals with high income. (Sec. 6133) Makes permanent certain payment reductions relating to outpatient hospital services furnished under Medicare. (Sec. 6135) Imposes copayments for laboratory services and certain home health visits provided under Medicare. (Sec. 6137) Provides for phased-in elimination of Medicare disproportionate share hospital payments. (Sec. 6138) Directs the Secretary to discontinue hospital reimbursements for costs relating to the recovery of bad debts. (Sec. 6139) Makes specified changes with regard to Medicare as a secondary payer. Title VII: Patient's Right to Self-Determination Regarding Health Care - Provides for the treatment of advance directives and other measures, including a study by the Secretary on issues relating to health care decisions by the patient, in addressing the patient's right to self-determination regarding health care.

Bill· SS. 1762 (103rd)open

Dietary Supplement Regulation Moratorium Act of 1993

United States · United States Congress · 20 November 1993

Dietary Supplement Regulation Moratorium Act of 1993 - Prohibits the Secretary of Health and Human Services from implementing the Nutrition Labeling and Education Act of 1990 or any amendment made by such Act earlier than April 15, 1994, with respect to dietary supplements of vitamins, minerals, herbs, amino acids, or other similar nutritional substances. Prohibits the Secretary from issuing any final regulations applicable to such substances before that date. Specifies that any such proposed regulations shall not be considered to be final regulations until that date. Makes the effective date for provisions dealing with State enforcement with respect to such substances April 30, 1994.