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United States · Official source
2,265 records where Sen. Mack, Connie, III [R-FL] is listed as a sponsor, author, or other actor. Search with topics and years
United States · United States Congress · 27 January 1992
Designates September 13 through 19, 1992, as National Rehabilitation Week.
United States · United States Congress · 23 January 1992
Authorizes the Secretary of Transportation to carry out a highway project to construct a bridge to replace the Fuller Warren Bridge in Jacksonville, Florida. Authorizes appropriations.
United States · United States Congress · 23 January 1992
Designates March 25, 1992, as Greek Independence Day: A National Day of Celebration of Greek and American Democracy.
United States · United States Congress · 23 January 1992
Congratulates the Governments and people of Croatia and Slovenia on the occasion of the recognition of their independence by 38 countries. Urges the President to immediately extend diplomatic recognition to, and establish mutually beneficial relations with, Croatia and Slovenia.
United States · United States Congress · 26 November 1991
Repeals the Assault Weapon Manufacturing Strict Liability Act of 1990, signed by the Mayor of the District of Columbia. Restores or revives any provisions of law amended or repealed by it.
United States · United States Congress · 26 November 1991
Federal-State Pesticide Regulation Partnership Act of 1991 - Amends the Federal Insecticide, Fungicide, and Rodenticide Act to remove the authority of political subdivisions to inspect records of persons selling or delivering pesticides for purposes of enforcing such Act. Prohibits local governments from imposing or continuing any requirement regarding pesticides or devices.
United States · United States Congress · 26 November 1991
Amends the Internal Revenue Code to allow the issuance of exempt facility bonds to provide spaceports.
United States · United States Congress · 26 November 1991
Expresses the sense of the Congress that: (1) democratic institutions and practices should be fully established before sovereignty over Hong Kong is transferred to the People's Republic of China (PRC) in 1997; (2) the Basic Law of the Special Administrative Region of the PRC should be amended to be consistent with the Sino-British Joint Resolution on the Question of Hong Kong commitment to democratic and autonomous government; (3) the governments of the United Kingdom and China should respect the will of the people of Hong Kong to establish further democratic institutions and practices and to safeguard their human rights; and (4) the people of Hong Kong are to be commended for their efforts to maintain their freedom and prosperity and to attain fully democratic government.
United States · United States Congress · 22 November 1991
Haitian Refugee Protection Act of 1991 - Directs the President to: (1) assure the protection of Haitian nationals under U.S. control; and (2) reallocate at least 2000 federally funded FY 1992 refugee admissions to Haiti. Provides for temporary protected status for certain Haitian nationals. Makes Haitian nationals who entered the United States as of the date of enactment of this Act eligible for assistance under the Refugee Education Assistance Act of 1980.
United States · United States Congress · 21 November 1991
Urges and requests the President to require the Secretary of the appropriate military department to award the bronze star to each member of the Navy or Marine Corps who served under General Wainwright during the defense of Corregidor Island, the Philippines, during World War II.
United States · United States Congress · 19 November 1991
Designates the week beginning April 12, 1992, as National Public Safety Telecommunicators Week.
United States · United States Congress · 12 November 1991
Directs the Secretary of the Treasury to pay a specified sum to a named individual for damages incurred as a result of the search and seizure of his sailboat by the U.S. Customs Service.
United States · United States Congress · 12 November 1991
Declares that it is the sense of the Senate that: (1) the Food and Drug Administration (FDA) is to be commended for its proposed changes to the drug approval process; and (2) the FDA should review the approval process, incorporate ways for more timely, yet safe approval, and for access by all terminally ill patients to experimental drugs awaiting approval.
United States · United States Congress · 7 November 1991
Enterprise Capital Formation Act of 1991 - Amends the Internal Revenue Code to allow a deduction for gain on investments in new small business stock (seed capital) held for at least five years. Establishes special rules for such investments. Provides for determining the maximum capital gains rate for small business net capital gain or seed capital gain. Treats capital gains on the sale of such stock as a preference item for purposes of the minimum tax.
United States · United States Congress · 7 November 1991
Authorizes the Air Force Association to establish a commemorative work on Federal land in the District of Columbia and its environs to honor the men and women who have served in the U.S. Air Force.
United States · United States Congress · 7 November 1991
Health Equity and Access Improvement Act of 1991 - Title I: Tax Incentives for Health Care Access - Amends the Internal Revenue Code to provide a tax credit of up to $600 for an individual ($1,200 for a family) for qualified health expenses. Provides that in the case of a taxpayer whose adjusted gross income exceeds $10,000 ($20,000 for a family) the credit shall be reduced by an amount equal to ten percent of the excess. Permits a tax deduction, for both itemizers and nonitemizers, for the cost of health insurance premiums for which no other compensation is received. Provides an employer health insurance credit for small businesses equal to 25 percent of the qualified health care costs of the employer in the first year the employer offers health coverage to employees and which is then reduced five percentage points annually. Raises from 25 percent to 100 percent the deduction allowed to self-employed individuals for health insurance premiums and makes the deduction permanent. Provides a credit for a qualified primary health services provider who practices in a rural health professional shortage area. Sets forth a formula for determining such credit. Excludes from gross income any payment made on behalf of a taxpayer by the National Health Service Corps Loan Repayment Program. Permits a physician in a rural health professional shortage area to expense up to $25,000 worth of rural health care property. Provides that interest on student loan payments by medical professionals practicing in rural areas shall not be treated as personal interest and will therefore qualify as a tax deduction. Title II: Health Care Reform Provisions - Directs the Secretary of Health and Human Services (the Secretary) to request the National Association of Insurance Commissioners (NAIC) to develop a model health care insurance benefits plan that shall contain standards that entities offering health care insurance policies should meet with respect to the benefits and coverage provided under such policies and report on such standards to the Secretary. Requires the Secretary to develop such a plan if the NAIC fails to develop such a plan or if the NAIC plan does not meet specified requirements. Sets forth such requirements. Requires the Secretary, taking into account recommendations of the Managed Care Advisory Committee, to develop recommended standards that insurers offering managed care plans should meet with respect to the benefits, coverage, and delivery systems provided under such plans. Establishes the Managed Care Advisory Committee. Provides that, in the case of a managed care plan meeting recommended standards, specified provision of State law will be preempted and will not be enforced against the managed care plan with respect to an insurer offering such plan. Permits a qualified small employer purchasing group, upon application to and approval by the Secretary, to enter into contracts with carriers to provide health insurance coverage to eligible employees. Establishes standards which health care insurers must meet in a contract with a small business. Requires such insurers, among other things, to: (1) provide coverage and benefits consistent with the model health care insurance benefits plan; (2) meet specified registration and disclosure requirements; (3) not exclude from coverage any eligible employee; (4) not extend beyond six months any limitation on any preexisting condition and, with respect to such limitation, apply it only to preexisting conditions which manifested themselves or for which medical care was sought during the three months preceding coverage; (5) guarantee renewability of the contract at the employer's election, unless the contract is terminated for cause; and (6) establish premiums that meet specified standards. Title III: Medical Liability Reform - Sets forth provisions concerning settlement offers in medical malpractice cases. Establishes an Alternative Dispute Resolution Board of Advisers to make recommendations to the Secretary concerning the establishment of a model voluntary alternative dispute resolution program for medical malpractice cases. Sets caps on the payment of future losses, non-economic damages, and attorneys' fees. Prohibits joint liability in a civil action for non-economic damages. Establishes a statute of limitations for a medical malpractice civil action. Requires each State to: (1) allocate its medical licensing fees to the State agency responsible for licensing and disciplinary actions; (2) require that at least 25 percent of a disciplinary board's membership shall be from the general public; (3) have in effect a Statewide risk management program; and (4) establish a health care disciplinary trust fund consisting of all punitive damage awards resulting from medical malpractice and medical product civil actions. Protects a health care producer of a drug or device from punitive damages if the drug or device was subject to approval or premarket approval under the Federal Food, Drug, and Cosmetic Act. Amends the Public Health Service Act to direct the Secretary to make a grant to an entity representing recipients of assistance at migrant and community health centers to develop a business plan and establish a nationwide risk retention group as provided for in the Liability Risk Retention Act of 1986. Authorizes appropriations. Title IV: Public Health Provisions - Amends the Social Security Act to add a new title, Title XXI: BASICARE. Authorizes appropriations under title XXI for the purpose of providing basic health care benefits to low-income uninsured individuals who are not eligible for Medicaid (title XIX of the Social Security Act) coverage. Requires a State, in order to receive funding under title XXI, to submit and have approved by the Secretary a BasiCare assistance plan. Sets forth plan requirements. Requires, for BasiCare eligibility, that: (1) family income be below 200 percent of the poverty line; (2) an individual not be eligible for Medicaid; and (3) an individual not be otherwise covered under a health plan by the individual's employer. Permits the imposition of deductibles, copayments, and premiums if income is between 100 to 200 percent of the poverty line. Establishes the Federal Medical Waiver Demonstration Board to review applications submitted by States to conduct health care-related demonstration projects. Requires the Board to develop at least three different model health care delivery plans. Permits the Board, upon approval of a State's demonstration project, to waive the following provisions of Federal law: (1) the Public Health Service Act; (2) title XVIII (Medicare) of the Social Security Act; (3) titles XIX (Medicaid) and XXI (BASICARE) of the Social Security Act; (4) all health care programs administered by the Secretary of Veterans Affairs; and (5) the Employee Retirement Income Security Act of 1974. Title V: Medically Underserved Areas - Authorizes appropriations for the National Health Service Corps Scholarship Program and the National Health Service Corps Loan Repayment Program. Directs the Secretary to establish and administer a program to provide allotments to States to enable such States to provide grants for the creation or enhancement of community based primary health care entities that provide services to pregnant women and children up to age three. Requires grant recipients to substantially target populations of pregnant women and children who: (1) lack health care coverage or ability to pay for health care services; or (2) reside in medically underserved or health professional shortage areas. Directs the Secretary to award grants to federally qualified health centers (FQHCs) and other entities submitting applications for the purpose of providing access to services for medically underserved populations or in high impact areas not currently served by a FQHC. Limits the expenditure of funds awarded an FQHC to the provision of those services provided under the Medicaid program and any unreimbursed costs of providing services under the community based primary health care grant program. Authorizes appropriations. Authorizes the Secretary to award competitive grants to eligible entities to enable such entities to develop and implement a plan for mental health outreach programs in rural areas. Authorizes appropriations. Directs the Secretary, in awarding grants under the Public Health Service Act relating to the research, teaching, and training activities of health personnel educational entities, to give priority to those entities that have a high permanent rate for placing graduates in settings serving residents of medically underserved communities and that otherwise demonstrate a commitment to serving such communities. Directs the Secretary to award grants to health professions institutions to expand training programs that are targeted at those individuals desiring to practice in or serve the needs of medically underserved communities. Authorizes appropriations. Directs the Secretary to award grants to eligible regional consortia to enhance and expand coordination among various health professions programs, particularly in medically underserved rural areas. Authorizes appropriations. Authorizes the Secretary to award grants, under the area health education center provisions of the Act, to rural communities to enable such communities to provide stipends to physicians, nurses, or other health professional trainees to encourage such individuals to continue to provide health care services in such rural communities. Authorizes appropriations. Authorizes the Secretary to award competitive grants to eligible entities to enable such entities to facilitate the development of networks among rural and urban health care providers to preserve and share health care resources and enhance the quality and availability of health care in rural areas. Authorizes appropriations. Authorizes the Secretary to award competitive grants to eligible entities to enable such entities to develop and administer cooperatives in rural areas that will establish an effective case management and reimbursement system designed to support the economic viability of essential public or private health services, facilities, health care systems, and health care resources in such rural areas. Authorizes appropriations. Amends the: (1) Omnibus Budget Reconciliation Act of 1987 to authorize appropriations for the Rural Health Care Transition Grant Program; and (2) Medicare program to authorize appropriations for the Essential Access Community Hospital Program. Title VI: Incentives to Encourage Preventive Services - Provides a tax credit for qualified preventive services of up to $250. Includes on a list of preventive services: (1) cancer screening tests; (2) childhood immunizations; (3) mammograms; (4) pap tests for uterine cancer; and (5) other specified examinations and tests. Authorizes appropriations, under the Public Health Service Act, for grants for preventive health service programs for the provision, without charge, of immunizations.
United States · United States Congress · 6 November 1991
Amends the Harmonized Tariff Schedule of the United States to extend, through December 31, 1994, the suspension of duty on a mixture of dimethyl phthalate, t-butanol, hydrogen peroxide, and sodium alicylate (chemical light activator blend).
United States · United States Congress · 6 November 1991
Economic Growth and Family Tax Freedom Act of 1991 - Title I: Nonrefundable Tax Credit for Children - Amends the Internal Revenue Code to allow a tax credit of $1,000 for each child under the age of six and $300 for each child between the age of six and 18. Makes the dependent care credit inapplicable to children under the age of six. Title II: Reducing the Cost of Capital by Reducing Capital Gains Tax Rates, Indexing the Basis of Certain Assets, and Excluding Gain From Sales of Principal Residences - Amends the Internal Revenue Code to reduce the individual and corporate capital gains rate from 34 percent to 15 percent. Reduces such tax to 7.5 percent for low- and middle-income taxpayers. Provides for the phaseout of personal exemptions and the overall limitation on itemized deductions to take into account adjusted gross income which has been reduced by net capital gain. Requires indexing, based on the gross national product deflator, of the adjusted basis of certain assets (corporate stock and tangible property that is a capital asset of property used in a trade or business) that have been held for more than one year at the time of sale or other transfer, solely for the purpose of determining gain or loss. Provides for indexing the limitation on capital losses of noncorporate taxpayers. Excludes from gross income the sale or exchange of property that has been owned and used by the taxpayer as the taxpayer's principal residence. Terminates provisions relating to the rollover or gain on the sale of a principal residence. Title III: Adjusting Depreciation Rates to Reflect Inflation - Provides a depreciation deduction adjustment for tangible property (other than residential rental property and nonresidential real property) placed in service after 1991. Allows phase-in deductions for such property placed in service after 1996. Title IV: Savings Incentives - Allows individuals to establish individual retirement plus accounts with tax treatment similar to that for individual retirement plans. Makes contributions to such accounts nondeductible. Provides for qualified distributions from such accounts, other than for general retirement purposes, including special purposes distributions made for the purchase of a first home and for medical or educational purposes. Prohibits special purpose distributions from being made during the first five years of the account. Title V: Treatment of Passive Losses - Provides for the treatment of rental and nonrental real estate activities under the limitations on losses from passive activities. Title VI: Enterprise Zones - Subtitle A: Designation of Enterprises Zones - Authorizes the Secretary of Housing and Urban Development (Secretary) to designate enterprise zones for purposes of providing tax and regulatory relief and improving local services. Limits choices to areas nominated by States and local governments. Limits the total number of areas that may be designated, and the time period of the designation. Authorizes the Secretary to designate a zone only if the area meets certain locational, demographic, unemployment, and poverty criteria. Requires nominating local governments, as a condition of the Secretary's designation, to agree in writing to follow a course of action that may include reducing tax rates, improving local services, simplifying or streamlining regulation of business, and providing job training to area residents. Describes areas to which the Secretary must give preference in selecting areas for designation. Requires the Secretary to report to the Congress every two years on the effects of such enterprise zones' designation in accomplishing the purposes of this Act. Subtitle B: Federal Income Tax Incentives - Allows a nonrefundable income tax credit to enterprise zone employees for five percent of any wages earned as do not exceed a specified amount. Phases out such credit. Provides for the nonrecognition of capital gain on the sale of enterprise zone property. Allows a taxpayer a deduction on the aggregate amount paid for the purchase of enterprise stock on its original issue by a qualified issuer. Requires any gain from the disposition of the stock to be treated as ordinary income. Excludes enterprise zone capital gains from income computation of alternative minimum taxes. Subtitle C: Regulatory Flexibility - Amends Federal law to revise the definition of "small entity" for purposes of the analysis of regulatory functions to include qualified business, government, and nonprofit enterprises operating within enterprise zones. Authorizes Federal agencies, upon request by a designating government, to waive or modify rules and regulations pertaining to the implementation of projects or activities within an enterprise zone. Requires agencies to approve the request if the resulting benefits of job creation, community development, or economic revitalization outweigh the public interest in retaining the rule unchanged. Disallows waiver or modification of a rule that would directly violate a statutory requirement or present a danger to the public health and safety. Subtitle D: Establishment of Foreign-Trade Zones in Enterprise Zones - Requires the Foreign-Trade Zone Board to consider on a priority basis and to expedite the processing of applications for the establishment of foreign-trade zones within enterprise zones. Requires the Secretary of the Treasury to give priority to, and expedite applications for, the establishment of ports of entry necessary to establish such zones. Subtitle E: Repeals of Title VII of the Housing and Community Development Act of 1987 - Repeals title VII (enterprise zone development) of the Housing and Community Development Act of 1987.
United States · United States Congress · 31 October 1991
Designates March 1992 as Irish-American Heritage Month.
United States · United States Congress · 30 October 1991
Amends Federal bankruptcy law to establish a payment priority for retiree health benefit claims, with an aggregate limitation of $10,000 multiplied by the relevant number of former employees.
United States · United States Congress · 29 October 1991
Medicaid Moratorium Amendments of 1991 - Amends the Technical and Miscellaneous Revenues Act of 1988 to: (1) delay until September 30, 1992, the issuance of regulations changing the treatment under the Medicaid program (title XIX of the Social Security Act) of voluntary contributions and provider-specific taxes; and (2) maintain current regulations that allow intergovernmental transfers as a source of a State's expenditures for which Federal matching funds are available under the Medicaid program. Directs the Secretary of Health and Human Services to submit to specified congressional committees a report on: (1) regulations to limit the use of voluntary contributions and provider-specific taxes to obtain Federal financial participation; (2) specific types of voluntary contributions and provider-specific taxes that may be used as sources of a State's expenditures for which Federal financial participation is available; and (3) any legislation that the Secretary believes is appropriate. Sets forth budget compliance provisions.
United States · United States Congress · 25 October 1991
Amends the National Housing Act to extend certain structural defect financial assistance to condominiums, including a specified housing project in Dade County, Florida.
United States · United States Congress · 24 October 1991
Better Access to Affordable Health Care Act of 1991 - Title I: Improvements in Health Insurance Affordability for Small Employers - Amends the Internal Revenue code to raise from 25 to 100 percent the deduction for self-employed individuals for health insurance premiums and makes the deduction permanent. Directs the Secretary of Health and Human Services (the Secretary) to make grants to up to 15 States for the establishment and operation of small employer health insurance purchasing programs. Permits grant funds to be used to finance administrative costs associated with developing and operating a group purchasing program for small employers. Authorizes appropriations. Requires a report to the Congress from the Secretary concerning the feasibility of establishing a requirement that health insurers must make available plans providing that payments to providers be made using Medicare (title XVIII of the Social Security Act) payment rules. Title II: Improvements in Health Insurance for Small Employers - Amends the Social Security Act to add a new title, Title XXI: Standards for Small Employer Health Insurance and Certification of Managed Care Plans. Directs the Secretary to request the National Association of Insurance Commissioners to develop model standards and regulations concerning requirements for health insurance plans for small employers. Requires such plans to provide for: (1) guaranteed eligibility; (2) guaranteed availability; and (3) guaranteed renewability. Prohibits: (1) an insurer from refusing to renew or terminate a plan, except for nonpayment of premiums, fraud, or failure to maintain minimum participation rates; and (2) for certain services, discrimination based on health status. Sets limits controlling the variation of premium charges permitted among all small employers insured by an insurer. Requires the full disclosure of an insurer's rating practices. Requires a health insurance plan for small employers to offer: (1) both a standard and basic benefit package; and (2) a managed care option, if the insurer also offers such an option to other employers. Provides, under both the standard and basic package, for coverage of: (1) inpatient and outpatient hospital care; (2) inpatient and outpatient physician services; (3) diagnostic tests; and (4) preventive services. Provides, in addition, under the standard plan: (1) for the coverage of certain mental health care; (2) that, except as specified, there will be no limits on the amount, scope, or duration of benefits, and (3) for specified limits on deductibles, copayment, coinsurance, and out-of-pocket expenses. Provides under the basic plan that: (1) premiums, deductibles, copayments, or other cost-sharing may be imposed, but does not specify in what amounts; and (2) there shall be an out-of-pocket limit, but does not specify such limit. Amends the Internal Revenue Code to impose an excise tax of 25 percent of gross premiums on the issuer of any health insurance plan to a small employer, if the plan does not meet the requirements of title XXI. Sets forth study and reporting requirements. Title III: Improvements in Portability of Private Health Insurance - Imposes an excise tax of $100 per day, with respect to a covered individual, on a group health plan for its failure to provide coverage for a preexisting condition, subject to stated exceptions. Title IV: Health Care Cost Containment - Establishes a Health Care Cost Commission which shall report annually to the President and the Congress on national health care costs. Authorizes appropriations. Requires the Secretary of Health and Human Services, under title XXI of the Social Security Act, to establish a process for the certification of managed care plans and utilization review programs. Sets forth requirements for certification. Amends the Public Health Service Act to direct the Administrator of the Agency for Health Care Policy and Research to develop outcomes research and practice parameters for mental health services, including at least the diagnosis and treatment of childhood attention deficit syndrome disorders and manic depression. Amends Part A (General Provisions) of title XI of the Social Security Act to authorize appropriations for research outcomes of health care services and procedures. Title V: Medicare Prevention Benefits - Amends part B (Supplementary Medical Insurance) of title XVIII (Medicare) of the Social Security Act to establish frequency and payment limits for screening for fecal-occult blood tests and screening flexible sigmoidoscopies. Amends Medicare part C (Miscellaneous Provisions) to provide coverage for tetanus-diphtheria boosters and their administration. Provides Medicare coverage for well-child services, which include routine office visits, immunizations, laboratory tests, and preventive dental care. Expands the coverage of a screening mammography to provide for one such screening annually for all covered women over age 49. Directs the Secretary to establish and provide for a series of ongoing demonstration projects which provide coverage for specified preventive services, including: (1) glaucoma screening; (2) cholesterol screening; (3) osteoporosis screening and treatment; (4) screening services for pregnant women; (5) assessments for individuals beginning at age 65 or 75; and (5) other appropriate services. Authorizes appropriations.
United States · United States Congress · 24 October 1991
Expresses the sense of the House of Representatives that: (1) it should be U.S. policy to pursue discussions regarding Syria and terrorism at the Middle East peace conference in Madrid, Spain, in October and November of 1991; and (2) Syria should renounce all forms of terrorism, cease all support of terrorism, and close all terrorist training bases on Syrian territory and Syrian-controlled Lebanese territory.
United States · United States Congress · 23 October 1991
Waives the statute of limitations with respect to a claim for the reimbursement of retirement benefits by a named individual.
United States · United States Congress · 22 October 1991
Expresses the sense of the House of Representatives that: (1) the United States Trade Representative should take action under the Trade Act of 1974 to compensate for any trade losses caused by the European Community's (EC) failure to adopt by October 31, 1991, a new oilseeds regime that conforms with the General Agreement on Tariffs and Trade (GATT) panel oilseed ruling; and (2) such actions should remain in effect until the EC's oilseed regime conforms with its GATT obligations.
United States · United States Congress · 17 October 1991
States that the Congress strongly condemns the unconstitutional military junta in Haiti, and supports the restoration of the legitimately elected government of President Aristide and the peace efforts of the Organization of American States. Calls upon the Attorney General to temporarily suspend the forced return of Haitian nationals during this crisis.
United States · United States Congress · 8 October 1991
White House Commemorative Coin Act of 1991 - Directs the Secretary of the Treasury to: (1) issue up to 500,000 silver one-dollar coins to commemorate the 200th anniversary of the laying of the cornerstone of the White House; and (2) obtain silver for such coins from stockpiles established under the Strategic and Critical Mineral Stock Piling Act. Specifies that: (1) all amounts received from the sale of coins issued under this Act shall be deposited in the coinage profit fund; and (2) the Secretary shall pay amounts from a ten-dollar surcharge per coin into the White House Endowment Fund. Directs the Secretary to take such actions as necessary to ensure that the minting and issuance of such coins do not result in any net cost to the Government. Bars the issuance of such coins unless the Secretary has received full payment or adequate security for payment. Authorizes appropriations.
United States · United States Congress · 8 October 1991
Designates May 16 through 22, 1992, as National Awareness Week for Life-Saving Techniques.
United States · United States Congress · 4 October 1991
Medicare Physician Payment Reform Implementation Act of 1991 - Amends title XVIII (Medicare) of the Social Security Act to: (1) direct the Secretary of Health and Human Services to increase the conversion factor for physicians' services for each of the years after 1993 through 1996 by one-fourth of the percentage by which the conversion factor may have been decreased due to an adjustment for asymmetry in 1992; (2) prohibit the Secretary, in determining the conversion factor for 1992, from assuming that changes in the volume and intensity of physician services in response to the implementation of the new payment system for such services would increase the estimated aggregate physician expenditures by more than one percent; (3) make any reduction to the conversion factor due to assumed volume and intensity changes equally applicable to the adjusted historical payment base; (4) permit separate payment to physicians for interpretation of electrocardiograms (EKGs) provided during office vists; (5) direct the Secretary to: (a) establish separate fee schedule amounts for the interpretation of EKGs; (b) adjust the relative values in the fee schedule for physician visits to reflect separate payments for EKG interpretation; (c) establish EKG practice guidelines for dissemination to physicians along with other educational information relating to EKG use; (d) develop a profile for EKG use by physicians; and (e) study EKG utilization and costs for a report to the Congress; and (6) make the new payment system for physicians nonapplicable to services furnished on or after January 1, 1992, by a physician who was in his or her first, second, or third year of practice in 1991 and to whom the payment rules under the new system did not apply in that year. Prohibits the Secretary from issuing final regulations before July 1, 1993, which change the methodology for determining: (1) the amount of time that may be billed for anesthesia services; and (2) the amount paid for drugs and biologicals furnished incident to physicians' services. Requires the Director of the Office of Technology Assessment to conduct a study and report to the Congress on whether payments for anesthesia services should be based on a particular unit of time according to the medical procedure with respect to which the service is furnished. Requires the Secretary to: (1) conduct a study and report to the Congress with respect to payment for drugs and biologicals furnished incident to physicians' services and payment for multiple surgical procedures; and (2) provide for pilot projects for developing Medicare volume performance standards other than at the national level. Authorizes appropriations to carry out the pilot projects.
United States · United States Congress · 3 October 1991
Veterans Bill of Rights Act - Directs the Secretary of Veterans Affairs to take all necessary action to ensure that all rights and benefits provided under Federal law to qualified veterans are: (1) made available to veterans to the same extent in every State or geographic location; and (2) not denied on the basis of race, ethnicity, sex, religion, age, or geographic location.
United States · United States Congress · 1 October 1991
Breast Cancer Screening Safety Act of 1991 - Amends the Public Health Service Act to require certification in order for a facility to perform or interpret mammograms, inspect equipment, perform needle localizations or other procedures using mammography equipment, or conduct quality assurance oversight related to mammography. Authorizes the Secretary of Health and Human Services to issue and renew certificates for up to two years. Allows the Secretary to approve a private nonprofit organization to be an accreditation body which meets certain requirements, including inspecting facilities. Directs the Secretary to: (1) establish standards for facilities to assure the safety and accuracy of mammography; (2) specify organizations eligible to certify individuals to perform radiological procedures; (3) specify boards eligible to certify individuals to interpret screening mammograms; (4) establish standards regarding the qualifications for individuals to interpret screening mammograms; and (5) specify boards eligible to certify individuals to inspect screening mammography equipment and oversee quality assurance practices. Directs the Secretary to conduct annual announced and unannounced inspections of certified facilities. Provides for: (1) intermediate sanctions for certain violations; (2) suspension, revocation, and limitation of certificates; and (3) injunctions. Requires fees for certificate issuance and renewal, and for inspections, sufficient to cover costs. Requires annual publication of a list of facilities convicted of fraud and abuse, false billings, or kickbacks, facilities that have had certificates revoked, suspended, or limited, and facilities that have been the subject of a sanction or other similar matters. Allows the Secretary to exempt facilities in a State or locality with more stringent requirements from compliance with this Act. Directs the Secretary to: (1) make grants for research on new methods of establishing a Mammography Registry; and (2) based on the research, establish the Registry. Authorizes grants to enhance the capacity of health personnel in the area of breast cancer mortality prevention. Allows grant funds to be used to establish a breast cancer mortality prevention regional training center and develop a training curriculum. Authorizes appropriations. Amends title XVIII (Medicare) of the Social Security Act to require that screening mammographies paid for under Medicare be performed by a facility: (1) certified under this Act; and (2) in compliance with specified provisions of this Act.
United States · United States Congress · 1 October 1991
Semiconductor Investment Act of 1991 - Amends the Internal Revenue Code to classify the depreciable life for semiconductor manufacturing equipment as three-year property.
United States · United States Congress · 1 October 1991
Designates December 1 through 7, 1991, and November 29 through December 5, 1992, as National Adoption Week.
United States · United States Congress · 1 October 1991
Expresses the sense of the Senate that: (1) the President should make clear that the United States supports the restoration of the democratically elected government of President Aristide in Haiti; (2) all U.S. assistance to the Haitian Government should remain suspended until democratic government is restored; (3) the Haitian military should respect the human rights of the Haitian people; (4) the Organization of American States should be commended for condemning the coup and for its Santiago commitment creating a new automatic mechanism to respond to the interruption of legitimate elected government; and (5) the international community should take all appropriate action to restore democratic government in Haiti.
United States · United States Congress · 1 October 1991
Expresses the sense of the Congress that the President should: (1) recognize Ukraine's independence and take steps toward the establishment of full diplomatic relations with Ukraine should the December 1, 1991, referendum confirm the Ukrainian parliament's independence declaration; and (2) use U.S. assistance, trade, and other programs to support the Government of Ukraine and encourage the further development of democracy and a free-market.
United States · United States Congress · 26 September 1991
Designates November 16, 1991, as Dutch-American Heritage Day.
United States · United States Congress · 25 September 1991
Declares that the Senate recommends that all health insurance plans cover mammography screening as part of basic coverage.
United States · United States Congress · 20 September 1991
United States-Hong Kong Policy Act of 1991 - Title I: United States Policy - Expresses the sense of the Congress that the following should be U.S. policy with respect to the U.S. relationship with Hong Kong: (1) the United States should seek to establish direct bilateral ties with Hong Kong in economic, shipping, communications, tourism, cultural, sport, and other matters to the extent that Hong Kong is allowed to exercise autonomy in these fields under the 1984 Joint Declaration of the Governments of Great Britain and Northern Ireland and China on the question of Hong Kong; (2) the United States should seek to maintain after July 1, 1997, with the authorization of the Chinese Government, the U.S. Consulate-General in Hong Kong and other U.S. official and semi-official organizations; (3) the United States should invite Hong Kong to maintain, after such date, its official and semi-official missions in the United States and to open other missions in those fields in which it is permitted to exercise autonomy under the Joint Declaration; (4) the United States should seek to reach agreements with the Hong Kong Special Administrative Region (Administrative Region) in such fields, particularly with respect to reduction or abolishment of visa restrictions hindering U.S. nationals seeking to work in Hong Kong and covering Hong Kong residents seeking to work in the United States; (5) the United States should recognize passports and travel documents issued by the Administrative Region; and (6) the Chinese Government's exercise of sovereignty over Hong Kong should not affect treatment of Hong Kong residents who apply for visas to visit the United States. Expresses the sense of the Congress that the following should be U.S. policy with respect to participation by Hong Kong in multilateral organizations: (1) the United States should support Hong Kong's participation in multilateral organizations open to non-states which are concerned with those matters in which Hong Kong is permitted to exercise autonomy under the Joint Declaration; (2) the United States should continue to fulfill its obligations to Hong Kong under international agreements, so long as Hong Kong reciprocates; (3) the United States should support Hong Kong's application to join all multilateral international conferences, agreements, and organizations; and (4) the United States should support Hong Kong's continued participation after July 1, 1997, under the name Hong Kong, China, in all such conferences, agreements, and organizations. Expresses the sense of the Congress that the following should be U.S. policy with respect to commerce between the United States and Hong Kong: (1) the United States should seek to maintain and expand economic and trade relations with Hong Kong and should continue to treat Hong Kong as a separate territory in economic and trade matters (even after July 1, 1997); (2) the United States should continue to negotiate directly with Hong Kong to conclude bilateral economic agreements (even after July 1, 1997); (3) the United States should continue to consider Hong Kong for most-favored-nation trade status and to recognize certificates of origin for manufactured goods issued by the Administrative Region; (4) the United States should continue to allow the U.S. dollar to be freely exchanged with the Hong Kong dollar and U.S. businesses should continue to operate in Hong Kong; (5) the United States should continue to support Hong Kong's access to sensitive technologies; (6) the United States should encourage Hong Kong to continue to develop a framework which provides protection for intellectual property rights; and (7) the United States should negotiate a bilateral investment treaty with Hong Kong. Expresses the sense of the Congress that the following should be U.S. policy with respect to transportation from Hong Kong: (1) the United States should continue to recognize ships and airplanes registered in Hong Kong and negotiate air service agreements directly with Hong Kong; (2) the United States should continue to recognize ships registered by Hong Kong after July 1, 1997, and U.S. commercial ships should remain free to port in Hong Kong; (3) the United States should recognize licenses issued by the Administrative Region to Hong Kong airlines; (4) the United States should recognize permits issued by the Administrative Region to U.S. airlines for specified services; (5) the United States should negotiate with the Administrative Region to renew or amend all air service agreements existing on June 30, 1997, and to conclude new air service agreements affecting all flights to, from, or through China; and (6) the United States should negotiate with the Administrative Region about arrangements to implement international aviation agreements. Expresses the sense of the Congress that the following should be U.S. policy with respect to cultural and educational exchanges with Hong Kong: (1) the United States should seek to maintain and expand U.S.-Hong Kong relations and exchanges in culture, education, science, and academic research; (2) the Administrative Region should be accorded individual status as a full partner in the Fulbright Program; and (3) the Congressional Research Service of the Library of Congress should seek to expand educational and informational ties with the Legislative Council of Hong Kong. Title II: The Status of Hong Kong in United States Law - Continues to treat Hong Kong as a separate territory under U.S. law after July 1, 1997. Approves the continuation in force of all treaties entered into by the United States and Hong Kong before such date. Title III: Reporting Provisions - Directs the Secretary to submit to the Speaker of the House and the chairman of the Senate Foreign Relations Committee: (1) a report on the degree to which the Joint Declaration is being implemented; and (2) a separate subreport (with respect to country reports) on Hong Kong.
United States · United States Congress · 20 September 1991
Designates the week of October 27 through November 2, 1991, as National Pornography Victims Awareness Week.
United States · United States Congress · 19 September 1991
Christopher Columbus Quincentenary Commemorative Coin and Scholarship Endowment Act of 1991 - Directs the Secretary of the Treasury to mint and issue not more than a specified number of five-dollar gold coins, one-dollar silver coins, and half-dollar clad coins emblematic of the quincentenary of Columbus' encounter with the New World. Sets forth certain features of such coins and provides for their design, issuance, and sale. Terminates the minting of such coins after a certain deadline. Establishes the Christopher Columbus Quincentenary Scholarship Foundation as an independent entity within the executive branch to promote educational activities for secondary students using funds deposited in the Christopher Columbus Quincentenary Scholarship Endowment Fund (the Fund). Requires the Board of Directors of the Foundation to appoint an Executive Secretary who shall be subject to its supervision. Outlines the Fund's operating parameters. Sets forth scholarship criteria for eligible students to be known as "Columbus Scholars." Mandates that the Foundation submit an annual status report to the Congress and the Secretary of Education. Sets forth guidelines for possible termination of the Fund and the Foundation.
United States · United States Congress · 18 September 1991
Declares that the Congress acknowledges and appreciates the commitment, devotion, and sacrifices of present and former military families. Designates November 25, 1991, as National Military Families Recognition Day.
United States · United States Congress · 17 September 1991
Designates October 1991 as Ending Hunger Month.
United States · United States Congress · 17 September 1991
Declares that the Congress should immediately adopt legislation to repeal the luxury excise tax on boats.
United States · United States Congress · 16 September 1991
Gulf of Mexico Preservation Act of 1991 - Directs the Administrator of the Environmental Protection Agency (EPA) to establish a Gulf of Mexico Program. Establishes within EPA a Gulf of Mexico program office (Office), to be headed by a Director appointed by the Administrator. Sets forth the duties of the Director, including collecting and making available information concerning the environmental quality of the Gulf and assisting the Administrator: (1) in coordinating Office activities with coastal and marine resources-related activities of any Federal, State, or local departments, institution of higher education, or private industry with a significant interest in coastal and marine resources; (2) by developing a comprehensive conservation and management plan (Plan) for the Gulf; and (3) in awarding grants. Lists duties of the Administrator, including overseeing the activities of the Director, conducting periodic reviews and evaluations of Program activities, and overseeing the development and implementation of cooperative programs with Federal, State, and local departments. Requires the Director to: (1) conduct a research project to determine the changes in the quality of the environment of living resources of the Gulf resulting from human activity and the changes attributable to other causes; and (2) give special attention, in carrying out such project, to changes in wildlife, shellfish, and key fish populations and assess any interrelated changes to the quality of the living resources of the Gulf. Specifies that such project shall include: (1) an assessment of the impact on the environment of such living resources of pollutants, nutrient loading, acid precipitation and deposition, the dumping of medical and plastic wastes, coastal beach erosion, and habitat degradation; (2) the use of measurements of dissolved oxygen as a determinant of water quality; (3) an assessment of the type and degree of bacterial infection in key fish species of the Gulf; and (4) an assessment of oil spill response activites in the Gulf. Directs the Administrator to conduct a study of regional environmental problems in the Gulf that are not confined to the jurisdiction of any Federal, State, or foreign entity. Authorizes the Administrator, upon completion of such study, to suggest entering into a cooperative agreement with, or participating in, a joint commission with the Mexican Government and any other appropriate foreign country to address such problems. Bars any such agreement from entering into force or such commission from convening prior to the date of issuance of the Plan. Requires the Administrator to develop and implement the Plan, which shall: (1) outline specific activities to be conducted under the Program by the Administrator; (2) provide for cooperative activities under the Program with Federal, State, and local agencies and with institutions of higher education and private industries with a significant interest in coastal and marine resources; and (3) set forth recommendations for actions by States to abate pollution in the Gulf or to otherwise improve environmental quality with respect to the living resources of the Gulf. Directs the Administrator to establish a program to award grants to assist States in implementing such recommendations. Authorizes appropriations. Earmarks 70 percent of appropriated funds for the grant program. Specifies that, in any budget proposal submitted by the Administrator for inclusion in the President's annual budget submitted to the Congress, the Administrator shall request that funding of the office be included as a separate line item.
United States · United States Congress · 16 September 1991
Designates 1992 as the Year of the Gulf of Mexico. Expresses the sense of the Congress that governmental entities that have responsibilities relating to the Gulf should work to increase public awareness concerning the immeasurable value of the Gulf's resources and conditions that threaten its aesthetic and economic value.
United States · United States Congress · 11 September 1991
Designates the Federal building located at 80 North Hughey Avenue in Orlando, Florida, as the George C. Young United States Courthouse and Federal Building.
United States · United States Congress · 2 August 1991
Nuclear Decommissioning Reserve Fund Act of 1991 - Amends the Internal Revenue Code to: (1) decrease the rate of tax imposed on the income of any Nuclear Decommissioning Reserve Fund from 34 percent to 22 percent for taxable years beginning after December 31, 1990, and before January 1, 1993, and to 20 percent for taxable years beginning after December 31, 1992; and (2) remove restrictions on permitted investments of Fund monies.
United States · United States Congress · 2 August 1991
James Madison - Bill of Rights Commemorative Coin Act - Directs the Secretary of the Treasury to issue: (1) five-dollar and half-dollar coins emblematic of the Bill of Rights; and (2) one-dollar silver coins emblematic of James Madison. Sets forth guidelines for their sale and issuance, and for financial assurances. Mandates that the surcharges received by the Secretary be transmitted to the James Madison Memorial Fellowship Trust Fund. Authorizes audits by the Comptroller General. Provides a general waiver of procurement regulations when implementing this Act. Requires the Secretary to submit monthly financial status reports to certain congressional committees.
United States · United States Congress · 1 August 1991
Independent Older Blind Individuals Amendments of 1991 - Amends the Rehabilitation Act of 1973 to revise the program for independent living services for older blind individuals. Provides, under such program, for formula grant allotments to States regarding services for older blind individuals. Requires ten percent non-Federal contributions for program costs. Revises provisions relating to such services. Extends through FY 1995 the authorization of appropriations for such program.