United States · United States Congress · 14 January 1991
Social Security Administrative Reform Act of 1991 - Title I: Establishment - Amends title VII (Administration) of the Social Security Act to establish the Social Security Administration as an independent executive agency, governed by a Commissioner of Social Security. Provides that it shall be the duty of the Commissioner to administer the Old Age, Survivors and Disability Insurance (OASDI) program and the Supplemental Security Income program under titles II and XVI of the Social Security Act. Transfers to the Commissioner all functions carried out by the Secretary of Health and Human Services (HHS) pertaining to such programs. Establishes in the Administration an Office of the Beneficiary Ombudsman. Establishes a Social Security Advisory Board to advise the Commissioner on policies related to such programs and on operations in the Administration. Title II: Conforming Amendments - Makes conforming amendments to titles II and XVI of the Social Security Act. Requires the Commissioner to report to the Congress within 120 days after the beginning of each regular session on his or her administration under the Social Security Act. Directs the Commissioner to appoint, quadrennially, an Advisory Council on Social Security to review the relation of the trust funds supporting the OASDI program to the long-term commitments of the program. Directs the Secretary to appoint, quadrennially, an Advisory Council on Hospital and Supplementary Medical Insurance to review the relation of the trust funds supporting the Medicare program to the long-term commitments of the program. Makes conforming amendments to other titles of the Social Security Act and to other Federal laws.
United States · United States Congress · 14 January 1991
Amends the National Labor Relations Act and the Railway Labor Act to make it an unfair labor practice for an employer to offer or grant: (1) permanent replacement employee status during a labor dispute; or (2) any employment preference to an individual who worked or indicated a willingness to work during a labor dispute over an employee who exercised specified rights during such dispute and who is working for, or has unconditionally offered to return to work for, the employer.
United States · United States Congress · 14 January 1991
Child Welfare and Preventive Services Act - Title I: Provisions Relating to Child Welfare and Family Support - Amends part B (Child-Welfare Services) of title IV of the Social Security Act to provide Federal funds to enable States to plan, develop, or expand innovative programs of child welfare services and family support services in order to preserve and strengthen families and prevent the need for placement in foster care. Authorizes appropriations. Directs the Secretary of Health and Human Services (HHS) to authorize demonstration projects to improve the coordination of welfare services for families and children. Directs the Secretaries of HHS, Agriculture, and Education, and the Attorney General to: (1) review department policies to determine whether changes can be made without statutory changes to improve the funding and delivery of such services; and (2) issue a report to the Congress that includes recommendations for both legislative and nonlegislative changes to improve the coordination of the funding and delivery of such services. Amends part E (Foster Care and Adoption Assistance) of title IV of the Social Security Act to set forth provisions to facilitate adoption, including provisions allowing States to disregard adoption assistance payments in determining a family's eligibility for the Aid to Families with Dependent Children (AFDC) program under part A. Directs the Secretary of HHS to establish an Advisory Committee on Foster Care Placement to study and make recommendations regarding the current requirement that States make reasonable efforts to prevent the need for removal of a child from home, and to make it possible for the child to return home, under State plans for foster care and adoption assistance. Requires that a child who is placed in foster care be placed in a setting that is most appropriate for that child. Authorizes demonstration projects to facilitate the reunification of children eligible for AFDC services with their families. Allows States to claim 90 percent Federal matching for the costs of planning, designing, developing, or installing a statewide data collection and information retrieval system for purposes of administering the Child-Welfare Services program and the Foster Care and Adoption Assistance program. Allows States to claim 50 percent Federal matching for the costs of operating a data collection and information system for purposes of administering the Foster Care and Adoption Assistance program. Allows youths in independent living programs to accumulate assets sufficient to enable them to establish their own households. Requires States to submit all claims for Federal reimbursement under the Foster Care and Adoption Assistance program within one year after the calendar quarter in which the expenditure is made (currently, within two years). Outlines the criteria for the Secretary of HHS to use for approving applications by colleges for grants to provide child welfare traineeships. Permits the Secretary of HHS to authorize up to ten States to establish and evaluate specified types of child welfare demonstration projects. Grants such States more flexible spending authority for such purposes. Directs the Secretary, in order to improve the capacity of State and local child welfare agencies to administer Child-Welfare Services and Foster Care and Adoption Assistance programs and to provide services to families and children, to develop and publish a model staff training program for use by such agencies. Requires the health and education records of foster children to include: (1) the telephone numbers of their health and education providers; and (2) a record indicating that their foster care provider was advised of their eligibility for services under the Medicaid program (title XIX of the Social Security Act). Title II: Provisions Relating to Comprehensive Substance Abuse Programs for Pregnant Women and Caretaker Parents with Children - Amends the Child-Welfare Services program to provide Federal funds to enable States to establish comprehensive substance abuse programs for certain low-income pregnant women and caretaker parents with children. Authorizes appropriations. Title III: Provisions Relating to Child Health - Amends the Medicaid program to allow States to provide federally reimbursed Medicaid coverage for children of families with income below 185 percent of the Federal poverty level. Allows States to extend Medicaid coverage to children born before October 1, 1983, who have attained six years of age but have not attained 19 years of age or a lesser age as selected by the State. Provides for optional State Medicaid coverage for foster children. Provides for optional State Medicaid coverage of: (1) home visitor services for medically fragile infants; and (2) home or community-based services to children with acquired immune deficiency syndrome or children who are ventilator-dependent. Removes restrictions on the ownership of certain assets, such as automobiles and household goods, by pregnant women for purposes of determining Medicaid eligibility. Provides for greater continuous Medicaid eligibility for certain children. Requires States to provide medical assistance under the Medicaid program to any individual who is eligible for and receiving benefits under the Supplemental Security Income program (title XVI of the Social Security Act). Revises the requirement that States with prospective payment systems must provide for outlier payment adjustments for certain expensive services provided to children under age six during their stay in disproportionate share hospitals to make such requirement applicable to children under age 19. Requires the Federal Government to use the most recent data in calculating its matching share for Medicaid. Provides for the extension of certain waivers for services related to pregnancy. Increases the limit on the number of individuals allowed to participate in home and community-based programs under waivers. Outlines various congressional reporting requirements imposed by this Act on the Secretary of HHS, including requirements with respect to the Maternal and Child Health Services program (title V of the Social Security Act). Directs the Secretary of HHS to appoint a Commission on the Evaluation of Disability in Children. Directs the Commission to conduct a study and report to the Congress on the meaning of the term "disability" under the SSI program as it applies to determining whether a child under the age of 18 is eligible to receive benefits under such program. Terminates the Commission on September 30, 1993. Title IV: Provisions Relating to Adoption Expense Deduction - Amends the Internal Revenue Code to allow a deduction for the expenses incurred to adopt a child with special needs, up to an annual limit of $3,000.
United States · United States Congress · 14 January 1991
Senate Election Ethics Act of 1991 - Title I: Senate Election Campaign Spending Limits and Benefits - Amends the Federal Election Campaign Act of 1971 to provide for spending limits and to establish eligibility requirements for benefits for Senate primary, general, and runoff elections. Limits personal expenditures during an election cycle to $250,000 and aggregate expenditures for a general election to the lesser of: (1) $5,550,000; or (2) the greater of: (a) $950,000; or (b) $400,000 plus 30 cents for each voter up to 4,000,000 and 25 cents for each voter over 4,000,000. Limits expenditures for the primary election and any runoff election. Provides for increasing threshold amounts under this Act in accordance with increases in the price index. Increases such primary and runoff election spending limits by the aggregate amount of independent expenditures in excess of $10,000 made against, or on behalf of any opponent of, such candidate during the applicable period. Requires an individual who files as a candidate for the primary election, in order to be eligible to receive the benefits for that election, to file a declaration with the Federal Election Committee (FEC) indicating that the candidate and his or her authorized committees will comply with such limits. Sets forth a threshold contribution requirement for general election candidates. Requires a candidate for the general election, in order to be eligible to receive the benefits for that election, to file a certification with the FEC that the candidate and his or her authorized committees will comply with the primary and runoff election expenditure limits and the threshold contribution requirement. Allows a candidate or Federal officeholder to establish a fund with amounts subject to the requirements of this Act up to a certain amount to defray the costs of legal and accounting services provided to ensure compliance with this Act or in connection with the activities as a Federal officeholder other than costs for the purpose of influencing the election of such candidate to Federal office. Permits the candidate to petition the FEC for a waiver of such limitation if such costs exceed the limitation. Requires upon termination of the fund that remaining amounts be transferred to: (1) another fund to be used for such purposes during the next general election; (2) an authorized committee of the candidate as contributions allocable to the next such election; or (3) the Senate Election Campaign Fund. Exempts any expenditure by the candidate or the candidate's authorized committees for Federal, State, or local taxes on earnings allocable to contributions from the general expenditure limit. Establishes formulae for determining entitlements of candidates of a major party and for those not of a majority party. Entitles candidates to certain broadcast media rates and mailing rates and to voter communication vouchers to purchase broadcast time during the general election period. Limits the aggregate amount of such vouchers to 50 percent of the general election expenditure limit (25 percent if the candidate is not a major party candidate). Provides for additional payments and suspension of spending limits in cases where non-participating candidates exceed spending limitations. Permits candidates to use such payments to defray expenditures in the general election. Prohibits the use of such payments to: (1) make any payments directly or indirectly to the candidate or the candidate's immediate family, except to repay any loan used to further the general election of such candidate; (2) make any expenditure other than expenditures to further the general election; (3) make any expenditures in violation of State or Federal law; or (4) repay any loan except to the extent the proceeds of such loan were used to further the general election. Requires the FEC to certify the eligibility of candidates to the Secretary of the Treasury in order for them to receive benefits. Establishes in the Treasury the Senate Election Campaign Fund for the deposit of funds for payments and voter communication vouchers to eligible candidates. Directs the Secretary to maintain such accounts in the Fund as appropriate. Provides for prorating payments when monies in such Fund are insufficient. Provides for increasing the amount of the eligible candidate's contribution limit under this title by the pro rata reduction in payments. Directs the FEC, after each general election, to audit the campaign expenses of publicly financed candidates. Makes candidates liable for repayment to the Secretary for excess payments and vouchers. Establishes criminal penalties for knowing and willful violations of this title. Subjects FEC actions under this Act to judicial review by the United States Court of Appeals for the District of Columbia Circuit. Authorizes appropriations to the FEC as necessary. Amends the Federal Election Campaign Act of 1971 to: (1) revise the definition of a "political committee" to delete references to any separate segregated fund and any committee, club, association, or group which receives contributions or makes expenditures annually totaling over $1,000 and to include any national, State, or district committee of a political party, including any subordinate committee; (2) repeal provisions excluding nonpartisan registration and get-out-the-vote campaigns and the establishment of, and solicitation of contributions for, a separate segregated fund from the definition of a "contribution or expenditure" by a national bank, corporation, or labor organization; (3) prohibit making, soliciting, or receiving contributions or making expenditures to influence a Federal election by any person other than an individual or a political committee; and (4) deem any political committee which is established, financed, maintained, or controlled by any candidate or Federal officeholder to be an authorized committee of such candidate or officeholder for purposes of limitations on contributions to a candidate's committees. Specifies that if such prohibition is not in effect: (1) it and the other amendments made by this Act to the Federal Election Campaign Act of 1971 regarding such definitions and a candidate's committees shall not be in effect and prior law will be reinstated; (2) political action committees not connected to corporations, labor organizations, or trade associations will be subject to a $1,000 contribution limit; and (3) it shall be unlawful for a multicandidate political committee to make a contribution to a Senate candidate or a candidate's authorized committee to the extent that the making of the contribution will cause the amount of contributions received from the multicandidate political committees to exceed the lesser of: (1) $825,000; or (2) the greater of: (a) $375,000; or (b) 20 percent of the sum of the general election spending limit plus the primary election spending limit regardless of whether the candidate is eligible. Provides that in the case of individuals who are executive or administrative personnel of an employer: (1) no contributions may be made by such individuals to any political committees established and maintained by any political party, or to any candidate for election to the Senate or the candidate's authorized committees, unless such individuals certify that such contributions are not being made at the direction of, or otherwise controlled or influenced by, the employer; and (2) the aggregate amount of such contributions by all such individuals in any calendar year shall not exceed $20,000 in the case of such political committees and $5,000 in the case of any such candidate and the candidate's authorized committees. Amends the Communications Act of 1934 to prohibit the charges made for the use of any broadcasting station by a candidate for Federal office: (1) during the 45 days before a primary or run-off election from exceeding 100 percent of the station's lowest unit charge for 30 seconds for the same time of day and day of the week; (2) during a general election from exceeding 50 percent of the lowest unit charge for 30 seconds; or (3) at any other time the charges made for comparable use of such station by other users. Outlines the responsibilities of broadcast licensees in providing broadcast time to eligible candidates pursuant to voter communications vouchers. Provides for reduced postal rates for eligible Senate candidates. Requires communications paid for or authorized by a candidate in a Senate general election who is not an eligible candidate under this Act to contain a specified message indicating that the candidate has not agreed to abide by the spending limits set forth in this Act. Sets forth reporting requirements for Senate candidates relating to spending limitations, candidate eligibility, and independent expenditures. Requires any candidate for the Senate who, during the election cycle, expends more than $250,000 from personal funds, the funds of the candidate's immediate family, and personal loans incurred by the candidate and the candidate's immediate family, to report to the FEC within 24 hours after such expenditures have been made or loans incurred. Requires the FEC to notify eligible candidates of such reports. Provides that when two or more persons make independent expenditures in excess of $10,000 in concert during any general, primary, or runoff election period for the office of Senator, each person shall report to the Secretary of the Senate on such expenditures. Title II: Expenditures and Contributions - Subtitle A: Independent Expenditures - Defines "cooperative expenditure" as any expenditure which is made: (1) with the cooperation of, or in consultation with, any candidate or any authorized committee or agent of such candidate; or (2) in concert with, or at the request or suggestion of, any candidate or any authorized committee or agent of such candidate. Specifies the conditions under which an expenditure will be included within such definition. Provides that a cooperative expenditure shall be treated as: (1) an expenditure made by the candidate on whose behalf it was made; and (2) a contribution from the person making the expenditure to the candidate on whose behalf it was made. Amends the Communications Act of 1934: (1) to require a person who reserves broadcast time the payment for which would constitute an independent expenditure to inform the licensee of the nature of the payment and the names of all candidates for the office to which the proposed broadcast relates; and (2) to provide the licensee with a statement that identifies the candidate whom such independent expenditure is intended to affect. Outlines the responsibilities of a broadcast licensee who is informed and who endorses a candidate for Federal office in an editorial. Amends the Federal Election Campaign Act of 1971 to set forth disclosure requirements for independent expenditures through television and audio broadcasts or other types of general public political advertising. Subtitle B: Expenditures - Part I: Personal Loans; Credit - Provides that if a candidate or a member of the candidate's immediate family made any loans to the candidate or to the candidate's authorized committee during any election cycle no contributions after the date of the general election for such election cycle may be used to repay such loans. Provides that no contribution by a candidate or member of the candidate's immediate family may be returned other than as part of a pro rata distribution of excess contributions to all contributors. Includes within the definition of "contribution" any extension of credit for goods or services relating to advertising if such extension of credit exceeds $1,000 and is for a certain period with respect to a Senate candidate. Part II: Provisions Relating to Soft Money of Political Parties - Establishes limitations of $20,000 and $15,000, respectively, on individuals and multicandidate committee contributions to State committees of a political party with respect to any calendar year. Provides for increasing the current $25,000 annual limitation on individual contributions by the amount of contributions made by an individual during a calendar year to such a committee. Limits such increase to $5,000. Subjects to Federal limitations, prohibitions, and reporting requirements any amount solicited, received, or expended directly or indirectly by a national, State, or local committee of a political party with respect to an activity to influence a Federal election (soft money). Specifies the activities during a Federal election period to be treated as influencing a Federal election for purposes of such provisions. Prohibits a State committee of a political party from making expenditures which, in the aggregate, exceed an amount equal to four cents multiplied by the voting age population of the State for such activities with respect to the general election campaign of a candidate for President who is affiliated with such party. Repeals provisions excluding certain payments to State or local committees of a political party from the definitions of "contribution" and "expenditure" to subject such payments to the limitations and reporting requirements of the Federal Election Campaign Act of 1971. Revises provisions regarding certain payments to State and local committees of a political party to cover the costs incurred with respect to printed slate cards or sample ballots to provide that such provisions shall not apply to the costs incurred by such committees with respect to the mass mailing of such a printed listing. Applies the limitations on contributions under the Federal Election Campaign Act of 1971 to transfers between and among the political committees described in the provisions setting forth such limitations except that a national committee may not solicit or accept contributions not subject to the limitations, prohibitions, and reporting requirements of that Act. Prohibits such provisions from applying to contributions that are to be: (1) transferred to a State committee for activities which are not for influencing an election for Federal office; or (2) used by the committee primarily to support such activities. Prohibits the national committee of a political party, the congressional campaign committees of a political party, and a State or local committee of a political party from making expenditures during any calendar year for the activities specified under this part with respect to such State which, in the aggregate, exceed an amount equal to 30 cents multiplied by the voting age population of the State. Specifies that "generic campaign activities" (a campaign activity whose preponderant purpose or effect is to promote a political party rather than any particular Federal or non-Federal candidate) during a Federal election period shall be treated as influencing an election for Federal office. Subjects fundraising by a candidate for Federal office and by an individual holding Federal office for Federal or non-Federal elections to the limitations, prohibitions, and requirements of the Federal Election Campaign Act of 1971. Prohibits Federal officeholders and candidates from raising contributions from any person of more than $5,000 on behalf of any tax-exempt organization which they have established or which they maintain or control. Prohibits Federal officeholders and candidates from raising any contributions on behalf of tax-exempt organizations if a significant portion of the activities of such an organization includes voter registration or get-out-the-vote campaigns. Sets forth additional reporting requirements for national, State, district, or local committees of a political party with respect to receipts and disbursements for activities to influence a Federal election (soft money). Requires national committees of a political party and any congressional campaign committee to report all receipts and disbursements whether or not they are used to influence a Federal election. Defines "congressional campaign committee" as the Democratic Senatorial Campaign Committee, the National Republican Senatorial Committee, the Democratic Congressional Campaign Committee, and the National Republican Congressional Committee. Provides that, in lieu of any report required to be filed by the Federal Election Campaign Act of 1971, the FEC may allow a State committee of a political party to file a report required under State law if such report contains substantially the same information. Applies the reporting requirements of the Federal Election Campaign Act of 1971 to certain payments to State or local committees of a political party excluded from the definitions of "contribution" and "expenditure" under such Act (soft money). Requires any such exempt contributions or expenditures in excess of $200 to be reported. Requires any individual who makes contributions in excess of $10,000 to any candidate for Federal office or to any political committee that is subject to the limitations of the Federal Election Campaign Act of 1971 to report to the FEC within seven days after making such contributions, and thereafter each time such individual makes contributions in excess of $5,000. Requires any candidate for Federal office, any authorized committee of a candidate, or any political committee of a candidate, or any political committee soliciting contributions subject to such limitation to include with such solicitation a notice of the requirement to report as well as the annual individual limitation on such contributions. Subtitle C: Contributions - Prohibits a congressional campaign committee of a political party, during an election cycle, from accepting from multicandidate political committees and separate segregated funds any contributions which exceed 30 percent of the total expenditures which such committee may make during that election cycle. Prohibits a national committee of a political party, during an election cycle, from accepting from multicandidate political committees and separate segregated funds any contributions which, in the aggregate, exceed an amount equal to two cents multiplied by the voting age population of the United States. Subjects any expenditure made by a national or State committee of a political party or a congressional campaign committee for general public political advertising which clearly identifies a candidate for Federal office by name to the limitations on expenditures by national and State committees of a political party under the Federal Election Campaign Act of 1971. Prohibits such provisions from applying to expenditures for mass mailings designed primarily for fundraising purposes which make only incidental references to any one or more Federal candidates. Provides for the accountability of contributions made by intermediaries or conduits. Provides that any contribution by an individual who is not of voting age and who is a dependent of another individual shall be treated as having been made by such other individual. Subtitle D: Reporting Requirements - Revises reporting requirements under the Federal Election Campaign Act of 1971. Title III: Federal Election Commission - Revises provisions regarding the organization of political committees to prohibit a political committee that is not an authorized committee from including the name of any candidate in its name in such a context as to suggest that it is an authorized committee of the candidate or that the use of the candidate's name has been authorized by the candidate. Revises reporting requirements to give a political committee which is the principal campaign committee of a House or Senate candidate the option of filing monthly reports in all calendar years in lieu of the reports currently required to be filed with the FEC, except with respect to the general election reports. Revises enforcement provisions. Changes the determination the FEC must make upon receiving a complaint and before notifying a person of an alleged violation. Repeals the requirement that all FEC decisions with respect to the exercise of its duties and powers under the Federal Election Campaign Act of 1971 be made by a majority vote of its members. Subjects such decisions to an affirmative vote of four FEC members, except with respect to certain questions including the above mentioned determination, in which case the general counsel is required to make a recommendation for action. Requires such action to be taken upon an affirmative vote of three FEC members. Provides that in the event of a vacancy in the office of general counsel, the next highest ranking enforcement official in that office shall serve as acting general counsel with full powers of the general counsel until a successor is appointed. Increases the rate of basic pay of the general counsel to the rate for the FEC staff director. Provides that fees collected by the FEC for copying and certification of records and for the provision of other materials to the public shall not be covered into the general fund of the Treasury, but shall be kept in a separate account and shall be available to the FEC to carry out the Federal Election Campaign Act of 1971. Revises provisions regarding penalties prescribed in conciliation agreements and penalties for violations which are adjudicated in court. Authorizes the FEC to conduct random audits and investigations to ensure voluntary compliance with this Act. Sets forth disclosure requirements for expenditures and independent expenditures through television and radio broadcasts or other types of general public political advertising. Declares that no person shall: (1) make a fraudulent misrepresentation that the person is authorized to solicit or accept a contribution to a candidate or political committee; or (2) solicit or accept a contribution to a candidate or political committee unless the person intends to, and does, pay over to the candidate or political committee any contribution received and informs the candidate or political committee of the name of the contributor. Title IV: Miscellaneous - Prohibits an incumbent in, or candidate for, Federal office from establishing, maintaining, or controlling a political committee other than an authorized committee of the candidate or a committee of a political party. Requires a contribution of polling data to a candidate for the Senate to be valued at the fair market value of the data on the date the poll was completed, depreciated at a rate not more than one percent per day from such date to the date on which the contribution was made. Prohibits congressional franked mass mailings within one year before an election (currently, within 60 days before an election).
United States · United States Congress · 14 January 1991
National Commission on a Longer School Year Act - Establishes a National Commission on a Longer School Year (the Commission). Requires the Commission to report to the President and the Congress on the advisability of lengthening the school day and school year in all U.S. public elementary and secondary schools. Terminates the Commission 90 days after it submits its final report. Authorizes appropriations for FY 1991 through 1994.
United States · United States Congress · 14 January 1991
Veterans Benefits and Health Care Amendments of 1991 - Title I: Compensation - Part A: Generally - Directs the Secretary of Veterans Affairs (VA) to increase the rates of, and limitations on, Department of Veterans Affairs disability compensation and dependency and indemnity compensation to coincide with benefit increases under title II (Old Age, Survivors and Disability Insurance) of the Social Security Act. Requires such rate increases to be published in the Federal Register. Part B: Radiogenic Disabilities - Extends the presumption of service-connection, for purposes of eligibility for veterans' disability compensation, to cover members of the reserves who participated in a radiation-risk activity while serving on active duty for training or inactive duty for training. Amends Federal provisions relating to the payment of disability compensation due to certain diseases and disabilities presumed to be service-connected to remove the current limitation on the required manifestation period (either 40 or 30 years from the date on which a veteran last participated in a radiation-risk activity). Adds cancer of the salivary gland and cancer of the urinary tract to the list of diseases that will be presumed to be service-connected for purposes of such disability compensation. Requires the Secretary, within 210 days after enactment of this Act, to identify at least three military activities which likely would have exposed individuals to levels of ionizing radiation above background levels. Requires the Secretary to identify at least three additional activities by October 1 of FY 1991 through 1993. Requires the Secretary, immediately after identifying each additional activity, to direct the Veterans' Advisory Committee on Environmental Hazards to evaluate, make findings, and report on whether participation in such activities resulted in exposure comparable to that resulting from a radiation-risk activity as defined under current law. Requires the Secretary to list each such activity unless the Advisory Committee's report and all other evidence indicate that such activity did not result in comparable exposure to that of veterans participating in radiation-risk activities. Requires the Secretary to make certain reports. Part C: Agent Orange Exposure and Vietnam Service - Veterans' Agent Orange Exposure and Vietnam Service Benefits Act of 1991 - Establishes a presumption of service connection, for the purposes of eligibility for veterans' disability compensation, for each of the following diseases incurred by individuals who served in Vietnam during the Vietnam era, if such diseases become manifest to a disability degree of ten percent or more: (1) non-Hodgkins lymphoma; (2) each soft-tissue sarcoma; and (3) chloracne. Provides a presumption of service-connection in the case of a Vietnam veteran suffering from a disease associated with effects of exposure to certain dioxins or other herbicide agents during such service in Vietnam. Directs the Secretary to prescribe regulations listing a positive association between any disease and the biological effects of exposure to an herbicide agent in Vietnam. Requires the Secretary to update such list continually. Requires the Secretary, in prescribing and revising such list, to obtain by contract the determinations and estimates of a contract scientific organization. Requires such organization to: (1) determine which diseases have any degree of association with the biological effects of exposure to a herbicide agent; and (2) estimate the extent of association between each such disease and each such biological effect. Requires the organization to determine such association specifically with respect to lung cancer and each other cancer. Outlines contract provisions required in such agreements between the Secretary and the scientific organization, including surveys, evaluations, and periodic determinations. Requires such scientific organization to provide reports to the Secretary and the Senate and House Veterans' Affairs Committees (veterans' committees) regarding its determinations and evaluations. Requires such organization to determine, in the event of a positive association, whether there is a reasonable basis for concluding that a Vietnam veteran with the highest level of exposure to that herbicide agent in Vietnam was exposed to such agent under the circumstances necessary for such biological effects. Requires a report from the organization to the Secretary and the veterans' committees when no such reasonable basis is found. Requires the Secretary to make certain determinations and follow-up reports after receiving such reports from the contract scientific organization, including the issuance of a report to the veterans' committees and the promulgation of positive association regulations, if necessary. Requires benefits to be continued even though a disease is removed from the list of diseases having positive associations. Terminates such contracting authority ten years after the first day of the fiscal year in which a scientific organization transmits its first report to the Secretary. Provides interim regulations and special effective dates. Directs the Secretary to compile and analyze all clinical data that: (1) are obtained by the VA in connection with examinations and treatment of veterans for disabilities related to exposure to certain herbicides or to service in Vietnam; and (2) are likely to be scientifically useful in determining the association, if any, between the disabilities of such veterans and their exposure to such herbicides and other toxic substances. Requires the Secretary to submit an annual report to the veterans' committees concerning such analysis and its results. Directs the Secretary to consult with the Director of the Office of Technology Assessment (OTA) before compiling and analyzing such information. Requires the Director of OTA to review each annual report submitted by the Secretary and transmit to the Secretary an evaluation of the contents of each report. Directs the Secretary to establish and maintain a system for the collection and storage of voluntarily contributed samples of blood and tissue of veterans who performed active service in Vietnam during the Vietnam era. Outlines provisions concerning the security and authorized uses of such specimens, as well as limitations on the acceptance of such samples. Requires the Secretary to consult with the National Academy of Sciences (NAS) to the extent that an agreement has been reached with NAS serving as the contract scientific organization for the Secretary. Requires the Secretary to consult with the Director of OTA if no agreement is made with NAS. Directs the Secretary to establish a program to provide for studies of the feasibility of conducting additional scientific research on health hazards resulting from: (1) exposure to dioxin; (2) exposure to other toxic agents in herbicides used in support of U.S. and allied military operations in Vietnam during the Vietnam era; and (3) active military, naval, or air service there. Requires the Secretary to report to the veterans' committees on the results of such studies. Requires the Secretary to consult with NAS before undertaking such studies and requires NAS to review such studies and report recommendations to the Secretary and the veterans' committees to the extent provided under any agreement between the Secretary and NAS. Amends the Veterans' Benefits Improvement Act of 1988 to require the Secretary to annually furnish updated information to individuals listed in the Department of Veterans Affairs Agent Orange Registry on health risks resulting from exposure to dioxin or other toxic agents in herbicides as a result of service in Vietnam during the Vietnam era. Directs the Secretary of Health and Human Services to report to the veterans' committees on the research being conducted to develop treatments for psychological absorption of dioxin and other toxic agents used in herbicides by the United States in Vietnam, including research relating to exposure to dioxin and other toxic agents outside Vietnam. Extends through December 31, 1993, the eligibility for hospital and nursing home care for veterans exposed to toxic substances in Vietnam. Title II: Health Care - Part A: Mental Health - Authorizes the provision of health care and services for veterans of World War I or II, the Korean Conflict, the Vietnam Era, or any other area during a period in which hostilities occurred who have been diagnosed to be suffering from post-traumatic stress disorder (PTSD) related to such services even though such disorder has not been determined to be service-connected. Requires the VA to accomplish an evaluation of a veteran within seven days after referral of such veteran to a Department health-care facility from a Vet Center (a center for treatment of veterans with mental illness disabilities). Expands eligibility for readjustment counseling at Vet Centers to include veterans of wars prior to Vietnam and veterans of service in any areas in which U.S. personnel were subjected to danger from armed conflict comparable to that occurring in battle with an enemy during a period of war. Directs the Secretary to establish and operate up to five VA health-care facilities as centers of mental illness research, education, and clinical activities, taking into account appropriate geographic distribution of such facilities. Precludes the Secretary from designating any health-care facility as a center unless the facility has (or may reasonably be anticipated to develop): (1) an arrangement with an accredited medical school or graduate school of psychology which provides education and training in psychiatry and psychology through regular rotation through such center so as to provide training in the diagnosis and treatment of mental illness; (2) an arrangement under which nurses, social workers, or other allied health personnel receive education and training in mental health care through regular rotation through such facility; (3) the ability to attract the participation of scientists who are capable of ingenuity and creativity in research into the causes, treatment, and prevention of mental illness and into models for furnishing care and treatment to veterans suffering from mental illness; (4) a policymaking advisory committee to advise the directors of such facility and center on policy matters pertaining to the activities of such center; and (5) the capability to conduct effectively evaluations of the activities of such center. Authorizes appropriations. Declares that activities of clinical and scientific investigation at each center shall be eligible to compete for the award of funding from funds appropriated for the Department's medical and prosthetics research account and shall receive priority insofar as funds are awarded to projects for mental illness. Requires the Chief Medical Director (CMD) to ensure that: (1) research activities carried out through such centers include an appropriate emphasis on the psychosocial dimension of mental illness and on models for furnishing care and treatment to veterans suffering from mental illness; and (2) useful information produced by the centers is disseminated throughout the Veterans Health Services and Research Administration (HSRA). Requires the Secretary to submit to the veterans' committees an annual report on activities and effectiveness of the centers. Directs the Special Committee on Post-Traumatic Stress Disorder to submit to the Secretary and veterans' committees no later than February 15 of each of the years 1991 through 1993 a report on the Committee's evaluation of the results of a study required under the Veteran's Health Care Amendments of 1983 relating to the diagnosis and treatment of veterans suffering from PTSD. Directs the Secretary to comment to the veterans' committees concerning such report. Requires the Committee to update certain reports required of the Committee under the Veterans' Health Care Act of 1984 and requires the Secretary to comment to the veterans' committees concerning such updates. Directs the Secretary, in certain papers required to be submitted to the President annually, to identify the amounts in the appropriations requests for the VA that are estimated to be obligated for payments and treatments for veterans suffering from PTSD, and for education, training, research, and the operation of the National Center on Post-Traumatic Stress Disorder. Requires the Secretary to ensure to the extent practicable that there are Department PTSD treatment units in locations readily accessible to veterans residing in rural areas of the United States. Part B: General Health - Authorizes the VA to furnish wheelchairs, prosthetic devices, and other medically necessary supplies and services as part of veterans' outpatient care when necessary either to obviate the need for hospital admission or in preparation for hospital admission. Provides outpatient dental care when medically necessary in preparation for hospital admission or for a veteran otherwise receiving other outpatient care or services. Increases the maximum cost limitation for the provision of certain home health care services to disabled veterans. Makes permanent the program of community-based contract veterans' alcohol and drug treatment program (currently expires September 30, 1991). Extends through FY 1995 the authority to provide contract care to U.S. veterans in the Veterans Memorial Medical Center in the Philippines. Extends the authorization of appropriations for the upgrading and replacement of equipment and facilities for such Center through FY 1995. Decreases such annual authorization amount from $1,000,000 to $500,000. Earmarks the first $50,000 of grants appropriated to the Center for educating and training hospital personnel. Expands the current authority of the Secretary to acquire and provide housing for homeless veterans in order to allow entities to provide transitional housing for veterans recovering from substance abuse or mental illness disabilities. Extends such program through 1993. Establishes in the Treasury the Transitional Housing Fund for the provision of housing and loans to assist veterans in recovering from alcohol or drug dependence or abuse disabilities. Outlines loan conditions and conditions for veterans residing in housing provided. Requires the Secretary to issue guidelines for the operation of such residences. Requires the director of either each medical center or each regional office of the VA to make an assessment of the needs of homeless veterans living within the area served, including needs for health care, education and training, employment, shelter, counseling, and outreach services. Requires the director of each medical center to develop a plan for each of FY 1991 through 1993 for the provision of outreach and other services to meet the needs identified. Requires actions taken under such plans to be coordinated with other programs of the VA and Federal, State, or local governments. Requires the director to disseminate information regarding services provided to homeless veterans by the medical center or other facilities of the VA. Directs the Secretary to conduct a pilot program to determine the effectiveness of providing, through community-based organizations, domiciliary care (including medical services) to homeless veterans. Authorizes the Secretary to enter into contracts with community-based organizations for the provision of such care. Authorizes appropriations for FY 1991 through 1993. Authorizes the Secretary to reprogram certain previously-appropriated funds to such program if it is found to be effective. Authorizes the Secretary to accept donations of funds or services in order to expand the medical services provided to homeless veterans through the Department. Amends the Stewart B. McKinney Homeless Assistance Amendments Act of 1988 to extend through FY 1993: (1) the authorization of appropriations for medical programs of the Department; (2) earmarked amounts for the conversion of unused space in urban VA facilities into domiciliary care beds for homeless veterans; and (3) earmarked amounts for the furnishing of care and services to homeless veterans who have chronic mental illness disabilities. Amends the Veterans' Benefits and Services Act of 1988 to extend its program for mentally ill homeless veterans. Extends through FY 1991 a pilot program under the Veterans' Benefits and Services Act of 1988 for the provision of mobile health-care clinics for the treatment of veterans residing at least 100 miles from a VA treatment facility. Requires the Secretary to establish the Advisory Committee on Prosthetics and Special-Disabilities Programs to advise the Secretary and the CMD on the coordination of VA and non-VA programs, and the adequacy of funding, for prosthetics and special disabilities programs administered by the Secretary. Requires a report. Includes within the definition of "medical services" for coverage under Federal veterans' benefits provisions services to achieve pregnancy in a veteran or a veteran's spouse when such services are necessary to overcome a service-connected disability impairing the veteran's procreative ability. Directs the CMD to appoint an advisory committee to advise the CMD on the exercise of authority to furnish such services. Authorizes use of the Special Therapeutic and Rehabilitation Activities Fund of the VA for the payment of travel and related expenses necessary for the training of employees in the administration of therapeutic and rehabilitative services. Directs the Secretary, during FY 1991-1995, to conduct a compensated work therapy and therapeutic residence pilot program (CWTTR). Directs the Secretary to establish nonprofit corporations for the making of contracts for conducting work therapy programs under the CWTTR program at no less than ten or more than 15 VA medical centers operating such programs. Requires the Secretary to be assured from a nonprofit corporation that it will operate a therapeutic residence for eligible veterans in conjunction with an existing compensated work therapy program at a medical center. Allows for the provision of in-kind services from the Secretary to the corporation, including technical and clinical advice, supervision of activities, and minor maintenance and repairs to a therapeutic residence. Authorizes the Secretary to lend amounts to a corporation in order to assist such corporations to lease or purchase property for use as therapeutic residential treatment centers. Provides loan limits and other administrative provisions concerning such loans. Directs the Secretary to transfer to the Veterans Health Services and Research Administration no less than ten residences acquired by the VA for use for such centers. Requires each such property to be leased to a nonprofit corporation for operation as a therapeutic residence under the pilot program. Outlines lease conditions and other administrative provisions concerning the establishment of nonprofit corporations for therapeutic residences. Requires each such corporation to submit to the Secretary annual reports providing a detailed statement of its operations, activities, and accomplishments during the preceding year. Requires the Secretary to report to the veterans' committees concerning each such corporation and its participation under the pilot program. Requires the Secretary, under the pilot program, to operate residences as therapeutic residences for the furnishing of transitional housing solely for veterans who are furnished compensated work therapy under applicable Federal law. Authorizes the Secretary to purchase, lease, or otherwise acquire residential housing for the purpose of furnishing such transitional housing for veterans being furnished compensated work therapy. Outlines the following conditions for the operation of such transitional housing: (1) that only qualified veterans and a house manager live in such residence; (2) that each resident (other than the house manager) pay the VA rent for the period of residence in such housing; (3) that, in the establishment and operation of such housing, the Secretary must comply with all local zoning, building, and other similar requirements; and (4) that the residence meet the State and community fire and safety requirements applicable to property used for similar purposes. Authorizes the Secretary to provide for free room and subsistence for a house manager. Requires the CMD to be responsible for the management, maintenance, and disposition of property acquired for such transitional housing. Authorizes the Secretary to dispose of such property when no longer used for such purpose. Authorizes appropriations. Requires the Secretary to report to the veterans' committees on the experience under the pilot program. Allows the Secretary to authorize the establishment of one or more nonprofit corporations to provide a flexible funding mechanism for the conduct of VA compensated work therapy programs for veterans (including homeless veterans) in such community or communities as the Secretary may designate. Requires such corporations to be established solely for such programs. Requires funds received by such a corporation for the conduct of such programs to be transferred to the Special Therapeutic and Rehabilitation Activities Fund. Outlines administrative provisions concerning the establishment and operation of each such nonprofit corporation, including provisions concerning: (1) the board of directors and executive officers; (2) general powers; (3) applicable State law; and (4) accountability and oversight. Requires the Secretary to report to the Congress no later than February 1, 1993, on the experience under the program. Prohibits the establishment of any nonprofit corporation for such purposes after September 30, 1993. Authorizes the use of the Special Therapeutic and Rehabilitation Activities Fund for the purchase of property to be used for transitional housing under this Act. Directs the Secretary to report to the veterans' committees the Secretary's evaluation, findings, and conclusions regarding the provision of such alternative noninstitutional care. Extends through FY 1995 the pilot program for the furnishing of preventive health-care services for veterans by the Secretary. Directs the Secretary to implement annually at each VA facility a major preventive health-care and health-promotion initiative for any veteran receiving other care and services administered through the Secretary. Limits expenditures for such programs and initiatives through FY 1995. Directs the CMD to designate an official in such Administration as the Director of Preventive Health-Care and Health-Promotion Programs. Requires such Director to prepare guidance regarding, to be responsible for coordinating and evaluating, and to advise the CMD on, all activities carried out under such programs and initiatives. Requires the Secretary to submit to the veterans' committees an interim and final report on experiences under the pilot program. Authorizes the Secretary to provide: (1) service dogs trained to assist quadriplegic individuals in the performance of daily living tasks to quadriplegic veterans who have a service-connected disability; and (2) signal dogs trained to provide hearing assistance to deaf persons to veterans having a service-connected hearing impairment and in need of such assistance. Authorizes the Secretary to pay travel to and from their homes incurred in becoming adjusted to such dogs. Directs the Secretary to report to the veterans' committees concerning a backlog that has occurred in the procurement of prosthetic appliances in FY 1989, for the failure to furnish certain other prosthetic appliances, and the actions planned by the Secretary to prevent a recurrence of such problem. Increases from $500 to $1,000 the total amount that may be expended on any veteran in a 12-month period for such services and treatment. Repeals the authority of the Secretary to furnish tobacco to veterans receiving hospital or domiciliary care. Directs the Secretary to establish a task force to recommend policies and legislation for the elimination of inconsistencies among provisions of law relating to veterans' eligibility for certain health-care benefits. Directs the Secretary to review the report submitted by the task force and either approve the recommendations for legislation contained therein or prepare alternative legislative proposals appropriate for the elimination of the inconsistencies identified by the task force. Requires a report to the veterans' committees concerning the recommendation of such legislative proposals. Directs the Secretary to provide Department-furnished outpatient medical services to any former prisoner of war for any disability. Part C: Health-Care Personnel - Veterans Health-Care Personnel Act of 1991 - Authorizes the payment of special pay on the same basis as that given to registered nurses to those health-care professionals who are furnishing direct care to patients or services incident to direct patient care. Increases the limitation on the amount authorized to be paid as special pay to certain individuals in the HSRA of the VA. Requires increases in such pay of a specified amount or more to be reported by the Secretary to the veterans' committees. Includes coverage of HSRA personnel under Federal employees' collective bargaining rights and procedures. Revises provisions concerning disciplinary actions and grievances within the HSRA. Directs the Secretary to establish and conduct a dependent care assistance program, which meets certain requirements of the Internal Revenue Code of 1986, for the care of dependents of employees of the HSRA. Requires such program to be implemented no later than June 1, 1991. Requires current representatives of the field of paramedics to assist in the establishment of cooperative arrangements to provide for the training of health and paramedical personnel in order to improve the manpower utilization of such personnel. Requires such arrangements to be implemented no later than February 1, 1991. Authorizes appropriations for FY 1991 through 1994 for making grants for such cooperative programs. Directs the CMD of the VA to conduct a pilot program at no less than five VA medical facilities during FY 1991 through 1993 in order to determine the effect on employees of VA pay and personnel management practices. Requires the CMD to establish certain alternative pay and personnel management practices, such as increasing certain pay differentials for day versus evening duty, utilizing registered nurses in new ways for the furnishing of direct patient care, and establishing a collaborative practice committee involving physicians, nurses, and other direct health-care personnel. Requires various reports between the CMD, the Secretary, and the veterans' committees relating to the results of such pilot program. Directs the Secretary to pay special incentive pay to psychologists employed within the HSRA. Requires psychologists receiving such special pay to hold diplomas in psychology from a recognized institution unless the Secretary determines that such psychologists are not needed to furnish appropriate psychological services for veterans. Outlines the educational and licensure requirements for social workers employed in the HSRA of the Department. Exempts individuals already employed by the Department of such capacity before the enactment of this Act from such requirements. Authorizes the Secretary to convert donated space in Department facilities for use as a child care center without reimbursement. Directs the Secretary to require each director of a Department medical center to: (1) assess the need of employees at such center for child-care services; and (2) submit an annual report to the Secretary containing the director's findings concerning such needs and a proposal of how such needs could be met. Requires the directors to consult with appropriate employee representatives in making such assessment. Part D: Special Pay for Physicians and Dentists - Department of Veterans Affairs Physicians' and Dentists' Compensation Act of 1991 - Revises provisions of Federal law relating to special pay for VA physicians and dentists. Authorizes the Secretary of VA, in order to recruit and retain highly qualified physicians and dentists, to provide special pay to such individuals under regulations prescribed by the Secretary after the Secretary has received the recommendations of the CMD. Conditions such special pay on the execution of a written agreement by the physician or dentist to perform a period of obligated service within the HSRA. Provides that such individual is not entitled to such special pay during the first three years of such service, except at the discretion of the CMD for full-time services. Prohibits special pay for those physician and dentist positions for which there is no significant recruitment and retention problem. Sets forth requirements of a written agreement, including provisions providing for: (1) a covered period of one to four years; (2) refunding of special pay for unfulfilled services; (3) the waiver of such refund requirement due to circumstances beyond the control of the physician or dentist; and (4) terms under which the Secretary and the physician or dentist may terminate the agreement. Directs the Secretary to provide special pay to eligible full-time physicians based upon specified factors, including: (1) tenure within the HSRA; (2) service in a medical specialty for which it is extremely difficult to recruit and retain qualified professionals; (3) service in certain executive positions; (4) specialty or board certifications; (5) service in a geographic location for which there are extraordinary difficulties in the recruitment or retention of qualified personnel; and (6) service by a physician with exceptional qualifications within a specialty. Requires all special pay for such full-time physicians to be personally approved by the CMD on a case-by-case basis. Sets forth conditions and limitations to the payment of such special pay. Directs the Secretary to provide special pay to part-time eligible physicians based upon similar factors. Requires the Secretary to pay each such physician an amount of special pay equal to the proportion of full-time service that physician performs. Directs the Secretary to provide special pay to eligible full-time and part-time dentists based upon similar factors. Prohibits a physician from receiving such special pay while also receiving special pay for serving in certain executive positions. Allows scarce specialty pay (another form of special pay that rewards scarce specialty areas of practice) for a physician or dentist serving as a chief of staff only if it is necessary to recruit or retain qualified physicians or dentists for such position and only if the CMD personally approves such specialty pay. Requires, with regard to the payment of special pay, determinations: (1) that there are extraordinary difficulties in recruitment or retention; and (2) of whether there are extraordinary difficulties in a specific geographic location in the recruitment or retention of qualified physicians or dentists. Sets forth considerations for determinations with respect to extraordinary recruitment and retention difficulties and the payment of special pay for individual medical facilities of the VA. Requires the director of an individual facility, in such a case, to recommend the payment of such special pay to the CMD and wait 45 days after which such pay would become effective unless disapproved by the CMD. Provides for delegation of the approval power of the CMD. Prohibits special pay from being paid to a physician or dentist who: (1) is employed on a less than half-time basis or on an intermittent basis unless the CMD determines it is the most cost-effective way of providing needed medical or dental services at a VA facility; (2) occupies an internship or residency training position; or (3) is a reemployed annuitant. Reinstates the payment of special pay under this Act for full-time physicians or dentists of the HSRA who had been receiving special pay under primary, full-time, and tenure categories before the authority for the payment of that special pay was repealed. Reinstates similarly the payment of special pay under the primary and tenure categories for part-time physicians and dentists of the HSRA. Outlines the manner in which special pay is to be considered for purposes of other benefits laws for Federal employees. States that it is the policy of the Congress to assure that total pay for HSRA physicians and dentists is comparable to total pay of other Government physicians and dentists and to the income of non-Federal physicians and dentists. Directs the Secretary: (1) in order to assist in implementing such policy, to obtain measures of income of such non-VA physicians and dentists and to define the bases for pay distinctions; (2) to report to the President quadrennially on appropriate amounts of special pay to HSRA physicians and dentists to carry out such policy; and (3) to report to specified congressional committees annually on the use of authorities under this title. Directs the Secretary to reimburse any full-time board-certified physician or dentist appointed in the HSRA for expenses incurred, up to $1,000 per year, for continuing professional education. Allows a physician or dentist within the HSRA who had previously received special pay under the full-time, primary, or tenure categories (repealed by this Act) and had elected not to have such pay treated as basic pay for purposes of retirement and annuity amounts to elect to treat the special pay provided under this Act as basic pay for such purposes. Title III: Education and Employment - Extends through 1993 the period in which a Vietnam era veteran will be considered as such for purposes of eligibility for job training, counseling, and placement services. Authorizes the Secretary of Labor to expand an employment and training program implemented under the Veterans' Benefits Amendments of 1989 in order to furnish employment and training information and services under such program in more than ten geographically dispersed areas of the United States. Requires the Secretary to make certain determinations with regard to the success of such program before undertaking such expansion. Requires the Secretary to report to the veterans' committees on such expansion. Requires the Secretary to utilize disabled veterans' outreach program specialists or local veterans' employment representatives and other resources in implementing such expansion. Makes persons receiving outpatient medical care or services pending discharge from active military service eligible for veterans' vocational rehabilitation if such persons are being treated at a hospital under contract or agreement with the Secretary of Defense. Extends by one year the period of automatic disenrollment for veterans' educational assistance benefits to allow for the filing of a claim for such benefits. Authorizes the Secretary of Veterans Affairs to enter into an agreement with an individual whereby the individual agrees to perform work-study service and the Secretary deducts the allowance otherwise payable to such individual from indebtedness resulting from any overpayment received by such individual under VA-administered education, rehabilitation, or training benefits. Authorizes the Secretary, in order to reduce or eliminate such individual's indebtedness, to waive certain work-study program eligibility requirements and limitations, as well as certain debt collection requirements. Prohibits such an agreement from continuing in force after the individual's debt has been liquidated. Requires the Secretary to compensate such an individual for work-study services performed after such debt has been liquidated. Authorizes the Secretary to approve the pursuit of flight training for an individual entitled to post-Vietnam era veterans' educational assistance if: (1) such training is necessary for the attainment of the individual's vocational objective; (2) the individual possesses a valid pilot's license and meets all medical requirements necessary for a commercial pilot's license; and (3) the flight school courses are approved by the Federal Aviation Administration and the State. Sets forth the amount of assistance and other conditions for such flight training, including receipt by the Secretary of a certificate from the individual and institution involved of the flight training completed and the tuition and other fees. Establishes within the Department of Labor the Advisory Committee on Veterans Employment and Training to: (1) assess the employment and training needs of veterans; (2) determine the extent to which programs and activities of the Department of Labor are meeting such needs; and (3) carry out necessary activities to make certain reports and recommendations required in this section. Directs the Secretary of Labor to consult with and seek the advice of the advisory committee with respect to the employment and training needs of veterans. Requires the advisory committee to report annually to the Secretary of Labor on the employment and training needs of veterans, including recommendations for legislation or administrative or other appropriate action. Requires the Secretary to transmit such annual reports to the Congress together with comments. Requires advisory committee appointments to be made within 60 days after enactment of this Act. Title IV: Housing - Makes permanent (currently ends September 30, 1990) the requirement for the VA to notify and counsel veterans about the impact of, and alternatives to, foreclosure when the veterans default on a VA-guaranteed home loan. Allows the VA to sell vendee loan assets (collateral) either: (1) with recourse; or (2) without recourse only if the amount received by the Department is at least equal to the unpaid balance of the loan. Extends through FY 1992 the authority for certain home loan lenders to review appraisals. Makes permanent certain current Federal provisions concerning default procedures and property management with regard to home loans guaranteed by the VA. Exempts individuals obtaining VA-guaranteed home loans from the requirement that individuals obtaining federally guaranteed loans of over $150,000 disclose their lobbying activities. Directs the VA, at the request of the Secretary of Housing and Urban Development, to issue certificates of veteran status to veterans seeking certain benefits under laws administered by HUD. Authorizes the VA to issue such certificates without reimbursement. Limits the time during which a veteran may apply for waiver of a home-loan debt to the one-year period following the date on which the VA notified the debtor of the indebtedness. Requires that debt notices for home-loan and non-home-loan debts inform the recipient of his or her right to apply for a waiver and the procedures for such application. Title V: Insurance - Increases from $10,000 to $20,000 the maximum amount of Service Disabled Veterans' Insurance available to those veterans who are eligible for a waiver of premiums due to total and permanent disability. Increases from $40,000 to $90,000 the maximum amount of Veterans' Mortgage Life Insurance available to veterans who have received a specially-adapted housing grant. Title VI: Minority Affairs - Amends the Department of Veterans Affairs Act to assign as one of the functions of the Assistant Secretary of Veterans Affairs the review and assessment of the effects of policies, programs, and activities of the VA on minority veterans and the monitoring of access of such veterans to services and benefits under laws administered by the VA. Defines "minority veterans" as veterans who are black, Native-American, Hispanic-American, Asian-American, Pacific Islander-American, or women. Reestablishes, as of October 1, 1990, the Advisory Committee on Native Americans. Requires reports from such Committee concerning the plight of Native Americans and their access to services and benefits of the VA. Terminates such Committee 90 days after their second report is transferred to the veterans' committees. Title VII: Miscellaneous - Defines "minor child" for purposes of eligibility for burial in national cemeteries as a child under 21 years of age or under 23 if the person is pursuing a course of instruction at an educational institution. Authorizes the Secretary to provide for flat grave markers in a section of the Florida National Cemetery that had installed preplaced grave liners as of a specified date. States that the prohibition on the payment of attorneys' fees in connection with VA benefits proceedings applies only where the individual is applying for such benefits, and not when the Government is proceeding against a person to collect an indebtedness or in cases in which other attorneys' fees statutes apply. Modifies certain administrative reorganization requirements within the VA. Authorizes the Secretary to enter into enhanced use agreements (a written agreement for the use of a VA facility consistent with the Department's mission in return for the payment of consideration to the VA) with respect to designated property and to direct the disposal of such property. Provides lease terms and other conditions with respect to such agreements. Requires the Secretary, before designating a property for an enhanced-use lease, to conduct local hearings to consider the proposed lease and its possible effects on the local community. Requires the veterans' committees to be notified of any such designation. Requires a specified notice to be published in the Federal Register. Allows the Secretary to initiate action for the disposal of leased property no longer needed by the VA to the lessee by requesting the Administrator of General Services to carry out a special disposition of such property. Requires notice of a special disposition to be provided to the veterans' committees and published in the Federal Register. Requires funds received by the VA under an enhanced-use agreement to be deposited into the nursing home revolving fund and administered as part of that fund. Outlines provisions concerning construction standards, exemption from State and local taxes, and limitations on the number of enhanced-use agreements. Terminates the authority to enter into such leases as of September 30, 1994. Makes standards relating to disqualification of Federal judges applicable to judges serving on the Court of Veterans Appeals. Makes all funds in the Department's Medical Care account exempt from sequestration under the Balanced Budget and Emergency Deficit Control Act of 1985 (Gramm-Rudman-Hollings Act). Extends from three to 12 months the period during which a veteran with no spouse or dependent children may be furnished domiciliary or nursing home care by the VA before such veteran's pension is reduced. Provides that, when a veteran's pension payments are so reduced, up to $10,000 of the benefits withheld shall be repaid to the veteran upon discharge. Increases from $1,500 to $6,000 the value of the estate allowed a hospitalized incompetent veteran without dependents before the VA suspends the veteran's compensation or benefits. Increases from $500 to $2,000 the amount to which an estate must be reduced before such benefits may be resumed. Prohibits the Secretary from delegating the functional and technical supervision of the performance of security and law enforcement functions within the VA to any official outside the Office of the Secretary. Requires the Secretary to report to the veterans' committees concerning security and law enforcement matters with the VA. Amends the Department of Veterans Affairs Act to increase the number of people authorized to be appointed by the Secretary to a commission formed for the purpose of selecting individuals for the position of the CMD whenever a vacancy in such position occurs.
United States · United States Congress · 14 January 1991
Central American Democracy and Development Act - Declares that it is U.S. policy to: (1) encourage and support the Central American countries in efforts to build democracy, restore peace, establish respect for human rights, expand economic opportunities, and improve living conditions; (2) support and encourage dialogue as the proper means of resolving armed conflicts in Central America; (3) assist in, and secure greater international support for, the recommendations of the International Commission on Central American Recovery and Development; (4) participate in, and contribute to, the United Nations Development Programme for its Special Plan of Economic Cooperation for Central America; (5) help organize a partnership among donor countries and the Central American countries to provide a means of mobilizing resources and promoting a forum for dialogue about issues of development, democracy, social justice, and human rights; and (6) support and promote the President's proposed Enterprise for the Americas Initiative to assist Central American countries in opening their economies and managing their foreign debt. Requires the United States, if requested by the governments of Central America, to provide assistance for the development of the Central American Development Coordination Commission.
United States · United States Congress · 14 January 1991
Amends the Internal Revenue Code to declare that any individual who performed Desert Shield services (and the individual's spouse) shall be entitled to an extension of time for performing certain tax-related acts by reason of service in a combat zone. Allows the payment of interest on any overpayments due such individuals starting April 15. (Generally, interest will be paid only on refunds made more than 45 days after a return is filed.) Applies the time extension granted by this Act to individuals during any period of continuous hospitalization.
United States · United States Congress · 14 January 1991
Veterans' Compensation Cost-of-Living Increase and Agent Orange Act of 1991 - Title I: Compensation Rate Increases - Increases the rates of veterans' disability compensation, additional compensation for dependents, the clothing allowance for certain disabled veterans, and dependency and indemnity compensation for surviving spouses and children. Title II: Agent Orange Exposure and Vietnam Service - States that the following diseases will be presumed to be service-connected for purposes of eligibility for veterans' disability compensation, if they become manifest to a degree of disability of ten-percent or more in a veteran who served on active duty in Vietnam during the Vietnam era: (1) non-Hodgkins lymphoma; (2) each soft-tissue sarcoma, with specified exceptions; and (3) chloracne, if it becomes manifest to such degree within one year after the last date the veteran performed active duty in Vietnam. Provides that, in the case of a Vietnam veteran exposed to certain dioxins or other herbicide agents during service in Vietnam, specified diseases listed by the Secretary of Veterans Affairs and identified as having a positive association with the biological effects of exposure to such herbicide agent shall be considered to have been incurred in or aggravated by such service, even though there is no record of such disease having occurred during such service. Presumes that Vietnam veterans having such disease were exposed to such dioxin or herbicide during their Vietnam service, unless there is affirmative evidence to the contrary. Authorizes the Secretary to extend the applicability of this section to those exposed to the same type of dioxins or herbicides outside of Vietnam while on active duty. Provides a presumption of service-connection in the case of a Vietnam veteran suffering from a disease associated with effects of exposure to certain dioxins or other herbicide agents during such service in Vietnam. Directs the Secretary to prescribe regulations listing a positive association between any disease and the biological effects of exposure to an herbicide agent in Vietnam. Requires the Secretary, in prescribing and revising such list, to obtain by contract the determinations and estimates of a contract scientific organization. Requires such organization to: (1) determine which diseases have any degree of association with the biological effects of exposure to a herbicide agent; and (2) estimate the extent of association between each such disease and each such biological effect. Requires the organization to determine such association specifically with respect to lung cancer and each other cancer. Outlines contract provisions required in such agreements between the Secretary and the scientific organization, including surveys, evaluations, and periodic determinations. Requires such scientific organizations to provide reports to the Secretary and the Senate and House Veterans' Affairs Committees regarding their determinations and evaluations. Requires such organization to determine, in the event of a positive association, whether there is a reasonable basis for concluding that a Vietnam veteran with the highest level of exposure to that herbicide agent in Vietnam was exposed to such agent under the circumstances necessary for such biological effects. Requires a report from the organization to the Secretary and the veterans' committees when there is no such reasonable basis found. Requires the Secretary to make certain determinations and follow-up reports after receiving such reports from the contract scientific organization, including the issuance of a report to the veterans' committees and the promulgation of positive association regulations, if necessary. Requires benefits to be continued even though a disease is removed from the regulations listing diseases having positive associations. Terminates such contracting authority ten years after the first day of the fiscal year in which a scientific organization transmits its first report to the Secretary. Provides interim regulations and special effective dates. Directs the Secretary to compile and analyze all clinical data that: (1) are obtained by the Department in connection with examinations and treatment of veterans for disabilities related to exposure to certain herbicides or to service in Vietnam; and (2) are likely to be scientifically useful in determining the association, if any, between the disabilities of such veterans and their exposure to such herbicides and other toxic substances. Requires the Secretary to submit an annual report to the veterans' committees concerning such analysis and its results. Directs the Secretary to consult with the Director of the Office of Technology Assessment (OTA) before compiling and analyzing such information. Requires the Director of OTA to review each annual report submitted by the Secretary and transmit to the Secretary an evaluation of the contents of each report. Directs the Secretary to establish and maintain a system for the collection and storage of voluntarily contributed samples of blood and tissue of veterans who performed active service in Vietnam during the Vietnam era. Outlines provisions concerning the security and authorized uses of such specimens, as well as limitations on the acceptance of such samples. Requires the Secretary to consult with the National Academy of Sciences (NAS) to the extent that an agreement has been reached with the NAS serving as the contract scientific organization for the Secretary. Requires the Secretary to consult with the Director of OTA in the event of no agreement with NAS. Directs the Secretary to establish a program to provide for the conduct of studies of the feasibility of conducting additional scientific research on health hazards resulting from: (1) exposure to dioxin; (2) exposure to other toxic agents in herbicides used in support of U.S. and allied military operations in Vietnam during the Vietnam era; and (3) active military, naval, or air service there. Requires the Secretary to report to the veterans' committees on the results of such studies. Requires the Secretary to consult with the NAS before undertaking such studies and requires the NAS to review such studies and report recommendations to the Secretary and the veterans' committees, to the extent provided under any agreement between the Secretary and the NAS. Amends the Veterans' Benefits Improvement Act of 1988 to require the Secretary to annually furnish updated information listed in the Department of Veterans Affairs Agent Orange Registry on health risks resulting from exposure to dioxin or other toxic agents in herbicides as a result of service in Vietnam during the Vietnam era. Directs the Secretary of Health and Human Services to report to the veterans' committees on the research being conducted to develop treatments for physiological absorption of dioxin and other toxic agents used in herbicides by the United States in Vietnam, including research relating to exposure to dioxin and other toxic agents outside Vietnam. Extends through December 31, 1993, the eligibility for hospital and nursing home care for veterans exposed to toxic substances in Vietnam.
United States · United States Congress · 14 January 1991
Constitutional Amendment - Declares that equality of rights under the law shall not be denied or abridged by the United States or any State on account of sex.
United States · United States Congress · 12 January 1991
Calls on President Gorbachev to refrain from further use of coercive tactics against the democratically-elected Governments of Lithuania, Latvia, or Estonia and declares that such tactics are unacceptable among the community of democratic nations.
United States · United States Congress · 12 January 1991
Commends the initiative of the Secretary General of the United Nations in seeking a resolution of the Persian Gulf crisis. Expresses hope that the Secretary General's mission in the Gulf will lead to a peaceful resolution of the crisis, including the total withdrawal of Iraqi forces from Kuwait.
United States · United States Congress · 10 January 1991
Declares that the Congress: (1) is firmly committed to reversing Iraq's occupation of Kuwait; and (2) supports the continued application of international sanctions and diplomatic efforts to pressure Iraq to leave Kuwait, but does not rule out declaring war or authorizing the use of force at a later time. Authorizes the use of American military force to enforce the United Nations economic embargo against Iraq, defend Saudi Arabia from direct Iraqi attack, and protect American forces in the region. Pledges continued support for sustaining the policy of increasing economic and diplomatic pressure against Iraq, maintaining U.S. military options, and seeking to increase the military and financial contributions made by allied nations. Declares that: (1) the Constitution vests all power to declare war in the Congress; and (2) the Congress will expeditiously consider any presidential request for a declaration of war or for authority to use military force against Iraq. Sets forth congressional priority procedures for consideration of a joint resolution declaring war or authorizing military force against Iraq.
United States · United States Congress · 3 January 1991
Declares that the reappointment of Michael Davidson as Senate Legal Counsel is effective as of January 3, 1991, and that such term of service shall expire at the end of the 103d Congress.
United States · United States Congress · 28 October 1990
Authorizes the President of the Senate, the President of the Senate pro tempore, the Majority Leader of the Senate, and the Minority Leader of the Senate to make appointments to commissions, committees, boards, conferences, or interparliamentary conferences authorized by law, by concurrent action of the two Houses, or by order of the Senate, during the adjournment sine die of the present Congress.
United States · United States Congress · 28 October 1990
Thanks the Honorable Robert C. Byrd, President pro tempore, for the manner in which he presided over the Senate during the second session of the 101st Congress.
United States · United States Congress · 28 October 1990
Amends Senate Resolution 105, 101st Congress (reconstituting and reauthorizing the Senate Arms Control Observer Group) to extend the Group through the 102d Congress.
United States · United States Congress · 27 October 1990
Amends Senate Resolution 106, 101st Congress (establishing the Senate Central American Negotiations Observer Group), to extend the Group through the 102d Congress.
United States · United States Congress · 27 October 1990
Amends Senate Resolution 144, 101st Congress (establishing a Commission on the Bicentennial of the United States Senate), to extend the Commission through the 102d Congress.
United States · United States Congress · 26 October 1990
Amends a certain Senate Resolution to authorize the payment of expenses incurred by the Campaign Finance Reform Panel for official reception, representation, and administrative functions.
United States · United States Congress · 26 October 1990
Authorizes the Chairman and Ranking Minority Member of the Permanent Subcommittee on Investigations of the Senate Committee on Governmental Affairs to provide to the Office of the Auditor General of the State of California records of the Subcommittee's investigation of fraud allegations and other wrongdoing in Federal student loan programs.
United States · United States Congress · 25 October 1990
Soldiers' and Sailors' Civil Relief Act Amendments of 1990 - Amends the Soldiers' and Sailors' Civil Relief Act of 1940 (the Act) to prohibit an eviction or distress from being made during a period of military service with respect to a premise for which the agreed rent does not exceed $1,200 (currently, $150) per month, when such premises is occupied chiefly by the dependents of the person in military service, except upon leave of the court granted upon application or in a proceeding affecting the rights of possession. Extends the power of attorney coverage under the Act to include a power of attorney that by its terms expires after August 2, 1990. Provides professional liability protection for persons ordered to active duty after August 1, 1990, who, prior to such date, were engaged in the furnishing of health care services or other services determined by the Secretary of Defense to be professional services and who had in effect a professional liability insurance policy that does not continue coverage during the period of active duty. Specifies that an insurance carrier shall have no liability with respect to any claim that is based on professional conduct of a person that occurs during a period of suspension of such person's professional liability insurance under this Act. Requires an insurance carrier to suspend and to reinstate coverage of such affected person upon receipt of a written request from such person. Requires such person to request reinstatement within 30 days after release from active duty. Provides a minimum period of required coverage by the carrier following reinstatement, without an increase in the insurance premiums charged. Provides for the stay of a civil or administrative action for damages on the basis of professional liability of a person whose insurance has been suspended under these provisions if: (1) the action is based on an act or omission that occurred before the suspension was effective; and (2) the suspended insurance would, on its face, cover the alleged professional misconduct. States that the period of such stay shall not be included in any statute-of-limitations period. Outlines provisions concerning the death of a person whose professional liability insurance has been suspended and the consequences with respect to the suspended insurance coverage on previous or suspended (stayed) claims. Provides that any person employed and covered under an employer-offered health insurance policy who goes to active military service or training and is reemployed upon returning may not be subject to a waiting period or exclusion of coverage imposed in connection with coverage of a qualifying health or physical condition if: (1) the condition arose before or during such person's period of training or service; (2) no exclusion or waiting period would have been imposed for the condition during a period of coverage resulting from participation by such person in the insurance; and (3) the condition of such person has not been determined by the Secretary of Veterans Affairs to be service-connected. Provides that any person who, by reason of military service, is entitled to the rights and benefits of the Act shall be entitled upon release from such military duty to reinstatement of any health insurance which: (1) was in effect on the day before such service commenced; and (2) was terminated during the period of such service. Prohibits any exclusion or waiting period from being imposed in connection with reinstatement of health insurance coverage of a health or physical condition covered by the Act if: (1) the condition arose before or during such person's period of training or service; (2) no exclusion or waiting period would have been imposed for the condition during a period of coverage resulting from participation by such person in the insurance; and (3) the condition of such person has not been determined by the Secretary to be disability incurred or aggravated in the line of duty. Provides reemployment rights for all reservists (currently, only those serving on active duty for not more than 90 days) upon their return from any active duty other than for training.
United States · United States Congress · 23 October 1990
Directs the Senate Legal Counsel to represent Dale Gerry and the office of Senator William S. Cohen in connection with the case of Springfield Terminal Railway Co. v. United Transportation Union. Authorizes Dale Gerry to testify and produce records relevant to the case.
United States · United States Congress · 16 October 1990
Amends Federal law to provide that regulations adopted by the Interstate Commerce Commission for freight cars owned or leased by small railroads shall apply to freight cars owned or leased by class III rail carriers and by any class II rail carrier which demonstrates to the Commission special circumstances (when the ratio of loaded freight cars to those unloaded on its line during the preceding year exceeds two to one) justifying such application.
United States · United States Congress · 11 October 1990
Authorizes Kathleen M. Ramsey, Mary Harris, and any other Senate employee whose testimony may be necessary to testify and produce documents at unemployment compensation proceedings concerning Felix Lockett, pending before the District of Columbia Department of Employment Services.
United States · United States Congress · 3 October 1990
Authorizes the President of the Senate, the President of the Senate pro tempore, the Majority Leader of the Senate, and the Minority Leader of the Senate to make appointments to commissions, committees, boards, conferences, or interparliamentary conferences authorized by law, by concurrent action of the two Houses, or by order of the Senate, during the adjournment sine die of the present Congress.
United States · United States Congress · 28 September 1990
Authorizes the Senate Legal Counsel to appear as amicus curiae, intervenor, applicant, or respondent in the name of the Select Committee on Ethics in any legal action or proceeding in support of its access to evidence obtained in the course of law enforcement investigations by the executive branch or the States that the Committee determines is necessary for its current proceedings.
United States · United States Congress · 28 September 1990
Approves the leadership of the President in pursuing the passage of specified United Nations Security Council resolutions which call for: (1) the immediate, complete, and unconditional withdrawal of Iraqi forces from Kuwait; (2) the restoration of Kuwait's sovereignty, independence, and territorial integrity; (3) the release and safe passage of foreign nationals held hostage by Iraq; (4) the imposition of economic sanctions against Iraq; and (5) the maintenance of international peace and security in the Persian Gulf region. Supports continued action by the President to deter Iraqi aggression and to protect American lives and interests in the region. Calls on all nations to strengthen the enforcement of the United Nations imposed sanctions against Iraq and to provide assistance for those adversely affected by such sanctions and to refugees fleeing Kuwait and Iraq.
United States · United States Congress · 24 September 1990
National Academic Advisory Report Card Act of 1990 - Establishes a National Council on Educational Goals (the Council). Directs the Council, after the conclusion of its first meeting, to submit: (1) an interim progress report within one year; and (2) a National Report Card within two years, and annually thereafter for the duration of its existence, to measure the achievement of both students and schools. Authorizes appropriations for: (1) the Council and its National Report Card; and (2) State summits on education. Directs the Secretary of Education to make matching grants to the States to conduct State summits on education or help support the implementation of plans adopted from such summits.
United States · United States Congress · 19 September 1990
Amends the Omnibus Budget Reconciliation Act of 1986 and the Consolidated Omnibus Budget Reconciliation Act of 1985 to make permanent certain provisions providing for a limited waiver of liability of hospices, skilled nursing facilities, and home health services for Medicare payments for services for which Medicare coverage is later denied.
United States · United States Congress · 10 September 1990
Approves the extension of nondiscriminatory treatment (most-favored-nation treatment) to the products of Czechoslovakia transmitted to the Congress by the President on September 6, 1990.
United States · United States Congress · 4 August 1990
Authorizes, for the use of the Senate, the printing of 1,000 sets of posters prepared by the United States Senate Commission on Art for the exhibition, "A Necessary Fence."
United States · United States Congress · 4 August 1990
Salutes and congratulates the people of Poland as they commemorate the 200th anniversary of the adoption of the Polish Constitution on May 3, 1991. Directs the Library of Congress to commemorate the anniversary with appropriate ceremonies.
United States · United States Congress · 3 August 1990
National Fish and Seafood Promotional Council Reauthorization Act - Amends the Fish and Seafood Promotion Act of 1986 to replace provisions terminating the National Fish and Seafood Promotional Council, effective October 1, 1990, with provisions directing the Secretary of Commerce to complete a referendum on whether: (1) a majority of the first receivers and primary importers of fish and seafood and their products desire to continue in existence the National Fish and Seafood Promotional Council or a similar entity, as an industry supported council; and (2) the Congress should be encouraged to extend and modify the provisions of the Act. Requires the Council to study: (1) the administration and management of the Council, including methods for determining and collecting assessments from industry members, refusal to pay assessments, and provision for accepting or rejecting members; and (2) the extent to which the industry and the Council should continue to use the existing structure, rules, and regulations under the Act regarding the Council. Requires that members of the Council remain members until a referendum is approved and a new mechanism for Council appointments is in place. Authorizes appropriations: (1) from the Fisheries Promotional Fund to carry out the annual marketing and promotion plan and annual budget of the Council; and (2) to carry out the Act. Repeals this Act effective September 30, 1993.
![Official portrait of Sen. Mitchell, George J. [D-ME]](https://www.congress.gov/img/member/m000811_200.jpg)