United States · United States Congress · 11 June 1986
Federal Mass Transit Improvement Act of 1986 - Amends the Urban Mass Transportation Act of 1964 to authorize the Secretary of Transportation (the Secretary) to issue multi-year project obligations to States and public agencies for urban mass transportation projects. Requires the Secretary to notify certain congressional committees at least 30 days prior to issuing such advance obligations. Prohibits such multi-year obligations from exceeding any limitation specified in an appropriations Act. Prescribes guidelines for such obligations. Authorizes the Secretary to make specified grants out of a new balanced investment fund to States and local public bodies for FY 1987 through 1990 for buses and vans. Sets guidelines for the allocation of such funds for urban and rural areas of specified population size. Prohibits such funds from being made available for rail modernization or extension or construction of new rail systems. Prohibits grants or loans for any fixed guideway system construction or extension unless the Secretary has first ensured that the applicant has prepared an evaluation of the proposed project which includes certain information. Authorizes appropriations for FY 1987 through 1990 for transportation projects substituted for withdrawn Interstate segments. Sets a ceiling upon FY 1987 through 1990 appropriations for grants made to States and local agencies for innovative methods in the management and operation of public transportation services. Makes grants for construction projects also available to finance cost-effective leasing projects. Expands the definition of "associated capital items," and reduces the measure of current fair market value of rolling stock from one percent to one-half of one percent. Allows a recipient to retain for specified projects: (1) the net income received from airspace or adjacent property acquired as a result of a federally funded project; or (2) the income derived from the disposal of fungible items which have been fully depreciated. Provides that no funds apportioned to urbanized areas with populations of less than 200,000 may be used to pay the expenses of any State's management or administration of grant programs for such areas, except in the case of a statewide or regional agency or instrumentality responsible for financing, construction, and operation of public transportation services. Allows a State Governor to make block grant funds transfers between projects in any urbanized area of the State regardless of size: (1) only after approval by local elected officials and publicly owned operators of mass transportation services in each area to which the funding was originally apportioned; or (2) if funding is within 90 days of lapsing and no approvable grant applications are pending. Requires block grants to be apportioned within ten days after appropriation. Requires the Secretary to publish such apportionments on the apportionment date. Requires the Secretary to prepare and submit to specified congressional committees an annual rulemaking agenda. Requires opportunity to be given for public comment on proposed rules, except in the case of emergency rules or rules of routine nature or insignificant impact. Expands the definition of "construction" to include any bus remanufacturing project which extends the economic life of a bus eight years or more, and any project for the overhaul of rolling stock. Sets deadlines by which the Secretary must certify the sampling techniques: (1) used by persons seeking grants; and (2) of newly urbanized areas. States that the receipt of Federal transit aid under this Act does not authorize the Secretary to: (1) regulate or prescribe the mode of operation of any mass transportation system, the choice of mass transportation service provider, or the level of service; or (2) condition the approval of such aid upon either the means by which providers of mass transit services or functions are selected, or the extent of service or functions to be carried out by various private mass transportation service providers. Declares that this Act does not limit the ability of Federal transit aid recipients to determine the extent and amount of mass transit service or functions to be carried out by private enterprise. Authorizes the Secretary to use specified amounts to finance grants for the development, implementation, and evaluation of innovative techniques for private sector involvement in all aspects of public mass transit operations. Requires the Secretary to report annually to certain congressional committees regarding the results of such projects. Authorizes appropriations for FY 1987 through 1990. Sets allocation guidelines for such funds, including allocations for university transportation centers. Requires as a condition of Federal financial assistance for a major capital project under this Act (or the National Capital Transportation Act of 1969) that the financial aid recipient prepare and implement a project management plan which meets specified criteria. Authorizes the Secretary to make grants to public mass transit systems for crime prevention and security. Directs the Secretary to make grants to nonprofit institutions of higher learning to establish and operate one regional transportation center in each of the ten Federal regions which comprise the Standard Federal Regional Boundary System. Directs the Secretary to establish in the Department of Transportation a national advisory council to: (1) coordinate the research and training to be carried out by grant recipients; (2) act as a clearinghouse between such centers and the transportation industry; and (3) review and evaluate programs carried out by such centers.
United States · United States Congress · 11 June 1986
Social Security Trust Funds Management Act of 1986 - Amends title II (Old Age, Survivors and Disability Insurance) of the Social Security Act to direct the Managing Trustee of the Federal Old-Age and Survivors Insurance Trust Fund and the Federal Disability Insurance Trust Fund (OASDI trust funds) to immediately invest such portion of the OASDI trust funds as is not required for current withdrawals. Prohibits the sale and redemption of OASDI trust fund assets or the exenditure of OASDI trust fund amounts for purposes other than those specified in title II of the Act. Requires members of such trust funds' Board of Trustees to faithfully execute their duties, but does not impose a fiduciary duty. Requires that, in consideration of the public debt limit, required investments of trust fund amounts occur prior to the issuance of other obligations. Directs that the tax receipts earmarked for the OASDI program be immediately transferred (currently, monthly transfers are made) from the general fund of the Treasury to the OASDI trust funds. Requires the Board of Trustees of the OASDI trust funds to meet at least twice each year. Sets forth provisions requiring reports by the Board of Trustees and the Managing Trustee to the Congress regarding the operation and status of the OASDI trust funds.
United States · United States Congress · 11 June 1986
Prohibits the relocation of Navajo and Hopi Indians for an 18-month period. Requires the President to establish an advisory commission to study the remaining problems involved in completing specified required relocations of such tribes. Requires the commission to submit a report to the President and the Congress.
United States · United States Congress · 11 June 1986
Expresses the sense of the Congress that the Director of the National Institutes of Health should transfer the Silver Spring Monkeys to the Primarily Primates, Inc., animal sanctuary in San Antonio, Texas.
United States · United States Congress · 10 June 1986
Uniformed and Overseas Citizens Absentee Voting Act - Requires States to provide by law for elections for Federal office: (1) absentee registration and absentee voting for uniformed services voters and overseas voters; and (2) the use of alternative write-in absentee ballots by overseas voters when State absentee ballots are not available. Directs the President to designate the head of an executive department to have primary responsibility for the administrative functions of this Act, including: (1) prescribing an official postcard form containing a voter registration and an absentee ballot application; (2) prescribing an alternative write-in ballot for overseas voters; (3) prescribing forms and designs for balloting materials; (4) distributing election materials; (5) reporting to the Congress in the year immediately following a presidential election year on its effectiveness; and (6) consulting State and local election officials in carrying out this Act. Provides for the distribution of official postcards. Sets forth recommendations to the States in carrying out provisions of this Act. Provides for Federal and State write-in absentee ballots for overseas voters. Declares balloting materials under this Act free of postage. Establishes criminal and civil penalties for violations of this Act.
United States · United States Congress · 10 June 1986
Nation's Capital Preservation Act of 1986 - Designates areas in the national capital region in which buildings erected, altered, or raised so as to be above specified heights shall be subject to an excise tax imposed by this Act. Amends the Internal Revenue Code to establish such tax.
United States · United States Congress · 9 June 1986
Declares that the Senate welcomes Colonel Ricardo Montero Duque to the United States and commends him for the sacrifices he has made to further the cause of freedom in Cuba.
United States · United States Congress · 6 June 1986
Medicaid AIDS Amendments of 1986 - Amends title XIX (Medicaid) of the Social Security Act to permit States to provide home and community-based Medicaid services to individuals diagnosed as having acquired immune deficiency syndrome (AIDS) or AIDS-related conditions. Authorizes States to limit Medicaid case management services to individuals with AIDS or AIDS-related conditions.
United States · United States Congress · 4 June 1986
Work Opportunities and Retraining Compact of 1986 - Amends part A (Aid to Families with Dependent Children) of title IV of the Social Security Act to require AFDC applicants and recipients to register with a State agency for employment counseling, training, and assignment. Authorizes AFDC recipients to refuse employment which results in a net loss in their income. Directs an agency of each State to: (1) establish a single intake and registration process for AFDC applicants and recipients; (2) determine whether training or education is needed to prepare registered applicants and recipients for employment and then provide counseling regarding prospects and needs; (3) arrange for their participation in one or more of the work-related programs established under title IV of the Act or other Federal law, while coordinating such programs to enhance the availability and efficiency of services provided; and (4) develop an employment plan for each AFDC applicant or recipient. Requires the State agency to provide AFDC applicants and recipients assigned to employment, training, or education programs with child care and transportation services. Sets the Federal contribution to education, training, and assignment costs at 70 percent and the Federal share of administrative and support service costs at 50 percent. Increases, by five percent in any fiscal year after FY 1987, the Federal share of education, training, and assignment costs, provided a State meets certain performance standards to be developed by the Office of Technology Assessment. Provides that such standards shall measure a State's success in reducing welfare costs and helping AFDC recipients achieve self-sufficiency, while accounting for differing conditions among the States. Requires the publication of such standards within two years of enactment of this Act.
United States · United States Congress · 4 June 1986
Expresses the sense of the Senate that unless the Health Care Financing Administration allocates sufficient funds and takes other action to ensure prompt payment of Medicare claims, the Senate shall adopt legislation ensuring prompt claims payment.
United States · United States Congress · 21 May 1986
Prompt Payment Amendments of 1986 - Revises Federal law to deem the head of an agency to receive an invoice on the fifth day after the date on which a property is actually delivered, or final performance of a service is actually completed, unless the contract specifies otherwise. Makes Federal prompt payment provisions applicable to the United States Postal Service. Reduces the 15-day grace period for payment of interest penalties to eight days for solicitations issued before October 1, 1988. Requires an agency to pay a double interest penalty if it fails to meet such grace period and the business concern makes a written demand that the agency pay such penalty. Makes the interest penalty provisions applicable to construction contracts for progress payments and retained amounts. Specifies the calculation of time for interest penalties on discount payments. Revises agency reporting requirements on interest penalty payments to include a description of agency payment practices. Requires the modification of Government-wide procurement regulations to implement Federal prompt payment provisions.
United States · United States Congress · 21 May 1986
States that regulations of the Secretary of the Interior concerning zoning for the Fire Island National Seashore, New York, preempt other Federal or State laws.
United States · United States Congress · 21 May 1986
Anti-Apartheid Act of 1986 - Prohibits U.S. persons from: (1) making loans to South Africa or any organization owned or controlled by South Africa; (2) making any investment in South Africa; (3) contributing technology or technological services to the exploration for, or the research, development, or production of, energy sources in or for South Africa; or (4) making deposits in a foreign bank which is organized under South African law or owned or controlled by South Africans or a branch bank located in South Africa. Prohibits foreign banks organized under South African law or owned or controlled by South Africans from establishing or operating branches in the United States. Excludes from such prohibitions those loans, investments, and technology contracts entered into before May 21, 1986. Prohibits importing uranium ore, uranium oxide, coal, and steel from South Africa. Prohibits: (1) U.S. persons from making or holding any investment in South Africa in a business that sells computers, computer software, or computer services; and (2) exporting computers, computer software, or computer services to South Africa. Provides that such computer investment and export prohibitions shall not apply if, within 12 months of enactment of this Act: (1) the President certifies to the Congress that South Africa has freed Nelson Mandela and all political prisoners and has entered into good faith negotiations with truly representative leaders of the black majority for a new political system or has totally dismantled the apartheid system; and (2) a joint resolution is enacted approving such certification. Provides for expedited consideration of such resolution. Authorizes using additional funds for aid for South Africa under the Foreign Assistance Act of 1961 and the Migration and Refugee Assistance Act of 1962. Earmarks such funds for refugee assistance programs and community development projects. Requires the President to give quarterly reports to specified congressional committees on the assistance provided with such funds. Requires the Secretary of Transportation to prohibit the takeoff and landing in the United States of aircraft owned by South Africa or South African nationals except in emergencies. Provides for the enforcement of this Act and for penalties for violations of this Act. Requires the President to try, through negotiations, to persuade other countries to adopt restrictions on activities with respect to South Africa consistent with this Act. Requires the President to report annually to the Congress on the status of such negotiations. Sets forth information to be included in such reports. Requires the President, during June of 1988, to report to the Congress on whether South Africa has: (1) freed Nelson Mandela and all political prisoners and has entered into good faith negotiations with truly representative leaders of the black majority for a new political system; or (2) has totally dismantled the apartheid system. Requires the President, if such conditions have not been met, to include in such report recommendations on whether U.S. persons should be required to divest themselves of their South African investments. Terminates all the provisions of this Act upon enactment of a joint resolution approving a presidential determination that such conditions have been met.
United States · United States Congress · 20 May 1986
Amends part E (Foster Care and Adoption Assistance) of title IV of the Social Security Act to require States to annually furnish, and the Secretary of Health and Human Services to annually publish, statistical data on adoptions finalized in the States during the preceding calendar year. Requires that such data include: (1) the number of adoptions finalized; (2) information pertaining to the adoptive children as well as their biological mothers and adoptive parents; and (3) the manner in which such children were placed for adoption.
United States · United States Congress · 15 May 1986
Repeals provisions of the Department of Defense Authorization Act, 1985 which: (1) provide a remedy against the United States for loss of property, personal injury, or death due to exposure to radiation based on acts or omissions by a contractor conducting atomic weapons tests under a contract with the United States; and (2) preclude any other civil action by individuals against a contractor for the purpose of determining civil liability from acts or omissions of such contractor. Makes the period during which such provision was in effect inapplicable for purposes of the tolling of any statute of limitations for claims.
United States · United States Congress · 15 May 1986
Authorizes the President, on behalf of the Congress, to present a gold medal to Aaron Copland in recognition of his contributions to American musical composition. Authorizes the Secretary of the Treasury to provide for the sale of bronze duplicates of the medal. Authorizes appropriations.
United States · United States Congress · 15 May 1986
Calls upon the President to instruct the U.S. permanent respresentative to the United Nations to introduce in the General Assembly measures designed to eliminate Kurt Waldheim's retirement allowance.
United States · United States Congress · 15 May 1986
Commends Major General William C. Lee for his long, faithful, and outstanding military service to our Nation. Designates June 6, 1986, as William C. Lee Day.
United States · United States Congress · 14 May 1986
Cost-of-Living-Adjustment-Reform Act of 1986 - Amends title II (Old Age, Survivors and Disability Insurance) of the Social Security Act to replace the requirement that there be at least a three-percent rise in the Consumer Price Index before a cost-of-living adjustment of benefits is made with a requirement that such an adjustment be made whenever the cost of living increase is greater than zero.
United States · United States Congress · 13 May 1986
Human Services Reauthorization Act of 1986 - Title I: The Head Start Program - Amends the Head Start Act to authorize FY 1987 through 1990 appropriations for the Head Start program. Eliminates cost-of-living adjustments for Indian and migrant Head Start programs. States that national funding for such programs shall be at least seven and one-tenth percent of appropriations in each fiscal year. Extends through October 1, 1990, the prohibition on any method of calculating income which would result in reductions or exclusions of persons from such program. Title II: The Dependent Care State Grant Program - Amends the Omnibus Budget Reconciliation Act of 1981 to authorize FY 1987 through FY 1989 appropriations for dependent care programs. Makes the inclusion of specified types of information in dependent care resource and referral systems optional rather than mandatory. Requires States to assure that: (1) no such information will be provided with respect to any dependent care services which do not comply with State and local laws; and (2) the information will be the latest available and kept up to date. Provides that certain funds may be used for school-age child care services before and after school in community centers whether or not school facilities are available for such purpose. Redefines "school-age children" to include those younger than five in States where such children are provided a free public education. Entitles such dependent care program provisions of such Act as the "State Dependent Care Development Grants Act." Title III: Low-Income Home Energy Assistance Program - Amends the Low-Income Home Energy Assistance Act of 1981 to authorize FY 1987 through 1990 appropriations for the low-income energy assistance program. Includes community-based organizations among the eligible administering entities for purposes of such program. Revises the criteria used to determine Indian grants under such program. Title IV: Community Services Block Grant - Amends the Community Services Block Grant Act to authorize FY 1987 through 1990 appropriations for the community services block grant program. Extends appropriations authority for the community food and nutrition program through FY 1989. Includes within the definition of eligible entities those programs which came into existence in FY 1982 as direct successors to community action agencies and meet specified board composition requirements. Establishes procedures which the Secretary of Health and Human Services must follow in reviewing State funding termination for a community action agency or migrant or seasonal farmworker organization. Directs the Secretary to assume responsibility for providing financial assistance if a State terminates funding prior to hearing and review. Requires: (1) grant evaluations to consider the impact of program funds on children, homeless families, and the elderly poor; and (2) evaluation results to be submitted annually to appropriate congressional committees. Authorizes the Secretary to fund national conferences, newsletters, and information collection and dissemination as part of such grant program's training activities. Gives priority to rural community assistance programs under the special emphasis program on rural housing and community facilities development. Directs the Secretary to: (1) appoint an Advisory Panel to hold a national conference on the problems of poverty; and (2) reserve a specified amount from administrative expenses for such purpose. Authorizes the Secretary to make matching grants for demonstration projects dealing with poverty problems common to a number of communities. Permits grants to be made only for projects which: (1) can be closely coordinated with ongoing programs; (2) involve significant new resource combinations or partnership agreements; or (3) will promote the purposes of the Community Services Block Grant Act. Authorizes FY 1987 through 1989 appropriations. Title V: Child Development Associate Scholarship Assistance Program - Child Development Associate Scholarship Assistance Act of 1986 - Authorizes the Secretary of Health and Human Services to make a grant for any fiscal year to any State receiving a grant under title XX (Grants to States for Services) of the Social Security Act to enable the State to award scholarships to eligible individuals within the State who are candidates for the Child Development Associate (CDA) credential. Sets forth requirements for State applications for such grants and for distribution of such grants throughout the Nation. Defines "eligible individual" as a candidate for the CDA credential whose income does not exceed a specified poverty line by more than 50 percent. Requires States receiving such grants to submit specified program information to the Secretary annually. Authorizes FY 1987 through 1989 appropriations.
United States · United States Congress · 6 May 1986
Amends the Gun Control Act of 1968 to permit any person not otherwise prohibited from doing so to transport unloaded firearms provided neither the firearm nor any ammunition is readily accessible. Modifies the definition of the term "with the principal objective of livelihood and profit" to remove the requirement of proof of profit as relates to those persons who regularly purchase and dispose of firearms for criminal purposes or terrorism. Defines terrorism for the purposes of this provision. Provides recordkeeping requirements for licensed manufacturers, importers, or dealers who sell firearms from their personal collections.
United States · United States Congress · 6 May 1986
Ballistic Knife Prohibition Act of 1986 - Amends the Federal criminal code to prohibit the possession, manufacture, sale, importation, and mailing of ballistic knives (knives with a detachable blade that is propelled by a spring-operated mechanism).
United States · United States Congress · 1 May 1986
Amends the Federal criminal code to prohibit the manufacture or distribution in, or the importation into, the United States of any firearm that is not readily detectable as a firearm by the standard security equipment used at airports.
United States · United States Congress · 24 April 1986
Authorizes the Francis Scott Key Park Foundation to erect a memorial on public grounds in the District of Columbia in honor of Francis Scott Key, the author of the words to the National Anthem. Directs the Secretary of the Interior, with the approval of the National Commission of Fine Arts and the National Capital Planning Commission, to select the site for the memorial. Prohibits the use of either Federal or District of Columbia funds to establish the memorial. Terminates the authority created by this Act if construction of the memorial does not begin within five years with funds sufficient to ensure its completion.
United States · United States Congress · 22 April 1986
Amends the Internal Revenue Code to require the Internal Revenue Service to reimburse State and local law enforcement agencies that provide information which substantially contributes to the recovery of Federal taxes. Limits the amount of such reimbursement to ten percent of the sum ultimately recovered.
United States · United States Congress · 22 April 1986
Authorizes the Secretary of Defense to procure and install cryptographic equipment at satellite communications facilities within the United States. Requires any private enterprise owning a satellite communications facility at which such equipment is installed to be reimbursed by the Secretary for the operation and maintenance costs of such equipment. Authorizes appropriations for use by the National Security Agency to carry out this Act.
United States · United States Congress · 21 April 1986
Acquired Immune Deficiency Syndrome Counseling, Education, and Services Act of 1986 - Amends the Public Health Service Act to direct the Secretary of Health and Human Services to make grants for the establishment of networks of comprehensive outpatient services for individuals who have acquired immune deficiency syndrome (AIDS) or acquired immune deficiency syndrome-related complex, including: (1) comprehensive ambulatory care services; (2) home health care services; (3) long-term care and hospice services; (4) mental health, counseling, and psychosocial support services; and (5) case management services. Requires each entity applying for such grants to establish a network advisory committee. Directs the Secretary to make grants for the development, establishment, or expansion of programs to: (1) provide education and disseminate information concerning AIDS; and (2) provide counseling to individuals who have tested positively for the presence of antibodies to the human T-cell lymphotrophic virus III. Authorizes appropriations for FY 1987 through 1989. Establishes an Acquired Immune Deficiency Syndrome Research Coordinating Committee within the National Institutes of Health to: (1) advise the Directors of the national research institutes with respect to AIDS research; (2) identify the needs for AIDS research; and (3) make recommendations to the Secretary.
United States · United States Congress · 18 April 1986
Oil Pollution Liability and Compensation Act of 1986 - Subjects the owner or operator of a vessel or facility to liability for oil discharged in violation of the Federal Water Pollution Control Act (unless the discharge was caused by an act of God, war, by a third party, or by Federal negligence). Causes such owners and operators to be liable for: (1) all actual costs of removal incurred by the United States or a State under the Federal Water Pollution Control Act, the Intervention on the High Seas Act, or the Deepwater Port Act of 1974; (2) any removal costs incurred by any person, as removal is defined under the Federal Water Pollution Control Act; and (3) specified damages for economic loss or loss of natural resources resulting from such a discharge. Limits such liability, but stipulates that an owner or operator shall be liable for all damages and removal costs in the case of: (1) willful misconduct or negligence; (2) violation of applicable safety, construction, or operating standards or regulations (within the knowledge or privity of the owner or operator); or (3) a refusal to provide reasonable cooperation and assistance requested by a responsible official. Provides that owners or operators subject to the Outer Continental Shelf Lands Act shall bear all costs of removal. Authorizes the President to establish additional limitations on liability for certain facilities. Provides for third party liability. Establishes the Oil Spill Liability Fund for: (1) payment of removal costs; and (2) related research. Sets forth procedures for asserting claims against the Fund. Requires any claimant, prior to asserting a claim, to present the claim to the owner, operator, or guarantor of the vessel or facility from which the oil was discharged. Directs the President to prescribe forms and procedures for filing claims. Directs the President, acting through certain Federal agencies, to promulgate and periodically review regulations for the assessment of damages for injury to natural resources resulting from an oil spillage. Directs the Comptroller General to report to the Congress regarding Oil Spill Liability Fund audit results. Requires the owner and operator of any offshore vessel and/or facility to establish and maintain stated levels of financial responsibility sufficient to satisfy claims. Amends the Trans-Alaska Pipeline Authorization Act to abolish the Trans-Alaska Pipeline Liability Fund. Replaces the Trans-Alaska Pipeline Liability Fund and the Deepwater Port Liability Fund with the Oil Spill Liability Fund of this Act. Repeals the oil spill liability provisions of the Outer Continental Shelf Lands Act Amendments of 1978 (thereby replacing the Offshore Oil Pollution Compensation Fund under that Act with the Oil Spill Liability Fund established in this Act).
United States · United States Congress · 17 April 1986
Medicare Quality Protection Act of 1986 - Title I: Quality Assurance in Inpatient Hospital Settings - Requires the Secretary of Health and Human Services to develop and submit to the Congress a legislative proposal to improve the prospective payment system established under title XVIII (Medicare) of the Social Security Act so that it more accurately approximates the costs of inpatient hospital services and accounts for variations in case complexity. Amends the Medicare program to require a hospital to give Medicare beneficiaries, upon their admission to the hospital, a written statement explaining: (1) the individual's rights to benefits for inpatient hospital and post-hospital Medicare services; (2) the circumstances under which such individual will be liable for charges for a continued hospital stay; (3) the individual's right to appeal denials of continued hospital services; and (4) the individual's liability for payment for services if such a denial of benefits is upheld on appeal. Amends part B (Peer Review) of title XI of the Act to require peer review organizations receiving a hospital inpatient's request for review of a hospital's decision that the patient no longer needs inpatient care to inform the patient of its decision within two days of receiving the request. Prohibits hospitals from charging patients for inpatient hospital services provided while patients wait for a peer review organization to respond to their timely review requests. Imposes a civil money penalty on hospitals which make payments to physicians and on physicians who knowingly receive payments which constitute an inducement to curtail the stay of, or services provided to, an identifiable patient. Directs the Secretary to study the adequacy of standards used for hospital compliance with Medicare participation conditions in assuring the quality of hospital services. Requires the Secretary to study the adequacy with which the prospective payment system compensates hospitals, and distributes such compensation among hospitals, for costs attributable to patients' extended hospital stays necessitated by delays in patient placement in skilled nursing facilities. Title II: Access to Appropriate Post-Hospital Care - Amends part B (Supplementary Medical Insurance) of the Medicare program to require hospitals to implement a discharge planning process which meets guidelines and standards, to be established by the Secretary, ensuring patients a timely and smooth transition to the most appropriate type of, and setting for, post-hospital or rehabilitative care. Extends the limitations on beneficiary liability for disallowed Medicare claims to cover home health services provided to certain unqualified individuals. Provides that skilled nursing facilities and home health agencies which keep their services for which Medicare coverage is denied below specified percentages and comply with certain administrative requirements shall not subsequently be denied payment for care provided. Sets forth reporting requirements. Directs the Secretary to develop a uniform needs assessment instrument enabling health care providers and fiscal intermediaries to evaluate an individual's need and ability to pay for post-hospital extended care, home-health, and long-term care services. Requires the Secretary to develop procedures to expedite fiscal intermediaries' determinations as to whether provider claims for post-hospital extended care and home health services may be reimbursed under the Medicare program. Directs the Secretary to provide for prompt response (within 24 hours) to beneficiary requests as to whether the beneficiary's Medicare coverage for post-hospital extended care services has been exhausted. Authorizes providers to represent beneficiaries on appeals of benefit determinations. Permits beneficiary appeals of the Secretary's denials of claims for home health service benefits. Amends the Social Security Amendments of 1983 to extend, through 1989, the annual report on the impact of the prospective payment system and require the inclusion of information in such reports regarding the quality, and accessibility to Medicare beneficiaries, of post-hospital services. Title III: Improved Review of Quality by Peer Review Organizations - Amends part B (Peer Review) of title XI of the Act to require hospitals to submit data to peer review organizations on a monthly basis. Requires peer review organizations to review selected cases where individuals are readmitted to a hospital within 30 days of their most recent hospital discharge to determine if the previous inpatient hospital services and post-hospital services met professionally recognized health care standards. Directs each peer review organization to commit a reasonable proportion of its activities to review of the quality of services provided in cases and settings where potential quality problems have been identified. Requires the Secretary to identify methods facilitating the discovery of such cases. Requires each peer review organization to have at least one consumer representative on its board of directors. Directs such organizations to investigate all written beneficiary complaints about the quality of Medicare services which are filed with the organization. Requires peer review organizations to share data with organizations responsible for accrediting providers or State officials responsible for assuring quality care if such data reflects a substantial failure by providers or practitioners to provide quality care. Title IV: Study to Develop a Strategy for Quality Review and Assurance - Directs the Secretary to arrange a study which will serve as the basis for establishing a strategy for reviewing and assuring the quality of care provided under the Medicare program. Requires the Secretary to report to the Congress regarding the study within two years of enactment of this Act.
United States · United States Congress · 17 April 1986
Medicaid Maternal and Infant Amendments of 1986 - Amends title XIX (Medicaid) of the Social Security Act to give States the option of extending coverage to pregnant women and infants up to age one whose family income does not exceed the higher of the income eligibility threshold under part A (Aid to Families with Dependent Children) of title IV of the Act or the Federal poverty level. Prohibits States which provide coverage pursuant to this Act from establishing more stringent AFDC eligibility tests or reducing AFDC payment levels after enactment of this Act.
United States · United States Congress · 17 April 1986
Directs the President, within a specified time, to report to the Congress on the status and implementation of the recommendations of the President's Commission on Industrial Competitiveness.
United States · United States Congress · 17 April 1986
Expresses the sense of the Congress that, in view of specified international human rights agreements, the Soviet Union should approve the exit visa applications of Doctor Naum Meiman and his wife, Inna Kitrosskaya-Meiman, and arrange for them to go to the country of their choice. Urges the President to: (1) protest the Soviet Government's refusal to consider the exit visa applications of Dr. Meiman and his wife; (2) call upon all other signatory nations of the Helsinki Accords to join in such protests; and (3) instruct the U.S. delegation to the meeting of experts on human contacts organized under the auspices of the Conference on Security and Cooperation in Europe in Bern, Switzerland, to pursue this matter.
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