United States · United States Congress · 4 January 1973
Opportunities Industrialization Assistance Act - Authorizes $100,000,000 for fiscal year 1974, $150,000,000 for fiscal year 1975, and $200,000,000 for fiscal year 1976 for the purposes of this Act. Provides that appropriations not obligated in one fiscal year may be obligated in the next fiscal year and that obligated funds may be expended for two years after obligations. Directs the Secretary of Labor to assist the States in the establishment and operation of opportunities industrialization centers designed to provide comprehensive employment services and job opportunities for low-income persons who are unemployed or underemployed. Requires assurances that residents of the area to be served participate in the planning and operation of the center and that local businessmen will be consulted as to its development and operation. Gives priority to programs in the inner-city areas with high unemployment or underemployment. Authorizes the Secretary to establish criteria for the equitable distribution of money to the States. Limits Federal financial assistance to 90 percent of the program costs. Permits contributions in excess of this percentage if the Secretary determines that this is necessary in furtherance of the objectives of this Act. Requires the Secretary to prescribe regulations to assure that these programs are operated in a manner designed to best fulfill the purposes of this Act. Directs the Secretary to include, in the annual Department of Labor report, information as to activities conducted under this Act.
United States · United States Congress · 4 January 1973
Education for all Handicapped Children Act - States that it is the purpose of this Act to insure that all handicapped children receive maximum special educational services not later than 1976, to insure that State and local education agencies fulfill their primary responsibilities in providing such services, and to provide financial assistance to the State and local educational agencies to enable them to provide such services. Sets forth definitions of terms used in this Act. Authorizes the Commissioner of Education to make grants pursuant to this Act for the purpose of assisting the States in improving and expanding educational services for the education of handicapped children at the preschool, elementary, and secondary school levels. Authorizes to be appropriated for fiscal years 1973 through 1977 such sums as may be necessary for carrying out the purposes of this Act. Sets forth a formula by which the sums appropriated pursuant to this Act shall be allotted. Provides that the Commissioner shall prescribe basic criteria to be applied by State agencies in approving applications for assistance under the State plan submitted under this Act. Provides that States desiring to participate in the program under this Act shall demonstrate to the Commissioner of Education that specific conditions have been met. Sets forth provisions which each State plan shall include. Provides that each participating State shall appoint an advisory panel which shall be broadly representative of individuals involved in the education of handicapped children. Sets forth the functions of such panel. Provides that the Commissioner shall report to the Congress annually regarding progress toward goals of this Act. Provides that the Federal share of programs pursuant to this Act shall be 75 percent. States that a maximum of 1 percent of the total of the grants paid under this Act for one year to a State agency may be paid to such agency by the Commissioner for the administration of this Act. Authorizes appropriations for this purpose.
United States · United States Congress · 4 January 1973
National Science Policy and Priorities Act - States the Congressional declaration that the total Federal investment in science and technology must be raised to an expenditure level which is adequate to the human needs of the nation; and that Federal programs for civilian research and engineering must be focused in such priority problem areas as health care, poverty, public safety, pollution, unemployment, productivity, housing, education, transportation, nutrition, communications, and energy resources. Title I: Science Policy and Priorities for Civilian Research and Engineering - Science Policy Act - Requires the National Science Foundation to identify, research, and report on priority areas of civilian research and engineering likely to contribute to the resolution of such national problem areas as stated above. Authorizes appropriations totalling $50,000,000 for fiscal years 1974-1976 for such purposes. Title II: Design and Demonstration of Civil Science Systems - Civil Science Systems Act - Authorizes the Foundation to initiate and support programs which use science, technology, and advanced analytical techniques, such as systems analysis, to design civil science systems which are capable of providing improved public services in such areas as health care delivery, public safety, public sanitation, pollution control, housing, transportation, public utilities, communications, and education. Establishes within, the NSF, the Civil Science Systems Administration to administer programs carried out under this title. Establishes the Civil Science Systems Advisory Council, composed of 31 members, 18 of whom shall serve for terms of 3 years and be chosen from the following areas: business, labor, engineers, social and behavioral scientists, environmental and other community groups, and consumers. Authorizes the Director of the Administration to conduct and contract for planning studies for the design and demonstration of civil science systems capable of providing improved public services. Authorizes contracts: (1) for the conduct of applied social research into the economic, sociological, political, legal, administrative, and psychological aspects of the design, development, and implementation of such civil science systems; and (2) for research, testing, and evaluation of such civil science systems which make use of advanced science and technology. Authorizes the Director to establish a computerized Civil Science Systems Information Service, which shall collect the information pertaining to civil science systems resulting from programs under this title, and shall provide information to interested Government, educational, and private organizations. Requires the Director, in conducting programs under this title, to maintain coordination with appropriate Federal, State, regional, and local governmental agencies. Authorizes appropriations for this title of $200,000,000 for fiscal year 1974, $400,000,000 for 1975, and $600,000,000 for 1976. Title III: Transition of Technical Manpower to Civilian Programs - Technical Manpower Transition Act - Authorizes the Foundation to plan and assist in the transition of scientific and technical manpower from research and engineering programs which have been terminated or significantly reduced to other civilian-oriented research and engineering activities. Establishes an Advisory Panel on Transition of Scientific and Technical Manpower to Civilian Programs, to be composed of 31 members, 18 of whom shall serve for terms of 3 years and be chosen from the following categories: engineering and natural sciences, economics and social sciences, industry, labor, public affairs and manpower training, and unemployed scientists, engineers, and technicians. Authorizes the Foundation to make grants: (1) for the conduct of research designed to study and appraise the social, economic, and managerial aspects of transition from defense research and engineering activities to civilian-oriented research and engineering activities; (2) for programs designed to facilitate the transition of scientific and technical activities to civilian programs at the State, local, or regional level; (3) for training programs for officers and employees of Federal, State, and local government who will be responsible for administering Government-assisted programs for civilian, social oriented research and engineering activities; (4) for establishing community conversion corporations which shall conduct civilian-oriented research and development activities focusing on the particular problems of the community where the corporation is located; (5) for job transition programs involving the hiring of unemployed scientists, engineers, and technicians to work on civilian-oriented projects for which they are not yet fully qualified; (6) for career transition fellowships to unemployed scientists, engineers, and technicians to enable them to pursue a course of study through which they can acquire specialized technical knowledge and skills in fields other than the ones in which they are already proficient; (7) for placement programs for unemployed or underemployed scientists, engineers, and technicians; and (8) for education programs which design courses and curriculums intended to prepare students for careers in civilian, socially oriented research and engineering activities, in areas such as pollution control, mass transit, solid waste disposal systems, public utilities, public safety systems, and health care technology. Authorizes to be appropriated to carry out this title $152,000,000 for fiscal year 1974, $203,000,000 for fiscal year 1975, and $205,000,000 for fiscal year 1976. Title IV: Protection of Pension Rights of Scientists and Engineers - Requires the Director of the National Science Foundation to develop recommendations for modifications of Federal procurement regulations to insure that scientists, engineers, and those employed under Federal procurement, construction, or research contracts or grants, shall be protected against forfeiture of pension or retirement benefits as a consequence of job transfers or loss of employment resulting from terminations or modifications of Federal contracts or procurement policies. Title V: General Provisions - Defines the terms used in this Act. Authorizes the Director to appoint additional personnel and advisory committees, and use the services of Federal, State, and local government organizations, to carry out the purposes of this Act. Makes provisions for the payment and withholding of funds under this Act. Requires records to be kept of costs by recipients of assistance under this Act. Provides for an audit of records of recipients of assistance. Requires provisions in grants or contracts under this Act governing the disposition of inventions produced thereunder in a manner calculated to protect the public interest and the equities of the individual or organization with which the grant or contract is executed. Prohibits any Foundation employee from retaining or transferring any rights, under the patent laws or transfering any rights, under the patent laws of the United States, in any invention which he may produce in connection with performing his assigned activities and which is directly related to the subject matter thereof.
United States · United States Congress · 4 January 1973
Retirement Income Security for Employees Act - Title I: Organization - Establishes within the Department of Labor an Office of Pension and Welfare Plan Administration headed by an Assistant Secretary of Labor appointed by the President with Senate advice and consent. Provides that the functions, records and personnel of the Office of Labor Management Services Administration necessary for the administration of the Welfare and Pension Plans Disclosure Act are transferred to the Office of Pension and Welfare Plan Administration. Requires that, unless exempt, the provisions of the Act apply to any pension or profit-sharing-retirement plan established or maintained by an employer, a union, or both together in any industry or activity affecting interstate commerce. Requires administrators of pension and profit-sharing-retirement plans to file applications with the Secretary of Labor for registration of such plans. Title II: Vesting and Funding Requirements - Requires that no pension or profit-sharing-retirement plan may require, as a condition of eligibility to participate in the plan, a period of service longer than one year or an age greater than 25, whichever occurs later, except that any plan which provides 100 percent immediate vesting upon entry into the plan may restrict participation to those who have attained age 30, or three years of service, whichever occurs later. Authorizes the Secretary to defer, in whole or in part, applicability of the vesting provisions for a period not to exceed five years from the effective date of such requirements where a plan makes a showing that the vesting requirements would increase the employer's costs or contributions to the plan to an extent that substantial economic injury would result to the employer and to the interests of the participants. Requires the Secretary to promulgate regulations governing funding of multi-employer plans that cover a substantial portion of the industry or employees in a specific geographic area to assure that such plans are provided with sufficient assets to cover benefits under the plan. Title III: Voluntary Portability Program for Vested Pensions - Establishes a voluntary program known as the Voluntary Portability Program for portability of vested pension credits. Requires that, plans which are members of this program are required to pay, to a central portability fund administered by the Secretary, monies representing the value of the participant's vested rights when he is separated from the plan prior to retirement. Establishes a Voluntary Portability Program Fund under the supervision of the Secretary into which payments will be made in accordance with regulations prescribed by the Secretary under the portability program. Title IV: Plan Termination Insurance Program Established - Establishes a Private Pension Plan Termination Insurance Program administered by the Secretary, which requires plans to insure unfunded vested liabilities incurred prior to enactment of the Act, as well as after enactment of the Act. Requires the insurance program to insure participants against loss of vested benefits arising from plan termination. States that the Secretary shall make arrangements with employers on equitable terms for the reimbursement of insurance paid. Title V: Disclosure and Fiduciary Standards - Requires that annual reports filed are required to be accompanied by a certificate designating the Secretary as agent for service of process in any action arising under this Act. Restructures the Advisory Council on Employee Welfare and Pension Benefit Plans so that it will serve as an advisory council for both the WPPDA and the Retirement Income Security for Employees Act. Title VI: Enforcement - Empowers the Secretary to petition the Federal courts to compel a pension or profit-sharing-retirement plan to comply with the Act or effect recoveries of moneys which may be due under the Act. Sets forth criminal penalties for interference with the rights of a pensioner or his beneficiary. Title VII: Effective Dates - Sets forth the effective dates for the provisions in this Act.
United States · United States Congress · 4 January 1973
Veterans Health Care Expansion Act - Title I: Hospital, Domicilliary, and Medical Care Benefits - Extends the definition of "private facilities" for which the Administrator of Veterans' Affairs contracts in order to provide hospital care to include facilities for the wife or child of a veteran who has a total disability, permanent in nature, resulting from a service connected disability, and the widow or child of a veteran who died from such a disability. Includes in the term "hospital care" mental health services, consultation, professional counseling, and training of a veteran or dependent, or survivor if the veteran has no dependents, as may be necessary or appropriate to the effective treatment and rehabilitation of such individual. Adds home health services which the Administrator deems appropriate for the effective and economical treatment of a disability of a veteran, or dependent, or survivor, to the definition of the term "medical services." Extends to all veterans hospital or nursing home care if such veteran is unable to defray the expenses of the necessary care. Allows the Administrator to furnish hospital or nursing home care to the wife or child of a veteran who has a total disability, permanent in nature from a service connected disability, and the widow or child of a veteran who died from such a disability. Permits the Administrator to furnish medical services for any disability on an outpatient or ambulatory basis to persons already described in this act and to any veteran who has a service connected disability rated at eighty percent or more. Authorizes the Administrator, under such regulations as he might prescribe, to reimburse veterans entitled to hospital care as medical services for the reasonable value of such care or services for which such veterans have made payment from sources other than the Veterans' Administration. (Adds 38 U.S.C. 628) Authorizes the President to assist the Republic of the Philippines in providing medical care and treatment for Commonwealth Army veterans and new Philippine Scouts under certain conditions. (Amends 38 U.S.C. 631) Provides that the President may authorize the Administrator to enter into a contract with the Veterans Memorial Hospital, with the approval of the appropriate department of the Government of the Republic of the Philippines under which the United States: (1) will pay for hospital care in the Republic of the Philippines, or for medical services which shall be provided either in Veterans' Administration facilities, or by contract, or otherwise, by the Administrator in accordance with the conditions and limitations applicable generally to beneficiaries under this title, for Commonwealth Army veterans determined by the Administrator to be in need of such hospital care or medical services for service-connected disabilities; (2) will pay for hospital care at the Veterans Memorial Hospital for Commonwealth Army veterans determined by the Administrator to need such care for non-service-connected disabilities if they are unable to defray the expenses of necessary hospital care; and (3) will pay for hospital care, determined by the Administrator to be necessary, at the Veterans Memorial Hospital for new Philippine Scouts for service-connected disabilities and for non-service-connected disabilities, if they enlisted before July 4, 1946, and if they are unable to defray the expenses of necessary hospital care. Provides that the total of the payments authorized shall not exceed $2,000,000 for any one fiscal year ending before 1978. Authorizes to be appropriated for each fiscal year ending with fiscal year 1978, $100,000 to be used for the education and training of health service personnel at the hospital, and for the upgrading of equipment and in rehabilitating the physical plant and facilities of such hospital. (Amends 38 U.S.C. 632) Authorizes the Administrator to carry out a comprehensive program providing sickle cell anemia screening, counseling, and treatment and to carry out research and research training in the diagnosis, treatment, and control of sickle cell anemia based upon such screening examinations and treatment. Requires the Administrator to include such information in his annual report to Congress. (Adds 38 U.S.C. 651-654) Title II: Amendments to Chapter 73 of Title 38, United States Code Relating to the Department of Medicine and Surgery - Authorizes the Administrator to carry out a major program of recruitment training, and employment of veterans with various medical military occupation specialties in order to provide a complete medical and hospital service for the medical care and treatment of veterans and to assist in providing an adequate supply of health manpower to the nation. (Amends 38 U.S.C. 4101(b)) Establishes pay schedules for Assistant Chief Medical Directors, physicians and dentists, and nurses. Provides criteria on which nurses are to receive additional compensation. Enumerates restrictions on physicians, dentists, and nurses, including requirements that no such person may: (1) assume responsibility for the medical care of any patient other than a patient admitted for treatment at a Veterans' Administration facility, except in those cases where the individual, upon request and with the approval of the Chief Medical Director, assumes such responsibilities to assist communities or medical practice groups to meet medical needs which would not otherwise be available for a period not to exceed one hundred and eighty calendar days, which may be extended by the Chief Medical Director for additional periods not to exceed one hundred and eighty calendar days each; (2) teach or provide consultative services at any affiliated institution if such teaching or consultation will, because of its nature or duration, conflict with his responsibilities under this title; and (3) perform, in the course of carrying out his responsibilities under this title, professional services for the purpose of generating money for any fund or account which is maintained by an affiliated institution for the benefit of such institution, or for his personal benefit, or both. Provides that temporary full-time appointments of personnel, other than physicians, dentists, and nurses, shall not exceed one year. (Amends 38 U.S.C. 4114(a)(3)(A)) Provides that the Administrator may contract with one or more hospitals, medical schools, or medical installations having hospital facilities and participating with the Veterans' Administration in the training of interns or residents to provide for the central administration of stipend payments, provision of fringe benefits, and maintenance of records for such interns and residents by the designation of one such institution to serve as a central administrative agency for this purpose. Permits the Administrator to pay to such designated agency, without regard to any other law or regulation governing the expenditure of Government moneys either in advance or in arrears, all amount to cover the costs for the period such intern or resident serves in a Veterans' Administration hospital. (Adds 38 U.S.C. 4114(b)(2)) Title III: Amendments to Chapter 81 of Title 38, United States Code - Acquisition and Operation of Hospital and Domicilliary Facilities; Procurement and Supply - Requires the Administrator to provide for no less than an average of 98,500 operating beds in Veterans' Administration Hospitals and to maintain an average daily patient census in such beds of no less than 85,500 in any fiscal year. Authorizes the Administrator to establish and operate not less than eight thousand beds for the furnishing of nursing home care to eligible veterans over which the Administrator has direct and exclusive jurisdiction. (Amends 38 U.S.C. 5001(a)) Requires the Administrator to appoint an Advisory Committee on Structural Safety of Veterans' Administration Facilities to advise him on all matters of structural safety in the construction and remodeling of Veterans' Administration facilities. (Amends 38 U.S.C. 5001(b)) Title IV: Miscellaneous Amendments to Title 38 United States Code - Specifies certain miscellaneous amendments to title 38 of the United States Code. Title V: Effective Dates - Specifies the dates on which the provisions of this act shall become effective.
United States · United States Congress · 4 January 1973
Rehabilitation Act - Declares that it is the purpose of this Act to provide a statutory basis for the establishment of a Rehabilitation Services Administration and to establish an Office for the Handicapped and to authorize specified programs. Establishes within the Department of Health, Education and Welfare a Rehabilitation Services Administration which shall be administered by a Commissioner. Provides that the Commissioner shall carry out and administer all programs and direct the performance of all services for which authority is provided to the Secretary of HEW under titles I through IV of this Act. Creates within such Administration a Division of Research,Training, and Evaluation which shall be responsible for carrying out programs and projects under title IV of this Act. Authorizes the inclusion of appropriations under this Act in the appropriation Act for the fiscal year preceding the fiscal year for which they are available for obligation. Provides that where funds are provided for a single project by more than one Federal agency to an agency or organization assisted under this Act, the Federal agency principally involved may be designated to act for all in administering such funds, pursuant to regulations prescribed by th President. Sets forth definitions of terms used in this Act. Title I: Vocational Rehabilitation Services - Part A: General Provisions - Authorizes to be appropriated in order to make grants to States under part B of this title $800,000,000 for fiscal year 1973; and $975,000,000 for fiscal year 1974. Authorizes to be appropriated for the purpose of making grants to States and public and nonprofit agencies to assist them in meeting the costs of projects to initiate or expand services to handicapped individuals $50,000,000 for fiscal year 1973; $60,000,000 for fiscal year 1974; and $75,000,000 for fiscal year 1975. Sets forth conditions which shall be included in a State plan for vocational and comprehensive rehabilitation services submitted to the Commissioner for approval under this title. Provides for judicial review of an adverse decision of the Commissioner with respect to a State plan submitted for approval under this title. Part B: Basic Vocational and Comprehensive Rehabiliation Services - Provides for the allocation of the funds appropriated under Part A for Part B to the several States. States that the allocation to any State shall not be less than 1/4 of 1 percent of the amount appropriated, or $2,000,000, whichever is greater. Provides that for each fiscal year the Commissioner shall pay to each State an amount equal to the Federal share of the cost of vocational rehabilitation services under an approved State plan. States that this payment shall not exceed such State's allocation unde this part. Requires the Commissioner to set aside funds in an amount between $1,000,000 and $2,500,000 for fiscal year 1973, and up to $5,000,000 annually for fiscal years 1974-1975, to establish a system of client assistance pilot projects to advise clients of benefits available under this Act. Part C: Innovation and Expansion Grants - Entitles States to grants for special programs to expand vocational rehabilitation services to individuals with the most severe handicaps, particularly those who are poor and responsibility for whose treatment is shared by the State. Sets forth provisions for allotments among the States. Title II: Comprehensive Rehabilitation Services - Authorizes grants to assist the several States in developing and implementing continuing plans for meeting the current and future needs of handicapped individuals for whom a vocational goal is not possible or feasible, including the assessment of disability and rehabilitation potential, and for the training of specialized personnel needed for the provision of services to such individuals and research related thereto. Authorizes to be appropriated $30,000,000 for the fiscal year ending June 30, 1973, $50,000,000 for the fiscal year ending June 30, 1974, and $80,000,000 for the fiscal year ending June 30, 1975, for such purposes. Sets forth provisions for allotments to the States, with a minimum assurance of $150,000 per State. Title III: Special Federal Responsibilities - Authorizes to be appropriated for the purpose of making grants and contracts for the construction of rehabilitation facilities, initial staffing, and planning assistance $35,000,000 for fiscal year 1973; $40,000,000 for fiscal year 1974; and $45,000,000 for fiscal year 1975. Authorizes the Commissioner to make grants to assist in meeting the costs of construction of public or private nonprofit rehabilitation facilities. Provides that an application for a grant under this title must conform to the general grant and contract requirements of this title. Authorizes to be appropriated for the purpose of making vocational training grants $30,000,000 for fiscal year 1973; $35,000,000 for fiscal year 1974; and $40,000,000 for fiscal year 1975. Authorizes the Commissioner to make grants to States and public and nonprofit private organizations and agencies to pay 90 percent of the cost of projects for providing vocational training services to handicapped individuals in public and nonprofit rehabilitation facilities. Requires the Commissioner to make the following determinations prior to making such grants: (1) that the purpose of the project is to prepare handicapped, especially severely handicapped, individuals for gainful and suitable employment; (2) that the individuals to receive training services under such project will include only those individuals who are determined to be suitable for and in need of such training services by the States agency or agencies of the State in which the rehabilitation facility is located; (3) that the full range of training services will be made available to such individual; and (4) that the project meets such other requirements as he may prescribe in regulations for providing such services. Authorizes the Commissioner, in consultation with the Secretary of Housing and Urban Development, to insure up to 100 percent of any mortgage which covers construction of a public or nonprofit rehabilitation facility, including equipment to be used in its operation. Sets forth conditions for the insurance of such mortgages. Creates a Rehabilitation Facilities Insurance Fund to be used as a revolving fund to carry out this title. States that the total amount of outstanding mortgages insured shall not exceed $250,000,000. Provides that the Commissioner may make annual interest grants to State and public and nonprofit agencies to reduce the cost of borrowing from other sources for the construction of rehabilitation facilities. Authorizes to be appropriated to the Commissioner such sums as may be necessary for the payment of annual interest grants. Authorizes to be appropriated $50,000,000 for fiscal year 1973; $125,000,000 for fiscal year 1974; and $150,000,000 for fiscal year 1975, for the purpose of making grants for special projects and demonstrations. States that such grants may pay 90 percent of the cost of the provision of vocational and comprehensive rehabilitation services to handicapped individuals who are migratory agricultural workers or seasonal farmworkers, and to members of their families. Establishes the National Center for Deaf-Blind Youths and Adults which shall: (1) demonstrate methods of: (a) providing the specialized intensive services, and other services, needed to rehabilitate handicapped individuals who are both deaf and blind; and (b) training the professional and allied personnel needed adequately to staff facilities specially designed to provide such services and training to such personnel who have been or will be working with deaf-blind individuals; (2) conduct research in the problems of, and ways of meeting the problems of, rehabilitating deaf-blind individuals; and (3) aid in the conduct of related activities which will expand or improve the services for or help improve public understanding of the problems of deaf-blind individuals. Authorizes to be appropraited for the purpose of establishing and operating such center $5,000,000 for construction which shall remain available until expended, and $800,000 for operations for fiscal year 1973; $1,200,000 for fiscal year 1974; and $2,000,000 for fiscal year 1975. Provides for the establishment of Rehabilitation Centers for Deaf Individuals, and National Centers for Spinal Cord Injuries. Authorizes the Commissioner to make grants for special services for the rehabilitation of individuals suffering from end-stage renal disease and to provide rehabilitation services for older blind individuals. Authorizes appropriations to carry out such programs. Establishes in the Department of Health, Education and Welfare a National Advisory Council on Rehabilitation of the Handicapped consisting of twenty members appointed by th Commissioner. Provides that the council shall: (1) provide policy advice and consultation on the planning, conduct, and review of programs authorized under this Act; (2) review the administration and operation of vocational rehabilitation programs under this Act, make recommendations with respect thereto, and make annual reports to the Secretary and the Commissioner for transmittal to the Congress; (3) advise the Secretary and the Commissioner with respect to the conduct of independent evaluations of programs carried out under this Act; and (4) provide such other advisory services as the Secretary and Commissioner may request. Provides that any State which receives assistance under this Act shall establish and maintain a State Advisory Council which shall be appointed by the Governor, or in specified cases by the State board which governs vocational rehabilitation. Sets forth the functions of such council. Title IV: Research and Training - Provides that the Commissioner may make grants to, and contracts with, State public and nonprofit organizations to pay part of the cost of research projects which bear directly on the provision of services under this Act. Authorizes the Commissioner to make grants to pay all or part of the cost of specialized activities including the establishment and support of Rehabilitation Research and Training Centers and Rehabilitation Engineering Research Centers. Authorizes the Secretary to pay part of the cost of projects for training, traineeships, and related activities designed to assist in increasing the numbers of personnel trained in providing vocational and comprehensive rehabilitation services. Authorizes appropriations to carry out the purpose of this title. Title V: Administration and Program and Project Evaluation - Sets forth the functions of the Commissioner in carrying out his duties under this Act. Authorizes the Secretary to conduct studies, investigations and evaluations of programs authorized by this Act. Provides that the Secretary shall measure and evaluate the impact of all programs authorized by this Act in order to determine their effectiveness in achieving states goals. Requires the Secretary to submit an annual report on such determination and review to the appropriate committees of the Congress. Authorizes appropriations to conduct such program and project evaluations. Requires the Secretary to submit an annual report to the President and to the Congress on the activities carried out under this Act. Title VI: Office for the Handicapped - Establishes an Office for the Handicapped within the Office of the Secretary in the Department of Health, Education and Welfare. Provides that the Office shall be headed by a Director, who shall serve as a Special Assistant to the Secretary. Sets forth the function of the Office. Authorizes to be appropriated for the purposes of this title $1,000,000 for fiscal year 1973, $2,000,000 for fiscal year 1974, and $2,000,000 for fiscal year 1975. Title VII: Miscellaneous - Provides for the repeal of the Vocational Rehabilitation Act 90 days after the date of enactment of this Act. Establishes an Interagency Committee on Handicapped Employees to insure the adequacy of hiring, placement, and advancement practices with respect to handicapped individuals within the Federal Government. Establishes a National Commission on Transportation and Housing for Handicapped Individuals to consider problems in the areas that impede the rehabilitation of handicapped individuals. Establishes the Architectural and Transportation Barriers Compliance Board. Sets forth the function of such Board. Authorizes appropriations to carry out the duties and functions of such Board. Requires any contract entered into by any Federal department or agency for the procurement of personal property and nonpersonal services (including construction) for the United States to contain a provison requiring that, in employing persons to carry out such contract, the party contracting with the United States shall take affirmative action to employ and advance in employment qualified handicapped individuals. States that no otherwise qualified handicapped individual in the United States shall, solely by reason of his handicap, be excluded from the participation in, be denied the benefits of, or be subjected to discrimination under any program or activity receiving Federal financial assistance.
United States · United States Congress · 4 January 1973
Vietnam Disengagement Act - Limits the use of funds appropriated under the Foreign Assistance Act of 1961 with respect to military actions in Indochina to the purpose of withdrawing all United States ground, naval, and air forces and protecting such forces as they are withdrawn. Requires the withdrawal of all United States forces from Vietnam, Laos, and Cambodia to be carried out within two months after the date of enactment of this act conditioned upon the release within the two month period of all American prisoners of war held by the Government of North Vietnam and forces allied with such Government, and an accounting of all Americans missing in action who have been held by or known to such Government or such forces.
United States · United States Congress · 4 January 1973
National Diabetes Research and Education Act - Directs the Director of the National Institute of Arthritis, Metabolism, and Digestive Diseases to establish a National Task Force on Diabetes to formulate a long-range plan to combat diabetes with specific recommendations concerning the utilization and organization of national resources for that purpose after conducting a comprehensive study and survey investigating the magnitude of diabetes mellitus, its epidemiology, its economic and social consequences, and an evaluation of available scientific information and the national resources capable of dealing with the problem. Requires that such National Task Force shall provide for: (1) a coordinated research program encompassing the programs of the National Institute of Arthritis, Metabolism, and Digestive Diseases, related programs of the other research institutes, and other Federal and non-Federal programs; (2) the utilization of existing research facilities and personnel of the National Institutes of Health for accelerated exploration of opportunities of special promise in scientific areas related to the known complications of diabetes mellitus; (3) a system for the collection, analysis, and dissemination of all data useful in the prevention, diagnosis, and treatment of diabetes mellitus, including the establishment of a diabetes research data bank to collect, catalog, store, and disseminate insofar as is practicable the results of diabetes research undertaken for the use of any person involved in diabetes research; (4) support of manpower programs of training in fundamental sciences and clinical disciplines to provide an expanded and continuing manpower base from which to select investigators, physicians, and allied health professions personnel, for participation in clinical and basic research and treatment programs relating to diabetes including, where appropriate, the use of training stipends, fellowships, and career awards; (5) budget estimates and projections reflecting the funds required to fully implement the recommended plan; (6) methods of education for persons having diabetes; and (7) an emphasis on the counseling to persons, especially children, having diabetes and to their families with regard to adjustments and medical regimen required of such persons. Authorizes the appropriation of $1,000,000 for the purpose of establishing the National Task Force under this Act. Directs the Director to establish programs for cooperation with State and other health agencies in the early diagnosis and treatment of diabetes as well as programs of public, professional, and patient education. Authorizes the appropriation of $5,000,000 each year for fiscal years 1973, 1974, and 1975, and the appropriation of such sums as may be necessary thereafter, for the diabetes control program. Authorizes the Director to make grants to, or contract with States, political subdivisions, universities, hospitals, and other public or nonprofit private institutions, agencies, or organizations, which are community oriented, for projects and programs for the conduct of research, demonstration, training in and utilization of allied health personnel, or public and professional education for the early diagnosis and treatment of diabetes mellitus, or counseling and assistance in self-management. Provides that such grants shall cover a maximum of 75 percent of the costs of such projects and programs. Authorizes the appropriation of $25,000,000 for fiscal year 1973, and a like sum for each of the next two succeeding fiscal years, and such sums as may be necessary thereafter, for the purpose of such grants under this Act. Authorizes the Director to establish not more than six model diabetes research, treatment, and education clinics throughout the United States within the framework of existing programs. Provides that the purpose of such clinics shall be to test the feasibility of such clinics with regard to: (1) the development of improved methods of detecting diabetes; (2) the development of improved methods of intervention against high-risk factors which cause diabetes; and (3) the development of highly skilled manpower in diabetes diagnosis, prevention, and treatment. Authorizes the appropriation for the establishment of the clinics authorized under this Act $6,000,000 for the fiscal year ending June 30, 1973, and a like sum for each of the next two succeeding fiscal years and such sums as are necessary thereafter.
United States · United States Congress · 4 January 1973
Health Security Act - Title I: Health Security Benefits - Provides that every resident of the U.S. (and every non-resident citizen when in the U.S.) will be eligible for covered services. Permits reciprocal and "buy-in" agreements for groups or non-resident aliens, and in some cases benefits to U.S. residents when visiting in other countries. Entitles every eligible person to have payments made by the Health Security Board for covered services provided within the United States by a participating provider. Provides that all necessary professional services of physicians, wherever furnished are, covered, including preventive care, with two important restrictions: (1) specialist services are covered only when performed by a qualified specialist except in emergency situations, and generally only on referral from a primary physician; and (2) psychiatric services to an ambulatory patient are covered only for active preventive, diagnostic, therapeutic or rehabilitative service with respect to mental illness. Provides that comprehensive dental services (exclusive of most orthodontic services) are covered for children under age 15, with the covered age group increasing by two years each year until all those under age 25 are covered. Provides that: (1) inpatient and outpatient hospital services and services of a home health agency are covered without arbitrary limitation; and (2) pathology and radiology services are specifically included as parts of institutional services. Limits payment for skilled nursing home care to 120 days per spell of illness, except that this limit may be increased when the nursing home is owned or managed by a hospital and payment for care is made through the hospital budget. Limits the psychiatric hospital benefit to 45 consecutive days of active treatment during a spell of illness. Provides coverage for two categories of drug use: prescribed medicines administered to inpatients or outpatients within participating hospitals; or to enrollees of comprehensive health service organizations, and drugs necessary for the treatment of specified chronic illnesses or conditions requiring long or expensive therapy. Requires the Board and the Secretary of Health, Education, and Welfare to establish two lists of approved drugs, taking into account the safety, efficacy and cost of each drug. Provides a broad list of approved medicines available for use in institutions and by comprehensive health service organizations and a more restricted list which is available for use outside such organized settings. Provides that the appliances benefit is similar in concept and operation to the drug benefit, subject to a limitation on aggregate cost. Asserts that the professional services of optometrists and podiatrists are covered, subject to regulations, as are diagnostic or therapeutic services furnished by independent pathology laboratories and radiology services. States that health services furnished or paid for under a workmen's compensation law are not covered. Provides that the services of a professional practitioner are not covered if they are furnished in a hospital which is not a participating provider. Requires that participating providers meet standards established in this title or by the Board. Requires that such providers must agree to provide services without discrimination, to make no unauthorized charge to the patient for any covered service, and to furnish data necessary for utilization review by professional peers, statistical studies by the Board, and verification of information for payments. Makes professional practitioners licensed when the program begins eligible to practice in the State where they are licensed and requires that all newly licensed applicants for participation meet national standards established by the Board in addition to those required by his State. Establishes conditions of participation for general hospitals similar to those required by Medicare. States that the two requirements not found in the Medicare program are: (1) that the hospital must not discriminate in granting staff privileges on any grounds unrelated to professional qualifications, and (2) that it establish a pharmacy and drug therapeutics committee for supervision of hospital drug therapy. Provides that psychiatric hospitals will be eligible to participate only if the Board finds that the hospital (or a distinct part of the hospital) is engaged in furnishing active diagnostic, therapeutic and rehabilitative services to mentally ill patients. Establishes conditions of participation for skilled nursing homes similar to those established for extended care facilities under Medicare. Makes provisions for the participation of home health service agencies. Describes as eligible a health maintenance organization which undertakes to provide an enrolled population either with complete health care or, at least, with complete health security services (other than institutional services, mental health or dental services) for the maintenance of health and the care of ambulatory patients. Permits a foundation sponsored by a county or other local medical society to participate as a provider of services. Permits the participation of community health centers or the like which, though furnishing services as comprehensive as are required by this Act, do not serve an enrolled or otherwise predetermined population and may not meet some other requirements of this Act. Authorizes the Board to deal separately with the primary care portion of a system of comprehensive health care where it is necessary to rely on arrangements with other providers. Permits the Board to contract directly with public or other nonprofit mental health centers and mental health day care services. Specifies the broad and general conditions under which independent pathology laboratories, independent radiological services, and providers of drugs, devices, appliances, equipment, or ambulance services may qualify as providers under Health Security. Requires that a participating skilled nursing home have in effect an agreement with at least one participating hospital for the transfer of patients and medical and other information as medically appropriate. Prohibits in malpractice judgments any damages to be awarded to the injured party for the cost of remedial services which he is entitled to receive under this Act. Excludes the institutions of the Department of Defense and the Veterans Administration, and institutions of the Department of Health, Education, and Welfare serving merchant seamen or Indians or Alaskan natives, from serving as participating providers, as well as any employee of these institutions when he is acting as an employee. Provides reimbursement for any services furnished by these institutions or agencies to eligible persons who are not a part of their normal clientele. Permits a physician, dentist, optometrist, or podiatrist, licensed in one State and meeting the national standards, to furnish Health Security benefits in any other State, the scope of his permissible practice being governed by the law of the State in which he is practicing. Grants a similar authority to other health professional and nonprofessional personnel. Establishes the Health Security Trust Fund, to receive the net assets of existing (Medicare) funds taken over by the Health Security program, the yield of the Health Security taxes, and the Government's contribution from general revenues amounting to 100 percent of the yield from these taxes. Provides that three separate accounts shall be established in the Health Security Trust Fund: a Health Service Account, a Health Resources Development Account, and an Administration Account. Provides that in each of the first two years of program operation, 2 percent of the Trust Fund shall be set aside for the Health Resources Development Fund; and the allocation shall increase by 1 percent at two-year intervals to 5 percent within the next 6 years. Provides for allocation of the Health Services account among the regions of the country. Provides that the allocation to each region shall be based on the aggregate sum expended furing the most recent 12-month period for covered services (with appropriate modification for estimated changes in the consumer price index, the expected number of eligible beneficiaries, and estimated changes in the number of participating providers). Provides that the Board shall divide the allocation to each region into funds available to pay: institutional services; physician services; dental services; furnishing of drugs; furnishing of devices, appliances, equipment; and miscellaneous services. Provides that payments for covered services provided to eligible persons by participating providers will be made from the Health Service Account in the Trust Fund. Describes the method to be used in applying, as between practitioners electing the various methods of payment (fee-for-service and capitation), the monies available in each health service area for payment to each category of professional providers. Authorizes the Board to experiment with other methods of reimbursement so long as the experimental method does not increase the cost of service or lead to overutilization or underutilization of services. Provides that skilled nursing homes and home health agencies will be paid in the same manner as a general hospital (on an approved annual budget basis). Provides that a health organization will be paid for covered services, on the basis of a fixed capitation rate multiplied by the number of eligible enrollees. Contains a series of provisions for developing a continuous process of health service planning and for assisting in the recruitment, education, and training of health personnel. Authorizes special improvement grants: (1) to any public or other nonprofit health agency or institution to establish improved coordination and linkages with other providers of services, and (2) to organizations providing comprehensive ambulatory care, to improve their utilization review, budget, statistical, or records and information retrieval systems, to acquire equipment needed for those purposes, or to acquire equipment useful for mass screening or for other diagnostic or therapeutic purposes. Sets forth the responsibilities and duties of the Secretary of HEW and the Board with regard to this title. Creates an administrative structure within the Department of Health, Education, and Welfare with exclusive responsibility for the administration of the Health Security program. Establishes a five-member full-time Health Security Board serving under the Secretary of Health, Education, and Welfare. Provides that the members shall be appointed by the President with the advice and consent of the Senate, for five-year overlapping terms. Creates the position of an Executive Director, appointed by the Board with the approval of the Secretary. Provides that the Executive Director will serve as secretary to the Board and shall perform such duties in the administration of the program as the Board assigns to him. Provides that the program will be administered through the regional offices of the Department of Health, Education, and Welfare. Requires the establishment of sub-regional (service area) offices. Establishes a National Health Security Advisory Council, with the Chairman of the Board serving as the Council's Chairman and 20 additional members not in the employ of the Federal Government. Authorizes the Advisory Council to appoint professional or technical committees to assist in its functions. Provides that the Advisory Council will advise the Board on matters of general policy in the administration of the program, the formulation of regulations and the allocation of funds for services. Charges the Board with responsibility for informing the public and providers about the administration and operation of the Health Security program. Requires the Board to make a continuing study and evaluation of the program, including adequacy, quality and costs of services. Authorizes the Board directly or by contract to make detailed statistical and other studies on a national, regional, or local basis of any aspect of the title; to develop and test incentive systems for improving quality of care, methods of peer review of drug utilization and of other service performances; to develop and test systems of information retrieval, budget programs, instrumentation for multiphasic screening or patient services, and reimbursement systems for drugs; and to make such other other studies which it considers would improve the quality of services of the administration of the program. Grants authority to the Board, in accordance with regulations, to make determinations of who are participating providers of services, determinations of eligibility, of whether services are covered, and the amount to be paid to providers. Allows a provider of services who is dissatisfied with a final Board determination to obtain a hearing before a Board panel, and judicial review of a final decision. Authorizes the Board, with the advice and assistance of the Commission on the Quality of Health Care, to issue and review regulations assuring the quality of care furnished under this Act. Requires continuing professional education by physicians, dentists, optometrists, and podiatrists. Provides for the appointment of a Deputy Secretary of HEW and an Under Secretary for Health and Science. States that no provision of this Act shall alter any contractual obligation of an employer to provide health services to his employees and their dependents. Title II: Health Security Taxes - Converts the existing Medicare hospital insurance payroll taxes into Health Security taxes, and raises the rates to 1 percent on employees and 3.5 percent on employers. Raises the wage base for the employee tax from the present $7,800 to $15,000; or, if higher, 125 percent of the contribution and benefit base. Broadens the definitions of covered employment to include foreign agricultural workers, employees of the U.S. and its instrumentalities (other than members of the armed forces and the President, Vice-President, and Members of Congress), employees of charitable and similar organizations, railroad employees, and (for the employee tax only) employees of States and their political subdivisions and instrumentalities. Excludes from the gross income of employees, for income tax purposes, payment by their employers of part or all of the Health Security taxes on the employees. Spells out the precise effective dates of the new payroll tax provisions. Converts the existing Medicare self-employment tax into a Health Security self-employment tax, and raises the rate to 2.5 percent, and raises the maximum taxable self-employment income from $7,800 to $15,000. Adds a new 1 percent Health Security tax on unearned income (unless such income is less than $400 a year), subject to the same maximum on taxable income as is applicable to the employee and self-employment taxes. Title III: Commission on the Quality of Health Care - Establishes in the Department of HEW a Commission on the Quality of Health Care, with the primary responsibility of: (1) initiating and continuing development of, methods of assessing the quality of health care furnished under the Health Security Act, and (2) submitting to the Secretary and the Health Security Board its findings and recommendations. Stipulates that in carrying out its duties the Commissioner shall emphasize, and give first consideration to, care furnished for those illnesses and conditions which have relatively high incidence in the population and which are relatively amendable to medical or other care. Title IV: Repeal or Amendment of Other Acts - Requires that after the effective date of benefits, no State shall be required to furnish any service covered under Health Security as a part of its State plan for participation under Medicaid. Title V: Studies Related to Health Security - Authorizes the Secretary of Health, Education, and Welfare in consultation with the Secretary of State and the Secretary of Treasury to study the coverage of health services for U.S. residents in other countries. Directs the Secretary of HEW to study the feasibility and desirability of coordinating the Federal health benefit programs for merchant seamen and Indians and Alaskan natives and also veterans and members of the Armed Forces, with the Health Security Benefit Program.
United States · United States Congress · 4 January 1973
Authorizes the President to issue a proclamation designating a week as "National Welcome Home Our Prisoners Week" upon the release and return to the United States of American prisoners of war in Southeast Asia.