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United States · Official source
4,376 records where Sen. Riegle, Donald W., Jr. [D-MI] is listed as a sponsor, author, or other actor. Search with topics and years
United States · United States Congress · 3 June 1987
Prohibits the proposed enhancement or upgrade in the sensitivity of technology of, or the capability of, Maverick missiles for Saudi Arabia.
United States · United States Congress · 2 June 1987
Economic Equity Act of 1987 - Title I: Employment - Part A: Pay Equity - Federal Employee Compensation Equity Act of 1987 - Establishes the Commission on Compensation Equity to provide for a consultant to study the classification, grading, and pay-setting processes within and between the position classification system and the job-grading system. Requires the study to determine whether these processes result in the payment of rates of basic pay for positions: (1) in which either sex is numerically predominant or any race or ethnic group is disproportionately represented; and (2) where such differences in pay are not in proportion to the duties, difficulty, responsibility, or qualification requirements of the work performed. Provides a timetable for: (1) the Commission to report to appropriate congressional committees and the Director of the Office of Personnel Management with advisory recommendations; (2) the Director to report to the committees and the Commission with a plan to carry out any of the recommendations; (3) additional comments from the Commission; and (4) termination of the Commission. Part B: Equal Credit - Amends the Equal Credit Opportunity Act to prohibit the Board of Governors of the Federal Reserve System from exempting from such Act any class of credit transactions that are primarily for personal, family, or household purposes. Permits the Board to exempt (for five years) a type or class of business or commercial transaction only after determining that application of such Act to such transaction would not contribute substantially to effecting the purposes of such Act. Part C: Pension and Health Benefits for Nonfull-time Workers - Part-Time and Temporary Workers Protection Act of 1987 - Amends the Employee Retirement Income Security Act of 1974 (ERISA) to bring certain part-time employees within the participation, vesting, and accrual rules governing pension plans. Addresses any employee who, within a relevant 12-month period: (1) has customarily completed more than 500 but fewer than 1,000 hours of service; or (2) is employed in a type of position in which employment customarily consists of such a number of hours. Provides that completion of such hours of service will be treated as completion of 1,000 hours of service (thereby bringing the employee within the ERISA benefit framework). Permits a reduction in the employer-provided premium under a group health plan in the case of a part-time employee only when such employee: (1) has customarily completed fewer than 30 hours of service per week; or (2) is employed in a type of position in which employment customarily consists of such a number of hours. Limits such a premium reduction, when permissible, to not less than a ratable portion of the premium ordinarily provided in the case of an employee who completes 30 hours of service per week. Revises the ERISA definition of "employee" to include non-employees who, pursuant to a contract or agreement, provide employee-like service to an employer for at least one year at the rate of 500 or more hours per year. Part D: Economic Security - Social Security Equity Act of 1987 - Amends title II (Old Age, Survivors and Disability Insurance) of the Social Security Act to provide that the combined earnings of a married couple which are attributable to the period of their marriage shall be shared equally between them for purposes of determining the eligibility for, and amount of, OASDI benefits to which each spouse is or may become separately entitled. Credits the survivor of the marriage with 100 percent of the combined total wages for the period of the marriage. Provides that this Act shall not apply in specified cases when it would result in a reduction of OASDI benefits. Sets forth certain age and marriage requirements with which married couples must comply in order for this Act to apply. Repeals the separate definition of disability applicable to widows and widowers. Permits the months of a widow's or widower's entitlement to Supplemental Security Income benefits (title XVI of the Social Security Act) on the basis of a disability to be counted toward the 24 months needed to become entitled to hospital insurance benefits under Medicare (title XVIII of the Social Security Act) on that basis. Pension Reform Act of 1987 - Amends the Tax Reform Act of 1986 to extend to all accrued benefits existing in plan year 1989 and thereafter the amendments made with regard to the nondiscriminatory coordination of defined contribution plans with Old Age, Survivors and Disability Insurance (OASDI). Amends the Internal Revenue Code (IRC) to repeal provisions that permit a certain disparity in simplified employee pension plan contributions with respect to nondiscriminatory coordination with OASDI. Provides for the repeal, effective for plan year 2000 and thereafter, of IRC rules relating to: (1) the nondiscriminatory coordination of defined contribution plans with OASDI; and (2) pension integration exceptions. Amends the IRC to establish distinct minimum employee coverage requirements applicable in cases when an employer with respect to a plan is treated as operating a single line of business. Requires such a plan to benefit all the employer's employees. Limits the exception to minimum coverage requirements available to employers treated as operating separate lines of business for a year. Amends the IRC and the Employee Retirement Income Security Act of 1974 to eliminate the special vesting requirements governing multiemployer plans. Directs the Comptroller General of the United States, as soon as possible after this Act's enactment, to undertake thorough studies with respect to: (1) possible methods of requiring employee pension plans to provide cost of living and other adjustments to plan benefits; and (2) potential pension portability mechanisms, including ways to preserve and enhance the real value of deferred vested pension benefits. Lists specific items to be addressed in each study. Requires submission of the studies to specified Congressional committees within two years of this Act's enactment. Medicaid Community Spouse Safety Net Act of 1987 - Amends title XIX (Medicaid) of the Social Security Act to set special resource and income eligibility standards for institutionalized individuals so as to provide support and maintenance of their noninstitutionalized spouses. Nondiscrimination in Insurance Act - Bans discrimination on the basis of race, color, religion, sex, or national origin in the consideration of applications for, or the granting of, insurance policies and the terms of such policies. Prohibits the use of any statistical table as a basis for action banned by this Act, and discrimination in any manner against a person because that person has opposed any practice made unlawful under this section. Grants to States having insurance discrimination laws the primary opportunity to enforce the pertinent prohibitions. Permits a civil action against the insurer to be filed in State or Federal court by or on behalf of an aggrieved person. Authorizes the Attorney General to bring a civil action in district court (without regard to the amount in controversy) when there is reasonable cause to believe that a person or group is engaged in a pattern or practice of violating these rights and that such violation raises an issue of general public importance. Directs the court to: (1) order the defendant to amend any relevant contract to comply with these provisions; (2) award actual damages for the period of noncompliance; and (3) award the aggrieved person reasonable attorney fees. Authorizes an award of punitive damages, in addition to actual damages. Describes rights, liabilities, premiums, benefits, and insurance coverages that are not to be affected by these antidiscrimination provisions. Federal Council on Women Act - Establishes a Federal Council on Women to: (1) collect and evaluate information with respect to any problems that are particular to women in the United States; (2) review and evaluate Federal policy related to any such problems; (3) coordinate the activities of the Council with similar activities conducted by States, local governments, and concerned organizations; and (4) make recommendations. Directs the Council to report its findings and recommendations to the Congress. Authorizes appropriations. Title II: Dependent Care - Part A: Improving the Quality of Dependent Care - Family Day Care Provider Assistance Act of 1987 - Directs the Secretary of Health and Human Services to make payments to States for grants to support family day care providers. Directs States to make such grants to community nonprofit organizations with experience in working with family day care and which furnish or propose to furnish support primarily to providers serving low-income families. Requires such grants to be used to: (1) provide training to family day care providers; (2) operate resource centers for making available developmentally appropriate curriculum materials; (3) operate a system of substitute caregivers for providers; (4) furnish technical assistance to providers in understanding local regulations and relevant tax and other policies; (5) provide subgrants for the purchase of small equipment; and (6) provide other appropriate support to family day care providers. Directs the Secretary to establish a National Resource Center on Family Day Care, to be administered by the Administration for Children, Youth, and Families. Authorizes appropriations. Sets forth a formula for State allotments. Child-Care Standards Improvement Act of 1987 - Authorizes appropriations for FY 1988 through 1990 for grants to improve State child-care licensing and regulatory systems. Requires, as a condition of eligibility for such grants, the establishment of a State Advisory Committee on Child-Care Standards to review a State's child-care licensing and regulatory systems. Requires reports by such committees. Establishes a National Advisory Committee on Child-Care Standards to assist and provide guidance to the States in improving the quality of child-care services. Requires the National Advisory Committee to submit to the Secretary of Health and Human Services proposed recommended standards for child-care programs within 14 months after the enactment of this Act. Terminates the National Advisory Committee 90 days after the publication by the Secretary of final recommended standards. Part B: Access to Dependent Care for All Families - Amends Internal Revenue Code provisions relating to the income tax credit for employment-related dependent care expenses to: (1) make the credit refundable; (2) increase the amount of the credit from 30 percent to 50 percent of the relevant expenses, reduced (but not below 20 percent) by one percent for each full $1,000 amount by which the taxpayer's adjusted gross income (AGI) exceeds $15,000, subject to an annual adjustment for inflation (the current reduction is one percent for each $2,000 in excess of $10,000 AGI with no provision for a cost of living adjustment); and (3) apply the credit to expenses for certain respite care of qualifying dependents of the taxpayer. Permits credit for up to $1,200 ($2,400 in cases involving more than one qualifying individual) of respite care expenses incurred in the care of: (1) a dependent of the taxpayer who is under the age of 15; or (2) a spouse or other dependent of the taxpayer who is physically or mentally incapable of self-care. Amends the Federal National Mortgage Association Charter Act and the Federal Home Loan Mortgage Corporation Act to bring within their respective frameworks loans or advances secured by a single residential property occupied as a single family residence in which community child care service is provided (thus making such loans eligible for purchase under each Act). Part C: Increasing Availability of Dependent Care for Low-Income Families - Amends the Social Security Act to increase appropriations for FY 1988 and thereafter for block grants to the States for social services. State Dependent Care Grants Amendments Act of 1987 - Amends the State Dependent Care Development Grants Act to require that amounts paid to States for use in the operation of child care services be designed to enable children whose families lack adequate financial resources to participate in before or after school child care programs. Requires State Governors to include specified information in their grant reports. Extends from September 30, 1987, to September 30, 1991, the time until which necessary revisions of grant program descriptions must be submitted. Public Housing Child Care Act - Directs the Secretary of Housing and Urban Development to: (1) make grants to public housing agencies to contract for lower-income resident child care services; and (2) design such program to determine the extent to which it facilitates resident employability. Requires a report to the Congress within three years. Authorizes FY 1987 through 1989 appropriations.
United States · United States Congress · 2 June 1987
Designates August 1, 1987, as Helsinki Human Rights Day. Requests the President to: (1) reassert the American commitment to the Helsinki Accords; (2) raise the issue of noncompliance with such Accords with the Soviet Union, Bulgaria, Czechoslovakia, the German Democratic Republic, Hungary, Poland, and Romania; (3) convey to all signatories of such Accords that respect for human rights and fundamental freedoms is vital to progress in the ongoing Helsinki process; (4) convey to U.S. allies the necessity of unity regarding such Accords; (5) continue his efforts to achieve the release of political prisoners of the Soviet Union, an increase in Soviet emigration, resolution of family reunification cases, and cessation of radio transmission jamming; (6) seek the inclusion, in any concluding document agreed to in Vienna, of a mechanism to sustain human rights progress after the Vienna Conference on Security and Cooperation in Europe; and (7) convey to signatory states the desire of the United States for a result at Vienna that will not favor military security at the expense of human rights.
United States · United States Congress · 2 June 1987
Declares that the Congress: (1) recognizes the continuing desire and right of the people of the Baltic States of Estonia, Latvia, and Lithuania for independence from the Soviet Union; (2) calls upon the President to direct world attention to the Baltic States' right of self-determination by issuing a statement that informs U.N. member nations of U.S. support for such self-determination and nonrecognition of the Soviet incorporation of the Baltic States; and (3) calls upon the President to promote Soviet compliance with the Helsinki Final Act.
United States · United States Congress · 29 May 1987
Designates the week beginning on the third Sunday of September 1987 and 1988 as National Adult Day Care Center Week.
United States · United States Congress · 29 May 1987
Authorizes and requests the President to designate the month of April as Fair Housing Month.
United States · United States Congress · 29 May 1987
Designates January 8, 1988, as National Skiing Day.
United States · United States Congress · 29 May 1987
Designates the week beginning October 18, 1987, as Financial Independence Week. Urges all citizens to pursue financial independence through sound planning and management of their individual resources.
United States · United States Congress · 29 May 1987
Designates October 1, 1987, as National Medical Research Day.
United States · United States Congress · 29 May 1987
Designates the week of September 20 through September 26, 1987, as Emergency Medical Services Week.
United States · United States Congress · 29 May 1987
Designates the week beginning June 21, 1987, as National Outward Bound Week in honor of the 25th anniversary of the first Outward Bound Outdoor Recreational Program offered in the United States.
United States · United States Congress · 28 May 1987
Designates the week of July 13, 1987, as Snow White Week.
United States · United States Congress · 28 May 1987
Designates July 13 through July 26, 1987, as U.S. Olympic Festival-'87 Celebration. Designates July 17, 1987, as U.S. Olympic Festival-'87 Day.
United States · United States Congress · 28 May 1987
Designates July 20, 1987, as Space Exploration Day.
United States · United States Congress · 21 May 1987
Amends the International Travel Act of 1961 to authorize appropriations for 1988 through 1990 for the United States Travel and Tourism Administration.
United States · United States Congress · 21 May 1987
National Quality Improvement Act of 1987 - Amends the Stevenson-Wydler Technology Innovation Act of 1980 to establish a National Quality Award, to be evidenced by a medal. Directs the President (on the basis of recommendations received from the Secretary of Commerce) or the Secretary of Commerce to periodically make the award to companies and other organizations which have substantially benefited the economic or social well-being of the United States through improvements in the quality of their goods and services resulting from the effective practice of quality management. Sets forth categories in which the award may be given and qualification criteria. Directs the Secretary to appoint a board of overseers to make suggestions for improvements in the award process. Directs the Director of the National Bureau of Standards to provide information about the awards and about the successful quality improvement strategies and programs of the award winners to all participants and to other appropriate groups. Provides that funding for the award program shall be through gifts from public and private sources and fees imposed upon organizations applying for the award. Directs the Secretary to prepare and submit to the President and the Congress a report on the progress, findings, and conclusions of activities conducted with respect to the award, along with recommendations for possible modifications.
United States · United States Congress · 20 May 1987
Designates the week of December 13 through December 19, 1987, as National Drunk and Drugged Driving Awareness Week.
United States · United States Congress · 20 May 1987
Designates the week beginning on the third Sunday in May 1988 as National Tourism Week.
United States · United States Congress · 20 May 1987
Designates October 1987 as Polish American Heritage Month.
United States · United States Congress · 19 May 1987
Expresses the sense of the Congress that the Harlem Hospital Center be recognized and commended for 100 years of service and for its dedication to providing quality care.
United States · United States Congress · 15 May 1987
Acquired Immunodeficiency Syndrome Education, Information, Risk Reduction, Training, Prevention, Treatment, Care, and Research Act of 1987 - Amends the Public Health Service Act to create a new title on acquired immunodeficiency syndrome (AIDS). Directs the Secretary of Health and Human Services (Secretary), acting through the Director of the Centers for Disease Control (Director), to prepare and transmit to the Committee on Labor and Human Resources of the Senate and the Committee on Energy and Commerce of the House of Representatives a comprehensive national plan containing specified elements relating to education, information, and risk reduction activities concerning AIDS. Directs the Secretary to submit to the committees each year for the next ten years a revision of the plan. Directs the Secretary, acting through the Director, to make grants to States for the development, implementation, or expansion of State plans for education, information, risk reduction, and other activities relating to AIDS. Requires States, in order to receive grants, to submit an application with specified contents. Directs the Secretary to provide technical assistance to States relating to these grants. Directs the Secretary to make grants to local governments and public and private nonprofit entities for development, establishment, or expansion of programs for targeted education, information, and risk reduction activities relating to AIDS. Directs the Secretary to give grant priority to activities directed toward individuals at highest risk of becoming infected with the acquired immunodeficiency virus. Prohibits grants from being made unless an application with specified contents is submitted. Directs the Secretary to give preference to community-based organizations which are located in, have a history of service in, and will serve specified areas. States that the Secretary may review the content of any educational or information materials developed with grants only for scientific and factual validity. Directs the Secretary to establish a program of fellowships at the Centers for Disease Control for the training of individuals to develop skills in epidemiology, surveillance, testing, counseling, education, information, laboratory analysis, and risk reduction relating to AIDS. Declares that individuals receiving fellowships shall not be counted in determining the number of full time equivalent employees of the Department of Health and Human Services for specified purposes. Directs the Secretary to make grants to international organizations concerned with public health for: (1) programs of education, information, and risk reduction relating to AIDS; (2) projects to train individuals to develop skills and technical expertise regarding AIDS; and (3) epidemiological research relating to AIDS. Directs the Secretary to inform the Secretary of State and the Administrator of the Agency for International Development of grants made under this provision. Prohibits grants from being made unless an application is submitted. Requires that not less than 50 percent of the grants be made through the World Health Organization and, in the Western Hemisphere, through the Pan American Health Organization. Requires grants to be in furtherance of the global strategy of the World Health Organization Special Programme on Acquired Immunodeficiency Syndrome. Authorizes appropriations for FY 1988 through 1990 for grants to States, for grants to local governments and public and private nonprofit entities, for fellowships at the Centers for Disease Control, and for grants to international organizations. Authorizes the Secretary to make grants to public and nonprofit private entities for the development, establishment, or expansion in a service area of networks of comprehensive medical services for individuals who have AIDS or who are infected with the virus. Requires networks to provide: (1) comprehensive services, or referrals to comprehensive services, for such individuals, including specified services; and (2) continuing education for health care personnel involved in the delivery of services to individuals infected with the virus. Specifies allowed and prohibited uses of grants. Prohibits making grants unless an application with specified contents is submitted. Requires entities applying for a grant, prior to applying, to establish a network advisory committee to assist in development of grant applications, provide support for the development, establishment, or expansion of the network, and monitor the implementation of, and the services provided through, the network. Directs the Secretary, in making grants, to give priority to specified types of applicants. Directs the Secretary to make at least one grant each fiscal year to an applicant in each service area in which there is a high incidence of children who are infected with the virus. States criteria for selecting such applicant. Directs the Secretary to make grants to public and nonprofit private entities for projects to demonstrate innovative models for cost-effective delivery of health services to individuals with AIDS. Requires projects supported with such grants to provide for the delivery of health services in conjunction with the comprehensive medical services networks. Prohibits making grants unless an application with specified contents is submitted. Authorizes appropriations for comprehensive medical service networks and for innovative models for cost-effective delivery of health services for FY 1988 through 1990. Directs the Secretary, through the Director of the National Institute of Mental Health, to make grants to public and private nonprofit entities for the development, establishment, or expansion of programs to: (1) provide long-term counseling to individuals who have AIDS or who have tested positively for the presence of antibodies to the virus; and (2) conduct evaluations of the effectiveness of such counseling. Specifies purposes for which grants may be used. Prohibits making grants unless an application with specified contents is submitted. Directs the Secretary, in making grants, to give priority to entities based at, or having relationships with, entities providing comprehensive health services to individuals who have AIDS or who are infected with the virus. Authorizes appropriations for FY 1988 through 1990. Directs the Secretary, through the Director of the National Institute on Drug Abuse, to make grants to public and nonprofit private agencies for the study of, and projects for the demonstration of, effective methods, with regard to intravenous drug abusers, to reduce the transmission of the virus and provide treatment to individuals who have AIDS or who are infected with the virus. Prohibits making grants unless an application with specified contents is submitted. Authorizes appropriations for FY 1988 through 1990. Amends title IV (National Research Institutes) of the Public Health Service Act to create the National Program on Acquired Immunodeficiency Syndrome, consisting of: (1) a research program on AIDS, including a research program relating to the prevention of AIDS; and (2) demonstration, education, and other programs for the detection, diagnosis, prevention, and treatment of AIDS and for the provision of counseling concerning AIDS. Requires the Director of the National Institutes of Health (NIH) to designate one of the Directors of the national research institutes as the Acquired Immunodeficiency Syndrome Coordinator. Makes the AIDS Coordinator responsible for administration of the Program. Directs the AIDS Coordinator to develop and implement a plan for NIH to expedite the award of grants, contracts, or cooperative agreements by any agency of NIH for projects relating to AIDS, including projects initiated by investigators not in response to any solicitation for proposals. Requires the plan to provide, in the case of applications made in response to solicitations for proposals, for making of awards or disapproval of applications within six months after the date on which a solicitation is issued. Directs the AIDS Coordinator, in conjunction with the Directors of the national research institutes and in consultation with the National Acquired Immunodeficiency Syndrome Advisory Board (Advisory Board), to promote cooperation between specified agencies in the diagnosis, prevention, and treatment of AIDS. Directs the AIDS Coordinator to prepare and transmit to the Committee on Labor and Human Resources of the Senate and the Committee on Energy and Commerce of the House of Representatives a report with specified contents. Directs the AIDS Coordinator to expand clinical trials of treatments and therapies for AIDS and infection with the virus. Authorizes the AIDS Coordinator to: (1) establish or support the large-scale production or distribution of specialized biological materials or other therapeutic substances for research relating to AIDS and set standards of safety and care for persons using such materials; (2) support, in consultation with the Advisory Board, research relating to AIDS outside the United States in certain circumstances, collaborative research involving American and foreign participants, the training of American scientists abroad and foreign scientists in the United States, and programs of education and training, including education and laboratory and clinical research training; (3) encourage and coordinate research relating to AIDS by industrial concerns in certain circumstances and provide for the exchange of information between Federal agencies and private entities involved in specified ways with therapies and vaccines for AIDS; (4) acquire, improve, repair, operate, and maintain, in consultation with the Advisory Board, laboratories and other real and personal property, make grants for the renovation of facilities, and lease certain spaces for a limited period; (5) enter into contracts and cooperative agreements to expedite and coordinate research relating to AIDS; and (6) maintain and operate the International Acquired Immunodeficiency Syndrome Research Data Bank. Directs the Secretary, in consultation with the AIDS Coordinator, to establish in NIH a National Acquired Immunodeficiency Syndrome Advisory Board to: (1) review and evaluate the implementation of the Program; (2) advise and make recommendations to the Congress, the Secretary, the Director of NIH, the AIDS Coordinator, and the heads of other Federal agencies; and (3) maintain liaisons with other advisory bodies and key non-Federal entities involved with the control of AIDS. Requires the Advisory Board to prepare an annual report for the AIDS Coordinator describing the Advisory Board's activities and making recommendations regarding the Program. Authorizes the Director of the Institute to enter into cooperative agreements with and make grants to public or private nonprofit entities for planning, establishing, or strengthening, and providing basic operating support for, centers for basic and clinical research into, and training in, advanced diagnostic, prevention, and treatment methods for AIDS. Specifies permitted uses for Federal payments under a cooperative agreement or grant. Limits support of a center to five years, subject to extension for periods of up to five years, if recommended by a peer review group. Requires, in the Institute, appointment of an Associate Director for Prevention to coordinate and promote the programs in the Institute concerning the prevention of infectious diseases, including AIDS. Directs the Associate Director for Prevention to prepare, for inclusion in a biennial report required by existing law, a description of the prevention activities of the Institute. Requires the Director of the Institute to establish a virus and serum bank in which all human immunodeficiency virus serotypes and serum are available to qualified investigators. States that AIDS is included within the scope of the purpose of the National Institute on Allergy and Infectious Diseases. Directs the Secretary, acting through the Director of the National Institute on Allergy and Infectious Diseases, to make awards, under existing provisions for National Research Service Awards, for the training of individuals to participate in national research efforts relating to AIDS. Requires the Director of the Office of Management and Budget, the Director of the Office of Personnel Management, or the Administrator of General Services to respond to any priority request made by the AIDS Coordinator of the NIH within 14 calendar days.
United States · United States Congress · 14 May 1987
Medicare Rural Health Services Transition Act of 1987 - Amends title XVIII (Medicare) of the Social Security Act to direct the Secretary of Health and Human Services to establish a program providing grants to small rural hospitals to assist such hospitals in modifying the type or extent of health care services they provide so that their services more closely approximate the changing needs of rural communities and are integrated with other community health care services. Requires rural hospitals wishing to participate in the program to submit an application specifying the nature of the hospital's proposed grant project and a timetable (of no more than two years) for its completion to the State Governor, who shall transmit it to the Secretary within 30 days with his or her comments on such application. Directs the Secretary to consider such comments, each project's objectives, and each project's effect in reducing expenditures under part A (Hospital Insurance) of the Medicare program in choosing among applicants for such grants. Sets forth reporting requirements. Authorizes appropriations for FY 1988 and 1989.
United States · United States Congress · 14 May 1987
Anti-Terrorism Act of 1987 - Expresses the determination of the Congress that the Palestine Liberation Organization (PLO): (1) is a terrorist organization; (2) is a threat to the interests of the United States, its allies, and to international law; and (3) should not benefit from operating in the United States. Prohibits, if the purpose is to further the interests of the PLO: (1) the receipt of anything of value except informational material from the PLO; (2) the expenditure of funds from the PLO; (3) the establishment or maintenance of a PLO office within the jurisdiction of the United States. Provides that the provisions of this Act shall cease to have effect if the President certifies to the Congress that the PLO no longer practices or supports terrorist actions.
United States · United States Congress · 14 May 1987
Amends the Consumer Credit Protection Act to set forth the Credit Reporting Reform Act as revised title IV. Prohibits any credit services organization (any person who provides a service for the purpose of improving a buyer's credit record or obtaining an extension of credit for a buyer) from: (1) charging or receiving money prior to the completion of its services (unless it has obtained a $10,000 surety bond); (2) charging or receiving money solely for the referral of a buyer to a retailer if the credit which may be extended is upon substantially the same terms as those available to the general public; (3) advising any client to make an untrue or misleading statement; and (4) using any untrue or misleading statement in the offer or sale of its services. Requires the organization to provide the buyer with a written statement which includes a description of: (1) the buyer's rights; (2) the approximate price the buyer will be charged for the service; and (3) the services to be performed by the organization. Sets forth contract requirements and the rights of the buyer with regard to cancellation of such contract. Subjects any organization which fails to comply with any provision of this Act to civil liability. Grants any appropriate U.S. district court jurisdiction in such actions (without regard to the amount in controversy). Provides a two-year statute of limitations for such actions (unless the defendant has materially and willfully misrepresented any information required under this Act). Provides for the administrative enforcement of this Act by the Federal Trade Commission, as provided in the Federal Trade Commission Act.
United States · United States Congress · 13 May 1987
Marine Science, Technology, and Resource Development Act of 1987 - Amends the National Sea Grant College Program Act to declare the need for a national ocean policy and to revise definitions under such Act. Expands coverage of such Act to include Great Lakes resources. (Current law covers ocean and coastal resources.) Requires the Administrator of the National Oceanic and Atmospheric Administration (Administrator) to develop and publish every three years the Sea Grant Strategic Research Plan (Plan) identifying and describing a limited number of priority areas for strategic marine research. Requires the Plan to be submitted to specified congressional committees. Describes the priority area on which the Plan shall concentrate, including: (1) critical resource and environmental areas of national or global scope where adequate funding is otherwise precluded under other provisions of the National Sea Grant College Program Act; and (2) areas where sustained programmatic research and technology transfer can be utilized. Authorizes the Secretary of Commerce (Secretary) to make grants to carry out such strategic marine research to sea grant colleges, programs, regional consortia, and individuals meeting certain criteria. Authorizes appropriations for such purposes for FY 1988 through 1992. Describes the academic, congressional, Federal, and postdoctoral fellowships which may be awarded. Adds to the duties of the sea grant review panel the responsibility of giving advice with respect to applications, proposals, performance, grants, and contracts awarded under the Sea Grant Strategic Research Plan. Authorizes appropriations for the National Sea Grant College Program for FY 1988 through 1992. Amends provisions of the Sea Grant Program Improvement Act of 1976 relating to the purposes of the Sea Grant International program to authorize grants and contracts to enhance international research, promote marine activities with foreign universities, encourage technology transfer, and promote foreign data exchanges. Authorizes appropriations for such purposes for FY 1988 through 1992. Allows additional funding to be provided through other Federal program elements with a marine science or technology transfer component, or both.
United States · United States Congress · 13 May 1987
Prohibits the proposed sale to Honduras of 12 F-5E/F aircraft with spares, munitions, support equipment, and training.
United States · United States Congress · 8 May 1987
Amends the Commercial Space Launch Act to authorize appropriations for FY 1988 and 1989.
United States · United States Congress · 8 May 1987
Designates March 16, 1988, as Freedom of Information Day.
United States · United States Congress · 7 May 1987
National Aeronautics and Space Administration Authorization Act, 1988 - Authorizes appropriations for FY 1988 to the National Aeronautics and Space Administration (NASA) for specified activities relating to: (1) research and development; (2) space flight, control, and data communications; (3) construction of facilities; and (4) research and program management. Permits appropriations for research and development and for space flight, control, and data communications to be used for any items of a capital nature (other than acquisition of land) which may be required at locations other than NASA installations for the performance of research and development contracts, and for grants to nonprofit institutions of higher education, or to nonprofit organizations whose primary purpose is the conduct of scientific research or the purchase or construction of additional research facilities. Requires the Administrator of NASA to notify specified congressional officers and committees whenever the cost of a facility exceeds a specified amount. Permits funds appropriated for research and development, for space flight, control, and data communications, or for construction of facilities to remain available without fiscal year limitation. Permits appropriations for research and program management to be used for scientific consultations or extraordinary expenses upon the approval of the Administrator. Permits the funds for construction of any specified facilities: (1) in the discretion of the Administrator, to be varied upward ten percent; or (2) following a report by the Administrator to specified congressional committees, to be varied upward 25 percent to meet unusual cost variations. Permits one-half of one percent of the funds appropriated for research and development or for space flight, control, and data communications to be transferred to the appropriation for construction of facilities. Authorizes the expenditure of such transferred funds, together with a specified amount of the funds appropriated for construction of facilities, to construct, expand, or modify laboratories and other installations. Requires the Administrator, 30 days before expending such funds, to notify specified congressional officers and committees of the nature, cost, and necessity of such construction. Prohibits, until 30 days pass after congressional receipt of a full explanation by the Administrator, the use of funds appropriated pursuant to this Act for any program: (1) deleted by the Congress; (2) in excess of the amount actually authorized for the particular program under provisions for research and development, space flight, control, and data communications, and research and program management; or (3) which has not been presented to either of the specified congressional committees. Permits the Administrator to prohibit the public disclosure of technical data which requires an export license under the Export Administration Act of 1979 or the Arms Export Control Act. Authorizes the Administrator to appoint up to 15 retired military officers and civil servants for two years. Declares that it is the sense of the Congress that it is in the national interest that consideration be given to geographical distribution of Federal research funds whenever feasible, and that NASA should explore ways of doing so. Authorizes additional appropriations.
United States · United States Congress · 7 May 1987
Federal Employees Health Care Freedom-of-Choice Act of 1987 - Amends provisions of law relating to Federal employee health benefits to authorize direct payment or reimbursement for services performed by licensed health practitioners in the State where they practice.
United States · United States Congress · 6 May 1987
Designates May 9 through May 15, 1988, as National Stuttering Awareness Week.
United States · United States Congress · 5 May 1987
Medicare Catastrophic Loss Prevention Act of 1987 - Amends part A (Hospital Insurance) of title XVIII (Medicare) of the Social Security Act to remove durational limitations on Medicare coverage of inpatient hospital services, and cover 150 days of post-hospital extended care services per year, for an individual covered under parts A and B (Supplementary Medical Insurance) of the Medicare program. (Individuals covered only under part A would be subject to current durational limitations on such services.) Provides that an individual covered under parts A and B of the Medicare program shall not be required to pay more than one deductible for inpatient hospital services and one deductible for blood furnished in connection with such services per year. (Currently such deductibles are imposed for each "spell of illness.") Eliminates the coinsurance requirement imposed on such individuals for extended hospital stays. Imposes a coinsurance rate, equal to 15 percent of the average per diem cost of post-hospital extended care services, for the first ten days of a part A and B beneficiary's receipt of such services per year. (Currently, the coinsurance requirement applys to days 21 through 100 of a "spell of illness" requiring such services.) Amends part B of the Medicare program to cover all of the out-of-pocket Medicare expenses which a part B beneficiary incurs in excess of $1,700 in 1988, adjusted annually thereafter to reflect changes in the cost-of-living. Provides for the adjustment of Medicare payments to organizations providing health care on a prepaid basis so as to reimburse them for such excess out-of-pocket costs incurred on behalf of enrollees. Counts amounts an organ transplant patient spends on immunosuppressive drugs toward the out-of-pocket expense limit. Imposes a monthly catastrophic coverage premium of $4 for 1988 on an individual covered under parts A and B of the Medicare program, with annual adjustments to such premium thereafter reflecting changes in the amount of catastrophic benefits paid. Imposes a smaller monthly catastrophic coverage premium on individuals who are only covered under part B of the Medicare program. Imposes a supplemental part B premium of $12 per year, adjusted annually to reflect increases in the cost of catastrophic benefits, for each $150 of income tax due in excess of $150. Sets an annual cap on the supplemental premium. Covers, as home health services, daily nursing care and home health aide services furnished for up to 21 days with a physician's certification of the need for such daily care. Covers such services on a daily basis for 45 days when provided to a part B beneficiary within 30 days of his or her hospital discharge. (Currently such care must be provided on a part-time or intermittent basis.) Defines as "homebound" (a prerequisite of eligibility for Medicare home health services) any person who has a condition which restricts his or her ability to leave the home without support or for whom leaving the home is medically contraindicated. Directs the Secretary to notify Medicare beneficiaries, when they apply for benefits under part A or enroll under part B, and annually thereafter, regarding the extent of and limitations on Medicare coverage, including the ways in which coverage differs between those who are and those who are not covered under part B. Requires the Secretary to take into account the costs incurred by organizations providing health care on a prepaid basis as a result of this Act's amendments in modifying contracts with such organizations. Requires such organizations to adjust their agreements with Medicare beneficiaries in consideration of such amendments. Directs the Secretary to request the Institute of Medicine to perform a study to determine which prescription drugs should have their costs covered by the Medicare program or counted toward the part B beneficiary's out-of-pocket expense limit. Requires the Institute to submit an interim report within six months and a final report within one year of this Act's enactment to the Secretary and the Congress regarding such study. Creates an extension period of hospice care for terminally ill beneficiaries which is to follow the two 90-day periods and the subsequent 30-day period of hospice care coverage currently provided in an individual's lifetime. Requires that State regulatory standards for Medicare supplemental health insurance policies be at least as stringent as the National Association of Insurance Commissioners (NAIC) Model Standards, amended within 90 days of this Act's enactment to reflect changes made by this Act. Provides that if the NAIC Model Standards are not amended, Federal model standards shall be established and serve as the basis for evaluating State regulatory standards for Medicare supplemental health insurance policies. Requires that States use savings accrued under Medicare from catastrophic Medicare coverage to expand Medicaid (title XIX of the Act) coverage of the low-income elderly and community spouses of institutionalized individuals. Directs the Secretary to report to the Congress by October 1, 1989, on a study to be conducted by the Institute of Medicine into private and public funding options for long-term care. Requires the Secretary to report to the Congress within 180 days of this Act's enactment on steps taken to eliminate the three-day prior hospitalization requirement for extended care services.
United States · United States Congress · 5 May 1987
Designates the week of October 18 through October 24, 1987, as Gaucher's Disease Awareness Week.
United States · United States Congress · 5 May 1987
Directs the President to designate the week of May 10 through May 16, 1987, as Just Say No to Drugs Week.
United States · United States Congress · 5 May 1987
Designates the week of June 15 through June 21, 1987, as National Anti-Apartheid Week and June 16, 1987, as National Anti-Apartheid Day.
United States · United States Congress · 1 May 1987
Amends the Federal criminal code to make it unlawful for an employer to monitor an employee's work phone call unless a repeating audible warning tone is utilized. Allows any person whose call is monitored in violation of this Act to recover civil damages.
United States · United States Congress · 1 May 1987
Designates August 11, 1987, as National Neighborhood Crime Watch Day.
United States · United States Congress · 1 May 1987
Expresses the sense of the Senate that: (1) all funds appropriated to carry out the Anti-Drug Abuse Act of 1986 with respect to emergency treatment of alcohol abuse and drug abuse should be made immediately available to the States for initiation and expansion of treatment services; (2) States should not be required to use such funds in FY 1988; and (3) the proposed 50 percent cut by the Department of Education for FY 1988 education and prevention programs under the Drug Free Schools and Communities Act of 1986 should be rejected by the Congress.
United States · United States Congress · 30 April 1987
Authorizes and requests the President to designate May 3, 1987, as Solidarity Sunday for Soviet Jewry.
United States · United States Congress · 29 April 1987
Underground Nuclear Explosions Control Act of 1987 - Makes congressional findings concerning the testing of nuclear weapons. Prohibits the obligation of funds, during a two-year period beginning 180 days after enactment of this Act, for the conducting of an underground nuclear explosion: (1) with a yield greater than one kiloton, except for two test explosions, each with a yield not exceeding 15 kilotons; (2) at a location that is not part of a single designated test area; and (3) unless a public announcement has been made at least 30 days before the date of the explosion. Specifies that such prohibition shall not apply if the President certifies to the Congress (and the Congress approves such certification) that the Soviet Union: (1) has carried out such tests; or (2) has refused to implement reciprocal, in-country monitoring arrangements. Declares that such limitations on nuclear test explosions shall be supplanted by a U.S.-Soviet agreement which makes reductions in the number or yield of underground nuclear explosions permitted under treaties between the United States and the Soviet Union signed before January 1, 1987. Sets forth definitions. Specifies special procedures for considering legislation approving presidential certifications required by this Act.
United States · United States Congress · 29 April 1987
Medicare and Medicaid Nursing Home Quality Care Amendments of 1987 - Amends titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act to impose a common set of requirements on Medicare skilled nursing facilities and Medicaid intermediate care facilities (nursing facilities). Includes within such set requirements that nursing facilities: (1) maintain clinical records on all residents and assess, upon the resident's admission and periodically thereafter, the resident's mental, physical, and psychosocial needs, utilizing a minimum data set to be established by the Secretary of Health and Human Services; (2) provide 24-hour nursing services, employ at least one full-time registered professional nurse (both staffing requirements are currently imposed on skilled nursing facilities), and employ at least one full-time social worker; (3) provide care without requiring certain assurances regarding the source of payment for such services or discriminating against individuals who are eligible for Medicare or Medicaid; (4) protect specified resident rights and notify residents regarding such rights; (5) transfer or discharge a resident without the resident's consent only when such action is essential to the resident's welfare, the health or safety of others would otherwise be endangered, or the resident fails to pay allowable charges, and only after complying with specified procedures; (6) provide the Secretary, the States, service providers, and resident relatives with specified access and visitation rights; (7) maintain a quality assessment and assurance program which is attuned to the comments and complaints of nursing facility staff and residents; (8) require each of their nursing aides to successfully complete a training and testing program that entails competency-based testing before the assumption of direct resident care and at least 100 hours of initial training; and (9) protect a resident's personal funds. Requires, in addition, that Medicare skilled nursing facilities create or revise a written plan of care for each of their residents after making an assessment of a resident's mental, physical, and psychosocial needs. Directs the Secretary to establish a program providing grants to Medicare skilled nursing facilities for facility projects that enhance the quality of care or life of facility residents. Sets forth reporting requirements. Authorizes appropriations for such program for FY 1988 through 1990. Provides for Federal inspection and certification of Medicaid intermediate care facilities. (Currently States survey and certify such facilities.) Requires that intermediate care and skilled nursing survey results be posted in a place accessible to patients. Amends part A (General Provisions) of title XI of the Act to authorize the Secretary to make provider performance reports available to the public after giving the provider 30 days (currently, 60 days) to review and comment on such reports, but removes time restrictions on the release of such information to ombudsmen. Amends the Medicare program to make the Secretary responsible for certifying State nursing facilities and States responsible for certifying other nursing facilities. Bases such certification on surveys to be conducted by a multidisciplinary team of professionals upon any change in the ownership of the nursing facility and, on an unannounced basis, at nine- to 15-month intervals. Subjects nursing facilities with poor compliance records to extended surveys. Directs the Secretary to develop and test a protocol for conducting surveys. Requires States to: (1) provide for the investigation of complaints against nursing facilities; (2) use specialized survey teams to survey and carry out enforcement action against chronically substandard nursing facilities; and (3) provide survey teams with specified training in survey and certification techniques. Requires that State long-term care ombudsmen be notified of any adverse action to be taken against a nursing facility. Directs the Secretary to establish criteria and procedures for evaluating a nursing facility's plans for the correction of its violation of Medicare and Medicaid nursing facility standards. Requires the Secretary to: (1) conduct surveys of no fewer than five percent of the nursing facilities surveyed by each State in a year to test the adequacy of each State's surveys; and (2) prescribe standards for measuring the performance of State survey and certification programs and sanctions against States failing to meet such standards. Requires that survey results and nursing facility cost report information be made available to the public. Directs the Secretary and the States to develop: (1) a range of intermediate sanctions to apply to nursing facilities whose violation of nursing facility standards does not immediately jeopardize the health and safety of their residents; and (2) specific criteria as to when and how intermediate sanctions are to be applied, with incrementally more severe fines being imposed for repeated or uncorrected deficiencies. Requires the Secretary to review, at least once every three months, the effectiveness of intermediate sanctions imposed by States. Authorizes the Secretary and the States to appoint a receiver to establish and oversee the implementation of a plan to bring nursing facilities into compliance with Medicare and Medicaid requirements when they chronically fail to satisfy such requirements or their deficiencies immediately jeopardize residents' health and safety. Directs the Secretary to compile and periodically update a list of items and services covered under each State Medicaid plan and make such list available to Medicaid beneficiaries and providers. Amends part A (General Provisions) of title IX of the Act to require the Director of the Office of Technology Assessment to establish a National Commission on Long-Term Care composed of members having expertise in the provision and financing of long-term care. Requires the Commission to advise the Congress regarding: (1) methods of ensuring the quality of care in long-term care facilities and home-care programs; (2) the costs, appropriate staffing, and reimbursement of such facilities and programs; and (3) the access of Medicare and Medicaid beneficiaries to such facilities and programs. Sets forth reporting requirements. Authorizes appropriations for such Commission.
United States · United States Congress · 29 April 1987
Directs the Secretary of State to prepare and annually update a report describing the scientific, economic, environmental, agricultural, and public health effects, including the number of deaths and injuries, of the April 1986 accident at the Chernobyl nuclear power plant in the Soviet Union. Expresses the sense of the Congress that: (1) the President should initiate negotiations with the Soviet Union for the purpose of establishing an international medical center in the Soviet Union to treat victims of the Chernobyl nuclear accident; (2) such negotiations should include proposals that any concerned government should be allowed to send medical personnel to serve on the staff of such center and that the costs of operating such center should be shared among all participating nations; (3) the United States should participate in such center only if the center's facilities and services are made available to all who need them; and (4) the United States should encourage individuals and organizations from the private sector to donate or loan necessary medical equipment, supplies, and services to such center.
United States · United States Congress · 28 April 1987
Expresses congressional findings, including that U.S. firms seeking to compete in Japan face discriminatory barriers which effectively preclude fair competition for Japanese business. Prohibits the Board of Governors of the Federal Reserve System or the Federal Reserve Bank of New York from designating, or permitting continued designation of, any person of a foreign country as a primary dealer in Government debt instruments if U.S. companies are denied equal access in the acquisition of government debt instruments issued by such country. Allows exceptions to such requirement for countries involved in or negotiating bilateral agreements with the United States as of January 1, 1987. Amends the International Banking Act of 1978 to allow Federal banking agencies to deny any application or disapprove any notice by a foreign bank or bank holding company if the country in which such bank or bank holding company is chartered or incorporated does not accord to U.S. banks and holding companies equality of competitive opportunity with domestic banks and bank holding companies.
United States · United States Congress · 27 April 1987
Expresses the sense of the Senate that the period of May 23 through May 30, 1987, is recognized as Hokule'a Week, celebrating the return to Hawaii after a two and one-half year voyage of the Polynesian Voyaging Society's sailing canoe.
United States · United States Congress · 23 April 1987
National Nutrition Monitoring and Related Research Act of 1987 - Title I: Nutrition Monitoring and Related Research - Establishes a ten-year coordinated program, to be known as the National Nutrition Monitoring and Related Research Program, which will be implemented by the Secretaries of Health and Human Services and Agriculture. Establishes an Interagency Board for Nutrition Monitoring and Related Research to facilitate the implementation of such program. Authorizes the Secretaries to appoint an Administrator of Nutrition Monitoring and Related Research to coordinate such program. Sets forth the functions of the Secretaries with respect to such program, including: (1) establishing matching grants programs for specified nutritional and dietary purposes; and (2) submitting an annual report to the President for transmittal to the Congress. Requires the Secretaries to prepare and implement a comprehensive national nutrition monitoring and related research plan which shall: (1) assess and report on U.S. nutritional and dietary trends; (2) assess and report on low-income food and household expenditures; (3) sponsor and conduct research; (4) develop and update a national dietary and nutritional status data bank; (5) assist State and local agencies in developing procedures and networks for nutrition monitoring and surveillance; and (6) focus the activities of Federal agencies. Requires the plan to allocate the project functions and activities among the various Federal agencies and offices involved. Provides that the comprehensive plan shall be carried out during the period ending with the close of the ninth fiscal year following the fiscal year in which the final comprehensive plan is submitted. Requires the Secretaries to provide for and coordinate such scientific research and development as may be necessary to support the coordinated program and comprehensive plan. Authorizes appropriations. Title II: National Nutrition Monitoring Advisory Council - Establishes an 11-member Advisory Council to: (1) provide scientific and technical advice on the development and implementation of all components of the coordinated program and the comprehensive plan; (2) evaluate such program and plan; and (3) submit an annual report to the Secretaries. Title III: Dietary Guidance -Directs the Secretaries, by the start of 1990 and every five years thereafter, to publish and review dietary guidelines for the general public.
United States · United States Congress · 23 April 1987
Designates July 2, 1987, as National Literacy Day.
United States · United States Congress · 22 April 1987
Child Care Public-Private Partnership Act - Directs the Secretary of Health and Human Services (Secretary) to establish a demonstration program of grants to local private nonprofit organizations to improve and expand child care services in the community by establishing and administering community funds for child care, in partnership with private for-profit businesses. Requires such grants to community child care funds to be used for: (1) scholarships for low-income families in child care programs; and (2) loans and grants for start-up or renovation costs for community child day care services. Limits the Federal share of such assistance. Requires any organization desiring a grant under this Act to submit to the Secretary an application, which must include among its contents assurances that: (1) for-profit private businesses will supply at least half of the matching funds required for the community child care fund; (2) the organization will establish an appropriate local advisory board; and (3) funds will be used in accordance with certain requirements. Directs the Secretary, in considering applications for approval, to: (1) ensure an equitable geographic and rural/urban distribution of assistance; and (2) give special consideration to nonprofit groups serving significant populations of low-income children in communities lacking licensed day care facilities. Requires each grant recipient to submit an annual report to the Secretary concerning the extent and effects of its program. Requires the Secretary to evaluate and audit community child care funds each year. Authorizes FY 1988 through 1990 appropriations.
United States · United States Congress · 22 April 1987
Amends title XX (Block Grants to States for Social Services) of the Social Security Act to increase amounts authorized for fiscal years succeeding FY 1987.
United States · United States Congress · 22 April 1987
Handicapped Transportation Amendments of 1987 - Amends the Urban Mass Transportation Act of 1964 to prohibit the enforcement or implementation of minimum criteria for the provision of transportation services to handicapped individuals by recipients of certain Federal transportation assistance in such a way as to: (1) limit the category of handicapped individuals to those who are physically, rather than mentally, unable to use public bus systems; or (2) limit the expenditures which a recipient is required to make during any specified period. Authorizes individuals aggrieved by violations of certain handicapped transportation provisions to bring actions in Federal district court to enforce compliance with Federal provisions.
United States · United States Congress · 22 April 1987
Medicare Home Health Services Improvement Act of 1987 - Amends title XVIII (Medicare) of the Social Security Act to permit patients to receive Medicare home health services on a daily basis for up to 60 days, and longer when the patient's physician certifies that exceptional circumstances require continued daily services. Provides Medicare coverage of up to three weeks of post-hospital skilled and nonskilled home health care, as long as the cost of such benefits does not exceed the cost of care in a skilled nursing facility for an equivalent period of time. Defines as "homebound" (a prerequisite of eligibility for Medicare home health services) any person who has a condition which restricts his or her ability to leave the home without support or for whom leaving the home is medically contraindicated. Provides Medicare home health coverage for homebound individuals in need of occupational therapy. (Currently, occupational therapy is included only after an individual qualifies for home health services by reason of needing skilled nursing care or speech or physical therapy.) Requires Medicare fiscal intermediaries which perform home health payment services to provide an explanation of claim denials for home health services and promptly notify the parties requesting a reconsideration of such determinations of the results of such reconsideration. Requires fiscal intermediaries to make partial payments of disputed claims when such notice has not been transmitted within 60 days of receipt of the reconsideration request. Makes an intermediary's performance on appeals of home health care payment determinations part of the Secretary of Health and Human Services' overall appraisal of the intermediary. Requires a Medicare home health agency to: (1) protect and promote the rights of each individual under its care; (2) furnish the State licensing entity with the name and social security number of any individual hired by the agency as well as information as to whether such individual has been convicted of a felony; (3) inform the State licensing entity of changes in agency ownership or control; (4) furnish items and services through licensed health professionals or persons who have completed or are enrolled in a training program which meets minimum standards established by the Secretary by July 1988; and (5) include the patient's plan of care within its clinical records. Requires an appropriate State or local agency to conduct a standard survey every nine to 15 months and upon a change in the ownership of, or significant number of complaints against, a home health agency, of the quality of patient care provided by such agencies. Subjects home health agencies which perform poorly on such surveys to an extended survey. Directs the Secretary to evaluate the assessment process, report to the Congress on the results of such evaluation, and make appropriate modifications to such process by 1992. Requires the Secretary to develop and implement criteria and procedures for evaluating plans of correction submitted by home health agencies found out of compliance with Medicare participation requirements. Authorizes the Secretary to impose intermediate sanctions on agencies whose failure to correct deficiencies pursuant to approved plans of correction does not immediately jeopardize the health and safety of health care beneficiaries. Requires the Secretary to promulgate major Medicare rules, requirements, or policy statements through the regulatory process. Sets forth publication requirements. Directs the Secretary to publish and make available to the public without charge a directory of home health agencies certified to participate in the Medicare program, including certain information gathered with respect to each agency during the latest certification survey. Requires appropriate State or local agencies to maintain: (1) toll-free hotlines to receive complaints and answer questions regarding home health agencies in the State or locality; and (2) units with enforcement authority and access to consumer medical records and survey reports to investigate such complaints. Directs the Secretary to: (1) report to the Congress before 1988 on the appropriateness of reimbursing home health agencies on either a rural or urban basis rather than considering an agencies mix of urban and rural clientele; and (2) determine home health agency cost limits on the basis of recent agency cost reports.