United States · United States Congress · 26 April 1994
TABLE OF CONTENTS: Title I: Assistance for the Homeless Subtitle A: Reorganization of the Stewart B. McKinney Homeless Assistance Act Subtitle B: Emergency Food and Shelter Title II: Public and Indian Housing; Cross-Cutting Authorizations Subtitle A: Enhance Flexibility for Public Housing Agencies Subtitle B: Severely Distressed Public Housing Program Subtitle C: Anti-Crime Initiatives Subtitle D: Authorizations and Extensions Subtitle E: Applicability Title III: Homeownership; FHA Mortgage Insurance Authorizations Subtitle A: Expand Single Family Homeownership Opportunities Subtitle B: National Homeownership Fund Demonstration Subtitle C: Authorizations Title IV: Economic Opportunity; Expansion of Affordable Housing Subtitle A: Economic Opportunity Economic Opportunities for Residents in HUD-Assisted Programs (sic) Subtitle B: Section 8 Initiatives Subtitle C: Miscellaneous Title V: Preservation and Production Title VI: Expansion of Fair Housing Metropolitan Areawide Strategy Demonstration Title VII: Community Development and Empowerment Subtitle A: Neighborhood Leveraged Investments for Tomorrow (LIFT) Program Authorization Subtitle B: Community Viability Fund Subtitle C: Colonias Assistance Program Authorization Subtitle D: Zone Economic Development Initiative Authorization Subtitle E: Authorization of Appropriations Title VIII: Management Reform Subtitle A: Improve the Allocation and Use of Assistance Subtitle B: Office of Public and Indian Housing Subtitle C: Office of Housing Subtitle D: Office of Community Planning and Development Management Information Systems Subtitle E: Nonjudicial Foreclosure of Defaulted Single Family Mortgages Title IX: Miscellaneous Housing Choice and Community Investment Act of 1994 - Title I: Assistance for the Homeless - Subtitle A: Reorganization of the Stewart B. McKinney Homeless Assistance Act - Stewart B. McKinney Homeless Housing Assistance Reorganization Act of 1994 - Authorizes appropriations for comprehensive assistance systems for homeless individuals and families. (Sec. 106) Reorganizes the following programs under the Stewart B. McKinney Homeless Assistance Act into a combined matching grant program: (1) emergency shelters; (2) transitional housing; (3) safe havens; (4) single room occupancy dwellings; (5) shelter plus care; and (6) rural homeless housing assistance. Includes a permanent housing component in such program. (Sec. 115) Amends the HUD Demonstration Act of 1993 to authorize appropriations for the innovative homeless program. Subtitle B: Emergency Food and Shelter - Amends the Stewart B. McKinney Homeless Assistance Act to transfer the emergency food and shelter program from the Federal Emergency Management Agency to the Department of Housing and Urban Development (HUD). Authorizes program appropriations. Title II: Public and Indian Housing; Cross-Cutting Authorizations - Subtitle A: Enhance Flexibility for Public Housing Agencies - Amends the United States Housing Act of 1937 to authorize direct modernization and replacement loans for public housing agencies (PHAs). Authorizes appropriations. (Sec. 202) Authorizes PHAs to use modernization funds for replacement housing. (Sec. 204) Amends the Housing and Urban-Rural Recovery Act of 1983 with regard to the early childhood development program to: (1) authorize grants for the expansion or refunding of pre-existing child care centers; and (2) permit homeless families with children to use program services. Authorizes appropriations. (Sec. 205) Authorizes an entrepreneurial PHA and resident management corporation (RMC) demonstration program. Authorizes appropriations for program evaluations. (Sec. 208) Amends the United States Housing Act of 1937 to authorize the sale of public housing to nonprofit organizations to facilitate resident homeownership. Subtitle B: Severely Distressed Public Housing Program - Amends the United States Housing Act of 1937 to revise the severely distressed housing program, including: (1) redefining severely distressed housing; (2) increasing planning grant levels; and (3) including community service and support service activities. Subtitle C: Anti-Crime Initiatives - Community Partnerships Against Crime Act of 1994 - Amends the Public and Assisted Housing Drug Elimination Act of 1990 to establish a community partnerships against crime program of grants to PHAs and owners of federally assisted low-income housing. Authorizes appropriations. (Sec. 222) Amends the United States Housing Act of 1937 to authorize PHAs and assisted housing owners to ban guns. (Sec. 223) Directs law enforcement entities to make criminal records available to requesting PHAs for screening and eviction purposes. Subtitle D: Authorizations and Extensions - Amends the United States Housing Act of 1937 to increase budget authority for specified public and Indian housing programs. (Sec. 232) Authorizes appropriations for: (1) public housing operating subsidies; (2) the family self-sufficiency program; (3) public housing family investment centers; (4) the revised congregate services program; and (5) the Indian housing loan guarantee program. Subtitle E: Applicability - Applies specified public housing provisions to Indian housing. Title III: Homeownership; FHA Mortgage Insurance Authorizations - Subtitle A: Expand Single Family Homeownership Opportunities - National Homeownership Fund Demonstration Act - Amends the National Housing Act to make Federal Housing Administration (FHA) home loan insurance available in targeted revitalization areas to low- and moderate-income first-time homebuyers. (Sec. 302) Revises FHA single family mortgage limits. (Sec. 303) Creates a streamlined refinancing procedure for qualifying HUD-held mortgages. (Sec. 304) Authorizes innovative affordable housing demonstration programs through the use of alternative financing instruments. (Sec. 305) Amends the National Housing Act to establish a single family risk-sharing mortgage insurance program. (Sec. 306) Amends the Housing and Community Development Act of 1968 to expand, and authorize appropriations for, housing counseling services. Subtitle B: National Homeownership Fund Demonstration - Amends the Cranston-Gonzalez National Affordable Housing Act to revise the national homeownership fund demonstration. Authorizes appropriations. Subtitle C: Authorizations - Amends the Housing and Community Development Amendments of 1978 to authorize appropriations for the flexible subsidy program. (Sec. 322) Authorizes appropriations for specified multifamily housing program service coordinators. (Sec. 323) Amends the Federal National Mortgage Association Charter Act to authorize an aggregate amount of guaranteed loan principal under the mortgage-backed security program. (Sec. 324) Amends the National Housing Act to authorize an aggregate amount of FHA mortgage insurance. Title IV: Economic Opportunity; Expansion of Affordable Housing - Subtitle A: Economic Opportunity Economic Opportunities for Residents in HUD-Assisted Programs (sic) - Amends the Housing and Urban Development Act of 1968 to provide grants for Economic Opportunity Centers to link low-income residents with employment generated by housing and community development assistance. Authorizes appropriations. (Sec. 402) Amends the United States Housing Act of 1937 to revise and expand the resident management program. Authorizes appropriations. Subtitle B: Section 8 Initiatives - Amends the United States Housing Act of 1937 to merge the section 8 public housing certificate and voucher programs into a single revised certificate program. Subtitle C: Miscellaneous - Amends the Housing and Community Development Act of 1992 to authorize appropriations for: (1) the supportive housing for the elderly program; and (2) the supportive housing for persons with disabilities program. (Sec. 424) Amends the Cranston-Gonzalez National Affordable Housing Act to authorize appropriations for: (1) the HOPE homeownership program; (2) the Youthbuild program; and (3) housing for persons with AIDS. Title V: Preservation and Production - Amends the Housing and Community Development Act of 1987 to authorize appropriations for the low-income housing preservation program. (Sec. 504) Amends the Cranston-Gonzalez National Affordable Housing Act to authorize HOME program loan guarantees. Authorizes appropriations. (Sec. 506) Amends the National Housing Act to extend the termination date for certain insured mortgage auctions. (Sec. 507) Amends the Housing and Community Development Act of 1992 to extend: (1) the FHA multifamily risk-sharing pilot program; and (2) the housing finance agency pilot program. Title VI: Expansion of Fair Housing Metropolitan Areawide Strategy Demonstration - Directs the Secretary of Housing and Urban Development to carry out through local government a demonstration program of assisted housing availability in three metropolitan areas. Authorizes appropriations. (Sec. 604) Amends the Housing and Community Development Act of 1987 to authorize appropriations for the fair housing initiatives program. (Sec. 605) Amends the Home Mortgage Disclosure Act of 1975 to authorize civil money penalties for reporting violations by nonsupervised lending institutions. Title VII: Community Development and Empowerment - Subtitle A: Neighborhood Leveraged Investments for Tomorrow (LIFT) Program Authorization - Authorizes the Secretary to provide assistance for neighborhood revitalization and competitive project-based grants to stimulate public and private investment, employment, and creation of essential services in disadvantaged communities (LIFT program). Authorizes appropriations. Subtitle B: Community Viability Fund - Amends the Housing and Urban-Rural Recovery Act of 1983 to authorize a program of grants for: (1) strategic planning and urban design; and (2) community institution building and neighborhood development. Authorizes appropriations. Subtitle C: Colonias Assistance Program Authorization - Authorizes, and authorizes appropriations for, a colonias assistance program, including creation of model programs. (Sec. 727) Amends the Cranston-Gonzalez National Affordable Housing Act to extend the colonias community development block grant (CDBG) set-aside. Subtitle D: Zone Economic Development Initiative Authorization - Authorizes the Secretary to make grants to localities with designated Empowerment Zones and Enterprise Communities to implement community revitalization strategies. Authorizes appropriations. (Sec. 737) Authorizes appropriations for activities under this subtitle. Subtitle E: Authorization of Appropriations - Amends the HUD Demonstration Act of 1993 to authorize appropriations for the capacity building for community development and affordable housing program. (Sec. 742) Amends the Housing and Community Development Act of 1974 to authorize appropriations for: (1) the CDBG program; (2) special purpose grants including insular areas, historically Black colleges, technical assistance, university activities, readjustments, and work study programs; and (3) the economic development initiative. Title VIII: Management Reform - Subtitle A: Improve the Allocation and Use of Assistance - Amends the United States Housing Act of 1937 with respect to section 8 housing to: (1) limit rental increases for rents exceeding fair market rent levels; (2) provide high interest mortgage refinancing incentives; and (3) provide preference for working families. Subtitle B: Office of Public and Indian Housing - Amends the United States Housing Act of 1937 to set aside funds for oversight and technical assistance activities with respect to the public and Indian housing modernization program. Subtitle C: Office of Housing - Amends the National Housing Act with respect to: (1) lower-income family homeownership refinancing; (2) elimination of multifamily development program mortgage insurance; and (3) project manager indemnification. Subtitle D: Office of Community Planning and Development Management Information Systems - Amends the Housing and Community Development Act of 1974 to set aside CDBG funds for management information systems. Subtitle E: Nonjudicial Foreclosure of Defaulted Single Family Mortgages - Single Family Mortgage Foreclosure Act of 1994 - Authorizes and establishes procedures for the Secretary to foreclose defaulted single family mortgages. Title IX: Miscellaneous - Amends the Residential Lead-Based Paint Hazard Reduction Act of 1992 to: (1) set aside funds for technical assistance and capacity building; (2) expand research authority; and (3) authorize appropriations.
United States · United States Congress · 14 April 1994
Bank and Thrift Statute of Limitations Clarification Act of 1994 - Amends the Federal Deposit Insurance Act to provide that the statute of limitations regarding an action brought by the Federal Deposit Insurance Corporation as conservator or receiver begins to run with the date of its appointment in that capacity, regardless of whether the claim was barred by State law at the date of such appointment (unless the claim was barred more than five years before).
United States · United States Congress · 25 March 1994
Poverty Data Improvement Act of 1994 - Requires the Secretary of Commerce to biennially produce and publish data relating to the incidence of poverty for each State, county or borough, and local government, including Alaska native villages, (compiled from the most recent decennial census and for each school district). Authorizes such data to be produced by means of sampling, estimation, or any other method that the Secretary determines will produce current, comprehensive, and reliable data. Authorizes the Secretary to aggregate school districts if reliable data could not otherwise be produced for each school district, but only to the extent necessary to achieve reliability. Requires such data to be appropriately identified and accompanied by a detailed explanation as to how and why aggregation was used (including the measures taken to minimize any such aggregation). Requires the Secretary, if unable to produce and publish such data for any area, to report to the President of the Senate and the Speaker of the House of Representatives on each government or school district excluded and the reasons therefor.
United States · United States Congress · 24 March 1994
Worker Adjustment and Retraining Notification Amendments Act - Amends the Worker Adjustment and Retraining Act to cover employers of 50 or more employees (currently 100). Covers single-site plant closings or mass layoffs affecting 25 or more employees (currently 500 or more, or 50 or more if this comprises one-third of the workers at the site). Eliminates the single-site requirement for plant closings or mass layoffs affecting 100 or more employees, thus covering such closings or layoffs by one employer regardless of the number of sites involved. Specifies that the 90-day aggregate rule covers all related layoffs within that period, whether or not they are each above or below the threshold levels. Extends coverage to part-time employees. (Sec. 3) Revises the notice period based on the number of employees affected: (1) 25-49, 30 days; (2) 50-99, 60 days; and (3) 100 or more, 90 days. (The current period is 60 days.) Requires employer notice to each affected employee (as well as to the employee representative, if there is one). (Sec. 4) Revises and adds enforcement requirements. Adds to employer liability for violations: (1) interest on back pay owed; and (2) an additional amount as liquidated damages equal to the back pay and interest. Limits a good faith exemption to reduction of liability for interest and for a civil penalty. Allows aggrieved employees to enforce employer liability by bringing suit and/or filing a complaint with the Secretary of Labor. Directs the Secretary to investigate and resolve such complaints. Authorizes the Secretary to bring civil actions on behalf of the employee for back pay, interest, benefits, and liquidated damages. Establishes a two-year statute of limitations. (Sec. 5) Requires employers to post notices to employees of pertinent provisions of the Act and information on filing complaints. Establishes fines for willful violations of such posting requirement.
United States · United States Congress · 23 March 1994
Interstate Banking and Branching Act of 1994 - Amends the Bank Holding Company Act of 1956 to authorize the Board of Governors of the Federal Reserve System (the Board) to permit an adequately capitalized and adequately managed bank holding company to acquire existing out-of-State banks whether or not the host State permits such transactions. Permits an adequately capitalized and adequately managed bank holding company to combine into a single bank its subsidiary banks which are located in more than one State. Permits a host State to levy a bank shares tax upon an out-of State bank with branches within the host State. Subjects national or State bank branches to the regulatory scheme of the host State. Grants the States the option of electing to either permit or prohibit interstate combinations of bank holding company subsidiaries within their borders. Amends the Federal Deposit Insurance Act to authorize host State regulatory authorities to enter into cooperative agreements to coordinate their examination of out-of-State bank branches. Authorizes a State to enact laws expressly permitting interstate branching within its borders by adequately capitalized and adequately managed national and State banks. Amends the Federal banking law to authorize the Comptroller of the Currency to approve interstate branching by a national bank if the law of the host State expressly permits such activity. Amends the Community Reinvestment Act of 1977 to include within its purview evaluations of the interstate branches of regulated financial institutions. Amends Federal banking law to provide that a majority (currently, two-thirds) of the directors of a national bank association must have resided for at least one year in the State, Territory, or District in which the association is located.
United States · United States Congress · 17 March 1994
TABLE OF CONTENTS: Title I: Comprehensive Program for Worker Reemployment Title II: Retraining Income Support and Flexibility in Unemployment Compensation Title III: One-Stop Career Center System Title IV: National Labor Market Information System Title V: Reinvention Labs for Job Training for the Economically Disadvantaged Reemployment Act of 1994 - Establishes: (1) a comprehensive program for worker reemployment; (2) retraining income support and flexibility in unemployment compensation; (3) a one-stop career center system; (4) a national labor market information system; and (5) reinvention labs for job training for the economically disadvantaged. (Sec. 4) Authorizes appropriations for titles I, III, and IV of this Act. Title I: Comprehensive Program for Worker Reemployment - Allots funds among States and reserves certain funds for national activities. (Sec. 103) Makes certain permanently laid-off workers and long-term unemployed individuals (as well as workers facing imminent plant shutdowns and self-employed individuals unemployed because of community economic conditions or natural disasters) eligible for services under this title. Makes dislocated homemakers eligible if a State Governor deems this appropriate and certain conditions are met. Part A: State and Substate Delivery System - Makes States responsible for administrative and management systems under this title. (Sec. 112) Requires the Governor to designate or establish a dislocated worker unit at the State level, with specified rapid response, information, and coordination functions. Directs such unit to coordinate with substate grantees and career centers, and to promote worker-management transition assistance committees. Provides for rapid response coverage of certain layoffs, State funding of preliminary assessments of worker buyouts of plants, prohibition of State transfer of rapid response functions, and Federal oversight of such functions. (Sec. 113) Requires the Governor to develop and maintain a comprehensive labor market information system in the State that meets certain requirements relating to the national system of effective labor market information. (Sec. 114) Requires the Governor to coordinate programs under this title with the worker profiling system under the Social Security Act and the retraining income support program under this Act. (Sec. 115) Authorizes the Governor to award supplementary grants to eligible entities to provide authorized services to eligible individuals in areas of the State experiencing substantial increases in numbers of such individuals due to plant closures, base closures, and mass layoffs. Allows such grant funds to be used to establish additional service centers, including on-site transition centers. (Sec. 116) Authorizes the Governor to award job retention project grants for: (1) upgrading skills of workers at risk of permanent layoff; and (2) retraining workers in new technologies and work processes to help convert or restructure businesses into high performance work organizations and avert plant closings or substantial layoffs. Requires State and employer contributions. Requires consultation with unions. (Sec. 117) Requires establishment of substate area administrative structures. (Sec. 118) Requires each designated substate grantee to establish one or more career centers in that area. Allows additional, temporary on-site transition centers. (Sec. 119) Authorizes the use of substate area funds for the following services for eligible individuals: (1) basic reemployment services; (2) intensive reemployment services; (3) education and training services; (4) retraining income support; (5) supportive services; and (6) supplemental wage allowances for older workers. (Sec. 120) Allows a career center to issue a certificate of continuing eligibility for services to eligible individuals who are accepting employment at a significantly lower wage than their previous one or in an occupation significantly different from their previous one. Part B: Federal Service Delivery System - Directs the Secretary of Labor to establish a program of national discretionary grants to address large-scale economic dislocations resulting from plant closures, base closures, or mass layoffs. Allows the use of such grants to: (1) provide comprehensive planning services to assist communities in addressing and reducing the impact of an economic dislocation; and (2) establish on-site transition centers. (Sec. 132) Directs the Secretary to make funds available for disaster relief employment assistance to States for substate allocation. (Sec. 133) Directs the Secretary to provide for: (1) evaluation of programs under this title; (2) research on addressing economic dislocation, facilitating the transition of permanently laid-off workers to reemployment, and upgrading skills of employed workers; and (3) demonstration projects to develop and improve methods of addressing economic dislocation and promoting worker adjustment. (Sec. 134) Directs the Secretary to provide staff training and technical assistance to various entities to enhance their capacity to develop and deliver adjustment assistance services to workers, and to avert plant closings or substantial layoffs. Requires integration of such activities with those of the Capacity Building and Information and Dissemination Network. (Sec. 135) Directs the Secretary to provide for delivery of programs, activities, and services under this title in any State that chooses not to participate. Part C: Performance Standards and Quality Assurance Systems - Directs the Secretary to establish a process, including an annual meeting, in each State to promote development of a customer service compact among parties administering programs under this title. (Sec. 152) Directs the Secretary to prescribe performance standards relating separately to the substate grantees and the career centers. Directs Governors to prescribe adjustments to such standards and award incentive grants to grantees and centers exceeding such standards. (Sec. 153) Requires each substate grantee to establish methods for obtaining customer feedback from eligible individuals and employers who have received services from a career center. (Sec. 154) Makes providers of education and training services eligible to receive funds under this title if they are eligible to participate under student aid provisions of the Higher Education Act of 1965 or are determined eligible under alternative procedures established by Governors, and if they provide performance-based information. Exempts on-the-job training providers from such requirements. Part D: General Requirements - Sets forth general requirements for programs under this title, including provisions for benefits, labor standards, and grievance procedures. Part E: Fiscal Administrative Provisions - Sets forth various administrative provisions, including ones for program year, prompt allocation of funds, monitoring, fiscal controls and sanctions, reports, recordkeeping, and investigations, administrative adjudication, nondiscrimination, judicial review, nondiscrimination, and criminal provisions. Part F: Miscellaneous Provisions - Provides for transition, on July 1, 1995, to programs authorized under this title from the following programs, which this Act repeals, under employment and training assistance for dislocated workers provisions of the Job Training Partnership Act (JTPA): (1) Economic Dislocation and Worker Adjustment Assistance program; (2) Defense Conversion Adjustment Program; (3) Defense Diversification Program; and (4) Clean Air Employment Transition Assistance Program. Terminates the Disaster Relief Employment Assistance program under JTPA. Title II: Retraining Income Support and Flexibility in Unemployment Compensation - Part A: Retraining Income Support Program - Establishes a retraining income support program to assist permanently laid-off individuals participating in long-term training programs. (Sec. 202) Sets forth eligibility requirements for tenured workers (who have been employed for more than three years before being permanently laid off) and for trade-impacted workers. Provides, at a later date, for additional eligibility coverage for workers who have been employed for more than one year but less than three years before being permanently laid-off. (Sec. 203) Sets forth formulae for determining weekly amounts of such assistance. (Sec. 204) Limits the maximum duration of such assistance to: (1) 52 weeks for individuals with three years or more of job tenure; and (2) 26 weeks for individuals with less than three years of job tenure. Provides for coordination with the extended unemployment compensation benefit program. (Sec. 205) Provides for agreements with States, administration absent State agreement, liabilities of certifying and disbursing officers, fraud and recovery of overpayments, and penalties. Part B: Retraining Income Support Account - Amends the Social Security Act to establish a Retraining Income Support Account in the Unemployment Trust Fund. Provides for transfers to such Account and transfers to States. (Sec. 222) Provides for funds to assist States in administering cash benefits for retraining income support. Part C: Financing Provisions - Amends the Internal Revenue Code to raise the rate of the Federal unemployment tax. (Sec. 232) Provides for voluntary withholding of Federal individual income tax on unemployment and other benefits, including retraining income support. Requires States to provide for a system for deduction and withholding of Federal individual income tax from unemployment compensation upon the recipient's voluntary request. Part D: Integration of Trade-Impacted Workers into the Comprehensive Reemployment System - Phases out the trade adjustment assistance program. (Sec. 242) Establishes within the Department of Labor a temporary, transitional certification program to integrate trade-impacted workers into the comprehensive system of worker reemployment and retraining income support. Part E: Unemployment Compensation Flexibility - Amends the Internal Revenue Code to allow States, under their unemployment compensation programs, to conduct: (1) short-time compensation programs; (2) reemployment bonus programs. (Sec. 253) Amends the North American Free Trade Agreement Implementation Act to repeal a sunset provision which would terminate the self-employment assistance program after five years. (Thus this Act extends such program indefinitely.) Title III: One-Stop Career Center System - Part A: Components of Voluntary One-Stop Career Center System - Requires a State's one-stop career center system, in order to receive a grant or waiver under this title, to include: (1) local workforce investment boards; (2) one-stop career centers established in accordance with specified procedures; (3) provision of specified services; (4) participation of specified Federal programs; (5) operating agreements for such centers; (6) quality assurance systems; and (6) a State Human Resource Investment Council. (Sec. 312) Directs the Governor to designate one-stop service areas within the State. Directs local officials to establish a workforce investment board for each such area. (Sec. 313) Directs the Governor and local officials to jointly select a consortium option or a multiple independent operator option as the method for establishing one-stop career centers for each service area. (Sec. 314) Requires each center to make available: (1) certain basic services to the public free of charge; and (2) certain intensive services to participants in the title I comprehensive program for worker reemployment who are unable to obtain employment through the basic services (and, optionally, to other individuals in accordance with the written agreement). Authorizes each center to provide specialized services to employers and additional services specified in the agreement. Authorizes charging fees under specified conditions, with all program income to be used to expand or enhance services. (Sec. 315) Requires the following programs to be made available to participants through the centers (and to participate in operation of such centers as parties to the agreement): (1) comprehensive programs for worker reemployment under title I of this Act; (2) Wagner-Peyser Act programs (employment services); (3) job counseling, training, and placement for veterans; (4) training services for the disadvantaged under title II of JTPA; (5) community service employment for older Americans programs under title V of the Older Americans Act; and (6) programs authorized under Federal and State unemployment compensation laws. Allows other human resource programs to provide services through and participate in operation of the centers, under specified conditions, including the Job Opportunities and Basic Skills program for AFDC recipients, the Food Stamp Employment and Training program, the Job Corps, veterans' employment programs under JTPA, and programs under the Carl D. Perkins Vocational and Applied Technology Education Act, Adult Education Act, Vocational Rehabilitation Act, and School-to-Work Opportunities Act. (Sec. 316) Sets forth requirements for operating agreements and quality assurance systems. (Sec. 318) Requires each State to establish a State human resource investment council that meets specified JTPA requirements and carries out certain additional functions including advising on development and implementation of the one-stop career center system. Part B: Grants and Waivers to Promote the Development and Implementation of One-Stop Career Center System - Authorizes the Secretary to establish programs of competitive grants to States for planning and development and for implementation of comprehensive statewide networks of one-stop career centers. (Sec. 333) Allows a State, at any point during such development or implementation, to request from the Secretary a waiver of one or more statutory or regulatory provisions. Sets forth waiver criteria. Subjects to such waiver authority the mandatory participating programs of the centers. (Sec. 334) Provides for pooling of administrative resources. Part C: Additional Activities in Support of One-Stop Career Center Systems - Directs the Secretary to establish a process, with each State implementing the one-stop career center system, including an annual meeting, to promote development of a customer service compact among the parties administering the system. (Sec. 335) Makes each State implementing such a system responsible for administration, management, monitoring, and technical assistance. (Sec. 336) Makes the Secretary responsible for monitoring compliance, staff training and technical assistance (integrated with the Capacity Building and Information Dissemination Network under JTPA), a national logo and name, and evaluation of one-stop career center programs. Part D: Effective Date - Sets forth effective dates for this title and for performance standards. Title IV: National Labor Market Information System - Directs the Secretary to develop, in coordination with other Federal, State, and local entities, a strategy to establish a nationwide system of local labor market information. (Sec. 403) Directs the Secretary, in cooperation with such other entities and public-private partnerships, to develop such system to make available specified types of information. Requires certain technical standards, consumer reports, and evaluation. (Sec. 404) Directs the Secretary to provide for coordination and integration of such system and appropriate dissemination of information. Title V: Reinvention Labs for Job Training for the Economically Disadvantaged - Amends the Job Training Partnership Act (JTPA) to establish a five-year Reinvention Labs program to: (1) encourage innovative program designs to improve provision of services to and labor market outcomes for economically disadvantaged youth and adults; (2) develop, through service delivery areas (SDAs) and States, knowledge of effective approaches to providing employment and training to the economically disadvantaged; and (3) provide SDAs with increased flexibility in operating job training programs, in exchange for greater accountability. (Sec. 501) Sets forth requirements for SDA applications for waivers of Federal requirements relating to JTPA programs for employment and training of the economically disadvantaged. Authorizes the Secretary to waive certain of such requirements under specified conditions and to provide technical assistance to SDAs, States, and service providers for Reinvention Labs programs. (Sec. 502) Modifies the definition of tuition under JTPA.
United States · United States Congress · 17 March 1994
United States Botanic Garden Commemorative Coin Act of 1995 - Directs the Secretary of the Treasury to: (1) issue one-dollar silver coins for a one-year period to commemorate the 175th anniversary of the founding of the United States Botanic Garden; and (2) distribute all surcharges from the coin sales to the National Fund for the United States Botanic Garden.
United States · United States Congress · 15 March 1994
Expresses the sense of the Senate that the President should: (1) work to achieve an enforceable agreement with U.S. allies which establishes a multilateral export control system for the proliferation of products and technologies to rogue regimes that threaten U.S. national security; and (2) persuade such allies to promote mutual security interests by preventing such regimes from obtaining militarily critical products and technologies.
United States · United States Congress · 10 March 1994
Amends the Harmonized Tariff Schedule of the United States to suspend, through December 31, 1998, the duty on 3-(acetoxy)-3-cyanoproply)methyl-phophinicaid, 2- methylproply ester (also known as ACM).
United States · United States Congress · 10 March 1994
Amends the Harmonized Tariff Schedule of the United States to suspend, through December 31, 1998, the duty on N'-(2,4-dimethylphenyl)-N-(((2, 4 dimethylphenyl)imino) methyl)-N methylmethanimidamide (also known as amitraz).
United States · United States Congress · 8 March 1994
Export Administration Act of 1994 - Sets forth congressional findings and policies with respect to export controls on goods and technology. (Sec. 4) Authorizes the Secretary of Commerce (Secretary) to require a general license for the export of goods and technology. Requires the Secretary to establish a Munitions (Control List) containing license requirements for the export of such items. Requires the Secretary of Defense to bear primary responsibility for establishing the Military Critical Technologies List (MCTL) to identify equipment and technologies critical to design, development, production, or use of weapons of mass destruction, including nuclear, biological and chemical weapons, and manned and unmanned vehicles capable of delivering such weapons. Declares that authority or permission to export may not be required under this Act, except to carry out the export policies of this Act. Requires the Secretary to: (1) keep the public apprised of changes in export control policy and procedures with a view to encouraging trade and, upon the request of an industry affected by such controls; and (2) appoint technical advisory committees. (Sec. 5) Authorizes the President to prohibit or curtail the export of weapons of mass destruction if it is determined that: (1) such controls essential to advancing the nonproliferation, national security, or foreign policies of the United States; and (2) either like-minded States have agreed with such controls or such controls are in the U.S. national interest and their objective cannot be obtained by other means. Requires the Secretary to keep the Congress apprised of changes in U.S. export control policy or procedure. Urges the Secretary of State to seek multilateral arrangements with foreign countries that secure the achievement of the nonproliferation of weapons of mass destruction and, in so doing, also establish fairer and more predictable competitive opportunities for U.S. exporters. Specifies standards for the establishment of multilateral control regimes. Requires the Secretary of State to seek support for unilateral controls of such weapons by other foreign countries and effective multilateral control regimes. Requires the Secretary of State to negotiate with member countries of the Coordinating Committee (CoCom), the Missile Technology Control Regime (MTCR), the Australia Group, the Nuclear Suppliers' Group, and other regimes to obtain their cooperation in restricting the export of weapons of mass destruction. Directs the Secretary to require a license for the export of: (1) certain dual use items and other items that would provide a material contribution to missile technology or chemical and biological weapons; and (2) any items that an exporter knows are destined for a project for the design, development, or manufacture of such items. Requires a license for the export of such items to a country if the Secretary of State has determined: (1) such country supports acts of terrorism; and (2) the export of such items could contribute to the military potential of such country, or enhance its ability to support such terrorism. Requires a license for the export of crime control and detection equipment, with specified exceptions. Declares it is U.S. policy that no U.S. exporter should be commercially disadvantaged because of export controls unless relief from such controls would create a risk to the foreign policy, nonproliferation, or national security interests of the United States. Authorizes a person to petition the Secretary for relief from such controls on grounds of: (1) foreign availability of an item from non-U.S. sources, thereby rendering license requirements ineffective in achieving control purposes; (2) ineffective controls; or (3) commercial disadvantage. Sets forth provisions for the relief of items controlled by CoCom. Directs the Secretry to annually notify specified congressional committees of the status of all relief petitions. Requires export controls unilaterally imposed by the United States for purposes adopted by CoCom to expire six months after enactment of ths Act, or six months after such control is imposed, whichever date is later, with specified exemptions. Requires the Secretary to publish: (1) parties denied export privileges; (2) parties sanctioned for prohibited proliferation; (3) specially designated nationals under the International Emergency Economic Powers Act, as amended; and (4) other parties for whom licenses will be presumptively denied. Declares that the identity of such parties is not subject to disclosure under the Freedom of Information Act (FOIA). (Sec. 6) Authorizes the President to prohibit or impose quantitative restrictions on the export of goods and technology that are domestically in short supply. Directs the Secretary to monitor exports, and contracts for exports, of goods in cases where the volume of such exports in relation to domestic supply contributes, or may contribute, to an increase in domestic prices or a domestic shortage, and such increase or shortage has, or may have, a serious adverse impact on the economy. Prohibits the export of Alaskan North Slope oil with specified exceptions. Prohibits the President from imposing quantitative restrictions based on short supply controls on agricultural commodities (including fats and oils or animal hides or skins) without the approval of the Secretary of Agriculture. Prohibits such approval during any period when supply is in excess of domestic consumption, except to the extent the President determines such imposition is necessary to protect national security and foreign policy interests of the United States, or to fulfill U.S. international commitments. Requires the President, if such control are imposed, to report on such action to the Congress. Limits the duration of such controls to no more than one year. Authorizes the exemption from such quantitative limitations items exported or imported pursuant to a barter agreement. Prohibits the exportation of unprocessed western red logs (Thuja plicata) harvested from State (except Alaska) or Federal lands. Declares that shipments of crude oil and refined and partially refined petroleum products for use by the Department of Defense or U.S.-supported installations shall not, for purposes of export controls on Alaskan North Slope oil, be considered to be exports. (Sec. 7) Directs the President to issue regulations that prohibit, with specified exceptions, U.S. persons from supporting any boycott imposed by a foreign country against a country that is friendly to the United States and that is not itself the object of a U.S. boycott. (Sec. 8) Specifies procedures for the processing of export license applications, including the screening, referral, approval or denial, and review of such applications. (Sec. 9) Sets forth both civil and criminal penalties for violations committed under this Act. (Sec. 10) Makes the Secretary responsible for providing policy guidance on the enforcement of this Act. Sets forth requirements with respect to: (1) the forfeiture of goods and tangible items lawfully seized by the United States for violations committed under this Act; (2) undercover investigative operations of the Office of Export Enforcement of the Department of Commerce; and (3) a financial audit and report to the Congress on each undercover investigative operation. (Sec. 11) Directs the President to appoint, by and with the advice and consent of the Senate, an Under Secretary of Commerce for Export Administration who shall perform all functions of the Secretary under this Act. Authorizes the Secretary to issue regulations to implement this Act. Sets forth requirements for: (1) non-disclosure of confidential information; (2) disclosure of information to the Congress and the General Accounting Office (GAO); (3) penalties for disclosure of confidential information; and (4) public opportunity for comment on regulations imposing export controls. Requires the Secretary to establish a Control List containing items which require a license for export to designated countries. Authories the Secretary to participate in the education and training of officials from other countries on the principles and procedures for the implementation of effective export controls. Declares that an export license may not be required for the export of a commodity solely because it contains parts or components subject to export control if such parts or components: (1) are essential to the functioning of the good; (2) are customarily included in the sales of the item in countries other than target countries; and (3) comprise 25 percent or less of the total value of the good, unless the good itself would make a significant contribution to the military or proliferation potential of a target country or end user which would prove detrimental to U.S. national security. Declares that no authority may be required for certain reexports of foreign-made items incorporating U.S. items. Declares that this Act does not authorize export controls on: (1) medical instruments and equipment; (2) medicine or medical supplies; or (3) donations of items intended to meet basic human needs, including food, educational materials, seeds, hand tools, water resources equipment, clothing and shelter materials, and basic household supplies. Declares that, with respect to unilateral controls, the President may not, except in specified circumstances, prohibit the export or reexport of items in performance of a contract entered into, or under a validated license issued, before the effective date of such controls, or the date on which the President reports to the Congress on the intention to impose controls on such exports or reports. (Sec. 12A) Requires the President to determine whether any foreign person has knowingly contributed to the efforts of any government, group, entity, or project to use, design, develop, produce, or stockpile chemical or biological weapons or missiles. Requires the President, in the event of different specified affirmative determinations, to impose certain sanctions on such person, including: (1) denial of an export license; (2) denial of Government procurement contracts; (3) termination of U.S. foreign assistance (except for humanitarian assistance); (4) termination of the financing of arms and arms sales; (5) denial of U.S. financial assistance and multilateral development bank assistance; (6) prohibition on exports of national security-sensitive items; (7) imposition of export and import restrictions; (8) suspension of diplomatic relations; and (9) denial of air landing rights. (Sec. 12B) Amends the Arms Export Control Act to provide for such sanctions. (Sec. 15) Prohibits items from being included on both the Control List and the United States Munitions List. Requires the Department of State to resolve conflicting claims of jurisdiction between such lists in a timely fashion. Amends the International Emergency Economic Powers Act to prohibit public disclosure, except in the national interest, of confidential information connected with the authorization to export goods and technology (including export licenses and multilateral agreements to export). Declares that any product which is standard Federal Aviation Administration (FAA) certified equipment in aircraft and which is exported to a noncontrolled country shall be subject exclusively to the export controls under this Act. (Sec. 16) Authorizes appropriations.
United States · United States Congress · 8 March 1994
Amends the Internal Revenue Code to make permanent the special rules for gifts or qualified appreciated stock to certain tax-exempt private foundations for purposes of the itemized deduction of charitable contributions. Includes grants to certain foreign organizations as qualified distributions by private foundations for purposes of the tax on failure to distribute income.
United States · United States Congress · 7 March 1994
TABLE OF CONTENTS: Title I: Federal Banking Commission Established Title II: Powers and Duties Transferred to Federal Banking Commission Title III: Operations of Federal Banking Commission Title IV: Transitional Provisions Title V: Conforming Amendments to Federal Deposit Insurance Act Title VI: Conforming Amendments to Other Banking Statutes Title VII: Conforming Amendments to Other Statutes Regulatory Consolidation Act of 1994 - Title I: Federal Banking Commission Established - Establishes the Federal Banking Commission (the Commission) as an independent establishment in the executive branch. Title II: Powers and Duties Transferred to Federal Banking Commission - Transfers to the Commission the functions, powers, and duties of: (1) the Comptroller of the Currency; (2) the Director of the Office of Thrift Supervision; (3) the Board of Governors of the Federal Reserve System (the Board) except with respect to functions relating to monetary policy and open market operations, administration of the payment system, and discount window operations; (4) the Federal Deposit Insurance Corporation (except with respect to functions relating to deposit insurance, conservatorship, or receivership); and (5) the Federal Financial Institutions Examination Council with respect to schools for examiners. Instructs the Secretary of the Treasury to designate a date for the transfer of functions. Abolishes the following offices after such transfer date: (1) the Office of the Comptroller of the Currency; (2) the Office of Thrift Supervision; and (3) the Federal Financial Institutions Examination Council. Redesignates the Appraisal Subcommittee as the Appraisal Committee, and declares its members shall be designees of the Chairpersons of: (1) the Federal Banking Commission; (2) the Federal Deposit Insurance Corporation; and (3) the National Credit Union Administration Board. Title III: Operations of Federal Banking Commission - Sets forth the Commission's operational parameters, including the conduct of joint examinations with the Board with respect to bank holding companies and their subsidiaries, and supervision of certain State depository institutions. Requires the Commission to establish the following advisory councils: (1) Advisory Council on Consumer Affairs; (2) Advisory Council on Community Depository Institutions; (3) Advisory Council on Savings Associations; and (4) Advisory Council on Small Businesses. Directs the Commission to establish: (1) an independent appellate process to review material supervisory determinations made by its examiners or officials with respect to insured depository institutions; and (2) an Office of the Inspector General. States that the Commission shall be considered an agency within the Executive branch for purposes of the coordination and clearance of legislative recommendations, testimony, and comments on general policy matters. Title IV: Transitional Provisions - Sets forth transitional provisions for the Commission and the affected Federal banking agencies. Title V: Conforming Amendments to Federal Deposit Insurance Act - Makes conforming amendments to the Federal Deposit Insurance Act. Title VI: Conforming Amendments to Other Banking Statutes - Makes conforming amendments to other specified banking statutes. Title VII: Conforming Amendments to Other Statutes - Makes conforming amendments to other specified statutes.
United States · United States Congress · 7 March 1994
Amends title XIX (Medicaid) of the Social Security Act to make technical corrections to provisions added by the Omnibus Budget Reconciliation Act of 1990 in order to allow children and pregnant women to receive Medicaid services from osteopathic physicians and in emergency departments of hospitals.
United States · United States Congress · 24 February 1994
Declares that the Congress supports the efforts of the President of the United States to open Japanese markets and to obtain measurable increases in Japan's imports either through continued negotiation or enforcement of Federal law.
United States · United States Congress · 23 February 1994
1995 Special Olympics World Games Commemorative Coin Act - Directs the Secretary of the Treasury to issue one-dollar silver coins emblematic of the 1995 Special Olympics World Games. Mandates that the surcharges collected from the sale of such coins be paid to the 1995 Special Olympics World Games Organizing Committee, Inc.
United States · United States Congress · 10 February 1994
Head Start Act Amendments of 1994 - Amends the Head Start Act to reauthorize and revise Head Start programs. (Sec. 2) Requires the Secretary of Health and Human Services (HHS) to establish quality standards for Head Start agencies and programs, including standards for performance in providing required health, education, parental involvement, social, and other services, for administrative and financial management, and for facilities' condition and location. Provides for monitoring and for corrective actions or terminations if minimum standards are not met. (Sec. 3) Eliminates a provision freezing regulations. Provides that terminations, reductions, or suspensions of financial assistance upheld in administrative hearings shall not be stayed pending any judicial appeal. (Sec. 4) Revises classroom teacher qualifications and waiver requirements. Directs the Secretary to: (1) provide technical assistance and training to enable Head Start agencies to establish positions for mentor teachers; and (2) review and revise standards for family service workers, and promote model curricula and credentials for such workers. Authorizes the Secretary to establish a program of Head Start Fellowships for staff in local Head Start programs and other individuals working in the field of child development and family services. Provides for placement in appropriate settings. Directs the Secretary to develop model staffing pattern plans to guide local Head Start agencies and programs. (Sec. 5) Sets forth goals and priorities for training and technical assistance. (Sec. 6) Allocates funds for program expansion. (Sec. 7) Authorizes the Secretary to allow certain amounts to be allocated to quality improvement activities (in addition to the required 25 percent portion of appropriations). Sets forth goals and authorized activities for which quality improvement funds are to be used. (Sec. 8) Requires each Head Start agency to coordinate with schools and promote parental involvement to facilitate children's transition from program to school. Directs the Secretaries of HHS and of Education to assess results of demonstration projects under the Head Start Transition Project Act and provide technical assistance to communities to implement promising practices from those demonstrations. Extends the set-aside for the Head Start Transition Project Act. (Sec. 9) Directs the Secretary to carry on a continuing program of research, demonstrations, and evaluations of Head Start programs, and to report on such activities. (Sec. 10) Establishes programs for families with infants and toddlers. Directs the Secretary to make grants for: (1) programs providing family-centered services for low-income families with very young children, designed to promote child development, parental role fulfillment, and movement toward self-sufficiency; and (2) evaluation of, and training and technical assistance for, projects under the Comprehensive Child Development Centers Act of 1988. (Repeals the latter Act because its functions are being consolidated under the Head Start Act.) (Sec. 11) Revises parental involvement considerations with respect to designation of new Head Start agencies well as functions of such agencies. Requires agencies to offer family literacy services and parenting skills training to parents of participating children. Allows agencies also to opt to offer such parents parental social self-sufficiency training, substance abuse counseling, or other partnership in education activities. Requires a family needs assessment, including consultation with the parents, for each participating family. (Sec. 12) Authorizes appropriations. (Sec. 13) Revises the poverty line definition. Updates hold-harmless provisions for Indian and Migrant programs. Specifies that each Head Start program may use Head Start funds for full-day and full-year services and shall be permitted to provide more than one year of services to eligible children in the State.
United States · United States Congress · 8 February 1994
Amends the Harmonized Tariff Schedule of the United States to grant duty-free treatment, through September 30, 1994, of the personal effects of, and game associated equipment for use by, participants, their families and associated members, and officials involved in the 1994 FIFA World Cup soccer games.
United States · United States Congress · 26 January 1994
Mutual Depository Institution Conversion Protection Act of 1994 - Amends the Home Owners' Loan Act with respect to conversions from mutual to stock form of ownership by State and Federal savings banks and associations to: (1) subject State institutions to Federal regulations; (2) authorize State regulatory authorities to impose conversion rules more restrictive than the Federal rules; (3) restrict the beneficial interest available to insider transactions pursuant to such conversions to the same interest available to non-insiders; (4) prohibit for one year compensation to savings institution personnel which exceeds that received before the conversion date; and (5) require the Director of the Office of Thrift Supervision to establish aggregate limits on the beneficial interests of insiders pursuant to such conversions. Directs the Secretary of the Treasury to study and report to the Congress on the adequacy of Federal regulations and disclosure requirements regarding such conversions.
United States · United States Congress · 20 November 1993
Representative Payee Amendments of 1993 - Amends titles II (Old Age, Survivors and Disability Insurance) (OASDI) and XVI (Supplemental Security Income) (SSI) of the Social Security Act to extend provisions allowing qualified organizations to collect fees for serving as representative payees for OASDI and SSI beneficiaries. Expands the eligibility of organizations qualified to serve as representative payees by repealing the requirement that they were in existence on October 1, 1988.
United States · United States Congress · 20 November 1993
TABLE OF CONTENTS: Title I: Health Care Security Subtitle A: Universal Coverage and Individual Responsibility Subtitle B: Benefits Subtitle C: State Responsibilities Subtitle D: Health Alliances Subtitle E: Health Plans Subtitle F: Federal Responsibilities Subtitle G: Employer Responsibilities Subtitle J (sic): General Definitions; Miscellaneous Provisions Title II: New Benefits Subtitle A: Medicare Outpatient Prescription Drug Benefit Subtitle B: Long-Term Care Title III: Public Health Initiatives Subtitle A: Workforce Priorities Under Federal Payments Subtitle B: Academic Health Centers Subtitle C: Health Research Initiatives Subtitle D: Core Functions of Public Health Programs; National Initiatives Regarding Preventive Health Subtitle E: Health Services for Medically Underserved Populations Subtitle F: Mental Health; Substance Abuse Subtitle G: Comprehensive School Health Education; School-Related Health Services Subtitle H: Public Health Service Initiative Subtitle I: Coordination With COBRA Continuation Coverage Title IV: Medicare and Medicaid Subtitle A: Medicare and the Alliance System Subtitle B: Savings in Medicare Program Subtitle C: Medicaid Subtitle D: Increase in SSI Personal Needs Allowance Title V: Quality and Consumer Protection Subtitle A: Quality Management and Improvement Subtitle B: Information Systems, Privacy, and Administrative Simplification Subtitle C: Remedies and Enforcement Subtitle D: Medical Malpractice Subtitle E: Fraud and Abuse Subtitle F: McCarran-Ferguson Reform Title VI: Premium Caps; Premium-Based Financing; and Plan Payments Subtitle A: Premium Caps Subtitle B: Premium-Related Financing Subtitle C: Payments to Regional Alliance Health Plans Title VII: Revenue Provisions Subtitle A: Financing Provisions Subtitle B: Tax Treatment of Employer-Provided Health Care Subtitle C: Employment Status Provisions Subtitle D: Tax Treatment of Funding of Retiree Health Benefits Subtitle E: Coordination with COBRA Continuing Care Provisions Subtitle F: Tax Treatment of Organizations Providing Health Care Services and Related Organizations Subtitle G: Tax Treatment of Long-term Care Insurance and Services Subtitle H: Tax Incentives for Health Services Providers Subtitle I: Miscellaneous Provisions Title VIII: Health and Health-Related Programs of the Federal Government Subtitle A: Military Health Care Reform Subtitle B: Department of Veterans Affairs Subtitle C: Federal Employees Health Benefits Program Subtitle D: Indian Health Service Subtitle E: Amendments to the Employee Retirement Income Security Act of 1974 Subtitle F: Special Fund for WIC Program Title IX: Aggregate Government Payments to Regional Alliances Subtitle A: Aggregate State Payments Subtitle B: Aggregate Federal Alliance Payments Subtitle C: Borrowing Authority to Cover Cash-Flow Shortfalls Title X: Coordination of Medical Portion of Workers Compensation and Automobile Insurance Subtitle A: Workers Compensation Insurance Subtitle B: Automobile Insurance Subtitle C: Commission on Integration of Health Benefits Subtitle D: Federal Employees' Compensation Act Subtitle E: Davis-Bacon Act and Service Contract Act Subtitle F: Effective Dates Title XI: Transitional Insurance Reform Health Security Act - Title I: Health Care Security - Subtitle A: Universal Courage and Individual Responsibility - Entitles each eligible individual to: (1) the benefit provided under subtitle B through the applicable health plan in which the individual is enrolled; and (2) a health security card to be issued by the alliance or other entity that offers the applicable health plan in which the individual is enrolled. Defines an eligible individual as an individual who resides in the United States and is: (1) a citizen or national of the United States; (2) an alien permanently residing in the U.S. under color of law; or (3) a long-term nonimmigrant. Entitles a Medicare-eligible individual to benefits under Medicare instead of the above provisions of this Act. (Sec. 1002) Requires each eligible individual to enroll in an applicable health plan and pay any required premium. Prohibits disenrollment of an eligible individual until the individual is either enrolled in another plan or in Medicare. (Sec. 1003) States that nothing in this Act shall be construed as prohibiting: (1) an individual from purchasing any health services; (2) an individual from purchasing supplemental insurance; (3) an individual who is not an eligible individual from purchasing health insurance; or (4) employers from providing additional coverage. (Sec. 1004) States that a regional alliance health plan is the applicable plan for a family, unless a family member is eligible for a corporate alliance health plan. Allows military personnel, veterans, and Indians to enroll either with an alliance or with a military, veteran, or Indian plan respectively. (Sec. 1005) Prohibits an undocumented alien from enrolling in a health plan under this Act. (Sec. 1011) Defines a family as an eligible individual's eligible spouse and children. Defines couple as meaning an individual and the individual's spouse. Defines a child as being under age 18, or under age 24 in the case of a full-time student. Subtitle B: Benefits - Includes the following terms and services in the comprehensive benefit package: (1) hospital services; (2) services of health professionals; (3) emergency and ambulatory medical and surgical services; (4) clinical preventive services; (5) mental illness and substance abuse services; (6) family planning services and services for pregnant women; (7) hospice care; (8) home health care; (9) extended care services; (10) ambulance services; (11) outpatient laboratory, radiology, and diagnostic services; (12) outpatient prescription drugs and biologicals; (13) outpatient rehabilitation services; (14) durable medical equipment and prosthetic and orthotic devices; (15) vision care; (16) dental care; (17) health education classes; and (18) investigational treatments. Describes such items and services. (Sec. 1131) Requires each health plan to offer to its enrollees only one of the following cost sharing schedules: (1) lower cost sharing; (2) higher cost sharing; or (3) combination cost sharing. Provides that the annual maximum out-of-pocket expenses for an individual in any of the plans shall be $1500 and for a family the annual maximum shall be $3000. (Sec. 1135) Sets forth a table of copayments and coinsurance. (Sec. 1141) Excludes the following items and services: (1) an item or service that is not medically necessary or appropriate; (2) an item or service that the National Health Board may determine is not medically necessary or appropriate; (3) custodial care, except hospice care; (4) surgery performed solely for cosmetic purposes, unless required to correct a congenital anomaly or performed to correct a part of the body injured by either disease or accident; (5) hearing aids; (6) eyeglasses and contact lenses for individuals at least 18 years of age; (7) in vitro fertilization; (8) sex change surgery and related services; (9) private duty nursing; (10) personal comfort items, except in the case of hospice care; and (11) any dental procedures involving orthodontic care, inlays, gold or platinum fillings, bridges, crowns, pin/post retention, dental implants, surgical periodontal procedures, or the preparation of the mouth for the fitting or continued use of dentures, except as specified. (Sec. 1151) Gives the National Health Board the authority to promulgate such regulations or establish such guidelines as necessary to assure uniformity in the application of the comprehensive benefit package across all health plans. Permits the Board to expand the benefit package. (Sec. 1162) Permits a health professional or facility to refuse to provide a benefit if the professional or facility objects on the basis of a religious belief or moral conviction. Subtitle C: State Responsibilities - Requires a State, in order to be approved as a participating State, to submit a document describing the State's health care system. (Sec. 1201) Requires a participating State to: (1) establish one or more regional alliances; (2) establish and publish the criteria used in the certification of its health plan; (3) meet minimum financial solvency requirements for health plans established by the National Health Board; (4) designate an agency or official to coordinate State responsibilities under this Act; (5) conform State laws to meet the requirements of title X of this Act with respect to workers' compensation and automobile insurance; and (6) carry out all the responsibilities of a participating State specified in this Act. (Sec. 1221) Permits a State, with the Board's approval, to operate a single-payer system if specified requirements are met. Subtitle D: Health Alliances - Provides for regional alliances and corporate alliances. (Sec. 1302) Requires a regional alliance to be governed by a Board of Directors consisting of: (1) employers, including self-employed individuals; and (2) members who represent individuals purchasing coverage. Requires each regional alliance to establish a provider advisory board consisting of health care providers and professionals. (Sec. 1311) Includes in a corporate alliance an eligible sponsor who is either a large employer (more than 5,000 full-time employees) or a multiemployer plan (a plan with more than 5000 active participants). Excludes: (1) an employer whose primary business is employee leasing; (2) the Federal Government (other than the U.S. Postal Service); and (3) a State or local government. Excludes from corporate alliance eligibility the following classes of individuals: (1) AFDC recipients; (2) SSI recipients; (3) military personnel and families, veterans, and Indians who elect to enroll in specified plans specifically designed for them; and (4) seasonal or temporary employees. (Sec. 1321) Directs each regional alliance to enter into a contract with any State-certified health plan to contract with the alliance for the enrollment under the plan of eligible individuals. (Sec. 1322) Requires each regional alliance to offer a choice of health plans, including at least one fee-for-service plan. (Sec. 1326) Requires each regional alliance to establish and maintain an office of an ombudsman to assist consumers in dealing with problems that arise with health plans and the alliance. (Sec. 1329) Permits a regional alliance to adjust payments to plans or use other financial incentives to encourage health plans to expand into areas that have inadequate health services. (Sec. 1341) Set forth provisions concerning the collection of funds by regional alliances from individuals, employers, and others. (Sec. 1351) Requires each regional alliance to compute a blended plan per capita payment amount for each regional alliance health plan for enrollment in the alliance. (Sec. 1353) Requires each regional alliance to make payments to the Federal Government for academic health centers and graduate medical education. (Sec. 1361) Requires each regional alliance to comply with specified standards relating to the management of finances, maintenance of records, accounting practices, auditing procedures, financial reporting, and employer payments. (Sec. 1371) Provides for a reduction in cost sharing for low-income families. (Sec. 1373) Provides for premium discounts and reduction in liabilities for low-income families. (Sec. 1381) Permits each corporate alliance to: (1) offer coverage under either an appropriate self-insured health plan; or (2) negotiate with a State-certified plan to enter into a contract with the plan. (Sec. 1382) Requires each corporate alliance to provide a choice of health plans, including at least one fee-for-service plan and two health plans that are not fee-for-service plans. (Sec. 1385) Requires each corporate alliance to make an additional contribution towards the enrollment in health plans of the alliance by certain low-wage families. (Sec. 1386) Sets forth provisions relating to corporate alliances concerning: (1) consumer information and marketing; (2) plan and information requirements; (3) management of funds; (4) cost control; (5) payments by corporate alliance employers to corporate alliances; (6) ERISA; (7) disclosure and reserve requirements; (8) trusteeship of insolvent corporate alliance health plans; (9) imposition and collection of periodic assessments on self-insured corporate alliance plans; and (10) payments to the Federal Government by multiemployer corporate alliances for academic health centers and gradual medical education. Subtitle E: Health Plans - Requires a health plan to: (1) be either a self-insured plan (meaning a group health plan as defined by a the Employee Retirement Income Security Act of 1974) or a State-certified plan (meaning a plan certified by a State or the National Health Board); and (2) meet the applicable regulatory requirements. (Sec. 1402) Requires each health plan offered by either a regional or corporate alliance to accept for enrollment every alliance eligible individual, unless the plan has reached its enrollment limit. Prohibits the limit from being imposed on the basis of any personal characteristics of enrollees such as health status, need for health care, age, occupation, or affiliation with any person or entity. Prohibits a plan from: (1) restricting or terminating coverage for any reason, including nonpayment of premiums; (2) cancelling coverage for any eligible individual until that individual is enrolled in another plan; (3) excluding an eligible individual because of an existing medical condition; (4) imposing a waiting period before coverage begins; or (5) imposing a rider that excludes the coverage of particular eligible individuals. Prohibits discrimination by a health plan on the basis of race, national origin, sex, language, socio-economic status, age, disability, health status, or anticipated need for health services. (Sec. 1405) Requires each plan to have a grievance procedure. (Sec. 1421) Permits an entity to offer a supplemental insurance policy if the policy and the entity meet specified requirements. (Sec. 1431) Requires each health plan, with respect to each electing essential community provider located within the plan's service area, to either: (1) enter into a written provider participation agreement; or (2) enter into a written agreement under which the plan will make payment to the provider as specified. Provides a special rule for providers of school health services. Makes the provisions of the proceeding sentence applicable only to health plans offered by a health alliance during the five year period beginning with the first year in which any health plan is offered by the alliance. Directs the Secretary of Health and Human Services to study essential community providers and to make recommendations concerning such providers to the Congress. Provides that such recommendations shall apply unless a joint resolution of disapproval is enacted by the Congress. (Sec. 1441) Requires each health plan to meet specified requirements of title X of this Act with respect to workers' compensation and automobile medical liability services. Subtitle F: Federal Responsibilities - Establishes the National Health Board in the Executive Branch. Directs the President to appoint the Board's seven members. (Sec. 1503) Directs the Board to: (1) interpret the comprehensive benefit package; (2) adjust the delivery of preventive services; (3) take steps to assure that the comprehensive benefit package is available on a uniform national basis; (4) recommend to the President and the Congress appropriate revisions to the package; (5) oversee cost containment requirements; (6) develop and implement eligibility standards; (7) establish a performance based system of quality management; (8) develop and implement standards for a national health information system; (9) establish State requirements and monitor State compliance; (10) establish premium class factors; (11) develop a methodology for the risk-adjustment of premium payments; (12) establish financial requirements for guaranty funds; (13) establish standards for health plan grievance procedures; and (14) report annually to the President and the Congress. (Sec. 1506) Authorizes appropriations for the Board. (Sec. 1511) Requires the Board to approve a State health care system if the system meets the applicable requirements of this Act. Prohibits approval of a State health care system prior to 1996. (Sec. 1512) Provides for sanctions for States failing to meet conditions for compliance. (Sec. 1515) Provides for planning grants to States for implementation assistance. (Sec. 1521) Provides for the Federal assumption of responsibilities in the absence of a State system. Provides for increased premiums of 15 percent during Federal operation of a State system to provide reimbursement for the Federal cost of operating the system. (Sec. 1541) Directs the Board to develop a risk adjustment and reinsurance methodology. Sets forth guidelines for developing such methodology. (Sec. 1543) Directs the Board to establish an advisory committee to provide technical advice and recommendations regarding the risk adjustment and reinsurance methodology. (Sec. 1551) Directs the Board to establish minimum capital requirements for regional alliance health plans under which at least $500,000 of capital must be maintained for each plan in the area. Permits the Board to require additional capital. (Sec. 1552) Requires the Board to establish standards for guaranty funds established by the States. (Sec. 1571) Sets forth the responsibilities of the Secretary of Health and Human Services. Directs the Secretary to administer and implement all provisions of this Act, except those duties delegated to the Board, any other executive agency, or to any State. (Sec. 1572) Directs the Secretary to appoint an Advisory Council on Breakthrough Drugs that will examine the reasonableness of launch prices of new breakthrough drugs. (Sec. 1581) Provides for the certification of essential community providers. Sets forth the following categories of providers automatically certified (under provisions of the Public Health Service Act): (1) migrant health centers; (2) community health centers; (3) homeless program providers; (4) public housing providers; (5) family planning clinics; and (6) AIDS providers under the Ryan White Act. Includes as automatically certified (under other Acts) following: (1) Indian health programs under the Indian Health Act; and (2) maternal and child health providers and a federally qualified health center or rural health clinic under the Social Security Act. Includes as automatically certified (under provisions of this Act) the following: (1) providers of school health services; and (2) a qualified community practice network. Provides for the setting of standards for additional health providers. (Sec. 1591) Sets forth the responsibilities of the Secretary of Labor. Includes among those responsibilities the following: (1) enforcement requirements applicable to employers; (2) elections to become corporate alliances; (3) temporary assumption of insolvent self-insured corporate alliance health plans; (4) establishment and administration of the Corporate Alliance Health Plan Insolvency Fund; and (5) administering title I of ERISA as it relates to group health plans maintained by corporate alliances. Subtitle G: Employer Responsibilities - Requires employers to provide for the payments required under title VI of this Act. Sets forth other employer responsibilities including: (1) information reporting requirements; (2) requirements relating to new employees; (3) recordkeeping requirements; and (4) antidiscrimination requirements. (Sec. 1606) Prohibits self-funding of cost sharing benefits by regional alliance employers. (Sec. 1607) Requires an employer to make equal employer premium payments to all qualifying employees, if a voluntary premium payment is made. Places a limit on such voluntary employer premium payments. (Sec. 1608) Sets forth an employer's obligation to a qualifying retired beneficiary where the employer, as of October 1, 1993, was providing a threshold payment. (Sec. 1609) Authorizes the Secretary of Labor to impose a civil penalty of up to $10,000 for each violation of this subtitle with respect to each individual. Subtitle J (sic): General Definitions; Miscellaneous Provisions - Sets forth the definitions and rules used in this Act. Subtitle B: Miscellaneous Provisions (sic) - (Sec. 1911) Grants the National Health Board, the Secretary of Health and Human Services, and the Secretary of Labor authority to issue regulations as necessary to permit the timely implementation of this Act. Title II: New Benefits - Subtitle A: Medicare Outpatient Prescription Drug Benefit - (Secs. 2001 through 2005) Amends title XVIII of the Social Security Act to provide for: (1) Medicare coverage of covered outpatient prescription drugs and biologicals as well as home infusion drug therapy services; (2) payment rules and related requirements, such as those pertaining to deductibles, for covered outpatient prescription drugs; (3) manufacturer rebates to the Secretary under Medicare part B for covered outpatient prescription drugs; and (4) determination of the Medicare part B premium attributable to covered outpatient prescription drugs. Subtitle B: Long-Term Care - Establishes requirements for State plans for home and community-based services to individuals with disabilities. Includes among those requirements the following: (1) a prohibition of limiting eligibility of individuals with disabilities based on income, age, geography, severity of disability, residential setting, or other grounds specified by the Secretary; (2) a requirement to serve low-income individuals; (3) a requirement to specify how Federal and State funds will be managed; (4) quality assurance requirements; and (5) reporting requirements. Requires a State to consult with individuals and groups of individuals with disabilities when developing the plan in order to have the plan approved. (Sec. 2103) Defines "individuals with disabilities" to mean any individual within one or more of the following four categories: (1) individuals requiring help with the activities of daily living; (2) individuals with severe cognitive or mental impairment; (3) individuals with severe or profound mental retardation; and (4) severely disabled children. (Sec. 2104) Requires a State plan to specify the services available. Requires each individualized plan to be developed in close consultation with the individual and the individual's family. Prohibits a State plan from covering: (1) room and board; (2) services furnished in a hospital, nursing facility, intermediate care facility for the mentally retarded, or other specified institutional setting; or (3) items or services to the extent coverage is provided for an individual under a health plan or Medicare. (Sec. 2105) Sets forth provisions relating to: (1) cost sharing; (2) quality assurance and safeguards; (3) advisory groups; (4) payments to States; and (5) the total Federal budget for State plans and allotments to States. (Sec. 2301) directs the Secretary, with the advice and assistance of the National Long-Term Care Insurance Advisory Council to promulgate regulations as necessary to implement provisions concerning private long-term care insurance. Directs the Secretary to make appointments to such Council. Authorizes appropriations for such Council. (Sec. 2321) Directs the Secretary, after considering the Council's recommendations to promulgate regulations designed to: (1) standardize formats and terminology used in long-term care policies; (2) require insurers to provide information to customers on the range of public and private long-term care coverage available; and (3) establish other requirements promoting consumer understanding of benefits. (Sec. 2322) Directs the Secretary to promulgate regulations establishing requirements with respect to the terms of and benefits under long-term care policies, which shall include the following requirements that the policy may not: (1) limit coverage based on a preexisting condition, subject to an exception for a six month period; (2) condition eligibility for benefits based on the need or receipt of any other service; (3) condition eligibility for any benefit on any particular diagnosis; (4) condition eligibility for benefits by providers on compliance with requirements not required by State or Federal law; and (5) condition coverage of any service by a provider on the provision of such service at a higher level of care than required by the insured individual. Prohibits discrimination by diagnosis in the treatment of: (1) Alzheimer's disease; (2) any organic or inorganic mental illness; (3) mental retardation or any other cognitive or mental impairment; or (4) HIV infection or AIDS. Sets forth other requirements for such policies, including requirements related to: (1) premiums; (2) sales practices; (3) continuation, renewal, replacement, conversion, and cancellation of policies; and (4) payment of benefits. (Sec. 2342) Provides for grants to States to enforce the Federal standards concerning long-term care policies. Sets forth requirements for receiving such grants. Authorizes appropriations. Prohibits the sale of a long-term care policy in a State without a regulatory program. (Sec. 2361) Authorizes the Secretary to make grants for the development and implementation of long-term care information, counseling, and other programs to: (1) States; (2) regional alliances (at the option of States within which such alliances are located; and (3) national organizations representing insurance consumers, long-term care providers, and insurers. Authorizes appropriations for such grants. (Sec. 2601) Authorizes the Secretary to conduct a demonstration program to test the effectiveness of various approaches to financing and providing integrated acute and long-term care services for the chronically ill and disabled. Sets forth the services and benefits to be provided, including: (1) all benefits of the comprehensive benefit package provided under title I of this Act; (2) transitional benefits, including assessment and home care; (3) long-term care benefits, including adult day care, home-delivered meals, and nursing facility services in specialized care units; and (4) habilitation services. Permits any of the following to be eligible for such services under criteria to be established by the Secretary: (1) individuals with disabilities under a State program; (2) individuals entitled to benefits under the Medicare program; and (3) individuals entitled to Medicaid and who are also either entitled to Medicare or Supplemental Security Income benefits. Requires reports to the Congress on the demonstration program. Title III: Public Health Initiatives - Subtitle A: Workforce Priorities Under Federal Payments - Establishes within the Department of Health and Human Services the National Council on Graduate Medical Education. Directs the National Council to designate for each academic year the number of individuals nationwide who are authorized to be enrolled in each specified approval physician training program for each medical specialty. Sets forth provisions specifying: (1) Federal formula payments to approved physician training programs; (2) application for payments; and (3) amount of payments. (Sec. 3061) Directs the Secretary to carry out a program with respect to graduate nurse training programs that is equivalent to the program for approved physician training programs. Establishes a National Council on Graduate Nurse Education. (Sec. 3071) Authorizes appropriations for the following programs: (1) primary care physician and physician assistant training; (2) training of underrepresented minorities and disadvantaged persons; and (3) nurse training. (Sec. 3072) Authorizes appropriations for the following programs: (1) a program of skill upgrading and occupational retraining for health care workers; (2) a demonstration program to assist workers in health care institutions in obtaining advanced career positions; (3) a program to develop and operate health-worker job banks in local employment services agencies, subject to certain conditions; (4) a program to provide joint labor-management decision-making in the health care sector on workplace matters related to the restructuring of the health care delivery system of this Act; and (5) a program to facilitate the comprehensive workforce adjustment initiative. (Sec. 3073) Directs the Secretary of Health and Human Services and the Secretary of Labor to jointly establish the National Institute for Health Care Workforce Development. States that the Director of the Institute shall make recommendations to the Secretaries regarding: (1) the supply of health care workers; (2) the impact of this Act; and (3) the development and implementation of high-performance, high-quality health care delivery systems. Directs the Secretaries to establish an advisory board to assist in the development of such recommendations. Subtitle B: Academic Health Centers - Directs the Secretary to make payments to a qualified academic health center or qualified teaching hospital in order to assist such eligible institutions with costs that are not routinely incurred by other entities in providing health services, but are incurred by such institutions by virtue of the academic nature of such institutions. States that such costs include: (1) costs resulting from reduced staff productivity due to teaching responsibilities; (2) the uncompensated costs of clinical research; and (3) exceptional costs associated with an institutions specialized expertise. Provides that the funding for such payments will come from transfers from the Federal Hospital Insurance Trust Fund, payments made by regional alliances to the Federal government for academic health centers and graduate medical education, and payments from corporate alliances. (Sec. 3131) Provides for the access of regional and corporate alliance patients to academic health centers. Subtitle C: Health Research Initiatives - Amends the Public Health Service Act to ensure that the National Institutes of Health conducts and supports biomedical and behavioral research on promoting health and preventing diseases, disorders, and other health conditions. Provides for health services research. Authorizes appropriations for such research. Subtitle D: Core Functions of Public Health Programs; National Initiatives Regarding Preventive Health - Authorizes appropriations for the core functions of public health programs and national initiatives regarding health promotion and disease prevention. (Sec. 3312) Authorizes the Secretary to make grants to States to carry out one or more of the following core functions: (1) data collection; (2) activities to protect the environment and to assure the safety of housing, workplaces, and food and water; (3) investigation and control of adverse health conditions; (4) public information and education programs to reduce risks to health such as use of tobacco, alcohol, and drugs, sexual activities that increase the risk of HIV transmission and other sexually transmitted diseases, poor diet, physical inactivity, and low childhood immunization levels; (5) accountability and quality assurance activities; (6) provision of public health laboratory services to complement private clinical laboratory services that screen for diseases and conditions; (7) training and education to assure provision of care by all health professionals; and (8) leadership policy development and administrative activities. (Sec. 3331) Authorizes the Secretary to make grants to agencies of State or local government, private nonprofit organizations, and coalitions that link two or more of these groups for the purpose of carrying out projects to develop and implement innovative community-based strategies to provide for health promotion and disease prevention activities for which there is a significant need. Subtitle E: Health Services for Medically Underserved Populations - Directs the Secretary to make grants to migrant health centers and community health centers, which shall be in addition to other funds available to such centers. Authorizes appropriations. (Sec. 3412) Authorizes appropriations for: (1) grants and contracts for the development of qualified community health plans and practice networks; and (2) loans and guaranteeing the principal and interest to Federal and non-Federal lenders on behalf of public and private entities for the capital costs of developing qualified community health plans and practice networks. (Sec. 3461) Authorizes the Secretary to make grants and enter into contracts with qualified community health groups to provide enabling services such as transportation, community and patient outreach, patient education, and translation services in order to increase the capacity of individuals to utilize the items and services under title I of this Act. Authorizes appropriations. (Sec. 3471) Authorizes appropriations for: (1) the National Health Service Corps; and (2) such amounts as are necessary to ensure that at least 20 percent of participants in the Scholarship Program or the Loan Repayment Program of the Corps are nurses. (Sec. 3481) Entitles a hospital with a low-income utilization rate in a base year of at least 25 percent to a payment as specified. Requires 75 percent of the total available to be allocated to hospitals for low-income assistance. Requires 25 percent of the total available to be allocated to hospitals for assistance in furnishing inpatient hospital services that are not covered services under title I of this Act. Subtitle F: Mental Health; Substance Abuse - Authorizes appropriations to carry out this part. Provides for grants to: (1) increase access to mental health and substance abuse services; (2) improve State and local capacity to coordinate and monitor such services; (3) provide incentives to integrate public and private service systems; and (4) supplement any activity under part B (Alcohol and Drug Abuse and Mental Services Block Grant) of title XIX of the Public Health Service Act. (Sec. 3503) Authorizes the Secretary to make loans for the capital costs incurred in the development of non-acute, residential treatment centers and community-based ambulatory clinics. (Sec. 3521) Requires the establishment of a pilot program demonstrating the integration of the mental illness and substance abuse services of the States with the services included under title I of this Act. Subtitle G: Comprehensive School Health Education; School-Related Health Services - Authorizes appropriations for the programs of this subtitle. States that the purposes of the programs shall be to: (1) support, in kindergarten through grade 12, the provision of comprehensive health educator programs; (2) establish a national framework within which States can create comprehensive school health education programs that target the health risk behaviors of youth, including tobacco use, alcohol and drug abuse, sexual behaviors resulting in infections, injury prevention, dietary patterns, and sedentary lifestyles; (3) pay the initial costs of planning and establishing such programs; (4) support related Federal demonstrations and training; (5) motivate youth to stay in school, avoid teen pregnancy, and strive for success; (6) improve the knowledge of health education among youth; and (7) further the National Education Goals set forth in title I of the Goals 2000: Educate America Act. Defines "comprehensive school health education program." Requires such programs to be sensitive to cultural and ethnic issues, promote involvement by families, and promote personal responsibility. Sets forth requirements for applying for grants and selection of grantees. Subtitle H: Public Health Service Initiative - Establishes a Public Health Service Initiative consisting of specified amounts authorized to be appropriated for the Initiative. States that: (1) the Initiative includes the programs of subtitles C through G of this title and the programs of subtitle D of title VIII; and (2) amounts appropriated to carry out the Initiative, including subtitles A through F of this title, are available to carry out specific programs for which the amounts are appropriated. Subtitle I: Coordination with COBRA Continuation Coverage - Amends title XXII (Requirements for Certain Group Health Plans for Certain State and Local Employees) of the Public Health Service Act to provide for coordination with COBRA continuation coverage. Repeals such title XXII upon implementation of this Act. Title IV: Medicare and Medicaid - Subtitle A: Medicare and the Alliance System - Amends title XVIII (Medicare) of the Social Security Act to provide for optional State integration of Medicare beneficiaries into regional alliance plans. (Sec. 4002) Allows individuals to elect to remain in certain plans. (Sec. 4003) Provides for payments to regional alliances on behalf of certain Medicare-eligible individuals. (Sec. 4004) Extends protections for working aged and disabled individuals to group health plans of all employers. Repeals the limitation on the period of protection for individuals with end stage renal disease. Prohibits Medicare payment for items and services provided under any health plan under this Act. Simplifies Medicare benefit coordination in cases where the individual is also eligible for benefits under this Act's health plans. (Sec. 4011) Makes various changes concerning eligible organization and Medicare supplemental policy enrollment and comparative informational materials, eligible organization outlier payments, and participating provider point-of-service networks. (Sec. 4022) Provides for expanded Medicare coverage for physician assistant, nurse practitioner, and clinical nurse specialist services. (Sec. 4031) Amends title XI of the Social Security Act to: (1) provide for termination of the separate Medicare peer review program upon adoption of the National Quality Management Program above under subtitle A of title V of this Act; and (2) repeal provisions on surgical procedure review and second opinions. (Sec. 4032) Amends title XVIII of the Social Security Act to provide for mandatory assignment for all Medicare part B services. (Sec. 4033) Directs the Secretary of Health and Human Services to take such steps as may be necessary to consolidate administration of Medicare parts A and B and supersedes certain conflicting requirements to the extent required to achieve such purpose. (Sec. 4035) Prohibits the Secretary from implementing any change in procedures for billing and processing Medicare claims within six months of implementing any previous change. Adds advanced notification to providers as a requirement for carriers and fiscal intermediaries under Medicare. (Sec. 4041) Amends title XI of the Social Security Act to: (1) provide for civil monetary penalties for kickback violations under Medicare and State health care programs (the programs); (2) make other penalty-related changes, including increases in criminal and civil monetary penalties, a new criminal penalty exception for certain providers, additional civil monetary penalty offenses related to alliance systems, and requirements for the deposit of penalties collected into the All-Payer Account established above under title V of this Act; (3) revise exclusion provisions, with changes establishing a minimum period of exclusion for certain individuals and entities subject to permissive exclusion from the programs, and providing for program exclusions based on actions under alliance systems; and (4) modify sanction provisions, with changes removing certain conditions for imposing sanctions and setting specified civil money penalties for use in lieu of authorized sanctions. (Sec. 4042) Amends title XVIII of the Social Security Act to revise the limitations on physician self-referrals. (Sec. 4051) Provides for the termination of payments under Medicare for medical education costs and directs the Secretary to make specified transfers from certain Medicare trust funds to the new accounts established above for funding physician training programs and academic health centers. (Sec. 4061) Amends title XVIII of the Social Security Act to provide for the treatment of: (1) uniformed services and VA health plans as eligible organizations under Medicare; and (2) health care facilities of the Department of Veterans Affairs as providers under Medicare. Subtitle B: Savings in Medicare Program - Amends title XVIII of the Social Security Act to provide for: (1) reductions in the update for inpatient hospital services and the adjustment for indirect medical education costs, in payments for capital-related costs for inpatient hospital services; (2) revisions to payment adjustments for disproportionate share hospitals in States participating under this Act; and (3) an extension of the freeze on updates to routine service costs of skilled nursing facilities. (Sec. 4111) Amends title XVIII of the Social Security Act to provide for: (1) establishment of cumulative expenditure goals for physician services; (2) use of real gross domestic product for volume adjustments; (3) repeal of restrictions on the maximum reduction permitted in default update; (4) reduction in the conversion factor for the physician fee schedule for 1995; (5) place limitations on payment for physicians' services furnished by high-cost hospital medical staffs; (6) requirements for physicians to identify the hospital at which the service was furnished; (7) an increase in practice expense relative value units for certain services while assuring budget neutrality; (8) a study and report to the Congress by the Secretary on a resource-based system for determining practice expense relative value units for each physician's service; (9) an increase in work relative value units for office visits while assuring budget neutrality; (10) a reduction in relative values for office consultations; (11) adjustment of outlier intensity of relative values; (12) changes in underserved area bonus payments; (13) elimination of formula-driven payments for certain outpatient hospital services; (14) copayments for laboratory services; and (15) competitive acquisition procedures for Medicare part B items and services (including clinical diagnostic laboratory tests). (Sec. 4131) Makes changes with respect to: (1) Medicare as secondary payer; (2) payments for health maintenance organizations and competitive medical plans with risk-sharing contracts; and (3) routine cost limits and copayments for, respectively, home health services and visits. (Sec 4135) Directs the Secretary to use a competitive process to contract with centers of excellence for cataract surgery, coronary artery by-pass surgery, and such other services as the Secretary determines to be appropriate. (Sec. 4141) Amends title XVIII of the Social Security Act to revise Medicare part B premium provisions. (Sec. 4151) Requires the Secretary to submit a report to the Congress on the growth in spending under Medicare for FY 2000 through 2003. Subtitle C: Medicaid - Amends title XIX (Medicaid) of the Social Security Act to provide that if a State Medicaid plan provides for payment to regional alliances of the amounts required above it is not required to provide payment for items and services covered under the comprehensive benefit package for alliance eligible individuals and will receive no Federal financial assistance with respect to such items and services. (Sec. 4211) Provides for: (1) spenddown eligibility and increased income and resource disregard for nursing facility residents; (2) informing such residents about the availability of assistance for home and community-based services; (3) treatment of items and services not covered under the comprehensive benefit package; and (4) establishment of a program under Medicare of noncovered items and services for poor children. (Sec. 4231) Discontinues certain payment policies under Medicaid. (Sec. 4241) Limits the frequency of changes in a State's billing and claims processing system, and provides for advance notification to providers of any major billing change. (Sec. 4251) Establishes the Medicaid Commission to study, report, and make recommendations with respect to options involving block grant use, integration of long-term care services, and consolidation of institutional and home- and community-based long-term care in relation to the Medicaid program. Authorizes appropriations. Subtitle D: Increase in SSI Personal Needs Allowance - Amends title XVI (Supplemental Security Income) (SSI) to provide for an increase in the SSI personal needs allowance. Title V: Quality and Consumer Protection - Subtitle A: Quality Management and Improvement - Requires the National Health Board to establish and oversee a performance-based program of quality management and improvement designed to enhance the quality, appropriateness, and effectiveness of heath care services and access to such services which will be called the National Quality Management Program. (Sec. 5002) Establishes the National Quality Management Council which shall: (1) administer the National Quality Management Program; (2) perform any other duty specified in this subtitle; and (3) advise the National Health Board with respect to its duties under this subtitle. Requires the Council to develop a set of national measures of quality performance to be used in the assessment of and the provision of access to health care services. Requires the Council, in addition, to: (1) recommend to the Board establishing goals for performance by health plans and health care providers on a subset of national measures of quality performance; (2) direct the Administrator for Health Care Policy and Research to develop, review, and disseminate practice guidelines to determine how diseases can most effectively be prevented, diagnosed, treated, and managed; and (3) direct the Administrator for Health Care Policy and Research to support research related to a five year priority list of performance measures. (Sec. 5008) Directs the National Health Board to: (1) establish and oversee regional professional foundations to perform such duties as develop lifetime learning programs for health professionals and conduct research on health care quality; and (2) establish the National Quality Consortium to perform such duties as establishing continuing education for health professionals and provide advice on research priorities. (Sec. 5012) Requires each regional alliance and each corporate alliance to: (1) disseminate specified information to consumers; and (2) ensure that performance and quality standards are continually improved. Subtitle B: Information Systems, Privacy, and Administrative Simplification - Directs the National Health Board to develop and implement a health information system, in consultation with Federal agencies, States, employers, health plans, and others, by which the Board shall collect, report, and regulate the collection and dissemination of health care information which shall be used for: (1) health care planning by Federal, State, and local government; (2) establishing and monitoring payments for health services; (3) assessing and improving the quality of health care; (4) managing and containing costs at the alliance and plan levels; and (5) other specified purposes. Requires the establishment of an electronic data network to collect, compile, and transmit information. (Sec. 5120) Sets forth provisions providing for health information privacy standards. (Sec. 5130) Directs the National Health Board to develop the following standard health care benefit forms: (1) an enrollment and disenrollment form; (2) a clinical encounter record; and (3) a claim form. (Sec. 5140) Establishes the National Privacy and Health Data Advisory Council in order to advise the National Health Board with respect to its duties under this subtitle. (Sec. 5141) Sets forth monetary penalties for violating health information system standards. Subtitle C: Remedies and Enforcement - Sets forth provisions with respect to the review of benefit determinations for enrolled individuals, including provisions: (1) regulating the time limits for notice of disposition of a claim; (2) governing a plan's duty to review claim denials; (3) concerning urgent requests for preauthorization; and (4) concerning other time limits with respect to time limits and notice. (Sec. 5202) Requires each State to establish a complaint review office for each regional alliance established by a State. Permits aggrieved individuals to file complaints with the appropriate review office. (Sec. 5205) Provides for a Federal Health Plan Review Board to review the decisions of complaint review office hearing officers. (Sec. 5207) Sets monetary penalties for a plan which unreasonably denies or delays payment or provision of benefits. (Sec. 5211) Directs each State to establish and maintain an Early Resolution Program in each complaint review office. Requires a program to include: (1) forums for mediation disputes; and (2) other forums of alternative dispute resolution as may be prescribed. Establishes guidelines for the eligibility of cases for submission to the Early Resolution Program. States that conclusions of the mediation proceedings shall be treated as nonbinding and shall not affect any rights to review. (Sec. 5231) Sets forth additional remedies and enforcement provisions. Subtitle D: Medical Malpractice - Prohibits any medical malpractice liability action until the final resolution of the claim under alternative dispute resolution. Requires each regional alliance health plan and corporate alliance health plan to adopt at least one specified method of alternative dispute resolution. Prohibits an individual from bringing a medical malpractice liability action unless the individual submits an affidavit that includes a report by a qualified specialist that states that there is a meritorious cause for filing the action. (Sec. 5311) Directs the Secretary to establish: (1) a project to demonstrate whether substituting liability for medical malpractice on the part of the health plan in which a physician participates for the personal liability of the physician will result in improvements in the quality of care, reductions in defense medical practices, and better risk management; (2) a pilot program under which the Secretary provides funds to one or more eligible States to determine the effect of applying practice guidelines in the resolution of medical malpractice liability actions. Subtitle E: Fraud and Abuse - Directs the Secretary and the Attorney General to establish a program: (1) to coordinate the functions of the Attorney General, the Secretary, and other organizations with respect to the prevention, detection, and control of health care fraud and abuse; (2) to conduct investigations, audits, evaluations, and inspections relating to the delivery of and payment for health care; and (3) to facilitate the enforcement of this and other statutes applicable to health care fraud. (Sec. 5402) Creates, in the Treasury, the All-Payer Health Care Fraud and Abuse Control Account which shall consist of: (1) gifts and bequests; (2) administrative penalties and assessments and portions of civil monetary penalties imposed under provisions of the Social Security Act; (3) all criminal fines imposed in cases involving a Federal health care offense; (4) penalties imposed under the False Claims Act involving claims related to the provision of health care items and services; and (5) amounts resulting from the forfeiture of property by reason of Federal health care offense. States that amounts in the fund may be used to cover costs incurred in operating the Program. (Sec. 5411) Excludes from participation in any health plan any individual or entity excluded from participation in a public program under provisions of the Social Security Act. (Sec. 5413) Sets forth physician self-referral limitations. (Sec. 5431) Amends the Federal criminal code to set penalties for knowingly executing a scheme or artifice to: (1) defraud any health alliance, health plan, or other person (alliance) in connection with the delivery of, or payment for, health care benefits, items, or services (benefits); and (2) obtain, by false or fraudulent means, money or property owned by, or under the custody of control of, any such alliance in connection with the delivery of, or payment for, health care benefits. (Sec. 5432) Amends: (1) the Federal criminal code to require the court, in imposing sentence on a person convicted of a Federal health care offense that poses a serious threat to the health of any person or has a significant detrimental impact on the health care system, to order such person to forfeit property used in the commission of the offense or that constitutes, or is derived from, proceeds traceable to the commission of the offense which is of a value proportionate to the seriousness of the offense; and (2) the Federal judicial code to require that all proceeds of forfeiture relating to Federal health care offenses be deposited into the Department of Justice Assets Forfeiture Fund. (Sec. 5433) Amends the Federal criminal code to set penalties for: (1) knowingly and willfully falsifying, concealing, or covering up a material fact, making any false, fictitious, or fraudulent statements or representations, or making or using any false writing or document knowing it to contain any false, fictitious, or fraudulent statement or entry, in any matter involving a health alliance or health plan; and (2) bribery of, and graft by, a health care official. (Sec. 5435) Authorizes: (1) the Attorney General to commence a civil action in Federal court to enjoin a Federal health care offense; and (2) a person privy to certain grand jury information concerning a health law violation to disclose that information to an attorney for the Government to use in any civil proceeding related to a Federal health care offense. (Sec. 5437) Sets penalties for: (1) theft or embezzlement in connection with a health alliance, health plan, or fund connected with such alliance or plan; and (2) misuse of a health security card issued, or unique identifier provided, pursuant to this Act. (Sec. 5441) Makes provisions of the Civil False Claims Act applicable to the use of false records or statements made to a health plan. Includes within the definition of "claim" for purposes of such Act any request or demand for money or property which is made or presented to a health plan. Subtitle F: McCarran-Ferguson Reform - Amends the McCarran-Ferguson Act to repeal the exemption under specified antitrust laws for the business of insurance to the extent that such business relates to the provision of health benefits. Title VI: Premium Caps; Premium-Based Financing; and Plan Payments - Subtitle A: Premium Caps - Sets forth provisions which provide for the computation of factors that limit the growth of premiums for the comprehensive benefit package in regional alliance health plans, including the computation of a: (1) regional alliance inflation factor; and (2) general health care inflation factor. (Sec. 6002) Directs the Board to determine: (1) a national per capita baseline premium target; (2) the national average per capita current coverage health expenditures; and (3) current health care expenditures. (Sec. 6003) Directs the Board to determine a regional alliance per capita premium. (Sec. 6004) Requires a regional alliance to annually obtain premium bids from each plan seeking to participate as a regional alliance health plan with respect to the alliance. (Sec. 6005) Permits any participating State to assume responsibility for containment of health care expenditures in the State consistent with this Act. (Sec. 6006) Directs the chair of the Board to establish an advisory commission on regional variations in health expenditures. Requires the commission to examine methods of eliminating variation in regional alliance per capita premium targets due to variation in practice patterns, not due to other factors. Requires the Board to submit its recommendations to the Congress. Requires such recommendations to apply unless a joint resolution of disapproval is passed. (Sec. 6011) Subjects each noncomplying regional alliance health plan for a year to a reduction in plan payment as specified, in order to assure that payments to regional alliance health plans by a regional alliance are consistent. Defines a noncomplying plan to include a plan in which the final accepted bid exceeds the maximum complying bid for the per capita target premium. Defines "maximum complying bid." (Sec. 6021) Directs the Board to develop a methodology for calculating an annual per capita expenditure equivalent for amounts paid for coverage for the comprehensive benefit package within a corporate alliance. (Sec. 6022) Terminates a corporate alliance with two excess years in a three year period. Provides that employers that were corporate alliance employers with respect to a terminated alliance shall become regional alliance employers. Defines an excess year as one in which the rate of increase for the corporate alliance exceeds the national corporate inflation factor. Defines rate of increase and national corporate inflation factor. (Sec. 6031) Sets forth special rules for a single-payer State. (Sec. 6041) Directs the Secretary to establish a program to monitor prices and expenditures in the U.S. health care system. Subtitle B: Premium-Related Financings - Makes each family enrolled in a regional health alliance plan or in a corporate alliance health plan in a class of family enrollment responsible for payment of the family share of premium payable for enrollment. Provides for income related discounts and specified credits. (Sec. 6102) Establishes the formula for determining the premiums. (Sec. 6111) Provides for the repayment of credit by certain families. (Sec. 6114) Provides for the special treatment of certain retirees and qualified spouses and children. (Sec. 6121) Requires each regional alliance employer to pay a monthly premium to the regional alliance for a qualifying employee. Sets forth provisions for determining such premium. Varies the premium depending upon such factors as the employer's size and average wages paid. (Sec. 6126) Sets forth provisions applicable to self-employed individuals. (Sec. 6131) Sets forth provisions for determining the corporate employer premium. Subtitle C: Payments to Regional Alliance Health Plans - Sets forth provisions to determine the computation of: (1) the blended plan per capita payment amount; and (2) the plan bid, AFDC, and SSI proportions. Title VII: Revenue Provisions - Subtitle A: Financing Provisions - Amends the Internal Revenue Code to increase the excise taxes on cigarettes and other tobacco products. (Sec. 7113) Imposes an excise tax on the manufacture or importation of roll-your-own tobacco. (Sec. 7121) Imposes an assessment on each corporate alliance employer and a temporary assessment on employers with retiree health benefit costs. Requires such assessments to be paid in the same manner as employment taxes. (Sec. 7131) Provides for the recapture of certain health care subsidies received by high-income individuals. Transfers such amounts to the Supplemental Medical Insurance Trust Fund. (Sec. 7141) Requires certain shareholders of S corporations and limited partners who materially participate in corporate activities to include their share of income or loss from such corporation when determining net earnings from self-employment. (Sec. 7142) Provides for extending Medicare coverage and applying the hospital insurance tax to all State and local government employees. Subtitle B: Tax Treatment of Employer-Provided Health Care - Provides exceptions to the exclusion of employer-provided contributions to an accident or health plan from the gross income of an employee. (Sec. 7202) Prohibits the provision of health benefit under cafeteria plans. (Sec. 7203) Makes permanent the deduction for health insurance costs of self-employed individuals. Increases such deduction to 100 percent of the basic coverage purchased from a health alliance with limitations. Subtitle C: Employment Status Provisions - Requires the Secretary of the Treasury to prescribe regulations defining an employee for employment tax purposes. (Sec. 7302) Increases the penalty for failure to file correct returns involving payments for services. (Sec. 7303) Sets forth rules to limit retroactive employment tax reclassifications. Subtitle D: Tax Treatment of Funding of Retiree Health Benefits - Requires additional reserves for post-retirement medical and life insurance benefits to cover not less than ten years of the working lives of covered employees and to be maintained as separate accounts. (Sec. 7402) Terminates the authority of pension plans to maintain health benefits accounts. Subtitle E: Coordination with COBRA Continuing Care Provisions - Repeals provisions concerning continuation coverage requirements of group health plans upon implementation of this Act. Subtitle F: Tax Treatment of Organizations Providing Health Care Services and Related Organizations - Provides for the tax treatment of charitable organizations providing health care services, insurance provided by health maintenance organizations, and certain private foundations. (Sec. 7602) Sets forth transitional rules for taxing certain organizations providing health insurance and other prepaid health care services as insurance companies other than life insurance companies. (Sec. 7603) Exempts regional alliances from income tax. Subtitle G: Tax Treatment of Long-term Care Insurance and Services - Treats qualified long-term care services as medical care for purposes of the medical expense deduction. (Sec. 7702) Provides for the treatment of long-term care insurance as accident and health insurance. (Sec. 7703) Allows accelerated death benefits under life insurance contracts to be paid to terminally ill individuals. Subtitle H: Tax Incentives for Health Service Providers - Allows a tax credit for certain qualified individuals who provide primary health services full time in a health professional shortage area. (Sec. 7802) Increases the allowable depreciation deduction for expensing certain medical equipment. Subtitle I: Miscellaneous Provisions - Allows a tax credit for the cost of personal assistance services required by an employed individual who for medical reasons is unable to engage in substantial gainful activity. (Sec. 7902) Denies tax-exempt status for private activity bonds of regional alliances, corporate alliances, or guaranty funds established under this Act. Title VIII: Health and Health-Related Programs of the Federal Government - Subtitle A: Military Health Care Reform - Directs the Secretary of Defense to establish one or more uniformed services health plans in order to provide health care services to members of the armed forces on active duty for 30 or more days as well as their covered beneficiaries. Requires conformity of such plans with health plan requirements set forth in this Act. (Sec. 8001b) Allows any such plan to rely upon the use of military health care facilities, supplemented by civilian health care providers or health plans under agreements entered into by the Secretary. Requires at least the items and services in the comprehensive benefit package under this Act to be included in each such plan. Preempts any conflicting State health plan requirements. Provides for plan enrollment, effect of failure to enroll, and choosing between a uniformed services health plan and other available plans. Prohibits the imposition of plan charges to an active-duty member other than subsistence charges, but allows the Secretary to impose limited charges for covered beneficiaries. Establishes in the Department of Defense a financial account for payments received in connection with a uniformed services health plan, allowing such funds to be used only for purposes directly related to the delivery and financing of health care services under this Subtitle. Subtitle B: Department of Veterans Affairs - Allows each veteran who is an eligible individual under this Act and individuals currently enrolled in a health plan under the Civilian Health and Medical Program of the Uniformed Services (CHAMPUS) to be enrolled with a Department of Veterans Affairs (VA) health plan. Requires conformity of such plans with health plan requirements set forth in this Act, with all the items and services of the comprehensive benefit package under this Act included. Allows such plans to offer supplemental health benefits and cost-sharing policies as consistent with this Act. Provides a limitation with regard to veterans enrolled with health plans outside the VA. Prohibits the imposition of any plan enrollment charges upon service-connected disabled veterans, veterans receiving disability compensation from the VA, former prisoners of war, and veterans unable to defray the costs of such care. Allows the Secretary of Veterans Affairs to establish plan charges for other veterans. Deems a VA facility to be a Medicare provider for purposes of any program administered by the Secretary of Health and Human Services. Allows for the recovery of certain care and services provided under a VA plan in the case of an individual who has coverage under another plan. Establishes in the Treasury the Department of Veterans Affairs Health Plan Fund to be used for VA health plan payments and services. Preserves existing benefits for VA facilities not operating within a health plan certified under this Act. (Sec. 8102) Directs the Secretary of Veterans Affairs to organize health plans and operate VA facilities as, or within, health plans under this Act. Preempts existing State health plan standards or requirements. Authorizes the Secretary to contract for the provision of services by a VA health plan when cost-effective, or to share resources with other health care plans, providers, or organizations. Authorizes appropriations to the VA for FY 1995 through 1997 for VA health plans under this Subtitle, subject to availability of appropriations. Requires a report from the Secretary to the Congress concerning the operation of the VA health care system within the requirements of this Act. Authorizes the Secretary to accept and use grants for health care services provided to special populations if used by the VA while operating under a VA health plan. Subtitle C: Federal Employees Health Benefits Programs - (Secs. 8202 through 8204) Provides for termination of the Federal Employees Health Benefits Program (FEHB) and treatment of Federal employees, annuitants, and other individuals (including those residing abroad) who would otherwise have been eligible for FEHBP under this Act's health plans. Subtitle D: Indian Health Service - Makes qualifying Indians eligible to enroll in a comprehensive benefits health program of the Indian Health Service. (Sec. 8303) Authorizes appropriations for supplemental Indian health care benefits. (Sec. 8305) Exempts tribal governments and organizations from making employer payments. (Sec. 8306) Sets forth provisions regarding health service to non-enrollees and non-Indians. (Sec. 8311) Requires each health program of the Indian Health Service to establish a comprehensive benefit package fund. (Sec. 8313) Authorizes appropriations for the Indian Health Service programs. Subtitle E: Amendments to the Employee Retirement Income Security Act of 1974 - Amends the Employee Retirement Income Security Act of 1974 (ERISA) to revise and limit the coverage of group health plans under ERISA. Makes certain ERISA provisions inapplicable with respect to State-certified health plans. Provides for an exception from ERISA civil action provisions where review is otherwise available under the Health Security Act (this Act, HSA). (Sec. 8402) Establishes ERISA requirements for expeditious reporting and disclosure applicable to group health plans, through special rules consistent with ERISA and HSA purposes. Excludes plans maintained by regional alliances from treatment as multiple employer welfare arrangements. (Sec. 8403) Revises certain ERISA provisions relating to continuation coverage under group health plans. Repeals such provisions upon implementation of HSA. (Sec. 8404) Makes ERISA standards for group health plans regarding: (1) cases of adoption applicable except to the extent otherwise provided in regulations of the National Health Board under HSA; and (2) coverage of pediatric vaccines inapplicable to a group health plan upon its becoming a corporate alliance health plan under HSA. (Sec. 8405) Requires group health plans under ERISA to comply with HSA requirements relating to health plan claims procedure. Subtitle F: Special Fund for WIC Program - Authorizes appropriations through FY 2000 for the special supplemental food program for women, infants, and children under the Child Nutrition Act of 1966. Title IX: Aggregate Government Payments - Subtitle A: Aggregate State Payments - Sets forth provisions which have formulas for determining each participating State's payment to regional alliances within the State. Provides two different formulas. Establishes one payment formula for non-cash assistance recipients. Establishes another formula relating to cash assistance recipients. Defines a non-cash assistance adult as an individual who is: (1) over 21 years; (2) a U.S. citizen or lawful alien; and (3) is not an AFDC or SSI recipient or a Medicare-eligible individual. (Sec. 9022) Directs the National Health Board to review appropriateness of such payments. Subtitle B: Aggregate Federal Alliance Payments - Sets forth the formula for determining Federal payments to regional alliances for cash assistance recipients. (Sec. 9102) States that this section constitutes budget authority in advance of appropriation Acts and obligates the Federal Government to provide for the payment to regional alliances of a capped Federal alliance payment amount. Defines "capped Federal alliance payment amount." Subtitle C: Borrowing Authority to Cover Cash-flow Shortfalls - Authorizes the Secretary to make available loans to regional alliances to cover any period of temporary cash-flow shortfall attributable to: (1) any estimation discrepancy; (2) a period of temporary cash-flow shortfall attributable to an administrative error; or (3) a period of temporary cash-flow shortfall relating to the relative timing during the year in which amounts are received and payments are required. Sets forth loan terms and conditions. Title X: Coordination of Medical Portion of Workers Compensation and Automobile Insurance - Subtitle A: Workers Compensation Insurance - Requires each health plan that provides services to enrollees through participating providers to make arrangements to provide workers compensation to such enrollees. (Sec. 10002) Requires each workers' compensation carrier that is liable for payment for workers' compensation services furnished by or through a health plan, regardless of whether or not the services are included in the comprehensive benefit package, to make payment for such services. (Sec. 10011) Sets forth requirements for participating States. (Sec. 10031) Authorizes demonstration projects in one or more States with respect to the treatment of work-related injuries and illnesses. Subtitle B: Automobile Insurance - Requires an individual entitled to automobile insurance medical benefits and enrolled in a health plan to receive automobile insurance medical services through the provision of such services by the health plan. (Sec. 10102) Requires each automobile insurance carrier that is liable for payment for automobile insurance medical services furnished by or through a health plan, regardless of whether or not the services are included in the comprehensive benefit package, to make payment for such services. (Sec. 10111) Requires each participating State to develop a fee schedule applicable to payment for automobile insurance medical services for which a fee is not included in the applicable fee schedule. Subtitle C: Commission on Integration of Health Benefits - Establishes the Commission on Integration of Health Benefits which shall study and report on the feasibility and appropriateness of transferring financial responsibility for all medical benefits, including those currently covered by workers compensation and automobile insurance, to health plans. Authorizes appropriations. Subtitle D: Federal Employees' Compensation Act - Requires the Federal Employees' Compensation Act to be interpreted and administered consistent with the provisions of subtitle A. Subtitle E: Davis-Bacon Act and Service Contract Act - Amends the Davis-Bacon Act and the Service Contract Act of 1965 to require Health Security Act benefits. Subtitle F: Effective Dates - Sets forth effective date provisions. Title XI: Transitional Insurance Reform - Sets forth transitional provisions concerning: (1) enforcement; (2) preservation of current coverage; (3) restrictions on premium increases during transition; (4) portability requirements; (5) restrictions limiting benefit reductions; and (6) the establishment of the National Transitional Health Insurance Risk Pool.
United States · United States Congress · 20 November 1993
Domestic Chemical Diversion Control Act of 1993 - Amends the Comprehensive Drug Abuse Prevention and Control Act of 1970 (Comprehensive Act) to: (1) replace references to "listed precursor chemicals" with "list I chemicals" and "listed essential chemicals" with "list II chemicals"; and (2) revise the definitions of "regulated person" (to include individuals who act as brokers or traders for international transactions involving a listed chemical, tableting machine, or encapsulating machine) and "regulated transaction" (to include international transactions involving shipment of a threshold amount of a listed chemical and to exclude specified transactions). (Sec. 2) Removes the exemption for products in which ephedrine is the only active medicinal ingredient in therapeutic amounts. Permits the Attorney General to remove the exemption for other drugs containing listed chemicals if it is determined that they are being diverted for use in the illicit production of a controlled substance, with exceptions. (Sec. 3) Provides registration requirements for list I chemicals, including the authority to revoke or deny based on public interest grounds, immediate suspension in cases of imminent danger to the public health or safety, and criminal penalties for distribution, importation, or exportation without the required registration. (Sec. 4) Makes any person located in the United States who is a broker or trader for an international transaction in a listed chemical that is a regulated transaction solely because of that person's involvement as broker or trader with respect to such transaction subject to all of the notification, reporting, recordkeeping, and other requirements placed upon exporters of listed chemicals by the Comprehensive Act. Sets penalties for knowingly or intentionally importing or exporting a listed chemical in violation of the registration requirements. (Sec. 5) Authorizes the Attorney General to reduce controls on the importation of specified chemicals by modifying or eliminating the advance notice requirement. Adds specific criminal penalties for: (1) attempting to evade reporting requirements by falsely claiming that a shipment is destined for a country for which a waiver has been established; and (2) smuggling of listed chemicals. (Sec. 6) Makes provisions of the Comprehensive Act regarding administrative inspections, forfeiture, and threshold amounts of substances applicable to listed chemicals, as well as to controlled substances. (Sec. 8) Amends list I to add benzaldehyde and nitroethane, and delete D-lysergic acid, N-ethylephedrine, and N-ethylpseudoephedrine. (Sec. 9) Eliminates "regular supplier" status and creates "regular importer" status. (Sec. 10) Requires each regulated person that manufactures a listed chemical to report annually to the Attorney General information concerning listed chemicals manufactured by such regulated person.
United States · United States Congress · 20 November 1993
Investment Competitiveness Act of 1993 - Amends the Internal Revenue Code to exempt interest-related dividends received from a regulated investment company from the 30 percent tax on the income of nonresident aliens and foreign corporations not connected with U.S. business. Provides exceptions. Provides for determining taxable estate stock of nonresident non-citizens in regulated investment companies. Applies the special rules for real estate investment trusts on the disposition of investment in U.S. real property to regulated investment companies.
United States · United States Congress · 19 November 1993
TABLE OF CONTENTS: Title I: Eligible Shareholders of S Corporation Subtitle A: Number of Shareholders Subtitle B: Persons Allowed as Shareholders Subtitle C: Other Provisions Title II: Qualification and Eligibility Requirements for S Corporations Subtitle A: One Class of Stock Subtitle B: Elections and Terminations Subtitle C: Other Provisions Title III: Taxation of S Corporation Shareholders Title IV: Effective Date S Corporation Reform Act of 1993 - Title I: Eligible Shareholders of S Corporation - Subtitle A: Number of Shareholders - Amends the Internal Revenue Code to increase from 35 to 50 the maximum number of shareholders of an S corporation (small business corporation). Allows members of a family to be treated as one shareholder. Subtitle B: Persons Allowed as Shareholders - Allows the following entities to be shareholders of S corporations: (1) certain tax-exempt organizations; (2) financial institutions that do not use the reserve method of accounting for bad debts; (3) nonresident aliens; and (4) certain small business trusts. Subtitle C: Other Provisions - Extends the post-death qualification for certain trusts to be permitted as shareholders from 60 days to two years. Title II: Qualification and Eligibility Requirements for S Corporation - Subtitle A: Once Class of Stock - Allows an S corporation to issue qualified preferred stock. Permits financial institutions to hold safe harbor debt. Subtitle B: Elections and Terminations - Revises the rules on inadvertent terminations by certain trusts of the election to be an S corporation. Authorizes the Secretary of the Treasury to treat certain late elections as timely and to provide an automatic waiver procedure for certain inadvertent terminations. Expands the post-termination transition period until 120 days after a determination is made that the election had terminated in a prior year. Repeals excessive passive investment income as a termination event. Increases the tax imposed on such excessive income. Subtitle C: Other Provisions - Permits an S corporation to own more than 80 percent of another corporation's stock. Repeals the requirement that partnership rules apply for fringe benefit purposes (making C corporation rules applicable). Provides for the treatment of distributions during loss years. Provides a consent dividend for S corporation elections to by-pass amounts in the accumulated adjustments account when making distributions. Eliminates the need to keep records of certain generally small amounts of earnings arising before 1983. Allows S corporations to make charitable contributions of inventory and scientific property. Title III: Taxation of S Corporation Shareholders - Treats losses on liquidations of S corporations as ordinary to the extent the loss created by ordinary income pass-through triggered the liquidation. Title IV: Effective Date - Makes this Act effective after December 31, 1993.
United States · United States Congress · 19 November 1993
Equitable Escheatment Act of 1993 - Amends specified Federal law to prescribe guidelines under which unclaimed distributions of security interests shall be subject to the custodial taking (escheatment) by the State which contains the principal executive offices of either the issuer or the holder of those securities.
United States · United States Congress · 17 November 1993
Anti-Money Laundering Act of 1993 - Amends Federal law to prescribe guidelines for both mandatory and discretionary exemptions from monetary transaction reporting requirements for depository institutions. Directs the Secretary of the Treasury (the Secretary) to: (1) submit an annual status report to the Congress on the consequent reduction in the overall number of currency transaction reports; (2) streamline currency transaction reports of little value for law enforcement purposes; and (3) assign a single designee to receive reports of suspicious transactions. Directs the Comptroller of the Currency and the Board of Governors of the Federal Reserve System to each establish a pilot program to test the feasibility of using their own examiners to identify money laundering schemes involving depository institutions under their purview. Includes negotiable instruments drawn on foreign banks within the purview of monetary transactions subject to Federal recordkeeping and reporting requirements. Empowers Federal banking agencies to assess civil money penalties. Expresses the sense of the Congress that the States should: (1) establish uniform laws for licensing and regulating businesses which, although not depository institutions, engage in currency transactions; (2) provide sufficient resources for regulatory enforcement; and (3) develop a model statute to implement the regulatory scheme. Directs the Secretary to study and report to the Congress on the States' progress towards developing a model statute. Sets forth Federal registration requirements for money transmitting businesses. Establishes civil and criminal penalties for violation of such requirements. Requires the Secretary to study and report to the Congress on cashiers' checks in association with: (1) money laundering schemes; and (2) the need for additional recordkeeping requirements.
United States · United States Congress · 17 November 1993
Domestic Chemical Diversion Control Act of 1993 - Amends the Controlled Substances Act to remove ephedrine products from the legal drug exemption of the Chemical Diversion and Trafficking Act (which currently precludes the application of any of the regulatory control measures of such Act to a listed chemical which is contained in a drug product approved under the Federal Food, Drug, and Cosmetic Act). Directs the Attorney General to remove from exemption any other drug products which are being diverted to use in the illicit production of controlled substances. Establishes a registration system for distributors, importers, and exporters of listed chemicals which are diverted within the United States. Directs the Attorney General to register an applicant to distribute, and to import or export, a list I (currently, listed precursor) chemical unless the Attorney General determines that registration of the applicant is inconsistent with the public interest, based on specified criteria. Amends the Controlled Substances Import and Export Act to set penalties for knowingly or intentionally importing or exporting a listed chemical in violation of such registration requirements. Makes provisions of the Controlled Substances Act regarding administrative inspections and authority, forfeiture, and threshold amounts of substances applicable to listed chemicals, as well as to controlled substances. (Currently only the latter are covered by such provisions.)
United States · United States Congress · 10 November 1993
Innovative Ballast Management Act - Directs the Secretary of Transportation to study, identify, and conduct a demonstration program utilizing ballast water technologies that prevent aquatic nonindigenous species from being introduced and spread through ballast water in the Great Lakes and other U.S. waters. Authorizes appropriations.
United States · United States Congress · 8 November 1993
TABLE OF CONTENTS: Title I: Federal Banking Commission Title II: Abolition of Federal Banking Agencies Regulatory Consolidation Act of 1993 - Title I: Federal Banking Commission - Establishes the Federal Banking Commission (the Commission) as an independent agency in the executive branch. Transfers to the Commission all functions vested in: (1) the Comptroller of the Currency for the regulation of national banks; (2) the Director of the Office of Thrift Supervision for the regulation of savings associations and savings and loan holding companies; (3) the Board of Governors of the Federal Reserve System for certain banking activities; (4) the Federal Deposit Insurance Corporation for the regulation of State nonmember banks (excluding insurance-related functions); and (5) the Federal Financial Institutions Examination Council for the conduct of schools for bank examiners. Directs the Secretary of the Treasury (the Secretary) to designate a single calendar date by which to complete the transfer of functions. Expresses the sense of the Senate that the initial Commission appointments by the President be completed within a specified deadline. Grants the Federal Reserve Board access to the Commission's records. Title II: Abolition of Federal Banking Agencies - Abolishes the office and the position of: (1) Comptroller of the Currency; (2) Office of Thrift Supervision; and (3) the Federal Financial Institutions Examination Council. Amends the Federal Financial Institutions Examination Council Act of 1978 to redesignate the Appraisal Subcommittee as the Appraisal Committee.
United States · United States Congress · 18 October 1993
TABLE OF CONTENTS: Title I: Establishment of New Independent Agency Title II: Conforming Amendments and Rules of Construction Social Security Administration Independence Act of 1993 - Title I: Establishment of New Independent Agency - Amends title VII (Administration) of the Social Security Act (SSA) to establish an independent Social Security Administration, headed by a Commissioner, to administer the Old Age, Survivors and Disability Insurance (OASDI) program and the Supplemental Security Income program under SSA titles II and XVI. Establishes a Social Security Advisory Board to advise the Commissioner on policies related to such programs. Transfers to the Administration all functions carried out by the Secretary of Health and Human Services (HHS) pertaining to such programs. Authorizes appropriations. Title II: Conforming Amendments - Makes conforming amendments to SSA and other Federal laws. Replaces the Advisory Council on Social Security with an Advisory Council on Hospital and Supplemental Medical Insurance. Sets forth rules of construction.
United States · United States Congress · 18 October 1993
American Jobs Protection Act - Requires employers to provide specified notice and employee benefits (including severance pay, continuation of health care benefits, reimbursement for retraining, training incentive payments, and accelerated eligibility for early retirement) to employees who are subject to a plant closing or mass layoff because their work is transferred to (or similar products are imported from) another country which has specified levels of lower wages or less effective employment standards for overtime compensation, child labor, and employee safety. Prohibits employers who do not provide such notice and benefits, except in cases of national security, from entering into a contract with the United States for provision of products or services involved in the work transfer or substantially similar products or services. Provides for enforcement of this Act by: (1) investigative and administrative actions and actions for injunctions by the Secretary of Labor; and (2) civil actions by employees, local governments, States, and the Secretary. Requires employers to post notice concerning this Act and the filing of a charge. Authorizes civil fines for violations.
United States · United States Congress · 14 October 1993
World Summit for Children Implementation Act of 1993 - Expresses the sense of the Congress that specified amounts should be appropriated for FY 1994 and 1995 to achieve full participation in the special supplemental food program for women, infants, and children under the Child Nutrition Act (WIC program) and the Head Start program. Amends the Foreign Assistance Act of 1961 to authorize appropriations for FY 1994 and 1995 for contributions to the United Nation's Children's Fund and for the Child Survival Fund. Expresses the sense of the Congress that authority should be granted to the President to exercise specified debt forgiveness for least developed countries that are pursuing economic policy reforms to promote long-term development. Earmarks development assistance funds for FY 1994 and 1995 for the Vitamin A Deficiency Program. Authorizes additional appropriations for FY 1994 and 1995 for: (1) iodine and iron fortification programs; and (2) prevention, care, and control programs related to human immunodeficiency virus (HIV) and acquired immune deficiency syndrome (AIDS) in developing countries. Earmarks development and economic assistance funds for FY 1994 and 1995 for programs in support of basic education. Authorizes additional appropriations for FY 1994 and 1995 for population assistance activities. Expresses the sense of the Congress that specified amounts should be appropriated for FY 1994 and 1995 for migration and refugee assistance. Directs the Secretary of the Treasury to instruct the U.S. Executive Director of the World Bank to: (1) ensure that poverty reduction and support of basic human needs become a higher priority within the Bank; (2) ensure that the majority of water and sanitation projects fall within targeted interventions against poverty; and (3) increase the proportion of total Bank lending which supports primary health care and basic education, with a minimum of five percent of total lending devoted to each area. Requires the President to call upon other governments to provide their share of resources required to achieve the World Summit for Children goals by the year 2000.
![Official portrait of Sen. Riegle, Donald W., Jr. [D-MI]](https://www.congress.gov/img/member/r000249_200.jpg)