United States · United States Congress · 25 February 1999
Medicare Rehabilitation Benefit Improvement Act of 1999 - Amends title XVIII (Medicare) of the Social Security Act to provide certain Medicare beneficiaries with an exemption to the financial limitations imposed on physical, speech-language pathology, and occupational therapy services under Medicare part B (Supplementary Medical Insurance). Directs the Secretary of Health and Human Services to conduct a study of the specified effects of this Act for a report to Congress.
United States · United States Congress · 24 February 1999
State and Local Investment Opportunities Act of 1999 - Amends the Internal Revenue Code to increase the State ceiling on private activity bonds. Provides for inflation adjustment.
United States · United States Congress · 23 February 1999
Veterans' Equal Access to Medicare Act - Amends title XVIII (Medicare) of the Social Security Act to authorize the Secretaries of Health and Human Services (HHS) and Veterans Affairs (VA) (the administering Secretaries) to establish a demonstration project under which the HHS Secretary reimburses the VA Secretary for Medicare health care services furnished to certain veterans at a VA medical facility. Makes eligible for such services a veteran who has attained age 65, is entitled to Medicare benefits, and was enrolled for Medicare benefits on the date of enactment of this Act. Requires voluntary participation of eligible veterans under the demonstration program. Directs the administering Secretaries to establish a data matching program under which there is an exchange of information between HHS and VA to identify those entitled to such benefits. Allows the administering Secretaries to select up to ten demonstration sites in geographically dispersed sites for program participation. Requires at least one site to: (1) be near a base which was closed under a defense base closure law; and (2) serve a predominately rural population area. Requires the demonstration project to be conducted during the three-year period beginning on January 1, 2000. Authorizes the HHS Secretary to waive certain Medicare requirements in connection with the program. Requires the administering Secretaries to submit to the appropriate congressional committees a copy of the demonstration program agreement. Authorizes the VA Secretary to establish and operate up to four managed health care plans at demonstration sites. Requires such Secretary to submit to Congress a plan for the use of appropriate sites and entities. Requires certain certifications from the VA Inspector General before a plan may be implemented. Directs the HHS Secretary to reimburse the VA Secretary for demonstration project services at specified rates. Provides for such payments from Medicare trust funds, with an annual limit of $50 million. Authorizes the reduction of such reimbursement payments for VA failure to maintain its effort level for targeted veterans. Directs the administering Secretaries to closely monitor the expenditures made under the Medicare program for targeted veterans during the period of the demonstration project compared to expenditures that would have been made for such veterans if the demonstration project had not been conducted. Requires: (1) an annual report by the Comptroller General during each year of the demonstration project; (2) the administering Secretaries to take certain steps in the case of increased costs under the demonstration project and arrange for an independent evaluation of the project; (3) annual reports from such independent entity during the demonstration project period; and (4) a report from the administering Secretaries on the possibility of extending the demonstration project, making it permanent, or expanding it to cover additional demonstration sites.
United States · United States Congress · 22 February 1999
Requests that the U.S. Postal Service issue a commemorative postage stamp honoring the 100th anniversary of the founding of the Veterans of Foreign Wars of the United States.
United States · United States Congress · 12 February 1999
Designates the week of March 21 through March 27, 1999, as National Inhalants and Poisons Awareness Week. Encourages parents to learn about the dangers of inhalant abuse and to discuss those dangers with their children.
United States · United States Congress · 12 February 1999
Declares that the Senate censures President William Jefferson Clinton and condemns his conduct. Urges that future Congresses recognize the importance of allowing this statement of censure and condemnation to remain intact for all time. Resolves that the Senate now move on to other matters, reconcile differences between and within the branches of government, and work together for the benefit of the American people.
United States · United States Congress · 11 February 1999
Amends the Federal criminal code to set penalties to be imposed against anyone who uses force or threatens to use force against any Federal officer or agency and who seizes or detains a child in order to: (1) evade arrest or obstruct justice; or (2) compel any Federal agency to take or abstain from any act.
United States · United States Congress · 11 February 1999
Crime Control Act of 1999 - Amends the Federal criminal code to provide mandatory minimum terms of imprisonment for persons prosecuted in State courts for violent and drug trafficking crimes involving a firearm. Prohibits probation, suspension of sentence, concurrent sentencing, or early release for such persons. Makes this Act inapplicable to certain persons found to have committed a criminal act while acting in defense of a person or property during the course of a crime being committed by another person. Directs the Attorney General to: (1) give due deference to the interest that a State or local prosecutor has in prosecuting a person under State law; and (2) implement and enforce regulations which mandate prison work for all able-bodied inmates in Federal penal and correctional institutions and which prohibit the provision by the Government of television, radio, telephone, stereo, or similar amenities in the cell of any inmate.
United States · United States Congress · 11 February 1999
Designates the week beginning April 30, 1999, as National Youth Fitness Week. Urges parents, families, caregivers, and teachers to encourage and help youth to participate in athletic activities and to teach adolescents to engage in healthy lifestyles.
United States · United States Congress · 11 February 1999
Expresses the sense of the Senate that: (1) in authorizing medical facility projects and leases for the Department of Veterans Affairs, the Congress should authorize projects that are designed specifically for treating veterans with Alzheimer's disease and conducting related research; (2) the Secretary of Veterans Affairs should encourage innovation by Department health care personnel in treating veterans with such disease; and (3) the Secretary should consider and facilitate the sharing of information on such disease among Department facilities and personnel.
United States · United States Congress · 10 February 1999
Program for Investment in Microentrepreneurs Act of 1999 - Amends the Reigle Community Development and Regulatory Improvement Act of 1994 to add to title I a new subtitle C, which may be cited as the Program for Investment in Microentrepreneurs Act of 1999. Directs the Administrator of the Community Development Financial Institutions Fund to establish a microenterprise technical assistance and capacity building program to provide Fund grants to qualified non profit organizations to: (1) provide training and technical assistance to disadvantaged entrepreneurs; (2) provide training and capacity building services to help microenterprise development organizations and programs develop microenterprise training and services; and (3) aid in researching and developing the best practices in the field of microenterprise and technical assistance programs for disadvantaged entrepreneurs. Sets forth an allocation formula for such assistance and for grants benefitting very low-income persons, including those residing on Indian reservations. Authorizes a qualified organization to provide subgrants to small and emerging microenterprise entities. Mandates matching funds from non-Federal sources. Authorizes appropriations.
United States · United States Congress · 8 February 1999
Amends the Internal Revenue Code to revise provisions concerning distributions from State tuition programs to provide for the exclusion from gross income of distributions used for the payment of qualified higher education expenses.
United States · United States Congress · 8 February 1999
Expresses: (1) condolences to the family of King Hussein and to all the people of Jordan; (2) admiration for King Hussein's enlightened leadership and gratitude for his support for peace throughout the Middle East; and (3) support and best wishes for the new government of Jordan under King Abdullah. Reaffirms the U.S. commitment to strengthening the vital relationship between our two governments and peoples.
United States · United States Congress · 6 February 1999
Airline Passenger Fairness Act - Amends Federal aviation law to revise provisions prohibiting an air carrier, foreign air carrier, or ticket agent from engaging in unfair or deceptive practices or unfair methods of competition in air transportation to include within the definition of such prohibited practices an air carrier's failure to: (1) inform a ticketed passenger, upon request, whether the flight on which the passenger is ticketed is oversold; (2) permit a passenger holding a confirmed reserved space on a flight to use portions of that passenger's ticket for travel, rather than the entire ticket, regardless of the reason any other portion of the ticket is not used; (3) deliver a passenger's checked baggage within 24 hours after the arrival of the flight on which the passenger traveled and on which the passenger checked the baggage, except for reasonable delays in delivery of such baggage; (4) provide a consumer full access to all fares for that air carrier, regardless of the technology the consumer uses to access the fares if such information is requested by that consumer; (5) provide notice to each passenger holding a confirmed reserved space on a flight with reasonable prior notice when a scheduled flight will be delayed for any reason (other than reasons of national security); (6) inform passengers accurately and truthfully of the reason for the delay, cancellation, or diversion of a flight; (7) refund the full purchase price of an unused ticket if the passenger requests a refund within 48 hours after the ticket is purchased; and (8) disclose to consumers information that would enable them to make informed decisions about the comparative value of frequent flyer programs among airlines.
United States · United States Congress · 4 February 1999
Open-market Reorganization for the Betterment of International Telecommunications Act - Amends the Communications Satellite Act of 1962 to require COMSAT (the Communications Satellite Corporation), as the sole U.S. signatory to INTELSAT (the International Telecommunications Satellite Organization), to act as an advocate of pro-competitive privatization of INTELSAT, and to exercise its voting rights consistent with such mission. Requires annual reports from COMSAT to specified congressional committees. Prohibits INTELSAT from entering the U.S. satellite communications services or space segment capacity markets prior to achieving pro-competitive privatization as certified by the President. Outlines specified services provided by INTELSAT that shall not be authorized in the United States by the Federal Communications Commission (FCC) until the President makes such certification. Directs the President to secure a pro-competitive privatization of INTELSAT as soon as practicable, but no later than January 1, 2002. Directs the FCC to: (1) apply a presumption in favor of entry to an affiliate of IGO (Intergovernmental Satellite Organizations, which are made up of INTELSAT and INMARSAT (the International Maritime Satellite Organization)) licensed by a World Trade Organization (WTO) member for services covered by U.S. commitments under the WTO Basic Telecom Agreement; (2) attach necessary conditions to any grant of authority to such an affiliate that raises the potential for competitive harm; and (3) deny, in exceptional cases, the application of such an affiliate when it poses a very high risk to competition in the U.S. satellite market. Outlines procedures for INTELSAT privatization certification by the President. Provides for FCC review of certain related license applications. Requires the President, if privatization is not achieved by the required date, to: (1) determine whether additional measures should be implemented to ensure such privatization; and (2) report such measures to specified congressional committees. Eliminates certain governmental privileges and immunities held by COMSAT as the U.S. representative to INTELSAT, with exceptions. Requires all satellite system operators authorized to access the U.S. market to make efficient and timely use of orbital and spectrum resources to ensure that such resources are not warehoused to the detriment of other new or existing satellite system operators. Prohibits any Government preference in the procurement of telecommunications satellite services provided by INTELSAT. Prohibits the FCC from assigning by competitive bidding orbital locations or spectrum used for the provision of international or global satellite communications services. Amends the International Maritime Satellite Telecommunications Act to authorize the President, in order to ensure the continued provision of global maritime distress and safety satellite telecommunications services after the privatization of INMARSAT, to maintain U.S. membership in the International Mobile Satellite Organization.
United States · United States Congress · 4 February 1999
Declares that: (1) the final political status of the territory controlled by the Palestinian Authority can only be determined through negotiations and agreement between Israel and the Palestinian Authority; (2) any attempt to establish Palestinian statehood outside the negotiating process will invoke the strongest congressional opposition; and (3) the President should unequivocally assert U.S. opposition to the unilateral declaration of a Palestinian state.
United States · United States Congress · 3 February 1999
Amends the Animal Welfare Act to eliminate the provision permitting interstate movement of live fighting birds if the fighting venture is to take place in a State allowing such fights.
United States · United States Congress · 3 February 1999
National Oilheat Research Alliance Act of 1999 - Authorizes the oilheat industry to conduct a referendum through a qualified industry organization among retailers and wholesalers for the creation of a National Oilheat Research Alliance to develop programs concerning oilheat research and development, safety issues, consumer education, and training. Defines "oilheat industry" to include those persons involved in the production, transportation, and sale of oilheat, and those engaged in the manufacture and distribution of oilheat utilization equipment in the United States (but excludes the ultimate consumers of oilheat). Permits State industry trade association participation in such Alliance. Prescribes guidelines for Alliance membership and representation. Requires the Alliance to: (1) levy and collect annual assessments on the wholesale sale of No. 1 distillate and No. 2 dyed distillate; and (2) establish a program coordinating its operation with that of any similar State, local, or regional program. Prescribes allocation guidelines governing Alliance funds made available to a qualified State association. Conditions fund availability upon the Alliance's determination that the funds will be used to benefit the oilheat industry directly. Empowers the Alliance to bring suit in Federal district court to compel compliance with any assessments it levies. Mandates that Alliance-funded consumer education activities include a statement that they were supported by the Alliance. Prohibits such consumer education activities from including: (1) a reference to a private brand name if such activities were undertaken with funds derived from Alliance assessments; (2) a false or unwarranted claim on behalf of oilheat or related products; or (3) a reference regarding the attributes or use of any competing product. Prescribes procedural guidelines for the filing and transmittal of complaints, including judicial review in Federal court.
United States · United States Congress · 3 February 1999
Self-Employed Health Insurance Fairness Act of 1999 - Amends the Internal Revenue Code to allow a deduction for 100 percent of a self-employed individual's health insurance costs for himself or herself, spouse, and dependents, unless such individual participates in an employer-maintained health plan. (Current law provides for a phased-in 100 percent deduction and disallowance upon participation eligibility.)
United States · United States Congress · 3 February 1999
Independent Contractor Simplification and Relief Act of 1999 - Amends the Internal Revenue Code to set forth criteria for determining whether a service provider and a service recipient are in an employer-employee or an independent contractor relationship. Amends the Revenue Act of 1978, as amended by the Tax Reform Act of 1986 to repeal the prohibition on treating certain technical service providers as independent contractors.
United States · United States Congress · 28 January 1999
TABLE OF CONTENTS: Title I: Expanded Availability of Health Care Services Title II: Ticket to Work and Self-Sufficiency and Related Provisions Subtitle A: Ticket to Work and Self-Sufficiency Subtitle B: Elimination of Work Disincentives Subtitle C: Work Incentives Planning, Assistance, and Outreach Title III: Demonstration Projects and Studies Title IV: Technical Amendments Work Incentives Improvement Act of 1999 - Title I: Expanded Availability of Health Care Services - Amends title XIX (Medicaid) of the Social Security Act (SSA) to provide for expanding State options under Medicaid for workers with disabilities, namely by creating State options to eliminate income, assets, and resource limitations for workers with disabilities who buy into Medicaid and to expand opportunities for such workers to make such a buy. Provides that Federal funds paid to a State for medical assistance provided to certain working disabled individuals must be used to supplement but not supplant the level of State funds expended as of FY 1999 for programs to enable working disabled individuals to work. (Sec. 102) Provides for certain continuation of Medicare coverage for working individuals with disabilities. (Sec. 103) Directs the Secretary of Health and Human Services to: (1) award grants to eligible States to support establishment of State infrastructures to support the working disabled as well as to enable State outreach campaigns on infrastructure existence; and (2) submit a recommendation to specified congressional committees on whether such grant program should be continued after FY 2010. Authorizes appropriations. (Sec. 104) Authorizes State demonstration projects for certain Medicaid coverage of up to a specified maximum number of workers with a potentially severe disability, coverage equal to that afforded under the State option provided for above for eliminating income, assets, and resource limitations for disabled workers buying into Medicaid. Authorizes appropriations. Title II: Ticket to Work and Self-Sufficiency and Related Provisions - Subtitle A: Ticket to Work and Self-Sufficiency - Amends part A (General Provisions) of SSA title XI to direct the Commissioner to establish a Ticket to Work and Self-Sufficiency Program (TWSSP) under which a disabled beneficiary may use a TWSSP ticket issued by the Commissioner under a described system, designed to ensure quality assurance, to obtain employment, vocational rehabilitation services, or other support services, pursuant to an appropriate individual beneficiary work plan that meets specified requirements, at the Commission's expense, from a participating employment network, public or private, which: (1) meets specified qualifications and is under an agreement with the Commissioner who must select a program manager to assist in administering TWSSP; (2) is chosen by the beneficiary, and (3) is willing to accept assignment of the beneficiary's TWSSP ticket. Allows State agencies administering or supervising the administration of the State plan under title I of the Rehabilitation Act of 1973 to elect to participate as an employment network. Sets forth special requirements applicable to cross-referral to certain State agencies and requirements relating to provision of services. Describes employment network payment systems. Provides that during any period for which an individual is using a TWSSP ticket, the Commissioner and any applicable State agency may not initiate a continuing disability or similar review with regards to whether the individual is or is not disabled. Requires payments to employment networks to be made out of the social security trust funds in the case of ticketed SSA title II (Old Age, Survivors and Disability Insurance) (OASDI) disability beneficiaries who return to work, or from the appropriation made available for making Supplemental Security Income (SSI) payments under SSA title XVI, in the case of SSI disability beneficiaries who return to work. Provides for allocation of other costs. (Sec. 202) Establishes within the Social Security Administration the Work Incentives Advisory Panel to advise the Commissioner with respect to TWSSP, and other Federal officials on related issues. Provides that the costs for carrying out this paragraph shall be paid from amounts available for the administration of SSA titles II and XVI, and shall be allocated among those amounts as appropriate. Subtitle B: Elimination of Work Disincentives - Amends SSA title II to set forth a number of measures designed to eliminate work disincentives, namely prohibiting work activity as a basis for review of an individual's disability status and providing for expedited eligibility determinations for applications for disability benefits of former certain long-term disability beneficiaries that engaged in substantial gainful activity during a certain extended period following the end of a rehabilitation services trial work period. Subtitle C: Work Incentives Planning, Assistance, and Outreach - Amends SSA title XI part A (General Provisions) to direct the Commissioner to establish a community-based work incentives outreach program for disabled beneficiaries that includes the provision of technical assistance to organizations and entities that are designed to encourage disabled beneficiaries to return to work. Provides that the costs of carrying out this subtitle shall be paid from amounts made available for administration of SSA titles II and XVI, and shall be allocated among such amounts as appropriate. (Sec. 222) Amends SSA title XI to authorize the Commissioner to make certain minimum payments in each State to the protection and advocacy system established under the Developmental Disabilities Assistance and Bill of Rights Act for the purpose of providing services to disabled beneficiaries, services which may include advocacy or other services that such a beneficiary may need to secure or regain gainful employment. Provides for funding similar to that in he paragraph above. Title III: Demonstration Projects and Studies - Amends the Social Security Disability Amendments of 1980 to provide for an extension of disability insurance program demonstration project authority to include any group of applicants for benefits under such program with impairments that may reasonably be presumed to be disabling for purposes of such demonstration project. (Sec. 302) Directs the Commissioner to conduct certain demonstration projects designed to provide for specified reductions in disability insurance benefits based on earnings. Requires expenditures for such demonstration projects to come out of the social security and Medicare trust funds to the extent provided in advance in appropriation acts. (Sec. 303) Expresses the sense of the Congress that the Commissioner of Social Security and the Secretary of Health and Human Services should establish additional demonstration projects to assist individuals with disabilities to engage in work. (Sec. 304) Directs the Comptroller General to conduct and report to the Congress on various described studies concerning existing disability-related employment incentives and coordination of the OASDI disability insurance program and the SSI program as they relate to individuals entering or leaving concurrent entitlement under such programs, as well as on a study concerning the impact of the substantial gainful activity limit on return to work. Title IV: Technical Amendments - Amends the Contract with America Advancement Act of 1996 with respect to: (1) final adjudication of denied claims by drug addicts and alcoholics for SSA title II disability benefits; and (2) the effective dates of certain requirements concerning representative payees and treatment referrals for such individuals. (Sec. 402) Amends SSA title II to: (1) provide for payments to State and local prisons for monthly reports on the identities of inmates whose OASDI benefits are determined by the Commissioner not to be payable as a result of such reports; (2) provide for a 50 percent reduction in such payments under SSA titles II and XVI in cases involving a comparable payment under the other title with respect to the same prisoner; (3) exempt from the Privacy Act of 1974 any agreements with State and local prisons to supply such information; (4) transfer from the OASDI trust funds any sums necessary to enable the Commissioner to make such payments; (5) eliminate the requirement that confinement stem only from a crime punishable by imprisonment for more than one year (thus denying OASDI benefits to individuals confined for any criminal offense); and (6) provide for continued denial of benefits to sex offenders remaining confined to public institutions upon completion of prison term. (Sec. 403) Provides for a two-year open season for members of the clergy who wish to revoke their exemption from social security coverage. (Sec. 404) Amends SSA title XI to make a miscellaneous technical amendment relating to cooperative research or development projects under SSA titles II and XVI. (Sec. 405) Amends SSA title XI to make miscellaneous technical amendments to provisions concerning the requirements of State income and eligibility verification systems, among other changes allowing a State to permit certain employers that make returns with respect to domestic service employment taxes on a calendar year basis to instead make such reports on an annual basis.
United States · United States Congress · 28 January 1999
Makes veterans who have been awarded the Purple Heart eligible for veterans' hospital care and medical services. Provides such veterans with a priority in the veterans' system of annual patient enrollment.
United States · United States Congress · 27 January 1999
Small Business Year 2000 Readiness Act - Amends the Small Business Act to authorize the Small Business Administration (SBA), during the period ending on December 31, 2000, to: (1) guarantee loans made by eligible lenders to small businesses to address Year 2000 computer problems (Y2K problem), including repair and acquisition, consulting, and related expenses; and (2) provide relief for a substantial economic injury incurred by a small business as a direct result of Y2K problems. Provides loan amounts and administration participation limits. Requires an annual report from the SBA to the congressional small business committees on the loan guarantee program.
United States · United States Congress · 26 January 1999
Authorizes the Disabled Veterans' LIFE Memorial Foundation to establish a memorial on Federal land in the District of Columbia or its environs to honor disabled American veterans who have served in the U.S. armed forces. Prohibits Federal funds from being used to pay any expense of the establishment of the memorial.
United States · United States Congress · 26 January 1999
Amends the Internal Revenue Code to provide that a member of a uniformed service shall be treated as using property as a principal residence, for purposes of the exclusion of gain on the sale of a principal residence, while serving on qualified official extended duty.
United States · United States Congress · 22 January 1999
Federal Research Investment Act - Calls for Federal funding levels for fundamental, scientific, and pre-competitive engineering research to be increased to equal approximately 2.6 percent of the total annual Federal budget. Authorizes appropriations for civilian research and development (R&D) within specified agencies for FY 2000 through 2010. Directs the President to include with the annual budget request a report concerning Federal R&D program funding, future R&D strategies and targets, an analysis of funding levels across Federal agencies by funding methodology, and specific proposals for infrastructure development and R&D capacity building in States with less concentrated R&D resources. Requires the Director of the Office of Science Technology Policy to enter in an agreement with the National Academy of Sciences to conduct a comprehensive study to develop methods for evaluating federally-funded R&D programs. Requires the Director of the Office of Management and Budget (OMB), based on study results, to promulgate one or more alternative forms for Federal R&D performance goals. Permits an agency head to apply such an alternative form without further authorization by OMB. Requires agency heads carrying out R&D activities, upon updating a strategic plan, to describe the current and future use of methods for determining an acceptable level of R&D success as recommended by the study. Authorizes appropriations for the study. Requires the OMB Director, based upon program performance reports, to identify the civilian R&D program activities or components which do not meet an acceptable level of success as defined under current law. Directs the head of an agency, for each program activity or component identified as being below the acceptable level of success for two consecutive fiscal years, to: (1) submit to the appropriate congressional committees a concise statement of the steps necessary to bring such program into compliance with performance goals; or (2) terminate such program should compliance efforts fail. Requires the inclusion of any legislative changes needed to effectuate the steps contained in such statement.
United States · United States Congress · 22 January 1999
Patients' Bill of Rights Act - Title I: Patients' Bill of Rights - Subtitle A: Right to Advice and Care - Amends the Employee Retirement Income Security Act of 1974 (ERISA) to require a group health plan covering emergency medical care to provide coverage, without requiring preauthorization, for appropriate emergency medical screening examinations to the extent that a prudent layperson, possessing an average knowledge of health and medicine, would determine such examinations to be necessary to determine whether emergency medical care is necessary. (Sec. 101) Requires a plan to cover additional emergency medical services to stabilize an emergency medical condition following such an examination to the extent that a prudent emergency medical professional would determine such services to be necessary to avoid specified serious consequences. Requires a plan (other than a fully insured group health plan) providing benefit coverage only through a defined set of participating health care professionals to offer the option of point-of-service coverage (of the same benefits provided by a nonparticipating health care professional), unless the plan offers multiple issuer or coverage options. Exempts from this requirement any group health plan (other than a fully insured plan) of a small employer. Requires any plan offering gynecological, obstetric, or pediatric care not to require prior authorization from a participant's primary care provider if such provider is not a gynecologist, obstetrician, or pediatrician. Requires a plan to permit a participant or beneficiary undergoing a course of treatment to continue such treatment for a period of time even though the contract between the plan (other than a fully insured plan) and a health care provider is terminated, or the schedule of benefits or coverage is terminated by a change in the terms of the provider's participation in the plan. Specifies a 90-day continuation of coverage generally, and other transitional periods for institutionalization (until discharge), pregnancy (through post-partum care), and terminal illness (remainder of life). Declares that a plan shall not prohibit a health care professional from advising a patient about the patient's health status, medical care, or treatment for the patient's condition or disease, regardless of whether coverage for such care or treatment is provided under the contract, if the professional is acting within the lawful scope of the practice. Defines "fully insured group health plan" as a plan where benefits are provided pursuant to the terms of an arrangement between a group health plan and a health insurance issuer and are guaranteed by the health insurance issuer under a contract or policy of insurance. Subtitle B: Right to Information about Plans and Providers - Amends ERISA, as amended by the Omnibus Consolidated and Emergency Supplemental Appropriations Act, 1999, to require plans and group health insurance issuers to disclose specified plan information to enrollees and (upon request) potential enrollees. (Sec. 112) Directs the Secretary of Health and Human Services (HHS) to contract with the Institute of Medicine for a study and report to the appropriate congressional committees on: (1) health care professionals information currently available to patients, consumers, States, and professional societies, nationally and on a State-by-State basis; (2) the legal and other barriers to the sharing of information about health care professionals; and (3) recommendations for disclosure of such information on health care professionals, including their competencies and professional qualifications, to better facilitate patient choice, quality improvement, and market competition. Subtitle C: Right to Hold Health Plans Accountable - Revises requirements for plan provision of a procedure for appealing denied claims. (Sec. 121) Requires a plan or health insurance issuer conducting utilization review to have: (1) specified procedures in place for coverage determinations, including expedited determinations; (2) written procedures for addressing grievances between a plan and enrollees; (3) an internal procedure for coverage determination appeals; and (4) an external review procedure for enrollee appeals, involving specified entities and independent medical experts, whose determination shall be binding. Prescribes external review standards. Directs the General Accounting Office to study and report to the appropriate congressional committees on a statistically appropriate sample of completed external reviews. Subtitle D: Miscellaneous Provisions - Amends the Internal Revenue Code to deem the requirements of subtitle B of this Act to be incorporated into the Code. Title II: Individual Rights with Respect to Personal Medical Information - Personal Medical Information Access Act - Subtitle A: Access to Medical Records - Requires any health care provider, health plan, employer, health or life insurer, school, or university, except in specified circumstances, to: (1) permit an individual who is the subject of protected health information (or the individual's designee) to inspect and copy protected health information concerning the individual; (2) amend such information upon the individual's request; and (3) make reasonable efforts to inform any person to whom the unamended portion of the information was previously disclosed of any nontechnical amendment that has been made. (Sec. 212) Prescribes procedures for: (1) an entity's denial of a request to amend such information; and (2) an individual's filing of a statement of disagreement with such denial, which shall accompany any subsequent disclosure of the disputed portion of the information. (Sec. 213) Requires any health care provider, health plan, employer, health or life insurer, school, or university to post notice of the entity's confidentiality practices, including specified information. Requires the Secretary to develop and disseminate model notices of confidentiality practices. Subtitle B: Establishment of Safeguards - Requires any health care provider, health plan, employer, health or life insurer, school, or university to establish and maintain appropriate administrative, technical, and physical safeguards to protect the confidentiality, security, accuracy, and integrity of protected health information the entity creates, receives, obtains, maintains, uses, transmits, or disposes of. Subtitle C: Enforcement; Definitions - Prescribes civil money penalties for substantial and material failure to comply with this Act. (Sec. 232) Sets forth definitions. Title III: Genetic Information and Services - Genetic Information Nondiscrimination in Health Insurance Act of 1999 - Amends ERISA, the Public Health Service Act (PHSA) (as amended by the Omnibus Consolidated and Emergency Supplemental Appropriations Act, 1999), and the Internal Revenue Code to prohibit a health care plan or health insurance issuer from restricting enrollment or adjusting premium or contribution amounts for a group on the basis of predictive genetic information concerning an individual in the group or a family member of the individual (including information about a request for or receipt of genetic services). (Sec. 302) Prohibits a plan or issuer from requesting or requiring predictive genetic information concerning an individual or a family member of the individual (including information about a request for or receipt of genetic services). Permits a plan or issuer to request, but not require, such information for diagnosis, treatment, or payment purposes only. Title IV: Healthcare Research and Quality - Healthcare Research and Quality Act of 1999 - Amends PHSA to establish within the Public Health Service (PHS) an Agency for Healthcare Quality Research to replace the current Agency for Health Care Policy and Research. (Sec. 402) Directs the Agency to identify and disseminate methods or systems used to assess healthcare research results, particularly to rate the strength of the scientific evidence behind healthcare practice and technology recommendations in the research. Requires the Agency to employ research strategies and mechanisms that will link research directly with clinical practice in geographically diverse locations throughout the United States, including: (1) Healthcare Improvement Research Centers that combine demonstrated multidisciplinary expertise in outcomes or quality improvement research with linkages to relevant sites of care; (2) Provider-based Research Networks, including plan, facility, or delivery system sites of care (especially primary care), that can evaluate and promote quality improvement; and (3) other innovative mechanisms or strategies. Directs the Agency to: (1) award grants to enable eligible entities at geographically diverse locations throughout the United States to carry out research training programs dedicated to health services research training at the doctoral, post-doctoral, and junior faculty levels; and (2) provide specified scientific and technical support for private and public efforts to improve healthcare quality, including accrediting organizations. Directs the Secretary, acting through the Agency Director, to establish a program of grants for one or more centers to conduct: (1) state-of-the-art clinical research on drugs, biological products, and devices; (2) research on the comparative effectiveness, cost-effectiveness, and safety of drugs, biological products, and devices; and (3) other appropriate activities (excluding the review of new drugs). Requires the Agency Director to: (1) collect certain data on the cost and quality of healthcare; (2) support research on and initiatives to advance the use of information systems for the study of healthcare quality; and (3) provide ongoing administrative, research, and technical support for the Preventive Services Task Force, which shall review scientific evidence on the effectiveness, appropriateness, and cost-effectiveness of clinical preventive services regarding their usefulness in daily clinical practice. Establishes within the Agency a Center for Primary Care Delivery Research to serve as the principal funding source for HHS primary care delivery research and demonstrations with respect to the first contact when illness or health concerns arise, the diagnosis, treatment or referral to specialty care, preventive care, and the relationship between the clinician and the patient in the context of the family and community. Requires the Agency Director by specified activities to promote innovation in evidence-based clinical practice and healthcare technologies. Requires the Secretary, acting through the Director, to coordinate all research, evaluations, and demonstrations related to health services research and quality measurement and improvement activities undertaken and supported by the Federal Government. Requires the Secretary to contract with the Institute of Medicine to: (1) describe and evaluate current quality improvement research and monitoring processes; and (2) recommend options to improve the efficiency and effectiveness of such processes, and optimize public-private sector accreditation bodies. Establishes an Advisory Council for Healthcare Quality Research to replace the current Advisory Council for Health Care Policy, Research, and Evaluation. Requires the Agency Director to establish technical and scientific peer review groups to review each application for a grant, cooperative agreement, or contract under this title. Repeals the mandates for: (1) a demonstration program regarding centers for education and research on therapeutics; and (2) the Office of the Forum for Quality and Effectiveness in Health Care. Authorizes appropriations. (Sec. 404) Requires the Secretary, within 30 days after enactment of any Act providing for a qualifying health care benefit, to evaluate scientifically and report to the appropriate congressional committees on: (1) the safety, efficacy, cost, benefits and value of such benefit; (2) alternative approaches in improving care compared with such benefit; and (3) the benefit's overall impact on health care as measured through research. Title V: Enhanced Access to Health Insurance Coverage - Amends the Internal Revenue Code to allow a full deduction from gross income of the health insurance costs of self-employed individuals. (Sec. 502) Repeals the limitation of the availability of medical savings accounts (MSAs) to employees of small employers and the self-employed. Reduces from $1,500 to $1,000 (self-only coverage) and from $3,000 to $2,000 (family coverage) the minimum annual deductible of a high deductible health plan. Revises the formula for the monthly limitation on the allowable deduction for MSAs to increase the contribution limit to 100 percent of the annual deductible under a high deductible health plan. Waives the additional tax on MSA distributions not used for qualified medical expenses to the extent any payment or distribution does not reduce the fair market value of the MSA assets to an amount less than the annual deductible for the account holder's high deductible health plan. (Sec. 503) Allows the annual carryover of up to $500 of unused benefits from cafeteria plans, flexible spending arrangements, and health flexible spending accounts. (Sec. 504) Authorizes the Office of Personnel Management to contract for or approve catastrophic FEHBP plans, whose covered expenses exceed $500. Amends Federal civil service law, with respect to Government contributions under the Federal Employees Health Benefits Program (FEHBP), to require an additional Government contribution, according to a certain formula, to an individual's MSA with respect to a catastrophic plan. Deems subscription charges for MSAs to be the amount of Government contributions.
United States · United States Congress · 21 January 1999
TABLE OF CONTENTS: Title I: Pay and Allowances Title II: Retirement Benefits Soldiers', Sailors', Airmen's, and Marines' Bill of Rights Act of 1999 - Title I: Pay and Allowances - Waives during FY 2000 any required adjustment in the rates of monthly military basic pay in conformance with the General Schedule of the Federal Government. Increases such pay by 4.8 percent, effective on January 1, 2000. Provides: (1) an increase in such pay as of July 1, 2000, for officer and enlisted personnel within specified pay grades; and (2) a pay increase for fiscal years after 2000 of one percent over the percentage increase as calculated under the Employment Cost Index. (Sec. 103) Directs the Secretary of the military department concerned to pay a special subsistence allowance of $180 for each month in which a member is eligible to receive food stamp assistance. Terminates or reestablishes such entitlement under certain conditions. Title II: Retirement Benefits - Authorizes the payment of a lump-sum bonus of $30,000 to a member who: (1) first became a member on or after August 1, 1986; (2) has completed 15 years of active duty; and (3) executes a written agreement to remain on active duty until the completion of 20 years of such service. Requires notification of those eligible for such bonus. Requires a pro rata repayment of such bonus when the full additional period is not completed. Authorizes a waiver of the repayment requirement when against equity or good conscience or contrary to the best interests of the United States. (Sec. 202) Authorizes a member serving on active duty for more than 30 days to participate in the Federal Thrift Savings Plan, with a maximum annual contribution of five percent of basic pay and any special or incentive pay. Prohibits matching Federal agency contributions. Adds a representative of such members to the Employee Thrift Advisory Council. (Sec. 203) Authorizes the Secretary concerned to enter into an agreement to make contributions to the Thrift Savings Fund for the benefit of a member who: (1) is in a specialty designated as critical; and (2) agrees to continue to serve on active duty in such specialty for a period of six years.
United States · United States Congress · 21 January 1999
National Missile Defense Act of 1999 - States as U.S. policy to deploy as soon as technologically possible a National Missile Defense system capable of defending U.S. territory against limited ballistic missile attack (whether accidental, unauthorized, or deliberate).
United States · United States Congress · 21 January 1999
Blind Persons Earnings Equity Act - Amends title II (Old Age, Survivors and Disability Insurance) (OASDI) of the Social Security Act to restore the link ended by the Senior Citizens' Freedom to Work Act of 1995 between the rules relating to substantial gainful activity for blind individuals and the rules relating to excess earnings under the social security earnings test for individuals who have attained retirement age (thus allowing blind individuals, once again, to earn up to the social security excess earnings threshold without being regarded as having demonstrated an ability to engage in substantial gainful activity and without losing entitlement to OASDI benefits).
United States · United States Congress · 20 January 1999
National Missile Defense Act of 1999 - States as U.S. policy to deploy as soon as technologically possible a National Missile Defense system capable of defending U.S. territory against limited ballistic missile attack (whether accidental, unauthorized, or deliberate).
United States · United States Congress · 20 January 1999
Hospital Length of Stay Act of 1999 - Amends the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act to require that group and individual health insurance coverage, as well as Medicare supplemental insurance policies and managed care plans under Medicare and Medicaid, provide coverage for hospital lengths of stay as determined by the attending health care provider in consultation with the patient. Applies these requirements also to care provided under: (1) the Federal Employees Health Benefits Program; (2) programs of medical care for members and certain former members of the uniformed services and their dependents; (3) veterans' hospital care provisions; (4) the State Children's Health Insurance Program under title XXI of the Social Security Act; (5) Indian Health Service and tribal organization programs; and (6) provisions for health care of Peace Corps volunteers.
United States · United States Congress · 19 January 1999
Authorizes use of Department of Defense commissary and exchange stores by former prisoners of war who have been honorably separated from service and have a service-connected disability rated at 30 percent or more.
United States · United States Congress · 19 January 1999
Constitutional Amendment - Grants victims of crimes of violence the following rights: (1) to reasonable notice of, and to not be excluded from, any public proceedings relating to the crime; (2) to be heard, if present, and to submit a statement at all public proceedings to determine a conditional release from custody, an acceptance of a negotiated plea, or a sentence and at a non-public parole proceeding to the extent such rights are afforded to the convicted offender; (3) to reasonable notice of a release or escape from custody relating to the crime; (4) to consideration of the interest of the victim that any trial be free from unreasonable delay; (5) to an order of restitution from the convicted offender; (6) to consideration for the safety of the victim in determining any conditional release from custody relating to the crime; and (7) to reasonable notice of the rights established by this amendment. (Sec. 2) Grants the victim or the victim's lawful representative standing to assert such rights. Provides that nothing in this amendment shall: (1) provide grounds to stay or continue any trial, reopen any proceeding, or invalidate any ruling, except with respect to conditional release or restitution or to provide rights guaranteed by this amendment in future proceedings, without staying or continuing a trial; and (2) give rise to or authorize the creation of a claim for damages against the United States, a State, a political subdivision, or a public officer or employee. (Sec. 3) Empowers the Congress to enforce this amendment by appropriate legislation. Allows exceptions to the rights established by this amendment only when necessary to achieve a compelling interest. (Sec. 4) Makes: (1) the right to a restitution order established by this amendment inapplicable to crimes committed before its effective date; and (2) the rights and immunities established by this amendment applicable in Federal and State proceedings, including military proceedings to the extent that the Congress may provide by law, juvenile justice proceedings, and proceedings in the District of Columbia and any commonwealth, territory, or possession of the United States.
United States · United States Congress · 19 January 1999
TABLE OF CONTENTS: Title I: Pay and Allowances Title II: Retirement Benefits Soldiers', Sailors', Airmen's, and Marines' Bill of Rights Act of 1999 - Title I: Pay and Allowances - Waives during FY 2000 any required adjustment in the rates of monthly military basic pay in conformance with the General Schedule of the Federal Government. Increases such pay by 4.8 percent, effective on January 1, 2000. Provides: (1) an increase in such pay as of July 1, 2000, for officer and enlisted personnel within specified pay grades; and (2) a pay increase for fiscal years after 2000 of one percent over the percentage increase as calculated under the Employment Cost Index. (Sec. 103) Directs the Secretary of the military department concerned to pay a special subsistence allowance of $180 for each month in which a member is eligible to receive food stamp assistance. Terminates or reestablishes such entitlement under certain conditions. Title II: Retirement Benefits - Authorizes the payment of a lump-sum bonus of $30,000 to a member who: (1) first became a member on or after August 1, 1986; (2) has completed 15 years of active duty; and (3) executes a written agreement to remain on active duty until the completion of 20 years of such service. Requires notification of those eligible for such bonus. Requires a pro rata repayment of such bonus when the full additional period is not completed. Authorizes a waiver of the repayment requirement when against equity or good conscience or contrary to the best interests of the United States. (Sec. 202) Authorizes a member serving on active duty for more than 30 days to participate in the Federal Thrift Savings Plan, with a maximum annual contribution of five percent of basic pay and any special or incentive pay. Prohibits matching Federal agency contributions. Adds a representative of such members to the Employee Thrift Advisory Council. (Sec. 203) Authorizes the Secretary concerned to enter into an agreement to make contributions to the Thrift Savings Fund for the benefit of a member who: (1) is in a specialty designated as critical; and (2) agrees to continue to serve on active duty in such specialty for a period of six years.
United States · United States Congress · 19 January 1999
Marriage Tax Elimination Act - Amends the Internal Revenue Code to permit a husband and wife to file a combined income tax return on which each spouse is taxed separately at the unmarried return rate.
United States · United States Congress · 19 January 1999
Biennial Budgeting and Appropriations Act - Amends the Congressional Budget Act of 1974 (CBA) to revise the Federal and congressional budget processes by establishing a two-year budgeting and appropriations cycle and timetable. Defines the budget biennium as the two consecutive fiscal years beginning on October 1 of any odd-numbered year. Sets forth a special timetable for any first session that begins in any year immediately following a leap year and during which the term of a President begins (except one who starts a second successive term). (Sec. 2) Devotes the first session of any Congress to the budget resolution and to appropriations decisions, retaining current deadlines in most cases. Changes certain deadlines to conform to the biennial scheme. Devotes each second session to authorization activity, subject to specified deadlines. (Sec. 4) Sets forth revised pay-as-you-go provisions for the Senate to conform with the biennial framework. (Sec. 5) Conforms provisions governing the President's budget to the biennial framework. (Sec. 6) Requires all Acts making regular appropriations for the support of the Government to be enacted for a biennium and to specify the amount of appropriations provided for each fiscal year in that period. (Sec. 7) Amends CBA to provide that it shall not be in order in the House of Representatives or the Senate to consider: (1) any bill, joint resolution, amendment, motion, or conference report that authorizes appropriations for a period of less than two fiscal years, unless the program, project, or activity for which the appropriations are authorized will require no further appropriations and will be completed or terminated after the appropriations have been expended; and (2) in any odd-numbered year, any authorization or revenue bill or joint resolution until Congress completes action on the biennial budget resolution, all regular biennial appropriations bills, and all reconciliation bills. Provides that, in the Senate, such point of order shall not apply to: (1) any measure that is privileged for consideration pursuant to a rule or statute; (2) any matter considered in Executive Session; or (3) an appropriations measure or reconciliation bill. (Sec. 8) Changes to a biennial basis specified requirements for certain Government strategic and performance plans, performance reports in budget submissions, and program performance reports. Requires congressional committee reviews of such plans and reports. (Sec. 9) Provides that it shall not be in order in the House or the Senate in any odd-numbered year to consider any regular bill providing new budget authority or a limitation on obligations under the jurisdiction of any Appropriations subcommittee for only the first fiscal year of a biennium unless the program, project, or activity for which such authority or limitation is provided will require no additional authority beyond one year and will be completed or terminated after the amount provided has been expended. (Sec. 10) Requires the Director of the Office of Management and Budget to report to the Budget Committees on the impact and feasibility of changing the definition of a fiscal year and the budget process based on that definition to a two-year fiscal period with a biennial budget process based on the two-year period.
United States · United States Congress · 19 January 1999
Continued Dumping and Subsidy Offset Act of 1999 - Amends the Tariff Act of 1930 to declare that any duties assessed pursuant to a countervailing duty order, an antidumping duty order, or a finding under the Antidumping Act of 1921 shall be distributed on an annual basis as continued dumping or subsidy offsets to the affected domestic producers for qualifying expenditures. Limits qualifying expenditures to expenditures incurred since the issuance of the antidumping duty finding or order or countervailing duty order in any or all of the categories of plant, equipment, research and development (R&D), personnel training, acquisition of technology, employer-paid employee health care and pension benefits, environmental equipment, training or technology, acquisition of raw materials and other inputs, and borrowed working capital or other funds needed to maintain production. Directs the Commissioner of the U.S. Customs Service to prescribe offset disbursement procedures. Sets forth general procedures for notification of eligible parties. Requires the Commissioner to establish a special account in the Treasury to receive all antidumping or countervailing duties, including interest, for distribution according to this Act, within 14 days after an antidumping or countervailing duty order takes effect.
United States · United States Congress · 19 January 1999
Amends the Internal Revenue Code to allow an individual an income tax deduction for qualified home health care and adult day and respite care expenses with respect to a dependent who: (1) resides with the taxpayer; (2) is a dependent of the taxpayer; and (3) suffers from Alzheimer's disease (or a related organic brain disorder) and is physically or mentally incapable of self-care.
United States · United States Congress · 19 January 1999
Directs the Secretary of Defense to permit any former member of the armed forces who is entitled to compensation for a service-connected disability rated total by the Secretary of Veterans Affairs to travel on military aircraft to the same extent as retired members of the armed forces.
United States · United States Congress · 19 January 1999
Northern Border States Council Act - Establishes the Northern Border States-Canada Trade Council. Sets forth the duties of the Council, including: (1) advising the President, the Congress, the United States Trade Representative, the Secretary of Commerce, and other appropriate Federal and State officials with respect to the administration of U.S.-Canada trade policies, taxation of trade in goods and services, and customs and immigration matters; (2) monitoring trade issues and disputes that involve one of the Council-member States and either the Canadian Government or one of Canada's provinces; and (3) making recommendations with respect to such disputes. Authorizes appropriations.
United States · United States Congress · 19 January 1999
Women's Health and Cancer Rights Act of 1999 - Amends the Employee Retirement Income Security Act of 1974, as amended by the Omnibus Consolidated and Emergency Supplemental Appropriations Act, 1999, and the Public Health Service Act, as amended by the Omnibus Consolidated and Emergency Supplemental Appropriations Act, 1999, to require certain group health plans, and health insurance issuers providing coverage under a group plan, to ensure specified minimum coverage regarding: (1) breast cancer mastectomies, lumpectomies, and lymph node dissections; and (2) secondary consultations by specialists. Prohibits: (1) changing coverage terms and conditions based on a participant's or beneficiary's decision to request less than the minimum coverage; and (2) certain penalties or incentives to providers or specialists. Amends: (1) the Public Health Service Act to apply the same requirements to health insurance issuers in the individual market; and (2) the Internal Revenue Code, as amended by the Taxpayer Relief Act of 1997, to apply those requirements to group health plans.
United States · United States Congress · 19 January 1999
Improved Patient Access to Clinical Studies Act of 1999 - Amends the Employee Retirement Income Security Act of 1974, as amended by the Women's Health and Cancer Rights Act of 1998, and the Public Health Service Act, as amended by the Women's Health and Cancer Rights Act of 1998, to prohibit a group health plan and a health insurance issuer offering coverage in connection with a group health plan from denying, limiting, or imposing additional conditions on coverage if: (1) the enrollee is participating in an approved clinical study; (2) the items and services are furnished according to the study's design or to treat conditions resulting from study participation; and (3) the items and services would otherwise be covered. Amends the Public Health Service Act to apply that prohibition to coverage offered by an issuer in the individual market.
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