United States · United States Congress · 1 May 1986
Federal Pay Management Act of 1986 - Title I: Alternative Compensation Programs - Establishes a Federal Compensation Board to design and implement Federal employee compensation programs utilizing the alternative systems set forth in this Act and to carry out oversight functions with respect to such programs. Describes the types of alternative systems as follows: (1) a system under which annual pay adjustments are made so that total pay and benefits are comparable to those of private enterprise for the same level of work; (2) a system under which annual pay adjustments are made so that rates of basic pay are consistent with those for the same level of work in private enterprise within the same geographic region; (3) a system under which conditions of employment shall be subject to collective bargaining; (4) a system which identifies separate career categories, adjusts pay based on specified factors, provides pay differentials, and authorizes special awards and performance recognition; and (5) any combination of the aforementioned. Establishes a Commission on Federal Pay Management to evaluate each alternative system as implemented, and to make similar evaluations with respect to the current system. Requires a report to the President and the Congress at the end of the five-year period beginning on the date of enactment of this Act. Terminates the Commission after submission of the report. Title II: Amendments Relating to Pay Comparability System - Specifies the methodology to be used in connection with Federal pay adjustments. Revises the method for making such pay adjustments. Provides that mandatory wage and price controls are a basis for submission of an alternative plan to a Federal pay adjustment. Requires the enactment of a joint resolution of approval before any such plan becomes effective. Title III: Authority for Agencies to Establish Higher Minimum Rates of Basic Pay - Grants to agency heads the authority to establish higher minimum rates of basic pay for certain occupations with recruitment problems. (Currently such authority is granted to the President.) Requires agency heads to notify the Office of Personnel Management before exercising such authority. Provides that any decision of the Office that such action is unwarranted shall be accompanied by a statement of the reasons for such decision. Authorizes the agency head to appeal to the President.
United States · United States Congress · 1 May 1986
Medicare Adult Day Care Amendments of 1986 - Amends part B (Supplementary Medical Insurance) of title XVIII (Medicare) of the Social Security Act to provide for the establishment of adult day care programs providing certain health services to chronically-impaired adults in a group setting outside their homes for up to 100 days on a less than 24-hour basis. Requires providers of such services to have a multidisciplinary group of health care personnel conduct a written assessment of the status of each chronically-impaired adult before the adult's admission to the program and thereafter periodically develop a coordinate an individualized treatment plan for, and with the cooperation of, the adult. Defines a "chronically-impaired adult" as an individual 18 years of age or older who has a physical, emotional, or mental impairment which, but for the provision of adult day care, would require the provision of care in a hospital, skilled nursing, or intermediate care facility. Makes deductibles inapplicable to adult day care, requiring only the payment of a specified coinsurance amount. Directs the Secretary of Health and Human Services to issue regulations regarding adult day care programs. Requires the Secretary to adopt the standards established by the National Institute of Adult Day Care as the minimum standards for qualifying as a provider of such care.
United States · United States Congress · 30 April 1986
Provides that, for taxable years beginning after 1984, rural letter carriers are permitted to compute the amount of their deduction for use of their automobiles in performance of such services: (1) by using a standard mileage rate for all such miles of such use equal to 150 percent of the basic standard rate; or (2) without applying the limitation on deductions rules where the business use of the automobile used in performing such services is not greater than 50 percent of the time. Prohibits the use of 150 percent of the basic standard mileage rate in determining the allowable deduction where the taxpayer claimed an investment tax credit or depreciation deduction for such automobile.
United States · United States Congress · 29 April 1986
Requests the Governor of each State (including the District of Columbia, Puerto Rico, Guam, and the Virgin Islands) to designate two residents for naturalization as citizens in an appropriate ceremony on Ellis Island on July 3 or 4, 1986. Waives specified naturalization sites provisions of the Immigration and Nationality Act for such ceremony. States that this Act authorizes no additional funds for expenses associated with such naturalization ceremony.
United States · United States Congress · 29 April 1986
Declares that the House of Representatives: (1) condemns the Soviet Union's failure to provide notification and information about the nuclear accident at Chernobyl; and (2) calls upon the Soviet Union to permit outside nuclear experts to assist with the accident and to allow the international press corps to cover the situation.
United States · United States Congress · 23 April 1986
Amends the Powerplant and Industrial Fuel Use Act of 1978 to repeal prohibitions against the use of natural gas or petroleum as a primary energy source in new and existing electric powerplants and major fuel-burning installations.
United States · United States Congress · 23 April 1986
Amends Federal armed forces provisions to direct the Secretary of the military department concerned to conduct an independent operational test and evaluation with respect to a major defense acquisition program under which a major system is to be acquired. Requires such test and evaluation to be conducted before the program may proceed into the production stage. Requires side-by-side testing as part of such test and evaluation. Requires the Director of Operational Test and Evaluation to independently analyze the results of each such operational test and evaluation, and to report such analyses to the Secretary of Defense. Prohibits the operational testing to be conducted until the Director approves in writing the adequacy of the plans for such operational test and evaluation. Authorizes the Secretary of Defense or the Secretary concerned to contract for low-rate initial production of a program only for the purpose of acquiring items for use in operational tests and evaluations. Prohibits a final decision from being made to proceed with full production of a program until 30 days after the congressional defense committees have received the report of the Director. Authorizes the President to suspend any provision of this Act in time of a declared war.
United States · United States Congress · 23 April 1986
Provides that any cost-of-living adjustment in military retirement and survivor benefit programs provided by law to take effect during FY 1987 shall be made in accordance with such law and not subject to any reduction, suspension, or contrary presidential order. Defines "military retirement and survivor benefit programs."
United States · United States Congress · 23 April 1986
Amends the Internal Revenue Code to disallow, while a declaration of national emergency is in effect: (1) a foreign income tax credit for any income, war profits, or excess profits taxes paid or accrued to Libya; (2) a business expense income tax deduction for any such taxes paid to Libya; and (3) the income tax exclusion of earned income of U.S. citizens living abroad for any income attributable to Libya. Describes such a declaration as a declaration by the President of a national emergency under the International Emergency Economic Powers Act after a finding that the policies and actions of Libya constitute an unusual and extraordinary threat to the national security and foreign policy of the United States.
United States · United States Congress · 22 April 1986
Expresses the sense of the Congress that a Children's Challenge Center for Space Science should be established in conjunction with the National Aeronautics and Space Administration at the Johnson Space Center as a memorial to the seven Challenger astronauts and others who gave their lives exploring space.
United States · United States Congress · 17 April 1986
Amends title VII (Unlawful Possession or Receipt of Firearms) of the Omnibus Crime Control and Safe Streets Act of 1968 to expand the firearms-related crimes for which persons with multiple convictions may receive increased penalties to include serious drug offenses and crimes of violence. (Previous law provided increased penalties for robbery and burglary only.)
United States · United States Congress · 17 April 1986
Medicare Quality Protection Act of 1986 - Title I: Quality Assurance in Inpatient Hospital Settings - Requires the Secretary of Health and Human Services to develop and submit to the Congress a legislative proposal to improve the prospective payment system established under title XVIII (Medicare) of the Social Security Act so that it more accurately approximates the costs of inpatient hospital services and accounts for variations in case complexity. Amends the Medicare program to require a hospital to give Medicare beneficiaries, upon their admission to the hospital, a written statement explaining: (1) the individual's rights to benefits for inpatient hospital and post-hospital Medicare services; (2) the circumstances under which such individual will be liable for charges for a continued hospital stay; (3) the individual's right to appeal denials of continued hospital services; and (4) the individual's liability for payment for services if such a denial of benefits is upheld on appeal. Amends part B (Peer Review) of title XI of the Act to require peer review organizations receiving a hospital inpatient's request for review of a hospital's decision that the patient no longer needs inpatient care to inform the patient of its decision within two days of receiving the request. Prohibits hospitals from charging patients for inpatient hospital services provided while patients wait for a peer review organization to respond to their timely review requests. Imposes a civil money penalty on hospitals which make payments to physicians and on physicians who knowingly receive payments which constitute an inducement to curtail the stay of, or services provided to, an identifiable patient. Directs the Secretary to study the adequacy of standards used for hospital compliance with Medicare participation conditions in assuring the quality of hospital services. Requires the Secretary to study the adequacy with which the prospective payment system compensates hospitals, and distributes such compensation among hospitals, for costs attributable to patients' extended hospital stays necessitated by delays in patient placement in skilled nursing facilities. Title II: Access to Appropriate Post-Hospital Care - Amends part B (Supplementary Medical Insurance) of the Medicare program to require hospitals to implement a discharge planning process which meets guidelines and standards, to be established by the Secretary, ensuring patients a timely and smooth transition to the most appropriate type of, and setting for, post-hospital or rehabilitative care. Extends the limitations on beneficiary liability for disallowed Medicare claims to cover home health services provided to certain unqualified individuals. Provides that skilled nursing facilities and home health agencies which keep their services for which Medicare coverage is denied below specified percentages and comply with certain administrative requirements shall not subsequently be denied payment for care provided. Sets forth reporting requirements. Directs the Secretary to develop a uniform needs assessment instrument enabling health care providers and fiscal intermediaries to evaluate an individual's need and ability to pay for post-hospital extended care, home-health, and long-term care services. Requires the Secretary to develop procedures to expedite fiscal intermediaries' determinations as to whether provider claims for post-hospital extended care and home health services may be reimbursed under the Medicare program. Directs the Secretary to provide for prompt response (within 24 hours) to beneficiary requests as to whether the beneficiary's Medicare coverage for post-hospital extended care services has been exhausted. Authorizes providers to represent beneficiaries on appeals of benefit determinations. Permits beneficiary appeals of the Secretary's denials of claims for home health service benefits. Amends the Social Security Amendments of 1983 to extend, through 1989, the annual report on the impact of the prospective payment system and require the inclusion of information in such reports regarding the quality, and accessibility to Medicare beneficiaries, of post-hospital services. Title III: Improved Review of Quality by Peer Review Organizations - Amends part B (Peer Review) of title XI of the Act to require hospitals to submit data to peer review organizations on a monthly basis. Requires peer review organizations to review selected cases where individuals are readmitted to a hospital within 30 days of their most recent hospital discharge to determine if the previous inpatient hospital services and post-hospital services met professionally recognized health care standards. Directs each peer review organization to commit a reasonable proportion of its activities to review of the quality of services provided in cases and settings where potential quality problems have been identified. Requires the Secretary to identify methods facilitating the discovery of such cases. Requires each peer review organization to have at least one consumer representative on its board of directors. Directs such organizations to investigate all written beneficiary complaints about the quality of Medicare services which are filed with the organization. Requires peer review organizations to share data with organizations responsible for accrediting providers or State officials responsible for assuring quality care if such data reflects a substantial failure by providers or practitioners to provide quality care. Title IV: Study to Develop a Strategy for Quality Review and Assurance - Directs the Secretary to arrange a study which will serve as the basis for establishing a strategy for reviewing and assuring the quality of care provided under the Medicare program. Requires the Secretary to report to the Congress regarding the study within two years of enactment of this Act.
United States · United States Congress · 17 April 1986
Hazardous Materials Transportation Safety Amendments of 1986 - Transfers to the National Highway Traffic Safety Administration (NHTSA): (1) the motor carrier safety functions of the Federal Highway Administration; and (2) the hazardous materials transportation functions of the Research and Special Programs Administration. Establishes in the NHTSA the Bureau of Motor Carrier Safety (the Bureau), headed by an Associate Deputy Administrator for Motor Carrier Safety who shall be appointed by the Secretary of Transportation (the Secretary). Outlines the motor carrier safety functions of the Associate Deputy Administrator. Establishes in the NHTSA the Office of Hazardous Materials Transportation, headed by an Associate Administrator for Hazardous Materials Transportation. Outlines the functions of such Associate Administrator. Requires the Associate Deputy Administrator for Motor Carrier Safety to: (1) notify each motor carrier of the safety rating for such carrier; and (2) publish such ratings annually. Authorizes appropriations for FY 1987 through 1988: (1) for motor carrier safety functions; (2) to increase to 150 the number of motor carrier safety inspectors; and (3) for the hazardous materials transportation program. Amends the Surface Transportation Assistance Act of 1982 to increase the authorizations used to reimburse the States' pro rata share of costs incurred to implement Federal motor vehicle safety rules. Amends the Surface Transportation Act of 1982 to direct the Secretary to make grants to States and political subdivisions for the designation of: (1) hazardous materials transportation routes; and (2) hazardous materials parking sites. Authorizes appropriations. Amends the Hazardous Materials Transportation Act to require registered carriers of hazardous materials to maintain records of the routes followed in the transportation of such materials. Requires persons engaged in the commercial transportation of certain hazardous materials to prepare an annual registration statement. Authorizes appropriations to make emergency response personnel (police and fire fighters) training grants available to States and local subdivisions for FY 1987 through 1991. Requires the Secretary to: (1) establish guidelines for emergency response training programs; (2) publish emergency response procedures; and (3) establish minimum qualifications for the licensing by the States of drivers of motor vehicles transporting hazardous materials. Prescribes guidelines for: (1) such licensing qualifications; and (2) training and retraining programs for personnel engaged in hazardous materials transportation. Requires the Secretary to: (1) conduct a hazardous materials flow study and to report the results of such study to the Congress; and (2) conduct a risks analysis regarding the transportation of high level nuclear waste and spent nuclear fuel to geologic repository sites and monitored retrievable storage sites, and report the results to the Congress and the Secretary of Energy. Nullifies certain truck brake regulations permitting front brake disconnections. Prohibits the Secretary from issuing new regulations to the same effect. Requires the Secretary to conduct public information programs regarding truck brakes safety.
United States · United States Congress · 17 April 1986
Amends the Wild and Scenic Rivers Act to designate a segment of the Kings River, California, as a component of the National Wild and Scenic Rivers System.
United States · United States Congress · 17 April 1986
Medicaid Infant Mortality Amendments of 1986 - Amends title XIX (Medicaid) of the Social Security Act to give States the option of extending coverage to women in need of pregnancy-related medical services and infants up to age one whose family income exceeds current income eligibility thresholds, but does not exceed a State maximum income level to be established at or below the Federal poverty level. Allows States to continue such coverage for women until 60 days after pregnancy without regard to any change in her family income. Requires the State maximum income level for eligibility under this program to be no less than the payment level applicable to a family with no income under part A (Aid to Families with Dependent Children) of title IV of the Act. Prohibits States which provide coverage pursuant to this Act from reducing AFDC payment levels.
United States · United States Congress · 17 April 1986
Medicare Fair Hospital Deductible Act - Amends title XVIII (Medicare) of the Social Security Act to change the date by which the Secretary of Health and Human Services must determine the inpatient hospital deductible for the year. Limits the increase in such deductible to no more than the cost-of-living increase reflected in benefit payments under title II (Old Age, Survivors and Disability Insurance) of the Act. Provides that the extended care coinsurance amount for any spell of illness in any year shall equal one-twelfth of the inpatient hospital deductible for illnesses beginning in such year.
United States · United States Congress · 15 April 1986
Expresses the sense of the Congress that, in light of specified international human rights agreements, the Soviet Union should approve the exit visa applications of Doctor Naum Meiman and his wife, Inna Kitrosskaya, and arrange for them to go to the country of their choice. Urges the President to: (1) protest the Soviet Government's refusal to consider the exit visa applications of Dr. Meiman and his wife; (2) call upon all other signatory nations of the Helsinki Accords to join in such protest; and (3) instruct the U.S. delegation to the meeting of experts on human contacts organized under the auspices of the Conference on Security and Cooperation in Europe, to be held in Bern, Switzerland, to pursue this matter.
United States · United States Congress · 10 April 1986
Acid Deposition Control Act of 1986 - Title I: Stationary Sources - Amends the Clean Air Act to require States to develop and submit to the Administrator of the Environmental Protection Agency (EPA) an emissions limitation compliance schedule for sulfur dioxide and oxides of nitrogen from fossil-fuel-fired electric utility steam generating units. Requires a two-phase reduction in such emissions, the first to be achieved by 1993, the second by 1997. Requires each State to develop and submit to the Administrator a plan to achieve emissions reductions from other fossil-fuel-fired steam generating units by 1977. Directs the Administrator to conduct and update a comprehensive annual inventory of emissions of sulfur dioxide and oxides of nitrogen from stationary sources, identifying achievable reductions which could be made by 1997. Requires States to submit to the Administrator for approval a plan for achieving such reductions. Grants States discretion in their choice of compliance measures. Requires the Administrator to report to the Congress by July 1, 1993, on phase I reductions and the feasibility of meeting phase II reductions. States that phase II reductions will not take effect if the Congress enacts legislation to that effect. Sets forth emissions rates a State without an approved reductions plan must follow. Authorizes the Administrator to impose a fee on the generation and importation of electric energy between December 31, 1988, and December 31, 1996, to subsidize the interest on qualified pollution control debt incurred by the utility. Establishes civil penalties for fee violations. Establishes in the Treasury the Acid Deposition Control Fund to receive such fees and provide interest subsidy payments for pollution control systems meeting specified standards. Revises the standards for nitrogen oxides emissions for new electric utility steam generating units which burn bituminous or subbituminous coal and for certain fossil-fuel-fired steam generating units. Requires certain smelters to be in compliance with the applicable emissions reduction standard by January 2, 1988, without extension or delay. Title II: Control of Emission from Mobile Sources - Sets oxides of nitrogen emission standards for motor vehicles for model years 1988, 1989, and beyond. Modifies hydrocarbon standards for trucks after model year 1989. Directs the Administrator to regulate sulfur in diesel fuel for 1989 and beyond. Requires either the use of onboard hydrocarbon control technology or the use of gasoline vapor recovery of hydrocarbon emissions emanating from fueling motor vehicles. Title III: International Cooperation - Expresses the concern of the Congress over transboundary pollution between the United States and Mexico and directs the Secretary of State and the Administrator to conclude an agreement within three months of enactment. Requires such an agreement to cover specified copper smelters. Requires the Secretary and the Administrator to report to the Congress within six months on negotiating such agreement. Requires EPA to perform atmospheric field experiments to determine the effects of sulfur dioxide emissions, before and after pollution controls, of the Nacozaria smelter, Mexico, on specified western States. Directs the Secretary to establish an international agency, or utilize an existing agency, to report on the effects of transboundary air pollution from copper smelters on public health and welfare in the United States and in Mexico.
United States · United States Congress · 10 April 1986
Designates May 21, 1986, as National Andrei Sakharov Day. Authorizes and requests the President to urge the Soviet Union to permit Andrei Sakharov and Elena Bonner to freely choose their place of residence.
United States · United States Congress · 10 April 1986
Expresses the sense of the House of Representatives that the present three-year basis recovery rule on the taxation of retirement annuities for government employees should be maintained and provisions requiring the repeal of such treatment in certain tax reform legislation (H.R. 3838) should be deleted.
United States · United States Congress · 9 April 1986
Truth in Negotiations Amendments of 1986 - Amends Federal law relating to defense contracts to require that all cost or pricing data submitted by a contractor or subcontractor must be in accordance with applicable regulations and any cost principles as directed by the head of the agency concerned. Outlines provisions concerning adjustment of a contract price at an administrative or judicial hearing as it relates to cost and pricing data submitted by a contractor and defenses to such adjustments. Outlines the liability to the United States of a contractor who is overpaid by the Department of Defense as the result of submission by the contractor of inaccurate, incomplete, or noncurrent cost or pricing data. Repeals current Federal provisions concerning such overpayments by the United States.
United States · United States Congress · 9 April 1986
Prohibits the issuance of a letter of offer with respect to specified proposed sales of Sidewinder, Stinger, and Harpoon missiles and services to Saudi Arabia, as described in the April 8, 1986, certifications from the President to the Congress under the Arms Export Control Act.
United States · United States Congress · 21 March 1986
Non-Smokers' Protection Act of 1986 - Establishes the policy of the United States to provide an environment free from tobacco smoke to the maximum extent practicable in Government buildings. Directs the Secretary of Health and Human Services, in consultation with the Surgeon General, to promulgate regulations to carry out such policy. Requires such regulations, at a minimum, to provide that smoking be prohibited in buildings or building sections occupied by the Government. Authorizes the Secretary to exempt certain limited areas from such restriction and grants precedence to the rights of nonsmokers in any dispute. Requires the posting of signs where smoking is permitted in a building. Directs the Secretary to solicit comments from labor organizations prior to promulgating regulations. Prohibits such regulations from superseding those that provide more stringent restrictions on smoking. Declares that nothing in this Act prevents more stringent regulations from being promulgated.
United States · United States Congress · 21 March 1986
National Forest Ski Area Permit Act of 1986 - Authorizes the Secretary of Agriculture to issue permits for commercial skiing operations on National Forest System lands.
United States · United States Congress · 17 March 1986
Amends the Low-Income Home Energy Assistance Act of 1981 to authorize home energy grants for FY 1987 through 1989. Deems the full amount of home energy assistance payments, regardless of whether made directly to a household or indirectly for its benefit, to be heating or cooling expenses for purposes of the excess shelter expense deduction under the Food Stamp Act of 1977.
United States · United States Congress · 13 March 1986
National Space Grant College Act - Establishes, within the National Aeronautics and Space Administration (NASA), a national space grant college program to provide financial and other assistance for space-related projects administered by a space grant college, consortium, institute, laboratory, or State or local agency. Provides for: (1) a NASA Director of such programs; (2) grants and contracts to assist space grant programs or projects, programs or projects addressing national needs or problems relating to space, and programs or projects promoting international cooperation relating to space; (3) designation of space grant colleges and space grant regional consortia; (4) space grant fellowships; (5) a space grant review panel; (6) interagency cooperation; and (7) a biennial report and evaluation to the Congress. Authorizes appropriations for FY 1986 through 1989.
United States · United States Congress · 12 March 1986
Terrorist Prosecution Act of 1985 - Amends the Federal criminal code to make it an offense to commit or attempt to commit murder or manslaughter against any U.S. national abroad, or conspire to do so. (Murder is punishable by capital punishment, a life sentence, or for any term of years and voluntary manslaughter is punishable by imprisonment up to ten years and involuntary manslaughter by imprisonment up to three years and/or a fine up to $1,000.) Makes it an offense to (or to attempt to) assault, wound, strike, imprison, endanger, or make any other violent attack upon the person or liberty of any U.S. national in any foreign country (or make violent attack on his or her business premises, private accommodation or means of transport). Provides for a fine of not more than $5,000 and/or imprisonment for not more than three years. Increases the fine to $10,000 and/or imprisonment to ten years if a deadly or dangerous weapon is used. Makes it an offense to conspire, outside the United States, to murder any U.S. national within the United States. Prohibits an indictment under this Act without the written approval of the Attorney General or his designee.
United States · United States Congress · 11 March 1986
Department of Defense Reorganization Act of 1986 - Title I: Unified and Specified Commands - Amends general military law to direct the President to establish unified and specified combatant commands to perform military missions and to prescribe the force structure of such commands. Authorizes the Secretary of Defense, if a situation warrants it, to establish a special combatant command. Requires the Chairman of the Joint Chiefs of Staff (JCS) to periodically (not less frequently than every other year) review the overall structure of the unified and specified combatant commands and make appropriate recommendations to the President. Directs the President to promptly notify the Congress of any action taken in response to such recommendations. Directs the Secretary of each military department to assign all forces under their jurisdiction (except forces assigned to recruiting, organizing, training, or supplying the armed forces) to unified and specified combatant commands as established under this Act. Outlines provisions concerning the command hierarchy of such assigned forces. Provides that commanders of combatant commands shall be supervised by the Chairman of JCS, and be responsible to the President and the Secretary of Defense for their missions. Makes the Secretary of each military department responsible for the support and administration of forces assigned by that department to combatant commands. Authorizes the commander of a combatant command to request the Secretary of Defense for the transfer to such commander of support or administrative functions. Directs the Secretary of Defense to include in the annual budget of the Department of Defense (DOD) a separate budget proposal for activities of each of the unified and specified combatant commands. Outlines information concerning activities of such combatant commands to be included in such proposals. Requires the commander of each such command to submit to the Chairman of JCS, for review and recommendations, annual program and budget proposals for such commands. Outlines provisions concerning the selection and tenure of combatant command subordinate commanders and staff officers. Establishes in DOD the Joint Commanders Council, consisting of the Chairman of JCS and the commanders of the combatant commands. Directs such council to advise the chairman, the President, and the Secretary of Defense on appropriate matters. Requires the Chairman of JCS to submit to the Secretary of Defense recommendation for the allocation of defense resources under the proposed national defense budget for each fiscal year, and to take certain other specified actions in connection with activities of the unified and specified combatant commands. Directs the Secretary of Defense (the Secretary) to provide for the transfer of staff personnel to the staffs of the commanders of the unified and specified commands in conformity with the reorganization under this Act. Limits the total staff size of the unified and specified commands to a number no greater than the staff size of the military departments before such transfer. Outlines considerations to be included in the initial review of the structure of the unified and specified commands. Title II: Defense Agencies - Directs the Secretary, in appropriate cases, to provide for the performance by one agency or organization of supply or service activities common to more than one military department. Directs the Secretary to periodically (and not less frequently than every two years) review the services and supplies provided by the defense agencies to ensure that such provision is more economical than the provision of such services by the military departments. Specifies various officers and directors whose views are required as part of the Secretary's review. Requires the Chairman of JCS to periodically (and not less frequently than every two years) report to the Secretary concerning the combat support agencies. Outlines information to be included in each report. Directs the Chairman to: (1) provide for the participation of the combat support agencies in joint training exercises; and (2) assess the performance of each agency in such exercise and provide for any necessary changes. Requires the chairman to develop a uniform system for reporting each such agency's readiness to perform in a war or threat to national security. Establishes in each combat support agency a combat support agency policy council. Outlines the composition of such council. Requires such council to: (1) advise the director of that agency on policy matters relating to the operation of that agency; and (2) consider and provide advice as directed by the Secretary of Defense. Requires the director of a combat support agency, upon request, to assign a representative of that agency to the headquarters of a unified or specified combatant commands. Defines "combat support agency." Requires the Secretary of Defense to conduct a study of the functions and organizational structure of the defense agencies. Outlines determinations to be made in such study. Directs the Chairman of JCS and the Secretaries of the military departments to each conduct a study of the functions and organizational structure of the defense agencies. Requires each such study to be submitted to the Secretary of Defense. Outlines matters to be considered in each such study. Directs the Secretary of Defense, within a specified conditional deadline, to report to the Senate and House Armed Services Committees concerning the studies made of the functions and organizational structure of the defense agencies, together with recommendations. Title III: Joint Officer Subspecialty - Directs the Secretary of Defense to establish a secondary occupational specialty for officers in each branch of the armed forces, to be known as the joint subspecialty. Outlines provisions concerning the number, selection, and assignments of officers to joint subspecialties. Directs the Secretary to establish career guidelines for officers in the joint subspecialty. Directs the Secretary to revise the curriculum of schools of the National Defense University in order to enhance the education and training of officers in joint military matters. Requires officers graduating from a joint military school in a joint subspecialty to be assigned to a joint position in that officer's next duty assignment. Prohibits an officer from commanding a unified or specified combatant command unless such officer is in a joint subspecialty. Prohibits an officer from appointment as Chairman of JCS unless the officer has served as the commander of a unified or specified command. Sets forth the promotion policy for joint service officers (including faster promotions). Directs the Secretary to establish procedures for monitoring the careers of officers in the joint subspecialty or other joint officers. Revises provisions concerning the review of promotion lists by the Chairman of JCS to allow the Chairman, in a limited number of instances, to recommend for promotion officers who: (1) have served in joint assignments; and (2) were considered by a review board but not recommended for promotion. Allows the Secretary of the military department concerned to disagree with the Chairman's promotion recommendations. Requires the Secretary concerned to record their disagreement as part of their transmittal to the Secretary of Defense of the selection board's report. Requires the Secretary of Defense to resolve any such disagreements before transmitting the report to the President. Requires previous joint officer assignments for officers promoted to brigadier general or real admiral (lower half). Authorizes the Secretary to waive such prerequisite in appropriate cases. Outlines the length of duty as a joint officer required for promotion to certain grades. Requires the Chairman of JCS to advise the Secretaries of the military departments concerned with respect to duty assignments of officers in the joint subspecialty and other joint officers. Requires the Secretary of Defense to ensure that military schools strengthen the focus on joint military operations in preparing certain level officers for joint duty assignments. Directs the Secretary of Defense to make the initial selection of officers for the joint subspecialty, following certain special rules. Title IV: Military Department Organization - Directs the Secretary of Defense to reorganize the executive part of the military departments, following specified reorganization policies. Defines the executive part of each military department. Outlines the functions of the Assistant Secretaries of a military department as reorganized under this Act. Limits to 30 the size of the personal staff of the Secretary of a military department. Limits the size of the staff of each military department to 85 percent of the size of such staff before the reorganization. Requires the Secretary of Defense to provide that operation and planning responsibilities that are duplicated by the staff of the JCS shall be shifted to that staff. Requires the Secretary, as well as the Secretaries of the military departments, to provide that functions able to be performed by commands outside the Washington, D.C. area shall be reassigned to those commands. Directs the Secretary to complete implementation of this title no later than 180 days after the enactment of this Act, and to report to the Congress on such implementation 30 days after such date.
United States · United States Congress · 11 March 1986
Directs the President to provide, within seven days, to the House of Representatives documents relating to the use of specified funds appropriated for humanitarian assistance for the Nicaraguan democratic resistance.
United States · United States Congress · 6 March 1986
Medicare Continuing Care, Equity, and Quality Assurance Act of 1986 - Title I: Continuing Care Reforms - Amends part A (General Provisions) of title XI of the Social Security Act to direct the Secretary of Health and Human Services to establish a Continuing Care Policy Council composed of members with expertise in geriatrics or rehabilitative practices. Requires the Council to make recommendations to the Secretary concerning the administration of continuing care services under titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act and as such services are affected by title I of this Act. Amends part A (Hospital Insurance) of the Medicare program to require the Secretary to establish medical claims standards which are to be applied uniformly and take into account a patient's medical profile, condition, and other practical considerations in determining the medical reasonableness and necessity of claims for continuing care services (defined to include extended care and home health services). Requires the Secretary to annually review and, if necessary, revise the standards. Authorizes a fiscal intermediary which has initially determined that some or all of a continuing care services claim may be denied, but has not yet officially denied the claim, to consult with the service provider, patient, and patient's physician to review the determination and approve a modified claim if the services are appropriate and the patient concurs in the modification. Directs the Secretary, in determining whether payments to home health agencies and skilled nursing facilities should be denied, to continue certain presumptions of compliance with reasonable and necessary services requirements until a system providing for case-by-case determinations of authorizations for continuing care services is implemented. Requires system implementation within 30 months of enactment of this Act. Requires a fiscal intermediary to reimburse a provider of continuing care for services provided to an individual for whom there was reasonable evidence of entitlement if the provider makes a timely request that the intermediary determine whether the individual is entitled to such services. Sets forth deadlines by which fiscal intermediaries must respond to provider inquiries concerning the medical necessity of continuing care services. Requires intermediaries to reimburse providers for medically unnecessary services provided over periods during which the intermediary's response is past due. Indemnifies beneficiaries who pay providers for continuing care services without knowing that they are unqualified for such services or that such services are medically unnecessary. Requires the Secretary to investigate allegations that a skilled nursing facility or home health agency has delayed or restricted acceptance of an individual until its receipt of the intermediary's response to its entitlement or medical necessity inquiries. Entitles individuals whose claim for continuing care services has been denied to a hearing by the Secretary and judicial review of the Secretary's final decision. Authorizes provider appeals on behalf of beneficiaries. Provides that, when a fiscal intermediary denies payment for continuing care services or a provider first furnishes such services, such organizations must inform beneficiaries regarding the individual's rights under this Act to appeal payment determinations. Amends part B (Peer Review) of title XI of the Act to require peer review organizations, in certain situations to be determined by the Secretary, to perform independent medical reviews of fiscal intermediary denials of payment for continuing care services. Requires each peer review organization to annually report to the Secretary regarding such reviews. Directs peer review organizations to authorize payment for services which would not otherwise meet payment conditions where such organization certifies that exceptional circumstances exist to justify the cost-effective provision of the services. Amends part A (Hospital Insurance) of the Medicare program to establish a special benefit consisting of payments to hospitals which retain patients who require only the level of care provided in a skilled nursing facility, but cannot transfer to such a facility due to the unavailability of space in such facilities. Requires the Secretary to establish performance standards for fiscal intermediary medical claims review which: (1) weigh the accuracy and timeliness of such review commensurately with cost savings from such review; (2) specify the qualifications required of review personnel; and (3) require an intensive level of review for new providers and providers with poor performance records. Requires the Secretary to annually inform the Continuing Care Policy Council regarding the intermediaries' performance under these standards. Directs the Secretary to establish a Medicare benefits management demonstration program, including projects which: (1) substitute, for the process of submitting separate claims by providers for an individual beneficiary, a single benefits manager that would identify and track the benefits most appropriate to the beneficiary; and (2) provide additional benefits to Medicare beneficiaries, including noncovered benefits if no additional costs are thereby imposed on beneficiaries or Medicare. Title II: Quality Assurance Reforms - Amends part B (Peer Review) of title XI of the Act to establish a National Council on Quality Assurance. Directs the Director of the Congressional Office of Technology Assessment to provide for the appointment of members of the Council. States that the general functions of the Council shall be to: (1) provide oversight on the operations of the quality assurance system under the Medicare program; and (2) make recommendations annually to the Secretary of Health and Human Services and the Congress for improvements in the system. Sets forth the Council's functions more specifically. Requires the Council to report annually to the Congress on the functioning and progress of the Council. Authorizes appropriations. Requires contracts with peer review organizations to provide that: (1) at least one-half of the organizations' efforts must be on quality assurance activities; (2) quality assurance activities shall be conducted with respect to all the different types of items and services covered by Medicare; and (3) the level of activity for each of the different types of services and items shall reasonably reflect the proportion of Medicare payments made for that type of service or item. Adds to the definition of the term "peer review organization" so as to require such an entity to: (1) include in its composition representatives of other individuals responsible for the provision of services and items for which the organization is responsible for conducting quality assurance activities; and (2) have a consumer advisory board. Defines a "consumer advisory board." Requires any peer review organization to: (1) educate Medicare beneficiaries; (2) provide for a toll-free 24 hour telephone number, which shall be provided to Medicare beneficiaries for the purpose of receiving questions and complaints from Medicare beneficiaries; (3) assist in resolving any such complaints that are legitimate; (4) make available to its consumer advisory boards appropriate information received from the telephone service; and (5) train members of its consumer advisory board. Appropriates funds, in addition to any other amounts appropriated to carry out part B of title XI, from the Federal Hospital Insurance Trust Fund and the Federal Supplementary Medical Insurance Trust Fund for distribution to peer review organizations. Amends part B (Supplementary Medical Insurance) of the Medicare program to require hospitals to implement a discharge planning process which meets guidelines and standards to be established by the Secretary, in conjunction with the Continuing Care Policy Council and Council on Quality Assurance, to: (1) protect against inappropriate early hospital discharges; (2) ensure a timely and smooth transition to the most appropriate type of and setting for post-hospital care; and (3) permit early initiation of the authorization process for continuing care services. Requires peer review organizations to monitor hospitals' compliance with discharge planning process requirements. Sets forth study and reporting requirements.
United States · United States Congress · 6 March 1986
Expresses the sense of the House of Representatives that the Postmaster General should issue a postage stamp honoring American servicemen and civilians still unaccounted for as a result of the conflict in Indochina.
United States · United States Congress · 5 March 1986
Asbestos Hazard Emergency Response Act of 1986 - Amends the Toxic Substances Control Act to direct the Administrator of the Environmental Protection Agency (EPA) to promulgate regulations for asbestos hazard abatement in the schools. Directs the Administrator to develop a model accreditation plan for States to give accreditation to individuals who inspect, manage, abate, and analyze asbestos problems. Makes the use of accredited personnel a condition for receiving financial assistance under the Asbestos School Hazard Abatement Act of 1984. Requires each State Governor to establish administrative procedures for the certification of school asbestos inspection and abatement programs and for asbestos management plans, all to be carried forward by the local educational agency. Requires warning labels on any asbestos still in routine maintenance areas of a school building. Makes any local educational agency which fails to comply with this Act liable for civil penalties, including injunctive action. Requires the Administrator or appropriate Governor to investigate citizen complaints Authorizes the Administrator or the appropriate State Governor to take necessary response measures where asbestos in a school building may be hazardous and adequate local measures have not been taken. Sets forth the relationship of pollution liability insurance risk retention groups to State law, including securities law. Establishes the Asbestos Trust Fund in the Treasury to carry out the Asbestos Hazards Abatement Assistance Program. Authorizes appropriations for FY 1987 through 1990.
![Official portrait of Sen. Wirth, Timothy [D-CO]](https://www.congress.gov/img/member/w000647_200.jpg)