Budget

To authorize and direct the Director of the Office of Management and Budget to develop a plan to reduce Federal overhead costs by 10 percent and to report to Congress and the President by February 1, 1993.

United States · United States Congress · 8 July 1992

Authorizes and directs the Director of the Office of Management and Budget to develop and submit to the President and the Congress a plan to reduce Federal overhead costs by ten percent of FY 1992 levels.

Small Business Research and Development Enhancement Act of 1992

United States · United States Congress · 2 July 1992

Small Business Innovation Development Amendment Act of 1992 - Amends the Small Business Innovation Development Act of 1982 to extend the Small Business Innovation Research (SBIR) Program from October 1, 1993, to October 1, 2000. Amends the Small Business Act regarding small business eligibility for Federal agency research and development awards to include in the three-phase evaluation process determining the technological feasibility of ideas those ideas which appear to have commercial potential. Prescribes minimum SBIR expenditure amounts for FY 1992 through 1997 and after. Requires each Federal agency that is required to establish an SBIR program to: (1) determine unilaterally research topics within its SBIR solicitations, giving special consideration to topics which permit substantial applicant participation in research project formulation; and (2) make payments in full to SBIR funding agreement recipients, subject to specified audit deadlines. Directs the Administrator of the Small Business Administration (the Administrator) to modify directives for the conduct of general SBIR policy to provide for: (1) rights to data; (2) continued use of agency property; (3) follow-on contracts; and (4) increased amounts of Phase 1 awards. Repeals the requirement for an annual report by the Office of Science and Technology Policy. Provides that if a Federal agency required to establish an SBIR program makes an SBIR solicitation award for which it shall provide written justification of such award in its next annual report. Requires the Comptroller General to report to the Congress on specified aspects of SBIR program implementation. Includes Department of Defense (DOD) activities in the extension of programs under this Act and requires the evaluation process for research and development awards to consider the commercial potential of ideas. Revises the definition of "extramural budget" to remove an exclusion that provides that such definition shall not include amounts of DOD obligated solely for operational systems development. Increases the amount required to be expended by DOD for SBIR. Establishes a maximum amount for SBIR contracts awarded by DOD in the first phase.

National Security Budget Priorities Act of 1992

United States · United States Congress · 2 July 1992

National Security Budget Priorities Act of 1992 - Amends the Congressional Budget Act of 1974 to require Congress to complete action on or before March 31 of each year on a concurrent resolution establishing the national security budget. Requires the resolution to set appropriate levels for the fiscal year beginning on October 1 of such year and planning levels for each of the two ensuing fiscal years for total new budget authority, budget outlays, direct loan obligations, and primary loan guarantee commitments for the national security discretionary spending category and the domestic discretionary spending category. Limits debate on such resolution to ten hours. Requires the concurrent resolution on the budget to be consistent with the national security budget.

To amend title XVIII of the Social Security Act to protect certain hospitals from the unintended effects of geographic reclassification in determining the amount of payments to such hospitals for the operating costs of inpatient hospital services under part A of the medicare program, to clarify the criteria used for the geographic reclassification of hospitals under the program, and to permit certain hospitals to be treated as regional referral centers under the program.

United States · United States Congress · 2 July 1992

Amends title XVIII (Medicare) of the Social Security Act to prohibit reductions in payments to certain geographically reclassified hospitals for the operating costs of inpatient hospital services. Provides for application of a separate wage index with respect to certain hospitals in an urban area from which other hospitals have been reclassified. Makes changes with respect to criteria for geographic reclassification. Provides for the exclusion of certain payments in determining the eligibility of rural hospitals for urban reclassification. Amends the Omnibus Budget Reconciliation Act of 1989 to permit certain hospitals to be treated as regional referral centers under the Medicare program.

Contractor Licensing Reform Act of 1992

United States · United States Congress · 1 July 1992

Contractor Licensing Reform Act of 1992 - Establishes the Office of Contractor Licensing within the Department of the Treasury. Requires the Office to establish and maintain a licensing system for the registation, issuance, and review of a license for any person seeking to enter a contract for services. Specifies the information each applicant for a license must provide the Office. Requires the Office to establish standards for the issuance and maintenance of a valid license. Requires such standards to require that the license applicant or holder comply with all applicable Federal laws relating to procurement, contracting, and ethics. Requires a license holder to give written notification to the Office of: (1) the registration of the license holder as a registered foreign agent; (2) the criminal indictment of the license holder; or (3) any change in the status of the license holder which the Office may reasonably require. Provides for suspension and revocation of such licenses. Provides for penalties for false or misleading information submitted for purposes of obtaining or renewing a license. Requires the Office to charge a fee for the issuance or renewal of a license. Prohibits Federal agencies and Members of Congress from entering into a contract for services unless the person contracting to perform such services has a valid license from the Office. Requires any person seeking to enter a contract for services with a Federal agency or Member of Congress to submit a copy of a valid license from the Office with a bid proposal or other offer to perform such contract. Requires contracting officers considering bid proposals of licensed contractors to review material submitted by the license holder or ensure against conflicts of interest and that a contract award is not contrary to the best interests of the United States. Requires the President's annual budget proposal to: (1) contain separate categories for requests for agency authority to procure consulting services; and (2) identify within each such category such requests according to certain procurement classifications. Provides for annual audits of certain portions of agency contracts by the agency's Inspector General to determine if: (1) contractors are performing inherently governmental functions; (2) there is any conflict of interest in the performance of such contracts; and (3) contracts for services are unauthorized personal services contracts. Requires the head of each agency to review all functions of the agency performed by employees or performed pursuant to contracts for services, and take such actions as necessary to ensure that all functions which are inherently governmental functions are performed only by officers and employees of the agency. Amends Federal law to prohibit an officer or employee of the Federal Government or of the District of Columbia government from involving either government in a contract or obligation for any service to perform an inherently governmental function. Requires the Office of Management and Budget to promulgate regulations requiring all Federal agencies to review all contracts for services for cost-effectiveness. Prohibits service contracts entered into by Federal agencies or Members of Congress from authorizing any expenditure for entertainment, maintenance or improvement of morale, or alcoholic beverages. Provides that any contract for services entered into by a Federal agency or Member of Congress shall contain a provision requiring that civil service provisions concerning travel and subsistence expenses and mileage allowances apply to the travel of any person performing services under such contract, to the greatest extent practicable.

Making appropriations for the government of the District of Columbia and other activities chargeable in whole or in part against the revenues of said District for the fiscal year ending September 30, 1993, and for other purposes.

United States · United States Congress · 1 July 1992

Title I: Fiscal Year 1993 Appropriations - District of Columbia Appropriations Act, 1993 - Appropriates funds to the District of Columbia for FY 1993 for: (1) the Federal payment to the District of Columbia; (2) the Federal contribution to retirement funds; (3) the Federal contribution for crime and youth initiatives; (4) expenses incurred in connection with presidential inauguration activities; (5) the Metropolitan Police Department; (6) the Federal contribution to the Board of Education; (7) the District of Columbia Institute for Mental Health; and (8) the Children's National Medical Center for a cost-shared National Child Protection Center. Appropriates specified sums out of the District of Columbia general fund for the current fiscal year for: (1) governmental direction and support; (2) economic development and regulation; (3) public safety and justice; (4) public education; (5) human support services; (6) public works; (7) the Washington Convention Center Fund; (8) repayments of specified loans and interest; (9) repayment of the general fund deficit; (10) employees' optical and dental benefits; (11) inaugural expenses; (12) the rental and leasing of facilities for governmental purposes; (13) furlough adjustments; (14) within-grade salary adjustments; (15) capital outlay; (16) the Water and Sewer Enterprise Fund and water construction projects; (17) the Lottery and Charitable Games Enterprise Fund; (18) the Cable Television Enterprise Fund; and (19) the Starplex Fund. Requires the District of Columbia to operate and maintain a telephone hotline for Lorton-area residents to receive information concerning escapes, fires, and riots at Lorton prison. Sets forth certain uses of and restrictions on the expenditure of appropriations made by this Act. Prohibits the use of funds for: (1) activities which permit or encourage partisan political activities; (2) the salary of any District of Columbia government employee whose name, title, grade, salary, or work and salary history are not available for inspection by specified congressional committees and the District of Columbia Council, or whose name and salary are not available for public inspection; (3) publicity or propaganda purposes; (4) abortions, except where the life of the mother would be endangered if the fetus were carried to term; (5) reprogramming, unless the reprogramming was approved according to specified procedures; or (6) the operation, after June 1, 1993, of the Cedar Knoll Facility. Requires that the annual budget for the District of Columbia government for FY 1994 be transmitted to the Congress by April 15, 1993. Requires the Mayor to develop an annual plan for capital outlay borrowings. Prohibits the Mayor from: (1) borrowing funds for capital projects without the prior approval of the District of Columbia Council; or (2) using money borrowed for capital projects for operating expenses of the District of Columbia government. Directs the Mayor to submit to the D.C. Council, within 30 days after the end of the first quarter of FY 1993, the FY 1993 revenue estimates. Amends the District of Columbia Self-Government and Governmental Reorganization Act to extend, for one year, the District's authority to sell its general obligation bonds through negotiated sales. Prohibits the renewal or extension of any sole source contract with the District of Columbia government without opening that contract to the competitive bidding process, subject to exception. Requires any sequestration order under the Balanced Budget and Emergency Deficit Control Act of 1985 (Gramm-Rudman-Hollings Act) to be applied to each account appropriating Federal funds in this Act (rather than to the aggregate total of those accounts) which is not specifically exempted from sequestration by specified Federal law. Provides for repayment to the Federal Treasury of any amounts appropriated and paid to the District of Columbia before a sequestration order is issued, applying the sequestration percentage proportionately to each account not specifically exempted from sequestration. Requires the District of Columbia to pay interest on its quarterly payments to the United States that are made more than 60 days after its receipt of an itemized statement from the Federal Bureau of Prisons of amounts due for housing D.C. convicts in Federal penitentiaries. Authorizes an entity of the District of Columbia government to accept and use a gift or donation during FY 1993 if: (1) the Mayor approves; and (2) the entity uses such gift or donation to carry out its authorized functions or duties. Requires the entity to keep accurate and detailed records of acceptance and use of any gift or donation and to make them available for audit and public inspection. Authorizes the Board of Education to accept gifts to the public schools without prior approval by the Mayor. Prohibits the use of funds under any Act to issue or renew a registration certificate or identification tag for any motor vehicle if unpaid fines for traffic violations are outstanding against any registered owner (or authorized user) of the vehicle. Provides for waivers of such prohibition, subject to certain conditions. Prohibits the use of funds under this Act to impose, collect, transfer, or enforce a payment in lieu of taxes on the Water and Sewer Utility Administration that would increase payments in Maryland or Virginia under the Blue Plains Intermunicipal Agreement of 1985. Title II: Fiscal Year 1992 Supplemental District of Columbia Funds - District of Columbia Supplemental Appropriations and Rescissions Act, 1992 - Makes supplemental appropriations (including rescissions in certain cases) to the District of Columbia for FY 1992 for: (1) governmental direction and support; (2) economic development and regulation; (3) public safety and justice; (4) public education; (5) human support services; (6) repayment of the general fund deficit; (7) resizing; (8) the rental and leasing of facilities for governmental purposes; (9) capital outlay; (10) the Water and Sewer Enterprise Fund; and (11) the Starplex Fund. Rescinds specified FY 1992 funds earmarked for public works, the Washington Convention Center Fund, and repayment of certain loans and interest.

Health Choice Act of 1992

United States · United States Congress · 30 June 1992

Health Choice Act of 1992 - Title I: Eligibility and Choice of Plan - Entitles each individual to benefits if they are: (1) a U.S. resident and either a citizen, national, or lawful resident alien; and (2) neither a beneficiary under title XVIII (Medicare) of the Social Security Act nor an active armed forces member. Phases in benefits over six years, phase one for prenatal and delivery services and services for children under six, phase two for individuals under 22 and individuals between 60 and 65, and phase three for all eligible individuals. Requires: (1) residents of a State to choose benefits under any arrangement provided by their State's plan; and (2) nonresidents to choose either an employment-based, managed care, or fee-for-service plan. Allows collective bargaining agreements to specify the plan in which the individual must enroll. Mandates distribution of materials and a toll-free telephone number regarding plan choice. Title II: Benefits - Subtitle A: Services - Includes in "basic health services:" (1) clinical preventive services; (2) physicians' services, rural health clinic services, and Federally qualified health center services; (3) hospital services; (4) post-hospital skilled nursing facility services; (5) part-time or intermittent home health services; (6) hospice care; (7) covered outpatient drugs; and (8) other medical and health services as defined by the National Health Board established by this Act. Considers services reasonable and necessary only if they would be so considered under Medicare and requires review of any national coverage determination to be made as under Medicare. Applies certain Medicare exclusions to this title. Subtitle B: Cost-Sharing - Part 1: General Requirements - Mandates certain deductibles for general services, inpatient services, and prescription drugs. Allows a Health Choice plan to require copayments and limited coinsurance. Prohibits deductibles or coinsurance for clinical preventive services. Mandates cost-sharing rules for capitated plans and special payment methodologies. Allows certain cost-sharing for restricted provider managed care plans. Prohibits premiums for basic health services. Part 2: Reduction in Cost-Sharing for Low-Income Individuals - Reduces deductibles for certain low income individuals. Provides for advance and retroactive cost-sharing assistance and for help in completing assistance applications. Mandates reconciliation of advance assistance with actual income. Considers an individual or family that has been determined eligible for aid under specified provisions of parts A (Aid to Families with Dependent Children) and E (Foster Care and Adoption Assistance) of title IV or Supplemental Security Income benefits of the Social Security Act to have an adjusted total income below the poverty line. Title III: Requirements for Health Choice Plans - Subtitle A: Qualified State Health Insurance Plans - Requires each qualified State health insurance plan to enroll each eligible State resident, except for an individual enrolled in a qualified multi-state employment-based health plan. Mandates health care fraud and abuse measures. Subtitle B: Qualified Employment-Based Health Plans - Requires that a qualified employment-based health plan (EBHP) specify its eligibility basis. Allows the plan to group individuals into classifications based on factors determined by the Board. Prohibits enrollment denial within a classification or on the basis of health status or use of health services. Declares that an EBHP is a multi-state plan if the percentage of individuals from one State does not exceed a level set by the Board. Subtitle C: Qualified Managed Care Plans - Specifies certain requirements for a restricted provider managed care plan, including a prohibition of expulsion on the basis of health status or use of health services, continuation of coverage if the plan terminates, and coverage of out-of-plan services. Subtitle D: Fee-for-Service Choice Plan - Requires the Board to operate a fee-for-service choice plan (Choice Plan) providing basic health services through any willing provider. Makes Medicare beneficiaries, notwithstanding other provisions of this Act, eligible for clinical preventive services under a Choice Plan. Applies certain provisions of the Social Security Act relating to: (1) withholding of payments for certain Medicaid providers to this subtitle; and (2) physician referrals to referrals for clinical laboratory services under the Choice Plan. Requires the determination of the amount, scope, and duration of Choice Plan benefits to be made by the Board. Subtitle E: Plan Requirements and Related Provisions - Part 1: Requirements Applicable to Health Choice Plans Generally - Requires each Health Choice plan to provide for at least all basic health services. Prohibits pre-existing condition exclusions. Requires that enrollment of an individual in a Health Choice include enrollment of that individual's family members. Provides for coordination and portability of coverage under qualified plans. Prohibits a Health Choice plan from paying for basic health services unless the provider is qualified to have payment made. Provides for the qualification of hospitals, physicians, other providers and suppliers, and Indian health service facilities, applying certain Medicare provisions. Requires risk management programs. Allows fee-for-service and capitated plans to restrict coverage through utilization review programs meeting standards set by the Board. Prohibits a Health Choice plan from operating a physician incentive plan (providing compensation or other financial arrangements that may reduce services) unless certain Medicare requirements are met. Protects individuals from liability to providers if a plan fails to make payments for basic health services. Requires each plan to coordinate benefits with low-income assistance under title II of this Act. Mandates quality assurance mechanisms, measures to control fraud and abuse, transmission of information regarding outcomes and expenditures, and the use of unique provider and individual identifiers and uniform plan cards. Applies certain Medicare provisions (relating to offset of payments to individuals to collect past-due obligations from a breach of scholarship and loan contracts) to this title. Requires, after complete phase-in of benefits, fee-for-service claims to be submitted electronically. Requires each plan to maintain written policies and procedures regarding advance directives, as defined in specified Medicare provisions. Part 2: Requirements and Other Applicable Provisions for Capitated Plans - Provides for the approval of State, employment-based, and managed care plans. Sets forth minimum enrollment levels for employment-related and managed care plans. Prohibits a capitated plan that has enrolled an individual from denying enrollment to the individual's family. Allows geographic limitations for State and managed care plans. Provides for the setting and calculation of payment amounts for capitated plans. Requires each capitated plan: (1) except for employment-based plans, to make certain disclosures, including regarding comparing benefits and cost-sharing to fee-for-service plans, describing pre-existing condition limitations, describing provider limits, and disclosing the availability of low-income assistance; (2) to provide grievance and appeals procedures; and (3) to establish insolvency protection. Provides for enforcement of capitated plan requirements through civil monetary penalties, suspension of enrollment, termination of approval, and intermediate sanctions. Requires capitated plans to disclose certain information to the Board. Part 3: Preemption of State Laws - Prohibits State laws and regulations: (1) requiring the offering, as part of a managed care plan or an employment-based plan, of any services; (2) specifying the individuals to be covered under such a plan or the duration of coverage; or (3) requiring a right of conversion from such a plan to an individual plan. Prohibits a State from prohibiting or regulating: (1) a managed care plan meeting the requirements of subtitle C from taking specified actions; or (2) utilization review programs meeting the requirements of specified provisions of this Act. Title IV: Cost Containment - Subtitle A: Basic Health Services - Part 1: Establishment of National Limits on Health Care Spending - Requires the Board to: (1) annually monitor nonmedicare and medicare expenditures and, if expenditures exceed allocations, reduce allocations for specified expenditures in the second succeeding year; (2) determine, according to a specified formula, overall nonmedicare and Medicare spending amounts; and (3) apportion nonmedicare spending among the States according to the number of eligible residents, adjusted to reflect certain risk factors, cost differences outside the control of providers, and other considerations the Board deems appropriate. Requires: (1) the Board to publish, for nonmedicare and Medicare spending, allocations among the classes of services; (2) the nonmedicare allocations to be reduced to account for individuals in capitated plans; and (3) a reduction in the allocation to that class for the second succeeding year after expenditures exceed the allocation. Allows the Congress, by enacting a law by a specified date in any year, to change the amounts, apportionments, allocations, or reductions set by the Board. Prohibits administrative or judicial review of: (1) the spending, apportionments, or allocations; (2) exceptions under specified provisions; or (3) payment amounts negotiated, payment methodologies used, or payment amounts established under parts 2 or 3. Part 2: Development of Negotiated Payment Amounts for Basic Health Services Under Fee-for-Service Choice Plan and the Medicare Program - Provides for negotiation of payment amounts, including Board approval of recommended negotiated amounts. Part 3: Establishment of Payment Amounts If Negotiated Amounts Not Approved - Provides, if there are no (or unsuccessful) negotiations, for establishment by the Board of the amounts. Specifies the basis for nonmedicare payment amounts. Part 4: Application of Payment Amounts - Makes the negotiated amounts (or the amounts established by the Board) in a State the payment amounts for the State under the fee-for-service plan. Makes the negotiated amounts, if approved by the Board, the basis for Medicare payments. Reduces Medicare payments, if the negotiated amounts are not approved by the Board, by a uniform factor as necessary to keep expenditures from exceeding allocations. Subtitle B: Promotion of Primary Care Services through Changes in Graduate Medical Education - Requires the Board to establish incentives for training needed personnel. Authorizes: (1) payment of additional amounts to particularly successful training programs; and (2) elimination or reduction of payments to hospitals and medical residency programs not meeting needs. Subtitle C: Administrative Savings - Mandates: (1) uniform claims forms; and (2) standards for electronic billing. Title V: Control Over Fraud and Abuse - Amends title XI (General Provisions and Professional Standards Review) of the Social Security Act to add references to Health Choice plans to specified provisions: (1) mandating or permitting exclusion of certain individuals from participation in Medicare; (2) mandating civil monetary penalties; and (3) mandating criminal penalties. Directs the Secretary of Health and Human Services, through the Inspector General, to establish a national data base containing information n health care fraud and abuse, including the identify of providers subjected to certain actions. Requires: (1) each Health Choice plan to report to and query the data base; and (2) coordination with a specified malpractice data base. Provides for confidentiality. Requires each State to maintain a health care fraud and abuse control unit. Allows a unit described in title XIX (Medicaid) of the Social Security Act to meet this requirement. Provides for the structure, functions, and resources of the unit. Requires cooperative agreements between the unit and similar units in other States, the Inspector General, and the U.S. Attorney General. Mandates the assignment and use of unique provider identifiers and unique patient identifiers. Title VI: Administration of Health Choice Program; Health Choice Trust Fund; Quality Assessment - Subtitle A: Administration - Establishes: (1) as an independent agency in the Government, the National Health Board; and (2) the National Advisory Council on Health Policy. Authorizes appropriations from the Health Choice Trust Fund for the Board and the Council. Subtitle B: Health Choice Trust Fund - Creates in the Treasury the Health Choice Trust Fund (Fund), consisting of: (1) taxes resulting from the value added tax and the health excise tax on employers imposed by this title; and (2) State contributions under this title. Requires the Fund to be managed by the Board. Authorizes the issuance of public debt obligations for purchase by the Fund. Excludes Board receipts and disbursements from U.S. budget totals. Provides for the treatment of the Board with regard to the Balanced Budget and Emergency Deficit Control Act of 1985. Transfers from the Fund to the Federal Hospital Insurance Trust Fund and the Federal Supplementary Medical Insurance Trust Fund (Trust Funds) amounts equal to the benefits and administrative costs payable from such Trust Funds as a result of specified provisions of this Act. Provides for the treatment of amounts owed to the Board or the Fund in bankruptcy and reorganization proceedings. Mandates transfers from the Fund to the Agency for Health Care Policy and Research to carry out provisions of the Public Health Service Act relating to that Agency. Requires that expenditures be made from the Fund for grants under title X of this Act relating to: (1) primary care centers and public health clinics serving medically underserved populations; and (2) specialized screening, diagnostic, and treatment services for children. Mandates expenditures from the Fund for demonstration projects under part 2 of subtitle D (relating to medical malpractice). Requires a set-asides of Fund expenditures to: (1) assure adequate support in the administration of the fee-for-service choice plan; and (2) expand the Inspector General's capacity to carry out title V (Control Over Fraud and Abuse). Subtitle C: Miscellaneous - Requires the Board to assess service quality under Health Choice plans, monitor the health status of individuals in the United States, and compile information regarding the appropriateness and quality of services under such plans to provide for a more informed choice in the selection among the plans. Amends provisions of the Social Security Act relating to outcomes research to require that the needs and priorities of the Health Choice program are reflected in the development and updating of treatment- or condition-specific practice guidelines in specified forms. Authorizes demonstration projects to improve service delivery and quality and to increase payment efficiency and effectiveness. Requires project funding to come from the Fund. Mandates reports on: (1) the impact of this Act in meeting goals in "Healthy People, 2000;" (2) consolidating Medicare and other Federal health benefit programs with the Health Choice program; and (3) the impact of this Act on facilities recognized as centers of medical excellence. Subtitle D: Resolution of Medical Malpractice Claims Relating to Health Choice Program - Part 1: Resolution of Claims - Applies this subtitle to any medical malpractice claim in any Federal or State court relating to Health Choice plan services except for a vaccine-related injury or death or to the extent that title XXI (Vaccines) of the Public Health Service Act applies. Preempts differing State laws. Mandates the development of practice guidelines for basic health services and requires that any such guideline serve as the standard of care for the resolution of medical malpractice claims. Requires regulations establishing: (1) factors commonly considered in calculating malpractice economic damages; and (2) a methodology for standardizing the costs or value associated with the factors. Makes the list and methodology admissible. Requires annual compilation of information on damage awards and categorization so as to assist triers of fact in calculating damages. Provides, when a damage award is over a specified amount, for periodic damage payments, imposes a limit on any single payment, and prohibits certain payments after the plaintiff's death. Reduces damages by the amount of collateral source payments, except for payments under title III or Medicare. Mandates development of a methodology for assisting parties in quantifying the dollar value of non-economic harm. Requires: (1) 50 percent of any punitive damages to be awarded to the State for activities to prevent medical injuries or to the State health professional licensing agency; and (2) a reduction in punitive damages by the amount of any plaintiff's attorney's fees owed. Limits the application of these requirements in States limiting malpractice award amounts. Limits attorney's fees. Part 2: Demonstration Projects, Studies, Etc. - Mandates grants for four-year demonstration projects for model administrative systems for the final resolution of all medical malpractice claims through a non-judicial process. Sets forth system requirements. Waives conflicting State laws. Requires designation of a list of medical procedures as generally preventable medical outcomes designated to be compensable in advance of the initiation of a medical malpractice claim (accelerated compensation events). Mandates research relating to the prevention of medical injuries. Requires each State to use all fees paid to the State for licensing, certification, or accreditation of health practitioners to conduct disciplinary and educational activities. Mandates a study on the impact of part 1 on specified matters. Requires an annual report on medical malpractice premiums, including geographic differences. Title VII: Medicare Benefit Improvement - Amends Medicare provisions to remove the limit on the number of inpatient hospital days covered. Revises requirements regarding inpatient hospital deductibles and eliminates references to inpatient hospital coinsurance. Modifies inpatient psychiatric hospital coverage and payments for emergency hospital services. Defines "covered outpatient drug" and specifies exclusions. Provides for determination of the payment amount for such drugs according to specified formulas. Declares that the deductible shall be the deductible under specified provisions of title II of this Act. Sets the coinsurance percentage, certain payment limits, and administrative allowances. Mandates a program to identify (and educate physicians and pharmacists concerning): (1) inappropriate prescribing and dispensing practices; (2) substandard care with respect to such drugs; and (3) potential adverse reactions. Requires related standards. Provides for the treatment of certain prepaid organizations with regard to prescription drugs, including with regard to drug buy-out plans. Requires development and annual updating and dissemination of an information guide for physicians comparing average wholesale prices of at least 500 of the most commonly prescribed covered outpatient drugs. Provides for participation agreements between pharmacies and the Secretary with specified minimum contents. Directs the Secretary to: (1) provide such electronic equipment and technical assistance as necessary for electronic claims submission by pharmacies; and (2) a point-of-sale electronic system for use by carriers and participating pharmacies in the submission of information on covered drugs dispensed to Medicare beneficiaries. Allows payment for such drugs to be made on the basis of an assignment only to a participating pharmacy. Imposes civil monetary penalties for violation of a participation agreement, excessive charges, or failure to provide certain information. Provides for limits on the length of time covered by a prescription. Amends provisions relating to the use of carriers for administration of benefits to set forth requirements applicable to carriers that make determinations or payments regarding covered outpatient drugs. Allows payment for the operation of the electronic claims system. Mandates interest on late payments by the system. Sets forth special rules for health maintenance organizations and competitive medical plans. Regulates the amount a provider may charge. Requires the Director of the Congressional Office of Technology Assessment to provide for the appointment of a Prescription Drug Payment Review Commission. Requires the Commission to report annually to the Congress on methods of determining payment for covered outpatient drugs under Medicare part B. Authorizes appropriations, payable from the Federal Supplementary Medical Insurance Trust Fund. Mandates studies on: (1) including experimental drugs and biological products as Medicare covered outpatient drugs; (2) use of mail pharmacies to reduce costs to Medicare and Medicare beneficiaries; (3) improving utilization review of covered outpatient drugs; (4) the use, studied on a longitudinal basis, of outpatient prescription drugs by Medicare beneficiaries regarding medical necessity, adverse interactions, cost, and patient stockpiling or wastage; (5) average wholesale prices as compared to actual pharmacy acquisition costs; (6) retail pharmacy overhead costs; and (7) discounts by pharmacies to other third-party insurers. Mandates a standard Medicare claims form. Adds tetanus-diphtheria boosters and their administration to the Medicare definition of "medical and other health services." Allows screening mammographies for women over 64 years old 11 (currently, 23) months after a previous screening. Modifies requirements regarding the frequency of screening pap smears. Eliminates certain Medicare cost-sharing requirements after out-of-pocket cost-sharing equals an amount specified under title II of this Act. Imposes other cost-sharing limits. Provides for the inpatient hospital deductible when phase two of this Act becomes effective. Removes provisions relating to: (1) the amount of premiums for individuals enrolled under Medicare part B (Supplementary Medical Insurance); and (2) payment of such premiums. Modifies requirements regarding: (1) the determination of the amount of monthly premiums for certain individuals; and (2) appropriations to cover Government contributions to the Federal Supplementary Medical Insurance Trust Fund and the associated contingency reserve. Amends title II (Old Age, Survivors, and Disability Insurance (OASDI)) provisions of the Social Security Act relating to entitlement to hospital insurance benefits to entitle every individual over age 64 to hospital insurance benefits under Medicare part A (Hospital Insurance). (Current law imposes certain conditions on such entitlement.) Removes provisions relating to the determination of certain monthly Medicare premiums to be paid by the State. Removes provisions allowing payment on the basis of an itemized bill. (Current law allows payment on the basis of an itemized bill or on the basis of an assignment.) Revises requirements regarding refunds of amounts billed on an unassigned basis. Subjects Medicare expenditures to reductions to assure that they do not exceed the allocation for the class of services involved under this Act. Allows a group health plan that is a qualified employment-based health plan under title III of this Act to take into account that an individual is eligible for Medicare benefits if the individual is: (1) a working aged individual, a disabled active individual in a large group health plan, or an individual with end stage renal disease; and (2) not an eligible individual under this Act. Appropriates to the Federal Hospital Insurance Trust Fund and the Federal Supplementary Medical Insurance Trust Fund from the Health Choice Trust Fund amounts equal to the benefits and administrative expenses that result from the amendments made by subtitle A of title VIII of this Act. Title VIII: Medicaid - Amends Medicaid provisions to prohibit payments to States (and declare that a State is not required to make payments) for basic health services for which payment is made under Medicare or this Act. Title IX: Financing - Subtitle A: Value Added Tax - Amends the Internal Revenue Code to impose a tax on each taxable transaction, defined as being, in connection with a business, the sale of property in the United States, the performance of services in the United States, and the importing of property into the United States. Includes in the imposition of the tax any sale or leasing of real property and any importing of property, whether or not in connection with a business. Declares that the taxable amount is the price charged for the property or service or, in the case of exchanges, the fair market value. Sets a zero tax rate for: (1) food, housing (as a primary residence), and medical care, applying the zero rating to all transactions after such items become clearly identifiable as items to which the zero rating will apply; (2) sales to governmental entities; and (3) the providing by a governmental entity of property and services in connection with education. Taxes sales by a governmental entity only if there is a separate charge or fee. Sets a zero rate for transactions engaged in by certain charitable (section 501(c)(3)) organizations unless the organization imposes a charge or fee for the service. Allows a tax credit for the aggregate tax which has been paid by sellers to the taxpayer of property and services which the taxpayer uses in the business to which the transaction relates. Provides for the treatment of excess credit as an overpayment of tax. Makes the seller liable for the tax. Requires the seller to give the purchaser a tax invoice. Allows a person whose aggregate taxable transactions (except for transactions involving real property or importing) are under $20,000 to elect to be treated as a nontaxable person. Allows a tax credit for low income individuals. Subtitle B: Employer Contribution - Imposes an excise tax on every employer on a percentage of wages paid, specifying a higher percentage for those employers contributing to any employee medical care plan. Imposes a tax on self-employment income. Imposes similar taxes through provisions relating to railroads. Subtitle C: State Medicaid Contribution - Requires each State, as a requirement for receiving its Federal Medicaid payment, to pay to the Health Choice Trust Fund any excess of Medicaid payment to the State that would have been made (if this Act had not been in effect) for basic health services under subtitle A of title II of this Act over the Medicaid payment actually made for such service. Title X: Expansion of Primary Care and Public Health Delivery Capacity in Meeting Health Objectives - Amends the Public Health Service Act to authorize appropriations for programs relating to: (1) vaccinations; (2) the prevention and control of tuberculosis, lead poisoning, or sexually transmitted diseases; (3) migrant and community health centers; (4) health services for the homeless and for residents of public housing; (5) family planning; and (6) early intervention services for individuals with HIV disease. Mandates grants (from Health Choice Trust Funds set aside under title VI of this Act) to plan and develop primary care centers and public health clinics for medically underserved populations, allowing grant funds to be used as under provisions of the Public Health Service Act relating to community health centers. Defines a primary care center to mean a migrant or community health center or an entity qualified to receive a grant under provisions relating to health services for the homeless, health services for residents of public housing, family planning services, or early intervention services for individuals with HIV disease. Defines a public health clinic to mean an entity qualified to receive a grant under provisions relating to vaccinations or the prevention and control of tuberculosis, lead poisoning, or sexually transmitted diseases. Mandates grants (from Health Choice Trust Funds set aside under title VI of this Act) for specialized screening, diagnostic, and treatment services to children under 22 years old. Title XI: Reform of Health Insurance Market - Declares that Medicare provisions relating to the revision of National Association of Insurance Commissioners standards regarding Medicare supplemental policies apply in the case of the changes in Medicare benefits made by title VIII. Requires the Board to promulgate standards relating to health insurance policies offered to supplement the Health Choice program. Prohibits the sale or issue of any nonconforming policy, prescribing civil monetary penalties. Repeals specified provisions of the Internal Revenue Code, the Employee Retirement Income Security Act of 1974, and the Public Health Service Act relating to continuation coverage.

To amend the Internal Revenue Code of 1986 and the Balanced Budget and Emergency Deficit Control Act of 1985 to eliminate the Federal budget deficit by the end of fiscal year 1998.

United States · United States Congress · 30 June 1992

Amends the Internal Revenue Code to require tax table rate reductions to be based on a percentage of the reduction in Federal spending for calendar years 1993 through 1997. Amends the Balanced Budget and Emergency Deficit Control Act of 1985 (Gramm-Rudman-Hollings Act) to provide sequestration procedures to eliminate the deficit by FY 1998. Specifies accounts that are exempt from reduction. Sets forth reporting requirements.

Expressing the sense of the Congress in support of a "Jump Start America" proposal to restore economic growth and prosperity, to retain and restore American jobs, and to balance the Federal budget.

United States · United States Congress · 30 June 1992

Expresses the sense of the Congress that the Federal Government should: (1) reduce by 60 percent, within two years, expenditures for foreign assistance; (2) enforce U.S. trade laws to restore employment and open foreign markets; (3) intitiate incentives to restore U.S. international competitiveness; (4) reduce Department of Defense spending and redirect the defense industrial structure to domestic needs; (5) rebuild U.S. infrastructure and develop new forms of transportation; (6) require host nations to assume the total costs of U.S. military presence; (7) recover uncollected taxes; (8) implement tax parity between domestic and foreign enterprises operating within the United States; (9) require full elimination of waste, fraud, abuse, and unnecessary spending in all branches of government within two years; (10) implement a program to protect U.S. natural resources from foreign exploitation by restricting ownership and limiting exportation; (11) establish a goal, by 2000, of providing comprehensive health care for all U.S. citizens; and (12) implement incentives for States to initiate training and work-fare programs for the unemployed and welfare recipients.

Department of Defense Appropriations Act, 1993

United States · United States Congress · 29 June 1992

Department of Defense Appropriations Act, 1993 - Title I: Military Personnel - Appropriates funds for FY 1993 for military and reserve personnel in the Army, Navy, Marine Corps, and Air Force and for National Guard personnel in the Army and Air Force. Title II: Operation and Maintenance - Appropriates funds for FY 1993 for the operation and maintenance of the Army, Navy (including a transfer of funds), Marine Corps, Air Force, the defense agencies, the respective reserve components, and the Army and Air National Guards. Appropriates funds for the Army's National Board for the Promotion of Rifle Practice, the Court of Military Appeals, environmental restoration (including a transfer of funds), humanitarian assistance, support and services for the World University Games, the 1996 Summer Olympics, the 1994 World Cup USA, and for real property maintenance, defense. Title III: Procurement - Appropriates funds for FY 1993 for the procurement by the Army of aircraft, missiles, weapons, tracked combat vehicles, and ammunition and for other procurement. Appropriates funds to the Navy for the procurement of aircraft, weapons, and shipbuilding and conversion (including a transfer of funds) and for other procurement. Appropriates funds for Marine Corps procurement. Appropriates funds for procurement by the Air Force of aircraft and missiles and for other procurement. Appropriates funds for: (1) National Guard and Reserve equipment; (2) procurement by the defense agencies; and (3) Defense Production Act purchases. Title IV: Research, Development, Test, and Evaluation - Appropriates funds for FY 1993 for research, development, test, and evaluation by the Army, Navy, Air Force, and defense agencies. Appropriates funds for the Deputy Director of Defense Research and Engineering (Test and Evaluation) and the Director, Operational Test and Evaluation. Title V: Revolving and Management Funds - Appropriates funds for the Defense Business Operations Fund. Title VI: Other Department of Defense Programs - Appropriates funds for: (1) medical and health care programs of the Department of Defense (DOD); (2) the destruction of lethal chemical agents and munitions; (3) drug interdiction and counter-drug activities, defense (including a transfer of funds); and (4) expenses and activities of the Office of the Inspector General in carrying out the Inspector General Act of 1978. Title VII: Related Agencies - Appropriates funds for: (1) the Central Intelligence Agency Retirement and Disability System Fund; and (2) the Edward R. Roybal Foundation (including a transfer of funds). Title VIII: Defense Reinvestment for Economic Growth - Earmarks funds appropriated in this Act for defense reinvestment programs as authorized by the National Defense Authorization Act for Fiscal Year 1993. Title IX: General Provisions - Prohibits the use of appropriations for unauthorized publicity or propaganda. Exempts during FY 1992 DOD personnel from provisions of law prohibiting the employment of non-U.S. citizens. Provides that no part of any appropriation contained in this Act may remain available for obligation beyond the current fiscal year, unless expressly so provided. Prohibits the obligation of more than 20 percent of the funds appropriated by this Act during the last two months of the fiscal year, except as specified. Prohibits the use of appropriations for the procurement of any food, clothing, specified cloth (including cotton, silk, and wool) or synthetic fabrics, or specified metals not grown, produced, or processed within the United States, with specified exceptions. Authorizes the Secretary of Defense, in the national interest and with the approval of the Office of Management and Budget (OMB), to transfer and merge specified working capital funds. Directs the Secretary to notify the Congress of all such transfers. Limits the cash balances which may be maintained in such funds. Authorizes the Secretary of the Air Force to use any available funds to implement cost-effective agreements for required heating facility modernization in the Kaiserslautern Military Community in the Federal Republic of Germany, under certain conditions. Prohibits the use of appropriated funds for: (1) the initiation of a special access program without prior notification to the Senate and House Appropriations (appropriations) and Armed Services (defense) Committees; (2) the preparation of a request to the appropriations committees for a reprogramming of funds, except as specified; (3) certain claims for physician or provider reimbursement for medical services provided under the Civilian Health and Medical Program of the Uniformed Services (CHAMPUS) in excess of those allowed for FY 1992; (4) programs of the Central Intelligence Agency (CIA) beyond FY 1992, with a specified exception; (5) initiating a multiyear contract that employs economic order quantity procurement in excess of specified amounts, unless proper congressional notification is given; (6) any intelligence or special activity different from an activity previously justified to the Congress unless the Secretary has notified the appropriations committees of the intent to make such funds available; (7) converting certain military technician positions to positions to be held by persons in active Guard or Reserve status if such conversion would reduce the number of military technicians below a specified amount; or (8) including civilian military technicians in any administratively-imposed freeze on civilian positions. Requires governments of Indian tribes to be treated as State and local governments for purposes of the disposition of real property recommended for closure. Eliminates during FY 1993 the requirement that the Congress must authorize by law the end-strengths for civilian personnel in DOD. Prohibits setting any end-strength limitations for such personnel during FY 1993. Prohibits the use of appropriated funds for: (1) congressional lobbying; (2) the pay of certain nonmilitary Army Reserve technicians; and (3) floating storage of petroleum or petroleum products in non-U.S. vessels. Permits the appropriation of funds for humanitarian and civic assistance costs incident to authorized operations of the armed forces. Authorizes the Secretaries of the Army and the Air Force to retain in active status until age 60 certain officers who need such status in order to maintain employment as a National Guard or Reserve technician. Permits the use of operation and maintenance funds provided under this Act for studies and demonstration projects relating to the delivery of military health and medical care. Prohibits the use of funds appropriated by this Act to make contributions to the Department of Defense Education Benefits Fund for educational assistance for a member of the armed forces who enlists for less than three years or receives an enlistment bonus. Prohibits the use of funds appropriated by this Act for the basic pay and allowances of a member of the Army participating as a full-time student and receiving benefits through the Secretary of Veterans Affairs when time spent as a full-time student is credited toward completion of a service commitment. Limits the availability of appropriations to specified percentages of postsecondary educational costs for off-duty training of military personnel. Prohibits the use of appropriated funds for conversion to contractor performance of an activity or function of DOD that is currently performed by more than ten civilian DOD employees until a cost-analysis on such performance is completed and certified to the appropriations committees. Prohibits funds available to DOD from being used to award a competitive procurement contract for any round of 120mm mortar ammunition unless such round has successfully passed certain testing and has a validated technical data package to support its procurement. Prohibits the obligation of funds appropriated in this Act to the Army for the procurement of such mortars or ammunition if manufactured outside the United States. Prohibits the use of appropriated funds for the payment of salaries of any persons who authorize the transfer of unobligated or deobligated funds into the Reserve for Contingencies of the CIA. Requires funds appropriated under this Act for CIA construction projects to remain available until expended. Authorizes the Secretary of the Navy to use specified funds to charter ships for use as auxiliary minesweepers, under specified conditions. Directs DOD to competitively award contracts for the geographical expansion of the CHAMPUS Reform Initiative in Florida, Washington, Oregon, and Alexandria, Louisiana, under specified conditions. Permits the use of appropriated funds to fully utilize the facilities at the U.S. Army Engineer's Waterways Experiment Station, with a specified exception. Prohibits this Act's funds from being used by a military department to modify an aircraft, weapon, ship, or other item of equipment if such item is to be retired or otherwise disposed of within five years after completion of the modification, with specified exceptions. Specifies the definition of "program, project, and activity" for appropriations contained in this Act for purposes of the Balanced Budget and Emergency Deficit Control Act of 1985 (Gramm-Rudman-Hollings Act). Earmarks specified funds appropriated to the Army under this Act for the Reserve Component Automation System (RCAS), with certain expenditure limitations. Prohibits the use of appropriated funds for fixed-price contracts exceeding $10,000,000 for the development of a major defense system or subsystem, unless the Under Secretary of Defense for Acquisition and the Secretary of Defense take certain action. Provides that monetary limitations on the purchase price of passenger motor vehicles shall not apply to vehicles purchased for certain intelligence activities. Earmarks specified funds for the construction of classified military projects within the continental United States. Prohibits the use of appropriated funds for the procurement of welded shipboard anchor and mooring chains manufactured outside the United States. Authorizes DOD to transfer prior-year unobligated balances to the operations and maintenance appropriations of the reserve components in order to provide military technician and DOD medical personnel pay and medical programs the same exemption from the Gramm-Rudman-Hollings Act as is currently granted to other military personnel accounts, with specified exceptions. Prohibits any funds available to the Department of the Navy from being used to enter into any contract for the overhaul, repair, or maintenance of any naval vessel on the west coast which includes interport differential charges as a factor for the award of such contract. Prohibits funds appropriated by this Act for CHAMPUS programs from being used to reimburse any health care provider for inpatient mental health services in excess of specified periods (depending on one's age), or for care received when a patient is referred to a provider of such care by a medical or health care professional having an economic interest in the facility to which the patient is referred, with specified exceptions. Requires the designs of specified military aircraft to incorporate certain standard avionics specifications by no later than 1998. Provides for the accounting treatment of expenses incurred by the United States in monitoring Soviet implementation of the INF Treaty. Provides funds from this Act for transportation to an annual meeting in the United States of the next-of-kin of individuals who have been prisoners of war or missing in action from the Vietnam era. Prohibits funds available to the Department of the Navy from being used to implement certain automated data processing or information technology facility consolidation plans or to make reductions or transfers of personnel in connection with such plans until a congressional notification requirement has been met by the Secretary. Prohibits funds from this Act from being obligated or expended to prepare, or to assist any defense contractor in preparing, any material with respect to economic or employment impact in a State of an acquisition program for which all research, development, testing and evaluation has not been completed. Prohibits funds appropriated by this Act from being available for a contract for studies, analyses, or consulting services entered into without competition on the basis of an unsolicited proposal unless the head of the activity responsible for the procurement makes certain determinations with respect to such contract. Prohibits the use of DOD funds under this Act to dispose of specified unserviceable M1 rifles and carbines. Prohibits this Act's funds from being used to pay more than 50 percent of a lump-sum reenlistment bonus. Prohibits this Act's funds from being used to assign a supervisor's title or grade when the number of people he or she supervises is considered as a basis for such determination. Prohibits Navy funds appropriated by this or any other Act from being used to carry out an electromagnetic pulse program in the Chesapeake Bay area in connection with the Electromagnetic Pulse Radiation Environment Simulator for Ships (EMPRESS) program until the Secretary has made certain certifications to the Congress concerning the importance of such program. Limits the funds available for a health care demonstration project regarding chiropractic care required by the Department of Defense Authorization Act, 1985. Prohibits this Act's funds from being used to pay health care providers under CHAMPUS for services determined to be not medically or psychologically necessary. Requires sums for FY 1993 pay raises for programs funded by this Act to be absorbed within the levels appropriated in this Act. Prohibits funds available in this Act from being used for: (1) payments under a DOD contract with the Louisiana State University Medical Center involving the use of cats for wound research; or (2) conducting bone trauma research at the Letterman Army Institute of Research until the Secretary of the Army makes certain certifications. Requires the Secretary to include in any base closure and realignment plan submitted to the Congress a complete review for FY 1992 through 1996 which includes specified information relating to force structures and cost savings after such closure or realignment. Limits the amount of funds to be used for any single relocation of an organization, unit, activity, or function of DOD into or within the National Capital Region. Provides for the waiver of such limitation in certain cases. Directs the Secretary to ensure that at least 50 percent of the Joint Service Missile Mission is in place at the Letterkenny Army Depot by the time that Systems Integration Management Activity and Depot Systems Command are scheduled to relocate to Rock Island Arsenal, Illinois. Prohibits this Act's funds from being used for producing more than two-thirds of the liquid gas requirements in-house at Andersen Air Force Base, Guam. Allows appropriated funds to be used for the pay, allowances, and benefits of Federal or District of Columbia employees who are members of the reserve or National Guard, who perform Federal or military service to enforce the law or provide assistance to civil authorities in the protection or saving of life or property, and who request and are granted leave. Prohibits funds appropriated by this Act from being used to: (1) initiate or continue any cost study pursuant to OMB Circular A-76; or (2) begin closing a military treatment facility unless the Secretary notifies the appropriations committees. Prohibits funds appropriated by this Act for the American Forces Information Service from being used for any national or international political or psychological activities. Prohibits any unobligated balances available during FY 1992 from the National Defense Stockpile Transaction Fund from being obligated or expended to finance any grant or contract to conduct R&D activities for the development or production of advanced materials, unless amounts are specifically appropriated in a subsequent appropriations Act. States as the policy of the United States the opposition to restrictive trades or boycotts fostered or imposed by foreign countries against other countries friendly to the United States or against any other U.S. person. Prohibits any DOD prime contract in excess of the small purchase threshold from being awarded to a foreign person, company, or entity unless such entity certifies to the Secretary that it does not comply with the secondary Arab boycott of Israel. Authorizes the Secretary to waive such certification requirement when necessary in the national security interest, but to notify the Congress quarterly of any contract in which a waiver was granted. Outlines exceptions to the prohibition. Requires all DOD software to be written in the programming language Ada in the absence of a special exemption. Authorizes the Secretary to adjust the wage rates of certain civilian employees hired for certain health care occupations as authorized by the Secretary of Veterans Affairs for the direct care of veterans in the Department of Veterans Affairs. Prohibits funds available to DOD from being used for the training or utilization of psychologists in the prescription of drugs, except upon the findings and recommendations of a specified Army Blue Ribbon Panel. Prohibits this Act's funds from being used to reduce the military or civilian medical and medical support personnel end strength at a base undergoing a partial closure or realignment, where more than one joint command is located, below the September 30, 1991, level. Earmarks funds made available in this Act for the Civil Air Patrol. Prohibits funds appropriated or made available in this Act from being used to reduce or disestablish the operation of the 815th Tactical Airlift Squadron of the Air Force Reserve if such action would reduce the WC-130 weather reconnaissance mission below the levels funded in this Act. Allows withdrawal credits to be made during FY 1992 by the Defense Business Operations Fund to the credit of current applicable appropriations of the DOD activity in connection with the acquisition of supplies that are repairable at a repair depot and that are capitalized into such Fund as the result of certain management changes. Requires, in the use of funds for the procurement of supplies or services appropriated by this Act, that qualified nonprofit agencies for the blind or other severely handicapped be afforded the maximum opportunity to participate as subcontractors and suppliers in the performance of DOD contracts. Provides that small business concerns participating in a subcontracting plan for the participation of small businesses with DOD under the Small Business Act shall be given credit toward meeting the subcontracting goal required under such Act for any purchases made from qualified nonprofit agencies for the blind or other severely handicapped. Establishes under the direction and control of the Attorney General the National Drug Intelligence Center, to coordinate and consolidate drug intelligence from all national security and law enforcement agencies, and produce information regarding the structure, membership, finances, communications, and activities of drug trafficking organizations. Provides funding for the Center from DOD drug interdiction and counter-drug activities appropriations. Authorizes the Navy, during FY 1992, to provide notice to exercise options under the LEASAT program for the next fiscal year. Earmarks specified Navy R&D funds for the V-22 aircraft program. Specifies the manner in which prior-year appropriations for the V-22 program shall be expended. Directs the Secretary to provide the Congress with the total funding plan and schedule to complete the Phase II V-22 full-scale engineering development program. Directs the Secretary to include sufficient funds to complete development, manufacture, and testing of six production representative aircraft under the development program and to produce sufficient V-22 aircraft to meet the operational requirements of the Marine Corps and other services in all DOD future year planning documents and budget estimates. Provides that, during FY 1992, third party payments for health care provided in a military medical facility shall be available for the use of such facility and shall be over and above the facility's direct budget amount. Prohibits funds appropriated in this Act from being used to: (1) procure a Multibeam Sonar Mapping System not manufactured in the United States; or (2) fill the commander's position at any military medical facility with a health care professional unless such candidate demonstrates professional administrative skills. Earmarks funds appropriated by this Act for the Defense Health Program to continue CHAMPUS benefits until age 65 for a former member of the armed forces who is entitled to retired or retainer pay (or a dependent of such member) and who becomes eligible for hospital insurance benefits under part A of title XVIII (Medicare) of the Social Security Act solely on the grounds of physical disability. Provides limitations on the coverage of such expenses. Authorizes the Secretary to accept, during FY 1992, burdensharing contributions in the form of money from Japan, Korea, and Kuwait for the costs of local national employees, supplies, and services of DOD, to be credited to operation and maintenance appropriations and available for the same purposes and time period. Requires the Secretary to report quarterly to the Congress on contributions accepted. Prohibits obligations in excess of 70 percent of sales from DOD stock funds from being incurred against such stock funds during FY 1992. Prohibits the use of funds appropriated or made available in this Act to reduce or disestablish the operation of the Navy Reserve P-3 squadrons below the levels funded in this Act. Directs the Secretary of the Navy to obligate funds appropriated for FY 1991 through 1993 for the modernization of such aircraft that such Secretary intends to keep in the fleet for more than five years. Earmarks specified prior-year appropriated funds for payment of claims to U.S. military and civilian personnel for damages incurred as a result of the volcanic eruption of Mount Pinatubo in the Philippines. Prohibits funds appropriated in this Act from being obligated or expended for any contract or grant with a university or other higher educational institution unless such grant or contract is audited under certain Federal Acquisition Regulation procedures. Requires any such institution to respond fully to any requests for financial information in connection with such grant or contract. Prohibits funds appropriated in this Act to finance activities of DOD federally-funded R&D centers from being obligated or expended for such center if a member of its board of directors or trustees simultaneously serves on the board or trustees of a profit-making company under contract to DOD unless such center has a DOD-approved conflict of interests policy for its members. Mandates that certain previously required reports be submitted to the appropriations committees before funds from this Act may be used for such centers. Prohibits funds appropriated in this Act from being used to: (1) comply with or implement any provision issued in compliance with a memorandum of the Deputy Secretary of Defense concerning debarment from defense contracts for felony criminal convictions; or (2) procure carbon, alloy or armor steel plate for use in any Government-owned facility or DOD property which was not melted and rolled in the United States or Canada (with a waiver allowed on a case-by-case basis). Prohibits more than 15 percent of the funds available to DOD for sealift from being used to acquire ships constructed in foreign shipyards. Authorizes the Secretary, during FY 1992, to acquire the modification, depot maintenance, and repair of aircraft, vehicles, and vessels as well as the production of components and other defense-related articles through competition between DOD depot maintenance activities and private firms. Requires the Secretary, if he finds after consultation with the U.S. Trade Representative that a foreign country has violated a reciprocal defense procurement agreement by discriminating against certain types of products produced in the United States, to rescind the Secretary's blanket waiver of the Buy American Act with respect to such types of products produced in that foreign country. Directs the Secretary to report to the Congress on the amount of DOD purchases from foreign entities in FY 1993. Prohibits any funds appropriated or made available in this or any DOD appropriations Act during FY 1992 from being obligated for the procurement of ball or roller bearings other than in accordance with a specified Defense Federal Acquisition regulation. Transfers specified FY 1991 Navy shipbuilding and conversion funds to Navy operations and maintenance for use in connection with the USS John F. Kennedy at the Philadelphia Naval Shipyard. Directs the Air Force to use FY 1992 R&D funds to execute the cleanup of uncontrolled hazardous waste contamination affecting a sale parcel of land at Hamilton Air Force Base, California. Outlines procedures to be followed in the event that the purchaser of such sale parcel exercises its option to withdraw from such sale. Directs the Air Force to be reimbursed from the sale proceeds for cleanup expenses in excess of a specified amount. Provides for the conveyance by DOD of certain buildings and easements with respect to such parcel. Authorizes the Secretary, when considered to be in the best interest of the United States, to cancel up to $2,500 of a debt owed to the United States by a member or former member of the armed forces if it was incurred in connection with Operation Desert Shield/Storm. Transfers a specified cash balance in the Defense Business Operations Fund to DOD appropriations available for energy conservation improvement projects under the Department of Defense Energy Conservation Improvement Program. Allows appropriations contained in this Act that remain available at the end of the current fiscal year as a result of energy cost savings realized by DOD to remain available for obligation to the facilities responsible for such savings. Authorizes the Secretary to provide optional summer school programs authorized under the Defense Dependents Education Act of 1978 and to charge a fee for participation in such programs. Makes available through FY 1993 unobligated balances of the funds appropriated in the FY 1992 Department of Defense Appropriations Act for the World University Games and the 1992 Summer Olympics. Authorizes the Secretary during FY 1992 to transfer available funds from the National Defense Stockpile Transaction Fund to the appropriation for environmental restoration, defense. Allows after December 31, 1992, voluntary separation incentives to be paid in such amounts as necessary from assets of the Voluntary Separation Incentive Fund. Requires amounts deposited during FY 1992 and 1993 to special accounts established for the transfer or disposal of DOD real property and the leasing of non-excess DOD property to be appropriated and available for facility maintenance and repair and for environmental restoration at the military installation in which the property was sold, transferred, or leased. Prohibits any funds available to DOD in this Act from being used to award a contract for the procurement of four-ton dolly jacks manufactured outside of the United States. Authorizes DOD to transfer up to a specified amount of the funds appropriated under this Act for certain purposes authorized in the Nuclear Threat Reduction Act of 1992. Authorizes the Secretary to transfer up to a certain amount of DOD funds to the appropriate accounts within DOD for the transportation of humanitarian assistance to the former Soviet Union in order to address emergency conditions. Prohibits funds appropriated or made available in this Act from being used for the procurement of high purity quartz yarn or fiber, or related products or materials, not produced in the United States. Provides for the waiver of such prohibition on a case-by-case basis. Directs the Secretary to ensure that such yarn or fiber produced by domestic sources is tested for qualification for use or incorporation in the production of weapon systems and in weapons development programs. Provides a purchase preference to certain domestic producers of high carbon ferrochromium and ferromanganese from chromite and manganese ore authorized for disposal from the National Defense Stockpile. Prohibits funds available to DOD from being used to implement a specified defense management report decision pertaining to conventional ammunition which has the objective of financing such ammunition out of any funds other than those specifically appropriated or made available for the procurement of ammunition. Prohibits funds made available to DOD from being used: (1) for an Abrams tank upgrade program that does not first modify specified tank configurations; (2) in connection with any action within DOD which would support or lead to the purchase or acquisition of LTV Aerospace and Defense Company by any foreign person; and (3) to procure or acquire handguns or handgun ammunition except the 9mm DOD standard handgun and ammunition. Directs the Secretary, if he determines that a person has been convicted of intentionally affixing a "Made in America" label to any product sold in or shipped to the United States that is not made in America, to debar such person from contracting with the Government for at least three and up to five years. Authorizes FY 1992 DOD appropriations to be used to reimburse a reserve member who is not otherwise entitled to travel and transportation allowances and who occupies transient government housing while performing active duty for training or inactive duty training. Allows such funds to also be used for the civilian pay, allowances, and benefits of a National Guard technician who serves on active duty for participation outside the United States in airlift or refueling operations and who requests and is granted leave. Provides other conditions for such payments. Directs the Secretary to negotiate with a military medical treatment facility to assume operation of the Silas B. Hays Army Community Hospital at Fort Ord, California, in a manner consistent with the managed-care delivery model required under the National Defense Authorization Act for Fiscal Year 1991. Prohibits funds appropriated by this Act or made available to DOD from being used to operate, maintain, and pay the salaries of the employees assigned or detailed to the Defense Printing Service Management Office. Earmarks specified funds appropriated by this Act for paying the Administrator of General Services charges established under the Federal Property Administrative Services Act of 1949 for space and services. States that, as of September 1, 1993, no funds appropriated by this Act or made available to DOD may be used for payment of compensation of members of the Senior Executive Service assigned to DOD in excess of 95 percent of such personnel assigned to or serving in DOD on September 30, 1992. Requires the issuance of specified amounts from the Defense Business Operations Fund for supplies, equipment, and material for the Army, Navy, Marine Corps, and Air Force. Prohibits funds from this Act from being used by DOD or the Navy to consolidate the Naval Biodynamics Laboratory until 90 days after the General Accounting Office has submitted a report to the appropriations committees on plans to consolidate R&D laboratories. Directs the Comptroller General to issue a report on the Navy's accounting practices at its nuclear shipyards. Requires the Director of the Air National Guard, during FY 1992, to establish a command, control, communications, and intelligence planning office manned by three full-time Air Guard officers of specified rank. States that as of September 1, 1993, no funds appropriated by this Act shall be available for the payment of compensation of personnel assigned to or serving in the National Foreign Intelligence Program in excess of 98 percent of such personnel assigned to or serving in such Program on September 30, 1992. Prohibits funds appropriated by this Act or made available to DOD from being deposited into the Pentagon Reservation Maintenance Revolving Fund for renovation, construction, or any purposes other than the actual and necessary day-to-day operation of the Reservation or the performance of engineering studies and designs for renovation of the existing structure. Prohibits funds appropriated or otherwise made available in this Act from being used to promulgate or enforce a certain DOD policy prohibiting non-funded abortions in military medical treatment facilities outside the continental United States or any other policies having the same substance.

Department of the Interior and Related Agencies Appropriations Act, 1993

United States · United States Congress · 29 June 1992

Department of the Interior and Related Agencies Appropriations Act, 1993 - Title I: Department of the Interior - Makes appropriations for FY 1993 within the Department of the Interior for: (1) the Bureau of Land Management; (2) the U.S. Fish and Wildlife Service; (3) the National Park Service; (4) the Geological Survey; (5) the Minerals Management Service; (6) the Bureau of Mines; (7) the Office of Surface Mining Reclamation and Enforcement; (8) the Bureau of Indian Affairs; (9) the Office of Territorial and International Affairs; (10) Departmental offices, including the Office of the Secretary, the Office of the Solicitor, the Office of Construction Management, the Office of the Inspector General, and the National Indian Gaming Commission. Authorizes the use of appropriations for the emergency reconstruction, replacement, or repair of facilities or equipment damaged or destroyed by fire, flood, storm, or other unavoidable causes. Allows the Secretary of the Interior to authorize the expenditure or transfer of any no-year appropriations, in addition to the amounts included in the budget programs of agencies, for: (1) the suppression or emergency prevention of forest or range fires on or threatening land under the jurisdiction of the Department; (2) emergency actions related to earthquakes, floods, volcanoes, storms, or other unavoidable causes; (3) activities related to oil spills; (4) grasshopper and Mormon cricket outbreaks; (5) emergency reclamation projects; and (6) the assumption of regulatory authority where necessary. Prohibits the use of funds for preleasing and leasing activities for Outer Continental Shelf Lease Sale 137 or 151 in the Eastern Gulf of Mexico. Prohibits the use of funds for the preparation for, or conduct of, pre-leasing and leasing activities of lands within a certain area of the Outer Continental Shelf off the Atlantic coastline of Rhode Island south into Florida. Prohibits the use of funds for the financing of agreements or arrangements for the management of lands, waters, and interests on Matagorda Island, Texas, which were purchased with amounts from the Land and Water Conservation Fund. Requires recordation and processing of certain claimed rights-of-way to be undertaken in accordance with H.R. 1096, as passed the House on July 23, 1991 (Bureau of Land Management authorizations). Prohibits the use of funds to process permits necessary for the construction of jetties at Oregon Inlet, North Carolina, until an environmental impact statement has been completed. Title II: Related Agencies - Makes appropriations for FY 1993 for the Department of Agriculture for the Forest Service. Prohibits the use of funds for timber sale preparation using clearcutting in hardwood stands in excess of 25 percent of FY 1989 harvested volume in the Wayne National Forest, Ohio. Prohibits the use of funds to issue a special use authorization permitting land use and occupancy and surface disturbing activities for any project to be constructed on Rock Creek, Madera County, California. Sets conditions on the funding of special use authorization for such activities for any project on a specified portion of Lewis Fork Creek in the same county. Makes funds available to the Chief of the Forest Service for official reception and representation expenses. Prohibits the use of funds for the preparation of timber sales on the Shawnee National Forest, Illinois. Authorizes the Secretary of Agriculture to negotiate sales of Pacific yew to parties manufacturing taxol in the United States for use in humans. Requires the Forest Service to establish an office in Ohio to represent and administer the Wayne National Forest on a forest-wide basis. Allows the Forest Service to offer for sale certain salvageable timber in FY 1993, unless it can be demonstrated that the offering will cause detriment to a species listed as threatened or endangered. Provides for funding to establish a National Forest Foundation. Makes appropriations for the Department of Energy for, among other things, fossil energy research and development, the Strategic Petroleum Reserve (SPR) and the SPR Account. Makes appropriations to the Department of Health and Human Services for the Indian Health Service for Indian health services and facilities. Appropriates funds to: (1) the Department of Education for the Office of Elementary and Secondary Education for Indian education; (2) the Office of Navajo and Hopi Relocation; (3) the Institute of American Indian and Alaska Native Culture and Arts Development; (4) the Smithsonian Institution; (5) construction and improvements at the National Zoological Park; (6) restoration and repair of buildings owned or occupied by the Smithsonian Institution; (7) the National Gallery of Art (NGA); (8) repair, restoration, and renovation of buildings of the NGA; and (9) the Woodrow Wilson International Center for Scholars. Makes appropriations for: (1) the National Foundation on the Arts and the Humanities for the National Endowment for the Arts and the National Endowment for the Humanities; (2) the Institute of Museum Services; (3) the Commission of Fine Arts; (4) National Capital arts and cultural affairs; (5) the Advisory Council on Historic Preservation; (6) the National Capital Planning Commission; (7) the Franklin Delano Roosevelt Memorial Commission; (8) the Pennsylvania Avenue Development Corporation; and (9) the U.S. Holocaust Memorial Council. Sets forth uses and prohibitions on uses of such funds. Title III: General Provisions - Sets forth uses and limitations or prohibitions on uses of funds appropriated by this Act. Prohibits the Secretaries of the Interior and Agriculture from using such funds for leasing of oil and natural gas by noncompetitive bidding on public lands within the Shawnee National Forest, Illinois. Prohibits the use of funds in this Act to evaluate, consider, process, or award oil, gas, or geothermal leases on Federal lands in the Mount Baker-Snoqualmie National Forest, State of Washington. Prohibits the use of funds for deer hunting in the Loxahatchee National Wildlife Refuge. Prohibits the use of funds in this Act for the sale of timber from giant sequoia trees which are located on National Forest System or Bureau of Land Management lands. Prohibits the use of funds to ensure that hardwood saw timber harvested from Federal lands east of the 100th meridian is marked in a manner to make it readily identifiable at all times before its manufacture. Amends the Federal Land Policy and Management Act of 1976 to direct the Secretaries of Agriculture and the Interior to establish annual fees for domestic livestock grazing on the public rangelands. Abolishes grazing advisory boards established pursuant to Secretarial action. Provides for the use of grazing fees for: (1) restoration and enhancement of fish and wildlife habitat; (2) restoration and improved management of riparian areas; and (3) implementation and enforcement of applicable land management plans, allotment plans, and regulations regarding the use of such lands for domestic livestock grazing. Directs the Secretary of the Interior to transfer the Pine Hill School Health Center in Pine Hill, New Mexico, to the Department of Health and Human Services for Indian health purposes. Waives compensation for such transfer. Prohibits the use of funds by the Forest Service or the Bureau of Land Management to increase fees charged for communication site use of lands by more than a specified percentage. Specifies required percentage payments to be made by the U.S. Government to States affected by decisions relating to the Northern Spotted Owl from FY 1993 receipts collected during the five-year baseline period of FY 1986 through 1990. Makes funds available to the Forest Service for interactions with and providing technical assistance to rural communities for sustainable rural development outside the boundaries of National Forest System lands. Authorizes the use of funds to reimburse employees for the cost of State licenses and certification fees pursuant to their employment. Prohibits the use of funds for the sale of unprocessed timber from Federal lands in Texas which will be exported by the purchaser, except certain surplus lumber and plywood manufacturing needs.

International Woman and Child Health Act of 1992

United States · United States Congress · 29 June 1992

International Woman and Child Health Act of 1992 - Requires U.S. contributions to international organizations and nongovernmental organizations for programs to immunize people in high-mortality countries for diseases such as measles or polio to be at least $100,000,000 greater in each of FY 1993 through 1995 than the amount of such contributions for FY 1992. Provides additional funding for vitamin A supplementation and fortification programs and iodine and iron supplementation and fortification programs for pregnant women. Directs the Agency for International Development, during FY 1993 through 1995, to ensure that a specified amount in local currencies made available under foreign assistance programs is used to provide training, compensation, and other support for maternal and child health workers in developing countries. Authorizes appropriations. Reduces funding for military assistance programs during such fiscal years in order to provide funding for this Act without increasing the foreign assistance budget.

A bill to direct the Secretary of Health and Human Services to extend the waiver granted to the Tennessee Primary Care Network of the enrollment mix requirement under the medicaid program.

United States · United States Congress · 26 June 1992

Amends the Omnibus Budget Reconciliation Act of 1989 to direct the Secretary of Health and Human Services to extend the waiver of the enrollment mix requirement under title XIX (Medicaid) of the Social Security Act which was granted to the Tennessee Primary Care Network.

Health Care Cost Containment and Reform Act of 1992

United States · United States Congress · 26 June 1992

Health Care Cost Containment and Reform Act of 1992 - Title I: Cost Containment - Subtitle A: National Health Budget - Establishes a national health expenditure budget for each calendar year beginning with 1994. Specifies the total amount of such budget for 1994 and a formula for subsequent year budgets. Sets forth guidelines for computing a budget baseline for 1993. Provides for establishment of classes of health care services and the annual allocation of the national health expenditure budget among such classes. Subtitle B: Maximum Payment Rates - Provides for the establishment and general application and enforcement of maximum payment rates. Sets forth exceptions to maximum payment rates, which include an exception for health maintenance organizations (HMOs). Provides for conforming payment rates under Medicare and Medicaid (Social Security Act (SSA) titles XVIII and XIX). Details various methodologies for determining maximum rates of payment for inpatient hospital services and class of physicians' services and other professional medical services. Provides for development of prospectively-determined payment rates for each class of services for which payment rates are not specified and are not determined on a prospective basis. Subtitle C: State Provider Payment Control Systems - Provides that, if the Secretary of Health and Human Services (HHS) approves a State provider payment control system under this Act, the payment rates provided under such system shall apply to services covered under the system and furnished in the State, instead of the maximum payment rates otherwise applicable to such services under subtitle B of this title. Details the process for approval of a State system. Specifies conditions for approval. Authorizes sanctions against a State with aggregate system expenditures in excess of specified limits. Lists such sanctions. Provides for termination of approval of State systems. Subtitle D: Incentives for Expansion of Qualified Health Maintenance Organizations - Repeals the termination date set under the Health Maintenance Organization Amendments of 1988 for dual choice requirements under the Public Health Service Act. Amends the Public Health Service Act to revise such requirements to provide for multiple options for HMO membership. Provides that health benefit plans shall make available, to each individual eligible to enroll with a qualified HMO under such an option, such marketing materials as the HMO provides to the plan. Preempts State law restrictions on the ability of an HMO to negotiate reimbursement rates with providers or to contract selectively with one provider or a limited number of providers. Amends the Medicare program to provide for adjustment in Medicare capitation payments to account for regional variations in application of secondary payor provisions. Requires a General Accounting Office (GAO) study and report to the Congress on additional measures that may be taken to encourage HMO development and expansion. Title II: Health Systems Reform - Subtitle A: Health Insurance Reform - Amends the Internal Revenue Code to impose an excise tax on any health benefit plan that is not certified under new SSA title XXI added by this Act, or is providing coverage in violation of certain title XXI requirements. Requires that the amount of such tax be equal to: (1) 50 percent of the gross premiums received by the issuer attributable to the period during which the plan is not certified or is providing coverage in violation of certain requirements, in the case of an insured health benefit plan; and (2) 50 percent of the expenditures under a self-insured health benefit plan during such a period, in the case of a self-insured health benefit plan. Provides that in the case of an insured health benefit plan, the issuer of the insurance or subscriber contract under which such plan is provided shall be liable for the tax imposed above. Provides generally that in the case of a self-insured plan, the employer maintaining such plan shall be liable for the tax imposed above. Amends SSA to add a new title XXI, Health Benefit Plan Standards. Provides that no health benefit plan may be issued unless it has been certified as meeting specific standards established by the Secretary. Requires such standards to implement specified requirements relating to: (1) health benefit plan coverage and health status; (2) premium charges within self-insured health benefit plans; (3) a prohibition against self-insured plans for small employers; (4) insured health benefit plan enrollment, issuance, and renewal; (5) use of community-rated premium rates for insured health plans; (6) minimum insured plan periods; (7) payment of commissions; and (8) insured plans that are multiple employer welfare arrangements. Prohibits States from establishing or enforcing any law or regulation that prevents the health benefit plan of a college or university from offering eligible individuals continuation of coverage under the plan. Subtitle B: Administrative Simplification - Requires each health benefit plan to issue to each U.S. resident entitled to benefits under it a uniform health claims card meeting specified requirements. Mandates uniform claims submission. Sets forth enforcement provisions. Provides for standards for uniform claims. Sets forth the administrative framework for eligibility and benefit verification and claims processing through health claims clearinghouses for residents and providers in areas within the United States designated as clearinghouse areas. Provides for the use of clearinghouses by health benefit plans. Requires that each hospital, for each cost reporting period under Medicare beginning during or after FY 1993, provide for the reporting of information to the Secretary with respect to any hospital care provided in a uniform manner consistent with standards established by the Secretary to carry out certain provisions of the Omnibus Budget Reconciliation Act of 1987. Subtitle C: Fraud and Abuse - Provides for the establishment in the HHS Office of the Inspector General of a program to coordinate programs to: (1) restrict fraud and abuse in health care programs; and (2) facilitate the enforcement of SSA title XI provisions concerning the exclusion of certain individuals and entities from participation in Medicare and State health care programs. Provides for coordination with law enforcement agencies in carrying out such program. Authorizes appropriations. Creates in the Treasury the Anti-Fraud and Abuse Trust Fund for purposes related to such program. Amends SSA title XI for the application of Federal anti-fraud and abuse sanctions to fraud and abuse involving any health benefit plan. Adds treble damages to the list of criminal penalties for acts involving Medicare, State health care programs, or health benefit plans. Makes any act subject to such SSA criminal penalties a "racketeering activity" as defined under the Federal criminal code. Subjects to SSA civil money penalties any offer of inducements to receive covered items or services to individuals enrolled under or employed by Medicare or other health programs or plans. Provides for intermediate sanctions for HMO violations under Medicare. Sets forth procedures for imposing such sanctions. Requires written agreements between HMOs and peer review organizations. Requires the Secretary to develop a model of the agreement that an HMO with a risk-sharing contract must enter into with a peer review organization with respect to HMO services. Requires a GAO study and report to the Congress on the costs incurred by HMOs with risk-sharing contracts of complying with the requirement to enter into a written agreement with a peer review organization with respect to HMO services, together with an analysis of how information generated by such organizations is used by the Secretary to assess the quality of HMO services. Modifies the self-referral ban on Medicare payment for clinical laboratory services provided in connection with improper physician referrals to extend such ban to payment by other payors for additional specified services. Makes changes in exceptions relating to compensation arrangements under Medicare. Subtitle D: Other Provisions - Requires the Physician Payment Review Commission to study and report to the Congress on: (1) the need for tort reforms with respect to medical malpractice liability claims; and (2) the impact of such reforms on expenditures for health care services and on access to such services, the quality of health care services, and access of injured patients to the medical malpractice system. Requires the Secretary to establish a national data base on patient outcomes to demonstrate the feasibility and benefits of the collection of information on the outcomes of treatment. Requires the Secretary to select a certain number of conditions, disorders, or diseases for which outcomes data shall be collected for the database. Sets forth guidelines for the collection of information for the database. Requires the Secretary to publish and distribute an annual report on patient outcomes, including information on individual providers, based on information from the data base and appropriate utilization information available from health claims clearinghouses. Requires the Secretary to develop a model questionnaire to measure patient satisfaction with health service providers. Authorizes a demonstration project concerned with the furnishing of durable medical equipment by a physician-owned oncology facility. Title III: Expansion of Health Benefits and Other Initiatives - Subtitle A: Medicaid Benefits Improvements - Sets a floor on Medicaid payment levels for inpatient hospital services and physicians' services. Provides for expanded Medicaid eligibility for certain low-income individuals. Provides for full Federal payment for new mandated expenditures under Medicaid, including expenditures for medical assistance attributable to such low-income individuals. Subtitle B: Expansion of Medicare Benefits - Amends the Medicare program to provide for coverage of: (1) annual screening mammography for women over age 65; (2) colorectal screening; (3) certain immunization; (4) well-child care; and (5) certain prescription drugs. Sets forth payment and administrative provisions applicable to such preventive benefits and prescription drugs. Authorizes demonstration projects for the coverage of other preventive services. Specifies the services to be covered under such projects. Authorizes appropriations. Requires the Director of the Office of Technology Assessment to provide for the appointment of a Prescription Drug Payment Review Commission. Requires the Commission to submit an annual report to the Congress concerning methods of determining payment for prescription drugs. Authorizes appropriations. Provides for coverage of prescription drugs for qualified Medicare beneficiaries and qualified disabled and working individuals. Makes adjustments to payments under Medicare for graduate medical education. Subtitle C: Health Insurance Deduction for the Self-Employed - Amends the Internal Revenue Code to make permanent and increase the deduction for health insurance costs of self-employed individuals. Subtitle D: Health Insurance Program for Children - Amends SSA to add a new title XXII, Health Insurance For Children. Provides that children who are U.S. citizens or permanent residents, and are under age 19, are eligible to enroll for benefits under such new title. Provides for periods of enrollment and coverage. Requires program benefits, except those for newborn and well-baby care, to consist generally of the same benefits that are available under Medicare to individuals entitled to benefits under Medicare part A (Hospital Insurance) and enrolled under Medicare part B (Supplementary Medical Insurance). Provides for newborn and well-baby care, waiver of cost-sharing for well-child services, and special rules for the deductible for covered outpatient drugs. Details payment provisions. Discusses premium rates to be charged under such program. Creates in the Treasury the Children's Health Insurance Trust Fund for purposes related to the health insurance program for children established above. Authorizes appropriations.

Le VIIIè Colloque de réflexion économique organisé le 14 mai 1992 : I - Perspectives à moyen terme II - Evolution à long terme des dépenses de santé et incidences macroéconomiques

France · Senate · 25 June 1992

Le VIIIè Colloque de réflexion économique organisé le 14 mai 1992 : I - Perspectives à moyen terme II - Evolution à long terme des dépenses de santé et incidences macroéconomiques

National Institutes of Health Revitalization Amendments of 1992

United States · United States Congress · 25 June 1992

National Institutes of Health Revitalization Amendments of 1992 - Title I: General Provisions Regarding title IV of Public Health Service Act - Subtitle A: Research Freedom - Part I: Review of Proposals for Biomedical and Behavioral Research - Amends the Public Health Service Act to prohibit the Secretary of Health and Human Services from approving certain research or financial assistance to conduct research unless specified review has taken place and the review entity has recommended approval. Prohibits the Secretary from withholding, on ethical grounds, funding for research that has received such review approval unless: (1) an ethics advisory board recommends the withholding; or (2) such a board recommends against withholding, but the Secretary finds that the recommendation is arbitrary and capricious. Part II: Research on Transplantation of Fetal Tissue - Permits the Secretary to conduct or support research on the transplantation of human fetal tissue for therapeutic purposes regardless of whether the tissue is obtained from a spontaneous or induced abortion or a stillbirth, in accordance with State and local law. Requires the researcher, if the tissue bank established under a specified executive order is in operation, to obtain the tissue from that bank, unless the bank does not provide requested tissue within a specified time of a request. Requires certain statements by the woman providing the tissue, the researcher, and the donee. Imposes criminal penalties for certain commercial transactions involving the transfer or directed donation of human fetal tissue. Prohibits: (1) any official of the executive branch from imposing a policy prohibiting the Department of Health and Human Services from conducting or supporting any research on the transplantation of human fetal tissue for therapeutic purposes; and (2) the Secretary from withholding funds for research which is in accordance with this Act. Deems a specified report of the Human Fetal Tissue Transplantation Research Panel to be a report issued by an ethics advisory board finding, on a basis that is neither arbitrary nor capricious, that there are no ethical grounds for withholding funds for such research. Part III: Miscellaneous Repeals - Removes certain provisions of the Public Health Service Act relating to: (1) biomedical ethics; (2) a study by the Biomedical Ethics Advisory Committee on waiver of a specified risk standard; and (3) the construction of title IV (National Research Institutes) of the Act. Subtitle B: Clinical Research Equity Regarding Women and Minorities - Part I: Women and Minorities as Subjects in Clinical Research - Requires that women and minorities be included as subjects in each clinical research project under such title IV. Requires projects to be designed and carried out so as to provide for an analysis of whether the variables being tested affect women or minorities differently than other subjects. Requires the establishment of inclusion guidelines. Requires that technical and scientific peer review conducted under existing provisions include an evaluation of the merit of the proposal regarding women and minorities. Part II: Office of Research on Women's Health - Establishes in the National Institutes of Health (NIH) the Office of Research on Women's Health. Requires the Director of the Office to establish: (1) the Coordinating Committee on Research on Women's Health; and (2) the Advisory Committee on Research on Women's Health. Mandates: (1) a determination of the extent to which women are represented among senior physicians and scientists of the national research institutes and among those conducting research supported by the institutes; and (2) as appropriate, activities to increase the extent of such representation. Requires establishment of: (1) a data system, available to the public, for the collection, analysis, and dissemination of information regarding research on women's health conducted or supported by the institutes; and (2) a program to provide information on research and prevention activities of the institutes relating to women's health research. Subtitle C: Scientific Integrity - Replaces provisions relating to protection against scientific fraud with provisions establishing as an independent entity in the Department of Health and Human Services the Office of Scientific Integrity. Requires: (1) applicants for a grant, contract, or cooperative agreement under the Act for biomedical or behavioral research to have an administrative process to review reports of scientific misconduct and agree to report any investigation of such reports; and (2) a response process for the Office. Establishes the Commission on Scientific Integrity. Provides for employee whistle blower protection. Mandates measures for identifying, responding to, and reporting the existence of a financial interest that will or may create a bias in favor of obtaining results, in a project to evaluate the safety or effectiveness of a drug, medical device, or treatment, that are consistent with the interest. Title II: Protection of Health Facilities - Prohibits stealing or otherwise converting personal property or damaging real property of a health facility assisted under the Public Health Service Act, or deterring, through physical restraint, any individual from entering or exiting the facility. Includes in the prohibitions various acts interfering with the use of animals for research. Provides for fines, imprisonment, restitution, and private civil actions. Title III: National Institutes of Health in General - Modifies the duties of the NIH's Associate Director for Prevention. Establishes a program to enhance the competitiveness of research entities in States which have historically had low success in obtaining funds from the national research institutes for biomedical and behavioral research. Mandates activities, consistent with the global Children's Vaccine Initiative, to develop affordable new and improved vaccines. Authorizes appropriations. Requires a plan regarding research methods that do not require the use of animals, reduce the number of animals used, and produce less distress in the animals. Establishes the Interagency Coordinating Committee on the Use of Animals in Research. Repeals similar provisions. Authorizes the Secretary of Health and Human Services to conduct and support research, research training, recruitment, and other activities to increase the number of women and individuals from disadvantaged backgrounds in biomedical and behavioral research. Requires that any survey of human sexual behavior conducted or supported through NIH: (1) undergo review in accordance with specified provisions; and (2) have been determined by the Secretary to assist in reducing the incidence of infectious disease or improve health conditions. Establishes a fund for use by the NIH Director to carry to carry out NIH activities. Authorizes appropriations. Modifies the term of office of members of advisory councils of the national research institutes. Requires that at least half of all new or revised health education and promotion materials developed or funded by NIH be in a form that does not exceed a level of functional literacy. Authorizes a program to provide day care service for NIH employees. Title IV: General Provisions Respecting National Research Institutes - Requires that the Secretary receive from the President and the Office of Management and Budget directly all funds appropriated by the Congress for obligation and expenditure by the Institute. Removes provisions authorizing the Director of the National Cancer Institute to directly receive such funds. Modifies the authority of the directors of the national research institutes to establish and appoint the members of technical and scientific peer review groups in addition to those appointed under specified provisions. Makes the Federal Advisory Committee Act inapplicable to such additional groups. Requires expansion and intensification of programs of research and related activities concerning osteoporosis, Paget's disease, and related bone disorders. Provides for the establishment, through a grant, cooperative agreement, or contract, of a clearinghouse to enhance knowledge and understanding of professionals, patients, and the public. Authorizes appropriations. Establishes: (1) a comprehensive program of conducting basic and clinical research on trauma, including diagnosis, treatment, rehabilitation, and general management of trauma; and (2) the Trauma Research Interagency Coordinating Committee. Title V: National Cancer Institute - Requires expanding, intensifying, and coordinating the activities of the National Cancer Institute (NCI) regarding breast and ovarian cancer, other cancers of the reproductive system of women, and prostate cancer. Requires inclusion of the conduct and support of research and demonstration centers. Authorizes appropriations. Removes provisions authorizing appropriations for NCI and the National Heart, Lung, and Blood Institute (NHLBI). Title VI: National Heart, Lung, and Blood Institute - Requires NHLBI to conduct intramural training and education. Authorizes development of three centers for basic and clinical research into, training in, and demonstration of, advanced diagnosis, prevention, and treatment for cardiovascular diseases in children. Authorizes appropriations for NHLBI. Title VII: National Institute on Diabetes and Digestive and Kidney Diseases - Establishes a program of conducting and supporting research, training, health information dissemination, and other activities regarding nutritional disorders, including obesity. Provides for the development or substantial expansion of centers for research and training. Title VIII: National Institute on Arthritis and Musculoskeletal and Skin Diseases - Removes provisions stating that the purpose of the National Institute on Arthritis and Musculoskeletal and Skin Diseases (NIAMSD) includes sports-related injuries. Requires NIAMSD to place emphasis on arthritis affecting children. Establishes a multipurpose arthritis and musculoskeletal disease center focusing on children. Modifies the composition of the National Arthritis Advisory Board and its annual report requirements. Title IX: National Institute on Aging - Transfers to the Public Health Service Act provisions of the Health Research Extension Act of 1985 authorizing a grant to develop a registry for epidemiological data on Alzheimer's disease and related data collection training. Removes the existing authorization of appropriations. Mandates research into the aging processes of women, with particular emphasis on menopause and into the diagnosis, disorders, and complications related to aging and loss of ovarian hormones. Authorizes appropriations for the National Institute on Aging. Title X: National Institute of Allergy and Infectious Diseases - Includes programs regarding tropical diseases in the purposes of the National Institute of Allergy and Infectious Diseases. Authorizes grants or contracts for centers to conduct basic and clinical research on chronic fatigue syndrome. Establishes an extramural study section for the syndrome. Title XI: National Institute of Child Health and Human Development - Subtitle A: Research Centers with Respect to Contraception and Research Centers with Respect to Infertility - Mandates grants or contracts for three centers to conduct activities to improve methods of contraception and two centers to conduct activities to improve methods of diagnosis and treatment of infertility. Authorizes appropriations. Establishes a program of agreements with health professionals, including graduate students, to conduct research on contraception or infertility in consideration of the Government repaying a limited amount of the educational loans of the professionals. Subtitle B: Program Regarding Obstetrics and Gynecology - Establishes in the National Institute of Child Health and Human Development (NICHHD) an intramural laboratory and clinical research program in obstetrics and gynecology. Subtitle C: Child Health Research Centers - Mandates development of and support for centers for conducting research on child health. Subtitle D: Study Regarding Adolescent Health - Mandates a longitudinal, large-scale study on the general health and well-being of adolescents in the United States. Allocates funding from amounts appropriated to NICHHD. Title XII: National Eye Institute - Authorizes not more than three grants for the establishment and support of centers for clinical research on eye care for individuals with diabetes. Allows grant funds to be used for equipment and for construction and modification of facilities. Title XIII: National Institute of Neurological Disorders and Stroke - Mandates the conduct and support of research on multiple sclerosis. Title XIV: National Institute of Environmental Health Sciences - Establishes the Applied Toxicological Research and Testing Program. Title XV: National Library of Medicine - Subtitle A: General Provisions - Directs the Secretary to promote the use of computers and telecommunications by health professionals. Increases the dollar limit on grants to medical libraries and related instrumentalities. Authorizes appropriations for the National Library of Medicine (NLM). Subtitle B: Financial Assistance - Mandates grants for research on, and development and demonstration of, new educational technologies. Requires recipient institutions to make grant projects available for: (1) training health professions students; and (2) enhancing the capabilities of health professionals regarding research and teaching. Authorizes appropriations to carry out provisions relating to medical libraries and related matters. Subtitle C: National Center for Biotechnology Information - Authorizes appropriations to carry out provisions relating to the National Center for Biotechnology Information. Subtitle D: National Information Center on Health Services Research and Health Care Technology - Establishes in NLM the National Information Center on Health Services Research and Health Care Technology to collect, analyze, and disseminate information on health services research and health care technology. Authorizes appropriations. Requires the Administrator of the existing information center on health care technologies and health care technology assessment and the NLM Director to enter into an agreement on the implementation of these provisions. Title XVI: Other Agencies of National Institutes of Health - Subtitle A: Division of Research Resources - Redesignates the Division of Research Resources as the National Center for Research Resources. Authorizes grants to alter existing or construct new research facilities. Establishes the Scientific and Technical Review Board on Biomedical and Behavioral Research Facilities to advise the Center director and the existing advisory council. Conditions grant approval on Board approval. Authorizes appropriations. Requires the NIH Director to reserve a specified sum from amounts appropriated under this authorization for grants and contracts to construct or improve regional centers for research on primates. Subtitle B: National Center for Nursing Research - Redesignates the National Center for Nursing Research as the National Institute for Nursing Research and adds the Institute to the list of NIH's national research institutes. Subtitle C: National Center for Human Genome Research - Adds the National Center for Human Genome Research to the list of NIH agencies. Declares the purpose of the Center to be to characterize the structure and function of the human genome, including the mapping and sequencing of individual genes. Title XVII: Awards and Training - Subtitle A: National Research Service Awards - Directs the Secretary to carry out provisions relating to National Research Service Awards in a manner that will recruit into biomedical or behavioral research, and provide research training to, women and individuals from disadvantaged backgrounds. Subtitle B: Acquired Immune Deficiency Syndrome - Modifies a program of agreements (under which certain health professionals conduct research regarding acquired immune deficiency syndrome (AIDS) as NIH employees in consideration of Government repayment of educational loans) to remove provisions requiring a minimum of three years as an NIH employee. Authorizes appropriations. Authorizes the Commissioner of Food and Drugs to carry out a similar program regarding the review of applications concerning AIDS. Subtitle C: Loan Repayment for Research Generally - Mandates a program of agreements with health professionals who have a substantial amount of educational loans relative to income and who meet other requirements to conduct research, as NIH employees, in consideration of Government repayment of a limited amount of the educational loans of the professionals. Authorizes appropriations. Subtitle D: Scholarship and Loan Repayment Programs Regarding Professional Skills Needed by Certain Agencies - Authorizes a program of contracts with individuals from disadvantaged backgrounds for scholarships for undergraduate programs for professions needed by NIH in consideration of service by the individuals as NIH employees. Authorizes a program of contracts with health professionals from disadvantaged backgrounds who have a substantial amount of educational loans relative to income to conduct clinical research as NIH employees in consideration of the Government repaying a limited amount of the educational loans of the professionals. Subtitle D: (SIC) Funding - Authorizes appropriations for making payments under National Research Service Awards and under grants for such Awards. Modifies set-aside amounts and requires a set-aside for provisions relating to residency programs in the general practice of dentistry. Title XVIII: National Foundation for Biomedical Research - Excludes from voting rights the ex officio members of the National Foundation for Biomedical Research. Authorizes appropriations. Title XIX: Research with Respect to Acquired Immune Deficiency Syndrome - Modifies the duties of the AIDS Clinical Research Review Committee, including requiring the Committee to: (1) give advice to other agencies of NIH as well as to the National Institute of Allergy and Infectious Diseases (NIAID); and (2) make recommendations on research projects regarding diagnosing immune deficiency and predicting, diagnosing, preventing, and treating opportunistic cancers and infectious diseases. States that the requirement that the clinical evaluation units at the National Cancer Institute and NIAID conduct evaluations of treatments for acquired immune deficiency syndrome (AIDS) includes evaluations of methods of: (1) diagnosing immune deficiency; and (2) predicting, diagnosing, preventing, and treating opportunistic cancers and infectious diseases. Modifies provisions relating to the support of international efforts to add to the purpose of grants, cooperative agreements, and contracts for such efforts provisions promoting and expediting: (1) international training; (2) research and training concerning the natural history and pathogenesis of the human immunodeficiency virus; and (3) the development and evaluation of vaccines and treatments for opportunistic infections. Authorizes appropriations for each fiscal year. Requires that model protocols (developed with grants under existing provisions) for the clinical care of individuals infected with the etiologic agent for AIDS include treatment and prevention of human immunodeficiency virus (HIV) infection and related conditions among women. Authorizes appropriations. Adds collection of data on the natural history of infection with the etiologic agent to the purposes of the epidemiological data base mandated by current provisions. Authorizes appropriations for each fiscal year. Requires the Director of NIH to develop and implement a comprehensive plan for the conduct and support of AIDS research by NIH agencies. Authorizes appropriations for each fiscal year for fellowship and training programs relating to AIDS under existing provisions. Title XX: Certain Authorities of Centers for Disease Control - Authorizes grants to States and local health departments for programs for specified activities relating to prostate cancer, including screening, public information, and improving professional training. Authorizes appropriations. Authorizes: (1) grants or contracts for population-based, statewide cancer registries; (2) grants for developing plans that meet the requirements of specified provisions; and (3) technical assistance to States, either directly or through grants and contracts. Mandates a study on the factors contributing to elevated breast cancer mortality rates in specified States. Authorizes appropriations. Requires a survey to determine which entities collect data on traumatic brain injuries and the nature of their data collection systems. Authorizes cooperation and assistance to establish traumatic brain injury as a specific reportable condition or disability. Authorizes appropriations. Title XXI: Studies - Mandates studies on: (1) the impact, with regard to acquired immune deficiency syndrome (AIDS), of parallel-track drug-release mechanisms on clinical research and on the activities of the Commissioner of Food and Drugs regarding drug approval; (2) third-party payor policies regarding payment of costs incident to the participation of individuals as subjects in AIDS drug clinical trials; and (3) whether AIDS advisory committees in NIH are being sufficiently coordinated. Requires a plan for the inclusion of HIV-infected women, infants, and children in HIV vaccine studies conducted by or through NIH. Authorizes appropriations. Mandates an annual report on the leading causes of death in the United States and related spending by the Department of Health and Human Services for research, prevention, and education. Requires three-year studies on: (1) nutrition screening and intervention regarding the elderly; and (2) the extent of malnutrition in hospitals, in long-term care facilities, and among those living independently. Establishes an advisory panel to oversee the studies. Mandates a report on the feasibility of developing a plan for the conduct of research at NIH on the prevention of traumatic injuries. Directs the Secretary to: (1) review existing data and research concerning whether there is a relationship between legal and illegal drug use; and (2) if necessary, conduct additional research. Mandates reports on: (1) research conducted or supported by NIH on chronic fatigue syndrome; (2) the appropriateness and impact of NIH assuming responsibility for the conduct of all Federal research, development, testing, and evaluation relating to medical countermeasures against biowarfare threat agents. Requires a study on the potential for, the prevalence of, and the issues related to the contamination of worker's homes with substances from their work places. Requires: (1) establishment of the Worker's Family Protection Task Force to take specified actions, including developing an investigative strategy for obtaining any needed additional data; and (2) each Federal department or agency to fulfill the role assigned by the strategy. Authorizes appropriations. Mandates studies: (1) of the retention, recruitment, vacancy and turnover rates of NIH support staff, including fire fighters, law enforcement, procurement officers, technicians, nurses, and clerical employees; and (2) to develop a streamlined procurement system for NIH. Title XXII: Miscellaneous Provisions - Redesignates the Senior Biomedical Research Service as the Silvio Conte Senior Biomedical Research Service and increases the limit on the number of its members. Renames the AIDS Clinical Research Review Committee as the AIDS Research Advisory Committee. Prohibits the Secretary from conducting or supporting the SHARP survey of adult sexual behavior. Requires that a report on carcinogens be submitted biennially (currently, annually). Mandates a report analyzing the report of the National Committee on Sleep Disorders Research and presenting a plan for the conduct and support of sleep disorders research at NIH. Mandates presentation to the Congress of a master plan to provide for the replacement or refurbishment of less than adequate buildings, utility equipment and distribution systems, roads, walkways, parking areas, and grounds of NIH laboratory and clinical facilities. Allows the plan to make recommendations for the undertaking of new projects consistent with the objectives of these provisions. Title XXIII: Effective Date - Sets forth the effective date of this Act.

Treasury, Postal Service, and General Government Appropriations Act, 1993

United States · United States Congress · 25 June 1992

Treasury, Postal Service and General Government Appropriations Act, 1993 - Title I: Department of the Treasury - Treasury Department Appropriations Act, 1993 - Makes appropriations to the Department of the Treasury for FY 1993 for: (1) departmental offices; (2) the Office of Inspector General; (3) the Financial Crimes Enforcement Network; (4) the Federal Law Enforcement Training Center; (5) the Financial Management Service; (6) the Bureau of Alcohol, Tobacco, and Firearms; (7) the United States Customs Service; (8) the United States Mint; (9) the Bureau of the Public Debt; (10) the Internal Revenue Service (IRS); and (11) the United States Secret Service. Directs the IRS to institute and maintain a training program to insure that IRS employees are trained in taxpayers' rights, in dealing courteously with the taxpayers, and in cross-cultural relations. Requires appropriated funds attributable to efficiency savings for FY 1993 to be withheld from obligation unless the estimated savings are not achieved. Prohibits funds appropriated under this title from being used for the collection of any underpayment of tax, unless collected under specified procedures. Requires the IRS and the National Finance Center (NFC) to reimburse the Financial Management Service (FMS) for postage costs the FMS incurs to make check payments on behalf of the IRS and the NFC. Title II: Postal Service - Postal Service Appropriations Act, 1993 - Makes appropriations to the Postal Service Fund for FY 1993. Prohibits an increase in postage rates during FY 1993, except for reduced rate third-class pieces other than letter shape. Title III: Executive Office of the President - Executive Office Appropriations Act, 1993 - Makes appropriations for FY 1993 for the Executive Office of the President, for salaries and/or operating expenses of the following: (1) compensation of the President; (2) the executive residence at the White House; (3) the Office of Administration; (4) the White House Office; (5) the official residence of the Vice President; (6) the provision of special assistance to the President; (7) the Council of Economic Advisers; (8) the Office of Policy Development; (9) the National Security Council; (10) the Office of Management and Budget; (11) the Office of Federal Procurement Policy; (12) the Office of National Drug Control Policy; and (13) unanticipated needs. Title IV: Independent Agencies - Independent Agencies Appropriations Act, 1993 - Makes appropriations for FY 1993 for the following independent agencies: (1) the Administrative Conference of the United States; (2) the Advisory Commission on Intergovernmental Relations; (3) the Committee for Purchase from the Blind and Other Severely Handicapped; (4) the Federal Election Commission; and (5) the Citizens' Commission on Public Service and Compensation. Makes funds deposited in the Federal Buildings Fund available for specified purchases of the General Services Administration (GSA), limiting the availability of such funds for certain programs, construction projects, purchases, and repairs and alterations of GSA. Makes appropriations to GSA for FY 1993 for: (1) the Federal Supply Service; (2) the Federal Property Resources Service; (3) general management and administration; (4) the Information Resources Management Service; (5) the Office of Inspector General; (6) allowances and office staff for former Presidents; and (7) expenses to carry out any presidential transition. Limits the amount of funds that may be transferred between appropriations within the GSA, requiring such proposed transfers to be submitted to the Senate and House Appropriations Committees for approval. Authorizes agencies to make rent payments to GSA for lease space relating to expansion needs at commercial equivalent rates specified under the Federal Property and Administrative Services Act of 1949. Authorizes appropriations out of the Federal Buildings Fund. Requires the specific approval of the Congress before the obligation or expenditure of funds for the sale, excessing, surplusing, or disposal of lands in the vicinity of Norfolk Lake, Arkansas, and lands in the vicinity of Bull Shoals Lake, Arkansas, both administered by the Corps of Engineers. Authorizes the reimbursement of travel, transportation, and subsistence expenses incurred for training classes, conferences, or other meetings in connection with the provision of child care services by persons employed to provide such services for Federal agencies. Authorizes the fund for real property management to receive any revenues, collections, or other income during a fiscal year related to energy savings to remain available for Federal energy management improvement programs authorized by law or deemed appropriate by the Administrator of GSA. Authorizes an increase in office space of the Federal Office Building in San Francisco, California. Provides for a transfer of land from the United States to Deganawidah-Quetzalcoatl University. Makes appropriations for FY 1993 for the following purposes: (1) the National Archives and Records Administration; (2) the Office of Government Ethics; and (3) the Office of Personnel Management. Makes appropriations for FY 1993 for the Merit Systems Protection Board, the Federal Labor Relations Authority, the United States Tax Court, and the Office of Special Counsel. Title V: General Provisions (this Act) - Sets forth certain prohibitions and limitations on the use of appropriations made under this Act. Prohibits any of the funds made available under this Act from being used for any of the following: (1) for administrative expenses in closing the GSA Federal Information Center in Sacramento, California; (2) for the purpose of eliminating any existing requirements for sureties on customs bonds; (3) for the funding of any activity or the payment of any Government employee which would prohibit the enforcement of a specified provision of the 1930 Tariff Act; and (4) to transfer control over the Federal Law Enforcement Training Centers in Glynco, Georgia, Marana, Arizona, and Artesia, New Mexico, out of the Treasury Department. Prohibits the use of any part of an appropriation made in this Act for the payment of the salary of any officer or employee of the U.S. Postal Service who in any way interferes with another employee's ability to communicate with any member or committee of the Congress in connection with any matter pertaining to the employment of such officers or employees with the Postal Service. Prohibits, with specified exceptions, the use of any funds appropriated under this Act to pay for an abortion, or to fund any Federal health plan which provides any benefits or coverage for abortions. Authorizes the Administrator of GSA to acquire space for the United States Courts in Tacoma, Washington, at the site of Union Station in that city. Provides for the payment of achievement awards. Prohibits the use of funds to contract out positions or downgrade the position classification of the United States Mint Police Force and the Bureau of Engraving and Printing Police Force. Authorizes the United States Secret Service to accept donations of money to offset costs incurred while protecting former Presidents and their spouses when traveling for the purpose of making an appearance or speech for a payment of money or any thing of value. Prohibits the use of funds appropriated by this Act or any other Act: (1) to withdraw the designation of the Virginia Inland Port at Front Royal, Virginia, as a United States Customs Service port of entry; or (2) to transfer mail processing capabilities from the Las Cruces, New Mexico, postal facility. Requires the Postal Service to recognize the rapid rate of population growth in Las Cruces and to automate such facility. Prohibits the use of funds to reduce the rank or rate of pay of a career appointee in the Senior Executive Service upon reassignment or transfer. Prohibits the use of funds to award a Federal agency lease in the Omaha, Nebraska - Council Bluffs, Iowa, geographical area which does not meet specified criteria. Protects the employment rights of Federal employees who return to their civilian jobs after assignment with the Armed Forces. Prohibits the use of U.S. Customs Service funds to collect or impose any land border processing fee at ports of entry along the United States-Mexico border. Limits the expenditures of funds for travel expenses. Requires the Postal Service Fund to make residual payments into the Civil Service Retirement and Disability Fund and the Employees Health Benefits Fund. Amends Federal law concerning costs associated with the provision of child care services by Federal agencies. Amends Federal law to allow the IRS to procure the services of attorneys for use in litigating actions under the Internal Revenue Code to which a foreign-controlled corporation is a party. Prohibits the use of funds under this Act to implement, administer, enforce, or otherwise carry out any change in the terms or conditions governing Federal health benefits which would only affect Medicare beneficiaries in a certain manner. Provides for the conveyance of certain land to Anne Arundel County, Maryland. Allows the conveyance of certain land in the Shenandoah National Park to the Secretary of the Treasury for use as a United States Customs Service Canine Enforcement Training Center. Requires closed captioning for television commercials of presidential or vice presidential candidates who are eligible to receive amounts from the Presidential Election Campaign Fund. Amends Federal criminal provisions to increase the penalties for transporting, importing, and failing to mark goods made with forced labor. Amends the Federal Alcohol Administration Act to authorize the Bureau of Alcohol, Tobacco and Firearms to prohibit the use of the names of deceased individuals of public prominence if such use would degrade or disparage the reputation of such individuals. Prohibits the use of funds for the Council on Competitiveness or any successor organization. Title VI: General Provisions (Departments, Agencies, and Corporations) - Sets forth certain requirements for and prohibitions and limitations on the use of appropriations made by this Act. Allows the use of funds to pay travel to the United States for the immediate family of employees serving abroad in cases of death or life threatening illness of such employees. Prohibits the obligation or expenditure of any FY 1993 appropriations by any Federal agency or instrumentality unless it has in place and administers in good faith a drug-free workplace policy. Requires Federal employing agencies to make deposits into the Federal Employees Compensation Account of the Unemployment Trust Fund not later than 30 days after the Department of Labor has billed such agencies. Authorizes the reimbursement of travel, transportation, and subsistence expenses incurred for training classes, conferences, or other meetings in connection with the provision of child care services for Federal employees. Prohibits any part of any funds appropriated in this or any other Act from being used to pay the salary of any officer or employee of the Government whose post of duty is in the continental United States, unless such person: (1) is a citizen of the United States; (2) has filed a declaration of intention to become a citizen of the United States; (3) is a person owing allegiance to the United States; (4) is a lawfully-admitted alien from Poland, Cuba, South Vietnam, or the Baltic countries; or (5) is a South Vietnamese, Cambodian, or Laotian refugee paroled in the United States after January 1, 1975. States exceptions and provides penalties for those persons submitting false affidavits under this provision. Prohibits funds from any appropriation in the current year from being paid to a person for filling a position for which he or she has been nominated after the Senate has voted not to approve such nomination. Authorizes the use of foreign credits owed to or owned by the United States for any purpose for which appropriations are made for the current year, only when the appropriate reimbursement is made to the Treasury from the agency concerned. Prohibits funds available pursuant to this Act from being used to implement any regulation which has been disapproved by a resolution duly adopted under the laws of the United States. Prohibits any funds made available under this Act from being used to plan, implement, or administer: (1) any reduction in the number of regions, districts, or entry processing locations of the U.S. Customs Service; or (2) any consolidation or centralization of duty assessment or appraisement functions of any offices of such Service. Requires the advance approval of the House and Senate Committees on Appropriations before an executive agency purchases, constructs, and/or leases any additional facilities, except within or contiguous to existing locations, for the purposes of conducting Federal law enforcement training. Sets forth the conditions under which Federal agencies may procure automatic data processing equipment other than through the procurement known as FTS2000. Sets forth conditions for the use of Federal grant money to finance the acquisition of goods or services with an aggregate value in excess of $500,000. Authorizes the use of funds for the interagency funding of national security and emergency preparedness telecommunications initiatives which benefit multiple government entities. Allows the use of funds by participants in the Federal Flexiplace Project to install telephone lines, necessary equipment, and pay monthly charges, in any private residence or apartment. Commends Representative Edward R. Roybal on his record of distinguished service.

Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act, 1993

United States · United States Congress · 25 June 1992

Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act, 1993 - Title I: Agricultural Programs - Appropriates funds for FY 1993 for the following programs and services: (1) Office of the Secretary of Agriculture; (2) Office of the Deputy Secretary of Agriculture; (3) Office of Budget and Program Analysis; (4) Office of the Assistant Secretary for Administration; (5) Departmental Administration; (6) Office of the Assistant Secretary for Congressional Relations; (7) Office of Public Affairs; (8) Office of the Inspector General; (9) Office of the General Counsel; (10) Office of the Assistant Secretary for Economics; (11) Economic Research Service; (12) National Agricultural Statistics Service; (13) World Agricultural Outlook Board; (14) Office of the Assistant Secretary for Science and Education; (15) Agricultural Research Service; (16) Cooperative State Research Service; (17) Extension Service; (18) National Agricultural Library; (19) Office of the Assistant Secretary for Marketing and Inspection Services; (20) Animal and Plant Health Inspection Service; (21) Food Safety and Inspection Service; (22) Federal Grain Inspection Service; (23) Agricultural Cooperative Service; (24) Agricultural Marketing Service; (25) Packers and Stockyards Administration; (26) Office of the Under Secretary for International Affairs and Commodity Programs; (27) Agricultural Stabilization and Conservation Service; (28) Federal Crop Insurance Corporation; and (29) Commodity Credit Corporation Fund. Title II: Conservation Programs - Appropriates funds for: (1) Office of the Assistant Secretary for Natural Resources and Environment; (2) Soil Conservation Service; and (3) Agricultural Stabilization and Conservation Service. Title III: Farmers Home and Rural Development Programs - Appropriates funds for: (1) Office of the Under Secretary for Small Community and Rural Development; (2) Farmers Home Administration; (3) Rural Electrification Administration; and (4) Rural Development Administration. Title IV: Domestic Food Programs - Appropriates funds for: (1) Office of the Assistant Secretary for Food and Consumer Services; (2) Food and Nutrition Service, including the Food Stamp Program; and (3) Human Nutrition Information Service. Title V: Foreign Assistance and Related Programs - Appropriates funds for: (1) Foreign Agricultural Service; (2) Public Law 480 Program Account; and (3) Office of International Cooperation and Development. Title VI: Related Agencies and Food and Drug Administration - Appropriates funds for: (1) Food and Drug Administration; (2) Farm Credit System Financial Assistance Corporation; (3) Commodity Futures Trading Commission; and (4) Farm Credit Administration. Title VII: General Provisions - Specifies certain uses and limits on or prohibitions against the use of funds appropriated by this Act. Prohibits the use of funds made available by this Act to carry out: (1) a Market Promotion Program in excess of specified limits; or (2) the Agricultural Resource Conservation Demonstration Program. Prohibits the use of funds made available by this Act to enroll additional Wetlands Reserve Program or Conservation Reserve Program acres.

Health Care for Every American Act of 1992

United States · United States Congress · 25 June 1992

Health Care for Every American Act of 1992 - Title I: Establishment of A State-Based National Health Insurance Program; Universal Eligibility; Enrollment - Establishes the State-Based National Health Insurance Program. Entitles every U.S. resident who is a citizen, national, or lawful resident alien to services. Provides for the eligibility of certain nonimmigrants and other individuals. Requires each State program to provide for: (1) an enrollment mechanism, including a process for automatic enrollment at birth or immigration; and (2) issuance of a universal health insurance card to be used for identification and claims processing. Provides for portability of benefits. Ends, after a specified date, benefits and payments under: (1) titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act; (2) provisions of Federal law relating to Federal employees' health benefits; (3) provisions of Federal law relating to the Civilian Health and Medical Program of the Uniformed Services (CHAMPUS); and (4) certain veterans' medical benefits. Title II: Comprehensive Benefits, Including Preventive Benefits and Benefits for Long Term Care - Entitles enrolled individuals to payment, subject to certain limitations and requirements, for comprehensive acute, preventive, mental health, drug and alcohol abuse treatment, long term care, and plan of care services (major service categories). Prohibits: (1) deductibles, coinsurance, or copayments for comprehensive acute and preventive services; (2) imposing a charge, except as provided under this Act, for covered services; and (3) insurance which duplicates payment for covered items or services. Permits State programs and employers to provide additional benefits. Lists covered services in each major service category, specifying matters such as limits, cost-sharing requirements, and exclusions. Mandates a report to the Congress on the effects of the cost-sharing under specified provisions of this Act and the optional State charge for non-enrollment with comprehensive health service organizations required under title V of this Act. Title III: Provider Participation - Mandates a participation agreement between a State health insurance program and a provider addressing specified elements, including prohibitions on discrimination and charging for covered services other than as authorized under this Act. Specifies requirements in order to be considered a qualified provider, including for health care practitioners, institutional and facility-based providers, community-based primary services providers, independent pathology laboratories, independent radiology services, providers of outpatient drugs and devices, and providers of covered transportation (including ambulance) services, in most cases requiring that they be licensed, meet State law requirements, and meet the requirements of this Act. Requires national and authorizes State minimum standards to assure service quality. Defines a comprehensive health service organization (CHSO) as an organization that, in return for a capitated amount, furnishes, arranges for, or pays for a full range of health services to a population in a specified service area. Makes all eligible persons in that area eligible to enroll in the organization, subject to the organization's capacity. Sets forth CHSO requirements. Title IV: Administration - Establishes the National Health Insurance Standards Board to develop policies, procedures, guidelines, and requirements to carry out this Act. Authorizes the Board to waive provisions of this Act to accommodate demonstration projects. Mandates uniform reporting requirements and standards and certain studies. Requires the Board to recommend to the Congress one or more proposals for the treatment of Federal health care facilities. Mandates advisory committees on: (1) benefits; (2) payments and cost containment; (3) quality and utilization review; and (4) primary care and the medically underserved. Requires the Board to provide for a National Health Advisory Council. Mandates submission by each State (or, for neighboring States which so choose, by each region) of a plan for a State (or regional) health insurance program providing services under this Act. Sets forth plan requirements. Provides for sanctions for failure to meet the requirements, including placing the State program in receivership under the jurisdiction of the Board. Prohibits a State, by intention or as an unstated consequence of budget allocations, from restricting timely access to medically necessary services or permitting potentially life threatening queues. Mandates appointment in each State of: (1) a State Health Advisory Council; and (2) a quality control mechanism. Allows States to use fiscal agents. Requires each State program to establish district health advisory councils covering distinct geographic areas to: (1) advise the State; (2) receive and investigate complaints by eligible persons and by providers; and (3) carry out district management and planning. Requires each district health advisory council to provide assistance and technical support to community organizations and nonprofit agencies submitting funding applications under specified provisions of the Public Health Service Act. Requires all Department of Health and Human Services activities to be complementary to this Act. Title V: National Health Insurance Budget; Payments; Cost Containment Measures - Subtitle A: Budgeting and Payments to States - Requires the Board to annually establish a national health insurance budget specifying the total Federal and State expenditures for covered services, set as the sum of the capitation amounts under this title plus Federal administrative expenses. Sets a national health insurance spending ceiling according to a specified formula involving: (1) the increase in the gross national product; (2) the Board's estimate of the increase in health care expenditures due solely to changes in the age or other risk characteristics of the U.S. population; and (3) percentage points set, for the first four years, by this Act and thereafter set by the Board. Requires each State program to annually establish a State health insurance budget, with a separate account for graduate medical education expenses. Provides for the computation of individual and state capitation amounts. Entitles each State with an approved program to receive specified Federal payments involving the State capitation amount and the Federal contribution percentage. Requires the Board to establish a formula for the Federal percentage for each State, considering the State's per capita income and revenue capacity and other relevant economic indicators as appropriate. Requires each State program to provide for a process and standards regarding the approval of capital purchases or leases for new or renovated facilities and for equipment valued over an amount specified by this Act or by the Board. Allows a State program, where a CHSO is available, to impose a charge for individuals who are enrolled with the CHSO for the receipt of covered services under this Act. Requires that the charge be assessed relative to income and specifies miniumum and maximum charges. Subtitle B: Payments by States to Providers - Requires direct payment by a State program to institutions and facilities for operating expenses under an approved negotiated annual prospective global budget. Allows institutions and facilities to raise private funds for new facilities, major renovations, and equipment, declaring that the expenditure of the private funds does not obligate the State program to provide for continued support for the expenditures. Entitles every independent health care practitioner to payment for the provision of covered services either, at the practitioner's election, by a fee-for-service method or a capitation method. Allows a State program, through an agreement with an organization representative of independent practitioners or otherwise, to pay individual practitioners through an annual salary, hourly payments, or other method under which aggregate payments do not exceed the amounts that would otherwise be made. Requires the Board to establish models and encourage State programs to implement alternative methodologies incorporating global fees for related services or for a basic group of services furnished to an individual over a period of time. Requires the State program to establish, after negotiations, a prospective payment schedule based on a relative value scale and conversion factors established by each State and providing for the application of expenditure targets. Allows State Programs to have practitioner-specific adjustments reflecting practitioner use patterns and to publicly disclose the use patterns. Requires payment to: (1) CHSOs to be determined by the State based on a global budget or on the basic capitation amount determined by the State program on the basis of the average estimated expenditures for an enrollee with the same actuarial characteristics as the enrollee; (2) community based primary health services to be based on a global budget or be made on an individual patient basis; and (3) care managers to be made directly by each State program pursuant to payment schedules, based on negotiations, capitation, or other methods, under an annual prospective budgeting system. Requires the Board to establish a list of approved prescription drugs and biologicals the board determines necessary for health, employability, or self-management and eligible for coverage. Allows the Board to exclude ineffective, unsafe, or over-priced products where better alternatives are available. Requires the Board to determine product prices. Authorizes the Board to conduct price negotiations, on behalf of State health programs, with drug manufacturers and distributors. Requires each State program to provide for payment for a drug furnished by an independent pharmacy based on the drug's cost to the pharmacy plus a dispensing fee according to a schedule set by the State program. Requires the Board to establish a list of approved durable medical equipment and therapeutic devices and equipment (including eyeglasses, hearing aids, and prosthetic appliances) the Board determines necessary for health, employability, or self-management and eligible for coverage. Requires the Board to determine product prices. Authorizes the Board to conduct price negotiations, on behalf of State health programs, with equipment and device manufacturers and distributors. Allows the Board to exclude ineffective, unsafe, or over-priced products where better alternatives are available. Mandates determination by the State program of the amount of payment for other covered services in accordance with payment methodologies specified by the Board. Requires the Board to establish, in addition to payment otherwise provided in this title, model payment methodologies and other incentives that promote the provision of services in medically underserved areas. Authorizes the Board to waive required payment methodologies as necessary to allow alternative payment schemes or conduct experiments and demonstration projects. Subtitle C: Malpractice Reform - Authorizes the Board to award grants to State programs for the development and implementation of programs for medical malpractice reforms. Authorizes appropriations. Mandates a study of medical malpractice, including regarding: (1) ineffective or unnecessary medical testing and practices; (2) the occurrence of malpractice and malpractice awards; (3) the adequacy of existing licensing and discipling procedures in preventing malpractice; and (4) the reasonableness of malpractice insurance premiums and rate-setting practices. Authorizes appropriations. Subtitle D: Mandatory Assignment and Administrative Provisions - Declares that payments for benefits under this Act constitutes payment in full, requires the furnishing entity to accept the payment as such, and prohibits the entity from accepting any payment other than from the State program, except for authorizd cost-sharing. Provides for sanctions in the same manner as under specified provisions of title XVIII (Medicare) of the Social Security Act. Requires a State program to establish: (1) a timely and administratively simple procedure for reimbursement to all providers under this Act; and (2) an appeals process regarding provider payments. Title VI: Financing - Creates the National Health Insurance Trust Fund. Appropriates to the Fund all: (1) tax increases from this Act; and (2) amounts that would otherwise have been appropriated to carry out titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act, the Federal employees health benefit program, and the Civilian Health and Medical Program of the Uniformed Services (CHAMPUS). Transfers to the Fund any amounts remaining in the Federal Hospital Insurance Trust Fund or the Federal Supplementary Medical Insurance Trust Fund. Directs the Secretary of the Tresury to: (1) develop a formula for determining and collecting National Health Insurance premiums from individuals and employers to finance covered services; (2) determine the aggregate premiums for each taxable year; and (3) collect premiums from individuals using a formula with specified characteristics, including that it be income-based and progressive. Directs the Secretary of the Treasury to collect the premiums from employers by: (1) increasing the highest marginal corporate income tax rate; (2) increasing the employer and self-employment hospital insurance tax; and (3) imposing a surtax on regular and minimum taxes. Declares that such taxes shall be increased as specified by the Secretary. Mandates a method for employers to pay premiums otherwise payable by employees. Amends Internal Revenue Code provisions relating to exclusions from gross income to define "accident or health insurance" to mean an approved State program under this Act. Removes provisions relating to amounts paid to highly compensated individuals under a discriminatory self-insured medical expense reimbursement plan. Disallows deductions for employer expenses for health care services, whether or not covered under this Act. Declares that this does not disallow a deduction for National Health Care premiums. Allows health insurance costs (currently, 25 percent of health insurance costs) of self-employed individuals to be deducted. Removes provisions ending the deductibility on a specified date. Defines "medical care," for provisions relating to individual deductions for medical and dental expenses, to mean National Health Insurance premiums, cost-sharing, and other premiums for coverage under a State program. Ends, after a specified date, the health insurance credit for coverage which includes at least one child. Makes each State responsible for establishing a financing program for the implementation of the State program. Entitles each State with a State program approved by the Board to funding from the Board in the amounts provided under specified provisions of this Act. Title VII: Promotion of Primary Health Care; Development of Health Service Capacity; Programs to Assist the Medically Underserved - Subtitle A: Promotion and Expansion of Primary Care Practitioners - Makes the Board responsible for certain activities toward a national goal of having, ten years after enactment of this Act, 50 percent of the physicians in medical residency programs being trained as primary care physicians, including coordinating graduate medical education policies and overseeing State program residency expenditures. Requires the Board to establish a method of applying the national goal to program goals for each medical residency program. Provides for enforcement, against State programs that fail to meet the goal, through reducing: (1) medical residency payments; and (2) the indirect portion of extramural biomedical and behavioral research grants from the National Institutes of Health (NIH). Requires the Board to provide for an Advisory Committee on Graduate Medical Education. Amends the Public Health Service Act to establish in NIH the Office of Primary Care and Prevention Research. Establishes in that Office: (1) the Coordinating Committee on Research on Primary Care and Prevention Research; and (2) the Advisory Committee on Research on Primary Care and Prevention Research. Requires the NIH Director to: (1) establish a data system for the collection, storage, analysis, retrieval, and dissemination of information regarding primary care and prevention research conducted or supported by the national research institutes; and (2) establish and operate a program to provide information on research and prevention activities of the institutes relating to such research. Authorizes appropriations for the Office. Mandates priority, in providing financial assistance under certain provisions relating to health research and teaching facilities and training of professional health personnel, to applicants, a substantial percentage of whose graduates are (or are expected to be) providing primary care to a substantial number of medically underserved individuals. Places an additional requirement on residency programs that they provide significant experience in providing: (1) primary care to such individuals; or (2) such services in ambulatory health facilities. Subtitle B: Grants for Expansion of Availability of Primary Care Services through Health Centers - Part 1: Primary Care Service Expansion Grants - Amends the Public Health Service Act to mandate grants to expand the availability of comprehensive primary health services in medically underserved areas. Authorizes appropriations. Part 2: Reduction in Medical Malpractice Liability for Community Health Centers - Includes entities receiving Federal funds under provisions relating to migrant health centers, community health centers, health services for the homeless, or (as added by this Act) grants for expansion of the availability of primary care services (and officers, employees, or contractors of such entities who are licensed health care practitioners) in the coverage of provisions regulating civil actions for injury resulting from medical or related functions against commissioned officers or employees of the Public Health Service. Subrogates to the United States any insurance claim such an entity or person has. Prohibits grants under such provisions unless the applicant has: (1) implemented policies and procedures to assure against malpractice; and (2) reviewed the professional credentials, claims history, and other information regarding its licensed health care practitioners; and (3) no history of claims against it under such provisions relating to officers and employees of the Public Health Service, or has cooperated with the Attorney General in defending against such claims and has taken corrective action. Empowers the Attorney General, if certain conditions are met, to determine that an individual practitioner shall not be deemed a Public Health Service employee for purposes of these provisions. Prohibits hospitals from denying admitting privileges to an otherwise qualified health care provider who is an officer, employee, or contractor of such an entity. Mandates withholding from the amounts appropriated for such entities an annual estimate of the amount of all claims under provisions relating to such civil actions. Subtitle C: Expansions in the National Health Service Corps - Authorizes appropriations for: (1) the National Health Service Corps Loan Repayment Program for physician and midlevel practitioner placements at entities receiving grants for expansion of the availability of primary care services; and (2) a number of contracts (for such repayments and scholarships under the National Health Service Corps Scholarship Program) sufficient to ensure the placement of a specified number of additional primary care physicians and a specified percentage increase in midlevel practitioners in health professional shortage areas. Defines "midlevel practitioner" to include certified nurse midwives, certified nurse practitioners, physician assistants, and similar nonphysician health care practitioners.

National Institutes of Health Revitalization Amendments of 1992

United States · United States Congress · 25 June 1992

National Institutes of Health Revitalization Amendments of 1992 - Title I: General Provisions Regarding title IV of Public Health Service Act - Subtitle A: Research Freedom - Part I: Review of Proposals for Biomedical and Behavioral Research - Amends the Public Health Service Act to prohibit the Secretary of Health and Human Services from approving certain research or financial assistance to conduct research unless specified review has taken place and the review entity has recommended approval. Prohibits the Secretary from withholding, on ethical grounds, funding for research that has received such review approval unless: (1) an ethics advisory board recommends the withholding; or (2) such a board recommends against withholding, but the Secretary finds that the recommendation is arbitrary and capricious. Part II: Research on Transplantation of Fetal Tissue - Permits the Secretary to conduct or support research on the transplantation of human fetal tissue for therapeutic purposes regardless of whether the tissue is obtained from a spontaneous or induced abortion or a stillbirth, in accordance with State and local law. Requires the researcher, if the tissue bank established under a specified executive order is in operation, to obtain the tissue from that bank, unless the bank does not provide requested tissue within a specified time of a request. Requires certain statements by the woman providing the tissue, the researcher, and the donee. Imposes criminal penalties for certain commercial transactions involving the transfer or directed donation of human fetal tissue. Prohibits: (1) any official of the executive branch from imposing a policy prohibiting the Department of Health and Human Services from conducting or supporting any research on the transplantation of human fetal tissue for therapeutic purposes; and (2) the Secretary from withholding funds for research which is in accordance with this Act. Deems a specified report of the Human Fetal Tissue Transplantation Research Panel to be a report issued by an ethics advisory board finding, on a basis that is neither arbitrary nor capricious, that there are no ethical grounds for withholding funds for such research. Part III: Miscellaneous Repeals - Removes certain provisions of the Public Health Service Act relating to: (1) biomedical ethics; (2) a study by the Biomedical Ethics Advisory Committee on waiver of a specified risk standard; and (3) the construction of title IV (National Research Institutes) of the Act. Subtitle B: Clinical Research Equity Regarding Women and Minorities - Part I: Women and Minorities as Subjects in Clinical Research - Requires that women and minorities be included as subjects in each clinical research project under such title IV. Requires projects to be designed and carried out so as to provide for an analysis of whether the variables being tested affect women or minorities differently than other subjects. Requires the establishment of inclusion guidelines. Requires that technical and scientific peer review conducted under existing provisions include an evaluation of the merit of the proposal regarding women and minorities. Part II: Office of Research on Women's Health - Establishes in the National Institutes of Health (NIH) the Office of Research on Women's Health. Requires the Director of the Office to establish: (1) the Coordinating Committee on Research on Women's Health; and (2) the Advisory Committee on Research on Women's Health. Mandates: (1) a determination of the extent to which women are represented among senior physicians and scientists of the national research institutes and among those conducting research supported by the institutes; and (2) as appropriate, activities to increase the extent of such representation. Requires establishment of: (1) a data system, available to the public, for the collection, analysis, and dissemination of information regarding research on women's health conducted or supported by the institutes; and (2) a program to provide information on research and prevention activities of the institutes relating to women's health research. Subtitle C: Scientific Integrity - Replaces provisions relating to protection against scientific fraud with provisions establishing as an independent entity in the Department of Health and Human Services the Office of Scientific Integrity. Requires: (1) applicants for a grant, contract, or cooperative agreement under the Act for biomedical or behavioral research to have an administrative process to review reports of scientific misconduct and agree to report any investigation of such reports; and (2) a response process for the Office. Establishes the Commission on Scientific Integrity. Provides for employee whistle blower protection. Mandates measures for identifying, responding to, and reporting the existence of a financial interest that will or may create a bias in favor of obtaining results, in a project to evaluate the safety or effectiveness of a drug, medical device, or treatment, that are consistent with the interest. Title II: Protection of Health Facilities - Prohibits stealing or otherwise converting personal property or damaging real property of a health facility assisted under the Public Health Service Act, or deterring, through physical restraint, any individual from entering or exiting the facility. Includes in the prohibitions various acts interfering with the use of animals for research. Provides for fines, imprisonment, restitution, and private civil actions. Title III: National Institutes of Health in General - Modifies the duties of the NIH's Associate Director for Prevention. Establishes a program to enhance the competitiveness of research entities in States which have historically had low success in obtaining funds from the national research institutes for biomedical and behavioral research. Mandates activities, consistent with the global Children's Vaccine Initiative, to develop affordable new and improved vaccines. Authorizes appropriations. Requires a plan regarding research methods that do not require the use of animals, reduce the number of animals used, and produce less distress in the animals. Establishes the Interagency Coordinating Committee on the Use of Animals in Research. Repeals similar provisions. Authorizes the Secretary of Health and Human Services to conduct and support research, research training, recruitment, and other activities to increase the number of women and individuals from disadvantaged backgrounds in biomedical and behavioral research. Requires that any survey of human sexual behavior conducted or supported through NIH: (1) undergo review in accordance with specified provisions; and (2) have been determined by the Secretary to assist in reducing the incidence of infectious disease or improve health conditions. Establishes a fund for use by the NIH Director to carry out NIH activities. Authorizes appropriations. Modifies the term of office of members of advisory councils of the national research institutes. Requires that at least half of all new or revised health education and promotion materials developed or funded by NIH be in a form that does not exceed a level of functional literacy. Authorizes a program to provide day care service for NIH employees. Title IV: General Provisions Respecting National Research Institutes - Requires that the Secretary receive from the President and the Office of Management and Budget directly all funds appropriated by the Congress for obligation and expenditure by the Institute. Removes provisions authorizing the Director of the National Cancer Institute to directly receive such funds. Modifies the authority of the directors of the national research institutes to establish and appoint the members of technical and scientific peer review groups in addition to those appointed under specified provisions. Makes the Federal Advisory Committee Act inapplicable to such additional groups. Requires expansion and intensification of programs of research and related activities concerning osteoporosis, Paget's disease, and related bone disorders. Provides for the establishment, through a grant, cooperative agreement, or contract, of a clearinghouse to enhance knowledge and understanding of professionals, patients, and the public. Authorizes appropriations. Establishes: (1) a comprehensive program of conducting basic and clinical research on trauma, including diagnosis, treatment, rehabilitation, and general management of trauma; and (2) the Trauma Research Interagency Coordinating Committee. Title V: National Cancer Institute - Requires expanding, intensifying, and coordinating the activities of the National Cancer Institute (NCI) regarding breast and ovarian cancer, other cancers of the reproductive system of women, and prostate cancer. Requires inclusion of the conduct and support of research and demonstration centers. Authorizes appropriations. Removes provisions authorizing appropriations for NCI and the National Heart, Lung, and Blood Institute (NHLBI). Title VI: National Heart, Lung, and Blood Institute - Requires NHLBI to conduct intramural training and education. Authorizes development of three centers for basic and clinical research into, training in, and demonstration of, advanced diagnosis, prevention, and treatment for cardiovascular diseases in children. Authorizes appropriations for NHLBI. Title VII: National Institute on Diabetes and Digestive and Kidney Diseases - Establishes a program of conducting and supporting research, training, health information dissemination, and other activities regarding nutritional disorders, including obesity. Provides for the development or substantial expansion of centers for research and training. Title VIII: National Institute on Arthritis and Musculoskeletal and Skin Diseases - Removes provisions stating that the purpose of the National Institute on Arthritis and Musculoskeletal and Skin Diseases (NIAMSD) includes sports-related injuries. Requires NIAMSD to place emphasis on arthritis affecting children. Establishes a multipurpose arthritis and musculoskeletal disease center focusing on children. Modifies the composition of the National Arthritis Advisory Board and its annual report requirements. Title IX: National Institute on Aging - Transfers to the Public Health Service Act provisions of the Health Research Extension Act of 1985 authorizing a grant to develop a registry for epidemiological data on Alzheimer's disease and related data collection training. Removes the existing authorization of appropriations. Mandates research into the aging processes of women, with particular emphasis on menopause and into the diagnosis, disorders, and complications related to aging and loss of ovarian hormones. Authorizes appropriations for the National Institute on Aging. Title X: National Institute of Allergy and Infectious Diseases - Includes programs regarding tropical diseases in the purposes of the National Institute of Allergy and Infectious Diseases. Authorizes grants or contracts for centers to conduct basic and clinical research on chronic fatigue syndrome. Establishes an extramural study section for the syndrome. Title XI: National Institute of Child Health and Human Development - Subtitle A: Research Centers with Respect to Contraception and Research Centers with Respect to Infertility - Mandates grants or contracts for three centers to conduct activities to improve methods of contraception and two centers to conduct activities to improve methods of diagnosis and treatment of infertility. Authorizes appropriations. Establishes a program of agreements with health professionals, including graduate students, to conduct research on contraception or infertility in consideration of the Government repaying a limited amount of the educational loans of the professionals. Subtitle B: Program Regarding Obstetrics and Gynecology - Establishes in the National Institute of Child Health and Human Development (NICHHD) an intramural laboratory and clinical research program in obstetrics and gynecology. Subtitle C: Child Health Research Centers - Mandates development of and support for centers for conducting research on child health. Subtitle D: Study Regarding Adolescent Health - Mandates a longitudinal, large-scale study on the general health and well-being of adolescents in the United States. Allocates funding from amounts appropriated to NICHHD. Title XII: National Eye Institute - Authorizes not more than three grants for the establishment and support of centers for clinical research on eye care for individuals with diabetes. Allows grant funds to be used for equipment and for construction and modification of facilities. Title XIII: National Institute of Neurological Disorders and Stroke - Mandates the conduct and support of research on multiple sclerosis. Title XIV: National Institute of Environmental Health Sciences - Establishes the Applied Toxicological Research and Testing Program. Title XV: National Library of Medicine - Subtitle A: General Provisions - Directs the Secretary to promote the use of computers and telecommunications by health professionals. Increases the dollar limit on grants to medical libraries and related instrumentalities. Authorizes appropriations for the National Library of Medicine (NLM). Subtitle B: Financial Assistance - Mandates grants for research on, and development and demonstration of, new educational technologies. Requires recipient institutions to make grant projects available for: (1) training health professions students; and (2) enhancing the capabilities of health professionals regarding research and teaching. Authorizes appropriations to carry out provisions relating to medical libraries and related matters. Subtitle C: National Center for Biotechnology Information - Authorizes appropriations to carry out provisions relating to the National Center for Biotechnology Information. Subtitle D: National Information Center on Health Services Research and Health Care Technology - Establishes in NLM the National Information Center on Health Services Research and Health Care Technology to collect, analyze, and disseminate information on health services research and health care technology. Authorizes appropriations. Requires the Administrator of the existing information center on health care technologies and health care technology assessment and the NLM Director to enter into an agreement on the implementation of these provisions. Title XVI: Other Agencies of National Institutes of Health - Subtitle A: Division of Research Resources - Redesignates the Division of Research Resources as the National Center for Research Resources. Authorizes grants to alter existing or construct new research facilities. Establishes the Scientific and Technical Review Board on Biomedical and Behavioral Research Facilities to advise the Center director and the existing advisory council. Conditions grant approval on Board approval. Authorizes appropriations. Requires the NIH Director to reserve a specified sum from amounts appropriated under this authorization for grants and contracts to construct or improve regional centers for research on primates. Subtitle B: National Center for Nursing Research - Redesignates the National Center for Nursing Research as the National Institute for Nursing Research and adds the Institute to the list of NIH's national research institutes. Subtitle C: National Center for Human Genome Research - Adds the National Center for Human Genome Research to the list of NIH agencies. Declares the purpose of the Center to be to characterize the structure and function of the human genome, including the mapping and sequencing of individual genes. Title XVII: Awards and Training - Subtitle A: National Research Service Awards - Directs the Secretary to carry out provisions relating to National Research Service Awards in a manner that will recruit into biomedical or behavioral research, and provide research training to, women and individuals from disadvantaged backgrounds. Subtitle B: Acquired Immune Deficiency Syndrome - Modifies a program of agreements (under which certain health professionals conduct research regarding acquired immune deficiency syndrome (AIDS) as NIH employees in consideration of Government repayment of educational loans) to remove provisions requiring a minimum of three years as an NIH employee. Authorizes appropriations. Authorizes the Commissioner of Food and Drugs to carry out a similar program regarding the review of applications concerning AIDS. Subtitle C: Loan Repayment for Research Generally - Mandates a program of agreements with health professionals who have a substantial amount of educational loans relative to income and who meet other requirements to conduct research, as NIH employees, in consideration of Government repayment of a limited amount of the educational loans of the professionals. Authorizes appropriations. Subtitle D: Scholarship and Loan Repayment Programs Regarding Professional Skills Needed by Certain Agencies - Authorizes a program of contracts with individuals from disadvantaged backgrounds for scholarships for undergraduate programs for professions needed by NIH in consideration of service by the individuals as NIH employees. Authorizes a program of contracts with health professionals from disadvantaged backgrounds who have a substantial amount of educational loans relative to income to conduct clinical research as NIH employees in consideration of the Government repaying a limited amount of the educational loans of the professionals. Subtitle D: (SIC) Funding - Authorizes appropriations for making payments under National Research Service Awards and under grants for such Awards. Modifies set-aside amounts and requires a set-aside for provisions relating to residency programs in the general practice of dentistry. Title XVIII: National Foundation for Biomedical Research - Excludes from voting rights the ex officio members of the National Foundation for Biomedical Research. Authorizes appropriations. Title XIX: Research with Respect to Acquired Immune Deficiency Syndrome - Modifies the duties of the AIDS Clinical Research Review Committee, including requiring the Committee to: (1) give advice to other agencies of NIH as well as to the National Institute of Allergy and Infectious Diseases (NIAID); and (2) make recommendations on research projects regarding diagnosing immune deficiency and predicting, diagnosing, preventing, and treating opportunistic cancers and infectious diseases. States that the requirement that the clinical evaluation units at the National Cancer Institute and NIAID conduct evaluations of treatments for acquired immune deficiency syndrome (AIDS) includes evaluations of methods of: (1) diagnosing immune deficiency; and (2) predicting, diagnosing, preventing, and treating opportunistic cancers and infectious diseases. Modifies provisions relating to the support of international efforts to add to the purpose of grants, cooperative agreements, and contracts for such efforts provisions promoting and expediting: (1) international training; (2) research and training concerning the natural history and pathogenesis of the human immunodeficiency virus; and (3) the development and evaluation of vaccines and treatments for opportunistic infections. Authorizes appropriations for each fiscal year. Requires that model protocols (developed with grants under existing provisions) for the clinical care of individuals infected with the etiologic agent for AIDS include treatment and prevention of human immunodeficiency virus (HIV) infection and related conditions among women. Authorizes appropriations. Adds collection of data on the natural history of infection with the etiologic agent to the purposes of the epidemiological data base mandated by current provisions. Authorizes appropriations for each fiscal year. Requires the Director of NIH to develop and implement a comprehensive plan for the conduct and support of AIDS research by NIH agencies. Authorizes appropriations for each fiscal year for fellowship and training programs relating to AIDS under existing provisions. Title XX: Certain Authorities of Centers for Disease Control - Authorizes grants to States and local health departments for programs for specified activities relating to prostate cancer, including screening, public information, and improving professional training. Authorizes appropriations. Authorizes: (1) grants or contracts for population-based, statewide cancer registries; (2) grants for developing plans that meet the requirements of specified provisions; and (3) technical assistance to States, either directly or through grants and contracts. Mandates a study on the factors contributing to elevated breast cancer mortality rates in specified States. Authorizes appropriations. Requires a survey to determine which entities collect data on traumatic brain injuries and the nature of their data collection systems. Authorizes cooperation and assistance to establish traumatic brain injury as a specific reportable condition or disability. Authorizes appropriations. Title XXI: Studies - Mandates studies on: (1) the impact, with regard to acquired immune deficiency syndrome (AIDS), of parallel-track drug-release mechanisms on clinical research and on the activities of the Commissioner of Food and Drugs regarding drug approval; (2) third-party payor policies regarding payment of costs incident to the participation of individuals as subjects in AIDS drug clinical trials; and (3) whether AIDS advisory committees in NIH are being sufficiently coordinated. Requires a plan for the inclusion of HIV-infected women, infants, and children in HIV vaccine studies conducted by or through NIH. Authorizes appropriations. Mandates an annual report on the leading causes of death in the United States and related spending by the Department of Health and Human Services for research, prevention, and education. Requires three-year studies on: (1) nutrition screening and intervention regarding the elderly; and (2) the extent of malnutrition in hospitals, in long-term care facilities, and among those living independently. Establishes an advisory panel to oversee the studies. Mandates a report on the feasibility of developing a plan for the conduct of research at NIH on the prevention of traumatic injuries. Directs the Secretary to: (1) review existing data and research concerning whether there is a relationship between legal and illegal drug use; and (2) if necessary, conduct additional research. Mandates reports on: (1) research conducted or supported by NIH on chronic fatigue syndrome; (2) the appropriateness and impact of NIH assuming responsibility for the conduct of all Federal research, development, testing, and evaluation relating to medical countermeasures against biowarfare threat agents. Requires a study on the potential for, the prevalence of, and the issues related to the contamination of worker's homes with substances from their work places. Requires: (1) establishment of the Worker's Family Protection Task Force to take specified actions, including developing an investigative strategy for obtaining any needed additional data; and (2) each Federal department or agency to fulfill the role assigned by the strategy. Authorizes appropriations. Mandates studies: (1) of the retention, recruitment, vacancy and turnover rates of NIH support staff, including fire fighters, law enforcement, procurement officers, technicians, nurses, and clerical employees; and (2) to develop a streamlined procurement system for NIH. Title XXII: Miscellaneous Provisions - Redesignates the Senior Biomedical Research Service as the Silvio Conte Senior Biomedical Research Service and increases the limit on the number of its members. Renames the AIDS Clinical Research Review Committee as the AIDS Research Advisory Committee. Prohibits the Secretary from conducting or supporting the SHARP survey of adult sexual behavior. Requires that a report on carcinogens be submitted biennially (currently, annually). Mandates a report analyzing the report of the National Committee on Sleep Disorders Research and presenting a plan for the conduct and support of sleep disorders research at NIH. Mandates presentation to the Congress of a master plan to provide for the replacement or refurbishment of less than adequate buildings, utility equipment and distribution systems, roads, walkways, parking areas, and grounds of NIH laboratory and clinical facilities. Allows the plan to make recommendations for the undertaking of new projects consistent with the objectives of these provisions. Title XXIII: Effective Date - Sets forth the effective date of this Act.

8 Mr. R. Bruton asked the Minister for Health whether he has received reports from the various health boards on their capacity to live within the budget limitation imposed by him for 1992 without having to have recourse to prolonged bed closures or other interference with services; and if he will make a statement on the matter.

Ireland · Dáil Éireann · 24 June 1992

8 Mr. R. Bruton asked the Minister for Health whether he has received reports from the various health boards on their capacity to live within the budget limitation imposed by him for 1992 without having to have recourse to prolonged bed closures or other interference with services; and if he will make a statement on the matter.

To amend the Rules of the House of Representatives to provide for reform of the House of Representatives, and for other purposes.

United States · United States Congress · 24 June 1992

Directs the Speaker of the House of Representatives to appoint a task force to restructure the committee system in the House by reducing the number of standing committees to a maximum of 15 and establishing their jurisdiction. Amends rule X of the Rules of the House of Representatives to prohibit any standing committee of the House from establishing more than four subcommittees except: (1) the Committee on the Budget which shall have no subcommittees; (2) the Committee on Rules which shall have two; and (3) the Committee on Appropriations which may have the same number of subcommittees that it had in the 101st Congress. Amends rule XI to make it out of order to consider any primary expense resolution unless the Committee on House Administration has reported and the House has adopted a resolution establishing an overall ceiling for House committee staff personnel for that year. Makes such a resolution privileged. Establishes guidelines for developing and considering primary and supplemental expense resolutions. Provides that the overall ceiling for committee staff in a resolution reported by the committee or contained in any amendment for the 103d Congress shall not exceed 50 percent of the total committee staff personnel employed at the end of the 102d Congress. Repeals the general permission, subject to certain conditions, for proxy voting by a member of any committee or subcommittee with respect to any measure or matter. Amends rule X to require the membership of each committee (except the Committee on Standards of Official Conduct and the Committee on House Administration), subcommittee, task force, or other subunit, to reflect the ratio of majority to minority party Members of the House at the beginning of the Congress. Exempts the Resident Commissioner from Puerto Rico and the Delegates to the House from the count in determining such party ratio. Requires the membership of each select committee, subcommittee, task force, subunit, or conference committee to reflect the ratio of the majority to minority party Members of the House at the time of its appointment. Requires the ratio of majority party to minority party staff positions, consultants, details, and funding for House committees to be the same ratio as that to Members of the House. Directs the Speaker to refer legislation initially to one committee as the committee of principal jurisdiction (currently, such legislation may initially be referred simultaneously to two or more committees for concurrent consideration). Prohibits a member from serving on any particular committee for more than eight years or as committee chairman for more than four years. Disregards: (1) service performed as a member of such committee for less than a full session in any Congress; and (2) previous service on any committee before the beginning of the 103d Congress. Requires one-half of the members of the Committee on House Administration to be from the majority party and one-half to be from the minority. Allows the chairman or ranking minority party member of the Committee on House Administration to authorize and issue subpoenas. Amends rules XLVI to prohibit a Member of the House from sending any franked mass mailing outside the Member's Congressional district. Prohibits the Committee on House Administration from approving any payment for, and a Member from making any expenditure from, any allowance of the House or any other official funds if any portion is for any cost related to a mass mailing by a Member of the House outside his or her congressional district. Amends rule XI to prohibit the Committee on Rules from reporting any rule or order that would prevent a motion to recommit that has amendatory instructions (except in the case of a Senate measure for which the language of a House passed measure has been substituted). Makes it out of order to consider any resolution which waives any point of order, except by a two-thirds vote of the Members voting. Declares that it is the policy of the House of Representatives that the following Federal laws should be amended to apply them to the House in the same or similar manner as they apply to the executive branch: (1) the National Labor Relations Act; (2) the Occupational Safety and Health Act of 1970; (3) the Equal Pay Act of 1963; (4) the Age Discrimination in Employment Act of 1967; (5) the Freedom of Information Act; (6) the Privacy Act of 1974; and (7) Title VII of the Civil Rights Act of 1964. Directs the standing committees of the House with subject jurisdiction over such Federal laws to report legislation to the House to implement such policy. Provides for consideration of such legislation.

Senior Government Officer Benefit Limitation Act of 1992

United States · United States Congress · 18 June 1992

Senior Government Officer Benefit Limitation Act of 1992 - Prohibits the use of aircraft owned or leased by the Federal Government for: (1) any personal, political, or authorized special use travel; or (2) any official travel mixed with personal or political activities. Excepts the President, Vice President, and their families from this prohibition, if they reimburse the Federal Government the full costs of such travel. Requires executive agency reports on agency use of Government owned or leased aircraft. Prohibits the expenditure of Federal agency funds to equip, operate, or maintain any golf course owned or operated by an executive agency, unless it is located in a remote or isolated area. States that any such golf course shall be operated by concessionaire contract and open to the general public. Prohibits the expenditure of Federal agency funds to: (1) subsidize the costs to equip, operate, or maintain dining rooms or kitchen facilities for the exclusive use of senior Government officers or to purchase or prepare food for their consumption, except in certain circumstances; (2) acquire luxury vehicles for the purpose of transporting senior Government officers, except for cabinet officers and executive agency heads, among others; or (3) employ drivers for the exclusive use of transporting senior Government officers, except for the officers listed. Requires the General Services Administration to prescribe regulations and uniform guidelines for the purchase or lease of luxury vehicles for or by the Federal Government that ensure the least cost to the Government. States that all costs to equip, operate, and maintain physical fitness facilities for use by Federal employees shall be fully paid by the users of such facilities. Prohibits the expenditure of appropriated funds by any executive agency for the costs of membership or other fees for the use of physical fitness facilities, including exercise equipment and classes. Prohibits executive agencies from granting administrative leave to Federal employees for the purpose of physical fitness activities, unless such employees must meet physical fitness standards as a condition of employment. Directs the head of each executive agency to charge a nominal fee to any employee of such agency for access to medical services provided by the Public Health Service, the employing agency, any other Federal agency, or other medical service provider for which no charge is otherwise paid by such employee. Establishes a schedule for reductions in executive agency noncareer Senior Executive Service positions and Schedule C positions. Requires the Office of Management and Budget to report annually to the Congress on compliance with this Act.

Legislative Branch Appropriations Act, 1993

United States · United States Congress · 18 June 1992

Legislative Branch Appropriations Act, 1993 - Title I: Congressional Operations - Congressional Operations Appropriations Act, 1993 - Appropriates funds for FY 1993 for the operations of the House of Representatives for the following: (1) mileage of Members' clerk hire; (2) House leadership offices; (3) Members' clerk hire; (4) committee employees; (5) studies by the Committee on the Budget; (6) contingent expenses of the House, including salaries and expenses of standing, special, and select committees; (7) salaries and expenses and temporary personal services of House Information Systems, under the direction of the Committee on House Administration; (8) allowances and expenses; (9) salaries and expenses of the House of Representatives Child Care Center; (10) studies and investigations by the Committee on Appropriations;(11) official mail costs; and (12) salaries of officers and employees. Allows the transfer of amounts among specified House accounts upon the approval of the Committee on Appropriations. Makes permanent law the resolution which established certain civilian support positions for the Capitol Police with respect to the House of Representatives. Provides authority to transfer available funds for the operations of the Director of Non-legislative and Financial Services, the Office of Inspector General, and the Office of General Counsel. Establishes an account for fees deposited by Members and Officers of the House for the services of Attending Physician. Makes appropriations for the following joint items: (1) the Joint Economic and the Joint Committee on on Printing; (2) the Joint Committee on Taxation; (3) the Office of the Attending Physician; (4) the Capitol Police Board; (5) the Capitol Guide Service; and (6) the Special Services Office. Appropriates funds for the following congressional offices: (1) the Office of Technology Assessment; (2) the Congressional Budget Office; (3) the Architect of the Capitol; (4) the Congressional Research Service of the Library of Congress; and (5) the Government Printing Office (GPO). Title II: Other Agencies - Appropriates funds for the following congressional agencies: (1) the Botanic Garden; (2) the Library of Congress; (3) the Architect of the of the Capitol for Library buildings and grounds; (4) the Copyright Royalty Tribunal; (5) GPO for the Office of Superintendent of Documents; and (6) the General Accounting Office. Restricts the amount of funds to be accepted and obligated by the Architect of the Capitol for constructing, equipping, and maintaining the National Garden. Makes funds available to the Library of Congress for expenses of attendance at certain meetings, of which a specified amount is set aside for the Congressional Research Service. Prohibits the Library from using appropriated funds to administer a flexible or compressed work schedule for certain managers or supervisors. Limits the number of employees the Library may employ with appropriated funds from other Federal agencies to cover general and administrative overhead costs generated by performing reimbursable work for such agencies. Limits the expenditures by the Library on official representation and reception expenses for the incentive awards program and the overseas Field offices. Makes the restriction on the use of appropriated funds for certain commercial printing inapplicable to FY 1993 funds. Prohibits the use of such funds for the procurement of any printing related to the production of government publications, unless such procurement is by or through GPO. Allows certain exceptions to such prohibition. Title III: General Provisions - Sets forth various specified requirements for and prohibitions or limitations on the use of appropriations. Directs the Architect of the Capitol to develop an overall telecommunications plan for the other agencies of the legislative branch. Authorizes the transfer of funds from the Library of Congress for salaries and expenses to the Architect of the Capitol for the purpose of rental, lease, or other agreement respecting temporary storage and warehouse space for use by the Library during FY 1993. Authorizes the retention of revenues received by the House of Representatives Child Care Center for salaries and expenses. Removes Members of the House of Representatives from the two-page limitation on mass mailings. Rescinds authority for Members of the House to make mass mailings outside of their congressional districts. Prohibits the use of funds in this Act to provide routine internal building security in the Judiciary Office Building.

Puerto Rico Medicaid Improvement Act of 1992

United States · United States Congress · 18 June 1992

Puerto Rico Medicaid Improvement Act of 1992 - Amends title XI of the Social Security Act (SSA) to raise the limit on Federal matching funds available for the Medicaid program (SSA title XIX) in Puerto Rico. Amends SSA title XV (Medicare), the Omnibus Budget Reconciliation Act of 1986, and the Omnibus Budget Reconciliation Act of 1989 to make changes with respect to the furnishing of and payment for parenteral and enteral nutrition equipment and related supplies furnished to Medicare beneficiaries.

Disapproving the action of the District of Columbia Council in approving the Omnibus Budget Support Temporary Act of 1992.

United States · United States Congress · 18 June 1992

Disapproves The Omnibus Budget Support Temporary Act of 1992 passed by the District of Columbia Council.

Relating to the enforcement of United Nations Security Council resolutions calling for the cessation of hostilities in the former territory of Yugoslavia.

United States · United States Congress · 17 June 1992

Calls upon the President to urge the United Nations Security Council to direct the Secretary General of the United Nations to provide a plan and budget for intervention as may be necessary to enforce the Security Council resolutions seeking cessation of hostilities in the former republics of Yugoslavia.

Honest Balanced Budget Act

United States · United States Congress · 16 June 1992

Honest Balanced Budget Act - Repeals provisions of the Balanced Budget and Emergency Deficit Control Act of 1985 (Gramm-Rudman-Hollings Act) with respect to: (1) emergency powers to eliminate deficits in excess of the maximum deficit amount; (2) budgetary treatment of social security trust funds; and (3) miscellaneous and related provisions. Prohibits, for FY 1994 and each fiscal year thereafter, the outlays of the operating segment of the United States budget from exceeding receipts. Requires, when such outlays exceed receipts, that the deficit be eliminated through revenue increases or spending reductions. Authorizes the waiver of such provisions in the case of war, recession, or natural disaster if the President requests such waiver and the Congress approves by a vote of three-fifths of the membership in both Houses. Requires that operating segment deficit spending subject to a waiver be paid for in full in the budget of the following fiscal year. Requires the budget, excluding trust funds, to be balanced by FY 1998 and each fiscal year thereafter. Requires the President and the Congress: (1) beginning in FY 1995 to develop and implement a plan to so balance the budget; and (2) after balancing the budget to pay down the debt to a reasonable level over a set period of time in order to reduce annual interest costs. Allows a waiver of such budget plan in the case of war, recession, or natural disaster if the President requests such waiver and the Congress approves by a vote of three-fifths of the membership in both Houses. Requires deficit spending subject to such waiver to be paid for in full in the budget of the following fiscal year. Requires the restoration of the statutory debt level within 24 months after the date of such waiver or suspension. Prohibits the Senate or the House of Representatives from considering any bill, resolution, amendment, or conference report that would: (1) cause outlays to exceed receipts; (2) change any provision of this Act; or (3) increase the statutory debt limit after December 31, 1998. Allows a waiver or suspension of such prohibitions in the Senate or the House only by an affirmative vote of three-fifths of the Members. Requires the President to submit a budget for FY 1994 to comply with the requirements of this Act. Requires the Congress to return a budget not in compliance to the President with a letter of reprimand and a request for a new budget. Declares it to be the policy of the United States that: (1) not later than December 31, 1993, the Congress amend the Internal Revenue Code to establish a special interest and debt retirement account dedicated to the reduction of interest and the public debt, to be activated by the President if necessary; (2) any revenues collected for interest and debt retirement be especially titled so that citizens may be aware of their purpose; (3) any revenues collected for interest and debt retirement be deposited in a separate trust fund account; (4) the trust fund be used only for the reduction of interest and the retirement of the public debt; (5) the Secretary of the Treasury administer such account with the advice of a bipartisan board; and (6) any special dedicated interest and debt retirement tax expire upon the elimination of the public debt to a specified target level.

Honest Balanced Budget Act

United States · United States Congress · 11 June 1992

Honest Balanced Budget Act - Repeals provisions of the Balanced Budget and Emergency Deficit Control Act of 1985 (Gramm-Rudman-Hollings Act) with respect to: (1) emergency powers to eliminate deficits in excess of the maximum deficit amount; (2) budgetary treatment of social security trust funds; and (3) miscellaneous and related provisions. Prohibits, for FY 1994 and each fiscal year thereafter, the outlays of the operating segment of the United States budget from exceeding receipts. Requires, when such outlays exceed receipts, that the deficit be eliminated through revenue increases or spending reductions. Authorizes the waiver of such provisions in the case of war, recession, or natural disaster if the President requests such waiver and the Congress approves by a vote of three-fifths of the membership in both Houses. Requires that operating segment deficit spending subject to a waiver be paid for in full in the budget of the following fiscal year. Requires the budget, excluding trust funds, to be balanced by FY 1998 and each fiscal year thereafter. Requires the President and the Congress: (1) beginning in FY 1995 to develop and implement a plan to so balance the budget; and (2) after balancing the budget to pay down the debt to a reasonable level over a set period of time in order to reduce annual interest costs. Allows a waiver of such budget plan in the case of war, recession, or natural disaster if the President requests such waiver and the Congress approves by a vote of three-fifths of the membership in both Houses. Requires deficit spending subject to such waiver to be paid for in full in the budget of the following fiscal year. Requires the restoration of the statutory debt level within 24 months after the date of such waiver or suspension. Prohibits the Senate or the House of Representatives from considering any bill, resolution, amendment, or conference report that would: (1) cause outlays to exceed receipts; (2) change any provision of this Act; or (3) increase the statutory debt limit after December 31, 1998. Allows a waiver or suspension of such prohibitions in the Senate or the House only by an affirmative vote of three-fifths of the Members. Requires the President to submit a budget for FY 1994 to comply with the requirements of this Act. Requires the Congress to return a budget not in compliance to the President with a letter of reprimand and a request for a new budget. Declares it to be the policy of the United States that: (1) not later than December 31, 1993, the Congress amend the Internal Revenue Code to establish a special interest and debt retirement account dedicated to the reduction of interest and the public debt, to be activated by the President if necessary; (2) any revenues collected for interest and debt retirement be especially titled so that citizens may be aware of their purpose; (3) any revenues collected for interest and debt retirement be deposited in a separate trust fund account; (4) the trust fund be used only for the reduction of interest and the retirement of the public debt; (5) the Secretary of the Treasury administer such account with the advice of a bipartisan board; and (6) any special dedicated interest and debt retirement tax expire upon the elimination of the public debt to a specified target level.

Energy and Water Development Appropriations Act, 1993

United States · United States Congress · 11 June 1992

Energy and Water Development Appropriations Act, 1993 - Title I: Department of Defense - Civil - Makes appropriations for FY 1993 for: (1) authorized civil functions of the Department of the Army relating to rivers and harbors, flood control, and beach erosion; (2) expenses necessary for the collection and study of basic information pertaining to river and harbor, flood control, shore protection, and related projects, restudy of authorized projects, miscellaneous investigations, and when authorized, surveys, detailed studies, plans, and specifications of projects prior to construction; (3) the prosecution of authorized river and harbor, flood control, shore protection, and related projects, and detailed studies, plans, and specifications of projects authorized or made eligible for selection by law; (4) expenses necessary for prosecuting work of flood control and rescue work, repair, restoration, or maintenance of flood control projects threatened or destroyed by flood, as authorized by law; (5) expenses necessary for the preservation, operation, maintenance, and care of existing river and harbor, flood control, and related works, including such sums as necessary for the maintenance of harbor channels, and serving essential needs of general commerce and navigation, surveys and charting of northern and northwestern lakes and connecting waters, clearing and straightening channels, and removing obstructions to navigation; (6) expenses necessary for the administration of laws pertaining to regulation of navigable waters and wetlands; (7) expenses necessary for emergency flood control, hurricane, and shore protection activities; and (8) expenses necessary for general administration and related functions in the office of the Chief of Engineers and offices of the Division Engineers, and activities of the Board of Engineers for Rivers and Harbors, the Coastal Engineering Research Board, the Humphreys Engineers Center Support Activity, and the Water Resources Support Center. Title II: Department of the Interior - Makes appropriations for FY 1993 to the Department of the Interior for: (1) the Bureau of Reclamation; (2) engineering and economic investigations of proposed Federal reclamation projects and studies of water conservation and development plans and activities preliminary to the reconstruction, rehabilitation and betterment, financial adjustment, or extension of existing projects; (3) construction and rehabilitation of projects and parts thereof (including power transmission facilities for Bureau use) and for other related activities as authorized by law; (4) operation and maintenance of reclamation projects or parts thereof and other facilities, as authorized, and for a soil and moisture conservation program on lands under the jurisdiction of the Bureau; (5) the cost of direct loans and/or grants as authorized by the Small Reclamation Projects Act and for administrative expenses to carry out the loan/grant program; (6) necessary expenses of general administrative and related functions in the office of the Commissioner, the Denver office, and offices in the five regions of the Bureau; and (7) the Emergency fund. Sets forth provisions: (1) with respect to special funds from which sums derived from the reclamation fund or special fee account are appropriated; and (2) limiting the use of appropriations for the Bureau to the purchase of not more than 17 passenger motor vehicles for replacement only, payment of claims for damages to or loss of property, personal injury, or death arising out of Bureau activities, rewards for information or evidence concerning violations of law involving Bureau property, and other specified purposes. Makes appropriations under this and subsequent Energy and Water Development Appropriations Acts available for expenditure or transfer, with the approval of the Secretary of the Interior, for the emergency reconstruction, replacement, or repair of aircraft, buildings, utilities, or other facilities or equipment damaged, rendered inoperable, or destroyed by fire, flood, storm, drought, or other unavoidable causes, subject to specified limitations. Allows the Secretary to authorize the expenditure or transfer of appropriations in this title and in subsequent Energy and Water Development Appropriations Acts, in addition to the amounts included in the budget programs of the several agencies, for the suppression or emergency prevention of forest or range fires on or threatening lands under the jurisdiction of the Department. Makes available appropriations for: (1) the operation of warehouses, garages, shops, and similar facilities, wherever consolidation of activities will contribute to efficiency or economy, subject to reimbursement of funds; and (2) hire, maintenance, and operation of aircraft, hire of passenger motor vehicles, and other specified purposes. Authorizes the Bureau to invite non-Federal entities involved in cost sharing arrangements for the development of water projects to participate in contract negotiation and source selection proceedings without invoking provisions of the Federal Advisory Committee Act. Title III: Department of Energy - Makes appropriations for FY 1993 to the Department of Energy (DOE) for: (1) expenses of DOE activities, including the purchase, construction, and acquisition of plant and capital equipment and other incidental expenses necessary for energy supply, research and development activities, and other activities in carrying out the purposes of the Department of Energy Organization Act; (2) expenses in connection with DOE operating expenses and the purchase, construction, and acquisition of plant and capital equipment and other incidental expenses necessary for uranium supply and enrichment activities; (3) expenses of activities, including the purchase, construction, and acquisition of plant and capital equipment and incidental expenses necessary for general science and research activities; (4) nuclear waste disposal activities, including the acquisition of real property or facility construction or expansion; (5) expenses of activities, including the purchase, construction, and acquisition of plant and capital equipment and incidental expenses for atomic energy defense weapons, new production reactor, environmental restoration and waste management, and defense materials production activities; (6) salaries and expenses of DOE necessary for departmental administration; (7) necessary expenses of the Office of Inspector General; (8) necessary expenses of operation and maintenance of projects in Alaska and of marketing electric power and energy; (9) necessary expenses of operation and maintenance of power transmission facilities and of marketing electric power and energy pursuant to the Flood Control Act of 1944, as applied to the southeastern and southwestern areas; (10) necessary expenses of construction, rehabilitation, operation, and maintenance, with respect to Western Area Power Administration; and (11) necessary expenses of the Federal Energy Regulatory Commission. Establishes the Department of Energy Superconducting Super Collider (SSC) Trust Fund to be used for costs incurred in the design and construction of the SSC. Prohibits the use of funds appropriated for DOE for FY 1993 to implement the reconfiguration of non-nuclear activities until the Secretary of Energy submits specified cost-benefit analysis information to the Committees on Appropriations. Specifies that: (1) revenue received from the disposition of isotopes and related services shall be credited to the Isotope Production and Distribution Program Fund; (2) expenditures from the Bonneville Power Administration Fund are approved for specified fish hatcheries, fish screens, and fish sampling facilities; the purchase, maintenance, and operation of two rotary-wing aircraft for replacement only; and official reception and representational expenses; and (3) appropriations for DOE under this title and in subsequent Energy and Water Development Appropriations Acts for the current fiscal year shall be available for hire of motor vehicles, hire, maintenance, and operation of aircraft, purchase, repair, and cleaning of uniforms, and reimbursement to the General Services Administration for security guard services. Sets forth provisions with respect to the transfer of funds and transfers of unexpended balances. Directs the Secretary, to the fullest extent possible, to ensure: (1) that at least ten percent of Federal funding for the development, construction, and operation of the Superconducting Super Collider be made available to business concerns or other organizations owned or controlled by socially and economically disadvantaged individuals; and (2) significant participation in such development, construction, and operation by socially and economically disadvantaged individuals. Title IV: Independent Agencies - Makes appropriations for FY 1993 for necessary expenses: (1) to carry out the program authorized by the Appalachian Regional Development Act of 1965, for the Federal Cochairman and the alternate on the Appalachian Regional Commission, and for payment of the Federal share of the Commission's administrative expenses; (2) of the Defense Nuclear Facilities Safety Board; (3) to carry out the functions of the U.S. member of the Delaware River Basin Commission and payment of the U.S. share of the current expenses of the Commission; (4) of the Nuclear Regulatory Commission; (5) of the Office of Inspector General; (6) of the Nuclear Waste Technical Review Board; and (7) to carry out the functions of the U.S. member of the Susquehanna River Basin Commission and payment of the U.S. share of the Commission. Appropriates funds: (1) to enable the Secretary of the Treasury to pay in advance to the Interstate Commission on the Potomac River Basin the Federal contribution toward the expenses of the Commission during the current fiscal year; and (2) for the purpose of carrying out provisions of the Tennessee Valley Authority Act of 1933. Title V: General Provisions - Sets forth specified restrictions on the use of appropriated funds, including: (1) barring the programs, projects, or activities defined in the report accompanying this Act from being eliminated or disproportionately reduced due to the application of "savings and slippage" provisions, unless such report expressly provides otherwise; and (2) limiting the expenditure of appropriations for any consulting service through a procurement contract to contracts where such expenditures are a matter of public record and available for public inspection, with exceptions.

Education of the Deaf Act Amendments of 1992

United States · United States Congress · 11 June 1992

Education of the Deaf Act Amendments of 1992 - Title I: Special Institutions for Individuals Who Are Deaf - Amends the Education of the Deaf Act of 1986 (the Act) to revise and consolidate provisions for elementary and secondary education programs which Gallaudet University (Gallaudet) operates, including the Kendall Demonstration Elementary School and the Model Secondary School for the Deaf. Requires such programs to serve students with a broad spectrum of needs, including, for example, students who are lower functioning academically, who come from non-English speaking homes, or who have additional disabling conditions. Extends certain rights and procedural safeguards under the Individuals with Disabilities Education Act to children placed in such elementary and secondary education programs operated by Gallaudet. Revises provisions for the National Technical Institute for the Deaf (NTID) to require the Secretary of Education (the Secretary) and the institution of higher education with which the Secretary has an agreement to operate and maintain NTID to: (1) assess the need for modification of the agreement; and (2) periodically update the agreement as necessary. Defines foreign student for purposes of the Act. Requires the annual independent financial and compliance audits under the Act to be conducted in accordance with Office of Management and Budget circulars governing audits of institutions of higher education. Directs Gallaudet and the higher education institution operating NTID to provide copies of their required audit reports to the Secretary within 30 days after audit completion. Revises reporting requirements. Requires an annual report on specified NTID activities and an accounting of related indirect costs. Requires monitoring and evaluation relating to Gallaudet to include its elementary, secondary, preparatory, undergraduate, and graduate programs. Enlarges the scope of the liaison for educational programs for the deaf to include other Federal or non-Federal agencies, institutions, or organizations involved with education or rehabilitation of individuals who are deaf or hard-of-hearing. Requires such liaison to review research and other activities to determine areas of overlap and opportunities for coordination. Requires a two-to-one non-Federal matching contribution for the Gallaudet and the NTID endowment fund programs. Places certain encumbrances upon such endowment funds. Revises limitations on withdrawals or expenditures from its endowment fund corpus and income, for both Gallaudet University and NTID. Adds recordkeeping, auditing, and reporting requirements with respect to such endowment funds. Adds requirements for enrollment and tuition at Gallaudet and NTID. Limits enrollment of foreign students to a maximum of ten percent of the total: (1) postsecondary student enrollment at Gallaudet; and (2) enrollment at NTID. Requires a tuition surcharge for foreign students at both institutions. Extends the authorization of appropriations for: (1) the Gallaudet endowment program; (2) the NTID endowment program; (3) Gallaudet University, and elementary and secondary education programs at Gallaudet; (4) NTID; and (5) monitoring and evaluation activities. Requires that any Federal funds appropriated for Gallaudet University (including the Kendall Demonstration Elementary School and the Model Secondary School for the Deaf) be expended in accordance with the Federal cost principles for educational institutions, as modified by the Secretary to reflect the unique nature of Gallaudet and NTID. Title II: Technical Amendments; Repeal; Effective Date - Sets forth various technical amendments to the Act and the effective date of this Act. Repeals provisions for the Commission on Education of the Deaf. Changes the title of the Act to the Education of Individuals Who Are Deaf Act.

College Financial Aid Protection Act of 1992

United States · United States Congress · 11 June 1992

College Financial Aid Protection Act of 1992 - Exempts from the antitrust laws agreements, or attempts to agree, by two or more institutions of higher education, on: (1) financial assistance that may be provided to any individual by any of such institutions or by the family of such individual, in connection with enrolling in and attending any of such institutions; (2) a formula for determining such assistance; (3) any matter relating to requiring individuals who receive such assistance to engage in activities to obtain income to be expended to attend any of such institutions; (4) student fees; or (5) communication among such institutions regarding financial assistance provided, or to be provided, to such individual, or a plan, projection, or budget assumption regarding future student fees.

To provide that, beginning with fiscal year 1995, the President transmit to Congress and Congress consider a budget permitting no more than a 4 percent growth in budget authority and outlays, and providing for a balanced budget for fiscal year 1999 and subsequent years, and for other purposes.

United States · United States Congress · 11 June 1992

Title I: Amendment to Title 31, United States Code - Requires any budget submitted by the President for FY 1995 through 1998 to be a budget for that fiscal year and the four ensuing fiscal years that permits no more than a four percent growth in budget authority and outlays, and provides for a balanced budget for FY 1999 and subsequent years. Requires any budget submitted after FY 1999 to provide for a balanced budget for that fiscal year and the four ensuing years. Title II: Amendment to Congressional Budget Act of 1974 - Amends the Congressional Budget Act of 1974 to require any concurrent resolution on the budget for FY 1995, through 1998 to set forth appropriate levels for the fiscal year beginning on October 1 of the calendar year in which it is reported and for each of the four ensuing fiscal years that provides for a budget permitted no more than a four percent growth in budget authority and outlays, and provides for a balanced budget for FY 1999 and subsequent years. Provides procedural rules for the House of Representatives and the Senate. Title III: Effective Date - Makes this Act effective for the concurrent resolution on the budget for FY 1995 and requires it to be fully reflected in the President's budget for FY 1995.

Biennial Budget Act

United States · United States Congress · 11 June 1992

Biennial Budget Act - Amends the Congressional Budget Act of 1974 to revise the Federal and congressional budget processes by establishing a two-year budgeting and appropriations cycle and timetable, beginning in the 103d Congress. Defines the budget biennium as the two consecutive fiscal years beginning on October 1 of any odd-numbered year. Devotes the first session of any Congress to the budget resolution and to appropriations decisions, retaining current deadlines in most cases. Changes relevant deadlines as follows to conform to the biennial scheme: (1) from April 1 to March 31 for the Senate Budget Committee's report on the concurrent resolution on the budget; (2) from June 15 to September 30 for completion of congressional action on reconciliation legislation; and (3) from June 30 to September 30 for completion of congressional action on appropriations bills. Devotes each second session to authorization activity, subject to deadlines of: (1) May 15 for the submission of the Congressional Budget Office (CBO) report to the Budget Committees; and (2) the last day of the session for completion of congressional action on bills and resolutions authorizing new budget authority for the next biennium. Changes from January 15 to February 15 of each year the date by which the CBO Director must submit to the Congress a report on authorizations. Requires the Director of the CBO to issue four-year projections of congressional budget action. (Current projections are on a five-year basis.) Amends provisions relating to the reconciliation process to: (1) increase from 20 to 100 hours the time of debate permitted in the Senate with respect to reconciliation measures; and (2) make it out of order in both the House and the Senate to consider any reconciliation legislation changing any provision of law other than one relating to new budget or spending authority, revenues, or the public debt limit. Revises the extent of projections to be included in CBO analyses of reported bills. Requires the budget submitted to the Congress by the President to be set forth in the same accounts which are set forth in the table entitled "The Federal Program by Agency and Account" contained in the budget submitted for FY 1991. Requires any changes in the table of accounts for a biennium to be made only in consultation with the Committees on Appropriations, the Committees on the Budget, and the committees having legislative jurisdiction over affected programs or activities. Conforms provisions governing the President's budget to the biennial framework. Changes the due date for the President's report on estimated budget outlays and proposed budget authority, making the report due at the same time as the President's budget. Requires the Joint Economic Committee to submit its evaluation of these estimates by February 25 of each odd-numbered year. (The current annual deadline is March 1.) Directs the heads of Federal executive agencies, the Comptroller General, and the Directors of the Congressional Budget Office, the Office of Technology Assessment, and the Congressional Research Service to provide studies, analyses, reports, and other documentation concerning program administration to assist the standing committees of the House and the Senate having jurisdiction over the programs in question. Amends the Rules of the House of Representatives to conform to the biennial framework.

Caisse des dépôts et consignations

France · Senate · 9 June 1992

Caisse des dépôts et consignations

National Health Care Act of 1992

United States · United States Congress · 9 June 1992

National Health Care Act of 1992 - Title I: National Health Care Program - Establishes a national health care program involving payments to States for State programs that provide covered services to individuals. Provides for approval or disapproval of State programs by the Administrator of the National Health Care Administration (established under title IV of this Act). Makes eligible for enrollment an individual who: (1) maintains a primary residence in the State; and (2) is a U.S. citizen or national, a lawful resident alien, or an eligible alien nonimmigrant. Requires each State program to provide an enrollment mechanism, including: (1) a process for automatic enrollment at birth or immigration; and (2) issuance of a card for identification and claims processing. Provides for portability of coverage and reimbursement. Title II: Benefits and Provision of Services - Subtitle A: Scope of Services - Declares that covered services are all medically necessary services, except as provided, that contribute to the physical, mental, or psychosocial health of an individual or family. Lists included and excluded services. Prohibits States from limiting covered services on the basis of preexisting conditions. Sets forth eligibility criteria for: (1) long-term care services; (2) hospice care services; and (3) services provided in schools, work places, and assisted living programs. Allows State programs to provide, at non-Federal expense, additional services not specifically excluded. Prohibits duplicative private insurance. Allows private insurance for uncovered services. Subtitle B: Provision of Services - Requires States to: (1) include procedures for certification and licensing of participating health care providers; (2) regulate providers and ensure compliance with quality assurance standards, consumer protection standards, and other Federal and State law; and (3) debar providers from payment for repeated violations or convictions for an offense involving medical malpractice. Allows State programs to implement innovative delivery systems. Requires State approval or disapproval of health plans as Integrated Health Service Plans (IHSPs). Defines an IHSP as a nonprofit, consumer-controlled health plan that provides all covered services and operates as a single organization in the health care facilities of the organization. Mandates establishment of State long-term care coordination agencies (LTCCAs) to ensure a continuum of care. Makes LTCCAs responsible for screening all potential long-term care recipients and authorizing services. Sets forth requirements for the services provided. Applies specified provisions of title XVIII (Medicare) of the Social Security Act to this Act. Prohibits discrimination in the provision of services on the basis of race, color, religion, sex, national origin, age, health condition, sexual preference, income, language, or geographic residence in an urban or rural area within the State. Title III: Revenue - Subtitle A: Budget Process - Requires the Administrator to annually establish a national health budget and, for each State, a State health budget. Specifies factors on which State budgets must be based, including population and price differences. Prohibits expenditures in the national budget from exceeding expenditures for the preceding year, adjusted by the percentage increase in the gross national product. Requires inclusion of amounts in national and State budgets for capital expenditures and direct medical education expenses. Subtitle B: Payments to Health Care Providers - Requires State programs: (1) to provide for a timely and administratively simple mechanism for provider payment; (2) in order to avoid fragmented care and promote a continuum of services, to develop financial incentives in payment methods; (3) to limit acquisition of highly specialized or expensive medical equipment; and (4) to establish schedules and incentives to encourage the provision of services in rural and health professional shortage areas. Requires providers who receive program payments to accept the amount recognized under the State program as payment in full. Requires: (1) payment for institutional care through annual prospective budgeting; and (2) each hospital to receive prospectively a global budget developed through negotiations. Allows hospitals to raise private funds. Requires subsidies in health professional shortage areas. Allows: (1) States to determine whether to pay other health care facilities by prospective global budget or per capita fee; and (2) per diem reimbursement for certain services. Requires subsidies for rural essential facilities. Requires that payment to individual providers be on a fee-for-service basis based on State-established (after negotiations) payment schedules and on a national relative value scale. Allows alternative payment mechanisms not exceeding the standard method. Allows group practices to elect to be paid prospectively on a per capita basis. Requires payment to IHSPs (except for inpatient and hospital services) to be paid prospectively on a per capita basis or by a negotiated global budget, as determined by the State agency. Requires the head of each State agency to establish a State Payment Grievance Board, allowing use by providers denied payment and to consumers for whom a provider has determined that a requested service is not medically necessary. Subtitle C: Sources of Revenue - Amends the Internal Revenue Code to increase individual, estate and trust, corporate, and minimum tax rates. Increases tax rates on, and imposes taxes on floor stocks of, cigarettes, distilled spirits, certain wines, and beer. Imposes additional: (1) payroll taxes on employees and employers; and (2) taxes on self-employment income. Makes similar changes to railroad retirement tax provisions. Provides for the treatment of: (1) the applicable contribution base; and (2) certain State and local employees. Terminates certain hospital insurance taxes currently applicable to employees, employers, and self-employed individuals. Imposes a tax equal to the amount an employer would have paid for individual or family coverage of retired employees under group health plans in existence on a specified date. Terminates the tax after 2012. Excludes from gross income amounts received for injuries or sickness through the national program (currently, through accident or health insurance). Terminates the exclusion from gross income of amounts received through such insurance. Repeals provisions excluding from gross income employer-provided accident or health plan coverage. Removes provisions specifying the circumstances in which a cafeteria plan shall not be treated as discriminatory. Replaces provisions regarding health insurance costs of self-employed individuals with provisions allowing a deduction for employer expenses for on-site employee first aid. Repeals provisions: (1) allowing deductions for medical expenses; and (2) relating to the provision by pension or annuity plans of medical benefits for retired employees and their spouses and dependents. Terminates the deduction for health insurance which includes at least one child. Increases the portion of social security benefits and tier 1 railroad retirement benefits which must be included in gross income. Reduces related income thresholds. Mandates a national health care program premium for persons over 64 years old, determined according to certain provisions of title XVIII (Medicare) of the Social Security Act plus a specified amount. Reduces the premium for low-income persons. Makes each State responsible for establishing a financing program for the State program. Declares that, notwithstanding any other provision of this Act, no individual is eligible for services under this Act unless the State of residence makes available amounts, determined under a specified formula, in addition to State health block grant funds. Requires each State to make available all State health block grant funds, including funds made available under title V (Maternal and Child Health Services Block Grants) of the Social Security Act. Requires each State program to impose cost-sharing for specified services, except for low-income consumers. Establishes the National Health Care Trust Fund (Fund) and transfers to it: (1) the additional revenues resulting from this Act; and (2) unobligated amounts in the Federal Hospital Insurance Trust Fund and the Federal Supplementary Medical Insurance Trust Fund. Authorizes additional appropriations. Authorizes and appropriates payments to each State. Declares that amounts in the Fund shall be available for grant programs relating to health care services. Prohibits inclusion of the receipts and disbursements of the Fund and the additional taxes resulting from this Act in the Federal budget and exempts such amounts from any general budget limit. Title IV: Administration - Subtitle A: Federal Administration - Establishes a National Health Care Administration as an independent establishment, mandating an Administrator appointed by the President with the advice and consent of the Senate. Mandates establishment, directly or through grants or contracts, of ombudsman programs, complaint hotlines, and consumer and provider information and education programs. Establishes a national health care data base, requiring it to include information on the quality, effectiveness, utilization, and cost of covered services. Establishes the National Health Board to advise the Administrator. Requires appointment of the Board by the President, with the advice and consent of the Senate. Establishes the National Council on Quality Assurance and Consumer Protection to conduct studies and oversight and prepare recommendations. Authorizes appropriations. Establishes the Medical Malpractice Commission to conduct a study and prepare recommendations. Authorizes appropriations. Amends title XI (General Provisions and Peer Review) of the Social Security Act to require that utilization and quality control peer review organizations be composed of: (1) health care providers (currently, doctors of medicine and osteopathy) engaged in providing covered services under this Act (currently, engaged in the practice of medicine or surgery); and (2) health care providers representative of the groups of health care providers providing services under the Act, with no group providing a majority. Requires such organizations to make recommendations regarding quality assurance standards under this Act. Establishes Peer Review Organization Consumer Boards (Consumer Boards) within geographic regions specified by the Administrator to: (1) conduct annual evaluations of such peer review organizations, including making recommendations for awards of contracts; and (2) carry out consumer education programs. Authorizes appropriations. Replaces certain references to titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act, or to the Social Security Act as a whole, with references to this Act. Establishes the Public Health Functions and Activities Commission to study and report to the Administrator regarding: (1) public health functions and activities that should remain separate from the national health care program; and (2) integration of public health program into the national health care program. Authorizes appropriations. Requires provision on a regional basis, directly or through contracts, of technical assistance centers. Subtitle B: State and Local Administration - Requires a State to designate a State agency (agency) to be the sole State agency to carry out the State program under this Act. Requires each: (1) agency to establish a State planning board; and (2) State to establish local planning boards. Title V: Transition and Relationship to Other Programs - Repeals titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act. Repeals certain provisions of Federal law concerning: (1) the Civilian Health and Medical Program of the Uniformed Services (CHAMPUS); (2) medical care and medical facilities relating to veterans; and (3) Federal employees' health benefits. Requires provision of covered services to eligible individuals not enrolled in the program through the Indian Health Service in lieu of health services provided by the Service on the date of enactment of this Act. Mandates grants to States planning and developing State programs. Authorizes appropriations. Requires a study of strategies for accomplishing transitions under this Act. Gives the study's recommendations the force of law unless the Congress disapproves within a specified time. Provides for the rules governing congressional consideration of a disapproval resolution, specifying that these provisions are enacted as an exercise in the rule making power of the House of Representatives and the Senate and retaining the right of either House to change the rules as any other rule of that House. Supersedes provisions of the Employee Retirement Income Security Act to the extent they are inconsistent with this Act. Title VI: Miscellaneous Provisions - Declares that it is the sense of the Congress that consumers in the national health care program shall have specified rights set forth in a bill of rights. Requires the Administrator to carry out, directly or by grant, certain research and demonstration projects. Mandates grants to establish: (1) innovative statewide or local prevention and health promotion programs; and (2) health awareness programs in schools, work places, and health and social agencies.

Proposing an amendment to the Constitution of the United States to provide for a balanced budget for the United States Government.

United States · United States Congress · 9 June 1992

Constitutional Amendment - Prohibits outlays for any fiscal year (except those for repayment of debt principal) from exceeding receipts (except those derived from borrowing) for that fiscal year. Directs the President to submit a balanced budget to the Congress. Requires the Congress, whenever actual outlays exceed actual receipts for any fiscal year, to provide by law for the repayment of the excess in the ensuing fiscal year. Requires a sequestration of all outlays to eliminate a budget deficit within 15 days after Congress adjourns, if the Congress fails to provide by law for repayment. Waives these provisions for any fiscal year only if the Congress so provides by law by a majority roll call vote of each House. Subjects such waiver to presidential veto.

Balanced Budget Implementation Act of 1992

United States · United States Congress · 5 June 1992

Balanced Budget Implementation Act of 1992 - Title I: Repeal of Budget Agreement Enforcement Provisions - Repeals the budget agreement enforcement provisions of the Congressional Budget and Impoundment Control Act of 1974. Title II: Emergency Powers to Eliminate Deficits in Excess of Maximum Deficit Amount - Amends the Balanced Budget and Emergency Deficit Control Act of 1985 (Gramm-Rudman-Hollings Act) to provide for enforcement of deficit reduction to balance the Federal budget by the end of FY 1997. Requires enforcement to be implemented through sequestration and revenue surtax (current provisions only require budget enforcement through sequestration). Repeals provisions which govern enforcement of discretionary spending limits and pay-as-you-go through FY 1995. Revises provisions concerning enforcing deficit targets. Requires the President, within 15 calendar days after the Congress adjourns to end a session, to take action to eliminate the excess deficit, if any. Sets forth maximum deficit amounts allowed for FY 1993 through 1997. Reduces such amounts to zero by FY 1997 plus any amount designated to meet a condition of national economic urgency. Requires 60 percent of the excess deficit in a budget year to be eliminated through across-the-board outlay reductions and 40 percent through a revenue surtax. Provides rules for such sequestration process. Revises the timetable and requirements for deficit reduction reports and presidential orders. Requires within-session deficit reduction reports. Revises the list of exempt programs and activities. Exempts from sequestration: (1) all payments from one Federal direct spending budget account to another and certain intragovernmental funds; (2) payment from any revolving fund or trust-revolving fund (or similar activity) that provides deposit insurance or other Government insurance, guarantees, or any other form of contingent liability, to the extent those payments result from contractual or other legally binding commitments; and (3) credit liquidating and financing accounts. Removes the special exemption for railroad retirement benefits, certain veterans programs, payments made for the earned income tax credit, and certain low-income programs. Removes the special exceptions, limitations, and rules with respect to sequestration for: (1) certain automatic spending increases; (2) the guaranteed student loan program; (3) foster care and adoption assistance programs; (4) the Medicare program; (5) community and migrant health centers, Indian health services and facilities, and veterans' medical care; (6) the child support enforcement program; (7) payments and advances for unemployment compensation; (8) the Commodity Credit Corporation; and (9) the jobs portion of Aid to Families with Dependent Children (AFDC). Repeals the provision that requires permanent cancellation of budgetary resources sequestered from any account other than a trust or special fund account. Adds a special rule if the President exempts military personnel from sequestration with respect to further reductions in the appropriate subfunctional category. Repeals provisions concerning: (1) suspension of deficit reduction in the event of war or low economic growth; (2) the President's flexibility in making deficit reductions among defense programs, projects, and activities; (3) the special reconciliation process; and (4) modifications of presidential orders. Sets forth congressional procedures to make available excess budgetary resources and revising maximum deficit amounts whenever the President transmits to the Congress a request to approve a declaration of national economic urgency. Declares the off-budget status of social security trust funds. Title III: Tax Surcharge to Reduce Deficit - Amends the Internal Revenue Code to impose a tax surcharge on the income of every taxpayer if the Office of Management and Budget reports to the Congress and the President that a revenue increase is required. Establishes procedures for determining and administering such surcharge. Repeals such surcharge if the Secretary of the Treasury determines that it is not needed. Title IV: Budget Submitted by the President - Requires the President's budget to ensure that the deficit for such fiscal year does not exceed the maximum deficit amount. Requires the submission of a balanced budget for FY 1997 and subsequent fiscal years. Makes such requirements inapplicable during a request to approve a declaration of national economic urgency. Prescribes the contents of such declaration. Title V: Total of President's Budget Shall Represent Spending Ceiling - Amends the Balanced Budget and Emergency Deficit Control Act of 1985 (Gramm-Rudman-Hollings Act) to prohibit the Congress from passing legislation which provides budgetary resources in excess of those proposed in the President's budget. Amends the Congressional Budget and Impoundment Control Act of 1974 to prohibit any concurrent resolution on the budget from exceeding the President's budget. Title VI: Fiscal Year 1993 Deficit Reduction Actions - Requires the President to submit to the Congress a revised budget for FY 1993 to achieve the deficit targets set forth under this Act. Requires the Congress, after receipt of the President's budget, to report revised concurrent resolutions for FY 1993 to achieve such deficit targets.

To provide that, beginning with fiscal year 1994, the President transmit to Congress and Congress consider a budget that requires a balanced budget by fiscal year 1998 and for subsequent fiscal years, and for other purposes.

United States · United States Congress · 5 June 1992

Title I: Amendment to Title 31, United States Code - Requires the President to submit a budget to the Congress for FY 1994, 1995, 1996, 1997, or 1998 for that fiscal year and the four ensuing fiscal years that provides for a balanced budget for FY 1998 and subsequent fiscal years. Requires any budget submitted for a fiscal year after FY 1998 to be a budget that provides for a balanced budget for that fiscal year and the four ensuing fiscal years. Title II: Amendment to Congressional Budget Act of 1974 - Amends the Congressional Budget Act of 1974 to make conforming requirements with respect to any concurrent resolution on the budget for FY 1994, 1995, 1996, 1997, or 1998 as reported by the Committee on the Budget of each House. Requires the House Committee on Rules, if it reports any rule or order providing for the consideration of any concurrent resolution on the budget for a fiscal year, to provide for: (1) the consideration of the text of any concurrent budget resolution reported by the House Committee on the Budget; and (2) the consideration of the text of each concurrent budget resolution as introduced by the majority leader. Requires such rule or order to assure a separate vote on each budget. Requires the majority leader of the House of Representatives to introduce a concurrent budget resolution reflecting, without substantive revision, the budget submitted by the President, as soon as practicable. Makes it always in order in the Senate to consider an amendment to a concurrent budget resolution comprising the text of any budget submitted by the President. Title III: Clarification of Relationship to Other Laws - Excludes receipts and disbursements of the Federal Old-Age and Survivors Insurance Trust Fund and the Federal Disability Insurance Trust Fund from being counted as new budget authority, outlays, receipts, or deficit or surplus. Requires any final sequestration report for FY 1994 or 1995 to set forth the amount of deficit reduction beyond the enforcement of discretionary spending limits and pay-as-you-go requirements. Provides that the amount of budget-year deficit reduction shall constitute a downward adjustment to the discretionary spending limits for the budget year. Requires, if such limits are adjusted downward for FY 1994, that such limits to be so adjusted for FY 1995 by the same amount. Excludes from the Office of Management and Budget estimates for FY 1994 the amount of budget-year deficit reduction attributable to direct spending and receipts legislation. Requires, if an amount of deficit reduction is excluded from FY 1994 estimates, that an entry of the same amount be made in FY 1995 estimates. Title IV: Effective Date - Requires amendments made by this Act to be reflected in the budget for FY 1994.

Aufwandszuschüsse für die individuelle Schwerstbehindertenbetreuung und den Mobilen Sozialen Hilfsdienst aus dem Bundeshaushalt 1993 (G-SIG: 12042810)

Germany · German Bundestag · 5 June 1992

A resolution relating to the enforcement of United Nations Security Council resolutions calling for the cessation of hostilities in the former territory of Yugoslavia.

United States · United States Congress · 4 June 1992

Calls upon the President to urge the United Nations Security Council to direct the Secretary General of the United Nations to provide a plan and budget for intervention as may be necessary to enforce the Security Council resolutions seeking cessation of hostilities in the former republics of Yugoslavia.

A resolution entitled "Deficit Reduction: A Call for Debate."

United States · United States Congress · 4 June 1992

Declares that the Senate calls upon: (1) public officials and candidates for public office to make proposals and engage in extensive and substantive discussion on reducing the deficit; (2) the candidates for President to agree to a formal discussion that focuses entirely on the Federal budget deficit and its implications and solutions; and (3) all candidates for office to affirm their support for this statement of principles and to resolve, in the course of their campaigns, to seek a mandate from the electorate with which they can effectively address the Federal budget deficit if elected.

Entitled: "National Referendum on the Budget".

United States · United States Congress · 4 June 1992

Requires the Congress to take certain measures toward a national referendum on balancing the budget.

Defense Workers Economic Reinvestment Act

United States · United States Congress · 3 June 1992

Defense Workers Economic Reinvestment Act - Title I: Economic Reinvestment Council - Establishes the Economic Reinvestment Council to: (1) administer the National Technology Infrastructure Goals Improvement and Consortia Creation program and the Fast Response State Technological Competitiveness Grants program, both established under this Act; and (2) be empowered to examine and approve or disapprove all other project and program selections made under this Act and funding decisions under this Act exceeding $500,000. Requires reviews of funding requests to be completed within 60 days. Directs the Council to advise the Secretary of Defense and the heads of other Federal agencies on the progress and success of the economic reinvestment programs established under this Act and under the Defense Economic Adjustment, Diversification, Conversion, and Stabilization Act of 1990 in alleviating the adverse economic and social effects of reductions in defense spending. Requires the Council to consult on a regular basis with Governors of States involved in reinvestment activities. Directs the Council: (1) upon receiving notification of the annual defense budget proposal of the Secretary, to commence a preliminary study of the potential adverse economic effects the proposal may have on qualified defense contractors and communities; and (2) to prepare and distribute an economic reinvestment progress report on an annual basis. Requires the latter report to be distributed to State Governors, the heads of Federal departments and agencies, and any other interested persons. Authorizes appropriations. Title II: National Technology Infrastructure Goals Improvement and Consortia Creation - Directs the President, in order to exploit the potential of critical technologies that would benefit national infrastructure and create export opportunities, to develop and carry out a program to assist advanced technology projects. Includes the following areas within appropriate investments in advanced technology projects which are in the national interest: space exploration, transportation, environmental restoration, telecommunications, energy efficiency, health care, education, and ocean technology. Directs the Council to solicit, review, prioritize, and select advanced technology projects to benefit the national technology infrastructure. Requires the Council to prepare and disseminate guidelines for qualifying project proposals. Requires specified Federal department and agency heads to submit to the Council proposals for such projects. Allows other Federal departments and agencies to submit proposals. Provides that, once a project is selected, the Council shall review project plans and schedules, provide funds to the project through the Department of Defense (DOD), and oversee implementation of the project. Encourages joint ventures in such projects with combinations of industry, academic, and State and Federal Government partners. Authorizes appropriations to fund such project for FY 1993 through 1996. Directs the Council to coordinate and oversee the creation of one consortium matched to each project, focusing on the basic and applied research for such project. Requires at least 50 percent of the funding for a consortium to derive from non-Federal sources. Limits Federal funding for a consortium to $5,000,000 annually for a period of four years. Requires small business to receive a minimum of 20 percent of the consortium research funding. Requires the Council to solicit and evaluate other proposals for critical technology consortia and to select at least three proposals annually. Places identical limits on the length and amounts of Federal funding for such consortia. Requires activities conducted by such a consortium to include a significant defense component. Authorizes appropriations for FY 1993 through 1996. Directs the Secretary to reexamine existing procurement contracts to determine whether overly restrictive specifications on systems, supplies, and services that are also available commercially have been made. Directs the Secretary, for contracts exceeding $100,000 where DOD specifications preclude the purchase of commercial sector products, to justify the necessity for developing a different specification and the unsuitability of commercial specifications. Requires the Secretary to report to the Congress detailing such justifications for each contract. Requires each defense contract solicitation to include provisions which encourage the use of commercially available systems, supplies, and services. Title III: Relieving Labor Shortages in Selected Civilian Applications - Directs the Secretary to establish an Office of Training Oversight and Administration to coordinate and oversee retraining, placement, and other transition assistance activities for full-time employees of at least three years of a qualified defense contractor (a contractor deriving 30 percent of its annual income from, or using 30 percent of its work force on, defense contracts) who: (1) are directly involved with a DOD funded project which is canceled or which receives at least a 25 percent reduction in Federal funds; and (2) are terminated or likely to be terminated within one year as the result of such cancellation or reduction. Directs the Office to disseminate information concerning such retraining and placement assistance to all qualified contractors and eligible DOD employees. Directs the Office to maintain statistics on the effectiveness of the transition assistance program in order to aid the Council in required activities. Authorizes the Office, in cooperation with other Federal agencies, to enter into agreements for the provision to eligible DOD employees of such transition assistance in skills identified to be in short supply in the area in which the retraining program operates. Authorizes the Office to award one- and two-year scholarships to educational institutions, giving a priority in such scholarships to eligible employees who seek vocational training and for scholarships in certain critical occupations as determined by the Office. Limits the Federal contribution to a training program to 50 percent of its costs. Authorizes appropriations for FY 1993 through 1995. Requires a qualified defense contractor to make a good faith effort to identify as early as possible employees who meet the eligibility requirements of the program, to advise them on options, and to allow them to participate in retraining and other transition assistance programs. Allows certain employees previously terminated under similar conditions within one year before the enactment of this Act to be eligible for such program. Title IV: Commercialization Opportunities - Directs the Secretary of Commerce (Secretary, for purposes of this title) to establish a program to assist U.S. businesses in creating and applying the generic technology and research results necessary to commercialize significant new discoveries and technologies. Requires the program selection board to be modeled after the Advanced Technology Program of the National Institute of Standards and Technology. Directs the Secretary to inform the Council of the status of funded projects and on new selections for the Council's approval as required under title I. Authorizes the Secretary to enter into contracts and cooperative agreements with U.S. businesses for commercialization projects to demonstrate the feasibility of a particular technology or process up to the prototype stage, limiting the Federal funds to 33 percent of the project's costs, and limiting a single project to $1,000,000. Authorizes appropriations to the Secretary for FY 1993 through 1996. Authorizes the Secretary to make loans to U.S. businesses of up to $3,000,000 for any one commercialization project. Prohibits more than three loans from being made to any single company or joint venture. Provides loan conditions and criteria. Authorizes appropriations for FY 1993. Directs the Secretary of Defense to: (1) encourage the creation of industrial parks or technology incubator centers to transfer and spin off technology from qualified defense contractors to small businesses; (2) use royalties earned from the licensing of certain patents to assist local technology transfer activities; and (3) create and administer an awards program (modeled after an awards program under the Stevenson-Wydler Technology Innovation Act of 1980) to foster and encourage innovation and redirection efforts by qualified defense contractors in the area of commercialization. Title V: Fast Response State Technological Competitiveness Grants - States as the purpose of this title to provide Federal assistance directly to States for defense reinvestment programs. Directs the Secretary to allocate amounts authorized for appropriation under this title under a specified funding formula as technological competitiveness grants to States whose defense reinvestment programs meet certain requirements. Directs the Council to develop and disseminate guidelines on State eligibility for such grants. Requires a State, prior to receiving such a grant, to provide the Council information about its defense reinvestment program. Directs each State to report annually to the Council on progress under its reinvestment program, as well as any other data analysis required by the Council for its duties. Directs the Secretary to withhold grant funds from a State if the Council concludes that such State's reinvestment program or its progress is unsatisfactory relative to the published guidelines. Allows a 90-day appeal period during which the State shall be permitted to submit a revised program for Council review. Authorizes appropriations for FY 1993 through 1995 for such grants.

Anti-Drug Abuse Act of 1992

United States · United States Congress · 3 June 1992

Anti-Drug Abuse Act of 1992 - Title I: International Efforts to Reduce Illegal Drug Production and Drug Trafficking - Expresses the sense of the Congress that the President should direct the Secretary of State to negotiate with the Governments of Canada and Mexico for the establishment of a North American Narcotics Council which would explore ways and means of facilitating the exchange of information (both in antinarcotics efforts and in substance abuse reduction and education programs), increasing cooperation in antinarcotics efforts, and improving efforts to supply assistance to source and trafficking countries, and reducing through other areas and programs the demand for and supply of illicit narcotics and psychotropic substances. Requires the President to submit to the Congress, for each fiscal year in which the United States participates in the Council, a budget request to cover the expenses of such participation. Sets forth provisions for the appointment of a permanent U.S. representative and congressional advisors to the Council, provisions for termination of such Council, and reporting requirements. Requires the President, with respect to each year after 1992, to determine whether: (1) there was a reduction in the quantity of illicit coca produced or in illicit coca activities in Bolivia, Colombia, and Peru; and (2) any reduction is attributable to the implementation of social or economic alternatives in such countries. Authorizes the President, if an affirmative determination with respect to such a country is made and the Congress enacts a law approving it, to apply special trade treatment to articles that: (1) are products of such country; and (2) are entered or withdrawn from warehouse for consumption in U.S. customs territory in the year following the year such determination was made. Specifies that if the granting of such special trade treatment would violate the General Agreement on Tariffs and Trade, provisions of this Act shall be inapplicable until the President obtains a waiver of the provision which is the basis for such violation. Prohibits such special treatment if specified actions under the Narcotics Control Trade Act are in effect with respect to such country or if such treatment is restricted under countervailing duties or trade dumping regulations. Authorizes appropriations for additional economic assistance grants for the Governments of Bolivia and Peru, to be made available only after consummation of a written agreement between such governments and the United States outlining specific, verifiable illicit coca eradication plans resulting in a 50 percent eradication of the illicit coca crop by the end of FY 1994, and a 100 percent eradication by the end of FY 1997. Requires the Secretary of State to negotiate such bilateral agreements on behalf of the United States and to have primary responsibility for verifying the actual eradication of illicit coca in Bolivia and Peru. Authorizes the use of funds under the Foreign Assistance Act of 1961 (FAA) and the Arms Export Control Act (AECA) for training and equipment for law enforcement agencies or other units in Colombia, Bolivia, and Peru that are organized for the specific purpose of enforcing narcotics laws. Waives, during FY 1992 through 1994, specified provisions limiting assistance to countries in default on obligations owed to the United States with respect to narcotics-related assistance under the FAA or AECA for a country that is a "major illicit drug producing country" because of its coca production. Amends the FAA to: (1) authorize funding for the procurement of weapons or ammunition to arm, for defensive purposes, aircraft that are leased or loaned by the United States and used in narcotics control eradication or interdiction efforts and persons participating in such efforts; (2) make an exception to the withholding of assistance for major illicit drug producing or drug-transit countries where such action would be contrary to the national interest of the United States; (3) authorize the President to provide aircraft on a sale or grant basis for anti-narcotics activities if he determines that it would be in the national interest to do so and reports the determination and the terms of the proposed sale or grant to the Congress; (4) authorize Bolivia and Peru to have U.S. military personnel strengths larger than six to carry out international security assistance programs; and (5) make certain certification procedures under such Act inapplicable to certain major drug-transit countries if the President certifies that such countries meet specified requirements in making progress towards narcotics control. Amends the Export-Import Bank Act of 1945 to: (1) make certain restrictions under such Act and under the AECA inapplicable to sales of defense articles or services made on or before September 30, 1994 (currently, 1990); and (2) revise the definition of the term "defense articles and services" to conform to that under the AECA. Expresses the sense of the Congress that the Secretary of the Treasury shall instruct the U.S. Executive Directors of the International Bank of Reconstruction and Development, the International Development Association, and the Inter-American Development Bank to use the vote and influence of the United States to promote development projects in the Andean region consistent with U.S. anti-narcotics objectives. Establishes an Interagency Task Force on Combatting Illicit Narcotics and an Interagency Task Force on Money Laundering. Authorizes the Attorney General to assist major illicit drug producing and drug-transit countries in adopting national legislation to accommodate treaties on mutual assistance in criminal matters and on extradition and to provide technical assistance and advice aimed at strengthening the judicial, legal, and law enforcement systems of such countries. Expresses the sense of the Congress that: (1) the United States should support the actions of Latin American jurists in prosecuting drug criminals; and (2) the President should take steps to convene an international judicial conference for the purposes of emphasizing worldwide support for prosecuting drug traffickers and enabling senior judicial officials to exchange information on antinarcotic laws and statutes. Authorizes appropriations for military and law enforcement assistance and training to eligible countries for controlling illicit narcotics production and trafficking. Urges the executive branch to: (1) coordinate closely with all allies in the Western Hemisphere dedicated to countering the threat of drug trafficking; and (2) explore the possibility of undertaking joint military and intelligence operations with other countries of the Western Hemisphere. Directs the Attorney General to enter into negotiations with law enforcement officials of each foreign country with jurisdiction over companies that manufacture, market, sell, or purchase precursor or essential chemicals used in the illicit manufacture of controlled substances, with priority given to countries knowingly or unknowingly supplying such chemicals, to: (1) establish a list of such chemicals; (2) achieve international agreement on a method for maintaining records of transactions of such chemicals; (3) establish a procedure by which such records may be made available to U.S. law enforcement authorities; and (4) encourage source countries to enact national chemical control legislation. Requires the President to impose sanctions (such as barring transactions within the interstate or foreign commerce of the United States) on any company or other entity that refuses to maintain records to monitor and regulate transactions of listed precursor chemicals or that refuses to make such records available to U.S. law enforcement authorities for investigative purposes. Authorizes and directs the Attorney General to conduct research into additives and other means which would render precursor and essential chemicals useless in the production and manufacture of illegal drugs but that would not affect the legitimate commercial uses of such chemicals. Authorizes appropriations. Requires the Secretary of Defense to: (1) transfer four AH-1J helicopters to the Government of Colombia for anti-drug interdiction operations; and (2) make available sums for the training of Colombian personnel by Department of Defense (DOD) personnel in the operation, maintenance, logistics support, and deployment of such helicopters. Urges the Secretary of State to fully consider and implement proposals from U.S. allies for combatting illicit narcotics, including cooperation in law enforcement, interdiction, prevention, treatment, and research. Title II: Interdiction - Subtitle A: Department of State - Authorizes appropriations for the procurement of UH-1 helicopter upgrade improvement kits to enhance the performance of such helicopters used in drug interdiction operations in major drug transit countries. Subtitle B: Customs Service - Amends the Customs Procedural Reform and Simplification Act of 1978 to authorize appropriations for additional canine enforcement teams and research and development and to increase the number of full-time Customs Service inspectors deployed at ports of entry under the contraband inspection program. Subtitle C: Defense - Authorizes appropriations for the Army National Guard to upgrade surveillance helicopters. Provides for: (1) the deployment of such helicopters by Guard units of Arizona, California, New Mexico, and Texas to support interdiction operations carried out by civilian law enforcement agencies; and (2) coordination with specified agencies. Authorizes appropriations to DOD for airborne early warning surveillance (AEW) aircraft. Authorizes the Secretary of Defense to make the P-3 AEW aircraft available to the Customs Service. Subtitle D: Making Drug-Related Intelligence a Level-One Intelligence Priority - Calls for the U.S. intelligence community to devote greater resources to intelligence activities relating to international drug production and trafficking. Urges the Director of Central Intelligence (DCI) to: (1) make support of anti-drug efforts a Level One Priority in his National Foreign Intelligence Strategy; (2) reflect such priority in the National Foreign Intelligence Program; and (3) include in his next National Foreign Intelligence Budget a separate and detailed request for funds necessary to make such activities a Level One Priority. Expresses the sense of the Congress that the DCI should expand resources devoted to human intelligence directed against international drug trafficking, particularly with respect to law enforcement operations along the U.S. border. Subtitle E: Preventing Drug Traffickers From Entering the United States Using Fraudulent Immigration Documents - Directs the Secretary of State and the Attorney General to: (1) establish a program under which applicants for entry into the United States shall be required to submit fingerprints at the time of application and to be checked against records of the Federal Bureau of Investigation (FBI), the Immigration and Nationalization Services (INS), and other U.S. agencies to ensure that the applicant has not submitted fraudulent documentation or is not otherwise excludable under U.S. immigration laws; (2) implement such program in two phases, including a two-year pilot program for applicants from major drug-producing or transit countries (phase I) and implementation over the next three years and expansion to all alien applicants requesting entry into the United States (phase II); and (3) conduct a comprehensive review and evaluation of such program and submit specified reports to the Congress. Subtitle F: Situational Awareness Technology - Makes certain funds authorized to be appropriated for Research, Development, Test, and Evaluation, Air Force, available for continued development of situational awareness technology for military and civilian drug interdiction applications. Title III: Law Enforcement - Subtitle A: State and Local Law Enforcement Assistance - Amends the Omnibus Crime Control and Safe Streets Act of 1968 (Omnibus Act) to authorize appropriations for the Drug Control and System Improvement Grant Program. Subtitle B: Interstate Transportation for Purposes of Drug Activity - Amends the Controlled Substances Act (CSA) to prohibit the transport in interstate or foreign commerce of a person for the purpose of engaging in the growing, harvesting, manufacture, distribution, or dispensing of a controlled or counterfeit substance. Subtitle C: Drug-Free School Zones - Directs the Attorney General to develop a model program of strategies and tactics for establishing and maintaining drug-free school zones which provide State and local law enforcement agencies with materials, training, and other assistance to establish, enforce, and evaluate the effectiveness of drug-free school zone enforcement efforts. Delineates criteria for such model program, including defining the criminal justice community's role in creating and maintaining such zones, developing a framework for law enforcement collaboration with the school system and community resource network, providing materials and technical assistance for demarcating and establishing such zones, and creating a uniform framework for monitoring and evaluating their effectiveness. Authorizes appropriations. Subtitle D: Drug Testing of Defendants on Probation or Supervised Release - Amends the Federal criminal code to require: (1) the Director of the Administrative Office of the U.S. Courts to establish a program of drug testing of criminal defendants on supervised release; and (2) the chief probation officer in each district to arrange for the drug testing of such defendants. Requires, as an explicit condition of probation, parole, or supervised release of a defendant involving a felony or a specified violent or drug offense, that the defendant refrain from any unlawful use of a controlled substance and submit to periodic drug tests. Sets limitations on the authority to require such tests and to take action against a defendant based on test results. Subtitle E: Civil Forfeiture - Eliminates a restriction on the disposal of judicially forfeited property by the Secretary of the Treasury and the Postal Service. Subtitle F: Authorization of Appropriations - Authorizes appropriations, to carry out the activities of the Department of Justice (DOJ), for: (1) the hiring of additional personnel for the U.S. Attorney's office, and for additional agents of the FBI; (2) the Drug Enforcement Administration (DEA); (3) the States, under the formula grant program administered by the Office of Justice Programs, for rural drug enforcement; (4) State and local multi-agency tactical narcotics teams in high intensity drug areas; (5) the establishment by DEA of a foreign precursor chemical program; (6) the establishment and operation of a national drug and related crime tip hotline; and (7) the INS. Authorizes appropriations, to carry out the activities of the Department of the Treasury, for: (1) the Bureau of Alcohol, Tobacco, and Firearms; (2) the Federal Law Enforcement Training Center; and (3) the U.S. Customs Service. Subtitle G: Regional Prisons - Authorizes appropriations for the construction and operation of ten regional prisons for State and Federal prisoners found to have substance abuse problems requiring long-term treatment to be located in places chosen by the Director of National Drug Control Policy. Sets forth requirements regarding prisoner eligibility, State responsibilities with respect to such prisons, and the powers of the Director of the Bureau of Prisons. Subtitle H: Victims of Child Abuse Act of 1992 - Victims of Child Abuse Act of 1992 - Chapter 1: Drug-Related Child Abuse; Habitual Child Abuse Offense - Amends the Federal criminal code to make it a felony to commit a crime of violence against a person under age 18 if the offense was committed as part of a violation of the CSA or the Controlled Substances Import and Export Act. Requires the Attorney General to amend the United States Attorneys' Manual to reflect the intent of the Congress that Federal prosecution occur only in egregious cases of drug-related abuse and neglect. Requires the United States Sentencing Commission to promulgate guidelines to provide that a defendant convicted of such an offense, who has previously been convicted on two separate occasions of a sexual offense or crime of violence in which the victim was under age 18, shall receive the maximum punishment authorized by law. Chapter 2: Improving Investigation and Prosecution of Child Abuse Cases - Requires the Administrator of the Office of Juvenile Justice and Delinquency Prevention to make grants to develop multidisciplinary child abuse investigation and prosecution programs. Enumerates program criteria, including requirements identifying a neutral site for counseling child victims of sexual and serious physical abuse and neglect, referring cases to such counseling center within 24 hours, minimizing the number of interviews the child victim must attend, requiring that all interviews and meetings with a child victim occur at the counseling center, designating a director for the multidisciplinary program, and assigning volunteers or staff advocates to each child's family. Requires the Administrator to make grants to provide technical assistance and training to attorneys and others instrumental to the criminal prosecution of child abuse cases in State or Federal courts. Authorizes appropriations. Chapter 3: Court-Appointed Special Advocate Program - Requires the Administrator to: (1) make grants to expand the court-appointed special advocate program; (2) establish criteria to be used in evaluating grant applications, which shall include a program providing screening, training, and supervision of court-appointed special advocates. Authorizes appropriations. Chapter 4: Child Abuse Training Programs for Judicial Personnel and Practitioners - Requires the Administrator to provide technical assistance and training to judicial personnel and attorneys to improve the judicial system's handling of child abuse and neglect cases and provide administrative reform in juvenile and family courts. Subtitle I: Rural Drug Enforcement - Rural Drug Enforcement Act - Requires the Director of National Drug Control Policy to designate a Rural Drug Policy Coordinator to examine the special needs of rural areas in drug interdiction and coordinate the drug interdiction efforts of Federal agencies in such areas. Amends the Omnibus Act to set aside specified sums for rural areas. Directs the Attorney General to assign for any rural State that is currently assigned less than ten drug enforcement agents not less than four additional special agents. Directs the Secretary of the Treasury to develop a drug interdiction training program for law enforcement officers in rural areas. Authorizes appropriations. Title IV: Prevention, Treatment, and Education - Subtitle A: Drug Testing - Quality Assurance in the Private Sector Drug Testing Act of 1992 - Prohibits any employer engaged in commerce from refusing to hire an applicant, taking adverse action against an employee, or discharging an employee on the basis of the results of a drug test administered to the applicant or employee unless such test was conducted by a laboratory which: (1) meets guidelines prescribed by the Secretary of Health and Human Services; (2) requires a confirmatory test when an initial screening test is positive; and (3) provides guidelines to the employers on procedures for the collection of specimens to be tested and the chain of custody. Subjects an employer who takes any such action on the basis of a drug test result conducted by a laboratory which does not meet such requirements to a civil penalty of $10,000. Subtitle B: Miscellaneous Provisions - Amends the Public Health Service Act (PHSA) to require the Administrator of the Alcohol, Drug Abuse, and Mental Health Administration (ADAMHA) to make grants and enter into contracts and cooperative agreements to provide clinical training in alcohol and drug abuse and to develop curricula and materials for such training. Authorizes appropriations. Increases the ADAMHA block grant authorization. Authorizes the use of ADAMHA block grant funds for alcohol abuse and drug addiction treatment services in State or local correctional facilities. Requires the State, as a condition on the receipt of Federal funds, to maintain State expenditures for drug abuse-related services at a level equal to not less than the average amount of such expenditures for the preceding two years. Requires States to develop and submit to the Secretary annually for review and approval a Statewide Drug Treatment Plan. Requires the Director of the Office for Substance Abuse Prevention, in making grants for model projects for pregnant and post-partum women and their infants, to give priority to projects that will provide treatment services and that include specified programs including outreach services, child care, transportation, and other support services, case management services, and any other services that will tend to improve pregnancy outcomes, reduce substance abuse among women of childbearing age, and increase the stability of the family home environment. Bars the Director from making such grants unless specified conditions are met, such as the applicant's agreeing to provide the health service directly, that any charge imposed be according to a schedule of charges made available to the public and be adjusted to reflect the recipient's income and resources, and that no charge be imposed upon any women with an income less than 100 percent of the official poverty line. Authorizes appropriations. Establishes in ADAMHA the Office for Treatment Improvement (Treatment Office) to: (1) collaborate with the Director of the Office for Substance Abuse Prevention and the Director of the National Institute on Drug Abuse (NIDA); (2) evaluate State plans and carry out programs under existing provisions; (3) train providers of prehospital emergency medical services; (4) conduct or support described programs; and (5) take other actions with regard to treatment. Authorizes appropriations. Establishes within the General Accounting Office a Special Panel on Evaluation of Drug Prevention, Education, and Treatment Programs. Authorizes appropriations. Requires the Director of the Treatment Office to establish programs to provide grants to: (1) eligible institutions to provide training services to increase the supply of drug treatment professionals; and (2) hospitals, community health centers, and other appropriate entities that serve nonmetropolitan areas to assist in developing and implementing projects (at least one in each State) that provide, or expand the availability of, substance abuse treatment services. Requires the alcohol and drug abuse information clearinghouse required to be established under the PHSA to: (1) gather information pertaining to ADAMHA and other rural drug abuse treatment and education projects operating throughout the United States; and (2) disseminate information to rural hospitals, community health centers, community mental health centers, treatment facilities, community organizations, and other interested individuals. Transfers authority from the Administrator of ADAMHA to the Director of the Treatment Office for an existing grant program for reduction of the waiting period for drug abuse treatment. Removes provisions prohibiting more than one grant for any treatment program. Allows a grantee to spend not more than 50 percent of the grant for follow-up services. Increases the authorization of appropriations. Sets forth reporting requirements. Authorizes appropriations for the Federal Prison System for substance abuse treatment services. Directs the Bureau of Prisons to separate drug-dependent offenders undergoing treatment from the general prison population and avoid returning such offenders to the general prison population after the completion of the treatment program. Requires the Attorney General to: (1) make sums available from appropriations authorized for DOJ to establish a Federal training center to train Federal, State, and local prison officials to develop treatment and rehabilitation programs for drug-dependent prisoners; and (2) require the Director of the prison system to see that no less than 25 percent of all new prison beds at any new prison facility, beginning in FY 1992, include treatment and rehabilitation programs and accommodations for drug-dependent offenders. Requires the Director of the Treatment Office to establish programs to provide grants to public and nonprofit private entities that provide drug treatment services to individuals under criminal justice supervision. Subtitle C: Education and Prevention - - Reauthorizes appropriations under the Drug Free Schools and Communities Act of 1986. Amends such Act to require the Secretary of Education to establish and administer a model program to provide grants to schools and institutions to implement comprehensive drug education programs providing for the establishment of an anti-drug policy, implementation of peer to peer programs that allow children to talk about handling pressures to use and sell drugs, and family and community involvement in drug prevention. Sets forth criteria for grant awards. Authorizes appropriations. Requires such Secretary to expand existing programs at the Department of Education to provide schools with greater access to programs that teach skills in resisting drug abuse and assertiveness training for children in grades kindergarten through 12. Authorizes appropriations. Amends the PHSA to direct the Secretary of Health and Human Services to establish: (1) a program to make grants to eligible institutions that establish or expand drug prevention programs to be comprehensive in nature and to include an anti-drug policy, peer to peer drug abuse programs, and family and community involvement; and (2) a National Substance Abuse Prevention Training Program to make grants to States, local agencies, and community organizations to provide substance abuse prevention training and to coordinate with other community resources and programs. Authorizes appropriations. Directs such Secretary to establish a National Drug Prevention Corps. Authorizes appropriations. Requires the Director of National Drug Control Policy to provide resources to assist members of the motion picture and television industries in the production of programs that carry anti-drug messages. Authorizes appropriations. Expresses the sense of the Congress that: (1) all places of work should be drug-free; (2) corporate America should take an active role in assisting employees with drug-related problems; and (3) employers should take specified steps towards creating a drug-free workplace, such as establishing a clear drug-free policy and establishing an employee assistance plan for substance abusing employees. Directs the Secretary of Labor to: (1) identify 100 major business regions in the United States and contact local chief executive officers in such regions to encourage them to develop in each region a Corporation Against Drug Abuse program; and (2) provide each region with $10,000 to assist such officers in coordinating such program in each region. Amends the Drug-Free Workplace Act of 1988 to include within the drug-free awareness programs for Federal contractors and Federal grant recipients discussions of the dangers and early signs of drug abuse by children. Title V: Department of Defense - Authorizes the Secretary of Defense to plan and execute training missions for the primary purpose of assisting civilian law enforcement agencies in connection with counter-drug activities. Amends the Department of Defense Authorization Act of Fiscal Years 1990 and 1991 to authorize the Secretary to transfer excess communications equipment to civilian law enforcement agencies of foreign countries to assist in counter-drug activities. Authorizes the President to lease excess engineering equipment in the inventory of DOD to foreign governments to assist in anti-drug activities or in the development of their infrastructure at nominal or no cost to such governments. Authorizes the Secretary to make available logistic support to any major illicit drug producing country which has been transferred excess defense articles. Allocates funds appropriated for such support. Title VI: Sanctions for Failure to Land or to Bring To - Makes it unlawful for the pilot, operator, or other person in charge of an aircraft subject to U.S. jurisdiction to refuse to obey the order of an authorized Federal law enforcement officer to land in cases involving enforcement of controlled substances or money laundering laws. Sets forth analogous provisions with respect to vessels. Establishes penalties for violation of such provisions. Specifies that any vessel or aircraft used in such a violation may be seized and forfeited. Amends the Federal Aviation Act of 1958 to require: (1) revocation of the registration certificate of an aircraft that refuses to land when ordered to do so by a law enforcement officer; and (2) the Administrator of the Federal Aviation Administration to establish procedures for the owner of the aircraft to show cause why the registration should not be revoked or why it would be in the public interest to issue a new certificate of registration to be effective concurrently with the revocation which occurred by operation of law. Authorizes the Coast Guard to issue orders and make inquiries, searches, seizures, and arrests with respect to violations of U.S. laws occurring aboard any aircraft over the high seas and waters over which the United States has jurisdiction. Specifies the method by which orders to land an aircraft must be communicated. Establishes a civil penalty for failure to comply with a lawful boarding or order to land. Amends the Tariff Act of 1930 to: (1) authorize U.S. Customs officers to exercise their enforcement authority outside of the United States, including any location in which Customs officers are permitted to conduct inspections, examinations, or searches; and (2) provide civil penalties for failure of an aircraft to comply with Customs officer orders to land or bring to and Tariff Act provisions regarding the boarding of vessels. Title VII: Protection of Witnesses, Jurors, and Court Officers - Increases penalties for obstruction of justice offenses against court officers and jurors and for retaliatory killings of witnesses, victims, and informants. Title VIII: Narcotics-Related Public Corruption - Specifies that any: (1) public official who corruptly demands, seeks, or accepts anything of value in return for being influenced in the performance or non-performance of an official act or influenced to commit or aid in committing any Federal or State offense shall be guilty of a class B felony; and (2) person who corruptly gives, offers, or promises anything of value to a public official (or offers to give anything of value to any other person) with intent to influence any official act or to influence such public official to commit a Federal or State offense or to do or omit any act in violation of such official's lawful duty shall be guilty of a class B felony. Authorizes funding for undercover operations by the Department of the Treasury. Title IX: Asset Forfeiture and Money Laundering - Makes technical and conforming amendments to the CSA, Federal criminal code, and Tariff Act. Title X: Miscellaneous - Adds certain cocaine and drug conspiracy and attempt offenses committed by juveniles to the list of crimes authorizing prosecution as an adult if the Attorney General certifies that there is a substantial Federal interest in the case that justifies adult prosecution. Authorizes the disclosure of cable television subscriber information to a Federal grand jury. Amends the Anti-Drug Abuse Act of 1988 to permit an arrest warrant to be issued for a foreign fugitive about to enter the United States. Title XI: High Priority Research Areas - Subtitle A: General Provisions - Expresses the sense of the Congress that the Medications Development Division of NIDA shall devote special attention and resources to achieving the development of a methadone alternative, a long-acting narcotic antagonist, a cocaine blocking treatment, a cocaine blocker/narcotic antagonist treatment, medications to treat addictions to methamphetamine, and medications to treat pregnant addicts and their fetuses. Requires: (1) the Director of the Division to establish a panel of independent experts in the field of pharmacotherapeutic treatment of drug addiction to assess the national strategy for developing such treatments and make appropriate recommendations; and (2) the Surgeon General of the United States to submit to the appropriate congressional committees a report setting forth recommendations of such panel and assessing the progress of the Nation toward development of safe, efficacious pharmacological treatments for drug addiction. Subtitle B: Counter-Narcotics Technology Assessment Center - Counter-Narcotics Technology Act of 1992 - Amends the Anti-Drug Abuse Act of 1988 to establish within the Office of National Drug Control Policy (ONDCP) the Counter-Narcotics Technology Assessment Center, to operate under the general authority of the Deputy Director for Supply, ONDCP, to serve as the central counter-narcotics enforcement research and development organization of the U.S. Government. Requires that there be at the head of the Center the Chief Scientist of Counter-Narcotics Technology. Requires, beginning with the FY 1992 budget, that the Director of National Drug Control Policy submit a separate appropriations request for expenses relating to all Federal agencies for counter-narcotics enforcement research and development programs. Establishes a national counter-narcotics technology account. Requires such appropriations to be made to the account for the Director to make reimbursements to the involved agencies. Authorizes appropriations. Subtitle C: National Drug Abuse Epidemiology - Amends the PHSA to require the Secretary of Health and Human Services to establish a National Drug Intelligence Epidemiology System to: (1) conduct research and provide documentation on the leading drug abuse indicators, such as drug-related emergency room visits, deaths, and drug treatment admissions; (2) publish data concerning such indicators on a quarterly basis; and (3) distribute publications concerning such information to medical professionals, police agencies, and others involved in anti-drug efforts. Authorizes appropriations. Requires the Secretary to establish a National Drug Abuse Report Card to: (1) collect research on such indicators; (2) characterize the statistics compiled by age, ethnic, and gender groups, by regional variations, and by at-risk groups; (3) include estimates of drug use among previously under-surveyed groups; and (4) publish and distribute reports on a quarterly basis. Authorizes appropriations. Subtitle D: Land-Based Drug Interdiction Technology - Requires: (1) the Director of the U.S. Border Patrol to make certain sums available to accelerate the development of new technologies for land-based drug interdiction systems to be deployed along the U.S.-Mexican border to monitor narcotics trafficking activity, and to have such technology available for deployment by June 1, 1993; and (2) the Attorney General to ensure that the development of such technology is included in any comprehensive plan for utilizing existing research and development facilities of specified Federal agencies to carry out their anti-drug missions. Title XII: Appropriations - Provides for a reduction in amounts available for Government travel to cover the cost of any additional outlays resulting from this Act, with exceptions.

Defense Workers Economic Reinvestment Act

United States · United States Congress · 3 June 1992

Defense Workers Economic Reinvestment Act - Title I: Economic Reinvestment Council - Establishes the Economic Reinvestment Council to: (1) administer the National Technology Infrastructure Goals Improvement and Consortia Creation program and the Fast Response State Technological Competitiveness Grant program, both established under this Act; and (2) be empowered to examine and approve or disapprove all other project and program selections made under this Act and funding decisions under this Act exceeding $500,000. Requires reviews of funding requests to be completed within 60 days. Directs the Council to advise the Secretary of Defense and the heads of other Federal agencies on the progress and success of the economic reinvestment programs established under this Act and under the Defense Economic Adjustment, Diversification, Conversion, and Stabilization Act of 1990 in alleviating the adverse economic and social effects of reductions in defense spending. Requires the Council to consult on a regular basis with Governors of States involved in reinvestment activities. Directs the Council: (1) upon receiving notification of the annual defense budget proposal of the Secretary, to commence a preliminary study of the potential adverse economic effects the proposal may have on qualified defense contractors and communities; and (2) to prepare and distribute an economic reinvestment progress report on an annual basis. Requires the latter report to be distributed to State governors, the heads of Federal departments and agencies, and any other interested persons. Authorizes appropriations. Title II: National Technology Infrastructure Goals Improvement and Consortia Creation - Directs the President, in order to exploit the potential of critical technologies that would benefit national infrastructure and create export opportunities, to develop and carry out a program to assist advanced technology projects. Includes the following areas within appropriate investments in advanced technology projects which are in the national interest: space exploration, transportation, environmental restoration, telecommunications, energy efficiency, health care, education, and ocean technology. Directs the Council to solicit, review, prioritize, and select advanced technology projects to benefit the national technology infrastructure. Requires the Council to prepare and disseminate guidelines for qualifying project proposals. Requires specified Federal department and agency heads to submit to the Council proposals for such projects. Allows other Federal departments and agencies to submit proposals. Provides that, once a project is selected, the Council shall review project plans and schedules, provide funds to the project through the Department of Defense (DOD), and oversee implementation of the project. Encourages joint ventures in such projects with combinations of industry, academic, and State and Federal Government partners. Authorizes appropriations to fund such project for FY 1993 through 1996. Directs the Council to coordinate and oversee the creation of one consortium matched to each project, focusing on the basic and applied research for such project. Requires at least 50 percent of the funding for a consortium to derive from non-Federal sources. Limits Federal funding for a consortium to $5,000,000 annually for a period of four years. Requires small business to receive a minimum of 20 percent of the consortium research funding. Requires the Council to solicit and evaluate other proposals for critical technology consortia and to select at least three proposals annually. Places identical limits on the length and amounts of Federal funding for such consortia. Requires activities conducted by such a consortium to include a significant defense component. Authorizes appropriations for FY 1993 through 1996. Directs the Secretary to reexamine existing procurement contracts to determine whether overly restrictive specifications on systems, supplies, and services that are also available commercially have been made. Directs the Secretary, for contracts exceeding $100,000 where DOD specifications preclude the purchase of commercial sector products, to justify the necessity for developing a different specification and the unsuitability of commercial specifications. Requires the Secretary to report to the Congress detailing such justifications for each contract. Requires each defense contract solicitation to include provisions which encourage the use of commercially available systems, supplies, and services. Title III: Relieving Labor Shortages in Selected Civilian Applications - Directs the Secretary to establish an Office of Training Oversight and Administration to coordinate and oversee retraining, placement, and other transition assistance activities for full-time employees of at least three years of a qualified defense contractor (a contractor deriving 30 percent of its annual income from, or using 30 percent of its work force on, defense contracts) who: (1) are directly involved with a DOD funded project which is canceled or which receives at least a 25 percent reduction in Federal funds; and (2) are terminated or likely to be terminated within one year as the result of such cancellation or reduction. Directs the Office to disseminate information concerning such retraining and placement assistance to all qualified contractors and eligible DOD employees. Directs the Office to maintain statistics on the effectiveness of the transition assistance program in order to aid the Council in required activities. Authorizes the Office, in cooperation with other Federal agencies, to enter into agreements for the provision to eligible DOD employees of such transition assistance in skills identified to be in short supply in the area in which the retraining program operates. Authorizes the Office to award one- and two-year scholarships to educational institutions, giving a priority in such scholarships to eligible employees who seek vocational training and for scholarships in certain critical occupations as determined by the Office. Limits the Federal contribution to a training program to 50 percent of its costs. Authorizes appropriations for FY 1993 through 1995. Requires a qualified defense contractor to make a good faith effort to identify as early as possible employees who meet the eligibility requirements of the program, to advise them on options, and to allow them to participate in retraining and other transition assistance programs. Allows certain employees previously terminated under similar conditions within one year before the enactment of this Act to be eligible for such program. Title IV: Commercialization Opportunities - Directs the Secretary of Commerce (Secretary, for purposes of this title) to establish a program to assist U.S. businesses in creating and applying the generic technology and research results necessary to commercialize significant new discoveries and technologies. Requires the program selection board to be modeled after the Advanced Technology Program of the National Institute of Standards and Technology. Directs the Secretary to inform the Council of the status of funded projects and on new selections for the Council's approval as required under title I. Authorizes the Secretary to enter into contracts and cooperative agreements with U.S. businesses for commercialization projects to demonstrate the feasibility of a particular technology or process up to the prototype stage, limiting the Federal funds to 33 percent of the project's costs, and limiting a single project to $1,000,000. Authorizes appropriations to the Secretary for FY 993 through 1996. Authorizes the Secretary to make loans to U.S. businesses of up to $3,000,000 for any one commercialization project. Prohibits more than three loans from being made to any single company or joint venture. Provides loan conditions and criteria. Authorizes appropriations for FY 1993. Directs the Secretary of Defense to: (1) encourage the creation of industrial parks or technology incubator centers to transfer and spin off technology from qualified defense contractors to small businesses; (2) use royalties earned from the licensing of certain patents to assist local technology transfer activities; and (3) create and administer an awards program (modeled after an awards program under the Stevenson-Wydler Technology Innovation Act of 1980) to foster and encourage innovation and redirection efforts by qualified defense contractors in the area of commercialization. Title V: Fast Response State Technological Competitiveness Grants - States as the purpose of this title to provide Federal assistance directly to States for defense reinvestment programs. Directs the Secretary to allocate amounts authorized for appropriation under this title under a specified funding formula as technological competitiveness grants to States whose defense reinvestment programs meet certain requirements. Directs the Council to develop and disseminate guidelines on State eligibility for such grants. Requires a State, prior to receiving such a grant, to provide the Council information about its defense reinvestment program. Directs each State to report annually to the Council on progress under its reinvestment program, as well as any other data analysis required by the Council for its duties. Directs the Secretary to withhold grant funds from a State if the Council concludes that such State's reinvestment program or its progress is unsatisfactory relative to the published guidelines. Allows a 90-day appeal period during which the State shall be permitted to submit a revised program for Council review. Authorizes appropriations for FY 1993 through 1995 for such grants.

Economic Growth Incentive Act of 1992

United States · United States Congress · 28 May 1992

Economic Growth Incentive Act of 1992 - Title I: Reduction in Individual Income Taxes - Amends the Internal Revenue Code to provide for a five-percent decrease in individual income taxes for: (1) married individuals filing joint returns and surviving spouses; (2) heads of households; (3) unmarried individuals (other than surviving spouses and heads of households; (4) married individuals filing separate returns; and (5) estates and trusts. Title II: Incentive for Purchase of American-Made Property - Allows an itemized deduction for State and local general sales taxes imposed on the retail sale of American-made proeprty. Title III: Surface Transportation Programs - Amends the Intermodal Surface Transportation Efficiency Act of 1991 to repeal the obligation ceiling for Federal-aid highways and highway safety construction programs. Repeals authorized appropriations for FY 1993 and beyond and authorizes appropriations (and generally increases such appropriations) for FY 1993 and 1994 for the following programs: (1) highway programs; (2) construction of national defense highways located outside the United States; (3) the interstate substitute program; (4) donor State bonus amounts; (5) apportionment adjustments; (6) set asides for interstate discretionary projects; (7) the discretionary bridge program; (8) national high-speed ground transportation programs; (9) the highway timber bridge program; (10) highway use tax evasion projects; (11) the scenic byways program; (12) construction of ferry boats and ferry terminal facilities; (13) certain highway safety programs; (14) Federal Transit Act authorizations; and (15) the motor carrier safety grant program. Repeals FY 1992 budget compliance provisions. Accelerates from FY 1996 and 1997 to FY 1993 and 1994 the authority for reimbursements for segments of the Interstate System constructed without Federal assistance. Removes the highway safety obligation ceilings. Repeals the required reduction in certain Federal Transit Act authorizations for budget compliance. Amends the Internal Revenue Code to repeal the adjustment of apportionments for the Highway Trust Fund. Title IV: Relief from Credit Crunch - Expresses the sense of the Congress that: (1) the current "credit crunch" should be eased by making it easier for businesses and individuals to obtain loans and leases; and (2) State banking authorities and the appropriate Federal banking agencies should more sensibly apply the requirements on loan loss reserves so as not to punish or restrain responsible borrowers. Title V: Cap on Federal Employment - Prohibits the number of Federal employees from exceeding such number on the date of enactment of this Act. Rescinds all unobligated amounts that were appropriated before such date to pay salary, wages, or benefits for a position not filled on that date. Title VI: Reduction in Federal Overhead Expenses - Rescinds ten percent of all unobligated amounts that were appropriated before the date of enactment of this Act to pay overhead expenses of any Federal agency. Reduces authorizations for any fiscal year to pay overhead expenses of any Federal agency by ten percent.

Proposing an amendment to the Constitution of the United States to provide for a balanced budget of the United States Government.

United States · United States Congress · 28 May 1992

Constitutional Amendment - Requires the President, prior to each fiscal year, to propose to the Congress a budget in which total expenditures do not exceed total receipts, unless that budget is accompanied by a Presidential Declaration of National Urgency. Prohibits the Congress from approving total expenditures in excess of total receipts unless it has approved by majority rollcall vote in each House a Presidential Declaration of National Urgency. Prohibits the Congress from approving a budget which is estimated to result in a higher amount of total expenditures than those recommended by the President. Declares that total expenditures do not include debt redemption and disbursements of the Federal Old-Age and Survivors Insurance Trust Fund and the Federal Disability Insurance Trust Fund, or any successor funds. Declares that total receipts do not include net borrowing and receipts of such trust funds or successor funds.

To amend the Federal Aviation Act of 1958 to establish deadlines relating to the issuance of rules by the Administrator of the Federal Aviation Administration, and for other purposes.

United States · United States Congress · 27 May 1992

Amends the Federal Aviation Act of 1958 to establish deadlines for: (1) notice to petitioners for a rulemaking informing them of the Administrator of the Federal Aviation Administration's (FAA) intent with respect to the issuance of a proposed rule; (2) issuance of the proposed rule; and (3) issuance of the final rule. Sets forth congressional reporting requirements. Requires the Administrator to make available to the public any comments received with respect to any review of a proposed regulatory project or rule of the FAA conducted by an employee of the Department of Transportation, Office of Management and Budget, or any other executive agency.

Balanced Budget Enforcement Act of 1992

United States · United States Congress · 27 May 1992

Balanced Budget Enforcement Act of 1992 - Title I: Balancing the Budget - Part A: Purpose - Repeals provisions of the Balanced Budget and Emergency Deficit Control Act of 1985 (Gramm-Rudman-Hollings Act) with respect to: (1) emergency powers to eliminate deficits in excess of the maximum deficit amount; (2) budgetary treatment of social security trust funds; and (3) miscellaneous and related provisions. Declares the purpose of this Act to balance the budget by FY 1997 and each year thereafter. Part B: The Deficit Elimination Act of 1992 - Deficit Elimination Act of 1992 - Establishes the amounts by which the deficits in the deficit reduction base shall be reduced by changes in law for FY 1993 through 1997. Declares that changes in law do not include the resulting debt service changes or any incidental changes in intragovernmental receipts of Federal trust funds. Increases the basic deficit reduction requirements for FY 1996 and 1997 if the baseline assuming deficit reduction projects a deficit for either fiscal year. Provides for preventing deficits starting with FY 1998, if the current policy baseline projects a deficit for the budget year after excluding any amounts resulting from the prior enactment of specific excesses. Declares the shortfall in deficit reduction to be the amount by which the deficit reduction required for that year exceeds the deficit reduction achieved for that year. States that the amount to be sequestered for any budget year is the amount of the shortfall in deficit reduction for that year (general sequestration). Requires: (1) one-half of the amount to be sequestered to be derived by the imposition of a surtax; (2) one-quarter to be derived from reductions in direct spending programs; and (3) one-quarter to be derived from reductions in discretionary programs. Requires additional sequestration based on outyear shortfall (any of the four fiscal years that follow the budget year). Allows the enactment of a spin-off law, through the congressional budget process or any other means, for any budget year that separately specifies the proportions of deficit reduction required for that year (categorical sequestration) that is to be achieved from: (1) changes in direct spending law; (2) changes in receipts law; and (3) changes in outlays for discretionary programs. Requires such law to specify a cap on the amount of discretionary new budget authority that may be appropriated for the budget year. Sets forth formulae for determining amounts of sequestration in each category. Requires additional sequestration based on outyear shortfall. Sets forth the method of sequestering direct spending programs. Provides that such sequestration will occur only if direct spending in the current policy baseline exceeds $250 million. Provides for sequestration of revenues through a tax surcharge to reduce the deficit. Amends the Internal Revenue Code to impose such tax surcharge on individuals and corporations. Sets forth the method of sequestering discretionary programs. Provides that such sequestration will occur only if discretionary new budget authority in the current policy baseline exceeds $250 million. Requires within-session sequestration if any law is enacted containing provisions that would: (1) cause there to be a greater amount of direct spending or lower total receipts that allowed in the spin-off law, or a breach in the cap on discretionary new budget authority under the spin-off law; or (2) cause a shortfall in deficit reduction if no spin-off law has been enacted. Lists the budget accounts or activities exempted from sequestration. Subjects Federal administrative expenses to sequestration orders, with specified exceptions. Grants the President the option to exempt military and civilian personnel. Declares that automatic spending increases are increases in outlays due to changes in indexes in the National Wool Act and the special milk program. Exempts all amounts under such programs from any sequestration order other than the automatic spending increases. Sets forth the method of making reductions for: (1) the guaranteed student loan program; (2) foster care and adoption assistance programs; (3) low-income entitlements; (4) Federal retirement and veteran programs; (5) the Medicare program; (6) Federal pay; (7) the child support enforcement program; (8) extended unemployment compensation; (9) the Commodity Credit Corporation; (10) the JOBS portion of the Aid to Families with Dependent Children Program (AFDC) under the Social Security Act; and (11) the Postal Service Fund. Requires budgetary resources sequestered from any account other than an entitlement trust, special, or revolving fund account to revert to the Treasury and be permanently canceled. Requires the same percentage sequestration to apply to all programs, projects, and activities within a budget account. Requires administrative regulations or similar actions implementing a sequestration to be made within 120 days of the order. Requires that obligations in sequestered direct spending accounts be reduced in the fiscal year in which a sequestration occurs and in all succeeding fiscal years. Provides that if an automatic spending increase is sequestered, the increase that was disregarded shall not be taken into account in any subsequent fiscal year. Requires sequestration in accounts for which obligations are indefinite to be taken in a manner to ensure that obligations in the fiscal year of a sequestration and succeeding fiscal years are reduced from the level that would actually have occurred, by the applicable sequestration percentage. Establishes a scorecard for the recording of the estimated increase or decrease in deficit reduction for the current year, the budget year, and each fiscal year through 1997 due to enactment (after May 15, 1992) of any law, or the imposition of any sequestration, affecting the level of direct spending or the level of receipts. Treats deficit reduction as a positive and deficit increase as a negative on such scorecard. Divides the scorecard between changes in outlays for direct spending and changes in receipts. Provides for scoring deficit reduction achieved in prior sessions. Provides for determining deficit reduction achieved in the current session and for calculating savings in discretionary programs. Sets forth assumptions to be used in calculating the baseline for the budget year and each outyear with respect to direct spending and receipts and discretionary programs. Requires the deficit reduction base to be a current policy baseline for FY 1992 through 1997. Provides for determining direct spending and receipts for such base and sets forth the level of outlays for discretionary appropriations. Requires adjustments to the discretionary deficit reduction base for each budget year and each outyear through 1997 to reflect changes in budget accounting concepts, changes in inflation, and specific excesses. Declares that a baseline assuming deficit reduction shall be a projection of current policy baseline deficits that is adjusted in aggregate by assuming compliance with basic deficit reduction requirements and excluding amounts designated as specific excess. Sets forth the timetable for estimating assumptions and filing reports and orders by the President, the Office of Management and Budget (OMB), the Congressional Budget Office (CBO) and the Board of Estimates (established by this Act). Requires the making of sequestration preview reports, sequestration update reports, within-session sequestration reports, and low-growth reports by CBO and OMB. Establishes the administrative procedures relative to such reports. Establishes a Board of Estimates to choose the applicable report from OMB or CBO to submit to the President. Establishes a deposit fund in the Treasury a Stabilization Reserve Fund to accumulate balances during years of comparative prosperity, which may later be used to cover the loss of receipts and the increase in outlays that occur during comparative economic distress. Requires annual surpluses to be paid into the Fund. Requires starting with FY 1997 that an additional $2 bilion be paid to the Fund. Prohibits Fund balances from receiving interest. Requires the enactment of a law to transfer balances to the General Fund of the Treasury. Establishes congressional procedures in the event of a low-growth report or a declaration of war. Provides judicial review procedures for provisions of this title. Title II: Technical and Conforming Amendments - Makes technical and conforming amendments to the Congressional Budget and Impoundment Control Act of 1974, the Rules of the House of Representatives, the Standing Rules of the Senate, and specified other laws.