John P. Roche, of Massachusetts, to be a Member of the National Security Education Board for a term of four years. (New Position)
United States · United States Senate · 6 January 1993
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601 records in US in 1993
United States · United States Senate · 6 January 1993
United States · United States Congress · 6 January 1993
Parents as Teachers: the Family Involvement in Education Act of 1993 - Authorizes the Secretary of Education to make grants to States for parents as teachers programs, with special consideration for hard-to-serve populations. Makes eligible for such a grant any State which operates a parents as teachers program associated with the Parents as Teachers National Center in Missouri. Sets forth program requirements, limiting services to families during the period from the last three months of a mother's pregnancy to the child's attaining age three. Directs the Secretary to: (1) establish a Parents as Teachers National Center for information dissemination and technical and training assistance for States with such programs; and (2) evaluate such programs within four years. Authorizes appropriations.
United States · United States Congress · 6 January 1993
Educational Reform and Flexibility Act of 1993 (Ed-Flex) - Amends the General Education Provisions Act to establish a program for flexibility and accountability in education and related services. Directs the Secretary of Education to assist projects for elementary and secondary schools and other service providers to improve achievement of all students and other participants, but particularly disadvantaged individuals, by authorizing a limited number of waivers by which the performance of schools and programs can be improved by increasing their flexibility in use of resources while holding them accountable for achieving educational gains. Limits such waivers to not more than: (1) six States which have implemented comprehensive regulatory reform plans; and (2) 50 LEAs within each SEA of such States. Authorizes the Secretary to only waive a statutory or regulatory requirement applicable to a program under specified Federal laws relating to elementary, secondary, and vocational education and disadvantaged or homeless students. Authorizes other Federal agency heads, with the Secretary's agreement, to make similar waivers of such requirements applicable to an elementary, secondary, or youth vocational training program administered by such agencies. Limits duration of projects and associated waivers. Requires each project that involves elementary or secondary schools to include participation of an LEA and at least two schools. Requires, to the extent possible, project participation by each grade and academic program in a participating school. Sets forth application and planning requirements. Prohibits waiver of requirements: (1) in awarding new competitive grants to a service provider within the LEA or other applicant participating in such a project; (2) relating to maintenance of effort, comparability, or equitable participation of private school students; and (3) under specified provisions of specified Federal laws relating to individuals with disabilities. Sets forth requirements for reports, evaluations, budget neutrality, and a sunset provision.
United States · United States Congress · 6 January 1993
Microenterprise and Asset Development Act - Amends part A (Aid to Families with Dependent Children) (AFDC) of title IV of the Social Security Act (SSA) to exclude from AFDC eligibility determinations certain income and resources that are to be used for education, training, and employability purposes. Requires the Secretary of Health and Human Services to report to the Congress on a revision of the AFDC limit on automobiles in order to increase the employability of AFDC recipients. Provides for State agency exclusion from AFDC eligibility determinations of certain resources related to microenterprise initiatives by AFDC recipients towards self-sufficiency. Requires State agencies to ensure that caseworkers advise AFDC recipients of the option for microenterprises. Provides for the inclusion of microenterprise training and activities in the JOBS program under SSA title IV part F (Job Opportunities and Basic Skills Training Program).
United States · United States Congress · 5 January 1993
Youth Homicide Violence Reduction and Mediation Act of 1993 - Requires the Director of the Bureau of Justice Assistance to make grants to local educational agencies (LEAs) most directly affected by crime and violence, giving priority to LEAs in urban areas in which the homicide rate for youth has increased by more than five percent in comparison to the preceding year or exceeds the State or national homicide rate for youth by more than seven percent. Requires an LEA, to be eligible to receive a grant, to give assurances that it has developed, or is developing, violence reduction and peer counseling programs as part of the educational curriculum at each school. Permits grants to be used for: (1) training programs for teachers and counseling staff to assist students in the effective use of interpersonal and negotiation skills; (2) counseling programs for victims and witnesses of crime in schools; (3) programs for conflict resolution and peer mediation counseling for students, teachers, and other personnel in regular contact with students at school; and (4) training of parents and community members in techniques that reduce violence and promote mediation. Sets forth application and reporting requirements. Authorizes appropriations.
United States · United States Congress · 5 January 1993
Adds specified lands to the Women's Rights National Historical Park in New York. Provides that funds available to the Secretary of the Interior for the Park shall be available to establish and administer education, research facilities, and programs on the history of women's rights within the Park pursuant to cooperative agreements with appropriate public or private entities. Extends the Women's Rights National Historical Park Advisory Commission to the year 2005. Increases the limit on the authorization of appropriations for the Park.
United States · United States Congress · 5 January 1993
TABLE OF CONTENTS: Title I: Provisions Relating to Physicians' Services Subtitle A: Incentives Under Medicare Subtitle B: Increasing Number of Physicians Practicing in Rural Areas Subtitle C: Expansion of Exceptions to Limitations on Physician Self-Referrals Title II: Provisons Relating to Hospitals Title III: Miscellaneous Provisions Subtitle A: Administrative Simplification Subtitle B: Other Provisions Rural Health Care Access Improvement Act of 1993 - Title I: Provisions Relating to Physicians' Services - Subtitle A: Incentives Under Medicare - (Sec. 101) Amends title XVIII (Medicare) of the Social Security Act (SSA) to modify requirements regarding payments to new physicians and other new health care practitioners for rural area services. (Sec. 102) Prohibits the Secretary of Health and Human Services from failing to make Medicare payments on the basis of an individual's failure to complete a questionaire concerning a primary plan. (Sec. 103) Regulates the use of extrapolation by carriers administering Medicare benefits. (Sec. 104) Prohibits certain fees by carriers and the Secretary. (Sec. 105) Requires consideration, in applying standards and criteria for carrier contracts, of evaluations by medical societies representing physicians served by the carrier. (Sec. 106) Provides for appeals of carrier actions. (Sec. 107) Directs carriers to provide for review (of denial of payments for physicians' services) by a physician in the same medical specialty. (Sec. 108) Amends SSA titles XVIII and XIX (Medicaid) to modify the circumstances in which payments may be made to a physician for services provided by another physician. (Sec. 109) Amends SSA title XI to exclude surgical procedures performed in a rural area from utilization and quality control review requirements. Subtitle B: Increasing Number of Physicians Practicing in Rural Areas - (Sec. 111) Amends the Internal Revenue Code (IRC) to allow a personal interest deduction for qualified medical education loan interest which accrues while the physician is providing primary care to medically underserved rural area residents. (Sec. 112) Amends the Public Health Service Act (PHSA) to add the ratio of medically underserved individuals in a health professional shortage area to the aggregate population of all such areas to the exclusive factors considered in determining the greatest shortages in the assignment of National Health Service Corps members. Subtitle C: Expansion of Exceptions to Limitations on Physician Self-Referrals - (Sec. 121) Amends SSA title XVIII to revise the exceptions to prohibitions on physician self-referrals. (Sec. 122) Mandates a study and report to the Congress on the changes in aggregate costs, under Medicare and other health plans, resulting from this subtitle. Title II: Provisions Relating to Hospitals - (Sec. 201) Amends SSA title XVIII to require rural hospital prospective payment system amounts for capital-related costs of inpatient services to be based on either reasonable costs or the payment methodology used for other hospitals, as elected by the hospital. (Sec. 202) Amends the Omnibus Budget Reconciliation Act (OMBRA) of 1989 to extend referral centers. Removes Medicare provisions relating to exceptions and adjustments in certain payments for regional and national referral centers. Provides that the disproportionate share adjustment percentage be determined, in certain circumstances, as though such provisions had not been removed. (Sec. 203) Shields from certain antitrust laws specified actions of hospitals meeting described requirements. Title III: Miscellaneous Provisions - Subtitle A: Administrative Simplification - (Sec. 301) Requires health benefit plans to: (1) issue health claims cards; (2) provide information to appropriate health claims clearinghouses on individual eligibility for benefits; and (3) accept clearinghouse determinations on clean claims. (Sec. 302) Requires health service providers to submit claims only to the appropriate clearinghouse in a manner consistent with this Act. Imposes civil penalties for violation of such requirements. Requires each hospital, as a Medicare participation agreement requirement, to report information in a manner consistent with OMBRA of 1987. (Sec. 303) Requires: (1) designation of certain clearinghouse areas; and (2) a separate contract in each area with an organization to perform clearinghouse functions. (Sec. 304) Mandates standards for: (1) uniform health claims cards; and (2) information required for claims acceptance and payment. Requires the Secretary to develop computer software for provider inquiries, responses, and electronic claims submission and for uniform hospital reporting. (Sec. 305) Amends IRC to impose a tax on the failure of any group health plan to meet certain requirements of this title. Subtitle B: Other Provisions - (Sec. 311) Amends PHSA to require certain demonstration projects in rural areas invovling trauma care to include specified elements. (Sec. 312) Authorizes the use of certain funds for grants to nursing schools for the establishment of clinics to provide primary care services in medically underserved rural areas and related training. Requires a study on reducing the burden of federally conducted or sponsored health care services information collection requests.
United States · United States Congress · 5 January 1993
TABLE OF CONTENTS: Title I: Immediate Health Care Reforms Title II: National Health Care Reform Proposals American Consumers Health Care Reform Act of 1993 - Title I: Immediate Health Care Reforms - (Sec. 101) Amends title XIX (Medicaid) of the Social Security Act to modify eligibility, coverage, and cost-sharing requirements and the Federal medical assistance percentage. Terminates certain payments to States. Mandates standards for long-term care plans. Establishes an assistance program for Medicaid acute care services and cost-sharing. Requires Medicaid payments for certain services to be the same as under title XVIII (Medicare) of the Social Security Act. Mandates encouragement of managed care. (Sec. 111) Provides for the consolidation of Medicare parts A (Hospital Insurance) and B (Supplementary Medical Insurance) administration. (Sec. 121) Preempts State mandatory benefits and anti-managed care laws. Restricts preexisting condition limitations. Institutes small employer insurance market reforms. (Sec. 127) Amends the Internal Revenue Code to impose a tax on the failure of carriers or small employers to comply with standards. (Sec. 131) Provides for medical malpractice reforms. (Sec. 171) Amends the Social Security Act to authorize appropriations regarding research on outcomes of health care services and procedures. (Sec. 181) Amends Medicare and Public Health Service Act provisions to provide for primary care physician education. (Sec. 183) Mandates health care delivery system reforms. (Sec. 187) Provides for the consolidation of Federal nutrition activities. (Sec. 188) Establishes demonstration projects on informed decision making regarding the use of expensive life-sustaining technology. Authorizes appropriations. (Sec. 191) Mandates standards for the collection and disclosure of health care data. Authorizes appropriations. (Sec. 198) Amends the Internal Revenue Code to allow businesses, employees, and self-employed individuals deductions for health coverage, up to the minimum benefit package. Title II: National Health Care Reform Proposals - (Sec. 201) Establishes the National Health Care Reform Commission to develop national health care goals to improve access to health care, safeguard and improve quality, and control costs. (Sec. 211) Establishes demonstration projects on alternative structures for the U.S. health care financing and delivery system.
United States · United States Congress · 5 January 1993
Congressional Accountability Act - Makes applicable to the Congress the following Federal laws to the extent they relate to the terms and conditions of employment, the health and safety of employees, and the rights and responsibilities of employers and employees: (1) Social Security Act; (2) National Labor Relations Act; (3) Fair Labor Standards Act of 1938; (4) Civil Rights Act of 1964; (5) Age Discrimination in Employment Act of 1967; (6) Occupational Safety and Health Act of 1970; (7) title IX of the Education Amendments of 1972; (8) Rehabilitation Act of 1973; (9) Privacy Act of 1974; (10) Age Discrimination Act of 1975; (11) Ethics in Government Act of 1978; and (12) Americans with Disabilities Act of 1990. Makes applicable to the Congress the Freedom of Information Act and specified provisions of Federal law relating to the independent counsel.
United States · United States Congress · 5 January 1993
Congressional Accountability Act - Makes applicable to the Congress the following Federal laws to the extent they relate to the terms and conditions of employment, the health and safety of employees, and the rights and responsibilities of employers and employees: (1) Social Security Act; (2) National Labor Relations Act; (3) Fair Labor Standards Act of 1938; (4) Civil Rights Act of 1964; (5) Age Discrimination in Employment Act of 1967; (6) Occupational Safety and Health Act of 1970; (7) title IX of the Education Amendments of 1972; (8) Rehabilitation Act of 1973; (9) Privacy Act of 1974; (10) Age Discrimination Act of 1975; (11) Ethics in Government Act of 1978; and (12) Americans with Disabilities Act of 1990. Makes applicable to the Congress the Freedom of Information Act and specified provisions of Federal law relating to the independent counsel.
United States · United States Congress · 5 January 1993
Civil Rights Act of 1993 - Makes it unlawful to discriminate on account of a person's sexual orientation in employment, education, credit, housing, the sale or use of goods or services, with respect to any public facility, or in any federally assisted program or activity.
United States · United States Congress · 5 January 1993
TABLE OF CONTENTS: Title I: Amendments to the Federal Water Pollution Control Act Title II: Improved Wetlands Permitting; Revisions to Wetlands Delineation Procedures Title III: Wetlands Restoration Program Title IV: Tax Incentives for Wetlands Conservation Wetlands Reform Act of 1993 - Title I: Amendments to the Federal Water Pollution Control Act - Amends the Federal Water Pollution Control Act to make any pollutant discharge or alteration of navigable waters unlawful. Authorizes the issuance of permits for other alterations of navigable waters. Prohibits the issuance of permits if there is a practical alternative to the proposed activity that would have less adverse impact on navigable waters. Title II: Improved Wetlands Permitting; Revisions to Wetlands Delineation Procedures - Directs the Comptroller General to submit to the Congress an analysis of needs of the Corps of Engineers and Environmental Protection Agency for additional personnel, administrative resources, and funding to improve implementation of the wetlands permit program. Requires funds to be used for specified wetlands delineation and education programs. Requires the Director of the Fish and Wildlife Service to use funds for wetlands mapping and for the delineation of wetlands in watersheds and ecosystems for which the need for delineation is particularly acute. Prohibits revisions to or clarifications of any Federal manual for identifying and delineating jurisdictional wetlands or regulations related to the definition, delineation, or identification of wetlands until a specified National Academy of Sciences study has been completed. Title III: Wetlands Restoration Program - Directs the Secretary of the Army to initiate a pilot program of wetlands restoration. Title IV: Tax Incentives for Wetlands Conservation - Directs the Secretary of the Interior to designate a nonprofit organization to be a Wetlands Stewardship Trust if such organization conforms to certain regulations, and includes among its primary purposes the acquisition of interests in wetlands, former wetlands, and associated real property for preservation purposes. Amends the Internal Revenue Code to set forth special rules for charitable contributions of wetlands to such trusts. Excludes from gross income amounts received by the owner of wetlands for allowing any person to use such lands in a compatible use (one that does not degrade the functions or values of such lands).
United States · United States Congress · 5 January 1993
TABLE OF CONTENTS: Title I: Cost Containment Subtitle A: National Health Budget Subtitle B: State Provider Payment Control System Subtitle C: Maximum Payment Rates for Services Not Subject to State Provider Payment Control Systems or Provided by Staff or Group Model Health Maintenance Organizations Title II: Managed Care And Managed Competition Subtitle A: Managed Care Subtitle B: Managed Competition Subtitle C: National Patient Outcomes and Enrollee Satisfaction Data Reporing Program Subtitle D: Study of Universal Health Insurance Coverage and Cost Containment Title III: Health Systems Reform Subtitle A: Health Insurance Reform Subtitle B: Administrative Simplification Subtitle C: Fraud and Abuse Subtitle D: Other Provisions Title IV: Expansions Of Health Benefits And Other Health Initiatives Subtitle A: Medicaid Benefit Improvements Subtitle B: Expansion of Medicare Benefits Subtitle C: Health Insurance Deduction for the Self-Employed Subtitle D: Health Insurance Program for Children Health Care Cost Containment and Reform Act of 1993 - Title I: Cost Containment - Subtitle A: National Health Budget - (Sec. 101) Establishes a national health expenditure budget for each calendar year beginning with 1995 that is composed of separate budgets for both Medicare (title XVIII of the Social Security Act (SSA)) and non-Medicare related health care expenditures. Sets forth guidelines for the Secretary of Health and Human Services (HHS) to use in computing budget baselines for 1994. (Sec. 102) Provides for the establishment of classes of health care services. (Sec. 103) Requires the Secretary to allocate such respective budgets each year among such classes. (Sec. 104) Requires the Secretary to adjust budgets and allocations for changes in Medicare coverage under title IV of this Act that have resulted in increased expenditures for Medicare services. (Sec. 105) Requires the Secretary to establish a national health expenditures reporting system for purposes of carrying out this title. Subtitle B: State Provider Payment Control Systems - (Secs. 121 and 122) Gives States the option of establishing systems (State systems) to provide payment rates for hospital, physician, and other services covered under the State system (for which the maximum payment rates established below shall not apply) and provided in the State. Allows States to permit health maintenance organizations (HMOs) to negotiate directly with providers of covererd services with respect to the HMO's rate of payment for such services. (Sec. 123) Makes approval of a State system depend on State assurances that: (1) aggregate Medicare expenditures for a covered class of services will not exceed a certain limit; and (2) the sum of aggregate Medicare and non-Medicare expenditures for the class (or classes) will not exceed a specified maximum. (Sec. 124) Authorizes sanctions against State systems with aggregate expenditures in excess of specified applicable limits. Subtitle C: Maximum Payment Rates for Services Not Subject to State Provider Payment Control Systems or Provided by Staff or Group Model Health Maintenance Organizations - (Secs. 140, 141, 142, and 143) Provides for the establishment and general application and enforcement of maximum non-Medicare payment rates in States which have not opted to participate in State systems. Exempts services provided by staff or group model (S/GM) HMOs from such rates. (Secs. 151 and 152) Details various methodologies for determining maximum non-Medicare rates of payment for inpatient hospital services, class of physicians' services and other professional medical services. (Secs. 155, 161, and 162) Provides for: (1) development of prospectively-determined payment methodologies for each class of services for which non-Medicare payment rates are not specified and are not determined on a prospective basis; (2) conforming Medicare payment rates to Medicare health expenditure allocations; and (3) adjustments to Medicare payments for graduate medical education. Title II: Managed Care and Managed Competition - Subtitle A: Managed Care - (Sec. 203) Repeals the termination date set under the Health Maintenance Organization Amendments of 1988 for dual choice requirements under the Public Health Service Act (PHSA). (Sec. 204) Amends PHSA to revise such requirements to provide for multiple options of 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. (Sec. 205) Requires the Secretary to provide for grants for the establishment and initial operation of S/GM HMOs. Authorizes appropriations. (Sec. 206) Preempts State law provisions that restrict the ability of an HMO to negotiate reimbursement rates with providers (except in States with payment provider control systems) or to contract selectively with one provider or a limited number of providers. (Sec. 207) Amends SSA to provide for adjustment in Medicare capitation payments to account for regional variations in application of secondary payor provisions. (Sec. 208) Requires a General Accounting Office (GAO) study and report to the Congress on additional measures for HMO development and expansion. Subtitle B: Managed Competition - (Secs. 221, 223, and 224) Provides for grants to States for the establishment of a new system of health plan purchasing cooperatives (HPPCs) in each State through which coverage under qualified managed-care health plans is made available for an employee whose employer has entered into an agreement with the HPPC for the area where the employee resides. Authorizes appropriations. Subtitle C: National Patient Outcomes and Enrollee Satisfaction Data Reporting Program - (Secs. 271, 272, and 273) Requires the Secretary to: (1) establish national data bases on patient outcomes and enrollee health plan satisfaction from information reported annually to the Secretary by health benefit plans; (2) publish and distribute annual reports regarding patient outcomes and enrollee health plan satisfaction; and (3) provide for various research and demonstration projects. Authorizes appropriations. Subtitle D: Study of Universal Health Insurance Coverage and Cost Containment - (Sec. 291) Requires the Congressional Budget Office to study and report to specified congressional committees on options for providing universal health insurance coverage. Title III: Health Systems Reform - Subtitle A: Health Insurance Reform - (Sec. 301) Amends the Internal Revenue Code (IRC) to impose an excise tax on any health benefit plan that is not certified under this Act or is providing coverage in violation of certain requirements discussed below. Specifies the amount of and liability for such tax. (Sec. 302) Amends SSA to provide 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) small employer plans; (4) insured health benefit plan enrollment, issuance, and renewal; (5) use of community-rated premium rates for insured plans; (6) minimum insured plan periods; (7) payment of commissions; and (8) insured plans that are multiple employer welfare arrangements. (Sec. 303) 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 - (Secs. 321, 322, 323, 324, and 325) Requires each health benefit plan to issue to each U.S. resident entitled to benefits under the plan a uniform health claims card that meets specified requirements. Mandates: (1) entitlement verification systems; and (2) uniform electronic claims submission and hospital cost reporting. Provides for standards for entitlement verification systems and uniform electronic claims submission and hospital medical records transmission. Sets forth enforcement provisions. Subtitle C: Fraud and Abuse - (Sec. 341) Requires the Secretary to establish in the Office of Inspector General a program to coordinate law enforcement programs to control health care fraud and abuse and facilitate SSA and other statutory enforcement of health care fraud and abuse prohibitions. Creates in the Treasury the Anti-Fraud and Abuse Trust Fund. Authorizes appropriations. (Secs. 341 and 342) Amends SSA title XI to: (1) permit the exclusion from participation in Medicare and any State health care program (SHCP) for any failure under such Inspector General program to supply requested information; (2) provide for the application of Federal anti-fraud and abuse sanctions to all fraud and abuse involving any health benefit plan; (3) add treble damages to the list of criminal penalties for acts involving Medicare, SHCPs, or health benefit plans; and (4) require the Secretary to make law enforcement officers aware of opportunities that may satisfy court imposed community service obligations for Medicare or SHCP fraud and abuse convictions. (Sec. 343) Subjects to SSA civil monetary penalties any offer of inducements to individuals enrolled under or employed by Medicare or other health programs or plans. (Sec. 344) Provides for intermediate sanctions for HMO Medicare violations. Requires: (1) agreements between HMOs and peer review organizations (PROs) to be written; and (2) a GAO study and report to the Congress on the cost of HMO and PRO agreements. (Sec. 351 and 352) Extends the ban on Medicare payment for physician self-referrals to all payors and additional specified services. (Sec. 353) Makes changes in exceptions and other provisions relating to compensation arrangements under Medicare. Subtitle D: Other Provisions - (Sec. 361) Requires the Physician Payment Review Commission to study and report to the Congress on: (1) tort reforms needed with respect to medical malpractice liability claims; and (2) the impact of such reforms on health care expenditures and access. Title IV: Expansions of Health Benefits And Other Health Initiatives - Subtitle A: Medicaid Benefits Improvements - (Sec. 401) Sets a floor on Medicaid payment levels for inpatient hospital services and physician services. (Sec. 402) Provides for expanded Medicaid eligibility for certain low-income individuals. (Sec. 403) Provides for full Federal payment for newly mandated Medicaid expenditures. Subtitle B: Expansion of Medicare Benefits - (Secs. 411, 412, 413, 414, and 421) Provides for Medicare coverage of annual breast cancer screening for women over age 64, colon cancer screening, child immunizations, prescription drugs, and well-child care. (Sec. 421) Authorizes demonstration projects for coverage of other specified preventive services under Medicare. Authorizes appropriations. (Sec. 422) Requires the Director of the Office of Technology Assessment to provide for a Prescription Drug Payment Review Commission which shall report annually to the Congress on methods for prescription drug payment. Authorizes appropriations. (Sec. 423) Provides for coverage of prescription drugs for qualified Medicare beneficiaries and qualified disabled and working individuals. (Sec. 431) Requires the Secretary to: (1) determine whether newly eligible Medicare beneficiaries are eligible for Medicaid (SSA title XIX) payment of their out-of-pocket Medicare expenses; and (2) enroll in Medicaid those beneficiaries determined to be so eligible. Amends SSA to require annual notices of Medicare benefits to contain information on Medicaid payment of out-of-pocket Medicare expenses. Subtitle C: Health Insurance Deduction for the Self-Employed - (Sec. 441) Amends the IRC to make permanent and increase the deduction for self-employed individuals' health insurance costs. Subtitle D: Health Insurance Program for Children - (Sec. 451) Amends SSA to make children under age 19 who are U.S. citizens or permanent residents eligible to enroll for specified health benefits (generally the same as those under Medicare for the aged and disabled, plus well-child services). Creates in the Treasury the Children's Health Insurance Fund. Authorizes appropriations.
United States · United States Congress · 5 January 1993
Police Corps and Law Enforcement Training and Education Act - Establishes within the Department of Justice an Office of the Police Corps and Law Enforcement Education to be headed by a Director. Requires States desiring to participate in the Police Corps to designate a lead agency and submit a plan containing assurances with respect to: (1) lead agency cooperation with other State and local agencies; (2) State advertising of assistance available; (3) State screening and selection of law enforcement personnel for participation in the program; and (4) compliance with other specified requirements. Authorizes the Director to award college scholarships (including direct payments to institutions and reimbursement of educational costs) to participants who agree to work for four years in a State or local police force after completion of a baccalaureate program and police corps training. Sets forth provisions regarding: (1) scholarship assistance for dependent children of law enforcement officers; (2) the selection of participants; (3) minority recruitment; and (4) leaves of absence. Requires the Director to establish up to three training centers to provide basic law enforcement training to State Police Corps program participants. Requires participants to attend two eight-week training sessions and to meet performance standards in order to remain in the program. Requires payment of a weekly stipend during training. Requires a State to submit a plan for implementing such program to the Director for approval. Requires such plan to: (1) include assurances that participants will receive additional State or local training after completing Federal training which shall count toward the four-year service obligation; and (2) provide that program participants shall be assigned to geographic areas with the greatest need for additional law enforcement personnel. Provides for the swearing in of participants as members of the police force to which they are assigned after completing Federal training and meeting the requirements of that police force. Requires the Director to report annually on the program to the Attorney General, the President, and specified congressional officials. Authorizes appropriations.
United States · United States Congress · 5 January 1993
Amends the Higher Education Act of 1965 to prevent double-counting of income in the conduct of needs analysis for student assistance programs under such Act.
United States · United States Congress · 5 January 1993
National Youth Apprenticeship Opportunity Act of 1993 - Establishes a national system of support for State youth apprenticeship programs that: (1) integrate academic and work-based learning; (2) provide for work-site learning and paid work experience; (3) are offered to students (16 years old or older) beginning in the 11th grade; and (4) are intended to result in receipt of a high school diploma and an approved certificate of competency, and, as appropriate, entry into a postsecondary program, a program registered under the National Apprenticeship Act, or permanent employment. Requires State boards of vocational education that receive funds under this Act to make grants to local educational agencies (LEAs) for such programs. Sets forth program responsibilities of LEA grantees. Directs the Secretary of Education (the Secretary) to: (1) make such program grants to States; (2) establish, in the Department of Education, an Information Clearinghouse on Youth Apprenticeships; and (3) identify at least three successful youth apprenticeship programs to serve as models. Directs the Secretary of Labor to: (1) provide technical assistance to the Secretary upon request; and (2) study and report to specified congressional committees on the feasibility of establishing national occupational standards to measure achievement and skills mastery demonstrated by students who complete youth apprenticeships. Authorizes appropriations.
United States · United States Congress · 5 January 1993
TABLE OF CONTENTS: Title I: Market Development Title II: Capital Formation Title III: Management Educational Development Title IV: Research and Information Title V: Administrative and Other Powers of the Administration; Miscellaneous Provisions Minority Business Development Act of 1993 - Redesignates the Minority Business Development Agency in the Department of Commerce as the Minority Business Development Administration. Title I: Market Development - Empowers the Administration to: (1) assist disadvantaged businesses in penetrating domestic and foreign markets; and (2) encourage disadvantaged firms to establish joint ventures and projects to increase their share of the market. Exempts from the antitrust laws and the Federal Trade Commission Act any act within the scope of any approved joint program for market development. Authorizes the Administration to provide financial assistance to public and private entities to carry out this Act. Title II: Capital Formation - Authorizes the Administration to defray all or part of the costs of pilot projects conducted by public or private organizations and designed to assist disadvantaged businesses in obtaining equity capital. Directs the Administration to study and report to specified congressional committees on alternatives for providing capital formation assistance to qualified disadvantaged businesses. Title III: Management Educational Development - Requires the Administration to: (1) encourage universities, business leaders, and other entities to offer scholarships, sponsor seminars, and provide internships for the benefit of disadvantaged individuals; and (2) accelerate curriculum design in support of disadvantaged business development. Title IV: Research and Information - Authorizes the Administration to: (1) provide financial assistance to public and private organizations to assist the Administration in collecting data on the causes for success and failure of disadvantaged businesses and in conducting research on how economic conditions affect their development; (2) develop a data bank on disadvantaged businesses; and (3) establish an information clearinghouse for pertinent data. Title V: Administrative and Other Powers of the Administration; Miscellaneous Provisions - Sets forth the administrative powers of the Administration. Authorizes appropriations.
United States · United States Congress · 5 January 1993
TABLE OF CONTENTS: Title I: Bank Community Development Inventives Title II: Housing and Small Business Finance Title III: Credit Union Amendments Title IV: Bank Enterprise Act Enhancements Title V: Consumer Education Community Development Banking Act of 1993 - Title I: Bank Community Development Incentives - (Sec. 101) Amends the Community Reinvestment Act of 1977 (CRA) to direct the Federal Financial Institutions Examination Council (FFIEC) to establish standards, according to prescribed guidelines, to assess the record of a regulated financial institution in meeting its community credit needs, and for purposes of certain written evaluations and assigned ratings. (Sec. 102) Prescribes guidelines for community development investment activities for which a regulated financial institution or a depository institution holding company will be deemed to be in compliance with such Act. (Sec. 103) Amends the Bank Holding Company Act of 1956 to set forth notice procedures under which a bank holding company may acquire or control a community development corporation. (Sec. 104) Amends Federal banking law and the Home Owners' Loan Act to permit national banks and savings associations to organize, sponsor, or underwrite securities issued by investment companies that invest and trade only in securities issued by companies located and primarily doing business in qualified distressed communities. (Sec. 105) Amends the Bank Holding Company Act of 1956 to delineate conditions under which a bank holding company may acquire shares of any company located and primarily doing business in a qualified distressed community. (Sec. 106) Directs FFIEC to establish an annual awards program for outstanding efforts by insured depository institutions to meet the credit needs of their communities. (Sec. 107) Amends the Home Owners' Loan Act to modify the guidelines governing stock issuance by savings associations and holding companies. Title II: Housing and Small Business Finance - (Sec. 201) Amends the Federal Housing Enterprises Financial Safety and Soundness Act of 1992 to direct the Secretary of Housing and Urban Development (HUD) to establish separate specific sub-goals for the purchase by certain enterprises of mortgages originated by community development organizations with respect to: (1) low and moderate income housing; (2) special affordable housing; and (3) housing for underserved areas. (Sec. 202) Amends the Home Owners' Loan Act to include within the assets of a "qualified thrift investment" loans or extensions of credit for specified projects or small businesses located within a qualified distressed community. (Sec. 203) Amends the Small Business Act to authorize the Administrator to establish a model program to determine the feasibility of developing a private secondary market for certain guaranteed loans to enhance credit availability to small businesses (micro-loan guarantee demonstration program). Title III: Credit Union Amendments - (Sec. 301) Amends the Federal Credit Union Act to define and provide for "community development credit unions," which serve predominantly: (1) members whose median household incomes or wages fall below a certain level; and (2) low- and moderate-income minorities. Grants the National Credit Union Administration Board (NCUAB) additional authority with respect to the Community Development Credit Union Revolving Loan Fund. Title IV: Bank Enterprise Act Enhancements - (Secs. 401-402) Amends the Bank Enterprise Act of 1991 to: (1) make a community development bank eligible for community enterprise assessment credit for a specified period following approval of its initial charter; and (2) prescribe guidelines under which an insured depository institution servicing a qualified distressed community may engage in insurance transactions. (Sec. 402) Amends Federal banking law and the Home Owners' Loan Act to authorize a well-capitalized national bank or savings association serving a qualified distressed community to engage in transactions involving securities issued by any small business located in that community. (Sec. 403) Amends the Bank Enterprise Act of 1991 to: (1) set forth guidelines to determine a "qualified distressed rural community"; (2) include as part of any community enterprise assessment credit certain loans and assistance services provided to such communities; and (3) direct the Community Enterprise Assessment Credit Board to grant priority to qualified distressed communities when allocating funds. Title V: Consumer Education - (Sec. 501) Directs Federal banking regulatory agencies to encourage insured depository institutions to provide consumer education programs in qualified distressed communities. Permits consumer reporting agencies to indicate in their consumer reports those consumers in such distressed communities that have completed such programs.
United States · United States Congress · 5 January 1993
Amends the National School Lunch Act to remove the requirement that schools participating in the school lunch program offer students specified types of fluid milk (while retaining the requirement that they offer fluid milk).
United States · United States Congress · 5 January 1993
Directs the Secretary of Education to waive certain requirements for local effort in excess of $200,000 in awarding funds to the Winona R-III School District, Missouri, under Federal law relating to impact aid.
United States · United States Congress · 5 January 1993
Southeast Region African American Educator Institute Act - Authorizes the Secretary of Education to provide financial assistance to pay all of the cost of construction, and related expenses, for the establishment of the Southeast Region African American Educator Institute at Knoxville College, in Knoxville, Tennessee, to be used as a national and regional resource and education center. Authorizes appropriations.
United States · United States Congress · 5 January 1993
Amends title II (Old Age, Survivors and Disability Insurance) of the Social Security Act to exclude from amounts treated as wages in applying the earnings test remuneration for teaching in public elementary or secondary schools.
United States · United States Congress · 5 January 1993
Amends the Internal Revenue Code to allow a nonrefundable individual income tax credit for the educational expenses (tuition and supplies) of the taxpayer, spouse, or dependents at an eligible private elementary or secondary school, institution of higher education, or vocational school. Limits the credit to $1,000 per student per year.
United States · United States Congress · 5 January 1993
Amends the Internal Revenue Code to allow an individual income tax deduction of up to $1,000 per year for amounts paid for the higher education of the taxpayer or a dependent.
United States · United States Congress · 5 January 1993
TABLE OF CONTENTS Title I: Elementary and Secondary Education Program Authorized Title II: Amendments to Other Educational Programs Elementary and Secondary Education Amendments of 1993 - Title I: Elementary and Secondary Education Program Authorized - Amends the Elementary and Secondary Education Act of 1965 (ESEA) to extend for six years the authorizations of appropriations for ESEA programs, including: (1) basic grants under the title I Chapter 1 program of assistance for educationally disadvantaged children (including participation of children enrolled in private schools); (2) Even Start Family Literacy programs; (3) secondary school programs for basic skills improvement and dropout prevention and reentry; (4) funds for implementation of school improvement programs; (5) rural educational opportunities; (6) Federal, State, and local partnership for educational improvement (Chapter 2 programs); (7) Eisenhower Mathematics and Science Education assistance; (8) foreign language assistance; (9) magnet schools assistance; (10) women's educational equity; (11) gifted and talented children; (12) Ellender fellowships; (13) immigrant education; (14) the Secretary's fund for innovation in education, including instruction in history and principles of U.S. democracy; (15) Ready to Learn program; (16) basic skills improvement assistance; and (17) bilingual education programs. Title II: Amendments to Other Educational Programs - Extends the authorization of appropriations for the following programs under the following Acts: (1) Stewart B. McKinney Homeless Assistance Act, education for homeless adults, children, and youth; (2) the Follow Through Act, Follow Through programs; (3) impact aid to local educational agencies, under specified Federal laws; (3) the Indian Education Act, assistance to local educational agencies, improvement of education for Indian children, training for their teachers, fellowships for Indian students, gifted and talented, and improvement of education for adult Indians; (4) the Refugee Education Assistance Act of 1980, refugee and immigrant education; (5) education for Native Hawaiians, under specified Federal law; (6) the Education for Economic Security Act, partnerships in education for mathematics, science, and engineering, and the Star Schools program; (7) the General Education Provisions Act, the National Center for Education Statistics; (8) the Fund for the Improvement and Reform of Schools and Teaching Act, the fund under such Act; and (9) the Education Council Act of 1991, the National Writing Project.
United States · United States Congress · 5 January 1993
Federal and Postal Service Employees Occupational Safety and Health Act of 1993 - Creates a new occupational safety and health program for Federal and Postal Service employees. Outlines the rights and obligations of each executive agency and Postal Service employee regarding workplace safety. Revises agency authority for establishing health and safety programs to require: (1) agency and Postal Service compliance with occupational safety and health standards and rules, regulations, and orders issued pursuant to this Act or the Occupational Safety and Health Act of 1970; and (2) appointment of an agency and Postal Service Designated Agency Safety and Health Officer and health and safety committees to assist in the agency-wide health and occupational safety programs and worksite inspections mandated under this Act. Directs the Secretary of Labor to conduct random, unannounced health and safety inspections of executive agency and Postal Service workplaces and, upon completion of an inspection, to issue citations if necessary to bring the agency into compliance with this Act or the Occupational Safety and Health Act of 1970. Provides for penalties for agency and Postal Service violations of such Acts. Directs the Secretary to establish within the Department of Labor an Office of Federal Programs which shall have jurisdiction on behalf of the Secretary over this Act and which shall be headed by an Assistant Deputy Secretary of Labor. Directs the President to appoint a Special Counsel for Federal Occupational Safety and Health Enforcement for the Labor Department. Authorizes such official to petition any court of appeals of the United States for the enforcement of any Occupational Safety and Health Review Commission order. Requires the Administrator of the General Services Administration, upon request of an executive agency or the Postal Service, to investigate any report of unsafe or unhealthy conditions in a facility provided by the Administrator. Requires the Administrator to maintain a log of any report by an executive agency of any unsafe or unhealthy condition in a building occupied by the agency and provided by the Administrator. Prohibits the Administrator from providing any agency with space which contains any hazards or conditions which violate this Act or the Occupational Safety and Health Act of 1970. Subjects any lease of a building to an executive agency which is entered into by a private person under the Administrator's direction to the requirements of this paragraph and the Occupational Safety and Health Act of 1970. Establishes in the Treasury the Federal Occupational Safety and Health Training Fund for financing agency training and education programs in occupational safety and health. Outlines specific requirements applicable to Postal Service occupational safety and health programs.
United States · United States Congress · 5 January 1993
TABLE OF CONTENTS: Title I: Improved Access to Affordable Health Care Coverage Subtitle A: Increased Affordability and Availability for Employees Subtitle B: Improved Small Employer Purchasing Power of Affordable Health Insurance Subtitle C: Health Deduction Fairness Subtitle D: Improved Access to Community Health Services Subtitle E: Improved Access to Rural Health Services Title II: Health Care Cost Containment and Quality Enhancement Subtitle A: Medical Malpractice Liability Reform Subtitle B: Administrative Cost Savings Subtitle C: Medical Savings Accounts (Medisave) Subtitle D: Medicaid Program Flexibility Subtitle E: Limitations on Physician Self-Referrals Subtitle F: Removing Restrictions on Managed Care Subtitle G: Medicare Payment Changes Subtitle H: Limitation of Antitrust Recovery for Certain Hospital Joint Ventures Subtitle I: Encouraging Enforcement Activities of Medical Self-Regulatory Entities Action Now Health Care Reform Act of 1993 - Title I: Improved Access to Affordable Health Care Coverage - (Sec. 102) Preempts inconsistent State laws. (Sec. 103) Requires small employer health insurance carriers to offer a MedAccess basic plan (providing only benefits for essential preventive and medical services and having an actuarial value not over 60 percent of a MedAccess standard plan) and a MedAccess standard plan (providing benefits typical of the small employer market). Amends the Internal Revenue Code (IRC) to tax the failure of a carrier or plan to comply with related standards. Mandates: (1) acceptance of every small employer and full-time employee; or (2) in States that so provide, allocation of risk. (Sec. 104) Regulates pre-existing condition requirements, premiums, rating practices disclosure, minimum participation requirements, and renewability. (Sec. 108) Mandates development of models for reinsurance or allocation of risk mechanisms. Requires State (or Federal) establishment of at least one mechanism in each State. Amends the IRC to impose a tax in any such Federal reinsurance State. (Sec. 110) Establishes the Office of Private Health Care Coverage and a related advisory committee. (Sec. 111) Authorizes research and demonstration projects on the impact of these provisions on the availability of affordable small employer coverage. Requires: (1) methods for measuring the relative health risks of eligible individuals; and (2) a model for equitably distributing health risks among small employer carriers. Authorizes appropriations. (Sec. 121) Preempts State laws: (1) requiring the offering of health plans providing certain services; and (2) prohibiting employer groups from purchasing health insurance. (Sec. 131) Amends the IRC to increase and make permanent deductions for the health insurance costs of self-employed individuals. (Sec. 141) Amends the Public Health Service Act (PHSA) to provide for grants to: (1) migrant and community health centers and to entities providing health services for the homeless to promote primary health services for underserved individuals; and (2) increase access to outpatient primary services in certain geographic areas. Authorizes appropriations. (Sec. 171) Changes the heading of title XII (Trauma Care) of the PHSA to "Emergency Medical Services" and makes similar changes to references within the title. (Sec. 172) Authorizes grants to States for State offices of emergency medical services. (Sec. 173) Requires projects under existing provisions to include demonstrations on telecommunications between rural medical facilities and other medical facilities with useful expertise or equipment. (Sec. 174) Authorizes appropriations to carry out specified provisions of title XII. (Sec. 181) Mandates grants to States for rural air medical transport systems. Authorizes appropriations. (Sec. 191) Amends title XVIII (Medicare) of the Social Security Act to extend special payments for the inpatient services of small, rural Medicare-dependent hospitals. Title II: Health Care Cost Containment and Quality Enhancement - (Sec. 211) Reforms medical malpractice regarding: (1) a statute of limitations; (2) use of alternative dispute resolution systems (ADRs), including for claims against the United States; (3) settlement offers and conferences; (4) noneconomic and punitive damages; (5) periodic payment for future damages; (6) mandatory offsets for collateral source payments; (7) contingent attorney's fees; (8) several and joint liability; (9) findings of negligence; (10) practice guidelines sanctioned as affirmative defenses; (11) the standard of proof regarding certain labor and delivery circumstances; (12) supersedure of certain State laws; and (13) establishment and certification of State ADRs. (Sec. 241) Amends title II (Old Age, Survivors, and Disability Insurance) (OASDI) of the Social Security Act to authorize appropriations for sanctioning guidelines as affirmative defenses. Mandates: (1) research and demonstrations on the use of data on malpractice actions; and (2) development of a standard reporting form for State ADRs in transmitting information on disputes resolved. (Sec. 242) Authorizes State professional disciplinary agencies to make agreements with professional societies to allow the societies to: (1) participate in licensing; and (2) review malpractice allegations or other information on the practice patterns of a practitioner. (Sec. 243) Requires each health professional and provider to participate in a risk management program. (Sec. 244) Mandates grants: (1) for basic research on malpractice prevention and compensation and outcomes research; (2) to States to improve licensing and discipline; and (3) for public education on appropriate health care use and realistic expectations, public education on the resources and role of licensing and disciplinary boards, and development of faculty training and curricula regarding quality assurance, risk management, and medical injury protection. Authorizes appropriations. (Sec. 245) Mandates a study on factors preventing or discouraging physicians from volunteering in medically underserved areas. (Sec. 251) Regulates: (1) data elements, uniform claims forms, and uniform electronic transmission of data elements; (2) provider claims submission; and (3) hospital and non-hospital electronic medical data. (Sec. 262) Requires hospitals, in order to participate in Medicare, to maintain and electronically transmit clinical data on patients in a set of electronic comprehensive data elements. (Sec. 263) Provides for electronic transmission of data elements to Federal agencies. (Sec. 264) Prohibits plans from requiring that a provider provide any data element not in the set or transmit any data element in a manner inconsistent with standards. (Sec. 265) Establishes an advisory commission. Authorizes appropriations. (Sec. 271) Provides for a comparative health care value program in each State. Authorizes grants and appropriations. (Sec. 273) Requires each Federal agency concerned with health insurance or care to develop comparative value information. (Sec. 274) Mandates model systems for the gathering and analysis of data on health care cost, quality, and outcome. Authorizes appropriations. (Sec. 281) Provides for standards regarding Medicare and Medicaid identification cards. Establishes a Medicare and Medicaid system to provide information on primary payors. Authorizes appropriations. (Sec. 282) Nullifies any State law requiring that medical or health insurance records be maintained in written rather than electronic form. (Sec. 283) Provides for standards regarding: (1) beneficiary and provider identification numbers; and (2) coordination of benefits. (Sec. 285) Mandates grants to demonstrate the application of comprehensive information systems in continuously monitoring patient care and improving patient care. Authorizes appropriations from the Federal Hospital Insurance Trust Fund. Authorizes grants for: (1) communication links between plan and provider information systems; (2) regional or community-based clinical information systems; and (3) developing and testing, for physicians and non-hospital entities, the definition of a comprehensive data set and the specification and presentation of individual data elements. Authorizes appropriations. (Sec. 291) Amends the IRC to exclude from an employee's gross income any amount contributed by the employer to a trust created exclusively to pay an individual's medical expenses (medical savings account). Sets contribution limits. Subjects the employee to taxation as owner of the account. (Sec. 301) Amends Medicaid provisions to modify contracting requirements for coordinated care services. (Sec. 311) Amends Medicare provisions to extend physician self-referral limitations to all payors and certain additional services. Revises exceptions. (Sec. 314) Mandates a study to estimate the changes in aggregate costs that will result from the amendments made by these provisions. (Sec. 321) Preempts managed care restrictions under State law. Mandates a study of managed care benefits and cost effectiveness. (Sec. 331) Amends Medicare provisions to revise the method for determining prospective payment updates to hospitals. (Sec. 332) Lowers the limitation amount and suspends certain annual adjustments regarding clinical diagnostic laboratory tests. (Sec. 343) Limits antitrust recovery to actual damages if certain requirements are met, including the filing and publication of information regarding hospital joint ventures. (Sec. 345) Establishes the Interagency Committee on Competition, Antitrust Policy, and Health Care. (Sec. 351) Prohibits, subject to exception, damages and other recovery under the Clayton Act or similar State laws from a medical self-regulatory entity engaging in standard setting or enforcement activities designed to promote the quality of health care and not conducted for financial gain.
United States · United States Congress · 5 January 1993
Congressional Accountability Act - Makes applicable to the Congress the following Federal laws to the extent they relate to the terms and conditions of employment, the health and safety of employees, and the rights and responsibilities of employers and employees: (1) Social Security Act; (2) National Labor Relations Act; (3) Fair Labor Standards Act of 1938; (4) Civil Rights Act of 1964; (5) Age Discrimination in Employment Act of 1967; (6) Occupational Safety and Health Act of 1970; (7) title IX of the Education Amendments of 1972; (8) Rehabilitation Act of 1973; (9) Privacy Act of 1974; (10) Age Discrimination Act of 1975; (11) Ethics in Government Act of 1978; and (12) Americans with Disabilities Act of 1990. Makes applicable to the Congress the Freedom of Information Act and specified provisions of Federal law relating to the independent counsel.
United States · United States Congress · 5 January 1993
Congressional Accountability Act of 1993 - Makes applicable to the Congress the following Federal laws, to the extent that they relate to the terms and conditions of employment, the health and safety of employees, and the rights and responsibilities of employers and employees: (1) Social Security Act; (2) National Labor Relations Act; (3) Fair Labor Standards Act of 1938; (4) Civil Rights Act of 1964; (5) Age Discrimination in Employment Act of 1967; (6) Occupational Safety and Health Act of 1970; (7) title IX of the Education Amendments of 1972; (8) Rehabilitation Act of 1973; (9) Privacy Act of 1974; (10) Age Discrimination Act of 1975; (11) Ethics in Government Act of 1978; and (12) Americans with Disabilities Act of 1990. Makes applicable also to the Congress specified provisions of Federal law: (1) commonly referred to as the Freedom of Information Act; and (2) relating to independent counsel.
United States · United States Congress · 5 January 1993
Amends the Child Nutrition Act of 1966 (CNA) and the National School Lunch Act (NSLA) to extend certain authorities. Extends the authorization of appropriations under CNA for: (1) start-up costs for school breakfast programs; (2) State administrative expenses; (3) the special supplemental food program for women, infants, and children (WIC); and (4) nutrition education and training. Extends the authorization of appropriations under NSLA for: (1) the summer food service program for children; (2) a distribution program; (3) statewide demonstration projects under the child and adult care food program; (4) pilot projects; and (5) training, technical assistance, and the Food Service Management Institute.
United States · United States Congress · 5 January 1993
TABLE OF CONTENTS: Title I: Provisions Relating to Part A Title II: Provisions Relating to Part B Subtitle A: Physicians' Services Subtitle B: Ambulatory Surgical Services Subtitle C: Durable Medical Equipment Subtitle D: Other Provisions Title III: Provisions Relating to Parts A and B Title IV: Provisions Relating to Medicare Supplemental Insurance Policies Miscellaneous and Technical Medicare Amendments of 1993 - Amends title XVIII (Medicare) of the Social Security Act (SSA) parts A (Hospital Insurance) and B (Supplementary Medical Insurance). Title I: Provisions Relating to Part A - (Sec. 101) Requires the Secretary of Health and Human Services (HHS) to use the day outlier methodology in effect for: (1) FY 1992 for payment of discharges occurring on or after April 1, 1993, and before September 30, 1993; and (2) the first six months of FY 1993 for payment of discharges occurring during FY 1994. (Sec. 102) Modifies the Essential Access Community Hospital program. (Sec. 103) Provides that a change in classification of hospitals from one area to another may not result in a reduction in the wage index for an urban area under certain circumstances. (Sec. 104) Amends the Omnibus Budget Reconciliation Act of 1987 (OBRA-1987) to extend authorized appropriations for the rural health transition grant program. (The Omnibus Budget Reconciliation Acts of different years amended by this Act shall be denoted "OBRA-(year).") (Sec. 105) Permits hospitals to decline reclassification from rural to urban referral centers. (Sec. 106) Revises Medicare-dependent, small rural hospital payment provisions. (Sec. 107) Amends OBRA-1989 to extend additional Medicare payments for the hemophilia clotting factor. (Sec. 108) Prohibits the Secretary from recouping from or otherwise reducing Medicare payments to hospitals in New Jersey because of alleged overpayments during a hospital reimbursement demonstration project, until all relevant data are given to the State and hospitals located in it. (Sec. 109) Allows the care of hospital inpatients receiving qualified psychologist services to be supervised by a clinical psychologist to the extent such supervision is permitted under State law. (Sec. 110) Allows graduate medical education to be provided in a hospital-owned community health center. (Sec. 111) Requires a study on the feasibility and desirability of establishing joint medical facilities among the Department of Defense, the Department of Veterans' Affairs, and other public and private entities. (Sec. 112) Requires home health agencies and skilled nursing facilities to notify Medicare beneficiaries of the hospice benefit, except in certain circumstances. (Sec. 113) Directs the Secretary to begin collecting data on employee compensation and paid hours of employment in skilled nursing facilities (SNFs) to compute a wage index to adjust Medicare SNFs payments. (Sec. 115) Amends OBRA-1990 to require the Secretary to continue any rural hospital demonstration project at least through December 31, 1995. Title II: Provisions Relating to Part B - Subtitle A: Physicians' Services - (Sec. 201) Reinstates separate payment for electrocardiogram interpretations performed or ordered to be performed as part of or in conjunction with a visit to or consultation with a physician. (Sec. 202) Repeals provisions for reduced Medicare payments to new physicians and other practitioners during their first four years of practice. (Sec. 203) Prohibits the Secretary from modifying the methodology for determining the amount of time that may be billed under Medicare for anesthesia services. (Sec. 204) Requires the Secretary to study and report to specified congressional committees on the data necessary to review and revise geographical indices. (Sec. 205) Prohibits nonparticipating physicians and suppliers from billing or collecting an actual charge in excess of the Medicare limiting charge. (Sec. 206) Requires the Secretary to study, develop, and report to the Congress on relative values for pediatric services. (Sec. 208) Prohibits the Secretary and carriers from imposing user fees. Subtitle B: Ambulatory Surgical Services - (Sec. 211) Extends eligibility for designation as eye or eye and ear hospitals to certain hospitals. (Sec. 212) Amends OBRA-1990 to extend the cap on payments for intraocular lenses. Subtitle C: Durable Medical Equipment - (Sec. 221) Requires the Secretary to prescribe national standards which suppliers of medical equipment and supplies must meet to receive payment under Medicare for items furnished. (Sec. 222) Prohibits carrier forum shopping by suppliers filing claims. (Sec. 223) Prohibits unsolicited telephone contacts from suppliers of durable medical equipment to Medicare beneficiaries. (Sec. 224) Modifies SSA anti-kickback provisions. (Sec. 225) Specifies the circumstances under which Medicare beneficiaries are not liable for covered items furnished by suppliers on an unassigned basis. (Sec. 226) Revises special payment rules for particular items and services to provide for adjustments to final payment amounts for inherent reasonableness. (Sec. 227) Freezes reasonable charges for parenteral and enteral nutrients, supplies, and equipment. (Sec. 228) Removes aspirators and nebulizers from the category of durable medical equipment (DME) items requiring frequent and substantial servicing and includes accessories relating to aspirators and nebulizers in the category of inexpensive and other routinely purchased equipment. (Sec. 229) Adds payment rules for ostomy supplies, tracheostomy supplies, urologicals, and surgical dressings. (Sec. 230) Changes payment rates for tens devices. Subtitle D: Other Provisions - (Sec. 241) Revises payment conversion factors for services furnished by a medically directed certified registered nurse anesthetist. (Sec. 242) Amends OBRA-1990 to extend Alzheimer's disease demonstration projects. (Sec. 243) Modifies the limitation on the late enrollment penalty. (Secs. 244 and 245) Provides for Medicare coverage of: (1) oral cancer drugs that contain the same active ingredients as anticancer drugs covered by Medicare when administered intravenously; and (2) speech-language pathology and audiology services. (Sec. 246) Amends OBRA-1985, as amended by OBRA-1989, to extend municipal health service demonstration projects. (Sec. 247) Treats certain Indian health programs and facilities as federally-qualified health centers. (Sec. 248) Amends OBRA-1987 to extend the influenza vaccination demonstration project. Title III: Provisions Relating to Parts A and B - (Sec. 301) Modifies provisions relating to physician ownership and referral. Requires the Comptroller General to study and report to the Congress on shared facility arrangements. (Sec. 302) Adjusts procedures to determine graduate medical education costs. (Sec. 303) Extends the periods during which Medicare covers immunosuppressive drug therapy following a transplant procedure. Reduces Medicare payments for erythropoietin. (Sec. 304) Revises provisions with respect to Medicare secondary payers. (Secs. 305 and 306) Requires the Secretary to: (1) establish a method for obtaining information with a view to Medicaid payment of the Medicare out-of-pocket expenses of eligible Medicare beneficiaries; and (2) extend waivers for social health maintenance organization (HMO) demonstration projects. (Sec. 307) Repeals peer review organization precertification requirements for certain surgical procedures. (Sec. 308) Modifies hospital conditions of participation with respect to discharge planning under Medicare to require informing a patient of his or her entitlement to hospice services. (Sec. 309) Provides that there must be interest payments on clean claims if the claims are not paid within 30 days of receipt. (Sec. 311) Amends the Balanced Budget and Emergency Deficit Control Act of 1985 (Gramm-Rudman-Hollings Act) to adjust discretionary spending limits with respect to Medicare administrative costs. (Sec. 312) Adjusts Medicare capitation payments with respect to HMOs to account for regional variations in application of the secondary payor provisions. (Sec. 313) Amends the Employee Retirement Income Security Act of 1974 with regard to certain health care programs of the State of Hawaii. Title IV: Provisions Relating to Medicare Supplemental Insurance Policies - (Sec. 401) Revises certain standards for Medicare supplemental insurance policies.
United States · United States Congress · 5 January 1993
TABLE OF CONTENTS: Title I: Provisions Relating to the Medicare Program Subtitle A: Durable Medical Equipment Subtitle B: Medicare Secondary Payer Title II: Customs Officer Pay Reform Title III: Availability and Use of Death Information Under the Old-Age, Survivors, and Disability Insurance Program Title IV: PBGC Report on Employers with Underfunded Plans Title V: Taxpayer Bill of Rights 2 Subtitle A: Taxpayer Advocate Subtitle B: Modifications to Installment Agreement Provisions Subtitle C: Interest Subtitle D: Joint Returns Subtitle E: Collection Activities Subtitle F: Information Returns Subtitle G: Modifications to Penalty for Failure to Collect and Pay Over Tax Subtitle H: Awarding of Costs and Certain Fees Subtitle I: Other Provisions Subtitle J: Form Modifications; Studies Title VI: Other Internal Revenue Code Provisions Subtitle A: Extension of Authority for Undercover Operations; Cash-Transaction Reports Subtitle B: Provisions Relating to Exempt Organizations Title VII: Prohibition of Misuse of Department of the Treasury Names, Symbols, etc. Federal Program Improvement Act of 1993 - Title I: Provisions Relating to the Medicare Program - Subtitle A: Durable Medical Equipment - (Sec. 1001) Amends title XVIII (Medicare) of the Social Security Act (SSA) to set forth requirements concerning durable medical equipment (DME) supplier number issuance and renewal, and certificates of medical necessity and uniform national coverage and utilization criteria for certain DME. (Sec. 1001) Requires the Secretary of Health and Human Services (HHS) to study and report to the Congress on payment methodologies for: (1) DME under Medicare part B (Supplementary Medical Insurance) for disabled Medicare beneficiaries; and (2) prosthetic devices and orthotics and prosthetics under such part that do not require custom fitting and adjustment. (Secs. 1002 through 1007) Amends SSA title XVIII to: (1) revise procedures for processing Medicare DME claims; (2) place restrictions on certain marketing and sales activities of DME suppliers; (3) absolve Medicare beneficiaries from liability for payment of DME received from suppliers without suppliers numbers; (4) mandate fee schedule adjustments for amounts determined not to be inherently reasonable; and (5) revise formulae for payments for ostomy supplies, tracheostomy supplies, urologicals, surgical dressings, and tens devices. (Sec. 1008) Requires the Health Care Financing Administration (HCFA) to collect data on variations in DME supplier costs for which payment may be made under Medicare part B for a report to specified congressional committees which shall also contain HCFA recommendations for a geographic cost adjustment index for DME suppliers. (Sec. 1008) Requires the Comptroller General (CG) to report to specified congressional committees on supplier DME costs. Subtitle B: Medicare Secondary Payer - (Sec. 1101) Amends the Omnibus Budget Reconciliation Act of 1989 (OBRA-1989) to provide that certain Medicare secondary payer provisions regarding the treatment of employment in a religious order shall apply to items and services furnished before the effective date of such provisions in secondary payer cases not identified as of that date. (Sec. 1101) Makes changes to aid in the: (1) identification of Medicare secondary payer situations; and (2) recovery of erroneous Medicare payments from primary payers. Title II: Customs Officer Pay Reform - (Sec. 2001) Revises the pay system for U.S. customs service inspectors and provides canine enforcement officers overtime compensation in the same manner applicable to inspectors. (Secs. 2003 and 2005) Amends the Consolidated Omnibus Budget Reconciliation Act of 1985 with respect to customs user fee account reports and reimbursements. (Sec. 2005) Requires, for certain annual reports to specified congressional committees, a CG review of expenditures from the Customs User Fee Account and Treasury recommendations for improving the operation of user fee laws in financing inspectional services. Title III: Availability and Use of Death Information Under the Old-Age, Survivors, and Disability Insurance Program - (Sec. 3001) Amends SSA title II (Old Age, Survivors and Disability Insurance) to: (1) encourage States to enter into contracts to provide death information to the Social Security Administration; (2) authorize the Administration to redisclose such information to other Federal, State, and local agencies; and (3) restrict the use of social security numbers in motor vehicle registration and driver's license programs by States which do not provide for the exchange of death information. Directs the Secretary to study and report to specified congressional committees on possible improvements in the current methods of gathering and reporting death information by Federal, State, and local governments. Title IV: PBGC Report on Employers with Underfunded Plans - (Sec. 4001) Requires the Pension Benefit Guaranty Corporation to report annually to the Congress on employers with underfunded pension plans. Title V: Taxpayer Bill of Rights 2 - Taxpayer Bill of Rights 2 - Subtitle A: Taxpayer Advocate - (Sec. 5001) Amends the Internal Revenue Code to establish in the Internal Revenue Service (IRS) the Office of the Taxpayer Advocate to: (1) assist taxpayers in resolving problems with the IRS; (2) identify areas in which taxpayers have such problems; (3) propose changes in IRS administrative practices to mitigate such problems; and (4) identify appropriate legislative changes to mitigate such problems. (Sec. 5001) Replaces the IRS' Office of the Ombudsman with the Office of the Taxpayer Advocate. (Sec. 5002) Revises the terms of a Taxpayer Assistance Order. Subtitle B: Modifications to Installment Agreement Provisions - (Sec. 5101) Requires prior notification to taxpayers under an installment agreement to pay tax liability before altering, modifying, or terminating such an agreement. (Sec. 5102) Provides for administrative review of denials of requests for, or terminations of, installment agreements. Subtitle C: Interest - (Sec. 5201) Changes the rules for the abatement of interest attributable to IRS errors and delays. (Sec. 5202) Extends the period for which interest will not be imposed after notice and demand for payment, if such payment is less than $100,000. Subtitle D: Joint Returns - (Sec. 5301) Allows the disclosure of collection activities to an individual requesting such information in the case of a joint return where the individual is no longer married to, or no longer resides in the same household as, the other joint filer. (Sec. 5302) Removes limitations on filing a joint return after filing separate returns without full payment of tax. Subtitle E: Collection Activities - (Sec. 5401 and 5402) Authorizes the Secretary of the Treasury, in certain cases, to: (1) withdraw a notice of a lien; (2) return property that has been levied upon; and (3) offer compromises in civil or criminal cases. (Sec. 5403) Requires: (1) prior notification to the taxpayer that the taxpayer is under examination; and (2) an explanation of the process (except in specified cases). (Sec. 5404) Increases the dollar limit on the recovery of civil damages for unauthorized collection actions. (Sec. 5405) Revises provisions with respect to a designated summons concerning the standard of review and notice requirements for issuance. Subtitle F: Information Returns - (Sec. 5501) Requires payee statements to provide the telephone number of the person providing payment. (Sec. 5502) Establishes civil damages for fraudulent return filing. (Sec. 5503) Requires the Secretary to present reasonable and probative information concerning a deficiency in an information return by a third party, when such return is disputed in court by a taxpayer who has cooperated fully in the matter with the Secretary. Subtitle G: Modifications to Penalty for Failure to Collect and Pay Over Tax - (Sec. 5601) Establishes requirements for preliminary notices of failure to pay over tax. (Sec. 5602) Specifies the circumstances under which a person shall not be liable for any penalty for failure to collect and pay over tax. (Secs. 5603 and 5604) Requires the Secretary to: (1) disclose certain information where more than one person is liable for a penalty; and (2) ensure that IRS employees are aware of their responsibilities under the tax depository system, the circumstances under which they may be liable for penalties, and reporting responsibilities. (Sec. 5604) Exempts certain unpaid, volunteer board members of tax-exempt organizations from collection penalties. Subtitle H: Awarding of Costs and Certain Fees - (Sec. 5701) Allows a substantially prevailing taxpayer to file a motion for a court order for the disclosure of all relevant records held by the IRS. (Sec. 5702) Increases the limit on attorney fees. (Sec. 5703) Provides that any failure to agree to an extension of time for the assessment of any tax shall not be taken into account in determining whether a prevailing party has exhausted all administrative remedies. Subtitle I: Other Provisions - (Secs. 5801 and 5803) Revises provisions regarding the: (1) required content of tax due, deficiency, and other notices; and (2) retroactivity of IRS regulations and rulings. (Sec. 5802) Provides for the treatment of substitute returns made by the Secretary. (Sec. 5804) Requires notice to the taxpayer of the inability to associate any payment with any outstanding tax liability. (Sec. 5805) Allows damages for the unauthorized disclosure and enticement of disclosure of taxpayer information. Subtitle J: Form Modifications; Studies - (Secs. 5901 through 5903) Directs the Secretary to: (1) ensure that taxpayers are aware of permission to pay tax in installments, extensions of time for payment of tax, and compromises of tax liability; (2) improve procedures for taxpayers to notify the Secretary of name and address changes; and (3) include in a specified publication a section on the rights and responsibilities of divorced individuals. (Secs. 5911 through 5914) Requires the Secretary to report to the congressional tax-writing committees on: (1) a pilot program for appeals of certain enforcement actions; (2) a study of ways to assist taxpayers with special needs to comply with IRS laws; (3) the scope and content of the IRS taxpayer-rights education program for its officers and employees; and (4) cases involving complaints about misconduct of IRS employees. (Secs. 5915 and 5916) Requires the CG to study and report to such committees on notices of deficiency and the accuracy and clarity of commonly used IRS forms, notices, and publications. Title VI: Other Internal Revenue Code Provisions - Subtitle A: Extension of Authority for Undercover Operations; Cash-Transaction Reports - (Sec. 6001) Extends the authority for IRS undercover operations. (Sec. 6002) Provides for the disclosure to Federal, State, local, and foreign governments of information on tax returns relating to cash transactions. Subtitle B: Provisions Relating to Exempt Organizations - (Secs. 6101 and 6102) Requires: (1) certain organizations to disclose their nonexempt tax status (or face specified civil penalties); and (2) tax-exempt organizations to make available for public inspection copies of their annual tax returns. Title VII: Prohibition of Misuse of Department of the Treasury Names, Symbols, Etc. - (Sec. 7001) Prohitits misuse of Treasury Department names, symbols, emblems, abbreviations, and initials, and specifies civil penalties for any such misuse.
United States · United States Congress · 5 January 1993
TABLE OF CONTENTS: Title I: Urban Tax Enterprise Zones and Rural Development Investment Zones Subtitle A: Designation and Tax Incentives Subtitle B: Redevelopment Bonds for Tax Enterprise Zones Subtitle C: Expansion of Targeted Jobs Credit Subtitle D: Credit for Contributions to Certain Community Development Corporation Subtitle E: Report on Number of Areas Meeting Enterprise Zone Criteria Title II: Authorization for Additional Assistance to Distressed Communities Subtitle A: National Public-Private Partnership Programs Subtitle B: Block Grant Funding for Eligible Programs Subtitle C: Other Programs Enterprise Zone Community Development Act of 1993 - Title I: Urban Tax Enterprise Zones and Rural Development Investment Zones - Declares it to be the purpose of this Act to establish a demonstration program of providing incentives for the creation of tax enterprise zones in order to: (1) revitalize economically and physically distressed areas; (2) promote meaningful employment for zone residents; and (3) encourage individuals to reside in the zones in which they are employed. Subtitle A: Designation and Tax Incentives - Amends the Internal Revenue Code to provide for the designation of tax enterprise zones during calendar years after 1992 and before 1999: (1) by the Secretary of Housing and Urban Development (HUD), in the case of an urban tax enterprise zone; and (2) by the Secretary of Agriculture, in consultation with the Secretary of Commerce, in the case of a rural development investment zone. Sets forth the eligibility criteria for such designation for urban tax enterprise zones and for rural development investment zones. Allows an enterprise zone employment credit to small employers and tax-exempt organizations as a general business credit of 15 percent of the qualified zone wages. Allows such credit for the first five years of the employee's employment. Allows a deduction for the purchase of enterprise zone stock paid in cash. Excludes from gross income 50 percent of qualified capital gain recognized on the sale or exchange of a new qualified zone asset held for more than ten years. Subtitle B: Redevelopment Bonds for Tax Enterprise Zones - Sets forth special rules for tax-exempt redevelopment bonds which provide financing for tax enterprise zones for the first 60-month period after a zone is so designated. Subtitle C: Expansion of Targeted Jobs Credit - Includes economically disadvantaged zone residents as members of a targeted group. Subtitle D: Credit for Contributions to Certain Community Development Corporations - Allows a general business tax credit for contributions to selected community development corporations to provide employment of, and business opportunities for, low-income individuals who are residents of the operational area of the community. Subtitle E: Report on Number of Areas Meeting Enterprise Zone Criteria - Directs the Secretary of the Treasury to report to the Congress on the number of areas which satisfy the tax enterprise zone eligibility criteria and the estimated cost to the Government if all such areas were designated as tax enterprise zones. Title II: Authorization for Additional Assistance to Distressed Communities - Subtitle A: National Public-Private Partnership Programs - Expresses the sense of the Congress that public-private partnerships between government and community-based organizations offer an opportunity to empower residents of low-income distressed communities and to forge innovative solutions to the challenges confronting these communities and that increased resources should be invested in such partnerships. Authorizes appropriations to promote certain national public-private partnerships for FY 1993 through 2002. Specifies amounts to be available only for projects or activities that directly and principally benefit the residents of tax enterprise zones. Subtitle B: Block Grant Funding for Eligible Programs - Authorizes appropriations for FY 1993 through 2002 for urban enterprise zones and rural development investment zones. Provides for the allocation and use of such amounts for carrying out selected programs within such zones. Specifies the eligible programs in the areas of: (1) crime and criminal justice; (2) job training; (3) education; (4) health and nutrition; and (5) housing and community development. Sets forth requirements for applying for funding. Establishes an interagency council to provide administrative assistance for functions under this title. Requires the council, one year after enactment of this Act, to report to the Congress on: (1) any alternative methods or systems for allocation of amounts made available for enterprise zones; and (2) any problems experienced in the implementation and administration of this subtitle. Subtitle C: Other Programs - Amends the Housing and Community Development Act of 1974 to waive the cap on assistance under the community development block grant program for units of general local government located within or containing an urban tax enterprize zone. Authorizes the Secretary of (HUD) to make loan guarantees for such units of local government for development activities. Amends the Job Training Partnership Act to establish the youth adult employment demonstration program to assist young adults with education, job training, and employment services in tax enterprise zones. National Community Economic Partnership Act of 1993 - Authorizes the Secretary of Health and Human Services to provide nonrefundable lines of credit to community development corporations for the establishment, maintenance, or expansion of revolving loan funds to be utilized to finance projects intended to provide business and employment opportunities for low-income, unemployed, or underemployed individuals and to improve the quality of life in urban and rural areas. Provides assistance to community development corporations to upgrade the management and operating capacity of such corporations and to enhance the resources available to enable such corporations to increase their community economic development activities. Authorizes the Secretary to award grants to emerging community development corporations to enable them to establish, maintain or expand revolving loan funds, to make capital or guarantee loans, or to make investments in new or expanding businesses. Requires the Secretary to award grants to organizations to enable them to undertake programs involving research, testing, studies or demonstrations related to community economic development. Directs the Secretary to develop and promulgate joint community development activity programs with other agencies. Authorizes appropriations. Enterprise Capital Access Fund Demonstration Program - Establishes a demonstration program to provide loans and technical assistance grants to nonprofit financial intermediaries in order to finance business and employment opportunities, low-income housing opportunities, and neighborhood revitalization projects. Establishes within HUD an Office of Community Banking to carry out this section. Directs the Secretary of Labor, in consultation with the Secretary of Transportation, to establish a Reverse Commuting Demonstration Program to test the effects of assisting residents of poor inner-city areas to commute to job sites in other areas of the city or surrounding suburbs. Directs the Comptroller General to report to the Congress on an assessment of the market availability of insurance for businesses and residences located in central cities and distressed urban areas and the impact of the availability of such insurance on the economic development or redevelopment of such areas.
United States · United States Congress · 5 January 1993
TABLE OF CONTENTS: Title I: General Provisions Regarding Title IV of Public Health Service Act Title II: National Institutes of Health in General Title III: General Provisions Respecting National Research Institutes Title IV: National Cancer Institute Title V: National Heart, Lung, and Blood Institute Title VI: National Institute on Diabetes and Digestive and Kidney Diseases Title VII: National Institute on Arthritis and Musculoskeletal and Skin Diseases Title VIII: National Institute on Aging Title IX: National Institute of Allergy and Infectious Diseases Title X: National Institute of Child Health and Human Development Title XI: National Eye Institute Title XII: National Institute of Neurological Disorders and Stroke Title XIII: National Institute of Environmental Health Sciences Title XIV: National Library of Medicine Title XV: Other Agencies of National Institutes of Health Title XVI: Awards and Training Title XVII: National Foundation for Biomedical Research Title XVIII: Research With Respect to Acquired Immune Deficiency Syndrome Title XIX: Studies Title XX: Miscellaneous Provisions Title XXI: Effective Dates National Institutes of Health Revitalization Amendments of 1993 - Title I: General Provisions Regarding title IV of Public Health Service Act - (Sec. 101) Amends the Public Health Service Act to condition research funding on human subject review and scientific and technical peer review. Prohibits withholding funding on ethical grounds unless an ethics advisory board so recommends. (Sec. 111) Regulates human fetal tissue transplantation research. (Sec. 121) Removes provisions regarding: (1) biomedical ethics; (2) waiver of a risk standard; and (3) the construction of title IV (National Research Institutes). Declares ineffective a Federal regulation relating to ethical advisory boards. (Sec. 131) Requires inclusion of women and minorities as subjects in each clinical research project under such title IV. (Sec. 141) Establishes: (1) the Office of Research on Women's Health; (2) the Coordinating Committee on Research on Women's Health; and (3) the Advisory Committee on Research on Women's Health. Mandates: (1) study of the representation of women among senior physicians and scientists of the national research institutes (NRIs) and among those conducting supported research; and (2) activities to increase that representation. Establishes a data system containing information on research on women's health. (Sec. 151) Establishes the Office of Scientific Integrity. Requires grant, contract, or cooperative agreement applicants to have a scientific misconduct report review process. Establishes the Commission on Scientific Integrity. Provides for employee whistle blower protection. Mandates measures against financial conflicts of interest. Title II: National Institutes of Health in General - (Sec. 201) Modifies the duties of the National Institute of Health's (NIH's) Associate Director for Prevention. (Sec. 202) Establishes a program to enhance competitiveness in States receiving little funding from the NRIs. (Sec. 203) Mandates activities, consistent with the global Children's Vaccine Initiative, to develop vaccines. Authorizes appropriations. (Sec. 204) Requires a plan regarding the use of animals in research. Establishes the Interagency Coordinating Committee on the Use of Animals in Research. Repeals similar provisions. (Sec. 205) Authorizes activities to increase the number of women and individuals from disadvantaged backgrounds in biomedical and behavioral research. (Sec. 206) Regulates surveys of human sexual behavior conducted or supported through NIH. (Sec. 207) Establishes a fund for use by the NIH Director to carry out NIH activities. Authorizes appropriations. (Sec. 208) Modifies NRI advisory council terms of office. Requires that at least half of NIH health education materials not exceed functional literacy. Authorizes a day care service for NIH employees. Title III: General Provisions Respecting National Research Institutes - (Sec. 301) Requires that the Secretary of Health and Human Services receive directly all funds appropriated for the Institute. Removes provisions authorizing the National Cancer Institute to directly receive such funds. Modifies requirements regarding the establishment of technical and scientific peer review groups. (Sec. 302) Requires expansion of research on osteoporosis, Paget's disease, and related bone disorders. Establishes a clearinghouse. Authorizes appropriations. (Sec. 303) Establishes a program of trauma research and the Trauma Research Interagency Coordinating Committee. Title IV: National Cancer Institute - (Sec. 401) Requires expanding National Cancer Institute (NCI) activities on breast and ovarian cancer, other cancers of the reproductive system of women, and prostate cancer. Authorizes appropriations. Removes authorizations of appropriations for NCI and the National Heart, Lung, and Blood Institute (NHLBI). Title V: National Heart, Lung, and Blood Institute - (Sec. 501) Requires NHLBI to conduct intramural training and education. Authorizes centers on cardiovascular diseases in children. Establishes the National Center on Sleep Disorders. Authorizes appropriations for NHLBI. Title VI: National Institute on Diabetes and Digestive and Kidney Diseases - (Sec. 601) Establishes a program on nutritional disorders. Provides for research and training centers. Title VII: National Institute on Arthritis and Musculoskeletal and Skin Diseases - (Sec. 701) Establishes a children's arthritis and musculoskeletal disease center. Renames the National Arthritis Advisory Board as the National Arthritis and Musculoskeletal and Skin Diseases Advisory Board and modifies its composition. Title VIII: National Institute on Aging - (Sec. 802) Mandates research into the aging processes of women. Authorizes appropriations for the National Institute on Aging. Title IX: National Institute of Allergy and Infectious Diseases - (Sec. 901) Includes tropical diseases in the purposes of the National Institute of Allergy and Infectious Diseases. Authorizes grants or contracts for centers for research on chronic fatigue syndrome. Establishes an extramural study section. Title X: National Institute of Child Health and Human Development - (Sec. 1001) Mandates grants or contracts for centers on contraception and infertility. Authorizes appropriations. (Sec. 1002) Establishes programs of: (1) agreements with health professionals to conduct research on contraception or infertility in return for educational loan repayment; and (2) obstetrics and gynecology intramural laboratory and clinical research. (Sec. 1021) Mandates child health research center support. (Sec. 1031) Mandates a longitudinal, large-scale study on the well-being of U.S. adolescents. Allocates funding. Title XI: National Eye Institute - (Sec. 1101) Authorizes grants for diabetic eye care clinical research centers. Title XII: National Institute of Neurological Disorders and Stroke - (Sec. 1201) Mandates research on multiple sclerosis. Title XIII: National Institute of Environmental Health Sciences - (Sec. 1301) Establishes the Applied Toxicological Research and Testing Program. Title XIV: National Library of Medicine - (Sec. 1401) Increases the limit on grants to medical libraries and related instrumentalities. Authorizes appropriations for the National Library of Medicine. Mandates grants for new educational technologies research. Establishes the National Information Center on Health Services Research and Health Care Technology. Title XV: Other Agencies of National Institutes of Health - (Sec. 1502) Authorizes grants to alter or construct research facilities. Establishes the Scientific and Technical Review Board on Biomedical and Behavioral Research Facilities. Authorizes appropriations. Reserves funds to construct or improve regional primate research centers. (Sec.1511) Redesignates the National Center for Nursing Research as the National Institute for Nursing Research. (Sec. 1521) Makes the National Center for Human Genome Research an NIH agency. Includes in Center purposes the mapping and sequencing of individual genes. Title XVI: Awards and Training - (Sec.1601) Provides for research recruitment and training for women and individuals from disadvantaged backgrounds. (Sec. 1611) Modifies existing and authorizes or mandates various new programs of scholarships and loan repayments for health professionals' education in exchange for specified service. (Sec. 1641) Authorizes appropriations related to National Research Service Awards. Requires a set-aside for provisions relating to residency programs in general dentistry. Title XVII: National Foundation for Biomedical Research - (Sec. 1701) Mandates the convening, by a specified date, of a meeting to appoint the Board of the National Foundation for Biomedical Research. Adds references to the Stevenson-Wydler Technology Innovation Act of 1980. Authorizes appropriations. Title XVIII: Research with Respect to Acquired Immune Deficiency Syndrome - (Sec. 1801) Modifies the duties of: (1) the AIDS Clinical Research Review Committee; and (2) the acquired immune deficiency syndrome (AIDS) clinical evaluation units at the National Cancer Institute and National Institute of Allergy and Infectious Diseases. Modifies international AIDS efforts support requirements. Authorizes appropriations. Requires that model protocols for clinical AIDS care include treatment and prevention for women. Authorizes appropriations. Requires the AIDS epidemiological data base to include information on the natural history of AIDS infection. Authorizes appropriations. Mandates a comprehensive plan for NIH AIDS research. Authorizes appropriations for fellowship and training programs relating to AIDS. Title XIX: Studies - (Sec. 1901) Mandates studies regarding AIDS on: (1) parallel-track drug-release mechanisms; (2) third-party payment incident to participation as subjects in clinical trials; and (3) coordination of AIDS advisory committees. Requires a plan for the inclusion in NIH human immunodeficiency virus (HIV) vaccine studies of women, infants, and children infected with HIV. Authorizes appropriations. (Sec. 1902) Requires studies on malnutrition and the elderly. Establishes an advisory panel. (Sec. 1903) Mandates reports or studies on NIH: (1) research on chronic fatigue syndrome; (2) assuming responsibility for all Federal research relating to medical countermeasures against biowarfare; (3) support staff retention, recruitment, vacancy, and turnover rates; and (4) procurement. Title XX: Miscellaneous Provisions - (Sec. 2001) Redesignates the Senior Biomedical Research Service as the Silvio O. Conte Senior Biomedical Research Service and increases the limit on the number of its members. (Sec. 2004) Mandates a master plan to replace or refurbish NIH infrastructure. (Sec. 2006) Authorizes appropriations (currently, authorizes the use of funds) to carry out cancer registries provisions. Title XXI: Effective Date - (Sec. 2101) Sets forth the effective date of this Act and its amendments.
United States · United States Congress · 5 January 1993
Amends the Office of Federal Procurement Policy Act to direct the Administrator of General Services to prescribe regulations to ensure the participation (except in specified circumstances) of at least five historically Black colleges and universities and nonprofit organizations owned and controlled by Black Americans in research and development (R&D) activities conducted with Federal funds by executive agencies. Outlines the requirements to be imposed on executive agencies through such regulations, including the requirement that each such agency reserve a specified percentage of its FY 1994 through 1997 appropriations for R&D activities to be conducted by the Black colleges it must designate under this Act as federally funded R&D centers. Increases such set-aside on a graduated basis for such fiscal years. Requires each recipient of such set-aside to pay a specified percentage of it to the Parren J. Mitchell Institute for Business Education for entrepreneurial and capital formation programs. Directs the Comptroller General to study and report to the Congress annually on the activities of executive agencies in carrying out this Act.
United States · United States Congress · 5 January 1993
Workplace Education and High Performance Workforce Act of 1993 - Authorizes appropriations. Title I: Office of Workplace Education and High Performance Work - Directs the Secretary of Labor to establish in the Employment and Training Administration an Office of Workplace Education and High Performance Work to provide workplace education and other services for small businesses. Requires the establishment of standards for workforce specialists, research on implementation of workplace education, and dissemination of information on the introduction of new technologies and the reorganization of work by small businesses. Requires annual reports. Title II: Workplace Education and Workforce Grant Program - Requires the Secretary to make grants to States to establish workplace service programs to improve the productivity of small businesses in such States. Requires each State receiving such a grant to establish a State office of workplace education and high performance work. Requires such State office to: (1) establish workplace service districts throughout the State; (2) hire workforce specialists; and (3) place one of them, including necessary support staff, in one of the institutions of higher education located in each district. Requires the State office to make supplemental grants to eligible small businesses. Sets forth limitations on grants and on administrative costs. Requires grant allocations to States to be based on population, but limits the percentage of funds which may go to any one State. Sets forth maintenance of effort requirements. Requires annual grant program reports and evaluations by States.
United States · United States Congress · 5 January 1993
Amends the Elementary and Secondary Education Act of 1965 to direct the Secretary of Education to use specified funds to carry out programs for child abuse education and prevention curriculum development and teacher training. Directs the Secretary to establish a demonstration program relating to child abuse education and prevention curriculum development and teacher training. Authorizes appropriations.
United States · United States Congress · 5 January 1993
TABLE OF CONTENTS: Title I: Comprehensive Restructuring Title II: General Education Provisions Act Amendments Title III: Miscellaneous Provisions Neighborhood Schools Improvement Act - Title I: Comprehensive Restructuring - Amends the Elementary and Secondary Education Act of 1965 (ESEA) to establish a restructuring program consisting of: (1) national education standards and assessment; (2) neighborhood schools improvement; and (3) a flexibility demonstration program. National Education Standards and Assessment Act of 1993 - Establishes a National Education Goals Panel (the Panel) to: (1) support development of voluntary national education content and school delivery standards through grants to specified consortia; (2) review and certify such standards; (3) issue an annual national report card; and (4) make recommendations to the Secretary of Education on research on authentic assessment which the Office of Educational Research and Improvement (OERI) should undertake. Directs the Secretary, through the National Academy of Sciences (NAS), to evaluate such standards and research as well as model assessments for national content standards for mathematics. Authorizes appropriations. Neighborhood Schools Improvement Act - Establishes a neighborhood schools improvement program of five-year, renewable grants for State and local educational system changes. Requires assisted States to establish panels to develop statewide reform plans. Requires local educational agencies (LEAs) which desire to receive program subgrants to establish committees to develop local plans. Authorizes appropriations. Flexibility for Educational Effectiveness Act of 1993 - Establishes a flexibility demonstration program to promote flexibility in delivery of education and other services to disadvantaged children. Authorizes the Secretary to waive certain statutory or regulatory requirements for up to ten States which have implemented comprehensive regulatory reform plans involving up to 20 LEAs and 75 schools in each such State. Authorizes other Federal agencies to enter into agreements with the Secretary to grant similar waivers of regulatory requirements for elementary, secondary, or youth vocational training programs they administer. Authorizes eligible States to request such waivers, with certain restrictions, for specified programs serving the disadvantaged under: (1) preschool, elementary, and secondary education, and youth vocational training programs; (2) social, health, and nutrition programs; and (3) national school lunch and child nutrition programs. Directs the Secretary to contract with the National Academy of Education for an evaluation of such demonstration projects. Authorizes appropriations. Directs the National Academy of Sciences (NAS) to establish a National Board on Workforce Skills. Directs the Secretary, through a grant or contract with NAS, to: (1) identify workplace readiness skills that all students should have upon completion of high school; (2) research and recommend ways of integrating them into school-based learning; and (3) propose methods to update them as the economy's requirements change. Directs NAS to work with the National Education Goals Panel and the groups and organizations authorized to develop national content and school delivery standards to include workplace readiness skills in such standards. Authorizes appropriations. Amends ESEA provisions for Eisenhower Mathematics and Science Education national program funds to authorize the Secretary to make grants to various entities to support development of model assessments tied to the voluntary national content standards for mathematics. Title II: General Education Provisions Act Amendments - Amends the General Education Provisions Act (GEPA) to extend through FY 1994 the authorization of appropriations for: (1) the National Center for Education Statistics; and (2) the National Assessment for Educational Progress (NAEP). Requires the NAEP to conduct in 1994 trial assessments of mathematics and reading for certain grades and to develop for administration in 1994 trial assessments of mathematics, reading, and science for certain other public and private school grades, in States that wish to participate. Directs the Secretary to provide for a study and report to the Congress on: (1) the process whereby the National Assessment Governing Board sets certain achievement goals; and (2) the ability of NAEP to maintain valid data with respect to trends in student performance. Revises GEPA with respect to State responsibility to furnish information concerning uses of Federal funds. Title III: Miscellaneous Provisions - Amends the Carl D. Perkins Vocational and Applied Technology Education Act to allow the Commissioner for Education Statistics to authorize a State education agency (SEA) or a consortium of SEAs to use items and data from NAEP to evaluate a course of study, upon the Commissioner's determination that such use will not have specified prohibited results or other prohibited uses. Limits such authorizations to one in any fiscal year. Requires the National Occupational Information Coordinating Committee to include information on postsecondary employment and training programs in the occupational information system. Requires State boards of education to develop a data collection system (to provide data on graduation or completion rates, job placement rates from occupationally specific programs, and licensing rates) whose results can be integrated into the occupational information system. Amends the National Education Commission on Time and Learning Act (title I) of the Education Council Act of 1991 (Public Law 102-62) to extend the Commission's authorization of appropriations through FY 1995.
United States · United States Congress · 5 January 1993
TABLE OF CONTENTS: Title I: General Requirements for Leave Title II: Leave for Civil Service Employees Title III: Commission on Leave Title IV: Miscellaneous Provisions Title V: Coverage of Congressional Employees Family and Medical Leave Act of 1993 - Title I: General Requirements for Leave - Establishes certain requirements for family and medical leave for permanent employees. (Sec. 101) Makes employees eligible for such leave if they have been employed, by the employer from whom leave is sought, for at least: (1) 12 months; and (2) 1,250 hours of service during the previous 12-month period. (Excludes from such coverage: (1) employees at worksites at which the employer employs less than 50 persons, if the total number of employees of that employer within 75 miles of that worksite is less than 50; and (2) Federal officers and employees covered under title II of this Act.) (Sec. 102) Entitles employees to 12 workweeks of leave during any 12-month period because of: (1) the birth of their child; (2) the placement of a child for their adoption or foster care; (3) their care of a child, spouse, or parent who has a serious health condition; or (4) their own serious health condition which makes them unable to perform the functions of their position. Conditions such leave for the birth or placement of a child as follows: (1) the entitlement ends 12 months after the birth or placement; and (2) such leave may not be taken intermittently unless employee and employer agree otherwise. Allows intermittent leave for necessary medical treatment of an employee or family member. Allows the employer to require a temporary transfer to an equivalent alternative position that better accommodates such intermittent leave. Allows all leave under this title to: (1) be taken on a reduced leave schedule, upon agreement with the employer; and (2) consist of unpaid leave, except under specified conditions when substitution of certain types of paid leave may be elected or required. Does not require an employer to provide paid sick or medical leave in any situation in which the employer would not normally provide any such paid leave. Requires employees to: (1) give at least 30 days' notice of the need for leave to which they are entitled under this Act, when foreseeable; and (2) make a reasonable effort to schedule medical treatment or supervision so as not to disrupt unduly the employer's operations, subject to approval of the health care provider. Allows limitation of the dual aggregate leave entitlement to 12 weeks in any 12-month period, in the case of spouses employed by the same employer, if such leave is for the birth or placement of a child or for the care of a sick parent. (Sec. 103) Sets forth conditions of certification for leave entitlements under this Act. (Sec. 104) Requires restoration of the employee to his or her position or an equivalent position upon return from such leave. Allows an employer to deny such restoration to certain highly compensated employees, under specified conditions (the highest paid ten percent of the employer's employees within a 75-mile radius of a facility; the denial must be necessary to prevent substantial and grievous economic injury to the employer's operations). Requires maintenance of employee health benefits during such leave. (Sec. 105) Prohibits interference with or discrimination against employees exercising rights under this title. (Sec. 106) Sets forth the investigative authority of the Secretary of Labor under this title. (Sec. 107) Provides for enforcement of this Act. Provides for administrative and civil actions. Makes an employer who violates this title's prohibitions against interference or discrimination liable for damages in the amount of: (1) any wages, salary, employment benefits, or other compensation denied or lost; (2) (where such compensation has not been denied or lost) any actual monetary losses, such as the cost of providing care; (3) interest on such losses; and (4) liquidated damages under certain conditions. Makes such employers also liable for appropriate equitable relief, including, without limitation, employment, reinstatement, and promotion. Sets forth provisions for attorney's fees, limitation of actions, and injunctions. (Sec. 108) Sets forth special rules concerning employees of local educational agencies and of private elementary and secondary schools. (Sec. 109) Sets forth requirements for posting notice and for fines. (Sec. 110) Directs the Secretary of Labor to prescribe regulations to carry out this title. Title II: Leave for Civil Service Employees - (Sec. 201) Entitles eligible civil service employees to family and temporary medical leave for specified periods. Allows up to 12 administrative workweeks of leave without pay (or substituted paid leave) in any 12-month period for: (1) family leave (i.e., leave because of the birth or placement of a child or care of a sick spouse, child, or parent); or (2) temporary medical leave for a serious health condition that makes the employee unable to perform the functions of their position. Sets forth: (1) requirements for employees to give prior notice; (2) certification provisions; (3) protections for job position and health insurance benefits; and (4) prohibitions against coercion. Requires the Office of Personnel Management to prescribe regulations for this title which are consistent with the regulations prescribed by the Secretary of Labor under title I of this Act. Title III: Commission on Leave - (Sec. 301) Establishes the Commission on Leave. (Sec. 302) Requires the Commission to conduct a comprehensive study of: (1) existing and proposed leave policies; (2) the potential costs, benefits, and impact on productivity of such policies on employers; and (3) alternative and equivalent State enforcement of this Act with respect to employees of local educational agencies and private schools. Requires the Commission to report on such study to the Congress within two years after the Commission first meets. (Sec. 306) Terminates the Commission within 30 days after its report to the Congress. Title IV: Miscellaneous Provisions - (Sec. 401 and Sec. 402) Sets forth the effect of this Act on other laws and existing employment benefits. (Sec. 403) Provides that nothing in this Act shall be construed to discourage employers from adopting more generous leave policies. (Sec. 404) Directs the Secretary of Labor to prescribe regulations to carry out this title (except those provisions applicable to the Senate) within 60 days. Title V: Coverage of Congressional Employees - (Sec. 501) Applies the rights and protections established under specified provisions of title I of this Act to Senate employees. Makes specified provisions of the Government Employee Rights Act of 1991 applicable, with certain exceptions. Provides that allegations shall be considered by the Office of Senate Fair Employment Practices or another entity designated by the Senate. Requires such Office to ensure that Senate employees are informed of their rights under this Act. (Sec. 502) Applies the rights and protections under title I of this Act to employees of the House of Representatives, except for the exemption concerning highly compensated employees. Requires that the remedies and procedures under the Fair Employment Practices Resolution be applied in administering such coverage.
United States · United States Congress · 5 January 1993
Technology Education Assistance Act of 1993 - Title I: State Grants and National Programs - Authorizes the Secretary of Education to make grants to States to strengthen teacher skills and improve instruction regarding use of technology in the classroom. Authorizes appropriations. Sets forth formulas for allocation to States and for in-State allocation to: (1) local education agencies, for training projects and grants projects for individual teachers; and (2) higher education training programs for teachers. Sets forth State and local application and program evaluation requirements. Directs the Secretary to submit a summary of State evaluations of programs to the Congress biennially. Title II: Technology Agency - Amends the Department of Education Organization Act to direct the Secretary to: (1) establish an Education Technology Agency (ETA) within the Department of Education; and (2) appoint a ETA Director and a Technology Board. Sets forth ETA functions. Authorizes appropriations.
United States · United States Congress · 5 January 1993
Workforce Readiness Act of 1993 - Title I: National Board on Workforce Skills - Establishes a National Board on Workforce Skills for the 21st Century. Title II: School-to-Work Transition Programs - Authorizes the Secretary of Education to make grants to local educational agencies to develop, implement, or expand programs which integrate workplace skills into the regular school curriculum to facilitate the transition from school to work. Sets forth reporting requirements. Authorizes appropriations for such grants and for the National Board.
United States · United States Congress · 5 January 1993
Federal Student Loan Act - Title I: Loans for College Students - Authorizes the Secretary of Education to enter into agreements with institutions of higher education for a program of student loans. Provides for payments to such institutions during FY 1992 through 1997, for student loans to cover periods through FY 1998. Sets forth the terms of such agreements, including maximum individual and average amounts of such loans per academic year ($4,000 individual and $3,250 average for undergraduates; $5,500 individual and $4,000 average for graduate students). Provides that payments to institutions be used for the establishment and maintenance of separate Federal student loan funds for graduate and undergraduate students at such institutions. Authorizes appropriations. Title II: Definitions and Other Provisions Applicable to Entire Act - Sets forth the manner of Federal administration of such program (including the appointment of advisory committees by the Secretary) and the method of payment to institutions. Authorizes appropriations. Title III: National Study - Directs the Secretary to study, and to report to the President and the Congress on, the extent to which the provisions of this Act can reasonably replace various other Federal grants or assistance programs.
United States · United States Congress · 5 January 1993
Universal Student Nutrition Act of 1993 - Amends the National School Lunch Act to establish an optional universal school lunch and breakfast program. Requires that the Secretary of Agriculture's minimum nutritional requirements for the current school lunch and school breakfast programs be prescribed in accordance with the Dietary Guidelines for Americans developed by the Department of Agriculture. Amends the Child Nutrition Act of 1966 to require that grants to States for nutrition education and information be based on a rate of 50 cents for each child enrolled in schools or institutions in the State.
United States · United States Congress · 5 January 1993
Amends the Internal Revenue Code to provide employers with a 50 percent tax credit for English language education expenses incurred on behalf of employees working in the United States or its possessions. Prohibits the deduction of such expenses if such credit is taken.
United States · United States Congress · 5 January 1993
Constitutional Amendment - Declares that nothing in the Constitution shall prohibit the inclusion of voluntary prayer in any public school program or activity. Provides that neither the United States nor any State shall prescribe the content of any such prayer.
United States · United States Congress · 5 January 1993
Constitutional Amendment - Declares that nothing in the Constitution shall be construed to prohibit individual or group prayer in public schools or other public institutions. States that no person shall be required by the United States or by any State to participate in prayer.
United States · United States Congress · 5 January 1993
Constitutional Amendment - Declares that nothing in the Constitution shall prohibit the inclusion of voluntary prayer in any public school program or activity. Provides that neither the United States nor any State shall prescribe the content of any such prayer.
United States · United States Congress · 5 January 1993
Constitutional Amendment - Declares that nothing in the Constitution shall be construed to prohibit individual or group prayer in public schools or other public institutions. States that no person shall be required by the United States or any State to participate in prayer. Provides that neither the United States nor any State shall prescribe the content of any such prayer.
United States · United States Congress · 5 January 1993
Designates minority party membership on the following standing committees of the House of Representatives: (1) Agriculture; (2) Appropriations; (3) Armed Services; (4) Banking, Finance and Urban Affairs; (5) Budget; (6) District of Columbia; (7) Education and Labor; (8) Energy and Commerce; (9) Foreign Affairs; (10) Government Operations; (11) House Administration; (12) Natural Resources; (13) Judiciary; (14) Merchant Marine and Fisheries; (15) Post Office and Civil Service; (16) Public Works and Transportation; (17) Rules; (18) Science, Space, and Technology; (19) Small Business; (20) Standards of Official Conduct; (21) Veterans' Affairs; and (22) Ways and Means.
United States · United States Congress · 5 January 1993
Designates majority party membership on the following standing committees of the House of Representatives: (1) Agriculture; (2) Appropriations; (3) Armed Services; (4) Banking, Finance and Urban Affairs; (5) Budget; (6) Education and Labor; (7) Energy and Commerce; (8) Foreign Affairs; (9) Government Operations; (10) Interior and Insular Affairs; (11) Judiciary; (12) Merchant Marine and Fisheries; (13) Public Works and Transportation; (14) Rules; (15) Science, Space, and Technology; (16) Small Business; (17) Veterans' Affairs; and (18) Ways and Means.