Education

Service-Learning Act of 1993

United States · United States Congress · 8 June 1993

TABLE OF CONTENTS: Title I: Amendments to the Elementary and Secondary Education Act of 1965 Title II: Teacher Training Title III: Amendments to Other Laws Service-learning Act of 1993 - Title I: Amendments to the Elementary and Secondary Education Act of 1965 - Amends the Elementary and Secondary Education Act of 1965 (ESEA) to add service-learning as a component for which funds may be used under various ESEA programs, including Local Targeted Assistance, Law Related Education, Blue Ribbon Schools, Eisenhower Mathematics and Science Critical Skills Improvement, Magnet Schools Assistance, the Secretary's Fund for Innovation in Education, and Drug Abuse Education and Prevention. Establishes a program of grants and contracts for infusion of service-learning into the academic curriculum as a strategy to improve teaching and learning environments in classrooms, schools, and communities. Reserves specified funds for such service-learning program. Directs the Secretary of Education to make such program grants and contracts to State and local educational agencies (SEAs and LEAs) and other public and private entities. Requires the National Diffusion Network to coordinate with the Commission on National and Community Service in identifying and disseminating information on innovative service-learning programs. Title II: Teacher Training - Establishes a program of grants for teacher training in service-learning. Authorizes the Secretary to award competitive grants to SEAs for such preservice and inservice training and retraining through subgrants, technical assistance, and assessment for: (1) LEA elementary and secondary school demonstration and exemplary programs; and (2) higher education institution programs not only for elementary, middle, secondary, and vocational school personnel, but also for their own faculty, especially in schools of education. Requires provision for participation of private school teachers. Directs the Secretary to provide technical assistance, summarize State evaluations biennially for the Congress, and develop model reporting standards. Authorizes appropriations. Title III: Amendments to Other Laws - Amends the National and Community Service Act of 1990 to require the regional service clearinghouses to: (1) coordinate with the Secretary; and (2) provide and collect information on school-based service-learning. Authorizes appropriations for such information function. Amends the General Education Provisions Act to direct the Office of Education Research and Improvement to conduct research on experiential-based methods of instruction, such as service-learning.

Alaska Native Culture and Arts Development Act

United States · United States Congress · 28 May 1993

Alaska Native Culture and Arts Development Act - Amends the Higher Education Amendments of 1986 to include Alaska Natives in a program for native culture and arts development.

Real Jobs for America Act of 1993

United States · United States Congress · 28 May 1993

TABLE OF CONTENTS: Title I: Investment and Savings Incentives Subtitle A: Reductions in Cost of Capital and Tax Penalties on Investment Subtitle B: Investment in Business Subtitle C: Increased Savings Through Individual Retirement Accounts Subtitle D: Incentives for Private Businesses to Hire New Employees Title II: Deficit Reductions Subtitle A: Extension of the Caps on Discretionary Spending Subtitle B: Spending Cuts Real Jobs for America Act of 1993 - Title I: Investment and Savings Incentives - Subtitle A: Reductions in Cost of Capital and Tax Penalties on Investment - Amends the Internal Revenue Code to require indexing of certain assets (corporate stock, certain tangible property, and a principal residence) that have been held for more than three years at the time of sale or other transfer, solely for the purpose of determining gain or loss. Modifies the method of determining the depreciation deduction for certain personal property placed in service after June 30, 1993. Eliminates the depreciation adjustment for computing adjusted current earnings for such property. Subtitle B: Investment in Small Business - Increases the dollar limitation, with an inflation adjustment, on the deduction for expensing depreciable business assets. Subtitle C: Increased Savings Through Individual Retirement Accounts - Removes the limitation on the retirement savings deduction for active participants in certain pension plans. Provides a cost-of-living adjustment for such deduction. Allows individuals to establish individual retirement plus accounts with tax treatment similar to that for individual retirement plans. Makes contributions to such accounts nondeductible. Allows distributions from certain retirement plans without penalty to purchase first homes, pay higher education expenses and financially devastating medical expenses, and assist certain unemployed individuals. Treats certain disaster victims as first-time homebuyers. Requires contributions to an individual retirement plan (other than an individual retirement plus account) to be held for five years prior to distribution. Subtitle D: Incentives for Private Businesses to Hire New Employees - Allows employers a refundable credit for the employment taxes paid on the qualified wages of new employees hired during July 1, 1993, and June 30, 1994. Repeals the luxury excise tax on passenger vehicles, boats, aircraft, jewelry, and furs. Exempts from such tax parts for accessories installed for use on passenger vehicles by disabled individuals. Provides for the treatment of rental and nonrental real estate activities under the limitation on losses from passive activities. Title II: Deficit Reductions - Subtitle A: Extension of the Caps on Discretionary Spending - Reduces discretionary spending limits for the defense, international, and domestic categories for FY 1993 through 1995. Establishes the level of such limits for FY 1996 through 1998. Subtitle B: Spending Cuts - Rescinds a specified amount of budgetary resources for Federal administrative expenses. Eliminates the lump sum retirement benefit for Federal employees unless such employees have a life-threatening affliction or other critical medical condition. Requires employers to report group health plan information on wage forms. Amends title XVIII (Medicare) of the Social Security Act to establish a data bank for the collection of information on Medicare secondary payer situations and health insurance information. Expresses the sense of the Congress that the reductions in discretionary spending required by this Act be achieved by reducing, modifying, eliminating, closing, or terminating specified Federal programs.

Technology for Education Act of 1994

United States · United States Congress · 27 May 1993

TABLE OF CONTENTS: Title I: Leadership for Technology in Education Title II: School Technology Support Title III: Information Dissemination, Technology Training and Technical Assistance Title IV: Educational Technology Product Development, Production, and Distribution Title V: Educational Technology Research, Development and Assessment Title VI: Miscellaneous Technology for Education Act of 1993 - Title I: Leadership for Technology in Education - Amends the Department of Education Organization Act to establish an Office of Educational Technology, to be administered by an Assistant Secretary for Educational Technology (Assistant Secretary). Authorizes appropriations. Establishes the National Commission on Technology in Education to advise the President and the Congress on appropriate national educational technology standards, technology-enhanced curriculum, instruction, and administrative resources and services for educational institutions. Authorizes appropriations. Title II: School Technology Support - Directs the Assistant Secretary to award grants to State educational agencies (SEAs) to develop systemic statewide plans to infuse modern technologies into educational programs to enhance student learning and staff development in support of the National Education Goals and State academic standards. Authorizes appropriations. Amends the General Education Provisions Act to direct the Assistant Secretary to establish a Division of Elementary and Secondary School Library Media Services within the Office. Authorizes appropriations. Directs the Assistant Secretary to award grants to SEAs with approved plans to provide assistance to local educational agencies (LEAs) and schools having highest percentages of children in poverty and showing the greatest need for technology to purchase quality technology related equipment, technology-enhanced curriculum, instruction, and administrative support resources and services. Authorizes appropriations. Amends the Higher Education Act of 1965 to provide for guaranteed, insured, or reinsured loans to SEAs and LEAs to obtain resources for distance learning, computer networks and other technology-enhanced curriculum, instruction, and administrative support resources and services. Directs the Assistant Secretary and National Commission to compile and disseminate information on various successful models of integrating technology into education to assist SEAs, LEAs, and schools in developing systemic reform initiatives. Title III: Information Dissemination, Technology Training and Technical Assistance - Directs the Assistant Secretary, in cooperation with various government entities, to establish an electronic network for dissemination of educational information throughout the United States. Authorizes the Assistant Secretary to make competitive grants to regional educational technology assistance consortia to provide technical assistance, information resource management, staff development, and resource development. Authorizes appropriations. Title IV: Educational Technology Product Development, Production, and Distribution - Directs the Secretary of Education to ensure that a high priority is placed on funding projects that use technology-enhanced curricula, instruction, and administrative support resources and services, in making competitive awards of funds under any Federal education program. Technology for the Classroom Act of 1993 - Directs the Assistant Secretary to award competitive grants to eligible consortia to develop computer-based instructional programs or technology-enhanced systems for complete courses or units of study for a specific subject and grade level, if these are commercially unavailable in the local area. Requires each grantee to provide closed captioning, where appropriate. Authorizes appropriations. Authorizes the Assistant Secretary to make grants to or contracts with eligible educational telecommunications partnerships to pay the Federal share of the cost of research, production, and distribution of instructional programming for students and staff development programming for teachers. Authorizes appropriations. Amends the Star Schools Program Assistance Act to extend the authorization of appropriations for the Star Schools Program. Revises provisions for duration and amount of grants. Title V: Educational Technology Research, Development and Assessment - Authorizes the Assistant Secretary, in cooperation with various Federal entities, to support research on advanced learning technologies. Authorizes appropriations. Authorizes the Assistant Secretary to make the following types of grants related to high performance educational computing and telecommunications networks: (1) requirements grants; (2) specifications grants; and (3) prototype development grants. Authorizes appropriations. Directs the Assistant Secretary, through the Office, to: (1) conduct an annual assessment of the uses of technology in State and local educational programs; and (2) award grants for research on effectiveness of technology-enhanced education programs. Authorizes appropriations. Title VI: Miscellaneous - Directs the Assistant Secretary to study to evaluate, and report to the Congress on, the feasibility of several alternative models for providing systemic funding for schools throughout the Nation so they can acquire and maintain technology-enhanced curriculum, instruction, and administrative support resources and services. Provides for participation of private school children under this Act.

Bosnia and Herzegovina Self-Defense Act of 1993

United States · United States Congress · 27 May 1993

Bosnia and Herzegovina Self-Defense Act of 1993 - Directs the President to terminate the U.S. arms embargo of the Government of Bosnia and Herzegovina upon receipt of a request from such government for assistance in exercising its right of self-defense under the United Nations Charter. Authorizes the President to direct the drawdown of defense articles and services and military education and training to provide assistance to Bosnia and Herzegovina if it makes such request. Limits the amount of such assistance. Bars members of the U.S. armed forces who provide such assistance from performing combatant duties outside of the United States. Authorizes appropriations.

Foreign Operations, Export Financing, and Related Programs Appropriations Act, 1994

United States · United States Congress · 27 May 1993

TABLE OF CONTENTS: Title I: Multilateral Assistance Title II: Bilateral Economic Assistance Title III: Military Assistance Title IV: Export Assistance Title V: Fiscal Year 1993 Supplemental Title I: Multilateral Assistance - Makes appropriations for FY 1994 for the U.S. contribution to the: (1) International Bank for Reconstruction and Development; (2) International Development Association; (3) International Finance Corporation; (4) Inter-American Development Bank; (5) Asian Development Fund; (6) African Development Fund; (7) European Bank for Reconstruction and Development; and (8) Enterprise for the Americas Multilateral Investment Fund. Makes appropriations for FY 1994 for international programs and organizations. Title II: Bilateral Economic Assistance - Makes appropriations for FY 1994 for: (1) development assistance (including development assistance for Subsaharan Africa); Special Fund; (2) international disaster assistance; (3) the Foreign Service Retirement and Disability Fund; (4) operating expenses of the Agency for International Development (AID) and the AID Office of Inspector General; (5) worldwide housing guarantees and for administrative expenses of such program; (6) debt reduction; (7) economic support fund assistance; (8) the Multilateral Assistance Initiative for the Philippines; (9) economic assistance for Eastern Europe and the Baltic States; (10) assistance for the independent states of the former Soviet Union; (11) the African Development Foundation; (12) the Inter-American Foundation; (13) Overseas Private Investment Corporation direct and guaranteed loans and administrative expenses; (14) the Peace Corps; (15) international narcotics control; (16) migration and refugee assistance, salaries and expenses authorized by the Foreign Service Act of 1980, and specified allowances and the hire of passenger motor vehicles; (17) the Emergency Refugee and Migration Assistance Fund; and (18) antiterrorism assistance. Title III: Military Assistance - Makes appropriations for FY 1994 for: (1) international military education and training; (2) foreign military financing and direct loans; (3) international peacekeeping operations; and (4) a Nonproliferation and Disarmament Fund. Amends the Arms Export Control Act to redesignate the Guaranty Reserve Fund as the Foreign Military Loan Liquidating Account. Title IV: Export Assistance - Prohibits the use of Export-Import Bank funds for nuclear exports to a non-nuclear weapon state. Makes appropriations for FY 1994 for: (1) direct loans, tied-aid grants, loan guarantees, and insurance under Export-Import Bank programs; (2) administrative expenses; and (3) the Trade and Development Agency. Title V: Fiscal Year 1993 Supplemental - Makes appropriations for FY 1993 for additional assistance for: (1) the independent states of the former Soviet Union; and (2) the defense agencies for providing assistance to such states.

Bosnia-Hercegovina Self-Defense Act of 1993

United States · United States Congress · 27 May 1993

Bosnia-Hercegovina Self-Defense Act of 1993 - Directs the President to terminate the U.S. arms embargo of the Government of Bosnia-Hercegovina upon receipt of a request from such government for assistance in exercising its right of self-defense under the United Nations Charter. Authorizes the President to direct the drawdown of defense articles and services and military education and training to provide assistance to Bosnia-Hercegovina if it makes such request. Limits the amount of such assistance. Bars members of the U.S. armed forces who provide such assistance from performing combatant duties outside of the United States. Authorizes appropriations.

To improve the quality of education in the District of Columbia by allowing choice for parents of elementary and secondary school students.

United States · United States Congress · 26 May 1993

Makes a parent or legal guardian of an elementary or secondary school student who lives in the District of Columbia eligible to receive a voucher that equals the cost of the average per student expenditure for the most recent school year to be used for an accredited elementary or secondary school. Requires an eligible parent or legal guardian who wishes to receive such voucher to submit an application each year for each child to the designated District of Columbia office.

To facilitate the development of an integrated, nationwide telecommunications system dedicated to instruction by guaranteeing the acquisition of a communications satellite system used solely for communications among State and local instructional institutions and agencies and instructional resource providers.

United States · United States Congress · 26 May 1993

Authorizes the Secretary of Education to carry out an educational satellite loan guarantee program. Guarantees any lender against loss of principal or interest on a loan which is to be used solely to acquire and operate a communications satellite system dedicated to transmitting instructional programming. Restricts such a loan to a non-Federal, nonprofit, public corporation: (1) whose sole purpose is to acquire and operate such a system; (2) whose governing board includes members representing elementary and secondary education, vocational and technical education, community and State colleges, and universities; (3) whose charter is designed for affiliation with State and local instructional institutions and agencies and other distance learning and instructional resource providers; and (4) which is in existence as of January 1, 1992. Requires such corporation, before such loan is guaranteed, to have: (1) investigated all practical means to acquire a communications satellite system; (2) reported its findings to the Secretary; and (3) recommended the most cost-effective, high-quality communications satellite system for the purposes of this Act. Sets forth limitations on the amount of guaranteed loans to acquire such system and to operate and manage it for up to three years. Requires the lender to assign rights and interests in such system to the United States upon payment of such loan guarantee. Authorizes appropriations.

School Repair and Rehabilitation Act

United States · United States Congress · 26 May 1993

School Repair and Rehabilitation Act - Directs the Secretary of Labor to make grants to States and Indian tribes for programs that provide payments for labor and related costs for repair and rehabilitation of elementary and secondary school facilities. Gives priority to those States having the most facilities in need of repair and located in high unemployment areas.

Omnibus Budget Reconciliation Act of 1993

United States · United States Congress · 25 May 1993

TABLE OF CONTENTS: Title I: Committee on Agriculture Title II: Committee on Armed Services Title III: Committee on Banking, Finance and Urban Affairs Title IV: Education and Labor Title V: Committee on Energy and Commerce Title VI: Committee on Foreign Affairs Title VII: Committee on the Judiciary Title VIII: Committee on Merchant Marine and Fisheries Title IX: Committee on Natural Resources Title X: Committee on Post Office and Civil Service Title XI: Committee on Public Works and Transportation Title XII: Committee on Veterans Affairs Title XIII: Committee on Ways and Means-Savings Title XIV: Revenue Provisions Title I: Committee on Agriculture - Agricultural Reconciliation Act of 1993 - Subtitle A: Commodity Programs - Amends the Agricultural Act of 1949 to reduce payment acres for wheat, feed grains, upland cotton, and rice. (Sec. 1101) Extends specified loan, payment, and acreage reduction programs for wheat, feed grains, upland cotton, rice, milk and dairy products, tobacco, sugar, oilseeds, peanuts, honey, and wool and mohair. Sets forth maximum purchase prices for butter and nonfat dry milk. Increases marketing assessments for tobacco and sugar. Establishes an additional marketing assessment for peanuts. (Sec. 1109) Amends the Harmonized Tariff Schedule of the United States to provide temporary additional customs duties on peanut butter and peanut paste. Subjects peanut butter to import quotas. (Sec. 1110) Amends the Agricultural Act of 1949 to reduce the support rate and annual payments for honey. Eliminates marketing assessments. (Sec. 1111) Reduces annual payments for wool and mohair. Eliminates marketing assessments. Subtitle B: Restructuring of Loan Programs - Amends the Rural Electrification Act of 1936 to restructure current Rural Electrification Administration (REA) electric and telephone loan programs, including creation of categories of hardship loans and municipal (electric) loans. Authorizes appropriations. (Sec. 1202) Transfers REA authority to the Department of Agriculture's Rural Development Administration. Subtitle C: Food Stamp Program - Mickey Leland Childhood Hunger Relief Act - Chapter 1: Ensuring Adequate Food Assistance - Amends the Food Stamp Act of 1977 to increase the basic food stamp program (program) benefit to 104 percent of the thrifty food plan. (Sec. 1312) Increases the age for students whose income is excluded from consideration as program income. (Sec. 1313) Removes (with an interim increase) the excess shelter cap. (Sec. 1314) Eliminates food stamp reductions for certain reapplying households. (Sec. 1315) Excludes third party payments for transitional housing for the homeless from consideration as program income. (Sec. 1318) Increases funding for the nutrition assistance program in Puerto Rico. (Sec. 1316) Excludes general assistance vendor payments from consideration as program income. Chapter 2: Promoting Self Sufficiency - Excludes education assistance and certain child support from consideration as program income. (Sec. 1324) Increases dependent care deductions and participant and State agency reimbursements in connection with employment and training activities. (Sec. 1325) Increases annually the fair market value limits of vehicles that program recipients may own. (Sec. 1326) Excludes from financial resources the value of a household vehicle used to carry heating fuel or water for home use. (Sec. 1327) Authorizes resource accumulation demonstration projects. Chapter 3: Simplifying the Provision of Food Assistance - Permits related adults living in the same household to apply for separate program benefits. (Sec. 1332) Makes children living with parents who are partcipating in drug or alcohol treatment programs eligible for food stamps. (Sec. 1333) Permits a participating family made up of, or including, an elderly or disabled member to own $3,000 in allowable financial resources. (Sec. 1334) Repeals provisions authorizing benefit reductions due to funding. Chapter 4: Improving Program Integrity - Expands: (1) the permitted use and disclosure of information provided by retail and wholesale food concerns; and (2) claims collections alternatives. (Sec. 1343) Authorizes demonstration projects aimed at coupon trafficking. Chapter 5: Improving Food Stamp Program Management - Excludes from categorical eligibility any household disqualified from participation because of workfare noncompliance. (Sec. 1353) Disqualifies program participants for trading food stamp coupons for controlled substances or for firearms, ammunition, or explosives. (Sec. 1356) Modifies the program's quality control system. Requires an error measurement study. Chapter 6: Uniform Reimbursement Rates - Revises State reimbursement rates. Chapter 7: Implementation and Effective Dates - Sets forth implementation and effective dates. Subtitle D: Miscellaneous Provisions - Amends the Agricultural Trade Act of 1978 to extend and reduce expenditure levels for the market promotion program. (Sec. 1402) Authorizes the Secretary of Agriculture (Secretary) to improve admission and recreation fees at specified public use areas. (Sec. 1403) Requires reduction of Department of Agriculture expenditures through personnel and office consolidations. (Sec. 1404) Amends the Food Security Act of 1985 to: (1) reduce the conservation reserve program acreage requirement; and (2) revise and make mandatory wetlands reserve program acreage requirements. (Sec. 1405) Amends the Federal Crop Insurance Act to direct the Federal Crop Insurance Corporation to make available four levels of commodity insurance based upon percentage of loss in yield. Title II: Committee on Armed Services - Directs the Secretary of Defense to provide a limited increase in the military retired pay of any former military personnel who became a member of the armed forces before August 1, 1986. (Sec. 2002) Waives the automatic FY 1994 increase in the rates of basic pay, basic allowance for quarters, and basic subsistence allowance. Provides that if the General Schedule pay rates for Federal employees is increased during any of FY 1995 through 1998, then military pay rates shall be increased. Title III: Committee on Banking, Finance and Urban Affairs - Amends the Federal Deposit Insurance Act to prescribe an order of priority for the distribution of amounts realized from the resolution of any insured depository institution. Requires distributions in connection with certain claims to be accompanied by an accounting report. (Sec. 3002) Amends the Federal Reserve Act to mandate that for FY 1994 through FY 1998 specified percentages of the surplus fund of any Federal reserve bank be transferred to the Treasury. Prohibits a Federal reserve bank from replenishing its surplus fund by the amount of such transfer. (Sec. 3003) Amends the Stewart B. McKinney Homeless Assistance Amendments Act of 1988 to: (1) require that certain income disclosure consent forms be submitted for verification of eligibility for benefits; and (2) amend applicant, participant, and public housing agency protections. (Sec. 3004) Amends the National Housing Act to direct the Government National Mortgage Association (GNMA) to: (1) charge fees in connection with its multiclass securities guarantee program; (2) assure that a portion of program benefits accrue to mortgagors who execute eligible mortgages; and (3) summarize program activities to the Congress. (Sec. 3005) Directs the Secretary of Housing and Urban Development to increase the rate at which the Secretary earns the single premium payment collected at the time of insurance of a mortgage that is an obligation of the Mutual Mortgage Insurance Fund. Title IV: Education and Labor - Subtitle A: Federal Direct Loan Program - Student Loan Reform Act of 1993 - Amends the Higher Education Act of 1965 (HEA) to replace the Federal Family Education Loan Program, under which loans made by private lenders are guaranteed by the Government, with a Federal Direct Student Loan Program. Chapter 1: Amendments to Part D of Title IV of the Higher Education Act of 1965 - Amends HEA to change the Federal Direct Loan Demonstration Program to the Federal Direct Student Loan Program (FDSL). (Sec. 4002) Sets forth program authority for making sums available for FDSL loans to all eligible students (and parents). Directs the Secretary of Education to provide funds for such student and parent loans on the basis of need and eligibility of students and parents at each participating institution. Declares that no institution shall have a right to participate in FDSL programs. Provides for application of the requirements of the Cash Management Improvement Act of 1990 on a transition schedule. Sets forth selection criteria for an institution's participation in the FDSL program and in origination agreements. Allows consortia to apply to originate FDSL loans. Sets forth terms and conditions for FDSL loans, including certain parallels with Stafford, supplemental, parent, and unsubsidized Stafford loans under the FFEL program. Sets interest rates. Sets minimum and maximum loan fees. Provides for standard, extended, graduated, and income contingent (EXCEL account) repayment plan options. Sets forth deferment and forbearance possibilities (including national service). Authorizes the Secretary to award contracts under the FDSL program for: (1) alternative origination of loans; (2) servicing and collection of loans; (3) data systems for records maintenance; and (4) services to assist in orderly transition from FFEL to FDSL programs. Authorizes the use of funds for research on FDSL program aspects, including flexible repayment plans. Chapter 2: Conforming Amendments - Amends HEA with respect to FFEL program student and parent loans during the transition to the FDSL program. (Sec. 4021) Provides for advances to guaranty agencies for lender-of-last-resort services. Requires the Student Loan Marketing Association (Sallie Mae) to begin making FFEL loans as lender-of-last-resort and to cease such lending when the triggering conditions have ceased. (Sec. 4028) Requires a study of alternatives for Sallie Mae during and after the transition to FDSL, including its own transition from a Government-sponsored enterprise to a private corporation. (Sec. 4030) Amends the Balanced Budget and Emergency Deficit Control Act of 1985 (Gramm-Rudman-Hollings Act) to provide that any reductions in the FDSL program required by a sequestration order shall be achieved only through a specified increase in the loan fee. Chapter 3: Effective Dates; Study - Sets forth effective dates for amendments made by this Act. (Sec. 4032) Directs the Secretary to report to the Congress on the feasibility of Internal Revenue Service (IRS) collection of student loan repayments. (Sec. 4033) Expresses the preference of the House Committee on Education and Labor for an IRS collection mechanism. Subtitle B: Cost Sharing by States - Amends HEA to require any State in which there are higher education institutions with cohort default rates exceeding 20 percent to pay portions of costs related to such loan defaults. Allows States to charge institutions fees based on their cohort default rate and the State's risk of loss. Subtitle C: ERISA Amendments Relating to Group Health Plans - Amends the Employee Retirement Income Security Act of 1974 (ERISA) to coordinate ERISA preemption rules with Medicaid provisions for liability of third parties. (Sec. 4202) Prohibits a group health plan from reducing its coverage of the costs of pediatric vaccines below that provided as of May 1, 1993. (Sec. 4203) Sets forth rules whereby: (1) ERISA preemption of State laws shall be inapplicable to certain State laws (of Hawaii, Maryland, Minnesota, and New York); or (2) the Secretary of Labor can assist such States in effectuating the policies of certain provisions superseded by ERISA. Title V: Committee on Energy and Commerce - Subtitle A: Medicare Program - Chapter 1: Provisions Relating to Part B - Subchapter A: Physicians' Services - Amends title XVIII (Medicare) of the Social Security Act (SSA) to, among other things: (1) reduce the default update for the conversion factor otherwise applicable to surgical and non-surgical services (except primary care services) in 1994; (2) increase the performance standard factor; (3) provide for classification of primary care services as a separate category of services with respect to volume performance standards and updates in conversion factors for physicians' services; (4) phase-in reductions to the practice expense relative value units; (5) revise the payment policy for anesthesia care teams; (6) repeal the prohibition on separate billing for the interpretation of electrocardiograms (EKGs); (7) require adjustments in the relative value units for services in order to ensure budget neutrality; (8) require Medicare carriers to screen unassigned claims; (9) include antigens prepared by a physician on the physician fee schedule; and (10) specify the conditions under which the Secretary can recognize substitute billing arrangements between two physicians. (Sec. 5011) Requires the Secretary to develop relative values for pediatric physicians' services. Subchapter B: Outpatient Hospital Services and Ambulatory Surgical Services - Amends SSA title XVIII to: (1) extend the ten percent reduction in payments for capital-related costs of outpatient hospital services, as well as the 5.8 percent reduction in payments for other costs of such services; and (2) extend special payment rates for certain eye or eye and ear hospitals. (Sec. 5023) Directs the Secretary to suspend the annual update for ambulatory surgery payments for FY 1994. (Sec. 5025) Amends the Omnibus Budget Reconciliation Act of 1990 (OMBRA '90) to extend the cap on payments for intraocular lenses. Subchapter C: Durable Medical Equipment - Amends SSA title XVIII to: (1) revise payment rules for items of durable medical equipment (DME) and supplies; (2) remove aspirators and nebulizers from the category of DME items requiring frequent and substantial servicing, and specifically provide for payment of related accessories; (3) set forth requirements which suppliers of medical equipment and supplies must satisfy in order to qualify for Medicare reimbursement; (4) require development of standardized certificates of medical necessity forms; (5) require DME suppliers to submit claims to the carrier with jurisdiction over the geographic area including the patient's permanent residence; (6) place restrictions on certain DME supplier marketing and sales practices; (7) specify circumstances under which Medicare beneficiaries are not financially liable for covered items and services furnished by a supplier; (8) address adjustments made to unreasonable DME payment amounts; (9) determine payments for surgical dressings; and (10) reduce the DME fee schedule amount for transcutaneous electrical nerve stimulation devices. (Sec. 5032) Freezes payments during 1994 for parenteral and enteral nutrients, supplies, and equipment at 1993 levels. (Sec. 5034) Directs the Secretary to report to the Congress on: (1) the effect of the uniform criteria established pursuant to this Act for DME items; and (2) appropriate methodology for determining payment under Medicare for prosthetic devices and orthotics. (Sec. 5037) Amends SSA title XI to modify anti-kickback provisions. (Sec. 5042) Requires a report to the Congress on variations in DME supplier costs. Subchapter D: Part B Premium - Amends SSA title XVIII to extend current law with respect to the monthly Medicare part B premium for beneficiaries enrolled in Medicare. Subchapter E: Other Provisions - Revises provisions of SSA title XVIII, including: (1) to revise payments for clinical diagnostic laboratory tests; (2) to address the provision of x-ray services by rural health clinics and federally-qualified health centers; (3) to condition payment for mammograms on the certification status of the facility; and (4) to provide Medicare coverage of oral cancer drugs. (Sec. 5064) Amends the Omnibus Budget Reconciliation Act of 1986 (OMBRA '86) to extend the Alzheimer's Disease Demonstration. (Sec. 5066) Amends the Consolidated Omnibus Budget Reconciliation Act of 1985 (COMBRA '85) to extend certain municipal health service demonstration projects. (Sec. 5069A) Requires a report to the Congress on annual payment limitations for outpatient physicial and occupational therapy services. Chapter 2: Provisions Relating to Parts A and B - Amends Medicare part C (Miscellaneous) provisions relating to Medicare parts A (Hospital Insurance) and B (Supplementary Medical Insurance) to: (1) eliminate requirements for special adjustments for administrative costs of hospital-based home health agencies; (2) make changes with regard to Medicare as secondary payor; (3) reduce payment for erythropoientin; (4) require nursing facilities and home health agencies to inform Medicare beneficiaries of the hospice benefit; and (5) require revision of the capitation payment methodology for health maintenance organizations (HMOs) to account for regional variations in application of Medicare secondary payor provisions. (Sec. 5073) Amends Medicare part B with regard to use of carriers to recover erroneous payments from primary payers. (Sec. 5072, 5074, and 5078) Requires: (1) a report on Medicare payments to hospitals for medical residency training program costs; (2) a report on the use of the new shared facility arrangement exception to ownership and compensation arrangements under the ban on certain referrals by physicians; and (3) establishment of a method of outreach to newly eligible Medicare beneficiaries qualifying for Medicaid payment of out-of-pocket expenses. (Sec. 5077) Amends OMBRA '86 to extend certain waivers under Medicare for the Watts Health Foundation. (Sec. 5079) Amends the Omnibus Budget Reconciliation Act of 1987 (OMBRA '87) to extend the waivers under Medicare for social health maintenance organization (SHMO) demonstration projects. Amends the Deficit Reduction Act of 1984 to require additional SHMO demonstration projects and permit one project to enroll Medicare end stage renal disease beneficiaries. (Sec. 5082) Amends the Omnibus Budget Reconciliation Act of 1990 (OMBRA '90) to revise the payment methodology for organizations under a risk-sharing contract with the Secretary. Chapter 3: Provisions Relating to Medicare Supplemental Insurance Policies - Amends OMBRA '90 and Medicare to make changes to Federal standards respecting the sale of Medicare supplemental insurance policies. Subtitle B: Medicaid Program and Other Health Care Provisions- Chapter 1: Medicaid Program - Subchapter A: Program Savings Provisions - Amends SSA title XIX to, among other things: (1) repeal the mandate that States cover personal care services under their Medicaid programs for all individuals entitled to nursing facility benefits; (2) allow States to establish formularies limiting coverage of prescription drugs under their Medicaid programs; (3) prohibit States from disregarding assets in cases where an individual has received payments under a long-term care policy; (4) address the liability of third parties to pay for care and services provided to Medicaid eligibles; (5) require States to have in effect certain laws relating to medical child support; and (6) make changes with regard to payments for disproportionate share hospitals. (Sec. 5117) Amends SSA to add a new title XXI requiring establishment of a Health Coverage Clearinghouse to identify third parties which may be liable for payment of health care items and services furnished to Medicare, Medicaid, Indian Health Service, and Maternal and Child Health Service beneficiaries. Subchapter B: Miscellaneous Provisions - Amends SSA title XIX to, among other things: (1) provide for the application under Medicaid of the physician self-referral prohibitions currently under Medicare; (2) require State maintenance of annual expenditures (adjusted) for State Medicaid fraud control units; (3) change treatment of HMO enrollees in determining the Medicaid inpatient utilization rate of a hospital seeking to qualify as a disproportionate share hospital; (4) raise, with respect to eligible States, Federal Medicaid matching payments for State expenses incurred in the provision of bona fide emergency medical services to undocumented aliens; (5) establish an option for States to make TB-infected individuals eligible for limited TB-related services; (6) require that mammographies paid for under Medicaid be conducted by a facility certified under the Mammography Quality Standards Act of 1992; and (7) make permanent the current law requirement for continued Medicaid coverage of families who lose eligibility for cash assistance under the Aid to Families with Dependent Chidren Program because they work. (Sec. 5132 and 5144) Amends SSA title XI to: (1) authorize an alternative intermediate remedy for redressing kickback offenses; (2) change procedures for initiation of a civil monetary penalty action; and (3) raise the ceiling on Federal Medicaid matching payments to Puerto Rico and other specified territories. (Sec. 5137) Extends the period during which the Secretary is required to waive application of the enrollment mix requirement under Medicaid for certain HMOs under the Dayton Area Health Plan, Inc. (Sec. 5138, 5146, and 5150) Amends the Omnibus Budget Reconciliation Act of 1989 with respect to the Tennessee Primary Care Network, certain demonstration projects for low-income pregnant women and children, and the Kent Community Hospital Complex and the Saginaw Community Hospital. (Sec. 5139) Directs the Secretary to waive application of the enrollment mix requirement under Medicaid with respect to the District of Columbia Chartered Health Plan, Inc.. (Sec. 5140) Amends the Family Support Act of 1988 to extend the period during which the Secretary is required to waive application of certain provisions of Medicaid law for the Minnesota Prepaid Demonstration Project. Subchapter C: Miscellaneous and Technical Corrections Relating to OMBRA '90 - Amends OMBRA '90 to make miscellaneous and technical corrections to various specified Medicaid-related provisions. Chapter 2: Universal Access to Childhood Immunizations - Amends the Public Health Service Act to entitle each State to the Federal purchase of enough pediatric vaccines to immunize each child in the State who is: (1) covered under title XIX (Medicaid) of the Social Security Act; (2) uninsured, or has insurance which does not cover vaccinations; or (3) an Indian. (Sec. 5181) Establishes the National Childhood Immunization Trust Fund. Exempts the vaccine program from reduction under the Balanced Budget and Emergency Deficit Control Act of 1985. Mandates State allotments for a registry of information on every child, including immunization data. Authorizes appropriations. Mandates grants to States to achieve objectives for immunizing U.S. children. Authorizes appropriations. (Sec. 5182) Amends the Omnibus Budget Reconcilation Act of 1989 to authorize appropriations from the Vaccine Injury Compensation Trust Funds to administer certain provisions of the National Vaccine Injury Compensation Program. Amends the Public Health Service Act to modify provisions regulating the effect on the statute of limitations of revisions to the Vaccine Injury Table. (Sec. 5183) Amends Medicaid provisions to require notifying all Medicaid-eligible persons under 21 of the need for immunizations. Adds grant entities under Public Health Service Act health provisions for residents of public housing to the list of entities within the definition of "Federally-qualified health center." (Sec. 5184) Allows Medicaid payments directly to vaccine manufacturers under certain programs. (Sec. 5185) Authorizes grants for demonstration projects providing comprehensive services to reduce the incidence of infant mortality and morbidity, fetal deaths, maternal mortality, fetal alcohol syndrome, and low birth weight. Authorizes appropriations. (Sec. 5186) Amends title V (Maternal and Child Health Services Block Grant) of the Social Security Act to authorize appropriations to carry out specified provisions. (Sec. 5187) Modifies compensation requirements regarding members of the National Advisory Council on the National Health Service Corps. Allows certain entities that are migrant, community, homeless, and public housing health services providers to elect certain treatment under the Public Health Service for purposes of malpractice actions. Removes provisions allowing waiver of rights to recover National Health Service Corps scholarship or loan repayment amounts after default. Subtitle C: Communications Licensing Improvement - Chapter 1: Competitive Bidding Authority - Licensing Improvement Act of 1993 - Amends the Communications Act of 1934 to empower the Federal Communications Commission (FCC) to use a system of competitive bidding in the granting of licenses involving the use of the electromagnetic spectrum (public airwaves). Outlines certain provisions, including: (1) uses to which such bidding may apply; (2) establishment by the FCC of a competitive bidding methodology; (3) alternative payment schedules for the use of airwaves; and (4) bidder and licensee qualifications. (Sec. 5205) Revises the FCC's regulatory authority in the mangagement of mobile communications services. Considers a person engaged in the provision of commercial mobile services to be a common carrier and, therefore, required to establish physical connections as required under the Communications Act. Prohibits State or local government imposition of any rate or entry regulation on commercial mobile service, but allows the FCC to grant a State petition to regulate rates under certain conditions. Chapter 2: Emerging Telecommunications Technologies - Emerging Telecommunications Technologies Act of 1993 - Amends the National Telecommunications and Information Administration Organization Act to require the Assistant Secretary of Commerce for Communications and Information and the FCC Chairman to conduct joint electromagnetic spectrum planning with respect to future spectrum requirements and promotion of efficient use of the spectrum. (Sec. 5222) Directs the Secretary to report to the President and the Congress identifying bands of frequencies that are allocated primarily for Government, are eligible for licensing, and are not required by the Government. Requires a report to the Congress on preliminary identification of reallocable bands of frequencies. Requires that an advisory committee be convened to assist in carrying out this Chapter. Directs certain actions after receipt of the advisory committee report on reallocation of band frequency assignments between Government and private uses. Authorizes the President to substitute alternative frequencies in the interest of national defense, governmental needs, public health or safety, or financial considerations. Directs the FCC to submit a plan for the distribution of reallocated frequency bands. Authorizes the President to reclaim reassigned frequencies. Chapter 3: Communications Technical Amendments - Sets forth corrections and technical amendments to communications provisions. Subtitle D: Energy Programs - Amends the Omnibus Budget Reconciliation Act of 1990 to extend from September 30, 1995, to September 30, 1998, the authority of the Nuclear Regulatory Commission to collect annual charges. Title VI: Committee on Foreign Affairs - States that the Committee on Foreign Affairs recommends changes in Federal law which would reduce direct spending under the Foreign Service Retirement and Disability Fund and the Foreign Service Pension System by requiring a three-month delay in cost-of-living adjustments for each year, FY 1994 through 1996. Title VII: Committee on the Judiciary - Amends the Omnibus Budget Reconciliation Act of 1990 to extend through FY 1998 the authorization for the collection of surcharges for use of the Patent and Trademark Office. Title VIII: Committee on Merchant Marine and Fisheries - Amends Federal shipping law to extend the years during which certain tonnage duties are imposed. (Sec. 8002) Declares the sense of the Congress that the inland waterways fuel tax should not be increased beyond those increases already mandated by law. Title IX: Committee on Natural Resources - Amends specified Federal law regarding the political union of the Commonwealth of the Northern Mariana Islands (Commonwealth) with the United States to repeal the direct grant asssitance for such Islands. Prescribes guidelines under which the United States commits its full faith and credit for specified payments to certain U.S. possessions and territories, including payments for capital improvements projects. Requires reports on the minimum wage and immigration policies of the Commonwealth. (Sec. 9002) Amends the Mineral Leasing Act to provide that, in calculating the amount to be paid to States of revenues derived from Federal onshore mineral and geothermal steam leasing receipts, 50 percent of the portion of the appropriation allocable for administration and enforcement shall be deducted from those receipts in approximately equal amounts each month prior to their division and distribution between the States and the United States. (Sec. 9003) Mandates the payment of a specified minimum flat claim maintenance fee and location fee by the holder of an unpatented mining claim, mill, or tunnel site in lieu of the assessment work and related filing requirements under certain Federal mining law. Exempts certain oil shale claims from the fee requirement. Waives fees under certain conditions. (Sec. 9004) Amends Federal reclamation laws to mandate that non-Federal recipients of water delivered by way of Federal facilities pay an operation and maintenance charge to the United States. Establishes the Natural Resources Restoration Fund for the benefit of fish and wildlife resources and habitat affected by Federal reclamation projects. (Sec. 9005) Amends the Land and Water Conservation Fund Act of 1965 to prohibit recreation user fees for campgrounds lacking specified amenities. Revises the terms of "Golden Age" passports in the National Park System. Establishes user fees for rights-of-way, tour vehicles or aircraft, and commercial telephone transmission facilities on Federal lands. (Sec. 9007) Directs the Secretaries of Energy and of the Interior adjust fees and other charges in order to recover the cost of Government services and establish a fee mechanism to recover Government costs of providing services which are currently free. (Sec. 9008) Directs the President to transmit in the annual budget an estimate of unfunded future Federal liabilities that are not accounted for in the budget itself. Title X: Committee on Post Office and Civil Service - Subtitle A: Civil Service - Delays the cost-of-living adjustments scheduled to take effect under certain Federal employee retirement systems during FY 1994 through 1996. (Sec. 1002) Amends the Civil Service and Federal Employees' Retirement Systems and the Foreign Service and Central Intelligence Agency systems to permanently eliminate the lump sum retirement option except for employees with a critical medical condition. (Sec. 1003) Eliminates the 1994 annual cost-of-living adjustment for Members of Congress and Federal employees. Amends the Ethics Reform Act of 1989 and other Federal law to modify the formulae for computing such adjustments for 1995 through 1997. (Sec. 1004) Amends Federal law to delay locality-based comparability payments until July of 1994. Limits the total amounts payable for locality payments between July 1, 1994, and September 30, 1998. Authorizes the President to specify locality payments less than the minimum amounts which would otherwise be required if necessary to comply with such limitations. Delays annual cost-of-living adjustments for Federal employees and Members of Congress until July of each year for the period between January 1, 1995, and December 31, 2003. Repeals provisions excluding senior executives from the limitation on the accumulation of annual leave. Prohibits cash awards during FY 1994 through 1998. Limits the average total number of civilian employees in the executive branch (except employees of the U.S. Postal Service and Postal Rate Commission) during FY 1994 through 1998. Requires the Director of the Administrative Office of United States Courts to apply the prohibitions and limitations of this Act with respect to annual cost-of-living adjustments and locality-based comparability payments to employees under the separate system of the Office. (Sec. 1005) Requires certain Federal Employees Health Benefits Program (FEHBP) plans to apply the Medicare part B limiting charges for physicians' services to enrolled retirees who are 65 or older and do not participate in Medicare part B. (Sec. 1006) Extends the proxy premium formula for determining Government contributions under FEHBP through contract year 1998 in the absence of a Government-wide indemnity benefit plan. Expresses the sense of the Congress that such extension should not be considered to reflect any view on the appropriateness, merits, or timing, or any other aspect of any comprehensive health care reform legislation. Subtitle B: Postal Service - Directs the U.S. Postal Service to make a specified additional payment into the Civil Service Retirement and Disability Fund and the Employee Health Benefits Fund to cover increases due to retirement cost-of-living adjustments and increases in health benefits costs. Subtitle C: Revenue Forgone Reform - Revenue Forgone Reform Act - Amends Federal postal service law to repeal the authorization of appropriations under the Overseas Citizens Voting Rights Act of 1975 and the Federal Voting Assistance Act of 1955 for mail sent at reduced postage rates. Revises provisions relating to the treatment of reduced-rate categories of mail. (Sec. 10203) Repeals certain Federal provisions authorizing appropriations to the Postal Service for certain accumulated operating indebtedness and directing the Postal Service to provide door or curbline delivery to certain permanent addresses. Authorizes appropriations for FY 1994 through 2035 to cover losses. (Sec. 10205) Prohibits reduced mailing rates for mail adverstising or offering products or services if: (1) the sale is not related to the purposes allowing mail at such rates; or (2) the mail matter involved is part of a cooperative mailing with a person not authorized to mail at reduced rates. Revises provisions with respect to the mailing rates of books. (Sec. 10207) Expresses the sense of the Congress that any legislation enacted after September 30, 1994, which would expand the class of mail eligible for reduced rates should provide for funding ensuring no losses to the Postal Service nor increases in rates for other classes of mail. Title XI: Committee on Public Works and Transportation - Amends the Federal Aviation Act of 1958 to revise fees charged for aircraft registration, designation as an aviation medical examiner, issuance of an airman's certificate to be a pilot and costs associated with processing forms for fuel system repairs. Requires fees be deposited in the Airport and Airway Trust Fund. (Sec. 11002) Amends the Flood Control Act of 1968 to authorize the Secretary of the Army to collect fees for the use of developed recreation facilities, including campsites, beaches, and boat launching ramps. Requires fees to be deposited into the Treasury account for the Corps of Engineers. Title XII: Committee on Veterans Affairs - Veterans Reconciliation Act of 1993 - Amends the Omnibus Reconciliation Act of 1990 to extend through September 30, 1998, the requirement that veterans with a certain minimum income level make copayments in exchange for receiving certain health care benefits through the Department of Veterans Affairs. Extends: (1) the requirement of a minimal copayment for medications received by veteran outpatients; (2) authority to recover the cost of veterans' services from third party insurers; (3) the authority of the Secretary of the Treasury to provide certain financial information for income verification purposes; (4) a monthly pension limitation for certain recipients of nursing home care covered under Medicaid; and (5) procedures applicable to liquidation sales on defaulted home loans to veterans. (Sec. 12006) Prohibits any FY 1994 cost-of-living adjustment in the rates of dependency and indemnity compensation paid to surviving spouses. (Sec. 12008) Increases the home loan fee charged to veterans for loans guaranteed by the Department, closed after September 30, 1993, and before October 1, 1998. (Sec. 12009) Reduces by one percentage point the FY 1994 cost-of-living adjustment for educational assistance benefits payable to active duty and reserve personnel under the Montgomery GI Bill educational assistance program. (Sec. 12010) Excludes a person who is not the natural or legally adopted child of the parent from eligibility for survivors' and dependents' educational assistance. Title XIII: Committee on Ways and Means: Savings - Subtitle A: Old-Age, Survivors and Disability Insurance Programs - Amends OMBRA '90 to require the Secretary to reestablish and maintain in service the same number of telephone lines to each local social security office that were in place as of September 30, 1989. (Sec. 13003) Makes amendments to SSA title II, including to: (1) permit States collecting social security numbers to use those numbers to eliminate duplicate names and names of convicted felons from jury source lists; (2) extend to all States the option to provide police officers and firefighters with social security coverage; (3) disregard the windfall elimination provision in computing any U.S. totalization benefit and the amount of a regular U.S. benefit of an individual who receives a foreign totalization benefit based in part on U.S. employment, and who does not receive any other pension based on noncovered employment; (4) provide that military pensions based wholly on service in the military reserves before 1988 shall not trigger application of the Government pension offset or windfall elimination provision to the individual's social security benefits; (5) permit the Department of Agriculture to share its list of names, social security numbers, and employer identification numbers of the owners of retail grocery stores which redeem food stamps with other Federal agencies for the purpose of investigating food stamp fraud and other crimes; and (6) prohibit a State from using social security numbers in the administration of any driver's license or motor vehicle registration law where the State has not contracted to provide death certificate and related information to the Secretary, or where use of death information is restricted. (Sec. 13005) Exempts from payment liability and penalties ministers who were American citizens and residents of Canada prior to the 1984 totalization agreement between the United States and Canada and failed to file a tax return or pay self-employment taxes. (Sec. 13010) Amends IRC to: (1) authorize the Secretary of the Treasury to disclose information from tax returns on individuals' mortality status to the Secretary for eipdemiological research purposes; (2) coordinate the collection of domestic service employment taxes with the collection of income taxes; and (3) change threshold requirements with respect to social security employment taxes on domestic services. (Sec. 13015) Requires the Secretary to study and report to the Congress on the rising costs of disability benefits. (Sec. 13016) Amends the Social Disability Amendments of 1980 to extend the Secretary's authority to conduct disability work incentive demonstration projects. Subtitle B: Human Resources Amendments - Chapter 1: Child Welfare Services, Foster Care, and Adoption Assistance - Amends SSA title IV part B (Child-Welfare Services) to, among other thing: (1) create a capped entitlement program to provide child welfare services designed to strengthen and preserve families; (2) repeal provisions linking the payment of title IV part B funds to the implementation of protections for children in foster care; (3) require State part B plans to contain a description of the specific measures taken by the State to comply with the Indian Child Welfare Act; and (4) provide for child welfare traineeships. (Sec. 13212) Directs the Secretary to provide grants for State courts to improve foster care placement and adoption proceedings. (Sec. 13216) Amends SSA title IV part E (Foster Care and Adoption Assistance) (FCAA) to change the reimbursement policy with respect to foster care maintenance payments made on behalf of certain children whose adoption has been set aside by a court or whose voluntary placement in foster care has been judicially determined to be in the best interests of the child. Requires States to review their foster care maintenance payment and adoption assistance levels. Requires the health and education records in each child's case plan include a record that the foster care provider was advised (where appropriate) of the child's eligibility for certain Medicaid services. Makes permanent the authorization for the independent living program. Sets forth case plan requirements for children placed in foster care a substantial distance from their homes or in a different State. (Sec. 13218) Directs the Secretary to study and report to the Congress on the ways in which States implement the reasonable efforts requirements for State part E plans. (Sec. 13225) Amends OMBRA '89 to extend permanently (and retroactively to October 1, 1992) the level of Federal reimbursement under part E for the training of personnel employed by the State or local child welfare agency, and for the training of foster and adoptive parents. (Sec. 13227) Amends SSA title XI part A to overturn certain limitations in Suter v. Artist M. on private enforceability of State plan requirements. (Sec. 13232) Prohibits the Secretary, until October 1, 1994, from reducing any payment to any State under parts B or E because of State noncompliance with part B foster care protections. (Sec. 13233) Requires the Secretary to make grants to eligible institutions to train individuals to deliver culturally sensitive and bilingual child welfare services in border areas with Mexico. Authorizes approprations. Chapter 2: Child Support Enforcement - Amends SSA title IV part D (Child Support and Establishment of Paternity) to set up new paternity establishment performance standards and procedures for State child support enforcement programs. Outlines State plan requirements. Requires State child support enforcement agencies to periodically report, at no charge, the names and amounts of obligors at least two months delinquent in child support payments to bona fide consumer reporting agencies. Chapter 3: Supplemental Security Income - Amends SSA title XVI (Supplemental Security Income) (SSI) and other Federal law to require the Social Security Administration to charge States fees for the Federal cost of administering supplemental SSI payments. (Sec. 13252) Amends OMBRA '90 to make permanent the exclusion of State and local relocation assistance from countable income under SSI. (Sec. 13253-13256) Amends SSA title XVI to: (1) deem to be living in a household a spouse or parent of family members on SSI who is absent because of active duty military assignment; (2) exclude hazardous duty pay from countable income; (3) continue SSI benefits to children who are U.S. citizens if they received SSI in the United States and then accompanied their parents on military assignment to a U.S. territory or possession; and (4) extend the SSI definition of disability for children under 18 to any person under age 18. (Sec. 13257) Exempts income of up to $2,000 per year received by individual Indians that is derived from leases on trust or restricted Indian lands in determining eligibility and benefit levels under AFDC (SSA title IV part A) and SSI. Chapter 4: Aid to Families with Dependent Children - Amends SSA title IV part A to: (1) reduce to 50 percent the enhanced Federal matching available for certain categories of State administrative expenses; (2) make optional a State's verification of an individual's immigration status with the Immigration and Naturalization Service through an immigration status verfication system; (3) delay Federal requirements regarding AFDC-UP participation rates; and (4) increase the amount of stepparent earnings disregarded in determining the eligibility and benefit amounts of AFDC recipients and applicants. (Sec. 13263) Amends part F (Job Opportunities and Basic Skills Training Program) (JOBS) to require development of criteria for performance standards in the JOBS program, rather than performance standards themselves. (Sec. 13264) States that the Congress declares: (1) it is the responsibility of the Federal Government to reduce family dependence on income from welfare programs, to assist them toward self-sufficiency, and to increase the living standards of low-income families; and (2) the Federal Government should help welfare recipients and individuals at risk of welfare participation to improve education and job skills, to obtain access to child care and support services, and to take other steps as may assist them to become financially independent. Directs the Secretary to develop welfare participation measures and predictors, and report annually on welfare participation to specified congressional committees. Establishes the Advisory Board on Welfare Participation. (Sec. 13265) Directs the Secretary to provide for a demonstration project offering low-income residents of Milwaukee, Wisconsin, employment, wage supplements, health and child care, and job counseling and training. (Sec. 13266 and 13270) Amends the Family Support Act of 1988 to: (1) delay the requirement for implementation of the Unemployed Parent program in Puerto Rico, Guam, the Virgin Islands, and American Samoa until the limitations on Federal matching payments with respect to AFDC and FCAA maintenance payments are repealed; and (2) extend the authorization for early childhood development projects. (Sec. 13269) Amends OMBRA '87 to extend New York State's Child Assistance Program demonstration. (Sec. 13267) Amends SSA title XI to provide that, with respect to AFDC, one adult member of a household may sign a declaration attesting to the citizenship or satisfactory immigration status of other household members. Chapter 5: Unemployment Insurance - Amends IRC and SSA title III (Unemployment Compensation) to provide for the treatment of short-time compensation programs under which individuals whose workweeks have been reduced by at least ten percent (especially as an alternative to a temporary layoff) are eligible for unemployment compensation, under certain conditions. (Sec. 13275) Amends the Federal-State Extended Unemployment Compensation Act of 1970 to increase the reimbursement rate and repeal special eligibility requirements under the extended unemployment program. (Sec. 13276 and 13277) Amends IRC to extend the current Federal unemployment tax rate and require disclosure of tax information to the Railroad Retirement Board for administration of the Railroad Retirement and Railroad Unemployment Insurance Acts. Chapter 6: Technical Provisions - Makes technical corrections related to the income security and human resources provisions of OMBRAs '89 and '90. (Sec. 13283) Amends SSA title XVI to repeal certain obsolete provisions relating to treatment of the earned income tax credit. Subtitle C: Medicare Program - Chapter 1: Provisions Relating to Part A -Subchapter A: Elimination of Inflation Update for Services Provided under Part A: - Amends SSA title XVIII (Medicare) to eliminate updates for inpatient hospital services and hospice care under Medicare part A in FY 1994 and 1995. (Sec. 13402) Prohibits the Secretary from applying an update factor to the cost limits for skilled nursing facility cost reporting periods beginning in FY 1994 and 1995. Subchapter B: Other Provisions Relating to Part A - Amends SSA title XVIII to, among other things: (1) provide that a change in classification of hospitals from one area to another cannot result in a reduction in the wage index for an urban area if the area has an age index below the rural wage index for the State or if the area is the only urban area in a State with no rural areas; (2) change certain standards for designating metropolitan statistical areas that are used in determining treatment of hospitals in rural counties adjacent to urban areas; (3) require the phase out of payments for day outlier cases starting in FY 1995; (4) authorize appropriations for the Essential Access Community Hospital (EACH) demonstration program; (5) provide for a prospective payment system for outpatient rural primary care hospital services; (6) continue special payments for Medicare-dependent, small rural hospitals for discharges occurring through FY 1994, with reduced payments for certain discharges; (7) allow to participate in Medicare hospitals where the care of patients receiving qualified psychologist services is under a clinical psychologist; (8) require skilled nursing facilities to inform beneficiaries of the hospice benefit under Medicare; (9) reduce the part A premium, on a phase-in basis, for individals with 30 or more quarters of social security coverage (and their spouses); (10) require periodic updating of salary equivalency guidelines for physical therapy and respiratory therapy services; and (11) provide that diagnosis-related group (DRG) window provisions will not apply to hospitals that are not paid on a DRG basis. (Sec. 13414) Amends OMBRA '87 to: (1) reauthorize and extend the rural health transition grant program; and (2) provide that all hospitals classified as regional referral centers on September 30, 1992, shall retain such status through FY 1994. (Sec. 13418) Amends OMBRA '90 to require the Secretary to continue limited-service rural hospital demonstration projects through calendar 1995. (Sec. 13419) Amends OMBRA' 89 to extend the hemophilia pass-through program. (Sec. 13420) Declares that, in the case of a State with a Medicare-approved payment system, no other provision of law shall be construed as preventing the system from providing that payment for covered services be made on the basis of rates provided for under such system. (Sec. 13423) Prohibits the Secretary from taking action to recover certain amounts paid by Medicare to uniformed services treatment facilities in Boston, Baltimore, and Seattle for services provided between October 1, 1986, and December 31, 1989, except to the extent that funds are made available for that purpose under the Department of Defense Appropriations Act, 1993. Requires a report to the Congress on establishment of joint medical facilities among the Department of Defense, the Department of Veterans' Affairs, and other entities. (Sec. 13424 and 13425) Requires the Secretary to: (1) review ]the DRGs assigned to discharges of patients with intractable epilepsy; (2) revise the assignment of discharges to such groups as the Secretary considers appropriate to account for the resource requirements of such patients; and (3) begin collecting data necessary to compute a skilled nursing facility wage index adjustment to the routine service cost limits required under Medicare. Requires the Prospective Payment Assessment Commission to report to the Congress on the impact of applying routine per diem cost limits for skilled nursing facilities on a regional basis. (Sec. 13429) Allows hospitals that have been reclassified from urban to rural as a result of revisions to metropolitan statistical area definitions issued by the Office of Management and Budget on December 28, 1992, to apply to the Medicare Geographic Classification Review Board for reclassification in FY 1994. Chapter 2: Provisions Relating to Part B: Subchapter A: Elimination of Inflation Update - Amends SSA title XVIII part B to eliminate the inflation update for physician and related professional services and other items and services. (Sec. 13432) Freezes payments for enteral and parenteral nutrients, supplies and equipment, rural health clinic, federally qualified health center, and comprehensive outpatient rehabilitation facility services, dialysis services, and other part B items and services. Subchapter B: Physicians' Services - Amends SSA title XVIII part B to, among other things: (1) repeal the OMBRA '90 prohibition on separate payments for EKG interpretations; (2) repeal the reductions in payments to new physicians and practitioners; (3) prohibit changing the methodology in effect as of January 1, 1992, for calculating anesthesia time in the fee schedules; (4) revise requirements with respect to geographic adjustment factors and beneficiary liability for amounts billed above the limiting charge; (5) require pre-payment screening by carriers of unassigned claims submitted by nonparticipating physicians; (6) require the Explanation of Benefits form to contain information on amounts billed in excess of the applicable limiting charge; (7) specify the practitioners who may only bill for services on an assignment-related basis; (8) include antigens prepared by a physician on the physician fee schedule; (9) prohibit the imposition of user fees in specified circumstances in the administration of claims relating to physicians' services; and (10) specify the conditions under which the Secretary can recognize substitute billing arrangements between two physicians. (Sec. 13444) Requires the Secretary to revise and report to specified congressional committees on the data necessary to revise geographic indices. Requires the Physician Payment Review Commission to develop criteria for use in redefining the localities used within States for adjusting physicians' fees. (Sec. 13446) Requires the Secretary to develop relative values for the full range of pediatric physicians' services and report to the Congress. Subchapter C: Ambulatory Surgical Center Services - Makes amendments identical to those made above to the Medicare program and OMBRA'90 under subchapter B of chapter 1 of title V of this Act with respect to eye and eye and ear hospitals and intraocular lenses. (Sec. 13452) Requires the Secretary to report to the Congress on the costs to providers of intraocular lenses provided to individuals enrolled under Medicare part B. Subchapter D: Durable Medical Equipment - Makes amendments similar to those made above to the Medicare program and SSA title XI under subchapter C of chapter 1 of title V of this Act with respect to durable medical equipment and kick-backs. (Sec. 13468) Subjects ostomy supplies, tracheostomy supplies, and urologicals to national payment limits. Subchapter E: Other Provisions - Makes amendments similar to those made above to the Medicare program, OMBRA '86, and COMBRA '85 under subchapter E of chapter 1 of title V of this Act with respect to oral cancer drugs and the treatment of certain Indian health programs and facilities as federally-qualified health centers, and the extension of Alzheimer's disease and municipal health service demonstration projects. (Sec. 13471) Amends SSA title XVIII to, among other things: (1) freeze at the 1992 level the conversion factor used to determine payments to medically directed certified registered nurse anesthetists; (2) cap the part B premium penalty for late enrollment for Federal employees who meet certain conditions; and (3) establish statutory definitions for speech language pathologist and audiologists. (Sec. 13473) Provides for uniform coverage of "off-label" drugs used in anti-cancer therapy. Requires a report to specified congressional committees on Medicare coverage of patient care costs associated with clinical trials of new cancer therapies. Subchapter F: Part B Premiums - Duplicates the amendment to the Medicare program made above under subchapter D of chapter 1 of subtitle A of title V of this Act with respect to the monthy Medicare part B premium. Chapter 3: Provisions Relating to Parts A and B -Subchapter A: Elimination of Updates - Amends SSA title XVIII to eliminate updates in payments to hospitals for the direct costs of graduate medical education for cost reporting periods beginning during FY 1994 and 1995. (Sec. 13502) Prohibits the Secretary from providing any update in the cost limits for home health services for cost reporting periods beginning during FY 1994 and 1995. Subchapter B: Medicare Secondary Payer Provisions - Makes amendments similar to those under chapter 2 of subtitle A of title V of this Act with respect to Medicare as secondary payer. Subchapter C: Physician Ownership and Referral - Amends SSA title XVIII to: (1) apply the ban on certain referrals by physicians to all payers, extending it to cover additional specified health services as well as new exceptions; (2) expand current standards used to define a group practice; and (3) provide that Federal law shall not preempt State laws that related to referrals not covered under the ban, or that relate to referrals covered under the ban but are even more restrictive. Subchapter D: Other Provisions - Sets forth measures similar to those under chapters 1 and 2 of subtitle A of title V of this Act with respect to: (1) interest payments on clean claims; (2) payments for erythropoietin; (3) qualified Medicare beneficiary outreach; (4) social health maintenance demonstrations; (5) the second surgical opinion program under SSA title XI; (6) hospice notification; and (7) Medicare capitation payments. (Sec. 13551) Requires the Secretary to redetermine the full-time-equivalent (FTE) resident amount to reflect the amount that would be allowed if the hospital had been liable to pay FICA taxes or make other specified retirement contributions for residents during the base year, but did not make such payments, yet now must do so as a result of OMBRA '90. Amends SSA title XVIII to: (1) provide for adjustments for certain publicly funded family residency programs; (2) extend on a graduated basis to three years (after 1997) the current one-year period following a transplant procedure during which Medicare covers immunosuppressive drug therapy for beneficiaries who have received organ transplants; and (3) provide that user fees imposed under the Clinical Laboratories Improvement Act of 1967 are not subject to the general ban on user fees for determining compliance with any requirement of Medicare. (Sec. 13560) Amends the Balanced Budget and Emergency Deficit Control Act of 1985 (Gramm-Rudman-Hollings Act) to provide that to the extent that appropriations are enacted providing budget authority for Medicare administrative costs above a base level spending in FY 1992 of $1.526 billion, the appropriate discretionary spending limits shall be adjusted to accommodate additional budget authority in FY 1994 and 1995. Chapter 4: Medicare Supplemental Insurance Policies - Amends OMBRA '90 and Medicare to make specified changes to Federal standards respecting the sale and regulation of Medicare supplemental insurance policies. Chapter 5: Treatment of Certain State Health Care Programs - Amends the Employee Retirement Income Security Act of 1974 (ERISA) to provide that: (1) the Hawaii Prepaid Health Care Act will not be preempted by ERISA unless the Secretary of Labor notifies the Governor of Hawaii that certain conditions exist; and (2) State tax laws relating to employee benefit plans will continue to be preempted. Subtitle D: Customs and Trade Provisions - Amends the Tariff Act of 1930 to authorize appropriations for FY 1994 and 1995 for the United States International Trade Commission (ITC). Prohibits use of funds for any special study, requested by the executive branch unless the ITC is reimbursed. (Sec. 13601) Amends the Customs Procedural Reform and Simplification Act of 1978 to authorize appropriations for FY 1994 and 1995 for the United States Customs Service for noncommercial and commercial operations, and the air and marine interdiction programs. Amends the Trade Act of 1974 to authorize appropriations for FY 1994 and 1995 for the Office of the United States Trade Representative. (Sec. 13602) Amends the Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA) to extend the authority of the Secretary of the Treasury to collect customs user fees through September 30, 1998. (Sec. 13603) Amends the Trade Act of 1974 to remove the Union of Soviet Socialist Republics from the list of countries ineligible for designation as a beneficiary developing country under the Generalized System of Preferences (GSP). Extends duty-free treatment provided under the GSP through September 30, 1994. (Sec. 13604) Extends the worker trade adjustment assistance program (trade adjustment assistance benefits for workers adversely affected by import competition or the relocation of U.S. production facilities abroad), and authorization of appropriations, from FY 1993 through FY 1996. (Sec. 13605) Amends the Omnibus Trade and Competitiveness Act of 1988 to extend the authority of the President, for a specified period of time, to enter into trade agreements with foreign countries for the reduction or elimination of tariff or nontariff barriers if the Uruguay Round of multilateral trade negotiations under the General Agreement on Tariffs and Trade (GATT) has not resulted in such trade agreements by May 31, 1993. Provides that implementing bills involving tariff and nontariff trade agreements shall be effective only if, among other things, the President, at least 120 calendar days (currently, 90 days) before he enters into such an agreement, notifies the Congress of his intention and publishes such intention in the Federal Register. Extends congressional "fast track procedures" to such implementing bills through April 16, 1994. (Sec. 13606) Amends the Federal Trade Act of 1974 to eliminate the East-West Trade Statistics Monitoring System. Subtitle E: Customs Officer Pay Reform - Revises the pay system for United States Customs Service inspectors. (Sec. 13701) Amends the Tariff Act of 1930 to prohibit merchandise or passengers from foreign places, or merchandise being transported from one port to another, from being unladen from carrying vehicles during overtime hours (currently, at night). (Sec. 13702) Authorizes cash awards to customs officers for foreign language proficiency. (Sec. 13703) Amends COBRA to provide for reimbursement of appropriations from the Customs User Fee Account for agency retirement contributions. (Sec. 13704) Amends Federal law with regard to the treatment of certain pay of customs officers for retirement purposes. (Sec. 13705) Revises COBRA congressional reporting requirements respecting Account reimbursements. Requires additional General Accounting Office reports to the Congress on financing of overtime inspectional services through user fees. Title XIV: Revenue Provisions - Revenue Reconciliation Act of 1993 - Subtitle A: Training and Investment Incentives - Part I: Provisions Relating to Education and Training - Makes permanent after June 30, 1992: (1) the tax exclusion of employer-provided educational assistance; and (2) the targeted jobs credit. Allows the use of the targeted jobs credit, with limitations, for the hiring of a qualified participant in an approved school-to-work program. Part II: Investment Incentives - Subpart A: Research Credit - Makes permanent the credit for increasing research activities. Modifies the fixed base percentage of such credit for startup companies for taxable years after 1993. Subpart B: Capital Gain Provisions - Allows a taxpayer other than a corporation to exclude from gross income 50 percent of gain from the sale or exchange of qualified small business stock held for more than five years. Set forth rules and limitations for such exclusion. Treats one-half of such exclusion as an item of tax preference for minimum tax purposes. (Sec. 14114) Allows the rollover of gain from the sale of publicly traded securities into specialized small business investment companies. Subpart C: Modifications to Minimum Tax Depreciation Rules - Modifies the method of determining the depreciation deduction for certain personal property placed in service after 1993. Eliminates the depreciation adjustment for computing adjusted current earnings for such property. Subpart D: Increase in Expense Treatment for Small Business - Increases the dollar limitation on the election to expense certain depreciable small business assets. Part III: Tax-Exempt Bond Provisions - Provides a complete tax exemption (currently a 75 percent tax exemption) for bonds used to finance high-speed intercity rail facilities. (Sec. 14122) Permanently extends the authority to issue qualified small issue bonds to finance manufacturing facilities and farm property. Part IV: Expansion and Simplification of Earned Income Tax Credit - Repeals certain interaction rules with respect to the medical expense deduction, the deduction for health insurance, and the dependent care credit. Revises credit and phaseout percentages for 1994. Part V: Incentives for Investment in Real Estate - Subpart A: Extension of Qualified Mortgage Bonds and Low-Income Housing Credit - Makes permanent: (1) the authority to issue qualified mortgage bonds and qualified mortgage credit certificates; and (2) the low-income housing credit. (Sec. 14142) Provides that assistance under the HOME Investment Partnerships Act should not result in certain buildings being federally subsidized. Subpart B: Modification of Passive Loss Rules - Provides for the treatment of rental real estate activities under the limitations on losses from passive activities. Subpart C: Provisions Relating to Real Estate Investments by Pension Funds - Modifies exceptions to the exclusion of real property acquired by a qualified organization from the meaning of acquisition indebtedness. Makes certain exceptions inapplicable to sales out of foreclosure by a financial institution. (Sec. 14145) Repeals the special rule for publicly traded partnerships with respect to the treatment of unrelated business taxable income. (Sec. 14146) Permits a tax-exempt title-holding company to receive unrelated business taxable income if the unrelated income is incidentally derived from the holding of real property. (Sec. 14147) Excludes from unrelated business taxable income: (1) gains from the sale, exchange, or other disposition of real property acquired from financial institutions that are in conservatorship or receivership; and (2) loan commitment fees and certain option premiums. Provides for the tax treatment of pension fund investments in real estate investment trusts. Subpart D: Discharge of Indebtedness - Excludes from gross income the income from the discharge of qualified real property business indebtedness. Subpart E: Increase in Recovery Period for Nonresidential Real Property - Increases the depreciation recovery period for nonresidential real property. Part VI: Luxury Tax - Repeals the luxury excise tax on boats, aircraft, jewelry, and furs. (Sec. 14162) Modifies the luxury excise tax on automobiles to index the threshold for inflation occurring after 1990 and make such tax applicable to the first retail sale. Exempts from the luxury excise tax parts for accessories installed for use of passenger vehicles by disabled individuals. (Sec. 14163) Extends the current diesel fuel excise tax to diesel fuel used by noncommercial motorboats. Retains such taxes in the General Fund of the Treasury. Part VII: Other Changes - Repeals the tax preferences for the appreciated property charitable deduction. Disallows an adjustment related to the earnings and profits effects of any charitable contribution from being made in computing adjusted current earnings. (Sec. 14171) Requires Secretary of the Treasury to report to specified congressional committees on the development of a procedure for taxpayers to seek an agreement with the Secretary on the value of tangible personal property prior to the donation of such property to a qualifying charitable organization. (Sec. 14172) Amends the Railroad Retirement Solvency Act of 1983 to make permanent the treatment of certain railroad retirement benefits as received under employer plans. (Sec. 14173) Provides for the temporary extension of the deduction of health insurance costs of self-employed individuals. Subtitle B: Revenue Increases - Part I: Provisions Affecting Individuals- Subpart A: Rate Increases - Lowers the tax rates for certain taxpayers and increases the tax rate for certain higher incomes. Imposes a surtax on certain higher incomes. (Sec. 14203) Increases the tentative minimum tax for taxpayers other than corporations. (Sec. 14204) Makes permanent the overall limitation on itemized deductions and the phaseout of personal exemptions for high-income taxpayers. (Sec. 14206) Sets forth provisions to prevent the conversion of ordinary income to capital gain in certain financial transactions. Repeals certain exeptions to market discount rules. Provides for the treatment of purchases of stripped preferred stock after April 30, 1993. Revises methods of: (1) computing the limitation on the deductibility of investment interest; and (2) determining substantial appreciation of partnership inventory items. Subpart B: Other Provisions - Repeals the limitation on the amount of wages subject to the health insurance employment tax. (Sec. 14208) Increases and makes permanent the highest estate and gift tax rate. (Sec. 14209) Reduces the deduction for business meals and entertainment expenses. (Sec. 14210) Disallows a tax deduction for social club membership dues, except for employee recreational expenses. (Sec. 14211) Disallows a deduction as a trade or business expense remuneration to certain employees in excess of $1 million. (Sec. 14212) Reduces the compensation taken into account in determining contributions and benefits under qualified retirement plans. (Sec. 14213) Removes qualified residence sales, purchases, or leases and meals from the deduction for moving expenses. (Sec. 14214) Revises the limitation on using the preceding year's tax to calculate an individual's estimated tax payments. (Sec. 14215) Increases the amount of social security and tier 1 railroad retirement benefits to be included in the gross income of certain taxpayers. Part II: Provisions Affecting Business - Increases the tax rate for corporate income in excess of $10 million and the tax rate on personal service corporations. (Sec. 14222) Denies a tax deduction for lobbying expenses. Subjects lobbying organizations to special reporting requirements. (Sec. 14223) Requires any security which is inventory in the hands of the dealer to be included in inventory at its fair market value. Requires any dealer in securities that holds any security which is not in inventory at the close of any taxable year to: (1) recognize gain or loss as if the security were sold on the last business day of the taxable year; and (2) take into account any such gain or loss for such year (the mark-to-market requirement). (Sec. 14224) Requires taking into account: (1) certain Federal Savings and Loan Insurance Corporation (FSLIC) assistance as compensation for loss; and (2) FSLIC assistance for any debt for determining whether such debt is worthless and the amount of any addition to a reserve for bad debts. (Sec. 14225) Increases the required annual payment for corporations that fail to pay estimated income tax. Modifies the periods for applying such annualization. (Sec. 14226) Limits the Puerto Rico and possession tax credit to 60 percent of the possession corporation's qualified possession wages. (Sec. 14227) Modifies the limitation on corporate deductions for interest paid to related persons to take into account disqualified guarantees of indebtedness and the imposition of a gross basis tax. Part III: Foreign Tax Provisions - Subpart A: Current Taxation of Certain Earnings of Controlled Foreign Corporations - Requires U.S. shareholders of controlled foreign corporations to include in gross income a pro rata share of the corporation's excess passive assets. Modifies the rule on taxation of investment in U.S. property and takes into account excessive passive assets. Requires a report on investments by controlled foreign corporations in U.S property. (Sec. 14233) Excepts from foreign personal holding income dividends attributable to earnings and profits of the distributing corporation accumulated during any period which the person receiving such dividend did not hold such stock. Requires the establishment of an excess limitation account by taxpayers who receive foreign tax credits in a year they receive previously taxed earnings and profits. Subpart B: Allocation of Research and Experimental Expenditures - Reduces the amount allowed as allocation and apportionment of research and experimental expenditures from sources within the United States. Subpart C: Other Provisions - (Sec. 14235) Excludes passive dividends or interest income from foreign oil and gas income. (Sec. 14236) Modifies accuracy-related penalties for tax underpayments. (Sec. 14237) Denies the inclusion of certain contingent interest in the exemption for portfolio interest for nonresident aliens. (Sec. 14238) Authorizes the Secretary of the Treasury to prescribe regulations recharacterizing any multiple-party financing transaction as a transaction directly among any two or more of such parties when appropriate to prevent tax avoidance. Part IV: Energy Tax Provisions - Subpart A: Energy Tax Based on Btu Content - Imposes an excise tax on the following energy products: (1) taxable refined petroleum products removed from a U.S. refinery or terminal entered into the United States for consumption, use, or warehousing, and sold to a nonregistered person; (2) natural gas removed from any U.S. pipeline, entered into the United States for consumption, use, or warehousing, and entered into any nonregistered pipeline; (3) coal received at any facility for use as a fuel at such facility; and (4) the sale of electricity to ultimate users in the United States and the use of electricity which was not subject to such tax. Bases the rate of tax on such products on the applicable Btu factor and content. (Sec. 14241) Provides for refunding certain amounts to ultimate vendors of petroleum used for heating oil and international commercial transportation. Repays certain sums to persons who use petroleum to produce calcined coke. Provides excise tax exemptions for certain uses. Refunds the tax paid by certain users of methane recovered from biomass or coal mining. Imposes a tax on the use of any fossil fuel: (1) in the manufacture or production of a fuel other than at a U.S. refinery; or (2) as a fuel. Imposes a tax on floor stock of taxable fuels held on the date of the tax increase. Allows a credit against such tax. Provides for such tax increases to begin July 1, 1994. Imposes a Btu tax on certain imported products that contain significant levels of direct energy inputs that would be taxable if the products were manufactured in the United States. Imposes a penalty on persons who sell dyed fuel for taxable uses. Subpart B: Modifications to Tax on Diesel Fuel - Imposes an excise tax on diesel fuel. Exempts from such tax diesel fuel: (1) used by trains and intercity, local, or school buses; and (2) which is dyed or marked in accordance in regulations. (Sec. 14242) Provides that the Airport and Airway Trust Fund financing rate does not apply to aviation fuel sold by a producer or importer for use by the purchaser in a nontaxable use. Imposes a civil penalty on persons who use reduced-rate fuel for a taxable use. (Sec. 14243) Imposes a floor stocks tax on any person holding diesel fuel April 1, 1994. Subpart C: Extension of Motor Fuel Tax Rates; Increased Deposits Into Highway Trust Fund - Increases the tax on gasoline and diesel fuels for purposes of the Highway Trust Fund financing rate. Increases the amount to be transferred to the Mass Transit Account from such Fund. Part V: Compliance Provisions - Requires information reporting on payments to corporations for services. (Sec. 14252) Modifies provisions concerning substantial understatement and return-preparer penalties to allow reasonable cause exceptions. (Sec. 14253) Requires certain financial entities (including the Federal Deposit Insurance Corporation, the Resolution Trust Corporation, and the National Credit Union Administration, and their successors or subunits) to file information returns regarding discharges of indebtedness of $600 or more. Part VI: Treatment of Intangibles - Allows an amortization deduction with respect to certain intangible property, including goodwill, that is acquired and held by a taxpayer in connection with the conduct of a trade or business or an activity engaged in for the production of income. Part VII: Miscellaneous Provisions - Establishes substantiation requirements for charitable contributions of $750 or more. (Sec. 14272) Sets forth disclosure requirements for an organization that receives a quid pro quo contribution (payment made partly as a contribution and partly in consideration for goods or services provided to the payor by the donee organization). Imposes a penalty for failure to make such disclosure. (Sec. 14273) Expands the 45-day interest-free period for refunding tax overpayments to all returns, amended returns, and claims for refunds. Provides that if interest is not refunded within 45 days after the taxpayer files an amended return or claim for refund, interest will be paid only for periods after the date on which the return or claim is filed. (Sec. 14274) Denies the business travel expense deduction for spouses, dependents, or others. (Sec. 14275) Increases the withholding rate for supplemental wage payments. Subtitle C: Empowerment Zones and Enterprise Communities - Part I: Empowerment Zones and Enterprise Communities, Etc. - Provides for the designation of 100 tax enterprise communities and ten enpowerment zones between 1993 and 1996: (1) by the Secretary of Housing and Urban Development for urban areas; (2) by the Secretary of Agriculture for rural areas; and (3) by the Secretary of the Interior for Indian reservations. (Sec. 14301) Sets forth eligibility criteria. Makes certain buildings in such communities or zones eligible for the low-income housing credit applicable to buildings in high-cost areas. Provides for the issuance of enterprise zone facility bonds in enterprise communities and enpowerment zones in a manner similar to exempt facility bonds. Excludes enterprise zone facility bonds from the interest deduction limitations on financial institutions. Provides States an additional housing credit ceiling for each zone and community through 1996. Allows a limited empowerment zone employment credit to employers for a percentage of qualified zone wages paid during calendar years 1994 through 2004. Allows businesses a zone resident empowerment savings credit of 50 percent of the qualified savings contributions made by an employer to a defined contribution plan on behalf of a zone employee. Limits the credit amount based on the employee's compensation. Increases the limitation on expensing certain depreciable business assets. Increases the volume cap applicable to enterprise zone facility bonds if the business owners meet specified ownership requirements with regard to abiding in such zones. (Sec. 14302) Allows use of the targeted jobs credit for hiring empowerment zone residents. Part II: Credit for Contributions to Certain Community Development Corporations - Allows a general business tax credit for contributions to selected community development corporations for low-income individuals who are residents of the operational area of the community. Subtitle D: Other Provisions - Part I: Disclosure Provisions - Extends the authority to disclose tax return information to the Department of Veterans Affairs through September 30, 1998. (Sec. 14402) Authorizes the disclosure of certain tax return information to the Department of Education to implement the direct student loan program and to the Department of Housing for income verification. Part II: User Fee Provisions - Requires establishment of a program requiring the payment of user fees for the processing of applications for certificates of alcohol label approval and exemption, formula reviews, and statements of process (including laboratory tests). (Sec. 14412) Removes authority to use the Harbor Maintenance Trust Fund for administrative expenses of certain customs fee collections. (Sec. 14413) Increases the tax on fuel used on commercial transportation on inland waterways. Part III: Public Debt Limit - Increases the public debt limit and repeals the temporary limit on such increase. Part IV: Vaccine Provisions - Makes permanent: (1) the excise tax on certain vaccines; and (2) the authority to pay compensation from the Vaccine Trust Fund under the National Vaccine Injury Compensation Program for certain damages resulting from vaccines administered after September 30, 1988. Directs the Secretary of the Treasury to report to specified congressional committees on uses of such Fund. (Sec. 14431) Imposes a floor stocks tax on taxable vaccines. (Sec. 14432) Requires contribution coverage under group health plans of the costs of pediatric vaccines. (Sec. 14433) Establishes the Childhood Immunization Trust Fund for the entitlement program under the Public Health Service Act.

Emergency Book Fund Act

United States · United States Congress · 25 May 1993

Emergency Book Fund Act - Authorizes the Secretary of Education to allocate supplementary funds to State library administrative agencies for public libraries to use to purchase books and other library materials and resources. Authorizes appropriations.

Many Neighbors, One Earth Resolution

United States · United States Congress · 24 May 1993

Many Neighbors, One Earth Resolution - Urges the President to develop and implement a coordinated economic and development policy and program of action designed to promote broadbased, sustainable development. Specifies that such policy and program should have as principal objectives: (1) expanding economic opportunities; (2) meeting basic human needs; (3) promoting environmental protection and sustainable use of natural resources; and (4) promoting pluralism, democratic participation, and human rights. Specifies that such policy and program should involve all relevant international activities of the U.S. Government. Urges specific actions that the President should take, including: (1) working with the Congress to enact legislation providing for a post-Cold War foreign assistance program that would have as its primary purpose the promotion of sustainable development; (2) ensuring that development cooperation programs, conform to such objectives in ways that invigorate local community-based development through taking into account relevant local perspectives of its beneficiaries during the design, planning, implementation, and evaluation process for project and program assistance; (3) providing government-to-government assistance only to countries that exhibit a commitment to development that promotes such objectives, with priority to countries with the highest incidence of hunger and poverty; and (4) encouraging and supporting the efforts of countries to reduce their levels of military spending when such spending is disproportionate to security needs and spending on health, education, and environmental protection.

Second Supplemental Appropriations Act of 1993

United States · United States Congress · 24 May 1993

TABLE OF CONTENTS: Title I: Supplemental Appropriations Title II: Rescissions Title III: General Provisions Second Supplemental Appropriations Act of 1993 - Title I: Supplemental Appropriations - Makes supplemental appropriations available to: (1) the Employment and Training Administration of the Department of Labor; (2) the Environmental Protection Agency for construction grants; (3) the Farmers Home Administration of the Department of Agriculture; (4) the Office of Justice Programs of the Department of Justice; (5) the Federal Railroad Administration of the Department of Transportation; and (6) the Small Business Administration through a fund transfer. Title II: Rescissions - Rescinds specified appropriations made to: (1) the Department of Agriculture for the Farmers Home Administration; (2) the Department of Commerce for the Economic Development Administration and the National Oceanic and Atmospheric Administration; (3) the Department of Justice for Office of Justice Programs and the Thomas Jefferson Commemoration Commission; (4) the Department of the Interior for the Bureau of Land Management, the U.S. Fish and Wildlife Service, the National Park Service, and the Office of Navajo and Hopi Indian Relocation; (5) the Department of Labor for the Employment and Training Administration and departmental management; (6) the Department of Education for certain programs; (7) the Department of Transportation for the Coast Guard, the Federal Aviation Administration, and the National Highway Traffic Safety Administration; (8) the Department of the Treasury for the U.S. Customs Administration, the Bureau of the Public Debt, and the Internal Revenue Service; (9) the General Services Administration for the Federal Buildings Fund; (10) the Department of Veterans Affairs for departmental administration; (11) the Department of Housing and Urban Development for certain housing programs; (12) the Environmental Protection Agency for the Hazardous Substance Superfund; and (13) the National Aeronautics and Space Administration for research and development. Title III: General Provisions - Prohibits appropriations in this Act from remaining available for obligation beyond the current fiscal year unless expressly so provided. Restricts the availability of funds for the Community Investment Program until September 30, 1993. Prohibits the use of any funds to pay for the relocation of the Human Nutrition Information Service.

Higher Education Savings Plan Act of 1993

United States · United States Congress · 24 May 1993

Higher Education Savings Plan Act of 1993 - Amends the Internal Revenue Code to exempt distributions from a higher education expenses annuity contract from the ten-percent penalty on premature distributions from annuity contracts. Excludes the premium to purchase such a contract from gift tax liability.

National Mentor Corps Act of 1993

United States · United States Congress · 21 May 1993

National Mentor Corps Act of 1993 - Amends the Elementary and Secondary Act of 1965 to include intergenerational mentoring programs among innovative projects which are local targeted assistance programs. Authorizes the Secretary of Education to make a grant to or contract with one organization to establish and operate the National Resource Center for Intergenerational Mentoring.

Sharon Porter Robinson, of Kentucky, to be Assistant Secretary for Educational Research and Improvement, Department of Education, vice Diane S. Ravitch, resigned.

United States · United States Senate · 20 May 1993

Judith A. Winston, of the District of Columbia, to be General Counsel, Department of Education, vice Jeffrey C. Martin, resigned.

United States · United States Senate · 20 May 1993

A bill to require that educational organizations that offer educational programs to minors for a fee disclose certain information.

United States · United States Congress · 20 May 1993

Requires educational organizations that offer educational programs to minors for a fee to disclose certain information in written form to the minor or the minor's parent before accepting funds for the cost of the minor's participation in such a program. (Excludes from the definition of educational organization a local educational agency, an elementary or secondary school or organization sponsored by such a school, a recreational organization, or a social club.) Requires each such educational organization to include a verifiable statement of nondiscriminatory enrollment and employment policy on all enrollment or recruitment material. Directs the Secretary of Education to monitor compliance with this Act. Authorizes imposition of civil fines for violations.

Violent Crimes Control Act of 1993

United States · United States Congress · 20 May 1993

TABLE OF CONTENTS: Title I: Death Penalty Title II: Habeas Corpus Reform Subtitle A: General Habeas Corpus Reform Title III: Exclusionary Rule Title IV: Firearms and Related Amendments Title V: Terrorism and International Matters Title VI: Sexual Violence, Child Abuse, and Victims' Rights Subtitle A: Sexual Violence and Child Abuse Subtitle B: Victims' Rights Subtitle C: Crime Victims Fund Subtitle D: National Child Protection Act Subtitle E: Jacob Wetterling Crimes Against Children Registration Act Subtitle F: Domestic Violence Subtitle G: Other Provisions Title VII: Equal Justice Act Title VIII: Public Corruption Title IX: Federal Prisons Title X: Violent Crime Title XI: International Parental Kidnapping Violent Crimes Control Act of 1993 - Title I: Death Penalty - Federal Death Penalty Act of 1993 - Amends the Federal criminal code to establish criteria for the imposition of the death penalty for Federal crimes. (Sec. 102) Allows the defendant and the Government to present any information relevant to sentencing (including victim impact statements), but permits evidence to be excluded where its probative value is substantially outweighed by the danger of creating unfair prejudice, confusing the issues, or misleading the jury. Sets forth: (1) procedures for the implementation of, and appeal from, a sentence of death; and (2) provisions regarding the appointment of counsel, deadlines for collateral attacks on judgments imposing a death sentence, and stays of execution. (Sec. 110) Provides for the imposition of the death penalty for various offenses, including: (1) murder committed by prisoners in Federal prisons; (2) murder for hire; (3) murder in the aid of racketeering activity; (4) specified violations of the Controlled Substances Act (CSA); (5) murder of Federal witnesses; (6) rape and child molestation murders; and (7) murders in the District of Columbia. Title II: Habeas Corpus Reform - Subtitle A: General Habeas Corpus Reform - Habeas Corpus Reform Act of 1993 - Amends the Federal judicial code to establish a one-year statute of limitations for habeas corpus actions brought by State prisoners. (Sec. 204) Vests authority to issue certificates of probable cause for appeal of habeas corpus orders exclusively in the courts of appeals. Subtitle B: Death Penalty Litigation Procedures - Death Penalty Litigation Procedures Act of 1993 - Amends the Federal judicial code to set forth special habeas corpus procedures in capital cases. Subtitle C: Equalization of Capital Habeas Corpus Litigation Funding - Amends the Omnibus Crime Control and Safe Streets Act of 1968 (Omnibus Act) to require the Director of the Bureau of Justice Assistance (BJA) to provide grants to the States to support litigation pertaining to Federal habeas corpus petitions in capital cases. Title III: Exclusionary Rule - Amends the Federal criminal code to bar the exclusion of evidence obtained as a result of a search or seizure carried out under circumstances justifying an objectively reasonable belief that it was in conformity with the fourth amendment. Title IV: Firearms and Related Amendments - Sets forth various firearms-related provisions, including the following. Amends the Federal criminal code to: (1) increase mandatory minimum sentences for knowingly possessing a firearm during and in relation to a crime of violence or drug trafficking crime; and (2) establish penalties for smuggling firearms in aid of drug trafficking and for theft of firearms and explosives. (Sec. 402) Increases penalties for: (1) a second offense of using an explosive to commit a felony; (2) making knowingly false, material statements in connection with the acquisition of a firearm from a licensed dealer; and (3) interstate gun trafficking. (Sec. 406) Authorizes the summary destruction of explosives subject to forfeiture under specified circumstances. Sets forth requirements for reimbursement of the value of destroyed property. (Sec. 410) Prohibits: (1) the receipt of firearms by non-residents of the State in which the transferor resides, unless such receipt is for lawful sporting purposes; (2) transactions involving stolen firearms which have moved in interstate or foreign commerce; and (3) the possession of explosives by felons and specified others. (Sec. 418) Amends: (1) the Internal Revenue Code regarding the disposition of forfeited firearms; and (2) the Federal criminal code regarding the definitions of "burglary" and "serious drug offense" under the Armed Career Criminal Act of 1984. Title V: Terrorism and International Matters - Repeals the Antiterrorism Act of 1990. Establishes a civil remedy for U.S. nationals (and their survivors or estates) injured, in their person, property, or business, by acts of international terrorism. (Sec. 502) Amends the Federal criminal code to: (1) make it a criminal offense to provide material support to terrorists; and (2) provide for civil and criminal forfeiture of assets used to support terrorists. (Sec. 504) Authorizes the Attorney General to waive immigration admission and other legal requirements and grant permanent resident status for alien witnesses who cooperate with the Government in Federal or State prosecutions. (Sec. 513) Amends the Federal criminal code to: (1) establish penalties for removing a child from, or retaining a child outside, the United States with intent to obstruct the lawful exercise of parental rights; (2) provide for the prosecution of individuals who murder U.S. nationals abroad; and (3) permit Federal Bureau of Investigation (FBI) access to telephone subscriber information under specified circumstances. Title VI: Sexual Violence, Child Abuse, and Victims' Rights - Subtitle A: Sexual Violence and Child Abuse - Defines "sexual act" to include the intentional touching, not through the clothing, of the genitalia of another person who has not attained age 16 with intent to abuse, humiliate, harass, degrade, or to arouse or gratify the sexual desire of any person. (Sec. 602) Increases penalties for recidivist sex offenders. (Sec. 603) Authorizes the court to award restitution for victims of sex offenses. (Sec. 604) Sets forth provisions regarding human immunodeficiency virus testing, penalty enhancement, and cost of testing in sex offense cases. Subtitle B: Victims' Rights - Sets forth provisions regarding: (1) restitution and suspension of Federal benefits; and (2) the number of peremptory challenges under the Federal Rules of Criminal Procedure. Subtitle C: Crime Victims Fund - Repeals: (1) the current $150 million cap on the Crime Victims Fund under the Victims of Crime Act of 1984; and (2) sunset provisions under such Act. Modifies the formula for the distribution of sums deposited into the Fund. (Sec. 622) Increases the Federal share of victim compensation programs from 40 to 45 percent of the amounts awarded by each program during the preceding fiscal year. (Sec. 623) Allows up to five percent of a victim compensation program grant to be used for administrative costs. (Sec. 624) Specifies that if the compensation paid by an eligible crime victim compensation program would cover costs that a Federal program, or a federally financed State or local program, would otherwise pay: (1) such victim compensation program shall not pay such compensation; and (2) the other program shall make its payments without regard to the existence of the crime victim compensation program. (Sec. 626) Requires crime victim assistance chief executives to give particular attention to children who are victims of violent street crime. Subtitle D: National Child Protection Act - National Child Protection Act of 1993 - Provides for: (1) State reporting of child abuse crime information to a national criminal background check system; (2) funding to improve such information; and (3) the withholding of a portion of such funding to States not in compliance with a timetable established under this Act. Subtitle E: Jacob Wetterling Crimes Against Children Registration Act - Jacob Wetterling Crimes Against Children Registration Act - Directs the Attorney General to establish guidelines for State programs requiring any person who is convicted of a criminal offense against a minor to register a current address with a designated State law enforcement agency for ten years after release from prison or being placed on parole or supervised release. Sets forth registration, State compliance, and related requirements. Subtitle F: Domestic Violence - Amends the Omnibus Act to authorize the Director of the BJA to make grants to assist States in implementing a civil and criminal response to domestic violence. Specifies that such grants shall be used to: (1) encourage increased prosecutions for domestic violence; (2) report more accurately the incidences of such violence; (3) facilitate arrests and aggressive prosecution policies; (4) provide legal advocacy services for victims; and (5) improve the knowledge of health professionals regarding domestic violence and facilitate cooperation between health professionals, social service providers, and law enforcement personnel to better assist such victims. Sets forth provisions regarding: (1) application requirements; (2) allocation of funds and limitations on grants; (3) grant award and renewal; and (4) reporting requirements. Authorizes appropriations. (Sec. 662) Requires the Attorney General and Secretary of Health and Human Services to transmit to the Congress a report on the medical and psychological basis of battered women's syndrome and on the extent to which evidence of the syndrome has been held to be admissible as evidence of guilt or as a defense in a criminal trial. Subtitle G: Other Provisions - Sets penalties for inducing a minor to commit an offense against the United States. (Sec. 672) Amends the General Education Provisions Act to provide for the disclosure of arrest records by campus police. (Sec. 673) Requires the Attorney General to contract with an appropriate entity to provide for a national baseline study to research the effectiveness of campus sexual assault policies for institutions of postsecondary education. Authorizes appropriations. (Sec. 674) Expresses the sense of the Congress that in determining child custody and visitation rights the courts should take into consideration the history of drunk driving of any person involved in the determination. Title VII: Equal Justice Act - Equal Justice Act - Requires that the death penalty and all other penalties be administered by the United States and by every State without regard to the race or color of the defendant or victim. Bars the use of any racial quota or statistical test for the imposition or execution of any penalty. (Sec. 703) Sets forth provisions regarding: (1) safeguards against racial prejudice or bias in criminal courts; and (2) jury instructions and certification, and racial motivation in killings as an aggravating factor, in Federal capital cases. (Sec. 705) Amends specified civil rights provisions to cover conspiracy against rights, and deprivation of rights under color of law, of any person in (currently, inhabitant of) a State, territory, or district. Title VIII: Public Corruption - Anti-Corruption Act of 1993 - Amends the Federal criminal code to prescribe criminal penalties to be imposed against anyone who uses any facility of, or affects, interstate or foreign commerce to deprive or defraud the inhabitants of a State or political subdivision of a State of the honest services of a government official or employee, or of a fair and impartially conducted election process. Prescribes criminal penalties to be imposed upon any official, or person selected to be a public official, who, in order to carry out or conceal any scheme or artifice to defraud, discriminates, harasses, or takes adverse action against any employee or official of the United States, or any State or political subdivision. Authorizes such an adversely affected employee or official to obtain relief through a civil action, provided such person did not participate in the scheme or artifice. (Sec. 803) Amends mail fraud provisions to prohibit the use of any facility of interstate or foreign commerce in the execution of a scheme or artifice to defraud. (Sec. 804) Sets forth prohibitions regarding narcotics-related public corruption. Title IX: Federal Prisons - Authorizes appropriations for new prison construction. Title X: Violent Crime - Life Imprisonment for Egregious Recidivists Act of 1993 - Requires the court to sentence a defendant convicted of a Federal violent felony to life imprisonment if the defendant has previously been convicted of two other violent felonies. Title XI: International Parental Kidnapping - International Parental Kidnapping Crime Act of 1993 - Sets penalties for removing a child from the United States or retaining a child (who has been in the United States) outside the United States in order to obstruct the lawful exercise of parental rights. (Sec. 1103) Authorizes appropriations to carry out, under the State Justice Institute Act of 1984, national, regional, and in-State training and educational programs dealing with criminal and civil aspects of interstate and international parental child abduction.

Concentration Grant Targeting and Improvements Act

United States · United States Congress · 20 May 1993

Concentration Grant Targeting and Improvements Act - Amends the Elementary and Secondary Education Act of 1965 to target chapter 1 concentration grants on local educational agencies (LEAS) with especially high concentrations of children from low-income families. (Current law targets these to LEAs in counties with such concentrations.) Requires the State educational agency, in States which receive the minimum concentration grant amount, to allocate such funds among LEAs in rank order of their respective concentration and numbers of children from low-income families and in amounts consistent with the degree of concentration of poverty. Allows only those LEAs with concentrations of poverty exceeding the statewide average to receive such funds. Authorizes the Secretary of Education to use data on counties or equivalent local government units if satisfactory data regarding LEAs are not available to calculate grant amounts.

Freedom of Speech on Campus Act of 1993

United States · United States Congress · 20 May 1993

Freedom of Speech on Campus Act of 1993 - Expresses the sense of the Congress that students attending universities or other institutions of higher education that receive Federal funds should be able to exercise full rights to freedom of speech on campus free from official intrusion. Amends the Education Amendments of 1972 to prohibit discrimination by an institution of higher education against a student based on protected speech in any education program or activity receiving Federal financial assistance under the Higher Education Act of 1965. Makes such prohibition inapplicable to religious or military institutions. Provides that such prohibition shall not be construed to prevent: (1) imposition of an official sanction on a student determined to have willfully participated in the disruption or attempted disruption of a lecture, class, speech, presentation, or performance made or scheduled to be made under the auspices of the institution of higher education; or (2) actions by such institution that are necessary to ensure the safety of individuals, protection of property, and continuation of the academic and administrative process without interference.

Silvio O. Conte Disabilities Prevention Act

United States · United States Congress · 20 May 1993

Silvio O. Conte Disabilities Prevention Act - Amends the Public Health Service Act to authorize grants and contracts for the prevention of disabilities and the prevention of secondary conditions resulting from disabilities, including through demonstrations and interventions, surveillances and studies, public education, and training health professionals. Authorizes appropriations.

To amend the Higher Education Act of 1965 to achieve savings in the operation of the student loan programs under part B of title IV of that Act, and for other purposes.

United States · United States Congress · 20 May 1993

Amends the Higher Education Act of 1965 to revise or add to the guaranteed student loan program (also known as the Stafford Loan or the Federal Family Education Loan Program) with respect to: (1) in-school and grace period interest rate limits; (2) loan transfer fees; (3) decrease of guaranty agency reinsurance percentage; (4) required risk sharing by the Student Loan Marketing Association; (5) shares of post-default collections; (6) decrease of administrative cost allowances; (7) reinsurance fees; (8) parent loan (PLUS) amount limits and multiple disbursement requirements; (8) reduction and limitation of consolidation loan interest rates; (9) limitation of interest subsidy during deferment; (10) insurance fees from lenders; (11) longer periods for default determinations; (12) special allowances on tax exempt funds and purchase premiums; (13) origination fees from lenders; (14) the lender-of-last-resort requirement; (15) Student Loan Marketing Association alternative status study; and (16) repayment options (including income sensitive) availability and information.

Injury Prevention and Control Amendments of 1993

United States · United States Congress · 20 May 1993

Injury Prevention and Control Amendments of 1993 - Amends the Public Health Service Act to require the Secretary of Health and Human Services to carry out specified activities with respect to domestic violence and sexual assault, including: (1) collecting data relating to the incidence of such violence and assault; (2) making grants to public and nonprofit entities for the evaluation of programs whose purpose is to prevent such violence and assault; (3) providing to the public information and education on such violence and assault; (4) training health care providers to identify individuals whose medical condition or statements indicate that they are victims of such violence and assault and to refer them to entities that provide related services; and (5) making grants to public and nonprofit private entities for demonstration projects with respect to such violence and assault. Directs the Secretary to establish an advisory committee to advise the Secretary and the Director of the Centers for Disease Control and Prevention with respect to the prevention and control of injuries. Revises reporting requirements under the Act to include periodic reporting of activities carried out with respect to such violence and assault and with respect to rural areas. Authorizes the Secretary to work in cooperation with other Federal agencies and with public and nonprofit private entities to promote activities regarding the prevention and control of injuries (currently, limited to injury control). Directs the Secretary to disseminate information concerning the practical applications of research conducted or assisted to the public, including elementary and secondary schools. Authorizes appropriations.

Lower Mississippi Delta Initiatives Act of 1993

United States · United States Congress · 19 May 1993

TABLE OF CONTENTS: Title I: Initiatives Within the Department of the Interior Title II: Initiatives Within the Department of Energy Lower Mississippi Delta Initiatives Act of 1993 - Title I: Initiatives Within the Department of the Interior - Directs the Secretary of the Interior (the Secretary) to: (1) establish a scholarship program for natural resource and environmental studies; (2) encourage pre-college enrichment programs in designated subject areas; (3) implement a volunteer education enrichment program in cooperation with State departments of education and local school districts in the Lower Mississippi Delta Region (the Delta Region); and (4) implement a program to encourage women and minorities in the Delta Region to pursue science careers. (Sec. 103) Directs the Secretary to transmit to the Congress: (1) a study of nationally significant sites within the Delta Region; (2) recommendations for a transportation network linking such sites; and (3) a study outlining recommendations for funding Native American and Delta African American Heritage Routes and Centers. (Sec. 105) Directs the Secretary to provide technical and financial assistance to historically Black colleges and universities to undertake a survey of historic and prehistoric structures on campus. Title II: Initiatives Within the Department of Energy - Directs the Secretary of Energy (the Secretary) to establish the Delta Energy Technology and Business Development Center (the Center). Authorizes the Secretary to make grants to the Center. (Sec. 203) Amends the Energy Policy and Conservation Act to require the Secretary to make grants to schools or hospitals for energy conservation projects, and to provide supplemental Federal financing for energy conservation projects at schools and hospitals in the Delta Region. Authorizes appropriations. (Sec. 204) Requires the Secretary to: (1) report annually to certain congressional committees regarding opportunities for minority colleges and universities to participate in Department of Energy (DOE) activities and laboratories; (2) encourage partnerships involving minority colleges or universities, or private sector entities owned or controlled by disadvantaged individuals; (3) establish scholarship programs for students pursuing energy-related and/or technical disciplines either at minority colleges and universities, or at colleges and universities in the Delta Region; (4) encourage pre-college enrichment programs in energy-related and/or technical disciplines; (5) implement a volunteer program for education enrichment at DOE; and (6) implement a program to encourage women and minorities in the Delta Region to pursue careers in technical disciplines. (Sec. 205) Directs the Secretary to conduct a research and demonstration program to determine the economic viability of integrated biomass energy systems within the Delta Region. Authorizes appropriations. (Sec. 206) Amends the Energy Conservation and Production Act to direct the Secretary to make grants to States and Indian tribal organizations in the Delta Region for weatherization of low-income dwelling units. Authorizes appropriations.

Ways and Means Budget Reconciliation Act of 1993

United States · United States Congress · 18 May 1993

TABLE OF CONTENTS: Title I: Short Title; References to Omnibus Budget Reconciliation Act of 1993 Titles II-XII: (Reserved) Title XIII: Committee on Ways and Means-Savings Subtitle A: Old-Age, Survivors, and Disability Insurance Program Subtitle D (sic): Customs and Trade Provisions Subtitle E: Customs Officer Pay Reform Subtitle B (sic): Human Resources Amendments Subtitle C: Medicare Program Title XIV: Revenue Provisions Subtitle A: Training and Investment Incentives Subtitle B: Revenue Increases Subtitle C: Empowerment Zones and Enterprise Communities, Etc. Subtitle D: Other Provisions Title I: Short Title; References to Omnibus Budget Reconciliation Act of 1993 - Ways and Means Budget Reconciliation Act of 1993 - Deems any reference in this Act to the Omnibus Budget Reconciliation Act of 1993 to be a reference to the Ways and Means Budget Reconciliation Act of 1993. Titles II-XII: (Reserved) Title XIII: Committee on Ways and Means: Savings - Subtitle A: Old-Age, Survivors and Disability Insurance Program - Amends the Omnibus Budget Reconciliation Act of 1990 (OMBRA '90) to require the Secretary of Health and Human Services (Secretary) to reestablish and maintain in service the same number of telephone lines to each local social security office that were in place on September 30, 1989. (Sec. 13002) Amends the Internal Revenue Code (IRC) and title II (Old Age, Survivors and Disability Insurance) of the Social Security Act (SSA) to raise the threshold at which election services become subject to social security employment taxes. (Sec. 13003) Amends SSA title II to: (1) permit States which already collect social security numbers under current law to use them to eliminate duplicate names and names of convicted felons from jury source lists; (2) extend to all States the option to provide police officers and firefighters participating in a public retirement system with social security coverage under voluntary agreements with the Secretary; (3) disregard the windfall elimination provision in computing any U.S. totalization benefit and the amount of a regular U.S. benefit of an individual who receives a foreign totalization benefit based in part on U.S. employment, and who does not receive any other pension which is based on noncovered employment; (4) provide that military pensions based wholly on service in the military reserves before 1988 shall not trigger application of the Government pension offset or windfall elimination provision to the individual's social security benefits; (5) repeal the facility-of-payment provision; (6) make the guaranteed primary insurance amount the basis for calculating the guaranteed maximum family benefit; (7) make unauthorized disclosure of information and fraudulent attempts to obtain personal information under SSA a felony, and increase penalties for such offenses; (8) increase the time for which an extension may be granted for filing an annual earnings report; (9) permit the Department of Agriculture to share its list of names, social security numbers, and employer identification numbers of the owners and officers of retail grocery stores which redeem food stamps with other Federal agencies for the purpose of investigating food stamp fraud and violations of other Federal laws; (10) prohibit the misuse of Department of the Treasury names, symbols, etc.; (11) prohibit a State from using an individual's social security number in the administration of any driver's license or motor vehicle registration law where the State has not entered into a contract to provide death certificate and related information to the Secretary, or where such a contract restricts the Secretary's use of death information; and (12) require the Secretary to study improvements in gathering and reporting of death information. (Sec. 13005) Exempts from payment liability and penalties any ministers who were American citizens and residents of Canada prior to the 1984 totalization agreement between the United States and Canada and failed to file a tax return or pay self-employment taxes. (Sec. 13010) Amends IRC to: (1) authorize the Secretary of the Treasury to disclose information from tax returns on individuals' mortality status to the Secretary for epidemiological research purposes; (2) provide for the coordination of the collection of domestic service employment taxes with the collection of income taxes; and (3) change threshold requirements with respect to social security employment taxes on domestic services. (Sec. 13015) Requires the Secretary to study the rising costs of disability benefits for a report to the Congress with recommendations for legislative changes. (Sec. 13016) Amends the Social Security Disability Amendments of 1980 to extend the Secretary's authority to conduct disability work incentive demonstration projects. Subtitle D (sic): Customs and Trade Provisions - Amends the Tariff Act of 1930 to authorize appropriations for the United States International Trade Commission (ITC). Prohibits use of such funds for any special study, investigation, or report requested by an agency of the executive branch unless such agency reimburses the ITC for its costs. (Sec. 13601) Amends the Customs Procedural Reform and Simplification Act of 1978 to authorize appropriations for the United States Customs Service for: (1) noncommercial and commercial operations; and (2) the air and marine interdiction programs. Amends the Trade Act of 1974 to authorize appropriations for the Office of the United States Trade Representative. (Sec. 13602) Amends the Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA) to extend the authority of the Secretary of the Treasury to collect customs user fees. (Sec. 13603) Amends the Trade Act of 1974 to remove the Union of Soviet Socialist Republics from the list of countries ineligible for designation as a beneficiary developing country under the Generalized System of Preferences (GSP). Extends duty-free treatment provided under the GSP. (Sec. 13604) Extends the worker trade adjustment assistance program (trade adjustment assistance benefits for workers adversely affected by import competition or the relocation of U.S. production facilities abroad) as well as authorization of appropriations for it. (Sec. 13605) Amends the Omnibus Trade and Competitiveness Act of 1988 to extend the authority of the President, for a specified period of time, to enter into trade agreements with foreign countries for the reduction or elimination of tariff or nontariff barriers if the Uruguay Round of multilateral trade negotiations under the General Agreement on Tariffs and Trade (GATT) has not resulted in such trade agreements by May 31, 1993. Provides that implementing bills involving tariff and nontariff trade agreements shall be effective only if, among other things, the President, at least 120 calendar days (currently, 90 days) before he enters into such agreement, notifies the Congress of his intention to enter into it, and publishes such intention in the Federal Register. Extends congressional "fast track procedures" to such implementing bills through April 16, 1994. (Sec. 13606) Amends the Trade Act of 1974 to eliminate the East-West Trade Statistics Monitoring System. Subtitle E: Customs Officer Pay Reform - Amends Federal law to revise the pay system for United States Customs Service Inspectors (customs inspectors). (Sec. 13702) Authorizes cash awards to customs officers for foreign language proficiency. (Sec. 13703) Amends the Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA) to provide for reimbursement of appropriations from the Customs User Fee Account (Account) for agency retirement contributions. (Sec. 13704) Amends Federal law with regard to the treatment of certain pay of customs officers for retirement purposes. (Sec. 13705) Revises COBRA congressional reporting requirements respecting Account reimbursements. Requires additional General Accounting Office reports to the Congress concerning the financing of overtime inspectional services through user fees. Subtitle B: (sic) Human Resources Amendments - Chapter 1: Child Welfare Services, Foster Care, and Adoption Assistance - Amends SSA title IV part B (Child-Welfare Services) to: (1) create a capped entitlement program to provide child welfare services designed to strengthen and preserve families; (2) repeal provisions linking the payment of certain SSA title IV part B funds to the implementation of certain protections for children in foster care; (3) require that the State part B plan provide for the foster care protections currently outlined in such provisions as well as for State review of its procedures in effect for children abandoned at or shortly after birth, as well as enactment of any procedures necessary to enable permanent child placement decisions to be made expeditiously; (4) provide that the funds withheld or recovered from a State owing to its failure to comply with such protections may not be reallotted among other States; (5) require State part B plans to contain a description of the specific measures taken by the State to comply with the Indian Child Welfare Act; and (6) provide for child welfare traineeships. (Sec. 13212) Directs the Secretary to provide grants for State courts to assess and improve proceedings relating to foster care placement and adoption. (Sec. 13216) Amends SSA title IV part E (Foster Care and Adoption Assistance) (FCAA) to: (1) change the reimbursement policy with respect to foster care maintenance payments made on behalf of certain children whose adoption has been set aside by a court or whose voluntary placement in foster care has been judicially determined to be in the best interests of the child; (2) provide for 90 (and later 50) percent matching of State expenditures for planning, design, development, or installation of statewide mechanized data collection and information retrieval systems, and 50 percent matching of State expenditures for operation of the systems; (3) require States to review periodically their foster care maintenance payment and adoption assistance levels to ensure their continuing appropriateness; (4) revise the case review system to provide that hearings after the initial dispositional hearing take place at least every 12 months, rather than periodically; (5) require the health and education records in each child's case plan to include a record that the foster care provider was advised (where appropriate) of the child's eligibility for early and periodic Medicaid screening, diagnostic, and treatment services; (6) provide for the treatment of assets of youths participating in the independent living program; (7) make permanent the authorization for the independent living program; (8) repeal authority to transfer unused foster care funds to the child welfare services program; (9) require the Secretary to promulgate regulations for on-site reviews and audits of State expenditures for foster care maintenance and adoption assistance payments; (10) set forth case plan requirements for children placed in foster care a substantial distance from their homes or in a different State; (11) require the dispositional hearing for a child placed in foster care in a different State to determine whether the out-of-State placement continues to be appropriate and in the child's best interests; (12) require the adoption and foster care data collection system to provide information on the number and characteristics of children placed in foster care outside the State; and (13) codify Federal regulations providing a timetable for the treatment of State claims for foster care and adoption assistance. (Sec. 13218) Directs the Secretary to study and report to the Congress on the ways in which States implement the reasonable efforts requirements for State SSA title IV part E plans. (Sec. 13225) Amends the Omnibus Budget Reconciliation Act of 1989 (OMBRA '89) to extend permanently (and retroactively to October 1, 1992) the level of Federal reimbursement under SSA title IV part E for the training of personnel employed or preparing for employment by the State or local child welfare agency, and for the training of foster and adoptive parents. (Sec. 13227) Amends SSA title XI part A to: (1) bar the Secretary from imposing financial penalties on States for the failure of State programs under SSA title IV parts B and E to comply with State plan requirements, except pursuant to final regulations meeting specified requirements; (2) provide for certain demonstration projects to promote the objectives of such parts; and (3) overturn certain limitations in Suter v. Artist M. on private enforceability of State plan requirements. (Sec. 13232) Prohibits the Secretary: (1) until October 1, 1994, from reducing any payment to, withholding any payments from, or seeking any repayments from any State under SSA title IV parts B or E by reason of a determination in connection with a review of State compliance with SSA title IV part B foster care protections; and (2) from reducing any payments to, withholding any payments from, or seeking any repayments from any State under SSA title IV part E by reason of a determination in connection with any on-site Federal financial review, or any audit conducted by the Inspector General using similar methodologies. (Sec. 13233) Requires the Secretary to make grants to eligible institutions to train individuals to deliver culturally sensitive and bilingual child welfare services in border areas with Mexico. Authorizes appropriations. Chapter 2: Child Support Enforcement - Amends SSA title IV part D (Child Support and Establishment of Paternity) to: (1) set up new paternity establishment performance standards and procedures for State child support enforcement programs; (2) outline State SSA title IV part D plan requirements applicable to health insurers, employers, and State Medicaid agencies with regard to health insurance coverage for children of parents subject to a support order; and (3) require State child support enforcement agencies to periodically report, at no charge, the names of obligors at least two months delinquent in child support payments to bona fide consumer reporting agencies capable of making accurate use of such information. Chapter 3: Supplemental Security Income - Amends SSA title XVI (Supplemental Security Income) (SSI) and other Federal law to: (1) require the Social Security Administration to charge States fees for the Federal cost of administering State supplemental SSI payments; and (2) require the Secretary to charge fees for additional services requested by the State that are beyond the level customarily provided in administering such payments. (Sec. 13252) Amends OMBRA '90 to make permanent the exclusion of State and local relocation assistance from countable income under SSI. (Sec. 13253) Amends SSA title XVI to: (1) deem to be living in a household a spouse or parent of family members on SSI who is absent from the household solely because of active duty military assignment; (2) exclude hazardous duty pay received while on active military duty from countable income; (3) continue SSI benefits to children who are U.S. citizens if they received SSI in the United States and then accompany their parents on military assignment to any U.S. territory or possession; and (4) extend the SSI definition of disability for children under 18 to any person under 18. (Sec. 13257) Amends Federal law to exempt income of up to $2,000 per year received by individual Indians that is derived from leases on individually-owned trust or restricted Indian lands in determining eligibility and benefit levels under AFDC (SSA title IV part A) and SSI. Chapter 4: Aid to Families with Dependent Children - (Sec. 13261) Amends SSA title IV part A to: (1) reduce to 50 percent the enhanced Federal matching available for certain categories of State administrative expenses; (2) make optional a State's verification of an individual's immigration status with the Immigration and Naturalization Service through an immigration status verification system; (3) delay Federal requirements regarding AFDC-UP participation rates; and (4) increase the amount of stepparent earnings disregarded in determining the eligibility and benefit amounts of AFDC recipients and applicants. (Sec. 13263) Amends SSA title IV part F (Job Opportunities and Basic Skills Training Program) (JOBS) to require the Secretary to develop criteria for performance standards in the JOBS program, rather than performance standards themselves, by a certain date. (Sec. 13264) States that the Congress hereby declares that: (1) it is the policy and responsibility of the Federal Government to reduce the rate and degree to which families depend on income from welfare programs, to assist them toward self-sufficiency, and to increase the living standards of low-income families; and (2) the Federal Government should help welfare recipients as well as individuals at risk of welfare participation to improve their education and job skills, to obtain access to high quality child care and other necessary support services, and to take such other steps as may assist them to meet their responsibilities to become financially independent. Directs the Secretary to develop welfare participation measures and predictors, and report annually on welfare participation to specified congressional committees. Establishes the Advisory Board on Welfare Participation to assist the Secretary in the development of such measures and predictors. (Sec. 13265) Directs the Secretary to provide for a demonstration project offering low-income residents of Milwaukee, Wisconsin, employment, wage supplements, health and child care, and counseling and training for job retention or advancement. (Sec. 13266) Amends the Family Support Act of 1988 to: (1) delay the requirement for implementation of the Unemployed Parent program in Puerto Rico, Guam, the Virgin Islands, and American Soma until the limitations on Federal matching payments to these jurisdictions with respect to AFDC and FCAA maintenance payments are repealed; and (2) extend the authorization for early childhood development projects. (Sec. 13269) Amends the Omnibus Budget Reconciliation Act of 1987 (OMBRA '87) to extend New York State's Child Assistance Program demonstration. (Sec. 13267) Amends SSA title XI to provide that, with respect to AFDC, one adult member of a family or household may sign, under penalty of perjury, a declaration attesting to the citizenship or satisfactory immigration status of other family or household members. Permits an adult to sign a declaration on behalf of a newly born child no later than the next eligibility redetermination date. Chapter 5: Unemployment Insurance - Amends IRC and SSA title III (Unemployment Compensation) to provide for the treatment of short-time compensation programs under which individuals whose workweeks have been reduced by at least ten percent (especially as an alternative to a temporary layoff) are eligible for unemployment compensation, under certain conditions. (Sec. 13275) Amends the Federal-State Extended Unemployment Compensation Act of 1970 to increase the reimbursement rate and repeal special eligibility requirements under the extended unemployment program. (Sec. 13276) Amends IRC to: (1) extend the current Federal unemployment tax rate; and (2) require disclosure of information about certain taxes to the Railroad Retirement Board for purposes of its administration of the Railroad Retirement and Railroad Unemployment Insurance Acts. Chapter 6: Technical Provisions - Makes technical corrections related to the income security and human resources provisions of OMBRAs '89 and '90. (Sec. 13283) Amends SSA title XVI to repeal certain obsolete provisions relating to treatment of the earned income tax credit. Subtitle C: Medicare Program - Chapter 1: Provisions Relating to Part A - Subchapter A: Elimination of Inflation Update for Services Provided under Part A: - Amends SSA title XVIII (Medicare) to eliminate updates for inpatient hospital services and hospice care under Medicare part A in FY 1994 and 1995. (Sec. 13402) Prohibits the Secretary from applying an update factor to the cost limits for skilled nursing facility cost reporting periods beginning in FY 1994 and 1995. Subchapter B: Other Provisions Relating to Part A - Amends SSA title XVIII to: (1) provide that a change in classification of hospitals from one area to another cannot result in a reduction in the wage index for an urban area if the area has a wage index below the rural wage index for the State or if the area is the only urban area in a State with no rural areas; (2) change certain requirements with respect to the standards for designating metropolitan statistical areas that are used in determining treatment of certain hospitals in rural counties adjacent to one or more urban areas; (3) require the Secretary to phase out payments for day outlier cases starting in FY 1995; (4) revise and authorize appropriations for the Essential Access Community Hospital (EACH) demonstration program; (5) provide for a prospective payment system for determining payments for outpatient rural primary care hospital services; (6) continue special payments for Medicare-dependent, small rural hospitals for discharges occurring through FY 1994, with reduced payments for certain discharges; (7) extend the regional floor provision with respect to certain hospital discharges the payment for which is set at 85 percent of the national amount and 15 percent of the regional amount; (8) allow to participate in Medicare hospitals where the care of patients receiving qualified psychologist services is under a clinical psychologist; (9) provide for additional medical education payments for interns and residents providing services at a community heath center under a hospital's ownership or control; (10) require skilled nursing facilities to inform beneficiaries of the hospice benefit under Medicare, except under certain conditions; (11) reduce the part A premium, on a phase-in basis, for individuals with 30 or more quarters of social security coverage (and their spouses); (12) require the Secretary to update periodically the salary equivalency guidelines for physical therapy and respiratory therapy services using the most recent available data; and (13) provide that diagnosis-related group (DRG) window provisions will not apply to hospitals that are not paid on a DRG basis. (Sec. 13414) Amends OMBRA '87 to: (1) reauthorize and extend the rural health transition grant program; and (2) provide that all hospitals classified as regional referral centers on September 30, 1992, shall retain such status through FY 1994. (Sec. 13415) Requires the Secretary to: (1) make a lump sum retroactive payment to any such hospital for payments lost as a result of the loss of its regional referral center status; and (2) provide any hospital which fails to qualify as a rural referral center as a result of its urban reclassification with the opportunity to decline such reclassification and retain rural referral center status. (Sec. 13418) Amends OMBRA '90 to require the Secretary to continue limited-service rural hospital demonstration projects through calendar 1995. (Sec. 13419) Amends OMBRA' 89 to extend the hemophilia pass-through program. (Sec. 13420) Declares that, in the case of a State with a Medicare-approved payment system, no other provision of law shall be construed as preventing the system from providing that payment for covered services be made on the basis of rates provided for under such system. (Sec. 13423) Prohibits the Secretary from taking action to recover certain amounts paid by Medicare to uniformed services treatment facilities in Boston, Baltimore, and Seattle for services that were provided between October 1, 1986, and December 31, 1989, except to the extent that funds are made available for that purpose under the Department of Defense Appropriations Act, 1993. Requires a study and report to the Congress by the Secretary on establishment of joint medical facilities among the Department of Defense, the Department of Veterans Affairs, and other public and private entities. (Sec. 13424) Requires the Secretary to: (1) review ]the DRGs assigned to discharges of patients with intractable epilepsy; (2) revise, for discharges occurring on or after October 1, 1994, the assignment of discharges to such groups as the Secretary considers appropriate to account for the resource requirements of such patients; and (3) begin collecting the data necessary to compute a skilled nursing facility wage index adjustment to the routine service cost limits required under Medicare. Requires the Prospective Payment Assessment Commission to study and report to the Congress on the impact of applying routine per diem cost limits for skilled nursing facilities on a regional basis. (Sec. 13429) Allows hospitals that have been reclassified from urban to rural as a result of revisions to metropolitan statistical area definitions issued by the Office of Management and Budget on December 28, 1992, to apply to the Medicare Geographic Classification Review Board for reclassification in FY 1994. Chapter 2: Provisions Relating to Part B: Subchapter A: Elimination of Inflation Update - Amends SSA title XVIII part B to eliminate the inflation update for physician and related professional services and other specified items and services. (Sec. 13432) Freezes payments for enteral and parenteral nutrients, supplies and equipment, rural health clinic, federally-qualified health center, and comprehensive outpatient rehabilitation facility services, dialysis services, and other part B items and services. Subchapter B: Physicians' Services - Amends SSA title XVIII part B to: (1) repeal the OMBRA '90 prohibition on separate payments for EKG interpretations; (2) repeal the reductions in payments to new physicians and practitioners; (3) prohibit the Secretary from changing the methodology in effect as of January 1, 1992, for calculating anesthesia time in the fee schedules for anesthesia services; (4) revise requirements with respect to geographic adjustment factors and beneficiary liability for amounts billed above the limiting charge; (5) require pre-payment screening by carriers of unassigned claims submitted by nonparticipating physicians; (6) require the Explanation of Benefits form to contain information on amounts billed in excess of the applicable limiting charge; (7) specify the practitioners who may only bill for services on an assignment-related basis; (8) include antigens prepared by a physician on the physician fee schedule; (9) prohibit the imposition of user fees in specified circumstances in the administration of claims relating to physicians' services; and (10) specify the conditions under which the Secretary can recognize substitute billing arrangements between two physicians. (Sec. 13444) Requires the Secretary to: (1) study and report to specified congressional committees on the data necessary to review and revise geographic indices; and (2) review and revise such indices and the geographic index values applied for all fee schedule areas by a certain date. Requires the Physician Payment Review Commission to conduct a study to develop criteria for use in redefining the localities used within States for adjusting physicians' fees. (Sec. 13446) Requires the Secretary to: (1) fully develop, by not later than July 1, 1994, relative values for the full range of pediatric physicians' services; and (2) study and report to the Congress on the relative values for pediatric and other services. Subchapter C: Ambulatory Surgical Center Services - Amends SSA title XVIII to extend special payment rates for certain eye or eye and ear hospitals to any hospital that otherwise meets current law criteria but, on October 1, 1987, operated as a physically separate or distinct eye or ear unit of a general acute care hospital which has since disposed of a substantial portion of its other acute care operations. (Sec. 13452) Amends OMBRA '90 to extend the cap on payments for intraocular lenses through 1994. Requires the Secretary to study and report to the Congress on the costs to providers of intraocular lenses provided to individuals enrolled under Medicare part B. Subchapter D: Durable Medical Equipment - Amends SSA title XVIII to: (1) remove aspirators and nebulizers from the category of durable medical equipment (DME) items requiring frequent and substantial servicing; (2) specifically provide for payment of accessories relating to aspirators and nebulizers; (3) set forth requirements which suppliers of medical equipment and supplies must satisfy in order to qualify for Medicare reimbursement; (4) require the Secretary to develop standardized certificates of medical necessity forms for use in documenting the medical necessity of DME items and supplies; (5) require DME suppliers to submit claims to the carrier having jurisdiction over the geographic area that includes the permanent residence of the patient to whom the item is furnished; (6) place restrictions on certain marketing and sales practices by DME suppliers; (7) specify the circumstances under which Medicare beneficiaries are not financially liable for covered items and services furnished by a supplier on an unassigned basis; (8) address adjustments made to final DME payment amounts for inherent reasonableness generally and require adjustments for certain items where the final payment amounts are found reasonable; and (9) subject ostomy supplies, tracheostomy supplies, and urologicals to national payment limits. Subchapter E: Other Provisions - Amends SSA title XVIII to: (1) freeze at the 1992 level the conversion factor used to determine payments to medically directed certified registered nurse anesthetists; (2) provide that in subsequent years such factor shall be the previous year's conversion factor increased by the update for physician anesthesia services for that year; (3) provide for Medicare coverage of oral cancer drugs, under certain conditions; (4) provide for uniform coverage of "off-label" anti-cancer drugs; (5) cap the part B premium penalty for late enrollment for Federal employees who meet certain conditions; (6) authorize the Secretary to enter into agreements with States to allow them to pay the late enrollment premium increases of eligible individuals; (7) establish statutory definitions for speech-language pathologists and audiologists consistent with current coverage guidelines; and (8) provide for the treatment of certain Indian health programs and facilities as federally-qualified health centers. (Sec. 13473) Requires a study and report to specified congressional committees by the Secretary on Medicare coverage of patient care costs associated with clinical trials of new cancer therapies. (Sec. 13476) Amends the Consolidated Omnibus Budget Reconciliation Act of 1985 to extend municipal health service demonstration projects. Subchapter F: Part B Premium - Amends SSA title XVIII to extend current law provisions for establishing the monthly Medicare part B premium for beneficiaries enrolled in Medicare. Chapter 3: Provisions Relating to Parts A and B - Subchapter A: Elimination of Updates - Amends SSA title XVIII to eliminate updates in payments to hospitals for the direct costs of graduate medical education for cost reporting periods beginning during FY 1994 and 1995. (Sec. 13502) Prohibits the Secretary from providing any update in the cost limits for home health services for cost reporting periods beginning during FY 1994 and 1995. Subchapter B: Medicare Secondary Payer Provisions - Specifies numerous changes with regard to Medicare as secondary payor. Subchapter C: Physician Ownership and Referral - Amends SSA title XVIII to: (1) apply the ban on certain referrals by physicians to all payers, extending it to cover additional specified health services as well as new exceptions; (2) expand current standards used to define a group practice; and (3) provide that Federal law shall not preempt State laws that relate to referrals not covered under the ban, or that relate to referrals covered under the ban but are even more restrictive. Subchapter D: Other Provisions - Requires the Secretary to: (1) redetermine the full-time-equivalent (FTE) resident amount to reflect the amount that would be allowed if the hospital had been liable to pay FICA taxes or make other specified retirement contributions for residents during the base year, but did not make such payments, yet now must do so as a result of OMBRA '90; and (2) establish outreach to Medicare beneficiaries who may qualify for Medicaid payment of their out-of-pocket Medicare expenses. (Sec. 13551) Amends SSA title XVIII to: (1) reduce payments for erythropoientin; (2) require home health agencies to inform Medicare beneficiaries of their entitlement to hospice care under Medicare; (3) provide for interest payments to be made on clean claims if payment is not made within 30 days of receipt; (4) provide for adjustment in Medicare capitation payments to account for regional variations in application of Medicare secondary payer provisions; (5) provide for adjustments for certain publicly- funded family practice residency programs; (6) extend on a graduated basis to three years (after 1997) the current one-year period following a transplant procedure during which Medicare covers immunosuppressive drug therapy for beneficiaries who have received organ transplants; and (7) provide that user fees imposed under the Clinical Laboratories Improvement Act of 1967 are not subject to the general ban on user fees for determining compliance with any requirement of Medicare. (Sec. 13555) Amends OMBRA '87 and the Deficit Reduction Act of 1984 to: (1) extend social health maintenance organization demonstration projects for an additional two years; and (2) permit one of the projects to enroll Medicare end-stage renal disease beneficiaries. Increases the limit on the number of individuals who pay participate in such projects. (Sec. 13558) Amends SSA title XI to repeal the requirement that peer review organizations precertify selected surgical procedures. (Sec. 13560) Amends the Balanced Budget and Emergency Deficit Control Act of 1985 (Gramm-Rudman-Hollings Act) to provide that to the extent that appropriations are enacted providing budget authority for Medicare administrative costs above a base level of spending in FY 1992 of $1.526 billion, the appropriate discretionary spending limits shall be adjusted to accommodate additional budget authority in FY 1994 and 1995. Chapter 4: Medicare Supplemental Insurance Policies - Amends OMBRA '90 and Medicare to make specified changes to Federal standards respecting the sale and regulation of Medicare supplemental insurance policies. Chapter 5: Treatment of Certain State Health Care Programs - Amends the Employee Retirement Income Security Act of 1974 (ERISA) to provide that: (1) the Hawaii Prepaid Health Care Act will not be preempted by ERISA unless the Secretary of Labor notifies the Governor of Hawaii that, as a result of any amendment to such Act, the proportion of the population covered would be less than the current proportion or the level of coverage would be less than the actuarial equivalent of the current level of coverage; and (2) State tax laws relating to employee benefit plans will continue to be preempted. Title XIV: Revenue Provisions - Revenue Reconciliation Act of 1993 - Subtitle A: Training and Investment Incentives - Part I: Provisions Relating to Education and Training - Makes permanent after June 30, 1992: (1) the tax exclusion of employer-provided educational assistance; and (2) the targeted jobs credit. Allows the use of the targeted jobs credit, with limitations, for the hiring of a qualified participant in an approved school-to-work program. Part II: Investment Incentives - Subpart A: Research Credit - Makes permanent the credit for increasing research activities. Modifies the fixed base percentage of such credit for startup companies for taxable years after 1993. Subpart B: Capital Gain Provisions - Allows a taxpayer other than a corporation to exclude from gross income 50 percent of gain from the sale or exchange of qualified small business stock held for more than five years. Set forth rules and limitations for such exclusion. Treats one-half of such exclusion as an item of tax preference for minimum tax purposes. (Sec. 14114) Allows the rollover of gain from the sale of publicly traded securities into specialized small business investment companies. Subpart C: Modifications to Minimum Tax Depreciation Rules - Modifies the method of determining the depreciation deduction for certain personal property placed in service after 1993. Eliminates the depreciation adjustment for computing adjusted current earnings for such property. Subpart D: Increase in Expense Treatment for Small Business - Increases the dollar limitation on the election to expense certain depreciable small business assets. Part III: Tax-Exempt Bond Provisions - Provides a complete tax exemption (currently a 75 percent tax exemption) for bonds used to finance high-speed intercity rail facilities. (Sec. 14122) Permanently extends the authority to issue qualified small issue bonds to finance manufacturing facilities and farm property. Part IV: Expansion and Simplification of Earned Income Tax Credit - Repeals certain interaction rules with respect to the medical expense deduction, the deduction for health insurance, and the dependent care credit. Revises credit and phaseout percentages for 1994. Part V: Incentives for Investment in Real Estate - Subpart A: Extension of Qualified Mortgage Bonds and Low-Income Housing Credit - Makes permanent: (1) the authority to issue qualified mortgage bonds and qualified mortgage credit certificates; and (2) the low-income housing credit. (Sec. 14142) Provides that assistance under the HOME Investment Partnerships Act should not result in certain buildings being federally subsidized. Subpart B: Modification of Passive Loss Rules - Provides for the treatment of rental real estate activities under the limitations on losses from passive activities. Subpart C: Provisions Relating to Real Estate Investments by Pension Funds - Modifies exceptions to the exclusion of real property acquired by a qualified organization from the meaning of acquisition indebtedness. Makes certain exceptions inapplicable to sales out of foreclosure by a financial institution. (Sec. 14145) Repeals the special rule for publicly traded partnerships with respect to the treatment of unrelated business taxable income. (Sec. 14146) Permits a tax-exempt title-holding company to receive unrelated business taxable income if the unrelated income is incidentally derived from the holding of real property. (Sec. 14147) Excludes from unrelated business taxable income: (1) gains from the sale, exchange or other disposition of real property acquired from financial institutions that are in conservatorship or receivership; and (2) loan commitment fees and certain option premiums. Provides for the tax treatment of pension fund investments in real estate investment trusts. Subpart D: Discharge of Indebtedness - Excludes from gross income the income from the discharge of qualified real property business indebtedness. Subpart E: Increase in Recovery Period for Nonresidential Real Property - Increases the depreciation recovery period for nonresidential real property. Part VI: Luxury Tax - Repeals the luxury excise tax on boats, aircraft, jewelry, and furs. (Sec. 14162) Modifies the luxury excise tax on automobiles to index the threshold for inflation occurring after 1990 and make such tax applicable to the first retail sale. Exempts from the luxury excise tax parts for accessories installed for use of passenger vehicles by disabled individuals. (Sec. 14163) Extends the current diesel fuel excise tax to diesel fuel used by noncommercial motorboats. Retains such taxes in the General Fund of the Treasury. Part VII: Other Changes - Repeals the tax preference for the appreciated property charitable deduction. Disallows an adjustment related to the earnings and profits effects of any charitable contribution from being made in computing adjusted current earnings. Requires the Secretary of the Treasury to report to specified congressional committees on the development of a procedure for taxpayers to seek an agreement with the Secretary on the value of tangible personal property prior to the donation of such property to a qualifying charitable organization. (Sec. 14172) Amends the Railroad Retirement Solvency Act of 1983 to make permanent the treatment of certain railroad retirement benefits as received under employer plans. (Sec. 14173) Provides for the temporary extension of the deduction of health insurance costs of self-employed individuals. Subtitle B: Revenue Increases - Part I: Provisions Affecting Individuals- Subpart A: Rate Increases - Lowers the tax rates for certain taxpayers and increases the tax rate for certain higher incomes. Imposes a surtax on certain higher incomes. (Sec. 14203) Increases the tentative minimum tax for taxpayers other than corporations. (Sec. 14204) Makes permanent the overall limitation on itemized deductions and the phaseout of personal exemptions for high-income taxpayers. (Sec. 14206) Sets forth provisions to prevent the conversion of ordinary income to capital gain in certain financial transactions. Repeals certain exceptions to market discount rules. Provides for the treatment of purchases of stripped preferred stock after April 30, 1993. Revises the methods of: (1) computing the limitation on the deductibility of investment interest; and (2) determining substantial appreciation of partnership inventory items. Subpart B: Other Provisions - Repeals the limitation on the amount of wages subject to the health insurance employment tax. (Sec. 14208) Increases and makes permanent the highest estate and gift tax rate. (Sec. 14209) Reduces the deduction for business meals and entertainment expenses. (Sec. 14210) Disallows a tax deduction for social club membership dues, except for employee recreational expenses. (Sec. 14211) Disallows a deduction as a trade or business expense remuneration to certain employees in excess of $1 million. (Sec. 14212) Reduces the compensation taken into account in determining contributions and benefits under qualified retirement plans. (Sec. 14213) Removes qualified residence sales, purchases, or leases and meals from the deduction for moving expenses. (Sec. 14214) Revises the limitation on using the preceding year's tax to calculate an individual's estimated tax payments. (Sec. 14215) Increases the amount of social security and tier 1 railroad retirement benefits to be included in the gross income of certain taxpayers. Part II: Provisions Affecting Business - Increases the tax rate for corporate income in excess of $10 million and the tax rate on personal service corporations. (Sec. 14222) Denies a tax deduction for lobbying expenses. Subjects lobbying organizations to special reporting requirements. (Sec. 14223) Requires any security which is inventory in the hands of the dealer to be included in inventory at its fair market value. Requires any dealer in securities that holds any security which is not in inventory at the close of any taxable year to: (1) recognize gain or loss as if the security were sold on the last business day of the taxable year; and (2) take into account any such gain or loss for such year (the mark-to-market requirement). (Sec. 14224) Requires taking into account: (1) certain Federal Savings and Loan Insurance Corporation (FSLIC) assistance as compensation for loss; and (2) any FSLIC assistance for any debt for determining whether such debt is worthless and in determining the amount of any addition to a reserve for bad debts arising from such worthlessness or partial worthlessness. (Sec. 14225) Increases the required annual payment for corporations that fail to pay estimated income tax. Modifies the periods for applying such annualization. (Sec. 14226) Limits the Puerto Rico and possession tax credit to 60 percent of the possession corporation's qualified possession wages. (Sec. 14227) Modifies the limitation on corporate deductions for interest paid to related persons to take into account disqualified guarantees of indebtedness and the imposition of a gross basis tax. Part III: Foreign Tax Provisions - Subpart A: Current Taxation of Certain Earnings of Controlled Foreign Corporations - Requires U.S. shareholders of controlled foreign corporations to include in gross income a pro rata share of the corporations excess passive assets. Sets forth rules for determining such amounts. Modifies the rule on taxation of investment in United States property and takes into account excessive passive assets. Requires a report to specified congressional committees on a study of investments by controlled foreign corporations in U.S property. (Sec. 14233) Excepts from foreign personal holding income any dividends attributable to earnings and profits of the distributing corporation accumulated during any period during which the person receiving such dividend did not hold such stock. Requires the establishment of an excess limitation account by taxpayers who receive foreign tax credits in a year they receive previously taxed earnings and profits. Subpart B: Allocation of Research and Experimental Expenditures - Reduces the amount allowed as allocation and apportionment of research and experimental expenditures from sources within the United States. Subpart C: Other Provisions - Excludes passive dividends or interest income from foreign oil and gas income. (Sec. 14236) Modifies accuracy-related penalties for tax underpayments. (Sec. 14237) Denies the inclusion of certain contingent interest in the exemption for portfolio interest for nonresident aliens. (Sec. 14238) Authorizes the Secretary of the Treasury to prescribe regulations recharacterizing any multiple-party financing transaction as a transaction directly among any two or more of such parties where appropriate to prevent any tax avoidance. Part IV: Energy Tax Provisions - Subpart A: Energy Tax Based on Btu Content - Imposes an excise tax on the following energy products: (1) taxable refined petroleum products removed from a U.S. refinery or terminal entered into the United States for consumption, use, or warehousing, and sold to a nonregistered person; (2) natural gas removed from any pipeline in the United States, entered into the United States for consumption, use, or warehousing, and entered into any nonregistered pipeline; (3) coal received at any facility for use as a fuel at such facility; and (4) the sale of electricity to ultimate users in the United States and the use of electricity which was not subject to such tax. Bases the rate of tax on such products on the applicable Btu factor and content. Provides for refunding certain amounts to ultimate vendors of petroleum used for heating oil and international commercial transportation. Repays certain sums to persons who use petroleum to produce calcined coke. Provides exemptions from such excise tax for certain uses. Refunds the tax paid by certain users of methane recovered from biomass or coal mining. Imposes a tax on the use of any fossil fuel: (1) in the manufacture or production of a fuel other than at a U.S. refinery; or (2) as a fuel. Specifies the application of such tax and exceptions. Imposes a tax on floor stock of taxable fuels held on the date of the tax increase. Allows a credit against such tax. Provides for such tax increases to begin July 1, 1994. Imposes an imported Btu tax on certain imported products that contain significant levels of direct energy inputs that would be taxable if the products were manufactured in the United States. Imposes a penalty on persons who sell dyed fuel for taxable uses. Subpart B: Modifications to Tax on Diesel Fuel - Imposes an excise tax on diesel fuel (separate from the gasoline tax and the tax on aviation). Exempts from such tax diesel fuel: (1) used by trains and intercity, local, or school buses; and (2) which is dyed or marked in accordance in regulations prescribed by the Secretary of the Treasury. Provides that the Airport and Airway Trust Fund financing rate does not apply to aviation fuel sold by a producer or importer for use by the purchaser in a nontaxable use. Imposes a civil penalty on persons who use reduced-rate fuel for a taxable use. (Sec. 14243) Imposes a floor stocks tax on any person holding diesel fuel April 1, 1994. Subpart C: Extension of Motor Fuel Tax Rates; Increased Deposits Into Highway Trust Fund - Increases the tax on gasoline and diesel fuels for purposes of the Highway Trust Fund financing rate. Increases the amount to be transferred to the Mass Transit Account from such Fund. Part V: Compliance Provisions - Requires information reporting on payments to corporations for services. (Sec. 14252) Modifies provisions concerning substantial understatement and return-preparer penalties to allow reasonable cause exceptions. (Sec. 14253) Requires certain financial entities (including the Federal Deposit Insurance Corporation, the Resolution Trust Corporation, and the National Credit Union Administration, and their successors or subunits) to file information returns regarding discharges of indebtedness of $600 or more. Part VI: Treatment of Intangibles - Allows an amortization deduction with respect to certain intangible property, including goodwill, that is acquired and held by a taxpayer in connection with the conduct of a trade or business or an activity engaged in for the production of income. Part VII: Miscellaneous Provisions - Establishes substantiation requirements for charitable contributions of $750 or more. (Sec. 14272) Sets forth disclosure requirements for an organization that receives a quid pro quo contribution (payment made partly as a contribution and partly in consideration for goods or services provided to the payor by the donee organization). Imposes a penalty for failure to make such disclosure. (Sec. 14273) Expands the 45-day interest-free period for refunding tax overpayments to all returns, as well as to amended returns and claims for refunds. Provides that if interest is not refunded within 45 days after the taxpayer files an amended return or claim for refund, interest will be paid only for periods after the date on which the return or claim is filed. (Sec. 14274) Denies the business travel expense deduction for spouses, dependents, or others. (Sec. 14275) Increases the withholding rate for supplemental wage payments. Subtitle C: Empowerment Zones and Enterprise Communities- Part I: Empowerment Zones and Enterprise Communities, Etc. - Provides for the designation of 100 tax enterprise communities and ten empowerment zones during calendar years after 1993 and before 1996: (1) by the Secretary of Housing and Urban Development, in the case of an urban area; (2) by the Secretary of Agriculture in the case of a rural area; and (3) the Secretary of the Interior for an Indian reservation. Sets forth eligibility criteria for such designations. Makes certain buildings in such communities or zones eligible for the low-income housing credit applicable to buildings in high-cost areas. Provides for the issuance of enterprise zone facility bonds in enterprise communities and empowerment zones in a manner similar to exempt facility bonds. Excludes enterprise zone facility bonds from the interest deduction limitations on financial institutions. Provides States an additional housing credit ceiling for each zone and community through 1996. Allows an empowerment zone employment credit to employers for a percentage of qualified zone wages paid during calendar years 1994 through 2004. Limits the amount of such credit. Allows businesses a zone resident empowerment savings credit of 50 percent of the qualified savings contributions made by an employer to a defined contribution plan on behalf of a zone employee. Limits the amount of such credit based on the employee's compensation. Increases the limitation on expensing certain depreciable business assets. Increases the volume cap applicable to enterprise zone facility bonds if the business owners meet specified ownership requirements with regard to abiding in such zones. (Sec. 14302) Allows the use of the targeted jobs credit for hiring empowerment zone residents. Part II: 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 D: Other Provisions - Part I: Disclosure Provisions - Extends the authority to disclose tax return information to the Department of Veterans Affairs through September 30, 1998. (Sec. 14402) Authorizes the disclosure of certain tax return information to: (1) the Department of Education to implement the direct student loan program; and (2) to the Department of Housing for income verification under certain housing programs. Part II: User Fee Provisions - Requires the establishment of a program requiring the payment of user fees for the processing of applications for certificates of alcohol label approval and exemption, formula reviews, and statements of process (including laboratory tests and analyses). (Sec. 14412) Removes authority to use the Harbor Maintenance Trust Fund for administrative expenses of certain customs fee collections. (Sec. 14413) Increases the tax on fuel used on commercial transportation on inland waterways. Part III: Public Debt Limit - Increases the public debt limit and repeals the temporary limit on such increase. Part IV: Vaccine Provisions - Makes permanent: (1) the excise tax on certain vaccines; and (2) the authority to pay compensation from the Vaccine Trust Fund under the National Vaccine Injury Compensation Program for certain damages resulting from vaccines administered after September 30, 1988. Directs the Secretary of the Treasury to report to specified congressional committees on various uses of such Fund. Imposes a floor stocks tax on taxable vaccines. (Sec. 14432) Requires continuation coverage under group health plans of the costs of pediatric vaccines. (Sec. 14433) Establishes the Childhood Immunization Trust Fund for the childhood immunization entitlement program under the Public Health Service Act.

Fairness in Tobacco and Nicotine Regulation Act of 1993

United States · United States Congress · 18 May 1993

Fairness in Tobacco and Nicotine Regulation Act of 1993 - Amends the Federal Food, Drug, and Cosmetic Act (FFDCA) to require the Secretary of Health and Human Services to promulgate regulations governing the manufacture, distribution, sale, labeling, and advertising and promotion (manufacture) of tobacco products which are consistent with regulations governing other products which are ingested, but bars the Secretary from outlawing the sale and distribution of a tobacco product solely because tobacco causes disease. Sets minimum requirements pursuant to such regulations, including a prohibition on the sale or distribution of tobacco products to minors. Establishes in the Food and Drug Administration (FDA) the Tobacco and Nicotine Products Advisory Committee which shall review: (1) the available scientific evidence on the effects of tobacco products on human health, including the effects of environmental tobacco smoke on nonsmokers; (2) the manufacturing process of tobacco products; (3) the role of nicotine as part of the smoking habit; (4) the marketing and promotional techniques used by tobacco manufacturers; and (5) current Federal, State, and local laws governing the manufacture of tobacco products. Requires each tobacco product manufacturer to: (1) register with the Secretary; and (2) pay an annual fee determined by the Secretary based upon the total market share for each brand of tobacco product. Credits fees collected for a fiscal year to the appropriation account for salaries and expenses of the FDA. Amends: (1) the Federal Cigarette Labeling and Advertising Act (FCLAA) and the Comprehensive Smokeless Tobacco Health Education Act of 1986 (CSTHEA) to modify warning labels to emphasize the addictive nature of smoking; and (2) the FFDCA to include tobacco products within recordkeeping requirements applicable to the interstate shipment and factory inspection of food, drugs, devices, and cosmetics. Authorizes the Secretary to: (1) modify the warning labels required by the FCLAA and CSTHEA if the modification in the content of the label does not weaken the health message and is in the best interests of the public health; and (2) increase the size and placement of such required labels.

Designating the week beginning November 14, 1993, and the week beginning November 13, 1994, each as "Geography Awareness Week".

United States · United States Congress · 18 May 1993

Designates the weeks beginning November 14, 1993, and November 13, 1994, as Geography Awareness Week.

Medicare and Medicaid Budget Reconciliation Act of 1993

United States · United States Congress · 17 May 1993

TABLE OF CONTENTS: Title I: Short Title Title II: Table of Contents Title III: References to Omnibus Budget Reconciliation Act of 1993 Title IV: Other References in Act Title V: Reconciliation Provisions Relating to Medicare, Medicaid, and Other Health Programs Subtitle A: Medicare Program Subtitle B: Medicaid Program and Other Care Provisions Title I: Short Title - Medicare and Medicaid Budget Reconciliation Act of 1993. Title II: Table of Contents - (Sec. 201) Sets forth the table of contents of this Act. Title III: References to Omnibus Budget Reconciliation Act of 1993 - (Sec. 301) Declares that any references to the Omnibus Budget Reconciliation Act of 1993 shall be references to this Act. Title IV: Other References in Act - (Sec. 401) Declares that, except as otherwise specifically provided, whenever in this Act an amendment is expressed in terms of an amendment to or repeal of a section or other provision, it shall be considered a reference to the Social Security Act (SSA). States that, in this Act, the terms "OBRA-1986," "OBRA-1987," "OBRA-1989", and "OBRA-1990" refer to the Omnibus Budget Reconciliation Act of 1986 (Public Law 99-509), the Omnibus Budget Reconciliation Act of 1987 (Public Law 100-203), the Omnibus Budget Reconciliation Act of 1989 (Public Law 101-239), and the Omnibus Budget Reconciliation Act of 1990 (Public Law 101-508), respectively. Title V: Reconciliation Provisions Relating to Medicare, Medicaid, and Other Health Programs - Subtitle A: Medicare Program - Chapter 1: Provisions Relating to Part B - Subchapter A: Physicians' Services - (Sec. 5001) Amends part B (Supplementary Medical Insurance) of SSA Title XVIII (Medicare) to reduce the default update for physicians' services (except primary care services) in 1994. (Sec. 5002) Revises certain formulae to increase: (1) the Medicare Volume Performance Standards (MVPS) performance standard factor; and (2) the maximum reduction permitted in the annual default update to the Medicare Fee Schedule. (Sec. 5003) Classifies primary care services as a separate category of services for purposes of setting volume performance standards and annual updates. (Sec. 5004) Provides for a phased-in reduction in practice cost relative value units for certain services. (Sec. 5005) Provides for phased-in limitations on payment for anesthesia services where concurrent services are provided under the supervision of an anesthesiologist. (Sec. 5006) Requires that payments for anesthesia services be based on actual time. (Sec. 5007) Requires separate payment for the interpretation of electrocardiograms. (Sec. 5008) Repeals the requirement that payments for new physicians and practitioners be reduced during their first four years of practice. (Sec. 5009) Requires: (1) consultation with representatives of physicians in the review of geographic adjustment factors for medicare physicians' services; and (2) use of the most recent data in determining such adjustment. (Sec. 5010) Revises extra-billing limits with respect to Medicare beneficiaries overcharged by nonparticipating physicians or suppliers that do not accept payment on an assignment-related basis. (Sec. 5011) Directs the Secretary of Health and Human Services (HHS) to develop relative values for use in payment of pediatric services. (Sec. 5012) Revises the coverage of antigens under the Medicare Fee Schedule. (Sec. 5013) Prohibits fee charges for certain claims administration functions. Revises requirements for permissible substitute billing arrangements. Subchapter B: Outpatient Hospital Services and Ambulatory Surgical Services - (Secs. 5021 and 5022) Extends: (1) the ten percent reduction in payments for capital-related costs of outpatient hospital services; and (2) the current 5.8 percent reduction in payments for other costs of outpatient hospital services. (Sec. 5023) Provides for a one-year freeze in ambulatory surgery rates. (Sec. 5024) Revises the definition of eye or eye and ear hospitals. (Sec. 5025) Extends the cap on payments for intraocular lenses. Subchapter C: Durable Medical Equipment - (Sec. 5031) Revises the payment rules for durable medical equipment (DME), including prosthetic and orthotic items, by substituting the national median for the national weighted average. (Sec. 5032) Provides for a one-year freeze on payments for parenteral and enteral nutrients, supplies, and equipment. (Sec. 5033) Revises the categorization of nebulizers and aspirators under the DME fee schedules. (Sec. 5034) Establishes a certification program for DME suppliers. Prohibits DME suppliers for distributing, for commercial purposes, completed or partially completed certificates of medical necessity to physicians or individuals entitled to benefits. (Sec. 5035) Requires DME suppliers to use the part B carrier for the area in which the Medicare beneficiary lives. Prohibits carrier shopping. (Sec. 5036) Prohibits unsolicited telephone contacts from DME suppliers to Medicare beneficiaries. (Sec. 5037) Prohibits kickback arrangements between DME suppliers and entities that refer patients for covered items. (Sec. 5038) Revises the treatment of beneficiary liability for noncovered DME services. (Sec. 5039) Authorizes the Secretary of HHS to adjust DME payments in accordance with a policy of inherent reasonableness. (Sec. 5040) Sets forth a formula for lump-sum payments for surgical dressings. (Sec. 5041) Provides for a reduction in payments for TENS devices. Subchapter D: Part B Premium - (Sec. 5051) Extends the authority for the determination of the part B premium. Subchapter E: Other Provisions - (Sec. 5061) Reduces to the 76th percentile the national limitation of fee schedules for clinical diagnostic laboratory tests. Limits the annual update to fees to two percent. (Sec. 5062) Includes inpatient hospital services and diagnostic and therapeutic X-ray services among those covered by rural health clinics and federally qualified health centers. (Sec. 5063) Applies specified mammography certification requirements to Medicare standards for screening mammography facilities. (Sec. 5064 and 5066) Extends the Alzheimer's disease demonstration program and certain municipal health service demonstration projects. (Sec. 5065) Provides Medicare coverage for certain oral cancer drugs. (Sec. 5067) Provides for treatment of certain Indian health programs and facilities as Federally-qualified health centers. (Sec. 5068) Revises the ceilings for payment of "clean claims" under Medicare and the circumstances under which interest payments may be made on delayed claims. (Sec. 5069) Provides for Medicare coverage of certified nurse-midwife services performed outside the maternity cycle. (Sec. 5069A) Increases the annual cap on the amount of Medicare payments for outpatient physical therapy and occupational therapy services. Requires the Physician Payment Review Commission (PPRC) to study and report to specified congressional committees on the appropriateness of continuing an annual limitation on the amount of such payments. Chapter 2: Provisions Relating to Parts A and B - (Sec. 5071) Repeals the requirement for a special overhead add-on for the overhead of hospital-based home health agencies. (Sec. 5072) Directs the Secretary of HHS to study the methodology used to determine payments to hospitals under the Medicare program for the costs of medical residency training, including analysis of the causes of variation among such programs in the per-resident costs of direct graduate medical education, especially the support for them from non-hospital sources. (Sec. 5073) Revises specified aspects of the Medicare-as-secondary-payer program. (Sec. 5074) Extends the ban on physician self-referrals to additional designated health services, including home infusion therapy services. Revises specified exceptions to such ban. (Sec. 5075) Reduces Medicare payments for erythropoietin. (Sec. 5076) Requires any hospital with organ donors to make an agreement only with the designated organ procurement organization for the geographic area in which the hospital is located. (Sec. 5077) Amends OBRA-1986 to extend the health maintenance organization (HMO) waiver for the Watts Health Foundation. (Sec. 5078) Directs the Secretary of HHS to undertake certain outreach activities to increase participation in the Qualified Medicare Beneficiary program. (Sec. 5079) Amends OBRA-1987 to extend and expand the social health maintenance organization demonstration program. (Sec. 5080) Amends SSA to repeal the Peer Review Organization (PRO) precertification (second opinion) requirement for certain surgical procedures. (Sec. 5081) Grants home health agency beneficiaries the right to be informed about Medicare hospice benefits. (Sec. 5082) Provides, with respect to health maintenance organizations, for: (1) adjustments in Medicare capitation payments to account for regional variations in the application of secondary payor requirements; and (2) revision of the payment methodology for risk contractors. Chapter 3: Provisions Relating to Medicare Supplemental Insurance Policies - (Sec. 5091) Revises OBRA-1990 with respect to standards for Medicare supplemental insurance policies. Subtitle B: Medicaid Program and Other Health Care Provisions - Chapter 1: Medicaid Program - Subchapter A: Program Savings Provisions - Part I: Repeal of Mandate - (Sec. 5101) Amends SSA Title XIX (Medicaid) to: (1) repeal the mandate for inclusion of certain personal care services among home health care services in State medical assistance programs; and (2) allow States to provide an optional benefit for personal care services furnished outside the home. Part II: Outpatient Prescription Drugs - (Sec. 5106) Authorizes States to establish formularies limiting the coverage of prescription drugs under their Medicaid programs. (Sec. 5107) Repeals the prohibition on the imposition of prior authorization controls on new drugs for the first six months after Food and Drug Administration (FDA) approval. Part III: Restrictions on Divestiture of Assets and Estate Recovery - (Sec. 5111) Revises the restrictions on the transfer of assets by an individual subsequently applying for Medicaid benefits as an institutionalized individual. Extends the look-back period and repeals the limit on the period of ineligibility because of prohibited transfers, providing for cumulative periods for multiple transfers. Provides for a waiver of eligibility penalties because of undue hardship, and exempts certain trusts for the benefit of disabled individuals from the transfer rules. (Sec. 5112) Requires States to establish a program for identifying and recovering Medicaid benefits from estates of deceased beneficiaries who have received nursing home or other long-term care services. (Sec. 5113) Prohibits a State plan from disregarding any assets: (1) to the extent that payments are made under a long-term care insurance policy; or (2) because an individual has received (or is entitled to receive) benefits for a specified period of time under such a policy. Part IV: Improvement in Identification and Collection of Third Party Payments - (Sec. 5116) Requires States to prohibit insurers, HMOs, and self-funded plans (under the Employee Retirement Income Security Act of 1974 (ERISA) from denying payment for health services to insured individuals who are also Medicaid beneficiaries. (Sec. 5117) Directs the Secretary of HHS to establish a Health Coverage Clearinghouse to identify insurers, HMOs, ERISA plans, and other third parties which may be liable for payment for services to Medicaid or Medicare beneficiaries. Requires employers to include group health coverage information on employees' W-2 forms. (Sec. 5118) Requires States to have in effect certain medical child support laws, including a requirement that an insurer (including an HMO or ERISA plan) enroll under family health coverage any child whose parent (otherwise eligible for such coverage) is required by court or administrative order to provide the child with medical support. Part V: Assuring Proper Payments to Disproportionate Share Hospitals - (Sec. 5121) Prohibits States from designating a hospital as a Medicaid disproportionate share hospital unless at least one percent of its inpatient days were attributable to Medicaid patients. Limits payment adjustments to State or locally-owned or operated hospitals to the costs incurred in providing services to Medicaid-eligible patients and uninsured (indigent without health care coverage) patients, less certain payments received. Subchapter B: Miscellaneous Provisions- Part I: Anti-fraud and Abuse Provisions - (Sec. 5131) Revises the Medicare rules limiting certain physician referrals for clinical laboratory services. (Sec. 5132) Provides for intermediate sanctions for kickback violations. (Sec. 5133) Requires States to expend a certain minimum amount of funds annually for Medicaid fraud control units. Part II: Managed Care Provisions - (Sec. 5135) Sets forth with respect to Medicaid managed care organizations: (1) prohibitions against affiliations with individuals debarred by Federal agencies; (2) requirements for State conflict-of-interest safeguards in Medicaid risk contracting; (3) financial information disclosure requirements; (4) marketing fraud prohibitions; (5) adequate equity requirements for for-profit entities; (6) requirements for adequate provision against risk of insolvency; and (7) net earnings and additional benefits reporting requirements. Requires the Secretary of HHS to report to the Congress on the earnings of organizations with contracts to receive Medicaid payments on a prepaid capitation or any other risk basis. (Sec. 5136) Revises the treatment of HMO enrollees in computing the Medicaid inpatient utilization rate in qualifying hospitals as disproportionate share hospitals. (Secs. 5137 and 5138) Extends: (1) the period of applicability of the enrollment mix requirement to certain HMOs providing services under the Dayton Area Health Plan; and (2) the Medicaid waiver for the Tennessee Primary Care Network. (Sec. 5139) Waives application of the Medicaid enrollment mix requirement to the District of Columbia Chartered Health Plan, Inc. (Sec. 5140) Extends the Minnesota Prepaid Medicaid Demonstration Project. Part III: Emergency Services to Undocumented Aliens - (Sec. 5141 and 5142) Increases the Federal financial participation for emergency medical assistance to undocumented aliens. (Sec. 5142) Limits Federal Medicaid matching payments to bona fide emergency services for undocumented aliens. Part IV: Miscellaneous Provisions - (Sec. 5144) Increases the limit on Federal Medicaid matching payments to Puerto Rico and other territories. (Sec. 5145) Sets forth criteria for Departmental Appeals Board determinations of whether disallowances of Federal Medicaid matching payments to States should be reduced. (Sec. 5146) Renews the unfunded demonstration project for low-income pregnant women and children. (Sec. 5147) Provides for optional Medicaid coverage of TB-related services for certain TB-infected individuals. (Sec. 5148) Specifies the application of mammography certification requirements under the Medicaid program. (Sec. 5149) Repeals the termination date on the extension of eligibility for working families. (Sec. 5150) Extends the moratorium on the treatment of certain facilities as institutions for mental diseases. (Sec. 5150A) Deems as a federally-qualified health center any entity treated as a comprehensive federally funded health center as of January 1, 1990. (Sec. 5150B) Revises specified nursing facility requirements. Subchapter C: Miscellaneous and Technical Corrections Relating to OBRA-1990 - (Secs. 5151-5174) Makes technical and conforming amendments to specified sections of OBRA-1990. Chapter 2: Universal Access to Childhood Immunizations - (Sec. 5181) Amends the Public Health Service Act to establish entitlement and monitoring programs with respect to childhood immunizations. Directs the Secretary of HHS, acting through the Director of the Centers for Disease Control and Prevention (CDC), to provide for the purchase and delivery on behalf of any applicant State of sufficient quantities of pediatric vaccines to immunize each eligible child in the State who is a Medicaid beneficiary or is uninsured. Entitles: (1) each State to receive from the Secretary sufficient free vaccine to provide to all eligible children in the State; (2) each health care provider to receive from the State sufficient free vaccine to provide to all eligible children in his or her practice; and (3) each eligible child to receive free vaccine from any willing provider licensed to administer immunizations in the State. Requires participant States to agree to such entitlements. Authorizes eligible children to enforce the rights of the provider if the State fails to carry out its obligation. Requires States to make health care provider participation voluntary only. Prohibits providers from charging for free vaccine. Allows charges for immunization itself. Directs the Secretary to publish in the Federal Register criteria for the delivery on behalf of the States of federally-supplied pediatric vaccines to program-registered providers in the State. Sets forth general State compliance requirements. Allows States to purchase pediatric vaccine for the immunization of additional categories of otherwise ineligible children. Requires the Secretary to negotiate with manufacturers of pediatric vaccines for a reasonable purchase price, which would also be available to States that wished to purchase vaccine for otherwise ineligible children. Requires the Secretary to enter into multi-source contracts with multiple manufacturers of vaccine. Allows such contracts to be for more than one year. Requires the Secretary to establish: (1) a list of pediatric vaccines recommended for administration to all children for immunization (subject to any established contraindications); and (2) a schedule of nonbinding recommendations for administration of such immunizations. Establishes the National Childhood Immunization Trust Fund for the immunization program. Directs the Secretary, acting through the CDC Director, to make formula grants to States annually to establish and maintain a national system, composed of State registries, for monitoring the immunization status of children. Prescribes kinds of data to be collected. Authorizes appropriations. Authorizes the Secretary, acting through the CDC Director, to make grants to States for carrying out specified activities with respect to achieving certain objectives established by the Secretary for the year 2000 for the immunization status of children in the United States. Authorizes appropriations. (Sec. 5182) Amends OBRA-1989 and the Public Health Service Act with respect to the National Vaccine Injury Compensation Program. (Sec. 5183) Amends SSA title XIX (Medicaid) to provide for: (1) immunization outreach through the early and periodic screening, diagnostic, and treatment (EPSDT) services program; (2) coordination with the maternal and child health block grant programs and WIC (Women, Infants, and Children) programs; (3) coverage of public housing health centers as federally-qualified health centers; (4) adequate payment rates for vaccine administration to children; (5) denial of Federal financial participation for administration of single-antigen vaccines if combined-antigen vaccines are medically appropriate; and (6) Medicaid managed care plan compliance with immunization and other EPSDT requirements. (Sec. 5184) Authorizes a State plan to pay a vaccine manufacturer directly under a volunteer replacement program following certain guidelines. (Sec. 5185) Amends the Public Health Service Act to authorize the Secretary to make operating grants for up to 21 demonstration projects to provide specified Healthy Start for Infants services in order to meet year 2000 health status objectives for the U.S. population. Prescribes project requirements. Authorizes appropriations. (Sec. 5186) Increases the authorization of appropriations for the Maternal and Child Health Services Block Grant Program.

To designate July 1, 1993, as "National NYSP Day".

United States · United States Congress · 17 May 1993

Designates July 1, 1993, as National NYSP (National Youth Sports Program) Day.

Supplemental Appropriations Act of 1993

United States · United States Congress · 13 May 1993

TABLE OF CONTENTS: Title I: Supplemental Appropriations Title II: General Provisions Supplemental Appropriations Act of 1993 - Makes emergency supplemental appropriations for FY 1993. Title I: Supplemental Appropriations - Makes additional appropriations available to the Department of Agriculture for the Food Safety and Inspection Service and the Farmers Home Administration. Rescinds certain amounts available to the Rural Development Administration for salaries and expenses. Makes additional funds available to: (1) the Department of Health and Human Services for the Food and Drug Administration; (2) the Courts of Appeals, District Courts, and Other Judicial Services; and (3) the Small Business Administration for the business loans program account. Makes supplemental amounts available to the Department of Defense for military personnel, operation and maintenance, the Defense Business Operations Fund, and the Defense Health Program. Appropriates funds out of the National Security Education Trust Fund for scholarships, fellowships, and grants. Makes additional appropriations available to the Department of the Interior for the Bureau of Indian Affairs and the Alaska resupply program. Requires the United States Fish and Wildlife Service to use available funds for a grant to Ducks Unlimited, Inc., for a construction project in the Ottawa National Wildlife Refuge, Ohio. Makes additional funds available to the Department of Health and Human Services for the Health Resources and Services Administration and the Social Security Administration. Makes additional funds available for the Department of Education for student financial assistance. Makes additional funds available for construction by the Department of Defense. Rescinds certain other amounts from the Homeowners Assistance Fund, Defense. Reorganizes the Office of the Secretary of the Department of Transportation and makes certain fund transfers. Makes additional funds available to the Executive Office of the President through fund transfers. Provides additional amounts to the National Archives and Records Administration and the General Services Administration for allowances and office staff of former Presidents. Makes additional amounts available to the Department of Veterans Affairs for veterans benefits and the Department of Housing and Urban Development for certain housing programs. Makes additional amounts available by fund transfer to the Environmental Protection Agency and the National Aeronautics and Space Administration. Title II: General Provisions - Provides for the utilization of sums collected and deposited into the Central Valley Project Restoration Fund.

Foreign Assistance Responsibility Act of 1993

United States · United States Congress · 13 May 1993

Foreign Assistance Responsibility Act of 1993 - Prohibits security assistance (Economic Support Fund and international military education and training assistance and foreign military financing) to countries that consistently opposed the U.S. position (i.e., whose votes coincided with the U.S. position less than 25 percent of the time) during the most recent session of the United Nations General Assembly. Authorizes exemptions to such prohibition based on a country's change of leadership and policies.

National Environmental Trade Development Act of 1993

United States · United States Congress · 12 May 1993

National Environmental Trade Development Act of 1993 - Declares it is the policy of the United States: (1) to maintain its role as a leader in exporting environmental technology, including marine biotechnology, goods, and services to the global market for the benefit of the global environment; and (2) to increase private sector jobs in the environmental technology field, including marine biotechnology. Directs the President, through the Office of Environmental Policy and the National Economic Council, to coordinate Federal export promotion programs so they are consistent with the national strategy to increase environmental exports. Requires the Secretary of Commerce (Secretary) to review the applicable programs of the Department of Commerce, including the U.S. and Foreign Commercial Service and other components of the International Trade Administration, as well as the National Oceanic and Atmospheric Administration, to ensure that such programs are consistent with the national strategy to increase environmental exports. Requires the Secretary to report to the Congress regarding any Federal programs found to be inconsistent with the national strategy. Directs the Secretary to establish at the Department of Commerce and the U.S. and Foreign Commercial Service one- stop shops to provide to U.S. businesses selling environmental technology (including marine biotechnology), goods, and services, information on technical and financial assistance programs, potential global market opportunities, including trade fairs, for those businesses, and on international environmental regulations. Directs the President to establish an Environmental Trade Promotion Council to develop the national strategy to increase U.S. exports of environmental technology, including marine biotechnology, goods, and services. Provides for the designation of Regional Environmental Business and Technology Cooperation Centers to supply assistance, education, and training for United States and foreign companies that provide and acquire such items. Provides for matching grants to up to six Centers for specified purposes. Establishes within the Peace Corps the Senior Environmental Service Corps which shall provide volunteers with experience in environmental management, environmental technology (including marine biotechnology), sustainable development, coastal zone management, or marine pollution and prevention, to countries requesting such help. Authorizes the Secretary to establish American Business Centers, including Environmental Business Centers, in countries that offer new market possibilities for the export of U.S. environmental technology, including marine biotechnology, goods, and services. Authorizes appropriations.

Many Neighbors, One Earth Resolution

United States · United States Congress · 12 May 1993

Many Neighbors, One Earth Resolution - Urges the President to develop and implement a coordinated economic and development policy and program of action designed to promote broadbased, sustainable development that will reduce global hunger and poverty in environmentally sound ways. Specifies that such policy and program should have as its principal objectives: (1) expanding economic opportunities; (2) meeting basic human needs; (3) promoting environmental protection and sustainable use of natural resources; and (4) promoting pluralism, democratic participation, and human rights. Specifies that such policy and program should involve all relevant international activities of the U.S. Government. Urges the President to take specific actions, including: (1) proposing the enactment of legislation providing for a post-Cold War foreign assistance program to promote sustainable development, especially the reduction of hunger and poverty in environmentally sound ways; (2) developing and implementing development cooperation programs and projects in pursuit of such objectives; (3) ensuring that development cooperation programs take into account relevant local perspectives of the rural and urban poor during the design, planning, and implementation process for project and program assistance; and (4) encouraging and supporting the efforts of countries to reduce their level of military spending when such spending is disproportionate to security needs and to spending on health, education, and environmental protection.

Recycling Enhancement Act

United States · United States Congress · 11 May 1993

Recycling Enhancement Act - Amends the Solid Waste Disposal Act to direct the Administrator of the Environmental Protection Agency to study and report to the Congress on the opportunities for recycling white goods (defined as major appliances such as refrigerators, washing machines, water heaters, stoves, dryers, and air conditioners) and automobile components and the steps needed to increase such recycling. Requires the Administrator to develop model construction guidelines that provide suitable space for the separation, collection, and temporary storage of material for recycling in construction or major renovation of multifamily or multiunit buildings. Directs the Administrator to encourage organizations involved in establishing national building construction standards and State and local building authorities to adopt such guidelines. Requires the Administrator to establish and make grants to three National Plastics Recycling Research and Development Centers at institutions of higher education. Authorizes appropriations. Requires plastic containers manufactured in or imported into the United States to be coded to identify the principal plastic resin used in such containers. Establishes a symbol and numbers identifying specific types of resins. Makes coding requirements inapplicable to manufacturers with respect to plastic products produced in quantities of fewer than 1,000 annually and that have an expected useful life of at least 15 years. Prohibits States or political subdivisions from enforcing any law applicable to plastic coding unless requirements are the same as requirements under this Act.

National Coastal Resources Development Act of 1993

United States · United States Congress · 11 May 1993

National Coastal Resources Development Act of 1993 - Amends Federal law to provide that the National Coastal Resources Research and Development Institute shall be administered by the Oregon State System of Higher Education instead of the Oregon State Marine Science Center. Restates the duties of such Institute so that its duties are now to promote the economic growth and prosperity of the United States by transferring research and technology into applications to improve the economic, environmental, and social well-being of the Nation's coastal communities and the competitiveness of coastal businesses. Revises membership on the Board of Governors of such Institute.

United States Health Service Act

United States · United States Congress · 11 May 1993

TABLE OF CONTENTS: Title I: Establishment and Operation of the United States Health Service Title II: Delivery of Health Care and Supplemental Services Title III: Health Labor Force Title IV: Other Functions of Health Boards Title V: Financing of the Service Title VI: Miscellaneous Provisions United States Health Service Act - Title I: Establishment and Operation of the United States Health Service - Part A: Initial Organization - Establishes, as an independent entity within the executive branch, the United States Health Service (Service). Vests authority of the Service in the appropriate National Health Board and area health boards. Grants the Service the power of eminent domain. Directs the President to appoint individuals to serve as members of the Interim National Health Board of the Service. Declares that the members of the Interim National Board shall serve until the National Health Board holds its initial meeting in accordance with certain provisions of this Act. Sets forth the duties of the Interim National Board. Authorizes appropriations. Part B: Organization of Area Health Boards - Requires the Interim National Board to establish health care delivery regions throughout the United States which meet specified requirements. Sets forth procedures regarding election and appointment of members and certain officers of: (1) interim national, interim regional, and interim district health boards; and (2) initial and subsequent national, regional, district, and community health boards. Part C: General Provisions Regarding Health Boards - Sets forth the membership and terms of office of health boards. Provides for recall of board members for specified reasons and for filling vacancies on health boards. Sets forth procedures for the establishment by the National Board of guidelines and standards required by or in furtherance of the objectives of this Act. Requires each regional board to provide orientation, education, and technical assistance to district and community boards. Requires the appropriate national board to provide such assistance to regional boards. Title II: Delivery of Health Care and Supplemental Services - Part A: Patients' Rights in Health Care Delivery - Requires the Service to ensure that every user is given the right to receive high quality care and supplemental services without charge and without discrimination. Sets forth a list of other basic health rights. Amends the Fair Labor Standards Act of 1973 to entitle certain employees to health leave compensation, subject to specified exceptions which exist in current law as exceptions to minimum wage and maximum hours provisions. Part B: Eligibility for, Nature of, and Scope of Services Provided by the Service - Declares all individuals, while within the United States, to be eligible to receive health care and supplemental services under this Act. Excludes personal comfort or cosmetic services unless they are necessary for health-related reasons. Requires the Service to provide in the United States specified services in or through facilities established by the Service. Prohibits the Service from providing such services in a region, district, or community other than under the auspices of a regional, district, or community board established in accordance with this Act. Requires the Service to provide specified supplemental services in or through health care facilities established by the Service. Provides for reimbursement by the Service of the cost of emergency health care services under certain circumstances. Part C: Health Care Facilities and Delivery of Health Care Services - Requires each community board to establish and maintain such health care facilities as are necessary for efficient and effective delivery of comprehensive primary health care services, specialized health care services, special services, and community-oriented health measures which are provided, as much as possible, through a single comprehensive health center. Requires each district board to establish and maintain in its district a general hospital, such other health care facilities as are necessary, and such health care services of a specialized nature as may be provided most effectively and efficiently at the district level. Requires each regional board to establish and maintain: (1) a regional medical facility for highly specialized health care services; (2) health care and supplemental services for individuals whose needs cannot be met by community or district boards; and (3) such other facilities as are necessary. Requires each area health board to: (1) hire health workers; (2) purchase or lease necessary premises; and (3) seek to minimize fragmentation and duplication in delivery of health care. Requires each regional board to provide for affiliation and coordination within its region and with adjacent regions. Requires the National Board to establish guidelines for distribution and coordination of the delivery of health care services and plan and transition to the new facilities for affected workers. Requires regional boards, if a community or district board fails to provide health services, to provide the services. Requires each health board to establish policies and organizational plans consistent with provisions of this Act. Requires such boards, in establishing, implementing, and modifying such policies and plans, to seek participation of affected workers and users. Provides for a health board, if it determines that it cannot itself effectively manage the operation of all facilities, to establish a health care facility board or boards. Specifies elements to be provided for in the policies and organizational plans established by health boards. Prohibits a health board, on and after three years after the effective date of health services, from permitting its health care facilities to be used for the private delivery of health services. Prohibits individuals employed by a health board from engaging in the private delivery of health services. Requires each health board to ensure that health facilities it operates which provide outpatient services are open during hours which permit all users to make use of such services. Sets forth requirements for facilities providing inpatient services for 30 continuous days or longer. Requires each health board to provide that, at least once each year, the inpatients of facilities providing inpatient services for 30 continuous days or longer shall elect, from among themselves and representatives of certain user associations, a review committee of not less than three members. Provides for recall and proxies with respect to such committees. Requires various health boards to conduct regular inspections of specified facilities. Requires area health boards to provide: (1) contraception information and materials; (2) evaluation and treatment for venereal diseases and diseases of the reproductive organs; (3) information and counseling regarding pregnancy, child bearing, and possible genetically induced anomalies; (4) pregnancy testing; (5) prenatal services; (6) abortion services; and (7) counseling by women for specified services and counseling by men for specified services. Requires all such services to be delivered without coercion or harassment, with confidentiality, and without prior approval of individuals other than the individual receiving the services. Requires that individuals be permitted to be accompanied by a person of their choice during the provision of such services, subject to exception. Sets forth restrictions and requirements for informed consent regarding: (1) treatments or procedures which could affect an individual's reproductive capacity; and (2) mastectomy or other breast cancer treatment. Requires that women giving birth have the right to choose from a complete range of childbirth options. Title III: Health Labor Force - Part A: Job Categories and Certification - Declares that, notwithstanding State laws to the contrary, the Service shall be the sole judge of the qualifications of its employees. Requires each area health board to insure that work is performed by certified health workers. Requires the National Board to establish guidelines for classification, certification, and employment of health workers. Requires that such guidelines: (1) permit alternative approaches to healing, when such approaches have not been shown to be injurious to health; (2) have both flexibility and uniformity to meet stated objectives; and (3) require that each health worker employed by a community board work part of the time in a facility operated by a district or regional board and each health worker employed by a district or regional board work part of the time in a health care facility operated by a community board. States that each regional board, for job categories requiring advanced specialty training, shall establish certification standards. Part B: Education of Health Workers - Requires each regional board, in consultation with community and district boards, to establish a health team school (school) to provide initial and continuing basic education in health care delivery and initial and continuing advanced education in health care specialties and health science specialty fields. Requires that the schools be funded exclusively by the Service, prohibits them from charging or accepting tuition or fees, and requires them to provide each student with an allowance for living expenses, educational supplies, and any child care. Requires each regional board to establish and implement for the school: (1) admissions policies with certain required elements; (2) curriculum policies with stated elements; (3) faculty hiring procedures which will create a faculty which approximates the population of the region by race, sex, and language; and (4) a governance plan for the management of its school which gives significant decision making powers to staff and students. Prohibits enrolling any individual unless the individual agrees to perform health care services as an employee of the Service, in a job category for which training is being provided, for a period of time equal to the period of enrollment, but not less than two years, and subject to other terms and conditions. Entitles the Service, if an individual fails to start or fails to complete such service, to recover damages. Mandates that each area board periodically assess the ratio of the health workers employed by the board in each job category to the number of residents in the area. Gives priority in hiring individuals obligated to perform service to health worker shortage areas and, as a second level of priority, to the regional, district, or community board for the region, district, or community in which the program was completed. States that the National Board shall establish a program to match the preferences graduates have for locations with the needs and preferences of various boards. Requires the National Board to make payments of principal and interest on certain loans incurred by individuals for an educational program in health care delivery, health care specialties, or health science fields which is outstanding on the day that individual begins to work for the Service. Establishes a schedule for such payments. Part C: Employment and Labor-Management Relations Within the Service - Requires health boards to employ, classify, and fix the salaries and benefits of all employees of the Service. States that health boards shall give hiring preference to individuals employed as health workers before enactment of this Act. Requires the National Board to ensure that all such individuals desiring employment in the Service find appropriate employment in the Service. Places restrictions on hiring relating to the: (1) ratio of health workers to residents; and (2) existence of a health worker shortage area in the same region. Declares that employees of the Service are covered by specified Federal laws. Requires compensation, benefits, and other terms and conditions of employment to be the same on the effective date of health services as for Federal Government employees until changed by the Service. Prohibits changes in fringe benefits which result in a program which is less favorable to employees of the Service than fringe benefits for employees of the Federal Government on the effective date of health services. Declares that the provisions of the National Labor Relations Act shall apply to the Service and its employees, subject to specified exceptions. Declares that provisions of Federal law relating to participation in a strike shall not apply to employees of the Service. Amends the Labor-Management Reporting and Disclosure Act of 1959 to include the Service in the definition of the term "employer" under that Act. Provides that the remedies provided by stated Federal laws regarding jurisdiction and tort claims shall be exclusive of any other civil action or proceeding. Declares that assault or battery arising out of negligence in various health care functions is not an exception under specified Federal law to tort claims and jurisdiction provisions of Federal law. Authorizes the National Board to hold harmless or provide liability insurance for any employee of the Service under certain circumstances. Title IV: Other Functions of Health Boards - Part A: Advocacy, Grievance Procedures, and Trusteeships - Requires each area health board to establish a program of health advocacy with specified elements. Requires the National Board to establish a health rights legal services program, for users and health workers, providing specified elements. Requires each appropriate regional board to provide that any user, health worker, user association, or specified health board may commence grievance proceedings before specified health boards with respect to alleged violations of this Act. Provides for review of adverse decisions. Authorizes, in certain circumstances, the entity before which a grievance proceeding is commenced or reviewed to: (1) set aside an election of a community board and require a new election; and (2) if not involving a community board, require that a new election be conducted or a new appointment be made. Requires such entity to transfer such functions as necessary to the appropriate higher health board until a new election is conducted or a new appointment is made. Authorizes a health board which receives functions under such a transfer to appoint a trustee or trustee committee to carry out transferred functions. Part B: Occupational Safety and Health Programs - Requires the National Board to oversee occupational safety and health programs conducted at the regional level and to participate in the establishment and administration of occupational safety and health standards under the Occupational Safety and Health Act of 1970, with the advice and comments of regional occupational safety and health action councils established under this Act. Amends the Occupational Safety and Health Act of 1970 to substitute references to the National Health Board for references to the Secretary of Health and Human Services throughout such Act, with one specified exception. Adds references to the National Health Board to existing provisions in such Act regarding promulgation, modification, and revocation of safety and health standards. Requires the National Board to establish guidelines for: (1) its participation in the establishment and administration of safety and health standards; (2) the election of community occupational safety and health action councils; (3) the establishment of regional occupational safety and health programs; (4) the establishment and operation of work place health facilities; and (5) the provision of assistance by various health boards to various safety and health councils, and to work place safety and health committees. Requires each community board to provide for the operation of a community occupational safety and health action council (COSHAC). Gives a formula for election of the members of COSHACs. Specifies the duties of each COSHAC. Requires each regional board to establish an occupational health and safety program for its region with specified elements, including staffing and supporting the operation of the regional occupational safety and health action council (ROSHAC). Specifies the responsibilities of each ROSHAC. Requires the employer in each work place to establish and maintain a health facility in or near the work place to meet occupational and emergency health care needs of employees, to be operated either by the community board or by the employer, and the cost, in either case, to be borne by the employer. Grants employees in each work place having 25 or more employees the right to establish work place occupational safety and health committees. Grants the members of such committees rights to engage in certain activities relating to inspections without loss of pay or other job rights. Authorizes employees to monitor conditions and to remove themselves from the site of any hazard without loss of pay or other job rights. Requires employers to minimize hazards and furnish employees with or reimburse employees for needed equipment or clothing. Specifies rights of employees regarding: (1) inspection of medical records maintained by their employers; (2) provision to employees of copies of all reports, studies, and data concerning health and safety in that work place; and (3) the seeking, through collective bargaining, of standards more restrictive than those established under the Occupational Safety and Health Act of 1970. Part C: Health and Health Care Delivery Research - Requires the Service to conduct a program of research concerning health and health care delivery. Transfers the National Institutes of Health from the Department of Health and Human Services to the National Health Board. States that the National Board shall establish five new national institutes: Epidemiology, Evaluative Clinical Research, Health Care Services, Pharmacy and Medical Supply, and Sociology of Health and Health Care. Specifies the duties of each such institute. Part D: Health Planning, Distribution of Drugs and Other Medical Supplies, and Miscellaneous Functions - Requires each area board to collect data on supply and demand regarding health workers and health care delivery. Requires each regional board to coordinate the planning and administration of health care delivery, health worker education, and health research in its region. Requires the National Board to formulate one-year and five-year national plans and budgets. Requires the National Board, after consultation with regional boards, to publish, and regularly update, a National Pharmacy and Medical Supply Formulary. Specifies the contents of the Formulary. Requires each regional board to establish a program for the purchase and distribution of drugs and other medical supplies. Authorizes the National Board to establish and operate drug and medical supply manufacturing facilities in certain circumstances. Title V: Financing of the Service - Part A: Health Service Taxes - Amends the Internal Revenue Code to add a new part imposing on individuals and corporations an additional tax of specified percentages of the normal tax and surtax imposed by a specified section of such code. Ends the income tax exclusion from gross income of amounts paid by third parties for medical care. Excludes from gross income employer contributions to accident or health plans to the extent that such contributions do not provide for health care available to such employees under the Health Service Act. Prohibits income tax deductions for: (1) health care expenses as a trade or business expense; and (2) contributions to certain medical and hospital facilities. Repeals provisions of the Internal Revenue Code relating to: (1) medical and dental expenses; (2) hospital insurance tax imposed on employment and self-employment income; and (3) receipts for railroad employees. Declares that no contractual or other nonstatutory obligation of any employer to pay or provide for health care for present or former employees and their dependents and survivors shall apply on or after the effective date of health services under this Act to the extent such individuals are eligible to receive such services under this Act. Prohibits Federal, State, or private workers' compensation programs from paying for or providing any health care on or after the effective date of health services under this Act to the extent such care is available under this Act. Part B: Health Service Trust Fund - Creates in the Treasury the Health Service Trust Fund (Trust Fund). Appropriates to the Trust Fund amounts equal to 100 percent of the expected net receipts from specified provisions of the Internal Revenue Code. Appropriates to the Trust Fund a Government contribution equal to 40 percent of the amount appropriated under such 100 percent provision. Transfers to the Trust Fund all assets and liabilities of the Federal Hospital Insurance Trust Fund and the Federal Supplementary Medical Insurance Trust Fund. Creates the Board of Trustees of the Trust Fund. Requires the investment of specified portions of the Trust Fund. Extends the purposes for which obligations of the United States may be issued under the Second Liberty Bond Act, to authorize the issuance at par of public debt obligations for purchase by the Trust Fund. Part C: Preparation of Plans and Budgets - Requires the National Board to annually fix the maximum amount of funds which may be expended from the Trust Fund during the fiscal year. Specifies criteria to be considered in determining such amount's maximum value. Authorizes the National Board to refix such maximum amount in certain circumstances. Authorizes the National Board to exceed such maximum amount as necessary because of epidemic, disaster, or other occurrence which was not and could not have been planned for. Authorizes the National Board to allocate, in addition to such maximum amount, funds borrowed under specified provisions of this Act. Requires each community, district, and regional board to annually submit fiscal year and five-year plans and budgets to the next higher level health board. Part D: Allocation and Distribution of Funds - Requires the National Board to annually transmit to regional boards a national health budget dividing the total funds available into funds for ordinary operating expenses, preventive health measures, capital expenses, research expenses, and special operating expenses. Requires funds for ordinary operating expenses, preventive health measures, and research expenses to be allocated to the regional boards on the basis of population. Requires funds for capital expenses to be allocated according to stated criteria. Declares the budget submitted to the regional boards by the National Board to be adopted upon the approval by a majority of the regional boards. Sets forth requirements, similar to those for the national health budget, for preparation and adoption of regional and district budgets. Defines "special operating expenses" to mean operating expenses associated with: (1) care and treatment for users 65 years of age and older; (2) care and treatment of persons confined to full-time residential institutions, including nursing homes and facilities for the treatment of mental illness; (3) the special health care needs of low-income users; (4) the special health care needs of rural users; (5) special health care needs arising from environmental or occupational health conditions; (6) special health care needs arising from unexpected occurrences, including epidemics and natural disasters; and (7) the conduct of environmental health inspection and monitoring services. Sets forth rules for allocation of special operating expenses. Requires funds allocated under the national health budget to be distributed by the National Board from the Trust Fund. Prohibits health boards from requesting or receiving funds from any other source. Mandates annual financial statements by area health boards. Part E: General Provisions - Authorizes the National Board to borrow money and to issue and sell obligations as necessary for this Act, but only in amounts specified in appropriations Acts. Limits the aggregate amount of such obligations outstanding at any one time. Authorizes the National Board to pledge the assets of the Trust Fund and pledge its revenues and receipts for various purposes related to such obligations. Authorizes the National Board to enter into a variety of covenants as necessary or desirable to enhance the marketability of such obligations. Declares that such obligations: (1) shall be negotiable or nonnegotiable, bearer or registered; (2) shall contain a recital that they are issued under a specified provision of this Act; (3) shall be lawful investments; (4) shall be exempt from State taxes; and (5) shall not, subject to exception, be obligations of the U.S. Government. Requires the National Board to advise the Secretary of the Treasury of the proposed sale of obligations. Authorizes such Secretary to elect to purchase the obligations. Authorizes the National Board, if the Secretary elects not to buy such obligations, to issue and sell them to a party or parties other than the Secretary, upon notice to the Secretary and consultation regarding various terms and conditions. Empowers the National Board to require the Secretary of the Treasury to purchase obligations of the Service. Prohibits any required purchase which would result in a holding by the Secretary in excess of a specified amount. Makes obligations issued by the Service obligations of the U.S. Government under certain circumstances. Authorizes the Secretary of the Treasury, for the purpose of any purchase of the obligations of the Service, to use as a public debt transaction the proceeds from the sale of any securities issued under the Second Liberty Bond Act. Extends the purposes of such Act to include any purchases of the obligations of the Service under this part. Title VI: Miscellaneous Provisions - Repeals, on the effective date of health services, the Public Health Service Act, except for specified provisions relating to: (1) its short title and definitions; (2) licensing, quarantine, and inspections authority; and (3) safety of public water systems. Delays, until four years after the effective date of health services, repeal of portions of the Public Health Service Act regarding provision of assistance to educational institutions and their students, in areas which have not established health team schools under part A of title III of this Act. Repeals specified provisions of the Social Security Act relating to maternal and child health, Medicare, Medicaid, professional standards review, entitlement to hospital insurance benefits, uniform health reporting systems, limitation on Federal participation for capital expenditures, the program for determining qualification for certain health care personnel, disclosure of ownership and related information, disclosure of certain convictions, and payments to States for health care and supplemental services. Repeals specified provisions of Federal law relating to health insurance for Federal employees, medical benefits and programs relating to veterans, and the civilian health and medical program of the uniformed services. Repeals the Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment, and Rehabilitation Act of 1970, the Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment, and Rehabilitation Act Amendments of 1974, and a specified provision of the Comprehensive Drug Abuse Prevention and Control Act of 1970 relating to medical treatment of narcotic addiction. Repeals Federal law relating to hospitals, community hospitals, and other health facilities for Indians. Repeals the District of Columbia Medical Facilities Construction Act of 1968 and the District of Columbia Medical and Dental Manpower Act of 1970. Repeals specified provisions of the National Housing Act relating to mortgage insurance for nursing homes, hospitals, and group practice facilities. Repeals the Mental Retardation Facilities and Community Mental Health Centers Construction Act of 1963, the Family Planning Services and Population Research Act of 1970, the National Arthritis Act of 1974, and the National Diabetes Mellitus Research and Education Act. Repeals specified provisions of the Lead-Based Paint Poisoning Prevention Act relating to grant, demonstration, and research programs for lead-based paint poisoning prevention. Repeals the Act of March 2, 1897, relating to tea importation. Repeals specified provisions of the Occupational Safety and Health Act of 1970 relating to the National Institute for Occupational Safety and Health. Requires the President to prepare and submit to the Congress legislation to repeal or amend provisions of laws which are inconsistent with this Act, including the transfers of authority of the Secretary of Health and Human Services, under specified provisions of Federal law, to the Service. Sets forth various requirements regarding review and reporting to the President and the Congress concerning how the Service is carrying out the purposes of the various programs authorized to be conducted by provisions repealed by this Act. Transfers to the Health Service Trust Fund amounts appropriated to carry out the purposes of any law repealed by this Act. Provides transition rules regarding contracts entered into or rights or obligations arising before the effective date of such repeals. Amends the Budget and Accounting Act, 1921 to require that each budget submitted by the President set forth items relating to the Health Service Trust Fund separately from other operations of the Government. Declares that, if any provisions of this Act are declared invalid, the remainder of the Act shall not be affected.

Recycling Research and Development Act of 1993

United States · United States Congress · 11 May 1993

Recycling Research and Development Act of 1993 - Amends the Solid Waste Disposal Act to direct the Secretary of Energy, acting through the Office of Conservation and Renewable Energy, to transmit comprehensive plastics, automobile, and appliance recycling plans to the Congress. Directs the Secretary to establish cooperative programs with the appropriate industries to conduct joint plastics, automobile, and appliance recycling technology research and development projects. Authorizes financial assistance for such projects. Requires the Secretary to establish three national recycling research and development centers at institutions of higher education to conduct plastics research projects. Provides for grants to such centers, subject to appropriations. Authorizes appropriations.

Health Education Lending Program Act

United States · United States Congress · 11 May 1993

Health Education Lending Program Act - Amends the Public Health Service Act to establish a program of insured loans to students for attendance at any school of medicine, osteopathic medicine, dentistry, podiatry, or optometry from the Trust Fund established by this Act. Limits lifetime payments. Amends the Internal Revenue Code to impose an additional tax on any individual who received such payments. Imposes a higher tax rate where such payments exceed a certain amount. Establishes the Health Professions Education Trust Fund, appropriating to it the taxes imposed by this Act. Authorizes appropriations to the Trust Fund, as repayable advances, as necessary to make the payments.

Income-Dependent Education Assistance Act of 1993

United States · United States Congress · 11 May 1993

Income-Dependent Education Assistance Act of 1993 - Establishes the income-dependent education assistance (IDEA) program of supplemental direct higher education student loans in which a borrower's annual repayment obligation is dependent upon both postschool income level and borrowing history. Title I: System for Making Income-Dependent Education Assistance Loans - Directs the Secretary of the Treasury to: (1) make IDEA loans to eligible students; (2) establish an account for each IDEA loan borrower; and (3) collect repayments on such loans using the income tax collection system added by title II of this Act. Provides for interest charges on such loans, based on an interest rate equal to the lesser of: (1) ten percent; or (2) the sum of the average bond equivalent rates of 91-day Treasury bills auctioned for the previous year, plus two percentage points. Provides for conversion and consolidation of certain other types of student loans as IDEA loans (Stafford loans under the Higher Education Act of 1965 and HEAL loans under the Public Health Service Act). Requires conversion of certain defaulted student loans to IDEA loans. Terminates the authority to make additional loans under the Higher Education Act of 1965 (HEA) programs of supplemental loans for students (SLS) and direct loans to students in institutions of higher education. Title II: Collection of Income-Dependent Education Assistance Loans - Amends the Internal Revenue Code to provide for the collection of IDEA loans. Directs the Secretary of the Treasury to notify each IDEA loan borrower of his or her yearly repayment obligation. Sets forth formulas for computation of the annual IDEA loan repayment amount. Directs the Secretary of the Treasury to assess and collect any unpaid amount in the same manner as for any delay in the payment of income tax. Provides for discharge, by the Secretary of Education, of the IDEA loan liability of any borrower who dies or becomes permanently and totally disabled. Provides that, in general, an IDEA loan shall not be dischargeable in bankruptcy, but authorizes the Secretary of the Treasury to postpone certain portions of the loan liability in such cases.

Student Loan Reform Act of 1993

United States · United States Congress · 11 May 1993

TABLE OF CONTENTS: Title I: Amendments to Federal Direct Loan Demonstration Program Title II: Conforming Amendments Title III: Effective Dates Student Loan Reform Act of 1993 - Amends the Higher Education Act of 1965 (HEA) to replace the Federal Family Education Loan (FFEL) Program, under which loans made by private lenders are guaranteed by the Government, with a Federal Direct Student Loan Program, over a four-year transition period. Title I: Amendments to Federal Direct Loan Demonstration Program - (Sec. 111) Amends HEA to change the Federal Direct Loan Demonstration Program to the Federal Direct Student Loan Program (FDSL). (Sec. 112) Sets forth program authority for making funds available for FDSL loans to all eligible students (and parents) at participating higher education institutions selected by the Secretary of Education (Secretary). Requires such loans to be made by participating institutions that also have agreements with the Secretary to originate loans, or by alternative originators designated by the Secretary. (Sec. 113) Directs the Secretary to provide funds for such loans on the basis of need and eligibility of students and parents at each participating institution. Requires the Secretary to pay fees to assist in meeting costs of loan origination to participating institutions or alternative originators. Declares that no institution shall have a right to participate in FDSL programs. (Sec. 114) Provides for phase-in of the program over four years. Sets forth selection criteria for an institution's participation in the FDSL program and in origination agreements. Allows consortia of eligible participating institutions to apply to originate FDSL loans. (Sec. 115) Sets forth FDSL program participation and origination agreement requirements for institutions. (Sec. 116) Sets forth terms and conditions for FDSL loans, including certain parallels with Stafford, supplemental, parent, and unsubsidized Stafford loans under the FFEL program. Provides for standard, extended, graduated, and income contingent (EXCEL account) repayment plan options. Sets forth deferment and forbearance possibilities (including national service). Provides for consolidation, borrower defenses, optically imaged records, and nondischargeability in bankruptcy. (Sec. 117) Authorizes the Secretary to award contracts under the FDSL program for: (1) alternative origination of loans; (2) servicing and collection of loans; (3) data systems for records maintenance; and (4) services to assist in orderly transition from FFEL to FDSL programs. (Sec. 118) Authorizes the Secretary to use a portion of program funds for research on, or demonstration or evaluation of, any FDSL program aspects, including flexible repayment plans. Directs the Secretary and the Secretary of the Treasury to submit a plan to the President that provides for wage-withholding by the Internal Revenue Service (IRS) and evaluates other wage-withholding repayment options. Authorizes the Secretaries to implement options selected by the President. (Sec. 119) Directs the Secretary to publish a notice of standards for the first year of the FDSL program, in lieu of regulations required by the General Education Provisions Act. (Sec. 121) Provides funds for specified administrative expenses of the FDSL program. Title II: Conforming Amendments - Part A: Conforming Amendments to the Higher Education Act of 1965 - (Sec. 211) Amends HEA to provide for access to FFEL program student and parent loans during the transition to the FDSL program. Provides for advances to guaranty agencies for lender-of-last-resort services. Authorizes agreements with guaranty agencies that meet standards to provide lender referral services in geographic areas specified by the Secretary. Requires the Student Loan Marketing Association (Sallie Mae) or its designated agent to begin making FFEL loans as lender-of-last-resort, subject to certain limitations, upon the Secretary's request, and to cease when the triggering conditions have ceased. (Sec. 212) Considers guaranty agency reserve funds and any assets purchased with such funds to be U.S. property for use in operation of the FFEL or FDSL programs. (Sec. 213) Modifies terms of loans under the FFEL program. Authorizes requiring a defaulted borrower to make income contingent repayments. (Sec. 215) Provides for termination of guaranty agency agreements and assumption of guaranty agency functions by the Secretary. (Sec. 216) Terminates an administrative cost allowance to guaranty agencies at the end of FY 1993. (Sec. 218) Directs the Secretaries of Education and of the Treasury to prepare a study of alternatives for Sallie Mae during and after the transition to FDSL, including its own transition from a Government-sponsored enterprise to a private corporation. (Sec. 219) Provides for use of optically imaged documents and records. Part B: Amendments to Other Laws - (Sec. 221) Amends the Internal Revenue Code to provide for collection of income contingent repayments of student loans. (Sec. 222) Amends the Balanced Budget and Emergency Deficit Control Act of 1985 (Gramm-Rudman-Hollings Act) to provide that any reductions in the FDSL program required by a sequestration order shall be achieved only through a specified increase in the loan fee. Title III: Effective Dates - (Sec. 301) Sets forth effective dates for amendments made by this Act.

Designating the week beginning November 14, 1993, and the week beginning November 13, 1994, each as "Geography Awareness Week".

United States · United States Congress · 11 May 1993

Designates the weeks beginning November 14, 1993, and November 13, 1994, as Geography Awareness Week.

To terminate the Space Station Freedom and Advanced Solid Rocket Motor programs, and to redirect the savings therefrom to deficit reduction, and to National Aeronautics and Space Administration space and civil aviation programs.

United States · United States Congress · 10 May 1993

Terminates the Space Station Freedom and Advanced Solid Rocket Motor programs. Expresses the sense of the Congress that at least 50 percent of the amounts so saved should be used for: (1) Federal deficit reduction; and (2) civil aviation and other programs of space science, research, and education.

Comprehensive Fetal Alcohol Syndrome Prevention Act

United States · United States Congress · 7 May 1993

Comprehensive Fetal Alcohol Syndrome Prevention Act - Amends the Public Health Service Act to establish: (1) a comprehensive program to prevent Fetal Alcohol Syndrome and Fetal Alcohol Effects and coordinate related Federal efforts; and (2) an Inter-Agency Task Force on Fetal Alcohol Syndrome and Fetal Alcohol Effects. Provides for related research, technical assistance, grants, cooperative agreements, and contracts, surveillance and prevention programs, professional and public education, and diagnostic criteria. Authorizes appropriations.

National and Community Service Trust Act of 1993

United States · United States Congress · 6 May 1993

TABLE OF CONTENTS: Title I: Programs and Related Provisions Subtitle A: Programs Subtitle B: Related Provisions Title II: Organization Title III: Reauthorization Subtitle A: National and Community Service Act of 1990 Subtitle B: Domestic Volunteer Service Act of 1973 Title IV: Technical and Conforming Amendments National Service Trust Act of 1993 - Amends the National and Community Service Act of 1990 and the Domestic Volunteer Service Act of 1973 to reauthorize, revise, and reorganize national and community service and domestic volunteer programs, establish a Corporation for National Service and a National Service Trust program of Federal investment in support of national service, and provide expanded opportunities for national service and educational awards for participants. Title I: Programs and Related Provisions - Subtitle A: Programs - (Sec. 101) Amends the National and Community Service Act of 1990 (the Act) to establish the National Service Trust program, replacing the current American Conservation and Youth Service Corps. Authorizes the Corporation for National Service (CNS) to make matching grants to State and local governments, Indian tribes, public and private nonprofit organizations, and higher education institutions for: (1) full- or part-time national service programs, including summer programs; and (2) subgrants for national service programs of other entities. Authorizes CNS to enter into agreements with other Federal agencies to support their national service programs. Directs CNS to approve national service educational awards for participants serving in CNS-assisted national service programs. Describes types of eligible national service programs addressing unmet human, educational, environmental, or public safety needs, including community corps, youth corps, service-learning, special skills or specialized training, individualized placement, campus-based, preprofessional training, professional corps, disadvantaged youth community service, national service entrepreneur, intergenerational, or other programs. Directs CNS to establish qualification criteria. Authorizes CNS to provide the following types of program assistance: planning, operational, replication, subgrantee, training, technical, and other special assistance (including support for State commissions and challenge grants for national service programs). Requires CNS to ensure that participants in VISTA or the Civilian Community Corps receive national service educational awards, except in specified circumstances. Sets forth application and program requirements. Requires an assurance that the program assisted will not perform service that provides a direct benefit to any: (1) for-profit business; (2) labor union; (3) partisan political organization; or (4) organization engaged in religious activities (unless such service does not involve use of assistance or participants to give religious instruction, conduct worship services, or engage in any form of proselytization). Sets a minimum age for national service participants of 17, except for certain youth programs where the beginning of service may be between age 16 and 25. Sets rules for selection of participants, including selection and training of a national leadership pool. Sets a term of service at a minimum of 1,700 hours during: (1) a full-time period of nine months to one year; or (2) a part-time period of one to two years. Establishes requirements for participant living allowances. Limits the Federal share to not more than 85 percent of the VISTA volunteer allowance. Makes those who serve in approved national service positions eligible for national service educational awards. (Sec. 102) Establishes the National Service Trust in the Treasury to provide for the payment of national service educational awards. Sets forth eligibility standards for national service educational awards. Bases such awards on only the first and second terms of service. Requires that the award be used within five years after completion of the term of service. Sets the award's value at $5,000 for each term of service (up to two terms). Allows the use of such awards to: (1) repay outstanding student loans; (2) pay current educational expenses; (3) enable participation in approved school-to-work programs; and (4) pay interest during forbearance on loan repayment. Provides that awards shall not be considered: (1) in a means-test for Federal or federally-assisted benefits; or (2) as taxable income under the Internal Revenue Code. Makes conforming amendments to student loan provisions of the Higher Education Act of 1965 (HEA). Makes Stafford loan forgiveness available. (Sec. 103) Establishes School-Based and Community-Based Service-Learning programs to replace current Programs for Students and Out-of-School Youth. Revises the Serve-America program (currently named Service-America) to include: (1) school-based programs for students; (2) community-based service programs for school-age youth; and (3) a service-learning clearinghouse. Authorizes CNS to make planning grants to local educational agencies (LEAs) with respect to service-learning coordinators participating in an assisted national service program or receive a national service educational award. Authorizes grants for school-based service-learning programs and community-based service programs. Directs CNS to provide financial assistance to eligible public and private nonprofit organizations to establish a service-learning clearinghouse. Adds priority criteria for the making of grants for Higher Education Innovative Programs for Community Service. (Sec. 104) Establishes an Investment for Quality and Innovation program to carry out specified innovation and quality improvement activities. Directs CNS to provide assistance to appropriate entities to establish one or more clearinghouses, including the service-learning clearinghouse. Authorizes the President, acting through CNS, to make Presidential awards for service to individuals providing significant service, and to outstanding service programs. Provides that Civilian Community Corps members may receive educational awards (or suitable alternative benefits if ineligible for such awards). Amends the National Defense Authorization Act for Fiscal Year 1993 to extend the authority to conduct the Civilian Community Corps Demonstration Program. Subtitle B: Related Provisions - (Sec. 111-121) Makes conforming amendments and repealers to specified Federal law. Title II: Organization - (Sec. 201) Amends the National and Community Service Act of 1990 to require the establishment of State commissions on national service as a condition for receiving certain grants or allotments or a distribution of approved national service positions. Sets commission membership standards and duties, including planning. (Sec. 202) Establishes the Corporation for National Service (CNS) as a Government corporation to administer programs under the Act. Amends the Domestic Volunteer Service Act of 1973 to require the Director of the ACTION Agency to report directly to the CNS Chairperson (under interim authorities). Directs the Chairperson to establish (or request the Director of the Office of Personnel Management to provide) job search and related assistance to employees of the ACTION Agency who are not transferred to CNS. (Sec. 202 & 203) Transfers to CNS functions of: (1) the Commission on National and Community Service (under interim authorities); and (2) the ACTION Agency (under final authorities). Title III: Reauthorization - Subtitle A: National and Community Service Act of 1990 - Extends the authorization of appropriations for the National and Community Service Act of 1990. Subtitle B: Domestic Volunteer Service Act of 1973 - Domestic Volunteer Service Act Amendments of 1993 - Amends the Domestic Volunteer Service Act of 1978 (DVSA) to reauthorize, reorganize, and revise its programs. Chapter I: VISTA and Other Anti-Poverty Programs - (Sec. 321) Adds to VISTA program objectives generating private sector resources commitment, encouraging local level volunteer service, and strengthening local agencies and organizations to carry out the program. (Sec. 322) Revises procedures and other requirements for selection and assignment of VISTA volunteers. Allows a sponsoring organization to recruit VISTA volunteers, subject to final approval of the Director of the ACTION Agency (the Director). (Sec. 323) Revises provisions for terms and periods of service. Authorizes a VISTA summer associates program. (Sec. 324) Revises postservice stipends. (Sec. 325) Requires encouragement of participation of both younger (18 through 27) and older (55 and older) VISTA volunteers. (Sec. 328) Repeals authority for student community service programs grants and contracts. (Sec. 329) Renames the University Year for ACTION the University Year for VISTA program. Shortens the minimum period of participation to an academic semester or equivalent. Allows volunteers to receive a living allowance or such other support the Director deems appropriate. (Sec. 330) Revises authority to establish and operate special volunteer and demonstration programs. Requires a competitive process for any grant or contract exceeding $100,000. (Sec. 331) Permits the Director to provide technical and financial assistance to employers and other private organizations that use or desire to use volunteers. (Sec. 332) Repeals a separate authority for drug abuse education and prevention programs under special volunteer programs. Chapter 2: National Senior Volunteer Corps - (Sec. 342) Renames the retired senior volunteer program the Retired and Senior Volunteer Program (RSVP). (Sec. 343) Expands RSVP eligibility to include older working persons and those over 55 (currently 60). (Sec. 345) Requires certain adjustments and minimums for stipends for low-income volunteers. (Sec. 346) Allows non-low-income persons to participate in the Foster Grandparent and the Senior Companion programs, without any financial support except reimbursement for related expenses. (Sec. 347) Repeals certain conditions for grants and contracts under those two programs, including a requirement that volunteers no longer be in the regular work force. (Sec. 348) Eliminates one type of evaluation of the Senior Companion Program. (Sec. 349) Encourages agreements with other Federal agencies involving retired, senior, intergenerational, and conservation volunteer programs. (Sec. 352) Authorizes grants and contracts for demonstration programs of innovative activities involving older volunteers. Prohibits reducing other older volunteer programs to support such demonstrations. Chapter 3: Administration - (Sec. 365) Bases disability or death benefits for VISTA volunteers on a grade GS-5 (rather than GS-7) Federal employee entrance salary. (Sec. 370) Grants copyright protection for the programs of the ACTION Agency. (Sec. 371) Authorizes the Director to establish a Center for Research and Training on Volunteerism. (Sec. 372) Amends Federal law relating to Federal employees to make retirement credit for time served as a VISTA volunteer available to all who become Federal employees subsequent to such volunteer service, upon their paying a deposit based on their post-service stipend. Chapter 4: Authorization of Appropriations and Other Amendments - (Sec. 381-383) Extends the authorization of appropriations for various programs under the Domestic Volunteer Service Act of 1973. (Sec. 385) Repeals Youthbuild Projects authority. Chapter 5: General Provisions - (Sec. 391) Sets forth technical and conforming amendments. Title IV: Technical and Conforming Amendments - (Sec. 401-405) Sets forth various changes of definitions and references in specified Federal law.

Student Loan Reform Act of 1993

United States · United States Congress · 6 May 1993

TABLE OF CONTENTS: Title I: Amendments to Federal Direct Loan Demonstration Program Title II: Conforming Amendments Title III: Effective Dates Student Loan Reform Act of 1993 - Amends the Higher Education Act of 1965 (HEA) to replace the Federal Family Education Loan (FFEL) Program, under which loans made by private lenders are guaranteed by the Government, with a Federal Direct Student Loan Program, over a four-year transition period. Title I: Amendments to Federal Direct Loan Demonstration Program - (Sec. 111) Amends HEA to change the Federal Direct Loan Demonstration Program to the Federal Direct Student Loan Program (FDSL). (Sec. 112) Sets forth program authority for making funds available for FDSL loans to all eligible students (and parents) at participating higher education institutions selected by the Secretary of Education (Secretary). Requires such loans to be made by participating institutions that also have agreements with the Secretary to originate loans, or by alternative originators designated by the Secretary. (Sec. 113) Directs the Secretary to provide funds for such loans on the basis of need and eligibility of students and parents at each participating institution. Requires the Secretary to pay fees to assist in meeting costs of loan origination to participating institutions or alternative originators. Declares that no institution shall have a right to participate in FDSL programs. (Sec. 114) Provides for phase-in of the program over four years. Sets forth selection criteria for an institution's participation in the FDSL program and in origination agreements. Allows consortia of eligible participating institutions to apply to originate FDSL loans. (Sec. 115) Sets forth FDSL program participation and origination agreement requirements for institutions. (Sec. 116) Sets forth terms and conditions for FDSL loans, including certain parallels with Stafford, supplemental, parent, and unsubsidized Stafford loans under the FFEL program. Provides for standard, extended, graduated, and income contingent (EXCEL account) repayment plan options. Sets forth deferment and forbearance possibilities (including national service). Provides for consolidation, borrower defenses, optically imaged records, and nondischargeability in bankruptcy. (Sec. 117) Authorizes the Secretary to award contracts under the FDSL program for: (1) alternative origination of loans; (2) servicing and collection of loans; (3) data systems for records maintenance; and (4) services to assist in orderly transition from FFEL to FDSL programs. (Sec. 118) Authorizes the Secretary to use a portion of program funds for research on, or demonstration or evaluation of, any FDSL program aspects, including flexible repayment plans. Directs the Secretary and the Secretary of the Treasury to submit a plan to the President that provides for wage-withholding by the Internal Revenue Service (IRS) and evaluates other wage-withholding repayment options. Authorizes the Secretaries to implement options selected by the President. (Sec. 119) Directs the Secretary to publish a notice of standards for the first year of the FDSL program, in lieu of regulations required by the General Education Provisions Act. (Sec. 121) Provides funds for specified administrative expenses of the FDSL program. Title II: Conforming Amendments - Part A: Conforming Amendments to the Higher Education Act of 1965 - (Sec. 211) Amends HEA to provide for access to FFEL program student and parent loans during the transition to the FDSL program. Provides for advances to guaranty agencies for lender-of-last-resort services. Authorizes agreements with guaranty agencies that meet standards to provide lender referral services in geographic areas specified by the Secretary. Requires the Student Loan Marketing Association (Sallie Mae) or its designated agent to begin making FFEL loans as lender-of-last-resort, subject to certain limitations, upon the Secretary's request, and to cease when the triggering conditions have ceased. (Sec. 212) Considers guaranty agency reserve funds and any assets purchased with such funds to be U.S. property for use in operation of the FFEL or FDSL programs. (Sec. 213) Modifies terms of loans under the FFEL program. Authorizes requiring a defaulted borrower to make income contingent repayments. (Sec. 215) Provides for termination of guaranty agency agreements and assumption of guaranty agency functions by the Secretary. (Sec. 216) Terminates an administrative cost allowance to guaranty agencies at the end of FY 1993. (Sec. 218) Directs the Secretaries of Education and of the Treasury to prepare a study of alternatives for Sallie Mae during and after the transition to FDSL, including its own transition from a Government-sponsored enterprise to a private corporation. (Sec. 219) Provides for use of optically imaged documents and records. Part B: Amendments to Other Laws - (Sec. 221) Amends the Internal Revenue Code to provide for collection of income contingent repayments of student loans. (Sec. 222) Amends the Balanced Budget and Emergency Deficit Control Act of 1985 (Gramm-Rudman-Hollings Act) to provide that any reductions in the FDSL program required by a sequestration order shall be achieved only through a specified increase in the loan fee. Title III: Effective Dates - (Sec. 301) Sets forth effective dates for amendments made by this Act.

A bill to amend the Internal Revenue Code of 1986 with respect to the discharge, or repayment, of student loans of students who agree to perform services in certain professions.

United States · United States Congress · 6 May 1993

Amends the Internal Revenue Code to extend discharge of indebtedness provisions to loan cancellation programs of banks and institutions of higher education. Includes under such program loans made to students by institutions of higher education to repay other loans. Permits the institution to repay such other loans.

A joint resolution to designate July 1, 1993, as "National NYSP Day".

United States · United States Congress · 6 May 1993

Designates July 1, 1993, as National NYSP (National Youth Sports Program) Day.

National and Community Service Trust Act of 1993

United States · United States Congress · 6 May 1993

TABLE OF CONTENTS: Title I: Programs and Related Provisions Subtitle A: Programs Subtitle B: Related Provisions Title II: Organization Title III: Reauthorization Subtitle A: National and Community Service Act of 1990 Subtitle B: Domestic Volunteer Service Act of 1973 Title IV: Technical and Conforming Amendments National Service Trust Act of 1993 - Amends the National and Community Service Act of 1990 and the Domestic Volunteer Service Act of 1973 to reauthorize, revise, and reorganize national and community service and domestic volunteer programs, establish a Corporation for National Service and a National Service Trust program of Federal investment in support of national service, and provide expanded opportunities for national service and educational awards for participants. Title I: Programs and Related Provisions - Subtitle A: Programs - (Sec. 101) Amends the National and Community Service Act of 1990 (the Act) to establish the National Service Trust program, replacing the current American Conservation and Youth Service Corps. Authorizes the Corporation for National Service (CNS) to make matching grants to State and local governments, Indian tribes, public and private nonprofit organizations, and higher education institutions for: (1) full- or part-time national service programs, including summer programs; and (2) subgrants for national service programs of other entities. Authorizes CNS to enter into agreements with other Federal agencies to support their national service programs. Directs CNS to approve national service educational awards for participants serving in CNS-assisted national service programs. Describes types of eligible national service programs addressing unmet human, educational, environmental, or public safety needs, including community corps, youth corps, service-learning, special skills or specialized training, individualized placement, campus-based, preprofessional training, professional corps, disadvantaged youth community service, national service entrepreneur, intergenerational, or other programs. Directs CNS to establish qualification criteria. Authorizes CNS to provide the following types of program assistance: planning, operational, replication, subgrantee, training, technical, and other special assistance (including support for State commissions and challenge grants for national service programs). Requires CNS to ensure that participants in VISTA or the Civilian Community Corps receive national service educational awards, except in specified circumstances. Sets forth application and program requirements. Requires an assurance that the program assisted will not perform service that provides a direct benefit to any: (1) for-profit business; (2) labor union; (3) partisan political organization; or (4) organization engaged in religious activities (unless such service does not involve use of assistance or participants to give religious instruction, conduct worship services, or engage in any form of proselytization). Sets a minimum age for national service participants of 17, except for certain youth programs where the beginning of service may be between age 16 and 25. Sets rules for selection of participants, including selection and training of a national leadership pool. Sets a term of service at a minimum of 1,700 hours during: (1) a full-time period of nine months to one year; or (2) a part-time period of one to two years. Establishes requirements for participant living allowances. Limits the Federal share to not more than 85 percent of the VISTA volunteer allowance. Makes those who serve in approved national service positions eligible for national service educational awards. (Sec. 102) Establishes the National Service Trust in the Treasury to provide for the payment of national service educational awards. Sets forth eligibility standards for national service educational awards. Bases such awards on only the first and second terms of service. Requires that the award be used within five years after completion of the term of service. Sets the award's value at $5,000 for each term of service (up to two terms). Allows the use of such awards to: (1) repay outstanding student loans; (2) pay current educational expenses; (3) enable participation in approved school-to-work programs; and (4) pay interest during forbearance on loan repayment. Provides that awards shall not be considered: (1) in a means-test for Federal or federally-assisted benefits; or (2) as taxable income under the Internal Revenue Code. Makes conforming amendments to student loan provisions of the Higher Education Act of 1965 (HEA). Makes Stafford loan forgiveness available. (Sec. 103) Establishes School-Based and Community-Based Service-Learning programs to replace current Programs for Students and Out-of-School Youth. Revises the Serve-America program (currently named Service-America) to include: (1) school-based programs for students; (2) community-based service programs for school-age youth; and (3) a service-learning clearinghouse. Authorizes CNS to make planning grants to local educational agencies (LEAs) with respect to service-learning coordinators participating in an assisted national service program or receive a national service educational award. Authorizes grants for school-based service-learning programs and community-based service programs. Directs CNS to provide financial assistance to eligible public and private nonprofit organizations to establish a service-learning clearinghouse. Adds priority criteria for the making of grants for Higher Education Innovative Programs for Community Service. (Sec. 104) Establishes an Investment for Quality and Innovation program to carry out specified innovation and quality improvement activities. Directs CNS to provide assistance to appropriate entities to establish one or more clearinghouses, including the service-learning clearinghouse. Authorizes the President, acting through CNS, to make Presidential awards for service to individuals providing significant service, and to outstanding service programs. Provides that Civilian Community Corps members may receive educational awards (or suitable alternative benefits if ineligible for such awards). Amends the National Defense Authorization Act for Fiscal Year 1993 to extend the authority to conduct the Civilian Community Corps Demonstration Program. Subtitle B: Related Provisions - (Sec. 111-121) Makes conforming amendments and repealers to specified Federal law. Title II: Organization - (Sec. 201) Amends the National and Community Service Act of 1990 to require the establishment of State commissions on national service as a condition for receiving certain grants or allotments or a distribution of approved national service positions. Sets commission membership standards, and duties, including planning. (Sec. 202) Establishes the Corporation for National Service (CNS) as a Government corporation to administer programs under the Act. Amends the Domestic Volunteer Service Act of 1973 to require the Director of the ACTION Agency to report directly to the CNS Chairperson (under interim authorities). Directs the Chairperson to establish (or request the Director of the Office of Personnel Management to provide) job search and related assistance to employees of the ACTION Agency who are not transferred to CNS. (Sec. 202 & 203) Transfers to CNS functions of: (1) the Commission on National and Community Service (under interim authorities); and (2) the ACTION Agency (under final authorities). Title III: Reauthorization - Subtitle A: National and Community Service Act of 1990 - Extends the authorization of appropriations for the National and Community Service Act of 1990. Subtitle B: Domestic Volunteer Service Act of 1973 - Domestic Volunteer Service Act Amendments of 1993 - Amends the Domestic Volunteer Service Act of 1978 (DVSA) to reauthorize, reorganize, and revise its programs. Chapter I: VISTA and Other Anti-Poverty Programs - (Sec. 321) Adds to VISTA program objectives generating private sector resource commitment, encouraging local level volunteer service, and strengthening local agencies and organizations to carry out the program. (Sec. 322) Revises procedures and other requirements for selection and assignment of VISTA volunteers. Allows a sponsoring organization to recruit VISTA volunteers, subject to final approval of the Director of the ACTION Agency (the Director). (Sec. 323) Revises provisions for terms and periods of service. Authorizes a VISTA summer associates program. (Sec. 324) Revises postservice stipends. (Sec. 325) Requires encouragement of participation of both younger (18 through 27) and older (55 and older) VISTA volunteers. (Sec. 328) Repeals authority for student community service programs grants and contracts. (Sec. 329) Renames the University Year for ACTION the University Year for VISTA program. Shortens the minimum period of participation to an academic semester or equivalent. Allows volunteers to receive a living allowance or such other support the Director deems appropriate. (Sec. 330) Revises authority to establish and operate special volunteer and demonstration programs. Requires a competitive process for any grant or contract exceeding $100,000. (Sec. 331) Permits the Director to provide technical and financial assistance to employers and other private organizations that use or desire to use volunteers. (Sec. 332) Repeals a separate authority for drug abuse education and prevention programs under special volunteer programs. Chapter 2: National Senior Volunteer Corps - (Sec. 342) Renames the retired senior volunteer program the Retired and Senior Volunteer Program (RSVP). (Sec. 343) Expands RSVP eligibility to include older working persons and those over 55 (currently 60). (Sec. 345) Requires certain adjustments and minimums for stipends for low-income volunteers. (Sec. 346) Allows non-low-income persons to participate in the Foster Grandparent and the Senior Companion programs, without any financial support except reimbursement for related expenses. (Sec. 347) Repeals certain conditions for grants and contracts under those two programs, including a requirement that volunteers no longer be in the regular work force. (Sec. 348) Eliminates one type of evaluation of the Senior Companion Program. (Sec. 349) Encourages agreements with other Federal agencies involving retired, senior, intergenerational, and conservation volunteer programs. (Sec. 352) Authorizes grants and contracts for demonstration programs of innovative activities involving older volunteers. Prohibits reducing other older volunteer programs to support such demonstrations. Chapter 3: Administration - (Sec. 365) Bases disability or death benefits for VISTA volunteers on a grade GS-5 (rather than GS-7) Federal employee entrance salary. (Sec. 370) Grants copyright protection for the programs of the ACTION Agency. (Sec. 371) Authorizes the Director to establish a Center for Research and Training on Volunteerism. (Sec. 372) Amends Federal law relating to Federal employees to make retirement credit for time served as a VISTA volunteer available to all who become Federal employees subsequent to such volunteer service, upon their paying a deposit based on their post-service stipend. Chapter 4: Authorization of Appropriations and Other Amendments - (Sec. 381-383) Extends the authorization of appropriations for various programs under the Domestic Volunteer Service Act of 1973. (Sec. 385) Repeals Youthbuild Projects authority. Chapter 5: General Provisions - (Sec. 391) Sets forth technical and conforming amendments. Title IV: Technical and Conforming Amendments - (Sec. 401-405) Sets forth various changes of definitions and references in specified Federal law.