Education

Kay Casstevens, of Texas, to be Assistant Secretary for Legislation and Congressional Affairs, Department of Education, vice B. Robert Okun.

United States · United States Senate · 19 April 1993

Norma V. Cantu, of Texas, to be Assistant Secretary for Civil Rights, Department of Education, vice Michael L. Williams.

United States · United States Senate · 19 April 1993

Judith Heumann, of California, to be Assistant Secretary for Special Education and Rehabilitative Services, Department of Education, vice Robert Refugio Davila, resigned.

United States · United States Senate · 19 April 1993

High Risk Drivers Act of 1993

United States · United States Congress · 19 April 1993

TABLE OF CONTENTS: Title I: Young Driver Programs Title II: Older Driver Programs Title III: High Risk Drivers High Risk Drivers Act of 1993 - Directs the Secretary of Transportation to develop and implement effective and comprehensive policies and programs to promote safe driving behavior by younger drivers, older drivers, and repeat violators of traffic safety regulations and laws, including specified safety promotion and driver training research activities. Title I: Young Driver Programs - Directs the Secretary to make basic and supplemental grants to those States which adopt and implement programs for young drivers which include measures to reduce traffic safety problems resulting from young drivers. Sets forth requirements regarding: (1) eligibility for basic grants (including the establishment and maintenance of a graduate licensing program for drivers under age 18 by State grant recipients and State compliance with specified criteria concerning drunk driving and other issues); (2) eligibility for supplemental grants (including provision for readily distinguishable licenses for younger drivers, driver education, recordkeeping of serious convictions, and oversight of alcohol sales to underage drinkers); (3) program evaluation; and (4) reporting requirements. Authorizes appropriations. Title II: Older Driver Programs - Directs the Secretary to engage in specified activities regarding: (1) research on predictability of high risk driving by older drivers; (2) specialized training for license examiners; (3) counseling procedures and consultation methods; (4) alternative transportation means; (5) State licensing practices; (6) improvement of medical screening; (7) intelligent vehicle-highway systems; and (8) technical evaluations under the Intermodal Surface Transportation Efficiency Act of 1991. Authorizes appropriations. Title III: High Risk Drivers - Directs the Secretary to: (1) study whether additional or strengthened Federal activities, authority, or regulatory actions are desirable or necessary to improve the driver record and control systems of the States to identify high risk drivers more rapidly and ensure prompt intervention in the licensing of such drivers; (2) evaluate the future of the national information systems that support driver licensing; and (3) encourage and promote State driver evaluation, assistance, or control programs for high risk drivers.

Dietary Supplement Health and Education Act of 1994

United States · United States Congress · 7 April 1993

Dietary Supplement Health and Education Act of 1993 - Amends the Federal Food, Drug, and Cosmetic Act to define a "dietary supplement" as a food for special dietary use that includes a vitamin, a mineral, an herb, an amino acid, or another ingredient used to supplement the diet by increasing total dietary intake. Excludes a dietary supplement from the definition of the term "drug" and the term "food additive". Deems a dietary supplement adulterated if it presents a substantial and unreasonable risk of illness or injury. Deems a food misbranded unless the label lists the daily value of specified nutrients which shall reflect the daily intake of each nutrient that will promote optiomal health. Prohibits such value from being less than the U.S. Recommended Daily Allowance. Deems a dietary supplement misbranded unless it meets specified guidelines. Establishes an Office of Dietary Supplements within the National Institutes of Health. Authorizes appropriations.

Dietary Supplement Health and Education Act of 1993

United States · United States Congress · 7 April 1993

Dietary Supplement Health and Education Act of 1993 - Amends the Federal Food, Drug, and Cosmetic Act to: (1) define the term "dietary supplement"; and (2) exclude a dietary supplement from the definition of "food additive." Deems a dietary supplement adulterated if it: (1) contains an unsafe dietary ingredient which presents a substantial and unreasonable risk of illness or injury; or (2) contains a dietary ingredient that has not been adequately substantiated for safety. Prohibits the establishment of maximum limits on the potency of any dietary supplement, except in the case of a supplement represented to be for the use of individuals with specific diseases or disorders. Allows a dietary supplement's label to characterize the relationship between the supplement and a disease under specified conditions. Deems food misbranded unless the label lists the daily value of specified nutrients which shall reflect the daily intake of each nutrient that will promote optimal health. Prohibits such value from being less than the U.S. Recommended Daily Allowance. Establishes an Office of Dietary Supplements within the National Institutes of Health.

Civic Education Act of 1993

United States · United States Congress · 7 April 1993

Civic Education Act of 1993 - Amends the Elementary and Secondary Education Act of 1965 to reauthorize and revise the program for instruction in the history and principles of democracy in the United States. Requires the program to foster civic responsibility and continue and expand the educational activities of the We the People...The Citizen and the Constitution program. Allows the use of funds for advanced training of teachers in civics and government, after the education program has been implemented. Authorizes appropriations.

National Health Security Act of 1993

United States · United States Congress · 5 April 1993

TABLE OF CONTENTS: Title I: Eligibility and Enrollment Title II: Benefits Subtitle A: Health Care Services Subtitle B: Long-Term Care Services Subtitle C: Modification of Services Title III: Federal and State Administration Subtitle A: Federal Administration Subtitle B: State Administration Title IV: Financing Subtitle A: Health Budgets Subtitle B: Payments to Providers Subtitle C: Revenues Title V: Congressional Consideration Title VI: Private Options Title VII: Expansion of Outcomes Research and Delivery of Services in Underserved Areas Title VIII: Malpractice Reform Title IX: Effective Dates; Terminations; Transition; Relation to ERISA National Health Security Act of 1993 - Title I: Eligibility and Enrollment - Entitles every U.S. resident citizen, national, and lawful resident alien to health care services and long-term care services under this Act. Requires each State program to provide for a mechanism for enrollment and issuance of an identification and processing card. Provides for portability, including mandating use of a uniform claims form. Title II: Benefits - Subtitle A: Health Care Services - Includes as covered services: (1) inpatient and outpatient hospital care; (2) diagnostic and screening tests; (3) services furnished by health care professionals, including medically necessary dental care; (4) preventive care; (5) prescription drugs, biologicals, and devices; (6) substance abuse services; (7) inpatient and outpatient mental health services; (8) hospice care; (9) habilitation and rehabilitation; (10) home medical equipment and prosthetic devices; and (11) approved experimental treatment. (Sec. 202) Prohibits States from limiting the amount, duration, or scope of services except as provided in this Act. Excludes cosmetic surgery and certain inpatient amenities. (Sec. 203) Requires: (1) the Federal Health Board established by this Act to provide, subject to certain requirements, for copayments and out-of-pocket limits; and (2) the Federal Health Priorities Council established by this Act to study specified issues. Subtitle B: Long-Term Care Services - Requires the Board to: (1) set standards for eligibility, long-term care services coverage, income protection, and case management; and (2) establish an income-related cost sharing schedule. (Sec. 212) Provides for the appointment of a Long-Term Care Services Assessment Commission. Authorizes appropriations. Subtitle C: Modification of Services - Requires annual recommendations by the Priorities Council regarding changes in services under this Act. Title III: Federal and State Administration - Subtitle A: Federal Administration - Establishes the Federal Health Board to administer this Act and take other actions, including establishing national minimum quality standards and uniform reporting requirements, developing a uniform claims form, reviewing and approving interstate consortia minimizing fragmented care, and combating fraud and abuse. (Sec. 302) Requires the Board to appoint the Federal Health Advisory Council. (Sec. 303) Establishes the Federal Health Priorities Council to conduct hearings and studies and make recommendations on how health care dollars should be allocated in the context of a publicly funded national health insurance plan. (Sec. 304) Authorizes appropriations. Subtitle B: State Administration - Provides for Board review and approval of State programs. Includes in requirements for State programs: (1) financing of services through a designated fund; (2) designation of a single nonprofit State agency to administer the program; (3) establishment of boards to negotiate with hospitals and practitioners; and (4) freedom of individuals to choose providers. (Sec. 312) Allows States to contract with fiscal intermediaries, in a process of competitive bidding, to administer the State program. (Sec. 313) Provides for waivers for States to: (1) implement alternative and innovative provider reimbursement, cost sharing, and administration; and (2) provide services through a capitation method. (Sec. 314) Allows any group of States to establish a regional consortium in lieu of State programs. Provides for congressional disapproval of the consortium agreement. (Sec. 315) Mandates grants to: (1) cooperative agreements with States for programs, research, and treatment relating to environmental health and health promotion and disease prevention; and (2) States or regional consortia for the establishment and initial operation of the State or regional plan. Authorizes appropriations. Title IV: Financing - Subtitle A: Health Budgets - Requires the Board to establish an annual or biennial budget for Federal and State expenditures under this Act. Entitles each State with an approved State program to a Federal contribution of the Federal share plus that State's total projected expenditures for services under this Act. (Sec. 403) Prohibits a State from restricting timely access to medically necessary and appropriate services under this Act or permitting queues to form that have the potential to be life threatening. Subtitle B: Payments to Providers - Provides for State payments to hospitals and other health care and long-term care institutions for the areas of operating, capital, and health training expenses. (Sec. 412) Requires the State practitioner reimbursement negotiation board to negotiate with the State organizations representing each of the practitioner disciplines to derive a relative value scale fee schedule fulfilling specified principles. Subtitle C: Revenues - Requires the Board: (1) to develop a mechanism for determining and collecting a premium from individuals and employers; and (2) subject to congressional disapproval, to collect premiums from individuals and employers according to certain requirements. (Sec. 422) Amends the Internal Revenue Code to define "accident or health insurance," for purposes of provisions relating to exclusions from gross income, to mean an approved State program under this Act. Removes provisions relating to amounts paid to highly compensated individuals under a discriminatory self-insured medical expense reimbursement plan. (Sec. 423) Establishes in the Treasury the Federal Health Care Trust Fund. (Sec. 424) Makes each State responsible for establishing a financing program for the implementation of the State program. Title V: Congressional Consideration - Sets forth rules, changeable as any other rule of the House of Representatives or the Senate, regarding congressional disapproval resolutions under this Act. Title VI: Private Options - Declares that this Act does not prohibit private insurance coverage supplementing the services covered under this Act. (Sec. 602) Allows private insurance coverage for services covered under this Act, subject to specified limitations. (Sec. 603) Declares that the purchase of any private insurance does not relieve the purchaser of the payment of premiums under this Act. Title VII: Expansion of Outcomes Research and Delivery of Services in Underserved Areas - Amends: (1) the Social Security Act to authorize appropriations for health care outcomes research; and (2) the Public Health Service Act to authorize grants to local communities to finance health-related education of residents, provided such residents agree to practice in a health-related field in that community for at least four years after graduation, and to authorize appropriations for the National Health Service Corps. (Sec. 703) Mandates grants to expand the availability of comprehensive primary health services in medically underserved areas. Title VIII: Malpractice Reform - Requires the Board to make grants to States for the development and implementation of medical malpractice reforms meeting specified criteria. Authorizes appropriations. Title IX: Effective Dates; Terminations; Transition; Relation to ERISA - Repeals: (1) titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act; (2) provisions of the Internal Revenue Code relating to hospital insurance; and (3) specified provisions of Federal law relating to the Civilian Health and Medical Program of the Uniformed Services and to health benefits for Federal officials and employees. (Sec. 903) Requires the Board to recommend to the Congress amendment or repeal of any other Federal program inconsistent with or duplicative of the principles of this Act.

High Risk Drivers Act of 1993

United States · United States Congress · 2 April 1993

TABLE OF CONTENTS: Title I: Young Driver Programs Title II: Older Driver Programs Title III: High Risk Drivers High Risk Drivers Act of 1993 - Directs the Secretary of Transportation to develop and implement effective and comprehensive policies and programs to promote safe driving behavior by younger drivers, older drivers, and repeat violators of traffic safety regulations and laws, including specified safety promotion and driver training research activities. Title I: Young Driver Programs - Directs the Secretary to make basic and supplemental grants to those States which adopt and implement programs for young drivers which include measures to reduce traffic safety problems resulting from young drivers. Sets forth requirements regarding: (1) eligibility for basic grants (including the establishment and maintenance of a graduate licensing program for drivers under age 18 by State grant recipients and State compliance with specified criteria concerning drunk driving and other issues); (2) eligibility for supplemental grants (including provision for readily distinguishable licenses for younger drivers, driver education, recordkeeping of serious convictions, and oversight of alcohol sales to underage drinkers); (3) program evaluation; and (4) reporting requirements. Authorizes appropriations. Title II: Older Driver Programs - Directs the Secretary to engage in specified activities regarding: (1) research on predictability of high risk driving by older drivers; (2) specialized training for license examiners; (3) counseling procedures and consultation methods; (4) alternative transportation means; (5) State licensing practices; (6) improvement of medical screening; (7) intelligent vehicle-highway systems; and (8) technical evaluations under the Intermodal Surface Transportation Efficiency Act of 1991. Authorizes appropriations. Title III: High Risk Drivers - Directs the Secretary to: (1) study whether additional or strengthened Federal activities, authority, or regulatory actions are desirable or necessary to improve the driver record and control systems of the States to identify high risk drivers more rapidly and ensure prompt intervention in the licensing of such drivers; (2) evaluate the future of the national information systems that support driver licensing; and (3) encourage and promote State driver evaluation, assistance, or control programs for high risk drivers.

Water Supply Protection Act of 1993

United States · United States Congress · 2 April 1993

TABLE OF CONTENTS: Title I: Definitions Title II: Public Water Systems Title III: Protection of Underground Sources of Drinking Water Title IV: General Provisions Water Supply Protection Act of 1993 - Title I: Definitions - Amends the Safe Drinking Water Act to revise definitions. Title II: Public Water Systems - Directs the Administrator of the Environmental Protection Agency, if a contaminant occurs in drinking water at a level posing an unacceptable risk to public health or welfare, to promulgate national primary drinking water regulations that establish maximum contaminant levels or drinking water source protection or treatment requirements. Sets forth conditions under which a maximum contaminant level will be applied to a public water system. Authorizes each regulation that includes a standard for a chronic contaminant or requires treatment or source protection to include requirements for risk vulnerability assessments of such systems. Provides for treatment and source protection requirements if: (1) water treatment technology cannot reduce ambient levels of a contaminant to the maximum contaminant level that would otherwise be promulgated; or (2) commercially available water quality analytical methods are not capable of reliable quantification at the maximum level that would otherwise be promulgated. Continues the implementation of existing regulations for contaminants that meet criteria for regulation under this Act. Revises provisions that currently set forth requirements for national drinking water regulations to require the Administrator to establish a National Water Contaminant Health and Aesthetic Quality Advisory Program. Establishes a repository of information concerning contaminants in drinking water and protective exposure levels as part of the Program. Provides for the incorporation of data associated with existing national primary and secondary drinking water regulations into the repository and rescinds such regulations on inclusion of such data. Directs the Administrator to list triennially at least 15 contaminants for which there is insufficient scientific data that may have entered into drinking water. Provides for data collection on such contaminants. Directs the Administrator to establish a National Water Treatment Technology Advisory Program and a National Drinking Water Source Protection Management Practices Advisory Program. Provides for data repositories as part of such Programs. Requires the Administrator to: (1) develop model curricula for institutions of higher education concerning the design and packaging of small flow treatment trains and drinking water source management and protection; and (2) establish annual contests to demonstrate innovative solutions to water treatment and source protection problems. Removes certain conditions on State authority to grant variances or exemptions to national primary drinking water regulations. Provides that no notice or hearing shall be required if a representative of a public water system provides documentation that the system is eligible for a variance or exemption. Directs the Administrator to prescribe regulations to ensure the national certification of public water systems operators and analytical laboratories. Title III: Protection of Underground Sources of Drinking Water - Conditions Federal funding for State wellhead protection areas on a State filling a position for a groundwater protection source coordinator. Title IV: General Provisions - Directs the Administrator to establish a partnership to demonstrate low-cost small flow water treatment technologies that can be used by very small public water systems to meet primary drinking water standards and develop means to simplify State approvals of such technologies. Requires the Administrator to report to the Congress on: (1) steps taken to coordinate potable groundwater protection; and (2) recommendations on alternative Federal legislation to simplify the cost-effective consolidation of small public water systems. Authorizes the Administrator to establish, and award grants for, a technical assistance program for rural and small public water systems. Authorizes appropriations. Extends the authorization of appropriations for specified State public water supervision and protection programs. Authorizes appropriations for grants to States to adopt uniform data repository, collection, and reporting systems for a water supply supervision program. Directs the Administrator to suspend regulations requiring monitoring for unregulated contaminants until the regulations are modified to ensure that: (1) the annual household cost of monitoring is reasonable in light of other needs for public health protection; (2) the requirements reflect one-time sampling and the maximum use of pooled samples; (3) the use of certain analytical and screening methods are fully exploited; and (4) liberal exceptions are provided for in cases where the probability of contamination is low. Authorizes appropriations.

A bill to provide for the establishment of the Margaret Walker Alexander National African-American Research Center, and for other purposes.

United States · United States Congress · 2 April 1993

Directs the Secretary of Education to make a grant to Jackson State University in Jackson, Mississippi, to establish the Margaret Walker Alexander National African-American Research Center on its campus in recognition of, and to commemorate, the literary contributions of Margaret Walker Alexander.

To establish in the Department of the Interior the Essex Heritage District Commission, and for other purposes.

United States · United States Congress · 2 April 1993

Amends the Internal Revenue Code to exclude any employer-provided housing from the gross income of employees of academic health centers. Defines an "academic health center" as an organization which: (1) is a tax-exempt charitable organization providing medical care, hospital care, medical education, or medical research; (2) receives payments under the Social Security Act for either direct or indirect costs of graduate medical education; and (3) has as one of its principal functions the providing and teaching of basic and clinical medical science and research with the organization's own faculty.

Rural Schools of America (RSA) Act of 1993

United States · United States Congress · 2 April 1993

TABLE OF CONTENTS: Title I: Rural School Improvement Title II: School Building Repair and Renovation Title III: Evaluation of Results Subtitle A: Assistant Secretary Subtitle B: Rural School Research and Evaluation Title IV: General Provisions Rural Schools of America (RSA) Act of 1993 - Title I: Rural School Improvement - (Sec. 101) Establishes, and authorizes appropriations for, a rural school improvement (RSI) grants program to help meet national educational goals. (Sec. 102) Directs the Secretary of Education, under such program, to: (1) reserve specified funds for competitive grant awards to exemplary school programs; and (2) make allotments to State educational agencies (SEAs), for suballotment to local educational agencies (LEAs), based on relative Chapter 1 funding (for educationally disadvantaged students under the Elementary and Secondary Education Act of 1965). Requires recipient LEAs to make subgrants to community-based organizations or nonprofit partnerships between the LEA, local colleges or universities, or area-wide collaboratives of private sector businesses. (Secs. 103-106, 109, and 110) Sets forth: (1) requirements for applications, local planning, uses of funds, accountability, and local advisory groups; and (2) special rules for ranking schools within an LEA by need, flexibility, and coordination with Chapter 1 planning. (Sec. 107) Authorizes incentive awards to individual schools that demonstrate exemplary progress. (Sec. 108) Directs the Secretary to report on the impact of Federal regulations, guidelines, and policies on rural public schools. Title II: School Building Repair and Renovation - (Sec. 201) Establishes, and authorizes appropriations for, a program of assistance for rural school building repair and renovation. (Sec. 202) Allots program funds to SEAs based on relative Chapter 1 funding, with suballotments to LEAs based on number of: (1) children from families below the poverty line; (2) school buildings used for instructional purposes; and (3) school buildings more than 25 years old used for instructional purposes. (Secs. 204-207) Requires eligible LEAs to use half of their suballotment for programs for school building repair and renovation, and half for programs for school environmental concerns and safety improvements. Authorizes SEA waivers of such requirement. Applies Davis-Bacon Act requirements to such programs. Title III: Evaluation of Results - Subtitle A: Assistant Secretary - Amends the Department of Education Organization Act to establish an Assistant Secretary for Rural Education in the Department of Education. Subtitle B: Rural School Research and Evaluation - (Sec. 311) Establishes, and authorizes appropriations for, a program of rural school research and evaluation. (Sec. 312) Directs the Secretary to establish for each region a National Rural Regional Education Research Center, to be operated by the appropriate regional educational laboratory. (Sec. 313) Requires each Center to make direct grants to rural LEAs in its region participating in a program assisted under title I of this Act, to conduct local schoool district research and evaluation of efforts toward meeting the national education goals. Title IV: General Provisions - (Sec. 401) Establishes the Interagency Council on Rural Schools. (Sec. 402) Directs the President to conduct a White House Conference on Rural Education. Authorizes appropriations. (Sec. 403) Requires eligible LEAs to use Federal funds received under this Act only to supplement but not supplant non-Federal funds.

Full-Service Schools Act

United States · United States Congress · 2 April 1993

Full-Service Schools Act - Establishes the Federal Interagency Work Group to facilitate collaboration among Federal agencies and make grants to States and local entities in order to integrate education, health, and social and human services for at-risk children and their families. Provides that the Group shall be composed of the Secretaries of Education, Health and Human Services, and Labor and funded equally by their departments. Sets forth Group duties and State and local eligibility requirements. Sets forth application requirements and grant limitations. Requires local programs to include activities to improve educational performance by: (1) reducing school dropout and teen pregnancy rates and the number of children in unsupervised settings; (2) increasing adult/family literacy and the number of students returning to school after dropping out; and (3) improving access to primary health care for families and their children. Allows local programs to develop a variety of programs to serve the comprehensive needs of students, including specified optional activities. Authorizes appropriations.

To authorize the Secretary of the Interior to make a grant to the Afna Education and Research Fund for the African American Memorial Tomb of the Unknown Slaves and Historical Sculpture Garden.

United States · United States Congress · 2 April 1993

Authorizes the Secretary of the Interior to make a grant to the Afna Education and Research Fund to design and build the African American Memorial Tomb of the Unknown Slaves and Historical Sculpture Garden in Philadelphia, Pennsylvania. Authorizes appropriations.

To amend the Internal Revenue Code of 1986 to allow a credit or deduction for interest paid on education loans.

United States · United States Congress · 2 April 1993

Amends the Internal Revenue Code to allow a tax credit for interest paid or incurred on any qualified education loan during the first 48 months (whether or not consecutive) for which interest payments are required to be made. Limits such credit to $300. Allows such tax credit to parents only if the dependent is a student and a personal exemption is claimed for such dependent student. Reduces interest by the amount bearing the same ratio to the interest as the excess of adjusted gross income over the applicable dollar amount bears to the phaseout range. Establishes applicable dollar amounts and phaseout ranges. Excludes interest paid on education loans from the definition of "personal interest" (thus, allowing a deduction to be taken) unless a credit or deduction with respect to such interest is taken.

Lead Exposure Reduction Act of 1994

United States · United States Congress · 1 April 1993

TABLE OF CONTENTS: Title I: Lead Abatement Title II: Miscellaneous Title III: Authorization of Appropriations Lead Exposure Reduction Act of 1993 - Title I: Lead Abatement - Amends the Toxic Substances Control Act to prohibit the importing, manufacturing, processing, or distribution in commerce of certain products containing more than a specified percentage of lead. Directs the Administrator to: (1) ban the manufacture, importation, processing, sale, and distribution in commerce of lead solders commonly used in plumbing systems; and (2) restrict the sale and display of lead solders not commonly used in such systems. Prohibits the sale or distribution in commerce of packaging or products if they include any additive to which lead has been intentionally introduced. Exempts certain products from lead content requirements, including: (1) paint used by artists; and (2) products used for medical purposes, radiation protection or shielding, or in the mining industry to determine the presence of noble metals. Requires the Administrator to promulgate a list of lead-containing products that may present a health or environmental risk, specify the maximum concentration of lead found in such products, and promulgate labeling requirements. Prohibits: (1) placing in a landfill or incinerating lead-acid batteries; and (2) the disposal of such batteries other than by recycling in accordance with this Act. Requires used batteries to be delivered to specified entities and establishes battery acceptance requirements. Makes it unlawful to sell a battery that does not bear a label setting forth lead content and recycling information. Requires the Administrator to: (1) study and report to the Congress on the recycling and disposal of small sealed consumer lead-acid batteries; and (2) publish a rule to regulate such batteries or a determination that regulations are not needed. Directs the Administrator to require States receiving grants for lead inspections at covered schools and day care facilities to conduct inspections to detect lead-based paint and dust which contains a dangerous level of lead. Requires school or day care personnel and parents of children attending facilities where lead is present to be given risk disclosure information. Establishes requirements for renovations of such facilities. Requires the Administrator to make grants to States for inspecting such facilities. Authorizes appropriations. Directs the Secretary of Health and Human Services, acting through the Director of the Centers for Disease Control, to establish protocols, criteria, and minimum performance standards for laboratory analysis of lead in blood and a program to certify blood analysis laboratories. Requires the Administrator to appoint a Coordinator for Lead Activities. Directs the Administrator to award grants to institutions of higher education for establishing Centers for the Prevention of Lead Poisoning. Title II: Miscellaneous - Amends the Federal Food, Drug, and Cosmetic Act to deem a food to be adulterated if the packaging used for such food contains lead that has been intentionally introduced or if the incidental presence of lead exceeds specified percentages. Requires the Secretary to establish standards and testing procedures with respect to lead in ceramic and crystal wares as necessary to make food that contacts such wares unadulterated. Directs the Secretary to promulgate regulations to: (1) reduce lead in processed food; and (2) establish tolerance levels and testing procedures for lead in wine. Prohibits the introduction or delivery into interstate commerce of ceramic or crystal ware or processed food that is not in compliance with lead regulations. Title III: Authorization of Appropriations - Authorizes appropriations.

A bill to establish parents as teachers programs.

United States · United States Congress · 1 April 1993

Authorizes the Secretary of Education to make grants to States and eligible entities for parents as teachers programs. Makes any State eligible for such a grant, except that the grant must be made directly to an eligible entity already operating a parents as teachers program if such an entity exists in the State on the date of enactment of this Act. Sets forth program requirements, limiting services to families during the period from birth to the child's attaining age three. Directs the Secretary to: (1) establish a Parents as Teachers National Center for information dissemination and technical and training assistance for States and eligible entities establishing and operating such programs; and (2) evaluate such programs within four years. Provides for a declining Federal share of program costs. Authorizes appropriations.

To amend the Excellence in Mathematics, Science, and Engineering Education Act of 1990 to establish the National Academy of Science, Space, and Technology at State universities, to expand the scholarship program associated with such Academy, to direct the Administrator of General Services to construct a public building to provide space for the headquarters of such Academy, and for other purposes.

United States · United States Congress · 1 April 1993

Amends the Excellence in Mathematics, Science, and Engineering Education Act of 1990 to require that the National Academy of Science, Space, and Technology (the Academy) consist of a program of instruction leading to baccalaureate degrees in science, mathematics, and engineering at a minimum of six State universities selected by the Academy's Board (which replaces an Advisory Board). Requires the Board to: (1) administer an exam and the awarding of scholarships; and (2) provide for placement of scholarship award recipients at one of the Member Institutes and in positions to fulfill service requirements. Expands the scholarship program to include the top two scorers, rather than just the top scorer, on the exam in each congressional district. Provides that a scholarship shall cover the full tuition and fees of the student at the Academy (currently the scholarship is $5,000 per academic year). Extends and increases the authorization of appropriations for the Academy and the scholarship program. Directs the Administrator of General Services to construct the Academy's headquarters in the greater metropolitan area of Youngstown-Warren, Ohio. Authorizes appropriations.

Department of Defense Set Aside Enforcement Act of 1993

United States · United States Congress · 1 April 1993

Department of Defense Set Aside Enforcement Act of 1993 - Requires the Department of Defense (DOD) to award ten percent of its annual defense procurement contracts and subcontracts to historically Black colleges and universities and small disadvantaged and minority-owned businesses. (Currently, it is a goal of DOD to award five percent annually to such entities.) Authorizes the Secretary of Defense, beginning on October 1, 1993, and ending on September 30, 2000, to meet the ten percent requirement by awarding up to one half of the dollar amount of the contracts awarded to certain entities previously eligible for such contract award but no longer eligible by reason of size. Requires each entity that enters into a prime contract with DOD under the contract award program to spend at least five percent of the amount of the contract for subcontracts with certain covered entities meeting the requirements of small disadvantaged and minority-owned businesses. Requires prime contractor proof of the awarding of such subcontracts. Directs the Secretary to withhold five percent of the prime contract amount from the contract, which shall be used as direct payment to the subcontractors for work completed. Requires that, in a services contract awarded under such contracting procedures, at least 50 percent of the cost of contractor performance incurred for personnel shall be expended for employees of the covered entity. Provides alternative methods for meeting such 50 percent requirement. Outlines requirements for a small disadvantaged or minority-owned business for purposes of this Act. Directs the Secretary to require, as a condition for approval of a contract with DOD, that the potential contractor provide documentation that it is in compliance with the equal opportunity clause as outlined in the Code of Federal Regulations. Requires identical certification by the subcontractors of such contractor.

National Health Care Act of 1993

United States · United States Congress · 31 March 1993

TABLE OF CONTENTS: Title I: National Health Care Program Title II: Benefits and Provision of Services Subtitle A: Scope of Services Subtitle B: Provision of Services Title III: Revenue Subtitle A: Budget Process Subtitle B: Payments to Health Care Providers Subtitle C: Sources of Revenue Title IV: Administration Subtitle A: Federal Administration Subtitle B: State and Local Administration Title V: Transition and Relationship to Other Programs Title VI: Miscellaneous Provisions National Health Care Act of 1993 - Title I: National Health Care Program - Establishes a national health care program involving payments to States for State programs that provide covered services to individuals. Provides for approval or disapproval of State programs by the Administrator of the National Health Care Administration (established under title IV of this Act). Makes eligible for enrollment an individual who: (1) maintains a primary residence in the State; and (2) is a U.S. citizen or national, a lawful resident alien, or an eligible alien nonimmigrant. Requires each State program to provide an enrollment mechanism, including: (1) a process for automatic enrollment at birth or immigration; and (2) issuance of a card for identification and claims processing. Provides for portability of coverage and reimbursement. Title II: Benefits and Provision of Services - Subtitle A: Scope of Services - Declares that covered services are all medically necessary services, except as provided, that contribute to the physical, mental, or psychosocial health of an individual or family. Lists included and excluded services. Prohibits States from limiting covered services on the basis of preexisting conditions. Sets forth eligibility criteria for: (1) long-term care services; (2) hospice care services; and (3) services provided in schools, work places, and assisted living programs. Allows State programs to provide, at non-Federal expense, additional services not specifically excluded. Prohibits duplicative private insurance. Allows private insurance for uncovered services. Subtitle B: Provision of Services - Requires States to: (1) include procedures for certification and licensing of participating health care providers; (2) regulate providers and ensure compliance with quality assurance standards, consumer protection standards, and other Federal and State law; and (3) debar providers from payment for repeated violations or convictions for an offense involving medical malpractice. Allows State programs to implement innovative delivery systems. Requires State approval or disapproval of health plans as Integrated Health Service Plans (IHSPs). Defines an IHSP as a nonprofit, consumer-controlled health plan that provides all covered services and operates as a single organization in the health care facilities of the organization. Mandates establishment of State long-term care coordination agencies (LTCCAs) to ensure a continuum of care. Makes LTCCAs responsible for screening all potential long-term care recipients and authorizing services. Sets forth requirements for the services provided. Applies specified provisions of title XVIII (Medicare) of the Social Security Act to this Act. Prohibits discrimination in the provision of services on the basis of race, color, religion, sex, national origin, age, health condition, sexual preference, income, language, or geographic residence in an urban or rural area within the State. Title III: Revenue - Subtitle A: Budget Process - Requires the Administrator to annually establish a national health budget and, for each State, a State health budget. Specifies factors on which State budgets must be based, including population and price differences. Prohibits expenditures in the national budget from exceeding expenditures for the preceding year, adjusted by the percentage increase in the gross national product. Requires inclusion of amounts in national and State budgets for capital expenditures and direct medical education expenses. Subtitle B: Payments to Health Care Providers - Requires State programs: (1) to provide for a timely and administratively simple mechanism for provider payment; (2) in order to avoid fragmented care and promote a continuum of services, to develop financial incentives in payment methods; (3) to limit acquisition of highly specialized or expensive medical equipment; and (4) to establish schedules and incentives to encourage the provision of services in rural and health professional shortage areas. Requires providers who receive program payments to accept the amount recognized under the State program as payment in full. Requires: (1) payment for institutional care through annual prospective budgeting; and (2) each hospital to receive prospectively a global budget developed through negotiations. Allows hospitals to raise private funds. Requires subsidies in health professional shortage areas. Allows: (1) States to determine whether to pay other health care facilities by prospective global budget or per capita fee; and (2) per diem reimbursement for certain services. Requires subsidies for rural essential facilities. Requires that payment to individual providers be on a fee-for-service basis based on State-established (after negotiations) payment schedules and on a national relative value scale. Allows alternative payment mechanisms not exceeding the standard method. Allows group practices to elect to be paid prospectively on a per capita basis. Requires payment to IHSPs (except for inpatient and hospital services) to be paid prospectively on a per capita basis or by a negotiated global budget, as determined by the State agency. Provides for the establishment, by the Administrator, of a list of approved prescription drugs and biologicals, as well as a list of approved durable medical equipment and devices, that are necessary for the maintenance or restoration of health. Requires the head of each State agency to establish a State Payment Grievance Board, allowing use by providers denied payment and to consumers for whom a provider has determined that a requested service is not medically necessary. Subtitle C: Sources of Revenue - Amends the Internal Revenue Code to increase individual, estate and trust, corporate, and minimum tax rates. Increases tax rates on, and imposes taxes on floor stocks of, cigarettes, distilled spirits, certain wines, and beer. Imposes additional: (1) payroll taxes on employees and employers; and (2) taxes on self-employment income. Makes similar changes to railroad retirement tax provisions. Provides for the treatment of: (1) the applicable contribution base; and (2) certain State and local employees. Terminates certain hospital insurance taxes currently applicable to employees, employers, and self-employed individuals. Imposes a tax equal to the amount an employer would have paid for individual or family coverage of retired employees under group health plans in existence on a specified date. Terminates the tax after 2012. Excludes from gross income amounts received for injuries or sickness through the national program (currently, through accident or health insurance). Terminates the exclusion from gross income of amounts received through such insurance. Repeals provisions excluding from gross income employer-provided accident or health plan coverage. Removes provisions specifying the circumstances in which a cafeteria plan shall not be treated as discriminatory. Replaces provisions regarding health insurance costs of self-employed individuals with provisions allowing a deduction for employer expenses for on-site employee first aid. Repeals provisions: (1) allowing deductions for medical expenses; and (2) relating to the provision by pension or annuity plans of medical benefits for retired employees and their spouses and dependents. Terminates the deduction for health insurance which includes at least one child. Increases the portion of social security benefits and tier 1 railroad retirement benefits which must be included in gross income. Reduces related income thresholds. Mandates a national health care program premium for persons over 64 years old, determined according to certain provisions of title XVIII (Medicare) of the Social Security Act plus a specified amount. Reduces the premium for low-income persons. Makes each State responsible for establishing a financing program for the State program. Declares that, notwithstanding any other provision of this Act, no individual is eligible for services under this Act unless the State of residence makes available amounts, determined under a specified formula, in addition to State health block grant funds. Requires each State to make available all State health block grant funds, including funds made available under title V (Maternal and Child Health Services Block Grants) of the Social Security Act. Requires each State program to impose cost-sharing for specified services, except for low-income consumers. Establishes the National Health Care Trust Fund (Fund) and transfers to it: (1) the additional revenues resulting from this Act; and (2) unobligated amounts in the Federal Hospital Insurance Trust Fund and the Federal Supplementary Medical Insurance Trust Fund. Authorizes additional appropriations. Authorizes and appropriates payments to each State. Declares that amounts in the Fund shall be available for grant programs relating to health care services. Prohibits inclusion of the receipts and disbursements of the Fund and the additional taxes resulting from this Act in the Federal budget and exempts such amounts from any general budget limit. Title IV: Administration - Subtitle A: Federal Administration - Establishes a National Health Care Administration as an independent establishment, mandating an Administrator appointed by the President with the advice and consent of the Senate. Mandates establishment, directly or through grants or contracts, of ombudsman programs, complaint hotlines, and consumer and provider information and education programs. Establishes a national health care data base, requiring it to include information on the quality, effectiveness, utilization, and cost of covered services. Establishes the National Health Board to advise the Administrator. Requires appointment of the Board by the President, with the advice and consent of the Senate. Establishes the National Council on Quality Assurance and Consumer Protection to conduct studies and oversight and prepare recommendations. Authorizes appropriations. Establishes the Medical Malpractice Commission to conduct a study and prepare recommendations. Authorizes appropriations. Amends title XI (General Provisions and Peer Review) of the Social Security Act to require that utilization and quality control peer review organizations be composed of: (1) health care providers (currently, doctors of medicine and osteopathy) engaged in providing covered services under this Act (currently, engaged in the practice of medicine or surgery); and (2) health care providers representative of the groups of health care providers providing services under the Act, with no group providing a majority. Requires such organizations to make recommendations regarding quality assurance standards under this Act. Establishes Peer Review Organization Consumer Boards (Consumer Boards) within geographic regions specified by the Administrator to: (1) conduct annual evaluations of such peer review organizations, including making recommendations for awards of contracts; and (2) carry out consumer education programs. Authorizes appropriations. Replaces certain references to titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act, or to the Social Security Act as a whole, with references to this Act. Establishes the Public Health Functions and Activities Commission to study and report to the Administrator regarding: (1) public health functions and activities that should remain separate from the national health care program; and (2) integration of public health programs into the national health care program. Authorizes appropriations. Requires provision on a regional basis, directly or through contracts, of technical assistance centers. Subtitle B: State and Local Administration - Requires a State to designate a State agency (agency) to be the sole State agency to carry out the State program under this Act. Requires each: (1) agency to establish a State planning board; and (2) State to establish local planning boards. Title V: Transition and Relationship to Other Programs - Repeals titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act. Repeals certain provisions of Federal law concerning: (1) the Civilian Health and Medical Program of the Uniformed Services (CHAMPUS); (2) medical care and medical facilities relating to veterans; and (3) Federal employees' health benefits. Requires provision of covered services to eligible individuals not enrolled in the program through the Indian Health Service in lieu of health services provided by the Service on the date of enactment of this Act. Mandates grants to States planning and developing State programs. Authorizes appropriations. Requires a study of strategies for accomplishing transitions under this Act. Gives the study's recommendations the force of law unless the Congress disapproves within a specified time. Provides for the rules governing congressional consideration of a disapproval resolution, specifying that these provisions are enacted as an exercise in the rule making power of the House of Representatives and the Senate and retaining the right of either House to change the rules as any other rule of that House. Supersedes provisions of the Employee Retirement Income Security Act to the extent they are inconsistent with this Act. Title VI: Miscellaneous Provisions - Declares that it is the sense of the Congress that consumers in the national health care program shall have specified rights set forth in a bill of rights. Requires the Administrator to make grants for research projects. Mandates grants to establish: (1) innovative statewide or local prevention and health promotion programs; and (2) health awareness programs in schools, work places, and health and social agencies. Amends the Job Training Partnership Act to include within the definition of "eligible dislocated workers" individuals who have been terminated from their jobs as a result of reductions in health insurance industry jobs due to the establishment of the national health care program under the National Health Care Act of 1993.

A joint resolution to designate the week of April 18, 1993, through April 24, 1993, as "International Student Awareness Week".

United States · United States Congress · 31 March 1993

Designates April 18 through 24, 1993, as International Student Awareness Week.

Chacoan Outliers Protection Act of 1994

United States · United States Congress · 31 March 1993

Chacoan Outliers Protection Act of 1993 - Designates eight new outlying areas as Chaco Culture Archaeological Protection Sites associated with Chacoan Anasazi Indian culture in the San Juan Basin and surrounding areas of New Mexico and Colorado. Expands the boundaries and removes or reduces the acreage of certain existing Sites. Directs the Secretary of the Interior, subject to appropriations, to assist the Navajo Nation in the protection and management of such Sites located on lands of the Navajos through a grant, contract, or cooperative agreement entered into pursuant to the Indian Self-Determination and Education Act.

Citizen Representative Reform Act Stop Special Treatment Provision

United States · United States Congress · 31 March 1993

TABLE OF CONTENTS: Title I: Congressional Exemptions Title II: Congressional Perks Title III: Miscellaneous Citizen Representative Reform Act Stop Special Treatment Provision - Title I: Congressional Exemptions - Makes applicable to the Congress the following Federal laws, to the extent that they relate to the terms and conditions of employment, the health and safety of employees, and the rights and responsibilities of employers and employees: (1) Social Security Act; (2) National Labor Relations Act; (3) Fair Labor Standards Act of 1938; (4) Civil Rights Act of 1964; (5) Age Discrimination in Employment Act of 1967; (6) Occupational Safety and Health Act of 1970; (7) title IX of the Education Amendments of 1972; (8) Rehabilitation Act of 1973; (9) Privacy Act of 1974; (10) Age Discrimination Act of 1975; (11) Ethics in Government Act of 1978 and (12) Americans with Disabilities Act of 1990. Makes applicable to the Congress the Freedom of Information Act and specified provisions of Federal law relating to the independent counsel. Title II: Congressional Perks - Directs all Members of Congress to pay full market value for all medical services, medical tests, and medications provided by the Office of the Attending Physician. Establishes the Office of Attending Physician Revolving Fund in the Treasury (within the contingent fund of the House of Representatives) for deposit of such payments and monies received from any other source. Orders the closing of all beauty and barber shops on the premises of any property belonging to the House of Representatives. Expresses the sense of the House of Representatives that: (1) Members of Congress should be charged rates comparable to those in other parking facilities at Washington National Airport; and (2) records of such expenses should be made accessible to the public. Directs all Members of the House to pay full market value for the use of the health facilities on the premises of the Capitol or any House office building. Expresses the sense of the House of Representatives that the Federal Government shall not bear any of the cost of health insurance for its Members. Directs the General Accounting Office to: (1) identify and report to the Congress on all benefits that accrue to Members of the House; and (2) determine the market value or a close approximation of each of those benefits and to what extent tax dollars are used to pay for them. Title III: Miscellaneous - Requires the House and the Senate to promulgate rules and regulations to carry out this Act.

Dollars for Scholars Community Scholarship Foundation Development Act

United States · United States Congress · 31 March 1993

Dollars for Scholars Community Scholarship Foundation Development Act - Directs the Secretary of Education to make an endowment grant to an eligible organization to support the establishment of 25 area program centers to foster development of locally based, volunteer organizations to improve high school graduation rates and postsecondary attendance through providing academic support services and financial assistance for postsecondary education. Sets forth requirements for the eligible organization, the area program centers, and the local affiliates of the eligible organization. Sets forth conditions for the endowment grant. Authorizes appropriations.

Sensible Advertising and Family Education Act

United States · United States Congress · 30 March 1993

Sensible Advertising and Family Education Act - Declares it to be an unlawful or deceptive act under the Federal Trade Commission Act to advertise through magazines, newspapers, brochures, and promotional displays any alcoholic beverage, unless the advertising includes one of specified health warnings. Requires the Secretary of Health and Human Services to maintain toll-free numbers referred to in some of the warnings.

Head Start Quality Improvement Act

United States · United States Congress · 30 March 1993

Head Start Quality Improvement Act - Amends the Head Start Act to increase the portions of specified funds which are to be set aside for: (1) quality improvement activities of program grantees; (2) activities under the Head Start Transition Project Act; and (3) program improvement activities (adding monitoring and incentive grants to the current training and technical assistance). Authorizes the Secretary of Health and Human Services to make program grants to designated Head Start agencies on a seven-year funding cycle (thus requiring existing agency reapplication and recompetition for subsequent grants and designations). Adds continuity of services to selection criteria. Requires an interim evaluation (including a site visit) of each designated agency at least once each year. Authorizes the Secretary to require an agency to correct program deficits, and requires provision of technical assistance for such purpose. Authorizes revocation of the agency's designation and grant if the problem is not corrected in that year, and provides for designation of and grants to another agency to serve the same community. Expands child eligibility criteria for program participation, allowing participation of families that would have been eligible within two years before. Revises notice, hearings, and appeals requirements and procedures. Adds requirements for program outcome measures.

Service-Learning Act of 1993

United States · United States Congress · 30 March 1993

TABLE OF CONTENTS: Title I: Amendments to the Elementary and Secondary 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.

A concurrent resolution expressing the sense of the Congress that expert testimony concerning the nature and effect of domestic violence, including descriptions of the experiences of battered women, should be admissible if offered in a State court by a defendant in a criminal case.

United States · United States Congress · 30 March 1993

Expresses the sense of the Congress that: (1) expert testimony concerning the nature and effect of domestic violence, including descriptions of the experiences of battered women, should be admissible when offered in a State court by a defendant in a criminal case to assist the trier of fact in understanding the behavior, beliefs, or perceptions of such defendant in a domestic relationship in which abuse has occurred; (2) a witness should be qualified to testify as an expert witness, with respect to a case in which abuse has occurred, based upon the witness's knowledge, skill, experience, training, or education, and should be permitted to testify in the form of an opinion or otherwise; and (3) domestic relationships about which such expert testimony should be admissible include relationships between spouses, former spouses, cohabitants, former cohabitants, partners or former partners, and between persons who are in, or have been in, a dating, courtship, or intimate relationship.

Head Start Quality Improvement Act

United States · United States Congress · 30 March 1993

Head Start Quality Improvement Act - Amends the Head Start Act to increase the portions of specified funds which are to be set aside for: (1) quality improvement activities of program grantees; (2) activities under the Head Start Transition Project Act; and (3) program improvement activities (adding monitoring and incentive grants to the current training and technical assistance). Authorizes the Secretary of Health and Human Services to make program grants to designated Head Start agencies on a seven-year funding cycle (thus requiring existing agency reapplication and recompetition for subsequent grants and designations). Adds continuity of services to selection criteria. Requires an interim evaluation (including a site visit) of each designated agency at least once each year. Authorizes the Secretary to require an agency to correct program deficits, and requires provision of technical assistance for such purpose. Authorizes revocation of the agency's designation and grant if the problem is not corrected in that year, and provides for designation of and grants to another agency to serve the same community. Expands child eligibility criteria for program participation. Revises notice, hearings, and appeals requirements and procedures. Adds requirements for program outcome measures.

To amend the Elementary and Secondary Education Act of 1965 to establish a grant program to provide coordinated and comprehensive services to elementary and secondary students and families.

United States · United States Congress · 30 March 1993

Amends the Elementary and Secondary Education Act of 1965 to establish a model grant program to provide coordinated social, health, and education services to elementary and secondary school students and their families (under the chapter 1 title I programs for educationally disadvantaged children). Authorizes the Secretary of Education to make such grants to selected local educational agencies (LEAs) to conduct model programs in schools where at least 30 percent of families meet poverty criteria and in such schools in partnership with community-based organizations if the LEA is responsible for fiscal administration. Sets forth program elements, Federal share, application, selection, and reporting requirements. Authorizes appropriations.

Indoor Radon Abatement Reauthorization Act of 1993

United States · United States Congress · 25 March 1993

Indoor Radon Abatement Reauthorization Act of 1993 - Amends the Toxic Substances Control Act to direct the Administrator of the Environmental Protection Agency (EPA) to designate areas in which the average radon level is likely to exceed the national average by more than a de minimis amount as priority radon areas. Requires the Administrator to make available to the public final radon control standards and techniques for residential dwellings, multiunit residential structures, and schools. Directs the appropriate Federal official, before providing any direct Federal financial assistance, to require residential dwellings or multiunit residential structures constructed in a priority radon area later than two years after the establishment of new construction standards, the date of enactment of this Act, or the designation of such area as a priority radon area, whichever is later, to be constructed in accordance with radon control standards. Requires the Administrator to establish a radon design awards program to provide for awards for the best residential design incorporating radon control or mitigation standards. Makes specified activities eligible for grant assistance for radon programs. Requires local educational agencies located in priority radon areas to conduct radon tests in school buildings. Directs the Administrator to submit to the Congress a plan describing activities to be undertaken by Federal agencies to assess and mitigate radon in Federal buildings. Requires the Administrator and the Secretary of Housing and Urban Development to promulgate regulations for the disclosure of radon hazards in housing offered for sale or lease. Directs the Administrator to develop a written document containing radon-related information. Requires housing contracts to contain radon warning statements and affords potential purchasers the right to conduct a test and access to radon-related information. Prohibits persons from offering radon measurement devices or measurement or mitigation services unless they have completed the EPA radon proficiency program. Requires the Administrator to implement an outreach program to provide information about radon to the medical community. Directs Federal agencies to assure that new Federal buildings or schools constructed with Federal funds in priority radon areas conform to model construction standards for controlling radon levels. Requires the Secretary to disseminate information on health threats posed by radon and radon testing and mitigation methods to federally assisted housing in priority radon areas. Provides for testing of federally owned housing in such areas prior to the signing of a sales contract. Directs the Secretary to undertake a radon research program. Requires the Director of the National Institute for Occupational Safety and Health to study and report to the Congress on the extent of radon contamination in work places. Authorizes appropriations. Extends the authorization of appropriations for technical assistance, grants to States for radon programs, and regional radon training centers. Earmarks funds for radon remediation measures for local educational agencies and for grants to such agencies for reducing radon levels. Directs the Administrator to: (1) evaluate existing efforts to promote radon testing in homes and methods to increase such testing; and (2) report to the Congress on the effectiveness of alternative strategies to promote such testing. Requires the Administrator to conduct a program to reassess the human health risks associated with radon exposure.

A bill to amend the Office of Federal Procurement Policy Act to provide for expanded participation of historically Black colleges and universities and nonprofit organizations owned and controlled by Black Americans in federally funded research and development activities.

United States · United States Congress · 25 March 1993

Amends the Office of Federal Procurement Policy Act to require the Federal Acquisition Regulation to include regulations to ensure the participation (except in specified circumstances) of at least five historically Black colleges and universities and nonprofit organizations owned and controlled by Black Americans in research and development (R&D) activities conducted for executive agencies. Outlines the requirements to be imposed on executive agencies through such regulations, including the requirement that each such agency reserve a specified percentage of its FY 1995 through 1998 appropriations for R&D activities to be conducted by the Black colleges it must designate under this Act as federally funded R&D centers. Increases such set-aside on a graduated basis for such fiscal years. Directs the Comptroller General to study and report to the Congress annually on the activities of executive agencies in carrying out this Act.

Postreproductive Health Care Act

United States · United States Congress · 25 March 1993

Postreproductive Health Care Act - Amends the Public Health Service Act to mandate grants for: (1) prevention and outpatient treatment of, and counseling for, health conditions unique to, more serious, or more prevalent for women of menopausal age or older, or for which the medical risk or types of medical intervention are different; and (2) related education and training of health professionals. Authorizes appropriations.

Children's Electromagnetic Field Risk Reduction Act of 1993

United States · United States Congress · 25 March 1993

Children's Electromagnetic Field Risk Reduction Act of 1993 - Establishes a national policy prohibiting location of new public schools and child care centers on real property where the electromagnetic field is an average two milligauss or more per day. Directs the Secretary of Education to develop and disseminate to State and local educational agencies advisory medical and scientific information on the potential health risk to children from electromagnetic fields.

Antiterrorism Act of 1993

United States · United States Congress · 24 March 1993

Antiterrorism Act of 1993 - Prohibits the importation into the United States of goods or services from, and the exportation of goods or services from the United States to, any country that has repeatedly provided support for international terrorism. Prohibits the rescission of such a determination unless the President certifies to the Congress that the government concerned: (1) has had a fundamental change of leadership and policies; (2) is not supporting international terrorism and has provided assurances that it will not support future terrorism; and (3) at least 45 days before a proposed rescission would take effect, has not provided support for terrorism during the preceding six-month period. Authorizes waivers of the trade embargo for national security or humanitarian reasons. Repeals the following provisions of law: (1) an authorization to ban the importation of goods and services from countries supporting terrorism under the International Security and Development Cooperation Act of 1985; and (2) a requirement for validated licenses and notice to the Congress for exports to countries supporting terrorism under the Export Administration Act of 1979. Urges the President to seek: (1) the participation of other nations in an embargo on imports from Libya; and (2) additional measures within the United Nations Security Council to discourage nuclear terrorism. Directs the President to establish a Government-Business Antiterrorism Council to make recommendations on steps the U.S. Government and U.S. businesses could take to counter the threat posed by international terrorism. Provides for the retention of the Coordinator for Counter-Terrorism in any reorganization of the Department of State. Prohibits the obligation of FY 1993 and 1994 international military education and training assistance for Malta. Expresses the sense of the Congress that U.S. Government personnel who voluntarily accept extended tours of counter-terrorism duty should be accorded beneficial consideration for advancement after completion of such duty. Designates the Federal Bureau of Investigation as the lead agency for coordinating domestic counter-terrorism activities. Amends the Federal criminal code to authorize the death penalty for: (1) terrorist murders of U.S. nationals abroad; and (2) acts of domestic terrorism that result in a death.

National School-To-Work Transition and Youth Apprenticeship Act of 1993

United States · United States Congress · 24 March 1993

TABLE OF CONTENTS: Title I: Interagency Compact on Workforce Prearation Title II: Development of Workplace Readiness Competencies and Voluntary National Industry-Recognized Skill Standards Title III: State School-to-Work Transition Challenge Grants Subtitle A: Planning Grants Subtitle B: Implementation Grants Subtitle C: Approval and Disapproval of State Plans Subtitle D: Authorization of Appropriations Title IV: State Youth Apprenticeship Program Grants Subtitle A: Grants to States Subtitle B: National Youth Apprenticeship Criteria and Safeguards Subtitle C: Relationship to Other Federal Laws National School-to-Work Transition and Youth Apprenticeship Act of 1993 - Title I: Interagency Compact on Workforce Preparation - Establishes the Interagency Compact on Workforce Preparation to improve the U.S. workforce in the areas of workplace readiness competencies, voluntary national industry-recognized skill standards, school-to-work transition, and youth apprenticeship, through grants, research, an information clearinghouse, and other activities. Directs the Secretaries of Education and of Labor to administer the Compact and provide Compact staff and supportive services. Makes specified funds available. Title II: Development of Workplace Readiness Competencies and Voluntary National Industry-Recognized Skill Standards - Establishes the National Advisory Group on Workforce Skills to advise the Compact on identification and development of: (1) workplace readiness competencies in schools and other education and training programs; and (2) voluntary national industry-recognized skill standards by industry partnerships. Directs the Compact to: (1) provide assistance in formation of industry partnerships; (2) make grants to such partnerships to develop such skill standards; (3) review and endorse workplace readiness competencies identified by the Advisory Group and skill standards submitted by industry partnerships; and (4) make recommendations for such competencies and standards available to specified education, training, labor, or industry entities. Authories appropriations. Title III: State School-to-Work Transition Challenge Grants - Subtitle A: Planning Grants - Authorizes the Compact to make grants to States to develop State plans to establish school-to-work transition systems. Subtitle B: Implementation Grants - Directs the Compact to provide matching grants to States to implement approved State plans to establish school-to-work transition systems. Subtitle C: Approval and Disapproval of State Plans - Requires Compact review and approval or disapproval of submitted State plans. Subtitle D: Authorization of Appropriations - Authorizes appropriations. Title IV: State Youth Apprenticeship Program Grants - Subtitle A: Grants to States - Directs the Compact to provide grants to States to establish youth apprenticeship programs. Requires States to use such grants to establish and carry out State plans to provide such programs through State agency grants to local consortia to establish local youth apprenticeship programs. Authorizes appropriations. Subtitle B: National Youth Apprenticeship Criteria and Safeguards - Sets forth national youth apprenticeship criteria relating to academic instruction, work-based learning, worksite learning and experience, agreements, and information and guidance. Sets forth labor standards and safeguards for youth apprenticeship programs. Subtitle C: Relationship to Other Federal Laws - Sets forth the relationship of youth apprenticeship programs or school-to-work transition systems under this Act to various programs and services under the Carl D. Perkins Vocational and Applied Technology Act, the Job Training Partnership Act, and the Elementary and Secondary Education Act of 1965.

To authorize the Secretary of the Interior to enter into a cooperative agreement with the William O. Douglas Outdoor Classroom, and for other purposes.

United States · United States Congress · 24 March 1993

Authorizes the Secretary of the Interior, acting through the Director of the National Park Service, to enter into cooperative agreements relating to Santa Monica Mountains National Recreation Area: (1) with appropriate organizations or groups (on a matching grant basis) to promote education concerning the natural and cultural resources of the Area and adjacent lands; and (2) in which the Secretary agrees to maintain the facilities at 2600 Franklin Canyon Drive, Beverly Hills, California, for eight fiscal years and to provide funding for programs of the William O. Douglas Outdoor Classroom that utilize those facilities (in return for which the Classroom agrees that at the end of the term of such agreement, all right, title, and interest in and to such facilities will be donated to the United States for addition to the Area). Authorizes appropriations.

Healthy Students-Healthy Schools Act

United States · United States Congress · 24 March 1993

Healthy Students-Healthy Schools Act - Directs the Secretary of Health and Human Services (HHS) to designate, within the Centers for Disease Control (CDC), a Healthy Students-Healthy Schools Office (HSHS Office). Requires the HSHS Office to assist State and local educational agencies (SEAs and LEAs) to develop and maintain comprehensive sequential school health education programs and curricula in all elementary and secondary schools in their jurisdiction. Requires the Office also to assist States in coordinating school-based programs to progress toward relevant Healthy People 2000 (HP 2000) Objectives and Healthy Students-Healthy Schools Goals (Goals). Amends the Elementary and Secondary Education Act of 1965 to transfer the Office of Comprehensive School Health Education (CSHE Office) from the Office of the Secretary (of Education) to the Office of Elementary and Secondary Education (also within the Department of Education). Establishes the Healthy Students-Healthy Schools Advisory Council, which shall establish the national Goals. Directs the Secretary of HHS to establish a Healthy Students-Healthy Schools Interagency Task Force. Sets forth the duties of the Secretary of HHS under this Act. Directs the Secretary of HHS, through the HSHS Office, to award grants to States and LEAs to assist schools in becoming Healthy American Schools that teach comprehensive sequential school health education programs using advanced technologies such as computer-based learning and innovative communication channels. Directs the Secretary of HHS to recognize annually with plaques and cash awards those schools that epitomize the HSHS Goals. Directs the Secretary of the Interior, through the Bureau of Indian Affairs (BIA) and in cooperation with the Secretary of HHS, to develop and implement a program providing sequential comprehensive health education and physical education to students enrolled in elementary and secondary schools operated by or on behalf of the BIA. Authorizes appropriations. Amends the Drug-Free Schools and Communities Act of 1986 to allow appropriations under it to be used in conjunction with HSHS program, so long as substance abuse prevention is a major component.

To authorize the Secretary of the Interior to use the facilities of the Golden Gate National Recreation Area to develop and implement a program to use drought resistant species of plants in the landscaping of public lands.

United States · United States Congress · 24 March 1993

Directs the Secretary of the Interior, acting through the National Park Service and utilizing the lands and facilities of the Golden Gate National Recreation Area, to establish a technical assistance program to assist universities and nonprofit organizations in the development and implementation of projects to use drought resistant plant species which require minimal watering and upkeep in landscaping applications where the use of such species will be compatible with native plant species and will conserve scarce water resources. Authorizes appropriations.

Freedom to Improve Educational Achievement Act

United States · United States Congress · 24 March 1993

Freedom to Improve Educational Achievement Act - Authorizes the Secretary of Education to waive certain Federal statutory and regulatory requirements, with specified exceptions, for States, local educational agencies, and schools as part of systemic educational reform and efforts to meet the national education goals for all children. Allows additional waivers for specified related programs, with the approval of the appropriate Federal agency. Sets forth requirements for waiver applications, restrictions, evaluations, and reports.

Equal Education Funding Act

United States · United States Congress · 24 March 1993

Equal Education Funding Act - Amends the Elementary and Secondary Education Act of 1965 to revise the formula for determining the amount of grants to States under the chapter 1 title I program for educationally disadvantaged children. Adds definitions for such basic grant program, including an average per pupil effort factor based on State and national average per pupil expenditures and income factors.

Proposing an amendment to the Constitution of the United States restoring the right of Americans to pray in public institutions, including public school graduation ceremonies and athletic events.

United States · United States Congress · 24 March 1993

Constitutional Amendment - Declares that nothing in the Constitution shall be construed to prohibit voluntary individual or group prayer in public schools or other public institutions, or to prohibit prayer at public school baccalaureate services, athletic events, or other extracurricular activities. States that no person shall be required by the United States or any State to participate in prayer or be present during any prayer. Provides that neither the United States nor any State shall compose prayers to be said in public schools or other public institutions or at events sponsored by such schools or institutions.

Comprehensive Access and Affordability Health Care Act of 1993

United States · United States Congress · 23 March 1993

TABLE OF CONTENTS: Title I: Managed Competition in Health Care Plans Subtitle A: Health Plan Purchasing Cooperatives Subtitle B: Accountable Health Plans (AHPs) Subtitle C: Federal Health Board Title II: Primary and Preventive Care Services Title III: Tax Incentives to Increase Health Care Access Title IV: Disclosure of Certain Information to Beneficiaries Under the Medicare and Medicaid Programs Title V: Cooperative Agreements Between Hospitals Title VI: Patient's Right to Decline Medical Treatment Title VII: Insurance Administration Simplification Title VIII: Child Health Care Title IX: Improving Access to Health Care for Rural and Underserved Areas Subtitle A: Revenue Incentives for Practice in Rural Areas Subtitle B: Public Health Service Act Provisions Title X: Primary and Preventive Care Providers Title XI: Malpractice Reform Title XII: Medicare Preferred Provider Demonstration Projects Title XIII: Treatment and Outcomes Research Title XIV: Long-Term Care Subtitle A: Tax Treatment of Qualified Long-Term Care Insurance Policies Subtitle B: Tax Incentives for Purchase of Qualified Long-Term Care Insurance Subtitle C: Medicaid Amendments Title XV: Financing Title XVI: Responsibilities Under Uniform Set of Effective Benefits Title XVII: Enforcement Provisions Comprehensive Access and Affordability Health Care Act of 1993 - Title I: Managed Competition in Health Care Plans - (Sec. 100) Mandates grants to States for the costs under this title. Authorizes appropriations. (Sec. 101) Requires States to establish Health Plan Purchasing Cooperatives (HPPCs) to: (1) make agreements with Accountable Health Plans (AHPs); (2) make agreements with small employers; (3) enroll individuals in AHPs; (4) receive premiums and forward the premiums to AHPs; and (5) coordinate with other HPPCs. (Sec. 104) Requires HPPCs to: (1) distribute comparative AHP information; and (2) add a percentage to premiums to cover the HPPCs' budgets. (Sec. 111) Requires that an AHP: (1) offer the uniform set of effective benefits specified by the Federal Health Board; (2) not discriminate on the basis of health status, claims, or lack of evidence of insurability (regulates preexisting condition exclusions); (3) establish standard premiums; (4) meet solvency protection requirements; and (5) have a grievance procedure for enrollees, restrict physician incentive plans, and meet requirements regarding advance directives. (Sec. 118) Sets forth additional requirements for open AHPs: (1) an agreement with a HPPC; (2) open enrollment; and (3) for "eligible organizations" under title XVIII (Medicare) of the Social Security Act, having a Medicare risk sharing contract for offering benefits to Medicare beneficiaries. Amends the Omnibus Budget Reconciliation Act of 1990 to make existing provisions relating to Medicare select policies effective after a specified date. (Currently, the provisions apply only in 15 States and only during a specified period.) Requires open AHPs to participate in the Federal Employees Health Benefits Program (FEHBP). Prohibits enrollment in a plan under FEHBP unless it is an AHP. Regulates the Federal FEHBP contribution. (Sec. 119) Requires an AHP that does not meet specified requirements of this title to pay the Board amounts as required to put the AHP in the same financial position as the AHP would have been in if it had meet the requirement. (Sec. 120) Preempts State laws or regulations regarding AHPs. (Sec. 121) Limits State restrictions on network plans (plans that: (1) limit coverage to benefits provided by participating providers; or (2) allow the use of non-participating providers, imposing higher cost sharing). (Sec. 122) Preempts State laws or regulations prohibiting or regulating activities under a utilization review program. (Sec. 131) Establishes the Federal Health Board, to be appointed by the President with the advice and consent of the Senate. (Sec. 132) Requires that the uniform set of effective benefits specified by the Board include the full range of: (1) treatment for any condition if the treatment reasonably improves or significantly ameliorates the condition; and (2) preventive services, including counseling. Mandates guidelines concerning nondiscrimination towards individuals with, and coverage for treatment of, severe mental illnesses. Requires uniform deductibles and cost-sharing. (Sec. 133) Requires the Board to establish as nonprofit corporations the Health Benefits and Data Standards Board and the Health Plan Standards Board to make recommendations to the Board. Provides funding through annual AHP registration fees. (Sec. 135) Provides for waivers to permit a State to use funds under title XIX (Medicaid) of the Social Security Act to enroll individuals in an AHP. (Sec. 136) Mandates: (1) rules for risk adjustment of premiums among AHPs by HPPCs; and (2) standards for information reporting by AHPs. (Sec. 138) Requires analysis, rating, and publication regarding the quality of care provided by specialized centers of care. (Sec. 139) Mandates a report on: (1) the extent that AHP enrollees have greater health service needs than the population of those eligible to enroll; (2) methods for reducing adverse impacts resulting from such adverse selection; and (3) the impact of requiring all eligible individuals to enroll. Title II: Primary and Preventive Care Services - (Sec. 201) Authorizes grants: (1) to States for coordinated, multidisciplinary, and comprehensive primary health care and social services for pregnant women and infants; and (2) for the development of model health and nutrition curricula for children in primary and secondary education. Authorizes appropriations. (Sec. 202) Amends the Public Health Service Act to authorize appropriations for: (1) immunization programs; (2) tuberculosis and sexually transmitted disease prevention programs; (3) migrant and community health centers; (4) health services for the homeless; (5) family planning services; (6) breast and cervical cancer prevention; (7) preventive health and health services block grants; and (8) early intervention services regarding human immunodeficiency virus (HIV) disease. Amends title V (Maternal and Child Health Services Block Grant) of the Social Security Act to authorize appropriations to improve the health of all mothers and children. (Sec. 203) Amends the Elementary and Secondary Education Act of 1965 to replace provisions relating to school health education with provisions mandating grants to States for local programs of comprehensive health education and prevention, early health intervention, and health education in elementary and secondary schools. Establishes the Office of Comprehensive School Health Education. Authorizes appropriations. (Sec. 204) Mandates grants to Head Start training agencies for training and technical assistance regarding health education to Head Start teachers and other child care providers. Reserves funds for the development of innovative model health education programs or curricula. Authorizes appropriations. (Sec. 205) Considers, for purposes of Internal Revenue Code provisions relating to medical care deductions, qualified expenditures for disease prevention and health promotion programs to be amounts paid for medical care. (Sec. 206) Mandates grants to States for assistance to businesses with not over 100 employees for the establishment and operation of work site employee wellness programs. Authorizes appropriations. Title III: Tax Incentives to Increase Health Care Access - (Sec. 301) Amends the Internal Revenue Code to allow a credit for a percentage of accountable health plan costs (amounts paid by individuals for insurance which constitutes Medicare) limited to the reference premium amount applicable in a HPPC area. Allows employers to make advance payments of such costs for employees with eligibility certificates. Coordinates such credit with other health insurance credits and deductions. Terminates the health insurance credit under earned income provisions. (Sec. 302) Disallows a deduction for the excess health plan expenses of any employer. (Sec. 303) Increases and makes permanent the deduction for health insurance costs of self-employed individuals from 25 percent to 100 percent. Limits such deduction to accountable health plan costs. (Sec. 304) Sets forth special rules for the deduction for health plan premium expenses. (Sec. 305) Excludes from the gross income of an employee employer-provided basic coverage under an accountable health plan. Title IV: Disclosure of Certain Information to Beneficiaries under the Medicare and Medicaid Programs - (Sec. 401) Amends title II (Old Age, Survivors, and Disability Insurance) (OASDI) of the Social Security Act to mandate regulations requiring each provider receiving payment under titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act to: (1) make available to service recipients an annual report regarding rates of mortality and nosocomial infection, frequently-performed tests, and malpractice claims; (2) make certain information available before an invasive procedure or treatment is performed; and (3) inform individuals of their right to refuse information and treatment, to refuse provider attendance, and to leave the premises. (Sec. 402) Authorizes grants for outreach activities to inform Medicare beneficiaries of the information. Authorizes appropriations. Mandates a Medicaid outreach program. Title V: Cooperative Agreements Between Hospitals - (Sec. 502) Amends the Public Health Service Act to authorize the Attorney General to waive antitrust laws to permit hospitals to enter into cooperative agreements to share medical or high technology equipment or services, including drugs, devices, medical and surgical procedures, and organizational and support systems. Title VI: Patient's Right to Decline Medical Treatment - (Sec. 601) Prohibits State restrictions, except to protect a third party, on the right of: (1) a competent person to consent to or decline medical treatment; or (2) an incompetent person to consent to or decline medical treatment through mandated national forms containing advance directives and durable powers of attorney. Requires all health care providers to honor the forms. Shields providers who act in good faith from criminal or civil liability or professional discipline. Denies Medicare and Medicaid payment for services contrary to advance directives. (Sec. 603) Declares that this title does not permit, condone, authorize, or approve suicide or mercy killing or any affirmative act to end a human life. (Sec. 605) Requires conforming changes to policies relating to Medicare and Medicaid advance directives provisions. (Sec. 606) Requires that information on an individual's right to consent to or decline treatment be provided periodically to beneficiaries under titles II (Old Age, Survivors, and Disability Insurance) (OASDI), XVI (Grants to States for Aid to the Aged, Blind, or Disabled), XVIII (Medicare), and XIX (Medicaid) of the Social Security Act. (Sec. 607) Mandates recommendations to the Congress concerning the medical, legal, ethical, social, and educational issues related to this title. Title VII: Insurance Administration Simplification - (Sec. 701) Amends the Social Security Act to create a new title on health insurance. Establishes the Health Insurance Standards Commission, requiring it to: (1) make recommendations regarding implementation of the title; and (2) develop a long-term plan for computerized billing and eligibility and uniform standards for electronic data interchange. Requires that the resulting system: (1) not be mandatory for a provider in a whole-county nonmetropolitan Health Professional Shortage Area; and (2) apply to participants under titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act. Title VIII: Children's Health Care - (Sec. 801) Establishes a program under which local educational agencies receiving Federal assistance are required to offer basic health insurance coverage to eligible students in schools. Sets forth student eligibility requirements, including: (1) being uninsured for at least six months; and (2) not being covered by title XIX (Medicaid) of the Social Security Act. Authorizes withholding from a noncomplying local educational agency a specified percentage of Federal educational assistance. (Sec. 802) Amends the Internal Revenue Code to allow a tax credit for qualified amounts paid for policies under this Act. Phases out the credit as income goes from 100 percent to 200 percent of the poverty line. (Sec. 803) Requires development of a single model uniform application form and process for benefits under the Special Supplemental Food Program (WIC Program) of the Child Nutrition Act of 1966, the Maternal and Child Health Service Block Grant Program (title V) of the Social Security Act, and Medicaid (the Programs). (Sec. 804) Mandates grants to not more than five States for demonstration projects to encourage women to obtain prenatal and well-baby care under the Programs. (Sec. 805) Authorizes appropriations to carry out this title. Title IX: Improved Access to Health Care for Rural and Underserved Areas - (Sec. 901) Amends the Internal Revenue Code to allow a tax credit for service by a physician, physician assistant, or nurse practitioner who: (1) provides primary health services to individuals in a rural health professional shortage area; and (2) is not receiving a National Health Service Corps scholarship or loan repayment and is not fulfilling service obligations under those programs. Excludes National Health Service Corps loan repayments from gross income. Allows, with regard to elections to expense depreciable business assets, a higher aggregate cost to be taken into account for rural health care property in a rural health professional shortage area. Allows a deduction for interest paid on medical education loans by an individual performing services under an agreement to perform professional services in a rural community. Allows use of the deduction in computing adjusted gross income. (Sec. 911) Amends the Public Health Service Act to authorize appropriations to carry out provisions relating to the National Health Service Corps scholarship and loan repayment program. Earmarks certain portions to carry out provisions of this Act relating to federally qualified health centers (FQHCs). (Sec. 912) Mandates: (1) allotments to States for community based primary health care entities providing services to pregnant women and children to age three; and (2) grants to FQHCs and other entities for providing services for medically underserved populations or in high impact areas not currently served by an FQHC. Authorizes appropriations. Requires a study of the relationship and interaction between community health centers and hospitals in medically underserved areas. Authorizes appropriations. (Sec. 914) Authorizes grants for development and implementation of a plan for rural mental health outreach. Authorizes appropriations. (Sec. 915) Requires giving priority, in making grants under provisions of the Public Health Service Act relating to health professions education or to nurse education, to factors relating to medically underserved areas. Mandates grants to: (1) health professions institutions to expand training for individuals desiring to practice in or serve medically underserved communities; and (2) regional consortia to enhance and expand coordination among health professions programs, particularly in medically underserved rural areas. Authorizes appropriations. (Sec. 916) Authorizes grants for the development of networks among rural and urban health care providers to preserve and share resources and enhance the quality and availability of rural health care. Authorizes appropriations. (Sec. 917) Authorizes grants to develop and administer rural cooperatives to establish a case management and reimbursement system supporting the economic viability of essential public or private health services, facilities, health care systems, and resources. Requires the cooperative to: (1) facilitate negotiations among member providers and third party payers concerning reimbursement rates; (2) identify and implement a malpractice insurance program and pay a portion of the premiums of provider members; and (3) establish joint case management and patient care practice standards programs that members must meet in order to participate in the negotiations. Allows employers to join the cooperative in order to provide, through a third party payer, health insurance to their employees. Authorizes appropriations. Title X: Primary and Preventive Care Providers - (Sec. 1001) Amends Medicare provisions to modify or establish payment requirements regarding certified nurse midwives, nurse practitioners, clinical nurse specialists, and physician assistants. Mandates bonus payments for such individuals and for certified registered nurse anesthetists for service in health professional shortage areas. (Sec. 1002) Includes physician assistants, nurse practitioners, clinical nurse specialists, and certified registered nurse anesthetists in the Medicaid definition of "medical assistance" for which payment will be made. (Sec. 1003) Amends the Public Health Service Act to establish grants programs to: (1) provide medical (including osteopathic medical) students for programs to interest high school or college students in careers in general medical practice; and (2) develop strategies for recruiting and placing medical students interested in practicing general medicine. Authorizes appropriations. (Sec. 1004) Amends Medicare provisions to allow entities with approved medical residency training programs (as well as hospitals) to receive payments for direct medical education costs. Mandates payments for indirect costs of medical education. Modifies requirements regarding payments to hospitals for such indirect costs. Title XI: Malpractice Reform - Amends the Public Health Service Act to establish a program of grants to assist States in establishing prelitigation panels that identify claims of professional negligence that merit compensation, encourage resolution of meritorious claims prior to suit, and encourage withdrawal or dismissal of nonmeritorious claims. Authorizes appropriations. Title XII: Medicare Preferred Provider Demonstration Projects - (Sec. 1201) Provides for up to ten demonstration projects to test the effectiveness of providing payment under Medicare for primary and specialty procedures and services furnished by preferred provider organizations. Allows waiver of Medicare requirements as necessary. Title XIII: Treatment and Outcomes Research - (Sec. 1301) Authorizes establishment of a program for the conduct of clinical trials regarding promising new drugs and disease treatments. Authorizes appropriations. (Sec. 1302) Authorizes appropriations for the Agency for Health Care Policy and Research. Amends the Internal Revenue Code to impose a tax on health insurance premiums. Establishes the Trust Fund for Medical Treatment Outcomes Research and deposits the revenue from the tax in the Fund, making those amounts available for outcomes research. (Sec. 1303) Amends the Public Health Service Act to prohibit use of guidelines established by the Office of the Forum for Quality and Effectiveness in Health Care in any Federal or State action arising from health care services, except by a provider who is a party to the action. Requires, if introduced, that the guidelines establish a rebuttable presumption that the service prescribed by the guidelines is the appropriate standard of medical care. Title XIV: Long-Term Care - Subtitle A: Tax Treatment of Qualified Long-Term Care Insurance Policies - (Sec. 1403) Amends the Internal Revenue Code to provide for the treatment of qualified long-term care insurance as accident and health insurance for purposes of insurance company taxation. (Sec. 1404) Provides for the exclusion as a death benefit of any amount paid to an individual under a life insurance contract because such individual is terminally ill, has a dread disease, or has been permanently confined to a nursing home. Subtitle B: Tax Incentives for Purchase of Qualified Long-Term Care Insurance - (Sec. 1411) Allows a tax credit for a percentage of qualified long-term care premiums. (Sec. 1412) Allows a deduction for expenses relating to long-term care and an exclusion from gross income of benefits received from long-term care insurance. (Sec. 1414) Allows a deduction for employers of contributions made for long-term care insurance if any refund or premium is applied to reduce the future costs of the plan or increase its benefits. (Sec. 1415) Allows the inclusion of such insurance in cafeteria plans. (Sec. 1416) Excludes from gross income amounts withdrawn from individual retirement accounts and certain employer cash or deferred arrangements to pay long-term care premiums and expenses. Increases the amounts of deductible contributions to individual retirement plans. (Sec. 1417) Excludes from gross income amounts received from the surrender, cancellation, or exchange of any life insurance contract if such amounts are used to pay premiums for long-term care insurance. (Sec. 1418) Authorizes the tax-free use of the gain from the sale of a principal residence for the purchase of long-term health care insurance. Subtitle C: Medicaid Amendments - (Sec. 1421) Amends title XIX of the Social Security Act (Medicaid) to set forth eligibility requirements for long-term care benefits and to require coverage of home and community-based long-term care. Title XV: Financing - (Sec. 1501) Repeals the dollar limitation on the amount of wages subject to hospital insurance tax. Title XVI: Responsibilities Under Uniform Set of Effective Benefits - (Sec. 1601) Requires that employment-related health plans not: (1) deny or condition coverage based on health, claims, or lack of evidence of insurability of an individual; (2) discourage coverage of preexisting conditions; (3) impose waiting periods; and (4) apply differently to employees of different income levels. Requires employer contributions to be the same or higher for employees of a specified low income as for higher-income employees. (Sec. 1602) Requires that, to be eligible for Federal benefits, an individual possess health insurance meeting the standards of this title, except for enrollment under title XVIII (Medicare) of the Social Security Act, the veterans' health care program, the Civilian Health and Medical Program of the Uniformed Services (CHAMPUS), the Indian health service program, and the Federal employees program. (Sec. 1603) Specifies the matters a self-insured health benefit plan must demonstrate in order to obtain certification as a health plan. (Sec. 1604) Requires providers, as a condition of participation in the health plan, to accept any payment specified by the Federal Health Board as full payment for the service performed. Title XVII: Enforcement Provisions - (Sec. 1701) Amends the Internal Revenue Code to set forth enforcement provisions for health plan carriers, providers, employers, and employees.

Better Chance to Learn Act of 1993

United States · United States Congress · 23 March 1993

A Better Chance to Learn Act of 1993 - Authorizes the Secretary of Education to award grants to local educational agencies and community-based organizations to pay 80 percent of the cost of home-based parent and early childhood education programs. Allocates one-half of such grants to new programs and one-half to existing programs. Gives priority to programs that target: (1) early childhood program assistance under the Head Start Act or chapter 1 of title I of the Elementary and Secondary Education Act of 1965; (2) families that qualify for such assistance, but are not served by such programs; or (3) parents who have limited or unsuccessful formal schooling. Makes an individual eligible to participate if he or she is a parent with one or more children age three, four, or five. Sets forth application and other program requirements. Authorizes appropriations.

Healthy Students-Healthy Schools Act

United States · United States Congress · 23 March 1993

Healthy Students-Healthy Schools Act - Directs the Secretary of Health and Human Services (HHS) to designate, within the Centers for Disease Control (CDC), a Healthy Students-Healthy Schools Office (HSHS Office). Requires the HSHS Office to assist State and local educational agencies (SEAs and LEAs) to develop and maintain comprehensive sequential school health education programs and curricula in all elementary and secondary schools in their jurisdiction. Requires the Office also to assist States in coordinating school-based programs to progress toward relevant Healthy People 2000 (HP 2000) Objectives and Healthy Students-Healthy Schools Goals (Goals). Amends the Elementary and Secondary Education Act of 1965 to transfer the Office of Comprehensive School Health Education (CSHE Office) from the Office of the Secretary (of Education) to the Office of Elementary and Secondary Education (also within the Department of Education). Establishes the Healthy Students-Healthy Schools Advisory Council, which shall establish the national Goals. Directs the Secretary of HHS to establish a Healthy Students-Healthy Schools Interagency Task Force. Sets forth the duties of the Secretary of HHS under this Act. Directs the Secretary of HHS, through the HSHS Office, to award grants to States and LEAs to assist schools in becoming Healthy American Schools that teach comprehensive sequential school health education programs using advanced technologies such as computer-based learning and innovative communication channels. Directs the Secretary of HHS to recognize annually with plaques and cash awards those schools that epitomize the HSHS Goals. Directs the Secretary of the Interior, through the Bureau of Indian Affairs (BIA) and in cooperation with the Secretary of HHS, to develop and implement a program providing sequential comprehensive health education and physical education to students enrolled in elementary and secondary schools operated by or on behalf of the BIA. Authorizes appropriations. Amends the Drug-Free Schools and Communities Act of 1986 to allow appropriations under it to be used in conjunction with the HSHS program, so long as substance abuse prevention is a major component.

To establish Federal, State, and local programs for the investigation, reporting and prevention of bias crimes.

United States · United States Congress · 23 March 1993

Directs the Attorney General to appoint a National Director of Bias Crime. Sets forth the duties of the Director, including to: (1) examine the needs of Federal, State, and local law enforcement agencies in training officers for the investigation and reporting of bias crimes; (2) recommend to the Attorney General policy options for the enhancement of bias crime interdiction and prevention; (3) develop a national curriculum to be taught as a preventative measure at elementary and secondary schools throughout the country; (4) coordinate technical assistance provided to State and local law enforcement agencies related to bias crime; and (5) coordinate assistance to victims of bias crime. Requires training programs established by the Director to include: (1) recognition of basic elements of bias crimes and proper initial response procedures; (2) instruction on how to comply with Federal reporting requirements under the National Hate Crimes Statistics Act; (3) notification of law enforcement officials regarding the history and growth of organized bias groups in the United States; and (4) methods to develop preventative education curricula for local schools and community youth groups and methods to cope with the trauma experienced by victims of bias crime. Authorizes appropriations.

A bill to establish a system of State-based electronic libraries, and for other purposes.

United States · United States Congress · 22 March 1993

Authorizes the National Science Foundation to make grants to States to develop electronic libraries.

A joint resolution proposing an amendment to the Constitution of the United States relative to prayer in public schools and public buildings.

United States · United States Congress · 19 March 1993

Constitutional Amendment - Declares that nothing in the Constitution shall abridge the right of persons lawfully assembled, in any public school or other public building that is supported in whole or in part through the expenditure of public funds, to participate in voluntary prayer.

American Indian Agricultural Resource Management Act

United States · United States Congress · 18 March 1993

TABLE OF CONTENTS: Title I: Rangeland and Farmland Enhancement Title II: Education in Agriculture Management Title III: General Provisions American Indian Agricultural Act of 1993 - Title I: Rangeland and Farmland Enhancement - Directs the Secretary of the Interior to: (1) undertake, in accordance with tribal goals and laws, management of Indian range and farmlands; (2) establish an Indian agricultural resource management planning program; (3) assemble a Task Force to prepare a comparative analysis of Indian range and farmlands management programs; and (4) promote Indian agricultural land use. Title II: Education in Agriculture Management - Directs the Secretary to: (1) establish within the Department of the Interior (Department) a specified number of Indian agricultural resources intern positions; (2) maintain a cooperative education program to recruit Indian students for Federal service in Indian agricultural or natural resources related positions; and (3) establish postgraduate recruitment, education (postgraduate intergovernmental internships), and training programs in such areas. Authorizes a scholarship-obligated service program for Indian agricultural students to pursue related postsecondary and graduate programs. Authorizes cooperative agreements between the Department and Indian tribes for manpower and job training, environmental and natural resources materials, and land and facility improvements. Title III: General Provisions - Sets forth general provisions relating to the promulgation of regulations and trust responsibilities. Authorizes appropriations.