Environment

GSP Renewal and Reform Act of 1993

United States · United States Congress · 22 November 1993

GSP Renewal and Reform Act of 1993 - Amends the Trade Act of 1974 to revise provisions for the Generalized System of Preferences (GSP). Grants the U.S. Trade Representative (USTR) the authority to extend preferences. (This authority is currently the President's.) Requires the USTR to certify that a country meets requirements for beneficiary developing country status before the President may make such a designation. Bars countries with free trade agreements with the United States from such designation. Includes compliance with internationally recognized worker rights and enforcement of environmental protection standards as conditions for such designation. Requires the USTR (rather than the President) to list articles to be considered for designation. Makes an article ineligible if it has been made under conditions that violate specified internationally recognized worker rights. Revises limitations on preferential treatment. Requires the USTR to withdraw or suspend duty-free treatment for any article that no longer meets specified requirements. Provides for petitions by any interested person alleging article or country noncompliance, USTR investigations, and judicial review of removal of articles or withdrawal of designations as beneficiary developing countries. Sets forth competitive need limitations. Extends to July 4, 2003, the termination date for GSP duty-free treatment. Requires general reports on GSP by the USTR, annual reports by the Secretary of Labor on the status of internationally recognized worker rights within each beneficiary developing country, and a special joint report by the USTR, the Secretaries of Commerce and of Labor, and the Comptroller General. Requires training on international labor standards for Labor Reporting Officers for U.S. Embassies and for members of certain special committees created by the USTR. Adds a fourth Deputy USTR. Establishes a Bureau of Trade-Related Standards.

To require the withdrawal of the United States from the NAFTA supplemental agreements on labor and environmental cooperation.

United States · United States Congress · 22 November 1993

Requires the United States to withdraw from the North American Agreement on Environmental Cooperation and the North American Agreement on Labor Cooperation (North American Free Trade Agreement supplemental agreements). Requires the President to provide notice of such withdrawal to Canada and Mexico. Repeals provisions of the North American Free Trade Agreement Implementation Act relating to implementation of such agreements.

To direct the Administrator of the Environmental Protection Agency to establish an office in a community in the United States located not more than 10 miles from the border between the United States and Mexico.

United States · United States Congress · 22 November 1993

Directs the Administrator of the Environmental Protection Agency (EPA) to establish an office in a community in the United States that is: (1) located not more than ten miles from the border between the United States and Mexico; and (2) the largest city in that area. Provides that the head of such office shall be the Regional EPA Administrator for the region. Directs the EPA Administrator to delegate to the Regional Administrator functions relating to: (1) administering EPA activities in such region; and (2) coordinating, and cooperating with the Government of Mexico in the implementation of, EPA programs relating to transboundary hazardous waste and air, soil, and water quality problems.

To make minor adjustments of maps relating to the Coastal Barrier Resources System.

United States · United States Congress · 22 November 1993

Amends Federal law to make adjustments to the Coastal Barrier Resources System maps.

To amend the Internal Revenue Code of 1986 to allow a deduction for costs incurred to cleanup contaminated property.

United States · United States Congress · 22 November 1993

Amends the Internal Revenue Code to allow a deduction to businesses for environmental cleanup expenditures.

Expressing the sense of the Congress that a dramatic new direction in Federal Government energy research, development, demonstration and commercialization funding priorities should be adopted to improve environmental protection, create new jobs, enhance United States competitiveness, and reduce the trade deficit.

United States · United States Congress · 22 November 1993

Expresses the sense of the Congress that the national policy of the United States should be to: (1) increase energy efficiency, as specified; (2) increase renewable energy technologies to 20 percent of the overall national energy mix by 2010; and (3) achieve these goals by adopting a specified national strategy.

To establish the California Urban Environmental Research and Education Center.

United States · United States Congress · 21 November 1993

Directs the Administrator of the Environmental Protection Agency to: (1) establish the California Urban Environmental Research and Training Center; and (2) enter into a cooperative agreement with California State University, Hayward, to establish the Center if the university agrees and meets a specified matching fund requirement. Authorizes universities in California to become members of the Center. Requires the Center to: (1) develop an ongoing program of environmental research, education, and outreach to ensure that future government policies to encourage economic development in California are grounded on sustainable environmental and economic policies; (2) foster public-private partnerships to find solutions to the environmental problems of California; (3) bring together researchers to focus on the most important environmental problems related to sustainable economic development; (4) support specified activities, including collaborative university research, analysis of public policy implications of economic development programs, the conduct of seminars and conferences, the development of educational programs, the preparation of minority students for environmental professions, and the development of a repository of information on key environmental and economic development issues; (5) assist small businesses in meeting environmental regulations by providing short courses and conferences; (6) work on alternative uses for military installations to assist in planning the environmental aspects of conversion and clean-up; and (7) develop a plan to extend its activities throughout the State within two years. Authorizes the Center to provide: (1) undergraduate scholarships for individuals studying in environmental fields at universities that are members of the Center; and (2) graduate assistantships and fellowships to encourage study in fields related to sustainable economic development and research grants to faculty. Authorizes appropriations.

Environmental Technologies Act of 1993

United States · United States Congress · 21 November 1993

TABLE OF CONTENTS Title I: General Provisions Title II: Policy Coordination and Technology Programs Subtitle A: Policy Coordination and Program Planning Subtitle B: Environmental Technology Title III: Education Title IV: Standards Title V: International Programs Title VI: Financial and Regulatory Incentives Title VII: Authorization of Appropriations Title I: General Provisions - Environmental Technologies Act of 1993 - Sets forth congressional findings and purposes. Title II: Policy Coordination and Technology Programs - Subtitle A: Policy Coordination and Program Planning - Requires the Director of the Office of Science and Technology Policy to: (1) ensure the coordinated, interagency promotion of the research, development, and adoption of environmental technologies; and (2) develop priorities for Federal environmental technology research, development, and adoption efforts. (Sec. 202) Requires the Director to coordinate Federal activities and resources that are applied to life-cycle assessment in order to maximize the contribution of such assessments to sustainable economic development. (Sec. 203) Amends the Stevenson-Wydler Technology Innovation Act of 1980 to include goals for sustainable economic development within technology innovation programs. Includes such goals in other existing programs under specified Acts. Subtitle B: Environmental Technology - Establishes an Environmental Technologies Development and Integration Program, to be administered by the Administrator of the Environmental Protection Agency (EPA), to promote the research, development, and integration of technologies that will contribute to sustainable economic development. Makes eligible for assistance projects that: (1) develop advanced, precommercial environmental technologies, with emphasis on technologies that will contribute to sustainable economic development; and (2) develop the integration of multiple steps in the conversion of materials that are involved in the manufacture, reuse, or recycling of a product, the recycling of process wastes, or the provision of a service. (Sec. 211) Prohibits intellectual property owned and developed by a business receiving financial assistance from being disclosed by the Federal Government except in accordance with an agreement. Provides that title to such property arising from assistance shall vest in a company incorporated in the United States or an institution of higher education in the United States. (Sec. 212) Directs the Administrator and the Secretaries of Energy and Defense to submit a strategic plan for interagency coordination of programs for the development, demonstration, and deployment of innovative environmental control and remediation technologies. (Sec. 213) Establishes the President's Total Environmental Quality Award to be awarded periodically to companies and other organizations which have benefited the United States through the development and deployment of environmental technologies. Establishes a National Environmentally Sound Technology Award for individuals who have pioneered the development and use of a highly innovative environmental technology. (Sec. 214) Directs the Administrator, acting through the EPA Office of Research and Development, to use existing information network capabilities to provide access to data on environmental technologies developed, tested, or verified by programs under this Act and by other appropriate sources. Authorizes the Administrator to enter into partnership agreements ("alliances") with State or local government agencies and other specified entities to: (1) facilitate access to information incorporated in the networks; and (2) transfer to such entities other information that would enhance the development and adoption of environmental technologies. Encourages alliances to disseminate information, and provide technical assistance, to U.S. companies on opportunities for the more efficient use of materials and energy and for waste minimization, materials conversion, and recycling. Authorizes the Administrator to provide financial assistance to alliances under certain conditions. (Sec. 215) Directs the Administrator to establish a program to demonstrate the performance of environmental technologies at Federal laboratories and other Federal facilities. Makes U.S. companies and small businesses, nonprofit organizations, and institutions of higher education eligible to carry out demonstration projects. (Sec. 216) Directs the Administrator to establish a three-year pilot program to promote research on, and development of, environmentally efficient building materials through use of such materials in new and existing Federal facilities and buildings. Directs the Administrator to promulgate guidelines for Federal agencies on minimizing the creation of solid waste and maximizing the use of environmentally efficient building materials. Title III: Education - Requires the Director of the National Science Foundation to support undergraduate and graduate activities in the development of coursework materials and curricula in all scientific, engineering, and technical disciplines to incorporate environmental soundness and total cost accounting into the corresponding curricula. (Sec. 302) Requires the Director of the EPA Office of Research and Development to develop and support programs to improve understanding of the relationships between technology and the environment. Title IV: Standards - Directs the Secretary of Commerce to establish: (1) a program to support the clarification of standards of performance for environmental technologies to clarify quality, performance, and substitutability for conventional products; and (2) a mechanism for recognizing non-Federal organizations engaged in environmental standards setting and associated product performance verification activities for purposes of ensuring quality and enhancing consumer confidence and international recognition. (Sec. 402) Authorizes the Administrator to enter into joint agreements with State and local governments and private sector representatives to support Environmental Technology Verification Centers that verify, evaluate, and disseminate information on the performance and cost of environmental technologies. Authorizes financial assistance to such Centers. Authorizes the Administrator to engage directly with private sector organizations through verification partnerships if the Centers cannot verify the performance of technologies because of scale or complexity. (Sec. 403) Directs the Federal Trade Commission to: (1) conduct a study of scientific and technological information needed for the fair evaluation of commercial performance claims regarding environmental technologies; and (2) develop a plan for collaboration with Federal agencies that have expertise in such technologies to ensure the use of the best available scientific and technological information in evaluating such claims. Title V: International Programs - Encourages the Administrator to support programs in other nations for purposes of enhancing U.S. exports of environmental technologies and promoting the contribution of such technologies to international sustainable economic development. (Sec. 503) Directs the Secretary of Commerce to support activities to promote the export of U.S. environmental technologies. (Sec. 504) Establishes the Environmental Technologies Export Revolving Fund for purposes of providing financial assistance for the adaption and demonstration of U.S. environmental technologies to enhance exports to major international markets. Authorizes the Secretary to use the Fund for financial assistance to U.S. companies, research centers, institutions of higher education, and other appropriate organizations. Sets forth priority projects and conditions for financial assistance. Title VI: Financial and Regulatory Incentives - Directs the President to establish a program for evaluating and approving Federal purchases of environmental technology products. (Sec. 602) Requires the Administrator to study and report to the Congress on current environmental regulations and their effect upon innovation in environmental technologies and the introduction of new environmental products. (Sec. 603) Requires the President to study the potential for efficiently encouraging the development and use of environmental technologies through tax incentives. Title VII: Authorization of Appropriations - Authorizes appropriations.

Stewardship Endowment Fund Act of 1993

United States · United States Congress · 20 November 1993

Stewardship Endowment Fund Act of 1993 - Amends the Energy Policy Act of 1992 to establish in the Treasury a Stewardship Endowment Fund to facilitate the restoration of natural resources in Alaska injured as a result of the EXXON VALDEZ oil spill.

Food Safety Reform Act of 1993

United States · United States Congress · 20 November 1993

TABLE OF CONTENTS: Title I: Transfer of Food Safety and Inspection Functions Title II: Specific Functions of the Commission After Transfer Title III: Establishment of a Liaison Office Title IV: General Provisions Food Safety Reform Act of 1993 - Title I: Transfer of Food Safety and Inspection Functions - Transfers to the Consumer Product Safety Commission (CPSC) all functions of any office relating to food safety and inspection carried out by the Secretaries of Agriculture, the Interior, Commerce, and Health and Human Services (HHS), the Commissioner of Food and Drugs, and the Administrator of the Environmental Protection Agency. Authorizes the Chairman of the CPSC to: (1) delegate any of the functions transferred by this title, with exceptions; and (2) allocate or reallocate any function so transferred among CPSC officers and to establish, consolidate, alter, or discontinue such organizational entities necessary or appropriate. Title II: Specific Functions of the Commission after Transfer - Establishes the position of Executive Director of Food and Safety in CPSC, to be appointed by the Chairman. Requires the Chairman to enter into a separate memorandum of understanding with the Secretaries of HHS, Commerce, and Defense, the Administrator of the Occupational Safety and Health Administration, the executive officers of State health departments, and the head of any other necessary governmental entity to carry out specified objectives respecting food safety and inspection. Requires the Chairman to prepare and submit to appropriate congressional committees a plan for: (1) the development of a comprehensive nationwide food safety database and surveillance system; and (2) the innovation and implementation of food safety and inspection techniques, including techniques of hazard analysis of critical control points, rapid pathogen detection, trace-back technology, food irradiation, and other necessary techniques. Title III: Establishment of a Liaison Office - Establishes an Office of Public Liaison within CPSC to provide information and advice regarding food safety and inspection to U.S. Public Health Service agencies, the National Academy of Sciences, State and local public health agencies, and academia and to carry out other necessary food safety and inspection activities. Title IV: General Provisions - Requires the Chairman to report to the Congress on the estimated additional cost of implementing this Act. Authorizes appropriations.

Health Security Act

United States · United States Congress · 20 November 1993

TABLE OF CONTENTS: Title I: Health Care Security Subtitle A: Universal Coverage and Individual Responsibility Subtitle B: Benefits Subtitle C: State Responsibilities Subtitle D: Health Alliances Subtitle E: Health Plans Subtitle F: Federal Responsibilities Subtitle G: Employer Responsibilities Subtitle J (sic): General Definitions; Miscellaneous Provisions Title II: New Benefits Subtitle A: Medicare Outpatient Prescription Drug Benefit Subtitle B: Long-Term Care Title III: Public Health Initiatives Subtitle A: Workforce Priorities Under Federal Payments Subtitle B: Academic Health Centers Subtitle C: Health Research Initiatives Subtitle D: Core Functions of Public Health Programs; National Initiatives Regarding Preventive Health Subtitle E: Health Services for Medically Underserved Populations Subtitle F: Mental Health; Substance Abuse Subtitle G: Comprehensive School Health Education; School-Related Health Services Subtitle H: Public Health Service Initiative Subtitle I: Coordination With COBRA Continuation Coverage Title IV: Medicare and Medicaid Subtitle A: Medicare and the Alliance System Subtitle B: Savings in Medicare Program Subtitle C: Medicaid Subtitle D: Increase in SSI Personal Needs Allowance Title V: Quality and Consumer Protection Subtitle A: Quality Management and Improvement Subtitle B: Information Systems, Privacy, and Administrative Simplification Subtitle C: Remedies and Enforcement Subtitle D: Medical Malpractice Subtitle E: Fraud and Abuse Subtitle F: McCarran-Ferguson Reform Title VI: Premium Caps; Premium-Based Financing; and Plan Payments Subtitle A: Premium Caps Subtitle B: Premium-Related Financing Subtitle C: Payments to Regional Alliance Health Plans Title VII: Revenue Provisions Subtitle A: Financing Provisions Subtitle B: Tax Treatment of Employer-Provided Health Care Subtitle C: Employment Status Provisions Subtitle D: Tax Treatment of Funding of Retiree Health Benefits Subtitle E: Coordination with COBRA Continuing Care Provisions Subtitle F: Tax Treatment of Organizations Providing Health Care Services and Related Organizations Subtitle G: Tax Treatment of Long-term Care Insurance and Services Subtitle H: Tax Incentives for Health Services Providers Subtitle I: Miscellaneous Provisions Title VIII: Health and Health-Related Programs of the Federal Government Subtitle A: Military Health Care Reform Subtitle B: Department of Veterans Affairs Subtitle C: Federal Employees Health Benefits Program Subtitle D: Indian Health Service Subtitle E: Amendments to the Employee Retirement Income Security Act of 1974 Subtitle F: Special Fund for WIC Program Title IX: Aggregate Government Payments to Regional Alliances Subtitle A: Aggregate State Payments Subtitle B: Aggregate Federal Alliance Payments Subtitle C: Borrowing Authority to Cover Cash-Flow Shortfalls Title X: Coordination of Medical Portion of Workers Compensation and Automobile Insurance Subtitle A: Workers Compensation Insurance Subtitle B: Automobile Insurance Subtitle C: Commission on Integration of Health Benefits Subtitle D: Federal Employees' Compensation Act Subtitle E: Davis-Bacon Act and Service Contract Act Subtitle F: Effective Dates Title XI: Transitional Insurance Reform Health Security Act - Title I: Health Care Security - Subtitle A: Universal Courage and Individual Responsibility - Entitles each eligible individual to: (1) the benefit provided under subtitle B through the applicable health plan in which the individual is enrolled; and (2) a health security card to be issued by the alliance or other entity that offers the applicable health plan in which the individual is enrolled. Defines an eligible individual as an individual who resides in the United States and is: (1) a citizen or national of the United States; (2) an alien permanently residing in the U.S. under color of law; or (3) a long-term nonimmigrant. Entitles a Medicare-eligible individual to benefits under Medicare instead of the above provisions of this Act. (Sec. 1002) Requires each eligible individual to enroll in an applicable health plan and pay any required premium. Prohibits disenrollment of an eligible individual until the individual is either enrolled in another plan or in Medicare. (Sec. 1003) States that nothing in this Act shall be construed as prohibiting: (1) an individual from purchasing any health services; (2) an individual from purchasing supplemental insurance; (3) an individual who is not an eligible individual from purchasing health insurance; or (4) employers from providing additional coverage. (Sec. 1004) States that a regional alliance health plan is the applicable plan for a family, unless a family member is eligible for a corporate alliance health plan. Allows military personnel, veterans, and Indians to enroll either with an alliance or with a military, veteran, or Indian plan respectively. (Sec. 1005) Prohibits an undocumented alien from enrolling in a health plan under this Act. (Sec. 1011) Defines a family as an eligible individual's eligible spouse and children. Defines couple as meaning an individual and the individual's spouse. Defines a child as being under age 18, or under age 24 in the case of a full-time student. Subtitle B: Benefits - Includes the following terms and services in the comprehensive benefit package: (1) hospital services; (2) services of health professionals; (3) emergency and ambulatory medical and surgical services; (4) clinical preventive services; (5) mental illness and substance abuse services; (6) family planning services and services for pregnant women; (7) hospice care; (8) home health care; (9) extended care services; (10) ambulance services; (11) outpatient laboratory, radiology, and diagnostic services; (12) outpatient prescription drugs and biologicals; (13) outpatient rehabilitation services; (14) durable medical equipment and prosthetic and orthotic devices; (15) vision care; (16) dental care; (17) health education classes; and (18) investigational treatments. Describes such items and services. (Sec. 1131) Requires each health plan to offer to its enrollees only one of the following cost sharing schedules: (1) lower cost sharing; (2) higher cost sharing; or (3) combination cost sharing. Provides that the annual maximum out-of-pocket expenses for an individual in any of the plans shall be $1500 and for a family the annual maximum shall be $3000. (Sec. 1135) Sets forth a table of copayments and coinsurance. (Sec. 1141) Excludes the following items and services: (1) an item or service that is not medically necessary or appropriate; (2) an item or service that the National Health Board may determine is not medically necessary or appropriate; (3) custodial care, except hospice care; (4) surgery performed solely for cosmetic purposes, unless required to correct a congenital anomaly or performed to correct a part of the body injured by either disease or accident; (5) hearing aids; (6) eyeglasses and contact lenses for individuals at least 18 years of age; (7) in vitro fertilization; (8) sex change surgery and related services; (9) private duty nursing; (10) personal comfort items, except in the case of hospice care; and (11) any dental procedures involving orthodontic care, inlays, gold or platinum fillings, bridges, crowns, pin/post retention, dental implants, surgical periodontal procedures, or the preparation of the mouth for the fitting or continued use of dentures, except as specified. (Sec. 1151) Gives the National Health Board the authority to promulgate such regulations or establish such guidelines as necessary to assure uniformity in the application of the comprehensive benefit package across all health plans. Permits the Board to expand the benefit package. (Sec. 1162) Permits a health professional or facility to refuse to provide a benefit if the professional or facility objects on the basis of a religious belief or moral conviction. Subtitle C: State Responsibilities - Requires a State, in order to be approved as a participating State, to submit a document describing the State's health care system. (Sec. 1201) Requires a participating State to: (1) establish one or more regional alliances; (2) establish and publish the criteria used in the certification of its health plan; (3) meet minimum financial solvency requirements for health plans established by the National Health Board; (4) designate an agency or official to coordinate State responsibilities under this Act; (5) conform State laws to meet the requirements of title X of this Act with respect to workers' compensation and automobile insurance; and (6) carry out all the responsibilities of a participating State specified in this Act. (Sec. 1221) Permits a State, with the Board's approval, to operate a single-payer system if specified requirements are met. Subtitle D: Health Alliances - Provides for regional alliances and corporate alliances. (Sec. 1302) Requires a regional alliance to be governed by a Board of Directors consisting of: (1) employers, including self-employed individuals; and (2) members who represent individuals purchasing coverage. Requires each regional alliance to establish a provider advisory board consisting of health care providers and professionals. (Sec. 1311) Includes in a corporate alliance an eligible sponsor who is either a large employer (more than 5,000 full-time employees) or a multiemployer plan (a plan with more than 5000 active participants). Excludes: (1) an employer whose primary business is employee leasing; (2) the Federal Government (other than the U.S. Postal Service); and (3) a State or local government. Excludes from corporate alliance eligibility the following classes of individuals: (1) AFDC recipients; (2) SSI recipients; (3) military personnel and families, veterans, and Indians who elect to enroll in specified plans specifically designed for them; and (4) seasonal or temporary employees. (Sec. 1321) Directs each regional alliance to enter into a contract with any State-certified health plan to contract with the alliance for the enrollment under the plan of eligible individuals. (Sec. 1322) Requires each regional alliance to offer a choice of health plans, including at least one fee-for-service plan. (Sec. 1326) Requires each regional alliance to establish and maintain an office of an ombudsman to assist consumers in dealing with problems that arise with health plans and the alliance. (Sec. 1329) Permits a regional alliance to adjust payments to plans or use other financial incentives to encourage health plans to expand into areas that have inadequate health services. (Sec. 1341) Set forth provisions concerning the collection of funds by regional alliances from individuals, employers, and others. (Sec. 1351) Requires each regional alliance to compute a blended plan per capita payment amount for each regional alliance health plan for enrollment in the alliance. (Sec. 1353) Requires each regional alliance to make payments to the Federal Government for academic health centers and graduate medical education. (Sec. 1361) Requires each regional alliance to comply with specified standards relating to the management of finances, maintenance of records, accounting practices, auditing procedures, financial reporting, and employer payments. (Sec. 1371) Provides for a reduction in cost sharing for low-income families. (Sec. 1373) Provides for premium discounts and reduction in liabilities for low-income families. (Sec. 1381) Permits each corporate alliance to: (1) offer coverage under either an appropriate self-insured health plan; or (2) negotiate with a State-certified plan to enter into a contract with the plan. (Sec. 1382) Requires each corporate alliance to provide a choice of health plans, including at least one fee-for-service plan and two health plans that are not fee-for-service plans. (Sec. 1385) Requires each corporate alliance to make an additional contribution towards the enrollment in health plans of the alliance by certain low-wage families. (Sec. 1386) Sets forth provisions relating to corporate alliances concerning: (1) consumer information and marketing; (2) plan and information requirements; (3) management of funds; (4) cost control; (5) payments by corporate alliance employers to corporate alliances; (6) ERISA; (7) disclosure and reserve requirements; (8) trusteeship of insolvent corporate alliance health plans; (9) imposition and collection of periodic assessments on self-insured corporate alliance plans; and (10) payments to the Federal Government by multiemployer corporate alliances for academic health centers and gradual medical education. Subtitle E: Health Plans - Requires a health plan to: (1) be either a self-insured plan (meaning a group health plan as defined by a the Employee Retirement Income Security Act of 1974) or a State-certified plan (meaning a plan certified by a State or the National Health Board); and (2) meet the applicable regulatory requirements. (Sec. 1402) Requires each health plan offered by either a regional or corporate alliance to accept for enrollment every alliance eligible individual, unless the plan has reached its enrollment limit. Prohibits the limit from being imposed on the basis of any personal characteristics of enrollees such as health status, need for health care, age, occupation, or affiliation with any person or entity. Prohibits a plan from: (1) restricting or terminating coverage for any reason, including nonpayment of premiums; (2) cancelling coverage for any eligible individual until that individual is enrolled in another plan; (3) excluding an eligible individual because of an existing medical condition; (4) imposing a waiting period before coverage begins; or (5) imposing a rider that excludes the coverage of particular eligible individuals. Prohibits discrimination by a health plan on the basis of race, national origin, sex, language, socio-economic status, age, disability, health status, or anticipated need for health services. (Sec. 1405) Requires each plan to have a grievance procedure. (Sec. 1421) Permits an entity to offer a supplemental insurance policy if the policy and the entity meet specified requirements. (Sec. 1431) Requires each health plan, with respect to each electing essential community provider located within the plan's service area, to either: (1) enter into a written provider participation agreement; or (2) enter into a written agreement under which the plan will make payment to the provider as specified. Provides a special rule for providers of school health services. Makes the provisions of the proceeding sentence applicable only to health plans offered by a health alliance during the five year period beginning with the first year in which any health plan is offered by the alliance. Directs the Secretary of Health and Human Services to study essential community providers and to make recommendations concerning such providers to the Congress. Provides that such recommendations shall apply unless a joint resolution of disapproval is enacted by the Congress. (Sec. 1441) Requires each health plan to meet specified requirements of title X of this Act with respect to workers' compensation and automobile medical liability services. Subtitle F: Federal Responsibilities - Establishes the National Health Board in the Executive Branch. Directs the President to appoint the Board's seven members. (Sec. 1503) Directs the Board to: (1) interpret the comprehensive benefit package; (2) adjust the delivery of preventive services; (3) take steps to assure that the comprehensive benefit package is available on a uniform national basis; (4) recommend to the President and the Congress appropriate revisions to the package; (5) oversee cost containment requirements; (6) develop and implement eligibility standards; (7) establish a performance based system of quality management; (8) develop and implement standards for a national health information system; (9) establish State requirements and monitor State compliance; (10) establish premium class factors; (11) develop a methodology for the risk-adjustment of premium payments; (12) establish financial requirements for guaranty funds; (13) establish standards for health plan grievance procedures; and (14) report annually to the President and the Congress. (Sec. 1506) Authorizes appropriations for the Board. (Sec. 1511) Requires the Board to approve a State health care system if the system meets the applicable requirements of this Act. Prohibits approval of a State health care system prior to 1996. (Sec. 1512) Provides for sanctions for States failing to meet conditions for compliance. (Sec. 1515) Provides for planning grants to States for implementation assistance. (Sec. 1521) Provides for the Federal assumption of responsibilities in the absence of a State system. Provides for increased premiums of 15 percent during Federal operation of a State system to provide reimbursement for the Federal cost of operating the system. (Sec. 1541) Directs the Board to develop a risk adjustment and reinsurance methodology. Sets forth guidelines for developing such methodology. (Sec. 1543) Directs the Board to establish an advisory committee to provide technical advice and recommendations regarding the risk adjustment and reinsurance methodology. (Sec. 1551) Directs the Board to establish minimum capital requirements for regional alliance health plans under which at least $500,000 of capital must be maintained for each plan in the area. Permits the Board to require additional capital. (Sec. 1552) Requires the Board to establish standards for guaranty funds established by the States. (Sec. 1571) Sets forth the responsibilities of the Secretary of Health and Human Services. Directs the Secretary to administer and implement all provisions of this Act, except those duties delegated to the Board, any other executive agency, or to any State. (Sec. 1572) Directs the Secretary to appoint an Advisory Council on Breakthrough Drugs that will examine the reasonableness of launch prices of new breakthrough drugs. (Sec. 1581) Provides for the certification of essential community providers. Sets forth the following categories of providers automatically certified (under provisions of the Public Health Service Act): (1) migrant health centers; (2) community health centers; (3) homeless program providers; (4) public housing providers; (5) family planning clinics; and (6) AIDS providers under the Ryan White Act. Includes as automatically certified (under other Acts) following: (1) Indian health programs under the Indian Health Act; and (2) maternal and child health providers and a federally qualified health center or rural health clinic under the Social Security Act. Includes as automatically certified (under provisions of this Act) the following: (1) providers of school health services; and (2) a qualified community practice network. Provides for the setting of standards for additional health providers. (Sec. 1591) Sets forth the responsibilities of the Secretary of Labor. Includes among those responsibilities the following: (1) enforcement requirements applicable to employers; (2) elections to become corporate alliances; (3) temporary assumption of insolvent self-insured corporate alliance health plans; (4) establishment and administration of the Corporate Alliance Health Plan Insolvency Fund; and (5) administering title I of ERISA as it relates to group health plans maintained by corporate alliances. Subtitle G: Employer Responsibilities - Requires employers to provide for the payments required under title VI of this Act. Sets forth other employer responsibilities including: (1) information reporting requirements; (2) requirements relating to new employees; (3) recordkeeping requirements; and (4) antidiscrimination requirements. (Sec. 1606) Prohibits self-funding of cost sharing benefits by regional alliance employers. (Sec. 1607) Requires an employer to make equal employer premium payments to all qualifying employees, if a voluntary premium payment is made. Places a limit on such voluntary employer premium payments. (Sec. 1608) Sets forth an employer's obligation to a qualifying retired beneficiary where the employer, as of October 1, 1993, was providing a threshold payment. (Sec. 1609) Authorizes the Secretary of Labor to impose a civil penalty of up to $10,000 for each violation of this subtitle with respect to each individual. Subtitle J (sic): General Definitions; Miscellaneous Provisions - Sets forth the definitions and rules used in this Act. Subtitle B: Miscellaneous Provisions (sic) - (Sec. 1911) Grants the National Health Board, the Secretary of Health and Human Services, and the Secretary of Labor authority to issue regulations as necessary to permit the timely implementation of this Act. Title II: New Benefits - Subtitle A: Medicare Outpatient Prescription Drug Benefit - (Secs. 2001 through 2005) Amends title XVIII of the Social Security Act to provide for: (1) Medicare coverage of covered outpatient prescription drugs and biologicals as well as home infusion drug therapy services; (2) payment rules and related requirements, such as those pertaining to deductibles, for covered outpatient prescription drugs; (3) manufacturer rebates to the Secretary under Medicare part B for covered outpatient prescription drugs; and (4) determination of the Medicare part B premium attributable to covered outpatient prescription drugs. Subtitle B: Long-Term Care - Establishes requirements for State plans for home and community-based services to individuals with disabilities. Includes among those requirements the following: (1) a prohibition of limiting eligibility of individuals with disabilities based on income, age, geography, severity of disability, residential setting, or other grounds specified by the Secretary; (2) a requirement to serve low-income individuals; (3) a requirement to specify how Federal and State funds will be managed; (4) quality assurance requirements; and (5) reporting requirements. Requires a State to consult with individuals and groups of individuals with disabilities when developing the plan in order to have the plan approved. (Sec. 2103) Defines "individuals with disabilities" to mean any individual within one or more of the following four categories: (1) individuals requiring help with the activities of daily living; (2) individuals with severe cognitive or mental impairment; (3) individuals with severe or profound mental retardation; and (4) severely disabled children. (Sec. 2104) Requires a State plan to specify the services available. Requires each individualized plan to be developed in close consultation with the individual and the individual's family. Prohibits a State plan from covering: (1) room and board; (2) services furnished in a hospital, nursing facility, intermediate care facility for the mentally retarded, or other specified institutional setting; or (3) items or services to the extent coverage is provided for an individual under a health plan or Medicare. (Sec. 2105) Sets forth provisions relating to: (1) cost sharing; (2) quality assurance and safeguards; (3) advisory groups; (4) payments to States; and (5) the total Federal budget for State plans and allotments to States. (Sec. 2301) directs the Secretary, with the advice and assistance of the National Long-Term Care Insurance Advisory Council to promulgate regulations as necessary to implement provisions concerning private long-term care insurance. Directs the Secretary to make appointments to such Council. Authorizes appropriations for such Council. (Sec. 2321) Directs the Secretary, after considering the Council's recommendations to promulgate regulations designed to: (1) standardize formats and terminology used in long-term care policies; (2) require insurers to provide information to customers on the range of public and private long-term care coverage available; and (3) establish other requirements promoting consumer understanding of benefits. (Sec. 2322) Directs the Secretary to promulgate regulations establishing requirements with respect to the terms of and benefits under long-term care policies, which shall include the following requirements that the policy may not: (1) limit coverage based on a preexisting condition, subject to an exception for a six month period; (2) condition eligibility for benefits based on the need or receipt of any other service; (3) condition eligibility for any benefit on any particular diagnosis; (4) condition eligibility for benefits by providers on compliance with requirements not required by State or Federal law; and (5) condition coverage of any service by a provider on the provision of such service at a higher level of care than required by the insured individual. Prohibits discrimination by diagnosis in the treatment of: (1) Alzheimer's disease; (2) any organic or inorganic mental illness; (3) mental retardation or any other cognitive or mental impairment; or (4) HIV infection or AIDS. Sets forth other requirements for such policies, including requirements related to: (1) premiums; (2) sales practices; (3) continuation, renewal, replacement, conversion, and cancellation of policies; and (4) payment of benefits. (Sec. 2342) Provides for grants to States to enforce the Federal standards concerning long-term care policies. Sets forth requirements for receiving such grants. Authorizes appropriations. Prohibits the sale of a long-term care policy in a State without a regulatory program. (Sec. 2361) Authorizes the Secretary to make grants for the development and implementation of long-term care information, counseling, and other programs to: (1) States; (2) regional alliances (at the option of States within which such alliances are located; and (3) national organizations representing insurance consumers, long-term care providers, and insurers. Authorizes appropriations for such grants. (Sec. 2601) Authorizes the Secretary to conduct a demonstration program to test the effectiveness of various approaches to financing and providing integrated acute and long-term care services for the chronically ill and disabled. Sets forth the services and benefits to be provided, including: (1) all benefits of the comprehensive benefit package provided under title I of this Act; (2) transitional benefits, including assessment and home care; (3) long-term care benefits, including adult day care, home-delivered meals, and nursing facility services in specialized care units; and (4) habilitation services. Permits any of the following to be eligible for such services under criteria to be established by the Secretary: (1) individuals with disabilities under a State program; (2) individuals entitled to benefits under the Medicare program; and (3) individuals entitled to Medicaid and who are also either entitled to Medicare or Supplemental Security Income benefits. Requires reports to the Congress on the demonstration program. Title III: Public Health Initiatives - Subtitle A: Workforce Priorities Under Federal Payments - Establishes within the Department of Health and Human Services the National Council on Graduate Medical Education. Directs the National Council to designate for each academic year the number of individuals nationwide who are authorized to be enrolled in each specified approval physician training program for each medical specialty. Sets forth provisions specifying: (1) Federal formula payments to approved physician training programs; (2) application for payments; and (3) amount of payments. (Sec. 3061) Directs the Secretary to carry out a program with respect to graduate nurse training programs that is equivalent to the program for approved physician training programs. Establishes a National Council on Graduate Nurse Education. (Sec. 3071) Authorizes appropriations for the following programs: (1) primary care physician and physician assistant training; (2) training of underrepresented minorities and disadvantaged persons; and (3) nurse training. (Sec. 3072) Authorizes appropriations for the following programs: (1) a program of skill upgrading and occupational retraining for health care workers; (2) a demonstration program to assist workers in health care institutions in obtaining advanced career positions; (3) a program to develop and operate health-worker job banks in local employment services agencies, subject to certain conditions; (4) a program to provide joint labor-management decision-making in the health care sector on workplace matters related to the restructuring of the health care delivery system of this Act; and (5) a program to facilitate the comprehensive workforce adjustment initiative. (Sec. 3073) Directs the Secretary of Health and Human Services and the Secretary of Labor to jointly establish the National Institute for Health Care Workforce Development. States that the Director of the Institute shall make recommendations to the Secretaries regarding: (1) the supply of health care workers; (2) the impact of this Act; and (3) the development and implementation of high-performance, high-quality health care delivery systems. Directs the Secretaries to establish an advisory board to assist in the development of such recommendations. Subtitle B: Academic Health Centers - Directs the Secretary to make payments to a qualified academic health center or qualified teaching hospital in order to assist such eligible institutions with costs that are not routinely incurred by other entities in providing health services, but are incurred by such institutions by virtue of the academic nature of such institutions. States that such costs include: (1) costs resulting from reduced staff productivity due to teaching responsibilities; (2) the uncompensated costs of clinical research; and (3) exceptional costs associated with an institutions specialized expertise. Provides that the funding for such payments will come from transfers from the Federal Hospital Insurance Trust Fund, payments made by regional alliances to the Federal government for academic health centers and graduate medical education, and payments from corporate alliances. (Sec. 3131) Provides for the access of regional and corporate alliance patients to academic health centers. Subtitle C: Health Research Initiatives - Amends the Public Health Service Act to ensure that the National Institutes of Health conducts and supports biomedical and behavioral research on promoting health and preventing diseases, disorders, and other health conditions. Provides for health services research. Authorizes appropriations for such research. Subtitle D: Core Functions of Public Health Programs; National Initiatives Regarding Preventive Health - Authorizes appropriations for the core functions of public health programs and national initiatives regarding health promotion and disease prevention. (Sec. 3312) Authorizes the Secretary to make grants to States to carry out one or more of the following core functions: (1) data collection; (2) activities to protect the environment and to assure the safety of housing, workplaces, and food and water; (3) investigation and control of adverse health conditions; (4) public information and education programs to reduce risks to health such as use of tobacco, alcohol, and drugs, sexual activities that increase the risk of HIV transmission and other sexually transmitted diseases, poor diet, physical inactivity, and low childhood immunization levels; (5) accountability and quality assurance activities; (6) provision of public health laboratory services to complement private clinical laboratory services that screen for diseases and conditions; (7) training and education to assure provision of care by all health professionals; and (8) leadership policy development and administrative activities. (Sec. 3331) Authorizes the Secretary to make grants to agencies of State or local government, private nonprofit organizations, and coalitions that link two or more of these groups for the purpose of carrying out projects to develop and implement innovative community-based strategies to provide for health promotion and disease prevention activities for which there is a significant need. Subtitle E: Health Services for Medically Underserved Populations - Directs the Secretary to make grants to migrant health centers and community health centers, which shall be in addition to other funds available to such centers. Authorizes appropriations. (Sec. 3412) Authorizes appropriations for: (1) grants and contracts for the development of qualified community health plans and practice networks; and (2) loans and guaranteeing the principal and interest to Federal and non-Federal lenders on behalf of public and private entities for the capital costs of developing qualified community health plans and practice networks. (Sec. 3461) Authorizes the Secretary to make grants and enter into contracts with qualified community health groups to provide enabling services such as transportation, community and patient outreach, patient education, and translation services in order to increase the capacity of individuals to utilize the items and services under title I of this Act. Authorizes appropriations. (Sec. 3471) Authorizes appropriations for: (1) the National Health Service Corps; and (2) such amounts as are necessary to ensure that at least 20 percent of participants in the Scholarship Program or the Loan Repayment Program of the Corps are nurses. (Sec. 3481) Entitles a hospital with a low-income utilization rate in a base year of at least 25 percent to a payment as specified. Requires 75 percent of the total available to be allocated to hospitals for low-income assistance. Requires 25 percent of the total available to be allocated to hospitals for assistance in furnishing inpatient hospital services that are not covered services under title I of this Act. Subtitle F: Mental Health; Substance Abuse - Authorizes appropriations to carry out this part. Provides for grants to: (1) increase access to mental health and substance abuse services; (2) improve State and local capacity to coordinate and monitor such services; (3) provide incentives to integrate public and private service systems; and (4) supplement any activity under part B (Alcohol and Drug Abuse and Mental Services Block Grant) of title XIX of the Public Health Service Act. (Sec. 3503) Authorizes the Secretary to make loans for the capital costs incurred in the development of non-acute, residential treatment centers and community-based ambulatory clinics. (Sec. 3521) Requires the establishment of a pilot program demonstrating the integration of the mental illness and substance abuse services of the States with the services included under title I of this Act. Subtitle G: Comprehensive School Health Education; School-Related Health Services - Authorizes appropriations for the programs of this subtitle. States that the purposes of the programs shall be to: (1) support, in kindergarten through grade 12, the provision of comprehensive health educator programs; (2) establish a national framework within which States can create comprehensive school health education programs that target the health risk behaviors of youth, including tobacco use, alcohol and drug abuse, sexual behaviors resulting in infections, injury prevention, dietary patterns, and sedentary lifestyles; (3) pay the initial costs of planning and establishing such programs; (4) support related Federal demonstrations and training; (5) motivate youth to stay in school, avoid teen pregnancy, and strive for success; (6) improve the knowledge of health education among youth; and (7) further the National Education Goals set forth in title I of the Goals 2000: Educate America Act. Defines "comprehensive school health education program." Requires such programs to be sensitive to cultural and ethnic issues, promote involvement by families, and promote personal responsibility. Sets forth requirements for applying for grants and selection of grantees. Subtitle H: Public Health Service Initiative - Establishes a Public Health Service Initiative consisting of specified amounts authorized to be appropriated for the Initiative. States that: (1) the Initiative includes the programs of subtitles C through G of this title and the programs of subtitle D of title VIII; and (2) amounts appropriated to carry out the Initiative, including subtitles A through F of this title, are available to carry out specific programs for which the amounts are appropriated. Subtitle I: Coordination with COBRA Continuation Coverage - Amends title XXII (Requirements for Certain Group Health Plans for Certain State and Local Employees) of the Public Health Service Act to provide for coordination with COBRA continuation coverage. Repeals such title XXII upon implementation of this Act. Title IV: Medicare and Medicaid - Subtitle A: Medicare and the Alliance System - Amends title XVIII (Medicare) of the Social Security Act to provide for optional State integration of Medicare beneficiaries into regional alliance plans. (Sec. 4002) Allows individuals to elect to remain in certain plans. (Sec. 4003) Provides for payments to regional alliances on behalf of certain Medicare-eligible individuals. (Sec. 4004) Extends protections for working aged and disabled individuals to group health plans of all employers. Repeals the limitation on the period of protection for individuals with end stage renal disease. Prohibits Medicare payment for items and services provided under any health plan under this Act. Simplifies Medicare benefit coordination in cases where the individual is also eligible for benefits under this Act's health plans. (Sec. 4011) Makes various changes concerning eligible organization and Medicare supplemental policy enrollment and comparative informational materials, eligible organization outlier payments, and participating provider point-of-service networks. (Sec. 4022) Provides for expanded Medicare coverage for physician assistant, nurse practitioner, and clinical nurse specialist services. (Sec. 4031) Amends title XI of the Social Security Act to: (1) provide for termination of the separate Medicare peer review program upon adoption of the National Quality Management Program above under subtitle A of title V of this Act; and (2) repeal provisions on surgical procedure review and second opinions. (Sec. 4032) Amends title XVIII of the Social Security Act to provide for mandatory assignment for all Medicare part B services. (Sec. 4033) Directs the Secretary of Health and Human Services to take such steps as may be necessary to consolidate administration of Medicare parts A and B and supersedes certain conflicting requirements to the extent required to achieve such purpose. (Sec. 4035) Prohibits the Secretary from implementing any change in procedures for billing and processing Medicare claims within six months of implementing any previous change. Adds advanced notification to providers as a requirement for carriers and fiscal intermediaries under Medicare. (Sec. 4041) Amends title XI of the Social Security Act to: (1) provide for civil monetary penalties for kickback violations under Medicare and State health care programs (the programs); (2) make other penalty-related changes, including increases in criminal and civil monetary penalties, a new criminal penalty exception for certain providers, additional civil monetary penalty offenses related to alliance systems, and requirements for the deposit of penalties collected into the All-Payer Account established above under title V of this Act; (3) revise exclusion provisions, with changes establishing a minimum period of exclusion for certain individuals and entities subject to permissive exclusion from the programs, and providing for program exclusions based on actions under alliance systems; and (4) modify sanction provisions, with changes removing certain conditions for imposing sanctions and setting specified civil money penalties for use in lieu of authorized sanctions. (Sec. 4042) Amends title XVIII of the Social Security Act to revise the limitations on physician self-referrals. (Sec. 4051) Provides for the termination of payments under Medicare for medical education costs and directs the Secretary to make specified transfers from certain Medicare trust funds to the new accounts established above for funding physician training programs and academic health centers. (Sec. 4061) Amends title XVIII of the Social Security Act to provide for the treatment of: (1) uniformed services and VA health plans as eligible organizations under Medicare; and (2) health care facilities of the Department of Veterans Affairs as providers under Medicare. Subtitle B: Savings in Medicare Program - Amends title XVIII of the Social Security Act to provide for: (1) reductions in the update for inpatient hospital services and the adjustment for indirect medical education costs, in payments for capital-related costs for inpatient hospital services; (2) revisions to payment adjustments for disproportionate share hospitals in States participating under this Act; and (3) an extension of the freeze on updates to routine service costs of skilled nursing facilities. (Sec. 4111) Amends title XVIII of the Social Security Act to provide for: (1) establishment of cumulative expenditure goals for physician services; (2) use of real gross domestic product for volume adjustments; (3) repeal of restrictions on the maximum reduction permitted in default update; (4) reduction in the conversion factor for the physician fee schedule for 1995; (5) place limitations on payment for physicians' services furnished by high-cost hospital medical staffs; (6) requirements for physicians to identify the hospital at which the service was furnished; (7) an increase in practice expense relative value units for certain services while assuring budget neutrality; (8) a study and report to the Congress by the Secretary on a resource-based system for determining practice expense relative value units for each physician's service; (9) an increase in work relative value units for office visits while assuring budget neutrality; (10) a reduction in relative values for office consultations; (11) adjustment of outlier intensity of relative values; (12) changes in underserved area bonus payments; (13) elimination of formula-driven payments for certain outpatient hospital services; (14) copayments for laboratory services; and (15) competitive acquisition procedures for Medicare part B items and services (including clinical diagnostic laboratory tests). (Sec. 4131) Makes changes with respect to: (1) Medicare as secondary payer; (2) payments for health maintenance organizations and competitive medical plans with risk-sharing contracts; and (3) routine cost limits and copayments for, respectively, home health services and visits. (Sec 4135) Directs the Secretary to use a competitive process to contract with centers of excellence for cataract surgery, coronary artery by-pass surgery, and such other services as the Secretary determines to be appropriate. (Sec. 4141) Amends title XVIII of the Social Security Act to revise Medicare part B premium provisions. (Sec. 4151) Requires the Secretary to submit a report to the Congress on the growth in spending under Medicare for FY 2000 through 2003. Subtitle C: Medicaid - Amends title XIX (Medicaid) of the Social Security Act to provide that if a State Medicaid plan provides for payment to regional alliances of the amounts required above it is not required to provide payment for items and services covered under the comprehensive benefit package for alliance eligible individuals and will receive no Federal financial assistance with respect to such items and services. (Sec. 4211) Provides for: (1) spenddown eligibility and increased income and resource disregard for nursing facility residents; (2) informing such residents about the availability of assistance for home and community-based services; (3) treatment of items and services not covered under the comprehensive benefit package; and (4) establishment of a program under Medicare of noncovered items and services for poor children. (Sec. 4231) Discontinues certain payment policies under Medicaid. (Sec. 4241) Limits the frequency of changes in a State's billing and claims processing system, and provides for advance notification to providers of any major billing change. (Sec. 4251) Establishes the Medicaid Commission to study, report, and make recommendations with respect to options involving block grant use, integration of long-term care services, and consolidation of institutional and home- and community-based long-term care in relation to the Medicaid program. Authorizes appropriations. Subtitle D: Increase in SSI Personal Needs Allowance - Amends title XVI (Supplemental Security Income) (SSI) to provide for an increase in the SSI personal needs allowance. Title V: Quality and Consumer Protection - Subtitle A: Quality Management and Improvement - Requires the National Health Board to establish and oversee a performance-based program of quality management and improvement designed to enhance the quality, appropriateness, and effectiveness of heath care services and access to such services which will be called the National Quality Management Program. (Sec. 5002) Establishes the National Quality Management Council which shall: (1) administer the National Quality Management Program; (2) perform any other duty specified in this subtitle; and (3) advise the National Health Board with respect to its duties under this subtitle. Requires the Council to develop a set of national measures of quality performance to be used in the assessment of and the provision of access to health care services. Requires the Council, in addition, to: (1) recommend to the Board establishing goals for performance by health plans and health care providers on a subset of national measures of quality performance; (2) direct the Administrator for Health Care Policy and Research to develop, review, and disseminate practice guidelines to determine how diseases can most effectively be prevented, diagnosed, treated, and managed; and (3) direct the Administrator for Health Care Policy and Research to support research related to a five year priority list of performance measures. (Sec. 5008) Directs the National Health Board to: (1) establish and oversee regional professional foundations to perform such duties as develop lifetime learning programs for health professionals and conduct research on health care quality; and (2) establish the National Quality Consortium to perform such duties as establishing continuing education for health professionals and provide advice on research priorities. (Sec. 5012) Requires each regional alliance and each corporate alliance to: (1) disseminate specified information to consumers; and (2) ensure that performance and quality standards are continually improved. Subtitle B: Information Systems, Privacy, and Administrative Simplification - Directs the National Health Board to develop and implement a health information system, in consultation with Federal agencies, States, employers, health plans, and others, by which the Board shall collect, report, and regulate the collection and dissemination of health care information which shall be used for: (1) health care planning by Federal, State, and local government; (2) establishing and monitoring payments for health services; (3) assessing and improving the quality of health care; (4) managing and containing costs at the alliance and plan levels; and (5) other specified purposes. Requires the establishment of an electronic data network to collect, compile, and transmit information. (Sec. 5120) Sets forth provisions providing for health information privacy standards. (Sec. 5130) Directs the National Health Board to develop the following standard health care benefit forms: (1) an enrollment and disenrollment form; (2) a clinical encounter record; and (3) a claim form. (Sec. 5140) Establishes the National Privacy and Health Data Advisory Council in order to advise the National Health Board with respect to its duties under this subtitle. (Sec. 5141) Sets forth monetary penalties for violating health information system standards. Subtitle C: Remedies and Enforcement - Sets forth provisions with respect to the review of benefit determinations for enrolled individuals, including provisions: (1) regulating the time limits for notice of disposition of a claim; (2) governing a plan's duty to review claim denials; (3) concerning urgent requests for preauthorization; and (4) concerning other time limits with respect to time limits and notice. (Sec. 5202) Requires each State to establish a complaint review office for each regional alliance established by a State. Permits aggrieved individuals to file complaints with the appropriate review office. (Sec. 5205) Provides for a Federal Health Plan Review Board to review the decisions of complaint review office hearing officers. (Sec. 5207) Sets monetary penalties for a plan which unreasonably denies or delays payment or provision of benefits. (Sec. 5211) Directs each State to establish and maintain an Early Resolution Program in each complaint review office. Requires a program to include: (1) forums for mediation disputes; and (2) other forums of alternative dispute resolution as may be prescribed. Establishes guidelines for the eligibility of cases for submission to the Early Resolution Program. States that conclusions of the mediation proceedings shall be treated as nonbinding and shall not affect any rights to review. (Sec. 5231) Sets forth additional remedies and enforcement provisions. Subtitle D: Medical Malpractice - Prohibits any medical malpractice liability action until the final resolution of the claim under alternative dispute resolution. Requires each regional alliance health plan and corporate alliance health plan to adopt at least one specified method of alternative dispute resolution. Prohibits an individual from bringing a medical malpractice liability action unless the individual submits an affidavit that includes a report by a qualified specialist that states that there is a meritorious cause for filing the action. (Sec. 5311) Directs the Secretary to establish: (1) a project to demonstrate whether substituting liability for medical malpractice on the part of the health plan in which a physician participates for the personal liability of the physician will result in improvements in the quality of care, reductions in defense medical practices, and better risk management; (2) a pilot program under which the Secretary provides funds to one or more eligible States to determine the effect of applying practice guidelines in the resolution of medical malpractice liability actions. Subtitle E: Fraud and Abuse - Directs the Secretary and the Attorney General to establish a program: (1) to coordinate the functions of the Attorney General, the Secretary, and other organizations with respect to the prevention, detection, and control of health care fraud and abuse; (2) to conduct investigations, audits, evaluations, and inspections relating to the delivery of and payment for health care; and (3) to facilitate the enforcement of this and other statutes applicable to health care fraud. (Sec. 5402) Creates, in the Treasury, the All-Payer Health Care Fraud and Abuse Control Account which shall consist of: (1) gifts and bequests; (2) administrative penalties and assessments and portions of civil monetary penalties imposed under provisions of the Social Security Act; (3) all criminal fines imposed in cases involving a Federal health care offense; (4) penalties imposed under the False Claims Act involving claims related to the provision of health care items and services; and (5) amounts resulting from the forfeiture of property by reason of Federal health care offense. States that amounts in the fund may be used to cover costs incurred in operating the Program. (Sec. 5411) Excludes from participation in any health plan any individual or entity excluded from participation in a public program under provisions of the Social Security Act. (Sec. 5413) Sets forth physician self-referral limitations. (Sec. 5431) Amends the Federal criminal code to set penalties for knowingly executing a scheme or artifice to: (1) defraud any health alliance, health plan, or other person (alliance) in connection with the delivery of, or payment for, health care benefits, items, or services (benefits); and (2) obtain, by false or fraudulent means, money or property owned by, or under the custody of control of, any such alliance in connection with the delivery of, or payment for, health care benefits. (Sec. 5432) Amends: (1) the Federal criminal code to require the court, in imposing sentence on a person convicted of a Federal health care offense that poses a serious threat to the health of any person or has a significant detrimental impact on the health care system, to order such person to forfeit property used in the commission of the offense or that constitutes, or is derived from, proceeds traceable to the commission of the offense which is of a value proportionate to the seriousness of the offense; and (2) the Federal judicial code to require that all proceeds of forfeiture relating to Federal health care offenses be deposited into the Department of Justice Assets Forfeiture Fund. (Sec. 5433) Amends the Federal criminal code to set penalties for: (1) knowingly and willfully falsifying, concealing, or covering up a material fact, making any false, fictitious, or fraudulent statements or representations, or making or using any false writing or document knowing it to contain any false, fictitious, or fraudulent statement or entry, in any matter involving a health alliance or health plan; and (2) bribery of, and graft by, a health care official. (Sec. 5435) Authorizes: (1) the Attorney General to commence a civil action in Federal court to enjoin a Federal health care offense; and (2) a person privy to certain grand jury information concerning a health law violation to disclose that information to an attorney for the Government to use in any civil proceeding related to a Federal health care offense. (Sec. 5437) Sets penalties for: (1) theft or embezzlement in connection with a health alliance, health plan, or fund connected with such alliance or plan; and (2) misuse of a health security card issued, or unique identifier provided, pursuant to this Act. (Sec. 5441) Makes provisions of the Civil False Claims Act applicable to the use of false records or statements made to a health plan. Includes within the definition of "claim" for purposes of such Act any request or demand for money or property which is made or presented to a health plan. Subtitle F: McCarran-Ferguson Reform - Amends the McCarran-Ferguson Act to repeal the exemption under specified antitrust laws for the business of insurance to the extent that such business relates to the provision of health benefits. Title VI: Premium Caps; Premium-Based Financing; and Plan Payments - Subtitle A: Premium Caps - Sets forth provisions which provide for the computation of factors that limit the growth of premiums for the comprehensive benefit package in regional alliance health plans, including the computation of a: (1) regional alliance inflation factor; and (2) general health care inflation factor. (Sec. 6002) Directs the Board to determine: (1) a national per capita baseline premium target; (2) the national average per capita current coverage health expenditures; and (3) current health care expenditures. (Sec. 6003) Directs the Board to determine a regional alliance per capita premium. (Sec. 6004) Requires a regional alliance to annually obtain premium bids from each plan seeking to participate as a regional alliance health plan with respect to the alliance. (Sec. 6005) Permits any participating State to assume responsibility for containment of health care expenditures in the State consistent with this Act. (Sec. 6006) Directs the chair of the Board to establish an advisory commission on regional variations in health expenditures. Requires the commission to examine methods of eliminating variation in regional alliance per capita premium targets due to variation in practice patterns, not due to other factors. Requires the Board to submit its recommendations to the Congress. Requires such recommendations to apply unless a joint resolution of disapproval is passed. (Sec. 6011) Subjects each noncomplying regional alliance health plan for a year to a reduction in plan payment as specified, in order to assure that payments to regional alliance health plans by a regional alliance are consistent. Defines a noncomplying plan to include a plan in which the final accepted bid exceeds the maximum complying bid for the per capita target premium. Defines "maximum complying bid." (Sec. 6021) Directs the Board to develop a methodology for calculating an annual per capita expenditure equivalent for amounts paid for coverage for the comprehensive benefit package within a corporate alliance. (Sec. 6022) Terminates a corporate alliance with two excess years in a three year period. Provides that employers that were corporate alliance employers with respect to a terminated alliance shall become regional alliance employers. Defines an excess year as one in which the rate of increase for the corporate alliance exceeds the national corporate inflation factor. Defines rate of increase and national corporate inflation factor. (Sec. 6031) Sets forth special rules for a single-payer State. (Sec. 6041) Directs the Secretary to establish a program to monitor prices and expenditures in the U.S. health care system. Subtitle B: Premium-Related Financings - Makes each family enrolled in a regional health alliance plan or in a corporate alliance health plan in a class of family enrollment responsible for payment of the family share of premium payable for enrollment. Provides for income related discounts and specified credits. (Sec. 6102) Establishes the formula for determining the premiums. (Sec. 6111) Provides for the repayment of credit by certain families. (Sec. 6114) Provides for the special treatment of certain retirees and qualified spouses and children. (Sec. 6121) Requires each regional alliance employer to pay a monthly premium to the regional alliance for a qualifying employee. Sets forth provisions for determining such premium. Varies the premium depending upon such factors as the employer's size and average wages paid. (Sec. 6126) Sets forth provisions applicable to self-employed individuals. (Sec. 6131) Sets forth provisions for determining the corporate employer premium. Subtitle C: Payments to Regional Alliance Health Plans - Sets forth provisions to determine the computation of: (1) the blended plan per capita payment amount; and (2) the plan bid, AFDC, and SSI proportions. Title VII: Revenue Provisions - Subtitle A: Financing Provisions - Amends the Internal Revenue Code to increase the excise taxes on cigarettes and other tobacco products. (Sec. 7113) Imposes an excise tax on the manufacture or importation of roll-your-own tobacco. (Sec. 7121) Imposes an assessment on each corporate alliance employer and a temporary assessment on employers with retiree health benefit costs. Requires such assessments to be paid in the same manner as employment taxes. (Sec. 7131) Provides for the recapture of certain health care subsidies received by high-income individuals. Transfers such amounts to the Supplemental Medical Insurance Trust Fund. (Sec. 7141) Requires certain shareholders of S corporations and limited partners who materially participate in corporate activities to include their share of income or loss from such corporation when determining net earnings from self-employment. (Sec. 7142) Provides for extending Medicare coverage and applying the hospital insurance tax to all State and local government employees. Subtitle B: Tax Treatment of Employer-Provided Health Care - Provides exceptions to the exclusion of employer-provided contributions to an accident or health plan from the gross income of an employee. (Sec. 7202) Prohibits the provision of health benefit under cafeteria plans. (Sec. 7203) Makes permanent the deduction for health insurance costs of self-employed individuals. Increases such deduction to 100 percent of the basic coverage purchased from a health alliance with limitations. Subtitle C: Employment Status Provisions - Requires the Secretary of the Treasury to prescribe regulations defining an employee for employment tax purposes. (Sec. 7302) Increases the penalty for failure to file correct returns involving payments for services. (Sec. 7303) Sets forth rules to limit retroactive employment tax reclassifications. Subtitle D: Tax Treatment of Funding of Retiree Health Benefits - Requires additional reserves for post-retirement medical and life insurance benefits to cover not less than ten years of the working lives of covered employees and to be maintained as separate accounts. (Sec. 7402) Terminates the authority of pension plans to maintain health benefits accounts. Subtitle E: Coordination with COBRA Continuing Care Provisions - Repeals provisions concerning continuation coverage requirements of group health plans upon implementation of this Act. Subtitle F: Tax Treatment of Organizations Providing Health Care Services and Related Organizations - Provides for the tax treatment of charitable organizations providing health care services, insurance provided by health maintenance organizations, and certain private foundations. (Sec. 7602) Sets forth transitional rules for taxing certain organizations providing health insurance and other prepaid health care services as insurance companies other than life insurance companies. (Sec. 7603) Exempts regional alliances from income tax. Subtitle G: Tax Treatment of Long-term Care Insurance and Services - Treats qualified long-term care services as medical care for purposes of the medical expense deduction. (Sec. 7702) Provides for the treatment of long-term care insurance as accident and health insurance. (Sec. 7703) Allows accelerated death benefits under life insurance contracts to be paid to terminally ill individuals. Subtitle H: Tax Incentives for Health Service Providers - Allows a tax credit for certain qualified individuals who provide primary health services full time in a health professional shortage area. (Sec. 7802) Increases the allowable depreciation deduction for expensing certain medical equipment. Subtitle I: Miscellaneous Provisions - Allows a tax credit for the cost of personal assistance services required by an employed individual who for medical reasons is unable to engage in substantial gainful activity. (Sec. 7902) Denies tax-exempt status for private activity bonds of regional alliances, corporate alliances, or guaranty funds established under this Act. Title VIII: Health and Health-Related Programs of the Federal Government - Subtitle A: Military Health Care Reform - Directs the Secretary of Defense to establish one or more uniformed services health plans in order to provide health care services to members of the armed forces on active duty for 30 or more days as well as their covered beneficiaries. Requires conformity of such plans with health plan requirements set forth in this Act. (Sec. 8001b) Allows any such plan to rely upon the use of military health care facilities, supplemented by civilian health care providers or health plans under agreements entered into by the Secretary. Requires at least the items and services in the comprehensive benefit package under this Act to be included in each such plan. Preempts any conflicting State health plan requirements. Provides for plan enrollment, effect of failure to enroll, and choosing between a uniformed services health plan and other available plans. Prohibits the imposition of plan charges to an active-duty member other than subsistence charges, but allows the Secretary to impose limited charges for covered beneficiaries. Establishes in the Department of Defense a financial account for payments received in connection with a uniformed services health plan, allowing such funds to be used only for purposes directly related to the delivery and financing of health care services under this Subtitle. Subtitle B: Department of Veterans Affairs - Allows each veteran who is an eligible individual under this Act and individuals currently enrolled in a health plan under the Civilian Health and Medical Program of the Uniformed Services (CHAMPUS) to be enrolled with a Department of Veterans Affairs (VA) health plan. Requires conformity of such plans with health plan requirements set forth in this Act, with all the items and services of the comprehensive benefit package under this Act included. Allows such plans to offer supplemental health benefits and cost-sharing policies as consistent with this Act. Provides a limitation with regard to veterans enrolled with health plans outside the VA. Prohibits the imposition of any plan enrollment charges upon service-connected disabled veterans, veterans receiving disability compensation from the VA, former prisoners of war, and veterans unable to defray the costs of such care. Allows the Secretary of Veterans Affairs to establish plan charges for other veterans. Deems a VA facility to be a Medicare provider for purposes of any program administered by the Secretary of Health and Human Services. Allows for the recovery of certain care and services provided under a VA plan in the case of an individual who has coverage under another plan. Establishes in the Treasury the Department of Veterans Affairs Health Plan Fund to be used for VA health plan payments and services. Preserves existing benefits for VA facilities not operating within a health plan certified under this Act. (Sec. 8102) Directs the Secretary of Veterans Affairs to organize health plans and operate VA facilities as, or within, health plans under this Act. Preempts existing State health plan standards or requirements. Authorizes the Secretary to contract for the provision of services by a VA health plan when cost-effective, or to share resources with other health care plans, providers, or organizations. Authorizes appropriations to the VA for FY 1995 through 1997 for VA health plans under this Subtitle, subject to availability of appropriations. Requires a report from the Secretary to the Congress concerning the operation of the VA health care system within the requirements of this Act. Authorizes the Secretary to accept and use grants for health care services provided to special populations if used by the VA while operating under a VA health plan. Subtitle C: Federal Employees Health Benefits Programs - (Secs. 8202 through 8204) Provides for termination of the Federal Employees Health Benefits Program (FEHB) and treatment of Federal employees, annuitants, and other individuals (including those residing abroad) who would otherwise have been eligible for FEHBP under this Act's health plans. Subtitle D: Indian Health Service - Makes qualifying Indians eligible to enroll in a comprehensive benefits health program of the Indian Health Service. (Sec. 8303) Authorizes appropriations for supplemental Indian health care benefits. (Sec. 8305) Exempts tribal governments and organizations from making employer payments. (Sec. 8306) Sets forth provisions regarding health service to non-enrollees and non-Indians. (Sec. 8311) Requires each health program of the Indian Health Service to establish a comprehensive benefit package fund. (Sec. 8313) Authorizes appropriations for the Indian Health Service programs. Subtitle E: Amendments to the Employee Retirement Income Security Act of 1974 - Amends the Employee Retirement Income Security Act of 1974 (ERISA) to revise and limit the coverage of group health plans under ERISA. Makes certain ERISA provisions inapplicable with respect to State-certified health plans. Provides for an exception from ERISA civil action provisions where review is otherwise available under the Health Security Act (this Act, HSA). (Sec. 8402) Establishes ERISA requirements for expeditious reporting and disclosure applicable to group health plans, through special rules consistent with ERISA and HSA purposes. Excludes plans maintained by regional alliances from treatment as multiple employer welfare arrangements. (Sec. 8403) Revises certain ERISA provisions relating to continuation coverage under group health plans. Repeals such provisions upon implementation of HSA. (Sec. 8404) Makes ERISA standards for group health plans regarding: (1) cases of adoption applicable except to the extent otherwise provided in regulations of the National Health Board under HSA; and (2) coverage of pediatric vaccines inapplicable to a group health plan upon its becoming a corporate alliance health plan under HSA. (Sec. 8405) Requires group health plans under ERISA to comply with HSA requirements relating to health plan claims procedure. Subtitle F: Special Fund for WIC Program - Authorizes appropriations through FY 2000 for the special supplemental food program for women, infants, and children under the Child Nutrition Act of 1966. Title IX: Aggregate Government Payments - Subtitle A: Aggregate State Payments - Sets forth provisions which have formulas for determining each participating State's payment to regional alliances within the State. Provides two different formulas. Establishes one payment formula for non-cash assistance recipients. Establishes another formula relating to cash assistance recipients. Defines a non-cash assistance adult as an individual who is: (1) over 21 years; (2) a U.S. citizen or lawful alien; and (3) is not an AFDC or SSI recipient or a Medicare-eligible individual. (Sec. 9022) Directs the National Health Board to review appropriateness of such payments. Subtitle B: Aggregate Federal Alliance Payments - Sets forth the formula for determining Federal payments to regional alliances for cash assistance recipients. (Sec. 9102) States that this section constitutes budget authority in advance of appropriation Acts and obligates the Federal Government to provide for the payment to regional alliances of a capped Federal alliance payment amount. Defines "capped Federal alliance payment amount." Subtitle C: Borrowing Authority to Cover Cash-flow Shortfalls - Authorizes the Secretary to make available loans to regional alliances to cover any period of temporary cash-flow shortfall attributable to: (1) any estimation discrepancy; (2) a period of temporary cash-flow shortfall attributable to an administrative error; or (3) a period of temporary cash-flow shortfall relating to the relative timing during the year in which amounts are received and payments are required. Sets forth loan terms and conditions. Title X: Coordination of Medical Portion of Workers Compensation and Automobile Insurance - Subtitle A: Workers Compensation Insurance - Requires each health plan that provides services to enrollees through participating providers to make arrangements to provide workers compensation to such enrollees. (Sec. 10002) Requires each workers' compensation carrier that is liable for payment for workers' compensation services furnished by or through a health plan, regardless of whether or not the services are included in the comprehensive benefit package, to make payment for such services. (Sec. 10011) Sets forth requirements for participating States. (Sec. 10031) Authorizes demonstration projects in one or more States with respect to the treatment of work-related injuries and illnesses. Subtitle B: Automobile Insurance - Requires an individual entitled to automobile insurance medical benefits and enrolled in a health plan to receive automobile insurance medical services through the provision of such services by the health plan. (Sec. 10102) Requires each automobile insurance carrier that is liable for payment for automobile insurance medical services furnished by or through a health plan, regardless of whether or not the services are included in the comprehensive benefit package, to make payment for such services. (Sec. 10111) Requires each participating State to develop a fee schedule applicable to payment for automobile insurance medical services for which a fee is not included in the applicable fee schedule. Subtitle C: Commission on Integration of Health Benefits - Establishes the Commission on Integration of Health Benefits which shall study and report on the feasibility and appropriateness of transferring financial responsibility for all medical benefits, including those currently covered by workers compensation and automobile insurance, to health plans. Authorizes appropriations. Subtitle D: Federal Employees' Compensation Act - Requires the Federal Employees' Compensation Act to be interpreted and administered consistent with the provisions of subtitle A. Subtitle E: Davis-Bacon Act and Service Contract Act - Amends the Davis-Bacon Act and the Service Contract Act of 1965 to require Health Security Act benefits. Subtitle F: Effective Dates - Sets forth effective date provisions. Title XI: Transitional Insurance Reform - Sets forth transitional provisions concerning: (1) enforcement; (2) preservation of current coverage; (3) restrictions on premium increases during transition; (4) portability requirements; (5) restrictions limiting benefit reductions; and (6) the establishment of the National Transitional Health Insurance Risk Pool.

Public Buildings Reform Act of 1993

United States · United States Congress · 20 November 1993

Public Buildings Reform Act of 1993 - Amends the Public Buildings Act of 1959 (the Act) to require the Administrator of General Services to: (1) submit biennially to the Congress a public buildings plan for the first two fiscal years that begin after the date of submission for such projects relating to the construction, alteration, purchase, or acquisition of public buildings, or the lease of office or storage space that is necessary to carry out the duties of the Administrator under any law; and (2) hold a public hearing and certify in the biennial plan that the hearing was held in the locality of each major project included in the plan. Includes in the biennial plan, with respect to each project: (1) any final report that is required to be prepared pursuant to any applicable Federal law including any environmental assessment or impact statement pursuant to the National Environmental Policy Act of 1969; and (2) a report that indicates the consideration that was given to facts and issues concerning the project and the various alternatives that were raised during the hearing or that were otherwise considered. Authorizes the Administrator to include a project in the next biennial plan if such project is included in a biennial plan and the project is not approved in accordance with the Act or if funds are not made available to carry out the project. Prohibits the Administrator from obligating funds that are made available for any project for which approval is required unless the project was included in the biennial plan for the fiscal year and a prospectus for the project was submitted to the Congress. Reduces the ceiling on appropriations from $1.5 million to $1 million for the General Services Administration (GSA), without congressional approval, to construct, alter, purchase, or acquire any building to be used as a public building, or to lease any space at an average annual rental for public purpose use. Prohibits, without prior approval, the use of funds to: (1) alter a public building if the aggregate cost of such alteration exceeds the ceiling over a five-year period; or (2) lease space within a public building if the aggregate cost of the leased space annually exceeds the ceiling. Authorizes the Administrator to submit to specified congressional committees a written request for authority to carry out an emergency project if the Administrator determines that an overriding economic or safety interest requires such authority and it cannot be obtained in a timely manner through the biennial planning process. Requires a specific Act of the Congress before such emergency project can be carried out. Repeals provisions authorizing the Administrator to increase the estimated maximum cost of any project set forth in any prospectus that has been transmitted to the Congress. Authorizes the Administrator to: (1) include in a biennial public building plan a prospectus for the funding of an authorized uncompleted public building project; and (2) use the results of the continuing investigation and survey required by the Act to establish a central repository for Federal asset management information. Requires the Administrator to designate an official to act as ombudsman within the Public Building Service of the GSA. Requires the Director of the Office of Management and Budget to: (1) report to the Congress on ending GSA monopoly with respect to providing office and storage space for Federal agencies, including whether the ending of the monopoly is necessary and would be cost-effective; and (2) submit a plan for ending the monopoly, along with recommendations to implement the plan, if the report determines that it is feasible and desirable to do so. Requires: (1) each Federal agency to review and report to the Congress on the agency's long-term housing needs and to attempt to reduce such needs; and (2) the Administrator to designate two account managers for each agency to assist the agency in carrying out the review and to assist the Administrator in preparing uniform standards for housing needs for Federal executive agencies and establishments in the judicial branch. Directs each Federal agency, by the end of the third fiscal year that begins after the enactment of this Act, to reduce by at least five percent: (1) the aggregate office and storage space held on the enactment of this Act; or (2) the annual housing costs (including the costs of energy, supplies, furniture, and minor repairs) of the agency as compared to the housing costs of the agency for the fiscal year during which this Act was enacted.

Energy and Environment Tax Act of 1993

United States · United States Congress · 20 November 1993

TABLE OF CONTENTS: Title I: Incentives for Renewable Energy Resources Title II: Incentives to Promote Energy Conservation Energy and Environment Tax Act of 1993 - Title I: Incentives for Renewable Energy Resources - Amends the Internal Revenue Code to allow a portion of the alcohol fuels credit to offset the tentative minimum tax. Allows the use of energy tax credits when computing the regular tax and the alternative minimum tax. Allows an alcohol fuels credit for the production of biodiesel fuel. Excludes from gross income the alcohol fuels credit attributable to biodiesels and certain ethanol-based ethers. Includes certain small wind turbine equipment as energy property for purposes of the energy credit. Title II: Incentives to Promote Energy Conservation - Allows electric or gas utilities a deduction for energy conservation expenditures. Makes certain trucks, vans, and buses ineligible for the credit for electric vehicle costs. Allows taxpayers primarily engaged in a farming-related business an investment tax credit for a percentage of: (1) the costs of agricultural environmental property; and (2) the amount allowed as a deduction for soil and water conservation expenditures. Extends the existing deduction for the cost of pollution abatement property to plants or property in operation before January 1, 1994. (Current provision only applies to plants or property in operation before January 1, 1976.)

Health Security Act

United States · United States Congress · 20 November 1993

TABLE OF CONTENTS: Title I: Health Care Security Subtitle A: Universal Coverage and Individual Responsibility Subtitle B: Benefits Subtitle C: State Responsibilities Subtitle D: Health Alliances Subtitle E: Health Plans Subtitle F: Federal Responsibilities Subtitle G: Employer Responsibilities Subtitle J (sic): General Definitions; Miscellaneous Provisions Title II: New Benefits Subtitle A: Medicare Outpatient Prescription Drug Benefit Subtitle B: Long-Term Care Title III: Public Health Initiatives Subtitle A: Workforce Priorities Under Federal Payments Subtitle B: Academic Health Centers Subtitle C: Health Research Initiatives Subtitle D: Core Functions of Public Health Programs; National Initiatives Regarding Preventive Health Subtitle E: Health Services for Medically Underserved Populations Subtitle F: Mental Health; Substance Abuse Subtitle G: Comprehensive School Health Education; School-Related Health Services Subtitle H: Public Health Service Initiative Subtitle I: Coordination With COBRA Continuation Coverage Title IV: Medicare and Medicaid Subtitle A: Medicare and the Alliance System Subtitle B: Savings in Medicare Program Subtitle C: Medicaid Subtitle D: Increase in SSI Personal Needs Allowance Title V: Quality and Consumer Protection Subtitle A: Quality Management and Improvement Subtitle B: Information Systems, Privacy, and Administrative Simplification Subtitle C: Remedies and Enforcement Subtitle D: Medical Malpractice Subtitle E: Fraud and Abuse Subtitle F: McCarran-Ferguson Reform Title VI: Premium Caps; Premium-Based Financing; and Plan Payments Subtitle A: Premium Caps Subtitle B: Premium-Related Financing Subtitle C: Payments to Regional Alliance Health Plans Title VII: Revenue Provisions Subtitle A: Financing Provisions Subtitle B: Tax Treatment of Employer-Provided Health Care Subtitle C: Employment Status Provisions Subtitle D: Tax Treatment of Funding of Retiree Health Benefits Subtitle E: Coordination with COBRA Continuing Care Provisions Subtitle F: Tax Treatment of Organizations Providing Health Care Services and Related Organizations Subtitle G: Tax Treatment of Long-term Care Insurance and Services Subtitle H: Tax Incentives for Health Services Providers Subtitle I: Miscellaneous Provisions Title VIII: Health and Health-Related Programs of the Federal Government Subtitle A: Military Health Care Reform Subtitle B: Department of Veterans Affairs Subtitle C: Federal Employees Health Benefits Program Subtitle D: Indian Health Service Subtitle E: Amendments to the Employee Retirement Income Security Act of 1974 Subtitle F: Special Fund for WIC Program Title IX: Aggregate Government Payments to Regional Alliances Subtitle A: Aggregate State Payments Subtitle B: Aggregate Federal Alliance Payments Subtitle C: Borrowing Authority to Cover Cash-Flow Shortfalls Title X: Coordination of Medical Portion of Workers Compensation and Automobile Insurance Subtitle A: Workers Compensation Insurance Subtitle B: Automobile Insurance Subtitle C: Commission on Integration of Health Benefits Subtitle D: Federal Employees' Compensation Act Subtitle E: Davis-Bacon Act and Service Contract Act Subtitle F: Effective Dates Title XI: Transitional Insurance Reform Health Security Act - Title I: Health Care Security - Subtitle A: Universal Courage and Individual Responsibility - Entitles each eligible individual to: (1) the benefit provided under subtitle B through the applicable health plan in which the individual is enrolled; and (2) a health security card to be issued by the alliance or other entity that offers the applicable health plan in which the individual is enrolled. Defines an eligible individual as an individual who resides in the United States and is: (1) a citizen or national of the United States; (2) an alien permanently residing in the U.S. under color of law; or (3) a long-term nonimmigrant. Entitles a Medicare-eligible individual to benefits under Medicare instead of the above provisions of this Act. (Sec. 1002) Requires each eligible individual to enroll in an applicable health plan and pay any required premium. Prohibits disenrollment of an eligible individual until the individual is either enrolled in another plan or in Medicare. (Sec. 1003) States that nothing in this Act shall be construed as prohibiting: (1) an individual from purchasing any health services; (2) an individual from purchasing supplemental insurance; (3) an individual who is not an eligible individual from purchasing health insurance; or (4) employers from providing additional coverage. (Sec. 1004) States that a regional alliance health plan is the applicable plan for a family, unless a family member is eligible for a corporate alliance health plan. Allows military personnel, veterans, and Indians to enroll either with an alliance or with a military, veteran, or Indian plan respectively. (Sec. 1005) Prohibits an undocumented alien from enrolling in a health plan under this Act. (Sec. 1011) Defines a family as an eligible individual's eligible spouse and children. Defines couple as meaning an individual and the individual's spouse. Defines a child as being under age 18, or under age 24 in the case of a full-time student. Subtitle B: Benefits - Includes the following terms and services in the comprehensive benefit package: (1) hospital services; (2) services of health professionals; (3) emergency and ambulatory medical and surgical services; (4) clinical preventive services; (5) mental illness and substance abuse services; (6) family planning services and services for pregnant women; (7) hospice care; (8) home health care; (9) extended care services; (10) ambulance services; (11) outpatient laboratory, radiology, and diagnostic services; (12) outpatient prescription drugs and biologicals; (13) outpatient rehabilitation services; (14) durable medical equipment and prosthetic and orthotic devices; (15) vision care; (16) dental care; (17) health education classes; and (18) investigational treatments. Describes such items and services. (Sec. 1131) Requires each health plan to offer to its enrollees only one of the following cost sharing schedules: (1) lower cost sharing; (2) higher cost sharing; or (3) combination cost sharing. Provides that the annual maximum out-of-pocket expenses for an individual in any of the plans shall be $1500 and for a family the annual maximum shall be $3000. (Sec. 1135) Sets forth a table of copayments and coinsurance. (Sec. 1141) Excludes the following items and services: (1) an item or service that is not medically necessary or appropriate; (2) an item or service that the National Health Board may determine is not medically necessary or appropriate; (3) custodial care, except hospice care; (4) surgery performed solely for cosmetic purposes, unless required to correct a congenital anomaly or performed to correct a part of the body injured by either disease or accident; (5) hearing aids; (6) eyeglasses and contact lenses for individuals at least 18 years of age; (7) in vitro fertilization; (8) sex change surgery and related services; (9) private duty nursing; (10) personal comfort items, except in the case of hospice care; and (11) any dental procedures involving orthodontic care, inlays, gold or platinum fillings, bridges, crowns, pin/post retention, dental implants, surgical periodontal procedures, or the preparation of the mouth for the fitting or continued use of dentures, except as specified. (Sec. 1151) Gives the National Health Board the authority to promulgate such regulations or establish such guidelines as necessary to assure uniformity in the application of the comprehensive benefit package across all health plans. Permits the Board to expand the benefit package. (Sec. 1162) Permits a health professional or facility to refuse to provide a benefit if the professional or facility objects on the basis of a religious belief or moral conviction. Subtitle C: State Responsibilities - Requires a State, in order to be approved as a participating State, to submit a document describing the State's health care system. (Sec. 1201) Requires a participating State to: (1) establish one or more regional alliances; (2) establish and publish the criteria used in the certification of its health plan; (3) meet minimum financial solvency requirements for health plans established by the National Health Board; (4) designate an agency or official to coordinate State responsibilities under this Act; (5) conform State laws to meet the requirements of title X of this Act with respect to workers' compensation and automobile insurance; and (6) carry out all the responsibilities of a participating State specified in this Act. (Sec. 1221) Permits a State, with the Board's approval, to operate a single-payer system if specified requirements are met. Subtitle D: Health Alliances - Provides for regional alliances and corporate alliances. (Sec. 1302) Requires a regional alliance to be governed by a Board of Directors consisting of: (1) employers, including self-employed individuals; and (2) members who represent individuals purchasing coverage. Requires each regional alliance to establish a provider advisory board consisting of health care providers and professionals. (Sec. 1311) Includes in a corporate alliance an eligible sponsor who is either a large employer (more than 5,000 full-time employees) or a multiemployer plan (a plan with more than 5000 active participants). Excludes: (1) an employer whose primary business is employee leasing; (2) the Federal Government (other than the U.S. Postal Service); and (3) a State or local government. Excludes from corporate alliance eligibility the following classes of individuals: (1) AFDC recipients; (2) SSI recipients; (3) military personnel and families, veterans, and Indians who elect to enroll in specified plans specifically designed for them; and (4) seasonal or temporary employees. (Sec. 1321) Directs each regional alliance to enter into a contract with any State-certified health plan to contract with the alliance for the enrollment under the plan of eligible individuals. (Sec. 1322) Requires each regional alliance to offer a choice of health plans, including at least one fee-for-service plan. (Sec. 1326) Requires each regional alliance to establish and maintain an office of an ombudsman to assist consumers in dealing with problems that arise with health plans and the alliance. (Sec. 1329) Permits a regional alliance to adjust payments to plans or use other financial incentives to encourage health plans to expand into areas that have inadequate health services. (Sec. 1341) Set forth provisions concerning the collection of funds by regional alliances from individuals, employers, and others. (Sec. 1351) Requires each regional alliance to compute a blended plan per capita payment amount for each regional alliance health plan for enrollment in the alliance. (Sec. 1353) Requires each regional alliance to make payments to the Federal Government for academic health centers and graduate medical education. (Sec. 1361) Requires each regional alliance to comply with specified standards relating to the management of finances, maintenance of records, accounting practices, auditing procedures, financial reporting, and employer payments. (Sec. 1371) Provides for a reduction in cost sharing for low-income families. (Sec. 1373) Provides for premium discounts and reduction in liabilities for low-income families. (Sec. 1381) Permits each corporate alliance to: (1) offer coverage under either an appropriate self-insured health plan; or (2) negotiate with a State-certified plan to enter into a contract with the plan. (Sec. 1382) Requires each corporate alliance to provide a choice of health plans, including at least one fee-for-service plan and two health plans that are not fee-for-service plans. (Sec. 1385) Requires each corporate alliance to make an additional contribution towards the enrollment in health plans of the alliance by certain low-wage families. (Sec. 1386) Sets forth provisions relating to corporate alliances concerning: (1) consumer information and marketing; (2) plan and information requirements; (3) management of funds; (4) cost control; (5) payments by corporate alliance employers to corporate alliances; (6) ERISA; (7) disclosure and reserve requirements; (8) trusteeship of insolvent corporate alliance health plans; (9) imposition and collection of periodic assessments on self-insured corporate alliance plans; and (10) payments to the Federal Government by multiemployer corporate alliances for academic health centers and gradual medical education. Subtitle E: Health Plans - Requires a health plan to: (1) be either a self-insured plan (meaning a group health plan as defined by a the Employee Retirement Income Security Act of 1974) or a State-certified plan (meaning a plan certified by a State or the National Health Board); and (2) meet the applicable regulatory requirements. (Sec. 1402) Requires each health plan offered by either a regional or corporate alliance to accept for enrollment every alliance eligible individual, unless the plan has reached its enrollment limit. Prohibits the limit from being imposed on the basis of any personal characteristics of enrollees such as health status, need for health care, age, occupation, or affiliation with any person or entity. Prohibits a plan from: (1) restricting or terminating coverage for any reason, including nonpayment of premiums; (2) cancelling coverage for any eligible individual until that individual is enrolled in another plan; (3) excluding an eligible individual because of an existing medical condition; (4) imposing a waiting period before coverage begins; or (5) imposing a rider that excludes the coverage of particular eligible individuals. Prohibits discrimination by a health plan on the basis of race, national origin, sex, language, socio-economic status, age, disability, health status, or anticipated need for health services. (Sec. 1405) Requires each plan to have a grievance procedure. (Sec. 1421) Permits an entity to offer a supplemental insurance policy if the policy and the entity meet specified requirements. (Sec. 1431) Requires each health plan, with respect to each electing essential community provider located within the plan's service area, to either: (1) enter into a written provider participation agreement; or (2) enter into a written agreement under which the plan will make payment to the provider as specified. Provides a special rule for providers of school health services. Makes the provisions of the proceeding sentence applicable only to health plans offered by a health alliance during the five year period beginning with the first year in which any health plan is offered by the alliance. Directs the Secretary of Health and Human Services to study essential community providers and to make recommendations concerning such providers to the Congress. Provides that such recommendations shall apply unless a joint resolution of disapproval is enacted by the Congress. (Sec. 1441) Requires each health plan to meet specified requirements of title X of this Act with respect to workers' compensation and automobile medical liability services. Subtitle F: Federal Responsibilities - Establishes the National Health Board in the Executive Branch. Directs the President to appoint the Board's seven members. (Sec. 1503) Directs the Board to: (1) interpret the comprehensive benefit package; (2) adjust the delivery of preventive services; (3) take steps to assure that the comprehensive benefit package is available on a uniform national basis; (4) recommend to the President and the Congress appropriate revisions to the package; (5) oversee cost containment requirements; (6) develop and implement eligibility standards; (7) establish a performance based system of quality management; (8) develop and implement standards for a national health information system; (9) establish State requirements and monitor State compliance; (10) establish premium class factors; (11) develop a methodology for the risk-adjustment of premium payments; (12) establish financial requirements for guaranty funds; (13) establish standards for health plan grievance procedures; and (14) report annually to the President and the Congress. (Sec. 1506) Authorizes appropriations for the Board. (Sec. 1511) Requires the Board to approve a State health care system if the system meets the applicable requirements of this Act. Prohibits approval of a State health care system prior to 1996. (Sec. 1512) Provides for sanctions for States failing to meet conditions for compliance. (Sec. 1515) Provides for planning grants to States for implementation assistance. (Sec. 1521) Provides for the Federal assumption of responsibilities in the absence of a State system. Provides for increased premiums of 15 percent during Federal operation of a State system to provide reimbursement for the Federal cost of operating the system. (Sec. 1541) Directs the Board to develop a risk adjustment and reinsurance methodology. Sets forth guidelines for developing such methodology. (Sec. 1543) Directs the Board to establish an advisory committee to provide technical advice and recommendations regarding the risk adjustment and reinsurance methodology. (Sec. 1551) Directs the Board to establish minimum capital requirements for regional alliance health plans under which at least $500,000 of capital must be maintained for each plan in the area. Permits the Board to require additional capital. (Sec. 1552) Requires the Board to establish standards for guaranty funds established by the States. (Sec. 1571) Sets forth the responsibilities of the Secretary of Health and Human Services. Directs the Secretary to administer and implement all provisions of this Act, except those duties delegated to the Board, any other executive agency, or to any State. (Sec. 1572) Directs the Secretary to appoint an Advisory Council on Breakthrough Drugs that will examine the reasonableness of launch prices of new breakthrough drugs. (Sec. 1581) Provides for the certification of essential community providers. Sets forth the following categories of providers automatically certified (under provisions of the Public Health Service Act): (1) migrant health centers; (2) community health centers; (3) homeless program providers; (4) public housing providers; (5) family planning clinics; and (6) AIDS providers under the Ryan White Act. Includes as automatically certified (under other Acts) following: (1) Indian health programs under the Indian Health Act; and (2) maternal and child health providers and a federally qualified health center or rural health clinic under the Social Security Act. Includes as automatically certified (under provisions of this Act) the following: (1) providers of school health services; and (2) a qualified community practice network. Provides for the setting of standards for additional health providers. (Sec. 1591) Sets forth the responsibilities of the Secretary of Labor. Includes among those responsibilities the following: (1) enforcement requirements applicable to employers; (2) elections to become corporate alliances; (3) temporary assumption of insolvent self-insured corporate alliance health plans; (4) establishment and administration of the Corporate Alliance Health Plan Insolvency Fund; and (5) administering title I of ERISA as it relates to group health plans maintained by corporate alliances. Subtitle G: Employer Responsibilities - Requires employers to provide for the payments required under title VI of this Act. Sets forth other employer responsibilities including: (1) information reporting requirements; (2) requirements relating to new employees; (3) recordkeeping requirements; and (4) antidiscrimination requirements. (Sec. 1606) Prohibits self-funding of cost sharing benefits by regional alliance employers. (Sec. 1607) Requires an employer to make equal employer premium payments to all qualifying employees, if a voluntary premium payment is made. Places a limit on such voluntary employer premium payments. (Sec. 1608) Sets forth an employer's obligation to a qualifying retired beneficiary where the employer, as of October 1, 1993, was providing a threshold payment. (Sec. 1609) Authorizes the Secretary of Labor to impose a civil penalty of up to $10,000 for each violation of this subtitle with respect to each individual. Subtitle J (sic): General Definitions; Miscellaneous Provisions - Sets forth the definitions and rules used in this Act. Subtitle B: Miscellaneous Provisions (sic) - (Sec. 1911) Grants the National Health Board, the Secretary of Health and Human Services, and the Secretary of Labor authority to issue regulations as necessary to permit the timely implementation of this Act. Title II: New Benefits - Subtitle A: Medicare Outpatient Prescription Drug Benefit - (Secs. 2001 through 2005) Amends title XVIII of the Social Security Act to provide for: (1) Medicare coverage of covered outpatient prescription drugs and biologicals as well as home infusion drug therapy services; (2) payment rules and related requirements, such as those pertaining to deductibles, for covered outpatient prescription drugs; (3) manufacturer rebates to the Secretary under Medicare part B for covered outpatient prescription drugs; and (4) determination of the Medicare part B premium attributable to covered outpatient prescription drugs. Subtitle B: Long-Term Care - Establishes requirements for State plans for home and community-based services to individuals with disabilities. Includes among those requirements the following: (1) a prohibition of limiting eligibility of individuals with disabilities based on income, age, geography, severity of disability, residential setting, or other grounds specified by the Secretary; (2) a requirement to serve low-income individuals; (3) a requirement to specify how Federal and State funds will be managed; (4) quality assurance requirements; and (5) reporting requirements. Requires a State to consult with individuals and groups of individuals with disabilities when developing the plan in order to have the plan approved. (Sec. 2103) Defines "individuals with disabilities" to mean any individual within one or more of the following four categories: (1) individuals requiring help with the activities of daily living; (2) individuals with severe cognitive or mental impairment; (3) individuals with severe or profound mental retardation; and (4) severely disabled children. (Sec. 2104) Requires a State plan to specify the services available. Requires each individualized plan to be developed in close consultation with the individual and the individual's family. Prohibits a State plan from covering: (1) room and board; (2) services furnished in a hospital, nursing facility, intermediate care facility for the mentally retarded, or other specified institutional setting; or (3) items or services to the extent coverage is provided for an individual under a health plan or Medicare. (Sec. 2105) Sets forth provisions relating to: (1) cost sharing; (2) quality assurance and safeguards; (3) advisory groups; (4) payments to States; and (5) the total Federal budget for State plans and allotments to States. (Sec. 2301) directs the Secretary, with the advice and assistance of the National Long-Term Care Insurance Advisory Council to promulgate regulations as necessary to implement provisions concerning private long-term care insurance. Directs the Secretary to make appointments to such Council. Authorizes appropriations for such Council. (Sec. 2321) Directs the Secretary, after considering the Council's recommendations to promulgate regulations designed to: (1) standardize formats and terminology used in long-term care policies; (2) require insurers to provide information to customers on the range of public and private long-term care coverage available; and (3) establish other requirements promoting consumer understanding of benefits. (Sec. 2322) Directs the Secretary to promulgate regulations establishing requirements with respect to the terms of and benefits under long-term care policies, which shall include the following requirements that the policy may not: (1) limit coverage based on a preexisting condition, subject to an exception for a six month period; (2) condition eligibility for benefits based on the need or receipt of any other service; (3) condition eligibility for any benefit on any particular diagnosis; (4) condition eligibility for benefits by providers on compliance with requirements not required by State or Federal law; and (5) condition coverage of any service by a provider on the provision of such service at a higher level of care than required by the insured individual. Prohibits discrimination by diagnosis in the treatment of: (1) Alzheimer's disease; (2) any organic or inorganic mental illness; (3) mental retardation or any other cognitive or mental impairment; or (4) HIV infection or AIDS. Sets forth other requirements for such policies, including requirements related to: (1) premiums; (2) sales practices; (3) continuation, renewal, replacement, conversion, and cancellation of policies; and (4) payment of benefits. (Sec. 2342) Provides for grants to States to enforce the Federal standards concerning long-term care policies. Sets forth requirements for receiving such grants. Authorizes appropriations. Prohibits the sale of a long-term care policy in a State without a regulatory program. (Sec. 2361) Authorizes the Secretary to make grants for the development and implementation of long-term care information, counseling, and other programs to: (1) States; (2) regional alliances (at the option of States within which such alliances are located; and (3) national organizations representing insurance consumers, long-term care providers, and insurers. Authorizes appropriations for such grants. (Sec. 2601) Authorizes the Secretary to conduct a demonstration program to test the effectiveness of various approaches to financing and providing integrated acute and long-term care services for the chronically ill and disabled. Sets forth the services and benefits to be provided, including: (1) all benefits of the comprehensive benefit package provided under title I of this Act; (2) transitional benefits, including assessment and home care; (3) long-term care benefits, including adult day care, home-delivered meals, and nursing facility services in specialized care units; and (4) habilitation services. Permits any of the following to be eligible for such services under criteria to be established by the Secretary: (1) individuals with disabilities under a State program; (2) individuals entitled to benefits under the Medicare program; and (3) individuals entitled to Medicaid and who are also either entitled to Medicare or Supplemental Security Income benefits. Requires reports to the Congress on the demonstration program. Title III: Public Health Initiatives - Subtitle A: Workforce Priorities Under Federal Payments - Establishes within the Department of Health and Human Services the National Council on Graduate Medical Education. Directs the National Council to designate for each academic year the number of individuals nationwide who are authorized to be enrolled in each specified approval physician training program for each medical specialty. Sets forth provisions specifying: (1) Federal formula payments to approved physician training programs; (2) application for payments; and (3) amount of payments. (Sec. 3061) Directs the Secretary to carry out a program with respect to graduate nurse training programs that is equivalent to the program for approved physician training programs. Establishes a National Council on Graduate Nurse Education. (Sec. 3071) Authorizes appropriations for the following programs: (1) primary care physician and physician assistant training; (2) training of underrepresented minorities and disadvantaged persons; and (3) nurse training. (Sec. 3072) Authorizes appropriations for the following programs: (1) a program of skill upgrading and occupational retraining for health care workers; (2) a demonstration program to assist workers in health care institutions in obtaining advanced career positions; (3) a program to develop and operate health-worker job banks in local employment services agencies, subject to certain conditions; (4) a program to provide joint labor-management decision-making in the health care sector on workplace matters related to the restructuring of the health care delivery system of this Act; and (5) a program to facilitate the comprehensive workforce adjustment initiative. (Sec. 3073) Directs the Secretary of Health and Human Services and the Secretary of Labor to jointly establish the National Institute for Health Care Workforce Development. States that the Director of the Institute shall make recommendations to the Secretaries regarding: (1) the supply of health care workers; (2) the impact of this Act; and (3) the development and implementation of high-performance, high-quality health care delivery systems. Directs the Secretaries to establish an advisory board to assist in the development of such recommendations. Subtitle B: Academic Health Centers - Directs the Secretary to make payments to a qualified academic health center or qualified teaching hospital in order to assist such eligible institutions with costs that are not routinely incurred by other entities in providing health services, but are incurred by such institutions by virtue of the academic nature of such institutions. States that such costs include: (1) costs resulting from reduced staff productivity due to teaching responsibilities; (2) the uncompensated costs of clinical research; and (3) exceptional costs associated with an institutions specialized expertise. Provides that the funding for such payments will come from transfers from the Federal Hospital Insurance Trust Fund, payments made by regional alliances to the Federal government for academic health centers and graduate medical education, and payments from corporate alliances. (Sec. 3131) Provides for the access of regional and corporate alliance patients to academic health centers. Subtitle C: Health Research Initiatives - Amends the Public Health Service Act to ensure that the National Institutes of Health conducts and supports biomedical and behavioral research on promoting health and preventing diseases, disorders, and other health conditions. Provides for health services research. Authorizes appropriations for such research. Subtitle D: Core Functions of Public Health Programs; National Initiatives Regarding Preventive Health - Authorizes appropriations for the core functions of public health programs and national initiatives regarding health promotion and disease prevention. (Sec. 3312) Authorizes the Secretary to make grants to States to carry out one or more of the following core functions: (1) data collection; (2) activities to protect the environment and to assure the safety of housing, workplaces, and food and water; (3) investigation and control of adverse health conditions; (4) public information and education programs to reduce risks to health such as use of tobacco, alcohol, and drugs, sexual activities that increase the risk of HIV transmission and other sexually transmitted diseases, poor diet, physical inactivity, and low childhood immunization levels; (5) accountability and quality assurance activities; (6) provision of public health laboratory services to complement private clinical laboratory services that screen for diseases and conditions; (7) training and education to assure provision of care by all health professionals; and (8) leadership policy development and administrative activities. (Sec. 3331) Authorizes the Secretary to make grants to agencies of State or local government, private nonprofit organizations, and coalitions that link two or more of these groups for the purpose of carrying out projects to develop and implement innovative community-based strategies to provide for health promotion and disease prevention activities for which there is a significant need. Subtitle E: Health Services for Medically Underserved Populations - Directs the Secretary to make grants to migrant health centers and community health centers, which shall be in addition to other funds available to such centers. Authorizes appropriations. (Sec. 3412) Authorizes appropriations for: (1) grants and contracts for the development of qualified community health plans and practice networks; and (2) loans and guaranteeing the principal and interest to Federal and non-Federal lenders on behalf of public and private entities for the capital costs of developing qualified community health plans and practice networks. (Sec. 3461) Authorizes the Secretary to make grants and enter into contracts with qualified community health groups to provide enabling services such as transportation, community and patient outreach, patient education, and translation services in order to increase the capacity of individuals to utilize the items and services under title I of this Act. Authorizes appropriations. (Sec. 3471) Authorizes appropriations for: (1) the National Health Service Corps; and (2) such amounts as are necessary to ensure that at least 20 percent of participants in the Scholarship Program or the Loan Repayment Program of the Corps are nurses. (Sec. 3481) Entitles a hospital with a low-income utilization rate in a base year of at least 25 percent to a payment as specified. Requires 75 percent of the total available to be allocated to hospitals for low-income assistance. Requires 25 percent of the total available to be allocated to hospitals for assistance in furnishing inpatient hospital services that are not covered services under title I of this Act. Subtitle F: Mental Health; Substance Abuse - Authorizes appropriations to carry out this part. Provides for grants to: (1) increase access to mental health and substance abuse services; (2) improve State and local capacity to coordinate and monitor such services; (3) provide incentives to integrate public and private service systems; and (4) supplement any activity under part B (Alcohol and Drug Abuse and Mental Services Block Grant) of title XIX of the Public Health Service Act. (Sec. 3503) Authorizes the Secretary to make loans for the capital costs incurred in the development of non-acute, residential treatment centers and community-based ambulatory clinics. (Sec. 3521) Requires the establishment of a pilot program demonstrating the integration of the mental illness and substance abuse services of the States with the services included under title I of this Act. Subtitle G: Comprehensive School Health Education; School-Related Health Services - Authorizes appropriations for the programs of this subtitle. States that the purposes of the programs shall be to: (1) support, in kindergarten through grade 12, the provision of comprehensive health educator programs; (2) establish a national framework within which States can create comprehensive school health education programs that target the health risk behaviors of youth, including tobacco use, alcohol and drug abuse, sexual behaviors resulting in infections, injury prevention, dietary patterns, and sedentary lifestyles; (3) pay the initial costs of planning and establishing such programs; (4) support related Federal demonstrations and training; (5) motivate youth to stay in school, avoid teen pregnancy, and strive for success; (6) improve the knowledge of health education among youth; and (7) further the National Education Goals set forth in title I of the Goals 2000: Educate America Act. Defines "comprehensive school health education program." Requires such programs to be sensitive to cultural and ethnic issues, promote involvement by families, and promote personal responsibility. Sets forth requirements for applying for grants and selection of grantees. Subtitle H: Public Health Service Initiative - Establishes a Public Health Service Initiative consisting of specified amounts authorized to be appropriated for the Initiative. States that: (1) the Initiative includes the programs of subtitles C through G of this title and the programs of subtitle D of title VIII; and (2) amounts appropriated to carry out the Initiative, including subtitles A through F of this title, are available to carry out specific programs for which the amounts are appropriated. Subtitle I: Coordination with COBRA Continuation Coverage - Amends title XXII (Requirements for Certain Group Health Plans for Certain State and Local Employees) of the Public Health Service Act to provide for coordination with COBRA continuation coverage. Repeals such title XXII upon implementation of this Act. Title IV: Medicare and Medicaid - Subtitle A: Medicare and the Alliance System - Amends title XVIII of the Social Security Act to provide for optional State integration of Medicare beneficiaries into regional alliance plans. (Sec. 4002) Allows individuals to elect to remain in certain plans. (Sec. 4003) Provides for payments to regional alliances on behalf of certain Medicare-eligible individuals. (Sec. 4004) Extends protections for working aged and disabled individuals to group health plans of all employers. Repeals the limitation on the period of protection for individuals with end stage renal disease. Prohibits Medicare payment for items and services provided under any health plan under this Act. Simplifies Medicare benefit coordination in cases where the individual is also eligible for benefits under this Act's health plans. (Sec. 4011) Makes various changes concerning eligible organization and Medicare supplemental policy enrollment and comparative informational materials, eligible organization outlier payments, and participating provider point-of-service networks. (Sec. 4022) Provides for expanded Medicare coverage for physician assistant, nurse practitioner, and clinical nurse specialist services. (Sec. 4031) Amends title XI of the Social Security Act to: (1) provide for termination of the separate Medicare peer review program upon adoption of the National Quality Management Program above under subtitle A of title V of this Act; and (2) repeal provisions on surgical procedure review and second opinions. (Sec. 4032) Amends title XVIII of the Social Security Act to provide for mandatory assignment for all Medicare part B services. (Sec. 4033) Directs the Secretary of Health and Human Services to take such steps as may be necessary to consolidate administration of Medicare parts A and B and supersedes certain conflicting requirements to the extent required to achieve such purpose. (Sec. 4035) Prohibits the Secretary from implementing any change in procedures for billing and processing Medicare claims within six months of implementing any previous change. Adds advanced notification to providers as a requirement for carriers and fiscal intermediaries under Medicare. (Sec. 4041) Amends title XI of the Social Security Act to: (1) provide for civil monetary penalties for kickback violations under Medicare and State health care programs (the programs); (2) make other penalty-related changes, including increases in criminal and civil monetary penalties, a new criminal penalty exception for certain providers, additional civil monetary penalty offenses related to alliance systems, and requirements for the deposit of penalties collected into the All-Payer Account established above under title V of this Act; (3) revise exclusion provisions, with changes establishing a minimum period of exclusion for certain individuals and entities subject to permissive exclusion from the programs, and providing for program exclusions based on actions under alliance systems; and (4) modify sanction provisions, with changes removing certain conditions for imposing sanctions and setting specified civil money penalties for use in lieu of authorized sanctions. (Sec. 4042) Amends title XVIII of the Social Security Act to revise the limitations on physician self-referrals. (Sec. 4051) Provides for the termination of payments under Medicare for medical education costs and directs the Secretary to make specified transfers from certain Medicare trust funds to the new accounts established above for funding physician training programs and academic health centers. (Sec. 4061) Amends title XVIII of the Social Security Act to provide for the treatment of: (1) uniformed services and VA health plans as eligible organizations under Medicare; and (2) health care facilities of the Department of Veterans Affairs as providers under Medicare. Subtitle B: Savings in Medicare Program - Amends title XVIII of the Social Security Act to provide for: (1) reductions in the update for inpatient hospital services and the adjustment for indirect medical education costs, in payments for capital-related costs for inpatient hospital services; (2) revisions to payment adjustments for disproportionate share hospitals in States participating under this Act; and (3) an extension of the freeze on updates to routine service costs of skilled nursing facilities. (Sec. 4111) Amends title XVIII of the Social Security Act to provide for: (1) establishment of cumulative expenditure goals for physician services; (2) use of real gross domestic product for volume adjustments; (3) repeal of restrictions on the maximum reduction permitted in default update; (4) reduction in the conversion factor for the physician fee schedule for 1995; (5) place limitations on payment for physicians' services furnished by high-cost hospital medical staffs; (6) requirements for physicians to identify the hospital at which the service was furnished; (7) an increase in practice expense relative value units for certain services while assuring budget neutrality; (8) a study and report to the Congress by the Secretary on a resource-based system for determining practice expense relative value units for each physician's service; (9) an increase in work relative value units for office visits while assuring budget neutrality; (10) a reduction in relative values for office consultations; (11) adjustment of outlier intensity of relative values; (12) changes in underserved area bonus payments; (13) elimination of formula-driven payments for certain outpatient hospital services; (14) copayments for laboratory services; and (15) competitive acquisition procedures for Medicare part B items and services (including clinical diagnostic laboratory tests). (Sec. 4131) Makes changes with respect to: (1) Medicare as secondary payer; (2) payments for health maintenance organizations and competitive medical plans with risk-sharing contracts; and (3) routine cost limits and copayments for, respectively, home health services and visits. (Sec 4135) Directs the Secretary to use a competitive process to contract with centers of excellence for cataract surgery, coronary artery by-pass surgery, and such other services as the Secretary determines to be appropriate. (Sec. 4141) Amends title XVIII of the Social Security Act to revise Medicare part B premium provisions. (Sec. 4151) Requires the Secretary to submit a report to the Congress on the growth in spending under Medicare for FY 2000 through 2003. Subtitle C: Medicaid - Amends title XIX (Medicaid) of the Social Security Act to provide that if a State Medicaid plan provides for payment to regional alliances of the amounts required above it is not required to provide payment for items and services covered under the comprehensive benefit package for alliance eligible individuals and will receive no Federal financial assistance with respect to such items and services. (Sec. 4211) Provides for: (1) spenddown eligibility and increased income and resource disregard for nursing facility residents; and (2) informing such residents about the availability of assistance for home and community-based services. (Sec. 4221) Provides for: (1) treatment of items and services not covered under the comprehensive benefit package; and (2) establishment of a program under Medicare of noncovered items and services for poor children. (Sec. 4231) Discontinues certain payment policies under Medicaid. (Sec. 4241) Limits the frequency of changes in a State's billing and claims processing system, and provides for advance notification to providers of any major billing change. (Sec. 4251) Establishes the Medicaid Commission to study, report, and make recommendations with respect to options involving block grant use, integration of long-term care services, and consolidation of institutional and home- and community-based long-term care in relation to the Medicaid program. Authorizes appropriations. Subtitle D: Increase in SSI Personal Needs Allowance - Amends title XVI (Supplemental Security Income) (SSI) to provide for an increase in the SSI personal needs allowance. Title V: Quality and Consumer Protection - Subtitle A: Quality Management and Improvement - Requires the National Health Board to establish and oversee a performance-based program of quality management and improvement designed to enhance the quality, appropriateness, and effectiveness of heath care services and access to such services which will be called the National Quality Management Program. (Sec. 5002) Establishes the National Quality Management Council which shall: (1) administer the National Quality Management Program; (2) perform any other duty specified in this subtitle; and (3) advise the National Health Board with respect to its duties under this subtitle. Requires the Council to develop a set of national measures of quality performance to be used in the assessment of and the provision of access to health care services. Requires the Council, in addition, to: (1) recommend to the Board establishing goals for performance by health plans and health care providers on a subset of national measures of quality performance; (2) direct the Administrator for Health Care Policy and Research to develop, review, and disseminate practice guidelines to determine how diseases can most effectively be prevented, diagnosed, treated, and managed; and (3) direct the Administrator for Health Care Policy and Research to support research related to a five year priority list of performance measures. (Sec. 5008) Directs the National Health Board to: (1) establish and oversee regional professional foundations to perform such duties as develop lifetime learning programs for health professionals and conduct research on health care quality; and (2) establish the National Quality Consortium to perform such duties as establishing continuing education for health professionals and provide advice on research priorities. (Sec. 5012) Requires each regional alliance and each corporate alliance to: (1) disseminate specified information to consumers; and (2) ensure that performance and quality standards are continually improved. Subtitle B: Information Systems, Privacy, and Administrative Simplification - Directs the National Health Board to develop and implement a health information system, in consultation with Federal agencies, States, employers, health plans, and others, by which the Board shall collect, report, and regulate the collection and dissemination of health care information which shall be used for: (1) health care planning by Federal, State, and local government; (2) establishing and monitoring payments for health services; (3) assessing and improving the quality of health care; (4) managing and containing costs at the alliance and plan levels; and (5) other specified purposes. Requires the establishment of an electronic data network to collect, compile, and transmit information. (Sec. 5120) Sets forth provisions providing for health information privacy standards. (Sec. 5130) Directs the National Health Board to develop the following standard health care benefit forms: (1) an enrollment and disenrollment form; (2) a clinical encounter record; and (3) a claim form. (Sec. 5140) Establishes the National Privacy and Health Data Advisory Council in order to advise the National Health Board with respect to its duties under this subtitle. (Sec. 5141) Sets forth monetary penalties for violating health information system standards. Subtitle C: Remedies and Enforcement - Sets forth provisions with respect to the review of benefit determinations for enrolled individuals, including provisions: (1) regulating the time limits for notice of disposition of a claim; (2) governing a plan's duty to review claim denials; (3) concerning urgent requests for preauthorization; and (4) concerning other time limits with respect to time limits and notice. (Sec. 5202) Requires each State to establish a complaint review office for each regional alliance established by a State. Permits aggrieved individuals to file complaints with the appropriate review office. (Sec. 5205) Provides for a Federal Health Plan Review Board to review the decisions of complaint review office hearing officers. (Sec. 5207) Sets monetary penalties for a plan which unreasonably denies or delays payment or provision of benefits. (Sec. 5211) Directs each State to establish and maintain an Early Resolution Program in each complaint review office. Requires a program to include: (1) forums for mediation disputes; and (2) other forums of alternative dispute resolution as may be prescribed. Establishes guidelines for the eligibility of cases for submission to the Early Resolution Program. States that conclusions of the mediation proceedings shall be treated as nonbinding and shall not affect any rights to review. (Sec. 5231) Sets forth additional remedies and enforcement provisions. Subtitle D: Medical Malpractice - Prohibits any medical malpractice liability action until the final resolution of the claim under alternative dispute resolution. Requires each regional alliance health plan and corporate alliance health plan to adopt at least one specified method of alternative dispute resolution. Prohibits an individual from bringing a medical malpractice liability action unless the individual submits an affidavit that includes a report by a qualified specialist that states that there is a meritorious cause for filing the action. (Sec. 5311) Directs the Secretary to establish: (1) a project to demonstrate whether substituting liability for medical malpractice on the part of the health plan in which a physician participates for the personal liability of the physician will result in improvements in the quality of care, reductions in defense medical practices, and better risk management; (2) a pilot program under which the Secretary provides funds to one or more eligible States to determine the effect of applying practice guidelines in the resolution of medical malpractice liability actions. Subtitle E: Fraud and Abuse - Directs the Secretary and the Attorney General to establish a program: (1) to coordinate the functions of the Attorney General, the Secretary, and other organizations with respect to the prevention, detection, and control of health care fraud and abuse; (2) to conduct investigations, audits, evaluations, and inspections relating to the delivery of and payment for health care; and (3) to facilitate the enforcement of this and other statutes applicable to health care fraud. (Sec. 5402) Creates, in the Treasury, the All-Payer Health Care Fraud and Abuse Control Account which shall consist of: (1) gifts and bequests; (2) administrative penalties and assessments and portions of civil monetary penalties imposed under provisions of the Social Security Act; (3) all criminal fines imposed in cases involving a Federal health care offense; (4) penalties imposed under the False Claims Act involving claims related to the provision of health care items and services; and (5) amounts resulting from the forfeiture of property by reason of Federal health care offense. States that amounts in the fund may be used to cover costs incurred in operating the Program. (Sec. 5411) Excludes from participation in any health plan any individual or entity excluded from participation in a public program under provisions of the Social Security Act. (Sec. 5413) Sets forth physician self-referral limitations. (Sec. 5431) Amends the Federal criminal code to set penalties for knowingly executing a scheme or artifice to: (1) defraud any health alliance, health plan, or other person (alliance) in connection with the delivery of, or payment for, health care benefits, items, or services (benefits); and (2) obtain, by false or fraudulent means, money or property owned by, or under the custody of control of, any such alliance in connection with the delivery of, or payment for, health care benefits. (Sec. 5432) Amends: (1) the Federal criminal code to require the court, in imposing sentence on a person convicted of a Federal health care offense that poses a serious threat to the health of any person or has a significant detrimental impact on the health care system, to order such person to forfeit property used in the commission of the offense or that constitutes, or is derived from, proceeds traceable to the commission of the offense which is of a value proportionate to the seriousness of the offense; and (2) the Federal judicial code to require that all proceeds of forfeiture relating to Federal health care offenses be deposited into the Department of Justice Assets Forfeiture Fund. (Sec. 5433) Amends the Federal criminal code to set penalties for: (1) knowingly and willfully falsifying, concealing, or covering up a material fact, making any false, fictitious, or fraudulent statements or representations, or making or using any false writing or document knowing it to contain any false, fictitious, or fraudulent statement or entry, in any matter involving a health alliance or health plan; and (2) bribery of, and graft by, a health care official. (Sec. 5435) Authorizes: (1) the Attorney General to commence a civil action in Federal court to enjoin a Federal health care offense; and (2) a person privy to certain grand jury information concerning a health law violation to disclose that information to an attorney for the Government to use in any civil proceeding related to a Federal health care offense. (Sec. 5437) Sets penalties for: (1) theft or embezzlement in connection with a health alliance, health plan, or fund connected with such alliance or plan; and (2) misuse of a health security card issued, or unique identifier provided, pursuant to this Act. (Sec. 5441) Makes provisions of the Civil False Claims Act applicable to the use of false records or statements made to a health plan. Includes within the definition of "claim" for purposes of such Act any request or demand for money or property which is made or presented to a health plan. Subtitle F: McCarran-Ferguson Reform - Amends the McCarran-Ferguson Act to repeal the exemption under specified antitrust laws for the business of insurance to the extent that such business relates to the provision of health benefits. Title VI: Premium Caps; Premium-Based Financing; and Plan Payments - Subtitle A: Premium Caps - Sets forth provisions which provide for the computation of factors that limit the growth of premiums for the comprehensive benefit package in regional alliance health plans, including the computation of a: (1) regional alliance inflation factor; and (2) general health care inflation factor. (Sec. 6002) Directs the Board to determine: (1) a national per capita baseline premium target; (2) the national average per capita current coverage health expenditures; and (3) current health care expenditures. (Sec. 6003) Directs the Board to determine a regional alliance per capita premium. (Sec. 6004) Requires a regional alliance to annually obtain premium bids from each plan seeking to participate as a regional alliance health plan with respect to the alliance. (Sec. 6005) Permits any participating State to assume responsibility for containment of health care expenditures in the State consistent with this Act. (Sec. 6006) Directs the chair of the Board to establish an advisory commission on regional variations in health expenditures. Requires the commission to examine methods of eliminating variation in regional alliance per capita premium targets due to variation in practice patterns, not due to other factors. Requires the Board to submit its recommendations to the Congress. Requires such recommendations to apply unless a joint resolution of disapproval is passed. (Sec. 6011) Subjects each noncomplying regional alliance health plan for a year to a reduction in plan payment as specified, in order to assure that payments to regional alliance health plans by a regional alliance are consistent. Defines a noncomplying plan to include a plan in which the final accepted bid exceeds the maximum complying bid for the per capita target premium. Defines "maximum complying bid." (Sec. 6021) Directs the Board to develop a methodology for calculating an annual per capita expenditure equivalent for amounts paid for coverage for the comprehensive benefit package within a corporate alliance. (Sec. 6022) Terminates a corporate alliance with two excess years in a three year period. Provides that employers that were corporate alliance employers with respect to a terminated alliance shall become regional alliance employers. Defines an excess year as one in which the rate of increase for the corporate alliance exceeds the national corporate inflation factor. Defines rate of increase and national corporate inflation factor. (Sec. 6031) Sets forth special rules for a single-payer State. (Sec. 6041) Directs the Secretary to establish a program to monitor prices and expenditures in the U.S. health care system. Subtitle B: Premium-Related Financings - Makes each family enrolled in a regional health alliance plan or in a corporate alliance health plan in a class of family enrollment responsible for payment of the family share of premium payable for enrollment. Provides for income related discounts and specified credits. (Sec. 6102) Establishes the formula for determining the premiums. (Sec. 6111) Provides for the repayment of credit by certain families. (Sec. 6114) Provides for the special treatment of certain retirees and qualified spouses and children. (Sec. 6121) Requires each regional alliance employer to pay a monthly premium to the regional alliance for a qualifying employee. Sets forth provisions for determining such premium. Varies the premium depending upon such factors as the employer's size and average wages paid. (Sec. 6126) Sets forth provisions applicable to self-employed individuals. (Sec. 6131) Sets forth provisions for determining the corporate employer premium. Subtitle C: Payments to Regional Alliance Health Plans - Sets forth provisions to determine the computation of: (1) the blended plan per capita payment amount; and (2) the plan bid, AFDC, and SSI proportions. Title VII: Revenue Provisions - Subtitle A: Financing Provisions - Amends the Internal Revenue Code to increase the excise taxes on cigarettes and other tobacco products. (Sec. 7113) Imposes an excise tax on the manufacture or importation of roll-your-own tobacco. (Sec. 7121) Imposes an assessment on each corporate alliance employer and a temporary assessment on employers with retiree health benefit costs. Requires such assessments to be paid in the same manner as employment taxes. (Sec. 7131) Provides for the recapture of certain health care subsidies received by high-income individuals. Transfers such amounts to the Supplemental Medical Insurance Trust Fund. (Sec. 7141) Requires certain shareholders of S corporations and limited partners who materially participate in corporate activities to include their share of income or loss from such corporation when determining net earnings from self-employment. (Sec. 7142) Provides for extending Medicare coverage and applying the hospital insurance tax to all State and local government employees. Subtitle B: Tax Treatment of Employer-Provided Health Care - Provides exceptions to the exclusion of employer-provided contributions to an accident or health plan from the gross income of an employee. (Sec. 7202) Prohibits the provision of health benefit under cafeteria plans. (Sec. 7203) Makes permanent the deduction for health insurance costs of self-employed individuals. Increases such deduction to 100 percent of the basic coverage purchased from a health alliance with limitations. Subtitle C: Employment Status Provisions - Requires the Secretary of the Treasury to prescribe regulations defining an employee for employment tax purposes. (Sec. 7302) Increases the penalty for failure to file correct returns involving payments for services. (Sec. 7303) Sets forth rules to limit retroactive employment tax reclassifications. Subtitle D: Tax Treatment of Funding of Retiree Health Benefits - Requires additional reserves for post-retirement medical and life insurance benefits to cover not less than ten years of the working lives of covered employees and to be maintained as separate accounts. (Sec. 7402) Terminates the authority of pension plans to maintain health benefits accounts. Subtitle E: Coordination with COBRA Continuing Care Provisions - Repeals provisions concerning continuation coverage requirements of group health plans upon implementation of this Act. Subtitle F: Tax Treatment of Organizations Providing Health Care Services and Related Organizations - Provides for the tax treatment of charitable organizations providing health care services, insurance provided by health maintenance organizations, and certain private foundations. (Sec. 7602) Sets forth transitional rules for taxing certain organizations providing health insurance and other prepaid health care services as insurance companies other than life insurance companies. (Sec. 7603) Exempts regional alliances from income tax. Subtitle G: Tax Treatment of Long-term Care Insurance and Services - Treats qualified long-term care services as medical care for purposes of the medical expense deduction. (Sec. 7702) Provides for the treatment of long-term care insurance as accident and health insurance. (Sec. 7703) Allows accelerated death benefits under life insurance contracts to be paid to terminally ill individuals. Subtitle H: Tax Incentives for Health Service Providers - Allows a tax credit for certain qualified individuals who provide primary health services full time in a health professional shortage area. (Sec. 7802) Increases the allowable depreciation deduction for expensing certain medical equipment. Subtitle I: Miscellaneous Provisions - Allows a tax credit for the cost of personal assistance services required by an employed individual who for medical reasons is unable to engage in substantial gainful activity. (Sec. 7902) Denies tax-exempt status for private activity bonds of regional alliances, corporate alliances, or guaranty funds established under this Act. Title VIII: Health and Health-Related Programs of the Federal Government - Subtitle A: Military Health Care Reform - Directs the Secretary of Defense to establish one or more uniformed services health plans in order to provide health care services to members of the armed forces on active duty for 30 or more days as well as their covered beneficiaries. Requires conformity of such plans with health plan requirements set forth in this Act. (Sec. 8001b) Allows any such plan to rely upon the use of military health care facilities, supplemented by civilian health care providers or health plans under agreements entered into by the Secretary. Requires at least the items and services in the comprehensive benefit package under this Act to be included in each such plan. Preempts any conflicting State health plan requirements. Provides for plan enrollment, effect of failure to enroll, and choosing between a uniformed services health plan and other available plans. Prohibits the imposition of plan charges to an active-duty member other than subsistence charges, but allows the Secretary to impose limited charges for covered beneficiaries. Establishes in the Department of Defense a financial account for payments received in connection with a uniformed services health plan, allowing such funds to be used only for purposes directly related to the delivery and financing of health care services under this Subtitle. Subtitle B: Department of Veterans Affairs - Allows each veteran who is an eligible individual under this Act and individuals currently enrolled in a health plan under the Civilian Health and Medical Program of the Uniformed Services (CHAMPUS) to be enrolled with a Department of Veterans Affairs (VA) health plan. Requires conformity of such plans with health plan requirements set forth in this Act, with all the items and services of the comprehensive benefit package under this Act included. Allows such plans to offer supplemental health benefits and cost-sharing policies as consistent with this Act. Provides a limitation with regard to veterans enrolled with health plans outside the VA. Prohibits the imposition of any plan enrollment charges upon service-connected disabled veterans, veterans receiving disability compensation from the VA, former prisoners of war, and veterans unable to defray the costs of such care. Allows the Secretary of Veterans Affairs to establish plan charges for other veterans. Deems a VA facility to be a Medicare provider for purposes of any program administered by the Secretary of Health and Human Services. Allows for the recovery of certain care and services provided under a VA plan in the case of an individual who has coverage under another plan. Establishes in the Treasury the Department of Veterans Affairs Health Plan Fund to be used for VA health plan payments and services. Preserves existing benefits for VA facilities not operating within a health plan certified under this Act. (Sec. 8102) Directs the Secretary of Veterans Affairs to organize health plans and operate VA facilities as, or within, health plans under this Act. Preempts existing State health plan standards or requirements. Authorizes the Secretary to contract for the provision of services by a VA health plan when cost-effective, or to share resources with other health care plans, providers, or organizations. Authorizes appropriations to the VA for FY 1995 through 1997 for VA health plans under this Subtitle, subject to availability of appropriations. Requires a report from the Secretary to the Congress concerning the operation of the VA health care system within the requirements of this Act. Authorizes the Secretary to accept and use grants for health care services provided to special populations if used by the VA while operating under a VA health plan. Subtitle C: Federal Employees Health Benefits Programs - (Secs. 8202 through 8204) Provides for termination of the Federal Employees Health Benefits Program (FEHB) and treatment of Federal employees, annuitants, and other individuals (including those residing abroad) who would otherwise have been eligible for FEHBP under this Act's health plans. Subtitle D: Indian Health Service - Makes qualifying Indians eligible to enroll in a comprehensive benefits health program of the Indian Health Service. (Sec. 8303) Authorizes appropriations for supplemental Indian health care benefits. (Sec. 8305) Exempts tribal governments and organizations from making employer payments. (Sec. 8306) Sets forth provisions regarding health service to non-enrollees and non-Indians. (Sec. 8311) Requires each health program of the Indian Health Service to establish a comprehensive benefit package fund. (Sec. 8313) Authorizes appropriations for the Indian Health Service programs. Subtitle E: Amendments to the Employee Retirement Income Security Act of 1974 - Amends the Employee Retirement Income Security Act of 1974 (ERISA) to revise and limit the coverage of group health plans under ERISA. Makes certain ERISA provisions inapplicable with respect to State-certified health plans. Provides for an exception from ERISA civil action provisions where review is otherwise available under the Health Security Act (this Act, HSA). (Sec. 8402) Establishes ERISA requirements for expeditious reporting and disclosure applicable to group health plans, through special rules consistent with ERISA and HSA purposes. Excludes plans maintained by regional alliances from treatment as multiple employer welfare arrangements. (Sec. 8403) Revises certain ERISA provisions relating to continuation coverage under group health plans. Repeals such provisions upon implementation of HSA. (Sec. 8404) Makes ERISA standards for group health plans regarding: (1) cases of adoption applicable except to the extent otherwise provided in regulations of the National Health Board under HSA; and (2) coverage of pediatric vaccines inapplicable to a group health plan upon its becoming a corporate alliance health plan under HSA. (Sec. 8405) Requires group health plans under ERISA to comply with HSA requirements relating to health plan claims procedure. Subtitle F: Special Fund for WIC Program - Authorizes appropriations through FY 2000 for the special supplemental food program for women, infants, and children under the Child Nutrition Act of 1966. Title IX: Aggregate Government Payments - Subtitle A: Aggregate State Payments - Sets forth provisions which have formulas for determining each participating State's payment to regional alliances within the State. Provides two different formulas. Establishes one payment formula for non-cash assistance recipients. Establishes another formula relating to cash assistance recipients. Defines a non-cash assistance adult as an individual who is: (1) over 21 years; (2) a U.S. citizen or lawful alien; and (3) is not an AFDC or SSI recipient or a Medicare-eligible individual. (Sec. 9022) Directs the National Health Board to review appropriateness of such payments. Subtitle B: Aggregate Federal Alliance Payments - Sets forth the formula for determining Federal payments to regional alliances for cash assistance recipients. (Sec. 9102) States that this section constitutes budget authority in advance of appropriation Acts and obligates the Federal Government to provide for the payment to regional alliances of a capped Federal alliance payment amount. Defines "capped Federal alliance payment amount." Subtitle C: Borrowing Authority to Cover Cash-flow Shortfalls - Authorizes the Secretary to make available loans to regional alliances to cover any period of temporary cash-flow shortfall attributable to: (1) any estimation discrepancy; (2) a period of temporary cash-flow shortfall attributable to an administrative error; or (3) a period of temporary cash-flow shortfall relating to the relative timing during the year in which amounts are received and payments are required. Sets forth loan terms and conditions. Title X: Coordination of Medical Portion of Workers Compensation and Automobile Insurance - Subtitle A: Workers Compensation Insurance - Requires each health plan that provides services to enrollees through participating providers to make arrangements to provide workers compensation to such enrollees. (Sec. 10002) Requires each workers' compensation carrier that is liable for payment for workers' compensation services furnished by or through a health plan, regardless of whether or not the services are included in the comprehensive benefit package, to make payment for such services. (Sec. 10011) Sets forth requirements for participating States. (Sec. 10031) Authorizes demonstration projects in one or more States with respect to the treatment of work-related injuries and illnesses. Subtitle B: Automobile Insurance - Requires an individual entitled to automobile insurance medical benefits and enrolled in a health plan to receive automobile insurance medical services through the provision of such services by the health plan. (Sec. 10102) Requires each automobile insurance carrier that is liable for payment for automobile insurance medical services furnished by or through a health plan, regardless of whether or not the services are included in the comprehensive benefit package, to make payment for such services. (Sec. 10111) Requires each participating State to develop a fee schedule applicable to payment for automobile insurance medical services for which a fee is not included in the applicable fee schedule. Subtitle C: Commission on Integration of Health Benefits - Establishes the Commission on Integration of Health Benefits which shall study and report on the feasibility and appropriateness of transferring financial responsibility for all medical benefits, including those currently covered by workers compensation and automobile insurance, to health plans. Authorizes appropriations. Subtitle D: Federal Employees' Compensation Act - Requires the Federal Employees' Compensation Act to be interpreted and administered consistent with the provisions of subtitle A. Subtitle E: Davis-Bacon Act and Service Contract Act - Amends the Davis-Bacon Act and the Service Contract Act of 1965 to require Health Security Act benefits. Subtitle F: Effective Dates - Sets forth effective date provisions. Title XI: Transitional Insurance Reform - Sets forth transitional provisions concerning: (1) enforcement; (2) preservation of current coverage; (3) restrictions on premium increases during transition; (4) portability requirements; (5) restrictions limiting benefit reductions; and (6) the establishment of the National Transitional Health Insurance Risk Pool.

To amend the Federal Water Pollution Control Act to authorize the Administrator of the Environmental Protection Agency to issue a discharge permit that modifies the total suspended solids and biochemical oxygen demand requirements with respect to the discharge of waste water effluent into the ocean from certain publicly owned treatment works if a water reclamation program is being implemented, and for other purposes.

United States · United States Congress · 20 November 1993

Amends the Federal Water Pollution Control Act to authorize the Administrator of the Environmental Protection Agency, with the concurrence of a State, to issue a discharge permit that modifies certain requirements with respect to total suspended solids and biochemical oxygen demand in the effluent discharged from a publicly owned treatment works into open coastal marine waters if the applicant demonstrates that: (1) such discharge is at a depth exceeding 300 feet and meets all other requirements with regard to impacts on the marine environment; (2) the effluent has received chemically enhanced primary treatment and meets all State requirements; and (3) the applicant is implementing a water reclamation and reuse program that will result in a steady reduction in the equivalent concentration of total suspended solids discharged into the marine environment and will be cost-effective and not result in sewer and water rates in the affected service area that are more than two percent of the median family income in such area.

Level of Effort Clean Water Bonus Fund Act of 1993

United States · United States Congress · 19 November 1993

Level of Effort Clean Water Bonus Fund Act of 1993 - Amends the Federal Water Pollution Control Act to require the Administrator of the Environmental Protection Agency to reserve 20 percent of the amounts made available for capitalization grants for State water pollution control revolving funds for making level of effort capitalization grants to eligible States. Requires States that receive level of effort grants to deposit an equal amount into the revolving funds. Makes eligible for such grants States that have deposited more than the required matching amount into the revolving fund or into a non-Federal revolving fund that is subject to requirements similar to those for the State revolving fund. Prohibits States from receiving a grant in an amount greater than 20 percent of the amount of funds reserved.

State Transportation Financing Improvement Act of 1993

United States · United States Congress · 19 November 1993

State Transportation Financing Improvement Act of 1993 - Amends Federal transportation law to authorize a State to establish a transportation revolving investment loan fund to make loans and provide other assistance to public or private entities constructing projects eligible to receive assistance under the surface transportation program. Requires the Secretary of Transportation to establish each fiscal year a schedule for deposits and payments made by or on behalf of a State with respect to the fund. Authorizes a State to use the fund as security for bonds or notes issued to provide capital for the fund. Authorizes a State to loan an amount equal to all or part of the Federal share of a project to a public or private entity constructing: (1) a nontoll facility if loan repayment will be made from a dedicated revenue source, including any excise tax, sales tax, motor vehicle use fees, tax on real property, tax increment financing, or other dedicated revenue sources; or (2) a toll project. Requires the public or private entity, as a condition of receiving loans or other assistance, to comply with the requirements of this Act, the Federal Transit Act, and any Federal environmental laws.

A bill to amend the Internal Revenue Code of 1986 to provide taxpayers engaged in certain agriculture-related activities a credit against income tax for property used to control environmental pollution and for soil and water conservation expenditures.

United States · United States Congress · 19 November 1993

Amends the Internal Revenue Code to allow taxpayers primarily engaged in a farming-related business an investment tax credit for a percentage of: (1) the costs of agricultural environmental property; and (2) the amount allowed as a deduction for soil and water conservation expenditures.

Environmental Flexible Funding Act of 1993

United States · United States Congress · 19 November 1993

Environmental Flexible Funding Act of 1993 - Directs the Administrator of the Environmental Protection Agency to establish an environmental medium grant program to authorize consolidated grants to States (in lieu of individual grants under Federal environmental laws) to fund programs relating to pollution prevention, control, and abatement and related environmental activities. Authorizes a State, in carrying out a consolidated grant program, to exercise the authorities it would otherwise exercise under an individual grant program. Requires grants to be awarded to address the pollution prevention, control, and abatement problems and related environmental problems of one area of environmental concern on a statewide basis in accordance with a priority work plan developed by the State. Limits a consolidated grant to the amount that would otherwise be awarded under individual grant program authorities. Requires States to pay 50 percent of program costs. Authorizes the Administrator to reduce or disapprove a grant based on a State's failure to make satisfactory progress in achieving performance measures. Directs the Administrator to establish a multi-media environmental grant program to assist States in designing and carrying out pollution prevention, control, and abatement programs and related environmental programs that affect two or more areas of environmental concern. Applies the same cost-sharing and progress conditions to such grants as are applicable to medium grants. Authorizes the Administrator, on the request of a State Governor, to transfer up to 20 percent of the amount that would otherwise be awarded to the State pursuant to individual grant authorities or grant authorities under this Act and award the funds as a supplemental amount subject to the same requirements of such grants.

Environmental Professionals Training and Certification Act of 1993

United States · United States Congress · 19 November 1993

Environmental Professionals Training and Certification Act of 1993 - Directs the Administrator of the Environmental Protection Agency to: (1) establish an Environmental Certification Board; and (2) issue regulations, based on the Board's recommendations, that establish minimum standards regulating environmental training and certification organizations for environmental professionals performing Phase I Environmental Site Assessments. Defines a "Phase I Environmental Site Assessment" as a process by which a person determines whether a parcel of real property is subject to recognized environmental conditions which indicate the likely presence of a hazardous substance or petroleum product and the likely release into the ground, groundwater, or surface water. Provides for approval of an organization if it meets minimum standards for curriculum, program, facilities, training, and certification methods. Makes such approval valid for up to five years. Bars unapproved organizations from issuing degrees signifying that a recipient is a certified environmental site assessor or qualified to perform a Phase I Environmental Site Assessment. Prescribes civil penalties for such violation. Authorizes appropriations.

Environmentally Advanced Technologies Education Act

United States · United States Congress · 19 November 1993

Environmentally Advanced Technologies Education Act - Requires the Director of the Office of Research and Development of the Environmental Protection Agency to develop and support programs to improve understanding of the relationships between technology and the environment, including information on: (1) relations between economic activity and the environment; and (2) systems which encompass resource extraction or introduction, transformation, consumption, recycling, and disposal, and the energy and resources consumed and the value-yielding results. Requires such programs to include, at a minimum, the development of educational materials and the training of students and educational professionals.

Environmental Technology Research Integration and Coordination Act

United States · United States Congress · 19 November 1993

Environmental Technology Research Integration and Coordination Act - Requires the Director of the Office of Science and Technology Policy to take any action necessary to: (1) ensure the coordinated, interagency promotion of the research, development, and adoption of environmental technologies; and (2) develop priorities for Federal environmental technology research, development, and adoption efforts. Requires the Director to: (1) assess the budget estimate of each relevant Federal agency for consistency with plans, reviews, and priorities on an annual basis; (2) make assessment results available to the Executive Office of the President for use in the preparation of the President's budget; (3) report annually to the Congress on the progress of Federal efforts to advance the research, development, and adoption of environmental technologies; and (4) establish mechanisms to ensure the participation of non-Federal entities. Directs the Administrator of the Environmental Protection Agency (EPA), acting through the EPA Office of Research and Development, to use existing information network capabilities to provide access to data on environmental technologies developed, tested, or verified by programs under this Act and by other appropriate sources. Authorizes the Administrator to enter into partnership agreements ("alliances") with State or local government agencies and other specified entities to: (1) facilitate access to information incorporated in the networks; and (2) transfer to such entities other information that would enhance the development and adoption of environmental technologies. Encourages alliances to disseminate information, and provide technical assistance, to U.S. companies on opportunities for the more efficient use of materials and energy and for waste minimization, materials conversion, and recycling. Authorizes the Administrator to provide financial assistance to alliances under certain conditions. Directs the President to establish a program for evaluating and approving Federal Government purchases of environmental technology products. Requires the Administrator to study and report to the Congress on the effect of current environmental regulations upon innovation in environmental technologies and the introduction of new environmental products, including actions that could be taken to increase the regulatory incentives for industrial use of new environmental technologies. Directs the President to study the potential for efficiently encouraging the development and use of environmental technologies through tax incentives.

Smoke-Free Environment Act of 1993

United States · United States Congress · 18 November 1993

Smoke-Free Environment Act of 1993 - Amends the Toxic Substances Control Act to require the responsible entity for each public facility to adopt a uniform indoor air policy that meets the requirements of this Act. Defines a "public facility" as a building regularly entered by ten or more individuals at least one day per week, including a building owned by or leased to a Federal, State, or local governmental entity and excluding a building regularly used for residential purposes. Requires such policy to: (1) prohibit the emission of environmental tobacco smoke within the facility and on facility property within the immediate vicinity of the facility's entrance; and (2) provide for the posting of a notice of such prohibition in visible locations at the facility. Permits such policy to provide an exception to the prohibition for specially designated smoking areas within a facility if: (1) the areas are ventilated to ensure that air is directly exhausted to the outside and does not recirculate or drift to other areas within the facility; and (2) nonsmoking individuals do not have to enter such areas for any purpose. Authorizes waivers from compliance with this Act if a facility is subject to unusual and extenuating circumstances. Limits waivers to one-year periods. Prescribes civil penalties for violations of this Act.

Municipal Wastewater Treatment Facility Private Investment Act of 1993

United States · United States Congress · 18 November 1993

Municipal Wastewater Treatment Facility Private Investment Act of 1993 - Amends the Federal Water Pollution Control Act to include in the regulation of wastewater treatment works (WTWs) under such Act WTWs which are: (1) constructed and owned by a State or municipality; (2) constructed and owned by a State or municipality where ownership has been transferred to a private regulated utility or an entity under contract with the State or municipality to receive municipal wastewater; or (3) owned or operated by a private regulated utility or an entity under contract with the State or municipality to receive municipal wastewater.

Environmental Protection Encouragement Act of 1993

United States · United States Congress · 18 November 1993

Environmental Protection Encouragement Act of 1993 - Amends the Internal Revenue Code to allow the expensing of the cost of environmental improvement property.

Shoreline Erosion Control Demonstration Act of 1993

United States · United States Congress · 18 November 1993

Shoreline Erosion Control Demonstration Act of 1993 - Directs the Secretary of the Army, acting through the Chief of Engineers, to establish and conduct a national shoreline erosion control development and demonstration program for eight years after funds are made available for such program. Outlines provisions concerning program requirements, including the development of innovative and cost effective technologies for shoreline protection. Allows such program projects to be undertaken at publicly or privately owned sites on open coast or sheltered waters. Provides selection criteria and requires an annual and final report to specified congressional committees.

Antarctic Environmental Protection Act of 1993

United States · United States Congress · 18 November 1993

Antarctic Environmental Protection Act of 1993 - Declares that the purpose of this Act is to provide legislative authority to implement the Protocol on Environmental Protection to the Antarctic Treaty. (Sec. 4) Makes it unlawful for any person to: (1) engage in or provide assistance to any Antarctic mineral resource activity; (2) receive, transport, offer for sale, sell, purchase, import, or export, or have custody or control of any Antarctic mineral resource which that person should have known was recovered as a result of Antarctic mineral resource activity; (3) introduce any prohibited product onto land or ice shelves or into water in Antarctica; (4) dispose of any waste onto ice-free land areas or into fresh water systems in Antarctica; (5) dispose of any prohibited waste in Antarctica; (6) engage in open burning of waste in Antarctica after March 1, 1994; (7) transport passengers to, from, or within Antarctica by any vessel not required to comply with the Act to Prevent Pollution from Ships unless the person has an agreement under which the vessel owner or operator is required to comply with Annex IV to the Protocol; (8) fail to notify all members of the environmental protection obligations of this Act if organizing, sponsoring, operating, or promoting a nongovernmental expedition to Antarctica; (9) damage or remove a historic site or monument; (10) refuse permission to any authorized U.S. employee to board a U.S. vessel, vehicle, or aircraft (or one subject to U.S. jurisdiction) for purposes of searches or inspections in connection with this Act's enforcement, interfere in such searches or inspections, or resist or interfere with a lawful arrest or detention for any prohibited act; or (11) violate any regulation or permit term under this Act or attempt to commit any prohibited act. Makes it unlawful, unless authorized by a permit, to: (1) dispose of any waste in Antarctica, except as authorized under the Act to Prevent Pollution from Ships; (2) introduce into Antarctica any member of a non-native species; (3) enter or engage in activities within any Antarctica specially protected area; (4) engage in any taking or harmful interference in Antarctica; or (5) receive, transport, offer for sale, sell, purchase, import, export or have custody or control of any native bird, mammal, or plant which the person should have known was taken in violation of this Act. Makes exceptions to specified prohibited acts in emergency circumstances. (Sec. 5) Authorizes the Director of the National Science Foundation to issue permits for specified activities and to establish application fees. Lists conditions for certain activities and requirements for regulations to implement the Protocol. (Sec. 7) Applies environmental impact assessment requirements of the National Environmental Policy Act to proposals for Federal agency activities occurring and affecting the quality of the environment in Antarctica. Permits activities determined to have less than a minor or transitory impact on the environment to proceed under specified conditions. Makes environmental impact assessment requirements inapplicable in the case of activities carried out jointly with other governments if the Secretary of State determines that another party to the Protocol is coordinating environmental impact assessment procedures. Requires the Administrator of the Environmental Protection Agency to promulgate regulations to provide for the environmental impact assessment of nongovernmental activities. (Sec. 9) Amends the Act to Prevent Pollution from Ships to apply Annex IV of the Protocol to all vessels over which the United States has jurisdiction, except for warships, naval auxiliary, or other ships owned or operated by the United States when engaged in noncommercial service or other ships specifically excluded by the MARPOL Protocol. (Sec. 10) Requires the Secretary to designate a U.S. officer or employee to be the U.S. representative to the Committee for Environmental Protection under the Protocol. (Sec. 11) Directs the Secretary to conduct inspections at intervals between two and five years of the U.S. Antarctic Program. Requires the inspection team to report on the compliance of the Program with this Act and the Protocol. (Sec. 12) Directs the Department of State to coordinate an interagency study of tourism in Antarctica to determine whether additional measures should be taken with respect to Antarctic tourist activities. (Sec. 14) Sets forth provisions concerning judicial review of regulations and citizen suits. (Sec. 15) Establishes enforcement and penalty procedures. (Sec. 23) Provides that this Act shall prevail over any inconsistent provision of the Deep Seabed Hard Mineral Resources Act. Repeals the Antarctic Conservation Act of 1978 and the Antarctic Protection Act of 1990. Authorizes appropriations.

Environmentally Advanced Technologies Research and Development Act

United States · United States Congress · 18 November 1993

Environmentally Advanced Technologies Research and Development Act - Establishes the Environmental Technology Export Revolving Fund to provide financial assistance for the adaptation and demonstration of U.S. environmental technologies to enhance exports to major international markets.

Municipal Wastewater Treatment Facility Private Investment Act of 1993

United States · United States Congress · 18 November 1993

Municipal Wastewater Treatment Facility Private Investment Act of 1993 - Amends the Federal Water Pollution Control Act to include in the regulation of wastewater treatment works (WTWs) under such Act WTWs which are: (1) constructed and owned by a State or municipality; (2) constructed and owned by a State or municipality where owmnership has been transfered to a private regulated utility or an entity under contract with the State or municipality to receive municipal wastewater; or (3) owned or operated by a private regulated utility or an entity under contract with the State or municipality to receive municipal wastewater.

Environmental Technology Demonstration Act of 1993

United States · United States Congress · 18 November 1993

Environmental Technology Demonstration Act of 1993 - Directs the Administrator of the Environmental Protection Agency to establish a program to demonstrate the performance of environmental technologies at Federal laboratories and other Federal facilities. Makes U.S. companies and small businesses, nonprofit organizations, and institutions of higher education eligible to carry out demonstration projects, as well as other organizations that the Administrator considers appropriate.

To coordinate the life-cycle assessment activities and resources of the Federal Government relating to environmental technologies.

United States · United States Congress · 18 November 1993

Requires the Director of the Office of Science and Technology Policy to coordinate Federal life-cycle assessment activities and resources relating to environmental technologies.

Environmental Excellence Recognition Act of 1993

United States · United States Congress · 18 November 1993

Environmental Excellence Recognition Act of 1993 - Amends the Stevenson-Wydler Technology Innovation Act of 1980 to establish the President's Total Environmental Quality Award. Requires the Secretary of Commerce to establish a process for the acceptance and evaluation of Award applicants using, to the extent practicable, the same procedures and facilities provided for the Malcolm Baldrige Award. Directs the President, based on the Secretary's recommendations, to periodically select companies and other organizations which have benefited the United States through the development and deployment of environmental technologies for receipt of the Award. Establishes a National Environmentally Sound Technology Award for individuals who have pioneered the development and use of a highly innovative environmental technology. Directs the Secretary to receive and evaluate applications for, and provide for presentation of, the Award. Makes U.S. citizens or permanent residents eligible for the Award. Permits up to five of such Awards to be presented annually.

Greener Government Act of 1993

United States · United States Congress · 18 November 1993

Greener Government Act of 1993 - Provides for the incorporation of environmentally sound principles in programs under the Stevenson-Wydler Technology Innovation Act of 1980, the National Institute of Standards and Technology Act, the National Aeronautics and Space Act of 1958, and the National Science Foundation Act of 1950.

A resolution expressing the sense of the Senate concerning the Iraqi Government's campaign against the Marsh Arabs of southern Iraq.

United States · United States Congress · 17 November 1993

Declares that the Federal Government should immediately: (1) raise the issue of Saddam Hussein's campaign against the marsh Arabs in the United Nations Security Council; (2) insist that United Nations weapons inspectors be permitted to conduct on site inspections concerning the possible use by Iraqi troops of chemical weapons; (3) seek to provide humanitarian assistance to persons fleeing from the marshes; and (4) study and report to the Congress concerning the environmental consequences of the destruction of this vast wetlands area.

Providing for the consideration of the bill (H.R. 3425) to redesignate the Environmental Protection Agency as the Department of Environmental Protection, and for other purposes.

United States · United States Congress · 17 November 1993

Sets forth the rule for the consideration of H.R. 3425 (redesignating the Environmental Protection Agency as the Department of Environmental Protection).

National Environmental Policy Act Administrative Reorganization Amendments of 1993

United States · United States Congress · 16 November 1993

National Environmental Policy Act Administrative Reorganization Amendments of 1993 - Amends the National Environmental Policy Act of 1969 (the Act) to replace provisions regarding the Council on Environmental Quality with those establishing an Office of National Environmental Policy (NEPA) Compliance in the Executive Office of the President. Requires the Office to be headed by a Director appointed by the President. Requires the Director to: (1) promulgate regulations governing the implementation of the Act by all Federal agencies; (2) mediate interagency disputes; and (3) monitor Federal agency implementation of the Act and regulations. Amends the Environmental Quality Improvement Act of 1970 to remove provisions regarding the Office of Environmental Quality. Authorizes appropriations for the Office of NEPA Compliance. Transfers certain duties of the Council, including making an annual report on the state of the environment, to the Secretary of the Environment. Authorizes appropriations. Terminates the Council and the Office of Environmental Quality and transfers functions to the Office of NEPA Compliance. Makes existing Council funds available for the Director.

Fiscal Year 1994 Rescission Act

United States · United States Congress · 16 November 1993

Fiscal Year 1994 Rescission Act - Rescinds certain budget authority made to the following entities: (1) the Department of Agriculture; (2) the Department of Commerce; (3) the Department of State; (4) judicial defender services; (5) the Board for International Broadcasting; (6) the United States Information Agency; (7) the Civil Corps of Engineers; (8) the Department of the Interior; (9) the Department of Energy; (10) certain economic assistance funds and military assistance funds appropriated to the President; (11) the Department of the Treasury; (12) the Department of Labor; (13) the Department of Health and Human Services; (14) the Department of Education; (15) the House of Representatives and certain congressional agencies; (16) Department of Defense military construction; (17) the Department of Transportation; (18) the General Services Administration; (19) the Department of Veterans Affairs; (20) the Department of Housing and Urban Development; (21) the Environmental Protection Agency; (22) the Federal Emergency Management Agency; (23) the National Aeronautics and Space Administration; (24) the National Science Foundation; and (25) the National Service Initiative.

To amend the Comprehensive Environmental Response, Compensation, and Liability Act of 1980 with respect to interest on amounts recoverable under that Act.

United States · United States Congress · 15 November 1993

Amends the Comprehensive Environmental Response, Compensation, and Liability Act of 1980 to require interest on amounts recoverable under actions regarding liability for hazardous substance releases to accrue from the later of: (1) the date notice of potential liability is provided by the President (currently, the date payment of a specified amount is demanded in writing); or (2) the date of the expenditure concerned. Requires the rate of interest on the unpaid balance of recoverable amounts to be the same as specified for interest on investments of the Hazardous Substance Superfund, plus three percentage points (currently, the rate of interest is that specified for interest on investments of the Superfund).

COMMUNICATION FROM THE COMMISSION TO THE COUNCIL, THE EUROPEAN PARLIAMENT AND THE ECONOMIC AND SOCIAL COMMITTE - Developing universal service for telecommunications in a competitive environment

European Union · European Commission · 15 November 1993

Innovative Ballast Management Act

United States · United States Congress · 10 November 1993

Innovative Ballast Management Act - Directs the Secretary of Transportation to study, identify, and conduct a demonstration program utilizing ballast water technologies that prevent aquatic nonindigenous species from being introduced and spread through ballast water in the Great Lakes and other U.S. waters. Authorizes appropriations.

To prohibit defense contractors from being reimbursed by the Federal Government for certain environmental response costs.

United States · United States Congress · 9 November 1993

Prohibits defense contractors from being reimbursed by the Government for environmental response costs at facilities owned or operated by the contractor or at which the contractor is liable in whole or part for the environmental response action.

National Environmental Policy Act Administrative Reorganization Amendments of 1993

United States · United States Congress · 9 November 1993

National Environmental Policy Act Administrative Reorganization Amendments of 1993 - Amends the National Environmental Policy Act of 1969 (the Act) to replace provisions regarding the Council on Environmental Quality with those establishing an Office of National Environmental Policy (NEPA) Compliance in the Executive Office of the President. Requires the Office to be headed by a Director appointed by the President. Requires the Director to: (1) promulgate regulations governing the implementation of the Act by all Federal agencies; (2) mediate interagency disputes; (3) monitor Federal agency implementation of the Act and regulations; and (4) perform other functions related to environmental laws, policies, and programs as specified by the President. Amends the Environmental Quality Improvement Act of 1970 to remove provisions regarding the Office of Environmental Quality. Authorizes appropriations for the Office of NEPA Compliance. Transfers certain duties of the Council, including making an annual report on the state of the environment, to the Secretary of the Environment. Authorizes appropriations. Terminates the Council and the Office of Environmental Quality and transfers functions to the Office of NEPA Compliance. Makes existing Council funds available for the Director.

Municipal Solid Waste Flow Control Act of 1993

United States · United States Congress · 8 November 1993

Municipal Solid Waste Flow Control Act of 1993 - Authorizes a State or a political subdivision to which a State has delegated authority, if conditions under this Act are met, to: (1) direct, limit, regulate, or prohibit the movement of municipal solid waste generated or imported within its boundaries; and (2) designate waste management facilities to which such waste shall be transported. Permits States or political subdivisions to exercise such authorities only if: (1) recyclable materials will be removed from the waste through separation at the source or at facilities unless the political subdivision in which the waste is generated is exempt from recycling requirements; and (2) the designated waste management facilities are not in violation of Federal and State environmental laws and regulations. Bars States or political subdivisions from prohibiting persons from selling, conveying, or arranging for the transportation of recyclable materials that have been separated from municipal solid waste.

Wetlands Protection and Management Act

United States · United States Congress · 8 November 1993

Wetlands Protection and Management Act - Prohibits the revision of the 1987 Corps of Engineers Wetlands Delineation Manual before the Committee on Wetlands Characterization of the National Research Council publishes a specified report. Permits revisions afterward if the revisions: (1) take into account the findings and recommendations of the report; and (2) are made after field testing and public notice and comment. Requires wetlands identification and delineation to be carried out through the Manual until revised in accordance with this Act. Directs the Chief of the Soil Conservation Service (SCS), the Administrator of the Environmental Protection Agency, and the Secretaries of the Army and the Interior to issue a memorandum of agreement which sets forth procedures for identifying and delineating wetlands on agricultural lands. Requires the SCS Chief, after the issuance of the memorandum, to carry out such activities on agricultural lands and on non-agricultural lands which are contiguous to, or contained within, agricultural lands. Amends the Federal Water Pollution Control Act to authorize grants to States for wetlands conservation planning. Requires the Secretary of the Army, acting through the Chief of Engineers, to ensure, in issuing permits for the discharge of dredged or fill material into navigable waters, that there is no net loss of wetland acreage, functions, and values. Establishes procedures for the issuance of permits for minor discharges into wetlands. Creates a Small Landowners Assistance Account to provide technical assistance to private landowners to aid in compliance with permit requirements. Authorizes the issuance of general permits on a State or nationwide basis for any category of activities involving discharges of dredged or fill material if the activities are similar in nature and will cause only minimal adverse environmental effects when performed separately and cumulatively. Exempts prior converted cropland (unless abandoned) and certain waters and activities from regulation under dredged and fill permit provisions. Establishes administrative appeal procedures for determinations of regulatory jurisdiction over property, permit issuance or denial, and imposition of administrative penalties. Requires the Administrator to establish compensatory wetlands mitigation guidelines. Provides for mitigation banks (wetlands restoration projects that provide advance mitigation to offset foreseeable wetlands losses from future discharges of dredged or fill material). Establishes wetlands delineator training and certification programs and wetlands education and outreach programs. Includes "wetlands" in the definition of navigable waters. Expresses the sense of the Congress that the Wetlands Reserve Program is an effective program and should be fully funded.

Calling for the United States to amend the London Convention to ban the ocean dumping of low-level radioactive waste, and for other purposes.

United States · United States Congress · 8 November 1993

Expresses the sense of the Congress that the United States should: (1) seek an international agreement to ban the deliberate ocean dumping of low-level radioactive waste and encourage a periodic international scientific review of the environmental impacts of such dumping; and (2) urge all nations to comply with existing and future international agreements prohibiting the deliberate ocean dumping of low- and high-level radioactive waste.

North American Free Trade Agreement Implementation Act

United States · United States Congress · 4 November 1993

TABLE OF CONTENTS: Title I: Approval of, and General Provisions Relating to, the North American Free Trade Agreement Title II: Customs Provisions Title III: Application of Agreement to Sectors and Services Subtitle A: Safeguards Subtitle B: Agriculture Subtitle C: Intellectual Property Subtitle D: Temporary Entry of Business Persons Subtitle E: Standards Subtitle F: Corporate Average Fuel Economy Subtitle G: Government Procurement Title IV: Dispute Settlement in Antidumping and Countervailing Cases Subtitle A: Organizational, Administrative, and Procedural Provisions Regarding the Implementation of the Agreement Subtitle B: Conforming Amendments and Provisions Title V: NAFTA Transitional Adjustment Assistance and Other Provisions Subtitle A: NAFTA Transitional Adjustment Assistance Program Subtitle B: Provisions Relating to Performance Under the Agreement Subtitle C: Funding Subtitle D: Implementation of NAFTA Supplemental Agreements Title VI: Customs Modernization Subtitle A: Improvements in Customs Automation Program Subtitle B: National Customs Automation Program Subtitle C: Miscellaneous Amendments to the Tariff Act of 1930 Subtitle D: Miscellaneous Provisions and Consequential and Conforming Amendments to Other Laws North American Free Trade Agreement Implementation Act - Title I: Approval of, and General Provisions Relating to, the North American Free Trade Agreement - Declares that the Congress, pursuant to the Omnibus Trade and Competitiveness Act of 1988 and the Trade Act of 1974, approves: (1) the North American Free Trade Agreement (NAFTA) entered into on December 17, 1992, with Canada and Mexico and submitted to it on November 4, 1993; and (2) the statement of administrative action proposed to implement the Agreement that was submitted to it on November 4, 1993. Sets forth conditions for entry into force of NAFTA. (Sec. 102) Declares that U.S. laws shall prevail over provisions of NAFTA that conflict. Requires the President to consult with the States in order to achieve conformity of State laws with NAFTA. Requires the United States Trade Representative (USTR) to establish within the Office of the USTR a Federal-State consultation process to address issues relating to NAFTA that directly affect the States. Prohibits any person other than the United States from having a cause of action with respect to NAFTA. (Sec. 105) Authorizes the President to establish within any U.S. agency a U.S. Section of the Secretariat to facilitate the operation of NAFTA. Authorizes appropriations. (Sec. 106) Requires the United States to encourage the selection of individuals with expertise in environmental issues for service on the Chapter 20 panel to hear any challenge to a U.S. or State environmental law. (Sec. 107) Sets forth provisions governing the termination or suspension of NAFTA. (Sec. 108) Declares that the congressional approval of NAFTA may not be construed as applying to any countries other than Canada and Mexico. Sets forth provisions outlining future free trade area negotiations with other foreign countries. Title II: Customs Provisions - Authorizes the President to proclaim such modifications or continuation of any duty, continuation of duty-free or excise treatment, or additional duties as are necessary to carry out specified provisions of NAFTA. (Sec. 201) Requires the President to terminate Mexico's designation as a beneficiary developing country under the Trade Act of 1974 upon entry into force of NAFTA. Prohibits the President from considering a request to accelerate the staging of duty reductions for an article for which the United States tariff phaseout period is more than ten years if such request for such article has been denied in the preceding three years. Authorizes the President to convert the base rate of certain textiles imported from Mexico to an ad valorem rate. (Sec. 202) Sets forth, for purposes of implementing tariff treatment and quantitative restrictions provided in NAFTA, rules of origin with respect to goods from NAFTA countries. (Sec. 203) Defines the term "good subject to NAFTA drawback." Amends the Tariff Act of 1930 to prohibit an article manufactured in a bonded warehouse from materials that are goods subject to NAFTA drawback (refund) from being withdrawn from such warehouse for exportation to a NAFTA country without assessment of a duty on the materials in their condition and quantity, and at their weight, at the time of importation into the United States. Sets forth similar provisions with respect to articles from bonded smelting and refining warehouses. Authorizes merchandise, under specified conditions, to be cleaned, sorted, repacked, or otherwise changed in condition in bonded warehouses and be withdrawn: (1) for export to a NAFTA country if such merchandise consists of goods subject to NAFTA drawback (refund) and certain duties are assessed; and (2) without the payment of duties for export to NAFTA and, in certain cases, non-NAFTA countries. Amends the Foreign Trade Zones Act to provide that, if Canada ceases to be a NAFTA country and the U.S.-Canada Free-Trade Agreement terminates, no article manufactured or otherwise changed in condition (except a change by cleaning, testing, or repacking) shall be exported to Canada without the payment of a duty unless a certain privilege has been requested and no manipulation (change of condition) has occurred. Prohibits merchandise consisting of goods subject to NAFTA drawback that is manufactured or otherwise changed in condition from being exported to a NAFTA country without an assessment of a duty on it. Prohibits the Secretary of the Treasury (Secretary) from, on the condition of export, refunding or reducing fees imposed under the Agricultural Adjustment Act with respect to "goods subject to NAFTA drawback" that are exported to Canada after December 31, 1995, or Mexico after December 31, 2000, for so long as they are NAFTA countries. Declares that none of the amendments made under this Act shall be considered to authorize the refund, waiver, or reduction of countervailing duties or antidumping duties imposed on an imported good. (Sec. 204) Amends the Consolidated Omnibus Budget Reconciliation Act of 1985 to prohibit customs user fees with respect to goods qualifying under the rules of origin from being: (1) charged with respect to goods that qualify to be marked as Canadian goods; and (2) increased after December 31, 1993, and charged after June 29, 1999, with respect to goods that qualify to be marked as Mexican goods. (Sec. 205) Amends the Tariff Act of 1930 to require persons who sign a NAFTA Certificate of Origin for a good for which preferential treatment is claimed to keep and render for inspection all records relating to the origin of the good. Sets forth penalties for violation of such recordkeeping requirements. Sets forth provisions regarding incorrect and false Certificates of Origin. (Sec. 206) Authorizes the United States Customs Service to reliquidate an entry to refund excess duties paid on a good qualifying under the rules of origin under the NAFTA for which no claim for preferential tariff treatment was made or protest filed at the time of importation if the importer, within one year after the importation, files a claim that includes specified information. (Sec. 207) Revises country of origin marking requirements with respect to certain pipe and steel products and manhole rings or frames and covers from NAFTA countries to include continuous paint stenciling, or an equally permanent method of marking, as methods for satisfying such requirements. Sets forth provisions regarding: (1) adverse marking and origin determinations by the U.S. Customs Service; and (2) the judicial review of such determinations. (Sec. 209) Declares the Secretary of Commerce may authorize the U.S. Customs Service to exchange information with any government agency of a NAFTA country provided certain safeguards are met. (Sec. 210) Prohibits duties from being refunded (drawnback) on imported color cathode-ray television picture tubes, including video monitor cathode-ray tubes, when such items are nonoriginating goods and are: (1) exported to a NAFTA country; (2) used as a material in the production of other goods that are exported to a NAFTA country; or (3) substituted for by goods of the same kind and quality used as a material in the production of other goods that are exported to a NAFTA country. (Sec. 211) Requires the U.S. Customs Service to monitor television and picture tube imports for a five-year period. Directs the U.S. Customs Service to make the results of such monitoring, including verification of the rules of origin, available to the President and the USTR. Title III: Application of Agreement to Sectors and Services - Subtitle A: Safeguards - Part 1: Relief From Imports Benefitting From the Agreement - Authorizes an entity, trade association, firm, certified or recognized union, or group of workers that is representative of an industry to file with the International Trade Commission (ITC) a petition requesting the adjustment of U.S. obligations under NAFTA. Requires the ITC to investigate, and make a determination, whether as a result of the reduction or elimination of a duty under NAFTA, a Canadian or Mexican article is being imported in such increased quantities as to constitute a substantial case of serious injury, or except in the case of a Canadian article, a threat of serious injury to a domestic industry producing an article that is like, or directly competitive with, such article. (Sec. 303) Requires the ITC, if it makes an affirmative determination, to recommend to the President the amount of import relief that is necessary to remedy or prevent such injury. (Sec. 308) Amends the United States-Canada Free-Trade Agreement Implementation Act to require the Secretary to decide whether to recommend to the President the imposition of a temporary duty on Canadian fresh fruits and vegetables. (Sec. 309) Requires the Secretary of Agriculture to determine each period of five consecutive business days in which the daily price for frozen concentrated orange juice is less than the trigger price and the first period occurring thereafter of five consecutive business days in which the daily price for frozen concentrated orange juice is greater than the trigger price. Sets forth a formula for determining the rate of duty on certain quantities of imported Mexican articles of frozen concentrated orange juice. Part 2: Relief From Imports From All Countries - Requires the ITC, if it makes an affirmative determination for import relief under the Trade Act of 1974 (or a determination which the President may treat as an affirmative determination under the Tariff Act of 1930), to also find (and report to the President) whether: (1) imports from a NAFTA country, considered individually, account for a substantial share of total imports; and (2) imports from a NAFTA country, considered individually, or, in exceptional circumstances considered collectively, contribute importantly to the serious injury, or threat of serious injury, caused by imports. (Sec. 312) Requires the President, in determining whether to take import relief action under the Trade Act of 1974 with respect to imports from a NAFTA country, to determine whether: (1) imports from such country, considered individually, account for a substantial share of total imports; or (2) imports from such a country, considered individually, or in exceptional circumstances considered collectively, contribute importantly to the serious injury, or threat of serious injury, found by the ITC. Requires the President to take specified actions with respect to such imports. Part 3: General Provisions - Amends the Trade Act of 1974 to authorize an entity representing a domestic industry that produces a citrus product that is like or directly competitive with an imported citrus product to file a request with the USTR for monitoring of such imports. Requires the ITC, upon the filing of a petition alleging import injury and a request for provisional import relief, to make a determination whether increased imports of such citrus products are a substantial cause of serious injury, or threat of serious injury, to the domestic industry producing such product. Defines "citrus product" to mean any processed oranges or grapefruit, or any orange or grapefruit juice, including concentrate. (Sec. 316) Requires the ITC, with respect to expediting an investigation concerning provisional import relief, to monitor, until January 1, 2009, imports of fresh or chilled tomatoes and peppers (other than chili peppers) as if proper requests for such monitoring have been made. (Sec. 317) Requires the ITC to adopt certain rules and procedures with respect to the release of confidential business information under the Tariff Act of 1930 and apply them in import injury investigations under NAFTA. Subtitle B: Agriculture - Amends the Meat Import Act of 1979 to redefine the term "meat articles." Authorizes the President to exclude meat articles originating in a NAFTA country, Canada, or Mexico from quantitative import limitations. (Sec. 321) Requires the President to take such action as may be necessary to ensure that imports of agricultural goods do not disrupt the orderly marketing of commodities in the United States. Declares that nothing in NAFTA reduces or eliminates: (1) any penalty required under the Agricultural Adjustment Act of 1938; or (2) any requirement under Marketing Agreement No. 146, Regulating the Quality of Domestically Produced Peanuts, on peanuts in the domestic market, pursuant to the Agricultural Act of 1949. Amends the Agricultural Adjustment Act of 1938 to express the sense of the Congress that the United States should request consultations in the Working Group on Emergency Action if imports of peanuts exceed the in-quota quantity under a tariff rate quota set out in NAFTA concerning whether: (1) the increased imports of peanuts constitute a substantial cause of, or contribute importantly to, serious injury, or threat of serious injury, to the domestic peanut industry; and (2) recourse under NAFTA or the General Agreement on Tariffs and Trade (GATT). Requires the Secretary of Agriculture to designate an office within the United States Department of Agriculture to be responsible for maintaining and disseminating data accumulated for verifying citrus, fruit, vegetable, and cut flower trade between the United States and Mexico. Requires the Secretary of Agriculture to implement a program requiring that end-use certificates be included in the documentation covering the entry into, or withdrawal from a warehouse for consumption in, the U.S. customs territory of any wheat or barley from a foreign country that requires end-use certificates of U.S. wheat or U.S. barley. Authorizes the Secretary of Agriculture to suspend such requirements when making a determination that the program has resulted in: (1) the reduction of income to U.S. producers of agricultural products; or (2) the reduction of the competitiveness of such U.S. producers in the world export markets. Requires the Secretary of Agriculture to suspend such requirements if a foreign country that requires end-use certificates for U.S. wheat and U.S. barley eliminates the requirement. Amends the Food, Agriculture, Conservation, and Trade Act of 1990 to require the Secretary of Agriculture to grant fellowships to individuals from NAFTA countries to study agriculture in the United States, and individuals in the United States to study agriculture in other NAFTA countries. Authorizes appropriations. Authorizes the Secretary of Agriculture to make grants to public agencies or private organizations with tax-exempt status that have experience in providing emergency services to low-income migrant or seasonal farmworkers if it is determined that implementation of the NAFTA has caused such farmworkers to lose income. Authorizes appropriations. Requires the Secretary of Agriculture to prepare, and submit to specified congressional committees, a biennial report on the effects of the NAFTA on U.S. producers of agricultural commodities and on U.S. rural communities. Subtitle C: Intellectual Property - Amends Federal patent law to extend U.S. intellectual property protections to inventions that are made in other countries by persons who are domiciled in a NAFTA country and serving in any other country in connection with operations by or on behalf of the United States or a NAFTA country. (Sec. 332) Amends the Record Rental Amendment of 1984 to repeal a provision of such Act with respect to rental rights in sound recordings. (Sec. 333) Amends the Trademark Act of 1946 to provide that nothing in such Act shall prevent the registration before enactment of the NAFTA: (1) of a mark which, when used on or in connection with the goods of an applicant for a trademark, is primarily geographically deceptively misdescriptive of them, and which became distinctive of the applicant's goods in commerce; or (2) on the supplemental register of a mark, capable of distinguishing the applicant's goods or services and not registrable on the principal register under such Act, that is declared to be unregistrable, if such mark has been in lawful use in commerce by the owner, on or in connection with any goods or services. (Sec. 334) Amends Federal copyright law to grant copyright protection to motion pictures that are first fixed or published in a NAFTA country, including any work in such pictures, that enter the U.S. public domain and are first published on or after January 1, 1978, and before March 1, 1989, even though certain required notice has not been given. Subtitle D: Temporary Entry of Business Persons - Classifies as nonimmigrants, if otherwise eligible for a visa and admissible into the United States under the Immigration and Nationality Act, any alien trader or investor who is a citizen of Canada or Mexico, including any accompanying spouse and children of such alien. (Sec. 341) Amends the Immigration and Nationality Act to authorize the admittance of aliens who are citizens of Canada or Mexico, including any spouse and children of such alien, into the United States to engage in business activities as professionals. Requires the Attorney General to establish annual numerical limits on such admissions. Prohibits such aliens from being classified as nonimmigrants if there is a strike or lockout in the course of a labor dispute in the applicable occupational classification, unless such aliens establish that their entry will not adversely affect the settlement of such strike or lockout or the employment of any person involved in the strike or lockout. Subtitle E: Standards - Part 1: Standards and Measures - Amends the Trade Agreements Act of 1979 to provide that nothing under such Act shall be construed to: (1) prohibit a Federal or State agency from engaging in activity related to sanitary or phytosanitary measures to protect human, animal, or plant life or health; (2) limit the authority of such agencies to determine the level of protection of human, animal, or plant life or health the agency considers appropriate; (3) prohibit a Federal agency from engaging in activity related to standards-related measures, including any such measure relating to safety, the protection of human, animal, or plant life or health, the environment or consumers; or (4) limit the authority of a Federal agency to determine the level it considers appropriate of safety or the protection of human, animal, or plant life or health, the environment or consumers. Requires the standards information center of the Department of Commerce, among other things, to make available to the public documents and information regarding: (1) general application of sanitary or phytosanitary measures by Federal or State agencies; and (2) participation of Federal and State governments and nongovernmental bodies in international and regional standardizing bodies and conformity assessment systems, and in bilateral and multilateral arrangements regarding standards-related measures. Part 2: Agricultural Standards - Amends the Federal Seed Act to declare that provisions of such Act requiring certain seeds to be stained shall not apply to alfalfa or clover seed from Mexico. (Sec. 361) Amends Federal law to authorize the Secretary of Agriculture to permit the importation: (1) of cattle, sheep, or other ruminants, and swine, from Canada or Mexico; and (2) from the British Virgin Islands into the U.S. Virgin Islands, for slaughter only, of cattle that have been infested with or exposed to ticks on being freed from such ticks. Authorizes the Secretary of Agriculture to waive provisions requiring the inspection of imported animals for contagious diseases and infections with respect to shipments between the United States and Canada or Mexico. Amends the Tariff Act of 1930 to authorize the Secretary of Agriculture to permit the importation of cattle, sheep, other ruminants, or swine (including their embryos), or the fresh, chilled, or frozen meat of such animals, from a region that the Secretary of Agriculture has determined to be, and is likely to remain, free from rinderpest and foot-and-mouth disease. Amends the Honeybee Act to authorize the importation into the United States of honeybees from Canada or Mexico if the Secretary of Agriculture determines that the region from which such honeybee originated is, and is likely to remain, free of diseases or parasites harmful to honeybees, and undesirable species or subspecies of honeybees. Amends the Poultry Products Inspection Act to require all poultry, or parts or products of poultry, that are intended as human food and imported into the United States from Canada and Mexico to meet inspection, sanitary, and processing standards that are equivalent to those in the United States. Amends the Federal Meat Inspection Act to require the Secretary of Agriculture to submit to specified congressional committees a report that includes, among other things, a certification by the Secretary of Agriculture that foreign plants in Canada and Mexico that export carcasses or meat or meat products have complied with requirements that are equivalent to U.S. requirements with regard to inspection and building construction standards. Requires all domestic peanut butter and peanut paste to be processed from peanuts that meet the quality standards established for peanuts under Marketing Agreement No. 146. Requires the Secretary of Agriculture to make grants to a land grant college or university for the construction of a facility (to be known as the Southwest Regional Animal Health Biocontainment Facility) at such college or university to do research in animal health, disease-transmitting insects, and toxic chemicals that requires the use of biocontainment facilities and equipment. Authorizes appropriations. Requires the Secretary of Agriculture to prepare, and submit to specified congressional committees, annual reports on the impact of the NAFTA on the inspection of imported meat, poultry, other foods, animals, or plants. Subtitle F: Corporate Average Fuel Economy - Amends the Motor Vehicle Information and Cost Savings Act to provide that, for purposes of calculating the corporate average fuel economy of certain passenger automobiles, such automobiles shall be considered domestically manufactured in a model year if at least 75 percent of the manufacturer's cost is attributable to value added in the United States, Canada, or Mexico, unless the assembly of the automobile is completed in Canada or Mexico and such automobile is not imported into the United States prior to the expiration of 30 days following the end of that model year. Subtitle G: Government Procurement - Amends the Trade Agreements Act of 1979 to revise provisions regarding the waiver of discriminating purchasing requirements with respect to Government contracting to apply to countries that are parties to the NAFTA. Declares that the President's authority to waive such requirements does not authorize the waiver of any small business or minority preference. Title IV: Dispute Settlement in Antidumping and Countervailing Duty Cases - Subtitle A: Organizational, Administrative, and Procedural Provisions Regarding the Implementation of Chapter 19 of the Agreement - Sets forth organizational and administrative provisions regarding the selection of individuals to serve on binational panels and extraordinary challenge committees. (Sec. 402) Establishes within the interagency trade organization an interagency group, which shall be chaired by the USTR and consist of appropriate officers, to annually prepare, and submit to appropriate congressional committees, lists of individuals who are qualified to serve on such panels and committees. (Sec. 407) Authorizes an entity, including a trade association, firm, certified or recognized union, or group of workers, that is representative of a U.S. industry to file with the USTR a petition requesting that the industry be appropriately identified whenever it has reason to believe that: (1) as a result of implementation of NAFTA, the industry is likely to face increased competition from subsidized imports from a NAFTA country, or such industry is likely to face increased competition from subsidized imports from any other country designated by the President as benefitting from a reduction of tariffs or other trade barriers under a trade agreement that enters into force with the United States after January 1, 1994; and (2) the industry is likely to experience a deterioration of its competitive position before more rules relating to the use of government subsidies have been developed with respect to the subject country. Requires the USTR upon receipt of a petition to decide whether to identify the industry on the basis of both the subsidization and deterioration of its competitive position. Requires the USTR, if there is an identification, to take appropriate action, including: (1) compiling and making available to the industry certain trade information; and (2) recommending to the President that the ITC commence an investigation under the Tariff Act of 1930. Subtitle B: Conforming Amendments and Provisions - Amends the Tariff Act of 1930 to apply provisions of such Act regarding time limits for commencing judicial review in antidumping duty and countervailing duty actions to cases involving merchandise from a free trade area (NAFTA) country. Title V: NAFTA Transitional Adjustment Assistance and Other Provisions - Subtitle A: NAFTA Transitional Adjustment Assistance Program - NAFTA Worker Security Act - Amends the Trade Act of 1974 to require a group of workers, including workers in any agricultural firm or subdivision of an agricultural firm, to be certified as eligible for adjustment assistance if the Secretary of Labor determines that a significant number of workers in such firm or subdivision have become totally or partially separated, or are threatened to become totally or partially separated, and either that: (1) the sales or production, or both, of such firm or subdivision have decreased, imports from Mexico or Canada of articles like or directly competitive with the firm's articles have increased, and such increase in imports contributed to such workers' separation or threat of separation and to the decline in the firm's sales or production; or (2) there has been a shift in production by such workers' firm or subdivision to Mexico or Canada of articles like or directly competitive with the firm's articles. (Sec. 502) Sets forth provisions regarding: (1) the filing of petitions for worker adjustment assistance; (2) petition findings; and (3) review of petitions by the Secretary of Labor. (Sec. 503) Prohibits a worker from receiving duplicative assistance. (Sec. 504) Authorizes appropriations. (Sec. 507) Amends the Internal Revenue Code to provide for a self-employment assistance program which makes certain qualified individuals eligible to receive an allowance in lieu of regular unemployment compensation under State law in order to assist such an individual in establishing a business and becoming self-employed. Subtitle B: Provisions Relating to Performance Under the Agreement - Expresses the sense of the Congress that a State, province, or other governmental entity of a NAFTA country that discriminatorily enforces sales or other taxes so as to afford protection to its domestic production or domestic service providers shall be considered in violation of the NAFTA. Requires the USTR to pursue all appropriate remedies when such discriminatory enforcement adversely affects U.S. producers of goods or U.S. service providers. (Sec. 512) Requires the President, by not later than July 1, 1997, to provide the Congress a comprehensive study on the operation and effects of NAFTA. (Sec. 513) Amends the Trade Act of 1974 to require the USTR, no later than 30 days after a specified report is submitted to specified congressional committees, to identify any act, policy, or practice of Canada which: (1) affects cultural industries; (2) is adopted or expanded after December 17, 1992; and (3) is actionable under the NAFTA. (Sec. 514) Requires the USTR to annually submit to specified congressional committees a report on how effective the NAFTA is on increasing U.S. exports of motor vehicles and motor vehicle parts to Mexico. (Sec. 515) Amends the Caribbean Basin Economic Recovery Act to authorize and direct the Commissioner of Customs to make grants to an institution (or consortium of such institutions) to assist it in establishing in Texas a Center for the Study of Western Hemispheric Trade in order to promote and study trade between the Western Hemisphere countries. Subtitle C: Funding - Part 1: Customs User Fees - Amends the Consolidated Omnibus Budget Reconciliation Act of 1985 to increase for FY 1994 through 1997 the customs user fees for the arrival of each passenger aboard a commercial vessel or commercial aircraft from outside the U.S. customs territory. Maintains for FY 1998 and thereafter the current five dollar customs user fee for the arrival of each passenger aboard such vessel or aircraft from a place outside the United States. Part 2: Internal Revenue Code Amendments - Amends the Internal Revenue Code to authorize the Secretary to disclose to officers and employees of the Department of the Treasury (particularly the Customs Service) certain tax information. (Sec. 523) Directs the Secretary to prescribe regulations for the development of an electronic fund transfer system for the collection of depository taxes. Subtitle D: Implementation of NAFTA Supplemental Agreements - Part 1: Agreements Relating to Labor and Environment - Authorizes the United States to participate in: (1) the Commission for Labor Cooperation in accordance with the North American Agreement on Labor Cooperation; (2) the Commission for Environmental Cooperation in accordance with the North American Agreement on Environmental Cooperation; and (3) the Border Environment Cooperation Commission in accordance with the Border Environment Cooperation Agreement. Authorizes appropriations. Part 2: North American Development Bank and Related Provisions - Authorizes the President to accept membership for the United States in the North American Development Bank. (Sec. 541) Amends Federal banking law to exempt the Bank from the securities laws with respect to the issuance of certain securities by such Bank. (Sec. 543) Authorizes the President to enter into agreements with the Bank for implementation of a community adjustment and investment program pursuant to the Border Environment Cooperation Agreement. Requires the President to establish the Community Adjustment and Investment Program Advisory Committee to provide advice to the President with respect to the implementation of such program. Authorizes appropriations. Title VI: Customs Modernization - Subtitle A: Improvements in Customs Enforcement - Amends the Tariff Act of 1930 to revise customs procedures with respect to: (1) electronic transmission of forged, altered, or false data to the United States Customs Service with regard to the entry of imported merchandise; (2) penalties for failure to declare imported controlled substances; (3) examination and detention of imported merchandise; (4) certain recordkeeping requirements; (5) examination of books and witnesses; (6) review of protests by the Customs Service; (7) a repeal of a provision relating to the reliquidation on account of fraud; (8) penalties relating to manifests, false drawback or refund claims, and for fraud, gross negligence, and negligence; (9) unlawful unloading or transshipment; (10) public access to Customs Service interpretive rulings and decisions; and (11) seizure of imported merchandise. Subtitle B: National Customs Automation Program - Directs the Secretary to establish the National Customs Automation Program which shall be an automated and electronic system for the processing of commercial imports. (Sec. 631) Provides for electronic data transmission relating to: (1) remote location filing; (2) effective date of rates of duty on imported merchandise; (3) merchandise manifests; (4) imported merchandise invoices; (5) entry and release of imported merchandise; (6) admissibility in administrative and judicial proceedings of electronically transmitted information; (7) appraisement and liquidations of imported merchandise; (8) the payment of duties; (9) abandonment and damage to imported merchandise; (10) protests of Customs Service decisions; (11) refunds and errors; (12) bonds and other security; and (13) customhouse brokers. (Sec. 632) Requires a refund (drawback) of duties (less one per cent of such duties) on articles produced in the United States with imported merchandise that have been destroyed under Customs Service supervision, provided such articles have not been used prior to such destruction. (Sec. 644) Sets forth provisions with respect to customs officers' immunity in regard to the appraisement of or collection of duties on imported merchandise. Subtitle C: Miscellaneous Amendments to the Tariff Act of 1930 - Amends the Tariff Act of 1930 to authorize the Secretary to disregard the difference, but not less than $20 (currently ten dollars), between the total estimated duties deposited with respect to imported merchandise and the total amount actually due on such merchandise. Increases specified ceiling amounts of duty-free gifts and articles. (Sec. 652) Requires masters of vessels that have visited a hovering vessel or received merchandise while outside the U.S. territorial sea to report their arrival to the nearest customs facility. Provides for the electronic transmission of vessel documentation to the Customs Service. (Sec. 653) Requires specified kinds of vessels to report to the nearest Customs Service facility within 24 hours (or other period of time as provided) after arrival at a U.S. port. (Sec. 655) Exempts from entry and clearance requirements certain passenger vessels on excursion from the U.S. Virgin Islands to the British Virgin Islands and returning, U.S. documented vessels with recreational endorsement, or (as under current law) undocumented U.S. pleasure vessels not engaged in trade, except such vessels must comply upon arrival with specified customs reporting requirements and navigation laws and must not have visited any hovering vessel. (Sec. 656) Prohibits merchandise, passengers, or baggage from being unladen from any vessel required to make entry or vehicle required to report its arrival until such entry or report of arrival is made and a permit for unlading has been issued by the Customs Service. Authorizes the issuance of such permits through electronic data transmission. (Sec. 659) Reduces from one year to six months the length of time merchandise may remain in customs custody with fees unpaid before it may be treated as unclaimed. (Sec. 662) Authorizes the Secretary to prescribe regulations for the declaration and entry of merchandise whose value does not exceed a designated amount, but not more than $2,500 (currently not greater than $1,250), or when different commercial facilitation and risk considerations that may vary for different classes or kinds of merchandise or different classes of transactions may dictate. (Sec. 663) Reduces from one year to 90 days the minimum length of time after forfeiture the Secretary must wait before selling at public auction any seized imported merchandise with a counterfeit mark. (Sec. 664) Sets forth certain recordkeeping requirements for merchandise transported by pipeline. (Sec. 665) Authorizes the withdrawal from warehouse of turbine fuel without the payment of duties provided certain requirements are met. (Sec. 667) Authorizes the Customs Service to order the destruction or other appropriate disposition of vessels, vehicles, aircraft, merchandise, or baggage that has been seized under the customs laws if it determines that the expense of keeping such items is disproportionate to their value (currently applies only to items of less than $1,000 in value). (Sec. 668) Requires actions for fraud, gross negligence, and negligence, false drawback, or refund claims with respect to imported merchandise to be instituted within five years after the alleged violation or discovery of such fraud. (Sec. 669) Requires the Customs Service to be reimbursed for costs incurred in collecting fees on behalf of Government agencies. (Sec. 670) Authorizes the Secretary to settle, for no more than $50,000 in each case, claims for damage to, or loss of, privately owned property caused by an investigative or law enforcement officer of the Customs Service. (Sec. 671) Provides for the use of private collection agencies to recover money owed the United States under customs laws. Subtitle D: Miscellaneous Provisions and Consequential and Conforming Amendments to Other Laws - Amends the Harmonized Tariff Schedule of the United States to exempt from such Schedule articles which are returned within 45 days after being exported from the United States as undeliverable and which have not left the custody of the carrier or foreign customs service. (Sec. 681) Declares that certain railway locomotives and railway freight cars on which no duty is owed are not subject to the entry or release requirements for imported merchandise under the Tariff Act of 1930. States that instruments of international trade, such as containers, lift vans, rail cars and locomotives, truck cabs and trailers, etc., are exempt from formal entry procedures, but must be accounted for when imported to and exported from the United States through the manifesting procedures required for international carriers. (Sec. 683) Amends the Internal Revenue Code to authorize the payment from the Harbor Maintenance Trust Fund of administrative expenses incurred by the Army Corps of Engineers and the Department of Commerce, not to exceed $5 million for any fiscal year. (Sec. 684) Amends Federal law to grant the Court of International Trade exclusive jurisdiction of any civil action for review of decisions of the Customs Service that deny, suspend, or revoke accreditation of private customs laboratories. Bars the commencement of such actions unless brought within 60 days of such decisions. (Sec. 685) Authorizes the payment of certain claims against Customs Service employees out of the Department of the Treasury Forfeiture Fund. Authorizes (currently mandates) unobligated amounts in such Fund to be kept on deposit or invested in U.S. bonds. (Sec. 686) Requires U.S. and foreign vessels to obtain clearance from the Customs Service before proceeding from a U.S. port for: (1) a foreign port; (2) another U.S. port (for foreign vessels only), or (for U.S. vessels only) another U.S. port if the vessel has bonded or foreign merchandise for which entry has not been made; or (3) outside the U.S. territorial sea to visit a hovering vessel or to receive merchandise. (Sec. 687) Repeals specified provisions of Federal law. (Sec. 691) Requires the Commissioner of Customs to report to the Congress each fiscal year after FY 1994 on the collection of duties imposed under the antidumping and countervailing duty laws. Amends the Omnibus Budget Reconciliation Act of 1987 to authorize the Commissioner of Customs to obtain from the operators of centralized cargo examination stations information regarding fees paid to them for the provision of services at such stations. Amends the Customs and Trade Act of 1990 to require the Commissioner of Customs to: (1) devise a methodology for estimating the level of compliance with the U.S. customs laws; and (2) evaluate the extent to which such compliance was obtained during the 12-month period preceding the 60th day before each fiscal year 1994 through 1996.

North American Free Trade Agreement Implementation Act

United States · United States Congress · 4 November 1993

TABLE OF CONTENTS: Title I: Approval of, and General Provisions Relating to, the North American Free Trade Agreement Title II: Customs Provisions Title III: Application of Agreement to Sectors and Services Subtitle A: Safeguards Subtitle B: Agriculture Subtitle C: Intellectual Property Subtitle D: Temporary Entry of Business Persons Subtitle E: Standards Subtitle F: Corporate Average Fuel Economy Subtitle G: Government Procurement Title IV: Dispute Settlement in Antidumping and Countervailing Cases Subtitle A: Organizational, Administrative, and Procedural Provisions Regarding the Implementation of the Agreement Subtitle B: Conforming Amendments and Provisions Title V: NAFTA Transitional Adjustment Assistance and Other Provisions Subtitle A: NAFTA Transitional Adjustment Assistance Program Subtitle B: Provisions Relating to Performance Under the Agreement Subtitle C: Funding Subtitle D: Implementation of NAFTA Supplemental Agreements Title VI: Customs Modernization Subtitle A: Improvements in Customs Enforcement Subtitle B: National Customs Automation Program Subtitle C: Miscellaneous Amendments to the Tariff Act of 1930 Subtitle D: Miscellaneous Provisions and Consequential and Conforming Amendments to Other Laws North American Free Trade Agreement Implementation Act - Title I: Approval of, and General Provisions Relating to, the North American Free Trade Agreement - Declares that the Congress, pursuant to the Omnibus Trade and Competitiveness Act of 1988 and the Trade Act of 1974, approves: (1) the North American Free Trade Agreement (NAFTA) entered into on December 17, 1992, with Canada and Mexico and submitted to it on November 4, 1993; and (2) the statement of administrative action proposed to implement the Agreement that was submitted to it on November 4, 1993. Sets forth conditions for entry into force of NAFTA. (Sec. 102) Declares that U.S. laws shall prevail over provisions of NAFTA that conflict. Requires the President to consult with the States in order to achieve conformity of State laws with NAFTA. Requires the United States Trade Representative (USTR) to establish within the Office of the USTR a Federal-State consultation process to address issues relating to NAFTA that directly affect the States. Prohibits any person other than the United States from having a cause of action with respect to NAFTA. (Sec. 105) Authorizes the President to establish within any U.S. agency a U.S. Section of the Secretariat to facilitate the operation of NAFTA. Authorizes appropriations. (Sec. 106) Requires the United States to encourage the selection of individuals with expertise in environmental issues for service on the Chapter 20 panel to hear any challenge to a U.S. or State environmental law. (Sec. 107) Sets forth provisions governing the termination or suspension of NAFTA. (Sec. 108) Declares that the congressional approval of NAFTA may not be construed as applying to any countries other than Canada and Mexico. Sets forth provisions outlining future free trade area negotiations with other foreign countries. Title II: Customs Provisions - Authorizes the President to proclaim such modifications or continuation of any duty, continuation of duty-free or excise treatment, or additional duties as are necessary to carry out specified provisions of NAFTA. (Sec. 201) Requires the President to terminate Mexico's designation as a beneficiary developing country under the Trade Act of 1974 upon entry into force of NAFTA. Prohibits the President from considering a request to accelerate the staging of duty reductions for an article for which the United States tariff phaseout period is more than ten years if such request for such article has been denied in the preceding three years. Authorizes the President to convert the base rate of certain textiles imported from Mexico to an ad valorem rate. (Sec. 202) Sets forth, for purposes of implementing tariff treatment and quantitative restrictions provided in NAFTA, rules of origin with respect to goods from NAFTA countries. (Sec. 203) Defines the term "good subject to NAFTA drawback." Amends the Tariff Act of 1930 to prohibit an article manufactured in a bonded warehouse from materials that are goods subject to NAFTA drawback (refund) from being withdrawn from such warehouse for exportation to a NAFTA country without assessment of a duty on the materials in their condition and quantity, and at their weight, at the time of importation into the United States. Sets forth similar provisions with respect to articles from bonded smelting and refining warehouses. Authorizes merchandise, under specified conditions, to be cleaned, sorted, repacked, or otherwise changed in condition in bonded warehouses and be withdrawn: (1) for export to a NAFTA country if such merchandise consists of goods subject to NAFTA drawback (refund) and certain duties are assessed; and (2) without the payment of duties for export to NAFTA and, in certain cases, non-NAFTA countries. Amends the Foreign Trade Zones Act to provide that, if Canada ceases to be a NAFTA country and the U.S.-Canada Free-Trade Agreement terminates, no article manufactured or otherwise changed in condition (except a change by cleaning, testing, or repacking) shall be exported to Canada without the payment of a duty unless a certain privilege has been requested and no manipulation (change of condition) has occurred. Prohibits merchandise consisting of goods subject to NAFTA drawback that is manufactured or otherwise changed in condition from being exported to a NAFTA country without an assessment of a duty on it. Prohibits the Secretary of the Treasury (Secretary) from, on the condition of export, refunding or reducing fees imposed under the Agricultural Adjustment Act with respect to "goods subject to NAFTA drawback" that are exported to Canada after December 31, 1995, or Mexico after December 31, 2000, for so long as they are NAFTA countries. Declares that none of the amendments made under this Act shall be considered to authorize the refund, waiver, or reduction of countervailing duties or antidumping duties imposed on an imported good. (Sec. 204) Amends the Consolidated Omnibus Budget Reconciliation Act of 1985 to prohibit customs user fees with respect to goods qualifying under the rules of origin from being: (1) charged with respect to goods that qualify to be marked as Canadian goods; and (2) increased after December 31, 1993, and charged after June 29, 1999, with respect to goods that qualify to be marked as Mexican goods. (Sec. 205) Amends the Tariff Act of 1930 to require persons who sign a NAFTA Certificate of Origin for a good for which preferential treatment is claimed to keep and render for inspection all records relating to the origin of the good. Sets forth penalties for violation of such recordkeeping requirements. Sets forth provisions regarding incorrect and false Certificates of Origin. (Sec. 206) Authorizes the United States Customs Service to reliquidate an entry to refund excess duties paid on a good qualifying under the rules of origin under the NAFTA for which no claim for preferential tariff treatment was made or protest filed at the time of importation if the importer, within one year after the importation, files a claim that includes specified information. (Sec. 207) Revises country of origin marking requirements with respect to certain pipe and steel products and manhole rings or frames and covers from NAFTA countries to include continuous paint stenciling, or an equally permanent method of marking, as methods for satisfying such requirements. Sets forth provisions regarding: (1) adverse marking and origin determinations by the U.S. Customs Service; and (2) the judicial review of such determinations. (Sec. 209) Declares the Secretary of Commerce may authorize the U.S. Customs Service to exchange information with any government agency of a NAFTA country provided certain safeguards are met. (Sec. 210) Prohibits duties from being refunded (drawnback) on imported color cathode-ray television picture tubes, including video monitor cathode-ray tubes, when such items are nonoriginating goods and are: (1) exported to a NAFTA country; (2) used as a material in the production of other goods that are exported to a NAFTA country; or (3) substituted for by goods of the same kind and quality used as a material in the production of other goods that are exported to a NAFTA country. (Sec. 211) Requires the U.S. Customs Service to monitor television and picture tube imports for a five-year period. Directs the U.S. Customs Service to make the results of such monitoring, including verification of the rules of origin, available to the President and the USTR. Title III: Application of Agreement to Sectors and Services - Subtitle A: Safeguards - Part 1: Relief From Imports Benefitting From the Agreement - Authorizes an entity, trade association, firm, certified or recognized union, or group of workers that is representative of an industry to file with the International Trade Commission (ITC) a petition requesting the adjustment of U.S. obligations under NAFTA. Requires the ITC to investigate, and make a determination, whether as a result of the reduction or elimination of a duty under NAFTA, a Canadian or Mexican article is being imported in such increased quantities as to constitute a substantial case of serious injury, or except in the case of a Canadian article, a threat of serious injury to a domestic industry producing an article that is like, or directly competitive with, such article. (Sec. 303) Requires the ITC, if it makes an affirmative determination, to recommend to the President the amount of import relief that is necessary to remedy or prevent such injury. (Sec. 308) Amends the United States-Canada Free-Trade Agreement Implementation Act to require the Secretary to decide whether to recommend to the President the imposition of a temporary duty on Canadian fresh fruits and vegetables. (Sec. 309) Requires the Secretary of Agriculture to determine each period of five consecutive business days in which the daily price for frozen concentrated orange juice is less than the trigger price and the first period occurring thereafter of five consecutive business days in which the daily price for frozen concentrated orange juice is greater than the trigger price. Sets forth a formula for determining the rate of duty on certain quantities of imported Mexican articles of frozen concentrated orange juice. Part 2: Relief From Imports From All Countries - Requires the ITC, if it makes an affirmative determination for import relief under the Trade Act of 1974 (or a determination which the President may treat as an affirmative determination under the Tariff Act of 1930), to also find (and report to the President) whether: (1) imports from a NAFTA country, considered individually, account for a substantial share of total imports; and (2) imports from a NAFTA country, considered individually, or, in exceptional circumstances considered collectively, contribute importantly to the serious injury, or threat of serious injury, caused by imports. (Sec. 312) Requires the President, in determining whether to take import relief action under the Trade Act of 1974 with respect to imports from a NAFTA country, to determine whether: (1) imports from such country, considered individually, account for a substantial share of total imports; or (2) imports from such a country, considered individually, or in exceptional circumstances considered collectively, contribute importantly to the serious injury, or threat of serious injury, found by the ITC. Requires the President to take specified actions with respect to such imports. Part 3: General Provisions - Amends the Trade Act of 1974 to authorize an entity representing a domestic industry that produces a citrus product that is like or directly competitive with an imported citrus product to file a request with the USTR for monitoring of such imports. Requires the ITC, upon the filing of a petition alleging import injury and a request for provisional import relief, to make a determination whether increased imports of such citrus products are a substantial cause of serious injury, or threat of serious injury, to the domestic industry producing such product. Defines "citrus product" to mean any processed oranges or grapefruit, or any orange or grapefruit juice, including concentrate. (Sec. 316) Requires the ITC, with respect to expediting an investigation concerning provisional import relief, to monitor, until January 1, 2009, imports of fresh or chilled tomatoes and peppers (other than chili peppers) as if proper requests for such monitoring have been made. (Sec. 317) Requires the ITC to adopt certain rules and procedures with respect to the release of confidential business information under the Tariff Act of 1930 and apply them in import injury investigations under NAFTA. Subtitle B: Agriculture - Amends the Meat Import Act of 1979 to redefine the term "meat articles." Authorizes the President to exclude meat articles originating in a NAFTA country, Canada, or Mexico from quantitative import limitations. (Sec. 321) Requires the President to take such action as may be necessary to ensure that imports of agricultural goods do not disrupt the orderly marketing of commodities in the United States. Declares that nothing in NAFTA reduces or eliminates: (1) any penalty required under the Agricultural Adjustment Act of 1938; or (2) any requirement under Marketing Agreement No. 146, Regulating the Quality of Domestically Produced Peanuts, on peanuts in the domestic market, pursuant to the Agricultural Act of 1949. Amends the Agricultural Adjustment Act of 1938 to express the sense of the Congress that the United States should request consultations in the Working Group on Emergency Action if imports of peanuts exceed the in-quota quantity under a tariff rate quota set out in NAFTA concerning whether: (1) the increased imports of peanuts constitute a substantial cause of, or contribute importantly to, serious injury, or threat of serious injury, to the domestic peanut industry; and (2) recourse under NAFTA or the General Agreement on Tariffs and Trade (GATT). Requires the Secretary of Agriculture to designate an office within the United States Department of Agriculture to be responsible for maintaining and disseminating data accumulated for verifying citrus, fruit, vegetable, and cut flower trade between the United States and Mexico. Requires the Secretary of Agriculture to implement a program requiring that end-use certificates be included in the documentation covering the entry into, or withdrawal from a warehouse for consumption in, the U.S. customs territory of any wheat or barley from a foreign country that requires end-use certificates of U.S. wheat or U.S. barley. Authorizes the Secretary of Agriculture to suspend such requirements when making a determination that the program has resulted in: (1) the reduction of income to U.S. producers of agricultural products; or (2) the reduction of the competitiveness of such U.S. producers in the world export markets. Requires the Secretary of Agriculture to suspend such requirements if a foreign country that requires end-use certificates for U.S. wheat and U.S. barley eliminates the requirement. Amends the Food, Agriculture, Conservation, and Trade Act of 1990 to require the Secretary of Agriculture to grant fellowships to individuals from NAFTA countries to study agriculture in the United States, and individuals in the United States to study agriculture in other NAFTA countries. Authorizes appropriations. Authorizes the Secretary of Agriculture to make grants to public agencies or private organizations with tax-exempt status that have experience in providing emergency services to low-income migrant or seasonal farmworkers if it is determined that implementation of the NAFTA has caused such farmworkers to lose income. Authorizes appropriations. Requires the Secretary of Agriculture to prepare, and submit to specified congressional committees, a biennial report on the effects of the NAFTA on U.S. producers of agricultural commodities and on U.S. rural communities. Subtitle C: Intellectual Property - Amends Federal patent law to extend U.S. intellectual property protections to inventions that are made in other countries by persons who are domiciled in a NAFTA country and serving in any other country in connection with operations by or on behalf of the United States or a NAFTA country. (Sec. 332) Amends the Record Rental Amendment of 1984 to repeal a provision of such Act with respect to rental rights in sound recordings. (Sec. 333) Amends the Trademark Act of 1946 to provide that nothing in such Act shall prevent the registration before enactment of the NAFTA: (1) of a mark which, when used on or in connection with the goods of an applicant for a trademark, is primarily geographically deceptively misdescriptive of them, and which became distinctive of the applicant's goods in commerce; or (2) on the supplemental register of a mark, capable of distinguishing the applicant's goods or services and not registrable on the principal register under such Act, that is declared to be unregistrable, if such mark has been in lawful use in commerce by the owner, on or in connection with any goods or services. (Sec. 334) Amends Federal copyright law to grant copyright protection to motion pictures that are first fixed or published in a NAFTA country, including any work in such pictures, that enter the U.S. public domain and are first published on or after January 1, 1978, and before March 1, 1989, even though certain required notice has not been given. Subtitle D: Temporary Entry of Business Persons - Classifies as nonimmigrants, if otherwise eligible for a visa and admissible into the United States under the Immigration and Nationality Act, any alien trader or investor who is a citizen of Canada or Mexico, including any accompanying spouse and children of such alien. (Sec. 341) Amends the Immigration and Nationality Act to authorize the admittance of aliens who are citizens of Canada or Mexico, including any spouse and children of such alien, into the United States to engage in business activities as professionals. Requires the Attorney General to establish annual numerical limits on such admissions. Prohibits such aliens from being classified as nonimmigrants if there is a strike or lockout in the course of a labor dispute in the applicable occupational classification, unless such aliens establish that their entry will not adversely affect the settlement of such strike or lockout or the employment of any person involved in the strike or lockout. Subtitle E: Standards - Part 1: Standards and Measures - Amends the Trade Agreements Act of 1979 to provide that nothing under such Act shall be construed to: (1) prohibit a Federal or State agency from engaging in activity related to sanitary or phytosanitary measures to protect human, animal, or plant life or health; (2) limit the authority of such agencies to determine the level of protection of human, animal, or plant life or health the agency considers appropriate; (3) prohibit a Federal agency from engaging in activity related to standards-related measures, including any such measure relating to safety, the protection of human, animal, or plant life or health, the environment or consumers; or (4) limit the authority of a Federal agency to determine the level it considers appropriate of safety or the protection of human, animal, or plant life or health, the environment or consumers. Requires the standards information center of the Department of Commerce, among other things, to make available to the public documents and information regarding: (1) general application of sanitary or phytosanitary measures by Federal or State agencies; and (2) participation of Federal and State governments and nongovernmental bodies in international and regional standardizing bodies and conformity assessment systems, and in bilateral and multilateral arrangements regarding standards-related measures. Part 2: Agricultural Standards - Amends the Federal Seed Act to declare that provisions of such Act requiring certain seeds to be stained shall not apply to alfalfa or clover seed from Mexico. (Sec. 361) Amends Federal law to authorize the Secretary of Agriculture to permit the importation: (1) of cattle, sheep, or other ruminants, and swine, from Canada or Mexico; and (2) from the British Virgin Islands into the U.S. Virgin Islands, for slaughter only, of cattle that have been infested with or exposed to ticks on being freed from such ticks. Authorizes the Secretary of Agriculture to waive provisions requiring the inspection of imported animals for contagious diseases and infections with respect to shipments between the United States and Canada or Mexico. Amends the Tariff Act of 1930 to authorize the Secretary of Agriculture to permit the importation of cattle, sheep, other ruminants, or swine (including their embryos), or the fresh, chilled, or frozen meat of such animals, from a region that the Secretary of Agriculture has determined to be, and is likely to remain, free from rinderpest and foot-and-mouth disease. Amends the Honeybee Act to authorize the importation into the United States of honeybees from Canada or Mexico if the Secretary of Agriculture determines that the region from which such honeybee originated is, and is likely to remain, free of diseases or parasites harmful to honeybees, and undesirable species or subspecies of honeybees. Amends the Poultry Products Inspection Act to require all poultry, or parts or products of poultry, that are intended as human food and imported into the United States from Canada and Mexico to meet inspection, sanitary, and processing standards that are equivalent to those in the United States. Amends the Federal Meat Inspection Act to require the Secretary of Agriculture to submit to specified congressional committees a report that includes, among other things, a certification by the Secretary of Agriculture that foreign plants in Canada and Mexico that export carcasses or meat or meat products have complied with requirements that are equivalent to U.S. requirements with regard to inspection and building construction standards. Requires all domestic peanut butter and peanut paste to be processed from peanuts that meet the quality standards established for peanuts under Marketing Agreement No. 146. Requires the Secretary of Agriculture to make grants to a land grant college or university for the construction of a facility (to be known as the Southwest Regional Animal Health Biocontainment Facility) at such college or university to do research in animal health, disease-transmitting insects, and toxic chemicals that requires the use of biocontainment facilities and equipment. Authorizes appropriations. Requires the Secretary of Agriculture to prepare, and submit to specified congressional committees, annual reports on the impact of the NAFTA on the inspection of imported meat, poultry, other foods, animals, or plants. Subtitle F: Corporate Average Fuel Economy - Amends the Motor Vehicle Information and Cost Savings Act to provide that, for purposes of calculating the corporate average fuel economy of certain passenger automobiles, such automobiles shall be considered domestically manufactured in a model year if at least 75 percent of the manufacturer's cost is attributable to value added in the United States, Canada, or Mexico, unless the assembly of the automobile is completed in Canada or Mexico and such automobile is not imported into the United States prior to the expiration of 30 days following the end of that model year. Subtitle G: Government Procurement - Amends the Trade Agreements Act of 1979 to revise provisions regarding the waiver of discriminating purchasing requirements with respect to Government contracting to apply to countries that are parties to the NAFTA. Declares that the President's authority to waive such requirements does not authorize the waiver of any small business or minority preference. Title IV: Dispute Settlement in Antidumping and Countervailing Duty Cases - Subtitle A: Organizational, Administrative, and Procedural Provisions Regarding the Implementation of Chapter 19 of the Agreement - Sets forth organizational and administrative provisions regarding the selection of individuals to serve on binational panels and extraordinary challenge committees. (Sec. 402) Establishes within the interagency trade organization an interagency group, which shall be chaired by the USTR and consist of appropriate officers, to annually prepare, and submit to appropriate congressional committees, lists of individuals who are qualified to serve on such panels and committees. (Sec. 407) Authorizes an entity, including a trade association, firm, certified or recognized union, or group of workers, that is representative of a U.S. industry to file with the USTR a petition requesting that the industry be appropriately identified whenever it has reason to believe that: (1) as a result of implementation of NAFTA, the industry is likely to face increased competition from subsidized imports from a NAFTA country, or such industry is likely to face increased competition from subsidized imports from any other country designated by the President as benefitting from a reduction of tariffs or other trade barriers under a trade agreement that enters into force with the United States after January 1, 1994; and (2) the industry is likely to experience a deterioration of its competitive position before more rules relating to the use of government subsidies have been developed with respect to the subject country. Requires the USTR upon receipt of a petition to decide whether to identify the industry on the basis of both the subsidization and deterioration of its competitive position. Requires the USTR, if there is an identification, to take appropriate action, including: (1) compiling and making available to the industry certain trade information; and (2) recommending to the President that the ITC commence an investigation under the Tariff Act of 1930. Subtitle B: Conforming Amendments and Provisions - Amends the Tariff Act of 1930 to apply provisions of such Act regarding time limits for commencing judicial review in antidumping duty and countervailing duty actions to cases involving merchandise from a free trade area (NAFTA) country. Title V: NAFTA Transitional Adjustment Assistance and Other Provisions - Subtitle A: NAFTA Transitional Adjustment Assistance Program - NAFTA Worker Security Act - Amends the Trade Act of 1974 to require a group of workers, including workers in any agricultural firm or subdivision of an agricultural firm, to be certified as eligible for adjustment assistance if the Secretary of Labor determines that a significant number of workers in such firm or subdivision have become totally or partially separated, or are threatened to become totally or partially separated, and either that: (1) the sales or production, or both, of such firm or subdivision have decreased, imports from Mexico or Canada of articles like or directly competitive with the firm's articles have increased, and such increase in imports contributed to such workers' separation or threat of separation and to the decline in the firm's sales or production; or (2) there has been a shift in production by such workers' firm or subdivision to Mexico or Canada of articles like or directly competitive with the firm's articles. (Sec. 502) Sets forth provisions regarding: (1) the filing of petitions for worker adjustment assistance; (2) petition findings; and (3) review of petitions by the Secretary of Labor. (Sec. 503) Prohibits a worker from receiving duplicative assistance. (Sec. 504) Authorizes appropriations. (Sec. 507) Amends the Internal Revenue Code to provide for a self-employment assistance program which makes certain qualified individuals eligible to receive an allowance in lieu of regular unemployment compensation under State law in order to assist such an individual in establishing a business and becoming self-employed. Subtitle B: Provisions Relating to Performance Under the Agreement - Expresses the sense of the Congress that a State, province, or other governmental entity of a NAFTA country that discriminatorily enforces sales or other taxes so as to afford protection to its domestic production or domestic service providers shall be considered in violation of the NAFTA. Requires the USTR to pursue all appropriate remedies when such discriminatory enforcement adversely affects U.S. producers of goods or U.S. service providers. (Sec. 512) Requires the President, by not later than July 1, 1997, to provide the Congress a comprehensive study on the operation and effects of NAFTA. (Sec. 513) Amends the Trade Act of 1974 to require the USTR, no later than 30 days after a specified report is submitted to specified congressional committees, to identify any act, policy, or practice of Canada which: (1) affects cultural industries; (2) is adopted or expanded after December 17, 1992; and (3) is actionable under the NAFTA. (Sec. 514) Requires the USTR to annually submit to specified congressional committees a report on how effective the NAFTA is on increasing U.S. exports of motor vehicles and motor vehicle parts to Mexico. (Sec. 515) Amends the Caribbean Basin Economic Recovery Act to authorize and direct the Commissioner of Customs to make grants to an institution (or consortium of such institutions) to assist it in establishing in Texas a Center for the Study of Western Hemispheric Trade in order to promote and study trade between the Western Hemisphere countries. Subtitle C: Funding - Part 1: Customs User Fees - Amends the Consolidated Omnibus Budget Reconciliation Act of 1985 to increase for FY 1994 through 1997 the customs user fees for the arrival of each passenger aboard a commercial vessel or commercial aircraft from outside the U.S. customs territory. Maintains for FY 1998 and thereafter the current five dollar customs user fee for the arrival of each passenger aboard such vessel or aircraft from a place outside the United States. Part 2: Internal Revenue Code Amendments - Amends the Internal Revenue Code to authorize the Secretary to disclose to officers and employees of the Department of the Treasury (particularly the Customs Service) certain tax information. (Sec. 523) Directs the Secretary to prescribe regulations for the development of an electronic fund transfer system for the collection of depository taxes. Subtitle D: Implementation of NAFTA Supplemental Agreements - Part 1: Agreements Relating to Labor and Environment - Authorizes the United States to participate in: (1) the Commission for Labor Cooperation in accordance with the North American Agreement on Labor Cooperation; (2) the Commission for Environmental Cooperation in accordance with the North American Agreement on Environmental Cooperation; and (3) the Border Environment Cooperation Commission in accordance with the Border Environment Cooperation Agreement. Authorizes appropriations. Part 2: North American Development Bank and Related Provisions - Authorizes the President to accept membership for the United States in the North American Development Bank. (Sec. 541) Amends Federal banking law to exempt the Bank from the securities laws with respect to the issuance of certain securities by such Bank. (Sec. 543) Authorizes the President to enter into agreements with the Bank for implementation of a community adjustment and investment program pursuant to the Border Environment Cooperation Agreement. Requires the President to establish the Community Adjustment and Investment Program Advisory Committee to provide advice to the President with respect to the implementation of such program. Authorizes appropriations. Title VI: Customs Modernization - Subtitle A: Improvements in Customs Enforcement - Amends the Tariff Act of 1930 to revise customs procedures with respect to: (1) electronic transmission of forged, altered, or false data to the United States Customs Service with regard to the entry of imported merchandise; (2) penalties for failure to declare imported controlled substances; (3) examination and detention of imported merchandise; (4) certain recordkeeping requirements; (5) examination of books and witnesses; (6) review of protests by the Customs Service; (7) a repeal of a provision relating to the reliquidation on account of fraud; (8) penalties relating to manifests, false drawback or refund claims, and for fraud, gross negligence, and negligence; (9) unlawful unloading or transshipment; (10) public access to Customs Service interpretive rulings and decisions; and (11) seizure of imported merchandise. Subtitle B: National Customs Automation Program - Directs the Secretary to establish the National Customs Automation Program which shall be an automated and electronic system for the processing of commercial imports. (Sec. 631) Provides for electronic data transmission relating to: (1) remote location filing; (2) effective date of rates of duty on imported merchandise; (3) merchandise manifests; (4) imported merchandise invoices; (5) entry and release of imported merchandise; (6) admissibility in administrative and judicial proceedings of electronically transmitted information; (7) appraisement and liquidations of imported merchandise; (8) the payment of duties; (9) abandonment and damage to imported merchandise; (10) protests of Customs Service decisions; (11) refunds and errors; (12) bonds and other security; and (13) customhouse brokers. (Sec. 632) Requires a refund (drawback) of duties (less one per cent of such duties) on articles produced in the United States with imported merchandise that have been destroyed under Customs Service supervision, provided such articles have not been used prior to such destruction. (Sec. 644) Sets forth provisions with respect to customs officers' immunity in regard to the appraisement of or collection of duties on imported merchandise. Subtitle C: Miscellaneous Amendments to the Tariff Act of 1930 - Amends the Tariff Act of 1930 to authorize the Secretary to disregard the difference, but not less than $20 (currently ten dollars), between the total estimated duties deposited with respect to imported merchandise and the total amount actually due on such merchandise. Increases specified ceiling amounts of duty-free gifts and articles. (Sec. 652) Requires masters of vessels that have visited a hovering vessel or received merchandise while outside the U.S. territorial sea to report their arrival to the nearest customs facility. Provides for the electronic transmission of vessel documentation to the Customs Service. (Sec. 653) Requires specified kinds of vessels to report to the nearest Customs Service facility within 24 hours (or other period of time as provided) after arrival at a U.S. port. (Sec. 655) Exempts from entry and clearance requirements certain passenger vessels on excursion from the U.S. Virgin Islands to the British Virgin Islands and returning, U.S. documented vessels with recreational endorsement, or (as under current law) undocumented U.S. pleasure vessels not engaged in trade, except such vessels must comply upon arrival with specified customs reporting requirements and navigation laws and must not have visited any hovering vessel. (Sec. 656) Prohibits merchandise, passengers, or baggage from being unladen from any vessel required to make entry or vehicle required to report its arrival until such entry or report of arrival is made and a permit for unlading has been issued by the Customs Service. Authorizes the issuance of such permits through electronic data transmission. (Sec. 659) Reduces from one year to six months the length of time merchandise may remain in customs custody with fees unpaid before it may be treated as unclaimed. (Sec. 662) Authorizes the Secretary to prescribe regulations for the declaration and entry of merchandise whose value does not exceed a designated amount, but not more than $2,500 (currently not greater than $1,250), or when different commercial facilitation and risk considerations that may vary for different classes or kinds of merchandise or different classes of transactions may dictate. (Sec. 663) Reduces from one year to 90 days the minimum length of time after forfeiture the Secretary must wait before selling at public auction any seized imported merchandise with a counterfeit mark. (Sec. 664) Sets forth certain recordkeeping requirements for merchandise transported by pipeline. (Sec. 665) Authorizes the withdrawal from warehouse of turbine fuel without the payment of duties provided certain requirements are met. (Sec. 667) Authorizes the Customs Service to order the destruction or other appropriate disposition of vessels, vehicles, aircraft, merchandise, or baggage that has been seized under the customs laws if it determines that the expense of keeping such items is disproportionate to their value (currently applies only to items of less than $1,000 in value). (Sec. 668) Requires actions for fraud, gross negligence, and negligence, false drawback, or refund claims with respect to imported merchandise to be instituted within five years after the alleged violation or discovery of such fraud. (Sec. 669) Requires the Customs Service to be reimbursed for costs incurred in collecting fees on behalf of Government agencies. (Sec. 670) Authorizes the Secretary to settle, for no more than $50,000 in each case, claims for damage to, or loss of, privately owned property caused by an investigative or law enforcement officer of the Customs Service. (Sec. 671) Provides for the use of private collection agencies to recover money owed the United States under customs laws. Subtitle D: Miscellaneous Provisions and Consequential and Conforming Amendments to Other Laws - Amends the Harmonized Tariff Schedule of the United States to exempt from such Schedule articles which are returned within 45 days after being exported from the United States as undeliverable and which have not left the custody of the carrier or foreign customs service. (Sec. 681) Declares that certain railway locomotives and railway freight cars on which no duty is owed are not subject to the entry or release requirements for imported merchandise under the Tariff Act of 1930. States that instruments of international trade, such as containers, lift vans, rail cars and locomotives, truck cabs and trailers, etc., are exempt from formal entry procedures, but must be accounted for when imported to and exported from the United States through the manifesting procedures required for international carriers. (Sec. 683) Amends the Internal Revenue Code to authorize the payment from the Harbor Maintenance Trust Fund of administrative expenses incurred by the Army Corps of Engineers and the Department of Commerce, not to exceed $5 million for any fiscal year. (Sec. 684) Amends Federal law to grant the Court of International Trade exclusive jurisdiction of any civil action for review of decisions of the Customs Service that deny, suspend, or revoke accreditation of private customs laboratories. Bars the commencement of such actions unless brought within 60 days of such decisions. (Sec. 685) Authorizes the payment of certain claims against Customs Service employees out of the Department of the Treasury Forfeiture Fund. Authorizes (currently mandates) unobligated amounts in such Fund to be kept on deposit or invested in U.S. bonds. (Sec. 686) Requires U.S. and foreign vessels to obtain clearance from the Customs Service before proceeding from a U.S. port for: (1) a foreign port; (2) another U.S. port (for foreign vessels only), or (for U.S. vessels only) another U.S. port if the vessel has bonded or foreign merchandise for which entry has not been made; or (3) outside the U.S. territorial sea to visit a hovering vessel or to receive merchandise. (Sec. 687) Repeals specified provisions of Federal law. (Sec. 691) Requires the Commissioner of Customs to report to the Congress each fiscal year after FY 1994 on the collection of duties imposed under the antidumping and countervailing duty laws. Amends the Omnibus Budget Reconciliation Act of 1987 to authorize the Commissioner of Customs to obtain from the operators of centralized cargo examination stations information regarding fees paid to them for the provision of services at such stations. Amends the Customs and Trade Act of 1990 to require the Commissioner of Customs to: (1) devise a methodology for estimating the level of compliance with the U.S. customs laws; and (2) evaluate the extent to which such compliance was obtained during the 12-month period preceding the 60th day before each fiscal year 1994 through 1996.

Smoke-Free Environment Act of 1993

United States · United States Congress · 3 November 1993

Smoke-Free Environment Act of 1993 - Amends the Public Health Service Act to add a new title on smoke free environments. Requires the responsible entity for each public facility to adopt, implement, and post a policy prohibiting smoking in the facility and on facility property in the immediate vicinity of the facility's entrance. Allows designated smoking areas if: (1) the area is ventilated to exhaust directly to the outside; and (2) nonsmoking individuals do not have to enter the area for any purpose. Allows enforcement actions by any aggrieved person, any State or local government agency, or the Administrator of the Environmental Protection Agency. Provides for civil monetary penalties.

Environmental Defense Act of 1993

United States · United States Congress · 3 November 1993

Environmental Defense Act of 1993 - Directs the Secretary of Education to investigate the feasibility of the Federal Government establishing a National Environmental Science and Policy Academy. Requires a report, with recommendations, to the Congress.

Department of Environmental Protection Act

United States · United States Congress · 3 November 1993

TABLE OF CONTENTS: Title I: Redesignation of Environmental Protection Agency as Department of Environmental Protection Title II: Administrative Provisions Department of Environmental Protection Act - Title I: Redesignation of Environmental Protection Agency as Department of Environmental Protection - Redesignates the Environmental Protection Agency (EPA) as the Department of Environmental Protection to be headed by a Secretary of the Environment. (Sec. 109) Requires the Secretary to establish a permanent information resources management steering committee and to designate a Chief Information Officer. (Sec. 110) Directs the Secretary to develop policies for encouraging greater public access to departmental information and to maintain a public access system that provides an inventory of the Department's information services and other holdings. (Sec. 111) Establishes a Bureau of Environmental Statistics, an Office of Environmental Justice, and an Advisory Committee on Environmental Justice. Requires the Director of the Office to promote environmental justice for all people wherever they are located or work in the United States and regardless of income, race, ethnicity, or national origin. (Sec. 113) Requires the Secretary to: (1) provide for the acquisition and development of the best credible and unbiased scientific information; and (2) implement peer review and quality assurance guidelines. (Sec. 114) Establishes conflict-of-interest reporting requirements for members of Department advisory committees who are not Federal employees. (Sec. 115) Permits the Department to enter into an umbrella contract only if the contract: (1) does not exceed five years (ten years for a response action contract or a longer period under unusual and compelling circumstances); (2) is awarded pursuant to full and open competition, except under specified conditions; and (3) does not authorize the contractor to procure items on behalf of the Federal Government, other than items procured under and for response action contracts and in which the Government has all rights and interests. Defines an "umbrella contract" as a contract that: (1) provides for the performance of specific advisory and assistance services but does not procure or specify a firm quantity of services; (2) provides for services to be supplied in response to Federal task orders; (3) requires the contractor to provide a stated amount of effort over a given period of time; and (4) has a maximum potential value of at least $1 million, is not a fixed price contract, and is for a period longer than one year. Lists subcontracting requirements. (Sec. 116) Declares that it shall be the policy of the Department to prevent the transfer of inherently governmental functions to private sector contractors. (Sec. 117) Disallows indirect costs incurred by a Department contractor if a cost submitted is unallowable because it is in violation of a cost principle in the Federal Acquisition Regulation or other law. Applies this requirement to contracts in excess of $100,000 other than fixed-price contracts without cost incentives. Prescribes penalties for the submission of unallowable costs. (Sec. 118) Lists unallowable costs as costs of entertainment, gifts, or recreation for contractor employees. Title II: Administrative Provisions - Sets forth provisions governing: (1) the acquisition of copyrights and patents by the Secretary; (2) the acceptance of gifts; (3) the departmental seal; and (4) the use of existing stationery, forms, and other EPA supplies.