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Law· SS. 1136 (93rd)open
United States · United States Congress · 8 March 1973
Public Health Service Act Extension - Extends authorizations through fiscal year 1974 for the following programs under the Public Health Service Act: (1) research and demonstrations relating to health facilities and services; (2) systems analysis of national health care plans; (3) national health surveys and studies; (4) traineeships for professional public health personnel; (5) project grants for graduate training in public health; (6) health services for domestic agricultural migrants; (7) grants to States for comprehensive State health planning; (8) project grants for areawide health planning; (9) project grants for training, studies, and demonstrations related to comprehensive national health planning; (10) grants for comprehensive public health services; (11) project grants for health services development; (12) assistance for construction of medical library facilities; (13) grants for training in medical library sciences; (14) grants for establishing, expanding, and improving the basic resources of medical libraries and related instrumentalities; (15) grants for establishment of regional medical libraries; (16) financial support of biomedical scientific publication; (17) grants for the construction of public or other nonprofit long-term care, outpatient, and rehabilitation facilities; (18) grants for the construction of public or other nonprofit hospitals and public health centers; (19) grants for the modernization of long term care, outpatient, and rehabilitation facilities, and of hospitals and public health centers; (20) loan guarantees and loans for modernization and construction of hospitals and other medical facilities; (21) construction or modernization of emergency rooms; (22) grants for construction of teaching facilities for allied health professions personnel; (23) basic and special grants to improve the quality of training for allied health professions; (24) special projects for experimentation, demonstration, and institutional improvements related to training allied health personnel; (25) traineeships for advanced training of allied health professions personnel; (26) scholarship grants for allied health professions personnel; (27) grants to encourage full utilization of educational talent for allied health professions; (28) work-study programs for personnel in the allied health professions; (29) loans for students of the allied health professions; and (30) grants for education, research, training and demonstrations in the fields of heart disease, cancer, stroke, kidney disease and other related diseases. Extends authorizations through fiscal year 1974 for the following programs under the Community Mental Health Centers Act: (1) grants for construction of public and other nonprofit community mental health centers; (2) grants for initial costs of professional and technical personnel of community mental health centers; (3) grants for developing specialized training programs, training personnel, conducting surveys and and programs of special significance related to community mental health centers; (4) grants for facilities for alcoholic rehabilitation; (5) grants for training programs, personnel, and studies related to drug abuse and rehabilitation; (6) grants for drug abuse education; (7) project grants for construction and staffing of facilities for the prevention and treatment of alochol and drug abuse; (8) grants for consultation services for alcohol and drug abuse; and (9) grants for treatment facilities to provide mental health services for children.
Bill· SS. 1146 (93rd)referred
United States · United States Congress · 8 March 1973
Provides for the repayment of specified sums advanced to providers of services under title XVIII of the Social Security Act (Health Insurance For The Aged) by June 30, 1974.
Bill· HRH.R. 5390 (93rd)referred
United States · United States Congress · 8 March 1973
Food Supplement Amendment - Defines the term "food supplement" for purposes of the Federal Food, Drug, and Cosmetics Act to mean food for special dietary uses, and defines the meaning of "special dietary uses" as particular uses of food for man which meets specified requirements. Provides that in administering such Act the Secretary of Health, Education, and Welfare: (1) shall not limit the potency, number, combination, amount, or variety of any synthetic or natural vitamin, mineral, substance, or ingredient of any food supplement unless such article is intrinsically injurious to health in the recommended dosage; and (2) shall not require a warning label on any food supplement unless such article is intrinsically injurious to health in the recommended dosage.
Bill· HRH.R. 5375 (93rd)referred
United States · United States Congress · 7 March 1973
Food Supplement Amendment - Defines the term "food supplement" for purposes of the Federal Food, Drug, and Cosmetics Act to mean food for special dietary uses, and defines the meaning of "special dietary uses" as particular uses of food for man which meets specified requirements. Provides that in administering such Act the Secretary of Health, Education, and Welfare: (1) shall not limit the potency, number, combination, amount, or variety of any synthetic or natural vitamin, mineral, substance, or ingredient of any food supplement unless such article is intrinsically injurious to health in the recommended dosage; and (2) shall not require a warning label on any food supplement unless such article is intrinsically injurious to health in the recommended dosage.
Bill· HRH.R. 5371 (93rd)referred
United States · United States Congress · 7 March 1973
Stipulates that no department, agency, or instrumentality of the United States may make a grant, contract, or loan for any hospital or other health care facility unless such facility agrees to prohibit the performance of psychosurgery on its premises or for any prison or other correctional facility unless such facility agrees to prohibit the performance of psychosurgery on any of its inmates. Makes it unlawful for: (1) any person to perform psychosurgery in any federally connected health care facility, and (2) for any federally connected health care facility to permit any person to perform psychosurgery in violation of this Act. Prescribes civil penalties for violation of this Act. Establishes a nine-member Psychosurgery Commission, and authorizes it to initiate civil actions in U.S. district courts to restrain violations of this Act. Provides for an annual report by the Commission on its activities under this Act.
Bill· HRH.R. 5342 (93rd)referred
United States · United States Congress · 7 March 1973
Health Security Act - Title I: Health Security Benefits - Provides that every resident of the U.S. (and every non-resident citizen when in the U.S.) will be eligible for covered services. Permits reciprocal and "buy-in" agreements for groups of non-resident aliens, and in some cases benefits to U.S. residents when visiting in other countries. Entitles every eligible person to have payments made by the Health Security Board for covered services provided within the United States by a participating provider. Provides that all necessary professional services of physicians, wherever furnished are covered, including preventive care, with two important restrictions: (1) specialist services are covered only when performed by a qualified specialist except in emergency situations, and generally only on referral from a primary physician; and (2) psychiatric services to an ambulatory patient are covered only for active preventive, diagnostic, therapeutic or rehabilitative service with respect to mental illness. Provides that comprehensive dental services (exclusive of most orthodontic services) are covered for children under age 15, with the covered age group increasing by two years each year until all those under age 25 are covered. Provides that: (1) inpatient and outpatient hospital services and services of a home health agency are covered without arbitrary limitation; (2) pathology and radiology services are specifically included as parts of institutional services; and (3) custodial care is specifically excluded in specified institutional settings. Limits payment for skilled nursing home care to 120 days per spell of illness, except that this limit may be increased when the nursing home is owned or managed by a hospital and payment for care is made through the hospital's budget. Limits the psychiatric hospital benefit to 45 consecutive days of active treatment during a spell of illness. Provides coverage for two categories of drug use: prescribed medicines administered to inpatients or outpatients within participating hospitals; or to enrollees of comprehensive health service organizations, and drugs necessary for the treatment of specified chronic illnesses or conditions requiring long or expensive therapy. Requires the Board and the Secretary of Health, Education, and Welfare to establish two lists of approved drugs, taking into account the safety, efficacy and cost of each drug. Provides a broad list of approved medicines available for use in institutions and by comprehensive health service organizations and a more restricted list which is available for use outside such organized settings. Provides that the appliances benefit is similar in concept and operation to the drug benefit, subject to a limitation on aggregate cost. Asserts that the professional services of optometrists and podiatrists are covered, subject to regulations, as are diagnostic or therapeutic services furnished by independent pathology laboratories and radiology services. States that health services furnished or paid for under a workmen's compensation law are not covered. Provides that the services of a professional practitioner are not covered if they are furnished in a hospital which is not a participating provider. Requires that participating providers meet standards established in this title or by the Board. Requires that such providers must agree to provide services without discrimination, to make no unauthorized charge to the patient for any covered service, and to furnish data necessary for utilization review by professional peers, statistical studies by the Board, and verification of information for payments. Makes professional practitioners, licensed when the program begins, eligible to practice in the State where they are licensed and requires that all newly licensed applicants for participation meet national standards established by the Board in addition to those required by his State. Establishes conditions of participation for general hospitals similar to those required under Medicare. States that the two requirements not found in the Medicare program are: (1) that the hospital must not discriminate in granting staff privileges on any grounds unrelated to professional qualifications; and (2) that it establish a pharmacy and drug therapeutics committee for supervision of hospital drug therapy. Provides that psychiatric hospitals will be eligible to participate only if the Board finds that the hospital (or a distinct part of the hospital) is engaged in furnishing active diagnostic, therapeutic and rehabilitative services to mentally ill patients. Establishes conditions of participation for skilled nursing homes similar to those established for extended care facilities under Medicare. Makes provisions for the participation of home health service agencies. Describes as eligible a health maintenance organization which undertakes to provide an enrolled population either with complete health care or with complete health security services (other than institutional services, mental health or dental services) for the maintenance of the health and care of ambulatory patients. Permits a foundation sponsored by a county or other local medical society to participate as a provider of services. Authorizes the Board to deal separately with the primary care portion of a system of comprehensive health care where it is necessary to rely on arrangements with other providers. Permits the Board to contract directly with public or other nonprofit mental health centers and mental health day care services. Specifies the broad and general conditions under which independent pathology laboratories, independent radiological services, and providers of drugs, devices, appliances, equipment, or ambulance services may qualify as providers under Health Security. Requires that a participating skilled nursing home have in effect an agreement with at least one participating hospital for the transfer of patients and medical and other information as medically appropriate. Prohibits in malpractice judgments any damages to be awarded to the injured party for the cost of remedial services which he is entitled to receive under this Act. Excludes the institutions of the Department of Defense and the Veterans Administration, and institutions of the Department of Health, Education, and Welfare serving merchant seamen or Indians or Alaskan natives, from serving as participating providers, as well as any employee of these institutions when he is acting as an employee. Provides reimbursement for any services furnished by these institutions or agencies to eligible persons who are not a part of their normal clientele. Permits a physician, dentist, optometrist, or podiatrist, licensed in one State and meeting the national standards, to furnish Health Security benefits in any other State, the scope of his permissible practice being governed by the law of the State in which he is practicing. Grants a similar authority to other health professional and nonprofessional personnel. Establishes the Health Security Trust Fund, to receive the net assets of existing (Medicare) funds taken over by the Health Security program, the yield of the Health Security taxes, and the Government's contribution from general revenues amounting to 100 percent of the yield from these taxes. Provides that three separate accounts shall be established in the Health Security Trust Fund: a Health Service Account, a Health Resources Development Account, and an Administration Account. Provides that in each of the first two years of the program operation, 2 percent of the Trust Fund shall be set aside for the Health Resources Development Fund; and the allocation shall increase by 1 percent at two-year intervals to 5 percent within the next 6 years. Provides for allocation of the Health Services account among the regions of the country. Provides that the allocation to each region shall be based on the aggregate sum expended during the most recent 12-month period for covered services (with appropriate modification for estimated changes in the consumer price index, the expected number of eligible beneficiaries, and estimated changes in the number of participating providers). Provides that the Board will divide the allocation to each region into funds available to pay: institutional services; physician services; dental services; furnishing of drugs; furnishing of devices, applications, and equipment; and miscellaneous services. Provides that payments for covered services provided to eligible persons by participating providers will be made from the Health Service Account in the Trust Fund. Describes the method to be used in applying, as between practitioners electing the various methods of payment fee for service, the monies available in each health service area for payment to each category of professional providers. Authorizes the Board to experiment with other methods of reimbursement so long as the experimental method does not increase the cost of service or lead to overutilization or underutilization of services. Provides that skilled nursing homes and home health agencies will be paid in the same manner as a general hospital (on an approved annual budget basis). Provides that a health maintenance organization will be paid for covered services, on the basis of a fixed capitation rate multiplied by the number of eligible enrollees. Contains a series of provisions for developing a continuous process of health service planning and for assisting in the recruitment, education, and training of health personnel. Authorizes special improvement grants: (1) to any public or other nonprofit health agency or institution to establish improved coordination and linkages with other providers of services, and (2) to organizations providing comprehensive ambulatory care to improve their utilization review, budget, statistical, or records and information retrieval systems, to acquire equipment needed for those purposes, or to acquire equipment useful for mass screening or for other diagnostic or therapeutic purposes. Sets forth the responsibilities and duties of the Secretary of HEW and the Board with regard to this title. Creates an administrative structure within the Department of Health, Education, and Welfare with exclusive responsibility for administration of the Health Security program. Establishes a five-member full-time Health Security Board serving under the Secretary of Health, Education, and Welfare. Provides that the members shall be appointed by the President with the advice and consent of the Senate, for five-year overlapping terms. Creates the position of an Executive Director, appointed by the Board with the approval of the Secretary. Provides that the Executive Director shall serve as secretary to the Board and shall perform such duties in the administration of the program as the Board assigns to him. Provides that the program will be administered through the regional offices of the Department of Health, Education, and Welfare. Requires the establishment of sub-regional (service area) offices. Establishes a National Health Security Advisory Council, with the Chairman of the Board serving as the Council's Chairman and 20 additional members not in the employ of the Federal Government. Authorizes the Advisory Council to appoint professional or technical committees to assist in its functions. Provides that the Advisory Council will advise the Board on matters of general policy in the administration of the program, the formulation of regulations and the allocation of funds for services. Charges the Board with responsibility for informing the public and providers about the administration and operation of the Health Security program. Requires the Board to make a continuing study and evaluation of the program, including adequacy, quality and costs of services. Authorizes the Board directly or by contract to make detailed statistical and other studies on a national, regional, or local basis of any aspect of the title; to develop and test incentive systems for improving quality of care, methods of peer review of drug utilization and of other service performances; to develop and test systems of information retrieval, budget programs, instrumentation for multiphasic screening or patient services, reimbursement systems for drugs; and to make such other studies which it considers would improve the quality of services of administration of the program. Grants authority to the Board, in accordance with regulations, to make determinations of who are participating providers of services, determinations of eligibility, of whether services are covered, and the amount to be paid to providers. Allows a provider of services who is dissatisfied with a final Board determination to obtain a hearing before a Board panel, and judicial review of a final decision. Authorizes the Board, with the advice and assistance of the Commission on the Quality of Health Care, to issue and review regulations assuring the quality of care furnished under this Act. Requires continuing professional education by physicians, dentists, optometrists, and podiatrists. Provides for the appointment of a Deputy Secretary of HEW and an Under Secretary for Health and Science. States that no provision of this Act shall alter any contractual obligation of an employer to provide health services to his employees and their dependents. Title II: Health Security Taxes - Converts the existing Medicare hospital insurance payroll taxes into Health Security taxes, and raises the rates to 1 percent on employees and 3.5 percent on employers. Raises the wage base for the employee tax from the present $7,800 to $15,000 or, if higher 125 percent of the contribution and benefit base. Broadens the definitions of covered employment to include foreign agricultural workers, employees of the U.S. and its instrumentalities (other than members of the armed forces and the President, Vice-President, and Members of Congress), employees of charitable and similar organizations, railroad employees, and (for the employee tax only) employees of States and their political subdivisions and instrumentalities. Excludes from the gross income of employees, for income tax purposes, payment by their employers of part or all of the Health Security taxes on the employees. Spells out the precise effective dates of the new payroll tax provisions. Converts the existing Medicare self-employment tax into a Health Security self-employment tax, and raises the rate to 2.5 percent, and raises the maximum taxable self-employment income from $7,800 to $15,000. Adds a new 1 percent Health Security tax on unearned income (unless such income is less than $400 a year), subject to the same maximum on taxable income as is applicable to the employee and self-employment taxes. Title III: Commission on the Quality of Health Care - Establishes in the Department of HEW a Commission on the Quality of Health Care, with the primary responsibility of: (1) initiating and continuing development of methods of assessing the quality of health care furnished under the Health Security Act, and (2) submitting to the Secretary and the Health Security Board its findings and recommendations. Stipulates that in carrying out its duties the Commissioner shall emphasize, and give first consideration to, care furnished for those illnesses and conditions which have relatively high incidence in the population and which are relatively amenable to medical or other care. Title IV: Repeal or Amendment of Other Acts - Makes various conforming amendments to the medicare, medicaid, vocational rehabilitation, and Federal employees health benefits statutes to bring it into conformity with this Act. Requires that, after the effective date of benefits, no State shall be required to furnish any service covered under Health Security as a part of its State plan for participation under Medicaid, and that the Federal government will have no responsibility to reimburse any State for the cost of providing a service which is covered under Health Security. Provides that funds available under the Vocational Rehabilitation Act or the Maternal and Child Health title of the Social Security Act shall not be used to pay for personal health services after the effective date of benefits, except (to the extent prescribed in regulations by the Secretary of HEW) to pay for services which are more extensive than those covered under Health Security. Title V: Studies Related to Health Security - Authorizes the Secretary of Health, Education, and Welfare in consultation with the Secretary of State and the Secretary of Treasury to study the coverage of health services for U.S. residents in other countries. Directs the Secretary of HEW to study the feasibility and desirability of coordinating the Federal health benefit programs for merchant seamen, and Indians and Alaskan natives, and veterans and members of the Armed Forces, with the Health Security Benefit Program.
Bill· HRH.R. 5313 (93rd)referred
United States · United States Congress · 7 March 1973
Food Supplement Amendment - Defines the term "food supplement" for purposes of the Federal Food, Drug, and Cosmetics Act to mean food for special dietary uses, and defines the meaning of "special dietary uses" as particular uses of food for man which meets specified requirements. Provides that in administering such Act the Secretary of Health, Education, and Welfare: (1) shall not limit the potency, number, combination, amount, or variety of any synthetic or natural vitamin, mineral, substance, or ingredient of any food supplement unless such article is intrinsically injurious to health in the recommended dosage; and (2) shall not require a warning label on any food supplement unless such article is intrinsically injurious to health in the recommended dosage.
Bill· HRH.R. 5307 (93rd)referred
United States · United States Congress · 7 March 1973
Provides for the reimbursement of medical treatment facilities for emergency medical treatment given to indigent aliens unlawfully in the United States. Sets forth procedures to be followed in applying to the Attorney General for reimbursement under this Act.
Bill· HRH.R. 5279 (93rd)referred
United States · United States Congress · 7 March 1973
Requires the Secretary of Transportation to prescribe regulations requiring carriers by rail, motor vehicle, and air modes of public transportation in interstate commerce to reserve some seating capacity for passengers who do not smoke.
Bill· HRH.R. 5267 (93rd)referred
United States · United States Congress · 7 March 1973
Rehabilitation Act - Declares that it is the purpose of this Act to provide a statutory basis for the Rehabilitation Service Administration and to establish within the Department of Health, Education and Welfare an Office for the Handicapped, and to authorize specified programs. Establishes within the Department of Health, Education, and Welfare a Rehabilitation Services Administration which shall be administered by a Commissioner. Provides that the Commissioner shall carry out and administer all programs and direct the performance of all services for which authority is provided to the Secretary of H.E.W. under titles I through IV of this Act. Creates within such administration a Division of Research, Training and Evaluation which shall be responsible for carrying out programs and projects under title IV of this Act. Authorizes the inclusion of appropriations under this Act in appropriations for the fiscal year preceding the fiscal year for which they are available for obligation. Provides that where funds are provided for a single project by more than one Federal agency to an agency or organization assisted under this Act, the Federal agency principally involved may be designated to act for all in administering such funds, pursuant to regulations prescribed by the President. Sets forth definitions of terms used in this Act. Title I: Vocational Rehabilitation Services - States it to be the purpose of this title to authorize grants to assist States to meet the current and future needs of handicapped individuals, so that such individuals may prepare for and engage in gainful employment to the extent of their capabilities. Authorizes to be appropriated $800,000,000 for fiscal year 1973, and $975,000,000 for fiscal year 1974 for the purpose of making grants to States to assist them in meeting the costs of vocational rehabilitation services. Authorizes to be appropriated $50,000,000 for fiscal year 1973, $60,000,000 for fiscal year 1974, and $75,000,000 for fiscal year 1975, for the purpose of making grants to States and public and nonprofit agencies to assist them in meeting the costs of projects to initiate or expand services to handicapped individuals. Sets forth the requirements of State plans to be submitted and approved for participation in programs under this title and under title II of this Act. Authorizes judicial review in United States district courts of decisions by the Commissioner of the Rehabilitation Services Administration affecting State plans. Provides that the Commissioner shall insure that the individualized written rehabilitation program required in a State plan in the case of each handicapped individual shall be developed jointly by the vocational rehabilitation counselor or coordinator and the handicapped individual. Defines vocational rehabilitation services provided under this Act as any goods or services necessary to render a handicapped individual employable, including, but not limited to, the following: (1) evaluation of rehabilitation potential; (2) counseling, guidance, referral, and placement services for handicapped individuals; (3) vocational and other training services for handicapped individuals; (4) physical and mental restoration services; (5) maintenance, not exceeding the estimated cost of subsistence, during rehabilitation; (6) interpreter services for the deaf, and reader services for the blind; (7) recruitment and training services for handicapped individuals; (8) rehabilitation teaching services and orientation and mobility services for the blind; (9) occupational licenses, tools, equipment, and initial stocks and supplies; (10) transportation in connection with the rendering of any vocational rehabilitation services; and (11) telecommunications, sensory, and other technological aids and devices. Provides a formula for the allotment and payment of funds to States for providing rehabilitation services under this title. Directs the Commissioner to establish offices in ten to twenty geographically dispersed regions for client assistance pilot projects to provide counselors to inform and advise all clients and client applicants in the project area of all available benefits under this Act and to assist them in their relationships with projects, programs, and facilities providing services to them under this Act. Directs the Commissioner to pay to a State or, at the option of the State, to a public or nonprofit organization or agency a portion of the cost of planning, preparing for, and initiating special programs under the State plan to expand vocational rehabilitation services. Title II: Comprehensive Rehabilitation Services - States it to be the purpose of this title to authorize grants to assist the several States in developing and implementing continuing plans for meeting the current and future needs of handicapped individuals for whom a vocational goal is not possible or feasible authorizes to be appropriated $30,000,000 for fiscal year 1973, $50,000,000 for fiscal year 1974, and $80,000,000 for fiscal year 1975 for grants to carry out the purposes of this title. Specifies the formula to be utilized in alloting such funds to the States. Directs the Commissioner to make grants to States and public and nonprofit agencies or organizations to pay part of the cost of projects for research and demonstration and training which hold promise of making a substantial contribution to the solution of problems related to the rehabilitation of individuals under this title. Title III: Special Federal Responsibilities Authorizes the Commissioner to make grants and contracts to assist in meeting the costs of construction of public or nonprofit rehabilitation facilities, initial staffing, and planning assistance. Authorizes to be appropriated for such grants and contracts $35,000,000 for fiscal year 1973, $40,000,000 for fiscal year 1974, and $45,000,000 for fiscal year 1975. Authorizes the Commissioner to make grants to States and public or nonprofit organizations and agencies to pay up to 90 percent of the cost of projects for providing vocational training services to handicapped individuals, especially those with the most severe handicaps, in public or nonprofit rehabilitation facilities. Authorizes to be appropriated for such grants and contracts $30,000,000 for fiscal year 1973, $35,000,000 for fiscal year 1974, and $40,000,000 for fiscal year 1975. Authorizes the Commissioner to insure up to 100 percent of any mortgage on the construction of facilities for programs for handicapped individuals. Creates a Rehabilitation Facilities Insurance Fund to be used by the Commissioner as a revolving fund for carrying out the insurance provisions of this part. Provides that the total amount of outstanding mortgages shall not exceed $250,000,000. Authorizes to be appropriated such sums as may be necessary for initial capital for such Fund. Authorizes the Commissioner to make annual interest grants to assist States and public or nonprofit agencies and organizations to reduce the cost of borrowing from other sources for the construction of rehabilitation facilities. Authorizes to be appropriated such sums as may be necessary for the payment of annual interest grants in accordance with this part. Authorizes the Commissioner to make grants to States and public or nonprofit agencies and organizations for paying part of the cost of special projects and demonstrations: (1) for establishing facilities and providing services which hold promise of expanding or otherwise improving rehabilitation services to handicapped individuals, especially those with the most severe handicaps; and (2) for applying new types or patterns of service or devices. Allows the Commissioner to make grants to pay up to 90 percent of the cost of projects or demonstrations for the provision of vocational or comprehensive rehabilitation services to handicappped individuals who are migratory agricultural workers or seasonal farmworkers, and to members of their families who are with them. Provides that the Commissioner may make contracts or jointly finance cooperative arrangements with employers and organizations for the establishment of projects designed to prepare handicapped individuals for gainful and suitable employment in the competitive labor market under which such handicapped individuals are provided training and employment in a realistic work setting and such other services as may be necessary for such individuals to continue to engage in such employment. Authorizes the Commissioner to provide technical assistance to rehabilitation facilities, and for the purpose of removal of architectural and transportation barriers, to any public or nonprofit agency, institution, organization or facility. Authorizes to be appropriated, for the purpose of making grants under this part, $50,000,000 for fiscal year 1973, $125,000,000 for fiscal year 1974, and $150,000,000 for fiscal year 1975. Authorizes to be appropriated $5,000,000 for construction, $800,000 for operations for fiscal year 1973, $1,200,000 for operations for fiscal year 1974, and $2,000,000 for operations for fiscal year 1975, for establishing and operating a National Center for Deaf-Blind Youths and Adults. Authorizes to be appropriated $2,000,000 for fiscal year 1973, $4,000,000 for fiscal 1974, and $7,000,000 for fiscal year 1975 and for making grants and contracts for the expansion and improvement of vocational or comprehensive rehabilitation services for deaf and blind individuals. Authorizes to be appropriated, for the purpose of establishing and operating National Centers for Spinal Cord Injuries, $15,000,000 for fiscal year 1973, $25,000,000 for fiscal year 1974, and $30,000,000 for fiscal year 1975. Authorizes to be appropriated, for providing services for the treatment of individuals suffering from end-stage renal disease, $25,000,000 for fiscal year 1973, $25,000,000 for fiscal year 1974, and $25,000,000 for fiscal year 1975. Establishes a National Advisory Council on Rehabilitation of Handicapped Individuals in the Department of Health, Education, and Welfare to: (1) provide policy advice and consultation to the Secretary of Health, Education, and Welfare, and the Commissioner; (2) review the administration and operation of vocational rehabilitation programs under this Act; and (3) advise the Secretary and the Commissioner with respect to the conduct of independent evaluations of programs carried out under this Act. Authorizes appropriations of $100,000 for fiscal year 1973 and $150,000 for each of fiscal years 1974 and 1975 to carry out the functions of the Council. Title IV: Research and Training - Authorizes the Commissioner to make grants to and contracts with States and public or nonprofit agencies and organizations to pay part of the cost of projects for the purpose of planning and conducting research, demonstrations, and related activities, which bear directly on the development of methods, procedures, and devices to assist in the provision of vocational and comprehensive rehabilitation services to handicapped individuals, especially those with the most severe handicaps. Authorizes to be appropriated for such research activities $75,000,000 for fiscal year 1973, $100,000,000 for fiscal year 1974, and $150,000,000 for fiscal year 1975. Authorizes the Commissioner to make grants to and contracts with States and public and nonprofit agencies and organizations to pay part of the cost of projects for training, traineeships, and related activities designed to assist in increasing the numbers of personnel trained in providing vocational and comprehensive rehabilitation services to handicapped individuals and in performing other functions necessary to the development of such services. Authorizes to be appropriated for such training grants $50,000,000 for fiscal year 1973, $75,000,000 for fiscal year 1974, and $100,000,000 for fiscal year 1975. Title V: Administration and Program and Project Evaluation - Provides that, in carrying out his duties under this Act, the Commissioner shall: (1) cooperate with, and render technical assistance to States in matters relating to the rehabilitation of handicapped individuals; (2) provide short-term training and instruction in technical matters relating to vocational and comprehensive rehabilitation services; and (3) disseminate information relating to vocational and comprehensive rehabilitation services, and otherwise promote the cause of the rehabilitation of handicapped individuals and their greater utilization in gainful and suitable employment. Directs the Secretary to measure and evaluate the impact of all programs authorized by this Act. Title VI: Office for the Handicapped - Establishes an Office for the Handicapped in the Department of Health, Education, and Welfare to: (1) prepare a long-range projection for the provisions of comprehensive services to handicapped individuals; (2) analyze program operations; (3) encourage coordinated and cooperative planning; (4) provide assistance to other committees advising the Secretary; (5) develop means of promoting scientific research to bring about the full integration of handicapped individuals into all aspects of society; and (6) provide a central clearinghouse for information and resource availability for handicapped individuals. Authorizes to be appropriated for purposes of this title $1,000,000 for fiscal year 1973, $2,000,000 for fiscal year 1974, and $2,000,000 for fiscal year 1975. Title VII: Miscellaneous - Provides that the Vocational Rehabilitation Act is repealed ninety days after the date of enactment of this Act. Establishes an Interagency Committee on Handicapped Employees to insure the adequacy of hiring, placement, and advancement practices with respect to handicapped individuals by each department, agency, and instrumentality of the executive branch of Government. Establishes a National Commission on Transportation and Housing for Handicapped Individuals to identify and eliminate transportation barriers that impede the mobility of handicapped individuals and aged handicapped individuals, and to prepare plans and proposals for such further action as may be necessary to the goals of adequate transportation and housing for handicapped individuals. Establishes an Architectural and Transportation Barriers Compliance Board to investigate and examine alternative approaches to the architectural, transportation, and attitudinal barriers confronting handicapped individuals. Authorizes appropriations of $1,000,000 for fiscal year 1973; $1,250,000 for fiscal year 1974; and $1,500,000 for fiscal year 1975 to carry out the duties and functions of the Board.
Bill· SS. 1118 (93rd)referred
United States · United States Congress · 6 March 1973
Increases the number of nursing home beds in each State for war veterans in need of nursing home care to two and one-half beds per thousand war veteran population. (Amends 38 U.S.C. 5034)
Bill· SS. 1100 (93rd)referred
United States · United States Congress · 6 March 1973
National Health Care Act - Title I: Findings and Declaration of Purpose - States that: (1) America confronts a critical testing of its capacity to meet for all of its citizens one of the most basic of human needs, that of protecting and maintaining personal health; (2) every citizen of the United States of America should have access to quality health care, but too many Americans find it difficult to secure quality health care when they need it, where they need it, at prices they can afford; and (3) the nation needs systems of health care organization, delivery, and financing which combine the high scientific and technical competence of the medical and allied health professions; the flexibility, innovativeness, efficiency, and managerial skills of private enterprise; the legislative and fiscal capacities of government at all levels; and the potentialities of consumer and community participation in developing and maintaining such systems of health care. Declares the purposes of this Act to be to improve the organization, delivery, and financing of health care for all Americans by increasing health personnel, promoting ambulatory care, strengthening health planning, establishing national standards of health care benefits, encouraging provision of such benefits through comprehensive health care insurance, and by assisting persons of low income or in poor health to secure that insurance. Title II: Provisions to Increase the Supply and Improve the Distribution of Health Care Personnel - Allows a medical student to borrow the full cost of tuition, fees, and reasonable amounts for room, board, books, supplies, and other related costs. Provides that the loan will be forgiven at the rate of 20 percent a year in return for practice in an area found by the Secretary of Health, Education, and Welfare and the appropriate State comprehensive planning agency to be in need of physicians, optometrists, or dentists. Authorizes, $100 million a year for fiscal years 1975, 1976, and 1977 for this purpose. Provides that loan provisions for student nurses are amended to allow loans covering the full cost of tuition, fees, and reasonable amounts for room, board, books, supplies and other related costs. Directs that up to half of the loan may be forgiven at the rate of 20 percent a year for service in a public or nonprofit private institution or agency and that up to 100 percent of the loan may be forgiven at the rate of 33 1/3 percent a year for appropriate service in an area designated as having a substantial shortage of nurses. Authorizes, $75 million a year for fiscal years 1975, 1976, and 1977 for this purpose. Provides that scholarship grants may, in accordance with regulations of the Secretary of Health, Education, and Welfare, be awarded according to the needs of the individual, up to the full cost of his tuition, fees, books, equipment and living expenses. Authorizes for this purpose $10 million for fiscal year 1973, $30 million for fiscal year 1974, and $50 million a year for fiscal years 1975, 1976, and 1977. Allows loans for students in the allied health professions covering the full cost of tuition, fees, and reasonable amounts for room, board, books, supplies, and other related costs. Provides that up to half of the loan may be forgiven at the rate of 20 percent a year for service in a public or nonprofit private institution or agency and that up to 100 percent of the loan may be forgiven at the rate of 33 1/3 percent a year for appropriate service in an area designated as having a substantial shortage of allied health professionals. Authorizes $7.5 million for fiscal year 1973, $15 million for fiscal year 1974, $40 million for fiscal year 1975, $60 million for fiscal year 1976, and $75 million for fiscal year 1977 for this purpose. Includes junior colleges, colleges and universities which offer training in health care center administration or curriculums providing the allied health-professionals needed to operate comprehensive ambulatory health care centers under the training grant provisions of the Public Health Service Act. Establishes a new program of special project grants to help education institutions meet the cost of developing curriculums and training programs to develop the skills needed to administer and staff comprehensive ambulatory health care centers. Authorizes $10 million for fiscal year 1973, $25 million for fiscal year 1974, $40 million for fiscal year 1975, and $50 million a year for fiscal years 1976 and 1977 for this purpose. Establishes a program of Federal grants to medical personnel in return for service in urban and rural areas of critical need to alleviate the maldistribution of health care personnel. Authorizes the Secretary of Health, Education, and Welfare to contract with individual health professionals who agree to provide health care services for a period of at least two years in an area designated by the Secretary, upon recommendation of the appropriate State comprehensive health planning agency as having a critical need for those services. Provides that the amount of the grant is that amount which, when added to the recipient's income from providing health care services for each contract year, provides a total income equal to 110 percent of the national annual median income for persons of comparable education and training, or 110 percent of his earnings from providing health care services in the previous year, whichever is greater. Provides that in determining the precise amount of the grant, the Secretary may consider such factors as he deems relevant. Requires that he must consider, however: (1) the national median annual income for the applicant's profession; (2) the cost of living in the area of need; (3) the background, training, and education of the applicant; (4) the amount of income the applicant can reasonably expect to receive from service in the area; (5) the number of persons of the applicant's profession needed in the area; and (6) where appropriate, cost of equipment, supplies, and facilities. Title III: Comprehensive Ambulatory Health Care Centers - Provides grants to comprehensive ambulatory health care centers. Sets up a special category of grants to comprehensive ambulatory health care centers which offer a greater range of medical services than current law now specifies for "out-patient facilities" grants. Revises the declaration of purpose of title VI of the Public Health Service Act to recognize specifically the concept of a comprehensive ambulatory health care center. Provides that for fiscal years commencing after June 30, 1973, an additional $200 million is provided hereunder in grant authority to be used for the construction of comprehensive ambulatory health care facilities, or the modernization of such existing facilities. Provides this sum through a new allotment category which is separate from existing allotment categories for construction and modernization of hospitals and other medical facilities. Provides that a portion of the funds available for grants hereunder be used to assist nearly-constructed facilities to pay initial start-up and operation expenses during the first three years of operation of such centers. Directs that funds available for the construction and modernization of comprehensive ambulatory health care centers will be allotted to the several states on the same basis as allotments are now made for construction of hospitals and other medical facilities. Provides that transfers from allotments for the construction and modernization of comprehensive ambulatory health care facilities to allotments for the construction of other types of facilities are not authorized. Permits carryovers of unused allotments from one fiscal year to the other. Requires that priorities for awarding grants to comprehensive ambulatory health care centers be given to proposed facilities in densely populated areas now lacking such facilities. Provides that in its evaluation of the health needs of its citizens, the State health planning agency would be required to determine as part of its planning process the number of comprehensive ambulatory health care centers needed in the State and a plan for distribution of such centers. Requires the adoption of a program providing for construction of those comprehensive ambulatory health care centers identified as needed in its State plan, or for modernizing such existing facilities. Adds comprehensive ambulatory health care centers to the list of types of health facilities from which recovery of Federal funds may be made by the Federal Government from facilities which no longer qualify. Adds comprehensive ambulatory health care centers to the list of types of facilities which qualify for Public Health Service Act loans, guarantees and interest subsidies for construction or modernization of health facilities. Defines comprehensive ambulatory health care centers to emcompass only facilities which provide a wide range of preventive, diagnostic and treatment services for ambulatory patients and thus relieve overutilization of general hospitals and make health care more accessible. Title IV: Provisions To Strengthen Health Care Planning - Provides that beginning in 1974, the President shall make a health report to the Congress no later than July 1 of each year on the status of the nation's health needs and health care system with a program for meeting those needs. Creates a three-man Council of Health Policy Advisers in the Executive Office of the President, its members appointed by the President with the advice and consent of the Senate. Authorizes the Council to hire officers, employees and such experts and consultants as may be needed. Requires the Council to make an annual health report to the President not later that April 1 of each year, starting in 1974, to be transmitted to the Congress as a supplement to the next Health Report of the President to the Congress. Provides that in its first report to the President the Council shall specifically review and advise the President on health programs. Requires the Council to develop and recommend goals for a national health policy to promote efficiency, eliminate waste and duplication in the utilization of health facilities and resources, and to recommend specific programs to streamline and consolidate health manpower programs. Directs the Council to consult with the National Advisory Health Council, and other advisory councils or committees as well as such representatives of the private sector as it deems advisable and to utilize the services, facilities and information of other public and private organizations to the fullest extent to avoid unnecessary overlapping or duplication of effort. Provides that the chairman shall be compensated at the rate of Level II and the other members at the rate of Level IV of the Executive Schedule Pay Rates. Authorizes such sums as are needed to enable the Council to function, not to exceed $1 million in any fiscal year. Requires every agency of the Federal Government to include, to the fullest extent possible, in each report on proposals for legislation or other major Federal action significantly affecting health or the health care system, the impact of the proposal on the nation's health care system, adverse effects, alternatives, the relative priority established by the Council of Health Policy Advisers, and any irreversible or irretrievable commitments of resources involved. Provides that prior to making this report the responsible Federal official shall consult with and obtain the comments of any Federal agency which has jurisdiction by law or special expertise relative to the health impact of the proposal. Provides that these comments, with comments of appropriate Federal, State and local agencies, shall be made available to the President, the Council, and the public, and shall accompany the proposal through the existing agency review process. Provides that these provisions shall not affect the obligations imposed on Federal agencies by other Federal status. Adopts for purposes of the entire Public Health Service Act the definition of "appropriate comprehensive health planning agency" provided in this bill. Provides that in order to qualify for the comprehensive health planning grants currently provided by section 314 of the Public Health Service Act, a State plan for comprehensive State health planning must, in addition to existing requirements, provide for the project certification procedures established by this Act. Increases the funds authorized for project grants for areawide health planning to $60 million for fiscal year 1973, and $100 million for fiscal years 1974 and 1975. Directs that to be eligible for the grants the agency must be prepared to function as the "appropriate comprehensive health planning agency" for the area or region. Requires the agency to be prepared to play a strengthened role in coordinating areawide health affairs, including the determination of health needs, capital expenditures programs, cooperative use of facilities, optimum use of available manpower and improved management techniques. Requires the agency to provide for consultation with the areawide health planning council and other groups, for the representation of health care facilities and physicians for enlisting public support, and for educating the public concerning the proper use of facilities and services available. Provides that in the case of applications for Federal grants, loans, or other financial aid involving more than $100,000 which require certification by the appropriate comprehensive health planning agency, the application may be approved by the Secretary only after he is satisfied that the review provisions of this section have been met. Requires that the agency have reasonable opportunity to review and comment on the application, and has certified to its essential need and high priority. Provides that if the "appropriate comprehensive health planning agency" is a metropolitan or other local planning agency, that agency, after reviewing the application, must have communicated its comments to both the applicant and the State agency. Directs the State planning agency to make its own determination that the application fits in with the State's overall needs and priorities as expressed in the State plan. Requires that if two or more States are involved, each State agency must make a separate certification as to the need and priority of the project in its State. Provides that in the case of a project affecting an entire State, the appropriate comprehensive health planning agency is the agency designated in the State plan. Provides that in the case of a project affecting a region, metropolitan area, or other local area, the appropriate comprehensive health planning agency is the areawide comprehensive health planning agency or such other public or nonprofit private agency determined in accordance with regulations to be performing the required health planning functions. Title V: Provisions to Make Comprehensive Health Care Insurance Available to All - Contains provisions designed to accomplish three major objectives: (1) to establish minimum nationwide standards for individual health care benefits; (2) to establish a system of nationwide health care insurance, utilizing both privately and publicly financed plans, which will assure that every individual requiring medical care will have the funds required to pay the cost of the care when his need for it arises, irrespective of his economic status; and (3) to control the cost and quality of medical care to the consumer by strengthening controls over the prices charged by institutional and individual providers of medical care that may be exercised by the public and private insurers who pay the providers' charges. Prescribes minimum national standards for the health care of all individuals. Requires that benefits paying for not less than the health care required under the minimum standards must be included in private or State established health care plans as a condition of eligibility for the federal tax or other public financial assistance accorded under this bill. Permits additional benefits and allows a qualified private health care plan to provide for a covered individual's payment of medical expenses exceeding established "deductible" and "co-payment" standards. Permits qualifying health care plans to include various other "optional" provisions. Assures that the minimum standards of health care required to be provided to needy and uninsurable individuals will be no less than those required for others. Requires the timing of benefit implementation to be faster under publicly assisted plans for needy and uninsurable individuals than under private qualified plans. Bars higher co-payments for ambulatory-treatment of a given condition than for institutional treatment of the same condition. Assigns one of three "priority designations" to each of the benefits in the Table of Minimum Standard Healthcare Benefits and requires benefits in the several priority categories to be phased-in in accordance with a schedule prescribed in the law. Provides that to permit the flexibility required to deal with unexpected shortfalls in development of the health care facilities and services needed to deliver the care covered by a particular benefit, the President is empowered, under restricted conditions stated in the law, to defer the scheduled time for phase-in of benefits that have not become mandatory at the time he acts. Revises the Internal Revenue Code to restrict the Federal income tax deduction otherwise allowable to an employer for any amount paid or incurred by the employer for medical care of any employee or his dependents. Restricts this deduction to 50 percent of the described expense for medical care of the employee prior to 1975, 75 percent for 1976 and 100 percent for all time after 1976. Provides that if the employer establishes and maintains a Qualified Employee Healthcare Plan, the restriction will not apply, and 100 percent of the described expense is deductible. Applies such provisions to taxable years after December 31, 1974, except that, in the case of any employer plan providing medical care for employees which was established pursuant to a collectively-bargained agreement, the restrictions on the deduction will not apply until the expiration of the agreement, or December 31, 1976, whichever occurs first. Requires that each Qualified Employee Healthcare Plan provide at least the Minimum Standard Healthcare Benefits described in this Act and be in writing, adopted by the employer, and communicated to his employees. Provides that substantially all active full-time employees must be eligible to be covered, and the coverage must continue upon certain terminations of employment or certain temporary absences of the employee. Requires that a coordination of benefits provision be included in a qualified plan to avoid costly duplication of coverage and also the plan must permit eligible employees to seek coverage instead from any approved health maintenance organization in cases in which specified conditions are satisfied. Allows 100 percent of medical care insurance premiums as an income tax deduction, if such expenses are paid by an individual who is covered by a Qualified Individual Healthcare Plan, a Qualified Employee Healthcare Plan, or a Qualified State Healthcare Plan. Requires that each Qualified Individual Healthcare Plan provide at least the Minimum Standard Healthcare Benefits described in this Act. Requires that a qualified individual insurance contract contain provisions which obligate the insurer to renew the policy, and allows covered dependents to continue their coverage under the policy after the death of the insured as if he were still alive. Adds a new title XX to the Social Security Act to provide for the establishment of publicly subsidized health care insurance plans on a State by State basis. Provides that each State will have a health insurance pool, which all private entities in that State (both profit and non-profit) which currently indemnify the cost of health care would be required to underwrite. Directs that one or more private insurance carriers will be designated by the State to administer the State plan on a retention accounting basis. Provides that these State plans will guarantee that Minimum Standard Healthcare Benefits are made available to individuals and families who previously were unable to purchase health care insurance, either because of their low income or their extremely poor health. Provides that in order to encourage a State to establish a plan, federal appropriations otherwise payable to the State pursuant to titles V and XIX of the Social Security Act are conditioned on the State's having in operation a Qualified State Healthcare Plan. Provides that individuals or families who are eligible to receive public cash assistance under a program financed in whole or in part by federal funds will be enrolled in the State plan automatically, and without cost. Permits those individuals who are financially capable of procuring health insurance, but who are uninsurable because of poor health, to enroll in the State plan at their own expense; however, these individuals may not be charged more than the established rate for other individuals enrolled in that State plan. Provides that enrollment of other individuals and families who had low incomes the previous year (less than $4,000 for single individuals, less than $6,000 for a family of two, and less than $8,000 for a family of three or more) is voluntary. Allows such individuals and families to elect to be enrolled once each year and requires them to make modest contributions toward the cost of insuring their own health care, depending on the size of their family and the amount of their income. Requires no assets or other means tests. Provides that the premiums to be charged for each policy year under a State plan will be actuarially determined in each State, and for each family size risk category. Directs that if the established premiums are found to be unjustifiably high within a particular State, the Secretary of Health, Education, and Welfare may direct a reduction in the federal appropriation for the State's premium cost. States that each State has the primary obligation to provide the uncontributed premium costs for its plan; but if the State implements and utilizes controls which are designed to promote the delivery of lower-cost higher-quality institutional health care services, if it exempts Qualified State Healthcare Plan transactions from State taxation, and if it eliminates discriminatory State tax treatment of health care insurers, then the State will receive federal appropriations reimbursing it for a percentage of its total uncontributed premium cost. Provides that the base figure may be between 70 and 90 percent, depending on the State's per capita income, but further adjustments to this percentage may be made if instituitonal rates charged in any particular State for health care services are unjustifiably high in comparison with other States. Gives States the authority to review in advance the rates to be charged by health care insitutions for their services, and to refuse to approve these rates for payment under the State plan. Controls the cost and quality of health care services provided by physicians and other medical practitioners in each State. Provides that a professional service, otherwise covered by these State plans, shall be reimbursed only if it falls within professionally established utilization guidelines or is found to be necessary health care by a qualified peer review committee. Asserts that no charge for a necessary service shall be reimbursed to the extent that it exceeds the prevailing charge in a locality for similar services. Provides that if the premiums collected and other monies received under the State plan are not sufficient to pay the claims incurred and the other costs of operating the State plan, the private underwriters of the plan shall bear the losses to the extent of 3 percent of the premiums collected for that year. Directs the State to bear the excess losses which will be reimbursed by a federal appropriation for that portion of the excess losses equal to the base federal percentage for that State's premium cost. Provides that enrollment is not available to those individuals or families covered under a Qualified Employee Healthcare Plan; enrollment. Makes provisions to protect the federal government against having to bear such part of the cost of a Qualified State Healthcare Plan as may be attributable to a State's decision to have the plan provide greater benefits than the minimum required for qualification under title XX. Provides that applicants for enrollment in the State plan must provide and certify all information required to make an eligibility determination. States that any Federal or State agency may be required to furnish information deemed by the administering carrier to be necessary to verify eligibility. Revises title V of the Social Security Act (Maternal and Child Health and Crippled Children's Services) to avoid unnecessary and costly duplication of federally subsidized health care programs. Excludes payment for items and services now covered under title V, if they also would be covered under a Qualified State Healthcare Plan. Provides that title V will continue to pay for items and services which are not covered by Qualified State Healthcare Plans. Revises section 1837 of title XVIII of the Social Security Act to remove existing limitations on Medicare Part B enrollment which might prevent otherwise eligible State plan enrollees from qualifying for Qualified State Healthcare Plan coverage. Requires each State which has a Qualified State Healthcare Plan to pay the premium for supplementary medical insurance benefits under Part B of title XVIII of the Social Security Act for individuals and families who are eligible to enroll in the Part B program and who are also eligible to receive public cash assistance under a federally financed program. Revises section 1843 of title XVIII to allow a State to enter into an agreement with the Secretary of Health, Education, and Welfare pursuant to which all of these indigent State plan enrollees will be enrolled under the program established by Part B of title XVIII. Revises title XIX of the Social Security Act (Grants to States for Medical Assistance Programs) to avoid unnecessary and costly duplication of federally subsidized health care programs. Provides that on July 1, 1973, or upon a State's establishment of a Qualified State Healthcare Plan, whichever occurs first, payment for items and services now covered under title XIX would be excluded if they also would be covered under a Qualified State Healthcare Plan. Directs that title XIX will continue to pay for items and services which are not covered by Qualified State Healthcare Plans. Establishes standards for strengthening controls over the quality and cost to enrollees for health care service provided by physicians or other medical practitioners and for health care services rendered to State plan enrollees in health care institutions. Provides that these standards shall apply to determine "reasonable cost" under the existing federally subsidized health care programs established by title V, XVIII, and XIX of the Social Security Act. Requires that the premiums and other monies received pursuant to the operation of a Qualified State Healthcare Plan will, to the extent feasible, be invested by the administering carrier in interest-bearing obligations and other income-yielding securities. Exempts this interest or other income from federal income taxation. Requires insurance carriers to pool their efforts and resources to insure that all individuals and families will receive higher-quality, lower-cost health care benefits. Provides that these carriers will not be subject to Federal or State antitrust legislation solely as a result of their efforts to comply with the provisions of title V of the bill.
Bill· SJRESS.J.Res. 71 (93rd)referred
United States · United States Congress · 6 March 1973
National Advisory Commission on Health Science and Society Resolution - Establishes a National Advisory Commission on Health Science and Society comprised of 15 members to undertake a comprehensive investigation and study of the ethical, social, and legal implications of advances in biomedical research and technology, which shall include, without being limited to: (1) analysis and evaluation of scientific and technological advances in the biomedical sciences, past, current, and projected; (2) analysis and evaluation of the implications of such advances, both for individuals and for society; (3) analysis and evaluation of laws, codes, and principles governing the use of technology in medical practice; (4) analysis and evaluation through the use of seminars and public hearings and other appropriate means, of public understanding of and attitudes toward such implications; and (5) analysis and evaluation of implications for public policy of such findings as are made by the Commission with respect to biomedical advances and public attitudes toward such advances. Requires the Commission to transmit to the President and to the Congress one or more interim reports and, not later than two years after the first meeting of the Commission, one final report, containing detailed statements of the findings and conclusions of the Commission, together with its recommendations, including such recommendations for action by public and private bodies and individuals as it deems advisable. Authorizes to be appropriated such sums as may be necessary, but not to exceed $1,000,000 for each of the two years during which the Commission shall serve for the purpose of carrying out this joint resolution. Provides that on the ninetieth day after the date of submission of its final report to the President and the Congress the Commission shall cease to exist.
Resolution· SCONRESS.Con.Res. 14 (93rd)referred
United States · United States Congress · 6 March 1973
Makes it the sense of Congress that: (1) equally rigorous economies shall be applied by Congressional review to military, foreign assistance, space programs, and unwarranted tax preferences; (2) Congress shall set as a target for action by the relevant committees with respect to the proposed Federal Budget for fiscal 1974: (a) the realization of savings of $5,000,000,000 to $7,000,000,000 billion by paring unneeded weapons procurement, weapons research and weapons development, by reducing excessive forces in the military, and by economizing in foreign assistance and space programs, and (b) the elimination of unwarranted tax preferences in the Internal Revenue Code, to produce additional revenues of $5,000,000,000 to $7,000,000,000 billion; and (3) these budgetary resources, all within a fiscally responsible and non-inflationary budget ceiling as developed by the Congress, shall be redirected to promote full employment, quality education and health care for citizens, environmental protection safe and improved living conditions in urban and rural areas, and equal opportunities for all Americans, with particular but not exclusive emphasis given to providing for health care and national insurance coverage of health care costs for all Americans, expanded public service job opportunities, improvements in public assistance and social services programs, increased Federal assistance for housing, education, and the rehabilitation of urban areas, adequate law enforcement, the promotion of rural economic development, and new programs designed to improve the living conditions of American working families.
Bill· HRH.R. 5201 (93rd)referred
United States · United States Congress · 6 March 1973
National Healthcare Act - Title I: Findings and Declaration of Purpose - Declares the purpose of this Act to be to improve the organization, delivery, and financing of health care for all Americans by increasing health personnel, promoting ambulatory care, strengthening health planning, establishing national standards of health care benefits, including coverage for medical catastrophes, encouraging provisions of such benefits through comprehensive health care insurance, and by assisting persons of low income or in poor health to secure that insurance. Title II: Provisions to Increase the Supply and Improve the Distribution of Health Care Personnel - Allows a medical student to borrow the lesser of the sum of the full cost of tuition, fees, and reasonable amounts for room, board, books, supplies, and other related costs, or $5,000. Authorizes $100 million a year for fiscal years 1975, 1976, and 1977 for this purpose. Grants loans to student nurses covering the lesser of the sum of the full cost of tuition, fees, and reasonable amounts for room, board, books, supplies and other related costs, or $3,500. Authorizes $75 million a year for fiscal years 1975, 1976, and 1977 for this purpose. Provides that scholarship grants may, in accordance with regulations of the Secretary of Health, Education, and Welfare, be awarded, according to the needs of the individual, up to the full cost of his tuition, fees, books, equipment and living expenses. Authorizes for this purpose $50 million a year for fiscal years 1975, 1976, and 1977. Allows loans for students in the allied health professions covering the full cost of tuition fees, and reasonable amounts for room, board, books, supplies, and other related costs. Provides that up to half of the loan may be forgiven at the rate of 20 percent a year for service in a public or nonprofit private institution or agency and that up to 100 percent of the loan may be forgiven at the rate of 33 1/3 percent a year for appropriate service in an area designated as having a substantial shortage of allied health professionals. Authorizes $40 million for fiscal year 1975, $60 million for fiscal year 1976, and $75 million for fiscal year 1977 for this purpose. Includes junior colleges, colleges and universities which offer training in health care center administration or curriculums providing the allied health-professionals needed to operate comprehensive ambulatory health care centers within the training grant provisions of the Public Health Service Act. Establishes a new program of special project grants to help education institutions meet the cost of developing curriculums and training programs to develop the skills needed to administer and staff comprehensive ambulatory health care centers. Authorizes $40 million for fiscal year 1975, and $50 million a year for fiscal years 1976 and 1977 for this purpose. Establishes a program of Federal grants to medical personnel in return for service in urban and rural areas of critical need to alleviate the distribution of health care personnel. Authorizes the Secretary of Health, Education, and Welfare to contract with individual health professionals, nurses, or allied health professionals who agree to provide health care services for a period of at least two years in an area designated by the Secretary as having a critical need for those services. Provides that the amount of the grant is that amount which, when added to the recipient's income from providing health care services for each contract year, provides a total income equal to 110 percent of the national annual median income for persons of comparable education and training, or 110 percent of his earnings from providing health care services in the previous year, whichever is greater. Provides that in determining the precise amount of the grant the Secretary may consider such factors as he deems relevant, including: (1) the national median annual income for the applicant's profession; (2) the cost of living in the area of need; (3) the background, training, and education of the applicant; (4) the amount of income the applicant can reasonably expect to receive from service in the area; (5) the number of persons of applicant's profession needed in the area; and (6) where appropriate, cost of equipment, supplies, and facilities. Title III: Provisions to Encourage Comprehensive Ambulatory Health Care Centers - Provides grants to comprehensive ambulatory health care centers. Sets up a special category of grants to comprehensive ambulatory health care centers. Revises the declaration of purpose of title VI of the Public Health Service Act to recognize specifically the concept of a comprehensive ambulatory health care center. Provides that for fiscal years commencing after June 30, 1973 there is authorized an additional $200 million in grant authority to be used for the construction of comprehensive ambulatory health care facilities. Provides this sum through a new allotment category which is separate from existing allotment categories for construction and modernization of hospitals and other medical facilities. Provides that a portion of the funds available for grants hereunder be used to assist nearly-constructed facilities to pay initial start-up and operation expenses during the first three years of operation of such centers. Directs that funds available for the construction and modernization of comprehensive ambulatory health care centers will be allotted to the several States on the same basis as allotments now made for construction of hospitals and other medical facilities. Provides that transfers from allotments for the construction and modernization of comprehensive ambulatory health care facilities to allotments for the construction of other types of facilities are not authorized. Permits carryovers of unused allotments from one fiscal year to the other. Requires that priorities for awarding grants to comprehensive ambulatory health care centers be given to proposed facilities in densely populated areas now lacking such facilities. Provides that, in its evaluation of the health needs of its citizens, the State health planning agency would be required to determine as part of its planning process the number of comprehensive ambulatory health care centers needed in the State and a plan for distribution of such centers. Requires the adoption of a program providing for construction of those comprehensive ambulatory health care centers identified as needed in its State plan, or for modernizing such existing facilities. Adds comprehensive ambulatory health care centers to the list of types of health facilities from which recovery of Federal funds may be made by the Federal Government from facilities which no longer qualify. Adds comprehensive ambulatory health care centers to the list of types of facilities which qualify for Public Health Service Act loans, guarantees and interest subsidies for construction or modernization of health facilities. Defines comprehensive ambulatory health care centers to encompass only facilities which provide a wide range of preventive, diagnostic and treatment services for ambulatory patients. Title IV: Provisions to Strengthen Health Care Planning - Provides that the President shall make a health report to the Congress no later than July 1 of each year on the status of the nation's health needs and health care system with a program for meeting those needs. Creates a three-man Council of Health Policy Advisers in the Executive Office of the President, its members appointed by the President with the advice and consent of the Senate. Authorizes the Council to hire officers, employees and such experts and consultants as may be needed. Requires the Council to make an annual health report to the President not later than April 1 of each year to be transmitted to the Congress as a supplement to the next Health Report of the President to the Congress. Provides that in its first report to the President the Council shall specifically review and advise the President on health programs. Requires the Council to develop and recommend goals for a national health policy to promote efficiency, eliminate waste and duplication in the utilization of health facilities and resources, and to recommend specific programs to streamline and consolidate health manpower programs. Directs the Council to consult with the National Advisory Health Council, and other advisory councils or committees as well as such representatives of the private sector as it deems advisable and to utilize the services, facilities and information of other public and private organizations to the fullest extent to avoid unnecessary overlapping or duplication of effort. Provides that the Chairman shall be compensated at the rate of Level II and the other members at the rate of Level IV of the Executive Schedule Pay Rates. Authorizes such sums as are needed to enable the Council to function, not to exceed $1 million in any fiscal year. Requires every agency of the Federal Government to include, to the fullest extent possible, in each report on proposals for legislation or other major Federal action significantly affecting health or the health care system, the impact of the proposal on the nation's health care system, adverse effects, alternatives, the relative priority established by the Council of Health Policy Advisers, and any irreversible or irretrievable commitments of resources involved. Provides that in order to qualify for the comprehensive health planning grants that a State plan for comprehensive State health planning must, in addition to existing requirements, provide for the project certification procedures established by this Act. Increases the funds authorized for project grants for areawide health planning to $100 million for fiscal year 1975. Directs that to be eligible for the grants the agency must be prepared to function as the "appropriate comprehensive health planning agency" for the area or region. Requires the agency to be prepared to play a strengthened role in coordinating areawide health affairs, including the determination of health needs, capital expenditures programs, cooperative use of facilities, optimum use of available manpower and improved management techniques. Requires the agency to provide for consultation with the areawide health planning council and other groups, for the representation of health care facilities and physicians for enlisting public support, and for educating the public concerning the proper use of facilities and services available. Provides that, in the case of applications for Federal grants, loans, or other financial aid involving more than $100,000 which require certification by the appropriate comprehensive health planning agency, the application may be approved by the Secretary only after he is satisfied that the review provisions of this title have been met. Requires that the agency have reasonable opportunity to review and comment on the application and has certified to its essential need and high priority. Provides that if the "appropriate comprehensive health planning agency" is a metropolitan or other local planning agency, that agency, after reviewing the application, must have communicated its comments to both the applicant and the State agency. Directs the State planning agency to make its own determination that the application fits in with the State's overall needs and priorities as expressed in the State plan. Requires that if two or more States are involved, each State agency must make a separate certification as to the need and priority of the project in its State. Provides that in the case of a project affecting an entire State, the appropriate comprehensive health planning agency is the agency designated in the State plan. Provides that in the case of a project affecting a region, metropolitan area, or other local area, the appropriate comprehensive health planning agency is the areawide comprehensive health planning agency or such other public or nonprofit private agency determined in accordance with regulations to be performing the required health planning functions. Title V provisions to make comprehensive health care insurance available to all requires that benefits paying for not less than the health care required under the minimum standards must be included in private or State established health care plans as a condition of eligibility for the Federal tax or other public financial assistance accorded under this bill. Permits additional benefits and allows a qualified private health care plan to provide for a covered individual's payment of medical expenses exceeding established deductible and co-payment standards. Permits qualifying health care plans to include various other optional provisions. Assures that the minimum standards of health care required to be provided to needy and uninsurable individuals will be no less than those required for others. Assigns one of three "priority designations" to each of the benefits covered and requires benefits in the several priority categories to be phased-in in accordance with a schedule prescribed in the law. Authorizes the President, under restricted conditions stated in the law, to defer the scheduled time for phase-in benefits under this title. Specifies the initial minimum standard healthcare benefits for individuals covered under qualified private plans and those for individuals covered under qualified public plans. Revises the Internal Revenue Code to restrict the Federal income tax deduction otherwise allowable to an employer for any amount paid or incurred by the employer for medical care of any employee or his dependents. Restricts this deduction to 50 percent of the described expense for the medical care of the employee if the amount is incurred in 1975, 75 percent if the amount is incurred in 1976, and 100 percent thereafter. Provides that if the employer establishes and maintains a qualified employee healthcare plan the restriction will not apply, and 100 percent of the described expense is deductible. Applies such provision to taxable years after December 31, 1974, except that, in the case of any employer plan providing medical care for employees which was established pursuant to a collectively-bargained agreement, the restrictions on the deduction will not apply until the expiration of the agreement, or December 31, 1977, whichever occurs first. Requires that each qualified employee healthcare plan provide at least the minimum standard healthcare benefits described in this Act and be in writing, adopted by the employer, and communicated to his employees. Requires that a coordination of benefits provision be included in a qualified plan to avoid costly duplication of coverage and the plan must permit eligible employees to seek coverage instead from any approved health maintenance organization in cases where specified conditions are satisfied. Allows 100 percent of medical care insurance premiums as an income tax deduction, if such expenses are paid by an individual who is covered by a qualified individual healthcare plan, a qualified employee healthcare plan, or a qualified state healthcare plan. Requires that each qualified individual healthcare plan provide at least the minimum standard healthcare benefits described in this Act. Requires that a qualified individual insurance contract contain provisions which obligate the insurer to renew the policy, and allows covered dependents to continue their coverage under the policy after the death of the insured as if he were still alive. Adds a new title XX to the Social Security Act to provide for the establishment of publicly subsidized health care insurance plans on a State by State basis. Provides that each State will have a health insurance pool, which all private entities in that State (both profit and non-profit) which currently indemnify the cost of health care would be required to underwrite. Directs that one or more private insurance carriers will be designated by the State to administer the State plan on a retention accounting basis. Provides that these State plans will guarantee that minimum standard healthcare benefits are made available to individuals and families who previously were unable to purchase health care insurance, either because of their low income or their extremely poor health. Provides that, in order to encourage a State to establish a plan, Federal appropriations otherwise payable to the State pursuant to titles V and XIX of the Social Security Act are conditioned on the State having in operation a Qualified State Healthcare Plan. Provides that individuals or families who are eligible to receive public cash assistance under a program financed in whole or in part by Federal funds will be enrolled in the State plan automatically, and without cost. Permits those individuals who are financially capable of procuring health insurance, but who are uninsurable because of poor health, to enroll in the State plan at their own expense; however, these individuals may not be charged more than the established rate for other individuals enrolled in that State plan. Provides that enrollment of other individuals and families who had low incomes the previous year (less than $4,000 for single individuals, less than $6,000 for a family of two, and less than $8,000 for a family of three or more) is voluntary. Allows such individuals and families to elect to be enrolled once each year and requires them to make contributions toward the cost of insuring their own health care, depending on the size of their family and the amount of their income. Provides that the premiums to be charged for each policy year under a State plan will be actuarially determined in each State, and for each family size risk category. Directs that if the established premiums are found to be unjustified within a particular State, the Secretary of Health, Education, and Welfare may direct a reduction in the Federal appropriation for that State's premium cost. States that each State has the primary obligation to provide the uncontributed premium cost for its plan; but if the State implements and utilizes controls which are designed to promote the delivery of lower-cost, higher-quality institutional health care services, if it exempts qualified state healthcare plan transactions from State taxation, and if it eliminates discriminatory State tax treatment of health care insurers, then the State will receive Federal appropriations reimbursing it for a percentage of its total uncontributed premium cost. Provides that the base figure may be between 70 and 90 percent, depending on the State's per capita income, but further adjustments to this percentage may be made if institutional rates charged in any particular State for health care services are unjustifiably high in comparison with other States. Gives States the authority to review in advance the rates to be charged by health care institutions for their services, and to refuse to approve these rates for payment under the State plan. Provides that a professional service, otherwise covered by these State plans, shall be reimbursed only if it falls within professionally established utilization guidelines or is found to be necessary health care by a qualified peer review committee. Asserts that no charge for a necessary service shall be reimbursed to the extent that it exceeds the prevailing charge in a locality for similar services. Provides that if the premiums collected and other monies received under the State plan are not sufficient to pay the claims incurred and the other costs of operating the State plan, the private underwriters of the plan shall bear the losses to the extent of 3 percent of the premiums collected for that year. Directs the State to bear the excess losses equal to the base Federal percentage for that State's premium costs. Provides that enrollment is not available to those individuals or families covered under a qualified employee healthcare plan. Provides that applicants for enrollment in the State plan must provide and certify all information required to make an eligibility determination. States that any Federal or State agency may be required to furnish information deemed by the administering carrier to be necessary to verify eligibility. Revises title V of the Social Security Act (Maternal and Child Health and Crippled Children's Services) to avoid unnecessary and costly duplication of federally subsidized health care programs. Excludes payment for items and services now covered under title V of the Social Security Act if they also would be covered under a qualified state healthcare plan. Provides that title V will continue to pay for items and services which are not covered by qualified state healthcare plans. Revises title XVIII of the Social Security Act to remove existing limitations on Medicare Part B enrollment which prevent otherwise eligible State plan enrollees from qualifying for qualified State healthcare plan to pay the premium for supplementary medical insurance benefits under Part B of title XVIII of the Social Security Act for individuals and families who are eligible to enroll in the Part B program and who are also eligible to receive public cash assistance under a federally financed program. Revises title XVIII to allow a State to enter into an agreement with the Secretary of Health, Education, and Welfare pursuant to which all of these indigent State plan enrollees will be enrolled under the program established by Part B of title XVIII. Revises title XIX of the Social Security Act (Grants to States for Medical Assistance Programs) to avoid unnecessary and costly duplication of federally subsidized health care programs. Provides that on July 1, 1975, or upon a State's establishment of a qualified State healthcare plan, whichever occurs first, payment for items and services now covered under title XIX would be excluded if they would be covered under a qualified state healthcare plan. Directs that title XIX will continue to pay for items and services which are not covered by qualified State healthcare plans. Establishes standards for the quality and cost to enrollees for health care service provided by physicians or other medical practitioners and for health care services rendered to State plan enrollees in health care institutions. Provides that these standards shall apply to determine "reasonable cost" under the existing federally subsidized health care programs established by title V, XVIII, and XIX of the Social Security Act. Requires that the premiums and other monies received pursuant to the operation of a qualified State healthcare plan will, to the extent feasible, be invested by the administering carrier in interest-bearing obligations and other income-yielding securities. Exempts this interest or other income from Federal income taxation. Requires insurance carriers to pool their efforts and resources to insure that all individuals and families will receive higher-quality, lower-cost health care benefits. Provides that these carriers will not be subject to Federal or State antitrust legislation solely as a result of their efforts to comply with the provisions of this Act.
Bill· HRH.R. 5226 (93rd)referred
United States · United States Congress · 6 March 1973
Health Care Insurance Act - Provides, under the Social Security Act, for medical, dental, and hospital care through a system of voluntary health insurance financed in whole for low-income groups through issuance of certificates, and in part for all other persons through allowance of tax credits. Adds to the Social Security Act a new title entitled Federal Financing of Voluntary Health Insurance. Provides that, for the purpose of providing assistance on behalf of the individuals and their dependents whose income and resources are insufficient to meet the costs of necessary medical, dental, and hospital services, there is established a program of hospital, dental, and medical benefits for any eligible beneficiary and his dependents through the issuance of health insurance certificates, in full payment of allowable premium on a qualified health care insurance policy of his choice. Asserts that health insurance certificiates of entitlement will be redeemable by the carrier by payment from the Federal Health Insurance Redemption Fund. Includes as eligible beneficiaries under this title any husband and wife both under age 65 and living together and any unmarried person under age 65 who is not a dependent beneficiary. Defines a dependent beneficiary as any child of an eligible beneficiary receiving more than 50 percent of his support from the eligible beneficiary, which child is under 21, or if a student, under age 23. Provides that every individual who is an eligible beneficiary whose income results in no individual income tax liability during his base year, whose dependent beneficiaries have no such liability for their taxable years which end during his base year, and who is not eligible to receive military medical care, shall be eligible to receive a health insurance certificate of entitlement. Asserts that such certificates shall be applicable in full payment of allowable premiums for a qualified health care insurance policy or plan. Requires that such policy or plan shall provide protection for the eligible beneficiary and his dependent beneficiaries for a 12-month period beginning during his benefit year against the expenses of health care, including catastrophic expenses of illness. Allows tax credits for health care insurance. Asserts that every individual who is an eligible beneficiary who has not elected, where eligible, to receive benefits under the provisions for fully-paid health care insurance for the low-income group and who is not eligible to receive military medical care, shall be allowed at his election a credit against his income tax liability for his taxable year which ends during his base year; or a health insurance certificate of entitlement acceptable by a qualified carrier in payment toward a premium, under a qualified health care insurance policy. Specifies the amount of the tax credit or the value to be assigned to the health insurance certificate on the basis of allowable premiums. Provides that a health insurance certificate of entitlement means a certificate issued by the Secretary of Health, Education and Welfare upon application to him by an eligible beneficiary to apply toward payment of premium on a qualified health care insurance policy or plan. Specifies that a qualified health care insurance policy or plan shall be a contractual agreement specifying benefits under a program offered by a qualified carrier which has been registered by a State Agency and which provides basic institutional and medical coverage and catastrophic expense coverage. Declares that each such qualified health care insurance policy or plan shall be noncancellable and guaranteed renewable so long as the carrier continues to offer to the public one or more qualified health care insurance policies or plans, shall provide protection against the expense of health care without regard to any pre-existing conditions, and shall provide for payment under this title of usual and customary charges for services covered under the policy or plan. Stipulates what costs shall be included under basic coverage and under catastrophic expense coverage. Establishes deductibles for each of the two types of coverage. Creates a Health Insurance Advisory Board which shall consist of eleven persons including the Secretary of Health, Education, and Welfare and the Commissioner of the Internal Revenue Service. Directs that the remaining members, not otherwise in the employ of the Government, shall be appointed by the President, with the advice and consent of the Senate, without regard to the provisions of title 5, United States Code, governing appointment in the competitive service. Asserts that the Secretary of HEW shall serve as Chairman. Provides that the members shall be selected from persons who are specifically qualified to serve on such Board by virtue of their education, training, or experience. Provides that the Health Insurance Advisory Board shall perform such functions as: (1) prescribe such regulations as may be necessary to carry out the purposes and provisions of this Act; (2) establish minimum Federal standards for the use of State insurance departments in determining whether an insurance company and plan are qualified under this Act; (3) in consultation with carriers, providers of services, and consumers, plan and develop programs whose purposes are to provide for maintaining the quality of medical care; and (4) review the effectiveness of the tax credit program and file an annual report. Grants the States the power to decide which carriers are qualified. Forbids any Federal officer or employee to exercise any supervision or control over the practice of medicine or dentistry or the manner in which medical or dental services are provided, or over the selection, tenure, or compensation of any officer or employee or any institution, agency, or person providing health services; or to exercise any supervision or control over the administration or operation of any such institution, agency, or person. Creates in the Treasury a trust fund to be known as the Federal Health Insurance Redemption Fund to consist in part of an amount equal to the aggregate amount of premiums paid under this title through the redemption of health insurance certificates.
Bill· HRH.R. 5235 (93rd)referred
United States · United States Congress · 6 March 1973
Prohibits the family planning provisions of the Economic Opportunity Act of 1964, the providing of family planning information, medical supervision or supplies to minors without the written consent of the parent. (Amends 42 U.S.C. 2836)
Bill· HRH.R. 5200 (93rd)referred
United States · United States Congress · 6 March 1973
National Healthcare Act - Title I: Findings and Declaration of Purpose - Declares the purpose of this Act to be to improve the organization, delivery, and financing of health care for all Americans by increasing health personnel, promoting ambulatory care, strengthening health planning, establishing national standards of health care benefits, including coverage for medical catastrophes, encouraging provisions of such benefits through comprehensive health care insurance, and by assisting persons of low income or in poor health to secure that insurance. Title II: Provisions to Increase the Supply and Improve the Distribution of Health Care Personnel - Allows a medical student to borrow the lesser of the sum of the full cost of tuition, fees, and reasonable amounts for room, board, books, supplies, and other related costs, or $5,000. Authorizes $100 million a year for fiscal years 1975, 1976, and 1977 for this purpose. Grants loans to student nurses covering the lesser of the sum of the full cost of tuition, fees, and reasonable amounts for room, board, books, supplies and other related costs, or $3,500. Authorizes $75 million a year for fiscal years 1975, 1976, and 1977 for this purpose. Provides that scholarship grants may, in accordance with regulations of the Secretary of Health, Education, and Welfare, be awarded, according to the needs of the individual, up to the full cost of his tuition, fees, books, equipment and living expenses. Authorizes for this purpose $50 million a year for fiscal years 1975, 1976, and 1977. Allows loans for students in the allied health professions covering the full cost of tuition fees, and reasonable amounts for room, board, books, supplies, and other related costs. Provides that up to half of the loan may be forgiven at the rate of 20 percent a year for service in a public or nonprofit private institution or agency and that up to 100 percent of the loan may be forgiven at the rate of 33 1/3 percent a year for appropriate service in an area designated as having a substantial shortage of allied health professionals. Authorizes $40 million for fiscal year 1975, $60 million for fiscal year 1976, and $75 million for fiscal year 1977 for this purpose. Includes junior colleges, colleges and universities which offer training in health care center administration or curriculums providing the allied health-professionals needed to operate comprehensive ambulatory health care centers within the training grant provisions of the Public Health Service Act. Establishes a new program of special project grants to help education institutions meet the cost of developing curriculums and training programs to develop the skills needed to administer and staff comprehensive ambulatory health care centers. Authorizes $40 million for fiscal year 1975, and $50 million a year for fiscal years 1976 and 1977 for this purpose. Establishes a program of Federal grants to medical personnel in return for service in urban and rural areas of critical need to alleviate the distribution of health care personnel. Authorizes the Secretary of Health, Education, and Welfare to contract with individual health professionals, nurses, or allied health professionals who agree to provide health care services for a period of at least two years in an area designated by the Secretary as having a critical need for those services. Provides that the amount of the grant is that amount which, when added to the recipient's income from providing health care services for each contract year, provides a total income equal to 110 percent of the national annual median income for persons of comparable education and training, or 110 percent of his earnings from providing health care services in the previous year, whichever is greater. Provides that in determining the precise amount of the grant the Secretary may consider such factors as he deems relevant, including: (1) the national median annual income for the applicant's profession; (2) the cost of living in the area of need; (3) the background, training, and education of the applicant; (4) the amount of income the applicant can reasonably expect to receive from service in the area; (5) the number of persons of applicant's profession needed in the area; and (6) where appropriate, cost of equipment, supplies, and facilities. Title III: Provisions to Encourage Comprehensive Ambulatory Health Care Centers - Provides grants to comprehensive ambulatory health care centers. Sets up a special category of grants to comprehensive ambulatory health care centers. Revises the declaration of purpose of title VI of the Public Health Service Act to recognize specifically the concept of a comprehensive ambulatory health care center. Provides that for fiscal years commencing after June 30, 1973 there is authorized an additional $200 million in grant authority to be used for the construction of comprehensive ambulatory health care facilities. Provides this sum through a new allotment category which is separate from existing allotment categories for construction and modernization of hospitals and other medical facilities. Provides that a portion of the funds available for grants hereunder be used to assist nearly-constructed facilities to pay initial start-up and operation expenses during the first three years of operation of such centers. Directs that funds available for the construction and modernization of comprehensive ambulatory health care centers will be allotted to the several States on the same basis as allotments now made for construction of hospitals and other medical facilities. Provides that transfers from allotments for the construction and modernization of comprehensive ambulatory health care facilities to allotments for the construction of other types of facilities are not authorized. Permits carryovers of unused allotments from one fiscal year to the other. Requires that priorities for awarding grants to comprehensive ambulatory health care centers be given to proposed facilities in densely populated areas now lacking such facilities. Provides that, in its evaluation of the health needs of its citizens, the State health planning agency would be required to determine as part of its planning process the number of comprehensive ambulatory health care centers needed in the State and a plan for distribution of such centers. Requires the adoption of a program providing for construction of those comprehensive ambulatory health care centers identified as needed in its State plan, or for modernizing such existing facilities. Adds comprehensive ambulatory health care centers to the list of types of health facilities from which recovery of Federal funds may be made by the Federal Government from facilities which no longer qualify. Adds comprehensive ambulatory health care centers to the list of types of facilities which qualify for Public Health Service Act loans, guarantees and interest subsidies for construction or modernization of health facilities. Defines comprehensive ambulatory health care centers to encompass only facilities which provide a wide range of preventive, diagnostic and treatment services for ambulatory patients. Title IV: Provisions to Strengthen Health Care Planning - Provides that the President shall make a health report to the Congress no later than July 1 of each year on the status of the nation's health needs and health care system with a program for meeting those needs. Creates a three-man Council of Health Policy Advisers in the Executive Office of the President, its members appointed by the President with the advice and consent of the Senate. Authorizes the Council to hire officers, employees and such experts and consultants as may be needed. Requires the Council to make an annual health report to the President not later than April 1 of each year to be transmitted to the Congress as a supplement to the next Health Report of the President to the Congress. Provides that in its first report to the President the Council shall specifically review and advise the President on health programs. Requires the Council to develop and recommend goals for a national health policy to promote efficiency, eliminate waste and duplication in the utilization of health facilities and resources, and to recommend specific programs to streamline and consolidate health manpower programs. Directs the Council to consult with the National Advisory Health Council, and other advisory councils or committees as well as such representatives of the private sector as it deems advisable and to utilize the services, facilities and information of other public and private organizations to the fullest extent to avoid unnecessary overlapping or duplication of effort. Provides that the Chairman shall be compensated at the rate of Level II and the other members at the rate of Level IV of the Executive Schedule Pay Rates. Authorizes such sums as are needed to enable the Council to function, not to exceed $1 million in any fiscal year. Requires every agency of the Federal Government to include, to the fullest extent possible, in each report on proposals for legislation or other major Federal action significantly affecting health or the health care system, the impact of the proposal on the nation's health care system, adverse effects, alternatives, the relative priority established by the Council of Health Policy Advisers, and any irreversible or irretrievable commitments of resources involved. Provides that in order to qualify for the comprehensive health planning grants that a State plan for comprehensive State health planning must, in addition to existing requirements, provide for the project certification procedures established by this Act. Increases the funds authorized for project grants for areawide health planning to $100 million for fiscal year 1975. Directs that to be eligible for the grants the agency must be prepared to function as the "appropriate comprehensive health planning agency" for the area or region. Requires the agency to be prepared to play a strengthened role in coordinating areawide health affairs, including the determination of health needs, capital expenditures programs, cooperative use of facilities, optimum use of available manpower and improved management techniques. Requires the agency to provide for consultation with the areawide health planning council and other groups, for the representation of health care facilities and physicians for enlisting public support, and for educating the public concerning the proper use of facilities and services available. Provides that, in the case of applications for Federal grants, loans, or other financial aid involving more than $100,000 which require certification by the appropriate comprehensive health planning agency, the application may be approved by the Secretary only after he is satisfied that the review provisions of this title have been met. Requires that the agency have reasonable opportunity to review and comment on the application and has certified to its essential need and high priority. Provides that if the "appropriate comprehensive health planning agency" is a metropolitan or other local planning agency, that agency, after reviewing the application, must have communicated its comments to both the applicant and the State agency. Directs the State planning agency to make its own determination that the application fits in with the State's overall needs and priorities as expressed in the State plan. Requires that if two or more States are involved, each State agency must make a separate certification as to the need and priority of the project in its State. Provides that in the case of a project affecting an entire State, the appropriate comprehensive health planning agency is the agency designated in the State plan. Provides that in the case of a project affecting a region, metropolitan area, or other local area, the appropriate comprehensive health planning agency is the areawide comprehensive health planning agency or such other public or nonprofit private agency determined in accordance with regulations to be performing the required health planning functions. Title V provisions to make comprehensive health care insurance available to all requires that benefits paying for not less than the health care required under the minimum standards must be included in private or State established health care plans as a condition of eligibility for the Federal tax or other public financial assistance accorded under this bill. Permits additional benefits and allows a qualified private health care plan to provide for a covered individual's payment of medical expenses exceeding established deductible and co-payment standards. Permits qualifying health care plans to include various other optional provisions. Assures that the minimum standards of health care required to be provided to needy and uninsurable individuals will be no less than those required for others. Assigns one of three "priority designations" to each of the benefits covered and requires benefits in the several priority categories to be phased-in in accordance with a schedule prescribed in the law. Authorizes the President, under restricted conditions stated in the law, to defer the scheduled time for phase-in benefits under this title. Specifies the initial minimum standard healthcare benefits for individuals covered under qualified private plans and those for individuals covered under qualified public plans. Revises the Internal Revenue Code to restrict the Federal income tax deduction otherwise allowable to an employer for any amount paid or incurred by the employer for medical care of any employee or his dependents. Restricts this deduction to 50 percent of the described expense for the medical care of the employee if the amount is incurred in 1975, 75 percent if the amount is incurred in 1976, and 100 percent thereafter. Provides that if the employer establishes and maintains a qualified employee healthcare plan the restriction will not apply, and 100 percent of the described expense is deductible. Applies such provision to taxable years after December 31, 1974, except that, in the case of any employer plan providing medical care for employees which was established pursuant to a collectively-bargained agreement, the restrictions on the deduction will not apply until the expiration of the agreement, or December 31, 1977, whichever occurs first. Requires that each qualified employee healthcare plan provide at least the minimum standard healthcare benefits described in this Act and be in writing, adopted by the employer, and communicated to his employees. Requires that a coordination of benefits provision be included in a qualified plan to avoid costly duplication of coverage and the plan must permit eligible employees to seek coverage instead from any approved health maintenance organization in cases where specified conditions are satisfied. Allows 100 percent of medical care insurance premiums as an income tax deduction, if such expenses are paid by an individual who is covered by a qualified individual healthcare plan, a qualified employee healthcare plan, or a qualified state healthcare plan. Requires that each qualified individual healthcare plan provide at least the minimum standard healthcare benefits described in this Act. Requires that a qualified individual insurance contract contain provisions which obligate the insurer to renew the policy, and allows covered dependents to continue their coverage under the policy after the death of the insured as if he were still alive. Adds a new title XX to the Social Security Act to provide for the establishment of publicly subsidized health care insurance plans on a State by State basis. Provides that each State will have a health insurance pool, which all private entities in that State (both profit and non-profit) which currently indemnify the cost of health care would be required to underwrite. Directs that one or more private insurance carriers will be designated by the State to administer the State plan on a retention accounting basis. Provides that these State plans will guarantee that minimum standard healthcare benefits are made available to individuals and families who previously were unable to purchase health care insurance, either because of their low income or their extremely poor health. Provides that, in order to encourage a State to establish a plan, Federal appropriations otherwise payable to the State pursuant to titles V and XIX of the Social Security Act are conditioned on the State having in operation a Qualified State Healthcare Plan. Provides that individuals or families who are eligible to receive public cash assistance under a program financed in whole or in part by Federal funds will be enrolled in the State plan automatically, and without cost. Permits those individuals who are financially capable of procuring health insurance, but who are uninsurable because of poor health, to enroll in the State plan at their own expense; however, these individuals may not be charged more than the established rate for other individuals enrolled in that State plan. Provides that enrollment of other individuals and families who had low incomes the previous year (less than $4,000 for single individuals, less than $6,000 for a family of two, and less than $8,000 for a family of three or more) is voluntary. Allows such individuals and families to elect to be enrolled once each year and requires them to make contributions toward the cost of insuring their own health care, depending on the size of their family and the amount of their income. Provides that the premiums to be charged for each policy year under a State plan will be actuarially determined in each State, and for each family size risk category. Directs that if the established premiums are found to be unjustified within a particular State, the Secretary of Health, Education, and Welfare may direct a reduction in the Federal appropriation for that State's premium cost. States that each State has the primary obligation to provide the uncontributed premium cost for its plan; but if the State implements and utilizes controls which are designed to promote the delivery of lower-cost, higher-quality institutional health care services, if it exempts qualified state healthcare plan transactions from State taxation, and if it eliminates discriminatory State tax treatment of health care insurers, then the State will receive Federal appropriations reimbursing it for a percentage of its total uncontributed premium cost. Provides that the base figure may be between 70 and 90 percent, depending on the State's per capita income, but further adjustments to this percentage may be made if institutional rates charged in any particular State for health care services are unjustifiably high in comparison with other States. Gives States the authority to review in advance the rates to be charged by health care institutions for their services, and to refuse to approve these rates for payment under the State plan. Provides that a professional service, otherwise covered by these State plans, shall be reimbursed only if it falls within professionally established utilization guidelines or is found to be necessary health care by a qualified peer review committee. Asserts that no charge for a necessary service shall be reimbursed to the extent that it exceeds the prevailing charge in a locality for similar services. Provides that if the premiums collected and other monies received under the State plan are not sufficient to pay the claims incurred and the other costs of operating the State plan, the private underwriters of the plan shall bear the losses to the extent of 3 percent of the premiums collected for that year. Directs the State to bear the excess losses equal to the base Federal percentage for that State's premium costs. Provides that enrollment is not available to those individuals or families covered under a qualified employee healthcare plan. Provides that applicants for enrollment in the State plan must provide and certify all information required to make an eligibility determination. States that any Federal or State agency may be required to furnish information deemed by the administering carrier to be necessary to verify eligibility. Revises title V of the Social Security Act (Maternal and Child Health and Crippled Children's Services) to avoid unnecessary and costly duplication of federally subsidized health care programs. Excludes payment for items and services now covered under title V of the Social Security Act if they also would be covered under a qualified state healthcare plan. Provides that title V will continue to pay for items and services which are not covered by qualified state healthcare plans. Revises title XVIII of the Social Security Act to remove existing limitations on Medicare Part B enrollment which prevent otherwise eligible State plan enrollees from qualifying for qualified State healthcare plan to pay the premium for supplementary medical insurance benefits under Part B of title XVIII of the Social Security Act for individuals and families who are eligible to enroll in the Part B program and who are also eligible to receive public cash assistance under a federally financed program. Revises title XVIII to allow a State to enter into an agreement with the Secretary of Health, Education, and Welfare pursuant to which all of these indigent State plan enrollees will be enrolled under the program established by Part B of title XVIII. Revises title XIX of the Social Security Act (Grants to States for Medical Assistance Programs) to avoid unnecessary and costly duplication of federally subsidized health care programs. Provides that on July 1, 1975, or upon a State's establishment of a qualified State healthcare plan, whichever occurs first, payment for items and services now covered under title XIX would be excluded if they would be covered under a qualified state healthcare plan. Directs that title XIX will continue to pay for items and services which are not covered by qualified State healthcare plans. Establishes standards for the quality and cost to enrollees for health care service provided by physicians or other medical practitioners and for health care services rendered to State plan enrollees in health care institutions. Provides that these standards shall apply to determine "reasonable cost" under the existing federally subsidized health care programs established by title V, XVIII, and XIX of the Social Security Act. Requires that the premiums and other monies received pursuant to the operation of a qualified State healthcare plan will, to the extent feasible, be invested by the administering carrier in interest-bearing obligations and other income-yielding securities. Exempts this interest or other income from Federal income taxation. Requires insurance carriers to pool their efforts and resources to insure that all individuals and families will receive higher-quality, lower-cost health care benefits. Provides that these carriers will not be subject to Federal or State antitrust legislation solely as a result of their efforts to comply with the provisions of this Act.
Bill· HRH.R. 5113 (93rd)referred
United States · United States Congress · 5 March 1973
Rehabilitation Act - Declares that it is the purpose of this Act to provide a statutory basis for the Rehabilitation Service Administration and to establish within the Department of Health, Education, Welfare, an Office for the Handicapped, and to authorize specified programs. Establishes within the Department of Health, Education, and Welfare a Rehabilitation Services Administration which shall be administered by a Commissioner. Provides that the Commissioner shall carry out and administer all programs and direct the performance of all services for which authority is provided to the Secretary of H.E.W. under titles I through IV of this Act. Creates within such Administration a Division of Research, Training and Evaluation which shall be responsible for carrying out programs and projects under title IV of this Act. Authorizes the inclusion of appropriations under this Act for the fiscal year preceding the fiscal year for which they are available for obligation. Provides that where funds are provided for a single project by more than one Federal agency to an agency or organization assisted under this Act, the Federal agency principally involved may be designated to act for all in administering such funds, pursuant to regulations prescribed by the President. Sets forth definitions of terms used in this Act. Title I: Vocational Rehabilitation Services - States it to be the purpose of this title to authorize grants to assist States to meet the current and future needs of handicapped individuals, so that such individuals may prepare for and engage in gainful employment to the extent of their capabilities. Authorizes to be appropriated $700,000,000 for fiscal year 1973, and $800,000,000 for fiscal year 1974 for the purpose of making grants to States to assist them in meeting the cost of vocational rehabilitation services. Authorizes to be appropriated $50,000,000 for fiscal year 1973, $60,000,000 for fiscal year 1974, and $75,000,000 for fiscal year 1975, for the purpose of making grants to States and public and nonprofit agencies to assist them in meeting the costs of projects to initiate or expand services to handicapped individuals. Sets forth the requirements of State plans to be submitted and approved for participation in programs under this title and approved for participation in programs under this title and under title II of this Act. Authorizes judicial review in Unites States district courts of decisions by the Commissioner of the Rehabilitation Services Administration affecting State plans. Provides that the Commissioner shall insure that the individualized written rehabilitation program required in a State plan in the case of each handicapped individual shall be developed jointly by the vocational rehabilitational counselor or coordinator and the handicapped individual. Defines vocational rehabilitation services provided under this Act as any goods or services necessary to render a handicapped individuals employable, including, but not limited to, the following: (1) evaluation of rehabilitation potential; (2) counseling, guidance, referral, and placement services for handicapped individuals; (3) vocational and other training services for handicapped individuals; (4) physical and mental restoration services; (5) maintenance, not exceeding the estimated cost of subsistence, during rehabilitation; (6) interpreter services for the deaf, and reader services for the blind; (7) recruitment and training services for handicapped individuals; (8) rehabilitation teaching services and orientation and mobility services for the blind; (9) occupational licenses, tools, equipment, and initial stocks and supplies; (10) transportation in connection with the rendering of any vocational rehabilitation services; and (11) telecommunications, sensory, and other technological aids and devices. Provides a formula for the allotment and payment of funds to States for providing rehabilitation services under this title. Directs the Commissioner to establish offices in ten to twenty geographically dispersed regions for client assistance pilot projects to provide counselors to inform and advise all clients and client applicants in the project area of all available benefits under this Act and to assist them in their relationships with projects, programs, and facilities providing services to them under this Act. Directs the Commissioner to pay to a State or, at the option of the State, to a public or nonprofit organization or agency a portion of the cost of planning, preparing for, and initiating special programs under the State plan to expand vocational rehabilitation services. Title II: Comprehensive Rehabilitation Services - States it to be the purpose of this title to authorize grants to assist the several States in developing and implementing continuing plans for meeting the current and future needs of handicapped individuals for whom a vocational goal is not possible or feasible. Authorizes to be appropriated $10,000,000 for fiscal year 1973, $25,000,000 for fiscal year 1974, and $50,000,000 for fiscal year 1975 for grants to carry out the purposes of this title. Specifies the formula to be utilized in alloting such funds to the States. Directs the Commissioner to make grants to States and public and nonprofit agencies or organizations to pay part of the cost of projects for research and demonstration and training which hold promise of making a substantial contribution to the solution of problems related to the rehabilitation of individuals under this title. Title III: Special Federal Responsibilities - Authorizes the Commissioner to make grants and contracts to assist in meeting the cost of construction of public or nonprofit rehabilitation facilities, initial staffing, and planning assistance. Authorizes to be appropriated for such grants and contracts $15,000,000 for fiscal year 1973, $20,000,000 for fiscal year 1974, and $25,000,000 for fiscal year 1975. Authorizes the Commissioner to make grants to States and public or nonprofit organizations and agencies to pay up to 90 percent of the cost of projects for providing vocational training services to handicapped individuals, especially those with the most severe handicaps, in public or nonprofit rehabilitation facilities. Authorizes to be appropriated for such grants and contracts $15,000,000 for fiscal year 1973, $25,000,000 for fiscal year 1974, and $30,000,000 for fiscal year 1975. Authorizes the Commissioner to insure up to 100 percent of any mortgage for the construction of facilities for programs for handicapped individuals. Creates a Rehabilitation Facilities Insurance Fund to be used by the Commissioner as a revolving fund for carrying out the insurance provisions of this part. Provides that the total amount of outstanding mortgages shall not exceed $250,000,000. Authorizes to be appropriated such sums as may be necessary for initial capital for such Fund. Authorizes the Commissioner to make annual interest grants to assist States and public or nonprofit agencies and organizations to reduce the cost of borrowing from other sources for the construction of rehabilitation facilities. Authorizes to be appropriated such sums as may be necessary for the payment of annual interest grants in accordance with this part. Authorizes the Commissioner to make grants to States and public or nonprofit agencies and organizations for paying part of the cost of special projects and demonstrations: (1) for establishing facilities and providing services which hold promise of expanding or otherwise improving rehabilitation services to handicapped individuals, especially those with the most severe handicaps; and (2) for applying new types or patterns of service or devices. Allows the Commissioner to make grants to pay up to 90 percent of the cost of projects or demonstrations for the provision of of vocational or comprehensive rehabilitation services to handicapped individuals who are migratory agricultural workers or seasonal farmworkers and to members of their families who are with them. Provides that the Commissioner may make contracts or jointly finance cooperative arrangements with employers and organizations for the establishment of projects designed to prepare handicapped individuals for gainful and suitable employment in the competitive labor market under which such handicapped individuals are provided training and employment in a realistic work setting and such other services as may be necessary for such individuals to continue to engage in such employment. Authorizes the Commissioner to provide technical assistance to rehabilitation facilities, and for the purpose of removal of architectural and transportation barriers, to any public or nonprofit agency, institution, organization or facility. Authorizes to be appropriated, for the purpose of making grants under this part, $20,000,000 for fiscal year 1973, $50,000,000 for fiscal year 1974, and $75,000,000 for fiscal year 1975. Authorizes to be appropriated for construction $600,000 for fiscal year 1973, $1,000,000 for fiscal year 1974, and $1,500,000 for fiscal year 1975, for establishing and operating a National Center for Deaf-Blind Youths and Adults. Authorizes to be appropriated such sums as Congress deems necessary for fiscal year 1973 and for the next two succeding fiscal years for making grants and contracts for the expansion and improvement of vocational or comprehensive rehabilitation services for deaf and blind individuals. Authorizes to be appropriated, for the purpose of establishing and operating National Centers for Spinal Cord Injuries, $10,000,000 for fiscal year 1973, $25,000,000 for fiscal year 1974, and $30,000,000 for fiscal year 1975. Authorizes to be appropriated, for providing services for the treatment of individuals suffering from end-stage renal disease, $10,000,000 for fiscal year 1973, $20,000,000 for fiscal year 1974, and $25,000,000 for fiscal year 1975. Establishes a National Advisory Council on Rehabilitation of Handicapped Individuals in the Department of Health, Education, and Welfare to: (1) provide policy advice and consultation to the Secretary of Health, Education, and Welfare, and the Commissioner; (2) review the administration and operation of vocational rehabilitation programs under this Act; and (3) advise the Secretary and the Commissioner with respect to conduct of independent evaluations of programs carried out under this Act. Authorizes appropriations of such sums as Congress deems necessary for fiscal year 1973 and for each of fiscal years 1974 and 1975 to carry out the functions of the Council. Title IV: Research and Training - Authorizes the Commissioner to make grants to and contracts with States and public or nonprofit agencies and organizations to pay part of the cost of projects for the purpose of planning and conducting research, demonstrations, and related activities, which bear directly on the development of methods, procedures, and devices to assist in the provision of vocational and comprehensive rehabilitation services to handicapped individuals, especially those with the most severe handicaps. Authorizes to be appropriated for such research activities $40,000,000 for fiscal year 1973, $75,000,000 for fiscal year 1974, and $100,000,000 for fiscal year 1975. Authorizes the Commissioner to make grants to and contract with States and public and nonprofit agencies and organizations to pay part of the cost of projects for training, traineeships, and related activities designed to assist in increasing the numbers of personnel trained in providing vocational and comprehensive rehabilitation services to handicapped individuals and in performing other functions necessary to the development of such services. Authorizes to be appropriated for such training grants $30,000,000 for fiscal year 1973, $50,000,000 for fiscal year 1974, and $75,000,000 for fiscal year 1975. Title V: Administration and Program and Project Evaluation - Provides that, in carrying out his duties under this Act, the Commissioner shall: (1) cooperate with, and render technical assistance to, States in matters relating to the rehabilitation of handicapped individuals; (2) provide short-term training and instruction in technical matters relating to vocational and comprehensive rehabilitation services; and (3) disseminate information relating to vocational and comprehensive rehabilitation services, and otherwise promote the cause of the rehabilitation of handicapped individuals and their greater utilization in gainful and suitable employment. Directs the Secretary to measure and evaluate the impact of all programs authorized by this Act. Title VI: Office for the Handicapped - Establishes an Office for the Handicapped in the Department of Health, Education, and Welfare to: (1) prepare a long-range projection for the provisions of comprehensive services to handicapped individuals; (2) analyze program operations; (3) encourage coordinated and cooperative planning; (4) provide assistance to other committees advising the Secretary; (5) develop means of promoting scientific research to bring about the full integration of handicapped individuals into all aspects of society; and (6) provide a central clearinghouse for information and resource availability for handicapped individuals. Authorizes to be appropriated for purposes of this title such sums as may be necessary for the fiscal year 1973 and for the next two fiscal years. Title VII: Miscellaneous - Provides that the Vocational Rehabilitation Act is repealed ninety days after the date of enactment of this Act. Establishes an Interagency Committee on Handicapped Employees to insure the adequacy of hiring, placement, and advancement practices with respect to handicapped individuals by each department, agency, and instrucmentality of the executive branch of the Government. Establishes a National Commission on Transportation and Housing for Handicapped Individuals to identify and eliminate transportation barriers that impede the mobility of handicapped individuals and aged handicapped individuals, and to prepare plans and proposals for such further action as may be necessary to the goals for adequate transportation and housing for handicapped individuals. Establishes an Architectural and Transportation Barriers Compliance Board to investigate and examine alternative approaches to the architectural, transportation, and attitudinal barriers confronting handicapped individuals. Authorizes appropriations of such sums as may be necessary for the fiscal 1973 and for the next two fiscal years to carry out the duties and functions of the Board.
Bill· HRH.R. 5152 (93rd)referred
United States · United States Congress · 5 March 1973
Authorizes the Secretary of Defense to utilize Department of Defense resources for the purpose of providing medical emergency transportation services to civilians.
Bill· HRH.R. 5038 (93rd)referred
United States · United States Congress · 1 March 1973
Health Care Insurance Act - Provides, under the Social Security Act, for medical, dental, and hospital care through a system of voluntary health insurance financed in whole for low-income groups through issuance of certificates, and in part for all other persons through allowance of tax credits. Adds to the Social Security Act a new title entitled Federal Financing of Voluntary Health Insurance. Provides that, for the purpose of providing assistance on behalf of the individuals and their dependents whose income and resources are insufficient to meet the costs of necessary medical, dental, and hospital services, there is established a program of hospital, dental, and medical benefits for any eligible beneficiary and his dependents through the issuance of health insurance certificates, in full payment of allowable premium on a qualified health care insurance policy of his choice. Asserts that health insurance certificiates of entitlement will be redeemable by the carrier by payment from the Federal Health Insurance Redemption Fund. Includes as eligible beneficiaries under this title any husband and wife both under age 65 and living together and any unmarried person under age 65 who is not a dependent beneficiary. Defines a dependent beneficiary as any child of an eligible beneficiary receiving more than 50 percent of his support from the eligible beneficiary, which child is under 21, or if a student, under age 23. Provides that every individual who is an eligible beneficiary whose income results in no individual income tax liability during his base year, whose dependent beneficiaries have no such liability for their taxable years which end during his base year, and who is not eligible to receive military medical care, shall be eligible to receive a health insurance certificate of entitlement. Asserts that such certificates shall be applicable in full payment of allowable premiums for a qualified health care insurance policy or plan. Requires that such policy or plan shall provide protection for the eligible beneficiary and his dependent beneficiaries for a 12-month period beginning during his benefit year against the expenses of health care, including catastrophic expenses of illness. Allows tax credits for health care insurance. Asserts that every individual who is an eligible beneficiary who has not elected, where eligible, to receive benefits under the provisions for fully-paid health care insurance for the low-income group and who is not eligible to receive military medical care, shall be allowed at his election a credit against his income tax liability for his taxable year which ends during his base year; or a health insurance certificate of entitlement acceptable by a qualified carrier in payment toward a premium, under a qualified health care insurance policy. Specifies the amount of the tax credit or the value to be assigned to the health insurance certificate on the basis of allowable premiums. Provides that a health insurance certificate of entitlement means a certificate issued by the Secretary of Health, Education and Welfare upon application to him by an eligible beneficiary to apply toward payment of premium on a qualified health care insurance policy or plan. Specifies that a qualified health care insurance policy or plan shall be a contractual agreement specifying benefits under a program offered by a qualified carrier which has been registered by a State Agency and which provides basic institutional and medical coverage and catastrophic expense coverage. Declares that each such qualified health care insurance policy or plan shall be noncancellable and guaranteed renewable so long as the carrier continues to offer to the public one or more qualified health care insurance policies or plans, shall provide protection against the expense of health care without regard to any pre-existing conditions, and shall provide for payment under this title of usual and customary charges for services covered under the policy or plan. Stipulates what costs shall be included under basic coverage and under catastrophic expense coverage. Establishes deductibles for each of the two types of coverage. Creates a Health Insurance Advisory Board which shall consist of eleven persons including the Secretary of Health, Education, and Welfare and the Commissioner of the Internal Revenue Service. Directs that the remaining members, not otherwise in the employ of the Government, shall be appointed by the President, with the advice and consent of the Senate, without regard to the provisions of title 5, United States Code, governing appointment in the competitive service. Asserts that the Secretary of HEW shall serve as Chairman. Provides that the members shall be selected from persons who are specifically qualified to serve on such Board by virtue of their education, training, or experience. Provides that the Health Insurance Advisory Board shall perform such functions as: (1) prescribe such regulations as may be necessary to carry out the purposes and provisions of this Act; (2) establish minimum Federal standards for the use of State insurance departments in determining whether an insurance company and plan are qualified under this Act; (3) in consultation with carriers, providers of services, and consumers, plan and develop programs whose purposes are to provide for maintaining the quality of medical care; and (4) review the effectiveness of the tax credit program and file an annual report. Grants the States the power to decide which carriers are qualified. Forbids any Federal officer or employee to exercise any supervision or control over the practice of medicine or dentistry or the manner in which medical or dental services are provided, or over the selection, tenure, or compensation of any officer or employee or any institution, agency, or person providing health services; or to exercise any supervision or control over the administration or operation of any such institution, agency, or person. Creates in the Treasury a trust fund to be known as the Federal Health Insurance Redemption Fund to consist in part of an amount equal to the aggregate amount of premiums paid under this title through the redemption of health insurance certificates.
Bill· HRH.R. 5039 (93rd)referred
United States · United States Congress · 1 March 1973
Health Care Insurance Act - Provides, under the Social Security Act, for medical, dental, and hospital care through a system of voluntary health insurance financed in whole for low-income groups through issuance of certificates, and in part for all other persons through allowance of tax credits. Adds to the Social Security Act a new title entitled Federal Financing of Voluntary Health Insurance. Provides that, for the purpose of providing assistance on behalf of the individuals and their dependents whose income and resources are insufficient to meet the costs of necessary medical, dental, and hospital services, there is established a program of hospital, dental, and medical benefits for any eligible beneficiary and his dependents through the issuance of health insurance certificates, in full payment of allowable premium on a qualified health care insurance policy of his choice. Asserts that health insurance certificiates of entitlement will be redeemable by the carrier by payment from the Federal Health Insurance Redemption Fund. Includes as eligible beneficiaries under this title any husband and wife both under age 65 and living together and any unmarried person under age 65 who is not a dependent beneficiary. Defines a dependent beneficiary as any child of an eligible beneficiary receiving more than 50 percent of his support from the eligible beneficiary, which child is under 21, or if a student, under age 23. Provides that every individual who is an eligible beneficiary whose income results in no individual income tax liability during his base year, whose dependent beneficiaries have no such liability for their taxable years which end during his base year, and who is not eligible to receive military medical care, shall be eligible to receive a health insurance certificate of entitlement. Asserts that such certificates shall be applicable in full payment of allowable premiums for a qualified health care insurance policy or plan. Requires that such policy or plan shall provide protection for the eligible beneficiary and his dependent beneficiaries for a 12-month period beginning during his benefit year against the expenses of health care, including catastrophic expenses of illness. Allows tax credits for health care insurance. Asserts that every individual who is an eligible beneficiary who has not elected, where eligible, to receive benefits under the provisions for fully-paid health care insurance for the low-income group and who is not eligible to receive military medical care, shall be allowed at his election a credit against his income tax liability for his taxable year which ends during his base year; or a health insurance certificate of entitlement acceptable by a qualified carrier in payment toward a premium, under a qualified health care insurance policy. Specifies the amount of the tax credit or the value to be assigned to the health insurance certificate on the basis of allowable premiums. Provides that a health insurance certificate of entitlement means a certificate issued by the Secretary of Health, Education and Welfare upon application to him by an eligible beneficiary to apply toward payment of premium on a qualified health care insurance policy or plan. Specifies that a qualified health care insurance policy or plan shall be a contractual agreement specifying benefits under a program offered by a qualified carrier which has been registered by a State Agency and which provides basic institutional and medical coverage and catastrophic expense coverage. Declares that each such qualified health care insurance policy or plan shall be noncancellable and guaranteed renewable so long as the carrier continues to offer to the public one or more qualified health care insurance policies or plans, shall provide protection against the expense of health care without regard to any pre-existing conditions, and shall provide for payment under this title of usual and customary charges for services covered under the policy or plan. Stipulates what costs shall be included under basic coverage and under catastrophic expense coverage. Establishes deductibles for each of the two types of coverage. Creates a Health Insurance Advisory Board which shall consist of eleven persons including the Secretary of Health, Education, and Welfare and the Commissioner of the Internal Revenue Service. Directs that the remaining members, not otherwise in the employ of the Government, shall be appointed by the President, with the advice and consent of the Senate, without regard to the provisions of title 5, United States Code, governing appointment in the competitive service. Asserts that the Secretary of HEW shall serve as Chairman. Provides that the members shall be selected from persons who are specifically qualified to serve on such Board by virtue of their education, training, or experience. Provides that the Health Insurance Advisory Board shall perform such functions as: (1) prescribe such regulations as may be necessary to carry out the purposes and provisions of this Act; (2) establish minimum Federal standards for the use of State insurance departments in determining whether an insurance company and plan are qualified under this Act; (3) in consultation with carriers, providers of services, and consumers, plan and develop programs whose purposes are to provide for maintaining the quality of medical care; and (4) review the effectiveness of the tax credit program and file an annual report. Grants the States the power to decide which carriers are qualified. Forbids any Federal officer or employee to exercise any supervision or control over the practice of medicine or dentistry or the manner in which medical or dental services are provided, or over the selection, tenure, or compensation of any officer or employee or any institution, agency, or person providing health services; or to exercise any supervision or control over the administration or operation of any such institution, agency, or person. Creates in the Treasury a trust fund to be known as the Federal Health Insurance Redemption Fund to consist in part of an amount equal to the aggregate amount of premiums paid under this title through the redemption of health insurance certificates.
Bill· HRH.R. 5052 (93rd)referred
United States · United States Congress · 1 March 1973
Establishes a Commission on Medical Malpractice Awards, composed of 24 members, to study the feasibility and appropriateness of establishing maximum limits on the amount of damages that may be granted in any medical malpractice suit brought against any physician or dentist. Provides that within one calendar year of enactment of this Act, the Commission shall make its recommendations to Congress, including one that Congress may implement any or all of the proposed recommendations by appropriate legislation, including the use of constitutional amendments.
Bill· HRH.R. 4961 (93rd)referred
United States · United States Congress · 28 February 1973
Requires under title XVIII of the Social Security Act (Medicare) that Public Health Service hospitals, Veterans' Administration hospitals, and hospitals receiving assistance under the Hill-Burton Act make available to persons entitled to benefits under the medicare program, at cost, prescription drugs not covered under that program, eyeglasses, and hearing aids.
Bill· HRH.R. 5000 (93rd)referred
United States · United States Congress · 28 February 1973
Extends through fiscal year 1976 the program of assistance for population research and voluntary family planning programs under title X of the Public Health Service Act.
Bill· HRH.R. 4952 (93rd)referred
United States · United States Congress · 28 February 1973
Emergency Medical Service Systems Act - Establishes, within the Department of Health, Education, and Welfare, an Emergency Medical Services Administration to be headed by a Director who shall be appointed by the President, with the advice and consent of the Senate. Requires the appointment of a qualified health care professional in the position of Director. Authorizes the Director to allot funds to those States which qualify under this Act for distribution to local communities to assist in the development and operation of qualified emergency medical service systems forth criteria for the emergency medical service to be assisted by this Act. Sets forth qualifications for the States and local communities as conditions for such assistance, including the establishment of state Emergency Medical Services Advisory Councils. Establishes standards for the operation of the emergency medical service systems. Transfers to the Director all functions, powers and duties of the Secretary of Transportation and the National Highway Safety Bureau relating to emergency medical services which are being exercised under, in connection with, or as a part of the uniform standards for State highway safety programs. Provides that the standard established by the Director under this Act shall apply to and govern the operation of all ambulance and other emergency medical services which are provided or assisted in any way under Federal law or under programs established, carried on, or supported under Federal law. Provides that loans and grants authorized under this Act may be made only to services that meet the applicable standards established under this Act. Establishes a National Emergency Medical Services Advisory Committee to advise, consult with and make recommendations to the Director with respect to overall planning and policy and the objectives and priorities for all emergency medical services. Provides that the Director, with the approval of the Secretary, shall prescribe such regulations as may be necessary or appropriated to carry out this Act. Provides that the Director shall annually submit to the President and the Congress a full and complete report on activities under this Act. Authorizes to be appropriated for financial assistance and for the initial purchase of ambulance equipment, $150,000,000 for fiscal year 1973, $150,000,000 for fiscal year 1974, $150,000,000 for fiscal year 1975. Authorizes to be appropriated, for other expenses incurred by the Director and the Administration in carrying out this Act, $50,000,000 for fiscal year 1973, $60,000,000 for fiscal year 1974, and $70,000,000 for fiscal year 1975.
Bill· HRH.R. 4936 (93rd)referred
United States · United States Congress · 28 February 1973
Removes under title XVIII (Medicare) of the Social Security Act limitations presently imposed upon the types of optometric services which are covered under the medicare program. Provides coverage under such program for all of the services normally provided by an optometrist.
Resolution· HCONRESH.Con.Res. 131 (93rd)referred
United States · United States Congress · 28 February 1973
Expresses the sense of Congress in opposition to the closing of Public Health Service hospitals and clinics, and in favor of making additional funds available for the modernizing, upgrading, and expanding of all such facilities.
Bill· SS. 1029 (93rd)referred
United States · United States Congress · 27 February 1973
Respiratory Disease Benefits Act - Title I: General Provisions - States that it is the purpose of this Act to provide assistance, in cooperation with the States, to workers who are totally disabled due to a respiratory disease (other than pneumoconiosis contracted as a result of employment in one or more coal mines) arising out of their employment in a health-hazard industry (other than a coal mine) and to the surviving dependents of workers whose death was due to such disease or who were totally disabled by such disease at the time of their deaths. Sets forth definitions to be used in the Act. Title II: Claims For Benefits Filed on or Before December 31, 1976 - Provides that the Secretary of Health, Education and Welfare shall, in accordance with the provisions of this title and the regulations promulgated by him under this title, make payments of benefits in respect of total disability of any worker due to a respiratory disease arising out of his employment in a health-hazard industry, and in respect of the death of any worker whose death was due to such disease or who at the time of his death was totally disabled by such disease. Provides for the dispersal of benefit payments by the Secretary. Provides for payment of such benefits to the worker in case of total disability and, in the case of death, to the widow, surviving child or children and the dependent parent or parents under a specified schedule. States that benefit payments under the Act to a worker or his widow, child, parent, brother, or sister shall be reduced, on a monthly or other appropriate basis, by an amount equal to any payment received by such worker or his widow, child, parent, brother, or sister under the workmen's compensation, or disability insurance laws of his State on account of the disability of such worker, and the amount by which such payment would be reduced on account of excess earnings of such worker under the Social Security Act. Title III: Claims for Benefits After December 31, 1976 - Provides that on and after January 1, 1976, any claim for benefits for death or total disability due to a respiratory disease arising out of a worker's employment in a health-hazard industry shall be filed pursuant to the applicable State workmen's compensation law, except that during any period when such workers or their surviving widows, children, parents, brothers, or sisters, as the case may be, are not covered by a State workmen's compensation law which provides adequate coverage for such disease, they shall be entitled to claim benefits under this title. Directs the Secretary of Labor to provide a list of adequate state workmens compensation laws. States that the amount of benefits payable under this section on account of any respiratory disease shall be reduced, on a monthly or other appropriate basis, by the amount of any compensation received under or pursuant to any Federal or State workmen's compensation law because of death or disability due to such disease. States that the Secretary of Labor shall by regulation establish standards, which may include appropriate presumptions, for determining whether any particular respiratory disease arose out of employment by any particular employer. Permits the Secretary, by regulation to establish standards for apportioning liability for benefits under this title among more than one employer, where such apportionment is appropriate. Provides the authorization for appropriations and directs annual reports to be made by the Secretary of Health Education and Welfare as well as the Secretary of Labor to Congress.
Bill· HRH.R. 4882 (93rd)referred
United States · United States Congress · 27 February 1973
National Diabetes Act - States that it is the purpose of this Act to expand the authority of the National Institute of Arthritis, Metabolism, and Digestive Diseases in order to advance the national attack on diabetes. Authorizes the Director to the National Institute of Arthritis, Metabolism, and Digestive Diseases, with the advice of the National Advisory Council of the Institute, to develop a plan for a national diabetes program. Sets forth general guidelines for such program and provides that the program shall be coordinated with the other programs conducted or administered by the research institutes of the National Institure of Health. Provides that the plan required to be developed by this Act shall be developed within two hundred seventy days after the effective date of this Act. Requires the Director of the Institute at the end of each calender year, to prepare and submit to the President for transmittal to the Congress a report on the activities, progress and accomplishments under the progrom during the preceding year and a plan for the program for the succeding five-year period. to establish programs as necessary in cooperation with other Federal health agencies, state, local and regional public health agencies, and nonprofit private health agencies, in the prevention, control diagnosis and treatment of diabetes, appropriately emphasizing the prevention, control, diagnosis and treatment of such diseases in children. Authorizes to be appropriated $25,000,000 for the fiscal year ending June 30, 1974, $35,000,000 for fiscal year ending June 30, 1975, and $45,000,000 for the fiscal year ending June 30, 1976, for the purpose of establishing such programs. States that the Director of the National Institute of Arthritis, Metabolism, and Digestive Diseases may provide for the development of not less that fifteen centers for basic and clinical research into, training in, and demonstration of advanced diagnostic, prevention and treatment methods for diabetes prevention. States that support of such a center may be for a period of not to exceed five years and may be extended by the Director of the National Institute of Arthritis, Metabolism, and Digestive Diseases for additional periods of not more than five years each, after review of the operations of the centers by a scientific review group established by the Director. Establishes an Interagency Technical Committee on Diabetes which shall be responsible for coordinating those aspects of all Federal Health Programs and activities relating to diabetes.
Bill· HRH.R. 4883 (93rd)referred
United States · United States Congress · 27 February 1973
National Kidney Disease Act - Authorizes the Secretary of Health, Education, and Welfare to make grants to public or nonprofit private universities and other agencies to assist in planning the development of cooperative medical programs. Provides that such programs shall be established for the purpose of engaging in research, training diagnosis and treatment of kidney or kidney-related diseases. Authorizes additional grants for the establishment and operation of cooperative medical programs, including the construction and equipment of facilities. Directs the Secretary to appoint a National Advisory Council on Kidney and Kidney-Related Diseases, consisting of the Surgeon General and 16 additional members to advise and assist the Secretary in administering this act and considering and recommending applications for grants.
Bill· HRH.R. 4871 (93rd)referred
United States · United States Congress · 27 February 1973
Sets forth the Congressional findings and definition of terms of this Act. Authorizes the Secretary of Health, Education, and Welfare to make grants to any public or nonprofit private health maintenance organization, and to any public or nonprofit private entity intending to become a health maintenance organization, and to enter into contracts with any health maintenance organization or any entity intending to become a health maintenance organization, to: (1) assist it in planning for the development or expansion of a health maintenance organization; and (2) pay all or part of its initial operating costs incurred as a result of its operation in or expansion into a medically underserved area. Establishes conditions to be met before such grants are made. Provides that where funds are advanced for a single project or program by more than one Federal agency to an organization assisted under this title, any one Federal agency may be designated to act for all in administering the funds advanced. States that the sums appropriated for any fiscal year ending prior to July 1, 1977, for grants or contracts under this Act shall remain available for obligation until the end of the fiscal year following such fiscal year.
Bill· HRH.R. 4842 (93rd)referred
United States · United States Congress · 27 February 1973
Declares that it shall not be deemed to be an act in restraint of trade under any law of the United States for any nonprofit blood bank, nonprofit reservoir of other human tissue or organs, any hospital, or any physicians to refuse, or to join together with others in refusing, to obtain from or to accept delivery, from any other blood bank or reservoir, of blood, blood plasma, other tissue or organs, nor shall their interstate shipment be deemed to constitute trade or commerce in commodities.
Bill· HRH.R. 4814 (93rd)referred
United States · United States Congress · 27 February 1973
Vocational Rehabilitation Amendments - Authorizes to be appropriated for fiscal year 1974 and for each of the next two fiscal years, such sums as may be necessary for carrying out the Vocational Rehabilitation Act Authorizes the Secretary of Labor to make grants: (1) to public or nonprofit private agencies for paying part of the cost of planning, preparing, and initiating programs to provide vocational rehabilitation services to individuals with spinal cord injuries or to low-achieving deaf individuals; and (2) to any State agency designated pursuant to a plan approved under the Act, or to any local agency participating in the administration of such a plan, for paying part of the cost of pilot or demonstration projects for the provision of vocational rehabilitation services to handicapped individuals who are migratory agricultural workers, and to members of their families. (Amends 29 U.S.C. 34) Provides that whenever the Secretary determines that any amount of an allotment to a State for any fiscal year will not be utilized by such State in carrying out vocational rehabilitation services the Secretary may allot to one or more other States to an amount the extent he determines such other State will be able to use such additional amount during such year for carrying out such purposes. Authorizes grants for such services to the Virgin Islands, Puerto Rico, and Guam. (Amends 29 U.S.C. 32) Includes American Samoa and the Trust Territories of the Pacific Islands within the definition of "State" under the Act. (Amends 29 U.S.C. 41) Requires a State plan for vocational rehabilitation services to provide satisfactory assurance to the Secretary that the agencies administering such plan will take into account, in connection with matters of general policy arising in the administration of the plan, the views of individuals who are recipients of such services, individuals who represent citizen groups, individuals who represent professional groups, and individuals who are providers of vocational rehabilitation services. (Amends 29 U.S.C. 35(a)) Increases to $30 the minimum training allowance to people participating in such service programs under the Act. (Amends 29 U.S.C. 41(b)) Increases to $3,000,000 the annual amount which may be expended for the evaluation of the vocational rehabilitation program under the Act. (Amends 29 U.S.C. 37(a)) Repeals the provision for grants for innovation of vocational rehabilitation services under the Act. Provides for advance funding of programs under the Act. Provides that an individual who, as a part of his rehabilitation under a State plan, participates in a program of work experience in a Federal agency, shall not be considered to be a Federal employee or to be subject to the provisions of law relating to Federal employment.
Bill· HRH.R. 4797 (93rd)referred
United States · United States Congress · 27 February 1973
Rights of Conscience in Abortion Procedures Act - Requires Medical institutions to provide a certificate indicating respect for an individual employee's right not to participate in abortions contrary to that individual's conscience as a requirement for hospital eligibility for Federal financial assistance.
Bill· HRH.R. 4767 (93rd)referred
United States · United States Congress · 27 February 1973
Establishes in the executive branch the National Institute of Population Growth. Authorizes the President to appoint a Director and a Deputy Director. Transfers to the Institute the functions of the Secretary of Health, Education and Welfare and of the Director of the Office of Economic Opportunity relating to population research and family planning services. Authorizes the Director to appoint and fix the pay of such personnel as he deems necessary. Establishes in the Institute a national advisory council to be composed of eighteen members appointed by the President without regard to political affiliation. Provides that members shall be appointed for terms of three years, except that of the members first appointed six shall serve for terms of two years and six shall serve for terms of one year, as designated by the President at time of appointment. States that the council shall advise the Director in the preparation of general regulations and with respect to policy matters arising in the performance of his functions under this Act.
Bill· SS. 1006 (93rd)referred
United States · United States Congress · 26 February 1973
Authorizes appropriations for grants to the States: (1) for the construction of public or other nonprofit facilities for longterm care; (2) for the construction of public or other nonprofit outpatient facilities; and (3) for the construction of public or other nonprofit rehabilitation facilities under the Public Health Service Act. Authorizes appropriations for grants for the construction of public or other nonprofit hospitals, public health centers, and the modernization of such facilities for fiscal years 1974, 1975, and 1976. Provides that the Secretary of Health, Education and Welfare, in alloting such appropriations, shall do so on the basis of population, the financial need, and the extent of the need for the services. Provides that no application for assistance under this Act which would result in an increased number of hospital beds in an area shall be approved unless such application has been reviewed and approved by the appropriate areawide health planning agency established pursuant to the Public Health Service Act and only if such assistance will be provided in accordance with plans as have been developed pursuant to the Act.
Bill· SS. 994 (93rd)referred
United States · United States Congress · 26 February 1973
Kidney Transplant Act - Authorizes the Secretary of Health, Education and Welfare to make grants to the States, and with the approval of the State health authority, to political subdivisions or instrumentalities of the States for the purpose of assisting in the care and treatment of persons suffering from chronic renal disease. Provides that any State which applies for a grant under this Act shall submit a plan for the approval of the Secretary which shall, in addition to other provisions, provide for the payment of 100 percent of the costs of transportion, hemodialysis or other techniques and related services for the care of the chronically ill renal patient. Authorizes the Secretary to make grants to public or private nonprofit entities: (1) for the establishment, construction, and operation of renal failure centers; (2) for the construction or improvement of transplantation facilities; and (3) for training in the cure and treatment of chronic renal disease. Authorizes to be appropriated such sums as may be necessary to carry out the provisions of this Act.
Bill· HRH.R. 4710 (93rd)referred
United States · United States Congress · 26 February 1973
National Blood Bank Act - Establishes a National Blood Bank Program in the Department of Health, Education, and Welfare. Prescribes standards by which the Director of such program shall designate a group or organization as a national blood bank system, including the requirement that all member blood banks maintain a program for the recruitment of voluntary blood donors, and a system of accreditation for member blood banks. Provides that the Director shall, in order to assure an adequate supply of pure and safe blood throughout the Nation: (1) develop new procedures, materials, and techniques to inform the public of the need to voluntarily donate blood; (2) provide direct assistance to establish an adequate supply of voluntary blood in those parts of the country where it is presently unavailable; (3) develop a national program to honor and recognize all voluntary donors; and (4) establish yearly goals of voluntary donors for each blood bank. Provides that the Director shall maintain a registry of all persons who give blood after July 1, 972, to a licensed blood bank. Provides that blood banks affected by this Act must be licensed by the Director subject to a fee of not more than $125 per annum and subject to periodic inspection by the Director. Requires the Director to issue such license when such blood bank agrees to require identification of each blood donor, agrees to transmit to the Director such information as the Director may require and when the application therefor contains or is accompanied by such information as the Director finds necessary and the applicant agrees and the Director determines that the blood bank will be operated in accordance with standards the Director issues to carry out the purposes of this Act. Authorizes the Director to sue in the United States district court to enjoin any activity by a blood bank licensed under this Act which would constitute an imminent hazard to the public health. Provides for appeal from, and review of, such proceedings. Provides that a willful violation of the provisions of this Act shall be a misdemeanor punishable by imprisonment for not more than one year or a fine of not more than $1,000, or both. Establishes an Advisory Council to the Director appointed by the President to make recommendations to the Director on means of attaining the goals of the Program. Provides that, notwithstanding any antitrust law, a national blood bank system may exclude or reject from membership in such system any blood bank which does not qualify for tax-exempt status under the Internal Revenue Code. Requires the United States to contract for, or pay for, the provision of blood from a Class A Blood Bank, defined under this Act as part of a national blood bank system. Authorizes to be appropriated $10,000,000 for fiscal year 1974, $10,000,000 for fiscal year 1975, and $10,000,000 for fiscal year 1976, to carry out the provisions of this Act.
Bill· SS. 974 (93rd)referred
United States · United States Congress · 22 February 1973
Provides that in the training of health professionals, under the Public Health Service Act there be an increased emphasis on the ethical, social, legal, and moral implications of advances in biomedical research and technology.
Bill· SS. 972 (93rd)referred
United States · United States Congress · 22 February 1973
Health Maintenance Organization Assistance Act - Establishes a demonstration program providing assistance to public and private organizations to plan, develop and expand health maintenance organizations during the next five fiscal years. States that the assistance will be in the form of grants and contracts for planning costs with priority for medically underserved areas and grants and contracts for costs of initial operation in medically underserved areas and grants and contracts for costs of initial operation in medically underserved areas. Requires review of, and opportunity to comment on, applications by State and local health planning authorities. Authorizes joint funding for all Federal assistance to any health maintenance organization with authority to waive normal contracting procedures if necessary. Authorizes the Secretary of Health, Education, and Welfare to carry out his responsibilities related to the provision of health care to Indians by contracting with health maintenance organizations.
Bill· HRH.R. 4633 (93rd)referred
United States · United States Congress · 22 February 1973
Narcotic Addict Treatment Act - Provides that practitioners who dispense or administer narcotic drugs in a treatment program for addicts under the Controlled Substances Act shall obtain an annual registration for that purpose. States that such program may be for maintenance treatment, detoxification treatment, or both. Provides that the Attorney General shall grant a registration under this Act upon a showing that the applicant is qualified to engage in such treatment under standards set by the Secretary of Health, Education, and Welfare and is prepared to comply with standards imposed by the Attorney General with respect to the security of narcotic drug stocks, the maintenance of records, and with the concurrence of the Secretary, the quantities of drugs which may be provided for unsupervised use. Makes provision for the denial, suspension, or revocation of the certificate required by this Act for failure to comply with the standards imposed by this Act. Requires registrants to keep records of drug administrations under this Act.
Bill· HRH.R. 4647 (93rd)referred
United States · United States Congress · 22 February 1973
Extends the traineeship program for professional public health personnel, and project grants for graduate training in public health under the Public Health Service Act. Authorizes the appropriation of funds for such extensions.
Bill· HRH.R. 4602 (93rd)referred
United States · United States Congress · 22 February 1973
Rehabilitation Act - Declares that it is the purpose of this Act to provide a statutory basis for the Rehabilitation Service Administration and to establish within the Department of Health, Education and Welfare an Office for the Handicapped, and to authorize specified programs. Establishes within the Department of Health, Education, and Welfare a Rehabilitation Services Administration which shall be administered by a Commissioner. Provides that the Commissioner shall carry out and administer all programs and direct the performance of all services for which authority is provided to the Secretary of H.E.W. under titles I through IV of this Act. Creates within such administration a Division of Research, Training and Evaluation which shall be responsible for carrying out programs and projects under title IV of this Act. Authorizes the inclusion of appropriations under this Act in appropriations for the fiscal year preceding the fiscal year for which they are available for obligation. Provides that where funds are provided for a single project by more than one Federal agency to an agency or organization assisted under this Act, the Federal agency principally involved may be designated to act for all in administering such funds, pursuant to regulations prescribed by the President. Sets forth definitions of terms used in this Act. Title I: Vocational Rehabilitation Services - States it to be the purpose of this title to authorize grants to assist States to meet the current and future needs of handicapped individuals, so that such individuals may prepare for and engage in gainful employment to the extent of their capabilities. Authorizes to be appropriated $800,000,000 for fiscal year 1973, and $975,000,000 for fiscal year 1974 for the purpose of making grants to States to assist them in meeting the costs of vocational rehabilitation services. Authorizes to be appropriated $50,000,000 for fiscal year 1973, $60,000,000 for fiscal year 1974, and $75,000,000 for fiscal year 1975, for the purpose of making grants to States and public and nonprofit agencies to assist them in meeting the costs of projects to initiate or expand services to handicapped individuals. Sets forth the requirements of State plans to be submitted and approved for participation in programs under this title and under title II of this Act. Authorizes judicial review in United States district courts of decisions by the Commissioner of the Rehabilitation Services Administration affecting State plans. Provides that the Commissioner shall insure that the individualized written rehabilitation program required in a State plan in the case of each handicapped individual shall be developed jointly by the vocational rehabilitation counselor or coordinator and the handicapped individual. Defines vocational rehabilitation services provided under this Act as any goods or services necessary to render a handicapped individual employable, including, but not limited to, the following: (1) evaluation of rehabilitation potential; (2) counseling, guidance, referral, and placement services for handicapped individuals; (3) vocational and other training services for handicapped individuals; (4) physical and mental restoration services; (5) maintenance, not exceeding the estimated cost of subsistence, during rehabilitation; (6) interpreter services for the deaf, and reader services for the blind; (7) recruitment and training services for handicapped individuals; (8) rehabilitation teaching services and orientation and mobility services for the blind; (9) occupational licenses, tools, equipment, and initial stocks and supplies; (10) transportation in connection with the rendering of any vocational rehabilitation services; and (11) telecommunications, sensory, and other technological aids and devices. Provides a formula for the allotment and payment of funds to States for providing rehabilitation services under this title. Directs the Commissioner to establish offices in ten to twenty geographically dispersed regions for client assistance pilot projects to provide counselors to inform and advise all clients and client applicants in the project area of all available benefits under this Act and to assist them in their relationships with projects, programs, and facilities providing services to them under this Act. Directs the Commissioner to pay to a State or, at the option of the State, to a public or nonprofit organization or agency a portion of the cost of planning, preparing for, and initiating special programs under the State plan to expand vocational rehabilitation services. Title II: Comprehensive Rehabilitation Services - States it to be the purpose of this title to authorize grants to assist the several States in developing and implementing continuing plans for meeting the current and future needs of handicapped individuals for whom a vocational goal is not possible or feasible authorizes to be appropriated $30,000,000 for fiscal year 1973, $50,000,000 for fiscal year 1974, and $80,000,000 for fiscal year 1975 for grants to carry out the purposes of this title. Specifies the formula to be utilized in alloting such funds to the States. Directs the Commissioner to make grants to States and public and nonprofit agencies or organizations to pay part of the cost of projects for research and demonstration and training which hold promise of making a substantial contribution to the solution of problems related to the rehabilitation of individuals under this title. Title III: Special Federal Responsibilities Authorizes the Commissioner to make grants and contracts to assist in meeting the costs of construction of public or nonprofit rehabilitation facilities, initial staffing, and planning assistance. Authorizes to be appropriated for such grants and contracts $35,000,000 for fiscal year 1973, $40,000,000 for fiscal year 1974, and $45,000,000 for fiscal year 1975. Authorizes the Commissioner to make grants to States and public or nonprofit organizations and agencies to pay up to 90 percent of the cost of projects for providing vocational training services to handicapped individuals, especially those with the most severe handicaps, in public or nonprofit rehabilitation facilities. Authorizes to be appropriated for such grants and contracts $30,000,000 for fiscal year 1973, $35,000,000 for fiscal year 1974, and $40,000,000 for fiscal year 1975. Authorizes the Commissioner to insure up to 100 percent of any mortgage on the construction of facilities for programs for handicapped individuals. Creates a Rehabilitation Facilities Insurance Fund to be used by the Commissioner as a revolving fund for carrying out the insurance provisions of this part. Provides that the total amount of outstanding mortgages shall not exceed $250,000,000. Authorizes to be appropriated such sums as may be necessary for initial capital for such Fund. Authorizes the Commissioner to make annual interest grants to assist States and public or nonprofit agencies and organizations to reduce the cost of borrowing from other sources for the construction of rehabilitation facilities. Authorizes to be appropriated such sums as may be necessary for the payment of annual interest grants in accordance with this part. Authorizes the Commissioner to make grants to States and public or nonprofit agencies and organizations for paying part of the cost of special projects and demonstrations: (1) for establishing facilities and providing services which hold promise of expanding or otherwise improving rehabilitation services to handicapped individuals, especially those with the most severe handicaps; and (2) for applying new types or patterns of service or devices. Allows the Commissioner to make grants to pay up to 90 percent of the cost of projects or demonstrations for the provision of vocational or comprehensive rehabilitation services to handicappped individuals who are migratory agricultural workers or seasonal farmworkers, and to members of their families who are with them. Provides that the Commissioner may make contracts or jointly finance cooperative arrangements with employers and organizations for the establishment of projects designed to prepare handicapped individuals for gainful and suitable employment in the competitive labor market under which such handicapped individuals are provided training and employment in a realistic work setting and such other services as may be necessary for such individuals to continue to engage in such employment. Authorizes the Commissioner to provide technical assistance to rehabilitation facilities, and for the purpose of removal of architectural and transportation barriers, to any public or nonprofit agency, institution, organization or facility. Authorizes to be appropriated, for the purpose of making grants under this part, $50,000,000 for fiscal year 1973, $125,000,000 for fiscal year 1974, and $150,000,000 for fiscal year 1975. Authorizes to be appropriated $5,000,000 for construction, $800,000 for operations for fiscal year 1973, $1,200,000 for operations for fiscal year 1974, and $2,000,000 for operations for fiscal year 1975, for establishing and operating a National Center for Deaf-Blind Youths and Adults. Authorizes to be appropriated $2,000,000 for fiscal year 1973, $4,000,000 for fiscal 1974, and $7,000,000 for fiscal year 1975 and for making grants and contracts for the expansion and improvement of vocational or comprehensive rehabilitation services for deaf and blind individuals. Authorizes to be appropriated, for the purpose of establishing and operating National Centers for Spinal Cord Injuries, $15,000,000 for fiscal year 1973, $25,000,000 for fiscal year 1974, and $30,000,000 for fiscal year 1975. Authorizes to be appropriated, for providing services for the treatment of individuals suffering from end-stage renal disease, $25,000,000 for fiscal year 1973, $25,000,000 for fiscal year 1974, and $25,000,000 for fiscal year 1975. Establishes a National Advisory Council on Rehabilitation of Handicapped Individuals in the Department of Health, Education, and Welfare to: (1) provide policy advice and consultation to the Secretary of Health, Education, and Welfare, and the Commissioner; (2) review the administration and operation of vocational rehabilitation programs under this Act; and (3) advise the Secretary and the Commissioner with respect to the conduct of independent evaluations of programs carried out under this Act. Authorizes appropriations of $100,000 for fiscal year 1973 and $150,000 for each of fiscal years 1974 and 1975 to carry out the functions of the Council. Title IV: Research and Training - Authorizes the Commissioner to make grants to and contracts with States and public or nonprofit agencies and organizations to pay part of the cost of projects for the purpose of planning and conducting research, demonstrations, and related activities, which bear directly on the development of methods, procedures, and devices to assist in the provision of vocational and comprehensive rehabilitation services to handicapped individuals, especially those with the most severe handicaps. Authorizes to be appropriated for such research activities $75,000,000 for fiscal year 1973, $100,000,000 for fiscal year 1974, and $150,000,000 for fiscal year 1975. Authorizes the Commissioner to make grants to and contracts with States and public and nonprofit agencies and organizations to pay part of the cost of projects for training, traineeships, and related activities designed to assist in increasing the numbers of personnel trained in providing vocational and comprehensive rehabilitation services to handicapped individuals and in performing other functions necessary to the development of such services. Authorizes to be appropriated for such training grants $50,000,000 for fiscal year 1973, $75,000,000 for fiscal year 1974, and $100,000,000 for fiscal year 1975. Title V: Administration and Program and Project Evaluation - Provides that, in carrying out his duties under this Act, the Commissioner shall: (1) cooperate with, and render technical assistance to States in matters relating to the rehabilitation of handicapped individuals; (2) provide short-term training and instruction in technical matters relating to vocational and comprehensive rehabilitation services; and (3) disseminate information relating to vocational and comprehensive rehabilitation services, and otherwise promote the cause of the rehabilitation of handicapped individuals and their greater utilization in gainful and suitable employment. Directs the Secretary to measure and evaluate the impact of all programs authorized by this Act. Title VI: Office for the Handicapped - Establishes an Office for the Handicapped in the Department of Health, Education, and Welfare to: (1) prepare a long-range projection for the provisions of comprehensive services to handicapped individuals; (2) analyze program operations; (3) encourage coordinated and cooperative planning; (4) provide assistance to other committees advising the Secretary; (5) develop means of promoting scientific research to bring about the full integration of handicapped individuals into all aspects of society; and (6) provide a central clearinghouse for information and resource availability for handicapped individuals. Authorizes to be appropriated for purposes of this title $1,000,000 for fiscal year 1973, $2,000,000 for fiscal year 1974, and $2,000,000 for fiscal year 1975. Title VII: Miscellaneous - Provides that the Vocational Rehabilitation Act is repealed ninety days after the date of enactment of this Act. Establishes an Interagency Committee on Handicapped Employees to insure the adequacy of hiring, placement, and advancement practices with respect to handicapped individuals by each department, agency, and instrumentality of the executive branch of Government. Establishes a National Commission on Transportation and Housing for Handicapped Individuals to identify and eliminate transportation barriers that impede the mobility of handicapped individuals and aged handicapped individuals, and to prepare plans and proposals for such further action as may be necessary to the goals of adequate transportation and housing for handicapped individuals. Establishes an Architectural and Transportation Barriers Compliance Board to investigate and examine alternative approaches to the architectural, transportation, and attitudinal barriers confronting handicapped individuals. Authorizes appropriations of $1,000,000 for fiscal year 1973; $1,250,000 for fiscal year 1974; and $1,500,000 for fiscal year 1975 to carry out the duties and functions of the Board.
Bill· HRH.R. 4616 (93rd)referred
United States · United States Congress · 22 February 1973
Health Care Insurance Act - Provides, under the Social Security Act, for medical, dental, and hospital care through a system of voluntary health insurance financed in whole for low-income groups through issuance of certificates, and in part for all other persons through allowance of tax credits. Adds to the Social Security Act a new title entitled Federal Financing of Voluntary Health Insurance. Provides that, for the purpose of providing assistance on behalf of the individuals and their dependents whose income and resources are insufficient to meet the costs of necessary medical, dental, and hospital services, there is established a program of hospital, dental, and medical benefits for any eligible beneficiary and his dependents through the issuance of health insurance certificates, in full payment of allowable premium on a qualified health care insurance policy of his choice. Asserts that health insurance certificiates of entitlement will be redeemable by the carrier by payment from the Federal Health Insurance Redemption Fund. Includes as eligible beneficiaries under this title any husband and wife both under age 65 and living together and any unmarried person under age 65 who is not a dependent beneficiary. Defines a dependent beneficiary as any child of an eligible beneficiary receiving more than 50 percent of his support from the eligible beneficiary, which child is under 21, or if a student, under age 23. Provides that every individual who is an eligible beneficiary whose income results in no individual income tax liability during his base year, whose dependent beneficiaries have no such liability for their taxable years which end during his base year, and who is not eligible to receive military medical care, shall be eligible to receive a health insurance certificate of entitlement. Asserts that such certificates shall be applicable in full payment of allowable premiums for a qualified health care insurance policy or plan. Requires that such policy or plan shall provide protection for the eligible beneficiary and his dependent beneficiaries for a 12-month period beginning during his benefit year against the expenses of health care, including catastrophic expenses of illness. Allows tax credits for health care insurance. Asserts that every individual who is an eligible beneficiary who has not elected, where eligible, to receive benefits under the provisions for fully-paid health care insurance for the low-income group and who is not eligible to receive military medical care, shall be allowed at his election a credit against his income tax liability for his taxable year which ends during his base year; or a health insurance certificate of entitlement acceptable by a qualified carrier in payment toward a premium, under a qualified health care insurance policy. Specifies the amount of the tax credit or the value to be assigned to the health insurance certificate on the basis of allowable premiums. Provides that a health insurance certificate of entitlement means a certificate issued by the Secretary of Health, Education and Welfare upon application to him by an eligible beneficiary to apply toward payment of premium on a qualified health care insurance policy or plan. Specifies that a qualified health care insurance policy or plan shall be a contractual agreement specifying benefits under a program offered by a qualified carrier which has been registered by a State Agency and which provides basic institutional and medical coverage and catastrophic expense coverage. Declares that each such qualified health care insurance policy or plan shall be noncancellable and guaranteed renewable so long as the carrier continues to offer to the public one or more qualified health care insurance policies or plans, shall provide protection against the expense of health care without regard to any pre-existing conditions, and shall provide for payment under this title of usual and customary charges for services covered under the policy or plan. Stipulates what costs shall be included under basic coverage and under catastrophic expense coverage. Establishes deductibles for each of the two types of coverage. Creates a Health Insurance Advisory Board which shall consist of eleven persons including the Secretary of Health, Education, and Welfare and the Commissioner of the Internal Revenue Service. Directs that the remaining members, not otherwise in the employ of the Government, shall be appointed by the President, with the advice and consent of the Senate, without regard to the provisions of title 5, United States Code, governing appointment in the competitive service. Asserts that the Secretary of HEW shall serve as Chairman. Provides that the members shall be selected from persons who are specifically qualified to serve on such Board by virtue of their education, training, or experience. Provides that the Health Insurance Advisory Board shall perform such functions as: (1) prescribe such regulations as may be necessary to carry out the purposes and provisions of this Act; (2) establish minimum Federal standards for the use of State insurance departments in determining whether an insurance company and plan are qualified under this Act; (3) in consultation with carriers, providers of services, and consumers, plan and develop programs whose purposes are to provide for maintaining the quality of medical care; and (4) review the effectiveness of the tax credit program and file an annual report. Grants the States the power to decide which carriers are qualified. Forbids any Federal officer or employee to exercise any supervision or control over the practice of medicine or dentistry or the manner in which medical or dental services are provided, or over the selection, tenure, or compensation of any officer or employee or any institution, agency, or person providing health services; or to exercise any supervision or control over the administration or operation of any such institution, agency, or person. Creates in the Treasury a trust fund to be known as the Federal Health Insurance Redemption Fund to consist in part of an amount equal to the aggregate amount of premiums paid under this title through the redemption of health insurance certificates.
Bill· SS. 966 (93rd)referred
United States · United States Congress · 21 February 1973
Title I: Drug Testing and Evaluation - Provides that the Congress finds and declares: (1) that the Federal Government should assume responsibility for the necessary testing of drugs and determine whether such drugs meet the requirements for approval for commercial distribution; and (2) that drug manufacturers, should bear the expense incurred by the Secretary of Health, Education and Welfare in conducting such tests. Authorizes the Secretary to establish, staff, equip, and maintain a National Drug Testing and Evaluation Center for the purpose of testing and investigating drugs for which approval is required pursuant to this Act. States that the Center shall be operated and maintained as a part of the Food and Drug Administration, subject to the supervision and control of the Secretary. Establishes a Drug Testing Review Panel to settle disputes between the Secretary and the sponsor of a drug as to: (1) the period of time necessary to develop the necessary data; and (2) the procedures used in the testing and investigating. Provides that such a Panel shall be composed of three members, one to be selected by the Secretary, one by the sponsor and the third to be selected by the first two. Creates a National Drug Testing Evaluation Center Fund which shall be available to the Secretary without fiscal year limitation as a separate fund for the purpose of establishing the Center and for the payment of the testing and investigation of drugs carried out by qualified individuals, organizations, and institutions engaged by the Secretary for such purpose. Provides that this fund shall consist of appropriations made pursuant to this Act and all amounts received by the Secretary as charges and interest. Authorizes to be appropriated such sums as may be necessary for the purpose of furnishing initial working capital for the fund. Provides that such sums shall be repayable to the Treasury from charges collected under this title. Provides that this title shall become effective two years after this date of enactment but, to the extent that facilities and funds are available, the Secretary shall conduct tests and investigations on new drugs submitted to him prior to the effective date of this title. Title II: Federal Drug Compendium - Requires the Secretary to prepare and publish in a readable and practicable form and under a distinct and suitable name a drug compendium and to distribute such compendium on a current basis to all practitioners licensed by law to prescribe and administer drugs listed therein. Provides that such compendium shall list all drugs that are lawfully available in the United States and shall also include in such compendium the proprietary names or designations under which a drug listed in the compendium by established name is available and the names of suppliers from whom such drugs may be obtained. Authorizes the Secretary to omit drugs from the compendium if he determines that there is substantial doubt as to the safety of such drugs or compliance with this or other Federal law. Sets forth a procedure for petitioning for changes in the compendium or for preventing the delisting of drugs. Establishes an advisory committee for the purpose of advising the Secretary from time to time on matters pertaining to the compendium. Authorizes the Secretary to require, by order, any person engaged in manufacturing, preparing, compounding, processing, propagating, producing, distributing or importing any drug to furnish to the Secretary any information available to such person and relevant to any matter bearing on which drugs or information relating thereto should be included in the compendium. Provides that in case of refusal or failure to obey such an order, any district court for the judicial district in which the person is found or resides or transacts business shall, upon application by the Secretary, have jurisdiction to issue an order requiring such person to comply with the Secretary's order. Provides that the Secretary shall prescribe fees to be paid to him by persons engaged in the manufacture, preparation, propagation, compounding, processing, or distribution of drugs intended for humans, as he determines to be necessary to defray the cost of the compendium. States that such fees shall be based upon the volume of the drug business done by such persons and such other factors as the Secretary may determine to be relevant. Creates a drug compendium revolving fund which shall be available to the Secretary, without fiscal year limitation, as a revolving fund for the purpose of preparing and keeping current, publishing, and distributing the drug compendium provided for in this Act. Provides that all expenses incurred by the Secretary in carrying out this title, including refunds of overpayments for fees prescribed pursuant to this title and including payments due by reason of remission or mitigation of penalities, shall be paid from the fund. Provides for the waiver of the drug package insert requirement for a drug if such drug is intended and promoted solely for the conditions of use described in the compendium. Title III: Quality Control for Drugs Purchased by the United States or Paid for With Federal Funds Under Federally Supported Programs; Formulary of the United States - Establishes, within the Department of Health, Education and Welfare, a Formulary Committee, a majority of whose members shall be physicians and which shall consist of two officials of such Department designated by the Secretary, and of seven individuals who are of recognized professional standing and distinction in the fields of medicine, pharmacology and pharmacy. Sets forth the terms of office of the members of such Committees. Provides that the Committee shall compile, publish, and make available to all interested persons a Formulary of the United States. States that the Formulary shall contain an alphabetically arranged listing, by establishing the name, of those drugs which the Committee finds are necessary for good medical practice. Provides that the Formulary Committee shall establish such procedures, as may be necessary, to determine the propriety of the inclusion or exclusion, in the Formulary, of any drug, including such data and testing as it may require of a proponent of a drug. Makes provisions for a hearing prior to the final determination by the formulary Committee to remove a drug from the formulary. Declares that no department or agency of the government shall purchase any drug not listed in the Formulary and shall not reimburse or otherwise pay, under any program administered by it, for any drug not listed in the Formulary. Title IV: Certification of Drugs Other Than Insulin and Antibiotics - Gives the Secretary authority to require batch-by-batch certification of all drugs when needed. States that regulations providing for such certification shall contain such provisions as are necessary to carry out the purposes of this section, including provisions prescribing: (1) standards of identity and of strength, quality, and purity; (2) tests and methods of assay to determine compliance with such standards; (3) effective periods for certificates, and other conditions under which they shall cease to be effective as to certified batches and as to portions thereof; (4) administration and procedure; and (5) such fees, specified in such regulations, as are necessary to provide, equip, and maintain an adequate certification service. Title V: Regulation of Sample Drugs - Provides for the labeling and control of sample drugs. Prohibits the distribution of sample drugs except in response to a prior written request of a licensed practioner specifically requesting such sample drugs. Title VI: Miscellaneous Amendments _ Provides that (1) potentially dangerous drugs will be labeled with the appropriate warning; (2) labeling of drugs will be required so that all active ingredients will be clearly labeled; (3) no drug salesman shall make any oral presentation regarding any drug until he has placed before the physician or pharmacist a Food and Drug Administration approved document about the drug; and (4) the Secretary shall approve all advertising in advance that appears in either the electronic media, or in any publication or advertising circular, for any drug. Title VII: Public Health Price Protection Act - Provides that whenever it appears to the Surgeon General that, in the case of any drug, (1) its continued availability by reason of its general use by the medical profession may be in the public interest, (2) the usage and price levels of such drugs are such that the volume of commerce therein may not be insubstantial and (3) either there are fewer than four producers of such drug in the United States or the average price of such drug to the consumer is five times the direct cost to the producer, he shall immediately so certify to the Federal Trade Commission. Provides that if the Federal Trade Commission finds that the existence of a patent relating to the manufacture, use, or sale of such drug has constituted a substantial contributing factor to the high price of such drug, it shall institute a public rulemaking proceeding to determine whether such patent should be subject to mandatory licencing. Specifies the formulation of rules by the Commission to determine a proper price and licensing procedure. Provides civil penalties for violation of any mandatory licensing rule. Provides for judicial review of such rules.
Bill· SS. 954 (93rd)referred
United States · United States Congress · 21 February 1973
Public Health Price Protection Act - Provides that whenvever it appears to the Surgeon General that in the case of any drug, (1) its continued availabiltiy by reason of its general use by the medical profession may be in the public interest, (2) the usage and price levels of such drugs are such that the volume of commerce therin may not be insubstantial, and (3) either there are fewer than four producers of such drug in the United States or the average price of such drug to the consumer is five times the direct cost to the producer; he shall immediately so certify to the Federal Trade Commission. Provides that if the Federal Trade Commission finds that the existence of a patent relating to the manufacture, use, or sale of such drug has constituted a substantial contributing factor to the high price of such drug, it shall institute a public rulemaking proceeding to determine whether such patent should be subject to mandatory licensing. Specifies the formulation of rules by the Commission to determine a proper price and licensing procedure. Provides civil penalties for violation of any mandatory licensing rule. Provides for judicial review of such rules.
Bill· SS. 934 (93rd)referred
United States · United States Congress · 21 February 1973
National Human Experimentation Standards Board Act - Establishes in the executive branch an independent agency to be known as the National Human Experimentation Standards Board. Provides that the Board be composed of five members appointed by the President with the advice and consent of the Senate. Establishes the qualifications and term of office for those eligible for appointment. Gives such Board administrative powers to employ and fix compensation of personnel, make rules and regulations, appoint such advisory committees as are advisable, utilize the services and facilities of other state or Federal departments and agencies, accept voluntary services and gifts, and take such action and make such contracts as may be necessary to the accomplishment of the objectives of the Board. Authorizes the Board to compensate such individuals as appointed to committees established by it at the rate of GS-18. Permits the Board to hold hearings with the power to take testimony, subpena witnesses, and order the production of documents, books, and other information. Enforces the power of the Board to use these powers by application made by the Chairman of the Board to the Attorney General for the issuance of an order requiring any one refusing to obey an order of the Board to do so. Outlines those functions and duties of the Board, including establishing guidelines for federally funded experiments involving humans, reviewing such experiments, seeking necessary injunctive relief, compensating victims of improper experiments, and reporting annually to the President on its activities under this Act.
Bill· HRH.R. 4471 (93rd)referred
United States · United States Congress · 21 February 1973
State Drug Addiction Programs Act - Authorizes the Secretary of Health, Education, and Welfare to make grants to assist States in establishing and operating drug addiction treatment and rehabilitation programs. Provides that priority for grants shall be given to those States with high numbers of narcotic addicts. Limits the Federal share to 50 percent of the cost. Provides that State applications for grants must designate the administering agency, describe the programs, and assure that sufficient funds are available to meet the non-Federal share of the project and to continue its operation. Authorizes necessary appropriations to carry out this Act.
Bill· SS. 919 (93rd)referred
United States · United States Congress · 20 February 1973
Entitles those individuals who have attained the age of 60 but not age 65 and who are entitled to widow's or widower's insurance benefits or who are wives and husbands of persons entitled to such benefits, to obtain, under title XVIII of the Social Security Act (Medicare), coverage for hospital insurance benefits. Prescribes those procedures for enrollment under the plan established by this Act and specifies that the coverage to which an individual so enrolled is entitled. Authorizes the Secretary of Health, Education, and Welfare to review and revise premium rates. Designates all premiums paid to be deposited in the Treasury to the credit of the Federal Hospital Insurance Trust Fund. Provides that all individuals eligible for the hospital insurance plan of this Act shall also be eligible for supplementary medical insurance benefits.
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