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Bill· SS. 225 (101st)referred
United States · United States Congress · 25 January 1989
Community Mental Health Centers Construction Act of 1989 - Amends title XIX (Block Grants) of the Public Health Service Act to create a new part on mental health construction block grants. Directs the Secretary of Health and Human Services, for each of FY 1990 through 1994, to make allotments to States to assist in constructing community mental health facilities. Requires funds to be used for: (1) building and renovating; and (2) providing staffing and maintenance of centers which have been built or renovated. Requires at least 75 percent of the funds to be used to provide services for the homeless mentally ill and chronically mentally ill. Requires matching State funds. Authorizes appropriations for FY 1990 through 1994.
Bill· SS. 205 (101st)referred
United States · United States Congress · 25 January 1989
Amends title XVIII (Medicare) of the Social Security Act to require that by April 1, 1990, both the Secretary of Health and Human Services and the Prospective Payment Assessment Commission submit a report to the Congress recommending a methodology for eliminating the differences in average standardized Medicare payments to large urban, other urban, and rural hospitals by October 1, 1992. Directs the Congressional Budget Office (CBO) to submit an analysis of such reports to the Congress by May 1, 1990. Requires the Secretary to promulgate final regulations by August 30, 1990, for the implementation of such recommendations. Makes such regulations effective beginning on October 1, 1990, unless the Congress enacts legislation regarding such payments before such date. Requires that by April 1, 1991, both the Secretary and the Commission submit a report to the Congress specifying the manner in which average standardized payments to hospitals should be adjusted to reflect legitimate differences in operating costs for different categories of hospitals. Directs the CBO to submit an analysis of such reports to the Congress by May 1, 1991. Requires the Secretary to promulgate final regulations by August 30, 1992, for the implementation of such recommendations. Makes such regulations effective beginning on October 1, 1992, unless the Congress enacts legislation regarding such payments before such date.
Bill· SS. 243 (101st)referred
United States · United States Congress · 25 January 1989
Extends the regional referral center classification of hospitals so classified as of September 30, 1989, and the payment rates applicable to such hospitals under title XVIII (Medicare) of the Social Security Act through FY 1994.
Bill· SS. 239 (101st)referred
United States · United States Congress · 25 January 1989
Amends title XVIII (Medicare) of the Social Security Act to waive the late enrollment penalty under part B (Supplementary Medical Insurance) for a disabled individual who failed to enroll because of work-related health insurance coverage or coverage under his or her spouse's work-related health insurance.
Bill· SS. 15 (101st)open
United States · United States Congress · 25 January 1989
Emergency Medical Services and Trauma Care Improvement Act of 1989 - Amends the Public Health Service Act to create a new title on trauma care. Directs the Secretary of Health and Human Services to provide for the establishment and operation of a National Clearinghouse on Emergency Medical Services and Trauma Care. Authorizes appropriations for FY 1990 through 1992 or for the first three fiscal years for which funds are appropriated. Authorizes the Secretary to make grants and enter into cooperative agreements and contracts with respect to emergency medical services and trauma care systems to: (1) conduct and support research, training, evaluations, and demonstration projects; (2) provide technical assistance to State and local agencies; and (3) establish guidelines for the development of uniform State data reporting systems. Directs the Secretary to make an allotment for each State for each fiscal year, mandating that at least 35 percent, subject to adjustment, be used for planning, implementing, monitoring, and evaluating the operation of county, regional, or State trauma care systems. Sets forth requirements for such systems. Requires States to use at least 35 percent of the amount available to them for a fiscal year to reimburse designated trauma centers for uncompensated trauma care expenditures. Requires non-Federal matching contributions (in cash or in kind) in a specified ratio for fiscal years after FY 1990. Requires each State, for each fiscal year beginning with FY 1990, to submit the trauma care component of the State emergency medical services plan (State plan) to the Secretary. Sets forth requirements for the State plan. Requires that hospital emergency departments, within their capability, if an individual appears and requests examination and treatment: (1) examine for the existence of an emergency medical condition or active labor and, if such a condition or labor exists, treat the individual until stable, subject to exception; and (2) transfer such individual to other facilities only according to stated criteria. Requires States to adopt guidelines for the designation of trauma centers, and for triage, transfer, and transportation policies, at least as stringent as the applicable guidelines developed by the American College of Surgeons and by the American College of Emergency Physicians. Mandates that States: (1) require each trauma center to provide certain information to the State central data reporting system annually; (2) submit, to the Secretary at least annually, the information it receives from its data reporting and analysis system; and (3) identify and submit to the Secretary a list of rural areas lacking certain emergency medical services. Sets forth restrictions on the use of State allotments. Requires an annual report from each State to the Secretary. Sets forth a formula for determination of the amount of allotments. Provides for: (1) repayment and offset for failure to use funds as agreed; (2) criminal penalties for certain false statements; (3) technical assistance and provision of supplies and services by the Secretary in lieu of grant funds; and (4) a report by the Secretary to the Congress. Authorizes appropriations for FY 1990 through 1992. Directs the Secretary of Health and Human Services to conduct studies: (1) to determine the adequacy and appropriateness of the reimbursements provided to trauma centers under title XIX (Medicaid) of the Social Security Act; and (2) of the long-term economic effects of trauma. Amends the Public Health Service Act to revise the application procedure for Preventive Health and Health Services Block Grants to provide the State officer responsible for the administration of the State highway safety program an opportunity to participate in the development of any plan relating to emergency medical services as such plan relates to highway safety. Allows the State official responsible for the provision of emergency medical services the opportunity to participate in the development of the State highway safety program as such program relates to emergency medical services. Amends the Public Health Service Act and the Consolidated Farm and Rural Development Act to allow certain grant allotments to be used for the purchase of communications equipment. Requires the Federal Communications Commission to: (1) study the availability of radio frequency channels for emergency medical services communications; (2) establish a plan to ensure that the needs of emergency medical services communications are provided for in the allocations of frequencies for public safety; and (3) submit a report to committees of the Congress containing such study and plan.
Bill· SS. 110 (101st)open
United States · United States Congress · 25 January 1989
Family Planning Amendments of 1989 - Amends the Public Health Service Act to remove, from provisions relating to project grants and contracts for family planning services, provisions allowing the Secretary of Health and Human Services (Secretary), at the request of a grant recipient, to reduce the amount of the grant by the value of supplies or equipment furnished by the Secretary. Authorizes appropriations for such grants and contracts for FY 1990 through 1992. Repeals existing formula grant provisions. Authorizes appropriations for FY 1990 through 1992 for technical assistance and personnel training, including clinical training for obstetric-gynecologic nurse practitioners and training for educators and counselors. States that research grants and contracts may be made for evaluation as well as for development of contraceptives, and to improve clinical management and direct delivery of family planning services. Authorizes the Secretary to conduct, make grants, and enter into contracts for applied research into the development, evaluation, and bringing to the marketplace of contraceptive devices, drugs, and methods. Authorizes appropriations for FY 1990 through 1992. Authorizes the Secretary to make grants or enter into contracts for community-based information and education programs regarding sexuality, pregnancy, parenthood, and sexually transmitted diseases. Directs the Secretary to make grants and enter into contracts for the development, evaluation, and dissemination of educational and informational materials consistent with the objectives of such programs. Authorizes appropriations for FY 1990 through 1992. Directs the Secretary to collect data annually on: (1) the number of low-income and marginal-income individuals and adolescents at risk of unintended pregnancies; (2) the sources of funding available for family planning services in the United States; (3) the numbers and age, gender, race, and family income of persons who receive family planning services; and (4) the types of services chosen by individuals receiving services.
Bill· SS. 13 (101st)open
United States · United States Congress · 25 January 1989
Veterans Benefits and Health Care Act of 1989 - Title I: Compensation and Other Benefits - Part A: Cost-of-Living Adjustments - Directs the Secretary of Veterans Affairs to increase the following: (1) the rates of, and limitations on, Department of Veterans Affairs disability compensation and dependency and indemnity compensation; and (2) rates of certain disability compensation that were increased to coincide with benefit increases under title II (Old Age, Survivors and Disability Insurance) of the Social Security Act. Authorizes rate increases or increased allowance for the following: (1) rehabilitation subsistence allowances for veterans with service-connected disabilities; and (2) educational assistance for veterans' survivors and dependents. Part B: Other Benefits Provisions - Expands the eligibility for a veterans' clothing allowance to authorize such allowance for veterans who, because of a compensable disability, use medication for a service-connected skin condition which stains or damages such veteran's clothing. Increases the monthly pension payments authorized for veterans being furnished domiciliary care in a Department facility. Extends the period authorized for payment of full pension benefits for veterans being furnished hospital or nursing home care by the Department. Authorizes the Secretary to extend the period during which such a veteran's pension is not reduced in specified circumstances. Limits such extensions. Extends through 1991 the authority for veterans' readjustment appointments within the Federal Government for eligible veterans of the Vietnam era. Part C: Program Administration - Expands the authority for multiyear contract procurement to include the procurement of non-medical items within the Department. Title II: Health Care - Part A: Programs Relating to Post-Traumatic Stress Disorder and Mental Health - Authorizes the provision of health care and services for: (1) veterans who served on active duty during World War I or II, the Korean Conflict, the Vietnam Era, or in any other area during a period in which hostilities occurred; and (2) veterans whom a mental health professional designated by the Chief Medical Director has diagnosed to be suffering from post-traumatic stress disorder related to such service. Directs the Special Committee on Post-Traumatic Stress Disorder to submit to the Secretary and the Senate and House Veterans' Affairs Committees no later than June 1, 1989, a report on the Committee's evaluation of the results of a study required under the Veteran's Health Care Amendments of 1983 relating to the diagnosis and treatment of veterans suffering from post-traumatic stress disorder. Directs the Secretary to comment to the veterans' committees concerning such report. Requires the Committee to update certain reports required of the Committee under the Veterans' Health Care Act of 1984 and requires the Secretary to comment to the veterans' committees concerning such updates. Directs the Secretary to provide for the conduct of a study of the psychological problems among Asian-American, American-Indian, Native-Hawaiian, other Native-American Pacific Islander, and Alaska Native Vietnam veterans. Directs the Secretary to study particularly such veterans who have service-connected disabilities and women veterans. Requires a report from the Secretary to the veterans' committees on such study. Directs the Secretary, in certain papers required to be submitted to the President annually, to identify the amounts in the appropriations requests for the VA that are estimated to be obligated for payments and treatments for veterans suffering from post-traumatic stress disorder, and for education, training, research, and the operation of the National Center on Post-Traumatic Stress Disorder. Part B: Other Health-Care Programs - Includes within the definition of "medical services" for coverage under Federal veterans' benefits' provisions services to achieve pregnancy in a veteran or a veteran's spouse when such services are necessary to overcome a service-connected disability impairing the veteran's procreative ability. Authorizes the Secretary to contract with an element of the Department or any other Federal entity to provide for therapeutic work for patients and members in Department health-care facilities. (Currently, the Secretary may contract with private industry or other sources outside the Department.) Extends through FY 1992 the authorization of appropriations to assist States in the construction of State nursing home facilities. Directs the Secretary, during FY 1990 through 1993, to conduct a pilot program for providing assistive animals to aid veterans in the performance of daily living tasks which they are unable to perform due to certain disabilities or handicaps. Outlines administrative provisions and requires reports from the Secretary to the veterans' committees concerning such program. Directs the Secretary, during FY 1990 through 1993, to conduct a pilot program for furnishing signal dogs to not more than 20 veterans who have service-connected hearing impairments and are in need of the assistance of such dogs. Provides that the Secretary is not required to conduct such pilot program if the provision of such dogs to such veterans is currently authorized. Outlines administrative provisions and requires reports from the Secretary to the veterans' committees concerning such program. Part C: Health-Care Administration - Requires the Assistant Secretary for the Department who is assigned management, productivity, and logistic support functions to be responsible for the functional and technical supervision of the performance of security and law enforcement functions within the Department. Directs the Secretary to report to the veterans' committees concerning certain security and law enforcement matters. Includes health-care facilities in a provision authorizing the sharing of specialized medical resources with medical schools, hospitals, and medical research centers. Revises the authority to share specialized medical resources. Includes coverage of Veterans Health Services and Research Administration personnel under Federal employees' collective bargaining rights and procedures. Revises provisions concerning disciplinary actions and grievances within the Department's Veterans Health Services and Research Administration. Directs the Secretary to establish a task force to recommend policies and legislation for the elimination of inconsistencies among provisions of law relating to veterans' eligibility for certain health-care benefits. Directs the Secretary to review the report submitted by the task force and either approve the recommendations for legislation contained therein or prepare alternative legislative proposals appropriate for the elimination of the inconsistencies identified by the task force. Requires a report from the Secretary to the veterans' committees concerning the recommendation of such legislative proposals.
Bill· SS. 71 (101st)open
United States · United States Congress · 25 January 1989
AIDS Control Act of 1989 - Amends the Public Health Service Act to require the Director of the Centers for Disease Control to keep records of cases of individuals infected with the human immunodeficiency virus (HIV). Directs the Secretary of Health and Human Services to promulgate regulations to require that, as a condition of receiving a license, any entity which collects or distributes blood or blood components or derivatives: (1) test all donors for the HIV; and (2) allow directed and autologous blood donations. Requires that recipients of grants under provisions relating to population research and family planning programs provide individuals with certain information concerning prevention of infection with the HIV. Prohibits the Secretary from making a grant under title XXV (Prevention of Acquired Immune Deficiency Syndrome) of the Public Health Service Act to support a project for education, testing, or counseling concerning acquired immune deficiency syndrome (AIDS) unless the State requires that: (1) physicians and medical technicians report to public health authorities the names and addresses of HIV-infected individuals; and (2) such reporting be carried out in accordance with State laws regulating confidentiality of records for individuals with sexually transmitted diseases. Prohibits the Secretary from making a grant under such title and any State from obligating or expending any funds made available under such Act unless the State requires notification of the spouse of an AIDS-infected patient. Prohibits a State from obligating or expending funds made available under such title unless the State closes all bathhouses where a pattern of continuous homosexual sexual activity or continuous illegal intravenous drug use occurs. Prohibits the use of funds under such title: (1) to provide individuals with hypodermic needles or syringes so that they may use illegal drugs, or to distribute bleach for cleaning needles for such use; (2) to promote condoms as a method to prevent the spread of AIDS or to provide condoms; (3) to provide AIDS education, information, or prevention materials and activities that promote or encourage, directly or indirectly, homosexual sexual activities; or (4) unless the State requires marriage license applicants to be tested for infection with the HIV and both individuals to be notified of each test result. Amends the Federal criminal code to create a new chapter regarding public health preservation. Makes it unlawful for any individual to knowingly donate or attempt to donate blood, semen, or organs if that individual knows he or she is infected with the HIV, is a member of certain groups (including African and Haitian immigrants, hemophiliacs, prostitutes, homosexuals, and intravenous drug users) at high risk of contracting AIDS, or has engaged in activity which places such person at high risk of contracting AIDS. Provides for criminal fines and imprisonment. Requires the Director of the Bureau of Prisons to test each person incarcerated in a Federal penal or correctional institution for HIV infection at the time of entry, annually, and at any other appropriate time. Requires reports on positive test results to be made to the Director of the Centers for Disease Control. Requires that prisoners testing positive for the HIV infection be placed in separate residential facilities and be restricted from holding any employment in the institution which may increase transmission of HIV. Prohibits the induction or retention in the armed forces, other than in a retired status, of a person infected with HIV. Requires individuals to be tested for HIV infection prior to induction. Requires members of the armed forces to be tested for the HIV infection: (1) at least once a year; (2) whenever admitted to any medical facility of the uniformed services or of the Department of Veterans Affairs for in-patient care; and (3) at other times as the Secretary concerned considers appropriate. Amends the Veterans' Benefits and Services Act of 1988 to direct the Secretary of Veterans Affairs to provide for a program of routine testing of each patient for infection with the HIV. Requires the Department to provide pre- and post-test counseling. Amends Federal law relating to veterans' benefits and confidentiality of certain medical records to require a physician or professional counselor to disclose information or records indicating that a patient or subject is infected with the HIV to a spouse or sexual partner. Directs the Secretary of Health and Human Services to promulgate regulations requiring the recipient of funds under specified provisions of the Public Health Service Act to routinely test for infection with the HIV, and provide pre- and post-testing counseling to, each person receiving treatment for tuberculosis, substance abuse, or a sexually transmitted disease. Directs the Secretary of Transportation to promulgate regulations requiring all airmen applying for certification to operate a commercial airplane to undergo annual testing for the HIV. Requires any airmen who test positive to be denied certification.
Bill· SS. 223 (101st)open
United States · United States Congress · 25 January 1989
Comprehensive Lyme Disease Act of 1989 - Amends the Public Health Service Act to authorize the Secretary of Health and Human Services to make grants with respect to Lyme disease: (1) through the Director of the National Institutes of Health, for research and treatment; and (2) through the Director of the Centers for Disease Control, for public education. Authorizes appropriations for FY 1990 through 1992.
Bill· SS. 228 (101st)open
United States · United States Congress · 25 January 1989
Intravenous Substance Abuse and AIDS Prevention Act of 1989 - Amends the Public Health Service Act to authorize the Secretary of Health and Human Services to make grants for treatment services to intravenous substance abusers. Conditions grants on the applicant agreeing to make available: (1) counseling and education with respect to preventing the transmission of the etiologic agent for acquired immune deficiency syndrome (AIDS); (2) testing to determine whether the abusers have been infected; and (3) pre- and post-test counseling. Prohibits making a grant unless the applicant agrees not to condition receipt of treatment services on the individual undergoing such testing. Sets forth requirements relating to the geographic distribution of grants. Provides for allocation of amounts appropriated under provisions of this Act. Authorizes the Secretary to make grants to carry out demonstration projects for reducing or preventing the incidence in infants of infections with the etiologic agent for AIDS and for providing support to infants who have infections. Sets forth priorities in making grants and uses for which grantees may expend grant funds. Authorizes the Secretary to make grants to provide counseling and education services with respect to preventing the transmission of the etiologic agent directly or indirectly through intravenous substance abuse. Sets forth priorities in making grants and uses for which grantees may expend grant funds. Prohibits the making of grants under this Act unless the applicant agrees not to expend amounts received under the grant to supplant any funds otherwise available to the applicant for the grant purpose. Requires a period during which the State agency responsible for administering substance abuse treatment programs may comment on grant applications. Authorizes appropriations for FY 1989 through 1992.
Bill· SS. 97 (101st)open
United States · United States Congress · 25 January 1989
Amends the Public Health Service Act to make students enrolled in graduate programs in psychology eligible for student loans under the health professions student loan program.
Bill· SS. 61 (101st)open
United States · United States Congress · 25 January 1989
Amends the Public Health Service Act to add social work schools to the list of schools eligible for grants and contracts for training health professionals in geriatrics.
Bill· SS. 99 (101st)open
United States · United States Congress · 25 January 1989
Amends the Public Health Service Act to provide that health maintenance organizations may provide the services of clinical social workers.
Bill· SS. 95 (101st)open
United States · United States Congress · 25 January 1989
Advanced Nurse Education Act of 1989 - Amends the Public Health Service Act to require the Secretary of Health and Human Services to establish a scholarship program to enable professional nurses to pursue masters and doctoral degrees in fields related to nursing. Sets forth the eligibility requirements for such program. Provides that an individual becomes a participant in such program only upon the Secretary's approval of the individual's application and acceptance of the submitted contract, under which: (1) the Secretary must agree to provide a scholarship; and (2) the individual must maintain enrollment in a specified course of study, maintain an acceptable level of academic standing, and serve for a time period equal to one service year for each scholarship year in a public or nonprofit private health care facility, or in a private health care facility in a medically underserved area. Requires the scholarship to consist of payment of tuition and all other reasonable educational expenses during the school year, plus a monthly stipend. Requires the individual to repay the United States if he or she breaches the scholarship contract. Authorizes appropriations to carry out this Act for FY 1989 and succeeding fiscal years.
Bill· SS. 67 (101st)open
United States · United States Congress · 25 January 1989
Compassionate Pain Relief Act - Directs the Secretary of Health and Human Services to establish a 60-month program under which parenteral diacetylmorphine shall be made available through hospital and other prescribed pharmacies for the relief of pain from terminal cancer (as defined by this Act). Directs the Secretary to provide for the manufacture of such drug. Permits physicians registered under the Controlled Substances Act to prescribe such drug. States that for purposes of such program the Federal Food, Drug, and Cosmetic Act and titles II and III of the Comprehensive Drug Abuse Prevention and Control Act of 1970 shall not apply with respect to: (1) the importing of opium; and (2) the manufacture, distribution, and dispensing of parenteral diacetylmorphine. Requires the Secretary to report to specified congressional committees concerning: (1) program-related activities; (2) the extent of research activities in the management of pain which have received funds through the National Institutes of Health; (3) the ways in which the Federal Government supports the training of health personnel in pain management; and (4) recommendations for expanding and improving the training of health personnel in pain management. Requires the Comptroller General of the United States to make a program report to such committees 56 months after the program is established. Permits the Secretary at any time six months after implementation of the program to modify or terminate the program.
Bill· SS. 96 (101st)open
United States · United States Congress · 25 January 1989
Amends the Public Health Service Act to require the Director of the National Institute on Alcohol Abuse and Alcoholism and the Director of the National Institute on Drug Abuse each to appoint an Associate Director for Special Populations. Directs the Secretary of Health and Human Services, through such Associate Directors, with regard to women and minorities, to, among other things: (1) develop, coordinate, and support policies, programs, projects, and plans relating to alcohol abuse and drug abuse; and (2) develop systems to assist women and minorities to cope with the effects of discrimination against alcohol and drug abusers.
Bill· SS. 98 (101st)open
United States · United States Congress · 25 January 1989
Amends the Public Health Service Act to add schools which offer programs in social work to the list of schools which are eligible for grants and contracts to assist individuals from disadvantaged backgrounds to enter a health profession. Adds references to schools offering social work programs to provisions requiring schools receiving such grants to increase, over three years, their first year enrollments of individuals from disadvantaged backgrounds by at least 20 percent over enrollments in the base year 1987.
Bill· SS. 70 (101st)open
United States · United States Congress · 25 January 1989
AIDS Control Act of 1989 - Amends the Public Health Service Act to require the Director of the Centers for Disease Control to keep records of cases of individuals infected with the human immunodeficiency virus (HIV). Directs the Secretary of Health and Human Services to promulgate regulations to require that, as a condition of receiving a license, any entity which collects or distributes blood or blood components or derivatives: (1) test all donors for the HIV; and (2) allow directed and autologous blood donations. Requires that recipients of grants under provisions relating to population research and family planning programs provide individuals with certain information concerning prevention of infection with the HIV. Prohibits the Secretary from making a grant under title XXV (Prevention of Acquired Immune Deficiency Syndrome) of the Public Health Service Act to support a project for education, testing, or counseling concerning acquired immune deficiency syndrome (AIDS) unless the State requires that: (1) physicians and medical technicians report to public health authorities the names and addresses of HIV-infected individuals; and (2) such reporting be carried out in accordance with State laws regulating confidentiality of records for individuals with sexually transmitted diseases. Prohibits the Secretary from making a grant under such title and any State from obligating or expending any funds made available under such Act unless the State requires notification of the spouse of an AIDS-infected patient. Prohibits a State from obligating or expending funds made available under such title unless the State closes all bathhouses where a pattern of continuous homosexual sexual activity or continuous illegal intravenous drug use occurs. Prohibits the use of funds under such title: (1) to provide individuals with hypodermic needles or syringes so that they may use illegal drugs, or to distribute bleach for cleaning needles for such use; (2) to promote condoms as a method to prevent the spread of AIDS or to provide condoms; (3) to provide AIDS education, information, or prevention materials and activities that promote or encourage, directly or indirectly, homosexual sexual activities; or (4) unless the State requires marriage license applicants to be tested for infection with the HIV and both individuals to be notified of each test result. Amends the Federal criminal code to create a new chapter regarding public health preservation. Makes it unlawful for any individual to knowingly donate or attempt to donate blood, semen, or organs if that individual knows he or she is infected with the HIV, is a member of certain groups (including African and Haitian immigrants, hemophiliacs, prostitutes, homosexuals, and intravenous drug users) at high risk of contracting AIDS, or has engaged in activity which places such person at high risk of contracting AIDS. Provides for criminal fines and imprisonment. Requires the Director of the Bureau of Prisons to test each person incarcerated in a Federal penal or correctional institution for the HIV infection at the time of entry, annually, and at any other appropriate time. Requires reports on positive test results to be made to the Director of the Centers for Disease Control. Requires that prisoners testing positive for HIV infection be placed in separate residential facilities and be restricted from holding any employment in the institution which may increase transmission of HIV. Prohibits the induction or retention in the armed forces, other than in a retired status, of a person infected with HIV. Requires individuals to be tested for HIV infection prior to induction. Requires members of the armed forces to be tested for the HIV infection: (1) at least once a year; (2) whenever admitted to any medical facility of the uniformed services or of the Veterans Administration (effective March 1989, Department of Veterans Affairs) for in-patient care; and (3) at other times as the Secretary concerned considers appropriate. Amends the Veterans' Benefits and Services Act of 1988 to direct the Secretary of Veterans Affairs (VA) to provide for a program of routine testing of each VA patient for infection with the HIV. Requires the VA to provide pre- and post-test counseling. Amends Federal law relating to veterans' benefits and confidentiality of certain medical records to require a physician or professional counselor to disclose information or records indicating that a patient or subject is infected with the HIV to a spouse or sexual partner. Directs the Secretary of Health and Human Services to promulgate regulations requiring the recipient of funds under specified provisions of the Public Health Service Act to routinely test for infection with the HIV, and provide pre- and post-testing counseling, to each person receiving treatment for tuberculosis, substance abuse, or a sexually transmitted disease. Directs the Secretary of Transportation to promulgate regulations requiring all airmen applying for certification to operate a commercial airplane to undergo annual testing for the HIV. Requires any airmen who test positive to be denied certification.
Bill· SS. 66 (101st)open
United States · United States Congress · 25 January 1989
Amends the Public Health Service Act to add schools of nursing as eligible recipients of certain grants for training projects relating to geriatric medicine.
Bill· SS. 62 (101st)open
United States · United States Congress · 25 January 1989
Amends the Public Health Service Act to apply provisions setting forth the general authorities of the director of each research institute of the National Institutes of Health to the other agencies of the National Institutes of Health. Authorizes the Director of the National Center for Nursing Research to make grants and cooperative agreements for the construction of new or the improvement of existing facilities to carry out provisions relating to research, training, and demonstrations.
Bill· SS. 23 (101st)open
United States · United States Congress · 25 January 1989
Amends the Public Health Service Act to permit family planning projects to offer adoption services. Requires such services to be nondiscriminatory as to race, color, religion, or national origin.
Bill· SS. 227 (101st)referred
United States · United States Congress · 25 January 1989
Amends title XVIII (Medicare) of the Social Security Act to exempt rural hospitals having less than 150 beds from the prospective payment system. Requires utilization of the first complete cost reporting period beginning on or after June 1, 1986, in computing the target payment amount for such hospitals.
Bill· SS. 141 (101st)referred
United States · United States Congress · 25 January 1989
Amends the Internal Revenue Code to permit a taxpayer a nonrefundable 15 percent income tax credit for long-term health insurance costs paid for the benefit of the taxpayer, spouse, or a parent of either. Limits the annual amount of the credit to $300 ($600 if the insurance covers two or more individuals). Reduces the credit percentage as income increases above specified levels ($43,150 single; $71,900 joint). Permits a taxpayer to include as tax-deductible medical expenses any amounts incurred for the long-term health care of a nondependent parent of either the taxpayer or spouse.
Bill· SS. 224 (101st)referred
United States · United States Congress · 25 January 1989
Amends title II (Old Age, Survivors and Disability Insurance) of the Social Security Act to eliminate, for five years, in the case of individuals medically determined to have acquired immune deficiency syndrome (AIDS), the requirement that an individual be entitled to disability benefits for at least 24 consecutive months in order to qualify for hospital insurance benefits under part A (Hospital Insurance) of title XVIII (Medicare) of the Act.
Bill· SS. 226 (101st)referred
United States · United States Congress · 25 January 1989
Community Mental Health Services and Homelessness Prevention Act of 1989 - Amends title XVI (Supplemental Security Income) (SSI) of the Social Security Act to cover costs incurred by a chronically mentally ill beneficiary in maintaining a residence for the first six months of his or her institutionalization if he or she is expected to be institutionalized for no more than six months and return to such residence upon discharge. Deems as disabled, for SSI eligibility purposes, a chronically mentally ill individual: (1) whose earnings satisfy the SSI eligibility test; (2) who is about to be discharged from an institution; (3) who is at imminent risk of homelessness or institutionalization; and (4) who is willing to participate in a plan of care. Amends title XIX (Medicaid) of the Act to require States to provide Medicaid coverage for home and community-based services.
Bill· SS. 129 (101st)referred
United States · United States Congress · 25 January 1989
Requires the appointment by the President of health-care professionals to the positions of the Surgeon General of the Army, the Surgeon General of the Navy, and the Surgeon General of the Air Force.
Bill· SS. 125 (101st)referred
United States · United States Congress · 25 January 1989
Amends title XVIII (Medicare) of the Social Security Act to cover, on an assigned basis, the services of registered nurses as assistants at surgery under part B (Supplementary Medical Insurance) of the Medicare program.
Bill· SS. 121 (101st)referred
United States · United States Congress · 25 January 1989
Amends title XVIII (Medicare) of the Social Security Act to include psychologists' services within the definition of hospice care.
Bill· SS. 188 (101st)referred
United States · United States Congress · 25 January 1989
Amends part B (Supplementary Medical Insurance) of title XVIII (Medicare) of the Social Security Act to eliminate limitations on physician charges and effectively eliminate the distinction between participating and nonparticipating physicians.
Bill· SS. 139 (101st)referred
United States · United States Congress · 25 January 1989
Amends the Internal Revenue Code to exclude from gross income up to $2,000, adjusted for inflation, of distributions from an individual retirement plan if: (1) the payee has attained age 59 1/2 on or before the date of distribution; and (2) the distribution is used during the taxable year to pay premiums for a long-term health care insurance policy covering necessary diagnostic, preventive, therapeutic, rehabilitative, maintenance, or personal care services for the payee or a spouse meeting the same 59 1/2 year age requirement.
Bill· SS. 119 (101st)referred
United States · United States Congress · 25 January 1989
Amends titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act to provide direct coverage of pediatric nurse practitioner or pediatric clinical nurse specialist services under part B (Supplementary Medical Insurance) of the Medicare program and require States to cover such services under the Medicaid program.
Bill· SS. 115 (101st)referred
United States · United States Congress · 25 January 1989
Amends titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act to provide direct coverage of nurse practitioner or clinical nurse specialist services under part B (Supplementary Medical Insurance) of the Medicare program and require States to cover such services under the Medicaid program.
Bill· SS. 140 (101st)referred
United States · United States Congress · 25 January 1989
Amends the Internal Revenue Code to allow an individual a nonrefundable income tax credit for contributions made to a long-term health care savings account established to pay the long-term health care expenses of an individual. Sets the amount of the credit at the lesser of ten percent of the contribution or $200. Includes as legitimate long-term health care expenses the costs of (or insurance premiums covering) diagnostic, preventive, therapeutic, rehabilitative, and personal care services that are: (1) required by a chronically ill or disabled individual; and (2) provided by a qualified provider (other than a family member) in a nursing facility, including hospitals and nursing homes, or in a home (if home care is a substitute for care in a nursing facility). Provides that no account may have more than one beneficiary and that no individual may be a beneficiary of more than one account. Limits annual contributions to $2,000 per account. Disallows the credit in the case of a beneficiary covered under an employee benefit plan that provides similar benefits. Identifies criteria and requirements applicable to a long-term health care savings account. Excludes from gross income any account payments and distributions used exclusively for the qualified health care expenses of the eligible beneficiary. Exempts an account from taxation unless the beneficiary or contributor engages in prohibited transactions or the beneficiary pledges the account as security. Imposes a surtax on distributions not used for long-term health care purposes. Requires the account trustee to report to the Secretary of the Treasury and to the account's beneficiary concerning the account. Imposes penalty taxes in connection with excess contributions, prohibited transactions associated with an account, and failure to comply with reporting requirements.
Bill· SS. 142 (101st)referred
United States · United States Congress · 25 January 1989
Long-Term Care Insurance Consumer Protection Act of 1989 - Amends title XVIII (Medicare) of the Social Security Act to require the Secretary of Health and Human Services to establish a procedure for the voluntary certification of long-term care insurance policies. Requires certified policies to: (1) meet or exceed National Association of Insurance Commissioners Model Act Standards; (2) be renewable on the basis of the same premium rate; (3) allow purchasers 30 days to rescind their purchase of the policy; (4) inform consumers of the availability and limitations of long-term care benefits under the Medicare program; and (5) meet or exceed other requirements set by the Secretary. Deems a long-term care insurance policy to have satisfied the requirements of the Federal certification procedure if the State in which it is issued is determined by the Long-Term Care Insurance Panel established pursuant to this Act to have a regulatory program which is at least as stringent as the Federal procedure. Makes it a felony, punishable by fine and/or imprisonment, to knowingly: (1) misrepresent a policy's compliance with this Act's certification requirements; or (2) use the mails to promote the sale or delivery of a policy into a State where such policy has not been approved by the State commissioner or superintendent of insurance. Deems a policy to have been approved by the State commission or superintendent of insurance, if: (1) it has been certified by the Secretary or issued in a State that has an approved regulatory program; (2) it has been approved by the commissioners or superintendents of insurance in States in which more than 30 percent of such policies are sold; or (3) such commissioner or superintendent has the authority to bar the sale of the policy in the State, but neither he or she nor the State has done so. Requires the Secretary to provide Medicare beneficiaries with information that will enable them to evaluate long-term care insurance policies and the relationship of such policies to Medicare benefits. Directs the Long-Term Care Insurance Panel to report to the Congress within one year of this Act's enactment on whether certified policies should meet minimum loss ratios or other value measures and whether they should disclose minimum loss ratios or other key financial information. States that Medicare skilled nursing facility and home health agency benefits are included among the benefits which health insurance policies may not duplicate in providing coverage to Medicare beneficiaries. Requires the Secretary to notify Medicare beneficiaries regarding the availability of long-term care benefits under the Medicare program.
Bill· SS. 124 (101st)referred
United States · United States Congress · 25 January 1989
Amends titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act to provide direct coverage of clinical social worker services under part B (Supplementary Medical Insurance) of the Medicare program and require States to cover such services under the Medicaid program. Increases to $1,000 the amount which may be considered as expenses incurred in connection with the outpatient treatment of mental, psychoneurotic, and personality disorders under part B of the Medicare program.
Bill· SS. 126 (101st)referred
United States · United States Congress · 25 January 1989
Amends title XVIII (Medicare) of the Social Security Act to provide that a nurse practitioner or clinical nurse specialist may, in collaboration with a physician, certify and recertify a patient's need for skilled nursing facility services. Authorizes skilled nursing facilities to satisfy certain Medicare requirements by having such nurses, in collaboration with physicians, supervise patient care and be available for patient emergencies. (Currently, a physician must make need certifications, supervise patient care, and be available for patient emergencies.) Provides Medicare coverage for 100 percent of the reasonable cost of items and services furnished by a nurse practitioner or clinical nurse specialist in a skilled nursing facility.
Bill· SS. 116 (101st)referred
United States · United States Congress · 25 January 1989
Amends title XVIII (Medicare) of the Social Security Act to cover rehabilitative psychological services furnished to outpatients of comprehensive outpatient rehabilitation facilities. Requires that patients at such facilities be under a physician's care to the extent required by State law. Eliminates the Federal requirement that such patients be under a physician's care.
Bill· SS. 122 (101st)referred
United States · United States Congress · 25 January 1989
Amends title XVIII (Medicare) of the Social Security Act to cover social worker services furnished to outpatients of rural health clinics.
Bill· SS. 108 (101st)referred
United States · United States Congress · 25 January 1989
Amends the Public Health Service Act to authorize the Secretary of Health and Human Services to: (1) make grants to Native Hawaiian health centers for preventive health services and the prevention and control of sexually transmitted diseases; (2) provide technical assistance to such centers for research and training programs for the prevention of such diseases; (3) make grants to, and enter into contracts with, such centers for family planning projects; and (4) conduct and support by grant or contract health information programs in such centers. Includes Native Hawaiian health centers in the designation of medical facilities which may be considered health manpower shortage areas.
Bill· SS. 118 (101st)referred
United States · United States Congress · 25 January 1989
Amends title XVIII (Medicare) of the Social Security Act to cover clinical social worker services which are provided as a component of community mental health care center services.
Bill· SS. 63 (101st)referred
United States · United States Congress · 25 January 1989
Amends part B (Supplementary Medical Insurance) of title XVIII (Medicare) of the Social Security Act to include clinical social worker services within covered comprehensive outpatient rehabilitation facility services. Requires that a patient in a comprehensive outpatient rehabilitation facility be under a physician's care to the extent required by State law. Eliminates the Federal requirement that every patient in such facility be under a physician's care.
Bill· SS. 100 (101st)referred
United States · United States Congress · 25 January 1989
Amends title XVIII (Medicare) of the Social Security Act to cover, on a reasonable charge basis, clinical psychologist services which would otherwise be covered if furnished by a physician or as incident to a physician's service.
Bill· SS. 43 (101st)referred
United States · United States Congress · 25 January 1989
Repeals the Medicare Catastrophic Coverage Act of 1988. Establishes the Presidential Commission on the Medicare Program to ascertain the health care needs of Medicare (title XVIII of the Social Security Act) beneficiaries, focusing on the potential of covering long-term care under the Medicare program. Requires the Commission to report to the Congress and the President. Authorizes appropriations.
Bill· SS. 52 (101st)referred
United States · United States Congress · 25 January 1989
Amends the Civilian Health and Medical Program of the Uniformed Services (CHAMPUS) to include otherwise eligible persons who are also entitled to Medicare benefits. Authorizes a benefit to be paid to dependent spouses and children under CHAMPUS for items and services for which payment is made under title XVIII (Medicare) of the Social Security Act. Provides for payment under the CHAMPUS program of health care expenses to the extent that such expenses are not payable under Medicare or any other insurance or health plan. Requires a person claiming a benefit under this Act to certify the costs of all charges.
Bill· SS. 26 (101st)referred
United States · United States Congress · 25 January 1989
Anti-Drug Abuse Supplemental Appropriations Act of 1989 - Makes supplemental appropriations for FY 1989 for purposes specified in titles I through VIII and for drug treatment and rehabilitation services and assistance to law enforcement agencies. Title I: Departments of Justice and State and the Judiciary - Makes appropriations for the Department of Justice for: (1) salaries and expenses for the Federal Bureau of Investigation, the Drug Enforcement Administration, the Immigration and Naturalization Service, the General Legal Activities Account, U.S. Attorneys, the U.S. Marshals Service, and the Federal Prison System (FPS); (2) support of U.S. prisoners; (3) buildings and facilities of the FPS; (4) the National Institute of Corrections; (5) Office of Justice programs; (6) the National Institute of Justice; (7) the Bureau of Justice Statistics; (8) the Office of Juvenile Justice and Delinquency Prevention; (9) the Bureau of Justice Assistance; and (10) the State Justice Institute. Makes appropriations for the Department of State for: (1) expenses for development, procurement, and implementation of a machine-readable travel and identity document border security program; and (2) rewards for information concerning narcotics-related offenses. Makes appropriations for the Judiciary for: (1) salaries and expenses for courts of appeals, district courts, and other judicial services; (2) defender services; (3) fees of jurors and commissioners; and (4) security equipment. Title II: Departments of Labor, Health and Human Services, and Related Agencies - Makes appropriations for: (1) the Department of Labor for substance abuse employee assistance programs in the workplace; (2) the Department of Health and Human Services for certain substance abuse prevention and treatment activities; (3) the Department of Education for school improvement programs and for the National Commission on Drug-Free Schools; and (4) related agency substance abuse prevention and education activities. Title III: Department of Agriculture - Makes appropriations to the Department of Agriculture for: (1) the Food and Nutrition Service for preparing and distributing drug abuse education materials; and (2) the National Forest Service for Federal law enforcement activities relating to the use and production of narcotics and controlled substances on lands administered by the Service. Title IV: Department of Transportation - Makes appropriations to the Department of Transportation for: (1) the Coast Guard for drug interdiction program operating expenses; (2) acquisition, construction, and improvements; (3) the Federal Highway Administration for drunk driving prevention programs; and (4) the National Highway Traffic Safety Administration to establish a regional pilot program for training law enforcement officers to identify individuals operating a motor vehicle while under the influence of alcohol or controlled substances. Title V: Department of the Treasury - Makes appropriations to the Department of the Treasury for: (1) salaries and expenses for the Bureau of Alcohol, Tobacco and Firearms; (2) salaries and expenses for the U.S. Customs Service, including funding for development, procurement, and implementation of a machine-readable travel and identity document border security program; (3) operations and maintenance for the Customs Service's air interdiction program; and (4) the Federal law Enforcement Training Center. Makes appropriations for: (1) the National Commission on Measured Responses to Achieve a Drug-Free America by 1995; and (2) the President's Media Commission on Alcohol and Drug Abuse Prevention. Title VI: Foreign Assistance - Makes appropriations to the Department of State for: (1) multilateral assistance authorized by the International Narcotics Control Act of 1988; and (2) military assistance to the armed forces of Colombia to combat illicit narcotics production and trafficking. Title VII: Departments of Housing and Urban Development and Veterans Affairs - Makes appropriations to the: (1) Department of Housing and Urban Development for the Public Housing Drug Elimination Pilot Program; and (2) Department of Veterans Affairs for drug and alcohol treatment programs. Title VIII: Department of the Interior - Makes appropriations for: (1) Indian alcohol and substance abuse prevention and treatment; (2) Federal law enforcement activities related to the use and production of narcotics and controlled substances on Bureau of Land Management public lands and in National Park System units; and (3) grants to the Governments of American Samoa, Guam, the Northern Mariana Islands, Puerto Rico, the Virgin Islands, and Palau for specified anti-drug abuse purposes under the United States Insular Areas Drug Abuse Act of 1986. Title IX: General Provisions - Precludes any part of any appropriation contained in this Act from remaining available for obligation beyond the current fiscal year unless expressly so provided. Expresses the sense of the Congress that Federal anti-drug abuse program funding levels for FY 1990 should be maintained at the FY 1989 levels provided under specified Acts together with increases authorized by the Anti-Drug Abuse Act of 1988.
Bill· SS. 14 (101st)open
United States · United States Congress · 25 January 1989
AIDS Health Services Act of 1989 - Directs the Secretary of Health and Human Services, through the Administrator of the Health Resources and Services Administration, to make grants to eligible consortia for services to people with acquired immune deficiency syndrome (AIDS) or AIDS-related complex (ARC), including inpatient and nursing home care, primary community health and support services, and secondary community support services. Requires that priority be given to the development and availability of primary community health and support services. Requires at least 20 percent of funds made available to be used for the provision of services for members of minority communities. Authorizes appropriations for FY 1990 through 1992. Directs the Secretary to conduct health and mental health services research focused on the delivery of services to individuals infected with the etiologic agent for AIDS, including studies on: (1) service delivery to members of minority communities; (2) the societal distribution of the costs of infection with the etiologic agent; and (3) the most cost-effective ways of providing services. Authorizes appropriations for FY 1990.
Bill· SS. 10 (101st)referred
United States · United States Congress · 25 January 1989
Amends title XVIII (Medicare) of the Social Security Act to ensure that rural hospitals which have no more than 100 beds and provide at least 70 percent of their inpatient hospital services to Medicare patients receive, for a three-year period, Medicare coverage of at least the reasonable costs of providing such services.
Law· SJRESS.J.Res. 16 (101st)enacted
United States · United States Congress · 25 January 1989
Designates the month of November 1989 as National Alzheimer's Disease Month.
Bill· SJRESS.J.Res. 34 (101st)referred
United States · United States Congress · 25 January 1989
Designates the week of April 16 through April 22, 1989, as National Minority Cancer Awareness Week.
Bill· SJRESS.J.Res. 24 (101st)referred
United States · United States Congress · 25 January 1989
Designates the week of May 1 through May 7, 1989, as National Older Americans Abuse Prevention Week.
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