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Bill· SS. 902 (102nd)referred
United States · United States Congress · 23 April 1991
Infant Mortality and Childrens Health Act of 1991 - Title I: Medicaid Coverage of Pregnant Women and Infants - Amends title XIX (Medicaid) of the Social Security Act to phase in mandatory State coverage of pregnant women and infants whose family income is below 185 percent of the Federal poverty level. Amends title V (Maternal and Child Health Services) of the Act to require States to provide outreach services for Medicaid-eligible pregnant women and infants and assisting them in applying for Medicaid coverage. Title II: Optional Coverage of Home Visitation Services for High-Risk Infants - Amends the Medicaid program to allow States the option to cover home visitation services for high-risk pregnant women and infants. Title III: Medicaid Relationship with Special Supplemental Food Program for Women, Infants, and Children (WIC) - Amends the Medicaid program to allow State Medicaid plans the option to purchase WIC food supplements for Medicaid-eligible pregnant women, infants, and children. Title IV: Optional Coverage of Children up to Age 6 with Income Below 185 Percent of the Poverty Line - Amends the Medicaid program to allow States the option of covering children up to age six with incomes 185 percent below the poverty level.
Bill· SS. 905 (102nd)referred
United States · United States Congress · 23 April 1991
Childhood Immunization Improvement Act of 1991 - Amends title XIX (Medicaid) of the Social Security Act to: (1) change the Federal matching rate payment methodology for immunizations under Medicaid to a 90 percent Federal and a ten percent State cost share; and (2) ensure that State Medicaid programs pay for all federally recommended immunizations. Amends the Public Health Service Act to direct the Secretary of Health and Human Services to ensure that State Medicaid agencies and health care providers are eligible to participate in the Centers for Disease Control bulk vaccine purchasing program.
Bill· SS. 897 (102nd)referred
United States · United States Congress · 23 April 1991
Nursing School Clinics Act of 1991 - Title I: Amendment to the Indian Health Care Improvement Act - Amends the Indian Health Care Improvement Act to authorize grants to schools of nursing to establish clinics to: (1) address the health care needs of Indians; and (2) provide primary health care services to Indians who reside in or near Indian country or in medically underserved rural areas. Allows the grants to be used for clinical training program development, clinical faculty enhancement, and scholarships. Authorizes appropriations. Title II: Amendment to the Public Health Service Act - Amends the Public Health Service Act to authorize the use of a limited amount of funds appropriated to carry out provisions relating to health professional student assistance for grants to schools of nursing to: (1) establish clinics to provide primary care services in medically underserved rural areas or in areas on or near Indian country; and (2) clinical training program development, faculty enhancement, and student scholarships. Title III: Amendments to the Social Security Act - Amends title XVIII (Medicare) of the Social Security Act to include nursing clinic services in the definition of "medical and other health services." Adds nursing clinic services to the scope of covered benefits under Medicare part B (Supplementary Medical Insurance Benefits for the Aged and Disabled) of the Social Security Act. Excludes such services from the application of provisions requiring a deductible. Amends title XIX (Medicaid) of the Social Security Act to require Medicaid coverage of nursing clinic services.
Bill· SS. 880 (102nd)open
United States · United States Congress · 23 April 1991
Amends title XVIII (Medicare) of the Social Security Act to provide for reimbursement of clinical social worker services covered under Medicare for the diagnosis and treatment of mental illness according to a new reimbursement methodology similar to the one currently used for other health care professionals. Provides coverage and reimbursement under the new methodology for supplies furnished incident to such services.
Bill· SS. 904 (102nd)open
United States · United States Congress · 23 April 1991
Children's Vaccine Initiative Act of 1990 - Amends the Public Health Service Act to direct the Secretary of Health and Human Services to undertake a Children's Vaccine Initiative. Requires that the Director of the National Vaccine Program: (1) plan and coordinate the Initiative; and (2) ensure that the Public Health Service conducts vaccine research, production, and delivery activities under the Initiative in collaboration with non-governmental institutions and with other Federal agencies to ensure the full use of U.S. scientific and industrial capacity to prevent disease. Authorizes appropriations.
Bill· SS. 895 (102nd)referred
United States · United States Congress · 23 April 1991
Amends the Internal Revenue Code to allow an individual an income tax deduction for qualified home health care and adult day and respite care expenses with respect to a dependent who: (1) resides with the taxpayer; (2) suffers from Alzheimer's disease or a related organic brain disorder; and (3) is physically or mentally incapable of self-care.
Law· SJRESS.J.Res. 127 (102nd)enacted
United States · United States Congress · 23 April 1991
Designates the month of May 1991 as National Huntington's Disease Awareness Month.
Bill· HRH.R. 2026 (102nd)referred
United States · United States Congress · 23 April 1991
Caregivers Supportive Services Amendments of 1991 - Amends the Older Americans Act of 1965 to authorize supportive services for informal caregivers who assist older individuals in need of long-term care to remain in private residences.
Bill· HRH.R. 2025 (102nd)referred
United States · United States Congress · 23 April 1991
Older Americans Act Eldercare Amendments of 1991 - Amends the Older Americans Act of 1965 to require State and area agencies on aging to support activities and develop resources to provide community-based long-term care services by involving individuals, agencies, organizations, and businesses, and by building coalitions, to mobilize cooperative community efforts.
Bill· HRH.R. 2019 (102nd)referred
United States · United States Congress · 23 April 1991
Preventive Health Services for Older Americans Amendments of 1991 - Amends the Older Americans Act of 1965 to include as preventive health services: (1) educational programs on fall prevention; and (2) medication management screening and education to prevent incorrect medication and adverse drug reactions.
Bill· HRH.R. 2000 (102nd)referred
United States · United States Congress · 23 April 1991
Federal Research Agencies Minority Scholarship and Loan Repayment Act - Amends the Public Health Service Act (PHSA) to establish an undergraduate scholarship program and a health professional educational loan repayment program for underrepresented minorities in professions needed by certain Federal health agencies. Directs the Secretary of Health and Human Services (HHS) to establish such programs for each of the National Institutes of Health, the Alcohol, Drug Abuse, and Mental Health Administration, and the Centers for Disease Control (the specified health agencies). Requires, under the undergraduate scholarship program, that the individual recipients: (1) pursue academic programs appropriate for careers in professions needed by the agency involved; and (2) agree to serve as employees of such agency for 12 months for each academic year of the scholarship. Requires such service to be performed full-time: (1) for at least ten consecutive weeks of each year during attendance at the educational institution involved; and (2) not later than 60 days after obtaining the educational degree involved, begin and serve consecutively the remainder of the obligated period. Authorizes the head of the agency involved to defer such service obligation. Authorizes certain travel and subsistence payments for undergraduate service. Allows appointment of the individual, while receiving a scholarship or performing obligated service, to an agency position without regard to specified Federal civil service law relating to appointment of Federal employees. Sets forth scholarship provisions for approval of academic program, academic standing, limitation of amount, authorized uses, and contracts for direct payments to the institution. Directs agency heads to establish appropriate penalties for individuals who breach scholarship contracts. Sets forth provisions for application requirements and funding availability. Sets forth provisions for general authority regarding participation of minorities in research at the specified health agencies. Authorizes the Secretary of HHS, with respect to such agencies, to conduct or support programs to increase the representation of underrepresented minorities among scientists who conduct biomedical or behavioral research, including programs for recruitment into such fields, training in conducting such research, and increasing their number conducting research at the agency involved. Directs the Secretary to administer such programs acting through the agency heads. Directs the Secretary of HHS, in carrying out such programs to increase minority participation in such research, to establish the aforementioned educational loan repayment program for each of the specified agencies. Requires, under such program, that appropriately qualified health professionals: (1) be members of a minority underrepresented among scientists conducting biomedical or behavioral research; (2) have a substantial amount of educational loans relative to income; and (3) agree to conduct such research as employees of the agency involved in consideration of the Federal Government's paying, for each year of such service, up to $20,000 of the principal and interest of such loans. Directs the agency head to develop appropriate service payback and default penalty provisions. Sets forth funding availability provisions. Directs the Secretary, under PHSA provisions for National Research Service Awards, to provide contracts for the programs of scholarships and loan repayments established by this Act. Limits the aggregate number of such contracts during FY 1992 through 1994 to: (1) 35 for the National Institutes of Health; (2) ten for the Alcohol, Drug Abuse, and Mental Health Administration; and (3) five for the Centers for Disease Control. Authorizes appropriations for FY 1992 for the already-established PHSA program of National Research Service Awards to individuals and grants to institutions, and for the minority scholarship and loan repayment programs established by this Act.
Bill· HRH.R. 2030 (102nd)referred
United States · United States Congress · 23 April 1991
Drug Abuse Treatment Improvement Act of 1991 - Amends the Public Health Service Act to direct the Secretary of Health and Human Services to: (1) evaluate drug abuse treatment programs receiving assistance from the Secretary; (2) develop model treatment programs; and (3) disseminate the information to treatment entities. Prohibits assistance to treatment programs unless they agree to provide relevant information to the Secretary.
Bill· HRH.R. 2027 (102nd)referred
United States · United States Congress · 23 April 1991
Substance Abuse Treatment Corps Act - Amends the Public Health Service Act to establish within the Public Health Service the Substance Abuse Treatment Corps to increase the availability of treatment for alcohol and drug abuse in geographic areas with a significant incidence of abuse and an inadequate availability of services. Allows the Secretary of Health and Human Services to carry out such purpose only through assigning Corps members to provide services for such areas. Allows the Secretary to assign a Corps member to an entity only if the entity, among other requirements, enters into an agreement with the Secretary regarding the allocation, between the Secretary and the entity, of costs relating to the assignment. Directs the Secretary to establish a program of entering into contracts with students in specified fields under which the students agree to serve in the Corps upon obtaining their degree in consideration of the Federal Government agreeing to pay tuition, other expenses, and a stipend. Applies, except as inconsistent, provisions relating to the National Health Service Corps Loan Repayment Program to this program. Directs the Secretary to establish a program of entering into contracts with individuals who have been licensed or certified in certain fields, or who are students in such fields, under which the individuals agree to serve in the Corps in consideration of the Federal Government agreeing to repay up to a specified sum of educational loans of the individuals. Applies, except as inconsistent, provisions relating to the National Health Service Corps Loan Repayment Program to this program. Authorizes appropriations for the scholarship and loan repayment programs established by this Act.
Bill· HRH.R. 2001 (102nd)referred
United States · United States Congress · 23 April 1991
Amends Federal provisions relating to the National Guard to add a new chapter concerning the formation of State defense forces. Defines a "State defense force" as a military force organized by a State to become operational when the State National Guard forces are federalized or otherwise unavailable or inadequate for the defense needs of such State. Provides that, as general policy, State defense forces are in the national interest as a reserve force of the States, for specified reasons. Provides that membership in a State defense force shall be determined by the individual States, but that a member of the U.S. armed forces shall not also be a member of a State defense force. Provides further that membership in a State defense force does not exempt a person from any required duty under the Military Selective Service Act, nor does such membership limit a person from enlistment or appointment in an armed force. Authorizes the Secretary of a military department to issue or loan military equipment, supplies, or uniforms to a State for use in connection with its State defense force. Directs the Secretary of Defense to prescribe policies and procedures to be followed in the issuing and loaning of such equipment. Authorizes the sale (by the Secretary of the military department concerned) and the wearing of military uniforms by members of a State defense force, as long as such uniforms have been approved by such Secretary. Authorizes the Secretary of a military department to provide a member of a State defense force and States with defense forces training and training assistance for such forces. Authorizes such training, in the alternative, to be provided by an executive department and an independent agency of the Federal Government in the interest of national security and when not detrimental to the primary operational requirements of the department or agency concerned. Provides that the Chief of the National Guard Bureau shall serve as the means of communication between a State and the Federal Government on matters involving the State defense forces. Provides that a member of a State defense force is not to be considered a member of the U.S. armed forces for any reason, including eligibility for federally-sponsored health care or disability benefits. Authorizes the Secretary of a military department to conduct such background investigations for potential members of State defense forces as considered necessary and appropriate by such Secretary for the granting of appropriate security clearances for such personnel. Authorizes a State sponsoring a State defense force to conduct necessary and appropriate background investigations as a condition for allowing access to classified information by a member of the defense force.
Bill· HRH.R. 2007 (102nd)referred
United States · United States Congress · 23 April 1991
Amends part B (Supplementary Medical Insurance) of title XVIII (Medicare) of the Social Security Act to eliminate the coinsurance requirement and prohibit balance billing for screening mammography services.
Bill· HRH.R. 1968 (102nd)referred
United States · United States Congress · 22 April 1991
Consolidated Maternal and Child Health Services Act of 1991 - Amends the Public Health Service Act to direct the Secretary of Health and Human Services, for each fiscal year, to make payments to each State for maternal and child health care and related services, including: (1) for women, providing health services related to pregnancy; (2) for infants and children, providing preventive health services; (3) for infants not exceeding one year of age, providing comprehensive health services; (4) training individuals in administering such services for women, infants, and children; (5) conducting evaluations of such services; and (6) conducting surveys or studies required by the Secretary under this Act. Requires a State to determine eligibility, giving preference to individuals from low-income families (as defined by the State). Requires that all the services, except inpatient services, be provided at a single facility in the community. Authorizes States to expend the payments to make grants to public and nonprofit entities and to enter into contracts with public and private entities. Declares that, notwithstanding any other law, if an individual is eligible for any service or item under these provisions, the individual may not receive the service or item under any other Federal program providing services or items with respect to maternal or child health, subject to exception. Repeals titles X (Population Research and Voluntary Family Planning Programs) and XX (Adolescent Family Life Demonstration Projects) of the Public Health Service Act and provisions of the Child Nutrition Act of 1966 relating to a special supplemental food program for women, infants, and children (commonly known as the WIC Program). Requires the head of the agency that administers each program consolidated by this Act to make a determination regarding any amendments which should be made to any Act affecting that program and report to the appropriate committees of the Congress. Prohibits payments to a State unless the State agrees that the payments will not be expended to pay for any abortion, or for any counseling on or referral for obtaining any abortion, except where the life of the mother would be endangered if the fetus were carried to term. Requires that the State agree to provide services without regard to the ability of an individual to pay and make charges, if any, pursuant to a public schedule. Directs the Secretary, for FY 1993, to make a supplemental allotment for each State that has made satisfactory progress toward: (1) providing all State-assisted maternal and child health services and items without regard to whether the services and items are provided with Federal financial assistance; and (2) providing the services and items pursuant to a single, standardized application form through which all desired services and items can be simultaneously requested. Sets forth special provisions applicable to Indian tribes or tribal organizations. Authorizes appropriations. Requires any amounts paid to a State to remain available to the State for one year after the State receives the amounts.
Bill· SS. 869 (102nd)open
United States · United States Congress · 18 April 1991
Veterans Post-Traumatic Stress Disorder Treatment Act of 1991 - Directs that a veteran diagnosed by the Department of Veterans Affairs as suffering from post-traumatic stress disorder (PTSD) be furnished care and services for such disorder by the Department, even if such disorder has not been determined to be service-connected. Makes eligible for such care and services a veteran who served on active duty in a theater of combat operations during World War II, the Korean conflict, the Vietnam era, the Persian Gulf War, or in any other area during a period in which hostilities occurred in such area. Requires a veteran who is referred by a Vet Center to a Department general health-care facility for a determination regarding such veteran's eligibility for PTSD care and services to be evaluated for diagnostic purposes within seven days of such referral. Requires the Secretary of Veterans Affairs, upon request of any eligible veteran, to furnish counseling to assist the veteran in overcoming any psychological problems associated with such service. Directs the Secretary, no later than December 1, 1991, to devise and initiate a plan to: (1) increase the availability of treatment of veterans suffering from PTSD to levels commensurate with their needs; and (2) enhance outreach activities to inform combat veterans (and their families) of the availability of such treatment and to encourage such veterans to participate in such treatment. Directs the Secretary to report to the Senate and House Veterans' Affairs Committees on the description and implementation of such plan. Directs the Secretary, in preparing such report, to consult with the Special Committee on Post-Traumatic Stress Disorder and the Advisory Committee on Readjustment of Vietnam Veterans.
Bill· SS. 878 (102nd)referred
United States · United States Congress · 18 April 1991
World Summit for Children Implementation Act of 1991 - Provides for assistance in implementing the plan of action adopted by the World Summit for Children. Expresses the sense of the Congress that: (1) the U.S. Government should commit to increasing participation in the special supplemental food program for women, infants, and children under the Child Nutrition Act (the WIC program) by 20 percent per year in FY 1992 through 1996, to reach full participation by the end of FY 1996; and (2) specified amounts should be appropriated for the WIC program in FY 1992 and 1993 to reach such full participation goal. Expresses the sense of the Congress that: (1) the commitment to provide full funding for the Head Start Program, contained in the Human Services Reauthorization Act of 1990, should be implemented in order that the goal of full participation of all eligible three- to five- year-old children can be reached by FY 1994; and (2) specified amounts should be authorized for such funding in FY 1992 through 1994. Amends the Public Health Service Act to direct the Secretary of Health and Human Services to undertake a Children's Vaccine Initiative. Requires that the Director of the National Vaccine Program: (1) plan and coordinate the Initiative; and (2) ensure that the Public Health Service conducts vaccine research, production, and delivery activities under the Initiative in collaboration with non-governmental institutions and with other Federal agencies to ensure the full use of U.S. scientific and industrial capacity to prevent infectious disease. Authorizes appropriations for FY 1992 and 1993. Authorizes appropriations for FY 1992 and 1993 for contributions to the United Nations Children's Fund for activities to promote child health and other assistance programs for children (to carry out specified provisions of the Foreign Assistance Act of 1961). Amends the Foreign Assistance Act of 1961 (the Act) to authorize appropriations for FY 1992 and 1993 for special health needs of children and mothers under the Child Survival Fund. Requires that specified amounts of funds under various provisions for FY 1992 and 1993 be reserved only for such specified child survival activities. Expresses the sense of the Congress that authorization, in such amounts as may be required, should be granted to the President to exercise the (Public Law 480) debt authority with respect to least developed countries that are pursuing reforms to promote long-term economic development (as provided in specified provisions of the Agricultural Trade Development and Assistance Act of 1954, as amended by the Food, Agriculture, Conservation, and Trade Act of 1990). Amends the Act to establish a Vitamin A Deficiency Program. Reserves for such Program specified amounts in FY 1992 and 1993 from funds for development assistance for agriculture, rural development, and nutrition. Requires that specified amounts from certain funds authorized for health-related activities under the Act in FY 1992 and 1993 be reserved for replicable community-based comprehensive reproductive health service programs that broaden other health programs by including strategies that specifically address women's reproductive health needs. Sets forth examples of such strategies, as well as congressional intent that such programs be planned and designed in consultation and participation with those whose needs they serve, and congressional encouragement for using international private voluntary organizations in building such programs. Amends the Act to direct the President, in carrying out provisions for development assistance for health-related activities to promote, encourage, and undertake activities relating to research on, and treatment and control of, acquired immune deficiency syndrome (AIDS) in developing countries. Authorizes appropriations for FY 1992 and 1993, for such purpose, to the International AIDS Prevention and Control Fund. Provides that such amounts shall be in addition to other amounts available for such purpose. Amends the Act to reserve specified amounts in FY 1992 and 1993, from funds for development assistance for education and under the provisions of the Act, for international basic education, including early childhood education, primary education, teacher training, other support activities, and adult literacy training. Expresses the sense of the Congress that at least specified minimum amounts should be appropriated for the Migration and Refugee Assistance account, and that at least specified minimum portions of such funds should be reserved for programs of refugee assistance overseas (in addition to amounts available for programs for Soviet, Eastern European, and other refugees resettling in Israel). Amends the Act to replace provisions for certain disadvantaged children in Asia with provisions for assistance to children in exceptionally difficult circumstances. Includes among such children street children, AIDS orphans, other orphaned and abandoned children, and children displaced by armed conflict, poverty, famine, or other disasters. Reserves specified minimum portions of certain funds under the Act in FY 1992 and 1993 for assistance for such children. Requires that such assistance be made available in accordance with policies and general authorities under certain disaster assistance provisions. Directs the President to report annually to the Congress on U.S. contributions to the achievement of the goals of the World Summit for Children, including U.S. efforts to achieve such goals in the United States and in other countries, with an analysis of past, current, and planned funding levels.
Bill· SS. 874 (102nd)referred
United States · United States Congress · 18 April 1991
Amends the Public Health Service Act to mandate grants to establish at least six projects in which addicted mothers in residential drug abuse treatment facilities are allowed to have their children reside with them during treatment. Authorizes appropriations.
Bill· SS. 856 (102nd)referred
United States · United States Congress · 18 April 1991
Fairness in Medicaid Funding Act of 1991 - Amends title XIX (Medicaid) of the Social Security Act to change the Federal medical assistance percentage used under the Medicaid program. Bases payments to the States for administration costs on the Federal medical assistance percentage.
Resolution· SCONRESS.Con.Res. 29 (102nd)open
United States · United States Congress · 18 April 1991
Establishes the congressional budget for FY 1992, and sets forth appropriate budgetary levels for FY 1993 through 1996. Sets forth recommended budgetary levels of Federal revenues, new budget authority, budget outlays, deficits, public debt, and credit activity. Sets forth the amounts of increase in the public debt subject to limitation, the balances of the Federal retirement trust funds, and revenues and outlays of the Social Security trust funds for FY 1992 through 1996. Specifies the funding of major functional categories. Expresses the sense of the Congress that: (1) the Government should sell assets to nongovernment buyers; and (2) amounts realized from such sales will not recur on an annual basis and do not reduce the demand for credit. Expresses the sense of the Congress that: (1) the Congress should not enact major spending or revenue changes to the Social Security system without a debate of the budgetary consequences of such changes in the context of the concurrent resolution on the budget; and (2) the Congress should not enact major reductions in Social Security revenues unless the current actuarial estimates of the Social Security trust funds over the next 75 years indicate the trust funds are actuarially sound. Allows increases in funding for certain purposes when legislation has been reported that will, if enacted, reduce other funding by an equal or excess amount. Describes such purposes as funding: (1) to improve the health and nutrition of children and to provide for services to protect children and strengthen families; (2) for economic recovery initiatives for unemployment compensation and related programs; (3) to make continuing improvements in ongoing health care programs or to begin phasing-in health insurance coverage for all Americans; (4) to expand access to early childhood development services for low-income pre-schoolers; and (5) surface transportation. Expresses the sense of the Congress that if a surtax on the income of millionaires is enacted, then the revenue generated by such surtax will be used to offset a commensurate increase in direct tax assistance to families, which will include increasing dependent exemptions and tax credits for children. Expresses the sense of the Congress that, within discretionary allocations in this budget, the Committees on Appropriations should: (1) consider proposals to terminate substandard and inefficient projects and programs in 1992; (2) reduce the Federal investment in outdated projects and programs; and (3) reallocate those resources to higher-priority discretionary programs and projects. Expresses the sense of the Congress that legislation should be enacted to provide a wiser, more fair and more equitable distribution of Federal benefits. Declares that subsidies to the wealthiest segments of our society should be either redirected to provide more assistance to the poor and underprivileged, or applied to further deficit reduction. Expresses the sense of the Congress that: (1) veterans' programs are a top national priority, particularly in the area of medical care, and that congressional Appropriations committees should give such programs maximum consideration; and (2) the limits on the estate size of incompetent veterans without dependents under the Consolidated Omnibus Budget Reconciliation Act of 1990 may be inconsistent with the Americans with Disabilities Act of 1990 (Pub. L. 101-336) and therefore discriminatory. (Declares that the committees of jurisdiction would consider modifying such provisions on a deficit-neutral basis.)
Bill· HJRESH.J.Res. 228 (102nd)open
United States · United States Congress · 18 April 1991
Designates October 1991 as National Down Syndrome Awareness Month.
Bill· HJRESH.J.Res. 229 (102nd)referred
United States · United States Congress · 18 April 1991
Designates July 15, 1991, as National Minority Organ Donor Encouragement Day.
Bill· SS. 846 (102nd)open
United States · United States Congress · 17 April 1991
Long-Term Care Insurance Consumer Protection Act of 1991 - Amends title XIX (Medicaid) of the Social Security Act to afford Federal consumer protection to purchasers of long-term care insurance policies by requiring that before such policies may be issued or sold they must have been either certified by the Secretary of Health and Human Services as meeting the minimum Federal standards and requirements outlined below or approved by the State commissioner or superintendent of insurance under a regulatory program each State may establish that: (1) incorporates such standards and requirements; (2) provides consumers with access to basic information on issuers and policies; and (3) provides for an approval process for proposed premium increases. Outlines Federal standards for long-term care insurance policies, including requirements that such policies: (1) offer optional inflation protection features, nonforfeitable benefits after a certain vesting period should the policy lapse, and limited premium increases; (2) be guaranteed renewable except for nonpayment of premiums or material misrepresentation; (3) use standard language and uniform format with certain variations in language permitted; (4) disclose a detailed outline of coverage; (5) allow purchasers 30 days to rescind their purchase of the policy and to have the premium refunded; (6) not condition or limit eligibility for benefits, including non-institutional benefits, except in cases of preexisting conditions; (7) use functional assessment tools for determining home care eligibility; (8) provide a right to appeal denials for home care eligibility; (9) provide a six-month period of contestability after issuance of the policy; (10) prohibit discrimination in cases of individuals with Alzheimer's disease; and (11) provide benefits over a period of at least 12 consecutive months. Regulates the marketing of long-term care insurance policies by establishing prohibitions on certain sales practices, such as high pressure tactics, and on sales to Medicaid beneficiaries and sales of duplicate service benefit policies. Imposes additional requirements on issuers of long-term care insurance policies with respect to: (1) the prompt mailing of new policies after approval; (2) the furnishing of information to policyholders regarding denied claims and to the Secretary and appropriate State officials regarding policies, premiums, denied claims, lapse, replacement, and rescission rates; and (3) the obtaining of medical assessments for elderly applicants if the policy is not guaranteed to be issued. Sets forth civil penalties for issuing unapproved or uncertified policies and for violating prohibited sales practices and the requirements imposed on issuers of long-term care insurance policies. Requires reports on functional ability assessment tools and on solvency protections for such issuers. Requires a study to develop a standard measure of value for long-term care insurance policies. Amends the Omnibus Budget Reconciliation Act of 1990 to increase funding for long-term care insurance information, counseling, and assistance.
Bill· SS. 833 (102nd)referred
United States · United States Congress · 17 April 1991
Amends title XIX (Medicaid) of the Social Security Act to allow State Medicaid matching payments to include private funds donated by hospitals to the State.
Bill· SJRESS.J.Res. 124 (102nd)open
United States · United States Congress · 17 April 1991
Designates the week beginning February 16, 1992, as National Visiting Nurse Associations Week.
Bill· HRH.R. 1916 (102nd)open
United States · United States Congress · 17 April 1991
Long-Term Care Insurance Consumer Protection Act of 1991 - Amends title XIX (Medicaid) of the Social Security Act to afford Federal consumer protection to purchasers of long-term care insurance policies by requiring that, before such policies may be issued or sold, they must have been either certified by the Secretary of Health and Human Services as meeting the minimum Federal standards and requirements outlined below or approved by the State commissioner or superintendent of insurance under a regulatory program each State is required to establish that: (1) incorporates such standards and requirements; (2) provides consumers with access to basic information on issuers and policies; and (3) provides for an approval process for proposed premium increases. Outlines Federal standards long-term care insurance policies must meet, including those which mandate that such policies: (1) offer mandatory inflation protection features, nonforfeitable benefits after a certain vesting period should the policy lapse, and limited premium increases; (2) be guaranteed renewable except for nonpayment of premiums or material misrepresentation; (3) use standard language and a uniform format, with certain variations in language permitted; (4) disclose a detailed outline of coverage; (5) allow purchasers 30 days to rescind their purchase of the policy and to have the premium refunded; (6) not condition or limit eligibility for benefits, including non-institutional benefits, except in cases of preexisting conditions; (7) use functional assessment tools for determining home care eligibility; (8) provide a right to appeal denials for home care eligibility; (9) provide a six-month period of contestability after issuance of the policy; (10) prohibit discrimination in cases of individuals with Alzheimer's disease; and (11) provide benefits over a period of at least 12 consecutive months. Regulates the marketing of long-term care insurance policies by establishing prohibitions on certain sales practices, such as high pressure tactics, and on sales to Medicaid beneficiaries and sales of duplicate service benefit policies. Imposes additional requirements on issuers of long-term care insurance policies with respect to: (1) the prompt mailing of new policies after approval; (2) the furnishing of information to policyholders regarding denied claims and to the Secretary and appropriate State officials regarding policies, premiums, lapse, replacement, and rescission rates and denied claims; (3) the obtaining of medical assessments for elderly applicants if the policy is not guaranteed to issue; and (4) the limiting of compensation to agents for the sale of long-term care insurance policies. Sets forth penalties for issuing unapproved or uncertified policies and for violating prohibited sales practices and the requirements imposed on issuers of long-term care insurance policies. Requires reports on functional ability assessment tools and on solvency protections for such issuers. Requires a study to develop a standard measure of value for long-term care insurance policies. Authorizes appropriations to increase funding for long-term care insurance information, counseling, and assistance.
Bill· HRH.R. 1897 (102nd)referred
United States · United States Congress · 17 April 1991
Limits the total numbers of civilian employees in each branch of the Government on September 30th of 1994 and each year thereafter, to the number in such branch on September 30, 1990. Suspends such limitation during a war or a national emergency. Prohibits attaining compliance with such mandate through any involuntary separations. Exempts from such mandate employees within the executive branch who are law enforcement officers or who are involved in the delivery of health care services and employees of the Central Intelligence Agency, the Defense Intelligence Agency, or the National Security Agency.
Bill· HRH.R. 1898 (102nd)referred
United States · United States Congress · 17 April 1991
Amends part B (Supplementary Medical Insurance) of title XVIII (Medicare) of the Social Security Act to repeal provisions enacted under the Omnibus Budget Reconciliation Act of 1990 which reduced Medicare reimbursement for new physicians and other new health care practitioners.
Law· SJRESS.J.Res. 121 (102nd)enacted
United States · United States Congress · 16 April 1991
Designates September 12, 1991, as National DARE (Drug Abuse Resistance Education) Day.
Resolution· SCONRESS.Con.Res. 28 (102nd)open
United States · United States Congress · 16 April 1991
Establishes the congressional budget for FY 1992, and sets forth appropriate budgetary levels for FY 1993 through 1996. Sets forth recommended budgetary levels of Federal revenues, new budget authority, budget outlays, deficits, public debt, and credit activity. Sets forth the amounts of increase in the public debt subject to limitation, the balances of the Federal retirement trust funds, and revenues and outlays of the Social Security trust funds for FY 1992 through 1996. Specifies the funding of major functional categories. Expresses the sense of the Congress that: (1) the Government should sell assets to nongovernment buyers; and (2) amounts realized from such sales will not recur on an annual basis and do not reduce the demand for credit. Expresses the sense of the Congress that the Congress should not enact major spending or revenue changes to the Social Security system without a debate of the budgetary consequences of such changes in the context of the concurrent resolution on the budget. Allows increases in funding for certain purposes when legislation has been reported that will, if enacted, reduce other funding by an equal or excess amount. Describes such purposes as funding: (1) to improve the health and nutrition of children and to provide for services to protect children and strengthen families; (2) for economic recovery initiatives for unemployment compensation and related programs; (3) to make continuing improvements in ongoing health care programs or to begin phasing-in health insurance coverage for all Americans; and (4) to expand access to early childhood development services for low-income pre-schoolers.
Bill· HRH.R. 1834 (102nd)open
United States · United States Congress · 16 April 1991
Waste Isolation Pilot Plant Land Withdrawal Act - Withdraws from all forms of entry, appropriation, and disposal under the general land laws and from location and patent under the mining laws the public lands in Eddy County, New Mexico, which surround WIPP and transfers jurisdiction and control of the withdrawn lands to DOE. Describes the lands to be withdrawn. Revokes specified public land orders made inconsistent by this Act. Makes the Secretary of Energy responsible for the management of WIPP and the withdrawn lands. Requires the Secretary to develop a management plan for the use of the withdrawn lands until WIPP has been decommissioned, requiring any use for activities not associated with WIPP to be subject to conditions and restrictions that may be necessary to permit the conduct of WIPP activities. Requires the management plan to permit domestic livestock grazing, hunting and trapping, maintenance of wildlife habitat, the disposal of salt tailings remaining on the surface, and mining, subject to prescribed guidelines. Authorizes the Secretary to close to the public any part of such withdrawn lands if required for public health and safety. Directs the Secretary to submit the management plan to appropriate congressional committees and the State of New Mexico. Directs the Secretary, in consultation with specified officials and agencies, to develop and update a performance assessment plan that includes experiments needed to assess compliance with Environmental Protection Agency (EPA) standards for disposal of transuranic waste and other experiments which the Secretary considers necessary. Authorizes the Secretary to place transuranic waste in WIPP during the performance assessment phase and to begin permanent disposal of transuranic waste after such phase is completed if he determines, after an EPA review, that WIPP complies with relevant environmental standards and has submitted to the Congress plans for decommissioning WIPP and managing such withdrawn lands afterwards. Directs the EPA Administrator to issue final standards for disposal of transuranic wastes within two years after the enactment of this Act. Requires the Secretary to demonstrate compliance with such standards notwithstanding any court order requiring repromulgation or reissuance of the standards or any injunction relating to health and safety aspects of the standards directly applicable to WIPP. Requires the Secretary to demonstrate compliance with disposal standards in effect on November 18, 1985, if the EPA Administrator fails to issue standards for disposal of transuranic wastes. Subjects WIPP to EPA management and storage standards applicable to transuranic waste. Bans high-level radioactive waste from being placed in WIPP by DOE. Requires the Secretary to continue to encourage WIPP related business and employment opportunities within the State of New Mexico. Provides for payments to the State of New Mexico to assist in the mitigation of the impacts on the State and on local governments resulting from WIPP. Authorizes appropriations. Directs the Secretary to submit to the State of New Mexico, the Secretary of the Interior, the EPA Administrator, and appropriate congressional committees within five years after enactment of this Act a plan for decommissioning WIPP. Directs the Secretary to develop within such period a plan for the management and use of the withdrawn lands following the WIPP decommission.
Bill· HRH.R. 1774 (102nd)open
United States · United States Congress · 16 April 1991
Federal Employees Health Benefits Reform Act of 1991 - Revises the Federal Employees Health Benefits Program (the Program) to: (1) establish the Federal Employees Health Benefits Board (the Board); (2) replace current service and indemnity health benefit plans with a new Government-wide health insurance plan that offers both a standard and a high option for either self or family coverage; (3) require group- and individual-practice prepayment plans and mixed model prepayment plans to offer the same types of benefits offered under the standard option; (4) allow employee organization sponsored health plans to offer supplementary benefits; (5) establish flexible spending plans to allow employees to set aside a portion of their salary on a pretax basis to pay out-of-pocket health care expenses; and (6) allow annuitants whose annuities are insufficient to cover the full amount of required withholdings to elect to be covered under health benefits plans if they pay an amount equal to such withholdings to the Employees Health Benefits Fund (the Fund) through the retirement system that administers their health benefits enrollment. Directs the Board to: (1) prescribe regulations governing the provision of health insurance benefits to Federal employees, their families, and retirees under the Government-wide plan in consultation with the Office of Personnel Management (OPM); and (2) establish procedures for reviewing the utilization of health care services under such plan and controlling service costs. Declares that the service providers shall not be eligible for payments under the plan unless they comply with such procedures. Specifies the benefits required to be provided under each option of the plan and the extent to which they are covered. Requires such individuals to meet specified annual deductions under each option of the plan before any benefits will be paid, except in the case of a family enrollment when the deduction will be waived once it is met by any two family members. Establishes maximum out-of-pocket expense limitations for self and family coverage under each option. Requires the plan to pay all covered expenses after out-of-pocket expenses have exceeded their appropriate maximum limitation. Revises provisions for computing Government contributions. Establishes different requirements for each respective basic health benefits plan. Provides for the following with respect to the Government-wide plan: (1) establishment of specified biweekly employee contributions for the first administrative year to be increased for later years by the lesser of the increase in the medical care component of the consumer price index or the increase in the average enrollment charges; (2) procedures for determining average annual enrollment charges (the costs for providing benefits and administering the plan and any amounts necessary to maintain an adequate contingency reserve) in consultation with the Board for the first administrative year and for adjusting such charges for later years; (3) allocation of such costs to each option in a manner which is reasonable and equitable; (4) publication of new enrollment charges in the Federal Register and the Code of Federal Regulations; and (5) continued individual and family coverage for employees who are placed in a leave without pay status. Revises provisions regarding contracting authority to establish separate authority for awarding competitive three-year contracts to nongovernmental organizations to administer the Government-wide plan on a regional basis in areas established by OPM. Requires plan administrators to review the utilization of health care services and implement the cost-control procedures established by the Board. Permits certain employee organizations which currently self-insure to serve as the plan administrators for employees within their bargaining unit. Repeals provisions regarding payment or reimbursement for services by: (1) psychologists or optometrists; and (2) any person licensed under State law in a State where a specified percentage of the population is located in primary medical care manpower shortage areas. Revises provisions concerning election of coverage to: (1) provide automatic coverage under the Government-wide plan's standard option for self alone to an employee becoming eligible for Federal health insurance coverage unless the employee elects alternative coverage or to be excluded from coverage; (2) revise criteria for continuation of coverage for annuitants; and (3) extend coverage to unmarried dependent natural or adopted children of the former spouse and the employee who are students over age 22 but under age 23. Allows temporary employees to enroll in the Government-wide plan provided they pay both employee and Government contributions. Provides that if an individual eligible to enroll in a basic health benefits plan has a spouse who is also eligible, either may enroll for self and family or each may enroll as an individual, but no individual may be covered both as an enrollee and as a family member. Sets forth rules to apply in administering provisions regarding: (1) election of coverage: (2) continued coverage; (3) coverage of restored employees and survivor or disability annuitants; (4) double coverage; and (5) changes in family status. Requires any amounts forfeited under flexible spending plans to be transferred to a separate account which shall be within the Fund. Allows such amounts to be used for wellness programs for Federal employees. Revises provisions regarding contribution set-asides in the Fund to establish new set-aside requirements for contributions to the basic health benefits plans. Directs OPM to: (1) prescribe regulations to provide eligible individuals with an opportunity to elect coverage under the health benefits plans, to terminate their enrollment, to transfer to another such plan, or to make any other allowable changes in the terms or conditions of their enrollment; (2) on an annual basis compile statistics and submit to the Board a report on the use of the different benefits of the basic and supplemental plans and their costs to the Government as part of a continuing study of the operation and administration of the Program; (3) prescribe Program regulations providing for the establishment of wellness programs for Federal employees; and (4) prescribe regulations to ensure that, for any annuitant eligible to receive Medicare (title XVIII of the Social Security Act) and Federal health insurance benefits, deductibles and coinsurance or copayment amounts under the Program shall be waived to the same extent as before the enactment of this Act and that when an individual is eligible for Federal health insurance benefits which would be duplicative of Medicare benefits, the primary payer shall be the same as it would have been before the enactment of this Act.
Bill· HRH.R. 1802 (102nd)referred
United States · United States Congress · 16 April 1991
Amends title XIX (Medicaid) of the Social Security Act to establish a part B (Health Services Access) under such title to fund grants to federally-qualified health centers (FQHCs) and other entities and organizations for the expansion and development of primary health care service programs for medically underserved populations. Sets forth the eligibility criteria for such grants and the requirements grant applications must meet. Outlines limitations on the use of grant funds. Establishes different priorities for the awarding of grants, with the highest priority for those FQHCs and other entities proposing to expand operations to serve medically unserved populations with the highest degree of unmet need in the most efficient manner. Requires entities and organizations receiving program funds to return excess revenues to the Secretary. Requires the Secretary to terminate grants to entities which fail to meet certain requirements. Directs the Secretary to study and report to the Congress on the relationship between community health centers and hospitals in providing such services.
Bill· HRH.R. 1819 (102nd)referred
United States · United States Congress · 16 April 1991
NIH Grants Research Integrity Amendments of 1991 - Amends the Public Health Service Act to direct the Secretary of Health and Human Services, with regard to any entity receiving assistance for research to evaluate the safety or effectiveness of a drug, medical device, treatment, or other product or substance, to establish criteria for preventing or responding to any financial interests which will or may create a conflict of interest. Requires the criteria to be uniformly applicable to each entity. Allows individual variation in implementation. Prohibits allowing each entity to develop individual criteria. Allows the Secretary, where such a conflict of interest exists, to take certain actions, including disapproving an application, terminating assistance, and recovering assistance obligated while the conflict exists. Directs the Secretary to require the entity to disclose the conflict in each public presentation of the research results. Prohibits the Secretary, in fiscal years after regulations establishing the criteria are issued, from making a grant, cooperative agreement, or contract for biomedical or behavioral research unless the entity seeking assistance agrees to be subject to the regulations. Requires biomedical or behavioral research entities receiving financial assistance from the Secretary to make available to other researchers all data and other materials relevant to the results of the project that have been created or gathered in the course of the project, subject to exceptions for confidentiality and practicality, for five years after publication or eight years after the period of financial assistance ends, or longer if the materials continue to be in the possession of the entity. Limits charges for providing the materials to the costs incurred. Allows the Secretary to recover any or all of the assistance provided to an entity that fails to comply with these requirements. Directs the Secretary to establish recommendations regarding the timely dissemination of the results of biomedical or behavioral research that have any clinical application to a disease or disorder that poses a significant threat to the public health.
Bill· HRH.R. 1777 (102nd)referred
United States · United States Congress · 16 April 1991
Medicare Universal Coverage Expansion Act of 1991 - Amends titles II (Old Age, Survivors and Disability Insurance) (OASDI) and XVIII (Medicare) of the Social Security Act to provide Medicare coverage for all American citizens regardless of their age. Amends the Medicare program to: (1) make the program the primary payor for health care items and services; (2) expand coverage of preventive health care services to include preventive services related to pregnancy and, if otherwise allowed as a preventive service, routine physical checkups; and (3) establish a new financing mechanism for Medicare part B (Supplementary Medical Insurance) based entirely on Government contributions. Amends the Internal Revenue Code to: (1) remove the limitation on the amount of wages that are subject to the hospital insurance tax; and (2) increase the applicable rates of the hospital insurance tax in order to provide sufficient funding for the new Medicare program. Provides for the transfer from the OASDI Trust Fund to the Federal Hospital Insurance Trust Fund (Medicare part A trust fund) of any surplus amounts. Amends the Medicare program to provide for the transfer from the Medicare part A trust fund to the Federal Supplementary Medical Insurance Fund of any amounts needed for the new Medicare program.
Law· HJRESH.J.Res. 219 (102nd)enacted
United States · United States Congress · 16 April 1991
Designates the week of June 9, 1991, as National Scleroderma Awareness Week.
Bill· SS. 802 (102nd)referred
United States · United States Congress · 11 April 1991
International Medical Graduates Anti-Discrimination Act - Amends the Public Health Service Act to establish the National Repository for Physician's Records. Requires the Repository, on request of an applicant for physician licensure in a State to: (1) maintain and verify documents on the applicant's educational background and credentials; and (2) provide such information to medical licensing boards and related entities. Establishes the Advisory Council on Medical Licensure to monitor the Repository for its first three years. Authorizes appropriations. Prohibits: (1) discrimination against an international medical graduate (defined as a graduate from a medical school outside the United States or Canada), on the basis of the international medical degree of the graduate, in facets of medical practice such as licensing, hiring, or granting clinical or hospital privileges or peer-review process; and (2) requiring an international graduate to provide additional information or meet additional requirements that would not be required from a graduate of a school in a State or Canada. Provides for grants to the Federation of State Medical Boards for developing and administering a single national medical licensing examination or set of examinations. Authorizes appropriations. Makes it unlawful for a graduate medical residency training program to deny a residency to an international medical graduate if such a residency cannot be filled by a graduate of a U.S. or Canadian medical school. Authorizes relief in the form of damages and specific performance. Requires such a program, to the extent practicable, to ensure that all residencies offered, and for which funds are available, are filled in accordance with these provisions. Mandates a report to the Congress comparing the treatment of graduates from U.S. and Canadian medical schools with international medical graduates.
Bill· SS. 815 (102nd)referred
United States · United States Congress · 11 April 1991
Community and Migrant Health Centers Self-Insurance Act of 1991 - Amends the Public Health Service Act to establish in the Public Health Service the Office of Medical Insurance (Office) to administer the Self-Insurance Fund established by this Act. Establishes in the Treasury a trust fund known as the Office of Medical Insurance Self-Insurance Fund (Fund). Provides for transfer to the Self-Insurance Fund of specified amounts appropriated under provisions relating to migrant and community health centers and grants for health services for the homeless. Provides for operation of the Fund. Authorizes the Secretary of Health and Human Services, through the Office, to obligate sums in the Fund to provide coverage for successful: (1) medical malpractice claims against recipients of funds under such provisions or their health care providers; and (2) claims against Directors or officers of such recipients arising out of acts, errors, or omissions under procedures as provided in this Act. Directs the Secretary to set aside specified amounts from the Fund as a contingency fund to be used only if the Secretary determines that a claim on the fund is catastrophic. Sets forth requirements for coverage by the Fund of a migrant or community health center or a homeless health services program, including requiring centers and programs to make contributions to the Fund in amounts set by the Office. Allows a center or program to retain and use amounts saved as a result of participating in the Fund. Makes it unlawful for any hospital to deny admitting privileges to any health care personnel employed by a center or program, subject to certain requirements. Requires the Office to contract for three actuarial analyses of the Fund, one each by the Health Care Financing Administration, the Congressional Budget Office, and an independent evaluator selected by the Office by competitive bid. Requires the Office to develop a data collection method to insure that accurate and reliable data is collected and made available concerning the Fund.
Bill· SJRESS.J.Res. 114 (102nd)referred
United States · United States Congress · 11 April 1991
Designates May 1991 as Neurofibromatosis Awareness Month.
Bill· SJRESS.J.Res. 115 (102nd)referred
United States · United States Congress · 11 April 1991
Designates June 10 through 16, 1991, as Pediatric AIDS Awareness Week.
Law· HRH.R. 1720 (102nd)enacted
United States · United States Congress · 11 April 1991
District of Columbia Mental Health Program Assistance Act of 1991 - Amends the Saint Elizabeths Hospital and District of Columbia Mental Health Services Act to authorize the Secretary of Health and Human Services to provide funds to the Mayor of the District of Columbia for the completion of repairs and renovations to Saint Elizabeths Hospital and for other capital improvements necessary for the safe and cost effective delivery of mental health services. Earmarks specified funds for capital improvements to: (1) facilities not located at Saint Elizabeths Hospital; and (2) housing facilities for seriously and chronically mentally ill individuals. Extends from October 1, 1991, to October 1, 1993, the deadline for District of Columbia assumption of mental health functions, resources, and programs for its residences. Requires the Mayor to submit a master plan to specified congressional committees by October 1, 1992 (currently, October 1, 1991), for the use of that portion of Saint Elizabeths Hospital not yet transferred to the District of Columbia. Directs the Congress to approve such plan within two years, rather than one year, after it is submitted to the committees.
Bill· HRH.R. 1739 (102nd)referred
United States · United States Congress · 11 April 1991
Older Americans Health Promotion and Disease Prevention Act - Amends the Older Americans Act of 1965 to expand the preventive health services program to include disease prevention and health promotion services and information provided at congregate meal sites and through home-delivered meals programs, as well as senior centers. Authorizes appropriations for FY 1992 through 1995 for the preventive health services program.
Bill· HRH.R. 1750 (102nd)referred
United States · United States Congress · 11 April 1991
Lead Exposure Reduction Act of 1991 - Amends the Toxic Substances Control Act to prohibit the importing, manufacturing, processing, or distribution in commerce of certain products containing more than a specified percentage of lead. Authorizes the Administrator of the Environmental Protection Agency (EPA) to modify the allowable lead percentage for such products under certain conditions. Permits the Administrator to extend dates for compliance with such requirements for one year and to establish a performance standard for lead leaching from plumbing fittings and fixtures in lieu of the applicable restriction if such standard is at least as protective of human health and the environment as such restriction. Requires the Administrator to waive such requirements with respect to certain toys and recreational game pieces that are collectible items and scale models intended for adult acquisition. Directs the Administrator to publish regulations banning the sale of lead solder to plumbers and plumbing supply wholesalers and retailers. Prohibits the sale or promotion of: (1) any packaging which may be used for food for human consumption (or any food in such packaging) that includes any additive to which lead has been intentionally introduced, beginning 24 months after this Act's enactment; and (2) any packaging or product in packaging that includes such an additive, beginning 48 months after this Act's enactment. Sets allowable concentration levels for the incidental presence of lead in such packaging. Prohibits the sale or promotion of packaging exceeding such levels. Authorizes the Administrator to exempt from such requirements: (1) packaging manufactured prior to this Act's enactment date; and (2) packaging to which lead has been added to comply with Federal, State, or local health or safety requirements. Requires certificates of compliance with lead requirements to be retained by packaging manufacturers or distributors and made available to purchasers. Prohibits the manufacture, import, or distribution in commerce of food cans containing more than .2 percent lead by dry weight. Prohibits the importing, manufacturing, processing, or distributing in commerce of foils for wine bottles containing more than .1 percent lead by dry weight. Authorizes the Secretary of Health and Human Services to delay the application of such requirements under certain conditions. Prohibits the sale of leaded gasoline at a price lower than that of unleaded gasoline sold at the same establishment. Prohibits, within six months of this Act's enactment, the sale of leaded gasoline for use in motor vehicles (other than farm vehicles) in a metropolitan statistical area or consolidated metropolitan statistical area with a 1980 population of 250,000 persons or more. Requires, effective January 1, 1996, manufacturers or importers of fuels containing lead or lead additives to submit quarterly reports to the Administrator on the lead content and volume of such fuels. Exempts from lead content requirements: (1) paint used by artists; (2) products used for medical purposes; (3) products used in connection with national security; (4) products used in the nuclear industry; and (5) products used in the mining industry to determine the presence of noble metals in geological materials. Directs persons manufacturing, processing, or importing any product containing more than .1 percent lead by dry weight to submit specified information to the Administrator. Exempts owners or operators of recycling facilities and manufacturers, processors, or importers of lead-acid batteries from such requirement. Requires the Administrator to update, and publish a compilation of, such information. Directs the Administrator to report to the Congress on such information and on recommendations for minimizing the release of lead into the environment and preventing human exposure to lead. Permits persons submitting inventory information to claim such information as confidential. Sets forth provisions concerning confidentiality applications. Requires the Administrator to promulgate regulations that provide for the labeling of products (other than lead-acid batteries) that pose a risk of human exposure to lead. Requires the labeling of toys and recreational game pieces that are collectible items and scale models to disclose that such items contain lead and are not suitable for children. Prohibits: (1) the placement into landfills and incineration of lead-acid batteries; and (2) the disposal of such batteries other than by recycling in accordance with this Act. Prohibits the disposal of batteries except by delivery to: (1) battery retailers or wholesalers; (2) regulated lead smelters or collection or recycling facilities; or (3) automotive dismantlers. Sets forth specified delivery and disposal requirements for battery retailers, wholesalers, and manufacturers. Directs battery retailers, wholesalers, and manufacturers to accept from customers used batteries of the same type, and in an approximately equal quantity to, the batteries sold. Requires battery retailers to post notices in public areas of retail establishments that: (1) state that it is illegal to throw away motor vehicle or lead-acid batteries; (2) state that Federal law requires battery retailers to accept used batteries for recycling and allows a person to give used batteries to battery collectors, recyclers, or processors or to automotive dismantlers; and (3) encourage recycling of used batteries. Prescribes civil penalties for violations of notice requirements. Makes it unlawful to sell a lead-acid battery that does not bear a permanent label stating that: (1) the battery contains lead; and (2) Federal law requires recycling and the seller must accept the return. Permits the Administrator to issue warnings and citations for noncompliance with battery labeling and notice requirements. Permits the export of lead-acid batteries for purposes of recycling. Directs the Administrator to undertake a program to promote monitoring, detection, and abatement of lead-based paint and other lead exposure hazards. Requires the National Institute of Standards and Technology to establish protocols, criteria, standards, and a voluntary accreditation program with respect to laboratory analysis of lead in paint films, soil, and dust. Directs the Secretary of Health and Human Services, acting through the Director of the Centers for Disease Control, to establish: (1) protocols, criteria, and standards for laboratory analysis of lead in blood; and (2) certification programs to assure the quality and consistency of such analyses, unless voluntary accreditation programs are operating nationwide. Requires the Secretary of Labor to develop minimum core curricula for technical training courses for lead-based paint abatement workers, supervisors, designers, inspectors, and building owners. Provides that such courses shall address factors associated with lead testing and abatement in various types of housing units. Authorizes the Secretary to evaluate such programs and to encourage State certification programs or the development of national proficiency tests. Requires the Administrator to conduct research and report to the Congress on methods for evaluating emerging products and techniques for detecting lead in paint films and dust. Directs the Administrator to conduct research and report to the Congress on the efficacy of lead abatement and management techniques for housing based on levels of lead in dust and in occupants' blood. Requires the Administrator to conduct research and report to the Congress on products for encapsulating or stripping lead-based paint. Directs the National Institute of Standards and Technology to establish performance criteria and standards for encapsulants and strippers. Requires the Administrator to issue guidelines for the management of lead-based paint debris. Prohibits the funding of travel of EPA employees outside the United States unless such guidelines are issued. Requires the Administrator to undertake a research project on lead exposure in children who have elevated blood lead levels greater than ten micrograms per deciliter. Directs the Secretary of Labor and the Administrator to conduct a long-term research study on the sources of lead exposure in construction workers. Requires the Administrator to sponsor public education and outreach activities to increase awareness of the scope and severity of lead poisoning from household sources, potential exposure to lead in schools and day care centers, and the need for abatement and management action. Directs the Administrator to issue guidelines concerning the action levels for lead in soil. Directs the Administrator to appoint a Coordinator for Lead Activities. Requires the Administrator to award grants to institutions of higher education for purposes of establishing Centers for the Prevention of Lead Poisoning. Limits the Federal share of Center operation costs. Limits grants to two-year periods. Directs the Secretary of Health and Human Services, acting through the Director of the Centers for Disease Control, to: (1) encourage State public health officials to report blood-lead measurements to the Director; and (2) report to the Congress on the status of such reporting and the feasibility and desirability of instituting a national requirement for mandatory pre-school blood-lead screening. Amends the Public Health Service Act to require the Secretary, acting through the Director, to establish a blood-lead laboratory reference project to assist State and local governments in establishing and improving the quality of laboratory measurements performed for childhood lead poisoning prevention programs. Requires the Administrator of the Agency for Toxic Substances and Disease Registry to update a report submitted pursuant to the Superfund Amendments and Reauthorization Act of 1986 to include information on childhood and adult lead poisoning and estimates of adverse health outcomes associated with lead exposure. Amends the Federal Food, Drug, and Cosmetic Act to deem a food to be adulterated if: (1) it is packaged in a container containing solder or another ingredient with a lead content greater than .2 percent by dry weight; or (2) it is ceramic ware and the ability of such ceramic ware to leach lead does not conform with standards for ceramic ware established by the Secretary of Health and Human Services. Requires the Secretary to establish standards and testing procedures with respect to lead in ceramic ware. Authorizes appropriations.
Bill· HRH.R. 1758 (102nd)referred
United States · United States Congress · 11 April 1991
Hearing Loss Testing Act of 1991 - Requires each health insurance policy, including contracts for coverage by health maintenance organizations, which provides for any benefits with respect to a newborn to include coverage for newborn hearing loss testing. Amends title XIX (Medicaid) of the Social Security Act to add newborn hearing loss testing to the definition of screening services. Directs the Secretary of Health and Human Services to: (1) provide for such a grant or other program as necessary to assure that all newborns in the United States are tested for hearing loss at the time of birth; and (2) establish uniform standards for testing under this Act. Authorize appropriations.
Bill· HRH.R. 1746 (102nd)referred
United States · United States Congress · 11 April 1991
Amends title XVIII (Medicare) of the Social Security Act to cover colon cancer preventive screening examinations and an annual physical examination performed by a physician or nurse practitioner if a demonstration project to be conducted by the Secretary of Health and Human Services proves such examinations to be cost-effective or of moderate cost but measurably health-enhancing.
Bill· HJRESH.J.Res. 217 (102nd)open
United States · United States Congress · 11 April 1991
Designates September 12, 1991, as National DARE (Drug Abuse Resistance Education) Day.
Law· HJRESH.J.Res. 218 (102nd)enacted
United States · United States Congress · 11 April 1991
Designates April 21 through 27, 1991, and April 19 through 25, 1992, as National Organ and Tissue Donor Awareness Week.
Bill· HJRESH.J.Res. 216 (102nd)referred
United States · United States Congress · 11 April 1991
States that the Environmental Protection Agency should not permit levels of fluoride in water that endanger public health and should rescind a specified decision which raised the maximum contaminant fluoride levels in such water.
Bill· HRH.R. 1688 (102nd)open
United States · United States Congress · 10 April 1991
Omnibus Insular Areas Act of 1991 - Title I: Insular Areas Disaster Survival and Recovery Act of 1991 - Insular Areas Disaster Survival and Recovery Act of 1991 - Authorizes appropriations to the Secretary of the Interior for the construction of facilities to protect public health and safety and to enhance the survivability of essential infrastructure in the event of disasters in insular areas. Requires the President to provide technical assistance to insular areas which lack specific capabilities in responding to disasters. Directs the Secretary to report to the Congress on the status of recovery efforts in insular areas declared to be disasters by the President. Title II: Insular Areas Water, Sewerage, and Power Needs - Authorizes the Secretary of the Interior to study how the long-term water, sewerage, and power needs of American Samoa, Guam, the Northern Mariana Islands, Puerto Rico, and the Virgin Islands can be resolved. Authorizes appropriations for grants to insular areas governments to carry out projects to evaluate the feasibility of, develop options for, and encourage the adoption of energy efficiency and renewable energy measures which reduce the dependency of such areas on imported fuels, and improve the quality of life in the area. Establishes guidelines to determine the amount to be provided.
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