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Healthcare

Records whose title is actually about this topic. Use a country filter if the list is still too broad.

551 records in US in 1973

Records

Bill· SS. 878 (93rd)referred

A bill to amend the Public Health Service Act to provide for restrictions on funds for experimental use.

United States · United States Congress · 15 February 1973

Provides that funds appropriated for any fiscal year to carry out any Federal program shall not be made available to any organization unless such organization has given acceptable assurance that such funds will not be used in research involving human subjects in the absence of initial and continuing review and approval by an appropriate organizational committee. States that such review shall determine that: (1) the rights and welfare of the subjects involved are adequately protected; (2) the risks to the individual are outweighed by the potential benefits to him or by the importance of the knowledge to be gained; and (3) informed consent is to be obtained by methods that are adequate. Requires the Secretary of Health, Education, and Welfare to identify those Federal programs which may involve human subjects at risk, set guidelines for the establishment of organizational committees, and establish such additional regulations as the implementation of this Act may require.

Bill· SS. 863 (93rd)referred

Cosmetic Safety Act

United States · United States Congress · 15 February 1973

Cosmetic Safety Act - Title I: Cosmetic Labeling - Provides for the conspicuous labeling of the ingredients of cosmetics under the Federal Food, Drug and Cosmetic Act as well as cautionary and informational labeling. Authorizes the Secretary of Health, Education, and Welfare to issue regulations to insure such proper ingredient, cautionary and informational labeling. Title II: Cosmetic Premarket Testing - Requires a manufacturer to submit to the Secretary full reports of investigations adequate to substantiate the safety of a cosmetic or cosmetic ingredient for its intended use before distributing the product commercially. Permits the Secretary to restrict or prohibit the product if the reports fail to establish the product's safety. Directs the Secretary to issue regulations establishing the kinds of scientific and medical investigations necessary to subtantiate the safety of a cosmetic. Title III: Registration and Filing Requirements - Requires every manufacturer or package of a cosmetic to register with the Secretary within thirty days of the date of enactment of this Act in accordance with regulations prescribed by the Secretary. Title IV: Sets forth the administrative procedures to contest amend, or urge the repeal of any regulation prescribed under this Act.

Bill· SJRESS.J.Res. 64 (93rd)referred

A joint resolution to protect physicians, other health care personnel, hospitals, and other health care institutions on the exercise of religious or philosophical beliefs which proscribe the performance of abortions or sterilization procedures.

United States · United States Congress · 15 February 1973

Makes it the policy of the Federal Government, in the administration of all Federal programs, that religious beliefs which proscribe the performance of abortions or sterilization procedures (or limit the circumstances under which abortions or sterilizations may be performed) shall be respected. Provides that any provision of law, regulation, contract, or other agreement to the contrary notwithstanding, on and after the enactment of this joint resolution, shall not be imposed, applied, or enforced, in or in connection with the administration of any program established or financed totally or in part by the Federal Government which provides or assists in paying for health care services for individuals or assists hospitals or other health care institutions which would result in causing or attempting to cause, or in obligating, any physician, other health care personnel, or any hospital or other health care institution, to perform, assist in the performance, or make facilities or personnel available for or to assist in the performance, of any abortion or sterilization procedure on any individual, if the performance of such abortion or sterilization procedure on such individual would be contrary to the religious beliefs of such physician or other health care personnel, or of the person or group sponsoring or administering such hospital or other institution.

Bill· HRH.R. 4236 (93rd)referred

A bill to establish in the Public Health Service an institute for research on dysautonomia, and for other purposes.

United States · United States Congress · 8 February 1973

Requires the Surgeon General of the Public Health Service to establish the National Dysautonomia Institute for research on dysautonomia. Provides that the Surgeon General shall establish a national advisory council for the Institute to advise, consult with, and make recommendations to him with respect to the activities of the Institute.

Bill· HRH.R. 4224 (93rd)referred

Emergency Medical Services Act

United States · United States Congress · 8 February 1973

Emergency Medical Services Act - Establishes, within the Department of Health, Education, and Welfare, an Emergency Medical Services Administration to be headed by a Director who shall be appointed by the President, by and with the advice and consent of the Senate. Provides that the Director shall establish, keep current, and from time to time publish standards to govern the operation of amublance and other emergency medical services. Provides that such standards shall include standards and minimum requirements for: (1) the licensing of ambulance services; (2) the licensing of ambulance drivers; (3) the type and amount of equipment to be carried aboard ambulance vehicles; (4) adequate liability insurance to cover ambulance operations; (5) the performance of advisory and monitoring functions by physicians in connection with ambulance operations; (6) the filing of reports on all calls to which response is made in the provision of ambulance services; and (7) the revocation of licenses, or the imposition of other penalties, for violation of any of the standards established under this Act. Authorizes the Director to allocate and pay to each State which qualifies an amount which reflects the needs of such State and its political subdivisions for improved ambulance services relative to the corresponding needs of other qualified States. Provides that a State is qualified for assistance under this Act with respect to any fiscal year if it has in effect throughout such year a fully implemented comprehensive ambulance program, submitted by the Governor of the State and approved by the Director, which provides for financial assistance to political subdivisions of the State or regional combinations thereof for the development and operation of ambulance services, and for the licensing of such services. Authorizes the Director to make grants to political subdivisions of a State or combinations of such subdivisions of a State for the initial purchase of ambulance vehicles, equipment, and communication systems to be used in the provision of ambulance services by or under the supervision and auspices of such subdivision or combination. Transfers to the Director all functions, powers, and duties of the Secretary of Transportation and the National Highway Safety Bureau relating to emergency medical services which are being exercised under, in connection with, or as a part of the uniform standards for State highway safety programs. Provides that the standards established by the Director under this Act shall apply to and govern the operation of all ambulance and other emergency medical services which are provided or assisted in any way under Federal law or under programs established, carried on, or supported under Federal law. Provides that loans and grants authorized under this Act may be made only to services that meet the applicable standards established under this Act. Provides that the Director, with the approval of the Secretary, shall prescribe such regulations as may be necessary or appropriate to carry out this Act. Provides that the Director shall annually submit to the President and the Congress a full and complete report on activities under this Act. Authorizes to be appropriated for financial assistance for the operation of local ambulance servicesu and for the initial purchase of ambulance equipment $100,000,000 for fiscal year 1974, $125,000,000 for fiscal year 1975, and $150,000,000 for fiscal year 1976. Authorizes to be appropriated, for other expenses incurred by the Director and the Administration in carrying out this Act, $50,000,000 for fiscal year 1974, $60,000,000 for fiscal year 1975, and $70,000,000 for fiscal year 1976.

Bill· HRH.R. 4159 (93rd)referred

National Healthcare Act

United States · United States Congress · 7 February 1973

National Healthcare Act - Title I: Findings and Declaration of Purpose - Declares the purpose of this Act to be to improve the organization, delivery, and financing of health care for all Americans by increasing health personnel, promoting ambulatory care, strengthening health planning, establishing national standards of health care benefits, encouraging provisions of such benefits through comprehensive health care insurance, and by assisting persons of low income or in poor health to secure that insurance. Title II: Provisions To Increase The Supply And Improve The Distribution Of Health Care Personnel - Allows a medical student to borrow the full cost of tuition, fees, and reasonable amounts for room, board, books, supplies, and other related costs. Provides that the loan will be forgiven at the rate of 20 percent a year in return for practice in an area found by the Secretary of Health, Education, and Welfare and the appropriate State comprehensive planning agency to be in need of physicians, optometrists, or dentists. Authorizes $100 million a year for fiscal years 1973, 1974, and 1975 for this purpose. Grants loans to student nurses covering the full cost of tuition, fees, and reasonable amounts for room, board, books, supplies and other related costs. Directs that up to half of the loan may be forgiven at the rate of 20 percent a year for service in a public or nonprofit private institution or agency and that up to 100 percent of the loan may be forgiven at the rate of 33 1/3 percent a year for appropriate service in an area designated as having a substantial shortage of nurses. Authorizes $75 million a year for fiscal years 1973, 1974, and 1975 for this purpose. Provides that scholarship grants may, in accordance with regulations of the Secretary of Health, Education, and Welfare, be awarded according to the needs of the individual, up to the full cost of his tuition, fees, books, equipment and living expenses. Authorizes for this purpose $50 million a year for fiscal years 1973, 1974, and 1975. Allows loans for students in the allied health professions covering the full cost of tuition fees, and reasonable amounts for room, board, books, supplies, and other related costs. Provides that up to half of the loan may be forgiven at the rate of 20 percent a year for service in a public or nonprofit private institution or agency and that up to 100 percent of the loan may be forgiven at the rate of 33 1/3 percent a year for appropriate service in an area designated as having a substantial shortage of allied health professionals. Authorizes $40 million for fiscal year 1973, $60 million for fiscal year 1974, and $75 million for fiscal year 1975 for this purpose. Includes junior colleges, colleges and universities which offer training in health care center administration or curriculums providing the allied health-professionals needed to operate comprehensive ambulatory health care centers within the training grant provisions of the Public Health Service Act. Establishes a new program of special project grants to help education institutions meet the cost of developing curriculums and training programs to develop the skills needed to administer and staff comprehensive ambulatory health care centers. Authorizes $40 million for fiscal year 1973, and $50 million a year for fiscal years 1974 and 1975 for this purpose. Establishes a program of Federal grants to medical personnel in return for service in urban and rural areas of critical need to alleviate the distribution of health care personnel. Authorizes the Secretary of Health, Education, and Welfare to contract with individual health professionals, nurses, or allied health professionals who agree to provide health care services for a period of at least two years in an area designated by the Secretary as having a critical need for those services. Provides that the amount of the grant is that amount which, when added to the recipient's income from providing health care services for each contract year, provides a total income equal to 110 percent of the national annual median income for persons of comparable education and training, or 110 percent of his earnings from providing health care services in the previous year, whichever is greater. Provides that in determining the precise amount of the grant the Secretary may consider such factors as he deems relevant. Requires that he must consider, however: (1) the national median annual income for the applicant's profession; (2) the cost of living in the area of need; (3) the background, training, and education of the applicant; (4) the amount of income the applicant can reasonably expect to receive from service in the area; (5) the number of persons of applicant's profession needed in the area; and (6) where appropriate, cost of equipment, supplies, and facilities. Provides that title II becomes effective upon enactment. Title III: Provisions To Encourage Comprehensive Ambulatory Health Care Centers - Provides grants to comprehensive ambulatory health care centers. Sets up a special category of grants to comprehensive ambulatory health care centers which offer a greater range of medical services than current law now specifies for "out-patient facilities" grants. Revises the declaration of purpose of title VI of the Public Health Service Act to recognize specifically the concept of a comprehensive ambulatory health care center. Provides that for fiscal years commencing after June 30, 1971 there is authorized an additional $200 million in grant authority to be used for the construction of comprehensive ambulatory health care facilities. Provides this sum through a new allotment category which is separate from existing allotment categories for construction and modernization of hospitals and other medical facilities. Provides that a portion of the funds available for grants hereunder be used to assist nearly-constructed facilities to pay initial start-up and operation expenses during the first three years of operation of such centers. Directs that funds available for the construction and modernization of comprehensive ambulatory health care centers will be allotted to the several states on the same basis as allotments are now made for construction of hospitals and other medical facilities. Provides that transfers from allotments for the construction and modernization of comprehensive ambulatory health care facilities to allotments for the construction of other types of facilities are not authorized. Permits carryovers of unused allotments from one fiscal year to the other. Requires that priorities for awarding grants to comprehensive ambulatory health care centers be given to proposed facilities in densely populated areas now lacking such facilities. Provides that, in its evaluation of the health needs of its citizens, the State health planning agency would be required to determine as part of its planning process the number of comprehensive ambulatory health care centers needed in the State and a plan for distribution of such centers. Requires the adoption of a program providing for construction of those comprehensive ambulatory health care centers identified as needed in its State plan, or for modernizing such existing facilities. Adds comprehensive ambulatory health care centers to the list of types of health facilities from which recovery of Federal funds may be made by the Federal government from facilities which no longer qualify. Adds comprehensive ambulatory health care centers to the list of types of facilities which qualify for Public Health Service Act loans, guarantees and interest subsidies for construction or modernization of health facilities. Defines comprehensive ambulatory health care centers to encompass only facilities which provide a wide range of preventive, diagnostic and treatment services for ambulatory patients and thus relieve overutilization of general hospitals and make health care more accessible. Title IV: Provisions To Strentthen Health Care Planning - Provides that the President shall make a health report to the Congress no later than July 1 of each year on the status of the nation's health needs and health care system with a program for meeting those needs. Creates a three-man Council of Health Policy Advisers in the Executive Office of the President, its members appointed by the President with the advice and consent of the Senate. Authorizes the Council to hire officers, employees and such experts and consultants as may be needed. Requires the Council to make an annual health report to the President not later than April 1 of each year to be transmitted to the Congress as a supplement to the next Health Report of the President to the Congress. Provides that in its first report to the President the Council shall specifically review and advise the President on health programs. Requires the Council to develop and recommend goals for a national health policy to promote efficiency, eliminate waste and duplication in the utilization of health facilities and resources, and to recommend specific programs to streamline and consolidate health manpower programs. Directs the Council to consult with the National Advisory Health Council, and other advisory councils or committees as well as such representatives of the private sector as it deems advisable and to utilize the services, facilities and information of other public and private organizations to the fullest extent to avoid unnecessary overlapping or duplication of effort. Provides that the Chairman shall be compensated at the rate of Level II and the other members at the rate of Level IV of the Executive Schedule Pay Rates. Authorizes such sums as are needed to enable the Council to function, not to exceed $1 million in any fiscal year. Requires every agency of the Federal Government to include, to the fullest extent possible, in each report on proposals for legislation or other major Federal action significantly affecting health or the health care system, the impact of the proposal on the nation's health care system, adverse effects, alternatives, the relative priority established by the Council of Health Policy Advisers, and any irreversible or irretrievable commitments of resources involved. Provides that prior to making this report the responsible Federal official shall consult with and obtain the comments of any Federal agency which has jurisdiction by law or special expertise relative to the health impact of the proposal. Provides that these comments, with comments of appropriate Federal, State and local agencies, shall be made available to the President, the Council, and the public, and shall accompany the proposal through the existing agency review process. Provides that these provisions shall not affect the obligations imposed on Federal agencies by other Federal statutes. Adopts for purposes of the entire Public Health Service Act the definition of "appropriate comprehensive health planning agency" provided in this bill. Provides that in order to qualify for the comprehensive health planning grants that a State plan for comprehensive State health planning must, in addition to existing requirements, provide for the project certification procedures established by this Act. Increases the funds authorized for project grants for areawide health planning to $60 million for fiscal year 1973. Directs that to be eligible for the grants the agency must be prepared to function as the "appropriate comprehensive health planning agency" for the area or region. Requires the agency to be prepared to play a strengthened role in coordinating areawide health affairs, including the determination of health needs, capital expenditures programs, cooperative use of facilities, optimum use of available manpower and improved management techniques. Requires the agency to provide for consultation with the areawide health planning council and other groups, for the representation of health care facilities and physicians for enlisting public support, and for educating the public concerning the proper use of facilities and services available. Provides that in the case of applications for Federal grants, loans, or other financial aid involving more than $100,000 which require certification by the appropriate comprehensive health planning agency, the application may be approved by the Secretary only after he is satisfied that the review provisions of this section have been met. Requires that the agency have reasonable opportunity to review and comment on the application and has certified to its essential need and high priority. Provides that if the "appropriate comprehensive health planning agency" is a metropolitan or other local planning agency, that agency, after reviewing the application, must have communicated its comments to both the applicant and the State agency. Directs the State planning agency to make its own determination that the application fits in with the State's overall needs and priorities as expressed in the State plan. Requires that if two or more States are involved, each State agency must make a separate certification as to the need and priority of the project in its State. Provides that in the case of a project affecting an entire State, the appropriate comprehensive health planning agency is the agency designated in the State plan. Provides that in the case of a project affecting a region, metropolitan area, or other local area, the appropriate comprehensive health planning agency is the areawide comprehensive health planning agency or such other public or nonprofit private agency determined in accordance with regulations to be performing the required health planning functions. Requires that benefits paying for not less than the health care required under the minimum standards must be included in private or State established health care plans as a condition of eligibility for the Federal tax or other public financial assistance accorded under this bill. Permits additional benefits and allows a qualified private health care plan to provide for a covered individual's payment of medical expenses exceeding established deductible and co-payment standards. Permits qualifying health care plans to include various other optional provisions. Assures that the minimum standards of health care required to be provided to needy and uninsurable individuals will be no less than those required for others. Requires the timing of benefit implementation to be faster under publicly assisted plans for needy and uninsurable individuals than under private qualified plans. Bars higher co-payments for ambulatory-treatment of a given condition than for institutional treatment of the same condition. Assigns one of three "priority designations" to each of the benefits in the Table of Minimum Standard Healthcare Benefits and requires benefits in the several priority categories to be phased-in in accordance with a schedule prescribed in the law. Authorizes the President, under restricted conditions stated in the law, to defer the scheduled time for phase-in of benefits that have not become legislatory at the time he acts. Specifies the initial Minimum Standards Healthcare Benefits for individuals covered under qualified private plans and those for individuals covered under qualified public plans. Places a limit on the total amount of co-payments that may be required in any one year. Provides that in the absence of a Presidential deferral those Minimum Standard Healthcare Benefits that are initially provided individuals covered under qualified public plans but not private plans will become available to individuals covered under qualified private plans on January 1, 1976, and that the proposed 1976 improvements in the Minimum Standard Healthcare Benefits for qualified private plans in 1979. Revises the Internal Revenue Code to restrict the Federal income tax deduction otherwise allowable to an employer for any amount paid or incurred by the employer for medical care of any employee or his dependents. Restricts this deduction to 50 percent of the described expense for the medical care of the employee. Provides that if the employer establishes and maintains a Qualified Employee Healthcare Plan the restriction will not apply, and 100 percent of the described expense is deductible. Applies such provision to taxable years after December 31, 1972, except that, in the case of any employer plan providing medical care for employees which was established pursuant to a collectively-bargained agreement, the restrictions on the deduction will not apply until the expiration of the agreement, or December 31, 1975, whichever occurs first. Requires that each Qualified Employee Healthcare Plan provide at least the Minimum Standard Healthcare Benefits described in this Act and be in writing, adopted by the employer, and communicated to his employees. Provides that substantially all active full-time employees eligible to be covered, and the coverage must continue upon certain terminations of employment or certain temporary absences of the employee. Requires that a coordination of benefits provision be included in a qualified plan to avoid costly duplication of coverage and also the plan must permit eligible employees to seek coverage instead from any approved health maintenance organization in cases where specified conditions are satisfied. Allows 100 percent of medical care insurance permiums as an income tax deduction, if such expenses are paid by an individual who is covered by a Qualified individual Healthcare Plan, a Qualified Employee Healthcare Plan, or a Qualified State Healthcare Plan. Requires that each Qualified Individual Healthcare Plan provide at least the Minimum Standard Healthcare Benefits described in this Act. Requires that a qualified individual insurance contract contain provisions which obligate the insurer to renew the policy, and allows covered dependents to continue their coverage under the policy after the death of the insured as if he were still alive. Adds a new title XX to the Social Security Act to provide for the establishment of publicly subsidized health care insurance plans on a State by State basis. Provides that each State will have a health insurance pool, which all private entities in that State (both profit and non-profit) which currently indemnify the cost of health care would be required to underwrite. Directs that one or more private insurance carriers will be designated by the State to administer the State plan on a retention accounting basis. Provides that these State plans will guarantee that Minimum Standard Healthcare Benefits are made available to individuals and families who previously were unable to purchase health care insurance, either because of their low income or their extremely poor health. Provides that, in order to encourage a State to establish a plan, Federal appropriations otherwise payable to the State pursuant to titles V and XIX of the Social Security Act are conditioned on the State's having in operation a Qualified State Healthcare Plan. Provides that individuals or families who are eligible to receive public cash assistance under a program financed in whole or in part by Federal funds will be enrolled in the State plan automatically, and without cost. Permits those individuals who are financially capable of procuring health insurance, but who are uninsurable because of poor health, to enroll in the State plan at their own expense; however, these individuals may not be charged more than the established rate for other individuals enrolled in that State plan. Provides that enrollment of other individuals and families who had low incomes the previous year (less than $8,000 for single individuals, less than $4,500 for a family of two, and less than $6,000 for a family of three or more) is voluntary. Allows such individuals and families to elect to be enrolled once each year and requires them to make contributions toward the cost of insuring their own health care, depending on the size of their family and the amount of their income. Provides that the premiums to be charged for each policy year under a State plan will be actuarially determined in each State, and for each family size risk category. Directs that if the established premiums are found to be unjustified within a particular State, the Secretary of Health, Education, and Welfare may direct a reduction in the Federal appropriation for that State's premium cost. States that each State has the primary obligation to provide the uncontributed premium cost for its plan; but if the State implements and utilizes controls which are designed to promote the delivery of lower-cost, higher-quality institutional health care services, if it exempts Qualified State Healthcare Plan transactions from State taxation, and if it eliminates discriminatory State tax treatment of health care insurers, then the State will receive Federal appropriations reimbursing it for a percentage of its total uncontributed premium cost. Provides that the base figure may be between 70 and 90 percent, depending on the State's per capita income, but further adjustments to this percentage may be made if institutional rates charged in any particular State for health care services are unjustifiably high in comparison with other States. Gives States the authority to review in advance the rates to be charged by health care institutions for their services, and to refuse to approve these rates for payment under the State plan. Controls the cost and quality of health care services provided by physicians and other medical practitioners in each State. Provides that a professional service, otherwise covered by these State plans, shall be reimbursed only if it falls within professionally established utilization guidelines or is found to be necessary health care by a qualified peer review committee. Asserts that no charge for a necessary service shall be reimbursed to the extent that it exceeds the prevailing charge in a locality for similar services. Provides that if the premiums collected and other monies received under the State plan are not sufficient to pay the claims incurred and the other costs of operating the State plan, the private underwriters of the plan shall bear the losses to the extent of 3 percent of the premiums collected for that year. Directs the State to bear the excess losses equal to the base Federal percentage for that State's premium costs. Provides that enrollment is not available to those individuals or families covered under a Qualified Employee Healthcare Plan. Makes provisions to protect the Federal government against having to bear such part of the cost of a Qualified State Healthcare Plan as may be attributable to a State's decision to have the plan provide greater benefits than the minimum required for qualification under title XX. Provides that applicants for enrollment in the State plan must provide and certify all information required to make an eligibility determination. States that any federal or State agency may be required to furnish information deemed by the administering carrier to be necessary to verify eligibility. Revises title V of the Social Security Act (Maternal and Child Health and Crippled Children's Services) to avoid unnecessary and costly duplication of federally subsidized health care programs. Excludes payment for items and services now covered under title V, if they also would be covered under a Qualified State Healthcare Plan. Provides that title V will continue to pay for items and services which are not covered by Qualified State Healthcare Plans. Revises section 1887 of title XVIII of the Social Security Act to remove existing limitations on Medicare Part B enrollment which prevent otherwise eligible State plan enrollees from qualifying for Qualified State Healthcare Plan to pay the premium for supplementary medical insurance benefits under Part B of title XVIII of the Social Security Act for individuals and families who are eligible to enroll in Part B program and who are also eligible to receive public cash assistance under a federally financed program. Revises section 1843 of title XVIII to allow a State to enter into an agreement with the Secretary of Health, Education, and Welfare pursuant to which all of these indigent State plan enrollees will be enrolled under the program established by Part B of title XVIII. Revises title XIX of the Social Security Act (Grants to States for Medical Assistance Programs) to avoid unnecessary and costly duplication of federally subsidized health care programs. Provides that on July 1, 1973, or upon a State's establishment of a Qualified State Healthcare Plan, whichever occurs first, payment for items and services now covered under title XIX would be excluded if they would be covered under a Qualified State Healthcare Plan. Directs that title XIX will continue to pay for items and services which are not covered by Qualified State Healthcare Plans. Establishes standards for strenghtening controls over the quality and cost to enrollees for health care service provided by physicians or other medical practitioners and for health care services rendered to State plan enrollees in health care institutions. Provides that these standards shall apply to determine "reasonable cost" under the existing federally subsidized health care programs established by title V, XVIII, and XIX of the Social Security Act. Requires that the premiums and other monies received pursuant to the operation of a Qualified State Healthcare Plan will, to the extent feasible, be invested by the administering carrier in interest-bearing obligations and other income-yielding securities. Exempts this interest or other income from Federal income taxation. Requires insurance carriers to pool their efforts and resources to insure that all individuals and families will receive higher-quality, lower-cost health care benefits. Provides that these carriers will not be subject to Federal or State antitrust legislation solely as a result of their efforts to comply with the provisions of title V of the bill.

Bill· HRH.R. 4079 (93rd)referred

Rehabilitation Act

United States · United States Congress · 7 February 1973

Rehabilitation Act - Declares that it is the purpose of this Act to provide a statutory basis for the Rehabilitation Service Administration and to establish within the Department of Health, Education and Welfare an Office for the Handicapped, and to authorize specified programs. Establishes within the Department of Health, Education, and Welfare a Rehabilitation Services Administration which shall be administered by a Commissioner. Provides that the Commissioner shall carry out and administer all programs and direct the performance of all services for which authority is provided to the Secretary of H.E.W. under titles I through IV of this Act. Creates within such administration a Division of Research, Training and Evaluation which shall be responsible for carrying out programs and projects under title IV of this Act. Authorizes the inclusion of appropriations under this Act in appropriations for the fiscal year preceding the fiscal year for which they are available for obligation. Provides that where funds are provided for a single project by more than one Federal agency to an agency or organization assisted under this Act, the Federal agency principally involved may be designated to act for all in administering such funds, pursuant to regulations prescribed by the President. Sets forth definitions of terms used in this Act. Title I: Vocational Rehabilitation Services - States it to be the purpose of this title to authorize grants to assist States to meet the current and future needs of handicapped individuals, so that such individuals may prepare for and engage in gainful employment to the extent of their capabilities. Authorizes to be appropriated $800,000,000 for fiscal year 1973, and $975,000,000 for fiscal year 1974 for the purpose of making grants to States to assist them in meeting the costs of vocational rehabilitation services. Authorizes to be appropriated $50,000,000 for fiscal year 1973, $60,000,000 for fiscal year 1974, and $75,000,000 for fiscal year 1975, for the purpose of making grants to States and public and nonprofit agencies to assist them in meeting the costs of projects to initiate or expand services to handicapped individuals. Sets forth the requirements of State plans to be submitted and approved for participation in programs under this title and under title II of this Act. Authorizes judicial review in United States district courts of decisions by the Commissioner of the Rehabilitation Services Administration affecting State plans. Provides that the Commissioner shall insure that the individualized written rehabilitation program required in a State plan in the case of each handicapped individual shall be developed jointly by the vocational rehabilitation counselor or coordinator and the handicapped individual. Defines vocational rehabilitation services provided under this Act as any goods or services necessary to render a handicapped individual employable, including, but not limited to, the following: (1) evaluation of rehabilitation potential; (2) counseling, guidance, referral, and placement services for handicapped individuals; (3) vocational and other training services for handicapped individuals; (4) physical and mental restoration services; (5) maintenance, not exceeding the estimated cost of subsistence, during rehabilitation; (6) interpreter services for the deaf, and reader services for the blind; (7) recruitment and training services for handicapped individuals; (8) rehabilitation teaching services and orientation and mobility services for the blind; (9) occupational licenses, tools, equipment, and initial stocks and supplies; (10) transportation in connection with the rendering of any vocational rehabilitation services; and (11) telecommunications, sensory, and other technological aids and devices. Provides a formula for the allotment and payment of funds to States for providing rehabilitation services under this title. Directs the Commissioner to establish offices in ten to twenty geographically dispersed regions for client assistance pilot projects to provide counselors to inform and advise all clients and client applicants in the project area of all available benefits under this Act and to assist them in their relationships with projects, programs, and facilities providing services to them under this Act. Directs the Commissioner to pay to a State or, at the option of the State, to a public or nonprofit organization or agency a portion of the cost of planning, preparing for, and initiating special programs under the State plan to expand vocational rehabilitation services. Title II: Comprehensive Rehabilitation Services - States it to be the purpose of this title to authorize grants to assist the several States in developing and implementing continuing plans for meeting the current and future needs of handicapped individuals for whom a vocational goal is not possible or feasible authorizes to be appropriated $30,000,000 for fiscal year 1973, $50,000,000 for fiscal year 1974, and $80,000,000 for fiscal year 1975 for grants to carry out the purposes of this title. Specifies the formula to be utilized in alloting such funds to the States. Directs the Commissioner to make grants to States and public and nonprofit agencies or organizations to pay part of the cost of projects for research and demonstration and training which hold promise of making a substantial contribution to the solution of problems related to the rehabilitation of individuals under this title. Title III: Special Federal Responsibilities Authorizes the Commissioner to make grants and contracts to assist in meeting the costs of construction of public or nonprofit rehabilitation facilities, initial staffing, and planning assistance. Authorizes to be appropriated for such grants and contracts $35,000,000 for fiscal year 1973, $40,000,000 for fiscal year 1974, and $45,000,000 for fiscal year 1975. Authorizes the Commissioner to make grants to States and public or nonprofit organizations and agencies to pay up to 90 percent of the cost of projects for providing vocational training services to handicapped individuals, especially those with the most severe handicaps, in public or nonprofit rehabilitation facilities. Authorizes to be appropriated for such grants and contracts $30,000,000 for fiscal year 1973, $35,000,000 for fiscal year 1974, and $40,000,000 for fiscal year 1975. Authorizes the Commissioner to insure up to 100 percent of any mortgage on the construction of facilities for programs for handicapped individuals. Creates a Rehabilitation Facilities Insurance Fund to be used by the Commissioner as a revolving fund for carrying out the insurance provisions of this part. Provides that the total amount of outstanding mortgages shall not exceed $250,000,000. Authorizes to be appropriated such sums as may be necessary for initial capital for such Fund. Authorizes the Commissioner to make annual interest grants to assist States and public or nonprofit agencies and organizations to reduce the cost of borrowing from other sources for the construction of rehabilitation facilities. Authorizes to be appropriated such sums as may be necessary for the payment of annual interest grants in accordance with this part. Authorizes the Commissioner to make grants to States and public or nonprofit agencies and organizations for paying part of the cost of special projects and demonstrations: (1) for establishing facilities and providing services which hold promise of expanding or otherwise improving rehabilitation services to handicapped individuals, especially those with the most severe handicaps; and (2) for applying new types or patterns of service or devices. Allows the Commissioner to make grants to pay up to 90 percent of the cost of projects or demonstrations for the provision of vocational or comprehensive rehabilitation services to handicappped individuals who are migratory agricultural workers or seasonal farmworkers, and to members of their families who are with them. Provides that the Commissioner may make contracts or jointly finance cooperative arrangements with employers and organizations for the establishment of projects designed to prepare handicapped individuals for gainful and suitable employment in the competitive labor market under which such handicapped individuals are provided training and employment in a realistic work setting and such other services as may be necessary for such individuals to continue to engage in such employment. Authorizes the Commissioner to provide technical assistance to rehabilitation facilities, and for the purpose of removal of architectural and transportation barriers, to any public or nonprofit agency, institution, organization or facility. Authorizes to be appropriated, for the purpose of making grants under this part, $50,000,000 for fiscal year 1973, $125,000,000 for fiscal year 1974, and $150,000,000 for fiscal year 1975. Authorizes to be appropriated $5,000,000 for construction, $800,000 for operations for fiscal year 1973, $1,200,000 for operations for fiscal year 1974, and $2,000,000 for operations for fiscal year 1975, for establishing and operating a National Center for Deaf-Blind Youths and Adults. Authorizes to be appropriated $2,000,000 for fiscal year 1973, $4,000,000 for fiscal 1974, and $7,000,000 for fiscal year 1975 and for making grants and contracts for the expansion and improvement of vocational or comprehensive rehabilitation services for deaf and blind individuals. Authorizes to be appropriated, for the purpose of establishing and operating National Centers for Spinal Cord Injuries, $15,000,000 for fiscal year 1973, $25,000,000 for fiscal year 1974, and $30,000,000 for fiscal year 1975. Authorizes to be appropriated, for providing services for the treatment of individuals suffering from end-stage renal disease, $25,000,000 for fiscal year 1973, $25,000,000 for fiscal year 1974, and $25,000,000 for fiscal year 1975. Establishes a National Advisory Council on Rehabilitation of Handicapped Individuals in the Department of Health, Education, and Welfare to: (1) provide policy advice and consultation to the Secretary of Health, Education, and Welfare, and the Commissioner; (2) review the administration and operation of vocational rehabilitation programs under this Act; and (3) advise the Secretary and the Commissioner with respect to the conduct of independent evaluations of programs carried out under this Act. Authorizes appropriations of $100,000 for fiscal year 1973 and $150,000 for each of fiscal years 1974 and 1975 to carry out the functions of the Council. Title IV: Research and Training - Authorizes the Commissioner to make grants to and contracts with States and public or nonprofit agencies and organizations to pay part of the cost of projects for the purpose of planning and conducting research, demonstrations, and related activities, which bear directly on the development of methods, procedures, and devices to assist in the provision of vocational and comprehensive rehabilitation services to handicapped individuals, especially those with the most severe handicaps. Authorizes to be appropriated for such research activities $75,000,000 for fiscal year 1973, $100,000,000 for fiscal year 1974, and $150,000,000 for fiscal year 1975. Authorizes the Commissioner to make grants to and contracts with States and public and nonprofit agencies and organizations to pay part of the cost of projects for training, traineeships, and related activities designed to assist in increasing the numbers of personnel trained in providing vocational and comprehensive rehabilitation services to handicapped individuals and in performing other functions necessary to the development of such services. Authorizes to be appropriated for such training grants $50,000,000 for fiscal year 1973, $75,000,000 for fiscal year 1974, and $100,000,000 for fiscal year 1975. Title V: Administration and Program and Project Evaluation - Provides that, in carrying out his duties under this Act, the Commissioner shall: (1) cooperate with, and render technical assistance to States in matters relating to the rehabilitation of handicapped individuals; (2) provide short-term training and instruction in technical matters relating to vocational and comprehensive rehabilitation services; and (3) disseminate information relating to vocational and comprehensive rehabilitation services, and otherwise promote the cause of the rehabilitation of handicapped individuals and their greater utilization in gainful and suitable employment. Directs the Secretary to measure and evaluate the impact of all programs authorized by this Act. Title VI: Office for the Handicapped - Establishes an Office for the Handicapped in the Department of Health, Education, and Welfare to: (1) prepare a long-range projection for the provisions of comprehensive services to handicapped individuals; (2) analyze program operations; (3) encourage coordinated and cooperative planning; (4) provide assistance to other committees advising the Secretary; (5) develop means of promoting scientific research to bring about the full integration of handicapped individuals into all aspects of society; and (6) provide a central clearinghouse for information and resource availability for handicapped individuals. Authorizes to be appropriated for purposes of this title $1,000,000 for fiscal year 1973, $2,000,000 for fiscal year 1974, and $2,000,000 for fiscal year 1975. Title VII: Miscellaneous - Provides that the Vocational Rehabilitation Act is repealed ninety days after the date of enactment of this Act. Establishes an Interagency Committee on Handicapped Employees to insure the adequacy of hiring, placement, and advancement practices with respect to handicapped individuals by each department, agency, and instrumentality of the executive branch of Government. Establishes a National Commission on Transportation and Housing for Handicapped Individuals to identify and eliminate transportation barriers that impede the mobility of handicapped individuals and aged handicapped individuals, and to prepare plans and proposals for such further action as may be necessary to the goals of adequate transportation and housing for handicapped individuals. Establishes an Architectural and Transportation Barriers Compliance Board to investigate and examine alternative approaches to the architectural, transportation, and attitudinal barriers confronting handicapped individuals. Authorizes appropriations of $1,000,000 for fiscal year 1973; $1,250,000 for fiscal year 1974; and $1,500,000 for fiscal year 1975 to carry out the duties and functions of the Board.

Bill· HRH.R. 4019 (93rd)referred

A bill to amend title XVIII of the Social Security Act to provide that the amount of the benefits to which an individual is entitled under the supplementary medical insurance program shall be subject to the same provisions relating to hearing and judicial review as the amount of an individual's benefits under the hospital insurance program.

United States · United States Congress · 7 February 1973

Provides, under title XVIII of the Social Security Act (Medicare), that the amount of the benefits to which an individual is entitled under the supplementary medical insurance program shall be subject to the same provisions relating to hearing and judicial review as the amount of an individual's benefits under the hospital insurance program.

Bill· HRH.R. 3905 (93rd)referred

A bill to allow use of highway funds for any transportation improvements necessary to avoid air pollution dangerous to public health, and to prohibit highway projects which may create air pollution dangerous to public health.

United States · United States Congress · 7 February 1973

Permits the use of highway funds for any transportation improvements necessary to avoid air pollution dangerous to public health, and to prohibit highway projects which may create air pollution dangerous to public health. (Amends 23 U.S.C. 103)

Bill· HRH.R. 3885 (93rd)referred

Rehabilitation Act

United States · United States Congress · 6 February 1973

Rehabilitation Act - Declares that it is the purpose of this Act to provide a statutory basis for the Rehabilitation Service Administration and to establish within the Department of Health, Education and Welfare an Office for the Handicapped, and to authorize specified programs. Establishes within the Department of Health, Education, and Welfare a Rehabilitation Services Administration which shall be administered by a Commissioner. Provides that the Commissioner shall carry out and administer all programs and direct the performance of all services for which authority is provided to the Secretary of H.E.W. under titles I through IV of this Act. Creates within such administration a Division of Research, Training and Evaluation which shall be responsible for carrying out programs and projects under title IV of this Act. Authorizes the inclusion of appropriations under this Act in appropriations for the fiscal year preceding the fiscal year for which they are available for obligation. Provides that where funds are provided for a single project by more than one Federal agency to an agency or organization assisted under this Act, the Federal agency principally involved may be designated to act for all in administering such funds, pursuant to regulations prescribed by the President. Sets forth definitions of terms used in this Act. Title I: Vocational Rehabilitation Services - States it to be the purpose of this title to authorize grants to assist States to meet the current and future needs of handicapped individuals, so that such individuals may prepare for and engage in gainful employment to the extent of their capabilities. Authorizes to be appropriated $800,000,000 for fiscal year 1973, and $975,000,000 for fiscal year 1974 for the purpose of making grants to States to assist them in meeting the costs of vocational rehabilitation services. Authorizes to be appropriated $50,000,000 for fiscal year 1973, $60,000,000 for fiscal year 1974, and $75,000,000 for fiscal year 1975, for the purpose of making grants to States and public and nonprofit agencies to assist them in meeting the costs of projects to initiate or expand services to handicapped individuals. Sets forth the requirements of State plans to be submitted and approved for participation in programs under this title and under title II of this Act. Authorizes judicial review in United States district courts of decisions by the Commissioner of the Rehabilitation Services Administration affecting State plans. Provides that the Commissioner shall insure that the individualized written rehabilitation program required in a State plan in the case of each handicapped individual shall be developed jointly by the vocational rehabilitation counselor or coordinator and the handicapped individual. Defines vocational rehabilitation services provided under this Act as any goods or services necessary to render a handicapped individual employable, including, but not limited to, the following: (1) evaluation of rehabilitation potential; (2) counseling, guidance, referral, and placement services for handicapped individuals; (3) vocational and other training services for handicapped individuals; (4) physical and mental restoration services; (5) maintenance, not exceeding the estimated cost of subsistence, during rehabilitation; (6) interpreter services for the deaf, and reader services for the blind; (7) recruitment and training services for handicapped individuals; (8) rehabilitation teaching services and orientation and mobility services for the blind; (9) occupational licenses, tools, equipment, and initial stocks and supplies; (10) transportation in connection with the rendering of any vocational rehabilitation services; and (11) telecommunications, sensory, and other technological aids and devices. Provides a formula for the allotment and payment of funds to States for providing rehabilitation services under this title. Directs the Commissioner to establish offices in ten to twenty geographically dispersed regions for client assistance pilot projects to provide counselors to inform and advise all clients and client applicants in the project area of all available benefits under this Act and to assist them in their relationships with projects, programs, and facilities providing services to them under this Act. Directs the Commissioner to pay to a State or, at the option of the State, to a public or nonprofit organization or agency a portion of the cost of planning, preparing for, and initiating special programs under the State plan to expand vocational rehabilitation services. Title II: Comprehensive Rehabilitation Services - States it to be the purpose of this title to authorize grants to assist the several States in developing and implementing continuing plans for meeting the current and future needs of handicapped individuals for whom a vocational goal is not possible or feasible authorizes to be appropriated $30,000,000 for fiscal year 1973, $50,000,000 for fiscal year 1974, and $80,000,000 for fiscal year 1975 for grants to carry out the purposes of this title. Specifies the formula to be utilized in alloting such funds to the States. Directs the Commissioner to make grants to States and public and nonprofit agencies or organizations to pay part of the cost of projects for research and demonstration and training which hold promise of making a substantial contribution to the solution of problems related to the rehabilitation of individuals under this title. Title III: Special Federal Responsibilities Authorizes the Commissioner to make grants and contracts to assist in meeting the costs of construction of public or nonprofit rehabilitation facilities, initial staffing, and planning assistance. Authorizes to be appropriated for such grants and contracts $35,000,000 for fiscal year 1973, $40,000,000 for fiscal year 1974, and $45,000,000 for fiscal year 1975. Authorizes the Commissioner to make grants to States and public or nonprofit organizations and agencies to pay up to 90 percent of the cost of projects for providing vocational training services to handicapped individuals, especially those with the most severe handicaps, in public or nonprofit rehabilitation facilities. Authorizes to be appropriated for such grants and contracts $30,000,000 for fiscal year 1973, $35,000,000 for fiscal year 1974, and $40,000,000 for fiscal year 1975. Authorizes the Commissioner to insure up to 100 percent of any mortgage on the construction of facilities for programs for handicapped individuals. Creates a Rehabilitation Facilities Insurance Fund to be used by the Commissioner as a revolving fund for carrying out the insurance provisions of this part. Provides that the total amount of outstanding mortgages shall not exceed $250,000,000. Authorizes to be appropriated such sums as may be necessary for initial capital for such Fund. Authorizes the Commissioner to make annual interest grants to assist States and public or nonprofit agencies and organizations to reduce the cost of borrowing from other sources for the construction of rehabilitation facilities. Authorizes to be appropriated such sums as may be necessary for the payment of annual interest grants in accordance with this part. Authorizes the Commissioner to make grants to States and public or nonprofit agencies and organizations for paying part of the cost of special projects and demonstrations: (1) for establishing facilities and providing services which hold promise of expanding or otherwise improving rehabilitation services to handicapped individuals, especially those with the most severe handicaps; and (2) for applying new types or patterns of service or devices. Allows the Commissioner to make grants to pay up to 90 percent of the cost of projects or demonstrations for the provision of vocational or comprehensive rehabilitation services to handicappped individuals who are migratory agricultural workers or seasonal farmworkers, and to members of their families who are with them. Provides that the Commissioner may make contracts or jointly finance cooperative arrangements with employers and organizations for the establishment of projects designed to prepare handicapped individuals for gainful and suitable employment in the competitive labor market under which such handicapped individuals are provided training and employment in a realistic work setting and such other services as may be necessary for such individuals to continue to engage in such employment. Authorizes the Commissioner to provide technical assistance to rehabilitation facilities, and for the purpose of removal of architectural and transportation barriers, to any public or nonprofit agency, institution, organization or facility. Authorizes to be appropriated, for the purpose of making grants under this part, $50,000,000 for fiscal year 1973, $125,000,000 for fiscal year 1974, and $150,000,000 for fiscal year 1975. Authorizes to be appropriated $5,000,000 for construction, $800,000 for operations for fiscal year 1973, $1,200,000 for operations for fiscal year 1974, and $2,000,000 for operations for fiscal year 1975, for establishing and operating a National Center for Deaf-Blind Youths and Adults. Authorizes to be appropriated $2,000,000 for fiscal year 1973, $4,000,000 for fiscal 1974, and $7,000,000 for fiscal year 1975 and for making grants and contracts for the expansion and improvement of vocational or comprehensive rehabilitation services for deaf and blind individuals. Authorizes to be appropriated, for the purpose of establishing and operating National Centers for Spinal Cord Injuries, $15,000,000 for fiscal year 1973, $25,000,000 for fiscal year 1974, and $30,000,000 for fiscal year 1975. Authorizes to be appropriated, for providing services for the treatment of individuals suffering from end-stage renal disease, $25,000,000 for fiscal year 1973, $25,000,000 for fiscal year 1974, and $25,000,000 for fiscal year 1975. Establishes a National Advisory Council on Rehabilitation of Handicapped Individuals in the Department of Health, Education, and Welfare to: (1) provide policy advice and consultation to the Secretary of Health, Education, and Welfare, and the Commissioner; (2) review the administration and operation of vocational rehabilitation programs under this Act; and (3) advise the Secretary and the Commissioner with respect to the conduct of independent evaluations of programs carried out under this Act. Authorizes appropriations of $100,000 for fiscal year 1973 and $150,000 for each of fiscal years 1974 and 1975 to carry out the functions of the Council. Title IV: Research and Training - Authorizes the Commissioner to make grants to and contracts with States and public or nonprofit agencies and organizations to pay part of the cost of projects for the purpose of planning and conducting research, demonstrations, and related activities, which bear directly on the development of methods, procedures, and devices to assist in the provision of vocational and comprehensive rehabilitation services to handicapped individuals, especially those with the most severe handicaps. Authorizes to be appropriated for such research activities $75,000,000 for fiscal year 1973, $100,000,000 for fiscal year 1974, and $150,000,000 for fiscal year 1975. Authorizes the Commissioner to make grants to and contracts with States and public and nonprofit agencies and organizations to pay part of the cost of projects for training, traineeships, and related activities designed to assist in increasing the numbers of personnel trained in providing vocational and comprehensive rehabilitation services to handicapped individuals and in performing other functions necessary to the development of such services. Authorizes to be appropriated for such training grants $50,000,000 for fiscal year 1973, $75,000,000 for fiscal year 1974, and $100,000,000 for fiscal year 1975. Title V: Administration and Program and Project Evaluation - Provides that, in carrying out his duties under this Act, the Commissioner shall: (1) cooperate with, and render technical assistance to States in matters relating to the rehabilitation of handicapped individuals; (2) provide short-term training and instruction in technical matters relating to vocational and comprehensive rehabilitation services; and (3) disseminate information relating to vocational and comprehensive rehabilitation services, and otherwise promote the cause of the rehabilitation of handicapped individuals and their greater utilization in gainful and suitable employment. Directs the Secretary to measure and evaluate the impact of all programs authorized by this Act. Title VI: Office for the Handicapped - Establishes an Office for the Handicapped in the Department of Health, Education, and Welfare to: (1) prepare a long-range projection for the provisions of comprehensive services to handicapped individuals; (2) analyze program operations; (3) encourage coordinated and cooperative planning; (4) provide assistance to other committees advising the Secretary; (5) develop means of promoting scientific research to bring about the full integration of handicapped individuals into all aspects of society; and (6) provide a central clearinghouse for information and resource availability for handicapped individuals. Authorizes to be appropriated for purposes of this title $1,000,000 for fiscal year 1973, $2,000,000 for fiscal year 1974, and $2,000,000 for fiscal year 1975. Title VII: Miscellaneous - Provides that the Vocational Rehabilitation Act is repealed ninety days after the date of enactment of this Act. Establishes an Interagency Committee on Handicapped Employees to insure the adequacy of hiring, placement, and advancement practices with respect to handicapped individuals by each department, agency, and instrumentality of the executive branch of Government. Establishes a National Commission on Transportation and Housing for Handicapped Individuals to identify and eliminate transportation barriers that impede the mobility of handicapped individuals and aged handicapped individuals, and to prepare plans and proposals for such further action as may be necessary to the goals of adequate transportation and housing for handicapped individuals. Establishes an Architectural and Transportation Barriers Compliance Board to investigate and examine alternative approaches to the architectural, transportation, and attitudinal barriers confronting handicapped individuals. Authorizes appropriations of $1,000,000 for fiscal year 1973; $1,250,000 for fiscal year 1974; and $1,500,000 for fiscal year 1975 to carry out the duties and functions of the Board.

Bill· HRH.R. 3826 (93rd)referred

Rehabilitation Act

United States · United States Congress · 6 February 1973

Rehabilitation Act - Declares that it is the purpose of this Act to provide a statutory basis for the Rehabilitation Service Administration and to establish within the Department of Health, Education and Welfare an Office for the Handicapped, and to authorize specified programs. Establishes within the Department of Health, Education, and Welfare a Rehabilitation Services Administration which shall be administered by a Commissioner. Provides that the Commissioner shall carry out and administer all programs and direct the performance of all services for which authority is provided to the Secretary of H.E.W. under titles I through IV of this Act. Creates within such administration a Division of Research, Training and Evaluation which shall be responsible for carrying out programs and projects under title IV of this Act. Authorizes the inclusion of appropriations under this Act in appropriations for the fiscal year preceding the fiscal year for which they are available for obligation. Provides that where funds are provided for a single project by more than one Federal agency to an agency or organization assisted under this Act, the Federal agency principally involved may be designated to act for all in administering such funds, pursuant to regulations prescribed by the President. Sets forth definitions of terms used in this Act. Title I: Vocational Rehabilitation Services - States it to be the purpose of this title to authorize grants to assist States to meet the current and future needs of handicapped individuals, so that such individuals may prepare for and engage in gainful employment to the extent of their capabilities. Authorizes to be appropriated $800,000,000 for fiscal year 1973, and $975,000,000 for fiscal year 1974 for the purpose of making grants to States to assist them in meeting the costs of vocational rehabilitation services. Authorizes to be appropriated $50,000,000 for fiscal year 1973, $60,000,000 for fiscal year 1974, and $75,000,000 for fiscal year 1975, for the purpose of making grants to States and public and nonprofit agencies to assist them in meeting the costs of projects to initiate or expand services to handicapped individuals. Sets forth the requirements of State plans to be submitted and approved for participation in programs under this title and under title II of this Act. Authorizes judicial review in United States district courts of decisions by the Commissioner of the Rehabilitation Services Administration affecting State plans. Provides that the Commissioner shall insure that the individualized written rehabilitation program required in a State plan in the case of each handicapped individual shall be developed jointly by the vocational rehabilitation counselor or coordinator and the handicapped individual. Defines vocational rehabilitation services provided under this Act as any goods or services necessary to render a handicapped individual employable, including, but not limited to, the following: (1) evaluation of rehabilitation potential; (2) counseling, guidance, referral, and placement services for handicapped individuals; (3) vocational and other training services for handicapped individuals; (4) physical and mental restoration services; (5) maintenance, not exceeding the estimated cost of subsistence, during rehabilitation; (6) interpreter services for the deaf, and reader services for the blind; (7) recruitment and training services for handicapped individuals; (8) rehabilitation teaching services and orientation and mobility services for the blind; (9) occupational licenses, tools, equipment, and initial stocks and supplies; (10) transportation in connection with the rendering of any vocational rehabilitation services; and (11) telecommunications, sensory, and other technological aids and devices. Provides a formula for the allotment and payment of funds to States for providing rehabilitation services under this title. Directs the Commissioner to establish offices in ten to twenty geographically dispersed regions for client assistance pilot projects to provide counselors to inform and advise all clients and client applicants in the project area of all available benefits under this Act and to assist them in their relationships with projects, programs, and facilities providing services to them under this Act. Directs the Commissioner to pay to a State or, at the option of the State, to a public or nonprofit organization or agency a portion of the cost of planning, preparing for, and initiating special programs under the State plan to expand vocational rehabilitation services. Title II: Comprehensive Rehabilitation Services - States it to be the purpose of this title to authorize grants to assist the several States in developing and implementing continuing plans for meeting the current and future needs of handicapped individuals for whom a vocational goal is not possible or feasible authorizes to be appropriated $30,000,000 for fiscal year 1973, $50,000,000 for fiscal year 1974, and $80,000,000 for fiscal year 1975 for grants to carry out the purposes of this title. Specifies the formula to be utilized in alloting such funds to the States. Directs the Commissioner to make grants to States and public and nonprofit agencies or organizations to pay part of the cost of projects for research and demonstration and training which hold promise of making a substantial contribution to the solution of problems related to the rehabilitation of individuals under this title. Title III: Special Federal Responsibilities Authorizes the Commissioner to make grants and contracts to assist in meeting the costs of construction of public or nonprofit rehabilitation facilities, initial staffing, and planning assistance. Authorizes to be appropriated for such grants and contracts $35,000,000 for fiscal year 1973, $40,000,000 for fiscal year 1974, and $45,000,000 for fiscal year 1975. Authorizes the Commissioner to make grants to States and public or nonprofit organizations and agencies to pay up to 90 percent of the cost of projects for providing vocational training services to handicapped individuals, especially those with the most severe handicaps, in public or nonprofit rehabilitation facilities. Authorizes to be appropriated for such grants and contracts $30,000,000 for fiscal year 1973, $35,000,000 for fiscal year 1974, and $40,000,000 for fiscal year 1975. Authorizes the Commissioner to insure up to 100 percent of any mortgage on the construction of facilities for programs for handicapped individuals. Creates a Rehabilitation Facilities Insurance Fund to be used by the Commissioner as a revolving fund for carrying out the insurance provisions of this part. Provides that the total amount of outstanding mortgages shall not exceed $250,000,000. Authorizes to be appropriated such sums as may be necessary for initial capital for such Fund. Authorizes the Commissioner to make annual interest grants to assist States and public or nonprofit agencies and organizations to reduce the cost of borrowing from other sources for the construction of rehabilitation facilities. Authorizes to be appropriated such sums as may be necessary for the payment of annual interest grants in accordance with this part. Authorizes the Commissioner to make grants to States and public or nonprofit agencies and organizations for paying part of the cost of special projects and demonstrations: (1) for establishing facilities and providing services which hold promise of expanding or otherwise improving rehabilitation services to handicapped individuals, especially those with the most severe handicaps; and (2) for applying new types or patterns of service or devices. Allows the Commissioner to make grants to pay up to 90 percent of the cost of projects or demonstrations for the provision of vocational or comprehensive rehabilitation services to handicappped individuals who are migratory agricultural workers or seasonal farmworkers, and to members of their families who are with them. Provides that the Commissioner may make contracts or jointly finance cooperative arrangements with employers and organizations for the establishment of projects designed to prepare handicapped individuals for gainful and suitable employment in the competitive labor market under which such handicapped individuals are provided training and employment in a realistic work setting and such other services as may be necessary for such individuals to continue to engage in such employment. Authorizes the Commissioner to provide technical assistance to rehabilitation facilities, and for the purpose of removal of architectural and transportation barriers, to any public or nonprofit agency, institution, organization or facility. Authorizes to be appropriated, for the purpose of making grants under this part, $50,000,000 for fiscal year 1973, $125,000,000 for fiscal year 1974, and $150,000,000 for fiscal year 1975. Authorizes to be appropriated $5,000,000 for construction, $800,000 for operations for fiscal year 1973, $1,200,000 for operations for fiscal year 1974, and $2,000,000 for operations for fiscal year 1975, for establishing and operating a National Center for Deaf-Blind Youths and Adults. Authorizes to be appropriated $2,000,000 for fiscal year 1973, $4,000,000 for fiscal 1974, and $7,000,000 for fiscal year 1975 and for making grants and contracts for the expansion and improvement of vocational or comprehensive rehabilitation services for deaf and blind individuals. Authorizes to be appropriated, for the purpose of establishing and operating National Centers for Spinal Cord Injuries, $15,000,000 for fiscal year 1973, $25,000,000 for fiscal year 1974, and $30,000,000 for fiscal year 1975. Authorizes to be appropriated, for providing services for the treatment of individuals suffering from end-stage renal disease, $25,000,000 for fiscal year 1973, $25,000,000 for fiscal year 1974, and $25,000,000 for fiscal year 1975. Establishes a National Advisory Council on Rehabilitation of Handicapped Individuals in the Department of Health, Education, and Welfare to: (1) provide policy advice and consultation to the Secretary of Health, Education, and Welfare, and the Commissioner; (2) review the administration and operation of vocational rehabilitation programs under this Act; and (3) advise the Secretary and the Commissioner with respect to the conduct of independent evaluations of programs carried out under this Act. Authorizes appropriations of $100,000 for fiscal year 1973 and $150,000 for each of fiscal years 1974 and 1975 to carry out the functions of the Council. Title IV: Research and Training - Authorizes the Commissioner to make grants to and contracts with States and public or nonprofit agencies and organizations to pay part of the cost of projects for the purpose of planning and conducting research, demonstrations, and related activities, which bear directly on the development of methods, procedures, and devices to assist in the provision of vocational and comprehensive rehabilitation services to handicapped individuals, especially those with the most severe handicaps. Authorizes to be appropriated for such research activities $75,000,000 for fiscal year 1973, $100,000,000 for fiscal year 1974, and $150,000,000 for fiscal year 1975. Authorizes the Commissioner to make grants to and contracts with States and public and nonprofit agencies and organizations to pay part of the cost of projects for training, traineeships, and related activities designed to assist in increasing the numbers of personnel trained in providing vocational and comprehensive rehabilitation services to handicapped individuals and in performing other functions necessary to the development of such services. Authorizes to be appropriated for such training grants $50,000,000 for fiscal year 1973, $75,000,000 for fiscal year 1974, and $100,000,000 for fiscal year 1975. Title V: Administration and Program and Project Evaluation - Provides that, in carrying out his duties under this Act, the Commissioner shall: (1) cooperate with, and render technical assistance to States in matters relating to the rehabilitation of handicapped individuals; (2) provide short-term training and instruction in technical matters relating to vocational and comprehensive rehabilitation services; and (3) disseminate information relating to vocational and comprehensive rehabilitation services, and otherwise promote the cause of the rehabilitation of handicapped individuals and their greater utilization in gainful and suitable employment. Directs the Secretary to measure and evaluate the impact of all programs authorized by this Act. Title VI: Office for the Handicapped - Establishes an Office for the Handicapped in the Department of Health, Education, and Welfare to: (1) prepare a long-range projection for the provisions of comprehensive services to handicapped individuals; (2) analyze program operations; (3) encourage coordinated and cooperative planning; (4) provide assistance to other committees advising the Secretary; (5) develop means of promoting scientific research to bring about the full integration of handicapped individuals into all aspects of society; and (6) provide a central clearinghouse for information and resource availability for handicapped individuals. Authorizes to be appropriated for purposes of this title $1,000,000 for fiscal year 1973, $2,000,000 for fiscal year 1974, and $2,000,000 for fiscal year 1975. Title VII: Miscellaneous - Provides that the Vocational Rehabilitation Act is repealed ninety days after the date of enactment of this Act. Establishes an Interagency Committee on Handicapped Employees to insure the adequacy of hiring, placement, and advancement practices with respect to handicapped individuals by each department, agency, and instrumentality of the executive branch of Government. Establishes a National Commission on Transportation and Housing for Handicapped Individuals to identify and eliminate transportation barriers that impede the mobility of handicapped individuals and aged handicapped individuals, and to prepare plans and proposals for such further action as may be necessary to the goals of adequate transportation and housing for handicapped individuals. Establishes an Architectural and Transportation Barriers Compliance Board to investigate and examine alternative approaches to the architectural, transportation, and attitudinal barriers confronting handicapped individuals. Authorizes appropriations of $1,000,000 for fiscal year 1973; $1,250,000 for fiscal year 1974; and $1,500,000 for fiscal year 1975 to carry out the duties and functions of the Board.

Bill· SS. 766 (93rd)referred

A bill to amend title VII of the Public Health Service Act to provide for the making of grants to appropriate colleges and universities to assist them in the establishment and operation of programs for the training of physicians' assistants.

United States · United States Congress · 5 February 1973

Authorizes the Secretary of Health, Education, and Welfare to make grants under the Public Health Service Act to colleges and univeristies to assist them in the establishment and operation of programs for the training of physicians' assistants. Authorizes appropriations of $10,000,000 annually commencing with fiscal year 1974 to carry out the provisions of this Act.

Bill· SS. 765 (93rd)referred

A bill to amend title VII of the Public Health Service Act to train certain veterans, with appropriate experience as paramedical personnel, to serve as medical assistants in long-term health care facilities.

United States · United States Congress · 5 February 1973

Authorizes the Secretary of Health, Education, and Welfare to make grants to schools of medicine to train veterans, with appropriate experience as paramedical personnel, to serve as medical assistants in long-term health care facilities. Authorizes appropriations of $2,500,000 for fiscal year 1974 and $5,000,000 for each of the next three fiscal years to carry out the provisions of this Act.

Bill· SS. 764 (93rd)referred

A bill to amend title VII of the Public Health Service Act to provide for the making of grants to schools of medicine to assist them in the establishment and operation of departments of geriatrics.

United States · United States Congress · 5 February 1973

Authorizes the Secretary of Health, Education, and Welfare to make grants to not more than six schools of medicine to assist them in the establishment and operation of departments of geriatrics. Limits the amount of the grant to any one school to $500,000. Authorizes necessary appropriations to carry out the provisions of this Act.

Bill· HRH.R. 3738 (93rd)referred

A bill to amend chapter 55 of title 10, United States Code, to provide for the continuance of special health care coverage for retarded or handicapped dependents of certain members of the Armed Forces after the retirement of such members.

United States · United States Congress · 5 February 1973

Provides for the continuance of special health care coverage for retarded or handicapped dependents of the specified members of the Armed Forces after the retirement of such members. NAmends 10U.S.C. 1086)(By Request)

Bill· HRH.R. 3697 (93rd)referred

Mental Health Act

United States · United States Congress · 5 February 1973

Mental Health Act - Title I: Mental Health Benefits - Provides that every individual who is a resident of the United States, or who is a nonresident citizen of the United States, shall be eligible to receive the benefits provided by this title. Lists the mental health services covered by this Act and provides that benefits under this Act shall consist of entitlement to have payment made on his behalf, without limit as to duration except as otherwise specifically indicated. Sets forth qualifications of psychiatric hospitals for participation in the program under this title, including that it provide active diagnostic, therapeutic, and rehabilitative services with respect to mental illness, and that it be accredited by the Joint Commission on the Accreditation of Hospitals. Requires the Secretary of Health, Education, and Welfare to periodically determine the amount which should be paid under this title to each provider of care and services with respect to the care and services furnished by it. Provides that no payments may be made under title XVIII (Medicare) of the Social Security Act, under any State plan approved under title XIX (Medicaid) of such Act, or under any other Federal law or program, with respect to any care or services for which payment is made under this title. Provides that the program under this title shall be administered by the Secretary with the advice and assistance of a Committee on Mental Health which shall be appointed by the Secretary. Provides that the Committee shall be specifically responsible under the direction of the Secretary for the approval of all providers of care and services for participation in the program under this title and for the establishment of the guidelines and qualifications to be applied to any of such providers not affiliated with any specific psychiatric hospital. Directs the Secretary to conduct a full and complete study of the costs of providing mental health insurance under various conditions and with varying specifications, in order to determine the feasibility of establishing a national program providing such insurance, or expanding the program under this title. Requires the Secretary to submit to the President and the Congress a report on the results of such study together with his recommendations. Creates a Federal Mental Health Trust in the Treasury of the United States, and creates a Board of Trustees to govern the operation of the fund. Authorizes appropriations to the trust fund for fiscal year 1974, and for each fiscal year thereafter, in an amount equal to 100 percent of the taxes imposed, under the Internal Revenue Code, under the provisions of title II of this Act. Provides that the trust fund shall be available to the Secretary for the payment of benefits under this title. Provides that the Secretary shall submit annually to the President and to the Congress a full report on the program under this title, including his recommendations for any improvements or modifications therein. Title II: Mental Health Taxes - Imposes a mental health tax, under the Internal Revenue Code, on the income of every individual equal to 0.16 percent of so much of the wages received by him in any calender year with respect to employment as exceeds the sum of $6,500, plus one-half of the amount by which the regular contribution base for such year exceeds $9,000. (Amends 26 U.S.C. 3101) Imposes on every employer an excise tax, with respect to having individuals in his employ, equal to 0.52 percent of the wages paid by such employer in any calendar year beginning on or after the effective date of the mental health taxes with respect to employment. (Amends 26 U.S.C. 3111) Imposes for each taxable year on the self-employment imcome of every individual a tax equal to 0.38 percent of so much of the self-employment income for such taxable year as exceeds the sum of $6,500 plus one-half of the amount by which the regular contribution base for such year exceeds $9,000. (Amends 26 U.S.C. 1401) Imposes for each taxable year beginning on or after the effective date of the mental health taxes, on the income of every individual residing in the United States whose mental health unearned income for the taxable year is $400 or more, a tax equal to 0.16 percent of the amount of such mental health unearned income for such taxable year. (Amends 26 U.S.C. 1403, 1404) Makes amendments to the Internal Revenue Code to conform with the above provisions.

Bill· HRH.R. 3669 (93rd)referred

A bill to promote research and development of drugs and chemical compounds for use in the cure, prevention, or treatment of heroin addiction.

United States · United States Congress · 5 February 1973

Authorizes the Secretary of Health, Education, and Welfare, acting through the Director of the National Institute of Mental Health, to contract with any qualified public, private, or nonprofit agency, institution, organization, or any qualified individual for the purpose of discovering, developing, testing, evaluating, or manufacturing a drug, chemical compound, or other substance, or instrument, or device which can be used safely and effectively to treat, prevent, or cure heroin addiction, or aid in the treatment or prevention of, or cure for, heroin addiction. Authorizes to be appropriated not to exceed $50,000,000 to carry out the purposes of this Act.

Bill· HRH.R. 3687 (93rd)referred

A bill to amend the Public Health Service Act to provide for the establishment of a National Sickle Cell Anemia Institute.

United States · United States Congress · 5 February 1973

Establishes in the Public Health Service the National Sickle Cell Anemia Institute. Provides that the Institute shall: (1) conduct and support research on sickle cell anemia; (2) provide training and establish fellowships in matters relating to the diagnosis, treatment and prevention of this disease; (3) provide for nationwide screening programs to determine the incidence of sickle cell anemia and its traits among school age children; (4) conduct and support counseling and education programs to make the public aware of the services available with respect to sickle cell anemia; and (5) assist the Defense Secretary in screening all persons entering the armed forces for sickle cell anemia and its traits. Establishes an advisory council to assist the Secretary of HEW in matters relating to the institute. Provides that this council will assume the responsibilities of the National Advisory Health Council on matters relating to sickle cell anemia. (Amends 42 U.S.C. 289).

Bill· HJRESH.J.Res. 294 (93rd)referred

Crime and Drug Commission Resolution

United States · United States Congress · 5 February 1973

Crime and Drug Commission Resolution - Establishes the National Commission on Crime and Drugs, composed of twelve members, to conduct a comprehensive study and investigation of: (1) the relationship between drug addiction and crime, specifying as precisely as possible the impact of various types of drug addiction on the crime rate; and (2) the methods of treating and controlling such addiction, including, without limitation, methadone and other drug maintenance and withdrawal programs. Requires the Commission to transmit to the President and to the Congress a final report not later than one year after the date of enactment of this Act, containing a detailed statement of the findings and conclusions of the Commission together with such recommendations for legislation as it deems appropriate. Grants the Commission specified powers to carry out the objectives of this resolution. Authorizes to be appropriated such sums as may be necessary to carry out the provisions of this joint resolution. Provides that the Commission shall cease to exist thirty days after submitting its final report, as required by this joint resolution.

Bill· SS. 744 (93rd)referred

Rural Health Act

United States · United States Congress · 2 February 1973

Rural Health Act - Establishes an Office of Rural Health Care within the Department of Health, Education, and Welfare. Provides that such Office shall be directed by a Deputy Assistant Secretary for Rural Health Care who shall be appointed by the Secretary of H.E.W. Specifies the functions of the Deputy Assistant Secretary. Assigns one or more representatives of the Office to each regional office of the Department for the purpose of providing technical assistance to rural communities and to entities and individuals interested in the improvement of health care in rural areas. Authorizes the Secretary to appoint a National Council on Rural Health to consist of ten members selected from among individuals who are recognized authorities in the fields of rural development, rural health care delivery, and health professions education. Requires the Council to conduct a study and submit a report to the Secretary and the Congress, within two years after its appointment, on: (1) the health of persons residing in rural areas of the United States; (2) the adequacy of health care delivery to such persons; and (3) the extent to which Federal programs are involved in, and effectively assist in, the improvement of the health of such persons and health care delivery for them. Authorizes to be appropriated $2,000,000 for fiscal year 1974, $4,000,000 for fiscal year 1975; and $6,000,000 for fiscal year 1976 for the purpose of operating and maintaining the Office of Rural Health Care. Authorizes to be appropriated $50,000 for fiscal year 1974; $100,000 for fiscal year 1975; and $150,000 for fiscal year 1976 for the purpose of operating and maintaining the National Council on Rural Health.

Bill· SS. 723 (93rd)referred

National Institute of Health Care Delivery Act

United States · United States Congress · 1 February 1973

National Institute of Health Care Delivery Act - States that it is the purpose of this Act to establish a National Institute of Health Care Delivery and regional and special emphasis centers to improve health care delivery and to help speed the delivery of the benefits of medical science and the scientific discovery system to the people of the United States. Establishes in the Department of Health, Education, and Welfare a National Institute of Health Care Delivery. Provides that the Institute shall carry out a multidisciplinary research and development program to improve delivery of health care services and shall be the principal Government agency for the improvement of health care in the United States. Provides that the Director and Deputy Director of the Institute shall be appointed by the President, by and with the consent of the Senate. Authorizes the Director to appoint up to four Assistant Directors. Provides that it shall be the function of the Institute to pursue methods and opportunities to improve and advance the effectiveness, efficiency, and quality of health care delivery in the States, regions, and communities of the United States through initiation and support of studies, research, experimentation, development, demonstration and evaluation of areas and subjects set forth in this Act. Provides that the Institute shall: (1)develop methods for, and support of, training of individuals to plan and conduct research, development, demonstrations, and evaluation of health care delivery and related services; (2) provide technical assistance and development of methods for the transfer of new knowledge, components, and systems to public and private agencies, programs, institutions, and individuals engaged in the improvement of health care delivery ; and (3) collaborate with governments and private care institutions and programs in foreign countries for the exchange of information and support of research, experiments, demonstrations, and training in order to advance health care delivery in the United States and cooperating nations. Sets forth the administrative powers of the Director under this Act. Provides that where funds are advanced for a single project under this Act by more than one Federal agency the Director may act for all in administering the funds advanced and a single non-Federal share requirement may be established according to the proportion of the funds advanced by each Federal agency. Provides for the transfer of research funds from other Government departments and agencies, with the approval of the head of the department or agency involved, for such use as is consistent for the purposes for which the funds were provided. Transfers the National Center for Health Services Research and Development from the Health Services and Mental Health Administration to the Institute. Authorizes the President, for a period of two years after the date of enactment of this Act, to transfer to the Institute any functions of the Department of Health, Education, and Welfare which relate primarily to the functions, powers and duties of the Director, as described by this Act. Establishes a National Advisory Council on Health Care Delivery to be composed of twenty-one members. States that the Council shall consist of the Secretary of Health, Education, and Welfare, the Chief Medical Officer of the Veterans' Administration, a medical officer designated by the Secretary of Defense, the Administrator of the Health Services and Mental Health Administration, the Director of the National Institutes of Health and the Director of the National Institute of Health Care Delivery, who shall be ex officio members, and fifteen members, who are not otherwise full-time employees of the United States, to be appointed by the President. Provides that the appointed members shall be: (1) leaders in the field of medical science, or in the organization, delivery or financing of health care; (2) leaders in the management sciences; and (3) representatives of the consumers of health care. Provides that the Council shall: (1) review programs, policies, and priorities of the Institute and centers established under this Act and advise the Director on the development and conduct of the programs of the Institute and centers; (2) examine and coordinate health care delivery efforts within the Department of Health, Education, and Welfare and other Federal departments and agencies so as to avoid duplication; and (3) assure that significant research and development findings of the Institute and centers are being disseminated to the health care system, and evaluate the extent such findings are making an impact on the health care delivery system. Provides that the Director shall, within one year after the date of his appointment and prior to February 1 of each year thereafter, prepare and submit a written report to the Secretary for his transmittal to the President and the Congress. Creates within the Institute an Office of Health Care Delivery Information Services. States that the office shall: (1) provide indexing, abstracting, translating and other services leading to a more effective dissemination of information on research and development in health care delivery to public and private agencies, institutions, and individuals engaged in the improvement of health care delivery and to the general public; and (2) undertake programs to develop new or improved methods for making such information available. Authorizes to be appropriated for the purpose of carrying out the provisions of this Act (except for the provisions dealing with regional and special emphasis centers) the sum of $125,000,000 for fiscal year 1973, $150,000,000 for fiscal year 1974, and $200,000,000 for fiscal year 1975. Provides that any unexpended sums may be carried over without fiscal year limitation. Authorizes the Director to enter into cooperative arrangements with public or private nonprofit agencies or institutions to pay all or part of the cost of planning, establishing, and providing operating support for: (1) not to exceed eight regional centers to carry out multidisciplinary research and development in health care delivery; (2) the Health Care Technology Center which shall focus on all forms of technology and its application in health care delivery; and (3) the Health Care Management Center which shall focus on the improvement of management and organization in the health field, the training and retraining of administrators, and the development of leaders, planners and policy analysts in such field. Provides that Federal support shall not exceed $2,000,000 per year per center, except for the Health Care Technology Center, and such support may be funded for an initial period of not to exceed three years. Authorizes to be appropriated for the purpose of providing such support $30,000,000 for fiscal year 1973, $35,000,000 for fiscal 1974, and $40,000,000 for fiscal year 1975. Provides that any unexpended sums may be carried over without fiscal year limitation. Authorizes the Director to provide funds to be used to increase the Federal contribution to research and demonstration projects, which have been designated by the National Advisory Council as essential, above the maximum level of Federal contributions otherwise authorized by any applicable law. Provides that the increased Federal contribution shall not exceed eighty percent of the cost of such projects. Provides that not to exceed ten percent of the funds authorized by this Act shall be available for such grants.

Bill· SS. 739 (93rd)referred

A bill to allow use of highway funds for any transportation improvements necessary to avoid air pollution dangerous to public health, and to prohibit highway projects which may create air pollution dangerous to public health.

United States · United States Congress · 1 February 1973

Provides that the Secretary of Transportation, upon the joint request of a State Governor and the local governments concerned, shall withdraw his approval for any route or portion thereof designated or selected as part of the Federal-aid primary system, the Federal-aid secondary system, or the Interstate System within an urbanized area where he determines that the Administrator of the Environmental Protection Agency has certified that the air quality region which contains such urbanized area will fail to achieve, by July 1, 1975, levels of air quality in accordance with the Clean Air Act. Provides that amounts appropriated to a State for projects on routes or portions thereof for which approval has been withdrawn in accordance with this Act shall be transferred to and added to the amounts apportioned to such State under the Federal-aid urban system for the account of the urbanized area from which the withdrawal of the routes or portions thereof was made. (Amends 23 U.S.C. 103) Provides for emergency assistance for transportation system improvements in those air quality regions within a State which the Administrator of the Environmental Protection Agency has certified necessary will fail to achieve, by July 1, 1975, levels of air quality. Makes ten percent of the funds appropriated for expenditure upon the Federal-aid systems available for such assistance.

Bill· SS. 654 (93rd)referred

Emergency Medical Service Systems Act

United States · United States Congress · 31 January 1973

Emergency Medical Service Systems Act - Establishes , within the Department of Health, Education, and Welfare, an Emergency Medical Services Administration to be headed by a Director who shall be appointed by the President, by and with the advice and consent of the Senate. Authorizes the Director to allot funds to those States which qualify under this Act for distribution to local communities to assist in the development and operation of qualified emergency medical service systems. Sets forth criteria for the emergency medical service systems to be assisted by this Act. Sets forth qualifications for the States and the local communities as conditions for such assistance. Establishes standards for the operation of the emergency medical service systems. Transfers to the Director all functions, powers, and duties of the Secretary of Transportation and the National Highway Safety Bureau relating to emergency medical services which are being exercised under, in connection with, or as a part of the uniform standards for State highway safety programs. Provides that the standards established by the Director under this Act shall apply to and govern the operation of all ambulance and other emergency medical services which are provided or assisted in any way under Federal law or under programs established, carried on, or supported under Federal law. Provides that loans and grants authorized under this Act may be made only to services that meet the applicable standards established under this Act. Sets forth requirements for the membership composition of the individual State Emergency Medical Services Advisory Councils established under this Act. Establishes an Interagency Council to provide for the communication and exchange of information that is necessary to maintain the necessary coordination and effectiveness of emergency medical service programs and activities of all Federal agencies and developments that are involved in such programs. Provides for the creation of a National Emergency Medical Services Advisory Committee which shall advise, consult with, and make recommendations to the Director with respect to overall planning and policy and the objectives and priorities for all emergency medical services. Provides that the Director, with the approval of the Secretary of Health, Education, and Welfare, shall prescribe such regulations as may be necessary or appropriate to carry out this Act. Provides that the Director shall annually submit to the President and the Congress a full and complete report on activities under this Act. Authorizes to be appropriated for financial assistance and for the initial purchase of ambulance equipment, $150,000,000 for fiscal year 1973, $150,000,000 for fiscal year 1974, $150,000,000 for fiscal year 1975. Authorizes to be appropriated, for other expenses incurred by the Director and the Administration in carrying out this Act, $50,000,000 for fiscal year 1973, $60,000,000 for fiscal year 1974, and $70,000,000 for fiscal year year 1975.

Bill· SS. 648 (93rd)referred

National Diabetes Act

United States · United States Congress · 31 January 1973

National Diabetes Act - States that it is the purpose of this Act to expand the authority of the National Institute of Arthritis, Metabolism, and Digestive Diseases in order to advance the national attack on diabetes. Authorizes the Director of the National Institute of Arthritis, Metabolism, and Digestive Disease, with the advice of the National Advisory Council of the Institute, to develop a plan for a national diabetes program. Sets forth general guidelines for such program and provides that the program shall be coordinated with the other programs conducted or administered by the research institutes of the National Institute of Health. Provides that the plan required to be developed by this Act shall be developed within two hundred seventy days after the effective date of this Act. Requires the Director of the Institute, at the end of each calendar year, to prepare and submit to the President for transmittal to the Congress a report on the activities, progress and accomplishments under the program during the preceding year and a plan for the program for the succeeding five-year period. Authorizes the Director of the National Institute of Arthritis, Metabolism, and Digestive Diseases to establish programs as necessary in cooperation with other Federal health agencies, State, local, and regional public health agencies, and nonprofit private health agencies, in the prevention, control, and evaluation of diagnosis and treatment of diabetes, appropriately emphasizing the prevention, control, diagnosis and treatment of such diseases in children. Authorizes to be appropriated $25,000,000 for the fiscal year ending June 30, 1974, $35,000,000 for the fiscal year ending June 30,1975, and $45,000,000 for the fiscal year ending June 30, 1976, for the purpose of establishing such programs. States that the Director of the National Institute of Arthritis, Metabolism, and Digestive Diseases may provide for the development of not less than fifteen centers for basic and clinical research into, training in, and demonstration of advanced diagnostic, prevention, and treatment methods for diabetics. Outlines a diabetes prevention program for the centers. States that support of such a center may be for a period of not to exceed five years and may be extended by the Director of the National Institute of Arthritis, Metabolism, and Digestive Diseases for additional periods of not more than five years each, after review of the operations of the center by a scientific review group established by the Director. Establishes an Interagency Technical Committee on Diabetes which shall be responsible for coordinating those aspects of all Federal health programs and activities relating to diabetes.

Bill· SS. 667 (93rd)referred

Radiation Health and Safety Act

United States · United States Congress · 31 January 1973

Radiation Health and Safety Act - Provides, under the Public Health Service Act, that the Secretary of Health, Education, and Welfare shall develop and issue to the States criteria and minimum standards for the accreditation of education institutions conducting programs for the training of radiologic technologists and minimum criteria for education institutions conducting programs for the training of medical and dental practitioners. Provides that the Secretary shall develop and issue to the States criteria and minimum standards for licensure of radiologic technologists, and such other advice and assistance as he deems necessary. Provides that State and local governments shall be encouraged to minimize exposure of the public to ionizing from all sources. Provides for procedures for the adoption of such standards by the States. Provides that the Secretary may make grants to States in an amount up to two-thirds of the first year and one-third of the second year costs of planning, developing, or establishing programs to carry out the purposes of this Act. Makes it unlawful to conduct activities contrary to this Act. Provides that any violation of this Act by the owner or operator of an educational institution, or an individual applying radiation to human beings for diagnostic or therapeutic purposes shall be subject to a civil penalty of not more than $1,000.

Bill· HRH.R. 3502 (93rd)referred

National Blood Bank Act

United States · United States Congress · 31 January 1973

National Blood Bank Act - Establishes a National Blood Bank Program in the Department of Health, Education, and Welfare. Prescribes standards by which the Director of such program shall designate a group or organization as a national blood bank system, including the requirement that all member blood banks maintain a program for the recruitment of voluntary blood donors, and a system of accreditation for member blood banks. Provides that the Director shall, in order to assure an adequate supply of pure and safe blood throughout the Nation: (1) develop new procedures, materials, and techniques to inform the public of the need to voluntarily donate blood; (2) provide direct assistance to establish an adequate supply of voluntary blood in those parts of the country where it is presently unavailable; (3) develop a national program to honor and recognize all voluntary donors; and (4) establish yearly goals of voluntary donors for each blood bank. Provides that the Director shall maintain a registry of all persons who give blood after July 1, 1972, to a licensed blood bank. Provides that blood banks affected by this Act must be licensed by the Director subject to a fee of not more than $125 per annum and subject to periodic inspection by the Director. Requires the Director to issue such license when such blood bank agrees to require identification of each blood donor, agrees to transmit to the Director such information as the Director may require and when the application therefor contains or is accompanied by such information as the Director finds necessary and the applicant agrees and the Director determines the blood bank will be operated in accordance with standards the Director issues to carry out the purposes of this Act. Authorizes the Director to sue in the United States district court to enjoin any activity by a blood bank licensed under this Act which would constitute an imminent hazard to the public health. Provides for appeal from, and review of, such proceedings. Provides that a willful violation of the provisions of this Act shall be a misdemeanor punishable by imprisonment for not more than one year or a fine of not more than $1,000, or both. Establishes an Advisory Council to the Director appointed by the President to make recommendations to the Director on means of attaining the goals of the program. Provides that, notwithstanding any antitrust law, a national blood bank system may exclude or reject from membership in such system any blood bank which does not qualify for tax-exempt status under the Internal Revenue Code. Requires the United States to contract for, or pay for, the provision of blood from a Class A Blood Bank, defined under this Act as part of a national blood bank system. Authorizes to be appropriated $10,000,000 for fiscal year 1973, $10,000,000 for fiscal year 1974, and $10,000,000 for fiscal year 1975, to carry out the provisions of this Act.

Bill· HRH.R. 3485 (93rd)referred

Rehabilitation Act

United States · United States Congress · 31 January 1973

Rehabilitation Act - Declares that it is the purpose of this Act to provide a statutory basis for the Rehabilitation Service Administration and to establish within the Department of Health, Education and Welfare an Office for the Handicapped, and to authorize specified programs. Establishes within the Department of Health, Education, and Welfare a Rehabilitation Services Administration which shall be administered by a Commissioner. Provides that the Commissioner shall carry out and administer all programs and direct the performance of all services for which authority is provided to the Secretary of H.E.W. under titles I through IV of this Act. Creates within such administration a Division of Research, Training and Evaluation which shall be responsible for carrying out programs and projects under title IV of this Act. Authorizes the inclusion of appropriations under this Act in appropriations for the fiscal year preceding the fiscal year for which they are available for obligation. Provides that where funds are provided for a single project by more than one Federal agency to an agency or organization assisted under this Act, the Federal agency principally involved may be designated to act for all in administering such funds, pursuant to regulations prescribed by the President. Sets forth definitions of terms used in this Act. Title I: Vocational Rehabilitation Services - States it to be the purpose of this title to authorize grants to assist States to meet the current and future needs of handicapped individuals, so that such individuals may prepare for and engage in gainful employment to the extent of their capabilities. Authorizes to be appropriated $800,000,000 for fiscal year 1973, and $975,000,000 for fiscal year 1974 for the purpose of making grants to States to assist them in meeting the costs of vocational rehabilitation services. Authorizes to be appropriated $50,000,000 for fiscal year 1973, $60,000,000 for fiscal year 1974, and $75,000,000 for fiscal year 1975, for the purpose of making grants to States and public and nonprofit agencies to assist them in meeting the costs of projects to initiate or expand services to handicapped individuals. Sets forth the requirements of State plans to be submitted and approved for participation in programs under this title and under title II of this Act. Authorizes judicial review in United States district courts of decisions by the Commissioner of the Rehabilitation Services Administration affecting State plans. Provides that the Commissioner shall insure that the individualized written rehabilitation program required in a State plan in the case of each handicapped individual shall be developed jointly by the vocational rehabilitation counselor or coordinator and the handicapped individual. Defines vocational rehabilitation services provided under this Act as any goods or services necessary to render a handicapped individual employable, including, but not limited to, the following: (1) evaluation of rehabilitation potential; (2) counseling, guidance, referral, and placement services for handicapped individuals; (3) vocational and other training services for handicapped individuals; (4) physical and mental restoration services; (5) maintenance, not exceeding the estimated cost of subsistence, during rehabilitation; (6) interpreter services for the deaf, and reader services for the blind; (7) recruitment and training services for handicapped individuals; (8) rehabilitation teaching services and orientation and mobility services for the blind; (9) occupational licenses, tools, equipment, and initial stocks and supplies; (10) transportation in connection with the rendering of any vocational rehabilitation services; and (11) telecommunications, sensory, and other technological aids and devices. Provides a formula for the allotment and payment of funds to States for providing rehabilitation services under this title. Directs the Commissioner to establish offices in ten to twenty geographically dispersed regions for client assistance pilot projects to provide counselors to inform and advise all clients and client applicants in the project area of all available benefits under this Act and to assist them in their relationships with projects, programs, and facilities providing services to them under this Act. Directs the Commissioner to pay to a State or, at the option of the State, to a public or nonprofit organization or agency a portion of the cost of planning, preparing for, and initiating special programs under the State plan to expand vocational rehabilitation services. Title II: Comprehensive Rehabilitation Services - States it to be the purpose of this title to authorize grants to assist the several States in developing and implementing continuing plans for meeting the current and future needs of handicapped individuals for whom a vocational goal is not possible or feasible authorizes to be appropriated $30,000,000 for fiscal year 1973, $50,000,000 for fiscal year 1974, and $80,000,000 for fiscal year 1975 for grants to carry out the purposes of this title. Specifies the formula to be utilized in alloting such funds to the States. Directs the Commissioner to make grants to States and public and nonprofit agencies or organizations to pay part of the cost of projects for research and demonstration and training which hold promise of making a substantial contribution to the solution of problems related to the rehabilitation of individuals under this title. Title III: Special Federal Responsibilities Authorizes the Commissioner to make grants and contracts to assist in meeting the costs of construction of public or nonprofit rehabilitation facilities, initial staffing, and planning assistance. Authorizes to be appropriated for such grants and contracts $35,000,000 for fiscal year 1973, $40,000,000 for fiscal year 1974, and $45,000,000 for fiscal year 1975. Authorizes the Commissioner to make grants to States and public or nonprofit organizations and agencies to pay up to 90 percent of the cost of projects for providing vocational training services to handicapped individuals, especially those with the most severe handicaps, in public or nonprofit rehabilitation facilities. Authorizes to be appropriated for such grants and contracts $30,000,000 for fiscal year 1973, $35,000,000 for fiscal year 1974, and $40,000,000 for fiscal year 1975. Authorizes the Commissioner to insure up to 100 percent of any mortgage on the construction of facilities for programs for handicapped individuals. Creates a Rehabilitation Facilities Insurance Fund to be used by the Commissioner as a revolving fund for carrying out the insurance provisions of this part. Provides that the total amount of outstanding mortgages shall not exceed $250,000,000. Authorizes to be appropriated such sums as may be necessary for initial capital for such Fund. Authorizes the Commissioner to make annual interest grants to assist States and public or nonprofit agencies and organizations to reduce the cost of borrowing from other sources for the construction of rehabilitation facilities. Authorizes to be appropriated such sums as may be necessary for the payment of annual interest grants in accordance with this part. Authorizes the Commissioner to make grants to States and public or nonprofit agencies and organizations for paying part of the cost of special projects and demonstrations: (1) for establishing facilities and providing services which hold promise of expanding or otherwise improving rehabilitation services to handicapped individuals, especially those with the most severe handicaps; and (2) for applying new types or patterns of service or devices. Allows the Commissioner to make grants to pay up to 90 percent of the cost of projects or demonstrations for the provision of vocational or comprehensive rehabilitation services to handicappped individuals who are migratory agricultural workers or seasonal farmworkers, and to members of their families who are with them. Provides that the Commissioner may make contracts or jointly finance cooperative arrangements with employers and organizations for the establishment of projects designed to prepare handicapped individuals for gainful and suitable employment in the competitive labor market under which such handicapped individuals are provided training and employment in a realistic work setting and such other services as may be necessary for such individuals to continue to engage in such employment. Authorizes the Commissioner to provide technical assistance to rehabilitation facilities, and for the purpose of removal of architectural and transportation barriers, to any public or nonprofit agency, institution, organization or facility. Authorizes to be appropriated, for the purpose of making grants under this part, $50,000,000 for fiscal year 1973, $125,000,000 for fiscal year 1974, and $150,000,000 for fiscal year 1975. Authorizes to be appropriated $5,000,000 for construction, $800,000 for operations for fiscal year 1973, $1,200,000 for operations for fiscal year 1974, and $2,000,000 for operations for fiscal year 1975, for establishing and operating a National Center for Deaf-Blind Youths and Adults. Authorizes to be appropriated $2,000,000 for fiscal year 1973, $4,000,000 for fiscal 1974, and $7,000,000 for fiscal year 1975 and for making grants and contracts for the expansion and improvement of vocational or comprehensive rehabilitation services for deaf and blind individuals. Authorizes to be appropriated, for the purpose of establishing and operating National Centers for Spinal Cord Injuries, $15,000,000 for fiscal year 1973, $25,000,000 for fiscal year 1974, and $30,000,000 for fiscal year 1975. Authorizes to be appropriated, for providing services for the treatment of individuals suffering from end-stage renal disease, $25,000,000 for fiscal year 1973, $25,000,000 for fiscal year 1974, and $25,000,000 for fiscal year 1975. Establishes a National Advisory Council on Rehabilitation of Handicapped Individuals in the Department of Health, Education, and Welfare to: (1) provide policy advice and consultation to the Secretary of Health, Education, and Welfare, and the Commissioner; (2) review the administration and operation of vocational rehabilitation programs under this Act; and (3) advise the Secretary and the Commissioner with respect to the conduct of independent evaluations of programs carried out under this Act. Authorizes appropriations of $100,000 for fiscal year 1973 and $150,000 for each of fiscal years 1974 and 1975 to carry out the functions of the Council. Title IV: Research and Training - Authorizes the Commissioner to make grants to and contracts with States and public or nonprofit agencies and organizations to pay part of the cost of projects for the purpose of planning and conducting research, demonstrations, and related activities, which bear directly on the development of methods, procedures, and devices to assist in the provision of vocational and comprehensive rehabilitation services to handicapped individuals, especially those with the most severe handicaps. Authorizes to be appropriated for such research activities $75,000,000 for fiscal year 1973, $100,000,000 for fiscal year 1974, and $150,000,000 for fiscal year 1975. Authorizes the Commissioner to make grants to and contracts with States and public and nonprofit agencies and organizations to pay part of the cost of projects for training, traineeships, and related activities designed to assist in increasing the numbers of personnel trained in providing vocational and comprehensive rehabilitation services to handicapped individuals and in performing other functions necessary to the development of such services. Authorizes to be appropriated for such training grants $50,000,000 for fiscal year 1973, $75,000,000 for fiscal year 1974, and $100,000,000 for fiscal year 1975. Title V: Administration and Program and Project Evaluation - Provides that, in carrying out his duties under this Act, the Commissioner shall: (1) cooperate with, and render technical assistance to States in matters relating to the rehabilitation of handicapped individuals; (2) provide short-term training and instruction in technical matters relating to vocational and comprehensive rehabilitation services; and (3) disseminate information relating to vocational and comprehensive rehabilitation services, and otherwise promote the cause of the rehabilitation of handicapped individuals and their greater utilization in gainful and suitable employment. Directs the Secretary to measure and evaluate the impact of all programs authorized by this Act. Title VI: Office for the Handicapped - Establishes an Office for the Handicapped in the Department of Health, Education, and Welfare to: (1) prepare a long-range projection for the provisions of comprehensive services to handicapped individuals; (2) analyze program operations; (3) encourage coordinated and cooperative planning; (4) provide assistance to other committees advising the Secretary; (5) develop means of promoting scientific research to bring about the full integration of handicapped individuals into all aspects of society; and (6) provide a central clearinghouse for information and resource availability for handicapped individuals. Authorizes to be appropriated for purposes of this title $1,000,000 for fiscal year 1973, $2,000,000 for fiscal year 1974, and $2,000,000 for fiscal year 1975. Title VII: Miscellaneous - Provides that the Vocational Rehabilitation Act is repealed ninety days after the date of enactment of this Act. Establishes an Interagency Committee on Handicapped Employees to insure the adequacy of hiring, placement, and advancement practices with respect to handicapped individuals by each department, agency, and instrumentality of the executive branch of Government. Establishes a National Commission on Transportation and Housing for Handicapped Individuals to identify and eliminate transportation barriers that impede the mobility of handicapped individuals and aged handicapped individuals, and to prepare plans and proposals for such further action as may be necessary to the goals of adequate transportation and housing for handicapped individuals. Establishes an Architectural and Transportation Barriers Compliance Board to investigate and examine alternative approaches to the architectural, transportation, and attitudinal barriers confronting handicapped individuals. Authorizes appropriations of $1,000,000 for fiscal year 1973; $1,250,000 for fiscal year 1974; and $1,500,000 for fiscal year 1975 to carry out the duties and functions of the Board.

Bill· HRH.R. 3381 (93rd)referred

A bill to promote public health and welfare by expanding and improving the family planning services and population research activities of the Federal Government.

United States · United States Congress · 31 January 1973

Establishes, within the Department of Health, Education, and Welfare a National Population Sciences and Family Planning Services Administration. Establishes, within the Administration, a National Center for Family Planning Services, to carry out a public information services program for planning and development, manpower development and training, supervision of field services, and grants management. Establishes, within the Administration, a National Institute for Population Sciences to carry out reproductive physiology research, contraceptive development and evaluation, operational research, social science research, and grants management. Provides that the Secretary of Health, Education and Welfare shall utilize the Administration to administer programs and research related to population and family planning. Authorizes to be appropriated for each fiscal year such amounts as may be necessary to meet the administrative expenses of the Administration. Directs the Secretary, on January 1 after the enactment of this Act, to make a report to the Congress setting forth a plan to be carried out over a period of 5 years for extention of family planning services to all persons desiring such services, for research programs in reproductive physiology, contraceptive and development and evaluation, the social sciences and operational research, for training of necessary manpower for services and research, and for carrying out the other purposes set forth in this Act. Authorizes the Secretary to make, through the Administration, grants to public agencies and nonprofit organizations and institutions to assist in the establishment and operation of voluntary family planning projects. Directs the Secretary to make grants to State health agencies to assist the States in planning, establishing, maintaining, coordinating, and evaluating family planning services. Authorizes appropriations for fiscal year 1974 through fiscal year 1978 to enable the Secretary to carry out the provisions of the two foregoing programs. Authorizes appropriations for manpower development and program planning and evaluation for fiscal year 1974 through fiscal year 1978 in order to implement the aforementioned family planning programs. States that, in order to promote research in the biomedical, contraceptive development, social science and operational research fields related to population and family planning, the Secretary is authorized to make grants to public agencies and nonprofit organizations and in- stitutions, and to enter into contracts with groups, associations, institutions, individuals, or corporations for the conduct of such research. Authorizes appropriations for fiscal year 1974 through fiscal year 1978 for the purpose of making grants and contracts under this section. Authorizes appropriations for fiscal year 1974 through fiscal year 1978 for project grants to assist in meeting the cost of construction and operation of centers for research relating to human reproduction, sterility, contraception, effectiveness of service delivery, population trends, and other aspects of, or factors which affect, population dynamics. States that applications for grants under this section shall be approved by the Secretary only if the applicant is an institution of higher education or other public or private nonprofit institution which the Secretary determines is competent to engage in the type of research necessary. Provides that the total of the grants with respect to such project shall not exceed 75 percent of the cost of the project. States that if within twenty years after completion of any construction for which funds have been paid under this section: (1) the applicant or other owner of the facility shall cease to be a public or private nonprofit institution; or (2) the facility shall cease to be used for the purposes for which it was constructed, unless the Secretary determines, in accordance with the promulgated regulations, that there is good cause for releasing the applicant or other owner from the obligation to do so, the United States shall be entitled to recover from the applicant or other owner the facility the amount bearing the same ratio to the value of the facility at that time as the amount of the Federal participation bore to the cost of the construction of the facility. Authorizes the Secretary to make project grants and to enter into contracts with public agencies and nonprofit organizations and institutions to assist in developing and making available family planning and population growth information to all persons desiring such information or materials. Authorizes the appropriation of specified sums for the fiscal years 1974 through 1978 for the purpose of making grants or entering into contracts under this section.

Bill· HRH.R. 3308 (93rd)referred

A bill to amend the Public Health Service Act to direct the Secretary of Health, Education, and Welfare to study the feasibility of broadening the purposes of the Uniformed Services University of the Health Sciences to train civilian physicians to serve in medically underserved areas.

United States · United States Congress · 30 January 1973

Directs the Secretary of Health, Education, and Welfare to study the feasibility of broadening the purposes of the Uniformed Services University of the Health Sciences to train civilian physicians to serve in medically underserved areas, and provides for the submission to Congress of such report within one year of enactment of this Act.

Bill· HRH.R. 3261 (93rd)referred

Cosmetics Act

United States · United States Congress · 30 January 1973

Cosmetics Act - Provides that manufacturers of cosmetics shall register with the Secretary of Health, Education and Welfare. Provides that, as a part of such registration, each manufacturer shall file a statement with the Secretary in such form and detail as the Secretary shall prescribe. Provides that such statement shall include: (1) the name and address of the manufacturer and of any other person whose name will appear on the label or labeling of any cosmetic manufactured by such manufacturer, and the address of each plant in which such cosmetic is manufactured; (2) the name of each cosmetic manufactured by such manufacturer, and the formula of each such cosmetic which shall include the name and quantity of each component of each such cosmetic; (3) a copy of the label and labeling of each cosmetic manufactured by such manufacturer; and (4) a list of the uses of each cosmetic manufactured by such manufacturer which are represented on the label or labeling of each such cosmetic and any other reasonably foreseeable uses of each such cosmetic. Provides that whenever the information contained in a statement filed by a manufacturer under this Act is not accurate and up to date, such manufacturer shall file with the Secretary within thirty days after such statement is determined to be no longer accurate and up to date, such amendment or amendments as may be necessary to make the information contained in such statement accurate and up to date. Provides that no manufacturer of any cosmetic shall sell or offer for sale in the United States any cosmetic unless: (1) such manufacturer, either himself or by contract, tests such cosmetic as provided for in this Act; (2) such manufacturer submits to the Secretary an accurate and complete description of each test conducted concerning such cosmetic and the results of each such test; (3) such manufacturer submits to the Secretary an accurate and complete description of the process used to manufacture and package such cosmetic; and (4) such manufacturer submits to the Secretary a list of the health claims made on the label of such cosmetic or made in any advertising concerning such cosmetic. Requires the Secretary to receive from the manufacturers covered by this Act specified test information concerning their cosmetics. Authorizes the Secretary to require any type and number of tests for any of the above items, and for any other items, which he deems necessary in order to make a determination pursuant to this Act. Provides that each label of each cosmetic offered for sale in the United States shall include the following information: (1) an identification, including the address, of the manufacturer or distributor of such cosmetic; (2) the name of such cosmetic; (3) the name of each ingredient of such cosmetic, except that perfumes and colorings, may be designated as perfumes and colorings and that reasonable variations shall be permitted for small packages which shall be established by regulations prescribed by the Secretary; (4) the registration number assigned to the manufacturer of such cosmetic by the Secretary; (5) a list of the use or uses of such cosmetic, as the case may be, together with directions for each such use; and (6) the date after which such cosmetic should not be used because of the fact that any preservative or antibacterial agent which is an ingredient of such cosmetic is no longer effective. Requires cosmetics manufacturers to maintain complaint files and to report on these on a quarterly basis to the Secretary. Provides that each such report shall include the following information: (1) an identification of the person filing such report; and (2) the total number of consumer complaints received during the three-month period covered by such report with respect to each cosmetic manufactured by such person, the nature of each such complaint, the name and address of the person writing each such complaint, and any action taken by the person filing such report with respect to the complaint. Provides that manufacturers required to file such reports shall: (1) preserve any consumer complaint received with respect to any cosmetic manufactured by such person for a period of three years after the close of the three-month period covered by the report based on any such complaint; and (2) upon request of the Secretary, make such complaints available for inspection by the Secretary.

Bill· HRH.R. 3276 (93rd)referred

Children's Dental Health Act

United States · United States Congress · 30 January 1973

Children's Dental Health Act - Provides the following fund authorizations for grants to State agencies or other organizations to carry out programs of dental care for preschool and school age children who are unable to obtain such services: fiscal year 1972-$5,000,000; fiscal year 1973-$15,000,000; and 1974-$30,000,000. Provides the following authorizations for grants for water treatment programs to prevent dental disease: fiscal year 1973-$2,000,000; fiscal year 1974-$3,000,000; and fiscal year 1975-$4,000,000. Provides for the Federal Goverment to share a portion of the costs of these programs. Authorizes grants totaling $57,000,000 covering the fiscal years 1973-1975 to public and private non-profit institutions to educate veterans and other persons as auxiliary dental personnel. Authorizes grants totaling $26,000,000 covering fiscal years 1973-1975 to dental schools and other organizations for projects to promote the most effective use of auxiliary dental personnel. Directs the President to appoint a seven member Dental Advisory Committee to advise the Secretary of Health, Education, and Welfare on programs to meet the dental needs of the country. Requires the Secretary to report annually to Congress on the progress of the implementation and administration of the programs established by this Act.

Bill· HRH.R. 3237 (93rd)referred

Hypodermic Needle and Syringe Control Act

United States · United States Congress · 30 January 1973

Hypodermic Needle and Syringe Control Act - Provides that it shall be unlawful for any person, other than a registered manufacturer, registered importer, registered wholesaler, registered dealer, licensed pharmacist, or licensed medical practitioner: (1) to engage in the business of importing, manufacturing, dispensing, selling, purchasing, or dealing in hypodermic needles or syringes if in the course of such business he ships, transports, or receives any hypodermic needle or syringe in interstate or foreign commerce; (2) to transport or cause to be transported any hypodermic needle or syringe in interstate or foreign commerce unless such person holds a lawfully issued prescription or medical certificate for such hypodermic needle or syringe or is otherwise authorized to possess it; or (3) to transfer, sell, trade, give, distribute, transport, or deliver any hypodermic needle or syringe to any person, other than a registered manufacturer, registered importer, registered wholesaler, registered dealer, licensed pharmacist, or licensed medical practitioner or any person who holds a lawfully issued prescription or medical certificate for such hypodermic needle or syringe or is otherwise authorized to possess it, whom the transferor knows or has reasonable cause to believe resides in any other State other than that in which the transferor resides (or other than that in which its place of business is located if the transferor is a corporation or other business entity). Makes it unlawful: (1) for any person in connection with the acquisition or attempted acquisition of any hypodermic needle or syringe from a registered manufacturer, registered importer, registered wholesaler, registered dealer, licensed pharmacist, or licensed medical practitioner knowingly to make any false or fictitious oral or written statement or to furnish or exhibit any false, fictitious, or misrepresented identification, intended to deceive such transferor with respect to any fact material to the lawfulness of the sale or other disposition of such hypodermic needle or syringe; (2) for any registered manufacturer, registered importer, registered wholesaler, registered dealer or licensed pharmacist to sell, deliver, or distribute a hypodermic needle or syringe in any State where the purchase or possession by such transferee would be in violation of any State law or any local ordinance applicable at the place of sale, delivery, or other disposition, unless the licensee knows or has reasonable cause to believe that the purchase or possession would not be in violation of such State law or local ordinance; (3) for any person to transport or ship in interstate or foreign commerce any stolen or otherwise unlawfully obtained hypodermic needle or syringe, knowing or having reasonable cause to believe that such hypodermic needle or syringe was stolen or otherwise unlawfully obtained; (4) for any person to receive, conceal, store, barter, sell, or dispose of any hypodermic needle or syringe stolen or otherwise unlawfully obtained, knowing or having reasonable cause to believe that such hypodermic needle or syringe was stolen or otherwise unlawfully obtained; (5) for any person to bring into the United States or any possession thereof any hypodermic needle or syringe in violation of the provisions of this Act; or (6) for any registered manufacturer, registered importer, registered wholesaler, registered dealer, licensed pharmacist, or licensed medical practitioner knowingly to make any false entry in, to fail to make appropriate entry in, or to fail to properly maintain, any record which he is required to keep pursuant to this Act. Sets forth provisions for record-keeping and registration of hypodermic needles and syringes in keeping with the controls under this Act. Provides that registrations issued under this Act shall be kept posted and kept available for inspection on the premises covered by the registration. Provides that whoever violates any provision of this Act shall be fined not more than $5,000, or imprisoned not more than five years, or both, and shall become eligible for parole as the Board of Parole shall determine. Provides that whoever, with intent to commit therewith an offense punishable by imprisonment for a term exceeding one year, or with knowledge or reasonable cause to believe than an offense punishable by imprisonment for a term exceeding one year is to be committed therewith, ships, transports, or receives a hypodermic needle or syringe in interstate or foreign commerce shall be fined not more than $10,000, or imprisoned not more than ten years, or both. Provides that any hypodermic needle or syringe used in violation of this Act or any rule or regulation promulgated thereunder shall be subject to seizure and forfeiture. Authorizes to be appropriated such sums as may be necessary to carry out the purpose of this Act.

Law· SS. 607 (93rd)open

An Act to amend the Lead Based Paint Poisoning Prevention Act, and for other purposes.

United States · United States Congress · 29 January 1973

Authorizes the Secretary of Health, Education, and Welfare to make grants to private nonprofit organizations and any public agency of a unit of local government in any State to develop programs to detect and treat incidents of lead-based paint poisoning under the Lead Based Paint Poisoning Prevention Act. Increases from seventy-five percent to ninety percent the limit on the Federal share of the cost of developing such programs. Stipulates that any organizations receiving funds under this Act shall make available to the Secretary and the Comptroller General of the United States any books and records necessary to assist them in auditing funds received under this Act. Directs the Secretary of Health, Education, and Welfare to conduct appropriate research on multiple layers of dried paint film, containing the various lead compounds commonly used, in order to ascertain the safe level of lead in residential paint products. States that, within eight months after the day of enactment of this Act, the Secretary shall submit to Congress a full report of his findings and recommendations as developed pursuant to such programs. Directs the Secretary to take such steps as are necessary to prohibit the application of lead-based paint to any toy, furniture, cooking utensil, drinking utensil, or eating utensil manufactured and distributed after the date of enactment of this Act. Lowers, over a two-year period, the percentage of lead contained in a paint for such paint to qualify as a lead-based paint for the purposes of this Act. Authorizes the appropriation of $45,000,000 yearly for grants used for the detection and treatment of lead-based paint poisoning, $50,000,000 yearly for grants used for the elimination of lead-based paint poisoning, and $5,000,000 yearly for Federal demonstration and research programs on the elimination of lead-based paint poisoning. Establishes a National Childhood Lead Based Paint Poisoning Advisory Board to advise the Secretary of Health, Education, and Welfare on policy relating to the administration of this Act. Directs the Secretary of Housing and Urban Development to establish procedures to minimize the hazards of lead-based paint poisoning with respect to any existing housing which is covered by an application for mortgage insurance or assistance under a program administered by the Secretary.

Bill· SS. 587 (93rd)referred

National Catastrophic Illness Protection Act

United States · United States Congress · 29 January 1973

National Catastrophic Illness Protection Act - Part A: General Provisions - Sets forth the findings of the Congress that there are still many individuals who cannot secure or cannot afford adequate health insurance protection is available to help meet the costs of a catastrophic illness or disease. Establishes as the policy of Congress the need for a National Catastrophic illness Insurance program to encourage State and private insurers in the development of policies which will meet the problems set forth in the statement of findings. PART B: Establishment of Program; State Plans - Authorizes the Secretary of Health, Education and Welfare to establish and carry out a National Catastrophic Illness Insurance Program. Provides that the program shall involve the creation of State-wide plans providing extended health insurance, and that the Federal Government will reinsure insurers and pool of insurers who offer such insurance. Requires all plans to include: (1) that extended health insurance be available to all reasonable, subject only to deductibles authorized in this Act; (2) that where an insurer does not agree to write a policy of extended insurance, or does so under various limiting conditions, the State authority is notified and provides that the policy would then be placed with a pool or otherwise assigned to insurers by the "all-industry placement facility"; (3) that data be compiled and studied in connection with the operation of the State-wide plan; (4) that certain reports be submitted to the State insurance authority by individual insurers; (5) that any cancellation of a policy provide for reasonable notice to permit coverage under a new policy to be written under the plan; and (6) that public information about the plan be readily distributed. Sets premium rates on the basis of a study of the risks in question and acturial principles, such rates to be promulgated by the Secretary. Provides that, before payments are made under an extended insurance policy, a deductible must be satisfied through an equal amount of medical expenses paid or incurred by such individual. Provides that the amount of such deductible is determined by relating the extent of medical expenses to adjusted income and is equal to one-half of the amount by which a person's or family's adjusted income exceeds $1,000 but does not exceed $2,000; plus all of the amount by which such adjusted income exceeds $2,000. Provides that statements pledging participation and cooperation with the State insurance authority would be required of insurers seeking reinsurance under the program. Provides that no insurer shall direct any agent or broker not to solicit business through such a plan, not penalize agents or brokers in any manner for submitting applications under the plan. Provides that the State plan shall be evaluated from time to time in accordance with criteria established by the Secretary. PART C: Reinsurance Coverage - Provides that the Secretary is authorized to reinsure against the losses which might be incurred under extended health insurance policies. Authorizes the Secretary to make agreements with insurers and pools for reinsurance in consideration of payments of reinsurance premiums deposited in the National Catastrophic Illness Insurance Fund in excess of the estimated amount of losses under such policies. Provides a detailed procedure for implementation of the reinsurance program in a State within specified time requirements, taking into account certain State and local factors which might affect such implementation. Provides that the Government may recover in the courts any unpaid premiums lawfully payable to the Government by an insurer under provisions of a 5-year statute of limitations. PART D: Government Program with Industry Assistance - Authorizes after determination that a State-wide program cannot be carried out, or that the objective of the program would be materially assisted by the Federal Government's assumption of the plan, arrangements for operation by the Government to carry out the objectives of the program. PART E: Provisions of General Applicability - Provides procedures for judicial review of disallowances for Claims for losses under the reinsurance program, whether State-wide or operated by the Federal Government. Authorizes the Government to enter into contracts and other arrangements for claims review, and receiving and disbursing funds for making payments. Provides that the Secretary may make periodic payments to insurers and pools in recognition of reduction in premium rates below estimated risks. Authorizes the Secretary of HEW to exercise certain powers vested in the Secretary of the Department of Housing and Urban Development under the Housing Act of 1950, in addition to powers provided in this proposal. Provides that the Secretary may, on a reimbursable basis, utilize the services of other Government agencies. Authorizes necessary payment adjustments in connection with the program.

Bill· HRH.R. 3006 (93rd)referred

A bill to amend the Lead Based Paint Poisoning Prevention Act.

United States · United States Congress · 26 January 1973

Authorizes the Secretary of Health, Education, and Welfare to make grants to private nonprofit organizations and any public agency of a unit of local government in any State to develop programs to detect and treat incidents of lead-based paint poisoning under the Lead Based Paint Poisoning Prevention Act. Increases from seventy-five percent to ninety percent the limit on the Federal share of the cost of developing such programs. Stipulates that any organizations receiving funds under this Act shall make available to the Secretary and the Comptroller General of the United States any books and records necessary to assist them in auditing funds received under this Act. Directs the Secretary of Health, Education, and Welfare to conduct appropriate research on multiple layers of dried paint film, containing the various lead compounds commonly used, in order to ascertain the safe level of lead in residential paint products. States that within eight months after the date of enactment of this Act, the Secretary shall submit to Congress a full report of his findings and recommendations as developed pursuant to such programs. Directs the Secretary to take such steps as are necessary to prohibit the application of lead-based paint to any toy, furniture, cooking utensil, drinking utensil, or eating utensil manufactured and distributed after the date of enactment of this Act. Lowers the percentage of lead contained in a paint for such paint to qualify as a lead-based paint for the purposes of this Act. Authorizes the appropriation of $45,000,000 yearly for grants used for the detection and treatment of lead-based paint poisoning, $50,000,000 yearly for grants used for the elimination of lead-based paint poisoning, and $5,000,000 hearly for Federal demonstration and research programs on the elimination of lead-based paint poisoning. Establishes a National Childhood Lead Based Paint Poisoning Advisory Board to advise the Secretary of Health, Education, and Welfare on policy relating to the administration of this Act. Directs the Secretary of Housing and Urban Development to establish procedures to minimize the hazards lf lead-based paint poisoning with respect to any existing housing which is covered by an application for mortgage insurance or assistance under a program administered by the Secretary.

Bill· HRH.R. 2900 (93rd)referred

Veterans Health Care Expansion Act

United States · United States Congress · 24 January 1973

Veterans Health Care Expansion Act - Title I: Hospital, Domicilliary, and Medical Care Benefits - Extends the definition of "private facilities" for which the Administrator of Veterans' Affairs contracts in order to provide hospital care to include facilities for the wife or child of a veteran who has a total disability, permanent in nature, resulting from a service connected disability, and the widow or child of a veteran who died from such a disability. Includes in the term "hospital care" mental health services, consultation, professional counseling, and training of a veteran or dependent, or survivor if the veteran has no dependents, as may be necessary or appropriate to the effective treatment and rehabilitation of such individual. Adds home health services which the Administrator deems appropriate for the effective and economical treatment of a disability of a veteran, or dependent, or survivor, to the definition of the term "medical services." Extends to all veterans hospital or nursing home care if such veteran is unable to defray the expenses of the necessary care. Allows the Administrator to furnish hospital or nursing home care to the wife or child of a veteran who has a total disability, permanent in nature from a service connected disability, and the widow or child of a veteran who died from such a disability. Permits the Administrator to furnish medical services for any disability on an outpatient or ambulatory basis to persons already described in this act and to any veteran who has a service connected disability rated at eighty percent or more. Authorizes the Administrator, under such regulations as he might prescribe, to reimburse veterans entitled to hospital care as medical services for the reasonable value of such care or services for which such veterans have made payment from sources other than the Veterans' Administration. (Adds 38 U.S.C. 628) Authorizes the President to assist the Republic of the Philippines in providing medical care and treatment for Commonwealth Army veterans and new Philippine Scouts under certain conditions. (Amend 38 U.S.C. 631) Provides that the President may authorize the Administrator to enter into a contract with the Veterans Memorial Hospital, with the approval of the appropriate department of the Government of the Republic of the Philippines under which the United States: (1) will pay for hospital care in the Republic of the Philippines, or for medical services which shall be provided either in Veterans' Administration facilities, or by contract, or otherwise, by the Administrator in accordance with the conditions and limitations applicable generally to beneficiaries under this title, for Commonwealth Army veterans determined by the Administrator to be in need of such hospital care or medical services for service-connected disabilities; (2) will pay for hospital care at the Veterans Memorial Hospital for Commonwealth Army veterans determined by the Administrator to need such care for non-service-connected disabilities if they are unable to defray the expenses of necessary hospital care; and (3) will pay for hospital care, determined by the Administrator to be necessary, at the Veterans Memorial Hospital for new Philippine Scouts for service-connected disabilities and for non-service-connected disabilities, if they are unable to defray the expenses of necessary hospital care. Provides that the total of the payments authorized shall not exceed $2,000,000 for any one fiscal year ending before 1978. Authorizes to be appropriated for each fiscal year ending with fiscal year 1978, $100,000 to be used for the education and training of health service personnel at the hospital, and for the upgrading of equipment and in rehabilitating the physical plant and facilities of such hospital. (Amends 38 U.S.C. 632) Authorizes the Administrator to carry out a comprehensive program providing sickle cell anemia screening, counseling, and treatment and to carry out research and research training in the diagnosis, treatment, and control of sickle cell anemia based upon such screening examinations and treatment. Requires the Administrator to include such information in his annual report to Congress. (Adds 38 U.S.C. 651-654) Title II: Amendments to Chapter 73 of Title 38, United States Code Relating to the Department of Medicine and Surgery - Authorizes the Administrator to carry out a major program of recruitment training, and employment of veterans with various medical military occupation specialties in order to provide a complete medical and hospital service for the medical care and treatment of veterans and to assist in providing an adequate supply of health manpower to the nation. (Amends 38 U.S.C. 4101(b)) Establishes pay schedules for Assistant Chief Medical Directors, physicians and dentists, and nurses. Provides criteria on which nurses are to receive additional compensation. Enumerates restrictions on physicians, dentists, and nurses, including requirements that no such person may: (1) assume responsibility for the medical care of any patient other than a patient admitted for treatment at a Veterans' Administration facility, except in those cases where the individual, upon request and with the approval of the Chief Medical Director, assumes such responsibilities to assist communities or medical practice groups to meet medical needs which would not otherwise be available for a period not to exceed one hundred and eighty calendar days, which may be extended by the Chief Medical Director for additional periods not to exceed one hundred and eighty calendar days each; (2) teach or provide consultative services at any affiliated institution if such teaching or consultation will, because of its nature or duration, conflict with his responsibilities under this title; and (3) perform, in the course carrying out his responsibilities under this title, professional services for the purpose of generating money for any fund or account which is maintained by an affiliated institution for the benefit of such institution, or for his personal benefit, or both. Provides that temporary full-time appointments of personnel, other than physicians, dentists, and nurses, shall not exceed one year. (Amends 38 U.S.C. 4114(a)(3)(A)) Provides that the Administrator may contract with one or more hospitals, medical schools, or medical installations having hospital facilities and participating with the Veterans' Administration in the training of interns or residents to provide for the central administration of stipend payments, provision of fringe benefits, and maintenance of records for such interns and residents by the designation of one such institution to serve as a central administrative agency for this purpose. Permits the Administrator to pay to such designated agency, without regard to any other law or regulation governing the expenditure of Government moneys either in advance or in arrears, all amount to cover the costs for the period such intern or resident serves in a Veterans' Administration hospital. (Adds 38 U.S.C. 4114(b) (2)) Title III: Amendments to Chapter 81 of Title 38, United States Code _ Acquisition and Operation of Hospital and Domicilliary Facilities; Procurement and Supply - Requires the Administrator to provide for no less than an average of 98,500 operating beds in Veterans' Administration Hospitals and to maintain an average daily patient census in such beds of no less than 85,500 in any fiscal year. Authorizes the Administrator to establish and operate not less than eight thousand beds for the furnishing of nursing home care to eligible veterans over which the Administrator has direct and exclusive jurisdiction. (Amends 38 U.S.C. 5001(a)) Requires the Administrator to appoint an Advisory Committee on Structural Safety of Veterans' Administration Facilities to advise him on all matters of structural safety in the construction and remodeling of Veterans' Administration facilities. (Amends 38 U.S.C. 5001(b)) Title IV: Miscellaneous Amendments to Title 38 United States Code - Specifies certain miscellaneous amendments to title 38 of the United States Code. Title V: Effective Dates - Specifies the dates on which the provisions of this Act shall become effective.

Bill· HRH.R. 2799 (93rd)referred

A bill to amend the Internal Revenue Code of 1954 to permit the full deduction of medical expenses incurred for the care of individuals of 65 years of age and over, without regard to the 3 percent and 1 percent floors.

United States · United States Congress · 24 January 1973

Allows a tax deduction under the Internal Revenue Code for all medical expenses (including medicine and drugs) paid during the taxable year, and not compenstated for by insurance or otherwise, for the care of any dependent who is the mother or father of the taxpayer or of his spouse, and has attained the age of 65 before the close of the taxable year. Allows a tax deduction for all medical expenses (including medicine and drugs) of the taxpayer and his spouse, if either has attained the age of 65 before the close of the taxable year. States that the amendments made by this Act shall apply with respect to taxable years ending after the date of enactment of this Act.

Resolution· HCONRESH.Con.Res. 95 (93rd)referred

Concurrent resolution expressing congressional recognition of a declaration of general and special rights of the mentally retarded.

United States · United States Congress · 24 January 1973

States the recognition by the Congress of the following general and special rights of the mentally retarded: (1) the mentally retarded person has the same basic rights as other citizens of the same State ; (2) the mentally retarded person has a right to proper medical care and physical restoration and to such education, training, habilitation, and guidance as will enable him to develop his ability and potential to the fullest possible extent, no matter how severe his degree of disability, and that no mentally handicapped person should be deprived of such services by reason of costs involved; (3) the mentally retarded person has a right to economic security and to a decent standard of living; (4) the mentally retarded person has a right to live with his own family or with foster parents, to participate in all aspects of community life, and to be provided with appropriate leisure time activities; (5) the mentally retarded person has a right to a qualified guardian when this is required to protect his personal well-being and interest; and (6) the mentally retarded person has a right to protection from exploitation, abuse, and degrading treatment and the procedure used for modification or denial of rights must contain proper legal safeguards against every form of abuse, must be based on an evaluation of the social capability of the mentally retarded person by qualified experts, and must be subject to periodic reviews and to the right of appeal to higher authorities.

Bill· SS. 504 (93rd)enacted

Emergency Medical Sources Systems Development Act

United States · United States Congress · 23 January 1973

Emergency Medical Services Systems Development Act - Authorizes the appropriation of $300,000,000 for the fiscal years 1974-1976 for special project grants under the Public Health Service Act for the planning and development or expansion of comprehensive area emergency medical service systems. Establishes a National Emergency Medical Services Advisory Council to consult with the Secretary of Health, Education and Welfare in performing his duties under this Act relating to subdivisions or regional consortiums for the provision of comprehensive and coordinated emergency medical services. Sets forth requirements for the plans submitted by the applicants for grants under this Act. Provides for the establishment of Area Emergency Medical Services Planning Councils. Provides that the duties of such councils shall include the development of plans for areawide emergency medical services and continuous monitoring and evaluation of the operation of the emergency medical services system. Requires the Secretary to establish an Interagency Technical Committee on Emergency Medical Services. Provides that such committee shall be responsible for coordinating those aspects and resources of all Federal programs and activities relating to emergency medical services. Provides for grants for the support of research in emergency medicine techniques, methods, devices, and delivery, and authorizes appropriations annually of $5,000,000 for fiscal years 1974-1976 for such grants. Provides for an annual report by the Secretary to the Congress on the administration of this Act.

Bill· SS. 512 (93rd)referred

Nursing Home Personnel In-Service Training Act

United States · United States Congress · 23 January 1973

Nursing Home Personnel In-Service Training Act - Authorizes the Secretary of Health, Education and Welfare to make grants, not to exceed $100,000 per grant, to assist public or nonprofit private schools of nursing to meet the costs of developing short-term in-service training programs for nurses aids and orderlies for nursing homes. Provides that such programs shall emphasize the special problems of geriatric patients. Authorizes to be appropriated $1,000,000 for fiscal year 1973, and $1,000,000 for fiscal year 1974, to carry out the purposes of this Act.

Bill· SJRESS.J.Res. 29 (93rd)referred

A joint resolution to amend the Supplemental Appropriations Act of 1973.

United States · United States Congress · 23 January 1973

Specifies in the Supplemental Appropriations Act of 1973 that $610,000,000 is authorized for grants to States for vocational rehabilitation services, and $38,735,000 is authorized for grants for innovation of vocational rehabilitation services, under the Vocational Rehabilitation Act. (Amends P.L. 92-607)

Bill· HRH.R. 2733 (93rd)referred

Health Care Insurance Act

United States · United States Congress · 23 January 1973

Health Care Insurance Act - Provides for, under the Social Security Act, medical, hospital and dental care through a system of voluntary health insurance financed in whole for low-income groups through issuances of certificates, and in part for all other persons through allowance of tax credits. Adds to the Social Security Act a new title entitled Federal Financing of Voluntary Health Insurance. Provides that, for the purpose of providing assistance on behalf of the individuals and their dependents whose income and resources are insufficient to meet the costs of necessary medical and hospital services, there is established a program of hospital, medical, and dental benefits for any eligible beneficiary and his dependents through the issuance of health insurance certificates of entitlement which will be redeemable by the carrier by payment from the Federal Health Insurance Redemption Fund. Asserts that benefits claimed under this provision shall not be duplicated under any other programs financed in whole or in part by the Federal Government. Includes as eligible beneficiaries under this title any husband and wife both under age 65 and living together and any person under age 65 who is not a dependent beneficiary. Defines a dependent beneficiary as any child of an eligible beneficiary receiving more than 50 percent of his support from the eligible beneficiary, which child is under 21, or if a student, under age 23. Provides that every individual who is an eligible beneficiary whose income results in no individual income tax liability during his base year, whose dependent beneficiaries have no such liability for their taxable years which end during his base year, and who is not eligible to receive military medical care, shall be eligible to receive a health insurance certificate of entitlement. Asserts that such certificates shall be applicable in full payment of allowable premiums for a qualified health care insurance policy or plan. Requires that such policy or plan shall provide protection for the eligible beneficiary and his dependent beneficiaries for a 12-month period beginning during his benefit year against the expenses of health care, including catastrophic expenses of illness. Allows tax credits for health care insurance. Asserts that every individual who is an eligible beneficiary and is not eligible to receive benefits under the provisions for fully-paid health care insurance for the low-income group and who is not eligible to receive military medical care, shall be allowed at his election: a credit against his income tax liability for his taxable year which ends during his base year; or a health insurance certificate on the basis of allowable premiums. Provides that a health insurance certificate of entitlement means a certificate issued by the Secretary of Health, Education and Welfare upon application to him by an eligible beneficiary to apply toward payment of the premium on a qualified health care insurance policy or plan. Specifies that a qualified health care insurance policy or plan shall be a contractual agreement specifying benefits under a program offered by a qualified carrier which has been registered by a State Agency and which provides basic institutional, medical, and dental coverage and catastrophic expense coverage. Declares that each such qualified health care insurance policy or plan shall be noncancellable and guaranteed renewable so long as the carrier continues to offer to the public one or more qualified health care insurance policies or plans, shall provide protection against the expense of health care without regard to any pre-existing conditions, and shall provide for payment under this title of usual and customary charges for services covered under the policy or plan. Stipulates what costs and services shall be included under basic institutional, medical, and dental coverage and under catastrophic expense coverage. Establishes deductibles for each of the two types of coverage. Creates a Health Insurance Advisory Board which shall consist of eleven persons including the Secretary of Health, Education, and Welfare and the Commissioner of the Internal Revenue Service. Directs that the remaining members, not otherwise in the employ of the Government, shall be appointed by the President, with the advice and consent of the Senate, without regard to the provisions of title 5, United States Code, governing appointment in the competitive service. Asserts that the Secretary fo HEW shall serve as Chairman. Provides that the members shall be selected from persons who are specifically qualified to serve on such Board by virtue of their education, training, or experience. Provides that the Health Insurance Advisory Board shall perform such functions as: (1) prescribe such regulations as may be necessary to carry out the purposes and provisions of this Act; (2) establish minimum Federal standards for the use of State insurance departments in determining whether an insurance company and plan are qualified under this Act; (3) in consultation with carriers, providers of services, and consumers, plan and develop programs whose purposes are to provide for maintaining the quality of medical care; and (4) review the effectiveness of the tax credit program and file an annual report with the President and the Congress. Grants the States the power to decide which carriers are qualified. Forbids any Federal officer or employee to exercise any supervision or control over the practice of medicine or dentistry or the manner in which medical or dental services are provided, or over the selection, tenure, or compensation of any officer or employee or any institution, agency, or person providing health services; or to exercise any supervisory control over the administration or operation of any such institution, agency, or person. Creates in the Treasury a trust fund to be known as the Federal Health Insurance Redemption Fund to consist in part of an amount equal to the aggregate amount of premiums paid under this title through the redemption of health insurance certificates. Provides for a continuing program of public education on the importance and need for individual and family protection against the expenses of illness and the provision of Federal assistance under this Act.

Bill· HRH.R. 2739 (93rd)referred

A bill to amend the Lead-Based Paint Poisoning Prevention Act to permit grants thereunder to be made to a State agency in any case where local agencies are prevented by State law from receiving and expending such grants.

United States · United States Congress · 23 January 1973

Permits grants to be made under the Lead-Based Paint Poisoning Prevention Act to a State agency in any case where local agencies are prevented by State law from receiving and expending such grants. (Adds 42 U.S.C. 4844)

Bill· HRH.R. 2728 (93rd)referred

Children's Dental Health Act

United States · United States Congress · 23 January 1973

Children's Dental Health Act - Authorizes appropriations for comprehensive projects for dental care and services for children of preschool and school age in the following amounts: $5,000,000 for fiscal year 1974; $10,000,000 for fiscal year 1975; and $15,000,000 for fiscal year 1976. Authorizes appropriations of $7,500,000 for fiscal year 1974, $10,000,000 for fiscal year 1975, and $12,500,000 for fiscal year 1976 for programs to train persons for careers as auxiliary dental personnel, with special emphasis on training experienced veterans. Authorizes appropriations of $5,000,000 for fiscal year 1974, $6,000,000 for fiscal year 1975, and $7,000,000 for fiscal year 1976 for grants to dental schools or other organizations to promote the effective use of auxiliary dental personnel and dental health teams. Authorizes the President to appoint a Dental Advisory Committee to advise the Secretary of Health, Education and Welfare on dental services carried on by the Department of HEW, and to review grants authorized under this Act. Requires the Secretary to report annually to Congress on the implementation of programs established under this Act, and to submit recommendations for a comprehensive national dental health program for children before March 31, 1974. Requires dentifrice involving a potential risk to consumers (as determined by the Secretary) to bear adequate cautionary labeling. Defines dentifrice as a cosmetic suggested for use in treating or beautifying teeth.

Bill· HRH.R. 2699 (93rd)referred

A bill to amend title VI of the Public Health Service Act to provide that a facility for long-term care must comply with the Life Safety-Code in order to qualify for assistance thereunder.

United States · United States Congress · 23 January 1973

Provides that a facility for long-term care must comply with the Life Safety Code of the National Fire Protection Association in order to qualify for assistance under the Public Health Service Act. (Amends 42 U. S. C. 2910)

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