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Bill· SS. 1158 (94th)referred
United States · United States Congress · 12 March 1975
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 1976 and $5,000,000 for each of the next three fiscal years to carry out the provisions of this Act.
Bill· SS. 1163 (94th)referred
United States · United States Congress · 12 March 1975
National Home Health Care Act - Broadens the coverage of home health services under the supplementary medical insurance (Medicare) program of the Social Security Act and removes the 100-visit limitation presently applicable to the home health service program. Extends the coverage of posthospital home health services to include payment for items and services which the individual could otherwise obtain only in a skilled nursing facility. Requires the inclusion of home health services in a State's medicaid program under the Social Security Act and permits the payment of rent under such program for elderly persons who would otherwise require nursing home care. Provides expanded Federal funding for congregate housing for the displaced and the elderly by increasing the amount available for such housing under the low income housing program. Establishes, in the Department of Health, Education, and Welfare, a home health patient ombudsman, who shall be appointed and provided with adequate staff and facilities by the Secretary. Makes it the duty and responsibility of the ombudsman to monitor specified programs under the Social Security and the various medical assistance programs under State plans approved pursuant to such Act and to maintain such oversight of those programs and their operation and administration as may be necessary to: (1) assure that home health patients under such programs are receiving the care to which they are entitled; (2) provide safeguards against overcharging for home health services; (3) identify abuses against home health patients; (4) receive, handle, and expedite complaints by home health patients; (5) recommend to the Secretary any changes in the regulation affecting home health services which may appear necessary or desirable; and (6) take appropriate action (including the transmission of findings to the Attorney General) with respect to abuses and violations of law affecting the provision or receipt of home health services under such programs.
Bill· SS. 1159 (94th)referred
United States · United States Congress · 12 March 1975
Authorizes the Secretary of Health, Education, and Welfare to make grants under the Public Health Service Act to colleges and universities to assist them in the establishment and operation of programs for the training of physicians' assistants. Authorizes appropriations of $10,000,00 annually commencing with fiscal year 1974 to carry out the provisions of this Act.
Bill· SS. 1155 (94th)referred
United States · United States Congress · 12 March 1975
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 $5,000,000 for fiscal year 1975, and $5,000,000 for fiscal year 1976, to carry out the purposes of this Act.
Bill· SS. 1164 (94th)referred
United States · United States Congress · 12 March 1975
Requires that any nursing home which provides services under any State program approved under title XIX (Medicaid) of the Social Security Act, must submit to the State agency administering such program a report of costs and a financial statement, both audited by a certified public accountant, reflecting the operation of such nursing home.
Bill· SS. 1160 (94th)referred
United States · United States Congress · 12 March 1975
Provides, under the Public Health Service Act, that the Secretary of Health, Education, and Welfare may make grants to and enter into contracts with public or nonprofit entities for the purposes of developing or operating programs for the training of nurse practioniers with special emphasis on nursing homes and the care of the aged. States that on or before March 1, 1975, after consultation with appropriate educational organizations and professional nursing and medical organizations, the Secretary shall prescribe program guidelines for nurse practicioners. Sets forth minimum guidelines, including a program of classroom instruction and supervised clinical practice aimed toward preparing nurses to delivery primary health care. Authorizes to be appropriated for the purposes of making payments under grants and contracts $5,000,000 for fiscal year 1975, and $7,500,000 for fiscal year 1976. $5,000,000 for fiscal year 1975 and $7,500,000 for fiscal year 1976.
Bill· SS. 1156 (94th)referred
United States · United States Congress · 12 March 1975
Authorizes the Secretary of Health, Education, and Welfare to make grants to assist schools of medicine in the establishment and operation, within such schools, of departments of geriatries. Stipulates that such grants shall not be made to more than six schools of medicine and the amount of such grants to any school of medicine for any year shall not exceed $500,000. Authorizes to be appropriated for each fiscal year such sums as may be necessary to carry out such purposes.
Resolution· SCONRESS.Con.Res. 24 (94th)referred
United States · United States Congress · 12 March 1975
Expresses the sense of Congress that the President's proposal to restructure the medicare deductible for physician services and the copayment for inpatient hospital services to require citizens to pay more of the health bill shall not be enacted.
Bill· HRH.R. 4821 (94th)referred
United States · United States Congress · 12 March 1975
Maternal and Child Health and Crippled Children' Services and Medicaid Cost Control Amendments - Provides that after June 30, 1975, the Federal share of payments to States for maternal and child health services under Title V (grants to States for maternal and child welfare) of the Social Security Act shall be reduced from 50 to 40 percent of the cost of the service plan. States that after February, 1975, Federal matching payments to States under Title XIX (Medicaid) of such Act shall no longer be made for dental services provided to individuals over the age of 21, except for emergency dental services and oral surgical services and treatment related thereto. Stipulates that the Federal share of Medicaid payments shall not be less than 40 percent of total costs.
Bill· HRH.R. 4816 (94th)referred
United States · United States Congress · 12 March 1975
Reduces the basic age of entitlement to Medicare benefits under titles II (Old Age, Survivors and Disability Benefits) and XVIII (Medicare) of the Social Security Act from age 65 to 62.
Bill· HRH.R. 4818 (94th)referred
United States · United States Congress · 12 March 1975
Eliminates, under the Internal Revenue Code, medicare taxes and premiums on self-employed individuals, employers, and employees. Provides that both the hospital insurance program and the supplementary medical insurance program of title XVIII (Medicare) of the Social Security Act shall be financed from general revenues. Authorizes appropriations from time to time to the Federal Supplementary Medical Insurance Trust Fund of sums necessary to assure the prompt payment of such benefits and to provide an adequate contingency reserve.
Bill· HRH.R. 4781 (94th)referred
United States · United States Congress · 12 March 1975
Authorizes the Secretary of Health, Education, and Welfare to make grants under the Public Health Service Act to colleges and universities 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· HRH.R. 4780 (94th)referred
United States · United States Congress · 12 March 1975
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· HRH.R. 4807 (94th)referred
United States · United States Congress · 12 March 1975
Provides, under the Public Health Service Act, that medical facilities may be reimbursed by the Federal Government for emergency medical treatment given aliens unlawfully in the United States if such aliens are unable to pay the cost of such treatment or can pay only a part of the cost and the aliens or medical facilities which provided such treatment are not eligible under any public assistance program for payment of or reimbursement of such cost. Requires that an application for reimbursement be submitted to the Secretary of Health, Education, and Welfare. Sets forth criteria for determining whether such an application shall be approved.
Bill· HRH.R. 4777 (94th)referred
United States · United States Congress · 12 March 1975
Authorizes the Secretary of Health, Education and Welfare to make grants to assist schools of medicine in the establishment and operation, within such schools, of departments of geriatrics. Stipulates that such grants shall not be made to more than six schools of medicine and the amount of such grants to any school of medicine for any year shall not exceed $500,000. Authorizes to be appropriated for each fiscal year such sums as may be necessary to carry out the provisions of this section.
Bill· HRH.R. 4776 (94th)referred
United States · United States Congress · 12 March 1975
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 1975, and $1,000,000 for fiscal year 1976, to carry out the purposes of this Act.
Bill· HRH.R. 4773 (94th)referred
United States · United States Congress · 12 March 1975
National Home Health Care Act - Broadens the coverage of home health services under the supplementary medical insurance (Medicare) program of of the Social Security Act and removes the 100-visit limitation presently applicable to the home health service program. Extends the coverage of posthospital home health services to include payment for items and services which the indiviudal could otherwise obtain in a skilled nursing facility. Requires the inclusion of home health services in a State's medicaid program under the Social Security Act and permits the payment of rent under such program for elderly persons who would otherwise require nursing home care. Provides expanded Federal funding for congregate housing for the displaced and the elderly by increasing the amount available for such housing under the low income housing program. Establishes, in the Department of Health, Education, and Welfare, a home health patient ombudsman, who shall be appointed and provided with adequate staff and facilities by the Secretary. Makes it the duty and responsibility of the ombudsman to monitor specified programs under the Social Security and the various medical assistance programs under the State plans approved pursuant to such Act, and to maintain such oversight of those programs and their operation and administration as may be necessary to: (1) assure that home health patients under such programs are receiving the care to which they are entitled, (2) provide safeguards against over-charging for home health services, (3) identify abuses against home health patients, (4) receive, handle, and expedite complaints by home health patients, (5) recommend to the Secretary any changes in the regulations affecting home health services which may appear necessary or desirable, and (6) take appropriate action (including the transmission of findings to the Attorney General) with respect to abuses and violations of law affecting the provision or receipt of home health services under such programs. Makes the children over 18 of parents receiving nursing and home health care assistance under the medicaid program liable for a specified portion of the expenses of such assistance, depending upon the income of such child. Permits the waiver of such obligation in any case where the State agency determines, in accordance with regulations prescribed by the Secretary, that the imposition of such obligation or the making of such collection would impose undue hardship. Provides that any amount collected from or otherwise paid by any person in satisfaction of any obligation imposed by this section shall constitute a medical expense paid or incurred by such person for purposes of deductions under the Internal Revenue Code ot 1954.
Bill· HRH.R. 4772 (94th)referred
United States · United States Congress · 12 March 1975
National Home Health Care Act - Broadens the coverage of home health services under the supplementary medical insurance (Medicare) program of of the Social Security Act and removes the 100-visit limitation presently applicable to the home health service program. Extends the coverage of posthospital home health services to include payment for items and services which the indiviudal could otherwise obtain in a skilled nursing facility. Requires the inclusion of home health services in a State's medicaid program under the Social Security Act and permits the payment of rent under such program for elderly persons who would otherwise require nursing home care. Provides expanded Federal funding for congregate housing for the displaced and the elderly by increasing the amount available for such housing under the low income housing program. Establishes, in the Department of Health, Education, and Welfare, a home health patient ombudsman, who shall be appointed and provided with adequate staff and facilities by the Secretary. Makes it the duty and responsibility of the ombudsman to monitor specified programs under the Social Security and the various medical assistance programs under the State plans approved pursuant to such Act, and to maintain such oversight of those programs and their operation and administration as may be necessary to: (1) assure that home health patients under such programs are receiving the care to which they are entitled, (2) provide safeguards against over-charging for home health services, (3) identify abuses against home health patients, (4) receive, handle, and expedite complaints by home health patients, (5) recommend to the Secretary any changes in the regulations affecting home health services which may appear necessary or desirable, and (6) take appropriate action (including the transmission of findings to the Attorney General) with respect to abuses and violations of law affecting the provision or receipt of home health services under such programs. Makes the children over 18 of parents receiving nursing and home health care assistance under the medicaid program liable for a specified portion of the expenses of such assistance, depending upon the income of such child. Permits the waiver of such obligation in any case where the State agency determines, in accordance with regulations prescribed by the Secretary, that the imposition of such obligation or the making of such collection would impose undue hardship. Provides that any amount collected from or otherwise paid by any person in satisfaction of any obligation imposed by this section shall constitute a medical expense paid or incurred by such person for purposes of deductions under the Internal Revenue Code ot 1954.
Bill· HRH.R. 4778 (94th)referred
United States · United States Congress · 12 March 1975
Authorizes the Secretary of Health, Education, and Welfare to make grants to assist schools of medicine in the establishment and operation, within such schools, of conintuing education programs in geriatrics for physicians.
Bill· HRH.R. 4774 (94th)referred
United States · United States Congress · 12 March 1975
National Home Health Care Act - Broadens the coverage of home health services under the supplementary medical insurance (Medicare) program of of the Social Security Act and removes the 100-visit limitation presently applicable to the home health service program. Extends the coverage of posthospital home health services to include payment for items and services which the indiviudal could otherwise obtain in a skilled nursing facility. Requires the inclusion of home health services in a State's medicaid program under the Social Security Act and permits the payment of rent under such program for elderly persons who would otherwise require nursing home care. Provides expanded Federal funding for congregate housing for the displaced and the elderly by increasing the amount available for such housing under the low income housing program. Establishes, in the Department of Health, Education, and Welfare, a home health patient ombudsman, who shall be appointed and provided with adequate staff and facilities by the Secretary. Makes it the duty and responsibility of the ombudsman to monitor specified programs under the Social Security and the various medical assistance programs under the State plans approved pursuant to such Act, and to maintain such oversight of those programs and their operation and administration as may be necessary to: (1) assure that home health patients under such programs are receiving the care to which they are entitled, (2) provide safeguards against over-charging for home health services, (3) identify abuses against home health patients, (4) receive, handle, and expedite complaints by home health patients, (5) recommend to the Secretary any changes in the regulations affecting home health services which may appear necessary or desirable, and (6) take appropriate action (including the transmission of findings to the Attorney General) with respect to abuses and violations of law affecting the provision or receipt of home health services under such programs. Makes the children over 18 of parents receiving nursing and home health care assistance under the medicaid program liable for a specified portion of the expenses of such assistance, depending upon the income of such child. Permits the waiver of such obligation in any case where the State agency determines, in accordance with regulations prescribed by the Secretary, that the imposition of such obligation or the making of such collection would impose undue hardship. Provides that any amount collected from or otherwise paid by any person in satisfaction of any obligation imposed by this section shall constitute a medical expense paid or incurred by such person for purposes of deductions under the Internal Revenue Code ot 1954.
Bill· HRH.R. 4779 (94th)referred
United States · United States Congress · 12 March 1975
Provides, under the Public Health Service Act, that the Secretary of Health, Education, and Welfare may make grants to and enter into contracts with public or nonprofit private entities for the purposes of developing or operating programs for the training of nurse practicioners with special emphasis on nursing homes and the care of the aged. States that on or before March 1, 1975, after consultation with appropriate educational organizations and professional nursing and medical organizations, the Secretary shall prescribe program guidelines for nurse practicioners. Sets forth minimum guidelines, including a program of classroom instruction and supervised clinical practice aimed toward preparing nurses to deliver primary health care. Authorizes to be appropriated for the purposes of making payments under grants and contracts $5,000,000 for fiscal year 1975 and $7,500,000 for fiscal year 1976.
Bill· HRH.R. 4775 (94th)referred
United States · United States Congress · 12 March 1975
National Home Health Care Act - Broadens the coverage of home health services under the supplementary medical insurance (Medicare) program of of the Social Security Act and removes the 100-visit limitation presently applicable to the home health service program. Extends the coverage of posthospital home health services to include payment for items and services which the indiviudal could otherwise obtain in a skilled nursing facility. Requires the inclusion of home health services in a State's medicaid program under the Social Security Act and permits the payment of rent under such program for elderly persons who would otherwise require nursing home care. Provides expanded Federal funding for congregate housing for the displaced and the elderly by increasing the amount available for such housing under the low income housing program. Establishes, in the Department of Health, Education, and Welfare, a home health patient ombudsman, who shall be appointed and provided with adequate staff and facilities by the Secretary. Makes it the duty and responsibility of the ombudsman to monitor specified programs under the Social Security and the various medical assistance programs under the State plans approved pursuant to such Act, and to maintain such oversight of those programs and their operation and administration as may be necessary to: (1) assure that home health patients under such programs are receiving the care to which they are entitled, (2) provide safeguards against over-charging for home health services, (3) identify abuses against home health patients, (4) receive, handle, and expedite complaints by home health patients, (5) recommend to the Secretary any changes in the regulations affecting home health services which may appear necessary or desirable, and (6) take appropriate action (including the transmission of findings to the Attorney General) with respect to abuses and violations of law affecting the provision or receipt of home health services under such programs. Makes the children over 18 of parents receiving nursing and home health care assistance under the medicaid program liable for a specified portion of the expenses of such assistance, depending upon the income of such child. Permits the waiver of such obligation in any case where the State agency determines, in accordance with regulations prescribed by the Secretary, that the imposition of such obligation or the making of such collection would impose undue hardship. Provides that any amount collected from or otherwise paid by any person in satisfaction of any obligation imposed by this section shall constitute a medical expense paid or incurred by such person for purposes of deductions under the Internal Revenue Code ot 1954.
Bill· HRH.R. 4744 (94th)referred
United States · United States Congress · 12 March 1975
Directs the Secretary of Health, Education, and Welfare to make grants under the Public Health Service Act for research projects respecting the use of amniocentesis, other techniques for the detection of birth defects, and programs to inform women of the various uses of amniocentesis. Permits the Secretary to make grants to assist in the cost of establishing and maintaining genetic counseling programs. Requires the Secretary to establish a program under which women may have all or part of the cost of having amniocentesis performed on them paid by the United States. Stipulates that no grants may be made unless an application has been submitted to and approved by the Secretary. Authorizes appropriations for fiscal year 1976 and each succeeding fiscal year of sums necessary to carry out the purposes of this Act. Requires the Secretary to prepare and submit to the Congress an annual report on the anniocentesis program.
Bill· HRH.R. 4736 (94th)referred
United States · United States Congress · 12 March 1975
National Tay-Sachs Disease Screening and Counseling Act - Provides that it is the purpose of this Act to establish a national program, under the Public Health Service Act, for voluntary Tay-Sachs disease screening and counseling. Authorizes appropriations of $2,500,000 for fiscal year 1974 for making grants to public and nonprofit entities to establish and operate such screening programs. Sets forth the procedure for applications for and administration of such grants.
Bill· HRH.R. 4747 (94th)referred
United States · United States Congress · 12 March 1975
Comprehensive Health Insurance Act - Title I: National Health Care Benefits Program - States that the purpose of this title is to provide adequate protection against costs by requiring all employers to offer health care plans to their employees; and to assist the States in making similar plans available to individuals in need of such protection. Requires, under the Social Security Act, that every employer provide to each of his employees under the age of 65 a reasonable opportunity, as determined under regulations prescribed by the Secretary of Health, Education, and Welfare, to obtain coverage for himself and the members of his family under the age 65 at the option of the employee: (1) an employee health care insurance plan approved under this title or an assisted health care insurance plan obtained by the employer, (2) a group practice prepaid health care plan approved under this title, or (3) an individual practice prepaid health care plan approved under this title. States that the employer shall provide an amount equal to at least 75 percent of the cost of that coverage. Prohibits discrimination against an individual with respect to the opportunity for employment, or the compensation, terms, condition, or privileges of employment, because of the individual's health status or the health status of his dependents, except when directly related to the capacity of the individual to perform his duties as an employee. Directs the Secretary to make grants for health care programs to States which have submitted approved plans for the provision of health care benefits to individuals under the age of 65 who are otherwise unable to obtain such benefits. Authorizes appropriations for each fiscal year of sums necessary to carry out this purpose. Directs the Secretary to establish a Federal health care benefits program under which an individual who has attained the age of 65 and is entitled to monthly insurance benefits under Title II of the Social Security Act (Old-Age, Survivor's, and Disability Insurance Benefits) shall be entitled to Federal health care benefits under Title XVIII (Medicare). States that the benefits provided under the program shall be at the option of the individual: (1) to obtain coverage under the Federal health care insurance plan, or (2) to have the Secretary pay to any prepaid health care plan approved under this title under which the individual has obtained coverage at a rate which the Secretary determines is reasonable, on behalf of the individual, an amount equal to the cost to the Government of providing coverage under a Federal health care insurance plan, as determined under regulations prescribed by the Secretary. Provides that the Federal health care insurance plan shall impose, with respect to all items and services other than outpatient drugs and biologicals, other blood and blood product; and specified items and services enumerated in this Act a per individual deductible equal to a specified percentage of the income base. States that the Federal health care insurance plan shall provide: (1) that an account will be established against which a covered individual may charge the cost of obtaining items and services covered under the plan, without regard to the deductible and coinsurance requirements applicable under the plan; (2) that payment for items and services covered under the plan, other than emergency services, will be made only on the basis of charges against that account; and (3) that payment will be made on the basis of charges against the account for items and services covered under the plan at the applicable reimbursement rates. Authorizes the Secretary to enter into contracts with carriers for the administration of benefits under the Federal health care insurance program. Establishes a Federal Health Care Benefits Trust Fund. States that the Trust Fund shall consist of such gifts and bequests as may be made together with such amounts as may be deposited in, or appropriated to, such Fund under the provisions of this Act. Sets forth criteria for determining the amount to be apropriated to the Trust Fund for each fiscal year. Establishes a Board of Trustees to be composed of the Secretary of the Treasury , the Secretary of Labor, and the Secretary of Health, Education, and Welfare. States that the duties of the Board of Trustees shall be to: (1) hold the Trust Fund; (2) report to the Congress not later than the first day of April of each year on the operation and status of the Trust Fund during the preceding fiscal year and on its expected operation and status during the current fiscal year and the next two fiscal years; (3) report immediately to the Congress whenever the Board is of the opinion that the amount of the Trust Fund is unduly small; and (4) review the general policies followed in managing the Trust Fund, and recommend changes in such policies, including necessary changes in the provisions of law which govern the way in which the Trust Fund is to be managed. Requires that employee health care insurance plans provide for the following services for each covered individual: (1) inpatient hospital services; (2) physicians' services; (3) medical and other health services; (4) home health services; (5) post-hospital extended care services; (6) outpatient drugs and biologicals; (7) routine dental services for individual under the age of 13; (8) developmental vision care services, as defined in regulations prescribed by the Secretary, routine eye and vision examinations, and eyeglasses, for individuals under the age of 13; and (9) hearing aids and examinations therefor, for individuals under the age of 13. Specifies items and services for which payment will not be provided under the covered programs, including items which are not reasonable and necessary for the diagnosis and treatment of congenital defect, illness, or injury or to improve the functioning of a malformed body member and items which are not provided within the United States, with the exception of emergency inpatient hospital and physician services. Sets forth limits for employee health care insurance plans, including the following: (1) post-hospital extended care services shall be limited to 100 days per calendar year; (2) home health services must be limited to 100 visits per calendar year; and (3) inpatient hospital services for the treatment of mental illness shall be limited to 30 days per calendar year, with each day of partial hospitalization, as defined in regulations prescribed by the Secretary, counting as one-half day of inpatient services. Enumerates the requirements for meeting the provisions of this Act. States that a group practice pre-paid health care plan must: (1) provide physicians' services (other than infrequently used services, as determined under regulations prescribed by the Secretary) through physicians who are employees or partners of the organization, or through arrangements with one or more groups of physicians engaged in the coordinated practice of their profession for the organization; and (2) meet such requirements concerning its organizational structure and financial arrangements as the Secretary may, by regulation, prescribe. Provides that the Secretary may, by regulation, make such modificiations in the requirements imposed by this section as he determines are appropriate with respect to group practice prepaid health care plans offered to employees whose place of employment is outside the United States. Sets forth requirements for approval of individual practice prepaid health care plans, approval of special employee health care programs, and requirements for certification of providers. States that any State dissatisfied with a determination of the Secretary with respect to whether the State is meeting the provisions of this Act may file a petition for review of such determination with the United States court of appeals to the circuit in which such state is located. Stipulates that the court shall have jurisdiction to affirm the action of the Secretary, or to set it aside, in whole or in part. Sets forth judicial remedies and criminal sanctions for noncompliance. Title II: Reduction in Services Provided Under Medical Assistance Programs - Sets forth technical and conforming amendments to the Medical Program. Title III: Sets forth technical and conforming amendments to the Professional Standards Review Program, and the Capital Expenditures Review Program. Title IV: General Provisions - States that if a provision of this Act is held invalid, all other provisions so enacted shall remain in effect.
Bill· HRH.R. 4717 (94th)referred
United States · United States Congress · 12 March 1975
Comprehensive Health Professions Education Act - Title I: Loan Guarantees for Construction For Replacement Or Remodeling Of Teaching Facilities - Authorizes the Secretary of Health, Education, and Welfare to assist eligible nonprofit private entities in carrying out approved projects for the construction of teaching facilities of private nonprofit schools of medicine, nursing, osteopathy, veterinary medicine, optometry, or podiatry, other than the construction of new buildings or the expansion of existing buildings, during the period beginning July 1, 1974, and ending with the close of September 30, 1977, by guaranteeing to any non-Federal lender that makes a loan to an eligible entity, for that project, payment when due of the principal of and interest on that loan. Sets forth eligibility requirements for such loan guarantees. Terminates loan guarantees for the construction of new teaching facilities and the expansion of existing teaching facilities. Terminates interest subsidy payments on such loan guarantees. Title II: Capitation Grants, Start-Up Assistance And National Priority Incentive Awards - Directs the Secretary to make annual grants to schools of medicine, osteopathy, dentistry, optometry, podiatry, and veterinary medicine for the support of the education programs of those schools, for fiscal years 1975, 1976, and 1977. Reduces the amount of such grants for each such fiscal year. Authorizes appropriations for each such fiscal year. Limits start-up assistance grants to schools that have received a start-up grant for fiscal year 1974. Establishes a program of National Priority Incentive Awards to each school of medicine and osteopathy in an amount equal to $2000 for each of its graduates who enters a residency in the practice of family medicine, and to award grants to pay part of the cost of planning, developing, and operating for an initial period, not to exceed three years, programs of graduate or specialized education or training in family medicine, pediatrics, internal medicine, and other health care shortage fields. Title III: Special Projects, Health Manpower Education Incentative Awards, And Financial Distress Grants Expands the health manpower special projects authority to include assistance presently authorized under existing comparable special project authority contained in the nursing, allied health, and public health professions portions of the Public Health Service Act. Consolidates the authorizations of appropriations for the special project grants for the health professions and the health professions Health Manpower Education Incentative Awards into a single provision of law. Authorizes appropriations for both programs for an additional three years. Authorizes appropriations for the health professions financial distress grant program for an additional three years. Makes schools of pharmacy ineligible for such grants. Limits the financial distress grant to any school for a fiscal year to 75 percent of the financial distress grant awarded for the previous fiscal year. Title IV: Student Assistance - Authorizes the payment to eligible disadvantaged individuals of stipends, with allowances for travel and for dependents, for post-secondary education or training required to qualify such individual for admission to a school providing health training, or to assist such individual in undergoing that training. Authorizes appropriations for the Public Health and National Health Service Corps Scholarship Training Program for fiscal years 1975, 1976, and 1977. Authorizes the Secretary to assign participants in the program to any civilian or uniformed Federal health service. Raises the interest rate on health professions and nursing student loans supported by the Federal Government from 3 to 7 percent. Title V: Effective Date - Sets forth the effective date with respect to the provisions of this Act.
Bill· HRH.R. 4735 (94th)referred
United States · United States Congress · 12 March 1975
Requires that any nursing home which provides services under any State program approved under title XIX (Medicaid) of the Social Security Act, must submit to the State agency administering such program a report of costs and a financial statement, both audited by a certified public accountant, reflecting the operation of such nursing home.
Bill· HRH.R. 4719 (94th)referred
United States · United States Congress · 12 March 1975
Comprehensive Health Professions Education Act - Title I: Loan Guarantees for Construction For Replacement Or Remodeling Of Teaching Facilities - Authorizes the Secretary of Health, Education, and Welfare to assist eligible nonprofit private entities in carrying out approved projects for the construction of teaching facilities of private nonprofit schools of medicine, nursing, osteopathy, veterinary medicine, optometry, or podiatry, other than the construction of new buildings or the expansion of existing buildings, during the period beginning July 1, 1974, and ending with the close of September 30, 1977, by guaranteeing to any non-Federal lender that makes a loan to an eligible entity, for that project, payment when due of the principal of and interest on that loan. Sets forth eligibility requirements for such loan guarantees. Terminates loan guarantees for the construction of new teaching facilities and the expansion of existing teaching facilities. Terminates interest subsidy payments on such loan guarantees. Title II: Capitation Grants, Start-Up Assistance And National Priority Incentive Awards - Directs the Secretary to make annual grants to schools of medicine, osteopathy, dentistry, optometry, podiatry, and veterinary medicine for the support of the education programs of those schools, for fiscal years 1975, 1976, and 1977. Reduces the amount of such grants for each such fiscal year. Authorizes appropriations for each such fiscal year. Limits start-up assistance grants to schools that have received a start-up grant for fiscal year 1974. Establishes a program of National Priority Incentive Awards to each school of medicine and osteopathy in an amount equal to $2000 for each of its graduates who enters a residency in the practice of family medicine, and to award grants to pay part of the cost of planning, developing, and operating for an initial period, not to exceed three years, programs of graduate or specialized education or training in family medicine, pediatrics, internal medicine, and other health care shortage fields. Title III: Special Projects, Health Manpower Education Incentative Awards, And Financial Distress Grants Expands the health manpower special projects authority to include assistance presently authorized under existing comparable special project authority contained in the nursing, allied health, and public health professions portions of the Public Health Service Act. Consolidates the authorizations of appropriations for the special project grants for the health professions and the health professions Health Manpower Education Incentative Awards into a single provision of law. Authorizes appropriations for both programs for an additional three years. Authorizes appropriations for the health professions financial distress grant program for an additional three years. Makes schools of pharmacy ineligible for such grants. Limits the financial distress grant to any school for a fiscal year to 75 percent of the financial distress grant awarded for the previous fiscal year. Title IV: Student Assistance - Authorizes the payment to eligible disadvantaged individuals of stipends, with allowances for travel and for dependents, for post-secondary education or training required to qualify such individual for admission to a school providing health training, or to assist such individual in undergoing that training. Authorizes appropriations for the Public Health and National Health Service Corps Scholarship Training Program for fiscal years 1975, 1976, and 1977. Authorizes the Secretary to assign participants in the program to any civilian or uniformed Federal health service. Raises the interest rate on health professions and nursing student loans supported by the Federal Government from 3 to 7 percent. Title V: Effective Date - Sets forth the effective date with respect to the provisions of this Act.
Bill· HRH.R. 4702 (94th)referred
United States · United States Congress · 12 March 1975
Sets forth the criteria under which the Administrator of Veteran's Affairs may pay for care and treatment rendered to veterans by private hospitals in emergencies. (Adds 38 U.S. C. 625(a))
Bill· HRH.R. 4660 (94th)referred
United States · United States Congress · 12 March 1975
Provides that travel allowances paid to veterans traveling to and from Veterans' Administration facilities shall in no event be less than those paid to employees of the Federal Government traveling on official business. (Amends 38 U.S.C. 111(a))
Bill· SS. 1135 (94th)referred
United States · United States Congress · 11 March 1975
Permits immediate care services provided by an immediate care facility to be paid for under title XVIII (Medicare) of the Social Security Act in the same manner and subject to the same terms and conditions as are applicable to the payment for such services when provided by a hospital. Requires that such services be included among the services covered under a State plan approved under title XIX (Medicaid) of such Act.
Bill· HRH.R. 4606 (94th)referred
United States · United States Congress · 11 March 1975
Health Security Act - Title I: Health Security Benefits - Provides that every resident of the U.S. (and every non-resident citizen when in the U.S.) will be eligible for covered services. Permits reciprocal and "buy-in" agreements for groups or non-resident aliens, and in some cases benefits to U.S. residents when visiting in other countries. Entitles every eligible person to have payments made by the Health Security Board for covered services provided within the United States by a participating provider. Provides that all necessary professional services of physicians, wherever furnished are covered, including preventive care, with two restrictions: (1) specialist services are covered only when performed by a qualified specialist except in emergency situations, and generally only on referral from a primary physician; and (2) psychiatric services to an ambulatory patient are covered only for active preventive, diagnostic, therapeutic or rehabilitative service with respect to mental illness. Provides that comprehensive dental services (exclusive of most orthodontic services) are covered for children under age 15, with the covered age group increasing by two years each year until all those under age 25 are covered. Provides that: (1) inpatient and outpatient hospital services and services of a home health agency are covered without arbitrary limitation; and (2) pathology and radiology services are specifically included as parts of institutional services. Limits payment for skilled nursing home care to 120 days per spell of illness, except that this limit may be increased when the nursing home is owned or managed by a hospital and payment for care is made through the hospital budget. Limits the psychiatric hospital benefit to 45 consecutive days of active treatment during a spell of illness. Provides coverage for two categories of drug use: prescribed medicines administered to inpatients or outpatients within participating hospitals; or to enrollees of comprehensive health service organizations, and drugs necessary for the treatment of specified chronic illnesses or conditions requiring long or expensive therapy. Requires the Board and the Secretary of Health, Education, and Welfare to establish two lists of approved drugs, taking into account the safety, efficacy and cost of each drug. Provides a broad list of approved medicines available for use in institutions and by comprehensive health service organizations and a more restricted list which is available for use outside such organized settings. Provides that the appliances benefit is similar in concept and operation to the drug benefit, subject to a limitation on aggregate cost. Asserts that the professional services of optometrists and podiatrists are covered, subject to regulations, as are diagnostic or therapeutic services furnished by independent pathology laboratories and radiology services. States that health services furnished or paid for under a workmen's compensation law are not covered. Provides that the services of a professional practitioner are not covered if they are furnished in a hospital which is not a participating provider. Requires that participating providers meet standards established in this title or by the Board. Requires that such providers must agree to provide services without discrimination, to make no unauthorized charge to the patient for any covered service, and to furnish data necessary for utilization review by professional peers, statistical studies by the Board, and verification of information for payments. Makes professional practitioners licensed when the program begins eligible to practice in the State where they are licensed and requires that all newly licensed applicants for participation meet national standards established by the Board in addition to those required by his State. Establishes conditions of participation for general hospitals similar to those required by Medicare. States that the two requirements not found in the Medicare program are: (1) that the hospital must not discriminate in granting staff privileges on any grounds unrelated to professional qualifications, and (2) that it establish a pharmacy and drug therapeutics committee for supervision of hospital drug therapy. Provides that psychiatric hospitals will be eligible to participate only if the Board finds that the hospital (or a distinct part of the hospital) is engaged in furnishing active diagnostic, therapeutic and rehabilitative services to mentally ill patients. Establishes conditions of participation for skilled nursing homes similar to those established for extended care facilities under Medicare. Makes provisions for the participation of home health service agencies. Describes as eligible a health maintenance organization which undertakes to provide an enrolled population either with complete health care or, at least, with complete health security services (other than institutional services, mental health or dental services) for the maintenance of health and the care of ambulatory patients. Permits a foundation sponsored by a county or other local medical society to participate as a provider of services. Permits the participation of community health centers or the like which, though furnishing services as comprehensive as are required by this Act, do not serve an enrolled or otherwise predetermined population and may not meet other requirements of this Act. Authorizes the Board to deal separately with the primary care portion of a system of comprehensive health care where it is necessary to rely on arrangements with other providers. Permits the Board to contract directly with public or other nonprofit mental health centers and mental health day care services. Specifies the conditions under which independent pathology laboratories, independent radiological services, and providers of drugs, devices, appliances, equipment, or ambulance services may qualify as providers under Health Security. Requires that a participating skilled nursing home have in effect an agreement with at least one participating hospital for the transfer of patients and medical and other information as medically appropriate. Prohibits in malpractice judgments any damages to be awarded to the injured party for the cost of remedial services which he is entitled to receive under this Act. Excludes the institutions of the Department of Defense and the Veterans Administration, and institutions of the Department of Health, Education, and Welfare serving merchant seamen or Indians or Alaskan natives, from serving as participating providers, as well as any employee of these institutions when he is acting as an employee. Provides reimbursement for any services furnished by these institutions or agencies to eligible persons who are not a part of their normal clientele. Permits a physician, dentist, optometrist, or podiatrist, licensed in one State and meeting the national standards, to furnish Health Security benefits in any other State, the scope of his permissible practice being governed by the law of the State in which he is practicing. Grants a similar authority to other health professional and nonprofessional personnel. Establishes the Health Security Trust Fund, to receive the net assets of existing (Medicare) funds taken over by the Health Security program, the yield of the Health Security taxes, and the Government's contribution from general revenues amounting to 100 percent of the yield from these taxes. Provides that three separate accounts shall be established in the Health Security Trust Fund: a Health Service Account, a Health Resources Development Account, and an Administration Account. Provides that in each of the first two years of program operation, 2 percent of the Trust Fund shall be set aside for the Health Resources Development Fund; and the allocation shall increase by 1 percent at two-year intervals to 5 percent within the next 6 years. Provides for allocation of the Health Services account among the regions of the country. Provides that the allocation to each region shall be based on the aggregate sum expended during the most recent 12-month period for covered services (with appropriate modification for estimated changes in the consumer price index, the expected number of eligible beneficiaries, and estimated changes in the number of participating providers). Provides that the Board shall divide the allocation to each region into funds available to pay: institutional services; physician services; dental services; furnishing of drugs; furnishing of devices, appliances, equipment; and miscellaneous services. Provides that payments for covered services provided to eligible persons by participating providers will be made from the Health Service Account in the Trust Fund. Describes the method to be used in applying, as between practitioners electing the various methods of payment (fee-for-service and capitation), the monies available in each health service area for payment to each category of professional providers. Authorizes the Board to experiment with other methods of reimbursement so long as the experimental method does not increase the cost of service or lead to overutilization or underutilization of services. Provides that skilled nursing homes and home health agencies will be paid in the same manner as a general hospital (on an approved annual budget basis). Provides that a health organization will be paid for covered services, on the basis of a fixed capitation rate multiplied by the number of eligible enrollees. Contains a series of provisions for developing a continuous process of health service planning and for assisting in the recruitment, education, and training of health personnel. Authorizes special improvement grants: (1) to any public or other nonprofit health agency or institution to establish improved coordination and linkages with other providers of services, and (2) to organizations providing comprehensive ambulatory care, to improve their utilization review, budget, statistical, or records and information retrieval systems, to acquire equipment needed for those purposes, or to acquire equipment useful for mass screening or for other diagnostic or therapeutic purposes. Sets forth the responsibilities and duties of the Secretary of HEW and the Board with regard to this title. Creates an administrative structure within the Department of Health, Education, and Welfare with exclusive responsibility for the administration of the Health Security program. Establishes a five-member, full-time Health Security Board serving under the Secretary of Health, Education, and Welfare. Provides that the members shall be appointed by the President with the advice and consent of the Senate, for five-year overlapping terms. Creates the position of an Executive Director, appointed by the Board with the approval of the Secretary. Provides that the Executive Director will serve as secretary to the Board and shall perform such duties in the administration of the program as the Board may assign. Provides that the program will be administered through the regional offices of the Department of Health, Education, and Welfare. Requires the establishment of sub-regional (service area) offices. Establishes a National Health Security Advisory Council, with the Chairman of the Board serving as the Council's Chairman and 20 additional members not in the employ of the Federal Government. Authorizes the Advisory Council to appoint professional or technical committees to assist in its functions. Provides that the Advisory Council will advise the Board on matters of general policy in the administration of the program, the formulation of regulations and the allocation of funds for services. Charges the Board with responsibility for informing the public and providers about the administration and operation of the Health Security program. Requires the Board to make a continuing study and evaluation of the program, including adequacy, quality and costs of services. Authorizes the Board directly or by contract to make detailed statistical and other studies on a national, regional, or local basis of any aspect of the title; to develop and test incentive systems for improving quality of care, methods of peer review of drug utilization and of other service performances; to develop and test systems of information retrieval, budget programs, instrumentation for multiphasic screening or patient services, and reimbursement systems for drugs; and to make such other other studies which it considers would improve the quality of services of the administration of the program. Grants authority to the Board, in accordance with regulations, to make determinations of who are participating providers of services, determinations of eligibility, of whether services are covered, and the amount to be paid to providers. Allows a provider of services who is dissatisfied with a final Board determination to obtain a hearing before a Board panel, and judicial review of a final decision. Authorizes the Board, with the advice and assistance of the Commission on the Quality of Health Care, to issue and review regulations assuring the quality of care furnished under this Act. Requires continuing professional education by physicians, dentists, optometrists, and podiatrists. Provides for the appointment of a Deputy Secretary of HEW and an Under Secretary for Health and Science. States that no provision of this Act shall alter any contractual obligation of an employer to provide health services to his employees and their dependents. Title II: Health Security Taxes - Converts the existing Medicare hospital insurance payroll taxes into Health Security taxes, and raises the rates to 1 percent on employees and 3.5 percent on employers. Raises the wage base for the employee tax from the present $7,800 to $15,000; or, if higher, 125 percent of the contribution and benefit base. Broadens the definitions of covered employment to include foreign agricultural workers, employees of the U.S. and its instrumentalities (other than members of the armed forces and the President, Vice-President, and Members of Congress), employees of charitable and similar organizations, railroad employees, and (for the employee tax only) employees of States and their political subdivisions and instrumentalities. Excludes from the gross income of employees, for income tax purposes, payment by their employers of part or all of the Health Security taxes on the employees. Spells out the precise effective dates of the new payroll tax provisions. Converts the existing Medicare self-employment tax into a Health Security self-employment tax, raising the rate to 2.5 percent, and raises the maximum taxable self-employment income from $7,800 to $15,000. Adds a new 1 percent Health Security tax on unearned income (unless such income is less than $400 a year), subject to the same maximum on taxable income as is applicable to the employee and self-employment taxes. Title III: Commission on the Quality of Health Care - Establishes in the Department of HEW a Commission on the Quality of Health Care, with the primary responsibility of: (1) initiating and continuing development of methods of assessing the quality of health care furnished under the Health Security Act, and (2) submitting to the Secretary and the Health Security Board its findings and recommendations. Stipulates that in carrying out its duties the Commissioner shall emphasize, and give first consideration to, care furnished for those illnesses and conditions which have relatively high incidence in the population and which are relatively amenable to medical or other care. Title IV: Repeal or Amendment of Other Acts - Requires that after the effective date of benefits, no State shall be required to furnish any service covered under Health Security as a part of its State plan for participation under Medicaid. Title V: Studies Related to Health Security - Authorizes the Secretary of Health, Education, and Welfare in consultation with the Secretary of State and the Secretary of Treasury to study the coverage of health services for U.S. residents in other countries. Directs the Secretary of HEW to study the feasibility and desirability of coordinating the Federal health benefit programs for merchant seamen and Indians and Alaskan natives and also veterans and members of the Armed Forces, with the Health Security Benefit Program.
Bill· HRH.R. 4600 (94th)referred
United States · United States Congress · 11 March 1975
Unemployment Health Services Act - Establishes a health services program for the unemployed. Provides that each State which, through its Governor, enters into an agreement with the Secretary of Labor shall receive payments to cover 100 percent of the costs of supplying health services to eligible unemployed persons, as determined by the State agency administering the program. Specifies the required content of such agreements, and the types of health services covered. Authorizes to be appropriated for any fiscal year ending prior to October 1, 1978, in which the seasonally adjusted national rate of unemployment published by the Bureau of Labor Statistics of the Department of Labor is equal to or exceeds 6 per cent for three consecutive months as determined by the Secretary, such sums as may be necessary to carry out the provisions of this Act.
Bill· HJRESH.J.Res. 306 (94th)referred
United States · United States Congress · 11 March 1975
Authorizes the President to proclaim September 8 of each year as "National Cancer Day".
Bill· HRH.R. 4575 (94th)referred
United States · United States Congress · 10 March 1975
Provides, under title XVIII of the Social Security Act (Medicare) for payment under the hospital insurance program for care and treatment furnished at a central radiation therapy treatment facility. Provides full payment under the supplementary medical insurance program for radiation therapy services furnished by physicians to inpatients or outpatients of any hospital or any such facility. Defines the terms used in this Act.
Bill· SS. 988 (94th)passed
United States · United States Congress · 6 March 1975
National Biomedical Heart, Lung, Blood, Blood Vessel, and Research Training Act - Title I: National Heart and Lung Institute - Directs the Director of the Institute to prepare in consultation with the National Heart and Lung Advisory Council and submit to the Secretary of Health, Education, and Welfare for transmittal to the President and the Congress simultaneously an annual report on the activities, progress, and accomplishments under the National Heart, Blood Vessel, Lung and Blood Disease program during the preceding year and a plan for the next five years, including projections of the staff required and recommendations for appropriations. Redesignates the Assistant Director for Health Information Programs as the Assistant Director for Prevention and Education. Authorizes $45,000,000 for fiscal year 1976, and $45,000,000 for fiscal year 1977, for heart, blood vessel, lung, and blood disease prevention and control programs. Authorizes cardiovascular, lung, and blood disease prevention programs to be carried out in chronic lung disease research and demonstration centers. Limits payments under the Act to heart, blood vessel, lung and blood disease centers to $5,000,000 for any year. Authorizes the Advisory Council to approve areas or research in heart, blood vessel, lung, and blood diseases to be supported by the awarding of contracts and approve the percentage of the budget of the Institute which may be expended for such contracts. Excludes indirect costs in determining the maximum amount of research and training grant authorized by the National Heart and Lung Act. Authorizes $475,000,000 for fiscal year 1977 for carrying out the programs of such Act. Title II: National Research Service Awards - Authorizes the awarding of National Research Awards for biomedical and behavioral research at Federal institutions. Authorizes $207,947,000 for the National Research Service Awards program for fiscal years 1975 and 1976.
Bill· SS. 989 (94th)referred
United States · United States Congress · 6 March 1975
Health Professions Educational Assistance Act Title I: General Provisions - Renumbers, consolidates, and rearranges existing provisions in title VII of the Public Health Service Act which authorizes Federal assistance to schools of the health professions. Expands the membership of the National Advisory Council on Health Professions Education to include representatives of all the health professions schools assisted under title VII of the Public Health Service Act. Sets forth a revised advanced funding provision. Title II: Assistance for Construction of Teaching Facilities - Extends provisions of the Public Health Service Act authorizing grants, loan guarantees, and interest subsidies for the construction of teaching facilities for the training of physicians, dentists, pharmacists, optometrists, podiatrists, veterinarians, and public health personnel. Authorizes $100 million for fiscal year 1975; $125 million for fiscal year 1976; and $150 million for fiscal year 1977 and each of the next 2 fiscal years for the construction grant program. Authorizes $2 million for fiscal year 1975; $2.5 million for fiscal year 1976; and $3 million for fiscal year 1977 and each of the next 2 fiscal years for loan guarantees and interest subsidies. Title III: Student Assistance; National Health Service Corps - Revises the student assistance programs authorized under the Public Health Service Act. States that students pursuing a graduate degree in public health would become eligible to apply for health professions student loans under this Act. Repeals the advanced traineeship program for students of public health. Increases the maximum amount of a health professions student loan to equal a health professions student's tuition plus $2,500 per year. Provides that authorizations for the health professions student loan fund are $60 million for each fiscal year 1975 through 1979. Provides for the forgiveness or cancellation of professional educational expenses at the rate of 50 percent for the first year and 50 percent for the second year of service in a health manpower shortage area. Makes students pursuing graduate degrees in public health eligible for the loan forgiveness program. Obligates each individual who receives any student loan under title VII to serve at least 2 years in an area or institution designated by the Secretary of Health, Education, and Welfare as having a shortage of health manpower. States that the individual could serve the obligated period in a shortage area as designated by the Secretary, or could serve as a member of the National Health Service Corps. Provides that individuals who fail to serve the obligated period would be required to pay damages equal to twice the original value of the student assistance received. Repeals the program of health professions student scholarships and the physician shortage area scholarship program, to be replaced by an amended Public Health and National Health Service Corps scholarship training program. Sets forth the features of such program. Title IV: Grants for Health Professions Schools - Extends the existing programs of capitation and special project grants to health professions schools and the program of assistance to area health education centers. Provides that schools of public health shall be eligible for capitation grants awarded on the basis of the number of students enrolled. States that each grant will equal one-third of the net educational costs of training a student multiplied by the number of full-time students enrolled in the school. Provides total authorizations for the capitation grant program of $292,273,250 for fiscal year 1975, $304,626,000 for fiscal year 1976; and $316,747,350 for fiscal year 1977 and each of the next 2 fiscal years. Prohibits the Secretary from making any capitation grant after June 30, 1974, unless the school assures the Secretary that each student accepted for enrollment agrees to serve in the National Health Service Corps or in a medically underserved area as a private practitioner. Authorizes grants for projects to assist schools of medicine, osteopathy, and dentistry to plan, develop, and implement a nutrition education curriculum. Provides for authorizations for the special projects program of $100 million for each fiscal year 1975 through 1979. Extends the program of start-up assistance for new schools of medicine, osteopathy, and dentistry. Authorizes $11 million for each fiscal year 1975 through 1979. Repeals the program of financial distress grants to health professions schools. Revises the program of assistance to area health education centers by requiring all new centers receiving assistance to: (1) encourage the establishment or maintenance of programs to alleviate shortages of health personnel through training or retraining; (2) provide training programs leading to more efficient utilization of health personnel; (3) initiate new types and patterns or improve existing patterns of training, retraining, continuing education, and advanced training of personnel; and (4) encourage new or more effective approaches to the organization and delivery of health services through the use of team approaches. Authorizes appropriations for area health education centers of $75 million for each fiscal year 1975 through 1979. Title V: Assistance for Specialized Training - Extends provisions of the Public Health Service Act which authorize grants to hospitals to develop training programs in family medicine and to provide financial assistance to students and physicians who participate in family medicine programs. Authorizes, for the family medicine grant program, $40 million for each fiscal year 1975 through 1979. Repeals the programs for grants for computer technology health care demonstration programs and grants for training, traineeships, and fellowships for health professions teaching personnel. Authorizes grants to medical and osteopathic schools to train U.S. citizens who transfer from foreign medical schools to a U.S. medical school. Authorizes for such program $5 million for fiscal year 1975; $10 million for fiscal year 1976; and $15 million for fiscal year 1977 and each of the next 2 fiscal years. Title VI: Allied Health Personnel - Defines the term "allied health personnel". Authorizes a program of allied health special project grants for States, schools and representatives of the allied health professions. Authorizes, for this allied health special projects grant program, $40 million for fiscal 1975; $45 million for fiscal year 1976; and $50 million for fiscal year 1977 and the next 2 fiscal years. Revises the advanced traineeship program for professional allied health personnel and authorizes appropriations of $7.5 million for fiscal year 1975; $9 million for fiscal year 1976; and $10.5 million for fiscal year 1977 and the next 2 fiscal years. Authorizes appropriations for the identification of and assistance to financially, culturally, or educationally deprived persons who have a potential to become allied health personnel. Requires the compilation and dissemination of statistics on allied health personnel and submission to the Senate Labor and Public Welfare Committee and the House Interstate and Foreign Commerce Committee of an annual report on these statistics. Title VII: Postgraduate Physician Training - Authorizes a program to certify a limited number and an appropriate balance of postgraduate physician training programs. States that the program would be administered by the Secretary, according to the recommendations of the National Council on Postgraduate Physician Training and 10 regional councils on postgraduate physician training throughout the Nation. Directs the Secretary, according to the recommendations of the council, to set the total number of internship and residency positions to be certified nationwide in the following year. Provides that the total number could not exceed 110 percent of the total number of medical and osteopathic degrees granted in that year. Authorizes the Secretary to compensate institutions which are forced to decrease their number of postgraduate physician training positions because of the 110 percent limit. Requires the Secretary to make grants of up to $100,000 to develop new additional training positions in specialties, and in geographic areas, if the national and regional councils determines such additional positions are needed. Authorizes a study to determine the desired balance of physicians in the various medical and surgical specialties and subspecialties. Title VIII: Minimum National Licensure of Physicians and Dentists - Requires the Secretary, in consultation with appropriate professional organizations, to develop and establish national standards for the licensure of all physicians and dentists who wish to practice in the United States. Directs the Secretary to prepare a national examination to initially license physicians and dentists and subsequent reexaminations to renew licenses which would be given at least every 6 years. States that, under the provisions of the national licensure program, individual States would be encouraged to establish their own licensure programs, which must be in accordance with national standards. Provides that the new national licensure relationships between States must comply with the national standards for licensure of physicians and dentists. Prohibits States from establishing any requirement for the licensure of physicians and dentists which: (1) would be inconsistent with national standards; or (2) would require that the individual applying for the license reside in the State for a certain period of time. Prohibits a State from renewing the license of any physician or dentist who is obligated, under the provisions of this Act, to provide health service in a medically underserved area or as a member of the National Health Service Corps, unless that physician or dentist has fulfilled his obligation, as certified by the Secretary.
Bill· SS. 990 (94th)referred
United States · United States Congress · 6 March 1975
Health Manpower Act - Title I: General Provisions - Revises and repeals specified provisions of the Public Health Service Act. Title II: Assistance for Construction of Teaching Facilities - Directs the Secretary of Health, Education, and Welfare to make grants to assist in the construction of teaching facilities for the training of physicians, dentists, pharmacists, optometrists, podiatrists, veterinarians, and professional public health personnel. Authorizes appropriations of $25,000,000 for each of fiscal years 1975, 1976 and 1977. Title III: Student Assistance; National Health Service Corps - Expands the provisions governing the making of student loans under the Public Health Service Act and the rates for repayment of such loans. Authorizes appropriations for the purpose of making Federal capital contributions into the student loan funds of authorized schools. Prescribes procedures for the establishment of a National Health Service Corps, applications for assistance from the Corps, and assignment and functions of Corps personnel to medically underserved populations. Outlines the rate-of-pay schedule for physician and dentist Corps members engaged in the delivery of health services to a medically underserved population. Details the reporting requirements by the Secretary to the Congress in his carrying out the programs of the National Health Service Corps. Specifies the membership composition of such Council. Authorizes appropriations for fiscal years 1975-1977 for carrying out this section. Revises the Public Health and National Health Services Corps Scholarship Training Program, setting forth the eligiblity requirements for acceptance in such program and the time and type of obligated service required. Authorizes to be appropriated to carry out the program $80,000,000 for fiscal year 1976 and $120,000,000 for fiscal year 1977. Title IV: Grants for Health Professions Schools - Sets forth computation rules governing the making of annual grants by the Secretary for the support of education programs of schools of medicine, osteopathy, public health, dentistry, veterinary medicine, optometry, pharmacy, and podiatry. Provides for the apportionment of, and authorization of, appropriations for the making of such grants. States that the Secretary shall not make such grants to any school unless specified assurances from each type of school, including assurances that the first year enrollment of health profession schools will rise by specified percentages in succeeding years. Title V: Special Project Grants and Contracts - Revises the procedure for the making of special project grants and contracts for the purposes of assisting individuals from disadvantaged backgrounds. Specifies the purposes for which such grants may be used. Authorizes appropriations for such grants through fiscal year 1977. Authorizes appropriations of $15,000,000, $20,000,000 and $25,000,000 for fiscal years 1975-1977, respectively, for the establishment of area health education centers. Title VI: Public and Allied Health Personnel - Revises the training programs for public and community health personnel and allied health personnel, extending appropriations through fiscal year 1977. Title VII: Medical Residency Training Programs - Provides for the accrediting and operation of medical residency training programs with the number of first year positions not to exceed 125 percent of the estimated number of products from accredited school of medicine in the preceding calendar year. Title VIII: Miscellaneous - Directs the Secretary to contract for a study analyzing the current distribution of physicians by speciality, projecting such analysis to 1980, 1985, and 1990, and examining and developing a method for establishing the optimal distribution of physicians by geographic area. Requires the Secretary to make specified quality assurances to the Congress regarding education and training of allied health personnel. Calls for an allied health personnel study, detailing the contents of such study, including identification of classifications in which there are critical shortages of personnel.
Bill· SS. 991 (94th)referred
United States · United States Congress · 6 March 1975
Title I: National Health Services Manpower Act - Establishes the National Health Service Corps Scholarship Program for the purpose of obtaining physicians for the National Health Service Corps. Sets forth the eligibility requirements for participation in the Program. Provides that each eligible individual shall be entitled to the payment by the Secretary of Health, Education, and Welfare of a scholarship for each approved academic year of training (not to exceed four years). Sets forth the dollar amounts of such scholarships. Requires an individual participating in the Program to serve on active duty as a commissioned officer in the Public Health Service or as a civilian member of the National Health Service Corps following completion of academic training. Provides that such period of active duty shall be six months of service for each year of training received under the Program, with a minimum service time of 12 months. Establishes in the Treasury of the United States the National Health Service Corps Trust Fund from which scholarships under this Act shall be paid. Authorizes appropriations for such fund. Establishes, within the Public Health Service, the National Health Service Corps to improve the delivery of health services to medically underserved populations. Directs the Secretary of Health, Education, and Welfare to designate the medically underserved populations in the States. Defines the term "medically underserved population" and enumerates the factors to be taken into account in making such designations, including: (1) ratios of available health manpower to the population; (2) indicators of the population's access to health services; and (3) indicators of health status and need of the population. Empowers the Secretary to assign Corps personnel to State health agencies, private health entities, local governments, and medical, dental or other appropriate health societies. Enumerates the requirements to be met prior to the making of any such assignments and for the continuing of expired assignments. Provides that Corps personnel shall be assigned on the basis of the extent of the population's need for health services and without regard to the ability of members of the population to pay for health services. Directs the Secretary, in making an assignment, to seek to match characteristics of the assignee and of the population in order to increase the likelihood of the assignee remaining to serve the population upon completion of his assignment period. Authorizes the Secretary to: (1) provide technical assistance to all medically underserved populations to which are not assigned Corps personnel; (2) make arrangements to enable Corps personnel to utilize the health facilities of the areas in which the population resides; and (3) make grants, with specified limitations, for purposes of providing health services. States that the Secretary shall require as a condition to the approval of an application that the entity enter into an appropriate arrangement with the Secretary under which: (1) the entity shall be responsible for charging for health services by the Corps personnel to be assigned; (2) the entity shall take action for the collection of payments for such health services; and (3) the entity shall pay to the United States specified, calculated amounts. Directs the Secretary to conduct, at schools of the health professions and allied health professions, recruiting programs for the Corps. Directs the Secretary to adjust the monthly rate of pay of each physician and dentist member of the Corps who is directly engaged in the delivery of health services to a medically underserved population. Requires the Secretary to report annually to the Congress and specifies the content of such reports. Establishes the National Advisory Council on the National Health Service Corps to consult with, advise, and make recommendations to, the Secretary with respect to his responsibilities in carrying out this Act, and to review and approve regulations promulgated by the Secretary. Sets forth the membership composition of the Council. Authorizes the appropriation of such sums as may be necessary for the fiscal years 1975-77 to carry out the establishment and functions of the National Health Service Corps and the Council. Establishes in the Public Health Service the National Council on Postgraduate Physician Training. Sets forth the membership composition of the National Council. Provides that the National Council shall conduct studies and other activities relevant to the various matters related to the postgraduate training of physicians. Establishes a Regional Council on Postgraduate Physician Training for each of the Department of Health, Education, and Welfare regions. Sets forth membership composition of such Councils. Provides that each regional council shall conduct studies and other activities relevant to the various matters related to the postgraduate training of physicians within the region served by the regional council. Provides that the National Council and each regional council shall annually certify postgraduate training positions in entities, and associations of such entities, which directly provide such training. Directs the Secretary of Health, Education, and Welfare to make grants to, and contract with, entities which directly provide, or have the capacity to provide directly, postgraduate training of physicians and which are certified to the Secretary by the National Council and a regional council as likely to receive an increased number of certified postgraduate positions subsequent to July 1, 1977, to allow such entities to develop new, and expand existing, postgraduate physician training programs. Authorizes the appropriation of such sums as may be necessary for fiscal years 1978-80 to carry out such program and make such grants. Directs the Secretary to contract for the conduct of a study to: (1) analyze the current and projected geographical distribution of physicians by specialty; and (2) examine, evaluate, and develop a reliable and appropriate methodology to establish the optimal distribution of physicians by specialty and by geographic area. Authorizes the appropriation of $10,000,000 for the conduct of such study. Authorizes the Secretary to make special project grants to schools, agencies, organizations and institutions for the improvement of health professions training. Authorizes appropriations to carry out such special project grants. Authorizes the Secretary to make grants to public or private nonprofit entities to assist in projects for planning, developing, and operating area health education systems. Defines "area health education systems." Authorizes appropriations for the making of such grants. Authorizes the Secretary, between July 1, 1974 and June 30, 1977, to provide loan guarantees and interest subsidies to students obtaining loans from banking institutions to meet the cost of education expenses in pursuing an approved course of study leading to an undergraduate degree in nursing, pharmacy, or other allied health professions. Establishes in the United States Treasury a health service manpower loan guarantee fund to enable the Secretary to discharge his responsibilities with respect to loan guarantees and interest subsidies under this Act. Authorizes the appropriation to the fund of such amounts as may be required from time to time for the fund. Title II: Miscellaneous Repeals - Revises the Public Health Service Act by repealing the Public Health and National Health Service Corps Scholarship Training Program, Traineeships for Professional Public Health Personnel, Project Grants for Graduate Training in Public Health, the National Health Service Corps, programs for Health Research and Teaching Facilities and Training of Professional Health Personnel, and programs for Nurse Training.
Bill· SS. 996 (94th)referred
United States · United States Congress · 6 March 1975
Comprehensive Health Professions Education Act - Title I: Loan Guarantees for Construction For Replacement Or Remodeling Of Teaching Facilities - Authorizes the Secretary of Health, Education, and Welfare to assist eligible nonprofit private entities in carrying out approved projects for the construction of teaching facilities of private nonprofit schools of medicine, nursing, osteopathy, veterinary medicine, optometry, or podiatry, other than the construction of new buildings or the expansion of existing buildings, during the period beginning July 1, 1974, and ending with the close of September 30, 1977, by guaranteeing to any non-Federal lender that makes a loan to an eligible entity, for that project, payment when due of the principal of and interest on that loan. Sets forth eligibility requirements for such loan guarantees. Terminates loan guarantees for the construction of new teaching facilities and the expansion of existing teaching facilities. Terminates interest subsidy payments on such loan guarantees. Title II: Capitation Grants, Start-Up Assistance And National Priority Incentive Awards - Directs the Secretary to make annual grants to schools of medicine, osteopathy, dentistry, optometry, podiatry, and veterinary medicine for the support of the education programs of those schools, for fiscal years 1975, 1976, and 1977. Reduces the amount of such grants for each such fiscal year. Authorizes appropriations for each such fiscal year. Limits start-up assistance grants to schools that have received a start-up grant for fiscal year 1974. Establishes a program of National Priority Incentive Awards to each school of medicine and osteopathy in an amount equal to $2,000 for each of its graduates who enters a residency in the practice of family medicine, and to award grants to pay part of the cost of planning, developing, and operating for an initial period, not to exceed three years, programs of graduate or specialized education or training in family medicine, pediatrics, internal medicine, and other health care shortage fields. Title III: Special Projects, Health Manpower Education Incentive Awards, And Financial Distress Grants - Expands the health manpower special projects authority to include assistance presently authorized under existing comparable special project authority contained in the nursing, allied health, and public health professions portions of the Public Health Service Act. Consolidates the authorizations of appropriations for the special project grants for the health professions and the health professions Health Manpower Education Incentative Awards into a single provision of law. Authorizes appropriations for both programs for an additional three years. Authorizes appropriations for the health professions financial distress grant program for an additional three years. Makes schools of pharmacy ineligible for such grants. Limits the financial distress grant to any school for a fiscal year to 75 percent of the financial distress grant awarded for the previous fiscal year. Title IV: Student Assistance - Authorizes the payment to eligible disadvantaged individuals of stipends, with allowances for travel and for dependents, for post-secondary education or training required to qualify such individual for admission to a school providing health training, or to assist such individual in undergoing that training. Authorizes appropriations for the Public Health and National Health Service Corps Scholarship Training Program for fiscal years 1975, 1976, and 1977. Authorizes the Secretary to assign participants in the program to any civilian or uniformed Federal health service. Raises the interest rate on health professions and nursing student loans supported by the Federal Government from 3 to 7 percent. Title V: Effective Date - Sets forth the effective date with respect to the provisions of this Act.
Bill· SS. 992 (94th)referred
United States · United States Congress · 6 March 1975
Health Manpower Act - Title I: General Provisions - Revises and repeals specified provisions of the Public Health Services Act. Title II: Assistance for Construction of Teaching Facilities - Directs the Secretary of Health, Education, and Welfare to make grants to assist in the construction of teaching facilities for the training of physicians, dentists, pharmacists, optometrists, podiatrists, veterinarians, and professional public health personnel. Authorizes appropriations of $100,000,000 for each of fiscal years 1975, 1976, 1977, and 1978. Title III: Student Assistance; National Health Service Corps - Expands the provisions governing the making of student loans under the Public Health Service Act and the rates for repayment of such loans. Authorizes appropriations for the purpose of making Federal capital contributions into the student loan funds of authorized schools. Prescribes procedures for the establishment of a National Health Service Corps, applications for assistance from the Corps, and assignment and functions of Corps personnel to medically underserved populations. Outlines the rate-of-pay schedule for physician and dentist Corps members engaged in the delivery of health services to a medically underserved population. Details the reporting requirements of the Secretary to the Congress in his carrying out the programs of the National Health Service Corps. Establishes the National Advisory Council on the National Health Service Corps. Specifies the membership composition of such Council. Authorizes appropriations for fiscal years 1976-1978 such purposes. Revises the Public Health and National Health Service Corps Scholarship Training Program, setting forth the eligibility requirements for acceptance in such program and the time and type of obligated service required. Authorizes to be appropriated to carry out the Program $50,000,000 for fiscal year 1976, $100,000,000 for fiscal year 1977, and $150,000,000 for fiscal year 1978. Title IV: Grants for Health Professions Schools - Sets forth computation rules governing the making of annual grants by the Secretary for the support of education programs of schools of medicine, osteopathy, public health, dentistry, veterinary medicine, optometry, pharmacy, and podiatry. Provides for the apportionment of, and authorization of, appropriations for the making of such grants. States that the Secretary shall not make such grants to any school unless specified assurances that the first year enrollment of health profession schools will rise by specified percentages in succeeding years, are met. Title V: Special Project Grants and Contracts - Revises the procedure for the making of special project grants and contracts for the purposes of assisting individuals from disadvantaged backgrounds. Specifies the purposes for which such grants may be used. Authorizes appropriations for such grants through fiscal year 1978. Title VI: Medical Residency Training Programs; Admission of Alien Doctors; Reports - Provides for the accrediting and operation of medical residency training programs. Provides for exclusion of alien doctors who have not met specified requirements of this Act as to certification and demonstrated competency in oral and written English, as well as other criteria.
Bill· HRH.R. 4474 (94th)referred
United States · United States Congress · 6 March 1975
Treats the amounts paid for custodial care by institutions of dependents afflicted by Down's syndrome as amounts paid for medical care for purposes of deductibility from gross income under the Internal Revenue Code.
Bill· SS. 970 (94th)referred
United States · United States Congress · 5 March 1975
Establishes a catastrophic health insurance program for the unemployed within the Social Security system. Requires an individual to have established entitlement to weekly benefits under a State or Federal unemployment compensation law in order to be eligible for benefits under this Act. Stipulates that every such individual, and such individual's dependent spouse and children, shall be entitled to hospital and medical insurance benefits if such individual is: (1) unemployed; (2) not entitled under any other provision of law to hospital insurance benefits; and (3) not the dependent spouse. Provides for grants to States equal to 100 percent of the costs and administration for the implementation of programs which supply health benefits to the unemployed. Sets forth the types of hospital and medical services eligible for coverage. Prescribes the portion of the cost of eligible services payable by the program. Creates within the Treasury of the United States a Federal Catastrophic Health Insurance Trust Fund for the Unemployed. Authorizes appropriations to the Fund for fiscal years 1975, 1976, and 1977 of such sums as are necessary to carry out the purposes of the Act. Creates a Board of Trustees of the Trust Fund, to be composed of the Secretary of the Treasury, the Secretary of Labor, and the Secretary of Health, Education, and Welfare. Makes the Secretary of the Treasury the Managing Trustee of the Board. Sets forth the duties of the Board. Provides for the repeal of this Act effective three years after the date of enactment.
Bill· SS. 966 (94th)referred
United States · United States Congress · 5 March 1975
Emergency Health Insurance Extension Act - Stipulates, under the Emergency Jobs and Unemployment Assistance Act of 1974, that every individual who is receiving benefits under any Federal or State unemployment compensation law and who, at the time of termination of his employment, was covered under an employer health insurance plan for employees, and the members of his family if included in such coverage, shall be entitled to a continuation of such insurance. Directs the Secretary of Labor to pay the premiums for such insurance, under specified terms and conditions, until June 30, 1976. Authorizes appropriations necessary to carry out this Act.
Bill· HRH.R. 4341 (94th)referred
United States · United States Congress · 5 March 1975
Revises the conditions under which post-hospital home health services may be provided udner part A and home health services may be provided under part B of title XVIII (Medicare) of the Social Security Act.
Bill· HRH.R. 4340 (94th)referred
United States · United States Congress · 5 March 1975
Home Health Services Act - Provides, under the Public Health Service Act, for the establishment and initial operation of public and nonprofit private agencies which will provide home health services in areas in which such services are not otherwise available. Authorizes the Secretary of Health, Education, and Welfare to make grants: (1) to meet the initial and expanding costs of such agencies; and (2) for programs for the training of professional and paraprofessional personnel to provide home health services. Authorizes the appropriation of such sums as may be necessary to carry out this Act.
Bill· HRH.R. 4302 (94th)referred
United States · United States Congress · 5 March 1975
Home Health Services Act - Provides, under the Public Health Service Act, for the establishment and initial operation of public and nonprofit private agencies which will provide home health services in areas in which such services are not otherwise available. Authorizes the Secretary of Health, Education, and Welfare to make grants: (1) to meet the initial and expanding costs of such agencies; and (2) for programs for the training of professional and paraprofessional personnel to provide home health services. Authorizes the appropriation of such sums as may be necessary to carry out this Act.
Bill· HRH.R. 4303 (94th)referred
United States · United States Congress · 5 March 1975
Revises the conditions under which post-hospital home health services may be provided udner part A and home health services may be provided under part B of title XVIII (Medicare) of the Social Security Act.
Bill· HRH.R. 4244 (94th)referred
United States · United States Congress · 4 March 1975
Prohibits hospitals or other health services facilities which receive Federal support from compensating physicians and other persons for the referral of patients for treatment. Directs the Secretary of Health, Education, and Welfare to promulgate regulations enforcing the policy of this Act, including procedures for suspension of Federal support in the care of violations by hospitals.
Bill· HRH.R. 4237 (94th)referred
United States · United States Congress · 4 March 1975
Authorizes appropriations of $16,000,000 for the National Health Service Corps for fiscal year 1975. Extends, within the Public Health Service, the National Health Service Corps to improve the delivery of health services to medically underserved populations. Directs the Secretary of Health, Education, and Welfare to designate the medically underserved populations in the States. Defines the term "medically underserved population" and enumerates the factors to be taken into account in making such designations, including: (1) ratios of available health manpower to the population; (2) indicators of the population's access to health services; and (3) indicators of health status and need of the population. Empowers the Secretary to assign Corps personnel to State health agencies, private health entities, local governments, and medical, dental or other appropriate health societies. Enumerates the requirements to be met prior to the making of any such assignments and for the continuing of expired assignments. Provides that Corps personnel shall be assigned on the basis of the extent of the population's need for health services and without regard to the ability of members of the population to pay for health services. Directs the Secretary, in making an assignment, to seek to match characteristics of the assignee and of the population in order to increase the likelihood of the assignee remaining to serve the population upon completion of his assignment period. Directs the Secretary to provide technical assistance to all medically underserved populations which are not assigned Corps personnel. Authorizes the Secretary to: (1) make arrangements to enable Corps personnel to utilize the health facilities of the areas in which the population resides; and (2) make grants up to $25,000 for purposes of providing health services, upon application of an appropriate health service entity. States that the Secretary shall require as a condition to the approval of an application that the entity enter into an appropriate arrangement with the Secretary under which: (1) the entity shall be responsible for charging for health services by the Corps personnel to be assigned; (2) the entity shall take action for the collection of payments for such health services; and (3) the entity shall pay to the United States specified, calculated amounts. Directs the Secretary to conduct, at schools of the health professions and allied health professions, recruiting programs for the Corps. Provides for the Secretary to adjust the monthly rate of pay of each physician and dentist member of the Corps who is directly engaged in the delivery of health services to a medically underserved population. Requires the Secretary to report annually to the Congress and specifies the content of such reports. Establishes the National Advisory Council on the National Health Service Corps to consult with, advise, and make recommendations to, the Secretary with respect to his responsibilities in carrying out this Act, and to review and approve regulations promulgated by the Secretary. Authorizes to be appropriated to carry out the provisions relating to the Health Service Corps $30,000,000 for fiscal year 1976. Requires the Secretary to: (1) report to Congress the criteria used by him in designating a medically underserved populations, and the number of populations in each State meeting such criteria; and (2) conduct for studies of methods of assigning National Health Service Corps personnel to medically underserved populations and providing health care to such populations. Directs the Secretary to establish the Public Health and National Health Service Corps Scholarship Training Programs to obtained trained physicians, dentists, nurses, or other health-related specialists for the National Health Service Corps of other units of the Service. Enumerates the eligibility requirements for participation in such program and the regulations governing program members. Provides that, to carry out such program, there is authorized to be appropriated $80,000,000 for fiscal year 1976.
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