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551 records in US in 1977
United States · United States Congress · 17 January 1977
Amends Title XVIII (Medicare) of the Social Security Act to expand the coverage of the supplementary medical insurance program to include physician extender services.
United States · United States Congress · 14 January 1977
Comprehensive Health Care Insurance Act - Requires every employer to offer each of his employees and their families qualified health care insurance. States that such coverage shall be optional with the employee. Requires an employer to contribute to the cost of such coverage for the benefit of an electing employee and his family at least 65 percent of the premium, with the employee contributing the balance. Establishes, for low-income employees, a program of certificates of entitlement or income tax credit in the amount by which the portion of the premium payable by such an employee exceeds the premium for which he would be liable under the program of health insurance for the unemployed or self-employed as established by this Act. Authorizes the Attorney General to bring suit to compel an employer to comply with the provisions of this Act. Stipulates that employers experiencing substantial increases in payroll cost due to the provisions of this Act will be entitled to a cash payment by the Secretary of Health, Education, and Welfare or a credit against income tax. States that premiums for employee groups of one to 100 persons and self-employed persons shall not exceed 125 percent of the estimated average in the State of the annual premium for employee groups of more than 100 persons. Sets forth a plan of health insurance providing hospital, medical, dental, and other health care services for non-employed and self-employed individuals and their families. Establishes, as a means of implementing such plan, a program of certificates of entitlement issued by the Secretary and credits against income tax for the premium for qualified health care insurance. States that the amount of Federal participation shall be related to the income of the individual or family, the Secretary to pay the full premium for those whose annual income are insufficient to create income tax liability, and to pay a gradually smaller proportion of the premium for others in relation to increasing amounts of income tax liability. Provides qualified health care insurance for an individual or family with no tax liability for the base year. Stipulates that the premium rate to be charged for a qualified health care insurance policy offered under such plan for any year shall in no case exceed 125 percent of the estimated average of premiums paid in the State for qualified health care insurance for groups of employees with more than 100 members. Excludes from qualified health care insurance coverage payment for stipulated items, including: (1) personal comfort items; (2) eyeglasses, hearing aids, or orthopedic shoes; and (3) private room inpatient hospital accommodations. Limits the aggregate amount of expenditures for catastrophic illness expenses. Sets forth requirements which must be met by qualified health care insurance plans. Establishes the Federal Health Insurance Redemption Fund. Authorizes appropriations to the fund of amounts equal to the aggregate amount of premiums paid under this Act. Requires carriers offering qualified health care insurance policies to participate in an assigned-risk pool which may be established in such State by the State insurance department or by such agency as may be authorized by the State. Establishes a Health Insurance Advisory Board to: (1) prescribe such regulations as may be necessary to carry out the purposes and provisions of this Act; (2) establish minimum Federal standards for the use of State insurance departments in determining whether an insurance company and plan are qualified under this Act; (3) in consultation with carriers, providers of services, and consumers, plan, review, and develop, where necessary, programs whose purposes are to provide for maintaining the quality of medical care; and (4) review the effectiveness of the program established by this Act. Stipulates that individuals collecting unemployment compensation are eligible for coverage under this Act, unless covered through an employed member of his family. Permits an income tax credit for premiums paid for qualified insurance plans under this Act.
United States · United States Congress · 13 January 1977
Amends Title XVIII (Medicare) of the Social Security Act to provide payment for enterostomal therapy services under the supplementary medical insurance program.
United States · United States Congress · 13 January 1977
Extends the coverage for dental services provided under title XVIII (Medicare) of the Social Security Act to include any services which may be performed by a doctor of dental surgery or of dental medicine and to authorize payment under the Medicare program for all inpatient hospital services furnished in connection with dental procedures requiring hospitalization.
United States · United States Congress · 13 January 1977
Comprehensive Health Care Insurance Act - Requires every employer to offer each of his employees and their families qualified health care insurance. States that such coverage shall be optional with the employee. Requires an employer to contribute to the cost of such coverage for the benefit of an electing employee and his family at least 65 percent of the premium, with the employee contributing the balance. Establishes, for low-income employees, a program of certificates of entitlement or income tax credit in the amount by which the portion of the premium payable by such an employee exceeds the premium for which he would be liable under the program of health insurance for the unemployed or self-employed as established by this Act. Authorizes the Attorney General to bring suit to compel an employer to comply with the provisions of this Act. Stipulates that employers experiencing substantial increases in payroll cost due to the provisions of this Act will be entitled to a cash payment by the Secretary of Health, Education, and Welfare or a credit against income tax. States that premiums for employee groups of one to 100 persons and self-employed persons shall not exceed 125 percent of the estimated average in the State of the annual premium for employee groups of more than 100 persons. Sets forth a plan of health insurance providing hospital, medical, dental, and other health care services for non-employed and self-employed individuals and their families. Establishes, as a means of implementing such plan, a program of certificates of entitlement issued by the Secretary and credits against income tax for the premium for qualified health care insurance. States that the amount of Federal participation shall be related to the income of the individual or family, the Government to pay the full premium for those whose annual incomes are insufficient to create income tax liability, and to pay a gradually smaller proportion of the premium for others in relation to increasing amounts of income tax liability. Provides qualified health care insurance for an individual or family with no tax liability for the base year. Stipulates that the premium rate to be charged for a qualified health care insurance policy offered under such plan for any year shall in no case exceed 125 percent of the estimated average of premiums paid in the State for qualified health care insurance for groups of employees with more than 100 members. Excludes from qualified health care insurance coverage payment for stipulated items, including: (1) personal comfort items; (2) eyeglasses, hearing aids, or orthopedic shoes; and (3) private room inpatient hospital accommodations. Limits the aggregate amount of expenditures for catastrophic illness expenses. Sets forth requirements which must be met by qualified health care insurance plans. Establishes the Federal Health Insurance Redemption Fund. Authorizes appropriations to the fund of amounts equal to the aggregate amount of premiums paid under this Act. Requires carriers offering qualified health care insurance policies to participate in an assigned-risk pool which may be established in such State by the State insurance department or by such agency as may be authorized by the State. Establishes a Health Insurance Advisory Board to: (1) prescribe such regulations as may be necessary to carry out the purposes and provisions of this Act; (2) establish minimum Federal standards for the use of State insurance departments in determining whether an insurance company and plan are qualified under this Act; (3) in consultation with carriers, providers of services, and consumers, plan, review, and develop, where necessary, programs whose purposes are to provide for maintaining the quality of medical care; and (4) review the effectiveness of the program established by this Act. Stipulates that individuals collecting unemployment compensation are eligible for coverage under this Act, unless covered through an employed member of his family. Permits an income tax credit for premiums paid for qualified insurance plans under this Act.
United States · United States Congress · 11 January 1977
Amends Title XVIII (Medicare) of the Social Security Act to increase the inpatient deductible from $40 to $104 in the case of any spell of illness beginning before 1978. Amends the Internal Revenue Code to roll back the time period considered for the purpose of determining the rate of hospital insurance tax on employees, employers, and the self-employed.
United States · United States Congress · 11 January 1977
Amends Title XVIII (Medicare) of the Social Security Act to eliminate the requirement of three days prior hospitalization to be eligible for home health care and extended care services.
United States · United States Congress · 11 January 1977
Amends Title XVIII (Medicare) of the Social Security Act to provide payment for eyeglasses and prescription drugs under the supplementary medical insurance program.
United States · United States Congress · 11 January 1977
Burn Facilities Act - Directs the Secretary of Health, Education, and Welfare to: (1) provide for the establishment of new burn treatment centers and the upgrading of burn units in general hospitals; (2) provide training and support of specialists to staff new and existing burn treatment facilities; (3) provide special training in emergency care of burn victims; and (4) sponsor other research and training programs related to the treatment of burn victims. Directs the Secretary of Commerce to assist the Secretary by providing information on existing burn treatment programs, and other information. Authorizes the appropriation of funds necessary for the purposes of this Act.
United States · United States Congress · 11 January 1977
Medical Assistance Accountability Act - Amends Title XIX (Medicaid) of the Social Security Act to direct the appointment, within the Department of Health, Education, and Welfare, of an officer to be known as the "Special Auditor General for Medicaid Fraud and Abuse," (Auditor General). Declares that such appointment shall be made by the President with the advice and consent of the Senate. States that the Auditor General shall report directly to the Secretary of Health, Education, and Welfare. Declares that the Auditor General shall not be under the control of, or subject to supervision by, any officer of the Department having responsibilities with respect to Medicaid medical assistance programs. Declares it to be the duty and responsibility of the Auditor General to arrange for, direct, or conduct such reviews, inspections, and audits of the Medicaid medical assistance programs as he considers necessary for ascertaining the efficiency and economy of their administration, their consonance with the provisions of this title, and the attainment of the objectives and purposes for which this title was enacted. Authorizes the Auditor General to refer directly to other departments or agencies in carrying out audits, reviews, and inspections. Directs the head of other Federal departments, agencies, offices, or instrumentalities to provide any information requested by the Auditor General. Directs the Auditor General to report semiannually to the Committee on Finance of the Senate and the Committee on Interstate and Foreign Commerce of the House of Representatives, and to any duly authorized subcommittees thereof having legislative or oversight jurisdiction over the matters involved, with respect to his activities under this section. Authorizes the appropriation of such sums as may be necessary to carry out the purposes of this Act. Directs the Auditor General to compile, keep current, and make available to State agencies a list of persons who have been convicted of a violation which is described in Title XIX and which was made in connection with the furnishing by such persons of items and services to individuals for which payment was or was to be made under a State plan approved under this title. Directs that a person convicted of a violation occurring after the date of the enactment of this Act shall, during the two-year period beginning on the date such conviction became final, be ineligible to receive any payment under a State Medicaid plan for the furnishing of items or services. Directs the Auditor General to conduct a study of fraud and abuse in connection with the furnishing of health care in the United States and the payment and reimbursement under both public and private systems for the cost of furnishing such care. Requires the Auditor General to complete such study within two years after the date of enactment of this Act and to, within 30 days of the completion of such study, make a report respecting the results of such study to the Committees on Finance and Labor and Public Welfare of the Senate and the Committees on Interstate and Foreign Commerce of the House of Representatives.
United States · United States Congress · 11 January 1977
Amends Title XVIII (Medicare) of the Social Security Act to provide payment for hearing aids and dentures under the supplementary medical insurance program.
United States · United States Congress · 11 January 1977
Amends Title XVIII (Medicare) of the Social Security Act to increase the inpatient hospital deductible from $40 to $104 in the case of any spell of illness beginning before 1978. Amends the Internal Revenue Code to roll back the time period considered for the purpose of determining the rate of hospital insurance tax on employees, employers, and the self-employed.
United States · United States Congress · 11 January 1977
Maternal and Child Health Care Act - Title I: General Provisions and Administration - Entitles every individual who is a United State citizen or an alien lawfully admitted for permanent residence, and who is a child or who is pregnant, to have payment made for health care services received by such individual in accordance with this Act. Establishes in the Department of Health, Education, and Welfare a Maternal and Child Health Board. Directs the Board to continuously study the operation of this Act and the most effective methods of providing comprehensive personal health services to mothers and children. Requires the Board to report annually to Congress on its activities. Establishes a National Maternal and Child Health Council to advise the Board on matters of general policy, study the operation of this Act, and recommend changes it deems advisable. Title II: Nature and Scope of Benefits - Sets forth procedures to be used in determining whether institutions are qualified health services providers under this Act. Includes within covered professional services: (1) preventive children's health services; and (2) professional services for the diagnosis, treatment, or rehabilitation of a child following injury, disability, or disease. Includes within covered inpatient hospital services: (1) emergency medical care for children; (2) inpatient services for a child under the age of 12 in a qualified pediatric unit; (3) inpatient services for a child 12 years of age or older in a qualified hospital; and (4) child inpatient services in a qualified nursing home. Includes the following services within the coverage of this Act: (1) rehabilitative services, encompassing physical therapy and speech therapy; (2) social services; and (3) mental health services, encompassing psychiatric and psychological services furnished to a child in a qualified facility. Includes within coverage drugs and biologicals prescribed for a child who is not an inpatient in a nursing home or hospital if such drug or biological is prescribed to be taken for longer than four weeks. Includes within coverage devices, appliances, and equipment, the dispensing of such devices for the correction of a child's vision or hearing, and the dispensing of such devices as are necessary for the treatment or rehabilitation of a child following injury, disability, or disease. Includes within maternity coverage: (1) professional services for the diagnosis and treatment of pregnancy and related medical problems; (2) inpatient hospital services for care during pregnancy and for 12 weeks after the pregnancy's termination; (3) diagnostic services performed by a qualified pathology laboratory during such time period; (4) drugs and biologicals prescribed during such time period for a woman not an inpatient in a nursing home or hospital if such drug or biological is prescribed to be taken for more than four weeks; and (5) devices, appliances, and equipment required for treatment of a woman for any pregnancy-related condition during such time period. Directs the Board to arrange for the furnishing of covered medical services to individuals who reside in a medically underserved area or who, because of poverty, discrimination, or cultural barriers, are determined by the Board to suffer a higher risk of infant and maternal mortality than other individuals. Includes within coverage of such individuals, transportation to and from the place where medical services are furnished, care of dependents while such individuals are being furnished medical services, and social outreach services to inform such individuals about services available under this Act. Title III: Administration and Method of Payment of Benefits - Authorizes the Secretary of Health, Education, and Welfare to enter into contracts with carriers to perform some or all of specified administrative functions. Stipulates that payments for covered services may be made only to: (1) the person furnishing such services; (2) the employer of such person; or (3) the facility in which such services were provided. Directs the Secretary to pay 100 percent of the full payment amount for covered services in specified circumstances and to pay 90 percent of that amount in all other cases. Allows the Board, upon determining that a person furnishing covered services under this Act has substantially or consistently violated requirements under this title, to prohibit the making of any payments under this Act for a period not to exceed one year. Requires an individual requesting payment under this Act to: (1) display public notice of participation in the program; and (2) inform each patient of the amount of any copayment the patient must make for covered services, prior to furnishing such services. Requires the Board to approve for each fee payment area a schedule of the amount of payments to be made under this Act for the furnishing of covered professional services. Directs the Board to designate for each fee payment area a nonprofit fee payment board, to submit to the Board a proposed fee payment schedule, and to propose annual revisions. Permits persons adversely affected by the Board's approval or disapproval of a fee payment schedule to seek review in accordance with the provisions of the Administrative Procedure Act. Directs that payments be made on a timely basis for covered institutional services. Requires qualified institutions requesting payment under this Act to: (1) display public notice of their participation in the program; and (2) inform each patient of the amount of any copayment the patient must make for covered services, prior to furnishing covered services. Directs the Board to make available to the public the name, address, and telephone number of each dispenser of drugs and devices covered under this Act. Requires dispensers to display public notice of their participation in the program and to inform patients of any copayment that must be made for any drugs and devices furnished under this Act. Directs the Board to publish annually a schedule of the wholesale cost of covered drugs and devices commonly dispensed under this Act. Title IV: Financing the Maternal and Child Health Program - Amends the Internal Revenue Code of 1954 to impose a maternal and child health care tax on employees, employers, and self-employed individuals. Creates on the books of the United States Treasury a Maternal and Child Health Trust Fund. Authorizes the appropriation of such sums as are necessary to carry out the purposes of this Act in each fiscal year. Appropriates to the Fund for the fiscal year 1976 and each fiscal year thereafter, amounts equivalent to the revenue from the maternal and child health care taxes. Authorizes the Managing Trustee of the Fund to accept and deposit into the Fund money, gifts, and bequests made unconditionally for the benefit of such Fund or any of its activities. Creates a body to be known as the Board of the Trustees of the Fund and designates the Secretary of the Treasury as Managing Trustee. Directs such Board to submit an annual report to Congress on the operation and status of the Fund. Charges the Managing Trustee with the duty of investing such portion of the Fund as is not required to meet current withdrawals. Title V: Penalties, Effective Date, and Technical Amendments - Makes it unlawful to make false statements, misrepresent material facts, or fraudulently conceal or fail to disclose material facts in connection with applications and payment requests under this Act. Makes it unlawful to solicit, offer, or receive kickbacks, bribes, or referral charge rebates in connection with services covered under this Act. Subjects violators to a fine of not more than $10,000, imprisonment for not more than one year, or both. Makes specified technical and conforming amendments in the Social Security Act.
United States · United States Congress · 11 January 1977
Amends Title XVIII (Medicare) of the Social Security Act to authorize payment for specified services performed by chiropractors, including x-rays and physical examinations, and related routine laboratory tests.
United States · United States Congress · 11 January 1977
Amends Title XVIII (Medicare) of the Social Security Act to authorize payment for specified services performed by chiropractors, including x-rays and physical examinations, and related routine laboratory tests.
United States · United States Congress · 11 January 1977
International Portability of Medicare Benefits Act - Amends Title XVIII (Medicare) of the Social Security Act to require the Secretary of Health, Education, and Welfare, under specified circumstances, to make payment for inpatient hospital services furnished to an individual by a hospital located outside the United States.
United States · United States Congress · 10 January 1977
Authorizes the Secretary of the Army to make available free of charge to the State of Hawaii or through it to the Queen's Medical Center, unneeded physical facilities at Fort DeRussy, Hawaii to establish and operate a mental health clinic.
United States · United States Congress · 10 January 1977
Amends Title XVIII (Medicare) of the Social Security Act to authorize payment for specified services performed by chiropractors, including x-rays and physical examinations, and related routine laboratory tests.
United States · United States Congress · 10 January 1977
National Health Care Act - Title I: Findings and Declaration of Purpose - Expresses the finding of Congress that many Americans find it difficult to secure quality health care when they need it. Declares the purpose of the Act to be the improvement of organization, delivery, and financing of health care for all citizens of the United States. Title II: Provisions to Strengthen Health Planning - Directs the States, as part of their review of institutional health services, to designate unneeded services as surplus. States that surplus service shall be considered as though it has been denied a certificate-of-need. Establishes, under the Secretary of Health, Education, and Welfare, a system of grants to reimburse health care institutions which incurred expenses in developing facilities which were later declared surplus. Authorizes State health planning and development agencies to establish health data consortium to serve the common data needs of itself and specified groups. Requires the Secretary to issue guidelines to be used in establishing certificate-of-need programs and in evaluating the need for new institutional health services. Title III: Provisions to Encourage Comprehensive Ambulatory Health Care Centers - Authorizes grants for the construction and modernization of comprehensive ambulatory health care centers. Places priority upon the construction of such facilities located in densely populated areas where such facilities do not now exist. Directs that in order to participate in programs pursuant to this title the States must submit a plan which includes a listing of comprehensive ambulatory health care centers needed to provide adequate ambulatory health care services for patients residing in the State. Title IV: Provisions to Assure a Coordinated National Health Policy - Requires the President to transmit to the Congress not later than July 1 of each year a health report setting forth the present status of the health care system of the Nation with an appraisal of trends and a review of the health programs and activities of the Federal, State and local governments. Creates a Health Policy Board which shall study the Nation's health care programs and make recommendations to the President concerning such programs. Directs the Board to consult with other advisory bodies and representative groups in carrying out their responsibilities. Directs all agencies of the Federal Government to include in every major action, statements regarding the effect of such action on the nation's health care. Title V: Provisions to Make Comprehensive Health Care Insurance Available to All - Establishes minimum standard health care benefits. Specifies that such standard shall be 100 percent of specified examinations, X-rays and laboratory tests and 80 percent of specified hospital, surgical, professional, and ambulatory health care. Prohibits, after a transitional period, any deductions by an employer for payments to an employee health care plan unless the plan offers coverage to the employees' family, the employer pays at least 50 percent of the plan's cost, and the plan provides the minimum health care benefits specified by this Act. Allows an unlimited personal deduction for premiums paid by the taxpayer for a health care plan covering himself or his dependents which provides the minimum benefits specified by this Act. Specifies such minimum health care benefits, including basic dental, maternal, child, family planning and mental health care, which must be extended by health plans in order to qualify for the income tax deductions provided by this title. Requires that such plans provide an annual deductible of $100, with a carryover of any unused portion. Prohibits the awarding of damages for the cost of remedial services for which a party is compensated under this Act in any malpractice action arising out of the furnishing of services covered under a health care plan or under the Social Security Act. Adds to the Social Security Act, "Title XXI - Grants to States for Qualified State Health Care Plans". Authorizes the appropriation of such funds as necessary to provide comprehensive health care insurance to needy individuals and families. Allows individuals or families eligible for enrollment in the qualified State health care plan to elect coverage under an arrangement between the administering carrier and an approved health maintenance organization. States that every resident individual or family who is not eligible to enroll in a qualified employee health care plan, who is enrolled in the supplementary medical insurance program for the aged and who meets the requirements concerning income, shall be eligible to enroll in the qualified State health care plan. Sets forth a formula for determining premium rates to be paid by participating individuals and families. States that in the operation of a qualified State health care plan no charge for services rendered or supplies furnished by any hospital, skilled nursing facility, or home health agency shall be reimbursed to the extent that such charges exceed the rates approved by a State health care institution cost commission established pursuant to this Act. Makes it the duty of the Secretary of Health, Education, and Welfare to review the level of rates of institutional reimbursement approved by the commission for such categories of health care institutions as shall be established by the Secretary. Requires the Secretary to order a reduction in the level of rates approved for a given category of health care institution upon a determination that such rates are unjustifiably high. Stipulates that each State must establish a health care benefits pool. Directs that the premiums collected pursuant to Title XXI be paid into the pool. Makes such pool available to pay claims and other specified expenses associated with the program. Prohibits any class of individuals or families receiving all, or substantially all, of their medical care under a Federal program from receiving coverage under a qualified State health care plan unless the Federal Government provides payment as required by the Act. Makes the State insurance commissioner responsible for assuring the establishment and regulation of a facility to underwrite or reinsure minimum standard health care benefits for individuals, families, and groups of less than 50 employees or members to whom such benefits would not otherwise be available.
United States · United States Congress · 10 January 1977
Amends the Public Health Service Act to require the Secretary of Health, Education, and Welfare to establish standards with respect to preventive health care for identifiable populations within public health programs funded under such Act. Specifies that such standards shall be developed to identify populations in need and to maintain population-directed preventive health programs.
United States · United States Congress · 10 January 1977
Health Security Act - Title I: Health Security Benefits - Makes every resident of the U.S. (and every non-resident citizen when in the U.S.) 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. Extends coverage to all necessary professional services of physicians, wherever furnished. Extends coverage to: (1) comprehensive dental services (exclusive of most orthodontic services) for children under age 15, with the covered age group increasing by two years each year until all those under age 25 are covered; (2) inpatient and outpatient hospital services and services of a home health agency; and (3) pathology and radiology services as parts of institutional services. Limits payment for skilled nursing home care. Limits the psychiatric hospital benefit to 45 consecutive days of active treatment during a spell of illness. Extends coverage to 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. Lists approved medicines available for use in institutions and by comprehensive health service organizations and those available for use outside such organized settings. Declares that the appliances benefit is similar in concept and operation to the drug benefit, subject to a limitation on aggregate cost. Extends coverage to professional services of optometrists and podiatrists, subject to regulations, and diagnostic or therapeutic services furnished by independent pathology laboratories and radiology services. Excludes from coverage: (1) health services furnished or paid for under a workmen's compensation law; and (2) services of a professional practitioner 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. Allows eligible professional practitioners 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 existing State standards. Establishes conditions of participation for general hospitals. Makes psychiatric hospitals eligible to participate only if the Board finds that 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. Allows the following to participate as providers of health services under this Act: (1) 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; (2) a foundation sponsored by a county or other local medical society; and (3) 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. 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 the Health Security Program. 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 medical 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 acting as an employee. Allows reimbursement for any services furnished by such 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. Grants 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. Directs that three separate accounts be established in the Health Security Trust Fund: a Health Service Account, a Health Resources Development Account, and an Administration Account. Allocates the Health Services account among the regions of the country. Stipulates 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). Directs the Board to 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. Stipulates that payments for covered services provided to eligible persons by participating providers shall be made from the Health Service Account in the Trust Fund. 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. Stipulates that skilled nursing homes and home health agencies shall be paid in the same manner as a general hospital (on an approved annual budget basis). Stipulates that a health organization shall be paid for covered services, on the basis of a fixed capitation rate multiplied by the number of eligible enrollees. 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. Requires that the members be appointed by the President with the advice and consent of the Senate, for five-year overlapping terms. 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. Directs the Advisory Council to 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 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 studies which it considers would improve the quality of services and 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. Authorizes the appointment of a Deputy Secretary of HEW and an Under Secretary for Health and Science. Stipulates 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 one percent on employees and 3.5 percent on employers. 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. Converts the existing Medicare self-employment tax into a Health Security self-employment tax, raising the rate to 2.5 percent. Adds a new one percent Health Security tax on earned 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 Commission 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 received under this Act 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 the 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.
United States · United States Congress · 10 January 1977
Older American Special Nutritional and Medical Assistance - Amends the Older Americans Act of 1965 to direct the Commissioner on Aging to establish a program to make supplemental food available to older persons determined to be nutritional risks because of inadequate nutrition and inadequate income. Directs the Commissioner to establish a program to make medical services and medical supplies available to older persons determined to be in special need of such services and supplies because of their medical condition and inadequate income. Requires States receiving grants for such purposes to distribute such grants to local health or welfare agencies or private nonprofit agencies. Requires the Commissioner to insure that foods, services, and supplies provided under this Act will be delivered to homes of older persons otherwise unable to procure them. Requires the Commissioner to insure that there is an equitable distribution of such foods, services, and supplies to older persons residing in rural areas. Requires the Commissioner and the Comptroller General to submit to Congress an interim evaluation report and final evaluation report, detailing the administration of any program established under this Act together with legislative and administrative recommendations. Authorizes the appropriation of specified sums in fiscal year 1978 through 1980 to carry out the purposes of this Act.
United States · United States Congress · 6 January 1977
Amends Title XVIII (Medicare) of the Social Security Act to provide payment for prescription drugs under the supplementary medical insurance program.
United States · United States Congress · 6 January 1977
Repeals Titles XV (National Health Planning and Development) and XVI (Health Resources Development) of the Public Health Services Act.
United States · United States Congress · 6 January 1977
Amends the Public Health Service Act to entitle physicians employed by the Federal Government to a professional allowance in addition to basic pay. Authorizes Federal agencies to enter into service agreements with prospective government physicians whereby the Physician is paid a bonus of up to $5,800 annually in return for agreeing to work a specified number of years in such agency.
United States · United States Congress · 6 January 1977
Amends Title XVIII (Medicare) of the Social Security Act to authorize payment for specified services performed by chiropractors, including x-rays and physical examinations, and related routine laboratory tests.
United States · United States Congress · 4 January 1977
Amends the Social Security Act to maintain the inpatient hospital deductible under the medicare program at the level which was applicable during calendar year 1976.
United States · United States Congress · 4 January 1977
Amends Title XVIII (Medicare) of the Social Security Act to provide payment for nutritional counseling as part of the home health services provided under the supplementary medical insurance program.
United States · United States Congress · 4 January 1977
Amends Title XVIII (Medicare) of the Social Security Act to authorize payment for specified services performed by chiropractors, including x-rays and physical examinations, and related routine laboratory tests.
United States · United States Congress · 4 January 1977
Amends Title XVIII (Medicare) of the Social Security Act to require skilled nursing facilities participating in the Medicare program to comply with relevant provisions of the 1973 edition of the Life Safety Code of the National Fire Protection Association.
United States · United States Congress · 4 January 1977
Amends Title XVIII (Medicare) of the Social Security Act to provide payment for diagnostic tests and examinations given for the detection of breast cancer under the supplementary medical insurance program.
United States · United States Congress · 4 January 1977
Amends Title XVIII (Medicare) of the Social Security Act to extend coverage to include expenses incurred in providing a Papanicolaou test for the diagnosis of uterine cancer, if the individual receiving the test has not had such a test on a routine basis during the preceding six months.
United States · United States Congress · 4 January 1977
Amends Title XVIII (Medicare) of the Social Security Act to provide payment for certain clinical psychologists' services under the supplementary medical insurance program.
United States · United States Congress · 4 January 1977
Amends Title XVIII (Medicare) of the Social Security Act to authorize payment for emergency inpatient hospital services furnished outside the United States, to a qualified individual whose principal residence is within the United States, without regard to where the emergency occurred.
United States · United States Congress · 4 January 1977
National Diabetes Advisory Board Act - Directs the Secretary of Health, Education, and Welfare to establish a National Diabetes Advisory Board to insure the implementation of the long-range plan formulated by the National Commission on Diabetes to combat diabetes. Specifies seven Federal health officers as members of the Board, in addition to seven health professionals and five members of the general public to be appointed by the Secretary. Requires the Board to submit simultaneously to the President and Congress an Annual Diabetes Report describing Board Activities in the prior year and progress made in diabetes research, treatment, and education with specific reference to the long-range plan to combat diabetes mellitus and suggesting recommended future expenditures and legislation. Authorizes the appropriation of $500,000 for fiscal year 1976 and such sums as are necessary for each of the four fiscal years thereafter. Establishes within the National Institutes of Health a program of Distinguished Scientist Awards. Authorizes the Secretary to make such awards to individual scientists who have shown continuous and outstanding productivity in diabetes research for the purpose of continuing such research. Sets the amount of each grant at $35,000 per year. Authorizes, under the Public Health Service Act, the appropriation of specified sums in fiscal years 1977-1981 for the purpose of making grants to centers for research and training in diabetes mellitus and related endocrine and metabolic disorders.
United States · United States Congress · 4 January 1977
Burn Facilities Act - Directs the Secretary of Health, Education, and Welfare to: (1) provide for the establishment of new burn treatment centers and the upgrading of burn units in general hospitals; (2) provide training and support of specialists to staff new and existing burn treatment facilities; (3) provide special training in emergency care of burn victims; and (4) sponsor other research and training programs related to the treatment of burn victims. Directs the Secretary of Commerce to assist the Secretary by providing information on existing burn treatment programs, and other information. Authorizes the appropriation of funds necessary for the purposes of this Act.
United States · United States Congress · 4 January 1977
Amends the Public Health Service Act to enable the Secretary of Health, Education, and Welfare to make grants to schools of medicine to assist in developing and conducting training programs designed to prepare Armed Forces 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.
United States · United States Congress · 4 January 1977
Amends the Public Health Service Act to authorize the Secretary of Health, Education, and Welfare to make grants to colleges and universities to assist them in the establishment and operation of programs for the training of physicians' assistants.
United States · United States Congress · 4 January 1977
Amends Title XVIII (Medicare) of the Social Security Act to provide payment for optometric and medical vision care under the supplementary medical insurance program.
United States · United States Congress · 4 January 1977
Amends Title XIX (Medicaid) of the Social Security Act to prohibit any expenditure to an individual to the extent to which an entity (other than a member of the individual's family) would be liable for payment for such care and services but for a provision of a contract or a State law which has the effect of limiting or excluding such liability because the individual is eligible or entitled to receive care or services under the plan. Provides that a lien may be imposed by the State against the estate of a deceased individual after the death of his surviving spouse, on account of medical assistance paid or to be paid on his behalf under Title XIX.
United States · United States Congress · 4 January 1977
Amends Title XVIII (Medicare) of the Social Security Act to remove the limit of 100 visits which applies to post-hospital home health services. Drops the requirement that the home health care provided be of the same kind as provided in prior hospitalization. Eliminates the requirement that a physician review the home health care plan and that the patient be under the care of a physician. Requires that such functions be done by the appropriate health professional under regulation of the Secretary of Health, Education, and Welfare. Extends Medicare coverage to include periodic chore services, hospital outreach services, nutritional counseling, health and supportive services furnished in elderly day care centers, and expansion of professional standard review organization review functions. Requires the Secretary to establish a review plan which is adapted to meet the non-institutional nature of home health services. Extends Medicare coverage only to those outpatient rehabilitation services which are certified by a physician as being required.
United States · United States Congress · 4 January 1977
Health Security Act - Title I: Health Security Benefits - Makes every resident of the U.S. (and every non-resident citizen when in the U.S.) 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. Extends coverage to all necessary professional services of physicians, wherever furnished, including preventive care. Limits psychiatric services to ambulatory patients only for active preventive, diagnostic, therapeutic or rehabilitative service with respect to mental illness provided by a group practice organization, hospital, or clinic. Extends coverage to: (1) comprehensive dental services (exclusive of most orthodontic services) for children under age 15, with the covered age group increasing by two years each year until all those under age 25 are covered; (2) inpatient and outpatient hospital services and services of a home health agency; and (3) pathology and radiology services as parts of institutional services. Limits payment for skilled nursing home care to 120 days per spell of illness, except that such 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. Extends coverage to two categories of drug use: (1) prescribed medicines administered to inpatients or outpatients within participating hospitals; or to enrollees of comprehensive health service organizations; and (2) 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. Lists approved medicines available for use in institutions and by comprehensive health service organizations and those available for use outside such organized settings. Establishes a program to furnish therapeutic devices, appliances, and equipment which is similar in concept and operation to the benefit, subject to a limitation on aggregate cost. Extends coverage to professional services of: (1) optometrists and podiatrists, subject to regulations; (2) diagnostic or therapeutic services furnished by independent pathology laboratories and radiology services; (3) the care of a patient in a mental health day care service; and (4) emergency and non-emergency transportation services provided for access to covered services. Excludes from coverage: (1) health services furnished or paid for under a workmen's compensation law; and (2) services of a professional practitioner furnished in a hospital which is not a participation provider. Requires that participating providers meet standards established in this title or by the Board. Requires that such providers agree to provide services without discrimination, make no unauthorized charge to the patient for any covered service, and 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 existing State standards. Establishes conditions of participation for general hospitals. Makes psychiatric hospitals eligible to participate only if the Board finds that 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. Allows the participation of the following as providers of health services under this Act: (1) 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; (2) a foundation sponsored by a county or other local medical society; and (3) 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 judgements any damages to be awarded to the injured party for the cost of medical 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 acting as an employee. Allows reimbursement for any services furnished by such 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. Grants 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. Directs that three separate accounts be established in the Health Security Trust Fund: a Health Service Account, a Health Resources Development Account, and an Administration Account. Requires that in each of the first two years of program operation two percent of the Trust Fund be set aside for the Health Resources Development Fund and the allocation be increased by one percent at two-year intervals to five percent within the next six years. Allocates the Health Services account among the regions of the country. Stipulates 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). Directs the Board to 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. Stipulates that payments for covered services provided to eligible persons by participating providers shall be made from the Health Service Account in the Trust Fund. Prescribes the method to be used in applying, as between practitioners electing the various methods of payment (free-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. Stipulates that skilled nursing homes and home health agencies shall be paid in the same manner as a general hospital (on an approved annual budget basis). Stipulates that a health organization shall be paid for covered services, on the basis of a fixed capitation rate multiplied by the number of eligible enrollees. 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. Requires that the members be appointed by the President with the advice and consent of the Senate, for five-year overlapping terms. 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. Directs the Advisory Council to 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 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 studies which it considers would improve the quality of services and 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. Authorizes the appointment of a Deputy Secretary of HEW and an Under Secretary for Health and Science. Stipulates 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 one percent on employees and 3.5 percent on employers. Raises the wage base for the employee tax to $15,000; or, if higher, 125 percent of the contribution and benefit base. 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. Converts the existing Medicare self-employment tax into a Health Security self-employment tax. Adds a new one 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 Commission 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 received under this Act 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 the 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.
United States · United States Congress · 4 January 1977
Medicare Long-Term Care Act - Repeals existing provisions for post-hospital home health services under Title XVIII (Medicare) of the Social Security Act. Establishes, within the hospital insurance program of such Title, a program of long-term care benefits to be provided for aged and disabled individuals including all recipients of supplemental security income benefits and to be financed without additional cost to such individuals, through the Federal Hospital Insurance Trust Fund, from funds appropriated by the Federal Government. States that the benefits provided to an individual by such program shall consist of: (1) home health services; (2) homemaker services; (3) nutrition services; (4) long-term institutional care services; (5) day care and foster home services; and (6) community mental health center outpatient services. Requires that, to the maximum extent possible, such benefits shall be provided by or through community long-term care centers, as defined in this Act; and, in any case where a State has an agency which performs the functions of planning and developing such centers and overseeing their operation the Secretary of Health, Education, and Welfare shall make grants to the State or State agency to reimburse it for expenses incurred in the performance of such functions. Directs the Secretary to pay 75 percent of the amount expended by a State for the operation of a State long-term care agency. Enumerates the functions of such an agency. Declares that a community long-term care center shall: (1) provide the items and services listed in this Act to each individual (i) who is eligible for benefits under this part, (ii) who resides in the area served by such center and (iii) who is certified as requiring such services; (2) evaluate and certify the long-term care needs of an individual for whom such care may be required in order to maintain such individual in an independent living arrangement which is reasonable given such individual's state of health and other circumstances (but not including such individual's economic circumstances); (3) maintain a continuous relationship with (and periodically evaluate not less than annually) each individual who is receiving any of the items and services listed in this Act; (4) provide full opportunity for such individual and his family to participate in the determinations and functions under this Act; (5) provide an organized system for making its existence and location known to all individuals in its service area who are eligible for benefits under this part, and for making known to such individuals the method or methods by which they may most efficiently obtain and use the services which it makes available; and (6) perform such other functions as the Secretary of Health, Education, and Welfare may by regulation prescribe in order to have such center most effectively carry out the purposes of this Act. Defines terms used in this Act, including the services to be provided by community long-term care centers. Directs the Secretary to develop and promulgate to community long-term care centers one or more methods of obtaining payment for the benefits covered under this Act. Requires the Secretary to prescribe regulations setting forth the standards of care for homemaker and nutritional services. Establishes the Federal Advisory Council on Long-Term Care. Sets forth the qualifications of the five members of such Council. States that it shall be the duty and function of the Council to provide advice and recommendations for the consideration of the Secretary on regulations under this Act and on matters of general policy with respect to this Act. States that no regulations of the Secretary under this Act shall become effective unless they have first been approved by the Council. States that the determination of whether an individual is entitled to benefits under this shall be made by the Secretary in accordance with regulations prescribed by him. Authorizes the appropriation to the Federal Hospital Insurance Trust Fund of such sums as the Secretary considers necessary for any fiscal year for the purposes of the program created by this Act. Authorizes the Secretary to make grants and enter into contracts with institutions to meet the cost of training programs in the techniques and methods of providing long-term health care.
United States · United States Congress · 4 January 1977
Amends Title XVIII (Medicare) of the Social Security Act to provide payment under the supplementary medical insurance program for one comprehensive physical examination a year, dental care including dentures, eye examinations including eyeglasses, hearing aids including examination, treatment of foot conditions. Directs the Secretary of Health, Education, and Welfare to take steps to eliminate unnecessary or excessive medical appliance expenditures under the Medicare program by implementing appliance leasing, auditing of medical appliance manufacturers and providers, and by cross-referencing prevailing medical appliance rates. Includes under the term "medical appliance" hearing aids, eyeglasses, dentures, and similar health aids. States that the Federal Trade Commission should continue and increase scrutiny of the medical appliance industries in the interest of consumer protection. States that the Secretary of Health, Education, and Welfare should provide increased assistance to encourage the continuing education and training of hearing specialists, clinical audiologists, and physicians to improve the quality of hearing care, and to encourage the provision by State local governments of more and better hearing care for the elderly, including a network of examination and treatment sites.
United States · United States Congress · 4 January 1977
Geriatric Health Personnel Training Act - Amends the Public Health Service Act (Health Research and Teaching Facilities and Training of Professional Health Personnel) to authorize the Secretary of Health, Education, and Welfare to grant $500,000 for each of six schools of medicine to assist in the establishment and operation of departments of geriatrics. Authorizes the Secretary to make grants to assist schools of medicine in the establishment and operation of continuing education programs in geriatrics for physicians. Authorizes the appropriation of $2,500,000 for fiscal year 1978, and $5,000,000 for each of the next three fiscal years to enable the Secretary to make grants to schools of medicine to assist in developing and conducting training programs designed to prepare armed forces veterans, with appropriate experience as paramedical personnel, to serve as medical assistants in long-term health care facilities. Authorizes the Secretary to make grants and enter into contracts with public or nonprofit colleges and universities for the development of graduate programs for nurses in geriatrics and gerontology. Amends the National Labor Relations Act to make it an unfair labor practice for an employer to discharge or otherwise discriminate against an employee who has testified before any congressional committee or any governmental agency or department.
United States · United States Congress · 4 January 1977
Comprehensive Health Care Insurance Act - Requires every employer to offer each of his employees and their families qualified health care insurance. States that such coverage shall be optional with the employee. Requires an employer to contribute to the cost of such coverage for the benefit of an electing employee and his family at least 65 percent of the premium, with the employee contributing the balance. Establishes, for low-income employees, a program of certificates of entitlement or income tax credit in the amount by which the portion of the premium payable by such an employee exceeds the premium for which he would be liable under the program of health insurance for the unemployed or self-employed as established by this Act. Authorizes the Attorney General to bring suit to compel an employer to comply with the provisions of this Act. Stipulates that employers experiencing substantial increases in payroll cost due to the provisions of this Act will be entitled to a cash payment by the Secretary of Health, Education, and Welfare or a credit against income tax. States that premiums for employee groups of one to 100 persons and self-employed persons shall not exceed 125 percent of the estimated average in the State of the annual premium for employee groups of more than 100 persons. Sets forth a plan of health insurance providing hospital, medical, dental, and other health care services for non-employed and self-employed individuals and their families. Establishes, as a means of implementing such plan, a program of certificates of entitlement issued by the Secretary and credits against income tax for the premium for qualified health care insurance. States that the amount of Federal participation shall be related to the income of the individual or family, the Government to pay the full premium for those whose annual incomes are insufficient to create income tax liability, and to pay a gradually smaller proportion of the premium for others in relation to increasing amounts of income tax liability. Provides qualified health care insurance for an individual or family with no tax liability for the base year. Stipulates that the premium rate to be charged for a qualified health care insurance policy offered under such plan for any year shall in no case exceed 125 percent of the estimated average of premiums paid in the State for qualified health care insurance for groups of employees with more than 100 members. Excludes from qualified health care insurance coverage payment for stipulated items, including: (1) personal comfort items; (2) eyeglasses, hearing aids, or orthopedic shoes; and (3) private room inpatient hospital accommodations. Limits the aggregate amount of expenditures for catastrophic illness expenses. Sets forth requirements which must be met by qualified health care insurance plans. Establishes the Federal Health Insurance Redemption Fund. Authorizes appropriations to the fund of amounts equal to the aggregate amount of premiums paid under this Act. Requires carriers offering qualified health care insurance policies to participate in an assigned-risk pool which may be established in such State by the State insurance department or by such agency as may be authorized by the State. Establishes a Health Insurance Advisory Board to: (1) prescribe such regulations as may be necessary to carry out the purposes and provisions of this Act; (2) establish minimum Federal standards for the use of State insurance departments in determining whether an insurance company and plan are qualified under this Act; (3) in consultation with carriers, providers of services, and consumers, plan, review, and develop, where necessary, programs whose purposes are to provide for maintaining the quality of medical care; and (4) review the effectiveness of the program established by this Act. Stipulates that individuals collecting unemployment compensation are eligible for coverage under this Act, unless covered through an employed member of his family. Permits an income tax credit for premiums paid for qualified insurance plans under this Act.
United States · United States Congress · 4 January 1977
Amends the Internal Revenue Code to increase the excise tax on cigarettes. Amends the Public Health Service Act to establish a National Cancer Research Fund in the Treasury to be partially funded from the additional excise taxes collected under this Act.
United States · United States Congress · 4 January 1977
National Health Action Corps Act - States that the purpose of this Act is to increase the number of trained professional personnel in the allied health field by providing young Americans training and practical work experience in the allied health field. Establishes within the executive branch an independent agency to be known as the Health Action Corps. Provides that the Corps shall be headed by a Board of Directors which shall consist of the Secretary of Health, Education, and Welfare, the Secretary of Housing and Urban Development, the Secretary of Labor, the Secretary of Commerce, and the Director of the Office of Management and Budget, or their respective designees. States that it shall be the duty of the Corps to provide opportunities for young Americans to participate in programs which provide training and practical work experience in the allied health field. States that such programs shall include career counseling, exposure to various health-related occupations, and training and work experience in clinical settings. Stipulates that the Corps shall be composed of volunteers selected by the Administrator in accordance with policies and procedures established by the Board. States that the term of enlistment in the Corps shall be one year plus time for training. Authorizes the Administrator to provide to any volunteer who has completed his period of enlistment: (1) a scholarship of $3,000 if such volunteer is a full-time student at a junior college, college, or university; or (2) a bonus of $3,000, if such volunteer works for one year in an area which (as determined by the Administrator) has a critical shortage of trained professional personnel in the allied health field. Stipulates that the Board shall establish a National Advisory Committee to advise, consult with, and make recommendations to the Board on matters relating to: (1) the recruitment of Corps volunteers; (2) evaluation of the quality of the training provided to the Corps volunteers; (3) the projected future demand for trained professionals in the allied health field; and (4) innovations in the utilization of trained professional personnel in the allied health field.
United States · United States Congress · 4 January 1977
National Voluntary Medical and Hospital Services Insurance Act - Creates the National Voluntary Medical and Hospital Services Insurance Agency to operate a National Voluntary Medical and Hospital Services Insurance Plan with funds supplied by voluntary subscriptions and matching United States Treasury funds, to pay all reasonable costs of all medically necessary and appropriate medical and hospital services for all voluntary enrollees. Authorizes the appropriation of $50,000,000 for the first calendar year after this Act becomes effective for the Agency to carry out its duties under this Act. Directs that payment be made by the plan to or on behalf of every enrollee for all legal, appropriate, and professionally recognized and medically necessary service provided as a personal professional service by or under the direct supervision of a licensed medical doctor, whenever performed. Specifies services excluded from benefits of the plan. Requires premium payments in the amount of $18 per month for each adult and one-half of the amount for each child. Stipulates that subscribers with a total earned and unearned family income of less than $12,000 per year shall be entitled to have their premiums calculated at 1.8 percent of such income for each child enrollee. Prohibits the use of more than three percent of all premiums received for the payment of costs of the plan other than benefits. Stipulates that the Agency shall affix a fee to every professionally recognized diagnostic and therapeutic medical service procedure or treatment and laboratory pathological test and procedure that is proportionate to the customary and reasonable fee for such service in each general area of the United States. Enumerates, with respect to claims for the benefits of this plan, the form of, items of information to be contained in, and procedures for auditing, assessment, and payment of, such claims. Authorizes the Agency to temporarily or permanently exclude any enrollee or provider of services found to have made any false claim for payment for services. Requires the arbitration of claims for damages resulting from alleged malpractice in the provision of any service that is a benefit of the plan.
United States · United States Congress · 4 January 1977
National Comprehensive Vision Care Act - Authorizes the Secretary of Health, Education, and Welfare to make annual grants to the States for the costs of establishing and operating programs under which students in public schools: (1) will receive free vision testing; and (2) will be provided, without charge, appropriate necessary follow-up services (including ophthalmologic and optometric services and eyeglasses). Authorizes such grants to be used to train personnel to administer such tests. Directs the Secretary to establish a panel to advise him with respect to the standards to be prescribed by him under this Act for qualified vision tests. States that such panel shall be composed of four ophthalmologists and four optometrists who by virtue of their training and experience are especially qualified to advise the Secretary with respect to such standards. Requires the Secretary to make an annual report to the Congress respecting the grant program authorized under this Act and to include in such report his recommendations for such legislation as he deems appropriate.