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Bill· HRH.R. 625 (101st)referred
United States · United States Congress · 24 January 1989
Human Fetal Tissue Transportation Act of 1989 - Prohibits interstate importation, exportation, or transportation of human fetal tissue, except as permitted under this Act. Requires any person who transports such tissue to notify the Secretary of Health and Human Services (Secretary) semiannually of each such transportation, with specified information. Requires the Secretary to establish regulations restricting or prohibiting interstate importation, exportation, or transportation of human fetal tissue and the operation of human fetal tissue storage facilities as necessary to protect the public health or promote the general welfare. Prohibits operation of a human fetal storage facility, except with a license issued under this Act. Requires the Secretary to issue or renew such license for any organization which meets the requirements of this Act. Authorizes the Secretary to limit, suspend, or revoke any license for material misrepresentations, failure to provide certain information, or failure to comply with regulations. Authorizes the Secretary to conduct investigations or inspections necessary to carry out this Act. Requires the Secretary to furnish the Attorney General information indicating noncompliance with this Act. Establishes penalties of fines or imprisonment for violations of this Act. Declares that this Act shall not affect any provision of State law, except to the extent such law is inconsistent with this Act, and then only to the extent of the inconsistency. Defines "human fetal tissue" to be matter yielded by an aborted human pregnancy and any biochemical product derived from such matter.
Bill· HRH.R. 621 (101st)referred
United States · United States Congress · 24 January 1989
Prohibits a person who counsels or assists anyone in the use of an unapproved abortion drug or device from receiving Federal assistance for any purpose or a payment under title XVIII (Medicare) or XIX (Medicaid) of the Social Security Act for any service for such period as the authority providing such assistance or payment determines.
Bill· HRH.R. 619 (101st)referred
United States · United States Congress · 24 January 1989
Prohibits the provision of any form of Federal financial assistance for investigation of the anti-progesterone steroid (known as RU-486) to obtain its approval under the Federal Food, Drug, and Cosmetic Act. (Such steroid has been used outside the United States to abort pregnancies.)
Bill· HRH.R. 622 (101st)referred
United States · United States Congress · 24 January 1989
Parent Drug Awareness Act - Amends the Federal Food, Drug, and Cosmetic Act to require that drugs derived from a human fetus be labeled accordingly.
Bill· HRH.R. 637 (101st)referred
United States · United States Congress · 24 January 1989
Directs the Secretary of Veterans Affairs to establish a pilot program to allow veterans residing in counties which would be served by a Palm Beach County, Florida, Department of Veterans Affairs medical center to obtain medical treatment at non-Department of Veterans Affairs health-care facilities. Authorizes the Secretary to require that all participants in the pilot program be referred to a non-Department of Veterans Affairs medical facility for specific care through the direction of a local Department of Veterans Affairs outpatient clinic. Directs the Secretary to report to the Congress on a plan for the implementation of the pilot program within 90 days after the enactment of this Act. Terminates the authority of the Secretary with respect to the pilot program when a new Department medical facility to serve the south-central Florida area is opened. Directs the Secretary to report to the Congress on the operation of the program and on the feasibility of applying similar programs in other areas of the United States which are not served by a Department medical facility.
Bill· HRH.R. 620 (101st)referred
United States · United States Congress · 24 January 1989
Amends the Federal criminal code to provide that medical services provided by the Public Health Service to Federal penal and correctional institutions shall not include the performance of abortions, unless required to prevent the death of either the pregnant woman or her preborn child.
Bill· HRH.R. 614 (101st)referred
United States · United States Congress · 24 January 1989
Equal Opportunity for Medical Licensure and Reciprocity Act of 1989 - Prohibits discrimination against any person who graduated from a medical school outside the United States and who is a licensed physician in the United States: (1) in equal access to practice medicine within any U.S. jurisdiction; (2) by law, regulation, policy, or requirements; and (3) by conditions or requirements which differ from the conditions or requirements as applied to graduates of U.S. medical schools. Applies the prohibition to any medical specialty as well as to the general practice of medicine. Prohibits the Secretary of Health and Human Services from making a grant, loan guarantee, or interest subsidy to, or for the benefit of, any school of medicine, unless the application contains assurances that the school will not discriminate against a graduate of a non-U.S. medical school. Requires States to adopt medical licensure and medical reciprocity standards which provide equal opportunity to any graduate of a non-U.S. medical school, as compared to any graduate of a U.S. medical school, provided the non-U.S. medical school graduate has completed the U.S. postgraduate training and obtained a license to practice medicine in any U.S. State.
Bill· HRH.R. 585 (101st)referred
United States · United States Congress · 20 January 1989
Amends the Internal Revenue Code, the Employee Retirement Income Security Act of 1974, and the Public Health Service Act to terminate a person's eligibility to receive benefits under mandated employee health benefit continuation coverage as soon as that person becomes eligible for coverage under another group health plan, as an employee or otherwise. Requires a 90-day qualifying period before obtaining continuation coverage benefits.
Bill· HRH.R. 577 (101st)referred
United States · United States Congress · 20 January 1989
Separation of Powers Act of 1989 - Repeals the War Powers Resolution. Deletes the provision contained in the law providing for an early warning system in Sinai that permits the Congress to require the removal of U.S. civilian personnel assigned to Sinai if the Congress by concurrent resolution determines that the safety of such personnel is jeopardized or that continuation of their role is no longer necessary. Amends the International Emergency Economic Powers Act to repeal the authority of the Congress to terminate a declaration of a national emergency by concurrent resolution. Amends the Neutrality Act of 1939 to repeal the provision that authorizes the Congress by concurrent resolution to declare that a state of war exists between foreign states. Amends the Foreign Assistance Act of 1961 to delete certain provisions that give the Congress the authority to limit certain international aid programs, including nuclear transfers, by adopting a concurrent resolution. Deletes the provision prohibiting the use of foreign aid funds to train the police forces of foreign countries. Changes certain provisions relating to the Department of Defense that give the Congress the authority to limit actions of the Department of Defense by adopting a resolution or a concurrent resolution or by requiring the Department of Defense to notify the Congress before taking action (including provisions dealing with the ordering to duty of selected reserves, emergency construction projects, contributions for NATO infrastructure, Naval Petroleum Reserves, and a long-range proving ground for guided missiles). Amends certain Acts dealing with armed forces personnel and veterans' health care to limit the authority of the Congress to oversee programs contained in such Act. Amends the Federal Nonnuclear Energy Research and Development Act of 1974 to delete the provision authorizing the Congress to nullify a proposed rule or order by passage of a resolution. Amends the Atomic Energy Act of 1954 and the Nuclear Non-Proliferation Act of 1978 to delete certain provisions that give the Congress the authority to oversee actions, programs, or agreements under such Acts.
Bill· HRH.R. 599 (101st)referred
United States · United States Congress · 20 January 1989
Ground Water Safety Act of 1989 - Amends the Federal Insecticide, Fungicide, and Rodenticide Act (FIFRA) to require a pesticide registrant or reregistrant to submit information to the Administrator of the Environmental Protection Agency (EPA) regarding the pesticide's potential for groundwater leaching. Directs the Administrator, upon such registration, to determine a pesticide's leaching potential. Requires registrants, in the case of a positive leaching potential, to: (1) develop management practices to minimize such leaching; (2) disseminate such management information to applicators; and (3) conduct groundwater monitoring. Requires a registrant, upon detection of groundwater contamination, to notify EPA, the State, the owner of the property, and any other person(s) relying on the underground source for drinking water or household needs. States that if such contamination reaches or is likely to reach 25 percent of the EPA-established groundwater residue guidance level, the Administrator shall amend the registration to impose further restrictions on the pesticide's use. States that if contamination reaches 50 percent of the groundwater residue guidance level, the Administrator shall notify and provide relevant information to the affected State(s). Directs the Administrator, if an affected State fails to act, to prohibit the pesticide's use in the vicinity of the underground source of drinking water. Directs the Administrator to: (1) collect and make available to the public information on groundwater pesticide contamination; (2) provide technical assistance to States for groundwater protection programs; (3) conduct research activities to monitor the presence of pesticides in the unsaturated zone; and (4) enter into agreements with the Departments of Agriculture, Commerce, and the Interior to develop information systems for State and local officials, farmers, and applicators regarding soil, climate, and hydrology at specific pesticide use sites. Authorizes FY 1990 through 1994 appropriations. Requires States to develop and submit for EPA approval pesticide water pollution prevention programs. Authorizes: (1) the Administrator to provide financial assistance; and (2) FY 1990 through 1994 appropriations. Amends the Public Health Service Act to authorize the Administrator to issue groundwater residue guidance levels for FIFRA-registered pesticides. Amends the Clean Water Act to authorize FY 1990 through 1994 appropriations for EPA research in developing management practices to control pesticide contamination of surface and groundwaters.
Bill· HRH.R. 557 (101st)referred
United States · United States Congress · 19 January 1989
Repeals the Medicare Catastrophic Coverage Act of 1988.
Bill· HRH.R. 559 (101st)referred
United States · United States Congress · 19 January 1989
Amends title XVIII (Medicare) of the Social Security Act to provide coverage for wigs and hairpieces needed due to alopecia that resulted from treatment of a malignant disease.
Bill· HRH.R. 558 (101st)referred
United States · United States Congress · 19 January 1989
Catastrophic Coverage Election Act of 1989 - Amends title XVIII (Medicare) of the Social Security Act and the Internal Revenue Code to permit individuals to elect not to receive benefits to which such individuals are entitled as a result of the enactment of the Medicare Catastrophic Coverage Act of 1988 and not to pay premiums imposed pursuant to such Act. Requires that beneficiaries be notified of such option.
Bill· HRH.R. 550 (101st)referred
United States · United States Congress · 19 January 1989
Amends the Internal Revenue Code to allow an individual an income tax deduction for qualified home health care, adult day care, and respite care expenses with respect to a dependent who: (1) resides with the taxpayer; (2) suffers from Alzheimer's disease or a related organic brain disorder; and (3) is physically or mentally incapable of self-care.
Bill· HJRESH.J.Res. 81 (101st)referred
United States · United States Congress · 19 January 1989
Constitutional Amendment - Proclaims the English language to be the official language of the United States. Prohibits the United States or any State from requiring the use of any other language. States that this article shall not prohibit any law, program, or policy to: (1) provide educational instruction in a language other than English for the purpose of making students proficient in English; (2) teach a foreign language to students who are already proficient in English; (3) protect public health and safety; or (4) allow translators for litigants, defendants, or witnesses. Authorizes the Congress and the States to enforce this article by appropriate legislation.
Bill· HJRESH.J.Res. 74 (101st)open
United States · United States Congress · 19 January 1989
Designates the week of April 16 through April 22, 1989, as National Minority Cancer Awareness Week.
Bill· HRH.R. 436 (101st)open
United States · United States Congress · 4 January 1989
Trauma Care Systems Planning and Development Act of 1989 - Amends the Public Health Service Act to create a new title on trauma care. Authorizes the Secretary of Health and Human Services to make grants and enter into cooperative agreements and contracts with respect to trauma care to: (1) conduct and support research, training, evaluations, and demonstration projects; (2) foster development of trauma care systems; (3) collect and disseminate information; (4) provide technical assistance to State and local agencies; and (5) sponsor workshops and conferences. Directs the Secretary to establish the Advisory Council on Trauma Care Systems. Declares that, notwithstanding provisions of the Federal Advisory Committee Act, the Council shall continue in existence until otherwise provided by law. Directs the Secretary to make an allotment for each State for each fiscal year for developing, implementing, and monitoring the modifications to the trauma-care component of the State plan for the provision of emergency medical services. Requires non-Federal matching contributions (in cash or in kind) in specified ratios for fiscal years after FY 1990. States that such component of the State plan will be modified with regard to: (1) trauma care regions, centers, and systems; (2) triage and transport of children; (3) accreditation and evaluation; (4) data reporting and analysis systems; (5) procedures for paramedical personnel to assess the severity of injuries; (6) transportation and transfer policies; (7) public education; (8) coordination and cooperation; and (9) other matters. Requires States to adopt guidelines for the designation of trauma centers, and for triage, transfer, and transportation policies, equivalent to the applicable guidelines developed by the American College of Surgeons and by the American College of Emergency Physicians. Authorizes the Secretary, after public notice and an opportunity for comment, to waive the requirement of adoption of such guidelines. Mandates that States: (1) require each trauma center to provide certain information to the State emergency medical system annually; (2) submit to the Secretary, at least annually, the information it receives from its data reporting and analysis system; and (3) identify and submit to the Secretary a list of rural areas lacking certain emergency medical services. Sets forth restrictions on the use of State allotments. Requires an annual report from each State to the Secretary. Sets forth a formula for determination of the amount of allotments. Provides for: (1) repayment and offset for failure to use funds as agreed; (2) criminal penalties for certain false statements; (3) technical assistance and provision of supplies and services by the Secretary in lieu of grant funds; and (4) a report by the Secretary to the Congress. Authorizes appropriations for FY 1990 through 1992. Directs the Secretary, acting through the Director of the Centers for Disease Control, to develop guidelines and a model curriculum for emergency response employees (EREs) with respect to the prevention of exposure to infectious diseases during the process of responding to emergencies. Directs the Secretary to establish a task force to assist in developing the guidelines and model curriculum, appointing to the task force representatives of the Centers for Disease Control, State governments, and EREs. Requires a medical facility to notify the designated officer of the transporting EREs if the facility determines that a victim the EREs transported to the facility has an infectious disease. Requires a medical facility, upon request of a designated officer of EREs, to notify the designated officer if the facility makes a determination that a victim transported by EREs has an infectious disease. Applies notification requirements to both the facility receiving the victim and, if the victim dies, to the facility ascertaining the cause of death. Sets forth notification procedures. States that the public health officer of each State will designate one official of each employer of EREs to make requests and receive notifications. Provides for notification of EREs and for requests from an ERE to a designated officer that the designated officer request notification from the medical facility. Declares that the provisions in this Act regarding notification of EREs will not be construed to authorize or require: (1) a medical facility to test a victim of an emergency for any infectious disease; and (2) any medical facility, any designated officer, or any ERE to make disclosures with respect to the identity of a victim if such disclosures are prohibited under State or Federal law. Mandates that States agree to establish enforcement provisions, including injunctive relief and a civil cause of action for damages, for violations of the notification provisions in this Act. Directs the Secretary of Health and Human Services to conduct a study to determine the adequacy and appropriateness of the reimbursements provided to trauma centers under title XIX (Medicaid) of the Social Security Act. Requires the Federal Communications Commission to complete a study, establish a plan, and report to the Congress regarding emergency medical services communications.
Bill· HRH.R. 453 (101st)referred
United States · United States Congress · 4 January 1989
Amends the Internal Revenue Code to allow a taxpayer a 30 percent nonrefundable income tax credit for up to $10,000 (with a maximum of $5,000 per qualifying relative) of expenses incurred to care for a relative aged 70 or older whose income is $15,000 or less and who is disabled or has been diagnosed as having Alzheimer's disease. Reduces the credit (but not below 20 percent) for taxpayers with adjusted gross income above $25,000, with additional reductions when income exceeds $75,000. Applies the credit to home health agency services, homemaker services, adult day care, respite care, and certain health care equipment and supplies.
Bill· HJRESH.J.Res. 68 (101st)open
United States · United States Congress · 4 January 1989
Designates the month of May 1989 as National Stroke Awareness Month.
Bill· HRH.R. 417 (101st)referred
United States · United States Congress · 3 January 1989
Amends title II (Old Age, Survivors and Disability Insurance) of the Social Security Act to eliminate, for five years, in the case of individuals medically determined to have acquired immune deficiency syndrome (AIDS), the requirement that an individual be entitled to disability benefits for at least 24 consecutive months in order to qualify for hospital insurance benefits under part A (Hospital Insurance) of title XVIII (Medicare) of the Act. Provides Medicare coverage of experimental AIDS treatment which is in accord with recognized clinical protocol.
Bill· HRH.R. 407 (101st)referred
United States · United States Congress · 3 January 1989
Amends the Public Health Service Act to authorize the Secretary of Health and Human Services, acting through the Centers for Disease Control, to make grants and enter into contracts for State and local public health emergency prevention and treatment programs. Establishes in the Treasury a Public Health Emergency Prevention and Treatment Fund for such purposes. Authorizes $100,000,000 for FY 1989 and for subsequent years such sums as necessary to have $100,000,000 in the Fund at the beginning of each fiscal year. Requires a report to the appropriate congressional committees on any such expenditures made during a fiscal year.
Bill· HRH.R. 416 (101st)referred
United States · United States Congress · 3 January 1989
Amends title II (Old Age, Survivors and Disability Insurance) of the Social Security Act to eliminate, for five years, in the case of individuals medically determined to have acquired immune deficiency syndrome (AIDS), the requirement that an individual be entitled to disability benefits for at least 24 consecutive months in order to qualify for hospital insurance benefits under part A (Hospital Insurance) of title XVIII (Medicare) of the Act. Provides Medicare coverage of experimental AIDS treatment which is in accord with recognized clinical protocol.
Bill· HRH.R. 408 (101st)referred
United States · United States Congress · 3 January 1989
Amends the Public Health Service Act to authorize the Secretary of Health and Human Services, acting through the Centers for Disease Control, to make grants and enter into contracts for State and local public health emergency prevention and treatment programs. Establishes in the Treasury a Public Health Emergency Prevention and Treatment Fund for such purposes. Authorizes $60,000,000 for FY 1990 and for subsequent years such sums as necessary to have $60,000,000 in the Fund at the beginning of each fiscal year. Requires a report to the appropriate congressional committees on any such expenditures made during a fiscal year.
Bill· HRH.R. 357 (101st)referred
United States · United States Congress · 3 January 1989
Amends title XVIII (Medicare) of the Social Security Act to include, as a home health service, nutritional counseling provided by or under the supervision of a registered dietitian.
Bill· HRH.R. 353 (101st)referred
United States · United States Congress · 3 January 1989
Directs the Administrator of the Environmental Protection Agency to develop a research program to: (1) assess the sources, amounts, composition, and disposal of infectious medical wastes; (2) determine the hazard to public health of such wastes; (3) compare incineration processes, autoclaving, and other disposal technologies; and (4) assess the status of U.S. medical waste management practices. Authorizes appropriations through FY 1995 to carry out this Act.
Bill· HRH.R. 421 (101st)referred
United States · United States Congress · 3 January 1989
Private Long-Term Care Insurance Promotion Act - Amends the Internal Revenue Code to require that for the purpose of determining the income tax liability of insurance companies guaranteed renewable insurance contracts providing for qualified long-term health care be treated in the same way as noncancellable accident or health insurance contracts. Applies this requirement to contracts covering diagnostic, preventive, therapeutic, rehabilitative, and personal care services that are: (1) required by a chronically ill or disabled individual; and (2) provided by a qualified licensed provider (other than a family member) in a nursing facility, including hospitals and nursing homes, or in a home (if home care is a substitute for care in a nursing facility).
Bill· HRH.R. 209 (101st)open
United States · United States Congress · 3 January 1989
Amends part B (Supplementary Medical Insurance) of title XVIII (Medicare) of the Social Security Act to cover an annual screening mammography for women over age 64. Increases the base payment limit for a screening mammography from $50 to $60.
Bill· HRH.R. 355 (101st)open
United States · United States Congress · 3 January 1989
Senior Citizens Health Insurance Standards Act of 1989 - Directs each State to submit to the Secretary of Health and Human Services a plan specifying certain minimum standards applicable to the sale of health insurance to the elderly. Amends title XVIII (Medicare) of the Social Security Act to direct the Secretary to conduct studies for the purposes of making recommendations to the Congress concerning: (1) a uniform approach for regulating all private health insurance sold to the aged and disabled; and (2) the feasibility of additional health insurance coverage under title XVIII.
Bill· HRH.R. 325 (101st)open
United States · United States Congress · 3 January 1989
Amends title XVIII (Medicare) of the Social Security Act to provide payment for psychologists' services under the supplementary medical insurance program (part B of title XVIII).
Bill· HRH.R. 193 (101st)referred
United States · United States Congress · 3 January 1989
Enterprise Zone Development and Employment Act of 1989 - Subtitle A: Designation of Enterprise Zones - Authorizes the Secretary of Housing and Urban Development (Secretary) to designate enterprise zones for purposes of providing tax and regulatory relief and improving local services. Limits choices to areas nominated by States and local governments. Limits to 100 the total number of areas that may be designated, and the time period of the designation. Authorizes the Secretary to designate a zone only if the area meets certain locational, demographic, unemployment, and poverty criteria. Requires nominating local governments, as a condition of the Secretary's designation, to agree in writing to follow a course of action that may include reducing tax rates, improving local services, simplifying or streamlining regulation of business, and providing job training to area residents. Describes areas to which the Secretary must give preference in selecting areas for designation. Requires the Secretary to report to the Congress every four years on the effects of such enterprise zones' designation in accomplishing the purposes of this Act. Subtitle B: Federal Income Tax Incentives - Part I: Credits for Employers and Employees - Allows employers located in enterprise zones a nonrefundable income tax credit for qualified increased employment expenditures and employment of the disadvantaged. Sets the credit amount at ten percent of the increase in payroll plus a specified percentage of wages paid to certain disadvantaged workers through the first 20 years of the enterprise zone designation. Allows a nonrefundable income tax credit to enterprise zone employees for five percent of wages earned. Phases out both credits in the last four years of the enterprise zone designation. Part II: Credits for Investment in Tangible Property in Enterprise Zones - Allows businesses an additional investment tax credit for investments made in certain enterprise zone construction property. Limits the credit to ten percent for new property, including rental property. Requires the recapture of credit amounts upon the early disposition of the property. Part III: Nonrecognition of Qualified Enterprise Zone Capital Gain Where Acquisition of Enterprise Zone Business Property - Provides for the nonrecognition of capital gain on the sale of enterprise zone property if, within one year after the sale, the taxpayer acquires qualified replacement property (generally defined as property related to an enterprise zone or to a business within a zone). Part IV: Deduction for Purchase of Enterprise Stock - Allows a taxpayer to deduct up to $100,000 of the aggregate amount paid for the purchase of enterprise stock on its original issue by a qualified issuer. Requires any gain from the disposition of the stock to be treated as ordinary income. Part V: Rules Relating to Private Activity Bonds - Declares that: (1) limitations on the cost recovery deductions for property financed with tax-exempt bonds shall not apply to enterprise zone property; and (2) the termination of the small issue exemption shall not apply to bonds whose proceeds are used to finance facilities in enterprise zones. Part VI: Ordinary Loss Deduction for Securities of Enterprise Zone Business Which Become Worthless - Permits an ordinary loss deduction for securities of enterprise zone business that become worthless during the taxable year. Part VII: Increase in Research Credit for Research Conducted in Enterprise Zones - Increases from 20 percent to 37 1/2 percent the tax credit for increasing research conducted in enterprise zones. Part VIII: Sense of the Congress with Respect to Tax Simplification - Expresses the sense of the Congress that the Secretary of the Treasury should simplify the administration and enforcement of any provision of the Internal Revenue Code affected by this Act. Part IX: Regulations - Directs the Secretary of the Treasury to issue regulations to carry out the provisions of this Act not later than six months after enactment. Subtitle C: Regulatory Flexibility - Amends Federal law to revise the definition of "small entity" for purposes of the analysis of regulatory functions to include qualified business, government, and nonprofit enterprises operating within enterprise zones. Authorizes Federal agencies, upon request by a designating government, to waive or modify rules and regulations pertaining to the implementation of projects or activities within an enterprise zone. Requires agencies to approve the request if the resulting benefits of job creation, community development, or economic revitalization outweigh the public interest in retaining the rule unchanged. Disallows waiver or modification of a rule that would directly violate a statutory requirement or present a danger to the public health and safety. Amends the Department of Housing and Urban Development Act to direct the Secretary of Housing and Urban Development to promote the coordination of all enterprise zone programs and to consolidate all periodic reports required under such programs into one summary report. Subtitle D: Establishment of Foreign-Trade Zones in Enterprise Zones - Requires the Foreign-Trade Zone Board to consider on a priority basis and to expedite the processing of applications for the establishment of foreign-trade zones within enterprise zones. Requires the Secretary of the Treasury to give priority to, and expedite applications for, the establishment of ports of entry necessary to establish such zones.
Bill· HRH.R. 212 (101st)open
United States · United States Congress · 3 January 1989
Federal Employees Long-Term Health Care Act - Directs the Office of Personnel Management (OPM) to conduct, during calendar years 1990 through 1992, a demonstration project to determine the feasibility and desirability of establishing, on a permanent basis, the concept of a social health maintenance organization for Federal employees and their families. Limits the contractor for such a project to certain comprehensive medical plans. Specifies the terms and conditions of the project contract, including benefits: (1) without any deductible; and (2) limited to expenses totaling at most $18,000 per calendar year, with the individual being liable for 25 percent of any such expenses. States that the project shall be designed by OPM, participating carriers, and a consultant contracted for by OPM. Requires periodic written evaluations of the project by the consultant, to be submitted to OPM and certain congressional committees. Authorizes appropriations for FY 1990 through 1992.
Bill· HRH.R. 211 (101st)open
United States · United States Congress · 3 January 1989
Federal Employees Health Care Freedom-of-Choice Act - Amends provisions relating to Federal employee health benefits to authorize direct payment or reimbursement for services performed by a: (1) chiropractor; (2) marriage family therapist; (3) nurse midwife, nurse practitioner, and any other nurse; and (4) mental health counselor. Declares that this Act does not supersede or preempt any State or local law which relates to licensing or certification of health practitioners.
Bill· HRH.R. 372 (101st)referred
United States · United States Congress · 3 January 1989
Guardianship Rights and Responsibilities Act of 1989 - Amends title XIX (Medicaid) of the Social Security Act to reduce the Federal share of Medicaid payments available to States which fail to adopt, within two years of this Act's enactment, the rights, standards, and duties concerning guardianship that are set forth in this Act. Requires that an individual who is the subject of a guardianship petition: (1) be provided with an adequate and timely notice, in large print and plain language, of all pending guardianship proceedings, rights afforded in the course of such proceedings, and the possible consequences of a determination of incapacity; (2) have the right to counsel; and (3) have the right to have the question of incapacity heard by a jury and to file an appeal against a determination of incapacity and a guardianship order. Requires that determinations of incapacity be made only when the subject of the guardianship petition is present at such hearing, unless such person waives the right to be present or is physically unable to be present, and be based on clear and convincing evidence of incapacity to administer his or her own affairs. Sets forth the training and services which court personnel in guardianship hearings must receive and provide. Prohibits an incapacity determination in a guardianship proceeding from being considered prima facie evidence of insanity or inability to function in a non-institutionalized setting. Requires that the personal preferences of a ward in the selection of a guardian be taken into account when feasible and the ward be entitled to participate in all decisions affecting such ward during the guardianship to the extent such ward's functional limitations make such participation possible. Requires that a guardianship be imposed on a ward in the least restrictive manner commensurate with the ward's functional limitations. Prohibits the appointment of a person as a guardian unless such person: (1) completes, or agrees to enroll in and complete, court-supervised training in the legal, economic, and psychosocial needs of wards; and (2) has filed a guardianship plan with, and had the plan approved by, the court. Requires a guardian to keep the court which issued the guardianship order informed of the ward's affairs and whereabouts and use the ward's funds only for the administration of the guardianship and the ward's benefit. Provides that a court in a State into which a ward moves shall be notified of the existence of a guardianship, and receive information on and assume jurisdiction over, such guardianship. Authorizes such court to require the guardian to submit a new petition for guardianship. Directs courts to conduct annual reviews of guardianship orders they have issued. Requires private professional guardians to meet guardian certification requirements which are consistent with this Act's requirements. Directs the Secretary of Health and Human Services to award two-year demonstration grants to eligible States for the establishment and operation of a guardianship advocate program under which individuals are hired and trained as court employees serving as guardianship advocates and investigators. Requires that preference in awarding grants be given to States which provide assurances that their program will continue to operate after the expiration of such grant. Directs the Secretary to report to the Congress on such programs within three years after the final demonstration grant is awarded. Authorizes appropriations for such grants.
Bill· HRH.R. 354 (101st)referred
United States · United States Congress · 3 January 1989
Health Security Act - Title I: Health Security Benefits - Makes every U.S. resident and nonresident citizen eligible for health services covered under this Act. Authorizes the Health Security Board to enter into reciprocal agreements for coverage of nonresident aliens when in the United States and U.S. citizens residing abroad. Entitles every eligible person to have payment made by the Health Security Board for any covered service provided within the United States by a participating provider. Extends coverage to: (1) professional physician services, including psychiatric services to outpatients under specified conditions; (2) dental services; (3) institutional services; and (4) pharmaceutical benefits. Directs the Board to establish, disseminate, and review annually: (1) a list of drugs for use in participating institutions, organizations, and associations; (2) a list of diseases and drugs for use outside such organizational settings, which shall include drug therapy for chronic conditions; and (3) lists of therapeutic devices, appliances, and equipment (including eyeglasses, hearing aids, and prosthetic appliances), and the conditions under which such items are covered benefits. Requires drugs to be listed by their established names as defined in the Food, Drug, and Cosmetic Act, and also, to the extent the Board deems appropriate, by trade names. Extends coverage to other professional and supporting services, including: (1) services of optometrists and podiatrists; (2) diagnostic and therapeutic services of independent pathology laboratories and radiology services; (3) mental health day care services; (4) alcoholism and drug abuse treatment; (5) family planning and rehabilitation services; (6) emergency and nonemergency transportation services; and (7) other supporting services, such as psychological, physiotherapy, nutrition, social work, or health education services, when furnished on behalf of certain approved organizations. Excludes from coverage: (1) health services furnished or paid for under Federal or State workmen's compensation laws; (2) primary or secondary school health services to the extent specified by regulation; (3) cosmetic surgery; (4) the furnishing of unapproved drugs and appliances; (5) certain medical or surgical procedures which the Board finds are experimental or too costly or scarce to provide on a nationwide basis; (6) certain services which are already furnished or available from another provider; and (7) services of a professional practitioner which are furnished in a nonparticipating hospital. Makes professional practitioners who are licensed on the effective date of enactment of this title eligible providers, but requires practitioners after such date to meet national standards established by the Board in addition to existing State standards. Specifies general eligibility requirements for participating providers, including the filing with the Board of an agreement: (1) not to discriminate in providing services to eligible persons; (2) not to make unauthorized charges; and (3) to comply with reporting requirements. Sets forth specific eligibility requirements for various types of participating providers, including: (1) general and psychiatric hospitals; (2) skilled nursing homes; (3) home health service agencies; (4) group practice organizations; (5) individual practice associations; and (6) other health service organizations and providers, including independent pathology laboratories and radiological services, ambulance services, and providers of drugs, devices, appliances, and equipment. Sets forth criteria for the utilization review plan of hospitals and skilled nursing homes. Requires skilled nursing homes to have in effect an agreement with at least one participating hospital for the transfer of patients and medical and other information. Limits the eligibility of providers operating newly constructed or enlarged facilities which are unnecessary for the furnishing of adequate services. Prohibits damages in malpractice judgments from being awarded for the cost of remedial services for which the injured party is entitled to receive payment under this Act. Excludes institutions and employees of the Department of Defense, Veterans Administration, (effective March 1989, Department of Veterans Affairs), and institutions and employees of the Department of Health and Human Services serving merchant seamen, Indians, or Alaskan Natives, from serving as participating providers, but allows reimbursement for services furnished by such institutions to eligible persons who are not 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 professional and nonprofessional health 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 200 percent of the yield from these taxes. Directs the Board to fix for each fiscal year the maximum amount which may be obligated for expenditure from the trust fund. Establishes in the Trust Fund a health services account, a health resources development account, an administration account, and a residual general account. Provides for the allocation of the health services account among regions of the country. Provides that payments for covered services furnished to eligible persons by participating providers shall be made from the health services account in the Trust Fund. Sets forth specific payment requirements for the various types of participating providers. Sets forth various payment provisions for health care providers, institutions, and pharmacies. Authorizes the Board to: (1) assist in the establishment, expansion, and operation of group practice organizations, other public or nonprofit health service agencies, and nonprofit organizations furnishing comprehensive dental services; and (2) provide for the recruitment, education, and training of needed 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 the terms and conditions for construction and improvement loans made by the Board. Authorizes grants for the development of programs of personal care services. Authorizes appropriations for the purposes of the health services development fund. Creates an administrative structure within the Department of Health and Human Services 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 and Human Services. Sets forth the responsibilities and duties of the Board and the Secretary. Provides that this title shall be administered by the Board through the regions of the Department and, within each region, through health service areas, which shall be the same as those areas established by the Secretary under the Public Health Service Act. Establishes a National Health Security Advisory Council. Authorizes the Advisory Council to appoint professional or technical committees to assist in its functions. Directs the Board to appoint regional and local advisory councils and professional and technical advisory committees. Provides for the participation of appropriate State agencies in the administration of the Health Security program. Specifies responsibilities of the Board. 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. Provides for monitoring of such services by a Professional Standards Review Organization. Directs the Board to establish continuing education requirements for physicians, dentists, optometrists, and podiatrists. Sets forth conditions under which major surgery and other specialized services designated in regulations are covered under this program. Establishes the positions of a Deputy Secretary of Health and Human Services and an Under Secretary for Health and Science. Authorizes appropriations for the purposes of this title. Declares 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 - Amends the Internal Revenue Code to convert 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 of the Health Security taxes on 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 2.5 percent tax on health security 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. Denies tax deductions for services covered by this Act. Title III: Commission on the Quality of Health Care - Amends the Public Health Service Act to establish in the Department of Health and Human Services a Commission on the Quality of Health Care, with the primary responsibilities of: (1) initiating and continuing development of methods of assessing the quality of health care furnished under this Act; and (2) submitting to the Secretary and the Health Security Board appropriate findings and recommendations. Directs the Commission to give special consideration to care furnished for those illnesses and conditions which have a relatively high incidence in the population and which are relatively amenable to medical or other care. Title IV: Repeal or Amendment of Other Acts - Makes conforming and technical amendments to specified Acts. Repeals the Medicare program. Provides 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 - Directs the Secretary, in consultation with the Secretary of State and the Secretary of the Treasury, to study the practicability of extending the coverage of health services for U.S. residents in other countries. Directs the Secretary to study the means of coordinating the Federal health benefit programs for merchant seamen and Indians and Alaskan Natives, veterans, and members of the armed forces with the Health Security benefit program.
Bill· HRH.R. 327 (101st)referred
United States · United States Congress · 3 January 1989
Amends titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act to include medical care, or other remedial care as defined by State law, furnished by licensed practical nurses among the services to be provided under the Medicaid and Medicare programs.
Bill· HRH.R. 356 (101st)referred
United States · United States Congress · 3 January 1989
Amends title XVIII (Medicare) of the Social Security Act to require the governing boards of hospitals and skilled nursing facilities having an average duration of stay of more than 30 days to establish written policies guaranteeing specified rights of patients, including: (1) information on services and charges; (2) information on and participation in medical treatment; (3) conditions of transfer or discharge; (4) grievances; (5) management of personal financial affairs; (6) freedom from abuse and restraints; (7) confidentiality of records; and (8) freedom of association. Directs the Secretary of Health and Human Services to establish civil penalties for the violation of such rights. Sets forth provisions concerning the processing and investigation of complaints arising from such violations.
Bill· HRH.R. 326 (101st)referred
United States · United States Congress · 3 January 1989
Prohibits the Secretary of Health and Human Services or a peer review organization from denying Medicare payments (under title XVIII of the Social Security Act) for inpatient hospital services on the basis that the services were not reasonable and medically necessary, if a physician has certified the services as reasonable and medically necessary and has not established a clear pattern of making faulty certifications.
Bill· HRH.R. 332 (101st)referred
United States · United States Congress · 3 January 1989
Catastrophic Coverage Repeal Act of 1989 - Repeals the Medicare Catastrophic Coverage Act of 1988. Establishes the Advisory Group to Review the Medicare Catastrophic Coverage Act to: (1) study the needs of Medicare (title XVIII of the Social Security Act) beneficiaries for extended acute illness care; and (2) report to the Congress, within one year of this Act's enactment, on a method of providing Medicare coverage of such care which preserves a role for private insurance and minimizes duplicate coverage. Terminates the Advisory Group 30 days after such report.
Bill· HRH.R. 273 (101st)referred
United States · United States Congress · 3 January 1989
Amends the Federal Food, Drug, and Cosmetic Act to require nonprofit health service entities which dispense prescription drugs to register with the Secretary of Health and Human Services.
Bill· HRH.R. 324 (101st)referred
United States · United States Congress · 3 January 1989
Amends titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act to include medical care, or other remedial care as defined by State law, furnished by registered professional nurses among the services to be provided under the Medicaid and Medicare programs.
Bill· HRH.R. 242 (101st)referred
United States · United States Congress · 3 January 1989
Organ Transplant Assistance Act of 1989 - Amends the Internal Revenue Code to allow taxpayers to indicate on their income tax returns their election to include a cash contribution of at least one dollar, to be used for organ transplant assistance. Establishes in the Treasury the National Organ Transplant Assistance Trust Fund to receive such amounts designated on tax returns. Establishes a program through which Trust Fund monies will be used to finance grants to health care facilities where organ transplants are performed to assist them in providing transplants for individuals unable to afford them. Sets forth general criteria to govern these grants.
Bill· HRH.R. 207 (101st)referred
United States · United States Congress · 3 January 1989
Medicare Part C Program Act of 1989 - Amends title XVIII (Medicare) of the Social Security Act (the Act) to add a new part C entitled "Insurance Program for Vision, Hearing, and Dental Services and Prescription Drugs." (Redesignates the current part C as part D.) Provides for coverage in such new program on a voluntary basis. States that the program will: (1) provide benefits for aged and disabled individuals, and individuals with end stage renal disease; and (2) be financed from premium payments by enrollees and receipts from certain excise taxes on tobacco products. Provides that the program shall provide the following benefits: (1) routine eye care including an annual vision examination and prescription eyeglasses; (2) dental services, including teeth cleaning, extractions, examinations, and dentures; (3) hearing examinations and aids; and (4) prescription drugs and biologicals. Directs the Secretary of Health and Human Services to provide for a hearing aid certification program. Provides for payment from the Medicare Part C Trust Fund established by this Act for the incurred expenses of covered individuals. Provides, subject to certain conditions, for a payment rate of 100 percent of the reasonable cost, after payment of a deductible of $75. Sets forth procedures for the payment of claims to providers. Authorizes the Secretary of Health and Human Services to enter into agreements with carriers for administrative purposes. Provides that the following individuals shall be eligible for the program: (1) those entitled to benefits under part A (Hospital Insurance) of title XVIII; and (2) those residents aged 65 and older who are either citizens or lawfully admitted aliens who have resided in the United States continuously during the five years preceding their application. Permits individuals to enroll only during specified enrollment periods. Directs the Secretary of Health and Human Services to annually determine the premium rate. Requires that the premiums be deposited in the Medicare Part C Trust Fund. Establishes the Medicare Part C Trust Fund in the Treasury. Provides that the Trust Fund shall consist of gifts, bequests, premium deposits, and a portion of the tobacco excise tax. Requires the Board of Trustees of the Trust Fund to make certain reports to the Congress. Directs the Secretary, at the request of a State, to enter into an agreement with such State under which enrollment in the program established by this Act will be provided to certain individuals receiving assistance under titles I (Grants to States for Old-Age Assistance), XVI (Supplemental Security Income), and XIX (Medicaid) of the Act. Sets forth conforming amendments. Directs the Secretary to provide for a demonstration project on the cost-effectiveness of providing services and appliances, as a benefit under the new Medicare part C program, to assist or compensate for visual impairment in low-vision individuals. Provides that expenditures for such project shall be made from the Medicare Part C Trust Fund.
Bill· HRH.R. 169 (101st)referred
United States · United States Congress · 3 January 1989
Repeals the Medicare Catastrophic Coverage Act of 1988. Establishes the Presidential Commission on the Medicare Program to ascertain the health care needs of Medicare (title XVIII of the Social Security Act) beneficiaries, focusing on the potential of covering long-term care under the Medicare program. Requires the Commission to report to the Congress and the President. Authorizes appropriations.
Bill· HRH.R. 183 (101st)referred
United States · United States Congress · 3 January 1989
Amends part B (Supplementary Medical Insurance) of title XVIII (Medicare) of the Social Security Act to establish a special 60-day part B enrollment period for individuals who enter the United States after having resided continuously outside the country for the preceding 12 months. Eliminates part B premium increases for months during which an individual resides outside the United States if such months are part of a continuous 12-month period during which such individual was outside the country at least 330 days.
Bill· HRH.R. 157 (101st)referred
United States · United States Congress · 3 January 1989
Health Care Providers Responsibility to the Community Act of 1989 - Amends the Internal Revenue Code to remove the Federal income tax exemption for interest on any inpatient health care facility bond (a 501(c)(3) bond) with respect to any facility that at the time of bond issuance does not have in effect a provider agreement under the relevant State's Medicaid plan. Subjects to the tax on unrelated business income of charitable organizations the owner of any inpatient health care facility that was financed from proceeds of any tax-exempt bond and that does not have a provider agreement under a State Medicaid plan. Denies an income tax deduction for interest on financing to these same entities. Amends title XVIII (Medicare) of the Social Security Act to require hospitals and skilled nursing facilities to have in effect a provider agreement under the relevant State Medicaid program as a condition of eligibility to participate in the Medicare program.
Bill· HRH.R. 179 (101st)referred
United States · United States Congress · 3 January 1989
Amends title XIX (Medicaid) of the Social Security Act to prohibit a skilled nursing or intermediate care facility from discriminating against Medicaid patients in the admission of patients when the proportion of Medicaid patients in such a facility is less than the average proportion of Medicaid patients in similar facilities within the State. Authorizes Medicaid beneficiaries who are denied admission to such facilities in violation of this Act to bring an action in an appropriate State court.
Bill· HRH.R. 208 (101st)referred
United States · United States Congress · 3 January 1989
Amends title XVIII (Medicare) of the Social Security Act to provide that if the Secretary of Health and Human Services enters into a risk-sharing contract with an eligible organization (either a health maintenance organization or a competitive medical plan) offering a "hospital-based comprehensive care program," then the entity need not meet certain requirements for Medicare participation which would otherwise have to be met. Defines a "hospital-based comprehensive care program."
Bill· HRH.R. 141 (101st)referred
United States · United States Congress · 3 January 1989
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.
Bill· HRH.R. 200 (101st)referred
United States · United States Congress · 3 January 1989
Breast Cancer Treatment Informed Consent Act - Requires any State receiving funds under titles V (Maternal and Child Health Block Grant) or XIX (Medicaid) of the Social Security Act or under the preventive health service provisions of the Public Health Service Act to require any physician or surgeon licensed to practice medicine in such State to inform any breast cancer patient of alternative methods of treatment for breast cancer before such treatment is begun. Requires that the patients be informed by means of: (1) a standardized written summary in layman's language and in a language understood by the patient of alternative methods of treatment; and (2) an explanation of the treatment options described in such written summary together with the risks associated with each procedure relative to each patient's particular medical circumstances.
Bill· HRH.R. 155 (101st)referred
United States · United States Congress · 3 January 1989
Amends part B (Supplementary Medical Insurance) of title XVIII (Medicare) of the Social Security Act to require that Medicare payments for physicians' services be made on an assigned basis.
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