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Bill· HRH.R. 942 (103rd)open
United States · United States Congress · 17 February 1993
Medicare EKG Payment Restoration Act of 1993 - Amends part B (Supplementary Medical Insurance) of title XVIII (Medicare) of the Social Security Act to: (1) reestablish separate payment for the interpretation of electrocardiograms (EKGs) that are ordered or performed during an office visit to or consultation with a physician; and (2) set forth special rules governing the payment for EKG interpretation services in order to ensure budget-neutrality.
Bill· HRH.R. 953 (103rd)open
United States · United States Congress · 17 February 1993
Medicare Dependent Hospital Relief Act of 1993 - Amends title XVIII (Medicare) of the Social Security Act to: (1) extend the period during which Medicare-dependent, small rural hospitals receive additional payments under Medicare for the operating costs of inpatient hospital services; (2) revise the criteria for determining whether hospitals are eligible for such additional payments; and (3) provide for additional payments under Medicare to other Medicare-dependent hospitals.
Bill· HRH.R. 940 (103rd)referred
United States · United States Congress · 17 February 1993
Immunization Now Act of 1993 - Entitles each infant in the United States under two years old who does not have other health insurance and who meets other requirements to receive immunizations without charge. Requires any licensed health care professional to provide immunizations in exchange for vouchers issued through hospitals or community health centers or on direct application by the parent, with quarterly reimbursements to health care providers in amounts set by the Secretary of Health and Human Services. Directs the Secretary to carry out activities to inform the public and health care providers regarding the program. Authorizes appropriations. Establishes a national immunization registry system to provide for national surveillance of childhood immunization status through age six. Mandates grants for research and demonstration projects to identify mechanisms and structures to develop the registry. Requires certain measures to expand the registry from the projects to cover the entire Nation. Requires full implementation of the registry by 1997. Authorizes appropriations.
Bill· HRH.R. 945 (103rd)referred
United States · United States Congress · 17 February 1993
Primary Health Care Investment Act of 1993 - Amends the Public Health Service Act to authorize appropriations to carry out specified provisions relating to migrant and community health centers, the National Health Service Corps scholarship and loan repayment programs, and health services for the homeless. Amends provisions of title XVIII (Medicare) of the Social Security Act relating to payment to hospitals for inpatient services to modify requirements regarding the determination of approved FTE (Full-Time Equivalent) resident amounts.
Law· HJRESH.J.Res. 111 (103rd)enacted
United States · United States Congress · 17 February 1993
Designates October 21, 1993, as National Biomedical Research Day.
Bill· HJRESH.J.Res. 114 (103rd)referred
United States · United States Congress · 17 February 1993
Constitutional Amendment - Declares that the right of U.S. citizens to medical care shall be guaranteed.
Bill· SS. 355 (103rd)referred
United States · United States Congress · 16 February 1993
Environmental Programs Assistance Act of 1984 Amendments of 1993 - Amends the Environmental Programs Assistance Act of 1984 to require older workers authorized to be used in connection with pollution control programs administered by the Administrator of the Environmental Protection Agency (EPA) to have the same access as Federal employees have to, and be subject to the same penalties for disclosure of, confidential business information submitted pursuant to any contract with the United States, obtained by an EPA employee, or submitted in connection with the: (1) Solid Waste Disposal Act; (2) Comprehensive Environmental Response, Compensation, and Liability Act of 1980; (3) Federal Water Pollution Control Act; (4) Clean Air Act; (5) Public Health Service Act; (6) Federal Insecticide, Fungicide, and Rodenticide Act; (7) Toxic Substances Control Act; (8) Noise Control Act of 1972; (9) Federal Food, Drug, and Cosmetic Act; or (10) Emergency Planning and Community Right-to-Know Act of 1986. Makes such individuals subject to Federal criminal code provisions concerning ethics and conflict of interests.
Bill· HRH.R. 916 (103rd)open
United States · United States Congress · 16 February 1993
Prescription Drug Prices Review Board Act of 1993 - Establishes in the Food and Drug Administration the Patented Medicine Prices Review Board which shall have the power to decrease the length of term of a prescription drug patent if, after notice and a hearing, it is found that the drug's price is excessive. Defines the term excessive price. Allows the Board to require the recapture of tax benefits provided to the patentee of an excessively priced drug.
Resolution· HRESH.Res. 81 (103rd)open
United States · United States Congress · 16 February 1993
Sets forth the rule for the consideration of H.R. 670 (health services for pregnant women).
Law· SS. 340 (103rd)enacted
United States · United States Congress · 4 February 1993
Amends the Federal Food, Drug, and Cosmetic Act to allow, on order of a veterinarian: (1) a new animal drug approved for one use to be used for a different purpose; and (2) a new drug approved for human use to be used in non-food producing animals.
Bill· SS. 322 (103rd)open
United States · United States Congress · 4 February 1993
Land and Water Conservation Fund Amendments of 1993 - Amends the Land and Water Conservation Fund Act of 1965 to require the submission with the annual budget of the United States of a comprehensive statement of the estimated requirements during the ensuing fiscal year for appropriation from the Land and Water Conservation Fund for land acquisition by eligible Federal agencies and by States and local governments. Sets forth requirements with respect to: (1) allocations from the Fund, including funds for Indian tribes and Alaska Native Village Corporations; and (2) multipurpose acquisition by States. Authorizes the Secretary of the Interior to provide financial assistance to States for outdoor recreation maintenance and security. Repeals a restriction on assistance to enclose or shelter facilities used for outdoor recreation activities. Permits the use of funds, subject to limitations, for: (1) maintenance of facilities acquired and developed with financial assistance provided pursuant to the Act; (2) costs of law enforcement and security measures; and (3) development of sheltered facilities for public health or safety in connection with projects otherwise eligible for assistance under the Act. Authorizes the transfer of funds by grant recipients to private nonprofit organizations, subject to specified requirements, to be used for projects approved in writing by the grantor of the funds in connection with the acquisition of lands (or interests in lands) and the development of recreation facilities, but not for administrative expenses. Sets forth requirements regarding maintenance of expenditures by State and Federal grant recipients.
Bill· SS. 337 (103rd)referred
United States · United States Congress · 4 February 1993
Ethics in Referrals and Billing Act - Amends the Public Health Service Act to establish a new title, Title XXVII: Physician Referral and Billing. Prohibits a physician from referring a patient to an entity in which the physician or an immediate family member has a financial relationship. Sets forth exceptions. Prohibits any patient from being required to pay for any service provided pursuant to a prohibited referral. Subjects a physician who makes referrals in violation of this Act to civil monetary penalties, suspension of laboratory certification for the lab of referral, and exclusion from participation in the Medicare program. Makes it unlawful, subject to exception, for any: (1) person who furnishes ancillary health services to present a bill to any person other than the patient receiving the services; or (2) physician to present a bill to any ancillary service recipient unless the services were furnished personally or under the supervision of the referring physician or a member of that physician's group practice or by individuals employed by that physician or group practice. Sets forth sanctions for violations of such restrictions.
Bill· SS. 325 (103rd)referred
United States · United States Congress · 4 February 1993
TABLE OF CONTENTS: Title I: Immediate Reforms Subtitle A: Small Employer Health Insurance Market Reform Subtitle B: Community Health Services Expansion Subtitle C: Expansion of Tax Incentives for Self- Employed Individuals Subtitle D: Expanding the Supply of Health Professionals in Rural Areas Subtitle E: Malpractice Reform Subtitle F: Joint Ventures Title II: Long-Term Reforms Subtitle A: Establishment of Commission and Advisory Board Subtitle B: Reform and Standardization of Private Insurance Subtitle C: Low-Income Assistance Subtitle D: Congressional Consideration of Commission Recommendation Subtitle E: Enforcement Provisions Subtitle F: Financial Provisions Subtitle G: Definitions BasiCare Health Access and Cost Control Act - Title I: Immediate Reforms - Subtitle A: Small Employer Health Insurance Market Reform - (Sec. 101) Regulates small employer (fewer than 51 employees) accident and health insurance regarding: (1) price; (2) sales practices; (3) issuance; (4) core benefits (requiring the same benefits as title XVIII (Medicare) of the Social Security Act); (5) deductibles, out-of-pocket expenses, and copayments; and (6) children's preventive benefits. Preempts State and local laws. Regulates eligibility, exclusion of preexisting conditions, renewability, waiting periods, and rating requirements. Allows application of State standards instead of these requirements, provided core benefits and sales practices requirements are met. (Sec. 106) Amends the Internal Revenue Code (IRC) to prohibit deductions for the tax imposed by this Act on insurers offering plans that do not qualify as BasiCare plans. Subtitle B: Community Health Services Expansion - (Sec. 111) Amends the Public Health Service Act (PHSA) to establish a program of allotments to States for grants for community-based primary health services to low-income or medically underserved populations regarding infant mortality and referrals for the health management of infants and pregnant women. Earmarks for the allotments specified percentages of appropriations under certain provisions added by this Act. (Sec. 112) Mandates grants to federally qualified health centers (FQHCs) and other entities for providing access to services for medically underserved populations or in high impact areas not currently being served by a FQHC. Authorizes appropriations. Subtitle C: Expansion of Tax Incentives for Self-Employed Individuals - (Sec. 121) Amends the IRC to increase the portion of health insurance costs self-employed individuals may deduct. Removes provisions ending the deduction on a specified date. Subtitle D: Expanding the Supply of Health Professionals in Rural Areas - (Sec. 131) Amends the PHSA to authorize appropriations to carry out provisions relating to the National Health Service Corps scholarship and loan repayment program. Earmarks certain portions to carry out provisions of this Act relating to FQHCs. (Sec. 132) Amends the IRC to allow a credit for service by a physician, physician assistant, or nurse practitioner who: (1) provides primary health services to individuals in a rural health professional shortage area; and (2) is not receiving a National Health Service Corps scholarship or loan repayment and not fulfilling service obligations under such programs. Excludes National Health Service Corps loan repayments from gross income. Allows, with regard to elections to expense depreciable business assets, a higher aggregate cost to be taken into account for rural health care property in a rural health professional shortage area. Allows a deduction for a limited amount of the interest paid on medical education loans by an individual performing services under an agreement with a rural community to perform professional services in the community. Authorizes use of the deduction in computing adjusted gross income. Subtitle E: Malpractice Reform - (Sec. 142) Declares that these provisions apply to any health care liability action brought in any Federal or State court. (Sec. 143) Limits the dollar amount of: (1) recovery by an individual and the individual's family members in a health care liability action, regardless of the number of providers or the number of actions; and (2) single payments which may be required. Requires collateral source offset. Limits punitive damages. Regulates attorney's fees and joint and several liability. Sets forth time limits on initiation of actions. Preempts State laws in certain circumstances. (Sec. 148) Mandates grants to States for the development and implementation of alternative dispute resolution systems (ADRs). (Sec. 149) Requires the Commission to advise the Secretary on ADR eligibility, approval, and review requirements, providing for the establishment of a panel of advisors. (Sec. 150) Authorizes appropriations for the ADR grants. (Sec.151) Mandates grants for demonstration private sector no-fault compensation programs, using the same panel of advisors. Authorizes appropriations. Subtitle F: Joint Ventures - (Sec. 161) Amends provisions of the National Cooperative Research Act of 1984 allowing, notwithstanding antitrust laws, certain cooperative research agreements to add references to joint health care provider ventures, defined as a group of activities by two or more hospitals for the provision or delivery of health care services. Title II: Long-Term Reforms - Subtitle A: Establishment of Commission and Advisory Board - (Sec. 201) Establishes the Commission on National Health Care Access and Reform and the National Advisory Board. Authorizes appropriations. Subtitle B: Reform and Standardization of Private Insurance - (Sec. 212) Requires the Commission to submit to the Congress a legislative proposal with specified elements, including: (1) a uniform national health benefits package (BasiCare); (2) a national health care insurance reform plan applicable to all carriers of health insurance in the United States; (3) self-insured plan requirements; and (4) a program to assist low-income individuals in the transfer from coverage under title XIX (Medicaid) of the Social Security Act to BasiCare coverage and financial assistance in obtaining BasiCare coverage. (Sec. 213) Sets forth the Commission's continuing duties, including: (1) submission of a legislative proposal annually for the next two years if the Congress does not approve the Commission's recommendation; (2) annual review and revision, subject to congressional recision, of benefits and premiums; (3) oversight of provider participation and billing; (4) oversight of the supplemental health insurance market; and (5) submission of plans for the long-term disposition of Medicaid benefits not covered or subsumed by BasiCare and assimilation of Medicare (title XVIII of the Social Security Act), the veterans health care program, the Civilian Health and Medical Program of the Uniformed Services (CHAMPUS), the Indian health service program, and the Federal employees' health benefits program into the BasiCare system. (Sec. 214) Includes in BasiCare coverage basic hospitalization, basic outpatient services, protection against catastrophic out-of-pocket costs, coverage against extraordinary long-term care costs, and coverage for preventive care. (Sec. 215) Requires each carrier to offer BasiCare. Preempts inconsistent State and local laws. Prohibits duplication of BasiCare benefits. Prohibits discrimination based on health status, including preexisting conditions. Requires guaranteed issue, a minimum plan period, guaranteed renewability, and community-wide ratings. Applies these standards to reinsurance policies. Mandates guidelines for a risk adjustment structure. Regulates premiums. (Sec. 217) Prohibits employment-related BasiCare plans from imposing waiting periods. Requires: (1) such plans to apply equally to employees of all income levels; and (2) total contributions for an employer for low-income employees to equal or exceed the total for other employees. (Sec. 219) Regulates self-insured plans. (Sec. 220) Requires providers, as a BasiCare participation condition, to accept any BasiCare payment as full payment. (Sec. 221) Mandates development of recommended managed care plan standards regarding benefits, coverage, and delivery systems. Establishes the Managed Care Advisory Committee. Preempts certain laws regarding managed care plans. Subtitle C: Low-Income Assistance - (Sec. 231) Requires the Commission to provide for the termination of Medicaid program coverage duplicating BasiCare. Terminates, after five years, any remaining Medicaid benefits. Mandates financial assistance, through a voucher system, to low-income individuals for BasiCare premiums, deductibles, and other cost-sharing. Subtitle D: Congressional Consideration of Commission Recommendation - (Sec. 241) Declares that these provisions are enacted as an exercise of the rulemaking power of the House of Representatives and the Senate with recognition of the right of either House to change the rules as any other rule of that House. Provides for the introduction and consideration of a joint resolution approving of the Commission's legislative proposal under subtitle B of this title. Subtitle E: Enforcement Provisions - (Sec. 251) Amends the Internal Revenue Code to remove provisions relating to a tax on any employer or employee organization that contributes to a group health plan or large group health plan that does not comply with certain Medicare provisions. Imposes a tax on: (1) insurers offering plans that do not qualify as BasiCare plans; (2) the failure of any service provider under a BasiCare plan to comply with specified provisions of this Act; and (3) the failure of any person to comply with provisions of this Act relating to employer responsibilities and self-insured plan requirements. (Sec. 252) Disallows personal exemptions unless the individual's BasiCare policy number is included in the individual's tax return. Subtitle F: Financial Provisions - (Sec. 261) Creates the BasiCare Trust Fund and transfers to the Fund: (1) a specified percentage of wages and self-employment income; (2) all of the taxes imposed by this Act; (3) additional revenues resulting from this Act; (4) the State's Medicaid share; and (5) all unobligated amounts in the Federal Hospital Insurance Trust Fund and the Federal Supplementary Medical Insurance Trust Fund. Appropriates to the Fund: (1) the Federal Medicaid share; and (2) amounts equal to appropriations for the veterans health care program, CHAMPUS, the Indian health service program, and the Federal employees' health benefits program. Authorizes appropriations for additional sums as required to make expenditures under specified provisions of this Act. Amends title II (Old-Age, Survivors, and Disability Insurance) of the Social Security Act to exclude amounts under certain provisions of this Act from appropriation to the Federal Old-Age and Survivors Insurance Trust Fund. (Sec. 262) Amends the Internal Revenue Code to: (1) exclude from gross income employer-provided coverage under a BasiCare plan (currently, under an accident or health plan); (2) prohibit deductions for employer expenses for a group health plan unless the plan qualifies as a BasiCare plan; (3) include amounts paid for a BasiCare plan (currently, for insurance) in the definition of "medical care" for provisions relating to medical and dental expenses; and (4) allow a deduction, without regard to adjusted gross income, for BasiCare premiums. Subtitle G: Definitions - (Sec. 272) Defines various terms as used in this Act.
Law· SJRESS.J.Res. 43 (103rd)enacted
United States · United States Congress · 4 February 1993
Designates the weeks beginning June 6, 1993, and June 5, 1994, as Lyme Disease Awareness Week.
Bill· SJRESS.J.Res. 44 (103rd)referred
United States · United States Congress · 4 February 1993
Designates the week beginning April 18, 1993, as Primary Immune Deficiency Awareness Week.
Bill· HRH.R. 833 (103rd)open
United States · United States Congress · 4 February 1993
National Wildlife Refuge System Management and Policy Act of 1993 - Amends the National Wildlife Refuge System Administration Act of 1966 to prohibit the Secretary of the Interior (Secretary) from initiating or permitting a new use of a refuge or expanding, renewing, or extending an existing use unless it is determined that it is compatible with the purposes of the System and the refuge. Allows existing uses of such refuge system lands that have been determined compatible under this Act, or the Refuge Recreation Act, to continue under specified conditions. Terminates such use and revokes permits for it within five years after the enactment of this Act unless the Secretary determines that such use is compatible. Directs the Secretary, acting through the Director of the U.S. Fish and Wildlife Service, to establish a formal process for governing determinations of compatibility of an existing or proposed new use in a refuge with the purposes of the System and the refuge. Requires the head of each Federal agency that has, with respect to a refuge, an equivalent or secondary jurisdiction with the Department of the Interior, or conducts activities within any refuge, to ensure that any actions authorized, funded, or carried out will not impair the resources of the refuge or be incompatible with system or refuge purposes, unless the action is specifically authorized by law or necessary for national security. Directs the Secretary to: (1) prepare (and revise every ten years) a comprehensive plan for the System; and (2) prepare (and revise every 15 years) a comprehensive conservation plan for each refuge or ecologically related complex of refuges in the System, except those in Alaska. Authorizes appropriations. Grants the Secretary emergency power to suspend any activity in any range in the National Wildlife Refuge System that constitutes an imminent danger to the health and safety of any wildlife population, refuge, or to public health and safety.
Bill· HRH.R. 834 (103rd)open
United States · United States Congress · 4 February 1993
TABLE OF CONTENTS: Title I: Immediate Reforms Subtitle A: Small Employer Health Insurance Market Reform Subtitle B: Community Health Services Expansion Subtitle C: Expansion of Tax Incentives for Self-Employed Individuals Subtitle D: Expanding the Supply of Health Professionals in Rural Areas Subtitle E: Malpractice Reform Subtitle F: Joint Ventures Title II: Long-Term Reforms Subtitle A: Establishment of Commission and Advisory Board Subtitle B: Reform and Standardization of Private Insurance Subtitle C: Low-Income Assistance Subtitle D: Congressional Consideration of Commission Recommendation Subtitle E: Enforcement Provisions Subtitle F: Financial Provisions Subtitle G: Definitions BasiCare Health Access and Cost Control Act - Title I: Immediate Reforms - Subtitle A: Small Employer Health Insurance Market Reform - (Sec. 101) Regulates small employer (fewer than 51 employees) accident and health insurance regarding: (1) price; (2) sales practices; (3) issuance; (4) core benefits (requiring the same benefits as title XVIII (Medicare) of the Social Security Act); (5) deductibles, out-of-pocket expenses, and copayments; and (6) children's preventive benefits. Preempts State and local laws. Regulates eligibility, exclusion of preexisting conditions, renewability, waiting periods, and rating requirements. Allows application of State standards instead of these requirements, provided core benefits and sales practices requirements are met. (Sec. 106) Amends the Internal Revenue Code (IRC) to prohibit deductions for the tax imposed by this Act on insurers offering plans that do not qualify as BasiCare plans. Subtitle B: Community Health Services Expansion - (Sec. 111) Amends the Public Health Service Act (PHSA) to establish a program of allotments to States for grants for community-based primary health services to low-income or medically underserved populations regarding infant mortality and referrals for the health management of infants and pregnant women. Earmarks for the allotments specified percentages of appropriations under certain provisions added by this Act. (Sec. 112) Mandates grants to federally qualified health centers (FQHCs) and other entities for providing access to services for medically underserved populations or in high impact areas not currently being served by a FQHC. Authorizes appropriations. Subtitle C: Expansion of Tax Incentives for Self-Employed Individuals - (Sec. 121) Amends the IRC to increase the portion of health insurance costs self-employed individuals may deduct. Removes provisions ending the deduction on a specified date. Subtitle D: Expanding the Supply of Health Professionals in Rural Areas - (Sec. 131) Amends the PHSA to authorize appropriations to carry out provisions relating to the National Health Service Corps scholarship and loan repayment program. Earmarks certain portions to carry out provisions of this Act relating to FQHCs. (Sec. 132) Amends the IRC to allow a credit for service by a physician, physician assistant, or nurse practitioner who: (1) provides primary health services to individuals in a rural health professional shortage area; and (2) is not receiving a National Health Service Corps scholarship or loan repayment and not fulfilling service obligations under such programs. Excludes National Health Service Corps loan repayments from gross income. Allows, with regard to elections to expense depreciable business assets, a higher aggregate cost to be taken into account for rural health care property in a rural health professional shortage area. Allows a deduction for a limited amount of the interest paid on medical education loans by an individual performing services under an agreement with a rural community to perform professional services in the community. Authorizes use of the deduction in computing adjusted gross income. Subtitle E: Malpractice Reform - (Sec. 142) Declares that these provisions apply to any health care liability action brought in any Federal or State court. (Sec. 143) Limits the dollar amount of: (1) recovery by an individual and the individual's family members in a health care liability action, regardless of the number of providers or the number of actions; and (2) single payments which may be required. Requires collateral source offset. Limits punitive damages. Regulates attorney's fees and joint and several liability. Sets forth time limits on initiation of actions. Preempts State laws in certain circumstances. (Sec. 148) Mandates grants to States for the development and implementation of alternative dispute resolution systems (ADRs). (Sec. 149) Requires the Commission to advise the Secretary on ADR eligibility, approval, and review requirements, providing for the establishment of a panel of advisors. (Sec. 150) Authorizes appropriations for the ADR grants. (Sec.151) Mandates grants for demonstration private sector no-fault compensation programs, using the same panel of advisors. Authorizes appropriations. Subtitle F: Joint Ventures - (Sec. 161) Amends provisions of the National Cooperative Research Act of 1984 allowing, notwithstanding antitrust laws, certain cooperative research agreements to add references to joint health care provider ventures, defined as a group of activities by two or more hospitals for the provision or delivery of health care services. Title II: Long-Term Reforms - Subtitle A: Establishment of Commission and Advisory Board - (Sec. 201) Establishes the Commission on National Health Care Access and Reform and the National Advisory Board. Authorizes appropriations. Subtitle B: Reform and Standardization of Private Insurance - (Sec. 212) Requires the Commission to submit to the Congress a legislative proposal with specified elements, including: (1) a uniform national health benefits package (BasiCare); (2) a national health care insurance reform plan applicable to all carriers of health insurance in the United States; (3) self-insured plan requirements; and (4) a program to assist low-income individuals in the transfer from coverage under title XIX (Medicaid) of the Social Security Act to BasiCare coverage and financial assistance in obtaining BasiCare coverage. (Sec. 213) Sets forth the Commission's continuing duties, including: (1) submission of a legislative proposal annually for the next two years if the Congress does not approve the Commission's recommendation; (2) annual review and revision, subject to congressional recision, of benefits and premiums; (3) oversight of provider participation and billing; (4) oversight of the supplemental health insurance market; (5) submission of plans for the long-term disposition of Medicaid benefits not covered or subsumed by BasiCare and assimilation of Medicare (title XVIII of the Social Security Act), the veterans health care program, the Civilian Health and Medical Program of the Uniformed Services (CHAMPUS), the Indian health service program, and the Federal employees' health benefits program into the BasiCare system; and (6) submission of a legislative proposal for affordable and easy access to prescription drugs. (Sec. 214) Includes in BasiCare coverage basic hospitalization, basic outpatient services, prescription drugs, protection against catastrophic out-of-pocket costs, coverage against extraordinary long-term care costs, and coverage for preventive care. (Sec. 215) Requires each carrier to offer BasiCare. Preempts inconsistent State and local laws. Prohibits duplication of BasiCare benefits. Prohibits discrimination based on health status, including preexisting conditions. Requires guaranteed issue, a minimum plan period, guaranteed renewability, and community-wide ratings. Applies these standards to reinsurance policies. Mandates guidelines for a risk adjustment structure. Regulates premiums. (Sec. 217) Prohibits employment-related BasiCare plans from imposing waiting periods. Requires: (1) such plans to apply equally to employees of all income levels; and (2) total contributions for an employer for low-income employees to equal or exceed the total for other employees. (Sec. 219) Regulates self-insured plans. (Sec. 220) Requires providers, as a BasiCare participation condition, to accept any BasiCare payment as full payment. (Sec. 221) Mandates development of recommended managed care plan standards regarding benefits, coverage, and delivery systems. Establishes the Managed Care Advisory Committee. Preempts certain laws regarding managed care plans. Subtitle C: Low-Income Assistance - (Sec. 231) Requires the Commission to provide for the termination of Medicaid program coverage duplicating BasiCare. Terminates, after five years, any remaining Medicaid benefits. Mandates financial assistance, through a voucher system, to low-income individuals for BasiCare premiums, deductibles, and other cost-sharing. Subtitle D: Congressional Consideration of Commission Recommendation - (Sec. 241) Declares that these provisions are enacted as an exercise of the rulemaking power of the House of Representatives and the Senate with recognition of the right of either House to change the rules as any other rule of that House. Provides for the introduction and consideration of a joint resolution approving of the Commission's legislative proposal under subtitle B of this title. Subtitle E: Enforcement Provisions - (Sec. 251) Amends the Internal Revenue Code to remove provisions relating to a tax on any employer or employee organization that contributes to a group health plan or large group health plan that does not comply with certain Medicare provisions. Imposes a tax on: (1) insurers offering plans that do not qualify as BasiCare plans; (2) the failure of any service provider under a BasiCare plan to comply with specified provisions of this Act; and (3) the failure of any person to comply with provisions of this Act relating to employer responsibilities and self-insured plan requirements. (Sec. 252) Disallows personal exemptions unless the individual's BasiCare policy number is included in the individual's tax return. Subtitle F: Financial Provisions - (Sec. 261) Creates the BasiCare Trust Fund and transfers to the Fund: (1) a specified percentage of wages and self-employment income; (2) all of the taxes imposed by this Act; (3) additional revenues resulting from this Act; (4) the State's Medicaid share; and (5) all unobligated amounts in the Federal Hospital Insurance Trust Fund and the Federal Supplementary Medical Insurance Trust Fund. Appropriates to the Fund: (1) the Federal Medicaid share; and (2) amounts equal to appropriations for the veterans health care program, CHAMPUS, the Indian health service program, and the Federal employees' health benefits program. Authorizes appropriations for additional sums as required to make expenditures under specified provisions of this Act. Amends title II (Old-Age, Survivors, and Disability Insurance) of the Social Security Act to exclude amounts under certain provisions of this Act from appropriation to the Federal Old-Age and Survivors Insurance Trust Fund. (Sec. 262) Amends the Internal Revenue Code to: (1) exclude from gross income employer-provided coverage under a BasiCare plan (currently, under an accident or health plan); (2) prohibit deductions for employer expenses for a group health plan unless the plan qualifies as a BasiCare plan; (3) include amounts paid for a BasiCare plan (currently, for insurance) in the definition of "medical care" for provisions relating to medical and dental expenses; and (4) allow a deduction, without regard to adjusted gross income, for BasiCare premiums. Subtitle G: Definitions - (Sec. 272) Defines various terms as used in this Act.
Bill· HRH.R. 825 (103rd)open
United States · United States Congress · 4 February 1993
National Institute on Minority Health Act - Amends the Public Health Service Act to declare that the National Institute on Minority Health's purpose is the conduct and support of research, training, information dissemination, and other programs regarding minority health, including the advancement of opportunities for and recruitment of minorities for training and placement as health professionals. Adds the Institute to the list of research institutes of the National Institutes of Health.
Bill· HRH.R. 857 (103rd)open
United States · United States Congress · 4 February 1993
Emerging Telecommunications Technologies Act of 1993 - Requires the Secretary of Commerce and the Chairman of the Federal Communications Commission (FCC) to conduct joint electromagnetic spectrum planning meetings with respect to: (1) future spectrum needs and allocation actions; and (2) actions to promote the efficient use of the spectrum. Requires reports to the President identifying frequency bands that: (1) are allocated on a primary basis for Government use and eligible for licensing pursuant to the Communications Act of 1934; (2) are not required for Government needs; (3) can be made available and are likely to have significant value for non-Government users; and (4) will not result in excessive costs to the Government. Sets forth criteria for identifying, and recommending for reassignment or sharing, such frequency bands. Requires reports to make an initial identification of 30MHz of spectrum for immediate reallocation and distribution by the FCC pursuant to competitive bidding procedures, and preliminary and final identifications of additional reallocable frequency bands. Directs the Secretary to convene an advisory committee to review, advise, and receive public comment. Directs the President to: (1) withdraw or limit the assignment to a Government station of any frequency recommended for reallocation or mixed use; (2) assign or reassign other frequencies to Government stations as necessary; and (3) publish in the Federal Register a notice of such actions. Authorizes the President to substitute alternative frequencies in the interests of national defense, important Government needs, public health or safety, or Federal financial considerations. Provides that any Government licensee, or non-Government entity operating on behalf of a Government licensee, that is displaced from a frequency may be reimbursed not more than its incremental costs that are directly attributable to the loss of the use of the frequency. Authorizes appropriations. Directs the FCC to: (1) form a plan to assign the spectrum identified in the initial report pursuant to competitive bidding procedures during FY 1996 through 1998; and (2) submit a plan for the distribution of the remaining bands. Authorizes the President to reclaim reallocated frequencies for reassignment to Government stations. Amends the Act to require the FCC to use competitive bidding for awarding all initial licenses and new construction permits, subject to specified exclusions. Prohibits licensing by lottery when competitive bidding is required.
Bill· HRH.R. 832 (103rd)referred
United States · United States Congress · 4 February 1993
Amends title XVIII (Medicare) of the Social Security Act to waive the Medicare part B (Supplementary Medical Insurance) late enrollment penalty for certain current and former uniformed service members aged 65 or older and dependents residing within 100 miles of a treatment facility on a military base slated for closure who enroll under part B during a special enrollment period established by this Act.
Bill· SS. 287 (103rd)referred
United States · United States Congress · 3 February 1993
Amends the Employee Retirement Income Security Act of 1974 (ERISA) to provide that ERISA shall not preempt the Hawaii Prepaid Health Care Act or any amendments made to it, provided that such amendments do not lower the proportion of the population with health care coverage or the level of benefit coverage.
Bill· SJRESS.J.Res. 39 (103rd)referred
United States · United States Congress · 3 February 1993
Designates the weeks beginning May 23, 1993, and May 15, 1994, as Emergency Medical Services Week.
Bill· HRH.R. 769 (103rd)open
United States · United States Congress · 3 February 1993
Amends part B (Supplementary Medical Insurance) of title XVIII (Medicare) of the Social Security Act to limit the late enrollment penalty to a ten percent increase in the monthly part B premium due over a period equal to twice the number of years that the part B beneficiary could have been but was not enrolled under part B.
Bill· HJRESH.J.Res. 94 (103rd)referred
United States · United States Congress · 3 February 1993
Designates the weeks beginning April 18, 1993, and April 17, 1994, as National Organ and Tissue Donor Awareness Week.
Bill· HJRESH.J.Res. 92 (103rd)open
United States · United States Congress · 3 February 1993
Designates the weeks beginning June 6, 1993, and June 5, 1994, as Lyme Disease Awareness Week.
Resolution· HCONRESH.Con.Res. 33 (103rd)referred
United States · United States Congress · 3 February 1993
Declares that it is the sense of the Congress that any Act to address the health insurance needs of the American people should require that paid or unpaid leave be incorporated as a basic or elective option for specified events.
Bill· SS. 276 (103rd)referred
United States · United States Congress · 2 February 1993
Acid Mine Drainage Abatement Act of 1993 - Amends the Surface Mining Control and Reclamation Act of 1977 to authorize the States to set aside: (1) up to ten percent of their annual grants for a special trust fund to redress public health and safety problems beyond 1995; and (2) up to 30 percent for an acid mine drainage abatement and treatment trust fund. Permits States that receive funds for acid mine drainage treatment to apply to the Secretary of the Interior for grants for such projects which do not exceed 50 percent of project costs.
Bill· HRH.R. 721 (103rd)open
United States · United States Congress · 2 February 1993
Physician Self-Referral Amendments of 1993 - Amends title XVIII (Medicare) of the Social Security Act to extend the ban on physician self-referrals to all payors and to physical therapy services, radiology and diagnostic imaging services, radiation therapy services, and the furnishing of durable medical equipment. Makes changes in the exceptions to ownership and compensation arrangement prohibitions with respect to prepaid plans.
Bill· HRH.R. 707 (103rd)referred
United States · United States Congress · 2 February 1993
Emerging Telecommunications Technologies Act of 1993 - Amends the National Telecommunications and Information Administration Organization Act to require the Assistant Secretary of Commerce for Communications and Information and the Chairman of the Federal Communications Commission (FCC) to conduct, at least biannually, and to report to specified congressional committees, the FCC, and the Secretary of Commerce annually on, joint electromagnetic spectrum planning with respect to: (1) future spectrum requirements for public and private uses and the allocation actions to accommodate those uses; and (2) actions to promote the efficient use of the spectrum. Directs the Secretary to submit to the President and the Congress a report identifying bands of frequencies that: (1) are allocated on a primary basis for Government use and eligible for licensing pursuant to the Communications Act of 1934 (the Act); (2) are not required for the present or identifiable future needs of the Government; (3) can be made available for use under the Act (other than for Government stations); (4) are most likely to have the greatest potential for productive uses and public benefits; and (5) will not result in excessive costs to the Government or losses of services or benefits to the public. Prohibits withdrawal of the assignment of frequencies to any Federal power agency. Requires the Secretary to submit to the Congress a report which makes a preliminary identification of reallocable bands of frequencies. Directs the Secretary to convene an advisory committee to assist in carrying out this Act. Directs the President, after receiving the final report, to: (1) withdraw the assignment to a Government station of any frequency which such report recommends for reallocation; (2) withdraw or limit the assignment to a Government station of any frequency which such report recommends be reallocated or made available for mixed use; (3) assign or reassign other frequencies to Government stations as necessary to adjust to such withdrawal or limitation of assignments; and (4) notify the FCC and the Congress of actions taken. Authorizes the President to substitute alternative frequencies in the interest of national defense, important governmental needs, public health or safety, or Federal financial considerations. Directs the FCC to submit to the President and the Congress a plan for the distribution of the reallocated frequency bands. Authorizes the President to reclaim reassigned frequencies for reassignment to Government stations. Authorizes appropriations.
Bill· HRH.R. 726 (103rd)referred
United States · United States Congress · 2 February 1993
Amends part B (Supplementary Medical Insurance) of title XVIII (Medicare) of the Social Security Act to remove the payment limitation with respect to mental health services furnished to skilled nursing facility residents.
Bill· HRH.R. 729 (103rd)referred
United States · United States Congress · 2 February 1993
Prohibits a State from discriminating against a dental health care professional on the basis that such individual is a resident of another State or is licensed to perform dental services in another State when considering such individual's application for a license to perform such services. Authorizes aggrieved individuals and the Attorney General to bring civil actions against States violating such prohibition.
Bill· HRH.R. 725 (103rd)referred
United States · United States Congress · 2 February 1993
Amends title XIX (Medicaid) of the Social Security Act to establish a part B (Health Services Access) to fund grants to federally-qualified health centers (FQHCs) and other entities for the expansion and development of primary health care service programs for medically underserved populations. Sets forth grant eligibility criteria and the requirements grant applications must meet. Outlines limitations on the use of grant funds. Establishes priorities for the awarding of grants, with the highest priority for those FQHCs and other entities proposing to expand operations to serve medically underserved populations with the highest degree of unmet need in the most efficient manner. Requires entities receiving program funds to return excess revenues to the Secretary. Requires termination of grants to entities failing to meet certain requirements. Directs the Secretary to study and report to the Congress on the relationship between community health centers and hospitals in providing such services. Authorizes appropriations.
Bill· HRH.R. 727 (103rd)referred
United States · United States Congress · 2 February 1993
TITLE OF CONTENTS: Title I: Requiring Employers to Provide Health Insurance Coverage for Pregnant Women and Children Title II: Provision of Health Insurance for Pregnant Women and Children Through State Children and Pregnant Women Health Plans Title III: Health Insurance Reform for Small Employers Children and Pregnant Women Health Insurance Act of 1993 - Title I: Requiring Employers to Provide Health Insurance Coverage for Pregnant Women and Children - (Secs. 101 and 102) Amends the Social Security Act to require employers either to enroll their employees and family members in a qualified employer health plan or to provide information to the State in which they reside for enrollment instead in the new universal State health insurance plan (the State plan) created by this Act. Amends the Internal Revenue Code to impose: (1) a premium tax on employers who fail to enroll their employees and family members in a qualified employer health plan, as well as on such employees; and (2) an excise tax on employers who fail to provide to the applicable State information for enrollment under the State plan. Phases in implementation of enrollment requirements and tax payments over four years. Allows a qualified employer health plan to be either private or self-insured, depending upon the employer's size. Outlines requirements for qualified employer health plan premiums and cost-sharing, including limitations on the amount that may be charged for premiums. Requires the Secretary of Health and Human Services to: (1) develop standards to certify a qualified employer health plan; (2) establish procedures for the periodic review and recertification of plans; and (3) terminate the certification of any such plan that no longer meets such requirements. Requires employers to provide their employees and family members with a health benefit package that at least mirrors the services mandated under the State plan. Outlines plan requirements respecting: (1) treatment of employee families; (2) period of coverage; (3) health plan cards; (4) limits on pre-existing condition exclusions and coverage standards for required health services; (5) limits on cost-sharing; (6) payment rates; (7) coordination and portability of health insurance coverage; (8) notification of premium subsidies for low-income individuals and other disclosures for consumers; (9) expense accounting; (10) grievance procedures; (11) certain physician incentive plans; (12) enrollee financial protection; and (13) use of uniform claims forms. Title II: Provision of Health Insurance for Pregnant Women and Children Through State Children and Pregnant Women Health Plans - (Sec. 201) Amends the Social Security Act to require each State to establish a health insurance plan (the State plan) for pregnant women and children and other lawful State residents who have not been enrolled or covered under a qualified employer or Federal health plan. Requires each State also to establish a program under which low-income individuals enrolled in any such health plan may apply for assistance to limit or eliminate their financial obligations for premiums, deductibles, and co-payments. Provides that if a State fails to establish a mandated plan, the Secretary shall establish one for it, and the State shall be liable for part of the start-up costs. Requires the State plan to provide specified: (1) preventive care services, including routine immunizations and prenatal care; (2) major medical services; (3) extended medical services, including mental health services; (4) outreach services to link low-income enrolled individuals with such health services; and (5) social services (but only at the State's option). Directs the Secretary to establish standards for such health services. Prohibits a State from imposing any limitation on their number, duration, or scope. Allows individuals covered under the State plan to choose any qualified plan provider or practitioner. Incorporates the use of Medicare (title XVIII of the Social Security Act) or similar payment rates for reimbursing providers for required health services. Requires each State to establish adequate payment rates for outreach and social services. Sets: (1) the maximum annual deductible and co-payment amount for major medical services and extended medical services; and (2) an overall annual limit on cost-sharing for such services. Applies in the same manner to State plans qualified employer health plan requirements for the treatment of family members, coverage period, health plan cards, and coordination and portability of health care coverage. Creates in the Treasury the Federal Children and Pregnant Women Health Insurance Trust Fund (the Fund) to receive the funds generated from the premium and excise taxes as well as other specified revenues dedicated to the support of the State plan. Details the assistance to be provided to low-income individuals and the application process to obtain it. Provides for State demonstration projects to: (1) improve the delivery and quality of health care services under new title XXII; and (2) increase the efficiency and effectiveness of the methods for paying for such services. Title III: Health Insurance Reform for Small Employers - (Sec. 302) Amends the Social Security Act to require health insurance plans provided by small employers (small employer plans) to meet the standards established below in order to be issued, avoid loss of their qualified status, and escape disqualification from State plan administration. (Sec. 301) Amends the Internal Revenue Code to impose an excise tax (50 percent of all gross health plan premiums received during the taxable year) on the issuer of a small employer plan which fails to meet such standard, with specified exceptions. Directs the Secretary to request the National Association of Insurance Commissioners (NAIC) to develop specific standards to implement the requirements which small employer plans must meet if the State has not established a regulatory program for applying such standards to such plans (program). Provides that if NAIC fails to develop such standards or the Secretary finds that they do not implement such requirements, the Secretary must develop them. Subjects programs to periodic review by the Secretary for determining compliance with such NAIC standards. Requires any carrier which offers a small employer plan to register with the applicable State regulatory authority. Requires such carriers to offer the same plans to all small employers within their individual service areas. Details separate requirements with respect to the treatment of health maintenance organizations. Requires a minimum 12-month term for any small employer plan, guaranteed renewable (with specified exceptions) for additional minimum 12-month terms. Declares that no small employer plans may discriminate on the basis of health status, claims experience, receipt of health care, medical history, or lack of evidence of insurability. Requires the premiums for all small employer plans of the same entity to be: (1) based on a single cohesive rating system applied consistently for all employer groups and designed not to differentiate groups by health or risk status; and (2) actuarially certified each year. Requires small employer plan premiums within a block of business to be community-rated for a given geographical area. Sets limits on premium reference rate variations among blocks of business. States that, with respect to premiums for small employer plans with similar coverage, a small employer plan carrier may establish blocks of business only on the basis of specified criteria. Prohibits the issuance of any small employer plan unless it: (1) provides for a minimum benefit package mirroring the health services required under title II of this Act; (2) does not impose cost-sharing in excess of allowable limits; and (3) includes only such additional items and services as the carrier can demonstrate will facilitate appropriate hospital discharges or avoid unnecessary hospitalization.
Bill· HJRESH.J.Res. 86 (103rd)open
United States · United States Congress · 2 February 1993
Designates the weeks of September 19 through 25, 1993, and September 18 through 24, 1994, as National Rehabilitation Week.
Bill· SS. 263 (103rd)referred
United States · United States Congress · 28 January 1993
Amends the Internal Revenue Code to allow an itemized deduction for personal interest paid on an education loan by a health care professional (medical doctor, registered nurse, nurse-practitioner, or physician's assistant) performing services in a rural community or on certain Indian reservations for at least 24 consecutive months under a written agreement. Limits such deduction to $5,000. Allows the computation of such deduction in determining adjusted gross income.
Bill· SJRESS.J.Res. 35 (103rd)referred
United States · United States Congress · 28 January 1993
Designates the months of November 1993 and November 1994 as National Alzheimer's Disease Month.
Bill· SS. 242 (103rd)referred
United States · United States Congress · 27 January 1993
Medicare Geographic Data Accuracy Act of 1993 - Amends title XVIII (Medicare) of the Social Security Act to require the Secretary of Health and Human Services to consult with State medical societies in revising the geographic adjustment factors used to determine reimbursements for physician services under Medicare part B (Supplementary Medical Insurance). Requires the Secretary to base geographic-cost-of-practice indices under Medicare on the most recent available data.
Bill· SS. 230 (103rd)referred
United States · United States Congress · 27 January 1993
Amends the Public Health Service Act to make disadvantaged students enrolled in social work programs eligible for scholarships. Makes schools offering social work programs eligible for assistance for certain disadvantaged faculty programs, programs to support excellence in health profession education for minorities, and programs to support geriatric training projects. Authorizes grants to, or contracts with, hospitals, schools offering programs in social work, or other entities for the development of social work training programs and financial assistance to participants and teachers of such programs. Authorizes grants to, or contracts with, schools offering programs in social work to meet the costs of projects to establish or maintain administrative units to provide clinical instruction in social work. Authorizes and allocates appropriations. Adds "clinical social worker" to specified professions definitions under health maintenance organization provisions.
Bill· SS. 222 (103rd)referred
United States · United States Congress · 27 January 1993
Antiprogestin Testing Act of 1993 - Directs the Commissioner of Food and Drugs to collect: (1) information concerning the drug RU-486, including samples and specimens, required to be submitted by an applicant for approval of a new drug; and (2) such information regarding use of the drug as an abortifacient or contraceptive and for the treatment of cancer, brain tumors, Cushings syndrome, or other serious or life-threatening diseases. Requires the Commissioner to: (1) consider such information to be an application submitted by the manufacturer of the drug for its approval for each of such uses; and (2) review such information and issue an order approving or refusing to approve the application with respect to each such use. Directs the Commissioner to: (1) notify the Director of the National Institutes of Health (NIH) if the Commissioner issues an order refusing to approve the application because of the lack of adequate tests in the investigation of the drug, sufficient information, or substantial evidence; (2) submit to the Director all information relevant to the decision to issue such order; and (3) report to specified congressional committees concerning any such order. Requires the Director, if the Commissioner issues an order refusing to approve the application, to expeditiously conduct or support research (including clinical trials) on RU-486 in order to conduct tests that were not included in the investigation or to develop information or evidence that was not submitted with the application. Makes any such research subject to provisions of the Public Health Service Act concerning institutional review boards and peer review. Requires the Director to submit the results of the research to the Commissioner who shall consider the results (along with the information collected) to be information submitted by the drug manufacturer, review the drug application, and issue an order approving or refusing to approve it. Sets forth reporting requirements. Specifies that if the Commissioner issues an order approving an application with respect to such drug for any of such uses, any person who introduces the drug into interstate commerce or delivers the drug for such introduction shall reimburse the Food and Drug Administration and NIH for specified costs.
Bill· SS. 241 (103rd)referred
United States · United States Congress · 27 January 1993
Table of Contents: Title I: Tax Provisions Title II: Public Health Service Provisions Title III: State Health Service Corps Demonstration Projects Rural Primary Care Act of 1993 - Title I: Tax Provisions - Amends the Internal Revenue Code to allow a nonrefundable personal income tax credit for any physician, physician assistant, or nurse practitioner who provides primary health services to residents of a rural health professional shortage area and who does not have certain connections with the National Health Service Corps loan repayment or scholarship programs. Excludes from gross income any payments made on behalf of a taxpayer by the National Health Service Corps loan repayment program. Amends provisions relating to election to expense certain depreciable business assets to specify a higher maximum aggregate cost to be taken into account for property used by a physician in providing primary health services in a rural health professional shortage area. Mandates a study to determine the present number of, and future need for, physician and nonphysician primary care providers in medically underserved urban areas. Requires that the determination form the basis for a study of the feasibility of extending the tax credit provided under this title. Title II: Public Health Service Provisions - Amends the Public Health Service Act to require a set-aside of a minimum amount of funds currently authorized for preventive health and health services block grants for the county health department grants mandated by this title. Requires grants to county health departments for preventive health services in areas within the county that are not urbanized. Title III: State Health Service Corps Demonstration Projects - State Health Service Corps Demonstration Act - Amends the Public Health Service Act to direct the Secretary of Health and Human Services to establish a State Health Service Corps Demonstration Project. Directs the Secretary to make grants under the Project to up to ten States for the Federal share of training and employment of physician and nonphysician providers serving health professional shortage areas. Authorizes appropriations. Requires each State carrying out a Project to establish a State Health Service Corps Scholarship Program involving a period of service in the service area or on the clinical staff of an area health education center or a medical school in return for a scholarship.
Bill· SS. 243 (103rd)referred
United States · United States Congress · 27 January 1993
Amends title XVIII (Medicare) of the Social Security Act to revise Medicare-dependent, small rural hospital provisions. Permits such hospitals to decline reclassification as urban.
Bill· SS. 223 (103rd)referred
United States · United States Congress · 27 January 1993
TABLE OF CONTENTS: Title I: Managed Competition in Health Care Plans Subtitle A: Health Plan Purchasing Cooperatives Subtitle B: Accountable Health Plans (AHPs) Subtitle C: Federal Health Board Title II: Tax Incentives to Increase Health Care Access Title III: Outcomes Research and Practice Guideline Development; Application of Guidelines as Legal Standard Title IV: Cooperative Agreements Between Hospitals Title V: Improved Access to Health Care for Rural and Underserved Areas Subtitle A: Revenue Incentives for Practice in Rural Areas Subtitle B: Public Health Service Act Provisions Title VI: Malpractice Reform Title VII: Health Promotion and Disease Prevention Title VIII: Prescription Drug Cost Containment Title IX: Financing Access to Affordable Health Care Act - Title I: Managed Competition in Health Care Plans - (Sec. 100) Provides for grants to States for implementing the requirements of this title. Authorizes appropriations. Subtitle A: Health Plan Purchasing Cooperatives - (Sec. 101) Provides for the establishment of health plan purchasing cooperatives as not-for-profit corporations in or among States to: (1) enter into agreements with accountable health plans (AHPs); (2) enter into agreements with small employers; (3) enroll individuals in AHPs; (4) receive and forward adjusted premiums, including the reconciliation of low-income assistance among such plans; and (5) coordinate and carry out other required functions. Subtitle B: Accountable Health Plans (AHPs) - Part 1: Requirements for Accountable Health Plans - (Secs. 111 through 117) Sets forth requirements for AHPs with respect to: registration and qualifications, uniform benefits, standardized information, prohibition of discrimination based on health status, standard premiums, financial solvency, and grievance mechanisms. Part 2: Preemption of State Laws for Accountable Health Plans - (Secs. 120 through 122) Preempts State laws for AHPs. Subtitle C: Federal Health Board - (Secs. 131 through 139) Establishes a Federal Health Board to: (1) specify a uniform set of effective benefits annually; (2) provide for an advisory Health Benefits and Data Standards Board and a Health Plan Standards Board; (3) register AHPs; (4) establish rules for the process of risk-adjustment premiums; (5) establish standards for a national health data system; (6) measure the quality of care in specialized centers; and (7) make specified reports to the Congress. Title II: Tax Incentives to Increase Health Care Access - (Sec. 201) Amends provisions of the Internal Revenue Code relating to refundable credits to allow a credit for a portion of the AHP expenses paid by an individual who is not covered by a health plan maintained by an employer of the individual or the individual's spouse. Sets forth special rules regarding coordination with advance payments and minimum tax, Medicare-eligible individuals, and subsidized expenses. (Sec. 202) Bars deductions for the excess health plan expenses of employers. (Sec. 203) Allows a full and permanent deduction for the health plan premium expenses of self-employed individuals, except with respect to excess health plan expenses. (Sec. 205) Excludes from gross income of an employee any employer-provided basic coverage under an AHP (currently, accident and health plans). Title III: Outcomes Research and Practice Guideline Development; Application of Guidelines as Legal Standard - (Sec. 301) Amends the Public Health Service Act to extend the authorization of appropriations for health care policy and research. (Sec. 302) Prohibits, except as provided in this Act, the introduction into evidence, (or use in Federal or State court actions) of treatment practice guidelines arising from the provision of health care services. Declares that if the service was provided in accordance with such guidelines, the guidelines: (1) may be introduced by a provider who is a party to an action; and (2) shall establish a rebuttable presumption that the service prescribed by the guidelines is the appropriate standard of medical care. Title IV: Cooperative Agreements Between Hospitals - (Sec. 402) Authorizes a waiver of the antitrust laws to permit hospitals to enter into cooperative agreements to provide for the sharing of medical technology or services. Title V: Improved Access to Health Care for Rural and Underserved Areas - Subtitle A: Revenue Incentives for Practice in Rural Areas - (Sec. 501) Amends the Internal Revenue Code to provide a credit for a qualified primary health services provider who practices in a rural health professional shortage area. (Sec. 501) Excludes from gross income any payment made on behalf of a taxpayer by the National Health Service Corps Loan Repayment Program. Permits a physician in a rural health professional shortage area to expense up to $25,000 worth of rural health care property. Provides that interest on student loan payments by medical professionals practicing in rural areas shall not be treated as personal interest and will therefore qualify as a tax deduction. Subtitle B: Public Health Service Act Provisions - (Sec. 511) Amends the Public Health Service Act to authorize appropriations for the National Health Service Corps Scholarship Program and the National Health Service Corps Loan Repayment Program. (Sec. 512) Directs the Secretary of Health and Human Services to establish and administer a program to provide allotments to States to provide grants for the creation or enhancement of community based primary health care entities that provide services to pregnant women and children up to age three. Requires grant recipients to substantially target populations of pregnant women and children who: (1) lack health care coverage or ability to pay for health care services; or (2) reside in medically underserved or health professional shortage areas. (Sec. 513) Directs the Secretary to award grants to federally qualified health centers (FQHCs) and other entities submitting applications for the purpose of providing access to services for medically underserved populations or in high impact areas not currently served by a FQHC. Limits the expenditure of funds awarded an FQHC to the provision of those services provided under the Medicaid program and any unreimbursed costs of providing services under the community based primary health care grant program. Authorizes appropriations. (Sec. 514) Authorizes the Secretary to award competitive grants to eligible entities to implement a plan for mental health outreach programs in rural areas. Authorizes appropriations. (Sec. 515) Directs the Secretary, in awarding grants under the Public Health Service Act relating to the research, teaching, and training activities of health personnel educational entities, to give priority to those entities that have a high permanent rate for placing graduates in settings serving residents of medically underserved communities and that otherwise demonstrate a commitment to serving such communities. Directs the Secretary to award grants to: (1) health professions institutions to expand training programs that are targeted at individuals desiring to practice in or serve the needs of medically underserved communities; and (2) eligible regional consortia to enhance and expand coordination among various health professions programs, particularly in medically underserved rural areas. Authorizes appropriations. (Secs. 516 and 517) Authorizes the Secretary to award competitive grants to eligible entities to: (1) facilitate the development of networks among rural and urban health care providers to preserve and share health care resources and enhance the quality and availability of rural health care; and (2) develop and administer cooperatives in rural areas that will establish an effective case management and reimbursement system designed to support the economic viability of essential health services, facilities, health care systems, and health care resources. Authorizes appropriations. Title IV: Malpractice Reform - (Sec. 601) Directs the Assistant Secretary of Health, through the Administrator of the Agency for Health Care Policy and Research, to establish a program of grants to assist States in establishing prelitigation panels to identify meritorious claims of professional negligence, encourage resolution prior to lawsuit, and encourage withdrawal or dismissal of nonmeritorious claims. Authorizes appropriations. Title VII: Health Promotion and Disease Prevention - (Sec. 701) Treats expenditures for disease prevention and health promotion programs as amounts paid for medical care for purposes of allowing tax deductions. (Sec. 702) Requires the Secretary to award grants to States to provide assistance to businesses with up to 100 employees for the establishment of employee worksite wellness programs. Authorizes appropriations. (Sec. 703) Authorizes appropriations to expand comprehensive school health education programs under the Public Health Service Act. Title VIII: Prescription Drug Cost Containment - (Sec. 801) Amends the Internal Revenue Code to reduce the amount by which the possession tax credit exceeds the manufacturer's wage base in the case of manufacturers of single source or innovator multiple source drugs. Title IX: Financing - (Sec. 901) Amends the Internal Revenue Code to repeal the dollar limitation on the amount of wages subject to the hospital insurance tax.
Bill· HRH.R. 670 (103rd)open
United States · United States Congress · 27 January 1993
Family Planning Amendments Act of 1993 - Amends the Public Health Service Act to require family planning grant and contract recipients to provide information on: (1) prenatal care and delivery; (2) infant care, foster care, and adoption; and (3) termination of pregnancy. Allows a provider who objects, on religious or moral grounds, to providing such information to refer the woman to another provider. Requires recipients to comply with State parental notification or consent laws. Authorizes appropriations. Authorizes appropriations for grants and contracts concerning: (1) training to provide family planning services; and (2) informational and educational materials regarding family planning and population growth. Declares the sense of the Congress regarding buying American with financial assistance under title X (Population Research and Voluntary Family Planning Programs) of the Public Health Service Act.
Bill· HRH.R. 694 (103rd)open
United States · United States Congress · 27 January 1993
Osteoporosis Amendments of 1993 - Amends the Public Health Service Act to require specified institutes of the National Institutes of Health to expand and intensify programs on osteoporosis, Paget's disease, and related bone disorders. Mandates the establishment, through a grant, cooperative agreement, or contract, of a clearinghouse on osteoporosis and related bone disorders. Authorizes appropriations.
Bill· HRH.R. 684 (103rd)referred
United States · United States Congress · 27 January 1993
Amends title XIX (Medicaid) of the Social Security Act to provide for the deduction of a child's contribution from the amount of income applied towards the cost of care for institutionalized Medicaid beneficiaries.
Bill· HRH.R. 695 (103rd)referred
United States · United States Congress · 27 January 1993
Women's Health Research Act of 1993 - Amends the Public Health Service Act to establish within the Office of the Director of the National Institutes of Health (NIH) the Office of Research on Women's Health (Office). Establishes in the Office the Coordinating Committee on Research on Women's Health and the Advisory Committee on Research on Women's Health. Directs the Secretary to: (1) determine the extent to which women are represented among senior physicians and scientists of the national research institutes and among physicians and scientists conducting research with funds provided by such institutes; and (2) carry out activities, as appropriate, to increase the extent of such representation. Requires the NIH Director to establish a data system for the collection, analysis, and dissemination of information regarding research on women's health conducted or supported by the national research institutes, including a registry of clinical trials of experimental treatments. Requires the NIH Director to establish and operate a program to provide information on research and prevention activities of the the national research institutes that relate to research on women's health. Authorizes appropriations. Directs the Secretary of Health and Human Services to ensure that NIH resources are sufficiently allocated for projects of research on women's health.
Bill· HRH.R. 650 (103rd)referred
United States · United States Congress · 27 January 1993
Amends the Safe Drinking Water Act to require the Administrator of the Environmental Protection Agency to review all projects concerning underground injection wells referred by Federal agencies to determine if they may contaminate any sole or principal drinking water source aquifer through a recharge zone so as to create a significant public health hazard. Requires Federal agencies to: (1) designate officials to be responsible for compliance with project requirements; and (2) forward to the Administrator, before financial assistance is committed, a description of each project, an assessment of whether the project poses a risk to the sole source aquifer concern, and documentation supporting assessment.
Bill· HRH.R. 680 (103rd)referred
United States · United States Congress · 27 January 1993
TABLE OF CONTENTS: Title I: General Requirements for Leave Title II: Leave for Civil Service Employees Title III: Commission on Leave Title IV: Miscellaneous Provisions Title V: Coverage of Congressional Employees Family and Medical Leave Act of 1993 - Title I: General Requirements for Leave - Establishes certain requirements for unpaid family and medical leave for permanent employees. (Sec. 101) Makes employees eligible for such leave if they have been employed, by the employer from whom leave is sought, for at least: (1) a total of 12 months; and (2) 1,500 hours of service during the previous 12-month period. (Excludes from such coverage: (1) employees at worksites at which the employer employs less than 100 persons, if the total number of employees of that employer within 75 miles of that worksite is less than 100; and (2) Federal officers and employees covered under title II of this Act.) (Sec. 102) Entitles employees to 12 workweeks of leave during any 12-month period because of: (1) the birth of their child; (2) the placement of a child for their adoption or foster care; (3) their care of a child, spouse, or parent who has a serious health condition; or (4) their own serious health condition which makes them unable to perform the functions of their position. Conditions such leave for the birth or placement of a child as follows: (1) the entitlement ends 12 months after the birth or placement; and (2) such leave may not be taken intermittently unless employee and employer agree otherwise. Allows intermittent leave for necessary medical treatment of an employee or family member. Allows the employer to require a temporary transfer to an equivalent alternative position that better accommodates such intermittent leave. Allows all leave under this title: (1) to be taken on a reduced leave schedule, upon agreement with the employer; and (2) to consist of unpaid leave, except under specified conditions when substitution of certain types of paid leave may be elected or required. Does not require an employer to provide paid sick or medical leave in any situation in which the employer would not normally provide any such paid leave. Provides that such unpaid leave shall not affect an employee's exempt status for purpose of certain wage and hour requirements under the Fair Standards Act of 1938, with a specified exception. Requires employees to: (1) give at least 30 days' notice of the need for leave to which they are entitled under this Act, when foreseeable; and (2) make a reasonable effort to schedule medical treatment or supervision so as not to disrupt unduly the employer's operations, subject to approval of the health care provider. Allows limitation of the dual aggregate leave entitlement to 12 weeks in any 12-month period, in the case of spouses employed by the same employer, if such leave is for the birth or placement of a child or for the care of a sick parent. (Sec. 103) Sets forth conditions of certification for leave entitlements under this Act. (Sec. 104) Requires restoration of the employee to his or her position or an equivalent position upon return from such leave. Allows an employer to deny such restoration to certain highly compensated employees, under specified conditions (the highest paid ten percent of the employer's employees within a 75-mile radius of a facility; the denial must be necessary to prevent substantial and grievous economic injury to the employer's operations). Requires maintenance of employee health benefits during such leave. (Sec. 105) Prohibits interference with or discrimination against employees exercising rights under this title. (Sec. 106) Sets forth the investigative authority of the Secretary of Labor under this title. (Sec. 107) Provides for enforcement of this Act. Provides for administrative and civil actions. Makes an employer who violates this title's prohibitions against interference or discrimination liable for damages in the amount of: (1) any wages, salary, employment benefits, or other compensation denied or lost; (2) (where such compensation has not been denied or lost) any actual monetary losses, such as the cost of providing care; (3) interest on such losses; and (4) liquidated damages under certain conditions. Makes such employers also liable for appropriate equitable relief, including, without limitation, employment, reinstatement, and promotion. Sets forth provisions for attorney's fees, limitation of actions, and injunctions. (Sec. 108) Sets forth special rules concerning employees of local educational agencies and of private elementary and secondary schools. (Sec. 109) Sets forth requirements for posting notice and for fines. (Sec. 110) Directs the Secretary of Labor to prescribe regulations to carry out this title. Title II: Leave for Civil Service Employees - (Sec. 201) Entitles eligible civil service employees to family and temporary medical leave for specified periods. Allows up to 12 administrative workweeks of leave without pay (or substituted paid leave) in any 12-month period for: (1) family leave (i.e., leave because of the birth or placement of a child or care of a sick spouse, child, or parent); or (2) temporary medical leave for a serious health condition that makes the employee unable to perform the functions of their position. Sets forth: (1) requirements for employees to give prior notice; (2) certification provisions; (3) protections for job position and health insurance benefits; and (4) prohibitions against coercion. Requires the Office of Personnel Management to prescribe regulations for this title which are consistent with the regulations prescribed by the Secretary of Labor under title I of this Act. Title III: Commission on Leave - (Sec. 301) Establishes the Commission on Leave. (Sec. 302) Requires the Commission to conduct a comprehensive study of: (1) existing and proposed leave policies; (2) the potential costs, benefits, and impact on productivity of such policies on employers; and (3) alternative and equivalent State enforcement of this Act with respect to employees of local educational agencies and private schools. Requires the Commission to report on such study to the Congress within two years after the Commission first meets. (Sec. 306) Terminates the Commission within 30 days after its report to the Congress. Title IV: Miscellaneous Provisions - (Sec. 401 and Sec. 402) Sets forth the effect of this Act on other laws and existing employment benefits. (Sec. 403) Provides that nothing in this Act shall be construed to discourage employers from adopting more generous leave policies. (Sec. 404) Directs the Secretary of Labor to prescribe regulations to carry out this title (except those provisions applicable to the Senate) within 60 days. Title V: Coverage of Congressional Employees - (Sec. 501) Applies the rights and protections established under specified provisions of title I of this Act to Senate employees. Makes specified provisions of the Government Employee Rights Act of 1991 applicable, with certain exceptions. Provides that allegations shall be considered by the Office of Senate Fair Employment Practices or another entity designated by the Senate. Requires such Office to ensure that Senate employees are informed of their rights under this Act. (Sec. 502) Applies the rights and protections under title I of this Act to employees of the House of Representatives, except for the exemption concerning highly compensated employees. Requires that the remedies and procedures under the Fair Employment Practices Resolution be applied in administering such coverage.
Bill· HRH.R. 671 (103rd)referred
United States · United States Congress · 27 January 1993
Ted Weiss Memorial Health Care Fraud and Abuse Commission Act of 1993 - Establishes the Ted Weiss Memorial Commission on Health Care Fraud and Abuse to investigate the nature, magnitude, and cost of health care fraud and abuse and develop methods for its prevention, detection, prosecution, and litigation. Authorizes appropriations.
Law· HJRESH.J.Res. 78 (103rd)enacted
United States · United States Congress · 27 January 1993
Designates the weeks beginning May 23, 1993, and May 15, 1994, as Emergency Medical Services Week.
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