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Bill· HRH.R. 2700 (93rd)referred
United States · United States Congress · 23 January 1973
Provides, under the Social Security Act, that an intermediate care facility (or nursing home) must comply with the Life Safety Code, and must fully disclose all ownership and security interests therein, to qualify as a provider of services for which payment may be made under a State's approved title XIX (Medicaid) plan (or certain other State plans). Provides that information which an intermediate care facility or nursing home is required to furnish State agencies under the title XIX program must be made available to the public.
Bill· HRH.R. 2653 (93rd)referred
United States · United States Congress · 23 January 1973
Rehabilitation Act - Declares that it is the purpose of this Act to provide a statutory basis for the Rehabilitation Service Administration and to establish within the Department of Health, Education and Welfare an Office for the Handicapped, and to authorize specified programs. Establishes within the Department of Health, Education, and Welfare a Rehabilitation Services Administration which shall be administered by a Commissioner. Provides that the Commissioner shall carry out and administer all programs and direct the performance of all services for which authority is provided to the Secretary of H.E.W. under titles I through IV of this Act. Creates within such administration a Division of Research, Training and Evaluation which shall be responsible for carrying out programs and projects under title IV of this Act. Authorizes the inclusion of appropriations under this Act in appropriations for the fiscal year preceding the fiscal year for which they are available for obligation. Provides that where funds are provided for a single project by more than one Federal agency to an agency or organization assisted under this Act, the Federal agency principally involved may be designated to act for all in administering such funds, pursuant to regulations prescribed by the President. Sets forth definitions of terms used in this Act. Title I: Vocational Rehabilitation Services - States it to be the purpose of this title to authorize grants to assist States to meet the current and future needs of handicapped individuals, so that such individuals may prepare for and engage in gainful employment to the extent of their capabilities. Authorizes to be appropriated $800,000,000 for fiscal year 1973, and $975,000,000 for fiscal year 1974 for the purpose of making grants to States to assist them in meeting the costs of vocational rehabilitation services. Authorizes to be appropriated $50,000,000 for fiscal year 1973, $60,000,000 for fiscal year 1974, and $75,000,000 for fiscal year 1975, for the purpose of making grants to States and public and nonprofit agencies to assist them in meeting the costs of projects to initiate or expand services to handicapped individuals. Sets forth the requirements of State plans to be submitted and approved for participation in programs under this title and under title II of this Act. Authorizes judicial review in United States district courts of decisions by the Commissioner of the Rehabilitation Services Administration affecting State plans. Provides that the Commissioner shall insure that the individualized written rehabilitation program required in a State plan in the case of each handicapped individual shall be developed jointly by the vocational rehabilitation counselor or coordinator and the handicapped individual. Defines vocational rehabilitation services provided under this Act as any goods or services necessary to render a handicapped individual employable, including, but not limited to, the following: (1) evaluation of rehabilitation potential; (2) counseling, guidance, referral, and placement services for handicapped individuals; (3) vocational and other training services for handicapped individuals; (4) physical and mental restoration services; (5) maintenance, not exceeding the estimated cost of subsistence, during rehabilitation; (6) interpreter services for the deaf, and reader services for the blind; (7) recruitment and training services for handicapped individuals; (8) rehabilitation teaching services and orientation and mobility services for the blind; (9) occupational licenses, tools, equipment, and initial stocks and supplies; (10) transportation in connection with the rendering of any vocational rehabilitation services; and (11) telecommunications, sensory, and other technological aids and devices. Provides a formula for the allotment and payment of funds to States for providing rehabilitation services under this title. Directs the Commissioner to establish offices in ten to twenty geographically dispersed regions for client assistance pilot projects to provide counselors to inform and advise all clients and client applicants in the project area of all available benefits under this Act and to assist them in their relationships with projects, programs, and facilities providing services to them under this Act. Directs the Commissioner to pay to a State or, at the option of the State, to a public or nonprofit organization or agency a portion of the cost of planning, preparing for, and initiating special programs under the State plan to expand vocational rehabilitation services. Title II: Comprehensive Rehabilitation Services - States it to be the purpose of this title to authorize grants to assist the several States in developing and implementing continuing plans for meeting the current and future needs of handicapped individuals for whom a vocational goal is not possible or feasible authorizes to be appropriated $30,000,000 for fiscal year 1973, $50,000,000 for fiscal year 1974, and $80,000,000 for fiscal year 1975 for grants to carry out the purposes of this title. Specifies the formula to be utilized in alloting such funds to the States. Directs the Commissioner to make grants to States and public and nonprofit agencies or organizations to pay part of the cost of projects for research and demonstration and training which hold promise of making a substantial contribution to the solution of problems related to the rehabilitation of individuals under this title. Title III: Special Federal Responsibilities Authorizes the Commissioner to make grants and contracts to assist in meeting the costs of construction of public or nonprofit rehabilitation facilities, initial staffing, and planning assistance. Authorizes to be appropriated for such grants and contracts $35,000,000 for fiscal year 1973, $40,000,000 for fiscal year 1974, and $45,000,000 for fiscal year 1975. Authorizes the Commissioner to make grants to States and public or nonprofit organizations and agencies to pay up to 90 percent of the cost of projects for providing vocational training services to handicapped individuals, especially those with the most severe handicaps, in public or nonprofit rehabilitation facilities. Authorizes to be appropriated for such grants and contracts $30,000,000 for fiscal year 1973, $35,000,000 for fiscal year 1974, and $40,000,000 for fiscal year 1975. Authorizes the Commissioner to insure up to 100 percent of any mortgage on the construction of facilities for programs for handicapped individuals. Creates a Rehabilitation Facilities Insurance Fund to be used by the Commissioner as a revolving fund for carrying out the insurance provisions of this part. Provides that the total amount of outstanding mortgages shall not exceed $250,000,000. Authorizes to be appropriated such sums as may be necessary for initial capital for such Fund. Authorizes the Commissioner to make annual interest grants to assist States and public or nonprofit agencies and organizations to reduce the cost of borrowing from other sources for the construction of rehabilitation facilities. Authorizes to be appropriated such sums as may be necessary for the payment of annual interest grants in accordance with this part. Authorizes the Commissioner to make grants to States and public or nonprofit agencies and organizations for paying part of the cost of special projects and demonstrations: (1) for establishing facilities and providing services which hold promise of expanding or otherwise improving rehabilitation services to handicapped individuals, especially those with the most severe handicaps; and (2) for applying new types or patterns of service or devices. Allows the Commissioner to make grants to pay up to 90 percent of the cost of projects or demonstrations for the provision of vocational or comprehensive rehabilitation services to handicappped individuals who are migratory agricultural workers or seasonal farmworkers, and to members of their families who are with them. Provides that the Commissioner may make contracts or jointly finance cooperative arrangements with employers and organizations for the establishment of projects designed to prepare handicapped individuals for gainful and suitable employment in the competitive labor market under which such handicapped individuals are provided training and employment in a realistic work setting and such other services as may be necessary for such individuals to continue to engage in such employment. Authorizes the Commissioner to provide technical assistance to rehabilitation facilities, and for the purpose of removal of architectural and transportation barriers, to any public or nonprofit agency, institution, organization or facility. Authorizes to be appropriated, for the purpose of making grants under this part, $50,000,000 for fiscal year 1973, $125,000,000 for fiscal year 1974, and $150,000,000 for fiscal year 1975. Authorizes to be appropriated $5,000,000 for construction, $800,000 for operations for fiscal year 1973, $1,200,000 for operations for fiscal year 1974, and $2,000,000 for operations for fiscal year 1975, for establishing and operating a National Center for Deaf-Blind Youths and Adults. Authorizes to be appropriated $2,000,000 for fiscal year 1973, $4,000,000 for fiscal 1974, and $7,000,000 for fiscal year 1975 and for making grants and contracts for the expansion and improvement of vocational or comprehensive rehabilitation services for deaf and blind individuals. Authorizes to be appropriated, for the purpose of establishing and operating National Centers for Spinal Cord Injuries, $15,000,000 for fiscal year 1973, $25,000,000 for fiscal year 1974, and $30,000,000 for fiscal year 1975. Authorizes to be appropriated, for providing services for the treatment of individuals suffering from end-stage renal disease, $25,000,000 for fiscal year 1973, $25,000,000 for fiscal year 1974, and $25,000,000 for fiscal year 1975. Establishes a National Advisory Council on Rehabilitation of Handicapped Individuals in the Department of Health, Education, and Welfare to: (1) provide policy advice and consultation to the Secretary of Health, Education, and Welfare, and the Commissioner; (2) review the administration and operation of vocational rehabilitation programs under this Act; and (3) advise the Secretary and the Commissioner with respect to the conduct of independent evaluations of programs carried out under this Act. Authorizes appropriations of $100,000 for fiscal year 1973 and $150,000 for each of fiscal years 1974 and 1975 to carry out the functions of the Council. Title IV: Research and Training - Authorizes the Commissioner to make grants to and contracts with States and public or nonprofit agencies and organizations to pay part of the cost of projects for the purpose of planning and conducting research, demonstrations, and related activities, which bear directly on the development of methods, procedures, and devices to assist in the provision of vocational and comprehensive rehabilitation services to handicapped individuals, especially those with the most severe handicaps. Authorizes to be appropriated for such research activities $75,000,000 for fiscal year 1973, $100,000,000 for fiscal year 1974, and $150,000,000 for fiscal year 1975. Authorizes the Commissioner to make grants to and contracts with States and public and nonprofit agencies and organizations to pay part of the cost of projects for training, traineeships, and related activities designed to assist in increasing the numbers of personnel trained in providing vocational and comprehensive rehabilitation services to handicapped individuals and in performing other functions necessary to the development of such services. Authorizes to be appropriated for such training grants $50,000,000 for fiscal year 1973, $75,000,000 for fiscal year 1974, and $100,000,000 for fiscal year 1975. Title V: Administration and Program and Project Evaluation - Provides that, in carrying out his duties under this Act, the Commissioner shall: (1) cooperate with, and render technical assistance to States in matters relating to the rehabilitation of handicapped individuals; (2) provide short-term training and instruction in technical matters relating to vocational and comprehensive rehabilitation services; and (3) disseminate information relating to vocational and comprehensive rehabilitation services, and otherwise promote the cause of the rehabilitation of handicapped individuals and their greater utilization in gainful and suitable employment. Directs the Secretary to measure and evaluate the impact of all programs authorized by this Act. Title VI: Office for the Handicapped - Establishes an Office for the Handicapped in the Department of Health, Education, and Welfare to: (1) prepare a long-range projection for the provisions of comprehensive services to handicapped individuals; (2) analyze program operations; (3) encourage coordinated and cooperative planning; (4) provide assistance to other committees advising the Secretary; (5) develop means of promoting scientific research to bring about the full integration of handicapped individuals into all aspects of society; and (6) provide a central clearinghouse for information and resource availability for handicapped individuals. Authorizes to be appropriated for purposes of this title $1,000,000 for fiscal year 1973, $2,000,000 for fiscal year 1974, and $2,000,000 for fiscal year 1975. Title VII: Miscellaneous - Provides that the Vocational Rehabilitation Act is repealed ninety days after the date of enactment of this Act. Establishes an Interagency Committee on Handicapped Employees to insure the adequacy of hiring, placement, and advancement practices with respect to handicapped individuals by each department, agency, and instrumentality of the executive branch of Government. Establishes a National Commission on Transportation and Housing for Handicapped Individuals to identify and eliminate transportation barriers that impede the mobility of handicapped individuals and aged handicapped individuals, and to prepare plans and proposals for such further action as may be necessary to the goals of adequate transportation and housing for handicapped individuals. Establishes an Architectural and Transportation Barriers Compliance Board to investigate and examine alternative approaches to the architectural, transportation, and attitudinal barriers confronting handicapped individuals. Authorizes appropriations of $1,000,000 for fiscal year 1973; $1,250,000 for fiscal year 1974; and $1,500,000 for fiscal year 1975 to carry out the duties and functions of the Board.
Bill· HRH.R. 2655 (93rd)referred
United States · United States Congress · 23 January 1973
Establishes the Commission on Medical Technology and Dignity of Dying to study and make recommendations concerning the circumstances under which modern medical technology is being used to deny individuals the right to die with dignity; and when the availability of governmentally funded benefits contribute to denying individuals the right to die with dignity. Provides that the Commission shall be composed of twelve members appointed by the President who are particularly qualified to participate in the work of the Commission. Authorizes the Commission to hold such hearings as it may deem advisable, and to secure from any department or agency of the United States information necessary to enable it to carry out this Act. Directs the Commission to present to the President for transmittal to Congress a report containing a detailed statement of the findings and conclusions of the Commission, together with its recommendations for such legislation and administrative actions as it deems appropriate. Provides that the Commission shall cease to exist 60 days after submission of its final report.
Bill· HRH.R. 2618 (93rd)referred
United States · United States Congress · 22 January 1973
National Health Insurance Partnership Act - Title I: National Health Insurance Act - National Health Insurance Standards Act - Establishes a new title VI (Health Benefits for Employees and for Low-Income Families) of the Social Security Act, including the National Health Insurance Standards Act (part A of title VI) requiring employers to offer to their employees a basic health insurance plan meeting specified minimum standards. Declares it to be the intent of Congress to provide adequate protection against high costs through a family health insurance plan and to require that employers, whether or not engaged in interstate commerce, provide basic health care protection to their employees. Requires, under Part A of such title, all employers to make available a basic health care plan to employees and members of their families (except to ministers and members of religious orders, Federal, State, and local employees, employees of a foreign government or of an international organization, and persons entitled to protection under Medicare) who have been employed for 25 hours a week in 10 out of 13 weeks or 350 hours in 13 weeks. Delays these requirements for employers under unexpired union contracts entered into prior to the enactment of this Act. Provides that, if the employer's share of the premiums exceeds 4 percent of his average wages paid, the Secretary shall pay the employer the amount of such excess multiplied by the number of employees up to 10. Requires that benefits under an approved plan must include inpatient hospital services, emergency services, physicians' services including well-child care (to age 5), and annual eye examination (to age 12) and other medical and health services. Prohibits exclusion from benefits under the plan of any health condition which existed on the date that the employee initially secured coverage thereunder for any period of time commencing 6 months after enrollment; or from the time of enrollment in the case of maternity. Permits the plan to contain benefits in addition to those that are required, but requires that they must be offered optionally. Requires employers to offer the option to receive care through a health maintenance organization. Requires that insurance companies which underwrite employer sponsored plans must also develop group policies for use by small employers and for protection for self-employed individuals and others not otherwise eligible under the foregoing provisions of this title or title XVIII of the Social Security Act. Defines a "small employer" to be one who employs fewer than 100 employees on each of 90 days during a period of 180 consecutive days. Requires each insurer to notify the Secretary of Health, Education and Welfare when an employer subscribes to a plan. Requires an employer who self-insures to notify the Secretary of what his plan provides. Requires the approval by the Secretary of those plans which meet the requirements of this Act. Provides that any employer who willfully and knowingly fails to adopt an approvable basic health care plan required under this title shall be guilty of a misdemeanor and upon conviction thereof shall be fined an amount equal to $1000 for each employee for which such a plan should have been available. Permits an employee to maintain an action to compel his employer to make a basic health care plan available, and to recover any expenditures necessitated by his employer's failure to make such a plan available. Makes the foregoing provisions effective on July l, l973, except that the 25 percent limitation on contributions to premiums shall apply only to the period beginning January l, l976 (the percentage limitations being 35% during the interim period). Allows the employer to deduct from gross income for tax purposes premiums paid for all required health benefits. Title_II: Family_Health_Insurance_Plan_- Family Health Insurance Act - Establishes a "Family Health Insurance Act" within title VI of the Social Security Act (Part B). Declares it to be the purpose of this title to assist low-income families with children to obtain adequate insurance coverage to meet their health needs, in a manner which will encourage the efficient and economical use of resources for health care, through the establishment of the family health insurance plan. Provides health insurance to family members who are not eligible for coverage under title I of this Act or Medicare, where the annual family income is less than $5000 for a family of four (and comparable amounts for families of other sizes) and family resources less than $1500. Makes coverage compulsory for eligible family members where Family Assistance Plan and State Supplementary payments equal or exceed the amount of the premium. Determines eligibility (with respect to the income levels) prospectively for 6 month periods. Permits redeterminations during the 6 month period if there have been changes affecting eligibility. Prescribes premiums on family income classess. Establishes a system of income classes, for purposes of computing premiums, deductibles, and coinsurance. Authorizes agreements with States under which the Secretary will administer additional benefits for persons with Family Health Insurance Plan coverage on behalf of the State. Prescribes that the State shall pay the costs of the additional benefits, but not the administrative costs. Makes this title effective July 1, l973. Title III: Restriction of Medical Assistance Programs to Aged, Blind, Disabled, and Children in Foster_ Care - Provides that the only mandatory coverage groups under State Medicaid plans will be the aged, blind, and disabled who are either receiving cash assistance under the State title XVI (Social Security Act) plan, or whose income and resources meet the requirements of such plan. Provides that State Medicaid plans may optionally include the aged, blind, and disabled who are medically indigent (whether or not they meet the income and resources tests of the title XVI plan) and also medically indigent children who are not eligible for health insurance coverage under a plan approved under titles I or II of this Act. Title_IV: Inapplicability of State Law to Health Maintenance Organizations - Makes inapplicable to Health Maintenance Plans any State law or regulations which are inconsistent with the obligations of the organizations under agreements with the Secretary to provide services under the family health insurance plan or under the Secretary's regulations to carry such agreement out. Makes inapplicable, in the case of any physician affiliated with any such organization, any State law or regulation which interferes with the performance of functions of the physician by any employee of the physician or the organization. Title_V: General Severability - Contains a severability clause in case any provision of the bill or any application of any provision of the bill is held invalid so as to provide that such a holding would not affect the rest of the bill and any other applications thereof.
Bill· HRH.R. 2610 (93rd)referred
United States · United States Congress · 22 January 1973
Rehabilitation Act - Declares that it is the purpose of this Act to provide a statutory basis for the Rehabilitation Service Administration and to establish within the Department of Health, Education and Welfare an Office for the Handicapped, and to authorize specified programs. Establishes within the Department of Health, Education, and Welfare a Rehabilitation Services Administration which shall be administered by a Commissioner. Provides that the Commissioner shall carry out and administer all programs and direct the performance of all services for which authority is provided to the Secretary of H.E.W. under titles I through IV of this Act. Creates within such administration a Division of Research, Training and Evaluation which shall be responsible for carrying out programs and projects under title IV of this Act. Authorizes the inclusion of appropriations under this Act in appropriations for the fiscal year preceding the fiscal year for which they are available for obligation. Provides that where funds are provided for a single project by more than one Federal agency to an agency or organization assisted under this Act, the Federal agency principally involved may be designated to act for all in administering such funds, pursuant to regulations prescribed by the President. Sets forth definitions of terms used in this Act. Title I: Vocational Rehabilitation Services - States it to be the purpose of this title to authorize grants to assist States to meet the current and future needs of handicapped individuals, so that such individuals may prepare for and engage in gainful employment to the extent of their capabilities. Authorizes to be appropriated $800,000,000 for fiscal year 1973, and $975,000,000 for fiscal year 1974 for the purpose of making grants to States to assist them in meeting the costs of vocational rehabilitation services. Authorizes to be appropriated $50,000,000 for fiscal year 1973, $60,000,000 for fiscal year 1974, and $75,000,000 for fiscal year 1975, for the purpose of making grants to States and public and nonprofit agencies to assist them in meeting the costs of projects to initiate or expand services to handicapped individuals. Sets forth the requirements of State plans to be submitted and approved for participation in programs under this title and under title II of this Act. Authorizes judicial review in United States district courts of decisions by the Commissioner of the Rehabilitation Services Administration affecting State plans. Provides that the Commissioner shall insure that the individualized written rehabilitation program required in a State plan in the case of each handicapped individual shall be developed jointly by the vocational rehabilitation counselor or coordinator and the handicapped individual. Defines vocational rehabilitation services provided under this Act as any goods or services necessary to render a handicapped individual employable, including, but not limited to, the following: (1) evaluation of rehabilitation potential; (2) counseling, guidance, referral, and placement services for handicapped individuals; (3) vocational and other training services for handicapped individuals; (4) physical and mental restoration services; (5) maintenance, not exceeding the estimated cost of subsistence, during rehabilitation; (6) interpreter services for the deaf, and reader services for the blind; (7) recruitment and training services for handicapped individuals; (8) rehabilitation teaching services and orientation and mobility services for the blind; (9) occupational licenses, tools, equipment, and initial stocks and supplies; (10) transportation in connection with the rendering of any vocational rehabilitation services; and (11) telecommunications, sensory, and other technological aids and devices. Provides a formula for the allotment and payment of funds to States for providing rehabilitation services under this title. Directs the Commissioner to establish offices in ten to twenty geographically dispersed regions for client assistance pilot projects to provide counselors to inform and advise all clients and client applicants in the project area of all available benefits under this Act and to assist them in their relationships with projects, programs, and facilities providing services to them under this Act. Directs the Commissioner to pay to a State or, at the option of the State, to a public or nonprofit organization or agency a portion of the cost of planning, preparing for, and initiating special programs under the State plan to expand vocational rehabilitation services. Title II: Comprehensive Rehabilitation Services - States it to be the purpose of this title to authorize grants to assist the several States in developing and implementing continuing plans for meeting the current and future needs of handicapped individuals for whom a vocational goal is not possible or feasible authorizes to be appropriated $30,000,000 for fiscal year 1973, $50,000,000 for fiscal year 1974, and $80,000,000 for fiscal year 1975 for grants to carry out the purposes of this title. Specifies the formula to be utilized in alloting such funds to the States. Directs the Commissioner to make grants to States and public and nonprofit agencies or organizations to pay part of the cost of projects for research and demonstration and training which hold promise of making a substantial contribution to the solution of problems related to the rehabilitation of individuals under this title. Title III: Special Federal Responsibilities Authorizes the Commissioner to make grants and contracts to assist in meeting the costs of construction of public or nonprofit rehabilitation facilities, initial staffing, and planning assistance. Authorizes to be appropriated for such grants and contracts $35,000,000 for fiscal year 1973, $40,000,000 for fiscal year 1974, and $45,000,000 for fiscal year 1975. Authorizes the Commissioner to make grants to States and public or nonprofit organizations and agencies to pay up to 90 percent of the cost of projects for providing vocational training services to handicapped individuals, especially those with the most severe handicaps, in public or nonprofit rehabilitation facilities. Authorizes to be appropriated for such grants and contracts $30,000,000 for fiscal year 1973, $35,000,000 for fiscal year 1974, and $40,000,000 for fiscal year 1975. Authorizes the Commissioner to insure up to 100 percent of any mortgage on the construction of facilities for programs for handicapped individuals. Creates a Rehabilitation Facilities Insurance Fund to be used by the Commissioner as a revolving fund for carrying out the insurance provisions of this part. Provides that the total amount of outstanding mortgages shall not exceed $250,000,000. Authorizes to be appropriated such sums as may be necessary for initial capital for such Fund. Authorizes the Commissioner to make annual interest grants to assist States and public or nonprofit agencies and organizations to reduce the cost of borrowing from other sources for the construction of rehabilitation facilities. Authorizes to be appropriated such sums as may be necessary for the payment of annual interest grants in accordance with this part. Authorizes the Commissioner to make grants to States and public or nonprofit agencies and organizations for paying part of the cost of special projects and demonstrations: (1) for establishing facilities and providing services which hold promise of expanding or otherwise improving rehabilitation services to handicapped individuals, especially those with the most severe handicaps; and (2) for applying new types or patterns of service or devices. Allows the Commissioner to make grants to pay up to 90 percent of the cost of projects or demonstrations for the provision of vocational or comprehensive rehabilitation services to handicappped individuals who are migratory agricultural workers or seasonal farmworkers, and to members of their families who are with them. Provides that the Commissioner may make contracts or jointly finance cooperative arrangements with employers and organizations for the establishment of projects designed to prepare handicapped individuals for gainful and suitable employment in the competitive labor market under which such handicapped individuals are provided training and employment in a realistic work setting and such other services as may be necessary for such individuals to continue to engage in such employment. Authorizes the Commissioner to provide technical assistance to rehabilitation facilities, and for the purpose of removal of architectural and transportation barriers, to any public or nonprofit agency, institution, organization or facility. Authorizes to be appropriated, for the purpose of making grants under this part, $50,000,000 for fiscal year 1973, $125,000,000 for fiscal year 1974, and $150,000,000 for fiscal year 1975. Authorizes to be appropriated $5,000,000 for construction, $800,000 for operations for fiscal year 1973, $1,200,000 for operations for fiscal year 1974, and $2,000,000 for operations for fiscal year 1975, for establishing and operating a National Center for Deaf-Blind Youths and Adults. Authorizes to be appropriated $2,000,000 for fiscal year 1973, $4,000,000 for fiscal 1974, and $7,000,000 for fiscal year 1975 and for making grants and contracts for the expansion and improvement of vocational or comprehensive rehabilitation services for deaf and blind individuals. Authorizes to be appropriated, for the purpose of establishing and operating National Centers for Spinal Cord Injuries, $15,000,000 for fiscal year 1973, $25,000,000 for fiscal year 1974, and $30,000,000 for fiscal year 1975. Authorizes to be appropriated, for providing services for the treatment of individuals suffering from end-stage renal disease, $25,000,000 for fiscal year 1973, $25,000,000 for fiscal year 1974, and $25,000,000 for fiscal year 1975. Establishes a National Advisory Council on Rehabilitation of Handicapped Individuals in the Department of Health, Education, and Welfare to: (1) provide policy advice and consultation to the Secretary of Health, Education, and Welfare, and the Commissioner; (2) review the administration and operation of vocational rehabilitation programs under this Act; and (3) advise the Secretary and the Commissioner with respect to the conduct of independent evaluations of programs carried out under this Act. Authorizes appropriations of $100,000 for fiscal year 1973 and $150,000 for each of fiscal years 1974 and 1975 to carry out the functions of the Council. Title IV: Research and Training - Authorizes the Commissioner to make grants to and contracts with States and public or nonprofit agencies and organizations to pay part of the cost of projects for the purpose of planning and conducting research, demonstrations, and related activities, which bear directly on the development of methods, procedures, and devices to assist in the provision of vocational and comprehensive rehabilitation services to handicapped individuals, especially those with the most severe handicaps. Authorizes to be appropriated for such research activities $75,000,000 for fiscal year 1973, $100,000,000 for fiscal year 1974, and $150,000,000 for fiscal year 1975. Authorizes the Commissioner to make grants to and contracts with States and public and nonprofit agencies and organizations to pay part of the cost of projects for training, traineeships, and related activities designed to assist in increasing the numbers of personnel trained in providing vocational and comprehensive rehabilitation services to handicapped individuals and in performing other functions necessary to the development of such services. Authorizes to be appropriated for such training grants $50,000,000 for fiscal year 1973, $75,000,000 for fiscal year 1974, and $100,000,000 for fiscal year 1975. Title V: Administration and Program and Project Evaluation - Provides that, in carrying out his duties under this Act, the Commissioner shall: (1) cooperate with, and render technical assistance to States in matters relating to the rehabilitation of handicapped individuals; (2) provide short-term training and instruction in technical matters relating to vocational and comprehensive rehabilitation services; and (3) disseminate information relating to vocational and comprehensive rehabilitation services, and otherwise promote the cause of the rehabilitation of handicapped individuals and their greater utilization in gainful and suitable employment. Directs the Secretary to measure and evaluate the impact of all programs authorized by this Act. Title VI: Office for the Handicapped - Establishes an Office for the Handicapped in the Department of Health, Education, and Welfare to: (1) prepare a long-range projection for the provisions of comprehensive services to handicapped individuals; (2) analyze program operations; (3) encourage coordinated and cooperative planning; (4) provide assistance to other committees advising the Secretary; (5) develop means of promoting scientific research to bring about the full integration of handicapped individuals into all aspects of society; and (6) provide a central clearinghouse for information and resource availability for handicapped individuals. Authorizes to be appropriated for purposes of this title $1,000,000 for fiscal year 1973, $2,000,000 for fiscal year 1974, and $2,000,000 for fiscal year 1975. Title VII: Miscellaneous - Provides that the Vocational Rehabilitation Act is repealed ninety days after the date of enactment of this Act. Establishes an Interagency Committee on Handicapped Employees to insure the adequacy of hiring, placement, and advancement practices with respect to handicapped individuals by each department, agency, and instrumentality of the executive branch of Government. Establishes a National Commission on Transportation and Housing for Handicapped Individuals to identify and eliminate transportation barriers that impede the mobility of handicapped individuals and aged handicapped individuals, and to prepare plans and proposals for such further action as may be necessary to the goals of adequate transportation and housing for handicapped individuals. Establishes an Architectural and Transportation Barriers Compliance Board to investigate and examine alternative approaches to the architectural, transportation, and attitudinal barriers confronting handicapped individuals. Authorizes appropriations of $1,000,000 for fiscal year 1973; $1,250,000 for fiscal year 1974; and $1,500,000 for fiscal year 1975 to carry out the duties and functions of the Board.
Bill· HRH.R. 2621 (93rd)referred
United States · United States Congress · 22 January 1973
Authorizes the Secretary of Health, Education, and Welfare to make grants to nonprofit private entities and to enter into contracts with private entities: (1) for specified research and development projects designed to improve systems and delivery of health care for persons who are critically ill; (2) to support biomedical engineering projects for testing new instrumentation and systems for delivery of critical health care; and (3) for the establishment and initial operation of not more than ten critical care facilities for the delivery of health care to critically ill patients, which facilities would be used for clinical testing of new instrumentation and health care delivery systems and to train personnel in the use of such instrumentation and systems. Specifies conditions for such grants. Authorizes to be appropriated $20,000,000 to carry out the purposes of this Act.
Bill· HRH.R. 2617 (93rd)referred
United States · United States Congress · 22 January 1973
Health Care Insurance Act - Provides for, under the Social Security Act, medical and hospital care through a system of voluntary health insurance financed in whole for low-income groups through issuances of certificates, and in part for all other persons through allowance of tax credits. Adds to the Social Security Act a new title entitled Federal Financing of Voluntary Health Insurance. Provides that, for the purpose of providing assistance on behalf of the individuals and their dependents whose income and resources are insufficient to meet the costs of necessary medical and hospital services, there is established a program of hospital and medical benefits for any eligible beneficiary and his dependents through the issuance of health insurance certificates of entitlement which will be redeemable by the carrier by payment from the Federal Health Insurance Redemption Fund. Asserts that benefits claimed under this provision shall not be duplicated under any other programs financed in whole or in part by the Federal Government. Includes as eligible beneficiaries under this title any husband and wife both under age 65 and living together and any married person under age 65 who is not a dependent beneficiary. Defines a dependent beneficiary as any child of an eligible beneficiary receiving more than 50 percent of his support from the eligible beneficiary, which child is under 21, or if a student, under age 23. Provides that every individual who is an eligible beneficiary whose income results in no individual income tax liability during his base year, whose dependent beneficiaries have no such liability for their taxable years which end during his base year, and who is not eligible to receive military medical care, shall be eligible to receive a health insurance certificate of entitlement. Asserts that such certificates shall be applicable in full payment of allowable premiums for a qualified health care insurance policy or plan. Requires that such policy or plan shall provide protection for the eligible beneficiary and his dependent beneficiaries for a 12- month period beginning during his benefit year against the expenses of health care, including catastrophic expenses of illness. Defines the base year of an eligible beneficiary as his taxable year in respect to which is his entitlement to an insurance certificate is determined. Allows tax credits for health care insurance. Asserts that every individual who is an eligible beneficiary who has not elected, where eligible, to receive benefits under the provisions for fully-paid health care insurance for the low-income group and who is not eligible to receive military medical care, shall be allowed at his election: a credit against his income tax liability for his taxable year which ends during his base year; or a health insurance certificate on the basis of allowable premiums. Provides that a health insurance certificate of entitlement means a certificate issued by the Secretary of Health, Education and Welfare upon application to him by an eligible beneficiary to apply toward payment of the premium on a qualified health care insurance policy or plan. Specifies that a qualified health care insurance policy or plan shall be a contractual agreement specifying benefits under a program offered by a qualified carrier which has been registered by a State Agency and which provides basic institutional and medical coverage and catastrophic expense coverage. Declares that each such qualified health care insurance policy or plan shall be noncancellable and guaranteed renewable so long as the carrier continues to offer to the public one or more qualified health care insurance policies or plans, shall provide protection against the expense of health care without regard to any pre-existing conditions, and shall provide for payment under this title of usual and customary charges for services covered under the policy or plan. Stipulates what costs shall be included under basic institutional and medical coverage and under catastrophic expense coverage. Establishes deductibles for each of the two types of coverage. Creates a Health Insurance Advisory Board which shall consist of eleven persons including the Secretary of Health, Education, and Welfare and the Commissioner of the Internal Revenue Service, or their delegates. Directs that the remaining members, not otherwise in the employ of the Government, shall be appointed by the President, with the advice and consent of the Senate, without regard to the provisions of title 5, United States Code, governing appointment in the competitive service. Asserts that the Secretary of HEW shall serve as Chairman. Provides that the members shall be selected from persons who are specifically qualified to serve on such Board by virtue of their education, training, or experience. Provides that the Health Insurance Advisory Board shall perform such functions as: (1) prescribe such regulations as may be necessary to carry out the purposes and provisions of this Act; (2) establish minimum Federal standards for the use of State insurance departments in determining whether an insurance company and plan are qualified under this Act; (3) in consultation with carriers, providers of services, and consumers, plan and develop programs whose purposes are to provide for maintaining the quality of medical care; and (4) review the effectiveness of the tax credit program and file an annual report. Grants the States the power to decide which carriers are qualified. Forbids any Federal officer or employee to exercise any supervision or control over the practice of medicine or the manner in which medical services are provided, or over the selection, tenure, or compensation of any officer or employee or any institution, agency, or person providing health services; or to exercise any supervision control over the administration or operation of any such institution, agency, or person. Creates in the Treasury a trust fund to be known as the Federal Health Insurance Redemption Fund to consist in part of an amount equal to the aggregate amount of premiums paid under this title through the redemption of health insurance certificates.
Bill· HRH.R. 2612 (93rd)referred
United States · United States Congress · 22 January 1973
Health Security Act - Title I: Health Security Benefits - Provides that every resident of the U.S. (and every non-resident citizen when in the U.S.) will be eligible for covered services. Permits reciprocal and "buy-in" agreements for groups of non-resident aliens, and in some cases benefits to U.S. residents when visiting in other countries. Entitles every eligible person to have payments made by the Health Security Board for covered services provided within the United States by a participating provider. Provides that all necessary professional services of physicians, wherever furnished are covered, including preventive care, with two important restrictions: (1) specialist services are covered only when performed by a qualified specialist except in emergency situations, and generally only on referral from a primary physician; and (2) psychiatric services to an ambulatory patient are covered only for active preventive, diagnostic, therapeutic or rehabilitative service with respect to mental illness. Provides that comprehensive dental services (exclusive of most orthodontic services) are covered for children under age 15, with the covered age group increasing by two years each year until all those under age 25 are covered. Provides that: (1) inpatient and outpatient hospital services and services of a home health agency are covered without arbitrary limitation; (2) pathology and radiology services are specifically included as parts of institutional services; and (3) custodial care is specifically excluded in specified institutional settings. Limits payment for skilled nursing home care to 120 days per spell of illness, except that this limit may be increased when the nursing home is owned or managed by a hospital and payment for care is made through the hospital's budget. Limits the psychiatric hospital benefit to 45 consecutive days of active treatment during a spell of illness. Provides coverage for two categories of drug use: prescribed medicines administered to inpatients or outpatients within participating hospitals; or to enrollees of comprehensive health service organizations, and drugs necessary for the treatment of specified chronic illnesses or conditions requiring long or expensive therapy. Requires the Board and the Secretary of Health, Education, and Welfare to establish two lists of approved drugs, taking into account the safety, efficacy and cost of each drug. Provides a broad list of approved medicines available for use in institutions and by comprehensive health service organizations and a more restricted list which is available for use outside such organized settings. Provides that the appliances benefit is similar in concept and operation to the drug benefit, subject to a limitation on aggregate cost. Asserts that the professional services of optometrists and podiatrists are covered, subject to regulations, as are diagnostic or therapeutic services furnished by independent pathology laboratories and radiology services. States that health services furnished or paid for under a workmen's compensation law are not covered. Provides that the services of a professional practitioner are not covered if they are furnished in a hospital which is not a participating provider. Requires that participating providers meet standards established in this title or by the Board. Requires that such providers must agree to provide services without discrimination, to make no unauthorized charge to the patient for any covered service, and to furnish data necessary for utilization review by professional peers, statistical studies by the Board, and verification of information for payments. Makes professional practitioners, licensed when the program begins, eligible to practice in the State where they are licensed and requires that all newly licensed applicants for participation meet national standards established by the Board in addition to those required by his State. Establishes conditions of participation for general hospitals similar to those required under Medicare. States that the two requirements not found in the Medicare program are: (1) that the hospital must not discriminate in granting staff privileges on any grounds unrelated to professional qualifications; and (2) that it establish a pharmacy and drug therapeutics committee for supervision of hospital drug therapy. Provides that psychiatric hospitals will be eligible to participate only if the Board finds that the hospital (or a distinct part of the hospital) is engaged in furnishing active diagnostic, therapeutic and rehabilitative services to mentally ill patients. Establishes conditions of participation for skilled nursing homes similar to those established for extended care facilities under Medicare. Makes provisions for the participation of home health service agencies. Describes as eligible a health maintenance organization which undertakes to provide an enrolled population either with complete health care or with complete health security services (other than institutional services, mental health or dental services) for the maintenance of the health and care of ambulatory patients. Permits a foundation sponsored by a county or other local medical society to participate as a provider of services. Authorizes the Board to deal separately with the primary care portion of a system of comprehensive health care where it is necessary to rely on arrangements with other providers. Permits the Board to contract directly with public or other nonprofit mental health centers and mental health day care services. Specifies the broad and general conditions under which independent pathology laboratories, independent radiological services, and providers of drugs, devices, appliances, equipment, or ambulance services may qualify as providers under Health Security. Requires that a participating skilled nursing home have in effect an agreement with at least one participating hospital for the transfer of patients and medical and other information as medically appropriate. Prohibits in malpractice judgments any damages to be awarded to the injured party for the cost of remedial services which he is entitled to receive under this Act. Excludes the institutions of the Department of Defense and the Veterans Administration, and institutions of the Department of Health, Education, and Welfare serving merchant seamen or Indians or Alaskan natives, from serving as participating providers, as well as any employee of these institutions when he is acting as an employee. Provides reimbursement for any services furnished by these institutions or agencies to eligible persons who are not a part of their normal clientele. Permits a physician, dentist, optometrist, or podiatrist, licensed in one State and meeting the national standards, to furnish Health Security benefits in any other State, the scope of his permissible practice being governed by the law of the State in which he is practicing. Grants a similar authority to other health professional and nonprofessional personnel. Establishes the Health Security Trust Fund, to receive the net assets of existing (Medicare) funds taken over by the Health Security program, the yield of the Health Security taxes, and the Government's contribution from general revenues amounting to 100 percent of the yield from these taxes. Provides that three separate accounts shall be established in the Health Security Trust Fund: a Health Service Account, a Health Resources Development Account, and an Administration Account. Provides that in each of the first two years of the program operation, 2 percent of the Trust Fund shall be set aside for the Health Resources Development Fund; and the allocation shall increase by 1 percent at two-year intervals to 5 percent within the next 6 years. Provides for allocation of the Health Services account among the regions of the country. Provides that the allocation to each region shall be based on the aggregate sum expended during the most recent 12-month period for covered services (with appropriate modification for estimated changes in the consumer price index, the expected number of eligible beneficiaries, and estimated changes in the number of participating providers). Provides that the Board will divide the allocation to each region into funds available to pay: institutional services; physician services; dental services; furnishing of drugs; furnishing of devices, applications, and equipment; and miscellaneous services. Provides that payments for covered services provided to eligible persons by participating providers will be made from the Health Service Account in the Trust Fund. Describes the method to be used in applying, as between practitioners electing the various methods of payment fee for service, the monies available in each health service area for payment to each category of professional providers. Authorizes the Board to experiment with other methods of reimbursement so long as the experimental method does not increase the cost of service or lead to overutilization or underutilization of services. Provides that skilled nursing homes and home health agencies will be paid in the same manner as a general hospital (on an approved annual budget basis). Provides that a health maintenance organization will be paid for covered services, on the basis of a fixed capitation rate multiplied by the number of eligible enrollees. Contains a series of provisions for developing a continuous process of health service planning and for assisting in the recruitment, education, and training of health personnel. Authorizes special improvement grants: (1) to any public or other nonprofit health agency or institution to establish improved coordination and linkages with other providers of services, and (2) to organizations providing comprehensive ambulatory care to improve their utilization review, budget, statistical, or records and information retrieval systems, to acquire equipment needed for those purposes, or to acquire equipment useful for mass screening or for other diagnostic or therapeutic purposes. Sets forth the responsibilities and duties of the Secretary of HEW and the Board with regard to this title. Creates an administrative structure within the Department of Health, Education, and Welfare with exclusive responsibility for administration of the Health Security program. Establishes a five-member full-time Health Security Board serving under the Secretary of Health, Education, and Welfare. Provides that the members shall be appointed by the President with the advice and consent of the Senate, for five-year overlapping terms. Creates the position of an Executive Director, appointed by the Board with the approval of the Secretary. Provides that the Executive Director shall serve as secretary to the Board and shall perform such duties in the administration of the program as the Board assigns to him. Provides that the program will be administered through the regional offices of the Department of Health, Education, and Welfare. Requires the establishment of sub-regional (service area) offices. Establishes a National Health Security Advisory Council, with the Chairman of the Board serving as the Council's Chairman and 20 additional members not in the employ of the Federal Government. Authorizes the Advisory Council to appoint professional or technical committees to assist in its functions. Provides that the Advisory Council will advise the Board on matters of general policy in the administration of the program, the formulation of regulations and the allocation of funds for services. Charges the Board with responsibility for informing the public and providers about the administration and operation of the Health Security program. Requires the Board to make a continuing study and evaluation of the program, including adequacy, quality and costs of services. Authorizes the Board directly or by contract to make detailed statistical and other studies on a national, regional, or local basis of any aspect of the title; to develop and test incentive systems for improving quality of care, methods of peer review of drug utilization and of other service performances; to develop and test systems of information retrieval, budget programs, instrumentation for multiphasic screening or patient services, reimbursement systems for drugs; and to make such other studies which it considers would improve the quality of services of administration of the program. Grants authority to the Board, in accordance with regulations, to make determinations of who are participating providers of services, determinations of eligibility, of whether services are covered, and the amount to be paid to providers. Allows a provider of services who is dissatisfied with a final Board determination to obtain a hearing before a Board panel, and judicial review of a final decision. Authorizes the Board, with the advice and assistance of the Commission on the Quality of Health Care, to issue and review regulations assuring the quality of care furnished under this Act. Requires continuing professional education by physicians, dentists, optometrists, and podiatrists. Provides for the appointment of a Deputy Secretary of HEW and an Under Secretary for Health and Science. States that no provision of this Act shall alter any contractual obligation of an employer to provide health services to his employees and their dependents. Title II: Health Security Taxes - Converts the existing Medicare hospital insurance payroll taxes into Health Security taxes, and raises the rates to 1 percent on employees and 3.5 percent on employers. Raises the wage base for the employee tax from the present $7,800 to $15,000 or, if higher 125 percent of the contribution and benefit base. Broadens the definitions of covered employment to include foreign agricultural workers, employees of the U.S. and its instrumentalities (other than members of the armed forces and the President, Vice-President, and Members of Congress), employees of charitable and similar organizations, railroad employees, and (for the employee tax only) employees of States and their political subdivisions and instrumentalities. Excludes from the gross income of employees, for income tax purposes, payment by their employers of part or all of the Health Security taxes on the employees. Spells out the precise effective dates of the new payroll tax provisions. Converts the existing Medicare self-employment tax into a Health Security self-employment tax, and raises the rate to 2.5 percent, and raises the maximum taxable self-employment income from $7,800 to $15,000. Adds a new 1 percent Health Security tax on unearned income (unless such income is less than $400 a year), subject to the same maximum on taxable income as is applicable to the employee and self-employment taxes. Title III: Commission on the Quality of Health Care - Establishes in the Department of HEW a Commission on the Quality of Health Care, with the primary responsibility of: (1) initiating and continuing development of methods of assessing the quality of health care furnished under the Health Security Act, and (2) submitting to the Secretary and the Health Security Board its findings and recommendations. Stipulates that in carrying out its duties the Commissioner shall emphasize, and give first consideration to, care furnished for those illnesses and conditions which have relatively high incidence in the population and which are relatively amenable to medical or other care. Title IV: Repeal or Amendment of Other Acts - Makes various conforming amendments to the medicare, medicaid, vocational rehabilitation, and Federal employees health benefits statutes to bring it into conformity with this Act. Requires that, after the effective date of benefits, no State shall be required to furnish any service covered under Health Security as a part of its State plan for participation under Medicaid, and that the Federal government will have no responsibility to reimburse any State for the cost of providing a service which is covered under Health Security. Provides that funds available under the Vocational Rehabilitation Act or the Maternal and Child Health title of the Social Security Act shall not be used to pay for personal health services after the effective date of benefits, except (to the extent prescribed in regulations by the Secretary of HEW) to pay for services which are more extensive than those covered under Health Security. Title V: Studies Related to Health Security - Authorizes the Secretary of Health, Education, and Welfare in consultation with the Secretary of State and the Secretary of Treasury to study the coverage of health services for U.S. residents in other countries. Directs the Secretary of HEW to study the feasibility and desirability of coordinating the Federal health benefit programs for merchant seamen, and Indians and Alaskan natives, and veterans and members of the Armed Forces, with the Health Security Benefit Program.
Bill· SS. 444 (93rd)referred
United States · United States Congress · 18 January 1973
Health Care Insurance Act - Provides under the Social Security Act for medical, dental and hospital care through a system of voluntary health insurance financed in whole for low-income groups through issuance of certificates, and in part for all other persons through allowance of tax credits. Adds to the Social Security Act a new title entitled Federal Financing of Voluntary Health Insurance. Provides that, for the purpose of providing assistance on behalf of the individuals and their dependents whose income and resources are insufficient to meet the costs of necessary medical, dental, and hospital services, there is established a program of hospital, dental, and medical benefits for any eligible beneficiary and his dependents through the issuance of health insurance certificates, in full payment of allowable premiums on a qualified health care insurance policy of his choice. Asserts that health insurance certificates of entitlement will be redeemable by the carrier by payment from the Federal Health Insurance Redemption Fund. Includes as eligible beneficiaries under this title any husband and wife both under age 65 and living together and any unmarried person under age 65 who is not a dependent beneficiary. Defines a dependent beneficiary as any child of an eligible beneficiary receiving more than 50 percent of his support from the eligible beneficiary, which child is under 21, or if a student, under age 23. Provides that every individual who is an eligible beneficiary whose income results in no individual income tax liability during his base year, whose dependent beneficiaries have no such liability for their taxable years which end during his base year, and who is not eligible to receive military medical care, shall be eligible to receive a health insurance certificate of entitlement. Asserts that such certificates shall be applicable in full payment of allowable premiums for a qualified health care insurance policy or plan. Requires that such policy or plan shall provide protection for the eligible beneficiary and his dependent beneficiaries for a 12-month period beginning during his benefit year against the expenses of health care, including catastrophic expenses of illness. Allows tax credits for health care insurance. Asserts that every individual who is an eligible beneficiary who has not elected, where eligible, to receive benefits under the provisions for fully-paid health care insurance for the low-income group and who is not eligible to receive military medical care, shall be allowed at his election: a credit against his income tax liability for his taxable year which ends during his base year; or a health insurance certificate of entitlement acceptable by a qualified carrier in payment toward a premium, under a qualified health care insurance policy. Specifies the amount of the tax credit or the value to be assigned to the health insurance certificate on the basis of allowable premiums. Provides that a health insurance certificate of entitlement means a certificate issued by the Secretary of Health, Education and Welfare upon application to him by an eligible beneficiary to apply toward payment of the premium on a qualified health care insurance policy or plan. Specifies that a qualified health care insurance policy or plan shall be a contractual agreement specifying benefits under a program offered by a qualified carrier which has been registered by a State agency and which provides basic institutional and medical coverage and castrophic expense coverage. Declares that each such qualified health care insurance policy or plan shall be noncancellable and guaranteed renewable so long as the carrier continues to offer to the public one or more qualified health care insurance policies or plans, shall provide protection against the expense of health care without regard to any pre-existing conditions, and shall provide for payment under this title of usual and customary charges for services covered under the policy or plan. Stipulates what costs shall be included under basic coverage and under catastrophic expense coverage. Establishes deductibles for each of the two types of coverage. Creates a Health Insurance Advisory Board which shall consist of eleven persons including the Secretary of Health, Education, and Welfare and the Commissioner of the Internal Revenue Service. Directs that the remaining members, not otherwise in the employ of the Government, shall be appointed by the President, with the advice and consent of the Senate, without regard to the provisions of title 5, United States Code, governing appointment in the competitive service. Asserts that the Secretary of HEW shall serve as Chairman. Provides that the members shall be selected from persons who are specifically qualified to serve on such Board by virtue of their education, training, or experience. Provides that the Health Insurance Advisory Board shall perform such functions as: (1) prescribe such regulations as may be necessary to carry out the purposes and provisions of this Act; (2) establish minimum Federal standards for the use of State insurance departments in determining whether an insurance company and plan are qualified under this Act; (3) in consultation with carriers, providers of services, and consumers, plan and develop programs whose purposes are to provide for maintaining the quality of medical care; and (4) review the effectiveness of the tax credit program and file an annual report. Grants the States the power to decide which carriers are qualified. Forbids any Federal officer or employee to exercise any supervision or control over the practice of medicine or dentistry or the manner in which medical or dental service are provided, or over the selection, tenure, or compensation of any officer or employee or any institution, agency, or person providing health service; or to exercise any supervision or control over the administration or operation of any such institution, agency, or person. Creates in the Treasury a trust fund to be known as the Federal Health Insurance Redemption Fund to consist in part of an amount equal to the aggregate amount of premiums paid under this title through the redemption of health insurance certificates.
Bill· SS. 429 (93rd)referred
United States · United States Congress · 18 January 1973
Children's Dental Health Act - Provides the following fund authorization for grants to State agencies or other oganizations to carry out programs of dental care for preschool and school age children who are unable to obtain such services: fiscal year 1973-$5,000,000; fiscal year 1974-$15,000,000; and $175-$30,000,000. Provides the following authorizations for grants for water treatment programs to prevent dental disease: fiscal year 1973-$2,000,000; fiscal year 1974-$3,000,000; and fiscal year 1975-$4,000,000. Provides for the Federal Government to share a portion of the costs of these programs. Authorizes grants totaling $57,000,000 covering the fiscal years 1973-1975 to public and private non-profit institutions to educate veterans and other persons as auxiliary dental personnel. Authorizes grants totaling $26,000,000 covering fiscal years 1973-1975 to dental schools and other organizations for projects to promote the most effective use of auxiliary dental personnel. Directs the President to appoint a seven member Dental Advisory Committee to advise the Secretary of Health, Education, and Welfare on programs to meet the dental needs of the country. Requires the Secretary to report annually to Congress on the progress of the implementation and administration of the programs established by this Act. Gives the Secretary the power to regulate dentifrices under the Federal Food, Drug, and Cosmetic Act.
Bill· SS. 436 (93rd)referred
United States · United States Congress · 18 January 1973
Provides for the coverage of dental care, eye care, dentures, eyeglasses, and hearing aids under title XVIII (Health Insurance for the Aged) of the Social Security Act.
Bill· HRH.R. 2473 (93rd)referred
United States · United States Congress · 18 January 1973
Increases the contribution of the Federal Government to the costs of health benefits to Federal employees. Provides that the Civil Service Commission shall determine the average of the subscription charges in effect on the beginning date of each contract year with respect to self alone or self and family enrollment as applicable for the highest level of health benefits offered by the service benefit plan, the indemnity benefit plan, the two employee organization plans with the largest number of enrollments and the two comprehensive medical plans with the largest number of enrollments. Provides that, except as otherwise stated in this Act, the biweekly government contribution for health benefits for an employee enrolled in a health plan under this chapter shall be adjusted to an amount equal to the following percentage of the average subscription charge: 55 percent during 1972; 60 percent during 1973; 65 percent during 1974; 70 percent during 1975; and 75 percent during 1976, and each year thereafter. Permits an annuitant who is participating or who is eligible to participate in the health benefit program offered under the Retired Federal Employees Health Benefit Act to elect coverage under the Government Employees Health Insurance Program established by the United States Civil Service Commission. Defines "member of family" to mean the spouse of an employee or annuitant and an unmarried child under 22 years of age including an adopted child and a stepchild, foster child or recognized natural child who lives with the employee or annuitant or such an unmarried child regardless of age who is a student pursuing a full-time course of study or is incapable of self-support because of mental or physical disability.
Bill· HRH.R. 2483 (93rd)referred
United States · United States Congress · 18 January 1973
Food Supplement Amendment - Defines the term "food supplement" for purposes of the Federal Food, Drug, and Cosmetics Act to mean food for special dietary uses, and defines the meaning of "special dietary uses" as particular uses of food for man which meets specified requirements. Provides that in administering such Act the Secretary of Health, Education, and Welfare: (1) shall not limit the potency, number, combination, amount, or variety of any synthetic or natural vitamin, mineral, substance, or ingredient of any food supplement unless such article is intrinsically injurious to health in the recommended dosage; and (2) shall not require a warning label on any food supplement unless such article is intrinsically injurious to health in the recommended dosage.
Bill· HRH.R. 2429 (93rd)referred
United States · United States Congress · 18 January 1973
Rehabilitation Act - Declares that it is the purpose of this Act to provide a statutory basis for the Rehabilitation Service Administration and to establish within the Department of Health, Education and Welfare an Office for the Handicapped, and to authorize specified programs. Establishes within the Department of Health, Education, and Welfare a Rehabilitation Services Administration which shall be administered by a Commissioner. Provides that the Commissioner shall carry out and administer all programs and direct the performance of all services for which authority is provided to the Secretary of H.E.W. under titles I through IV of this Act. Creates within such administration a Division of Research, Training and Evaluation which shall be responsible for carrying out programs and projects under title IV of this Act. Authorizes the inclusion of appropriations under this Act in appropriations for the fiscal year preceding the fiscal year for which they are available for obligation. Provides that where funds are provided for a single project by more than one Federal agency to an agency or organization assisted under this Act, the Federal agency principally involved may be designated to act for all in administering such funds, pursuant to regulations prescribed by the President. Sets forth definitions of terms used in this Act. Title I: Vocational Rehabilitation Services - States it to be the purpose of this title to authorize grants to assist States to meet the current and future needs of handicapped individuals, so that such individuals may prepare for and engage in gainful employment to the extent of their capabilities. Authorizes to be appropriated $800,000,000 for fiscal year 1973, and $975,000,000 for fiscal year 1974 for the purpose of making grants to States to assist them in meeting the costs of vocational rehabilitation services. Authorizes to be appropriated $50,000,000 for fiscal year 1973, $60,000,000 for fiscal year 1974, and $75,000,000 for fiscal year 1975, for the purpose of making grants to States and public and nonprofit agencies to assist them in meeting the costs of projects to initiate or expand services to handicapped individuals. Sets forth the requirements of State plans to be submitted and approved for participation in programs under this title and under title II of this Act. Authorizes judicial review in United States district courts of decisions by the Commissioner of the Rehabilitation Services Administration affecting State plans. Provides that the Commissioner shall insure that the individualized written rehabilitation program required in a State plan in the case of each handicapped individual shall be developed jointly by the vocational rehabilitation counselor or coordinator and the handicapped individual. Defines vocational rehabilitation services provided under this Act as any goods or services necessary to render a handicapped individual employable, including, but not limited to, the following: (1) evaluation of rehabilitation potential; (2) counseling, guidance, referral, and placement services for handicapped individuals; (3) vocational and other training services for handicapped individuals; (4) physical and mental restoration services; (5) maintenance, not exceeding the estimated cost of subsistence, during rehabilitation; (6) interpreter services for the deaf, and reader services for the blind; (7) recruitment and training services for handicapped individuals; (8) rehabilitation teaching services and orientation and mobility services for the blind; (9) occupational licenses, tools, equipment, and initial stocks and supplies; (10) transportation in connection with the rendering of any vocational rehabilitation services; and (11) telecommunications, sensory, and other technological aids and devices. Provides a formula for the allotment and payment of funds to States for providing rehabilitation services under this title. Directs the Commissioner to establish offices in ten to twenty geographically dispersed regions for client assistance pilot projects to provide counselors to inform and advise all clients and client applicants in the project area of all available benefits under this Act and to assist them in their relationships with projects, programs, and facilities providing services to them under this Act. Directs the Commissioner to pay to a State or, at the option of the State, to a public or nonprofit organization or agency a portion of the cost of planning, preparing for, and initiating special programs under the State plan to expand vocational rehabilitation services. Title II: Comprehensive Rehabilitation Services - States it to be the purpose of this title to authorize grants to assist the several States in developing and implementing continuing plans for meeting the current and future needs of handicapped individuals for whom a vocational goal is not possible or feasible authorizes to be appropriated $30,000,000 for fiscal year 1973, $50,000,000 for fiscal year 1974, and $80,000,000 for fiscal year 1975 for grants to carry out the purposes of this title. Specifies the formula to be utilized in alloting such funds to the States. Directs the Commissioner to make grants to States and public and nonprofit agencies or organizations to pay part of the cost of projects for research and demonstration and training which hold promise of making a substantial contribution to the solution of problems related to the rehabilitation of individuals under this title. Title III: Special Federal Responsibilities Authorizes the Commissioner to make grants and contracts to assist in meeting the costs of construction of public or nonprofit rehabilitation facilities, initial staffing, and planning assistance. Authorizes to be appropriated for such grants and contracts $35,000,000 for fiscal year 1973, $40,000,000 for fiscal year 1974, and $45,000,000 for fiscal year 1975. Authorizes the Commissioner to make grants to States and public or nonprofit organizations and agencies to pay up to 90 percent of the cost of projects for providing vocational training services to handicapped individuals, especially those with the most severe handicaps, in public or nonprofit rehabilitation facilities. Authorizes to be appropriated for such grants and contracts $30,000,000 for fiscal year 1973, $35,000,000 for fiscal year 1974, and $40,000,000 for fiscal year 1975. Authorizes the Commissioner to insure up to 100 percent of any mortgage on the construction of facilities for programs for handicapped individuals. Creates a Rehabilitation Facilities Insurance Fund to be used by the Commissioner as a revolving fund for carrying out the insurance provisions of this part. Provides that the total amount of outstanding mortgages shall not exceed $250,000,000. Authorizes to be appropriated such sums as may be necessary for initial capital for such Fund. Authorizes the Commissioner to make annual interest grants to assist States and public or nonprofit agencies and organizations to reduce the cost of borrowing from other sources for the construction of rehabilitation facilities. Authorizes to be appropriated such sums as may be necessary for the payment of annual interest grants in accordance with this part. Authorizes the Commissioner to make grants to States and public or nonprofit agencies and organizations for paying part of the cost of special projects and demonstrations: (1) for establishing facilities and providing services which hold promise of expanding or otherwise improving rehabilitation services to handicapped individuals, especially those with the most severe handicaps; and (2) for applying new types or patterns of service or devices. Allows the Commissioner to make grants to pay up to 90 percent of the cost of projects or demonstrations for the provision of vocational or comprehensive rehabilitation services to handicappped individuals who are migratory agricultural workers or seasonal farmworkers, and to members of their families who are with them. Provides that the Commissioner may make contracts or jointly finance cooperative arrangements with employers and organizations for the establishment of projects designed to prepare handicapped individuals for gainful and suitable employment in the competitive labor market under which such handicapped individuals are provided training and employment in a realistic work setting and such other services as may be necessary for such individuals to continue to engage in such employment. Authorizes the Commissioner to provide technical assistance to rehabilitation facilities, and for the purpose of removal of architectural and transportation barriers, to any public or nonprofit agency, institution, organization or facility. Authorizes to be appropriated, for the purpose of making grants under this part, $50,000,000 for fiscal year 1973, $125,000,000 for fiscal year 1974, and $150,000,000 for fiscal year 1975. Authorizes to be appropriated $5,000,000 for construction, $800,000 for operations for fiscal year 1973, $1,200,000 for operations for fiscal year 1974, and $2,000,000 for operations for fiscal year 1975, for establishing and operating a National Center for Deaf-Blind Youths and Adults. Authorizes to be appropriated $2,000,000 for fiscal year 1973, $4,000,000 for fiscal 1974, and $7,000,000 for fiscal year 1975 and for making grants and contracts for the expansion and improvement of vocational or comprehensive rehabilitation services for deaf and blind individuals. Authorizes to be appropriated, for the purpose of establishing and operating National Centers for Spinal Cord Injuries, $15,000,000 for fiscal year 1973, $25,000,000 for fiscal year 1974, and $30,000,000 for fiscal year 1975. Authorizes to be appropriated, for providing services for the treatment of individuals suffering from end-stage renal disease, $25,000,000 for fiscal year 1973, $25,000,000 for fiscal year 1974, and $25,000,000 for fiscal year 1975. Establishes a National Advisory Council on Rehabilitation of Handicapped Individuals in the Department of Health, Education, and Welfare to: (1) provide policy advice and consultation to the Secretary of Health, Education, and Welfare, and the Commissioner; (2) review the administration and operation of vocational rehabilitation programs under this Act; and (3) advise the Secretary and the Commissioner with respect to the conduct of independent evaluations of programs carried out under this Act. Authorizes appropriations of $100,000 for fiscal year 1973 and $150,000 for each of fiscal years 1974 and 1975 to carry out the functions of the Council. Title IV: Research and Training - Authorizes the Commissioner to make grants to and contracts with States and public or nonprofit agencies and organizations to pay part of the cost of projects for the purpose of planning and conducting research, demonstrations, and related activities, which bear directly on the development of methods, procedures, and devices to assist in the provision of vocational and comprehensive rehabilitation services to handicapped individuals, especially those with the most severe handicaps. Authorizes to be appropriated for such research activities $75,000,000 for fiscal year 1973, $100,000,000 for fiscal year 1974, and $150,000,000 for fiscal year 1975. Authorizes the Commissioner to make grants to and contracts with States and public and nonprofit agencies and organizations to pay part of the cost of projects for training, traineeships, and related activities designed to assist in increasing the numbers of personnel trained in providing vocational and comprehensive rehabilitation services to handicapped individuals and in performing other functions necessary to the development of such services. Authorizes to be appropriated for such training grants $50,000,000 for fiscal year 1973, $75,000,000 for fiscal year 1974, and $100,000,000 for fiscal year 1975. Title V: Administration and Program and Project Evaluation - Provides that, in carrying out his duties under this Act, the Commissioner shall: (1) cooperate with, and render technical assistance to States in matters relating to the rehabilitation of handicapped individuals; (2) provide short-term training and instruction in technical matters relating to vocational and comprehensive rehabilitation services; and (3) disseminate information relating to vocational and comprehensive rehabilitation services, and otherwise promote the cause of the rehabilitation of handicapped individuals and their greater utilization in gainful and suitable employment. Directs the Secretary to measure and evaluate the impact of all programs authorized by this Act. Title VI: Office for the Handicapped - Establishes an Office for the Handicapped in the Department of Health, Education, and Welfare to: (1) prepare a long-range projection for the provisions of comprehensive services to handicapped individuals; (2) analyze program operations; (3) encourage coordinated and cooperative planning; (4) provide assistance to other committees advising the Secretary; (5) develop means of promoting scientific research to bring about the full integration of handicapped individuals into all aspects of society; and (6) provide a central clearinghouse for information and resource availability for handicapped individuals. Authorizes to be appropriated for purposes of this title $1,000,000 for fiscal year 1973, $2,000,000 for fiscal year 1974, and $2,000,000 for fiscal year 1975. Title VII: Miscellaneous - Provides that the Vocational Rehabilitation Act is repealed ninety days after the date of enactment of this Act. Establishes an Interagency Committee on Handicapped Employees to insure the adequacy of hiring, placement, and advancement practices with respect to handicapped individuals by each department, agency, and instrumentality of the executive branch of Government. Establishes a National Commission on Transportation and Housing for Handicapped Individuals to identify and eliminate transportation barriers that impede the mobility of handicapped individuals and aged handicapped individuals, and to prepare plans and proposals for such further action as may be necessary to the goals of adequate transportation and housing for handicapped individuals. Establishes an Architectural and Transportation Barriers Compliance Board to investigate and examine alternative approaches to the architectural, transportation, and attitudinal barriers confronting handicapped individuals. Authorizes appropriations of $1,000,000 for fiscal year 1973; $1,250,000 for fiscal year 1974; and $1,500,000 for fiscal year 1975 to carry out the duties and functions of the Board.
Bill· HRH.R. 2373 (93rd)referred
United States · United States Congress · 18 January 1973
Extends beyond 1973 the program of assistance for health services for domestic migrant agricultural workers under the Public Health Service Act, and authorizes such appropriations as may be necessary for each fiscal year. (Amends 42 U.S.C. 242h)
Bill· HRH.R. 2314 (93rd)referred
United States · United States Congress · 18 January 1973
Provides that nothing in the Atomic Energy Act of 1954 shall be construed to prevent any State from regulating concurrently with the Atomic Energy Commission the discharge or disposal of radioactive effluents from the site of a utilization or production facility in such State if: (1) the requirements or standards imposed by such State are for the protection of the public health and safety; and (2) action permitted or tolerated by such State with respect to the discharge or disposal of such effluents is not specifically prohibited by the Commission.
Bill· HRH.R. 2315 (93rd)referred
United States · United States Congress · 18 January 1973
Provides that nothing in the Atomic Energy Act of 1954 shall be construed to prevent any State from regulating concurrently with the Atomic Energy Commission the discharge or disposal of radioactive effluents from the site of a utilization or production facility in such State if: (1) the requirements or standards imposed by such State are for the protection of the public health and safety; and (2) action permitted or tolerated by such State with respect to the discharge or disposal of such effluents is not specifically prohibited by the Commission.
Bill· HRH.R. 2299 (93rd)referred
United States · United States Congress · 18 January 1973
Veterans Health Care Expansion Act - Title I: Hospital, Domicilliary, and Medical Care Benefits - Extends the definition of "private facilities" for which the Administrator of Veterans' Affairs contracts in order to provide hospital care to include facilities for the wife or child of a veteran who has a total disability, permanent in nature, resulting from a service connected disability, and the widow or child of a veteran who died from such a disability. Includes in the term "hospital care" mental health services, consultation, professional counseling, and training of a veteran or dependent, or survivor if the veteran has no dependents, as may be necessary or appropriate to the effective treatment and rehabilitation of such individual. Adds home health services which the Administrator deems appropriate for the effective and economical treatment of a disability of a veteran, or dependent, or survivor, to the definition of the term "medical services." Extends to all veterans hospital or nursing home care if such veteran is unable to defray the expenses of the necessary care. Allows the Administrator to furnish hospital or nursing home care to the wife or child of a veteran who has a total disability, permanent in nature from a service connected disability, and the widow or child of a veteran who died from such a disability. Permits the Administrator to furnish medical services for any disability on an outpatient or ambulatory basis to persons already described in this act and to any veteran who has a service connected disability rated at eighty percent or more. Authorizes the Administrator, under such regulations as he might prescribe, to reimburse veterans entitled to hospital care as medical services for the reasonable value of such care or services for which such veterans have made payment from sources other than the Veterans' Administration. (Adds 38 U.S.C. 628) Authorizes the President to assist the Republic of the Philippines in providing medical care and treatment for Commonwealth Army veterans and new Philippine Scouts under certain conditions. (Amend 38 U.S.C. 631) Provides that the President may authorize the Administrator to enter into a contract with the Veterans Memorial Hospital, with the approval of the appropriate department of the Government of the Republic of the Philippines under which the United States: (1) will pay for hospital care in the Republic of the Philippines, or for medical services which shall be provided either in Veterans' Administration facilities, or by contract, or otherwise, by the Administrator in accordance with the conditions and limitations applicable generally to beneficiaries under this title, for Commonwealth Army veterans determined by the Administrator to be in need of such hospital care or medical services for service-connected disabilities; (2) will pay for hospital care at the Veterans Memorial Hospital for Commonwealth Army veterans determined by the Administrator to need such care for non-service-connected disabilities if they are unable to defray the expenses of necessary hospital care; and (3) will pay for hospital care, determined by the Administrator to be necessary, at the Veterans Memorial Hospital for new Philippine Scouts for service-connected disabilities and for non-service-connected disabilities, if they are unable to defray the expenses of necessary hospital care. Provides that the total of the payments authorized shall not exceed $2,000,000 for any one fiscal year ending before 1978. Authorizes to be appropriated for each fiscal year ending with fiscal year 1978, $100,000 to be used for the education and training of health service personnel at the hospital, and for the upgrading of equipment and in rehabilitating the physical plant and facilities of such hospital. (Amends 38 U.S.C. 632) Authorizes the Administrator to carry out a comprehensive program providing sickle cell anemia screening, counseling, and treatment and to carry out research and research training in the diagnosis, treatment, and control of sickle cell anemia based upon such screening examinations and treatment. Requires the Administrator to include such information in his annual report to Congress. (Adds 38 U.S.C. 651-654) Title II: Amendments to Chapter 73 of Title 38, United States Code Relating to the Department of Medicine and Surgery - Authorizes the Administrator to carry out a major program of recruitment training, and employment of veterans with various medical military occupation specialties in order to provide a complete medical and hospital service for the medical care and treatment of veterans and to assist in providing an adequate supply of health manpower to the nation. (Amends 38 U.S.C. 4101(b)) Establishes pay schedules for Assistant Chief Medical Directors, physicians and dentists, and nurses. Provides criteria on which nurses are to receive additional compensation. Enumerates restrictions on physicians, dentists, and nurses, including requirements that no such person may: (1) assume responsibility for the medical care of any patient other than a patient admitted for treatment at a Veterans' Administration facility, except in those cases where the individual, upon request and with the approval of the Chief Medical Director, assumes such responsibilities to assist communities or medical practice groups to meet medical needs which would not otherwise be available for a period not to exceed one hundred and eighty calendar days, which may be extended by the Chief Medical Director for additional periods not to exceed one hundred and eighty calendar days each; (2) teach or provide consultative services at any affiliated institution if such teaching or consultation will, because of its nature or duration, conflict with his responsibilities under this title; and (3) perform, in the course carrying out his responsibilities under this title, professional services for the purpose of generating money for any fund or account which is maintained by an affiliated institution for the benefit of such institution, or for his personal benefit, or both. Provides that temporary full-time appointments of personnel, other than physicians, dentists, and nurses, shall not exceed one year. (Amends 38 U.S.C. 4114(a)(3)(A)) Provides that the Administrator may contract with one or more hospitals, medical schools, or medical installations having hospital facilities and participating with the Veterans' Administration in the training of interns or residents to provide for the central administration of stipend payments, provision of fringe benefits, and maintenance of records for such interns and residents by the designation of one such institution to serve as a central administrative agency for this purpose. Permits the Administrator to pay to such designated agency, without regard to any other law or regulation governing the expenditure of Government moneys either in advance or in arrears, all amount to cover the costs for the period such intern or resident serves in a Veterans' Administration hospital. (Adds 38 U.S.C. 4114(b) (2)) Title III: Amendments to Chapter 81 of Title 38, United States Code _ Acquisition and Operation of Hospital and Domicilliary Facilities; Procurement and Supply - Requires the Administrator to provide for no less than an average of 98,500 operating beds in Veterans' Administration Hospitals and to maintain an average daily patient census in such beds of no less than 85,500 in any fiscal year. Authorizes the Administrator to establish and operate not less than eight thousand beds for the furnishing of nursing home care to eligible veterans over which the Administrator has direct and exclusive jurisdiction. (Amends 38 U.S.C. 5001(a)) Requires the Administrator to appoint an Advisory Committee on Structural Safety of Veterans' Administration Facilities to advise him on all matters of structural safety in the construction and remodeling of Veterans' Administration facilities. (Amends 38 U.S.C. 5001(b)) Title IV: Miscellaneous Amendments to Title 38 United States Code - Specifies certain miscellaneous amendments to title 38 of the United States Code. Title V: Effective Dates - Specifies the dates on which the provisions of this Act shall become effective.
Bill· HRH.R. 2250 (93rd)referred
United States · United States Congress · 18 January 1973
Rehabilitation Act - Declares that it is the purpose of this Act to provide a statutory basis for the Rehabilitation Service Administration and to establish within the Department of Health, Education and Welfare an Office for the Handicapped, and to authorize specified programs. Establishes within the Department of Health, Education, and Welfare a Rehabilitation Services Administration which shall be administered by a Commissioner. Provides that the Commissioner shall carry out and administer all programs and direct the performance of all services for which authority is provided to the Secretary of H.E.W. under titles I through IV of this Act. Creates within such administration a Division of Research, Training and Evaluation which shall be responsible for carrying out programs and projects under title IV of this Act. Authorizes the inclusion of appropriations under this Act in appropriations for the fiscal year preceding the fiscal year for which they are available for obligation. Provides that where funds are provided for a single project by more than one Federal agency to an agency or organization assisted under this Act, the Federal agency principally involved may be designated to act for all in administering such funds, pursuant to regulations prescribed by the President. Sets forth definitions of terms used in this Act. Title I: Vocational Rehabilitation Services - States it to be the purpose of this title to authorize grants to assist States to meet the current and future needs of handicapped individuals, so that such individuals may prepare for and engage in gainful employment to the extent of their capabilities. Authorizes to be appropriated $800,000,000 for fiscal year 1973, and $975,000,000 for fiscal year 1974 for the purpose of making grants to States to assist them in meeting the costs of vocational rehabilitation services. Authorizes to be appropriated $50,000,000 for fiscal year 1973, $60,000,000 for fiscal year 1974, and $75,000,000 for fiscal year 1975, for the purpose of making grants to States and public and nonprofit agencies to assist them in meeting the costs of projects to initiate or expand services to handicapped individuals. Sets forth the requirements of State plans to be submitted and approved for participation in programs under this title and under title II of this Act. Authorizes judicial review in United States district courts of decisions by the Commissioner of the Rehabilitation Services Administration affecting State plans. Provides that the Commissioner shall insure that the individualized written rehabilitation program required in a State plan in the case of each handicapped individual shall be developed jointly by the vocational rehabilitation counselor or coordinator and the handicapped individual. Defines vocational rehabilitation services provided under this Act as any goods or services necessary to render a handicapped individual employable, including, but not limited to, the following: (1) evaluation of rehabilitation potential; (2) counseling, guidance, referral, and placement services for handicapped individuals; (3) vocational and other training services for handicapped individuals; (4) physical and mental restoration services; (5) maintenance, not exceeding the estimated cost of subsistence, during rehabilitation; (6) interpreter services for the deaf, and reader services for the blind; (7) recruitment and training services for handicapped individuals; (8) rehabilitation teaching services and orientation and mobility services for the blind; (9) occupational licenses, tools, equipment, and initial stocks and supplies; (10) transportation in connection with the rendering of any vocational rehabilitation services; and (11) telecommunications, sensory, and other technological aids and devices. Provides a formula for the allotment and payment of funds to States for providing rehabilitation services under this title. Directs the Commissioner to establish offices in ten to twenty geographically dispersed regions for client assistance pilot projects to provide counselors to inform and advise all clients and client applicants in the project area of all available benefits under this Act and to assist them in their relationships with projects, programs, and facilities providing services to them under this Act. Directs the Commissioner to pay to a State or, at the option of the State, to a public or nonprofit organization or agency a portion of the cost of planning, preparing for, and initiating special programs under the State plan to expand vocational rehabilitation services. Title II: Comprehensive Rehabilitation Services - States it to be the purpose of this title to authorize grants to assist the several States in developing and implementing continuing plans for meeting the current and future needs of handicapped individuals for whom a vocational goal is not possible or feasible authorizes to be appropriated $30,000,000 for fiscal year 1973, $50,000,000 for fiscal year 1974, and $80,000,000 for fiscal year 1975 for grants to carry out the purposes of this title. Specifies the formula to be utilized in alloting such funds to the States. Directs the Commissioner to make grants to States and public and nonprofit agencies or organizations to pay part of the cost of projects for research and demonstration and training which hold promise of making a substantial contribution to the solution of problems related to the rehabilitation of individuals under this title. Title III: Special Federal Responsibilities Authorizes the Commissioner to make grants and contracts to assist in meeting the costs of construction of public or nonprofit rehabilitation facilities, initial staffing, and planning assistance. Authorizes to be appropriated for such grants and contracts $35,000,000 for fiscal year 1973, $40,000,000 for fiscal year 1974, and $45,000,000 for fiscal year 1975. Authorizes the Commissioner to make grants to States and public or nonprofit organizations and agencies to pay up to 90 percent of the cost of projects for providing vocational training services to handicapped individuals, especially those with the most severe handicaps, in public or nonprofit rehabilitation facilities. Authorizes to be appropriated for such grants and contracts $30,000,000 for fiscal year 1973, $35,000,000 for fiscal year 1974, and $40,000,000 for fiscal year 1975. Authorizes the Commissioner to insure up to 100 percent of any mortgage on the construction of facilities for programs for handicapped individuals. Creates a Rehabilitation Facilities Insurance Fund to be used by the Commissioner as a revolving fund for carrying out the insurance provisions of this part. Provides that the total amount of outstanding mortgages shall not exceed $250,000,000. Authorizes to be appropriated such sums as may be necessary for initial capital for such Fund. Authorizes the Commissioner to make annual interest grants to assist States and public or nonprofit agencies and organizations to reduce the cost of borrowing from other sources for the construction of rehabilitation facilities. Authorizes to be appropriated such sums as may be necessary for the payment of annual interest grants in accordance with this part. Authorizes the Commissioner to make grants to States and public or nonprofit agencies and organizations for paying part of the cost of special projects and demonstrations: (1) for establishing facilities and providing services which hold promise of expanding or otherwise improving rehabilitation services to handicapped individuals, especially those with the most severe handicaps; and (2) for applying new types or patterns of service or devices. Allows the Commissioner to make grants to pay up to 90 percent of the cost of projects or demonstrations for the provision of vocational or comprehensive rehabilitation services to handicappped individuals who are migratory agricultural workers or seasonal farmworkers, and to members of their families who are with them. Provides that the Commissioner may make contracts or jointly finance cooperative arrangements with employers and organizations for the establishment of projects designed to prepare handicapped individuals for gainful and suitable employment in the competitive labor market under which such handicapped individuals are provided training and employment in a realistic work setting and such other services as may be necessary for such individuals to continue to engage in such employment. Authorizes the Commissioner to provide technical assistance to rehabilitation facilities, and for the purpose of removal of architectural and transportation barriers, to any public or nonprofit agency, institution, organization or facility. Authorizes to be appropriated, for the purpose of making grants under this part, $50,000,000 for fiscal year 1973, $125,000,000 for fiscal year 1974, and $150,000,000 for fiscal year 1975. Authorizes to be appropriated $5,000,000 for construction, $800,000 for operations for fiscal year 1973, $1,200,000 for operations for fiscal year 1974, and $2,000,000 for operations for fiscal year 1975, for establishing and operating a National Center for Deaf-Blind Youths and Adults. Authorizes to be appropriated $2,000,000 for fiscal year 1973, $4,000,000 for fiscal 1974, and $7,000,000 for fiscal year 1975 and for making grants and contracts for the expansion and improvement of vocational or comprehensive rehabilitation services for deaf and blind individuals. Authorizes to be appropriated, for the purpose of establishing and operating National Centers for Spinal Cord Injuries, $15,000,000 for fiscal year 1973, $25,000,000 for fiscal year 1974, and $30,000,000 for fiscal year 1975. Authorizes to be appropriated, for providing services for the treatment of individuals suffering from end-stage renal disease, $25,000,000 for fiscal year 1973, $25,000,000 for fiscal year 1974, and $25,000,000 for fiscal year 1975. Establishes a National Advisory Council on Rehabilitation of Handicapped Individuals in the Department of Health, Education, and Welfare to: (1) provide policy advice and consultation to the Secretary of Health, Education, and Welfare, and the Commissioner; (2) review the administration and operation of vocational rehabilitation programs under this Act; and (3) advise the Secretary and the Commissioner with respect to the conduct of independent evaluations of programs carried out under this Act. Authorizes appropriations of $100,000 for fiscal year 1973 and $150,000 for each of fiscal years 1974 and 1975 to carry out the functions of the Council. Title IV: Research and Training - Authorizes the Commissioner to make grants to and contracts with States and public or nonprofit agencies and organizations to pay part of the cost of projects for the purpose of planning and conducting research, demonstrations, and related activities, which bear directly on the development of methods, procedures, and devices to assist in the provision of vocational and comprehensive rehabilitation services to handicapped individuals, especially those with the most severe handicaps. Authorizes to be appropriated for such research activities $75,000,000 for fiscal year 1973, $100,000,000 for fiscal year 1974, and $150,000,000 for fiscal year 1975. Authorizes the Commissioner to make grants to and contracts with States and public and nonprofit agencies and organizations to pay part of the cost of projects for training, traineeships, and related activities designed to assist in increasing the numbers of personnel trained in providing vocational and comprehensive rehabilitation services to handicapped individuals and in performing other functions necessary to the development of such services. Authorizes to be appropriated for such training grants $50,000,000 for fiscal year 1973, $75,000,000 for fiscal year 1974, and $100,000,000 for fiscal year 1975. Title V: Administration and Program and Project Evaluation - Provides that, in carrying out his duties under this Act, the Commissioner shall: (1) cooperate with, and render technical assistance to States in matters relating to the rehabilitation of handicapped individuals; (2) provide short-term training and instruction in technical matters relating to vocational and comprehensive rehabilitation services; and (3) disseminate information relating to vocational and comprehensive rehabilitation services, and otherwise promote the cause of the rehabilitation of handicapped individuals and their greater utilization in gainful and suitable employment. Directs the Secretary to measure and evaluate the impact of all programs authorized by this Act. Title VI: Office for the Handicapped - Establishes an Office for the Handicapped in the Department of Health, Education, and Welfare to: (1) prepare a long-range projection for the provisions of comprehensive services to handicapped individuals; (2) analyze program operations; (3) encourage coordinated and cooperative planning; (4) provide assistance to other committees advising the Secretary; (5) develop means of promoting scientific research to bring about the full integration of handicapped individuals into all aspects of society; and (6) provide a central clearinghouse for information and resource availability for handicapped individuals. Authorizes to be appropriated for purposes of this title $1,000,000 for fiscal year 1973, $2,000,000 for fiscal year 1974, and $2,000,000 for fiscal year 1975. Title VII: Miscellaneous - Provides that the Vocational Rehabilitation Act is repealed ninety days after the date of enactment of this Act. Establishes an Interagency Committee on Handicapped Employees to insure the adequacy of hiring, placement, and advancement practices with respect to handicapped individuals by each department, agency, and instrumentality of the executive branch of Government. Establishes a National Commission on Transportation and Housing for Handicapped Individuals to identify and eliminate transportation barriers that impede the mobility of handicapped individuals and aged handicapped individuals, and to prepare plans and proposals for such further action as may be necessary to the goals of adequate transportation and housing for handicapped individuals. Establishes an Architectural and Transportation Barriers Compliance Board to investigate and examine alternative approaches to the architectural, transportation, and attitudinal barriers confronting handicapped individuals. Authorizes appropriations of $1,000,000 for fiscal year 1973; $1,250,000 for fiscal year 1974; and $1,500,000 for fiscal year 1975 to carry out the duties and functions of the Board.
Bill· HRH.R. 2273 (93rd)referred
United States · United States Congress · 18 January 1973
Kidney Disease Treatment and Prevention Act - States that it is the purpose of this Act to provide financial support through grants to public and other nonprofit schools of medicine, hospitals, agencies, and insitutions to assist in the establishment and operation of cooperative and community prevention and treatment programs for patients with kidney diseases and for training related to such programs. Authorizes to be appropriated the sums of $12,000,000 for fiscal year 1974; and $20,000,000 for each succeeding fiscal year until and including fiscal year 1978 to enable the Secretary of Health, Education, and Welfare to carry out the purposes of this Act. Provides that the Secretary shall, after consultation with the National Advisory Committee on Kidney Disease Programs (established under this Act), prescribe general regulations and guidelines concerning: (1) eligibility of public or nonprofit agencies, institutions, or organizations for grants under this Act; (2) determination of costs with respect to which such grants may be made; (3) the terms and conditions under which such grants shall be made; and (4) the assurance that all grants are coordinated with any existing regional plan for a kidney disease program in a particular area. Establishes in the Department of Health, Education, and Welfare the Office of Kidney Centers for the purpose of administering this Act. Authorizes the Secretary to appoint a Director and such additional personnel as are required to perform the responsibilities specified in this Act. Provides that such Office shall assist in establishing kidney center programs, including local community dialysis units. Provides that amounts of any grant for such centers shall include: (1) 100 percent of the costs directly related to the training of physicians, staff members, patients, and their familities; (2) 100 percent of the costs for construction or renovation of existing facilities and for the necessary equipment to establish a kidney center; (3) 60 to 90 percent of the costs for construction or renovation of existing facilities and for the necessary equipment to establish a community dialysis unit; and (4) 90 percent in the first year of full operation, 60 percent in the second year, and 30 percent in the third year and thereafter of the operation and maintenance costs of such centers and dialysis units. Authorizes a National Advisory Committee on Kidney Disease Programs which shall consist of four members currently in Government service and eight members, not employees of the United States, appointed by the Secretary, who are leaders in the fields of the basic medical sciences related to kidney disease, kidney disease diagnosis and treatment, community health programs, or public affairs. Sets forth the terms of office and the rates of compensation of the members of the Committee. Provides that the Committee shall advise and assist the Secretary in the preparation of regulations for, and as to policy matters arising with respect to, the administration of this Act insofar as it pertains to kidney disease, or the diagnosis, treatment, and care of patients suffering from such diseases. Authorizes the Secretary to establish and carry out a program of assistance under which payments will made to or on behalf of individuals who suffer from chronic renal disease and requires hemodialysis or other lifesaving care and treatment for any part of the costs of such treatment which they are unable to pay. Authorizes to be appropriated for such a program the sum of $15,000,000 for fiscal year 1974 and $25,000,000 for each of the four succeeding fiscal years.
Bill· HRH.R. 2226 (93rd)referred
United States · United States Congress · 18 January 1973
Health Care Insurance Act - Provides, under the Social Security Act, for medical, dental, and hospital care through a system of voluntary health insurance financed in whole for low-income groups through issuance of certificates, and in part for all other persons through allowance of tax credits. Adds to the Social Security Act a new title entitled Federal Financing of Voluntary Health Insurance. Provides that, for the purpose of providing assistance on behalf of the individuals and their dependents whose income and resources are insufficient to meet the costs of necessary medical, dental, and hospital services, there is established a program of hospital, dental, and medical benefits for any eligible beneficiary and his dependents through the issuance of health insurance certificates, in full payment of allowable premium on a qualified health care insurance policy of his choice. Asserts that health insurance certificiates of entitlement will be redeemable by the carrier by payment from the Federal Health Insurance Redemption Fund. Includes as eligible beneficiaries under this title any husband and wife both under age 65 and living together and any unmarried person under age 65 who is not a dependent beneficiary. Defines a dependent beneficiary as any child of an eligible beneficiary receiving more than 50 percent of his support from the eligible beneficiary, which child is under 21, or if a student, under age 23. Provides that every individual who is an eligible beneficiary whose income results in no individual income tax liability during his base year, whose dependent beneficiaries have no such liability for their taxable years which end during his base year, and who is not eligible to receive military medical care, shall be eligible to receive a health insurance certificate of entitlement. Asserts that such certificates shall be applicable in full payment of allowable premiums for a qualified health care insurance policy or plan. Requires that such policy or plan shall provide protection for the eligible beneficiary and his dependent beneficiaries for a 12-month period beginning during his benefit year against the expenses of health care, including catastrophic expenses of illness. Allows tax credits for health care insurance. Asserts that every individual who is an eligible beneficiary who has not elected, where eligible, to receive benefits under the provisions for fully-paid health care insurance for the low-income group and who is not eligible to receive military medical care, shall be allowed at his election a credit against his income tax liability for his taxable year which ends during his base year; or a health insurance certificate of entitlement acceptable by a qualified carrier in payment toward a premium, under a qualified health care insurance policy. Specifies the amount of the tax credit or the value to be assigned to the health insurance certificate on the basis of allowable premiums. Provides that a health insurance certificate of entitlement means a certificate issued by the Secretary of Health, Education and Welfare upon application to him by an eligible beneficiary to apply toward payment of premium on a qualified health care insurance policy or plan. Specifies that a qualified health care insurance policy or plan shall be a contractual agreement specifying benefits under a program offered by a qualified carrier which has been registered by a State Agency and which provides basic institutional and medical coverage and catastrophic expense coverage. Declares that each such qualified health care insurance policy or plan shall be noncancellable and guaranteed renewable so long as the carrier continues to offer to the public one or more qualified health care insurance policies or plans, shall provide protection against the expense of health care without regard to any pre-existing conditions, and shall provide for payment under this title of usual and customary charges for services covered under the policy or plan. Stipulates what costs shall be included under basic coverage and under catastrophic expense coverage. Establishes deductibles for each of the two types of coverage. Creates a Health Insurance Advisory Board which shall consist of eleven persons including the Secretary of Health, Education, and Welfare and the Commissioner of the Internal Revenue Service. Directs that the remaining members, not otherwise in the employ of the Government, shall be appointed by the President, with the advice and consent of the Senate, without regard to the provisions of title 5, United States Code, governing appointment in the competitive service. Asserts that the Secretary of HEW shall serve as Chairman. Provides that the members shall be selected from persons who are specifically qualified to serve on such Board by virtue of their education, training, or experience. Provides that the Health Insurance Advisory Board shall perform such functions as: (1) prescribe such regulations as may be necessary to carry out the purposes and provisions of this Act; (2) establish minimum Federal standards for the use of State insurance departments in determining whether an insurance company and plan are qualified under this Act; (3) in consultation with carriers, providers of services, and consumers, plan and develop programs whose purposes are to provide for maintaining the quality of medical care; and (4) review the effectiveness of the tax credit program and file an annual report. Grants the States the power to decide which carriers are qualified. Forbids any Federal officer or employee to exercise any supervision or control over the practice of medicine or dentistry or the manner in which medical or dental services are provided, or over the selection, tenure, or compensation of any officer or employee or any institution, agency, or person providing health services; or to exercise any supervision or control over the administration or operation of any such institution, agency, or person. Creates in the Treasury a trust fund to be known as the Federal Health Insurance Redemption Fund to consist in part of an amount equal to the aggregate amount of premiums paid under this title through the redemption of health insurance certificates.
Bill· HRH.R. 2222 (93rd)referred
United States · United States Congress · 18 January 1973
Health Care Insurance Act - Provides, under the Social Security Act, for medical, dental, and hospital care through a system of voluntary health insurance financed in whole for low-income groups through issuance of certificates, and in part for all other persons through allowance of tax credits. Adds to the Social Security Act a new title entitled Federal Financing of Voluntary Health Insurance. Provides that, for the purpose of providing assistance on behalf of the individuals and their dependents whose income and resources are insufficient to meet the costs of necessary medical, dental, and hospital services, there is established a program of hospital, dental, and medical benefits for any eligible beneficiary and his dependents through the issuance of health insurance certificates, in full payment of allowable premium on a qualified health care insurance policy of his choice. Asserts that health insurance certificiates of entitlement will be redeemable by the carrier by payment from the Federal Health Insurance Redemption Fund. Includes as eligible beneficiaries under this title any husband and wife both under age 65 and living together and any unmarried person under age 65 who is not a dependent beneficiary. Defines a dependent beneficiary as any child of an eligible beneficiary receiving more than 50 percent of his support from the eligible beneficiary, which child is under 21, or if a student, under age 23. Provides that every individual who is an eligible beneficiary whose income results in no individual income tax liability during his base year, whose dependent beneficiaries have no such liability for their taxable years which end during his base year, and who is not eligible to receive military medical care, shall be eligible to receive a health insurance certificate of entitlement. Asserts that such certificates shall be applicable in full payment of allowable premiums for a qualified health care insurance policy or plan. Requires that such policy or plan shall provide protection for the eligible beneficiary and his dependent beneficiaries for a 12-month period beginning during his benefit year against the expenses of health care, including catastrophic expenses of illness. Allows tax credits for health care insurance. Asserts that every individual who is an eligible beneficiary who has not elected, where eligible, to receive benefits under the provisions for fully-paid health care insurance for the low-income group and who is not eligible to receive military medical care, shall be allowed at his election a credit against his income tax liability for his taxable year which ends during his base year; or a health insurance certificate of entitlement acceptable by a qualified carrier in payment toward a premium, under a qualified health care insurance policy. Specifies the amount of the tax credit or the value to be assigned to the health insurance certificate on the basis of allowable premiums. Provides that a health insurance certificate of entitlement means a certificate issued by the Secretary of Health, Education and Welfare upon application to him by an eligible beneficiary to apply toward payment of premium on a qualified health care insurance policy or plan. Specifies that a qualified health care insurance policy or plan shall be a contractual agreement specifying benefits under a program offered by a qualified carrier which has been registered by a State Agency and which provides basic institutional and medical coverage and catastrophic expense coverage. Declares that each such qualified health care insurance policy or plan shall be noncancellable and guaranteed renewable so long as the carrier continues to offer to the public one or more qualified health care insurance policies or plans, shall provide protection against the expense of health care without regard to any pre-existing conditions, and shall provide for payment under this title of usual and customary charges for services covered under the policy or plan. Stipulates what costs shall be included under basic coverage and under catastrophic expense coverage. Establishes deductibles for each of the two types of coverage. Creates a Health Insurance Advisory Board which shall consist of eleven persons including the Secretary of Health, Education, and Welfare and the Commissioner of the Internal Revenue Service. Directs that the remaining members, not otherwise in the employ of the Government, shall be appointed by the President, with the advice and consent of the Senate, without regard to the provisions of title 5, United States Code, governing appointment in the competitive service. Asserts that the Secretary of HEW shall serve as Chairman. Provides that the members shall be selected from persons who are specifically qualified to serve on such Board by virtue of their education, training, or experience. Provides that the Health Insurance Advisory Board shall perform such functions as: (1) prescribe such regulations as may be necessary to carry out the purposes and provisions of this Act; (2) establish minimum Federal standards for the use of State insurance departments in determining whether an insurance company and plan are qualified under this Act; (3) in consultation with carriers, providers of services, and consumers, plan and develop programs whose purposes are to provide for maintaining the quality of medical care; and (4) review the effectiveness of the tax credit program and file an annual report. Grants the States the power to decide which carriers are qualified. Forbids any Federal officer or employee to exercise any supervision or control over the practice of medicine or dentistry or the manner in which medical or dental services are provided, or over the selection, tenure, or compensation of any officer or employee or any institution, agency, or person providing health services; or to exercise any supervision or control over the administration or operation of any such institution, agency, or person. Creates in the Treasury a trust fund to be known as the Federal Health Insurance Redemption Fund to consist in part of an amount equal to the aggregate amount of premiums paid under this title through the redemption of health insurance certificates.
Bill· HRH.R. 2249 (93rd)referred
United States · United States Congress · 18 January 1973
Rehabilitation Act - Declares that it is the purpose of this Act to provide a statutory basis for the Rehabilitation Service Administration and to establish within the Department of Health, Education and Welfare an Office for the Handicapped, and to authorize specified programs. Establishes within the Department of Health, Education, and Welfare a Rehabilitation Services Administration which shall be administered by a Commissioner. Provides that the Commissioner shall carry out and administer all programs and direct the performance of all services for which authority is provided to the Secretary of H.E.W. under titles I through IV of this Act. Creates within such administration a Division of Research, Training and Evaluation which shall be responsible for carrying out programs and projects under title IV of this Act. Authorizes the inclusion of appropriations under this Act in appropriations for the fiscal year preceding the fiscal year for which they are available for obligation. Provides that where funds are provided for a single project by more than one Federal agency to an agency or organization assisted under this Act, the Federal agency principally involved may be designated to act for all in administering such funds, pursuant to regulations prescribed by the President. Sets forth definitions of terms used in this Act. Title I: Vocational Rehabilitation Services - States it to be the purpose of this title to authorize grants to assist States to meet the current and future needs of handicapped individuals, so that such individuals may prepare for and engage in gainful employment to the extent of their capabilities. Authorizes to be appropriated $800,000,000 for fiscal year 1973, and $975,000,000 for fiscal year 1974 for the purpose of making grants to States to assist them in meeting the costs of vocational rehabilitation services. Authorizes to be appropriated $50,000,000 for fiscal year 1973, $60,000,000 for fiscal year 1974, and $75,000,000 for fiscal year 1975, for the purpose of making grants to States and public and nonprofit agencies to assist them in meeting the costs of projects to initiate or expand services to handicapped individuals. Sets forth the requirements of State plans to be submitted and approved for participation in programs under this title and under title II of this Act. Authorizes judicial review in United States district courts of decisions by the Commissioner of the Rehabilitation Services Administration affecting State plans. Provides that the Commissioner shall insure that the individualized written rehabilitation program required in a State plan in the case of each handicapped individual shall be developed jointly by the vocational rehabilitation counselor or coordinator and the handicapped individual. Defines vocational rehabilitation services provided under this Act as any goods or services necessary to render a handicapped individual employable, including, but not limited to, the following: (1) evaluation of rehabilitation potential; (2) counseling, guidance, referral, and placement services for handicapped individuals; (3) vocational and other training services for handicapped individuals; (4) physical and mental restoration services; (5) maintenance, not exceeding the estimated cost of subsistence, during rehabilitation; (6) interpreter services for the deaf, and reader services for the blind; (7) recruitment and training services for handicapped individuals; (8) rehabilitation teaching services and orientation and mobility services for the blind; (9) occupational licenses, tools, equipment, and initial stocks and supplies; (10) transportation in connection with the rendering of any vocational rehabilitation services; and (11) telecommunications, sensory, and other technological aids and devices. Provides a formula for the allotment and payment of funds to States for providing rehabilitation services under this title. Directs the Commissioner to establish offices in ten to twenty geographically dispersed regions for client assistance pilot projects to provide counselors to inform and advise all clients and client applicants in the project area of all available benefits under this Act and to assist them in their relationships with projects, programs, and facilities providing services to them under this Act. Directs the Commissioner to pay to a State or, at the option of the State, to a public or nonprofit organization or agency a portion of the cost of planning, preparing for, and initiating special programs under the State plan to expand vocational rehabilitation services. Title II: Comprehensive Rehabilitation Services - States it to be the purpose of this title to authorize grants to assist the several States in developing and implementing continuing plans for meeting the current and future needs of handicapped individuals for whom a vocational goal is not possible or feasible authorizes to be appropriated $30,000,000 for fiscal year 1973, $50,000,000 for fiscal year 1974, and $80,000,000 for fiscal year 1975 for grants to carry out the purposes of this title. Specifies the formula to be utilized in alloting such funds to the States. Directs the Commissioner to make grants to States and public and nonprofit agencies or organizations to pay part of the cost of projects for research and demonstration and training which hold promise of making a substantial contribution to the solution of problems related to the rehabilitation of individuals under this title. Title III: Special Federal Responsibilities Authorizes the Commissioner to make grants and contracts to assist in meeting the costs of construction of public or nonprofit rehabilitation facilities, initial staffing, and planning assistance. Authorizes to be appropriated for such grants and contracts $35,000,000 for fiscal year 1973, $40,000,000 for fiscal year 1974, and $45,000,000 for fiscal year 1975. Authorizes the Commissioner to make grants to States and public or nonprofit organizations and agencies to pay up to 90 percent of the cost of projects for providing vocational training services to handicapped individuals, especially those with the most severe handicaps, in public or nonprofit rehabilitation facilities. Authorizes to be appropriated for such grants and contracts $30,000,000 for fiscal year 1973, $35,000,000 for fiscal year 1974, and $40,000,000 for fiscal year 1975. Authorizes the Commissioner to insure up to 100 percent of any mortgage on the construction of facilities for programs for handicapped individuals. Creates a Rehabilitation Facilities Insurance Fund to be used by the Commissioner as a revolving fund for carrying out the insurance provisions of this part. Provides that the total amount of outstanding mortgages shall not exceed $250,000,000. Authorizes to be appropriated such sums as may be necessary for initial capital for such Fund. Authorizes the Commissioner to make annual interest grants to assist States and public or nonprofit agencies and organizations to reduce the cost of borrowing from other sources for the construction of rehabilitation facilities. Authorizes to be appropriated such sums as may be necessary for the payment of annual interest grants in accordance with this part. Authorizes the Commissioner to make grants to States and public or nonprofit agencies and organizations for paying part of the cost of special projects and demonstrations: (1) for establishing facilities and providing services which hold promise of expanding or otherwise improving rehabilitation services to handicapped individuals, especially those with the most severe handicaps; and (2) for applying new types or patterns of service or devices. Allows the Commissioner to make grants to pay up to 90 percent of the cost of projects or demonstrations for the provision of vocational or comprehensive rehabilitation services to handicappped individuals who are migratory agricultural workers or seasonal farmworkers, and to members of their families who are with them. Provides that the Commissioner may make contracts or jointly finance cooperative arrangements with employers and organizations for the establishment of projects designed to prepare handicapped individuals for gainful and suitable employment in the competitive labor market under which such handicapped individuals are provided training and employment in a realistic work setting and such other services as may be necessary for such individuals to continue to engage in such employment. Authorizes the Commissioner to provide technical assistance to rehabilitation facilities, and for the purpose of removal of architectural and transportation barriers, to any public or nonprofit agency, institution, organization or facility. Authorizes to be appropriated, for the purpose of making grants under this part, $50,000,000 for fiscal year 1973, $125,000,000 for fiscal year 1974, and $150,000,000 for fiscal year 1975. Authorizes to be appropriated $5,000,000 for construction, $800,000 for operations for fiscal year 1973, $1,200,000 for operations for fiscal year 1974, and $2,000,000 for operations for fiscal year 1975, for establishing and operating a National Center for Deaf-Blind Youths and Adults. Authorizes to be appropriated $2,000,000 for fiscal year 1973, $4,000,000 for fiscal 1974, and $7,000,000 for fiscal year 1975 and for making grants and contracts for the expansion and improvement of vocational or comprehensive rehabilitation services for deaf and blind individuals. Authorizes to be appropriated, for the purpose of establishing and operating National Centers for Spinal Cord Injuries, $15,000,000 for fiscal year 1973, $25,000,000 for fiscal year 1974, and $30,000,000 for fiscal year 1975. Authorizes to be appropriated, for providing services for the treatment of individuals suffering from end-stage renal disease, $25,000,000 for fiscal year 1973, $25,000,000 for fiscal year 1974, and $25,000,000 for fiscal year 1975. Establishes a National Advisory Council on Rehabilitation of Handicapped Individuals in the Department of Health, Education, and Welfare to: (1) provide policy advice and consultation to the Secretary of Health, Education, and Welfare, and the Commissioner; (2) review the administration and operation of vocational rehabilitation programs under this Act; and (3) advise the Secretary and the Commissioner with respect to the conduct of independent evaluations of programs carried out under this Act. Authorizes appropriations of $100,000 for fiscal year 1973 and $150,000 for each of fiscal years 1974 and 1975 to carry out the functions of the Council. Title IV: Research and Training - Authorizes the Commissioner to make grants to and contracts with States and public or nonprofit agencies and organizations to pay part of the cost of projects for the purpose of planning and conducting research, demonstrations, and related activities, which bear directly on the development of methods, procedures, and devices to assist in the provision of vocational and comprehensive rehabilitation services to handicapped individuals, especially those with the most severe handicaps. Authorizes to be appropriated for such research activities $75,000,000 for fiscal year 1973, $100,000,000 for fiscal year 1974, and $150,000,000 for fiscal year 1975. Authorizes the Commissioner to make grants to and contracts with States and public and nonprofit agencies and organizations to pay part of the cost of projects for training, traineeships, and related activities designed to assist in increasing the numbers of personnel trained in providing vocational and comprehensive rehabilitation services to handicapped individuals and in performing other functions necessary to the development of such services. Authorizes to be appropriated for such training grants $50,000,000 for fiscal year 1973, $75,000,000 for fiscal year 1974, and $100,000,000 for fiscal year 1975. Title V: Administration and Program and Project Evaluation - Provides that, in carrying out his duties under this Act, the Commissioner shall: (1) cooperate with, and render technical assistance to States in matters relating to the rehabilitation of handicapped individuals; (2) provide short-term training and instruction in technical matters relating to vocational and comprehensive rehabilitation services; and (3) disseminate information relating to vocational and comprehensive rehabilitation services, and otherwise promote the cause of the rehabilitation of handicapped individuals and their greater utilization in gainful and suitable employment. Directs the Secretary to measure and evaluate the impact of all programs authorized by this Act. Title VI: Office for the Handicapped - Establishes an Office for the Handicapped in the Department of Health, Education, and Welfare to: (1) prepare a long-range projection for the provisions of comprehensive services to handicapped individuals; (2) analyze program operations; (3) encourage coordinated and cooperative planning; (4) provide assistance to other committees advising the Secretary; (5) develop means of promoting scientific research to bring about the full integration of handicapped individuals into all aspects of society; and (6) provide a central clearinghouse for information and resource availability for handicapped individuals. Authorizes to be appropriated for purposes of this title $1,000,000 for fiscal year 1973, $2,000,000 for fiscal year 1974, and $2,000,000 for fiscal year 1975. Title VII: Miscellaneous - Provides that the Vocational Rehabilitation Act is repealed ninety days after the date of enactment of this Act. Establishes an Interagency Committee on Handicapped Employees to insure the adequacy of hiring, placement, and advancement practices with respect to handicapped individuals by each department, agency, and instrumentality of the executive branch of Government. Establishes a National Commission on Transportation and Housing for Handicapped Individuals to identify and eliminate transportation barriers that impede the mobility of handicapped individuals and aged handicapped individuals, and to prepare plans and proposals for such further action as may be necessary to the goals of adequate transportation and housing for handicapped individuals. Establishes an Architectural and Transportation Barriers Compliance Board to investigate and examine alternative approaches to the architectural, transportation, and attitudinal barriers confronting handicapped individuals. Authorizes appropriations of $1,000,000 for fiscal year 1973; $1,250,000 for fiscal year 1974; and $1,500,000 for fiscal year 1975 to carry out the duties and functions of the Board.
Bill· HRH.R. 2243 (93rd)referred
United States · United States Congress · 18 January 1973
Authorizes grants and contracts, under the Lead-Based Paint Poisoning Prevention Act, to private nonprofit organizations in any State. Increases the Federal share to 90 percent of the cost of lead-based paint poisoning prevention projects under such Act. Authorizes the Secretary of Health, Education, and Welfare to make grants to State agencies for the purpose of establishing centralized laboratory facilities for analyzing biological and environmental lead specimens obtained from local lead-based paint poisoning detection programs. Provides that no grant may be made under the Act for a program for the detection and prevention of lead-based paint poisoning unless the Secretary determines that there is satisfactory assurance that the services to be provided will constitute an addition to, or a significant improvement in quality in, services that would otherwise be provided, and Federal funds made available for such programs for any period will be so used as to supplement, and, to the extent practical, increase the level of State, local, and other non-Federal funds that would in the absence of such Federal funds be made available for such programs, and will in no event supplant such State, local, and other non-Federal funds. Authorizes the audit of records of agencies and organizations receiving funds under such Act by the Comptroller General of the United States. Directs the Secretary of Housing and Urban Development to develop and carry out a demonstration and research program to determine the nature and extent of the problem of lead-based paint poisoning in the United States. Directs the Secretary of Health, Education, and Welfare to conduct appropriate research on multiple layers of dried paint film, containing the various lead compounds commonly used, in order to ascertain the safe level of lead in residential paint products. Authorizes to be appropriated to make grants for State programs of detection and treatment under the Act $45,000,000 for each fiscal year after fiscal year 1971. Authorizes to be appropriated for grants to States for the elimination of lead-based poisoning under the Act $50,000,000 for each fiscal year. Authorizes to be appropriated for Federal demonstration and research projects under the Act $5,000,000 for each fiscal year. Authorizes the Secretary to establish a National Childhood Lead-Based Paint Poisoning Advisory Board to advise the Secretary on policy relating to the Administration of the Act. Directs the Secretary of Housing and Urban Development to establish procedures to minimize the hazards of lead-based paint poisoning with respect to any existing housing which may present such hazards and which is covered by an application for mortgage insurance or housing assistance payments under a program administered by the Secretary.
Bill· HRH.R. 2225 (93rd)referred
United States · United States Congress · 18 January 1973
Health Care Insurance Act - Provides, under the Social Security Act, for medical, dental, and hospital care through a system of voluntary health insurance financed in whole for low-income groups through issuance of certificates, and in part for all other persons through allowance of tax credits. Adds to the Social Security Act a new title entitled Federal Financing of Voluntary Health Insurance. Provides that, for the purpose of providing assistance on behalf of the individuals and their dependents whose income and resources are insufficient to meet the costs of necessary medical, dental, and hospital services, there is established a program of hospital, dental, and medical benefits for any eligible beneficiary and his dependents through the issuance of health insurance certificates, in full payment of allowable premium on a qualified health care insurance policy of his choice. Asserts that health insurance certificiates of entitlement will be redeemable by the carrier by payment from the Federal Health Insurance Redemption Fund. Includes as eligible beneficiaries under this title any husband and wife both under age 65 and living together and any unmarried person under age 65 who is not a dependent beneficiary. Defines a dependent beneficiary as any child of an eligible beneficiary receiving more than 50 percent of his support from the eligible beneficiary, which child is under 21, or if a student, under age 23. Provides that every individual who is an eligible beneficiary whose income results in no individual income tax liability during his base year, whose dependent beneficiaries have no such liability for their taxable years which end during his base year, and who is not eligible to receive military medical care, shall be eligible to receive a health insurance certificate of entitlement. Asserts that such certificates shall be applicable in full payment of allowable premiums for a qualified health care insurance policy or plan. Requires that such policy or plan shall provide protection for the eligible beneficiary and his dependent beneficiaries for a 12-month period beginning during his benefit year against the expenses of health care, including catastrophic expenses of illness. Allows tax credits for health care insurance. Asserts that every individual who is an eligible beneficiary who has not elected, where eligible, to receive benefits under the provisions for fully-paid health care insurance for the low-income group and who is not eligible to receive military medical care, shall be allowed at his election a credit against his income tax liability for his taxable year which ends during his base year; or a health insurance certificate of entitlement acceptable by a qualified carrier in payment toward a premium, under a qualified health care insurance policy. Specifies the amount of the tax credit or the value to be assigned to the health insurance certificate on the basis of allowable premiums. Provides that a health insurance certificate of entitlement means a certificate issued by the Secretary of Health, Education and Welfare upon application to him by an eligible beneficiary to apply toward payment of premium on a qualified health care insurance policy or plan. Specifies that a qualified health care insurance policy or plan shall be a contractual agreement specifying benefits under a program offered by a qualified carrier which has been registered by a State Agency and which provides basic institutional and medical coverage and catastrophic expense coverage. Declares that each such qualified health care insurance policy or plan shall be noncancellable and guaranteed renewable so long as the carrier continues to offer to the public one or more qualified health care insurance policies or plans, shall provide protection against the expense of health care without regard to any pre-existing conditions, and shall provide for payment under this title of usual and customary charges for services covered under the policy or plan. Stipulates what costs shall be included under basic coverage and under catastrophic expense coverage. Establishes deductibles for each of the two types of coverage. Creates a Health Insurance Advisory Board which shall consist of eleven persons including the Secretary of Health, Education, and Welfare and the Commissioner of the Internal Revenue Service. Directs that the remaining members, not otherwise in the employ of the Government, shall be appointed by the President, with the advice and consent of the Senate, without regard to the provisions of title 5, United States Code, governing appointment in the competitive service. Asserts that the Secretary of HEW shall serve as Chairman. Provides that the members shall be selected from persons who are specifically qualified to serve on such Board by virtue of their education, training, or experience. Provides that the Health Insurance Advisory Board shall perform such functions as: (1) prescribe such regulations as may be necessary to carry out the purposes and provisions of this Act; (2) establish minimum Federal standards for the use of State insurance departments in determining whether an insurance company and plan are qualified under this Act; (3) in consultation with carriers, providers of services, and consumers, plan and develop programs whose purposes are to provide for maintaining the quality of medical care; and (4) review the effectiveness of the tax credit program and file an annual report. Grants the States the power to decide which carriers are qualified. Forbids any Federal officer or employee to exercise any supervision or control over the practice of medicine or dentistry or the manner in which medical or dental services are provided, or over the selection, tenure, or compensation of any officer or employee or any institution, agency, or person providing health services; or to exercise any supervision or control over the administration or operation of any such institution, agency, or person. Creates in the Treasury a trust fund to be known as the Federal Health Insurance Redemption Fund to consist in part of an amount equal to the aggregate amount of premiums paid under this title through the redemption of health insurance certificates.
Bill· HRH.R. 2221 (93rd)referred
United States · United States Congress · 18 January 1973
Bill of Rights for the Mentally Retarded - States that the purpose of this Act is to establish standards which assure the humane care, treatment, habilitation, and protection of the mentally retarded in residential facilities, and to improve the system for the provision of services to the mentally retarded through the encouragement of and support for the planning and development of strategies to implement such standards, minimize inappropriate admissions to residential facilities and stimulate the development of regional and community programs integrating such residential facilities which conform to such standards. Provides for a new title to the Public Health Service Act: Title XI: Support of Residential Facilities for the Mentally Retarded - Authorizes the Secretary of Health, Education, and Welfare to make grants to States to aid them with the cost of bringing existing residential facilities into compliance with the standards established under this Act, and to improve existing residential facilities for the mentally retarded. Authorizes to be appropriated $30,000,000 ($15,000,000 for each program) for fiscal year 1973, and for each of the next two succeeding fiscal years, for such grants. Authorizes to be appropriated such sums as may be necessary to enable the Secretary to make grants to States for the purpose of assisting States in meeting the expenses for bringing publicly operated facilities and publicly assisted facilities into conformity with the standards established by this Act. Stipulates that any State desiring to receive such a grant shall submit a plan to the Secretary setting forth a schedule for compliance with such standards. Provides that the total of the grants with respect to any such project bringing facilities into conformity with the standards imposed by this Act may not exceed 75 percent of the necessary cost thereof as determined by the Secretary. Requires, within five years after the date of enactment of this Act, that no residential facility for the mentally retarded shall be eligible to receive payments either directly or indirectly under any Federal law, unless such facility meets the standards promulgated under this Act. Authorizes the Secretary to make grants to any public or private non-profit agency, organization or institution to meet the costs of development, improvement, extension, or expansion of community resources and community living situations for the mentally retarded other than live-in-residential facilities for the mentally retarded. Establishes a National Advisory Council on Standards for Residential Facilities for the Mentally Retarded to: (1) advise the Secretary with respect to any regulations promulgated or proposed in the implementation of the standards established under this Act; (2) study and evaluate such standards authorized by this Act; and (3) recommend to the Secretary any changes, revisions, modifications, or improvements in the standards established under this Act. Provides that the ultimate aim of the residential facility shall be to foster those behaviors that maximize the human qualities of the resident, increase the complexity of his behavior, and enhance his ability to cope with his environment. Requires such facilities to be located within, and conveniently accessible to, the population served, so as to have access to necessary generic community services. Provides that the facility and the surrounding community should be encouraged to share their services and resources on a reciprocal basis. Provides that residents of the facility should be integrated to the greatest possible extent with the general population. Provides that the facility shall have a written outline of the philosophy, objectives, and goals it is striving to achieve. Requires such outline to be available for distribution to staff, consumer representatives, and the interested public. Provides that the governing body of the facility shall exercise general direction and shall establish policies concerning the operation of the individuals served. Provides that the administration of the facility shall provide for effective staff and resident participation and communication. Requires the facility to designate a percentage of its operating budget for self-renewal purposes. Provides that the facility shall have a description of services for residents that is available to the public. Provides that the facility shall provide for meaningful and extensive consumer-representative and public participation. Provides that a public education and information program should be established that utilizes all communication media, and all service, religious and civil groups, to develop attitudes of understanding and acceptance of mentally retarded persons in all aspects of community living. Provides that admission and release procedures shall: (1) encourage voluntary admission; (2) give equal priority to persons of comparable need; (3) facilitate emergency, partial, and short-term residential care; and (4) utilize the maximum feasible amount of voluntariness in each individual case. Authorizes the residential facility to admit only residents who have had a comprehensive evaluation. Provides that all admissions to the residential facility shall be considered temporary. Provides that there shall be a regular, at least annual, joint review of the status of each resident by all relevant personnel. Provides that at the time of permanent release or transfer there shall be recorded a summary of findings, progress, and plans for protective supervision and other followup services in the resident's new environment. Provides that the performance of each employee of the facility shall be evaluated at least annually. Provides that staffing shall be sufficient so that the facility is not dependent upon the use of residents or volunteers for productive services. Provides that food services shall recognize and provide for the physiological, emotional, and cultural needs of each resident, through provision of a planned, nutritionally adequate diet. Provides that each resident shall have an adequate allowance of neat, clean, fashionable, and seasonable clothing. Provides that residents shall be trained to exercise maximum independence in health, hygiene, and grooming practices. Provides that living unit components or groupings shall be small enough to insure the development of meaningful interpersonal relationships among residents and between residents and staff. Requires dental services to be provided all residents in order to maximize their general health by maintaining an optimal level of daily oral health, through preventive measures and correcting existing oral diseases. Provides that educational services, defined as deliberate attempts to facilitate the intellectual, sensorimotor, and affective development of the individual, shall be available to all residents, regardless of chronological age, degree of retardation, or accompanying disabilities or handicaps. Provides that food and nutrition services shall be provided in order to: (1) insure optimal nutritional status of each resident, thereby enhancing his physical, emotional, and social well-being; and (2) provide a nutritionally adequate diet, in a form consistent with developmental level, to meet the dietary needs of each resident. Makes library services, which include the location, acquisition, organization, utilization, retrieval, and delivery of materials in a variety of media, available to the facility, in order to support and strengthen its total habilitation program by providing complete and integrated multimedia information services to both staff and residents. Provides that medical services shall be provided in order to: (1) achieve and maintain an optimal level of general health for each resident; (2) maximize normal function and prevent disability; and (3) facilitate the optimal development of each resident. Provides that residents shall be provided with nursing services, in accordance with their needs, in order to: (1) develop and maintain an environment that will meet their total health needs; (2) foster optimal health; (3) encourage maximum self-care and independence; and (4) provide skilled nursing care. Provides that, where appropriate to the facility, there shall be a pharmacy and therapeutics committee, that includes one or more pharmacists, to develop policy on drug usage in the facility, and to develop and maintain a current formulary. Provides that physical and occupational therapy services shall be provided in order to: (1) prevent abnormal development and further disability; (2) facilitate the optimal development of each resident; and (3) enable the resident to be a contributing and participating member of the community in which he resides. Requires psychological services be provided in order to facilitate, through the application of psychological principles, techniques, and skills, the optimal development of each resident. Provides that recreation services should provide each resident with a program of activities that: (1) promotes physical and mental health; (2) promotes optimal sensorimotor, cognitive, affective, and social development; (3) encourages movement from dependent to independent and interdependent functioning; and (4) provides for the enjoyable use of leisure time. Make religious services available to residents, in accorance with their basic right to freedom of religion. Provides that all social services shall be available to all residents and their families in order to foster and facilitate: (1) maximum personal and social development of the resident; (2) positive family functioning; and (3) effective and satisfying social and community relationships. Provides that speech pathology and audiology services shall be available, in order to: (1) maximize the communications skills of all residents; and (2) provide for the evaluation, counseling, treatment, and rehabilitation of those residents with speech, hearing and/or language handicaps. Requires each facility to provide all its residents with rehabilitation services, which include the establishment, maintenance, and implementation of those programs that will ensure the optimal development or restoration of each resident physically, psychologically, socially and vocationally. Provides that volunteer services shall be provided in order to enhance opportunities for the fullest realization of the potential of each resident by: (1) increasing the amount, and improving the quality, of services and programs; and (2) facilitating positive relationships between the facility and the community which it serves. Provides that a record shall be maintained for each resident that is adequate for: (1) planning and continuous evaluating of the resident's habitation program; (2) providing a means of communication among all persons contributing to the resident's habilitation program; (3) furnishing documentary evidence of the resident's progress and of his response to his habilitation program; (4) serving as a basis for review, study, and evaluation of the overall programs provided by the facility for its residents; (5) protecting the legal rights of the residents, facility, and staff; and (6) providing data for use in research and education. Provides that the administration of the facility shall make provision for the design and conduct, or the supervision, of research that will objectively evaluate the effectiveness of program components and contribute to informed decisionmaking in the facility. Provides that the requirements of the Secretary shall be met, with specific reference to the following: (1) provision of adequate and alternate exits and doors; (2) provision of exit ramps, with nonskid surface and slope not exceeding one foot in twelve; and (3) provision for handrails on stairways. Provides that there shall be records that document strict compliance with the sanitation, health, and environmental safety codes of the State or local authorities having primary jurisdiction over the facility. Provides that adequate, modern administrative support shall be provided to efficiently meet the needs of, and contribute to, program services for residents, and to facilitate attainment of the goals and objectives of the facility. Provides that funds shall be budgeted and spent in accordance with the principles and procedures of program budgeting. Provides that there shall be written purchasing policies regarding authority and approvals for supplies, services, and equipment.
Bill· HRH.R. 2223 (93rd)referred
United States · United States Congress · 18 January 1973
Health Care Insurance Act - Provides, under the Social Security Act, for medical, dental, and hospital care through a system of voluntary health insurance financed in whole for low-income groups through issuance of certificates, and in part for all other persons through allowance of tax credits. Adds to the Social Security Act a new title entitled Federal Financing of Voluntary Health Insurance. Provides that, for the purpose of providing assistance on behalf of the individuals and their dependents whose income and resources are insufficient to meet the costs of necessary medical, dental, and hospital services, there is established a program of hospital, dental, and medical benefits for any eligible beneficiary and his dependents through the issuance of health insurance certificates, in full payment of allowable premium on a qualified health care insurance policy of his choice. Asserts that health insurance certificiates of entitlement will be redeemable by the carrier by payment from the Federal Health Insurance Redemption Fund. Includes as eligible beneficiaries under this title any husband and wife both under age 65 and living together and any unmarried person under age 65 who is not a dependent beneficiary. Defines a dependent beneficiary as any child of an eligible beneficiary receiving more than 50 percent of his support from the eligible beneficiary, which child is under 21, or if a student, under age 23. Provides that every individual who is an eligible beneficiary whose income results in no individual income tax liability during his base year, whose dependent beneficiaries have no such liability for their taxable years which end during his base year, and who is not eligible to receive military medical care, shall be eligible to receive a health insurance certificate of entitlement. Asserts that such certificates shall be applicable in full payment of allowable premiums for a qualified health care insurance policy or plan. Requires that such policy or plan shall provide protection for the eligible beneficiary and his dependent beneficiaries for a 12-month period beginning during his benefit year against the expenses of health care, including catastrophic expenses of illness. Allows tax credits for health care insurance. Asserts that every individual who is an eligible beneficiary who has not elected, where eligible, to receive benefits under the provisions for fully-paid health care insurance for the low-income group and who is not eligible to receive military medical care, shall be allowed at his election a credit against his income tax liability for his taxable year which ends during his base year; or a health insurance certificate of entitlement acceptable by a qualified carrier in payment toward a premium, under a qualified health care insurance policy. Specifies the amount of the tax credit or the value to be assigned to the health insurance certificate on the basis of allowable premiums. Provides that a health insurance certificate of entitlement means a certificate issued by the Secretary of Health, Education and Welfare upon application to him by an eligible beneficiary to apply toward payment of premium on a qualified health care insurance policy or plan. Specifies that a qualified health care insurance policy or plan shall be a contractual agreement specifying benefits under a program offered by a qualified carrier which has been registered by a State Agency and which provides basic institutional and medical coverage and catastrophic expense coverage. Declares that each such qualified health care insurance policy or plan shall be noncancellable and guaranteed renewable so long as the carrier continues to offer to the public one or more qualified health care insurance policies or plans, shall provide protection against the expense of health care without regard to any pre-existing conditions, and shall provide for payment under this title of usual and customary charges for services covered under the policy or plan. Stipulates what costs shall be included under basic coverage and under catastrophic expense coverage. Establishes deductibles for each of the two types of coverage. Creates a Health Insurance Advisory Board which shall consist of eleven persons including the Secretary of Health, Education, and Welfare and the Commissioner of the Internal Revenue Service. Directs that the remaining members, not otherwise in the employ of the Government, shall be appointed by the President, with the advice and consent of the Senate, without regard to the provisions of title 5, United States Code, governing appointment in the competitive service. Asserts that the Secretary of HEW shall serve as Chairman. Provides that the members shall be selected from persons who are specifically qualified to serve on such Board by virtue of their education, training, or experience. Provides that the Health Insurance Advisory Board shall perform such functions as: (1) prescribe such regulations as may be necessary to carry out the purposes and provisions of this Act; (2) establish minimum Federal standards for the use of State insurance departments in determining whether an insurance company and plan are qualified under this Act; (3) in consultation with carriers, providers of services, and consumers, plan and develop programs whose purposes are to provide for maintaining the quality of medical care; and (4) review the effectiveness of the tax credit program and file an annual report. Grants the States the power to decide which carriers are qualified. Forbids any Federal officer or employee to exercise any supervision or control over the practice of medicine or dentistry or the manner in which medical or dental services are provided, or over the selection, tenure, or compensation of any officer or employee or any institution, agency, or person providing health services; or to exercise any supervision or control over the administration or operation of any such institution, agency, or person. Creates in the Treasury a trust fund to be known as the Federal Health Insurance Redemption Fund to consist in part of an amount equal to the aggregate amount of premiums paid under this title through the redemption of health insurance certificates.
Bill· HRH.R. 2224 (93rd)referred
United States · United States Congress · 18 January 1973
Health Care Insurance Act - Provides, under the Social Security Act, for medical, dental, and hospital care through a system of voluntary health insurance financed in whole for low-income groups through issuance of certificates, and in part for all other persons through allowance of tax credits. Adds to the Social Security Act a new title entitled Federal Financing of Voluntary Health Insurance. Provides that, for the purpose of providing assistance on behalf of the individuals and their dependents whose income and resources are insufficient to meet the costs of necessary medical, dental, and hospital services, there is established a program of hospital, dental, and medical benefits for any eligible beneficiary and his dependents through the issuance of health insurance certificates, in full payment of allowable premium on a qualified health care insurance policy of his choice. Asserts that health insurance certificiates of entitlement will be redeemable by the carrier by payment from the Federal Health Insurance Redemption Fund. Includes as eligible beneficiaries under this title any husband and wife both under age 65 and living together and any unmarried person under age 65 who is not a dependent beneficiary. Defines a dependent beneficiary as any child of an eligible beneficiary receiving more than 50 percent of his support from the eligible beneficiary, which child is under 21, or if a student, under age 23. Provides that every individual who is an eligible beneficiary whose income results in no individual income tax liability during his base year, whose dependent beneficiaries have no such liability for their taxable years which end during his base year, and who is not eligible to receive military medical care, shall be eligible to receive a health insurance certificate of entitlement. Asserts that such certificates shall be applicable in full payment of allowable premiums for a qualified health care insurance policy or plan. Requires that such policy or plan shall provide protection for the eligible beneficiary and his dependent beneficiaries for a 12-month period beginning during his benefit year against the expenses of health care, including catastrophic expenses of illness. Allows tax credits for health care insurance. Asserts that every individual who is an eligible beneficiary who has not elected, where eligible, to receive benefits under the provisions for fully-paid health care insurance for the low-income group and who is not eligible to receive military medical care, shall be allowed at his election a credit against his income tax liability for his taxable year which ends during his base year; or a health insurance certificate of entitlement acceptable by a qualified carrier in payment toward a premium, under a qualified health care insurance policy. Specifies the amount of the tax credit or the value to be assigned to the health insurance certificate on the basis of allowable premiums. Provides that a health insurance certificate of entitlement means a certificate issued by the Secretary of Health, Education and Welfare upon application to him by an eligible beneficiary to apply toward payment of premium on a qualified health care insurance policy or plan. Specifies that a qualified health care insurance policy or plan shall be a contractual agreement specifying benefits under a program offered by a qualified carrier which has been registered by a State Agency and which provides basic institutional and medical coverage and catastrophic expense coverage. Declares that each such qualified health care insurance policy or plan shall be noncancellable and guaranteed renewable so long as the carrier continues to offer to the public one or more qualified health care insurance policies or plans, shall provide protection against the expense of health care without regard to any pre-existing conditions, and shall provide for payment under this title of usual and customary charges for services covered under the policy or plan. Stipulates what costs shall be included under basic coverage and under catastrophic expense coverage. Establishes deductibles for each of the two types of coverage. Creates a Health Insurance Advisory Board which shall consist of eleven persons including the Secretary of Health, Education, and Welfare and the Commissioner of the Internal Revenue Service. Directs that the remaining members, not otherwise in the employ of the Government, shall be appointed by the President, with the advice and consent of the Senate, without regard to the provisions of title 5, United States Code, governing appointment in the competitive service. Asserts that the Secretary of HEW shall serve as Chairman. Provides that the members shall be selected from persons who are specifically qualified to serve on such Board by virtue of their education, training, or experience. Provides that the Health Insurance Advisory Board shall perform such functions as: (1) prescribe such regulations as may be necessary to carry out the purposes and provisions of this Act; (2) establish minimum Federal standards for the use of State insurance departments in determining whether an insurance company and plan are qualified under this Act; (3) in consultation with carriers, providers of services, and consumers, plan and develop programs whose purposes are to provide for maintaining the quality of medical care; and (4) review the effectiveness of the tax credit program and file an annual report. Grants the States the power to decide which carriers are qualified. Forbids any Federal officer or employee to exercise any supervision or control over the practice of medicine or dentistry or the manner in which medical or dental services are provided, or over the selection, tenure, or compensation of any officer or employee or any institution, agency, or person providing health services; or to exercise any supervision or control over the administration or operation of any such institution, agency, or person. Creates in the Treasury a trust fund to be known as the Federal Health Insurance Redemption Fund to consist in part of an amount equal to the aggregate amount of premiums paid under this title through the redemption of health insurance certificates.
Bill· SS. 393 (93rd)referred
United States · United States Congress · 16 January 1973
National Chronicare Demonstration Center Act - States that it is the purpose of this Act to establish demonstration programs to provide a basis for a commitment to a lasting national program for longterm health care for the chronically ill. Authorizes to be appropriated $15,000,000 for fiscal year 1974 and $15,000,000 for each of the next two succeeding fiscal years, to enable the Secretary of Health, Education, and Welfare to make grants to any public, nonprofit or proprietary private agency, institution, or organization or provider of services to cover all or any part of the cost of projects for the development or demonstration of several programs in representative areas of the country designed to care for and rehabilitate chronically ill inpatients of long-term health care facilities by testing the economic feasibility, efficiency and health care delivery system utilizing community chronicare health centers. Provides that to be eligible for a grant under this Act an applicant must give satisfactory assurances of the capability of providing the following: (1) diagnostic service; (2) inpatient care; (3) day care; (4) rehabilitation service (on both inpatient and outpatient basis); and (5) outreach service. Requires the Secretary to make a report to the President for transmission to the Congress within two years after the enactment of this Act stating the progress under this Act and making recommendations for further action if needed.
Bill· HRH.R. 2179 (93rd)referred
United States · United States Congress · 15 January 1973
Health Care Insurance Act - Provides for, under the Social Security Act, medical and hospital care through a system of voluntary health insurance financed in whole for low-income groups through issuances of certificates, and in part for all other persons through allowance of tax credits. Adds to the Social Security Act a new title entitled Federal Financing of Voluntary Health Insurance. Provides that, for the purpose of providing assistance on behalf of the individuals and their dependents whose income and resources are insufficient to meet the costs of necessary medical and hospital services, there is established a program of hospital and medical benefits for any eligible beneficiary and his dependents through the issuance of health insurance certificates of entitlement which will be redeemable by the carrier by payment from the Federal Health Insurance Redemption Fund. Asserts that benefits claimed under this provision shall not be duplicated under any other programs financed in whole or in part by the Federal Government. Includes as eligible beneficiaries under this title any husband and wife both under age 65 and living together and any married person under age 65 who is not a dependent beneficiary. Defines a dependent beneficiary as any child of an eligible beneficiary receiving more than 50 percent of his support from the eligible beneficiary, which child is under 21, or if a student, under age 23. Provides that every individual who is an eligible beneficiary whose income results in no individual income tax liability during his base year, whose dependent beneficiaries have no such liability for their taxable years which end during his base year, and who is not eligible to receive military medical care, shall be eligible to receive a health insurance certificate of entitlement. Asserts that such certificates shall be applicable in full payment of allowable premiums for a qualified health care insurance policy or plan. Requires that such policy or plan shall provide protection for the eligible beneficiary and his dependent beneficiaries for a 12- month period beginning during his benefit year against the expenses of health care, including catastrophic expenses of illness. Defines the base year of an eligible beneficiary as his taxable year in respect to which is his entitlement to an insurance certificate is determined. Allows tax credits for health care insurance. Asserts that every individual who is an eligible beneficiary who has not elected, where eligible, to receive benefits under the provisions for fully-paid health care insurance for the low-income group and who is not eligible to receive military medical care, shall be allowed at his election: a credit against his income tax liability for his taxable year which ends during his base year; or a health insurance certificate on the basis of allowable premiums. Provides that a health insurance certificate of entitlement means a certificate issued by the Secretary of Health, Education and Welfare upon application to him by an eligible beneficiary to apply toward payment of the premium on a qualified health care insurance policy or plan. Specifies that a qualified health care insurance policy or plan shall be a contractual agreement specifying benefits under a program offered by a qualified carrier which has been registered by a State Agency and which provides basic institutional and medical coverage and catastrophic expense coverage. Declares that each such qualified health care insurance policy or plan shall be noncancellable and guaranteed renewable so long as the carrier continues to offer to the public one or more qualified health care insurance policies or plans, shall provide protection against the expense of health care without regard to any pre-existing conditions, and shall provide for payment under this title of usual and customary charges for services covered under the policy or plan. Stipulates what costs shall be included under basic institutional and medical coverage and under catastrophic expense coverage. Establishes deductibles for each of the two types of coverage. Creates a Health Insurance Advisory Board which shall consist of eleven persons including the Secretary of Health, Education, and Welfare and the Commissioner of the Internal Revenue Service, or their delegates. Directs that the remaining members, not otherwise in the employ of the Government, shall be appointed by the President, with the advice and consent of the Senate, without regard to the provisions of title 5, United States Code, governing appointment in the competitive service. Asserts that the Secretary of HEW shall serve as Chairman. Provides that the members shall be selected from persons who are specifically qualified to serve on such Board by virtue of their education, training, or experience. Provides that the Health Insurance Advisory Board shall perform such functions as: (1) prescribe such regulations as may be necessary to carry out the purposes and provisions of this Act; (2) establish minimum Federal standards for the use of State insurance departments in determining whether an insurance company and plan are qualified under this Act; (3) in consultation with carriers, providers of services, and consumers, plan and develop programs whose purposes are to provide for maintaining the quality of medical care; and (4) review the effectiveness of the tax credit program and file an annual report. Grants the States the power to decide which carriers are qualified. Forbids any Federal officer or employee to exercise any supervision or control over the practice of medicine or the manner in which medical services are provided, or over the selection, tenure, or compensation of any officer or employee or any institution, agency, or person providing health services; or to exercise any supervision control over the administration or operation of any such institution, agency, or person. Creates in the Treasury a trust fund to be known as the Federal Health Insurance Redemption Fund to consist in part of an amount equal to the aggregate amount of premiums paid under this title through the redemption of health insurance certificates.
Bill· HRH.R. 2138 (93rd)referred
United States · United States Congress · 15 January 1973
Entitles disabled coal miners, without regard to age, to hospital and supplementary medical insurance benefits pursuant to title XVIII (Medicare) of the Social Security Act.
Bill· HRH.R. 2147 (93rd)referred
United States · United States Congress · 15 January 1973
Federal Drug Abuse and Drug Dependence Prevention, Treatment, and Rehabilitation Act - Title I: Findings and Declaration of Purposes - Asserts that drug abuse and drug dependence are increasing throughout the country; that drug depencence is an illness or disease that requires treatment through health and rehabilitation services. Declares that a Drug Abuse Prevention, Treatment, and Rehabilitation Administration shall be established with the Department of Health, Education, and Welfare to coordinate all Federal health or rehabilitation programs related to the prevention and treatment of drug abuse and drug dependence. Title II: Definitions - Incorporates the definitions of the Controlled Dangerous Substances Act of 1969. Defines "Prevention and treatment" so as to include all appropriate forms of educational programs and services (including but not limited to radio, television, films, books, pamphlets, lectures, adult education, and school courses); planning, coordinating, statistical, research, training, evaluation, reporting, classification and other administrative, scientific, or technical programs or services; and screening, diagnosis, treatment (emergency medical care, inpatient, intermediate care, and outpatient), vocational rehabilitation programs or services. Title III: Drug Abuse Prevention, Treatment, and Rehabilition Administration - Establishes a Drug abuse Prevention, Treatment, and Rehabilitation Administration within the Public Health Service of the Department of HEW. Sets out the administrative functions of the Administration. Provides that such functions include administration of programs for Federal employees, administration of the programs for the treatment and rehabilitation of Federal criminal offenders, appropriate reviews in the health planning area, and administration of the grants and contracts that are authorized. Title IV: Treatment and Rehabilitation of Federal Offenders - Sets out the types of treatment and rehabilitation services which shall be provided to persons charged with, convicted of, or serving a criminal sentence for any criminal offense under Federal law. Provides that such services shall include emergency medical care service, inpatient services, impatient services, and intermediate care, and outpatient services. Asserts that persons receiving such assistance may be required to contribute toward the cost of treatment. Provides that regulations shall specify how government funds available to any person for treatment under Federal-State programs shall be used to pay for such treatment. Permits a court to order up to 30 additional days of emergency medical care services for a drug dependent person who, even after the initial detention period is in imminent danger of sustaining substantial physical harm and is not in a position to exercise a rational judgment about accepting assistance. Provides that such a person, when once again able to make a rational judgement about accepting assistance, shall be committed for treatment, detained for pretrail treatment, or handled as in any other criminal case. Permits a court after a civil hearing, to order the pre-trail detention of a drug dependent person charged with a Federal, drug related felony, other than a felony under the Controlled Dangerous Substance Act of 1969, upon a finding that: (1) there is clear evidence that the person is a drug dependent person and that the offense charged is a drug related felony; and (2) appropriate treatment for drug dependence is available for him. Provides that such detention may last for 60 days and continuances may be granted only upon a showing of compelling circumstances Title V: Prevention and Treatment for Federal Employees, Military Personnel, and Veterans Provides that the Civil Service Commission shall be responsible for developing and maintaining, in cooperation with the other Federal agencies and departments, appropriate and services for the prevention and treatment of drug abuse and drug dependence among Federal employees. Asserts that government employees who are drug abusers or drug dependents shall retain the same employment and other benefits as other persons afflicted with serious health problems, and shall not lose pension, retirement, medical, or other rights. Provides that an exception is made for sensitive employment. Provides that all health and disability insurance policies and plans covering Federal employees shall handle drug abuse and drug dependence in the same way as other health problems, illnesses, and diseases. Deals with drug dependence among military personnel and provides that drug dependence shall be regarded as a physical disability and shall not be regarded as the result of intentional misconduct or willfull neglect. Provides that drug benefits as other persons afflicted with serious illnesses, shall retain the same employment and other benefits as other persons afflicted with serious health problems and shall not lose pension, retirement, medical, other rights because of drug dependence and that medical care provided to military personnel and dependents shall include appropropriate treatment services for drug abuse and drug dependence. Provides that any penalties imposed upon military personnel pursuant to the Uniform Code of Military Justice for offenses which would otherwise fall within the Controlled Dangerous Substances Act of 1969 shall be no greater than or different from penalties provided under that Act. Title VI: Prevention and Treatment Under Federal Health, Welfare, and Rehabilitation Programs Provides that a drug abuser or drug dependent person shall be regarded as a sick or disabled person eligible for treatment under medicare and medicaid, and provides that State plans for medical assistance must include provisions for prevention and treatment of drug abuse and drug dependence. Provides that a drug abuser or drug dependent person shall be regarded as eligible for treatment disability benefits under the Social Security Act, as amended. Provides that drug abuse and drug dependence shall be a matter of high priority item for programs undertaken under the Economic Opportunitiy Act of 1964. Provides that a drug abuser or drug dependent person or facility or program or service for the prevention or treatment of drug abuse or drug dependence, shall be eligible for funds made available under Vocational Rehabilitation legislation. Provides that State and Federal agencies charged with administering welfare programs shall take action to reduce the incidence of financial indigency and family disintegration caused by drug abuse and drug dependence, and shall provide for treatment and rehabilitation services for those persons enrolled in welfare programs whose financial eligibility for such assistance results, in part or in whole, from drug abuse or drug dependence. Makes various drug abuse and drug dependence prevention and treatment programs and services for persons enrolled in welfare programs eligible for Federal assistance, and provides that persons eligible for welfare assistance shall not be ineligible for such assistance because of drug abuse or drug dependence, and that any drug abuse or drug dependence treatment facility shall qualify as a "medical institution" within that title of the Federal Code which deals with the payment of welfare benefits. Provides that any recipient of welfare assistance whose inability to work or to participate in a work training program is the result of drug abuse or drug dependence shall be excused from such participation only on condition that he accept appropriate treatment and rehabilitation services made available to him. Title VII: Federal Assistance for State and Local Programs - Requires that comprehensive State health plans submitted from funding under the Public Health Service Act include planning for the prevention and treatment of drug abuse and drug dependence. Requires that State plans submitted to obtain funds for assistance in carrying out programs under the provisions of the Public Health Service Act for construction and modernization of hospitals and other medical facilities include a survey of facilities need to provide adequate service for the prevention and treatment of drug abuse and drug dependence under these provisions are to be a matter of high priority. Requires that State plans submitted for funding under the Community Mental Health Centers Act provide for services for prevention and treatment of drug abuse and drug dependence commensurate with the extent of the problem. Provides that drug abusers and drug dependent persons shall be admitted to and treated in private and public hospitals on the basis of medical need and shall not be discriminated against because of their drug abuse or drug dependence, and that no hospital that violates this section shall receive Federal financial assistance under the provisions of this Act or any other Feder law administered by the Secretary. Title VIII: The Secretary's Advisory Committee on Drug Abuse and Drug Dependence - Establishes an Advisory Committee on Drug Abuse and Drug Dependence, to advise and consult with the Secretary and the Administration and to assist them in carrying out the provisions of this Act. Provides that the Committee may appoint one or more technical consultants from experts throughout the country to assist in evaluating the progress of the Administration so that it will have the best possible prevention, treatment, and rehabilitation programs for drug abuse and drug dependence. Title IX: Intergovernmental Coordination Council On Drug Abuse and Drug Dependence - Establishes an Intergovernmental Coordinating Council on Drug Abuse and Drug Dependence consisting of the Secretary or his representative, who shall serve as Chariman, the executive director of the Secretary's Advisory Committee on Drug Abuse and Drug Dependence, four representatives of Federal departments and agencies, and five representatives of State and local government departments or agencies. Provides that the Coordination Council may appoint such technical consultants as are deemed appropriate for advising the Council in carrying out its functions. Provides that the Coordinating Council is authorized and directed to assist the Secretary and the Administration to coordinate all Federal prevention, treatment, and rehabilitation efforts to deal with the problems of drug abuse and drug dependence, assist the Administration in carrying out its function of coordinating such Federal efforts with State and local governments, engage in educational programs among Federal employees, and in other appropriate activities, designed to prevent drug abuse and drug dependence, implement programs for the rehabilitation of Federal employees who are drug dependent persons, and develop and maintain any other appropriate activities consistent with the purpose of this Act. Title X: General - Provides that the Secretary may promulgate regulation pursuant to the requirements of the Administration Procedures to implement this Act. Provides for a separability provision. Provides that following the two obsolete Federal statutory provisions , both of which are replaced by broader and more modern provisions in this Act, are repealed: The Narcotic Addict Rehabilitation Act of 1966, and Part E of Chapter 6A of title 42 of the United States Code. Provides that sufficient funds shall be appropriated for each fiscal year to provide for the implementation of this Act. Provides that this Act shall take effect 180 days after its enactment.
Bill· HRH.R. 2046 (93rd)referred
United States · United States Congress · 15 January 1973
Provides, under the Internal Revenue Code of 1954, that blood donations shall be considered as charitable contributions deductible from gross income in an amount equal to $25 for each pint donated. (Amends 26 U.S.C. 170(i))
Bill· HRH.R. 2014 (93rd)referred
United States · United States Congress · 15 January 1973
Children's Dental Health Act - Provides the following fund authorizations for grants to State agencies or other organizations to carry out programs of dental care for preschool and school age children who are unable to obtain such services: fiscal year 1972-$5,000,000; fiscal year 1973-$15,000,000; and 1974-$30,000,000. Provides the following authorizations for grants for water treatment programs to prevent dental disease: fiscal year 1973-$2,000,000; fiscal year 1974-$3,000,000; and fiscal year 1975-$4,000,000. Provides for the Federal Goverment to share a portion of the costs of these programs. Authorizes grants totaling $57,000,000 covering the fiscal years 1973-1975 to public and private non-profit institutions to educate veterans and other persons as auxiliary dental personnel. Authorizes grants totaling $26,000,000 covering fiscal years 1973-1975 to dental schools and other organizations for projects to promote the most effective use of auxiliary dental personnel. Directs the President to appoint a seven member Dental Advisory Committee to advise the Secretary of Health, Education, and Welfare on programs to meet the dental needs of the country. Requires the Secretary to report annually to Congress on the progress of the implementation and administration of the programs established by this Act.
Bill· HRH.R. 2006 (93rd)referred
United States · United States Congress · 15 January 1973
Authorizes the Secretary of Defense to utilize Department of Defense resources for the purpose of providing medical emergency transportation services to civilians.
Bill· HRH.R. 2048 (93rd)referred
United States · United States Congress · 15 January 1973
Provides, under the Internal Revenue Code of 1954 that blood donations shall be considered as charitable contributions deductible from gross income in an amount equal to $35 for each pint donated. (Amends 26 U.S.C. 170(i))
Bill· HRH.R. 1987 (93rd)referred
United States · United States Congress · 15 January 1973
Authorizes the Secretary of Health, Education, and Welfare, under the Lead-Based Paint Poisoning Prevention Act, to make grants to State agencies for the purpose of establishing centralized laboratory facilities for analyzing biological and environmental lead specimens obtained from local lead-based paint poisoning detection programs. (Amends 42 U.S.C. 4801) Authorizes appropriations: (1) of $20,000,000 for each fiscal year after fiscal year 1972, for grants for detection and treatment of lead-based paint poisoning under the Act; (2) of $25,000,000 for each fiscal year after fiscal year 1972, for grants for elimination of lead-based paint poisoning, under the Act; and (3) of $5,000,000 for each fiscal year after fiscal year 1972, for the Federal demonstration and research program under the Act. (Amends 42 U.S.C. 4843)
Bill· SS. 363 (93rd)referred
United States · United States Congress · 12 January 1973
Provides for the construction of a Veterans' hospital in the southern part of the State of Nevada. Authorizes to be appropriated such sums as may be necessary to carry out the provisions of this Act.
Bill· SS. 317 (93rd)referred
United States · United States Congress · 11 January 1973
Authorizes the Secretary of Health, Education and Welfare or his designee to receive, investigate, settle, and pay all claims against the United States for death or permanent mental or physical injury resulting from participation in the continuing study conducted by the Public Health Service in Macon County, Alabama, beginning in 1932, to determine the medical consequences of untreated syphilis. Authorizes the Secretary to issue rules of procedure for the consideration and disposition of claims filed under this Act. Directs the Secretary to determine the validity and amounts of such claims and to pay such amount within twelve months from the date on which the claim was submitted. Prohibits the Secretary from awarding in excess of $25,000 for any claim for death or permanent mental or physical injuries. Provides that the award shall be in full settlement and discharge of all claims of such person against the United States. Prevents the assignment or transfer of such claims except to the United States. Requires the Secretary to submit a report within two years of enactment of this Act to the Congress setting forth the details of each settlement and those claims which have not been settled. Authorizes necessary funds to carry out the provisions of this Act.
Bill· SS. 311 (93rd)referred
United States · United States Congress · 11 January 1973
Extends the tax exempt status, under the Internal Revenue Code for amounts contributed by employers to annuity contracts, to employees of public hospitals. (Amends 26 U.S.C. 403(b))
Bill· HRH.R. 1910 (93rd)referred
United States · United States Congress · 11 January 1973
Serviceman's Veterans' and Ex-servicemen's Drug Treatment and Rehabilitation Act - Declares that the Congress recognizes the urgent need for meeting and attacking on all fronts the growing national social problem of drug addiction and, toward that end, firmly believes that the existing and potential facilities and resources of the Veterans' Administration must be utilized to the fullest extent. Permits the Administrator of Veterans' Affairs to furnish such medical care and treatment as is deemed medically indicated for the rehabilitation of any eligible ex-serviceman whose disability is caused by or has resulted from drug abuse or drug dependency. Permits the Administrator to terminate further medical care and treatment to any eligible ex-serviceman who refuses to cooperate with the terms and conditions of the medical care and treatment which may be prescribed, or where it is determined that the care and treatment which could otherwise be provided will serve no further benefit to the eligible ex-serviceman. Authorizes the treatment of members of the Armed Forces for drug addiction in Veterans Administration facilities. Authorizes the treatment of Veterans and ex-servicemen who are committed by the courts for drug abuse or drug dependency in Veterans administration facilities.
Bill· HRH.R. 1898 (93rd)referred
United States · United States Congress · 11 January 1973
Authorizes the Secretary of Health, Education, and Welfare to require a hospital as a condition to participation in Federal programs to meet accreditation standards established by him if those standards applied to the hospital by the Joint Commission on Accreditation of Hospitals do not assure the delivery of safe, effective, and economical health care in the hospital.
Bill· HRH.R. 1917 (93rd)referred
United States · United States Congress · 11 January 1973
Requires the timely disclosure or dissemination of any file, record, report, or any information which: (1) primarily concerns the performance or fiscal data of related Federal, State, and local agencies and of providers of medical services covered by the health insurance programs under title XVIII (Medicare) of the Social Security Act, or by a medical assistance program under a State plan approved under title XIX (Medicaid); and (2) does not specifically identify any particular beneficiary of the medical or related services involved or include personal information about any particular beneficiary or his entitlement or earnings. (Adds 42 U.S.C. 1306(a)(2))
Bill· HRH.R. 1899 (93rd)referred
United States · United States Congress · 11 January 1973
Federal Commission on Accreditation of Hospitals Act - Title I: Establishment of Commission - Establishes the Federal Commission on Accreditation of Hospitals. Provides for the membership, terms of office, pay, and travel expenses of the Commission. Stipulates that the Commission may for the purpose of carrying out this Act hold such hearings, sit and act at such times and places, take such testimony, and receive such evidence as the Commission may deem advisable. Title II: Accreditation - States that the Commission shall by regulation establish accreditation standards for hospitals. Provides that the Commission shall establish procedures: (1) for determining if a hospital is in compliance with such standards; (2) for accreditation of those hospitals determined to be in compliance with such standards; and (3) for termination of accreditation of a hospital found to be in noncompliance with such standards. Directs the Commission to conduct surveys and accreditation programs which will encourage members of the health professions and hospitals to voluntarily promote high quality patient care, effective standards of physical plant safety and maintenance, and coordination of staffs and governing bodies of facilities. Provides that any hospital served with a notice of noncompliance with the regulations provided for under this Act shall have ninety days within which to comply with such standards. States that any Federal hospital which fails to meet such accreditation standards within the ninety day period shall terminate its operation until such time as the Commission accredits the hospital. Provides that no Federal Financial assistance may be paid to any public or private hospital failing to meet such accreditation standards within the ninety day period, nor shall such hospital be eligible to provide services under title XVIII (Health Insurance for the Aged) or title XIX (Grants to States for Medical Assistance Programs) of the Social Security Act, until such time as the Commission accredits the hospital.
Bill· HRH.R. 1846 (93rd)referred
United States · United States Congress · 11 January 1973
Provides necessary dental care for dependents of active duty members of the uniformed services. Sets guidelines as to the deductible provisions of insurance plans to cover the dental expense and provides plans for the complete dental care of such dependents. (Adds 10 U.S.C. 1079(g))
Bill· HRH.R. 1916 (93rd)referred
United States · United States Congress · 11 January 1973
Revises the present title 19 program of the Social Security Act and replaces it with a new title 19 program, called the "National Health Care Program." Declares it to be the purpose of this Act to assure every individual and family in the United States of adequate protection against the costs of health and medical care. Provides for the creation of two separate, but related, programs of health insurance protection. Authorizes the Secretary of Health, Education, and Welfare to enter into agreements with the States for the purpose of financing the health care of the medically needy and indigent. Provides that, under such an agreement, each State would determine annually the level of medical indigence for various individuals and families. Provides that a State shall determine an average annual cost per individual or family which reflects adequate health care expenditures. Asserts that the States shall then purchase, on behalf of those who were at, or below, the applicable level of indigence, health insurance protection which would equal health care costs up to the average annual cost for individuals or for families. Authorizes the Secretay of HEW to pay to each State having an agreement under this Act amounts equal to 65 percent of the costs incurred by States in providing basic health insurance protection equal to the average annual cost for such coverage as provided for in this Act. Provides that where a State cannot or will not participate in such program the Federal Government will assume the costs of providing both basic health insurance protection and the costs of providing catastrophic health care. Authorizes the Secretary of HEW to establish a castastrophic health insurance program for all persons, who are residents, with incomes above the level of medical indigence. Limits Federal financial participation in such expenditures to 90 percent of castastrophic health care costs. Establishes a "Federal Health Care Trust Fund" into which would be deposited one hundred percent of the funds raised by means of the tax for the National Health Care Program, provided in this Act. Imposes a new employment tax for purposes of financing the National Health Care Program. Provides that the tax shall be equal to the sum of wages or self-employment income, plus any other income whether or not earned (if the gross of such other income exceeds $2,000), multiplied by a rate of 0.4 percent, except that the income base upon which such tax were applied could not exceed the maximum taxable earnings base provided for in Sec 3121(a)(1) of the Internal Revenue Code. Provides that this Act shall become effective on January 1, 1972, and that before such effective date, the Secretary of HEW shall submit a report to the Congress specifying which laws would require modification or repeal by reason of amendments made by this Act including recommendations for such changes.
Bill· HRH.R. 1830 (93rd)referred
United States · United States Congress · 11 January 1973
Bill of Rights for the Mentally Retarded - States that the purpose of this Act is to establish standards which assure the humane care, treatment, habilitation, and protection of the mentally retarded in residential facilities, and to improve the system for the provision of services to the mentally retarded through the encouragement of and support for the planning and development of strategies to implement such standards, minimize inappropriate admissions to residential facilities and stimulate the development of regional and community programs integrating such residential facilities which conform to such standards. Provides for a new title to the Public Health Service Act: Title XI: Support of Residential Facilities for the Mentally Retarded - Authorizes the Secretary of Health, Education, and Welfare to make grants to States to aid them with the cost of bringing existing residential facilities into compliance with the standards established under this Act, and to improve existing residential facilities for the mentally retarded. Authorizes to be appropriated $30,000,000 ($15,000,000 for each program) for fiscal year 1974, and for each of the next two succeeding fiscal years, for such grants. Authorizes to be appropriated such sums as may be necessary to enable the Secretary to make grants to States for the purpose of assisting States in meeting the expenses for bringing publicly operated facilities and publicly assisted facilities into conformity with the standards established by this Act. Stipulates that any State desiring to receive such a grant shall submit a plan to the Secretary setting forth a schedule for compliance with such standards. Provides that the total of the grants with respect to any such project bringing facilities into conformity with the standards imposed by this Act may not exceed 75 percent of the necessary cost thereof as determined by the Secretary. Requires, within five years after the date of enactment of this Act, that no residential facility for the mentally retarded shall be eligible to receive payments either directly or indirectly under any Federal law, unless such facility meets the standards promulgated under this Act. Authorizes the Secretary to make grants to any public or private non-profit agency, organization or institution to meet the costs of development, improvement, extension, or expansion of community resources and community living situations for the mentally retarded other than live-in-residential facilities for the mentally retarded. Establishes a National Advisory Council on Standards for Residential Facilities for the Mentally Retarded to: (1) advise the Secretary with respect to any regulations promulgated or proposed in the implementation of the standards established under this Act; (2) study and evaluate such standards authorized by this Act; and (3) recommend to the Secretary any changes, revisions, modifications, or improvements in the standards established under this Act. Provides that the ultimate aim of the residential facility shall be to foster those behaviors that maximize the human qualities of the resident, increase the complexity of his behavior, and enhance his ability to cope with his environment. Requires such facilities to be located within, and conveniently accessible to, the population served, so as to have access to necessary generic community services. Provides that the facility and the surrounding community should be encouraged to share their services and resources on a reciprocal basis. Provides that residents of the facility should be integrated to the greatest possible extent with the general population. Provides that the facility shall have a written outline of the philosophy, objectives, and goals it is striving to achieve. Requires such outline to be available for distribution to staff, consumer representatives, and the interested public. Provides that the governing body of the facility shall exercise general direction and shall establish policies concerning the operation of the individuals served. Provides that the administration of the facility shall provide for effective staff and resident participation and communication. Requires the facility to designate a percentage of its operating budget for self-renewal purposes. Provides that the facility shall have a description of services for residents that is available to the public. Provides that the facility shall provide for meaningful and extensive consumer-representative and public participation. Provides that a public education and information program should be established that utilizes all communications media, and all service, religious and civil groups, to develop attitudes of understanding and acceptance of mentally retarded persons in all aspects of community living. Provides that admission and release procedures shall: (1) encourage voluntary admission; (2) give equal priority to persons of comparable need; (3) facilitate emergency, partial, and short-term residential care; and (4) utilize the maximum feasible amount of voluntariness in each individual case. Authorizes the residential facility to admit only residents who have had a comprehensive evaluation. Provides that all admissions to the residential facility shall be considered temporary. Provides that there shall be a regular, at least annual, joint review of the status of each resident by all relevant personnel. Provides that at the time of permanent release or transfer there shall be recorded a summary of findings, progress, and plans for protective supervision and other followup services in the resident's new environment. Provides that the performance of each employee of the facility shall be evaluated at least annually. Provides that staffing shall be sufficient so that the facility is not dependent upon the use of residents or volunteers for productive services. Provides that food services shall recognize and provide for the physiological, emotional, and cultural needs of each resident, through provision of a planned, nutritionally adequate diet. Provides that each resident shall have an adequate allowance of neat, clean, fashionable, and seasonable clothing. Provides that residents shall be trained to exercise maximum independence in health, hygiene, and grooming practices. Provides that living unit components or groupings shall be small enough to insure the development of meaningful interpersonal relationships among residents and between residents and staff. Requires dental services to be provided all residents in order to maximize their general health by maintaining an optimal level of daily oral health, through preventive measures and correcting existing oral diseases. Provides that educational services, defined as deliberate attempts to facilitate the intellectual, sensorimotor, and affective development of the individual, shall be available to all residents, regardless of chronological age, degree of retardation, or accompanying disabilities or handicaps. Provides that food and nutrition services shall be provided in order to: (1) insure optimal nutritional status of each resident, thereby enhancing his physical, emotional, and social well-being; and (2) provide a nutritionally adequate diet, in a form consistent with developmental level, to meet the dietary needs of each resident. Makes library services, which include the location, acquisition, organization, utilization, retrieval, and delivery of materials in a variety of media, available to the facility, in order to support and strengthen its total habilitation program by providing complete and integrated multimedia information services to both staff and residents. Provides that medical services shall be provided in order to: (1) achieve and maintain an optimal level of general health for each resident; (2) maximize normal function and prevent disability; and (3) facilitate the optimal development of each resident. Provides that residents shall be provided with nursing services, in accordance with their needs, in order to: (1) develop and maintain an environment that will meet their total health needs; (2) foster optimal health; (3) encourage maximum self-care and independence; and (4) provide skilled nursing care. Provides that, where appropriate to the facility, there shall be a pharmacy and therapeutics committee, that includes one or more pharmacists, to develop policy on drug usage in the facility, and to develop and maintain a current formulary. Provides that physical and occupational therapy services shall be provided in order to: (1) prevent abnormal development and further disability; (2) facilitate the optimal development of each resident; and (3) enable the resident to be a contributing and participating member of the community in which he resides. Requires psychological services be provided in order to facilitate, through the application of psychological principles, techniques, and skills, the optimal development of each resident. Provides that recreation services should provide each resident with a program of activities that: (1) promotes physical and mental health; (2) promotes optimal sensorimotor, cognitive, affective, and social development; (3) encourages movement from dependent to independent and interdependent functioning; and (4) provides for the enjoyable use of leisure time. Makes religious services available to residents, in accordance with their basic right to freedom of religion. Provides that all social services shall be available to all residents and their families in order to foster and facilitate: (1) maximum personal and social development of the resident; (2) positive family functioning; and (3) effective and satisfying social and community relationships. Provides that speech pathology and audiology services shall be available, in order to: (1) maximize the communications skills of all residents; and (2) provide for the evaluation, counseling, treatment, and rehabilitation of those residents with speech, hearing and/or language handicaps. Requires each facility to provide all its residents with rehabilitation services, which include the establishment, maintenance, and implementation of those programs that will ensure the optimal development or restoration of each resident physically, psychologically, socially and vocationally. Provides that volunteer services shall be provided in order to enhance opportunities for the fullest realization of the potential of each resident by: (1) increasing the amount, and improving the quality, of services and programs; and (2) facilitating positive relationships between the facility and the community which it serves. Provides that a record shall be maintained for each resident that is adequate for: (1) planning and continuous evaluating of the resident's habilitation program; (2) providing a means of communication among all persons contributing to the resident's habilitation program; (3) furnishing documentary evidence of the resident's progress and of his response to his habilitation program; (4) serving as a basis for review, study, and evaluation of the overall programs provided by the facility for its residents; (5) protecting the legal rights of the residents, facility, and staff; and (6) providing data for use in research and education. Provides that the administration of the facility shall make provision for the design and conduct, or the supervision, of research that will objectively evaluate the effectiveness of program components and contribute to informed decisionmaking in the facility. Provides that the requirements of the Secretary shall be met, with specific reference to the following: (1) provision of adequate and alternate exits and doors; and (2) provision of exit ramps, with nonskid surface and slope not exceeding one foot in twelve; and (3) provision for handrails on stairways. Provides that there shall be records that document strict compliance with the sanitation, health, and environmental safety codes of the State or local authorities having primary jurisdiction over the facility. Provides that adequate, modern administrative support shall be provided to efficiently meet the needs of, and contribute to, program services for residents, and to facilitate attainment of the goals and objectives of the facility. Provides that funds shall be budgeted and spent in accordance with the principles and procedures of program budgeting. Provides that there shall be written purchasing policies regarding authority and approvals for supplies, services, and equipment.
Bill· HRH.R. 1851 (93rd)referred
United States · United States Congress · 11 January 1973
Authorizes appropriations of $50,000,000; $110,000,000; and $160,000,000 for fiscal years 1973, 1974, and 1975, respectively for grants to Medical Schools to assist the development of projects to establish programs of education in the field of family medicine. Makes eligible for grants only the applicant which is a public or other non profit school, and which is accredited by a recognized body approved for such purpose by the Commissioner of Education. Specifies the conditions under which grants may be made under this act.
Bill· HRH.R. 1833 (93rd)referred
United States · United States Congress · 11 January 1973
Hypodermic Needle and Syringe Control Act - Provides that it shall be unlawful for any person, other than a registered manufacturer, registered importer, registered wholesaler, registered dealer, licensed pharmacist, or licensed medical practitioner: (1) to engage in the business of importing, manufacturing, dispensing, selling, purchasing, or dealing in hypodermic needles or syringes if in the course of such business he ships, transports, or receives any hypodermic needle or syringe in interstate or foreign commerce; (2) to transport or cause to be transported any hypodermic needle or syringe in interstate or foreign commerce unless such person holds a lawfully issued prescription or medical certificate for such hypodermic needle or syringe or is otherwise authorized to possess it; or (3) to transfer, sell, trade, give, distribute, transport, or deliver any hypodermic needle or syringe to any person, other than a registered manufacturer, registered importer, registered wholesaler, registered dealer, licensed pharmacist, or licensed medical practitioner or any person who holds a lawfully issued prescription or medical certificate for such hypodermic needle or syringe or is otherwise authorized to possess it, whom the transferor knows or has reasonable cause to believe resides in any other State other than that in which the transferor resides (or other than that in which its place of business is located if the transferor is a corporation or other business entity). Makes it unlawful: (1) for any person in connection with the acquisition or attempted acquisition of any hypodermic needle or syringe from a registered manufacturer, registered importer, registered wholesaler, registered dealer, licensed pharmacist, or licensed medical practitioner knowingly to make any false or fictitious oral or written statement or to furnish or exhibit any false, fictitious, or misrepresented identification, intended to deceive such transferor with respect to any fact material to the lawfulness of the sale or other disposition of such hypodermic needle or syringe; (2) for any registered manufacturer, registered importer, registered wholesaler, registered dealer or licensed pharmacist to sell, deliver, or distribute a hypodermic needle or syringe in any State where the purchase or possession by such transferee would be in violation of any State law or any local ordinance applicable at the place of sale, delivery, or other disposition, unless the licensee knows or has reasonable cause to believe that the purchase or possession would not be in violation of such State law or local ordinance; (3) for any person to transport or ship in interstate or foreign commerce any stolen or otherwise unlawfully obtained hypodermic needle or syringe, knowing or having reasonable cause to believe that such hypodermic needle or syringe was stolen or otherwise unlawfully obtained; (4) for any person to receive, conceal, store, barter, sell, or dispose of any hypodermic needle or syringe stolen or otherwise unlawfully obtained, knowing or having reasonable cause to believe that such hypodermic needle or syringe was stolen or otherwise unlawfully obtained; (5) for any person to bring into the United States or any possession thereof any hypodermic needle or syringe in violation of the provisions of this Act; or (6) for any registered manufacturer, registered importer, registered wholesaler, registered dealer, licensed pharmacist, or licensed medical practitioner knowingly to make any false entry in, to fail to make appropriate entry in, or to fail to properly maintain, any record which he is required to keep pursuant to this Act. Sets forth provisions for record-keeping and registration of hypodermic needles and syringes in keeping with the controls under this Act. Provides that registrations issued under this Act shall be kept posted and kept available for inspection on the premises covered by the registration. Provides that whoever violates any provision of this Act shall be fined not more than $5,000, or imprisoned not more than five years, or both, and shall become eligible for parole as the Board of Parole shall determine. Provides that whoever, with intent to commit therewith an offense punishable by imprisonment for a term exceeding one year, or with knowledge or reasonable cause to believe than an offense punishable by imprisonment for a term exceeding one year is to be committed therewith, ships, transports, or receives a hypodermic needle or syringe in interstate or foreign commerce shall be fined not more than $10,000, or imprisoned not more than ten years, or both. Provides that any hypodermic needle or syringe used in violation of this Act or any rule or regulation promulgated thereunder shall be subject to seizure and forfeiture. Authorizes to be appropriated such sums as may be necessary to carry out the purpose of this Act.
Bill· HRH.R. 1852 (93rd)referred
United States · United States Congress · 11 January 1973
National Kidney Disease Act - Authorizes the Secretary of Health, Education, and Welfare to make grants to public or nonprofit private universities and other agencies to assist in planning the development of cooperative medical programs. Provides that such programs shall be established for the purpose of engaging in research and training, diagnosis, and treatment of kidney or kidney-related diseases. Authorizes additional grants for the establishment and operation of cooperative medical programs, including the construction and equipment of facilities. Directs the Secretary to appoint a National Advisory Council on Kidney and Kidney-Related Diseases, consisting of the Surgeon General and 16 additional members to advise and assist the Secretary in administering this act and considering and recommending applications for grants. Directs the Secretary to establish and maintain a current list of facilities equipped to provide the most advanced methods and techniques for the diagnosis and treatment of kidney or kidney-related diseases. Directs the Secretary to establish, within the Health Services and Mental Health Administration, an office on Kidney Disease and Kidney-Related Diseases, and transfers all the functions of the National Institute of Health relating to kidney diseases to such office. Requires the Secretary on or before June 30, 1975, to report to the President and Congress on the activities carried on pursuant to this act. Authorizes appropriations of $8,000,000; $11,000,000; $17,000,000; $18,000,000; and $20,000,000 for fiscal years 1973-1977, respectively, for grants to qualified institutions and agencies for planning, studing, and operating pilot projects for the establishment of cooperative medical programs for carrying out the purposes of this act.
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