Records whose title is actually about this topic. Use a country filter if the list is still too broad.
Records
Bill· HRH.R. 4114 (94th)passed
United States · United States Congress · 4 March 1975
Authorizes the Secretary of Health, Education, and Welfare to reimburse applicants for positions in the National Health Service Corps for actual expenses incurred in traveling to and from their places of residence to an area in which they would be assigned for the purpose of evaluating such area with regard to being assigned in such area. Declares that commissioned officers and other personnel of the Corps assigned to provide health services for medically underserved populations shall not be included in determining whether any limitation on the number of personnel which may be employed by the Department of Health, Education, and Welfare has been exceeded. Sets forth pay adjustments for physicians and dentists serving in the Corps in medically underserved population areas. Defines the term "medically underserved population" to mean the population of an area having a critical health manpower shortage, as determined by the Secretary. Includes Guam, American Samoa, and the Trust Territory of the Pacific Islands as "States" under the Act. Directs the Secretary to take specified factors into consideration in designating medically underserved populations. Directs the Secretary to require as a condition for the approval of an application for medical personnel under the Act that the applicant enter into an agreement which provides that: (1) the applicant shall be responsible for charging for health services by the Corps personnel to be assigned; (2) the applicant shall take action for the collection of payments for such health services; and (3) the applicant shall pay to the United States specified calculated amounts. Provides that Corps personnel shall be assigned on the basis of the extent of the population's need for health services and without regard to the ability of members of the population to pay for health services. Directs the Secretary, in making an assignment, to seek to match characteristics of the assignee and of the population in order to increase the likelihood of the assignee remaining to serve the population upon completion of his assignment period. Authorizes the Secretary to: (1) provide technical assistance to all medically underserved populations to which are not assigned Corps personnel; (2) make arrangements to enable Corps personnel to utilize the health facilities of the areas in which the population resides; and (3) make grants, with specified limitations, for purposes of providing health services. Establishes the National Advisory Council on the National Health Service Corps to consult with, advise, and make recommendations to, the Secretary with respect to his responsibilities in carrying out this Act, and to review regulations promulgated by the Secretary. Sets forth membership, terms of office, and rates of pay and allowances for such council. Authorizes to be appropriated $30,000,000 for fiscal year 1976 for the Corps.
Bill· HRH.R. 4115 (94th)passed
United States · United States Congress · 4 March 1975
Nurse Training Act - Title I: One-Year Extension - Extends, under the Public Health Service Act, the authorization of appropriations for grants for construction of nursing schools, for loan guarantees and interest subsidies, and for capitation grants, until June 30, 1975. Title II: Revision and Extension of Programs through Fiscal Year 1978 - Authorizes the appropriation of $20,000,000 for each of the fiscal years 1976, 1977, and 1978, for grants for construction of nursing schools. States that each collegiate school of nursing shall receive $00 for each student enrolled in each of the last two years of such school. Provides capitation grants for other schools of nursing. Authorizes appropriations of $50,000,000 for fiscal year 1976, $55,000,000 for fiscal year 1977, and $60,000,000 for fiscal year 1978 for capitation grants. Authorizes the Secretary of Health, Education, and Welfare to make grants to assist public or nonprofit private schools of nursing which are in serious financial straits to meet operational costs required to maintain quality educational programs or which have special need for financial assistance to meet accreditation requirements. Prescribes the procedures for the making of such grants. Authorizes the appropriation of $5,000,000 for each of the fiscal years 1976, 1977, and 1978 for such grants. Empowers the Secretary to make grants to schools of nursing and other entities to meet the costs of special projects, including: (1) to increase educational opportunities for disadvantaged students; (2) to provide continuing education for nursing; and (3) to increase the supply or distribution by geographic area or by specialty of adequately trained nursing personnel needed to meet the health needs of the nation, including the need to increase the availability of personal health services and the need to promote preventive health care. Authorizes the appropriation of $15,000,000 for each of the fiscal years 1976, 1977, and 1978, for such grants. Authorizes the making of grants by the Secretary for: (1) advance nurse training programs; and (2) nurse practioner programs. Authorizes to be appropriated $30,000,000 for fiscal year 1976, $40,000,000 for fiscal year 1977, and $50,000,000 for fiscal year 1978, for such grants. Authorizes to be appropriated $15,000,000 for fiscal year 1976, $20,000,000 for fiscal year 1977, and $25,000,000 for fiscal year 1978 to provide for the training of nurses to teach and to serve as nurse practioners. Authorizes appropriations of $25,000,000 for fiscal year 1976, $30,000,000 for fiscal year 1977, and $35,000,000 for fiscal year 1978, for Federal allotments to student nurse loan funds. Extends the student nurse scholarship program through 1978. Title III: Technical and Conforming Amendments - Makes technical and conforming amendments to the Public Health Service Act. Title IV: Miscellaneous - Requires the Secretary of Health, Education, and Welfare to determine on a continuing basis the current and projected supply of the various classifications of nurses, their geographic distribution, pay rates, activity status, and advanced training status. Requires a report annually to the Congress upon such findings together with recommendations for legislation.
Bill· HRH.R. 4238 (94th)referred
United States · United States Congress · 4 March 1975
Nurse Training Act - Provides for appropriations authorizations in the areas of construction assistance under the Public Health Service Act. Authorizes assistance under such Act in the expanding of the capacities of nursing schools to provide graduate training. Extends the Financial Distress Grant Program under such Act. Authorizes the Secretary of Health, Education, and Welfare to make grants to assist public or nonprofit private schools of nursing which are in serious financial straits to meet operational costs required to maintain quality educational programs or which have special need for financial assistance to meet accreditation requirements. Provides that any such grant may be made upon such terms as the Secretary determines to be reasonable and necessary, including requirements that the school agree: (1) to disclose any financial information or data deemed by the Secretary to be necessary to determine the sources or causes of that school's financial distress; (2) to conduct a comprehensive cost analysis study in cooperation with the Secretary; and (3) to carry out appropriate operational and financial reforms on the basis of information obtained in the course of the comprehensive cost analysis study or on the basis of other relevant information. Requires the Secretary to consult with the National Advisory Council on Nurse Training in acting upon applications for grants under this title. Authorizes appropriations for such grants of $5,000,000 for fiscal year 1975, $5,000,000 for fiscal year 1976, and $5,000 for fiscal year 1977. Authorizes the Secretary to make grants to meet the costs of advanced nurse training programs. Authorizes appropriations for such purposes of $20,000,000 for fiscal year 1975, $25,000,000 for fiscal year 1976, and $30,000,000 for fiscal year 1977. Extends the Student Loan Program under the Act. Directs the Secretary to determine on a continuing basis: (1) the supply of registered nurses, licensed practical nurses and registered nurses with advanced training or graduate degrees, as well as other nursing personnel; (2) their distribution, and (3) the current and future requirements for such nurses.
Bill· HRH.R. 4236 (94th)referred
United States · United States Congress · 4 March 1975
Health Manpower Act - Title I: General Provisions - Revises and repeals specified provisions of the Public Health Service Act. Title II: Assistance for Construction of Technical Facilities - Directs the Secretary of Health, Education, and Welfare to make grants to assist in the construction of teaching facilities for the training of physicians, dentists, pharmacists, optometrists, podiatrists, veterinarians, and professional public health personnel. Authorizes appropriations of $25,000,000 for each of fiscal years 1975, 1976 and 1977. Title III: Student Assistance; National Health Service Corps - Expands the provisions governing the making of student loans under the Public Health Service Act and the rates for repayment of such loans. Authorizes appropriations for the purpose of making Federal capital contributions into the student loan funds to authorized schools. Prescribes procedures for the establishment of a National Health Service Corps, applications for assistance from the Corps, and assignment and functions of Corps personnel to medically underserved populations. Outlines the rate-of-pay schedule for physician and dentist Corps members engaged in the delivery of health services to a medically underserved population. Details the reporting requirements of the Secretary to the Congress in his carrying out the programs of the National Advisory Council on the National Health Service Corps. Specifies the membership composition of such Council. Authorizes appropriations for fiscal years 1974-1977 for carrying out this section. Revises the Public Health and National Health Service Corps Scholarship Training Program, setting forth the eligibility requirements for acceptance in such program and the time and type of obligated service required. Authorizes to be appropriated to carry out the Program $80,000,000 for fiscal year 1976 and $120,000,000 for fiscal year 1977. Title IV: Grants for Health Professions Schools - Sets forth computation rules governing the making of annual grants by the Secretary for the support of education programs of schools of medicine, osteopathy, public health, dentistry, veterinary medicine, optometry, pharmacy, and podiatry. Provides for the apportionment of, and authorization of, appropriations for the making of such grants. States that the Secretary shall not make such grants to any school unless specified assurances that the first year enrollment of health profession schools will rise by specified percentages in succeeding years, are met. Authorizes to be appropriated $165,000,000 for fiscal year 1975, $170,000,000 for fiscal year 1976, and $167,000,000 for fiscal year 1977, for payments for grants to schools of medicine, osteopathy, and dentistry based on the number of full-time students enrolled in such schools. Title V: Special Project Grants and Contracts - Revises the procedure for making of special grants and contracts for the purpose of assisting individuals from disadvantaged backgrounds to undertake education to enter a health profession. Specifies the purposes for which such grants may be used. Authorizes to be appropriated for such purposes $20,000,000 for each of fiscal years 1975, 1976, and 1977. Authorizes the Secretary to make grants and enter into contracts for projects for area health education centers for the purpose of improving the distribution, supply, quality, utilization, and efficiency of health personnel in the health services delivery system and for the purpose of encouraging the regionalization of educational responsibilities of the health professions schools. Authorizes appropriations of $15,000,000, $20,000,000 and $25,000,000 for fiscal years 1975-1977, respectively, for the establishment of such health education centers. Allows the Secretary to make grants to and enter into contracts with schools of optometry, pharmacy, and podiatry in order to meet the cost of specified projects. Authorizes to be appropriated for such purpose $5,000,000 for fiscal years 1975-1977, respectively. Declares that the Secretary may make grants to schools of medicine and osteopathy in the United States to plan, develop, and operate programs: (1) to train U.S. citizens who have been enrolled in medical schools in foreign countries before July 1, 1975, to enable them to meet the requirements for enrolling in schools of medicine or osteopathy in the United States as full-time students with advanced standing; or (2) to train U.S. citizens who have transferred from medical schools in foreign countries in which they were enrolled before July 1, 1975, and who have enrolled in schools of medicine or osteopathy in the United States as full-time students with advanced standing. Authorizes to be appropriated for such purpose $2,000,000 for fiscal year 1975, $3,000,000 for fiscal year 1976, and $4,000,000 for fiscal year 1977. Permits the Secretary to make grants to schools of medicine and osteopathy to meet the costs of projects to establish and maintain academic administrative units to provide clinical instruction in family medicine, and authorizes to be appropriated for such purpose $10,000,000 for fiscal year 1975, $15,000,000 for fiscal year 1976, and $20,000,000 for fiscal year 1977. Title VI: Public and Allied Health Personnel - Revises the training programs for public and community health personnel and allied health personnel, extending appropriations through fiscal year 1977. Title VII: Medical Residency Training Programs - provides for the accrediting and operation of medical residency training programs with the number of first year positions not to exceed 125 percent of the estimated number of graduates from accredited schools of medicine in the preceding calendar year. Title VIII: Miscellaneous - Directs the Secretary to contract for a study analyzing the current distribution of physicians by specialty, projecting such analysis for 1980, 1985, and 1990, and examining and developing a method for establishing the optimal distribution of physicians by geographic area. Requires the Secretary to make specified quality assurances to the Congress regarding education and training of allied health personnel. Calls for an allied health personnel study, detailing the contents of such study, including identification of classifications in which there are critical shortages of personnel.
Bill· HRH.R. 4229 (94th)referred
United States · United States Congress · 4 March 1975
Authorizes the Secretary of Health, Education, and Welfare to make grants to the States and local government units to assist them in meeting the increased costs of providing health care to individuals who have problems resulting from the need to reduce heat to conserve energy.
Bill· HRH.R. 4235 (94th)referred
United States · United States Congress · 4 March 1975
Health Revenue Sharing and Health Services Act - Title I: Health Revenue Sharing - Special Health Revenue Sharing Act - Authorizes the Secretary of Health, Education, and Welfare to make grants to State health and mental health authorities to assist in meeting the cost of providing comprehensive public health services under State plans approved under this Act. Sets forth the required elements of the content of such State plans. Authorizes the appropriation of $160,000,000 for fiscal year 1975 and $160,000,000 for fiscal year 1976 to make grants pursuant to this title. Title II: Family Planning Programs - Family Planning and Population Research Act - Authorizes appropriations for the family planning and population research programs of the Public Health Service Act for the fiscal years 1975 and 1976. Authorizes the Secretary to conduct, make grants to, or enter into contracts with, public or private entities for, projects for research in the biomedical, contraceptive development, behavioral, and program implementation fields related to family planning and population. Authorizes appropriations for fiscal years 1975 and 1976 to carry out such research. Sets forth reporting requirements for the Secretary to Congress. Title III: Community Mental Health Centers - Community Mental Health Centers Amendments - Presents the finding of the Congress that: (1) community mental health care is the most effective and humane form of care for a majority of mentally ill individuals; and (2) federally funded community mental health centers have had a major impact on the improvement of mental health care by fostering coordination and cooperation between various agencies responsible for mental health care which in turn has resulted in a decrease in overlapping services and more efficient utilization of available resources. Provides that the comprehensive mental health services which shall be provided through a community mental health center under the Community Mental Health Centers Act shall include: (1) services for individuals who are inpatients in a hospital or other health services delivery facility, outpatient services, day care and similar partial hospitalization services, and emergency services, (2) detoxification and referral services for the treatment of alcohol abuse, alcoholism, and other drug abuse and drug dependence problems (including narcotic addition); (3) consultation and education services for health professionals, schools, State and local law enforcement and correctional agencies, public welfare agencies, health services delivery agencies, and other appropriate entities; (4) assistance to courts and other public agencies in screening residents of the center's catchment area who are being considered for referral to a State mental health facility for treatment to determine if they should be so referred and provision, where appropriate, of treatment for such persons through the center as an alternative to treatment at such facility; and (5) provision of follow-up care for residents of its catchment area who have been discharged from a State mental health facility. Authorizes the Secretary to make grants to public and nonprofit private entities to carry out projects to develop community mental health center programs. Authorizes appropriations for the payment of such grants for fiscal years 1975 and 1976. Authorizes the Secretary to make grants to public and nonprofit private community mental health centers to assist them in meeting their costs of operation during the first five years after their establishment. Authorizes appropriations for the payment of such grants for fiscal years 1975 and 1976. Authorizes the Secretary to make annual grants to any community mental health center for the costs of providing consultation and education services under this Act. Sets forth criteria for such grants. Authorizes appropriations for the payment of such grants for fiscal years 1975 and 1976. Sets forth general regulations governing grants made under this title. Authorizes the Secretary to make grants for the operation of community mental health centers which are under financial distress. Sets forth the eligibility criteria for such grants. Authorizes appropriations for the payment of such grants for the fiscal years 1975 and 1976. Directs the Secretary to pay the Federal share of projects for the acquisition, leasing, and construction of community mental health centers, and for the acquisition of initial equipment for such facilities. Defines "Federal share" with respect to such projects. Sets forth the procedures for approval of, payment of grants to, and allocation of funds for, projects under this title. Establishes within the National Institute of Mental Health the National Center for the Prevention and Control of Rape. Authorizes the Secretary to carry out through such Center a study of specified issues involving rape; and to assist qualified public and nonprofit private entities in conducting research concerning the control and prevention of rape. Authorizes to be appropriated $10,000,000 for fiscal year 1975 and $10,000,000 for fiscal year 1976 to support such study and research. Defines the terms used in this title. Sets forth general regulations with respect to the administration of this title. Title IV: Migrant Health - Authorizes the Secretary to make grants to public and nonprofit private entities to assist in the establishment, initial operation, and continued operation of migrant health centers serving high impact areas. Defines "migrant health center" as an entity which provides health services to agricultural migratory workers and their families. Defines the terms used in this title. Sets forth health services to be supplied by migrant health centers. Authorizes the Secretary to make grants to, and enter into contracts with, public and private entities, in areas in which no migrant health centers exist and which are not high impact areas, to provide health care to agricultural workers and their families. Authorizes appropriations for the payment of such grants for fiscal years 1975 and 1976. Directs the Secretary to conduct a study of: (1) the quality of housing which is available to agricultural migratory workers in the United States while away from their permanent abodes; (2) the effect on the health of migrant workers of deficiencies in such housing; and (3) Federal, State, and local government standards respecting housing conditions for such workers during such period. Sets forth the reporting requirements for the Secretary for such study. Title V: Community Health Centers - Defines the term "community health center" as meaning under the Public Health Service Act an entity which provides primary health services and referral to providers of supplemental health services for all residents of the area it serves, and is organized in the manner prescribed under this Act. Requires the services of a community health center to be provided directly through its staff and supporting resources or through contracts or cooperative arrangements with public or private entities. Requires primary health services to be available and accessible in the area served by the center promptly, as appropriate, and in a manner which assures continuity. Provides that the governing body of a community health center shall have at least a majority of its members selected in a democratic manner by the persons receiving services from the center, shall meet at least once a month, shall establish general policies for the center, shall approve the center's annual budget, and shall approve the selection of a director for the center. Authorizes the Secretary to make grants to public and nonprofit private entities to assist in (1) the establishment and initial operation of community health centers which will service a medically underserved population; and (2) meeting the cost of the continued operation of such centers. Authorizes to be appropriated $220,000,000 for fiscal year 1975, and $260,000,000 for fiscal year 1976, for grants under this title. Title VI: Miscellaneous - Authorizes to be appropriated $38,000,000 for fiscal year 1975 for the study of specified diseases including those borne by rodents. Authorizes to be appropriated $3,000,000 for fiscal year 1976 for home health services as defined in the Social Security Act. Directs the Secretary to appoint a Committee on Mental Health and Illness of the Elderly. Directs the Secretary to establish a temporary commission to be known as the Commission for the Control of Epilepsy and Its Consequences. Directs the Secretary to establish a temporary commission to be known as the Commission for the Control of Huntington's Disease and Its Consequences. Authorizes the Secretary to make grants to and enter into contracts with public and nonprofit private entities for projects for the establishment of comprehensive hemophilia diagnostic and treatment centers. Authorizes to be appropriated for such grants and contracts $3,000,000 for fiscal year 1975 and $5,000,000 for fiscal year 1976. Authorizes the Secretary to make grants to and enter into contracts with public and nonprofit private entities for projects to develop and expand existing blood separation centers. Authorizes to be appropriated for such grants and contracts $5,000,000 for fiscal year 1975 and $5,000,000 for fiscal year 1976.
Bill· HRH.R. 4189 (94th)referred
United States · United States Congress · 4 March 1975
Increases the excise tax under the Internal Revenue Code on small and large cigarettes, providing that such increased taxes collected after June 30, 1976, shall be appropriated to the National Cancer Research Fund established by this Act in the Treasury in specified amounts for fiscal years 1977 and 1978.
Bill· HRH.R. 4185 (94th)referred
United States · United States Congress · 4 March 1975
National Commission on Epilepsy and Its Consequences Act - Directs the Secretary of Health, Education, and Welfare to appoint a National Commission to determine the most effective means of finding the cause and cures and treatments for epilepsy. Directs that such Commission shall develop a national plan for the control of epilepsy and its consequences. Provides for the membership of such Commission. Sets forth the duties of such Commission. Requires that it shall be a duty of the Commission to develop a comprehensive national plan for the control of epilepsy and its consequences based on the most thorough, complete, and accurate data available on the disorder. Requires the Commission to make recommendations concerning the proper roles of the Federal and State governments, and the national and local public and private agencies in research, prevention, identification and rehabilitation of persons with epilepsy. Requires the transmittal to the President and to the Congress of a final report under this Act.
Bill· HRH.R. 4188 (94th)referred
United States · United States Congress · 4 March 1975
Repeals, under the Social Security Act, the provisions for the establishment of Professional Standards Review Organizations to review services covered under the medicare and medicaid programs.
Bill· HRH.R. 4190 (94th)referred
United States · United States Congress · 4 March 1975
Increases the excise tax under the Internal Revenue Code on small and large cigarettes, providing that such increased taxes collected after June 30, 1976, shall be appropriated to the National Cancer Research Fund established by this Act in the Treasury in specified amounts for fiscal years 1977 and 1978.
Bill· HRH.R. 4174 (94th)referred
United States · United States Congress · 4 March 1975
Provides that specified rural hospitals shall be exempt for a period of 18 months from the requirements and provisions of Title XI of the Social Security Act relating to the establishment of professional standards review organizations and from the provisions of such Act and the regulations governing utilization review and utilization control procedures under the medicare, medicaid, and maternal and child health programs. Directs the Secretary of Health, Education, and Welfare to investigate alternative methods of utilization review and control for rural hospitals. Defines "rural hospitals" for purposes of this Act as meaning a hospital which is located in a community having a population of less than 50,000, but only if: (1) there is no other is no other community which has a population of fifty thousand or more within a ten-mile radius of such hospital; (2) the combined average patient load for all hospitals within such ten-mile radius is less than forty per day; and (3) the number of practicing physicians on the regular staff of such hospital does not exceed seven.
Bill· HRH.R. 4140 (94th)referred
United States · United States Congress · 4 March 1975
National Huntington's Disease Control Act - States that it is the purpose of this Act to establish a national program for the diagnosis, prevention, and treatment of, and research in, Huntington's disease. Authorizes the Secretary of Health, Education, and Welfare to make grants for projects for the establishment and operation of Huntington's disease screening, treatment, and counseling programs. Authorizes the appropriation of $500,000 for the fiscal year ending June 30, 1975, and for each each of the next two fiscal years for such grants. Authorizes the Secretary to make grants for research in the diagnosis, treatment, and prevention of Huntington's disease. Authorizes the appropriation of $1,500,000 for the fiscal year ending June 30, 1975 and for each of the next two fiscal years for use for such grants. Directs the Secretary to carry out a program to develop information and educational materials relating to Huntington's disease and to disseminate such information and materials to persons providing health care and to the public in general. Authorizes the appropriation of $25,000 for the fiscal year ending June 30, 1975, and for each of the next two fiscal years to carry out this information program. Sets forth the requirements for applications for grants under this Act and the administration of such grants. Directs the Secretary to establish a program within the Public Health Service to provide for voluntary Huntington's disease screening, counseling, and treatment.
Bill· HRH.R. 4129 (94th)referred
United States · United States Congress · 4 March 1975
Repeals, under the Social Security Act, the provisions for the establishment of Professional Standards Review Organizations to review services covered under the medicare and medicaid programs.
Bill· HRH.R. 4121 (94th)referred
United States · United States Congress · 4 March 1975
Requires States to enter into agreements with the Secretary of Health, Education, and Welfare under which the State will agree to periodically inspect public and private extended care facilities, skilled nursing homes, and intermediate care facilities. Provides that eligibility for Federal payments under title XIX (Medicaid) of the Social Security Act is contingent upon such an inspection program. Directs States to impose a fine of up to $300 for willful refusal to permit any inspection required by this Act. Requires States to enforce specified guarantees of rights of patients in public and private extended care facilities, skilled nursing homes, and intermediate care facilities, including a guarantee of the patients' right to receive adequate, high quality, and appropriate medical care.
Bill· HRH.R. 4139 (94th)referred
United States · United States Congress · 4 March 1975
National Commission on Epilepsy and Its Consequences Act - Directs the Secretary of Health, Education, and Welfare to appoint a National Commission to determine the most effective means of finding the cause and cures and treatments for epilepsy. Directs that such Commission shall develop a national plan for the control of epilepsy and its consequences. Provides for the membership of such Commission. Sets forth the duties of such Commission. Requires that it shall be a duty of the Commission to develop a comprehensive national plan for the control of epilepsy and its consequences based on the most thorough, complete, and accurate data available on the disorder. Requires the Commission to make recommendations concerning the proper roles of the Federal and State governments, and the national and local public and private agencies in research, prevention, identification and rehabilitation of persons with epilepsy. Requires the transmittal to the President and to the Congress of a final report under this Act.
Bill· HRH.R. 4135 (94th)referred
United States · United States Congress · 4 March 1975
Imposes increased taxes, under the Internal Revenue Code, on cigarettes of $0.50 more per thousand on small cigarettes and $1.05 more per thousand on large cigarettes, the proceeds, coupled with additional appropriations authorizations, to be used in part for programs respecting lung and blood diseases.
Bill· SS. 915 (94th)referred
United States · United States Congress · 3 March 1975
Authorizes the Secretary of Health, Education, and Welfare, under the Public Health Service Act, to recruit, employ and assign up to 551 professionals as members of the National Health Service Corps for fiscal year 1975.
Bill· HRH.R. 4100 (94th)referred
United States · United States Congress · 3 March 1975
Permits the full deduction under the Internal Revenue Code of medical expenses incurred for the care of individuals 65 years of age and over.
Bill· HRH.R. 4092 (94th)referred
United States · United States Congress · 3 March 1975
National Comprehensive Vision Care Act - Directs the Secretary of Health, Education, and Welfare to make annual grants to the States for the costs of establishing and operating programs under which students in public schools: (1) will receive free vision test; and (2) will be provided, without charge, appropriate necessary follow up services (including opthalmologic and optometric services and eyeglasses). Authorizes such grants to be used to train personnel to administer such tests. Directs the Secretary to establish a panel to advise him with respect to the standards to be prescribed by him under this Act for qualified vision tests. States that such panel shall be composed of four ophthalmologists and four optometrists who by virtue of their training and experience are especially qualified to advise the Secretary with respect to such standards. Requires the Secretary to make an annual report to the Congress respecting the grant program authorized under this Act and to include in such report his recommendations for such legislation as he deems appropriate.
Bill· HRH.R. 4095 (94th)referred
United States · United States Congress · 3 March 1975
Establishes in the Public Health Service the National Sickle Cell Anemia Institute. Provides that the Institute shall: (1) conduct and support research on sickle cell anemia; (2) provide training and establish fellowships in matters relating to the diagnosis, treatment and prevention of this disease; (3) provide for nationwide screening programs to determine the incidence of sickle cell anemia and its traits among school age children; (4) conduct and support counseling and education programs to make the public aware of the services available with respect to sickle cell anemia; and (5) assist the Secretary of Defense in screening all persons entering the armed forces for sickle cell anemia and its traits. Establishes an advisory council to assist the Secretary of Health, Education, and Welfare in matters relating to the institute. Provides that this council will assume the responsibilities of the National Advisory Health Council on matters relating to sickle cell anemia.
Bill· HRH.R. 3980 (94th)referred
United States · United States Congress · 27 February 1975
Provides for the coverage of clinical psychologists' services under the supplementary medical insurance benefits program established by title XVIII (Medicare) of the Social Security Act.
Bill· HRH.R. 3894 (94th)referred
United States · United States Congress · 27 February 1975
Authorizes the Secretary of Health, Education, and Welfare to make grants to nonprofit 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 sued for clinical testing of new instrumentation and health care delivery systems and to train personnel in the use of such instrumentation and systems. Specifies condition for such grants. Authorizes to be appropriatied $20,000,000 to carry out the purposes of this Act.
Bill· HRH.R. 3939 (94th)referred
United States · United States Congress · 27 February 1975
Directs the Secretary of Health, Education, and Welfare to pay the health insurance premiums of unemployed individuals entitled to weekly benefits under a State or Federal unemployment compensation law, if such individual had health insurance at the time he became eligible for unemployment benefits. Authorizes appropriations necessary to carry out the Act.
Bill· HRH.R. 3834 (94th)referred
United States · United States Congress · 27 February 1975
Provides hospital insurance coverage, for a one year period, under Title XVIII (Medicare) of the Social Security Act for unemployed workers and their families. Requires as a condition of eligibility that unemployed individuals establish entitlement to weekly benefits under a State or Federal unemployment compensation law. Authorizes appropriations to the Federal Hospital Insurance Trust Fund of an amount sufficient to place such Trust Fund in the same position at the end of one fiscal year as the position it would have been in if the provisions of this Act had not been enacted.
Bill· HRH.R. 3895 (94th)referred
United States · United States Congress · 27 February 1975
National Commission on Health Science and Society Act - Establishes a National Commission on Health Science and Society composed of fifteen members to be appointed by the President from among the fields of medicine, public health, mental health, law, theology, biological science, physical science, social science, philosophy, humanities, health administration, government, and public affairs, and from the public at large. Provides that the Commission shall undertake a comprehensive investigation and study of the ethical, social, and legal implications of advances in biomedical research and technology, which shall include, without being limited to: (1) analysis and evaluation of scientific and technological advances in the biomedical sciences, current and projected; (2) analysis and evaluation of the implications of such advances, both for individuals and for society; (3) analysis and evaluation through the use of seminars and public hearings, and other appropriate means, of public understanding of and attitudes toward such implications; (4) analysis and evaluation of implications for public policy of such findings as are made with respect to the biomedical advances and public attitudes; (5) analysis and evaluation of scientific and technological advances in the fields of psychiatry and psychology, current and projected; (6) analysis and evaluation of the use of human subjects for purposes of experimentation or research; and (7) analysis and evaluation of the availability of health services to all segments of the population with particular emphasis on the health service needs of low-income segments of the population. Directs the Commission to transmit to the President and to the Congress one or more interim reports and, not later than two years after the first meeting of the Commission, one final report, containing detailed statements of the findings and conclusions of the Commission, together with its recommendations, including such recommendations for action by public and private bodies and individuals as it deems advisable. Authorizes the appropriation of $1,000,000 for fiscal year 1976, and $1,000,000 for the following fiscal year. Terminates the Commission 90 days after the submission of its final report to the President and Congress.
Bill· HRH.R. 3835 (94th)referred
United States · United States Congress · 27 February 1975
Provides hospital insurance coverage, for a one year period, under Title XVIII (Medicare) of the Social Security Act for unemployed workers and their families. Requires as a condition of eligibility that unemployed individuals establish entitlement to weekly benefits under a State or Federal unemployment compensation law. Authorizes appropriations to the Federal Hospital Insurance Trust Fund of an amount sufficient to place such Trust Fund in the same position at the end of one fiscal year as the position it would have been in if the provisions of this Act had not been enacted.
Bill· SS. 862 (94th)referred
United States · United States Congress · 26 February 1975
Provides, under title XVIII (Medicare) and title II (Old-Age, Survivors' and Disability Insurance) of the Social Security Act, that qualified drugs requiring a physicians prescription or certification shall be included among the items and services covered under the hospital insurance program for the aged at a specified amount of payment. States that the reasonable allowance for eligible drugs furnished an individual pursuant to any one prescription and purchased by such individual at any one time shall be reduced by an amount equal to the applicable prescription copayment obligation which shall be $1. Establishes, within the Department of Health, Education, and Welfare, a Formulary Committee to compile and publish a Formulary listing the drugs deemed qualified for benefits under this Act, together with maximum allowable costs and additional information concerning such drugs. Makes provisions for selecting drugs for the Formulary. Increases the rate of hospital insurance tax on self employment income and on employers and employees.
Bill· SS. 843 (94th)referred
United States · United States Congress · 26 February 1975
Provides that specified rural hospitals shall be exempt for a period of 18 months from the requirements and provisions of Title XI of the Social Security Act relating to the establishment of professional standards review organizations and from the provisions of such Act and the regulations governing utilization review and utilization control procedures under the medicare, medicaid, and maternal and child health programs. Directs the Secretary of Health, Education, and Welfare to investigate alternative methods of utilization review and control for rural hospitals. Defines "rural hospitals" for purposes of this Act as meaning a hospital which is located in a community having a population of less than 50,000, but only if: (1) there is no other is no other community which has a population of fifty thousand or more within a ten-mile radius of such hospital; (2) the combined average patient load for all hospitals within such ten-mile radius is less than forty per day; and (3) the number of practicing physicians on the regular staff of such hospital does not exceed seven.
Bill· HRH.R. 3782 (94th)referred
United States · United States Congress · 26 February 1975
Revises the provisions of title XVIII (Medicare) of the Social Security Act to allow payment under the supplementary medical insurance program for optometrists' services and eyeglasses.
Bill· HRH.R. 3764 (94th)referred
United States · United States Congress · 26 February 1975
Provides, under title XVIII of the Social Security Act, for coverage under medicare for routine Papanicolaou tests for the diagnosis of uterine cancer.
Bill· HRH.R. 3766 (94th)referred
United States · United States Congress · 26 February 1975
Provides, under title XVIII of the Social Security Act, for coverage under medicare for routine Papanicolaou tests for the diagnosis of uterine cancer.
Bill· HRH.R. 3765 (94th)referred
United States · United States Congress · 26 February 1975
Provides, under title XVIII of the Social Security Act, for coverage under medicare for routine Papanicolaou tests for the diagnosis of uterine cancer.
Bill· HRH.R. 3767 (94th)referred
United States · United States Congress · 26 February 1975
Provides, under title XVIII of the Social Security Act, for coverage under medicare for routine Papanicolaou tests for the diagnosis of uterine cancer.
Bill· HRH.R. 3672 (94th)referred
United States · United States Congress · 25 February 1975
National Family Health Protection Act - Directs the Secretary of Health, Education, and Welfare to establish and administer the national family health protection program. Requires such program to provide every individual with the means of obtaining a basic health protection policy from a qualified company of his choice, in order to provide comprehensive health protection for himself and his family. Requires the Secretary to issue to each head of a family a certificate each year enabling him to purchase such a policy. Makes provisions in the income tax return for applying for such certificate. Requires such a policy to cover the reasonable cost of: inpatient hospital services, outpatient hospital services, extended care services, post-hospital extended care services, home health services, post-hospital home health services, medical care and other health services, and physician's services. Includes in the definition of such services the necessary drugs, supplies, x-ray and laboratory tests, and ambulance services. Sets forth stipulations for determining and adjusting the reasonable costs of such services. Prohibits payment under such a policy for items or services: which are not reasonable and necessary for diagnosis and treatment; which are paid for directly or indirectly by a governmental entity; which are not provided in the United States; which are for routine physical checkups; which are for custodial care; and which are for normal dental care. Limits full payment of hospital bed and board to 120 days, 80 percent during the next 120 days and 50 percent thereafter. Limits payments for home or office physician's visits to $5 per visit to the extent such visits exceed $50 per year. Defines a qualified insurance company. Provides that such companies may redeem an individual's health certificate by presenting them to the Secretary. Provides for the assignment of high risk families among such companies. Establishes the Health Protection Reserve Fund to make payments under this Act when an insurance company is unable to make such payments. Requires the insurance companies to make payments to the fund. Repeals the Medicare and Medicaid programs of the Social Security Act. Imposes a tax equal to 5 percent of a person's adjusted income tax in order to cover the costs of this program. Authorizes additional appropriations from time to time equal to such tax, as may be needed to cover the costs of such program. National Family Health Protection Act - Directs the Secretary of Health, Education, and Welfare to establish and administer the national family health protection program. Requires such program to provide every individual with the means of obtaining a basic health protection policy from a qualified company of his choice, in order to provide comprehensive health protection for himself and his family. Requires the Secretary to issue to each head of a family a certificate each year enabling him to purchase such a policy. Makes provisions in the income tax return for applying for such certificate. Requires such a policy to cover the reasonable cost of: inpatient hospital services, outpatient hospital services, extended care services, post-hospital extended care services, home health services, post-hospital home health services, medical care and other health services, and physician's services. Includes in the definition of such services the necessary drugs, supplies, x-ray and laboratory tests, and ambulance services. Sets forth stipulations for determining and adjusting the reasonable costs of such services. Prohibits payment under such a policy for items or services: which are not reasonable and necessary for diagnosis and treatment; which are paid for directly or indirectly by a governmental entity; which are not provided in the United States; which are for routine physical checkups; which are for custodial care; and which are for normal dental care. Limits full payment of hospital bed and board to 120 days, 80 percent during the next 120 days and 50 percent thereafter. Limits payments for home or office physician's visits to $5 per visit to the extent such visits exceed $50 per year. Defines a qualified insurance company. Provides that such companies may redeem an individual's health certificate by presenting them to the Secretary. Provides for the assignment of high risk families among such companies. Establishes the Health Protection Reserve Fund to make payments under this Act when an insurance company is unable to make such payments. Requires the insurance companies to make payments to the fund. Repeals the Medicare and Medicaid programs of the Social Security Act. Imposes a tax equal to 5 percent of a person's adjusted income tax in order to cover the costs of this program. Authorizes additional appropriations from time to time equal to such tax, as may be needed to cover the costs of such program.
Bill· HRH.R. 3674 (94th)referred
United States · United States Congress · 25 February 1975
Health Security Act - Title I: Health Security Benefits - Provides that every resident of the U.S. (and every non-resident citizen when in the U.S.) will be eligible for covered services. Permits reciprocal and "buy-in" agreements for groups or non- resident aliens, and in some cases benefits to U.S. residents when visiting in other countries. Entitles every eligible person to have payments made by the Health Security Board for covered services provided within the United States by a participating provider. Provides that all necessary professional services of physicians, wherever furnished, are covered, including preventive care, with one restriction: mental health services to an outpatient are covered only for active preventive, diagnostic, therapeutic, or rehabilitative service with respect to emotional or mental disorders. 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. States that inpatient and outpatient hospital services, nursing home services, and services of a home health agency are covered, subject to specified limitations. Includes pathology and radiology services as parts of institutional services. Limits payment for skilled nursing home care to 120 days during a benefit period. Limits the psychiatric hospital benefit to 45 inpatient days. Provides covereage for prescribed drugs furnished to individuals enrolled in group practice organizations or to inpatients or outpatients within participating hospitals, and drugs necessary for the treatment of specified chronic illnesses or conditions requiring long or expensive therapy. Requires the Board to establish two lists of approved drugs, taking into account the safety, efficacy and cost of each drug. Directs the Board to establish lists of therapeutic devices, appliances, and equipment which are eligible to be covered when prescribed by a participating physician or dentist. 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. Provides covereage for care of patients in mental health day care service for not more than sixty days during or following a benefit period, for the active treatment of individuals diagnosed as needing treatment for alcoholism or drug abuse, and for family planning and rehabilitation 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 additional to those required by his State. Establishes conditions of participation for general hospitals and for mental hospitals. Provides that mental 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. Requires such homes to be primarily engaged in providing skilled nursing care and related to services to inpatients, and to have written policies governing the services provided. Makes provision for the participation of home health services agencies. Describes as eligible a group practice organization which undertakes to provide an enrolled population with complete health services (other than mental health or dental services) and meets specified qualifying conditions. Lists other health service organizations eligible for qualification as providers under this Act. Specifies the conditions under which independent pathology laboratories, independent radiological services, and providers of drugs, devices, appliances, equipment, or ambulance services may qualify as providers under Health Security. Requires that a participating skilled nursing home have in effect an agreement with at least one participating hospital for the transfer of patients and medical and other information as medically appropriate. Prohibits in malpractice judgments any damages to be awarded to the injured party for the cost of remedial services which he is entitled to receive under this Act. Excludes the institutions of the Department of Defense and the Veterans Administration, and institutions of the Department of Health, Education, and Welfare serving merchant seamen or Indians or Alaskan natives, from serving as participating providers, as well as any employee of these institutions when he is acting as an employee. Provides reimbursement for any services furnished by these institutions or agencies to eligible persons who are not a part of their normal clientele. Permits a physician, dentist, optometrist, podiatrist, or psychologist 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. Establishes the Health Security Trust Fund. Provides that four separate accounts shall be established in the Health Security Trust Fund: a health services account, a health resources development account, and administration account, and a general account. Provides that in each of the first two years of program operation, 2 percent of the general account of Trust Fund shall be set aside for the health resources development account; and the allocation shall increase by 1 percent at two-year intervals to 5 percent within the next six years. Provides for allocation of the Health Services account among the regions of the country. Provides that the allocations to each region shall be based on the most recent 12-month period for covered services (with appropriate modification for estimated changes in the cost of living, the expected number of eligible beneficiaries, and estimated changes in the number of participating providers). Provides that the Board shall divide the allocation to each region into funds available to pay: institutional services; physician services; dental services; furnishing of drugs; furnishing of devices, appliances, equipment; and miscellaneous services. Provides that payments for covered services provided to eligible persons by participating providers will be made from the health service account in the Trust Fund. Describes the method to be used in applying, as between practitioners electing the various methods of payment (fee-for-service and capitation), the monies available in each health service area for payment to each category of professional providers. Authorizes the Board to experiment with other methods of reimbursement so long as the experimental method does not increase the cost of service or lead to overutilization or underutilization of services. Provides that skilled nursing homes and home health agencies will will be paid in the same manner as a general hospital (on an approved annual budget basis). Provides that a health organization will be paid for covered services, on the basis of a fixed capitation rate multiplied by the number of eligible enrollees. Contains a series of provisions for developing a continuous process of health service planning and for assisting in the recruitment, education, and training of health personnel. Authorizes grants: (1) to any public or nonprofit agency or organization, and (2) to any existing group practice organization or other health service organization to assist in expanding the scope of health maintenance organization services and to enable such organizations to service a larger clientale. Authorizes special improvement grants: (1) to any public or other non- profit 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 for diagnostic or therapeutic purposes. Requires the Board to transmit to the Congress within three years a comprehensive report, together with recommendations for improved methods of personal care services in communities lacking such programs, and recommendations for the continuing financial support of such services. Authorizes appropriations to the Trust Fund for grants of $200,000,000 for the first fiscal year of program operation and $400,000,000 for the succeeding fiscal year. Establishes a five-member, full-time Health Security Board serving under the Secretary of Health, Education, and Welfare. Provides that the members shall be appointed by the President with the advice and consent of the Senate, for five-year overlapping terms. Creates the position of an Executive Director, appointed by the Board with the approval of the Secretary. Provides that the Executive Director will serve as secretary to the Board and shall perform such duties in the administration of the program as the Board may assign. Provides that the program will be administered through the regional offices of the Department of Health, Education, and Welfare. Requires the establishment of local health service 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 performance of the Board's program. 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 records and information retrieval systems, equipment useful in the furnishing of preventive or diagnostic services, and model systems for use by providers of services; to develop improved administrative practices; and to make such other studies as it may consider necessary to improve the operation of the program. Directs the Board to issue guidelines for health manpower education and training designed to relate the clinical education conducted by providers of services more closely to the relative need for the different classes of such personnel. 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, podiatrists, and psychologists. 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. 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. Excludes from the gross income of employees, for income tax purposes, payment by their employers of part or all of the Health Security taxes on the employees. Spells out the precise effective dates of the new payroll tax provisions. Converts the existing Medicare self-employment tax into a Health Security self-employment tax, raising the rate to 2.5 percent. Imposes a 2.5 percent Health Security tax on unearned income, unless such income is less than $400 per year. Title III: Commissionon 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 - Repeals Title XVIII (Medicare) of the Social Security Act and the Federal employee health benefit statutes. Requires that after the effective date of benefits, no State shall be required to furnish any service covered under Health Security as a part of its State plan for participation under Medicaid. Title V: Studies Related to Health Security - Authorizes the Secretary of Health, Education, and Welfare in consultation with the Secretary of State and the Secretary of Treasury to study the coverage of health services for U.S. residents in other countries. Directs the Secretary of HEW to study the feasibility and desirability of coordinating the Federal health benefit programs for merchant seamen and Indians and Alaskan natives and also veterans and members of the Armed Forces, with the Health Security Benefit Program. Authorizes appropriations of sums necessary to carry out such studies.
Bill· HRH.R. 3632 (94th)referred
United States · United States Congress · 25 February 1975
Imposes increased taxes, under the Internal Revenue Code, on cigarettes of $0.50 more per thousand on small cigarettes and $1.05 more per thousand on large cigarettes, the proceeds, coupled with additional appropriations authorizations, to be used in part for programs respecting lung and blood diseases.
Bill· HRH.R. 3663 (94th)referred
United States · United States Congress · 25 February 1975
Designates the Miners' Hospital in Raton, New Mexico, as a Public Health Service hospital, to be known as the "Miners' Rehabilitation and Medical Hospital," and to be controlled, managed, and operated by the Secretary of Health, Education, and Welfare. Provides that any person who is or has been engaged in the removal of ores, precious stones, or other materials from pits or excavations, and whose disease, injury, or disability was incurred while so engaged or is related thereto, shall be entitled to receive care and hospitalization on a priority basis without charge at the Miners' Hospital. Authorizes to be appropriated such sums as may be necessary to enable the Secretary of Health, Education, and Welfare to carry out the provisions of this Act.
Bill· SS. 809 (94th)referred
United States · United States Congress · 24 February 1975
Directs the Secretary of Health, Education, and Welfare to conduct a research program with regard to the diagnosis and treatment of histoplasmosis and ocular histoplasmosis. Authorizes, for fiscal years 1976-1978, specified sums to be appropriated for the research programs and for conducting training programs.
Bill· HRH.R. 3606 (94th)referred
United States · United States Congress · 24 February 1975
Medicare Long-Term Care Act - Establishes, under title XVIII of the Social Security Act (Medicare), a voluntary program to provide long-term care benefits for aged and disabled individuals who elect to enroll under such program, financed from premium payments by enrollees together with contributions from funds appropriated by the Federal Government and contributions by the States. Lists criteria for eligibility for long-term care service benefits. Provides that the benefits provided to an individual by this Act shall consist of (1) home health services, (2) homemaker services, (3) nutrition services, (4) long-term institutional care services, (5) day care and foster home services, and (6) community mental health center outpatient services. Enumerates the requirements for a State long-term care agency. Provides for the payment of premiums for benefits received under this Act. Establishes on the books of the Treasury of the United States a trust fund to be known as the Federal Long-Term Care Trust Fund. Creates a body to be known as the Board of Trustees, composed of the Secretary of the Treasury, the Secretary of Labor, and the Secretary of Health, Education, and Welfare, all ex officio. States that the Secretary of the Treasury shall be the Managing Trustee of the Board of Trustees and that the Commissioner of Social Security shall serve as the Secretary of the Board of Trustees. Provides that the Board of Trustees shall meet not less frequently than once each calendar year. Enumerates the duties of the Board of Trustees. Declares that a community long-term care center shall: (1) provide the items and services listed in this Act to each individual (i) who is eligible for benefits under this part, (ii) who resides in the area served by such center and (iii) who is certified as requiring such services; (2) evaluate and certify the long-term care needs of an individual for whom such care may be required in order to maintain such individual in an independent living arrangement which is reasonable given such individual's state of health and other circumstances (but not including such individual's economic circumstances); (3) maintain a continuous relationship with (and periodically evaluate not less than annually) each individual who is receiving any of the items and services listed in this Act; (4) provide full opportunity for such individual and his family to participate in the determinations and functions under this Act; (5) provide an organized system for making its existence and location known to all individuals in its service area who are eligible for benefits under this part, and for making known to such individuals the method or methods by which they may most efficiently obtain and use the services which it makes available; and (6) performs such other functions as the Secretary of Health, Education, and Welfare may by regulation prescribe in order to have such center most effectively carry out the purposes of this Act. Provides a formula for payments to States for the reimbursement of community long-term care centers. Directs the Secretary, after consultation with organizations representing the chief executives of the various States, and other interested parties, to develop and make available to community long-term care centers one or more methods of obtaining payment for the benefits covered under this Act on a prospective basis. States that once a community long-term care center elects a particular prospective method, it may not alter its election without the prior approval of the Secretary. Provides that whenever the Secretary finds that the number of community long-term care centers electing a particular prospective payment method promulgated in accordance with this Act is not sufficient to provide an adequate basis for either the operation or evaluation of that method, the Secretary shall withdraw that method and allow the community long-term care centers which have elected such method to select another method withn 30 days of notice of such withdrawal. Permits a Governor of a State to certify to the Secretary a method of prospective payment other than those promulgated under this Act. States that the determination of whether an individual is entitled to benefits under this Act shall be made by the Secretary in accordance with regulations prescribed by him. Provides for increases in supplemental security income benefits.
Bill· HRH.R. 3609 (94th)referred
United States · United States Congress · 24 February 1975
Provides, under the Public Health Service Act, that medical facilities may be reimbursed by the Federal Government for emergency medical treatment given aliens unlawfully in the United States if such aliens are unable to pay the cost of such treatment or can pay only a part of the cost and the aliens or medical facilities which provided such treatment are not eligible under any public assistance program for payment of or reimbursement of such cost. Requires that an application for reimbursement be submitted to the Secretary of Health, Education, and Welfare. Sets forth criteria for determining whether such an application shall be approved.
Bill· HRH.R. 3485 (94th)referred
United States · United States Congress · 20 February 1975
National Huntington's Disease Control Act - States that it is the purpose of this Act to establish a national program for the diagnosis, prevention, and treatment of, and research in, Huntington's disease. Authorizes the Secretary of Health, Education, and Welfare to make grants for projects for the establishment and operation of Huntington's disease screening, treatment, and counseling programs. Authorizes the appropriation of $500,000 for the fiscal year ending June 30, 1975, and for each each of the next two fiscal years for such grants. Authorizes the Secretary to make grants for research in the diagnosis, treatment, and prevention of Huntington's disease. Authorizes the appropriation of $1,500,000 for the fiscal year ending June 30, 1975 and for each of the next two fiscal years for use for such grants. Directs the Secretary to carry out a program to develop information and educational materials relating to Huntington's disease and to disseminate such information and materials to persons providing health care and to the public in general. Authorizes the appropriation of $25,000 for the fiscal year ending June 30, 1975, and for each of the next two fiscal years to carry out this information program. Sets forth the requirements for applications for grants under this Act and the administration of such grants. Directs the Secretary to establish a program within the Public Health Service to provide for voluntary Huntington's disease screening, counseling, and treatment.
Bill· HRH.R. 3491 (94th)referred
United States · United States Congress · 20 February 1975
Drug Abuse Education Act - Directs the Commissioner of Education to make grants to: (1) institutions of higher education and other public or private agencies, institutions, or organizations for the conduct of special educational programs and activities concerning the use of drugs; and (2) State educational agencies in assisting local agencies in the planning, development, and implementation of drug abuse education. Authorizes appropriations of $3,000,000 for the fiscal year ending June 30, 1973, $7,000,000 for the fiscal year ending June 30, 1974, $10,000,000 for the fiscal year ending June 30, 1975, and $12,000,000 for each of the next two fiscal years for such grants. Directs the Secretary of Health, Education, and Welfare to appoint an Advisory Committee on Drug Abuse Education to advise on the administration of such programs. Authorizes the Secretary of Health, Education, and Welfare and the Attorney General to render technical assistance to local educational agencies and institutions of higher learning in the development and implementation of programs of drug abuse education.
Bill· HRH.R. 3351 (94th)referred
United States · United States Congress · 19 February 1975
Indian Health Care Improvement Act - Declares that it is the policy of this Nation, in fulfillment of its special responsibilities and legal obligation to the American Indian people, to meet the national goal of providing the highest possible health status to Indians and to provide existing Indian health services with all resources necessary to effect that policy. Defines the terms used in this Act. Title I: Indian Health Manpower - Directs the Secretary of Health, Education, and Welfare to make scholarship grants to individuals: (1) who are enrolled in medical schools; schools of optometry, osteophathy, dentistry, pharmacy, podiatry, public health, or nursing, or schools licensed by a State to train persons in the allied health professions, and (2) who agree to provide their professional services to Indians after completion of their professional training. Establishes a priority according to which the Secretary shall award scholarship grants under this Act. States that any scholarship grant awarded to any individual under this Act shall be awarded under the condition that such individual will, after the completion of his professional training, provide his professional services to Indians for a reasonable period of time as prescribed by the Secretary. Sets forth a formula by which the United States shall be entitled to recover scholarship grants from individuals who fail to comply with such condition for the full period. Authorizes to be appropriated for this program: $8,000,000 for fiscal year 1976, $16,000,000 for fiscal year 1977, $22,000,000 for fiscal year 1978, $30,000,000 for fiscal year 1979, and $34,000,000 for fiscal year 1980, and for each succeeding fiscal year, such sums as may be necessary to continue to make such grants to individuals who (prior to July 1, 1980) have received such grants and who are eligible for such grants under this Act during such succeeding fiscal year. Directs the Secretary to make scholarship grants for a period not to exceed two academic years to Indians who: (1) have successfully completed their high school education; and (2) have demonstrated a capability to successfully complete a premedical, predental, or preosteopathy course of study. Authorizes to be appropriated for the above program: $1,000,000 for fiscal year 1976; $2,000,000 for fiscal year 1977; and $3,000,000 for each of the next three fiscal years. Permits the Secretary to provide continuing education allowances to Indian Health Service physicians. Authorizes to be appropriated for such programs: $350,000 each year for fiscal years 1976 and 1977; $375,000 for fiscal year 1978, $390,000 for fiscal year 1979, and $410,000 for fiscal year 1980. Title II: Health Services - Authorizes the Secretary to expend over a five-fiscal-year period $123,500,000, in addition to the annual appropriations required to continue the health service program to the Indian people, and to employ additional personnel for the purpose of eliminating backlogs in Indian health care services and to supply known, unmet medical, surgical, dental and other Indian health needs. Title III: Health Facilities - Authorizes the Secretary to expend $400,000,000 over a five-fiscal-year period for the purpose of eliminating inadequate, outdated, and otherwise unsatisfactory service hospitals, health centers, health stations, and other service facilities. Enables the Secretary to expend $470,000,000 within a five-fiscal-year period to supply unmet needs for safe water and sanitary waste disposal facilities in existing and new Indian homes and communities. Directs the Secretary to develop a plan, together with the Secretary of Housing and Urban Development, to assure that the five-year schedule provided for in this Act will be met. Title IV: Access to Health Services - States that the service facilities used to provide health care and services to Indians are hereby deemed to be accredited facilities for the purposes of title XVIII (Medicare) and title XIX (Medicaid) of the Social Security Act. Title V: Access to Health Services for Urban Indians - Defines "Urban Indians", "Urban Indian organization" and "urban center" as used in this Act. Provides that the Secretary shall enter into contracts with urban Indian organizations to provide Federal assistance to such organizations for the purpose of establishing and administering outreach programs to make urban Indians in the urban centers in which such organizations are situated knowledgeable of the health service resources available within such centers and the means of gaining access to those resources. Directs the Secretary to prescribe the criteria for selecting urban Indian organizations with which to contract pursuant to this Act. Authorizes to be appropriated for this program: $3,000,000 for fiscal year 1976; $4,000,000 for fiscal year 1977; and $5,000,000 for fiscal year 1978. Provides that, within six months after the end of fiscal year 1976, the Secretary shall review the above program and shall submit to the Congress his assessment of it and recommendations for any further legislation. Title VI: Miscellaneous - Requires the Secretary to report annually to the President and the Congress on progress made in effecting the purposes of this Act. States that within three months after the end of fiscal year 1979, the Secretary shall review the programs established or assisted under this Act and shall submit to the Congress his assessment and recommendations of additional programs or additional assistance necessary to, at a minimum provide health services to Indians, and insure a health status for Indians, which is at a parity with the health services available to, and the health status of, the general population. Provides that the funds appropriated pursuant to this Act shall remain available until expended.
Bill· HRH.R. 3268 (94th)referred
United States · United States Congress · 19 February 1975
Nurse Training Act - Extends the authorization of appropriations for grants for construction or rehabilitation of nursing schools through fiscal year 1977. Allows the Secretary of Health, Education, and Welfare to make grants to public and other non-profit private schools of nursing and other public or non-profit private entities, and enter into contracts with any public or private entity, to meet the costs of special projects to: (1) develop training programs, and train, for new roles, types, or levels of nursing personnel, including programs for the training of pediatric nurse practitioners or other types of nurse practitioners; (2) increase educational opportunities for disadvantaged students; (3) provide continuing education for nurses; and (4) help to increase the supply or improve the distribution by geographic area or by specialty group of adequately trained nursing personnel needed to meet the health needs of the Nation, including the need to increase the availability of personal health services and the need to promote preventive health care. Authorizes appropriations through fiscal year 1977 for such grants and contracts. Allows the Secretary to make grants to assist public or nonprofit private schools of nursing which are in serious financial straits to meet operational costs required to maintain quality educational programs or which have special need for financial assistance to meet accreditation requirements. Authorizes appropriations for such grants through fiscal year 1977. Prescribes a per-student formula for grants to nursing schools for support of their education programs. Authorizes appropriations through fiscal year 1977 for such grants. Extends the authorization of appropriations for traineeships, student loans, and the program to encourage full utilization of educational talent for nursing. Extends the nursing scholarship program. Requires the Secretary of Health, Education, and Welfare to determine on a continuing basis the current and projected supply of the various classifications of nurses, their geographic distribution, pay rates, activity status, and advanced training status. Requires a report annually to the Congress upon such findings together with recommendations for legislation.
Bill· HRH.R. 3252 (94th)referred
United States · United States Congress · 19 February 1975
National Voluntary Medical and Hospital Services Act - Creates the National Voluntary Medical and Hospital Services Insurance Agency to operate a National Voluntary Medical and Hospital Services Insurance Plan with funds supplied by voluntary subscriptions and matching United States Treasury funds, to pay all reasonable costs of all medically necessary and appropriate medical and hospital services for all voluntary enrollees. Provides that this Act shall become operative within two years of its enactment, and that Congress shall appropriate $50,000,000 for the first calendar year after this Act becomes effective. Provides that payment shall be made by the plan to or on behalf of every enrollee for all legal, appropriate, and professionally recognized and medically necessary service provided as a personal professional service by or under the direct supervision of a licensed medical doctor, whenever performed. Specifies services excluded from benefits of the plan. Provides for premium payments in the amount of fifteen dollars per month for each adult and one-half of the amount for each child. Provides that subscribers with a total earned and unearned family income of less than $9,969 per year shall be entitled to have their premiums calculated at 1.8 percent of such income for each adult enrollee, and at half that amount for each child enrollee. Provides that not more than 3 percent of all premiums received shall be used for the payment of costs of the plan other than benefits. States that the Agency shall affix a fee to every professionally recognized diagnostic and therapeutic medical service procedure or treatment and laboratory pathological test and procedure that is proportionate to the customary and reasonable fee for such service in each general area of the United States. Enumerates, with respect to claims for the benefits of this plan, the form of, items of information to be contained in, and procedures for auditing, assessment, and payment of, such claims. States that the Agency shall have the right to temporarily or permanently exclude any enrollee or provider of services found to have made any false claim for payment for services. Provides for the arbitration of claims for damages resulting from the alleged malpractice in the provision of any service that is a benefit of the plan. Estimates that this Act would provide total medical and hospital care for all Americans at substantially less cost than present public expenditures for these services, for a limited segment of the population only. Estimates a maximum anticipated enrollment in Plan during fourth and subsequent years of two hundred million, at average monthly premiums of $9 per capita ($108 per year) or a total of less than $22,000,000,000 per year requiring matching United States Treasury general funds. Estimates the cost of medical benefits of Plan under assumed maximum ulization by two hundred million enrollees and two hundred and twenty-five thousand providers to be approximately $15,000,000,000 per year, or an average of approximately $65,000 per doctor, per year.
Bill· HRH.R. 3261 (94th)referred
United States · United States Congress · 19 February 1975
Indian Health Care Improvement Act - Declares that it is the policy of this Nation, in fulfillment of its special responsibilities and legal obligation to the American Indian people, to meet the national goal of providing the highest possible health status to Indians and to provide existing Indian health services with all resources necessary to effect that policy. Defines the terms used in this Act. Title I: Indian Health Manpower - Directs the Secretary of Health, Education, and Welfare to make scholarship grants to individuals: (1) who are enrolled in medical schools; schools of optometry, osteophathy, dentistry, pharmacy, podiatry, public health, or nursing, or schools licensed by a State to train persons in the allied health professions, and (2) who agree to provide their professional services to Indians after completion of their professional training. Establishes a priority according to which the Secretary shall award scholarship grants under this Act. States that any scholarship grant awarded to any individual under this Act shall be awarded under the condition that such individual will, after the completion of his professional training, provide his professional services to Indians for a reasonable period of time as prescribed by the Secretary. Sets forth a formula by which the United States shall be entitled to recover scholarship grants from individuals who fail to comply with such condition for the full period. Authorizes to be appropriated for this program: $8,000,000 for fiscal year 1976, $16,000,000 for fiscal year 1977, $22,000,000 for fiscal year 1978, $30,000,000 for fiscal year 1979, and $34,000,000 for fiscal year 1980, and for each succeeding fiscal year, such sums as may be necessary to continue to make such grants to individuals who (prior to July 1, 1980) have received such grants and who are eligible for such grants under this Act during such succeeding fiscal year. Directs the Secretary to make scholarship grants for a period not to exceed two academic years to Indians who: (1) have successfully completed their high school education; and (2) have demonstrated a capability to successfully complete a premedical, predental, or preosteopathy course of study. Authorizes to be appropriated for the above program: $1,000,000 for fiscal year 1976; $2,000,000 for fiscal year 1977; and $3,000,000 for each of the next three fiscal years. Permits the Secretary to provide continuing education allowances to Indian Health Service physicians. Authorizes to be appropriated for such programs: $350,000 each year for fiscal years 1976 and 1977; $375,000 for fiscal year 1978, $390,000 for fiscal year 1979, and $410,000 for fiscal year 1980. Title II: Health Services - Authorizes the Secretary to expend over a five-fiscal-year period $123,500,000, in addition to the annual appropriations required to continue the health service program to the Indian people, and to employ additional personnel for the purpose of eliminating backlogs in Indian health care services and to supply known, unmet medical, surgical, dental and other Indian health needs. Title III: Health Facilities - Authorizes the Secretary to expend $400,000,000 over a five-fiscal-year period for the purpose of eliminating inadequate, outdated, and otherwise unsatisfactory service hospitals, health centers, health stations, and other service facilities. Enables the Secretary to expend $470,000,000 within a five-fiscal-year period to supply unmet needs for safe water and sanitary waste disposal facilities in existing and new Indian homes and communities. Directs the Secretary to develop a plan, together with the Secretary of Housing and Urban Development, to assure that the five-year schedule provided for in this Act will be met. Title IV: Access to Health Services - States that the service facilities used to provide health care and services to Indians are hereby deemed to be accredited facilities for the purposes of title XVIII (Medicare) and title XIX (Medicaid) of the Social Security Act. Title V: Access to Health Services for Urban Indians - Defines "Urban Indians", "Urban Indian organization" and "urban center" as used in this Act. Provides that the Secretary shall enter into contracts with urban Indian organizations to provide Federal assistance to such organizations for the purpose of establishing and administering outreach programs to make urban Indians in the urban centers in which such organizations are situated knowledgeable of the health service resources available within such centers and the means of gaining access to those resources. Directs the Secretary to prescribe the criteria for selecting urban Indian organizations with which to contract pursuant to this Act. Authorizes to be appropriated for this program: $3,000,000 for fiscal year 1976; $4,000,000 for fiscal year 1977; and $5,000,000 for fiscal year 1978. Provides that, within six months after the end of fiscal year 1976, the Secretary shall review the above program and shall submit to the Congress his assessment of it and recommendations for any further legislation. Title VI: Miscellaneous - Requires the Secretary to report annually to the President and the Congress on progress made in effecting the purposes of this Act. States that within three months after the end of fiscal year 1979, the Secretary shall review the programs established or assisted under this Act and shall submit to the Congress his assessment and recommendations of additional programs or additional assistance necessary to, at a minimum provide health services to Indians, and insure a health status for Indians, which is at a parity with the health services available to, and the health status of, the general population. Provides that the funds appropriated pursuant to this Act shall remain available until expended.
Bill· HRH.R. 3279 (94th)referred
United States · United States Congress · 19 February 1975
Health Manpower Act - Title I: General Provisions - Revises and repeals specified provisions of the Public Health Services Act. Title II: Assistance for Construction of Teaching Facilities - Directs the Secretary of Health, Education, and Welfare to make grants to assist in the construction of teaching facilities for the training of physicians, dentists, pharmacists, optometrists, podiatrists, veterinarians, and professional public health personnel. Authorizes appropriations of $100,000,000 for each of fiscal years 1975, 1976, 1977, and 1978. Title III: Student Assistance; National Health Service Corps - Expands the provisions governing the making of student loans under the Public Health Service Act and the rates for repayment of such loans. Authorizes appropriations for the purpose of making Federal capital contributions into the student loan funds of authorized schools. Prescribes procedures for the establishment of a National Health Service Corps, applications for assistance from the Corps, and assignment and functions of Corps personnel to medically underserved populations. Outlines the rate-of-pay schedule for physician and dentist Corps members engaged in the delivery of health services to a medically underserved population. Details the reporting requirements of the Secretary to the Congress in his carrying out the programs of the National Health Service Corps. Establishes the National Advisory Council on the National Health Service Corps. Specifies the membership composition of such Council. Authorizes appropriations for fiscal years 1976-1978 for carrying out this section. Revises the Public Health and National Health Service Corps Scholarship Training Program, setting forth the eligibility requirements for acceptance in such program and the time and type of obligated service required. Authorizes to be appropriated to carry out the Program $50,000,000 for fiscal year 1976, $100,000,000 for fiscal year 1977, and $150,000,000 for fiscal year 1978. Title IV: Grants for Health Professions Schools - Sets forth computation rules governing the making of annual grants by the Secretary for the support of education programs of schools of medicine, osteopathy, public health, dentistry, veterinary medicine, optometry, pharmacy, and podiatry. Provides for the apportionment of, and authorization of, appropriations for the making of such grants. States that the Secretary shall not make such grants to any school unless specified assurances that the first year enrollment of health profession schools will rise by specified percentages in succeeding years, are met. Title V: Special Project Grants and Contracts - Revises the procedure for the making of special project grants and contracts for the purposes of assisting individuals from disadvantaged backgrounds. Specifies the purposes for which such grants may be used. Authorizes appropriations for such grants through fiscal year 1978. Title VI: Medical Residency Training Programs; Admission of Alien Doctors; Reports - Provides for the accrediting and operation of medical residency training programs. Provides for the exclusion of alien doctors who have not met specified requirements of this Act as to certification and demonstrated competency in oral and written English, as well as other criteria.
Bill· HRH.R. 3209 (94th)referred
United States · United States Congress · 19 February 1975
Health Security Act - Title I: Health Security Benefits - Provides that every resident of the U.S. (and every non-resident citizen when in the U.S.) will be eligible for covered services. Permits reciprocal and "buy-in" agreements for groups or non-resident aliens, and in some cases benefits to U.S. residents when visiting in other countries. Entitles every eligible person to have payments made by the Health Security Board for covered services provided within the United States by a participating provider. Provides that all necessary professional services of physicians, wherever furnished are covered, including preventive care, with two restrictions: (1) specialist services are covered only when performed by a qualified specialist except in emergency situations, and generally only on referral from a primary physician; and (2) psychiatric services to an ambulatory patient are covered only for active preventive, diagnostic, therapeutic or rehabilitative service with respect to mental illness. Provides that comprehensive dental services (exclusive of most orthodontic services) are covered for children under age 15, with the covered age group increasing by two years each year until all those under age 25 are covered. Provides that: (1) inpatient and outpatient hospital services and services of a home health agency are covered without arbitrary limitation; and (2) pathology and radiology services are specifically included as parts of institutional services. Limits payment for skilled nursing home care to 120 days per spell of illness, except that this limit may be increased when the nursing home is owned or managed by a hospital and payment for care is made through the hospital budget. Limits the psychiatric hospital benefit to 45 consecutive days of active treatment during a spell of illness. Provides coverage for two categories of drug use: prescribed medicines administered to inpatients or outpatients within participating hospitals; or to enrollees of comprehensive health service organizations, and drugs necessary for the treatment of specified chronic illnesses or conditions requiring long or expensive therapy. Requires the Board and the Secretary of Health, Education, and Welfare to establish two lists of approved drugs, taking into account the safety, efficacy and cost of each drug. Provides a broad list of approved medicines available for use in institutions and by comprehensive health service organizations and a more restricted list which is available for use outside such organized settings. Provides that the appliances benefit is similar in concept and operation to the drug benefit, subject to a limitation on aggregate cost. Asserts that the professional services of optometrists and podiatrists are covered, subject to regulations, as are diagnostic or therapeutic services furnished by independent pathology laboratories and radiology services. States that health services furnished or paid for under a workmen's compensation law are not covered. Provides that the services of a professional practitioner are not covered if they are furnished in a hospital which is not a participating provider. Requires that participating providers meet standards established in this title or by the Board. Requires that such providers must agree to provide services without discrimination, to make no unauthorized charge to the patient for any covered service, and to furnish data necessary for utilization review by professional peers, statistical studies by the Board, and verification of information for payments. Makes professional practitioners licensed when the program begins eligible to practice in the State where they are licensed and requires that all newly licensed applicants for participation meet national standards established by the Board in addition to those required by his State. Establishes conditions of participation for general hospitals similar to those required by Medicare. States that the two requirements not found in the Medicare program are: (1) that the hospital must not discriminate in granting staff privileges on any grounds unrelated to professional qualifications, and (2) that it establish a pharmacy and drug therapeutics committee for supervision of hospital drug therapy. Provides that psychiatric hospitals will be eligible to participate only if the Board finds that the hospital (or a distinct part of the hospital) is engaged in furnishing active diagnostic, therapeutic and rehabilitative services to mentally ill patients. Establishes conditions of participation for skilled nursing homes similar to those established for extended care facilities under Medicare. Makes provisions for the participation of home health service agencies. Describes as eligible a health maintenance organization which undertakes to provide an enrolled population either with complete health care or, at least, with complete health security services (other than institutional services, mental health or dental services) for the maintenance of health and the care of ambulatory patients. Permits a foundation sponsored by a county or other local medical society to participate as a provider of services. Permits the participation of community health centers or the like which, though furnishing services as comprehensive as are required by this Act, do not serve an enrolled or otherwise predetermined population and may not meet other requirements of this Act. Authorizes the Board to deal separately with the primary care portion of a system of comprehensive health care where it is necessary to rely on arrangements with other providers. Permits the Board to contract directly with public or other nonprofit mental health centers and mental health day care services. Specifies the conditions under which independent pathology laboratories, independent radiological services, and providers of drugs, devices, appliances, equipment, or ambulance services may qualify as providers under Health Security. Requires that a participating skilled nursing home have in effect an agreement with at least one participating hospital for the transfer of patients and medical and other information as medically appropriate. Prohibits in malpractice judgments any damages to be awarded to the injured party for the cost of remedial services which he is entitled to receive under this Act. Excludes the institutions of the Department of Defense and the Veterans Administration, and institutions of the Department of Health, Education, and Welfare serving merchant seamen or Indians or Alaskan natives, from serving as participating providers, as well as any employee of these institutions when he is acting as an employee. Provides reimbursement for any services furnished by these institutions or agencies to eligible persons who are not a part of their normal clientele. Permits a physician, dentist, optometrist, or podiatrist, licensed in one State and meeting the national standards, to furnish Health Security benefits in any other State, the scope of his permissible practice being governed by the law of the State in which he is practicing. Grants a similar authority to other health professional and nonprofessional personnel. Establishes the Health Security Trust Fund, to receive the net assets of existing (Medicare) funds taken over by the Health Security program, the yield of the Health Security taxes, and the Government's contribution from general revenues amounting to 100 percent of the yield from these taxes. Provides that three separate accounts shall be established in the Health Security Trust Fund: a Health Service Account, a Health Resources Development Account, and an Administration Account. Provides that in each of the first two years of program operation, 2 percent of the Trust Fund shall be set aside for the Health Resources Development Fund; and the allocation shall increase by 1 percent at two-year intervals to 5 percent within the next 6 years. Provides for allocation of the Health Services account among the regions of the country. Provides that the allocation to each region shall be based on the aggregate sum expended during the most recent 12-month period for covered services (with appropriate modification for estimated changes in the consumer price index, the expected number of eligible beneficiaries, and estimated changes in the number of participating providers). Provides that the Board shall divide the allocation to each region into funds available to pay: institutional services; physician services; dental services; furnishing of drugs; furnishing of devices, appliances, equipment; and miscellaneous services. Provides that payments for covered services provided to eligible persons by participating providers will be made from the Health Service Account in the Trust Fund. Describes the method to be used in applying, as between practitioners electing the various methods of payment (fee-for-service and capitation), the monies available in each health service area for payment to each category of professional providers. Authorizes the Board to experiment with other methods of reimbursement so long as the experimental method does not increase the cost of service or lead to overutilization or underutilization of services. Provides that skilled nursing homes and home health agencies will be paid in the same manner as a general hospital (on an approved annual budget basis). Provides that a health organization will be paid for covered services, on the basis of a fixed capitation rate multiplied by the number of eligible enrollees. Contains a series of provisions for developing a continuous process of health service planning and for assisting in the recruitment, education, and training of health personnel. Authorizes special improvement grants: (1) to any public or other nonprofit health agency or institution to establish improved coordination and linkages with other providers of services, and (2) to organizations providing comprehensive ambulatory care, to improve their utilization review, budget, statistical, or records and information retrieval systems, to acquire equipment needed for those purposes, or to acquire equipment useful for mass screening or for other diagnostic or therapeutic purposes. Sets forth the responsibilities and duties of the Secretary of HEW and the Board with regard to this title. Creates an administrative structure within the Department of Health, Education, and Welfare with exclusive responsibility for the administration of the Health Security program. Establishes a five-member, full-time Health Security Board serving under the Secretary of Health, Education, and Welfare. Provides that the members shall be appointed by the President with the advice and consent of the Senate, for five-year overlapping terms. Creates the position of an Executive Director, appointed by the Board with the approval of the Secretary. Provides that the Executive Director will serve as secretary to the Board and shall perform such duties in the administration of the program as the Board may assign. Provides that the program will be administered through the regional offices of the Department of Health, Education, and Welfare. Requires the establishment of sub-regional (service area) offices. Establishes a National Health Security Advisory Council, with the Chairman of the Board serving as the Council's Chairman and 20 additional members not in the employ of the Federal Government. Authorizes the Advisory Council to appoint professional or technical committees to assist in its functions. Provides that the Advisory Council will advise the Board on matters of general policy in the administration of the program, the formulation of regulations and the allocation of funds for services. Charges the Board with responsibility for informing the public and providers about the administration and operation of the Health Security program. Requires the Board to make a continuing study and evaluation of the program, including adequacy, quality and costs of services. Authorizes the Board directly or by contract to make detailed statistical and other studies on a national, regional, or local basis of any aspect of the title; to develop and test incentive systems for improving quality of care, methods of peer review of drug utilization and of other service performances; to develop and test systems of information retrieval, budget programs, instrumentation for multiphasic screening or patient services, and reimbursement systems for drugs; and to make such other other studies which it considers would improve the quality of services of the administration of the program. Grants authority to the Board, in accordance with regulations, to make determinations of who are participating providers of services, determinations of eligibility, of whether services are covered, and the amount to be paid to providers. Allows a provider of services who is dissatisfied with a final Board determination to obtain a hearing before a Board panel, and judicial review of a final decision. Authorizes the Board, with the advice and assistance of the Commission on the Quality of Health Care, to issue and review regulations assuring the quality of care furnished under this Act. Requires continuing professional education by physicians, dentists, optometrists, and podiatrists. Provides for the appointment of a Deputy Secretary of HEW and an Under Secretary for Health and Science. States that no provision of this Act shall alter any contractual obligation of an employer to provide health services to his employees and their dependents. Title II: Health Security Taxes - Converts the existing Medicare hospital insurance payroll taxes into Health Security taxes, and raises the rates to 1 percent on employees and 3.5 percent on employers. Raises the wage base for the employee tax from the present $7,800 to $15,000; or, if higher, 125 percent of the contribution and benefit base. Broadens the definitions of covered employment to include foreign agricultural workers, employees of the U.S. and its instrumentalities (other than members of the armed forces and the President, Vice-President, and Members of Congress), employees of charitable and similar organizations, railroad employees, and (for the employee tax only) employees of States and their political subdivisions and instrumentalities. Excludes from the gross income of employees, for income tax purposes, payment by their employers of part or all of the Health Security taxes on the employees. Spells out the precise effective dates of the new payroll tax provisions. Converts the existing Medicare self-employment tax into a Health Security self-employment tax, raising the rate to 2.5 percent, and raises the maximum taxable self-employment income from $7,800 to $15,000. Adds a new 1 percent Health Security tax on unearned income (unless such income is less than $400 a year), subject to the same maximum on taxable income as is applicable to the employee and self-employment taxes. Title III: Commission on the Quality of Health Care - Establishes in the Department of HEW a Commission on the Quality of Health Care, with the primary responsibility of: (1) initiating and continuing development of methods of assessing the quality of health care furnished under the Health Security Act, and (2) submitting to the Secretary and the Health Security Board its findings and recommendations. Stipulates that in carrying out its duties the Commissioner shall emphasize, and give first consideration to, care furnished for those illnesses and conditions which have relatively high incidence in the population and which are relatively amenable to medical or other care. Title IV: Repeal or Amendment of Other Acts - Requires that after the effective date of benefits, no State shall be required to furnish any service covered under Health Security as a part of its State plan for participation under Medicaid. Title V: Studies Related to Health Security - Authorizes the Secretary of Health, Education, and Welfare in consultation with the Secretary of State and the Secretary of Treasury to study the coverage of health services for U.S. residents in other countries. Directs the Secretary of HEW to study the feasibility and desirability of coordinating the Federal health benefit programs for merchant seamen and Indians and Alaskan natives and also veterans and members of the Armed Forces, with the Health Security Benefit Program.
Bill· HRH.R. 3205 (94th)referred
United States · United States Congress · 19 February 1975
National Health Education Policy and Development Act - Declares that the Congress finds that (1) a number of health problems have their roots in the habits, lifestyles, attitudes, and beliefs of the American people; and (2) there is a need for the development of effective school health education programs. Declares that it is the purpose of this Act to develop a national health education policy and program, and to authorize financial assistance for the development and implementation of that policy. Establishes within the Department of Health, Education, and Welfare a Health Education Administration. Establishes a permanent Advisory Council for Health Education to advise, consult with, and make recommendations to the Administrator on matters relating to the administration of this Act. Directs the Administrator to conduct a study and submit a report to the Congress on specified subjects including: (1) the current status of health education in the United States; (2) areas of greatest potential impact for health education; and (3) opportunities to improve, by means of health education, the well being of ethnic groups with distinctive health problems. Authorizes the Administrator, upon recommendation of the Council, to make grants to or enter into contracts with public or nonprofit private entities for the purpose of: (1) developing specific educational and informational techniques for the dissemination of health information; (2) developing mutifaceted systems of health care education for a defined geographic area; and (3) providing the training for personnel to carry out health education programs. Requires the Administrator to submit an annual report to the Congress on the status of health education in the United States. Authorizes to be appropriated for the purposes of carrying out this Act a sum not to exceed $5,000,000 for the first fiscal year after the enactment of this Act, $10,000,000 for the second fiscal year, and $15,000,000,000 for the third fiscal year.
Bill· HRH.R. 3190 (94th)referred
United States · United States Congress · 19 February 1975
National Tay-Sachs Disease Screening and Counseling Act - Provides that it is the purpose of this Act to establish a national program, under the Public Health Service Act, for voluntary Tay-Sachs disease screening and counseling. Authorizes appropriations of $2,500,000 for fiscal year 1974 for making grants to public and nonprofit entities to establish and operate such screening programs. Sets forth the procedure for applications for and administration of such grants.
PreviousPage 12 of 13Next