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601 records in US in 1977
United States · United States Congress · 4 January 1977
Amends Title XVIII (Medicare) of the Social Security Act to provide payment for hearing aids and dentures under the supplementary medical insurance program.
United States · United States Congress · 4 January 1977
Amends Title XVIII (Medicare) of the Social Security Act to provide payment for optometric and medical vision care under the supplementary medical insurance program.
United States · United States Congress · 4 January 1977
Medical Assistance Amendments - Amends Title XVIII (Medicare) of the Social Security Act to eliminate all the deductibles, coinsurance, and time limitations presently applicable to benefits thereunder. Eliminates medicare taxes as the method of financing hospital insurance benefits and premium payments as the method of financing supplementary medical insurance benefits. Includes within the coverage of Title XVIII eye care, dental care, hearing aids, prescription drugs, prosthetics, one physical checkup a year, preventive care, diagnosis of breast cancer, services of clinical psychologists, and services of registered nurses. Establishes a system of administrative and judicial review of claims which arise under the supplementary medical insurance program.
United States · United States Congress · 4 January 1977
Amends the Internal Revenue Code to increase the excise tax on cigarettes. Amends the Public Health Service Act to establish a National Cancer Research Fund in the Treasury to be partially funded from the additional excise taxes collected under this Act.
United States · United States Congress · 4 January 1977
Amends the Public Health Service Act by adding Title XIV - Fertility, Sterility, and the Reproductive Process. Requires the Secretary of Health, Education, and Welfare to make grants to, and enter into contracts with, public or nonprofit entities for research projects in fertility and sterility in humans and the human reproductive process and for training to enable persons to undertake such research. Authorizes the Secretary to establish in the National Institutes of Health and in various geographical regions of the United States specialized treatment centers in the field of human reproduction.
United States · United States Congress · 4 January 1977
Amends Title XVIII (Medicare) of the Social Security Act to authorize payment for specified services performed by chiropractors, including x-rays and physical examinations, and related routine laboratory tests.
United States · United States Congress · 4 January 1977
Extends to all career personnel of the Veterans Administration the preference for attendance at Regional Medical Education Centers heretofore limited only to V.A. medical and health personnel.
United States · United States Congress · 4 January 1977
Amends Title XVIII (Medicare) of the Social Security Act to authorize payment for specified services performed by chiropractors, including x-rays and physical examinations, and related routine laboratory tests.
United States · United States Congress · 4 January 1977
Federal Nonsmokers Protection Act - Prohibits smoking in specified areas of Federal facilities and in interstate passenger carrier facilities. Requires the effective separation of smokers from non-smokers in certain areas of such facilities. Requires that nonsmoking employees in Federal facilities be given the opportunity to be assigned to physically distinct offices or workplaces from those who smoke, whenever possible. Makes the executive head or chief administrative officer of each instrumentality responsible for the enforcement of these prohibitions in any Federal facility in which such instrumentality maintains offices. Requires such officers to submit an annual report on the enforcement of these prohibitions to the Administrator of General Services. Establishes civil penalties for individuals who smoke in any area of an interstate passenger carrier facility where smoking is prohibited under this Act. Requires that "No Smoking" signs be posted in specified areas.
United States · United States Congress · 4 January 1977
Amends the Federal Cigarette Labeling and Advertising Act to require the Secretary of Health, Education, and Welfare to include in his annual report to Congress on the health consequences of smoking, information concerning the effects on nonsmokers of involuntary inhalation of cigarette smoke.
United States · United States Congress · 4 January 1977
Public Health Cigarette Smoking Act - Makes it unlawful, under the Federal Cigarette Labeling and Advertising Act, for any person to manufacture, import, or package for sale or distribution within the United States any cigarettes the package of which (1) fails to bear the required health warning statement; and (2) fails to bear a statement of the tar and nicotine content of each cigarette in such package, as determined by the Federal Trade Commission. States that it shall be unlawful for any person to disseminate or cause to be disseminated any cigarette advertisement which fails to contain the required statements and which is either disseminated by United States mails or in commerce or which is likely to induce, directly or indirectly, the purchase in, or have an effect upon, commerce of cigarettes. Requires cigarettes for export to contain the required statements in the language of the country to which such package is exported.
United States · United States Congress · 4 January 1977
Continuing Care Consumer Protection Act - Directs that no federally assisted continuing care institution, including such institutions which are engaged in interstate commerce, may require any transfer of property, or any cash payment in addition to or in lieu of the institution's regular periodic charges for the care and services involved from any individual in return for, or as a condition of the provision to such individual of, medical, nursing, custodial, or other long-term care except under, and in accordance with, a written contract or agreement which sets forth the rights and obligations of the institution and such individual. Sets forth requirements which must be met by such contracts in order to conform to this Act, including: (1) full written financial disclosure to potential patients prior to the time the contract is entered into; (2) a complete description of the services to be rendered; (3) a description of the method by which any payment is to be made; and (4) a statement that termination of the contract will be permitted upon 90-days notice to the nonterminating party. Requires that the financial records of each institution subject to this Act shall be audited not less than once each year. Directs each such institution to maintain financial reserves sufficient to meet its obligations under continuing care contracts. Specifies that in any case where an institution subject to this Act is in the process of construction or major rehabilitation at the time a payment is made to it, such payment shall be held in escrow. States that any institution which fails to comply with the requirements of this Act shall be guilty of a misdemeanor and shall upon conviction thereof be fined not more than $5,000. Allows any party to a continuing care contract, injured by reason of the institution's noncompliance with this Act, to sue therefor in the district court of the United States without respect to the amount in controversy, and shall be entitled to recover damages together with the cost of suit, including reasonable attorney's fees.
United States · United States Congress · 4 January 1977
Amends Title XVIII (Medicare) of the Social Security Act to expand the coverage of the supplementary medical insurance program to include physician extender services.
United States · United States Congress · 4 January 1977
Health Care Insurance Act - Amends the Social Security Act by adding the following new Title: Title XXI - Federal Financing of Voluntary Health Insurance. Declares the purpose of this Act to make it possible for every individual to obtain comprehensive medical and hospitalization insurance of his choice. Establishes for eligible beneficiaries and their dependents a program for the issuance of health insurance certificates of entitlement which shall operate to reduce or eliminate the cost to any individual of protection under a qualified health care insurance policy or plan of his choice. Provides that eligible beneficiaries under this title include: (1) a husband and his wife, both under age 65, living together; and (2) any person, under age 65, other than a married person living with his or her spouse where both are under age 65, who is not a dependent beneficiary. Defines a dependent beneficiary as any child or step-child of an eligible beneficiary who, during the base year of such eligible beneficiary, receives more than 50 percent of his support from such eligible beneficiary, and who at the close of such year has not attained the age of 21, or, if he is a full-time student, has not attained the age of 23. Provides that every individual who is an eligible beneficiary shall be eligible to receive a health insurance certificate of entitlement, which shall be applicable in full or part payment of allowable premiums on a qualified health care insurance policy or plan. States that the value to be assigned to the health insurance certificate of entitlement shall be the sum of: (1) the allowable premiums for qualified health care insurance paid for basic coverage for the beneficiary's benefit year, multiplied by the applicable percentage factor ranging from 100 percent for persons with an income tax liability of $0, to ten percent for persons with an income tax liability of $891 or over; and (2) 100 percent of the allowable premiums paid for the catastrophic expense coverage for the beneficiary's benefit year. Provides that the allowable premium which shall be taken into account in the assignment of value to a health insurance certificate of entitlement shall be that portion of the aggregate amount of premiums paid or payable by an eligible beneficiary for one or more qualified health care insurance policies or plans providing coverage for such eligible beneficiary and his dependent beneficiaries for a 12 month period that represents the cost of the protection required in a qualified health care insurance policy or plan. Provides that a health insurance certificate of entitlement means a certificate issued by the Secretary of Health, Education, and Welfare to an eligible beneficiary to apply toward payment of premium on a qualified health care insurance policy or plan. Defines a "qualified health care insurance policy or plan" as a contractual agreement specifying benefits under a program offered by a qualified carrier, which carrier and program have been registered by the State insurance department or by such other agency as may be authorized by the State, and which provides: (1) basic coverage providing for all expenses incurred for institutional care, emergency and outpatient services, medical care, dental or oral surgery, and ambulance services; and (2) catastrophic expense coverage. Provides that hospital and medical benefits under the basic coverage shall be subject to payment by the beneficiary of: (1) $50 for costs incurred during each stay in the hospital or extended care facility as an inpatient; (2) 20 percent coinsurance on the first $500 of expenses incurred during the twelve-month policy period for the eligible beneficiary and his dependent beneficiaries combined for emergency room or outpatient services in the hospital; and (3) 20 percent coinsurance on the first $500 of medical expenses and the expenses of dental or oral surgery and ambulance services incurred during such policy period for the eligible beneficiary and his dependent beneficiaries combined. Provides that benefits payable under the catastrophic expense coverage in a qualified health care insurance policy or plan shall be subject to reduction for the twelve-month policy period. Establishes a Health Insurance Advisory Board to: (1) prescribe such regulations as may be necessary to carry out the purposes and provisions of this title; (2) establish minimum Federal standards for the use of State insurance departments in determining whether an insurance company and plan are qualified under this title; and (3) in consultation with carriers, providers of services, and consumers, plan and develop programs whose purposes are to provide for maintaining the quality of medical care, and the effective utilization of available financial resources, health manpower, and facilities, through utilization review, peer review, and other means which provide for the participation of the insurance carriers and the providers of services. Sets forth the qualifications of carriers under this Act. Establishes in the Treasury of the United States a trust fund to be known as the Federal Health Insurance Redemption Fund. Authorizes to be appropriated, from time to time out of moneys in the Treasury not otherwise appropriated, to the fund an amount equal to the aggregate amount of premiums paid under this title through the redemption of health insurance certificates issued pursuant to this Act. Provides that sums authorized to be appropriated pursuant to this section shall be considered premiums payable under this Act and deposited in such fund. Provides that certificates upon presentation to the Secretary of Health, Education, and Welfare shall be redeemed through payments from the Fund.
United States · United States Congress · 4 January 1977
Amends Title XVIII (Medicare) of the Social Security Act to provide payment for optometric and medical vision care under the supplementary medical insurance program.
United States · United States Congress · 4 January 1977
Repeals Titles XV (National Health Planning and Development) and XVI (Health Resources Development) of the Public Health Services Act.
United States · United States Congress · 4 January 1977
Amends Title XVIII (Medicare) of the Social Security Act to provide that in determining the reasonable reimbursable cost of inpatient nursing care, such coverage, at a minimum, shall include a salary cost differential of at least eight and one-half percent in recognition of the above-average cost of furnishing such care to aged patients.
United States · United States Congress · 4 January 1977
Amends the Public Health Service Act to authorize the Secretary of Health, Education, and Welfare to establish a program under which epileptics shall be provided medicine for the treatment of epilepsy.
United States · United States Congress · 4 January 1977
National Diabetes Advisory Board Act - Directs the Secretary of Health, Education, and Welfare to establish a National Diabetes Advisory Board to insure the implementation of the long-range plan formulated by the National Commission on Diabetes to combat diabetes. Specifies seven Federal health officers as members of the Board, in addition to seven health professionals and five members of the general public to be appointed by the Secretary. Makes provision for staffing and compensation. Authorizes the Board to enter into contracts or other arrangements, or to take such other action as may be necessary to carry out its functions. Authorizes the Board to engage in and sponsor activities, collect data, and provide technical assistance as it deems necessary and advisable in the performance of its functions. Requires the Board to submit simultaneously to the President and Congress an Annual Diabetes Report describing Board Activities in the prior year and progress made in diabetes research, treatment, and education with specific reference to the long-range plan to combat diabetes mellitus and suggesting recommended future expenditures and legislation. Authorizes the appropriation of $500,000 for fiscal year 1976 and such sums as are necessary for each of the four fiscal years thereafter. Authorizes the Secretary to make distinguished scientist awards to individual scientists who have shown continuous and outstanding productivity in diabetes research for the purpose of continuing such research. Limits the amount of each grant to no more than $35,000 per year. Authorizes the appropriation of specified amounts for the purpose of making such grants in fiscal year 1977 and years following. Authorizes, under the Public Health Service Act, the appropriation of specified sums in fiscal years 1978-1982 for the purpose of making grants to centers for research and training in diabetes mellitus and related endocrine and metabolic disorders.
United States · United States Congress · 4 January 1977
Amends Title XVIII (Medicare) of the Social Security Act to provide that nursing homes participating in the Medicare program must furnish a physician who visits patients not less than once every 30 days and that a physician be available to furnish necessary medical care in case of emergency.
United States · United States Congress · 4 January 1977
Medicare Long-Term Care Act - Amends Title XVIII (Medicare) of the Social Security Act to establish 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 States. Lists criteria for eligibility for long-term care service benefits. States that the benefits provided to an individual under 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 certification of a State long-term care agency by the Secretary of Health, Education, and Welfare. Provides for the payment of premiums for benefits received under this Act by individuals who elect to participate in the long-term care program. 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 Board of Trustees of such Trust Fund, 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. Requires the Board to meet at least once each calendar year. Enumerates the duties of the Board. Declares that a community long-term care center shall: (1) provide the items and services listed in this Act to each individual who (a) is eligible for benefits under this part, (b) resides in the area served by such center, and (c) is certified as requiring such services; (2) evaluate and certify the long-term care needs of an individual for whom such care may be required in order to maintain such individual in an independent living arrangement which is reasonable given such individual's state of health and other circumstances (but not including such individual's economic circumstances); (3) maintain a continuous relationship with (and periodically evaluate not less than annually) each individual who is receiving any of the items and services listed in this Act; (4) provide full opportunity for such individual and his family to participate in the determinations and functions under this Act; (5) provide an organized system for making its existence and location known to all individuals in its service area who are eligible for benefits under this part, and for making known to such individuals the method or methods by which they may most efficiently obtain and use the services which it makes available; and (6) perform such other functions as the Secretary of Health, Education, and Welfare may by regulation prescribe in order to have such center most effectively carry out the purposes of this Act. Sets forth a formula by which payments to States for the reimbursement of community long-term care centers may be calculated. 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 within 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.
United States · United States Congress · 4 January 1977
Amends Title XVIII (Medicare) of the Social Security Act to provide that in determining the reasonable reimbursable cost of inpatient nursing care, such coverage, at a minimum, shall include a salary cost differential of at least eight and one-half percent in recognition of the above-average cost of furnishing such care to aged patients.
United States · United States Congress · 4 January 1977
Amends Title XVIII (Medicare) of the Social Security Act to provide that only registered professional nurses or licensed practical nurses shall dispense and administer drugs and biologicals in skilled nursing homes participating in the Medicare program.
United States · United States Congress · 4 January 1977
Amends Title XIX (Medicaid) of the Social Security Act to provide Federal payment of the entire cost of financial audits of skilled nursing and intermediate care facilities participating in Federal programs.
United States · United States Congress · 4 January 1977
Amends Title XVIII (Medicare) of the Social Security Act to require that nursing homes participating in the Medicare program have in effect procedures for prevention and reporting of epidemic diseases and accidents.
United States · United States Congress · 4 January 1977
Amends Title XVIII (Medicare) of the Social Security Act by requiring skilled nursing facilities participating in the Medicare program to conclude a contract with each patient upon admission. Specifies that such contract shall cover the rights and duties of the patient and the facility.
United States · United States Congress · 4 January 1977
Amends Title XVIII (Medicare) of the Social Security Act to authorize the provision of intermediate care services to persons requiring institutional care, but not the degree of care provided by a hospital or skilled nursing facility.
United States · United States Congress · 4 January 1977
National Home Health Care Act - Amends Title XVIII (Medicare) of the Social Security Act to remove the 100-visit limitation presently applicable to the home health service program. Extends the coverage of posthospital home health services to include payment for items and services which the individual could otherwise obtain in a skilled nursing facility. Requires the inclusion of home health services in a State's medicaid program under the Social Security Act and permits the payment of rent under such program for elderly persons who would otherwise require nursing home care. Establishes, in the Department of Health, Education, and Welfare, a Home Health Patient Ombudsman, appointed by the Secretary, with the duties to monitor specified programs under the Social Security and the various medical assistance programs under the State plans approved pursuant to such Act, and to maintain such oversight of those programs and their operation and administration as may be necessary to: (1) assure that home health patients are receiving the care to which they are entitled; (2) provide safeguards against over-charging for home health services; (3) identify abuses against home health patients; (4) receive and expedite complaints by home health patients; (5) recommend to the Secretary any changes in the regulations affecting home health services which may appear necessary or desirable; and (6) take appropriate action (including the transmission of findings to the Attorney General) with respect to abuses and violations of law affecting the provision or receipt of home health services under such programs. Amends Title XIX (Medicaid) of the Social Security Act to make children over 18 of parents receiving nursing and home health care assistance under the medicaid program liable for a specified portion of the expenses of such assistance, depending upon the income of such child. Permits the waiver of such obligation in any case where the State agency determines, in accordance with regulations prescribed by the Secretary, that the imposition of such obligation or the making of such collection would impose undue hardship. Amends the Internal Revenue Code of 1954 to provide that any amount collected from or otherwise paid by any person in satisfaction of any obligation imposed shall constitute a medical expense paid or incurred by such person for purposes of deductions under such Act. Provides expanded Federal funding for congregate housing for the displaced and the elderly by increasing the amount available for such housing under the low income housing program.
United States · United States Congress · 4 January 1977
Amends Title XVIII (Medicare) of the Social Security Act to provide for the creation of an alternative reimbursement formula which will allow participating hospitals with less than 100 beds and less than 60 percent average occupancy located in areas where there is a demonstrated shortage of nursing home beds, to provide long-term care without applying proportional allocation of overhead costs to all patients in such facilities.
United States · United States Congress · 4 January 1977
Amends the Public Health Service Act to authorize the Secretary of Health, Education, and Welfare to make grants and enter into contracts with public or nonprofit colleges and universities for the purpose of developing graduate programs for nurses in geriatrics and gerontology.
United States · United States Congress · 4 January 1977
Amends the Public Health Service Act to authorize the Secretary of Health, Education, and Welfare to make loans to any nonprofit organization, church, or association of church's to meet all or a part of the cost of construction or rehabilitation of a nursing home which will be owned and operated by such church, organization, or association.
United States · United States Congress · 4 January 1977
Amends Title XIX (Medicaid) of the Social Security Act to provide that Medicaid payments to a State shall be dependent upon the operation in such State of an ombudsman program empowered to investigate nursing home complaints, inspect nursing homes, and recommend to the State health department license revocation or other disciplinary action against a nursing home.
United States · United States Congress · 4 January 1977
National Tay-Sachs Disease Screening and Counseling Act - Amends the Public Health Service Act to establish a national program for voluntary Tay-Sachs disease screening and counseling. Authorizes appropriations of $2,500,000 for fiscal year 1978 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.
United States · United States Congress · 4 January 1977
Amends the National Housing Act to authorize the Secretary of Housing and Urban Development to make interest reduction payments with respect to a mortgage covering repair or rehabilitation of a nursing home in order to correct physical deficiencies and comply with Federal minimum standards. States that in order to be eligible for such payments the Secretary of the Department of Health, Education, and Welfare or his designee must certify that the nursing home is in substantial compliance with Federal and State standards except for those deficiencies the sponsor seeks to correct with such payments.
United States · United States Congress · 4 January 1977
National Home Health Care Act - Broadens the coverage of home health services under Title XVIII (Medicare) of the Social Security Act and removes the 100-visit limitation presently applicable to the home health service program. Extends the coverage of posthospital home health services to include payment for items and services which the individual could otherwise obtain in a skilled nursing facility. Amends Title XIX (Medicaid) of the Social Security Act to require the inclusion of home health services in a State's Medicaid program and permit the payment of rent under such program for elderly and handicapped persons who would otherwise require nursing home care. Provides expanded Federal funding for congregate housing for the displaced and the elderly by increasing the amount available for such housing under the low-income housing program. Establishes, in the Department of Health, Education, and Welfare, a Home Health Patient Ombudsman, who shall be appointed and provided with adequate staff and facilities by the Secretary. Makes it the duty and responsibility of the ombudsman to monitor specified programs under the Social Security and the various medical assistance programs under the State plans approved pursuant to such Act, and to maintain such oversight of those programs and their operation and administration as may be necessary to: (1) assure that home health patients under such programs are receiving the care to which they are entitled: (2) provide safeguards against over-charging for home health services; (3) identify abuses against home health patients; (4) receive, handle, and expedite complaints by home health patients; (5) recommend to the Secretary any changes in the regulations affecting home health services which may appear necessary or desirable; and (6) take appropriate action (including the transmission of findings to the Attorney General) with respect to abuses and violations of law affecting the provision or receipt of home health services under such programs. Requires the Secretary of Health, Education, and Welfare to conduct a study and report to the Congress on the feasibility of extending to the Medicare program the prospective cost-related method of computing payments to nursing homes and home health agencies which is currently provided under the Medicaid program.
United States · United States Congress · 4 January 1977
Directs that no part of any funds appropriated, or otherwise available, for expenditure by the Secretary of Health, Education, and Welfare shall be expended to promote the fluoridation of public water supplies.
United States · United States Congress · 4 January 1977
Directs the Secretary of Health, Education, and Welfare to determine and promulgate each year the hospital deductible applicable under the hospital insurance for the aged and disabled provisions of title XVIII (Medicare) of the Social Security Act. Requires such deductible to be equal to $40 multiplied by the ratio of the current average per diem rate for inpatient hospital services for the preceding year to such rate for 1966. Requires such deductible to be increased by a percentage equal to one-half of the average percentage of any general or cost-of-living increases in the social security cash benefits for the year.
United States · United States Congress · 4 January 1977
Tertiary Eye Center Act - Directs the Secretary of Health, Education, and Welfare to identify tertiary eye care centers that need upgrading and to make grants to accomplish such purpose. Directs the Secretary to create a Tertiary Eye Commission to assess the present state of eye care facilities in the United States, to develop plans for improving and expanding such facilities, and to make grants to public and nonprofit private tertiary eye care centers to implement such upgrading. Requires the Commission, within two years of enactment of this Act, to submit to the Secretary and the President a final report, and to submit such interim reports as are necessary, with respect to its activities. Authorizes the appropriation of $21,000,000 to carry out the purposes of this Act.
United States · United States Congress · 4 January 1977
Amends Title XVIII (Medicare) of the Social Security Act to provide administrative and judicial review of claims which arise under the supplementary medical insurance program. Sets the minimum requirement for amount in controversy for a hearing at $50 and for judicial review at $500.
United States · United States Congress · 4 January 1977
Amends the Public Health Service Act to authorize the Secretary of Health, Education, and Welfare to make grants to public and nonprofit private entities which are engaged in the development of new schools of veterinary medicine to assist in such development. Requires applying schools to demonstrate that there is a reasonable indication that non-Federal financial resources for development will be available and that Federal assistance will accelerate the date on which the school will be able to begin its teaching program.
United States · United States Congress · 4 January 1977
Amends Title XIX (Medicaid) of the Social Security Act to require that States include standards for determining need for continued skilled nursing services or intermediate care services in their plan for medical assistance. Directs the Secretary of Health, Education, and Welfare to conduct investigative and oversight activities designed to determine whether there exists any basis to support a finding that the plan no longer complies with minimum requirements for such plan. States that an individual shall be deemed to be in need of skilled nursing facility services if such individual is determined to need care in such a facility on a daily basis.
United States · United States Congress · 4 January 1977
Amends Title XVIII (Medicare) of the Social Security Act to extend coverage to include expenses incurred in providing a Papanicolaou test for the diagnosis of uterine cancer, if the individual receiving the test has not had such a test on a routine basis during the preceding six months.
United States · United States Congress · 4 January 1977
Amends Title XVIII (Medicare) of the Social Security Act to provide administrative and judicial review of claims which arise under the supplementary medical insurance program. Sets the minimum requirement for amount in controversy for a hearing at $50 and for judicial review at $500.
United States · United States Congress · 4 January 1977
National Cancer Amendments - Amends the Public Health Service Act to increase the authorizations of appropriations for the national cancer program and the National Cancer Institute over the period of the next four fiscal years. Accords priority to approved but unfunded projects of the National Cancer Institute. States that research plans funded by this Act include diet and other habits research.
United States · United States Congress · 4 January 1977
Amends Title XVIII (Medicare) of the Social Security Act to establish the Special Commission on Quality Assurance and Utilization Control in Home Health Care. Outlines the duties of the Commission including a study, investigation, and review of the provision of home health care and services to individuals in the United States. Requires that on the basis of such study, investigation, and review, the Commission shall develop a detailed plan for quality assurance and utilization control in home health care. Requires that such plan be presented to the Congress no later than one year after the majority of the members of the Commission have been appointed. Requires the Secretary of Health, Education, and Welfare, within 90 days after the submission to him of the Commission's plan, to issue regulations modifying the standards, conditions, and requirements of Titles XVIII, XIX (Medicaid) and XX (Grants to States for Services) relating to home health agencies and home health care as may be necessary to implement such plan and carry out the Commission's accompanying recommendations.
United States · United States Congress · 4 January 1977
Tertiary Eye Center Act - Directs the Secretary of Health, Education, and Welfare to identify tertiary eye care centers that need upgrading and to make grants to accomplish such purpose. Directs the Secretary to create a Tertiary Eye Commission to assess the present state of eye care facilities in the United States, to develop plans for improving and expanding such facilities, and to make grants to public and nonprofit private tertiary eye care centers to implement such upgrading. Requires the Commission, within two years of enactment of this Act, to submit to the Secretary and the President a final report, and to submit such interim reports as are necessary, with respect to its activities. Authorizes the appropriation of $21,000,000 to carry out the purposes of this Act.
United States · United States Congress · 4 January 1977
Health Security Act - Title I: Health Security Benefits - Makes every resident of the U.S. (and every non-resident citizen when in the U.S.) eligible for covered services. Permits reciprocal and "buy-in" agreements for groups or non-resident aliens, and in some cases benefits to U.S. residents when visiting in other countries. Entitles every eligible person to have payments made by the Health Security Board for covered services provided within the United States by a participating provider. Extends coverage to all necessary professional services of physicians, wherever furnished. Extends coverage to: (1) comprehensive dental services (exclusive of most orthodontic services) for children under age 15, with the covered age group increasing by two years each year until all those under age 25 are covered; (2) inpatient and outpatient hospital services and services of a home health agency; and (3) pathology and radiology services as parts of institutional services. Limits payment for skilled nursing home care. Limits the psychiatric hospital benefit to 45 consecutive days of active treatment during a spell of illness. Extends coverage to two categories of drug use: prescribed medicines administered to inpatients or outpatients within participating hospitals; or to enrollees of comprehensive health service organizations, and drugs necessary for the treatment of specified chronic illnesses or conditions requiring long or expensive therapy. Requires the Board and the Secretary of Health, Education, and Welfare to establish two lists of approved drugs, taking into account the safety, efficacy and cost of each drug. Lists approved medicines available for use in institutions and by comprehensive health service organizations and those available for use outside such organized settings. Declares that the appliances benefit is similar in concept and operation to the drug benefit, subject to a limitation on aggregate cost. Extends coverage to professional services of optometrists and podiatrists, subject to regulations, and diagnostic or therapeutic services furnished by independent pathology laboratories and radiology services. Excludes from coverage: (1) health services furnished or paid for under a workmen's compensation law; and (2) services of a professional practitioner if they are furnished in a hospital which is not a participating provider. Requires that participating providers meet standards established in this title or by the Board. Makes professional practitioners licensed when the program becomes eligible to practice in the State where they are licensed and requires that all newly licensed applicants for participation meet national standards established by the Board in addition to existing State standards. Establishes conditions of participation for general hospitals. Makes psychiatric hospitals eligible to participate only if the Board finds that the hospital is engaged in furnishing active diagnostic, therapeutic and rehabilitative services to mentally ill patients. Establishes conditions of participation for skilled nursing homes similar to those established for extended care facilities under Medicare. Makes provisions for the participation of home health service agencies. Allows the participation of the following as providers of health services under this Act: (1) a health maintenance organization which undertakes to provide an enrolled population either with complete health care or, at least, with complete health security services (other than institutional services, mental health or dental services) for the maintenance of health and the care of ambulatory patients; (2) a foundation sponsored by a county or other local medical society; and (3) community health centers or the like which, though furnishing services as comprehensive as are required by this Act, do not serve an enrolled or otherwise predetermined population and may not meet other requirements of this Act. Authorizes the Board to deal separately with the primary care portion of a system of comprehensive health care where it is necessary to rely on arrangements with other providers. Permits the Board to contract directly with public or other nonprofit mental health centers and mental health day care services. Specifies the conditions under which independent pathology laboratories, independent radiological services, and providers of drugs, devices, appliances, equipment, or ambulance services may qualify as providers under Health Security. Requires that a participating skilled nursing home have in effect an agreement with at least one participating hospital for the transfer of patients and medical and other information as medically appropriate. Prohibits in malpractice judgments any damages to be awarded to the injured party for the cost of medical services which he is entitled to receive under this Act. Excludes the institutions of the Department of Defense and the Veterans Administration, and institutions of the Department of Health, Education, and Welfare serving merchant seamen or Indians or Alaskan natives, from serving as participating providers, as well as any employee of these institutions when acting as an employee. Allows reimbursement for any services furnished by such institutions or agencies to eligible persons who are not a part of their normal clientele. Permits a physician, dentist, optometrist, or podiatrist, licensed in one State and meeting the national standards, to furnish Health Security benefits in any other State. Grants similar authority to other professional and nonprofessional health personnel. Establishes the Health Security Trust Fund, to receive the net assets of existing (Medicare) funds taken over by the Health Security program, the yield of the Health Security taxes, and the Government's contribution from general revenues amounting to 100 percent of the yield from these taxes. Directs that three separate accounts be established in the Health Security Trust Fund: a Health Service Account, a Health Resources Development Account, and an Administration Account. Make provision for allocation of the Health Services account among the regions of the country. Stipulates that the allocation to each region shall be based on the aggregate sum expended during the most recent 12-month period for covered services (with appropriate modification for estimated changes in the consumer price index, the expected number of eligible beneficiaries, and estimated changes in the number of participating providers). Directs the Board to divide the allocation to each region into funds available to pay: institutional services; physician services; dental services; furnishing of drugs; furnishing of devices, appliances, equipment; and miscellaneous services. Stipulates that payments for covered services provided to eligible persons by participating providers shall be made from the Health Service Account in the Trust Fund. Authorizes the Board to experiment with other methods of reimbursement so long as the experimental method does not increase the cost of service or lead to overutilization or underutilization of services. Stipulates that skilled nursing homes and home health agencies shall be paid in the same manner as a general hospital (on an approved annual budget basis). Stipulates that a health organization shall be paid for covered services, on the basis of a fixed capitation rate multiplied by the number of eligible enrollees. Authorizes special improvement grants: (1) to any public or other nonprofit health agency or institution to establish improved coordination and linkages with other providers of services; and (2) to organizations providing comprehensive ambulatory care, to improve their utilization review, budget, statistical, or records and information retrieval systems, to acquire equipment needed for those purposes, or to acquire equipment useful for mass screening or for other diagnostic or therapeutic purposes. Sets forth the responsibilities and duties of the Secretary of HEW and the Board with regard to this title. Creates an administrative structure within the Department of Health, Education, and Welfare with exclusive responsibility for the administration of the Health Security program. Establishes a five-member, full-time Health Security Board serving under the Secretary of Health, Education, and Welfare. Requires that the members be appointed by the President with the advice and consent of the Senate, for five-year overlapping terms. Establishes a National Health Security Advisory Council, with the Chairman of the Board serving as the Council's Chairman and 20 additional members not in the employ of the Federal Government. Authorizes the Advisory Council to appoint professional or technical committees to assist in its functions. Directs the Advisory Council to advise the Board on matters of general policy in the administration of the program, the formulation of regulations and the allocation of funds for services. Charges the Board with responsibility for informing the public and providers about the administration and operation of the Health Security program. Requires the Board to make a continuing study and evaluation of the program, including adequacy, quality and costs of services. Authorizes the Board to make detailed statistical and other studies on a national, regional, or local basis of any aspect of the title; to develop and test incentive systems for improving quality of care, methods of peer review of drug utilization and of other service performances; to develop and test systems of information retrieval, budget programs, instrumentation for multiphasic screening or patient services, and reimbursement systems for drugs; and to make such other studies which it considers would improve the quality of services and the administration of the program. Grants authority to the Board, in accordance with regulations, to make determinations of who are participating providers of services, determinations of eligibility, of whether services are covered, and the amount to be paid to providers. Allows a provider of services who is dissatisfied with a final Board determination to obtain a hearing before a Board panel, and judicial review of a final decision. Authorizes the Board, with the advice and assistance of the Commission on the Quality of Health Care, to issue and review regulations assuring the quality of care furnished under this Act. Requires continuing professional education by physicians, dentists, optometrists, and podiatrists. Authorizes the appointment of a Deputy Secretary of HEW and an Under Secretary for Health and Science. Stipulates that no provision of this Act shall alter any contractual obligation of an employer to provide health services to his employees and their dependents. Title II: Health Security Taxes - Converts the existing Medicare hospital insurance payroll taxes into Health Security taxes, and raises the rates to one percent on employees and 3.5 percent on employers. Excludes from the gross income of employees, for income tax purposes, payment by their employers of part or all of the Health Security taxes on the employees. Converts the existing Medicare self-employment tax into a Health Security self-employment tax, raising the rate to 2.5 percent. Adds a new one percent Health Security Tax on unearned income (unless such income is less than $400 a year), subject to the same maximum on taxable income as is applicable to the employee and self-employment taxes. Title III: Commission on the Quality of Health Care - Establishes in the Department of HEW a Commission on the Quality of Health Care, with the primary responsibility of: (1) initiating and continuing development of methods of assessing the quality of health care furnished under the Health Security Act; and (2) submitting to the Secretary and the Health Security Board its findings and recommendations. Stipulates that in carrying out its duties the Commission shall emphasize, and give first consideration to, care furnished for those illnesses and conditions which have relatively high incidence in the population and which are relatively amenable to medical or other care. Title IV: Repeal or Amendment of Other Acts - Requires that after the effective date of benefits received under this Act no State shall be required to furnish any service covered under Health Security as a part of its State plan for participation under Medicaid. Title V: Studies Related to Health Security - Authorizes the Secretary of Health, Education, and Welfare in consultation with the Secretary of State and the Secretary of the Treasury to study the coverage of health services for U.S. residents in other countries. Directs the Secretary of HEW to study the feasibility and desirability of coordinating the Federal health benefit programs for merchant seamen and Indians and Alaskan natives and also veterans and members of the Armed Forces, with the Health Security Benefit Program.
United States · United States Congress · 4 January 1977
National Health Care Act - Title I: Findings and Declaration of Purpose - Expresses the finding of Congress that many Americans find it difficult to secure quality health care when they need it. Declares the purpose of the Act to be the improvement of the organization, delivery, and financing of health care for all citizens of the United States. Title II: Provisions to Strengthen Health Planning - Directs the States, as part of their review of institutional health services, to designate unneeded services as surplus. States that surplus service shall be considered as though it has been denied a certificate-of-need. Establishes under the Secretary of Health, Education, and Welfare, a system of grants to reimburse health care institutions which incurred expenses in developing facilities which were later declared surplus. Authorizes State health planning and development agencies to establish a health data consortium to serve the common data needs of itself and specified groups including health care institutions, insurance companies underwriting health insurance plans, and Health Systems Agencies. Requires the Secretary to issue guidelines to be used in establishing certificate-of-need programs and in evaluating the need for new institutional health services. Title III: Provisions to Encourage Comprehensive Ambulatory Health Care Centers - Authorizes grants for the construction and modernization of comprehensive ambulatory health care centers. Places priority upon the construction of such facilities located in densely populated areas where such facilities do not now exist. Directs that in order to participate in programs pursuant to this title the States must submit a plan which includes a listing of comprehensive ambulatory health care centers needed to provide adequate ambulatory health care services for patients residing in the State. Title IV: Provisions to Assure a Coordinated National Health Policy - Requires the President to transmit to the Congress not later than July 1 of each year a health report setting forth the present status of the health care system of the Nation with an appraisal of trends and a review of the health programs and activities of the Federal, State and local governments. Creates a Health Policy Board which shall study the Nation's health care programs and make recommendations to the President concerning such programs. Directs the Board to consult with other advisory bodies and representative groups in carrying out its responsibilities. Directs all agencies of the Federal Government to include in every major action, statements regarding the effect of such action on the nation's health care. Title V: Provisions to Make Comprehensive Health Care Insurance Available to All - Establishes minimum standard health care benefits. Specifies that such standard shall be 100 percent of specified examinations, X-rays and laboratory tests and 80 percent of specified hospital, surgical, professional, and ambulatory health care. Prohibits, after a transitional period, any deductions by an employer for payments to an employee health care plan unless the plan offers coverage to the employees' family, the employer pays at least 50 percent of the plan's cost, and the plan provides the minimum health care benefits specified by this title. Allows an unlimited personal deduction for premiums paid by the taxpayer for a health care plan covering himself or his dependents which provides the minimum benefits specified by this Act. Specifies such minimum health care benefits, including basic dental, maternal, child, family planning and mental health care, which must be extended by health plans in order to qualify for the income tax deductions provided by this Act. Requires that such plans provide an annual deductible of $100, with a carryover of any unused portion. Prohibits the award of damages for the cost of remedial services for which a party is compensated under this Act, in any malpractice action arising out of the furnishing of services covered under a health care plan or under the Social Security Act. Adds to the Social Security Act, "Title XXI - Grants to States for Qualified State Health Care Plans". Authorizes the appropriation of such funds as necessary to provide comprehensive health care insurance to needy individuals and families. Allows individuals or families eligible for enrollment in the qualified State health care plan to elect coverage under an arrangement between the administering carrier and an approved health maintenance organization. States that every resident individual or family who is not eligible to enroll in a qualified employee health care plan, who is enrolled in the supplementary medical insurance program for the aged and who meets the requirements concerning income, shall be eligible to enroll in the qualified State health care plan. Sets forth a formula for determining premium rates to be paid by participating individuals and families. States that in the operation of a qualified State health care plan no charge for services rendered or supplies furnished by any hospital, skilled nursing facility, or home health agency shall be reimbursed to the extent that such charges exceed the rates approved by a State health care institution cost commission established pursuant to this Act. Makes it the duty of the Secretary of Health, Education, and Welfare to review the level of rates of institutional reimbursement approved by the commission for such categories of health care institutions as shall be established by the Secretary. Requires the Secretary to order a reduction in the level of rates approved for a given category of health care institution upon a determination that such rates are unjustifiably high. Stipulates that each State must establish a health care benefits pool. Directs that the premiums collected pursuant to Title XXI, as introduced in this Act, be paid into the pool. Makes such pool available to pay claims and other specified expenses associated with the program. Prohibits any class of individuals or families receiving all, or substantially all, of their medical care under a Federal program from receiving coverage under a qualified State health care plan unless the Federal Government provides payment as required by the Act. Makes the State insurance commissioner responsible for assuring the establishment and regulation of a facility to underwrite or reinsure minimum standard health care benefits for individuals, families, and groups of less than 50 employees or members to whom such benefits would not otherwise be available.
United States · United States Congress · 4 January 1977
Health Security Act - Title I: Health Security Benefits - Makes every resident of the U.S. (and every non-resident citizen when in the U.S.) eligible for covered services. Permits reciprocal and "buy-in" agreements for groups or non-resident aliens, and in some cases benefits to U.S. residents when visiting in other countries. Entitles every eligible person to have payments made by the Health Security Board for covered services provided within the United States by a participating provider. Extends coverage to all necessary professional services of physicians, wherever furnished. Extends coverage to: (1) comprehensive dental services (exclusive of most orthodontic services) for children under age 15, with the covered age group increasing by two years each year until all those under age 25 are covered; (2) inpatient and outpatient hospital services and services of a home health agency; and (3) pathology and radiology services as parts of institutional services. Limits payment for skilled nursing home care. Limits the psychiatric hospital benefit to 45 consecutive days of active treatment during a spell of illness. Extends coverage to two categories of drug use: prescribed medicines administered to inpatients or outpatients within participating hospitals; or to enrollees of comprehensive health service organizations, and drugs necessary for the treatment of specified chronic illnesses or conditions requiring long or expensive therapy. Requires the Board and the Secretary of Health, Education, and Welfare to establish two lists of approved drugs, taking into account the safety, efficacy and cost of each drug. Lists approved medicines available for use in institutions and by comprehensive health service organizations and those available for use outside such organized settings. Declares that the appliances benefit is similar in concept and operation to the drug benefit, subject to a limitation on aggregate cost. Extends coverage to professional services of optometrists and podiatrists, subject to regulations, and diagnostic or therapeutic services furnished by independent pathology laboratories and radiology services. Excludes from coverage: (1) health services furnished or paid for under a workmen's compensation law; and (2) services of a professional practitioner if they are furnished in a hospital which is not a participating provider. Requires that participating providers meet standards established in this title or by the Board. Makes professional practitioners licensed when the program becomes eligible to practice in the State where they are licensed and requires that all newly licensed applicants for participation meet national standards established by the Board in addition to existing State standards. Establishes conditions of participation for general hospitals. Makes psychiatric hospitals eligible to participate only if the Board finds that the hospital is engaged in furnishing active diagnostic, therapeutic and rehabilitative services to mentally ill patients. Establishes conditions of participation for skilled nursing homes similar to those established for extended care facilities under Medicare. Makes provisions for the participation of home health service agencies. Allows the participation of the following as providers of health services under this Act: (1) a health maintenance organization which undertakes to provide an enrolled population either with complete health care or, at least, with complete health security services (other than institutional services, mental health or dental services) for the maintenance of health and the care of ambulatory patients; (2) a foundation sponsored by a county or other local medical society; and (3) community health centers or the like which, though furnishing services as comprehensive as are required by this Act, do not serve an enrolled or otherwise predetermined population and may not meet other requirements of this Act. Authorizes the Board to deal separately with the primary care portion of a system of comprehensive health care where it is necessary to rely on arrangements with other providers. Permits the Board to contract directly with public or other nonprofit mental health centers and mental health day care services. Specifies the conditions under which independent pathology laboratories, independent radiological services, and providers of drugs, devices, appliances, equipment, or ambulance services may qualify as providers under Health Security. Requires that a participating skilled nursing home have in effect an agreement with at least one participating hospital for the transfer of patients and medical and other information as medically appropriate. Prohibits in malpractice judgments any damages to be awarded to the injured party for the cost of medical services which he is entitled to receive under this Act. Excludes the institutions of the Department of Defense and the Veterans Administration, and institutions of the Department of Health, Education, and Welfare serving merchant seamen or Indians or Alaskan natives, from serving as participating providers, as well as any employee of these institutions when acting as an employee. Allows reimbursement for any services furnished by such institutions or agencies to eligible persons who are not a part of their normal clientele. Permits a physician, dentist, optometrist, or podiatrist, licensed in one State and meeting the national standards, to furnish Health Security benefits in any other State. Grants similar authority to other professional and nonprofessional health personnel. Establishes the Health Security Trust Fund, to receive the net assets of existing (Medicare) funds taken over by the Health Security program, the yield of the Health Security taxes, and the Government's contribution from general revenues amounting to 100 percent of the yield from these taxes. Directs that three separate accounts be established in the Health Security Trust Fund: a Health Service Account, a Health Resources Development Account, and an Administration Account. Make provision for allocation of the Health Services account among the regions of the country. Stipulates that the allocation to each region shall be based on the aggregate sum expended during the most recent 12-month period for covered services (with appropriate modification for estimated changes in the consumer price index, the expected number of eligible beneficiaries, and estimated changes in the number of participating providers). Directs the Board to divide the allocation to each region into funds available to pay: institutional services; physician services; dental services; furnishing of drugs; furnishing of devices, appliances, equipment; and miscellaneous services. Stipulates that payments for covered services provided to eligible persons by participating providers shall be made from the Health Service Account in the Trust Fund. Authorizes the Board to experiment with other methods of reimbursement so long as the experimental method does not increase the cost of service or lead to overutilization or underutilization of services. Stipulates that skilled nursing homes and home health agencies shall be paid in the same manner as a general hospital (on an approved annual budget basis). Stipulates that a health organization shall be paid for covered services, on the basis of a fixed capitation rate multiplied by the number of eligible enrollees. Authorizes special improvement grants: (1) to any public or other nonprofit health agency or institution to establish improved coordination and linkages with other providers of services; and (2) to organizations providing comprehensive ambulatory care, to improve their utilization review, budget, statistical, or records and information retrieval systems, to acquire equipment needed for those purposes, or to acquire equipment useful for mass screening or for other diagnostic or therapeutic purposes. Sets forth the responsibilities and duties of the Secretary of HEW and the Board with regard to this title. Creates an administrative structure within the Department of Health, Education, and Welfare with exclusive responsibility for the administration of the Health Security program. Establishes a five-member, full-time Health Security Board serving under the Secretary of Health, Education, and Welfare. Requires that the members be appointed by the President with the advice and consent of the Senate, for five-year overlapping terms. Establishes a National Health Security Advisory Council, with the Chairman of the Board serving as the Council's Chairman and 20 additional members not in the employ of the Federal Government. Authorizes the Advisory Council to appoint professional or technical committees to assist in its functions. Directs the Advisory Council to advise the Board on matters of general policy in the administration of the program, the formulation of regulations and the allocation of funds for services. Charges the Board with responsibility for informing the public and providers about the administration and operation of the Health Security program. Requires the Board to make a continuing study and evaluation of the program, including adequacy, quality and costs of services. Authorizes the Board to make detailed statistical and other studies on a national, regional, or local basis of any aspect of the title; to develop and test incentive systems for improving quality of care, methods of peer review of drug utilization and of other service performances; to develop and test systems of information retrieval, budget programs, instrumentation for multiphasic screening or patient services, and reimbursement systems for drugs; and to make such other studies which it considers would improve the quality of services and the administration of the program. Grants authority to the Board, in accordance with regulations, to make determinations of who are participating providers of services, determinations of eligibility, of whether services are covered, and the amount to be paid to providers. Allows a provider of services who is dissatisfied with a final Board determination to obtain a hearing before a Board panel, and judicial review of a final decision. Authorizes the Board, with the advice and assistance of the Commission on the Quality of Health Care, to issue and review regulations assuring the quality of care furnished under this Act. Requires continuing professional education by physicians, dentists, optometrists, and podiatrists. Authorizes the appointment of a Deputy Secretary of HEW and an Under Secretary for Health and Science. Stipulates that no provision of this Act shall alter any contractual obligation of an employer to provide health services to his employees and their dependents. Title II: Health Security Taxes - Converts the existing Medicare hospital insurance payroll taxes into Health Security taxes, and raises the rates to one percent on employees and 3.5 percent on employers. Excludes from the gross income of employees, for income tax purposes, payment by their employers of part or all of the Health Security taxes on the employees. Converts the existing Medicare self-employment tax into a Health Security self-employment tax, raising the rate to 2.5 percent. Adds a new one percent Health Security Tax on unearned income (unless such income is less than $400 a year), subject to the same maximum on taxable income as is applicable to the employee and self-employment taxes. Title III: Commission on the Quality of Health Care - Establishes in the Department of HEW a Commission on the Quality of Health Care, with the primary responsibility of: (1) initiating and continuing development of methods of assessing the quality of health care furnished under the Health Security Act; and (2) submitting to the Secretary and the Health Security Board its findings and recommendations. Stipulates that in carrying out its duties the Commission shall emphasize, and give first consideration to, care furnished for those illnesses and conditions which have relatively high incidence in the population and which are relatively amenable to medical or other care. Title IV: Repeal or Amendment of Other Acts - Requires that after the effective date of benefits received under this Act no State shall be required to furnish any service covered under Health Security as a part of its State plan for participation under Medicaid. Title V: Studies Related to Health Security - Authorizes the Secretary of Health, Education, and Welfare in consultation with the Secretary of State and the Secretary of the Treasury to study the coverage of health services for U.S. residents in other countries. Directs the Secretary of HEW to study the feasibility and desirability of coordinating the Federal health benefit programs for merchant seamen and Indians and Alaskan natives and also veterans and members of the Armed Forces, with the Health Security Benefit Program.
United States · United States Congress · 4 January 1977
National Health Insurance Act - Title I: Benefits and Eligibility - Makes personal health services available to eligible individuals. Includes medical, dental, podiatric, home- nursing, hospital and auxiliary services within such personal health services. Directs the National Health Insurance Board to survey the resources and needs of each State and develop in each State a program to assure the maximum participation and use of health personnel and facilities in the provision of benefits. Authorizes the Board to limit health services which may be provided when personnel facilities or funds that are available are inadequate to insure the provision of all services to all eligible individuals. Allows every individual eligible for personal health services available under this Act to freely select the physician, dentist, podiatrist, nurse, medical group, hospital, or other person of his choice to render such services. Sets forth requirements for eligibility for benefits. Directs that the United States shall be subrogated to all rights of an individual who receives any personal health service as a benefit under this Act with respect to any injury, disease, or disability, for which such person is entitled to workmen's compensation. States that Federal grants to States under Title XIX (Medicaid), and part A of Title IV (Aid to Families with Dependent Children) of the Social Security Act shall be available to the States for provision of personal health services for noninsured needy individuals. Title II: Participation of Physicians, Dentists, Nurses, Hospitals, and Others - States that any physician, dentist, or podiatrist legally authorized in a State to render any services including general medical, dental, or podiatric services shall be deemed qualified to render such services in that State as benefits under this Act. Authorizes the State to enter into agreements with any qualified organization for the provision of personal health services under this Act. Sets forth methods for payment of services furnished under this Act. Directs that rates for such payments shall be adapted to take account of relevant regional, State, or local conditions and practices. Authorizes the establishment of maximum limits upon the number of eligible individuals with respect to whom any person may undertake to render services in any local health-service area. Allows every physician, dentist, nurse, hospital, or other person entering into an agreement under this title to accept or reject as a patient any individual requesting his services. Title III: Local Administration - Imposes responsibility for administration of the benefits provided under this Act on the several local health-service areas. Specifies that the local administrative agency for each local health-service area may be either a local administrative committee or a local administrative officer. Directs the committee or officer to arrange for the furnishing of personal health-service benefits to eligible individuals in the area and publish lists of the names of all persons who have agreed to furnish personal health services; to disseminate pertinent information concerning the rights and privileges under the Act; and to receive and adjust complaints which may be made concerning the administration of benefits under the Act in the area. Requires the establishment of a local area committee in each health-service area to formulate policies for the administration of benefits under the Act in that area. Directs that local committees representative of the persons furnishing personal health services in the area shall be established in each health service area to assist the local administrative committee and its executive officer. Title IV: State Administration - Expresses the intent of Congress that the benefits provided under the Act be administered whenever possible by the States. Sets forth requirements which must be met by any State which assumes responsibility for the administration of the personal health-service benefits provided under this Act. Title V: National Health Insurance Board; National Advisory Medical Policy Council; General Administrative Provisions - Establishes a National Health Insurance Board in the Department of Health, Education, and Welfare. Specifies that the Board shall perform such functions as it finds necessary to carry out the provisions of the Act, and shall make all regulations and standards specifically authorized to be made in the Act. Establishes a National Advisory Medical Policy Council to study and make recommendations as to the most effective methods of providing health services, and as to legislation and matters of administrative policy concerning health and related subjects. Title VI: Eligibility Determinations, Complaints, Hearings, and Judicial Review - Requires the Secretary of Health, Education, and Welfare to make determinations as to the eligibility of individuals for benefits under this Act. Establishes procedures for the investigation and adjudication of complaints by eligible individuals and persons furnishing benefits. Title VII: Application of Act to Individuals Covered Under Medicare Program - Specifies that in the case of any individual who is entitled to hospital insurance benefits under Medicare, the personal health services which may be made available as benefits under this Act shall be limited to those services for which such individual is ineligible under the Medicare program. Directs the Secretary, as soon as practicable after the enactment of this Act, to undertake and carry out a full and complete study of the interrelationship of the program of national health insurance under this Act and the program of health insurance for the aged under Title XVIII (Medicare) of the Social Security Act. Title VIII: Fiscal Provisions - Creates on the books of the Treasury of the United States a separate account to be known as the "Personal Health Services Account". Makes funds in the account available for all expenditures necessary or appropriate to carry out this Act. Appropriates funds for such account in amounts pursuant to the formula specified in the Act for fiscal year 1978 and each year thereafter. Authorizes the Board to make grants to public or nonprofit institutions or agencies engaging in undergraduate or postgraduate professional, technical or administration education or training in the field of personal health services. Makes available for such grants $10,000,000 for fiscal year 1977 and $15,000,000 for fiscal year 1978 and for each fiscal year thereafter an amount not to exceed one-half of one percent of the amount expended for benefits under this Act in the preceding calendar year. Title IX: Miscellaneous Provisions - Defines terms as used in this Act. States that personal health services shall become available no sooner than October 1, 1977.