Records whose title is actually about this topic. Use a country filter if the list is still too broad.
Records
Bill· HRH.R. 1397 (102nd)referred
United States · United States Congress · 12 March 1991
Family Planning Parental Notification Act - Amends the Public Health Service Act to require an entity receiving a grant or contract for family planning services to notify one or both of the parents of a minor at least 48 hours before providing certain types of family planning methods or services to the minor. Directs the Secretary of Health and Human Services to establish a list of methods and services requiring notification, using the criteria of whether the notification: (1) is in the best interests of unemancipated minors; (2) strengthens the stability of families; (3) strengthens the authority and rights of parents; or (4) enhances the relationship between adolescent behavior, personal responsibility, and societal norms. Excludes life-threatening emergencies from notification requirements. Allows judicial override.
Bill· SS. 597 (102nd)referred
United States · United States Congress · 7 March 1991
Children of Substance Abusers Act - Title I: Services for Children of Substance Abusers - Amends the Public Health Service Act to direct the Secretary of Health and Human Services, through the Administrator of the Health Resources and Services Administration, to make grants for the Federal share of the cost of community outreach services and services for children of substance abusers. Sets forth program requirements, including providing comprehensive services for the entire family. Sets forth requirements regarding: (1) the distribution of grants among specified types of entities; and (2) information and assurances which must be included in grant applications. Sets the Federal share at 90 percent. Authorizes appropriations. Provides for grants for the training of professionals and other staff who provide services to, or come in contact with, children and families of substance abusers. Requires the Administrator to identify the training needs of such professionals and other staff and develop a strategy for satisfying the needs. Prescribes the uses of the grant funds. Authorizes appropriations. Title II: Home-Visiting Services for at-Risk Families - Directs the Secretary to make competitive three- to five-year grants for the Federal share of the costs of home visiting services, including help in obtaining health and social services. Sets forth priorities in awarding grants and information and assurances which must be included in grant applications. Sets the Federal share at 90 percent. Authorizes appropriations. Title III: Treatment - Requires a State to: (1) use at least 20 (currently, at least ten) percent of alcohol and drug abuse and mental health services block grant allotments for alcohol and drug abuse programs and services for women and demonstration projects for residential treatment services to pregnant women; (2) ensure that treatment services are available to each woman who is pregnant and who meets other requirements; and (3) establish, if treatment programs in the State have insufficient capacity, quantitative goals and implement a program for the provision of adequate capacity to meet the needs of each such woman. Modifies requirements regarding the contents of an annual report mandated by existing provisions concerning certain block grant programs.
Bill· SS. 590 (102nd)referred
United States · United States Congress · 7 March 1991
Amends the Employee Retirement Income Security Act of 1974 (ERISA) to provide that ERISA shall not preempt the Hawaii Prepaid Health Care Act or any amendments made to it.
Bill· SJRESS.J.Res. 88 (102nd)referred
United States · United States Congress · 7 March 1991
Designates the period of October 7 through 13, 1991, as Mental Illness Awareness Week.
Bill· HRH.R. 1322 (102nd)open
United States · United States Congress · 7 March 1991
Comprehensive Indian Fetal Alcohol Syndrome Prevention and Treatment Act - Amends the Indian Alcohol and Substance Abuse Prevention and Treatment Act to authorize the Secretary of Health and Human Services to make grants to Indian tribes to establish Fetal Alcohol Syndrome (FAS) and Fetal Alcohol Effects (FAE) programs. Authorizes appropriations. Requires that ten percent of the funds appropriated be used for Urban Indian organizations funded under the Indian Health Care Improvement Act. Requires the Secretary to assist Indian tribes in: (1) the development, printing, and dissemination of education and prevention materials on FAS/FAE; and (2) the development and implementation of culturally sensitive assessment and diagnosis tools for use in tribal communities. Directs the Secretary to convene a FAS/FAE Task Force to: (1) examine the needs of Indian communities and current Federal resources; and (2) develop an annual plan for the prevention, intervention, treatment, and aftercare for those affected by FAS and FAE in Indian communities. Requires the Secretary to make grants to tribes and urban Indian organizations for applied research projects proposed to elevate the understanding of methods to prevent, intervene, treat, or provide aftercare for persons affected by FAS or FAE. Authorizes appropriations. Provides that 50 percent of such appropriated funds shall be used for such projects. Directs the Secretary to report annually to the Congress on the status of FAS/FES in the Indian population, along with recommendations on legislation needed to improve the prevention, intervention, treatment and aftercare of individuals affected by FAS/FAE in Indian communities. Authorizes the Secretary to contract the production of this report to a national organization specifically addressing the FAS/FAE issue. Authorizes appropriations.
Bill· HRH.R. 1335 (102nd)referred
United States · United States Congress · 7 March 1991
Amends part B (Supplementary Medical Insurance) of title XVIII (Medicare) of the Social Security Act to limit the late enrollment penalty to a ten percent increase in the monthly part B premium due over a period equal to twice the number of years that the part B beneficiary could have been but was not enrolled under part B.
Bill· SS. 578 (102nd)open
United States · United States Congress · 6 March 1991
Department of Defense Desert Storm Supplemental Authorization and Military Personnel Benefits Act for Fiscal Year 1991 - Title I: Supplemental Authorization of Appropriations for Fiscal Year 1991 for Operation Desert Storm - Authorizes supplemental appropriations to the Department of Defense (DOD) for FY 1991 from the balance of the amount in the Defense Cooperation Account (Cooperation Account) on the date of enactment of this Act, as well as any additional amounts credited to such Account after such date and before October 1, 1992. Requires Cooperation Account funds to be used for: (1) incremental costs associated with Operation Desert Storm; and (2) replenishment of a working capital account created in this title. Establishes for DOD the Desert Storm Working Capital Account (Capital Account). Authorizes appropriations to the Capital Account for FY 1991. Requires Capital Account funds to be used only for incremental costs associated with Operation Desert Storm, but only to such extent that funds for such use are not available in the Cooperation Account. Requires Cooperation Account funds to replenish funds used from the Capital Account. Requires Capital Account funds to revert to the Treasury after termination of such Account upon the end of the Persian Gulf War, but in no event later than September 30, 1992. Authorizes funds from both accounts to be made available for transfer by the Secretary of Defense to authorizations made available to DOD or the Coast Guard for FY 1991. Authorizes the Secretary to transfer between appropriation accounts such sums necessary to defray incremental costs associated with Operation Desert Storm. Requires the Senate and House Armed Services Committees (defense committees) to be notified before such transfers occur. Requires the Comptroller of DOD to submit monthly reports to the defense committees on the cumulative total amounts of such transfers. Title II: Waiver of Personnel Ceilings Affected by Operation Desert Storm - Authorizes the Secretary of the military department concerned to waive any military personnel end strength in such department as prescribed in the National Defense Authorization Act for Fiscal Year 1991. Allows certain grade strength limitations to be suspended. Requires such Secretary to certify to the defense committees that the exercise of such authority is necessary because of personnel actions relating to Operation Desert Storm. Authorizes additional appropriations to DOD from the Cooperation Account for increases in military personnel costs resulting from the exercise of such waiver and suspension authorities. Title III: Military Personnel Benefits for Members of the Armed Forces Serving During Operation Desert Storm - Part A: Special, Incentive, and Other Pay and Allowances and Miscellaneous Benefits - Increases, as of August 1, 1990, the rate of special pay for duty subject to hostile fire or imminent danger. Terminates such increase 180 days after termination of the Persian Gulf War. Authorizes the payment of active duty special pay to reserve optometrists, veterinarians, nurse anesthetists, and certain other non-physician health care providers called or ordered to active duty in connection with activities in the Persian Gulf. Authorizes the payment of such special pay to such health care providers who are: (1) called or ordered to active duty for less than one year in connection with Operation Desert Storm; or (2) involuntarily retained on active duty. Entitles survivors of members who die as a result of injury or illness sustained while on active duty during the Persian Gulf War to pay for all accrued leave of such member. (Currently, there are limitations to the authorized build-up of such leave.) Removes the ceiling on savings deposits for service members carried in a missing person status in connection with Operation Desert Storm. Allows a retired member of the armed forces who is ordered to return to active duty in connection with Operation Desert Storm to be ordered to such active duty in the highest grade in which the member previously served on active duty. States that a member ordered to active duty in a grade higher than his or her retired grade shall be deemed to have been promoted to such grade. Establishes a standard death gratuity rate of $6,000 for members of all grades for the period between August 2, 1990, and the termination of the Persian Gulf War. Entitles reserve members ordered to active duty during the Persian Gulf War for specified periods, and their dependents, to certain transitional health care benefits and coverage under military health insurance policies normally authorized only for active duty personnel and their dependents. Outlines availability and applicability requirements. Amends the National Defense Authorization Act for Fiscal Year 1991 to extend to February 15, 1992, the effective date for certain reductions in inpatient mental health services to be implemented under such Act. Authorizes appropriations from the Cooperation Account as necessary for the pay, allowances, and benefits provided under part A of this title. Part B: Family Assistance - Authorizes the Secretary of Defense to provide assistance to ensure that families of military personnel serving on active duty obtain needed child care services, with special focus on children of personnel serving in the Persian Gulf or otherwise deployed in connection with Operation Desert Shield. Authorizes appropriations from the Cooperation Account for such purpose. States that such funds are in addition to other funds used for child care programs for members of the the armed forces. Authorizes the Secretary to provide assistance to ensure that families of military personnel serving on active duty receive educational assistance and family support services necessary to meet the needs arising out of Operation Desert Storm. Outlines provisions concerning the types of assistance, areas of assistance, and the types of educational and family support assistance to be provided. Authorizes appropriations from the Cooperation Account. Title IV: Reporting on the Costs of Operation Desert Storm - Requires the Director of the Office of Management and Budget to prepare periodic reports on the incremental costs associated with Operation Desert Storm and on the amounts of contributions made to the United States by foreign countries to offset such costs. Requires periodic, cumulative, and nonrecurring costs to be reported, as well as offsets to such costs. Specifies cost areas to be included in each such report. Directs the Secretaries of State and the Treasury to jointly prepare periodic reports on contributions made by foreign countries as part of the international response to the Persian Gulf crisis. Title V: Report on the Conduct of the Persian Gulf War - Requires the Secretary of Defense to report to the defense committees on the conduct of the Persian Gulf War within 180 days of the cessation of hostilities. Outlines specified areas and objectives concerning which U.S. accomplishments and shortcomings are to be discussed. Requires a preliminary report within 90 days after cessation of such hostilities. Requires each report to contain the number of military and civilian casualties sustained by coalition nations, by Iraq, and by nations not directly participating in such hostilities. Title VI: Miscellaneous Technical Amendments - Makes various technical or conforming amendments to Federal armed forces provisions, military pay and allowances provisions, National Guard provisions, and various public laws and specified Acts. Title VII: Definitions - Defines specified terms and phrases used in this Act.
Bill· HRH.R. 1304 (102nd)open
United States · United States Congress · 6 March 1991
Telephone Advertising Consumer Rights Act - Amends the Communications Act of 1934 to prohibit any person within the United States from: (1) making any telephone solicitation in violation of regulations prescribed by the Federal Communications Commission (FCC) pursuant to this Act; (2) using any telephone facsimile (fax) machine or automatic telephone dialing system that does not comply with prescribed technical and procedural standards, or in a manner that does not comply with such standards, to make any telephone solicitation; (3) using any fax machine, computer, or other device to send an unsolicited advertisement in violation of any such regulations; (4) using any automatic telephone dialing system to make unsolicited calls to an emergency telephone line or pager of any hospital, medical physician or service office, health care facility, or fire protection or law enforcement agency, or to any telephone number assigned to paging or cellular telephone service; or (5) using a computer or other electronic device to send an unsolicited advertisement via a fax machine unless such person clearly marks the date and time it is sent, an identification of the business sending the advertisement, and the telephone number of the sending machine or of such business. Directs the FCC to initiate a rulemaking proceeding: (1) concerning the need to protect telephone subscribers' privacy rights and to establish a single national data base to compile and make available for purchase a list of telephone numbers of subscribers who have submitted objections to receiving telephone solicitations; and (2) to evaluate whether such a data base should be established and administered by the FCC or its designee, to compare and evaluate alternative mechanisms for establishing and administering the data base, and to consider what means other than a national data base could be used to accomplish the purposes of this Act. Requires the FCC to: (1) implement the most cost effective mechanism for establishing and operating such data base; (2) require each common carrier providing telephone exchange service to afford subscribers the opportunity to provide notification that such subscriber objects to receiving telephone solicitations; and (3) to prohibit any person from transmitting a telephone solicitation to any such subscriber. Directs the FCC to: (1) revise the regulations setting technical and procedural standards for fax machines to require that any fax machine manufactured after six months after the enactment of this Act that is used for the distribution of unsolicited advertising clearly marks the date and time sent, an identification of the business or other entity sending the advertisement, and the telephone number of the sending machine or of such business. (Exempts for 12 months fax machines that do not have the capacity for automatic dialing and transmission and that are not capable of operation through an interface with a computer.) Requires the FCC to prescribe standards for automatic telephone dialing systems used to transmit any prerecorded telephone solicitation, including the requirements that: (1) all prerecorded telephone messages clearly state the identity and telephone number or address of the business or other entity initiating the call; and (2) such systems will, as soon as is technically practicable after the called party hangs up, automatically create a disconnect signal or on-hook condition which allows the called party's line to be released. Requires the FCC to prescribe rules to restrict the use of any fax machine, computer, or other electronic device to send any unsolicited advertisement to the fax machine of any person.
Bill· HRH.R. 1311 (102nd)referred
United States · United States Congress · 6 March 1991
Amends title XIX (Medicaid) of the Social Security Act to provide Medicaid coverage of screening mammographies for women age 35 and older. Varies the permissible frequency of such covered tests on the basis of a woman's age and her risk of developing breast cancer. Directs the Secretary to periodically review and revise permissible frequencies of such tests.
Bill· HRH.R. 1300 (102nd)referred
United States · United States Congress · 6 March 1991
Universal Health Care Act of 1991 - Amends the Social Security Act to add a new title XXI (National Health Insurance) to establish a national, single-payer health insurance program under which every U.S. citizen would be eligible for enrollment. Allows individuals to choose their own health care providers from among those providers participating in the program. Provides for comprehensive health care under the program with the following benefits provided without any payment of coinsurance or deductibles: (1) inpatient hospital services; (2) nursing facility services; (3) home health services; (4) hospice care; (5) medical care; (6) prescription drugs and biologicals; (7) preventive health services; (8) home and community-based services; (9) mental health care; and (10) such other medical or health care items or services as the Secretary of Health and Human Services determines to be appropriate. Incorporates into the National Health Care program various practice guidelines and trust fund administrative provisions under the Medicare program (title XVIII of the Social Security Act) as well as Medicare-related provisions in titles XI and II (Old Age, Survivors and Disability Insurance) (OASDI) of the Act, including those provisions relating to outcomes of research and peer review under title XI and administration of OASDI and Medicare trust funds under title II. Outlines provisions regarding payments to providers. Provides monthly payments to hospitals and nursing homes on the basis of prospective global budgets established annually after review by the State advisory board and approval by the designated government agency. Provides payment to physicians and other health care professionals according to fee schedules established by the Secretary and adjusted by geographic region. Provides payment for health care (including hospice care) furnished outside of a hospital or nursing home on the basis of either global budgets or fee schedules, or instead on the basis of another prospective payment method (including capitation) which has been approved and reviewed as appropriate. Restricts payments to Federal health care services providers. Requires health care providers to accept payments under the program for items and services as payment in full. Changes the functions of the Prospective Payment Assessment Commission and the Physician Payment Review Commission (renamed the Professional Payment Review Commission) to require such bodies to instead furnish advice to the Secretary, concerning the global budgets of hospitals and nursing homes and fee schedules of physicians and other health care professionals. Creates the Long-Term Care Payment Review Commission and the General Health Care Payment Review Commission to furnish advice to the Secretary concerning the payment mechanism for health care (including hospice care) furnished outside of hospitals or nursing homes and fee schedules for services which have not been described above. Requires all such bodies to report annually to the Congress and the Secretary on the modification of various payment systems described above to meet its objectives. Sets forth administrative provisions. Requires administration of the program at the national level by the Secretary. Allows States to administer the program at the State level. Requires the Secretary to establish a national health budget and State health budgets specifying the amount to be spent per calendar year for health care and how revenues from the National Health Trust Fund will be used under the program. Indexes the national budget each year according to corresponding increases in the gross national product. Establishes expenditure targets to control the growth of health care costs. Requires the national budget to set aside separate amounts for capital expenses and direct medical education and to specify the manner of division among the States. Creates advisory boards representing both consumers and health care providers to advise on the implementation of the program at the national and State levels. Authorizes the Secretary or State to enter into contracts with qualified entities to process claims. Allows only one contract per State. Requires the Secretary to establish applicable reporting systems for the program. Establishes the National Health Trust Fund to finance this Act's initiatives with revenues from: (1) specified tax increases outlined below; (2) hospital insurance taxes imposed on additional State and local government employees and additional changes made to the Internal Revenue Code over time to fund the program; (3) long-term care/health care premiums imposed on elderly individuals who do not have low incomes; (4) State payments determined according to a specified formula tied to corresponding increases in the gross national product; and (5) amounts remaining in the trust funds supporting the Medicare program after the settlement of claims for payment under Medicare has been completed and amounts applicable to Medicare and OASDI trust fund provisions incorporated into the National Health Care program resulting from gifts and bequests, investments, and overpayments. Amends the Internal Revenue Code to: (1) increase personal and corporate income taxes, employer hospital insurance taxes, and the amount of social security benefits subject to income taxation; (2) repeal the limitation on the amount of wages subject to employee and employer hospital insurance taxes; and (3) expand the category of employees subject to hospital insurance taxes as described above. Terminates the Medicare and Medicaid (title XIX of the Social Security Act) programs, Federal Employees Health Benefits Program, Civilian Health and Medical Program of the Uniformed Services, and the Department of Veterans Affairs health benefits and medical care program.
Bill· HRH.R. 1310 (102nd)referred
United States · United States Congress · 6 March 1991
Prostate Cancer Public Awareness Act of 1991 - Amends the Public Health Service Act to provide for a program of public and patient information on prostate cancer.
Bill· HRH.R. 1312 (102nd)referred
United States · United States Congress · 6 March 1991
Amends part B (Supplementary Medical Insurance) of title XVIII (Medicare) of the Social Security Act to revise the breast cancer screening benefit provided under the Omnibus Budget Reconciliation Act of 1990 to cover on an annual basis (currently, biennial) routine breast cancer screening for women over age 64.
Bill· HRH.R. 1288 (102nd)referred
United States · United States Congress · 6 March 1991
Immunization Now Act of 1991 - Entitles each infant in the United States under two years old, who does not have other health insurance and who meets other requirements, to receive immunizations without charge. Requires any licensed health care professional to provide immunizations in exchange for vouchers issued through hospitals or community health centers or on direct application by the parent, with quarterly reimbursements to health care providers in amounts set by the Secretary of Health and Human Services. Directs the Secretary to carry out activities to inform the public and health care providers regarding the program. Authorizes appropriations. Establishes a national immunization registry system to provide for national surveillance of childhood immunization status through age six. Mandates grants for research and demonstration projects to identify mechanisms and structures to develop the registry. Authorizes appropriations. Requires certain measures in expanding the registry from the projects to cover the Nation, including developing: (1) the capacity to link and process all birth certificate records through a central registry; and (2) mechanisms to collect information on all doses of vaccine administered to pre-school age children. Authorizes appropriations. Requires full implementation of the registry by FY 1995, including registration of all infants born in the United States and collection of information on all doses of vaccines administered to children under six. Authorizes appropriations.
Bill· SS. 541 (102nd)referred
United States · United States Congress · 5 March 1991
Retired Coal Miners Health Benefits Act of 1991 - Amends the Internal Revenue Code to provide for the use of excess assets in black lung benefit trusts for health care benefits and health insurance premiums for retired miners and their spouses and dependents.
Bill· SS. 548 (102nd)referred
United States · United States Congress · 5 March 1991
Reproductive Health Equity Act - Amends title XIX (Medicaid) of the Social Security Act, the Indian Health Care Improvement Act, the Peace Corps Act, the District of Columbia Self-Government and Governmental Reorganization Act, and other Federal laws covering armed forces personnel and dependents, certain veterans, Federal employees' health benefits, and Federal penal and correctional institutions to provide that services related to abortion be made available to the same extent as are other pregnancy-related services under federally-funded programs. Repeals provisions of the Indian Health Care Improvement Act requiring submission of a resource allocation plan to the Congress by December 17, 1981.
Bill· SJRESS.J.Res. 86 (102nd)open
United States · United States Congress · 5 March 1991
Designates April 21 through 27, 1991, and April 19 through 25, 1992, as National Organ and Tissue Donor Awareness Week.
Law· HRH.R. 1282 (102nd)enacted
United States · United States Congress · 5 March 1991
Operation Desert Shield/Desert Storm Supplemental Appropriations Act, 1991 - Makes supplemental appropriations for incremental costs of the Department of Defense (DOD) and the Department of Transportation (DOT) associated with operations in and around the Persian Gulf area known as Operations Desert Shield and Desert Storm. Appropriates such funds to the Persian Gulf Regional Defense Fund, which is established in the Treasury. Appropriates additional funds by transfer from current and future balances in the Defense Cooperation Account. Makes such funds available only for transfers to the following accounts in DOD: (1) military personnel; (2) operation and maintenance; (3) procurement; (4) research, development, test, and evaluation; (5) revolving and management funds; (6) combat costs of Operations Desert Shield and Desert Storm; (7) military construction, Army; and (8) Coast Guard operating expenses. Directs the Secretary of Defense, in administering the Fund, to use the corpus of the Fund only to the extent that amounts from the Defense Cooperation Account are not currently available. Requires the Secretary to transfer certain amounts from the Account to the Fund in order to maintain a minimum corpus balance. States that the authority to transfer funds from the Fund is in addition to any other transfer authority contained in this or any other Act making appropriations to DOD for FY 1991. Terminates the Fund after payment of all incremental costs for which the Fund is established. Authorizes the Secretary during FY 1991 to transfer a specified amount among the FY 1991 military personnel appropriation accounts to reflect changes in expenses due to the order to active duty of members of the National Guard and reserves in support of operations in the Persian Gulf. Requires the Congress to be notified of such reprogramming of funds. Requires sums allocated in this Act for fuel price increases to be allocated only to the fuel consumed in direct support of Operations Desert Shield and Desert Storm. Authorizes providers of medical services under the Civilian Health and Medical Program of the Uniformed Services (CHAMPUS) to voluntarily waive any required copayment for medical services provided after August 2, 1990, until the termination of Operation Desert Storm. Requires the Mitchel Field Health Care Facility in New York to be funded only from the operation and maintenance, Navy, appropriation.
Bill· HRH.R. 1230 (102nd)referred
United States · United States Congress · 5 March 1991
Universal Health Benefits Empowerment and Partnership Act of 1991 - Amends the Employee Retirement Income Security Act of 1974 (ERISA) to provide for universal coverage under group health plans and State health benefits systems. Requires employers to offer coverage for eligible individuals under basic group health plans or group health payroll deduction plans. Sets forth requirements for State health benefit systems, including reporting, participation, benefits, and contribution requirements. Directs the Secretary of Health and Human Services (HHS) to prescribe regulations for State systems. Provides for State health benefits system coverage for uninsurable risks and preexisting conditions. Provides for certain basic health benefits systems as alternatives to State health benefits systems. Directs the Secretary of HHS to establish a program of grants to State health benefits systems and alternative basic health benefits systems in order to facilitate the effectuation of universal coverage. Authorizes appropriations. Preempts State laws which mandate certain health benefits or restrict managed medical care under employee welfare benefit plans. Amends the Internal Revenue Code (IRC) to remove certain restrictions on the tax-exempt status of multiple employer welfare arrangements (MEWAs) providing basic health benefits. Establishes certain annual reporting requirements for such MEWAs. Amends the Public Health Service Act (PHSA) to revise provisions for the Agency for Health Care Policy and Research and the Office of the Forum for Quality and Effectiveness in Health Care. Requires the Federal Advisory Council on Health Care Coverage and Costs (established by this Act) to: (1) study how practice guidelines may be used in reducing medical malpractice costs; and (2) report results and recommendations to the Secretary of HHS. Authorizes appropriations under the PHSA. Establishes a Federal Advisory Council on Health Care Coverage and Costs. Directs the Council to report at least annually to the Secretaries of HHS and of Labor, until the Secretary of HHS requests a final report. Terminates the Council upon submission of its final report. Amends the IRC to increase the deduction for health insurance costs of self-employed individuals from 25 percent (currently and in 1992 and 1993) to 50 percent (in 1994 and 1995) and to 100 percent (in 1996 and thereafter).
Bill· HRH.R. 1264 (102nd)referred
United States · United States Congress · 5 March 1991
Women's Health and Mental Health Research Act - Amends the Public Health Service Act to establish in the Office of the Administrator of the Alcohol, Drug Abuse, and Mental Health Administration (ADAMHA) the Office of Research on Women's Health and Mental Health (Office) to ensure that women's health and mental health research is identified and addressed by ADAMHA. Establishes in the Office the Coordinating Committee for Research on Women's Health and the Advisory Committee for Research on Women's Health. Requires that the Administrator establish: (1) a single data system for the collection, analysis, and dissemination of information regarding women's health and mental health research, including a registry of clinical trials of experimental treatments; and (2) a program to provide information on women's health and mental health research. Provides for grants or contracts for the development and operation of Centers of Excellence in Women's Health and Mental Health Research using a single institution or a consortium for each Center. Provides, subject to appropriations, for three centers, with support covering five years. Allows extension of support if recommended by a technical and scientific peer review group. Authorizes appropriations.
Bill· HRH.R. 1263 (102nd)referred
United States · United States Congress · 5 March 1991
Women's Health Research Act - Amends the Public Health Service Act to establish within the Office of the Director of the National Institutes of Health (NIH) the Office of Research on Women's Health (Office) to ensure that women's health research is identified and addressed by NIH. Establishes in the Office the Coordinating Committee for Research on Women's Health and the Advisory Committee for Research on Women's Health. Mandates that the Director of the Office prepare and annually review a plan for establishing a program for clinical research on obstetrics and gynecology to be conducted by the Director of the National Institute of Child Health and Human Development (NICHHD). Requires the NICHHD Director to establish a program of contracts with individuals who agree to conduct obstetrics and gynecology research in return for the Federal Government paying, to a specified maximum, the educational loans of the individuals. Requires the NIH Director to establish a single data system for the collection, analysis, and dissemination of information regarding women's health research conducted or supported by NIH, including a registry of clinical trials of experimental treatments. Requires the NIH Director to establish and operate a program to provide information on research and prevention activities relating to women's health research. Provides for grants or contracts for the development and operation of Centers of Excellence in Women's Health Research using a single institution or a consortium for each Center. Provides, subject to appropriations, for three centers, with support covering five years. Allows extension of support if recommended by a technical and scientific peer review group. Authorizes appropriations for specified provisions of this Act.
Bill· HRH.R. 1255 (102nd)referred
United States · United States Congress · 5 March 1991
Universal Health Insurance Act of 1991 - Adds a new title XXI to the Social Security Act entitled "Basic Health Insurance." Provides, under title XXI, for: (1) the establishment of one or more service areas within each State to deliver health care services; (2) the establishment of benefit standards; (3) the selection of carriers through competitive bidding; and (4) outreach services. Directs the Secretary of Health and Human Services in establishing the benefit standards to include the types of coverage normally provided by health insurance plans, including maternity, prenatal, and postnatal care and catastrophic protection. Provides that every U.S. national and lawfully admitted alien shall be eligible to enroll with a participating carrier. Determines the annual premium for such insurance by the use of a formula which takes into account an individual's income and net assets so that such premium increases with one's wealth. Provides that coverage under a title XXI plan shall: (1) be secondary in payment to any other insurance or benefit plan; and (2) not require any evidence of medical insurability or restrict coverage because of a preexisting condition or previous treatment. Provides a premium discount to enrollees who make little or no use of such insurance. Authorizes appropriations to carry out new title XXI in an amount equal to: (1) 100 percent of the cigarette excise tax; and (2) such additional amounts as may be required. Requires such funds to be used for making payments to health insurance carriers for health insurance coverage contracted for by the Secretary under title XXI. Amends the Internal Revenue Code to impose an additional tax on cigarettes. Imposes an excise tax, of six percent of total wages paid, on employers who do not offer their employees a health plan meeting title XXI benefit standards.
Bill· HRH.R. 1244 (102nd)referred
United States · United States Congress · 5 March 1991
Healthy Beginnings Act of 1991 - Amends the Public Health Service Act to authorize grants for reducing infant mortality and providing to pregnant women, children under two years old, and the mothers of such children, in medically underserved areas, certain services in the home, including: (1) health care; (2) education regarding parenting skills, tobacco and alcohol use, nonprescription drug use, and family planning; and (3) referrals. Requires that the services be provided, to the extent practicable, through nurses. Allows grants to be expended for outreach. Allows technical assistance to grantees. Authorizes appropriations.
Law· HJRESH.J.Res. 175 (102nd)enacted
United States · United States Congress · 5 March 1991
Designates the weeks beginning on December 1, 1991, and November 29, 1992, as National Home Care Week.
Bill· HJRESH.J.Res. 170 (102nd)referred
United States · United States Congress · 5 March 1991
Designates April 1991 as National Walk for Health and Fitness Month.
Resolution· HCONRESH.Con.Res. 87 (102nd)referred
United States · United States Congress · 5 March 1991
Calls for States to develop procedures that require medical examiners and coroners to make reasonable, good faith efforts to locate and notify the next of kin of deceased persons where the identity of the deceased or the next of kin is unknown.
Bill· HJRESH.J.Res. 165 (102nd)referred
United States · United States Congress · 4 March 1991
Designates April 1991 as National Weight Loss Month.
Bill· SS. 518 (102nd)referred
United States · United States Congress · 28 February 1991
Amends title XVIII (Medicare) of the Social Security Act to increase the interest paid on late payments of provider clean claims. Makes such rate applicable to claims which are not clean but are found to be legitimate and complete and are not paid within 24 days of their receipt.
Bill· SJRESS.J.Res. 81 (102nd)open
United States · United States Congress · 28 February 1991
Designates December 1 through December 7, 1991, and November 29 through December 5, 1992, as National Home Care Week.
Bill· HRH.R. 1190 (102nd)referred
United States · United States Congress · 28 February 1991
High Risk Occupational Disease Notification and Prevention Act - Establishes a Risk Assessment Board (the Board), within the Department of Health and Human Services (HHS), to: (1) review pertinent medical and scientific reports on the incidence of disease associated with exposure to occupational health hazards; (2) identify and designate populations at risk that should receive notification; (3) develop a form and method of notification that will be used by the Secretary of Health and Human Services (the Secretary); and (4) determine the appropriate type of medical monitoring or beneficial health counseling. Sets forth factors for Board consideration and priorities in designating populations at risk of disease for notification. Directs the Secretary to make every reasonable effort to ensure that each individual within a population at risk of disease is notified of the risk. Requires the Secretary, through the National Institute for Occupational Safety and Health (NIOSH), to conduct the required notification, with specified exceptions. Allows an employer to apply to NIOSH for an exemption from such employee notification because that employer's employees are not at risk of disease because of significant mitigating factors. Provides for telephone "hot lines" and other dissemination of information. Authorizes the Secretary to certify a private employer or a State or local government to conduct notification. Provides for judicial review of Board determinations. Requires the Secretary to establish and certify ten occupational and environmental health centers to: (1) provide education, training, and technical assistance to personal physicians and health and social service professionals who serve employees notified that they are at risk under this Act; and (2) provide diagnosis, treatment, and medical monitoring and family services for such employees. Directs the Secretary to make grants to conduct research, training, and education aimed at improving the means of identifying employees exposed to occupational health hazards and improving medical assistance to such employees. Authorizes the Secretary to make grants and contracts for training and curriculum development in occupational medicine or health to schools of medicine and of nursing. Provides that such assistance shall be for projects: (1) at schools with occupational medicine or health programs, for faculty continuing education, curricula and training materials for undergraduate medical or nursing training, and clinical training for residents in graduate medical programs; and (2) at schools without such programs, for faculty training. Directs the Secretary, during FY 1991 through 1993, to make such grants and contracts to at least ten schools of medicine or nursing. Requires that the medical monitoring recommended by the Board be provided by the current employer: (1) at no additional cost to the employee (above any existing employee health care contribution), if any part of the exposure occurred in the course of employment by that employer; or (2) at a charge to the employee not exceeding the additional cost to the employer (above any existing employer health care contribution), or at no charge, if no part of such exposure occurred in the course of employment by that employer. Sets forth special rules for medical monitoring by small businesses and of seasonal agricultural workers. Prohibits discharging or discriminating against employees, or applicants for employment, on the basis that they are or have been members of a population at risk. Makes an exception to such prohibition if the position which the applicant seeks requires exposure to the occupational health hazard which is the subject of the notice. Allows an employer with 50 or fewer employees to transfer an employee who is or has been a member of a population at risk to another job if earnings, seniority, and other employment rights and benefits are as comparable as possible to the old job and if the terms of an applicable collective bargaining agreement are not violated. Grants the option of being transferred to a less hazardous or nonexposed job to any employee member of a population at risk who is determined by a physician to show evidence of developing the disease described in the notice or other symptoms or conditions increasing the likelihood or incidence of such disease. Requires that the employee maintain earnings, seniority, and other employment rights and benefits of the former job. Sets forth procedures for independent reconsideration of the initial medical determination. Sets forth special rules for medical removal. Makes such protection inapplicable to seasonal agricultural workers with less than six months continuous employment with an employer. Exempts from the requirement of medical removal protection any employer who has 50 or fewer employees and who has made or is making a reasonable good faith effort to eliminate the occupational health hazard that is the basis for the medical removal decision. Provides for confidentiality of employee records unless disclosure is authorized by and is necessary to carry out a provision of this Act, or is authorized by the employee. Permits employees aggrieved by violations of provisions involving medical monitoring, medical removal, discrimination, and confidentiality to apply, within six months after the violation occurs, to the Secretary of Labor for a review of the alleged violation. Sets forth provisions for investigations, actions, defenses, determinations, and appeals in such cases. Provides for reinstatement and other relief for employees injured by such violations. Sets forth civil penalties for such violations. Authorizes the Secretary (of HHS) to bring an action in U.S. district court to enjoin an employer from violating this Act. Directs the Secretary of Labor to report annually to the Congress on the implementation and enforcement of the hazard communication standard. Directs the Secretary of HHS to report annually to the Congress on the implementation and enforcement of notification under this Act. Authorizes appropriations for FY 1991 through 1995.
Bill· HRH.R. 1213 (102nd)referred
United States · United States Congress · 28 February 1991
Medicare Bone Mass Measurement Coverage Act of 1991 - Amends title XVIII (Medicare) of the Social Security Act to provide Medicare coverage of bone mass measurements.
Bill· HRH.R. 1212 (102nd)referred
United States · United States Congress · 28 February 1991
Osteoporosis and Related Bone Disorders Research, Education, and Health Services Act of 1991 - Amends the Public Health Service Act to require the Director of the National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMSD), the Director of the National Institute on Aging (NIA), and the Director of the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDKD) to expand and intensify research on osteoporosis and related bone disorders. Requires, with respect to osteoporosis and related bone disorders: (1) the NIAMSD Director to increase the number of Specialized Centers of Research; (2) the NIA Director to increase the number of program project grants devoted to creating centers of excellence; and (3) the NIDDKD Director to increase the number of grants in osteoporosis. Authorizes appropriations. Establishes in the Department of Health and Human Services the Interagency Council on Osteoporosis and Related Disorders and the Advisory Panel on Osteoporosis and Related Disorders. Authorizes appropriations for the Advisory Panel. Requires the NIAMSD Director to make grants or enter into contracts to establish a Resource Center on Osteoporosis and Related Disorders to: (1) disseminate information about research results, services, and educational materials to health professionals, patients, and the public; and (2) coordinate leadership training for the development of health professional resource networks. Requires grant and contract recipients to establish: (1) a central computerized information system to, among other matters, translate scientific and technical information into information readily understandable by the general public; and (2) a national toll-free telephone information line. Requires the grant or contract recipient to charge fees for providing information, but allows exceptions for individuals and organizations unable to pay. Authorizes appropriations.
Bill· HRH.R. 1200 (102nd)referred
United States · United States Congress · 28 February 1991
Medicare Skilled Nursing Facility and Home Health Benefit Act of 1991 - Amends title XVIII (Medicare) of the Social Security Act to: (1) eliminate the requirement that extended care services be provided within a certain period following hospitalization in order to be covered under the Hospital Insurance Program; and (2) cover nursing care and home health aide services provided or needed on an intermittent basis.
Bill· HRH.R. 1197 (102nd)referred
United States · United States Congress · 28 February 1991
Children's and Communities' Mental Health Systems Improvement Act of 1991 - Amends the Public Health Service Act to replace a subpart relating to State comprehensive mental health services plans with a subpart relating to comprehensive mental health services for children with serious emotional disturbance. Directs the Secretary of Health and Human Services, through the Director of the National Institute of Mental Health, to make grants to States for comprehensive community mental health services to children with serious emotional disturbance. Prohibits the Secretary from making a grant to a State unless the State is receiving payments under alcohol and drug abuse and mental health services block grant provisions. Requires non-Federal contributions in a specified ratio. Requires State grantees to: (1) establish and operate one or more systems, through grants or contracts, to provide specified types of mental health services to children under 22 years of age; (2) enter into a memorandum of understanding with providers of medical, educational, vocational counseling and vocational rehabilitation, and protection and advocacy services to facilitate the provision of such services without use of grant funds or non-Federal contributions made with respect to the grant; (3) provide case management services; (4) provide services in the language and cultural context that is most appropriate for the child involved; and (5) develop and implement an individualized plan of services for each child admitted to the system. Describes additional services for which a State system may provide. Prohibits the Secretary from making a grant to a State unless the State has a plan, approved by the Secretary, for the development of a State-wide system of care for community-based services for children with serious emotional disturbance. Requires that parents of children with serious emotional disturbances be included as members of the mental health planning council established under existing provisions. Requires that, if a charge is imposed for services under a grant, the charge be made according to a public schedule, adjusted to reflect the income of the family of the child, and not imposed on any child whose family has income and resources at or below the poverty line. Limits grants to States to five years. Allows a State system established under a grant to receive grant funds for three years. Directs the Secretary to provide to a State, on request: (1) technical assistance regarding grant applications; and (2) training and technical assistance on the planning, development, and operation of the systems under this Act. Authorizes the Secretary to provide the technical assistance directly or through grants or contracts. Authorizes appropriations, earmarking a specified sum for the technical assistance and training. Limits the number of grants to ten in FY 1992.
Bill· HRH.R. 1189 (102nd)referred
United States · United States Congress · 28 February 1991
Medicaid Substance Abuse Treatment Act of 1991 - Amends title XIX (Medicaid) of the Social Security Act to provide federally reimbursed Medicaid coverage of alcoholism and drug dependency residential treatment services for pregnant women whose family income is below 185 percent of the Federal poverty level and for their Medicaid-eligible children and spouses. Lists the required services included in such coverage as: (1) individual, group, and family counseling and addiction education and treatment provided pursuant to individualized treatment plans; (2) room and board in a structured environment with on-site supervision 24 hours a day; (3) therapeutic child care or counseling for children of individuals in treatment; (4) parental assistance in obtaining developmental assistance for their preschool children and public education for themselves and their school-age children; (5) easier access to prenatal, postpartum, pediatric, and other appropriate health, social, and child care services; (6) planning and assistance in reentering society; and (7) continuing specialized training of residential treatment facility staff members in the most recent and effective treatment techniques. Requires that such coverage continue for at least 12 months, except that the coverage of pregnant women must continue for one year following the end of pregnancy. Limits the size of a residential treatment facility to no more than 40 beds unless the Secretary of Health and Human Services, at the request of a State, waives such limitation under prescribed conditions.
Bill· SS. 514 (102nd)referred
United States · United States Congress · 27 February 1991
Women's Health Equity Act of 1991 - Title I: Research - Amends the Public Health Service Act to establish within the Office of the Director of the National Institutes of Health (NIH) the Office of Research on Women's Health (Office) to ensure that women's health research is identified and addressed by NIH. Establishes in the Office the Coordinating Committee for Research on Women's Health and the Advisory Committee for Research on Women's Health. Mandates that the Director of the Office prepare and annually review a plan for establishing a program for clinical research on obstetrics and gynecology to be conducted by the Director of the National Institute of Child Health and Human Development (NICHHD). Requires the NICHHD Director to establish a program of contracts with individuals who agree to conduct obstetrics and gynecology research in return for the Federal Government paying, to a specified maximum, the educational loans of the individuals. Requires the NIH Director to establish a single data system for the collection, analysis, and dissemination of information regarding women's health research conducted or supported by NIH, including a registry of clinical trials of experimental treatments. Requires the NIH Director to establish and operate a program to provide information on research and prevention activities relating to women's health research. Provides for grants or contracts for the development and operation of Centers of Excellence in Women's Health Research using a single institution or a consortium for each Center. Provides, subject to appropriations, for three centers, with support covering five years. Allows extension of support if recommended by a technical and scientific peer review group. Authorizes appropriations for specified provisions of this subtitle. Amends provisions of the Public Health Service Act relating to the national research institutes and provisions relating to the Alcohol, Drug Abuse, and Mental Health Administration (ADAMHA) to direct the Secretary of Health and Human Services to ensure, in conducting or supporting clinical research, that women and minority groups are included as research subjects, unless inappropriate. Requires that any project be designed and carried out so as to provide for a valid analysis of whether the research variables affect women or minorities differently than other subjects. Directs the Secretary to establish within the advisory council of each agency of an institute and ADAMHA a Clinical Research Equity Subcommittee to review all clinical research of that agency to determine whether the research is being conducted in accordance with requirements of this Act. Provides for suspension or revocation of the authority for any project the Secretary determines is not being conducted in accordance with those requirements. Defines "minority groups" to mean racial and ethnic minority groups. Requires that the technical and scientific peer review process in the institutes and ADAMHA include an evaluation of the inclusion of women and minority groups as research subjects. Amends the Public Health Service Act to establish in the Office of the Administrator of ADAMHA the Office of Research on Women's Health and Mental Health (Office) to ensure that women's health and mental health research is identified and addressed by ADAMHA. Establishes in the Office the Coordinating Committee for Research on Women's Health and the Advisory Committee for Research on Women's Health. Requires that the Administrator establish: (1) a single data system for the collection, analysis, and dissemination of information regarding women's health and mental health research, including a registry of clinical trials of experimental treatments; and (2) a program to provide information on women's health and mental health research. Provides for grants or contracts for the development and operation of Centers of Excellence in Women's Health and Mental Health Research using a single institution or a consortium for each Center. Provides, subject to appropriations, for three centers, with support covering five years. Allows extension of support if recommended by a technical and scientific peer review group. Authorizes appropriations. Amends the Public Health Service Act to authorize appropriations for research on alcohol abuse and alcoholism, earmarking certain amounts for such research relating to women. Authorizes to be appropriated, in addition to sums already authorized, a certain amount to the National Cancer Institute for breast cancer research other than research which involves treatment or clinical trials. Amends the Public Health Service Act to require the Director of the Institute of Child Health and Human Development to make grants and enter into contracts for centers for improving methods of contraception and centers for diagnosing and treating infertility. Requires the Director, subject to appropriations, to provide for three centers with respect to contraception and two centers with respect to infertility. Requires each center to: (1) conduct clinical and other applied research; (2) develop training protocols for and conduct training of physicians, scientists, nurses, and other health and allied health professionals; (3) develop model continuing education programs; and (4) disseminate information to such professionals. Allows a center to use the funds to provide: (1) stipends for health and allied health professionals enrolled in the training programs; and (2) fees to individuals serving as subjects in the clinical trials. Requires each center to use the facilities of a single institution, or be formed from a consortium of cooperating institutions, meeting requirements as prescribed by the Secretary of Health and Human Services. Allows support for a center to be for a period of up to five years, with extensions of one or more periods of up to five years if the center's operations have been reviewed by a peer review group and the group has so recommended. Authorizes appropriations. Amends the Public Health Service Act to direct the Secretary to establish a program of entering into agreements with health professionals, including graduate students, under which the professionals agree to conduct research with respect to contraception or infertility in consideration for the Government agreeing to repay, for each year of such service, not more than a specified amount of the principal and interest of their educational loans. Applies provisions of the National Health Service Corps Loan Repayment Program to this program, except as inconsistent. Authorizes appropriations. Requires amounts appropriated to remain available until the end of the second fiscal year after they are appropriated. Declares that it is the sense of the Congress that the Congress should: (1) establish a program of research for the development of methods of contraception and methods of diagnosing and treating infertility; (2) provide adequate long-term resources for the program; (3) ensure that Federal programs with respect to sexually transmitted diseases adequately respond to the role of such diseases in infertility; (4) ensure public education on contraception and infertility; (5) establish as Federal goals the development, by the year 2010, of improved barrier methods to protect against pregnancy and diseases, new methods of contraception for use by men, a vaccine-like drug for women that prevents pregnancy for a significant period of time without other specified effects, and new and improved techniques of diagnosing and treating infertility; (6) require the Secretary of Health and Human Services to reestablish the Ethical Advisory Board in order to facilitate research with respect to infertility; (7) review the policies and procedures of the Food and Drug Administration with respect to expediting approval of drugs and devices for use by the public, especially with respect to contraception and infertility; and (8) determine to what extent measures can be implemented by public or private entities to resolve liability issues involved with drugs and devices concerned with contraception and infertility. Amends the Public Health Service Act to direct the Secretary of Health and Human Services, through the Director of the NIH, the Administrator of the ADAMHA, or both, to establish a program to conduct biomedical and behavioral research on cases of infection with the etiologic agent for acquired immune deficiency syndrome (AIDS) in women. Authorizes the Secretary to conduct the research directly or through grants. Specifies forms of research to be included. Authorizes appropriations. Authorizes appropriations for grants for community-based clinical trials on experimental treatments for such infection for women. Allows the Director of NIH to authorize grantees to expend the grants to provide individuals with such transportation, child care, and other incidental services as may be necessary to enable the individuals to participate as subjects in the trials. Directs the Secretary of Health and Human Services, through the Director of the National Institutes of Health and the Director of the National Cancer Institute, to conduct or support basic research on certain aspects of ovarian cancer. Prohibits the Secretary from conducting or supporting clinical research on the same matters. Authorizes appropriations. Amends the Public Health Service Act to require the Director of the National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMSD), the Director of the National Institute on Aging (NIA), and the Director of the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDKD) to expand and intensify research on osteoporosis and related bone disorders. Requires, with respect to osteoporosis and related bone disorders: (1) the NIAMSD Director to increase the number of Specialized Centers of Research; (2) the NIA Director to increase the number of program project grants devoted to creating centers of excellence; and (3) the NIDDKD Director to increase the number of grants in osteoporosis. Authorizes appropriations. Establishes in the Department of Health and Human Services the Interagency Council on Osteoporosis and Related Disorders and the Advisory Panel on Osteoporosis and Related Disorders. Authorizes appropriations for the Advisory Panel. Requires the NIAMSD Director to make grants or enter into contracts to establish a Resource Center on Osteoporosis and Related Disorders to: (1) disseminate information about research results, services, and educational materials to health professionals, patients, and the public; and (2) coordinate leadership training for the development of health professional resource networks. Requires grant and contract recipients to establish: (1) a central computerized information system to, among other matters, translate scientific and technical information into information readily understandable by the general public; and (2) a national toll-free telephone information line. Requires the grant or contract recipient to charge fees for providing information, but allows exceptions for individuals and organizations unable to pay. Authorizes appropriations. Title II: Services - Requires any State receiving funds under titles V (Maternal and Child Health Block Grant) or XIX (Medicaid) of the Social Security Act or under the preventive health service provisions of the Public Health Service Act to require any physician or surgeon licensed to practice medicine in such State to inform any breast cancer patient of alternative methods of treatment for breast cancer before such treatment is begun. Requires that the patients be informed by means of: (1) a standardized written summary in layman's language and in a language understood by the patient of alternative methods of treatment; and (2) an explanation of the treatment options described in such written summary together with the risks associated with each procedure relative to each patient's particular medical circumstances. Amends titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act to provide Medicare and Medicaid coverage of obstetrical and gynecological services furnished by nurse practitioners. Amends the Public Health Service Act to replace the title on adolescent family life demonstration projects with a title on adolescent pregnancy prevention, care, and research grants. Authorizes the Secretary of Health and Human Services to make grants to provide, supplement, or improve the quality of care services to pregnant adolescents and their male partners and adolescent parents and prevention services to nonpregnant adolescents. Requires grantees to charge fees for services only under a fee schedule, approved by the Secretary, based on the income of the person and taking into account the difficulty adolescents face in obtaining resources to pay for services. Prohibits discrimination because of an individual's inability to pay for services. Sets forth priorities in making grants, including giving priority to applicants that: (1) serve an area with a high incidence of adolescent pregnancy; and (2) serve an area with a high proportion of low-income families and low availability of care programs. Requires that the amount of a grant be set by the Secretary. Limits a grant, subject to waiver for one year, to 75 percent of the cost of a program. Specifies the information and assurances which must accompany a grant application. Directs the Secretary to coordinate Federal policies and programs providing services relating to the prevention of initial and recurrent adolescent pregnancies and providing care services, including by requiring grantees under these provisions to report concerning Federal, State, and local policies that interfere with delivery and coordination of programs of care for pregnant adolescents and adolescent parents. Authorizes the Secretary to make grants to institutions of higher education to support and disseminate the results of research relating to adolescent pregnancy. Limits grants or contracts to: (1) one year, subject to renewal for four additional one-year periods; and (2) subject to waiver, a specified dollar amount. Allows funds to be used for descriptive or explanatory surveys, evaluation studies, longitudinal studies, or limited programs for services that are for the purpose of increasing knowledge and understanding of specified matters. Directs the Secretary to establish a system for the review of grant and contract applications which is similar to the system of scientific peer review of the National Institutes of Health. Allows grants only to programs determined by the review panel to have scientific merit. Authorizes appropriations, earmarking at least two-thirds of appropriated funds for services, with no more than one-third of those amounts used for grants for prevention services. Prohibits using grant funds for the performance of an abortion. Directs the Secretary of Health and Human Services to make grants in FY 1991 through 1995 for the establishment or support of adolescent health demonstration projects. Requires such projects to: (1) provide nutrition and hygiene counseling, health care related to sports, family planning information and services, prenatal and postpartum care, family life and parenting counseling, and alcohol and drug abuse education and treatment; (2) serve adolescents before their graduation from high school; (3) encourage family participation; and (4) establish community advisory committees. Directs the Secretary to give priority to project applicants who will serve areas with low-income or minority populations. States that no grant funds may be used to perform or pay for abortions. Amends the Internal Revenue Code, the Employee Retirement Income Security Act of 1974 (ERISA), and the Public Health Service Act (the Acts) to declare that specified provisions relating to the required period of group health plan continuation coverage do not apply to the qualifying events of death, divorce, or legal separation involving a beneficiary who is 50 years old or older. Requires that coverage continue until the 23rd birthday, or 36 months after the qualifying event, whichever is later, for an individual who is a dependent child beneficiary under 20 years old at the time of such an event involving a covered employee 50 years old or older. Amends the Acts to modify: (1) the termination of extended coverage for disability and the general rule for other qualifying events, as they relate to the maximum required period of continuation coverage; and (2) dates by which certain notice must be given. Requires any contract for health benefits for Federal employees that provides obstetrical benefits to also provide benefits for family-building procedures. Provides that payment terms or conditions under such contracts shall be no more restrictive for family-building benefits than for obstetrical benefits. Defines "family-building procedure" as a medical procedure to overcome infertility (including procedures to achieve pregnancy and procedures to carry pregnancy to term) and procedures relating to child adoption. Requires such contracts to provide that: (1) benefits shall consist of reimbursement for reasonable and necessary medical expenses and counseling fees directly relating to the adoption of a child; and (2) benefits shall be available in connection with obstetrical care for the biological mother and medical care for the child if, or to the extent that, the pre-adoptive or adoptive parent or parents are legally responsible for the cost of such care. Directs the Office of Personnel Management to authorize the use of sick leave for purposes relating to family-building procedures. Title III: Prevention - Amends title XIX (Medicaid) of the Social Security Act to phase-in mandatory State coverage of pregnant women and infants whose family income is below 185 percent of the Federal poverty level. Deducts child and medical care costs from the income eligibility test. Authorizes States to provide Medicaid coverage of prenatal home visitation services for high-risk pregnant women and/or postpartum home visitation services for high-risk infants. Amends the Public Health Service Act to require certification in order for a facility to perform or interpret mammograms, inspect equipment, or conduct quality assurance oversight related to mammography. Authorizes the Secretary of Health and Human Services to issue and renew certificates for up to two years. Requires, in order to be certified, that a facility be accredited. Allows the Secretary to approve a private nonprofit organization to be an accreditation body which meets certain requirements, including inspecting facilities. Directs the Secretary to: (1) establish standards for facilities to assure the safety and accuracy of mammography; (2) specify organizations eligible to certify individuals to perform radiological procedures; (3) specify boards eligible to certify individuals to interpret screening mammograms; (4) establish standards regarding the qualifications for individuals to interpret screening mammograms; and (5) specify boards eligible to certify individuals to inspect screening mammography equipment and oversee quality assurance practices. Directs the Secretary to conduct annual announced and unannounced inspections of certified facilities. Provides for: (1) intermediate sanctions for certain violations; (2) suspension, revocation, and limitation of certificates; and (3) injunctions. Requires fees for certificate issuance and renewal, and for inspections, sufficient to cover costs. Requires annual publication of a list of facilities convicted of fraud and abuse, false billings, or kickbacks, facilities that have had certificates revoked, suspended, or limited, and facilities that have been the subject of a sanction or other similar matters. Allows the Secretary to exempt facilities in a State with more stringent requirements from compliance with this Act. Directs the Secretary to: (1) make grants for research on new methods of establishing a Mammography Registry; and (2) based on the research, establish the Registry. Amends title XVIII (Medicare) of the Social Security Act to require that screening mammographies paid for under Medicare be performed by a facility: (1) certified under this Act; and (2) in compliance with specified provisions of this Act. Amends title XIX (Medicaid) of the Social Security Act to provide Medicaid coverage of: (1) screening mammographies for women age 35 and older conducted in accordance with the frequency guidelines established by the Omnibus Budget Reconciliation Act of 1990 for such coverage under the Medicare Program (title XVIII of the Social Security Act); and (2) screening pap smears. Amends title XVIII (Medicare) of the Social Security Act to provide Medicare coverage of bone mass measurements. Amends the Public Health Service Act to authorize the Secretary of Health and Human Services to make grants regarding prevention of acquired immune deficiency syndrome (AIDS) and other sexually transmitted diseases in women, including preventive health services, screening, providing treatment (for such diseases other than AIDS), referrals, and follow-up services. Requires that a grantee be an entity that provides health or voluntary family planning services: (1) to a significant number of low-income women; and (2) in an area with a significant number of AIDS cases in women and in newborn infants. Requires that grantees maintain the confidentiality of information on individuals, subject to complying with applicable law. Authorizes appropriations. Amends the Public Health Service Act to authorize the Secretary of Health and Human Services, with regard to any treatable sexually transmitted disease that can cause infertility in women if treatment is not received for the disease, to make grants for specified activities, including counseling, screening, treatment, referrals, outreach, public information and education, training for health care providers, and data collection. Directs the Secretary to establish criteria for ensuring the quality of screening for such diseases. Limits grants to three years. Authorizes appropriations. Authorizes the Secretary to make grants for research on improving the delivery of services under this subtitle. Authorizes appropriations.
Bill· SS. 513 (102nd)referred
United States · United States Congress · 27 February 1991
Clinical Trials Fairness Act - Amends provisions of the Public Health Service Act relating to the national research institutes and provisions relating to the Alcohol, Drug Abuse, and Mental Health Administration (ADAMHA) to direct the Secretary of Health and Human Services to ensure, in conducting or supporting clinical research, that women and minority groups are included as research subjects, unless inappropriate. Requires that any project be designed and carried out so as to provide for a valid analysis of whether the research variables affect women or minorities differently than other subjects. Directs the Secretary to establish within the advisory council of each agency of an institute and ADAMHA a Clinical Research Equity Subcommittee to review all clinical research of that agency to determine whether the research is being conducted in accordance with requirements of this Act. Provides for suspension or revocation of the authority for any project that the Secretary determines is not being conducted in accordance with those requirements. Defines "minority groups" to mean racial and ethnic minority groups. Requires that the technical and scientific peer review process in the institutes and ADAMHA include an evaluation of the inclusion of women and minority groups as research subjects.
Bill· SS. 512 (102nd)referred
United States · United States Congress · 27 February 1991
Authorizes to be appropriated, in addition to sums already authorized, a certain amount to the National Cancer Institute for breast cancer research other than research which involves treatment or clinical trials.
Law· SJRESS.J.Res. 78 (102nd)enacted
United States · United States Congress · 27 February 1991
Designates the month of November in 1991 and 1992 as National Hospice Month.
Bill· HRH.R. 1161 (102nd)open
United States · United States Congress · 27 February 1991
Women's Health Equity Act of 1991 - Title I: Research - Subtitle A: Women's Health Research Act - Women's Health Research Act - Amends the Public Health Service Act to establish within the Office of the Director of the National Institutes of Health (NIH) the Office of Research on Women's Health (Office) to ensure that women's health reseach is identified and addressed by NIH. Establishes in the Office the Coordinating Committee for Research on Women's Health and the Advisory Committee for Research on Women's Health. Mandates that the Director of the Office prepare and annually review a plan for establishing a program for clinical research on obstetrics and gynecology to be conducted by the Director of the National Institute of Child Health and Human Development (NICHHD). Requires the NICHHD Director to establish a program of contracts with individuals who agree to conduct obstetrics and gynecology research in return for the Federal Government paying, to a specified maximum, the educational loans of the individuals. Requires the NIH Director to establish a single data system for the collection, analysis, and dissemination of information regarding women's health research conducted or supported by NIH, including a registry of clinical trials of experimental treatments. Requires the NIH Director to establish and operate a program to provide information on research and prevention activities relating to women's health research. Provides for grants or contracts for the development and operation of Centers of Excellence in Women's Health Research using a single institution or a consortium for each Center. Provides, subject to appropriations, for three centers, with support covering five years. Allows extension of support if recommended by a technical and scientific peer review group. Authorizes appropriations for specified provisions of this subtitle. Subtitle B: Clinical Trials Fairness Act - Clinical Trials Fairness Act - Amends provisions of the Public Health Service Act relating to the national research institutes and provisions relating to the Alcohol, Drug Abuse, and Mental Health Administration (ADAMHA) to direct the Secretary of Health and Human Services to ensure, in conducting or supporting clinical research, that women and minority groups are included as research subjects, unless inappropriate. Requires that any project be designed and carried out so as to provide for a valid analysis of whether the research variables affect women or minorities differently than other subjects. Directs the Secretary to establish within the advisory council of each agency of an institute and ADAMHA a Clinical Research Equity Subcommittee to review all clinical research of that agency to determine whether the research is being conducted in accordance with requirements of this Act. Provides for suspension or revocation of the authority for any project the Secretary determines is not being conducted in accordance with those requirements. Defines "minority groups" to mean racial and ethnic minority groups. Requires that the technical and scientific peer review process in the institutes and ADAMHA include an evaluation of the inclusion of women and minority groups as research subjects. Subtitle C: Women's Health and Mental Health Research Act - Women's Health and Mental Health Research Act - Amends the Public Health Service Act to establish in the Office of the Administrator of the Alcohol, Drug Abuse, and Mental Health Administration (ADAMHA) the Office of Research on Women's Health and Mental Health (Office) to ensure that women's health and mental health research is identified and addressed by ADAMHA. Establishes in the Office the Coordinating Committee for Research on Women's Health and the Advisory Committee for Research on Women's Health. Requires that the Administrator establish: (1) a single data system for the collection, analysis, and dissemination of information regarding women's health and mental health research, including a registry of clinical trials of experimental treatments; and (2) a program to provide information on women's health and mental health research. Provides for grants or contracts for the development and operation of Centers of Excellence in Women's Health and Mental Health Research using a single institution or a consortium for each Center. Provides, subject to appropriations, for three centers, with support covering five years. Allows extension of support if recommended by a technical and scientific peer review group. Authorizes appropriations. Subtitle D: Women and Alcohol Research Equity Act - Women and Alcohol Research Equity Act of 1991 - Amends the Public Health Service Act to authorize appropriations for research on alcohol abuse and alcoholism, earmarking certain amounts for such research relating to women. Subtitle E: Breast Cancer Basic Research Act - Authorizes to be appropriated, in addition to sums already authorized, a certain amount to the National Cancer Institute for breast cancer research other than research which involves treatment or clinical trials. Subtitle F: Contraceptive and Infertility Research Centers Act - Contraception and Infertility Research Centers Act of 1991 - Amends the Public Health Service Act to require the Director of the Institute of Child Health and Human Development to make grants and enter into contracts for centers for improving methods of contraception and centers for diagnosing and treating infertility. Requires the Director, subject to appropriations, to provide for three centers with respect to contraception and two centers with respect to infertility. Requires each center to: (1) conduct clinical and other applied research; (2) develop training protocols for and conduct training of physicians, scientists, nurses, and other health and allied health professionals; (3) develop model continuing education programs; and (4) disseminate information to such professionals. Allows a center to use the funds to provide: (1) stipends for health and allied health professionals enrolled in the training programs; and (2) fees to individuals serving as subjects in the clinical trials. Requires each center to use the facilities of a single institution, or be formed from a consortium of cooperating institutions, meeting requirements as prescribed by the Secretary of Health and Human Serivces. Allows support for a center to be for a period of up to five years, with extensions of one or more periods of up to five years if the center's operations have been reviewed by a peer review group and the group has so recommended. Authorizes appropriations. Amends the Public Health Service Act to direct the Secretary to establish a program of entering into agreements with health professionals, including graduate students, under which the professionals agree to conduct research with respect to contraception or infertility in consideration of the Government agreeing to repay, for each year of such service, not more than a specified amount of the principal and interest of their educational loans. Applies provisions of the National Health Service Corps Loan Repayment Program to this program, except as inconsistent. Authorizes appropriations. Requires amounts appropriated to remain available until the end of the second fiscal year after they are appropriated. Subtitle G: Sense of Congress Regarding Contraceptive Research - Declares that it is the sense of the Congress that it should: (1) establish a program of research for the development of methods of contraception and methods of diagnosing and treating infertility; (2) provide adequate long-term resources for the program; (3) ensure that Federal programs with respect to sexually transmitted diseases adequately respond to the role of such diseases in infertility; (4) ensure public education on contraception and infertility; (5) establish as Federal goals the development, by the year 2010, of improved barrier methods to protect against pregnancy and diseases, new methods of contraception for use by men, a vaccine-like drug for women that prevents pregnancy for a significant period of time without other specified effects, and new and improved techniques of diagnosing and treating infertility; (6) require the Secretary of Health and Human Services to reestablish the Ethical Advisory Board in order to facilitate research with respect to infertility; (7) review the policies and procedures of the Food and Drug Administration with respect to expediting approval of drugs and devices for use by the public, especially with respect to contraception and infertility; and (8) determine to what extent measures can be implemented by public or private entities to resolve liability issues involved with drugs and devices concerned with contraception and infertility. Subtitle H: Women and AIDS Research Initiative - Women and AIDS Research Initiative Amendments of 1991 - Amends the Public Health Service Act to direct the Secretary of Health and Human Services, through the Director of the National Institutes of Health (NIH), the Administrator of the Alcohol, Drug Abuse, and Mental Health Administration, or both, to establish a program to conduct biomedical and behavioral research on cases of infection with the etiologic agent for acquired immune deficiency syndrome (AIDS) in women. Authorizes the Secretary to conduct the research directly or through grants. Specifies forms of research to be included. Authorizes appropriations. Authorizes appropriations for grants for community-based clinical trials on experimental treatments for such infection for women. Allows the Director of the NIH to authorize grantees to expend the grants to provide individuals with transportation, child care, and other incidental services necessary to enable the individuals to participate as subjects in the trials. Subtitle I: Ovarian Cancer Research Act - Ovarian Cancer Research Act of 1991 - Directs the Secretary of Health and Human Services, through the Director of the National Institutes of Health and the Director of the National Cancer Institute, to conduct or support basic research on certain aspects of ovarian cancer. Prohibits the Secretary from conducting or supporting clinical research on the same matters. Authorizes appropriations. Subtitle J: Osteoporosis and Related Research Act - Osteoporosis and Related Bone Disorders Research, Education, and Health Services Act of 1991 - Amends the Public Health Service Act to require the Director of the National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMSD), the Director of the National Institute on Aging (NIA), and the Director of the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDKD) to expand and intensify research on osteoporosis and related bone disorders. Requires, with respect to osteoporosis and related bone disorders: (1) the NIAMSD Director to increase the number of Specialized Centers of Research; (2) the NIA Director to increase the number of program project grants devoted to creating centers of excellence; and (3) the NIDDKD Director to increase the number of grants in osteoporosis. Authorizes appropriations. Establishes in the Department of Health and Human Services the Interagency Council on Osteoporosis and Related Disorders and the Advisory Panel on Osteoporosis and Related Disorders. Authorizes appropriations for the Advisory Panel. Requires the NIAMSD Director to make grants or enter into contracts to establish a Resource Center on Osteoporosis and Related Disorders to: (1) disseminate information about research results, services, and educational materials to health professionals, patients, and the public; and (2) coordinate leadership training for the development of health professional resource networks. Requires grant and contract recipients to establish: (1) a central computerized information system to translate scientific and technical information into information readily understandable by the general public; and (2) a national toll-free telephone information line. Requires the grant or contract recipient to charge fees for providing information, but allows exceptions for individuals and organizations unable to pay. Authorizes appropriations. Title II: Services - Subtitle A: Breast Cancer Informed Decision Act - Breast Cancer Treatment Informed Consent Act - Requires any State receiving funds under titles V (Maternal and Child Health Block Grant) or XIX (Medicaid) of the Social Security Act or under the preventive health service provisions of the Public Health Service Act to require any physician or surgeon licensed to practice medicine in such State to inform any breast cancer patient of alternative methods of treatment for breast cancer before such treatment is begun. Requires that the patients be informed by means of: (1) a standardized written summary in layman's language and in a language understood by the patient of alternative methods of treatment; and (2) an explanation of the treatment options described in such written summary together with the risks associated with each procedure relative to each patient's particular medical circumstances. Subtitle B: Women's Health Care Coverage Expansion Act - Women's Health Care Coverage Expansion Act of 1991 - Amends titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act to provide Medicare and Medicaid coverage of obstetrical and gynecological services furnished by nurse practitioners. Subtitle C: Mickey Leland Adolescent Pregnancy and Parenthood Act - Mickey Leland Adolescent Pregnancy Prevention and Parenthood Act of 1991 - Amends the Public Health Service Act to replace the title on adolescent family life demonstration projects with a title on adolescent pregnancy prevention, care, and research grants. Authorizes the Secretary of Health and Human Services to make grants to provide, supplement, or improve the quality of care services to pregnant adolescents and their male partners and adolescent parents and prevention services to nonpregnant adolescents. Requires grantees to charge fees for services only under a fee schedule, approved by the Secretary, based on the income of the person and taking into account the difficulty adolescents face in obtaining resources to pay for services. Prohibits discrimination because of an individual's inability to pay for services. Sets forth priorities in making grants, including giving priority to applicants that: (1) serve an area with a high incidence of adolescent pregnancy; and (2) serve an area with a high proportion of low-income families and low availability of care programs. Requires that the amount of a grant be set by the Secretary. Limits a grant, subject to waiver for one year, to 75 percent of the cost of a program. Specifies the information and assurances which must accompany a grant application. Directs the Secretary to coordinate Federal policies and programs providing services relating to the prevention of initial and recurrent adolescent pregnancies and providing care services, including by requiring grantees under these provisions to report concerning Federal, State, and local policies that interfere with delivery and coordination of programs of care for pregnant adolescents and adolescent parents. Authorizes the Secretary to make grants to institutions of higher education to support and disseminate the results of research relating to adolescent pregnancy. Limits grants or contracts to: (1) one year, subject to renewal for four additional one-year periods; and (2) subject to waiver, a specified dollar amount. Allows funds to be used for descriptive or explanatory surveys, evaluation studies, longitudinal studies, or limited programs for services for the purpose of increasing knowledge and understanding of specified matters. Directs the Secretary to establish a system for the review of grant and contract applications which is similar to the system of scientific peer review of the National Institutes of Health. Restricts grants to programs determined by the review panel to have scientific merit. Authorizes appropriations, earmarking at least two-thirds of appropriated funds for services, with no more than one-third to be used for grants for prevention services. Prohibits using such funds for the performance of an abortion. Subtitle D: Adolescent Health Demonstration Projects - Directs the Secretary of Health and Human Services to make grants in FY 1991 through 1995 for the establishment or support of adolescent health demonstration projects. Requires such projects to: (1) provide health care information and services, including related social services; (2) serve adolescents before their graduation from high school; (3) encourage family participation; and (4) establish community advisory committees. Directs the Secretary to give priority to project applicants who will serve areas with low-income or minority populations. States that no grant funds may be used to perform or pay for abortions. Subtitle E: COBRA Displaced Family Amendments - COBRA Displaced Family Amendments of 1991 - Amends the Internal Revenue Code, the Employee Retirement Income Security Act of 1974 (ERISA), and the Public Health Service Act (the Acts) to declare that specified provisions relating to the required period of group health plan continuation coverage do not apply to the qualifying events of death, divorce, or legal separation involving a beneficiary who is 50 years old or older. Requires that coverage continue until the 23rd birthday, or 36 months after the qualifying event, whichever is later, for an individual who is a dependent child beneficiary at the time of such an event involving a covered employee 50 years old or older. Amends the Acts to modify: (1) the termination of extended average for disability and the general rule for other qualifying events, as they relate to the maximum required period of continuation coverage; and (2) dates by which certain notice must be given. Amends the Acts to require that notice of the option to enroll under a conversion plan be given during the 120-day period ending 60 days before the expiration of the continuation coverage. (Current law requires such notice be given during the 180-day period ending on the expiration date of the continuation coverage.) Subtitle F: Federal Employee Family Building Act - Federal Employee Family-Building Act of 1991 - Requires any contract for health benefits for Federal employees that provides obstetrical benefits to also provide benefits for family-building procedures. Provides that payment terms or conditions under such contracts shall be no more restrictive for family-building benefits than for obstetrical benefits. Defines "family-building procedure" as a medical procedure to overcome infertility (including procedures to achieve pregnancy and procedures to carry pregnancy to term) and procedures relating to child adoption. Requires such contracts to provide that: (1) benefits shall consist of reimbursement for reasonable and necessary medical expenses and counseling fees directly relating to the adoption of a child; and (2) benefits shall be available in connection with obstetrical care for the biological mother and medical care for the child if, or to the extent that, the pre-adoptive or adoptive parent or parents are legally responsible for the cost of such care. Directs the Office of Personnel Management to authorize the use of sick leave for purposes relating to family-building procedures. Title III: Prevention - Subtitle A: Medicaid Infant Mortality Amendments - Medicaid Infant Mortality Amendments of 1991 - Amends title XIX (Medicaid) of the Social Security Act to phase-in mandatory State coverage of pregnant women and infants whose family income is below 185 percent of the Federal poverty level. Deducts child and medical care costs from the income eligibility test. Authorizes States to provide Medicaid coverage of prenatal home visitation services for high-risk pregnant women and/or postpartum home visitation services for high-risk infants. Subtitle B: Breast Cancer Screening and Safety Act - Breast Cancer Screening Safety Act of 1991 - Amends the Public Health Service Act to require certification in order for a facility to perform or interpret mammograms, inspect equipment, or conduct quality assurance oversight related to mammography. Authorizes the Secretary of Health and Human Services to issue and renew certificates for up to two years. Requires, in order to be certified, that a facility be accredited. Allows the Secretary to approve a private nonprofit organization to be an accreditation body which meets certain requirements, including inspecting facilities. Directs the Secretary to: (1) establish standards for facilities to assure the safety and accuracy of mammography; (2) specify organizations eligible to certify individuals to perform radiological procedures; (3) specify boards eligible to certify individuals to interpret screening mammograms; (4) establish standards regarding the qualifications for individuals to interpret screening mammograms; and (5) specify boards eligible to certify individuals to inspect screening mammography equipment and oversee quality assurance practices. Directs the Secretary to conduct annual announced and unannounced inspections of certified facilities. Provides for: (1) intermediate sanctions for certain violations; (2) suspension, revocation, and limitation of certificates; and (3) injunctions. Requires fees for certificate issuance and renewal, and for inspections, sufficient to cover costs. Requires annual publication of a list of facilities convicted of fraud and abuse, false billings, or kickbacks, facilities that have had certificates revoked, suspended, or limited, and facilities that have been the subject of a sanction or other similar matters. Allows the Secretary to exempt facilities in a State with more stringent requirements from compliance with this Act. Directs the Secretary to: (1) make grants for research on new methods of establishing a Mammography Registry; and (2) based on the research, establish the Registry. Amends title XVIII (Medicare) of the Social Security Act to require that screening mammographies paid for under Medicare be performed by a facility: (1) certified under this Act; and (2) in compliance with specified provisions of this Act. Subtitle C: Medicaid Coverage for Mammographies and Pap Smears - Medicaid Women's Basic Health Coverage Act of 1991 - Amends title XIX (Medicaid) of the Social Security Act to provide Medicaid coverage of: (1) screening mammographies for women age 35 and older conducted in accordance with the frequency guidelines established by the Omnibus Budget Reconciliation Act of 1990 for such coverage under the Medicare Program (title XVIII of the Social Security Act); and (2) screening pap smears. Subtitle D: Medicare Bone Mass Measurement Coverage Act - Medicare Bone Mass Measurement Coverage Act of 1991 - Amends title XVIII (Medicare) of the Social Security Act to provide Medicare coverage of bone mass measurements. Subtitle E: Women and AIDS Outreach and Prevention - Women and AIDS Outreach and Prevention Act - Amends the Public Health Service Act to authorize the Secretary of Health and Human Services to make grants regarding prevention of acquired immune deficiency syndrome (AIDS) and other sexually transmitted diseases in women, including preventive health services, screening, providing treatment (for such diseases other than AIDS), referrals, and follow-up services. Requires that a grantee be an entity that provides health or voluntary family planning services: (1) to a significant number of low-income women; and (2) in an area with a significant number of AIDS cases in women and in newborn infants. Requires that grantees maintain the confidentiality of information on individuals, subject to complying with applicable law. Authorizes appropriations. Subtitle F: Infertility Prevention Act - Infertility Prevention Act of 1991 - Amends the Public Health Service Act to authorize the Secretary of Health and Human Services, with regard to any treatable sexually transmitted disease that can cause infertility in women if treatment is not received for the disease, to make grants for specified activities, including counseling, screening, treatment, referrals, outreach, public information and education, training for health care providers, and data collection. Directs the Secretary to establish criteria for ensuring the quality of screening for such diseases. Limits grants to three years, with annual approval by the Secretary. Authorizes appropriations. Authorizes the Secretary to make grants for research on improving the delivery of services under this subtitle. Authorizes appropriations.
Bill· HRH.R. 1162 (102nd)referred
United States · United States Congress · 27 February 1991
Women's Health Care Coverage Expansion Act of 1991 - Amends titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act to provide Medicare and Medicaid coverage of obstetrical and gynecological services furnished by nurse practitioners.
Bill· HRH.R. 1158 (102nd)referred
United States · United States Congress · 27 February 1991
Rural Medical Emergencies Air Transport Act of 1991 - Amends the Public Health Service Act to direct the Secretary of Health and Human Services to make grants to at least seven States to assist in the creation or enhancement of air medical transport systems that provide victims of medical emergencies in rural areas with access to treatments. Requires: (1) preference for States with plans to integrate the proposed air medical system into a comprehensive plan for regional or statewide emergency medical services; and (2) the grant to be administered by the State agency responsible for medical emergency or trauma services programs. Allows the State to award grant funds to public and private entities. Authorizes appropriations.
Bill· HRH.R. 1160 (102nd)referred
United States · United States Congress · 27 February 1991
Clinical Trials Fairness Act - Amends provisions of the Public Health Service Act relating to the national research institutes and provisions relating to the Alcohol, Drug Abuse, and Mental Health Administration (ADAMHA) to direct the Secretary of Health and Human Services to ensure, in conducting or supporting clinical research, that women and minority groups are included as research subjects, unless inappropriate. Requires that any project be designed and carried out so as to provide for a valid analysis of whether the research variables affect women or minorities differently than other subjects. Directs the Secretary to establish within the advisory council of each agency of an institute and ADAMHA a Clinical Research Equity Subcommittee to review all clinical research of that agency to determine whether it is being conducted in accordance with requirements of this Act. Provides for suspension or revocation of the authority for any project which the Secretary determines is not being conducted in accordance with those requirements. Defines "minority groups" to mean racial and ethnic minority groups. Requires that the technical and scientific peer review process in the institutes and ADAMHA include an evaluation of the inclusion of women and minority groups as research subjects.
Bill· HRH.R. 1128 (102nd)referred
United States · United States Congress · 27 February 1991
Directs the Secretary of Health and Human Services to make grants in FY 1991 through 1995 for the establishment or support of adolescent health demonstration projects. Requires such projects to: (1) provide health care information and services, including related social services; (2) serve adolescents before their graduation from high school; (3) encourage family participation; and (4) establish community advisory committees. Directs the Secretary to give priority to project applicants who will serve areas with low-income or minority populations. States that no grant funds may be used to perform or pay for abortions.
Bill· HRH.R. 1129 (102nd)referred
United States · United States Congress · 27 February 1991
Medicaid Women's Basic Health Coverage Act of 1991 - Amends title XIX (Medicaid) of the Social Security Act to provide Medicaid coverage of: (1) screening mammographies for women age 35 and older conducted in accordance with the frequency guidelines established by the Omnibus Budget Reconciliation Act of 1990 for coverage of screening mammographies under the Medicare program (title XVIII of the Social Security Act); and (2) screening pap smears.
Bill· HJRESH.J.Res. 153 (102nd)open
United States · United States Congress · 27 February 1991
Designates the month of November in 1991 and 1992 as National Hospice Month.
Bill· HJRESH.J.Res. 156 (102nd)open
United States · United States Congress · 27 February 1991
Designates the week of October 6 through 12, 1991, as Mental Illness Awareness Week.
Bill· SS. 493 (102nd)reported
United States · United States Congress · 26 February 1991
Comprehensive Maternal and Early Childhood Health Care Act - Amends the Public Health Service Act to provide for the use of certain funds appropriated for migrant health centers (MHCs) and community health centers (CHCs) for: (1) the development and operation of Comprehensive Perinatal and Early Childhood Health Programs (CPECHPs); and (2) expanding services for pregnant women and children where MHCs and CHCs are already operating Comprehensive Perinatal Care Programs. Provides for grants to MHCs and CHCs for the CPECHPs. Limits the amount of funds appropriated for CHCs which may be used to plan and develop CHCs. Authorizes appropriations for immunizing individuals without charge and for related research, demonstration projects, public information and education, and professional training. Directs the Secretary of Health and Human Services, through the Centers for Disease Control (CDC), to provide vaccines to the health department of each State, spending a specified minimum amount. Amends the Vaccine and Immunization Amendments of 1990 to direct the Secretary, through the CDC, to: (1) make grants to States (currently, to public and nonprofit private entities) for demonstration projects to provide, without administrative charge (currently, without charge), immunizations to children not over two years old; and (2) provide immunizations related to certain programs under the Public Health Service Act and the Child Nutrition Act of 1966; and (3) maintain private physician participation in immunization services and to encourage private physicians to provide such services to infants and children enrolled under title XIX (Medicaid) of the Social Security Act. Authorizes appropriations. Amends the Public Health Service Act to add substance abuse treatment and prevention services to the list of supplemental health services with regard to MHCs and CHCs. Replaces provisions mandating model drug and alcohol abuse projects for pregnant and postpartum women and their infants with provisions directing the Secretary, through the Director of the Office for Substance Abuse Prevention, to make demonstration grants for substance abuse prevention, education, and treatment projects serving pregnant and postpartum women and their infants. Includes in the services to be offered outreach, prenatal and postpartum health care, pediatric health care, support services such as child care and transportation, referrals, employment counseling, and case management. Requires that services covered by title XIX (Medicaid) of the Social Security Act be provided by an entity qualified to receive Medicaid payments. Requires non-Federal matching contributions in a specified ratio. Limits grants to five years; allows renewal. Directs the Secretary to assist the prenatal clinics in the United States in implementing smoking cessation programs to decrease rates of smoking during pregnancy. Authorizes the Secretary to make grants to or contracts with public entities for programs and policies to prevent and encourage cessation of tobacco use during pregnancy. Authorizes appropriations.
Bill· SS. 510 (102nd)referred
United States · United States Congress · 26 February 1991
Older Americans Health Promotion and Disease Prevention Act - Amends the Older Americans Act of 1965 to expand the preventive health services program to include disease prevention and health promotion services and information provided at congregate meal sites and through home-delivered meals programs, as well as senior centers. Authorizes appropriations for FY 1992 through 1995 for the preventive health services program.
Bill· SS. 509 (102nd)reported
United States · United States Congress · 26 February 1991
Disabilities Prevention Act of 1991 - Amends the Public Health Service Act to authorize the Secretary of Health and Human Services, through the Director of the Centers for Disease Control, to make grants for the prevention of disabilities and secondary conditions resulting from disabilities. Authorizes the Secretary to make such grants for: (1) coordinating prevention activities; (2) conducting demonstrations and interventions; (3) conducting surveillances and studies; (4) educating the public; and (5) subject to a limit of ten percent of amounts appropriated under this Act, educating and training health professionals and improving their clinical skills. Authorizes appropriations.
Bill· SS. 506 (102nd)referred
United States · United States Congress · 26 February 1991
Amends title XVIII (Medicare) of the Social Security Act to require hospitals receiving payments under the Medicare program for graduate medical education programs to incorporate into such programs training in disease prevention and health promotion. Prohibits the Secretary of Health and Human Services from making any reductions in Medicare payments for direct and indirect graduate medical education costs beyond those provided in law by January 1, 1991.
PreviousPage 12 of 13Next