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Bill· SS. 505 (102nd)referred
United States · United States Congress · 26 February 1991
Changes references to the Centers for Disease Control (in one case a reference to the Federal Center for Disease Control) to references to the Centers for Disease Prevention and Control in the Comprehensive Smoking Education Act, the Education Amendments of 1978, the Veterans' Benefits and Services Act of 1988, the Public Health Service Act, the Health Omnibus Programs Extension of 1988, the Health Research Extension Act of 1985, the Comprehensive Environmental Response, Compensation and Liability Act of 1980, and a Federal law relating to paint poisoning prevention.
Bill· SS. 489 (102nd)referred
United States · United States Congress · 26 February 1991
Ensuring Access Through Medical Liability Reform Act of 1991 - Title I: Grant Programs - Subtitle A: Implementation of Alternative Dispute Resolution Systems - Directs the Secretary of Health and Human Services to make grants to States for the development or implementation of alternative dispute resolution systems (ADRSs). Defines ADRS to mean a system to resolve claims involving health care malpractice other than through a health care malpractice action and meeting other requirements. Allows a State to refuse a grant. Requires that a State ADRS provide for the resolution of health care claims for all individuals receiving health care services in the State and be of the following types: (1) fault-based administrative systems; (2) defined catastrophic injury compensation systems; (3) early offer and recovery mechanisms; (4) binding arbitration; or (5) a State-initiated alternative to such systems. Sets forth requirements for each system type. Subtitle B: Other Grant Programs - Directs the Secretary to make grants to States and private nonprofit organizations for basic research in the prevention of and compensation for injuries resulting from health care professional or health care provider malpractice, and research of the outcomes of health care procedures. Declares that the Secretary shall determine the amount of a grant. Directs the Secretary to make grants to States to improve the State's ability to license and discipline health care professionals. Declares that the Secretary shall determine the amount of a grant. Directs the Secretary to provide technical assistance to States to assist them in evaluating their medical practice acts and procedures and to encourage the use of early warning systems and for disciplining health care professionals. Directs the Secretary to make grants for: (1) educating the public about the appropriate use of health care and realistic expectations; (2) educating the public about professional licensing and discipline; and (3) developing faculty training and curricula on quality assurance, risk management, and medical injury prevention. Subtitle C: Administrative Provisions - Sets forth administrative procedures for supplemental grants using any remaining amounts under this title. Authorizes appropriations for grants under this title. Title II: Health Care Malpractice Dispute Reform - Declares that provisions in this Act relating to civil actions govern any health care malpractice action brought in any Federal or State court and any health care malpractice claim resolved through arbitration, subject to exceptions relating to the National Vaccine Injury Compensation Program. Prohibits requiring any person to pay for future damages exceeding a specified amount in a single payment, but allows such payments on a periodic basis. Requires damages to be reduced by any governmental or private payment intended to compensate for the injury. Limits the amount of damages which may be paid for noneconomic losses and the percentage of any award or settlement which may be paid as attorney's fees. Sets forth time limits on initiation of actions. Supersedes State laws with higher payment limits, greater damages, greater attorney's fees, or longer time limits. Mandates that a State, in order to receive assistance under the Public Health Service Act, certify that it: (1) allocates an amount equal to all health professional licensing or certification fees to State agencies responsible for disciplinary actions for each type of health professional; (2) requires certain service providers to have a risk management program to prevent and provide early warning of unsafe practices; (3) requires each health care practitioner liability insurance entity to establish or sanction risk management programs and require practitioners they insure to participate; (4) requires each State agency responsible for disciplinary actions to enter into agreements with professional societies to permit the review by the societies of the practice patterns of a health care practitioner. Sets forth confidentiality and other requirements. Exempts large entities with continuing quality review programs which report certain findings to the State disciplinary agency for that type of practitioner. Prohibits any activity under such an agreement from being grounds for any State or Federal civil or criminal antitrust action, or any other State civil action. Prohibits the Secretary of Health and Human Services from entering into certain agreements with a State under title XVI (Supplemental Security Income) of the Social Security Act unless the State certifies that it meets the requirements of this paragraph. Amends the Public Health Service Act to direct the Secretary of Health and Human Services to make a grant to an entity that represents recipients of assistance under provisions relating to migrant health centers and community health centers to enable the entity to develop a business plan for, and to establish, a nationwide risk retention group as provided for in the Liability Risk Retention Act of 1986, and that meets other requirements. Allows the group to negotiate with other entities for the purpose of managing and administering the group, and for obtaining reinsurance. Requires the group to provide professional liability insurance, and other types of profitable insurance approved for issuance by the Secretary, to migrant and community health centers. Requires the centers, subject to exception, to become members of the group and purchase the group's insurance. Makes all professional staff members of the centers eligible to obtain the group's insurance. Requires the group to engage outside experts in insurance, financing, and business to analyze and audit the group. Requires the experts to provide the group with an evaluation of the plan and group. Requires the group to submit the plan and the evaluation to the Secretary. Directs the Secretary to permit implementation of the plan and operation of the group if the Secretary determines that the operation of the group will result in an increase in the amount of funds available for use by community and migrant health centers and other entities receiving assistance under the specified provisions. Authorizes appropriations for preparation of the plan, establishment of the group, and capitalization of the group. Requires assets remaining after dissolution of the group to be used by the Secretary to pay the remaining expenses of the group. Authorizes appropriations to carry out specified provisions relating to migrant health centers and community health centers.
Bill· SS. 508 (102nd)referred
United States · United States Congress · 26 February 1991
Breast Cancer Screening Act of 1991 - Amends part B (Supplementary Medical Insurance) of title XVIII (Medicare) of the Social Security Act to expand the category of women currently eligible for the breast cancer screening benefit provided under the Omnibus Budget Reconciliation Act of 1990 to include non-Medicaid-eligible women over age 49 to the extent that screening costs are not reimbursed by any other public or private health insurance plan. Requires payment for the screening costs for such women to be made from the Federal Hospital Insurance Trust Fund under part A. Directs the Secretary of Health and Human Services to implement procedures to: (1) regularly notify all eligible individuals of this new benefit and other Medicare-covered preventative services; (2) annually compile and make available directories of certified screening providers in each State; and (3) promote the appropriate use of mammography screening services.
Bill· SS. 507 (102nd)referred
United States · United States Congress · 26 February 1991
Lead Poisoning Prevention Act of 1991 - Amends the Public Health Service Act to revise the required contents of applications for lead poisoning prevention grants. Authorizes appropriations. Establishes a national program to educate health professionals and paraprofessionals and the general public concerning lead poisoning. Authorizes appropriations. Establishes a research program to: (1) develop improved testing measures for children to detect lead toxicity; and (2) more accurately assess the prevalence of lead poisoning by State, socioeconomic grouping, and health care insurance status. Authorizes appropriations. Establishes the Task Force on the Prevention of Lead Poisoning to coordinate the efforts of Federal agencies. Authorizes appropriations.
Bill· SS. 488 (102nd)referred
United States · United States Congress · 26 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· SS. 480 (102nd)referred
United States · United States Congress · 26 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 network or 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. 1111 (102nd)referred
United States · United States Congress · 26 February 1991
Anti-Apartheid Act Amendments of 1991 - Title I: Sanctions Against Investment in, and Exports to, South Africa and Other Measures (Except Import Restrictions) to End Apartheid - Part A: Amendments to the Comprehensive Anti-Apartheid Act of 1986 and Other Laws - Amends the Comprehensive Anti-Apartheid Act of 1986 to prohibit any investments in South Africa by U.S. persons. Makes exceptions to such prohibition for: (1) investments in a business enterprise 90 percent owned and controlled by South Africans economically and politically disadvantaged by apartheid; and (2) investments made by certain individuals during any period and to the extent that such investments are considered South African emigrant non-resident assets and subject to transfer or disposition restrictions. Authorizes a person to apply for, and the President to grant for good cause, a waiver of such prohibition for up to 180 days. Requires U.S. controlled South African entities that are subject to the investment prohibition and that employ more than 24 South Africans economically and politically disadvantaged by apartheid to: (1) notify employees and employee organizations not less than 90 days prior to termination of the U.S. investment in such entity; and (2) enter into good faith negotiations with representative trade unions regarding the terms of such termination. Prohibits the exportation or reexportation to South Africa of any goods or technology subject to U.S. jurisdiction. Prohibits any such exportation or reexportation by any person subject to U.S. jurisdiction. Exempts from such prohibition publications, donations of food, clothing, and medical supplies, commercial sales of agricultural commodities and products, and goods and technology for use in the gathering or dissemination of information by news media organizations subject to U.S. jurisdiction. Makes such prohibitions inapplicable to: (1) any goods that are the direct product of technology of U.S. origin under a written agreement entered into on or before April 20, 1988, and that are exported within one year of the enactment of this Act; (2) economic assistance or human rights programs for disadvantaged South Africans, South African blacks or other nonwhite South Africans, or victims of apartheid in South Africa; and (3) contributions to charitable organizations engaged in social welfare, public health, religious, educational, or emergency relief activities in South Africa. Repeals specified provisions of the Comprehensive Anti-Apartheid Act of 1986 that: (1) prohibit certain exports to, imports from, and investments in South Africa; (2) set forth U.S. policy toward the recruitment and training of black South Africans; and (3) prohibit U.S. intercession with any foreign government regarding export activities of certain U.S. nationals in South Africa who are not implementing the Code of Conduct. Revises the definition of "loans" for purposes of such Act to prohibit short-term trade financing, sales on open account, and rescheduling of existing loans. Adds other definitions for purposes of such Act. Prohibits any U.S. agency or entity involved in intelligence activities from engaging in any form of cooperation with the Government of South Africa (specifically including the authorities administering Namibia so long as Namibia is illegally occupied). Prohibits any U.S. agency or entity from engaging in any form of cooperation with the armed forces of South Africa. Prohibits funds made available by the Congress from being obligated or expended for any expense related to any prohibited cooperation. States that the President should not: (1) assign or detail any member of the U.S. armed forces to serve as a defense or military attache in South Africa; or (2) accredit any individual to serve as a defense or military attache at a South African diplomatic mission in the United States. Repeals provisions of the Intelligence Authorization Act for Fiscal Year 1987 concerning restrictions on intelligence agency cooperation with South Africa. Prohibits the Secretary of Energy from authorizing any person to engage, directly or indirectly, in the production of special nuclear materials in South Africa. Revises penalty provisions of the Comprehensive Anti-Apartheid Act of 1986. Establishes within the Department of State a Coordinator of South Africa Sanctions who shall be responsible to the Secretary of State for matters pertaining to the implementation of sanctions against South Africa. Directs the Coordinator to place emphasis on activities related to strategically important trade in oil, coal, computers, specialized machinery and arms, and to financial credits. Sets forth the responsibilities of the Secretary of State in leading and coordinating the activities of other agencies in implementing and enforcing the Comprehensive Anti-Apartheid Act of 1986 and in monitoring other nations' economic relations with South Africa. Requires the Secretary to report annually to the Congress on actions to monitor and enforce such Act and on economic relations between South Africa and each of its trading partners. Establishes an Interagency Coordinating Committee on South Africa to coordinate and monitor the implementation of such Act. Revises provisions of such Act regarding the Code of Conduct and expanded participation in the South African economy. Requires Federal agencies to make efforts to assist businesses more than 90 percent (currently, 50 percent) owned by black or nonwhite South Africans. Amends the Export Import Bank Act of 1945 to require the Bank to insure or participate in the extension of credit to businesses more than 90 percent owned (currently, majority owned) and controlled by black or nonwhite South Africans. Amends the Foreign Assistance Act of 1961 to permit the use of a specified amount of funds authorized for economic development assistance for assistance to disadvantaged South Africans. Specifies that such assistance may include scholarships, the promotion of the participation of disadvantaged South Africans in trade unions and private enterprise, alternative education and community development programs, and training and other assistance (including legal aid) for South African journalists. Lists major trade union federations in South Africa as examples of recipients of U.S. assistance to the labor movement. Earmarks a specified amount of such funds for refugee education and assistance for South Africans. Prohibits any U.S. person from providing transport to South Africa of a commercial quantity of crude oil or refined petroleum products. Includes in such prohibition transport on a vessel of U.S. registry or on a vessel owned by a U.S. person. Prohibits the Secretary of the Interior from issuing any mineral lease to any national of the United States which is controlled by any foreign person who purchases, acquires, owns, or holds any investment in South Africa or who exports crude oil or refined petroleum products to South Africa. Authorizes the President to waive such prohibitions under specified conditions. Part B: Policy Statements; Reports; Studies; and Other Miscellaneous Provisions - Expresses the sense of the Congress that the President should: (1) direct the Attorney General to conduct an antitrust investigation of the South African controlled international diamond cartel; (2) direct the Secretary of Commerce and the Commissioner of Customs to study the feasibility of identifying at the port of entry the national origin of diamonds entering the United States; and (3) ensure effective and rigorous enforcement of a prohibition on the importation into the United States of uncut South African diamonds by taking specified measures. Expresses the sense of the Congress that: (1) the President should eliminate all honorary consuls of South Africa in the United States and forbid expansion of South Africa's embassy staff; and (2) approval of temporary U.S. visas should be granted on a case-by-case basis after considering South Africa's record of allowing its citizens, including apartheid opponents, to travel to the United States. Requires the President to study and report to the Congress on measures to reduce South Africa's foreign exchange earnings from gold. Directs the Secretary of State to report to the Congress on South Africa's involvement in international terrorism. Title II: Sanctions Against South African Imports Into the United States - Prohibits the importation into the United States of any article from South Africa, except: (1) strategic minerals which the President certifies to the Congress are essential for military or economic purposes and are not available from alternative reliable suppliers or through improved manufacturing processes, conservation, recycling, and economical substitution; and (2) publications. Specifies that such prohibition includes: (1) krugerrands or any gold coin minted in South Africa or offered for sale by the Government of South Africa; (2) uranium hexafluoride that has been manufactured from South African uranium or uranium oxide; and (3) fish or seafood which are products of South Africa. Exempts from such prohibition any imports from business enterprises in South Africa that are wholly-owned by persons economically or politically disadvantaged by apartheid. Requires the President to confer with other industrialized democracies in order to reach cooperative agreements to impose sanctions against South Africa to bring about the dismantling of apartheid. Requires the President to report to the Congress concerning such efforts. Requires (currently, encourages) the President to seek United Nations Security Council adoption of the same sanctions against South Africa as are imposed by the United States. Requires (currently, authorizes) the President to impose penalties against foreign persons taking significant commercial advantage of U.S. sanctions against South Africa or comparable sanctions of other industrialized democracies. Includes as such a penalty the restriction of such a person from contracting with U.S. Government entities. Allows the President to waive such penalties for foreign persons of an industrialized democracy that is a party to a cooperative agreement to impose sanctions against South Africa. Requires the President to revoke such waiver if the industrialized democracy is not adequately enforcing the measures provided for under the agreement. Requires that information concerning the extent to which import restrictions are being enforced by other industrialized democracies be included in the Secretary of State's annual report to the Congress. Sets forth provisions pertaining to committee referral in the House of Representatives of joint resolutions pertaining to import restrictions. Requires the President, through the Secretary of Commerce, to submit periodic reports to the Congress setting forth the average amounts of imports of coal or any strategic and critical material entering the United States from each member and observer country of the Council for Mutual Economic Assistance. Requires the President to report annually to the Congress on the program to reduce U.S. dependence on strategic minerals from South Africa. Requires the President to confer with the governments of the African "frontline" states on measures to prevent the circumvention of the import restrictions on South African products imposed under the authority of this Act. Title III: General Provisions - Makes conforming amendments and sets forth the effective date of this Act.
Bill· HRH.R. 1120 (102nd)referred
United States · United States Congress · 26 February 1991
Nursing Home Access to Respiratory Therapy Act of 1991 - Amends title XVIII (Medicare) of the Social Security Act to include respiratory therapy within covered extended care services.
Bill· SS. 475 (102nd)referred
United States · United States Congress · 22 February 1991
Equal Opportunity for Medical Licensure and Reciprocity Act of 1991 - Prohibits treating graduates of medical schools outside the United States differently than graduates of medical schools in the United States, including in licensure, reciprocity, employment, promotion, hospital privileges, reimbursement, residency, academic appointments, and professional society membership. Prohibits subjecting graduates of foreign schools who underwent postgraduate training in the United States to different requirements than domestic graduates. Prohibits the Secretary of Health and Human Services from making a grant, loan guarantee, or interest subsidy payment to or for a medical school unless the application contains certain assurances. Requires a State to adopt medical licensure and reciprocity standards that provide equal opportunity to graduates of foreign schools who completed postgraduate training in the United States and have obtained a license to practice in any State.
Bill· SS. 454 (102nd)referred
United States · United States Congress · 21 February 1991
Comprehensive American Health Care Act - Title I: Health Care Access for Uninsured and Medically Underserved Individuals - Subtitle A: Tax Credits for Low and Moderate Income Individuals - Amends provisions of the Internal Revenue Code relating to refundable credits to allow a credit for a portion of the qualified health insurance expenses paid by an individual who is not covered by a health plan maintained by an employer of the individual or the individual's spouse. Provides for coordination with advance payments of credits, special rules relating to Medicare-eligible individuals and subsidized expenses, and coordination with the minimum tax. Directs the Secretary of the Treasury to enter into an agreement with each State for advance payments of the credit to individuals in the form of certificates usable for the purchase of health insurance. Limits eligibility for advance payments to individuals whose family income is not over a certain ratio to the poverty line and who meet other requirements. Directs the Secretary to establish a program to inform the public of the availability of the health insurance credit. Sets forth special rules regarding self-employed individuals. Excludes expenses paid as a credit from treatment as expenses paid for medical care under provisions relating to itemized deductions. Subtitle B: Rural Health Initiatives - Amends title XVIII (Medicare) of the Social Security Act to direct the Secretary of Health and Human Services and the Prospective Payment Assessment Commission to each submit to the Congress a report recommending a methodology for the elimination of the system of determining separate average standardized amounts for hospitals in large urban, other urban, or rural areas. Amends National Health Service Corps Scholarship Program and Loan Repayment Program provisions of the Public Health Service Act to set forth additional priorities in the approval of applications and the acceptance of contracts. Amends the Internal Revenue Code to exclude National Health Service Corps Loan Repayment Program payments from gross income. Directs the Secretary of Health and Human Services, notwithstanding any other provision of law, from amounts retained under specified provisions of the Social Security Act, to provide for a demonstration project evaluating the availability, accessibility, and use of prenatal care services by pregnant women residing in rural areas. Amends the Public Health Service Act to increase the authorization of appropriations for area health education centers. Directs the Secretary of Health and Human Services, from amounts made available under existing block grant authorizations, to make grants to county health departments to provide preventive health services. Directs the Secretary to review the requirements in regulations with respect to rural hospitals developed under specified provisions of the Social Security Act, including standards related to staffing requirements, to determine which requirements could be made less administratively and economically burdensome. Title II: Health Care Cost Control - Subtitle A: Medical Malpractice Reform - Applies this subtitle to any civil action against any individual based on professional medical malpractice, in any State or Federal court, for damages for physical injury, or physical or mental pain or suffering, or economic loss. Requires a court, subject to exception and limitation, to award costs and attorney's fees to the prevailing party. Prohibits joint and several liability in actions under this subtitle, except in cases of concerted action. Allows a person to be found liable only for their pro rata share of fault. Requires each attorney in cases under this subtitle to advise the party they represent of the existence of alternative dispute resolution options, including extrajudicial proceedings. Requires the court, if all parties agree to alternative proceedings, to issue an order governing the conduct of the proceedings. Makes such issuance a waiver, by each party subject to the order, of the right to proceed further in court. Subtitle B: Preventive Health Practices Promotion - Amends title XVIII (Medicare) of the Social Security Act to direct the Secretary of Health and Human Services to develop a summary of recommended preventive health care practices for elderly individuals entitled to Medicare benefits. Requires distribution of the summary when an individual first becomes eligible for benefits under specified provisions and in conjunction with general mailings to individuals eligible for Medicare benefits. Title III: Long-Term Care and Senior Health Promotion - Subtitle A: Long-Term Care Insurance Promotion - Amends the Internal Revenue Code to require that: (1) a long-term care insurance contract be treated as a health insurance contract; (2) amounts received under such a contract be treated as received for personal injuries or sickness; and (3) any employer plan providing qualified long-term care services be treated as an accident or health plan. Adds long-term care services to the definition of medical care in provisions relating to itemized deductions. Prohibits, subject to exception, employer payments for long-term care insurance from being treated as deferred compensation. Prohibits treating amounts paid or incurred for any long-term care insurance contract as deferred compensation in connection with cafeteria plans. Allows a tax credit for a portion of the qualified long-term care premiums paid. Provides for coordination with regard to advance payments of credit and with regard to minimum tax. Directs the Secretary of the Treasury to enter into an agreement with each State for advance payments of the credit to individuals in the form of certificates usable for the purchase of long-term care insurance. Limits eligibility for advance payments to individuals whose income is not over a certain ratio to the poverty line and who meet other requirements. Directs the Secretary to establish a program to inform the public of the availability of the credit. Excludes early distributions from qualified retirement plans used to pay for long-term care insurance contracts from the ten percent tax imposed on other early distributions. Prohibits the recognition of gain or loss on the exchange of a contract of life insurance or an endowment or annuity contract for a long-term care insurance contract. Subtitle B: Medicare Benefit Improvements - Amends title XVIII (Medicare) of the Social Security Act to add in-home respite care for chronically dependent individuals to the list of benefits of part B (Supplementary Medical Insurance) of the Medicare program. Adds home intravenous drug therapy services to the list of entitlement services under Medicare and authorizes payments of certain amounts for the services from the Federal Supplementary Medical Insurance Trust Fund. Excludes the services from provisions requiring a deductible payment. Authorizes the Secretary to enter into contracts with agencies or organizations to facilitate payment to providers of the services on a regional basis. Describes the circumstances under which nursing care and home health aide services will be considered to be provided or needed on an intermittent basis. Allows Medicare part B payments to be made for such services. Subtitle C: Senior Health Insurance Consumer Protection - Directs the Secretary of Health and Human Services to establish a procedure for certification by the Secretary of insurance policies for the elderly as meeting minimum standards set forth in this subtitle. Provides for printing of an emblem on policies which meet the standards.
Bill· HRH.R. 1091 (102nd)referred
United States · United States Congress · 21 February 1991
Amends title XVIII (Medicare) of the Social Security Act to provide coverage for wigs and hairpieces needed due to alopecia that resulted from treatment of a malignant disease.
Bill· HRH.R. 1072 (102nd)referred
United States · United States Congress · 21 February 1991
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.
Bill· HRH.R. 1073 (102nd)referred
United States · United States Congress · 21 February 1991
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 such transportation, child care, and other incidental services as may be necessary to enable the individuals to participate as subjects in the trials.
Law· HJRESH.J.Res. 141 (102nd)enacted
United States · United States Congress · 21 February 1991
Designates the week beginning May 13, 1991, as National Senior Nutrition Week.
Bill· SJRESS.J.Res. 74 (102nd)referred
United States · United States Congress · 20 February 1991
Designates the week beginning July 21, 1991, as Lyme Disease Awareness Week.
Bill· HRH.R. 1004 (102nd)referred
United States · United States Congress · 20 February 1991
Ensuring Access Through Medical Liability Reform Act of 1991 - Title I: Grant Programs - Subtitle A: Implementation of Alternative Dispute Resolution Systems - Directs the Secretary of Health and Human Services to make grants to States for the development and implementation of alternative dispute resolution systems (ADRSs). Defines ADRS to mean a system to resolve claims involving health care malpractice other than through a health care malpractice action and meeting other requirements. Allows a State to refuse a grant. Requires that a State ADRS provide for the resolution of health care claims for all individuals receiving health care services in the State and be of certain types: (1) fault-based administrative systems; (2) defined catastrophic injury compensation systems; (3) early offer and recovery mechanisms; (4) binding arbitration; or (5) a State-initiated alternative to such systems. Sets forth requirements for each system type. Subtitle B: Other Grant Programs - Directs the Secretary to make grants to States and private nonprofit organizations for: (1) basic research in the prevention of and compensation for injuries resulting from health care professional or health care provider malpractice; and (2) research of the outcomes of health care procedures. Directs the Secretary to make grants to States to improve their ability to license and discipline health care professionals. Directs the Secretary to provide technical assistance to States to assist them in: (1) evaluating their medical practice acts and procedures and encourage the use of early warning systems; and (2) disciplining health care professionals. Directs the Secretary to make grants for: (1) educating the public about the appropriate use of health care and realistic expectations; (2) educating the public about professional licensing and discipline; and (3) developing faculty training and curricula on quality assurance, risk management, and medical injury prevention. Subtitle C: Administrative Provisions - Sets forth administrative procedures for the grants under this title. Authorizes appropriations. Title II: Health Care Malpractice Dispute Reform - Declares that provisions in this Act relating to civil actions govern any health care malpractice action brought in any Federal or State court and any health care malpractice claim resolved through arbitration, subject to exception relating to the National Vaccine Injury Compensation Program. Prohibits requiring any person to pay for future damages exceeding a specified amount in a single payment, but allows such payments on a periodic basis. Requires damages to be reduced by any governmental or private payment intended to compensate for the injury. Limits the amount of damages which may be paid for noneconomic losses and the percentage of any award or settlement which may be paid as attorney fees. Sets forth time limits on initiation of actions. Supersedes State laws with higher payment limits, greater damages, greater attorney's fees, or longer time limits. Amends title XVIII (Medicare) of the Social Security Act to require each State to allocate an amount equal to all health professional licensing or certification fees to State agencies responsible for disciplinary actions for each type of health professional. Mandates that each State require each service provider to have a risk managment program to prevent and provide early warning of unsafe practices. Requires each State agency responsible for disciplinary actions to enter into agreements with professional societies to permit the review by the societies of the practice patterns of a health care practitioner. Sets forth confidentiality and other requirements. Exempts large entities with continuing quality review programs which report certain findings to the State disciplinary agency for that type of practitioner. Prohibits any activity under such an agreement from being grounds for any State or Federal civil or criminal antitrust action, or any other State civil action. Prohibits the Secretary from entering into certain agreements with a State under title XVI (Supplemental Security Income) of the Social Security Act unless the State certifies that it meets the requirements of this paragraph. Amends the Public Health Service Act to direct the Secretary to make a grant to an entity that represents recipients of assistance under provisions relating to migrant health centers and community health centers to enable the entity to develop a business plan for, and to establish, a nationwide risk retention group. Allows the group to negotiate with other entities for the purposes of managing and administering the group, and for obtaining reinsurance. Requires the group to provide professional liability insurance, and other types of profitable insurance to migrant and community health centers. Requires the centers, subject to exception, to become members of the group and purchase the group's insurance. Makes all professional staff members of the centers eligible to obtain the group's insurance. Requires the group to engage outside experts in insurance, financing, and business to analyze and audit the group. Requires the experts to provide the group with an evaluation of the plan and group. Requires the group to submit the plan and the evaluation to the Secretary. Directs the Secretary to permit implementation of the plan and operation of the group if the Secretary determines that the operation of the group will result in an increase in the amount of funds available for use by community and migrant health centers and other entities receiving specified assistance. Authorizes appropriations for plan preparation, establishment and capitalization of the group. Requires assets remaining after dissolution of the group to be used by the Secretary to pay the remaining expenses of the group. Authorizes appropriations to carry out specified provisions relating to migrant health centers and community health centers.
Bill· HRH.R. 1000 (102nd)referred
United States · United States Congress · 20 February 1991
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.
Bill· HRH.R. 1009 (102nd)referred
United States · United States Congress · 20 February 1991
Disregards the income earned by blind and severely handicapped individuals for working overtime during 1991 under a specified Federal procurement contract in support of Operations Desert Shield or Desert Storm in determining such workers' eligibility for: (1) disability and health insurance benefits under the Old-Age, Survivors and Disability Insurance and Medicare programs (titles II and XVIII of the Social Security Act); (2) benefits under the Supplemental Security Income program (title XVI of that Act); and (3) medical assistance and services under the Medicaid program (title XIX of that Act).
Law· HJRESH.J.Res. 138 (102nd)enacted
United States · United States Congress · 20 February 1991
Designates the week beginning July 21, 1991, as Lyme Disease Awareness Week.
Bill· HJRESH.J.Res. 135 (102nd)referred
United States · United States Congress · 20 February 1991
Designates May 1991 as Karate Kids Just Say No to Drugs Month.
Law· SJRESS.J.Res. 72 (102nd)enacted
United States · United States Congress · 19 February 1991
Designates September 15 through 21, 1991, as National Rehabilitation Week.
Bill· SS. 391 (102nd)open
United States · United States Congress · 7 February 1991
Lead Exposure Reduction Act of 1991 - Amends the Toxic Substances Control Act to prohibit the importing, manufacturing, processing, or distribution in commerce of certain products containing more than a specified percentage of lead. Authorizes the Administrator of the Environmental Protection Agency (EPA) to modify the allowable lead percentage for such products under certain conditions. Permits the Administrator to extend dates for compliance with such requirements for one year and to establish a performance standard for lead leaching from plumbing fittings and fixtures in lieu of the applicable restriction if such standard is at least as protective of human health and the environment as such restriction. Requires the Administrator to waive such requirements with respect to certain toys and recreational game pieces that are collectible items and scale models intended for adult acquisition. Directs the Administrator to publish regulations banning the sale of lead solder to plumbers and plumbing supply wholesalers and retailers. Prohibits the sale or promotion of: (1) any packaging which may be used for food for human consumption (or any food in such packaging) that includes any additive to which lead has been intentionally introduced, beginning 24 months after this Act's enactment; and (2) any packaging or product in packaging that includes such an additive, beginning 48 months after this Act's enactment. Sets allowable concentration levels for the incidental presence of lead in such packaging. Prohibits the sale or promotion of packaging exceeding such levels. Authorizes the Administrator to exempt from such requirements: (1) packaging manufactured prior to this Act's enactment date; and (2) packaging to which lead has been added to comply with Federal, State, or local health or safety requirements. Requires certificates of compliance with lead requirements to be retained by packaging manufacturers or distributors and made available to purchasers. Prohibits the manufacture, import, or distribution in commerce of food cans containing more than .2 percent lead by dry weight. Prohibits the importing, manufacturing, processing, or distributing in commerce of foils for wine bottles containing more than .1 percent lead by dry weight. Authorizes the Secretary of Health and Human Services to delay the application of such requirements under certain conditions. Prohibits the sale of leaded gasoline at a price lower than that of unleaded gasoline sold at the same establishment. Prohibits, within six months of this Act's enactment, the sale of leaded gasoline for use in motor vehicles (other than farm vehicles) in a metropolitan statistical area or consolidated metropolitan statistical area with a 1980 population of 250,000 persons or more. Requires, effective January 1, 1996, manufacturers or importers of fuels containing lead or lead additives to submit quarterly reports to the Administrator on the lead content and volume of such fuels. Exempts from lead content requirements: (1) paint used by artists; (2) products used for medical purposes; (3) products used in connection with national security; (4) products used in the nuclear industry; and (5) products used in the mining industry to determine the presence of noble metals in geological materials. Directs persons manufacturing, processing, or importing any product containing more than .1 percent lead by dry weight to submit specified information to the Administrator. Exempts owners or operators of recycling facilities and manufacturers, processors, or importers of lead-acid batteries from such requirement. Requires the Administrator to update, and publish a compilation of, such information. Directs the Administrator to report to the Congress on such information and on recommendations for minimizing the release of lead into the environment and preventing human exposure to lead. Permits persons submitting inventory information to claim such information as confidential. Sets forth provisions concerning confidentiality applications. Requires the Administrator to promulgate regulations that provide for the labeling of products (other than lead-acid batteries) that pose a risk of human exposure to lead. Requires the labeling of toys and recreational game pieces that are collectible items and scale models to disclose that such items contain lead and are not suitable for children. Prohibits: (1) the placement into landfills and incineration of lead-acid batteries; and (2) the disposal of such batteries other than by recycling in accordance with this Act. Prohibits the disposal of batteries except by delivery to: (1) battery retailers or wholesalers; (2) regulated lead smelters or collection or recycling facilities; or (3) automotive dismantlers. Sets forth specified delivery and disposal requirements for battery retailers, wholesalers, and manufacturers. Directs battery retailers, wholesalers, and manufacturers to accept from customers used batteries of the same type, and in an approximately equal quantity to, the batteries sold. Requires battery retailers to post notices in public areas of retail establishments that: (1) state that it is illegal to throw away motor vehicle or lead-acid batteries; (2) state that Federal law requires battery retailers to accept used batteries for recycling and allows a person to give used batteries to battery collectors, recyclers, or processors or to automotive dismantlers; and (3) encourage recycling of used batteries. Prescribes civil penalties for violations of such notice requirements. Makes it unlawful to sell a lead-acid battery that does not bear a permanent label stating that: (1) the battery contains lead; and (2) Federal law requires recycling and the seller must accept the return. Permits the Administrator to issue warnings and citations for noncompliance with battery labeling and notice requirements. Permits the export of lead-acid batteries for purposes of recycling. Directs the Administrator to undertake a program to promote monitoring, detection, and abatement of lead-based paint and other lead exposure hazards. Requires the Secretary of Commerce, acting through the Director of the National Institute of Standards and Technology, to establish: (1) standards for laboratory analysis of lead in paint films, soil, and dust; and (2) certification programs to assure the quality and consistency of such analyses, unless voluntary accreditation programs are operating nationwide. Directs the Secretary of Health and Human Services, acting through the Director of the Centers for Disease Control, to establish parallel standards and certification programs for laboratory analysis of lead in blood. Requires the Secretary of Labor to develop minimum core curricula for technical training courses for lead-based paint abatement workers, supervisors, designers, inspectors, and building owners. Provides that such courses shall address factors associated with lead testing and abatement in various types of housing units. Authorizes the Secretary to evaluate such programs and to encourage State certification programs or the development of national proficiency tests. Requires the Secretary of Commerce to evaluate and develop standards and testing protocols for emerging products and techniques for detecting lead in paint films and dust. Directs the Administrator to report to the Congress on the efficacy and effectiveness of various abatement and management techniques in reducing lead dust levels. Requires the Secretary of Commerce to establish a program and develop standards for the evaluation of products and procedures for encapsulating or removing lead-based paint. Directs the Administrator to publish a list of products and procedures that meet performance standards. Requires the Administrator to issue guidelines for the management of lead-based paint debris. Prohibits the funding of travel of EPA employees outside the United States unless such guidelines are issued. Requires the Administrator to undertake a research project on lead exposure in children who have elevated blood lead levels or other indicators of elevated lead body burden. Directs the Secretary of Labor and the Administrator to conduct a long-term research study on the sources of lead exposure in construction workers. Requires the Administrator to sponsor public education and outreach activities to increase awareness of the scope and severity of lead poisoning from household sources, potential exposure to lead in schools and day care centers, and the need for abatement and management action. Directs the Administrator to issue guidelines concerning the action levels for lead in soil. Directs the Administrator to appoint a Coordinator for Lead Activities. Requires the Administrator to award grants to institutions of higher education for purposes of establishing Centers for the Prevention of Lead Poisoning. Limits the Federal share of Center operation costs. Limits grants to two-year periods. Directs the Secretary of Health and Human Services, acting through the Director of the Centers for Disease Control, to: (1) encourage State public health officials to report blood-lead measurements to the Director; and (2) report to the Congress on the status of such reporting and the feasibility and desirability of instituting a national requirement for mandatory pre-school blood-lead screening. Amends the Public Health Service Act to require the Secretary, acting through the Director, to establish a blood-lead laboratory reference project to assist State and local governments in establishing and improving the quality of laboratory measurements performed for childhood lead poisoning prevention programs. Requires the Administrator of the Agency for Toxic Substances and Disease Registry to update a report submitted pursuant to the Superfund Amendments and Reauthorization Act of 1986 to include information on childhood and adult lead poisoning and estimates of adverse health outcomes associated with lead exposure. Amends the Federal Food, Drug, and Cosmetic Act to deem a food to be adulterated if: (1) it is packaged in a container containing solder or another ingredient with a lead content greater than .2 percent by dry weight; or (2) it is ceramic ware and the ability of such ceramic ware to leach lead does not conform with standards for ceramic ware established by the Secretary of Health and Human Services. Requires the Secretary to establish standards and testing procedures with respect to lead in ceramic ware. Authorizes appropriations.
Bill· SJRESS.J.Res. 71 (102nd)referred
United States · United States Congress · 7 February 1991
Designates the week commencing February 10 through 16, 1991, as Children of Alcoholics Week.
Bill· SS. 370 (102nd)referred
United States · United States Congress · 6 February 1991
Fair Auditing Act of 1991 - Directs the Secretary of Health and Human Services to promulgate regulations prohibiting hospitals, medical clinics, and insurance companies that receive Federal assistance from compensating a revenue recovery firm or third party auditor on the basis of a percentage of the revenue findings of an audit conducted by such firm or auditor.
Bill· SS. 387 (102nd)referred
United States · United States Congress · 6 February 1991
High Medicare Hospital Relief Act of 1991 - Amends title XVIII (Medicare) of the Social Security Act to provide, for FY 1992 and 1993, an additional Medicare payment to a hospital when at least 65 percent of its inpatient days or discharges are attributable to Medicare beneficiaries.
Bill· HRH.R. 919 (102nd)open
United States · United States Congress · 6 February 1991
Federal Used Property for Domestic Use Act of 1991 - Amends the Federal Property and Administrative Services Act of 1949 to authorize the Administrator of the General Services Administration to make available to foreign governments or international relief agencies for humanitarian relief purposes nonlethal surplus personal property not needed by the American National Red Cross or by States or territories for educational or public health purposes. Requires transfer of such property to the Secretary of State for distribution. Authorizes executive agencies having any such property in a foreign country that has not been returned to the United States to make such a transfer. Repeals provisions authorizing the Secretary of Defense to make available for humanitarian relief purposes any nonlethal excess supplies of the Department of Defense.
Bill· HRH.R. 908 (102nd)open
United States · United States Congress · 6 February 1991
Persian Gulf War Veterans Benefits Act of 1991 - Title I: General Veterans Benefits - Amends Federal veterans' benefits provisions to include the Persian Gulf War under the definition of "period of war" for purposes of eligibility for various veterans' benefits for war veterans, their spouses, and their dependents. Authorizes the Secretary of Veterans Affairs to provide standby inpatient hospital care and medical services to those veterans authorized to receive hospital, nursing home, or domiciliary care and medical treatment within the Department of Veterans Affairs. Authorizes the Secretary to furnish counseling services in any Department facility to any veteran: (1) who is a former prisoner of war; and (2) while in active military service in a theater of combat operations during a period in which hostilities occurred in such theater. Makes veterans who serve on active duty during the Persian Gulf War for at least 90 days eligible for dental benefits provided to veterans through the Department. Makes veterans of the Persian Gulf War suffering from war-related psychosis within two years of the end of such War eligible for treatment through the Department for a service-connected disability. Presumes such psychosis to be service-connected for purposes of eligibility for such treatment). Makes veterans of any war (currently, specified wars and conflicts) eligible for payment for certain drugs and medicine required as a result of being permanently housebound or in need of regular aid and attendance. Bases the payment of dependency and indemnity compensation to surviving spouses on the age of the surviving spouse, with the amount decreasing as the age increases. States that such amounts shall be based on the pay grades of veterans dying between January 1, 1957, and the last day of the month in which the Persian Gulf War ends if such is larger than the amount provided when based solely upon the age of the surviving spouse. Increases from $50,000 to $75,000 the amount of life insurance available to veterans under the Servicemen's Group Life Insurance and the Veterans' Group Life Insurance programs. Makes Persian Gulf War veterans eligible for such increased coverage. Title II: Veterans Education Benefits - Increases the monthly stipend available to members of the all-volunteer active-duty armed forces and the Selected Reserve for educational assistance provided under the Montgomery GI Bill armed forces and veterans' educational assistance programs. Increases such stipend annually by the percentage increase in the Consumer Price Index for such year. Directs the Secretary of the military department concerned, and the Secretary of Transportation with respect to the Coast Guard when it is not operating as a service of the Navy, to provide educational assistance to members of the Selected Reserve who: (1) during the Persian Gulf War, served on active duty for more than 180 days of continuous service; and (2) were discharged or released under conditions other than dishonorable. States that such educational assistance may be provided for a program of education beyond the baccalaureate degree level. States that, in the case of a member of the Reserve called to active duty in connection with the Persian Gulf War: (1) the period of such active duty may not be considered in determining the expiration date for eligibility for educational assistance benefits provided under the Montgomery GI Bill; and (2) the member may not be considered to have been separated from the Reserve, for purposes of commencement of the delimiting period for the use of such benefits. Provides that, in the case of an active-duty or Reserve member student who fails to complete a course of study under the armed forces or veterans' educational assistance programs due to being called to active duty in connection with the Persian Gulf War, both the amount of educational assistance received and the time spent pursuing that course of study will not be counted against such student for purposes of general entitlement under such educational assistance program. Restores the full amount available to such student veteran program. Restores the full amount available to such student veteran as if the interrupted course had not been taken. States that such exclusion shall apply to members of the Selected Reserve pursuing courses of study (and similarly interrupted) under the armed forces educational assistance program. Title III: Veterans Housing Programs - Entitles each veteran who served on active duty in the Persian Gulf War for 90 days or more to guaranteed veterans' housing loans provided through the Department. Authorizes the Secretary to provide direct loans for housing purposes to the following veterans: (1) any active-duty or reserve member who meets applicable credit requirements and is unable to obtain a loan from a private lender at the interest rate authorized for guaranteed home loans because of the possibility of service in connection with the Persian Gulf War; and (2) any veteran who applies for such loan within one year after returning from at least 90 days of continual service in the Persian Gulf or within one year after being released from hospitalization incident to such service, is discharged under conditions other than dishonorable, cannot obtain a reasonable loan from a private lender, and meets applicable credit requirements. Title IV: Military Personnel Benefits - Requires the Secretary of Defense to ensure that the Secretaries of the military departments provide appropriate benefits explanations to reserve members who were called to active duty in connection with the Persian Gulf War and are released from such active duty upon completion of their required service period. Requires the Secretary of Veterans Affairs to detail Department personnel at each principal site at which such reserve members are released from such duty for preseparation counseling. Directs the Secretary of Defense to prescribe regulations to allow reserve personnel ordered to active duty in connection with the Persian Gulf War to use commissary and exchange stores during the 180-day period following their release from such duty to the same extent as for active-duty members of the armed forces. Entitles reserve members called to active duty in connection with the Persian Gulf War to certain transitional health care benefits after release from such active duty until: (1) 60 days after release from such active duty; or (2) the date such member is covered by a health plan sponsored by a private employer. Title V: Internal Revenue Matters - States that, for purposes of applying the internal revenue laws with respect to the tax liability of individuals performing military service in the Persian Gulf, the period of such services, as well as 60 days thereafter, shall be disregarded in determining whether certain required acts were performed within the required time period as prescribed under the Internal Revenue Code. Includes those hospitalized for injuries attributable to Persian Gulf services under those eligible for such extension. Includes spouses of such personnel, as well as persons in a missing status under such provision. Amends the Internal Revenue Code relating to the permissible time period before the gain from the sale of a principal residence is recognized for tax purposes to extend such period in the case of a reserve member performing active duty in the armed forces to one year after such member is released from such active duty. Amends the Internal Revenue Code relating to the exceptions to the ten-percent additional tax on early distributions from qualified retirement plans to add as an exception to such additional tax any distribution from an individual retirement plan if made to a Persian Gulf War reservist during the qualified distribution period. Defines the qualified distribution period for such personnel as the period which: (1) begins on the date such service is first performed; and (2) ends 180 days after termination of such service. Title VI: Small Business - Veterans Entrepreneurship Promotion Act of 1991 - Defines terms used in this Act. Amends the Small Business Act to direct the President to establish Government-wide goals annually for procurement contracts awarded to small business concerns owned and controlled by veterans, including veterans of the Persian Gulf War. Increases the Government-wide goals for small business participation (including veteran-owned small businesses) from 20 percent to 25 percent of the total value of all prime contract awards for each fiscal year. Mandates that: (1) the Government-wide goal for participation by small business concerns owned and controlled by veterans be at least five percent of such contract and subcontract awards; and (2) certain reports submitted to the Small Business Administration (SBA) and to the Congress include the extent of participation in the Federal procurement process by small business concerns owned and controlled by veterans. Declares it the policy of the United States to grant small business concerns owned and controlled by veterans the maximum opportunity to participate in the performance of Federal contracts and subcontracts. Requires the Secretary of Veterans Affairs and the Administrator of the Small Business Administration (the Administrator) to implement an outreach and information dissemination program for small business concerns owned and controlled by veterans. Outlines the parameters of a loan assistance program implemented by the SBA for small businesses owned and controlled by veterans. Requires the Administrator to study and report to the Congress and the President on methods to reduce costs incurred by veterans during the loan application process. Directs the Administrator to take steps to ensure that small businesses owned by veterans have access to SBA programs providing entrepreneurial training, business development assistance, counseling, and management assistance. Authorizes the SBA to make grants for veterans' outreach programs with governmental and private sector entities. Mandates the establishment of an interagency working group to develop a comprehensive outreach program for veterans of the Persian Gulf War and veterans affected by reductions in armed forces personnel. Requires certain Government agencies to collect information on: (1) businesses owned and controlled by veterans; and (2) the number of such businesses that are first-time recipients of Government contracts. Amends the Small Business Economic Policy Act of 1980 to require the President to report annually to the Congress on small businesses owned and controlled by veterans and by veterans with service-connected disabilities. Amends the Small Business Act to provide for an Associate Administrator or Veterans Programs who shall be responsible for programs of assistance to small business concerns owned and controlled by veterans. Requires the SBA to enter into negotiations with any Federal agency to perform any specific Government procurement contract through the services of small businesses owned and controlled by veterans. Outlines contracting procedures. Establishes within the SBA a veterans business opportunity and development assistance program to assist exclusively small business concerns eligible under the program's parameters. Vests responsibility for the coordination and formulation of policies relating to Federal assistance to such concerns with the Associate Administrator for Veterans Programs. Restricts an individual's eligibility under the Program to business concerns only. Establishes a Division of Program Certification and Eligibility in the Office of Veterans Programs. Requires the Administrator to present an annual program status report to the Congress. Establishes the National Veterans Business Council to: (1) review Federal and State initiatives relating to business concerns owned by veterans; and (2) report annually to the President and the Congress regarding private and public sector initiatives and multiyear goals for veteran-owned businesses. Terminates the Council three years after its first meeting. Amends the Small Business Act to authorize appropriations. Title VII: Other Matters - Repeals a Federal provision containing certain limitations on the payment of unemployment compensation (prohibiting such payment before a certain time period and limiting the aggregate amount of such payment) with respect to discharged or released members of the armed forces. Makes military personnel called to active duty in the Persian Gulf eligible for the deferment of student loan repayments in the case of loans made under the Higher Education Act of 1965, such deferment lasting during the continuance of such duty. States that such deferment period shall not be counted against the grace period that is available to all individuals with respect to such loans made under such Act.
Bill· HRH.R. 841 (102nd)open
United States · United States Congress · 6 February 1991
Veterans PTSD Treatment and Psychological Readjustment Act of 1991 - States that it shall be the policy of the Secretary of Veterans Affairs to implement the recommendations of the Chief Medical Director's (CMD) Special Committee on Post-Traumatic Stress Disorder to establish and operate specialized inpatient post-traumatic stress disorder units (SIPUs) at Department of Veterans Affairs medical centers. Requires such facilities and services to be available to all eligible veterans, including veterans of the Persian Gulf conflict. Requires the Secretary to gradually increase the number of SIPUs in order to meet a total increase of not less than 30 units by December 31, 1994. Requires the Secretary to direct the Special Committee to identify areas of the country in which there are significant needs for expanding the Vet Center program. Directs the Special Committee to present a list of not less than 40 areas as candidates for new Vet Centers to the Readjustment Counseling Service of the Department no later than September 30, 1991. Requires the Counseling Service to gradually increase the number of existing Vet Centers in order to meet a total increase of not less than 40 by December 31, 1994. Directs the Advisory Committee on Readjustment of Veterans (established under this Act) to prepare a report to be submitted to the Congress on recommendations to increase outreach efforts to veterans of the Vietnam era and thereafter with readjustment counseling needs. Expands eligibility under the Vet Center program to include veterans of the Persian Gulf conflict. Directs the Secretary to make facilities and services of the Vet Centers available to family members of military personnel assigned to duty in the Persian Gulf. Urges the Secretary to fill expeditiously Vet Center staff vacancies caused by reassignment to Department medical facilities in preparation for receipt of casualties from the Persian Gulf conflict. Directs the Secretary to establish the Advisory Committee and seek its advice with respect to: (1) the administration of Department benefits for veterans, particularly Vietnam and post-Vietnam era veterans; (2) reports and studies pertaining to veterans, particularly Vietnam and post-vietnam era veterans; and (3) the needs of all veterans with respect to compensation, health care, readjustment, outreach, and other benefits and programs administered by the Department. Requires the Advisory Committee to report annually to the Secretary pertaining to the social, economic, educational, and psychological readjustment of veterans. Requires the Secretary to submit such reports to the Congress, along with comments and recommendations. Authorizes the Secretary to conduct a pilot program to contract for care and treatment and rehabilitative services in halfway houses, therapeutic communities, psychiatric residential treatment centers, and other community-based treatment facilities for eligible veterans suffering from PTSD. Requires the CMD to plan, design, and conduct such program. Requires the Secretary to approve the quality and effectiveness of a program operated by a contract facility before allowing veterans to be furnished treatment there under the pilot program. Directs the Secretary to: (1) urge all public and private entities to provide appropriate employment and training opportunities to veterans who have been provided treatment and rehabilitative services under this Act for PTSD and who have been determined to be sufficiently rehabilitated to be employable; and (2) provide all possible assistance to the Secretary of Labor in placing such veterans in such opportunities. Requires the Secretary to provide referral services and advice to veterans discharged or released from active service who are not eligible for PTSD treatment and services. Limits participation in the PTSD pilot program to 500 eligible individuals. Directs the Secretary to report to the Senate and House Veterans' Affairs Committees on the operation of the pilot program through FY 1994. Terminates the pilot program after five years of operation. Directs the Special Committee to examine the effectiveness of contracts for the treatment of PTSD with private facilities and therapists. Requires the Special Committee to report its findings and recommendations to the veterans' committees. Requires the Secretary, in administering the Health Professionals Educational Assistance Program, to encourage the participation of individuals who desire to become psychologists, psychiatrists, social workers, psychiatric nurses, and other professionals specializing in the treatment of PTSD. Directs the CMD to conduct research programs to consider the most effective treatment for PTSD and the effectiveness of involving the family in the treatment of PTSD and to report his findings to the veterans' committees. Requires such research to be conducted through the National Center on Post-Traumatic Stress Disorder, with consultation from the Special Committee and the Advisory Committee. States that it shall be the policy of the Secretary to implement the recommendations of the Special Committee to establish and operate post-traumatic stress disorder clinical teams (PCTs) at Department medical centers that provide mental health services. Requires such services to be available to all veterans, including veterans of the Persian Gulf conflict. Directs the Secretary to increase the number of PCTs by 50 units by the end of calendar year 1994. Requires the Secretary, in establishing such new PCTs, to give priority to locations that do not have a SIPU or an affiliated Vet Center. Requires the Secretary to direct the Special Committee to assess the capacity of the Department to provide treatment for PTSD. Requires the Special Committee to report its findings to the Secretary, to be forwarded to the Congress.
Bill· HRH.R. 875 (102nd)referred
United States · United States Congress · 6 February 1991
RU-486 Regulatory Fairness Act of 1991 - Declares that a specified import alert issued by the Food and Drug Administration (FDA) with respect to the drug RU-486 shall not have any legal effect and shall be withdrawn by the FDA. (RU-486 has been used outside the United States to abort pregnancies.) Prohibits the FDA from taking any action to bar the import of that drug unless the FDA finds that it is being imported for an illegal use. Requires the FDA to give consideration in accordance with provisions relating to new drug approval when an application is submitted under such provisions for RU-486.
Bill· HRH.R. 860 (102nd)referred
United States · United States Congress · 6 February 1991
Amends title XIX (Medicaid) of the Social Security Act to require States to provide Medicaid coverage of hospice care.
Bill· HRH.R. 941 (102nd)referred
United States · United States Congress · 6 February 1991
Amends title II (Old Age, Survivors and Disability Insurance) of the Social Security Act to credit State and local employees who held such employment prior to and after the State's decision to opt into the Medicare program (title XVIII of the Social Security Act) with such prior employment for the purpose of determining their eligibility for benefits under part A (Hospital Insurance) of the Medicare program. Establishes specified monthly part A premiums for calendar years 1992 through 1996, with premiums thereafter determined by the Secretary of Health and Human Services and indexed to the increase in the part A deductible.
Bill· HRH.R. 931 (102nd)referred
United States · United States Congress · 6 February 1991
Amends the Internal Revenue Code to allow an individual an income tax deduction for qualified home health care and adult day and respite care expenses with respect to a dependent who: (1) resides with the taxpayer; (2) suffers from Alzheimer's disease or a related organic brain disorder; and (3) is physically or mentally incapable of self-care.
Bill· HJRESH.J.Res. 128 (102nd)open
United States · United States Congress · 6 February 1991
Declares that a national emergency exists for purposes of enabling a call to active duty of additional members of the Reserve Corps of the Public Health Service because of shortages in health services resulting from health care providers leaving to serve as members of the armed forces in connection with the Persian Gulf conflict. Directs the Secretary of Health and Human Services to call additional Reserve Corps members to active duty and make assignments of qualified members of the Reserve and Regular Corps.
Bill· SS. 358 (102nd)open
United States · United States Congress · 5 February 1991
Compassionate Pain Relief Act - Amends the Public Health Service Act to direct the Secretary of Health and Human Services to establish a 60-month program under which parenteral diacetylmorphine may be dispensed from pharmacies for the relief of pain from terminal cancer (as defined by this Act). States that for purposes of such program the Federal Food, Drug, and Cosmetic Act and titles II and III of the Comprehensive Drug Abuse Prevention and Control Act of 1970 shall not apply with respect to: (1) the importing of opium; and (2) the manufacture, distribution, and dispensing of parenteral diacetylmorphine. Requires the Secretary to report to specified congressional committees concerning: (1) program-related activities; (2) the extent of research activities in the management of pain which have received funds through the National Institutes of Health; (3) the ways in which the Federal Government supports the training of health personnel in pain management; and (4) recommendations for expanding and improving the training of health personnel in pain management. Permits the Secretary at any time six months after implementation of the program to modify or terminate the program if: (1) the program is no longer needed; or (2) modifications or termination are needed to prevent substantial diversion of the diacetylmorphine.
Bill· SJRESS.J.Res. 65 (102nd)referred
United States · United States Congress · 5 February 1991
Designates the week beginning September 16, 1991, as Emergency Medical Services Week.
Bill· HRH.R. 798 (102nd)referred
United States · United States Congress · 5 February 1991
American Consumer and Preborn Child Protection Act of 1991 - Prohibits the provision of any form of Federal financial assistance for investigation of the anti-progesterone steroid (known as RU-486) to obtain its approval under the Federal Food, Drug, and Cosmetic Act. (Such steroid has been used outside the United States to abort pregnancies.) Parent Drug Awareness Act - Amends the Federal Food, Drug, and Cosmetic Act to require that drugs derived from a human fetus be labeled accordingly. Human Fetal Tissue Transportation Act - Prohibits interstate importation, exportation, or transportation of human fetal tissue, except as permitted under this Act. Requires any person who transports such tissue to notify the Secretary of Health and Human Services (Secretary) semiannually of each such transportation, with specified information. Requires the Secretary to establish regulations restricting or prohibiting interstate importation, exportation, or transportation of human fetal tissue and the operation of human fetal tissue storage facilities as necessary to protect the public health or promote the general welfare. Prohibits operation of a human fetal storage facility, except with a license issued under this Act. Requires the Secretary to issue or renew such license for any organization which meets the requirements of this Act. Authorizes the Secretary to limit, suspend, or revoke any license for material misrepresentations, failure to provide certain information, or failure to comply with regulations. Authorizes the Secretary to conduct investigations or inspections necessary to carry out the Human Fetal Tissue Transportation Act (this Act). Requires the Secretary to furnish the Attorney General information indicating noncompliance with this Act. Establishes penalties of fines or imprisonment for violations of this Act. Declares that this Act shall not affect any provision of State law, except to the extent such law is inconsistent with this Act, and then only to the extent of the inconsistency. Declares that this Act shall have no effect to the extent that imposition or enforcement is unconstitutional. Defines "human fetal tissue" to be matter yielded by an aborted human pregnancy and any biochemical product derived from such matter.
Bill· HRH.R. 827 (102nd)referred
United States · United States Congress · 5 February 1991
High Medicare Hospital Relief Act of 1991 - Amends title XVIII (Medicare) of the Social Security Act to provide, for FY 1992 and 1993, an additional Medicare payment to a hospital when at least 65 percent of its inpatient days or discharges are attributable to Medicare beneficiaries.
Bill· HRH.R. 818 (102nd)referred
United States · United States Congress · 5 February 1991
Mental Health Professional Act of 1991 - Directs the Secretary of Veterans Affairs to carry out a Mental Health Professionals Scholarship Program. Requires an individual, in order to be eligible for the Program, to be accepted for enrollment or enrolled as a full-time student at a qualifying accredited school in a course of post-baccalaureate education or training that is approved by the Secretary and that leads toward completion of a degree in psychiatric nursing, psychology, social work, or psychiatry. Provides a full scholarship for qualifying individuals. Requires each participant receiving such a scholarship to provide service in the clinical practice of such participant's profession as a full-time employee of the Department of Veterans Affairs for a period of 18 months for each academic year for which a scholarship is provided. Authorizes the participant to complete one-half of such required service in a public health facility located in an economically depressed area. Establishes the liability to the United States on a pro rata basis of a participant who fails to meet the required period of service.
Law· HJRESH.J.Res. 109 (102nd)enacted
United States · United States Congress · 5 February 1991
Designates the week beginning May 12, 1991, as Emergency Medical Services Week.
Bill· HRH.R. 781 (102nd)open
United States · United States Congress · 4 February 1991
Amends the National Defense Authorization Act for Fiscal Year 1991 to change from April 1, 1991, to the later of such date or the date of the termination of combat activities in the Persian Gulf, the effective date for scheduled increases in the annual deductible required of coverage beneficiaries of military personnel under the Civilian Health and Medical Program of the Uniformed Services (CHAMPUS).
Bill· SS. 334 (102nd)referred
United States · United States Congress · 31 January 1991
Military Family Assistance Act of 1991 - Directs the Secretary of Defense to provide assistance for eligible military families of members serving on active duty during the Persian Gulf conflict in order to ensure that such families obtain needed child care services. Outlines with respect to such assistance provisions defining: (1) eligible military families; (2) eligible child care providers; (3) the amount of assistance to be provided; and (4) fees to be charged to parents for such child care assistance. Provides eligibility for such child care assistance for 60 days after release from active duty for families of reserve personnel called to active duty in connection with the Persian Gulf conflict. Directs the Secretary to ensure that: (1) each family eligible to receive financial assistance for child care services receives appropriate information concerning local child care and referral programs; and (2) the child care services provided in military child development centers and providers of family home day care are coordinated with child care resources and referral programs in the locality in which such services are provided. Authorizes the Secretary to use up to ten percent of the amount available for such assistance for grants for the repair of minor deficiencies in family day care homes. Outlines conditions under which the Secretary may make grants to a child care provider for such corrections. Gives a priority in the awarding of such repair grants to child care providers who are members of families of members of the armed forces. Prohibits grant funds to be used for the purchase or improvement of land or for the purchase or major renovation of any building or facility. Authorizes appropriations. Requires such funds to be used to supplement, not supplant, other public funds authorized or expended for such purpose. Prohibits financial assistance awarded under this Act from being used for: (1) sectarian worship or religious instruction; and (2) services provided during the regular school day for which students receive academic credit or which supplant or duplicate the academic program of any public or private school. Applies certain nondiscrimination provisions of the Child Care and Development Block Grant Act of 1990 to provisions of this Act. States that reserve personnel ordered to active duty in connection with the Persian Gulf conflict shall be considered as involuntarily separated from the armed forces upon completion of such duty for purposes of eligibility for certain transitional health care provided through the armed forces if the member: (1) serves on active duty for not less than 90 days; and (2) is an officer who is discharged under conditions other than adverse, or, if enlisted, is denied reenlistment or is discharged under conditions other than adverse. Provides that eligibility for such transitional health care benefits shall continue for up to 60 days after such involuntary separation, unless or until the member becomes covered by an employer-provided health plan. Delays until one year after the termination of the Persian Gulf conflict the effective date of a required reduction in the provision of certain mental health services to former military personnel under the National Defense Authorization Act for Fiscal Year 1991. Delays until the same date a requirement in such Act which increases the annual deductible required of medical beneficiaries of military personnel. States that all direct or discretionary spending contained in this Act is to be considered emergency expenditures related to Operation Desert Shield for purposes of the Balanced Budget and Emergency Deficit Control Act of 1985 (Gramm-Rudman-Hollings Act).
Bill· SS. 323 (102nd)open
United States · United States Congress · 31 January 1991
Title X Pregnancy Counseling Act of 1991 - Directs the Secretary of Health and Human Services, notwithstanding any other provision of law, to ensure that projects receiving assistance under title X of the Public Health Service Act offer pregnant women information and counseling on all legal and medical options. Requires that women requesting information regarding an unintended pregnancy be provided with nondirective counseling and referral on prenatal care, delivery, infant care, foster care, adoption services, and pregnancy termination.
Bill· SS. 330 (102nd)open
United States · United States Congress · 31 January 1991
Soldiers' and Sailors' Civil Relief Act Amendments of 1991 - Amends the Soldiers' and Sailors' Civil Relief Act of 1940 to prohibit an eviction or distress from being made during a period of military service with respect to a premise for which the agreed rent does not exceed $1,200 (currently, $150) per month, when such premise is occupied chiefly by the dependents of the person in military service, except upon leave of the court granted upon application or in a proceeding affecting the rights of possession. Extends the power of attorney coverage under such Act to include a power of attorney that by its terms expires after July 31, 1990. Provides professional liability protection for persons ordered to active duty after July 31, 1990, who, prior to such date, were engaged in the furnishing of health care services or other services determined by the Secretary of Defense to be professional services and who had in effect a professional liability insurance policy that does not continue coverage during the period of active duty. Specifies that an insurance carrier shall have no liability with respect to any claim that is based on professional conduct of a person that occurs during a period of suspension of such person's professional liability insurance under this Act. Requires an insurance carrier to suspend and to reinstate coverage of such affected person upon receipt of a written request from such person. Requires such person to request reinstatement within 30 days after release from active duty. Provides a minimum period of required coverage by the carrier following reinstatement, without an increase in the insurance premiums charged. Provides for the stay of a civil or administrative action for damages on the basis of professional liability of a person whose insurance has been suspended under these provisions if: (1) the action is based on an act or omission that occurred before the suspension was effective; and (2) the suspended insurance would, on its face, cover the alleged professional misconduct. States that the period of such stay shall not be included in any statute-of-limitations period. Outlines provisions concerning the death of a person whose professional liability insurance has been suspended and the consequences with respect to the suspended insurance coverage on previous or suspended (stayed) claims. Provides that any person employed and covered under an employer-offered health insurance policy who enters into active military service or training and is reemployed upon returning may not be subject to a waiting period or exclusion of coverage imposed in connection with coverage of a qualifying health or physical condition if: (1) the condition arose before or during such person's period of training or service; (2) no exclusion or waiting period would have been imposed for the condition during a period of coverage resulting from participation by such person in the insurance; and (3) the condition of such person has not been determined by the Secretary of Veterans Affairs to be service-connected. Provides that any person who, by reason of military service, is entitled to the rights and benefits of the Act shall be entitled upon release from such military duty to reinstatement of any health insurance which: (1) was in effect on the day before such service commenced; and (2) was terminated during the period of such service. Prohibits any exclusion or waiting period from being imposed in connection with reinstatement of health insurance coverage of a health or physical condition covered by the Act if: (1) the condition arose before or during such person's period of training or service; (2) no exclusion or waiting period would have been imposed for the condition during a period of coverage resulting from participation by such person in the insurance; and (3) the condition of such person has not been determined by the Secretary to be a disability incurred or aggravated in the line of duty. Requires a court, upon application, to stay a judicial action or proceeding involving any member of the armed forces serving on active duty outside the State in which the court is located until after June 30, 1991. Provides that an application by a person in military service for a stay, postponement, or suspension of the payment of any tax, fine, penalty, insurance premium, or other civil obligation shall not provide that basis for denial or revocation of, or a change in, credit by creditors, a presumption that such individual cannot pay his or her debts due and owing, or refusal of an insurer to insure such individual. Amends existing law which allows reservists ordered to active duty for not more than 90 days to reemployment rights by removing the 90-day limitation.
Bill· SS. 335 (102nd)reported
United States · United States Congress · 31 January 1991
Gulf War Higher Education and Health Care Shortage Assistance Act - Amends the Higher Education Act of 1965 (HEA) to grant a six-month deferment on obligations to repay guaranteed student loans, under the Robert T. Stafford Student Loan Program, to borrowers who are Armed Services members serving in connection with Operation Desert Storm (members). Requires institutions of higher education or vocational schools (as defined under HEA student assistance program provisions) to provide substantial tuition refunds or credits to such members. Directs the Secretary of Education to: (1) facilitate use of such benefits under this Act; (2) minimize the administrative burden placed on institutions of higher education, lenders, and guarantee agencies; and (3) allow family members or other appropriate parties to certify the status of individuals applying for such benefits. Amends the Public Health Service Act to set forth provisions to address health care provider shortages resulting from military hostilities. Authorizes the Secretary of Health and Human Services (HHS) to declare such a shortage in a medically underserved population or a health professional shortage area, or in other areas under specified conditions. Directs the Secretary of HHS to make grants on an expedited basis to eligible entities serving such populations or areas to: (1) temporarily replace health care providers ordered to active duty; and (2) secure additional necessary professional liability coverage for such replacement providers. Gives preference to entities: (1) serving a predominantly indigent patient population; or (2) in areas with the greatest shortage. Authorizes the Secretary of HHS to take appropriate action to respond to such shortages, including: (1) detailing Public Health Service Employees to regions with such shortages; (2) coordinating and facilitating voluntary placement in such regions of private providers and faculty in the health professions; and (3) providing to the Secretary of Defense information about the scope and nature of such shortages in each region in order to assist in minimizing such disruptions. Authorizes appropriations. Provides that all direct or discretionary spending in this Act comprises emergency expenditures related to Operation Desert Storm, for purposes of the Balanced Budget and Emergency Deficit Control Act of 1985 (Gramm-Rudman-Hollings Act).
Bill· SS. 319 (102nd)open
United States · United States Congress · 31 January 1991
Amends the Public Health Service Act to require the Director of the National Institute on Alcohol Abuse and Alcoholism and the Director of the National Institute on Drug Abuse each to appoint an Associate Director for Special Populations. Directs the Secretary of Health and Human Services, through such Associate Directors, with regard to women and minorities, to, among other things: (1) develop, coordinate, and support policies, programs, projects, and plans relating to alcohol abuse and drug abuse; and (2) develop systems to assist women and minorities to cope with the effects of discrimination against alcohol and drug abusers.
Bill· SS. 314 (102nd)referred
United States · United States Congress · 31 January 1991
Comprehensive Health Care Act of 1991 - Title I: Medicare Reimbursement for Rural Hospitals - Amends title XVIII (Medicare) of the Social Security Act to direct the Secretary of Health and Human Services and the Prospective Payment Assessment Commission to each submit to the Congress a report recommending a methodology for the elimination of the system of determining separate average standardized amounts for hospitals in large urban, other urban, or rural areas. Title II: Joint Use of High Technology Equipment and Services by Hospitals - Declares that, notwithstanding any provision of antitrust laws, it shall not be considered a violation of antitrust laws for hospitals to jointly undertake, in the provision of care, the purchasing, contracting for, or sharing of high technology equipment and services. Amends the Public Health Service Act to direct the Secretary of Health and Human Services to carry out demonstration projects to assist hospitals in acquiring and sharing high technology equipment and services. Directs the Secretary to make grants for up to three years to States for the Federal share of costs (50 percent). Authorizes appropriations. Title III: Health Care Claims Procedures and Minimum Benefits - Directs the Secretary to request the National Association of Insurance Commissioners to develop: (1) model regulations and laws to provide a uniform, low-cost, minimum health insurance benefit package for purchase by individuals, businesses, and governmental entities; and (2) a plan for standardizing public and private insurance forms, including simplification of terminology and claims procedures to facilitate comparison between policies and to enhance access to quality policies. Amends the Employee Retirement Income Security Act of 1974 (ERISA) to declare that health insurance issued under an employee welfare benefit plan is not excluded from provisions relating to supersedure of State laws. Title IV: Tax Incentives - Amends the Internal Revenue Code to allow a tax deduction of 100 percent (currently, 25 percent) of the amount paid for health insurance for a self-employed individual and that individual's spouse and dependents. Removes a provision terminating this deduction after FY 1990. Amends provisions of the Internal Revenue Code relating to refundable credits to allow a credit for a portion of the qualified health insurance expenses paid by an individual who is not covered by a health plan maintained by an employer of the individual or the individual's spouse. Sets forth special rules regarding coordination with advance payments and minimum tax, Medicare-eligible individuals, and subsidized expenses. Requires every employer paying wages to an employee who has certified to the employer that the employee is eligible for the credit to make an additional payment equal to the employee's dependent care advance amount. Requires that the health insurance expenses advance amount be determined on the basis of the employee's wages, the employee's estimated health insurance expenses, and tables provided by the Secretary. Sets forth special rules regarding self-employed individuals. Excludes expenses paid as a credit from treatment as expenses paid for medical care under provisions relating to itemized deductions. Terminates the health insurance credit for years after 1991. Includes expenditures for disease prevention and health promotion in the definition of medical care. Title V: Malpractice Reform - Amends the Public Health Service Act to direct the Assistant Secretary for Health, through the Administrator of the Agency for Health Care Policy and Research, to establish treatment practice guidelines specifying appropriate, inappropriate, and permissive methods of evaluation and treatment. Prohibits, except by a provider party to an action and notwithstanding any other provision of law, the standards from being introduced in evidence in any action in a Federal or State court. Adds to the duties of the Subcouncil on outcomes and guidelines of the National Advisory Council on Treatment Practice Guidelines the duty of studying and reporting on the relationship between different treatment patterns and patient outcome. Amends the Public Health Service Act to direct the Assistant Secretary of Health, through the Administrator of the Agency for Health Care Policy and Research, to establish a program of grants to assist States in establishing prelitigation panels to identify meritorious claims of professional negligence, encourage resolution prior to lawsuit, and encourage withdrawal or dismissal of nonmeritorious claims. Authorizes appropriations. Title VI: Physician Issues - Subtitle A: Tax Incentives for Rural Practice - Rural Primary Care Incentives Act of 1991 - Amends the Internal Revenue Code to allow a refundable income tax credit of up to $12,000 per year (lifetime total of $36,000) for any physician who provides primary health services to residents of a rural health manpower shortage area and who is not receiving assistance under specified national Health Service Corps programs. Directs the Secretary of Health and Human Services to study and report to the Congress concerning: (1) the need for non-physician primary care providers in targeted rural areas; (2) the effectiveness of the tax credit in increasing the supply of primary care physicians in the targeted areas; and (3) alternative methods of defining rural health manpower shortage areas. Excludes from gross income any payments made on behalf of a taxpayer by the National Health Service Corps Loan Repayment program. Subtitle B: Student Loan Deferment - Resident Physician Student Loan Deferment Act - Amends the Higher Education Act of 1965 to allow resident physicians to defer repayment of certain student loans while completing a resident training program accredited by the Accreditation Council for Graduate Medical Education or the Accrediting Committee of the American Osteopathic Association. Title VII: Long-Term Care Insurance - Amends provisions of the Internal Revenue Code relating to definitions and special rules involving life insurance companies to require that references to noncancellable accident or health insurance contracts be treated as including a reference to qualified long-term care insurance. Defines "qualified long-term care insurance" to mean insurance which provides coverage for at least 12 months and which meets other requirements. Requires that benefits received through long-term care insurance be treated as amounts received through accident or health insurance for personal injuries or sickness. Requires that expenses incurred to the extent of benefits paid under long-term care insurance be treated as incurred for medical care. Requires any reference to an accident or health plan to be treated as including a reference to a plan providing long-term care insurance. Provides for the deductibility of employer and taxpayer premiums for long-term care insurance. Excludes from gross income amounts withdrawn from individual retirement plans for long-term care insurance premiums. Requires that any amount paid to an individual under a life insurance contract on the life of an insured who is terminally ill, has a dread disease, or has been permanently confined to a nursing home be treated as an amount paid by reason of the death of the insured. Requires any reference to life insurance to be treated as including a reference to a rider providing for payment upon the insured becoming a terminally ill individual or incurring a dread disease. Includes such riders in the definition of "qualified additional benefits" as a part of the definition of "life insurance contract." Title VIII: State Uninsurable Pool Programs - Amends the Public Health Service Act to direct the Secretary of Health and Human Services to allocate funds to States for the Federal share of establishing State uninsurable pool programs to provide health insurance for medically uninsurable individuals. Makes the amount of an allotment dependent on the population of a State. Sets the Federal share at 75 percent. Authorizes appropriations.
Bill· HRH.R. 766 (102nd)referred
United States · United States Congress · 31 January 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· HRH.R. 730 (102nd)referred
United States · United States Congress · 30 January 1991
Drug Rehabilitation and Recovery Program for Prisons Act - Amends the Public Health Service Act to create a new part, to be cited as the Drug Rehabilitation and Recovery Program for Prisons Act, directing the Attorney General, in consultation with the Secretary of Health and Human Services and the Director of the Office of National Drug Control Policy, to establish a comprehensive drug treatment program in Federal prisons. Authorizes appropriations. Directs the Secretary to award grants to States to establish drug treatment programs in State prisons and for juvenile criminal offenders. Requires a State, as a part of its application for such a grant, to submit plans for establishing such programs. Authorizes the Secretary to award grants to enable plan preparation. Allows the Director to award a grant under these provisions to a State without an application and plan if the State has begun implementing a plan for demonstration prison or juvenile criminal offenders drug treatment programs under specified provisions of the Omnibus Crime Control and Safe Streets Act of 1968. Authorizes appropriations. Prohibits the Attorney General and the appropriate State law enforcement official from permitting the early release of inmates convicted of drug offenses unless the inmates have successfully completed a program of treatment or after care under this Act. Sets forth early release requirements.
Bill· HRH.R. 721 (102nd)open
United States · United States Congress · 30 January 1991
United States Commission on Southern Africa Act - Establishes the United States Commission on Southern Africa to solicit private sector funds to develop skilled personnel in South Africa and Namibia, particularly in middle management business and government positions, by providing for the training of disadvantaged South Africans and Namibians in the fields of education, health care, law, and housing. Authorizes the Commission to establish and provide funds for human resource development programs and to provide scholarships and internships for appropriate study and training. Prohibits the use of such funds for programs conducted by or through South African organizations which are financed or controlled by the Government of South Africa. Authorizes the use of such funds only for programs which clearly reflect the objective of an end to apartheid. Provides for the annual audit of the Commission by certified public accountants. Authorizes the U.S. Comptroller General to carry out an annual audit of the Commission. Requires the Comptroller General to report such audits to the Congress. Directs the Commission to ensure that: (1) recipients of Commission assistance keep separate accounts of such assistance and records to facilitate effective audits; and (2) the Commission has access to such records. Requires the Commission to report annually to the Congress on its activities. Directs the Secretary of State to grant $1,000,000 of funds made available to the Department of State to the Commission for FY 1990.
Bill· HRH.R. 756 (102nd)referred
United States · United States Congress · 30 January 1991
Fertility Clinic Success Rate and Certification Act - Directs the Secretary of Health and Human Services to establish a program for certification of embryo laboratories to assure effectiveness of laboratory procedures. Allows certification to be issued by the Secretary or by an accreditation organization which meets standards set by the Secretary under this Act. Makes certification valid for a maximum of two years. Mandates fees for issuance and renewal. Sets forth certification requirements. Provides for periodic announced and unannounced inspections. Directs the Secretary to approve accreditation organizations under criteria and procedures set by the Secretary. Prohibits an embryo laboratory from performing procedures without certification. Sets forth civil monetary penalties for violations.
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