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Bill· HRH.R. 438 (103rd)referred
United States · United States Congress · 5 January 1993
Long-Term Care Insurance Consumer Protection Act of 1993 - Amends title XIX (Medicaid) of the Social Security Act to afford Federal consumer protection to purchasers of long-term care insurance policies by requiring that, before such policies may be issued or sold, they must have been either certified by the Secretary of Health and Human Services as meeting the minimum Federal standards outlined below or approved by the State superintendent of insurance under a program each State is required to establish that: (1) incorporates such standards; (2) provides consumers with access to information on issuers and policies; and (3) provides an approval process for proposed premium increases. Outlines Federal standards long-term care insurance policies must meet, including requirements that they: (1) offer mandatory inflation protection features, nonforfeitable benefits after a certain vesting period should the policy lapse, and limited premium increases; (2) be guaranteed renewable except for nonpayment of premiums or material misrepresentation; (3) use standard language and a uniform format, with a detailed outline of coverage; (4) not condition or limit eligibility for benefits, except in cases of preexisting conditions; (5) use functional assessment tools for determining home care eligibility; (6) provide a right to appeal denials for home care eligibility; and (7) prohibit discrimination in cases of individuals with Alzheimer's disease Regulates the marketing of long-term care insurance policies through prohibitions on certain sales practices, such as high pressure tactics, and on sales to Medicaid beneficiaries and sales of duplicate service benefit policies. Imposes additional requirements on issuers of long-term care insurance policies with respect to specified matters, including: (1) the prompt mailing of new policies after approval; and (2) the limiting of compensation to agents for the sale of long-term care insurance policies. Sets forth penalties for issuing unapproved or uncertified policies, violating requirements, and engaging in prohibited sales practices. Requires reports on functional ability assessment tools and on solvency protections for such issuers. Requires a study to develop a standard measure of value for long-term care insurance policies. Authorizes appropriations to increase funding for long-term care insurance information, counseling, and assistance.
Bill· HRH.R. 426 (103rd)referred
United States · United States Congress · 5 January 1993
Prostate Cancer Public Awareness Act of 1991 - Amends the Public Health Service Act to provide for a program of public and patient information on prostate cancer.
Bill· HRH.R. 437 (103rd)referred
United States · United States Congress · 5 January 1993
Antiprogestin Testing Act of 1993 - Directs the Secretary of Health and Human Services to conduct and support research, including clinical trials, on antiprogestin drug safety and efficacy for any potential use, including termination of pregnancy, contraception, and therapeutic use for cancer, endocrine disorders, and endometriosis. Makes the research subject to provisions of the Public Health Service Act relating to institutional review boards and peer review.
Bill· HRH.R. 425 (103rd)referred
United States · United States Congress · 5 January 1993
Medicaid Mammography Coverage Act of 1993 - Amends title XIX (Medicaid) of the Social Security Act to provide Medicaid coverage of screening mammographies for women age 35 and older. Varies the permissible frequency of such covered tests on the basis of a woman's age and her risk of developing breast cancer. Directs the Secretary to periodically review and revise permissible frequencies of such tests.
Bill· HRH.R. 443 (103rd)referred
United States · United States Congress · 5 January 1993
Emergency Medical Services Amendments Act of 1993 - Amends title XII (Trauma Care) of the Public Health Service Act to apply the title to emergency medical services (including trauma care) and to modify the duties of the Secretary of Health and Human Services under the title. Establishes the Office of Emergency Medical Services. Authorizes grants to States to improve the availability and quality of emergency medical services through the operation of State offices of emergency medical services. Requires projects under existing provisions to include demonstration projects to establish telecommunications between rural medical facilities and medical facilities that have expertise or equipment useful to the rural facilities through telecommunications. Authorizes appropriations for carrying out specified provisions of the title.
Bill· HRH.R. 237 (103rd)open
United States · United States Congress · 5 January 1993
TABLE OF CONTENTS: Title I: Provisions Relating to Physicians' Services Subtitle A: Incentives Under Medicare Subtitle B: Increasing Number of Physicians Practicing in Rural Areas Subtitle C: Expansion of Exceptions to Limitations on Physician Self-Referrals Title II: Provisons Relating to Hospitals Title III: Miscellaneous Provisions Subtitle A: Administrative Simplification Subtitle B: Other Provisions Rural Health Care Access Improvement Act of 1993 - Title I: Provisions Relating to Physicians' Services - Subtitle A: Incentives Under Medicare - (Sec. 101) Amends title XVIII (Medicare) of the Social Security Act (SSA) to modify requirements regarding payments to new physicians and other new health care practitioners for rural area services. (Sec. 102) Prohibits the Secretary of Health and Human Services from failing to make Medicare payments on the basis of an individual's failure to complete a questionaire concerning a primary plan. (Sec. 103) Regulates the use of extrapolation by carriers administering Medicare benefits. (Sec. 104) Prohibits certain fees by carriers and the Secretary. (Sec. 105) Requires consideration, in applying standards and criteria for carrier contracts, of evaluations by medical societies representing physicians served by the carrier. (Sec. 106) Provides for appeals of carrier actions. (Sec. 107) Directs carriers to provide for review (of denial of payments for physicians' services) by a physician in the same medical specialty. (Sec. 108) Amends SSA titles XVIII and XIX (Medicaid) to modify the circumstances in which payments may be made to a physician for services provided by another physician. (Sec. 109) Amends SSA title XI to exclude surgical procedures performed in a rural area from utilization and quality control review requirements. Subtitle B: Increasing Number of Physicians Practicing in Rural Areas - (Sec. 111) Amends the Internal Revenue Code (IRC) to allow a personal interest deduction for qualified medical education loan interest which accrues while the physician is providing primary care to medically underserved rural area residents. (Sec. 112) Amends the Public Health Service Act (PHSA) to add the ratio of medically underserved individuals in a health professional shortage area to the aggregate population of all such areas to the exclusive factors considered in determining the greatest shortages in the assignment of National Health Service Corps members. Subtitle C: Expansion of Exceptions to Limitations on Physician Self-Referrals - (Sec. 121) Amends SSA title XVIII to revise the exceptions to prohibitions on physician self-referrals. (Sec. 122) Mandates a study and report to the Congress on the changes in aggregate costs, under Medicare and other health plans, resulting from this subtitle. Title II: Provisions Relating to Hospitals - (Sec. 201) Amends SSA title XVIII to require rural hospital prospective payment system amounts for capital-related costs of inpatient services to be based on either reasonable costs or the payment methodology used for other hospitals, as elected by the hospital. (Sec. 202) Amends the Omnibus Budget Reconciliation Act (OMBRA) of 1989 to extend referral centers. Removes Medicare provisions relating to exceptions and adjustments in certain payments for regional and national referral centers. Provides that the disproportionate share adjustment percentage be determined, in certain circumstances, as though such provisions had not been removed. (Sec. 203) Shields from certain antitrust laws specified actions of hospitals meeting described requirements. Title III: Miscellaneous Provisions - Subtitle A: Administrative Simplification - (Sec. 301) Requires health benefit plans to: (1) issue health claims cards; (2) provide information to appropriate health claims clearinghouses on individual eligibility for benefits; and (3) accept clearinghouse determinations on clean claims. (Sec. 302) Requires health service providers to submit claims only to the appropriate clearinghouse in a manner consistent with this Act. Imposes civil penalties for violation of such requirements. Requires each hospital, as a Medicare participation agreement requirement, to report information in a manner consistent with OMBRA of 1987. (Sec. 303) Requires: (1) designation of certain clearinghouse areas; and (2) a separate contract in each area with an organization to perform clearinghouse functions. (Sec. 304) Mandates standards for: (1) uniform health claims cards; and (2) information required for claims acceptance and payment. Requires the Secretary to develop computer software for provider inquiries, responses, and electronic claims submission and for uniform hospital reporting. (Sec. 305) Amends IRC to impose a tax on the failure of any group health plan to meet certain requirements of this title. Subtitle B: Other Provisions - (Sec. 311) Amends PHSA to require certain demonstration projects in rural areas invovling trauma care to include specified elements. (Sec. 312) Authorizes the use of certain funds for grants to nursing schools for the establishment of clinics to provide primary care services in medically underserved rural areas and related training. Requires a study on reducing the burden of federally conducted or sponsored health care services information collection requests.
Bill· HRH.R. 196 (103rd)open
United States · United States Congress · 5 January 1993
TABLE OF CONTENTS: Title I: Tax Incentives for Health Care Access Title II: Health Care Reform Provisions Subtitle A: Model Health Care Insurance Benefits Plan Subtitle B: Managed Care Subtitle C: Small Employer Purchasing Groups Subtitle D: Insurance Market Reform Subtitle E: Uniform Standards for Reporting Services and Processing Claims Title III: Medical Liability Reform Subtitle A: Definitions and Findings Subtitle B: Expedited Medical Malpractice Settlements Subtitle C: Alternative Dispute Resolution Procedures Subtitle D: Uniform Standards for Medical Malpractice Cases Subtitle E: Uniform Disciplinary Reforms Subtitle F: Medical Products Subtitle G: Community Health Centers Subtitle H: Miscellaneous Provisions Title IV: Public Health Provisions Subtitle A: New Basic Health Care Program Subtitle B: Medicaid Provisions Title V: Medically Underserved Areas Subtitle A: Public Health Service Act Provisions Subtitle B: Provision Relating to Social Security Title VI: Incentives to Encourage Preventive Services Title VII: Tax Treatment of Long-Term Care Insurance And Plans Subtitle A: Treatment of Long-Term Care Insurance Subtitle B: Employer Funding of Medical Benefits Subtitle C: Reverse Mortgage Insurance for Older Americans Subtitle D: Income Tax Credits Subtitle E: Treatment of Accelerated Death Benefits Subtitle F: Federal National Long-Term Care Reinsurance Corporation Title VIII: Improvements in Portability of Private Health Insurance Health Equity and Access Improvement Act of 1992 - Title I: Tax Incentives for Health Care Access - (Sec. 101) Amends the Internal Revenue Code regarding: (1) health expense credits; (2) health premium deductions; (3) small employer health credits; (4) health premium deductions for self-employed individuals; and (5) credits for primary health service providers in rural health professional shortage areas. (Sec. 105) Excludes from gross income payments made for a taxpayer by the National Health Service Corps Loan Repayment Program. Permits a rural health professional shortage area physician to expense certain property. Allows deductions for rural medical professionals' student loan interest. Title II: Health Care Reform Provisions - (Sec. 201) Mandates: (1) a model health care insurance benefits plan with standards that carriers should meet; and (2) standards that managed care plan insurers should meet. Establishes the Managed Care Advisory Committee. Preempts State law provisions as applied to managed care plans meeting the recommended standards. (Sec. 221) Provides for contracts between small employer purchasing groups and carriers. Title III: Medical Liability Reform - (Sec. 311) Regulates settlement offers in medical malpractice cases. (Sec. 321) Establishes an Alternative Dispute Resolution Board of Advisers to make recommendations concerning establishing a model voluntary medical malpractice dispute resolution program. (Sec. 332) Caps future losses, noneconomic damages, and attorneys' fees. Prohibits joint liability in civil actions for noneconomic damages. Establishes a medical malpractice statute of limitations. (Sec. 342) Imposes requirements on States regarding: (1) allocation of medical licensing fees; (2) disciplinary board membership; (3) risk management programs; and (4) health care disciplinary trust funds. (Sec. 351) Protects a drug or device producer from punitive damages if the drug or device was subject to approval or premarket approval. (Sec. 361) Amends the Public Health Service Act to mandate a grant to an entity representing recipients of assistance at migrant and community health centers to develop a business plan and establish a nationwide risk retention group. Authorizes appropriations. Title IV: Public Health Provisions - (Sec. 401) Amends the Social Security Act to create the BasiCare program. Authorizes appropriations for basic health care benefits for low-income uninsured individuals ineligible for coverage under title XIX (Medicaid) of the Social Security Act. (Sec. 412) Establishes the Federal Medical Waiver Demonstration Board, permitting it to waive provisions of: (1) the Public Health Service Act; (2) title XVIII (Medicare) of the Social Security Act; (3) Medicaid and BasiCare; (4) veterans' health care programs; and (5) the Employee Retirement Income Security Act of 1974. Title V: Medically Underserved Areas - (Sec. 501) Amends the Public Health Service Act to authorize appropriations for the National Health Service Corps Scholarship Program and the National Health Service Corps Loan Repayment Program. (Sec. 502) Mandates allotments to States for grants for community based primary health care entities providing services to pregnant women and children. (Sec. 503) Mandates grants to federally-qualified health centers (FQHCs) and other entities for services for medically underserved populations or in high impact areas not currently served by a FQHC. Authorizes appropriations. (Sec. 504) Authorizes grants for a plan for mental health outreach programs in rural areas. Authorizes appropriations. (Sec. 505) Mandates priority, in awarding grants regarding the research, teaching, and training activities of health personnel educational entities, to entities that demonstrate a commitment to serving medically underserved communities. Mandates grants for: (1) expanded training for individuals desiring to serve medically underserved communities; and (2) coordination among health professions programs, particularly in medically underserved rural areas. Authorizes appropriations. (Sec. 506) Authorizes grants: (1) to rural communities for stipends to physicians, nurses, or other health professional trainees; (2) for networks among rural and urban providers to preserve and share health care resources and enhance rural care; and (3) for cooperatives in rural areas to establish a case management and reimbursement system. Authorizes appropriations. (Sec. 511) Amends: (1) the Omnibus Budget Reconciliation Act of 1987 to authorize appropriations for the Rural Health Care Transition Grant Program; and (2) Medicare to authorize appropriations for the Essential Access Community Hospital Program. Title VI: Incentives to Encourage Preventive Services - (Sec. 601) Amends the Internal Revenue Code (IRC) to provide credits for preventive services. (Sec. 602) Amends the Public Health Service Act to authorize appropriations for immunization grants. Title VII: Tax Treatment of Long-Term Care Insurance and Plans - (Sec. 701) Amends the IRC to provide for the treatment of long-term care insurance regarding: (1) taxation of life insurance companies; (2) taxation of fringe benefits; (3) amounts withdrawn from individual retirement accounts or qualified pension plans for purchasing insurance; and (4) the exchange of life policies for long-term policies. (Sec. 711) Revises provisions governing medical benefits for retired employees. Allows deductions for employer contributions to health benefits accounts. Defines funded reserve accounts and vesting requirements to qualify for such a deduction. (Sec. 712) Establishes a penalty on early distributions of medical benefits and an excise tax on allocated assets not used to provide retiree health benefits. (Sec. 721) Amends the National Housing Act to modify limits on the insurance benefits under an existing program concerning home equity conversion mortgages for elderly homeowners. (Sec. 731) Allows tax credits for: (1) households including a parent, grandparent, dependent, or spouse who requires custodial care; and (2) long-term care expenses of certain independent persons. (Sec. 741) Provides for: (1) the treatment of amounts paid to an individual who is terminally ill or permanently confined to a nursing home as death benefits; (2) accelerated death benefit riders on life insurance contracts; and (3) incorporation of the Federal National Long-Term Care Reinsurance Corporation. Title VIII: Improvements in Portability of Private Health Insurance - (Sec. 801) Imposes an excise tax on group health plans for failure to provide coverage for a preexisting condition.
Bill· HRH.R. 191 (103rd)open
United States · United States Congress · 5 January 1993
TABLE OF CONTENTS: Title I: Immediate Health Care Reforms Title II: National Health Care Reform Proposals American Consumers Health Care Reform Act of 1993 - Title I: Immediate Health Care Reforms - (Sec. 101) Amends title XIX (Medicaid) of the Social Security Act to modify eligibility, coverage, and cost-sharing requirements and the Federal medical assistance percentage. Terminates certain payments to States. Mandates standards for long-term care plans. Establishes an assistance program for Medicaid acute care services and cost-sharing. Requires Medicaid payments for certain services to be the same as under title XVIII (Medicare) of the Social Security Act. Mandates encouragement of managed care. (Sec. 111) Provides for the consolidation of Medicare parts A (Hospital Insurance) and B (Supplementary Medical Insurance) administration. (Sec. 121) Preempts State mandatory benefits and anti-managed care laws. Restricts preexisting condition limitations. Institutes small employer insurance market reforms. (Sec. 127) Amends the Internal Revenue Code to impose a tax on the failure of carriers or small employers to comply with standards. (Sec. 131) Provides for medical malpractice reforms. (Sec. 171) Amends the Social Security Act to authorize appropriations regarding research on outcomes of health care services and procedures. (Sec. 181) Amends Medicare and Public Health Service Act provisions to provide for primary care physician education. (Sec. 183) Mandates health care delivery system reforms. (Sec. 187) Provides for the consolidation of Federal nutrition activities. (Sec. 188) Establishes demonstration projects on informed decision making regarding the use of expensive life-sustaining technology. Authorizes appropriations. (Sec. 191) Mandates standards for the collection and disclosure of health care data. Authorizes appropriations. (Sec. 198) Amends the Internal Revenue Code to allow businesses, employees, and self-employed individuals deductions for health coverage, up to the minimum benefit package. Title II: National Health Care Reform Proposals - (Sec. 201) Establishes the National Health Care Reform Commission to develop national health care goals to improve access to health care, safeguard and improve quality, and control costs. (Sec. 211) Establishes demonstration projects on alternative structures for the U.S. health care financing and delivery system.
Bill· HRH.R. 200 (103rd)open
United States · United States Congress · 5 January 1993
TABLE OF CONTENTS: Title I: Cost Containment Subtitle A: National Health Budget Subtitle B: State Provider Payment Control System Subtitle C: Maximum Payment Rates for Services Not Subject to State Provider Payment Control Systems or Provided by Staff or Group Model Health Maintenance Organizations Title II: Managed Care And Managed Competition Subtitle A: Managed Care Subtitle B: Managed Competition Subtitle C: National Patient Outcomes and Enrollee Satisfaction Data Reporing Program Subtitle D: Study of Universal Health Insurance Coverage and Cost Containment Title III: Health Systems Reform Subtitle A: Health Insurance Reform Subtitle B: Administrative Simplification Subtitle C: Fraud and Abuse Subtitle D: Other Provisions Title IV: Expansions Of Health Benefits And Other Health Initiatives Subtitle A: Medicaid Benefit Improvements Subtitle B: Expansion of Medicare Benefits Subtitle C: Health Insurance Deduction for the Self-Employed Subtitle D: Health Insurance Program for Children Health Care Cost Containment and Reform Act of 1993 - Title I: Cost Containment - Subtitle A: National Health Budget - (Sec. 101) Establishes a national health expenditure budget for each calendar year beginning with 1995 that is composed of separate budgets for both Medicare (title XVIII of the Social Security Act (SSA)) and non-Medicare related health care expenditures. Sets forth guidelines for the Secretary of Health and Human Services (HHS) to use in computing budget baselines for 1994. (Sec. 102) Provides for the establishment of classes of health care services. (Sec. 103) Requires the Secretary to allocate such respective budgets each year among such classes. (Sec. 104) Requires the Secretary to adjust budgets and allocations for changes in Medicare coverage under title IV of this Act that have resulted in increased expenditures for Medicare services. (Sec. 105) Requires the Secretary to establish a national health expenditures reporting system for purposes of carrying out this title. Subtitle B: State Provider Payment Control Systems - (Secs. 121 and 122) Gives States the option of establishing systems (State systems) to provide payment rates for hospital, physician, and other services covered under the State system (for which the maximum payment rates established below shall not apply) and provided in the State. Allows States to permit health maintenance organizations (HMOs) to negotiate directly with providers of covererd services with respect to the HMO's rate of payment for such services. (Sec. 123) Makes approval of a State system depend on State assurances that: (1) aggregate Medicare expenditures for a covered class of services will not exceed a certain limit; and (2) the sum of aggregate Medicare and non-Medicare expenditures for the class (or classes) will not exceed a specified maximum. (Sec. 124) Authorizes sanctions against State systems with aggregate expenditures in excess of specified applicable limits. Subtitle C: Maximum Payment Rates for Services Not Subject to State Provider Payment Control Systems or Provided by Staff or Group Model Health Maintenance Organizations - (Secs. 140, 141, 142, and 143) Provides for the establishment and general application and enforcement of maximum non-Medicare payment rates in States which have not opted to participate in State systems. Exempts services provided by staff or group model (S/GM) HMOs from such rates. (Secs. 151 and 152) Details various methodologies for determining maximum non-Medicare rates of payment for inpatient hospital services, class of physicians' services and other professional medical services. (Secs. 155, 161, and 162) Provides for: (1) development of prospectively-determined payment methodologies for each class of services for which non-Medicare payment rates are not specified and are not determined on a prospective basis; (2) conforming Medicare payment rates to Medicare health expenditure allocations; and (3) adjustments to Medicare payments for graduate medical education. Title II: Managed Care and Managed Competition - Subtitle A: Managed Care - (Sec. 203) Repeals the termination date set under the Health Maintenance Organization Amendments of 1988 for dual choice requirements under the Public Health Service Act (PHSA). (Sec. 204) Amends PHSA to revise such requirements to provide for multiple options of HMO membership. Provides that health benefit plans shall make available, to each individual eligible to enroll with a qualified HMO under such an option, such marketing materials as the HMO provides to the plan. (Sec. 205) Requires the Secretary to provide for grants for the establishment and initial operation of S/GM HMOs. Authorizes appropriations. (Sec. 206) Preempts State law provisions that restrict the ability of an HMO to negotiate reimbursement rates with providers (except in States with payment provider control systems) or to contract selectively with one provider or a limited number of providers. (Sec. 207) Amends SSA to provide for adjustment in Medicare capitation payments to account for regional variations in application of secondary payor provisions. (Sec. 208) Requires a General Accounting Office (GAO) study and report to the Congress on additional measures for HMO development and expansion. Subtitle B: Managed Competition - (Secs. 221, 223, and 224) Provides for grants to States for the establishment of a new system of health plan purchasing cooperatives (HPPCs) in each State through which coverage under qualified managed-care health plans is made available for an employee whose employer has entered into an agreement with the HPPC for the area where the employee resides. Authorizes appropriations. Subtitle C: National Patient Outcomes and Enrollee Satisfaction Data Reporting Program - (Secs. 271, 272, and 273) Requires the Secretary to: (1) establish national data bases on patient outcomes and enrollee health plan satisfaction from information reported annually to the Secretary by health benefit plans; (2) publish and distribute annual reports regarding patient outcomes and enrollee health plan satisfaction; and (3) provide for various research and demonstration projects. Authorizes appropriations. Subtitle D: Study of Universal Health Insurance Coverage and Cost Containment - (Sec. 291) Requires the Congressional Budget Office to study and report to specified congressional committees on options for providing universal health insurance coverage. Title III: Health Systems Reform - Subtitle A: Health Insurance Reform - (Sec. 301) Amends the Internal Revenue Code (IRC) to impose an excise tax on any health benefit plan that is not certified under this Act or is providing coverage in violation of certain requirements discussed below. Specifies the amount of and liability for such tax. (Sec. 302) Amends SSA to provide that no health benefit plan may be issued unless it has been certified as meeting specific standards established by the Secretary. Requires such standards to implement specified requirements relating to: (1) health benefit plan coverage and health status; (2) premium charges within self-insured health benefit plans; (3) small employer plans; (4) insured health benefit plan enrollment, issuance, and renewal; (5) use of community-rated premium rates for insured plans; (6) minimum insured plan periods; (7) payment of commissions; and (8) insured plans that are multiple employer welfare arrangements. (Sec. 303) Prohibits States from establishing or enforcing any law or regulation that prevents the health benefit plan of a college or university from offering eligible individuals continuation of coverage under the plan. Subtitle B: Administrative Simplification - (Secs. 321, 322, 323, 324, and 325) Requires each health benefit plan to issue to each U.S. resident entitled to benefits under the plan a uniform health claims card that meets specified requirements. Mandates: (1) entitlement verification systems; and (2) uniform electronic claims submission and hospital cost reporting. Provides for standards for entitlement verification systems and uniform electronic claims submission and hospital medical records transmission. Sets forth enforcement provisions. Subtitle C: Fraud and Abuse - (Sec. 341) Requires the Secretary to establish in the Office of Inspector General a program to coordinate law enforcement programs to control health care fraud and abuse and facilitate SSA and other statutory enforcement of health care fraud and abuse prohibitions. Creates in the Treasury the Anti-Fraud and Abuse Trust Fund. Authorizes appropriations. (Secs. 341 and 342) Amends SSA title XI to: (1) permit the exclusion from participation in Medicare and any State health care program (SHCP) for any failure under such Inspector General program to supply requested information; (2) provide for the application of Federal anti-fraud and abuse sanctions to all fraud and abuse involving any health benefit plan; (3) add treble damages to the list of criminal penalties for acts involving Medicare, SHCPs, or health benefit plans; and (4) require the Secretary to make law enforcement officers aware of opportunities that may satisfy court imposed community service obligations for Medicare or SHCP fraud and abuse convictions. (Sec. 343) Subjects to SSA civil monetary penalties any offer of inducements to individuals enrolled under or employed by Medicare or other health programs or plans. (Sec. 344) Provides for intermediate sanctions for HMO Medicare violations. Requires: (1) agreements between HMOs and peer review organizations (PROs) to be written; and (2) a GAO study and report to the Congress on the cost of HMO and PRO agreements. (Sec. 351 and 352) Extends the ban on Medicare payment for physician self-referrals to all payors and additional specified services. (Sec. 353) Makes changes in exceptions and other provisions relating to compensation arrangements under Medicare. Subtitle D: Other Provisions - (Sec. 361) Requires the Physician Payment Review Commission to study and report to the Congress on: (1) tort reforms needed with respect to medical malpractice liability claims; and (2) the impact of such reforms on health care expenditures and access. Title IV: Expansions of Health Benefits And Other Health Initiatives - Subtitle A: Medicaid Benefits Improvements - (Sec. 401) Sets a floor on Medicaid payment levels for inpatient hospital services and physician services. (Sec. 402) Provides for expanded Medicaid eligibility for certain low-income individuals. (Sec. 403) Provides for full Federal payment for newly mandated Medicaid expenditures. Subtitle B: Expansion of Medicare Benefits - (Secs. 411, 412, 413, 414, and 421) Provides for Medicare coverage of annual breast cancer screening for women over age 64, colon cancer screening, child immunizations, prescription drugs, and well-child care. (Sec. 421) Authorizes demonstration projects for coverage of other specified preventive services under Medicare. Authorizes appropriations. (Sec. 422) Requires the Director of the Office of Technology Assessment to provide for a Prescription Drug Payment Review Commission which shall report annually to the Congress on methods for prescription drug payment. Authorizes appropriations. (Sec. 423) Provides for coverage of prescription drugs for qualified Medicare beneficiaries and qualified disabled and working individuals. (Sec. 431) Requires the Secretary to: (1) determine whether newly eligible Medicare beneficiaries are eligible for Medicaid (SSA title XIX) payment of their out-of-pocket Medicare expenses; and (2) enroll in Medicaid those beneficiaries determined to be so eligible. Amends SSA to require annual notices of Medicare benefits to contain information on Medicaid payment of out-of-pocket Medicare expenses. Subtitle C: Health Insurance Deduction for the Self-Employed - (Sec. 441) Amends the IRC to make permanent and increase the deduction for self-employed individuals' health insurance costs. Subtitle D: Health Insurance Program for Children - (Sec. 451) Amends SSA to make children under age 19 who are U.S. citizens or permanent residents eligible to enroll for specified health benefits (generally the same as those under Medicare for the aged and disabled, plus well-child services). Creates in the Treasury the Children's Health Insurance Fund. Authorizes appropriations.
Bill· HRH.R. 320 (103rd)open
United States · United States Congress · 5 January 1993
Amends titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act to include medical care, or other remedial care as defined by State law, furnished by licensed practical nurses among the services to be provided under the Medicare and Medicaid programs.
Bill· HRH.R. 345 (103rd)open
United States · United States Congress · 5 January 1993
Comprehensive Physician Ownership and Referral Act of 1993 - Amends title XVIII (Medicare) of the Social Security Act to: (1) extend application of the Medicare ban on physician referrals to health care providers with which the physician has a financial relationship to all payors; (2) include additional specified services under the ban; and (3) make changes in exceptions and other provisions under Medicare relating to compensation arrangements.
Bill· HRH.R. 377 (103rd)referred
United States · United States Congress · 5 January 1993
Quality Assurance of Drug Testing Act - Amends the Public Health Service Act to prohibit performing toxicological analysis in connection with a drug testing program unless the laboratory performing the analysis is certified under this Act. Directs the Secretary of Health and Human Services to establish a program for certifying laboratories for performing drug tests. Requires an employer, as a condition of maintaining a drug testing program, to establish a written anti-drug abuse policy and a drug-free awareness program. Declares that nothing in this Act prohibits an employer from requiring a drug test of applicants and, in certain circumstances, employees. Sets forth certain employee protections. Declares that nothing in this Act prohibits an employer from taking action necessary, including termination, in certain circumstances. Sets forth procedures for employee complaints of unlawful discharge or discrimination.
Bill· HRH.R. 192 (103rd)referred
United States · United States Congress · 5 January 1993
TABLE OF CONTENTS: Title I: Deductibility of Health Insurance Expenses for the Self-Employed Title II: Medical Savings Accounts Title III: Uniform Claims; Electronic Cards, Electronic Billing Title IV: Health Insurance Portability Provisions Title V: Improved Access to Rural Health Services Subtitle A: Rural Emergency Medical Services Amendments Subtitle B: Extension of Special Treatment Rules for Medicare-Dependent, Small Rural Hospitals Subtitle C: Outreach Grants Program Farm and Rural Medical Equity Reform Act of 1993 - Title I: Deductibility of Health Insurance Expenses for the Self-Employed - (Sec. 101) Amends the Internal Revenue Code to increase the deduction for health insurance costs of self-employed individuals from 25 percent to 100 percent and make the deduction permanent. Title II: Medical Savings Accounts - (Sec. 201) Allows individuals a tax deduction for contributions to a medical care savings account established for the benefit of an individual who: (1) is not covered by an employer-provided group health plan; or (2) is covered by such a plan which is a qualified catastrophic coverage health plan and is not covered by an other health plan. Makes such accounts exempt from taxation, but subject to taxes imposed on unrelated business income of charitable, etc. organizations. Allows such deduction in arriving at adjusted gross income. Establishes an excise tax for excess contributions to medical care savings accounts and subjects such accounts to the tax on prohibited transactions. (Sec. 202) Allows the transfer of unused amounts in flexible spending accounts of cafeteria plans to medical savings accounts. Provides special rules for transfers to cash or deferred arrangements. (Sec. 203) Allows the full deduction for medical, dental, etc., expenses for amounts paid for qualified catastrophic coverage health plans. Title III: Uniform Claims; Electronic Cards; Electronic Billing - (Sec. 301) Establishes the Advisory Council on Health Claim Processing Standardization to submit recommendations concerning: (1) standards for uniform health claim reimbursement forms for hospitals and physicians; (2) standards for electronic cards containing insurance information and medical records; and (3) billing computerization and electronic transmission of billing information from hospitals and physicians to insurers and the Secretary of Health and Human Services. Mandates uniform claim reimbursement forms for hospitals and physicians. Title IV: Health Insurance Portability Provisions - (Sec. 401) Prohibits pre-existing condition limitations or exclusions. Provides for continuity of coverage. Limits the amount by which premiums previously charged a small employer may be increased for a newly covered employer. (Sec. 404) Amends the Internal Revenue Code to impose an excise tax for violation of such provisions. Title V: Improved Access to Rural Health Services - (Sec. 501) Amends title XII (Trauma Care) of the Public Health Service Act to apply the title to emergency medical services (including trauma care) and to modify the Secretary's duties. Establishes the Office of Emergency Medical Services. (Sec. 502) Authorizes grants to States to improve the availability and quality of emergency medical services through the operation of State offices of emergency medical services. (Sec. 503) Requires projects under existing provisions to include demonstration projects to establish telecommunications between rural medical facilities and other medical facilities. (Sec. 504) Authorizes appropriations for carrying out specified provisions of the title. (Sec. 511) Amends title XVIII (Medicare) of the Social Security Act to extend through March 31, 1994 (currently, 1993) special payments under part A of Medicare for the operating costs of inpatient services of small, rural Medicare-dependent hospitals. (Sec. 521) Amends the Public Health Service Act to authorize grants to demonstrate new and innovative models of outreach and health care services delivery in rural areas that lack basic health services. Conditions grants on formation of consortia of at least three health care providers or at least three social service providers. Authorizes appropriations.
Bill· HRH.R. 178 (103rd)referred
United States · United States Congress · 5 January 1993
Prohibits the use of Federal funds for abortions, except when continuing the pregnancy would endanger the mother's life.
Bill· HRH.R. 173 (103rd)referred
United States · United States Congress · 5 January 1993
Amends title XI of the Social Security Act to repeal part B (Medicare Peer Review).
Bill· HRH.R. 427 (103rd)referred
United States · United States Congress · 5 January 1993
Equal Access to Annual Mammography Screening Act of 1993 - Amends part B (Supplementary Medical Insurance) of title XVIII (Medicare) of the Social Security Act to revise the breast cancer screening benefit provided under the Omnibus Budget Reconciliation Act of 1990 to cover on an annual basis (currently, biennial) routine breast cancer screening for women over age 64.
Bill· HRH.R. 419 (103rd)referred
United States · United States Congress · 5 January 1993
Hearing Loss Testing Act of 1993 - Requires: (1) every newborn to be tested for hearing loss at birth; (2) uniform testing standards; and (3) each health insurance policy providing newborn coverage to cover such testing. Amends title XIX (Medicaid) of the Social Security Act to add newborn hearing loss testing to the definition of screening services. Provides for a grant or other program to assure that all newborns are tested. Authorizes appropriations.
Bill· HRH.R. 366 (103rd)referred
United States · United States Congress · 5 January 1993
Fair Treatment Act of 1993 - Amends the Public Health Service Act to revise, with regard to alcohol and drug abuse and mental health services block grants, the formulas for determination of allotments and minimum allotments to States.
Bill· HRH.R. 329 (103rd)referred
United States · United States Congress · 5 January 1993
Rural Medical Emergencies Air Transport Act of 1993 - Amends the Public Health Service Act to mandate grants to States for the creation or enhancement of air medical transport systems providing victims of rural medical emergencies with access to treatments. Authorizes appropriations.
Bill· HRH.R. 332 (103rd)referred
United States · United States Congress · 5 January 1993
Health Professional Shortage Area Amendments of 1993 - Amends the Public Health Service Act to add a certain percentage of the population being 65 years old or older to the indicators of need which must be taken into consideration in designating health professional shortage areas (HPSAs). Prohibits, for frontier areas, considering the travel time between population centers or to contiguous area resources. Amends title XVIII (Medicare) of the Social Security Act to continue, for three months after withdrawal of the designation of an area as an HPSA, the additional payments mandated for services furnished in HPSAs.
Bill· HRH.R. 309 (103rd)referred
United States · United States Congress · 5 January 1993
Amends titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act to include medical care, or other remedial care as defined by State law, furnished by registered professional nurses among the services to be provided under the Medicare and Medicaid programs.
Bill· HRH.R. 315 (103rd)referred
United States · United States Congress · 5 January 1993
Prohibits the Secretary of Health and Human Services or a peer review organization from denying Medicare payments (under title XVIII of the Social Security Act) for inpatient hospital services on the basis that the services were not reasonable and medically necessary, if a physician has certified the services as reasonable and medically necessary and has not established a clear pattern of making faulty certifications.
Bill· HRH.R. 286 (103rd)referred
United States · United States Congress · 5 January 1993
Hospital Cooperative Agreement Act - Amends the Public Health Service Act to establish a demonstration program of ten five-year grants for collaboration among hospitals regarding the provision of expensive, capital-intensive medical technology or other highly resource-intensive services. Requires that projects be designed to demonstrate a reduction in costs, an increase in access to care, and improvements in the quality of care. Allows grant funds to be used only to facilitate collaboration and not to purchase facilities or capital equipment. Requires at least three of the grants to be used to demonstrate how such agreements may be used to increase access to or quality of care in rural areas. Authorizes appropriations.
Bill· HRH.R. 307 (103rd)referred
United States · United States Congress · 5 January 1993
Amends title XIX (Medicaid) of the Social Security Act to require States to cover clinical social worker services under the Medicaid program.
Bill· HRH.R. 257 (103rd)referred
United States · United States Congress · 5 January 1993
Health Care Crisis Policy Commission Act - Establishes the Health Care Crisis Policy Commission to study and report on the problems of the cost and delivery of medical care in the United States.
Bill· HRH.R. 244 (103rd)referred
United States · United States Congress · 5 January 1993
Medicare Prostate Screening Act of 1993 - Amends title XVIII (Medicare) of the Social Security Act to provide for Medicare coverage of prostate cancer screening tests.
Bill· HRH.R. 243 (103rd)referred
United States · United States Congress · 5 January 1993
Medicaid Prostate Screening Act of 1993 - Amends title XIX (Medicaid) of the Social Security Act to mandate coverage of prostate cancer screening tests under State Medicaid plans.
Bill· HRH.R. 150 (103rd)open
United States · United States Congress · 5 January 1993
TABLE OF CONTENTS: Title I: Family Health and Wellness Savings Plan Title II: Tax Treatment of Long-Term Care Insurance and Plans Subtitle A: Treatment of Long-Term Care Insurance Subtitle B: Employer Funding of Medical Benefits Subtitle C: Reverse Mortgage Insurance for Older Americans Subtitle D: Income Tax Credits Subtitle E: Treatment of Accelerated Death Benefits Subtitle F: Federal National Long-Term Care Reinsurance Corporation Title III: Malpractice Liability Reform Title IV: Working Americans Access To Health Care Subtitle A: Increase in Small Employer Access to Affordable Health Insurance Subtitle B: Equalization of Tax Benefits for Self-Employed Persons Under Certain Plans Subtitle C: Managed Care Rights Subtitle D: Study and Report Title V: Administrative Cost Savings Subtitle A: Standardization of Claims Processing Subtitle B: Electronic Medical Data Standards Subtitle C: Development and Distribution of Comparative Value Information Subtitle D: Additional Standards and Requirements; Research and Demonstrations Health Care Choice and Access Improvement Act of 1993 - Title I: Family Health and Wellness Savings Plan - (Sec. 101) Amends the Internal Revenue Code to allow individuals a tax deduction for contributions made to a medical care savings account established for the benefit of an eligible individual. Defines an eligible individual as one who: (1) is not covered by an employer-provided group health plan; or (2) is covered by a qualified employer-provided catastrophic coverage health plan but not by any other health plan. Allows such deduction in arriving at adjusted gross income. Includes any non-medical distributions from such an account in gross income and assesses an additional tax. Establishes an excise tax for excess contributions to medical care savings accounts. (Sec. 102) Allows the transfer of unused amounts in flexible spending accounts of cafeteria plans to medical savings accounts. (Sec. 103) Allows the full deduction for medical, dental, etc., expenses for amounts paid for qualified catastrophic coverage health plans. Title II: Tax Treatment of Long-Term Care Insurance and Plans - (Sec. 201) Provides for the treatment of long-term care insurance as: (1) accident and health insurance for life insurance company taxation; and (2) a tax-free fringe benefit. (Sec. 203) Excludes from gross income amounts withdrawn from individual retirement accounts or qualified pension plans for such insurance. (Sec. 204) Permits the non-taxable exchange of life insurance policies for long-term care insurance by individuals over age 59 1/2. (Sec. 211) Revises provisions governing retiree medical benefits. Authorizes employer health benefit account contribution deductions. (Sec. 212) Imposes a medical benefits early distribution penalty and an excise tax on allocated assets not used to provide retiree benefits. (Sec. 221) Amends the National Housing Act to limit insurance of elderly homeowner home equity conversion mortgages. (Sec. 231) Allows credits for: (1) households including relatives or dependents requiring custodial care; and (2) the long-term care expenses of independent persons. (Sec. 241) Allows accelerated death benefits to be: (1) paid to certain individuals; and (2) treated as life insurance. (Sec. 251) Authorizes incorporation of the Federal National Long-Term Care Reinsurance Corporation. Title III: Malpractice Liability Reform - (Sec. 302) Declares that a State meets the requirements of these provisions if it has enacted laws or regulations: (1) regarding health care liability actions, allowing several but not joint liability for noneconomic damages, limiting the dollar amount of noneconomic damages, mandating offsets for collateral source payments, regulating the treatment of payments for future economic losses, limiting attorney's fees, and providing special rules for certain obstetric services; (2) implementing at least one mediation or pretrial screening panel; and (3) taking specified steps regarding quality assurance reform. (Sec. 305) Amends titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act to reduce payments to hospitals (regarding Medicare) and States (regarding Medicaid) in States not in compliance. Makes additional hospital payments in States in compliance. (Sec. 306) Amends Federal law relating to tort claims against the United States to set forth special rules similar to the State health care liability reform requirements under this title. Title IV: Working Americans Access to Health Care - (Sec. 401) Provides for model standards regarding requirements of this title. Allows more stringent State standards. (Sec. 402) Preempts certain State laws concerning small employer health benefit plans. (Sec. 403) Requires small employer carriers to offer MedEquity plans, defined as: (1) providing only basic benefits; (2) guaranteeing issue; (3) meeting writing, premium increase, and market reentry standards; and (4) providing for cost containment. Requires each plan to accept every small employer applicant and enroll every full time employee applicant. Provides for cost containment models. (Sec. 404) Sets forth requirements regarding pre-existing conditions, premiums, rating practices, actuarial certification, registration, minimum participation, renewability, premium increases, and market reentry. (Sec. 406) Provides for reinsurance models, requiring establishment of mechanisms in each State. (Sec. 409) Sets forth requirements for being considered a small employer purchasing group. Preempts State laws, with regard to such groups, regarding health plans, premium taxes, and managed care. (Sec. 411) Amends the Internal Revenue Code to increase and make permanent health insurance deductions for self-employed individuals. (Sec. 421) Preempts State laws relating to reimbursement rates, selective contracting, differential financial incentives, and utilization review methods. Title V: Administrative Cost Savings - (Sec. 501) Provides for standards regarding medical data elements, uniform claims forms and data transmission. (Sec. 512) Requires electronic maintenance or transmittal by: (1) Medicare-participating and veterans' hospitals; and (2) providers required under a Federal program to transmit data. (Sec. 514) Prohibits benefit plans from requiring data elements not in the standards. (Sec. 515) Establishes a standards advisory commission. Authorizes appropriations. (Sec. 521) Authorizes grants for comparative value information systems covering service prices and quality and outcomes data. Authorizes appropriations. Mandates similar Federal information. (Sec. 524) Mandates model systems for such information. Authorizes standards and appropriations. (Sec. 531) Provides for magnetized Medicare and Medicaid cards. Mandates a system on plans that are primary Medicare and Medicaid payors. Authorizes appropriations. (Sec. 532) Preempts State laws requiring written records. (Sec. 533) Requires benefit plans to use social security number identifiers. (Sec. 534) Provides for standards regarding coordination of benefits. (Sec. 535) Mandates grants regarding patient care application of information systems. Authorizes appropriations. Authorizes grants regarding: (1) communications between plan and provider systems; (2) regional or community-based clinical information systems; and (3) developing data elements. Authorizes appropriations.
Bill· HRH.R. 144 (103rd)open
United States · United States Congress · 5 January 1993
Health Care Cost Containment Act - Amends the Internal Revenue Code to allow individuals to deduct the full amount of unreimbursed medical and dental expenses. (Current law allows a deduction for such expenses that exceed a certain percentage of adjusted gross income.) Requires the losing party in a medical care liability suit to pay limited amounts of the winning party's litigation expenses. Prohibits noneconomic damages (other than punitive damages) in such suits. Requires punitive damages to be paid to the unit of local government having primary responsibility for paying for indigent health services. Requires those amounts to be used for care for individuals entitled to assistance under titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act. Applies this Act to any medical care liability suit in any State or Federal court, except vaccine-related matters. Supersedes inconsistent State laws.
Bill· HRH.R. 101 (103rd)open
United States · United States Congress · 5 January 1993
TABLE OF CONTENTS: Title I: Improved Access to Affordable Health Care Coverage Subtitle A: Increased Affordability and Availability for Employees Subtitle B: Improved Small Employer Purchasing Power of Affordable Health Insurance Subtitle C: Health Deduction Fairness Subtitle D: Improved Access to Community Health Services Subtitle E: Improved Access to Rural Health Services Title II: Health Care Cost Containment and Quality Enhancement Subtitle A: Medical Malpractice Liability Reform Subtitle B: Administrative Cost Savings Subtitle C: Medical Savings Accounts (Medisave) Subtitle D: Medicaid Program Flexibility Subtitle E: Limitations on Physician Self-Referrals Subtitle F: Removing Restrictions on Managed Care Subtitle G: Medicare Payment Changes Subtitle H: Limitation of Antitrust Recovery for Certain Hospital Joint Ventures Subtitle I: Encouraging Enforcement Activities of Medical Self-Regulatory Entities Action Now Health Care Reform Act of 1993 - Title I: Improved Access to Affordable Health Care Coverage - (Sec. 102) Preempts inconsistent State laws. (Sec. 103) Requires small employer health insurance carriers to offer a MedAccess basic plan (providing only benefits for essential preventive and medical services and having an actuarial value not over 60 percent of a MedAccess standard plan) and a MedAccess standard plan (providing benefits typical of the small employer market). Amends the Internal Revenue Code (IRC) to tax the failure of a carrier or plan to comply with related standards. Mandates: (1) acceptance of every small employer and full-time employee; or (2) in States that so provide, allocation of risk. (Sec. 104) Regulates pre-existing condition requirements, premiums, rating practices disclosure, minimum participation requirements, and renewability. (Sec. 108) Mandates development of models for reinsurance or allocation of risk mechanisms. Requires State (or Federal) establishment of at least one mechanism in each State. Amends the IRC to impose a tax in any such Federal reinsurance State. (Sec. 110) Establishes the Office of Private Health Care Coverage and a related advisory committee. (Sec. 111) Authorizes research and demonstration projects on the impact of these provisions on the availability of affordable small employer coverage. Requires: (1) methods for measuring the relative health risks of eligible individuals; and (2) a model for equitably distributing health risks among small employer carriers. Authorizes appropriations. (Sec. 121) Preempts State laws: (1) requiring the offering of health plans providing certain services; and (2) prohibiting employer groups from purchasing health insurance. (Sec. 131) Amends the IRC to increase and make permanent deductions for the health insurance costs of self-employed individuals. (Sec. 141) Amends the Public Health Service Act (PHSA) to provide for grants to: (1) migrant and community health centers and to entities providing health services for the homeless to promote primary health services for underserved individuals; and (2) increase access to outpatient primary services in certain geographic areas. Authorizes appropriations. (Sec. 171) Changes the heading of title XII (Trauma Care) of the PHSA to "Emergency Medical Services" and makes similar changes to references within the title. (Sec. 172) Authorizes grants to States for State offices of emergency medical services. (Sec. 173) Requires projects under existing provisions to include demonstrations on telecommunications between rural medical facilities and other medical facilities with useful expertise or equipment. (Sec. 174) Authorizes appropriations to carry out specified provisions of title XII. (Sec. 181) Mandates grants to States for rural air medical transport systems. Authorizes appropriations. (Sec. 191) Amends title XVIII (Medicare) of the Social Security Act to extend special payments for the inpatient services of small, rural Medicare-dependent hospitals. Title II: Health Care Cost Containment and Quality Enhancement - (Sec. 211) Reforms medical malpractice regarding: (1) a statute of limitations; (2) use of alternative dispute resolution systems (ADRs), including for claims against the United States; (3) settlement offers and conferences; (4) noneconomic and punitive damages; (5) periodic payment for future damages; (6) mandatory offsets for collateral source payments; (7) contingent attorney's fees; (8) several and joint liability; (9) findings of negligence; (10) practice guidelines sanctioned as affirmative defenses; (11) the standard of proof regarding certain labor and delivery circumstances; (12) supersedure of certain State laws; and (13) establishment and certification of State ADRs. (Sec. 241) Amends title II (Old Age, Survivors, and Disability Insurance) (OASDI) of the Social Security Act to authorize appropriations for sanctioning guidelines as affirmative defenses. Mandates: (1) research and demonstrations on the use of data on malpractice actions; and (2) development of a standard reporting form for State ADRs in transmitting information on disputes resolved. (Sec. 242) Authorizes State professional disciplinary agencies to make agreements with professional societies to allow the societies to: (1) participate in licensing; and (2) review malpractice allegations or other information on the practice patterns of a practitioner. (Sec. 243) Requires each health professional and provider to participate in a risk management program. (Sec. 244) Mandates grants: (1) for basic research on malpractice prevention and compensation and outcomes research; (2) to States to improve licensing and discipline; and (3) for public education on appropriate health care use and realistic expectations, public education on the resources and role of licensing and disciplinary boards, and development of faculty training and curricula regarding quality assurance, risk management, and medical injury protection. Authorizes appropriations. (Sec. 245) Mandates a study on factors preventing or discouraging physicians from volunteering in medically underserved areas. (Sec. 251) Regulates: (1) data elements, uniform claims forms, and uniform electronic transmission of data elements; (2) provider claims submission; and (3) hospital and non-hospital electronic medical data. (Sec. 262) Requires hospitals, in order to participate in Medicare, to maintain and electronically transmit clinical data on patients in a set of electronic comprehensive data elements. (Sec. 263) Provides for electronic transmission of data elements to Federal agencies. (Sec. 264) Prohibits plans from requiring that a provider provide any data element not in the set or transmit any data element in a manner inconsistent with standards. (Sec. 265) Establishes an advisory commission. Authorizes appropriations. (Sec. 271) Provides for a comparative health care value program in each State. Authorizes grants and appropriations. (Sec. 273) Requires each Federal agency concerned with health insurance or care to develop comparative value information. (Sec. 274) Mandates model systems for the gathering and analysis of data on health care cost, quality, and outcome. Authorizes appropriations. (Sec. 281) Provides for standards regarding Medicare and Medicaid identification cards. Establishes a Medicare and Medicaid system to provide information on primary payors. Authorizes appropriations. (Sec. 282) Nullifies any State law requiring that medical or health insurance records be maintained in written rather than electronic form. (Sec. 283) Provides for standards regarding: (1) beneficiary and provider identification numbers; and (2) coordination of benefits. (Sec. 285) Mandates grants to demonstrate the application of comprehensive information systems in continuously monitoring patient care and improving patient care. Authorizes appropriations from the Federal Hospital Insurance Trust Fund. Authorizes grants for: (1) communication links between plan and provider information systems; (2) regional or community-based clinical information systems; and (3) developing and testing, for physicians and non-hospital entities, the definition of a comprehensive data set and the specification and presentation of individual data elements. Authorizes appropriations. (Sec. 291) Amends the IRC to exclude from an employee's gross income any amount contributed by the employer to a trust created exclusively to pay an individual's medical expenses (medical savings account). Sets contribution limits. Subjects the employee to taxation as owner of the account. (Sec. 301) Amends Medicaid provisions to modify contracting requirements for coordinated care services. (Sec. 311) Amends Medicare provisions to extend physician self-referral limitations to all payors and certain additional services. Revises exceptions. (Sec. 314) Mandates a study to estimate the changes in aggregate costs that will result from the amendments made by these provisions. (Sec. 321) Preempts managed care restrictions under State law. Mandates a study of managed care benefits and cost effectiveness. (Sec. 331) Amends Medicare provisions to revise the method for determining prospective payment updates to hospitals. (Sec. 332) Lowers the limitation amount and suspends certain annual adjustments regarding clinical diagnostic laboratory tests. (Sec. 343) Limits antitrust recovery to actual damages if certain requirements are met, including the filing and publication of information regarding hospital joint ventures. (Sec. 345) Establishes the Interagency Committee on Competition, Antitrust Policy, and Health Care. (Sec. 351) Prohibits, subject to exception, damages and other recovery under the Clayton Act or similar State laws from a medical self-regulatory entity engaging in standard setting or enforcement activities designed to promote the quality of health care and not conducted for financial gain.
Bill· HRH.R. 73 (103rd)open
United States · United States Congress · 5 January 1993
Health Services Cost Control Act - Amends the Public Health Service Act to direct the Secretary of Health and Human Services and the Attorney General to jointly carry out a demonstration program of 20 three-year grants for collaboration among hospitals or other medical facilities regarding the provision of expensive, capital-intensive medical technology or other highly resource-intensive services. Requires that projects be designed to demonstrate a reduction in costs, an increase in access to care, and improvements in the quality of care. Authorizes appropriations. Authorizes the Attorney General to issue a three-year certificate of review to medical facilities that enter into cooperative agreements with respect to the provision of expensive, capital-intensive medical technology or other highly resource-intensive services. Prohibits criminal or civil antitrust actions against a facility for conduct in compliance with a certificate. Allows any person injured as a result of conduct engaged in under a certificate to specified relief.
Bill· HRH.R. 47 (103rd)open
United States · United States Congress · 5 January 1993
Bars the recovery of damages, interest, costs, or attorney fees under the Clayton Act or similar State laws from any medical self-regulatory entity as a result of standard setting or enforcement activities designed to promote the quality of health care.
Bill· HRH.R. 31 (103rd)open
United States · United States Congress · 5 January 1993
Beaches Environmental Assessment, Closure, and Health Act of 1993 - Amends the Federal Water Pollution Control Act to direct the Administrator of the Environmental Protection Agency (EPA) to issue water quality criteria for pathogens in coastal recreation waters. Requires States to adopt consistent water quality standards. Requires the Administrator to publish regulations specifying methods to be used by States to monitor coastal recreation waters, during periods of use by the public, for compliance with standards. Requires notification of local governments and the public of water quality standards violations. Requires the Administrator to: (1) issue guidance on uniform assessment and monitoring procedures for floatable materials in coastal recreation waters; and (2) specify the conditions under which the presence of floatable material constitutes a threat to public health and safety. Requires an ongoing study and report to the Congress on developing better indicators for detecting harmful bacteria and viruses in coastal recreation waters. Requires State coastal zone management agencies to provide technical assistance to local governments to ensure that coastal recreation waters and beaches are as free as possible from floatable materials. Amends the Coastal Zone Management Act of 1972 to authorize grants to eligible coastal States for the reduction of floatable materials in coastal recreation waters. Authorizes the Administrator to make grants to States to fulfill requirements under this Act. Authorizes appropriations.
Bill· HRH.R. 13 (103rd)open
United States · United States Congress · 5 January 1993
TABLE OF CONTENTS: Title I: Provisions Relating To Individuals Subtitle A: Provision Relating to Earned Income Credit Subtitle B: Provisions Relating to Rollover of Gain on Sale of Principal Residence Subtitle C: Other Provisions Title II: Pension Simplification Subtitle A: Simplified Distribution Rules Subtitle B: Increased Access to Pension Plans Subtitle C: Nondiscrimination Provisions Subtitle D: Miscellaneous Simplification Title III: Treatment Of Large Partnerships Subtitle A: General Provisions Subtitle B: Provisions Related to TEFRA Partnership Proceedings Title IV: Foreign Provisions Subtitle A: Simplification of Treatment of Passive Foreign Corporations Subtitle B: Treatment of Controlled Foreign Corporations Subtitle C: Other Provisions Title V: Treatment of Intangibles Title VI: Other Income Tax Provisions Subtitle A: Provisions Relating to Subchapter S Corporations Subtitle B: Accounting Provisions Subtitle C: Provisions Relating to Regulated Investment Companies Subtitle D: Tax-Exempt Bond Provisions Subtitle E: Insurance Provisions Subtitle F: Other Provisions Title VII: Estate And Gift Tax Provisions Title VIII: Excise Tax Simplification Subtitle A: Fuel Tax Provisions Subtitle B: Provisions Related to Distilled Spirits, Wines, and Beer Subtitle C: Other Excise Tax Provisions Title IX: Administrative Provisions Subtitle A: General Provisions Subtitle B: Tax Court Procedures Subtitle C: Authority for Certain Cooperative Agreements Tax Simplification Act of 1993 - Title I: Provisions Relating to Individuals - Subtitle A: Provisions Relating to Earned Income Credit - Amends the Internal Revenue Code to repeal the supplemental young child credit and revise and increase the earned income credit. Subtitle B: Provisions Relating to Rollover of Gain on Sale of Principal Residence - Allows gain to be rolled over from one residence to another in the order the residences are purchased and used, regardless of reasons for the sale of the old residence. Sets forth a two-year residence rule for taxpayers who sell a residence pursuant to a divorce or marital separation for purposes of determining the rollover of gain on the sale of a principal residence. Subtitle C: Other Provisions - Provides an exception to the passive loss rules if the loss does not exceed $200. Permits the payment of taxes by credit cards to the extent provided by regulations. Modifies the election to claim a child's unearned income on the parent's return. Establishes a foreign tax credit limitation for individuals whose gross income is from sources outside the United States, consists entirely of qualified passive income, and the amount of creditable foreign taxes does not exceed $200. Excludes certain personal transactions from foreign currency rules. Requires the Secretary to report to specified congressional committees on expanded access to simplified individual income tax returns and other actions taken to simplify them. Provides that the amount allowed as a deduction to rural mail carriers for the business expense of a vehicle shall be equal to qualified reimbursements. Amends the Technical and Miscellaneous Revenue Act of 1988 to repeal the rule on the business use of automobiles by rural mail carriers. Exempts from the luxury excise tax parts for accessories installed for use of passenger vehicles by disabled individuals. Limits the exclusion of combat pay from withholding to the amount excludable from gross income. Title II: Pension Simplification - Subtitle A: Simplified Distribution Rules - Repeals: (1) the $5,000 limitation on the exclusion of employees' death benefits; and (2) the five-year forward income averaging for lump-sum distributions. Establishes a method of taxing annuity payments by taking into account the investment in the contract and the number of anticipated payments. Requires qualified plans to allow participants to elect to have distributions transferred directly to another qualified plan. Subtitle B: Increased Access to Pension Plans - Modifies certain simplified employee pensions with respect to allowable participants and participation requirements. Allows local governments and tax-exempt organizations to participate in cash or deferred arrangements. Authorizes the Secretary, as a condition of sponsorship, to prescribe rules defining the duties and responsibilities of certain master and prototype retirement plans. Subtitle C: Nondiscrimination Provisions - Redefines the term "highly compensated employee" for pension, profit sharing, stock bonus plan, etc. purposes. Makes such an employee one who is a five-percent owner or who has compensation from the employer in excess of $50,000. Provides a special rule where not employees are treated as highly compensated. Provides alternative methods of satisfying the special nondiscrimination requirements applicable to elective deferrals and employer matching contributions. Modifies the two-part nondiscrimination test for elective contributions under cash or deferred arrangements by permitting the use of the average deferral percentage for nonhighly compensated employees for the preceding year to be used in determining the permitted average deferral percentage for highly compensated employees for the current year. Subtitle D: Miscellaneous Simplification - Revises the definition of a leased employee to mean one whose services are performed under the control of a service recipient, instead of one whose services are historically performed by employees. Provides that the cost-of-living adjustment with respect to any calendar year is based on the increase in the applicable index as of the close of the calendar quarter ending September of the preceding calendar year. Requires the rounding of such amounts. Establishes a contribution limit for owner-employees of retirement plans. Eliminates the special vesting rule for multiemployer plans. Permits certain employers to elect an alternative full funding limitation with respect to any defined benefit plan based solely on the accrued liability under such plan. Requires the Secretary to adjust the 150-percent current liability full funding limit for other plans if there is a revenue shortfall. Allows rural cooperative plans which include cash or deferred arrangements to make distributions to participants after attainment of age 59 1/2. Modifies the treatment of governmental plans with respect to limits on contributions and benefits. Makes the social security retirement age the uniform retirement age for purposes of discrimination testing. Makes uniform the penalty provisions applicable to certain pension reporting requirements. Defines affiliated employers for Treasury regulation purposes with respect to tax-exemption. Treats certain nonunion air pilots as a separate class of employees for nondiscrimination testing purposes. Provides special rules for distributions of deferred compensation plans of State and local governments and tax-exempt organizations. Provides that, for purposes of the excise tax, an employer reversion does not include certain amounts paid to the Federal Government by reason of certain government contracting regulations. Requires continuation of health coverage for employees, including retired employees, of failed financial institutions. Declares that the health care continuation plan maintained by the Federal Deposit Insurance Corporation on June 25, 1992, and any other substantially similar plan maintained by such Corporation, satisfies continuation coverage requirements. Title III: Treatment of Large Partnerships - Subtitle A: General Provisions - Establishes special rules for large partnerships (250 or more partners) with respect to: (1) determining the income tax of a partner; (2) computing the taxable income of a large partnership; and (3) treatment of contributed property. Provides that a large partnership does not include one where: (1) substantially all of the activities involve the performance of personal services by individuals owning interests in such partnerships; or (2) 50 percent or more of partnership assets consist of oil or gas properties. Establishes simplified audit procedures for large partnerships. Requires a partner's return to be consistent with the partnership return. Allows partnerships to take adjustments into account through an imputed underpayment procedure or a flow-through-to-partners procedure. Authorizes and directs the Secretary to make adjustments at the partnership level in any partnership item to the extent necessary to have such item treated in the manner required, after notifying the partnership of such adjustment through certified or registered mail. Specifies certain restrictions on such adjustments. Provides for judicial review of such adjustment with the Tax Court, the appropriate district court, or the Court of Federal Claims. Prohibits any adjustments from being made three years after the later of the date on which the return was filed, or the last day for filing such return, except in specified cases. Allows a partnership to file a request for an administrative adjustment of partnership items during such time periods and provides for judicial review where such request is not allowed in full. Requires large partnerships to furnish information returns to partners by the first March 15 following the close of the partnership's tax year. Authorizes the Secretary to require large partnerships, or any other partnership with 250 or more partners, to file their returns on magnetic media. Subtitle B: Provisions Related to TEFRA Partnership Proceedings - Revises and sets forth new provisions relating to TEFRA (Tax Equity and Fiscal Responsibility Act of 1982) partnership proceedings. Provides for a declaratory judgment procedure in the Tax Court for treatment of non-partnership items with respect to an oversheltered return. Describes an oversheltered return as one which above no taxable income and a net loss from partnership items. Provides for the partnership return to be determinative of the audit procedure to be followed. Suspends the period of limitations for making assessments for a partner who is named in a bankruptcy petition. Provides a special rule for a tax matters partner in bankruptcy. Permits a small partnership to have a C corporation as a partner. Excludes a partial settlement agreement from the one-year limitation on assessment. Provides that if a TEFRA statute extension agreement is entered into, that agreement also extends the statute of limitations for filing refund claims until six months after the expiration of the limitations period for assessments. Provides a prepayment forum and a refund forum for raising the innocent spouse defense in TEFRA cases. Provides that partnership level proceedings include a determination of the applicability of penalties at the partnership level. Allows partners to raise any partner-level defenses in a refund forum. Specifies that an action to enjoin premature assessments of deficiencies attributable to partnership items may be brought in the Tax Court. Permits a party to appear before a court for the sole purpose of asserting that the period of limitations for assessing any tax attributable to partnership items has expired for that person. Provides for the treatment of premature petitions filed by notice partners or five-percent groups. Provides that the amount of the bond to stay assessment and collection should be based on the Tax Court's estimate of the aggregate liability of the parties to the action (and not all of the partners in the partners in the partnership). Suspends interest where there is a delay in computational adjustment resulting from TEFRA settlements. Grants a partner seven years (in lieu of three years) to request an administrative adjustment with respect to bad debts or worthless securities. Title IV: Foreign Provisions - Subtitle A: Simplification of Treatment of Passive Foreign Corporations - Repeals foreign personal holding company rules and foreign investment company rules. Exempts foreign corporations from the accumulated earnings tax and personal holding company rules. Provides for the treatment of personal service contracts under controlled foreign corporation rules. Replaces repealed provisions with revised rules for passive foreign corporations. Provides for taxing U.S. income on stock in passive foreign corporations through three alternative methods: (1) mark-to-market; (2) current inclusion; and (3) interest charge on excess distributions. Subjects less-than-25-percent shareholders of passive foreign corporations that are not U.S.-controlled, and who do not elect current inclusion, to the mark-to-market method or the interest-charge method for taxing income. Provides that if a passive foreign corporation is U.S.-controlled then every U.S. person owning stock in such corporation is subject to income inclusions under a modified version of controlled foreign corporation rules. Declares with regard to the mark-to-market method that: (1) if the fair market value of stock exceeds its adjusted basis, then the U.S. person shall include in gross income an amount equal to the amount of the excess; and (2) if the adjusted basis of stock exceeds the fair market value then the person shall be allowed a deduction equal to the lesser of the amount of such excess, or the unreversed inclusions. Describes a passive foreign corporation as any foreign corporation if: (1) 60 percent or more of its gross income is passive income; (2) the average percentage of assets which produce passive income or which are held for the production of passive income is at least 50 percent; or (3) such corporation is registered under the Investment Company Act of 1940, either as a management company or as a unit investment trust. Provides for the treatment of mark-to-market gain for purposes of the excise tax on undistributed income of regulated investment companies. Subtitle B: Treatment of Controlled Foreign Corporations - Provides that if a controlled foreign corporation sells or exchanges stocks in other foreign corporations, then gain recognized on such sale or exchange shall be included in the gross income of such corporation as a dividend to the same extent that it would have been included if such corporation were a U.S. person. Authorizes the Secretary to prescribe simplified methods for determining the amount of increase of limitations on the foreign tax credit. Revises provisions concerning: (1) determining pro rata share of gain from certain sales or exchanges of stock in certain foreign corporations; (2) basis adjustments in stock held by lower-tier foreign corporations; (3) determination of previously taxed income in redemptions through use of related corporations; and (4) treatment of branch profits tax exemptions or reductions. Extends the application of the indirect foreign tax credit to certain controlled corporations below the third tier. Requires the Secretary to report to specified congressional committees on a study of the investments by controlled foreign corporations in U.S. property. Subtitle C: Other Provisions - Establishes new rules for the translation of certain accrued foreign taxes. Modifies present rules for translating all other foreign taxes. Permits the use of the simplified limitation on the foreign tax credit in determining the alternative minimum tax foreign tax credit. Modifies the excise tax on outbound transfers to avoid income tax. Title V: Treatment of Intangibles - Allows an amortization deduction with respect to certain intangible property that is acquired and held by a taxpayer in connection with the conduct of a trade or business or an activity engaged in for the production of income. Describes an amortizable intangible as: (1) goodwill; (2) going concern value; (3) certain specified types of intangible property that generally relate to workforce, information base, know-how, customers, suppliers, or other similar items; (4) any license, permit, or other right granted by a governmental unit, agency, or instrumentality; (5) any covenant not to compete (or other arrangement to the extent that the arrangement has substantially the same effect as a covenant not to compete entered into in connection with the direct or indirect acquisition of an interest in a trade or business or substantial portion thereof; and (6) any franchise, trademark, or trade name. Excludes from treatment as an amortizable intangible: (1) any interest in a corporation, partnership, trust, or estate; (2) any interest under an existing futures contract, foreign currency contract, national principal contract, interest in a trade or other similar financial contract; (3) any interest in land; (4) certain computer software; (5) certain interests in films, sound recordings, video tapes, books, or other similar property; (6) certain rights to receive tangible property or services; (7) certain interests in patents or copyrights; (8) any interest under an existing lease of tangible property; (9) any interest under an existing indebtedness (except for the deposit base and similar items of a financial institution; and (10) a franchise to engage in any professional sport, and any item acquired in connection in such a franchise. Sets forth special rules governing the application of the amortization deduction. Provides for the treatment of certain computer software and leased property depreciation deductions excluded from the amortization rules. Continues the present-law treatment of certain contingent amounts that are paid or incurred on account of the transfer of a franchise, trademark, or trade name. Provides for the treatment of assumption reinsurance transactions of insurance companies. Requires the Secretary to report annually to the House Committee on Ways and Means and the Senate Committee on Finance on: (1) the implementation and effects of amendments made with respect to the amortization of goodwill and other intangibles; and (2) outstanding cases with respect to such amortization. Provides for the treatment of certain payments to retired or deceased partners. Title VI: Other Income Tax Provisions - Subtitle A: Provisions Relating to Subchapter S Corporations - Allows the Secretary to validate on invalid S corporation election by a small business corporation where the failure to properly elect S status was inadvertent or untimely. Provides that adjustments for distributions by an S corporation during a taxable year are taken into account before applying the loss for a year in determining the amount in the accumulated adjustment account. Repeals the rule that treats an S corporation in its capacity as a shareholder of another corporation as an individual. Repeals the rule that an S corporation may not be a member of an affiliated group of corporations. Eliminates the need to keep records of certain generally small amounts of earnings arising before 1983. Provides for the treatment of inherited stock. Subtitle B: Accounting Provisions - Revises the look-back method for long-term contracts and provides that for purposes of such method, only one rate of interest is to apply for each accrual period. Provides a method for capitalizing certain indirect costs. Subtitle C: Provisions Relating to Regulated Investment Companies - Repeals the requirement that less than 30 percent of the gross income of a regulated investment company be derived from the sale or disposition of any of the following which were held for less than three months: (1) stocks or securities; (2) options, futures, or forward contracts (other than those on foreign currencies); or (3) certain foreign currencies. Requires a broker to include on an information return with respect to gross proceeds from any disposition of stock in an open-end regulated investment company: (1) the basis of the stock disposed of; and (2) the portion of gross proceeds attributable to stock held for more than one year and the portion not so attributable (using a first-in, first-out basis). Defines an open-end regulated investment company as one which offers for sale or has outstanding any redeemable security of which it is the issuer. Sets forth special rules for determining the basis of stock in such companies. Modifies the load basis deferral rule for certain acquisitions. Permits a common trust fund to transfer substantially all of its assets to a regulated investment company without gain or loss being recognized by the fund or its participants under specified circumstances. Subtitle D: Tax-Exempt Bond Provisions - Repeals the $100,000 limitation on unspent proceeds under the one-year exception from arbitrage rebate requirements. Exempts earnings on bond proceeds invested in bona fide debt service funds from the arbitrage rebate requirements and the penalty requirement of the 24-month exception if the spending requirements of that exception are otherwise satisfied. Provides for the treatment of tax or revenue anticipation bonds as separate issues. Repeals the disproportionate private business use test for private activity bonds. Increases the annual issuance limit for small issuers whose governmental bonds are not subject to rebate. Repeals the debt service-based limitation on investment in certain nonpurpose investments. Repeals certain expired provisions. Subtitle E: Insurance Provisions - Provides for the treatment of life insurance variable contracts on retired lives and sets forth special rules for modified guaranteed contracts. Subtitle F: Other Provisions - Provides that the taxable year of a partnership closes with respect to a partner whose entire interest in the partnership terminates, whether by death, liquidation, or otherwise. Repeals the adjusted current earnings rules relating to the treatment of built-in-losses after a change of ownership. Revises corporate minimum tax depreciation computations with respect to alternative minimum taxable income. Modifies the credit for producing fuel from a nonconventional source. Title VII: Estate and Gift Tax Provisions - Allows the right of recovery with respect to qualified terminable interest property (for which a marital deduction is allowed) to be waived in a will only by specific reference. Provides that a transfer from a revocable trust within three years of death does not result in the inclusion of the transfer in the gross estate. Revises the qualified terminable interest rules with respect to a trust and the marital deduction. Provides that a trust created before the enactment of the Revenue Reconciliation Act of 1990 is treated as satisfying the withholding requirement if its trust instrument require that all trustees be U.S. citizens or domestic corporations. Directs the Secretary to prescribe procedures which provide that executors will have the opportunity to submit subsequent information on a recapture agreement in the filing of an estate tax return. Title VIII: Excise Tax Simplification - Subtitle A: Fuel Tax Provisions - Consolidates diesel and aviation fuel tax provisions. Consolidates the user credit and refund provisions for the fuels excise taxes. Combines the three refund procedures for fuels taxes into a uniform refund procedure. Eliminates the waiver requirement for fuels tax refunds for cropdusters and other fertilizer applicators. Provides exceptions to the mandatory information return requirement for certain sales of diesel and aviation fuels. Subtitle B: Provisions Related to Distilled Spirits, Wines, and Beer - Makes refunds available for imported bottled distilled spirits returned to distilled spirits plants. Permits records of exportation to be maintained by the exporter for purposes of canceling or crediting bonds furnished when distilled spirits are removed from bonded premises. Permits distilled spirits plants to maintain records of their activities at locations other than the premises where the operations covered by the records are performed. Allows bear to be transferred without payment of tax from a brewery to a distilled spirits plant to be used in the production of distilled spirits regardless of whether the brewery is contiguous to the distilled spirits plant. Repeals the requirement that wholesale liquor dealers post a sign outside their place of business indicating that they are wholesale liquor dealers. Repeals the requirement that wine returned to bonded premises be unmerchantable in order for tax to be refunded to the proprietor of the bonded wine cellar to which the wine is delivered. Allows the use of ameliorating material in certain wines made exclusively from a fruit or berry. Allows domestically-produced beer to be withdrawn from the place of production without payment of tax for the official or family use of representatives of foreign governments or public international organizations. Allows beer to be removed from a brewery without payment of tax for purposes of destruction. Provides for imported beer to be withdrawn from customs custody for transfer to a brewery without payment of tax. Subtitle C: Other Excise Tax Provisions - Authorizes the exemption from registration requirements of certain tax-free sales. Repeals expired provisions concerning piggy-back trailers and deep seabed mining. Title IX: Administrative Provisions - Subtitle A: General Provisions - Changes the threshold for withholding and paying social security taxes from $50 a quarter to $300 a year for domestic service in a private home. Requires employers of household employees to report any social security or Federal unemployment tax obligation for wages paid to such employees on their income tax returns. Includes a household employer's social security and employment taxes in the estimated tax provisions. Authorizes the Secretary to enter into agreements with States to collect State unemployment taxes in the same manner. Allows reproductions of returns in digital image format by the Internal Revenue Service. Requires the Comptroller General of the United States to conduct a study of available digital image technology and report to specified congressional committees. Repeals: (1) the authority to disclosure whether a prospective juror has been audited; and (2) special audit provisions regarding the tax treatment of subchapter S corporations. Provides an explanation of the statute of limitations with respects to the return of a taxpayer. Allows corporations to disregard any letter or notice of assessment or proposed assessment of tax if the deficiency or proposed deficiency is less than $100,000. Provides a special rule for corporate estimated taxes if the corporation has no liability for the preceding year. Subtitle B: Tax Court Procedures - Provides that an order to refund an overpayment is appealable in the same manner as a decision of the Tax Court. Declares that the Tax Court shall not have jurisdiction over the validity or merits of the credits or offsets that reduce or eliminate the refund to which the taxpayer was otherwise entitled. Provides that a taxpayer who seeks an award of administrative costs must apply for such costs with 90 days of the date on which the taxpayer was determined to be a prevailing party. Provides that a taxpayer who appeals a denial of administrative costs must petition the Tax Court within 90 days after the date that the IRS mails the denial notice. Provides that a taxpayer must file a motion (rather than a petition) to seek a redetermination of interest in the Tax Court. Provides that the net worth limitations applicable to individuals also apply to estates and trusts. Provides that individuals who file a joint tax return shall be treated as one individual for purposes of computing the net worth limitations. Subtitle C: Authority for Certain Cooperative Agreements - Authorizes the Secretary to enter into cooperative agreements with State tax authorities for purposes of enhancing joint tax administration.
Bill· HRH.R. 21 (103rd)open
United States · United States Congress · 5 January 1993
TABLE OF CONTENTS: Title I: Provisions Relating to Part A Title II: Provisions Relating to Part B Subtitle A: Physicians' Services Subtitle B: Ambulatory Surgical Services Subtitle C: Durable Medical Equipment Subtitle D: Other Provisions Title III: Provisions Relating to Parts A and B Title IV: Provisions Relating to Medicare Supplemental Insurance Policies Miscellaneous and Technical Medicare Amendments of 1993 - Amends title XVIII (Medicare) of the Social Security Act (SSA) parts A (Hospital Insurance) and B (Supplementary Medical Insurance). Title I: Provisions Relating to Part A - (Sec. 101) Requires the Secretary of Health and Human Services (HHS) to use the day outlier methodology in effect for: (1) FY 1992 for payment of discharges occurring on or after April 1, 1993, and before September 30, 1993; and (2) the first six months of FY 1993 for payment of discharges occurring during FY 1994. (Sec. 102) Modifies the Essential Access Community Hospital program. (Sec. 103) Provides that a change in classification of hospitals from one area to another may not result in a reduction in the wage index for an urban area under certain circumstances. (Sec. 104) Amends the Omnibus Budget Reconciliation Act of 1987 (OBRA-1987) to extend authorized appropriations for the rural health transition grant program. (The Omnibus Budget Reconciliation Acts of different years amended by this Act shall be denoted "OBRA-(year).") (Sec. 105) Permits hospitals to decline reclassification from rural to urban referral centers. (Sec. 106) Revises Medicare-dependent, small rural hospital payment provisions. (Sec. 107) Amends OBRA-1989 to extend additional Medicare payments for the hemophilia clotting factor. (Sec. 108) Prohibits the Secretary from recouping from or otherwise reducing Medicare payments to hospitals in New Jersey because of alleged overpayments during a hospital reimbursement demonstration project, until all relevant data are given to the State and hospitals located in it. (Sec. 109) Allows the care of hospital inpatients receiving qualified psychologist services to be supervised by a clinical psychologist to the extent such supervision is permitted under State law. (Sec. 110) Allows graduate medical education to be provided in a hospital-owned community health center. (Sec. 111) Requires a study on the feasibility and desirability of establishing joint medical facilities among the Department of Defense, the Department of Veterans' Affairs, and other public and private entities. (Sec. 112) Requires home health agencies and skilled nursing facilities to notify Medicare beneficiaries of the hospice benefit, except in certain circumstances. (Sec. 113) Directs the Secretary to begin collecting data on employee compensation and paid hours of employment in skilled nursing facilities (SNFs) to compute a wage index to adjust Medicare SNFs payments. (Sec. 115) Amends OBRA-1990 to require the Secretary to continue any rural hospital demonstration project at least through December 31, 1995. Title II: Provisions Relating to Part B - Subtitle A: Physicians' Services - (Sec. 201) Reinstates separate payment for electrocardiogram interpretations performed or ordered to be performed as part of or in conjunction with a visit to or consultation with a physician. (Sec. 202) Repeals provisions for reduced Medicare payments to new physicians and other practitioners during their first four years of practice. (Sec. 203) Prohibits the Secretary from modifying the methodology for determining the amount of time that may be billed under Medicare for anesthesia services. (Sec. 204) Requires the Secretary to study and report to specified congressional committees on the data necessary to review and revise geographical indices. (Sec. 205) Prohibits nonparticipating physicians and suppliers from billing or collecting an actual charge in excess of the Medicare limiting charge. (Sec. 206) Requires the Secretary to study, develop, and report to the Congress on relative values for pediatric services. (Sec. 208) Prohibits the Secretary and carriers from imposing user fees. Subtitle B: Ambulatory Surgical Services - (Sec. 211) Extends eligibility for designation as eye or eye and ear hospitals to certain hospitals. (Sec. 212) Amends OBRA-1990 to extend the cap on payments for intraocular lenses. Subtitle C: Durable Medical Equipment - (Sec. 221) Requires the Secretary to prescribe national standards which suppliers of medical equipment and supplies must meet to receive payment under Medicare for items furnished. (Sec. 222) Prohibits carrier forum shopping by suppliers filing claims. (Sec. 223) Prohibits unsolicited telephone contacts from suppliers of durable medical equipment to Medicare beneficiaries. (Sec. 224) Modifies SSA anti-kickback provisions. (Sec. 225) Specifies the circumstances under which Medicare beneficiaries are not liable for covered items furnished by suppliers on an unassigned basis. (Sec. 226) Revises special payment rules for particular items and services to provide for adjustments to final payment amounts for inherent reasonableness. (Sec. 227) Freezes reasonable charges for parenteral and enteral nutrients, supplies, and equipment. (Sec. 228) Removes aspirators and nebulizers from the category of durable medical equipment (DME) items requiring frequent and substantial servicing and includes accessories relating to aspirators and nebulizers in the category of inexpensive and other routinely purchased equipment. (Sec. 229) Adds payment rules for ostomy supplies, tracheostomy supplies, urologicals, and surgical dressings. (Sec. 230) Changes payment rates for tens devices. Subtitle D: Other Provisions - (Sec. 241) Revises payment conversion factors for services furnished by a medically directed certified registered nurse anesthetist. (Sec. 242) Amends OBRA-1990 to extend Alzheimer's disease demonstration projects. (Sec. 243) Modifies the limitation on the late enrollment penalty. (Secs. 244 and 245) Provides for Medicare coverage of: (1) oral cancer drugs that contain the same active ingredients as anticancer drugs covered by Medicare when administered intravenously; and (2) speech-language pathology and audiology services. (Sec. 246) Amends OBRA-1985, as amended by OBRA-1989, to extend municipal health service demonstration projects. (Sec. 247) Treats certain Indian health programs and facilities as federally-qualified health centers. (Sec. 248) Amends OBRA-1987 to extend the influenza vaccination demonstration project. Title III: Provisions Relating to Parts A and B - (Sec. 301) Modifies provisions relating to physician ownership and referral. Requires the Comptroller General to study and report to the Congress on shared facility arrangements. (Sec. 302) Adjusts procedures to determine graduate medical education costs. (Sec. 303) Extends the periods during which Medicare covers immunosuppressive drug therapy following a transplant procedure. Reduces Medicare payments for erythropoietin. (Sec. 304) Revises provisions with respect to Medicare secondary payers. (Secs. 305 and 306) Requires the Secretary to: (1) establish a method for obtaining information with a view to Medicaid payment of the Medicare out-of-pocket expenses of eligible Medicare beneficiaries; and (2) extend waivers for social health maintenance organization (HMO) demonstration projects. (Sec. 307) Repeals peer review organization precertification requirements for certain surgical procedures. (Sec. 308) Modifies hospital conditions of participation with respect to discharge planning under Medicare to require informing a patient of his or her entitlement to hospice services. (Sec. 309) Provides that there must be interest payments on clean claims if the claims are not paid within 30 days of receipt. (Sec. 311) Amends the Balanced Budget and Emergency Deficit Control Act of 1985 (Gramm-Rudman-Hollings Act) to adjust discretionary spending limits with respect to Medicare administrative costs. (Sec. 312) Adjusts Medicare capitation payments with respect to HMOs to account for regional variations in application of the secondary payor provisions. (Sec. 313) Amends the Employee Retirement Income Security Act of 1974 with regard to certain health care programs of the State of Hawaii. Title IV: Provisions Relating to Medicare Supplemental Insurance Policies - (Sec. 401) Revises certain standards for Medicare supplemental insurance policies.
Bill· HRH.R. 22 (103rd)open
United States · United States Congress · 5 January 1993
TABLE OF CONTENTS: Title I: Provisions Relating to the Medicare Program Subtitle A: Durable Medical Equipment Subtitle B: Medicare Secondary Payer Title II: Customs Officer Pay Reform Title III: Availability and Use of Death Information Under the Old-Age, Survivors, and Disability Insurance Program Title IV: PBGC Report on Employers with Underfunded Plans Title V: Taxpayer Bill of Rights 2 Subtitle A: Taxpayer Advocate Subtitle B: Modifications to Installment Agreement Provisions Subtitle C: Interest Subtitle D: Joint Returns Subtitle E: Collection Activities Subtitle F: Information Returns Subtitle G: Modifications to Penalty for Failure to Collect and Pay Over Tax Subtitle H: Awarding of Costs and Certain Fees Subtitle I: Other Provisions Subtitle J: Form Modifications; Studies Title VI: Other Internal Revenue Code Provisions Subtitle A: Extension of Authority for Undercover Operations; Cash-Transaction Reports Subtitle B: Provisions Relating to Exempt Organizations Title VII: Prohibition of Misuse of Department of the Treasury Names, Symbols, etc. Federal Program Improvement Act of 1993 - Title I: Provisions Relating to the Medicare Program - Subtitle A: Durable Medical Equipment - (Sec. 1001) Amends title XVIII (Medicare) of the Social Security Act (SSA) to set forth requirements concerning durable medical equipment (DME) supplier number issuance and renewal, and certificates of medical necessity and uniform national coverage and utilization criteria for certain DME. (Sec. 1001) Requires the Secretary of Health and Human Services (HHS) to study and report to the Congress on payment methodologies for: (1) DME under Medicare part B (Supplementary Medical Insurance) for disabled Medicare beneficiaries; and (2) prosthetic devices and orthotics and prosthetics under such part that do not require custom fitting and adjustment. (Secs. 1002 through 1007) Amends SSA title XVIII to: (1) revise procedures for processing Medicare DME claims; (2) place restrictions on certain marketing and sales activities of DME suppliers; (3) absolve Medicare beneficiaries from liability for payment of DME received from suppliers without suppliers numbers; (4) mandate fee schedule adjustments for amounts determined not to be inherently reasonable; and (5) revise formulae for payments for ostomy supplies, tracheostomy supplies, urologicals, surgical dressings, and tens devices. (Sec. 1008) Requires the Health Care Financing Administration (HCFA) to collect data on variations in DME supplier costs for which payment may be made under Medicare part B for a report to specified congressional committees which shall also contain HCFA recommendations for a geographic cost adjustment index for DME suppliers. (Sec. 1008) Requires the Comptroller General (CG) to report to specified congressional committees on supplier DME costs. Subtitle B: Medicare Secondary Payer - (Sec. 1101) Amends the Omnibus Budget Reconciliation Act of 1989 (OBRA-1989) to provide that certain Medicare secondary payer provisions regarding the treatment of employment in a religious order shall apply to items and services furnished before the effective date of such provisions in secondary payer cases not identified as of that date. (Sec. 1101) Makes changes to aid in the: (1) identification of Medicare secondary payer situations; and (2) recovery of erroneous Medicare payments from primary payers. Title II: Customs Officer Pay Reform - (Sec. 2001) Revises the pay system for U.S. customs service inspectors and provides canine enforcement officers overtime compensation in the same manner applicable to inspectors. (Secs. 2003 and 2005) Amends the Consolidated Omnibus Budget Reconciliation Act of 1985 with respect to customs user fee account reports and reimbursements. (Sec. 2005) Requires, for certain annual reports to specified congressional committees, a CG review of expenditures from the Customs User Fee Account and Treasury recommendations for improving the operation of user fee laws in financing inspectional services. Title III: Availability and Use of Death Information Under the Old-Age, Survivors, and Disability Insurance Program - (Sec. 3001) Amends SSA title II (Old Age, Survivors and Disability Insurance) to: (1) encourage States to enter into contracts to provide death information to the Social Security Administration; (2) authorize the Administration to redisclose such information to other Federal, State, and local agencies; and (3) restrict the use of social security numbers in motor vehicle registration and driver's license programs by States which do not provide for the exchange of death information. Directs the Secretary to study and report to specified congressional committees on possible improvements in the current methods of gathering and reporting death information by Federal, State, and local governments. Title IV: PBGC Report on Employers with Underfunded Plans - (Sec. 4001) Requires the Pension Benefit Guaranty Corporation to report annually to the Congress on employers with underfunded pension plans. Title V: Taxpayer Bill of Rights 2 - Taxpayer Bill of Rights 2 - Subtitle A: Taxpayer Advocate - (Sec. 5001) Amends the Internal Revenue Code to establish in the Internal Revenue Service (IRS) the Office of the Taxpayer Advocate to: (1) assist taxpayers in resolving problems with the IRS; (2) identify areas in which taxpayers have such problems; (3) propose changes in IRS administrative practices to mitigate such problems; and (4) identify appropriate legislative changes to mitigate such problems. (Sec. 5001) Replaces the IRS' Office of the Ombudsman with the Office of the Taxpayer Advocate. (Sec. 5002) Revises the terms of a Taxpayer Assistance Order. Subtitle B: Modifications to Installment Agreement Provisions - (Sec. 5101) Requires prior notification to taxpayers under an installment agreement to pay tax liability before altering, modifying, or terminating such an agreement. (Sec. 5102) Provides for administrative review of denials of requests for, or terminations of, installment agreements. Subtitle C: Interest - (Sec. 5201) Changes the rules for the abatement of interest attributable to IRS errors and delays. (Sec. 5202) Extends the period for which interest will not be imposed after notice and demand for payment, if such payment is less than $100,000. Subtitle D: Joint Returns - (Sec. 5301) Allows the disclosure of collection activities to an individual requesting such information in the case of a joint return where the individual is no longer married to, or no longer resides in the same household as, the other joint filer. (Sec. 5302) Removes limitations on filing a joint return after filing separate returns without full payment of tax. Subtitle E: Collection Activities - (Sec. 5401 and 5402) Authorizes the Secretary of the Treasury, in certain cases, to: (1) withdraw a notice of a lien; (2) return property that has been levied upon; and (3) offer compromises in civil or criminal cases. (Sec. 5403) Requires: (1) prior notification to the taxpayer that the taxpayer is under examination; and (2) an explanation of the process (except in specified cases). (Sec. 5404) Increases the dollar limit on the recovery of civil damages for unauthorized collection actions. (Sec. 5405) Revises provisions with respect to a designated summons concerning the standard of review and notice requirements for issuance. Subtitle F: Information Returns - (Sec. 5501) Requires payee statements to provide the telephone number of the person providing payment. (Sec. 5502) Establishes civil damages for fraudulent return filing. (Sec. 5503) Requires the Secretary to present reasonable and probative information concerning a deficiency in an information return by a third party, when such return is disputed in court by a taxpayer who has cooperated fully in the matter with the Secretary. Subtitle G: Modifications to Penalty for Failure to Collect and Pay Over Tax - (Sec. 5601) Establishes requirements for preliminary notices of failure to pay over tax. (Sec. 5602) Specifies the circumstances under which a person shall not be liable for any penalty for failure to collect and pay over tax. (Secs. 5603 and 5604) Requires the Secretary to: (1) disclose certain information where more than one person is liable for a penalty; and (2) ensure that IRS employees are aware of their responsibilities under the tax depository system, the circumstances under which they may be liable for penalties, and reporting responsibilities. (Sec. 5604) Exempts certain unpaid, volunteer board members of tax-exempt organizations from collection penalties. Subtitle H: Awarding of Costs and Certain Fees - (Sec. 5701) Allows a substantially prevailing taxpayer to file a motion for a court order for the disclosure of all relevant records held by the IRS. (Sec. 5702) Increases the limit on attorney fees. (Sec. 5703) Provides that any failure to agree to an extension of time for the assessment of any tax shall not be taken into account in determining whether a prevailing party has exhausted all administrative remedies. Subtitle I: Other Provisions - (Secs. 5801 and 5803) Revises provisions regarding the: (1) required content of tax due, deficiency, and other notices; and (2) retroactivity of IRS regulations and rulings. (Sec. 5802) Provides for the treatment of substitute returns made by the Secretary. (Sec. 5804) Requires notice to the taxpayer of the inability to associate any payment with any outstanding tax liability. (Sec. 5805) Allows damages for the unauthorized disclosure and enticement of disclosure of taxpayer information. Subtitle J: Form Modifications; Studies - (Secs. 5901 through 5903) Directs the Secretary to: (1) ensure that taxpayers are aware of permission to pay tax in installments, extensions of time for payment of tax, and compromises of tax liability; (2) improve procedures for taxpayers to notify the Secretary of name and address changes; and (3) include in a specified publication a section on the rights and responsibilities of divorced individuals. (Secs. 5911 through 5914) Requires the Secretary to report to the congressional tax-writing committees on: (1) a pilot program for appeals of certain enforcement actions; (2) a study of ways to assist taxpayers with special needs to comply with IRS laws; (3) the scope and content of the IRS taxpayer-rights education program for its officers and employees; and (4) cases involving complaints about misconduct of IRS employees. (Secs. 5915 and 5916) Requires the CG to study and report to such committees on notices of deficiency and the accuracy and clarity of commonly used IRS forms, notices, and publications. Title VI: Other Internal Revenue Code Provisions - Subtitle A: Extension of Authority for Undercover Operations; Cash-Transaction Reports - (Sec. 6001) Extends the authority for IRS undercover operations. (Sec. 6002) Provides for the disclosure to Federal, State, local, and foreign governments of information on tax returns relating to cash transactions. Subtitle B: Provisions Relating to Exempt Organizations - (Secs. 6101 and 6102) Requires: (1) certain organizations to disclose their nonexempt tax status (or face specified civil penalties); and (2) tax-exempt organizations to make available for public inspection copies of their annual tax returns. Title VII: Prohibition of Misuse of Department of the Treasury Names, Symbols, Etc. - (Sec. 7001) Prohitits misuse of Treasury Department names, symbols, emblems, abbreviations, and initials, and specifies civil penalties for any such misuse.
Bill· HRH.R. 36 (103rd)open
United States · United States Congress · 5 January 1993
Comprehensive Preventive Health and Promotion Act of 1993 - Mandates establishment and annual revision of a schedule of recommended preventive health care services (preventive services). Requires each carrier and employer health benefit plan to include coverage for the preventive services. Amends the Internal Revenue Code to impose a tax on the failure of a carrier or an employer plan to comply. Amends title XVIII (Medicare) of the Social Security Act to include the preventive services in the definition of "medical and other health services." Amends title XIX (Medicaid) of the Social Security Act to mandate Medicaid coverage of the preventive services and, in some circumstances, for: (1) home and community care for functionally disabled elderly individuals; and (2) community supported living arrangements services. Amends Federal law relating to health care services for veterans include the preventive services under this Act in the definition of "medical services." Regulates provision of the preventive services on an outpatient basis. Amends Federal law relating to health insurance for Federal employees to add the preventive services to the list of benefits which may be provided under service or indemnity benefit plans. Amends Federal law relating to medical care for dependents of members of the uniformed services to add coverage of the preventive services. Mandates: (1) grants to counties for a project to demonstrate the effectiveness of providing preventive services to improve and reduce health costs; (2) dissemination of information on the benefits of practicing preventive care; (3) grants to employers to establish and conduct on-site workshops on health care promotion for employees; and (4) a program of on-site workshops on health care promotion for Federal employees.
Bill· HRH.R. 26 (103rd)referred
United States · United States Congress · 5 January 1993
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. 4 (103rd)open
United States · United States Congress · 5 January 1993
TABLE OF CONTENTS: Title I: General Provisions Regarding Title IV of Public Health Service Act Title II: National Institutes of Health in General Title III: General Provisions Respecting National Research Institutes Title IV: National Cancer Institute Title V: National Heart, Lung, and Blood Institute Title VI: National Institute on Diabetes and Digestive and Kidney Diseases Title VII: National Institute on Arthritis and Musculoskeletal and Skin Diseases Title VIII: National Institute on Aging Title IX: National Institute of Allergy and Infectious Diseases Title X: National Institute of Child Health and Human Development Title XI: National Eye Institute Title XII: National Institute of Neurological Disorders and Stroke Title XIII: National Institute of Environmental Health Sciences Title XIV: National Library of Medicine Title XV: Other Agencies of National Institutes of Health Title XVI: Awards and Training Title XVII: National Foundation for Biomedical Research Title XVIII: Research With Respect to Acquired Immune Deficiency Syndrome Title XIX: Studies Title XX: Miscellaneous Provisions Title XXI: Effective Dates National Institutes of Health Revitalization Amendments of 1993 - Title I: General Provisions Regarding title IV of Public Health Service Act - (Sec. 101) Amends the Public Health Service Act to condition research funding on human subject review and scientific and technical peer review. Prohibits withholding funding on ethical grounds unless an ethics advisory board so recommends. (Sec. 111) Regulates human fetal tissue transplantation research. (Sec. 121) Removes provisions regarding: (1) biomedical ethics; (2) waiver of a risk standard; and (3) the construction of title IV (National Research Institutes). Declares ineffective a Federal regulation relating to ethical advisory boards. (Sec. 131) Requires inclusion of women and minorities as subjects in each clinical research project under such title IV. (Sec. 141) Establishes: (1) the Office of Research on Women's Health; (2) the Coordinating Committee on Research on Women's Health; and (3) the Advisory Committee on Research on Women's Health. Mandates: (1) study of the representation of women among senior physicians and scientists of the national research institutes (NRIs) and among those conducting supported research; and (2) activities to increase that representation. Establishes a data system containing information on research on women's health. (Sec. 151) Establishes the Office of Scientific Integrity. Requires grant, contract, or cooperative agreement applicants to have a scientific misconduct report review process. Establishes the Commission on Scientific Integrity. Provides for employee whistle blower protection. Mandates measures against financial conflicts of interest. Title II: National Institutes of Health in General - (Sec. 201) Modifies the duties of the National Institute of Health's (NIH's) Associate Director for Prevention. (Sec. 202) Establishes a program to enhance competitiveness in States receiving little funding from the NRIs. (Sec. 203) Mandates activities, consistent with the global Children's Vaccine Initiative, to develop vaccines. Authorizes appropriations. (Sec. 204) Requires a plan regarding the use of animals in research. Establishes the Interagency Coordinating Committee on the Use of Animals in Research. Repeals similar provisions. (Sec. 205) Authorizes activities to increase the number of women and individuals from disadvantaged backgrounds in biomedical and behavioral research. (Sec. 206) Regulates surveys of human sexual behavior conducted or supported through NIH. (Sec. 207) Establishes a fund for use by the NIH Director to carry out NIH activities. Authorizes appropriations. (Sec. 208) Modifies NRI advisory council terms of office. Requires that at least half of NIH health education materials not exceed functional literacy. Authorizes a day care service for NIH employees. Title III: General Provisions Respecting National Research Institutes - (Sec. 301) Requires that the Secretary of Health and Human Services receive directly all funds appropriated for the Institute. Removes provisions authorizing the National Cancer Institute to directly receive such funds. Modifies requirements regarding the establishment of technical and scientific peer review groups. (Sec. 302) Requires expansion of research on osteoporosis, Paget's disease, and related bone disorders. Establishes a clearinghouse. Authorizes appropriations. (Sec. 303) Establishes a program of trauma research and the Trauma Research Interagency Coordinating Committee. Title IV: National Cancer Institute - (Sec. 401) Requires expanding National Cancer Institute (NCI) activities on breast and ovarian cancer, other cancers of the reproductive system of women, and prostate cancer. Authorizes appropriations. Removes authorizations of appropriations for NCI and the National Heart, Lung, and Blood Institute (NHLBI). Title V: National Heart, Lung, and Blood Institute - (Sec. 501) Requires NHLBI to conduct intramural training and education. Authorizes centers on cardiovascular diseases in children. Establishes the National Center on Sleep Disorders. Authorizes appropriations for NHLBI. Title VI: National Institute on Diabetes and Digestive and Kidney Diseases - (Sec. 601) Establishes a program on nutritional disorders. Provides for research and training centers. Title VII: National Institute on Arthritis and Musculoskeletal and Skin Diseases - (Sec. 701) Establishes a children's arthritis and musculoskeletal disease center. Renames the National Arthritis Advisory Board as the National Arthritis and Musculoskeletal and Skin Diseases Advisory Board and modifies its composition. Title VIII: National Institute on Aging - (Sec. 802) Mandates research into the aging processes of women. Authorizes appropriations for the National Institute on Aging. Title IX: National Institute of Allergy and Infectious Diseases - (Sec. 901) Includes tropical diseases in the purposes of the National Institute of Allergy and Infectious Diseases. Authorizes grants or contracts for centers for research on chronic fatigue syndrome. Establishes an extramural study section. Title X: National Institute of Child Health and Human Development - (Sec. 1001) Mandates grants or contracts for centers on contraception and infertility. Authorizes appropriations. (Sec. 1002) Establishes programs of: (1) agreements with health professionals to conduct research on contraception or infertility in return for educational loan repayment; and (2) obstetrics and gynecology intramural laboratory and clinical research. (Sec. 1021) Mandates child health research center support. (Sec. 1031) Mandates a longitudinal, large-scale study on the well-being of U.S. adolescents. Allocates funding. Title XI: National Eye Institute - (Sec. 1101) Authorizes grants for diabetic eye care clinical research centers. Title XII: National Institute of Neurological Disorders and Stroke - (Sec. 1201) Mandates research on multiple sclerosis. Title XIII: National Institute of Environmental Health Sciences - (Sec. 1301) Establishes the Applied Toxicological Research and Testing Program. Title XIV: National Library of Medicine - (Sec. 1401) Increases the limit on grants to medical libraries and related instrumentalities. Authorizes appropriations for the National Library of Medicine. Mandates grants for new educational technologies research. Establishes the National Information Center on Health Services Research and Health Care Technology. Title XV: Other Agencies of National Institutes of Health - (Sec. 1502) Authorizes grants to alter or construct research facilities. Establishes the Scientific and Technical Review Board on Biomedical and Behavioral Research Facilities. Authorizes appropriations. Reserves funds to construct or improve regional primate research centers. (Sec.1511) Redesignates the National Center for Nursing Research as the National Institute for Nursing Research. (Sec. 1521) Makes the National Center for Human Genome Research an NIH agency. Includes in Center purposes the mapping and sequencing of individual genes. Title XVI: Awards and Training - (Sec.1601) Provides for research recruitment and training for women and individuals from disadvantaged backgrounds. (Sec. 1611) Modifies existing and authorizes or mandates various new programs of scholarships and loan repayments for health professionals' education in exchange for specified service. (Sec. 1641) Authorizes appropriations related to National Research Service Awards. Requires a set-aside for provisions relating to residency programs in general dentistry. Title XVII: National Foundation for Biomedical Research - (Sec. 1701) Mandates the convening, by a specified date, of a meeting to appoint the Board of the National Foundation for Biomedical Research. Adds references to the Stevenson-Wydler Technology Innovation Act of 1980. Authorizes appropriations. Title XVIII: Research with Respect to Acquired Immune Deficiency Syndrome - (Sec. 1801) Modifies the duties of: (1) the AIDS Clinical Research Review Committee; and (2) the acquired immune deficiency syndrome (AIDS) clinical evaluation units at the National Cancer Institute and National Institute of Allergy and Infectious Diseases. Modifies international AIDS efforts support requirements. Authorizes appropriations. Requires that model protocols for clinical AIDS care include treatment and prevention for women. Authorizes appropriations. Requires the AIDS epidemiological data base to include information on the natural history of AIDS infection. Authorizes appropriations. Mandates a comprehensive plan for NIH AIDS research. Authorizes appropriations for fellowship and training programs relating to AIDS. Title XIX: Studies - (Sec. 1901) Mandates studies regarding AIDS on: (1) parallel-track drug-release mechanisms; (2) third-party payment incident to participation as subjects in clinical trials; and (3) coordination of AIDS advisory committees. Requires a plan for the inclusion in NIH human immunodeficiency virus (HIV) vaccine studies of women, infants, and children infected with HIV. Authorizes appropriations. (Sec. 1902) Requires studies on malnutrition and the elderly. Establishes an advisory panel. (Sec. 1903) Mandates reports or studies on NIH: (1) research on chronic fatigue syndrome; (2) assuming responsibility for all Federal research relating to medical countermeasures against biowarfare; (3) support staff retention, recruitment, vacancy, and turnover rates; and (4) procurement. Title XX: Miscellaneous Provisions - (Sec. 2001) Redesignates the Senior Biomedical Research Service as the Silvio O. Conte Senior Biomedical Research Service and increases the limit on the number of its members. (Sec. 2004) Mandates a master plan to replace or refurbish NIH infrastructure. (Sec. 2006) Authorizes appropriations (currently, authorizes the use of funds) to carry out cancer registries provisions. Title XXI: Effective Date - (Sec. 2101) Sets forth the effective date of this Act and its amendments.
Bill· HRH.R. 132 (103rd)referred
United States · United States Congress · 5 January 1993
Long-Term Care Insurance Standards and Consumer Protection Act of 1993 - Amends the Social Security Act to require the National Association of Insurance Commissioners (NAIC), or if NAIC does not, the Secretary of Health and Human Services, to establish minimum Federal standards for long-term care insurance policies that incorporate specified requirements. Prohibits the offering of a long-term care insurance policy in a State unless the State has an approved regulatory program, or the policy has been certified by the State. Requires NAIC to: (1) issue guidelines governing endorsements for long-term care insurance policies; (2) establish requirements for long-term insurance agent training and certification; and (3) establish a Steering Committee on Long-Term Care Insurance Standards in order to make recommendations concerning such minimum Federal standards. Provides for enforcement of standards. Sets forth conditions for the approval of State regulatory programs by the Secretary. Authorizes appropriations. Directs the Secretary to study, develop, and report to the appropriate congressional committees on a standard measure of value for long-term care policies.
Bill· HRH.R. 77 (103rd)referred
United States · United States Congress · 5 January 1993
Amends title XVIII (Medicare) of the Social Security Act to require as a condition of participation under the Medicare program that hospitals provide mothers of newborn children with information and recommendations on childhood immunizations.
Bill· HRH.R. 76 (103rd)referred
United States · United States Congress · 5 January 1993
Amends title XVIII (Medicare) of the Social Security Act to provide coverage for annual preventive examinations under Medicare part B (Supplementary Medical Insurance).
Bill· HRH.R. 72 (103rd)referred
United States · United States Congress · 5 January 1993
Amends title XVIII (Medicare) of the Social Security Act to provide for extended coverage of home health services under the Medicare program. Amends the Internal Revenue Code to raise the limitation on the amount of wages subject to the hospital insurance tax.
Bill· HRH.R. 19 (103rd)referred
United States · United States Congress · 5 January 1993
Medicare Prevention Benefit Act of 1993 - Amends title XVIII (Medicare) of the Social Security Act to provide for coverage of: (1) annual screening mammography for women over age 64; (2) colorectal screening; (3) certain immunizations; and (4) well-child care. Directs the Secretary of Health and Human Services to establish demonstration projects for the coverage of other specified preventive services under Medicare. Authorizes appropriations. Requires the Director of the Office of Technology Assessment to conduct a study to develop a process for the review of Medicare coverage of preventive services.
Bill· HRH.R. 136 (103rd)referred
United States · United States Congress · 5 January 1993
Paperwork Reduction in Health Care Act of 1993 - Requires the Director of the Office of Management and Budget to: (1) identify, inventory, and assess the Federal paperwork burden associated with health care services; and (2) establish a goal for reducing such burden in each of FY 1994 through 1997 by at least five percent of the preceding fiscal year's paperwork burden.
Bill· HRH.R. 10 (103rd)referred
United States · United States Congress · 5 January 1993
TABLE OF CONTENTS: Title I: Reauthorization of Government Programs Title II: Program Inventory Title III: Program reexamination Title IV: Tax Expenditures Title V: Miscellaneous Sunset Act of 1993 - Title I: Reauthorization of Government Programs - Requires each Government program to be reauthorized at least once during each sunset reauthorization cycle. (Sunset reauthorization cycle means the period of five Congresses beginning with the 104th Congress and with each sixth Congress following the 104th Congress.) Exempts from the requirements of this Act specified items, such as interest on Federal debts, health care services, general retirement and disability payments, certain civil rights litigation activities, and specified retirement pay and benefits. Title II: Program Inventory - Directs the Comptroller General and the Director of the Congressional Budget Office, in cooperation with the Director of the Congressional Research Service, to prepare an inventory of Federal programs to advise and assist the Congress in carrying out reauthorization and reexamination requirements and to link such reauthorization and review process with the budget process. Requires the Comptroller General to submit such program inventory to each House of Congress no later than January 1, 1994. Directs the congressional committees, the Congressional Budget Office, and the Congressional Research Service to review the program inventory and to suggest revisions. Requires that the program inventory be revised at the end of each session of the Congress and that such revisions be reported to each House. Title III: Program Reexamination - Requires each committee of the Senate and the House of Representatives to reexamine selected programs or groups of programs over which it has jurisdiction. Title IV: Tax Expenditures - Requires the Director of the Congressional Budget Office to prepare an inventory of tax expenditure provisions and to submit a report on such inventory to the Committee on Ways and Means of the House and the Senate Finance Committee by July 1, 1994. Directs the House Committee on Ways and Means and the Senate Committee on Finance to prepare a reauthorization schedule for all tax provisions similar to the schedule set out for Federal programs in title I of this Act. Title V: Miscellaneous - Sets forth miscellaneous provisions to carry out the purposes of this Act. Directs the President to submit to the Congress a Regulatory Duplication and Conflicts Report for all programs scheduled for reauthorization in the next Congress. Requires specified congressional committees to report on a review of the procedures established under this Act by December 31, 2000, and every five years thereafter. Authorizes appropriations through FY 2004.
Bill· HRH.R. 130 (103rd)referred
United States · United States Congress · 5 January 1993
Medicaid Women's Basic Health Coverage Act of 1993 - Amends title XIX (Medicaid) of the Social Security Act to provide Medicaid coverage of: (1) screening mammographies for women age 35 and older conducted in accordance with the frequency guidelines established by the Omnibus Budget Reconciliation Act of 1990 for coverage of screening mammographies under the Medicare program (title XVIII of the Social Security Act); and (2) screening pap smears.
Bill· HRH.R. 129 (103rd)referred
United States · United States Congress · 5 January 1993
Mandates grants for the establishment or support of adolescent health demonstration projects to: (1) provide health care information, counseling, and services, including related social services; (2) serve adolescents before their graduation from high school; (3) encourage family participation; and (4) establish community advisory committees. Prohibits using grant funds to perform or pay for abortions.
Bill· HRH.R. 96 (103rd)referred
United States · United States Congress · 5 January 1993
Ovarian Cancer Research Act of 1993 - Directs the Secretary of Health and Human Services, through the Director of the National Institutes of Health and the Director of the National Cancer Institute, to conduct or support basic research on certain aspects of ovarian cancer. Prohibits the Secretary from conducting or supporting clinical research on the same matters. Authorizes appropriations.
Bill· HRH.R. 78 (103rd)referred
United States · United States Congress · 5 January 1993
Children's Vaccine Initiative Amendments Act - Amends the Public Health Service Act to direct the National Institutes of Health to develop a single-dose, multiple-antigen compound vaccine that can be easily administered to children under age six and that will provide lifelong immunization against common childhood diseases. Authorizes appropriations.
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