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Resolution· HCONRESH.Con.Res. 31 (102nd)referred
United States · United States Congress · 11 January 1991
Declares that it is the sense of the Congress that the United States should: (1) give highest national priority to developing a national child health policy; (2) establish a universal national children's health insurance program; and (3) devote sufficient resources to achieving, by the year 2000, the Surgeon General's Maternal and Child Health Objectives.
Bill· HRH.R. 467 (102nd)open
United States · United States Congress · 7 January 1991
Allows payments under the Civilian Health and Medical Program of the Uniformed Services for certain health care expenses incurred by members and former members of the uniformed services (and their dependents) who are entitled to retired or retainer pay and who are otherwise ineligible for such payments by reason of their entitlement to benefits under title XVIII (Medicare) of the Social Security Act because of a disability.
Bill· HRH.R. 464 (102nd)open
United States · United States Congress · 7 January 1991
National Commission to Study the Causes of the Demand for Drugs in the United States - Establishes the National Commission to Study the Causes of the Demand for Drugs in the United States to study the causes of drug abuse in the United States and to assess the needs of Government at all levels to create a socially supportive environment that reduces the desire of individuals to experiment with and abuse illicit drugs. Requires the Commission to examine the factors that contribute to drug abuse and the efforts being made to prevent such abuse. Authorizes appropriations.
Bill· HRH.R. 462 (102nd)referred
United States · United States Congress · 7 January 1991
Establishes the National Commission on Drug Abuse Treatment Effectiveness to develop recommendations for: (1) the planning and operation of model programs of treatment for drug abuse; and (2) evaluation criteria for drug treatment programs. Authorizes appropriations. Terminates the Commission two years after designation of its first chairman.
Bill· HRH.R. 463 (102nd)referred
United States · United States Congress · 7 January 1991
Amends title XIX (Medicaid) of the Social Security Act to permit States to cover substance abuse treatment services for Medicaid-eligible individuals who desire to rid themselves of substance abuse problems.
Bill· HRH.R. 459 (102nd)referred
United States · United States Congress · 7 January 1991
Fairness in Medicaid Funding Act of 1991 - Amends title XIX (Medicaid) of the Social Security Act to change the Federal medical assistance percentage used under the Medicaid program.
Bill· HRH.R. 391 (102nd)referred
United States · United States Congress · 3 January 1991
Family Leave Act of 1991 - Title I: General Requirements for Family Leave - Entitles employees to unpaid family leave for specified periods in cases involving the birth or adoption of a child. Requires the eligible employee to exhaust all accrued sick leave, vacation leave, or other paid leave before using such family leave. Reduces the ten consecutive weeks of unpaid family leave entitlement by the amount of such substituted paid leave. Requires the eligible employee to notify the employer of intent to use leave and to return to work. Sets forth employment and benefits protections relating to such leave. Allows employers to require medical certification that an employee can resume work. Permits an employer to deny restoration of position to certain highly compensated employees in certain circumstances. Reduces certain health care continuation coverage if an employee fails to return to work after such leave. Permits more protective, and prohibits less protective, maternity benefits than this Act requires under a collective bargaining agreement or employment benefit program or plan. Provides that: (1) this Act does not preempt State or local laws that require more extensive maternity leave; and (2) compliance with this Act shall not be considered a violation of certain Federal antidiscrimination laws. Sets forth special rules relating to employees of local educational agencies. Title II: Enforcement - Provides for administrative enforcement of this Act by the Secretary of Labor, as well as enforcement by civil action. Title III: Coverage of Congressional Employees - Applies the rights and protections under titles I and II of this Act to employees of the House of Representatives, except for the exemption concerning highly compensated employees. Requires that the remedies and procedures under the Fair Employment Practices Resolution be applied in administering such coverage.
Bill· HRH.R. 417 (102nd)referred
United States · United States Congress · 3 January 1991
Senior Citizens Health Insurance Standards Act of 1991 - Directs each State to submit to the Secretary of Health and Human Services a plan specifying certain minimum standards applicable to the sale of health insurance to the elderly. Amends title XVIII (Medicare) of the Social Security Act to direct the Secretary to conduct studies for the purposes of making recommendations to the Congress concerning: (1) a uniform approach for regulating all private health insurance sold to the aged and disabled; and (2) the feasibility of additional health insurance coverage under the Medicare program.
Bill· HRH.R. 356 (102nd)referred
United States · United States Congress · 3 January 1991
Closed-Captioned Television in Public Facilities Act of 1990 - Amends part A (General Provisions) of title XI of the Social Security Act to permit participation in the Medicaid and Medicare programs only to hospitals which certify that each patient is provided, upon request, with a room furnished with a television capable of displaying closed-captioning and that notice of this service is given to the patient at the time of admission. Exempts hospitals that do not make televisions available to patients. Institutes comparable requirements for nursing care facilities and intermediate care facilities for the mentally retarded, requiring that televisions in common areas of the relevant facility be capable of displaying closed-captioning. Amends the Public Health Service Act and other Federal law to institute the same requirements for Public Health Service facilities and for hospitals, nursing homes, and domiciliary facilities under the direct jurisdiction of the Department of Veterans Affairs. Amends the Higher Education Act of 1965 to require institutions of higher education and vocational schools, in order to be eligible for student assistance programs, to certify that televisions capable of displaying closed-captioning are available for use in classrooms and common areas, unless the Secretary of Education determines that waiver or modification is appropriate. Amends the Library Services and Construction Act to prohibit libraries from receiving funds under such Act unless such libraries certify that they have televisions capable of displaying closed-captioning available for use. Amends the Elementary and Secondary Education Act of 1965 to require any local educational agency conducting programs that include television program viewing to certify that the televisions used are capable of displaying closed-captioning unless the Secretary of Education determines that waiver or modification is appropriate. Directs all Federal entities that use television or video programming to provide public information or educational services to make reasonable efforts to caption the programming and make it available to the general public and to organizations that serve the hearing-impaired. Prohibits Federal funding of conferences, seminars, or similar activities held in a public lodging establishment that does not, upon request, provide guests with rooms furnished with televisions capable of displaying closed-captioning. Permits the Secretary of the Treasury to waive this prohibition if the entity sponsoring or funding the event certifies that the waiver would be appropriate.
Bill· HRH.R. 410 (102nd)referred
United States · United States Congress · 3 January 1991
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 Medicaid and Medicare programs.
Bill· HRH.R. 433 (102nd)referred
United States · United States Congress · 3 January 1991
Amends the Public Health Service Act to authorize the Secretary of Health and Human Services, acting through the Centers for Disease Control, to make grants and enter into contracts for State and local public health emergency prevention and treatment programs. Establishes in the Treasury a Public Health Emergency Prevention and Treatment Fund for such purposes. Authorizes appropriations of $200,000,000 for FY 1991 and for subsequent years such sums as necessary to have $200,000,000 in the Fund at the beginning of each fiscal year. Requires a report to the appropriate congressional committees on any such expenditures made during a fiscal year.
Bill· HRH.R. 412 (102nd)referred
United States · United States Congress · 3 January 1991
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. 425 (102nd)referred
United States · United States Congress · 3 January 1991
Fair Treatment Act of 1991 - 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. 415 (102nd)referred
United States · United States Congress · 3 January 1991
Comprehensive Long-Term Care Incentives Act of 1991 - Title I: Tax Treatment of Long-Term Care Insurance and Plans - Subtitle A: Treatment of Long-Term Care Insurance - Provides for the treatment of qualified long-term care insurance as accident and health insurance for purposes of taxation of life insurance companies. Allows employers to offer employees qualified long-term care insurance as a tax-free fringe benefit. Excludes from gross income amounts withdrawn from individual retirement accounts or qualified pension plans with cash or deferred arrangements for purposes of purchasing long-term care insurance. Permits the non-taxable exchange of life insurance policies for long-term care insurance in the case of an individual who has attained age 59 1/2. Subtitle B: Employer Funding of Medical Benefits - Revises provisions governing medical benefits for retired employees and their spouses and dependents. Provides a tax deduction for employer contributions to health benefits accounts. Defines funded reserve accounts and vesting requirements to qualify for such tax deduction. Establishes a 50-percent tax penalty on early distributions of medical benefits and a 100-percent excise tax on allocated assets that are not used to provide retiree health benefits. Subtitle C: Reverse Mortgage Insurance for Older Americans - Amends the National Housing Act to limit the total number of mortgages to be insured and the amount of such insurance under the demonstration program of insurance of home equity conversion mortgages for elderly homeowners. Subpart D: Income Tax Credits - Allows a $2,000 per qualified person tax credit for taxpayers who maintain a household which includes a parent, grandparent, dependent, or spouse who requires specified custodial care. Allows a tax credit for 25 percent of the long-term care expenses of certain independent persons (not in excess of $2,000 per qualified person per taxable year). Title II: Federal National Long-Term Care Reinsurance Corporation - Federal National Long-Term Care Reinsurance Corporation Act - Authorizes the Secretary of Health and Human Services to provide for the incorporation of the Federal National Long-Term Care Reinsurance Corporation (Corporation), which shall not be an agency or establishment of the U.S. Government. Requires the Corporation to confine its activities to reinsuring insurance companies for extraordinary loss in the issuance or payment of qualified long-term care insurance benefits.
Bill· HRH.R. 411 (102nd)referred
United States · United States Congress · 3 January 1991
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 Medicaid and Medicare programs.
Bill· HRH.R. 382 (102nd)referred
United States · United States Congress · 3 January 1991
Breast Cancer Treatment Informed Consent Act - Requires any State receiving funds under titles V (Maternal and Child Health Block Grant) or XIX (Medicaid) of the Social Security Act or under the preventive health service provisions of the Public Health Service Act to require any physician or surgeon licensed to practice medicine in such State to inform any breast cancer patient of alternative methods of treatment for breast cancer before such treatment is begun. Requires that the patients be informed by means of: (1) a standardized written summary in layman's language and in a language understood by the patient of alternative methods of treatment; and (2) an explanation of the treatment options described in such written summary together with the risks associated with each procedure relative to each patient's particular medical circumstances.
Bill· HRH.R. 392 (102nd)referred
United States · United States Congress · 3 January 1991
Title X Pregnancy Counseling Act of 1990 - Amends the Public Health Service Act to prohibit the Secretary of Health and Human Services from making a grant for the provision of family planning methods or services unless the applicant agrees to provide complete information and counseling regarding pregnancy, and for a pregnant woman who requests information on options for an unintended pregnancy, to provide: (1) nondirective counseling on prenatal care and delivery, infant care, foster care and adoption, and termination of pregnancy; and (2) referrals for the services that are appropriate to the decision of the woman.
Bill· HRH.R. 395 (102nd)referred
United States · United States Congress · 3 January 1991
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. 381 (102nd)referred
United States · United States Congress · 3 January 1991
Authorizes to be appropriated, in addition to sums already authorized, a certain amount to the National Cancer Institute for breast cancer research other than research which involves treatment or clinical trials.
Bill· HRH.R. 338 (102nd)referred
United States · United States Congress · 3 January 1991
Amends the Internal Revenue Code, the Employee Retirement Income Security Act of 1974, and the Public Health Service Act to terminate a person's eligibility to receive benefits under mandated employee health benefit continuation coverage as soon as that person becomes eligible for coverage under another group health plan, as an employee or otherwise. Requires a 90-day qualifying period before obtaining continuation coverage benefits.
Bill· HRH.R. 343 (102nd)referred
United States · United States Congress · 3 January 1991
Amends part B (Supplementary Medical Insurance) of title XVIII (Medicare) of the Social Security Act to require that Medicare coverage denial notices provided to nonparticipating physicians and their patients include an explanation of such denial.
Bill· HRH.R. 319 (102nd)referred
United States · United States Congress · 3 January 1991
International Medical Graduates Anti-Discrimination Act of 1991 - Prohibits denying equal access to practice medicine in any jurisdiction in the United States to any person who is a practicing and licensed physician in any U.S. State and who is a graduate of a medical school outside the United States. Prohibits any law, regulation, policy, or requirements for obtaining or maintaining a license to practice medicine from discriminating against such a person. Establishes: (1) the National Repository of International Medical Graduate Records; and (2) the Advisory Council on Medical Licensure. Authorizes appropriations. Authorizes the Secretary of Health and Human Services to make grants for the development and administration of a uniform national medical licensing examination or set of examinations. Authorizes appropriations. Directs the Secretary to obtain on a periodic basis from the physician licensing authority of at least ten States certain information comparing the treatment of graduates from U.S. and Canadian medical schools with graduates of other medical schools. Makes it unlawful for a graduate medical residency training program to deny a post-graduate training position to a qualified individual who is a U.S. citizen or permanent resident and a graduate of a medical school outside the United States and Canada.
Bill· HRH.R. 290 (102nd)referred
United States · United States Congress · 3 January 1991
Medicaid Infant Mortality Amendments of 1991 - Amends title XIX (Medicaid) of the Social Security Act to phase-in mandatory State coverage of pregnant women and infants whose family income is below 185 percent of the Federal poverty level. Deducts child and medical care costs from the income eligibility test. Authorizes States to provide Medicaid coverage of prenatal home visitation services for high-risk pregnant women and/or postpartum home visitation services for high-risk infants.
Bill· HRH.R. 286 (102nd)referred
United States · United States Congress · 3 January 1991
Amends title XVIII (Medicare) of the Social Security Act to provide coverage under part B (Supplementary Medical Insurance) of the Medicare program for: (1) dentures; and (2) services furnished in connection with the care, treatment, filling, removal, or replacement of teeth or structures directly supporting teeth.
Bill· HRH.R. 287 (102nd)referred
United States · United States Congress · 3 January 1991
Amends title XVIII (Medicare) of the Social Security Act to cover, on an assigned basis, the services of registered nurses as assistants at surgery under part B (Supplementary Medical Insurance) of the Medicare program. Directs the Secretary of Health and Human Services to submit a report to the Congress by April 1, 1992, containing recommendations for adjustments in part B payments so that such payments approximate the costs of the services of physician assistants and registered nurses as assistants at surgery.
Bill· HRH.R. 279 (102nd)referred
United States · United States Congress · 3 January 1991
Directs the Secretary of Health and Human Services to make grants in FY 1991 through 1995 for the establishment or support of adolescent health demonstration projects. Requires such projects to: (1) provide nutrition and hygiene counseling, health care related to sports, family planning information and services, prenatal and postpartum care, family life and parenting counseling, and alcohol and drug abuse education and treatment; (2) serve adolescents before their graduation from high school; (3) encourage family participation; and (4) establish community advisory committees. Directs the Secretary to give priority to project applicants who will serve areas with low-income or minority populations. States that no grant funds may be used to perform or pay for abortions.
Bill· HRH.R. 276 (102nd)referred
United States · United States Congress · 3 January 1991
Hospital Closings Community Relief Act of 1991 - Amends title XIX (Medicaid) of the Social Security Act to require each State to implement a plan by FY 1993 for responding to the diminishment in the availability of health services in an area subject to a hospital closure.
Bill· HRH.R. 214 (102nd)referred
United States · United States Congress · 3 January 1991
Amends title XVIII (Medicare) of the Social Security Act to require the governing boards of hospitals and skilled nursing facilities having an average duration of stay of more than 30 days to establish written policies guaranteeing specified rights of patients, including: (1) information on services and charges; (2) information on and participation in medical treatment; (3) conditions of transfer or discharge; (4) grievances; (5) management of personal financial affairs; (6) freedom from abuse and restraints; (7) confidentiality of records; and (8) freedom of association. Directs the Secretary of Health and Human Services to establish civil penalties for the violation of such rights. Sets forth provisions concerning the processing and investigation of complaints arising from such violations.
Bill· HRH.R. 216 (102nd)referred
United States · United States Congress · 3 January 1991
Amends title XVIII (Medicare) of the Social Security Act to include, as a home health service, nutritional counseling provided by or under the supervision of a registered dietitian.
Bill· HRH.R. 215 (102nd)referred
United States · United States Congress · 3 January 1991
Directs the Administrator of the Environmental Protection Agency to develop a research program to: (1) assess the sources, amounts, composition, and disposal of infectious medical wastes; (2) determine the hazard to public health of such wastes; (3) compare incineration processes, autoclaving, and other disposal technologies; and (4) assess the status of U.S. medical waste management practices. Authorizes appropriations through FY 1995 to carry out this Act.
Bill· HRH.R. 213 (102nd)referred
United States · United States Congress · 3 January 1991
Amends title XVIII (Medicare) of the Social Security Act to authorize payment for specified services performed by chiropractors, including x-rays, physical examinations, and related routine laboratory tests.
Bill· HRH.R. 416 (102nd)referred
United States · United States Congress · 3 January 1991
Older Persons Comprehensive Counseling Assistance Act of 1991 - Title I: General Provisions - Authorizes appropriations for specified programs under this Act. Directs the United States Commissioner on Aging, through the National Information Resource Clearinghouse for the Aging, to collect, analyze, and disseminate information related to counseling services for older persons. Title II: Counseling Assistance Programs - Requires each State desiring a grant under this Act to submit a comprehensive State plan for providing counseling assistance to the elderly. Requires such plan to conform to specified criteria. Directs the Secretary of Health and Human Services to make grants to States having approved plans based on statewide needs and priorities. Permits the use of grants to fund counseling assistance outreach programs, preretirement counseling programs, career counseling assistance programs, referral services, community activities, and counseling for families of sick and disabled senior citizens. Sets forth requirements for State programs and for State training and retraining programs for counseling personnel. Directs the Commissioner on Aging to contract with postsecondary educational institutions and area agencies on aging for the purpose of providing needed training and retraining of counseling personnel. Directs the Commissioner on Aging to carry out a demonstration and evaluation program for specified purposes, including: (1) identification of existing effective practices in counseling older persons; (2) identification of areas where further development is needed; and (3) development of model training programs for professional counselors.
Bill· HRH.R. 330 (102nd)referred
United States · United States Congress · 3 January 1991
Refuge Wildlife Protection Act of 1991 - Amends the National Wildlife Refuge System Administration Act to require that any wildlife management or other activity which affects wildlife in any area of the System be conducted in the most humane manner possible. Permits the Secretary of the Interior to authorize any killing of a member of a wildlife species within any area of the System, based upon evidence that such killing is necessary for the health and habitat of wildlife species within the area, to protect public health and safety, and that non-lethal management alternatives are not available. Requires the Secretary to provide the scientific information upon which the authorization is based as well as details such as the numbers to be killed. Authorizes public hearings on such decisions unless an emergency exists. Authorizes the Secretary to contract out such killing. Authorizes the Secretary to donate the carcass to a charitable organization for a charitable purpose.
Bill· HRH.R. 384 (102nd)referred
United States · United States Congress · 3 January 1991
Federal Employees Health Care Freedom-of-Choice Act - Authorizes direct payment or reimbursement to be made to Federal employees under provisions relating to employee health benefits for services performed by a: (1) chiropractor; (2) marriage family therapist; and (3) mental health counselor. Declares that this Act does not supersede or preempt any State or local law which relates to licensing or certification of health practitioners.
Bill· HRH.R. 23 (102nd)open
United States · United States Congress · 3 January 1991
Enterprise Zone Jobs-Creation Act of 1991 - Title I: Designation of Enterprise Zones - Authorizes the Secretary of Housing and Urban Development (Secretary) to designate enterprise zones for purposes of providing tax and regulatory relief and improving local services. Limits choices to areas nominated by States and local governments. Limits the total number of areas that may be designated, and the time period of the designation. Authorizes the Secretary to designate a zone only if the area meets certain locational, demographic, unemployment, and poverty criteria. Requires nominating local governments, as a condition of the Secretary's designation, to agree in writing to follow a course of action that may include reducing tax rates, improving local services, simplifying or streamlining regulation of business, and providing job training to area residents. Describes areas to which the Secretary must give preference in selecting areas for designation. Requires the Secretary to report to the Congress every four years on the effects of such enterprise zones' designation in accomplishing the purposes of this Act. Title II: Federal Income Tax Incentives - Allows a nonrefundable income tax credit to enterprise zone employees for five percent of any wages earned as do not exceed a specified amount. Phases out such credit. Provides for the nonrecognition of capital gain on the sale of enterprise zone property. Allows a taxpayer a deduction on the aggregate amount paid for the purchase of enterprise stock on its original issue by a qualified issuer. Requires any gain from the disposition of the stock to be treated as ordinary income. Title III: Regulatory Flexibility - Amends Federal law to revise the definition of "small entity" for purposes of the analysis of regulatory functions to include qualified business, government, and nonprofit enterprises operating within enterprise zones. Authorizes Federal agencies, upon request by a designating government, to waive or modify rules and regulations pertaining to the implementation of projects or activities within an enterprise zone. Requires agencies to approve the request if the resulting benefits of job creation, community development, or economic revitalization outweigh the public interest in retaining the rule unchanged. Disallows waiver or modification of a rule that would directly violate a statutory requirement or present a danger to the public health and safety. Title IV: Establishment of Foreign-Trade Zones in Enterprise Zones - Requires the Foreign-Trade Zone Board to consider on a priority basis and to expedite the processing of applications for the establishment of foreign-trade zones within enterprise zones. Requires the Secretary of the Treasury to give priority to, and expedite applications for, the establishment of ports of entry necessary to establish such zones. Title V: Repeal of Title VII of the Housing and Community Development Act of 1987 - Repeals title VII (enterprise zone development) of the Housing and Community Development Act of 1987.
Bill· HRH.R. 12 (102nd)referred
United States · United States Congress · 3 January 1991
Beaches Environmental Assessment, Closure, and Health Act of 1991 - 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 water quality standards for such waters consistent with such criteria. Directs the Administrator to promulgate standards for States that fail to do so. 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. Directs States to notify local governments and the public of violations of water quality standards for coastal recreation waters. 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. Authorizes States to delegate responsibility for monitoring and posting of coastal recreation waters to local governments. Directs the Administrator to conduct an ongoing study and report to the Congress on additional information for developing better indicators for detecting the presence of 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. Permits the use of grants for the acquisition of beach and coastal recreation water clean-up equipment. Authorizes the Administrator to make grants to States to fulfill requirements under this Act. Limits the total amount of grants to States. Authorizes appropriations.
Bill· HRH.R. 10 (102nd)open
United States · United States Congress · 3 January 1991
Title I: National Development Investment - Amends the Public Works and Economic Development Act of 1965 to cite such Act as the National Development Investment Act and to revise the emphasis of such Act from primary Federal initiative to coordination of investments between the public and the private sectors. Authorizes the Secretary of Commerce, upon the application of an eligible State, economic development district, distressed local government, Indian tribe, or nonprofit economic development organization, to make a grant for a portion of the cost of projects submitted in a development investment strategy. Sets forth activities eligible for such development investment assistance, including: (1) construction and repair of public facilities; (2) revolving loan funds to promote small business; (3) feasibility studies to enhance the investment climate; and (4) development activities which prevent economic dislocation and promote employee ownership organizations. Requires an application for a grant under this Act to include: (1) a certification that the area concerned meets certain distress requirements; (2) a certification of any responsibilities which the Secretary has agreed to perform; and (3) a development investment strategy prepared in accordance with this Act. Requires the Secretary to consider specified purposes of this Act in approving applications. Lists as criteria any one of which an area must meet in order to be eligible for a grant under this Act: (1) a per capita income of 80 percent or less of the national average; (2) an unemployment rate one percent above the national average for the most recent 24-month period for which statistics are available; or (3) a sudden economic dislocation resulting in job losses. Authorizes the Secretary to make grants to establish a revolving loan fund for making or guaranteeing loans to small businesses for initial or working capital, or for the purchase of facilities or equipment. Limits to $1,000,000 the amount of any such grant. Limits the amount of any grant under this Act to a maximum of 50 percent of the cost of completing the project as determined at the time of the grant application. Permits the Secretary to reduce or waive the non-Federal share of a project in the case of an Indian tribe. Limits expenditures in any one State to a maximum of 15 percent of the appropriations made pursuant to this Act, except for expenditures to Indian tribes. Prohibits the Secretary from obligating more than $2,000,000 in any fiscal year to any person, other than grants for employee ownership organizations. Requires the Secretary, each fiscal year, to obligate minimum amounts of funds for such grants. Authorizes the Secretary to make economic development planning grants to States, economic development districts, Indian tribes, distressed counties, and distressed units of local government. Earmarks such grants for coordination of investment for community facilities, economic development, manpower training, and transportation services. Authorizes the Secretary to evaluate Federal, State, and local development investment efforts. Authorizes the Secretary to conduct any demonstration program to test the feasibility of new ways to increase productivity, foster innovative technology, match labor force with labor markets, or encourage economic diversity and regional balance. Authorizes the Secretary to make grants to colleges, universities, and other nonprofit educational and research organizations. Directs the Secretary to conduct a study to determine financing needs for the construction and repair of public facilities. Requires the Secretary to submit to each House of the Congress a detailed statement, including findings and recommendations, concerning such financing needs. Limits the amount of any such grant to not more than 75 percent of the cost of economic development planning or investment strategy preparation. Authorizes the Secretary to consult with other persons and agencies. Prohibits the approval of any grant unless the Secretary is satisfied that the project concerned will be properly and efficiently administered, operated, and maintained. Permits the Secretary to discharge responsibilities relative to a project by accepting a certification of the grant applicant's performance of such responsibilities. Requires the Secretary to make comprehensive annual reports to the Congress detailing operations under this Act. Requires all laborers and mechanics employed by contractors or subcontractors on projects assisted under this Act to be paid the prevailing rate of wages. Requires the Secretary to maintain and make available for public inspection records of approved applications. Requires each recipient of a grant to maintain certain specified records. Allows the Secretary and the Comptroller General access to all records of such recipients. Authorizes appropriations through FY 1994. Title II: Appalachian Regional Development - Appalachian Regional Development Act Amendments of 1987 - Amends the Appalachian Regional Development Act of 1965 to declare that investments under such Act shall also be made in severely distressed and underdeveloped counties lacking resources for basic services. Authorizes appropriations through FY 1996 for the administrative expenses of the Appalachian Regional Commission. Authorizes the Commission to lease office space through FY 1994. Authorizes appropriations through FY 1998 for the Appalachian development highway system. Increases from 70 to 80 percent the subsequent Federal share of an Appalachian development highway segment when a participating State proceeds to construct a segment of such a highway without the aid of Federal funds. Applies such increase to projects approved after March 31, 1979. Authorizes the Commission to make grants to States and public and nonprofit entities for projects which will: (1) assist in the creation or retention of permanent private sector jobs, the upgrading of the region's manpower, or the attraction of private investment; (2) provide special assistance to severely distressed and underdeveloped counties which lack financial resources for improving basic services; (3) assist in achieving the goal of making primary health care accessible in the region; or (4) otherwise serve the purposes of this Act. Prohibits the authorization of any financial assistance to enable plant subcontractors to undertake work previously performed in another area by other subcontractors or contractors. Prohibits grants with funds authorized after October 1, 1991, from exceeding 50 percent of the costs of any approved project. Permits such grants to increase the Federal contribution to any project to such percentage as the Commission determines, within specified limitations. Authorizes appropriations through FY 1996. Extends the termination date of such Act from 1982 to October 1, 1994.
Bill· HRH.R. 2 (102nd)open
United States · United States Congress · 3 January 1991
Family and Medical Leave Act of 1991 - Title I: General Requirements for Leave - Establishes certain requirements for family and medical leave for permanent employees. (Excludes from such coverage: (1) employees at worksites at which the employer employs less than 50 persons, if the total number of employees of that employer within 75 miles of that worksite is less than 50; and (2) Federal officers and employees covered under title II of this Act.) Entitles employees to 12 workweeks of leave during any 12-month period because of: (1) the birth of their child; (2) the placement of a child for their adoption or foster care; (3) their care of a child, spouse, or parent who has a serious health condition; or (4) their own serious health condition which makes them unable to perform the functions of their position. Conditions such leave for the birth or placement of a child as follows: (1) the entitlement ends 12 months after the birth or placement; (2) both parents may not take such leave at the same time; and (3) such leave may not be taken intermittently unless employee and employer agree otherwise. Allows all leave to which an employee is entitled under this title: (1) to be taken on a reduced leave schedule, upon agreement with the employer; and (2) to consist of unpaid leave, except under specified conditions when substitution of certain types of paid leave may be elected or required. Declares that nothing in this Act shall require an employer to provide paid sick or medical leave in any situation in which the employer would not normally provide any such paid leave. Requires employees to: (1) give reasonable notice of the need for leave to which they are entitled under this Act, when foreseeable; and (2) make a reasonable effort to schedule medical treatment or supervision so as not to disrupt unduly the employer's operations, subject to approval of the health care provider. Allows limitation of the dual aggregate leave entitlement to 12 weeks in any 12-month period, in the case of spouses employed by the same employer, if such leave is for the birth or placement of a child or for the care of a sick parent. Sets forth conditions of certification for leave entitlements under this Act, including provisions relating to: (1) sufficient certification; (2) explanation of inability to perform job functions; (3) second opinion; (4) resolution of conflicting opinions; and (5) subsequent recertification. Sets forth employment and benefits protections relating to leave entitlements under this Act, including provisions relating to: (1) restoration to position; (2) denial of such restoration in the case of certain highly compensated employees; (3) maintenance of health benefits; and (4) no bar to agreement concerning alternative employment. Prohibits employers or other persons from interfering with employee rights under this Act or from discriminating against any individual because of participation in proceedings or inquiries under this Act. Provides for administrative enforcement of this title by the Secretary of Labor, as well as enforcement by civil action. Sets forth provisions for investigative authority, injunctive and monetary relief, attorneys' fees, and limitation of actions. Sets forth special rules concerning employees of local educational agencies, including provisions relating to intermittent leave for instructional employees, periods near the completion of an academic term, and reduction of liability. Requires employers to post notice of the pertinent provisions of this title. Requires fines for willful violations of such requirement. Directs the Secretary of Labor to prescribe regulations to carry out this title. Title II: Family Leave and Temporary Medical Leave for Civil Service Employees - Amends specified Federal law to entitle civil service employees to family and temporary medical leave for specified periods. Allows such employees up to: (1) 18 administrative workweeks in any 24-month period for family leave (i.e., leave because of the birth or placement of a child or care of a sick child or parent), but such leave may not be used at a time more than 12 months after such birth or placement; and (2) 26 administrative workweeks during any 12-month period for temporary medical leave. Provides that such leave will be without pay. Allows employees to substitute other types of paid leave for part of such leave. Provides for protection for job position and health insurance benefits of employees using such leave. Sets forth certification provisions and prohibitions against coercion. Directs the Office of Personnel Management to prescribe regulations for administration of this title which are consistent with the regulations prescribed by the Secretary of Labor under title I of this Act. Title III: Commission on Leave - Establishes the Commission on Leave. Requires the Commission to report on its study of family and medical leave (which may include legislative recommendations concerning coverage of small businesses and alternative and equivalent State enforcement of this Act with respect to employees of local educational agencies) to the Congress within two years after the Commission first meets. Terminates the Commission within 30 days after its report to the Congress. Title IV: Miscellaneous Provisions - Sets forth the effect of this Act on existing laws and existing employment benefits. Provides that nothing in this Act shall be construed to discourage employers from adopting more generous leave policies. Directs the Secretary of Labor to prescribe regulations to carry out this title within 60 days. Title V: Coverage of Congressional Employees - Applies the rights and protections under title I of this Act to employees of the House of Representatives, except for the exemption concerning highly compensated employees. Requires that the remedies and procedures under the Fair Employment Practices Resolution be applied in administering such coverage.
Bill· HRH.R. 33 (102nd)open
United States · United States Congress · 3 January 1991
Drug Testing Quality Act - Amends the Public Health Service Act to establish a program for the certification of laboratories for the performance of toxicological urinalysis for drug testing programs. Requires the program, as much as practicable, to conform to specified mandatory guidelines for Federal workplace drug testing programs published by the Department of Health and Human Services (HHS guidelines). Mandates regulations to ensure the integrity of drug testing programs. Requires the regulations to conform, as much as practicable, to the HHS guidelines. Provides for the inclusion of additional drugs and classes of drugs for which test methods and cutoff levels are provided. Requires taking into consideration any special factors applicable to amateur athletics. Sets forth specimen collection procedures. Prohibits performing urinalysis for drug testing without certification. Provides for criminal penalties, administrative remedies, injunctions, and certain civil actions. Supersedes less stringent statutes, rules, regulations, orders, and laws. Preempts State or local requirements regarding drug testing laboratory certification or the conduct of testing programs. Requires fees for certification and recertification to cover costs.
Bill· HRH.R. 21 (102nd)referred
United States · United States Congress · 3 January 1991
Anti-Apartheid Act Amendments of 1989 - Title I: Sanctions Against Investment in, and Exports to, South Africa and Other Measures (Except Import Restrictions) to End Apartheid - Part A: Amendments to the Comprehensive Anti-Apartheid Act of 1986 and Other Laws - Amends the Comprehensive Anti-Apartheid Act of 1986 to prohibit any investments in South Africa by U.S. persons. Makes exceptions to such prohibition for: (1) investments in a business enterprise 90 percent owned and controlled by South Africans economically and politically disadvantaged by apartheid; and (2) investments made by certain individuals during any period and to the extent that such investments are considered South African emigrant non-resident assets and subject to transfer or disposition restrictions. Authorizes a person to apply for, and the President to grant for good cause, a waiver of such prohibition for up to 180 days. Requires U.S. controlled South African entities that are subject to the investment prohibition and that employ more than 24 South Africans economically and politically disadvantaged by apartheid to: (1) notify employees and employee organizations not less than 90 days prior to termination of the U.S. investment in such entity; and (2) enter into good faith negotiations with representative trade unions regarding the terms of such termination. Prohibits the exportation or reexportation to South Africa of any goods or technology subject to U.S. jurisdiction. Prohibits any such exportation or reexportation by any person subject to U.S. jurisdiction. Exempts from such prohibition publications, donations of food, clothing, and medical supplies, commercial sales of agricultural commodities and products, and goods and technology for use in the gathering or dissemination of information by news media organizations subject to U.S. jurisdiction. Makes such prohibitions inapplicable to: (1) any goods that are the direct product of technology of U.S. origin under a written agreement entered into on or before April 20, 1988, and that are exported within one year of the enactment of this Act; (2) economic assistance or human rights programs for disadvantaged South Africans, South African blacks or other nonwhite South Africans, or victims of apartheid in South Africa; and (3) contributions to charitable organizations engaged in social welfare, public health, religious, educational, or emergency relief activities in South Africa. Repeals specified provisions of the Comprehensive Anti-Apartheid Act of 1986 that: (1) prohibit certain exports to, imports from, and investments in South Africa; (2) set forth U.S. policy toward the recruitment and training of black South Africans; and (3) prohibit U.S. intercession with any foreign government regarding export activities of certain U.S. nationals in South Africa who are not implementing the Code of Conduct. Revises the definition of "loans" for purposes of such Act to prohibit short-term trade financing, sales on open account, and rescheduling of existing loans. Adds other definitions for purposes of such Act. Prohibits any U.S. agency or entity involved in intelligence activities from engaging in any form of cooperation with the Government of South Africa (specifically including the authorities administering Namibia so long as Namibia is illegally occupied). Prohibits any U.S. agency or entity from engaging in any form of cooperation with the armed forces of South Africa. Prohibits funds made available by the Congress from being obligated or expended for any expense related to any prohibited cooperation. States that the President should not: (1) assign or detail any member of the U.S. armed forces to serve as a defense or military attache in South Africa; or (2) accredit any individual to serve as a defense or military attache at a South African diplomatic mission in the United States. Repeals provisions of the Intelligence Authorization Act for Fiscal Year 1987 concerning restrictions on intelligence agency cooperation with South Africa. Prohibits the Secretary of Energy from authorizing any person to engage, directly or indirectly, in the production of special nuclear materials in South Africa. States that South Africa's granting of independence to Namibia is a major policy goal of the United States. Includes such granting of independence as one of several actions South Africa must take to have U.S. sanctions terminated. Revises penalty provisions of the Comprehensive Anti-Apartheid Act of 1986. Establishes within the Department of State a Coordinator of South Africa Sanctions who shall be responsible to the Secretary of State for matters pertaining to the implementation of sanctions against South Africa. Directs the Coordinator to place emphasis on activities related to strategically important trade in oil, coal, computers, specialized machinery and arms, and to financial credits. Sets forth the responsibilities of the Secretary of State in leading and coordinating the activities of other agencies in implementing and enforcing the Comprehensive Anti-Apartheid Act of 1986 and in monitoring other nations' economic relations with South Africa. Requires the Secretary to report annually to the Congress on actions to monitor and enforce such Act and on economic relations between South Africa and each of its trading partners. Establishes an Inter-Agency Coordinating Committee on South Africa to coordinate and monitor the implementation of such Act. Revises provisions of such Act regarding the Code of Conduct and expanded participation in the South African economy. Requires Federal agencies to make efforts to assist businesses more than 90 percent (currently, 50 percent) owned by black or nonwhite South Africans. Amends the Export-Import Bank Act of 1945 to require the Bank to insure or participate in the extension of credit to businesses more than 90 percent owned (currently, majority owned) and controlled by black or nonwhite South Africans. Amends the Foreign Assistance Act of 1961 to permit the use of a specified amount of funds authorized for economic development assistance for assistance to disadvantaged South Africans. Specifies that such assistance may include scholarships, the promotion of the participation of disadvantaged South Africans in trade unions and private enterprise, alternative education and community development programs, and training and other assistance (including legal aid) for South African journalists. Lists major trade union federations in South Africa and Namibia as examples of recipients of U.S. assistance to the labor movement. Earmarks a specified amount of such funds for refugee education and assistance for South Africans and Namibians. Prohibits any U.S. person from providing transport to South Africa of a commercial quantity of crude oil or refined petroleum products. Includes in such prohibition transport on a vessel of U.S. registry or on a vessel owned by a U.S. person. Prohibits the Secretary of the Interior from issuing any mineral lease to any national of the United States which is controlled by any foreign person who purchases, acquires, owns, or holds any investment in South Africa or who exports crude oil or refined petroleum products to South Africa. Authorizes the President to waive such prohibitions under specified conditions. Part B: Policy Statements; Reports; Studies; and Other Miscellaneous Provisions - Expresses the sense of the Congress that the President should: (1) direct the Attorney General to conduct an antitrust investigation of the South African controlled international diamond cartel; (2) direct the Secretary of Commerce and the Commissioner of Customs to study the feasibility of identifying at the port of entry the national origin of diamonds entering the United States; and (3) ensure effective and rigorous enforcement of a prohibition on the importation into the United States of uncut South African diamonds by taking specified measures. Expresses the sense of the Congress that: (1) the President should close two of South Africa's consulates general, eliminate all honorary consuls of South Africa in the United States, and forbid expansion of South Africa's embassy staff; and (2) approval of temporary U.S. visas should be granted on a case-by-case basis after considering South Africa's record of allowing its citizens, including apartheid opponents, to travel to the United States. Requires the President to study and report to the Congress on measures to reduce South Africa's foreign exchange earnings from gold. Directs the Secretary of State to report to the Congress on South Africa's involvement in international terrorism. Title II: Sanctions Against South African Imports Into the United States - Prohibits the importation into the United States of any article from South Africa, except: (1) strategic minerals which the President certifies to the Congress are essential for military or economic purposes and are not available from alternative reliable suppliers or through improved manufacturing processes, conservation, recycling, and economical substitution; and (2) publications. Specifies that such prohibition includes: (1) krugerrands or any gold coin minted in South Africa or offered for sale by the Government of South Africa; (2) uranium hexafluoride that has been manufactured from South African uranium or uranium oxide; and (3) fish or seafood which are products of South Africa. Exempts from such prohibition any imports from business enterprises in South Africa that are wholly-owned by persons economically or politically disadvantaged by apartheid. Requires the President to confer with other industrialized democracies in order to reach cooperative agreements to impose sanctions against South Africa to bring about the dismantling of apartheid. Requires the President to report to the Congress concerning such efforts. Requires (currently, encourages) the President to seek United Nations Security Council adoption of the same sanctions against South Africa as are imposed by the United States. Requires (currently, authorizes) the President to impose penalties against foreign persons taking significant commercial advantage of U.S. sanctions against South Africa or comparable sanctions of other industrialized democracies. Includes as such a penalty the restriction of such a person from contracting with U.S. Government entities. Allows the President to waive such penalties for foreign persons of an industrialized democracy that is a party to a cooperative agreement to impose sanctions against South Africa. Requires the President to revoke such waiver if the industrialized democracy is not adequately enforcing the measures provided for under the agreement. Requires that information concerning the extent to which import restrictions are being enforced by other industrialized democracies be included in the Secretary of State's annual report to the Congress. Sets forth provisions pertaining to committee referral in the House of Representatives of joint resolutions pertaining to import restrictions. Requires the President, through the Secretary of Commerce, to submit periodic reports to the Congress setting forth the average amounts of imports of coal or any strategic and critical material entering the United States from each member and observer country of the Council for Mutual Economic Assistance. Requires the President to report annually to the Congress on the program to reduce U.S. dependence on strategic minerals from South Africa. Requires the President to confer with the governments of the African "frontline" States on measures to prevent the circumvention of the import restrictions on South African products imposed under the authority of this Act. Title III: General Provisions - Makes conforming amendments and sets forth the effective date of this Act.
Bill· HRH.R. 170 (102nd)referred
United States · United States Congress · 3 January 1991
Ground Water Safety Act of 1991 - Amends the Federal Insecticide, Fungicide, and Rodenticide Act (FIFRA) to require a pesticide registrant or reregistrant to submit information to the Administrator of the Environmental Protection Agency (EPA) regarding the pesticide's potential for groundwater leaching. Directs the Administrator, upon such registration, to determine a pesticide's leaching potential. Requires registrants, in the case of a positive leaching potential, to: (1) develop management practices to minimize such leaching; (2) disseminate such management information to applicators; and (3) conduct groundwater monitoring. Requires a registrant, upon detection of groundwater contamination, to notify EPA, the State, the owner of the property, and any other person(s) relying on the underground source for drinking water or household needs. States that if such contamination reaches or is likely to reach 25 percent of the EPA-established groundwater residue guidance level, the Administrator shall amend the registration to impose further restrictions on the pesticide's use. States that if contamination reaches 50 percent of the groundwater residue guidance level, the Administrator shall notify and provide relevant information to the affected State(s). Directs the Administrator, if an affected State fails to act, to prohibit the pesticide's use in the vicinity of the underground source of drinking water. Directs the Administrator to: (1) collect and make available to the public information on groundwater pesticide contamination; (2) provide technical assistance to States for groundwater protection programs; (3) conduct research activities to monitor the presence of pesticides in the unsaturated zone; and (4) enter into agreements with the Departments of Agriculture, Commerce, and the Interior to develop information systems for State and local officials, farmers, and applicators regarding soil, climate, and hydrology at specific pesticide use sites. Authorizes FY 1992 through 1996 appropriations. Requires States to develop and submit for EPA approval pesticide water pollution prevention programs. Authorizes: (1) the Administrator to provide financial assistance; and (2) FY 1992 through 1996 appropriations. Amends the Public Health Service Act to authorize the Administrator to issue groundwater residue guidance levels for FIFRA-registered pesticides. Amends the Clean Water Act to authorize FY 1992 through 1996 appropriations for EPA research in developing management practices to control pesticide contamination of surface and groundwaters.
Bill· HRH.R. 166 (102nd)referred
United States · United States Congress · 3 January 1991
Health Care Crisis Policy Commission Act - Establishes the Health Care Crisis Policy Commission which shall conduct a study and report to the President and the Congress within two years of this Act's enactment on the cost, efficiency, and delivery of medical care in the United States. Terminates the Commission ten days after its report is submitted.
Bill· HRH.R. 148 (102nd)referred
United States · United States Congress · 3 January 1991
Ovarian Cancer Research Act of 1991 - Directs the Secretary of Health and Human Services, through the Director of the National Institutes of Health and the Director of the National Cancer Institute, to conduct or support basic research on certain aspects of ovarian cancer. Prohibits the Secretary from conducting or supporting clinical research on the same matters. Authorizes appropriations.
Bill· HRH.R. 82 (102nd)referred
United States · United States Congress · 3 January 1991
United States Commission on Obesity Act - Establishes the United States Commission on Obesity which shall: (1) conduct research regarding the causes and treatment of obesity; (2) study the fast-food industry's influence on obesity and diet habits; and (3) engage in public education programs regarding the health and social effects of obesity and promoting exercise and diet as a means of preventing and controlling obesity. Authorizes the Commission to make grants to institutions of higher education or public or private research institutions to research the metabolic differences between obese and nonobese individuals and among ethnic groups and the acquisition of healthy diet habits and attitudes in young persons.
Bill· HRH.R. 96 (102nd)referred
United States · United States Congress · 3 January 1991
Medicaid Eligibility and Benefits Expansion Act of 1991 - Amends title XIX (Medicaid) of the Social Security Act to require States to provide Medicaid coverage to pregnant women and infants whose family income does not exceed 150 percent of the Federal poverty level. Requires States to cover all individuals with family incomes up to 120 percent of the poverty level. Considers certain pensions, annuities, and disability benefits as earnings in determining the continued Medicaid eligibility of disabled individuals whose earnings disqualify them for benefits under the Supplemental Security Income (SSI) program (title XVI of the Social Security Act). Expands Medicaid coverage of children to include children who would be SSI-eligible if they were not in an institution. Provides temporary Medicaid coverage for dependents of unemployed individuals. Allows States to provide Medicaid coverage for routine annual screening for breast and colon cancer and instruction in healthy living. Permits States to require individuals whose family income equals or exceeds 100 percent of the Federal poverty level to make coinsurance payments with respect to services provided under State Medicaid plans. Prohibits coinsurance payments from exceeding two percent of the reasonable cost of providing the service. Directs the Secretary of Health and Human Services to: (1) evaluate on a regular basis the cost and quality of services provided under Medicaid; and (2) report to specified congressional committees on overpriced or poor quality services.
Bill· HRH.R. 83 (102nd)referred
United States · United States Congress · 3 January 1991
Prohibits the use of Federal funds for abortions, except when continuing the pregnancy would endanger the mother's life.
Bill· HRH.R. 16 (102nd)referred
United States · United States Congress · 3 January 1991
National Health Insurance Act - Title I: Benefits and Eligibility - Makes medical, dental, podiatric, home-nursing, hospital, and auxiliary services available as benefits to eligible individuals and defines such services. Directs the National Health Insurance Board, established by this Act, to survey the resources and needs of each State and to develop in each State a program to assure maximum participation and use of health personnel and facilities. Authorizes the Board to limit health services when personnel, facilities, or funds are inadequate to ensure the provision of all services. Allows every individual eligible for personal health services available under this Act to select the physician, dentist, podiatrist, nurse, medical group, or hospital to render services and to change such selection under certain circumstances. Sets forth eligibility requirements. States that the United States shall be subrogated to all rights of an individual who receives benefits under this Act with respect to any workers' compensation injury or disability. States that Federal grants to States under title XIX (Medicaid) and part A of title IV (Aid to Families with Dependent Children) of the Social Security Act shall be available to the States for provision of personal health services for noninsured needy individuals. Title II: Participation of Physicians, Dentists, Nurses, Hospitals, and Others - Prescribes criteria to govern which physicians, dentists, podiatrists, nurses, hospitals, or providers of auxiliary services will be deemed qualified to perform services under this Act. Authorizes specified State agencies to enter into agreements with qualified individuals or with organizations for the provision of personal health services. Lists provisions to be included in such agreements, including methods of payment for services. Sets standards applicable to rates or amounts of payment for services rendered as benefits under this Act. Directs that such rates and amounts be adapted to take into account relevant regional, State, or local conditions and practices. Authorizes patient limits. Allows health care providers entering into an agreement under this title to accept or reject patients. Title III: Local Administration - Decentralizes the responsibility for administration of this Act's benefit provisions to local administrative committees or local administrative officers within health-service areas designated by each State. Lists the duties of such local administrative committees or officers. Requires the establishment in each health-service area of: (1) a local area committee; and (2) local professional committees representative of the health care providers in the area to assist local administrative committees and officers. Title IV: State Administration - Expresses the intent of the Congress that this Act's benefit provisions be administered by each of the several States, in accordance with an approved plan of operations. Catalogs provisions that must be included in such a plan. Describes procedures to be followed if a State: (1) fails to submit a plan; or (2) fails to comply with an approved plan. Title V: National Health Insurance Board; National Advisory Medical Policy Council; General Administrative Provisions - Establishes in the Department of Health and Human Services a National Health Insurance Board to administer the provisions of this Act. Establishes a National Advisory Medical Policy Council to advise the Board regarding matters of general policy, the formulation of regulations, and the establishment of professional standards. Requires the Board to undertake certain studies and to make reports to the Congress at specified times. Title VI: Eligibility Determinations, Complaints, Hearings, and Judicial Review - Requires the Secretary of Health and Human Services to determine benefit eligibility. Describes procedures for complaint investigation and adjudication. Title VII: Application of Act to Individuals Covered Under Medicare Program - States that when an individual is entitled to hospital insurance benefits under Medicare, the personal health services available as benefits under this Act shall be limited to those services for which the individual is ineligible under the Medicare program. Directs the Secretary of Health and Human Services to carry out a study of the interrelationship between the program of national health insurance under this Act and the Medicare program. Requires that the Secretary submit to the President and to the Congress, within one year of this Act's enactment, a report of such study, along with certain findings and detailed recommendations. Title VIII: Fiscal Provisions - Declares that funds in the National Health Care Trust Fund, created by this Act, shall be available, subject to exception, for all expenditures necessary or appropriate to carry out this Act. Directs the Board to determine: (1) amounts to be made available from the Fund during a given fiscal year for the provision of various classes of personal health services benefits; and (2) allotments to be made to the States for the provision of such benefits. Sets standards to govern the Board's determinations. Authorizes the Board to make grants to: (1) certain educational institutions or agencies in order to fund endeavors that show promise of making valuable contributions to the training of personnel providing or administering benefits under this Act; and (2) certain individuals participating in courses relating to the provision or administration of personal health services benefits. Authorizes appropriations. Title IX: Miscellaneous Provisions - Defines terms used in this Act. States that personal health services shall first become available as benefits under this Act on October 1, 1992. Title X: Value Added Tax and National Health Care Trust Fund - Amends the Internal Revenue Code to impose a five-percent tax on the taxable amount of each taxable transaction (the sale of property, performance of services, and importing of property by a taxable person in a commercial-type transaction). Sets the tax rate at zero for: (1) retail food, principal residence housing (sale and rental), and medical care; (2) certain transactions involving governmental entities; (3) in certain circumstances, specified tax-exempt organizations. Allows as a tax credit the aggregate tax which has been paid by sellers to the taxpayer of property and services which the taxpayer uses in the business to which the transaction relates. Makes the person selling the property or services liable for the tax. Requires the seller to give the purchaser a tax invoice if the seller has reason to believe that the purchaser is a taxable person. Allows a person whose aggregate taxable transactions for the current calendar year and the next calendar year do not exceed specified amounts to elect to be treated as a non-taxable person for the next calendar year, except for: (1) sale or leasing of real property; and (2) importing. Allows the taxpayer to elect, in certain circumstances, to treat: (1) two taxable businesses as one taxable person; and (2) separate divisions of the same business as separate taxable persons. Mandates notification to the Secretary of the Treasury of any change in the form of a business which might affect the administration of taxes under this Act. Sets forth special rules relating to: (1) coordination with subtitle A of the Internal Revenue Code; (2) sales which include incidental services and services which include incidental transfers of property; (3) zero rating de minimis transactions; (4) treating importing as both selling and purchasing; (5) treating subchapter S corporations as not corporations; and (6) property and services held for use. Treats as a taxable transaction: (1) personal use by an owner of business property or services; and (2) any gift of business property or services. Sets forth special rules regarding: (1) dispositions of nonbusiness real property; and (2) insurance contracts. Establishes in the Treasury the National Health Care Trust Fund. Appropriates to the Fund amounts equivalent to the amounts received from the value added tax. Allows the Fund to be used only to carry out the program of health benefits under this Act. Title XI: Study and Development of Cost Control Mechanisms - Directs the Secretary of Health and Human Services to: (1) conduct a study on controlling costs of benefits under this Act, including the effects of the costs on medical malpractice claims and malpractice insurance; (2) report to the Congress; and (3) implement recommendations in the report.
Bill· HRH.R. 8 (102nd)referred
United States · United States Congress · 3 January 1991
Comprehensive Health Care for All Americans Act (Claude Pepper Comprehensive Health Care Act) - Division A: Comprehensive Health Care Act - Comprehensive Health Care Act - Title I: Universal Eligibility and Enrollment - Makes a U.S. resident who is a lawful resident alien or a U.S. citizen or national eligible to enroll in a health plan approved by the Comprehensive Health Care (CHC) program of the State in which he or she resides. Allows the National CHC Board to make classes of nonimmigrant aliens eligible for coverage. Makes the enrollment of Medicare (title XVIII of the Social Security Act) beneficiaries applicable only to benefits not covered by the Medicare program. Title II: Benefits and Providers - Lists the basic health services which health plans must provide, to which Federal funding will be limited, and which may not include items or services for which Medicare coverage is unavailable. Permits States or health plans to offer additional health care benefits. Prohibits private health insurance from duplicating basic health service coverage. Restricts limitations on the amount, duration, or scope of basic health services to be provided to enrollees. Makes Medicare provider standards applicable to providers of basic health services. Authorizes the National CHC Board to impose additional conditions on providers of high-risk, high-cost, elective, or over-utilized items or services. Title III: Financing - Sets forth the procedure for determining CHC program budgets and the formula for determining the Federal share of expenditures. Establishes a Health Security Partnership Fund for each State into which revenues to finance the CHC program shall be placed. Requires each State CHC program to make monthly payments to health plans equal to their adjusted average per capita costs for required services provided to each class of enrollee they serve. Requires providers to accept payment from health plans on an assigned basis. Directs the National CHC Board to develop financial incentives in payment methods to promote a continuum of care. Pays institutional providers pursuant to a biennial prospective budgeting system to be developed by each State. Pays physicians pursuant to payment schedules based on a national relative value scale to be developed by the National CHC Board, but allows alternative payment mechanisms if they are no more costly than the payment schedules. Makes CHC payment methodologies established in a State applicable to Medicare payments for services furnished in such State. Provides States with Federal funds for implementing their CHC programs. Limits the cost-sharing amounts health plans may charge enrollees. Bans the imposition of any cost-sharing requirements on individuals whose family income is less than 200 percent of the Federal poverty level. Establishes the Federal Long-Term Care Trust Fund from which Federal payments to States for long-term care benefits in the State shall be made. Title IV: Administration - Establishes a National CHC Board as an independent agency responsible for the overall administration of the Comprehensive Health Care Act. Directs each State to submit its CHC program to the National CHC Board for review of the program's compliance with specified requirements. Imposes sanctions against States whose program fails to meet such requirements and who fail to take corrective action within 90 days of a finding of noncompliance. Requires the National CHC Board to establish a National Commission on Quality to establish, evaluate, and update national minimum standards to assure the quality of CHC services and to monitor State CHC Boards' quality assurance efforts. Requires each State CHC Board to establish a State Commission on Quality to implement national minimum standards in each State. Directs the National CHC Board to establish a National Advisory Commission on Technology Assessment and Clinical Effectiveness to make recommendations related to the effectiveness of health care items and procedures, and the possible coverage of new drugs and technological procedures and discontinuance from coverage of inefficient procedures. Establishes a National Resources Equalization Fund to be administered by the National CHC Board and used to augment the capability of medically underdeveloped areas to provide CHC services and to strengthen their abilities to provide local services. Authorizes appropriations for such Fund. Title V: Effective Dates; Transition; Relation to Other Programs - Makes the CHC program applicable to health care services furnished during the third calendar year beginning after this Act's enactment. Authorizes appropriations for the planning and development of State CHC programs. Requires Federal Employee Health Benefit Plans to be CHC-approved. Establishes the CHC program's relationship to other health care programs, making the Medicare program the primary payor in the event of duplicative CHC program coverage and the Medicaid program (title XIX of the Social Security Act) inapplicable in States having an operative State CHC program. Division B: Life Care Long-Term Care Protection Act - Lifecare Long-Term Care Protection Act - Adds a new title to the Social Security Act: Lifecare Long-Term Care Protection Program. Requires Long-Term Care Screening Agencies to assess individuals' eligibility for home and community-based care and Long-Term Care Case Management Agencies to conduct comprehensive needs assessments of eligible individuals, develop plans of care for such individuals, review such plans at least once every three months, and maintain a registry of qualified providers of home and community-based and nursing home care to assist individuals in choosing qualified providers to carry out their care plan. Sets the method for determining State fund contributions. Requires that the family be treated as a partner in the provision of long-term care. Sets forth eligibility requirements for home and community-based care services, including requirements that the individual be: (1) 65 or older, under age 19, or eligible for benefits under part A (Hospital Insurance) of title XVIII (Medicare) of the Social Security Act as the result of a disability; and (2) dependent, cognitively impaired, or unable to perform daily living activities without assistance or supervision. Enumerates the criteria for receipt of respite care benefits. Lists those entities considered to be qualified service providers, including adult day health care centers certified by the State. Directs the Secretary of Health and Human Services (the Secretary) to make monthly payments to each case management agency equal to amounts allotted by the screening agency for eligible individuals in the case management agency's jurisdiction. Requires such agencies to make direct payments to qualified providers of home and community-based care which shall be accepted as payment in full for such services. Limits payments for home health and community-based care for the next three years to 65 percent of the average amount payable for Medicare nursing home care and, for subsequent years, to the costs of nursing home care minus the costs of room and board. Allots payments among individuals on the basis of severity of need with chronically ill individuals receiving amounts equivalent to Medicaid (title XIX of the Social Security Act) payments for institutional care. Establishes the Home and Community-Based Care Advisory Council to review and assist the Secretary in the implementation of home and community-based care. Requires States to establish quality assurance boards to monitor quality of care and a community advisory board for each case management agency. Establishes a home and community-based care consumers' bill of rights. Imposes quality assurance requirements on providers of such care, including the requirement that they implement consumer grievance review mechanisms, ensure that their employees and other providers whom they have under contract have received adequate training, and annually evaluate the care furnished by such employees and providers. Establishes certification procedures for a survey of home care agencies, home health agencies, and adult day care health centers to determine eligibility for participation in the program under this Act. Outlines reimbursement procedures. Provides, subject to certain limitations, for nursing facility services for up to six months for individuals who are eligible for home and community-based care services. Allows additional nursing home coverage if: (1) the individual has not been an inpatient for at least six consecutive months; (2) the diagnosis is different; or (3) there has been a substantial worsening of the individual's condition since the latest discharge. Directs the Secretary to establish an optional insurance program for individuals 45 and over to cover nursing home stays that exceed six months. Prescribes procedures for setting premium rates and requires annual rate revisions by the Secretary. States that the rates are expected to cover 45 percent of the estimated nursing home costs of stays exceeding six months. Covers a portion of a low-income individuals' premium and room and board costs. Requires the Secretary to give individuals the option of purchasing coverage of nursing home stays exceeding six months without regard to age. Requires the Secretary, to the extent feasible, to establish a prospective payment mechanism for payment of nursing home services that takes into account the expected resource utilization of the patient based on the degree of disability and other factors. Requires the making of grants to schools of nursing, social work, allied health, and public health of universities to develop training programs for the provision of home and community-based care and nursing home care for the elderly, the disabled, and chronically ill children, and in the administration of such programs. Authorizes appropriations. Requires that grants be made to State-approved programs to train individuals in the provision of home health aide services. Authorizes appropriations. Requires the making of grants to university schools of nursing to develop model consumer training programs regarding the delivery of home care services. Authorizes appropriations. Requires that grants or contracts be made to assist public and private nonprofit entities in meeting the costs of developing centers for multidisciplinary health planning development and assistance. Authorizes appropriations. Directs the Secretary to conduct demonstration projects to determine the relative effectiveness, cost, and impact on quality of long-term home care of using different models of providing and reimbursing long-term home care services for seriously mentally ill individuals and family caregivers. Authorizes appropriations from the Federal Hospital Insurance Trust Fund. Mandates demonstration projects on the feasibility of providing long-term home care benefits for working-age individuals with severe functional limitations. Directs the Secretary to make specified amounts available from such Fund. Division C: Grants to States for Establishment and Implementation of State Health Objectives Plans - Health Objectives 2000 Act - Amends the Public Health Service Act to authorize appropriations for allotments to States for developing and implementing a plan to develop and collect data on the public health needs and status of State residents. Requires the plan to provide, for FY 1993 and thereafter, for use of the allotments for additional purposes described in specified provisions relating to preventive health and health services block grants. Requires the State plan to contain, among other elements, a set of at least five State health objectives chosen from the National Health Priorities described by the Secretary under this Act. Directs the Secretary to establish: (1) the National Health Objectives Advisory Committee; (2) National Health Priorities (NHPs) to form the basis for all activities that receive assistance under this Act; (3) from the NHPs, a set of Core Priorities that shall be included in each State Plan; and (4) an estimate of the personnel and training needed to accomplish the NHPs. Directs the Secretary, from the amounts made available for allotments, to use: (1) a limited amount for the professional training of public health personnel; and (2) remaining amounts to assist research, pilot and demonstration projects, and programs the Secretary determines to show the potential impact of regional or national significance with respect to NHPs. Repeals specified provisions relating to preventive health and health services block grants. Division D: Independence for Older Americans - Independence for Older Americans Act - Title I: Geriatric Research and Training Centers - Amends the Public Health Service Act to modify the purposes, affiliations, and activities of Claude D. Pepper Older Americans Independence Centers (formerly centers of geriatric research and training). Title II: Availability of Information to Health Professionals, Older Americans, and the General Public - Directs the Secretary to prepare a comprehensive plan for a National Independence for Older Americans Information Program. Provides for the establishment of an information clearinghouse, a toll-free telephone communications system, and public information campaigns concerning the maintenance and improvement of the health and independence of older Americans. Authorizes appropriations to carry out this title. Title III: Prevention of and Recovery from Chronic Illness - Requires the National Institute on Aging to support research, and report to the Congress on the most effective: (1) techniques of geriatric assessment; (2) method of targeting comprehensive geriatric assessment to appropriate populations of older persons to determine their health care needs; and (3) means of providing for such needs to maximize health and independence. Directs the Secretary to develop: (1) model techniques to aid in the prevention and rehabilitation of older persons from frailty and other mobility problems; and (2) model curricula for the health professions for training in the use of such techniques. Authorizes the National Institute on Aging to establish up to five demonstration programs at Comprehensive Independence Research Training and Demonstration Centers to prevent the loss of mobility and to help frail older persons regain independence, using existing and experimental techniques. Directs the Secretary to conduct research on the extent to which falls are associated with the loss of an individual's confidence in functioning independently and his or her need for long-term care. Requires the Secretary to develop and report to the Congress on the development of: (1) model techniques to aid in the recovery and rehabilitation of older persons from chronic and debilitating illness; and (2) model curricula for the health professions for training in the use of such techniques. Authorizes appropriations to carry out this title. Title IV: Research on Health, Retirement, and Independence - Directs the Secretary to: (1) commence a ten-year health and retirement history survey; and (2) establish an advisory panel on data collection to review existing government surveys and census data to coordinate information on the health and retirement status of older Americans. Requires the National Center for Health Statistics to: (1) include persons age 75 and over in the National Health and Nutrition Examination Survey; (2) develop questions related to health promotion and disease prevention for older persons for inclusion in the National Health Interview Survey and the National Health and Nutrition Examination Survey; and (3) develop questions related to the health promotion and disease prevention practices of health care providers with special relevance to older persons for inclusion in the National Ambulatory Medical Care Survey. Directs the National Institute on Aging to request proposals from individual and team investigators on behavioral, social, and environmental mechanisms for promoting the health and independence of older Americans. Authorizes appropriations for carrying out this title. Title V: Authorization of Appropriations for NIH - Authorizes appropriations to be added to the National Institute on Aging and other institutes in proportion to their current spending levels on aging research. Division E: Authorization of Additional Funds for Research for AIDS, Hypertension, Sickle Cell Anemia, Infant Mortality, and Breast Cancer - Authorizes additional appropriations for research for acquired immune deficiency syndrome (AIDS), hypertension, sickle cell anemia, infant mortality, and breast cancer.
Bill· HJRESH.J.Res. 38 (102nd)open
United States · United States Congress · 3 January 1991
Designates October 1991 as National Breast Cancer Awareness Month.
Bill· HJRESH.J.Res. 56 (102nd)open
United States · United States Congress · 3 January 1991
Designates the month of May 1991 as National Huntington's Disease Awareness Month.
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