Healthcare

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101 records in US in 1977

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Bill· HRH.R. 9717 (95th)referred

Hospital Cost Containment Act

United States · United States Congress · 21 October 1977

Hospital Cost Containment Act - Directs the Secretary of Health, Education, and Welfare (Secretary) to submit to Congress by March 1, 1978, recommendations for permanent reforms in the delivery and financing of health care which will replace the transmitted provisions set forth in this Act. Title I: Transitional and Other Hospital Cost Constraint Provisions - Declares it to be the purpose of the transitional hospital cost containment program to constrain the rate of increase in in total hospital inpatient costs beginning January 1, 1978, and continuing until the adoption of permanent reforms established by this Act, by limiting the amount of revenue which may be received by the hospitals involved from Government programs, private insurers, and individuals who pay directly for hospital care. Establishes limits on: (1) the average reimbursement payable per admission to a hospital for inpatient services covered by a "cost payer" as such term is defined in this Act; and (2) the average inpatient charges per admission of a hospital. Sets forth criteria for the determination of such limits for each of the first three accounting years of hospitals subject to this Act. States that the criteria applicable to the third such year shall apply to each subsequent accounting year. Directs the Secretary to develop an economic index that accurately reflects the prices of the items that constitute components of hospital costs, and to report to Congress, not later than March 31, 1979, on the development of such index and on his recommendations as to whether such index should replace the hospital increase index described in this section. Establishes guidelines governing the increase of inpatient admissions and wages of nonsupervisory employees. Amends the Internal Revenue Code of 1954 to impose an excise tax on payments received for inpatient hospital services in excess of the limits established by this Act. Requires hospitals subject to this Act to provide rate, budget, and other financial information at specified times to the health service agency for the area in which such hospital is located. Requires such hospitals to publish their inpatient service rates annually. Establishes a system of incentive payments for hospitals which recognize an increase in the cost per inpatient admission which is less than the limit allowed for such increase. Exempts from the cost containment program established by this Act hospitals in a State which has established such a program which was submitted to and approved by the Secretary and which provides adequate assurances to the Secretary that the program will be conducted in accordance with guidelines set forth in this Act. Prohibits reimbursement under Titles V (Maternal and Child Health and Crippled Children's Services), XVIII (Medicare), and XIX (Medicaid) of the Social Security Act for inpatient hospital services to the extent that it exceeds limits established pursuant to this Act or to an acceptable State cost containment plan. Authorizes an exemption from limits established under this Act for hospitals engaged in experiments and demonstrations authorized by the Social Security Act. Establishes guidelines and restrictions under Titles XI (General Provisions and Professional Standards Review), XVIII and XIX of the Social Security Act for the determination of reasonable costs and charges under such Titles. Directs the Secretary, under Title XI, to establish uniform reporting and functional accounting systems for the purpose of accounting for health services provided under the Medicare and Medicaid programs. Specifies the elements of such systems. Directs the Secretary to review all Federal regulations which affect hospital facilities and operation with respect to their cost impact. Requires such review to study particularly the lack of coordination in and duplication of audits, inspections, and similar requirements for such facilities. Requires the Secretary to report on such review to Congress by March 31, 1979. Authorizes the Secretary, under the Public Health Service Act, to make grants to medical schools to meet the costs of projects to establish and operate programs for students enrolled in such schools to provide training in the techniques of reducing the cost of delivering health care. Title II: Limitation on Capital Expenditures - Amends the Public Health Service Act to require the Secretary to promulgate: (1) an annual hospital capital expenditure limit; (2) a national ceiling for the supply of hospital beds; and (3) a national standard for the rate of occupancy of hospital beds. Sets forth the criteria to be considered by State health planning agencies when considering applications for certificates of need submitted by health facilities. Prohibits Federal payments under the Medicaid, Medicare, and Maternal and Child Health Services programs of the Social Security Act, to any State that has not entered into an agreement with the Secretary pursuant to the provisions of this Act. Amends the Internal Revenue Code of 1954 to include within gross income the interest on obligations issued by State or territorial governments to finance an institutional health service or health care facility which would be in excess of the limits established by this Act. Title III: Program to Assist and Encourage the Discontinuance of Unneeded Hospital Services - Directs the Secretary to establish a program of financial incentives for the consolidation of duplicative hospital services and the discontinuance of unneeded hospital services during the 54 month period beginning on the effective date of this Act. Allows a hospital which has been in operation for at least two years and which intends to: (1) discontinue providing inpatient health services; or (2) discontinue an identification unit of the hospital; or (3) which intends to convert an identifiable part of the hospital into a long-term care facility or an ambulatory care facility to apply for an incentive payment under this Title. Sets forth the formula to be used in determining the amount of incentive payments.

Bill· SS. 2231 (95th)referred

A bill to repeal the requirements of the Public Health Service Act which require the reservation of class positions for United States citizens who have completed 2 years of medical training outside the United States.

United States · United States Congress · 20 October 1977

Repeals the requirements of the Public Health Service Act which require the reservation of class positions for United States citizens who have completed two years of medical training outside the United States.

Bill· HRH.R. 9673 (95th)referred

A bill to amend title XIX of the Social Security Act to provide that medicaid is a payor of last resort and to permit recovery by States from certain estates of medicaid expenses incurred by individuals before reaching the age of 65.

United States · United States Congress · 20 October 1977

Amends Title XIX (Medicaid) of the Social Security Act to prohibit any expenditure to an individual to the extent to which an entity (other than a member of the individual's family) would be liable for payment for such care and services but for a provision of a contract or a State law which has the effect of limiting or excluding such liability because the individual is eligible or entitled to receive care or services under the plan. Provides that a lien may be imposed by the State against the estate of a deceased individual after the death of his surviving spouse, on account of medical assistance paid or to be paid on his behalf under Title XIX.

Bill· HRH.R. 9690 (95th)referred

A bill to amend title XVIII of the Social Security Act to include dental care, eye care, hearing aids, physical checkups, and foot care are among the items and services for which payment may be made under the supplementary medical insurance program, and to provide safeguards against consumer abuse in the provision of these items and services.

United States · United States Congress · 20 October 1977

Amends Title XVIII (Medicare) of the Social Security Act to provide payment under the supplementary medical insurance program for one comprehensive physical examination a year, dental care including dentures, eye examinations including eyeglasses, hearing aids including examination, treatment of foot conditions. Directs the Secretary of Health, Education, and Welfare to take steps to eliminate unnecessary or excessive medical appliance expenditures under the Medicare program by implementing appliance leasing, auditing of medical appliance manufacturers and providers, and by cross-referencing prevailing medical appliance rates. Includes under the term "medical appliance" hearing aids, eyeglasses, dentures, and similar health aids. States that the Federal Trade Commission should continue and increase scrutiny of the medical appliance industries in the interest of consumer protection. States that the Secretary of Health, Education, and Welfare should provide increased assistance to encourage the continuing education and training of hearing specialists, clinical audiologists, and physicians to improve the quality of hearing care, and to encourage the provision by State local governments of more and better hearing care for the elderly, including a network of examination and treatment sites.

Bill· HRH.R. 9684 (95th)referred

Medicare Long-Term Care Act

United States · United States Congress · 20 October 1977

Medicare Long-Term Care Act - Repeals existing provisions for post-hospital home health services under Title XVIII (Medicare) of the Social Security Act. Establishes, within the hospital insurance program of such Title, a program of long-term care benefits to be provided for aged and disabled individuals including all recipients of supplemental security income benefits and to be financed without additional cost to such individuals, through the Federal Hospital Insurance Trust Fund, from funds appropriated by the Federal Government. States that the benefits provided to an individual by such program shall consist of: (1) home health services; (2) homemaker services; (3) nutrition services; (4) long-term institutional care services; (5) day care and foster home services; and (6) community mental health center outpatient services. Requires that, to the maximum extent possible, such benefits shall be provided by or through community long-term care centers, as defined in this Act; and, in any case where a State has an agency which performs the functions of planning and developing such centers and overseeing their operation the Secretary of Health, Education, and Welfare shall make grants to the State or State agency to reimburse it for expenses incurred in the performance of such functions. Directs the Secretary to pay 75 percent of the amount expended by a State for the operation of a State long-term care agency. Enumerates the functions of such an agency. Declares that a community long-term care center shall: (1) provide the items and services listed in this Act to each individual (i) who is eligible for benefits under this part, (ii) who resides in the area served by such center and (iii) who is certified as requiring such services; (2) evaluate and certify the long-term care needs of an individual for whom such care may be required in order to maintain such individual in an independent living arrangement which is reasonable given such individual's state of health and other circumstances (but not including such individual's economic circumstances); (3) maintain a continuous relationship with (and periodically evaluate not less than annually) each individual who is receiving any of the items and services listed in this Act; (4) provide full opportunity for such individual and his family to participate in the determinations and functions under this Act; (5) provide an organized system for making its existence and location known to all individuals in its service area who are eligible for benefits under this part, and for making known to such individuals the method or methods by which they may most efficiently obtain and use the services which it makes available; and (6) perform such other functions as the Secretary of Health, Education, and Welfare may by regulation prescribe in order to have such center most effectively carry out the purposes of this Act. Defines terms used in this Act, including the services to be provided by community long-term care centers. Directs the Secretary to develop and promulgate to community long-term care centers one or more methods of obtaining payment for the benefits covered under this Act. Requires the Secretary to prescribe regulations setting forth the standards of care for homemaker and nutritional services. Establishes the Federal Advisory Council on Long-Term Care. Sets forth the qualifications of the five members of such Council. States that it shall be the duty and function of the Council to provide advice and recommendations for the consideration of the Secretary on regulations under this Act and on matters of general policy with respect to this Act. States that no regulations of the Secretary under this Act shall become effective unless they have first been approved by the Council. States that the determination of whether an individual is entitled to benefits under this shall be made by the Secretary in accordance with regulations prescribed by him. Authorizes the appropriation to the Federal Hospital Insurance Trust Fund of such sums as the Secretary considers necessary for any fiscal year for the purposes of the program created by this Act. Authorizes the Secretary to make grants and enter into contracts with institutions to meet the cost of training programs in the techniques and methods of providing long-term health care.

Bill· HRH.R. 9674 (95th)referred

Geriatric Health Personnel Training Act

United States · United States Congress · 20 October 1977

Geriatric Health Personnel Training Act - Amends the Public Health Service Act (Health Research and Teaching Facilities and Training of Professional Health Personnel) to authorize the Secretary of Health, Education, and Welfare to grant $500,000 for each of six schools of medicine to assist in the establishment and operation of departments of geriatrics. Authorizes the Secretary to make grants to assist schools of medicine in the establishment and operation of continuing education programs in geriatrics for physicians. Authorizes the appropriation of $2,500,000 for fiscal year 1978, and $5,000,000 for each of the next three fiscal years to enable the Secretary to make grants to schools of medicine to assist in developing and conducting training programs designed to prepare armed forces veterans, with appropriate experience as paramedical personnel, to serve as medical assistants in long-term health care facilities. Authorizes the Secretary to make grants and enter into contracts with public or nonprofit colleges and universities for the development of graduate programs for nurses in geriatrics and gerontology. Amends the National Labor Relations Act to make it an unfair labor practice for an employer to discharge or otherwise discriminate against an employee who has testified before any congressional committee or any governmental agency or department.

Bill· HRH.R. 9687 (95th)referred

A bill to amend title XVIII of the Social Security Act to remove all limits on the number of home health visits for which payment may be made under both part A, and part B (eliminating the requirement of prior hospitalization in the case of home health care under part A), to include additional types of services as home health care, to provide coverage for preventive care under part B, to provide coverage for services furnished in outpatient rehabilitation facilities and elderly day care centers, to improve the administration of the medicare program.

United States · United States Congress · 20 October 1977

Amends Title XVIII (Medicare) of the Social Security Act to remove the limit of 100 visits which applies to post-hospital home health services. Drops the requirement that the home health care provided be of the same kind as provided in prior hospitalization. Eliminates the requirement that a physician review the home health care plan and that the patient be under the care of a physician. Requires that such functions be done by the appropriate health professional under regulation of the Secretary of Health, Education, and Welfare. Extends Medicare coverage to include periodic chore services, hospital outreach services, nutritional counseling, health and supportive services furnished in elderly day care centers, and expansion of professional standard review organization review functions. Requires the Secretary to establish a review plan which is adapted to meet the non-institutional nature of home health services. Extends Medicare coverage only to those outpatient rehabilitation services which are certified by a physician as being required.

Bill· HRH.R. 9629 (95th)referred

A bill to delay for 6 months the effective date of the increase in the hospital deductible for 1978 under part A of the medicare program.

United States · United States Congress · 18 October 1977

Delays for six months the effective date of the increase in the hospital deductible for 1978 under the hospital insurance program of Title XVIII (Medicare) of the Social Security Act.

Bill· SS. 2190 (95th)referred

A bill to amend title XVIII of the Social Security Act to give the Secretary of Health, Education, and Welfare authority to waive all or part of an automatic increase in the inpatient hospital deductible.

United States · United States Congress · 11 October 1977

Amends Title XVIII (Medicare) of the Social Security Act to authorize the Secretary of Health, Education, and Welfare to waive all or part of an automobile increase in the inpatient hospital deductible where the Secretary determines that such increase would seriously impair the economic well-being of individuals receiving benefits under the Medicare program.

Bill· HRH.R. 9434 (95th)reported

A bill to amend the Social Security Act to increase the dollar limitations and Federal medical assistance percentages applicable to the medicaid programs of Puerto Rico, the Virgin Islands, and Guam.

United States · United States Congress · 4 October 1977

Amends Titles XI, part A (General Provisions) and XIX (Medicaid) of the Social Security Act to increase the dollar limitations on Medicaid payments to Puerto Rico, Guam, and the Virgin Islands, and to eliminate the 50 percent limitation on the Federal medical assistance percentage applicable to the Medicaid programs of such territories and raise such limitation to the same level as that in the States.

Bill· HRH.R. 9433 (95th)referred

A bill to amend title XVIII of the Social Security Act to authorize payment under the supplementary medical insurance program for preventive services furnished in the screening, testing, diagnosis, and treatment of individuals for hypertension.

United States · United States Congress · 4 October 1977

Amends Title XVIII (Medicare) of the Social Security Act to provide payment under the supplementary medical insurance program for preventive services furnished in the screening, testing, diagnosis, and treatment of individuals for hypertension.

Law· HRH.R. 9418 (95th)open

An Act to amend the conditions for schools receiving capitation grants under section 770 of such Act, and for other purposes.

United States · United States Congress · 3 October 1977

Amends the Public Health Service Act to prohibit a school of medicine from recovering a capitation grant in fiscal years 1978 and 1979 unless its grant application contains or is supported by assurances satisfactory to the Secretary of the Department of Health, Education, and Welfare that the school will increase by six percent over the number of students currently enrolled in specified classes its enrollment of full time, third-year students in school years 1978-1979 and 1979-1980. Excludes from the determination of the number of full-time, third-year students enrolled in a school those full time, third-year students who were not second-year students in such school and who: (1) are not citizens of the United States; (2) were previously enrolled in a school of medicine which is in a State and which is not accredited by the appropriate bodies; (3) were first enrolled after October 12, 1976, in a school of medicine not in a State; (4) were previously enrolled in a school of medicine to which the requirements of this Act apply; or (5) were previously enrolled in a school of dentistry or a school of osteopathy. Sets forth the reasons for which the Secretary may waive the requirement of increased enrollment established by this Act. Stipulates that a school of medicine which did not comply with such increase requirements shall not be eligible to receive a capitation grant in fiscal year 1980. Authorizes the Secretary to make grants to public or nonprofit institutions which provide graduate or specialized training in public health. Allows such funds to be granted to individuals with work experience in health services who are studying preventive medicine or dentistry. Increases the amounts authorized to be appropriated for grants for public health studies from $8,000,000 to $9,000,000 for fiscal year 1979, and from $9,000,000 to $10,000,000 for fiscal year 1980. Directs the Secretary to conduct a study and report to specified committees of the House and the Senate on the quality of training provided by foreign medical schools, the need of this country for personnel trained in such schools, and the effectiveness of licensing conditions in this country in assuring that the health care provided by graduates of such schools is of high quality. Authorizes the Secretary to insure loans for students who have been accepted for enrollment at an eligible institution of health care education. Authorizes the insurance of loans made to individuals who have previously had a Federally insured student loan and who agree to expend such funds solely for the repayment of interest due on such loans. Stipulates that interest payments on such loans may be deferred. Raises the annual interest rate on the unpaid principal balance of such a loan to 12 percent. Authorizes the disbursing agent of Saint Elizabeths Hospital, Washington, D.C., subject to approved by the Secretary of the Treasury, to invest in public debt securities any funds in the hospital's account which are not currently needed.

Bill· HRH.R. 9413 (95th)referred

Audiological Rehabilitation Amendments

United States · United States Congress · 3 October 1977

Audiological Rehabilitation Amendments - Amends Title XVIII (Medicare) of the Social Security Act to provide payment for outpatient communicative services under the supplementary medical insurance program. Defines "outpatient communicative services" as speech pathology and audiology services furnished by a provider of services or other health agency to an individual referred by a physician.

Bill· HRH.R. 9410 (95th)referred

A bill to amend title XVIII of the Social Security Act to include dental, care, eye care, dentures, eyeglasses, and hearing aids among the benefits provided by the insurance program established by Part B of such title.

United States · United States Congress · 3 October 1977

Amends Title XVIII (Medicare) of the Social Security Act to permit payment for eye care, eyeglasses, hearing aids and related examinations, dental care and dentures under the supplementary medical insurance program. Increases the government contribution to the Federal Supplementary Insurance Trust Fund by twice the amount of premiums that are presently paid into the Fund each month, while decreasing the portion of the Fund comprised fo premiums from one-half to one-third. Excludes from the coverage of the supplementary medical insurance program expenses relating to referrals of individuals by a doctor of optometry for the diagnosis or detection of eye diseases.

Bill· SS. 2159 (95th)passed

A bill to amend section 771 of the Public Health Service Act to require an increase in the enrollment of third-year medical students in the school year 1978-1979 as a condition to medical schools' receiving capitation grants under section 770 of such act.

United States · United States Congress · 29 September 1977

Amends the Public Health Service Act to prohibit a school of medicine from receiving a capitation grant to be made in the fiscal year 1978 unless its application for such grant is supported by assurances satisfactory to the Secretary of the Department of Health, Education, and Welfare that the school will increase its enrollment of full time, third-year students in the 1978-1779 school year by at least five percent over the smaller of: (1) the number of full-time first-year students; or (2) the number of full-time third-year students enrolled in school year 1977-1978. Excludes from the determination of the enrollment increase of full-time, third-year students in a given school, those full time, third-year students who were not second-year students in such school and who: (1) are not citizens of the United States; (2) were previously enrolled in a school of medicine in a State which is not accredited by the appropriate bodies; (3) first enrolled after October 12, 1976, in a school of medicine not in a State; or (4) did not successfully complete part I of the National Board of Medical Examiners' examination by August 15, 1977. Sets forth the reasons for which the Secretary may waive the requirement of increased enrollment. Stipulates that a school of medicine which did not comply with the increase requirements shall not be eligible to receive a capitation grant in the fiscal year ending September 30, 1979.

Bill· HRH.R. 9313 (95th)referred

Hospital Cost Containment Act

United States · United States Congress · 26 September 1977

Hospital Cost Containment Act - Title I: Transitional Hospital Cost Constraint Provisions - States that it is the purpose of the program established by this title to constrain the rate of increases in total acute care hospital inpatient costs. Excludes from the limitations established by this Act any State which keeps its cost increases below the national average. States that the increase in total revenue which a hospital may receive in any accounting year in the form of: (1) reimbursement paid under the Medicare and Medicaid programs and by cost payers for inpatient services; and (2) charges imposed upon other persons for inpatient services may not, on a per admission basis, exceed the average inpatient reimbursement due or inpatient charges imposed per inpatient admission in the base period by more than the percentage allowed under this Act. Sets forth formulas by which the limits of the increase in total revenue may be computed. Bases the inpatient hospital revenue increase limit on increase in the gross national product deflator. Excepts from such limits hospitals which are experiencing substantially higher costs as a result of extraordinary changes in patient loads or major changes in facilities and services. Directs the Secretary of Health, Education and Welfare to promulgate inpatient hospital revenue increase limits annually. Directs the Secretary to promulgate a formula for adjusting such revenue increase limits based on the number of admissions during a 12-month accounting period. Authorizes the Secretary to grant exceptions to the revenue increase limit during periods in which the excepted hospitals meet specified criteria. Permits any hospital which is dissatisfied with a determination of the Secretary to obtain a hearing before the Provider Reimbursement Review Board, if the amount in controversy is $25,000 or more. Directs the Secretary to appoint five additional members more, grant an exception, to obtain a hearing before the Provider Reimbursement Review Board to such Board for the purposes of reviewing appeals under this title. Prohibits, under the Social Security Act, the payment of hospital costs in excess of the limits established pursuant to this Act. Prohibits the receipt of sums by any hospital, or payment of sums by any cost payer for inpatient hospital services on a cost basis in excess of applicable limits. Subjects hospitals or cost payers in violation of these prohibitions to: (1) a Federal excise tax established by this Act; and (2) exclusion from participation in any of the programs established under the Medicaid, Medicare, or Maternal and Child Health Services programs of the Social Security Act. Allows the Secretary to exclude from cost containment provisions: (1) hospitals meeting specified criteria located in State at the request of the Governor of such State: and (2) hospitals engaged in certain experiments on demonstrations authorized by the Social Security Act. Requires every hospital to submit semiannually to the appropriate health system agency its average semiprivate room rate and the charges for the ten other representative services most important for purposes of comparing hospitals. Amends the Internal Revenue Code of 1954 to impose an excise tax on payments received for inpatient hospital services in excess of the inpatient hospital revenue increase limit. Title II: Limitation on Hospital Capital Expenditures - Amends the Public Health Service Act to require the Secretary to promulgate: (1) an annual hospital capital expenditure limit; (2) a national ceiling for the supply of hospital beds; and (3) a national standard for the rate of occupancy of hospital beds. Sets forth the criteria to be considered by State health planning agencies when considering applications for certificates of need submitted by health facilities.

Bill· HRH.R. 9314 (95th)referred

A bill to include power-operated wheelchairs as a type of durable medical equipment for which payment may be made under title XVIII of the Social Security Act.

United States · United States Congress · 26 September 1977

Amends Title XVIII (Medicare) of the Social Security Act to expand the coverage of health services to include power-operated wheelchairs.

Bill· HRH.R. 9294 (95th)referred

A bill to amend title XVIII of the Social Security Act to authorize payment under the medicare program for occupational therapy services, whether furnished as part of home health services or otherwise.

United States · United States Congress · 26 September 1977

Amends Title XVIII (Medicare) of the Social Security Act to provide payment for occupational therapy services under the supplementary medical insurance program.

Bill· HRH.R. 9299 (95th)referred

A bill to amend title XVIII of the Social Security Act for the purpose of including outpatient rehabilitation services among the benefits of the medicare program.

United States · United States Congress · 26 September 1977

Amends Title XVIII (Medicare) of the Social Security Act to include within the services to be provided under such Act medically required outpatient rehabilitation services. Defines the terms "outpatient rehabilitation facility," and "outpatient rehabilitation services" for purposes of this Act.

Bill· HRH.R. 9280 (95th)referred

A bill to amend the Public Health Service Act to require increases in the enrollment of third-year medical students as a condition to medical school's receiving capitation grants under such Act.

United States · United States Congress · 23 September 1977

Amends the Public Health Service Act to prohibit a school of medicine from receiving a capitation grant in fiscal years 1978 and 1979 unless its application for such grant contains or is supported by assurances satisfactory to the Secretary of the Department of Health, Education, and Welfare that the school will increase by by a specified amount its enrollment of full time, third-year students in school years 1978-1979 and 1979-1980. Excludes from the determination of the number of full-time, third-year students enrolled in a school those full-time, third-year students who: (1) are not citizens of the United States; (2) were first enrolled after October 12, 1976, in a school of medicine not in a State; or (3) were previously enrolled in a school of medicine to which the requirements of this Act apply. Sets forth the reasons for which the Secretary may waive the requirement of increased enrollment established by this Act. Stipulates that a school of medicine which did not comply with such increase requirements shall not be eligible to receive a capitation grant in fiscal year 1980. Authorizes the Secretary to make grants to public or nonprofit institutions which provide graduate or specialized training in public health. Allows such funds to be granted to individuals with work experience in health services who are studying preventive medicine or dentistry. Directs the Secretary to conduct a study and report to specified committees of the House and the Senate on the quality of training provided by foreign medical schools, the need of this country for personnel trained in such schools, and the effectiveness of licensing conditions in this country in assuring that the health care provided by graduates of such schools is of high quality. Authorizes the Secretary to insure loans for students who have been accepted for enrollment at an eligible institution of health care education. Authorizes the insurance of loans made to individuals who have previously had a federally-insured student loan and who agree to expend such funds solely for the repayment of interest due on such loans. Stipulates that interest payments on such loans may be deferred. Raises the annual interest rate on the unpaid principal balance of such a loan to 12 percent.

Bill· HRH.R. 9270 (95th)referred

Comprehensive Health Care Insurance Act

United States · United States Congress · 23 September 1977

Comprehensive Health Care Insurance Act - Requires every employer to offer each of his employees and their families qualified health care insurance. States that such coverage shall be optional with the employee. Requires an employer to contribute to the cost of such coverage for the benefit of an electing employee and his family at least 65 percent of the premium, with the employee contributing the balance. Establishes, for low-income employees, a program of certificates of entitlement or income tax credit in the amount by which the portion of the premium payable by such an employee exceeds the premium for which he would be liable under the program of health insurance for the unemployed or self-employed as established by this Act. Authorizes the Attorney General to bring suit to compel an employer to comply with the provisions of this Act. Stipulates that employers experiencing substantial increases in payroll cost due to the provisions of this Act will be entitled to a cash payment by the Secretary of Health, Education, and Welfare or a credit against income tax. States that premiums for employee groups of one to 100 persons and self-employed persons shall not exceed 125 percent of the estimated average in the State of the annual premium for employee groups of more than 100 persons. Sets forth a plan of health insurance providing hospital, medical, dental, and other health care services for non-employed and self-employed individuals and their families. Establishes, as a means of implementing such plan, a program of certificates of entitlement issued by the Secretary and credits against income tax for the premium for qualified health care insurance. States that the amount of Federal participation shall be related to the income of the individual or family, the Government to pay the full premium for those whose annual incomes are insufficient to create income tax liability, and to pay a gradually smaller proportion of the premium for others in relation to increasing amounts of income tax liability. Provides qualified health care insurance for an individual or family with no tax liability for the base year. Stipulates that the premium rate to be charged for a qualified health care insurance policy offered under such plan for any year shall in no case exceed 125 percent of the estimated average of premiums paid in the State for qualified health care insurance for groups of employees with more than 100 members. Excludes from qualified health care insurance coverage payment for stipulated items, including: (1) personal comfort items; (2) eyeglasses, hearing aids, or orthopedic shoes; and (3) private room inpatient hospital accommodations. Limits the aggregate amount of expenditures for catastrophic illness expenses. Sets forth requirements which must be met by qualified health care insurance plans. Establishes the Federal Health Insurance Redemption Fund. Authorizes appropriations to the fund of amounts equal to the aggregate amount of premiums paid under this Act. Requires carriers offering qualified health care insurance policies to participate in an assigned-risk pool which may be established in such State by the State insurance department or by such agency as may be authorized by the State. Establishes a Health Insurance Advisory Board to: (1) prescribe such regulations as may be necessary to carry out the purposes and provisions of this Act; (2) establish minimum Federal standards for the use of State insurance departments in determining whether an insurance company and plan are qualified under this Act; (3) in consultation with carriers, providers of services, and consumers, plan, review, and develop, where necessary, programs whose purposes are to provide for maintaining the quality of medical care; and (4) review the effectiveness of the program established by this Act. Stipulates that individuals collecting unemployment compensation are eligible for coverage under this Act, unless covered through an employed member of his family. Permits an income tax credit for premiums paid for qualified insurance plans under this Act.

Bill· HRH.R. 9271 (95th)referred

A bill to amend Title XVIII of the Social Security Act to enable certain individuals to enroll in the insurance program established by such Title.

United States · United States Congress · 23 September 1977

Amends Title XVIII (Medicare) of the Social Security Act to enable individuals between age 60 and 65 who are entitled to benefits under the old-age, survivors, and disability insurance program and are presently enrolled in the supplementary medical insurance program of such title to enroll in the program of hospital insurance benefits for the aged and disabled established under part A of such title. Permits an individual who meets such age and entitlement requirements, but who is not presently enrolled in the supplementary medical insurance program, to enroll in such program, and establishes premium rates for such individuals.

Bill· HRH.R. 9172 (95th)referred

A bill to delay for 6 months the effective date of the increase in the hospital deductible for 1978 under part A of the medicare program.

United States · United States Congress · 16 September 1977

Delays for six months the effective date of the increase in the hospital deductible for 1978 under the hospital insurance program of Title XVIII (Medicare) of the Social Security Act.

Bill· HRH.R. 9139 (95th)referred

A bill to amend title XVIII of the Social Security Act to provide for the coverage of certain psychologists' services under the supplementary medical insurance benefits program established by part B of such title.

United States · United States Congress · 15 September 1977

See summary of: H.R. 1311

Bill· HRH.R. 9091 (95th)referred

National Catastrophic and Major Medical Health Care Benefits Act

United States · United States Congress · 14 September 1977

National Catastrophic and Major Medical Health Care Benefits Act - Entitles every citizen and resident of the United States earning less than $50,000 annually to payment by the Department of Health, Education, and Welfare of catastrophic and major medical health care benefits during any year in which such health care costs exceed 25 percent of an individual's annual gross income. Provides coverage for individuals earning between $50,000 and $100,000 for costs of health care which exceed 50 percent of their annual gross income. Excludes from coverage individuals whose annual gross income exceeds $100,000.

Bill· HRH.R. 9084 (95th)referred

A bill to amend title XVIII of the Social Security Act to authorize payment under the medicare program for certain services performed by chiropractors.

United States · United States Congress · 13 September 1977

Amends Title XVIII (Medicare) of the Social Security Act to authorize payment for specified services performed by chiropractors, including x-rays and physical examinations, and related routine laboratory tests.

Bill· HRH.R. 9034 (95th)referred

A bill to amend Title XIX of the Social Security Act to provide that an individual who is unable to care for his or her personal needs without assistance shall be eligible as a disabled person (even though employable) for the services of a home health aide under the applicable State plan approved under such Title.

United States · United States Congress · 12 September 1977

Amends Title XIX (Medicaid) of the Social Security Act to qualify an individual who, although employable, is unable to care for his or her personal needs without assistance as a disabled person eligible for the services of a home health aide.

Bill· HRH.R. 9039 (95th)referred

Veterans Health Care Amendments Act

United States · United States Congress · 12 September 1977

Veterans Health Care Amendments Act - Requires the Administrator of Veterans' Affairs to furnish initial readjustment professional counseling (including a general mental and psychological assessment) for any veteran with readjustment problems who requests such aid within four years after his discharge or release from service, or within two years after enactment of this Act, whichever is later. Requires further mental health services on an outpatient basis if a physician employed by the Veterans' Administration determines on the basis of initial counseling that such services are necessary for the veteran's successful readjustment. Directs the Chief Medical Director to provide for the training of professional, paraprofessional, and lay personnel necessary to carry out such programs. Directs the Administrator to ensure that all potentially eligible veterans are advised of such potential eligibility. Authorizes the Administrator to provide a preventive health care program to ensure the best possible health care for veterans with service-connected disabilities. Directs the Administrator to provide for a health maintenance pilot program to demonstrate the medical advantages and cost-effectiveness of furnishing comprehensive preventive health care services to veterans with varied types and degrees of service-connected disabilities. Requires a comprehensive annual report to Congress on such programs. Requires the Administrator to carry out programs providing inpatient and outpatient treatment and rehabilitation services on a nationwide basis to eligible veterans suffering from alcohol or drug dependence or abuse disabilities. Directs the Administrator to assist the Secretary of Labor in providing veterans receiving such treatment with appropriate job and training opportunities. Requires the Administrator, when an applicant for such treatment has received a less than honorable discharge from the armed services, to advise such applicant of his right to apply for review and correction of such discharge. Requires the provision of such services to eligible veterans who are charged with or convicted of any criminal offense and who are not confined and not required to participate in such a treatment program; and permits provision of such services, under specified conditions, to eligible veterans similarly charged or convicted, if a court does require participation in such a program. Allows a member of the active armed services with alcohol or drug problems to transfer to any Veterans' Administration facility for treatment within the last 30 days of such member's tour of duty. Directs the Secretary of Health, Education and Welfare and the Administrator to coordinate the Professional Standards Review program carried out under part B of title XI (General Provision) of the Social Security Act and the comparable programs carried out by the Department of Medicine and Surgery to assess the quality of patient care in Veterans' Administration health care facilities. Requires the Chief Medical Director, through the Administrator, to report to Congress on the effectiveness of such coordination. Requires the Chief Medical Director to report to Congress, not later than three months after the end of each fiscal year, on all activities in which he or a designee, as a representative of the Veterans' Administration, has participated in an advisory or coordinating capacity with respect to programs carried out by the executive branch.

Bill· HRH.R. 9025 (95th)referred

A bill to provide for unbiased consideration of applicants to medical schools.

United States · United States Congress · 9 September 1977

Amends the Health Programs Extension Act of 1973 to prohibit any entity which receives financial aid from, or enters into any contract with the Secretary of Health, Education, and Welfare from questioning any applicant for admission as a student about the views of the applicant regarding abortion or sterilization. Prohibits such entity from discriminating against any applicant for study because of the refusal of the applicant to participate in the performance of an abortion or other medical services contrary to the religious beliefs or moral convictions of the applicant.

Bill· HRH.R. 8977 (95th)referred

A bill to amend title XIX of the Social Security Act to improve the early and periodic screening, diagnosis, and treatment program.

United States · United States Congress · 8 September 1977

Amends Title XIX (Medicaid) of the Social Security Act to require payment to States of 90 percent of the total amount expended under State plans for early and periodic screening and diagnosis, (EPSDT) and 100 percent of the total amount for treatment of defects and conditions discovered through such screening and diagnosis. Institutes a program for distribution of coupons to individuals entitled to medical assistance EPSOT which identify services to which an eligible individual is entitled. Requires an annual compilation of providers and institutions which will provide services under EPSDT and further requires such institutions to provide to the maximum extent feasible all authorized services to individuals so entitled.

Bill· HRH.R. 8996 (95th)referred

A bill to amend title XVIII of the Social Security Act to authorize payment under the supplementary medical insurance program for the cutting and removal of corns, warts, and calluses and the reduction of club nails.

United States · United States Congress · 8 September 1977

Amends Title XVIII (Medicare) of the Social Security Act to authorize payment under the supplementary medical insurance program for foot care involving the cutting and removal of corns, warts, and calluses and the trimming of club nails.

Bill· HRH.R. 8974 (95th)referred

Child Health Assurance Act

United States · United States Congress · 8 September 1977

Child Health Assurance Act - Amends Title XIX (Medicaid) of the Social Security Act to require early, periodic screening of physical and mental defects in children under the age of 21 who are members of families eligible for Aid to Families with Dependent Children. Establishes a Child Health Assurance Program under Medicaid. Requires State Medicaid plans to include child health assessments and primary care to specified individuals under the age of 21. Directs that child health care assessments be provided only by a health care provider who enters into an agreement with the State agency responsible for the administration of the Medicaid plan to: (1) provide to specified individuals periodic health assessments; (2) provide a minimum range of diagnostic and treatment services; (3) arrange for referrals where necessary; (4) be readily accessible on an ongoing basis; (5) provide for timely followup services; (6) make required reports to the State or Secretary of Health, Education, and Welfare. Allows an individual who has received a health assessment to remain eligible for all care and services provided under the State plan for six months after such individual's family has become ineligible for Medicaid or Aid to Families with Dependent Children. Sets forth requirements which a State Medicaid program must meet in administering a Child Health Assurance Program. Provides for reimbursement for payments made by the States in providing services under the program. Allows the Secretary to reduce, by 20 percent, a State's Medicaid funds if the State does not comply with the standards promulgated for the Child Health Assurance Program. Allows the Secretary to make additional payments to States that have met specified criteria for good performance of the State's Child Health Assurance Program. Repeals the previous provision of the Social Security Act relating to appropriations for Child Health Care Assurance programs.

Bill· HRH.R. 8970 (95th)referred

Food Additives Amendment

United States · United States Congress · 8 September 1977

Food Additive Amendments - Amends the Federal Food, Drug, and Cosmetic Act to permit the marketing of certain food additives if the Secretary of Health, Education, and Welfare determines that their probable carcinogenic effect on humans is so small that such additives may be deemed safe.

Bill· HRH.R. 8972 (95th)referred

A bill to amend XVIII of the Social Security Act to provide for the coverage of certain psychologists' services under the supplementary medical insurance benefits program established by part B of such title.

United States · United States Congress · 8 September 1977

See summary of: H.R. 1311

Bill· HRH.R. 8987 (95th)referred

A bill to provide for timely payment under medicare of certain physicians' fees on account of services furnished on a deceased individual.

United States · United States Congress · 8 September 1977

Amends Title XVIII (Medicare) of the Social Security Act to expedite payment of physicians' fees for Medicare services by permitting payment upon the request of the widow or the legally designated representative of a deceased individual who received such services.

Bill· HRH.R. 8915 (95th)referred