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Bill· HRH.R. 4295 (97th)referred
United States · United States Congress · 28 July 1981
Health Care Expenditures Regulation Review Act - Requires any officer or agency in the Executive branch of the Federal Government to submit all proposed health care regulations to each House of Congress. Sets forth the procedures by which a proposed health care regulation shall become effective. States that such regulations shall take effect 90 legislative days after submission unless: (1) disapproved by either House of Congress; or (2) adopted earlier by a concurrent resolution. Directs the head of any Federal department or agency to give 60 days notice to the relevant committees of the House of Representatives and Senate prior to initial publication of any regulation which relates to: (1) costs or expenditures of, or reimbursements to, individuals or providers of health care; or (2) the fixing of any rate or charge.
Bill· HRH.R. 4305 (97th)referred
United States · United States Congress · 28 July 1981
Amends title XVIII (Medicare) of the Social Security Act to provide, under the supplementary medical insurance program, payment for nutritional counseling as part of the home health services.
Bill· HRH.R. 4297 (97th)referred
United States · United States Congress · 28 July 1981
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. 4288 (97th)referred
United States · United States Congress · 28 July 1981
Amends the CHAMPUS program to include chiropractic care.
Bill· HRH.R. 4294 (97th)referred
United States · United States Congress · 28 July 1981
Amends the Federal Food, Drug, and Cosmetic Act to provide that new drugs for human or animal use will be regulated under such Act solely to assure their safety, and not their effectiveness.
Bill· SS. 1509 (97th)open
United States · United States Congress · 22 July 1981
Competitive Health and Medical Plan Act - Amends title XVIII (Medicare) of the Social Security Act to revise the method of reimbursement to health maintenance organizations (HMO's). Provides instead for payments to competitive medical plans (CMP's). Directs the Secretary of Health and Human Services to determine annually a per capita rate of payment for each class of individuals entitled to benefits: (1) under parts A (Hospital Insurance) and B (Supplementary Medical Insurance) of title XVIII who are enrolled under the provisions of this Act with a CMP which he or she has entered into a risk-sharing contract; and (2) under part B alone who are enrolled with a CMP. Directs the Secretary to define appropriate classes of members on the basis of such factors as age, sex, institutional status, disability and health status, and place of residence. Provides that the payment rate for each class shall be equal to 95 percent of the adjusted average per capita cost for that class, and that the rate shall be paid monthly in advance. Defines adjusted average per capita cost to mean the average per capita amount estimated in advance that would be payable in any contract year for services convered under parts A and B, or part B only, and types of expenses otherwise reimbursable under parts A and B, or part B only, if the services were furnished by other than a CMP. Provides that payment to a CMP under this Act for individuals enrolled with a CMP and entitled to benefits under part A and enrolled under part B shall be made from the Federal Hospital Insurance Trust Fund and the Federal Supplementary Medical Insurance Trust Fund. Defines a CMP as a public or private entity which: (1) is a qualified HMO; or (2) is a licensed HMO in the State in which it operates. Provides, in addition, that an entity meets the definition if it: (1) provides at least specified services; (2) is compensated on a periodic basis; (3) provides physicians' services through physicians who are employees or partners; (4) assumes the financial risk for the provision of services; and (5) makes adequate provision against the risk of insolvency. Permits a CMP to offer services in addition to those required. Requires a CMP to have an open enrollment period of at least 30 days duration annually. Prohibits a CMP from refusing an individual because of the individual's health status (except end stage renal disease). Entitles an enrolled individual to a hearing before the Secretary when the amount in controversy exceeds $100.000. Requires a CMP to have a procedure to review care and identify problems. Sets limits on a CMP's premiums and other charges. Requires each CMP to have an enrolled membership at least one half of which consists of individuals not entitled to either Medicare or Medicaid. Authorizes a waiver of this requirement where special circumstances warrant such a modification. Authorizes the Secretary, in order to carry out this Act, to enter into a risk sharing contract with any CMP which has at least 1,000 members. Requires each contract to provide either: (1) additional benefits to enrollees; (2) reduced premiums, deductibles, or copayments; or (3) rebates or dividends to enrollees, if a CMP's reimbursement exceeds a rate defined as the adjusted community rate. Requires a CMP to report to the Secretary as specified. Authorizes the Secretary to inspect a CMP. Includes within the definition of medical and other health services under title XVIII services furnished, pursuant to a CMP contract, to a member of a CMP by a physician assistant or nurse practitioner.
Bill· HRH.R. 4227 (97th)open
United States · United States Congress · 21 July 1981
Amends titles II (Old Age, Survivors and Disability Insurance) and XVIII (Medicare) of the Social Security Act to eliminate the three day prior hospitalization requirement for coverage of extended care services.
Bill· HJRESH.J.Res. 309 (97th)referred
United States · United States Congress · 21 July 1981
Requests the President to designate November 27, 1981, as "National Lifeliner Day."
Bill· SS. 1498 (97th)open
United States · United States Congress · 17 July 1981
Establishes within the National Institutes of Health the Office of Drugs of Limited Commercial Value under the direction of the Director of the National Institutes of Health. Establishes within the Office an advisory council to advise the Director and make recommendations to the Secretary of Health and Human Services respecting the time required for drug approval under the Federal Food, Drug, and Cosmetic Act. Authorizes the Director to provide financial assistance to entities for the development of drugs of limited commercial value, defined as a drug for a condition or disease of low incidence, to undertake the development of such drugs, undertake studies to determine the potential and need for specific drugs, and coordinate the efforts of public and private entities engaged in the development of such drugs. Requires the submission and approval of an application containing the scientific basis for the development and the proposed therapeutic use of the drug and other specified information before financial assistance is provided. Requires each entity receiving funds to keep specified records. Requires the Director to report to Congress within two years on the effectiveness of this Act.
Bill· HRH.R. 4205 (97th)open
United States · United States Congress · 17 July 1981
Amends title XVIII (Medicare) of the Social Security Act to establish the Special Commission on Quality Assurance and Utilization Control in Home Health Care. Outlines the duties of the Commission including: (1) a study, investigation, and review of the provision of home health care and services; and (2) the development of a detailed plan for quality assurance and utilization control in home health care. Requires the Secretary of Health and Human Services to issue regulations modifying the standards, conditions, and requirements of titles XVIII, XIX (Medicaid) and XX (Grants to States for Services) relating to home health agencies and home health care as may be necessary to implement such plan.
Bill· HRH.R. 4203 (97th)referred
United States · United States Congress · 17 July 1981
Amends title XVIII (Medicare) of the Social Security Act to extend coverage to include expenses incurred in providing a Papanicolaou test for the diagnois of uterine cancer, if the individual receiving the test has not had such a test on a routine basis during the preceding six months.
Bill· HRH.R. 4201 (97th)referred
United States · United States Congress · 17 July 1981
Amends title XVIII (Medicare) of the Social Security Act to provide payment for optometric and medical vision care under the supplementary medical insurance program.
Bill· HRH.R. 4206 (97th)referred
United States · United States Congress · 17 July 1981
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, and treatment of foot conditions. Directs the Secretary of Health and Human Services 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 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 and local governments of more and better hearing care for the elderly, including a network of examination and treatment sites.
Bill· HRH.R. 4207 (97th)referred
United States · United States Congress · 17 July 1981
Amends the Public Health Service Act to authorize the Secretary of Health and Human Services to make grants for demonstration projects for support services and research relating to adolescent pregnancy and parenthood. Includes within such services: (1) pregnancy testing and maternity counseling; (2) adoption counseling; (3) health services including prenatal and pediatric care; (4) education and family planning; and (5) other related health, referral, and educational services. Requires that such projects: (1) provide, supplement, or improve the quality of such services; and (2) use methods to strengthen the capacity of families to deal with adolescent pregnancy or parenthood. Limits the use of funds under this program to: (1) provide services to eligible persons; and (2) coordinate and plan necessary services. Prohibits the use of funds for family planning services (other than counseling and referral) unless not otherwise available. Requires grantees to charge income-based fees for such services. Requires the Secretary to give priority to certain applicants, including those who serve areas: (1) where there is a high incidence of adolescent pregnancy; and (2) where the incidence of low income families is high and the availability of programs of care for pregnant adolescents and adolescent parents is low. Prohibits grants for more than five years duration. Establishes a decreasing maximum Federal financial participation, which the Secretary may waive. Sets forth application requirements. Requires a grantee to make periodic project reports to the Secretary. Directs the Secretary to coordinate Federal policies and programs relating to the prevention of adolescent pregnancies, including assistance to State and local entities receiving Federal aid. Authorizes the Secretary to make grants and enter into contracts for research projects and information dissemination. Limits such projects to a maximum of five years and an annual amount of $100,000. Requires: (1) the Secretary to establish a panel to review such grant and contract applications; and (2) recipients to transmit project reports to the Secretary. Reserves between one and three percent of funds appropriated under this Act for program evaluation. Authorizes specified appropriations for fiscal years 1982 through 1984. Prohibits funds under this Act from being used for abortion related purposes, except for research concerning the consequences of abortion. Repeals title VI (adolescent pregnancy grant program), title VII (coordination of Federal and State programs), and title VIII (study of adolescent pregnancy) of the Health Services and Centers Amendments of 1978.
Bill· HRH.R. 4193 (97th)referred
United States · United States Congress · 17 July 1981
Medicaid Community Care Act of 1981 - Authorizes a State with a plan approved under title XIX (Medicaid) of the Social Security Act to apply to the Secretary of Health and Human Services to have Federal payments for home health care services, nursing services, home health aid services, medical equipment for use in the home, physical therapy, occupational therapy, speech pathology services, endiology services, adult day health services, respite care, short-term full-time nursing care, homemaker services, and nutrition counseling made at a higher rate than the rate for other care and services provided under the State plan. Specifies that the Federal medical assistance percentage for such services and the comprehensive assessments provided for in this Act shall be the lesser of: (1) the Federal medical assistance percentage determined under title XIX plus 25 percent; or (2) 90 percent of the cost of such services and assessments. Requires an application to be accompanied by a community care plan which: (1) provides for a comprehensive assessment of each individual eligible or applying for Medicaid who is likely to need long-term skilled nursing facility or intermediate care facility services; (2) makes available, under title XIX, the care and services for which the higher Federal payment may be made to individuals determined pursuant to a comprehensive assessment to be in need of long-term facility services and for whom such assistance is a feasible alternative to long-term facility services; and (3) coordinates the services provided under this Act with similar services provided under the Older Americans Act of 1965, and under titles XVIII (Medicare) and XX (Grants to States for Services) of the Social Security Act. Requires the Secretary to report to Congress with respect to the program established under this Act. Permits a State, for the purposes of title XIX, to treat a noninstitutionalized individual the same as an individual who is in a long-term care facility if the noninstitutionalized individual meets the income and resources standards for long-term facility residents and has been determined, pursuant to an assessment under this Act, to need long-term facility services.
Bill· HRH.R. 4051 (97th)referred
United States · United States Congress · 26 June 1981
GI Medical Research Protection Act of 1981 - Requires all human subjects used in experiments conducted by or for the Department of Defense to be informed in understandable language of the nature of the experiments. Requires the documentation of their consent through a written form. Establishes a Research Review Board in the Department to oversee the implementation and enforcement of this Act.
Bill· HRH.R. 4046 (97th)open
United States · United States Congress · 26 June 1981
Amends the Employee Retirement Income Security Act of 1974 (ERISA) to provide for a limited waiver of ERISA's general preemption of State laws relating to employee benefit plans in the case of the Hawaiian Prepaid Health Care Law. Directs the Secretary of Labor to conduct a study and report to Congress within two years on the feasibility of extending such exemption to include other State laws which establish health care plans.
Bill· HRH.R. 4054 (97th)referred
United States · United States Congress · 26 June 1981
Amends the Public Health Service Act to eliminate age restrictions on appointment and mandatory retirement for the commissioned corps of the Public Health Service.
Bill· HRH.R. 4013 (97th)referred
United States · United States Congress · 25 June 1981
Provides that under part B (Supplementary Medical Insurance) of title XVIII (Medicare) of the Social Security Act prevailing charge levels, as applicable to items and services furnished in Michigan, shall be determined on a statewide basis and not on the basis of any particular locality within the State.
Bill· HRH.R. 4012 (97th)referred
United States · United States Congress · 25 June 1981
Directs the Secretary of Health and Human Services to conduct a study to determine whether there is a relationship between the exposure of members of the U.S. armed forces to nuclear radiation in Hiroshima and Nagasaki and any abnormal health symptoms currently exhibited by such individuals. Requires a report to Congress within two years of enactment of this Act.
Bill· HRH.R. 4022 (97th)referred
United States · United States Congress · 25 June 1981
Amends the Public Health Service Act to extend the grant and contract authority of the Director of the National Cancer Institute.
Bill· SS. 1404 (97th)referred
United States · United States Congress · 19 June 1981
GI Medical Research Protection Act of 1981 - Requires all human subjects used in experiments conducted by or for the Department of Defense to be informed in understandable language of the nature of the experiments. Requires the documentation of such consent through a written form. Establishes a Research Review Board in the Department to oversee the implementation and enforcement of this Act.
Bill· HRH.R. 3945 (97th)referred
United States · United States Congress · 17 June 1981
Amends title XVIII (Medicare) of the Social Security Act to provide coverage under part B (Supplementary Medical Insurance) for the services of a licensed or certified acupuncturist.
Bill· HRH.R. 3944 (97th)referred
United States · United States Congress · 17 June 1981
Amends title XIX (Medicaid) of the Social Security Act to provide coverage for the professional services of a licensed or certified acupuncturists.
Bill· HRH.R. 3921 (97th)referred
United States · United States Congress · 15 June 1981
Amends title XVIII (Medicare ) of the Social Security Act to provide Medicare coverage of "personal emergency response services" provided by a "personal emergency monitoring agency." Defines "personal emergency response services" as the maintenance of digital electronic communication equipment in the home which signals a "personal emergency monitoring agency" for help.
Bill· SS. 1363 (97th)referred
United States · United States Congress · 11 June 1981
Saccharin Study and Labeling Act Amendment of 1981 - Amends the Saccharin Study and Labeling Act to extend until 24 months after the date of enactment of this Act, the period during which the Secretary of Health and Human Services may not take certain actions to restrict the continued use of saccharin or of any food, drug, or cosmetic containing saccharin.
Resolution· SCONRESS.Con.Res. 22 (97th)referred
United States · United States Congress · 11 June 1981
Commends Doctor Howard A. Rusk on his lifetime service to the handicapped.
Bill· HRH.R. 3884 (97th)referred
United States · United States Congress · 11 June 1981
Health Service Act - Title I: Establishment and Operation of the United States Health Service - Establishes the United States Health Service as an independent agency of the executive branch. Directs the President to appoint an Interim National Health Board to govern the service during the months before a Permanent National Health Board is appointed. Requires the Interim Board to establish health care delivery regions throughout the United States, with an interim regional board for each region which shall in turn establish health care delivery districts and communities. Specifies procedures for the election of community boards by the community users and health care workers, and subsequent appointment of permanent district and regional boards, culminating, by this selection process from the bottom up, in the appointment of the permanent National Health Board from among regional users. Title II: Delivery of Health Care and Supplemental Services - Enumerates the basic health rights which the Service shall ensure in the delivery of services to users, among them: (1) the right to receive high quality health care and supplemental services without charge or discrimination; (2) the right to choose the health facilities from which to receive such services; (3) the right of access to all health information; (4) the right to an explanation of benefits and risks; (5) the right, in the event of terminal illness, to die with a maximum degree of dignity; and (3) the right to legal assistance to enforce these rights. Amends the Fair Labor Standards Act to entitle each employee of an employer subject to compensation for one hour of necessary health care services for every 35 hours of employment. Lists the range of services which the Health Service shall provide. Makes all individuals within the United States and its territories eligible to receive them. Requires: (1) each community board to establish community health care facilities providing certain primary and specialized services; (2) each district board to establish a general hospital; and (3) each regional board to establish a regional medical facility with highly specialized services. Specifies additional duties of regional, district, and community boards, including education on personal health matters and environmental monitoring services. Prohibits any individual employed by a health board from engaging in the private delivery of health care services. Title III: Health Labor Force - Makes the Health Service the sole judge of the qualifications of its employees, pre-empting all State or local laws to the contrary. Directs the National Health Board to issue guidelines for the classification, certification, and employment of health workers by job category. Requires each regional board to establish a health team school for the education of health workers in its region. Applies certain Federal Standards to labor-management relations within the Service, including collective-bargaining procedures and agreements. Provides for the defense of malpractice and negligence suits brought against Service employees. Title IV: Other Functions of Health Boards - Directs the National Board to establish a health rights legal service program to assist users and workers with legal problems related to health rights and health care services. Requires each regional, district, and community board to set up a health advocacy program to ensure full realization of health rights. Provides a grievance procedure for users and workers before a regional board or the National Board. Directs the National Board to oversee occupational safety and health programs at the regional level and to contribute to the development and administration of standards under the Occupational Safety and Health Act of 1970. Requires the establishment of regional occupational safety and health programs and community safety and health action councils (OSHACs). Requires employers to provide a health facility in or near any workplace having 25 or more employees. Transfers the National Institutes of Health to the National Health Board, and requires the creation of additional National Institutes of: (1) Epidemiology; (2) Evaluative Clinical Research; (3) Health Care Services; (4) Pharmacy and Medical Supply; and (5) Sociology of Health and Health Care. Directs the National Board to formulate one-year and five-year national health plan budgets based on data collected and evaluated by the community, district, and regional boards. Requires the publication of a National Pharmacy and Medical Supply Formulary listing drugs, therapeutic devices and other medical equipment, and a comprehensive dictionary of health care terms for users. Title V: Financing of the Service - Amends the Internal Revenue Code to impose additional income taxes (health service taxes) on individuals and corporations to finance the health service program. Denies exclusion from gross income of amounts paid by employers on behalf of their employees to accident and health plans which provide insurance for medical expenses covered by this Act. Eliminates income tax deductions for certain health care expenses and charitable contributions to medical and hospital facilities where the services paid for could have been provided by the Health Service. Repeals the hospital insurance tax. Creates in the Treasury the Health Service Trust Fund. Transfers to such Fund all the assets and liabilities of the Federal Hospital Insurance Trust Fund and the Federal Supplementary Medical Insurance Trust Fund. Directs the National Board to prepare a national health budget for each fiscal year based on plans and budgets submitted annually by the regional, district, and community boards. Title VI;; Miscellaneous Provisions - Makes conforming amendments to specified Acts.
Bill· HRH.R. 3872 (97th)referred
United States · United States Congress · 10 June 1981
National Infant Screening Act of 1981 - Amends title XI (Genetic Diseases, Hemophilia Programs, and Sudden Infant Death Syndrome) of the Public Health Service Act to provide grants for infant screening programs to detect metabolic disorders.
Bill· HRH.R. 3855 (97th)referred
United States · United States Congress · 9 June 1981
Amends the Saccharin Study and Labeling Act to extend until June 30, 1983, the period during which the Secretary of Health and Human Services may not take certain actions to restrict the continued use of saccharin or of any food, drug or cosmetic containing saccharin.
Bill· HRH.R. 3851 (97th)referred
United States · United States Congress · 9 June 1981
Amends title XVIII (Medicare) of the Social Security Act to provide coverage under part B (Supplementary Medical Insurance) for the services of a licensed or certified acupuncturist.
Bill· SS. 1345 (97th)open
United States · United States Congress · 8 June 1981
Veterans' Health Care Act of 1981 - Authorizes the Administrator of the Veterans' Administration to provide hospital or nursing home care to a veteran for treatment of a condition associated with exposure to Agent Orange during service in Vietnam. Extends through September 30, 1984, the Vietnam-era veterans' readjustment counseling program. Directs the Administrator to expand the scope of the epidemiological study and literature review of studies of long-term adverse health effects from exposure to Agent Orange to include an evaluation of the adverse health effects of other factors involved in such service, including exposure to other herbicides, chemicals, or environmental hazards or conditions.
Bill· HRH.R. 3846 (97th)referred
United States · United States Congress · 8 June 1981
Amends the Internal Revenue Code to allow an income tax deduction for home health care and nursing home expenses paid by families on behalf of their relatives.
Bill· HRH.R. 3825 (97th)referred
United States · United States Congress · 4 June 1981
Amends part A (Hospital Insurance) of title XVIII (Medicare) of the Social Security Act to eliminate inpatient hospital coinsurance payments.
Bill· HRH.R. 3829 (97th)referred
United States · United States Congress · 4 June 1981
Saccharin Study and Labeling Act Amendment of 1981 - Amends the Saccharin Study and Labeling Act to extend, until 24 months after the date of enactment of this Act the period during which the Secretary of Health and Human Services may not take certain actions to restrict the continued use of saccharin or of any food, drug, or cosmetic containing saccharin.
Bill· HRH.R. 3831 (97th)referred
United States · United States Congress · 4 June 1981
Amends the Public Health Service Act to: (1) eliminate age restrictions on appointment and mandatory retirement for the commissioned corps of the Public Health Service; and (2) permit the Surgeon General to be appointed from outside the Regular Corps of the Service.
Bill· HRH.R. 3827 (97th)referred
United States · United States Congress · 4 June 1981
Amends title XVIII (Medicare) of the Social Security Act to establish a voluntary insurance program to provide insurance benefits for aged and disabled individuals and individuals medically determined to have end stage renal disease to be financed from premium payments by enrollees and excise taxes on alcohol and tobacco products. Provides for coverage of the following under the program: (1) routine physical checkups, not exceeding one in any two-year period; (2) routine eye care, including the dispensing of eyeglasses no more than once a year; (3) dental care, including teeth cleaning, extractions, and crowns and bridges (as authorized); (4) hearing care, including examinations and hearing aids; and (5) prescription drugs and biologicals. Directs the Secretary to provide for a program certifying hearing aids. Creates a Trust Fund from which benefits will be paid to enrolled individuals, after payment of an annual $60 deductible. States that the Fund shall consist of gifts and bequests as provided in title II (Old Age, Survivors and Disability Insurance) of the Act and 100 percent of a special tax on alcohol and tobacco established under this Act. Amends the Internal Revenue Code to establish such tax. Creates a Board of Trustees for the Fund and sets forth the reporting requirements. Sets forth provisions detailing the procedure for payment of claims of providers of services and the use of carriers for administration of benefits. Declares that every individual who: (1) is entitled to hospital insurance benefits under part A (Hospital Insurance) of title XVIII; or (2) has attained age 65, is eligible to enroll. Sets forth provisions relating to enrollment and the enrollment period. Provides that the monthly premium shall be equal to the monthly premium under part B (Supplementary Medical Insurance) of title XVIII. Directs the Secretary of Health and Human Services, at the request of a State, to enter into an agreement with a State pursuant to which individuals receiving money payments under the following titles of the Act will be enrolled under the program: (1) individuals receiving money payments under a plan approved under title I (Old Age and Medical Assistance for the Aged) or XVI (Supplemental Security Income); or (2) individuals receiving money payments under all of the State plans approved under titles I, X (Aid to the Blind), XIV (Aid to the Permanently and Totally Disabled), XVI, and IV, part A (Aid to families with Dependent Children). Permits the Secretary to enter into a modification of an agreement with a State under which individuals who are entitled to benefits under title II of the Act or who are eligible under title XIX (Medicaid) of the Act may be included within the coverage group covered under such a State agreement. Directs the Secretary to provide for a project demonstrating the cost-effectiveness of providing services and appliances, as a benefit under the program established by this Act, to assist or compensate for visual impairment in low-vision individuals.
Bill· HRH.R. 3813 (97th)open
United States · United States Congress · 4 June 1981
Alcohol and Drug Abuse Amendments of 1981 - Title I: Amendments to the Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment, and Rehabilitation Act of 1970 - Amends the Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment, and Rehabilitation Act of 1970 to extend through fiscal year 1985 the authority of the Secretary of Health and Human Services to make grants to States, through the National Institute on Alcohol Abuse and Alcoholism, to implement State plans. Limits: (1) any such grant to 50 percent of the total State costs; and (2) amounts from such grants that may be used for administrative expenses. Requires the Secretary, before making a grant, to review any comments submitted by the State advisory council and local governments regarding the preparation and administration of the State plan. Requires the Institute to complete its review of each State plan within 60 days after receipt. Extends through fiscal year 1985 the Secretary's authority to make project grants and contracts to public and nonprofit private entities for demonstration and evaluation projects relating to prevention, treatment, and rehabilitation services. Prohibits any grants to States or State agencies for such projects. Directs the Secretary to encourage applications for projects dealing especially with women, the elderly, and individuals under age 18. Limits to six the number of grants and contracts for any particular project. Provides for scaled reductions in grant or contract support for any project from 80 percent down to 30 percent over a six year period. Authorizes appropriations through fiscal year 1985 for all such grants and for grants for research and research centers. Title II: Amendments to the Drug Abuse Prevention, Treatment, and Rehabilitation Act - Amends the Drug Abuse Prevention Treatment, and Rehabilitation Act to extend through fiscal year 1985 the authority of the Secretary to make grants to States, through the National Institute on Drug Abuse, to implement State plans. Limits any such grant to 50 percent of the total State costs. Requires the Secretary, before making a grant, to review any comments submitted by the State advisory council and local governments regarding the preparation and administration of the State plan. Revises the formula for the determination of the amounts of such grants. Requires the Institute to complete its review of each plan within 60 days after receipt. Extends through fiscal year 1985 the Secretary's authority to make special project grants and contracts to public and nonprofit private entities for demonstration and evaluation projects relating to prevention, treatment, and rehabilitation services. Prohibits any grants to States or State agencies for such projects. Limits to six the number of grants and contracts for any particular project. Directs the Secretary to encourage applications for projects dealing especially with women, the elderly, and individuals under age 18. Provides for scaled reductions in grant or contract support for any project from 80 percent down to 30 percent over six year period. Authorizes grants and contracts for fiscal years 1982-1985 for research into: (1) the causes of drug abuse in particular area; and (2) improved drug maintenance and detoxification techniques and programs. Title III: Technical Amendments - Repeals certain authorization provisions of the Controlled Substances Act.
Bill· HRH.R. 3830 (97th)referred
United States · United States Congress · 4 June 1981
Amends the Public Health Service Act to authorize specified appropriations for fiscal years 1982 through 1984 for: (1) community health centers; and (2) migrant health centers. Authorizes specified appropriations for fiscal year 1982 for primary care research and demonstration projects. Directs the Secretary of Health and Human Services to: (1) prescribe criteria for determining where community health centers are needed; and (2) review the performance of such centers that provide migrant health services and report such findings to Congress. Provides for community health center audits.
Bill· HRH.R. 3812 (97th)open
United States · United States Congress · 4 June 1981
Amends the Public Health Service Act to authorize specified appropriations through fiscal year 1985 for: (1) family planning services, including training, research, and information and education; and (2) genetic disease testing, counseling, and information and education programs.
Bill· HRH.R. 3814 (97th)referred
United States · United States Congress · 4 June 1981
Maternal and Child Health Services Block Grant Act - Revises title V (Maternal and Child Health and Crippled Children's Services) of the Social Security Act. Authorizes appropriations for fiscal year 1982 to enable each State to: (1) reduce infant mortality; (2) reduce the incidence of preventable diseases and handicapping conditions among low-income children; (3) increase the availability of prenatal, delivery, and postpartum care to low-income women; (4) increase the number of children immunized; (5) increase the number of low-income children receiving health assessments and followup diagnostic and treatment services; and (6) provide medically necessary services to handicapped children, and to enable the Secretary of Health and Human Services to provide for projects and research with respect to maternal and child health and handicapped children, grants to train personnel, and grants relating to hemophilia. Declares that the amount of such appropriations shall equal the sum of the amounts authorized to be appropriated for fiscal year 1982 to carry out the consolidated health programs. Defines consolidated health programs to mean programs relating to: (1) maternal and child health and crippled children's services and supplemental security income for disabled children under the Social Security Act; (2) lead-based paint poisoning prevention, sudden infant death syndrome, and hemophilia under the Public Health Services Act; and (3) adolescent pregnancy of the Health Services and Centers Amendments of 1978. Authorizes appropriations for succeeding fiscal years based upon the 1982 amount. Sets forth provisions revising the formula for allotting appropriated amounts. Directs the Secretary to use 15 percent of such amount for: (1) special projects contributing to the advancement of maternal and child health or services for handicapped children; (2) research projects relating to maternal and child health services or handicapped services; and (3) the continuation of funding of grants to train personnel for health care, multistate regional resource centers, and comprehensive hemophilia diagnostic and treatment centers. Allots the remaining 85 percent of such amount among the States as block grants according to each State's share of the total fiscal year 1980 appropriations to all States under the consolidated health programs; except that any amount exceeding 1980 levels shall be apportioned on the basis of the number of low-income children in each State. Directs the Secretary to fund 50 percent of a State's expenses in carrying out title V. Prohibits a State from using grant money for: (1) cash payments to intended recipients of health services; (2) the purchase or improvement of land or any building, or the purchase of major medical equipment; or (3) satisfying any requirement for the expenditure of non-federal funds as a condition for the receipt of Federal funds. Revises the State plan requirements for receiving allotments. Requires a State, in order to receive an allotment, to: (1) transmit to the Secretary annually a description of the intended use of payments; and (2) transmit to the Secretary assurances that: (a) the State health agency will be responsible for the administration of allotted funds; (b) the State will fairly allocate allotted funds; (c) allotted funds will be used to provide services under the consolidated health programs; (d) of the funds allotted a State, no more than 15 percent will be used for program administration, no more than ten percent will be used for training and technical assistance, at least 85 percent will be used to provide health services, and a reasonable proportion will be used to carry out the purposes of this Act; (e) that if a State imposes any charges for health services assisted by the State under title V, such charges will be adjusted to reflect income and will not be imposed on low-income mothers and children; and (f) the State will identify and apply guidelines for the appropriate frequency and content of health care assessments and services. Requires each State to report to the Secretary on its activities and audit its expenditures under this Act annually. Directs the Secretary to: (1) administer this Act through a unit specializing in maternal and child health; (2) evaluate and report to Congress concerning the performance of States receiving allotments under this Act; and (3) devise another allotment formula which takes into account the number of live births, handicapped children, and low-income mothers and children in a State and the State's financial resources. Sets forth provisions: (1) establishing a criminal penalty for false statements to obtain benefits under this Act; (2) prohibiting discrimination under any program or activity funded under this Act; (3) making conforming amendments; and (4) governing the transition to the program established by this Act.
Bill· HRH.R. 3806 (97th)referred
United States · United States Congress · 4 June 1981
Amends part A (Hospital Insurance) of title XVIII (Medicare) of the Social Security Act to provide that the inpatient hospital deductible may not be increased without the approval of both Houses of Congress.
Bill· HRH.R. 3755 (97th)open
United States · United States Congress · 2 June 1981
Medicaid Assistance Reform Amendments of 1981 - Amends title XIX (Medicaid) of the Social Security Act to provide a cap on Medicaid expenditures beginning with fiscal year 1982. Authorizes appropriations for the Medicaid program for fiscal year 1982 in a specified amount. Authorizes such appropriations for fiscal year 1983 and thereafter in amounts increased or decreased according to a specified formula. Authorizes appropriations for such sums as are necessary to make payments to States to operate Medicaid Fraud and abuse units. Authorizes appropriations for mechanized claims processing and information retrieval systems in a specified amount for fiscal year 1982 and in necessary amounts for succeeding fiscal years. Allocates such funds to States according to a specified formula. Directs the Secretary of Health and Human Services to determine a Federal Medicaid allotment ratio for each State in accordance with specified guidelines. Provides 90 percent matching funds for the design, development, or installation of mechanized eligibility systems. Provides 75 percent matching funds for the operation of such systems.
Bill· HRH.R. 3757 (97th)referred
United States · United States Congress · 2 June 1981
Includes the services of a dentist as part of the coverage provided under part B (Supplementary Medical Insurance) of title XVIII (Medicare) of the Social Security Act. Eliminates the exclusion of dentures. Includes inpatient hospital services provided in connection with the provision of any service rendered by a dentist among the services covered under part A (Hospital Insurance) of title XVIII, if an individual requires hospitalization in connection with the provision of such services.
Bill· HRH.R. 3768 (97th)referred
United States · United States Congress · 2 June 1981
Amends the Public Health Service Act to direct the Secretary of Health and Human Services to close or transfer all Public Health Service hospitals and other stations by September 30, 1982. Establishes an administrative unit within the Office of the Assistant Secretary for Health to oversee such activities.
Law· HJRESH.J.Res. 272 (97th)enacted
United States · United States Congress · 2 June 1981
Requests the President to designate the week of April 4 through April 10, 1982, as National Medic Alert Week.
Bill· HJRESH.J.Res. 276 (97th)referred
United States · United States Congress · 2 June 1981
Requests the President to designate June 30, 1981, as "National Drug Standards Day."
Bill· SS. 1291 (97th)open
United States · United States Congress · 1 June 1981
Health Care Financing Amendments of 1981 - Title I: Medicaid - Amends title XIX (Medicaid) of the Social Security Act to set a limit on the authorization of appropriations for Medicaid for fiscal year 1981 and succeeding fiscal years (presently, a sum sufficient to carry out the program is authorized), except for funding to eliminate fraud and funding to pay States' claims for Medicaid expenditures prior to October 1, 1981. Apportions funds to States according to the ratio of each State's estimated Medicaid expenditures compared to the estimated expenditures of all States for fiscal year 1981. Authorizes separate funding for mechanized claims processing and information retrieval systems. Prohibits payment for any fiscal year 1980 State expenditure unless a claim is filed by October 1, 1981, except in exceptional circumstances. Makes various waivers and modifications of Medicaid program requirements. Eliminates all requirements with respect to eligibility and benefits of the medically needy, and all requirements (other than mandatory services for the categorically needy) to provide equal benefits to all medically needy and categorically needy (mainly individuals receiving cash assistance under the Social Security Act). Maintains the requirement of a State to provide all mandatory services to the categorically needy, but permits a State to use reasonable criteria in determining benefits and eligibility for other needy individuals. Replaces the present requirement that Medicaid beneficiaries be afforded the freedom to choose a provider with a requirement to provide standards reasonably expected to give recipients adequate quality care. Repeals certain requirements with respect to: (1) utilization review and control; and (2) the amount and method of provider reimbursement. Revises requirements for Medicaid management information systems. Permits the waiver of certain State plan requirements if a State demonstrates that it has established alternative methods which can be expected to achieve the same goal. Provides personal care services to individuals who, without them, would require institutionalization. Increases Federal funding for automated eligibility assessment systems. Provides that disputed overpayments to a State which were disallowed by the Secretary of Health and Human Services will be recovered by the Secretary rather than retained by the State pending final determination. Permits a State to attribute to an alien the income and resources of the alien's sponsor for purposes of determining the alien's eligibility for Medicaid, if such alien seeks Medicaid within three years of entry into the United States. Title II: Medicare - Amends title XVIII (Medicare) of the Act to provide that contracts for the administration of benefits can be entered into with any public or private entity. Permits payments to providers on other than a reasonable cost or reasonable charge basis. Permits competitive bidding on contracts for the administration of benefits. Eliminates the requirement for a Railroad Retirement Board carrier contract. Repeals the 12-month statutory limitation on agreements with skilled nursing facilities. Prohibits payment for general routine care, including nursing care, of inpatients in hospitals and skilled nursing facilities above a certain amount (determined according to formula) unless it is demonstrated that the cost of caring for Medicare patients is more costly than caring for other patients. Permits the Secretary to withhold payments under Medicare to any Medicaid provider from which Medicaid overpayments cannot be recovered or from which information necessary to determine overpayments cannot be collected. Limits home health services to 100 visits annually under part A (Hospital Insurance) and 100 visits annually under part B (Supplementary Medical Insurance) of title XVIII. Eliminates the need for occupational therapy as a basis for entitlement to home health services. Eliminates part A coverage of alcohol detoxification facility services. Eliminates part B coverage of comprehensive outpatient rehabilitation services. Reduces from $500 to $100 the annual limit for outpatient physical therapy services. Eliminates coverage for hospitalization required solely because of the severity of a dental procedure. Restricts enrollment under part B to the first quarter of each calendar year. Provides, under part B, that with respect to State agreements for coverage of eligible individuals who are receiving money payments under a public assistance program, coverage extended to additional groups of individuals under an agreement requested by a State during 1981 shall not extend to items and services furnished under part B after the second month of enactment. Repeals the requirement for end-stage renal disease networks. Eliminates the temporary delay for the last 21 days of fiscal year 1981 in periodic interim payments to hospitals. Repeals utilization review requirements. Eliminates Medicare coverage for pneumococcal vaccine. Title III: Other Provisions - Amends part A (General Provisions) of title XI of the Act to set forth civil penalties for Medicare and Medicaid fraud. Sets forth the procedures for appealing the Secretary's determination of fraud. Permits the Secretary to deny further participation in Medicare or Medicaid to any individual against whom a final determination of fraud has been reached. Repeals the requirement under part A (Aid to Families with Dependent Children) of title IV of the Act that a State notify AFDC families of the availability of child health screening and treatment services under Medicaid. Amends part B (Professional Standards Review) of title XI of the Act to permit the Secretary to enter into an agreement with a Professional Standards Review Organization (PSRO) for less than 12 months. Prohibits judicial review of the termination of an agreement by the Secretary. Eliminates the requirement that the Secretary provide a formal hearing to terminate a PSRO agreement. Permits the Secretary to terminate an agreement upon giving 90 days notice. Abolishes the Statewide Professional Standards Review Councils. Changes the authority of the Secretary with respect to funding PSRO's from mandatory to discretionary. Permits a State to withdraw its Medicaid program from participation in the professional standards review program. Repeals requirements that the Secretary carry out specified studies and demonstration projects. Amends titles I (Old Age Assistance), IV (Part A), X (Aid to Blind), XIV (Aid to the Permanently and Totally Disabled), and XVI (Supplemental Security Income) of the Act to repeal obsolete authority to provide medical assistance, such authority having been replaced by Medicaid.
Bill· HRH.R. 3725 (97th)open
United States · United States Congress · 28 May 1981
Health Care Financing Amendments of 1981 - Title I: Medicaid - Amends title XIX (Medicaid) of the Social Security Act to set a limit on the authorization of appropriations for Medicaid for fiscal year 1981 and succeeding fiscal years (presently, a sum sufficient to carry out the program is authorized), except for funding to eliminate fraud and funding to pay States' claims for Medicaid expenditures prior to October 1, 1981. Apportions funds to States according to the ratio of each State's estimated Medicaid expenditures compared to the estimated expenditures of all States for fiscal year 1981. Authorizes separate funding for mechanized claims processing and information retrieval systems. Prohibits payment for any fiscal year 1980 State expenditure unless a claim is filed by October 1, 1981, except in exceptional circumstances. Makes various waivers and modifications of Medicaid program requirements. Eliminates all requirements with respect to eligibility and benefits of the medically needy, and all requirements (other than mandatory services for the categorically needy) to provide equal benefits to all medically needy and categorically needy (mainly individuals receiving cash assistance under the Social Security Act). Maintains the requirement of a State to provide all mandatory services to the categorically needy, but permits a State to use reasonable criteria in determining benefits and eligibility for other needy individuals. Replaces the present requirement that Medicaid beneficiaries be afforded the freedom to choose a provider with a requirement to provide standards reasonably expected to give recipients adequate quality care. Repeals certain requirements with respect to: (1) utilization review and control; and (2) the amount and method of provider reimbursement. Revises requirements for Medicaid management information systems. Permits the waiver of certain State plan requirements if a State demonstrates that it has established alternative methods which can be expected to achieve the same goal. Provides personal care services to individuals who, without them, would require institutionalization. Increases Federal funding for automated eligibility assessment systems. Provides that disputed overpayments to a State which were disallowed by the Secretary of Health and Human Services will be recovered by the Secretary rather than retained by the State pending final determination. Permits a State to attribute to an alien the income and resources of the alien's sponsor for purposes of determining the alien's eligibility for Medicaid, if such alien seeks Medicaid within three years of entry into the United States. Title II: Medicare - Amends title XVIII (Medicare) of the Act to provide that contracts for the administration of benefits could be entered into with any public or private entity. Permits payments to providers on other than a reasonable cost or reasonable charge basis. Permits competitive bidding on contracts for the administration of benefits. Eliminates the requirement for a Railroad Retirement Board carrier contract. Repeals the 12-month statutory limitation on agreements with skilled nursing facilities. Prohibits payment for general routine care, including nursing care, of inpatients in hospitals and skilled nursing facilities above a certain amount (determined according to formula) unless it is demonstrated that the cost of caring for Medicare patients is more costly than caring for other patients. Permits the Secretary to withhold payments under Medicare to any Medicaid provider from which Medicaid overpayments cannot be recovered or from which information necessary to determine overpayments cannot be collected. Limits home health services to 100 visits annually under part A (Hospital Insurance) and 100 visits annually under part B (Supplementary Medical Insurance) of title XVIII. Eliminates the need for occupational therapy as a basis for entitlement to home health services. Eliminates part A coverage of alcohol detoxification facility services. Eliminates part B coverage of comprehensive outpatient rehabilitation services. Reduces from $500 to $100 the annual limit for outpatient physical therapy services. Eliminates coverage for hospitalization required solely because of the severity of a dental procedure. Restricts enrollment under part B to the first quarter of each calendar year. Provides, under part B, that with respect to State agreements for coverage of eligible individuals who are receiving money payments under a public assistance program, coverage extended to additional groups of individuals under an agreement requested by a State during 1981 shall not extend to items and services furnished under part B after the second month of enactment. Repeals the requirement for end-stage renal disease networks. Eliminates the temporary delay for the last 21 days of fiscal year 1981 in periodic interim payments to hospitals. Repeals utilization review requirements. Eliminates Medicare coverage for pneumococcal vaccine. Title III: Other Provisions - Amends part A (General Provisions) of title XI of the Act to set forth civil penalties for Medicare and Medicaid fraud. Sets forth the procedures for appealing the Secretary's determination of fraud. Permits the Secretary to deny further participation in Medicare or Medicaid to any individual against whom a final determination of fraud has been reached. Repeals the requirement under part A (Aid to Families with Dependent Children) of title IV of the Act that a State notify AFDC families of the availability of child health screening and treatment services under Medicaid. Amends part B (Professional Standards Review) of title XI of the Act to permit the Secretary to enter into an agreement with a Professional Standards Review Organization (PSRO) for less than 12 months. Prohibits judicial review of the termination of an agreement by the Secretary. Eliminates the requirement that the Secretary provide a formal hearing to terminate a PSRO agreement. Permits the Secretary to terminate an agreement upon giving 90 days notice. Abolishes the Statewide Professional Standards Review Councils. Changes the authority of the Secretary with respect to funding PSRO's from mandatory to discretionary. Permits a State to withdraw its Medicaid program from participation in the professional standards review program. Repeals requirements that the Secretary carry out specified studies and demonstration projects. Amends titles I (Old Age Assistance), IV (Part A), X (Aid to Blind), XIV (Aid to the Permanently and Totally Disabled), and XVI (Supplemental Security Income) of the Act to repeal obsolete authority to provide medical assistance, such authority having been replaced by Medicaid.
Bill· HRH.R. 3723 (97th)referred
United States · United States Congress · 28 May 1981
Health Professions Personnel Amendments of 1981 - Amends the Public Health Service Act to eliminate authorities for: (1) capitation and construction grants for health professions facilities; and (2) start-up assistance. Eliminates the enrollment maintenance requirement for facilities already receiving assistance. Makes such requirement discretionary for nursing facilities. Authorizes appropriations for fiscal years 1982-1984 for financial distress assistance. Consolidates such assistance authority. Limits a grant to 75 percent of last year's amount. Prohibits a school from receiving more than three grants after fiscal year 1981. Authorizes appropriations for fiscal years 1982-1984 for the Health Education Assistance Loans Program. Makes nursing students eligible for them. Increases the annual and aggregate loan limits available to other health professions students. Permits the Secretary of Health and Human Services to repay part of a loan for a person practicing in a health manpower shortage area. Repeals the 50 percent limit on loan recipients in a given class. Permits (rather than requires) the Secretary to make loan repayments for service in health manpower shortage areas. Authorizes the Secretary to collect defaulted loans. Eliminates certain restrictions on loan amounts, interest, and penalties. Authorizes appropriations for fiscal years 1982-1984 for the National Health Service Corps (NHSC). Authorizes the payment of certain travel expenses. Authorizes appropriations for fiscal years 1982-1984 for NHSC scholarships. Authorizes appropriations through fiscal year 1987 for students already receiving scholarships. Permits service obligations to be fulfilled under the Departments of Health and Human Services or Defense, the Veterans' Administration, or State or local entities. Eliminates the freshman priority. Permits the Secretary to release persons from NHSC service if they agree to pay back from one to three times the amount of scholarship money they received. Allows the private practice option to be used in any health manpower shortage area specified by the Secretary. Authorizes special grants to encourage private practice in health manpower shortage areas. Requires a two-year minimum commitment. Gives priority to NHSC obligees. Limits grants to a maximum of $25,000. Authorizes appropriations for fiscal years 1982-1984 for: (1) public health and health administration training; (2) family medicine; (3) Area Health Education Centers; (4) physician assistant training; (5) primary care training; (6) disadvantage student assistance; (7) nurse training; (8) preventive medicine; (9) remote site training; (10) allied health disease prevention and health promotion; (11) veterinary medicine; (12) continuing education; and (13) podiatry. Consolidates the National Advisory Councils on Health Professions Education, Nurse Training, and the National Health Service Corps. Eliminates advisory council review of health professions personnel grants and contracts. Authorizes the use of health professions funds for technical assistance. Amends the Immigration and Nationality Act to permit a foreign exchange visitor in a graduate medical course or training program to stay for the time normally required to complete such work (currently two years with a one year extension). Eliminates specified regulations requirements.