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Law· HRH.R. 3235 (100th)enacted
United States · United States Congress · 7 August 1987
Health Maintenance Organization Amendments of 1987 - Amends the Public Health Service Act to revise the definition of "health maintenance organization" to include public and private entities meeting certain criteria. (Current law includes legal entities meeting such criteria.) Requires that physician services provided as basic health services e primarily provided through specified sources. Repeals a provision relating to the membership on the policymaking body of a private health maintenance organization (HMO) and the advisory board to the policymaking body of a public entity operating a public HMO. Revises provisions relating to employee health benefit plans to make those provisions applicable to employees of States or political subdivisions as well as to employees of private employers. Requires, for health benefits plans which include contributions for services, that the employer or State make contributions under plans for services offered by HMOs in an amount which does not financially discriminate against an employee who enrolls in an HMO. Adds to current provisions relating to State laws and practices which prevent entities from operating as HMOs a provision declaring inapplicable State provisions which would prohibit an entity from complying with the title of the Public Health Service Act relating to HMOs.
Bill· HRH.R. 3189 (100th)open
United States · United States Congress · 7 August 1987
Health Services Research Extension Act of 1987 - Amends the Public Health Service Act to authorize appropriations for FY 1988 and 1989 for: (1) specified health service research, evaluation, and demonstration activities; and (2) specified health statistical and epidemiological activities. Sets forth requirements with respect to the use of funds for: (1) specified health care technology assessment activities provisions; and (2) the Council on Health Care Technology. Revises the duties and composition of the National Advisory Council on Health Care Technology Assessment. Prohibits making certain health services, statistics, research, and demonstration grants and contracts unless they have been submitted to and recommended for approval by a peer review group. (Current law requires submission to a panel of experts.) Revises the amount of non-Federal contributions required for grants relating to the Council on Health Care Technology for FY 1988. Prohibits the Secretary, in carrying out provisions relating to the National Center for Health Services Research, from altering the administrative relationship between the Assistant Secretary for Health and the Director of the National Center for Health Services Research and Health Care Technology Assessment, as in effect during FY 1986.
Bill· HRH.R. 3187 (100th)open
United States · United States Congress · 7 August 1987
Comprehensive Alcohol Abuse, Drug Abuse, and Mental Health Amendments Act of 1987 - Amends title XIX (Block Grants) of the Public Health Service Act to revise and reorganize provisions relating to mental health and substance abuse programs, replacing the current part B (Alcohol and Drug Abuse and Mental Health Services Block Grant) and part C (Primary Care Block Grants) with a new part B (Community Mental Health Services), part C (State Comprehensive Mental Health Service Plans), part D (Alcohol and Drug Abuse Prevention, Treatment, and Rehabilitation Services), and part E (General Provisions). Directs, in the new part B, the Secretary of Health and Human Services, acting through the Administrator of the Alcohol, Drug Abuse, and Mental Health Administration, to make allotments and payments each fiscal year to each State for planning, developing, and providing community mental health services and related support services. Specifies application procedures and requirements, including a requirement that a State, in order to receive payments, agrees to establish and maintain a State mental health planning council with specified duties. Sets forth a formula for determining the amount of allotments, including special provisions for direct payment to an Indian tribe or tribal organization. Provides transition rules for States for FY 1988 and 1989 and separate transition rules for territories for FY 1988 and 1989. Directs the Secretary, acting through the Director of the National Institute of Mental Health, to develop and evaluate community mental health programs and services. Authorizes the use of grants, contracts, and cooperative agreements for such programs. Authorizes the Director of the National Institute of Mental Health to establish research centers to carry out the evaluations. Directs the Secretary, acting through the Director of the National Institute of Mental Health, to develop and make available a model plan for a community-based system for the care of chronically mentally ill individuals. Authorizes appropriations for FY 1988 through 1990 for: (1) mental health programs and services; (2) general provisions under part E; and (3) data collection, as provided in this Act, regarding mental health and substance abuse. Directs the Secretary, in the new part C, to make grants to the States for the development of State comprehensive mental health services plans, apportioned among the the States from appropriated funds according to the relative population of the States. Authorizes appropriations for each of the FY 1988 and 1989. Requires, starting in FY 1988, each State to submit to the Secretary a State comprehensive mental health services plan covering that fiscal year and the succeeding two fiscal years, and meeting specified requirements. Requires the State, in developing the plan, to consult with representatives of employees of State institutions and public and private nursing homes who care for seriously mentally ill individuals. Directs the Secretary to provide technical assistance to States in the development and implementation of the plans. Provides for enforcement measures the Secretary is directed to take against a State which has not taken certain steps by the end of specified fiscal years. Directs, in the new part D, the Secretary, acting through the Administrator of the Alcohol, Drug Abuse, and Mental Health Administration, to make allotments and payments each fiscal year to States for establishing and carrying out programs of prevention, treatment, and rehabilitation with respect to substance abuse and related activities. Specifies application procedures and requirements, including a requirement that a State must agree to use not less than specified portions of the payments for programs and activities related to: (1) alcoholism and alcohol abuse; (2) drug abuse; (3) prevention and early intervention regarding the abuse of alcohol and drugs; and (4) such programs and services designed for women. Sets forth a formula for determining the amount of allotments, including special provisions for direct payment to an Indian tribe or tribal organization. Provides transition rules for States for FY 1988 and 1989 and separate transition rules for territories for FY 1988 and 1989. Directs the Secretary, acting through the Director of the National Institute on Alcohol Abuse and Alcoholism and the Director of the National Institute on Drug Abuse, to develop and evaluate alcohol and drug abuse treatment programs. Authorizes the use of grants, contracts, and cooperative agreements for such programs. Authorizes appropriations for FY 1988 through 1990 for: (1) alcohol and drug abuse programs; (2) general provisions under part E; (3) the Office of Substance Abuse Prevention; (4) model projects for the prevention, treatment, and rehabilitation of drug abuse and alcohol abuse among high risk youth; (5) data collection, as provided in this Act, regarding mental health and substance abuse; (6) alcohol abuse and alcoholism demonstration project grants; and (7) drug abuse demonstration project contracts. Sets forth, in the new part E, general provisions, including: (1) a requirement that, in order for the Secretary to make payments under specified provisions of this Act, a State must submit a description of the purposes for which the State intends to expend such payments; (2) the content such statement must have for specified provisions of this Act; (3) a requirement of public notice and opportunity for comment; (4) restrictions on the use of payments, including restrictions on the portion used for administrative expenses; (5) agreements a State must make in order for the Secretary to make payments; (6) annual reports a State is required, for payments under specified provisions, to prepare and submit to the Secretary; (7) availability of the reports to the public; (8) evaluations, by the Comptroller General of the United States, of expenditures by States under specified provisions; (9) repayment of payments for failure to comply with agreements; (10) a prohibition against certain false statements; and (11) a prohibition of discrimination. Directs the Secretary to provide technical assistance to a State receiving payments under specified provisions of this Act, or entities designated by the State, without charge. Authorizes the Secretary to provide supplies and services in lieu of grant funds. Requires the Secretary, no later than October 1, 1989, to report to the Congress on the activities of the States carried out under specified provisions of this Act. Amends the Public Health Service Act to direct the Secretary, acting through the Director of the National Institute of Mental Health (Director), to develop and publish information regarding the causes of suicide and the means of preventing suicide, especially among individuals under 24 years of age. Directs the Secretary, acting through the Director, to make grants and enter into cooperative agreements for research on mental illness. Authorizes the Secretary, acting through the Director, to make grants for mental health services demonstration projects, including self-help services, for the planning, coordination, and improvement of community services for chronically mentally ill individuals, seriously emotionally disturbed children and youth, elderly individuals, and homeless chronically mentally ill individuals, and for the conduct of research concerning such services. Authorizes the Secretary, acting through the Director, to make grants for prevention services demonstration projects for the provision of prevention services for individuals who are at risk of developing mental illness. Limits the duration of such a grant and the portion of the grant which may be used for administrative expenses. Authorizes appropriations for FY 1988 and 1989. Amends the Public Health Service Act to direct the Secretary, acting through the Administrator of the Alcohol, Drug Abuse, and Mental Health Administration, to collect data on the incidence of the various forms of mental illness and substance abuse. Specifies the types of data to be included. Authorizes appropriations for FY 1988 through 1990 to carry out specified provisions of the Public Health Service Act relating to: (1) alcohol abuse and alcoholism; and (2) research with respect to drug abuse. Amends the Public Health Service Act to state that the Office of Substance Abuse Prevention is an entity of the Alcohol, Drug Abuse, and Mental Health Administration (Administration). Changes from annual to not less than once each three years the requirement that the Administrator, acting through the Associate Administrator for Prevention, report to the Congress regarding prevention activities undertaken by the Administration. Directs the Administrator to establish a process for responding to reports of scientific misconduct in connection with projects using funds under title V of the Public Health Service Act. (Current law requires such a process for scientific fraud.) Authorizes the Administrator to: (1) accept voluntary and uncompensated services; and (2) conduct and support certain research training. Amends the Anti-Drug Abuse Act of 1986 to require the Secretary to report to the Congress with respect to the results of a study regarding insurance coverage of drug abuse treatment, within 18 months after the execution of the contract for the study. (Current law requires such a report within one year of the enactment of that Act.)
Bill· HRH.R. 3225 (100th)referred
United States · United States Congress · 7 August 1987
Centers of Excellence in Geriatric Research and Training Act of 1987 - Amends the Public Health Service Act to require the Director of the National Institute on Aging to enter into cooperative agreements with and make grants to public and private nonprofit entities to pay costs of development or expansion of centers of excellence in geriatric research and training. Requires each such center to use the facilities of a single institution or be formed from a consortium. Requires centers to conduct research into the aging processes and into diagnosis and treatment related to aging, advanced training programs, programs to develop individuals capable of conducting research, and educational and training activities for students of the health professions. Requires centers to place primary emphasis on training physicians to train other physicians and students in geriatrics. Requires the Director to conduct an evaluation and report annually to the Congress. Authorizes appropriations for FY 1988 through 1990.
Resolution· HRESH.Res. 253 (100th)passed
United States · United States Congress · 7 August 1987
Sets forth the rule for the consideration of H.R. 1327 (National Health Service Corps).
Bill· HRH.R. 3133 (100th)open
United States · United States Congress · 6 August 1987
Trauma Care and Emergency Medical Services Planning and Development Act of 1987 - Directs the Secretary of Health and Human Services to provide for the establishment and operation of a National Clearinghouse on Emergency Medical Services. Directs the Secretary to conduct and submit to the Congress a study regarding the use of fees or assessments collected by the Clearinghouse to cover operating costs. Authorizes appropriations for FY 1988 through 1990. Amends the Public Health Service Act to revise the application procedure for Preventive Health and Health Services Block Grants to provide the State officer responsible for the administration of the State highway safety program an opportunity to participate in the development of any plan relating to emergency medical services. Amends the Public Health Service Act to limit the amount of certain grant allotments used for the purchase of communications equipment. Requires the Federal Communications Commission to: (1) study the availability of radio frequency channels for emergency medical services communications; (2) establish a plan to ensure that the needs of emergency medical services communications are provided for in the allocations of frequencies; (3) develop information regarding how States should carry out any responsibilities under such plan; (4) make such information available to State officials; and (5) submit a report to the Congress containing such study, plan, and information. Requires each State, beginning in FY 1989, to submit annual comprehensive emergency medical services and trauma care plans to the Secretary. Establishes a Trauma Care Block Grant program. Sets forth requirements for the distribution and use of allotments. Sets forth application requirements. Authorizes appropriations for FY 1988 through 1990. Directs the Secretary to study: (1) the financial impact of payments to trauma centers under the Medicare and Medicaid programs; and (2) the long-term economic effects of trauma.
Bill· HRH.R. 3130 (100th)referred
United States · United States Congress · 6 August 1987
Comprehensive Alzheimer's Assistance, Research, and Education Act of 1987 (CARE) - Title I: Public Health Service Programs with Respect to Alzheimer's Disease - Repeals provisions of the Public Health Service Act relating to Alzheimer's disease (Alzheimer's) and creates, in title III (relating to the general powers and duties of the Public Health Service) of the Act a new part K on Alzheimer's. Authorizes the Secretary of Health and Human Services to make grants and enter into cooperative agreements to assist grantees in establishing and maintaining, with respect to Alzheimer's and related disorders, centers for: (1) conducting basic and clinical research, training, and dissemination of clinical information; (2) demonstrating advanced diagnostic, prevention, treatment, and management methods; (3) conducting programs of community education; and (4) maximizing research. Specifies purposes for which grant funds may and may not be used. Limits support for a center to five years, with extensions by the Secretary of up to five years if recommended by a technical and scientific peer review group. Directs the Secretary, in carrying out these provisions, to consult with the directors of specified National Institutes of Health. Authorizes appropriations for FY 1988 through 1990. Authorizes the Secretary, acting through the Director of the National Institutes of Health and the Director of the National Institute of Mental Health, to make grants and enter into contracts to enable grantees to conduct basic and clinical research regarding Alzheimer's and related disorders. Directs the Secretary, in carrying out these provisions, to consult with the directors of specified National Institutes of Health. Authorizes appropriations for FY 1988 through 1990. Authorizes the Secretary, acting through the Director of the National Institute of Mental Health, to make grants and enter into contracts to enable grantees to conduct research and demonstration projects with respect to teaching the families of individuals with Alzheimer's or related disorders methods for providing appropriate care and managing stress. Authorizes appropriations for FY 1988 through 1990. Authorizes the Secretary, acting through the Commissioner on Aging, to make grants and enter into contracts to enable grantees to conduct demonstration projects with respect to teaching the families of individuals with Alzheimer's or related disorders methods for providing appropriate care and managing stress. Authorizes appropriations for FY 1988 through 1990. Authorizes the Secretary, acting through the Director of the National Institute on Aging, to make grants and enter into contracts to enable grantees to conduct long-term care research with respect to Alzheimer's disease and related disorders and with respect to the coordination of long-term care services. Authorizes appropriations for FY 1988 through 1990. Authorizes the Secretary, acting through the Director of the National Center for Health Services Research, to make grants and enter into contracts to enable grantees to conduct research with respect to developing methods for improving the delivery of supportive services to individuals with Alzheimer's disease or related disorders and with respect to the coordination of long-term care services. Authorizes appropriations for FY 1988 through 1990. Directs the Secretary to develop a plan for a research program for the study of Alzheimer's and related disorders. Specifies elements for which the plan must provide. Requires research under the plan to be carried out through the National Institutes of Health. Directs the Secretary to submit the plan to the President and the Congress. Directs the Secretary to make grants to States to plan, establish, and operate programs to provide specified services regarding Alzheimer's or related disorders. Specifies purposes for which grant funds may not be used. Limits grants to three years, subject to annual evaluation by the Secretary. Limits the amount of a grant and its portion of the costs of the program for which it is made. Directs the Secretary to annually evaluate the grant programs. Authorizes the Secretary to contract with private entities to conduct the evaluation. Authorizes appropriations for FY 1988 through 1990. Directs the Secretary, acting through the Administrator of the Alcohol, Drug Abuse, and Mental Health Administration, to require, as a condition of receiving funds under provisions of part B (Alcohol and Drug Abuse and Mental Health Services Block Grant) of the Public Health Service Act, that a State must agree that activities carried out under a specified provision will include increased provision of mental health services related to Alzheimer's and related disorders. Authorizes appropriations for FY 1988 through 1990. Authorizes the Secretary, acting through the Director of the National Institute on Aging, to make grants to assist grantees in providing training programs and continuing education programs, regarding Alzheimer's or related disorders, to health care professionals, health care paraprofessionals, and family caregivers. Specifies eligible types of grant recipients. Directs the Secretary to ensure that grants are equitably geographically distributed. Authorizes the Secretary, acting through the Director of the National Institute on Aging, to make grants to the Alzheimer's centers established by this Act to assist in developing curricula for such training programs and continuing education programs. Authorizes appropriations for FY 1988 through 1990. Directs the Secretary, acting through the Administrator of the Health Resources and Services Administration, to initiate a study regarding specified health manpower needs related to Alzheimer's disease, related disorders, and other disorders requiring long-term care services. Authorizes appropriations for FY 1988 through 1990. Directs the Secretary to establish a National Alzheimer's Disease Education Program for: (1) promoting the coordination of health care financing, service, research, education, and training programs; (2) collecting, through the Clearinghouse on Alzheimer's Disease, information on research and treatment programs; (3) making such information available to specified groups and to the general public; and (4) providing technical assistance to States and public and private organizations. Authorizes appropriations for FY 1988 through 1990. Title II: Improvement of Services Under Medicare and Medicaid Programs - Directs the Secretary of Health and Human Services to review the levels of reimbursement provided under title XVIII (Medicare) of the Social Security Act for home health services, extended care services, and inpatient hospital services relating to an advanced stage of Alzheimer's or a related disorder and adjust the levels to accurately reflect the reasonable amount required to provide adequately for services furnished. Requires each State plan approved under title XIX (Medicaid) of the Social Security Act to report to the Secretary on how the levels of reimbursement under the plan for home health services, nursing facility services, inpatient hospital services, and community-based care take into account special needs regarding an advanced stage of Alzheimer's or a related disorder. Directs the Secretary to modify contracts with utilization and quality control peer review organizations under part B (Peer Review) of title XI of the Social Security Act to ensure that the organizations conduct adequate and representative quality of care reviews on patients who require intensive home health services or extended care services. Requires States, as a condition of approval of a State plan under Medicaid, to provide assurances that the State is providing for the conduct of adequate and representative quality of care reviews on patients who require intensive home health services, nursing facility services, or other long-term care services. Directs the Secretary to review and report to the Congress regarding whether specified types of facilities participating under the Medicare or Medicaid program limit or restrict the services they provide to individuals with Alzheimer's or a related disorder. Directs the Secretary to provide for research and demonstration projects concerning methods of improving the delivery of health care services to Medicare and Medicaid beneficiaries with Alzheimer's disease or a related disorder. Specifies projects to be included. Directs the Secretary to provide for an evaluation of the research and demonstration projects and submit a report to the Congress. Authorizes appropriations for FY 1988 through 1990. Requires funds, to the extent that research and demonstration projects relate to Medicare beneficiaries, to be appropriated from the Federal Hospital Insurance Trust Fund and the Federal Supplementary Medical Insurance Trust Fund. Authorizes the Secretary to waive compliance with the requirements of part B (Peer Review) of title XI, title XVIII (Medicare), and title XIX (Medicaid) of the Social Security Act as necessary to conduct these research and demonstration projects.
Bill· HRH.R. 3137 (100th)referred
United States · United States Congress · 6 August 1987
Authorizes the Secretary of Health and Human Services, acting through the National Institute on Drug Abuse, to make grants: (1) to provide counseling services to individuals suffering from intravenous drug abuse regarding prevention of the transmission of the etiologic agent for acquired immune deficiency syndrome; and (2) to train individuals to provide such counseling. Sets forth criteria and preferences regarding the grants. Prohibits disclosure of information obtained in connection with services under the grants without the individual's consent, except as necessary to provide service to the individual or as required by a law of a State. Allows disclosure of information for clinical or research purposes if the identity of the individuals is not disclosed. Authorizes appropriations for FY 1988 through 1990.
Bill· HRH.R. 3120 (100th)open
United States · United States Congress · 5 August 1987
Generic Animal Drug and Patent Term Restoration Act - Title I: New Animal Drug Applications - Amends the Federal Food, Drug, and Cosmetic Act to authorize abbreviated applications for the approval of a new animal drug. Requires such application to show that permitted uses, ingredients, dosages, labeling, and other factors are the same as or bioequivalent to a new animal drug already approved. Requires such application to contain a certification relating to patents covering the approved drug. Requires an applicant who makes such a certification to state in the application that a specified notice has been given to each owner of the patent (or owner-representative) and the holder (or holder-representative) of the approved application for the drug or drug use claimed by the patent. Requires the permission of the Secretary of Health and Human Services before an abbreviated application may be submitted for a new drug whose route of administration, dosage form, or strength differ from that of an approved new animal drug. Requires the Secretary to publish and update a list of the official and proprietary name of each new animal drug which has been approved and continues to be approved for safety and effectiveness, including patent information as it comes in. Directs the Secretary to approve an application for a drug unless the Secretary makes specified findings, such as faulty manufacture or insufficient information. Sets forth a formula for determining when an approved application becomes effective, based upon the nature of the certification relating to patents. Prohibits an abbreviated application for a new animal drug based upon a nonabbreviated application approved after this Act's enactment until five years after the nonabbreviated application is approved, except as specified. Requires a three-year wait for abbreviated applications based upon nonabbreviated applications approved after this Act's enactment which contain essential new investigations of an ingredient already approved. Requires the applicant to file with the application (or amend it when the information becomes available) the patent number and the expiration date of any patent which claims the drug or a method of using it and with respect to which a claim of patent infringement could reasonably be asserted if a nonlicensee engaged in the drug's manufacture, use, or sale. Requires the Secretary to disapprove the application if it does not contain certain patent information, or to withdraw approval if the patent information was not filed within a specified time after notification. Requires that safety and effectiveness data be made available to the public, except as specified. Provides for the promulgation of regulations to administer the amendments made by this title. Title II: Patent Terms - Amends the patent laws to include animal drugs under the patent extension provisions applicable to human drugs which compensate for regulatory delays.
Bill· HRH.R. 3128 (100th)referred
United States · United States Congress · 5 August 1987
Hospital Indigent Care Assistance Act of 1987 - Title I: Amendments of Internal Revenue Code of 1986 - Amends the Internal Revenue Code to impose on employers an excise tax equal to one percent of the amounts paid by an employer to provide employee medical benefits. Subjects self-employed individuals to a corresponding tax based on the amount allowed as a tax deduction for health insurance costs. Establishes in the Treasury the Hospital Indigent Care Assistance Trust Fund (Fund) to receive amounts generated by such excise tax. Makes Fund moneys available solely for Medicare program expenditures. Title II: Assistance to Hospitals Providing Indigent Care - Amends title XVIII (Medicare) of the Social Security Act to direct the Secretary of Health and Human Services (Secretary) to make payments from the Fund to eligible applicant hospitals to cover a specified percentage of their uncompensated care costs, determined in accordance with this Act. Sets forth eligibility criteria, including a requirement that the Medicare allowable costs of providing patient care services exceed the hospital's patient revenues for the pertinent cost reporting period. Directs the Secretary to: (1) provide for a study of the extent of uncompensated health care provided by various health care providers; and (2) report the results to the Congress by July 1, 1990.
Bill· HRH.R. 3109 (100th)referred
United States · United States Congress · 5 August 1987
Prohibits health care facilities receiving Federal financial assistance from withholding from any patient food, water, nourishment, and hydration if such withholding would cause the death of the patient.
Bill· HRH.R. 3097 (100th)open
United States · United States Congress · 4 August 1987
Organ Transplant Amendments Act of 1987 - Amends the Public Health Service Act to authorize grants under existing provisions for consolidation as well as for establishment, initial operation, and expansion of organ procurement organizations. Authorizes the Secretary of Health and Human Services to make grants for special projects designed to increase the number of organ donors. Directs the Secretary, in making the grants, to give special consideration to proposals from existing organ procurement organizations. Prohibits grants from exceeding a specified amount in a year. Revises organ procurement organization provisions concerning organ procurement and distribution. Authorizes appropriations for FY 1988 through 1990. Requires that the Organ Procurement and Transplantation Network: (1) establish medical criteria for allocating organs and provide a periodic opportunity for public comment on the criteria; (2) assist organ procurement organizations in the distribution of organs (current provisions require the Network to assist procurement organizations in the distribution of organs which cannot be placed within the service areas of the organizations); (3) prepare and distribute samples of blood sera from potential recipients on a national as well as a regional basis; and (4) carry out studies and demonstration projects regarding organ procurement and allocation procedures. Directs the Secretary to establish procedures for considering comments received from interested persons relating to how the Network is carrying out its duties. Requires the Secretary to maintain an identifiable administrative unit in the Public Health Service regarding organ procurement through FY 1990. (Current provisions require such a unit through FY 1988.) Revises specified reporting requirements.
Bill· SS. 1579 (100th)open
United States · United States Congress · 31 July 1987
Amends the Public Health Service Act to authorize appropriations for FY 1988 through 1990 for preventive health and health services block grants. Amends provisions specifying the uses for such grants to permit grants for community based programs to include programs designed to reduce the incidence of chronic diseases. Specifies steps a State must take in order to receive an increased allotment for FY 1988 for the block grants.
Bill· SS. 1575 (100th)open
United States · United States Congress · 31 July 1987
AIDS Federal Policy Act of 1987 - Amends the Public Health Service Act to create a new title on acquired immune deficiency syndrome (AIDS). Authorizes the Secretary of Health and Human Services, acting through the Director of the Centers for Disease Control, to make grants for counseling and testing regarding the etiologic agent for AIDS. Specifies eligibility requirements for grants. Directs the Secretary, in making the grants, to give preference to applicants who will provide the counseling and testing in any geographic area with a significant incidence of AIDS. Prohibits the Secretary from making a grant unless the applicant submits an application containing agreements in accordance with specified provisions of this Act. Prohibits the Secretary from making a grant unless the applicant agrees to: (1) ensure the confidentiality of information and records; (2) test individuals only after obtaining informed consent; (3) provide counseling regarding certain matters before testing any individual; (4) provide counseling both for individuals testing negative and for individuals testing positive; (5) offer, to the extent permitted under State law, opportunities for an individual to undergo counseling and testing without the individual being required either to provide information regarding the individual's identity or using a pseudonym; (6) not require the individual to undergo testing as a condition of receiving health services, unless the testing is medically necessary in the provision of the health services; (7) use funds from the grant to significantly increase the availability of counseling and testing above the level previously provided by the applicant; (8) provide the counseling and testing without regard to the ability of the individual to pay charges imposed by the applicant, if any; (9) establish fiscal control and fund accounting regarding the grant; and (10) expend not more than ten percent of the amounts received for administering the grant. Authorizes the Secretary, on request of a grantee, to provide supplies and services in lieu of grant funds. Authorizes appropriations for FY 1988 through 1990. Prohibits, except as provided in this Act, disclosure of identifying information with respect to a protected individual or a contact of such individual. Describes persons subject to such prohibition. Provides for civil and criminal penalties for violation of the prohibition, and for injunctive relief. Authorizes disclosure of identifying information regarding a protected individual and a contact of the individual with consent of the protected individual. Authorizes certain persons subject to prohibition of disclosure to disclose identifying information without consent of the protected individual, in certain circumstances and for certain purposes, to: (1) health care professionals and providers; (2) the protected individual; (3) State public health officers; (4) medical facilities receiving blood, semen, breast milk, or an organ from the individual; and (5) others, as medically necessary. Authorizes redisclosure by recipients of information disclosed under the same terms and conditions as the original disclosure. Authorizes a court of competent jurisdiction to order disclosure of identifying information if the court determines, after due process, that the disclosure is necessary to prevent a clear and imminent danger of transmission of the etiologic agent for AIDS. Provides for confidentiality of court records. Authorizes physicians or professional counselors to disclose identifying information with respect to a protected individual to the individual's spouse or sexual partner, if the physician or counselor believes the disclosure is medically appropriate and that the protected individual will not inform the spouse of sexual contact with regard to the identifying information involved. Requires any person who discloses identifying information permitted by this Act, subject to exception, to: (1) accompany disclosure with a statement declaring that subsequent disclosure of the information may be prohibited by law; and (2) notify a living protected individual of the disclosure. Prohibits discrimination against an otherwise qualified individual, solely by reason of the fact that the individual is, or is regarded as being, infected with the etiologic agent for AIDS: (1) in employment, housing, public accommodations, or governmental services; and (2) in the provision of benefits under any program or activity that receives or benefits from Federal financial assistance. Provides guidelines for the construction of the term "otherwise qualified individual." Provides for civil penalties for violation of the prohibition against discrimination, and for injunctive relief. States that the prohibition of discrimination shall not be construed to prohibit life or health insurance organizations from requiring applicants for insurance to undergo testing for the purpose of determining whether the applicant is infected with such etiologic agent.
Bill· HRH.R. 3071 (100th)open
United States · United States Congress · 30 July 1987
AIDS Federal Policy Act of 1987 - Amends the Public Health Service Act to create a new title on acquired immune deficiency syndrome (AIDS). Authorizes the Secretary of Health and Human Services, acting through the Director of the Centers for Disease Control, to make grants for counseling and testing regarding the etiologic agent for AIDS. Specifies eligibility requirements for grants. Directs the Secretary, in making the grants, to give preference to applicants who will provide the counseling and testing in any geographic area with a significant incidence of AIDS. Prohibits the Secretary from making a grant unless the applicant submits an application containing agreements in accordance with specified provisions of this Act. Prohibits the Secretary from making a grant unless the applicant agrees to: (1) ensure the confidentiality of information and records; (2) test individuals only after obtaining informed consent; (3) provide counseling regarding certain matters before testing any individual; (4) provide counseling both for individuals testing negative and for individuals testing positive; (5) offer, to the extent permitted under State law, opportunities for an individual to undergo counseling and testing without the individual being required either to provide information regarding the individual's identity or using a pseudonym; (6) not require the individual to undergo testing as a condition of receiving health services, unless the testing is medically necessary in the provision of the health services; (7) use funds from the grant to significantly increase the availability of counseling and testing above the level previously provided by the applicant; (8) provide the counseling and testing without regard to the ability of the individual to pay charges imposed by the applicant, if any; (9) establish fiscal control and fund accounting regarding the grant; and (10) expend not more than ten percent of the amounts received for administering the grant. Authorizes the Secretary, on request of a grantee, to provide supplies and services in lieu of grant funds. Authorizes appropriations for FY 1988 through 1990. Prohibits, except as provided in this Act, disclosure of identifying information with respect to a protected individual or a contact of such individual. Describes persons subject to such prohibition. Provides for civil and criminal penalties for violation of the prohibition, and for injunctive relief. Authorizes disclosure of identifying information regarding a protected individual and a contact of the individual with consent of the protected individual. Authorizes certain persons subject to prohibition of disclosure to disclose identifying information without consent of the protected individual, in certain circumstances and for certain purposes, to: (1) health care professionals and providers; (2) the protected individual; (3) State public health officers; (4) medical facilities receiving blood, semen, breast milk, or an organ from the individual; and (5) others, as medically necessary. Authorizes redisclosure by recipients of information disclosed under the same terms and conditions as the original disclosure. Authorizes a court of competent jurisdiction to order disclosure of identifying information if the court determines, after due process, that the disclosure is necessary to prevent a clear and imminent danger of transmission of the etiologic agent for AIDS. Provides for confidentiality of court records. Authorizes physicians or professional counselors to disclose identifying information with respect to a protected individual to the individual's spouse or sexual partner, if the physician or counselor believes the disclosure is medically appropriate and that the protected individual will not inform the spouse or sexual contact with regard to the identifying information involved. Requires any person who discloses identifying information permitted by this Act, subject to exception, to: (1) accompany disclosure with a statement declaring that subsequent disclosure of the information may be prohibited by law; and (2) notify a living protected individual of the disclosure. Prohibits discrimination against an otherwise qualified individual, solely by reason of the fact that the individual is, or is regarded as being, infected with the etiologic agent for AIDS: (1) in employment, housing, public accommodations, or governmental services; and (2) in the provision of benefits under any program or activity that receives or benefits from Federal financial assistance. Provides guidelines for the construction of the term "otherwise qualified individual." Provides for civil penalties for violation of the prohibition against discrimination, and for injunctive relief. States that the prohibition of discrimination shall not be construed to prohibit life or health insurance organizations from requiring applicants for insurance to undergo testing for the purpose of determining whether the applicant is infected with such etiologic agent.
Bill· SS. 1564 (100th)referred
United States · United States Congress · 29 July 1987
United States Bipartisan Commission on Comprehensive Health Care Act - Establishes the United States Bipartisan Commission on Comprehensive Health Care. Sets forth its duties and membership. Authorizes it to appoint and determine the compensation of staff and procure the services of consultants. Details its powers. Requires the Commission to submit a report to the Congress, no later than six months after enactment of this Act, containing findings and recommendations regarding comprehensive long-term care services for the elderly and disabled, and including recommendations for legislative initiatives. Requires the Commission to submit a report to the Congress, no later than one year after enactment of this Act, containing findings and recommendations regarding comprehensive health care services for the elderly and disabled and comprehensive health care services for all individuals in the United States, and including recommendations for legislative initiatives. Terminates the Commission 30 days after the date of submission of such second report. Authorizes appropriations.
Bill· HRH.R. 3040 (100th)referred
United States · United States Congress · 29 July 1987
National Information System for Health Related Services Act of 1987 - Amends the Developmental Disabilities Assistance and Bill of Rights Act to direct the Secretary of Health and Human Services to make grants to an academic institution for the operation of a National Information System for Health Related Services. Requires such system to: (1) provide information and referrals regarding services available from public and private entities for persons with developmental disabilities or chronic illnesses and their families; (2) use a central computer system accessible to the public through a toll-free telephone number; (3) train people who will receive and answer requests for information and referrals; and (4) conduct periodic followup on referrals. Allows payments under the grants to be in advance or by way of reimbursement. Authorizes appropriations for FY 1988 through 1992.
Bill· SS. 1537 (100th)referred
United States · United States Congress · 23 July 1987
Care Management and Catastrophic Health Care for Children Act of 1987 - Amends title V (Maternal and Child Health Services) of the Social Security Act to authorize appropriations for new programs under which: (1) the Secretary of Health and Human Services makes payments on behalf of children with high cost catastrophic health care needs and establishes special projects designed to enhance the delivery of health care and health care management services to such children; and (2) each State provides health care management services to children with anticipated annual medical expenditures in excess of $5,000. Defines "care management" as advocacy on the child's and family's behalf to secure needed services and entitlements in accordance with a written care management plan which is: (1) developed in collaboration with the child's parents or legal guardians and at least one attending physician; (2) subject to the approval of such parent or legal guardian; and (3) updated annually and whenever there is a significant change in the child's condition. Sets the Federal share of care management costs at 80 percent of the total amount expended by States in providing health care management. Defines "children with high cost catastrophic health care needs" as children under age one suffering from a condition, illness, or disability which results in medical charges of $50,000 or more in the first year of the child's life. Makes such children eligible for payments under this Act if their family income is below the Federal poverty level and the medical charges paid by the family exceed ten percent of the family's gross income. Continues such payments after the child's first year for so long as the family satisfies such eligibility requirements. Provides payment for the items and services which are considered "medical assistance" under title XIX (Medicaid) of the Act, but prohibits payments for items and services covered under a third-party plan for which payment has been made in full. Bases payments for inpatient hospital services on hospital specific departmental ratios of costs to charges for services provided and payments for other items and services on Medicare (title XVIII of the Act) payment levels. Directs the Secretary to develop, and report to the Congress by December 31, 1988, regarding, a prospective payment system for inpatient hospital services provided to children.
Bill· SS. 1524 (100th)referred
United States · United States Congress · 22 July 1987
Amends the Federal Insecticide, Fungicide, and Rodenticide Act (FIFRA) to declare that: (1) State law governs the authority of local government to regulate federally registered pesticides or devices; and (2) nothing in FIFRA shall be construed as affecting this authority.
Bill· SS. 1488 (100th)referred
United States · United States Congress · 14 July 1987
Pediatric Emergency Medical Services Act of 1987 - Amends part B (Federal-State Cooperation) of title III of the Public Health Service Act to direct the Secretary of Health and Human Services to make a grant for FY 1988 for a feasibility study on establishing and operating a National Center for Pediatric Emergency Medical Services (National Center). Directs the Secretary to request the Institute of Medicine of the National Academy of Sciences to submit an application for the grant and, if the Institute submits an acceptable application, to make the grant to the Institute. Directs the Secretary, in the absence of an acceptable application from the Institute, to request an application from one or more nonprofit private entities and to make the grant to the entity submitting the best acceptable application. Directs the Secretary, after reviewing the report prepared under such grant and consulting with the American Academy of Pediatrics and the American College of Emergency Physicians, if a National Center is feasible, to make grants for FY 1989 and each succeeding fiscal year for the establishment and operation of a National Center. Requires the National Center, with regard to pediatric medical emergencies, to: (1) develop and disseminate standards and quality assurance mechanisms; (2) facilitate training of health professionals; and (3) develop and disseminate information for the public on the prevention of, and responses to, such emergencies. Directs the Secretary to make grants to States, public and nonprofit private entities, and academic institutions for the development, establishment, and operation of regional centers for pediatric emergency medical services. Requires such centers to: (1) train health professionals; (2) provide for the appropriate use of bilingual personnel; (3) conduct research on prevention and treatment; and (4) conduct activities relating to prevention, including dissemination of information to the public. Authorizes appropriations for FY 1988 through 1990. Repeals a provision of the Public Health Service Act relating to emergency medical services for children.
Bill· HRH.R. 2934 (100th)referred
United States · United States Congress · 14 July 1987
Amends the Civilian Health and Medical Program of the Uniformed Services (CHAMPUS) to include otherwise eligible persons who are also entitled to Medicare benefits. Provides for payment under the CHAMPUS program of health care expenses to the extent that such expenses are not payable under Medicare or any other insurance or health plan. Requires a person claiming a benefit under this Act to certify the costs of all charges.
Bill· SS. 1467 (100th)open
United States · United States Congress · 7 July 1987
Prohibits the Administrator of Veterans Affairs, in providing for the payment of travel expenses by the Veterans Administration of certain veterans and their dependents between their residence and Veterans Administration health facilities as currently required under Federal law, from limiting eligibility for, or the amount of, payments for such travel expenses when the distance exceeds 40 miles.
Bill· HRH.R. 2881 (100th)open
United States · United States Congress · 1 July 1987
National Commission on Acquired Immune Deficiency Syndrome Act - Establishes a National Commission on Acquired Immune Deficiency Syndrome to study and make recommendations regarding: (1) national policy and priorities with respect to acquired immune deficiency syndrome (AIDS) including research, testing for the AIDS virus, confidentiality of test results, treatment and care of AIDS sufferers, prevention of the transmission of AIDS, and education about AIDS; (2) the appropriate roles of Federal, State, and local governments, and of the private sector regarding such national policy and priorities; and (3) guidelines for the coordination of AIDS activities with international organizations. Directs the Commission to hold hearings and to submit interim and final reports to the President and to the Congress. Directs the Administrator of Veterans Affairs to assist the Commission by preparing: (1) a detailed compilation and synopsis of national and international medical research on AIDS; and (2) a detailed report on activities of the Veterans Administration relevant to the duties of the Commission. Authorizes appropriations for FY 1988. Terminates the Commission 30 days after submission of its final report. Authorizes the President to extend the life of the Commission for a period not to exceed two years.
Bill· HRH.R. 2860 (100th)referred
United States · United States Congress · 1 July 1987
Retiree Health Protection Act of 1987 - Amends the Internal Revenue Code to add provisions relating to voluntary retiree health plans. Permits an income tax deduction for employer contributions to a qualified retiree health care trust. Limits the deduction to the least of: (1) $1,500 (adjusted annually for increases in the medical component of the Consumer Price Index); (2) 25 percent of the participant-employee's compensation; or (3) the amount actuarially determined to be necessary to fund the target account balance for the given employee. Excludes from the gross income of an individual or spouse: (1) any employer contribution under a qualified voluntary retiree health plan; (2) any earnings on the account of the individual or spouse in such a plan; or (3) receipts of any post-retirement benefit under the plan. Disallows this tax exclusion when: (1) the individual is a participant or beneficiary under more than one qualified plan and does not consolidate the accounts; (2) the plan ceases to be qualified; or (3) the individual assigns any portion of his or her interest in the plan. Sets forth plan qualification criteria, including requirements that the plan be in writing, provide employee rights that are legally enforceable, and be maintained for the exclusive benefit of employees. Requires, in addition, that: (1) the plan provide only post-retirement medical benefits (after the former employee or employee spouse has attained age 65 or is disabled); (2) benefits be provided only through insurance acquired by the plan, self-insurance under guaranteed renewable contracts, reimbursement of expenses paid by the care recipient, or any combination of these; (3) employees do not contribute to the plan; (4) neither contributions nor benefits discriminate in favor of highly compensated employees; (5) contributions meet the same limitation that is applicable to the permissible tax deduction; (6) the plan meet specified participation, coverage, vesting, distribution, and transfer standards; and (7) a participant or beneficiary may not receive a loan from the plan or exercise control over account assets. Limits plan holdings of employer securities and employer real property. Describes conditions to be met by any qualified retiree health care trust that is part of a qualified voluntary retiree health plan. Preempts all State laws relating to health plans for former employees and their spouses. Imposes an excise tax, with limited exceptions, on an employer who maintains a qualified plan if any distribution that is not a post-retirement medical benefit is made or if a proper post-retirement medical benefit is provided but is not paid from the separate account of the recipient employee. Fixes the rate for this tax at 100 percent of the improper payment. Repeals Internal Revenue Code provisions that authorize payment of retiree medical benefits under pension or annuity plans and under welfare benefit plans.
Bill· SS. 1441 (100th)referred
United States · United States Congress · 26 June 1987
Public Health Service Act Infant Mortality Amendments of 1987 - Amends the Public Health Service Act to increase the FY 1988 authorization of appropriations for health centers providing services to migratory and seasonal agricultural workers and their families. Increases the FY 1988 authorization of appropriations for community health centers. Directs the Secretary of Health and Human Services (Secretary), in making grants to community health centers, to give special consideration to the needs of frontier areas. Requires that, if amounts appropriated for community health centers for FY 1988 exceed a specified amount, the excess shall be available for grants to community health centers for prenatal services to decrease infant mortality and perinatal coordination projects to develop and coordinate referral arrangements between community health centers and other agencies. Directs the Secretary to give priority to community health centers in areas in which there is a high or increased incidence of infant mortality. Directs the Secretary to contract with schools of medicine and osteopathy for area health education center programs which include training of personnel to offer maternal and child health services in underserved areas, giving priority to programs which train personnel to provide service in areas along the border between the United States and Mexico, in frontier areas, and in areas in which the rate of infant mortality and low birthweight are disproportionately higher than for the State in which such area is located. Requires participating schools to provide for participation by administrative personnel in each of the departments of pediatrics, obstetrics and gynecology, and family medicine. Exempts schools participating in such programs from existing requirements that no less than ten percent of undergraduate medical or osteopathic clinical education be conducted in an area health education center and locations under the sponsorship of such center. Requires programs to conduct a medical residency program in obstetrics and gynecology enrolling at least six individuals in first year positions. Requires area health education centers to involve nurse midwives in their interdisciplinary training. (Current provisions require involvement of physicians, physician assistants, and nurse practitioners.) Increases the authorization of appropriations for FY 1988. Requires a specified amount to be available for contracts for area health education center programs under this Act. Amends part A (Special Projects) of title VIII (Nurse Training) of the Public Health Service Act to direct the Secretary to make grants to public or nonprofit private schools of nursing for fellowship programs for the education of nurse midwives and pediatric, family, obstetric, and gynecologic nurse practitioners. Directs the Secretary, after consultation with educational, nursing, and medical organizations, to prescribe guidelines for the fellowship programs. Specifies minimum requirements to be included in the guidelines. Requires the fellowships to cover 100 percent of costs of tuition, books, living, moving, and transportation expenses. Requires individuals receiving fellowships to be registered nurses. Requires schools of nursing, in awarding fellowships, to give priority to applicants employed in and recommended by a facility serving underserved populations. Authorizes appropriations for FY 1988.
Bill· SS. 1444 (100th)reported
United States · United States Congress · 26 June 1987
Veterans' Administration Assistant Inspector General for Health Care Quality Assurance Review Act of 1987 - Establishes in the Veterans Administration's (VA) Office of the Inspector General the position of Assistant Inspector General for Health Care Quality Assurance Review (the Assistant Inspector). Requires the Assistant Inspector to be a qualified doctor of medicine appointed by the Inspector General of the VA. Outlines various duties and responsibilities of the Assistant Inspector, all of which relate to the monitoring, review, and appropriate investigations of incidents involving quality assurance of health care service to veterans and its related functions within the VA's Department of Medicine and Surgery (the Department). Directs the Inspector General of the VA, not later than February 1 annually, to submit to the Administrator of Veterans Affairs and the Senate and House Veterans' Affairs Committees a report containing: (1) a discussion of the activities, conclusions, and recommendations of the Assistant Inspector concerning corrective action required in the Department relating to the quality of health care provided veterans in such Department; and (2) a discussion of the activities undertaken by the Assistant Inspector to monitor the activities of the Medical Inspector of the VA during the preceding fiscal year, and the Assistant Inspector's findings, conclusions, assessment, and recommendations based on such monitoring of the Medical Inspector, including any possible remedial and disciplinary actions.
Resolution· HRESH.Res. 211 (100th)open
United States · United States Congress · 25 June 1987
Sets forth the rules for the consideration of H.R. 2272 (acquired immune deficiency syndrome (AIDS) reporting requirements) and H.R. 2273 (AIDS testing).
Bill· HRH.R. 2779 (100th)open
United States · United States Congress · 24 June 1987
Revises provisions of the Public Health Service Act relating to grants concerning acquired immune deficiency syndrome and concerning sexually transmitted diseases. Authorizes appropriations for sexually transmitted disease projects and programs for FY 1988 through 1990.
Bill· HRH.R. 2773 (100th)referred
United States · United States Congress · 24 June 1987
AIDS Medical Records Confidentiality and Nondiscrimination Act - Requires that records maintained in connection with acquired immune deficiency syndrome (AIDS) be subject to the same provisions of the Public Health Service Act regarding confidentiality as are records relating to alcoholism and alcohol abuse. Directs the Secretary of Health and Human Services (Secretary) to issue regulations enforcing a policy prohibiting discrimination regarding admission and treatment of persons with human immunodeficiency virus infection in hospitals and outpatient facilities which receive any support from any program administered by the Secretary. Authorizes the Secretary, on violation by any hospital or outpatient facility and with due process, to suspend or revoke all or part of any support received by the hospital. Authorizes the Secretary to consult with officials administering other Federal programs from which the hospital or outpatient facility receives support, regarding the suspension or revocation of such Federal support.
Bill· HRH.R. 2760 (100th)open
United States · United States Congress · 23 June 1987
Amends the Public Health Service Act to authorize the Secretary of Health and Human Services to make grants to States and other public and nonprofit private entities, with regard to prevention and control of tuberculosis, for: (1) research; (2) demonstration projects; (3) public information and education; and (4) education, training, and clinical skills improvement activities for health professionals. Authorizes appropriations for FY 1988 through 1990 for grants under existing provisions relating to preventive health service programs and for grants authorized by this Act relating to tuberculosis.
Bill· HRH.R. 2747 (100th)referred
United States · United States Congress · 23 June 1987
Prescription Drug Abuse Prevention Act of 1987 - Grants the Attorney General authority to make grants to States which have a qualifying prescription recordkeeping program.
Bill· SS. 1402 (100th)referred
United States · United States Congress · 19 June 1987
Nursing Shortage Reduction Act of 1987 - Amends title VIII (Nurse Training) of the Public Health Service Act to add a new part on initiatives to reduce nursing shortages. Directs the Secretary of Health and Human Services to establish a special advisory committee to develop a comprehensive plan regarding long-term solutions to problems in recruiting and retaining nurses. Directs the Secretary to make a grant to a nonprofit private entity with a record in supporting innovative health initiatives for a project to demonstrate and evaluate innovative hospital nursing practice models. Requires models to include initiatives to: (1) restructure the role of the hospital nurse, through changes in the composition of hospital staffs; (2) test innovative wage structures for nurses; and (3) evaluate the effectiveness of providing benefits such as pensions, sabbaticals, and payment of educational expenses for nurses. Prohibits the Federal share of the costs of the project from exceeding 50 percent. Authorizes appropriations for FY 1988 through 1990. Directs the Secretary to make grants to or enter into contracts with public and nonprofit private collegiate schools of nursing for projects to demonstrate and evaluate innovative nursing practice models regarding long-term health care services in the home or in long-term care facilities. Authorizes appropriations for FY 1988 through 1990. Directs the Secretary to make grants to and enter into contracts with public and nonprofit private entities to develop, establish, and operate at least one and not more than five regional model professional nurse recruitment centers to recruit individuals to enter programs to train nurses. Sets forth requirements for centers. Authorizes appropriations for FY 1988 through 1990.
Bill· SS. 1390 (100th)referred
United States · United States Congress · 18 June 1987
Rural Health Care Viability Act of 1987 - Amends part A (General Provisions) of title XI of the Social Security Act to require that whenever the Secretary of Health and Human Services proposes a regulation or promulgates a final version of a regulation under titles XVIII (Medicare), XIX (Medicaid), or part B (Peer Review) of title XI of the Act which will have a substantial impact on small rural hospitals, the Secretary make a regulatory impact analysis available to the public. Sets aside ten percent of amounts expended by the Secretary on certain experiments and demonstration projects relating exclusively or substantially to rural health issues. Amends title VII (Administration) of the Act to establish an Office of Rural Health Policy in the Department of Health and Human Services to: (1) advise the Secretary regarding the effects of changes in the Medicare and Medicaid programs on rural health care; (2) oversee compliance with provisions of this Act requiring regulatory impact analyses and rural health demonstration projects; (3) establish and maintain a clearinghouse for collecting and disseminating information on rural health care; (4) coordinate rural health care activities within the Department of Health and Human Services; and (5) provide the Department with information regarding the rural health care activities of other Federal departments and agencies. Requires the Secretary to issue, within 120 days of this Act's enactment, clear and explicit implementing instructions which set forth the manner in which a sole community hospital may apply for a Medicare payment adjustment when its patient volume declines by more than five percent due to circumstances beyond its control. Amends the Medicare program to make the payment adjustment applicable to sole community hospitals experiencing such a decline in patient volume in a cost reporting period prior to October 1, 1990. (Extended from October 1, 1988.) Allows a sole community hospital to qualify for such an adjustment without regard to the formula by which its Medicare payments are determined. Directs the Prospective Payment Assessment Commission to: (1) evaluate a specified study conducted by the Secretary regarding the feasibility and impact of eliminating or phasing out separate urban and rural prospective payment rates; and (2) report its conclusions and recommendations to the Congress by March 1, 1988. Requires the Secretary to: (1) develop a data base of the operating costs of inpatient hospital services for a representative sample of hospitals for use in determining appropriate adjustments to the Medicare prospective payment system and analyzing legislative, regulatory, and budgetary changes; and (2) report to the Congress on such data base by October 1, 1988. Directs the Secretary to determine and announce, within 120 days of this Act's enactment, the payment limit applicable to services furnished by independent rural health clinics during cost reporting periods which begin in 1988. Increases such payment limit to $46 if the Secretary fails to act within 120 days. Requires that, beginning in 1988, the Secretary announce the payment limit for the following calendar year by September 30th of each year. Amends part B (Peer Review) of title IX of the Act to require that at least 50 percent of peer review organization reviews of rural hospitals having fewer than 50 beds be conducted on the hospital's premises.
Bill· SS. 1366 (100th)open
United States · United States Congress · 16 June 1987
Family Planning Amendments of 1987 - Amends title X (Population Research and Voluntary Family Planning Programs) of the Public Health Service Act to remove, from provisions relating to project grants and contracts for family planning services, provisions allowing the Secretary of Health and Human Services (Secretary), at the request of a grant recipient, to reduce the amount of the grant by the value of supplies or equipment furnished by the Secretary. Authorizes appropriations for such grants and contracts for FY 1988 through 1991. Authorizes appropriations for FY 1988 through 1991 for technical assistance and personnel training. States that such training shall include clinical training for obstetric-gynecologic nurse practitioners and training for educators and counselors. Repeals existing formula grant provisions. States that research grants and contracts may be made for evaluation as well as for development of contraceptives, and to improve clinical management and direct delivery of family planning services. Authorizes the Secretary to conduct, make grants, and enter into contracts for applied research into contraceptive development and evaluations of contraceptive devices, drugs, and methods. Authorizes appropriations for FY 1988 through 1991. States that amounts appropriated under this provision are in addition to amounts allocated under a specified provision for the National Institute of Child Health and Human Development. Authorizes the Secretary to make grants or enter into contracts for community-based information and education programs regarding sexuality, pregnancy, parenthood, and sexually transmitted diseases. Directs the Secretary to conduct, or make grants and enter into contracts for, training and technical assistance for such programs. Directs the Secretary to make grants and enter into contracts for the development, evaluation, and dissemination of educational and informational materials consistent with the objectives of such programs. Authorizes appropriations for FY 1988 through 1991. Requires not more than ten percent of amounts appropriated to be available for training and technical assistance and for educational and informational materials. Directs the Secretary to collect data annually on: (1) the number of low-income and marginal-income individuals and adolescents at risk of unintended pregnancies; (2) the sources of funding available for family planning services in the United States; (3) the numbers and age, gender, race, and family income of persons who receive family planning services; and (4) the types of services chosen by individuals receiving services. Authorizes the Secretary to make grants and enter into contracts for such data collection. Requires the information to be made available to the public. Requires an annual report, currently required to be submitted by the Secretary to the Congress regarding family planning matters, to be based on the data collected.
Bill· SS. 1374 (100th)open
United States · United States Congress · 16 June 1987
Acquired Immune Deficiency Syndrome Act of 1987 - Title I: AIDS as a National Public Health Emergency - Amends the Public Health Service Act to direct the Secretary of Health and Human Services (Secretary) to determine that acquired immune deficiency syndrome (AIDS) presents a public health emergency for purposes of certain provisions of the Act. Authorizes appropriations sufficient to double the amount of the standard level to be in the Public Health Emergency Fund at the beginning of each fiscal year. Directs the Secretary to prepare and transmit to the Congress an annual report on expenditures of the Department of Health and Human Services (HHS) relating to AIDS, including a description of each program, project, and activity and a description of each grant made and each contract and cooperative agreement entered into. Amends title IV (National Research Institutes) of the Public Health Service Act to direct the Secretary, through the National Library of Medicine, to establish, maintain, and operate the International Data Bank on Acquired Immune Deficiency Syndrome. States that the Data Bank shall collect, catalog, store, and disseminate, through information systems accessible to the public, general practitioners, and investigators, the results of research and treatment regarding AIDS which is undertaken in any country. Requires that such results be available to any person involved in research and treatment relating to AIDS in any country. Directs the Secretary to establish a schedule of charges for users of the Data Bank from other countries. Authorizes appropriations for FY 1988 and 1989. Requires the Director of the National Institute of Allergy and Infectious Diseases to establish a virus and serum bank in which all human immunodeficiency virus serotypes and serums are available to qualified investigators. Authorizes the Director to require that any serotype or serum provided under this measure be returned and any information resulting from the use of the serotype or serum be provided to the Director. Authorizes the Secretary, notwithstanding any other law, in accordance with civil service laws, and acting through the Commissioner of Food and Drugs, to appoint not more than 40 additional employees to the Food and Drug Administration. Directs the Secretary, through the Public Health Service, to provide technical assistance to State and local governments and public and nonprofit private entities carrying out programs, projects, and activities relating to AIDS. Authorizes appropriations for FY 1988 and 1989. Title II: Training and Services - Amends title XIX (Block Grants) of the Public Health Service Act to add a new subpart on health care services in the home. Authorizes appropriations for activities described in this provision for FY 1988 and 1989. Directs the Secretary, through the Public Health Service, to make allotments to each State, of funds appropriated under such authorization, according to a formula which considers the ratio of the number of individuals with AIDS in the State to the number of individuals with AIDS in all States. Directs the Secretary, in certain circumstances, to make payment of allotments directly to an Indian tribe or a tribal organization and to reserve such direct amounts from allotments to the State. States that amounts paid to a State for a fiscal year and remaining unobligated at the end of the year shall remain available to the State for the next fiscal year. Provides that allotments may be used, with regard to eligible individuals, to: (1) pay compensation for the services of physicians, nurses, and social workers who plan, manage, or provide health care services in the home; (2) identify and locate individuals needing health care services in the home; (3) coordinate health care services in the home with other supportive social services; (4) coordinate other long-term care services provided by public and private institutions and voluntary organizations; and (5) train health care professionals, especially those who may provide home health care services or work in hospices. Authorizes States to use amounts allotted to them to provide health care services in the home for eligible individuals through grants to health care organizations. Prohibits more than ten percent of the total amount allotted and paid to a State under this provision from being used to administer such amount. Requires the State to pay from non-Federal sources the remaining costs of administering the funds. Prohibits use of the allotments to: (1) pay more than a specified amount per year per eligible individual for compensation for the services of physicians, nurses, and social workers; (2) inpatient services; (3) cash payments to recipients; (4) capital purchase or improvement, subject to waiver by the Secretary; (5) satisfy any requirement for expenditure of non-Federal funds; (6) provide services under this provision if the total cost to the Federal Government would exceed the total cost of institutionalizing the individual; (7) provide reimbursement for services performed by any individual other than a physician, nurse, or social worker; or (8) provide social services for which planning and management is conducted under specified provisions of this Act. Directs the Secretary, if requested by a State, to provide technical assistance to the State. Requires a State, in order to receive an allotment, to submit an application to the Secretary. Specifies matters to which the chief executive officer of a State must certify in the application. Requires the chief executive officer of a State to prepare and furnish the Secretary with a description of the intended use of the payments the State will receive under the allotment. Requires that the description be made public so as to facilitate comment from any person during development and after transmittal. States that existing provisions of the Public Health Service Act relating to reduction in payments to States, reports and audits, withholding of funds for cause, nondiscrimination, and criminal penalties for false statements shall apply to this new subpart. Requires reports submitted under this provision to include an analysis of the cost effectiveness of providing health care services in the home. Directs the Secretary to conduct evaluations of services provided and activities carried out with payments to States under this subpart. Authorizes the Secretary to use funds from the Public Health Emergency Fund to purchase, on behalf of and at the request of a State, large quantities, at bulk rates, of drugs for the treatment of AIDS, when doing so is more economical than the purchase of the drug by the State. Requires the Secretary to provide the purchased drugs to the State at the cost paid by the Secretary and to deposit the amount received from the States in the Fund. Amends Part F (relating to grants and contracts) of title VII (Health Research and Teaching Facilities and Training of Professional Health Personnel) of the Public Health Service Act to authorize the Secretary, through the Public Health Service, to make grants to and enter into contracts with schools of medicine and osteopathy to: (1) train faculty of schools of medicine, osteopathy, dentistry, public health, and allied health, and faculty of programs for the training of physician assistants, to teach students, in such schools and programs, to provide care and treatment, including counseling and prevention, for individuals with AIDS; and (2) develop and disseminate curricula relating to care and treatment of such individuals. Directs the Secretary, in making grants, to give preference to projects which will: (1) train health professionals who will provide treatment for minority individuals with AIDS and other individuals who are at high risk of contracting AIDS; and (2) train minority health professionals to provide treatment for individuals with AIDS. Prohibits making grants or contracts unless an application is submitted to the Secretary. Makes applications for grants or contracts subject to peer review by groups composed principally of non-Federal experts. Prohibits the Secretary from approving or disapproving an application unless the Secretary has received recommendations from such peer groups and has consulted with the National Advisory Council on Health Professions Education. Authorizes appropriations for grants and contracts for FY 1988. Amends title VIII (Nurse Training) of the Public Health Service Act to authorize the Secretary, through the Public Health Service, to make grants to and enter into contracts, with regard to the care and treatment of individuals with AIDS, with schools of nursing relating to: (1) the training of nurses; (2) the development and dissemination of curricula; (3) instruction in methods; (4) training and retraining of faculty; (5) continuing education of nurses; and (6) establishment of new affiliations with facilities which can provide students with clinical training. Directs the Secretary, in making grants, to give preference to projects which will: (1) train nurses who will provide treatment for minority individuals with AIDS and other individuals who are at high risk of contracting AIDS; and (2) train minority nurses to provide treatment for individuals with AIDS. Prohibits making grants or contracts unless an application is submitted to the Secretary. Makes applications for grants or contracts subject to peer review by groups composed principally of non-Federal experts. Prohibits the Secretary from approving or disapproving an application unless the Secretary has received recommendations from such peer groups and has consulted with the National Advisory Council on Nurse Training. Authorizes appropriations for grants and contracts for FY 1988. Amends part B (Federal-State Cooperation) of title III (General Powers and Duties of Public Health Service) of the Public Health Service Act to authorize the Secretary to provide, directly or through grant or contract, for: (1) education, training, and clinical skills improvement activities relating to AIDS for health professionals and allied health professionals; and (2) technical assistance to States and public and nonprofit entities for research in, and prevention and control of, AIDS. Authorizes appropriations for FY 1988 and 1989. Title III: Public Information - Amends Part B (Federal-State Cooperation) of title III (General Powers and Duties of Public Health Service) of the Public Health Service Act to direct the Secretary, through the Public Health Service, to develop and disseminate, through the print and broadcast media, public service announcements which inform the public, discourage high risk behaviors, and encourage individuals who may be at risk for contracting AIDS to be tested for infection and to receive counseling regarding infection. Directs the Secretary to: (1) place special emphasis on announcements directed toward minority individuals and individuals at high risk of contracting AIDS; and (2) use appropriate private organizations and businesses. Authorizes appropriations for FY 1988 and 1989. Directs the Secretary, through the Public Health Service, to establish and maintain a toll-free 24-hour telephone service to provide information to the public concerning AIDS. Authorizes appropriations for FY 1988 and 1989. Directs the Secretary, through the Public Health Service, to establish and maintain a telephone service to provide medical and technical information during normal business hours of the Centers to individuals and organizations who provide care and treatment services for individuals with AIDS. Authorizes appropriations for FY 1988 and 1989. Amends title XIX (Block Grants) of the Public Health Service Act to create a new part relating to public information activities by States. Authorizes appropriations for provisions of this part for FY 1988 and 1989. Directs the Secretary to make allotments in the same ratio as the population of the State bears to the population of all States. Directs the Secretary, in certain circumstances, to make payments of allotments directly to an Indian tribe or a tribal organization and to reserve such direct amounts from allotments to the State. Directs the Secretary to make payments from funds appropriated for that fiscal year. Declares that any amount paid to a State for a fiscal year and remaining unobligated at the end of the year shall remain available for the next fiscal year. Requires allocated amounts to be used, with regard to AIDS, for: (1) the development, establishment, or operation of public information activities for the general public, including minorities, relating to prevention and diagnosis; (2) the development, establishment, or operation of public information activities, relating to prevention and diagnosis, for populations at high risk of contracting AIDS; (3) technical assistance to community-based organizations, public and nonprofit private entities, and employers in developing information programs; and (4) training for personnel to carry out such activities. Prohibits States from using allocated funds for capital purchase or improvement, subject to waiver by the Secretary, or for satisfying any requirement for expenditure of non-Federal funds. Directs the Secretary, if requested by a State, to provide technical assistance to the State in planning and operating the activities under this part. Prohibits the use of more than ten percent of allocated amounts for administering the funds. Requires States to pay, from non-Federal sources, the remaining costs of administering the funds. Requires States to submit an application to the Secretary in order to receive an allocation. Specifies matters to which the chief executive officer of a State must certify in the application. Requires that the chief executive officer of a State: (1) prepare and furnish the Secretary with a description of the intended use of the payments the State will receive; and (2) make the description public so as to facilitate comment from any person during development and after transmittal. Declares that existing provisions of the Public Health Service Act relating to reduction in payments to States, reports and audits, withholding of funds for cause, nondiscrimination, and criminal penalties for false statements shall apply to this part in the same manner as they apply to the existing part B of this title. Directs the Secretary to conduct evaluations of the activities carried out under this part. Requires each State to include in the annual report submitted to the Secretary under existing provisions information which is necessary to enable the Secretary to conduct the evaluations. Directs the Secretary to prepare and transmit to the Committee on Labor and Human Resources of the Senate and the Committee on Energy and Commerce of the House of Representatives a report summarizing the evaluations.
Resolution· SRESS.Res. 233 (100th)referred
United States · United States Congress · 16 June 1987
Expresses the sense of the Senate that the Congress should appropriate, for FY 1988: (1) sufficient funds to establish and maintain the Public Health Emergency Fund authorized under current law; and (2) a specified amount to the Veterans Administration for medical care for persons havings AIDS (acquired immune deficiency syndrome) who are entitled to receive medical care under laws administered by the Veterans Administration.
Bill· SS. 1352 (100th)referred
United States · United States Congress · 10 June 1987
AIDS Control Act of 1987 - Amends the Federal criminal code to create a new chapter regarding public health preservation. Makes it unlawful for any individual to knowingly donate or attempt to donate blood, semen, or organs if that individual knows he or she is infected with the human immunodeficiency virus (HIV), is a member of certain groups (including African and Haitian immigrants, hemophiliacs, prostitutes, homosexuals, and intravenous drug users) at high risk of contracting acquired immune deficiency syndrome (AIDS), or has engaged in activity which places such person at high risk of contracting AIDS. Provides for criminal fines and imprisonment. Amends the Public Health Service Act to direct the Secretary of Health and Human Services to promulgate regulations to require that, as a condition of receiving a license, any entity which collects or distributes blood or blood components or derivatives allow directed and autologous blood donations. Requires the Director of the Centers for Disease Control to keep records of cases of individuals infected with HIV. Prohibits the Secretary of Health and Human Services from making a grant under any provision of the Public Health Service Act to support a project for education, testing, or counseling concerning AIDS unless the State requires that: (1) physicians and medical technicians report to public health authorities the names and addresses of HIV-infected individuals; (2) such reporting be carried out in accordance with State laws regulating confidentiality of records; and (3) marriage license applicants test negatively for the HIV infection. Amends title X (Population Research and Voluntary Family Planning Programs) of the Public Health Service Act to require that recipients of grants inform individuals of certain AIDS-preventive facts, including effectiveness of preventing HIV infection by the contraceptive method being provided as compared with the effectiveness of sexual abstinence. Requires the Director of the Bureau of Prisons to test each person incarcerated in a Federal penal or correctional institution for the HIV infection at the time of entry, annually, and at any other appropriate time. Requires reports on positive test results to be made to the Director of the Centers for Disease Control. Requires that prisoners testing positive for the HIV infection be placed in separate residential facilities and be restricted from holding any employment in the institution which may increase transmission of HIV. Prohibits the induction or retention in the armed forces, other than in a retired status, of a person infected with HIV. Requires individuals to be tested for the HIV infection prior to induction. Requires members of the armed forces to be tested for the HIV infection: (1) at least once a year; (2) whenever admitted to any medical facility of the uniformed services or of the Veterans Administration for in-patient care; and (3) at other times as the Secretary concerned considers appropriate. Amends provisions of the Immigration and Nationality Act, relating to adjustment of status of certain entrants before January 1, 1982, to the status of a person admitted for lawful residence, to prohibit, for persons with dangerous contagious diseases, waiver of grounds for exclusion, subject to exceptions. Adds to current requirements a requirement, in order for certain aliens to qualify for admission for permanent residence, that the alien satisfy the Attorney General that the alien is not a person with a dangerous disease. Prohibits, with regard to adjustment of status from that of special agricultural workers to that of an alien lawfully admitted for temporary residence, for persons with dangerous contagious diseases, waiver of grounds for exclusion, subject to exception. Directs the President to add HIV infection to the list of dangerous contagious diseases in specified Federal regulations. Repeals and declares null and void effective from June 6, 1986, a specified District of Columbia law relating to discrimination in the provision of insurance. Requires each person admitted to a Veterans Administration facility to receive hospital care to be tested at the time of each admission for the HIV infection. Prohibits Federal funds appropriated for the District of Columbia from being used for Saint Elizabeths Hospital unless the District of Columbia implements a program to test each person at the time of admission and periodically during treatment. Requires the Superintendent to report test results to the District of Columbia Health Department. Directs the Surgeon General of the United States to make and enforce regulations requiring the closing of communal bathing facilities in which the Surgeon General determines transmission of HIV takes place or in which sexual intercourse takes place between males. Expresses the sense of the Congress that: (1) States are encouraged to enact laws requiring that every person be tested for the HIV infection prior to admission to a hospital or a drug treatment center and that positive test results should be reported to the State public health officials; (2) States should test individuals incarcerated in correctional institutions for the HIV infection and should provide for reporting of positive test results to State public health officials; and (3) the executive branch of the Federal Government and all recipients of Federal financial assistance should implement policies regarding the entitlement of medical personnel to know of HIV infection in their patients and regarding protection of confidentiality as to patients infected with HIV.
Bill· HRH.R. 2654 (100th)referred
United States · United States Congress · 10 June 1987
United States Bipartisan Commission on Comprehensive Health Care Act - Establishes the United States Bipartisan Commission on Comprehensive Health Care. Sets forth its duties and membership. Authorizes it to appoint and determine the compensation of staff and procure the services of consultants. Details its powers. Requires the Commission to submit a report to the Congress, no later than six months after enactment of this Act, containing findings and recommendations regarding comprehensive long-term care services for the elderly and disabled, and including recommendations for legislative initiatives. Requires the Commission to submit a report to the Congress, no later than one year after enactment of this Act, containing findings and recommendations regarding comprehensive health care services for the elderly and disabled and comprehensive health care services for all individuals in the United States, and including recommendations for legislative initiatives. Terminates the Commission 30 days after the date of submission of such second report. Authorizes appropriations.
Bill· HRH.R. 2656 (100th)referred
United States · United States Congress · 10 June 1987
Requires the President to establish a health care service training pilot program for FY 1988 and 1989 in two host countries which have existing Peace Corps programs. Requires such pilot programs to: (1) train foreign nationals of the host country to deliver health care services; and (2) provide basic health care to people of the host country. Provides for a health service team composed of physicians, dentists, and nurses for each host country. Earmarks a specified amount of Peace Corps appropriations for such program.
Bill· HRH.R. 2626 (100th)referred
United States · United States Congress · 8 June 1987
Acquired Immunodeficiency Syndrome Education, Information, Risk Reduction, Training, Prevention, Treatment, Care, and Research Act of 1987 - Amends the Public Health Service Act to create a new title on acquired immunodeficiency syndrome (AIDS). Directs the Secretary of Health and Human Services (Secretary), acting through the Director of the Centers for Disease Control (Director), to prepare and transmit to the Committee on Labor and Human Resources of the Senate and the Committee on Energy and Commerce of the House of Representatives a comprehensive national plan containing specified elements relating to education, information, and risk reduction activities concerning AIDS. Directs the Secretary to submit to the committees each year for the next ten years a revision of the plan. Directs the Secretary, acting through the Director, to make grants to States for the development, implementation, or expansion of State plans for education, information, risk reduction, and other activities relating to AIDS. Requires States, in order to receive grants, to submit an application with specified contents. Directs the Secretary to provide technical assistance to States relating to these grants. Directs the Secretary to make grants to local governments and public and private nonprofit entities for development, establishment, or expansion of programs for targeted education, information, and risk reduction activities relating to AIDS. Directs the Secretary to give grant priority to activities directed toward individuals at highest risk of becoming infected with the acquired immunodeficiency virus. Prohibits grants from being made unless an application with specified contents is submitted. Directs the Secretary to give preference to community-based organizations which are located in, have a history of service in, and will serve specified areas. States that the Secretary may review the content of any educational or information materials developed with grants only for scientific and factual validity. Directs the Secretary to establish a program of fellowships at the Centers for Disease Control for the training of individuals to develop skills in epidemiology, surveillance, testing, counseling, education, information, laboratory analysis, and risk reduction relating to AIDS. Declares that individuals receiving fellowships shall not be counted in determining the number of full time equivalent employees of the Department of Health and Human Services for specified purposes. Directs the Secretary to make grants to international organizations concerned with public health for: (1) programs of education, information, and risk reduction relating to AIDS; (2) projects to train individuals to develop skills and technical expertise regarding AIDS; and (3) epidemiological research relating to AIDS. Directs the Secretary to inform the Secretary of State and the Administrator of the Agency for International Development of grants made under this provision. Prohibits grants from being made unless an application is submitted. Requires that not less than 50 percent of the grants be made through the World Health Organization and, in the Western Hemisphere, through the Pan American Health Organization. Requires grants to be in furtherance of the global strategy of the World Health Organization Special Programme on Acquired Immunodeficiency Syndrome. Authorizes appropriations for FY 1988 through 1990 for grants to States, for grants to local governments and public and private nonprofit entities, for fellowships at the Centers for Disease Control, and for grants to international organizations. Authorizes the Secretary to make grants to public and nonprofit private entities for the development, establishment, or expansion in a service area of networks of comprehensive medical services for individuals who have AIDS or who are infected with the virus. Requires networks to provide: (1) comprehensive services, or referrals to comprehensive services, for such individuals, including specified services; and (2) continuing education for health care personnel involved in the delivery of services to individuals infected with the virus. Specifies allowed and prohibited uses of grants. Prohibits making grants unless an application with specified contents is submitted. Requires entities applying for a grant, prior to applying, to establish a network advisory committee to assist in development of grant applications, provide support for the development, establishment, or expansion of the network, and monitor the implementation of, and the services provided through, the network. Directs the Secretary, in making grants, to give priority to specified types of applicants. Directs the Secretary to make at least one grant each fiscal year to an applicant in each service area in which there is a high incidence of children who are infected with the virus. States criteria for selecting such applicant. Directs the Secretary to make grants to public and nonprofit private entities for projects to demonstrate innovative models for cost-effective delivery of health services to individuals with AIDS. Requires projects supported with such grants to provide for the delivery of health services in conjunction with the comprehensive medical services networks. Prohibits making grants unless an application with specified contents is submitted. Authorizes appropriations for comprehensive medical service networks and for innovative models for cost-effective delivery of health services for FY 1988 through 1990. Directs the Secretary, through the Director of the National Institute of Mental Health, to make grants to public and private nonprofit entities for the development, establishment, or expansion of programs to: (1) provide long-term counseling to individuals who have AIDS or who have tested positively for the presence of antibodies to the virus; and (2) conduct evaluations of the effectiveness of such counseling. Specifies purposes for which grants may be used. Prohibits making grants unless an application with specified contents is submitted. Directs the Secretary, in making grants, to give priority to entities based at, or having relationships with, entities providing comprehensive health services to individuals who have AIDS or who are infected with the virus. Authorizes appropriations for FY 1988 through 1990. Directs the Secretary, through the Director of the National Institute on Drug Abuse, to make grants to public and nonprofit private agencies for the study of, and projects for the demonstration of, effective methods, with regard to intravenous drug abusers, to reduce the transmission of the virus and provide treatment to individuals who have AIDS or who are infected with the virus. Prohibits making grants unless an application with specified contents is submitted. Authorizes appropriations for FY 1988 through 1990. Amends title IV (National Research Institutes) of the Public Health Service Act to create the National Program on Acquired Immunodeficiency Syndrome, consisting of: (1) a research program on AIDS, including a research program relating to the prevention of AIDS; (2) demonstration, education, and other programs for the detection, diagnosis, prevention, and treatment of AIDS and for the provision of counseling concerning AIDS. Requires the Director of the National Institutes of Health (NIH) to designate one of the Directors of the national research institutes as the Acquired Immunodeficiency Syndrome Coordinator. Makes the AIDS Coordinator responsible for administration of the Program. Directs the AIDS Coordinator to develop and implement a plan for NIH to expedite the award of grants, contracts, or cooperative agreements by any agency of NIH for projects relating to AIDS, including projects initiated by investigators not in response to any solicitation for proposals. Requires the plan to provide, in the case of applications made in response to solicitations for proposals, for making of awards or disapproval of applications within six months after the date on which a solicitation is issued. Directs the AIDS Coordinator, in conjunction with the Directors of the national research institutes and in consultation with the National Acquired Immunodeficiency Syndrome Advisory Board (Advisory Board), to promote cooperation between specified agencies in the diagnosis, prevention, and treatment of AIDS. Directs the AIDS Coordinator to prepare and transmit to the Committee on Labor and Human Resources of the Senate and the Committee on Energy and Commerce of the House of Representatives a report with specified contents. Directs the AIDS Coordinator to expand clinical trials of treatments and therapies for AIDS and infection with the virus. Authorizes the AIDS Coordinator to: (1) establish or support the large-scale production or distribution of specialized biological materials or other therapeutic substances for research relating to AIDS and set standards of safety and care for persons using such materials; (2) support, in consultation with the Advisory Board, research relating to AIDS outside the United States in certain circumstances, collaborative research involving American and foreign participants, the training of American scientists abroad and foreign scientists in the United States, and programs of education and training, including education and laboratory and clinical research training; (3) encourage and coordinate research relating to AIDS by industrial concerns in certain circumstances and provide for the exchange of information between Federal agencies and private entities involved in specified ways with therapies and vaccines for AIDS; (4) acquire, improve, repair, operate, and maintain, in consultation with the Advisory Board, laboratories and other real and personal property, make grants for the renovation of facilities, and lease certain spaces for a limited period; (5) enter into contracts and cooperative agreements to expedite and coordinate research relating to AIDS; and (6) maintain and operate the International Acquired Immunodeficiency Syndrome Research Data Bank. Directs the Secretary, in consultation with the AIDS Coordinator, to establish in NIH a National Acquired Immunodeficiency Syndrome Advisory Board to: (1) review and evaluate the implementation of the Program; (2) advise and make recommendations to the Congress, the Secretary, the Director of NIH, the AIDS Coordinator, and the heads of other Federal agencies; and (3) maintain liaisons with other advisory bodies and key non-Federal entities involved with the control of AIDS. Requires the Advisory Board to prepare an annual report for the AIDS Coordinator describing the Advisory Board's activities and making recommendations regarding the Program. Authorizes the Director of the Institute to enter into cooperative agreements with and make grants to public or private nonprofit entities for planning, establishing, or strengthening, and providing basic operating support for, centers for basic and clinical research into, and training in, advanced diagnostic, prevention, and treatment methods for AIDS. Specifies permitted uses for Federal payments under a cooperative agreement or grant. Limits support of a center to five years, subject to extension for periods of up to five years, if recommended by a peer review group. Requires, in the Institute, appointment of an Associate Director for Prevention to coordinate and promote the programs in the Institute concerning the prevention of infectious diseases, including AIDS. Directs the Associate Director for Prevention to prepare, for inclusion in a biennial report required by existing law, a description of the prevention activities of the Institute. Requires the Director of the Institute to establish a virus and serum bank in which all human immunodeficiency virus serotypes and serum are available to qualified investigators. States that AIDS is included within the scope of the purpose of the National Institute on Allergy and Infectious Diseases. Directs the Secretary, acting through the Director of the National Institute on Allergy and Infectious Diseases, to make awards, under existing provisions for National Research Service Awards, for the training of individuals to participate in national research efforts relating to AIDS. Requires the Director of the Office of Management and Budget, the Director of the Office of Personnel Management, or the Administrator of General Services to respond to any priority request made by the AIDS Coordinator of the NIH within 14 calendar days.
Bill· HRH.R. 2607 (100th)referred
United States · United States Congress · 4 June 1987
Amends the Public Health Service Act to authorize the Secretary of Health and Human Services, acting through the Director of the Centers for Disease Control, to make grants to the States to enable each State to develop and implement in public school systems: (1) a curriculum for educating students regarding prevention and control of acquired immune deficiency syndrome; and (2) a program for educating teachers with respect to teaching the curriculum. Authorizes appropriations for FY 1988.
Bill· SS. 1311 (100th)open
United States · United States Congress · 3 June 1987
Rural Areas Mental Health Services Act of 1987 - Amends the Public Health Service Act to authorize the Secretary of Health and Human Services to make grants to States and private nonprofit agencies for the development, improvement, and demonstration of State and local systems for the provision of mental health services and related services to residents of rural areas. Limits the grants to no more than three consecutive one-year periods, subject to waiver. Authorizes appropriations for FY 1988 through 1990 for such grants and for grants under existing provisions relating to mental health services demonstration projects for the improvement of community services for chronically mentally ill individuals, seriously mentally disturbed children, elderly individuals, and homeless chronically mentally ill individuals.
Bill· HRH.R. 2595 (100th)open
United States · United States Congress · 3 June 1987
Medical Device Improvements Act of 1987 - Amends the Federal Food, Drug, and Cosmetic Act to require medical facilities to inform the Secretary of Health and Human Services and the manufacturer whenever they believe a medical device could have contributed to a death, illness, or injury, or may have seriously malfunctioned. Establishes civil penalties for knowing violations. Requires manufacturers to maintain records of such information. Authorizes the Secretary to waive application requirements for premarket approval for a class III device. Defines "substantially identical" for purposes of classifying devices, requiring same intended use and same technological characteristics. Requires the submission of clinical data demonstrating the substantial equivalence of a device, defined as having the same intended use as another device, but different technological characteristics. Requires a person seeking substantial identity or equivalence to a class III device to certify that a search of published information on such device has been concluded and may be required to include relevant adverse safety and effectiveness data. Requires the Secretary within five years to reclassify class III devices into class I or into class II or to state that the classification is appropriate. Revises existing standards to designate as class II devices those devices for which it can be determined whether or not a performance standard is appropriate rather than requiring a performance standard as under current law. Authorizes the Secretary of Health and Human Services to reclassify class III devices (devices requiring premarket approval) into class I (devices requiring general controls) or class II as appropriate to assure the safety and effectiveness of such devices. Revises the procedures for establishing performance standards for devices. Removes the non-state-of-the-art design and manufacture basis for repair, replacement, or refund remedy. Eliminates devices from the color additives regulation. Requires the Secretary to support education and training activities to minimize the exposure of people to health hazards associated with devices. Makes it discretionary rather than mandatory to refer device applications to a panel for evaluation. Amends the Orphan Drug Act to include medical devices.
Bill· SS. 1307 (100th)open
United States · United States Congress · 2 June 1987
Public Health Service Amendments of 1987 - Title I: Health Services Research, Health Care Technology, Health Statistics, and Preventive Health Programs - Amends the Public Health Service Act to authorize appropriations for FY 1988 through 1990 for health service research, evaluation, and demonstration activities regarding health statistics, health services, and health care technology assessment, and regarding the National Center for Health Services Research and Health Care Technology Assessment. Directs the Secretary of Health and Human Services (Secretary) to obligate from any funds appropriated not less than a specified amount for health care technology assessment activities. Authorizes appropriations for FY 1988 through 1990 for health statistical and epidemiological activities for the National Center for Health Statistics. Increases from 15 to 16 the number of members of the National Committee on Vital and Health Statistics and increases their term of office from three to four years. Repeals provisions of the Public Health Service Act which direct the Secretary to: (1) conduct a study of the present and future health costs of pollution and other environmental conditions resulting from human activity; (2) develop a plan for the collection and coordination of statistical and epidemiological data on the effects of the environment on health; and (3) establish guidelines for the collection and distribution of statistics and information regarding the effects of conditions of employment and indoor and outdoor environmental conditions on the public health. Changes the due date of an annual report from the Secretary to the Congress regarding health services research, health statistics, and health care technology. Directs the Secretary to obligate not less than a specified amount for each of FY 1988 through 1990 for grants regarding a council on health care technology. Prohibits a grant unless the application contains assurances that specified amounts will be spent from non-Federal sources for the operation of the council. Authorizes appropriations for FY 1988 through 1990 for grants for preventive health service programs related to immunization with vaccines approved for use, and recommended for routine use, after enactment of this provision, and for other vaccines. Authorizes appropriations for FY 1988 through 1990, upon implementation of subtitle 2 (National Vaccine Injury Compensation Program) of title XXI of the Public Health Service Act, for grants for immunization programs. Directs the Secretary, acting through the Director of the Centers for Disease Control, to acquire and maintain a supply of vaccines sufficient to provide vaccinations throughout a six-month period. Authorizes appropriations for FY 1988 through 1990 for acquiring and maintaining such supply. Authorizes appropriations for FY 1988 through 1990 for grants for preventive health service programs for tuberculosis and for certain activities relating to prevention and control of diseases through vaccination. Authorizes the Secretary to make grants to States and other public and nonprofit private entities for: (1) research; (2) demonstration projects; (3) public information and education; and (4) education, training, and clinical skills improvement activities regarding prevention and control of drug-resistant and other tuberculosis. Prohibits making grants unless an application is submitted to the Secretary. Authorizes appropriations for FY 1988 through 1990 for technical assistance and grants for the prevention and control of sexually transmitted diseases. Mandates the inclusion of grants relating to chlamydia. Title II: National Health Service Corps Loan Repayment Program - Amends subpart II (National Health Service Corps Program) of part D of title III of the Public Health Service Act to direct the Secretary to establish the National Health Service Corps Loan Repayment Program (Loan Repayment Program) to assure an adequate supply of certain trained medical personnel. Sets forth participation eligibility requirements. Mandates inclusion with application and contract forms sent to potential applicants by the Secretary: (1) a summary of the rights and liabilities of individuals whose applications are approved; and (2) information regarding meeting the service obligation through private practice. Directs the Secretary to give priority to certain types of applicants. Specifies elements the contract is required to contain, including: (1) that the Secretary will pay loans on behalf of the individual; (2) that the individual will serve for a period of time (period of obligated service) in a health manpower shortage area; and (3) the damages to which the United States is entitled for breach of the contract. States that loan payment shall include payment of principal, interest, and related expenses on governmental and commercial loans for tuition and educational and living expenses. Authorizes the Secretary to pay any increased Federal, State, or local income tax liability resulting from such loan payments. Prohibits counting individuals who have entered into loan repayment contracts under provisions of this Act against any employment ceiling affecting the Department of Health and Human Services. Directs the Secretary to submit an annual report to the Congress regarding the individuals receiving loan payments under the Program, the educational institutions at which such individuals are receiving their training, the applications filed, and the amount of loan payments made. Provides that certain individuals who do not complete their education shall, in lieu of any service obligation, be liable to the United States for the amount which has been paid on their behalf under the contract. Provides a formula for determining the liability of other individuals who breach the contract. Directs the Secretary to report annually to the Committee on Labor and Human Resources of the Senate and the Committee on Energy and Commerce of the House of Representatives, and the Committees on Appropriations of the Senate and the House of Representatives. Requires the reports to contain information on the number of health care providers needed and the number of people the Secretary proposes to use to meet that need from scholarships, loan repayments, and other sources. Authorizes appropriations for scholarships and loan repayments. Authorizes the Secretary to make grants to States for programs similar to the Loan Repayment Program. Requires any State program supported with a grant under this provision to: (1) either establish minimum standards for the designation of areas in which obligated service will be performed or provide that obligated service will be performed in health manpower shortage areas designated by the Secretary; and (2) establish minimum standards for the determination of obligated service under the State program. Prohibits making a grant unless an application is submitted to the Secretary. Declares that the Federal share of the costs of any State program under this provision shall not exceed 75 percent. Authorizes appropriations for FY 1988 through 1990. Title III: Further Revisions and Extensions of the Program for the National Health Service Corps - Amends the Public Health Service Act to prohibit the Secretary from removing an area from the areas designated as health manpower shortage areas until interested parties have had a chance to provide data and information in support of designation. Adds ability to pay for health services as a criterion the Secretary must consider when making determinations regarding such designations. Sets forth regulations regarding dates by which the Secretary must, for individuals receiving scholarships under the Scholarship Program or under contract to receive loan repayment under the Loan Repayment Program, make certain determinations, provide information, make certain appointments, or make designations of individuals as members of the Corps. Authorizes the Secretary, at the request of the individual, to defer such dates. Adds individuals under contract for loan repayment to provisions allowing the Secretary to release individuals from their service obligation if they agree to engage in private practice in a health manpower shortage area. Removes a provision authorizing the Secretary to make arrangements, for individuals engaging in private practice in lieu of their service obligation, for the use of equipment and supplies and for the lease or acquisition of other equipment and supplies. Removes a provision authorizing the Secretary to make one grant or one loan to individuals who have completed at least two years of their period of obligation. Authorizes the Secretary to make one loan to a Corps member who has entered into specified agreements regarding private practice, in a health manpower shortage area. Requires the loan to be used for the costs of beginning the practice, including acquiring equipment and renovating facilities, and hiring of nurses and other personnel. Prohibits use of the loan for purchase or construction of any building. Limits the amount of the loan. Authorizes appropriations for the general operations of the National Health Service Corps for FY 1988 through 1990.
Bill· SS. 1265 (100th)open
United States · United States Congress · 21 May 1987
Minimum Health Benefits for All Workers Act of 1987 - Title I: Amendments to Public Health Service Act - Amends the Public Health Service Act to add provisions which require each employer to enroll each of its employees and their families in a health benefit plan. Makes State employers which do not so enroll their employees and their families ineligible to receive grants, contracts, loans, or loan guarantees under such Act. Title II: Amendments to Fair Labor Standards Act of 1938 and Employee Retirement Income Security Act of 1974 - Amends the Fair Labor Standards Act of 1938 to add provisions which require each employer to enroll each of its employees and their families in a health benefit plan. Amends the Employee Retirement Income Security Act of 1974 regarding supersedure of State laws relating to contracts or policies of insurance issued to or under a health benefit plan under title III of this Act. Title III: Requirements for Health Benefit Plans for Employees and Their Families - Part A: Requirements and Definitions - Applies this title to employers required to enroll employees in health benefit plans under certain provisions of the Public Health Service Act or the Fair Labor Standards Act of 1938. Requires each small and certain large employers to use a regional insurer, subject to certain exceptions and conditions. Requires that enrollment of an employee in a health benefit plan under this title includes enrollment of the employee's family in the plan. Prohibits the employee from waiving personal or family enrollment. Provides exceptions to avoid duplicate family enrollment. Prohibits employers from discriminating against any individual because such individual has a spouse or child required under this title to be enrolled in a health benefit plan. Part B: Requirements for Health Benefit Plans - Sets forth general requirements for plans. Permits a health benefit plan to be considered as meeting such requirements provided the actuarial benefits under the plan are not less than would have applied if the plan met the requirements of this part. Specifies benefits which a plan must provide, including inpatient and outpatient hospital care and physician services, tests, and prenatal and well-baby care. Specifies requirements regarding the date of initial coverage and interim coverage. Prohibits pre-existing condition provisions. Allows a plan to require an employee to pay for premiums, deductibles, copayments, and coinsurance, not to exceed certain limits. Prohibits a plan from requiring a premium for an employee whose hourly wage is less than a specified amount. Sets limitations on deductibles. Part C: Certification of Regional Insurers - Directs the Secretary of Health and Human Services (Secretary) to designate six to eight health insurance regions and to establish competitive procedures for the periodic certification of two to five insurers for each region. Specifies requirements for application for and consideration of applications for such certification. Directs the Secretary to periodically evaluate the performance of regional insurers and, under certain circumstances, to terminate the certification of the insurer. Sets forth requirements regarding the types of plans each regional insurer must offer. Requires each regional insurer to fix premiums under a community rating system. Prohibits adjustment of such premiums based on age, gender, or other factors relating to the projected or actual use of services. Permits regional insurers to enter into subcontracts. Directs the Secretary to encourage regional insurers to enter into arrangements with entities representing groups of small businesses for the provision of administrative services. Requires such insurers to reduce the premiums charged by an amount which reflects the value of such services. Directs the Secretary to provide technical assistance to employers, utilizing to the maximum extent feasible entities with experience in providing health insurance services to small businesses. Part D: Regulations and Enforcement - Directs the Secretary to promulgate rules to carry out this title by specified deadlines. Provides for civil penalties for any nongovernmental employer who does not comply with certain provisions of this Act. Makes nongovernmental employers who knowingly fail to comply with certain provisions of this Act liable for damages, including health care costs incurred, to the employee or the employee's family. Allows any individual injured, adversely affected, or aggrieved by violation of certain requirements of this Act to bring an action for injunctive relief. Title IV: Effective Date - Provides for the effective date of this Act and transition rules for certain circumstances. Declares that no employer will be required under title III of this Act to provide any health benefit in addition to the benefits required to be provided by specified provisions of this Act unless: (1) such additional benefit is for a service which State Medicaid plans (under title XIX of the Social Security Act) are required to cover for certain individuals; and (2) before the enactment of such requirement, the benefits and costs of requiring the provision of such additional health benefit have been analyzed and considered by the Congress, according to certain procedures.
Resolution· SCONRESS.Con.Res. 60 (100th)referred
United States · United States Congress · 21 May 1987
Honors the DARE program for its contributions to the fight against alcohol and other drug abuse.
Bill· HRH.R. 2508 (100th)open
United States · United States Congress · 21 May 1987
Minimum Health Benefits for All Workers Act of 1987 - Title I: Amendments to Public Health Service Act - Amends the Public Health Service Act to add provisions which require each employer to enroll each of its employees and their families in a health benefit plan. Makes State employers which do not so enroll their employees and their families ineligible to receive grants, contracts, loans, or loan guarantees under such Act. Title II: Amendments to Fair Labor Standards Act of 1938 and Employee Retirement Income Security Act of 1974 - Amends the Fair Labor Standards Act of 1938 to add provisions which require each employer to enroll each of its employees and their families in a health benefit plan. Amends the Employee Retirement Income Security Act of 1974 regarding supersedure of State laws relating to contracts or policies of insurance issued to or under a health benefit plan under title III of this Act. Title III: Requirements for Health Benefit Plans for Employees and Their Families - Part A: Requirements and Definitions - Applies this title to employers required to enroll employees in health benefit plans under certain provisions of the Public Health Service Act or the Fair Labor Standards Act of 1938. Requires each small and certain large employers to use a regional insurer, subject to certain exceptions and conditions. Requires that enrollment of an employee in a health benefit plan under this title includes enrollment of the employee's family in the plan. Prohibits the employee from waiving personal or family enrollment. Provides exceptions to avoid duplicate family enrollment. Prohibits employers from discriminating against any individual because such individual has a spouse or child required under this title to be enrolled in a health benefit plan. Part B: Requirements for Health Benefit Plans - Sets forth general requirements for plans. Permits a health benefit plan to be considered as meeting such requirements provided the actuarial benefits under the plan are not less than would have applied if the plan met the requirements of this part. Specifies benefits which a plan must provide, including inpatient and outpatient hospital care and physician services, tests, and prenatal and well-baby care. Specifies requirements regarding the date of initial coverage and regarding interim coverage. Prohibits pre-existing condition provisions. Allows a plan to require an employee to pay for premiums, deductibles, copayments, and coinsurance, not to exceed certain limits. Prohibits a plan from requiring a premium for an employee whose hourly wage is less than a specified amount. Sets limitations on deductibles. Part C: Certification of Regional Insurers - Directs the Secretary of Health and Human Services (Secretary) to designate six to eight health insurance regions and to establish competitive procedures for the periodic certification of two to five insurers for each region. Specifies requirements for application for and consideration of applications for such certification. Directs the Secretary to periodically evaluate the performance of regional insurers and, under certain circumstances, to terminate the certification of the insurer. Sets forth requirements regarding the types of plans each regional insurer must offer. Requires each regional insurer to fix premiums under a community rating system. Prohibits adjustment of such premiums based on age, gender, or other factors relating to the projected or actual use of services. Permits regional insurers to enter into subcontracts. Directs the Secretary to encourage regional insurers to enter into arrangements with entities representing groups of small businesses for the provision of administrative services. Requires such insurers to reduce the premiums charged by an amount which reflects the value of such services. Directs the Secretary to provide technical assistance to employers, utilizing to the maximum extent feasible entities with experience in providing health insurance services to small businesses. Part D: Regulations and Enforcement - Directs the Secretary to promulgate rules to carry out this title by specified deadlines. Provides for civil penalties for any nongovernmental employer who does not comply with certain provisions of this Act. Makes nongovernmental employers who knowingly fail to comply with certain provisions of this Act liable for damages, including health care costs incurred, to the employee or the employee's family. Allows any individual injured, adversely affected, or aggrieved by violation of certain requirements of this Act to bring an action for injunctive relief. Title IV: Effective Date - Provides for the effective date of this Act and transition rules for certain circumstances. Declares that no employer will be required under title III of this Act to provide any health benefit in addition to the benefits required to be provided by specified provisions of this Act unless: (1) such additional benefit is for a service which State Medicaid plans (under title XIX of the Social Security Act) are required to cover for certain individuals; and (2) before the enactment of such requirement, the benefits and costs of requiring the provision of such additional health benefit have been analyzed and considered by the Congress, according to certain procedures.
Bill· SS. 1242 (100th)referred
United States · United States Congress · 20 May 1987
President's Pro-Life Bill of 1987 - Prohibits the use of Federal funds for abortions, except when continuing the pregnancy would endanger the mother's life. Prohibits the granting of funds relating to certain population research and voluntary family programs under the Public Health Service Act to organizations providing abortions or abortion referrals, unless the life of the mother would be endangered by continuing the pregnancy.
Resolution· SCONRESS.Con.Res. 59 (100th)referred
United States · United States Congress · 19 May 1987
Expresses the sense of the Congress that the Harlem Hospital Center be recognized and commended for 100 years of service and for its dedication to providing quality care.
Bill· SS. 1220 (100th)open
United States · United States Congress · 15 May 1987
Acquired Immunodeficiency Syndrome Education, Information, Risk Reduction, Training, Prevention, Treatment, Care, and Research Act of 1987 - Amends the Public Health Service Act to create a new title on acquired immunodeficiency syndrome (AIDS). Directs the Secretary of Health and Human Services (Secretary), acting through the Director of the Centers for Disease Control (Director), to prepare and transmit to the Committee on Labor and Human Resources of the Senate and the Committee on Energy and Commerce of the House of Representatives a comprehensive national plan containing specified elements relating to education, information, and risk reduction activities concerning AIDS. Directs the Secretary to submit to the committees each year for the next ten years a revision of the plan. Directs the Secretary, acting through the Director, to make grants to States for the development, implementation, or expansion of State plans for education, information, risk reduction, and other activities relating to AIDS. Requires States, in order to receive grants, to submit an application with specified contents. Directs the Secretary to provide technical assistance to States relating to these grants. Directs the Secretary to make grants to local governments and public and private nonprofit entities for development, establishment, or expansion of programs for targeted education, information, and risk reduction activities relating to AIDS. Directs the Secretary to give grant priority to activities directed toward individuals at highest risk of becoming infected with the acquired immunodeficiency virus. Prohibits grants from being made unless an application with specified contents is submitted. Directs the Secretary to give preference to community-based organizations which are located in, have a history of service in, and will serve specified areas. States that the Secretary may review the content of any educational or information materials developed with grants only for scientific and factual validity. Directs the Secretary to establish a program of fellowships at the Centers for Disease Control for the training of individuals to develop skills in epidemiology, surveillance, testing, counseling, education, information, laboratory analysis, and risk reduction relating to AIDS. Declares that individuals receiving fellowships shall not be counted in determining the number of full time equivalent employees of the Department of Health and Human Services for specified purposes. Directs the Secretary to make grants to international organizations concerned with public health for: (1) programs of education, information, and risk reduction relating to AIDS; (2) projects to train individuals to develop skills and technical expertise regarding AIDS; and (3) epidemiological research relating to AIDS. Directs the Secretary to inform the Secretary of State and the Administrator of the Agency for International Development of grants made under this provision. Prohibits grants from being made unless an application is submitted. Requires that not less than 50 percent of the grants be made through the World Health Organization and, in the Western Hemisphere, through the Pan American Health Organization. Requires grants to be in furtherance of the global strategy of the World Health Organization Special Programme on Acquired Immunodeficiency Syndrome. Authorizes appropriations for FY 1988 through 1990 for grants to States, for grants to local governments and public and private nonprofit entities, for fellowships at the Centers for Disease Control, and for grants to international organizations. Authorizes the Secretary to make grants to public and nonprofit private entities for the development, establishment, or expansion in a service area of networks of comprehensive medical services for individuals who have AIDS or who are infected with the virus. Requires networks to provide: (1) comprehensive services, or referrals to comprehensive services, for such individuals, including specified services; and (2) continuing education for health care personnel involved in the delivery of services to individuals infected with the virus. Specifies allowed and prohibited uses of grants. Prohibits making grants unless an application with specified contents is submitted. Requires entities applying for a grant, prior to applying, to establish a network advisory committee to assist in development of grant applications, provide support for the development, establishment, or expansion of the network, and monitor the implementation of, and the services provided through, the network. Directs the Secretary, in making grants, to give priority to specified types of applicants. Directs the Secretary to make at least one grant each fiscal year to an applicant in each service area in which there is a high incidence of children who are infected with the virus. States criteria for selecting such applicant. Directs the Secretary to make grants to public and nonprofit private entities for projects to demonstrate innovative models for cost-effective delivery of health services to individuals with AIDS. Requires projects supported with such grants to provide for the delivery of health services in conjunction with the comprehensive medical services networks. Prohibits making grants unless an application with specified contents is submitted. Authorizes appropriations for comprehensive medical service networks and for innovative models for cost-effective delivery of health services for FY 1988 through 1990. Directs the Secretary, through the Director of the National Institute of Mental Health, to make grants to public and private nonprofit entities for the development, establishment, or expansion of programs to: (1) provide long-term counseling to individuals who have AIDS or who have tested positively for the presence of antibodies to the virus; and (2) conduct evaluations of the effectiveness of such counseling. Specifies purposes for which grants may be used. Prohibits making grants unless an application with specified contents is submitted. Directs the Secretary, in making grants, to give priority to entities based at, or having relationships with, entities providing comprehensive health services to individuals who have AIDS or who are infected with the virus. Authorizes appropriations for FY 1988 through 1990. Directs the Secretary, through the Director of the National Institute on Drug Abuse, to make grants to public and nonprofit private agencies for the study of, and projects for the demonstration of, effective methods, with regard to intravenous drug abusers, to reduce the transmission of the virus and provide treatment to individuals who have AIDS or who are infected with the virus. Prohibits making grants unless an application with specified contents is submitted. Authorizes appropriations for FY 1988 through 1990. Amends title IV (National Research Institutes) of the Public Health Service Act to create the National Program on Acquired Immunodeficiency Syndrome, consisting of: (1) a research program on AIDS, including a research program relating to the prevention of AIDS; and (2) demonstration, education, and other programs for the detection, diagnosis, prevention, and treatment of AIDS and for the provision of counseling concerning AIDS. Requires the Director of the National Institutes of Health (NIH) to designate one of the Directors of the national research institutes as the Acquired Immunodeficiency Syndrome Coordinator. Makes the AIDS Coordinator responsible for administration of the Program. Directs the AIDS Coordinator to develop and implement a plan for NIH to expedite the award of grants, contracts, or cooperative agreements by any agency of NIH for projects relating to AIDS, including projects initiated by investigators not in response to any solicitation for proposals. Requires the plan to provide, in the case of applications made in response to solicitations for proposals, for making of awards or disapproval of applications within six months after the date on which a solicitation is issued. Directs the AIDS Coordinator, in conjunction with the Directors of the national research institutes and in consultation with the National Acquired Immunodeficiency Syndrome Advisory Board (Advisory Board), to promote cooperation between specified agencies in the diagnosis, prevention, and treatment of AIDS. Directs the AIDS Coordinator to prepare and transmit to the Committee on Labor and Human Resources of the Senate and the Committee on Energy and Commerce of the House of Representatives a report with specified contents. Directs the AIDS Coordinator to expand clinical trials of treatments and therapies for AIDS and infection with the virus. Authorizes the AIDS Coordinator to: (1) establish or support the large-scale production or distribution of specialized biological materials or other therapeutic substances for research relating to AIDS and set standards of safety and care for persons using such materials; (2) support, in consultation with the Advisory Board, research relating to AIDS outside the United States in certain circumstances, collaborative research involving American and foreign participants, the training of American scientists abroad and foreign scientists in the United States, and programs of education and training, including education and laboratory and clinical research training; (3) encourage and coordinate research relating to AIDS by industrial concerns in certain circumstances and provide for the exchange of information between Federal agencies and private entities involved in specified ways with therapies and vaccines for AIDS; (4) acquire, improve, repair, operate, and maintain, in consultation with the Advisory Board, laboratories and other real and personal property, make grants for the renovation of facilities, and lease certain spaces for a limited period; (5) enter into contracts and cooperative agreements to expedite and coordinate research relating to AIDS; and (6) maintain and operate the International Acquired Immunodeficiency Syndrome Research Data Bank. Directs the Secretary, in consultation with the AIDS Coordinator, to establish in NIH a National Acquired Immunodeficiency Syndrome Advisory Board to: (1) review and evaluate the implementation of the Program; (2) advise and make recommendations to the Congress, the Secretary, the Director of NIH, the AIDS Coordinator, and the heads of other Federal agencies; and (3) maintain liaisons with other advisory bodies and key non-Federal entities involved with the control of AIDS. Requires the Advisory Board to prepare an annual report for the AIDS Coordinator describing the Advisory Board's activities and making recommendations regarding the Program. Authorizes the Director of the Institute to enter into cooperative agreements with and make grants to public or private nonprofit entities for planning, establishing, or strengthening, and providing basic operating support for, centers for basic and clinical research into, and training in, advanced diagnostic, prevention, and treatment methods for AIDS. Specifies permitted uses for Federal payments under a cooperative agreement or grant. Limits support of a center to five years, subject to extension for periods of up to five years, if recommended by a peer review group. Requires, in the Institute, appointment of an Associate Director for Prevention to coordinate and promote the programs in the Institute concerning the prevention of infectious diseases, including AIDS. Directs the Associate Director for Prevention to prepare, for inclusion in a biennial report required by existing law, a description of the prevention activities of the Institute. Requires the Director of the Institute to establish a virus and serum bank in which all human immunodeficiency virus serotypes and serum are available to qualified investigators. States that AIDS is included within the scope of the purpose of the National Institute on Allergy and Infectious Diseases. Directs the Secretary, acting through the Director of the National Institute on Allergy and Infectious Diseases, to make awards, under existing provisions for National Research Service Awards, for the training of individuals to participate in national research efforts relating to AIDS. Requires the Director of the Office of Management and Budget, the Director of the Office of Personnel Management, or the Administrator of General Services to respond to any priority request made by the AIDS Coordinator of the NIH within 14 calendar days.