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Bill· HRH.R. 4915 (100th)open
United States · United States Congress · 23 June 1988
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 1989 through 1991.
Bill· HRH.R. 4904 (100th)passed
United States · United States Congress · 23 June 1988
Technology-Related Assistance for Individuals With Disabilities Act of 1988 - Title I: Grants to States - Directs the Secretary of Education to make grants to States for consumer-responsive comprehensive statewide programs of technology-related assistance for individuals of all ages with disabilities. Lists functions and activities which may be included in the programs. Directs the Secretary to award to States three-year grants for statewide programs of technology-related assistance for individuals with disabilities. Provides for the number and amounts of the grants. Gives States receiving grants in one fiscal year priority in the availability of amounts appropriated in the next fiscal year. Directs the Secretary to award grants in a manner that is geographically equitable and that distributes them among States that have differing levels of development of programs of technology-related assistance. Sets forth information and assurances which must accompany an application. Authorizes the Secretary to award a two-year extension grant to any State that demonstrates significant progress of a statewide program of technology-related assistance under a grant provided for in this Act. Provides for the amounts of the extension grants and for priority for previously participating States. Specifies elements which must be included in an extension grant application. Requires each State that receives a grant under this title to submit an annual report to the Secretary. Sets forth specific requirements for reports with respect to extension grants. Directs the Secretary to establish a system to assess the extent to which States which receive grants under this title are making significant progress. Subjects any State which fails to comply with the requirements of this title to a corrective action plan. Declares that nothing in this title shall be construed to permit the State or any Federal agency to reduce medical or other assistance available or to alter eligibility under: (1) title II (Old Age, Survivors and Disability Insurance), title V (Maternal and Child Health), title XVI (Supplemental Security Income), title XVIII (Medicare), title XIX (Medicaid), or title XX (Block Grants for States for Social Services) of the Social Security Act; (2) the Education of the Handicapped Act; (3) the Rehabilitation Act; or (4) laws relating to veterans' benefits. Authorizes appropriations for FY 1989 through 1993. Directs the Secretary to reserve from amounts appropriated one percent for provision to States of information and technical assistance. Authorizes the Secretary to reserve sums as necessary to cover the cost of on-site visits. Directs the Secretary, directly or by contract, to: (1) conduct a national evaluation of the grant program authorized by this title; and (2) report to the Congress not later than October 1, 1992. Authorizes the Secretary to work with the States to consider and develop a uniform information system designed to report and compile a qualitative and quantitative description of the impact of the grant program. Title II: Programs of National Significance - Part A: Study on Financing of Assistive Technology Devices and Assistive Technology Services for Individuals with Disabilities - Requires the National Council on the Handicapped to: (1) conduct a study and make recommendations to the Congress and the President concerning financing and other aspects of technology-related assistance, devices, and services; and (2) appoint an advisory committee in accordance with the Rehabilitation Act of 1973 to assist the Council in carrying out the Council's duties under this part. Directs the heads of all Federal agencies, to the extent not prohibited by law, to cooperate with the Council. Authorizes the Council, with the consent of the agency involved, to use the resources of Federal, State, local, and private agencies, with or without reimbursement. Sets forth reporting requirements. Part B: National Information and Program Referral Network - Directs the Secretary to enter into any contract or cooperative agreement necessary in order to establish a national information and program referral network to assist States regarding such technology-related assistance, if the Secretary determines it appropriate to establish the network. Requires the contracts or agreements, if any, to be entered into before the end of 30 months after appropriations are enacted. Directs the Secretary to conduct a study of the feasibility and desirability of creating such a network. Authorizes the Secretary to enter into a contract or cooperative agreement necessary to conduct the study. Provides for the content and timetable of the study. Part C: Training and Public Awareness Projects - Directs the Secretary to enter into contracts or cooperative agreements concerning training with regard to the provision of technology-related assistance. Specifies eligible activities. Directs the Secretary to make grants to assist institutions of higher education to prepare personnel for careers relating to the provision of technology-related assistance. Sets forth priorities and specifies allowed uses of funds. Directs the Secretary to make grants or enter into contracts to carry out national projects that build awareness of the importance and efficacy of assistive technology devices and services for individuals of all ages with disabilities functioning in various settings of daily life. Sets forth allowed uses of the funds. Directs the Secretary to establish priorities for the grants and to publish the priorities, along with an explanation of how the priorities were determined, in the Federal Register. Part D: Demonstration and Innovation Projects - Directs the Secretary to make grants or enter into contracts or cooperative agreements to pay all or part of the cost of demonstration and innovation projects concerning technology-related assistance for individuals with disabilities. Sets forth allowed uses of the funds. Part E: Authorization of Appropriations - Authorizes appropriations for FY 1989 through 1993. Sets forth priorities depending on specified levels of appropriations.
Bill· HRH.R. 4866 (100th)referred
United States · United States Congress · 20 June 1988
Drug Free Mothers and Babies Act of 1988 - Directs the Secretary of Health and Human Services to: (1) carry out a program to research drug and alcohol abuse among pregnant women and its effects on their infants; and (2) establish demonstration projects for prevention, education, and treatment regarding drug and alcohol abuse relating to pregnant and postpartum women and their infants. Authorizes the Secretary, through the Directors of the National Institute on Drug Abuse and the National Institute on Alcohol Abuse and Alcoholism, to make grants to health research facilities for such research, giving priority to projects researching widely available drugs about which exist insufficient information, including cocaine and crack. Authorizes the Secretary, through the Director of the Office of Substance Abuse Prevention, to make grants to medical facilities for such demonstration projects, giving priority to projects for low-income women and their infants and projects designed to develop innovative approaches. Requires grants to be distributed among projects that provide inpatient, outpatient, and residential treatment. Sets forth reporting requirements. Authorizes appropriations for FY 1989 through 1991.
Bill· HRH.R. 4860 (100th)referred
United States · United States Congress · 20 June 1988
Mental Health and Aging Act of 1988 - Title I: Public Health Service Act Amendments - Amends the Public Health Service Act to authorize appropriations for FY 1989 through 1991 for alcohol and drug abuse and mental health services block grants to States. Requires that specified portions of grants for community mental health services be allotted for programs serving severely disturbed children and adolescents, and individuals at or over 65 years who are not in mental institutions. Directs States to implement programs for assuring the quality and effectiveness of such services. Sets forth a community mental health services consumer's bill of rights which includes provisions addressing the right to: (1) receive appropriate treatment in a safe and humane setting pursuant to an individualized, written, treatment plan; (2) exercise personal liberties; (3) make or participate in informed decisions regarding the course of treatment; (4) be notified regarding changes in treatment eligibility status and, upon discharge, referred as appropriate to other mental health service providers; and (5) be informed regarding charges and coverage for such services. Authorizes the Secretary of Health and Human Services to make grants to States, localities, and nonprofit private agencies for mental health services demonstration projects for the planning, coordination, and improvement of community services (including outreach and self-help services) for elderly individuals and for rural residents, and for the conduct of research concerning such services. Authorizes appropriations for such projects for FY 1989 and 1990. Reserves specified amounts of appropriations to the National Institute of Mental Health and to the National Institute on Aging for FY 1989 through 1991, which are in excess of FY 1988 appropriations, for programs of clinical training, research training, and career development regarding the mental health of the elderly. Amends the Older Americans Act of 1965 to authorize appropriations for FY 1989 through 1991 for the education and training of personnel concerned with the mental health of the elderly. Amends the Public Health Service Act to reserve specified amounts of appropriations to the National Institute of Mental Health and to the National Institute on Aging for FY 1989 through 1991, which are in excess of FY 1988 appropriations, for research on the mental health and psycho-social well-being of elderly individuals. Amends the Older Americans Act of 1965 to authorize appropriations for FY 1989 through 1991 for research, development, and demonstration projects regarding the mental health of elderly individuals. Directs the Secretary to establish a National Mental Health Education Program to encourage research, training, and education and collect and disseminate information regarding mental health problems. Authorizes appropriations for such Program for FY 1989 through 1991. Requires the Secretary to enter into a contract with the Institute of Medicine of the National Academy of Sciences for the conduct of a study to determine methods for measuring and assuring the quality and effectiveness of mental health services and alcohol and drug abuse treatment services. Requires that the Institute complete such study and report to the Congress. Authorizes appropriations for FY 1989. Directs the Secretary to provide for and report to the Congress by January 1, 1990, on additional studies: (1) comparing mental health services under Medicare (title XVIII of the Social Security Act) and non-Medicare prepaid health plans, and in settings other than prepaid health plans; (2) examining mechanisms for ensuring the quality of, and access to, mental health services delivered by State, local, and independent mental health facilities; (3) examining minority access to community mental health centers; (4) examining the adequacy and optimal utilization of mental health manpower; and (5) examining the adequacy of minority mental health manpower and training. Authorizes the Secretary to conduct demonstration projects to determine methods of increasing minority access to community mental health centers. Authorizes appropriations for such studies and projects. Title II: Medicare and Medicaid Program Changes - Amends part A (Hospital Insurance) of title XVIII (Medicare) of the Social Security Act to cover inpatient psychiatric hospital services furnished to an individual for up to 60 days in a calendar year, with extensions of such limit permissible upon a review and determination of the necessity of such services. (Currently, such coverage is provided for up to 190 days in an individual's lifetime.) Amends part B (Supplementary Medical Insurance) of the Medicare program to cover up to 20 physician visits per year to an outpatient suffering from mental disorders if the main purpose of such visits is to assess the individual's status and drug plan, and to perform necessary lab tests. Permits the extension of such limit upon a determination of the necessity of such visits. Covers, under the Medicare and Medicaid (title XIX of the Act) programs, outpatient mental health services furnished in a community mental health center or by a physician, clinical psychologist, clinical social worker, or psychiatric nurse specialist, provided such services would otherwise be covered if furnished by a physician. Provides Medicare coverage of in-home care for up to 120 hours per year for a chronically dependent individual. (Currently, up to 80 hours of such coverage is provided after an individual has incurred catastrophic expenses.) Amends the Medicaid program to define an institution for mental diseases as an institution that has more than 16 beds and: (1) is under the jurisdiction of the State mental health authority; (2) advertises itself as primarily specializing in treating individuals with mental disease; or (3) is made up, for the most part, of patients who do not have a physical condition which in itself requires the level of services provided in a skilled nursing facility. Amends the Medicare and Medicaid programs to require nursing facilities to provide access to medically necessary mental health services. Directs the Secretary to ensure the reasonableness of levels of reimbursement of nursing facilities under the Medicare and Medicaid programs for their provision of mental health services. Requires that Medicare payments for outpatient mental health services be made on an assignment-related basis. Requires Medicare carriers and fiscal intermediaries to provide for reviews to assure appropriate utilization of services covered by this Act. Prohibits charges for covered outpatient mental health services from increasing by more than the average percentage increase of the Consumer Price Index and the Medicare Economic Index. Directs the Secretary to develop a prospective payment system for Medicare outpatient mental health services and report to the Congress regarding such system by January 1, 1990. Amends part A (General Provisions) of title XI of the Act to impose additional conditions on mental health providers' participation in the Medicare and Medicaid programs. Includes among such conditions the requirements that each provider: (1) comply with the consumer bill of rights; (2) provide each consumer with written grievance procedures and written notice of the services to be provided; (3) have the capacity to identify potential clients, provide mental health services, and coordinate their services with those provided by others; and (4) engage in consumer needs assessment and care and discharge planning activities. Requires health maintenance organizations to ensure access to, and the quality of, the outpatient mental health services they provide. Requires peer review organization review of the mental health services for which payment is made under the Medicare or Medicaid program.
Bill· HRH.R. 4850 (100th)open
United States · United States Congress · 16 June 1988
AIDS Research Act of 1988 - Amends title IV (National Research Institutes) of the Public Health Service Act to direct the Secretary of Health and Human Services to expedite the award of grants, contracts, and cooperative agreements for research projects relating to acquired immune deficiency syndrome (AIDS). Provides for time limitations, with respect to applications submitted in response to a solicitation by the Secretary, for submission of and final action on applications. Allows the Secretary to adjust the limitations. Amends the Public Health Service Act to create a new title on research with respect to AIDS. Requires the Director of the Office of Personnel Management (OPM) or the Administrator of General Services to respond within 14 days to any request for the allocation of personnel or for administrative support to carry out activities with respect to AIDS made by the Administrator of the Alcohol, Drug Abuse, and Mental Health Administration (ADAMHA), the Director of the Centers for Disease Control (CDC), the Commissioner of Food and Drugs, or the Director of the National Institutes of Health (NIH). Requires such requestors to transmit a copy of each priority request to the Secretary and the Assistant Secretary for Health. Prohibits the Director of the OMB from taking any action to prevent requests. Authorizes specified minimum numbers of additional personnel for the CDC, the NIH, the Food and Drug Administration (FDA), the ADAMHA, the Health Resources and Services Administration (HRSA) and the Office of the Assistant Secretary for Health. Directs the Secretary, through the Director of the National Institute of Allergy and Infectious Disease (NIAID), to establish the AIDS Clinical Research Review Committee to: (1) advise the Director on research; (2) review research, issue reports, conduct studies, and convene meetings regarding clinical treatment; and (3) establish a telephone hotline to provide information to health professionals. Directs the Secretary, through the Directors of the National Cancer Institute (NCI) and the NIAID, to establish in each Institute a clinical evaluation unit. Authorizes appropriations. Directs the Secretary, through the Director of the NIAID, to establish a program for the evaluation of drugs which are not approved by the Commissioner for AIDS treatment and which are being used by individuals infected with the etiologic agent for AIDS. Authorizes the Secretary to make grants and enter into contracts and cooperative agreements for the purpose of conducting the drug evaluations. Authorizes appropriations. Directs the Secretary, through the Director of the NIH, to make grants to and enter into contracts with international organizations concerned with public health: (1) for international research on vaccines and treatment; and (2) to support projects for training individuals in skills and technical expertise and to support epidemiological research. Authorizes the provision of technical assistance for foreign governments. Requires support provided by the Secretary to be in furtherance of the World Health Organization's Special Programme on Acquired Immunodeficiency Syndrome. Authorizes appropriations for FY 1989 through 1991. Directs the Secretary, through the Director of the NIAID, to make grants for centers for basic and clinical research into, and training in, advanced diagnostic, prevention, and treatment methods for AIDS. Prohibits grants from being used to provide training for which National Research Service Awards may be provided. Authorizes appropriations. Directs the Secretary, acting through the National Library of Medicine, to establish the International Acquired Immune Deficiency Syndrome Research Data Bank to collect and disseminate information to the public, general practitioners, and investigators. Directs the Secretary to establish a schedule of charges for foreign users of the data bank. Authorizes appropriations. Directs the Secretary, through the Director of the CDC, to develop an epidemiological data base and provide for long-term studies. Authorizes grants, contracts, and cooperative agreements. Authorizes grants for long-term research into treatments for AIDS developed from knowledge of the genetic nature of the etiologic agent for AIDS. Authorizes appropriations. Directs the Secretary, through the Director of the CDC, to establish fellowships and training programs to develop epidemiology, counseling, laboratory analysis, and other skills relating to AIDS. Authorizes appropriations for FY 1988 through 1990. Directs the Secretary, acting through the Director of the NIAID, to develop and expand clinical trials of treatments and therapies for infection with the etiologic agent for AIDS, including for women, children, hemophiliacs, and minorities. Authorizes the Director to: (1) establish or support efforts using specialized biological materials; (2) support research and training outside the United States; (3) encourage and coordinate research by industrial concerns; (4) acquire and maintain real and personal property; (5) make grants for the construction or renovation of facilities; (6) acquire buildings in or around the District of Columbia; and (7) enter into contracts and cooperative agreements as necessary to expedite and coordinate research. Requires the Director of the NIH to establish projects to promote cooperation in research. Sets forth reporting requirements. Defines "acquired immune deficiency syndrome," for the purposes of the new title added by this Act, to include any condition arising from infection with the etiologic agent for such syndrome. Directs the Secretary, through the Director of the CDC, to conduct a study of AIDS mortality rates among various groups, among geographic areas, and among individuals with varying financial resources for the payment of health care services. Directs the Secretary, through the Director of NIAID, to conduct a study of the consensus among health care professionals on clinical treatment for preventing the development of symptoms arising from infection with the etiologic agent for AIDS. Directs the Secretary to request the National Academy of Sciences and other similar institutions to report regarding the establishment of consortia for research and development. Sets forth reporting requirements.
Bill· HRH.R. 4843 (100th)reported
United States · United States Congress · 16 June 1988
Abandoned Infants Assistance Act of 1988 - Title I: Foster Care and Residential Care of Infants and Young Children Abandoned in Hospitals - Authorizes the Secretary of Health and Human Services (the Secretary) to make grants to public and nonprofit private entities for demonstration projects to: (1) prevent the abandonment of infants and young children; (2) identify and address the needs of abandoned infants and young children, particularly those with acquired immune deficiency syndrome (AIDS); (3) assist them, particularly those with AIDS, to reside with their natural families or in foster families, as appropriate; (4) recruit, train, and retain foster families; (5) carry out residential care programs; (6) carry out respite care programs for families and foster families of infants and children with AIDS; and (7) recruit and train health and social services personnel to work with such families and residential programs. Sets forth grant agreement and application requirements. Provides for technical assistance for grantees and applicants. Directs the Secretary, directly or through contracts, to provide for evaluations of such projects and dissemination of information developed as a result of such projects. Directs the Secretary to conduct a study to determine an estimate of: (1) the number of infants and young children abandoned in hospitals in the United States and the number of such infants who have AIDS; and (2) the annual costs incurred by Federal, State, and local governments in providing housing and care for such infants and young children. Directs the Secretary, within 12 months after enactment of this Act, to complete such study and report the findings to the Congress. Directs the Secretary to conduct a study to determine the most effective methods for responding to the needs of abandoned infants and young children. Directs the Secretary, by April 1, 1991, to complete such study and report the findings to the Congress. Authorizes appropriations for FY 1989 through 1991 for grants under this title. Prohibits making any such grant after September 30, 1991. Title II: Medical Costs of Treatment with Respect to Acquired Immune Deficiency Syndrome - Directs the Secretary to conduct a study to determine: (1) cost-effective methods for providing assistance to individuals for the medical costs of treatment of conditions arising from infection with the etiologic agent for AIDS, including a determination of the feasibility of risk-pool health insurance for individuals at risk of such infection; (2) the extent to which Federal Medicaid payments under title XIX (Medicaid) of the Social Security Act are being expended for such medical costs; and (3) an estimate of the extent to which such Federal payments will be expended for such medical costs during the five-year period beginning on the date of enactment of this Act. Directs the Secretary, within 12 months after such enactment date, to complete the study of such cost-effective methods and report the findings to specified congressional committees. Title III: General Provisions - Sets forth definitions for purposes of this Act.
Bill· HRH.R. 4833 (100th)open
United States · United States Congress · 15 June 1988
Nursing Shortage Reduction and Education Extension Act of 1988 - Title I: Initiatives to Reduce Nursing Shortages - Amends title VIII (Nursing Education) of the Public Health Service Act to create a new part on initiatives to reduce nursing shortages. Authorizes the Secretary of Health and Human Services to make grants for demonstrating innovative hospital nursing practice models which include restructuring the role of the nurse, testing innovative wage structures, and evaluating the effectiveness of various benefits. Authorizes appropriations for FY 1989 through 1991. Directs the Secretary to provide, directly or through contracts, for evaluation of the models demonstrated and for dissemination of the information developed. Authorizes the Secretary to make grants to nurse training entities: (1) to demonstrate innovative nursing practice models for services in the home and long-term care facilities designed to increase recruitment and retention of nurses and improve nursing care; and (2) to develop projects to increase the exposure of nursing students to clinical practice in nursing home, home health, and gerontologic settings. Authorizes appropriations for FY 1989 through 1991. Authorizes the Secretary to make grants for the identification of specific community nursing needs and the development and establishment of programs of educational outreach and nurse recruitment. Authorizes appropriations for FY 1989 through 1991. Title II: Special Projects - Amends title VIII (Nurse Education) of the Public Health Service Act to replace provisions relating to nursing education opportunities for individuals from disadvantaged backgrounds with a new subpart on the same topic. Authorizes the Secretary to make grants and enter into contracts for special projects to increase nursing education opportunities for individuals from disadvantaged backgrounds. Prohibits the Secretary from approving or disapproving an application for a grant or contract until after consultation with the National Advisory Council on Nursing Training. Authorizes appropriations for FY 1989 through 1991. Removes provisions authorizing the Secretary to make grants and enter into contracts for special projects to: (1) provide retraining for nurses after periods of professional inactivity; (2) demonstrate clinical nurse education programs which combine educational curricula and clinical practice; and (3) demonstrate methods to encourage nursing graduates to practice in health manpower shortage areas. Replaces provisions authorizing grants and contracts for continuing education for nurses with provisions authorizing the Secretary to make grants and enter into contracts for special projects to demonstrate improved geriatric nursing training. Replaces provisions authorizing grants and contracts to increase the supply or improve the distribution of nurses with provisions authorizing the Secretary to make grants and enter into contracts for special projects to increase the supply of nurses, including bilingual nurses, to meet the needs of rural areas. Revises the description of nursing education special projects eligible for certain grants and contracts with regard to: (1) priorities in training and education to upgrade the skills of paraprofessional nursing personnel; (2) development of curricula for certain nursing baccalaureate and masters degree situations; (3) facilitation of the completion of advanced nurse education programs by certain specialists; and (4) provision of nursing education courses to rural areas through telecommunications via satellite. Authorizes the Secretary to make grants and enter into contracts for special projects to collect the names and addresses of health facilities and nursing students and nurses willing to enter into agreements under which the facilities would repay at least 25 percent of the educational loans for each year of nursing service of the individual in that facility. Authorizes the Secretary to make grants and enter into contracts for geriatric nursing training. Requires applications for grants and contracts to be subject to peer review. Prohibits the Secretary from approving or disapproving an application unless the Secretary has received recommendations from the peer review group and has consulted with the National Advisory Council on Nurse Training. Authorizes appropriations for grants and contracts for special projects in nurse education and for advanced nurse education for FY 1989 through 1991. Revises the guidelines for programs for the education of nurse practitioners and nurse midwives to require that they have not less than six full-time equivalent students. (Current law requires that they have eight students.) Allows service commitments by nurse practitioner or nurse midwife traineeship recipients to include service in an Indian Health Service health center, a Native Hawaiian health center, a migrant health center, or a community health center in addition to the currently-allowed service in a health manpower shortage area or a public health care facility. Authorizes appropriations for certain nurse practitioner and nurse midwife programs for FY 1989 through 1991. Title III: Assistance to Nursing Students - Authorizes the Secretary to make grants for traineeships for students enrolled at least half-time in nursing masters degree programs who agree to complete the degree requirements by the end of the academic year in which the student is to receive the traineeship. Authorizes appropriations for traineeships for advanced education of professional nurses for FY 1989 through 1991. Authorizes the Secretary to make grants for traineeships for licensed registered nurses to become nurse anesthetists and for projects to develop and operate programs for the education of nurse anesthetists. Authorizes appropriations for traineeships for nurse anesthetists for FY 1989 through 1991. Includes, as qualifying for loan repayment under specified provisions, nursing service in an Indian Health Service health center, a Native Hawaiian health center, a public hospital, a migrant health center, a community health center, a nonprofit nursing facility, or a health facility determined by the Secretary to have a critical shortage of nurses. Sets forth financial need and geographic priorities in entering into loan repayment agreements. Authorizes appropriations for FY 1989 through 1991. Amends title VIII (Nurse Education) of the Public Health Service Act to create a new subpart on scholarships. Authorizes the Secretary to make grants for scholarships for nursing students in financial need. Requires applicant schools to agree to: (1) give priority in providing scholarships to individuals from disadvantaged backgrounds; and (2) require student recipients of the scholarships to agree to serve as nurses at least two years in specified types of facilities. Authorizes appropriations for FY 1989 through 1991. Title IV: General Provisions of Title VIII - Changes the composition of the National Advisory Council on Nurse Training to increase the number of members and require representation by practicing professional nurses and from associate degree schools of nursing. Amends title VIII (Nurse Education) of the Public Health Service Act to direct the Secretary of Health and Human Services to provide, directly or through contract, for evaluations of projects carried out under this title and for dissemination of information developed as a result of the projects. Sets forth reporting requirements. Title V: Effective Date - Sets forth the effective dates of this Act.
Bill· HRH.R. 4810 (100th)referred
United States · United States Congress · 14 June 1988
Amends the Public Health Service Act to direct the Secretary of Health and Human Services to issue regulations requiring that: (1) any individual convicted under State law of a crime relating to sexual misconduct, including sexual assault and prostitution, be tested for infection with the etiologic agent for acquired immune deficiency syndrome (AIDS); and (2) the results of the test be disclosed to that individual, the victim of the crime, and any individual determined to have been exposed by the convicted individual to the etiologic agent.
Bill· HRH.R. 4757 (100th)open
United States · United States Congress · 8 June 1988
AIDS Counseling and Testing Act of 1988 - Amends the Public Health Service Act to create a new title on counseling and testing with respect to acquired immune deficiency syndrome (AIDS). Directs the Secretary of Health and Human Services to make a grant allotment for each State for each of FY 1989 through 1991. Authorizes the Secretary to make grants to entities which are grantees under other specified provisions, have received appropriated funds as alternate blood testing sites, or are nonprofit hospitals. Requires the allotments and grants to be used only for counseling individuals with respect to AIDS and testing individuals for infection with the etiologic agent for AIDS. Directs the Secretary, in making the grants, to give preference to applicants in geographic areas where the incidence of AIDS constitutes a significant percentage of the total population. Prohibits the Secretary from making an allotment or grant unless the applicant agrees to ensure, in accordance with Federal law and with State and local law not superseded by Federal law, the confidentiality of information and records with respect to individuals counseled or tested. Requires a written, signed statement of informed consent by the individual to be tested, with special provisions relating to testing through the use of a pseudonym and anonymous testing. Requires grantees to provide counseling which includes coverage of specified points before testing, after a negative test result, and after a positive test result. Requires grantees, where appropriate, to provide opportunities for women, children, and hemophiliacs to undergo counseling under conditions appropriate to their needs. Allows grantees to use the grant to provide counseling without testing. Requires applicants which regularly provide treatment for sexually transmitted diseases or for intravenous substance abuse and applicants which are family planning clinics or tuberculosis clinics to routinely test for infection with the etiologic agent for AIDS. Prohibits the Secretary from making a grant to a State unless the State requires testing of each individual who is convicted of prostitution, a crime relating to sexual assault, or a crime relating to intravenous drug abuse. Requires the State to notify the individual before the test is performed. Prohibits the Secretary from making a grant to a State unless the State requires that: (1) any entity carrying out testing confidentially report to the State public health officer information sufficient to perform statistical and epidemiological analyses of the incidence and demographic characteristics of cases of infection; and (2) the State public health officer, to the extent appropriate in the determination of the officer, carry out a program of contact tracing. Requires State grantees to establish a civil cause of action and a criminal penalty for knowing actions by an infected individual which exposes another individual to the etiologic agent through: (1) donation of blood, semen, breast milk, or an organ; (2) sexual activity; and (3) any behavior with intent to expose another individual. Provides for an exception where the person exposed gives prior consent to being exposed. Allows the Secretary to make a grant to a State for each of the FY 1989 and 1990 if the State provides assurances that it will establish the civil and criminal actions not later than October 1, 1990. Allows the State chief executive officer to certify, in lieu of enactment of any statute or issuance of any regulation, that the law of the State is in substantial compliance. Requires States, to the extent permitted under State law, to offer substantial opportunities for an individual to undergo counseling and testing anonymously and through the use of a pseudonym. Prohibits requiring testing as a condition of receiving other health services, unless the testing is medically indicated in the health services being sought. Requires that grantees who provided counseling and testing before receipt of these grants use the grants to increase the availability of counseling and testing. Provides for administration of the grant, including prohibiting: (1) imposing a charge on any individual seeking counseling or testing who is unable to pay the charge; and (2) expending more than ten percent of the grant for administration. Sets forth a formula for determination of the amount of allotments for States. Authorizes the Secretary, on request of a grantee, to provide supplies, equipment, services, and detailed personnel in lieu of grant funds. Defines routine testing in terms of: (1) offering and encouraging testing; and (2) conducting testing only with consent. Authorizes appropriations for FY 1989 through 1991, with 50 percent of any appropriations going to allotments and 50 percent going to grants. Requires all individuals receiving counseling under these provisions to be counseled about the harmful effects of promiscuous sexual activity and intravenous substance abuse and the benefits of abstaining from such activities. Prohibits funds from being used to provide counseling that promotes or encourages, directly, homosexual or unsafe heterosexual sexual activity or intravenous substance abuse, but declares that this may not be construed to prohibit a counselor from providing the most current scientific knowledge to reduce the individual's risk of exposure to, or the transmission of, the etiologic agent, provided any informational materials used are not obscene. Creates another new part in the new subtitle established by this Act concerning confidentiality with respect to counseling and testing. Prohibits a described person, without regard to whether the described person receives Federal financial assistance, from disclosing identifying information with respect to a protected individual or a contact of such individual. Includes among the described persons anyone who obtains identifying information: (1) directly or indirectly in connection with counseling or testing with regard to AIDS, providing health care to the protected individual, or carrying out a disclosure authorized by this Act or ordered by a court under this Act; or (2) by directly perceiving any record developed in such counseling, testing, health care, or disclosure. Authorizes consensual disclosure of identifying information through a specified procedure, including consent by a guardian of a legally incompetent person and consent, after the death of the protected individual, by the claimant of life insurance proceeds, for disclosure to the insurance company. Provides for nonconsensual disclosure: (1) to a health care provider in connection with counseling or testing, to the protected individual, or to the guardian of an incompetent individual; (2) to a health care provider who is likely to be occupationally exposed to the etiologic agent; (3) to a State public health officer if required by State law; (4) in connection with donation of blood, semen, breast milk, or an organ; (5) to a person preparing the body of a protected individual for burial; (6) intraorganizationally as necessary; (7) from a person receiving disclosure to any person authorized in these provisions for authorized purposes; and (8) in connection with certain sales, transfers, mergers, or consolidations of organizations. Authorizes a court of competent jurisdiction, with respect to the protected individual or contact involved, to: (1) order disclosure of identifying information to a State health officer in order to prevent a clear and imminent danger of transmission, by the individual or contact, of the etiologic agent; and (2) authorize the officer to disclose identifying information to the extent reasonably necessary to prevent such danger. Sets forth procedures, including in camera hearings, use of pseudonyms, and sealing of records. Authorizes physicians and counselors to make nonconsensual disclosures to spouses, sexual contacts, and people with whom the protected individual has shared a hypodermic needle, in certain circumstances. Requires, subject to exception, that: (1) disclosures be accompanied by a written declaration that redisclosure may be prohibited by law; and (2) in certain circumstances, the protected individual be notified in writing of the disclosure. Provides for civil money penalties and civil causes of action for intentional or negligent violation of disclosure provisions of this part. Authorizes injunctive relief initiated by the Secretary and a civil cause of action by any aggrieved individual. Provides for in camera proceedings, use of pseudonyms, and sealing of records. Provides for criminal penalties for intentional violation of disclosure provisions. Provides for termination of grants from and contracts with any Federal agency and suspension or debarment of any Federal grantee or contractor for violation of certain disclosure provisions of this part. Declares that the imposition of a penalty or the receipt of relief under specified provisions of this part does not preclude other penalties or relief under Federal law. Declares that this part supersedes any State law that provides penalties or causes of action for failure to make disclosures not authorized by this part or for making disclosures authorized by this part. Directs the Secretary to issue guidelines describing circumstances under which an individual infected with the etiologic agent can expose other individuals to the agent.
Bill· SS. 2477 (100th)open
United States · United States Congress · 7 June 1988
Medical Testing Improvement Act of 1988 - Amends title III (General Powers and Duties) of the Public Health Service Act to require an annual inspection of laboratories to insure compliance with standards issued by the Secretary of Health and Human Services. Requires laboratories to qualify under an annual or more frequent proficiency testing program established by the Secretary, including testing for each category of tests which the laboratory is authorized to perform under its license. Directs the Secretary to carry out a system of testing the proficiency of a laboratory and its employees with regard to gynecological smears. Sets forth recordkeeping and reporting requirements. Directs the Secretary to make the results of the proficiency testing and the information reported under these provisions available under specified Federal law relating to public information. Requires the Secretary to maintain a technical and staff capacity to provide training and technical assistance to laboratories requesting such service and to laboratories which do not qualify under the proficiency testing program. Allows the proficiency testing to be performed by a private entity only if the entity meets standards established by the Centers for Disease Control. Requires the Secretary to maintain the capacity to conduct the testing. Requires laboratories to provide for direct billing of patients. Makes laboratory licenses issued by the Secretary valid for one year instead of three years. Removes the cap on the fee for issuance or renewal of licenses. Removes provisions exempting from statutes regulating laboratories those laboratories operated by physicians, osteopaths, dentists, or podiatrists solely as an adjunct to the treatment of their own patients. Directs the Secretary to make grants to a State which enacts laws providing for standards equal to or more stringent than under the provisions amended by this Act to assist the State in implementing the laws.
Bill· SS. 2473 (100th)open
United States · United States Congress · 7 June 1988
Quality in Medical Testing Act of 1988 - Amends the Public Health Service Act to create a new subpart on licensing of clinical laboratories. Directs the Secretary of Health and Human Services to establish a classification system for the regulation of all clinical laboratories based on the complexity of the testing methodology used. Directs the Secretary to establish, for each class of laboratories, separate standards designed to assure consistent performance of accurate and reliable laboratory procedures and services. Prohibits the solicitation or acceptance of any specimen for laboratory procedures without a license issued by the Secretary. Makes licenses valid for not more than two years from issuance. Allows revocation, suspension, or limitation of a license, after notice and an opportunity for hearing, for specified reasons. Directs the Secretary to promulgate regulations regarding establishment by laboratories of a direct billing system. Authorizes the Secretary to exempt a laboratory from licensing requirements if it is inspected and accredited by an accrediting body approved by the Secretary, except that any such laboratory must be treated as a licensed laboratory for all other purposes of this Act. Requires accrediting bodies to apply standards equal to or more stringent than those that would be applied by the Secretary. Allows a State to serve as an accrediting body. Allows all accrediting bodies approved by statute or by the Secretary prior to enactment of this Act to retain approved status subject to a determination by the Secretary that the body is not applying the proper standards. Directs the Secretary to make such a determination not later than 18 months after enactment of this Act. Sets forth steps a laboratory must take in order to retain its status as exempt from licensing requirements. Allows the Secretary to withdraw a licensing exemption if the laboratory has performance deficiencies. Directs the Secretary to evaluate annually the performance of each approved accrediting body and withdraw approved status in certain circumstances. Directs the Secretary to establish a uniform national proficiency testing system, including specified elements. Directs the Secretary to grant approved status to a private or State proficiency testing program if it meets the proficiency requirements, and withdraw approved status if it no longer meets the requirements. Requires, on failure to meet the proficiency testing requirements, the immediate suspension or limitation of a facility's license pending hearings and final appeal. Provides for reinstatement of a license. Requires license revocation for at least one year for sending proficiency testing samples to another laboratory, unless inadvertent or unauthorized by management. Directs the Secretary to develop methods to improve the utility of proficiency testing. Directs the Secretary to make the results of the proficiency testing available under specified Federal law relating to public information. Directs the Secretary to establish: (1) national standards for quality assurance in cytology services designed to assure consistent performance by laboratories of accurate and reliable cytological services; and (2) an external proficiency evaluation system for cytological services. Provides for inspections of laboratories. Requires a preliminary report summarizing violations before leaving the premises and a final report not later than 30 days after the inspection. Sets forth other reporting requirements. Sets forth enforcement processes, including providing for temporary injunctions and restraining orders and for judicial review of revocations or suspensions. Provides for criminal fines and imprisonment for violations and false statements. Directs the Secretary to establish a system of intermediate sanctions applicable to laboratories that do not substantially comply with applicable standards, with appeals procedures and guidelines that assure completion of hearings and appeals within 90 days of notice of violation. Authorizes the sanctions to include plans of correction, civil fines and penalties, compelling payment of the costs of onsite monitoring, and suspension of certain Federal payments and Federal financial assistance to the laboratory. Prohibits a laboratory which is required to have a license and does not from receiving Federal funds. Sets forth requirements regarding studies and reports. Authorizes appropriations for such studies and reports. Authorizes the Secretary to use and pay for the services or facilities of any Federal, State, or local agency or organization in carrying out this Act. Authorizes the Secretary to exempt from compliance with this Act clinical laboratories licensed in a State whose laws, rules, and regulations are equal to or more stringent than those in this Act. Provides for withdrawal of the exemption. Authorizes appropriations for each fiscal year to carry out this Act. Amends title XVIII (Medicare) of the Social Security Act to prohibit any laboratory which is independent of a rural health clinic or hospital from being included in the term "medical and other health services" for the purposes of that title unless they are licensed under this Act. (Current law also prohibits laboratories which are independent of a physician's office from being so included.) Requires hospitals to be licensed under this Act in order to run their laboratories under Medicare. Prohibits hospitals from being deemed to have met laboratory licensing requirements by virtue of having been accredited as a hospital by the Joint Commission on the Accreditation of Hospitals. Amends title XVIII (Medicare) and XIX (Medicaid) of the Social Security Act to require that laboratories that are a part of a skilled nursing facility be licensed under this Act. Requires that a rural health clinic be licensed under this Act with respect to any laboratory that provides routine diagnostic services. Declares that nothing in this Act relating to amendments to titles XVIII and XIX of the Social Security Act shall be construed to override any regulation of the Secretary relating to the certification of clinical laboratories to the extent the regulation is not inconsistent with the requirements added by this Act.
Bill· HRH.R. 4752 (100th)referred
United States · United States Congress · 7 June 1988
Nursing Education and Incentives Act of 1988 - Title I: Special Projects - Amends title VIII (Nurse Education) of the Public Health Service Act to authorize appropriations for FY 1989 through 1991 for special project grants and contracts under specified provisions, setting forth certain priorities. Authorizes appropriations for FY 1989 through 1991 for not less than eight innovative demonstration projects each fiscal year to upgrade nursing skills, with projects distributed geographically proportionate to the need. Authorizes the Secretary of Health and Human Services to make grants to and enter into contracts with schools of nursing for projects relating to geriatrics. Requires peer review of applications. Prohibits approval or disapproval of an application unless the Secretary has received peer review recommendations and has consulted with the National Advisory Council on Nurse Training. Authorizes appropriations for FY 1989 through 1991. Title II: Assistance to Nursing Students - Directs the Secretary to make grants to schools of nursing for traineeships for students in the final academic year of nursing master's degree programs, giving priority to programs involving nurse practitioners, clinical specialists, nurse midwives, and specialties requiring advanced education. Authorizes appropriations for these and other nursing traineeships for FY 1989 through 1991. Includes, as qualifying for loan repayment under specified provisions, nursing service in an Indian Health Service health center, a Native Hawaiian health center, certain hospitals, a migrant health center, a community health center, a nursing facility, or other health facilities as the Secretary determines. Authorizes appropriations for loan repayments for FY 1989 through 1991. Title III: General Provisions of Title VIII - Amends title VIII (Nurse Education) of the Public Health Service Act to direct the Secretary to provide for evaluations of projects carried out under title VIII and for the dissemination of information developed as a result of the projects. Sets forth reporting requirements. Title IV: Effective Date - Sets forth the effective date of this Act.
Bill· SS. 2468 (100th)open
United States · United States Congress · 6 June 1988
Title I: Real Property - Amends the Federal Food, Drug, and Cosmetic Act (FDCA) to grant the Secretary of Health and Human Services (HHS) specified powers in connection with real property, buildings, and facilities (such as acquiring and disposing of property, leasing buildings, and accepting gifts) to facilitate the transaction of the business of the Food and Drug Administration (FDA). Title II: Senior Biomedical Scientific Service - Amends the Public Health Service Act to authorize the establishment of a Senior Biomedical Scientific Service, outside the competitive civil service, whose members may be appointed based solely on distinction and achievement in the fields of biomedical research or clinical research evaluation. Title III: Increased FTE Authority for Staff - Authorizes the Secretary of Health and Human Services to appoint and fix the compensation of not more than 350 additional employees for the FDA beyond the number assigned as of July 1, 1987. Title IV: Small Business Training and Technical Assistance - Amends the Medical Device Amendments of 1976 to authorize appropriations for FY 1989 through 1991 to the office within the Department of HHS which provides technical and other nonfinancial assistance to small manufacturers of medical devices to assist them in complying with the FDCA. Title V: Biotechnology - Directs the Secretary to establish a demonstration project allowing the use of the facilities of any public or private cooperative to perform activities authorized under the FDCA. Authorizes appropriations for FY 1989 through 1991. Title VI: Negligible Risk - Specifies that no food additive shall be deemed to be safe if as a whole (current law does not require that food or color additives, or animal drugs, be considered as a whole) it is found to induce cancer when ingested by man or animal or, after tests that are appropriate for the evaluation of the safety of food additives, to induce cancer in man or animal. (Current law contains an exception with respect to the use of a substance as an ingredient of food for animals raised for food production under certain conditions.) Waives the provision if the Secretary, on the basis of a petition containing scientifically adequate evidence with respect to the additive's mechanism of action, the manner in which it is metabolized, or other adequate evidence (including the use of risk assessment procedures, when appropriate), determines that the risk of cancer to humans from exposure under the intended conditions of use is negligible. Directs the Secretary to issue an order refusing an application for a drug which as a whole is found to induce cancer when ingested by man or animal or, after tests that are appropriate for the evaluation of the safety of animal drugs, to induce cancer in man or animal, unless the Secretary (applying the same criteria) determines that the risk of cancer to humans from exposure under the intended conditions of use in negligible. Specifies that a color additive shall be deemed unsafe, and shall not be listed, for use which: (1) will or may result in ingestion of all or part of such additive if the additive as a whole is found to induce cancer when ingested by man or animal or, after tests that are appropriate for the evaluation of the safety of color additives, is found to induce cancer in man or animal; or (2) will not result in ingestion of any part of such additive if, after the appropriate safety tests, or after other relevant exposure of man or animal to such additive, the additive as a whole is found to induce cancer in man or animal. Makes an exception where the Secretary (applying the same criteria) determines that the risk of cancer to humans from exposure under the intended conditions of use is negligible. Title VII: Uniformity in Regulation - Expresses the intent of the Congress to require national uniformity in all aspects of the regulation of food for human use, drugs, devices, and cosmetics in order to: (1) prevent interference with the objectives and purposes of Federal regulations; (2) assure the primary jurisdiction of the FDA in protecting the public health; and (3) permit national marketing of such articles without jurisdictional barriers. Prohibits any State or political subdivision from establishing or continuing in effect any requirement relating to the regulation of a food for human use, drug, device, or cosmetic unless such a requirement is also established pursuant to a statute for which responsibility for administration or implementation has been delegated by law or by the Secretary to the Commisssioner of Food and Drugs, and the State or local requirement is identical to the Federal requirement. Grants any State or political subdivision concurrent jurisdiction with the Secretary over the regulations of such items. Allows the Secretary, by regulation, after notice and opportunity for written and oral presentation of views, to exempt a proposed requirement relating to the regulation of such items if such requirement: (1) is justified by compelling and unique local conditions; or (2) protects an important and otherwise unprotected public interest, if certain conditions are met. Authorizes petitions to the Secretary for the adoption, by regulation, of an existing or proposed State or local requirement as a Federal requirement. Title VIII: Regulatory Review Medicine Training Grants - Authorizes grants to public or nonprofit academic institutions, including schools of medicine, dentistry, and pharmacy, to enable such institutions to develop core curriculum programs to train individuals in the field of regulatory review medicine. Requires obligated service of grantees as FDA employees. Authorizes appropriations for FY 1989 through 1991 for such grants. Directs the Secretary to establish a Science Training Grant Loan Repayment Program to assure an adequate supply of trained physicians, dentists, and pharmacists, veterinarians, and other health professionals. Gives priority to applications made by individuals: (1) whose training is in regulatory review medicine and in a health profession or specialty determined by the Secretary to be needed; and (2) who are committed to service with the FDA. Sets forth loan repayment terms and conditions. Directs the Secretary to submit to the Congress an annual report specifying: (1) the number and type of health profession training of individuals receiving loan payments under the Program; (2) the educational institution at which such individuals are receiving their training; (3) the number of applications filed; and (4) the amount of loan payments. Requires each individual who has entered into a written contract with the Secretary to provide service as a full-time employee of the FDA for the period of obligated service provided in such contract. Sets forth procedures for determining if the individual shall provide such service as a member of the Commissioned Corps of the PHS or as a civilian employee of the United States. Directs the Secretary, by regulation, to establish penalties applicable to an individual breaching the contract by failing to begin or complete the service obligation. Authorizes the Secretary to pay an individual who has entered into such an agreement an amount to cover all or part of the individual's expenses reasonably incurred in transporting himself, his family, and his possessions to the location of his duty station. Authorizes appropriations for FY 1989 through 1991. Title IX: Scientific Review Groups - Authorizes the Commissioner of Food and Drugs to establish such technical and scientific review groups as necessary to carry out the functions of the FDA, including functions under the FDCA.
Bill· SS. 2466 (100th)open
United States · United States Congress · 6 June 1988
Authorizes the Secretary of Health and Human Services to make grants to States to assist in providing to the public information on the diagnosis, prevention, and control of Lyme disease. Authorizes appropriations for FY 1989 and 1990.
Bill· HRH.R. 4714 (100th)open
United States · United States Congress · 26 May 1988
Animal Drug Amendments and Patent Term Restoration Act of 1988 - Title I: New Animal Drug Amendments - 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 filed for a new drug whose route of administration, dosage form, or strength differs 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. 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. Restricts the dispensing of a toxic or harmful drug intended for animal use to those with a lawful written or oral order of a licensed veterinarian. Deems drugs otherwise dispensed to be misbranded. Title II: Patent Extension - 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. 4669 (100th)referred
United States · United States Congress · 24 May 1988
Veterans' Administration Health Care Amendments Act of 1988 - Repeals current Federal veterans' law which: (1) prohibits the Administrator of Veterans Affairs from furnishing treatment and rehabilitation for alcohol or drug dependence or abuse disabilities of veterans after September 30, 1988; and (2) directs the Administrator to monitor the performance of each contract facility performing the above care and services for veterans for quality assurance and cost-effectiveness purposes. Extends through FY 1991 the Veterans Administration's (VA) authority to provide respite care services. Provides that the VA has the authority to pay for emergency medical services for veterans participating in a vocational rehabilitation program when the veteran cannot reasonably obtain medical care through VA or other Government facilities. Extends through FY 1994 the authority of the President to authorize the Administrator to contract with the Veterans Memorial Medical Center (VMMC) in the Republic of the Philippines to provide for payments for care in the VMMC for eligible U.S. veterans. Extends through FY 1994 the authority of the Administrator to make grants of up to $500,000 annually to the VMMC for education and training of health service personnel, and for equipment upgrading and replacement. Increases the per diem rates to be paid to States for the care of veterans in State homes. Deletes the specific listing of professions eligible for the VA Health Professional Scholarship program, instead making eligible for such program any person engaged in a field of training or study in direct health-care services. Defines the period of obligated service for those newly-included participants in the above scholarship program as starting after these participants have obtained the necessary licensure or credentials for VA employment. Prohibits any period of internship, residency, or advanced clinical training as being counted towards the newly-included participant's period of obligated service. Makes applicable to the newly-included occupations in the VA Health Professional Scholarship program the same requirements for the deferral of obligated service as those which apply to occupations specified currently under the program. Authorizes the Administrator to establish a tuition reimbursement program for VA nurses pursuing professional courses leading to a bachelor's or an advanced degree in nursing. Authorizes the Administrator to issue regulations implementing such program. Sets forth the eligibility standards that applicants must meet in order to participate in such program. Provides conditions that a participant must meet in order to be entitled to reimbursement (i.e., remain employed with the VA while in the program, successfully completing the course, and agreeing to the required period of obligated service). Outlines consequences for participants who fail either to complete the courses successfully or to maintain employment with the VA for the required period of obligated service. Empowers the VA to recover any reimbursements paid when the participant breaches the duty to perform the obligated service. Authorizes the Chief Medical Director of the VA to grant waivers of either the VA's right of recovery or the participant's obligation to perform service with the VA when the participant cannot comply due to circumstances beyond the participant's control, or whenever waiver would be in the best interest of the VA. Extends through FY 1992 the program for grants to States for the construction and acquisition of State home facilities for furnishing domiciliary and nursing home care, and for the expansion, remodeling, and alteration of State home facilities used for furnishing hospital, domiciliary, and nursing home care. Extends through FY 1991 the date by which the VA must report to the Congress on its evaluation of the respite care program previously authorized under Federal law.
Bill· HRH.R. 4640 (100th)open
United States · United States Congress · 19 May 1988
Medical Device Improvements Act of 1988 - Amends the Federal Food, Drug, and Cosmetic Act (FDCA) to require any hospital, ambulatory surgical facility, or nursing home which receives or otherwise becomes aware of information that reasonably suggests that a medical device may have caused or contributed to the death of, a life-threatening illness of, or a life-threatening injury to, a patient to promptly report the information to the Secretary of Health and Human Services (HHS) and, if the identity of the manufacturer is known, to the manufacturer of the device. Requires each facility to report to the manufacturer of a device (or to the Secretary, if the identity of the manufacturer is unknown) whenever it becomes aware of information that suggests a device has malfunctioned and would likely cause death, serious illness, or injury to a patient. Requires facilities to submit to the Secretary quarterly summaries of the reports made to manufacturers regarding device malfunctions. Treats facilities as having received or otherwise become aware of information with respect to a medical device when an employee becomes aware of such information in the course of duties. Limits disclosure of the identity of a facility making a report, the device which was the subject of a report, or the device manufacturer. Shields any individuals and entities from liability in private civil actions with respect to the content of reports, unless the individual or entity had knowledge of the falsity of the information. Prohibits a report, or the fact that such a report has been made, from being admitted into evidence or otherwise used in an action other than one brought to enforce the FDCA. Prohibits facilities from taking any adverse personnel action against an employee or practitioner for making a report. Imposes civil penalties on facilities failing to make required reports. Directs the Secretary to conduct a study of compliance with the provisions of this Act and report the results to the Congress. Provides that the penalty provisions of this Act may not apply to certain facilities, depending on whether or not there has been substantial compliance with this Act. Directs the Secretary to conduct education and information programs for a one-year period for facilities and manufacturers of devices regarding the requirements of this Act. Directs the Comptroller General to: (1) conduct a study three years after enactment of this Act of compliance by facilities and of actions taken by manufacturers in response to reports made under this Act; and (2) submit a report to specified congressional committees. Directs the Secretary to amend certain regulations to require distributors of medical devices to establish and maintain records and make reports under the FDCA. Requires reporting distributors to submit copies to device manufacturers. Authorizes the Secretary to waive certain requirements in applications for premarket approval of class III devices in certain circumstances. Directs the Secretary: (1) upon determining that a requirement has been met for a device, to make that determination for all devices of the same type in the absence of good cause that such determination should not be made; and (2) to include in the consumer safety and effectiveness information a statement describing the basis upon which the determination was made. Defines "substantial equivalence" for purposes of classifying devices, as requiring: (1) the same intended use and the same technological characteristics; or (2) the same intended use but different technological characteristics and evidence demonstrating the device is as safe and effective as comparable devices currently sold in interstate commerce. Provides that technological characteristics shall be considered different from those of another device if there is a significant change in materials, design, energy source, or other features. Directs the Secretary to promulgate regulations requiring device manufacturers to prepare detailed safety and effectiveness information on a device for which the Secretary required clinical data in making the determination that the device is substantially equivalent to another device. Requires that such summaries include information on any adverse health effects of the device. Requires certain certifications by a manufacturer who reports to the Secretary that a device is not a class III device because it is substantially equivalent to another device meeting certain criteria. Directs the Secretary, within five years, to: (1) require manufacturers of devices which are subject to revision of classification to submit a description of and citation to any known adverse safety or effectiveness information respecting the devices which has not previously been submitted; and (2) require manufacturers to submit adverse safety and effectiveness data. Requires the Secretary to publish a notice for each class III device which was commercially distributed before the date of the enactment of this Act, and for which no final regulation has been promulgated, revising the classification into class I unless the notice requires the device to remain in class III or revises the classification so that it is classified into class II. Sets forth criteria for the Secretary to apply in determining whether to revise the classification of a device or to require a device to remain in class III. Sets forth publication, notice, comment, and petition provisions regarding classification revisions by the Secretary. Provides for judicial review of classifications. 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. Revises the standard for classification of class III devices (devices requiring premarket approval) to provide that a device must be so classified if insufficient information exists to determine that class I or class II controls will assure safety and effectiveness. Revises the evidence required for reclassification of a class III device. Revises procedures for establishing performance standards for devices. Directs the Secretary to file a civil action upon determining that: (1) a device intended for human use presents an unreasonable risk of substantial harm to the public health; (2) there are reasonable grounds to believe that the risk was not caused by failure to exercise due care, and that the device was properly designed and manufactured with reference to the state of the art; (3) notification would not, by itself, be sufficient to eliminate such risk; and (4) the person responsible for the unreasonable risk has not submitted to the Secretary a satisfactory plan, or has made insufficient progress in carrying out a plan to eliminate the risk. Provides that no device shall be considered to present an unreasonable risk of substantial harm to the public health solely on the basis that it was designed and manufactured subsequent to the device and incorporated safer features. Directs that any order entered in a civil action requiring repair or replacement of a device or providing a refund shall be subject to a reasonable allowance for use unless the device was intended to be implanted into the human body. Permits an individual availing himself of a remedy under this Act to be charged a reasonable allowance for use. Specifies that for purposes of an order issued under this Act, "expenses actually incurred" does not include any expense covered under a health insurance policy or health benefit plan. Provides that field repairs or removals of devices (recalls) must be reported to the Secretary if they are taken to eliminate a risk to health or to remedy a violation of the FDCA. Provides that requirements applicable to manufacturers are extended to those who remanufacture medical devices. Excludes routine service from the definition of remanufacture. Requires the Secretary to plan education and training activities to minimize the exposure of people to health hazards associated with medical devices. Makes it discretionary rather than mandatory to refer petitions for classifying new devices in class I or class II to a panel. Revises other panel procedures. Removes the requirement that the Secretary afford all interested persons an informal hearing before a performance standard may be amended. Transfers provisions of the Public Health Service Act relating to electronic product radiation control to the FDCA. Provides that the regulation of medical devices used to deliver electro-convulsive therapy is not affected by this Act.
Bill· HRH.R. 4655 (100th)open
United States · United States Congress · 19 May 1988
Nursing Shortage Reduction and Education Extension Act of 1988 - Title I: Initiatives to Reduce Nursing Shortages - Amends title VIII (Nursing Education) of the Public Health Service Act to create a new part on initiatives to reduce nursing shortages. Authorizes the Secretary of Health and Human Services to make grants for demonstrating innovative hospital nursing practice models which include restructuring the role of the nurse, testing innovative wage structures, and evaluating the effectiveness of various benefits. Authorizes the Secretary to enter into contracts for evaluation of the models demonstrated and for dissemination of the information developed. Authorizes appropriations for FY 1989 through 1991. Authorizes the Secretary to make grants to nurse training entities: (1) to demonstrate innovative nursing practice models for services in the home and in long-term care facilities designed to increase recruitment and retention of nurses and improve nursing care; and (2) to develop projects to increase the exposure of nursing students to clinical practice in nursing home, home health, and gerontologic settings. Authorizes the Secretary to enter into contracts for evaluation of the projects developed and for dissemination of the information developed. Authorizes appropriations for FY 1989 through 1991. Authorizes the Secretary to make grants for the identification of specific community nursing needs and the development and establishment of programs of educational outreach and nurse recruitment. Authorizes appropriations for FY 1989 through 1991. Authorizes the Secretary to make grants to nurse training schools for scholarships for nursing students in need. Authorizes appropriations for FY 1989 through 1991. Title II: Special Projects - Revises the description of nursing education special projects eligible for certain grants and contracts with regard to: (1) inclusion of the promotion of occupational health care as a purpose; (2) the priorities in training and education to upgrade the skills of paraprofessional nursing personnel; (3) development of curricula for certain nursing baccalaureate situations; (4) facilitation of the completion of advanced nurse education programs by certain specialists; and (5) provision of nursing education courses to rural areas through telecommunications via satellite. Authorizes appropriations for FY 1989 through 1991. Authorizes appropriations for grants and contracts for advanced nurse education for FY 1989 through 1991. Revises the guidelines for programs for the education of nurse practitioners and nurse midwives to require that they have not less than six full-time equivalent students. (Current law requires that they have eight students.) Allows service commitments by nurse practitioner or nurse midwife traineeship recipients to include service in an Indian Health Service health center, a Native Hawaiian health center, a migrant health center, or a community health center in addition to the currently-allowed service in a health manpower shortage area or a public health care facility. Authorizes appropriations for certain nurse practitioner and nurse midwife programs for FY 1989 through 1991. Title III: Assistance to Nursing Students - Authorizes appropriations for traineeships for advanced education of professional nurses for FY 1989 through 1991. Authorizes appropriations for traineeships for nurse anesthetists for FY 1989 through 1991. Title IV: General Provisions of Title VIII - Changes the composition of the National Advisory Council on Nurse Training to increase the number of members and require representation by practicing professional nurses and from associate degree schools of nursing. Title V: Effective Date - Sets forth the effective dates of this Act.
Bill· HRH.R. 4648 (100th)referred
United States · United States Congress · 19 May 1988
Nursing Education Partnership Act - Amends title VIII (Nurse Education) of the Public Health Service Act to create a new subpart on nursing scholarships. Defines "eligible individual" in terms of academic performance and enrollment. Authorizes the Secretary of Health and Human Services to make grants and loans to eligible individuals for certain associate degree or bachelor degree nursing education programs. Prohibits individuals from receiving any other form of Federal student financial assistance under any Federal law while receiving assistance under this subpart. Provides for application and repayment. Directs the Secretary to allocate funds available for grants and loans under the title among institutions in order to provide funds for applications meeting the requirements of this Act. Requires the awards to be: (1) equal to the cost of attendance for those applicants demonstrating the greatest financial need, determined on the basis of expected family contributions; and (2) made in the order of that need. Requires the award to be composed of 25 percent grant and 75 percent loan. Sets forth criteria a higher education institution must meet in order to participate in this program, including establishing and operating a program which lets high school counselors, teachers, and students learn about nursing career opportunities and which targets low income students. Allows entities desiring to employ students who have obtained degrees with assistance under this part to enter into a sponsorship agreement with the Secretary, including: (1) an agreement that the health care provider will repay two-thirds of the loan; and (2) assurances that the provider has established a program to recruit junior or senior high school students to enter nursing careers. Authorizes appropriations for FY 1989 and each of the succeeding fiscal years.
Bill· HRH.R. 4631 (100th)referred
United States · United States Congress · 18 May 1988
Partnership for Long-Term Care Act of 1988 - Title I: Medicaid Program Improvements - Amends title XIX (Medicaid) of the Social Security Act to require States to cover long-term care for individuals with incomes below the Federal poverty level who are not otherwise eligible for Medicaid. Requires States to establish a subsidy program to assist individuals whose incomes are no less than the Federal poverty level and no more than twice such level in paying long-term care insurance premiums. Provides larger subsidies as individuals' incomes approach the Federal poverty level. Prohibits States from establishing a subsidy resource eligbility limit at less than twice the resource limit under title XVI (Supplemental Security Income) of the Act. Title II: Medicaid Amendments Relating to Treatment of Payments Under Qualified Long-Term Care Insurance Policies and Taking into Account Transfers of Assets - Subtracts long-term care insurance payments from an individual's assets in determining his or her Medicaid eligibility. Requires that States implement a delay in Medicaid eligibility against individuals who dispose of their assets at less than fair market value within two years of applying for Medicaid. Title III: Financing - Amends the Internal Revenue Code to eliminate the limit on the wages or self-employment income subject to the hospital insurance tax. Title IV: Tax Treatment of Long-Term Care Insurance - Requires that, for the purpose of determining the income tax liability of life insurance companies, qualified long-term care insurance be treated as accident or health insurance. Applies this provision to policies which provide coverage for at least 12 consecutive months of diagnostic, preventive, therapeutic, rehabilitative, maintenance, or personal care services provided in a setting other than the acute care unit of a hospital and for an individual's loss of functional capacity. Provides that for the purpose of determining whether a tax exclusion applies to employer contributions to or an employee's receipt of benefits from qualified long-term care insurance, such contributions and benefits shall be considered to be for coverage under an accident or health plan. Excludes from gross income amounts used to pay qualified long-term care expenses that are: (1) withdrawn from an individual retirement plan; (2) distributed from employees' trusts and annuities; and (3) received under an annuity, endowment, or life insurance contract. Treats an individual's qualified long-term care expenses as deductible medical care expenditures. Provides for the deduction of employer contributions to a reserve fund providing employees with post-retirement qualified long-term care benefits. Makes the exchange of a life insurance, endowment insurance, or annuity contract for a qualified long-term care insurance contract a nontaxable exchange. Permits the inclusion of qualified long-term care insurance in cafeteria plans. Excludes such insurance from a cafeteria plan participant's gross income.
Bill· SS. 2401 (100th)referred
United States · United States Congress · 16 May 1988
Amends the Internal Revenue Code, the Employee Retirement Income Security Act of 1974, and the Public Health Service Act to provide that a person's eligibility to receive benefits under mandated employee health benefit continuation coverage ceases as soon as that person becomes eligible for coverage under another group health plan, as an employee or otherwise.
Law· SS. 2385 (100th)enacted
United States · United States Congress · 13 May 1988
Family Health Services Amendments Act of 1988 - Title I: Primary Health Centers - Amends title III (General Powers and Duties of Public Health Service) of the Public Health Service Act to add patient case management services to the list of services provided by migrant health centers. Prohibits the Secretary of Health and Human Services from removing a project or program's high impact area designation without notice and an opportunity for the project or program to provide data and information. Adds to the list of services included in the term "supplemental health services" other services appropriate to meet the health needs of the service area population served by a migrant health center. Allows grants for migrant health centers under specified provisions to be used for expansion of existing buildings and construction of new facilities as well as for acquiring and modernizing existing buildings. Revises the limit on the amount of grants and allows, in certain circumstances, a center to retain all of specified types of excess income. Requires that the schedule of fees or payments used by migrant health centers receiving certain grants be consistent with locally prevailing rates or charges. Authorizes appropriations for grants for migrant health centers for FY 1989 through 1991. Directs the Secretary, if appropriations under such authorization exceed specified levels, to make grants to assist centers in providing services for the reduction of infant mortality and developing and coordinating referrals regarding the health management of infants and pregnant women. Directs the Secretary to prescribe procedures to assure that, except for cause and with notice and opportunity for a hearing: (1) no grant is terminated; and (2) no application for a grant from a program or project that received a grant in the prior year is denied. Amends the Public Health Service Act to: (1) add patient case management services to the list of services provided by community health centers; and (2) add to the list of services included in the term "supplemental health services" other services appropriate to meet the health needs of the service area population. Requires notice and an opportunity to comment before the Secretary may modify the criteria for determining the specific shortages of personal health services of an area or population group. Allows grants for community health centers under specified provisions to be used for expansion of existing buildings and construction of new facilities as well as for acquiring and modernizing existing buildings. Revises the limit on the amount of grants and allows, in certain circumstances, a center to retain all of specified types of excess income. Requires that the schedule of fees or payments used by community health centers receiving certain grants be consistent with locally prevailing rates or charges. Authorizes appropriations for FY 1989 through 1991 for such grants. Directs the Secretary, if appropriations under such authorization exceed specified levels, to make grants to assist centers in providing services for the reduction of infant mortality and developing and coordinating referrals regarding the health management of infants and pregnant women. Directs the Secretary to prescribe procedures to assure that, except for cause and with notice and opportunity for a hearing: (1) no grant is terminated; and (2) no application for a grant from a program or project that received a grant in the prior year is denied. Directs the Secretary, in making grants to community health centers, to give special consideration to the unique needs of frontier areas. Authorizes the Secretary to delegate the authority to administer migrant health center and community health center programs to any office within the Public Health Service, except that the authority to enter into, modify, or issue approvals with respect to grants or contracts may be delegated only within the central office of the Health Resources and Services Administration. Title II: Health Services for the Homeless - Amends the Public Health Service Act to limit Federal matching funds to 75 percent of service costs with regard to grants for health assistance for the homeless. (Current law provides for 75 percent Federal funding for the first fiscal year and 66 and two-thirds percent thereafter.) Authorizes the continued provision for up to 12 months of certain health (including mental health) services to former homeless persons currently living in permanent housing. Includes persons living in transitional housing within the definition of "homeless individual" for purposes of such grants. Authorizes appropriations for such grants for FY 1989 through 1991. Title III: Prevention and Control of Sexually Transmitted Diseases - Amends the Public Health Service Act to authorize appropriations for FY 1988 through 1990 for grants for the diagnosis, prevention, and control of sexually transmitted diseases and acquired immune deficiency syndrome (AIDS). Requires grants relating to sexually transmitted diseases to include grants for the prevention and control of, and for research and other activities relating to, chlamydia.
Bill· HRH.R. 4599 (100th)referred
United States · United States Congress · 12 May 1988
National Nurse Service Corps Act of 1988 - Amends subpart II (National Health Service Corps Program) of title III of the Public Health Service Act to direct the Secretary of Health and Human Services to make available at least 50 percent of the amount appropriated for scholarships and loan repayments under the subpart for individuals who are attending programs for the education of nurse practitioners and who agree to serve in a health manpower shortage area that has a shortage of nurse practitioners. Provides for the designation of any area, medical facility, or population group that has a shortage of nurse practitioners as a health manpower shortage area. Amends title VIII (Nurse Training) of the Public Health Service Act to authorize appropriations for student loan interest and principal payments for certain individuals who enter into agreements to serve as nurses in areas which have a shortage of nurses.
Bill· HRH.R. 4593 (100th)referred
United States · United States Congress · 12 May 1988
Amends the Internal Revenue Code to require that, for the purpose of determining the income tax liability of life insurance companies, qualified long-term care insurance be treated as accident or health insurance. Applies this provision to policies covering at least 12 consecutive months of necessary diagnostic, preventive, therapeutic, rehabilitative, or personal care services that are provided in a setting other than an acute care unit of a hospital. Describes the tax reserve method to be used to compute reserves in connection with qualified long-term health care insurance contracts. Treats qualified long-term care insurance as accident or health insurance and its benefits as benefits for personal injuries or sickness for purposes of determining appropriate tax exclusions for employer contributions or employee benefits. Allows an income tax deduction of long-term health care expenditures. States that benefits provided under certain employer-funded long-term health care insurance shall not be treated as deferred compensation plans for purposes of the tax deduction available for employer contributions to benefit plans.
Bill· HRH.R. 4530 (100th)referred
United States · United States Congress · 4 May 1988
Amends the Public Health Service Act to require the Secretary of Health and Human Services to reimburse physicians and medical facilities for emergency medical treatment (including any required in the course of labor and childbirth) which: (1) is rendered to an undocumented alien or an alien commuter worker who cannot pay for such service; and (2) is not reimbursable under any other public assistance program or private insurance plan.
Bill· HRH.R. 4510 (100th)referred
United States · United States Congress · 3 May 1988
Long-Term Health Care Markets Development Act - Title I: Tax-Free Withdrawals from IRA's Permitted for Payment of Long-Term Care Insurance Premiums - Amends the Internal Revenue Code to exclude from gross income any distribution from an individual retirement plan if: (1) the payee has attained age 59 1/2 on or before the date of the distribution; and (2) the distribution is used to pay premiums for an insurance policy covering at least 12 months of medically necessary care for the payee or a spouse meeting the same 59 1/2 year age requirement. Title II: Employers Encouraged to Offer Higher Deductibles on Employer-Provided Group Health Insurance - Amends the Internal Revenue Code to empower the trustee of an eligible individual retirement account (IRA) maintained for the benefit of an employee electing employee group health insurance coverage under a qualified high-deductible option to extend credit to the employee to pay certified medical expenses. Uses the IRA assets as security for such credit, which is subject to specified limits. Authorizes credit only in connection with plans under which the employer contributes to the employee's IRA the premium savings resulting from the employee's choice of a high deductible health care option. Title III: Elimination of Certificate of Need Programs for Nursing Facilities - Amends title XIX (Medicaid) of the Social Security Act to prohibit any State from establishing or operating any certificate of need program in connection with nursing facilities. Title IV: Tax-Free Conversion of Life Insurance Policies into Long-Term Care Insurance - Amends the Internal Revenue Code to exclude from the gross income of an individual otherwise taxable amounts derived from the whole or partial surrender, cancellation, or exchange of any life insurance policy if: (1) the individual is age 65 or older on the date of the transaction; and (2) the amounts in question are used to pay premiums for a long-term care insurance policy for the benefit of the individual or a spouse meeting the same 65-year age requirement. Title V: Reserves for Long-Term Care Insurance Treated in Same Manner as Reserves for Noncancellable Accident or Health Insurance - Amends the Internal Revenue Code to require that, for the purpose of determining the income tax liability of insurance companies, insurance contracts providing for qualified long-term health care be treated in the same way as noncancellable accident or health insurance contracts.
Bill· HRH.R. 4503 (100th)open
United States · United States Congress · 29 April 1988
Community and Migrant Health Centers Amendments of 1988 - Amends title III (General Powers and Duties of Public Health Service) of the Public Health Service Act to: (1) add patient case management services to the list of services provided by migrant health centers; and (2) add to the list of services included in the term "supplemental health services" other services appropriate to meet the health needs of the population served by the migrant health center involved. Requires notice and an opportunity to offer information before the Secretary of Health and Human Services may alter a determination that an area is a high impact area. Requires that the schedule of fees or payments used by migrant health centers receiving grants under specified provisions be consistent with locally prevailing rates or charges. Allows grants for migrant health centers under specified provisions to be used for expansion as well as for acquisition and modernization of existing buildings. Authorizes appropriations for grants under specified provisions for migrant health centers for FY 1989 through 1991. Authorizes the Secretary to make grants to assist centers in providing services for the reduction of infant mortality and developing and coordinating referrals regarding the health management of infants and pregnant women. Adds, with regard to community health centers, to the list of services included in the term "supplemental health services" other services appropriate to meet the health needs of the medically underserved population served by the community health center involved. Requires notice and an opportunity to comment before the Secretary may modify the criteria for determining the specific shortages of personal health services of an area or population group. Requires that the schedule of fees or payments used by community health centers receiving grants under specified provisions be consistent with locally prevailing rates or charges. Allows grants for community health centers under specified provisions to be used for expansion as well as for acquisition and modernization of existing buildings. Authorizes appropriations for grants under specified provisions for community health centers for FY 1989 through 1991. Authorizes the Secretary to make grants to community health centers to assist centers in providing services for the reduction of infant mortality and developing and coordinating referrals regarding the health management of infants and pregnant women. Directs the Secretary, in making grants to community health centers, to give special consideration to the unique needs of frontier areas.
Bill· HRH.R. 4455 (100th)open
United States · United States Congress · 26 April 1988
Amends the Social Security Act to establish a title XXI titled "Health Care Coverage for the Elderly." Prohibits such title from being construed as authorizing Federal officers or employees to supervise or control the provision of medical or health services. Establishes an Elderly Health Financing Authority (Authority) to be governed by a Board responsible for the operation of the title XXI program. Sets forth the duties of such Board, which shall include: (1) making recommendations to the Congress on the adequate level of health care benefits under title XXI; (2) annually proposing to the Congress any changes necessary to maintain the fiscal integrity of the program; (3) qualifying and reviewing the qualifications of private health care benefits plans for participation in such program; and (4) distributing annual health care vouchers to eligible individuals for the purchase of qualified private health care benefit plans. Increases the age of eligibility for title XXI benefits from 65 to 67 over the nine years following this Act's enactment. Requires the Administrator of the Board to provide beneficiaries with an annual health care voucher for the purchase of a qualified private health care benefit plan. Prohibits the assignment of vouchers. Prohibits a beneficiary from transferring a voucher from one qualified plan to another except upon substantiation of a complaint by the beneficiary that the insurance carrier has breached its agreement with the beneficiary. Authorizes the Board, upon substantiation of such a complaint, to: (1) require the insurance carrier to reimburse the beneficiary for such breach; (2) fine the carrier up to $2,000 for each breach; and (3) remove the carrier and such carrier's plan as a qualified private health benefit plan for repeated incidences amounting to substantial nonperformance of responsibilities. Provides that when a beneficiary fails to enter into an agreement with a carrier the agreement for the preceding year shall be extended through the present voucher year. Requires that the vouchers be of such form that the beneficiary and carrier can enter into an agreement for private health care benefit coverage under title XXI upon the voucher document itself. Sets forth beneficiary cost-sharing requirements which differ among individuals on the basis of their income and marital status. Sets the required coinsurance at 20 percent, but limits annual coinsurance payments to $2,000 for individuals and $3,000 for couples. Directs the Administrator to establish a certification procedure for private health care benefit plans. Provides for the annual recertification of such plans. Lists the medically necessary services which certified plans must provide without limitation or liability beyond specified cost sharing requirements. Directs the Administrator to establish a procedure for the review of proposed health insurance policy marketing materials to determine whether they are false and misleading. Defines a "health individual retirement account" as an irrevocable trust (including certain custodial accounts) created for the sole purpose of paying one individual's health care expenses upon his or her eligibility for coverage under titles XVIII (Medicare), XIX (Medicaid), or XXI of the Act. Amends the Internal Revenue Code to allow contributors to a health individual retirement account to deduct such contributions, provided previous contributions for the year do not exceed $500, adjusted annually for inflation. Limits eligible contributors to the individual who has the account and such individual's spouse, parents, children, and guardians. Excludes account distributions which are used to pay a beneficiary's health care expenses from such beneficiary's gross income. Exempts such accounts from income taxation. Taxes account amounts improperly used. Imposes an additional income tax on individuals to assure the adequacy of title XXI funding. Requires that the rate of such tax be adjusted by the Secretary of the Treasury on the basis of the Authority's recommendation. Makes such tax inapplicable to: (1) individuals whose income does not exceed the per capita income of the lowest fifth percentile of taxpayers or who are eligible for title XXI benefits; and (2) an individual's income in excess of $100,000, adjusted annually for inflation. Repeals Chapter 2 (Tax on Self-Employment Income) of the Internal Revenue Code. Repeals social security taxes imposed on the wages of employees. Sets the 1989 rate of Hospital Insurance taxes imposed on employers at 2.21 percent and at a percentage to be determined by the Authority thereafter.
Bill· SS. 2294 (100th)open
United States · United States Congress · 18 April 1988
Veterans' Administration Health Care Amendments Act of 1988 - Repeals current Federal veterans' provisions which: (1) prohibit the Administrator of Veterans Affairs from furnishing treatment and rehabilitation for alcohol or drug dependence or abuse disabilities of veterans after September 30, 1988; and (2) direct the Administrator to monitor the performance of each contract facility performing the above care and services for veterans for quality assurance and cost-effectiveness purposes. Extends through FY 1991 the Veterans Administration's (VA) authority to provide respite care services. Provides that the VA has the authority to pay for emergency medical services for veterans participating in a vocational rehabilitation program when the veteran cannot reasonably obtain medical care through VA or other Government facilities. Extends through FY 1994 the authority of the President to authorize the Administrator to contract with the Veterans Memorial Medical Center (VMMC) in the Republic of the Philippines to provide for payments for care in the VMMC for eligible U.S. veterans. Extends through FY 1994 the authority of the Administrator to make grants of up to $500,000 annually to the VMMC for education and training of health service personnel and for equipment upgrading and replacement. Increases the per diem rates to be paid to States for the care of veterans in State homes. Deletes the specific listing of professions eligible for the VA Health Professional Scholarship program, instead making eligible for such program any person engaged in a field of training or study in direct health-care services. Defines the period of obligated service for those newly included participants in the above scholarship program as starting after these participants have obtained the necessary licensure or credentials for VA employment. Prohibits any period of internship, residency, or advanced clinical training as being counted towards the newly-included participant's period of obligated service. Makes applicable to the newly-included occupations in the VA Health Professional Scholarship program the same requirements for the deferral of obligated service as those which apply to occupations specified currently under the program. Authorizes the Administrator to establish a tuition reimbursement program for VA nurses pursuing professional courses leading to a bachelor or an advanced degree in nursing. Authorizes the Administrator to issue regulations implementing such program. Sets forth the eligibility standards that applicants must meet in order to participate in such program. Provides conditions that a participant must meet in order to be entitled to reimbursement (i.e., remain employed with the VA while in the program, successfully completing the courses, and agreeing to the required period of obligated service). Outlines consequences for participants who fail either to complete the courses successfully or to maintain employment with the VA for the required period of obligated service. Empowers the VA to recover any reimbursements paid when the participant breaches the duty to perform the obligated service. Authorizes the Chief Medical Director of the VA to grant waivers of either the VA's right of recovery or the participant's obligation to perform service with the VA when the participant cannot comply due to circumstances beyond the participant's control, or whenever waiver would be in the best interest of the VA. Extends through FY 1992 the program for grants to States for the construction and acquisition of State home facilities for furnishing domiciliary and nursing home care and for the expansion, remodeling, and alteration of State home facilities used for furnishing hospital, domiciliary, and nursing home care. Extends through FY 1991 the date by which the VA must report to the Congress on its evaluation of the respite care program previously authorized under Federal law.
Bill· HJRESH.J.Res. 533 (100th)referred
United States · United States Congress · 12 April 1988
Requires the President to direct officers and agencies of the Federal Government to implement the recommendations regarding intravenous drug abusers made by the President's Commission on the HIV Epidemic (HIV stands for Human Immunodeficiency Virus) which are capable of being implemented under existing law. Directs the Secretary of Health and Human Services to submit to the Congress and the President drafts of legislation which would permit the implementation of those recommendations regarding intravenous drug abusers made by the Commission which are not capable of being implemented under existing law.
Bill· SS. 2231 (100th)open
United States · United States Congress · 30 March 1988
Nurse Education Reauthorization Act of 1988 - Title I: Special Projects - Amends title VIII (Nurse Education) of the Public Health Service Act to authorize the Secretary of Health and Human Services to make grants and enter into contracts for special projects to: (1) increase nursing opportunities for individuals from disadvantaged backgrounds by providing faculty development directed at facilitating retention of such individuals; (2) provide training and education to upgrade skills of paraprofessional nursing personnel with priority given to rapid transition programs towards undergraduate degrees; and (3) provide training and education to develop curricula for baccalaureate and masters degrees in nursing. Authorizes appropriations for grants and contracts for various special projects for FY 1989 through 1991. Directs the Secretary, in making grants and contracts relating to advanced nurse education, to give priority to programs with innovative curricula that permit individuals to rapidly achieve advanced degrees. Authorizes appropriations for FY 1989 through 1991. Requires programs for the education of nurse practitioners and nurse midwives to have an enrollment of not less than six full-time equivalent students. (Current law requires not less than eight students.) Allows those receiving traineeships to fulfill their commitment to practice as a nurse practitioner or nurse midwife in the Indian Health Service, a Native Hawaiian health center, a migrant health center, or a community health center. Authorizes appropriations for FY 1989 through 1991. Directs the Secretary to make grants to or enter into contracts with schools of nursing for projects to demonstrate and evaluate innovative nursing practice models designed to increase the recruitment and retention of nurses to provide long-term, home, or nursing home care. Authorizes appropriations for FY 1989 through 1991. Directs the Secretary to make grants and enter into contracts to develop, establish, and operate from one to five regional model professional nurse recruitment centers, including centers in rural areas. Authorizes appropriations for FY 1989 through 1991. Title II: Assistance to Nursing Students - Authorizes appropriations for traineeships for advanced education of professional nurses for FY 1989 through 1991. Authorizes appropriations for grants and contracts for traineeships for nurse anesthetists for FY 1989 through 1991. Authorizes the Secretary to make grants to schools of nursing for scholarships to full time undergraduate students in financial need, the amount of the scholarship not to exceed tuition and fees, with priority given to individuals from disadvantaged backgrounds. Authorizes appropriations for FY 1989 through 1991. Requires that students receiving loans from schools of nursing under specified provisions be in need. (Current law requires them to be of exceptional financial need.)
Bill· HRH.R. 4325 (100th)open
United States · United States Congress · 30 March 1988
Medical Testing Improvement Act of 1988 - Amends title III (General Powers and Duties) of the Public Health Service Act to remove references to interstate commerce from provisions prohibiting operating a laboratory without a license issued by the Secretary of Health and Human Services. Repeals provisions exempting from statutes regulating laboratories those laboratories operated by physicians, osteopaths, dentists, or podiatrists solely as an adjunct to the treatment of their own patients. Requires an annual inspection of laboratories to insure compliance with standards issued by the Secretary. Requires laboratories to qualify under a quarterly proficiency testing program established by the Secretary, including testing for each category of test which the laboratory is authorized to perform under its license. Requires the Secretary to maintain a technical and staff capacity to provide training and technical assistance to laboratories requesting such service and to laboratories which do not qualify under the proficiency testing program. Allows the proficiency testing to be performed by a private entity only if the entity meets standards established by the Centers for Disease Control. Requires the Secretary to maintain the capacity to conduct the testing. Makes laboratory licenses issued by the Secretary valid for one year instead of three years. Removes the cap on the fee for issuance or renewal of licenses. Directs the Secretary to make grants to a State which enacts laws providing for standards equal to or more stringent than under the provisions amended by this Act to assist the State in implementing the laws.
Bill· SS. 2229 (100th)open
United States · United States Congress · 29 March 1988
Health Professions Reauthorization Act of 1988 - Title I: Student Assistance - Amends title VII (Health Research and Teaching Facilities and Training of Professional Health Personnel) to exclude from the definition of "allied health professionals" individuals who have received a degree in social work or an equivalent degree. Sets ceilings on the total principal amount of new loans made and installments paid pursuant to lines of credit to borrowers covered by Federal loan insurance under specified provisions relating to loans to graduate students in health professions schools for FY 1989 through 1991. States that no insurance may be granted for any loan made or installment paid after September 30, 1994. Requires that the total principal amount of Federal loan insurance available in each fiscal year be granted without regard to any apportionment or other similar limitation. Requires interest on federally insured student loans under title VII to be compounded not more frequently than semiannually. (Current law requires the interest to be compounded semiannually.) Allows the Secretary of Health and Human Services to sell without recourse notes or other evidence of loans received by the United States through assignment by the insured after default. Prohibits a State statute of limitations from barring an action by an insured against a borrower if the action is commenced within six years of default. Removes provisions defining "school of allied health" as used in subpart I (Federal Program of Insured Loans to Graduate Students in Health Professions Schools) of part C of title VII. Authorizes the Secretary to enter into an agreement for the establishment and operation of a student loan fund with an institution that has a graduate program in clinical psychology or allied health and that is located in a State. Allows institutions to make loans to students to pursue a course of study leading to a doctoral degree in clinical psychology or a bachelor of science in allied health or an equivalent degree. Requires the Secretary to make specified principal and interest payments on behalf of certain loan recipients who have received such degrees. Requires the Secretary to make the payments for a loan recipient who receives those or other specified degrees and who enters into an agreement with the Secretary to practice his profession as a full time faculty member, without receiving a stipend or fellowship, in certain health professions schools. Prohibits a State statute of limitations from barring an action by a school against a borrower if the action is commenced within six years of the date of default. Authorizes appropriations for making Federal capital contributions into the student loan funds of schools which have established the funds under specified provisions. Requires not less than 30 percent of the amounts appropriated in each fiscal year to be allocated to schools of allied health. Makes all schools which established such funds eligible for reallotment of funds from a student loan fund returned to the Secretary in any fiscal year. (Current law makes schools which established funds during a specified period eligible for reallotment.) Delays the period during which a capital distribution of the balance of the loan fund established by each school is required, changing it from between September 30, 1991, and December 31, 1991, to between September 30, 1994, and December 31, 1994. Amends part C (Student Assistance) of title VII to create a new subpart on traineeships. Authorizes the Secretary to make grants to accredited schools of public health to provide traineeships in biostatistics, epidemiology, health administration, health planning, health policy analysis, environmental or occupational health, dietetics and nutrition, preventive medicine or dentistry, or maternal and child health. Authorizes appropriations for FY 1989 through 1991. Removes a requirement that students be in their first year of study in order to be eligible for certain health professions scholarships for students of exceptional financial need. Sets forth the elements of which the scholarships may consist. (Current law sets forth the same consistency as required rather than allowed.) Authorizes appropriations for FY 1989 through 1991. Title II: Grants to Improve the Quality of Schools of Public Health - Amends part E (Grants to Improve the Quality of Schools of Public Health) of title VII of the Public Health Service Act to require capitation grants to be made for schools of public health for FY 1989 through 1991. Requires matching non-Federal funds. Authorizes appropriations for FY 1989 through 1991. Repeals provisions setting forth eligibility requirements for capitation grants. Title III: Grants and Contracts for Programs and Projects - Amends title VII of the Public Health Service Act to require the Secretary of Health and Human Services, in making grants for the establishment of departments of family medicine, to give priority to applicants that demonstrate a commitment to coordination of curriculum development and student and resident teaching activities with departments of internal medicine and pediatrics where there is a department within the same school. Authorizes appropriations for FY 1989 through 1991. Requires the Secretary, under existing provisions relating to contracts with schools of medicine and osteopathy for the planning, development, and operation of area health education center programs, to enter into contracts to establish and support programs that include training of personnel to offer maternal health services and child health services, including oral health screening and treatment, in underserved areas, giving priority to areas along the border between the United States and Mexico, frontier areas, and areas of disproportionately high infant mortality. Revises project eligibility criteria and program requirements. Authorizes appropriations for FY 1989 through 1991. Requires the Secretary, in making grants and entering into contracts for projects concerning residency training programs in internal medicine or pediatrics, to give priority to applicants that demonstrate a commitment to coordination of curriculum development and resident teaching activities with departments of family medicine where there is a department within the same school. Authorizes appropriations for FY 1989 through 1991. Requires the Secretary, in making grants and entering into contracts for projects concerning professional training programs in family medicine, to give priority to applicants that demonstrate a commitment to coordination of curriculum development and resident teaching activities with departments of internal medicine and pediatrics where there is a department within the same school. Authorizes appropriations for FY 1989 through 1991. Revises the list of permissible uses for grants and contracts made under existing provisions to assist individuals from disadvantaged backgrounds to undertake education to enter a health profession, including allowing the paying of stipends to students enrolled in certain structured summer academic enrichment programs. Requires all individuals participating in activities supported by a grant to have completed to 10th grade of high school, or the equivalent. Requires certain types of schools receiving a grant to increase, during a period of three years, their first year enrollments of individuals from disadvantaged backgrounds by at least 20 percent, subject to exception. Authorizes appropriations for FY 1989 through 1991. Replaces provisions relating to grants for two-year schools of medicine, interdisciplinary training, and curriculum development with provisions authorizing the Secretary to: (1) make grants to schools that provide the first or last two years of education leading to the degree of doctor of medicine or osteopathy; and (2) make grants and enter into contracts for the development and implementation of model projects in areas such as faculty and curriculum development, and development of new clinical training sites. Requires that priority in making grants and entering into contracts for the model projects be given to schools of medicine, osteopathy, dentistry, veterinary medicine, optometry, pharmacy, podiatry, public health, chiropractic, allied health, and to graduate programs in health administration and clinical psychology. Requires grant applications to be subject to peer review. Authorizes the Secretary to make grants to and enter into contracts with schools of medicine, osteopathy, and public health for residency training programs in preventive medicine. Authorizes the Secretary to make grants to and enter into contracts with public or nonprofit private entities for the training of physician assistants. Prohibits making grants or contracts unless the recipient has mechanisms for placing graduates. Authorizes appropriations for grants and contracts for two-year schools, faculty and curriculum development, training in preventive medicine, and programs for physician assistants for FY 1989 through 1991. Authorizes the Secretary to make grants and enter into contracts with health professions schools for assisting in meeting the costs of the schools of providing projects relating to geriatric training. Requires peer review of applications. Authorizes the Secretary to make grants to and enter into contracts with schools of medicine, schools of osteopathy, teaching hospitals, and graduate medical education programs for traineeships and fellowships to train physicians and dentists who plan to teach geriatric medicine or geriatric dentistry. Authorizes appropriations for costs of geriatric training and for traineeships and fellowships in geriatrics for FY 1989 through 1991. Repeals provisions authorizing the Secretary to make grants and enter into contracts for the training of physician assistants. Changes the eligibility criteria for grants to health professions schools for minority education to require the applicant to have received a contract under specified provisions relating to advanced financial distress assistance in FY 1987. Title IV: Programs for Personnel in Health Administration and in Allied Health - Amends provisions of the Public Health Service Act relating to grants for graduate programs in health administration to direct the Secretary of Health and Human Services to make annual grants to educational entities to support graduate educational programs in health administration, hospital administration, and health planning. Authorizes the Secretary to make grants to certain educational entities for traineeships in health administration, hospital administration, or health policy analysis and planning. Authorizes appropriations for grants for graduate programs in health administration and for grants for traineeships in health or hospital administration or health policy analysis and planning for FY 1989 through 1991. Repeals provisions relating to traineeships for students in certain graduate programs, public health traineeships, and training in preventive medicine. Directs the Secretary to make grants to and enter into contracts with eligible entities to assist in meeting the costs of planning, developing, establishing, operating, and evaluating specified types of allied health projects. Authorizes appropriations for FY 1989 through 1991. Authorizes the Secretary to make grants to and enter into contracts with educational entities offering an allied health program to assist students in meeting the costs of entry level education. Requires that 80 percent of the funds available for the grants be used in connection with programs relating to the rehabilitation needs of the elderly population. Exempts from taxation any payment to or on behalf of a participating student of tuition under these provisions. Authorizes appropriations for FY 1989 through 1991. Authorizes the Secretary to make grants to and enter into contracts with educational entities to meet the costs of projects: (1) involving doctoral programs for the advanced specialty training of allied health professionals who plan to teach and conduct research; and (2) provide financial assistance in the form of traineeships or fellowships to certain doctoral and postdoctoral students in an allied health discipline. Authorizes appropriations for FY 1989 through 1991. Replaces provisions relating to educational assistance to disadvantaged individuals in allied health training with provisions directing the Secretary to make grants to, or enter into contracts and cooperative agreements with, and provide technical assistance to, any non-profit entity to establish a uniform allied health professions data reporting system to collect, compile, and analyze data on the allied health professions personnel. Sets forth reporting requirements. Authorizes appropriations for FY 1989 through 1991.
Bill· SS. 2222 (100th)open
United States · United States Congress · 29 March 1988
National Research Institutes Reauthorization Act of 1988 - Title I: Biomedical and Behavioral Research Facilities - Amends title IV (National Research Institutes) of the Public Health Service Act to create a new part on biomedical and behavioral research facilities. Authorizes the Director of the National Institutes of Health, through the Director of Research Resources (Director), to award grants to public or nonprofit private institutions to expand, remodel, renovate, or alter existing research facilities or construct new research facilities. Establishes in the Division of Research Resources of the National Institutes of Health a Technical Review Board on Biomedical and Behavioral Research Facilities to advise the Director and the Advisory Council (established by current law) on the construction of facilities and to conduct peer review of applications received pursuant to this title. Sets forth requirements for application and selection of grants. Limits the amount of any grant to 50 percent of the cost of construction or, in the case of a multipurpose facility, 50 percent of the cost of construction proportionate to the contemplated use. Allows the Director to waive these limitations for institutions of emerging excellence in biomedical or behavioral research. Provides for recapture of payments in certain circumstances for 20 years after completion of construction. Requires the Director to prescribe regulations with respect to the grants. Requires peer review of grant applications under existing provisions. Authorizes appropriations for FY 1989 through 1991. Title II: Biomedical Ethics - Requires the Director of the Division of Research and Resources to enter into cooperative agreements and to make grants for the development or expansion of no less than five centers of excellence in biomedical and behavioral research ethics. Replaces provisions relating to fetal research and the Biomedical Ethics Advisory Committee with provisions requiring the Secretary of Health and Human Services, no later than one year after enactment of this Act, to appoint an Ethics Advisory Board to advise the Secretary and biomedical researchers regarding research on fetal therapy and on research involving human fetuses. Requires the Secretary, not later than 90 days after enactment of this Act, to issue a contract proposal, to which the National Academy of Sciences is required to be invited to apply, for a grant or contract to examine the scientific, ethical, and funding issues surrounding the conduct of research on fetal therapy and involving human fetuses. Sets forth reporting requirements. Prohibits the Secretary, for two years after enactment of this Act, from granting a modification or waiver of certain Federal regulations concerning fetal research. Title III: National Institute of Neurological and Communicative Disorders and Stroke - Authorizes the Director of the National Institute of Neurological and Communicative Disorders and Stroke to enter into cooperative agreements and to make grants for eight new or existing centers for disorders of hearing and communication diseases. Specifies required and permitted uses of funds provided. Title IV: National Institute on Aging - Requires the Director of the National Institute on Aging to enter into cooperative agreements and to make grants for the development or expansion of centers of excellence in geriatric research and training. Title V: National Center for Medical Rehabilitation Research - Establishes the National Center for Medical Rehabilitation Research (Center) as an agency of the National Institutes of Health (NIH) to conduct research training, the dissemination of information, and other programs with respect to the rehabilitation of individuals with physical disabilities resulting from diseases or disorders of the neurological, musculoskeletal, cardiovascular, or other physiologic systems (medical rehabilitation). Requires the NIH Director to develop a comprehensive plan for the conduct and support of medical rehabilitation research. Requires the Director to establish the Medical Rehabilitation Coordinating Committee and the Medical Rehabilitation Advisory Council to assist and make recommendations to the NIH Director and the Center Director on different aspects of this title. Title VI: National Center for Nursing Research - Authorizes the Director of the National Center for Nursing Research to: (1) enter into cooperative agreements and make grants for research and demonstration projects; and (2) make grants for the acquisition, construction, or renovation of facilities. Title VII: National Cancer Institute - Amends provisions stating the purpose of the National Cancer Institute to include rehabilitation from cancer. Makes miscellaneous changes to the special authorities of the Director of the National Cancer Institute relating to the services of experts or consultants, technical and scientific peer review, publication of cancer information, and receipt of funds appropriated by the Congress for the Institute. Amends provisions relating to grants for cancer research and demonstration centers to add control of cancer as one of their purposes. Title VIII: National Heart, Lung, and Blood Institute - Requires the Director of the National Heart, Lung, and Blood Institute to place special emphasis on collaborative efforts with both the public and private sectors to: (1) increase awareness and knowledge regarding prevention of heart and blood vessel, lung, and blood diseases and the utilization of blood resources; and (2) develop and disseminate information designed to encourage adults and children to adopt healthful habits concerning the prevention of such diseases. Authorizes the National Heart, Blood Vessel, Lung, and Blood Diseases and Blood Resources Program to establish certain types of programs involving rehabilitation from such diseases. Requires the Director to support programs for education and training. Authorizes the national research and demonstration centers for heart, blood vessel, lung, and blood diseases, sickle cell anemia, and blood resources to engage in rehabilitation activities. Repeals provisions authorizing the Secretary of Health and Human Services to establish an Interagency Technical Committee on Heart, Blood Vessel, Lung, and Blood Diseases and Blood Resources. Title IX: National Institutes of Health - Authorizes the Secretary, acting through the Director of the National Institutes of Health (NIH), to establish scientific program advisory committees without regard to Federal law governing appointments in the competitive service, classification, and pay rates. Title X: General Provisions Respecting National Research Institutes - Revises provisions relating to the authority of the directors of the national research institutes to: (1) make the provisions apply to other agencies of the NIH as well as to the research institutes; (2) authorize the directors of the research institutes and other agencies to establish technical and scientific peer review groups and appoint their members; and (3) make other changes. Changes the makeup of: (1) the advisory councils which the Secretary must appoint for each research institute; and (2) the National Cancer Advisory Board. Authorizes appropriations for the National Cancer Institute and the National Heart, Lung, and Blood Institute for FY 1989 through 1991. Title XI: National Institute of Diabetes and Digestive and Kidney Diseases - Removes a provision requiring that the National Diabetes Advisory Board, the National Digestive Diseases Advisory Board, and the National Kidney and Urologic Diseases Advisory Board expire on September 30, 1988. Title XII: National Institute of Arthritis and Musculoskeletal and Skin Diseases - Adds skin diseases to the provisions dealing with the plan and activities of the national arthritis and musculoskeletal diseases program. Adds rehabilitation to the responsibilities of multipurpose arthritis and musculoskeletal disease centers. Title XIII: National Library of Medicine - Changes the makeup of the Board of Regents of the National Library of Medicine to increase the number of members who are not ex officio from ten to 13 and to require appointment by the President instead of by the Secretary. Authorizes appropriations for grants and contracts under specified provisions relating to the National Library of Medicine for FY 1989 through 1991. Directs the Secretary to make grants for projects in the research, development, and demonstration of new educational technologies to assist in the training of health professions students and enhance and improve the research and teaching capabilities of health professionals. Authorizes grants which the Secretary is required to make for basic resources of medical libraries and related instrumentalities to be used for the acquisition, construction, or renovation of facilities. Removes the cap on grants for basic resources. Authorizes grants and contracts which the Secretary is required to make and enter into for regional medical libraries to be used for the acquisition, construction, or renovation of facilities. Title XIV: Awards and Training - Amends provisions relating to National Research Service Awards to require the Secretary, acting through the Director of the NIH, to assure that support is provided for multidisciplinary research training in disciplines not readily identified with existing categorical institutes. Authorizes appropriations for payments under National Research Service Awards and under grants for such awards for FY 1989 through 1991. Title XV: General Provisions - Requires peer review of applications for grants, contracts, and cooperative agreements to be carried out congruent with changing review need. Requires technical and scientific peer review of research at the NIH to authorize the review to be conducted by groups appointed under specified provisions relating to the authority of the Director of the NIH and the directors of the research institutes, except as provided in specified provisions relating to the authority of the Director of the National Cancer Institute. (Current law contains no such exception.) Title XVI: General Powers and Duties of Public Health Service - Amends title III (General Powers and Duties of Public Health Service) of the Public Health Service Act to authorize the Secretary of Health and Human Services to establish a Senior Biomedical Scientific Service. Requires members of the Service to be assigned to duties that require expertise in biomedical research, behavioral research, or clinical research evaluation.
Bill· HRH.R. 4270 (100th)referred
United States · United States Congress · 29 March 1988
Provides that restrictions may be applied to information, counseling, or services provided by family planning entities abroad that receive U.S. assistance under the Foreign Assistance Act of 1961 only to the extent that the same restrictions apply to domestic family planning entities receiving funds under the Public Health Service Act.
Bill· SS. 2219 (100th)open
United States · United States Congress · 28 March 1988
Community Mental Health Centers Construction Act of 1988 - Amends title XIX (Block Grants) of the Public Health Service Act to create a new part on mental health construction block grants. Directs the Secretary of Health and Human Services, for each of FY 1989 through 1993, to make allotments to States to assist in constructing community mental health facilities. Requires funds to be used for: (1) building and renovating; and (2) providing staffing and maintenance of centers which have been built or renovated. Requires at least 75 percent of the funds to be used to provide services for the homeless mentally ill and chronically mentally ill. Requires matching State funds. Authorizes appropriations for FY 1989 through 1993. Prohibits States from using more than ten percent of their allotments for administrative expenses.
Bill· SS. 2212 (100th)referred
United States · United States Congress · 24 March 1988
Amends the Internal Revenue Code to permit a taxpayer a nonrefundable 15 percent income tax credit for long-term health insurance costs paid for the benefit of the taxpayer, spouse, or a parent of either. Limits the annual amount of the credit to $300 ($600 if the insurance covers two or more individuals). Reduces the credit percentage as income increases above specified levels ($43,150 single; $71,900 joint). Permits a taxpayer to include as tax-deductible medical expenses any amounts incurred for the long-term health care of a nondependent parent of either the taxpayer or spouse.
Bill· HRH.R. 4228 (100th)referred
United States · United States Congress · 22 March 1988
AIDS Public Education Act of 1988 - Amends title III (General Powers and Duties of Public Health Service) to direct the Secretary of Health and Human Services, acting through the Director of the Centers for Disease Control, to make grants to public and nonprofit private entities to assist the grantees in: (1) collecting and disseminating information regarding the etiologic agent for acquired immune deficiency syndrome (AIDS); (2) educating individuals regarding such information; and (3) encouraging individuals to determine the extent to which their financial resources, including health insurance, are adequate for payment of the costs of medical treatment for infection with such etiologic agent. Requires the Secretary, in making the grants, to give preference to applicants with experience in educating the public, including the business community, on health matters. Allows grantees to expend the grant to train individuals. Requires applicants to agree to expend not less than 75 percent of the grant to carry out the purposes of the grant in an employment setting. Requires the Secretary to evaluate the grant programs and to make the findings available to the public. Authorizes appropriations for FY 1989 through 1991.
Bill· HRH.R. 4190 (100th)referred
United States · United States Congress · 17 March 1988
Amends title IV (National Research Institutes) of the Public Health Service Act to require the Director of the National Center for Nursing Research to acquire, construct, improve, or repair laboratories and other research facilities to increase the capacity of institutions of higher education to conduct nursing research. Authorizes the Secretary of Health and Human Services to make grants and enter into contracts for such purposes. Requires the Director, from amounts appropriated under this Act, to reserve 15 percent to carry out such purposes through grants to, and contracts with, institutions that received less than an aggregate of a specified amount in Federal financial assistance for research and development in the preceding two fiscal years. Requires matching funds, in cash or in kind, from non-Federal sources. Directs the Secretary to require technical and scientific peer review of applications for grants and contracts. Authorizes appropriations for FY 1989 through 1991.
Bill· SS. 2183 (100th)open
United States · United States Congress · 16 March 1988
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. 4168 (100th)referred
United States · United States Congress · 16 March 1988
Reproductive Health Equity Act - Amends title XIX (Medicaid) of the Social Security Act, the Indian Health Care Improvement Act, the Peace Corps Act, the District of Columbia Self-Government and Governmental Reorganization Act, and other Federal laws covering armed forces personnel and dependents, certain veterans, Federal employees' health benefits, and Federal penal and correctional institutions to provide that services related to abortion be made available in the same manner as are other pregnancy-related services under federally funded programs.
Bill· HRH.R. 4136 (100th)referred
United States · United States Congress · 10 March 1988
AIDS Health Care Financing Act of 1988 - Amends the Internal Revenue Code, the Employee Retirement Income Security Act of 1974 (ERISA), and the Public Health Service Act to extend the maximum required period of continuation coverage of group health plans from 18 months to 29 months for an individual determined, under title II (Old Age, Survivors and Disability Insurance) or title XVI (Supplemental Security Income) of the Social Security Act, to have been disabled at the time of termination or reduction in hours. Increases the premium which plans are permitted to require for continuation coverage from 102 percent to 152 percent of the applicable premium for the period for any month after the 18th month of continuation coverage after terminations, reduced hours, or multiple qualifying events. Amends title XIX (Medicaid) of the Social Security Act to permit States to pay expenses of an individual eligible for benefits under its plan for premiums, deductibles, coinsurance, or similar costs for health coverage offered by the individual's employer, including continuation coverage. Directs the Secretary of Health and Human Services to provide for a three-year program of grants to States to assist in paying premiums, deductibles, coinsurance, and similar costs for continuation coverage for individuals who were disabled at the time of termination of employment. Sets forth reporting requirements. Authorizes appropriations for FY 1989 through 1991. Provides that when the Secretary allows a State Medicaid plan to provide for payment for individuals with acquired immune deficiency syndrome (AIDS) or an AIDS-related condition, for home or community-based services such as home health care, personal care services, case management services, outpatient mental health treatment, and outpatient substance abuse treatment, the Federal medical assistance percentage shall not be less than 75 percent. Declares that nothing in title XIX of the Social Security Act shall be construed as preventing a State from establishing differential payment rates for providers to reflect the additional costs of providing services to patients with AIDS or an AIDS-related condition. Directs the Secretary to provide for up to four Regional AIDS Treatment Demonstration Projects for individuals with AIDS and AIDS-related conditions in areas which do not have a disproportionate number of such individuals. Requires the projects to incorporate innovative approaches to the delivery of necessary services, particularly focusing on community-based services. Requires each project to provide for case management services and community-based services. Sets forth considerations in selection of projects. Authorizes appropriations for FY 1989 through 1991. Sets forth reporting requirements. Directs the Secretary to establish up to six Demonstration HIV Monitoring and Treatment Centers for individuals diagnosed as infected with a virus related to the development of AIDS but who have not developed AIDS. Sets forth terms and conditions relating to the imposition of charges for services, the development of model clinical treatment plans, and confidentiality of records. Sets forth reporting requirements. Authorizes appropriations for FY 1989 through 1991. Directs the Secretary to provide financial assistance to up to four local projects which have established AIDS prevention and treatment services to permit the projects to assist entities in developing and establishing similar local projects in other areas. Allows the assistance to be used for staff, overhead, and the preparation and reproduction of educational materials. Prohibits use of the assistance for AIDS prevention and treatment services. Authorizes appropriations for FY 1989 through 1991. Directs the Secretary to provide financial assistance to local governments which demonstrate a disproportionate share of: (1) residents with AIDS or an AIDS-related condition; or (2) expenditures from local funds for treatment of such syndrome or condition. Sets forth reporting requirements. Authorizes appropriations for FY 1989 through 1991.
Resolution· HCONRESH.Con.Res. 258 (100th)referred
United States · United States Congress · 2 March 1988
Praises the organizers of the National Silver-Haired Congress for their efforts on behalf of older Americans. Declares that the Congress should welcome the participants and ensure the success of the National Silver-Haired Congress when it is convened in Washington, D.C. in 1989.
Bill· HRH.R. 4040 (100th)referred
United States · United States Congress · 1 March 1988
AIDS Youth Education Act of 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 of Health and Human Services to make grants for educating and counseling certain youths with respect to the prevention of exposure to, and the transmission of, the etiologic agent for acquired immune deficiency syndrome (AIDS). Describes the youths as those who: (1) are homeless; (2) are unemancipated minors away from home for a significant period without parental consent; (3) engage in intravenous substance abuse or in prostitution; (4) are homosexual or bisexual males; or (5) engage in sexual activity with such unemancipated minors or with any individual who is homeless, engages in intravenous substance abuse or prostitution, or is a bisexual or homosexual male. Sets forth preferences in making grants. Requires applicants to agree to: (1) provide outreach services for the youths; and (2) use educational materials and confidential counseling procedures that are appropriate for the age and cultural context of the youths and that emphasize the behavioral changes necessary to prevent exposure to, and the transmission of, the etiologic agent for AIDS. Permits grantees to expend the grant to train individuals to carry out the education and counseling provided for in this Act. Authorizes appropriations for FY 1989 through 1991.
Bill· HRH.R. 4013 (100th)open
United States · United States Congress · 24 February 1988
Medical Rehabilitation Research Act of 1988 - Amends title IV (National Research Institutes) of the Public Health Service Act to establish the National Center for Medical Rehabilitation Research (Center) as an agency of the National Institutes of Health (NIH) to conduct research, research training, the dissemination of information, and other programs with respect to the rehabilitation of individuals with physical disabilities resulting from diseases or disorders of the neurological, musculoskeletal, or cardiovascular system (medical rehabilitation). Requires the NIH Director to develop and annually review a comprehensive plan for the conduct and support of medical rehabilitation research. Requires the Director to establish the Medical Rehabilitation Coordinating Committee to make recommendations with regard to the plan. Requires establishment of the Medical Rehabilitation Advisory Council to assist and make recommendations to the NIH Director and the Center Director. Authorizes appropriations for FY 1989 through 1991. Directs the Secretary of Health and Human Services and the heads of other Federal agencies to jointly review programs concerning medical rehabilitation research and, not later than one year after the effective date of this Act, enter into agreements for preventing duplication.
Bill· HRH.R. 4003 (100th)open
United States · United States Congress · 24 February 1988
Health Care for the Homeless Act of 1988 - Amends the Public Health Service Act to increase the portion of a grant for the delivery of health services to homeless individuals which must be provided by the grant recipient from non-Federal funds for fiscal years after the first fiscal year from 25 percent to 33 1/3 percent. Permits the Secretary of Health and Human Services to waive such requirement if the applicant is a nonprofit private entity and other conditions are met. (Current law permits the Secretary to waive the requirement if the applicant is a nonprofit private grantee under provisions of the Act relating to community health centers and if the same conditions are met.) Permits grant recipients who have provided health or mental health services to a homeless individual to continue to provide the services from grant funds for 12 months after the individual becomes a resident in permanent housing. Amends the definition of "homeless individual" to include an individual who is in transitional housing. Amends provisions permitting the Secretary to provide grantees technical assistance to make the limit on expenditures for the assistance apply to a fiscal year. (Current law sets the limit but does not state whether the limit is applicable per fiscal year.) Authorizes appropriations for FY 1989 through 1991.
Bill· SS. 2047 (100th)passed
United States · United States Congress · 4 February 1988
Amends the Public Health Service Act to require alcoholic beverages in commerce in the United States to have labels bearing a specified health warning, including that: (1) alcohol consumption during pregnancy cause birth defects; (2) alcohol consumption impairs ability to drive a car or operate machinery; (3) alcohol is hazardous in combination with some drugs; (4) alcohol can increase the risk of developing hypertension, liver disease, and cancer; and (5) alcohol may be addictive. Makes the Bureau of Alcohol, Tobacco and Firearms the enforcing agency. Establishes civil penalties, exemptions, and liabilities.
Bill· HRH.R. 3900 (100th)referred
United States · United States Congress · 3 February 1988
Long-Term Health Care Amendments of 1988 - Title I: Medicare Long-term Care Benefits - Amends title XVIII (Medicare) of the Social Security Act to add a new part C entitled "Long-Term Care Benefit Program." (Redesignates the current part C as part D.) Provides coverage for the home health services and nursing care required by individuals who are eligible for part A (Hospital Insurance) benefits. Sets forth the formula for determining the long-term care deductible for a calendar year, increasing the size of such deductible as an individual's income exceeds $10,000. Conditions payment of long-term care providers on: (1) such providers making written requests for payment within three years of furnishing service; and (2) a physician's certification that the beneficiary needs or needed nursing facility care or home health services, and that home health services are or were furnished while the individual is or was under a physician's care. Prohibits physicians who have a significant ownership interest in, or a significant financial or contractual relationship with, a home health agency from performing such a certification of the agency, unless it is a sole community home health agency. Pays providers the lesser of the reasonable cost or the customary charges for part C services. Prohibits part C payments: (1) to Federal providers; and (2) for services for which an individual is entitled to be paid under part A of the Medicare program. Amends the Internal Revenue Code to increase the hospital insurance tax rates and contribution and benefit base and reduce the old age, survivors and disability insurance tax rates for taxable years beginning with 1989. Includes nursing care furnished under the supervision of a registered or licensed professional nurse as well as care provided in a skilled nursing or intermediate care facility within the scope of nursing facility care. Requires the Board of Directors of the Federal Hospital Insurance Trust Fund to provide for a separate accounting of the additional taxes deposited into such fund by reason of this Act and the disbursements from such fund for part C benefits. Makes Medicare the primary payor where part C benefits are also covered under employment-related group health plans. Title II: Incentives for Individuals to Purchase Long-Term Care Insurance - Amends the Internal Revenue Code to allow individuals to deduct certain qualified long-term care insurance premiums they have paid on behalf of eligible beneficiaries. Defines a "qualified long-term care insurance policy" as a policy certified by the Secretary of Health and Human Services and providing coverage for diagnostic, preventive, therapeutic, rehabilitative, maintenance, or personal care services provided in a setting other than a hospital acute care unit. Excludes from gross income any distribution from an individual retirement plan if: (1) the payee has attained age 59 1/2 on or before the date of the distribution; and (2) the distribution is used to pay premiums for any qualified long-term care insurance policy for the payee or a spouse meeting the same 59 1/2 year age requirement. Excludes from the gross income of an individual otherwise taxable amounts derived from the whole or partial surrender, cancellation, or exchange of any life insurance policy if: (1) the individual is age 65 or older on the date of the transaction; and (2) the amounts in question are used to pay premiums for any qualified long-term care insurance policy for the individual or a spouse meeting the same 65-year age requirement. Title III: Incentives for Employers to Provide Group Long-Term Care - Amends the Internal Revenue Code to provide that a trust forming part of a pension plan shall not be treated as a nonqualified trust merely because such plan covers qualified long-term health care of employees or retired employees.
Bill· SS. 2027 (100th)open
United States · United States Congress · 2 February 1988
Workers' Health Insurance Demonstration Act of 1988 - Amends the Public Health Service Act to create a new title concerning employee health insurance pilot programs. Authorizes the Secretary of Health and Human Services to approve pilot projects for the development and marketing of low-cost small business health insurance plans. Declares that approved plans shall not be subject to State laws concerning certain aspects of health benefits. Authorizes the Secretary to approve projects to study the feasibility of a health information brokering service to address the needs of small employers in obtaining health insurance benefits by providing technical assistance. Requires, if such brokering service is feasible, that development funding be provided. Authorizes the Secretary to approve up to three demonstration projects to extend coverage for medical assistance, other than for services under provisions of title XIX (Medicaid) of the Social Security Act, to employees of small employers if: (1) employers are unable to obtain insurance at no more than the average premium cost in their State or locality; and (2) other conditions relating to premium payment and premium cost off-set against the required Federal and State matching shares are met. Requires that the projects be conducted in a rural area, an urban area, and in an industry that has a high number of uninsured workers. Authorizes the Secretary to approve pilot projects to study, develop, and market mechanisms, not including State risk pools for high risk individuals, that address the problems of providing affordable health insurance to targeted elements of the employed, high risk population. Directs the Secretary to develop up to three projects to evaluate the effectiveness of providing subsidies to self-employed individuals as an incentive to purchase health insurance. Directs the Secretary to conduct a study of the impact of the Hawaii Prepaid Health Care Act, including the impact of extending the requirements of the Act to all employers in all States. Authorizes the Secretary to approve: (1) a survey of small businesses to identify the factors involved in decisions to offer or not offer employee health insurance; and (2) a pilot project to develop plans and a marketing and delivery system based on the results of the survey. Authorizes the Secretary to waive compliance with any Federal regulation, including the commonality of employment interest restriction, if certain safeguards are present. Authorizes the Secretary to approve a pilot project to develop a regional voluntary employee beneficiary association to provide health insurance in an industry in which the average employer size is less than 25 employees. Authorizes the Secretary to waive compliance with any Federal regulation, including the geographic area restriction, if certain safeguards are present. Prohibits the Secretary from approving certain projects authorized by this Act unless the applicant will expend, from non-Federal sources, at least one-third of the amount of the grant. Requires approved applicants to submit an annual report evaluating their projects. Directs the Secretary to submit to the Congress an evaluation of the success of any project designed to increase the number of employees of small employers who have health insurance that is conducted by an entity that has received no Federal funds under this Act. Directs the Secretary to transfer amounts appropriated to the Department of Health and Human Services, for FY 1988 through 1990, for programs that provide medical services for the uninsured, for the purposes of this title.
Bill· SS. 2014 (100th)open
United States · United States Congress · 28 January 1988
Intravenous Substance Abuse and AIDS Prevention Act of 1988 - Authorizes the Secretary of Health and Human Services to make grants for treatment services to intravenous substance abusers. Conditions grants on the applicant agreeing to: (1) make available to the abusers, and their sexual partners, counseling and education with respect to preventing the transmission of the etiologic agent for acquired immune deficiency syndrome (AIDS); and (2) make testing available to the abusers to determine whether they have been infected with such agent. Prohibits making a grant unless the applicant agrees not to condition receipt of treatment services on the individual undergoing such testing. Sets forth requirements relating to the geographic distribution of grants. Provides for allocation of amounts appropriated under provisions of this Act. Authorizes the Secretary to make grants to carry out demonstration projects for reducing or preventing the incidence in infants of infections with the etiologic agent for AIDS and for providing support to infants who have such infections. Sets forth priorities in making grants and uses for which grantees may expend grant funds. Authorizes the Secretary to make grants to provide counseling and education services with respect to preventing the transmission of the etiologic agent directly or indirectly through intravenous substance abuse. Sets forth priorities in making grants and uses for which grantees may expend grant funds. Prohibits the making of grants under this Act unless the applicant agrees not to expend amounts received under the grant to supplant any funds otherwise available to the applicant for the grant purpose. Authorizes appropriations for FY 1988 through 1990.