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Bill· SS. 1769 (101st)referred
United States · United States Congress · 19 October 1989
Amends title XIX (Medicaid) of the Social Security Act to phase-in the requirement that nursing facilities pay nursing personnel at a rate at least equal to the mean rate paid nursing personnel employed outside such facilities.
Bill· SS. 1766 (101st)open
United States · United States Congress · 17 October 1989
Patient Self Determination Act of 1989 - Amends titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act to require health care providers to: (1) inform patients of their right to make decisions involving their medical care; (2) inquire as to whether a patient prepared a living will or written power of attorney; (3) document patient treatment wishes and periodically review such wishes with the patient; (4) ensure that legally valid living wills or written durable powers of attorney are implemented to the maximum extent permitted by State law; (5) arrange for the prompt and orderly transfer of a patient to the care of others when unable as a matter of conscience to implement the patient's wishes; and (6) implement an institutional ethics committee. Requires States to enact legislation recognizing the validity of living wills and written durable powers of attorney. Directs the Secretary of Health and Human Services to conduct a study and report to the Congress within four years after this Act's enactment assessing this Act's initiatives and further steps which may be taken to advance patient self-determination. Requires the Secretary to develop and implement a national campaign within six months after this Act's enactment informing the public of their options in participating in and directing their medical care.
Bill· HRH.R. 3471 (101st)referred
United States · United States Congress · 16 October 1989
Allied Health Professionals Promotion Act of 1989 - Amends provisions of the Public Health Service Act relating to grants and contracts concerning training of allied health personnel to direct the Secretary of Health and Human Services to allocate 75 percent of the funds authorized to those allied health fields the Secretary determines to have: (1) the most significant shortages of practitioners; and (2) a significant role in the care and rehabilitation of patients who are elderly or disabled. Makes payments of tuition under these provisions to, or on behalf of, a participating student notwithstanding other law, exempt from taxation. Authorizes appropriations for FY 1990 and 1991. Changes the amount of currently authorized appropriations for traineeships for advanced training of allied health personnel for FY 1990 and 1991. Establishes the Division of Allied Health Professions within the Health Resources and Services Administration's Bureau of Health Professions in order to consolidate and focus the efforts of the Federal Government in support of allied health education, training, and research. Establishes within the Division the Advisory Council on Allied Health. Directs the Secretary to establish a two-year pilot program to make grants to support innovative allied health research projects. Requires the program to be administered through the Division. Authorizes appropriations for FY 1990 and 1991.
Bill· HRH.R. 3474 (101st)referred
United States · United States Congress · 16 October 1989
Amends title XIX (Medicaid) of the Social Security Act to make State laws relating to community property or division of marital property applicable in determining the income of an institutionalized spouse or community spouse after the institutionalized spouse has been determined eligible for Medicaid benefits. Prohibits the community spouse resource allowance in community property States from being less than the community spouse's share of the community property.
Resolution· HCONRESH.Con.Res. 213 (101st)referred
United States · United States Congress · 12 October 1989
Expresses the sense of the Congress that: (1) settlement of the civil war in El Salvador can only be achieved through negotiations to end hostilities and to incorporate the FMLN into the democratic process; (2) President Cristiani and the FMLN should be urged to continue the negotiating process until a successful conclusion; (3) the United States should encourage all parties, including the Salvadoran armed forces, to support the negotiations; and (4) the United States should stand ready to help implement a negotiated settlement by restructuring its assistance program to increase support for land reform and for the construction of health care and educational facilities to benefit the Salvadoran poor.
Bill· HRH.R. 3440 (101st)referred
United States · United States Congress · 11 October 1989
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· SS. 1735 (101st)passed
United States · United States Congress · 5 October 1989
Directs the Secretary of Health and Human Services, through the Administrator of the Alcohol, Drug Abuse and Mental Health Administration, to make a competitive grant for the establishment of a National Resource and Information Center for Perinatal Addiction. Sets forth the responsibilities of the Center. Authorizes appropriations for FY 1990 through 1991. Amends the Public Health Service Act to direct the Secretary, through the Administrator, to make grants for assistance for substance abuse treatment for pregnant and post-partum women and their infants. Sets forth grant requirements. Authorizes appropriations for FY 1990 and 1991. Amends the Child Abuse Prevention and Treatment Act to direct the Secretary to establish a grant program to provide services to children whose parents are substance abusers. Provides for the use of grant funds. Authorizes appropriations for FY 1990 and each subsequent fiscal year. Amends Federal law to add services to substance abusing parents to the list of prerequisites for grants to States for child abuse and neglect prevention activities. Amends the Public Health Service Act to direct the Secretary to establish a program of grants to educational institutions to provide training services to increase the supply of drug treatment professionals. Directs the Secretary to use amounts appropriated under existing provisions establishing the Office for Substance Abuse Prevention to carry out these provisions in FY 1990. Authorizes appropriations for FY 1991 and 1992. Amends the Higher Education Act of 1965 to prohibit, notwithstanding any other provision of law, any institutions of higher education from being eligible to receive funds or any other financial assistance under any federal program, including federally funded or guaranteed student loans, unless they certify that they have adopted and implemented a program to prevent the use of illicit drugs and the abuse of alcohol by students and employees. Sets forth minimum features of such a program, including sanctions up to and including expulsion or termination of employment and referral for prosecution. Provides for sanctions against institutions which fail to implement their programs or to consistently enforce their sanctions, including termination of any form of financial assistance. Amends the Drug-Free Schools and Communities Act of 1986 to prohibit, notwithstanding any other provisions of law, any local educational agencies from being eligible to receive funds or any other financial assistance under any Federal program unless they certify that they have adopted and implemented a program to prevent the use of illicit drugs and alcohol by students or employees. Sets forth minimum features of such a program, including sanctions up to and including expulsion or termination of employment and referral for prosecution. Requires that each State educational agency certify that it has adopted and implemented a program to prevent the use of illicit drugs and the abuse of alcohol by students and employees that is consistent with the program required of local educational agencies by this Act. Provides for sanctions against local educational agencies that fail to implement their programs or to consistently enforce their sanctions, including termination of any form of financial assistance. Amends the Drug-Free Schools and Communities Act of 1986 to remove provisions requiring local and intermediate educational agency applicants for drug and alcohol abuse prevention and education grants to include in their applications descriptions of: (1) their drug and alcohol policy; (2) how they will monitor the effectiveness of their program; and (3) how they will establish, implement, or augment their program. Provides, notwithstanding specified provisions of this Act, that the provisions of this Act prohibiting institutions of higher education and local and State educational agencies from receiving Federal financial assistance until they implement a drug and alcohol program shall not take effect until enactment of a law containing certain provisions, to be cited as the Transportation Employee Testing Act of 1989. (The text of such law is set forth within this Act. It amends the Federal Aviation Act of 1958, the Federal Railroad Safety Act of 1970, and the Commercial Motor Vehicle Safety Act of 1986, providing, in certain circumstances, for: (1) regulation of, and testing for, the use of alcohol and controlled substances by employees in the transportation industry; (2) rehabilitation programs for such employees; and (3) other matters.) Prohibits any local educational agency from using any of the funds released by the provisions covered by this paragraph unless funds are made available for each fiscal year to the chief executive officer of a State which may be used with existing power for random drug testing programs for students voluntarily participating in extracurricular activities, provided such testing is done only in schools which voluntarily choose to participate in such a program. Amends Federal law to require that, for (currently, at the end of) each of FY 1990 through 1993 (currently, FY 1990 through 1992), the Attorney General transfer a specified amount from the Department of Justice Assets Forfeiture Fund to the Special Forfeiture Fund. Allows up to a specified amount or, in certain circumstances, one-tenth of the previous year's obligations (currently, one-twelth of the previous year's expenditures) to be retained. Makes conforming amendments to the Anti-Drug Abuse Act of 1988. Amends the Controlled Substances Act to remove provisions directing the Attorney General to assure that any forfeited property transferred to a State or local law enforcement agency is not so transferred to circumvent State law regarding forfeiture. Prohibits funds made available under this Act for the Office of National Drug Control Policy from the special forfeiture fund from being used after February 1, 1990, if the Director of National Drug Control Policy has not designated high-intensity drug trafficking areas pursuant to specified provisions of the Anti-Drug Abuse Act of 1988. Amends the Public Health Service Act to require that a State, as a part of its application for allotment of block grant funds relating to drug abuse, develop, implement, and submit an approved Statewide Drug Treatment Plan. Specifies the required contents of the Plan. Allows funds appropriated to carry out the Foreign Assistance Act of 1961 or the Arms Export Control Act to be made available for any narcotics-related activities in Colombia, Bolivia, and Peru to carry out any provisions of such Acts notwithstanding: (1) provisions of the Foreign Assistance Act relating to the furnishing of assistance to any country which is in default on loan payments to the United States or relating to funds made available to carry out police training; or (2) specified provisions of the Foreign Operations, Export Financing, and Related Appropriations Act, 1989 or any other provision restricting the furnishing of assistance to countries in default on loan payments to the United States. Requires that, of amounts made available under this Act, a specified sum be used for the block grant program under specified provisions of the Public Health Service Act to make grants to carry out substance abuse programs, but excludes such amount from the calculation of amounts to be used for programs and activities relating to substance abuse under specified provisions of such Act. Amends the Abandoned Infants Assistance Act of 1988 to add references to infants who are victims of parental substance abuse to provisions relating to the establishment and purpose of certain demonstration projects. Amends the Public Health Service Act to change the formula for determination of the amount of the allotment to a State under existing alcohol and drug abuse and mental health services block grant provisions. Amends the Drug-Free Schools and Communities Act of 1986 to increase the amount authorized to be appropriated for FY 1990 through 1993 for certain drug abuse education and prevention programs. Requires that certain amounts be used by the chief executive officer of a State to make contracts with, and emergency grants to, local educational agencies serving urban and rural communities with severe drug problems, with initial grants going to local educational agencies serving the largest city in the State to develop and implement comprehensive approaches to eliminating the serious drug problem. Allows waiver of these requirements for States in which there is no concentration of drug problems. Provides that State programs operating under existing provisions may use funds remaining after such contracts and emergency grants have been made.
Bill· HRH.R. 3421 (101st)open
United States · United States Congress · 5 October 1989
Directs the Attorney General to classify anabolic steroids as schedule II substances under the Controlled Substances Act, except that prescriptions for such substances may be refilled without restriction. Specifies that an anabolic steroid which is expressly intended for administration through implants to cattle or other nonhuman species and which has been approved by the Secretary of Health and Human Services for such purpose shall not be placed in schedule II. Provides that any person who prescribes, dispenses, or distributes such steroid for human use shall be considered to have prescribed, dispensed, or distributed a schedule II substance. Defines "anabolic steroid" as any drug that is chemically related to the male hormone testosterone or any other hormonal substance which promotes or purports to promote muscle growth, including specified substances. Amends the Public Health Service Act to require the Director of the Office for Substance Abuse Prevention to develop and support innovative demonstration programs designed to identify and deter the improper use or abuse of anabolic steroids by students, especially students in secondary schools. Establishes the Interagency Coordinating Council on the Abuse of Anabolic Steroids.
Bill· HRH.R. 3422 (101st)referred
United States · United States Congress · 5 October 1989
Amends title XVIII (Medicare) of the Social Security Act to permit the Secretary of Health and Human Services to reimburse fiscal intermediaries and carriers for administrative costs on other than a reasonable charge basis.
Bill· HRH.R. 3426 (101st)referred
United States · United States Congress · 5 October 1989
District of Columbia Demand Reduction Effectiveness Demonstration Act of 1989 - Directs the Secretary of Health and Human Services to make a grant providing payments over five years to an organization for the establishment and operation of a comprehensive drug and alcohol addiction treatment (CDAAT) program for District of Columbia residents. Requires that no less than 50 percent of the individuals receiving CDAAT services be individuals whose family income does not exceed 200 percent of the Federal poverty level and that any charges imposed on a service recipient for addiction treatment be based on his or her ability to pay for such treatment. Directs the CDAAT organization to enter into an agreement with an assessment and case management organization, treatment providers, and a treatment evaluation unit for the conduct of the program in accordance with specified requirements, including the requirement that evaluation units compile information on program participants and the treatment they receive for transmittal to the CDAAT organization and the Secretary. Sets the Federal share of the CDAAT organization's unrecovered CDAAT program costs at two-thirds of such costs, with the District of Columbia covering the remainder of such costs. Authorizes appropriations to the Secretary and the District of Columbia for the program. Determines the allowable costs of the CDAAT program pursuant to a prospective payment system in the program's final three years. Makes the provisions of the Public Health Service Act relating to patient confidentiality and disclosure of records applicable to the CDAAT program. Directs the CDAAT organization to annually compile and submit information to the Secretary on CDAAT program effectiveness. Directs the Secretary to contract with an institution of higher education in the District of Columbia for the conduct of a study of the clinical and cost effectiveness of the CDAAT program's various drug and alcohol addiction treatment methods and services. Requires such institution to report to the Secretary within one year after this Act's enactment on study results and annually update such report using information submitted to the Secretary by the CDAAT organization on program effectiveness.
Bill· HRH.R. 3414 (101st)referred
United States · United States Congress · 5 October 1989
Amends the Internal Revenue Code to exclude from gross income up to $2,000, adjusted for inflation, of distributions from an individual retirement plan if: (1) the payee has attained age 59 1/2 on or before the date of distribution; and (2) the distribution is used during the taxable year to pay premiums for a long-term health care insurance policy covering necessary diagnostic, preventive, therapeutic, rehabilitative, maintenance, or personal care services for the payee or a spouse meeting the same 59 1/2 year age requirement.
Bill· SS. 1726 (101st)open
United States · United States Congress · 4 October 1989
Amends the Medicare Catastrophic Coverage Act of 1988 to repeal provisions: (1) setting a cap on an individual's out-of-pocket expenses under part B (Supplementary Medical Insurance) of title XVIII (Medicare) of the Social Security Act; (2) establishing the Prescription Drug Payment Review Commission and outpatient drug study and reporting requirements; (3) creating the Federal Catastrophic Drug Insurance Trust Fund and the Medicare Catastrophic Coverage Account; and (4) imposing a supplemental Medicare premium on Medicare beneficiaries whose tax liability equals or exceeds $150. Amends part A (Hospital Insurance) of the Medicare program to cover post-hospital extended care services for up to 100 days in a calendar year and other extended care services to the extent the Secretary of Health and Human Services finds will not result in an increase of Medicare expenditures or after the acute care nature of the benefit. (Currently, coverage of extended care services is provided for up to 150 days in a calendar year.) Modifies the methods of determining the coinsurance amount required of recipients of post-hospital extended care services. Directs the Secretary to report to the Congress by February 1, 1990, on reasons for the unexpected increase in cost estimates of Medicare extended care services, including recommendations for further modification of such coverage while the provision of long-term care benefits receives consideration. Limits Medicare drug benefits to immunosuppressants and home IV drugs. Provides for the annual adjustment of the Medicare part B premium in a manner which takes into account this Act's changes in catastrophic coverage. Requires Medicare supplemental insurance policies from which individuals terminated their coverage as of January 1, 1989, (or the earliest renewal date thereafter) to offer such individual a continuation of coverage under terms respecting treatment of pre-existing conditions and group rating of premiums which are at least as favorable as terms which existed on December 31, 1988. Directs the Secretary to: (1) take this Act's amendments into account in determining the payments to be made to health maintenance organizations; (2) require such organizations to adjust their agreements with Medicare beneficiaries in consideration of such amendments; and (3) notify Medicare beneficiaries of changes made by this Act's amendments.
Bill· SS. 1711 (101st)open
United States · United States Congress · 2 October 1989
Amends the Omnibus Crime Control and Safe Streets Act of 1968 to prohibit Federal assistance to any State that has not implemented a drug testing program for targeted classes of arrestees, prisoners, and persons on conditional or supervised release before or after conviction. Directs the Attorney General to promulgate regulations for such programs, based in part on scientific and technical standards determined by the Secretary of Health and Human Services to ensure the reliability and accuracy of test results. Specifies that such regulations may include guidelines or specifications concerning: (1) the classes of persons to be targeted for testing; (2) the drugs to be tested for; (3) the frequency and duration of testing; and (4) the effect of test results in decisions concerning the sentence, conditions to be imposed on release before or after conviction, and the granting, continuation, or termination of such release.
Bill· SS. 1703 (101st)open
United States · United States Congress · 29 September 1989
Requires that the amount equal to one-third of the total amount collected or recovered in a fiscal year as reimbursement from third parties for care and services furnished by a Department of Veterans Affairs medical center be credited to the Department appropriation account for medical care and be available to such medical center for the provision of direct patient care.
Bill· SS. 1691 (101st)referred
United States · United States Congress · 28 September 1989
Amends the Anti-Drug Abuse Act of 1988 to require the Director of National Drug Control Policy to approve or revise budget requests in consultation with the appropriate program manager and agency or department head. Authorizes the head of any National Drug Control Program agency to appeal to the President any decision of the Director on budget, reprogramming, or transfer matters related to such agency.
Bill· SJRESS.J.Res. 210 (101st)referred
United States · United States Congress · 28 September 1989
Designates October 1989 as National Spina Bifida Month.
Bill· SS. 1679 (101st)referred
United States · United States Congress · 27 September 1989
Drug Abuse Treatment Act of 1989 - Amends title XIX (Medicaid) of the Social Security Act to authorize States to provide Medicaid coverage of substance abuse treatment services for individuals of any age whose income is at or below 185 percent of the Federal poverty level. Requires States which provide such services to guarantee such services to individuals for at least one year after such individuals receive Medicaid substance abuse treatment services. Authorizes the provision of Medicaid substance abuse treatment services to an individual during a presumptive eligibility period which lasts no more than 45 days after the preliminary eligibility determination. Requires providers to notify: (1) the State Medicaid agency of a presumptive eligibility determination within five working days of such determination; and (2) individuals of their need to apply for Medicaid substance abuse treatment services within 14 days of a presumptive eligibility determination and their possible eligibility for other Medicaid services. Directs States to ensure that Medicaid substance abuse treatment recipients who successfully complete the treatment program perform outreach activities to assist other individuals desiring to rid themselves of substance abuse problems. Exempts certain recipients from participation in outreach activities. Covers the supportive services necessary for a person's participation in such outreach activities. Sets the Federal share of State expenditures for Medicaid substance abuse treatment outreach services at 75 percent. Increases the Federal share of Medicaid expenditures for emergency services where such expenditures represent an increase in State Medicaid coverage of emergency services in areas with a high incidence of substance abuse.
Bill· SS. 1673 (101st)referred
United States · United States Congress · 26 September 1989
Drug Abuse Treatment Act of 1989 - Amends title XIX (Medicaid) of the Social Security Act to authorize States to provide Medicaid coverage of substance abuse treatment services for individuals of any age whose income is at or below 185 percent of the Federal poverty level.
Bill· SS. 1671 (101st)referred
United States · United States Congress · 26 September 1989
Family Planning Amendments Act of 1989 - Revises the present family planning projects under the Public Health Service Act. Authorizes grants for State-administered family planning programs, including natural family planning methods, infertility services, services for adolescents, and adoption services. Authorizes appropriations for State programs for FY 1990 through 1992. Sets forth allotment and reallotment formulas. Retains current Federal family planning program requirements, including the prohibition on funding programs where abortion is a method of family planning, the priority that funds be used for family planning services to low-income families, and the requirement that acceptance of services be voluntary. Prohibits State use of funds for inpatient services and land purchases. Limits administrative expenses to ten percent. Sets forth State application requirements, prohibiting Federal prescription of the manner of compliance with such requirements. Requires annual State reports on activities, prohibiting unreasonable requirements by the Secretary of Health and Human Services for information not readily available to the State.
Bill· SS. 1670 (101st)referred
United States · United States Congress · 26 September 1989
Amends title XVIII (Medicare) of the Social Security Act with respect to the inclusion of surgical and prosthodontic procedures following oral cancer and jaw reconstruction surgery within Medicare coverage.
Bill· HRH.R. 3350 (101st)referred
United States · United States Congress · 26 September 1989
Amends the Omnibus Crime Control and Safe Streets Act of 1968 to prohibit Federal assistance to any State that has not implemented a drug testing program for targeted classes of arrestees, prisoners, and persons on conditional or supervised release before or after conviction. Directs the Attorney General to promulgate regulations for such programs based in part on scientific and technical standards determined by the Secretary of Health and Human Services to ensure the reliability and accuracy of test results. Specifies that such regulations may include guidelines or specifications concerning: (1) the classes of persons to be targeted for testing; (2) the drugs to be tested for; (3) the frequency and duration of testing; and (4) the effect of test results in decisions concerning the sentence, conditions to be imposed on release before or after conviction, and the granting, continuation, or termination of such release. Amends the Public Health Service Act to require a State, in order to receive the drug abuse portion of its allotment under such Act for a fiscal year, to develop, implement, and submit an approved Statewide Drug Treatment Plan. Requires such Plan to include a single, designated State agency for formulating and implementing the Plan and a description of: (1) the mechanisms used to assess the needs and make funding allocations for drug treatment throughout the State; (2) a statewide plan to expand treatment capacity; (3) performance-based criteria to be used to allocate funds; (4) drug-free patient and workplace programs (which must include drug testing) to be utilized in drug treatment facilities and programs; (5) actions to be taken to improve the referral of drug users to appropriate treatment facilities; (6) the program of in-service training to be implemented for employees of treatment facilities receiving Federal funds; (7) the plan to be implemented to coordinate drug treatment facilities with other social, health, correctional, and vocational services; and (8) the plan to be implemented to expand and improve efforts to contact and treat expectant women who use drugs and provide appropriate followup care to their affected newborns. Requires such Plan to be submitted to the Secretary annually for review and approval. Authorizes the Secretary to review, approve, disapprove, and propose changes to State plans. Requires each State to submit such reports as the Secretary may require and to comply with such additional provisions as the Secretary may find necessary to verify the accuracy of such reports. Authorizes the Secretary to waive any or all requirements of this Act with respect to the Plan upon the written request of a State, provided that the State implements an alternative treatment plan that fulfills the objectives of this Act. Amends the Higher Education Act of 1965 to make ineligible for Federal funds or assistance any institution of higher education which fails to certify to the Secretary that it has adopted and implemented a program to prevent illicit drug use and alcohol abuse by students and employees that includes the annual distribution to each student and employee of: (1) standards of conduct that clearly prohibit the unlawful possession, use, or distribution of illicit drugs and alcohol by students and employees on its property or as part of its activities; (2) a description of applicable sanctions under local, State, or Federal law for unlawful possession or distribution of such drugs; (3) health risks associated with such use; (4) any drug or alcohol counseling, treatment, or rehabilitation programs available to employees or students; and (5) a clear statement that the institution will impose sanctions, and a description of such sanctions, up to and including expulsion or termination of employment and referral for prosecution. Requires such program to provide for a biennial review by the institution to determine the program's effectiveness, to implement changes as needed, and to ensure that sanctions are consistently enforced. Requires: (1) each institution that provides such certification to make a copy and the results of such biennial review available, upon request, to the Secretary and to the public; and (2) the Secretary to publish regulations to implement and enforce this Act, including regulations providing for periodic review of programs and sanctions, up to and including the termination of financial assistance, for institutions of higher education that fail to implement their programs or to consistently enforce their sanctions. Allows sanctions to include the completion of an appropriate rehabilitation program. Amends the Drug-Free Schools and Communities Act of 1986 to make ineligible for Federal funds or assistance any local educational agency which fails to certify to the State educational agency that has adopted and implemented an analogous program to prevent the use of illicit drugs and alcohol by students or employees. Authorizes appropriations for FY 1990 through 1993 for the Special Forfeiture Fund. Waives provisions of the Foreign Assistance Act of 1961 and the Foreign Operations, Export Financing, and Related Appropriations Act, 1989 to make certain appropriated funds available for narcotics-related activities in Colombia, Bolivia, and Peru.
Bill· HRH.R. 3348 (101st)referred
United States · United States Congress · 26 September 1989
Amends part A (General Provisions) of title XI of the Social Security Act to authorize the Secretary of Health and Human Services to exclude physicians who violate Federal Food, Drug, and Cosmetic Act regulations governing the investigational use of new drugs from participation in the Medicare program (title XVIII of the Social Security Act) and State health care programs.
Bill· SS. 1668 (101st)referred
United States · United States Congress · 25 September 1989
Amends the Mail Order Drug Paraphernalia Control Act to make the Director of National Drug Control Policy responsible for enforcement of such Act. Directs the Commissioner of Customs to: (1) prescribe and maintain a comprehensive list of articles that constitute drug paraphernalia; and (2) hold public hearings, prior to prescribing such list and periodically thereafter, regarding such list. Directs the Secretary of the Treasury, the Secretary of Commerce, and the U.S. International Trade Commission to take actions under the Tariff Act of 1930 to implement certain recommendations of the Commission regarding statistical annotations made in the Commission's report.
Bill· HRH.R. 3302 (101st)referred
United States · United States Congress · 20 September 1989
Medicare Reimbursement Update Act of 1989 - Amends title XVIII (Medicare) of the Social Security Act to require the Secretary of Health and Human Services to annually update hospital area wage index factors (used in determining the amount of Medicare payments to be made to hospitals for wage-related costs) using the most current data available. Increases, by one percent of total annual Medicare payments for hospital discharges, the minimum and maximum percentage of such payments which may represent outlier payments compensating hospitals for exceptionally long or costly hospitalization. Directs the Secretary to report to the Congress within 60 days after this Act's enactment on steps taken in establishing a data base of the operating costs of Medicare inpatient hospital services, a standardized electronic hospital cost reporting format, and a demonstration project to determine the feasibility of establishing a uniform hospital reporting system. Prohibits the Secretary from determining the amount of Medicare payments to be made to health maintenance organizations (HMOs) on the basis of an average of payments in previous years. Repeals the prohibition against risk-sharing contract between the Secretary and HMOs which have had such contracts terminated at their request within the preceding five years. Makes the annual per capita payment rate for each class of HMO member equal to, rather than 95 percent of, the adjusted average per capita cost for that class. Requires the Director of the Health Care Financing Administration to submit a specific legislative proposal to the Congress by September 1, 1990, for taking into account variations in severity of illness and case complexity in determining Medicare payments to HMOs. Requires Medicare carriers, fiscal intermediaries, and peer review organizations to provide providers, practitioners, and suppliers with at least 30-days advance notice of policy changes affecting Medicare payments. Establishes the Task Force on Medicare Reimbursement of Health Maintenance Organizations which shall: (1) periodically review the methodology employed in determining Medicare (HMO) payment rates; (2) document and report on discrepancies between actual and projected HMO costs; and (3) assess alternative methodologies for determining Medicare HMO payment rates. Sets forth reporting requirements. Authorizes appropriations for such Task Force. Terminates the Task Force on January 2, 1993.
Bill· HRH.R. 3286 (101st)open
United States · United States Congress · 18 September 1989
Amends part B (Supplementary Medical Insurance) of title XVIII (Medicare) of the Social Security Act to cover an annual screening mammography for women over age 64.
Bill· HRH.R. 3285 (101st)referred
United States · United States Congress · 18 September 1989
Amends title XIX (Medicaid) of the Social Security Act to provide Medicaid coverage of screening mammographies for women age 35 and older. Varies the permissible frequency of such covered tests on the basis of a woman's age and her risk of developing breast cancer. Directs the Secretary to periodically review and revise permissible frequencies of such tests, and to establish standards which assure their safety and accuracy.
Bill· HRH.R. 3284 (101st)referred
United States · United States Congress · 18 September 1989
Amends titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act to permit hospitals to use Medicare and Medicaid payments as collateral for a loan.
Resolution· HCONRESH.Con.Res. 197 (101st)referred
United States · United States Congress · 18 September 1989
Expresses the sense of the Congress that States should require health insurance providers to cover screening mammographies by January 1, 1991, in accordance with screening frequency guidelines established by the National Cancer Institute and equipment quality standards established by the Secretary of Health and Human Services.
Bill· SJRESS.J.Res. 197 (101st)referred
United States · United States Congress · 14 September 1989
Designates October 1989 as National HIV and AIDS Awareness Month.
Bill· HJRESH.J.Res. 405 (101st)referred
United States · United States Congress · 14 September 1989
Designates October 1989 as National HIV and AIDS Awareness Month.
Bill· HRH.R. 3272 (101st)referred
United States · United States Congress · 13 September 1989
Amends part B (Supplementary Medical Insurance) of title XVIII (Medicare) of the Social Security Act to require that Medicare coverage denial notices provided to nonparticipating physicians and their patients include an explanation of such denial.
Bill· HRH.R. 3262 (101st)referred
United States · United States Congress · 13 September 1989
Catastrophic Coverage Repeal Act of 1989 - Repeals the Medicare Catastrophic Coverage Act of 1988.
Bill· SS. 1606 (101st)open
United States · United States Congress · 12 September 1989
Disadvantaged Minority Health Improvement Act of 1989 - Title I: Health Promotion and Disease Prevention for Minorities - Subtitle A: Programs for Minorities Generally - Amends the Public Health Service Act (PHSA) to provide for the establishment of an Office of Minority Health. Authorizes the Secretary of Health and Human Services to make grants and contracts for research, training, education, epidemiological studies, and data collection with respect to the prevention and control among minority groups of diseases or other adverse health conditions. Authorizes appropriations. Directs the Secretary to administer provisions of the PHSA in cooperation with specified types of individuals, agencies, and organizations. Directs the Secretary to make grants or contracts for new and innovative programs in health information and health promotion, preventive health services, and education in the appropriate use of health care, specifically targeted at improving the health status of disadvantaged minorities. Authorizes appropriations. Subtitle B: Programs for American Samoa - Directs the Secretary to make grants or contracts for health promotion and disease prevention services for American Samoans living in the continental United States and the State of Hawaii. Authorizes appropriations. Title II: Disadvantaged Minorities in Health Professions - Subtitle A: Health Professions Generally - Requires that the Federal capital contribution and the school contribution to a student loan fund under existing provisions be used only for making loans to individuals from disadvantaged backgrounds. Authorizes appropriations. Authorizes the Secretary to make grants to health professions schools for scholarships to full-time students who are members of underrepresented minority groups and are from disadvantaged backgrounds. Authorizes appropriations. Directs the Secretary to establish a loan repayment program to assure an adequate supply of health professionals who are members of underrepresented minority groups and from disadvantaged backgrounds. Requires that loan recipients agree to accept a full-time faculty appointment at certain schools for at least two years. Authorizes appropriations. Subtitle B: Nursing - Authorizes the Secretary to make grants to schools of nursing for scholarships for full-time students who are members of underrepresented minority groups and from disadvantaged backgrounds. Authorizes appropriations. Directs the Secretary to establish a loan repayment program for full-time students in their final year of study who are members of underrepresented minority groups and from disadvantaged backgrounds. Requires that loan recipients agree to accept a full-time faculty appointment at certain schools for at least two years. Authorizes appropriations. Title III: Coordination of Federal Expenditures for Health Programs of Trust Territories of the Pacific Islands - Directs the Secretary to establish the Pacific Basin Health Services Council to monitor the need for health services and health professions development in the Pacific Basin and to establish priorities for the expenditure of public health funds in the Pacific Basin. Defines Pacific Basin to mean the Federated States of Micronesia, the Republic of Palau, the Republic of the Marshall Islands, the Commonwealth of the Northern Mariana Islands, Guam, and American Samoa. Requires the Council to give first priority in expending funds to continuing a specified medical officer training program. Authorizes appropriations.
Bill· SS. 1607 (101st)referred
United States · United States Congress · 12 September 1989
Amends title XVII (Health Information and Health Promotion) of the Public Health Service Act to direct the Secretary of Health and Human Services to establish, in the Office of the Assistant Secretary for Health, an Office of Minority Health. Sets forth the duties of the new office regarding AIDS and other minority health matters. Requires the Secretary to appoint a Director for the new office who is a member of the Public Health Service Corps. Authorizes appropriations for title XVII for FY 1991 through 1993. Revises provisions relating to the research, community, and information programs the Secretary is authorized to conduct and support to insert references to minorities and minority communities and to make other changes. Directs the Secretary to submit to the President for transmission to the Congress an annual report on the status of minority health care efforts.
Bill· SS. 1591 (101st)referred
United States · United States Congress · 12 September 1989
Community Mental Health Services Act of 1989 - Amends title XVIII (Medicare) of the Social Security Act to cover services furnished by clinical social workers, marriage and family therapists, and psychiatric nurses on-site at a community mental health center or necessarily furnished off-site due to the condition of the service recipient. Refers to such services as qualifed mental health professionals services. Sets the Medicare payment for such services at 80 percent of the lesser of the actual charge for such services or the amount determined pursuant to a fee schedule established by the Secretary of Health and Human Services. Requires that payment for mental health professionals services be made only on an assignment-related basis. Extends covered partial hospitalization services to include psychologist and mental health professional services prescribed by a physician and provided by a community mental health center to its outpatients as distinct and organized intensive ambulatory treatment services offering less than 24-hour daily care.
Bill· HRH.R. 3251 (101st)open
United States · United States Congress · 12 September 1989
Authorizes to be appropriated for FY 1990, in addition to sums already authorized, a certain amount to the National Cancer Institute for breast cancer research other than research which involves treatment or clinical trials.
Bill· HRH.R. 3253 (101st)referred
United States · United States Congress · 12 September 1989
Repeals Medicare (title XVIII of the Social Security Act) catastrophic health care coverage provided under the Medicare Catastrophic Coverage Act of 1988.
Bill· HRH.R. 3240 (101st)referred
United States · United States Congress · 11 September 1989
Disadvantaged Minority Health Improvement Act of 1989 - Title I: Health Promotion and Disease Prevention for Minorities - Subtitle A: Programs for Minorities Generally - Amends the Public Health Service Act (PHSA) to provide for the establishment of an Office of Minority Health. Authorizes the Secretary of Health and Human Services to make grants and contracts for research, training, education, epidemiological studies, and data collection with respect to the prevention and control among minority groups of diseases or other adverse health conditions. Authorizes appropriations. Directs the Secretary to administer provisions of the PHSA in cooperation with specified types of individuals, agencies, and organizations. Directs the Secretary to make grants or contracts for new and innovative programs in health information and health promotion, preventive health services, and education in the appropriate use of health care, specifically targeted at improving the health status of disadvantaged minorities. Authorizes appropriations. Subtitle B: Programs for American Samoa - Directs the Secretary to make grants or contracts for health promotion and disease prevention services for American Samoans living in the continental United States and the State of Hawaii. Authorizes appropriations. Title II: Disadvantaged Minorities in Health Professions - Subtitle A: Health Professions Generally - Requires that the Federal capital contribution and the school contribution to a student loan fund under existing provisions be used only for making loans to individuals from disadvantaged backgrounds. Authorizes appropriations. Authorizes the Secretary to make grants to health professions schools for scholarships to full-time students who are members of underrepresented minority groups and are from disadvantaged backgrounds. Authorizes appropriations. Directs the Secretary to establish a loan repayment program to assure an adequate supply of health professionals who are members of underrepresented minority groups and from disadvantaged backgrounds. Requires that loan recipients agree to accept a full-time faculty appointment at certain schools for at least two years. Authorizes appropriations. Subtitle B: Nursing - Authorizes the Secretary to make grants to schools of nursing for scholarships for full-time students who are members of underrepresented minority groups and from disadvantaged backgrounds. Authorizes appropriations. Directs the Secretary to establish a loan repayment program for full-time students in their final year of study who are members of underrepresented minority groups and from disadvantaged backgrounds. Requires that loan recipients agree to accept a full-time faculty appointment at certain schools for at least two years. Authorizes appropriations. Title III: Coordination of Federal Expenditures for Health Programs of Trust Territories of the Pacific Islands - Directs the Secretary to establish the Pacific Basin Health Services Council to monitor the need for health services and health professions development in the Pacific Basin and to establish priorities for the expenditure of public health funds in the Pacific Basin. Defines Pacific Basin to mean the federated States of Micronesia, the Republic of Palau, the Republic of the Marshall Islands, the Commonwealth of the Northern Mariana Islands, Guam, and American Samoa. Requires the Council to give first priority in expending funds to continuing a specified medical officer training program. Authorizes appropriations.
Bill· HRH.R. 3230 (101st)open
United States · United States Congress · 7 September 1989
Title I: Provisions Relating to Part A of Medicare Program and Supplemental Medicare Premium - Amends the Internal Revenue Code to reduce Supplemental Medicare Premium rates. Makes such premium applicable only to those who opt for Medicare part B (Supplementary Medical Insurance) coverage. Amends the Medicare program to abolish the Federal Hospital Insurance Catastrophic Coverage Reserve Fund. Title II: Provisions Relating to Part B of the Medicare Program - Gives individuals a one-time option of disenrolling from the part B program. Extends the basic part B premium through 1993. Increases such premium and the catastrophic drug deductible. Delays Medicare payments near and until the close of each fiscal year from 1990 through 1993. Revises catastrophic coverage funding formulas and accounts.
Bill· HRH.R. 3236 (101st)referred
United States · United States Congress · 7 September 1989
National Commission to Aid Homeless Mentally Ill Individuals Act - Establishes the National Commission to Aid Homeless Mentally Ill Individuals to: (1) develop a national policy for using existing knowledge, resources, and experience to improve the treatment and care for homeless mentally ill individuals; (2) develop strategies for generating new knowledge about methods of providing services for such individuals; (3) identify information that is known, and new information that is needed, relating to homeless individuals with severe mental disorders; and (4) study other matters relating to homeless mentally ill individuals. Provides for the powers of the Commission and sets forth reporting requirements. Terminates the Commission 90 days after submission of its final report.
Bill· SS. 1562 (101st)referred
United States · United States Congress · 4 August 1989
Amends title XVIII (Medicare) of the Social Security Act to increase the interest paid on late payments of provider clean claims. Makes such rate applicable to claims which are not clean but are found to be legitimate and complete and are not paid within 24 days of their receipt.
Bill· SS. 1558 (101st)referred
United States · United States Congress · 4 August 1989
End Stage Renal Disease Patient Rights and Payment Equity Act of 1989 - Amends title XVIII (Medicare) of the Social Security Act to prohibit renal disease facilities and other providers of dialysis-related services, devices, and supplies from providing or utilizing reprocessed dialysis devices and supplies for the dialysis of a Medicare beneficiary before obtaining such beneficiary's informed, written consent. Requires such facilities and providers to assure such beneficiary that he or she will not be penalized for refusing consent to the provision or utilization of reprocessed devices and supplies and that nonreprocessed devices and supplies will be available. Requires that such beneficiary be informed of available Medicare grievance mechanisms. Freezes the base payment rate for routine dialysis treatment in renal dialysis facilities for FY 1990. Directs the Prospective Payment Assessment Commission to conduct a study and report to specified congressional committees by June 1, 1990, concerning the appropriate payment rates for renal dialysis services in FY 1991.
Bill· SS. 1552 (101st)referred
United States · United States Congress · 4 August 1989
Allied Health Professionals Promotion Act of 1989 - Amends provisions of the Public Health Service Act relating to grants and contracts concerning training of allied health personnel to direct the Secretary of Health and Human Services to allocate 75 percent of the funds authorized to those allied health fields or specialties the Secretary determines to have: (1) the most significant shortages of practitioners; and (2) a significant role in the care and rehabilitation of patients who are elderly or disabled. Changes the amount of currently authorized appropriations for FY 1990 and 1991. Directs the Secretary to make grants and enter into contracts to assist allied health students in meeting the costs of entry level education. Requires the amounts to be used for tuition, fees, and stipends and allowances. Directs the Secretary to allocate 75 percent of the funds authorized to those allied health fields the Secretary determines to have: (1) the most significant shortages of practitioners; and (2) a significant role in the care and rehabilitation of patients who are elderly or disabled. Makes payments of tuition under these provisions to, or on behalf of, a participating student, notwithstanding other law, exempt from taxation. Authorizes appropriations for FY 1990 and 1991. Changes the amount of currently authorized appropriations for traineeships for advanced training of allied health personnel for FY 1990 and 1991. Establishes the Division of Allied Health Professions within the Health Resources and Services Administration's Bureau of Health Professions in order to consolidate and focus the efforts of the Federal Government in support of allied health education, training, and research. Establishes within the Division the Advisory Council on Allied Health. Directs the Secretary to establish a two-year pilot program to make grants to support innovative allied health research projects. Requires the program to be administered through the Division. Authorizes appropriations for FY 1990 and 1991.
Bill· SS. 1550 (101st)referred
United States · United States Congress · 4 August 1989
Amends title XVIII (Medicare) of the Social Security Act to include a rural health clinic within the Medicare definition of "provider of services."
Bill· SS. 1544 (101st)referred
United States · United States Congress · 4 August 1989
Centers of Excellence in Geriatric Research and Training Act of 1989 - Amends the Public Health Service Act to require the Director of the National Institute on Aging to enter into cooperative agreements with and make grants to public and private nonprofit entities to pay costs of development or expansion of centers of excellence in geriatric research and training. Requires each such center to use the facilities of a single institution or be formed from a consortium. Requires centers to conduct research into the aging processes and into diagnosis and treatment related to aging, advanced training programs, programs to develop individuals capable of conducting research, and educational and training activities for students of the health professions. Requires centers to place primary emphasis on training physicians to train other physicians and students in geriatrics. Requires the Director to conduct an evaluation and report annually to appropriate committees of the Congress. Authorizes appropriations for FY 1990 through 1992.
Law· SJRESS.J.Res. 194 (101st)enacted
United States · United States Congress · 4 August 1989
Designates November 12 through November 18, 1989, as National Glaucoma Awareness Week.
Bill· SJRESS.J.Res. 189 (101st)referred
United States · United States Congress · 4 August 1989
Designates the week of September 17 through September 23, 1989, as National Critical Care Awareness Week.
Bill· HRH.R. 3212 (101st)referred
United States · United States Congress · 4 August 1989
Radiation and Toxic Substances Research Reorganization Act of 1989 - Transfers to the Secretary of Health and Human Services (Health Secretary) the authority of the Secretary of Energy (Energy Secretary) to conduct, under specified provisions of the Energy Reorganization Act of 1974 and any other law, epidemiological studies of the effects of workplace and public exposure to radiation and toxic substances. Transfers related positions, property, records, obligations, commitments, and unexpended appropriations. Directs the Health Secretary to undertake a comprehensive program of epidemiological research into the health effects of workplace and public exposure to radiation and toxic substances with the aim of identifying the nature and magnitude of the risk to the public and to the workforce of Department of Energy (DOE) facilities resulting from activities of the DOE and its predecessors. Directs the Energy Secretary to submit to the Health Secretary and the Congress: (1) a complete listing of data and records held or maintained by the DOE and of potential use in the conduct and evaluation of epidemiological and related studies; and (2) a complete record of funds expended by that department on research related to the health effects of workplace and public exposure to radiation and toxic substances during each of the five years preceding enactment of this Act. Directs the Energy Secretary to provide to the Health Secretary access to all data and records not transferred to the Department of Health and Human Services (HHS) under other provisions of this Act if the records are deemed by the Health Secretary to be useful to epidemiological research, health risk assessments, and related studies, and if confidentiality requirements are met. Directs the Health Secretary to grant access to the public to data held or developed by HHS, including data obtained from DOE, in accordance with the established practices of HHS. Authorizes the Health Secretary to: (1) undertake such research into radiation releases, dose reconstruction, toxic substances exposures, and health risk assessments, as necessary to carry out the function transferred under specified provisions of this Act; and (2) review research conducted by DOE, after enactment of this Act, relating to such matters. Directs the Health Secretary to conduct a comprehensive review of: (1) existing epidemiological studies relating to health effects of exposure to such radiation and toxic substances as may present a threat to occupational or public health at DOE facilities; and (2) existing and ongoing health risk assessments and studies relating to such radiation releases, dose reconstruction, and toxic substance exposures as may present a threat to occupational or public health at DOE facilities. Establishes the Advisory Panel on Radiation and Toxic Substances Research to advise the Health Secretary in carrying out the function transferred from the Energy Secretary under this Act. Declares that it is the sense of the Congress that the funding level to be provided each fiscal year to HHS for carrying out the function transferred by this Act should be at least as much as the greatest of the annual amounts reported by the Energy Secretary under provisions of this Act. Directs the Energy Secretary to reimburse HHS for all costs of carrying out the transferred function out of funds appropriated to the Energy Secretary. Allows funds provided to HHS for the purposes of this Act to be used to support: (1) a program of epidemiological research into the health effects of workplace and public exposure to radiation and toxic substances, and for other uses as the Secretary considers appropriate; and (2) activities of State public health agencies that are compatible with the purposes of this Act.
Bill· HRH.R. 3165 (101st)referred
United States · United States Congress · 4 August 1989
Catastrophic Coverage Repeal Act of 1989 - Repeals Medicare (title XVIII of the Social Security Act) catastrophic health care coverage provided under the Medicare Catastrophic Coverage Act of 1988. Makes transitional and conforming amendments.
Bill· HRH.R. 3204 (101st)referred
United States · United States Congress · 4 August 1989
State Offices of Rural Health Act of 1989 - Amends title VII (Administration) of the Social Security Act to require the Director of the Office of Rural Health Policy to make matching grants to States to establish State Offices of Rural Health which shall: (1) coordinate their activities with the rural development activities of the Agricultural Extension Service; (2) make recommendations on improving the quality and cost-effectiveness of rural health care delivery; (3) report periodically to the Office of Rural Health Policy on their activities; (4) communicate and cooperate with five rural health research centers located in North Carolina, North Dakota, Washington, Wisconsin, and Arizona; and (5) provide rural health leadership and advocacy for rural residents. Specifies optional activities each State Office of Rural Health may undertake. Prohibits States from using more than 20 percent of their grant for research. Authorizes appropriations for such grant program from FY 1990 through 1992. Requires an annual meeting between representatives of each State Office of Rural Health and representatives from the Office of Rural Health Policy to share information and coordinate strategies for improving the quality and effectiveness of rural health care delivery.