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Bill· SS. 3044 (101st)referred
United States · United States Congress · 13 September 1990
Amends part B (Supplementary Medical Insurance) of title XVIII (Medicare) of the Social Security Act to repeal the requirement that nonparticipating physicians file Medicare claims on behalf of all of their patients who are Medicare beneficiaries.
Bill· SS. 3042 (101st)referred
United States · United States Congress · 13 September 1990
Comprehensive Health Care Act of 1990 - Title I: Medicare Reimbursement for Rural Hospitals - Amends title XVIII (Medicare) of the Social Security Act to direct the Secretary of Health and Human Services and the Prospective Payment Assessment Commission to each submit to the Congress a report recommending a methodology for the elimination of the system of determining separate average standardized amounts for hospitals in large urban, other urban, or rural areas. Title II: Joint Use of High Technology Equipment and Services by Hospitals - Declares that, notwithstanding any provision of antitrust laws, it shall not be considered a violation of antitrust laws for hospitals to jointly undertake, in the provision of care, the purchasing, contracting for, or sharing of high technology equipment and services. Amends the Public Health Service Act to direct the Secretary of Health and Human Services to carry out demonstration projects to assist hospitals in acquiring and sharing high technology equipment and services. Directs the Secretary to make grants for up to three years to States for the Federal share of costs (50 percent). Authorizes appropriations. Title III: Health Care Claims Procedures and Minimum Benefits - Directs the Secretary to request the National Association of Insurance Commissioners to develop: (1) model regulations and laws to provide a uniform, low-cost, minimum health insurance benefit package for purchase by individuals, businesses, and governmental entities; and (2) a plan for standardizing public and private insurance forms, including simplification of terminology and claims procedures to facilitate comparison between policies and to enhance access to quality policies. Amends the Employee Retirement Income Security Act of 1974 (ERISA) to declare that health insurance issued under an employee welfare benefit plan is not excluded from provisions relating to supersedure of State laws. Title IV: Tax Incentives - Amends the Internal Revenue Code to allow a tax deduction of 100 percent (currently, 25 percent) of the amount paid for health insurance for a self-employed individual and that individual's spouse and dependents. Removes a provision terminating this deduction after FY 1990. Amends provisions of the Internal Revenue Code relating to refundable credits to allow a credit for a portion of the qualified health insurance expenses paid by an individual who is not covered by a health plan maintained by an employer of the individual or the individual's spouse. Sets forth special rules regarding coordination with advance payments and minimum tax, Medicare-eligible individuals, and subsidized expenses. Requires every employer paying wages to an employee who has certified to the employer that the employee is eligible for the credit to make an additional payment equal to the employee's dependent care advance amount. Requires that the health insurance expenses advance amount be determined on the basis of the employee's wages, the employee's estimated health insurance expenses, and tables provided by the Secretary. Sets forth special rules regarding self-employed individuals. Excludes expenses paid as a credit from treatment as expenses paid for medical care under provisions relating to itemized deductions. Includes expenditures for disease prevention and health promotion in the definition of medical care. Title V: Malpractice Reform - Amends the Public Health Service Act to direct the Assistant Secretary for Health, through the Agency for Health Care Policy and Research, to establish treatment practice guidelines specifying appropriate, inappropriate, and permissive methods of evaluation and treatment. Prohibits, except by a provider party to an action and notwithstanding any other provision of law, the standards from being introduced in evidence in any action in a Federal or State court. Provides for review and modifications of the guidelines. Establishes the National Advisory Council on Treatment Practice Guidelines. Authorizes appropriations. Amends the Social Security Act to require that determinations made by a peer review organization regarding whether payment shall be made under title XVIII (Medicare) of the Act be made on the basis of guidelines established under specified provisions of the Public Health Service Act. Amends the Public Health Service Act to direct the Assistant Secretary of Health, through the Agency for Health Care Policy and Research, to establish a program of grants to assist States in establishing prelitigation panels to identify meritorious claims of professional negligence, encourage resolution prior to lawsuit, and encourage withdrawal or dismissal of nonmeritorious claims. Authorizes appropriations. Title VI: Physician Issues - Subtitle A: Tax Incentives for Rural Practice - Rural Primary Care Incentives Act of 1989 - Amends the Internal Revenue Code to allow a refundable income tax credit of up to $12,000 per year (lifetime total of $36,000) for any physician who provides primary health services to residents of a rural health manpower shortage area and who is not receiving assistance under specified National Health Service Corps programs. Permits advance credit payments through income tax withholding. Directs the Secretary of Health and Human Services to study and report to the Congress concerning: (1) the need for non-physician primary care providers in targeted rural areas; (2) the effectiveness of the tax credit in increasing the supply of primary care physicians in the targeted areas; and (3) alternative methods of defining rural health manpower shortage areas. Excludes from gross income any payments made on behalf of a taxpayer by the National Health Service Corps Loan Repayment program. Subtitle B: Student Loan Deferment - Resident Physician Student Loan Deferment Act - Amends the Higher Education Act of 1965 to allow resident physicians to defer repayment of certain student loans while completing a resident training program accredited by the Accreditation Council for Graduate Medical Education or the Accrediting Committee of the American Osteopathic Association. Title VII: Long-Term Care Insurance - Amends provisions of the Internal Revenue Code relating to definitions and special rules involving life insurance companies to require that references to noncancellable accident or health insurance contracts be treated as including a reference to qualified long-term care insurance. Defines "qualified long-term care insurance" to mean insurance which provides coverage for at least 12 months and which meets other requirements. Requires that benefits received through long-term care insurance be treated as amounts received through accident or health insurance for personal injuries or sickness. Requires that expenses incurred to the extent of benefits paid under long-term care insurance be treated as incurred for medical care. Requires any reference to an accident or health plan to be treated as including a reference to a plan providing long-term care insurance. Provides for the deductibility of employer and taxpayer premiums for long-term care insurance. Excludes from gross income amounts withdrawn from individual retirement plans for long-term care insurance premiums. Requires that any amount paid to an individual under a life insurance contract on the life of an insured who is terminally ill, has a dread disease, or has been permanently confined to a nursing home be treated as an amount paid by reason of the death of the insured. Requires any reference to life insurance to be treated as including a reference to a rider providing for payment upon the insured becoming a terminally ill individual or incurring a dread disease. Includes such riders in the definition of "qualified additional benefits" as a part of the definition of "life insurance contract." Title VIII: State Uninsurable Pool Programs - Amends the Public Health Service Act to direct the Secretary of Health and Human Services to allocate funds to States for the Federal share of establishing State uninsurable pool programs to provide health insurance for medically uninsurable individuals. Makes the amount of an allotment dependent on the population of a State. Sets the Federal share at 75 percent. Authorizes appropriations. Title IX: Medicaid Coverage Demonstration Projects - Directs the Secretary of Health and Human Services to enter into agreements with two States for demonstration projects to study the effect on access to, and costs of, health care of eliminating the categorical eligibility requirement for Medicaid benefits for certain low-income individuals. Specifies the benefits which must be provided under the projects. Limits (in some cases prohibits) premiums and other cost-sharing. Requires the projects to be conducted for three years. Limits the total Federal amount paid in specified fiscal years.
Bill· SS. 3029 (101st)referred
United States · United States Congress · 12 September 1990
Medicaid Anti-Discriminatory Drug Price and Patient Benefit Restoration Act of 1990 - Amends title XIX (Medicaid) of the Social Security Act to condition Medicaid coverage of outpatient drugs provided by a manufacturer upon such manufacturer providing a quarterly rebate to each State Medicaid agency so that such agencies end up spending no more for single source and innovator multiple source drugs than the best price charged other customers and recover, for the purchase of other covered drugs, ten percent of the amount charged retail pharmacies and wholesalers for such drugs. Sets the best price at the lower of the best price in the marketplace when the drug is dispensed or the best price in the marketplace as of September 1, 1990, indexed to the consumer price index. Sets a floor and ceiling on manufacturer rebates. Authorizes a physician to obtain prior Medicaid approval to dispense a single source or innovator multiple source drug that is not subject to a rebate. Requires Medicaid prior approval programs to operate 24 hours a day and provide an immediate response to a physician's inquiry. Distributes ten percent of the rebates received by States in FY 1991 through 1993 to pharmacies. Requires each State to conduct a study of prescription drug dispensing fees and on March 1, 1993, and annually thereafter update the payment amounts for such services on the basis of their cost. Prohibits changes prior to March 1, 1993, in the formula for determining covered outpatient drug reimbursement limits which would result in a reduction in the limit relative to the ingredient cost or dispensing fee portion of the formula. Prohibits Federal payment for an innovator multiple source drug dispensed after March 1991 if a noninnovator multiple source drug (generic drug) could have been dispensed under State law. Directs each State to establish a drug use review program under which pharmacists review patients' drug therapy and provide counseling to such patients prior to their use of drugs and the State and Secretary of Health and Human Services retrospectively review prescription claims to identify and avert inappropriate patterns of prescribing and dispensing of drugs. Provides enhanced Federal funding of the costs of such programs. Requires each State to establish a drug use review board composed of physicians, pharmacologists, and pharmacists which shall conduct ongoing educational outreach and intervention programs for physicians and pharmacists targeted toward problems or individuals identified in the course of retrospective drug use reviews. Encourages States to establish a point-of-sale electronic claims management system for covered outpatient drugs by covering 90 percent of the cost of developing and implementing such system in FY 1991 and 1992. Requires the Director of the Congressional Office of Technology Assessment to appoint a Prescription Drug Policy Review Commission which shall advise the Congress on matters pertaining to the coverage, financing, and use of prescription drugs. Directs the Secretary to develop, by October 1, 1991, a Medicaid prescription drug data base on each State's program for Medicaid outpatient drugs. Authorizes appropriations. Provides that this Act does not require States to provide Medicaid coverage for the covered outpatient drugs of a manufacturer which requires, as a condition for the purchase of such drugs, that the manufacturer be paid for associated services or tests provided only by the manufacturer or its designee. Subjects such drugs that are covered, however, to the rebate requirement. Directs the Secretary to establish a demonstration project to evaluate the efficiency and cost-effectiveness of prospective drug utilization review in fulfilling patient counseling and reducing prescription drug costs, and another project to evaluate the impact on quality of care and cost-effectiveness of making Medicaid payments to pharmacists for drug utilization review services regardless of whether or not they dispense a drug. Requires studies on the therapeutic interchangeability of drugs and the drug purchasing and billing practices of institutional facilities and managed care plans which provide Medicaid outpatient drugs.
Bill· HRH.R. 5589 (101st)referred
United States · United States Congress · 12 September 1990
Medicaid Prescription Drug Fair Access and Pricing Act of 1990 - Amends title XIX (Medicaid) of the Social Security Act to condition Medicaid coverage of outpatient drugs provided by a manufacturer upon such manufacturer providing a quarterly rebate to each State Medicaid agency so that such agencies end up spending no more for single source and innovator multiple source drugs than the best price charged other customers and recover, for the purchase of other covered drugs, ten percent of the amount charged retail pharmacies and wholesalers for such drugs. Sets the best price at the lower of the best price in the marketplace when the drug is dispensed or the best price in the marketplace as of September 1, 1990, indexed to the consumer price index. Sets a floor and ceiling on manufacturer rebates. Authorizes a physician to obtain prior Medicaid approval to dispense a single source or innovator multiple source drug that is not subject to a rebate. Requires Medicaid prior approval programs to operate 24 hours a day and provide an immediate response to a physician's inquiry. Requires each State to develop a drug review program, by January 1, 1993, to assure that prescriptions are appropriate, medically necessary, and unlikely to result in adverse medical results. Includes prospective and retrospective drug prescription review and physician and pharmacist education in such program. Provides enhanced Federal funding of the cost of such programs. Provides that this Act does not require States to provide Medicaid coverage for the covered outpatient drugs of a manufacturer which requires, as a condition for the purchase of such drugs, that the manufacturer be paid for associated services or tests provided only by the manufacturer or its designee. Directs the Secretary of Health and Human Services to conduct a study on the therapeutic interchangeability of drugs.
Bill· HJRESH.J.Res. 650 (101st)referred
United States · United States Congress · 12 September 1990
Designates October 1 through 7, 1990, as National Nursing Home Residents' Rights Week.
Bill· SS. 3020 (101st)referred
United States · United States Congress · 11 September 1990
Medigap Amendments of 1990 - Amends title XVIII (Medicare) of the Social Security Act to require a State with a federally-approved Medicare supplemental (Medigap) policy regulatory program to annually report to the Secretary of Health and Human Services on its program, including information as to the frequency with which State-approved policies fail to meet Federal standards. Gives the Secretary the authority to: (1) revoke State regulatory programs which are not adequately implemented; (2) give States technical assistance in implementing or improving such regulatory programs; and (3) provide grants to States with an approved regulatory program to assist them in strengthening enforcement of program requirements. Directs the Secretary to: (1) develop annual reports for each State comparing Medigap policies issued in the State on certain matters that may be useful to potential purchasers; and (2) provide information via a toll-free telephone number on Medicare programs and Medigap policies. Imposes certification fees on federally-certified Medigap policies. Requires policies that are up for Federal certification renewal to provide rebates or premium reductions to offset previous violations of loss ratio standards. Prohibits the issuance of a Medigap policy in a State without a federally-approved regulatory program or without its receiving Federal certification unless such policy clearly indicates that it has not received Federal certification and the purchaser acknowledges that fact. Requires that Federal standards for Medigap policies be revised to: (1) establish a uniform language and format for policies; (2) require the calculation, reporting, and review of policy loss ratios; and (3) include standards concerning an alternative minimum benefits policy that excludes first dollar coverage and is significantly less expensive than the standard minimum benefits policy. Conditions Federal certification of a Medigap policy on its issuer offering individuals a minimum benefits policy as an alternative to such policy and listing the price of such alternative policy. Authorizes Federal certification of a Medigap policy which would meet Federal standards but for the restriction of its benefits to items and services furnished by certain entities if: (1) full benefits are provided for items and services through a network of entities which have contracted with the policy issuer; (2) full benefits are provided for items and services furnished by other entities when such items and services are necessary and cannot reasonably be obtained through the network; (3) the network offers sufficient access; and (4) the policy issuer has arranged ongoing quality assurance of the items and services furnished through the network. Sets the acceptable loss ratio for such policies. States that Medicare health maintenance organizations and competitive medical plans are not subject to Medigap policy standards.
Bill· SS. 3022 (101st)referred
United States · United States Congress · 11 September 1990
Children's Vaccine Initiative Act of 1990 - Amends the Public Health Service Act to direct the Secretary of Health and Human Services to undertake a Children's Vaccine Initiative. Requires that the Director of the National Vaccine Program: (1) plan and coordinate the Initiative; and (2) ensure that the Public Health Service conducts vaccine research, production, and delivery activities under the Initiative in collaboration with non-governmental institutions and with other Federal agencies to ensure the full use of U.S. scientific and industrial capacity to prevent disease. Authorizes appropriations.
Bill· SS. 3015 (101st)referred
United States · United States Congress · 10 September 1990
Amends title XVIII (Medicare) of the Social Security Act to delay, for one year, the implementation of limitations on nonparticipating physicians' actual charges for unassigned claims.
Bill· SS. 3014 (101st)referred
United States · United States Congress · 10 September 1990
Amends part A (Hospital Insurance) of title XVIII (Medicare) of the Social Security Act to set the coinsurance amount for post-hospital extended care services in each fiscal year at the greater of $65 or 20 percent of the average cost for such care.
Bill· HRH.R. 5565 (101st)referred
United States · United States Congress · 10 September 1990
Medicaid Physician Service Quality Improvement Act of 1990 - Directs the Secretary of Health and Human Services to establish a system for providing Medicaid (title XIX of the Social Security Act) physicians with unique identifying numbers. Amends the Medicaid program to require such numbers to be included in the claim for physician services in order for the claim to be paid. Requires contracts between States and any entity for the provision of hospital services to provide maintenance of sufficient patient encounter data to identify the physician who delivers services to patients in order for States to be reimbursed by the Federal Government. Requires State plans for medical assistance to maintain updated lists of all physicians who are certified to participate. Requires foreign medical graduates to pass the Foreign Medical Graduate Examination required for participation in the Medicare program (title XVIII of the Social Security Act) in order to be issued a unique identifying number. Amends the Medicaid program to establish minimum qualifications for billing for physician services to children and pregnant women, including: (1) certification in pediatrics and obstetrics; (2) affiliation with a hospital participating in Medicaid; or (3) having a consultation arrangement with a physician who is certified in such specialties. Requires hospitals which receive extra Medicare payments by reason of their serving a disproportionate share of low-income patients to extend admitting privileges to Medicaid physicians. Requires State plans for medical assistance to provide for: (1) quality of care reviews of high-volume physicians; and (2) the reporting of any negative action or finding regarding a health care practitioner or facility by any State licensing authority, peer review organization, or private accreditation entity.
Bill· HJRESH.J.Res. 648 (101st)referred
United States · United States Congress · 6 September 1990
Designates October 1990 as National AIDS Awareness and Prevention Month.
Bill· SS. 3006 (101st)open
United States · United States Congress · 4 August 1990
Comprehensive Medical Device Improvement Act of 1990 - Amends the Federal Food, Drug, and Cosmetic Act to require a person who proposes to market a medical device that the person claims is substantially equivalent to a class III marketed device to review published and unpublished data concerning the safety and effectiveness of the marketed device and the device proposed to be marketed. Amends provisions establishing classes of devices to allow class II, which currently involves performance standards, to involve additional controls to provide assurance of safety and effectiveness including, but not limited to, performance standards. Specifies that it is the Secretary of Health and Human Services who determines whether a device is excepted from provisions requiring that devices be initially classified in class III. Allows the Secretary to initiate reclassification of a device initially classified in class III. Directs the Secretary to: (1) require manufacturers of class III devices introduced before enactment of this Act to submit to the Secretary a citation to and summary of published and unpublished data concerning the safety and effectiveness of the device; (2) on the basis of criteria set by current law, information available when the device was initially classified, and any new information, reclassify the device to class II or class I, or continue the device in class III; and (3) establish a schedule for issuance of a regulation regarding submission of a premarket approval application for each device continued in class III. Directs the Secretary, if the Secretary determines that a performance standard is necessary to provide assurance of the safety and effectiveness of a class II device, to establish such a standard. (Current law, making no reference to any determination, authorizes the Secretary to establish such a standard.) Revises the procedures for establishment of performance standards. Allows the Secretary to suspend the approval of an application for premarket approval if the Secretary determines that continued distribution of the device will result in an unreasonable risk of substantial harm to the public health. Directs the Secretary, if the Secretary finds that a device presents an unreasonable risk of substantial harm to the public health, to issue a recall order including, subject to exception, withdrawal of devices from health care institutions and individuals. Requires distributors who submit required reports regarding a device to the Secretary to submit a copy of the reports to the manufacturer. Requires each manufacturer, importer, and distributor to annually certify to the Secretary that it has reported all events required to be reported, or that no such events have occurred. Defines "medical device user facility" (facility) to mean a hospital, nursing home, or ambulatory surgical facility. Requires a facility to inform the Secretary and, when known, the manufacturer when the facility becomes aware of information that reasonably suggests that a device may have contributed to the death of a patient. Requires the facility to inform the manufacturer, if identified (if not, the Secretary), of information reasonably suggesting that a device may have contributed to a serious illness or serious injury to a patient. Provides, with exceptions, for the confidentiality of information relating to such reports. Prohibits, except in an action to enforce these provisions, the introduction into evidence or other use in an action of the report or of the fact that the report was made. Authorizes the Secretary, for one year after enactment of this Act, to award grants for public education programs for facilities concerning these reporting requirements. Authorizes appropriations. Directs the Secretary to require a manufacturer, importer, or distributor to: (1) report to the Secretary any removal or field repair of a device, other than routine servicing, if undertaken to eliminate a risk to health or remedy a violation of this Act; and (2) keep a record of any field repair or removal, other than routine servicing, not required to be reported. Allows the Secretary, four years after premarket approval is granted, to use certain information in the premarket approval application to establish the safety and effectiveness of another device. Replaces provisions prohibiting traceability requirements unless necessary to protect the public health with provisions directing the Secretary to determine which devices should be subject to a requirement of labeling, coding, or other identification to ensure that the device may be traced from the place of manufacture or initial distribution to the ultimate user, from among devices that: (1) are for use in supporting life; (2) are for use in preventing impairment of health; or (3) present a potential unreasonable risk of illness or injury. Directs the Secretary to require the manufacturers, importers, and distributors of the devices to establish the means by which the devices will be traced to the ultimate user. Allows the Secretary to initiate a reclassification of certain new drugs classified as class III devices. Directs the Secretary to require the manufacturer to submit a description of and a citation to any adverse safety and effectiveness information not submitted under other provisions, and allows the Secretary to require the submission of the information itself. Prohibits the Secretary, notwithstanding any other portion of these provisions, from retaining any daily wear nonhydrophilic plastic contact lens in class III unless certain requirements are met. Prohibits a device from being found to be substantially equivalent to a device that has been removed from the market at the initiative of the Secretary or determined to be misbranded or adulterated by a judicial order. Directs the Secretary to: (1) promulgate regulations allowing a manufacturer to be required to prepare a summary of any clinical data required; and (2) make the summary available to the public after a determination of substantial equivalence. Directs the Secretary to require a manufacturer to conduct postmarket surveillance for specified types of devices, including those with respect to which the Secretary determines that surveillance is necessary to protect the public health or to evaluate the safety or effectiveness of the device. Allows the Secretary to determine the period of surveillance required. Prohibits imposing a surveillance period without a termination date. Requires the manufacturer of a device for which surveillance is required to contract with one or more academic medical centers to provide for any required monitoring of clinical experience. Allows the manufacturer to determine the number and identity of the centers, if any, that will perform surveillance, and the manner of surveillance. Adds references to design validation to provisions relating to adulterated devices, premarket approval, and control of devices. Directs the Secretary to require only one market clearance route for an article that constitutes a combination of a device, drug, or biological product.
Bill· SS. 3004 (101st)referred
United States · United States Congress · 4 August 1990
Amends the Public Health Service Act to extend, to April 1, 1991, the deadline by which a plaintiff who has a civil action pending for a vaccine-related injury or death and had such action pending on October 1, 1988, may file a petition for compensation under the National Vaccine Injury Compensation Program.
Bill· SS. 3002 (101st)referred
United States · United States Congress · 4 August 1990
Medicaid Drug Treatment for Families Act of 1990 - Amends title XIX (Medicaid) of the Social Security Act to allow States to provide federally reimbursed Medicaid coverage of case-managed alcoholism and drug dependency residential treatment services for pregnant women whose family income is below 185 percent of the Federal poverty level and their children and spouses. Lists the required services included in such coverage as: (1) individual, group, and family counseling; (2) room and board in a standard environment with on-site supervision 24 hours a day; (3) therapeutic child care to be provided under part A (Aid to Families with Dependent Children) of title IV of the Social Security Act; (4) assistance to parents in obtaining developmental assistance for their preschool children and public education for themselves and their shool-age children; (5) easier access to other health and social services; (6) planning and assistance in reentering society; and (7) continuing specialized training of residential treatment facility staff members in the most recent and effective treatment techniques. Requires that such coverage continue for 12 months, except that the coverage of pregnant women must continue for one year following the end of pregnancy. Limits the size of a residential treatment facility to no more than 40 beds unless the State provides assurances that a larger facility can provide the mandatory services.
Bill· SS. 2997 (101st)open
United States · United States Congress · 3 August 1990
Family Planning Amendments of 1990 - Amends the Public Health Service Act to require that voluntary family planning projects receiving grants or contracts under provisions of that Act offer adoption referral services. Requires the services to be nondiscriminatory as to race, color, religion, and national origin. Removes provisions allowing the Secretary of Health and Human Services to reduce the amount of the grant by the value of supplies or equipment furnished by the Secretary. Authorizes appropriations. Repeals existing formula grant provisions. Authorizes appropriations for technical assistance and personnel training, including clinical training for obstetric-gynecologic nurse practitioners and training for educators and counselors. States that research grants and contracts may be made for evaluation as well as for development of contraceptives, and to improve clinical management and direct delivery of family planning services. Authorizes the Secretary to conduct, make grants, and enter into contracts for applied research into the development, evaluation, and bringing to the marketplace of contraceptive devices, drugs, and methods. Authorizes appropriations. Defines "contraceptive" to include methods which prevent fertilization or implantation in the uterus. Excludes from the definition any drug, device, or method which terminates the pregnancy after implantation, and prohibits the National Institute of Child Health and Human Development from supporting research on any such drug, device, or method. Directs the Secretary to collect data annually on: (1) the number of low-income and marginal-income individuals and adolescents at risk of unintended pregnancies; (2) the sources of funding available for family planning services in the United States; (3) the numbers and age, gender, race, and family income of persons who receive family planning services; and (4) the types of services chosen by individuals receiving services. Amends provisions of the Public Health Service Act relating to population research and voluntary family planning programs to require that all grantees receiving assistance under those provisions provide education to patients concerning self breast examinations. Directs the Secretary to make available a specified sum during FY 1991 through 1993 for the selection of a single State in which to establish a research project to determine the impact of family planning services in a State that has in effect a law prohibiting the use of public funds for family planning services to an unmarried minor without the prior written consent of the parent or guardian of the minor. Authorizes the Secretary to make grants to and enter into contracts with public agencies in such a State for the provision of family planning services, carried out in accordance with such State law. Requires a public agency applicant for a grant or contract to include in the application assurances that: (1) for the fiscal year for which the application is submitted, such State law will not be applied to family planning services provided by private agencies; and (2) if a public agency of the State makes a grant to, or enters into a contract with, a private agency for family planning services, and the grant or contract is funded in whole or in part under these provisions, the State shall ensure that the private agency meets the same requirements for eligibility for assistance under title X (Population Research and Voluntary Family Planning Programs) of the Public Health Service Act as the Secretary may prescribe for all private agencies assisted under such title. Authorizes appropriations to carry out title XX (Adolescent Family Life Demonstration Projects) of the Public Health Service Act.
Bill· SS. 2989 (101st)referred
United States · United States Congress · 3 August 1990
Children's Health Access and Prevention Act of 1990 - Amends title XIX (Medicaid) of the Social Security Act to extend Medicaid coverage to pregnant women, and children who have not attained age six, whose family income is no less than 100 percent and no more than 200 percent of the Federal poverty level. Requires Medicaid coverage of children who have attained age six but who have not attained age 19 and whose family income does not exceed 200 percent of the Federal poverty level if such children are not otherwise covered under the Medicaid program or under title XVI (Supplemental Security Income) or part A (Aid to Families with Dependent Children) of title IV of the Social Security Act. Provides Federal coverage for all of the costs of such coverage. Amends the Internal Revenue Code to increase the excise tax on cigarettes. Establishes the Medicaid Expansion Trust Fund into which cigarette tax revenues shall be placed to finance this Act's expansion of Medicaid eligibility. Eliminates the cigarette tax increase at the close of FY 1993.
Bill· SS. 2971 (101st)referred
United States · United States Congress · 3 August 1990
Breast Cancer Screening Act of 1990 - Amends title XVIII (Medicare) of the Social Security Act to cover screening mammographies for women over age 34 at a frequency which varies on the basis of a woman's age and risk of developing breast cancer. Directs the Secretary of Health and Human Services to implement procedures to notify eligible individuals of such coverage and promote its use.
Bill· SS. 2967 (101st)referred
United States · United States Congress · 3 August 1990
Access to Health Insurance Act of 1990 - Amends the Internal Revenue Code to change the tax deduction for health insurance costs incurred by the self-employed from 25 percent to 100 percent. Phases in such percentage by taxable year 1994. Amends the Employee Retirement Income Security Act of 1974 to preempt State health care mandated benefits for certain employer plans, including an employer who has never provided health insurance coverage for employees. Sets forth minimum requirements for such employers. Amends the Public Health Service Act to authorize appropriations to make allotments to States to develop and operate qualified uninsurable pools to provide health insurance for medically uninsurable individuals. Sets forth application and reporting requirements for States.
Bill· SS. 2998 (101st)open
United States · United States Congress · 3 August 1990
Family Planning Services Act of 1990 - Amends the Public Health Service Act to require that voluntary family planning projects receiving grants or contracts offer adoption referral services. Removes provisions allowing the Secretary of Health and Human Services to reduce the amount of the grant by the value of supplies or equipment furnished by the Secretary. Authorizes appropriations. Provides for specified amounts to promote education concerning sexually transmitted diseases, including HIV disease. Repeals existing formula grant provisions. Authorizes grants and contracts for technical assistance and personnel training to carry out family planning service and information and education provisions. Authorizes appropriations. Authorizes grants and contracts under existing provisions for contraceptive evaluation as well as contraceptive development. Authorizes the Secretary to conduct, and make grants and contracts for applied research regarding, and evaluations of, contraceptive devices, drugs, and methods. Authorizes appropriations. Defines "contraceptive" to include methods which prevent fertilization or implantation in the uterus. Excludes from the definition any drug, device, or method which terminates the pregnancy after implantation, and prohibits the National Institute of Child Health and Human Development from supporting research on any such drug, device, or method. Directs the Secretary to collect data annually relating to: (1) certain individuals at risk of unintended pregnancies; and (2) sources of funding for and usage of family planning services. Requires all grantees under provisions relating to population research and voluntary family planning programs to provide education concerning self breast examinations. Makes a specified sum available for research on the impact of family planning services in a single State that prohibits by law the use of public funds for family planning services to an unmarried minor without the prior written consent of the parent or guardian of the minor. Authorizes grants and contracts with public agencies in such a State for family planning services, carried out in accordance with such State law. Requires assurances that: (1) the State law will not be applied to private agencies; and (2) private agencies receiving grants or contracts through public agencies under these provisions will meet the same eligibility requirements as prescribed for all private agencies assisted under title X of the Act. Directs the Secretary to make grants and contracts for the development and operation of up to four centers for improving methods of contraception. Mandates establishment of a loan repayment program in which health professionals agree to conduct contraceptive research. Authorizes appropriations. Directs the Secretary, in making grants and contracts, to give priority to entities that provide health services related to pregnancy to women and preventive health services for infants and children. Authorizes appropriations to carry out title XX (Adolescent Family Life Demonstration Projects) of the Act.
Bill· SS. 2972 (101st)referred
United States · United States Congress · 3 August 1990
High Medicare Hospital Relief Act of 1990 - Amends title XVIII (Medicare) of the Social Security Act to provide, from FY 1990 through 1992, an additional Medicare payment to a hospital when at least 65 percent of its inpatient days or discharges are attributable to Medicare beneficiaries.
Bill· SJRESS.J.Res. 359 (101st)open
United States · United States Congress · 3 August 1990
Designates the week beginning September 16, 1990, as Emergency Medical Services Week.
Bill· HRH.R. 5517 (101st)open
United States · United States Congress · 3 August 1990
Medicare Beneficiary Assistance Act of 1990 - Directs the Secretary of Health and Human Services to establish a health insurance advisory service program to provide individuals who are eligible for benefits under the Medicare program (title XVIII of the Social Security Act) with information, counseling, and assistance concerning the receipt of services under the Medicare and Medicaid (title XIX of the Social Security Act) programs and Medicare supplemental policies. Provides such services through each district office of the Social Security Administration, community outreach programs, and a toll-free telephone information service.
Bill· HRH.R. 5456 (101st)open
United States · United States Congress · 3 August 1990
Research Freedom Act of 1990 - Title I: Review of Proposals for Biomedical and Behavioral Research - Amends the Public Health Service Act to prohibit the Secretary of Health and Human Services from funding or approving biomedical or behavioral research which has not been approved by the entities presently responsible for reviewing such research or research proposals. Prohibits the Secretary from withholding funding, on ethical grounds, for research which has been approved by such entities unless the Secretary has convened an ethics advisory board and a majority of such board recommend, on ethical grounds, that such funding be withheld. Provides for the appointment of such boards. Title II: Research on Transplantation of Fetal Tissue - Allows the Secretary to conduct or support research on the transplantation of human fetal tissue for therapeutic purposes, regardless of whether the tissue is obtained pursuant to a stillbirth or a spontaneous or induced abortion, upon the informed written consent of the woman providing the tissue and her acknowledgement that the donation is made without restriction or knowledge of tissue recipients and, if made possible by induced abortion, was not the cause of her abortion decision. Prohibits the use of human fetal tissue obtained pursuant to an induced abortion unless the donor makes an additional written statement prior to the abortion that the abortion is not being undergone for the purpose of tissue donation. Requires fetal tissue researchers to make a written statement acknowledging that tissue is human fetal tissue which may have been obtained pursuant to an induced abortion and promising to provide such information to research assistant and prospective tissue transplant recipients. Directs the Secretary to conduct fetal tissue research in accordance with applicable State and local law. Prohibits the purchase or sale of human fetal tissue. Subjects violators of such prohibition to a fine and/or imprisonment. Prohibits the executive branch from imposing a policy barring the Department of Health and Human Services from conducting or supporting any research on the transplantation of human fetal tissue for therapeutic purposes. Deems the Report of the Human Fetal Tissue Transplantation Research Panel to have been issued by an ethics advisory board and to have found that there are no ethical grounds for withholding funds for such research. Title III: General Provisions - Makes this Act effective upon enactment or, if later, October 1, 1990.
Bill· HRH.R. 5529 (101st)referred
United States · United States Congress · 3 August 1990
Medicaid Controlled Substances Accountability Act of 1990 - Amends title XIX (Medicaid) of the Social Security Act to require each State to implement a controlled substance accountable prescription system and provide and limit access to system information to State and Federal authorities responsible for investigating violations of the Medicaid program, title XVIII (Medicare) of the Social Security Act, the Controlled Substances Act, or a State controlled substances Act. Requires that such system: (1) prohibit a health care practitioner from prescribing certain controlled substances without writing the prescription on a form, provided by the State, which identifies such practitioner; and (2) require such practitioner to maintain a readily retrievable record of such transactions. Requires every person who dispenses such controlled substances to maintain a two-year record of such transactions, including the information contained on prescription forms, and provide information in such record to the State at least every two months. Makes the system inapplicable to drugs dispensed directly by a practitioner to a user and drugs dispensed by oral prescription in emergency situations. Requires States and the Secretary of Health and Human Services to maintain active programs to process system information and investigate potential violations of law identified by such information.
Bill· HRH.R. 5531 (101st)referred
United States · United States Congress · 3 August 1990
Medicare Controlled Substances Accountability Act of 1990 - Amends part A (Hospital Insurance) of title XVIII (Medicare) of the Social Security Act to cut Medicare payments under part A for inpatient hospital and extended care services provided in a State by one-half if the State does not implement a controlled substance accountable prescription system. Requires that such system: (1) prohibit a health care practitioner from prescribing certain controlled substances without writing the prescription on a form, provided by the State, which identifies such practitioner; and (2) require such practitioner to maintain a readily retrievable record of such transactions. Requires every person who dispenses such controlled substances to maintain a two-year record of such transactions, including the information contained on prescription forms, and provide information in such record to the State at least every two months. Makes the system inapplicable to drugs dispensed directly by a practitioner to a user and drugs dispensed by oral prescription in emergency situations. Limits the use of system information to the enforcement of laws under the Medicare program, title XIX (Medicaid) of the Social Security Act, the Controlled Substances Act, or a State controlled substances Act. Requires States and the Secretary of Health and Human Services to maintain active programs to process system information and investigate potential violations of law identified by such information.
Bill· HRH.R. 5536 (101st)referred
United States · United States Congress · 3 August 1990
Medicaid Family Care Act of 1990 - Amends title XIX (Medicaid) of the Social Security Act to provide federally reimbursed Medicaid coverage of alcoholism and drug dependency residential treatment services for pregnant women whose family income is below 185 percent of the Federal poverty level and for their Medicaid-eligible children and spouses. Lists the required services included in such coverage as: (1) individual, group, and family counseling and addiction education and treatment provided pursuant to individualized treatment plans; (2) room and board in a structured environment with on-site supervision 24 hours a day; (3) therapeutic child care; (4) parental assistance in obtaining developmental assistance for their preschool children and public education for themselves and their school-age children; (5) easier access to other health, social, and child care services; (6) planning and assistance in reentering society; and (7) continuing specialized training of residential treatment facility staff members in the most recent and effective treatment techniques. Requires that such coverage continue for at least 12 months, except that the coverage of pregnant women must continue for one year following the end of pregnancy. Limits the size of a residential treatment facility to no more than 40 beds unless the State provides assurances that a larger facility can furnish the mandatory services.
Bill· HRH.R. 5528 (101st)referred
United States · United States Congress · 3 August 1990
International Medical Graduate Equity Act of 1990 - Directs the Secretary of Health and Human Services to provide for the establishment of a clearinghouse that, upon the request of an individual applying for a license as a physician in the United States, would: (1) maintain and verify documents relating to the applicant's educational background and credentials; and (2) provide information in the clearinghouse to medical licensing boards and related entities. States that the clearinghouse will not be operated within the Federal Government. Allows it to impose fees to cover some or all of its operational costs. Requires the Secretary to obtain information on a periodic basis from the physician licensing authority of at least ten States with respect to license applications and periodically report on such information to the Congress. Deems it unlawful for a graduate medical residency training program to deny a medical residency to a qualified individual who graduated from a foreign medical school if such residency cannot be filled by the graduate of a medical school in the United States or Canada.
Bill· HRH.R. 5530 (101st)referred
United States · United States Congress · 3 August 1990
Prescription Accountability Act of 1990 - Amends the Controlled Substances Act to require the Attorney General to implement a controlled substance accountable prescription system: (1) prohibiting a health care practitioner, other than a pharmacist, from prescribing certain controlled substances without writing the prescription on a form, provided by the Attorney General, which identifies such practitioner; and (2) requiring such practitioner to maintain a readily retrievable record of such transactions. Limits the number of times a prescription may be refilled without its renewal by such practitioner. Requires every person who dispenses such controlled substances to maintain a two-year record of such transactions, including the information contained on prescription forms, and provide information in such record to the State at least every two months. Makes the system inapplicable to drugs dispensed directly by a practitioner to a user and drugs dispensed by oral prescription in emergency situations. Amends title XIX (Medicaid) of the Social Security Act to limit the use of system information to the enforcement of laws under the Medicaid program, title XVIII (Medicare) of the Social Security Act, the Controlled Substances Act, or a State controlled substances Act. Requires States and the Attorney General to maintain active programs to process system information and investigate potential violations of law identified by such information.
Bill· HRH.R. 5463 (101st)referred
United States · United States Congress · 3 August 1990
Revises provisions concerning health care for members and certain former members of the armed forces to entitle members or former members who are eligible for retired or retainer pay and for Medicare to medical and dental care in any uniformed service medical facility. Provides that such facilities will recover the costs of such care from Medicare Subvention funding. Provides that the costs of care for members or former members who are not eligible for Medicare will be recovered from the Civilian Health and Medical Program of the Uniformed Services (CHAMPUS) Subvention funding. Revises provisions concerning health care for military dependents to provide that the uniformed services facilities providing such care will recover costs from Medicare or CHAMPUS, as appropriate. Authorizes the commanding officer of a military installation operating a treatment facility to make determinations of whether the facility can provide treatment to a dependent. Provides that the administering Secretary will be advised when a determination to deny treatment is made, with a verifiable date as to when the restriction will be removed. Amends title XVIII (Medicare) of the Social Security Act to make Department of Defense and Department of Veterans Affairs treatment facilities eligible for Medicare payments as long as they meet requirements applicable to hospitals and skilled nursing facilities under such title.
Bill· HRH.R. 5480 (101st)referred
United States · United States Congress · 3 August 1990
Medicaid Outreach and Child Health Act of 1990 - Amends title XIX (Medicaid) of the Social Security Act to set the Federal share of the costs of carrying out a Medicaid outreach program for pregnant women and children at 75 percent of such costs. Directs the Secretary of Health and Human Services to establish a demonstration program to assist community organizations in developing innovative approaches to increase the participation of pregnant women and children in the Medicaid program. Authorizes appropriations for such demonstration program through FY 1993. Requires States to continue the Medicaid eligibility of pregnant women through the month which includes the 60th day following their pregnancies and to children under age one regardless of changed circumstances which would otherwise render them ineligible for such benefits. Permits States to continue a child's Medicaid eligibility for one year after such eligibility would otherwise cease.
Bill· HRH.R. 5460 (101st)referred
United States · United States Congress · 3 August 1990
Drug-Free Cities Act of 1990 - Authorizes the Director of the Office of National Drug Control Policy to designate local governments as drug-free. Permits the Director to make grants to eligible local governments for specified activities under this Act. Authorizes the Director to: (1) collect data about the status of drug reduction efforts of State and local governments; (2) disseminate information about local laws, policies, and programs that have proven to be effective in reducing drug use; and (3) formally recognize exemplary accomplishments of local governments in reducing drug use and increasing user accountability. Sets forth application requirements for local governments seeking designations. Requires such application to contain a plan for implementing legal sanctions and procedures applicable to individuals who unlawfully use drugs and for promoting local community efforts to eliminate unlawful drug use. Sets forth authorized uses of grant funds. Limits the amount and time period of such grants. Requires the Director, if an applicant complies with requirements and standards, to designate such applicant as a candidate for designation as drug-free for a period not to exceed three years. Provides for a subsequent designation as drug-free, for an additional three-year period, based on further progress. Provides for extensions of designations under certain conditions. Allocates grant funds based on the population of the local area. Limits the amounts of such funds. Authorizes appropriations.
Bill· HJRESH.J.Res. 644 (101st)referred
United States · United States Congress · 3 August 1990
Designates the month of May 1991 as National Huntington's Disease Awareness Month.
Bill· SS. 2955 (101st)open
United States · United States Congress · 2 August 1990
Pharmacotherapy Development Act of 1990 - Title I: Federal Medication Development Program - Amends the Public Health Service Act to establish in the National Institute on Drug Abuse a Medications Development Division (MDD) to: (1) work with the Commissioner of Food and Drugs to set new guidelines for the safety and efficacy trials of medications to treat drug addiction and to discuss other measures to facilitate the approval process of drug addiction treatments; (2) promote expanded research programs and studies into the development of medications to treat drug addiction; (3) track the activities of the National Institutes of Health relating to the development and use of pharmacotherapeutic treatments for drug addiction; and (4) take other specified measures to improve pharmacotherapeutic treatment of drug addiction. Establishes reporting requirements by the Director of MDD. Requires the Director of National Drug Control Policy to incorporate reports submitted under this Act into the National Drug Control Strategy. Requires the Director of MDD to provide for proper scientific review of all research grants, cooperative agreements, and contracts over which the Director has authority. Authorizes appropriations. Title II: Private Sector Development of Pharmacotherapeutics - Amends the Federal Food, Drug, and Cosmetic Act to establish procedures for the investigation and designation of drugs for the treatment of addictions to illegal drugs. Authorizes appropriations. Title III: Medications Review Process Reform - Authorizes the Secretary of Health and Human Services to permit: (1) an entity submitting an investigational new drug application or protocol for medications to treat drug addiction to provide information required by the Secretary as it becomes available; and (2) parallel track trials to be used for medications to treat drug addiction. Title IV: High Priority Research Areas - Expresses the sense of the Congress that MDD shall devote special attention and resources to achieving the development of a methadone alternative, a long-acting narcotic antagonist, a cocaine blocking treatment, a cocaine-blocker/narcotic antagonist treatment, medications to treat addictions to methamphetamine, and medications to treat pregnant addicts and their fetuses. Title V: Report by the Surgeon General - Requires: (1) the Director of MDD to establish a panel of independent experts in the field of pharmacotherapeutic treatment of drug addiction to assess the national strategy for developing such treatments and make appropriate recommendations; and (2) the Surgeon General of the United States to submit to the appropriate congressional committees a report setting forth recommendations of such panel and assessing the progress of the nation toward development of safe, efficacious pharmacological treatments for drug addiction.
Bill· SS. 2961 (101st)referred
United States · United States Congress · 2 August 1990
Women's Health Equity Act of 1990 - Title I: Research - Subtitle A: Health Research - Women's Health Research Act - Amends the Public Health Service Act to establish within the Office of the Assistant Secretary for Health the Office of Women's Health to coordinate all activities and research of the Department of Health and Human Services relating to disease, disorders, or other health conditions that are unique to, more prevalent in, or more serious for women, or for which risk factors or interventions are different for women. Directs the Secretary of Health and Human Services, through the Director of the National Institutes of Health (NIH), to establish an Office of Women's Health Research to ensure that research relating to women's health is identified and addressed throughout the research activities conducted and supported by the NIH. Sets forth requirements for the Office, including that the Office establish: (1) a coordinating council; (2) a Women's Health Clinical Research Advisory Committee; (3) an intramural research program in gynecology at the National Institute of Child Health and Human Development; (4) a clinical service in gynecology; and (5) a Center for Women's Health Research. Authorizes appropriations for the Office of Women's Health and for the Office of Women's Health Research. Subtitle B: Clinical Trials - Clinical Trials Fairness Act - Amends provisions of the Public Health Service Act relating to the national research institutes and provisions relating to the Alcohol, Drug Abuse, and Mental Health Administration (ADAMHA) to direct the Secretary of Health and Human Services to ensure, in conducting or supporting clinical research, that women and minority groups are included as research subjects, unless inappropriate. Requires that any project be designed and carried out so as to provide for a valid analysis of whether the research variables affect women or minorities differently than other subjects. Directs the Secretary to establish within the advisory council of each institute and each agency of ADAMHA a Clinical Research Equity Subcommittee to review all clinical research of that agency to determine whether the research is being conducted in accordance with requirements of this Act. Provides for suspension or revocation of the authority for any project the Secretary determines is not being conducted in accordance with those requirements. Defines "minority groups" to mean racial and ethnic minority groups. Requires that the technical and scientific peer review process in the institutes and ADAMHA include an evaluation of the inclusion of women and minority groups as research subjects. Subtitle C: Breast Cancer Research - Amends the Public Health Service Act to authorize appropriations to the National Cancer Institute for breast cancer research other than research that involves treatment or clinical trials. Subtitle D: Contraceptive and Infertility Research Centers - Contraceptive and Infertility Research Centers Act of 1990 - Amends the Public Health Service Act to require the Director of the Institute of Child Health and Human Development to make grants and enter into contracts for centers for improving methods of contraception and centers for diagnosing and treating infertility. Requires the Director, subject to appropriations, to provide for three centers on contraception and two centers on infertility. Requires each center to: (1) conduct clinical and other applied research; (2) develop training protocols for and conduct training of physicians, scientists, nurses, and other health and allied health professionals; (3) develop model continuing education programs; and (4) disseminate information to such professionals. Allows a center to use the funds to provide: (1) stipends for health and allied health professionals enrolled in the training programs; and (2) fees to individuals serving as subjects in the clinical trials. Requires each center to use the facilities of a single institution, or be formed from a consortium of cooperating institutions, meeting requirements as prescribed by the Secretary of Health and Human Services. Allows support for a center to be for a period of up to five years, with extensions of one or more periods of up to five years if the center's operations have been reviewed by a peer review group and the group has so recommended. Authorizes appropriations. Amends the Public Health Service Act to direct the Secretary to establish a program of entering into agreements with health professionals, including graduate students, under which the professionals agree to conduct research with respect to contraception or infertility in consideration of the Government agreeing to repay, for each year of such service, not more than a specified amount of the principal and interest of their educational loans. Applies provisions of the National Health Service Corps Loan Repayment Program to this program, except as inconsistent. Authorizes appropriations. Requires amounts appropriated to remain available until the end of the second fiscal year after they are appropriated. Subtitle E: Contraception and Infertility - Declares that it is U.S. policy to: (1) establish a program of research for the development of methods of contraception and methods of diagnosing and treating infertility; (2) provide adequate long-term resources for the program; (3) ensure that Federal programs with respect to sexually transmitted diseases adequately respond to the role of such diseases in infertility; (4) ensure public education on contraception and infertility; (5) establish as Federal goals the development, by the year 2010, of improved barrier methods to protect against pregnancy and diseases, new methods of contraception for use by men, a vaccine-like drug for women that prevents pregnancy for a significant period of time without other specified effects, and new and improved techniques of diagnosing and treating infertility; (6) require the Secretary of Health and Human Services to reestablish the Ethical Advisory Board in order to facilitate research with respect to infertility; (7) review the policies and procedures of the Food and Drug Administration with respect to expediting approval of drugs and devices for use by the public, especially with respect to contraception and infertility; and (8) determine to what extent measures can be implemented by public or private entities to resolve liability issues involved with drugs and devices concerned with contraception and infertility. Subtitle F: Women and AIDS Research Initiative - Women and AIDS Research Initiative Amendments Act of 1990 - Amends the Public Health Service Act to direct the Secretary of Health and Human Services, through the Director of the National Institutes of Health (NIH), the Administrator of ADAMHA, or both, to establish a program to conduct biomedical and behavioral research on cases of infection with the etiologic agent for acquired immune deficiency syndrome (AIDS) in women. Authorizes the Secretary to conduct the research directly or through grants. Specifies forms of research to be included. Authorizes appropriations. Authorizes appropriations for grants for community-based clinical trials on experimental treatments for such infection for women. Allows the Director of NIH to authorize grantees to expend the grants to provide individuals with such transportation, child care, and other incidental services as may be necessary to enable the individuals to participate as subjects in the trials. Subtitle G: Osteoporosis - Osteoporosis and Related Bone Disorders Research, Education, and Health Services Act of 1990 - Amends the Public Health Service Act to require the Director of the National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMSD) and the Director of the National Institute on Aging (NIA) to expand and intensify research on osteoporosis and related bone disorders. Requires, with respect to osteoporosis and related bone disorders: (1) the NIAMSD Director to increase the number of Specialized Centers of Research; and (2) the NIA Director to increase the number of program project grants devoted to creating centers of excellence. Authorizes appropriations. Establishes in the Department of Health and Human Services the Interagency Council on Osteoporosis and Related Disorders and the Advisory Panel on Osteoporosis and Related Disorders. Authorizes appropriations for the Advisory Panel. Directs the Secretary of Health and Human Services to make up to three grants to establish model health promotion projects for community-based education on osteoporosis, with each project targeting one of these groups: young and teenage girls, midlife women, and older men and women. Authorizes appropriations. Requires the NIAMSD Director to make grants or enter into contracts to establish a Resource Center on Osteoporosis and Related Disorders to: (1) disseminate information about research results, services, and educational materials to health professionals, patients, and the public; and (2) coordinate leadership training for the development of health professional resource networks. Requires grant and contract recipients to establish: (1) a central computerized information system to, among other matters, translate scientific and technical information into information readily understandable by the general public; and (2) a national toll-free telephone information line. Requires the grant or contract recipient to charge fees for providing information, but allows exceptions for individuals and organizations unable to pay. Authorizes appropriations. Title II: Services - Subtitle A: Breast Cancer Treatment - Breast Cancer Treatment Informed Consent Act - Requires any State receiving funds under titles V (Maternal and Child Health Block Grant) or XIX (Medicaid) of the Social Security Act or under the preventive health service provisions of the Public Health Service Act to require any physician or surgeon licensed to practice medicine in such State to inform any breast cancer patient of alternative methods of treatment for breast cancer before such treatment is begun. Requires that the patients be informed by means of: (1) a standardized written summary in layman's language and in a language understood by the patient of alternative methods of treatment; and (2) an explanation of the treatment options described in such written summary together with the risks associated with each procedure relative to each patient's particular medical circumstances. Subtitle B: Reimbursement for Certain Nurse Practitioners Under Medicare and Medicaid - Women's Health Care Coverage Expansion Act of 1990 - Amends titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act to provide Medicare and Medicaid coverage of obstetrical and gynecological services furnished by nurse practitioners. Subtitle C: Adolescent Pregnancy - Adolescent Pregnancy Prevention, Care, and Research Grants Act of 1990 - Replaces the current title XX (Adolescent Family Life Demonstration Projects) of the Public Health Service Act with a new title on adolescent pregnancy prevention, care, and research grants. Authorizes the Secretary of Health and Human Services to make grants to provide care services to pregnant adolescents and adolescent parents and prevention services to nonpregnant adolescents. Lists permissible uses for the grants. Requires that grantees charge fees for services only according to a fee schedule approved by the Secretary that bases fees on income. Prohibits a grantee from discriminating on the basis of an individual's inability to pay for services. Sets forth priorities in making the grants. Provides for the amount of a grant. Prohibits the Federal portion of the grant from exceeding 75 percent of annual program costs. Allows non-Federal contributions to be in cash or in kind. Allows the Secretary to waive the 75 percent limitation in accordance with criteria established by regulation. Sets forth descriptions and assurances which must be included in grant applications. Requires grant recipients to spend between three and ten percent to conduct, through an independent entity, an evaluation of the services supported. Directs the Secretary to coordinate Federal policies and programs providing services relating to the prevention of initial and recurrent adolescent pregnancies and providing care for pregnant adolescents and adolescent parents. Requires grant recipients to coordinate activities with other grant recipients in the same locality. Authorizes the Secretary to make grants to support: (1) research concerning the societal causes and consequences of pregnancy, childbearing, and child rearing for adolescent females and males; (2) evaluative research to identify services that reduce adolescent pregnancy rates and that improve the outcome of adolescent childbearing; and (3) the dissemination of information from programs and research relating to adolescent pregnancy and parenthood. Allows research and dissemination grants to be made for one year, with renewals for four additional one-year periods. Limits the amount of a grant for direct costs, but allows: (1) additional amounts for indirect costs as the Secretary deems appropriate; and (2) the Secretary to waive the limitation. Sets forth allowed and prohibited uses of the funds. Directs the Secretary to coordinate research and dissemination activities carried out under these provisions with such activities carried out by NIH. Directs the Secretary to establish a system for the review of applications that is substantially similar to the system for scientific peer review of NIH. Requires the creation of a panel to review applications. Requires grants to be made from among programs the panel has determined to be of scientific merit. Authorizes appropriations for carrying out the title added by this subtitle. Prohibits the use of funds for grants under this subtitle for payment for the performance of an abortion. Subtitle D: COBRA Displaced Family Amendments Act of 1990 - COBRA Displaced Family Amendments of 1990 - Amends the Internal Revenue Code, the Employee Retirement Income Security Act of 1974, and the Public Health Service Act to declare that specified provisions relating to the required period of group health plan continuation coverage do not apply to the qualifying events of death, divorce, or legal separation involving a beneficiary who is 50 years old or older. Requires that coverage continue until the 23rd birthday for a beneficiary under 20 years old at the time of such an event involving a covered employee 50 years old or older. Entitles beneficiaries who have applied for, but not received, a determination of disability before the end of an 18 month period after the qualifying event to a continuation period of 29 months. Requires that notice of the option to enroll under a conversion plan be given during the 120-day period ending 60 days before the expiration of the continuation coverage. (Current law requires that such notice be given during the 180-day period ending on the expiration date of the continuation coverage.) Allows continuation coverage to end on the date on which the employer or successor employer (currently, the employer) ceases to provide any group health plan to any employee. Subtitle E: Federal Employee Family-Building - Federal Employee Family-Building Act of 1990 - Requires any contract for health benefits for Federal employees that provides obstetrical benefits to also provide benefits for family-building procedures. Provides that payment terms or conditions under such contracts shall be no more restrictive for family-building benefits than for obstetrical benefits. Defines "family-building procedure" as a medical procedure to overcome infertility (including procedures to achieve pregnancy and procedures to carry pregnancy to term) and procedures relating to child adoption. Requires such contracts to provide that: (1) benefits shall consist of reimbursement for reasonable and necessary medical expenses and counseling fees directly relating to the adoption of a child; and (2) benefits shall be available in connection with obstetrical care for the biological mother and medical care for the child if, or to the extent that, the pre-adoptive or adoptive parent or parents are legally responsible for the cost of such care. Directs the Office of Personnel Management to authorize the use of sick leave for purposes relating to family-building procedures. Title III: Prevention - Subtitle A: Medicaid Infant Mortality - Infant Mortality Amendments of 1990 - Amends title XIX (Medicaid) of the Social Security Act to phase-in mandatory State coverage of pregnant women and infants whose family income is below 185 percent of the Federal poverty level. Deducts child and medical care costs from the income eligibility test. Directs the Secretary of Health and Human Services to report to the Congress by July 1, 1991, on State error rates in determining the Medicaid eligibility of pregnant women and infants. Suspends error rate penalties attributable to such eligibility determinations made from July 1, 1989, until one year after the Secretary's report. Phases-in mandatory Medicaid coverage of children whose family income is below the Federal poverty level. Permits States to provide immediate Medicaid coverage of such children. Requires States to: (1) process Medicaid applications at locations which include locations other than those used for applications under part A (Aid to Families with Dependent Children) (AFDC) of title IV of the Social Security Act; and (2) use applications other than those used under the AFDC program. Permits States to provide Medicaid coverage to children who have attained age one but not age six and whose family income does not exceed 185 percent of the Federal poverty level. (Currently, States are required to cover children between such ages whose family income does not exceed 133 percent of the Federal poverty level.) Authorizes States to provide Medicaid coverage of prenatal home visitation services for high-risk pregnant women and/or postpartum home visitation services for high-risk infants. Requires States which provide prospective Medicaid payments to hospitals to reimburse hospitals which serve a disproportionate share of low-income patients for exceptionally costly or lengthy stays by children. Subtitle B: Breast and Cervical Cancer - Breast and Cervical Cancer Mortality Prevention Act of 1990 - Amends the Public Health Service Act to direct the Secretary of Health and Human Services, through the Director of the Centers for Disease Control, to make grants to States, with regard to breast and cervical cancer, for screening, referrals and follow-up services, public information and education programs, education and training for health professionals, quality monitoring of screening, and evaluations of such activities. Sets forth preferences in making the grants and requires equitable geographical distribution. Requires matching non-Federal funds in a specified ratio. Requires that States agree to: (1) provide all of certain services by a specified date; (2) switch to any improved screening procedures which become available; and (3) assure the quality of any screening procedures used. Directs the Secretary to establish guidelines for assuring the quality of mammography and cytological screening conducted under these provisions. Requires that low-income women be given priority in the provision of services. Requires that a charge for services, if any: (1) be made according to a public schedule; (2) be adjusted for income of the woman involved; and (3) not be imposed on any woman with incomes below the poverty line. Requires services to be provided throughout a State, including to members of any Indian tribe or tribal organization. Authorizes the Secretary to provide training and technical assistance. Directs the Secretary to provide for annual evaluations of programs carried out under this Act. Authorizes appropriations. Limits the number of grants made to seven in FY 1991. Subtitle C: Medicare Screening Mammography - Medicare Screening Mammography Amendments of 1990 - Amends title XVIII (Medicare) of the Social Security Act to cover screening mammographies for women over age 34. Subtitle D: Bone Mass Measurement - Medicare Bone Mass Measurement Coverage Act of 1990 - Amends title XVIII (Medicare) of the Social Security Act to provide Medicare coverage of bone mass measurements. Subtitle E: Women and AIDS Outreach and Prevention Act - Women and AIDS Outreach and Prevention Act - Amends the Public Health Service Act to authorize the Secretary of Health and Human Services to make grants regarding prevention of AIDS and other sexually transmitted diseases in women, including preventive health services, screening, providing treatment (for such diseases other than AIDS), referrals, and follow-up services. Requires that a grantee be an entity that provides health or voluntary family planning services: (1) to a significant number of low-income women; and (2) in an area with a significant number of AIDS cases in women and in newborn infants. Requires that grantees maintain the confidentiality of information on individuals, subject to complying with applicable law. Authorizes appropriations. Subtitle F: Infertility Prevention Demonstration Projects of 1990 - Infertility Prevention Demonstration Projects Act of 1990 - Amends the Public Health Service Act to authorize the Secretary of Health and Human Services to make grants for demonstration projects for the prevention and control of the sexually transmitted disease known as chlamydia, including by providing: (1) to women services relating to counseling, screening, treatment, referrals, follow-up, and outreach; and (2) public information and education and data collection. Requires that grantees be grant recipients under specified provisions that provide preventive gynecological health care. Prohibits charging for the services or information. Authorizes appropriations. Limits the number of grants to ten in fiscal year 1991.
Bill· SS. 2958 (101st)referred
United States · United States Congress · 2 August 1990
Directs the Secretary of Health and Human Services to resume three specified demonstration projects, approved under the repealed Medicare Catastrophic Coverage Act of 1988, which provide case management services to Medicare (title XVIII of the Social Security Act) beneficiaries with selected high cost catastrophic illnesses.
Bill· HRH.R. 5451 (101st)referred
United States · United States Congress · 2 August 1990
State Medical Board Improvement Act of 1990 - Amends part B (Peer Review) of title XI of the Social Security Act to require that a peer review organization (PRO) notify the State board responsible for licensing or disciplining a physician when the PRO makes any findings respecting such physician or sends such physician an initial notice of its proposed sanction against such physician. Requires the Secretary of Health and Human Services to notify the State board responsible for licensing a physician of a decision to exclude such physician from providing health care services under the Social Security Act on a reimbursable basis. Amends title XIX (Medicaid) of the Social Security Act to require a State to notify the State medical licensing board when a person is prohibited from participating in, or otherwise sanctioned under, the Medicaid program. Amends title XVIII (Medicare) of the Social Security Act to require Medicare carriers to refer a case involving a physician's unethical or unprofessional conduct to the State medical board responsible for licensing such physician.
Bill· HRH.R. 5443 (101st)referred
United States · United States Congress · 2 August 1990
Amends the Public Health Service Act to modify the formula for determining the minimum amount of allotments to States for acquired immune deficiency syndrome (AIDS) public information activities to allow the amount to be equal to the amount received by the State from the Secretary of Health and Human Services, through the Director of the Centers for Disease Control, for FY 1989 for such activities, if those receipts are greater than the amounts under the alternatives specified by existing law.
Bill· HRH.R. 5452 (101st)referred
United States · United States Congress · 2 August 1990
Facilitation in Licensing for International Medical Graduates Act - Directs the Secretary of Health and Human Services (the Secretary) to establish a National Repository of International Medical Graduate Records. Authorizes the Secretary to make grants to the Federation of State Medical Boards to develop and administer uniform national medical licensing examinations. Authorizes appropriations.
Bill· HRH.R. 5444 (101st)referred
United States · United States Congress · 2 August 1990
Prohibits a State from discriminating against a dental health care professional on the basis that such individual is a resident of another State or is licensed to perform dental services in another State when considering such individual's application for a license to perform such services. Authorizes aggrieved individuals and the Attorney General to bring civil actions against States violating such prohibition.
Bill· SS. 2950 (101st)referred
United States · United States Congress · 1 August 1990
Directs the Secretary of Health and Human Services to establish three-year demonstration projects in two States to study the effect on access to, and costs of, health care of extending Medicaid (title XIX of the Social Security Act) coverage to individuals who are not otherwise eligible for Medicaid benefits, but whose income is below 150 percent of the Federal poverty level. Prohibits project coverage of long-term care or pregnancy-related services. Limits the amount of cost-sharing required of project beneficiaries.
Resolution· SCONRESS.Con.Res. 143 (101st)referred
United States · United States Congress · 1 August 1990
Expresses the sense of the Congress that: (1) the export of U.S. tobacco products is an international health issue rather than an international trade issue; (2) the Federal Government should not engage in negotiations to force Thailand to allow the importation of foreign cigarettes and to rescind laws banning cigarette advertisements; and (3) United States Trade Representative should reject any petition of the United States Cigarette Export Association requiring a foreign country to accept cigarette sales practices that are not permitted here.
Bill· HRH.R. 5424 (101st)referred
United States · United States Congress · 1 August 1990
Directs the Secretary of Health and Human Services to establish three-year demonstration projects in two States to study the effect on access to, and costs of, health care of extending Medicaid (title XIX of the Social Security Act) coverage to individuals who are not otherwise eligible for Medicaid benefits, but whose income is below 150 percent of the Federal poverty level. Prohibits project coverage of long-term care or pregnancy-related services. Limits the amount of cost-sharing required of project beneficiaries.
Law· SS. 2946 (101st)enacted
United States · United States Congress · 31 July 1990
Transplant Amendments Act of 1990 - Title I: National Bone Marrow Donor Registry - Amends the Public Health Service Act to direct the Secretary of Health and Human Services, by contract, to establish and maintain a National Bone Marrow Donor Registry to take specified actions, including: (1) establish a system for finding donors; (2) establish a system of patient advocacy separate from mechanisms for donor advocacy; and (3) ensure that the donor pool is ethnically diverse. Provides for confidentiality of records, establishing monetary and imprisonment penalties for violations. Authorizes appropriations. Removes provisions directing the Secretary, by grant or contract, to establish a bone marrow registry. Title II: Organ Transplants - Amends the Public Health Service Act to authorize the Secretary of Health and Human Services to make grants to, and enter into contracts with, qualified organ procurement organizations and other nonprofit entities for special projects to increase the number of organ donors. (Current law authorizes the Secretary to make grants for the same purpose but makes no reference to contracts or to the recipients of the grants or the contractees.) Removes provisions specifying matters the Secretary must consider in making grants. Replaces a requirement that an organ procurement organization (OPO) be of sufficient size to expect to procure organs from at least 50 donors a year with provisions requiring that an OPO be of sufficient size to assure maximum effectiveness in the procurement and equitable distribution of organs. Repeals provisions of the Health Omnibus Programs Extension of 1988 specifying the effective date of related provisions with regard to certain OPOs. Authorizes appropriations for grants to assist OPOs. Replaces provisions prohibiting the Network from being engaged in any activity unrelated to organ procurement with provisions requiring that the Network be an entity with expertise in organ procurement and transplantation. Modifies requirements regarding the composition of the Network's board of directors and the responsibilities of the Network. Removes provisions specifying special considerations and priorities the Secretary must apply in considering grant applications. Allows special project grants to be made for three (currently, two) years. Removes provisions limiting them to a maximum dollar amount. Adds references to contracts to provisions relating to the amount of the grant or contract, advance payments, recordkeeping, and audits. Extends through FY 1995 the requirement that the Secretary maintain an identifiable administrative unit in the Public Health Service relating to organ procurement and donation. Modifies the duties of the unit. Modifies requirements regarding a report by the Secretary on the status of organ transplantation. Title III: Immunosuppressive Drug Therapy - Authorizes appropriations to carry out provisions relating to immunosuppressive drug therapy block grants.
Bill· SS. 2945 (101st)referred
United States · United States Congress · 31 July 1990
Clinical Trials Fairness Act - Amends provisions of the Public Health Service Act relating to the national research institutes and provisions relating to the Alcohol, Drug Abuse, and Mental Health Administration (ADAMHA) to direct the Secretary of Health and Human Services to ensure, in conducting or supporting clinical research, that women and minority groups are included as research subjects, unless inappropriate. Requires that any project be designed and carried out so as to provide for a valid analysis of whether the research variables affect women or minorities differently than other subjects. Directs the Secretary to establish within the advisory council of each agency of an institute and ADAMHA a Clinical Research Equity Subcommittee to review all clinical research of that agency to determine whether the research is being conducted in accordance with requirements of this Act. Provides for suspension or revocation of the authority for any project the Secretary determines is not being conducted in accordance with those requirements. Defines "minority groups" to mean racial and ethnic minority groups. Requires that the technical and scientific peer review process in the institutes and ADAMHA include an evaluation of the inclusion of women and minority groups as research subjects.
Bill· SS. 2934 (101st)referred
United States · United States Congress · 30 July 1990
Ensuring Access Through Medical Liability Reform Act - Directs the Secretary of Health and Human Services to make grants to States for the development of alternative dispute resolution systems (ADRSs). Defines ADRS to mean a system to resolve disputes involving health care negligence other than through a health care malpractice action and meeting other requirements. Requires State grants be used to develop the system and to engage in activities to accomplish the enactment or adoption of the system. Directs the Secretary to make grants to States for the implementation of ADRSs. Requires a grant to be used by a State to implement and evaluate the effectiveness of the system. Requires that State ADRSs be of certain types: (1) fault-based administrative systems; (2) defined catastrophic injury compensation systems; (3) early offer and recovery mechanisms; (4) binding arbitration; or (5) a State-initiated alternative to such systems. Sets forth requirements for each system type. Directs the Secretary to make grants to States and private nonprofit organizations for basic research in the prevention of and compensation for injuries resulting from health care professional or health care provider negligence. Directs the Secretary to make grants to States to improve the State's ability to license and discipline health care professionals. Directs the Secretary to provide technical assistance to States to assist them in evaluating their medical practice acts and procedures and to encourage the use of early warning systems and for disciplining health care professionals. Directs the Secretary to make grants for: (1) educating the public about the appropriate use of health care and realistic expectations; (2) educating the public about professional licensing and discipline; and (3) developing faculty training and curricula on quality assurance, risk management, and medical injury prevention. Declares that provisions in this Act relating to civil actions govern any health care malpractice action brought in any Federal or State court. Prohibits requiring any person to pay for future damages exceeding a specified amount in a single payment, but allows such payments on a periodic basis. Requires damages to be reduced by any governmental or private payment intended to compensate for the injury. Limits the amount of damages which may be paid for past and future noneconomic losses and the percentage of any award or settlement which may be paid as attorney fees. Starts, subject to exception, the statute of limitations at the time of the negligence. Requires each State to allocate an amount equal to all health professional licensing or certification fees to State agencies responsible for disciplinary actions for each type of health professional. Mandates that each State which receives Federal or State funds have a risk management program to prevent and provide early warning of unsafe practices. Mandates that each State require each health care professional liability insurance company to establish or sanction risk management programs and require professionals they insure to participate. Requires each State to authorize the State agency responsible for disciplinary actions to enter into agreements with professional societies to permit the review by the societies of the practice patterns of a health care professional. Sets forth confidentiality and other requirements. Prohibits any activity under such an agreement from being grounds for any State or Federal civil or criminal antitrust action, or any other State civil action. Directs the Secretary, if a State fails to comply with certain requirements of this Act, to withhold all funds which the State would receive under the Public Health Service Act. Declares that certain provisions of this Act governing civil actions supersede State laws only to the extent that the State laws are less stringent. Requires those provisions in this Act to be construed to promote uniformity of law in the various jurisdictions. Authorizes appropriations to carry out provisions of this Act relating to development, implementation, research, and disciplinary grants. Amends the Public Health Service Act to direct the Secretary of Health and Human Services to make a grant to an entity that represents recipients of assistance under provisions relating to migrant health centers and community health centers to enable the entity to develop a business plan for, and to establish, a nationwide risk retention group as provided for in the Liability Risk Retention Act of 1986, and that meets other requirements. Allows the group to negotiate with other entities for the purposes of managing and administering the group, and for obtaining reinsurance. Requires the group to provide professional liability insurance, and other types of profitable insurance approved for issuance by the Secretary, to migrant and community health centers. Requires the centers, subject to exception, to become members of the group and purchase the group's insurance. Makes all professional staff members of the centers eligible to obtain the group's insurance. Requires the group to engage outside experts in insurance, financing, and business to analyze and audit the group. Requires the experts to provide the group with an evaluation of the plan and group. Requires the group to submit the plan and the evaluation to the Secretary. Directs the Secretary to permit implementation of the plan and operation of the group if the Secretary determines that the operation of the group will result in an increase in the amount of funds available for use by community and migrant health centers and other entities receiving assistance under the specified provisions. Authorizes appropriations for preparation of the plan, establishment of the group, and capitalization of the group. Requires assets remaining after dissolution of the group to be used by the Secretary to pay the remaining expenses of the group. Authorizes appropriations to carry out specified provisions relating to migrant health centers and community health centers.
Resolution· HCONRESH.Con.Res. 357 (101st)referred
United States · United States Congress · 30 July 1990
Calls for States to develop procedures that require medical examiners and coroners to make reasonable, good faith efforts to locate and notify the next of kin of deceased persons where the identity of the deceased or the next of kin is unknown.
Bill· SS. 2931 (101st)referred
United States · United States Congress · 27 July 1990
Medicare Managed Care Act of 1990 - Amends title XVIII (Medicare) of the Social Security Act to provide health maintenance organization (HMO) enrollees with payments equal to five percent of the lowest adjusted average per capita cost of care among all classes of those aged 65 or older in all areas in the United States and pay HMOs the difference between 100 percent of the adjusted average per capita cost of care for their classes of enrollees and such payments. Provides for the certification of a Medicare Supplemental policy which would meet the National Association of Insurance Commissioners' Model Standards except that its benefits are restricted to items and services furnished by certain entities if: (1) full benefits are provided for items and services through a network of entities which have contracted with the policy issuer; (2) full benefits are provided for items and services furnished by other entities when such items and services are necessary and cannot reasonably be obtained through the network; (3) the network offers sufficient access; and (4) the policy issuer has arranged ongoing quality assurance of the items and services furnished through the network.
Bill· HRH.R. 5392 (101st)open
United States · United States Congress · 27 July 1990
Women and AIDS Research Initiative Amendments of 1990 - Amends the Public Health Service Act to direct the Secretary of Health and Human Services, through the Director of the National Institutes of Health (NIH), the Administrator of the Alcohol, Drug Abuse, and Mental Health Administration, or both, to establish a program to conduct biomedical and behavioral research on cases of infection with the etiologic agent for acquired immune deficiency syndrome (AIDS) in women. Authorizes the Secretary to conduct the research directly or through grants. Specifies forms of research to be included. Authorizes appropriations. Authorizes appropriations for grants for community-based clinical trials on experimental treatments for such infection for women. Allows the Director of the NIH to authorize grantees to expend the grants to provide individuals with such transportation, child care, and other incidental services as may be necessary to enable the individuals to participate as subjects in the trials.
Bill· HRH.R. 5397 (101st)referred
United States · United States Congress · 27 July 1990
Title I: Research - Subtitle A: Health Research Act - Women's Health Research Act - Amends the Public Health Service Act to establish within the Office of the Assistant Secretary for Health the Office of Women's Health to coordinate all activities and research of the Department of Health and Human Services relating to disease, disorders, or other health conditions that are unique to, more prevalent in, or more serious for women, or for which risk factors or interventions are different for women. Establishes in the National Institutes of Health (NIH) the National Center for Women's Health Research and Development. Requires the Center, with respect to women's health research, to: (1) identify research projects conducted or supported by each agency of the NIH and of the Alcohol, Drug Abuse, and Mental Health Administration (ADAMHA); (2) evaluate such projects and select those that have particular merit; (3) provide amounts to the agencies for the projects; and (4) take other actions. Requires the Director of the Center to: (1) investigate the extent to which women are being included in NIH or ADAMHA research; (2) investigate whether the projects are being carried out in accordance with policies regarding the inclusion of women; (3) coordinate NIH and ADAMHA research with respect to women's health; and (4) take other actions. Requires the Director of the National Institute of Child Health and Human Development to conduct a program for clinical research in obstetrics and gynecology. Requires the Director of the Center to establish the National Women's Health Data Bank and the National Women's Health Clearinghouse. Directs the Secretary of Health and Human Services to establish: (1) within the Center the National Women's Health Clinical Research Advisory Board; and (2) the Interagency Council on Women's Health Research and Development. Authorizes appropriations. Subtitle B: Clinical Trials Fairness Act - Clinical Trials Fairness Act - Amends provisions of the Public Health Service Act relating to the national research institutes and provisions relating to the Alcohol, Drug Abuse, and Mental Health Administration (ADAMHA) to direct the Secretary of Health and Human Services to ensure, in conducting or supporting clinical research, that women and minority groups are included as research subjects, unless inappropriate. Requires that any project be designed and carried out so as to provide for a valid analysis of whether the research variables affect women or minorities differently than other subjects. Directs the Secretary to establish within the advisory council of each institute and each agency of ADAMHA a Clinical Research Equity Subcommittee to review all clinical research of that agency to determine whether the research is being conducted in accordance with requirements of this Act. Provides for suspension or revocation of the authority for any project the Secretary determines is not being conducted in accordance with those requirements. Defines "minority groups" to mean racial and ethnic minority groups. Requires that the technical and scientific peer review process in the institutes and ADAMHA include an evaluation of the inclusion of women and minority groups as research subjects. Subtitle C: Breast Cancer Research - Authorizes appropriations to the National Cancer Institute for breast cancer research other than research that involves treatment or clinical trials. Subtitle D: Contraceptive and Infertility Research Centers Act of 1990 - Contraception and Infertility Research Centers Act of 1990 - Amends the Public Health Service Act to require the Director of the Institute of Child Health and Human Development to make grants and enter into contracts for centers for improving methods of contraception and centers for diagnosing and treating infertility. Requires the Director, subject to appropriations, to provide for three centers on contraception and two centers on infertility. Requires each center to: (1) conduct clinical and other applied research; (2) develop training protocols for and conduct training of physicians, scientists, nurses, and other health and allied health professionals; (3) develop model continuing education programs; and (4) disseminate information to such professionals. Allows a center to use the funds to provide: (1) stipends for health and allied health professionals enrolled in the training programs; and (2) fees to individuals serving as subjects in the clinical trials. Requires each center to use the facilities of a single institution, or be formed from a consortium of cooperating institutions, meeting requirements as prescribed by the Secretary of Health and Human Services. Allows support for a center to be for a period of up to five years, with extensions of one or more periods of up to five years if the center's operations have been reviewed by a peer review group and the group has so recommended. Authorizes appropriations. Amends the Public Health Service Act to direct the Secretary to establish a program of entering into agreements with health professionals, including graduate students, under which the professionals agree to conduct research with respect to contraception or infertility in consideration of the Government agreeing to repay, for each year of such service, not more than a specified amount of the principal and interest of their educational loans. Applies provisions of the National Health Service Corps Loan Repayment Program to this program, except as inconsistent. Authorizes appropriations. Requires amounts appropriated to remain available until the end of the second fiscal year after they are appropriated. Subtitle E: Contraception and Infertility - Declares that the Congress should: (1) establish a program of research for the development of methods of contraception and methods of diagnosing and treating infertility; (2) provide adequate long-term resources for the program; (3) ensure that Federal programs with respect to sexually transmitted diseases adequately respond to the role of such diseases in infertility; (4) ensure public education on contraception and infertility; (5) establish as Federal goals the development, by the year 2010, of improved barrier methods to protect against pregnancy and diseases, new methods of contraception for use by men, a vaccine-like drug for women that prevents pregnancy for a significant period of time without other specified effects, and new and improved techniques of diagnosing and treating infertility; (6) require the Secretary of Health and Human Services to reestablish the Ethical Advisory Board in order to facilitate research with respect to infertility; (7) review the policies and procedures of the Food and Drug Administration with respect to expediting approval of drugs and devices for use by the public, especially with respect to contraception and infertility; and (8) determine to what extent measures can be implemented by public or private entities to resolve liability issues involved with drugs and devices concerned with contraception and infertility. Subtitle F: Women and AIDS Research Initiative - Women and AIDS Research Initiative Amendments of 1990 - Amends the Public Health Service Act to direct the Secretary of Health and Human Services, through the Director of the National Institutes of Health (NIH), the Administrator of the Alcohol, Drug Abuse, and Mental Health Administration, or both, to establish a program to conduct biomedical and behavioral research on cases of infection with the etiologic agent for acquired immune deficiency syndrome (AIDS) in women. Authorizes the Secretary to conduct the research directly or through grants. Specifies forms of research to be included. Authorizes appropriations. Authorizes appropriations for grants for community-based clinical trials on experimental treatments for such infection for women. Allows the Director of the NIH to authorize grantees to expend the grants to provide individuals with such transportation, child care, and other incidental services as may be necessary to enable the individuals to participate as subjects in the trials. Subtitle G: Osteoporosis and Related Disorders Research - Osteoporosis and Related Bone Disorders Research, Education, and Health Services Act of 1990 - Amends the Public Health Service Act to require the Director of the National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMSD) and the Director of the National Institute on Aging (NIA) to expand and intensify research on osteoporosis and related bone disorders. Requires, with respect to osteoporosis and related bone disorders: (1) the NIAMSD Director to increase the number of Specialized Centers of Research; and (2) the NIA Director to increase the number of program project grants devoted to creating centers of excellence. Authorizes appropriations. Establishes in the Department of Health and Human Services the Interagency Council on Osteoporosis and Related Disorders and the Advisory Panel on Osteoporosis and Related Disorders. Authorizes appropriations for the Advisory Panel. Directs the Secretary of Health and Human Services to make up to three grants to establish model health promotion projects for community-based education on osteoporosis, with each project targeting one of these groups: young and teenage girls, midlife women, and older men and women. Authorizes appropriations. Requires the NIAMSD Director to make grants or enter into contracts to establish a Resource Center on Osteoporosis and Related Disorders to: (1) disseminate information about research results, services, and educational materials to health professionals, patients, and the public; and (2) coordinate regional training for the development of health professional resource networks. Requires grant and contract recipients to establish: (1) a central computerized information system to, among other matters, translate scientific and technical information into information readily understandable by the general public; and (2) a national toll-free telephone information line. Requires the grant or contract recipient to charge fees for providing information, but allows exceptions for individuals and organizations unable to pay. Authorizes appropriations. Title II: Services - Subtitle A: Informed Consent for Breast Cancer Treatment - Breast Cancer Treatment Informed Consent Act - Requires any State receiving funds under titles V (Maternal and Child Health Block Grant) or XIX (Medicaid) of the Social Security Act or under the preventive health service provisions of the Public Health Service Act to require any physician or surgeon licensed to practice medicine in such State to inform any breast cancer patient of alternative methods of treatment for breast cancer before such treatment is begun. Requires that the patients be informed by means of: (1) a standardized written summary in layman's language and in a language understood by the patient of alternative methods of treatment; and (2) an explanation of the treatment options described in such written summary together with the risks associated with each procedure relative to each patient's particular medical circumstances. Subtitle B: Reimbursement for Certain Nurse Practitioners Under Medicare and Medicaid - Women's Health Care Coverage Expansion Act of 1990 - Amends titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act to provide Medicare and Medicaid coverage of obstetrical and gynecological services furnished by nurse practitioners. Subtitle C: Adolescent Pregnancy and Parenthood Act of 1990 - Mickey Leland Adolescent Pregnancy Prevention and Parenthood Act of 1990 - Replaces the current title XX (Adolescent Family Life Demonstration Projects) of the Public Health Service Act with a new title on adolescent pregnancy prevention, care, and research grants. Authorizes the Secretary of Health and Human Services to make grants to provide care services to pregnant adolescents and adolescent parents and prevention services to nonpregnant adolescents. Lists permissible uses for the grants. Requires that grantees charge fees for services only according to a fee schedule approved by the Secretary that bases fees on income. Prohibits a grantee from discriminating on the basis of an individual's inability to pay for services. Sets forth priorities in making the grants. Provides for the amount of a grant. Prohibits the Federal portion of the grant from exceeding 75 percent of annual program costs. Allows non-Federal contributions to be in cash or in kind. Allows the Secretary to waive the 75 percent limitation in accordance with criteria established by regulation. Sets forth descriptions and assurances which must be included in grant applications. Requires grant recipients to spend between three and ten percent to conduct, through an independent entity, an evaluation of the services supported. Directs the Secretary to coordinate Federal policies and programs providing services relating to the prevention of initial and recurrent adolescent pregnancies and providing care for pregnant adolescents and adolescent parents. Requires grant recipients to coordinate activities with other grant recipients in the same locality. Authorizes the Secretary to make grants to support: (1) research concerning the societal causes and consequences of pregnancy, childbearing, and child rearing for adolescent females and males; (2) evaluative research to identify services that reduce adolescent pregnancy rates and that improve the outcome of adolescent childbearing; and (3) the dissemination of information from programs and research relating to adolescent pregnancy and parenthood. Allows research and dissemination grants to be made for one year, with renewals for four additional one-year periods. Limits the amount of a grant for direct costs, but allows: (1) additional amounts for indirect costs as the Secretary deems appropriate; and (2) the Secretary to waive the limitation. Sets forth allowed and prohibited uses of the funds. Directs the Secretary to coordinate research and dissemination activities carried out under these provisions with such activities carried out by the National Institutes of Health (NIH). Directs the Secretary to establish a system for the review of applications that is substantially similar to the system for scientific peer review of the NIH. Requires the creation of a panel to review applications. Requires grants to be made from among programs the panel has determined to be of scientific merit. Authorizes appropriations for carrying out the title added by this subtitle. Prohibits use of funds for grants under this subtitle for payment for the performance of an abortion. Subtitle D: COBRA Displaced Family Amendments Act of 1990 - COBRA Displaced Family Amendments of 1990 - Amends the Internal Revenue Code, the Employee Retirement Income Security Act of 1974, and the Public Health Service Act to declare that specified provisions relating to the required period of group health plan continuation coverage do not apply to the qualifying events of death, divorce, or legal separation involving a beneficiary who is 50 years old or older. Requires that coverage continue until the 23rd birthday for a beneficiary under 20 years old at the time of such an event involving a covered employee 50 years old or older. Entitles beneficiaries who have applied for, but not received, a determination of disability before the end of an 18 month period after the qualifying event to a continuation period of 29 months. Requires that notice of the option to enroll under a conversion plan be given during the 120-day period ending 60 days before the expiration of the continuation coverage. (Current law requires such notice be given during the 180-day period ending on the expiration date of the continuation coverage.) Allows continuation coverage to end on the date on which the employer or successor employer (currently, the employer) ceases to provide any group health plan to any employee. Subtitle E: Federal Employee Family-Building Act - Federal Employee Family-Building Act of 1989 - Requires any contract for health benefits for Federal employees that provides obstetrical benefits to also provide benefits for family-building procedures. Provides that payment terms or conditions under such contracts shall be no more restrictive for family-building benefits than for obstetrical benefits. Requires such contracts to provide that: (1) benefits shall consist of reimbursement for reasonable and necessary medical expenses and counseling fees directly relating to the adoption of a child; and (2) benefits shall be available in connection with obstetrical care for the biological mother and medical care for the child if, or to the extent that, the pre-adoptive or adoptive parent or parents are legally responsible for the cost of such care. Directs the Office of Personnel Management to authorize the use of sick leave for purposes relating to family-building procedures. Defines "family-building procedure" as a medical procedure to overcome infertility (including procedures to achieve pregnancy and procedures to carry pregnancy to term) and procedures relating to child adoption. Title III: Prevention - Subtitle A: Medicaid Infant Mortality Amendments of 1990 - Medicaid Infant Mortality Amendments of 1990 - Amends title XIX (Medicaid) of the Social Security Act to phase-in mandatory State coverage of pregnant women and infants whose family income is below 185 percent of the Federal poverty level. Deducts child and medical care costs from the income eligibility test. Directs the Secretary of Health and Human Services to report to the Congress by July 1, 1991, on State error rates in determining the Medicaid eligibility of pregnant women and infants. Suspends error rate penalties attributable to such eligibility determinations made from July 1, 1989, until one year after the Secretary's report. Authorizes States to provide Medicaid coverage of prenatal home visitation services for high-risk pregnant women and/or postpartum home visitation services for high-risk infants. Excuses women, during and for 60 days after pregnancy, from a requirement to cooperate in: (1) establishing paternity regarding a child born out of wedlock; (2) obtaining support and payments. Subtitle B: Breast and Cervical Cancer Mortality Prevention Act of 1990 - Breast and Cervical Cancer Mortality Prevention Act of 1990 - Amends the Public Health Service Act to direct the Secretary of Health and Human Services, through the Director of the Centers for Disease Control, to make grants to States, with regard to breast and cervical cancer, for screening, referrals and follow-up services, public information and education programs, education and training for health professionals, quality monitoring of screening, and evaluations of such activities. Sets forth preferences in making the grants and requires equitable geographical distribution. Requires matching non-Federal funds in a specified ratio. Requires that States agree to: (1) provide all of certain services by a specified date; (2) switch to any improved screening procedures which become available and are recommended for use; and (3) assure the quality of any screening procedures used. Directs the Secretary to establish guidelines for assuring the quality of mammography and cytological screening conducted under these provisions. Requires that low-income women be given priority in the provision of services. Requires that a charge for services, if any: (1) be made according to a public schedule; (2) be adjusted for income of the woman involved; and (3) not be imposed on any woman with incomes below the poverty line. Requires services to be provided throughout a State, including to members of any Indian tribe or tribal organization. Authorizes the Secretary to provide training and technical assistance. Directs the Secretary to provide for annual evaluations of programs carried out under this Act. Authorizes appropriations. Limits the number of grants made to seven in FY 1991. Subtitle C: Mammography Reimbursement Under Medicare - Part 1: Screening Mammography Medicare Coverage Act of 1989 - Screening Mammography Medicare Coverage Act of 1989 - Amends title XVIII (Medicare) of the Social Security Act to cover screening mammographies for women over age 34 under part B (Supplementary Medical Insurance) of the Medicare program. Part 2: The Rose Kushner Medicare Screening Mammography Act of 1990 - Rose Kushner Medicare Screening Mammography Act of 1990 - Amends title XVIII (Medicare) of the Social Security Act to cover screening mammographies for women over age 34 at a frequency which varies on the basis of a woman's age and risk of developing breast cancer. Finances such coverage by increasing the Medicare part B (Supplementary Medical Insurance) premium. Part 3: Older Women's Breast Cancer Prevention Act of 1990 - Older Women's Breast Cancer Prevention Act of 1990 - Amends title XVIII (Medicare) of the Social Security Act to cover screening mammographies for Medicare-eligible women whose last screening mammographies were performed more than 11 months previously. Determines the payment amount for such service pursuant to a fee schedule. Subtitle D: Coverage of Bone Mass Measurement Under Medicare - Medicare Bone Mass Measurement Coverage Act of 1990 - Amends title XVIII (Medicare) of the Social Security Act to provide Medicare coverage of bone mass measurements. Subtitle E: Women and AIDS Outreach and Prevention Act - Women and AIDS Outreach and Prevention Act - Amends the Public Health Service Act to authorize the Secretary of Health and Human Services to make grants regarding prevention of acquired immune deficiency syndrome (AIDS) and other sexually transmitted diseases in women, including preventive health services, screening, providing treatment (for such diseases other than AIDS), referrals, and follow-up services. Requires that a grantee be an entity that provides health or voluntary family planning services: (1) to a significant number of low-income women; and (2) in an area with a significant number of AIDS cases in women and in newborn infants. Requires that grantees maintain the confidentiality of information on individuals, subject to complying with applicable law. Authorizes appropriations. Subtitle F: Infertility Prevention Demonstration Projects of 1990 - Infertility Prevention Demonstration Projects Act of 1990 - Amends the Public Health Service Act to authorize the Secretary of Health and Human Services to make grants for demonstration projects for the prevention and control of the sexually transmitted disease known as chlamydia, including by providing: (1) to women services relating to counseling, screening, treatment, referrals, follow-up, and outreach; and (2) public information and education and data collection. Requires that grantees be grant recipients under specified provisions that provide preventive gynecological health care. Prohibits charging for the services or information. Authorizes appropriations. Limits the number of grants to ten in fiscal year 1991.
Bill· HRH.R. 5393 (101st)referred
United States · United States Congress · 27 July 1990
Women and AIDS Outreach and Prevention Act - Amends the Public Health Service Act to authorize the Secretary of Health and Human Services to make grants regarding prevention of acquired immune deficiency syndrome (AIDS) and other sexually transmitted diseases in women, including preventive health services, screening, providing treatment (for such diseases other than AIDS), referrals, and follow-up services. Requires that a grantee be an entity that provides health or voluntary family planning services: (1) to a significant number of low-income women; and (2) in an area with a significant number of AIDS cases in women and in newborn infants. Requires that grantees maintain the confidentiality of information on individuals, subject to complying with applicable law. Authorizes appropriations.