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Bill· SS. 3115 (95th)referred
United States · United States Congress · 19 May 1978
Disease Prevention and Health Promotion Act - Title I: Formula and Project Grants for Preventive Health Services - Amends the Public Health Service Act to direct the Secretary of Health, Education, and Welfare to make grants to States to assist them in planning for and in meeting the costs of providing preventive health services. States that an application for such a grant shall provide for a detailed plan of a program to reduce, through the prevention of causative conditions, the mortality rates, and, at the option of the applying State, the burden of illness associated with the five leading causes of death in the State. Sets forth specified information to be included in applications for such grants. Requires the Secretary to review annually the activities undertaken by each State pursuant to an approved application. Sets forth a procedure for determining the amount of grants which each State shall receive for planning, providing, and operating preventive health services programs. Requires that all information obtained about any individual under any program that is being carried out with respect to such grants shall not be disclosed without such individual's consent. Authorizes the Secretary to make grants to States, political subdivisions of States, other public entities, or private entities to assist them in meeting the costs of establishing and maintaining: (1) programs for the screening, detection, diagnosis, prevention, referral for treatment, and follow-up on compliance with treatment of hypertension; (2) programs to immunize children against diseases; (3) community and school-based fluoridation programs; (4) programs designed to prevent illness caused by factors in the immediate living environment; (5) programs to prevent diseases borne by rodents; and (6) comprehensive physical fitness programs. Sets forth specified information to be included in applications for such grants. Requires the Secretary to review annually the activities undertaken by each State pursuant to an approved application. Requires that all information obtained about any individual under any program carried out with respect to such grants shall not be disclosed without such individual's consent. Directs the Secretary to establish standards for comprehensive physical fitness programs. Authorizes appropriations through fiscal year 1982 for lead-based paint poisoning prevention programs. Sets forth a new method for determining the total amount of grants received by State health and mental health authorities for comprehensive public health services under the Public Health Service Act. Authorizes appropriations for such grants through fiscal year 1982. Title II: Resources for Disease Prevention and Health Promotion - Directs the Secretary to make grants to meet the costs of planning and developing new centers; and operating existing and new centers, for multidisciplinary health promotion. Directs the Secretary to undertake or support five intensive and comprehensive community based programs to demonstrate and evaluate optimal methods for organizing and delivering comprehensive preventive health services to defined populations. Requires the Secretary, acting through the National Center for Health Statistics or its equivalent, to submit to Congress on January 1, 1981, and on January 1 of every third year thereafter, a national disease prevention data profile in order to provide a data base for the effective implementation of this Act and to increase public awareness of the prevalence, incidence, and any trends in the preventable causes of death and disability in the United States. Title III: Amendments to the Food Provisions of the Federal Food, Drug, and Cosmetic Act to Foster Health Promotion - Amends the Federal Food, Drug, and Cosmetic Act to require the publication of additional nutritional information on food package labels. Authorizes exemptions from such guidelines if the Secretary finds that a satisfactory labeling requirement of a State or a political subdivision is required by compelling local conditions. Includes distilled spirits, wines, and malt beverages in the definition of food for purposes of the Act. Directs the Secretary to notify the Federal Trade Commission of the nutritional information required to be on food labels, and to recommend to the Commission which of such information should be required to be included in the advertising of labeled food. Title IV: Programs Designed to Promote Health Trhough Smoking Deterrance - Prohibits smoking in any enclosed area open to the public in any Federal facility or in any stairway, elevator, hallway, conveyance, waiting room, reception room, conference room, or hearing room in any facility. Requires smokers to be effectively separated from nonsmokers in any restaurant, cafeteria, snackbar, or lounge in any Federal facility. Requires each instrumentality of the United States: (1) to use reasonable efforts to effectively separate the workplaces of its employees who do not smoke and who wish to be so separated from the workplaces of its employees who do smoke; and (2) to insure the effective separation of smoking and nonsmoking employees in planning, designing, purchasing, leasing, or otherwise obtaining new facilities. Amends the Internal Revenue Code of 1954 to impose a health protection tax on every cigarette manufactured in or imported into the United States based on the number of toxic units, as defined in the Act, contained in the cigarette. Authorizes the appropriation of those amounts received from such taxes for use in the provision of preventive health services under the Public Health Service Act. Amends the Federal Cigarette Labeling and Advertising Act to prohibit the manufacture, importation, or packaging for sale or distribution of any cigarettes: (1) if the package fails to bear the tax and nicotine content stated in milligrams; and (2) if the package fails to bear one of a number of specified statements. Requires the Secretary to establish a comprehensive program to deter smoking among children and adolescents. Directs the Secretary to conduct a study of: (1) the relative risks associated with smoking cigarettes of varying levels of tar and nicotine; and (2) the health risks associated with smoking cigarettes containing any substances commonly added to commercially manufactured cigarettes.
Bill· HRH.R. 12800 (95th)referred
United States · United States Congress · 19 May 1978
Health Services and Health Research Amendments - Title I: Appropriation Authorizations - Amends the Public Health Service Act to extend authorization of appropriations through fiscal year 1979 and for the two succeeding fiscal years for: (1) health statistics and health services research; (2) migrant health programs; (3) community health centers; (4) National Health Service Corps programs; (5) assistance to medical libraries; (6) cancer activities; (7) cardiovascular, lung, and blood activities; (8) National Research Service Awards; (9) population research and family planning services; (10) genetic diseases programs; (11) sudden infant death syndrome programs; (12) hemophilia centers; (13) community mental health centers; (14) rape prevention and control; and (15) home health services and training. Title II: Revisions to Health Services and Health Research Authorities - Authorizes the Surgeon General to provide to public and private entities, for use in research, chemicals and animals that either: (1) are not readily available; or (2) for research purposes need to be produced or maintained on a centralized or standarized basis. Authorizes the Secretary of Health, Education, and Welfare to make grants for projects to demonstrate innovative methods of providing health care to medically underserved populations in nonmetropolitan areas. Authorizes the Secretary to make grants for the costs of operating entities which serve medically underserved populations and would normally be eligible for a grant except for the fact that the entities do not provide all primary health services as defined by the Act or have not established governing boards in accordance with the Act. Stipulates that such entities may receive grants, but only if: (1) an entity has received at least three prior grants; (2) there are unusual circumstances preventing compliance; and (3) the population served is not being served by another eligible entity. Requires the Secretary to provide for the care and treatment without charge of any person suffering from Hansen's disease. Requires the Secretary to make payments to the Board of Health of Hawaii for the care and treatment in its facilities of persons suffering from Hansen's disease. Amends the Community Mental Health Centers Act to provide for the carry-over of unspent community mental health center funds into the following year. Stipulates that funds carried over shall be treated as a part of the subsequent grant, and that subsequent grants shall be reduced. Title III: Preventive Health Activities - Amends the Public Health Service Act to authorize the Secretary to make a grant to each State to assist the State in meeting the costs of preventive health activities. Sets forth assurances which each application for such a grant must contain. Authorizes appropriations through fiscal year 1981 for the screening, detection, diagnosis, prevention, and referral for hypertension.
Bill· SS. 3105 (95th)referred
United States · United States Congress · 18 May 1978
Catastrophic Health Insurance and Medical Assistance Reform Act - Title I: Catastrophic Illness Insurance - Establishes a Catastrophic Health Insurance program under the Social Security Act. Sets forth the eligibility criteria for individuals. Provides that every individual who: (1) is a resident of the United States; and (2) is a citizen of, or a lawfully admitted alien in, the United States shall be entitled to catastrophic health insurance benefits provided by this Act in cases where he is not covered by an employer plan. Delimits the scope of benefits, includes therein hospital and related insurance benefits (hospital, post-hospital and home health services) and medical and other health benefits. Provides for a general deductible from: (a) the reasonable costs of inpatient hospital services past 60 days; and (b) inpatient hospital benefits of the higher of the following: (1) $2,000; or (2) $2,000 adjusted by the Consumer Price Index to reflect changes in fees for physician services (in $100 increments). Permits payments for specified mental health care services. Requires the Secretary of Health, Education, and Welfare to promulgate regulations prescribing standards designed to assure that services consisting of the furnishing of blood or blood products, or the application of procedures or courses of treatment which are experimental or extraordinarily complex, will be provided only when such services are appropriate to the health care needs of the patient. Creates, in the United States Treasury, a Federal Catastrophic Health Insurance Trust Fund to provide a reserve for payment of benefits authorized by this Act. States that individuals covered under approved employer or self-employed plans shall be entitled to those benefits rather than the benefits provided by the catastrophic health insurance plan. Defines the term "employer plan" as meaning an insurance policy, contract, or other arrangement entered into between an employer and a carrier, in consideration of premiums or other periodic payments, undertaken to pay for the costs of health services received by the employer's employees. Requires that the coverage provided under such plans must include a package of benefits which is the same as that provided by the Federal catastrophic health insurance benefits plan established under this Act. Sets forth additional requirements governing employer health plans. Establishes an Actuarial Committee to prepare and recommend annually to the Secretary a Table of Values of Catastrophic Health Insurance Coverage, which shall establish the actuarial value of one year's catastrophic health insurance coverage for employers, carriers, and others involved in the programs. Allows an income tax credit under the Internal Revenue Code for the actuarial value of catastrophic health insurance coverage for the self-employed and for the employees covered under approved employer plans. Title II: Medical Assistance Plan for Low-Income People - Requires assistance for low-income individuals and families, for the costs of necessary hospital, skilled nursing facility, medical, and other health care services are provided. Guarantees free choice by patients of health services from any person, institution, or agency qualified under this Act. Permits individuals the option of obtaining other health insurance protection. Describes the medical assistance plan, what individuals are eligible to receive its health benefits, and the application procedure. Enumerates the scope of benefits under the plan, including: (1) 60 days of inpatient hospital services; (2) skilled nursing facility services; and (3) home health services. Prescribes the co-payment requirements and procedures of persons eligible for benefits. Makes special provisions relating to Medicaid recipients and the circumstances under which such persons are eligible for health benefits under this title. Creates the Medical Coverage Trust Fund. Makes provisions for State contributions to the Fund. Prohibits exclusion by employers of specified employees from coverage under group health insurance plans. Title III: Private Basic Health Insurance Certification Program - States that any insurer may provide any health insurance policy to the Secretary for his examination and certification. Sets forth the standards under which the Secretary shall not certify any such insurance policy. Title IV: Amendments to the Medicare Program Immunizations - Authorizes payments for immunizations which the Secretary determines are appropriate under title XVIII (Medicare) of the Social Security Act, but only if provided on a scheduled allowance basis, as determined under regulations promulgated by the Secretary. Extends coverage of the renal disease program authorized under such Act to specified individuals not previously covered. Title V: General Provisions Relating to Health Insurance Under Social Security Act - Expresses the policy of Congress to encourage and expand philanthropic support for health care.
Bill· SS. 3099 (95th)referred
United States · United States Congress · 18 May 1978
Health Services and Health Research Amendments - Title I: Appropriation Authorizations - Amends the Public Health Service Act to extend authorization of appropriations through fiscal year 1979 and for the two succeeding fiscal years for: (1) health statistics and health services research; (2) migrant health programs; (3) community health centers; (4) National Health Service Corps programs; (5) assistance to medical libraries; (6) cancer activities; (7) cardiovascular, lung, and blood activities; (8) National Research Service Awards; (9) population research and family planning services; (10) genetic diseases programs; (11) sudden infant death syndrome programs; (12) hemophilia centers; (13) community mental health centers; (14) rape prevention and control; and (15) home health services and training. Title II: Revisions to Health Services and Health Research Authorities - Authorizes the Surgeon General to provide to public and private entities, for use in research, chemicals and animals that either: (1) are not readily available; or (2) for research purposes need to be produced or maintained on a centralized or standarized basis. Authorizes the Secretary of Health, Education, and Welfare to make grants for projects to demonstrate innovative methods of providing health care to medically underserved populations in nonmetropolitan areas. Authorizes the Secretary to make grants for the costs of operating entities which serve medically underserved populations and would normally be eligible for a grant except for the fact that the entities do not provide all primary health services as defined by the Act or have not established governing boards in accordance with the Act. Stipulates that such entities may receive grants, but only if: (1) an entity has received at least three prior grants; (2) there are unusual circumstances preventing compliance; and (3) the population served is not being served by another eligible entity. Requires the Secretary to provide for the care and treatment without charge of any person suffering from Hansen's disease. Requires the Secretary to make payments to the Board of Health of Hawaii for the care and treatment in its facilities of persons suffering from Hansen's disease. Amends the Community Mental Health Centers Act to provide for the carry-over of unspent community mental health center funds into the following year. Stipulates that funds carried over shall be treated as a part of the subsequent grant, and that subsequent grants shall be reduced. Title III: Preventive Health Activities - Amends the Public Health Service Act to authorize the Secretary to make a grant to each State to assist the State in meeting the costs of preventive health activities. Sets forth assurances which each application for such a grant must contain. Authorizes appropriations through fiscal year 1981 for the screening, detection, diagnosis, prevention, and referral for treatment of hypertension.
Bill· HRH.R. 12790 (95th)referred
United States · United States Congress · 18 May 1978
Amends Title XVIII (Medicare) of the Social Security Act to provide payment for optometric and medical vision care under the supplementary medical insurance program.
Bill· HRH.R. 12788 (95th)referred
United States · United States Congress · 18 May 1978
Amends Title XVIII (Medicare) of the Social Security Act to eliminate the requirement that home health agencies providing medical services under such Title have a nonprofit, tax-exempt status or a license granted by the State in which it provides such services.
Bill· HRH.R. 12755 (95th)referred
United States · United States Congress · 17 May 1978
Permits individuals or their relatives to make supplementary payments for medical services provided by a skilled nursing facility or an intermediate care facility without losing payments for such services under the Medicaid Program of Title XIX of the Social Security Act.
Bill· HRH.R. 12738 (95th)referred
United States · United States Congress · 16 May 1978
Amends the Internal Revenue Code to provide that any amount received as a National Research Service Award under the Public Health Service Act is excludable from the gross income of the recipient.
Bill· HRH.R. 12729 (95th)referred
United States · United States Congress · 15 May 1978
Amends Title XIX (Medicaid) of the Social Security Act to permit county governments to provide to their residents through the State's Medicaid plan a level of medical assistance which is greater in amount, duration, or scope than that available under the plan to other State residents. Requires county governments to show that their plans for providing additional benefits do not result in excessive administrative costs or otherwise conflict with the administration of the State Medicaid plan.
Bill· SS. 3038 (95th)referred
United States · United States Congress · 4 May 1978
Amends Title XVIII (Medicare) of the Social Security Act to provide payment under the Supplementary Medical Insurance program for lenses prescribed by a physician to improve the eyesight of individuals with severely limited central visual acuity.
Bill· HRH.R. 12584 (95th)passed
United States · United States Congress · 4 May 1978
Health Services Research, Health Statistics, and Health Care Technology Act - Amends the Public Health Service Act to extend authorizations of appropriations through fiscal year 1981 for health service research, evaluation, and demonstration activities, and health statistical activities. Requires the Secretary of Health, Education, and Welfare, acting through the National Center for Health Statistics, to establish standardized means for the collection of health information and statistics under laws administered by the Secretary. Establishes the Cooperative Health Statistical System, for the purpose of producing comparable and uniform health information and statistics. Requires the Secretary, acting through the Center, to: (1) coordinate the activities of Federal agencies in the design and implementation of the System; and (2) make grants to State and local health agencies to assist them in meeting the cost of data collection carried out under the System. Requires the Secretary, acting through the Center, to establish guidelines for the collection, compilation, analysis, publication, and distribution of statistics and information necessary for determining the effects and conditions of employment and indoor and outdoor environmental conditions on the public health. Requires the Secretary to conduct an ongoing study of the present and projected future costs of diseases and conditions which are environmentally related. Requires the Directors of the National Center for Health Statistics and the Center for Disease Control to serve as members of the Task Force on Environmental Cancer and Heart and Lung Disease. Requires the Task Force to conduct a study to identify the need for and recommend guidelines for the collection, compilation, analysis, publication, and distribution of statistics and information necessary for determining: (1) the extent to which conditions of employment and indoor and outdoor environmental conditions may cause cancer or heart or lung diseases; and (2) the other effects on the public health which may reasonably be anticipated to result from such conditions. Establishes in the Department of Health, Education, and Welfare the National Center for Health Care Technology. Requires the Secretary, acting through the Center, to undertake and support comprehensive assessments of health care technology. Requires the Secretary, acting through the Center, to undertake and support by grant or contract, research in, and demonstrations and evaluations of: (1) the factors that affect the use of health care technologies in the United States; and (2) methods for disseminating information on health care technologies to health professionals. Establishes the Health Care Technology Advisory Committee to advise the Secretary and the Director of the Center with respect to the performance of the National Center for Health Care Technology. Requires the United States Committee on Vital and Health Statistics to conduct a study of the issues respecting and the recommendations for establishing a Federal system: (1) to facilitate studies of the effects of hazardous substances on humans; and (2) to locate individuals who have been or may have been exposed to hazardous substances to determine the effect on their health of such exposure and to assist them in obtaining appropriate medical care and treatment. Authorizes the Secretary, acting through the National Eye Institute, to carry out a program of grants for vision research facilities. Authorizes the Secretary to waive the requirements for capitation grants for dental schools if the Secretary determines that compliance with such requirements will prevent a school from maintaining its accreditation.
Bill· HRH.R. 12548 (95th)referred
United States · United States Congress · 3 May 1978
Amends the Public Health Service Act to authorize the Secretary of Health, Education, and Welfare to make grants to carry out developmental and demonstration projects for providing, improving, or expanding accessibility, acceptability, or quality of health services provided to medically underserved populations.
Bill· HRH.R. 12460 (95th)passed
United States · United States Congress · 1 May 1978
Health Centers Amendments - Title I - Public Health Service Act Amendments : Amends the Public Health Service Act to remove preventive dental services from the category of primary health services provided by migrant health centers and to designate such services as supplemental health services. Adds pharmaceutical services to the category of primary health services provided by such centers. Removes public health services from the supplemental health services provided by such centers and adds social services. Provides guidelines for the Secretary of Health, Education, and Welfare to use in determining the amount of grants made to migrant health centers. Authorizes appropriations through fiscal year 1981 for migrant health centers. Removes preventive dental services from the primary health services provided by community health centers and adds pharmaceutical services. Includes preventive dental services in the supplemental health services provided by community health centers. Provides guidelines for the Secretary to follow in determining the amount of grants made to community health centers. Authorizes appropriations through fiscal year 1981 for community health centers. Authorizes the Secretary of Health, Education, and Welfare to make grants to provide technical assistance for the planning, developing, or operation of migrant health centers, community health centers, or any other centers for the delivery of primary health care. Authorizes the Secretary to make grants for demonstration projects related to health services in rural medically underserved areas. Extends the authority of the Secretary to guarantee to non-Federal lenders payment of the principal of and interest on loans made to health maintenance organizations for planning projects through September 30, 1979. Authorizes appropriations through fiscal year 1980 for health maintenance organizations. Title II: Mental Health Programs - Community Mental Health Centers Amendments - Sets forth a schedule under which a community mental health center will provide, within three years of its establishment, the full range of mental health services required to be provided by such a center under the Community Mental Health Centers Act. Amends the Public Health Service Act to add to the list of subjects deserving priority consideration in the formulation of national health planning goals: (1) the elimination of inappropriate placement in institutions of persons with mental health problems and the improvement of the quality of care provided in institutions providing mental health services; and (2) the assurance of access to community mental health centers and other mental health care providers for needed mental health services, and the emphasis on outpatient care as a preferable alternative to inpatient mental health services. Requires the health systems plan of each health systems agency established under the Public Health Service Act to include goals for the delivery of mental health services. States that such goals shall be developed with the assistance of persons knowledgeable and experienced in the delivery of such services. Authorizes State Health Coordinating Councils, in advising State health planning and development agencies, to use the assistance of persons knowledgeable in the delivery of mental health services. Requires that State plans under the Comprehensive Mental Abuse and Alcoholism Prevention, Treatment, and Rehabilitation Act of 1970 and the Drug Abuse and Treatment Act of 1972 be consistent with the State health plans in effect under the Public Health Service Act as amended by this Title. Authorizes the Secretary to make annual supplemental support grants to community mental health centers to assist such centers in meeting the costs of providing specified consultation and education services. Repeals the program of financial distress grants for community mental health centers effective October 1, 1980. Authorizes appropriations through fiscal year 1981 for consultation and education services provided by community mental health centers. Repeals such services effective October 1, 1981. Authorizes appropriations through fiscal year 1980 for conversion grants for community mental health centers. Repeals such grants effective October 1, 1980. Extends the authorization of appropriations through fiscal year 1981 for: (1) grants to plan community health center programs; (2) grants for initial operation of community health centers; (3) programs of the National Center for the Prevention and Control of Rape. Authorizes community mental health centers to carryover unobligated funds to the next succeeding year to be used for the same purposes for which such grant was made but only if the center is eligible to receive a grant for such succeeding year. Stipulates that the amount of a grant for such a center for any year shall be reduced by the amount of unobligated funds carried over. Requires the State mental health authority to: (1) establish minimum standards for the maintenance and operation of community mental health centers; (2) establish a program for community mental health centers within the State; and (3) designate a State advisory council to consult with it in carrying out its functions under this Act and the Public Health Service Act. Requires the Secretary to make grants to State mental health authorities to assist them in meeting the costs of carrying out State mental health programs. Requires each State, in order to receive such grants, to submit an application containing specified assurances. Authorizes appropriations through fiscal year 1981 for such grants.
Bill· HRH.R. 12468 (95th)referred
United States · United States Congress · 1 May 1978
Directs the Secretary of Health, Education, and Welfare to conduct a study assessing the cost effectiveness of reimbursing providers of respiratory therapy according to an hourly salary equivalency system and the effect of such a proposed system upon the quality of respiratory therapy services.
Bill· HRH.R. 12424 (95th)referred
United States · United States Congress · 27 April 1978
Amends Title XIX (Medicaid) of the Social Security Act to permit States to provide home health care and other services to individuals who would otherwise be eligible to receive medical assistance if they were institutionalized.
Bill· HRH.R. 12420 (95th)referred
United States · United States Congress · 27 April 1978
Amends Title XVIII (Medicare) of the Social Security Act to provide payment for optometric and medical vision care under the supplementary medical insurance program.
Bill· HRH.R. 12401 (95th)referred
United States · United States Congress · 26 April 1978
Rural Health Needs Planning Act - Amends the Public Health Service Act to require the Secretary of Health, Education, and Welfare to have the national guideline for health planning reflect the unique circumstances and needs of the medically underserved populations including isolated rural communities. Requires to be included on the National Council of Health Planning and Development not fewer than seven persons who are not providers of health services including individuals who are members of urban and rural medically underserved populations. Authorizes the Secretary to make grants to health systems agencies on the basis of square mileage served by the agency, for the development and operation of subarea councils and requires health systems agencies to consider the views of such councils. Changes the formula by which the size of grants to health systems agencies shall be determined. Requires that members of the Statewide Health Coordinating Council who are consumers of health or mental health care and who are not providers of health or mental health care must include individuals who are members of rural and urban underserved populations, if such populations exist in the State.
Bill· HRH.R. 12378 (95th)referred
United States · United States Congress · 26 April 1978
Permits payment of charges for services of a physician without regard to the fee profile requirement under the Supplementary Medical Insurance program of Title XVIII (Medicare) of the Social Security Act if such physician (1) has not had computed a fee profile on the basis of past charges over a 12 month period; (2) has established a regular practice in an area; (3) has not charged more for a service than he customarily charges or more than other physicians in the area charge for the same service.
Bill· HRH.R. 12347 (95th)passed
United States · United States Congress · 25 April 1978
Biomedical Research and Research Training Amendments - Title I: Libraries of Medicine - Amends the Public Health Service Act to extend through fiscal year 1981 authorizations for assistance to medical libraries. Title II: Programs of the National Heart, Lung, and Blood Institute - Extends the authorization of appropriations through fiscal year 1981 to carry out programs for the prevention and treatment of heart, lung, and blood diseases. Title III: Programs of the National Cancer Institute - Extends the authorization of appropriations through 1981 for programs for the diagnosis, prevention, and treatment of cancer. Provides for the appointment of the director of the National Cancer Institute by the Secretary of Health, Education, and Welfare instead of by the President as is currently required. Requires the Director of the National Cancer Institute in carrying out the National Cancer Program: (1) to implement an expanded and intensified research program for the prevention of cancer caused by occupational or environmental exposure to carcinogens; and (2) to publish an annual report listing all known or suspected carcinogens to which a significant number of persons in the United States are exposed evaluating the existing regulatory standards designed to reduce or eliminate exposure to carcinogens. Requires the Director of the National Cancer Institute to establish and support programs for the detection, diagnosis, prevention, and treatment of cancer and for rehabilitation and counseling respecting cancer. Requires such programs to include: (1) locally initiated education and demonstration programs to disseminate information respecting the detection, diagnosis, prevention, and treatment of cancer and rehabilitation and counseling respecting cancer to health professionals providing care to individuals with cancer; (2) the demonstration of and the education of health professionals in methods for early detection of cancer and the identification of individuals with a high risk of developing cancer; and (3) the demonstration of new methods for the dissemination of information to the public concerning the early detection and treatment of cancer and information concerning unapproved and ineffective methods for the control of cancer. Requires the Secretary of Health, Education, and Welfare, through the National Cancer Institute and in cooperation with the National Cancer Advisory Board, to carry out cancer research and investigation programs. Authorizes the Secretary, in carrying out such programs: (1) to purchase radium; and (2) to provide facilities for training and instruction in the diagnosis and treatment of cancer. Requires the National Cancer Program to consist of: (1) an expanded cancer research program including a research program for the prevention of cancer caused by occupational or environmental exposure to carcinogens; and (2) other activities of the Institute. Sets forth the duties and functions of the Director of the Institute in carrying out the National Cancer Program. Authorizes the Director of the Institute to make grants under this Act for cancer research or training. Stipulates that 18 members of the National Cancer Advisory Board shall be appointed by the Secretary. Sets forth procedures and regulations affecting the Board. Establishes the President's Cancer Panel. Requires the Panel to monitor the development and execution of the National Cancer Program. Authorizes appropriations through fiscal year 1981 for the National Cancer Institute and the President's Cancer Panel. Title IV: National Research Service Awards - Extends authorization of appropriations through fiscal year 1981 for National Research Service Awards. Title V: Miscellaneous - Authorizes the Secretary to make available for biomedical and behavioral research, substances and living organisms when such action would promote the ends of such research. Transfers authority from the Surgeon General to the Secretary to conduct, in the Public Health Service, research and investigation on the physical and mental impairments of man. Requires the Secretary to conduct and support studies and testing of substances for carcinogenicity, teratogenicity, mutagenicity, and other harmful biological effects. Requires the Secretary to establish a comprehensive program of research into the biological effects of low-level ionizing radiation.
Bill· HRH.R. 12370 (95th)passed
United States · United States Congress · 25 April 1978
Health Services Amendments - Amends the Public Health Service Act to extend authorization of appropriations through fiscal year 1979 for grants to States for comprehensive State health planning. Directs the Secretary of Health, Education and Welfare under the Act, to make grants to State health authorities to assist in meeting the costs of providing comprehensive public health services. Directs that funds received should be used to supplement non-Federal funds for comprehensive public health services and not to supplant such funds. Provides guidelines by which each State and local public health entity shall compute the amount of such funds it shall receive. Requires the Secretary to review annually the activities undertaken by each State public health authority to determine if such authority complied with the assurances provided with the application for funds. Authorizes the Secretary to withhold payment from authorities which have failed to meet such assurances. Provides that the total amount of grants received by a public health authority shall be determined by the Secretary and provides guidelines by which such a determination is to be made. Extends the authorization of appropriations through fiscal year 1981 for: (1) disease control programs to immunize children against immunizable diseases; (2) rodent control programs; (3) other specified disease control programs under the Act; (4) projects and programs for the prevention and control of venereal disease; (5) project grants and contracts for family planning services; (6) training grants and contracts for personnel to carry out family planning service programs; (7) research in family planning; (8) assistance in developing and making available family planning and population growth information; (9) genetic disease programs; (10) sudden infant death syndrome programs; (11) hemophilia programs; (12) establishing, operating, and training personnel for home health services as defined in the Social Security Act; and (13) lead-based paint poisoning prevention programs. Requires the Secretary to conduct epidemiological assessments and surveillance of genetic diseases to define the scope and extent of such diseases and the need for programs to control such diseases. Authorizes the Secretary to make grants to State health authorities to assist them in meeting the costs of providing programs for screening for, and the detection, diagnosis, prevention, and control of hypertension. Authorizes the Secretary to make grants for lead-based paint poisoning prevention programs. Defines "lead-based paint poisoning prevention program. Requires the Secretary to study the long-term effect on child development of various levels of lead in blood. Repeals provisions of the Act which require that grants for the establishment and operation or improvement of an emergency medical services systems facility be made for project costs in the year in which the grant is made. Requires the Secretary to establish, within the Office of the Secretary, a Select Panel for the Promotion of Child Health. Requires the Panel to: (1) formulate specific goals with respect to the promotion of the health status of children and expectant mothers; and (2) develop a comprehensive national plan for achieving such goals.
Bill· HRH.R. 12363 (95th)referred
United States · United States Congress · 25 April 1978
Defines "public provider" for purposes of reimbursement to nonprofit rehabilitation clinics which provide medical services to aged and disabled individuals covered by the Supplementary Medical Insurance program of Title XVIII (Medicare) of the Social Security Act.
Bill· HRH.R. 12358 (95th)referred
United States · United States Congress · 25 April 1978
Amends the Public Health Service Act to authorize the Secretary of Health, Education, and Welfare to make a grant to a nonprofit private entity to develop standards for the accreditation of organizations providing hospice care. Authorizes the Secretary to make grants to study and demonstrate, and to directly conduct such programs as will study and demonstrate: (1) methods for the provision of hospice care; (2) methods for financing hospice care; and (3) the costs and benefits of hospice care. Requires the Secretary to report to Congress on the results of such studies and demonstrations. Defines "hospice care" as such home care, outpatient services, and backup inpatient services as may be required for terminally ill patients and such support services as members of such patients' families may require as a result of such patients' terminal illnesses. Defines "terminally ill patient" as an individual with a prognosis of survival of six months or less.
Bill· HRH.R. 12303 (95th)passed
United States · United States Congress · 24 April 1978
Nurse Training Amendments - Title I: Nurse Training - Amends Title VIII (Nurse Training) of the Public Health Service Act to extend for two fiscal years, through fiscal year 1980, the program of financial assistance for nurse training. Authorizes the Secretary of Health, Education, and Welfare to make grants to cover the costs of traineeships for the training of licensed registered nurses to be nurse anesthetists. Requires the Secretary to arrange for a study to determine the need to continue a specific program of Federal financial support for nursing education. Title II: Other Health Professions Programs - Increases authorization of appropriations for fiscal year 1979 for National Health Service Corps programs. Authorizes the Secretary to increase the limits on Federal loan insurance and insured loans to students enrolled in a school of medicine, osteopathy, and dentistry.
Bill· HRH.R. 12292 (95th)referred
United States · United States Congress · 24 April 1978
Amends the Public Health Service Act to authorize the Secretary of Health, Education, and Welfare to make grants to carry out developmental and demonstration projects for providing, improving, or expanding accessibility, acceptability, or quality of health services provided to medically underserved populations.
Bill· HRH.R. 12277 (95th)referred
United States · United States Congress · 20 April 1978
Amends Title XIX (Medicaid) of the Social Security Act to permit States to provide home health care and other services to individuals who would otherwise be eligible to receive medical assistance if they were institutionalized.
Bill· HRH.R. 12244 (95th)referred
United States · United States Congress · 19 April 1978
Amends Title XVIII (Medicare) of the Social Security Act to require physicians to accept payment by assignment from the provider of services for services which such physicians furnish in Medicare-participating hospitals under the Supplementary Medical Insurance program.
Bill· HRH.R. 12231 (95th)referred
United States · United States Congress · 19 April 1978
Nurse Training Amendments - Amends Title VIII (Nurse Training) of the Public Health Service Act to extend for two fiscal years, through fiscal year 1980, the program of financial assistance for nurse training.
Bill· SS. 2932 (95th)referred
United States · United States Congress · 18 April 1978
Permits the Secretary of Health, Education, and Welfare to recognize and use relative value studies in determining reasonable charges for physicians' services under the Medicare program. Provides that the development or publication of any relative value study by a National or State private nonprofit medical organization or the use of such study by an individual or business shall not be deemed a violation of any Federal law.
Bill· HRH.R. 12185 (95th)referred
United States · United States Congress · 18 April 1978
Amends the Health Programs Extension Act of 1973 to prohibit any entity which receives financial aid from, or enters into any contract with, the Secretary of Health, Education, and Welfare from questioning any applicant for admission as a student about the views of the applicant regarding abortion or sterilization. Prohibits such entity from discriminating against any applicant for study because of the refusal of the applicant to participate in the performance of an abortion or other medical services contrary to the religious beliefs or moral convictions of the applicant.
Bill· HRH.R. 12166 (95th)referred
United States · United States Congress · 17 April 1978
Amends the Public Health Service Act to establish, within the National Institutes of Health, the Center for the Evaluation of Medical Practice. Directs the Secretary of Health, Education, and Welfare to use the Center to conduct and support research on the evaluation of the effectiveness of medical practice; including (1) diagnostic and casefinding techniques; (2) therapeutic procedures; and (3) the appropriate use of facilities, equipment and technology. Establishes an advisory council to advise the Secretary with respect to the administration of this Act.
Bill· SS. 2908 (95th)referred
United States · United States Congress · 13 April 1978
Venereal Disease Amendments - Amends the Public Health Service Act to authorize appropriations through fiscal year 1981 for projects and programs for the prevention and control of venereal disease. Requires the Secretary of Health, Education, and Welfare to establish and maintain a corps of not less than 850 noncommissioned officers and employees of the United States to advise and otherwise engage in the conduct of programs and projects for the prevention and control of venereal disease.
Bill· HRH.R. 12118 (95th)referred
United States · United States Congress · 13 April 1978
Directs the Secretary of Health, Education, and Welfare to conduct a study assessing the cost effectiveness of reimbursing providers of respiratory therapy according to an hourly salary equivalency system and the effect of such a proposed system upon the quality of respiratory therapy services.
Bill· HRH.R. 12127 (95th)referred
United States · United States Congress · 13 April 1978
Amends Title XVIII (Medicare) of the Social Security Act to authorize payment under the supplementary medical insurance program for foot care involving the cutting and removal of corns, warts, and calluses and the trimming of club nails.
Bill· HRH.R. 12093 (95th)referred
United States · United States Congress · 12 April 1978
Amends Title XIX (Medicaid) of the Social Security Act to extend medical assistance under such Title to individuals who are unable to care for their personal needs due to a physical or mental handicap which may result in death or which has lasted or may last continuously for at least one year.
Bill· HRH.R. 12102 (95th)referred
United States · United States Congress · 12 April 1978
Minority Mental Health Support and Development Program Act - Directs the Secretary of Health, Education, and Welfare to designate the Center for Minority Group Mental Health Programs of the National Institute of Mental Health as a division of the Institute to be known as the Division for Minority Health. Enumerates duties for the Secretary acting through the Division including: (1) the development of systems to assist minority populations in adopting and coping with racism; and (2) the development of special training programs aimed at the elimination of institutional racism.
Bill· HRH.R. 12065 (95th)referred
United States · United States Congress · 12 April 1978
Medicare Amendment - Amends Title XVIII (Medicare) of the Social Security Act to eliminate the requirement that prior hospitalization is necessary before extended care facility benefits are available under the Medicare program.
Bill· HRH.R. 12075 (95th)referred
United States · United States Congress · 12 April 1978
Research on Aging Act - Limits the mission of the National Institute on Aging, established under the Public Health Service Act, to the conduct and support of biomedical research and training related to the biological process of aging. Eliminates the support of research and training related to the social and behavioral aspects of aging from such mission. Amends the Public Health Service Act: (1) to eliminate the authority of the Secretary of Health, Education, and Welfare to include on the National Advisory Council on Aging such ex officio members deemed necessary; and (2) to require the Director of the National Institutes of Health, in lieu of the Secretary, to determine the area in and extent to which activities in support of the mission of the Institute will be carried out. Removes the requirement that studies be conducted into specified social, psychological, educational, and economic aspects of the aging process.
Bill· HRH.R. 12058 (95th)referred
United States · United States Congress · 12 April 1978
Rural Health Care Delivery Improvement Act - Declares that it is the policy of Congress and the purpose of this Act to provide assistance to programs for the delivery of health services to residents of rural areas. Establishes within the Department of Health, Education, and Welfare an Office of Rural Health. Authorizes the Director of such office to award grants, contracts, loans, and loan guarantees for projects to: (1) examine existing models of rural health care delivery; (2) determine such models' applicability and transferability to other rural areas; and (3) assist in the study, planning, and development of rural health care delivery models. States that the Director shall: (1) provide liaison among all Federal agencies for the purpose of coordinating health care programs in rural areas; (2) provide technical assistance and advice for the development of rural health care delivery models; and (3) provide for the coordination of programs assisted under this Act with programs of the National Health Service Corps. Establishes in the Treasury a Rural Health Care Delivery Loan Guarantee and Loan Fund. Stipulates that the Director shall not approve an application for a loan or a loan guarantee under this Act unless he determines that the terms and conditions are sufficient to protect the financial interests of the United States. Establishes a Rural Health Care Advisory Committee composed of 11 members. Directs such committee to make recommendations to the Director with respect to overall planning, policies, objectives and priorities for the Office of Rural Health. Stipulates that the Director shall not approve an award of any grant, contract, loan, or loan guarantee under this Act unless such award has been approved by the Rural Health Care Advisory Committee and the appropriate State and local medical society. Authorizes the appropriation of such amounts as may be required from time to time for the rural health care delivery loan guarantee and loan fund.
Bill· SS. 2879 (95th)referred
United States · United States Congress · 11 April 1978
Primary Health Care Act - States that it is the purpose of this Act: (1) to develop and promote a long-term strategy for addressing primary health care needs; and (2) to alleviate the shortage of health resources in both urban and rural medically underserved areas of the country. Establishes the Commission on National Primary Health Care Needs. Requires the Commission to issue a report to Congress on the national primary health care needs with special attention on the varying needs of both urban and rural areas. Directs the Commission to conduct a study to determine if the Department of Defense, the Veterans' Administration, and other Federal health facilities can be utilized to provide health care services in medically underserved areas. Defines the term "primary care" as first contact medical care services, including health promotion and disease prevention, and continuous patient management throughout secondary and tertiary treatment. Amends the Public Health Service Act to require the Secretary of Health, Education, and Welfare to establish a plan to allow community health centers to retain earned income if the income is used to expand or improve the services of the center. Authorizes appropriations through fiscal year 1983: (1) to make grants to public and nonprofit private entities for projects to plan and develop community health centers to serve medically underserved populations; and (2) to make grants for the costs of operation of public and nonprofit private community health centers which serve medically underserved populations. Defines, for purposes of the Public Health Service Act, the following terms: (1) community hospital; (2) hospital-affiliated primary care center (primary care center); (3) primary care group practice; and (4) primary care resident. Authorizes the Secretary to make grants to community hospitals for planning, developing, and operating primary care centers in medically underserved populations. Sets forth specified assurances which a community hospital must include in an application for such a grant. Authorizes appropriations for such grants through fiscal year 1981. Requires the Secretary to establish a plan to allow migrant health centers to retain earned income if the income is used to expand or improve services of the centers. Authorizes appropriations through fiscal year 1983 for: (1) grants to plan and develop migrant health centers; and (2) to make grants for the cost of operation of such centers. Authorizes the Secretary to make grants and contracts to demonstrate new, improved, or expanded primary health and dental care delivery mechanisms in the community setting for medically underserved populations. Defines, for purposes of the Public Health Service Act, the following terms: (1) "Medically underserved population; (2) "rural"; and (3) "urban."
Bill· HRH.R. 12008 (95th)passed
United States · United States Congress · 11 April 1978
Psychotropic Substances Act - Amends the Controlled Substances Act, the Controlled Substances Import and Export Act, the Federal Food, Drug, and Cosmetic Act, and the Public Health Service Act to meet obligations under the Convention on Psychotropic Substances.
Bill· HRH.R. 12022 (95th)referred
United States · United States Congress · 11 April 1978
Amends the Federal Insecticide, Fungicide, and Rodenticide Act to direct the Administrator of the Environmental Protection Agency to request the National Academy of Science to conduct a study regarding the desirability of developing a Federal policy for the determination of the potential carcinogenicity in man of chemicals tested primarily in nonhuman test systems through the standardization of certain tests.
Bill· HRH.R. 12015 (95th)referred
United States · United States Congress · 11 April 1978
Establishes a ten-year program of preventive health care services within the Veterans' Administration. Directs the Administrator of Veterans' Affairs to design and conduct a health maintenance pilot program to demonstrate the medical advantages and cost-effectiveness of providing such services to veterans.
Bill· HRH.R. 11932 (95th)referred
United States · United States Congress · 6 April 1978
Amends Title XVIII (Medicare) of the Social Security Act to permit payment for eye care, eyeglasses, hearing aids and related examinations, dental care and dentures under the supplementary medical insurance program. Increases the government contribution to the Federal Supplementary Insurance Trust Fund by twice the amount of premiums that are presently paid into the Fund each month, while decreasing the portion of the Fund comprised fo premiums from one-half to one-third. Excludes from the coverage of the supplementary medical insurance program expenses relating to referrals of individuals by a doctor of optometry for the diagnosis or detection of eye diseases.
Bill· HRH.R. 11879 (95th)referred
United States · United States Congress · 5 April 1978
Health Services Act - Declares it to be the purpose of this Act: (1) to create a United States Health Service to provide without charge to all residents comprehensive health care services delivered by salaried health workers; and (2) to establish representative and democratic governance of the Service through community boards, district and regional boards, and a National Health Board. Defines the terms used in this Act. Title I: Establishment and Operation of the United States Health Service - Establishes the United States Health Service as an independent establishment of the Executive Branch. States that the authority of the Service shall be exercised by the appropriate National Health Board and, in accordance with this Act and guidelines established by such Board, by area health boards. Requires the President to appoint, by and with the advice and consent of the Senate, 21 individuals as an Interim Board of Directors of the Service. States that the Interim National Board shall serve as the National Health Board of the Service until the National Health Board holds its initial meeting. Directs such Board to: (1) establish the boundaries of the health care delivery regions established by this Act; (2) select and assist regional health boards; (3) coordinate the initial election of community health boards; and (4) submit a report to Congress on its performance under this Act after the appointment of the National Health Board. Authorizes the appropriation of $4,000,000,000 to carry out the provisions of this Act. Directs the Interim National Health Board, within six months of the appointment of its members, to establish health care delivery regions throughout the United States. Requires that each such region be a contiguous geographic area appropriate for the effective governance, planning, and delivery of all health care and supplemental services under this Act for residents of a region having a population of not less than 500,000 and not more than 3,000,000 individuals. Allows for exceptions to such population restrictions when such exceptions would facilitate the delivery of health care or the effective governance of the program. Directs the Interim Board, in establishing health care delivery regions, to take into account the differences in health care needs between metropolitan and non-metropolitan areas. Directs the Interim Board to appoint an interim regional board for each region. Makes it the duty of each such regional board: (1) to establish the boundaries of health care delivery districts and of health care delivery communities within its region; and (2) to conduct elections for voting members of community boards within its region. Stipulates that each region shall be divided into three or more health care delivery districts which shall be contiguous geographic areas with populations of not less than 100,000 and not more than 500,000 individuals. Divides each district into three or more health care delivery communities which shall be contiguous geographic areas with populations of not less than 25,000 and not more than 50,000 individuals. Authorizes variations in the number of districts in a region or communities within a district, and in the respective population requirements, in the interest of facilitating health care delivery and management in such areas. Sets forth the procedures and the requirements for the election of health care delivery community boards. Requires the establishment of health care delivery district boards by appointment by each community board of two individuals eligible to receive health services under this Act to serve as members of its respective district board. Stipulates that, after the initial meeting of each district board, each such board shall appoint two individuals in the district who are eligible to receive health services under this Act to serve as members of its respective regional board. Requires the Interim National Health Board to assign each region to one of three groups of regions established under this Act. Stipulates that after the initial meeting of each regional board each such board for a region in the first two groups of regions shall appoint an eligible user in the region as a user member of the National Health Board. Stipulates that each such board for any other region shall appoint an eligible regional health worker to serve as a worker member of the National Health Board. Requires each regional board to promptly notify the Interim National Health Board and the President of each appointment. Requires the Interim National Board to notify the President and the Congress of the certification of each member of the National Board. Sets forth the procedures to be used in subsequent elections and appointments of members of health boards. Permits the National Board to review and modify the boundary of any region in which there has been a substantial shift of population. Outlines the organizational structure of the National Health Board. Directs each health board to record the minutes of each of its meetings and each of its committees and advisory groups, and to make such records available to the public for inspection and copying. Makes meetings of each health board, committee, and advisory groups open to the public. Requires the National Board to establish such advisory guidelines and standards as will facilitate the implementation of the objectives of this Act. Title II: Delivery of Health Care and Supplemental Services - Enumerates the basic health rights which the Service shall ensure in the delivery of health care services to users including: (1) the right to receive health care and supplemental services without charge and without discrimination; (2) the right to choose the health workers from whom, and health facilities in which, health care services are received; (3) the right to have all health care information translated into the individual's primary language; (4) the right to an explanation of the benefits and risks involved in the delivery of such service; (5) the right to refuse the initial or continuing delivery of any health care service; (6) the right to have all documents treated confidentially; and (7) the right to legal assistance to enforce these rights. Amends the Fair Labor Standards Act of 1938 to establish a program of health leave compensation by requiring that each employee of any employer who in any workweek is engaged in commerce or in the production of goods for commerce, shall be entitled to receive from the employer, for each 35 hours of employment per workweek, compensation for one hour of employment at the regular rate at which the employee is employed for an hour: (1) during the period of 52 weeks beginning with the workweek with which the entitlement is earned; and (2) during which the employee is unable to work because of the need for the employee (or a dependent of that employee) to receive necessary health care services. Declares that all individuals while within the United States or any of its territories are eligible to receive health care and supplemental services under this Act. Includes within the care and services to be provided: (1) the promotion of health and well-being through health education programs; (2) the prevention of illness, injury, and death through education, early detection programs, and through emergency actions to halt environmental threats to life and health; (3) the diagnois and treatment of illness and injury; (4) the rehabilitation of the sick and disabled; and (5) the provision of drugs, therapeutic devices, appliances, equipment, and other medical supplies certified effective in the National Pharmacy and Medical Supply Formulary. Enumerates the supplemental services to be provided under this Act. States that such services shall consist of: (1) ambulance transportation; (2) child care; and (3) homemaking services. Requires the Service to reimburse facilities and health workers not operated or employed by the Service in circumstances requiring immediate medical attention. States that the Service shall provide specified health care services through the community, district, and regional health boards and facilities. Requires each community board to establish community health care facilities to provide comprehensive primary and specialized health care services including: (1) general primary medical care and treatment; (2) preventive health services; (3) children's health services; (4) obstetrical and gynecological services including family planning and contraceptive services, and abortion counseling and services; (5) vision and hearing testing and provision of eyeglasses and hearing aids; (6) 24-hour emergency medical services; (7) provision of pharmaceuticals, therapeutic devices, and medical appliances; (8) mental health services; (9) home health services; and (10) occupational safety and health services. Requires each district board to establish, within its district, a general hospital for the delivery of general health care services and those specialized services which may be provided most effectively at the district level. Requires each regional board to establish a regional medical facility for the delivery of highly specialized health care services to individuals residing in the region. Directs each area health board to provide through its health care facilities: (1) health education on personal health matters; (2) referral services to health care facilities located outside the board's area; (3) environmental health inspection and monitoring services; and (4) discharge planning and followup services for patients who will need continuing care after discharge from an inpatient facility. Requires area health boards, in establishing health care facilities, to purchase or lease such premises as its deems necessary and suitable, utilizing, where appropriate, existing health facilities, including health centers and clinics, hospitals, nursing homes, and medical laboratories. Title III: Health Labor Force - Declares that not withstanding any law of a State or political subdivision, the Service shall be the sole judge of the qualifications of its employees. Directs the National Board to establish guidelines for the classification, certification, and employment of health workers by job category. Requires each regional board to establish a health team school to provide programs of initial and continuing basic and specialized education in health care delivery for health workers in all levels of the health care field. Prohibits any individual from enrolling in a regional health board school or specialized program unless the individual agrees to perform health care services as an employee of the Organization for a specified period of time in the job category for which training is being provided. Applies specified Federal standards to labor-management relations within the Service including provisions relating to: (1) employment and promotion in the Service; (2) adverse actions against employees; (3) compensation for work-related injuries; and (4) collective-bargaining agreements. Stipulates that the remedy against the United States provided by the United States Code for malpractice and negligence suits by employees of the Service acting within the scope of their employment shall be exclusive of any other civil action against the employee. Title IV: Other Functions of Health Boards - Requires each area health board to establish a program of health advocacy to ensure the full realization of patients' rights as enumerated in Title II of this Act. Directs the National Board to establish a health rights legal services program to ensure that users and health workers receive free, high quality legal services for legal problems related to health rights and health care services. Stipulates that each regional board and the appropriate National Health Board shall provide that any user, health worker, or voluntary association having a demonstrated interest in health care may commence a grievance proceeding before the board with respect to an alleged violation of this Act by the appropriate board. Outlines the procedure to be used in the filing and hearing of such grievances. Enumerates the remedies to be provided if an entity determines that a board has failed to comply with this Act. Directs the National Board to oversee occupational safety and health programs at the regional level and to participate in the establishment and administration of occupational safety and health standards under the Occupational Safety and Health Act of 1970. Makes conforming amendments within the Occupational Safety and Health Act of 1970. Directs each community board to provide for the organization and operation in its community of a community occupational safety and health action council (OSHAC). Directs each regional board to establish an occupational health and safety program for its region. Requires the employer in each workplace to establish and maintain a health facility in or near the workplace to provide occupational and emergency health care services to employees. Gives employees in each workplace having 25 or more employees the right to establish workplace occupational safety and health committees to monitor safety and health conditions in their workplace. Grants right of inspection to such committees. Authorizes employees to leave work sites at which a hazard has been found to exist. Transfers the National Institutes of Health to the National Health Board on the effective date of this Act. Directs the National Health Board to establish National Institutes of: (1) Epidemology; (2) Evaluative Clinical Research; (3) Health Care Services; (4) Pharmacy and Medical Supply; and (5) Sociology of Health and Health Care. Requires each regional board to establish a program for the purchase and distribution of drugs and other medical supplies for use by health care facilities established within its region. Authorizes the National Health Board to establish and operate drug and medical supply manufacturing facilities, if it determines that such operation will result in reduced expenditures by the Service. Title V: Financing of the Service - Imposes a tax on every individual, estate, trust, and employer for funding of the Health Service. Repeals provisions of the Internal Revenue Code taxing individuals and employers and allowing deductions to employers and individuals for services which will be provided by the Health Service. Creates the Health Service Trust Fund which shall consist of gifts, bequests, and appropriations. Transfers to the Trust Fund all of the assets and liabilities of the Federal Hospital Insurance Trust Fund and the Federal Supplementary Medical Insurance Trust Fund which now provide funding for the Medicare program. Creates the Board of Trustees of the Trust Fund to manage and invest the Fund. Requires each health board to submit to the appropriate board a plan and budget for the fiscal year beginning on October 1 of each year. Directs the National Board to prepare and transmit to the appropriate boards a national health budget for the fiscal year. Limits the manner in which allocated funds shall be expended. Authorizes the borrowing of money and the issuing and selling by the National Health Board of such obligations as the Board determines is necessary to carry out the purposes of this Act. Title VI: Miscellaneous Provisions - Makes the effective date of health services under this Act January 1 of the fourth calendar year after the year in which this Act is enacted. Repeals all programs and provisions of the Public Health Service Act except for: (1) Title III Part F (Licensing - Biological Products and Clinical Laboratories and Control of Radiation) and Part G (Quarantine and Inspection); and (2) Title VII (Health Research and Teaching Facilities and Training of Professional Health Personnel). Repeals Titles V (Maternal and Child Health and Crippled Children's Services), XVIII (Medicare), and XIX (Medicaid), of the Social Security Act. Repeals the Comprehensive Alcohol and Alcoholism Prevention, Treatment, and Rehabilitation Acts. Repeals provisions relating to hospitals and other health facilities for Indians. Repeals the Mental Retardation Facilities and Community Health Centers Construction Act of 1963 and the Family Planning Services and Population Research Act of 1970. Requires the President to prepare and to transmit to Congress legislation to repeal or amend such provisions of law as are inconsistent with the purposes of this Act. Transfers funds, personnel, assets, liabilities, contracts, property and records or programs repealed by this Act to the Service.
Bill· HRH.R. 11809 (95th)referred
United States · United States Congress · 3 April 1978
Brown Lung Disease Act - Requires that any claim for disability payments due to byssinosis (Brown Lung Disease), other than for those paid by the employer pursuant to this Act, shall be filed pursuant to the applicable State worker's compensation law. Provides that, for periods when such law does not provide adequate coverage, benefits may be claimed under this Act. States that the Secretary of Labor (Secretary) shall publish a list of State worker's compensation laws which provide adequate coverage. Sets forth the standards by which the Secretary shall judge the adequacy of the coverage for byssinosis provided by a State's workers compensation law. Directs each employer to pay benefits for each death or total disability due to byssinosis arising out of employment. Sets forth the amount of such payments. Provides for the reduction of such payments by the amount of State worker's compensation payments received, or in accordance with the amount of Social Security benefits received. Requires the Secretary, in conjunction with the National Institute for Occupational Safety and Health, to establish standards, which shall include appropriate presumptions, for determining whether a worker is totally disabled or in the case of a deceased worker was totally disabled, from byssinosis and whether such byssinosis arose out of the employment. States that each employer shall be liable for the securing of benefits to employees equal to or greater than those provided by this Act. Sets forth the means by which an employer shall secure the payment of benefits for which such employer is liable during any period in which a State worker's compensation law is not included on the list published by the Secretary. States that nothing in this Act shall relieve any employer of the duty to comply with any State worker's compensation law, except insofar as such State law is in conflict with the provisions of this Act and the Secretary, by regulation, so prescribes. Provides that during any period after the date of enactment of this Act in which a State workmen's compensation law is not included on the list published by the Secretary certain provisions of the Longshoremen's and Harbor Workers' Compensation Act shall be applicable. Authorizes the Secretary to enter into contracts with and make grants to public and private agencies and organizations and individuals for the construction, purchase, and operation of fixed site and mobile clinical facilities for the analysis, examination, and treatment of respiratory and pulmonary impairments in active and inactive textile plant workers. Requires the Secretary to initiate research within the National Institute for Occupational Safety and Health. Authorizes the Secretary to make research grants to public and private agencies and organizations and individuals for the purpose of devising a simple and effective test to measure, detect, and treat respiratory and pulmonary impairments in active and inactive workers.
Bill· HRH.R. 11805 (95th)referred
United States · United States Congress · 3 April 1978
Amends Title XVIII (Medicare) of the Social Security Act to provide payment for certain clinical psychologists' services under the supplementary medical insurance program.
Bill· HRH.R. 11826 (95th)referred
United States · United States Congress · 3 April 1978
Amends Title XIX (Medicaid) of the Social Security Act to assure the individuals otherwise eligible for benefits under such Title do not lose such eligibility, or have the amount of such benefits reduced, because of increases in the amount of benefits under Title II (Old-Age, Survivors, and Disability Insurance) of such Act.
Bill· HRH.R. 11816 (95th)referred
United States · United States Congress · 3 April 1978
Audiological Rehabilitation Amendments - Amends Title XVIII (Medicare) of the Social Security Act to provide payment for outpatient communicative services under the supplementary medical insurance program. Defines "outpatient communicative services" as speech pathology and audiology services furnished by a provider of services or other health agency to an individual referred by a physician.
Bill· HRH.R. 11804 (95th)referred
United States · United States Congress · 3 April 1978
Amends Title XVIII (Medicare) of the Social Security Act to authorize payment for specified services performed by chiropractors, including x-rays and physical examinations, and related routine laboratory tests.
Bill· HRH.R. 11763 (95th)referred
United States · United States Congress · 22 March 1978
Amends the Public Health Service Act to require the Secretary of Health, Education, and Welfare to study the costs of diseases which are environmentally related. Defines such diseases as those which may result in whole or in part from exposure to contaminants at work, at home, indoors, or in the ambient environment. Defines costs of such diseases to be both direct and indirect costs, including costs of prevention, treatment, convalescence, rehabilitation, and costs stemming from loss of income due to incapacitation. Extends the authorization of appropriations under such Act through fiscal year 1981: (1) for health service research, evaluation, and demonstration activities; and (2) for health statistical activities. Amends the Clean Air Act Amendments of 1977 to require the Task Force on Environmental Cancer and Heart and Lung Disease to conduct a study to identify the extent to which indoor and outdoor environmental activities may cause cancer, heart, or lung diseases. Requires the Secretary, acting through the National Center for Health Statistics, to promulgate guidelines for the collection and distribution of information necessary to determine the effects of conditions of employment and indoor and outdoor environmental conditions on public health. Requires related Federal and Executive agencies to cooperate in compiling such information.