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Bill· SS. 1206 (100th)open
United States · United States Congress · 14 May 1987
Health Care Services in the Home Act of 1987 - Amends title XIX (Block Grants) of the Public Health Service Act to authorize appropriations for FY 1988 through 1990. Directs the Secretary of Health and Human Services (Secretary) to make allotments to States, according to a specified formula, to be used for home health care services, including: (1) compensating physicians, nurses, and social workers in planning, managing, or providing home health care; (2) identifying and locating individuals in need of such care; (3) developing standards and quality assurance mechanisms; (4) coordinating home health care services with other social services; (5) coordinating long-term care services; and (6) training health professionals other than physicians, nurses, and social workers. Allows States to use allotments for the home health care of eligible individuals through grants to health care organizations, subject to certain conditions. Restricts the portion of the amount paid to States which may be used for activities other than compensation for the services of physicians, nurses, and social workers in planning, managing, or providing home health care. Limits the amount a State may use for any individual in a year for certain services. Sets forth application procedures for such allotments. Makes applicable to this Act provisions of existing law relating to adjustments in payments to States, annual reports and audits, withholding of payments for cause, nondiscrimination, and penalties for false statements. Requires annual reports to include an analysis of cost effectiveness. Directs the Secretary to conduct evaluations of services provided and activities carried out with payments to States under this Act.
Bill· SS. 1205 (100th)open
United States · United States Congress · 14 May 1987
Home Health Care Training Extension Act of 1987 - Amends the Public Health Service Act to authorize appropriations for FY 1988 through 1990 for existing programs regarding grants and contracts for training programs for paraprofessionals to provide home health care.
Bill· SS. 1204 (100th)open
United States · United States Congress · 14 May 1987
Home Health Services Demonstration Grants Act of 1987 - Amends the Public Health Service Act to direct the Secretary of Health and Human Services to make grants to public and nonprofit private entities for projects designed to demonstrate the quality of home health care under a system in which reimbursement is based on savings from other hospital or nursing home services. Requires projects supported to be designed to demonstrate the use of market forces instead of the regulatory approach. Directs the Secretary to conduct evaluations of projects conducted with such grants. Authorizes appropriations for FY 1988 through 1990.
Bill· HRH.R. 2402 (100th)referred
United States · United States Congress · 13 May 1987
U.S. Health Service Act - Title I: Establishment and Operation of the United States Health Service - Part A: Initial Organization - Establishes, as an independent entity within the executive branch, the United States Health Service (Service). Vests authority of the Service in the appropriate National Health Board and area health boards. Grants the Service the power of eminent domain. Directs the President to: (1) appoint 21 individuals to serve as members of the Interim National Health Board of the Service; and (2) designate two nominees as chairperson and vice chairperson of the Interim National Board. Declares that the members of the Interim National Board shall serve until the National Health Board holds its initial meeting in accordance with certain provisions of this Act. Sets forth the duties of the Interim National Board. Authorizes appropriations. Part B: Organization of Area Health Boards - Requires the Interim National Board to establish health care delivery regions throughout the United States which meet specified requirements. Sets forth procedures regarding election and appointment of members and certain officers of: (1) interim national, interim regional, and interim district health boards; and (2) initial and subsequent national, regional, district, and community health boards. Requires the National Health Board (National Board) to modify the boundaries of each health care delivery region after each census and at such other times as it deems necessary, provided such modification is approved in a referendum of registered users residing in an area whose regional identification would be changed by such modification. Requires each regional board, in certain circumstances, to review the appropriateness of district and community boundaries. Allows regional boards to modify such boundaries in certain circumstances, provided modification is approved in a referendum. Part C: General Provisions Regarding Health Boards - Sets forth the membership and terms of office of health boards. Provides for recall of board members for specified reasons and for filling vacancies on health boards. Provides for the manner of conducting meetings of health boards and for the compensation of members of the National Board and compensation of and payment of expenses for members of other health boards. Sets forth procedures for the establishment by the National Board of guidelines and standards required by or in furtherance of the objectives of this Act. Requires each regional board to provide orientation, education, and technical assistance to district and community boards. Requires the appropriate national board to provide such assistance to regional boards. Title II: Delivery of Health Care and Supplemental Services - Part A: Patients' Rights in Health Care Delivery - Requires the Service to ensure that every user is given the right to receive high quality care and supplemental services without charge and without discrimination. Sets forth a list of other basic health rights. Amends the Fair Labor Standards Act of 1973 to entitle certain employees to health leave compensation, subject to specified exceptions which exist in current law as exceptions to minimum wage and maximum hours provisions. Part B: Eligibility for, Nature of, and Scope of Services Provided by the Service - Declares all individuals, while within the United States, to be eligible to receive health care and supplemental services under this Act. Excludes personal comfort or cosmetic services unless they are necessary for health-related reasons. Requires the Service to provide in the United States specified services in or through facilities established by the Service. Prohibits the Service from providing such services in a region, district, or community other than under the auspices of a regional, district, or community board established in accordance with this Act. Requires the Service to provide specified supplemental services in or through health care facilities established by the Service. Provides for reimbursement by the Service of the cost of emergency health care services under certain circumstances. Part C: Health Care Facilities and Delivery of Health Care Services - Requires each community board to establish and maintain such health care facilities as are necessary for efficient and effective delivery or comprehensive primary health care services, specialized health care services, special services, and community-oriented health measures which are provided, as much as possible, through a single comprehensive health center. Requires each district board to establish and maintain in its district a general hospital, such other health care facilities as are necessary, and such health care services of a specialized nature as may be provided most effectively and efficiently at the district level. Requires each regional board to establish and maintain: (1) a regional medical facility for highly specialized health care services; (2) health care and supplemental services for individuals whose needs cannot be met by community or district boards; and (3) such other facilities as are necessary. Requires each area health board to: (1) hire health workers; (2) purchase or lease necessary premises; and (3) seek to minimize fragmentation and duplication in delivery of health care. Requires each regional board to provide for affiliation and coordination within its region and with adjacent regions. Requires the National Board to establish guidelines for distribution and coordination of the delivery of health care services and plan and transition to the new facilities for affected workers. Requires regional boards, if a community or district board fails to provide health services, to provide the services. Requires each health board to establish policies and organizational plans consistent with provisions of this Act. Requires such boards, in establishing, implementing, and modifying such policies and plans, to seek participation of affected workers and users. Provides for a health board, if it determines that it cannot itself effectively manage the operation of all facilities, to establish a health care facility board or boards. Specifies elements to be provided for in the policies and organizational plans established by health boards. Prohibits a health board, on and after three years after the effective date of health services, from permitting its health care facilities to be used for the private delivery of health services. Prohibits individuals employed by a health board from engaging in the private delivery of health services. Requires each health board to ensure that health facilities it operates which provide outpatient services are open during hours which permit all users to make use of such services. Sets forth requirements for facilities providing inpatient services for 30 continuous days or longer. Requires each health board to provide that, at least once each year, the inpatients of facilities providing inpatient services for 30 continuous days or longer shall elect, from among themselves and representatives of certain user associations, a review committee of not less than three members. Provides for recall and proxies with respect to such committees. Requires various health boards to conduct regular inspections of specified facilities. Requires area health boards to provide: (1) contraception information and materials; (2) evaluation and treatment for venereal diseases and diseases of the reproductive organs; (3) information and counseling regarding pregnancy, child bearing, and possible genetically induced anomalies; (4) pregnancy testing; (5) prenatal services; (6) abortion services; and (7) counseling by women for specified services and counseling by men for specified services. Requires all such services to be delivered without coercion or harassment, with confidentiality, and without prior approval of individuals other than the individual receiving the services. Requires that individuals be permitted to be accompanied by a person of their choice during the provision of such services, subject to exception. Sets forth restrictions and requirements for informed consent regarding: (1) treatments or procedures which could affect an individual's reproductive capacity; and (2) mastectomy or other breast cancer treatment. Requires that women giving birth have the right to choose from a complete range of childbirth options. Title III: Health Labor Force - Part A: Job Categories and Certification - Declares that, notwithstanding State laws to the contrary, the Service shall be the sole judge of the qualifications of its employees. Requires each area health board to insure that work is performed by certified health workers. Mandates health boards to provide for periodic review and assessment of competency. States that area health boards shall provide opportunities for assessment and certification of skills required for advancement. Requires the National Board to establish guidelines for classification, certification, and employment of health workers. Requires that such guidelines: (1) permit alternative approaches to healing, when such approaches have not been shown to be injurious to health; (2) have both flexibility and uniformity to meet stated objectives; and (3) require that each health worker employed by a community board work part of the time in a facility operated by a district or regional board and each health worker employed by a district or regional board work part of the time in a health care facility operated by a community board. Mandates that the National Board periodically evaluate job categories and certification practices established by area health boards and assist regional boards in applying certain guidelines. States that each regional board, for job categories requiring advanced specialty training, shall establish certification standards which contain certain specifications made by the National Board. Requires recognition of training, experience, and performance undertaken or demonstrated before the establishment of health team schools under part B of this title. Requires each board to periodically review, supplement, modify, or eliminate such standards. Part B: Education of Health Workers - Requires each regional board, in consultation with community and district boards, to establish a health team school (school) to provide initial and continuing basic education in health care delivery and initial and continuing advanced education in health care specialties and health science specialty fields. Allows for collaboration between adjacent regions conducting joint educational programs. Requires that the schools be funded exclusively by the Service, prohibits them from charging or accepting tuition or fees, and requires them to provide each student with an allowance for living expenses, educational supplies, and any child care. Sets forth the principles under which the schools are required to be operated and maintained. Requires the National Board to establish guidelines for the application of such principles and for the phased integration of existing health worker education programs into the schools. Requires each regional board to establish and implement for the school: (1) admissions policies with certain required elements; (2) curriculum policies with stated elements; (3) faculty hiring procedures which will create a faculty which approximates the population of the region by race, sex, and language; and (4) a governance plan for the management of its school which gives significant decision making powers to staff and students. Prohibits enrolling any individual unless the individual agrees to perform health care services as an employee of the Service, in a job category for which training is being provided, for a period of time equal to the period of enrollment, but not less than two years, and subject to other terms and conditions. Entitles the Service, if an individual fails to start or fails to complete such service, to recover damages. Cancels payment of damages upon the death of the individual. Allows waiver or suspension of the obligation of service or payment if compliance is impossible or would involve extreme hardship and if enforcement would be unconscionable. Limits discharge of such obligation under bankruptcy. Mandates that each area board periodically assess the ratio of the health workers employed by the board in each job category to the number of residents in the area. Gives priority in hiring individuals obligated to perform service to health worker shortage areas and, as a second level of priority, to the regional, district, or community board for the region, district, or community in which the program was completed. States that the National Board shall establish a program to match the preferences graduates have for locations with the needs and preferences of various boards. Requires the National Board to make payments of principal and interest on certain loans incurred by individuals for an educational program in health care delivery, health care specialties, or health science fields which is outstanding on the day that individual begins to work for the Service. Establishes a schedule for such payments. Part C: Employment and Labor-Management Relations Within the Service - Requires health boards to employ, classify, and fix the salaries and benefits of all employees of the Service. Mandates that the appropriate National Board provide for: (1) employment and promotion in the Service in the same manner as under the Federal civil service system; (2) opportunities for advancement; (3) use of work time for continuing education without loss of pay or other rights; and (4) hearings on adverse actions. States that health boards shall give hiring preference to individuals employed as health workers before enactment of this Act. Requires the National Board to ensure that all such individuals desiring employment in the Service find appropriate employment in the Service. Declares employees of the Service eligible for promotion or transfer to any position in the Service for which they are qualified. Mandates that each regional board establish and maintain a job placement service. Places restrictions on hiring relating to the: (1) ratio of health workers to residents; and (2) existence of a health worker shortage area in the same region. Declares that employees of the Service are covered by specified Federal laws relating to adverse actions, compensation for work injuries, civil service retirement, and withholding of pay for the Civil Service Retirement and Disability Fund, subject to exceptions relating to collective bargaining agreements and conditioned on approval by the Office of Personnel Management. Declares sick and annual leave and compensatory time of employees of the Service, whether accrued prior to or after the commencement of operations of the Service, to be obligations of the Service. Requires compensation, benefits, and other terms and conditions of employment to be the same on the effective date of health services as for Federal Government employees until changed by the Service. Makes specified provisions of Federal law relating to unemployment compensation and life insurance apply to employees of the Service unless modified. Prohibits changes in fringe benefits which result in a program which is less favorable to employees of the Service than fringe benefits for employees of the Federal Government on the effective date of health services. Declares that the provisions of the National Labor Relations Act shall apply to the Service and its employees, subject to specified exceptions. Declares that provisions of Federal law relating to participation in a strike shall not apply to employees of the Service. Authorizes provisions in collective bargaining agreements between the Service and its employees regarding procedures for the resolution of grievances and adverse actions, including binding third-party arbitration. Amends the Labor-Management Reporting and Disclosure Act of 1959 to include the Service in the definition of the term "employer" under that Act. Provides that the remedies provided by stated Federal laws regarding jurisdiction and tort claims shall be exclusive of any other civil action or proceeding. Directs the Attorney General to defend any such action or proceeding. Provides, in certain circumstances, for removal and remanding of cases between State and Federal courts and for suspensions of specified limitations of time. Authorizes the Attorney General to compromise or settle such cases as provided in specified Federal law. Declares that assault or battery arising out of negligence in various health care functions is not an exception under specified Federal law to tort claims and jurisdiction provisions of Federal law. Authorizes the National Board to hold harmless or provide liability insurance for any employee of the Service under certain circumstances. Title IV: Other Functions of Health Boards - Part A: Advocacy, Grievance Procedures, and Trusteeships - Requires each area health board to establish a program of health advocacy with specified elements. Requires the National Board to establish a health rights legal services program, for users and health workers, providing specified elements. Requires each appropriate regional board to provide that any user, health worker, user association, or specified health board may commence grievance proceedings before specified health boards with respect to alleged violations of this Act. Provides for review of adverse decisions. Prohibits commencement or continuation of such review when suit is filed. Provides procedures for handling such grievances. Authorizes, in certain circumstances, the entity before which a grievance proceeding is commenced or reviewed to: (1) set aside an election of a community board and require a new election; and (2) if not involving a community board, require that a new election be conducted or a new appointment be made. Requires such entity to transfer such functions as necessary to the appropriate higher health board until a new election is conducted or a new appointment is made. Authorizes a health board which receives functions under such a transfer to appoint a trustee or trustee committee to carry out transferred functions. Part B: Occupational Safety and Health Programs - Requires the National Board to oversee occupational safety and health programs conducted 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, with the advice and comments of regional occupational safety and health action councils established under this Act. Amends the Occupational Safety and Health Act of 1970 to substitute references to the National Health Board for references to the Secretary of Health and Human Services throughout such Act, with one specified exception. Adds references to the National Health Board to existing provisions in such Act regarding promulgation, modification, and revocation of safety and health standards. Ends responsibility of the Secretary of Health and Human Services for prescribing rules and regulations to carry out such Secretary's responsibilities under that Act. Adds a reference to consultation with the National Board to existing provisions relating to: (1) exemptions from required provisions on account of national defense; (2) conditions for approval of State safety and health plans; and (3) access to safety and health records and reports required of Federal agencies. Ends the authorization under a specified provision of such Act for the Secretary of Health and Human Services to prescribe regulations requiring employers to measure, record, and make reports on employees' exposure to certain substances or agents. Requires the National Board to establish guidelines for: (1) its participation in the establishment and administration of safety and health standards; (2) the election of community occupational safety and health action councils; (3) the establishment of regional occupational safety and health programs; (4) the establishment and operation of work place health facilities; and (5) the provision of assistance by various health boards to various safety and health councils, and to work place safety and health committees. Requires each community board to provide for the operation of a community occupational safety and health action council (COSHAC). Gives a formula for election of the members of COSHACs. Specifies the duties of each COSHAC. Requires each regional board to establish an occupational health and safety program for its region with specified elements, including staffing and supporting the operation of the regional occupational safety and health action council (ROSHAC). Specifies the responsibilities of each ROSHAC. Requires the employer in each work place to establish and maintain a health facility in or near the work place to meet occupational and emergency health care needs of employees, to be operated either by the community board or by the employer, and the cost, in either case, to be borne by the employer. Grants employees in each work place having 25 or more employees the right to establish work place occupational safety and health committees. Grants the members of such committees rights to engage in certain activities relating to inspections without loss of pay or other job rights. Authorizes employees to monitor conditions and to remove themselves from the site of any hazard without loss of pay or other job rights. Requires employers to minimize hazards and furnish employees with or reimburse employees for needed equipment or clothing. Specifies rights of employees regarding: (1) inspection of medical records maintained by their employers; (2) provision to employees of copies of all reports, studies, and data concerning health and safety in that work place; and (3) the seeking, through collective bargaining, of standards more restrictive than those established under the Occupational Safety and Health Act of 1970. Part C: Health and Health Care Delivery Research - Requires the Service to conduct a program of research concerning health and health care delivery. Transfers the National Institutes of Health from the Department of Health and Human Services to the National Health Board. States that the National Board shall establish five new national institutes: Epidemiology, Evaluative Clinical Research, Health Care Services, Pharmacy and Medical Supply, and Sociology of Health and Health Care. Specifies the duties of each such institute. Part D: Health Planning, Distribution of Drugs and Other Medical Supplies, and Miscellaneous Functions - Requires each area board to collect data on supply and demand regarding health workers and health care delivery. Requires each regional board to coordinate the planning and administration of health care delivery, health worker education, and health research in its region. Requires the National Board to formulate one-year and five-year national plans and budgets. Requires the National Board, after consultation with regional boards, to publish, and regularly update, a National Pharmacy and Medical Supply Formulary. Specifies the contents of the Formulary. Requires each regional board to establish a program for the purchase and distribution of drugs and other medical supplies. Authorizes the National Board to establish and operate drug and medical supply manufacturing facilities in certain circumstances. Requires the National Board to publish an annual report and a comprehensive dictionary of terms used in health care records and services maintained or provided by the Service. Title V: Financing of the Service - Part A: Health Service Taxes - Amends the Internal Revenue Code to add a new part imposing on individuals and corporations an additional tax of specified percentages of the normal tax and surtax imposed by a specified section of such code. Ends the income tax exclusion from gross income of amounts paid by third parties for medical care. Excludes from gross income employer contributions to accident or health plans to the extent that such contributions do not provide for health care available to such employees under the Health Service Act. Prohibits income tax deductions for: (1) health care expenses as a trade or business expense; and (2) contributions to certain medical and hospital facilities. Repeals provisions of the Internal Revenue Code relating to: (1) medical and dental expenses; (2) hospital insurance tax imposed on employment and self-employment income; and (3) receipts for railroad employees. Declares that no contractual or other nonstatutory obligation of any employer to pay or provide for health care for present or former employees and their dependents and survivors shall apply on or after the effective date of health services under this Act to the extent such individuals are eligible to receive such services under this Act. Prohibits Federal, State, or private worker compensation programs from paying for or providing any health care on or after the effective date of health services under this Act to the extent such care is available under this Act. Part B: Health Service Trust Fund - Creates in the Treasury the Health Service Trust Fund (Trust Fund). Appropriates to the Trust Fund amounts equal to 100 percent of the expected net receipts from specified provisions of the Internal Revenue Code. Appropriates to the Trust Fund a Government contribution equal to 40 percent of the amount appropriated under such 100 percent provision. Transfers to the Trust Fund all assets and liabilities of the Federal Hospital Insurance Trust Fund and the Federal Supplementary Medical Insurance Trust Fund. Creates the Board of Trustees of the Trust Fund. Requires the investment of specified portions of the Trust Fund. Extends the purposes for which obligations of the United States may be issued under the Second Liberty Bond Act, to authorize the issuance at par of public debt obligations for purchase by the Trust Fund. Part C: Preparation of Plans and Budgets - Requires the National Board to annually fix the maximum amount of funds which may be expended from the Trust Fund during the fiscal year. Specifies criteria to be considered in determining such amount's maximum value. Authorizes the National Board to refix such maximum amount in certain circumstances. Authorizes the National Board to exceed such maximum amount as necessary because of epidemic, disaster, or other occurrence which was not and could not have been planned for. Authorizes the National Board to allocate, in addition to such maximum amount, funds borrowed under specified provisions of this Act. Requires each community, district, and regional board to annually submit fiscal year and five-year plans and budgets to the next higher level health board. Requires plans and budgets to be prepared in consultation with appropriate users, health workers, and health boards. Part D: Allocation and Distribution of Funds - Requires the National Board to annually transmit to regional boards a national health budget dividing the total funds available into funds for ordinary operating expenses, preventive health measures, capital expenses, research expenses, and special operating expenses. Requires funds for ordinary operating expenses, preventive health measures, and research expenses to be allocated to the regional boards on the basis of population. Requires funds for capital expenses to be allocated according to stated criteria. Declares the budget submitted to the regional boards by the National Board to be adopted upon the approval by a majority of the regional boards. Sets forth requirements, similar to those for the national health budget, for preparation and adoption of regional and district budgets. Defines "special operating expenses" to mean operating expenses associated with: (1) care and treatment for users 65 years of age and older; (2) care and treatment of persons confined to full-time residential institutions, including nursing homes and facilities for the treatment of mental illness; (3) the special health care needs of low-income users; (4) the special health care needs of rural users; (5) special health care needs arising from environmental or occupational health conditions; (6) special health care needs arising from unexpected occurrences, including epidemics and natural disasters; and (7) the conduct of environmental health inspection and monitoring services. Sets forth rules for allocation of special operating expenses. Requires funds allocated under the national health budget to be distributed by the National Board from the Trust Fund. Prohibits health boards from requesting or receiving funds from any other source. Sets forth rules regarding: (1) distribution of funds in the absence of an adopted budget; (2) maintenance of separate accounts by area boards; (3) payment of area health boards; (4) allocation of supplementary funds required by events occurring or information acquired after initial allocations. Authorizes area boards to retain unused funds for two years following receipt. Requires any funds unexpended after such time to be returned to the Trust Fund. Mandates annual financial statements by area health boards. Grants the National Board and the Comptroller General of the United States, for the purpose of audits, access to any books, documents, papers, and records related to the operation of the Service. Part E: General Provisions - Authorizes the National Board to borrow money and to issue and sell obligations as necessary for this Act, but only in amounts specified in appropriations Acts. Limits the aggregate amount of such obligations outstanding at any one time. Authorizes the National Board to pledge the assets of the Trust Fund and pledge its revenues and receipts for various purposes related to such obligations. Authorizes the National Board to enter into a variety of covenants as necessary or desirable to enhance the marketability of such obligations. Declares that such obligations: (1) shall be negotiable or nonnegotiable, bearer or registered; (2) shall contain a recital that they are issued under a specified provision of this Act; (3) shall be lawful investments; (4) shall be exempt from State taxes; and (5) shall not, subject to exception, be obligations of the U.S. Government. Requires the National Board to advise the Secretary of the Treasury of the proposed sale of obligations. Authorizes such Secretary to elect to purchase the obligations. Authorizes the National Board, if the Secretary elects not to buy such obligations, to issue and sell them to a party or parties other than the Secretary, upon notice to the Secretary and consultation regarding various terms and conditions. Empowers the National Board to require the Secretary of the Treasury to purchase obligations of the Service. Prohibits any required purchase which would result in a holding by the Secretary in excess of a specified amount. Makes obligations issued by the Service obligations of the U.S. Government under certain circumstances. Authorizes the Secretary of the Treasury, for the purpose of any purchase of the obligations of the Service, to use as a public debt transaction the proceeds from the sale of any securities issued under the Second Liberty Bond Act. Extends the purposes of such Act to include any purchases of the obligations of the Service under this part. Title VI: Miscellaneous Provisions - Repeals, on the effective date of health services, the Public Health Service Act, except for specified provisions relating to: (1) its short title and definitions; (2) licensing, quarantine, and inspections authority; and (3) safety of public water systems. Delays, until four years after the effective date of health services, repeal of portions of the Public Health Service Act regarding provision of assistance to educational institutions and their students, in areas which have not established health team schools under part A of title III of this Act. Repeals specified provisions of the Social Security Act relating to maternal and child health, Medicare, Medicaid, professional standards review, entitlement to hospital insurance benefits, uniform health reporting systems, limitation on Federal participation for capital expenditures, the program for determining qualification for certain health care personnel, disclosure of ownership and related information, disclosure of certain convictions, and payments to States for health care and supplemental services. Repeals specified provisions of Federal law relating to health insurance for Federal employees, medical benefits and programs relating to veterans, and the civilian health and medical program of the uniformed services. Repeals the Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment, and Rehabilitation Act of 1970, the Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment, and Rehabilitation Act Amendments of 1974, and a specified provision of the Comprehensive Drug Abuse Prevention and Control Act of 1970 relating to medical treatment of narcotic addiction. Repeals Federal law relating to hospitals, community hospitals, and other health facilities for Indians. Repeals the District of Columbia Medical Facilities Construction Act of 1968 and the District of Columbia Medical and Dental Manpower Act of 1970. Repeals specified provisions of the National Housing Act relating to mortgage insurance for nursing homes, hospitals, and group practice facilities. Repeals the Mental Retardation Facilities and Community Mental Health Centers Construction Act of 1963, the Family Planning Services and Population Research Act of 1970, the National Arthritis Act of 1974, and the National Diabetes Mellitus Research and Education Act. Repeals specified provisions of the Lead-Based Paint Poisoning Prevention Act relating to grant, demonstration, and research programs for lead-based paint poisoning prevention. Repeals the Act of March 2, 1897, relating to tea importation. Repeals specified provisions of the Occupational Safety and Health Act of 1970 relating to the National Institute for Occupational Safety and Health. Requires the President to prepare and submit to the Congress legislation to repeal or amend provisions of laws which are inconsistent with this Act, including the transfers of authority of the Secretary of Health and Human Services, under specified provisions of Federal law, to the Service. Sets forth various requirements regarding review and reporting to the President and the Congress concerning how the Service is carrying out the purposes of the various programs authorized to be conducted by provisions repealed by this Act. Transfers to the Health Service Trust Fund amounts appropriated to carry out the purposes of any law repealed by this Act. Provides transition rules regarding contracts entered into or rights or obligations arising before the effective date of such repeals. Amends the Budget and Accounting Act, 1921 to require that each budget submitted by the President set forth items relating to the Health Service Trust Fund separately from other operations of the Government. Declares that, if any provisions of this Act are declared invalid, the remainder of the Act shall not be affected.
Resolution· HCONRESH.Con.Res. 123 (100th)referred
United States · United States Congress · 13 May 1987
Expresses the sense of the Congress that the Harlem Hospital Center be recognized and commended for 100 years of service and for its dedication to providing quality care.
Bill· SS. 1162 (100th)referred
United States · United States Congress · 7 May 1987
Federal Employees Health Care Freedom-of-Choice Act of 1987 - Amends provisions of law relating to Federal employee health benefits to authorize direct payment or reimbursement for services performed by licensed health practitioners in the State where they practice.
Bill· HJRESH.J.Res. 271 (100th)referred
United States · United States Congress · 7 May 1987
Authorizes and directs the President to call on representatives of the broadcasting industry, in cooperation with public health organizations, to provide free air time to private and government organizations for antismoking public service announcements which educate the public about the dangers of cigarette smoking.
Law· SS. 1158 (100th)enacted
United States · United States Congress · 6 May 1987
Omnibus Health and Science Reauthorization Act I of 1987 - Title I: National Science Foundation Authorization Act - National Science Foundation Authorization Act for Fiscal Years 1988 through 1992 - Authorizes appropriations to the National Science Foundation (Foundation) for FY 1988. Specifies that funds will be available for the following categories: (1) biological, behavioral, and social sciences; (2) computer and information science and engineering; (3) engineering; (4) geosciences; (5) mathematical and physical sciences; (6) scientific, technological, and international affairs; (7) program development and management; (8) science and engineering education; and (9) the United States Antarctic Program. Authorizes appropriations to the Foundation for FY 1989, including amounts for: (1) research and related activities; (2) science and engineering education; and (3) the United States Antarctic Program. Authorizes appropriations to the Foundation for FY 1990 through 1992. Declares that appropriations made under such authorizations shall remain available for obligation for periods specified in the Acts making the appropriations. Authorizes use of a limited amount of funds for official consultation, representation, or other extraordinary expenses at the discretion of the Director of the Foundation (Director). Makes the determination of the Director final and conclusive upon the accounting officers of the Government. Authorizes transfers of funds, subject to certain limitations and, in specified circumstances, subject to notification of the Committee on Science, Space, and Technology of the House of Representatives and the Committees on Labor and Human Resources and Commerce, and Science, and Transportation of the Senate. Amends the National Science Foundation Act of 1950 to: (1) authorize the closing to the public of budget consideration portions of National Science Board (Board) meetings until the President's budget for that fiscal year or the legislative proposal has been submitted to the Congress; (2) declare that the Director is the head of the agency and specify the authority of the Director; (3) revise provisions relating to the composition, powers and functions, membership, and chair of the Executive Committee; (4) make applicable to Board members provisions of current law relating to Federal officers as members of special commissions of the Foundation and compensation of such officers; and (5) repeal provisions relating to oaths of allegiance to the United States and statements regarding certain criminal convictions and charges as prerequisites to acceptance of scholarships or fellowships and relating to ineligibility of members of Communist organizations for such scholarships or fellowships. Amends provisions of the National Science Foundation Authorization and Science and Engineering Equal Opportunities Act relating to the Committee on Equal Opportunities in Science and Engineering (EO Committee) to: (1) remove the requirement of concurrence of the EO Committee to appointments made by the Director to such committee; (2) end the designation of the Chairperson of the Board's Committee on Minorities and Women as an ex officio member of the EO Committee; and (3) change the reporting requirement for the EO Committee from every year to every two years. Title II: Immunization Program - Immunization Program Authorization Act for Fiscal Years 1988 through 1990 - Amends the Public Health Service Act to authorize appropriations for preventive health service programs to immunize individuals against vaccine-preventable diseases for FY 1988 through 1990. Title III: Sexually Transmitted Disease Control - Sexually Transmitted Disease Control Authorization Act for Fiscal Years 1988 through 1990 - Amends the Public Health Service Act to authorize appropriations for FY 1988 through 1990. Title IV: Homemaker/Home Health Training Grants - Homemaker/Home Health Training Grants Authorization Act for Fiscal Years 1988 through 1990 - Amends the Public Health Service Act to authorize appropriations for FY 1988 through 1990 for public health emergencies. Title V: Organ Procurement - Organ Procurement Authorization Act for Fiscal Years 1988 through 1990 - Amends the Public Health Service Act to authorize appropriations for FY 1988 through 1990 for grants to organ procurement organizations. Title VI: Emergency Medical Services for Children - Emergency Medical Services for Children Authorization Act for Fiscal Years 1988 through 1990 - Amends the Public Health Service Act to authorize appropriations for FY 1988 through 1990 for demonstration projects relating to emergency medical services for children in need of treatment for trauma or critical care. Title VII: National Center for Health Statistics - National Center for Health Statistics Authorization Act for Fiscal Years 1988 through 1990 - Amends the Public Health Service Act to authorize appropriations for FY 1988 through 1990 for health statistical and epidemiological activities. Title VIII: Tuberculosis Control - Tuberculosis Control Authorization Act for 1988 through 1990 - Amends the Public Health Service Act to extend the authorization of appropriations through FY 1990 for tuberculosis prevention and control programs.
Bill· HRH.R. 2290 (100th)open
United States · United States Congress · 5 May 1987
Indian Health Care Amendments of 1987 - Title I: Indian Health Manpower - Amends the Indian Health Care Improvement Act to authorize appropriations for specified Indian health programs for FY 1988 through 1991, including scholarship programs and continuing education allowances. Prohibits the Secretary of Health and Human Services (the Secretary) from denying scholarship assistance solely on the basis of an applicant's scholastic achievement if such applicant has been admitted to, or maintained good standing at, an accredited institution. Directs the Secretary to grant Indian Health Scholarships to Indians enrolled full-time in certain schools for health professionals. States that the active duty service requirements of the Public Health Service Act can be met by service: (1) in the Indian Health Service (Service); (2) in a program conducted under a contract entered into under the Indian Self-Determination Act; (3) in a program assisted under the Indian Health Care Improvement Act; or (4) in the private practice of a health professional if such practice is in a health professional shortage area and addresses the health care needs of a substantial number of Indians. Repeals the Indian Health Scholarship Program under the Public Health Service Act. Amends the Public Health Service Act to make Native Hawaiians, subject to available appropriations, eligible for scholarships under the Indian Health Scholarship Program. Prohibits the Native Hawaiian Health Scholarship program from being administered by or through the Service. Authorizes appropriations for FY 1988 through 1991. Amends the Snyder Act to direct the Secretary to maintain a Community Health Representative program to provide for the training and the use of Indians as health paraprofessionals to Indian communities. Title II: Health Services - Enumerates the health services for which the Secretary is authorized to expend funds for the improvement of the health of Indians. Prohibits the use of such funds to offset or limit appropriations made under other Acts. Conditions the allocation of such funds upon the health resource deficiency level of the affected Indian tribes. Permits the allocation of such funds on a service unit basis. Directs the Secretary to establish a review mechanism for tribal petitions regarding the health resource deficiency level of a tribe. Makes programs administered by tribal organizations under the Indian Self-Determination Act eligible for specified funds on an equal basis with programs administered directly by the Indian Health Service. Provides that any portion of funds from the Indian Health Care Improvement Fund that are used for contracts under the Indian Self-Determination Act may be used for health planning, training, technical assistance, and other administrative support functions. Requires at least one percent of the Fund's appropriation to be expended for research. Requires the Secretary to submit to the Congress a current health services priority system report, including the methodology for determining tribal health resources deficiencies, and the funds needed to raise all tribes to a zero level deficiency. Requires the Secretary to annually provide an update of tribal specific health plans. Directs the President to include with the submission of the budget a separate statement which specifies the amounts obligated to implement enumerated health services. Authorizes appropriations for FY 1989 through 1991 for specified health services. Designates such appropriations the Indian Health Care Improvement Fund. Establishes an Indian Catastrophic Health Emergency Fund to meet the extraordinary medical costs for victims of disasters or catastrophic illness. Authorizes appropriations. Prohibits the use of such funds to offset or limit appropriations made under other Acts. Authorizes appropriations for such Fund for FY 1988 through 1991. Requires the Secretary to provide health promotion and disease prevention services to Indians. Requires the Secretary to include in each health services priority system report an evaluation of the health promotion and disease prevention needs of Indians and the resources that are currently available to meet such needs. Requires that the Secretary require each Indian tribe to include within any tribal specific health plan that such tribe is required to submit to the Secretary a comprehensive plan developed by such tribe for health promotion and disease prevention among its members. Requires the Secretary to develop from such plans a comprehensive plan for the provision by the Service of health promotion and disease prevention services to Indians and a schedule for the provision of such services. Requires the Secretary to establish at least one demonstration project (but no more than four) to determine the most effective and cost-efficient means of providing health promotion and disease prevention services and training to Indians. Authorizes the Secretary to enter into contracts with, or make grants to, schools of medicine or osteopathy to carry out such demonstration projects. Terminates such projects 30 months after enactment of this Act. Authorizes appropriations. Directs the Secretary to establish in the State of Hawaii, as a demonstration project, a Native Hawaiian Program for Health Promotion and Disease Prevention to meet the unique health care needs of Native Hawaiians. Authorizes the Secretary to enter into contracts with Native Hawaiian organizations to assist the Secretary in providing health care services under the Native Hawaiian demonstration project. Requires the Secretary to enter into a contract with a Native Hawaiian organization to: (1) conduct a study to determine the incidence of diabetes among Native Hawaiians and ways to reduce its incidence; and (2) prepare an inventory of health care programs within Hawaii that are available for the treatment, prevention, or control of diabetes among Native Hawaiians. Requires such organization to prepare and transmit a report to the Secretary. Requires the Secretary to submit such report to the Congress and the President. Directs the Secretary to enter into contracts with Native Hawaiian organizations to: (1) establish a diabetes control program; (2) promote coordination between all health care providers in the delivery of diabetes related services to Native Hawaiians; (3) establish a model diabetes program to serve Native Hawaiians in Hawaii; (4) develop an outreach program to assure the diagnosis, prevention, and treatment of diabetes among Native Hawaiians; (5) develop a standardized system to collect, analyze, and report diabetes data among Native Hawaiians; and (6) conduct diabetes research and coordinate such research with State agencies and the Department of Health and Human Services. Directs the Secretary to submit certain reports to the Congress. Requires the Secretary to: (1) include in contracts with Native Hawaiian organizations such conditions as are necessary to ensure that the objectives of such contracts are achieved; (2) develop procedures to evaluate compliance with, and performance of, contracts entered into by Native Hawaiian organizations; and (3) conduct an annual onsite evaluation of each Native Hawaiian organization. Sets forth specified actions the Secretary may take if a Native Hawaiian organization does not comply with the conditions of a contract. Permits the Secretary, at the request or consent of a Native Hawaiian organization, to amend contracts entered into with such organizations. Requires each Native Hawaiian organization to submit to the Secretary a quarterly report of its activities. Authorizes appropriations for FY 1989 through 1992. Prohibits: (1) programs and services established by this Act relating to health promotion and disease prevention from being administered by or through the Indian Health Service; and (2) funds appropriated to the Service from being used to supplement funding of such programs and services. Provides that the United States shall have the right to recover reasonable expenses incurred by the Secretary in the provision of health services, through the Service, to individuals. Requires all funds reimbursed to the United States by reason of the provision of such services to be credited to the account of the Service in the Treasury. Title III: Health Facilities - Requires the Secretary to consult with any Indian tribe that might be affected by an expenditure for health facilities before the Secretary makes a commitment for such an expenditure. Conditions the closure of any health care facility upon the Secretary's submission to the Congress of an impact assessment one year prior to the contemplated closing. Directs the President to include with the budgets submitted for FY 1989 through 1991 program information documents for the construction of ten Indian health facilities. Requires the Secretary to submit to the Congress a report relating to the current health facility priority system. Authorizes the Secretary to provide financial and technical assistance for the operation and maintenance of sanitation facilities, utility organizations, and emergency repairs of sanitation facilities. Directs the Secretary to implement a ten-year plan to provide safe water and sanitary sewage and solid waste disposal facilities to Indian homes and communities. Requires the Secretary to submit to the Congress a report with respect to current Indian sanitation. Authorizes appropriations for FY 1989 through 1991. Permits tribes, subject to acceptance by the Secretary, to expend certain non-Indian Health Service funds for the renovation of Indian Health Service facilities, subject to specified conditions. Authorizes the Secretary to exchange certain real property with the Bethel Native Corporation (Alaska). Title IV: Access to Health Services - Extends the authorization for specified appropriations for grants and contracts with tribal organizations from FY 1989 through 1991. Title V: Urban Indian Health Services - Directs the Secretary to contract with urban Indian organizations to establish and administer health services programs in urban areas. Sets forth specified requirements to be included in such contracts. Lists criteria for the selection of such organizations. Authorizes the Secretary to enter into contracts with urban Indian organizations to determine the health status and unmet health care needs of urban Indians in affected urban areas. Delineates the requirements of such contracts. Requires the Secretary to: (1) develop evaluation procedures for the performance of the contracts entered into under this title; and (2) conduct annual onsite evaluations of each contracting urban Indian organization. Prescribes guidelines for the renewal of health care or referral services contracts. Prohibits renewal of contracts for determination of unmet health needs if such an organization's performance has been noncompliant or otherwise unsatisfactory and problems cannot be resolved. Sets forth other specified contract requirements. Requires urban Indian organizations to submit a quarterly report to the Secretary. Redefines "urban Indian organization" to mean a nonprofit corporate body situated in an urban center and governed by an urban Indian controlled board of directors. Title VI: Organizational Improvements - Establishes the Indian Health Service (Service) within the Public Health Service of the Department of Health and Human Services to provide health care services to Indians and Indian Tribes. Requires the Service to be administered by a Director, appointed by the President with the consent of the Senate. Prohibits the Service from being a part of any other agency of such Department. Sets forth the functions of the Service, including: (1) all functions being carried out by the Indian Health Service on the day before enactment of this Act; and (2) all health programs under which health care is provided to Indians based upon their status as Indians. Prohibits the Secretary from reorganizing or discontinuing the Service or reallocating certain of its functions, except with the approval of the Service's Director. Requires the Secretary to: (1) establish an automated management information system for the Indian Health Service; and (2) provide Indian tribes and tribal organizations that provide health services under contracts with the Service with such systems. Directs the Secretary to reimburse each tribe and tribal organization for the cost of the operation of such system that is used for the treatment of Service patients. Requires the Secretary to provide such systems. Transfers all personnel, records, equipment, facilities, and interests in property administered by the Service on the day before certain amendments made by this Act take effect to the Service established by this Act. Authorizes the Secretary to waive the Indian preference laws on a case-by-case basis for certain transfers. Adds the Director of the Service to level V of the Executive Schedule. Title VII: Miscellaneous Provisions - Authorizes the Secretary to enter into legal agreements with Indian tribes or tribal organizations in order to provide compensation for facility space costs associated with the administration and delivery of health services by the Indian Health Service tribally operated programs. Extends to FY 1990 the time during which Arizona is designated as a contract health service delivery area. Requires the Secretary to prepare and submit to the Congress a report with specified contents relating to the eligibility of California Indians for health services provided by the Service. Specifies eligibility requirements for Indians in the State of California for health services provided by the Service. Designates the State of California as a contract health service delivery area. Lists programs eligible for Service funds. Restricts circumstances under which the Secretary may remove a member of the National Health Service Corps who is performing obligated service in a health facility operated by or under the Service. Authorizes the Secretary under certain circumstances to provide medical care or benefits by the Service to otherwise ineligible persons. Sets a deadline by which the Secretary must develop and implement a plan to reduce Indian infant, maternal, and fetal alcohol syndrome mortality rates to a certain level or that of the general population. Directs the Secretary to provide contract health services to the Turtle Mountain Band of Chippewa Indians who reside in the Trenton Service Area of specified counties in the States of North Dakota and Montana. Requires the Secretary to examine the feasibility of the sharing of medical facilities and services between the Service and the Veterans Administration. Requires the Secretary to provide health care services for Indians in Montana. Requires the Secretary to make grants to the Tohono O'odham Tribe of Arizona for a demonstration project regarding assumption by such tribe of the health care delivery system of the Service for certain members of such tribe. Authorizes appropriations for FY 1988 through 1990. Title VIII: Diabetes Prevention and Control - Requires the Secretary to determine: (1) the incidence of diabetes among Indians; (2) activities the Indian Health Service should take to reduce such incidence, to provide guidance in the prevention, treatment, and control of diabetes, to provide early diagnosis, and to ensure proper health care to those Indians who are diagnosed as diabetic; and (3) the fiscal impact to the Federal Government of treating diabetes among such people. Requires the Secretary to prepare an inventory of all health care programs and resources within the United States that are available for the treatment, prevention, or control of diabetes among Indians. Requires the Secretary to transmit to the President and the Congress a report containing his determinations and research activities among Indians. Requires the Secretary to: (1) implement a program to strengthen and expand the diabetes program of the Indian Health Service; (2) screen recipients of diabetes services from the Service; (3) enable the Service to treat such disease effectively; and (4) conduct, for Federal, tribal, and other Indian health care providers, training programs with respect to the prevention and treatment of diabetes. Requires the Secretary to: (1) maintain specified model diabetes clinics; and (2) establish such clinics at additional specified locations. Requires the Secretary to develop specified programs with respect to data collection and analysis and research relating to diabetes among Native Americans. Authorizes appropriations. Title IX: Severability Provision - Provides that any invalidation of the provisions of this Act shall not affect the remaining provisions.
Bill· HRH.R. 2273 (100th)open
United States · United States Congress · 5 May 1987
Amends the Public Health Service Act to prohibit the Secretary of Health and Human Services, acting through the Director of the Centers for Disease Control, from making certain grants regarding acquired immune deficiency syndrome (AIDS), under existing provisions of such Act, to a public entity established by a State which does not by law require testing for the etiologic agent for AIDS of any individual who: (1) is receiving medical treatment for any venereal disease; (2) is between 15 and 49 years of age and is admitted to any hospital; (3) applies for a marriage license; or (4) is convicted of prostitution or the intravenous use of any drug.
Bill· HRH.R. 2272 (100th)open
United States · United States Congress · 5 May 1987
AIDS Confidentiality and Accountability Act of 1987 - Amends the Public Health Service Act to prohibit the Secretary of Health and Human Services, acting through the Director of the Centers for Disease Control, from making certain grants regarding acquired immune deficiency syndrome (AIDS), under existing provisions of such Act, to a public entity established by a State which does not by law require: (1) physicians and medical technicians to report to the appropriate State health authorities the name and address of any individual infected with the etiologic agent for AIDS; and (2) such reporting to be carried out in accordance with State laws regulating the confidentiality of records regarding individuals with sexually transmitted diseases.
Resolution· SRESS.Res. 204 (100th)referred
United States · United States Congress · 1 May 1987
Expresses the sense of the Senate that: (1) all funds appropriated to carry out the Anti-Drug Abuse Act of 1986 with respect to emergency treatment of alcohol abuse and drug abuse should be made immediately available to the States for initiation and expansion of treatment services; (2) States should not be required to use such funds in FY 1988; and (3) the proposed 50 percent cut by the Department of Education for FY 1988 education and prevention programs under the Drug Free Schools and Communities Act of 1986 should be rejected by the Congress.
Bill· SS. 1112 (100th)open
United States · United States Congress · 29 April 1987
Centers of Excellence in Geriatric Research and Training Act of 1987 - Amends the Public Health Service Act to require the Director of the National Institute on Aging to enter into cooperative agreements with and make grants to public and private nonprofit entities to pay costs of development or expansion of centers of excellence in geriatric research and training. Requires each such center to use the facilities of a single institution or be formed from a consortium. Requires centers to conduct research into the aging processes and into diagnosis and treatment related to aging, advanced training programs, programs to develop individuals capable of conducting research, and educational and training activities for students of the health professions. Requires centers to place primary emphasis on training physicians to train other physicians and students in geriatrics. Requires the Director to conduct an evaluation and report annually to the Congress. Authorizes appropriations for FY 1988 through 1990.
Resolution· HCONRESH.Con.Res. 110 (100th)referred
United States · United States Congress · 28 April 1987
Honors the DARE program for its contributions to the fight against alcohol and other drug abuse.
Bill· HRH.R. 2168 (100th)reported
United States · United States Congress · 23 April 1987
Amends the Federal Food, Drug, and Cosmetic Act to prohibit practitioners from dispensing oral, non-vaccine drugs for profit, except as specified in emergency, rural, or other limited circumstances. Retains to the States authority over the regulation of drug dispensation. Directs the Secretary of Health and Human Services, upon request, to assist States in enforcing this Act.
Bill· SS. 1072 (100th)open
United States · United States Congress · 22 April 1987
Parkinsons Disease Amelioration Act - Establishes the Commission for the Amelioration of Parkinsonism Disease which shall: (1) conduct a study of the medical and social management of parkinsonism; (2) determine whether there is an appropriate balance between basic brain research and clinical research on parkinsonism and other ailments; (3) investigate and make recommendations concerning the proper roles of Federal, State, and local governments and public and private agencies in the research, prevention, and identification of Parkinson's disease and the treatment and rehabilitation of persons with Parkinson's disease; and (4) develop a national plan for the control of parkinsonism. Sets forth operating and related provisions. Requires the Commission to make a final report to the President and each House of Congress within six months. Terminates the Commission 30 days after submission of the final report.
Bill· HRH.R. 2113 (100th)referred
United States · United States Congress · 22 April 1987
Rural Health Care Preservation Act of 1987 - Amends the Public Health Service Act to create a new title, Title XXIII: Preservation of Rural Health Care. Requires the Secretary of Health and Human Services (Secretary) to appoint a Deputy Under Secretary for Rural Health Care to coordinate public and private activities to strengthen the rural health care system, including regional analyses and an information clearinghouse. Requires the Director of the Congressional Office of Technology Assessment to appoint a Rural Health Care Advisory Commission to report annually to the Congress, the Secretary, and the Deputy Under Secretary on access to community-based rural health care. Declares that certain provisions of the Social Security Act relating to staffing, administration, and reporting shall apply in the same way to the Commission as they apply to the Prospective Payment Assessment Commission. Authorizes appropriations to carry out the provisions of this Act relating to the Rural Health Care Advisory Commission for FY 1988 through 1990. Requires the Secretary to include with the publication of certain regulations an analysis of the impact of each regulation on access to rural health care. Amends the Public Health Service Act to authorize the Secretary to make grants for mental health services demonstration projects relating to rural residents. Increases the amount authorized to be appropriated for such projects in FY 1988 and authorizes such increased amount for FY 1989 and 1990. Amends the Public Health Service Act to require the Secretary to provide that not less than 25 percent of funds set aside for research and demonstration projects relating to health services delivery or access be used in projects relating to rural areas, except for funds appropriated for the National Institutes of Health or funds first made available before FY 1988.
Bill· SS. 1062 (100th)open
United States · United States Congress · 21 April 1987
Revises Federal law concerning the performance evaluation and disciplinary actions for certain health care employees of the Department of Medicine and Surgery of the Veterans Administration. Allows review boards to review the performance of such employees at any time during the two-year probationary period following their appointment and to recommend appropriate personnel actions to the Chief Medical Director. Permits the Director to accept, reject, or modify such recommendations. Requires the Director to justify any action taken which was not so recommended.
Resolution· SRESS.Res. 190 (100th)passed
United States · United States Congress · 10 April 1987
Expresses the sense of the Senate that the Nation make a major commitment of resources for health care, research, and education relating to acquired immune deficiency syndrome (AIDS) and that a presidential commission be created to assist the President and the Congress in establishing priorities and a comprehensive plan to deal with all domestic and international aspects of AIDS. Recommends that support services and technical assistance be provided to the commission by the Department of Health and Human Services. Expresses the sense of the Senate that the commission should be established within 90 days, issue a preliminary report within nine months, issue another report one year later, and issue further reports as determined by the commission.
Bill· SS. 977 (100th)referred
United States · United States Congress · 9 April 1987
AIDS Awareness Act of 1987 - Requires the Attorney General to provide for confidential testing for exposure to the human immunodeficiency virus of any individual convicted of a Federal drug or sex offense if the offense occurred on or after January 1, 1978, and the conviction occurred on or after the effective date of this Act. Requires the cost of such testing to be paid by the individual and included in any court costs or fines ordered to be paid upon sentencing. Waives confidentiality for those convicted of rape who test positive. Requires the Attorney General to provide education and counseling, through existing prison medical facilities, to those testing positive. Requires the Attorney General to make grants to States to pay for establishing State programs to test for such exposure in persons convicted of, or incarcerated in State penal institutions for, State drug or sex offenses if the State offense occurred on or after January 1, 1978, and conviction occurred after the effective date of this Act. Requires applications for grants to contain assurances of provision of education and counseling, through existing State penal institution medical facilities, for those testing positive. Authorizes appropriations for FY 1988 through 1990. Requires the Attorney General to study and report to the Congress regarding the viability of mandatory prison sentences for any person convicted of drug or sex offenses if such person was previously convicted for such an offense and tested positive for the virus.
Bill· SS. 997 (100th)open
United States · United States Congress · 9 April 1987
Alzheimer's Disease Research Act of 1987 - Requires the Director of the National Institute on Aging to provide for the conduct of clinical trials on the efficacy of the use of tetrahydroaminoacridine to retard the progression of Alzheimer's disease and to improve the functioning of individuals with such disease. Authorizes appropriations for FY 1988 through 1990.
Bill· HRH.R. 2093 (100th)open
United States · United States Congress · 9 April 1987
Amends the Federal Food, Drug, and Cosmetic Act to prohibit practitioners from dispensing oral, non-vaccine drugs for profit, except as specified in emergency, rural, or other limited circumstances.
Resolution· HRESH.Res. 145 (100th)referred
United States · United States Congress · 9 April 1987
Declares that the Congress strongly supports: (1) the Special Programme on AIDS (acquired immune deficiency syndrome) established by the World Health Organization; and (2) coordination of relevant U.S. agencies with the World Health Organization in its effort to combat the AIDS disease.
Law· SS. 945 (100th)enacted
United States · United States Congress · 8 April 1987
Abandoned Infants Assistance Act of 1987 - Requires the Secretary of Health and Human Services to make grants to local governments to support projects to: (1) demonstrate methods of providing incentives to provide foster care for infants abandoned in hospitals; and (2) train foster care personnel regarding infants exposed to drugs and infants with acquired immune deficiency syndrome (AIDS). Requires the Secretary to make grants to local governments to support demonstration projects to train and employ counselors for prevention and intervention services for pregnant women who are drug abusers, likely to give birth to infants with AIDS, and likely to abandon their infants in hospitals. Requires the Secretary to make grants to local governments to support the establishment of respite homes for infants abandoned in hospitals. Requires the Secretary, in making such grants, to give preference to areas in which there is the greatest need for such homes. Requires, to be eligible for grants under this Act, submission of applications including certain assurances. Requires the Secretary to submit a report to the Congress regarding the number of infants abandoned in U.S. hospitals who have AIDS and the estimated costs to Federal, State, and local governments to provide housing and care for such infants. Authorizes appropriations for FY 1988 through 1990.
Bill· HRH.R. 2006 (100th)open
United States · United States Congress · 8 April 1987
Veterans' Health Care Benefits Administration Act of 1987 - Amends Federal veterans' benefits provisions to authorize the Administrator of Veterans Affairs to contract with non-Veterans Administration (VA) facilities for the provision of medical emergency care for veterans in authorized community nursing homes when VA facilities are not capable of providing such emergency service. Adds hospitalization for observation and examination to determine VA benefit eligibility to those services authorized to be contracted out. Allows the per diem cost of community nursing home care purchased by the VA in Alaska and Hawaii to equal 50 percent of VA-purchased hospital care in such States. Authorizes the Administrator to furnish hospital care and medical services to a veteran who is sojourning or residing abroad: (1) for a service-connected disability; or (2) when needed in a vocational rehabilitation program outside the United States. (Currently, such benefits are available only for veterans with service-connected disabilities who: (1) are citizens of the United States sojourning or residing abroad; or (2) are in the Republic of the Philippines.) Amends the Veterans' Health Care Amendments of 1979 to repeal a specified provision requiring annual reports from the Chief Medical Director of the VA to the Congress concerning the implementation of certain contracting-out provisions under such Act, and on the number of veterans provided contract treatment in each State.
Bill· HRH.R. 2007 (100th)open
United States · United States Congress · 8 April 1987
VA Health Care Amendments Act of 1987 - Amends Federal veterans' benefits provisions to redefine "nursing home care" for purposes of eligibility for such benefits. Authorizes the Administrator of Veterans Affairs to provide public or private recreational activity facilities for VA hospital, nursing home, and domiciliary care patients. Authorizes the Administrator to furnish domiciliary care to any veteran in need of such care if such veteran is unable to defray the expenses of necessary care. (Currently, only a limited number of veterans, such as disabled veterans or veterans receiving disability compensation, are eligible for such care.) Revises provisions concerning the furnishing of medical treatment to certain disabled veterans.
Bill· HRH.R. 2004 (100th)open
United States · United States Congress · 8 April 1987
Revises Federal law concerning the performance evaluation and disciplinary actions for certain health care employees of the Department of Medicine and Surgery of the Veterans Administration. Allows review boards to review the performance of such employees at any time during the two-year probationary period following their appointment and to recommend appropriate personnel actions to the Chief Medical Director. Permits the Director to accept, reject, or modify such recommendations. Requires the Director to justify any action taken which was not so recommended.
Bill· HRH.R. 1990 (100th)referred
United States · United States Congress · 8 April 1987
Human Fetal Tissue Transportation Act of 1987 - Prohibits interstate importation, exportation, or transportation of human fetal tissue, except as permitted under this Act. Requires any person who transports such tissue to notify the Secretary of Health and Human Services (Secretary) semiannually of each such transportation, with specified information. Requires the Secretary to establish regulations restricting or prohibiting interstate importation, exportation, or transportation of human fetal tissue and the operation of human fetal tissue storage facilities as necessary to protect the public health or promote the general welfare. Prohibits operation of a human fetal storage facility, except with a license issued under this Act. Requires the Secretary to issue or renew such license for any organization which meets the requirements of this Act. Authorizes the Secretary to limit, suspend, or revoke any license for material misrepresentations, failure to provide certain information, or failure to comply with regulations. Authorizes the Secretary to conduct investigations or inspections necessary to carry out this Act. Requires the Secretary to furnish the Attorney General information indicating noncompliance with this Act. Establishes penalties of fines or imprisonment for violations of this Act. Declares that this Act shall not affect any provision of State law, except to the extent such law is inconsistent with this Act, and then only to the extent of the inconsistency. Defines "human fetal tissue" to be matter yielded by an aborted human pregnancy and any biochemical product derived from such matter.
Bill· HRH.R. 2021 (100th)referred
United States · United States Congress · 8 April 1987
National Advisory Panel on Acquired Immune Deficiency Syndrome Act of 1987 - Amends the Public Health Service Act to require the Secretary of Health and Human Services (Secretary) to make grants for the development, establishment, and operation of a national advisory panel on acquired immune deficiency syndrome. Requires the Secretary to request an application for such grant from and make such grant to the Institute of Medicine of the National Academy of Sciences, with provision for grants to other appropriate nonprofit private entities if the Institute submits no acceptable application. Requires the panel to: (1) advise the Congress and the President concerning policies and programs regarding AIDS; (2) make recommendations for changing health care services, public health activities, and research relating to AIDS; (3) monitor the spread of AIDS among given populations; (4) evaluate certain research activities associated with AIDS; (5) evaluate health services provided to individuals with AIDS; (6) analyze Federal, State, and local public efforts to combat AIDS; (7) assess efforts among different geographic areas to coordinate and share information about AIDS; (8) study the legal and ethical issues relating to AIDS; (9) examine problems encountered by AIDS victims in the areas of employment, education, housing, and insurance; (10) study potential violations of the civil rights of individuals with AIDS; (11) study the effect of AIDS on the armed services; (12) evaluate public and private efforts to provide education about AIDS; (13) identify financial resources available to address various aspects of AIDS; (14) encourage participation by both public and private entities in efforts to prevent and treat AIDS and to assist AIDS victims; and (15) encourage public and private agencies to participate in international efforts regarding AIDS. Sets forth criteria relating to the panel and its activities that must be met by applicants for grants to develop, establish, or operate the panel. Requires that the Secretary submit specified data relating to the panel's activities to the President, each panel member, and each appropriate congressional committee. Authorizes appropriations for FY 1988 through 1992.
Bill· SS. 939 (100th)reported
United States · United States Congress · 7 April 1987
Veterans' Health Care Benefits Administration Act of 1987 - Amends Federal veterans' benefits provisions to authorize the Administrator of Veterans Affairs to contract with non-Veterans Administration (VA) facilities for the provision of medical emergency care for veterans in authorized community nursing homes when VA facilities are not capable of providing such emergency service. Adds hospitalization for observation and examination to determine VA benefit eligibility to those services authorized to be contracted out. Allows the per diem cost of community nursing home care purchased by the VA in Alaska and Hawaii to equal 50 percent of VA-purchased hospital care in such States. Authorizes the Administrator to furnish hospital care and medical services to a veteran who is sojourning or residing abroad: (1) for a service-connected disability; or (2) when needed in a vocational rehabilitation program outside the United States. (Currently, such benefits are available only for veterans with service-connected disabilities who: (1) are citizens of the United States sojourning or residing abroad; or (2) are in the Republic of the Philippines.) Amends the Veterans' Health Care Amendments of 1979 to repeal a specified provision requiring annual reports from the Chief Medical Director of the VA to the Congress concerning the implementation of certain contracting-out provisions under such Act, and on the number of veterans provided contract treatment in each State.
Bill· SS. 926 (100th)open
United States · United States Congress · 7 April 1987
National Information System for Health Related Services Act of 1987 - Amends the Developmental Disabilities Assistance and Bill of Rights Act to direct the Secretary of Health and Human Services to make grants to an academic institution for the operation of a National Information System for Health Related Services. Requires such system to: (1) provide information and referrals regarding services available from public and private entities for persons with developmental disabilities or chronic illnesses and their families; (2) use a central computer system accessible to the public through a toll-free telephone number; (3) train people who will receive and answer requests for information and referrals; and (4) conduct periodic followup on referrals. Authorizes appropriations for FY 1988 through 1992.
Resolution· HRESH.Res. 140 (100th)referred
United States · United States Congress · 7 April 1987
Expresses the sense of the House of Representatives that a presidential commission be created to assist the President and the Congress in establishing priorities in dealing with all domestic and international aspects of acquired immune deficiency syndrome (AIDS).
Bill· SS. 922 (100th)open
United States · United States Congress · 6 April 1987
National Organ and Tissue Donor Act - Amends the Public Health Service Act to direct the Secretary of Health and Human Services to encourage and assist States in enacting and implementing State laws requiring hospitals to establish protocols for identifying and assisting human organ and tissue donors. Directs the Secretary to report to the Congress within one year on such activities.
Bill· SS. 924 (100th)open
United States · United States Congress · 6 April 1987
Alcohol, Drug Abuse, and Mental Health Services Block Grant Amendments of 1987 - Amends title XIX (Block Grants) of the Public Health Services Act to authorize appropriations for block grants for alcohol and drug abuse and mental health services for FY 1988 through 1992. Revises the formula for allotment of such block grants to States and territories and possessions of the United States.
Bill· HRH.R. 1943 (100th)referred
United States · United States Congress · 6 April 1987
AIDS Public Information Act - Requires the Secretary of Health and Human Services (Secretary) to make allotments to each State each fiscal year for providing to the public information relating to diagnosis, prevention, and control of acquired immune deficiency syndrome (AIDS). Prohibits such allotments unless the State agrees to establish and carry out a program of tracing contacts of those exposed to AIDS. Provides a formula for determining the amount of such allotments. Requires the Secretary to allot, using a similar formula, any funds made available in appropriations Acts for allotments, if such allotments are not made because a State does not submit an application or because a State informs the Secretary it does not intend to expend its full allotment. Provides that any amounts paid to a State which remain unobligated at the end of the fiscal year shall remain available to the State for their original purpose. Requires each State to prepare and submit to the Secretary an annual report on the activities in regard to this Act. Requires a biennial financial and compliance audit, transmittal of such audit report to the State legislature and to the Secretary, and availability of such audit report for public inspection. Requires the U.S. Comptroller General to evaluate the expenditures by States under this Act. Requires the Secretary, in consultation with appropriate national organizations, to develop model criteria for the collection of data and information with respect to services provided under this Act. Authorizes the Secretary to require repayment or withhold payment, if amounts received are not being expended in accordance with the purpose of this Act or with agreements required by the Secretary.
Bill· SS. 914 (100th)referred
United States · United States Congress · 3 April 1987
VA Health Care Amendments Act of 1987 - Amends Federal veterans' benefits provisions to redefine "nursing home care" for purposes of eligibility for such benefits. Authorizes the Administrator of Veterans Affairs to provide public or private recreational activity facilities for VA hospital, nursing home, and domiciliary care patients. Authorizes the Administrator to furnish domiciliary care to any veteran in need of such care if such veteran is unable to defray the expenses of necessary care. (Currently, only a limited number of veterans, such as disabled veterans or veterans receiving disability compensation, are eligible for such care.) Revises provisions concerning the furnishing of medical treatment to certain disabled veterans.
Resolution· SRESS.Res. 184 (100th)referred
United States · United States Congress · 3 April 1987
Expresses the sense of the Senate that a presidential commission be created to assist the President and the Congress in establishing priorities in dealing with all domestic and international aspects of acquired immune deficiency syndrome (AIDS).
Bill· SS. 897 (100th)referred
United States · United States Congress · 1 April 1987
Health Care Innovation Act of 1987 - Amends title XVIII (Medicare) of the Social Security Act to require the Secretary of Health and Human Services to pay hospitals for their use of a new medical device or procedure which causes hospital operating costs to exceed 110 percent of the price of the diagnosis-related group (DRG) to which the device or procedure is applied. Funds 60 percent of the amount by which the cost of the innovative treatment exceeds 110 percent of the DRG price. Terminates such funding when the decision is made to incorporate or exclude the treatment from the DRG price, but not later than two years after the provision of such funding. Requires that new devices have premarket approval by the Food and Drug Administration and new procedures be suitable for inclusion in the DRG system before such funding is provided. Directs hospitals which receive funds pursuant to this Act to supply the financial and clinical data the Secretary needs to assess the usefulness of the treatment and establish an appropriate DRG rate for the innovative treatment. Sets forth a formula based, in part, on the percentage of total Medicare hospital payments a hospital receives, limiting payments a hospital may receive for the application of innovative treatments. Limits the aggregate payments made pursuant to this Act to one percent of the total Medicare payments made for the operating costs of inpatient hospital services. Directs the Secretary to report to the Congress within one year of enactment of this Act on methods of paying health maintenance organizations and competitive medical plans for their application of innovative treatments. Requires the: (1) adjustment of DRG classifications and reweighting of weighting factors in FY 1988 and every four years thereafter; and (2) annual recalibration of weighting factors. (Recalibration, unlike reweighting, is applicable to all weighting factors simultaneously.)
Bill· SS. 895 (100th)referred
United States · United States Congress · 1 April 1987
Authorizes the President to establish a health care service training pilot program for FY 1988 and 1989 in two host countries which have existing Peace Corps programs. Requires such pilot programs to: (1) train foreign nationals of the host country to deliver health care services; and (2) provide basic health care to people of the host country. Provides for a health service team composed of physicians, dentists, and nurses for each host country. Authorizes appropriations.
Bill· HRH.R. 1912 (100th)open
United States · United States Congress · 1 April 1987
Amends the Departments of Commerce, Justice, and State, the Judiciary, and Related Agencies Appropriation Act, 1987 to extend to November 15, 1987, the provision of law requiring the continuation of health benefits for retired former employees in certain bankruptcies.
Bill· HRH.R. 1861 (100th)open
United States · United States Congress · 30 March 1987
Amends the Public Health Service Act to authorize appropriations through FY 1990 for: (1) preventive health and health service block grants; (2) grants for emergency medical services for children; and (3) State planning grants. Allows allotments under the preventive health and health service block grant program to be used for payment of up to 50 percent of the cost of purchasing communications equipment for emergency medical services systems. Requires the Secretary of Health and Human Services to report to the Congress on State activities with respect to the preventive health and health services block grant program by October 1, 1989.
Bill· HRH.R. 1855 (100th)open
United States · United States Congress · 30 March 1987
Amends the Public Health Service Act to authorize appropriations through FY 1990 for health information and promotion programs.
Bill· HRH.R. 1830 (100th)open
United States · United States Congress · 26 March 1987
Medicare Rural Health Care Stability Amendments of 1987 - Amends title XVIII (Medicare) of the Social Security Act to require that whenever the Secretary of Health and Human Services proposes a regulation or promulgates a final version of a regulation under the Medicare program or part B (Peer Review) of title XI of the Act which will have a significant impact on rural health care, the Secretary make a regulatory impact analysis available to the public. Amends part A (General Provisions) of title XI of the Act to establish an Office of Rural Health Policy in the Office of the Administrator of the Health Care Financing Administration to: (1) advise the Administrator regarding the effects of current policies and changes in the Medicare program on rural health; and (2) oversee compliance with the requirement that there be at least 60 days for public comment before a proposed Medicare regulation is finalized.
Bill· HRH.R. 1829 (100th)open
United States · United States Congress · 26 March 1987
Medicare Part A Rural Health Care Stability Amendments of 1987 - Amends title XVIII (Medicare) of the Social Security Act to permit a rural hospital with less than 150 beds to furnish extended care services. (Currently, rural hospitals must have less than 50 beds to furnish such services.) Prohibits the making of Medicare payments to hospitals with more than 49 beds for extended care services: (1) which a patient receives after a bed has been available for five days in a skilled nursing facility located within the same region as the hospital, unless the patient's physician certifies that transferring the patient to such facility is medically inappropriate; and (2) to the extent such services utilize more than 15 percent of the bedspace over a cost reporting period. Directs the Secretary of Health and Human Resources to report to the Congress by February 1989 concerning: (1) the proportion of hospital admissions for extended care services which are denied or approved by a peer review organization; and (2) methods of encouraging eligible hospitals that have a low occupancy rate and are located in areas in need of extended care service providers to enter into agreements with the Secretary to provide such services. Requires that whenever the Secretary proposes a regulation or promulgates a final version of a regulation under the Medicare program or part B (Peer Review) of title XI of the Act which will have a significant impact on payment under part A (Hospital Insurance) of the Medicare program for rural health care, the Secretary make a regulatory impact analysis available to the public. Extends, through FY 1989, the provision of additional payments to sole community hospitals experiencing a decrease of more than five percent in patient volume for a cost reporting period due to circumstances beyond their control. Requires the Administrator of the Health Care Financing Administration to establish a study of the criteria used for classifying hospitals as rural referral centers which includes an examination of the extent to which such centers receive more or less than their actual costs of providing inpatient hospital services. Directs the Administrator to report to the Congress by March 1989 regarding such study. Directs the Secretary to establish three-year demonstration projects to determine appropriate methods of strengthening the financial and managerial capability of isolated and financially distressed rural hospitals to provide necessary health care services. Sets forth reporting requirements.
Bill· HRH.R. 1787 (100th)open
United States · United States Congress · 25 March 1987
Rural Health Care Improvement Act of 1987 - Amends part A (General Provisions) of title XI of the Social Security Act to require that whenever the Secretary of Health and Human Services proposes a regulation or promulgates a final version of a regulation under titles XVIII (Medicare), XIX (Medicaid), or part B (Peer Review) of title XI of the Act which will have a substantial impact on small rural hospitals, the Secretary make a regulatory impact analysis available to the public. Provides certain small sole community and rural hospitals with payment for extremely high cost cases (outlier payments) which represent five or six percent of the total payments made to such hospitals. Sets aside ten percent of amounts expended by the Secretary on certain experiments and demonstration projects for projects relating exclusively to rural health issues. Requires fiscal intermediaries to pay certain small rural hospitals for Medicare claims, at the latest, 30 days after receiving the request for such payment. Amends title VII (Administration) of the Act to establish an Office of Rural Health Policy in the Office of the Administrator of the Health Care Financing Administration to: (1) advise the Administrator regarding the effects of changes in the Medicare and Medicaid programs on rural health; and (2) oversee compliance with provisions of this Act requiring regulatory impact analysis and rural health demonstration projects.
Bill· HRH.R. 1789 (100th)referred
United States · United States Congress · 25 March 1987
Requires each State to ensure: (1) that State residents are tested for acquired immune deficiency syndrome (AIDS) each year; (2) the confidentiality of the test results; and (3) that individuals determined to be infected with AIDS are provided counseling. Requires each State to report the results of such tests to the Director of the Centers for Disease Control. Terminates payments under title XIX (Medicaid) of the Social Security Act to any State that fails to comply with the requirements of this Act.
Bill· HRH.R. 1791 (100th)referred
United States · United States Congress · 25 March 1987
National Health Insurance Act - Title I: Benefits and Eligibility - Makes medical, dental, podiatric, home-nursing, hospital, and auxiliary services available as benefits to eligible individuals and defines such services. Directs the National Health Insurance Board, established by this Act, to survey the resources and needs of each State and to develop in each State a program to assure maximum participation and use of health personnel and facilities. Authorizes the Board to limit health services when personnel, facilities, or funds are inadequate to ensure the provision of all services. Allows every individual eligible for personal health services available under this Act to select the physician, dentist, podiatrist, nurse, medical group, or hospital to render services and to change such selection under certain circumstances. Sets forth eligibility requirements. States that the United States shall be subrogated to all rights of an individual who receives benefits under this Act with respect to any workers' compensation injury or disability. States that Federal grants to States under title XIX (Medicaid), and part A of title IV (Aid to Families with Dependent Children) of the Social Security Act shall be available to the States for provision of personal health services for noninsured needy individuals. Title II: Participation of Physicians, Dentists, Nurses, Hospitals, and Others - Prescribes criteria to govern which physicians, dentists, podiatrists, nurses, hospitals, or providers of auxiliary services will be deemed qualified to perform services under this Act. Authorizes specified State agencies to enter into agreements with qualified individuals or with organizations for the provision of personal health services. Lists provisions to be included in such agreements, including methods of payment for services. Sets standards applicable to rates or amounts of payment for services rendered as benefits under this Act. Directs that such rates and amounts be adapted to take into account relevant regional, State, or local conditions and practices. Authorizes patient limits. Allows health care providers entering into an agreement under this title to accept or reject patients. Title III: Local Administration - Decentralizes the responsibility for administration of this Act's benefit provisions to local administrative committees or local administrative officers within health-service areas designated by each State. Lists the duties of such local administrative committees or officers. Requires the establishment in each health-service area of: (1) a local area committee; and (2) local professional committees representative of the health care providers in the area to assist local administrative committees and officers. Title IV: State Administration - Expresses the intent of the Congress that this Act's benefit provisions be administered by each of the several States, in accordance with an approved plan of operations. Catalogs provisions that must be included in such a plan. Describes procedures to be followed if a State: (1) fails to submit a plan; or (2) fails to comply with an approved plan. Title V: National Health Insurance Board; National Advisory Medical Policy Council; General Administrative Provisions - Establishes in the Department of Health and Human Services a National Health Insurance Board to administer the provisions of this Act. Establishes a National Advisory Medical Policy Council to advise the Board regarding matters of general policy, the formulation of regulations, and the establishment of professional standards. Requires the Board to undertake certain studies and to make reports to the Congress at specified times. Title VI: Eligibility Determinations, Complaints, Hearings, and Judicial Review - Requires the Secretary of Health and Human Services to determine benefit eligibility. Describes procedures for complaint investigation and adjudication. Title VII: Application of Act to Individuals Covered Under Medicare Program - States that when an individual is entitled to hospital insurance benefits under Medicare, the personal health services available as benefits under this Act shall be limited to those services for which the individual is ineligible under the Medicare program. Directs the Secretary to carry out a study of the interrelationship between the program of national health insurance under this Act and the Medicare program. Requires that the Secretary submit to the President and to the Congress, within one year of this Act's enactment, a report of such study, along with certain findings and detailed recommendations. Title VIII: Fiscal Provisions - Creates in the Treasury the Personal Health Services Account. Appropriates to such Account for FY 1988 and for each succeeding year an amount determined according to a specified formula. Directs the Board to determine: (1) amounts to be made available from the Account during a given fiscal year for the provision of various classes of personal health services benefits; and (2) allotments to be made to the States for the provision of such benefits. Sets standards to govern the Board's determinations. Authorizes the Board to make grants to: (1) certain educational institutions or agencies in order to fund endeavors that show promise of making valuable contributions to the training of personnel providing or administering benefits under this Act; and (2) certain individuals participating in courses relating to the provision or administration of personal health services benefits. Authorizes appropriations. Title IX: Miscellaneous Provisions - Defines terms used in this Act. States that personal health services shall first become available as benefits under this Act on October 1, 1988.
Bill· HRH.R. 1776 (100th)referred
United States · United States Congress · 25 March 1987
Long-Term Health Care Amendments of 1987 - Title I: Medicare Long-term Care Benefits - Amends title XVIII (Medicare) of the Social Security Act to add a new part C entitled "Long-Term Care Benefit Program." (Redesignates the current part C as part D.) Provides coverage for the home health services and nursing care required by individuals who are eligible for part A (Hospital Insurance) benefits. Sets forth the formula for determining the long-term care deductible for a calendar year. Conditions payment of long-term care providers on: (1) such providers making written requests for payment within three years of furnishing service; and (2) a physician's certification that the beneficiary needs or needed nursing facility care or home health services, and that home health services are or were furnished while the individual is or was under a physician's care. Prohibits physician's who have a significant ownership interest in, or a significant financial or contractual relationship with, a home health agency from performing such a certification of the agency, unless it is a sole community home health agency. Pays providers the lesser of the reasonable cost or the customary charges for part C services. Prohibits part C payments: (1) to Federal providers; and (2) for services for which an individual is entitled to be paid under part A of the Medicare program. Amends the Internal Revenue Code to increase hospital insurance tax rates and reduce old age, survivors and disability insurance tax rates for taxable years beginning with 1988. Includes nursing care furnished under the supervision of a registered or licensed professional nurse as well as care provided in a skilled nursing or intermediate care facility within the scope of nursing facility care. Requires the Board of Directors of the Federal Hospital Insurance Trust Fund to provide for a separate accounting of the additional taxes deposited into such fund by reason of this Act and the disbursements from such fund for part C benefits. Makes Medicare the primary payor where part C benefits are also covered under employment-related group health plans. Title II: Incentives for Individuals to Purchase Long-Term Care Insurance - Amends the Internal Revenue Code to allow individuals to deduct certain qualified long-term care insurance premiums they have paid on behalf of eligible beneficiaries. Defines a "qualified long-term care insurance policy" as a policy certified by the Secretary of Health and Human Services and providing coverage for diagnostic, preventive, therapeutic, rehabilitative, maintenance, or personal care services provided in a setting other than a hospital acute care unit. Title III: Incentives for Employers to Provide Group Long-Term Care - Amends the Internal Revenue Code to provide that a trust forming part of a pension plan shall not be treated as a nonqualified trust merely because such plan covers qualified long-term health care of employees or retired employees.
Resolution· SCONRESS.Con.Res. 37 (100th)referred
United States · United States Congress · 24 March 1987
Honors Father Terry Attridge and the DARE program for their contributions to the fight against alcohol and drug abuse.
Resolution· HCONRESH.Con.Res. 85 (100th)referred
United States · United States Congress · 24 March 1987
Honors Father Terry Attridge and the DARE program for their contributions to the fight against alcohol and drug abuse.