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Bill· HRH.R. 3140 (101st)referred
United States · United States Congress · 4 August 1989
Elder-Care Long-Term Care Assistance Act of 1989 - Title I: Community Care and Nursing Facility Care under the Medicare Program - Subtitle A: Benefits - Amends title XVIII (Medicare) of the Social Security Act to add a new part C entitled "Long-Term Care Program." (Redesignates the current part C as part D.) Covers the community care and nursing facility care required by individuals who are eligible for part A (Hospital Insurance) benefits and aged individuals who enroll in part C by paying a premium covering expenditures incurred on behalf of enrollees. Limits community care coverage to 20 hours per week for moderately impaired individuals and 30 hours per week for severely impaired individuals. Authorizes an individual who is entitled to part C benefits to request a nonprofit or public community assessment, review, and evaluation agency (CARE agency) to determine, using a standard, reproducible, uniform assessment instrument and methodology to be developed by the Secretary of Health and Human Services, whether such individual is chronically dependent and, if so, whether the impairment is moderate or severe. Requires the CARE agency to develop a community care plan for such individual which is consistent with the benefit level available for his or her degree of impairment. Requires CARE agencies to determine an individual's eligibility for nursing facility care by determining whether such individual is chronically dependent, requires the level of care provided by a nursing facility, and is likely to require such care for a continuous 60-day period. Makes initial determinations valid for six months with respect to community care and one year for nursing facility care and all subsequent determinations applicable for one year. Requires subsequent determinations to include appropriate plan of care revisions. Directs the Secretary to designate a CARE agency for each State which, in addition to its other duties, shall review periodically the quality of community care and review periodically the appropriateness of nursing facility plans of care and the classification of such plans into a level of care for payment purposes. Authorizes CARE agencies to provide outreach services to chronically dependent individuals, but requires that such agencies be independent from providers of community care and nursing facility care. Provides Medicare payments for 80 percent of amounts determined under a fee schedule for community care. Sets forth a formula for determining Medicare payments for nursing facility care which takes into account the severity of an individual's condition and limits the charge imposed on such individual after the first 60 days of care and up to two years thereafter to one-third of the national average per diem rate and ten percent of such rate thereafter. Establishes the Federal Medicare Long-Term Care Trust Fund to which revenues raised pursuant to this Act shall be credited and from which part C payments shall be made. Directs the Secretary to conduct a study and report to the Congress on: (1) the factors influencing nursing facility admissions of part C beneficiaries; (2) the ratio of licensed nursing facility beds to aged individuals needed to provide cost effective care for chronically dependent individuals; and (3) whether part C payment rates for nursing facility care reflect the costs that are necessary in the efficient delivery of needed nursing facility care. Prohibits discrimination against part C beneficiaries in nursing facility admissions or the imposition of extra charges against such beneficiaries who wish to be admitted to, or remain at, such facilities. Sets forth conforming and miscellaneous amendments. Subtitle B: Expanding Medicaid Buy-in - Amends title XIX (Medicaid) of the Act to expand Medicaid coverage of Medicare premiums, deductibles, and coinsurance payments to require that Medicare-eligible individuals whose income does not exceed 200 percent of the Federal poverty level receive such coverage. Allows States to provide less than full coverage to individuals whose income exceeds the Federal poverty level. Includes part C copayments and CARE agency assessment and reassessment fees among the beneficiary costs that are covered. Eliminates the resource limit on eligibility for such coverage. Subtitle C: Financing - Amends the Internal Revenue Code to eliminate the limit on wages or self-employment income which is subject to social security taxes. Imposes a ten percent surtax on the transfer of a deceased Medicare beneficiary's estate in excess of $100,000 and on gifts made by beneficiaries in excess of their $100,000 lifetime gift limit. Eliminates the deferral of estate surtax payments. Shortens the estate surtax payment schedule from a ten-year to a five-year schedule. Imposes a long-term care surcharge of $3.50 for each $100 of an individual's income tax liability. Title II: Health Benefits for Under-Poverty Individuals - Amends the Medicaid program to require States to cover hospital services; rural health clinic services; physicians' services; laboratory and X-ray services; early and periodic screening, diagnosis, and treatment of children; family planning services and supplies; medical and surgical services furnished by a dentist; prescribed drugs; and nurse-midwife services provided to individuals whose family income does not exceed the Federal poverty level. Prohibits the placement of a resource limit on such coverage or the imposition of cost-sharing requirements on such beneficiaries. Removes all amount, duration, and scope limitations on the provision of the above-listed items and services to Medicaid beneficiaries. Requires that payment rates for such items and services be comparable to Medicare payment rates for such items and services. Title III: Community Care to Low-Income Individuals - Amends the Public Health Service Act to authorize the Secretary to make grants for up to three years to community care agencies to assist such agencies in the provision of this Act's community care services to low-income individuals. Authorizes appropriations for such grant program for FY 1992 through 1994.
Bill· HJRESH.J.Res. 397 (101st)referred
United States · United States Congress · 4 August 1989
Designates November 12 through November 18, 1989, as National Glaucoma Awareness Week.
Bill· HJRESH.J.Res. 396 (101st)referred
United States · United States Congress · 4 August 1989
Designates October 20 through October 22, 1989, as Religious Leadership and Drug Abuse Recognition Weekend.
Bill· SS. 1486 (101st)referred
United States · United States Congress · 3 August 1989
Amends title XVIII (Medicare) of the Social Security Act to authorize a nurse practitioner or clinical nurse specialist who is not an employee of the facility but is working in collaboration with a physician to certify and recertify an individual's need for skilled nursing facility services. Permits skilled nursing facilities to have a nurse practitioner or clinical nurse specialist working in collaboration with a physician, rather than a physician, available to supervise care and furnish emergency care. Covers the reasonable charge (set at 75 percent of the prevailing charge in the locality) for skilled nursing facility services provided by a nurse practitioner or clinical nurse specialist. Amends title XIX (Medicaid) of the Social Security Act to provide Medicaid coverage of intermediate care and skilled nursing facility services furnished by a nurse practitioner or clinical nurse specialist working in collaboration with a physician. Permits Medicaid nursing facilities to have a nurse practitioner or clinical nurse specialist working in collaboration with a physician, rather than a physician, available to supervise care and furnish emergency care. Requires that this Act be implemented in a budget neutral manner.
Bill· SJRESS.J.Res. 188 (101st)referred
United States · United States Congress · 3 August 1989
Designates the week of October 23 through October 29, 1989, as Eating Disorders Awareness Week.
Bill· HRH.R. 3102 (101st)referred
United States · United States Congress · 3 August 1989
Public Health Response to AIDS Act of 1989 - Amends the Public Health Service Act to mandate that States receiving grants for counseling and testing with regard to the etiologic agent for acquired immune deficiency syndrome (AIDS) require any entity carrying out the testing to confidentially report to: (1) the State public health officer information sufficient to perform statistical and epidemiological analysis; and (2) the appropriate public health officer information sufficient to locate individuals determined to be infected. Requires the State to agree to provide to the Director of the Centers for Disease Control all such statistical and epidemiological information. Declares that the requirement to report locating information does not: (1) require establishing a list of names and addresses if the individuals can be located with other information; or (2) prohibit establishing a name and address list. Mandates that the State: (1) require that the appropriate public health officer carry out, to the extent appropriate in the determination of such officer, a program of partner notification with respect to cases of exposure to the etiologic agent; and (2) recommend to notified individuals that they undergo testing and provide them with information on the medical benefits of early diagnosis. Mandates that States require that testing be routinely offered: (1) in areas with 0.1 percent of the population infected with the etiologic agent, by marriage license facilities and hospitals; and (2) by providers that regularly provide treatment for sexually transmitted diseases, providers that regularly provide treatment for intravenous substance abuse, family planning clinics, and tuberculosis clinics. Mandates that States: (1) require testing of prisoners upon entering the State penal system, before and after each unsupervised leave, and during the 30-day period before release; (2) inform any penal system employee, on request of the employee, if the employee has a reasonable basis for believing that the employee may have been exposed by an individual to the etiologic agent, of that individual's test results; and (3) inform the spouse of the individual prior to each conjugal visit and prior to release. Requires all prison employees and such spouses to be informed of the availability of the test results. Mandates that States: (1) prohibit acts which knowingly expose nonconsenting other individuals to the etiologic agent through a donation of blood, semen, breast milk, or an organ, through sexual activity, through sharing of hypodermic needles, or through any behavior with the intent to expose another nonconsenting person. Requires that States: (1) authorize a civil cause of action for violation of these prohibitions; and (2) provide for commanding any public health official, in connection with such action, to disclose locating information received under this Act. Requires a State to: (1) consider cases of infection with the etiologic agent for AIDS to be communicable or sexually transmitted diseases for purposes of any State law regarding such diseases; (2) carry out activities for the protection of the public health regarding such cases to not less than the extent to which the State carries out such activities regarding other communicable or sexually transmitted diseases; and (3) impose on medical personnel prerequisites to the testing for the etiologic agent only to the extent the State does so for communicable or sexually transmitted diseases other than AIDS. Allows a State to receive a grant for such testing and counseling during FY 1990 and 1991 if the State provides assurances that it will, by the end of FY 1991, establish the requirements, authorities, prohibitions, and other provisions described in this Act. Prohibits the Secretary of Health and Human Services from requiring a State to enact any statute or issue any regulation if its chief executive officer certifies that the State is in substantial compliance with this Act. Amends the Public Health Service Act to authorize grants to States for counseling and testing with respect to the etiologic agent for AIDS, including for individuals using a pseudonym, subject to the requirements of this Act regarding reporting of sufficient information to locate individuals whose tests indicate they are infected. (Current law authorizes grants for such counseling and testing, either anonymously or through the use of pseudonym.) Directs the Secretary to: (1) consider cases of infection with the etiologic agent for AIDS to be communicable or sexually transmitted diseases for purposes of any Federal law regarding such diseases; and (2) carry out activities for the protection of the public health regarding such cases to not less than the extent to which the Secretary carries out such activities regarding other communicable or sexually transmitted diseases.
Bill· HRH.R. 3110 (101st)referred
United States · United States Congress · 3 August 1989
Drug War Bond Act of 1989 - Directs the Secretary of the Treasury to issue Drug War Bonds with a 20-year maturity date, including bonds with a maximum denomination $25 maturity value to encourage children and other small investors to purchase them. Authorizes the Secretary to fix an investment yield for such small bonds that is lower than the yield on other Drug War Bond denominations. Directs the Secretary to issue stamps evidencing payment of Drug War Bond purchases. Establishes within the Treasury the Anti-Drug Abuse Trust Fund containing amounts equivalent to bond proceeds. Directs the Secretary to be the trustee of such Fund and to report annually to the Congress regarding its financial status. Directs the Secretary to notify the public that drug war bond purchases will assist anti-drug abuse law enforcement.
Bill· SS. 1466 (101st)referred
United States · United States Congress · 2 August 1989
Rural Hospital Improvements Act of 1989 - Amends title XVIII (Medicare) of the Social Security Act to provide an additional payment to each Medicare-dependent, small, rural hospital for discharges occurring from FY 1989 through 1994 equal to the amount by which such hospitals' reasonable costs exceed Medicare payments for such discharges. Maintains the regional referral center classification and payment rate of each hospital so classified as of September 30, 1989, until the Medicare urban/rural hospital reimbursement differential is eliminated.
Law· HRH.R. 3095 (101st)enacted
United States · United States Congress · 2 August 1989
Safe Medical Devices Act of 1989 - Amends the Federal Food, Drug, and Cosmetic Act (FDCA) to require medical device user facilities to inform the Secretary of Health and Human Services and the manufacturer whenever they believe a medical device could have contributed to a death, illness, or injury, or has or will seriously malfunction. Defines "medical device user facility" (MDUF) to mean a hospital, ambulatory surgical facility, outpatient diagnostic or treatment facility which is not a physician's office, or a nursing home. Prohibits retaliation against MDUF personnel or practitioners who file reports. Gives U.S. district courts jurisdiction over civil actions for damages for retaliation. Establishes civil penalties against MDUFs for knowing failure to report. Directs the Secretary to: (1) conduct a study of compliance with these provisions and prevents them from going into effect if the Secretary finds substantial compliance; and (2) conduct education and information programs for MDUFs respecting these requirements. Directs the Comptroller General to study compliance by MDUFs and the actions taken by the manufacturers in response to reports. Directs the Secretary to amend Federal regulations to require distributors of medical devices to establish and maintain records and make reports under these provisions. Amends the FDCA to require distributors to submit copies of certain reports to the manufacturer of the device for which the report was made. Requires each manufacturer, importer, and distributor required by existing law and regulations thereunder to make reports to submit to the Secretary annually a certification that: (1) they did not file any report because there were no events requiring a report; or (2) they did file reports of all events of which they had information. Directs the Secretary to require: (1) every person who registers under existing provisions as a producer of drugs or devices and is engaged in the manufacture of a class III device to assign a model or other identification number to each device and to maintain certain records; and (2) every individual or entity which sells or uses a class III device to maintain certain records to ensure that patients who receive the devices can be provided the notification authorized by existing provisions. Amends the FDCA to add the failure or refusal to submit any report required by or under the Act to the list of prohibited acts. Allows a device, for purposes of provisions relating to classification of devices and relating to premarket approval, to be considered substantially equivalent to another device only if the Secretary by order finds it has the same intended use and: (1) the same technological characteristics; or (2) different technological characteristics, in which case it must be demonstrated that it is as safe and effective as comparable devices which are currently being sold in interstate commerce. Adds such order to the list of information to be made available to the public. Requires a manufacturer, in certain circumstances, to certify that it has conducted a search of all information known to the manufacturer and all published information respecting a substantially equivalent device and has included in a specified report a description of and a citation to all adverse safety and effectiveness data. Allows the Secretary to require the manufacturer to submit the adverse data described in the report. Directs the Secretary to: (1) require manufacturers of devices which are subject to reclassification under this Act to submit a description of and a citation to any adverse safety or effectiveness information, and authorizes the Secretary to require the submission of the described or cited data; and (2) reclassify certain class III devices as class I, class II, or class III, using the criteria in existing classification provisions. Adds the failure or refusal to furnish certain information as required by this Act to the list of prohibited acts. Amends provisions establishing classes of devices to allow class II, which currently involves performance standards, to involve special controls including, but not limited to, performance standards. Authorizes the Secretary to change the classification of a device from class III to class II or class I if the Secretary determines that the controls at each of those levels would provide reasonable assurance of the safety and effectiveness of the device. Revises the procedures for establishing performance standards for devices. Removes the non-state-of-the-art design and manufacture basis for repair, replacement, or refund remedies. Directs the Secretary to require a manufacturer, importer, or distributor of a device to report any removal or field repair of a device undertaken to eliminate a health risk or to remedy a violation of this Act. Requires recordkeeping of repairs or removals which are not required to be reported. Requires the Secretary to support education and training activities to minimize the exposure of people to health hazards associated with devices. Requires the effectiveness of a device to be determined on the basis of well-controlled investigations irrespective of the sponsor of the investigations. (Current law requires well-controlled investigations, but makes no reference to the sponsor.) Allows the Secretary, for good cause shown, to refer a classifying petition to a classification panel. (Current law requires the Secretary to refer a petition to a panel.) Revises procedures for: (1) establishing and amending performance standards; (2) processing premarket approval applications; (3) banning devices; and (4) processing petitions, under specified transitional provisions, for classifications of a device in class I or II. Transfers provisions of the Public Health Service Act relating to electronic product radiation control to the FDCA. Provides that the regulation of medical devices used to deliver electro-convulsive therapy is not affected by this Act.
Bill· SS. 1457 (101st)referred
United States · United States Congress · 1 August 1989
Amends the Older Americans Act of 1965 to require the Commissioner on Aging to give special consideration to funding demonstration projects providing older individuals with the opportunity to serve as volunteers furnishing long-term care services to nursing home residents.
Bill· SS. 1453 (101st)referred
United States · United States Congress · 1 August 1989
Amends the Medicare Catastrophic Coverage Act of 1988 to repeal all provisions of such Act pertaining to the expansion of the Medicare program (title XVIII of the Social Security Act) and the financing of such expansion. Delays the repeal of provisions of such Act affecting part A (Hospital Insurance) of the Medicare program until January 1, 1991. Repeals mandatory Medicaid (title XIX of the Social Security Act) coverage of the Medicare premiums, deductibles, and coinsurance payments for which individuals whose income does not exceed the Federal poverty level would otherwise be accountable. Directs the Senate Committee on Finance to develop and report legislation, within six months after this Act's enactment, providing older and disabled persons with access to health care which is consistent with their dignity and wishes.
Bill· SS. 1460 (101st)referred
United States · United States Congress · 1 August 1989
Amends titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act to exempt a nurse aide employed at an individual skilled nursing facility for over one year as of July 1, 1989, from the requirement that before a nursing facility uses a nurse aide for over four months such aide must complete a State-approved training and/or competency evaluation program.
Resolution· SRESS.Res. 161 (101st)referred
United States · United States Congress · 1 August 1989
Declares that it is the sense of the Senate that: (1) recognition and further attention should be given to the professional and personal needs of long-term care aides; (2) expanded access to health and pension benefits should be provided to such aides; (3) policy makers should recognize that problems of female household heads and minority workers affect most nursing care aides; (4) more data is needed on home health and nursing home aides; (5) expanded recruitment of specified groups should be considered to abate the long-term care aide shortage; and (6) changes should be made in nursing aide positions to ensure integration into management structures and to enhance attraction to careers in long-term care.
Bill· SS. 1444 (101st)referred
United States · United States Congress · 31 July 1989
Child Abuse During Pregnancy Prevention Act of 1989 - Amends the Public Health Service Act to direct the Secretary of Health and Human Services, through the Director of the Office of Substance Abuse, to award grants to States to develop and operate five pilot projects to demonstrate the effectiveness of, and expense associated with, providing outreach, education, and treatment services concerning substance abuse to pregnant and postpartum females and their infants. Sets forth application and evaluation requirements. Directs the Secretary to conduct a study regarding specified aspects of substance abused infants and to report to the appropriate committees of the Congress. Authorizes appropriations for FY 1990.
Law· SJRESS.J.Res. 184 (101st)enacted
United States · United States Congress · 31 July 1989
Designates the periods of November 26 through December 2, 1989, and November 28 through December 2, 1990, as National Home Care Week.
Law· HJRESH.J.Res. 380 (101st)enacted
United States · United States Congress · 31 July 1989
Designates October 4, 1989, as Patient Account Management Day.
Bill· HRH.R. 3047 (101st)referred
United States · United States Congress · 28 July 1989
Medicare Catastrophic Amendments of 1989 - Title I: Repeal of Certain Provisions in Medicare Catastrophic Coverage Act of 1988 - Repeals provisions of the Medicare Catastrophic Coverage Act of 1988 (the Act) establishing a Supplemental Medicare Premium and providing Medicare coverage (title XVIII of the Social Security Act) of prescription drugs and insulin, home intravenous drug therapy services, screening mammographies, and in-home care for chronically dependent individuals. Amends the Medicare program to increase the limit on Medicare part B (Supplementary Medical Insurance) out-of-pocket expenses incurred by beneficiaries for 1990. Gears future adjustments of such limit to changes in expenses of the Medicare trust funds. Modifies the Act's premium financing mechanisms. Amends title XIX (Medicaid) of the Social Security Act to require States to establish the family income eligibility level for Medicaid coverage of Medicare cost-sharing amounts at at least 85 percent of the Federal poverty level. (Currently, States must phase-in such coverage for all families whose income is below the Federal poverty level.) Requires Medicaid coverage of prescription drugs for individuals who are at least 65 years old and whose income does not exceed 150 percent of the Federal poverty level. Title II: Tax Provisions Related to Long-Term Care Insurance - Amends the Internal Revenue Code to treat certain long-term care insurance which the Secretary certifies is providing coverage to each covered person for at least one year for diagnostic, preventive, therapeutic, rehabilitation, maintenance, or personal care services provided in a setting other than the acute care unit of a hospital as noncancellable accident or health insurance when taxing issuers of such insurance (hereafter referred to as qualified long-term care insurance). Requires such policies which are issued after 1989 to be reinsured by the Federal National Long-Term Care Reinsurance Corporation if the Corporation is incorporated when such policy is issued. Directs the Secretary of Health and Human Services to submit a study on long-term care insurance policies to the Congress by 1991 and report annually to the Congress regarding the certification of qualified long-term care insurance. Provides that for the purpose of determining whether a tax exclusion applies to employer contributions to, or an employee's receipt of benefits from qualified long-term care insurance such contributions and benefits shall be considered to be for personal injury or sickness, and medical care. Excludes from taxation: (1) distributions or payments from individual retirement plans which are used during the year to pay the premiums for qualified long-term care coverage of individuals who are age 59 1/2 or older on the date of distribution or payment; and (2) amounts received, when an individual surrenders, cancels, or exchanges a life insurance contract, and used during such year to pay the premiums for qualified long-term care insurance. Title III: Federal National Long-Term Care Reinsurance Corporation - Federal National Long-Term Care Reinsurance Corporation Act - Authorizes the Secretary to provide for the incorporation of the Federal National Long-Term Care Reinsurance Corporation (Corporation), which shall not be an agency or establishment of the U.S. Government. Requires the Corporation to confine its activities to reinsuring insurance companies for extraordinary loss in the issuance or payment of qualified long-term care insurance benefits. Sets forth organizing and administrative provisions with respect to the Corporation. Exempts the Corporation from State regulation and taxation. Directs the Corporation to report annually to the President and the Congress regarding its activities.
Bill· SS. 1419 (101st)referred
United States · United States Congress · 27 July 1989
Claude Pepper Act for Amputees - Amends the Rehabilitation Act of 1973 to authorize the Director of the National Institute on Disability and Rehabilitation to conduct a research program to finance development of advanced technology prosthetic and orthotic devices by Federal, State, and local government agencies and qualified private organizations. Requires such program to include research on: (1) the development of lower and upper limb devices; (2) useful applications of modern materials; and (3) new methods of utilizing body power. Directs the Secretary of Education to prescribe regulations for such program within 90 days of the enactment of this Act. Authorizes appropriations for FY 1990 and 1991 for such research program. Requires that at least ten percent of such funds be used to make grants to providers of prosthetic and orthotic services who are approved under agreement with the Department of Veterans Affairs.
Bill· SS. 1398 (101st)open
United States · United States Congress · 25 July 1989
Department of Veterans Affairs Health Care Quality Assistance and Cost Effectiveness Act of 1989 - Authorizes the Secretary of Veterans Affairs to: (1) realign all medical facilities recommended for realignment by the Commission on Realignment and Major Mission Change in its report (required under this Act); (2) change the major mission of all medical facilities as recommended in such report; and (3) complete such realignments and mission changes within six years. Expresses the sense of the Congress that under no circumstances shall the Secretary revise the Commission's recommendations. Prohibits the Secretary from carrying out such realignment and major mission change of any medical facility without transmitting certain reports to specified congressional committees. Allows a four-month period for congressional disapproval, by joint resolution. Requires any disapproval to be for all Commission recommendations, prohibiting deletion or amendment of individual recommendations. Establishes the Commission, specifying its composition, duties, and reporting requirements, including reporting on estimated costs and savings related to each recommended realignment or mission change. Authorizes the Commission to employ support staff. Exempts all records, documents, and other materials generated by the Commission from the Freedom of Information Act. Authorizes the Secretary to take actions to implement realignment or major mission changes, including: (1) land acquisition, construction of replacement facilities, and disposal of property; (2) subject to the availability of funds, provision of economic adjustment and community planning assistance; and (3) environmental restoration, including reducing, removing, and recycling hazardous wastes and removing unsafe buildings and debris. Sets forth additional reporting requirements. Allows the Secretary to carry out this Act without regard to the National Environmental Policy Act of 1969. Establishes a separate fund within the Treasury to carry out the purposes of this Act. Sets forth guidelines for congressional consideration of the Commission report.
Bill· HRH.R. 2996 (101st)referred
United States · United States Congress · 25 July 1989
Managed Health Care Access and Cost Containment Act of 1989 - Directs the Secretary of Health and Human Services to make grants to States to study, plan, and develop State basic health plans for individuals under age 65 who are not eligible for Medicare (title XVIII of the Social Security Act) benefits, who do not have access to employer-sponsored health coverage, and whose family income does not exceed limits set by the State. Sets forth reporting requirements. Authorizes FY 1990 appropriations for such grants.
Bill· HRH.R. 2998 (101st)referred
United States · United States Congress · 25 July 1989
Department of Veterans Affairs Health Care Quality Assistance and Cost Effectiveness Act of 1989 - Authorizes the Secretary of Veterans Affairs to: (1) realign all medical facilities recommended for realignment by the Commission on Realignment and Major Mission Change in its report (required under this Act); (2) change the major mission of all medical facilities as recommended in such report; and (3) complete such realignments and mission changes within six years. Expresses the sense of the Congress that under no circumstances shall the Secretary revise the Commission's recommendations. Prohibits the Secretary from carrying out such realignment and major mission change of any medical facility without transmitting certain reports to specified congressional committees. Allows a four-month period for congressional disapproval, by joint resolution. Requires any disapproval to be for all Commission recommendations, prohibiting deletion or amendment of individual recommendations. Establishes the Commission, specifying its composition, duties, and reporting requirements, including reporting on estimated costs and savings related to each recommended realignment or mission change. Authorizes the Commission to employ support staff. Exempts all records, documents, and other materials generated by the Commission from the Freedom of Information Act. Authorizes the Secretary to take actions to implement realignment or major mission changes, including: (1) land acquisition, construction of replacement facilities, and disposal of property; (2) subject to the availability of funds, provision of economic adjustment and community planning assistance; and (3) environmental restoration, including reducing, removing, and recycling hazardous wastes and removing unsafe buildings and debris. Sets forth additional reporting requirements. Allows the Secretary to carry out this Act without regard to the National Environmental Policy Act of 1969. Establishes a separate fund within the Treasury to carry out the purposes of this Act. Sets forth guidelines for congressional consideration of the Commission report.
Bill· SS. 1391 (101st)open
United States · United States Congress · 24 July 1989
Foundation for Biomedical Research Act of 1989 - Amends the Public Health Service Act to direct the Secretary of Health and Human Services to establish a nonprofit corporation known as the Foundation for Biomedical Research. Declares that the Foundation shall not for any purpose be an agency of the U.S. Government. Directs the Secretary to incorporate the Foundation under the laws of the State of Maryland. Requires that the Foundation: (1) provide funding for the endowed chairs within the intramural research programs of the National Institutes of Health (NIH) and the Alcohol, Drug Abuse, and Mental Health Administration (ADAMHA); (2) recruit senior biomedical scientists for such positions; (3) support the staffing, equipment, and space requirements for the research undertaken by those scientists; (4) support the stipends and research expenses of NIH Scholars appointed under the Public Health Service Act, who shall be appointed for six-year terms; and (5) negotiate a memorandum of understanding with the Director of the NIH and the Administrator of ADAMHA that Foundation scientists and personnel shall observe the ethical and procedural standards regulating research and research findings that are followed at the NIH and ADAMHA. Sets forth the powers of the Foundation. Authorizes appropriations.
Bill· SS. 1392 (101st)open
United States · United States Congress · 24 July 1989
Biomedical Research Act of 1989 - Title I: Biomedical and Behavioral Research Facilities - Amends the Public Health Service Act to authorize the Director of the National Institutes of Health (NIH), through the Director of Research Resources (Director), to award grants to public or nonprofit private institutions, under provisions relating to biomedical and behavioral research facilities, to expand, remodel, renovate, or alter existing research facilities or construct new research facilities. Establishes in the Division of Research Resources of the NIH a Technical Review Board on Biomedical and Behavioral Research Facilities to: (1) advise the Director and the Advisory Council (established under existing law) on matters concerning the construction of facilities; and (2) conduct the peer review of applications under this title. Sets forth requirements for application and selection of grants. Limits the amount of any grant to 50 percent of the cost of construction or, in the case of a multipurpose facility, 50 percent of the cost of construction proportionate to the contemplated use. Allows the Director to waive these limitations for institutions of emerging excellence in biomedical or behavioral research. Provides for recapture of payments in certain circumstances for 20 years after completion of construction. Requires the Director to prescribe regulations with respect to the grants. Requires the Director to mandate peer review of applications for grants under these provisions in accordance with existing peer review provisions. Authorizes appropriations for FY 1990 through 1992. Title II: National Center for Medical Rehabilitation Research - Amends the Public Health Service Act to declare that the purpose of the National Center for Medical Rehabilitation Research (Center) is to conduct biomedical research and research training, the dissemination of information, and other programs with respect to the rehabilitation of individuals with physical disabilities resulting from diseases or disorders of the neurological, musculoskeletal, cardiovascular, or other physiologic systems (medical rehabilitation). Requires the NIH Director to develop a comprehensive plan for the conduct and support of medical rehabilitation research. Requires the Director to establish the Medical Rehabilitation Coordinating Committee to make recommendations with regard to the plan. Requires establishment of the Medical Rehabilitation Advisory Council to assist and make recommendations to the NIH Director and the Center Director. Title III: Scientific Personnel Demonstration Program - Amends the Public Health Service Act to authorize the Secretary of Health and Human Services to establish a Senior Biomedical Scientific Service. Requires that: (1) members of the Service be appointed by the Secretary without regard to provisions of Federal law relating to Government organization and employees; (2) the Service be limited to 800 individuals; and (3) members of the Service be outstanding in the field of biomedical research, behavioral research, or clinical research evaluation. Declares that provisions of Federal law relating to retention preference, performance appraisal and performance-based actions, classification, General Schedule pay rates, and adverse actions shall not apply to any member of the Service. Requires that members of the Service be assigned by the Secretary to duties directly involving biomedical research, behavioral research, or clinical research evaluation, or to supervision of such activities. Authorizes the Secretary to determine the basic and supplemental pay of Service members. Sets forth limits on supplemental pay. Provides for retirement of individuals who enter the Service directly from a position as a commissioned officer in the Public Health Service Corps. Requires that the Service be administered in such a manner that, in FY 1990, it does not result in additional appropriations for the Department of Health and Human Services. Terminates the Service five years after it attains full membership. Amends provisions of Federal law relating to physicians comparability allowances to include physicians and dentists in the Senior Biomedical Scientific Service in the definition of "Government physician" for purposes of such provisions. Title IV: NIH Director's Discretionary Fund - Amends the Public Health Service Act to authorize the Director of the National Institutes of Health (NIH) to retain a specified percentage of the amount appropriated for extramural grants, up to a specified amount in each fiscal year, in an account for the hiring of staff and the purchasing or renting of equipment and space for research that cannot otherwise be supported adequately because of funding cycle constraints or because the research does not fit clearly into the research assignment of any existing Institute.
Bill· SS. 1386 (101st)referred
United States · United States Congress · 24 July 1989
Maintains Federal coverage of existing State Medicaid (title XIX of the Social Security Act) day habilitation services programs for the mentally retarded until October 1, 1992. Requires the Secretary of Health and Human Services to promulgate a regulation specifying the types of day habilitation services States may cover on behalf of such persons and the requirements for such coverage.
Bill· SS. 1384 (101st)referred
United States · United States Congress · 24 July 1989
Rural Nursing Incentive Act of 1989 - Amends title XVIII (Medicare) of the Social Security Act to provide direct coverage under part B (Supplementary Medical Insurance) of the Medicare program of nurse practitioner or clinical nurse specialist services furnished in rural areas. Sets the Medicare payment for such services at 75 percent of the prevailing charge in the area for the services of participating physicians. Requires that such payments be made on an assignment-related basis. Excludes beneficiaries of such services from copayment requirements.
Bill· SS. 1380 (101st)referred
United States · United States Congress · 24 July 1989
Drug War Bond Act of 1989 - Directs the Secretary of the Treasury to issue: (1) Drug War Bonds for a three-year period with a 12-year maturity date; and (2) Drug War Stamps to evidence payments for or on account of such bonds. Amends the Internal Revenue Code to exclude the interest earned on such War Bonds from an individual's gross income. Authorizes a taxpayer to designate a specified portion of any tax overpayment or make cash contributions to the War on Drugs Trust Fund (established by this Act). Provides that as of FY 1990, unobligated funds remaining in the Department of Justice Assets Forfeiture Fund shall be deposited in the War on Drugs Trust Fund. Amends the Anti-Drug Abuse Act of 1988 to terminate the Special Forfeiture Fund. Amends the Internal Revenue Code to establish the War on Drugs Trust Fund. Transfers to such Fund: (1) proceeds from the sale of Drug War Bonds and Drug War Stamps; (2) certain cash contributions and portions of tax overpayments; and (3) amounts made available from excess monies in the Department of Justice Assets Foreifeiture Fund. Prescribes expenditures from the War on Drugs Trust Fund, including construction of Federal prison facilities and education and rehabilitation programs. Exempts receipts of and expenditures from the War on Drugs Trust Fund from: (1) statutory expenditures and lending limitations; and (2) certain orders issued under the Balanced Budget and Emergency Deficit Control Act of 1985. Requires the Secretary to report to the Congress on programs established by this Act. Directs the Attorney General to make recommendations to the Congress regarding the merits of privatizing Federal prisons. Declares that it is not in order for the Congress to consider any proposal for spending less on drug related programs than the total established for the prior fiscal year (plus an additional amount to compensate for inflation).
Bill· HRH.R. 2980 (101st)referred
United States · United States Congress · 24 July 1989
USHealth Program Act - Division A: USHealth Program - Title I: Eligibility and Enrollment - Amends title XVIII (Medicare) of the Social Security Act to establish the USHealth Program (Program) for the provision of comprehensive medical care, without regard to age or disability status to: (1) U.S. citizens; (2) permanent U.S. residents; and (3) aliens who are employed with a foreign government or international organization and reside in the United States, provided an executive agreement can be arranged with such government or organization for payments into the Program. Provides for the possibility of incorporating foreign visitors into the program. Repeals title XIX (Medicaid) of the Act and provisions of various other benefit programs rendered superfluous by the comprehensive nature of the USHealth Program. Makes conforming amendments to the Railroad Retirement Act of 1974. Title II: Benefits and Providers - Lists Program benefits which comprise: (1) inpatient hospital and inpatient psychiatric hospital services; (2) medical and other health services; (3) comprehensive outpatient rehabilitation facility services; (4) medical care access facility services; (5) extended care services; (6) home health services; (7) hospice care; (8) long-term care for a chronically ill individual; (9) alcohol and drug abuse rehabilitation services; and (10) outpatient mental health services. Amends the Medicare program to expand covered medical and other health services to include: (1) nurse practitioner and clinical nurse specialist services; (2) periodic screening and diagnosis of individuals under age 21 to ascertain their physical or mental defects and the care necessary to correct or ameliorate discovered defects; (3) family planning services and supplies for individuals of child-bearing age; (4) private duty nursing services; (5) eyeglasses and dental services, with specified conditions; (6) prescribed drugs and prosthetic devices; (7) physical therapy; and (8) other diagnostic, preventive, and rehabilitative services. Directs the USHealth Board (Board) to review coverage limitations on mental health services and to make such changes as will improve access to such services while containing costs. Requires the Board to report to the Congress on whether Program coverage should include services of pediatric and geriatric assessment units. Makes the Program the primary payor where items and services provided may also be covered by a group health plan. Sets forth certification standards for long-term care, comprehensive outpatient rehabilitation facility services, outpatient physical therapy services, and outpatient speech pathology services. Uses funds authorized for the rural health care transition grant program under the Omnibus Budget Reconciliation Act of 1987 for the development of medical care access facilities. Defines a "medical care access facility" as a facility which: (1) provides ambulatory, primary, emergency, urgent, and surgical care; (2) provides inpatient care for from one-to-ten inpatient beds for stays not exceeding 48 hours; and (3) is located in a medically underserved area or a county with a population of less than 20,000, or serves a frontier service area. Provides Medicare coverage of facility services. Authorizes such facilities to provide dietician, pharmacist, laboratory technician, medical technologist, and radiological services on a part-time, off-site basis, and remain open for less time than Medicare hospitals. Authorizes appropriations for FY 1990 through 1992 for grants creating medical care access facilities in communities which lack hospitals and assisting hospitals in being converted into such facilites. Directs the Secretary of Health and Human Services to establish a Medical rural health clinic demonstration program: (1) testing new payment methodologies for clinic services; (2) covering early detection procedures, health education, and health risk reduction services; (3) easing staffing requirements for clinics that have been unable to recruit physician assistants or nurse practitioners; and (4) reducing physician, physician assistant, and nurse practitioner productivity standards for sparsely populated areas. Requires the Administrator of the Health Care Financing Administration to provide for and annually report to the Congress on additional research and demonstration projects into how the Medicare and Medicaid (title XIX of the Social Security Act) programs could be changed to better cover care for beneficiaries residing in rural areas and in central city areas of large cities. Directs the Board to develop policies and protocols to assure the appropriate coordination in payments and identification of benefits for Medicare long-term care and acute health care services. Title III: Payments for Services - Ties changes in the payment rate for services provided under the Program to changes in the gross national product (GNP) over a payment period, with adjustments in payments among services being made in response to changes in the utilization of such services. Limits payments for noninstitutional care provided to chronically-ill individuals. Sets forth a formula for determining the payment due to hospitals for capital-related costs which takes into account capital resource use associated with differing diagnosis-related groups as well as changes in the GNP. Directs the USHealth Board to establish a payment schedule for each class of covered health care services and periodically adjust such schedules to reflect GNP changes as well as regional and qualitative differences in services provision. Requires that payment rates for physicians' services and other professional services reflect the particular costs of furnishing such services and take into account the full-time coverage and low-volume of services characteristic of rural areas. Authorizes the Board to provide for the payment of services under an alternative reimbursement system established by a State, provided the system does not increase the cost or reduce the quality of such services. Provides funding to States establishing such a system. Cuts a State's required contribution to the Program by 50 percent of the savings which result from use of the State's alternative system. Directs the Board to establish a toll-free, telephone hotline to handle inquiries concerning Medicare payments for certified registered nurse specialist, certified nurse-midwife, nurse practitioner, and clinical nurse specialist services. Sets forth medical care access facility payment provisions. Prohibits providers from charging beneficiaries or third parties for services covered by this Act. Requires the Board to use insurance companies as carriers, where practicable, and strengthen utilization review by carriers. Increases the rate of payment for each class of individuals enrolled with a health maintenance organization (HMO) to 100 percent of the cost for that class. (Currently, 95 percent of the costs are covered.) Restricts coverage to HMOs qualified under the Public Health Service Act. Requires HMOs to provide enrollees with all services covered by this Act. Directs the Board to conduct a national campaign encouraging eligible individuals to enroll with HMOs. Title IV: Financing Program - Requires USHealth beneficiaries to pay the first $100 of payments made for covered outpatient drugs and, subject to specified maximum payment limits, 25 percent of the payments provided for custodial long-term care services and 20 percent of the payments provided for other services (in addition to nominal copayments). Waives the coinsurance requirement where such payments would place a family's income below the Federal poverty level. Provides that the failure to pay coinsurance amounts will not result in loss of benefit entitlement. Alters the formula for determining the monthly Medicare part B (Supplementary Medical Insurance) premium for individuals age 65 or older, requiring the elimination of such premium when the individual's family income falls below the Federal poverty level. Phases-out such premium for elderly beneficiaries by the year 2005. Eliminates such premium for disabled beneficiaries. Amends the Internal Revenue Code to phase-down the supplemental premium rate so that it reaches zero by the year 2005. Indexes increases to the ceiling on such premium to increases in the per capita GNP. Reduces an individual's supplemental premium by the amount of surtax he or she paid for the coverage of excess Program costs. Amends title II (Old Age, Survivors and Disability Insurance) (OASDI) of the Act to extend the wages on which the Hospital Insurance tax is levied to an unlimited dollar amount after 1989. Amends the Internal Revenue Code to impose an excise tax, to be paid into the USHealth Program Trust Fund (Trust Fund), on wages and self-employment income, including in such tax certain Federal, State, and church employment. Increases the Federal excise tax on cigarettes. Applies the increase to the Trust Fund. Adjusts the rate of such taxes to reflect changes in the GNP. Amends the Medicare program to require the States to pay into the Trust Fund an amount equal to 50 percent of Program payments made to families whose income falls below the Federal poverty level. Amends the Internal Revenue Code to impose a surtax on personal income to cover the amount by which estimated Program costs for a calendar year will exceed Program revenues. Amends the Medicare program to establish the USHealth Program Trust Fund which is to replace the Federal Hospital Insurance Trust Fund, Federal Supplementary Medical Insurance Trust Fund, Federal Catastrophic Drug Insurance Trust Fund, and Medicare Catastrophic Account and be administered by the Board. Provides for off-budget treatment of receipts and disbursements of the Trust Fund. Amends the Internal Revenue Code to repeal the exclusion of employer health insurance contributions from income computations. Title V: Quality Assurance - Amends part B (Peer Review) of title XI of the Act to establish a National Council on Quality Assurance. Directs the Director of the Congressional Office of Technology Assessment to provide for the appointment of members of the Council. States that the general functions of the Council shall be to: (1) provide oversight of the operations of the quality assurance system; and (2) make recommendations annually to the Board and the Congress for improvements in the system. Sets forth the Council's functions more specifically. Requires the Council to report annually to the Congress on the functioning and progress of the Council. Authorizes appropriations. Requires contracts with peer review organizations to provide that: (1) at least one-half of the organizations' efforts must be on quality assurance activities; and (2) quality assurance activities shall be conducted with respect to all the different types of items and services covered by Medicare, Medicaid, or through a private payor. Adds to the definition of the term "peer review organization" so as to require such an entity to: (1) include representatives of quality assurance activities; and (2) have a consumer advisory board. Defines a "consumer advisory board." Requires peer review organizations to review health maintenance organizations (HMOs). Requires any peer review organization to: (1) educate USHealth beneficiaries; (2) provide for a toll-free telephone number, which shall be provided to USHealth beneficiaries for the purpose of receiving questions and complaints from USHealth beneficiaries; (3) assist in resolving any such complaints that are legitimate; (4) make available to its consumer advisory boards appropriate information received from the telephone service; and (5) train members of its consumer advisory board. Appropriates funds, in addition to any other amounts appropriated to carry out part B of title XI, from the Trust Fund for distribution to peer review organizations. Amends the Medicare program to impose quality assurance requirements on home health agencies and long-term care management agencies, including requirements that such agencies implement grievance review procedures, ensure that their providers receive adequate training, and develop and periodically review plans of care for their clients. Requires home health agencies and providers to provide clients with information and training concerning the use of durable medical equipment. Requires long-term care management agencies to supply their clients with a written statement of the services they will receive and a copy of the consumer bill of rights to be promulgated by the Board. Directs the Board to: (1) establish procedures for surveying home health and long-term care management agencies; (2) encourage and report on State progress in developing home health agency licensing policies and procedures; and (3) provide grants for training programs for home health agencies and providers and long-term care management agencies. Authorizes appropriations for such activities in FY 1993 and thereafter. Requires hospitals to implement a discharge planning process which meets guidelines and standards to be established by the Board, in conjunction with the National Council on Quality Assurance, to: (1) protect against inappropriate early hospital discharges; (2) ensure a timely and smooth transition to the most appropriate type of and setting for post-hospital care; and (3) permit early initiation of the authorization process for continuing care services. Amends part B of title XI of the Act to require peer review organizations to monitor hospitals' compliance with discharge planning process requirements. Requires health maintenance organizations (HMOs) to make outpatient mental health services available to their clients and ensure that quality assurance activities include such services. Requires the Board to promulgate a consumers' bill of rights which includes rights: (1) facilitating consumer participation in the planning and delivery of services; (2) requiring consumer notification regarding services, charges for services, and the termination or reduction of services; (3) protecting consumer dignity, privacy, and property; and (4) ensuring service from properly trained and competent individuals. Requires the Board to provide grants to States for the establishment of a health and long-term care ombudsman in each State. Directs each State to establish a statewide uniform reporting system and a toll-free telephone hotline for the collection and communication of complaints regarding conditions in inpatient care facilities. Sets forth study and reporting requirements. Title VI: Administration and Miscellaneous - Amends part B (Supplementary Medical Insurance) of title XVIII (Medicare) of the Act to replace the heading of part B with the heading, "Part B-USHealth Administration." Establishes as an independent executive agency a USHealth Administration (Administration). Provides that it shall be the duty of the Administration to administer the USHealth Program. Provides that the Administration shall be governed by a USHealth Board. Requires the Board to study and make recommendations as to the most effective methods of providing for the health care of permanent U.S. residents and as to legislation and matters of administrative policy. Establishes in the Administration: (1) a USHealth Administrator; (2) a Deputy USHealth Administrator; (3) a General Counsel; (4) an Inspector General; and (5) an office of the USHealth Ombudsman, to be headed by a USHealth Ombudsman who shall represent the interests of USHealth beneficiaries within the Administration. Requires the annual report of the Board to include a description of the activities of the Ombudsman. Requires the Board to make annual budgetary recommendations relating to the Administration. Requires that appropriations requests by the Administration for staffing and personnel be based upon a comprehensive workforce plan as established by the Board. Provides for the apportionment of administrative costs. Requires the annual report of the Board to include a section reflecting the use of budget authority provided to the Administration. Requires that authority for automated data processing procurement and facilities construction be provided in the form of contract authority covering the total cost of such acquisitions. Makes amounts needed for the liquidation of contract authority so provided available from the Trust Fund to the extent that such amounts are not needed to meet current obligations for benefit payments. Requires the Board to cause a seal of office to be made and judicial notice taken thereof. Directs the Administrator and the Board to report to the Congress within 120 days after the beginning of each regular session on their administration under this Act. Requires the Board and the Director of the Office of Personnel Management to implement demonstration projects relating to personnel matters. Directs the Board and the Administrator of General Services to implement such projects relating to delegations from such Administrator. Specifies the authorities which are to be delegated to the Board from the Administrator of General Services and the Director. Requires the Comptroller General to report to specified congressional committees concerning such projects, including an evaluation of the Board's readiness to assume full and permanent authority. Provides for the transfer to the Administration of all functions carried out by the Secretary of Health and Human Services with respect to the programs and activities which have been administered by the Health Care Financing Administration. Abolishes the position of Administrator of the Health Care Financing Administration in the Department of Health and Human Services. Directs the Secretary to conduct: (1) from five-to-ten three-year demonstration projects to determine the relative effectiveness, cost, and impact on the quality of long-term care of different models of providing and reimbursing Medicare care management services; and (2) from five-to-ten 18-month demonstration projects to assess the coverage of day health care provided to chronically ill individuals in a group-setting outside their homes on a less than 24-hour-a-day basis as long-term care. Sets forth reporting requirements. Sets forth effective date and transitional rule provisions. Title VII: Miscellaneous Provisions - Repeals the Medicaid program. Makes this Act inapplicable to Medicare or Medicaid services furnished before 1994. Division B: Transition and System - Building Provisions - Title I: Medicaid Expansion to Cover the Poor - Amends the Medicaid program to extend Medicaid coverage to all children whose income is below the Federal poverty level and whose resources do not exceed twice the limit for eligibility under title XVI (Supplemental Security Income) of the Social Security Act. Phases-in Medicaid coverage, by January 1, 1992, of all individuals whose income and resources do not exceed such limits. Title II: Private Health Insurance Deduction for Self-Employed - Amends the Internal Revenue Code to provide a tax deduction for the entire health insurance costs of the self-employed. Title III: Rural Health Care Development - Amends the Medicaid program to require that State Medicaid payments for rural medical practices reflect the particular costs of furnishing services in rural areas. Directs the Secretary, jointly with the States, to develop an appropriate system to reduce the payment differential between urban and rural professional health personnel. Permits rural nursing facilities to elect to receive Medicaid payments on the basis of a daily rate schedule to be established by the Secretary. Permits rural home health agencies to elect to receive payments on the basis of a per visit rate to be established by the Secretary. Provides Medicaid coverage of medical care access facility services. Requires such facilities to participate in the program. Amends title VII (Administration) of the Act to place the Office of Rural Health Care in the Office of the Secretary of Health and Human Services. Amends the Public Health Service Act to authorize the Secretary to make grants to States which have submitted fiscal year plans for comprehensive State rural health access planning to assist States in such planning. Authorizes appropriations for such grant program through FY 1992. Requires each State to submit a comprehensive rural emergency medical services plan to the Secretary for each fiscal year, beginning with FY 1990. Authorizes appropriations through FY 1992 for payments to States, which vary among States on the basis of the proportion of the nation's rural population which reside in each State, to cover the costs of planning, implementing, and monitoring the operation of trauma care systems in rural areas. Authorizes the Secretary to make grants to public and nonprofit entities for planning, constructing, equipping, supplying, and operating a rural health clinic and training the personnel at such clinic. Authorizes the Secretary to make grants to solo and small group medical practices which provide primary health services to medically underserved rural populations to assist such practices in purchasing equipment and supplies and training personnel. Sets forth grant conditions, including the requirement that such clinics and practices accept as patients Medicare and Medicaid recipients residing in their service area, and provide 24-hour-a-day emergency medical services. Authorizes appropriations through FY 1992. Sets aside five percent of amounts appropriated to the National Center for Health Services Research and Health Care Technology Assessment for research on improving rural health care delivery systems. Directs the Secretary to conduct a study on improvements which can be made in the collection and analysis of data used in designating rural areas as medically underserved areas. Amends the Public Health Service Act to require that a State's application for an Alcohol, Drug Abuse, and Mental Health Services Block Grant include an examination of the mental health care needs of rural residents and specify the effort that has and will be made to satisfy such needs. Directs the Secretary to conduct research on improving rural mental health delivery systems. Authorizes appropriations for such research through FY 1992. Title IV: Direct Reimbursement of Nurse Specialists - Amends the Medicaid program to require direct Medicaid reimbursement for certified nurse midwife, certified registered nurse anesthetist, nurse practitioner, and clinical nurse specialist services, whether or not such nurse is under the supervision of, or associated with, another health care provider, if such services would otherwise be covered if furnished by a physician or as an incident to a physician's services. Requires that such payments be equal to payments for such services under the Medicare program and not vary on the basis of the type of nurse involved. Title V: Health Care Personnel Development - Amends the Public Health Service Act to authorize appropriations through FY 1992 under the National Health Service Corps Scholarship Program and Loan Repayment Program. Requires the Secretary to establish a program of scholarships and loan repayments to assure an adequate supply of trained health care personnel at medical facilities which serve medically underserved populations. Requires that no less than 40 percent of the persons receiving such assistance be targeted for placement with medically underserved rural populations. Authorizes appropriations for such program through FY 1992. Requires persons receiving Federal financial assistance under the Public Health Service Act to operate health care personnel training programs: (1) take into account the special health care conditions of rural areas; and (2) improve efforts to recruit, as students, individuals who are likely to practice in medically underserved rural areas. Authorizes the Secretary to make grants to public or private nonprofit health or educational entities for training programs to increase the number of health care personnel and multi-competent health care technicians serving medically underserved rural populations. Authorizes appropriations for such grant programs through FY 1992. Requires the Secretary, in entering into contracts with schools of medicine and osteopathy for area health education centers, to give priority to health education projects targeted toward health professions having an inadequate number of practitioners, either by specialty or geographic location. Makes administrative changes affecting area health education centers. Authorizes appropriations for such centers through FY 1992. Authorizes the Secretary to make grants to and enter into contracts with public and nonprofit private entities to cover the costs of providing continuing education for nurses in rural areas through the use of satellite transmissions. Title VI: Mental Health Care Development - Subtitle A: Amendments to Public Health Service Act - Amends the Public Health Service Act to reserve specified amounts of appropriations to the National Institute of Mental Health and to the National Institute on Aging for FY 1990 through 1992, which are in excess of FY 1989 appropriations, for research on the mental health and psycho-social well-being of elderly individuals. Amends the Older Americans Act of 1965 to authorize appropriations for FY 1990 through 1992 for research, development, and demonstration projects regarding the mental health of elderly individuals. Requires the Secretary to enter into a contract with the Institute of Medicine of the National Academy of Sciences for the conduct of a study to determine methods for measuring and assuring the quality and effectiveness of mental health services and alcohol and drug abuse treatment services. Requires that the Institute complete such study and report to the Congress. Authorizes appropriations for FY 1990. Directs the Secretary to provide for and report to the Congress by January 1, 1991, on additional studies: (1) comparing mental health services under prepaid health plans and in settings other than prepaid health plans; (2) examining mechanisms for ensuring the quality of, and access to, mental health services delivered by State, local, and independent mental health facilities; (3) examining minority access to community mental health centers; (4) examining the adequacy and optimal utilization of mental health manpower; and (5) examining the adequacy of minority mental health manpower and training. Authorizes the Secretary to conduct demonstration projects to determine methods of increasing minority access to community mental health centers. Authorizes appropriations for such studies and projects. Subtitle B: Changes in Medicare and Medicaid Programs - Amends the Medicaid program to require Medicaid coverage of outpatient mental health services which would otherwise be covered if furnished by a physician. Amends the Medicaid program to define an institution for mental diseases as an institution that has more than 16 beds and: (1) is under the jurisdiction of the State mental health authority; (2) advertises itself as primarily specializing in treating individuals with mental disease; or (3) is made up, for the most part, of patients who do not have a physical condition which in itself requires the level of services provided in a skilled nursing facility. Amends the Medicare and Medicaid programs to require nursing facilities to provide access to medically necessary mental health services. Amends part A (General Provisions) of title XI of the Act to impose additional conditions on mental health providers' participation in the Medicare and Medicaid programs. Includes among such conditions the requirements that each provider: (1) comply with the consumer bill of rights; (2) provide each consumer with written grievance procedures and written notice of the services to be provided; (3) have the capacity to identify potential clients, provide mental health services, and coordinate their services with those provided by others; and (4) engage in consumer needs assessment and care and discharge planning activities. Requires health maintenance organizations to ensure access to, and the quality of, the Medicaid outpatient mental health services they provide. Requires peer review organization review of the mental health services for which payment is made under the Medicare or Medicaid program. Directs the Secretary to ensure the reasonableness of Medicare reimbursement for nursing facility mental health services. Title VII: Alzheimer's Assistance Development- Subtitle A: Grants to States for Alzheimers Disease Programs - Amends the Public Health Service Act to direct the Secretary to make grants to States to plan, establish, and operate programs to provide specified services regarding Alzheimer's or related disorders. Specifies purposes for which grant funds may not be used. Limits grants to three years, subject to annual evaluation by the Secretary. Limits the amount of a grant and its portion of the costs of the program for which it is made. Directs the Secretary to annually evaluate the grant programs. Authorizes the Secretary to contract with private entities to conduct the evaluation. Authorizes appropriations for FY 1990 through 1992. Subtitle B: Improvement of Services Under Medicare and Medicaid Programs - Directs the Secretary of Health and Human Services to review the levels of Medicare reimbursement provided for home health services, extended care services, and inpatient hospital services relating to an advanced stage of Alzheimer's or a related disorder and adjust the levels to accurately reflect the reasonable amount required to provide adequately for services furnished. Requires each State plan approved under title XIX (Medicaid) of the Social Security Act to report to the Secretary on how the levels of reimbursement under the plan for home health services, nursing facility services, inpatient hospital services, and community-based care take into account special needs regarding an advanced stage of Alzheimer's or a related disorder. Directs the Secretary to modify contracts with utilization and quality control peer review organizations under part B (Peer Review) of title XI of the Social Security Act to ensure that the organizations conduct adequate and representative quality of care reviews on patients who require intensive home health services or extended care services. Requires States, as a condition of approval of a State plan under Medicaid, to provide assurances that the State is providing for the conduct of adequate and representative quality of care reviews on patients who require intensive home health services, nursing facility services, or other long-term care services. Directs the Secretary to review and report to the Congress regarding whether specified types of facilities participating under the Medicare or Medicaid program limit or restrict the services they provide to individuals with Alzheimer's or a related disorder. Title VIII: Community and Migrant Health Centers Expansion - Amends the Public Health Service Act to authorize appropriations through FY 1991 for grants to migrant health centers and community health centers.
Bill· HRH.R. 2972 (101st)open
United States · United States Congress · 21 July 1989
Drug War Bond Act of 1989 - Directs the Secretary of the Treasury to issue: (1) Drug War Bonds for a three-year period with a 12-year maturity date; and (2) Drug War Stamps to evidence payments for or on account of such bonds. Amends the Internal Revenue Code to exclude the interest earned on such War Bonds from an individual's gross income. Authorizes a taxpayer to designate a specified portion of any tax overpayment or make cash contributions to the War on Drugs Trust Fund (established by this Act). Authorizes the Attorney General to make expenditures from the Department of Justice Assets Forfeiture Fund into the War on Drugs Trust Fund. Amends the Internal Revenue Code to establish the War on Drugs Trust Fund. Transfers to such Fund: (1) proceeds from the sale of Drug War Bonds and stamps; and (2) certain cash contributions and portions of tax overpayments. Prescribes expenditures from the War on Drugs Trust Fund, including the construction of Federal prison facilities and education and rehabilitation programs. Precludes the receipts and disbursements from the War on Drugs Trust Fund from being included in either the congressional budget totals or in the budget totals as submitted by the President. Exempts the receipts and expenditures from the War on Drugs Trust Fund from: (1) statutory expenditure and lending limitations; and (2) certain orders issued under the Balanced Budget and Emergency Deficit Control Act of 1985 (Gramm-Rudman-Hollings Act). Requires the Secretary to report to the Congress on programs established by this Act. Directs the Attorney General to make recommendations to the Congress regarding the merits of privatizing Federal prisons.
Bill· SS. 1362 (101st)referred
United States · United States Congress · 20 July 1989
Authorizes the Secretary of Health and Human Services to use competitive bidding in establishing Medicare (title XVIII of the Social Security Act) payment rates for laboratory services. Requires the Secretary to establish a laboratory services competitive bidding advisory committee to examine and report to the Congress on the feasibility and use of competitive bidding for Medicare laboratory services. Directs the Secretary to establish demonstration projects to assess various alternative methods of setting payment rates, including competitive bidding, for durable medical equipment. Requires the Secretary to report to the Congress on the findings of such projects and implement the payment rate method which is most cost effective without diminishing access to or the quality of care. Amends part A (Hospital Insurance) of the Medicare program to require Medicare fiscal intermediaries to utilize shared claims processing hardware and software systems if to do so would enhance Medicare operational efficiency and effectiveness. Amends part B (Supplementary Medical Insurance) of the Medicare program to impose the same requirement on Medicare carriers. Authorizes the Secretary to contract with two fiscal intermediaries and two carriers without regard to the regular nominating process for the purpose of replacing two of the least effective Medicare fiscal intermediaries and two of the least effective Medicare carriers.
Bill· HRH.R. 2956 (101st)open
United States · United States Congress · 20 July 1989
Birth Control and Infertility Research Centers Act of 1989 - Amends the Public Health Service Act to require the Director of the Institute of Child Health and Human Development to make grants and enter into contracts for centers for improving methods of birth control and centers for diagnosing and treating infertility. Requires the Director, subject to appropriations, to provide for three centers with respect to birth control and two centers with respect to infertility. Requires each center to: (1) conduct clinical and other applied research; (2) develop training protocols for and conduct training of physicians, scientists, nurses, and other health and allied health professionals; (3) develop model continuing education programs; and (4) disseminate information to such professionals. Allows a center to use the funds to provide: (1) stipends for health and allied health professionals enrolled in the training programs; and (2) fees to individuals serving as subjects in the clinical trials. Requires each center to use the facilities of a single institution, or be formed from a consortium of cooperating institutions, meeting requirements as prescribed by the Secretary of Health and Human Services. Allows support for a center to be for a period of up to five years, with extensions of one or more periods of up to five years if the center's operations have been reviewed by a peer review group and the group has so recommended. Authorizes appropriations for FY 1990 through 1994. Amends the Public Health Service Act to direct the Secretary to establish a program of entering into agreements with health professionals, including graduate students, under which the professionals agree to conduct research with respect to birth control or infertility in consideration of the Government agreeing to repay, for each year of such service, not more than a specified amount of the principal and interest of their educational loans. Applies provisions of the National Health Service Corps Loan Repayment Program to this program, except as inconsistent. Authorizes appropriations for FY 1990 through 1992. Requires amounts appropriated to remain available until the end of the second fiscal year after they are appropriated.
Bill· HRH.R. 2954 (101st)referred
United States · United States Congress · 20 July 1989
AIDS Health Services Act of 1989 - Directs the Secretary of Health and Human Services, through the Administrator of the Health Resources and Services Administration, to make grants to eligible consortia for services to people with acquired immune deficiency syndrome (AIDS) or symptomatic human immunodeficiency virus (HIV) infection, including inpatient and nursing home care, primary community health and support services (including services for infected children and their families) and secondary community support services (including services for infected children and their families). Requires that priority be given to the development and availability of primary community health and support services. Requires at least 20 percent of funds made available to be used for the provision of services for members of minority communities. Authorizes appropriations for FY 1990 through 1992. Directs the Secretary to conduct health and mental health services research focused on the delivery of services to individuals infected with the HIV, including studies on: (1) service delivery to members of minority communities; (2) the societal distribution of the costs of infection with HIV; and (3) the most cost-effective ways of providing services. Authorizes appropriations for FY 1990.
Resolution· HCONRESH.Con.Res. 173 (101st)referred
United States · United States Congress · 20 July 1989
Declares that the Congress should: (1) establish a program of research for the development of methods of birth control and methods of diagnosing and treating infertility; (2) provide adequate long-term resources for the program; (3) ensure that Federal programs with respect to sexually transmitted diseases adequately respond to the role of such diseases in infertility; (4) ensure public education on birth control and infertility; (5) establish as Federal goals the development, by the year 2010, of improved barrier methods to protect against pregnancy and diseases, new methods of birth control for use by men, a vaccine-like drug for women that prevents pregnancy for a significant period of time without other specified effects, and new and improved techniques of diagnosing and treating infertility; (6) require the Secretary of Health and Human Services to reestablish the Ethical Advisory Board in order to facilitate research with respect to infertility; (7) review the policies and procedures of the Food and Drug Administration with respect to expediting approval of drugs and devices for use by the public, especially with respect to birth control and infertility; and (8) determine to what extent measures can be implemented by public or private entities to resolve liability issues involved with drugs and devices concerned with birth control and infertility.
Bill· HJRESH.J.Res. 370 (101st)referred
United States · United States Congress · 19 July 1989
Designates the week of September 9 through September 15, 1989, as National Nursing Home Residents' Rights Week.
Bill· SS. 1339 (101st)referred
United States · United States Congress · 18 July 1989
Maintains Federal coverage of existing Medicaid (title XIX of the Social Security Act) day habilitation services for the mentally retarded until 30 days after the Secretary of Health and Human Services promulgates a final regulation specifying the types of day habilitation services States may cover on behalf of such persons. Authorizes States to transfer existing Medicaid coverage of day habilitation services for the mentally retarded to coverage under a Medicaid home and community-based waiver program to the extent necessary to maintain the number of individuals receiving such services.
Bill· HRH.R. 2919 (101st)referred
United States · United States Congress · 18 July 1989
Claude Pepper Act for Amputees - Amends the Rehabilitation Act of 1973 to authorize the Director of the National Institute on Disability and Rehabilitation to conduct a research program to finance development of advanced technology prosthetic and orthotic devices by Federal, State, and local government agencies and qualified private organizations. Requires such program to include research on: (1) the development of lower and upper limb devices; (2) useful applications of modern materials; and (3) new methods of utilizing body power. Directs the Secretary of Education to prescribe regulations for such program within 90 days. Authorizes appropriations for FY 1990 and 1991 for such research program. Requires that at least ten percent of such funds be used to make grants to providers of prosthetic and orthotic services who are approved under agreement with the Department of Veterans Affairs.
Bill· HRH.R. 2907 (101st)referred
United States · United States Congress · 17 July 1989
Amends the Internal Revenue Code and title XVIII (Medicare) of the Social Security Act to direct the Secretary of the Treasury to reduce premiums imposed under the Medicare Catastrophic Coverage Act of 1988 to the extent that estimated annual revenues from such premiums exceed estimated annual outlays from the Medicare Catastrophic Coverage Account by more than ten percent.
Bill· SS. 1321 (101st)open
United States · United States Congress · 14 July 1989
Comprehensive Alzheimer's Assistance, Research, and Education Act of 1989 (CARE) - Title I: Public Health Service Programs with respect to Alzheimer's Disease - Amends the Public Health Service Act to create a new title on Alzheimer's disease. Authorizes the Secretary of Health and Human Services to make grants and enter into cooperative agreements to assist grantees in establishing and maintaining, with respect to Alzheimer's and related disorders, centers for: (1) conducting basic and clinical research, training, and dissemination of clinical information; (2) demonstrating advanced diagnostic, prevention, treatment, and management methods; (3) conducting programs of community education; and (4) maximizing research. Directs the Secretary, in carrying out these provisions, to consult with the directors of specified National Institutes of Health. Specifies purposes for which grant funds may and may not be used. Limits support for a center to five years, with extensions by the Secretary of up to five years if recommended by a technical and scientific peer review group. Authorizes the Secretary to make grants to and enter into cooperative agreements with entities receiving financial assistance under these provisions for off-site research on the diagnosis and treatment of Alzheimer's and related disorders. Authorizes appropriations for FY 1990 through 1992. Authorizes the Secretary, acting through the Director of the National Institutes of Health and the Director of the National Institute of Mental Health, to make grants and enter into contracts to enable grantees to conduct basic and clinical research regarding Alzheimer's and related disorders. Directs the Secretary, in carrying out these provisions, to consult with the directors of specified National Institutes of Health. Specifies the research areas to which minimum allocations of appropriated funds must be made. Authorizes appropriations for FY 1990 through 1992. Authorizes the Secretary, acting through the Director of the National Institute of Mental Health, to make grants and enter into contracts to enable grantees to conduct research and demonstration projects with respect to teaching the families of individuals with Alzheimer's or related disorders methods for providing appropriate care and managing stress. Authorizes appropriations for FY 1990 through 1992. Authorizes the Secretary, acting through the Commissioner on Aging, to make grants and enter into contracts to enable grantees to conduct demonstration projects with respect to teaching the families of individuals with Alzheimer's or related disorders methods for providing appropriate care and managing stress. Authorizes appropriations for FY 1990 through 1992. Authorizes the Secretary, acting through the Director of the National Institute on Aging, to make grants and enter into contracts to enable grantees to conduct long-term care research with respect to Alzheimer's disease and related disorders and with respect to the coordination of long-term care services. Authorizes appropriations for FY 1990 through 1992. Authorizes the Secretary, acting through the Director of the National Center for Health Services Research, to make grants and enter into contracts to enable grantees to conduct research with respect to developing methods for improving the delivery of supportive services to individuals with Alzheimer's disease or related disorders and with respect to the coordination of long-term care services. Authorizes appropriations for FY 1990 through 1992. Directs the Secretary to develop a plan for a research program for the study of Alzheimer's and related disorders. Specifies elements for which the plan must provide. Requires research under the plan to be carried out through the National Institutes of Health. Directs the Secretary to submit the plan to the President and the Congress. Directs the Secretary to make grants to States to plan, establish, and operate programs to provide specified services regarding Alzheimer's or related disorders. Specifies purposes for which grant funds may not be used. Limits grants to three years, subject to annual evaluation by the Secretary. Limits the amount of a grant and its portion of the costs of the program for which it is made. Directs the Secretary to annually evaluate the grant programs. Authorizes the Secretary to contract with private entities to conduct the evaluation. Authorizes appropriations for FY 1990 through 1992. Directs the Secretary, acting through the Administrator of the Alcohol, Drug Abuse, and Mental Health Administration, to require, as a condition of receiving funds under provisions of part B (Alcohol and Drug Abuse and Mental Health Services Block Grant) of the Public Health Service Act, that a State must agree that activities carried out under a specified provision will include increased provision of mental health services related to Alzheimer's and related disorders. Authorizes appropriations for FY 1990 through 1992. Authorizes the Secretary, acting through the Director of the National Institute on Aging, to make grants to assist grantees in providing training programs and continuing education programs, regarding Alzheimer's or related disorders, to health care professionals, health care paraprofessionals, and family caregivers. Specifies eligible types of grant recipients. Directs the Secretary to ensure that grants are equitably geographically distributed. Authorizes the Secretary, acting through the Director of the National Institute on Aging, to make grants to the Alzheimer's centers established by this Act to assist in developing curricula for such training programs and continuing education programs. Authorizes appropriations for FY 1990 through 1992. Directs the Secretary, acting through the Administrator of the Health Resources and Services Administration, to initiate a study regarding specified health manpower needs related to Alzheimer's disease, related disorders, and other disorders requiring long-term care services. Authorizes appropriations for FY 1990 through 1992. Directs the Secretary to establish a National Alzheimer's Disease Education Program for: (1) promoting the coordination of health care financing, service, research, education, and training programs; (2) collecting, through the Clearinghouse on Alzheimer's Disease, information on research and treatment programs; (3) making such information available to specified groups and to the general public; and (4) providing technical assistance to States and public and private organizations. Authorizes appropriations for FY 1990 through 1992. Authorizes the Secretary, through the Director of the National Institute on Aging, to make grants to educate health care providers and the families of individuals with Alzheimer's disease or related disorders on caring for individuals with such diseases or disorders and on the availability of sources of assistance. Requires grants to be equitably geographically distributed. Authorizes appropriations for FY 1990 through 1992. Title II: Improvement of Services Under Medicare and Medicaid Programs - Directs the Secretary of Health and Human Services to review the levels of reimbursement provided under title XVIII (Medicare) of the Social Security Act for home health services, extended care services, and inpatient hospital services relating to an advanced stage of Alzheimer's or a related disorder and adjust the levels to accurately reflect the reasonable amount required to provide adequately for services furnished. Requires each State plan approved under title XIX (Medicaid) of the Social Security Act to report to the Secretary on how the levels of reimbursement under the plan for home health services, nursing facility services, inpatient hospital services, and community-based care take into account special needs regarding an advanced stage of Alzheimer's or a related disorder. Directs the Secretary to modify contracts with utilization and quality control peer review organizations under part B (Peer Review) of title XI of the Social Security Act to ensure that the organizations conduct adequate and representative quality of care reviews on patients who require intensive home health services or extended care services. Requires States, as a condition of approval of a State plan under Medicaid, to provide assurances that the State is providing for the conduct of adequate and representative quality of care reviews on patients who require intensive home health services, nursing facility services, or other long-term care services. Directs the Secretary to review and report to the Congress regarding whether specified types of facilities participating under the Medicare or Medicaid program limit or restrict the services they provide to individuals with Alzheimer's or a related disorder. Directs the Secretary to provide for research and demonstration projects concerning methods of improving the delivery of health care services to Medicare and Medicaid beneficiaries with Alzheimer's disease or a related disorder. Specifies projects to be included. Directs the Secretary to provide for an evaluation of the research and demonstration projects and submit a report to the Congress. Authorizes appropriations for FY 1990 through 1992. Requires funds, to the extent that research and demonstration projects relate to Medicare beneficiaries, to be appropriated from the Federal Hospital Insurance Trust Fund and the Federal Supplementary Medical Insurance Trust Fund. Authorizes the Secretary to waive compliance with the requirements of part B (Peer Review) of title XI, title XVIII (Medicare), and title XIX (Medicaid) of the Social Security Act as necessary to conduct these research and demonstration projects.
Bill· SJRESS.J.Res. 175 (101st)passed
United States · United States Congress · 13 July 1989
Designates the week beginning September 16, 1990, as Emergency Medical Services Week.
Bill· HRH.R. 2881 (101st)referred
United States · United States Congress · 12 July 1989
Consolidated Maternal and Child Health Services Act of 1989 - Amends the Public Health Service Act to direct the Secretary of Health and Human Services, for each fiscal year, to make an allotment for, and payments to, each State for maternal and child health care and related services, including: (1) for women, providing health services related to pregnancy; (2) for infants and children, providing preventive health services; (3) for infants not exceeding one year of age, providing comprehensive health services; (4) training individuals in administering such services for women, infants, and children; (5) conducting evaluations of such services; and (6) conducting surveys or studies required by the Secretary under this Act. Requires that the services for women, except for inpatient services, be provided at a single facility in the community. Imposes the same requirement on the services for infants and children. Authorizes States to expend the payments to make grants to public and nonprofit entities and to enter into contracts with public and private entities. Declares that, notwithstanding any other law, if an individual is eligible for any service or item under these provisions, the individual may not receive the service or item under specified provisions of: (1) titles V (Maternal and Child Health Services), XIX (Medicaid), and XX (Grants to States for Social Services) of the Social Security Act; (2) the Public Health Service Act; (3) the Child Nutrition Act of 1966; (4) the Agriculture and Consumer Protection Act of 1973; and (5) any other Federal program providing services or items with respect to maternal or child health. Excludes from the consolidation those programs: (1) involving nutrition services through school facilities or child-care facilities; or (2) providing cash assistance to beneficiaries, including under titles IV (Child Welfare Programs) and XVI (Supplemental Security Income) of the Social Security Act. Repeals titles X (Population Research and Voluntary Family Planning Programs) and XX (Adolescent Family Life Demonstration Projects) of the Public Health Service Act. Requires the head of the agency that administers each program consolidated by this Act to make a determination regarding any amendments which should be made to any Act affecting that program and report to the appropriate committees of the Congress. Prohibits payments to a State unless the State agrees that the payments will not be expended to pay for any abortion, or for any counseling on or referral for obtaining any abortion, except where the life of the mother would be endangered if the fetus were carried to term. Limits administrative expenditures to ten percent of the payments. Sets forth reporting and auditing requirements. Prohibits payments to a State unless the State agrees that the State will: (1) provide services without regard to the ability of an individual to pay; (2) make charges, if any, pursuant to a public schedule of charges; (3) conduct surveys and studies as required by the Secretary and submit findings to the Secretary; (4) establish criteria to evaluate the performance of entities that receive funds from payments made to the State; (5) establish procedures for procedural and substantive independent State review of the failure by the State to provide funds for any such entity; (6) permit and cooperate with Federal investigations under provisions of this Act; and (7) maintain State expenditures for services or items provided for in this Act at a level not less than that maintained in the previous fiscal year. Sets forth a formula for determining the amount of the allotments to States. Directs the Secretary, for FY 1991, to make a supplemental allotment for each State that has made satisfactory progress toward: (1) providing all State-assisted maternal and child health services and items without regard to whether the services and items are provided with Federal financial assistance; and (2) providing the services and items pursuant to a single, standardized application form through which all desired services and items can be simultaneously requested. Sets forth: (1) a formula for determining the amount of the supplemental allotments; and (2) special provisions applicable to Indian tribes or tribal organizations. Authorizes appropriations. Requires any amounts paid to a State to remain available to the State for one year after the State receives the amounts.
Bill· HRH.R. 2877 (101st)referred
United States · United States Congress · 12 July 1989
Amends title XIX (Medicaid) of the Social Security Act to require nursing facilities to ensure that the health care of each resident is provided under the supervision of a physician or under the supervision of a nurse practitioner or clinical nurse specialist who is not a facility employee but who is working in collaboration with a physician.
Bill· HRH.R. 2879 (101st)referred
United States · United States Congress · 12 July 1989
Amends part A (Hospital Insurance) of title XVIII (Medicare) of the Social Security Act to require the Secretary of Health and Human Services to develop and distribute to part A beneficiaries: (1) a summary of recommended preventive health care practices for elderly beneficiaries; and (2) a one-page form that elderly beneficiaries may use to record information which might assist physicians in providing appropriate care.
Bill· HRH.R. 2878 (101st)referred
United States · United States Congress · 12 July 1989
Amends title XIX (Medicaid) of the Social Security Act to cover, under Medicaid home and community-based waivers, the cost of rent and food attributable to an unrelated personal caregiver residing in the same household with an individual who, but for such caretaker's assistance, would require admission to a hospital, nursing facility, or intermediate care facility for the mentally retarded.
Bill· HJRESH.J.Res. 361 (101st)referred
United States · United States Congress · 12 July 1989
Designates the week of September 10 through September 16, 1989, as Iron Overload Diseases Awareness Week.
Bill· HRH.R. 2851 (101st)referred
United States · United States Congress · 11 July 1989
Amends title XVIII (Medicare) of the Social Security Act to eliminate the requirement that, in the case of post-hospital extended care services, a physician certify that the services were needed on a daily basis. Provides coverage for post-hospital home health services. Directs the Secretary of Health and Human Services to take such steps as may be necessary to ensure that determinations made under Medicare provisions by fiscal intermediaries and carriers with respect to coverage of home health services and post-hospital extended care services are based upon uniform criteria of nationwide application. Permits a hospice care beneficiary to obtain covered home intravenous drug therapy services and in-home care if they are included in his or her hospice plan of care.
Bill· HRH.R. 2858 (101st)referred
United States · United States Congress · 11 July 1989
Professional Medical Liability Reform Act of 1989 - Establishes within the Department of Justice a program to fund the creation and operation of State medical liability arbitration panels. Confers upon such panels original and exclusive jurisdiction to hear all claims of medical malpractice that are not against the United States. Catalogs the powers of the panels. Sets forth standards applicable to panel decisions, including provisions relating to choice of law, timetable to govern decisionmaking, criteria relating to expert witnesses, and guidelines for the transmission of a written decision to the parties. Permits admission of evidence of collateral sources of compensation for injuries and requires a mandatory offset of amounts from such sources against damage awards. Authorizes panels to dismiss frivolous claims. Directs panels to determine the amount of damages owed to the plaintiff by a defendant found to be professionally negligent. Permits States to provide judicial enforcement of such damage awards if not promptly paid. Limits recovery for noneconomic loss to a maximum of $250,000, with provision for a cost of living adjustment every three years. Authorizes periodic payment of awards under certain circumstances. Prescribes procedures and standards to govern judicial review of a panel decision. Requires the panel to report to the State insurance commissioner and to the appropriate licensing or certification body within 30 days in cases when a defendant has been found guilty of professional negligence or when a settlement agreement is reached. Requires that the appropriate board make such report available for public inspection and that the commissioner promptly notify each liability insurance provider in the State concerning findings of negligence and the terms of any settlement agreement. Permits the State to authorize liability insurance providers to adjust their rates for persons found liable by a panel or who have entered into certain settlement agreements. Establishes a schedule of attorney fees in professional negligence actions. Provides for installment payment of such fees according to a formula specified in this Act. Subjects an attorney violating fee provisions to civil liability, with jurisdiction over such actions granted to Federal district courts. Requires each State to establish programs to: (1) study the causes of professional negligence in the interest of developing means to prevent or reduce its incidence; (2) review the authority and operations of State medical liability claims plans, risk management bodies, and appropriate health care professional licensing or certification entities; and (3) develop educational materials relating to professional negligence and standards of health care practice. Directs the State health commissioner to develop programs to identify, investigate, and report on incidents of professional negligence and to encourage facilities to take action to prevent future negligence. Fixes a statute of limitations for professional negligence actions. Encourages States to permit parties to a claim filed with a panel to enter into a settlement agreement at any time prior to a panel decision. Subjects such a settlement to the same attorney fee schedule that governs panel decisions. Directs the Attorney General to make specified payments to States eligible for medical liability panel funds according to a specified timetable and schedule. Requires the Governor of a recipient State to report to the Attorney General within one year after receipt of payment concerning the use of such payment. Authorizes the Attorney General to determine the allocation of funds to qualifying States and prescribes guidelines for such determinations. Empowers the Attorney General to make decisions concerning compliance with this Act, termination of allocations and repayment of funds in the event of noncompliance, and reallocation of funds according to guidelines in this Act. Sets forth procedures, a timetable, and standards to govern application by the Governor of any State for the certification of programs to qualify a State for funding under this Act. Makes decisions by the Attorney General concerning noncompliance, the termination of allocations, State repayment of funds, and the reallocation of funds final and not subject to judicial review. Directs the Attorney General to promulgate regulations to implement the provisions of this Act. Authorizes appropriations beginning in FY 1990.
Bill· HJRESH.J.Res. 354 (101st)referred
United States · United States Congress · 11 July 1989
Designates August 7 through August 13, 1989, as National Headache and Jaw Joint Injury Week.
Bill· HRH.R. 2781 (101st)referred
United States · United States Congress · 28 June 1989
Alzheimer's Disease Research and Training Act of 1989 - Authorizes appropriations, in addition to amounts otherwise authorized for FY 1990, to conduct biomedical research relating to Alzheimer's disease in order to increase, by at least 50 percent, the number of approved investigator-initiated grant proposals funded in accordance with the recommendations of the Advisory Panel on Alzheimer's Disease. Directs the Secretary of Health and Human Services, from amounts appropriated under this authorization, to provide specified minimum amounts: (1) to the Alzheimer's Disease Research Centers (ADRC) for specified activities and facilities; (2) to the National Institute on Aging (NIA); and (3) for the purpose of expanding construction on the ADRC. Requires that at least 70 percent of the funds appropriated be administered by the National Institute on Aging and at least 15 percent by the National Institute of Mental Health (NIMH) and the National Institute of Neurological Disorders and Stroke. Requires research activities conducted with the funds to be coordinated by the Alzheimer's Disease Coordinating Committee of the National Institutes of Health and the Council on Alzheimer's Disease. Authorizes appropriations for each fiscal year to be used by the Secretary to conduct research and prepare evaluations on Alzheimer's disease services, psychosocial issues, and behavioral management methods. Requires that, of the amounts appropriated under this authorization, specified sums be made available to: (1) establish not more than ten Health Services Research Centers on Alzheimer's Disease to work in conjunction with the ADRC; and (2) carry out the Alzheimer's Disease and Related Dementias Service Research Act, to be used by the NIA, the NIMH, the National Center for Health Services Research and Health Care Technology Assessment, and the Health Care Financing Administration. Authorizes appropriations for FY 1990 through 1992 to establish Centers for Health Services Research on Alzheimer's Disease and Related Dementias. Requires research that receives assistance to be coordinated through the ADRCs in existence on the date of enactment of this Act. Specifies the types of research to be conducted. Authorizes appropriations for FY 1990 to be used by the Secretary of Health and Human Services for training professionals, paraprofessionals, and support personnel responsible for the care of, or working with, patients with Alzheimer's disease and related dementias.
Bill· HRH.R. 2772 (101st)referred
United States · United States Congress · 28 June 1989
Requires the Director of the National Center for Health Statistics to collect information and prepare a report on the age, race, marital status, education, and number of dependents of home health care aides and nursing home aides. Requires the Director of the Bureau of Labor Statistics to collect information and prepare a report on home health care aides and nursing home aides containing specified types of information relating to conditions of employment and to employment benefits. Requires that individuals not be identified by name and that, in both reports, information be presented in the aggregate. Requires both reports to be completed not later than 12 months after enactment of this Act and to be transmitted to the Congress. Requires the Director of the Bureau of Labor Statistics to include an occupational code for both nursing home aides and home health care aides in each wage survey conducted by the Bureau that begins after enactment of this Act.
Bill· HRH.R. 2774 (101st)referred
United States · United States Congress · 28 June 1989
National Institute on Population and Human Reproduction Act - Amends the Public Health Service Act to add the National Institute on Population and Human Reproduction (NIPHR) to the list of agencies of the National Institutes of Health (NIH). Establishes the Institute to conduct and support basic and applied research, research training, health information, and related programs with respect to matters of human reproduction and population sciences. Requires that the Director of the NIPHR: (1) be appointed by the Secretary of Health and Human Services; and (2) also serve as an Associate Director of the National Science Policy Committee for Research on Human Development. Establishes the National Population and Human Reproduction Advisory Council. Sets forth the duties of the Director of the NIPHR. Authorizes the Director to provide for the establishment of centers for basic and applied research and other activities. Prohibits the provision of funds under any provision of law under any contract with a profit-making entity to support any contraceptive development research in excess of 50 percent of the research cost covered by the contract unless the contract provides that the United States retains all property rights to the research results. Authorizes appropriations for FY 1986 through 1988. Requires at least 25 percent of the annual appropriation to be spent for research in contraceptive development and evaluation. Establishes a National Institute of Child Health and Human Development (NICHHD) to conduct and support basic and applied research, research training, health information, and related programs with respect to human pregnancy and infancy as well as the biological and psychosocial problems of human development, with special emphasis on the problems of the mentally retarded. Requires the NICHHD to: (1) study all factors related to the unmet health and development needs of mothers and children; and (2) be concerned with health problems occurring at the earliest stages of development through adulthood. Requires that the Director of the NICHHD: (1) be appointed by the Secretary; and (2) also serve as an Associate Director of the National Science Policy Committee for Research on Human Development. Establishes the National Advisory Council for Mothers and Children. Sets forth the duties of the Director of the NICHHD. Authorizes the Director to provide for the establishment of centers for basic and applied research and other activities relating to programs for research involving maternal and child health and development. Authorizes appropriations for FY 1986 through 1988. Authorizes the Directors of the NIPHR and the NICHHD, under policies established by the Director of the NIH, to enter into cooperative agreements for planning, establishing, acquiring or strengthening, and providing basic operating support for existing or new centers for basic and applied research and activities as provided for in this Act. Allows payments under the agreements to be used for construction and repair, staffing and other basic operating costs, research training, and demonstration purposes. Limits support for a center under these provisions to three years. Authorizes extensions of not more than three years each after review by a scientific review group. Declares that priority for support will be given to entities and research centers which have demonstrated a capacity to focus interdisciplinary skills and to concentrate personnel and other resources in the resolution of specific problems. Requires the Directors of the NIPHR and the NICHHD, by regulation, to provide for scientific review of all research grants and programs over which they have authority by establishing and utilizing peer review committees established with the approval of the Advisory Councils to their Institutes. Makes members of a review committee ineligible to participate in the projects reviewed by the committee. Declares that no research activity involving any human subjects will be undertaken unless in compliance with regulations of the Secretary concerning human subject research. Establishes in the NIH the National Science Policy Committee for Research on Human Development (Committee) to coordinate the conduct and support of basic and applied research, research training, health information, and related programs with respect to human reproduction and population research, maternal and child health, and human development. Requires the Committee to promote the worldwide distribution and public distribution of the results of this research among researchers around the world. Requires that the Director of the Committee: (1) be appointed by the President for a period of at least six years; and (2) also serve as an Associate Director of the NIH. Requires the Director to prepare and submit, directly to the President for review and transmittal to the Congress, coordinated annual budget estimates for the NIPHR and the NICHHD, after reasonable opportunity for comment, but without change, by the Secretary, the Director of the NIH, and the Committee shall receive from the President and the Office of Management and Budget directly all funds appropriated by the Congress for obligation and expenditure for the two Institutes. Requires such funds as may be necessary for the direct operations of the Committee to be drawn from the direct operations and program management budgets of the NIPHR and the NICHHD. Amends the Public Health Service Act to remove provisions relating to the National Institute of Child Health and Human Development.
Bill· HRH.R. 2770 (101st)referred
United States · United States Congress · 28 June 1989
Medicare Catastrophic Coverage Revision Amendments of 1989 - Delays, for one year, the implementation of the Medicare Catastrophic Coverage Act of 1988, except for provisions of such Act expanding benefits under part A (Hospital Insurance) of title XVIII (Medicare) of the Social Security Act.