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Bill· HRH.R. 5395 (101st)referred
United States · United States Congress · 27 July 1990
Infertility Prevention Demonstration Projects Act of 1990 - Amends the Public Health Service Act to authorize the Secretary of Health and Human Services to make grants for demonstration projects for the prevention and control of the sexually transmitted disease known as chlamydia, including by providing: (1) to women services relating to counseling, screening, treatment, referrals, follow-up, and outreach; and (2) public information and education and data collection. Requires that grantees be grant recipients under specified provisions that provide preventive gynecological health care. Prohibits charging for the services or information. Authorizes appropriations. Limits the number of grants to ten in fiscal year 1991.
Bill· HRH.R. 5396 (101st)referred
United States · United States Congress · 27 July 1990
Women's Health Care Coverage Expansion Act of 1990 - Amends titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act to provide Medicare and Medicaid coverage of obstetrical and gynecological services furnished by nurse practitioners.
Bill· SJRESS.J.Res. 354 (101st)referred
United States · United States Congress · 24 July 1990
Designates November 18 through 24, 1990, and November 17 through 23, 1991, as National Family Caregivers Week.
Bill· SS. 2888 (101st)open
United States · United States Congress · 23 July 1990
Amends title XIX (Medicaid) of the Social Security Act to provide total Federal coverage of Medicaid services provided through Indian health facilities, rather than requiring that such services be provided through Indian Health Service facilities to qualify for such coverage.
Bill· HRH.R. 5345 (101st)referred
United States · United States Congress · 23 July 1990
Clinical Trials Fairness Act - Amends provisions of the Public Health Service Act relating to the national research institutes and provisions relating to the Alcohol, Drug Abuse, and Mental Health Administration (ADAMHA) to direct the Secretary of Health and Human Services to ensure, in conducting or supporting clinical research, that women and minority groups are included as research subjects, unless inappropriate. Requires that any project be designed and carried out so as to provide for a valid analysis of whether the research variables affect women or minorities differently than other subjects. Directs the Secretary to establish within the advisory council of each agency of an institute and ADAMHA a Clinical Research Equity Subcommittee to review all clinical research of that agency to determine whether the research is being conducted in accordance with requirements of this Act. Provides for suspension or revocation of the authority for any project the Secretary determines is not being conducted in accordance with those requirements. Defines "minority groups" to mean racial and ethnic minority groups. Requires that the technical and scientific peer review process in the institutes and ADAMHA include an evaluation of the inclusion of women and minority groups as research subjects.
Bill· HRH.R. 5348 (101st)referred
United States · United States Congress · 23 July 1990
High Medicare Hospital Relief Act of 1990 - Amends title XVIII (Medicare) of the Social Security Act to provide, from FY 1990 through 1992, an additional Medicare payment to a hospital when at least 65 percent of its inpatient days or discharges are attributable to Medicare beneficiaries.
Bill· SS. 2876 (101st)referred
United States · United States Congress · 19 July 1990
Bone Marrow Registry Act of 1990 - Amends provisions of the Public Health Service Act providing for the establishment of a voluntary bone marrow donor registry to direct the Secretary of Health and Human Services to ensure that the types of marrow represented in the registry provide adequate representation of the U.S. population. Authorizes appropriations.
Bill· SJRESS.J.Res. 352 (101st)referred
United States · United States Congress · 19 July 1990
Designates September 1991 as National Growth Month.
Bill· HRH.R. 5300 (101st)referred
United States · United States Congress · 18 July 1990
Mediplan Act of 1990 - Title I: Health Care Eligibility and Benefits - Adds a new title XXI to the Social Security Act entitled "Mediplan Health Benefits." Makes all U.S. residents eligible for Mediplan benefits. Requires the development of a Mediplan enrollment mechanism that includes automatic enrollment at birth and the issuance of Mediplan cards for identification and claims processing purposes. Provides the same benefits under the Mediplan program as are provided under title XVIII (Medicare) of the Social Security Act to individuals who are entitled to benefits under part A (Hospital Insurance) and enrolled under part B (Supplementary Medical Insurance) of the Medicare program. Imposes a $500 annual deductible on Mediplan beneficiaries, but limits an individual's annual out-of-pocket costs for deductibles, coinsurance, and copayments to $2,500. Provides additional Mediplan coverage to children under age 23, pregnant women, and low-income individuals. Imposes no coinsurance, deductible, or copayment for benefits provided to such children, to individuals whose income is below the Federal poverty level, or for pregnancy-related services provided to pregnant women. Charges individuals whose income is above the Federal poverty level but does not exceed twice that level with a proportion of cost-sharing amounts equal to the extent to which their income spans such limits. Provides children with preventive health care services, and children and individals whose income is below the Federal poverty level with outpatient prescription drugs and biologicals, eyeglasses and hearing aids and examinations therefor, and inpatient hospital services without durational limitations. Includes postnatal family planning services among covered pregnancy-related services. Requires that payments under the Mediplan program be made only on an assignment-related basis. Requires payments for obstetrical services to be made on the basis of a global fee for the group of obstetrical services typical during the course of pregnancy, with slightly greater payments for prenatal care services begun in a women's first trimester of pregnancy and for non-caesarean deliveries. Requires the Secretary of Health and Human Services to establish a prospective payment methodology for outpatient prescription drugs and biologicals. Establishes the Mediplan Trust Fund which shall consist of revenues raised by this Act's financing mechanisms and amounts States save under their Medicaid (title XIX of the Social Security Act) programs due to the Mediplan program. Requires the modification of Medicaid and other Federal health programs to avoid their duplication of Mediplan coverage. Applies various administrative provisions of the Medicare program to the Mediplan program. Requires group health plans which provide their current beneficiaries with benefits which are in addition to Mediplan benefits to continue to provide such benefits to such individuals, though they needn't provide such additional benefits to individuals who are not entitled to them before this Act's enactment. Title II: Long-Term Care Eligibility and Benefits - Amends the Medicare program to eliminate the requirement that covered extended care services follow hospitalization, and extend such coverage to 180 days per year, rather than the current 100 days of extended care coverage for each spell of illness. Requires that the coinsurance amount, charged for each of the first eight days of extended care, represent 20 percent of the national average per diem cost of such care. Covers nursing care and home health aide services as home health services if such services are needed less than seven days each week or are needed for up to 180 consecutive days. Adds a new title XXII to the Social Security Act entitled "Mediplan Long-Term Care Benefits." Covers nursing facility services and long-term home and community-based care for chronically ill individuals under title XXII, but limits such services, until 1997, to individuals who are age 65 or older. Defines a chronically ill individual as an individual who has been certified by a case manager pursuant to an eligibility assessment as: (1) being unable to perform three activities of daily living, for purposes of the provision of this Act's nursing facility services; (2) being unable to perform two activities of daily living, for purposes of the provision of this Act's long-term home and community-based care; or (3) having a similar level of disability due to cognitive impairment such that without supervision the individual would be a danger to, or unable to care for, himself or herself. Requires a case manager to conduct a comprehensive needs assessment of chronically ill individuals and develop a written plan of care for such individuals on the basis of such assessment. Provides for the regular review and appropriate revision of such assessment and plans of care. Directs the Secretary of Health and Human Services to: (1) develop, by July 1, 1991, a uniform instrument for use in conducting eligibility and needs assessments; (2) annually survey assessment and case management agencies to ensure their compliance with this Act's requirements; and (3) establish standards for case manager training programs. Requires that covered long-term care services be reasonable and necessary for the maintenance of the physical, mental, and psychosocial well-being of the beneficiary. Makes the title XXII program the secondary payor for benefits which an individual is also eligible to receive under the Medicare program. Requires that payments for nursing facility services and long-term home and community-based care for chronically ill individuals be based on a prospective payment system that takes into account variations in case mix and area wages. Limits payments for long-term home and community-based care to 90 percent of the median payment amounts for nursing facility services in the same wage area if a physician certifies that the individual requires skilled nursing and rehabilitation care and to 70 percent of such amounts if such certification is not made. Requires individuals to have received nursing facility services for at least 12 of the preceding 24 months before title XXII benefits will be payable for services furnished during 1993 and 1994 and to have received such services for at least two of the preceding 3 months before such benefits will be payable for services furnished thereafter. Sets the coinsurance amount for nursing facility services and long-term home and community-based care at 20 percent of the national average per diem payment amounts for such respective services. Makes such deductible and coinsurance provisions inapplicable to individuals whose income is below 200 percent of the Federal poverty level. Makes the Mediplan Trust Fund provisions of title XXI applicable under title XXII as well. Gives individuals the right to appeal title XXII eligibility or benefit determinations. Applies various administrative provisions of the Medicare program to the Mediplan Long-Term Care Benefits program. Requires the Secretary to report to the Congress by 1992 on how Medicare health maintenance organization provisions might be adapted to Mediplan long-term care benefits. Directs States to pay to the Mediplan Trust Fund amounts they save under their Medicaid programs due to this Act's long-term care coverage. Prohibits Medicaid duplication of Mediplan long-term care benefits. Title III: Financing Provisions - Amends the Internal Revenue Code to impose an additional income tax on individuals, a tax on every taxpayer other than an individual, and a tax on the wages paid by employers to finance Mediplan health and long-term care benefits.
Bill· HRH.R. 5306 (101st)referred
United States · United States Congress · 18 July 1990
Children's and Communities' Mental Health Systems Improvement Act of 1990 - Amends the Public Health Service Act to replace a subpart relating to State comprehensive mental health services plans with a subpart relating to comprehensive mental health services for children with serious emotional disturbances. Directs the Secretary of Health and Human Services, through the Director of the National Institute of Mental Health, to make grants to States for comprehensive community mental health services to children with serious emotional disturbances. Prohibits the Secretary from making a grant to a State unless the State is receiving payments under alcohol and drug abuse and mental health services block grant provisions. Requires non-Federal contributions in a specified ratio. Requires State grantees to: (1) establish and operate one or more systems, through grants or contracts, to provide specified types of mental health services to children under 21 years of age; (2) enter into a memorandum of understanding with providers of medical, educational, vocational counseling and vocational rehabilitation, and protection and advocacy services to facilitate the provision of such services without use of grant funds or non-Federal contributions made with respect to the grant; (3) provide case management services; (4) provide services in the language and cultural context that is most appropriate for the child involved; and (5) develop and implement an individualized plan of services for each child admitted to the system. Describes additional services for which a State system may provide. Prohibits the Secretary from making a grant to a State unless the State has a plan, approved by the Secretary, for the development of a State-wide system of care for community-based services for children with serious emotional disturbances. Requires that parents of children with serious emotional disturbances be included as members of the mental health planning council established under existing provisions. Requires that, if a charge is imposed for services under a grant, the charge be made according to a public schedule, adjusted to reflect the income of the family of the child, and not imposed on any child whose family has income and resources at or below the poverty line. Limits grants to States to four years. Allows a State system established under a grant to receive grant funds for two years. Directs the Secretary to provide to a State, on request: (1) technical assistance regarding grant applications; and (2) training and technical assistance on the planning, development, and operation of the systems under this Act. Authorizes the Secretary to provide the technical assistance directly or through grants or contracts. Authorizes appropriations, earmarking a specified sum for the technical assistance and training. Limits the number of grants to ten in FY 1991.
Bill· SS. 2863 (101st)open
United States · United States Congress · 17 July 1990
Stewart B. McKinney Homeless Health Care, Education, Training, and Community Services Amendments of 1990 - Amends the Stewart B. McKinney Homeless Assistance Act to make homeless individuals eligible for assistance under the Job Training Partnership Act without regard to whether they meet income eligibility requirements. Amends the Public Health Service Act to extend the authorizations of appropriations for certain health and alcohol and drug abuse treatment services for the homeless through FY 1993. Amends the Stewart B. McKinney Homeless Assistance Act to extend through 1993 the authorization of appropriations for community mental health services demonstration projects for homeless individuals who are chronically mentally ill. Authorizes the Secretary of Labor, in awarding grants for job training demonstration projects for the homeless, to give special consideration to applicants who will implement projects that: (1) will serve areas of greatest need; or (2) include reciprocal referral agreements with other programs that provide a holistic service approach on an individual case management basis. Extends the authorization of appropriations for such projects through FY 1993. Repeals a provision which terminates such program on October 1, 1990. Requires a State, in order to receive an emergency community services homeless grant, to ensure that it will award at least 95 percent (currently, all) of the grant to specified agencies and organizations. Decreases the percentage required to be awarded to agencies and organizations that are providing services to meet the urgent needs of homeless individuals. Provides that not more than five percent of grant amounts (currently, no amount) may be used to defray State administrative costs. Includes within the list of authorized uses of grant amounts the provision of, or referral to, violence counseling for homeless individuals and the provision of counseling training to individuals who work with the homeless. Extends the authorization of appropriations for such program through FY 1993. Extends the authorization of appropriations for adult literacy and basic skills remediation programs for the homeless through FY 1993. Makes local educational agencies or consortia and partnerships between eligible entities (currently, State educational agencies) eligible to receive grants for such programs. Requires the Secretary of Education, in awarding such grants, to give special consideration to applicants that will implement projects serving areas of greatest need. Includes within the list of authorized uses of grants for State and local activities for the education of homeless children and youth the implementation of training programs for teachers and administrators and the provision of grants to local educational agencies. Requires local educational agencies of homeless children or youth to: (1) provide transportation to enable them to attend school; and (2) coordinate with other agencies or programs providing services to such children or youth and their families. Directs each local educational agency to designate a homelessness liaison to ensure that: (1) homeless children and youth enroll and succeed in the schools of such agency; and (2) homeless families, children, and youth receive educational services for which they are eligible and referrals to appropriate services. Requires State and local educational agencies to review and revise any policies that may act as barriers to the enrollment of homeless children and youth in schools. Extends the authorization of appropriations for grants for the education of homeless children and youth through FY 1993. Sets forth provisions concerning the reservation and allocation of funds. Authorizes State educational agencies to make grants to local educational agencies to provide services to facilitate the enrollment, attendance, and success of homeless children and youth in school. Lists services to be included in such program and sets forth application requirements. Requires the Comptroller General to report to the Congress on the most effective method of distributing funds to State and local educational agencies for educational programs for the homeless. Directs the Secretary of Education to study and report to the appropriate congressional committees on the best means of identifying, locating, and counting homeless children and youth. Requires the Secretary to determine accurate estimates of the number of homeless children and youth throughout the nation and the number of such children and youth attending school. Authorizes appropriations. Requires the Secretary to provide support and technical assistance to State educational agencies to carry out education programs for homeless children and youth. Directs the Secretary to conduct evaluation and dissemination activities of programs designed to meet the educational needs of homeless elementary and secondary school students. Directs the Secretary of Health and Human Services to conduct specified evaluations to develop information concerning the organization, impact, and effectiveness of services provided to homeless individuals under programs administered by the Secretary and the coordination of such programs with other Federal programs providing services to the homeless. Requires the Secretary to study and report to the appropriate congressional committees on the extent to which Federal laws, regulations, or policies hinder Federal facilities in making available to programs serving the homeless prepared food of such facilities that is not consumed. Amends the Child Abuse Prevention and Treatment Act to authorize the Secretary of Health and Human Services to make grants to specified entities to demonstrate, with respect to children whose families are homeless or at risk of becoming homeless, the effectiveness of activities to prevent: (1) inappropriate separation of children from their families on the basis of homelessness or other problems regarding housing for such families; and (2) abuse and neglect of such children. Lists qualifications of grantees and eligible geographic areas. Sets forth matching fund requirements. Limits the duration of such grants to three fiscal years. Prohibits the Secretary from making such a grant unless the agency involved agrees to establish joint training programs for service personnel. Lists activities for which grant funds may be expended. Sets forth reporting requirements for grantees. Directs the Secretary to conduct specified evaluations to determine the effectiveness of the demonstration programs. Sets forth restrictions with respect to grants. Authorizes appropriations.
Bill· SS. 2862 (101st)referred
United States · United States Congress · 17 July 1990
Fair Auditing Act of 1990 - Directs the Secretary of Health and Human Services to promulgate regulations prohibiting hospitals, medical clinics, and insurance companies that receive Federal assistance from compensating a revenue recovery firm or third party auditor on the basis of a percentage of the revenue findings of an audit conducted by such firm or auditor.
Bill· HRH.R. 5290 (101st)open
United States · United States Congress · 17 July 1990
Women's Health Research Act - Amends the Public Health Service Act to establish within the Office of the Assistant Secretary for Health the Office of Women's Health to coordinate all activities and research of the Department of Health and Human Services relating to disease, disorders, or other health conditions that are unique to, more prevalent in, or more serious for women, or for which risk factors or interventions are different for women. Establishes within the National Institutes of Health (NIH) the National Center for Women's Health Research and Development to provide funding, from amounts appropriated under specified existing provisions and with regard to women's health research, for research conducted or supported by the NIH or the Alcohol, Drug Abuse, and Mental Health Administration (ADAMHA). Requires the Center Director to: (1) investigate the inclusion of women as subjects in clinical research conducted or supported by the NIH and ADAMHA; and (2) prepare and annually review a plan for establishing a program for clinical research in obstetrics and gynecology to be conducted by the Director of the National Institute of Child Health and Human Development (NICHHD). Requires the NICHHD Director to conduct the program in accordance with the plan. Requires the Center Director to establish: (1) the National Women's Health Data Bank to collect, store, analyze, retrieve, and disseminate data regarding women's health conditions; and (2) the National Women's Health Clearinghouse to disseminate information to health professionals, patients, and the public on women's health conditions. Requires the Center Director to establish within the Center the National Women's Health Clinical Research Advisory Board. Directs the Secretary to establish the Interagency Council on Women's Health Research and Development. Authorizes appropriations.
Bill· HRH.R. 5289 (101st)referred
United States · United States Congress · 17 July 1990
Fair Treatment Act of 1990 - Amends the Public Health Service Act to revise, with regard to alcohol and drug abuse and mental health services block grants, the formulas for determination of allotments and minimum allotments to States.
Law· SS. 2857 (101st)enacted
United States · United States Congress · 16 July 1990
National Institutes of Health Reauthorization Act of 1990 - Amends the Public Health Service Act to authorize appropriations for the National Cancer Institute and the National Heart, Lung, and Blood Institute (NHLBI). Requires the Director of the NHLBI, in carrying out the National Heart, Blood Vessel, Lung, and Blood Diseases and Blood Resources Program, to support training and education. Authorizes appropriations to carry out provisions relating to: (1) medical libraries and related instrumentalities; and (2) payments under National Research Service Awards and under grants for the Awards. Allows the National Library of Medicine, notwithstanding any other provision of law, to make rules regarding the basis on which its publications, materials, facilities, or services may be used. (Current law allows the Library to make such rules, but makes no reference to other provisions of law.) Allows the rules to include use under licensing arrangements that provide for quality control and full recovery of access costs. Amends the Health Omnibus Programs Extension of 1988 to require the National Commission on Sleep Disorders Research to recommend, for the Alcohol, Drug Abuse and Mental Health Administration (ADAMHA) as well as for the National Institutes of Health (NIH), estimates of the expenditures needed to carry out each Institute's part of the overall program. Extends the due date for a report by the Commission. Amends the Public Health Service Act to authorize appropriations: (1) to carry out provisions authorizing a grant for a registry of epidemiological data about Alzheimer's disease; and (2) for the National Center for Biotechnology Information. Requires that a report by the Secretary concerning carcinogens be published biennially rather than annually. Authorizes appropriations for the Biomedical Ethics Board and the Biomedical Ethics Advisory Committee. Removes provisions requiring the Committee to study and submit a report relating to fetal research, focusing on the nature, advisability, and biomedical and ethical implications of exercising any waiver of the risk standard published in certain regulations. Directs the Secretary to establish a nonprofit corporation, known as the National Foundation for Biomedical Research and not, subject to exception, an agency of the Government, to support research within the NIH and ADAMHA, and to take other actions. Authorizes appropriations. Repeals these provisions regarding the Foundation, subject to exception, five years after enactment of this Act. Authorizes the Secretary, in carrying out provisions relating to the NIH, notwithstanding any other provision of law, to enter into licensing agreements that provide for quality control and the full recovery of access costs.
Law· SJRESS.J.Res. 351 (101st)enacted
United States · United States Congress · 13 July 1990
Designates May 1991 as National Trauma Awareness Month.
Bill· SS. 2843 (101st)referred
United States · United States Congress · 12 July 1990
Medicaid Medically Needy Eligibility Clarification Act of 1990 - Amends title XIX (Medicaid) of the Social Security Act to state that in determining the amounts which shall be excluded from a medically needy individual's income for Medicaid eligibility purposes States may make more liberal exclusions than those otherwise made under the Act.
Bill· SS. 2844 (101st)referred
United States · United States Congress · 12 July 1990
Rural Health Care Provider Recruitment and Education Act of 1990 - Amends the Public Health Service Act to direct the Secretary of Health and Human Services to establish a demonstration program known as the Rural Health Care Provider Recruitment and Education Program to assist rural communities in recruiting and educating eligible students to serve as health care providers. Directs the Secretary to make grants to States to share the costs incurred by local communities in providing funds to full-time students in a program leading to a degree in medicine or osteopathy or licensure or certification as a nurse midwife, nurse practitioner, or physician assistant. Requires each student to agree to serve between two and four years (but not less than the number of years in which the applicant was provided assistance). Requires that grant funds provided to States be used for 25 to 50 percent of the costs of the education. Requires students receiving assistance to serve in the rural community represented by the local community that provided assistance. Authorizes appropriations.
Bill· HRH.R. 5259 (101st)referred
United States · United States Congress · 12 July 1990
Medicare Hospice In-Home Respite Care Coverage Act of 1990 - Amends title XVIII (Medicare) of the Social Security Act to cover up to 40 hours of in-home respite care for individuals during any of the 90-day periods or the subsequent 30-day period in which they are receiving Medicare hospice care. Sets the payment rate for such care.
Bill· SS. 2841 (101st)open
United States · United States Congress · 11 July 1990
Authorizes appropriations to complete the renovation of the Guam Memorial Hospital.
Bill· SS. 2839 (101st)referred
United States · United States Congress · 11 July 1990
Lyme Disease Research and Education Act of 1990 - Amends the Public Health Service Act to authorize the Secretary of Health and Human Services, acting through the Director of the Centers for Disease Control, to: (1) conduct research and provide treatment and public education regarding Lyme disease; and (2) make grants to public or nonprofit private entities for research, treatment, and public education regarding such disease. Authorizes appropriations for such activities from FY 1991 through 1993, with the stipulation that at least 50 percent of the funds appropriated be directed to the grant program.
Law· SJRESS.J.Res. 346 (101st)enacted
United States · United States Congress · 11 July 1990
Designates October 20 through 28, 1990, as National Red Ribbon Week for a Drug-Free America.
Bill· HRH.R. 5245 (101st)referred
United States · United States Congress · 11 July 1990
Lyme Disease Research and Education Act of 1990 - Amends the Public Health Service Act to authorize the Secretary of Health and Human Services, acting through the Director of the Centers for Disease Control, to: (1) conduct research and provide treatment and public education regarding Lyme disease; and (2) make grants to public or nonprofit private entities for research, treatment, and public education regarding such disease. Authorizes appropriations for such activities from FY 1991 through 1993, with the stipulation that at least 50 percent of the funds appropriated be directed to the grant program.
Bill· SJRESS.J.Res. 345 (101st)referred
United States · United States Congress · 10 July 1990
Designates August 20 through 26, 1990, as National Headache and Jaw Joint Disorder Week.
Bill· HRH.R. 5234 (101st)open
United States · United States Congress · 10 July 1990
Medicaid Nursing Home Reform Act of 1990 - Amends title XIX (Medicaid) of the Social Security Act to revise Medicaid requirements imposed on nursing facilities by the Omnibus Budget Reconciliation Act of 1987, particularly nurse aide training and preadmission screening and annual resident review requirements.
Bill· HRH.R. 5231 (101st)referred
United States · United States Congress · 10 July 1990
Title X Pregnancy Counseling Act of 1990 - Amends the Public Health Service Act to prohibit the Secretary of Health and Human Services from making a grant for the provision of family planning methods or services unless the applicant agrees to provide complete information and counseling regarding pregnancy, and for a pregnant woman who requests information on options for an unintended pregnancy, to provide: (1) nondirective counseling on prenatal care and delivery, infant care, foster care and adoption, and termination of pregnancy; and (2) referrals for the services that are appropriate to the decision of the woman.
Bill· HJRESH.J.Res. 617 (101st)referred
United States · United States Congress · 10 July 1990
Designates September 1990 as National Awareness Month for Children with Cancer.
Bill· HJRESH.J.Res. 618 (101st)referred
United States · United States Congress · 10 July 1990
Designates the week of August 13 through 19, 1990, as Home Health Aide Week.
Bill· HJRESH.J.Res. 616 (101st)referred
United States · United States Congress · 10 July 1990
Designates September 16 through 22, 1990, as National Rehabilitation Week. Urges each State Governor and local government chief executive to issue proclamations calling upon their citizens to observe such week with appropriate ceremonies and activities.
Bill· SS. 2819 (101st)referred
United States · United States Congress · 28 June 1990
Community Mental Health Center Services Act of 1990 - Amends title XVIII (Medicare) of the Social Security Act to extend covered partial hospitalization services to include psychologist and mental health professionals services prescribed by a physician and provided by a hospital or community mental health center to its outpatients as distinct and organized intensive ambulatory treatment services offering less than 24-hour daily care. Extends direct Medicare coverage to cover services furnished by marriage and family therapists, psychiatric nurses, and clinical mental health counselors on-site at a community mental health center or necessarily furnished off-site due to the condition of the service recipient. Refers to such services as qualified mental health professionals services. Sets the Medicare payment for such services at 80 percent of the lesser of the actual charge for such services or the amount determined pursuant to a fee schedule established by the Secretary of Health and Human Services. Requires that payment for mental health professionals services be made only on an assignment-related basis.
Bill· SS. 2820 (101st)referred
United States · United States Congress · 28 June 1990
Children of Substance Abusers Act - Title I: Treatment - Amends the Public Health Service Act to require a State to: (1) use at least 20 (currently, at least ten) percent of alcohol and drug abuse and mental health services block grant allotments for alcohol and drug abuse programs and services for women and demonstration projects for residential treatment services to pregnant women; (2) ensure that treatment services are available to each woman who is pregnant or who has a child, and who meets other requirements; and (3) establish, if treatment programs in the State have insufficient capacity, quantitative goals and implement a program for the provision of adequate capacity to meet the needs of each such woman. Modifies requirements regarding the contents of an annual report mandated by existing provisions concerning certain block grant programs. Title II: Home-Based Services for At-Risk Families - Directs the Secretary of Health and Human Services to make competitive three- to five-year grants for the Federal share of the costs of home visiting services, including help in obtaining health, mental health, and social services. Sets forth priorities in awarding grants and information and assurances which must be included in grant applications. Sets the Federal share at 70 percent. Authorizes appropriations. Title III: Services for Children of Substance Abusers - Directs the Secretary to make grants for the Federal share of the costs of community outreach services and services for children of substance abusers. Sets forth program requirements, including providing comprehensive services for the entire family. Sets forth requirements regarding: (1) the distribution of grants among specified types of entities; and (2) information and assurances which must be included in grant applications. Sets the Federal share at 80 percent. Authorizes appropriations. Directs the Secretary to make grants for the costs of developing and disseminating training materials and training staff and volunteers for community outreach services and services for children of substance abusers. Authorizes appropriations. Directs the Secretary to make grants to pay for the costs of developing and disseminating training materials and training professionals whose regular duties involve providing services to families of substance abusers or to caretakers of children of substance abusers. Authorizes appropriations. Directs the Secretary to make grants to train interdisciplinary teams to provide support to, and arrange services for, caretakers of children of substance abusers, including personnel from child protective services or child welfare agencies and public health, mental health, or social service agencies. Authorizes appropriations.
Law· SJRESS.J.Res. 343 (101st)enacted
United States · United States Congress · 28 June 1990
Designates the week of August 13 through 19, 1990, as Home Health Aide Week.
Bill· HRH.R. 5213 (101st)open
United States · United States Congress · 28 June 1990
Medicare Home Dialysis Staff Assistance Coverage Act of 1990 - Amends title XVIII (Medicare) of the Social Security Act to cover the services of a home dialysis aide provided by a renal dialysis facility to persons who: (1) are nonambulatory and have no access to transportation services for travel to and from a dialysis facility; (2) suffer from a serious medical condition which would be exacerbated by travel to and from a dialysis facility; or (3) are eligible for ambulance transportation to and from such facility but at a cost which meets or exceeds the cost of this Act's services. Sets forth payment provisions. Requires peer review organization review of the services of home dialysis aides. Directs the Comptroller General to conduct a study and report to the Congress on the costs and effectiveness of Medicare coverage of the services of home dialysis aides.
Bill· HRH.R. 5212 (101st)referred
United States · United States Congress · 28 June 1990
Ice Enforcement and Prevention Act of 1990 - Amends the Controlled Substances Act and the Controlled Substances Import and Export Act to set forth penalties for offenses involving crystalline methamphetamine. Requires: (1) the Department of Education and the National Institute on Drug Abuse (NIDA) to jointly develop model, community-based curricula for disseminating comprehensive information on methamphetamine, crystal methamphetamine, and chemically related stimulants and to distribute such curricula to every primary and secondary school in the country; and (2) the Department to establish at least four statewide or regional methamphetamine prevention demonstration programs, including one project in States that are experiencing serious methamphetamine abuse problems. Authorizes appropriations for such demonstration programs. Requires the Director of NIDA to prioritize the development of a drug to treat addictions to amphetamine, methamphetamine, crystal methamphetamine, and chemically related stimulants. Requires the Director of Health and Human Services to investigate the syndrome that results from methamphetamine addiction at birth and to develop a protocol for treating newborns afflicted with methamphetamine addiction.
Bill· SS. 2801 (101st)referred
United States · United States Congress · 27 June 1990
Phases-in, by FY 1992, an update to the area wage index used in determining Medicare (title XVIII of the Social Security Act) payments to hospitals for wage-related costs in different areas. Requires the next survey of hospital wage-related costs to be conducted by FY 1993.
Bill· HRH.R. 5177 (101st)referred
United States · United States Congress · 27 June 1990
Medicare Managed Care Act of 1990 - Amends title XVIII (Medicare) of the Social Security Act to provide for the certification of a Medicare supplemental policy which would meet the National Association of Insurance Commissioners' Model Standards except that its benefits are restricted to items and services furnished by certain entities if: (1) full benefits are provided for items and services through a network of entities which have contracted with the policy issuer; (2) full benefits are provided for items and services furnished by other entities when such items and services are necessary and cannot reasonably be obtained through the network; (3) the network offers sufficient access; and (4) the policy issuer has arranged ongoing quality assurance of the items and services furnished through the network.
Bill· HRH.R. 5173 (101st)referred
United States · United States Congress · 27 June 1990
United States Commission on Obesity Act - Establishes the United States Commission on Obesity which shall: (1) conduct research regarding the causes and treatment of obesity; (2) study the fast-food industry's influence on obesity and diet habits; and (3) engage in public education programs regarding the health and social effects of obesity and promoting exercise and diet as a means of preventing and controlling obesity. Authorizes the Commission to make grants to institutions of higher education or public or private research institutions to research the metabolic differences between obese and nonobese individuals and among ethnic groups and the acquisition of healthy diet habits and attitudes in young persons.
Bill· HRH.R. 5186 (101st)referred
United States · United States Congress · 27 June 1990
Amends the Public Health Service Act to provide for grants to establish at least five projects in which addicted mothers in residential drug abuse treatment facilities are allowed to have their children reside with them during treatment. Authorizes appropriations.
Bill· HRH.R. 5182 (101st)referred
United States · United States Congress · 27 June 1990
Health Care Crisis Policy Commission Act - Establishes the Health Care Crisis Policy Commission which shall conduct a study and report to the President and the Congress within two years of this Act's enactment on the cost, efficiency, and delivery of medical care in the United States. Terminates the Commission ten days after its report is submitted.
Bill· SS. 2767 (101st)referred
United States · United States Congress · 21 June 1990
Medicare Managed Care Incentive Act of 1990 - Amends the Medicare Catastrophic Coverage Repeal Act of 1989 to retain certain Medicare (title XVIII of the Social Security Act) catastrophic benefits provided by health maintenance organizations (HMOs). Amends the Medicare program to cover colon-rectal screening examinations at a frequency which varies on the basis of the screening procedure used. Requires the Secretary of Health and Human Services to modify contracts with HMOs to take into account this Act's amendments.
Bill· SS. 2766 (101st)referred
United States · United States Congress · 21 June 1990
Medicare Enhanced Benefits Act of 1990 - Amends title XVIII (Medicare) of the Social Security Act to cover screening mammographies for women age 35 and older at a frequency which varies on the basis of a woman's age and risk of developing breast cancer. Covers colon-rectal screening examinations at a frequency which varies on the basis of the screening procedure used. Covers nursing care and home health aide services as home health services if such services are needed less than seven days each week or are needed for up to 38 consecutive days. Covers up to 80 hours of annual in-home respite care furnished to an individual who has incurred expenses equal to a specified Medicare part B (Supplementary Medical Insurance) cost-sharing limit and, for the preceding three months, has been unable to perform at least two specified daily living activities without the assistance of an uncompensated primary caregiver with whom he or she resides. Amends part A (Hospital Insurance) of the Medicare program to create an extension period of hospice care for terminally ill beneficiaries which is to follow the two 90-day periods and the subsequent 30-day period of hospice care coverage currently provided in an individual's lifetime. Covers home intravenous drug therapy services. Increases the Medicare part B premium. Requires the Secretary of Health and Human Services to modify contracts with health maintenance organizations to take into account this Act's amendments.
Bill· HRH.R. 5146 (101st)open
United States · United States Congress · 21 June 1990
National Organ Transplant Program Extension Act of 1990 - Amends the Public Health Service Act to authorize the Secretary of Health and Human Services to make grants to, and enter into contracts with, qualified organ procurement organizations and other nonprofit entities for special projects to increase the number of organ donors. (Current law authorizes the Secretary to make grants for the same purpose but makes no reference to contracts or to the recipients of the grants or the contractees.) Modifies matters the Secretary must consider in making grants. Replaces a requirement that an organ procurement organization (OPO) be of sufficient size to expect to procure organs from at least 50 donors a year with provisions requiring that the OPO be of sufficient size to assure maximum effectiveness in the procurement and equitable distribution of organs. Repeals provisions specifying the effective date of related provisions with regard to certain OPOs. Authorizes appropriations for the grants. Removes provisions prohibiting the Organ Procurement and Transplantation Network from being engaged in any activity unrelated to organ procurement. Authorizes appropriations for carrying out provisions mandating the establishment of a registry of voluntary bone marrow donors. Removes provisions setting October 1, 1988, as the deadline for establishing the registry. Prohibits making a grant or contract unless an application has been approved by the Secretary. Removes provisions specifying special considerations and priorities the Secretary must apply in considering grant applications. Allows special project grants to be made for three (currently, two) years. Removes provisions limiting them to a maximum dollar amount. Adds references to contracts to provisions relating to the amount of the grant or contract, advance payments, recordkeeping, and audits. Extends through FY 1993 the requirement that the Secretary maintain an identifiable administrative unit in the Public Health Service relating to organ procurement and donation. Requires that a report by the Secretary on the status of organ transplantation be published biennially rather than annually.
Law· HRH.R. 5113 (101st)enacted
United States · United States Congress · 21 June 1990
Injury Prevention and Control Amendments of 1990 - Amends the Public Health Service Act to replace provisions requiring a study concerning childhood injuries with provisions directing the Secretary of Health and Human Services, through the Director of the Centers for Disease Control, to submit to the Congress a report describing the activities conducted or supported under provisions relating to injury control. Authorizes appropriations to carry out such injury control provisions. Eliminates provisions limiting the percentage of appropriated funds which may be used for Federal administrative expenses.
Law· HRH.R. 5112 (101st)enacted
United States · United States Congress · 21 June 1990
Home Health Care Demonstration Projects Extension Act of 1990 - Amends the Public Health Service Act to increase to ten the maximum number of grants to States for demonstration projects on home health care. Revises the services to be studied and provided. Authorizes appropriations. Increases to ten the maximum number of grants to States for demonstration projects to coordinate and provide certain services and information on Alzheimer's disease or related disorders. Requires that the projects, among other things, coordinate the development and operation with (currently, by) public and private organizations of certain services. Authorizes appropriations.
Bill· HRH.R. 5110 (101st)referred
United States · United States Congress · 21 June 1990
Fertility Clinic Success Rate and Certification Act - Directs the Secretary of Health and Human Services to establish a program for certification of embryo laboratories to assure effectiveness of laboratory procedures. Allows certification to be issued by the Secretary or by an accreditation organization which meets standards set by the Secretary under this Act. Makes certification valid for a maximum of two years. Mandates fees for issuance and renewal. Sets forth certification requirements. Provides for periodic announced and unannounced inspections. Directs the Secretary to approve accreditation organizations under criteria and procedures set by the Secretary. Prohibits an embryo laboratory from performing procedures without certification. Sets forth civil monetary penalties for violations.
Bill· HJRESH.J.Res. 611 (101st)referred
United States · United States Congress · 21 June 1990
Designates May 1991 as National Trauma Awareness Month.
Bill· HRH.R. 5097 (101st)referred
United States · United States Congress · 20 June 1990
Phases in, by FY 1992, an update to the area wage index used in determining Medicare (title XVIII of the Social Security Act) payments to hospitals for wage-related costs in different areas. Requires the next survey of hospital wage-related costs to be conducted by FY 1993.
Bill· HRH.R. 5090 (101st)open
United States · United States Congress · 20 June 1990
Comprehensive Long-Term Care Incentives Act of 1990 - Title I: Tax Treatment of Long-Term Care Insurance and Plans - Subtitle A: Treatment of Long-Term Care Insurance - Provides for the treatment of qualified long-term care insurance as accident and health insurance for purposes of taxation of life insurance companies. Allows employers to offer employees qualified long-term care insurance as a tax-free fringe benefit. Excludes from gross income amounts withdrawn from individual retirement accounts or qualified pension plans with cash or deferred arrangements for purposes of purchasing long-term care insurance. Permits the non-taxable exchange of life insurance policies for long-term care insurance in the case of an individual who has attained age 59 1/2. Subtitle B: Employer Funding of Medical Benefits - Revises provisions governing medical benefits for retired employees and their spouses and dependents. Provides a tax deduction for employer contributions to health benefits accounts. Defines funded reserve accounts and vesting requirements to qualify for such tax deduction. Establishes a 50-percent tax penalty on early distributions of medical benefits and a 100-percent excise tax on allocated assets that are not used to provide retiree health benefits. Subtitle C: Reverse Mortgage Insurance for Older Americans - Amends the National Housing Act to limit the total number of mortgages to be insured and the amount of such insurance under the demonstration program of insurance of home equity conversion mortgages for elderly homeowners. Allows reverse mortgages and sale-leaseback arrangements, whereby homeowners may convert their equity interest in order to purchase qualified long-term care insurance. Subpart D: Income Tax Credits - Allows a $2,000 per qualified person tax credit for taxpayers who maintain a household which includes a parent, grandparent, dependent, or spouse who requires specified custodial care. Allows a tax credit for 25 percent of the long-term care expenses of certain independent persons (not in excess of $2,000 per qualified person per taxable year). Title II: Provision of Long-Term Care and Related Services - Subtitle A: Medicare-Related Provisions - Part 1: Increase in Medicare Benefits - Amends title XVIII (Medicare) of the Social Security Act to cover screening mammographies for women age 35 and older at a frequency which varies on the basis of a woman's age and risk of developing breast cancer. Covers up to 80 hours of annual in-home respite care furnished to an individual who has incurred expenses equal to a specified Medicare Part B (Supplementary Medical Insurance) cost-sharing limit and, for the preceding three months, has been unable to perform at least two specified daily living activities without the assistance of an uncompensated primary caregiver with whom he or she resides. Covers nursing care and home health aide services as home health services if such services are needed less than seven days each week or are needed for up to 38 consecutive days. Amends part A (Hospital Insurance) of the Medicare program to create an extension period of hospice care for terminally ill beneficiaries which is to follow the two 90-day periods and the subsequent 30-day period of hospice care coverage currently provided in an individual's lifetime. Covers colon-rectal screening examinations for individuals age 50 and older at a frequency which varies on the basis of the screening procedure used. Covers home intravenous drug therapy services. Increases the Medicare part B premium. Part 2: Medigap Insurance - Increases the maximum civil penalty which may be imposed on agents who use fraudulent and deceptive practices to sell Medicare supplemental insurance policies. Forbids agents from knowingly selling policies that duplicate a beneficiary's current coverage in any way. Directs the Secretary of Health and Human Services to provide matching grants to States which: (1) meet specified requirements for the establishment of a toll-free telephone hotline providing individuals with Medicare supplemental insurance information; and (2) disseminate an educational brochure which summarizes such information. Subtitle B: Medicaid Long-Term Care Demonstration Projects - Directs the Secretary of Health and Human Services to establish demonstration projects in any requesting State allowing individuals with income and resources above Medicaid (title XIX of the Social Security Act) eligibility levels to receive Medicaid long-term care benefits if they purchase a State approved long-term care insurance policy covering long-term care for a period preceding their Medicaid eligibility. 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.
Bill· HRH.R. 5096 (101st)referred
United States · United States Congress · 20 June 1990
Amends the Public Health Service Act to require that the national primary drinking water regulation for trichloroethylene be set at a contaminant level no lower than 75 parts per billion.
Bill· HRH.R. 5078 (101st)referred
United States · United States Congress · 19 June 1990
Directs the Secretary of Health and Human Services to conduct a study and report to the Congress on the health care systems of 15 specified countries, comparing and contrasting the U.S. system with regard to costs to the country, costs to an individual receiving care, availability of basic services, and the role of private insurance.