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Bill· HRH.R. 3132 (103rd)referred
United States · United States Congress · 23 September 1993
Public Health and Safety Act of 1993 - Amends the Federal criminal code to prohibit the manufacture, import, export, sale, purchase, transfer, receipt, ownership, possession, transport, or use (transaction) of a handgun or handgun ammunition. Makes exceptions with respect to the military, law enforcement agencies, registered security guard services, and licensed handgun clubs and members of such clubs. Authorizes the Secretary of the Treasury to approve such a transaction by licensed manufacturers, importers, and dealers as necessary to meet the lawful requirements of such persons and entities covered by the exceptions. Specifies handgun club licensing requirements. Requires: (1) the Secretary to revoke the license of any such club that does not continue to meet such requirements; and (2) such club to pay to the Secretary an annual license fee of $25. Specifies security guard service registration requirements. Requires: (1) the Secretary to revoke such registration if the service does not continue to meet such requirements; and (2) such service to pay to the Secretary an annual registration fee of $50. Sets forth provisions with respect to: (1) recordkeeping (by licensed manufacturers, importers, dealers, handgun clubs or their members and by registered security guard services that transfer handguns or handgun ammunition); (2) reports of loss or theft; and (3) transfers to handgun clubs. Authorizes the voluntary delivery to any designated Federal, State, or local law enforcement agency of a handgun owned or possessed by a person. Directs the Secretary to: (1) arrange with each such agency to receive handguns for the transfer, destruction, or other disposition of such handguns; and (2) pay to such person $25 or the fair market value of the gun. Authorizes appropriations. Sets penalties for violations of this Act. Specifies that a person who voluntarily delivers a handgun under this Act after 180 days after enactment shall not be subject to criminal prosecution for possession of the handgun, but shall pay to the Secretary a civil penalty in an amount not to exceed $500. Establishes penalties for: (1) failure to report the loss or theft of a handgun; (2) negligent and intentional deliveries to an unauthorized place; (3) false statements or representations; and (4) failure to keep, or permit inspection of, records. Provides for the forfeiture of any handgun or handgun ammunition involved or used in a violation of this Act or of any other criminal law of the United States.
Law· HJRESH.J.Res. 265 (103rd)open
United States · United States Congress · 23 September 1993
Designates October 19, 1993, as National Mammography Day.
Resolution· HRESH.Res. 255 (103rd)referred
United States · United States Congress · 23 September 1993
Declares that any law enacted pertaining to the reform of our Nation's health care system should apply to Members of Congress.
Bill· SS. 1480 (103rd)referred
United States · United States Congress · 22 September 1993
Alzheimer's Home and Community Care Project Act - Amends the Public Health Service Act concerning grants for demonstration projects with respect to Alzheimer's Disease to: (1) authorize appropriations through FY 1998; and (2) make other specified changes concerning such projects.
Bill· HRH.R. 3115 (103rd)open
United States · United States Congress · 22 September 1993
TABLE OF CONTENTS: Title I: Tax Provisions Encouraging Low-Cost Health Plans and Health Care Savings Accounts Title II: Health Care Cost Containment Subtitle A: Health Care Liability Reform Subtitle B: Limit on Self-Referrals by Health Care Provider Subtitle C: Administrative Cost Savings Subtitle D: Limitation of Antitrust Recovery for Certain Hospital Joint Ventures Subtitle E: Medicaid Program Flexibility Title III: Refundable Credit for Costs of Providing Emergency Indigent Care Competitive Affordable Health Care Act of 1993 - Title I: Tax Provisions Encouraging Low-Cost Health Plans and Health Care Savings Accounts - Amends the Internal Revenue Code to allow a refundable tax credit in the case of individuals not covered under an employer-provided health plan for 15 percent of the lesser of: (1) the health care expenses of the taxpayer (amount allowable as a medical expense deduction); or (2) the maximum health care expense amount (limited, based on number of personal exemptions). Allows such individuals an alternative election of a deduction for the lesser of the health care expenses of the taxpayer or the maximum health care expense amount. Denies the use of the medical expense deduction for the credited amount or the deducted amount. Repeals the special rules for health insurance costs for self-employed individuals under the trade or business expense deduction. (Sec. 102) Limits the amount excludable from gross income for employer-provided coverage to the lowest-cost available market health plan. (Sec. 103) Excludes from the gross income of an employee amounts contributed by the employer to a health care savings account of such employee. Describes the terms and conditions applicable to a health care savings account used to pay the health care expenses of the account beneficiary. Title II: Health Care Cost Containment - Subtitle A: Health Care Liability Reform - Reforms health care liability actions regarding: (1) a statute of limitations; (2) use of alternative dispute resolution systems (ADRs); (3) noneconomic and punitive damages; (4) mandatory offsets for collateral source payments; (5) contingent attorney's fees; (6) several and joint liability; and (7) supersedure of certain State laws. Subtitle B: Limit on Self-Referrals by Health Care Provider - Sets forth requirements for health care providers that refer patients to facilities in which they have a financial interest. Subtitle C: Administrative Cost Savings - Regulates: (1) data elements, uniform claims forms, and uniform electronic transmission of data elements; (2) provider claims submission; and (3) hospital and non-hospital electronic medical data. (Sec. 242) Requires hospitals, in order to participate in Medicare, to maintain and electronically transmit clinical data on patients in a set of electronic comprehensive data elements. (Sec. 243) Provides for electronic transmission of data elements to Federal agencies. (Sec. 244) Establishes an advisory commission to monitor and advise the Secretary of Health and Human Services concerning standards and operational concerns. (Sec. 251) Provides for a comparative health care value program in each State. Authorizes grants and appropriations. (Sec. 252) Requires each Federal agency concerned with health insurance or care to develop comparative value information. (Sec. 253) Mandates model systems for the gathering and analysis of data on health care cost, quality, and outcome. Authorizes appropriations. (Sec. 261) Provides for standards regarding Medicare and Medicaid identification cards. Establishes a Medicare and Medicaid system to provide information on primary payors. Authorizes appropriations. (Sec. 262) Nullifies any State law requiring that medical or health insurance records be maintained in written rather than electronic form. (Sec. 263) Provides for standards regarding: (1) beneficiary and provider identification numbers; and (2) coordination of benefits. Subtitle D: Limitation of Antitrust Recovery for Certain Hospital Joint Ventures - Limits antitrust recovery to actual damages if certain requirements are met, including the filing and publication of information regarding hospital joint ventures. Subtitle E: Medicaid Program Flexibility - Amends title XIX (Medicaid) of the Social Security Act to modify: (1) Federal requirements to allow States more flexibility in contracting for coordinated care services under Medicaid; and (2) provisions regarding the extension of certain waivers. Title III: Refundable Credit for Costs of Providing Emergency Indigent Care - Amends the Internal Revenue Code to allow a tax credit of 15 percent of the unreimbursed eligible costs incurred in providing emergency health care services to indigent individuals. Provides for payments to tax-exempt entities in lieu of such credit.
Bill· HRH.R. 3121 (103rd)open
United States · United States Congress · 22 September 1993
Traumatic Brain Injury Act of 1993 - Amends the Public Health Service Act to direct the Secretary of Health and Human Services, acting through the Administrator of the Agency for Health Care Policy and Research, to conduct a study concerning traumatic brain injury. Requires the study to seek to: (1) identify common therapeutic interventions which are used for the rehabilitation of individuals with traumatic brain injuries; and (2) develop practice guidelines for the rehabilitation of traumatic brain injury. Authorizes appropriations. Directs the Secretary, acting through the Director of the Centers for Disease Control and Prevention, to conduct studies concerning traumatic brain injury and establish a uniform reporting system. Authorizes appropriations. Directs the Secretary to cooperate with, and provide assistance to, public and private nonprofit entities to reduce the incidence of traumatic brain injury through the establishment and effectuation of prevention projects. Authorizes the Secretary to award grants to State and local entities, and to public or nonprofit private entities, to support: (1) special prevention and public awareness initiative projects; (2) model traumatic brain injury prevention, research, and support programs; (3) projects that study the service needs of individuals with traumatic brain injury; and (4) projects involving grants for services coordination. Authorizes appropriations. Authorizes the Secretary, acting through the Director of the National Institutes of Health, to provide assistance to public and private nonprofit entities to support the conduct of basic and applied research concerning traumatic brain injury, especially with respect to the biomechanics of brain injury. Authorizes appropriations. Directs the Secretary to award grants to States for the establishment of programs related to traumatic brain injury. Authorizes appropriations. Designates October 1993 as National Head Injury Month.
Law· HRH.R. 3116 (103rd)enacted
United States · United States Congress · 22 September 1993
TABLE OF CONTENTS: Title I: Military Personnel Title II: Operation and Maintenance Title III: Procurement Title IV: Research, Development, Test and Evaluation Title V: Revolving and Management Funds Title VI: Other Department of Defense Programs Title VII: Related Agencies Title VIII: General Provisions Department of Defense Appropriations Act, 1994 - Title I: Military Personnel - Appropriates funds for FY 1994 for military and reserve personnel in the Army, Navy, Marine Corps, and Air Force and for National Guard personnel in the Army and Air Force. Title II: Operation and Maintenance - Appropriates funds for FY 1994 for the operation and maintenance of the Army, Navy, Marine Corps, and Air Force (including a transfer of funds in each case), the defense agencies, the respective reserve components, and the Army and Air National Guards. Appropriates funds for the Army's National Board for the Promotion of Rifle Practice, the Court of Military Appeals, environmental restoration (including a transfer of funds), support for specified international sporting competitions (including a transer of funds), transportation of humanitarian assistance for Afghanistan and sub-Saharan Africa, certain Department of Defense (DOD) global cooperative initiatives (including a transfer of funds), and for assistance to the republics of the former Soviet Union for the elimination of nuclear, chemical, and other weapons, demilitarization, conversion, and retraining. Title III: Procurement - Appropriates funds for FY 1994 for the procurement by the armed forces and reserve counterparts of aircraft, missiles, weapons, tracked combat vehicles, ammunition, shipbuilding and conversion (including the carrier replacement program and the DDG-51 destroyer program), and National Guard and reserve equipment and for other procurement. Appropriates funds for purchases under the Defense Production Act of 1950. Title IV: Research, Development, Test, and Evaluation - Appropriates funds for FY 1994 for research, development, test, and evaluation by the armed forces and defense agencies. Appropriates funds for the Directors of Test and Evaluation and Operational Test and Evaluation. Title V: Revolving and Management Funds - Appropriates funds for: (1) the Defense Business Operations Fund; and (2) programs under the National Defense Sealift Fund (including a transfer of funds). Title VI: Other Department of Defense Programs - Appropriates funds for: (1) DOD medical and health care programs; (2) the destruction of lethal chemical agents and munitions; (3) drug interdiction and counter-drug activities, defense (including a transfer of funds); and (4) expenses and activities of the Office of Inspector General in carrying out the Inspector General Act of 1978. Title VII: Related Agencies - Appropriates funds for: (1) the Central Intelligence Agency Retirement and Disability System Fund; and (2) expenses of the Community Management Staff. Rescinds certain funding of the National Security Education Trust Fund. Title VIII: General Provisions - Specifies authorized, restricted, and prohibited uses of appropriated funds. (Sec. 8014) Prohibits the management of DOD civilian personnel by end strengths during FY 1994. (Sec. 8025) Directs DOD to award contracts competitively in FY 1994 for at least four new fixed price managed care support contracts. (Sec. 8051) Prohibits the use of appropriated funds: (1) to reduce military or civilian medical and medical support personnel strengths below the FY 1993 level; (2) for travel or other support costs of the Tailhook Association; and (3) for the joint Department of Defense/Department of Energy Safeguard C contingent nuclear testing program. (Sec. 8056) Establishes the National Drug Intelligence Center to coordinate and consolidate drug intelligence from all national security and law enforcement agencies. (8060) Authorizes DOD to develop and procure the LANDSAT 7 vehicle. (Sec. 8063) Authorizes the Secretary to accept defense burden sharing contributions from Japan, the Republic of Korea, and Kuwait. (Sec. 8073) Authorizes the payment of voluntary separation incentive payments to military personnel. (Sec. 8080) Requires the Director of the Air National Guard to operate a Command, Control, Communications and Intelligence planning office. (Sec. 8098) Authorizes the obligation of funds for procurement of OH-58D Scout aircraft and AH-64 aircraft. (Sec. 8114) Appropriates funds for transfer to the Coast Guard for payment of a 2.2 percent pay increase for uniformed members. (Sec. 8120) Directs the Secretary of the Navy to establish the Mine Warfare Center of Excellence at the naval station at Ingleside, Texas. (Sec. 8121) Caps the total amount that may be expended during FY 1994 from funds appropriated by this or any other DOD appropriation Act at $255.8 billion. (Sec. 8122) Provides for transfers of funds for the following programs, among others: (1) the SSN-688 attack submarine; (2) the CVN nuclear aircraft carrier; (3) the TRIDENT ballistic missile submarine; (4) the SSN-21 attack submarine; (5) the DDG-51 destroyer; (6) the T-AGOS surveillance ship; and (7) the LSD cargo variant ship. (Sec. 8124) Directs the Departments of Defense and Air Force to obligate the $55.5 million appropriated for research and development in Public Law 102-396 only for the continuance of the Space Nuclear Thermal Propulsion Program.
Bill· HRH.R. 3119 (103rd)referred
United States · United States Congress · 22 September 1993
Women's Health Information Act of 1993 - Directs the Secretary of Health and Human Services to establish an Interagency Committee on Health Communications to provide advice to the Secretary on developing, overseeing, and coordinating Federal health promotion and education activities, including such activities within the Public Health Service. Requires the Committee to give priority to activities concerning women's health. Provides for the establishment of a Clearinghouse on Women's Health to compile and disseminate information concerning women's health.
Bill· HJRESH.J.Res. 264 (103rd)referred
United States · United States Congress · 22 September 1993
Designates March 1994 as Chronic Fatigue Syndrome Awareness Month.
Bill· SS. 1478 (103rd)open
United States · United States Congress · 21 September 1993
TABLE OF CONTENTS: Title I: Data Collection and Procedures to Ensure that Tolerances Safeguard the Health of Infants and Children Title II: Cancellation and Suspension Title III: Amendments to the Federal Food, Drug, and Cosmetic Act Food Quality Protection Act of 1993 - Title I: Data Collection and Procedures to Ensure that Tolerances Safeguard the Health of Infants and Children - Directs the Administrator of the Environmental Protection Agency and the Secretaries of Agriculture and Health and Human Services to establish procedures to ensure that pesticide tolerances adequately safeguard the health of infants and children based on the recommendations of a specified report prepared by the National Research Council of the National Academy of Sciences. (Sec. 102) Directs the Secretary of Agriculture to collect pesticide use data of statewide or regional significance for all the major crops and crops of dietary significance. (Sec. 103) Amends the Federal Insecticide, Fungicide, and Rodenticide Act (FIFRA) to mandate research, development, and dissemination of integrated pest management techniques and other pest control methods that enable producers to reduce or eliminate application of pesticides which pose a greater than negligible dietary risk to humans. Title II: Cancellation and Suspension - Amends FIFRA provisions relating to cancellations, changes in classifications, or other terms of registration with respect to the authority of the Administrator. Requires that a rulemaking under such provisions be based on a validated test or other significant evidence raising prudent concerns of unreasonable adverse effects to the environment. Denies registration applications that are not in compliance with this Act. Title III: Amendments to the Federal Food, Drug, and Cosmetic Act - Amends the Federal Food, Drug, and Cosmetic Act (FDCA) to define, subject to exception, "pesticide chemical" as it is defined in FIFRA. (Sec. 304) Deems a food adulterated if it bears or contains: (1) a pesticide chemical residue that is unsafe; or (2) a new animal drug or conversion product that is unsafe. (Sec. 305) Sets forth requirements relating to tolerances and exemptions from tolerances for pesticide chemical residues in food, including residues of degradation products. Prohibits establishment of a tolerance higher than a level the Administrator determines is adequate to protect the public health. Allows a greater than negligible dietary risk if: (1) use protects from greater adverse health effects to humans or the environment; (2) use avoids greater risks from another pesticide; or (3) the unavailability of the pesticide would reduce the availability of an adequate, wholesome, and economical domestic supply of the food, and the adverse effects from the reduction would outweigh the risk posed by the residue. Allows the Administrator to issue an exemption from the requirement for a tolerance only if a tolerance is not needed to protect the public health, in view of the levels of dietary exposure that could reasonably be expected to occur. Prohibits a final rule that revokes, modifies, or suspends a tolerance or exemption until the Administrator has taken any necessary action under FIFRA with respect to the registration of the pesticide involved. Requires the Administrator, if the Administrator takes certain actions with respect to the registration of a pesticide, to revoke any tolerance or exemption that allows the presence of the chemical or chemical residue. Requires the suspension of any tolerance or exemption upon the suspension of the use of an associated registered pesticide. Provides for: (1) tolerances for unavoidable residues in the case of a residue of a canceled or suspended pesticide chemical that will unavoidably persist in the environment and be present in or on a food; and (2) residues resulting from an application which was lawful at the time of application. Prohibits, subject to exception, a State from enforcing any limit on a qualifying pesticide chemical residue in or on any food which is not identical to Federal requirements. Prohibits a State from enforcing a residue limit which was lawful at the time of application. (Sec. 306) Authorizes appropriations for increased monitoring of pesticide residues in imported and domestic food.
Bill· HRH.R. 3100 (103rd)referred
United States · United States Congress · 21 September 1993
National Drug Policy Act of 1993 - Establishes the Commission on National Drug Policy to study and report to the President and the Congress on the unlawful production, distribution, and use of controlled substances.
Bill· HRH.R. 3097 (103rd)referred
United States · United States Congress · 21 September 1993
Women's Health Environmental Factors Research Act of 1993 - Amends the Public Health Service Act to require the Director of the National Cancer Institute to carry out research on the effects of environmental factors on women's health conditions, including their effect on breast cancer, immune disfunction, and estrogen-like and related compounds. Authorizes appropriations.
Bill· HRH.R. 3108 (103rd)open
United States · United States Congress · 21 September 1993
Adds to the medical care authorized to be provided by the Secretary of Veterans Affairs to veterans in vet centers: (1) preventive health care services; (2) medical services reasonably necessary in preparation for hospital admission; and (3) referral services to assist veterans in obtaining specialized care. Requires a report from the Secretary on the implementation of such additional care.
Bill· HRH.R. 3096 (103rd)referred
United States · United States Congress · 21 September 1993
Readjustment Counseling Service Amendments of 1993 - Includes a Readjustment Counseling Service (RCS) as part of the Veterans Health Administration of the Department of Veterans Affairs. Prohibits the Secretary of Veterans Affairs from altering or revising the organizational structure of RCS until he or she has notified specified congressional committees and 60 days have elapsed since such notification. Requires RCS budget information to be included annually in the President's budget submitted to the Congress. Outlines eligibility requirements for one of the Assistant Under Secretaries for Health in the Department, including at least three years of clinical experience and two years of administrative experience in RCS or other comparable mental health care counseling service. Makes such a qualified person the director of RCS. Directs the Secretary, upon the request of any veteran (currently, only veterans discharged or released from active duty but not otherwise eligible for such counseling), to furnish counseling in readjusting to civilian life. Allows the provision of counseling to survivors of members of the armed forces who die while serving on active duty or from a condition incurred or aggravated by military service. Provides for the confidentiality of the records of any patient of RCS, permitting disclosure only in specific limited circumstances. Establishes in the Department the Advisory Committee on Veteran Readjustment Counseling to perform advisory services with respect to veterans' readjustment, taking into special account Vietnam era veterans. Requires specified reports from the Advisory Committee and the Secretary. Directs the Secretary to report to specified congressional committees a plan for the expansion of the Vietnam Veteran Resource Center program as established under prior law. Directs the Secretary to carry out and report to the Congress on a pilot program for the provision of health-related services to eligible veterans at readjustment counseling centers.
Bill· HRH.R. 3093 (103rd)referred
United States · United States Congress · 21 September 1993
Health Care Fraud Prosecution Act of 1993 - Amends the Federal criminal code to set penalties for: (1) knowingly executing a scheme or artifice to defraud to obtain a health care payment; or (2) presenting a statement as part of, or in support of, a claim for health care payment, knowing that such statement contains false or misleading information concerning any material fact. Limits such penalties to a fine and ten years' imprisonment, unless the offender knowingly or recklessly caused: (1) serious bodily injury to, or endangered the life of, an individual (up to 15 years' imprisonment); or (2) caused the death of an individual (up to 25 years' imprisonment). Sets forth provisions regarding illegal remunerations. Permits: (1) persons injured by violations of such provisions to recover treble damages in a civil action; and (2) the court to award the prevailing party a reasonable attorney fee. Makes provisions regarding injunctions against fraud and criminal forfeiture of fraud proceeds applicable to health care fraud. Authorizes the Attorney General to pay specified rewards for information leading to the prosecution and conviction of persons engaging in health care fraud, with exceptions. Directs the Attorney General to establish: (1) regional health care fraud task forces and a data base for the reporting of final adverse actions against health care providers, suppliers, or practitioners; and (2) a national, toll-free health care fraud and abuse hotline. Authorizes appropriations: (1) for the Federal Bureau of Investigation, U.S. Attorneys, and the Office of Inspector General of the Department of Health and Human Services to hire, equip, and train personnel in connection with the investigation and prosecution of health care fraud cases; and (2) to establish, operate, and administer health care task forces and the national health care fraud and abuse data base and hotline, and to publicize the data base and hotline. Amends the Federal criminal code to make: (1) activity which, if engaged in by the U.S. Postal Service, would be a violation of mail fraud provisions, punishable to the same extent with respect to private or commercial interstate carriers (express company fraud); and (2) health care fraud and express company fraud predicates to violations of prohibitions against the laundering of monetary instruments.
Resolution· HCONRESH.Con.Res. 147 (103rd)referred
United States · United States Congress · 21 September 1993
Urges any health care reform legislation that is enacted to require a Senator or Representative in, or Delegate or Resident Commissioner to, the Congress and any individual holding a position in levels I through III of the Executive Schedule to enroll in a health plan offering the standard benefit package and to publicly disclose, on an annual basis, the health plan in which they are enrolled.
Bill· SS. 1473 (103rd)open
United States · United States Congress · 20 September 1993
Primary Health Care Support Act of 1993 - Requires the Secretary of Health and Human Services to develop resource-based expenses for the determination of average practice expense relative value units for use in determining payment for each physician service under part B (Supplementary Medical Insurance) of title XVIII (Medicare) of the Social Security Act (SSA). Amends SSA title XVIII to: (1) eliminate the reduction in practice expense relative value units for certain part B services as mandated under the Omnibus Budget Reconciliation Act of 1993; (2) base Medicare reimbursement for graduate medical education (GME) costs on a weighted national mean amount; and (3) provide greater GME reimbursement for primary care residencies. Establishes the National Physician Work Force Commission to: (1) study all matters relating to physician work force goals and issues in order to develop recommendations for an annual report to the Congress; (2) evaluate the undergraduate medical education programs operated by medical schools and graduate medical education programs located in the United States for a report to the Congress and the Secretary; (3) study non-Medicare funding of GME for a report to the Congress and the Secretary; and (4) submit to the Congress an implementing bill for allocating first-year residency positions to the various specialties and subspecialties and for allocating the positions within each specialty to individual GME programs. Authorizes appropriations. Amends the Health Professions Education Extension Amendments of 1992 to abolish the Council on Graduate Medical Education. Directs the Secretary to conduct research and report to the Congress on the effect of research grants and contracts on primary care medical training. Amends SSA title XVIII to: (1) double Medicare bonus payments for physicians who furnish qualified physician services in health professional shortage areas (HPSAs); (2) allow physicians to continue receiving their bonus payments for ten years after an area loses its HPSA designation; and (3) decrease on a graduated basis the indirect teaching adjustment factor used in determining additional payments for certain hospitals with indirect costs of medical education.
Bill· SS. 1467 (103rd)open
United States · United States Congress · 16 September 1993
TABLE OF CONTENTS: Title I: Reform of Foreign Assistance Policies and Programs Title II: Bilateral Economic and Development Assistance Title III: Security Assistance Title IV: Multilateral Assistance Part A: International Development Association Part B: Asian Development Fund Part C: Global Environment Facility Part D: European Bank for Reconstruction and Development Part E: Other Provisions Title V: Regional Provisions Part A: Provisions Relating to Sub-Saharan Africa Part B: Provisions Relating to East Asia and the Pacific Part C: Provisions Relating to Europe and the Former Soviet Union Part D: Provisions Relating to the Middle East Part E: Provisions Relating to Latin America Title VI: Bosnia and Hercegovina Self-Defense Act of 1993 Title VII: South African Democratic Transition Support Act of 1993 Title VIII: General Provisions Title IX: Effective Date Foreign Assistance Act of 1993 - Title I: Reform of Foreign Assistance Policies and Programs - Amends the Foreign Assistance Act of 1961 to revise provisions concerning U.S. policy on foreign assistance. (Sec. 102) Requires the President to submit to the Congress a plan for comprehensive reform of U.S. foreign assistance programs and of the agency primarily responsible for administering development assistance. Sets forth immediate reform actions to be taken by the President, including: (1) establishing criteria for the closure or termination of agency field offices or programs; and (2) reducing by 20 percent, by the end of FY 1994, the number of countries in which such agency has either a field presence or programs. Expresses the sense of the Congress that private and voluntary organizations participating in development assistance programs should obtain a greater share of their resources from private contributions. (Sec. 103) Directs the President to establish a program performance evaluation capacity in the agency primarily responsible for administering development assistance and report annually to the Congress on: (1) the progress of the agency in achieving sustainable development objectives; and (2) the impact on economic development of U.S. economic assistance on a country-by-country basis. (Sec. 104) Revises congressional purposes of development assistance. Sets forth as the four basic objectives of development assistance programs and U.S. economic cooperation policy: (1) the promotion of sustainable economic growth and development; (2) the building of democratic participation in development; (3) the prevention and resolution of specified transnational issues; and (4) the response to emergency humanitarian needs. Revises authorized uses of development assistance. (Sec. 105) Revises policies and objectives of military assistance programs. (Sec. 109) Prohibits the use of funds authorized for foreign assistance for FY 1994 for: (1) financial incentives to induce businesses to relocate outside the United States if it will reduce the number of individuals employed in the United States; (2) establishing any export processing zone or designated area in which the tax, tariff, labor, environment, and safety laws of a country do not apply to activities in such area, unless the President certifies that such assistance is not likely to cause a loss of jobs within the United States; (3) support for any project designed to increase exports of agricultural, import-sensitive textile, or apparel commodities from a developing country if such exports are in direct competition with U.S. exports or are expected to cause substantial injury to U.S. exporters (exempts activities designed to increase food security); or (4) assistance for a project that contributes to the violation of workers' rights. (Sec. 111) Prohibits foreign assistance funding to a country on a grant basis except pursuant to an agreement which authorizes the administrator of the agency responsible for administering development assistance to deobligate such funds without the country's approval. (Sec. 112) Requires the annual deobligation of specified unexpended foreign assistance funds that have been obligated for more than four years. (Sec. 113) Directs the Secretary of State to report to specified congressional officials on U.S. military and economic assistance, focusing on the balance and appropriate uses of each. (Sec. 114) Requires the Administrator of the Agency for International Development (AID) to report to specified congressional officials on the potential of programs to provide conflict resolution assistance. Title II: Bilateral Economic and Development Assistance - Authorizes appropriations for FY 1994 for: (1) specified development assistance; (2) international disaster assistance; (3) American schools, libraries, and hospitals abroad; (4) assistance for Eastern Europe and the Baltic States; (5) assistance for the independent states of the former Soviet Union; (6) the International Fund for Ireland; (7) the Multilateral Assistance Initiative for the Philippines; (8) the Inter-American Foundation; (9) the African Development Foundation; and (10) the Peace Corps. (Sec. 202) Authorizes the President to reduce the debt owed by an eligible country as a result of housing guarantees, credits or guarantees made under the Arms Export Control Act, or loans or guarantees made under the Export-Import Bank Act of 1945. Defines an "eligible country" as a country with a heavy debt burden that is eligible to borrow from the International Development Association (IDA) but not from the International Bank for Reconstruction and Development (World Bank) and that meets other specified conditions. Authorizes appropriations. (Sec. 203) Provides for the establishment of a Microenterprise Development Fund within the agency primarily responsible for administering development assistance. (Sec. 206) Authorizes appropriations for FY 1994 for worldwide housing guarantees and raises the ceiling on the amount of loans available under such program. (Sec. 207) Supports development education programs to involve U.S. citizens in programs about developing countries or in the development process. (Sec. 208) Authorizes the President, subject to certain conditions, to provide assistance through nongovernmental organizations to the people of a country that would otherwise be restricted from receiving foreign assistance. (Sec. 210) Authorizes appropriations for FY 1994 for AID operating expenses. Title III: Security Assistance - Authorizes appropriations for FY 1994 for: (1) foreign military financing (grants) for Israel, Egypt, and other recipients; (2) foreign military financing (loans) for Turkey, Greece, and Portugal; (3) economic support fund (ESF) assistance for Israel, Egypt, Cyprus, cooperative projects, and other recipients; (4) international military education and training; (5) anti-terrorism assistance; (6) peacekeeping operations; and (7) nonproliferation and disarmament activities in the independent states of the former Soviet Union. (Sec. 303) Establishes limits on additions to stockpiles in South Korea, Israel, and Thailand. (Sec. 306) Amends the Arms Export Control Act to revise provisions concerning presidential certifications and congressional procedures for certain arms transfers. (Sec. 310) Prohibits sales, the extension of credits or guarantees, and the approval of licenses with respect to the sale of defense articles or services to a foreign country unless the U.S. supplier certifies that it will not make any third-party incentive payments for purposes of satisfying an offset agreement with such country. Defines an "offset agreement" as an agreement under which the supplier agrees to purchase goods from the country in consideration for the country's purchase of defense articles or services. Imposes sanctions on foreign parties to coproduction agreements that violate restrictions concerning unauthorized third party transfers or unauthorized dispositions of defense articles or services or technical data if the President notifies the Congress or the Congress so determines by bill or joint resolution. Prohibits military assistance involving coproduction or licensed production outside the United States of any defense article of U.S. origin unless the President furnishes full information on the proposed transaction to the appropriate congressional committees. (Sec. 311) Prohibits the sale or lease of defense articles or services to any country or international organization which is known to have sent letters to U.S. firms requesting, or soliciting information about, compliance with the secondary or tertiary Arab boycott. Provides for presidential waivers, subject to certain conditions. (Sec. 312) Expresses the sense of the Congress that U.S. foreign policy is best served when ESF assistance is provided either in the form of U.S. goods and services or in the form of direct support for projects in the recipient country. Requires at least 15 percent of annual ESF assistance to be provided in the form of commodity import programs. Title IV: Multilateral Assistance - Part A: International Development Association - Amends the International Development Association Act to authorize appropriations for the U.S. contribution to the tenth replenishment of the IDA. (Sec. 402) Amends the International Financial Institutions Act to require the Secretary of the Treasury to encourage the U.S. executive directors of the IDA and World Bank to advocate, and to report to specified congressional committees on, policies regarding improvements in the standard of living, economic empowerment of women, environmental protection, debt relief, and support for the rule of law. Part B: Asian Development Fund - Amends the Asian Development Bank Act to authorize appropriations for the U.S. contribution to specified replenishments of the Asian Development Fund. Part C: Global Environmental Facility - Amends the Bretton Woods Agreement Act to authorize appropriations for the U.S. contribution to the Global Environment Facility subject to certain conditions. Part D: European Bank for Reconstruction and Development - Amends the Foreign Operations, Export Financing, and Related Programs Appropriations Act, 1991 to direct the Secretary of the Treasury to instruct the U.S. executive director of the European Bank for Reconstruction and Development to oppose Bank lending to countries which have: (1) failed to take adequate steps to prevent drug trafficking; (2) expropriated property owned by a U.S. citizen; (3) taken steps to nullify contracts with U.S. citizens; or (4) imposed discriminatory taxes or restrictive operational conditions. Part E: Other Provisions - Authorizes appropriations for FY 1994 for contributions to international organizations and programs. Removes the South West Africa People's Organization from the list of organizations and countries for which funding is prohibited. Adds Myanmar, Iraq, North Korea, and Syria to such list, but makes the withholding of funds inapplicable to contributions to programs of the International Atomic Energy Agency (IAEA) or the United Nations Children's Fund in such countries. Earmarks funds for the United Nations Population Fund subject to prohibitions on funding for programs in China and other restrictions regarding commingling of funds and approval of projects. (Sec. 442) Prohibits funding for technical assistance to specified international financial institutions. (Sec. 443) Amends the International Financial Institutions Act to require the U.S. executive directors of specified international financial institutions to promote policies to encourage developing countries to reduce excessive military expenditures and enhance resources for primary health care and basic education. (Sec. 444) Expresses the sense of the Congress that the President should consider withholding U.S. payments to multilateral development organizations or international financial institutions that do not take steps to establish independent audit and review agencies. Title V: Regional Provisions - Part A: Provisions Relating to Sub-Saharan Africa - Amends the African Development Foundation Act to authorize the African Development Foundation to employ persons who are not U.S. citizens. (Sec. 503) Prohibits, unless certain conditions are met: (1) military and economic assistance for Sudan; (2) foreign military financing for Kenya; and (3) economic and military assistance for Zaire. (Sec. 505) Authorizes the President to provide reconstruction assistance to Somalia. (Sec. 508) Allocates assistance for establishing conflict resolution capabilities within specified African organizations and for facilitating reductions in the size of armed forces of Subsaharan African countries. Part B: Provisions Relating to East Asia and the Pacific - Sets forth the Multilateral Assistance Initiative for the Philippines. (Sec. 512) Authorizes the President to use funds for the independent states of the former Soviet Union to provide assistance to Mongolia. (Sec. 513) Includes the Lao People's Democratic Republic in the list of Communist countries to which foreign assistance is prohibited. (Sec. 514) Requires the President, before certain arms sales or licenses are approved under the Arms Export Control Act with respect to Indonesia, to determine whether there have been improvements in the human rights situation in East Timor. (Sec. 515) Sets forth the sense of the Congress with respect to human rights in India. (Sec. 516) Expresses the sense of the Congress that the President should show clear support for Taiwan. Part C: Provisions Relating to Europe and the Former Soviet Union - Makes East European countries eligible to receive excess defense articles. (Sec. 525) Earmarks funds for winter-related and other humanitarian assistance for the people of Bosnia-Hercegovina. (Sec. 526) Expresses the sense of the Senate that the United States should allocate more resources for Ukraine. Part D: Provisions Relating to the Middle East - Prohibits assistance to Syria until the President reports to the appropriate congressional committees that Syria has taken specified steps with regard to emigration and human rights, terrorism, weapons proliferation, withdrawal of troops from Lebanon, and antinarcotics efforts. Withholds all assistance for Jordan if Jordan has not substantially complied with United Nations Security Council resolutions concerning Iraq. Part E: Provisions Relating to Latin America - Extends the administration of justice assistance program. Makes such assistance available for Panama. (Sec. 543) Prohibits foreign assistance to Peru until the President certifies to the Congress that Peru has paid compensation to the survivors of a specified member of the Air Force who was killed by the Peruvian armed forces. Title VI: Bosnia and Hercegovina Self-Defense Act of 1993 - Bosnia and Hercegovina Self-Defense Act of 1993 - Declares that the President should terminate the arms embargo of Bosnia and Hercegovina upon receipt of a request from such government for assistance in exercising its right of self-defense under the United Nations Charter. (Sec. 604) Authorizes the President, if such request is made, to direct the drawdown of defense articles and services and military education and training to provide assistance. Bars members of the armed forces who provide such assistance abroad from performing combatant duties. Authorizes appropriations. Title VII: South African Democratic Transition Support Act of 1993 - South African Democratic Transition Support Act of 1993 - Repeals specified provisions of the Comprehensive Anti-Apartheid Act of 1986 (to be completely repealed when the President certifies to the Congress that an interim government that was elected on a nonracial basis through free and fair elections has taken office in South Africa). Urges all State or local governments and all private entities in the United States to rescind any restrictions on economic interaction with South Africa. (Sec. 705) Authorizes the President to provide assistance to support the transition to nonracial democracy in South Africa, subject to certain limitations. (Sec. 706) Sets forth U.S. policy on investment, trade, and exchanges with South Africa, listing steps to be taken by specified Federal agencies and international financial institutions. Title VIII: General Provisions - Terminates foreign assistance to any recipient who uses assistance for unauthorized purposes. (Sec. 802) Prohibits foreign assistance for: (1) lobbying activities; (2) private and voluntary organizations that fail to provide documentation for auditing purposes; (3) assessments, arrearages, or dues to the United Nations of any foreign member country; (4) any country whose elected head of government is deposed by a military coup; and (5) any country that provides lethal military equipment to a terrorist government (subject to presidential waivers). (Sec. 812) Expresses the sense of the Congress that the President should instruct the U.S. Permanent Representative to the United Nations to enhance the enforcement of nonproliferation treaties through the adoption of a Security Council resolution that would state that any non-nuclear weapon state that is found to have terminated or violated an IAEA safeguards agreement would be subject to international economic sanctions. Prohibits foreign assistance or funding under the Arms Export Control Act to non-nuclear weapon states that have terminated or violated such agreements. (Sec. 813) Directs the Secretary of State to notify specified congressional committees in advance of any proposed deployment of U.S. military personnel to undertake civic action or humanitarian assistance programs in a foreign country. (Sec. 814) Withholds assistance to a foreign country in an amount equivalent to total unpaid parking fines and penalties owed by the country to the District of Columbia. (Sec. 815) Requires the Secretary of State to report to the Congress on efforts to promote the elimination of discrimination against people with disabilities and on discriminatory practices against such people around the world. Title IX: Effective Date - Requires this Act to take effect on October 1, 1993.
Bill· SS. 1459 (103rd)referred
United States · United States Congress · 15 September 1993
TABLE OF CONTENTS: Title I: Beach Testing and Monitoring Title II: Coastal Protection Title III: Pollution from Ships Coastal Waters Improvement Act of 1993 - Title I: Beach Testing and Monitoring - Amends the Federal Water Pollution Control Act to direct the Administrator of the Environmental Protection Agency (EPA) to issue water quality criteria for pathogens in coastal recreation waters. Requires States to adopt consistent water quality standards. (Sec. 103) Requires the Administrator to publish regulations specifying methods to be used by States to monitor coastal recreation waters, during periods of use by the public, for compliance with standards. Requires notification of local governments and the public of water quality standards violations. Requires the Administrator to: (1) issue guidance on uniform assessment and monitoring procedures for floatable materials in coastal recreation waters; and (2) specify the conditions under which the presence of floatable materials constitutes a threat to public health and safety. (Sec. 104) Requires an ongoing study and report to the Congress on developing better indicators for detecting harmful bacteria and viruses in coastal recreation waters. (Sec. 105) Authorizes the Administrator to make grants to States to fulfill requirements under this Act. (Sec. 107) Authorizes appropriations. Title II: Coastal Protection - Amends the Federal Water Pollution Control Act to direct the EPA Administrator to: (1) submit a coastal environment toxics release strategy to the Congress; and (2) prepare an annual assessment of the extent and environmental effect of certain industrial discharges into marine waters. (Sec. 204) Extends the authorization of appropriations for the National Estuary Program. (Sec. 205) Directs the Administrator to list each marine water that does not support the protection and propagation of a balanced, indigenous population of fish and wildlife and allow for recreational activities in and on the water. Requires the Administrator, with respect to such waters, to: (1) implement certain ocean discharge criteria requirements when issuing a permit for point source discharges; (2) consider prohibiting the use of such waters as disposal sites or restricting their use; (3) prohibit the discharge of sewage from vessels; (4) implement a management program for the watershed areas; and (5) enforce programs for the pretreatment of industrial waste discharges. Requires States to adopt standards for any pollutant for which the Administrator has established criteria if the pollutant is likely to be present in such waters. (Sec. 206) Directs the Administrator to establish a national program to provide information and technical assistance to owners of marine land. (Sec. 207) Makes it unlawful to discharge sewage: (1) into waters designated under this Act; and (2) that has not been treated by a marine sanitation device. Requires the Secretary of the department in which the Coast Guard is operating to provide for a public use pumpout station for marine sanitation devices at each Coast Guard installation. Waives such requirement under certain circumstances. (Sec. 208) Directs the Administrator to submit a five-year plan for the development, review, and revision of criteria for pollutants found in marine waters to the Congress. Requires each State that borders on marine waters to establish marine and numerical water quality standards. (Sec. 209) Conditions the issuance of permits for discharges into the territorial sea, the waters of the contiguous zone, the oceans, or waters designated under this Act on the protection of fish and wildlife and recreational activity and the attainment of marine water quality standards. (Sec. 210) Authorizes the Secretary of the Army to provide financial assistance to local governments for the construction of facilities for the control of overflows from combined storm and sanitary sewers to marine waters. Authorizes appropriations. (Sec. 212) Requires the Administrator to report to the Congress on Federal activities that may result in degradation of marine waters. Directs Federal agencies to minimize degradation and to consider alternative actions to avoid adverse effects on marine waters. Title III: Pollution From Ships - Amends the Act to Prevent Pollution from Ships to authorize the Secretary of the department in which the Coast Guard is operating to issue a certificate attesting to the adequancy of garbage reception facilities at a port or terminal only if an onsite inspection has been conducted prior to the issuance of a certificate. Makes such certificates valid for a period of five years unless there is a change of operator. (Sec. 302) Directs the Secretary to promulgate regulations that require the operators of ports or terminals subject to MARPOL Protocol (the Protocol of 1978 relating to the International Convention for the Prevention of Pollution From Ships, 1973) requirements relating to reception facilities to post placards stating that users should report facility inadequacies to the Secretary. Requires all vessels to display placards and conduct briefings that notify the crew and passengers of requirements of Annex V of the Convention. Authorizes the Secretary of the Treasury to refuse or revoke certain clearances or permits to proceed or depart of foreign vessels in violation of MARPOL requirements. Provides for a toll-free telephone number for reporting MARPOL violations. (Sec. 303) Amends the Marine Plastic Pollution Research and Control Act of 1987 to prohibit ports or terminals from charging a vessel a separate fee for the disposal of waste that is not regulated by the Secretary of Agriculture in carrying out the functions of the Animal and Plant Health Inspection Service. Expresses the sense of the Congress that certain shipper insurance policies should not provide for the payment of penalties under the Act to Prevent Pollution from Ships. Requires persons in charge of vessels to include information on the disposal of onboard waste in the notice of arrival to the port. Directs the EPA Administrator to establish a Marine Debris Coordinating Committee.
Bill· SJRESS.J.Res. 134 (103rd)referred
United States · United States Congress · 15 September 1993
Designates October 19, 1993, as National Mammography Day.
Bill· SJRESS.J.Res. 133 (103rd)referred
United States · United States Congress · 15 September 1993
Urges all Members of Congress to enroll in a standard health care plan available at their home of record that charges no more than the average premium for the area and to publicly disclose, on an annual basis, the health care plans in which they have enrolled.
Bill· HRH.R. 3080 (103rd)open
United States · United States Congress · 15 September 1993
TABLE OF CONTENTS: Title I: Improved Access to Affordable Health Care Subtitle A: Increased Availability and Continuity of Health Coverage for Employees and Their Families Subtitle B: Reform of Health Insurance Marketplace for Small Business Subtitle C: Preemption Subtitle D: Health Deduction Fairness Subtitle E: Improved Access to Community Health Services Subtitle F: Improved Access to Rural Health Services Subtitle G: State Flexibility in the Medicaid Program: The Medical Health Allowance Program Title II: Health Care Cost Containment and Quality Enhancement Subtitle A: Medical Malpractice Liability Reform Subtitle B: Administrative Cost Savings Subtitle C: Deduction for Cost of Catastrophic Health Plan; Medical Savings Accounts Subtitle D: Anti-Fraud Subtitle E: Medicare Payment Changes; Part B Premium Tax for High-Income Individuals Subtitle F: Removing Anti-Trust Impediments Subtitle G: Encouraging Enforcement Activities of Medical Self-Regulatory Entities Subtitle H: Prefunding Government Health Benefits for Certain Annuitants Subtitle I: Miscellaneous Provisions Title III: Long-Term Care Subtitle A: Tax Treatment of Long-Term Care Insurance Subtitle B: Protection of Assets Under Medicaid Through Use of Qualified Long-Term Care Insurance Subtitle C: Studies Subtitle D: Volunteer Service Credit Demonstration Projects Affordable Health Care Now Act of 1993 - Title I: Improved Access to Affordable Health Care - Subtitle A: Increased Availability and Continuity of Health Coverage for Employees and Their Families - Part 1: Required Coverage Options for Eligible Employees, Spouses, and Dependents - Requires each employer to make available to each eligible employee a group health plan under which: (1) coverage of each eligible individual with respect to such employee may be elected on an annual basis; (2) coverage is provided for at least the required coverage specified; and (3) employees may elect to have premiums collected through payroll deduction. Does not require employer contributions to the cost of coverage under such a plan. Provides for the exclusion of: (1) employers who have been employers for less than two years or who have no more than two eligible employees or no more than two eligible employees not covered under any group health plan; and (2) family members under specified circumstances. Specifies that a group health plan shall not be treated as failing to meet the requirements of this Act solely because a period of service by an eligible employee of not more than 60 days is required for coverage. Specifies that the required coverage is standard coverage, except that in the case of a small employer that has not contributed during the previous plan year to the cost of coverage for any eligible employee under any group health plan, the required coverage for the plan year is coverage under a MedAccess standard, MedAccess catastrophic, and MedAccess medisave plan. Provides for a five-year transition for existing group health plans. (Sec. 1002) Sets forth provisions regarding: (1) compliance with applicable requirements through multiple employer health arrangements; and (2) coverage options under a State medical health allowance program. Part 2: Preexisting Conditions and Continuity of Coverage; Renewability - Prohibits a group health plan from imposing (and an insurer from requiring an employer from imposing through a waiting period for coverage under a plan or similar requirement) a limitation or exclusion of benefits relating to treatment of a preexisting condition if: (1) the condition relates to a condition that was not diagnosed or treated within three months before the date of coverage under the plan; or (2) the limitation or exclusion extends over more than six month after the date of coverage, applies to an individual who, as of the date of birth, was covered under the plan, or relates to pregnancy. Specifies that, in the case of an individual who is eligible for coverage under a plan but for a waiting period imposed by the employer, the individual shall be treated as having been covered under the plan as of the earliest date of the beginning of the waiting period. (Sec. 1012) Requires each group health plan to waive any period applicable to a preexisting condition for similar benefits with respect to an individual to the extent that the individual, prior to enrollment in such plan, was covered for the condition under any other health plan. (Sec. 1013) Prohibits: (1) a multiemployer plan and an exempted multiple employer health plan from canceling or denying renewal of coverage under such a plan for an employer other than for nonpayment of contributions, fraud or other misrepresentation, noncompliance with plan provisions, or misuse of a provider network provision, or because the plan is ceasing to provide any coverage in a geographic area; (2) an insurer from canceling a health insurance plan or denying renewal of coverage other than as prescribed above; and (3) an insurer who terminates the offering of health insurance plans in an area from offering such a plan to any employer in the area until five years after the date of the termination. Part 3: Enforcement; Effective Dates; Definitions - Makes provisions of the Employee Retirement Income Security Act of 1974 applicable with respect to enforcement of this Act (by the Department of Labor). Amends the Internal Revenue Code (Code) to impose a tax ($100 per day for each individual involved, subject to specified limitations) on the failure of an insurer to comply with the requirements under part 2 unless the Secretary of Health and Human Services (Secretary) determines that the State has in effect a regulatory enforcement mechanism that provides adequate sanctions. Subtitle B: Reform of Health Insurance Marketplace for Small Business - Requires each insurer that makes available a health insurance plan to a small employer in a State to make available to each small employer in the State a MedAccess standard, MedAccess catastrophic, and MedAccess medisave plan, with exceptions for health maintenance organizations (HMOs) and if a State provides for guaranteed availability (rather than guaranteed issue). Requires each insurer that offers a MedAccess plan to a small employer in a State to accept: (1) every small employer in the State that applies for coverage; and (2) every eligible individual who applies for enrollment on a timely basis. Sets forth provision regarding: (1) special rules for HMOs; (2) timely enrollment requirements; and (3) enrollment of spouses and dependents. Makes such requirements inapplicable in a State that has provided (in accordance with specified standards) a mechanism under which each insurer offering a health insurance plan to a small employer in the State must participate in a program for assigning high-risk small employer groups (or individuals within such a group) among some or all such insurers, if the insurers comply. (Sec. 1102) Defines "MedAccess plan" as a health insurance plan that: (1) is designed to provide standard coverage with substantial cost-sharing, only catastrophic coverage, or medisave coverage; (2) includes only essential and medically necessary services; (3) meets applicable requirements relating to guaranteed issue; and (4) meets specifies consumer protection standards. Defines "MedAccess standard plan," "MedAccess catastrophic plan," and "MedAccess medisave plan" to mean a MedAccess plan that provides for at least standard coverage, for only catastrophic coverage, or medisave coverage, respectively. Requests the National Association of Insurance Commissioners (NAIC) to submit to the Secretary a set of rules which NAIC determines is sufficient for determining, in the case of any health insurance plan and for purposes of this subtitle, the actuarial value of the coverage offered by the plan. Directs the Secretary to certify such set of rules for use under this subtitle if they meet such requirements or establish such a set of rules. Specifies that a health insurance plan is considered to provide: (1) standard coverage if the benefits are determined, in accordance with certified rules of actuarial equivalence, to have a value that is within five percentage points of an established target actuarial value for standard coverage; (2) catastrophic coverage if benefits are available under the plan for a year only to the extent that expenses for covered services in a year exceed a deductible amount that is consistent with a specified requirement for a catastrophic health plan under the Code, and are determined, in accordance with certified actuarial equivalence rules, to have a value that is within five percentage points of an established target actuarial value for catastrophic coverage; and (3) medisave coverage if such plan consists of a catastrophic health plan within the meaning of the Code and a medical savings account. Requests NAIC to submit to the Secretary target actuarial values for standard and catastrophic coverage. Permits NAIC to submit periodic revisions of, and permits the Secretary to revise, the set of rules of actuarial equivalence and target actuarial values where necessary to take into account changes in the relevant types of health benefits provisions, in deductible levels for catastrophic coverage, or in relevant demographic conditions. (Sec. 1103) Directs the Secretary to request NAIC to develop model regulations that specify standards with respect to requirements: (1) that insurers make available MedAccess plans; (2) of guaranteed availability of MedAccess plans to small employers; (3) relating to limits on premiums and certain consumer protections; and (4) relating to limitation of annual premium increases. Requires the Secretary to review such standards and, if NAIC fails to specify standards meeting such requirements, to promulgate standards. Sets forth provisions regarding: (1) the application of MedAccess standards and consumer protection standards by the States; and (2) the Federal role. (Sec. 1104) Sets forth provisions: (1) regarding limits on premiums and annual premium increases; and (2) requiring an insurer, at the time of offering a health insurance plan to a small employer, to fully disclose rating practices for health insurance plans, including rating practices for different populations and benefit designs. (Sec. 1106) Directs the Secretary to: (1) request NAIC to develop models for reinsurance or allocation of risk mechanisms for health insurance plans made available to small employers for whom an insurer is at risk of incurring high costs under the plan; and (2) review such models or specify models. Sets forth provisions regarding implementation of reinsurance or allocation of risk mechanisms by the States and the Federal role. Amends the Code to provide for the imposition of a tax on any health insurance plan which covers any employee in a Federal reinsurance State. (Sec. 1108) Directs the Secretary to establish an Office of Private Health Care Coverage. Requires the Office Director to submit to the Congress annual reports evaluating health care coverage reform. (Sec. 1109) Authorizes the Director to conduct: (1) research on the impact of this subtitle on the availability of affordable health coverage for employees and dependents in the small employers group health care coverage market and other specified topics; and (2) demonstration projects relating to such topics. Requires the Director to develop: (1) methods for measuring the relative health risks of eligible individuals in terms of the expected costs of providing benefits under health insurance plans and, in particular, MedAccess plans; and (2) a model for equitably distributing health risks among insurers in the small employer health care coverage market. Authorizes appropriations. Subtitle C: Preemption - Part 1: Scope of State Regulation - Prohibits: (1) State benefit mandates for group health plans; and (2) State or local law prohibitions against two or more employers obtaining coverage under an insured multiple employer health plan. (Sec. 1203) Preempts State restrictions concerning: (1) reimbursement rates or selective contracting; (2) differential financial incentives; and (3) utilization review methods. Directs the Comptroller General to conduct a study of the benefits and cost effectiveness of the use of managed care in the delivery of health services. Part 2: Multiple Employer Health Benefits Protections - Amends the Employee Retirement Income Security Act of 1974 (ERISA) to allow a limited exemption under preemption rules for multiple employer plans providing health benefits subject to certain Federal standards. (Sec. 1212) Relieves exempted multiple employer plans providing medical care benefits of certain restrictions on preemption of State law. Treats such plans as employee welfare benefit plans. Allows commencement of new arrangements only if such exemption is in effect or an application is pending and the Secretary of Labor determines that provisional protection is appropriate. Sets forth exemption procedures, eligibility requirements, and additional requirements applicable to exempted arrangements. Requires certain disclosures to participating employers, maintenance of reserves, and corrective actions. Provides for expiration, suspension, and revocation of exemptions, and for review of actions by the Secretary. (Sec. 1213) Revises provisions relating to scope of preemption rules, and to treatment of single employer arrangements and of certain collectively bargained arrangements. (Sec. 1215) Establishes special rules for employee leasing healthcare arrangements. Treats such arrangements as multiple employer welfare arrangements except when they are multiple employer health plans. (Sec. 1216) Sets forth enforcement provisions relating to multiple employer welfare arrangements and employee leasing health care arrangements. (Sec. 1217) Sets forth filing requirements for multiple employer welfare arrangements. (Sec. 1218) Provides for cooperation between Federal and State authorities in enforcing ERISA requirements for multiple employer welfare arrangements with the limited exemption. Part 3: Encouragement of Multiple Employer Arrangements Providing Basic Health Benefits - Amends the Internal Revenue Code to eliminate the commonality of interest or geographic location requirement for tax exempt trust status for multiple employer health plans and insured multiple employer health plans if they meet certain requirements under ERISA and this Act. Part 4: Simplifying Filing of Reports for Employers Covered under Insured Multiple Employer Health Plans - Amends ERISA to direct the Secretary of Labor to prescribe an alternative method providing for a single annual report with respect to all employers who are covered under the same insured multiple employer health plan. Part 5: Compliance with Coverage Option Requirements - Provides for compliance with applicable coverage requirements through multiemployer plans and other multiple employer health arrangements. Subtitle D: Health Deduction Fairness - Amends the Internal Revenue Code to provide: (1) for a permanent extension and increase in the health insurance tax deduction for self-employed individuals; and (2) that the deduction for certain health insurance costs be determined without regard to an adjusted gross income threshold. Disallows the deduction to individuals eligible for employer-subsidized coverage. Allows the deduction whether or not the individual itemizes other deductions. Subtitle E: Improved Access to Community Health Services - Part 1: Increased Authorization for Community and Migrant Health Centers - Directs the Secretary to provide for grants to migrant and community health centers to promote primary health care services for underserved individuals. Allows grants to be used to promote the provision of off-site services, to improve birth outcomes in areas with high infant mortality and morbidity, to establish primary care clinics in areas in need, and for recruitment and training costs of necessary providers and operating costs for unreimbursed services. Authorizes appropriations. Directs the Secretary to conduct a study of the impact of such grants on access to health care, birth outcomes, and the use of emergency room services. Part 2: Grants for Projects for Coordinating Delivery of Services - Amends the Public Health Service Act to authorize the Secretary to make grants to public and nonprofit private entities: (1) to carry out demonstration projects to increase access to outpatient primary health services in specified geographic areas (i.e., areas that are rational areas for the delivery of health services, have a population of not more than 500,000 individuals, and have been designated by the Secretary as areas with a shortage of personal health services or that have a significant number of individuals with low incomes or insufficient health care insurance through coordinating the delivery of such services under Federal, State, local, and private programs; and (2) for developing plans to carry out such projects. Authorizes appropriations. Subtitle F: Improved Access to Rural Health Services - Part 1: Establishment of Rural Emergency Access Care Hospitals Under Medicare - Amends title XVIII (Medicare) of the Social Security Act (SSA) to provide for: (1) establishment of rural emergency access care hospitals under Medicare; and (2) coverage of and payment for rural emergency access care hospital services under Medicare part B (Supplementary Medical Insurance). Part 2: Rural Medical Emergencies Air Transport - Amends the Public Health Service Act to direct the Secretary to make grants to States to assist in the creation or enhancement of air medical transport systems that provide victims of medical emergencies in rural areas with access to treatments. Sets forth provisions regarding: (1) application and State plan requirements; (2) considerations in awarding grants; (3) State administration and use of grants; (4) the number of grants; and (5) reporting requirements. Authorizes appropriations. Part 3: Emergency Medical Services Amendments - Amends the Public Health Service Act to direct the Secretary to: (1) establish an Office of Emergency Medical Services, headed by a Director; (2) engage in specified emergency medical services activities, including disseminating information obtained in carrying out specified activities to public and private entities, providing technical assistance to State and local agencies, coordinating Department of Health and Human Services (DHHS) activities with those of other Federal agencies; and (3) ensure that such activities are carried out consistent with certain requirements regarding maintaining an adequate number of health professionals with expertise in the provision of services, developing, periodically reviewing, and revising as appropriate guidelines for the provision of such services, appropriately using available technologies, and serving the unique needs of underserved inner-city and rural areas. (Sec. 1522) Authorizes the Secretary to make grants to States for the purpose of improving the availability and quality of emergency medical services through the operation of State offices of emergency medical services, subject to specified matching fund, budgetary, and other requirements. (Sec. 1523) Provides for demonstration projects to establish telecommunications between rural medical facilities and medical facilities with expertise or equipment. Directs the Secretary to ensure that the telecommunications technologies demonstrated include interactive video telecommunications, static video imaging transmitted through the telephone system, and facsimiles transmitted through such system. (Sec. 1524) Authorizes appropriations for: (1) emergency medical services (including for State offices of Emergency Medical Services and for telecommunications demonstrations); and (2) trauma care and certain other activities. Subtitle G: State Flexibility in the Medicaid Program: The Medical Health Allowance Program - Amends SSA title XIX (Medicaid) to provide for the establishment of State health allowance programs under which the State makes payments to a group health plan which provides coverage to an eligible individual as an allowance towards the costs of providing the individual with benefits under the plan. Subtitle H: Medicaid Program Flexibility - Amends SSA title XIX Medicaid) to modify: (1) Federal requirements to allow States more flexibility in contracting for coordinated care services under Medicaid; and (2) provisions regarding the extension of certain waivers. Title II: Health Care Cost Containment and Quality Enhancement - Subtitle A: Medical Malpractice Liability Reform - Part 1: General Provisions - Makes this subtitle applicable with respect to any medical malpractice liability claim and to any medical malpractice liability action brought in State or Federal court, except a claim or action for damages arising from a vaccine-related injury or death to the extent that title XXI of the Public Health Service Act applies. Sets forth provisions regarding: (1) preemption of State law; (2) effect on sovereign immunity and choice of law or venue; (3) jurisdiction; and (4) effective dates. Part 2: Medical Malpractice and Product Liability Reform - Prohibits a medical malpractice liability action from being brought in any State court during a calendar year unless the relevant claim has been initially resolved (i.e., a decision has been reached on whether the defendant is liable to the plaintiff for damages and on the amount of damages) under a certified alternative dispute resolution (ADR) system or an alternative Federal system. Prohibits a medical malpractice liability action from being brought in Federal court based on diversity of citizenship during a calendar year unless the relevant claim has been initially resolved under such a system in the State whose law applies. Directs the Attorney General to establish an ADR process for tort claims consisting of medical malpractice liability claims brought against the United States under chapter 171 of the Federal judicial code (U.S. Court of Federal Claims). Prohibits a medical malpractice liability action based on such a claim from being brought in any Federal court unless the claim has been initially resolved under such process. Sets forth procedures for filing actions. (Sec. 2012) Limits to $250,000 the amount of noneconomic damages that may be awarded to a claimant and family members in a medical malpractice liability action. Sets limits on punitive damages and on periodic payments for future losses. (Sec. 2013) Set forth provisions regarding: (1) limits on attorney fees and other costs; (2) joint and several liability (generally, liability may be found only for those damages directly attributable to the person's proportionate share of fault or responsibility for the injury); (3) a statute of limitations of seven years; and (4) a uniform standard for determining negligence (the defendant's conduct at the time of providing the health care services was not reasonable). (Sec. 2017) Specifies that in the case of a medical malpractice liability claim relating to services provided during labor or the delivery of a baby, if the health care professional did not previously treat the injured individual for the pregnancy, the trier of fact may not find that the defendant committed malpractice nor assess damages unless the malpractice is proven by clear and convincing evidence. Part 3: Requirements for State Alternative Dispute Resolution Systems - Lists requirements for State ADR systems, including that such a system: (1) applies to all medical malpractice liability claims under the jurisdiction of the courts of that State; (2) requires that a written opinion resolving the dispute be issued within six months after each party against whom the claim is filed has received notice of the claim; (3) is approved by the State or local governments; (4) provides for the transmittal to the State agency responsible for monitoring or disciplining health care professionals and providers of any findings of malpractice; and (5) provides for the regular transmittal of information on disputes resolved under the system to the Administrator for Health Care Policy and Research in a manner that protects the identity of the parties involved. (Sec. 2032) Directs the Secretary, by October 1 of each year, to certify State ADR systems that meet such requirements. Directs the Secretary to establish an alternative Federal ADR system for the resolution of medical malpractice liability claims in States that do not have in effect a certified ADR system. (Sec. 2033) Directs the Secretary, within five years, to submit to the Congress a report describing and evaluating State ADR systems and the alternative Federal system, including: (1) information on the effect of the ADR systems on health care costs, access to health care, and quality of care provided within the State; and (2) to the extent that such report does not provide information on no-fault systems operated by States as ADR systems, an analysis of the feasibility and desirability of establishing a system for resolving medical malpractice liability claims on a no-fault basis. Part 4: Other Provisions Relating to Medical Malpractice Liability - Authorizes a State agency responsible for disciplinary actions for a type of health care practitioner to enter into agreements with State or county professional societies to permit their participation in the licensing of such practitioner and to review any health care malpractice action, claims, or allegation, or other information concerning the practice patterns of any such practitioner. Sets forth agreement requirements. (Sec. 2042) Directs the Secretary to study incentives adopted by State and local governments, insurers, medical societies, and other entities to encourage physicians to volunteer to provide health care services in medically underserved areas. (Sec. 2043) Directs each State to require: (1) each health care professional and health care provider to participate in a risk management program to prevent, and provide early warning of, practices which may result in injuries to patients or endanger patient safety; and (2) each provider of health care professional and provider liability insurance in the State to establish risk management programs or sanction programs of risk management for health care professionals and providers provided by other entities, and require each such professional or provider, as a condition of maintaining insurance, to participate in one such program at least once in each three-year period. (Sec. 2044) Directs the Secretary to make grants: (1) for basic research in the prevention of, and compensation for, injuries resulting from health care professional or provider malpractice and for research of the outcomes of health care procedures; (2) to the States to assist in improving their ability to license and discipline health care professionals; and (3) to States and local governments, private nonprofit organizations, and health professional schools for educating the general public about the appropriate use of health care, realistic expectations of medical intervention, and the resources and role of health care professional licensing and disciplinary boards in investigating claims of incompetence or health care malpractice, and for developing programs of faculty training and curricula for educating health care professionals in quality assurance, risk management, and medical injury prevention. Authorizes appropriations. Subtitle B: Administrative Cost Savings - Part 1: Standardization of Claims Processing - Directs the Secretary to adopt standards relating to: (1) data elements for use in paper and electronic claims processing under health benefit plans and in utilization review and management of care; (2) uniform claims forms; and (3) uniform electronic transmission of the data elements. (Sec. 2102) Authorizes the Secretary, two years after standards are adopted for classes of services upon determining that a significant number of claims for benefits for such services under health benefit plans are not being submitted in accordance with such standards, to require that all providers of such services submit claims to health benefit plans in accordance with such standards. (Sec. 2103) Directs the Secretary to: (1) provide for the ongoing receipt and review of comments and suggestions for changes in the standards adopted and promulgated; (2) establish a schedule for the periodic review of such standards; and (3) revise such standards. Part 2: Electronic Medical Data Standards - Directs the Secretary to promulgate standards for hospitals concerning electronic medical data, including standards for transmission of such data and confidentiality of patient-specific information. Authorizes the Secretary to periodically revise such standards. (Sec. 2112) Sets forth requirements with respect to: (1) the sharing of hospital information under Medicare; (2) waiver of such requirements; and (3) application of such requirements to hospitals of the Department of Veterans Affairs. (Sec. 2113) Authorizes the head of a Federal agency to require a provider to present and transmit a required data element electronically in accordance with applicable presentation or transmission standard. (Sec. 2114) Sets forth limitations on data requirements where standards with respect to data elements are in effect. (Sec. 2115) Directs the Secretary to establish an advisory commission on the standards established under this part and operational concerns about the implementation of such standards. Authorizes appropriations. Part 3: Development and Distribution of Comparative Value Information - Directs the Secretary to determine whether each State is developing and implementing a health care value information program that meets specified criteria and a specified schedule. Authorizes the Secretary to: (1) make grants to enable each State to plan development and initiate implementation of its health care value information program; and (2) recover the amount of such a grant by offset against any other amount payable to the State under the Social Security Act under specified circumstances. Authorizes appropriations. (Sec. 2122) Directs the Secretary to take actions necessary to implement a comparable program in a State that fails to develop or implement a health care value information program in accordance with such criteria and schedule. Authorizes the Secretary to charge fees for the information materials provided pursuant to such a program. (Sec. 2123) Directs the head of each Federal agency with responsibility for the provision of health insurance or health care services to individuals to develop health care value information relating to each program that such head administers and covering the same types of data that a State program meeting such criteria would provide. (Sec. 2124) Directs the Secretary to: (1) develop model systems to facilitate the gathering of data on health care cost, quality, and outcome and the analysis of such data in a manner that will permit the valid comparison of such data among providers and among health plans; (2) support experimentation with different approaches to achieve such objectives in the most cost effective manner; and (3) evaluate the various methods to determine their relative success. Authorizes the Secretary to establish standards for the collective and reporting of data on health care cost, quality, and outcomes. Authorizes appropriations. Part 4: Additional Standards and Requirements; Research and Demonstrations - Directs the Secretary to: (1) adopt standards relating to the design and use of magnetized Medicare identification cards to assist health care providers in determining whether individuals are eligible for benefits for provided services under the Medicare program and in billing the Medicare program for covered services; (2) take steps to encourage and assist States in the design and use of magnetized Medicaid identification cards under their Medicaid plans; and (3) establish a Medicare and Medicaid information system to provide information on group health and other health benefit plans that are primary payors to the Medicare and Medicaid programs. Authorizes appropriations. (Sec. 2132) Specifies that, effective January 1, 1994, no effect shall be given to any provision of State law that requires medical or health insurance records (including billing information) to be maintained in written, rather than electronic, form. (Sec. 2133) Requires, effective January 1, 1995, each health benefit plan: (1) to use a beneficiary's social security number as the personal identifier for claims processing and related purposes (authorizes the Secretary to impose a civil money penalty on any plan that fails to do so); and (2) to use the unique identifier under title XVIII of the Social Security Act (Medicare) for a provider that furnishes health care items or services to a beneficiary under the plan as the identifier of that provider for claims processing and related purposes. (Sec. 2134) Directs the Secretary to: (1) determine, where benefits are payable under two or more health benefit plans, whether problems relating to the rules for determining the liability of plans or the availability of information among plans causes significant administrative costs; and (2) promulgate standards, if the implementation of standards would significantly reduce such administrative costs. Authorizes the Secretary to impose a civil money penalty on plans that fail to comply with such standards. (Sec. 2135) Directs the Secretary to provide grants to qualified entities for research on the application of comprehensive information systems in continuously monitoring and improving patient care. Authorizes the Secretary to make grants to: (1) two to five community organizations or coalitions of health care providers, health benefit plans, and purchasers to establish and document the efficacy of communication links between the information systems of health benefit plans and of health care providers; (2) two to five public or private nonprofit entities for the development of regional or community-based clinical information systems; and (3) public or private nonprofit entities to develop and test the definition of a comprehensive set of data elements and the specification and manner of presentation of the individual data elements of the set, for electronic medical data generated by physicians and other entities (other than hospitals) that provide health care services. Authorizes appropriations. Subtitle C: Deduction for Cost of Catastrophic Health Plan; Medical Savings Account - Amends the Internal Revenue Code to include under the medical expense deduction the portion of such expense attributable to coverage under a catastrophic health plan. (Sec. 2202) Allows individuals a tax deduction for percentage of contributions made to a medical care savings account established for the benefit of an eligible individual. Allows such deduction whether or not an individual itemizes deductions. Disallows distributions from such accounts as medical expense deductions. Excludes employer contributions to such accounts from employment taxes. Establishes an excise tax for excess contributions to medical care savings accounts. Subtitle D: Anti-Fraud - Part 1: Criminal Prosecution of Health Care Fraud - Amends the Federal criminal code to: (1) set penalties for health care providers who knowingly engage in any scheme or artifice to defraud any person in connection with the provision of health care; and (2) make activity which, if engaged in by the U.S. Postal Service, would be a violation of mail fraud provisions punishable to the same extent with respect to private or commercial interstate carriers. (Sec. 2303) Authorizes appropriations to hire, equip, and train no fewer than: (1) 225 special agents of the Federal Bureau of Investigation and support staff to investigate health care fraud cases; (2) 50 assistant United States Attorneys and support staff to prosecute such cases; and (3) 25 investigators in the Office of Inspector General, DHHS, to be devoted exclusively to health care fraud cases. (Sec. 2304) Amends the Federal criminal code to authorize the Attorney General to make payments of up to $10,000 to a person who furnishes information unknown to the Government relating to a possible prosecution of health care fraud, subject to specified requirements and exceptions. Part 2: Coordination of Health Care Anti-Fraud and Abuse Activities - Directs the Secretary to establish in the Office of the Inspector General of DHHS a program (all-payer fraud and abuse control program) to: (1) coordinate Federal, State, and local law enforcement programs to control fraud and abuse with respect to the delivery of, and payment for, health care in the United States; (2) conduct investigations, audits, evaluations, and inspections relating to such delivery and payment; and (3) facilitate the enforcement of provisions of the Social Security Act and other statutes applicable to health care fraud and abuse. Directs the Secretary to establish standards to carry out such program, including standards relating to the furnishing of information by health insurers, providers, and other to enable the Secretary to carry out the program and procedures to assure that such information is provided and utilized in a manner that protects the confidentiality of the information and the privacy of individuals receiving health care services. Sets forth provisions regarding: (1) qualified immunity for providing information; (2) ensuring access to documentation; and (3) failure to comply as grounds for exclusion from the Medicare and Medicaid programs. (Sec. 2312) Authorizes additional appropriations to enable the Secretary to conduct investigations of allegations of health care fraud and to carry out the all-payor fraud and abuse control program. (Sec. 2313) Establishes in the Treasury an Anti-Fraud and Abuse Trust Fund to be used to assist the Inspector General of DHHS in carrying out the all-payor fraud and abuse control program in the fiscal year involved. Sets forth provisions regarding: (1) the deposit into the Fund of Federal health anti-fraud and abuse penalties; and (2) the use of such penalties to repay beneficiaries for cost-sharing. (Sec. 2314) Amends SSA title XI to provide for the application of Federal health anti-fraud and abuse sanctions to all fraud and abuse against private health benefit plans. Subtitle E: Medicare Payment Changes; Part B Premium Tax for High-Income Individuals: Part 1 - Medicare Payment Changes - Amends SSA title XVIII to: (1) eliminate the membership limitation for Medicare health maintenance organizations; and (2) revise the Medicare select policy program and provide for a civil money penalty for misrepresentations made in connection with a Medicare select policy. (Sec. 2402) Amends the Omnibus Budget Reconciliation Act of 1990 to: (1) make permanent the Medicare select policy program; and (2) allow access to Medicare select policies in all States. (Sec. 2403) Directs the Secretary of Health and Human Services to take such steps as may be necessary to consolidate the administration of Medicare parts A and B. Part 2: Part B Premium Tax for High-Income Individuals - (Sec. 2411) Amends the Internal Revenue Code to impose a tax on the Medicare part B premiums of high income individuals. Subtitle F: Removing Anti-Trust Impediments - Directs the Attorney General to promulgate guidelines under which a health care joint venture may submit an application requesting that the Attorney General provide the entities participating in the venture with an exemption under which: (1) monetary recovery on an antitrust claim brought against the entity shall be limited to actual damages if specified conditions are met; and (2) the conduct of the entity in making or performing a contract to carry out the venture shall not be deemed illegal per se. Requires the Attorney General to approve or disapprove the application within a specified time frame and to provide a statement explaining the reasons for any disapproval. Directs the Attorney General to approve the application if an entity participating in the venture submits to the Attorney General an application that contains the identities of the parties to the venture; the nature, objectives, and planned activities of the venture; and specified assurances and information. Sets forth provisions regarding: (1) revocation and renewal of exemptions and withdrawal of an application; (2) requirements relating to notice and publication of exemptions; and (3) issuance of health care certificates of public advantage to each eligible health care joint venture that complies with specified requirements. Establishes the Interagency Advisory Committee on Competition, Antitrust Policy, and Health Care to: (1) discuss and evaluate competition and antitrust policy and their implications regarding the performance of health care markets; (2) analyze the effectiveness of health care joint ventures receiving exemptions in reducing costs and expanding access; and (3) make recommendations to the Congress. Subtitle G: Encouraging Enforcement Activities of Medical Self-Regulatory Entities - Part 1: Application of the Clayton Act to Medical Self-Regulatory Entities - Provides that no damages, cost of suit, or attorney fee may be recovered under section 4, 4A, or 4C of the Clayton Act, or under any similar State law, except by a State or the United States, from any medical self-regulatory entity as a result of engaging in standard setting or enforcement activities that are: (1) designed to promote the quality of health care provided to patients; and (2) not conducted for purposes of financial gain. Directs the court to award the cost of such a suit, including a reasonable attorney fee, to a substantially prevailing defendant. Part 2: Consultation by Federal Agencies - Requires any Federal agency engaged in the establishment of medical profession standards to consult with appropriate medical societies or associations, specialty boards, or recognized accrediting agencies, if available, in carrying out medical professional standard setting and guidelines or standards relating to the practice of medicine. Subtitle H: Prefunding Government Health Benefit for Certain Annuitants - Requires that certain agencies prefund Government health benefits contributions for their annuitants. Subtitle I: Miscellaneous Provisions - Amends Civil Service and Federal Employees' Retirement Systems law to increase the minimum age required to be eligible for an immediate retirement annuity. Provides for the conformance of other Federal retirement systems with the minimum age increase made above. Title III: Long-Term Care - Subtitle A: Tax Treatment of Long-Term Care Insurance - Amends the Internal Revenue Code to provide for the treatment of qualified long-term care insurance as accident and health insurance for purposes of insurance company taxation. (Sec. 3002) Excludes from gross income benefits provided under a long-term care insurance contract. Includes in gross income employer-provided coverage for long-term care services. (Sec. 3003) Includes amounts paid for qualified long-term care services as medical expenses for individual itemized deductions. Includes any parent or grandparent as a dependent for purposes of such expenses. (Sec. 3004) Provides for the nonrecognition of gain or loss on the exchange of any life insurance contract or an endowment or annuity contract for a long-term care insurance contract. (Sec. 3005) Excludes from gross income certain amounts withdrawn from individual retirement accounts and certain employer cash or deferred arrangement to pay long-term care premiums. (Sec. 3006) Allows insurance companies to issue accelerated death benefit riders on life insurance contracts. Subtitle B: Protection of Assets Under Medicaid Through Use of Qualified Long-Term Care Insurance - Amends SSA title XIX to require State Medicaid plans to disregard some or all of the individual's assets attributable to coverage under a qualified long-term care insurance contract in determining the individual's eligibility for long-term care services. Subtitle C: Studies - Requires the Comptroller General to study the feasibility of: (1) encouraging health care providers to donate their services to homebound patients; and (2) providing heads of households who care for elderly family members in their home with an income tax credit. (Sec. 3203) Requires the Secretary of Health and Human Services to study and report to the Congress on the feasibility of encouraging or requiring the use of a single designate public or nonprofit agency to coordinate, through case management, the provision of long-term care benefits under current Federal, State, and local programs in a geographic area. Subtitle D: Volunteer Service Credit Demonstration Projects - (Sec. 3301) Amends the Older Americans Act of 1965 to require the Commissioner of the Administration on Aging to establish and operate a volunteer service credit demonstration project in each State.
Bill· HRH.R. 3089 (103rd)referred
United States · United States Congress · 15 September 1993
TABLE OF CONTENTS: Title I: Office of Family Medicine and Primary Care Research Title II: Incentives for Rural Physicians Regarding Primary Care Title III: Primary Care Physicians Under Approved Medical Residency Training Programs Family Medicine and Primary Care Research Act of 1993 - Title I: Office of Family Medicine and Primary Care Research - Amends the Public Health Service Act to establish in the National Institutes of Health (NIH) the Office on Family Medicine and Primary Care Research to monitor and coordinate all NIH research, training, and information dissemination activities regarding family medicine and other primary medical care disciplines. Provides for the development, modernization, and operation of new and existing research centers in family care and primary care. Mandates an advisory council. Title II: Incentives for Rural Physicians Regarding Primary Care - Amends the Internal Revenue Code to allow a deduction for medical education loan interest that accrues while a physician is providing primary care or obstetrical and gynecological services in a medically underserved rural area and living in that area. Amends the Higher Education Act of 1965 with regard to the Stafford Federal Student Loan Program to defer principal payments and with regard to the Perkins Direct Student Loan Program to defer principal and interest payments while the borrower is serving in an internship or residency program in preparation for practice in primary care or obstetrics and gynecology. Amends titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act to modify requirements regarding substitute billing arrangements. Title III: Primary Care Physicians Under Approved Medical Residency Training Programs - Mandates a national policy that at least 50 percent of entry positions in medical residency training programs be in primary care. Allows waiver for a State if application of the general rule would not be practicable. Amends Medicare provisions to tie to that policy Medicare payments to hospitals for direct graduate medical education costs and for indirect costs of medical education. Establishes the National Health Professional Workforce Advisory Board to make recommendations on: (1) the distribution of such positions among primary and non-primary care residents at various sites; (2) the supply and role of non-physician primary care providers; and (3) the appropriateness of spending Medicare direct graduate medical education funds available for the clinical training of physicians and nurses for the clinical training in primary care of additional practitioners. Repeals provisions of the Health Professions Education Extension Amendments of 1992 establishing the Council on Graduate Medical Education. Mandates annual publication of a list of the total amount of payments made to each hospital in the United States during the previous year under Medicare provisions relating to direct graduate medical education costs.
Bill· HRH.R. 3082 (103rd)open
United States · United States Congress · 15 September 1993
Women Veterans Health Improvements Act of 1993 - Directs the Secretary of Veterans Affairs to ensure that each health care facility under the jurisdiction of the Department of Veterans Affairs is able to provide in a timely and appropriate manner all authorized health care services to women veterans. Requires the provision of direct Department care (rather than by contract or other agreement) for women veterans in an area in which the number of such veterans makes it cost effective to do so. Prohibits mammograms from being performed at a Department facility unless such facility is accredited for such purpose by a private nonprofit organization designated by the Secretary. Directs the Secretary to prescribe mammogram quality assurance and control standards and to perform periodic inspection of Department mammogram equipment and facilities. Requires the Secretary to ensure that such standards are equally applied to non-Federal facility or contractual providers of such services. Extends through 1996 the authority for the provision of counseling to women veterans for sexual trauma. Amends the Veterans Health Care Act of 1992 to require each coordinator of women's services to serve in such position on a full-time basis. Requires the Secretary to ensure that such coordinators are fully able to carry out their responsibilities and provide women veterans with equal access to Department facilities. Directs the Secretary to: (1) conduct a survey to identify deficiencies relating to women patient privacy in Department medical centers; (2) correct any such deficiencies; and (3) report to the Congress.
Bill· HRH.R. 3081 (103rd)open
United States · United States Congress · 15 September 1993
Extends eligibility for hospital, nursing home, or outpatient medical care through the Department of Veterans Affairs to: (1) a veteran who may have been exposed to a herbicide agent while serving on active duty in Vietnam during the Vietnam era if the National Academy of Sciences has, in a report issued under the Agent Orange Act of 1991, made specified determinations regarding an association between exposure to a herbicide agent and occurrence of the veteran's disease; and (2) a radiation-exposed veteran if the Secretary of Veterans Affairs, based on advice of the Advisory Committee on Environmental Hazards, determines that there is credible evidence of a positive association between exposure to ionizing radiation and the veteran's disease. Terminates eligibility for herbicide-exposed veterans under this Act after September 30, 1996.
Bill· SS. 1454 (103rd)open
United States · United States Congress · 14 September 1993
TABLE OF CONTENTS: Title I: Establishment of Office of Breast Cancer and National Breast Cancer Commission Title II: Duties of Director of the National Cancer Institute Relating to Breast Cancer National Breast Cancer Strategy Act of 1993 - Title I: Establishment of Office of Breast Cancer and National Breast Cancer Commission - Amends the Public Health Service Act to establish: (1) the Office of Breast Cancer in the Office of the Assistant Secretary for Health; and (2) the National Breast Cancer Commission to study public and private breast cancer prevention, early detection, treatment, education, and research. Title II: Duties of Director of the National Cancer Institute Relating to Breast Cancer - Authorizes appropriations for conducting and supporting breast cancer research. Adds biomedical and behavioral research, training, and dissemination of information regarding breast cancer to the duties of the National Cancer Institute Director. Establishes the Rose Kushner Scholarship Program of scholarships in exchange for completing post-graduate clinical oncology training and serving as National Institutes of Health (NIH) employees carrying out breast cancer programs. Establishes a program of educational loan repayments in exchange for breast cancer activities as NIH employees. Authorizes appropriations for at least ten programs for research on breast, lung, and prostate cancer under designated Specialized Programs of Research Excellence.
Bill· SS. 1456 (103rd)referred
United States · United States Congress · 14 September 1993
TABLE OF CONTENTS: Title I: Universal Health Insurance Coverage for Children and Pregnant Women Title II: Pediatric Representation on Health Care Reform Boards Title III: Effective Date Children and Pregnant Women Health Insurance Act of 1993 - Title I: Universal Health Insurance Coverage for Children and Pregnant Women - Amends the Public health Service Act to entitle children to enrollment in a health plan. Requires: (1) all Health Insurance Purchasing Alliances to enroll every such child; and (2) enrollment of every pregnant woman seeking medical care. Prohibits: (1) certain exclusion, including regarding claims experience or preexisting conditions; (2) premiums exceeding those permitted by the Alliance; and (3) cost sharing exceeding that permitted by this Act. Requires qualified plans to: (1) cover preventive care, major medical, and extended medical services (required services); and (2) provide or pay for certain services for low-income individuals, including transportation, child care at service sites, and translation services. Mandates required services standards. Requires preventive service schedules of periodicity for children and pregnant women. Prohibits preventive services cost sharing. Lists covered major medical and extended medical services. Mandates extended medical services care plans. Prohibits limiting the amount, duration, or scope for required services. Applies to these provisions the provisions of title XVIII (Medicare) of the Social Security Act relating to: (1) exclusions from coverage and Medicare as a secondary payer; and (2) review of national coverage determination. Sets forth cost sharing requirements. Mandates: (1) waived or reduced cost sharing for individuals with family incomes under specified poverty level percentages; and (2) waiver compensation to health plans. Amends title XIX (Medicaid) of the Social Security Act to include in the definition of "medical care" payment of the State's share of any premium to enroll a child or pregnant woman. Mandates uniform claims forms for claims under this Act. Preempts State and Federal requirements that are less than under this Act. Title II: Pediatric Representation of Health Care Reform Boards - Requires that any board or advisory panel created under State or Federal health care reform legislation to review matters affecting the quality of care for children and pregnant women include certain representation. Title III: Effective Date - Makes this Act effective on the date of enactment regardless of whether required regulations have been promulgated.
Bill· HRH.R. 3070 (103rd)open
United States · United States Congress · 14 September 1993
Rural Telemedicine Development Act of 1993 - Amends the Public Health Service Act to direct the Secretary of Health and Human Services to award grants: (1) to hospitals, hospital networks, and other health care providers to encourage the initial development of rural telemedicine networks to use telecommunications technology in providing health services to rural areas; and (2) for linking such networks together using advanced telemedicine systems and for linking such networks to existing fiber optic telecommunications systems. Sets forth provisions regarding: (1) application requirements; (2) preferences in awarding grants; and (3) use of funds for initial development and advanced telemedicine grant programs. Authorizes appropriations.
Bill· HRH.R. 3072 (103rd)open
United States · United States Congress · 14 September 1993
Provides coverage under the Civilian Health and Medical Program of the Uniformed Services (CHAMPUS) for an unremarried former spouse of a member or former member of the armed forces who performed at least 20 years of retirement-creditable service and who was married to the former spouse for at least 17 years during the period of creditable service. Provides eligibility for the use of commissary stores for such former spouses.
Bill· HRH.R. 3075 (103rd)referred
United States · United States Congress · 14 September 1993
TABLE OF CONTENTS: Title I: Research on Women's Health Subtitle A: NIH Women Scientist Employment Opportunities Act Subtitle B: Women and AIDS Research Initiative Amendments of 1993 Subtitle C: Women and Alcohol Research Equity Act of 1993 Subtitle D: National Breast Cancer Strategy Act of 1993 Subtitle E: Lupus Research Amendments of 1993 Subtitle F: Women's Midlife Health Research Act Subtitle G: Osteoporosis and Related Bone Disorders Research Education, and Health Services Act of 1993 Subtitle H: Ovarian Cancer Research and Information Amendments of 1993 Subtitle I: Antiprogestin Testing Act of 1993 Subtitle J: Women's Health Environmental Factors Research Act of 1993 Subtitle K: Federal Risk Assessment in Women's Health Act of 1993 Subtitle L: Pharmaceutical Interactions Safety Act Subtitle M: Pharmaceutical Testing Fairness Act Subtitle N: Tobacco Advertising and Promotion Studies Act of 1993 Title II: Services Regarding Women's Health Subtitle A: Equity in Health Professions Education Act Subtitle B: Women's Health Office Act of 1993 Subtitle C: Women's Health Information Act of 1993 Subtitle D: Breast and Cervical Cancer Amendments of 1993 Subtitle E: Women's Preventive Health Amendments of 1993 Subtitle F: Postreproductive Health Care Act Subtitle G: Medicare Bone Mass Measurement Coverage Act of 1993 Subtitle H: Mickey Leland Adolescent Pregnancy Prevention and Parenthood Act of 1993 Subtitle I: Adolescent Health Demonstrations Projects Act of 1993 Subtitle J: Eating Disorders Information and Education Act of 1993 Subtitle K: Women and HIV Outreach and Prevention Act Subtitle L: Standby Guardianship Act Subtitle M: Federal Prohibition of Female Genital Mutilation Act of 1993 Subtitle N: Smoking Prevention and Cessation in WIC Clinics Act Subtitle O: Family and Medical Leave Health Care Reform Resolution of 1993 Subtitle P: Veteran Women's Health Improvement Act of 1993 Subtitle Q: Defense Women's Health Improvement Act of 1993 Subtitle R: International Population Stabilization and Reproductive Health Act Women's Health Equity Act of 1993 - Title I: Research on Women's Health - Subtitle A: Women Scientists Employment Opportunities Act - NIH Women Scientists Employment Opportunity Act - Amends the Public Health Service Act to require the Director of the National Institutes of Health to: (1) establish policies for NIH on matters relating to the employment of women scientists by NIH; and (2) monitor compliance with such policies and take appropriate actions if the policies have been violated. Authorizes appropriations. Subtitle B: Women and AIDS Research Initiative Amendments of 1993 - Women and Aids Research Initiative Amendments of 1993 - Directs the Secretary of Health and Human Services, with respect to cases of infection with the human immunodeficiency virus, to establish a program, under the Public Health Service Act, for the purpose of conducting biomedical and behavioral research on such cases in women, especially on the prevention of such cases. Authorizes appropriations. Subtitle C: Women and Alcohol Research Equity Act of 1993 - Women and Alcohol Research Equity Act of 1993 - Amends the Public Health Service Act to direct the Director of the National Institute on Alcohol Abuse and Alcoholism to obligate a specified amount to carry out research projects on alcohol abuse and alcoholism among women. Subtitle D: National Breast Cancer Strategy Act of 1993 - National Breast Cancer Strategy Act of 1993 - Establishes an Office of Breast Cancer within the Office of the Assistant Secretary for Health to coordinate activities of Federal agencies relating to breast cancer. (Sec. 118) Establishes the National Breast Cancer Commission to conduct a study on current efforts on both the public and private sectors relating to the prevention, early detection, treatment, education, and research relating to breast cancer. (Sec. 119) Authorizes appropriations for FY 1994 through 1996 for conducting and supporting research on breast cancer through the National Cancer Institute. (Sec. 120) Requires the Director of the National Cancer Institute to: (1) conduct and support biomedical and behavioral research and research training, the dissemination of health information, and other programs with respect to breast cancer; and (2) establish the Rose Kushner Scholarship Program for the purpose of entering into contracts with individuals under which the Institute provides scholarships to individuals for attending health professions schools and the individuals agree to study oncology and serve as employees of the National Institutes of Health for a specified period. (Sec. 121) Authorizes appropriations for FY 1994 through 1996 for at least ten research programs on breast cancer, lung cancer, or prostate cancer under designated programs. Subtitle E: Lupus Research Amendments of 1993 - Lupus Research Amendments of 1993 - Requires the Director of the National Institute of Arthritis and Musculoskeletal and Skin Diseases to expand and intensify research and related activities of the Institute with respect to lupus. Authorizes appropriations. Subpart F: Women's Midlife Health Research Act - Women's Midlife Health Research Act - Requires the Director of the National Institute on Aging to provide for the development or expansion of not less than five centers for research on: (1) the process by which the functioning of the ovaries diminishes or ceases completely; and (2) conditions arising from the diminished or complete cessation of the functioning of the ovaries. Subtitle G: Osteoporosis and Related Bone Disorders Research Education, and Health Services Act of 1993 - Osteoporosis and Related Bone Disorders Research, Education, and Health Services Act of 1993 - Requires the Director of the National Institute of Arthritis and Musculoskeletal and Skin Diseases, the Director of the National Institute on Aging, and the Director of the National Institute of Diabetes and Digestive and Kidney Diseases to expand and intensify research on osteoporosis and related bone disorders. Authorizes appropriations. Establishes in the Department of Health and Human Services an Interagency Council on Osteoporosis and Related Disorders. Sets forth the duties of such Council. Establishes in the Department of Health and Human Services an Advisory Panel on Osteoporosis and Related Disorders. Authorizes appropriations. Requires the Director of the National Institute of Arthritis and Musculoskeletal and Skin Diseases to make grants or enter into contracts with eligible organizations to establish a Resource Center on Osteoporosis and Related Disorders. Authorizes appropriations. Subtitle H: Ovarian Cancer Research and Information Amendments of 1993 - Ovarian Cancer Research and Information Amendments of 1993 - Amends provisions of the National Institutes of Health Revitalization Act of 1993 which added provisions to the Public Health Service Act to make revisions concerning ovarian cancer funding and public information education. Subtitle I: Antiprogestin Testing Act of 1993 - Antiprogestin Testing Act of 1993 - Provides for research on antiprogestin drugs for any potential use, including termination of pregnancy and contraception and when used therapeutically for cancer, endocrine disorders, and endometriosis. Subtitle J: Women's Health Environmental Factors Research Act of 1993 - Women's Health Environmental Factors Research Act of 1993 - Requires the Director of the National Institute of Environmental Health Sciences to carry out research on the effects that environmental factors have on women's health conditions. Authorizes appropriations. Subtitle K: Federal Risk Assessment in Women's Health Act of 1993 - Federal Risk Assessment in Women's Health Act of 1993 - Directs the Office of Science and Technology Policy to conduct a review of all Federal programs that assess or mitigate the risks to women's health from environmental exposures. Subtitle L: Pharmaceutical Interactions Safety Act - Pharmaceutical Interactions Safety Act - Amends the Federal Food, Drug, and Cosmetic Act and the Public Health Service Act to require clinical investigations to include investigations of the possible interaction of the drug or biological product with relevant female or male hormones, unless inappropriate. Subtitle M: Pharmaceutical Testing Fairness Act - Pharmaceutical Testing Fairness Act - Requires new drug clinical investigations, device clinical investigations, and biological products clinical investigations to include women and minority groups as subjects, unless inappropriate. Subtitle N: Tobacco Advertising and Promotion Studies Act of 1993 - Tobacco Advertising and Promotion Studies Act of 1993 - Directs the Federal Trade Commissions to conduct specified studies concerning tobacco advertising and its effect on women and minorities, as well as its targeting of women and girls concerning weight loss, and the demographics of such advertising. Title II: Services Regarding Women's Health - Subtitle A: Equity in Health Professions Education Act - Equity in Health Professions Education Act - Directs the Secretary of Health and Human Services to conduct a study to determine the extent to which health professions schools provide adequate education to students on women's health conditions. Subtitle B: Women's Health Office Act of 1993 - Women's Health Office Act of 1993 - Amends the Public Health Service Act to establish within the Office of the Assistant Secretary for Health an Office of Women's Health. Sets forth the duties of such Office. Authorizes appropriations. (Sec. 208) Establishes within the Office of the Director of the Centers for Disease Control and Prevention an Office of Women's Health. Sets forth the duties of such Office. Requires the Director of such Office to establish the Coordinating Committee on Research on Women's Health. Sets forth the duties of such Committee. (Sec. 209) Establishes within the Office of the Director of the Agency for Health Care Policy and Research an Office of Women's Health. Sets forth the duties of such Office. Requires the Director of such Office to establish the Coordinating Committee on Research on the Women's Health. Sets forth the duties of such Committee. (Sec. 210) Amends title VII of the Social Security Act to provide for the establishment within the Office of the Administrator of the Health Resources and Services Administration an Office of Women's Health. Sets forth the duties of such Office. Requires the Director of the Office to establish the Coordinating Committee on Research on Women's Health. Sets forth the duties of such Committee. (Sec. 210A) Amends the Federal Food, Drug, and Cosmetic Act to establish within the Office of Commissioner of the Food and Drug Administration an Office of Women's Health. Sets forth the duties of such Office. Requires the Director of such Office to establish the Coordinating Committee on Women's Health. Sets forth the duties of such Committee. Subtitle C: Women's Health Information Act of 1993 - Women's Health Information Act of 1993 - Directs the Secretary of Health and Human Services to establish an Interagency Committee on Health Communications to provide advice to the Secretary on developing and coordinating Federal promotion and education activities, including activities within the Public Health Service. Requires the Committee to give priority to carrying out activities regarding women's health. (Sec. 214) Directs the Assistant Secretary for Health to establish the Clearinghouse on Women's Health to compile, archive and disseminate information concerning women's health and to publish a yearly summary of such materials to be made available upon request. Subtitle D: Breast and Cervical Cancer Amendments of 1993 - Breast and Cervical Cancer Amendments of 1993 - Amends provisions of the program under the Public Health Service Act which provides for breast cancer screenings to place certain limits on the amounts which may be paid to promote entities for such screenings. Authorizes appropriations through FY 1998 for the screening program. Subtitle E: Women's Preventive Health Amendments of 1993 - Women's Preventive Health Amendments of 1993 - Provides for grants for demonstration projects relating to preventive health care for women. Authorizes appropriations. Subtitle F: Postreproductive Health Care Act - Postreproductive Health Care Act - Provides for grants to provide specified health services to women who are of menopause age or older. Authorizes appropriations. Subtitle G: Medicare Bone Mass Measurement Coverage Act of 1993 - Medicare Bone Mass Measurement Coverage Act of 1993 - Provides for Medicare coverage of bone mass measurements for qualified individuals. Subtitle H: Mickey Leland Adolescent Pregnancy Prevention and Parenthood Act of 1993 - Mickey Leland Adolescent Pregency Prevention and Parenthood Act of 1993 - Revises title XX of the Public Health Service Act. Renames such title as Adolescent Pregnancy Prevention, Care, and Research Grants. Authorizes the Secretary of Health and Human Services to make grants to provide prevention and care services to pregnant adolescents and their male partners, adolescent parents, and nonpregnant adolescents. Sets forth provisions affecting: (1) how such grants are to be used; (2) priorities, amounts, and duration of such grants; (3) grant application requirements; (4) program coordination; and (5) research. Authorizes appropriations. Subtitle I: Adolescent Health Demonstrations Projects Act of 1993 - Adolescent Health Demonstrations Projects Act of 1993 - Directs the Secretary to make grants to establish or support adolescent health demonstration projects in secondary schools for the purpose of demonstrating how such projects may be established throughout the United States. Requires that priority be given to projects serving low-income or minority populations. Prohibits the use of any project funds to perform or pay for abortions. Subtitle J: Eating Disorders Information and Education Act of 1993 - Eating Disorders Information and Education Act of 1993 - Provides for a program of information and education to the public on the prevention and treatment of eating disorders. Authorizes appropriations. Subtitle K: Women and HIV Outreach and Prevention Act - Women and HIV Outreach and Prevention Act - Authorizes the Secretary to make grants for a program that provides to women preventive health services that are related to acquired immune deficiency. Authorizes appropriations. (Sec. 253) Authorizes the Director of the Center for Substance Abuse Treatment to make grants for the treatment of women for substance abuse, including counseling to prevent infection with and transmission of AIDS. Authorizes appropriations. (Sec. 254) Authorizes appropriations for the AIDs early intervention program for women under the Public Health Service Act. Subtitle L: Standby Guardianship Act - Standby Guardianship Act - Amends part E of title IV of the Social Security Act to require a State, in order to be eligible for payments under such part, to have in effect standby guardianship laws and procedures. Subtitle M: Federal Prohibition of Female Genital Mutilation Act of 1993 - Federal Prohibition of Female Genital Mutilation Act of 1993 - Amends the Federal criminal code to provide for the imprisonment or fining of any individual who knowingly circumcises, excises, or infibulates the whole or any part of the labia majora or labia minora or clitoris of any person under the age of 18. Directs the Secretary to carry out outreach activities in communities that traditionally practice female circumcision. Subtitle N: Smoking Prevention and Cessation in WIC Clinics Act - Smoking Prevention and Cessation in WIC Clinics Act - Amends the Child Nutrition Act of 1966 to require the State agency responsible for nutrition education and drug abuse education to establish a smoking cessation demonstration program for pregnant participants. Subtitle O: Family and Medical Leave Health Care Reform Resolution of 1993 - Expresses the sense of the Congress that any bill to address the ongoing and unmet health insurance needs of this country that is enacted should require that paid or unpaid leave, as detailed in the Family and Medical Leave Act of 1993, be incorporated as a basic or elective option in specified situations. Subtitle P: Veteran Women's Health Improvement Act of 1993 - Veteran Women's Health Improvement Act of 1993 - Includes women's health services within the definition of medical services authorized to be furnished to eligible veterans. Includes as women's health services pap smears, breast examinations, and reproductive health care. Authorizes the Secretary of Veterans Affairs to contract with non-Department of Veterans Affairs facilities for outpatient women's health services when Department facilities are inadequate or inaccessible. Requires information on the provision of women's health services to be included in a report from the Secretary to the Congress concerning women veterans. (Sec. 278) Amends the Veterans Health Care Act of 1992 to: (1) require consultation by the Secretary with various officials, advisory committees, and task forces with regard to appropriate women's health research; (2) expand the research related to women to include specified topics; (3) include certain appropriate personnel of the Department in conducting such research, including women veterans and veteran members of minority groups; and (4) direct that a women veterans population study report required under such Act include an examination of the medical and demographic histories of women veterans comprising the study sample. (Sec. 279) Makes applicable to Department medical facilities provisions of the Public Health Service Act regarding mammography quality standards. Requires all Department facilities to meet such standards within two years. Subtitle Q: Defense Women's Health Improvement Act of 1993 - Requires female members and former members of the armed forces who are entitled to medical care under the Civilian Health and Medical Program of the Uniformed Services (CHAMPUS) to be furnished primary and preventive health care services for women as part of such care. Provides the same coverage for female dependents of members and former members of the armed forces. (Sec. 283) Directs the Secretary of Defense to prepare and submit to the Congress a report evaluating the provision of health care services through military medical treatment facilities and CHAMPUS to female members of the armed forces and female covered beneficiaries. Requires the Secretary to include a study to determine the needs of female members and dependents for health care services, including primary and preventive health care services for women. (Sec. 284) Directs the Secretary to establish a Defense Women's Health Research Center within the Department of the Army to be the coordinating agent for multidisciplinary and multiinstitutional research within the Department of Defense on women's health issues related to service in the armed forces. (Sec. 285) Directs the Secretary of the Army, during FY 1994, to continue the breast cancer research program as established under prior law. (Sec. 286) Directs the Secretary of Defense, in conducting or supporting clinical research, to ensure that women and minority group members of the armed forces are included as research subjects. Provides a waiver of such requirement. (Sec. 287) Directs the Secretary to submit three annual reports on research relating to female members and dependents within the armed forces. (Sec. 288) Directs the Secretary to establish at the F. Edward Hebert School of Medicine of the Uniformed Services University of the Health Sciences a women's health curriculum advisory committee to promote the comprehensive integration of women's health issues into the curriculum. Subtitle R: International Population Stabilization and Reproductive Health Act - International Population Stabilization and Reproductive Health Act - Amends the Foreign Assistance Act of 1961 to set forth population assistance authorities and requirements. (Sec. 292) Makes such assistance available to a country that: (1) accounts for a significant portion of the world's annual population increment; (2) has significant unmet needs for methods of contraception, prevention and treatment of sexually transmitted diseases, and obstetric and gynecological care and requires foreign assistance to sustain quality reproductive health services; or (3) demonstrates a strong commitment to population stabilization and reproductive health strategies. Prohibits nongovernmental and multilateral organizations from being subjected to requirements which are more restrictive than those applicable to foreign governments for such assistance. Makes funds available for: (1) the United Nations Population Fund if it agrees to prohibit the use of funds for coerced abortion or involuntary sterilization; and (2) the Special Programme of Research, Development and Research Training to further international cooperation in the development of contraceptive technology. Authorizes appropriations. (Sec. 294) Makes development assistance available on a priority basis for countries which have agreed to address specific education, literacy, and health issues. Authorizes the President to establish a grant program, to be known as the Safe Motherhood Initiative, to improve the access of girls and women to reproductive health care services. Earmarks amounts of development and economic assistance for programs in support of equalizing male and female levels of primary and secondary school enrollment. Authorizes appropriations for the Child Survival Fund, the Safe Motherhood Initiative, and for research on, and treatment and control of, acquired immune deficiency syndrome (AIDS) in developing countries. (Sec. 296) Requires the U.S. executive directors of specified international financial institutions to report annually to the Congress on allocations to population activities and, if such allocations total less than $1 million, to set forth actions to encourage increased allocations. (Sec. 297) Establishes the Commission on World Population Stabilization and Reproductive Health to coordinate U.S. participation in the 1994 International Conference on Population and Development. Authorizes appropriations. (Sec. 298) Provides for certain actions to support the United Nations Forward Looking Strategies for the Advancement of Women and the United Nations Convention on the Elimination of All Forms of Discrimination Against Women.
Bill· HRH.R. 3078 (103rd)referred
United States · United States Congress · 14 September 1993
Rural Emergency Care Access Hospital Act of 1993 - Amends title XVIII (Medicare) of the Social Security Act to: (1) permit certain rural hospitals under Medicare to serve as rural emergency access care hospitals under Medicare; and (2) provide for coverage of rural emergency access care hospital services under Medicare part B.
Bill· HJRESH.J.Res. 260 (103rd)referred
United States · United States Congress · 13 September 1993
Designates October 24 through 30, 1993, as National Health Care Quality Week.
Bill· HRH.R. 3046 (103rd)referred
United States · United States Congress · 9 September 1993
Physician Ownership and Referral Act of 1993 - Amends the Public Health Service Act to prohibit a physician from making a referral to an entity providing a health service if the physician (or an immediate family member) has a financial relationship with the entity. Defines financial relationship. Sets forth exceptions. Provides for sanctions for violators.
Bill· HRH.R. 3028 (103rd)referred
United States · United States Congress · 8 September 1993
TABLE OF CONTENTS: Title I: Maternal Health Certificates Program Title II: Rehabilitation Grants for Maternity Housing and Services Facilities Health Care and Housing for Women and Children Act of 1993 - Title I: Maternal Health Certificates Program - Directs the Secretary of Health and Human Services to establish a program to provide maternal health certificates for eligible pregnant women to cover expenses incurred at a maternity and housing services facility. Authorizes appropriations. Title II: Rehabilitation Grants for Maternity Housing and Services Facilities - Directs the Secretary to establish a program of rehabilitation grants for maternity housing and services facilities. Authorizes appropriations.
Bill· HRH.R. 3022 (103rd)open
United States · United States Congress · 8 September 1993
Directs the Secretary of Defense to establish a program to provide prescription pharmaceuticals to members and former members of the armed forces (and dependents of such members) who are entitled to certain retired or retainer pay and Medicare benefits and who would be eligible for armed forces health benefits but for their Medicare eligibility. Requires the Secretary to: (1) determine the pharmaceuticals that may be obtained by eligible persons; and (2) establish a fee or copayment to be paid for such pharmaceuticals. Bars such fees or copayments from exceeding those established under the National Defense Authorization Act for Fiscal Year 1993 for participation in the pharmaceutical demonstration project or the retail pharmacy network included in a managed health care program.
Bill· HRH.R. 3027 (103rd)referred
United States · United States Congress · 8 September 1993
Health Care Tax Equity Act of 1993 - Amends the Internal Revenue Code to allow individuals an additional deduction of up to $1800 ($2400 for joint returns) for medical care not compensated for by insurance or otherwise. Reduces such deduction by the value of employer-provided medical coverage or government-paid medical expenses. Excludes such deduction when computing adjusted gross income.
Bill· SS. 1404 (103rd)open
United States · United States Congress · 6 August 1993
Sunshine in Litigation Act of 1993 - Amends the Federal judicial code to require a court to enter an order (under rule 26(c) of the Federal Rules of Civil Procedure) restricting the disclosure of information obtained through discovery or restricting access to court records in a civil case only after making particularized findings of fact that such order would not restrict the disclosure of information which is relevant to the protection of public health or safety. Provides that: (1) no such order shall continue in effect after the entry of final judgment unless at or after such entry the court makes a separate particularized finding of fact that such order would not prevent the disclosure of information which is relevant to the protection of public health or safety; (2) the party who is the proponent for entry of the order shall have the burden of proof; (3) no agreement between or among parties in a civil action filed in a court of the United States may contain a provision that prohibits or otherwise restricts a party from disclosing any information relevant to such civil action to any Federal or State agency with authority to enforce laws regulating an activity related to such information; and (4) any such information disclosed to a Federal or State agency shall be confidential to the extent provided by law.
Bill· SS. 1409 (103rd)open
United States · United States Congress · 6 August 1993
Limits Federal assistance to the Northern Mariana Islands for FY 1994 through 1998 as set forth in the Agreement of the Special Representatives on Future Federal Financial Assistance of the Northern Mariana Islands of December 1992. Continues the payment of a specified annual amount after FY 1998 unless otherwise provided by law. Bars the obligation of funds in accordance with the Agreement until the Secretary of the Interior certifies to specified congressional committees in each fiscal year that the Northern Mariana Islands: (1) does not have an amount of aliens that exceeds the 1992 average daily number of aliens in the Islands as determined by the Commissioner of the Immigration and Naturalization Service (INS) and imposes a specified numerical limitation on the number of alien workers admitted for employment in the garment industry; (2) is implementing a petitioning mechanism to measure and compare the number of alien admissions with the 1992 average and provides the INS with such information for verification purposes; (3) has enacted and is enforcing measures to raise revenues; (4) is implementing a rate schedule approved by the Secretary that will phase in charges for users of utilities to recover specified costs of power, water, and sewer services; (5) has plans approved by the Secretary for the use of project funds; and (6) has enacted and is enforcing laws to provide no greater deductions from wages for housing, food, transportation, health care, employment fees, or other expenses for workers not permanently admitted into the Islands than are contained in the Fair Labor Standards Act of 1938 and which allow for the same exemptions from the payment of minimum wages as provided in such Act.
Bill· SS. 1420 (103rd)referred
United States · United States Congress · 6 August 1993
National Commission to Prevent Infant Mortality Reauthorization Act of 1993 - Amends the National Commission to Prevent Infant Mortality Act of 1986 to: (1) reauthorize and extend the National Commission to Prevent Infant Mortality (Commission); and (2) make changes regarding Commission duties, powers, and staff.
Bill· SS. 1426 (103rd)referred
United States · United States Congress · 6 August 1993
Essential Medicare Amendments of 1993 - Amends title XVIII (Medicare) of the Social Security Act (SSA) with respect to: (1) essential access community hospitals; (2) durable medical equipment; (3) standards for Medicare supplemental insurance policies; (4) expansion and revision of Medicare select policies; (5) psychology services in hospitals; and (6) reimbursement for clinical social worker services under Medicare. Authorizes appropriations. Amends the Omnibus Budget Reconciliation Act of 1987 to reauthorize and extend the rural transition grant program. Amends SSA title XI to modify anti-kickback provisions. Amends the Balanced Budget and Emergency Deficit Control Act of 1985 (Gramm-Rudman-Hollings Act) and the Congressional Budget Act of 1974 with respect to adjustments to discretionary spending limits. Addresses payment for anesthesia services furnished directly or concurrently to patients in providers.
Bill· SS. 1429 (103rd)referred
United States · United States Congress · 6 August 1993
Women and AIDS Research Initiative Amendments of 1993 - Amends the Public Health Service Act to establish a program to conduct or support biomedical and behavioral research on cases of infection with the human immunodeficiency virus (HIV) in women. Regulates clinical trials with women subjects. Mandates the conduct or support of: (1) clinical trials regarding the effectiveness of standard gynecological treatments in treating conditions arising from HIV infection; (2) clinical trials regarding whether the treatment protocols approved for men with HIV infection are effective for women with HIV infection; (3) research on barrier methods for the prevention of sexually transmitted diseases that women can use without their sexual partner's cooperation or knowledge; and (4) epidemiological research to determine HIV risk factors particular to women. Mandates support services for women in clinical trials. Regulates the Women's Interagency HIV Study. Authorizes appropriations.
Bill· SS. 1428 (103rd)referred
United States · United States Congress · 6 August 1993
Women and HIV Outreach and Prevention Act - Amends the Public Health Service Act to authorize grants, with regard to women (and their partners) and acquired immune deficiency syndrome (AIDS), for preventive health services, referrals, follow-ups, outreach, and training on the effective provision of such services. Authorizes appropriations. Authorizes grants to educate women on the prevention of infection with, and the transmission of, the etiologic agent for AIDS. Authorizes appropriations. Authorizes grants, cooperative agreements, and contracts to provide: (1) substance abuse treatment to women; (2) counseling to women who engage in substance abuse on the prevention of infection with, and the transmission of, the etiologic agent for AIDS; and (3) such counseling to women who are the partners of individuals who abuse substances. Authorizes appropriations.
Bill· SS. 1423 (103rd)referred
United States · United States Congress · 6 August 1993
Medicaid Eligibility Simplification Act - Amends title XIX (Medicaid) of the Social Security Act (SSA) to: (1) permit States to extend Medicaid coverage of prenatal care services to alien pregnant women who are neither officially nor under color of law permanent residents of the United States, but who are otherwise eligible for medical assistance under Medicaid; and (2) provide for simplification of the application process for enrollment in Medicaid. Amends SSA title XVI (Supplemental Security Income) (SSI) to preserve the Medicaid and SSI eligibility of individuals who would otherwise become ineligible for Medicaid benefits and SSI payments due to their receipt of weekly or biweekly income. Amends the Medicaid program: (1) to make optional currently mandatory reporting requirements under program provisions extending Medicaid coverage to eligible families making the transition from welfare to work; (2) with respect to program provisions concerning presumptive eligibility for pregnant women to include as a qualified provider any individual employed by the State and capable of making determinations of the type described under such provisions; (3) to revise the definition of qualified Medicare beneficiary and income requirements relating to pregnant women and coverage of reproductive health services; and (4) with respect to the income methodology used in determining the eligibility of certain individuals for Medicaid benefits.
Bill· SJRESS.J.Res. 125 (103rd)open
United States · United States Congress · 6 August 1993
Designates September 1993 as Childhood Cancer Month.
Bill· HRH.R. 2991 (103rd)referred
United States · United States Congress · 6 August 1993
Health Care Administrative Simplification Act of 1993 - Establishes the Uniform Claim Commission which shall develop a universal paper claims processing form containing standard data elements for use by all health service providers that furnish services for which a claim may be submitted under a Federal program that provides payments for health care services. Terminates the Commission after it develops the form. Provides funding for the Commission from funds appropriated to the Department of Health and Human Services for FY 1995 salaries and expenses.
Bill· HRH.R. 3007 (103rd)referred
United States · United States Congress · 6 August 1993
COBRA Extension Act of 1993 - Amends the Internal Revenue Code, the Employee Retirement Income Security Act of 1974, and the Public Health Service Act to extend for 36 months the maximum required period of continuation coverage of group health plans.
Bill· HRH.R. 2990 (103rd)referred
United States · United States Congress · 6 August 1993
Traumatic Brain Injury Act of 1993 - Amends the Public Health Service Act to direct the Secretary of Health and Human Services, acting through the Administrator of the Agency for Health Care Policy and Research, to conduct a study concerning traumatic brain injury. Requires the study to seek to: (1) identify common therapeutic interventions which are used for the rehabilitation of individuals with traumatic brain injuries; and (2) develop practice guidelines for the rehabilitation of traumatic brain injury. Authorizes appropriations. Directs the Secretary, acting through the Director of the Centers for Disease Control and Prevention, to conduct studies concerning traumatic brain injury and establish a uniform reporting system. Authorizes appropriations. Directs the Secretary to cooperate with, and provide assistance to, public and private nonprofit entities to reduce the incidence of traumatic brain injury through the establishment and effectuation of prevention projects. Authorizes the Secretary to award grants to State and local entities, and to public or nonprofit private entities, to support: (1) special prevention and public awareness initiative projects; (2) model traumatic brain injury prevention, research, and support programs; (3) projects that study the service needs of individuals with traumatic brain injury; and (4) projects involving grants for services coordination. Authorizes appropriations. Authorizes the Secretary, acting through the Director of the National Institutes of Health, to provide assistance to public and private nonprofit entities to support the conduct of basic and applied research concerning traumatic brain injury, especially with respect to the biomechanics of brain injury. Authorizes appropriations. Directs the Secretary to award grants to States for the establishment of programs related to traumatic brain injury. Authorizes appropriations. Designates October 1993 as National Head Injury Month.
Bill· HRH.R. 2982 (103rd)referred
United States · United States Congress · 6 August 1993
Breast and Cervical Cancer Prevention Act of 1993 - Amends the Public Health Service Act to authorize appropriations for preventive health measures with respect to breast and cervical cancers for FY 1994 through 1998.
Bill· HRH.R. 2958 (103rd)referred
United States · United States Congress · 6 August 1993
Preventive Services for Victims of Violence Act - Amends the Public Health Service Act to provide grants for demonstration projects for the prevention of mental illnesses and substance abuse among: (1) children who have been victims of physical or sexual abuse; and (2) adults who have been victims of sexual assault or family violence, including childhood physical or sexual abuse. Authorizes appropriations.
Bill· HRH.R. 2916 (103rd)referred
United States · United States Congress · 6 August 1993
Older Americans Preventive Health Act of 1993 - Amends title XVIII (Medicare) of the Social Security Act to provide for coverage of a comprehensive health assessment and certain immunizations under Medicare part B (Supplementary Medical Insurance). Amends the Public Health Service Act to authorize additional appropriations for the provision of education and information regarding cancer to health professionals and the public.