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Bill· HRH.R. 10060 (93rd)referred
United States · United States Congress · 5 September 1973
National Diabetes Act - States that it is the purpose of this Act to expand the authority of the National Institute of Arthritis, Metabolism, and Digestive Diseases in order to advance the national attack on diabetes. Authorizes the Director to the National Institute of Arthritis, Metabolism, and Digestive Diseases, with the advice of the National Advisory Council of the Institute, to develop a plan for a national diabetes program. Sets forth general guidelines for such program and provides that the program shall be coordinated with the other programs conducted or administered by the research institutes of the National Institure of Health. Provides that the plan required to be developed by this Act shall be developed within two hundred seventy days after the effective date of this Act. Requires the Director of the Institute at the end of each calender year, to prepare and submit to the President for transmittal to the Congress a report on the activities, progress and accomplishments under the progrom during the preceding year and a plan for the program for the succeding five-year period. to establish programs as necessary in cooperation with other Federal health agencies, state, local and regional public health agencies, and nonprofit private health agencies, in the prevention, control diagnosis and treatment of diabetes, appropriately emphasizing the prevention, control, diagnosis and treatment of such diseases in children. Authorizes to be appropriated $25,000,000 for the fiscal year ending June 30, 1974, $35,000,000 for fiscal year ending June 30, 1975, and $45,000,000 for the fiscal year ending June 30, 1976, for the purpose of establishing such programs. States that the Director of the National Institute of Arthritis, Metabolism, and Digestive Diseases may provide for the development of not less that fifteen centers for basic and clinical research into, training in, and demonstration of advanced diagnostic, prevention and treatment methods for diabetes prevention. States that support of such a center may be for a period of not to exceed five years and may be extended by the Director of the National Institute of Arthritis, Metabolism, and Digestive Diseases for additional periods of not more than five years each, after review of the operations of the centers by a scientific review group established by the Director. Establishes an Interagency Technical Committee on Diabetes which shall be responsible for coordinating those aspects of all Federal Health Programs and activities relating to diabetes.
Bill· SS. 2368 (93rd)referred
United States · United States Congress · 3 August 1973
Medical Device Amendments - Title I: Classification of Medical Devices - Directs the Secretary of Health, Education, and Welfare, under the Federal Food, Drug, and Cosmetic Act, to appoint and organize separate classification panels of experts to review and classify devices into appropriate categories based on the safety and effectiveness of such devices. Requires such panels to submit recommendations for the classification of devices into one of the three following categories: (1) exempt devices-those devices having a generally accepted medical use which are safe and effective when used according to instructions and warnings and which present a minimum risk; (2) devices subject to standards- those devices for which in order to reduce or eliminate unreasonable risk of illness or injury it is appropriate to establish reasonable standards to assure safety and effectiveness; and (3) devices subject to premarket scientific review-those devices for which inadequate evidence exists to assure safety and effectiveness. Requires the Secretary to publish a report on the device classification scheme in the Federal Register and to allow for comment by interested persons. Title II: Authority to Establish Standards - States that the standard is to relate to safety and effectiveness of device, including consideration of specified factors. Provides for periodic evaluation of the adequacy of standards. Directs the Secretary to consult with other Federal agencies. agencies organizations. Requires the Secretary to publish in the Federal Register a notice that proceedings have been initiated to promulgate a device standard. Specifies the content of such notification. Directs the Secretary to accept one or more offers to develop a proposed standard and to publish in the Federal Register names and addresses of persons whose offers are accepted and the terms of such offers. Directs the Secretary to prescribe regulations governing development of proposed standards. Sets forth alternatives to the development of standards, including: (1) the use of existing standards; and (2) the development of standards by the Secretary. Authorizes the Secretary to appoint independent advisory committees, to which could be referred any matters involving a proposed device standard, prior to or after its publication in the Federal Register. Prescribes the composition of such committees. Requires that manufacturers of devices subject to standards shall assure the Secretary that such devices comply with any testing methods prescribed or that such device has been manufactured in accord with current good manufacturing practices designed to assure such compliance. Provides exemptions from such requirements for specified devices. Title III: Scientific Review of Certain Medical Devices - Describes the circumstances under which scientific review premarket clearance of medical devices is required. States that scientific review of a device declared subject to such review may be otained by submitting to the Secretary an application containing specified information. Directs the Secretary to appoint standing advisory scientific panels to review device applications. Directs the Secretary, after considering the panel's recommendations, either to: (1) approve an application; (2) advise the applicant that his application is not in approvable form and inform applicant of measures required to meet approval; or (3) deny approval if the device fails to meet specified criteria. Sets forth the definition of "adequate scientific evidence". Provides for opportunity for review of applications denied. Sets forth provisions regarding withdrawal of approval and suspension of approval. Prescribes conditions pertaining to exemptions for clinical testing on humans, including: (1) submission of an outline of the plan of initial clinical testing; (2) submission of an adequate protocol for clinical testing together with a report of prior investigations, including tests on animals, adequate to justify the proposed testing; (3) obtaining of signed agreements from investigators that humans upon whom device to be used will be under their personal supervision; and (4) establishment and maintenance of records. Requires the informed consent of human participants. Requires the consent agreement to contain no language through which the individual waives any legal rights or releases the institution or its agents from liability for negligence. Defines "exceptional cases" as those in which consent is not feasible or where it would be contrary to the welfare or best interests of a particular subject, as determined by a physician in his professional judgment. Provides for the exemption of custom devices, ordered by a physician to be made in a special way for individual patients, if the device meets enumerated requirements. States that any person may petition the Secretary to establish a product development protocol for a particular custom device. Sets forth the grounds for revocation (or objection to notice of completion) of product development protocol. Title IV: Notification of Defective Devices; Repair or Replacement - Provides that every person acquiring information showing a device produced, assembled, or imported by him to contain a defect likely to create a substantial risk to the public health or safety, or to be in non-compliance with an applicable standard would be required to notify the Secretary of such defect or failure if device has left the control of the manufacturer. Specifies the content of such notification and enumerates the exemptions from such requirement. Sets forth the definition of "defect". Provides for the public disclosure of a defect and for the repair, replacement or refund on the cost of defective devices to the owner. Title V: Requirement of Good Manufacturing Practice - Requires that a device, and the methods used in its manufacture, must conform to good manufacturing practice. Title VI: Records and Reports; Inspection and Registration of Establishments; Official Names - Requires persons manufacturing, processing, repacking, labeling, or distributing a device subject to a standard which is in effect, or with respect to which there is in effect an approval of an application for scientific review, to maintain records and make reports to the Secretary on clinical experience and other data relating to safety or effectiveness of such device, or possibility of adulteration or misbranding. Title VII: General Provisions - Establishes an Advisory Council on Devices to advise the Secretary on policy matters relating to carrying out provisions of the Act. Prohibits States from establishing or maintaining standards or regulations for any device which is specifically subject to an official Federal standard or scientific review, unless State requirements are identical to the Federal requirements. Permits the Secretary to disclose information relating to trade secrets to a contractor in furtherance of provisions of the Act, subject to the contractor's observance of such security precautions as are prescribed in regulations. Defines the term "device" to mean instruments, apparatus, implements, machines, contrivances, implants, in vitro reagents, or similar articles, including their components, parts and accessories which are: (1) recognized in the official U.S. Pharmacopeia or National Formulary, or any supplement to them, or (2) intended for use in diagnosis, treatment, or prevention of disease in man or other animals, or (3) intended to affect any structure or any function of the body of man or other animals, and (4) not achieving any of their principal purposes through chemical action within or on the body of man or other animals and which are not dependent upon being metabolized for achievement of their principal purposes. Defines the term "prescription device". Makes various technical amendments to the Federal Food, Drug, and Cosmetic Act to make existing law applicable to devices.
Bill· SS. 2367 (93rd)referred
United States · United States Congress · 3 August 1973
Extends the period for comment on regulations proposed by the Secretary of Health, Education, and Welfare relating to skilled nursing facilities to October 13, 1973.
Bill· HRH.R. 10025 (93rd)referred
United States · United States Congress · 3 August 1973
National Diabetes Act - States that it is the purpose of this Act to expand the authority of the National Institute of Arthritis, Metabolism, and Digestive Diseases in order to advance the national attack on diabetes. Authorizes the Director to the National Institute of Arthritis, Metabolism, and Digestive Diseases, with the advice of the National Advisory Council of the Institute, to develop a plan for a national diabetes program. Sets forth general guidelines for such program and provides that the program shall be coordinated with the other programs conducted or administered by the research institutes of the National Institure of Health. Provides that the plan required to be developed by this Act shall be developed within two hundred seventy days after the effective date of this Act. Requires the Director of the Institute at the end of each calender year, to prepare and submit to the President for transmittal to the Congress a report on the activities, progress and accomplishments under the progrom during the preceding year and a plan for the program for the succeding five-year period. to establish programs as necessary in cooperation with other Federal health agencies, state, local and regional public health agencies, and nonprofit private health agencies, in the prevention, control diagnosis and treatment of diabetes, appropriately emphasizing the prevention, control, diagnosis and treatment of such diseases in children. Authorizes to be appropriated $25,000,000 for the fiscal year ending June 30, 1974, $35,000,000 for fiscal year ending June 30, 1975, and $45,000,000 for the fiscal year ending June 30, 1976, for the purpose of establishing such programs. States that the Director of the National Institute of Arthritis, Metabolism, and Digestive Diseases may provide for the development of not less that fifteen centers for basic and clinical research into, training in, and demonstration of advanced diagnostic, prevention and treatment methods for diabetes prevention. States that support of such a center may be for a period of not to exceed five years and may be extended by the Director of the National Institute of Arthritis, Metabolism, and Digestive Diseases for additional periods of not more than five years each, after review of the operations of the centers by a scientific review group established by the Director. Establishes an Interagency Technical Committee on Diabetes which shall be responsible for coordinating those aspects of all Federal Health Programs and activities relating to diabetes.
Bill· HRH.R. 10019 (93rd)referred
United States · United States Congress · 3 August 1973
Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment, and Rehabilitation Act Amendments - Title I: Addiction and Mental Health Administration - Establishes the Addiction and Mental Health Administration in the Department of Health, Education, and Welfare. Provides that the Administration shall consist of the National Institute on Alcohol Abuse, the National Institute on Drug Abuse, and the National Institute of Mental Health. Establishes the National Panel on Addiction and Mental Health consisting of three members appointed by the Secretary of Health, Education, and Welfare. States that the Panel shall advise the Director of the Addiction and Mental Health Administration. Title II: Federal Assistance for State and Local Programs - Extends the authorization for grants to States for the three fiscal years ending June 30, 1976. Allows a State to request and receive personnel or equipment from H.E.W. in lieu of cash Permits special grants to States who have adopted the basic provisions of the Uniform Alcoholism and Intoxication Treatment Act. Limits the amount of such a grant for any one fiscal year. Authorizes the appropriation of $13,000,000 for the fiscal year 1974 and each of the two following years for the purpose of making special grants to States. Authorizes the Secretary of Health, Education, and Welfare, acting through the National Institute on Alcohol Abuse and Alcoholism, to make grants to public and nonprofit private entities and to enter into contracts with public and private entities and with individuals: (1) to conduct demonstration, service, and evaluation projects, (2) to provide education and training, (3) to provide programs and services in cooperation with schools, courts, penal institutions, and other public agencies, and (4) to provide counseling and education activities on an individual or community basis, for the prevention and treatment of alcohol abuse and alcoholism and for the rehabilitation of alcohol abusers and alcoholics. Authorizes appropriations for grants to public and nonprofit private entities at $60,000,000 for fiscal year 1975 and 75,000,000 for fiscal year 1976. Provides that alcohol abusers and alcoholics who are suffering from emergency medical conditions shall not be refused admission or treatment, solely because of their alcohol abuse or alcohol dependence, by any private or public general hospital which receives support in any form from any program supported in whole or in part by funds appropriated to any Federal department or agency. Provides that records of the identity, diagnosis, prognosis, or treatment of any patient which are maintained in connection with the performance of any function authorized or assisted under any provision of this Act or any Act amended by this Act shall be confidential. Title III: Technical and Conforming Amendments - Makes certain technical and conforming amendments.
Bill· HRH.R. 9991 (93rd)referred
United States · United States Congress · 3 August 1973
Provides that the Secretary of Defense, after consulting with the Secretary of Health, Education, and Welfare, may contract with health maintenance organizations as identified by the Secretary of Health, Education, and Welfare. States that the provisions of such a contract may deviate from the cost-sharing arrangements prescribed and the types of health care authorized under title 10 of the United States Code when the Secretary of Defense determines that such a deviation would serve the purpose of that title. Provides that such a contract, however, may not provide for annual payments per beneficiary, by the Government and a beneficiary, of any amount greater than the estimated average annual cost for comparable amounts of care of similar quality provided under the cost-sharing arrangements prescribed in that title. (Adds 10 U.S.C. 1809)
Bill· HRH.R. 9953 (93rd)referred
United States · United States Congress · 3 August 1973
Mobile Health Unit Act - Provides for grants under the Public Health Service Act to public and private non-profit organizations to assist them in purchasing mobile health units to serve residents of medically underserved areas. Authorizes appropriations for fiscal years 1974 through 1976, respectively, of $10,000,000, $15,000,000, and $20,000,000 to carry out this Act.
Bill· HRH.R. 9975 (93rd)referred
United States · United States Congress · 3 August 1973
Health Maintenance Organization Act - Defines health maintenance organization as a public or private entity organized to provide basic and supplemental health services to its members. States that each member of such organization is to be provided basic health services for a basic health services payment which: (1) is to be paid on a regular basis without regard to the dates such services are provided; (2) is fixed without regard to the frequency, extent, or kind of health service furnished; and (3) is established under a community rating system. Authorizes the Secretary of Health, Education, and Welfare to make grants to, and enter into contracts with, public or nonprofit private entities for projects for surveys or other activities to determine the feasibility of developing or expanding health maintenance organizations which will serve residents of medically underserved areas. Provides that no grant may be made under this Act unless an application therefor has been submitted to, and approved by, the Secretary. States that such application shall be in such form, and submitted in such manner, as the Secretary shall by regulation provide. States that, in considering applications for feasibility grants and contract proposals under this Act, the Secretary shall give priority to applications and contract proposals for projects and health maintenance organizations which will serve residents of medically underserved areas. Provides that, if a feasibility project has been assisted with a grant or contract under this Act, the Secretary may not make any other grant or enter into any other contract for such project. Stipulates that any project under this Act must be completed within twelve months from the date the grant is made or contract entered into. Provides that the amount to be paid by the United States for a feasibility grant made, or contract entered into, under this Act shall be determined by the Secretary except that the amount to be paid by the United States for any single grant or contract shall not exceed $50,000. Authorizes $3,700,000 to be appropriated for fiscal 1974 and $500,000 to be appropriated for fiscal 1975 for the purpose of making payments pursuant to grants and contracts under this Act. Authorizes the Secretary to make grants to and enter into contracts with public or nonprofit private entities, and to make loans to public entities, for projects for the initial development of health maintenance organizations or for significant expansion of the membership of, or area served by, health maintenance organizations. Provides that no grant may be made under this Act unless an application therefor has been submitted to, and approved by, the Secretary. States that such application shall be in such form, and submitted in such manner, as the Secretary shall by regulation provide. States that, in considering applications for feasibility grants and contract proposals under this Act, the Secretary shall give priority to applications and contract proposals for projects and health maintenance organizations which will serve residents of medically underserved areas. Provides that, if a project has been assisted with a grant or contract under this Act, the Secretary may not make any other grant or enter into any other contract for such project. Stipulates that any project under this Act must be completed within twelve months from the date the grant is made or contract entered into. Provides that the Federal share of any such planning project grant or contract shall not exceed $125,000. Provides that the amounts to be paid by the United States for any initial development project for a health maintenance organization under any grant or contract, or both, when added to the amount of principal of any loans made or guaranteed under this Act for such project may not exceed the lesser of: (1) $1,000,000 or the product of $25 and the number of members that the health maintenance organization will have when it first becomes operational after its establishment or expansion, whichever is the greater; or (2) an amount equal to the greater of: (a) 90 percent of the cost of such project; or (b) in the case of a project for a health maintenance organization which will serve residents of a medically underserved area, up to 100 percent of such cost. Authorizes the appropriation of specified amounts for grants and loans for planning projects and initial development projects. Authorizes the Secretary to make loans and loan guarantees for initial operation costs for health maintenance organizations. Authorizes an aggregate of $50,000,000 to be appropriated for fiscal years 1974 and 1975 to carry out the purposes of this section. Authorizes Loan guarantees for construction projects. Authorizes grants for the enrollment of indigent persons in health maintenance organizations. Prescribes specific requirements to be met by an organization applying for such a grant. States that the amount of any grant under this section shall be determined by the Secretary, except that no grant shall exceed 50 percent of the annual income of such organization. Authorizes an appropriation of $11,000,000 for fiscal year 1975, $21,000,000 for fiscal year 1976, $24,000,000 for fiscal year 1977 and $15,000,000 for fiscal year 1978 in order to carry out the provisions of this program. Establishes and makes requirements for the following health maintenance organization projects: (1) demonstration grants and contracts for service in rural medically underserved areas and for enrollment of high risk individuals; (2) specified special project grants and contracts; and (3) grants for health maintenance organization management training. Provides that the Secretary shall evaluate all health maintenance organization projects established under this Act and make the results of such evaluation available to the general public and to the Congress on at least an annual basis. Provides that the United States shall be entitled to recover from an applicant for a loan guarantee under this title the amount of any payment made pursuant to such guarantee, unless the Secretary for good cause waives such right of recovery. States that guarantees of loans under this Act shall be subject to such terms and conditions as the Secretary determines to be necessary to assure that the purposes of this Act will be carried out. Authorizes the Secretary, with due regard to the financial interests of the United States, to sell loans made by him under this title. Establishes within the Treasury a loan guarantee fund which shall be available to the Secretary without fiscal year limitation, in such amounts as may be specified from time to time in appropriation Acts, to enable him to discharge his responsibilities under loan guarantes issued by him under this Act. Establishes programs for protecting health maintenance organizations against: (1) insolvency; (2) the cost of providing unusual amounts of health services or providing out-of-area health services; and (3) unusual losses. Provides that, if a State or political subdivision of a State refuses to permit a health maintenance organization to do business in such State because of a failure to meet local requirements, the Secretary may bring a civil action in the United States district court for the district in which such health maintenance organization is located to enforce compliance with this Act. Establishes a National Advisory Council on Health Maintenance Organizations to advise and assist the Secretary in carrying out his responsibilities under this Act. Requires the Secretary to make an annual report to the Congress on the programs of assistance under this Act.
Bill· HRH.R. 9984 (93rd)referred
United States · United States Congress · 3 August 1973
Medical Device Amendments - Title I: Classification of Medical Devices - Directs the Secretary of Health, Education, and Welfare, under the Federal Food, Drug, and Cosmetic Act, to appoint and organize separate classification panels of experts to review and classify devices into appropriate categories based on the safety and effectiveness of such devices. Requires such panels to submit recommendations for the classification of devices into one of the three following categories: (1) exempt devices-those devices having a generally accepted medical use which are safe and effective when used according to instructions and warnings and which present a minimum risk; (2) devices subject to standards- those devices for which in order to reduce or eliminate unreasonable risk of illness or injury it is appropriate to establish reasonable standards to assure safety and effectiveness; and (3) devices subject to premarket scientific review-those devices for which inadequate evidence exists to assure safety and effectiveness. Requires the Secretary to publish a report on the device classification scheme in the Federal Register and to allow for comment by interested persons. Title II: Authority to Establish Standards - States that the standard is to relate to safety and effectiveness of devices, including consideration of specified factors. Provides for periodic evaluation of the adequacy of standards. Directs the Secretary to consult with other Federal agencies. Requires the Secretary to publish in the Federal Register a notice that proceedings have been initiated to promulgate a device standard. Specifies the content of such notification. Directs the Secretary to accept one or more offers to develop a proposed standard and to publish in the Federal Register names and addresses of persons whose offers are accepted and the terms of such offers. Directs the Secretary to prescribe regulations governing development of proposed standards. Sets forth alternatives to the development of standards, including: (1) the use of existing standards; and (2) the development of standards by the Secretary. Authorizes the Secretary to appoint independent advisory committees, to which could be referred any matters involving a proposed device standard, prior to or after its publication in the Federal Register. Prescribes the composition of such committees. Requires that manufacturers of devices subject to standards shall assure the Secretary that such devices comply with any testing methods prescribed or that such device has been manufactured in accord with current good manufacturing practices designed to assure such compliance. Provides exemptions from such requirements for specified devices. Title III: Scientific Review of Certain Medical Devices - Describes the circumstances under which scientific review premarket clearance of medical devices is required. States that scientific review of a device declared subject to such review may be otained by submitting to the Secretary an application containing specified information. Directs the Secretary to appoint standing advisory scientific panels to review device applications. Directs the Secreary, after considering the panel's recommendations, either to: (1) approve the application; (2) advise the applicant that this application is not in approvable form and inform applicant of measures required to meet approval; or (3) deny approval if the device fails to meet specified criteria. Sets forth the definition of "adequate scientific evidence". Provides for an opportunity for review of applications denied. Sets forth provisions regarding withdrawal of approval and suspension of approval. Prescribes conditions pertaining to exemptions for clinical testing on humans, including: (1) submission of an outline of the plan of initial clinical testing; (2) submission of an adequate protocol for clinical testing together with a report of prior investigations, including tests on animals, adequate to justify the proposed testing; (3) obtaining of signed agreements from investigators that humans upon whom devices are to be used will be under their personal supervision; and (4) establishment and maintenance of records. Requires the informed consent of human participants. Requires the consent agreement to contain no language through which the individual waives any legal rights or release the institution or its agents from liability for negligence. Defines "exceptional cases" as those in which consent is not feasible or where it would be contrary to the welfare or best interests of a particular subject, as determined by a physician in his professional judgment. Provides for the exemption of custom devices, ordered by a physician to be made in a special way for individual patients, if the device meets enumerated requirements. States that any person may petition the Secretary to establish a product development protocol for a particular custom device. Sets forth the grounds for revocation (or objection to notice of completion) of product development protocol. Title IV: Notification of Defective Devices; Repair or Replacement - Provides that every person acquiring information showing a device produced, assembled, or imported by him to contain a defect likely to create a substantial risk to the public health or safety, or to be in non-compliance with an applicable standard shall be required to notify the Secretary of such defect or failure if the device has left control of the manufacturer. Specifies the content of such notification and enumerates the exemptions from such requirement. Sets forth the definition of "defect". Provides for the public disclosure of a defect and for the repair, replacement or refund of the cost of defective devices to the owner. Title V: Requirement of Good Manufacturing Practice - Requires that a device, and the methods used in its manufacture, must conform to good manufacturing practice. Title VI: Records and Reports; Inspection and Registration of Establishments; Official Names - Requires persons manufacturing, processing, repacking, labeling, or distributing a device subject to a standard which is in effect, or with respect to which there is in effect an approval of an application for scientific review, to maintain records and make reports to the Secretary on clinical experience and other data relating to the safety or effectiveness of such device, or possibility of adulteration or misbranding. Title VII: General Provisions - Establishes an Advisory Council on Devices to advise the Secretary on policy matters relating to carrying out the provisions of the Act. Prohibits States from establishing or maintaining standards or regulations for any device which is specifically subject to an official Federal standard or scientific review, unless State requirements are identical to the Federal requirements. Permits the Secretary to disclose information relating to trade secrets to a contractor in furtherance of provisions of the Act, subject to the contractor's observance of such security precautions as are prescribed in the regulations. Defines the term "device" to mean instruments, apparatus, implements, machines, contrivances, implants, in vitro reagents, or similar articles, including their components, parts and accessories which are: (1) recognized in the official U.S. Pharmascopela or National Formulary, or any supplement to them, or (2) intended for use in diagnosis, treatment, or prevention of disease in man or other animals, or (3) intended to affect any structure or any function of the body of man or other animals, and (4) which do not achieve any of their principal purposes through chemical action within or on the body of man or other animals and which are not dependent upon being metabolized for achievement of their principal purposes. Defines the term "prescription device". Makes various technical amendments to the Federal Food, Drug, and Cosmetic Act to make existing law applicable to devices.
Bill· HRH.R. 9911 (93rd)referred
United States · United States Congress · 3 August 1973
Expresses the finding of Congress that an adequate supply of pure, safe human blood is essential to the welfare of the Nation. Establishes the National Blood Bank program within the Department of Health, Education and Welfare. Directs the Secretary of Health, Education and Welfare to perform enumerated duties to assure an adequate supply of blood throughout the Nation. Establishes an Advisory Council to make recommendations to the Secretary regarding: (1) policy goals of the program; (2) motivation and recognition of blood donors; (3) reciprocal transactions between national blood bank systems; and (4) removal of blood purchasing costs from health insurance plan coverage. Declares that only class A blood banks may maintain blood deposit or pledge programs in advance of their needs. Provides criminal penalties for persons violating the provisions of this Act.
Bill· HRH.R. 9878 (93rd)referred
United States · United States Congress · 3 August 1973
Comprehensive Chronic Illness Act - Provides for a program of health care, custodial care, outpatient care, and homecare for the chronically ill, and for education and training for mental retardation and others who's mental or physical conditions will prevent normal development. Provides that the Secretary of Health, Education, and Welfare shall make payments on behalf of qualified individuals to qualified institutions providing nursing home care, custodial care, home care, paramedical care, and other kinds of care and services. Authorizes appropriations of such sums as may be necessary to carry out this Act. Directs the Secretary to report annually to the President and the Congress on the program under this Act, and to conduct a five-year study on the costs of providing care for the chronically ill and to report the results and recommendations to the President and the Congress.
Bill· HRH.R. 9912 (93rd)referred
United States · United States Congress · 3 August 1973
Expresses the finding of Congress that an adequate supply of pure, safe human blood is essential to the welfare of the Nation. Establishes the National Blood Bank program within the Department of Health, Education and Welfare. Directs the Secretary of Health, Education and Welfare to perform enumerated duties to assure an adequate supply of blood throughout the Nation. Establishes an Advisory Council to make recommendations to the Secretary regarding: (1) policy goals of the program; (2) motivation and recognition of blood donors; (3) reciprocal transactions between national blood bank systems; and (4) removal of blood purchasing costs from health insurance plan coverage. Declares that only class A blood banks may maintain blood deposit or pledge programs in advance of their needs. Provides criminal penalties for persons violating the provisions of this Act.
Bill· HRH.R. 9908 (93rd)referred
United States · United States Congress · 3 August 1973
Nationally Chronicare Demonstration Center Act - States the finding of the Congress that: (1) long-term care has always been neglected in the development of the Nation's health care delivery system; (2) present programs, such as medicare and medicaid, have neglected to provide adequate coverage for long-term care; (3) any program of national health insurance must address the critical need for coverage of long-term care; (4) most Americans lack direct access to nonhospital health care; (5) society has been largely unwilling to deal with the problems of persons who are unproductive over extended periods because of poor health; (6) outmoded laws or policies limit the realistic use of paramedical personnel, resulting in increased health care costs; and (7) the nursing home industry has been the one health specialty which has accepted the responsibility for developing long-term care through the years. States that it is the purpose of this Act to establish demonstration programs to study and evaluate: (1) the effect of diagnostic services in the detection of chronic conditions; (2) the breakdown of costs and expenditures by acute and chronic conditions; and (3) the breakdown of services required by age, chronic condition, and impairment. Authorizes to be appropriated $11,000,000 for the fiscal year ending June 30, 1974, $9,000,000 for the fiscal year ending June 30, 1975, and $8,000,000 for the fiscal year ending June 30, 1976 to enable the Secretary of Health, Education, and Welfare to make grants to any public or private entity to cover all or any part of the cost of two projects, in areas of the country representative of metropolitan populations, for the development or demonstration of programs designed to provide rehabilitative, habilitative, personal support, residential, medical, dental, and mental health services for the chronically ill residents of such area through community chronicare health centers. Authorizes to be appropriated $4,500,000 for the fiscal year ending June 30, 1974, $4,000,000 for the fiscal year ending June 30, 1975, and $3,500,000 for the fiscal year ending June 30, 1976, to enable the Secretary to make grants to any public or private entity to cover all or any part of the cost of a project which will operate in conjunction with an existing health maintenance organization which is not currently providing long-term health care and which will develop or demonstrate programs designed to provide rehabilitative, habilitative, personal support, residential, medical, dental, and mental health services for the chronically ill residents of an identified population area through a community chronicare health center. Authorizes to be appropriated $6,000,000 for the fiscal year ending June 30, 1974, $5,000,000 for the fiscal year ending June 30, 1975, and $4,5000,000 for the fiscal year ending June 30, 1976, to enable the Secretary of Health, Education, and Welfare to make grants to any public or private entity to cover all or any part of the cost of a project, in an area of the country representative of a rural population, for the development or demonstration of programs designed to provide rehabilitative, habilitative, personal support, residential, medical, dental, and mental health services for the chronically ill residents of such area through a community chronicare health center. Authorizes to be appropriated $10,000,000 for the fiscal year ending June 30, 1974, $8,000,000 for the fiscal year ending June 30, 1975, and $7,000,000 for the fiscal year ending June 30, 1976, to enable the Secretary to make grants to any public or private entity to cover all or any part of the cost of two projects, in areas of the country representative of suburban populations, for the development or demonstration of programs designed to provide rehabilitative, habilitative, personal support, residential, medical, dental, and mental health services for the chronically ill residents of such area through community chronicare health centers. Authorizes to be appropriated $14,000,000 for the fiscal year ending June 30, 1974, $11,500,000 for the fiscal year ending June 30, 1975, and $9,000,000 for the fiscal year ending June 30, 1976, to enable the Secretary to make grants to any public or private entity to cover all or any part of the cost of two projects, for the development or demonstration of programs designed to provide rehabilitative, habilitative, personal support, residential, medical, dental, and mental health services for the chronically ill residents of an identified population area through community chronicare health centers, a State chronicare commission, and a State chronicare data center. Provides that each of the two projects assisted under this Act shall be located in the same State and one of the projects shall be located in a rural area. Provides that each community chronicare center utilized under a project assisted under this section shall serve an area with a population of no less than twenty-four thousand. Provides that five of the community chronicare centers utilized under a project assisted under this section shall serve a population area that is underserved by long-term health resources. Provides that in order to be eligible for a grant under this Act, an applicant must give satisfactory assurances of its capability of providing: (1) diagnostic service (as described in this Act); (2) inpatient care; (3) day care; (4) rehabilitation service (on both an inpatient and outpatient basis); and (5) outreach service. Requires each community chronicare health center assisted under this Act to maintain a therapeutic service team which shall be responsible: (1) for establishing and maintaining a total patient care plan following initial screening; (2) for assessment of patient health status on a continuing basis; and (3) for the involvement of additional ancillary service professionals for provision of required services. Requires the Secretary to make a report to the President for transmission to the Congress within two years after the date of enactment of this Act stating the progress under this Act and making recommendations for further action if needed.
Bill· HRH.R. 9850 (93rd)referred
United States · United States Congress · 2 August 1973
Provides, under the Internal Revenue Code of 1954, that blood donations shall be considered as charitable contributions deductible from gross income in an amount equal to $25 for each pint donated. (Amends 26 U.S.C. 170(i))
Bill· HRH.R. 9818 (93rd)referred
United States · United States Congress · 2 August 1973
Expands, under the Mental Retardation Facilities and Community Mental Health Centers Construction Act, the definition of "developmental disability" to include autism. (Amends 42 U.S.C. 2691)
Bill· HRH.R. 9840 (93rd)referred
United States · United States Congress · 2 August 1973
Provides for a revision of the formula employed to compute the allotment of funds for vocational rehabilitation services among the States under the Vocational Rehabilitation Act. (Amends 29 U.S.C. 32)
Bill· HRH.R. 9808 (93rd)referred
United States · United States Congress · 2 August 1973
Expresses the findings of Congress that procedures and standards should be established with respect to the operation of all blood banks in the United States. Establishes in the Department of Health, Education, and Welfare a National Blood Bank program. Directs the Secretary of Health, Education, and Welfare to perform specified functions in order to assure an adequate supply of safe blood in the Nation, including to: (1) promulgate regulations for licensing and inspection of blood banks; (2) classify blood banks as either class A blood banks or class B blood banks; (3) take such action as he considers necessary to assure that the distribution and allocation of blood among the different regions of the United States will be accomplished in as efficient a manner as possible; and (4) develop new procedures, materials, and techniques to inform the public of the need to donate blood voluntarily. Requires the Secretary to maintain a registry of all persons who give blood after January 1, 1974, to a licensed blood bank and identify donors on such registry who may have been implicated in the transmission of hepatitis or who should otherwise be disqualified as blood donors. Establishes an Advisory Council to be composed of nine members appointed by the President, which shall make recommendations to the Secretary with respect to (1) long-term policy goals of this Act; (2) the encouragement of blood donation and the motivation, recruitment, and recognition of blood donors; (3) reciprocal transactions between national blood bank systems; and (4) the removal of the cost for purchasing blood from coverage under health insurance plans. Provides that no person other than a blood bank which is classified as a class A blood bank may maintain any program in which individuals deposit blood in advance of their need for blood or pledge to give blood upon request. States that no agency or other instrumentality of the Government of the United States shall contract for or pay for the provision of blood from any person other than a class A blood bank. Provides that any person who willfully violates any provision of this Act shall be guilty of a misdemeanor and shall, on conviction thereof, be subject to imprisonment for not more than one year, or a fine of not more than $1,000, or both. Authorizes to be appropriated such sums as may be necessary to carry out the purposes of this Act.
Bill· HRH.R. 9769 (93rd)referred
United States · United States Congress · 1 August 1973
Authorizes the Secretary of Health, Education, and Welfare to make grants to nonprofit private entities and to enter into contracts with private entities: (1) for specified research and development projects designed to improve systems and delivery of health care for persons who are critically ill; (2) to support biomedical engineering projects for testing new instrumentation and systems for delivery of critical health care; and (3) for the establishment and initial operation of not more than ten critical care facilities for the delivery of health care to critically ill patients, which facilities would be used for clinical testing of new instrumentation and health care delivery systems and to train personnel in the use of such instrumentation and systems. Specifies conditions for such grants. Authorizes to be appropriated $20,000,000 to carry out the purposes of this Act.
Bill· HRH.R. 9753 (93rd)referred
United States · United States Congress · 1 August 1973
National Tay-Sachs Disease Screening and Counseling Act - Provides that it is the purpose of this Act to establish a national program under the Public Health Service Act, for voluntary Tay-Sachs disease screening and counseling. Authorizes appropriations of $2,500,000 for fiscal year 1974 for making grants to public and nonprofit entities to establish and operate such screening programs. Sets forth the procedure for applications for and administration of such grants.
Bill· HRH.R. 9752 (93rd)referred
United States · United States Congress · 1 August 1973
National Tay-Sachs Disease Screening and Counseling Act - Provides that it is the purpose of this Act to establish a national program under the Public Health Service Act, for voluntary Tay-Sachs disease screening and counseling. Authorizes appropriations of $2,500,000 for fiscal year 1974 for making grants to public and nonprofit entities to establish and operate such screening programs. Sets forth the procedure for applications for and administration of such grants.
Bill· SS. 2292 (93rd)referred
United States · United States Congress · 31 July 1973
Extends the coverage of the National Labor Relations Act to include employees of nonprofit hospitals. States that when a collective bargaining agreement is in effect between a health care institution and a labor organization representative the agreement shall continue in full force and effect, without recourse to strikes, picketing or lockouts, except as expressly permitted by this Act. Prescribes the procedure to be followed in negotiations for renewal of any such agreements. Provides that when a health care institution and a labor organization which is the bargaining representative of its employees enter into negotiations for an initial collective bargaining agreement such negotiations shall be conducted in accordance with specified procedures without recourse to strikes, picketing or lockouts, except as expressly permitted. Describes conduct which constitutes unfair labor practices. Provides for not more than four bargaining units in health care institutions (in addition to security guards): (1) professional employees; (2) technical employees; (3) clerical employees; and (4) service and maintenance employees. Gives unfair labor practice charges involving strikes and picketing at health care institutions priority over other cases in NLRB regional offices. Provides a course of action for private persons for injury due to unlawful strikes or lockouts.
Bill· HRH.R. 9679 (93rd)referred
United States · United States Congress · 30 July 1973
Provides an incentive for physicians, dentists, and optometrists, to practice in areas where shortages of such personnel exist. Authorizes the Secretary of Health, Education, and Welfare, under the Public Health Service Act, to pay in full the principal and interest on any outstanding educational loan incurred by any physician, dentist, or optometrist during his professional- level training who practices in an area where shortages of such personnel exist. States that as need is established, the Secretary may add new categories of medical personnel to those incorporated in this Act. Provides that this Act applies to loans from both public and private sources.
Bill· HRH.R. 9659 (93rd)referred
United States · United States Congress · 30 July 1973
Rural Health Act - Establishes an Office of Rural Health Care within the Department of Health, Education, and Welfare. Provides that such Office shall be directed by a Deputy Assistant Secretary for Rural Health Care who shall be appointed by the Secretary of H.E.W. Specifies the functions of the Deputy Assistant Secretary. Assigns one or more representatives of the Office to each regional office of the Department for the purpose of providing technical assistance to rural communities and to entities and individuals interested in the improvement of health care in rural areas. Authorizes to be appropriated $2,000,000 for fiscal year 1974, $4,000,000 for fiscal year 1975, and $6,000,000 for fiscal year 1976 for the purpose of operating and maintaining the Office of Rural Health Care.
Bill· HRH.R. 9651 (93rd)referred
United States · United States Congress · 26 July 1973
Establishes a system to ration refined petroleum products, natural gas, and natural gas liquids among civilian users in order to provide sufficient fuel for essential agricultural operations, and public health, safety, and essential public services in areas of shortage.
Bill· HRH.R. 9635 (93rd)referred
United States · United States Congress · 26 July 1973
Health Security Act - Title I: Health Security Benefits - Provides that every resident of the U.S. (and every non-resident citizen when in the U.S.) will be eligible for covered services. Permits reciprocal and "buy-in" agreements for groups of non-resident aliens, and in some cases benefits to U.S. residents when visiting in other countries. Entitles every eligible person to have payments made by the Health Security Board for covered services provided within the United States by a participating provider. Provides that all necessary professional services of physicians, wherever furnished are covered, including preventive care, with two important restrictions: (1) specialist services are covered only when performed by a qualified specialist except in emergency situations, and generally only on referral from a primary physician; and (2) psychiatric services to an ambulatory patient are covered only for active preventive, diagnostic, therapeutic or rehabilitative service with respect to mental illness. Provides that comprehensive dental services (exclusive of most orthodontic services) are covered for children under age 15, with the covered age group increasing by two years each year until all those under age 25 are covered. Provides that: (1) inpatient and outpatient hospital services and services of a home health agency are covered without arbitrary limitation; (2) pathology and radiology services are specifically included as parts of institutional services; and (3) custodial care is specifically excluded in specified institutional settings. Limits payment for skilled nursing home care to 120 days per spell of illness, except that this limit may be increased when the nursing home is owned or managed by a hospital and payment for care is made through the hospital's budget. Limits the psychiatric hospital benefit to 45 consecutive days of active treatment during a spell of illness. Provides coverage for two categories of drug use: prescribed medicines administered to inpatients or outpatients within participating hospitals; or to enrollees of comprehensive health service organizations, and drugs necessary for the treatment of specified chronic illnesses or conditions requiring long or expensive therapy. Requires the Board and the Secretary of Health, Education, and Welfare to establish two lists of approved drugs, taking into account the safety, efficacy and cost of each drug. Provides a broad list of approved medicines available for use in institutions and by comprehensive health service organizations and a more restricted list which is available for use outside such organized settings. Provides that the appliances benefit is similar in concept and operation to the drug benefit, subject to a limitation on aggregate cost. Asserts that the professional services of optometrists and podiatrists are covered, subject to regulations, as are diagnostic or therapeutic services furnished by independent pathology laboratories and radiology services. States that health services furnished or paid for under a workmen's compensation law are not covered. Provides that the services of a professional practitioner are not covered if they are furnished in a hospital which is not a participating provider. Requires that participating providers meet standards established in this title or by the Board. Requires that such providers must agree to provide services without discrimination, to make no unauthorized charge to the patient for any covered service, and to furnish data necessary for utilization review by professional peers, statistical studies by the Board, and verification of information for payments. Makes professional practitioners, licensed when the program begins, eligible to practice in the State where they are licensed and requires that all newly licensed applicants for participation meet national standards established by the Board in addition to those required by his State. Establishes conditions of participation for general hospitals similar to those required under Medicare. States that the two requirements not found in the Medicare program are: (1) that the hospital must not discriminate in granting staff privileges on any grounds unrelated to professional qualifications; and (2) that it establish a pharmacy and drug therapeutics committee for supervision of hospital drug therapy. Provides that psychiatric hospitals will be eligible to participate only if the Board finds that the hospital (or a distinct part of the hospital) is engaged in furnishing active diagnostic, therapeutic and rehabilitative services to mentally ill patients. Establishes conditions of participation for skilled nursing homes similar to those established for extended care facilities under Medicare. Makes provisions for the participation of home health service agencies. Describes as eligible a health maintenance organization which undertakes to provide an enrolled population either with complete health care or with complete health security services (other than institutional services, mental health or dental services) for the maintenance of the health and care of ambulatory patients. Permits a foundation sponsored by a county or other local medical society to participate as a provider of services. Authorizes the Board to deal separately with the primary care portion of a system of comprehensive health care where it is necessary to rely on arrangements with other providers. Permits the Board to contract directly with public or other nonprofit mental health centers and mental health day care services. Specifies the broad and general conditions under which independent pathology laboratories, independent radiological services, and providers of drugs, devices, appliances, equipment, or ambulance services may qualify as providers under Health Security. Requires that a participating skilled nursing home have in effect an agreement with at least one participating hospital for the transfer of patients and medical and other information as medically appropriate. Prohibits in malpractice judgments any damages to be awarded to the injured party for the cost of remedial services which he is entitled to receive under this Act. Excludes the institutions of the Department of Defense and the Veterans Administration, and institutions of the Department of Health, Education, and Welfare serving merchant seamen or Indians or Alaskan natives, from serving as participating providers, as well as any employee of these institutions when he is acting as an employee. Provides reimbursement for any services furnished by these institutions or agencies to eligible persons who are not a part of their normal clientele. Permits a physician, dentist, optometrist, or podiatrist, licensed in one State and meeting the national standards, to furnish Health Security benefits in any other State, the scope of his permissible practice being governed by the law of the State in which he is practicing. Grants a similar authority to other health professional and nonprofessional personnel. Establishes the Health Security Trust Fund, to receive the net assets of existing (Medicare) funds taken over by the Health Security program, the yield of the Health Security taxes, and the Government's contribution from general revenues amounting to 100 percent of the yield from these taxes. Provides that three separate accounts shall be established in the Health Security Trust Fund: a Health Service Account, a Health Resources Development Account, and an Administration Account. Provides that in each of the first two years of the program operation, 2 percent of the Trust Fund shall be set aside for the Health Resources Development Fund; and the allocation shall increase by 1 percent at two-year intervals to 5 percent within the next 6 years. Provides for allocation of the Health Services account among the regions of the country. Provides that the allocation to each region shall be based on the aggregate sum expended during the most recent 12-month period for covered services (with appropriate modification for estimated changes in the consumer price index, the expected number of eligible beneficiaries, and estimated changes in the number of participating providers). Provides that the Board will divide the allocation to each region into funds available to pay: institutional services; physician services; dental services; furnishing of drugs; furnishing of devices, applications, and equipment; and miscellaneous services. Provides that payments for covered services provided to eligible persons by participating providers will be made from the Health Service Account in the Trust Fund. Describes the method to be used in applying, as between practitioners electing the various methods of payment fee for service, the monies available in each health service area for payment to each category of professional providers. Authorizes the Board to experiment with other methods of reimbursement so long as the experimental method does not increase the cost of service or lead to overutilization or underutilization of services. Provides that skilled nursing homes and home health agencies will be paid in the same manner as a general hospital (on an approved annual budget basis). Provides that a health maintenance organization will be paid for covered services, on the basis of a fixed capitation rate multiplied by the number of eligible enrollees. Contains a series of provisions for developing a continuous process of health service planning and for assisting in the recruitment, education, and training of health personnel. Authorizes special improvement grants: (1) to any public or other nonprofit health agency or institution to establish improved coordination and linkages with other providers of services, and (2) to organizations providing comprehensive ambulatory care to improve their utilization review, budget, statistical, or records and information retrieval systems, to acquire equipment needed for those purposes, or to acquire equipment useful for mass screening or for other diagnostic or therapeutic purposes. Sets forth the responsibilities and duties of the Secretary of HEW and the Board with regard to this title. Creates an administrative structure within the Department of Health, Education, and Welfare with exclusive responsibility for administration of the Health Security program. Establishes a five-member full-time Health Security Board serving under the Secretary of Health, Education, and Welfare. Provides that the members shall be appointed by the President with the advice and consent of the Senate, for five-year overlapping terms. Creates the position of an Executive Director, appointed by the Board with the approval of the Secretary. Provides that the Executive Director shall serve as secretary to the Board and shall perform such duties in the administration of the program as the Board assigns to him. Provides that the program will be administered through the regional offices of the Department of Health, Education, and Welfare. Requires the establishment of sub-regional (service area) offices. Establishes a National Health Security Advisory Council, with the Chairman of the Board serving as the Council's Chairman and 20 additional members not in the employ of the Federal Government. Authorizes the Advisory Council to appoint professional or technical committees to assist in its functions. Provides that the Advisory Council will advise the Board on matters of general policy in the administration of the program, the formulation of regulations and the allocation of funds for services. Charges the Board with responsibility for informing the public and providers about the administration and operation of the Health Security program. Requires the Board to make a continuing study and evaluation of the program, including adequacy, quality and costs of services. Authorizes the Board directly or by contract to make detailed statistical and other studies on a national, regional, or local basis of any aspect of the title; to develop and test incentive systems for improving quality of care, methods of peer review of drug utilization and of other service performances; to develop and test systems of information retrieval, budget programs, instrumentation for multiphasic screening or patient services, reimbursement systems for drugs; and to make such other studies which it considers would improve the quality of services of administration of the program. Grants authority to the Board, in accordance with regulations, to make determinations of who are participating providers of services, determinations of eligibility, of whether services are covered, and the amount to be paid to providers. Allows a provider of services who is dissatisfied with a final Board determination to obtain a hearing before a Board panel, and judicial review of a final decision. Authorizes the Board, with the advice and assistance of the Commission on the Quality of Health Care, to issue and review regulations assuring the quality of care furnished under this Act. Requires continuing professional education by physicians, dentists, optometrists, and podiatrists. Provides for the appointment of a Deputy Secretary of HEW and an Under Secretary for Health and Science. States that no provision of this Act shall alter any contractual obligation of an employer to provide health services to his employees and their dependents. Title II: Health Security Taxes - Converts the existing Medicare hospital insurance payroll taxes into Health Security taxes, and raises the rates to 1 percent on employees and 3.5 percent on employers. Raises the wage base for the employee tax from the present $7,800 to $15,000 or, if higher 125 percent of the contribution and benefit base. Broadens the definitions of covered employment to include foreign agricultural workers, employees of the U.S. and its instrumentalities (other than members of the armed forces and the President, Vice-President, and Members of Congress), employees of charitable and similar organizations, railroad employees, and (for the employee tax only) employees of States and their political subdivisions and instrumentalities. Excludes from the gross income of employees, for income tax purposes, payment by their employers of part or all of the Health Security taxes on the employees. Spells out the precise effective dates of the new payroll tax provisions. Converts the existing Medicare self-employment tax into a Health Security self-employment tax, and raises the rate to 2.5 percent, and raises the maximum taxable self-employment income from $7,800 to $15,000. Adds a new 1 percent Health Security tax on unearned income (unless such income is less than $400 a year), subject to the same maximum on taxable income as is applicable to the employee and self-employment taxes. Title III: Commission on the Quality of Health Care - Establishes in the Department of HEW a Commission on the Quality of Health Care, with the primary responsibility of: (1) initiating and continuing development of methods of assessing the quality of health care furnished under the Health Security Act, and (2) submitting to the Secretary and the Health Security Board its findings and recommendations. Stipulates that in carrying out its duties the Commissioner shall emphasize, and give first consideration to, care furnished for those illnesses and conditions which have relatively high incidence in the population and which are relatively amenable to medical or other care. Title IV: Repeal or Amendment of Other Acts - Makes various conforming amendments to the medicare, medicaid, vocational rehabilitation, and Federal employees health benefits statutes to bring it into conformity with this Act. Requires that, after the effective date of benefits, no State shall be required to furnish any service covered under Health Security as a part of its State plan for participation under Medicaid, and that the Federal government will have no responsibility to reimburse any State for the cost of providing a service which is covered under Health Security. Provides that funds available under the Vocational Rehabilitation Act or the Maternal and Child Health title of the Social Security Act shall not be used to pay for personal health services after the effective date of benefits, except (to the extent prescribed in regulations by the Secretary of HEW) to pay for services which are more extensive than those covered under Health Security. Title V: Studies Related to Health Security - Authorizes the Secretary of Health, Education, and Welfare in consultation with the Secretary of State and the Secretary of Treasury to study the coverage of health services for U.S. residents in other countries. Directs the Secretary of HEW to study the feasibility and desirability of coordinating the Federal health benefit programs for merchant seamen, and Indians and Alaskan natives, and veterans and members of the Armed Forces, with the Health Security Benefit Program.
Bill· SS. 2248 (93rd)referred
United States · United States Congress · 25 July 1973
Provides for grants under the Public Health Service Act to public and private nonprofit organizations to assist them in purchasing mobile health units to serve residents of medically underserved areas. Authorizes appropriations for fiscal years 1974-1976, respectively, of $10,000,000; $15,000,000; and $20,000,000 to carry out this Act.
Resolution· HRESH.Res. 503 (93rd)passed
United States · United States Congress · 24 July 1973
States that upon the adoption of this resolution it shall be in order to move that the House resolve itself into the Committee of the Whole House on the State of the Union for the consideration of the bill (H.R. 7482) to amend the Federal Cigarette Labeling and Advertising Act of 1965 amended by the Public Health Cigarette Smoking Act of 1969 to define the term "little cigar", and for other purposes. Provides that after general debate, which shall be confined to the bill and shall continue not to exceed one hour, to be equally divided and controlled by the chairman and ranking minority member of the Committee on Interstate and Foreign Commerce, the bill shall be read for amendment under the five-minute rule. Stipulates that, at the conclusion of the consideration of the bill for amendment, the Committee shall rise and report the bill to the House with such amendments as may have been adopted, and the previous question shall be considered as ordered on the bill and amendments thereto to final passage without intervening motion except one motion to recommit. Provides that, after passage of H.R. 7482, the Committee on Interstate and Foreign Commerce shall be discharged from the further consideration of the bill S. 1165, and it shall then be in order to consider the said Senate bill in the House.
Bill· HRH.R. 9493 (93rd)referred
United States · United States Congress · 23 July 1973
National Diabetes Act - States that it is the purpose of this Act to expand the authority of the National Institute of Arthritis, Metabolism, and Digestive Diseases in order to advance the national attack on diabetes. Authorizes the Director to the National Institute of Arthritis, Metabolism, and Digestive Diseases, with the advice of the National Advisory Council of the Institute, to develop a plan for a national diabetes program. Sets forth general guidelines for such program and provides that the program shall be coordinated with the other programs conducted or administered by the research institutes of the National Institure of Health. Provides that the plan required to be developed by this Act shall be developed within two hundred seventy days after the effective date of this Act. Requires the Director of the Institute at the end of each calender year, to prepare and submit to the President for transmittal to the Congress a report on the activities, progress and accomplishments under the progrom during the preceding year and a plan for the program for the succeding five-year period. to establish programs as necessary in cooperation with other Federal health agencies, state, local and regional public health agencies, and nonprofit private health agencies, in the prevention, control diagnosis and treatment of diabetes, appropriately emphasizing the prevention, control, diagnosis and treatment of such diseases in children. Authorizes to be appropriated $25,000,000 for the fiscal year ending June 30, 1974, $35,000,000 for fiscal year ending June 30, 1975, and $45,000,000 for the fiscal year ending June 30, 1976, for the purpose of establishing such programs. States that the Director of the National Institute of Arthritis, Metabolism, and Digestive Diseases may provide for the development of not less that fifteen centers for basic and clinical research into, training in, and demonstration of advanced diagnostic, prevention and treatment methods for diabetes prevention. States that support of such a center may be for a period of not to exceed five years and may be extended by the Director of the National Institute of Arthritis, Metabolism, and Digestive Diseases for additional periods of not more than five years each, after review of the operations of the centers by a scientific review group established by the Director. Establishes an Interagency Technical Committee on Diabetes which shall be responsible for coordinating those aspects of all Federal Health Programs and activities relating to diabetes.
Bill· HRH.R. 9477 (93rd)referred
United States · United States Congress · 23 July 1973
Health Care Insurance Act - Provides, under the Social Security Act, for medical, dental, and hospital care through a system of voluntary health insurance financed in whole for low-income groups through issuance of certificates, and in part for all other persons through allowance of tax credits. Adds to the Social Security Act a new title entitled Federal Financing of Voluntary Health Insurance. Provides that, for the purpose of providing assistance on behalf of the individuals and their dependents whose income and resources are insufficient to meet the costs of necessary medical, dental, and hospital services, there is established a program of hospital, dental, and medical benefits for any eligible beneficiary and his dependents through the issuance of health insurance certificates, in full payment of allowable premium on a qualified health care insurance policy of his choice. Asserts that health insurance certificiates of entitlement will be redeemable by the carrier by payment from the Federal Health Insurance Redemption Fund. Includes as eligible beneficiaries under this title any husband and wife both under age 65 and living together and any unmarried person under age 65 who is not a dependent beneficiary. Defines a dependent beneficiary as any child of an eligible beneficiary receiving more than 50 percent of his support from the eligible beneficiary, which child is under 21, or if a student, under age 23. Provides that every individual who is an eligible beneficiary whose income results in no individual income tax liability during his base year, whose dependent beneficiaries have no such liability for their taxable years which end during his base year, and who is not eligible to receive military medical care, shall be eligible to receive a health insurance certificate of entitlement. Asserts that such certificates shall be applicable in full payment of allowable premiums for a qualified health care insurance policy or plan. Requires that such policy or plan shall provide protection for the eligible beneficiary and his dependent beneficiaries for a 12-month period beginning during his benefit year against the expenses of health care, including catastrophic expenses of illness. Allows tax credits for health care insurance. Asserts that every individual who is an eligible beneficiary who has not elected, where eligible, to receive benefits under the provisions for fully-paid health care insurance for the low-income group and who is not eligible to receive military medical care, shall be allowed at his election a credit against his income tax liability for his taxable year which ends during his base year; or a health insurance certificate of entitlement acceptable by a qualified carrier in payment toward a premium, under a qualified health care insurance policy. Specifies the amount of the tax credit or the value to be assigned to the health insurance certificate on the basis of allowable premiums. Provides that a health insurance certificate of entitlement means a certificate issued by the Secretary of Health, Education and Welfare upon application to him by an eligible beneficiary to apply toward payment of premium on a qualified health care insurance policy or plan. Specifies that a qualified health care insurance policy or plan shall be a contractual agreement specifying benefits under a program offered by a qualified carrier which has been registered by a State Agency and which provides basic institutional and medical coverage and catastrophic expense coverage. Declares that each such qualified health care insurance policy or plan shall be noncancellable and guaranteed renewable so long as the carrier continues to offer to the public one or more qualified health care insurance policies or plans, shall provide protection against the expense of health care without regard to any pre-existing conditions, and shall provide for payment under this title of usual and customary charges for services covered under the policy or plan. Stipulates what costs shall be included under basic coverage and under catastrophic expense coverage. Establishes deductibles for each of the two types of coverage. Creates a Health Insurance Advisory Board which shall consist of eleven persons including the Secretary of Health, Education, and Welfare and the Commissioner of the Internal Revenue Service. Directs that the remaining members, not otherwise in the employ of the Government, shall be appointed by the President, with the advice and consent of the Senate, without regard to the provisions of title 5, United States Code, governing appointment in the competitive service. Asserts that the Secretary of HEW shall serve as Chairman. Provides that the members shall be selected from persons who are specifically qualified to serve on such Board by virtue of their education, training, or experience. Provides that the Health Insurance Advisory Board shall perform such functions as: (1) prescribe such regulations as may be necessary to carry out the purposes and provisions of this Act; (2) establish minimum Federal standards for the use of State insurance departments in determining whether an insurance company and plan are qualified under this Act; (3) in consultation with carriers, providers of services, and consumers, plan and develop programs whose purposes are to provide for maintaining the quality of medical care; and (4) review the effectiveness of the tax credit program and file an annual report. Grants the States the power to decide which carriers are qualified. Forbids any Federal officer or employee to exercise any supervision or control over the practice of medicine or dentistry or the manner in which medical or dental services are provided, or over the selection, tenure, or compensation of any officer or employee or any institution, agency, or person providing health services; or to exercise any supervision or control over the administration or operation of any such institution, agency, or person. Creates in the Treasury a trust fund to be known as the Federal Health Insurance Redemption Fund to consist in part of an amount equal to the aggregate amount of premiums paid under this title through the redemption of health insurance certificates.
Bill· HRH.R. 9463 (93rd)referred
United States · United States Congress · 23 July 1973
National Tay-Sachs Disease Screening and Counseling Act - Provides that it is the purpose of this Act to establish a national program under the Public Health Service Act, for voluntary Tay-Sachs disease screening and counseling. Authorizes appropriations of $2,500,000 for fiscal year 1974 for making grants to public and nonprofit entities to establish and operate such screening programs. Sets forth the procedure for applications for and administration of such grants.
Bill· HRH.R. 9488 (93rd)referred
United States · United States Congress · 23 July 1973
Prohibits the use of appropriated Federal funds to carry out or assist research on living human fetuses which are outside of the mother's womb.
Bill· SS. 2219 (93rd)referred
United States · United States Congress · 20 July 1973
Public Transportation Smoking Section Act - Provides that the Secretary of Transportation and the Interstate Commerce Commission shall require common carriers under their jurisdiction to require that smoking aboard aircraft, railroad cars, buses, and vessels carrying passengers shall be limited to and permitted only in areas that shall be designated for that purpose.
Bill· HRH.R. 9449 (93rd)referred
United States · United States Congress · 20 July 1973
Health Care Insurance Act - Provides, under the Social Security Act, for medical, dental, and hospital care through a system of voluntary health insurance financed in whole for low-income groups through issuance of certificates, and in part for all other persons through allowance of tax credits. Adds to the Social Security Act a new title entitled Federal Financing of Voluntary Health Insurance. Provides that, for the purpose of providing assistance on behalf of the individuals and their dependents whose income and resources are insufficient to meet the costs of necessary medical, dental, and hospital services, there is established a program of hospital, dental, and medical benefits for any eligible beneficiary and his dependents through the issuance of health insurance certificates, in full payment of allowable premium on a qualified health care insurance policy of his choice. Asserts that health insurance certificiates of entitlement will be redeemable by the carrier by payment from the Federal Health Insurance Redemption Fund. Includes as eligible beneficiaries under this title any husband and wife both under age 65 and living together and any unmarried person under age 65 who is not a dependent beneficiary. Defines a dependent beneficiary as any child of an eligible beneficiary receiving more than 50 percent of his support from the eligible beneficiary, which child is under 21, or if a student, under age 23. Provides that every individual who is an eligible beneficiary whose income results in no individual income tax liability during his base year, whose dependent beneficiaries have no such liability for their taxable years which end during his base year, and who is not eligible to receive military medical care, shall be eligible to receive a health insurance certificate of entitlement. Asserts that such certificates shall be applicable in full payment of allowable premiums for a qualified health care insurance policy or plan. Requires that such policy or plan shall provide protection for the eligible beneficiary and his dependent beneficiaries for a 12-month period beginning during his benefit year against the expenses of health care, including catastrophic expenses of illness. Allows tax credits for health care insurance. Asserts that every individual who is an eligible beneficiary who has not elected, where eligible, to receive benefits under the provisions for fully-paid health care insurance for the low-income group and who is not eligible to receive military medical care, shall be allowed at his election a credit against his income tax liability for his taxable year which ends during his base year; or a health insurance certificate of entitlement acceptable by a qualified carrier in payment toward a premium, under a qualified health care insurance policy. Specifies the amount of the tax credit or the value to be assigned to the health insurance certificate on the basis of allowable premiums. Provides that a health insurance certificate of entitlement means a certificate issued by the Secretary of Health, Education and Welfare upon application to him by an eligible beneficiary to apply toward payment of premium on a qualified health care insurance policy or plan. Specifies that a qualified health care insurance policy or plan shall be a contractual agreement specifying benefits under a program offered by a qualified carrier which has been registered by a State Agency and which provides basic institutional and medical coverage and catastrophic expense coverage. Declares that each such qualified health care insurance policy or plan shall be noncancellable and guaranteed renewable so long as the carrier continues to offer to the public one or more qualified health care insurance policies or plans, shall provide protection against the expense of health care without regard to any pre-existing conditions, and shall provide for payment under this title of usual and customary charges for services covered under the policy or plan. Stipulates what costs shall be included under basic coverage and under catastrophic expense coverage. Establishes deductibles for each of the two types of coverage. Creates a Health Insurance Advisory Board which shall consist of eleven persons including the Secretary of Health, Education, and Welfare and the Commissioner of the Internal Revenue Service. Directs that the remaining members, not otherwise in the employ of the Government, shall be appointed by the President, with the advice and consent of the Senate, without regard to the provisions of title 5, United States Code, governing appointment in the competitive service. Asserts that the Secretary of HEW shall serve as Chairman. Provides that the members shall be selected from persons who are specifically qualified to serve on such Board by virtue of their education, training, or experience. Provides that the Health Insurance Advisory Board shall perform such functions as: (1) prescribe such regulations as may be necessary to carry out the purposes and provisions of this Act; (2) establish minimum Federal standards for the use of State insurance departments in determining whether an insurance company and plan are qualified under this Act; (3) in consultation with carriers, providers of services, and consumers, plan and develop programs whose purposes are to provide for maintaining the quality of medical care; and (4) review the effectiveness of the tax credit program and file an annual report. Grants the States the power to decide which carriers are qualified. Forbids any Federal officer or employee to exercise any supervision or control over the practice of medicine or dentistry or the manner in which medical or dental services are provided, or over the selection, tenure, or compensation of any officer or employee or any institution, agency, or person providing health services; or to exercise any supervision or control over the administration or operation of any such institution, agency, or person. Creates in the Treasury a trust fund to be known as the Federal Health Insurance Redemption Fund to consist in part of an amount equal to the aggregate amount of premiums paid under this title through the redemption of health insurance certificates.
Bill· HRH.R. 9459 (93rd)referred
United States · United States Congress · 20 July 1973
Makes it a Federal crime to carry out any research activity on a human fetus or to intentionally take any action to kill or hasten the death of a human fetus in any Federally supported facility or activity. Provides criminal penalties for violation of this Act. (Adds 18 U.S.C. 246)
Bill· HRH.R. 9365 (93rd)referred
United States · United States Congress · 18 July 1973
Expands, under the Mental Retardation Facilities and Community Mental Health Centers Construction Act, the definition of "developmental disability" to include autism. (Amends 42 U.S.C. 2691)
Bill· HRH.R. 9363 (93rd)referred
United States · United States Congress · 18 July 1973
Expands, under the Mental Retardation Facilities and Community Mental Health Centers Construction Act, the definition of "developmental disability" to include autism. (Amends 42 U.S.C. 2691)
Bill· HRH.R. 9364 (93rd)referred
United States · United States Congress · 18 July 1973
Expands, under the Mental Retardation Facilities and Community Mental Health Centers Construction Act, the definition of "developmental disability" to include autism. (Amends 42 U.S.C. 2691)
Bill· HRH.R. 9341 (93rd)referred
United States · United States Congress · 17 July 1973
Public and Allied Health Personnel Act - Authorizes the Secretary of Health, Education, and Welfare to make grants and enter into contracts to assist eligible entities in meeting the costs of development, demonstration, study, or experimentation projects undertaken with respect to one or more of the projects specified under this Act, including; (1) methods of providing graduate education for public and community health personnel; (2) methods of providing short-term and continuing education for public and community health personnel; and (3) model curricula for the education of public and community health personnel. States that the Secretary shall give special consideration to applications for projects which are concerned with public and community health personnel for which there is the greatest national need. Provides that the Secretary shall make grants to public or nonprofit private graduate schools of public health and public and nonprofit private educational entities for the purpose of supporting graduate educational programs. Authorizes an appropriation of $20,000,000 for fiscal year 1974 for such grants and contracts. Directs the Secretary to: (1) establish traineeships in the Department to train individuals to perform public and community health services for which the Secretary determines there is unusual need; and (2) make grants to public or nonprofit private entities for traineeships to provide such training. Authorizes an appropriation a of $12,000,000 for fiscal year 1974 for grants to such institutions. Directs the Secretary to continuously develop, publish, and disseminate on a nationwide basis statistics and other information respecting public and community health personnel, including: (1) descriptions of the various types of activities in which public and community health personnel are engaged; and (2) needs for various types of public and community health personnel. Directs the Secretary to submit annually to the Committee on Interstate and Foreign Commerce of the House of Representatives and the Committee on Labor and Public Welfare of the Senate a report on such statistics and activities conducted under this Act. Authorizes the Secretary to make grants and enter into contracts to assist eligible entities in meeting the costs of specified planning, study, development, demonstration, and evaluation projects including; (1) methods of coordination, management, and articulation of education and training at various levels for allied health personnel within and among educational institutions and their clinical affiliates; (2) methods and techniques for State and regional coordination and monitoring of education and training for allied health personnel. Authorizes an appropriation of $40,000,000 for grants and contracts for the above steps for fiscal year 1974. Authorizes the Secretary to make grants to public and nonprofit private entities for traineeships provided by such entities for the training of allied health personnel to teach in training programs for such personnel or to serve in administrative or supervisory positions, and authorizes an appropriation of $7,500,000 for such grants in fiscal 1974. Directs the Secretary to continuously develop, publish, and disseminate, on a nationwide basis, statistical and other information respecting allied health personnel. Directs that such information shall be submitted to the appropriate committees of the Congress. Directs the Secretary to continue to support only those programs under this Act which meet his regulations as to quality. Directs the Secretary to conduct studies to identify the various types of allied health personnel and training programs and to discover in which types shortages of personnel exist and what training programs should be assisted to meet the shortages.
Bill· HRH.R. 9375 (93rd)referred
United States · United States Congress · 17 July 1973
Repeals, under the Social Security Act, the provisions for the establishment of Professional Standards Review Organizations to review services covered under the medicare and medicaid programs.
Bill· HRH.R. 9322 (93rd)referred
United States · United States Congress · 17 July 1973
National Tay-Sachs Disease Control Act - States that it is the purpose of this Act to establish a national program, under the Public Health Service Act, for voluntary Tay-Sachs disease screening and counseling and for reasearch in such disease. Authorizes appropriations of $2,500,000 for fiscal year 1974 for grants to public and nonprofit entities to establish Tay-Sachs disease screening and counseling programs, and to initiate projects for research in the diagnosis, treatment, and prevention of the disease. Authorizes appropriations of $500,000 for fiscal year 1974 to enable the Secretary to carry out an educational program relating to Tay-Sachs disease.
Bill· HRH.R. 9340 (93rd)referred
United States · United States Congress · 17 July 1973
Hemophilia Act - Provides that any individual suffering from hemophilia may file a claim for benefits under this part with the Secretary of Health, Education and Welfare in such form and containing such information as he may reasonably require. States that benefits under this part shall be paid to, or on behalf of a claimant, in an amount equal to 100 percent of the actual cost of providing blood, blood products, and services associated with the treatment of hemophilia, less: (1) amounts payable by third parties (including governmental agencies), and (2) amounts determined by the Secretary (in accordance with this Act) to be payable by the individual suffering from hemophilia. Authorizes to be appropriated for the fiscal years beginning July 1, 1973, and ending June 30, 1976, such sums as may be necessary to carry out the purpose of this Act. Directs the Secretary to provide for the establishment of no less than fifteen new centers for the diagnosis and treatment of individuals suffering from hempophilia. Authorizes to be appropriated to carry out the purposes of this section $5,000,000 for the fiscal year ending June 30, 1974, $10,000,000 for the fiscal year ending June 30, 1975, and $15,000,000 for the fiscal year ending June 30, 1976. Provides the Secretary shall establish a program within the Public Health Service to provide for diagnosis, treatment, and counseling of individuals suffering from hemophilia. States that such program shall be made available through the facilities of the Public Health Service to any individual requesting diagnosis, treatment, or counseling for hemophilia. Permits the Secretary to make grants to public and nonprofit private entities, and to enter into contracts with public and private entities and individuals to establish blood fractionation centers, for the purpose of fractionating and making available for distribution blood and blood products, in accordance with regulations prescribed by the Secretary to hemophilia treatment and diagnostic centers. Authorizes to be appropriated $5,000,000 for the fiscal year ending June 30, 1974, $10,000,000 for the fiscal year ending June 30, 1975, and $15,000,000 for the fiscal year ending June 30, 1976 for this purpose. Establishes in the National Institutes of Health a National Hemophilia Advisory Board to be composed of twenty members. States that it shall be the function of the Board to: (1) establish guidelines for the diagnosis and treatment of persons suffering from hemophilia; and (2) submit a report to the President for transmittal to the Congress not later than January 31 of each year on the scope of actions conducted under this Act.
Bill· HRH.R. 9332 (93rd)referred
United States · United States Congress · 17 July 1973
National Diabetes Act - States that it is the purpose of this Act to expand the authority of the National Institute of Arthritis, Metabolism, and Digestive Diseases in order to advance the national attack on diabetes. Authorizes the Director to the National Institute of Arthritis, Metabolism, and Digestive Diseases, with the advice of the National Advisory Council of the Institute, to develop a plan for a national diabetes program. Sets forth general guidelines for such program and provides that the program shall be coordinated with the other programs conducted or administered by the research institutes of the National Institure of Health. Provides that the plan required to be developed by this Act shall be developed within two hundred seventy days after the effective date of this Act. Requires the Director of the Institute at the end of each calender year, to prepare and submit to the President for transmittal to the Congress a report on the activities, progress and accomplishments under the progrom during the preceding year and a plan for the program for the succeding five-year period. to establish programs as necessary in cooperation with other Federal health agencies, state, local and regional public health agencies, and nonprofit private health agencies, in the prevention, control diagnosis and treatment of diabetes, appropriately emphasizing the prevention, control, diagnosis and treatment of such diseases in children. Authorizes to be appropriated $25,000,000 for the fiscal year ending June 30, 1974, $35,000,000 for fiscal year ending June 30, 1975, and $45,000,000 for the fiscal year ending June 30, 1976, for the purpose of establishing such programs. States that the Director of the National Institute of Arthritis, Metabolism, and Digestive Diseases may provide for the development of not less that fifteen centers for basic and clinical research into, training in, and demonstration of advanced diagnostic, prevention and treatment methods for diabetes prevention. States that support of such a center may be for a period of not to exceed five years and may be extended by the Director of the National Institute of Arthritis, Metabolism, and Digestive Diseases for additional periods of not more than five years each, after review of the operations of the centers by a scientific review group established by the Director. Establishes an Interagency Technical Committee on Diabetes which shall be responsible for coordinating those aspects of all Federal Health Programs and activities relating to diabetes.
Bill· HRH.R. 9304 (93rd)referred
United States · United States Congress · 16 July 1973
Makes an additional appropriation of $20,000,000 to the National Institute of Arthritis, Rheumatism, Metabolic Diseases, and Digestive Diseases for the fiscal year ending June 30, 1974, for research on the cause and treatment of diabetes.
Bill· HRH.R. 9288 (93rd)referred
United States · United States Congress · 16 July 1973
Waives the existing requirement under title XIX (Grants to States for Medical Assistance Programs) of the Social Security Act that all medicaid patients (with the exception of individuals with severe chronic medical disabilities) be given free choice in the selection of treatment facilities in cases where the services involved are being effectively provided through locally operated public health centers, or where such services may be most effectively obtained in designated specialized medical centers. (Amends 42 U.S.C. 1396a(a)(23))
Bill· HRH.R. 9258 (93rd)referred
United States · United States Congress · 12 July 1973
Removes the limitation on the amount of Federal payments to States for skilled nursing home and intermediate care facility services under the medicaid program of the Social Security Act.
Bill· HRH.R. 9254 (93rd)referred
United States · United States Congress · 12 July 1973
Expresses the finding of Congress that an adequate supply of pure, safe human blood is essential to the welfare of the Nation. Establishes the National Blood Bank program within the Department of Health, Education and Welfare. Directs the Secretary of Health, Education and Welfare to perform enumerated duties to assure an adequate supply of blood throughout the Nation. Establishes an Advisory Council to make recommendations to the Secretary regarding: (1) policy goals of the program; (2) motivation and recognition of blood donors; (3) reciprocal transactions between national blood bank systems; and (4) removal of blood purchasing costs from health insurance plan coverage. Declares that only class A blood banks may maintain blood deposit or pledge programs in advance of their needs. Provides criminal penalties for persons violating the provisions of this Act.
Bill· HRH.R. 9224 (93rd)referred
United States · United States Congress · 12 July 1973
Expresses the finding of Congress that an adequate supply of pure, safe human blood is essential to the welfare of the Nation. Establishes the National Blood Bank program within the Department of Health, Education and Welfare. Directs the Secretary of Health, Education and Welfare to perform enumerated duties to assure an adequate supply of blood throughout the Nation. Establishes an Advisory Council to make recommendations to the Secretary regarding: (1) policy goals of the program; (2) motivation and recognition of blood donors; (3) reciprocal transactions between national blood bank systems; and (4) removal of blood purchasing costs from health insurance plan coverage. Declares that only class A blood banks may maintain blood deposit or pledge programs in advance of their needs. Provides criminal penalties for persons violating the provisions of this Act. States that a Federal or District of Columbia employee may be excused from duty without loss of pay or deduction from annual leave for the time necessary for him to donate in blood collection programs carried out under the national blood bank program.
Bill· HRH.R. 9211 (93rd)referred
United States · United States Congress · 11 July 1973
National Diabetes Act - States that it is the purpose of this Act to expand the authority of the National Institute of Arthritis, Metabolism, and Digestive Diseases in order to advance the national attack on diabetes. Authorizes the Director to the National Institute of Arthritis, Metabolism, and Digestive Diseases, with the advice of the National Advisory Council of the Institute, to develop a plan for a national diabetes program. Sets forth general guidelines for such program and provides that the program shall be coordinated with the other programs conducted or administered by the research institutes of the National Institure of Health. Provides that the plan required to be developed by this Act shall be developed within two hundred seventy days after the effective date of this Act. Requires the Director of the Institute at the end of each calender year, to prepare and submit to the President for transmittal to the Congress a report on the activities, progress and accomplishments under the progrom during the preceding year and a plan for the program for the succeding five-year period. to establish programs as necessary in cooperation with other Federal health agencies, state, local and regional public health agencies, and nonprofit private health agencies, in the prevention, control diagnosis and treatment of diabetes, appropriately emphasizing the prevention, control, diagnosis and treatment of such diseases in children. Authorizes to be appropriated $25,000,000 for the fiscal year ending June 30, 1974, $35,000,000 for fiscal year ending June 30, 1975, and $45,000,000 for the fiscal year ending June 30, 1976, for the purpose of establishing such programs. States that the Director of the National Institute of Arthritis, Metabolism, and Digestive Diseases may provide for the development of not less that fifteen centers for basic and clinical research into, training in, and demonstration of advanced diagnostic, prevention and treatment methods for diabetes prevention. States that support of such a center may be for a period of not to exceed five years and may be extended by the Director of the National Institute of Arthritis, Metabolism, and Digestive Diseases for additional periods of not more than five years each, after review of the operations of the centers by a scientific review group established by the Director. Establishes an Interagency Technical Committee on Diabetes which shall be responsible for coordinating those aspects of all Federal Health Programs and activities relating to diabetes.
Bill· HRH.R. 9165 (93rd)referred
United States · United States Congress · 10 July 1973
Repeals the limitation on Federal payments to States for skilled nursing home and intermediate care facility services under the medicaid program.
Bill· HRH.R. 9166 (93rd)referred
United States · United States Congress · 10 July 1973
Health Care Insurance Act - Provides for, under the Social Security Act, medical and hospital care through a system of voluntary health insurance financed in whole for low-income groupos through issuances of certificates, and in part for all other persons through allowance of tax credits. Adds to the Social Security Act a new title entitled Federal Financing of Voluntary Health Insurance. Provides that, for the purpose of providing assistance on behalf of the individuals and their dependents whose income and resources are insufficient to meet the costs of necessary medical and hospital services, there is established a program of hospital and medical benefits for any eligible beneficiary and his dependents through the issuance of health insurance certificates of entitlement which will be redeemable by the carrier by payment from the Federal Health Insurance Redemption Fund. Asserts that benefits claimed under this provision shall not be duplicated under any other programs financed in whole or in part by the Federal Government. Includes as eligible beneficiaries under this title any husband and wife both under age 65 and living together and any married person under age 65 who is not a dependent beneficiary. Defines a dependent beneficiary as any child of an eligible beneficiary receiving more than 50 percent of his support from the eligible beneficiary, which child is under 21, or if a student, under age 23. Provides that every individual who is an eligible beneficiary whose income results in no individual income tax liability during his base year, whose dependent beneficiaries have no such liability for their taxable years which end during his base year, and who is not eligible to receive military medical care, shall be eligible to receive a health insurance certificate of entitlement. Asserts that such certificates shall be applicable in full payment of allowable premiums for a qualified health care insurance policy or plan. Requires that such policy or plan shall provide protection for the eligible beneficiary and his dependent beneficiaries for a 12-month period beginning during his benefit year against the expenses of health care, including catastrophic expenses of illness. Defines the base year of an eligible beneficiary as his taxable year in respect to which is his entitlement to an insurance certificate is determined. Allows tax credits for health care insurance. Asserts that every individual who is an eligible beneficiary who has not elected, where eligible, to receive benefits under the provisions for fully-paid health care insurance for the low-income group and who is not eligible to receive military medical care, shall be allowed at his election: a credit against his income tax liability for his taxable year which ends during his base year; or a health insurance certificate on the basis of allowable premiums. Provides that a health insurance certificate of entitlement means a certificate issued by the Secretary of Health, Education and Welfare upon application to him by an eligible beneficiary to apply toward payment of the premium on a qualified health care insurance policy or plan. Specifies that a qualified health care insurance policy or plan shall be a contractual agreement specifying benefits under a program offered by a qualified carrier which has been registered by a State Agency and which provides basic institutional and medical coverage and catastrophic expense coverage. Declares that each such qualified health care insurance policy or plan shall be noncancellable and guaranteed renewable so long as the carrier continues to offer to the public one or more qualified health care insurance policies or plans, shall provide protection against the expense of health care without regard to any pre-existing conditions, and shall provide for payment under this title of usual and customary charges for services covered under the policy or plan. Stipulates what costs shall be included under basic institutional and medical coverage and under catastrophic expense coverage. Establishes deductibles for each of the two types of coverage. Creates a Health Insurance Advisory Board which shall consist of eleven persons including the Secretary of Health, Education, and Welfare and the Commissioner of the Internal Revenue Service, or their delegates. Directs that the remaining members, not otherwise in the employ of the Government, shall be appointed by the President, with the advice and consent of the Senate. Asserts that the Secretary of HEW shall serve as Chairman. Provides that the members shall be selected from persons who are specifically qualified to serve on such Board by virtue of their education, training, or experience. Provides that the Health Insurance Advisory Board shall perform such functions as: (1) prescribe such regulations as may be necessary to carry out the purposes and provisions of this Act; (2) establish minimum Federal standards for the use of State insurance departments in determining whether an insurance company and plan are qualified under this Act; (3) in consultation with carriers, providers of services, and consumers, plan and develop programs whose purposes are to provide for maintaining the quality of medical care; and (4) review the effectiveness of the tax credit program and file an annual report. Grants the States the power to decide which carriers are qualified. Forbids any Federal officer or employee to exercise any supervision or control over the practice of medicine or the manner in which medical services are provided, or over the selection, tenure, or compensation of any officer or employee or any institution, agency, or person providing health services; or to exercise any supervision control over the administration or operation of any such institution, agency, or person. Creates in the Treasury a trust fund to be known as the Federal Health Insurance Redemption Fund to consist in part of an amount equal to the aggregate amount of premiums paid under this title through the redemption of health insurance certificates.