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Bill· HRH.R. 7937 (95th)referred
United States · United States Congress · 22 June 1977
Health Security Act - Title I: Health Security Benefits - Makes every resident of the U.S. (and every non-resident citizen when in the U.S.) eligible for covered services. Permits reciprocal and "buy-in" agreements for groups or 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. Extends coverage to all necessary professional services of physicians, wherever furnished. Extends coverage to: (1) comprehensive dental services (exclusive of most orthodontic services) for children under age 15, with the covered age group increasing by two years each year until all those under age 25 are covered; (2) inpatient and outpatient hospital services and services of a home health agency; and (3) pathology and radiology services as parts of institutional services. Limits payment for skilled nursing home care. Limits the psychiatric hospital benefit to 45 consecutive days of active treatment during a spell of illness. Extends coverage to 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. Lists approved medicines available for use in institutions and by comprehensive health service organizations and those available for use outside such organized settings. Declares that the appliances benefit is similar in concept and operation to the drug benefit, subject to a limitation on aggregate cost. Extends coverage to professional services of optometrists and podiatrists, subject to regulations, and diagnostic or therapeutic services furnished by independent pathology laboratories and radiology services. Excludes from coverage: (1) health services furnished or paid for under a workmen's compensation law; and (2) services of a professional practitioner 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. Makes professional practitioners licensed when the program becomes 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 existing State standards. Establishes conditions of participation for general hospitals. Makes psychiatric hospitals eligible to participate only if the Board finds that 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. Allows the participation of the following as providers of health services under this Act: (1) a health maintenance organization which undertakes to provide an enrolled population either with complete health care or, at least, with complete health security services (other than institutional services, mental health or dental services) for the maintenance of health and the care of ambulatory patients; (2) a foundation sponsored by a county or other local medical society; and (3) community health centers or the like which, though furnishing services as comprehensive as are required by this Act, do not serve an enrolled or otherwise predetermined population and may not meet other requirements of this Act. 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 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 medical 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 acting as an employee. Allows reimbursement for any services furnished by such 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. Grants similar authority to other professional and nonprofessional health 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. Directs that three separate accounts be established in the Health Security Trust Fund: a Health Service Account, a Health Resources Development Account, and an Administration Account. Make provision for allocation of the Health Services account among the regions of the country. Stipulates 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). Directs the Board to divide the allocation to each region into funds available to pay: institutional services; physician services; dental services; furnishing of drugs; furnishing of devices, appliances, equipment; and miscellaneous services. Stipulates that payments for covered services provided to eligible persons by participating providers shall be made from the Health Service Account in the Trust Fund. 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. Stipulates that skilled nursing homes and home health agencies shall be paid in the same manner as a general hospital (on an approved annual budget basis). Stipulates that a health organization shall be paid for covered services, on the basis of a fixed capitation rate multiplied by the number of eligible enrollees. 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 the administration of the Health Security program. Establishes a five-member, full-time Health Security Board serving under the Secretary of Health, Education, and Welfare. Requires that the members be appointed by the President with the advice and consent of the Senate, for five-year overlapping terms. 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. Directs the Advisory Council to 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 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, and reimbursement systems for drugs; and to make such other studies which it considers would improve the quality of services and the 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. Authorizes the appointment of a Deputy Secretary of HEW and an Under Secretary for Health and Science. Stipulates 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 one percent on employees and 3.5 percent on employers. 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. Converts the existing Medicare self-employment tax into a Health Security self-employment tax, raising the rate to 2.5 percent. Adds a new one 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 Commission 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 - Requires that after the effective date of benefits received under this Act no State shall be required to furnish any service covered under Health Security as a part of its State plan for participation under Medicaid. 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 the 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 also veterans and members of the Armed Forces, with the Health Security Benefit Program.
Bill· HRH.R. 7907 (95th)referred
United States · United States Congress · 21 June 1977
Comprehensive Health Care Insurance Act - Requires every employer to offer each of his employees and their families qualified health care insurance. States that such coverage shall be optional with the employee. Requires an employer to contribute to the cost of such coverage for the benefit of an electing employee and his family at least 65 percent of the premium, with the employee contributing the balance. Establishes, for low-income employees, a program of certificates of entitlement or income tax credit in the amount by which the portion of the premium payable by such an employee exceeds the premium for which he would be liable under the program of health insurance for the unemployed or self-employed as established by this Act. Authorizes the Attorney General to bring suit to compel an employer to comply with the provisions of this Act. Stipulates that employers experiencing substantial increases in payroll cost due to the provisions of this Act will be entitled to a cash payment by the Secretary of Health, Education, and Welfare or a credit against income tax. States that premiums for employee groups of one to 100 persons and self-employed persons shall not exceed 125 percent of the estimated average in the State of the annual premium for employee groups of more than 100 persons. Sets forth a plan of health insurance providing hospital, medical, dental, and other health care services for non-employed and self-employed individuals and their families. Establishes, as a means of implementing such plan, a program of certificates of entitlement issued by the Secretary and credits against income tax for the premium for qualified health care insurance. States that the amount of Federal participation shall be related to the income of the individual or family, the Government to pay the full premium for those whose annual incomes are insufficient to create income tax liability, and to pay a gradually smaller proportion of the premium for others in relation to increasing amounts of income tax liability. Provides qualified health care insurance for an individual or family with no tax liability for the base year. Stipulates that the premium rate to be charged for a qualified health care insurance policy offered under such plan for any year shall in no case exceed 125 percent of the estimated average of premiums paid in the State for qualified health care insurance for groups of employees with more than 100 members. Excludes from qualified health care insurance coverage payment for stipulated items, including: (1) personal comfort items; (2) eyeglasses, hearing aids, or orthopedic shoes; and (3) private room inpatient hospital accommodations. Limits the aggregate amount of expenditures for catastrophic illness expenses. Sets forth requirements which must be met by qualified health care insurance plans. Establishes the Federal Health Insurance Redemption Fund. Authorizes appropriations to the fund of amounts equal to the aggregate amount of premiums paid under this Act. Requires carriers offering qualified health care insurance policies to participate in an assigned-risk pool which may be established in such State by the State insurance department or by such agency as may be authorized by the State. Establishes a Health Insurance Advisory Board to: (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, review, and develop, where necessary, programs whose purposes are to provide for maintaining the quality of medical care; and (4) review the effectiveness of the program established by this Act. Stipulates that individuals collecting unemployment compensation are eligible for coverage under this Act, unless covered through an employed member of his family. Permits an income tax credit for premiums paid for qualified insurance plans under this Act.
Bill· HRH.R. 7897 (95th)referred
United States · United States Congress · 20 June 1977
Recombinant DNA Act - Amends the Public Health Service Act to regulate recombinant DNA activities. Requires that all recombinant DNA activities conducted during the interim control period, which shall begin on the tenth day after the date of enactment of this Act, and end eighteen months after such date or on the date on which certain regulations promulgated by the Secretary of Health, Education, and Welfare take effect, whichever occurs first, be carried out in accordance with the physical and biological containment requirements in the recombinant DNA research guidelines of the Department of Health, Education and Welfare published on July 7, 1976. Requires that every individual or entity responsible for conducting any recombinant DNA activity on the date of enactment of this Act, or to be commenced during the interim control period, submit a report with respect to such activity to the Secretary. Requires each facility conducting any recombinant DNA activity to be licensed in accordance with this Act. Requires the Secretary to promulgate regulations with respect to the issuance of such licenses prescribing containment requirements, laboratory safety requirements, and reporting procedures. Directs the Secretary to promulgate regulations to control the conduct of recombinant DNA activities carried on outside of such licensed facilities prescribing containment and personnel safety requirements. Sets forth the procedure for the issuance of licenses to facilities to conduct recombinant DNA activity with respect to the authority of the Secretary and local biohazards committees to issue such licenses. Requires the Secretary to compile a list of recombinant DNA activities authorized by this Act, and to make such list available for public inspection. Prohibits the licensing of any facility unless a local biohazards committee has been established in accordance with this Act with jurisdiction over such facility. Authorizes such committees to issue licenses to certain facilities, and requires such committees to inspect and monitor recombinant DNA activities conducted in such facilities. Authorizes the inspection of facilities conducting recombinant DNA activities by inspectors designated by the Secretary. Establishes civil and criminal penalties for violation of this Act. Sets forth the procedure for disclosure of certain otherwise confidential data if the Secretary or committee determines that the release of such data is necessary to protect against an imminent, unreasonable risk of injury to health or the environment. Establishes the Recombinant DNA Advisory Committee to advise the Secretary in promulgating regulations required by this Act.
Bill· HRH.R. 7875 (95th)referred
United States · United States Congress · 20 June 1977
Exempts residential care facilities from the minimum wages and maximum hours provisions of the Fair Labor Standards Act with respect to the employment of patients.
Bill· HRH.R. 7870 (95th)referred
United States · United States Congress · 17 June 1977
Amends Title XVIII (Medicare) of the Social Security Act to expand coverage the supplementary medical insurance program to include physician extender services to the extent recognized under State law.
Bill· HRH.R. 7833 (95th)referred
United States · United States Congress · 16 June 1977
Amends Title XVIII (Medicare) of the Social Security Act to provide payment for optometric and medical vision care under the supplementary medical insurance program.
Bill· HRH.R. 7801 (95th)referred
United States · United States Congress · 15 June 1977
Amends Title XVIII (Medicare) of the Social Security Act to authorize payment for specified services performed by chiropractors, including x-rays and physical examinations, and related routine laboratory tests.
Bill· HRH.R. 7806 (95th)referred
United States · United States Congress · 15 June 1977
Pregnant Women's Assistance Act - Amends the Public Health Service Act to authorize the Secretary of Health, Education, and Welfare to make grants to public and nonprofit private entitles: (1) to assist in the operation of projects to provide counseling to pregnant women on their legal rights and the services available to help them carry the fetus to term, and to raise and care for the child; and (2) to assist in the development of information about such rights and services, and on family planning and population growth.
Bill· SS. 1693 (95th)referred
United States · United States Congress · 14 June 1977
Veterans Health Care Amendments Act - Requires the Administrator of Veterans' Affairs to furnish initial readjustment professional counseling (including a general mental and psychological assessment) for any veteran with readjustment problems who requests such aid within four years after his discharge or release from service, or within two years after enactment of this Act, whichever is later. Requires further mental health services on an outpatient basis if a physician employed by the Veterans' Administration determines on the basis of initial counseling that such services are necessary for the veteran's successful readjustment. Directs the Chief Medical Director to provide for the training of professional, paraprofessional, and lay personnel necessary to carry out such programs. Directs the Administrator to ensure that all potentially eligible veterans are advised of such potential eligibility. Authorizes the Administrator to provide a preventive health care program to ensure the best possible health care for veterans with service- connected disabilities. Directs the Administrator to provide for a health maintenance pilot program to demonstrate the medical advantages and cost-effectiveness of furnishing comprehensive preventive health care services to veterans with varied types and degrees of service-connected disabilities. Requires a comprehensive annual report to Congress on such programs. Requires the Administrator to carry out programs providing inpatient and outpatient treatment and rehabilitation services on a nationwide basis to eligible veterans suffering from alcohol or drug dependence or abuse disabilities. Directs the Administrator to assist the Secretary of Labor in providing veterans receiving such treatment with appropriate job and training opportunities. Requires the Administrator, when an applicant for such treatment has received a less than honorable discharge from the armed services, to advise such applicant of his right to apply for review and correction of such discharge. Requires the provision of such services to eligible veterans who are charged with or convicted of any criminal offense and who are not confined and not required to participate in such a treatment program; and permits provision of such services, under specified conditions, to eligible veterans similarly charged or convicted, if a court does require participation in such a program. Allows a member of the active armed services with alcohol or drug problems to transfer to any Veterans' Administration facility for treatment within the last 30 days of such member's tour of duty. Directs the Administrator and the Secretary of Health, Education and Welfare to coordinate the Professional Standards Review program carried out under part B of title XI (General Provision) of the Social Security Act and the comparable programs carried out by the Department of Medicine and Surgery to assess the quality of patient care in Veterans' Administration health care facilities. Requires the Chief Medical Director, through the Administrator, to report to Congress on the effectiveness of such coordination. Requires the Chief Medical Director to report to Congress, not later than three months after the end of each fiscal year, on all activities in which he or a designee, as a representative of the Veterans' Administration, has participated in an advisory or coordinating capacity with respect to programs carried out by the executive branch.
Bill· SS. 1684 (95th)referred
United States · United States Congress · 13 June 1977
Amends the Public Health Service Act to allow medical facilities to be reimbursed by the Federal Government for emergency medical treatment given aliens unlawfully in the United States if such aliens are unable to pay the cost of such treatment or can pay only a part of the cost and the aliens or medical facilities which provided such treatment are not eligible under any public assistance program for payment or reimbursement of such cost. Requires that an application for reimbursement be submitted to the Secretary of Health, Education, and Welfare. Sets forth criteria for determining whether such an application shall be approved.
Bill· HRH.R. 7753 (95th)referred
United States · United States Congress · 13 June 1977
Directs the Institute of Medicine of the National Academy of Sciences to conduct a one-year review and evaluation of all available information respecting the toxicity and carcinogenicity of food additives. Directs that the study include: (1) information respecting the ability to predict the effect on humans of food additives found to cause cancer in animals; and (2) information regarding the desirability of weighing risk and benefits when making regulatory decisions respecting such additives. Requires the Institute to report the results of such evaluation to the Congress and the Secretary of Health, Education, and Welfare. Directs the Secretary to permit the continued use of saccharin as a food, food additive, drug, or cosmetic for the 18-month period following enactment of this Act.
Bill· HRH.R. 7754 (95th)referred
United States · United States Congress · 13 June 1977
Amends Title XVIII (Medicare) of the Social Security Act to provide payment for rural health clinic services pursuant to the program of Supplementary Medical Insurance Benefits for the Aged and Disabled of such title.
Bill· HRH.R. 7750 (95th)referred
United States · United States Congress · 13 June 1977
National School-Age Mother and Child Health Act - Amends the Public Health Service Act to direct the Secretary of Health, Education, and Welfare to make grants to designated State agencies to meet part of the cost of planning and coordinating services for school age girls and their children. Sets forth requirements which the State plans must meet before receiving such grants, including: comprehensive health care to school-age girls (associated with the continuation of pregnancy) and to their children, family planning and counseling, infant and child day care and a coordinated program of social services. Prohibits the collection by, or submission to, the Federal or State Government of identifying information of persons receiving services under this program. Establishes a unit within the Maternal and Child Health Service of the Department of Health, Education, and Welfare to administer and coordinate the program established by this Act.
Bill· HRH.R. 7752 (95th)referred
United States · United States Congress · 13 June 1977
Amends Title XVIII (Medicare) of the Social Security Act to provide payment for nutritional counseling as part of the home health services provided under the supplementary medical insurance program.
Bill· HRH.R. 7705 (95th)referred
United States · United States Congress · 9 June 1977
Requires that medical records maintained by the United States, or in connection with programs assisted by the United States, or insurance companies engaged in business in interstate commerce be confidential and be disclosed only according to this Act. Allows such records to be disclosed with prior written consent of the patent and without the patients consent under the following circumstances; (1) a medical emergency; (2) scientific research or audits; or (3) an order of a court of competent jurisdiction. Sets penalties for violation of this Act and allows any injured party to bring a civil action against the person who discloses such records.
Bill· HRH.R. 7702 (95th)referred
United States · United States Congress · 9 June 1977
Amends Title XVIII (Medicare) of the Social Security Act to provide payment for optometric and medical vision care under the supplementary medical insurance program.
Bill· HRH.R. 7708 (95th)referred
United States · United States Congress · 9 June 1977
Amends Title XIX (Medicaid) of the Social Security Act to make children over 18 of parents receiving nursing and home health care assistance under the Medicaid program liable for a specified portion of the expenses of such assistance, depending upon the income of such child. Permits the waiver of such obligation in any case where the State agency determines, in accordance with regulations prescribed by the Secretary, that the imposition of such obligation or the making of such collection would impose undue hardship. Amends the Internal Revenue Code of 1954 to provide that any amount collected from or otherwise paid by any person in satisfaction of any obligation imposed shall constitute a medical expense paid or incurred by such person for purposes of deductions under such Act.
Bill· HRH.R. 7707 (95th)referred
United States · United States Congress · 9 June 1977
Directs the Secretary of Commerce, upon recommendation of the Secretary of Health, Education, and Welfare, to approve and distribute to food service operations instructions for removing food which has become lodged in a person's throat. Prohibits any United States court from entering a judgment against any person for attempting to remove food lodged in any person's throat if such individual acted in accordance with instructions approved by the Secretary of Commerce.
Bill· HRH.R. 7650 (95th)referred
United States · United States Congress · 7 June 1977
Health Security Act - Title I: Health Security Benefits - Makes every resident of the U.S. (and every non-resident citizen when in the U.S.) eligible for covered services. Permits reciprocal and "buy-in" agreements for groups or 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. Extends coverage to all necessary professional services of physicians, wherever furnished. Extends coverage to: (1) comprehensive dental services (exclusive of most orthodontic services) for children under age 15, with the covered age group increasing by two years each year until all those under age 25 are covered; (2) inpatient and outpatient hospital services and services of a home health agency; and (3) pathology and radiology services as parts of institutional services. Limits payment for skilled nursing home care. Limits the psychiatric hospital benefit to 45 consecutive days of active treatment during a spell of illness. Extends coverage to 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. Lists approved medicines available for use in institutions and by comprehensive health service organizations and those available for use outside such organized settings. Declares that the appliances benefit is similar in concept and operation to the drug benefit, subject to a limitation on aggregate cost. Extends coverage to professional services of optometrists and podiatrists, subject to regulations, and diagnostic or therapeutic services furnished by independent pathology laboratories and radiology services. Excludes from coverage: (1) health services furnished or paid for under a workmen's compensation law; and (2) services of a professional practitioner 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. Makes professional practitioners licensed when the program becomes 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 existing State standards. Establishes conditions of participation for general hospitals. Makes psychiatric hospitals eligible to participate only if the Board finds that 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. Allows the participation of the following as providers of health services under this Act: (1) a health maintenance organization which undertakes to provide an enrolled population either with complete health care or, at least, with complete health security services (other than institutional services, mental health or dental services) for the maintenance of health and the care of ambulatory patients; (2) a foundation sponsored by a county or other local medical society; and (3) community health centers or the like which, though furnishing services as comprehensive as are required by this Act, do not serve an enrolled or otherwise predetermined population and may not meet other requirements of this Act. 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 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 medical 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 acting as an employee. Allows reimbursement for any services furnished by such 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. Grants similar authority to other professional and nonprofessional health 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. Directs that three separate accounts be established in the Health Security Trust Fund: a Health Service Account, a Health Resources Development Account, and an Administration Account. Make provision for allocation of the Health Services account among the regions of the country. Stipulates 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). Directs the Board to divide the allocation to each region into funds available to pay: institutional services; physician services; dental services; furnishing of drugs; furnishing of devices, appliances, equipment; and miscellaneous services. Stipulates that payments for covered services provided to eligible persons by participating providers shall be made from the Health Service Account in the Trust Fund. 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. Stipulates that skilled nursing homes and home health agencies shall be paid in the same manner as a general hospital (on an approved annual budget basis). Stipulates that a health organization shall be paid for covered services, on the basis of a fixed capitation rate multiplied by the number of eligible enrollees. 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 the administration of the Health Security program. Establishes a five-member, full-time Health Security Board serving under the Secretary of Health, Education, and Welfare. Requires that the members be appointed by the President with the advice and consent of the Senate, for five-year overlapping terms. 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. Directs the Advisory Council to 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 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, and reimbursement systems for drugs; and to make such other studies which it considers would improve the quality of services and the 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. Authorizes the appointment of a Deputy Secretary of HEW and an Under Secretary for Health and Science. Stipulates 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 one percent on employees and 3.5 percent on employers. 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. Converts the existing Medicare self-employment tax into a Health Security self-employment tax, raising the rate to 2.5 percent. Adds a new one 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 Commission 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 - Requires that after the effective date of benefits received under this Act no State shall be required to furnish any service covered under Health Security as a part of its State plan for participation under Medicaid. 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 the 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 also veterans and members of the Armed Forces, with the Health Security Benefit Program.
Bill· HRH.R. 7638 (95th)referred
United States · United States Congress · 7 June 1977
Comprehensive Health Care Insurance Act - Requires every employer to offer each of his employees and their families qualified health care insurance. States that such coverage shall be optional with the employee. Requires an employer to contribute to the cost of such coverage for the benefit of an electing employee and his family at least 65 percent of the premium, with the employee contributing the balance. Establishes, for low-income employees, a program of certificates of entitlement or income tax credit in the amount by which the portion of the premium payable by such an employee exceeds the premium for which he would be liable under the program of health insurance for the unemployed or self-employed as established by this Act. Authorizes the Attorney General to bring suit to compel an employer to comply with the provisions of this Act. Stipulates that employers experiencing substantial increases in payroll cost due to the provisions of this Act will be entitled to a cash payment by the Secretary of Health, Education, and Welfare or a credit against income tax. States that premiums for employee groups of one to 100 persons and self-employed persons shall not exceed 125 percent of the estimated average in the State of the annual premium for employee groups of more than 100 persons. Sets forth a plan of health insurance providing hospital, medical, dental, and other health care services for non-employed and self-employed individuals and their families. Establishes, as a means of implementing such plan, a program of certificates of entitlement issued by the Secretary and credits against income tax for the premium for qualified health care insurance. States that the amount of Federal participation shall be related to the income of the individual or family, the Government to pay the full premium for those whose annual incomes are insufficient to create income tax liability, and to pay a gradually smaller proportion of the premium for others in relation to increasing amounts of income tax liability. Provides qualified health care insurance for an individual or family with no tax liability for the base year. Stipulates that the premium rate to be charged for a qualified health care insurance policy offered under such plan for any year shall in no case exceed 125 percent of the estimated average of premiums paid in the State for qualified health care insurance for groups of employees with more than 100 members. Excludes from qualified health care insurance coverage payment for stipulated items, including: (1) personal comfort items; (2) eyeglasses, hearing aids, or orthopedic shoes; and (3) private room inpatient hospital accommodations. Limits the aggregate amount of expenditures for catastrophic illness expenses. Sets forth requirements which must be met by qualified health care insurance plans. Establishes the Federal Health Insurance Redemption Fund. Authorizes appropriations to the fund of amounts equal to the aggregate amount of premiums paid under this Act. Requires carriers offering qualified health care insurance policies to participate in an assigned-risk pool which may be established in such State by the State insurance department or by such agency as may be authorized by the State. Establishes a Health Insurance Advisory Board to: (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, review, and develop, where necessary, programs whose purposes are to provide for maintaining the quality of medical care; and (4) review the effectiveness of the program established by this Act. Stipulates that individuals collecting unemployment compensation are eligible for coverage under this Act, unless covered through an employed member of his family. Permits an income tax credit for premiums paid for qualified insurance plans under this Act.
Bill· HRH.R. 7582 (95th)referred
United States · United States Congress · 2 June 1977
Amends the Department of Defense Appropriation Act, 1977, to repeal the prohibition of expenditure of funds for claims for nonemergency inpatient hospital care under the Civilian Health and Medical Program of the Uniformed Services (CHAMPUS) when such care was available at a facility of the uniformed services within a 40-mile radius of the patient's residence.
Bill· HRH.R. 7572 (95th)referred
United States · United States Congress · 2 June 1977
Amends Title XVIII (Medicare) of the Social Security Act to provide payment for hearing aids, eyeglasses (and related examinations), prescription drugs, and dentures under the supplementary medical insurance program.
Bill· HRH.R. 7505 (95th)referred
United States · United States Congress · 1 June 1977
Amends Title XVIII (Medicare) of the Social Security Act to eliminate the deduction from payments to providers of health services for unreplaced blood and provides for payment to providers of health services for processing fees incurred in the replacement of blood.
Bill· HRH.R. 7453 (95th)referred
United States · United States Congress · 26 May 1977
Amends Title XVIII (Medicare) of the Social Security Act to provide payment for certain clinical psychologists' services under the supplementary medical insurance program.
Bill· HRH.R. 7474 (95th)referred
United States · United States Congress · 26 May 1977
Amends Title XIX (Medicaid) of the Social Security Act to require payment to States of 90 percent of the total amount expended under State plans for early and periodic screening and diagnosis, (EPSDT) and 100 percent of the total amount for treatment of defects and conditions discovered through such screening and diagnosis. Institutes a program for distribution of coupons to individuals entitled to medical assistance EPSOT which identify services to which an eligible individual is entitled. Requires an annual compilation of providers and institutions which will provide services under EPSDT and further requires such institutions to provide to the maximum extent feasible all authorized services to individuals so entitled.
Bill· HRH.R. 7454 (95th)referred
United States · United States Congress · 26 May 1977
Amends Title XVIII (Medicare) of the Social Security Act to include outpatient services by a community mental health centers for up to 60 visits per year among the benefits provided under such title. Sets forth the conditions and limitations on payments for such services, including criteria for utilization review plans of community mental health centers and transfer agreements between hospitals community mental health centers.
Bill· HRH.R. 7452 (95th)referred
United States · United States Congress · 26 May 1977
Amends Title XVIII (Medicare) of the Social Security Act to provide payment for optometric and medical vision care under the supplementary medical insurance program.
Bill· HRH.R. 7435 (95th)referred
United States · United States Congress · 25 May 1977
Comprehensive Health Care Insurance Act - Requires every employer to offer each of his employees and their families qualified health care insurance. States that such coverage shall be optional with the employee. Requires an employer to contribute to the cost of such coverage for the benefit of an electing employee and his family at least 65 percent of the premium, with the employee contributing the balance. Establishes, for low-income employees, a program of certificates of entitlement or income tax credit in the amount by which the portion of the premium payable by such an employee exceeds the premium for which he would be liable under the program of health insurance for the unemployed or self-employed as established by this Act. Authorizes the Attorney General to bring suit to compel an employer to comply with the provisions of this Act. Stipulates that employers experiencing substantial increases in payroll cost due to the provisions of this Act will be entitled to a cash payment by the Secretary of Health, Education, and Welfare or a credit against income tax. States that premiums for employee groups of one to 100 persons and self-employed persons shall not exceed 125 percent of the estimated average in the State of the annual premium for employee groups of more than 100 persons. Sets forth a plan of health insurance providing hospital, medical, dental, and other health care services for non-employed and self-employed individuals and their families. Establishes, as a means of implementing such plan, a program of certificates of entitlement issued by the Secretary and credits against income tax for the premium for qualified health care insurance. States that the amount of Federal participation shall be related to the income of the individual or family, the Government to pay the full premium for those whose annual incomes are insufficient to create income tax liability, and to pay a gradually smaller proportion of the premium for others in relation to increasing amounts of income tax liability. Provides qualified health care insurance for an individual or family with no tax liability for the base year. Stipulates that the premium rate to be charged for a qualified health care insurance policy offered under such plan for any year shall in no case exceed 125 percent of the estimated average of premiums paid in the State for qualified health care insurance for groups of employees with more than 100 members. Excludes from qualified health care insurance coverage payment for stipulated items, including: (1) personal comfort items; (2) eyeglasses, hearing aids, or orthopedic shoes; and (3) private room inpatient hospital accommodations. Limits the aggregate amount of expenditures for catastrophic illness expenses. Sets forth requirements which must be met by qualified health care insurance plans. Establishes the Federal Health Insurance Redemption Fund. Authorizes appropriations to the fund of amounts equal to the aggregate amount of premiums paid under this Act. Requires carriers offering qualified health care insurance policies to participate in an assigned-risk pool which may be established in such State by the State insurance department or by such agency as may be authorized by the State. Establishes a Health Insurance Advisory Board to: (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, review, and develop, where necessary, programs whose purposes are to provide for maintaining the quality of medical care; and (4) review the effectiveness of the program established by this Act. Stipulates that individuals collecting unemployment compensation are eligible for coverage under this Act, unless covered through an employed member of his family. Permits an income tax credit for premiums paid for qualified insurance plans under this Act.
Bill· SS. 1588 (95th)referred
United States · United States Congress · 24 May 1977
Amends Title XVIII (Medicare) of the Social Security Act to expand the coverage of medical services under that Title to include out-of-hospital prescription drugs, eyeglasses, hearing aids, and dentures.
Bill· HRH.R. 7418 (95th)referred
United States · United States Congress · 24 May 1977
Recombinant DNA Act - Amends the Public Health Service Act to regulate recombinant DNA activities. Requires that all recombinant DNA activities conducted during the interim control period, which shall begin on the tenth day after the date of enactment of this Act, and end eighteen months after such date or on the date on which certain regulations promulgated by the Secretary of Health, Education, and Welfare take effect, whichever occurs first, be carried out in accordance with the physical and biological containment requirements in the recombinant DNA research guidelines of the Department of Health, Education and Welfare published on July 7, 1976. Requires that every individual or entity responsible for conducting any recombinant DNA activity on the date of enactment of this Act, or to be commenced during the interim control period, submit a report with respect to such activity to the Secretary. Requires each facility conducting any recombinant DNA activity to be licensed in accordance with this Act. Requires the Secretary to promulgate regulations with respect to the issuance of such licenses prescribing containment requirements, laboratory safety requirements, and reporting procedures. Directs the Secretary to promulgate regulations to control the conduct of recombinant DNA activities carried on outside of such licensed facilities prescribing containment and personnel safety requirements. Sets forth the procedure for the issuance of licenses to facilities to conduct recombinant DNA activity with respect to the authority of the Secretary and local biohazards committees to issue such licenses. Requires the Secretary to compile a list of recombinant DNA activities authorized by this Act, and to make such list available for public inspection. Prohibits the licensing of any facility unless a local biohazards committee has been established in accordance with this Act with jurisdiction over such facility. Authorizes such committees to issue licenses to certain facilities, and requires such committees to inspect and monitor recombinant DNA activities conducted in such facilities. Authorizes the inspection of facilities conducting recombinant DNA activities by inspectors designated by the Secretary. Establishes civil and criminal penalties for violation of this Act. Sets forth the procedure for disclosure of certain otherwise confidential data if the Secretary or committee determines that the release of such data is necessary to protect against an imminent, unreasonable risk of injury to health or the environment. Establishes the Recombinant DNA Advisory Committee to advise the Secretary in promulgating regulations required by this Act.
Bill· HRH.R. 7364 (95th)referred
United States · United States Congress · 23 May 1977
Amends Title XVIII (Medicare) of the Social Security Act to include outpatient services by a community mental health centers for up to 60 visits per year among the benefits provided under such title. Sets forth the conditions and limitations on payments for such services, including criteria for utilization review plans of community mental health centers and transfer agreements between hospitals community mental health centers.
Bill· HRH.R. 7371 (95th)referred
United States · United States Congress · 23 May 1977
Prohibits any person from performing psychosurgery in any Federally connected health care facility or such facility from allowing any person to perform psychosurgery. Imposes penalties for violations of such prohibition. Authorizes individuals upon whom psychosurgery was performed to bring a civil action for damages against the person performing or the facility in which such psychosurgery was performed. Stipulates that no person who violates the provisions of this Act may receive any grant, loan or contract from the United States. Establishes the Psychosurgery Commission which shall be empowered to issue subpenas requiring the attendance and testimony of witnesses, to assess civil penalties, and to bring civil action to restrain violations of this Act.
Bill· HRH.R. 7326 (95th)referred
United States · United States Congress · 23 May 1977
See summary of: H.R. 1311
Bill· HRH.R. 7318 (95th)referred
United States · United States Congress · 19 May 1977
Amends Title XVIII (Medicare) of the Social Security Act to provide payment for optometric and medical vision care under the supplementary medical insurance program.
Bill· HRH.R. 7265 (95th)referred
United States · United States Congress · 18 May 1977
Amends Title XVIII (Medicare) of the Social Security Act to provide payment for optometric and medical vision care under the supplementary medical insurance program.
Bill· HRH.R. 7284 (95th)referred
United States · United States Congress · 18 May 1977
Amends Title XVIII (Medicare) of the Social Security Act to provide payment for optometric and medical vision care under the supplementary medical insurance program.
Bill· HRH.R. 7286 (95th)referred
United States · United States Congress · 18 May 1977
Amends the Public Health Service Act to establish in the Public Health Service the National Sickle Cell Anemia Institute. States that the Institute shall: (1) conduct and support research on sickle cell anemia; (2) provide training and establish fellowships in matters relating to the diagnosis, treatment and prevention of this disease; (3) provide for nationwide screening programs to determine the incidence of sickle cell anemia and its traits among school age children; (4) conduct and support counseling and education programs to make the public aware of the services available with respect to sickle cell anemia; and (5) assist the Secretary of Defense in screening all persons entering the armed forces for sickle cell anemia and its traits. Establishes an advisory council to assist the Secretary of Health, Education, and Welfare in matters relating to the Institute. Provides that this council will assume the responsibilities of the National Advisory Health Council on matters relating to sickle cell anemia.
Bill· HRH.R. 7218 (95th)referred
United States · United States Congress · 16 May 1977
Amends Title XVIII (Medicare) of the Social Security Act to authorize payment for specified services performed by chiropractors, including x-rays and physical examinations, and related routine laboratory tests.
Bill· SS. 1510 (95th)referred
United States · United States Congress · 13 May 1977
Amends Title XIX (Medicaid) of the Social Security Act to include chemotherapy furnished by hospitals to patients on either an inpatient or outpatient basis under hospital services authorized under the Medicaid program. Stipulates that the term "physicians services" includes transplants of organs and tissues, implants of materials and devices, and plastic surgery when performed on account of disease, injury, or medically-necessary surgery.
Bill· HRH.R. 7180 (95th)referred
United States · United States Congress · 13 May 1977
Amends Title XVIII (Medicare) of the Social Security Act to authorize payment for specified services performed by chiropractors, including x-rays and physical examinations, and related routine laboratory tests.
Bill· HRH.R. 7170 (95th)referred
United States · United States Congress · 13 May 1977
Federal Nonsmokers Protection Act - Prohibits smoking in specified areas of Federal facilities and in interstate passenger carrier facilities. Requires the effective separation of smokers from non-smokers in certain areas of such facilities. Requires that nonsmoking employees in Federal facilities be given the opportunity to be assigned to physically distinct offices or workplaces from those who smoke, whenever possible. Makes the executive head or chief administrative officer of each instrumentality responsible for the enforcement of these prohibitions in any Federal facility in which such instrumentality maintains offices. Requires such officers to submit an annual report on the enforcement of these prohibitions to the Administrator of General Services. Establishes civil penalties for individuals who smoke in any area of an interstate passenger carrier facility where smoking is prohibited under this Act. Requires that "No Smoking" signs be posted in specified areas.
Bill· HRH.R. 7195 (95th)referred
United States · United States Congress · 13 May 1977
Authorizes the Secretary of Defense to contract with health maintenance organizations to provide medical care for members of the armed forces and their dependents.
Bill· HRH.R. 7167 (95th)referred
United States · United States Congress · 13 May 1977
Public Health Cigarette Smoking Act - Makes it unlawful, under the Federal Cigarette Labeling and Advertising Act, for any person to manufacture, import, or package for sale or distribution within the United States any cigarettes the package of which (1) fails to bear the required health warning statement; and (2) fails to bear a statement of the tar and nicotine content of each cigarette in such package, as determined by the Federal Trade Commission. States that it shall be unlawful for any person to disseminate or cause to be disseminated any cigarette advertisement which fails to contain the required statements and which is either disseminated by United States mails or in commerce or which is likely to induce, directly or indirectly, the purchase in, or have an effect upon, commerce of cigarettes. Requires cigarettes for export to contain the required statements in the language of the country to which such package is exported.
Bill· HRH.R. 7150 (95th)referred
United States · United States Congress · 12 May 1977
Occupational Alcoholism Prevention and Treatment Act - Authorizes the Secretary of Health, Education, and Welfare, acting through the National Institute on Alcohol Abuse and Alcoholism, to make grants to employers, labor organizations, consortiums of employees or labor organizations, and to public or private nonprofit agencies and organizations to pay no more than 50 percent of the cost of establishing, and operating occupational alcoholism programs. Authorizes the appropriation of a specified percentage of Federal taxes collected on alcohol to finance such assistance. Allots such fund among the States. Requires any individual or organization desiring to receive funds to submit an annual application for approval by the Secretary. Makes applicants approved by the Secretary eligible to receive grants from the State allotment.
Bill· HRH.R. 7142 (95th)referred
United States · United States Congress · 12 May 1977
Amends Title XVIII (Medicare) of the Social Security Act to provide payment for nutritional counseling as part of the home health services provided under the supplementary medical insurance program.
Bill· HRH.R. 7131 (95th)referred
United States · United States Congress · 12 May 1977
Amends Title XIX (Medicaid) of the Social Security Act to qualify an individual who, although employable, is unable to care for his or her personal needs without assistance as a disabled person eligible for the services of a home health aide.
Bill· SS. 1486 (95th)referred
United States · United States Congress · 11 May 1977
Amends Title XVIII (Medicare) of the Social Security Act to expand the coverage of the supplementary medical insurance program to include the services of physician extenders, nurse practitioners, and the clinical staff of community mental health centers to the extent recognized under State law. Authorizes full reimbursement to States when services are rendered in health manpower shortage areas and 15 percent reimbursement when services are rendered outside of a shortage area. Limits reimbursement to the cost of the services of two physician extenders or two nurse practitioners per supervising physician.
Bill· HRH.R. 7113 (95th)referred
United States · United States Congress · 11 May 1977
Authorizes the Secretary of Defense to contract with health maintenance organizations to provide medical care for members of the armed forces and their dependents.
Bill· HRH.R. 7095 (95th)referred
United States · United States Congress · 11 May 1977
Amends Title XVII (Medicare) of the Social Security Act to authorize payment to chiropractors for diagnosis by X-ray of vertebral subluxation.
Bill· HRH.R. 7072 (95th)referred
United States · United States Congress · 10 May 1977
Amends Title XVIII (Medicare) of the Social Security Act to extend coverage to include expenses incurred in providing a Papanicolaou test for the diagnosis of uterine cancer, if the individual receiving the test has not had such a test on a routine basis during the preceding six months.