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Bill· HRH.R. 2080 (104th)open
United States · United States Congress · 20 July 1995
Directs the Secretary of Veterans Affairs to provide hospital care and outpatient or ambulatory care, and authorizes the Secretary to provide nursing home care, to veterans who received nasopharyngeal irradiation treatments while serving in the active military, naval, or air service, regardless of the veteran's disability. Authorizes such treatment through December 31, 1998.
Bill· HRH.R. 2062 (104th)open
United States · United States Congress · 19 July 1995
Designates the Health Care Financing Building to be located at 7500 Security Boulevard, Baltimore, Maryland, as the Helen Delich Bentley Building.
Bill· HRH.R. 2071 (104th)referred
United States · United States Congress · 19 July 1995
TABLE OF CONTENTS: Title I: Assuring Availability and Continuity of Health Coverage Subtitle A: Insurance Reform Subtitle B: Benefits Subtitle C: Standards and Certification; Enforcement; Preemption; General Provisions Subtitle D: Definitions; General Provisions Title II: Removal of Financial Barriers to Access Subtitle A: Tax Deductibility for Individuals and Self- Employed Subtitle B: Premium and Cost-Sharing Subsidy Program and Supplemental Benefits Program for Low-Income Individuals Title III: Access Improvements Subtitle A: Improved Access in Rural Areas Subtitle B: Public Health Grants Subtitle C: Academic Health Centers Title IV: Malpractice Reform Subtitle A: Findings; Purpose; Definitions Subtitle B: Uniform Standards for Malpractice Claims Subtitle C: Requirements for State Alternative Dispute Resolution Systems (ADR) Subtitle D: Grants to States for Development of Practice Guidelines Title V: Market Incentives to Containing Costs Subtitle A: Administrative Simplification Subtitle B: Antitrust Title VI: Medicare Subtitle A: Increased Beneficiary Choice; Improved Program Efficiency Subtitle B: Savings Health Care Improvement Act of 1995 - Title I: Assuring Availability and Continuity of Health Coverage - Subtitle A: Insurance Reform - Requires each carrier that offers health insurance coverage in the individual and small group market to make coverage available to each qualified individual or small employer and to accept every applying small employer and qualifying individual. Prohibits denial, cancellation, or refusal to renew except for specified reasons. Limits preexisting condition exclusions. Regulates enrollment periods. (Sec. 1011) Sets forth requirements for plans that use managed care, including regarding consumer disclosure and provider disclosure and due process. Prohibits requiring physician referral for obstetric or gynecological services. Preempts certain State law restrictions on managed care. (Sec. 1012) Mandates a study and report on utilization review. (Sec. 1013) Amends the Internal Revenue Code (IRC) to treat the account beneficiary of a medical savings account (MSA) as the owner of the account and subjects them to taxation on the account in accordance with specified provisions. Includes in gross income, and imposes a penalty regarding, any account expenditure not used exclusively for medical expenses of the beneficiary or the beneficiary's spouse or dependents. Excludes limited employer payments to an MSA from the employee's gross income and from the definition of "wages" for purposes of provisions relating to Social Security contributions. Amends the Social Security Act to make a similar change in the definition of "wages." Amends the IRC to exclude such payments from the definition of: (1) "compensation" for provisions relating to railroad retirement taxes; and (2) "wages" for provisions relating to unemployment taxes and to withholding. (Sec. 1021) Regulates premium rate variation, allowing limited variation based on the factors of age, geographic area, family class (individual, individual with children, couple without children, or couple with children), benefit design, and administrative categories. (Sec. 1022) Requires each carrier or plan to accept and apply any premium certificate issued under a State premium assistance program under specified Social Security Act provisions. (Sec. 1023) Mandates development of a model risk adjustment system composed of one or more risk adjustment mechanisms. Requires each State to establish and maintain a conforming risk adjustment system. (Sec. 1031) Sets forth information carriers and plans must disclose to prospective enrollees, brokers, plans, and States. (Sec. 1032) Prohibits carriers from: (1) varying or conditioning remuneration to a person, or terminating or failing to renew an agent or broker, based on the claims experience or health status of individuals enrolled by or through the person; or (2) conditioning coverage on the purchase of any other product. (Sec. 1033) Requires carriers and plans to meet Social Security Act requirements relating to advance directives. Subtitle B: Benefits - Defines "qualified health coverage" as meeting the requirements of subtitle A above and including standard or high-deductible coverage consistent with this subtitle. (Sec. 1102) Includes in standard coverage: (1) hospital, surgical, in-hospital medical, ambulatory, supplemental, and obstetrical services; (2) drugs, medicines, and prosthetic devices; (3) routine medical costs of treatment as part of an approved research trial; (4) drug off-label use if listed in specified compendia; and (5) preventive measures (without cost sharing). Sets forth actuarial value requirements. Prohibits benefits in any benefit category from being less than the narrowest scope and shortest duration in any of the plans under the Federal Employees Health Benefits Program. (Sec. 1103) Requires that high-deductible coverage provide the benefits of standard coverage and use the deductible amount established under this Act, with the actuarial value of coverage equivalent to 80 percent of the actuarial value for standard coverage. (Sec. 1104) Authorizes the Secretary of Health and Human Services to establish and modify benefit valuation procedures. Directs the Secretary to establish: (1) the deductible amount for high-deductible coverage; and (2) model benefit packages. (Sec. 1105) Regulates supplemental coverage. (Sec. 1106) Requires each carrier and plan to provide for an option under which children under 26 years old are treated as family members. (Sec. 1107) Mandates certain coverage relating to Christian Science. Subtitle C: Standards and Certification; Enforcement; Preemption; General Provisions - Mandates development of standards regarding the requirements of this subtitle. (Sec. 1202) Requires each State to report on steps the State is taking to implement and enforce the standards. Provides for Federal action in the event of uncorrected State deficiency. (Sec. 1204) Deems provisions of this title, as they relate to plans or employers and for purposes of administration and enforcement provisions of the Employee Retirement Income Security Act of 1974 (ERISA), to be provisions of ERISA. Amends the IRC to impose a tax on the failure of a carrier to comply with specified provisions of this Act. (Sec. 1205) Prohibits a single employer plan from offering coverage other than through a carrier unless the plan has at least 100 eligible employees. Subtitle D: Definitions; General Provisions - Sets forth definitions for this Act and effective dates for this title. Title II: Removal of Financial Barriers to Access - Subtitle A: Tax Deductibility for Individuals and Self-Employed - Amends the IRC to phase in a permanent 100 percent deduction for the health insurance costs of self-employed individuals. (Sec. 2002) Allows individuals who are not self-employed to deduct 25 percent of the amount paid for insurance which constitutes medical care for the taxpayer, spouse, and dependents, except for months in which the taxpayer is eligible to participate in any subsidized plan maintained by an employer of the taxpayer or the taxpayer's spouse. Allows the deduction whether or not the taxpayer itemizes other deductions. (Sec. 2003) Includes in employee gross income employer-provided coverage provided through a flexible spending or similar arrangement if any amount of cost-sharing may be paid for or reimbursed under the arrangement. Amends the definition of "qualified benefit," for cafeteria plan provisions, to exclude any benefits or coverage if any amount of cost-sharing or more than 20 percent of any premium may be paid for or reimbursed under the plan. Provides for transfers from flexible spending arrangements to medical savings accounts during 1997. Subtitle B: Premium and Cost-Sharing Subsidy Program and Supplemental Benefits Program for Low-Income Individuals - Amends the Social Security Act (SSA) to add a new title XXI entitled "State Acute Care Benefits Programs For Low-Income Individuals." Outlines specific requirements for State premium and cost-sharing subsidy programs, as well as State supplemental acute care benefits programs, for low- income individuals. Requires operation of a premium and cost-sharing subsidy program as a State plan requirement under Medicaid. (Sec. 2102) Amends SSA title XIX (Medicaid) to provide for the division of Medicaid benefits into core benefits and supplemental benefits for AFDC, SSI, and non-cash Medicaid beneficiaries. Places a limitation on the amount of Federal financial participation for benefits for acute medical services for such beneficiaries. Title III: Access Improvements - Subtitle A: Improved Access in Rural Areas - Mandates grants to an eligible State for the development of plans to increase access to health care services for residents of chronically underserved areas. (Sec. 3002) Requires that funds be made available for technical assistance (including regarding eligibility for other Federal programs) and advice, concerning establishing or enhancing a community rural health network in an underserved rural area, for: (1) entities receiving a grant under this subtitle for such a network; (2) state or local governmental units; and (3) entities providing health care services (including health professional education services) in the area. Authorizes appropriations. (Sec. 3003) Mandates financial assistance for the development and implementation of such networks. Authorizes appropriations. Declares that, in order to provide for that authorization of appropriations and notwithstanding any other provision of law, no funds are authorized to be appropriated to carry out, after FY 1996: (1) the rural health transition grant program of the Omnibus Budget Reconciliation Act of 1987; and (2) the rural health outreach program. (Sec. 3011) Amends the Internal Revenue Code to exclude from gross income any payment made on behalf of the taxpayer by the National Health Service Corps Loan Repayment Program. (Sec. 3012) Amends the Public Health Service Act to require that, for frontier health professional shortage areas, the decision on whether the area is a rational area for the delivery of health services be made without regard to the travel time between population centers or to contiguous area resources. (Sec. 3013) Authorizes appropriations to carry out provisions relating to the Scholarship Program (mandating a set-aside for nurse education) and the Loan Repayment Program. (Sec. 3021) Authorizes grants to States to improve the availability and quality of emergency medical services through the operation of State offices of emergency medical services. Requires that projects under existing provisions relating to communications technologies and rural trauma care include demonstration projects to establish telecommunications between rural medical facilities and facilities with useful expertise or equipment. Authorizes appropriations to carry out specified provisions relating to trauma care and emergency medical services. (Sec. 3022) Mandates grants to States for the creation or enhancement of air medical transport systems that provide victims of medical emergencies in rural areas with access to treatment. Authorizes appropriations. (Sec. 3031) Mandates a demonstration project to increase the number and percentage of medical students entering primary care practice. Requires a portion of direct graduate medical education cost payments (under title XVIII (Medicare) of the Social Security Act) be used for payments to States and training consortia. Authorizes grants to States and consortia for developing and evaluating the projects. Authorizes appropriations. (Sec. 3041) Mandates demonstration projects to increase the number and percentage of medical students entering primary care practice. Requires payments to participating health care training consortia and prohibits payments under Medicare for direct and indirect costs of graduate medical education during the participation. Subtitle B: Public Health Grants - Amends the Public Health Service Act to authorize grants to States for specified public health programs. Authorizes appropriations. (Sec. 3102) Mandates programs of scholarships and educational loan repayment for attendance at schools of public health in return for the scholarship and loan recipients agreeing to provide services in public health positions, approved by the Secretary of Health and Human Services, serving a population with significant unmet need. Applies to these programs existing provisions of the National Health Service Corps scholarship and loan repayment programs. Authorizes appropriations. Subtitle C: Academic Health Centers - Mandates studies of: (1) the feasibility and desirability of making payments to facilities that are not hospitals for the direct and indirect costs of graduate medical education costs attributable to residents trained at the facilities; (2) the funding needs of health professions schools. Title IV: Malpractice Reform - Subtitle A: Findings; Purpose; Definitions - Sets forth findings and, regarding this title, purposes and definitions. Subtitle B: Uniform Standards for Malpractice Claims - Applies this subtitle to any medical malpractice liability action in a Federal or State court, and to any medical malpractice claim subject to an alternative dispute resolution system (ADR), initiated after a specified date. (Sec. 4102) Prohibits medical malpractice actions in State or Federal courts unless the claim has been initially resolved under an ADR. Requires establishment of an ADR process for claims against the United States. (Sec. 4103) Sets forth filing procedures, including regarding a certificate of merit and standard interrogatories and requests. (Sec. 4104) Limits the dollar amount of noneconomic damages. Prohibits punitive or exemplary damages against manufacturers of medical products. Requires several and prohibits joint liability for noneconomic damages, except for defendants found liable as a result of gross negligence or fraud. Requires the total amount of punitive damages to be paid to the State in which the action is brought or in which the services were rendered to carry out activities to assure the safety and quality of health care. Requires development and submission to the Congress of alternative limits on noneconomic damages, including separate limits for specified categories of limits. (Sec. 4105) Prohibits requiring a single payment of damages for future economic loss over a specified amount, subject to waiver. (Sec. 4106) Requires claims to be initiated within 2 years after the alleged injury was or should have been discovered. (Sec. 4107) Prohibits finding malpractice against a provider of services during labor or delivery, if the provider did not previously treat the claimant, unless the malpractice is proved by clear and convincing evidence. (Sec. 4108) Allows finding malpractice only if the defendant's conduct was not reasonable unless, in accordance with State law, the action is based on a strict liability theory. (Sec. 4110) Declares that this title supersedes any State law only to the extent that State law permits greater damages or establishes a less strict standard of proof. Subtitle C: Requirements for State Alternative Dispute Resolution Systems (ADR) - Sets forth basic requirements for State ADRs, including: (1) application to all medical malpractice claims; (2) if multiple ADR procedures are available, allowing the parties to select the procedure to be used, assigning a procedure if the parties do not agree; and (3) transmitting findings of malpractice to the State agency responsible for monitoring or disciplining health care professionals and providers. Applies the provisions of subtitle B of this title, subject to exception, to claims brought under the State ADR. (Sec. 4202) Provides for State certification of ADRs meeting applicable requirements. Mandates establishment of a Federal ADR system for the resolution of claims in States without certified ADRs. (Sec. 4203) Mandates grants to States for implementing and operating ADRs. Subtitle D: Grants to States for Development of Practice Guidelines - Mandates grants to States for the development of medical practice guidelines for health care professionals that may be applied to resolve claims and actions. Title V: Market Incentives to Containing Costs - Subtitle A: Administrative Simplification - Requires adoption of standards: (1) consistent with the objective of reducing the costs of providing and paying for health care; and (2) in use and generally accepted, developed, or modified by the standard-setting organizations accredited by the American National Standard Institute. (Sec. 5012) Mandates adoption of standards to make uniform and compatible for electronic transmission through the health information network the data elements of any health information the Secretary of Health and Human Services determines appropriate for transmission in connection with standard transactions under this subtitle. Establishes a system to provide for a standard unique health identifier for each individual, employer, plan sponsor, and provider. (Sec. 5013) Requires adoption of technical standards consistent with the health information network privacy standards under this subtitle relating to the transmission method for health information. Mandates regulations specifying procedures for the electronic transmission and authentication of signatures. (Sec. 5014) Requires adoption of information privacy standards. (Sec. 5021) Declares to be standard transactions (and requires the information transmitted in the transaction to be in the form of standard data elements): verification of benefit eligibility, coordination of benefits, claim submission, claim attachment submission, claim status notification, claim status verification, claim adjudication, payment and remittance advice, and certification or authorization of a referral to a non-network provider. (Sec. 5022) Requires a health information security organization certified under this subtitle to make certain non-identifiable information available to a Federal or State agency, on a cost-type contract, as requested by the agency to fulfill a requirement of this Act. (Sec. 5023) Mandates establishment of a procedure under which a sponsor or provider that does not have the ability to transmit standard data elements directly and does not have access to a health information network may comply with these provisions. (Sec. 5031) Requires the establishment of: (1) standards regarding the operation of health information network services; and (2) a certification procedure for network services. (Sec. 5032) Prohibits an individual or entity, after the establishment under this subtitle of standards to make data elements uniform and compatible for electronic transmission, from requiring any additional data element in connection with the transaction or an inquiry regarding the transaction. Makes a similar prohibition regarding the transmission method. Allows waivers. (Sec. 5033) Declares that a provision, requirement, or standard under this subtitle supersedes any contrary provision of State law. Subtitle B: Antitrust - Mandates the development and publication of explicit guidelines on the application of antitrust laws to the activities of health plans. (Sec. 5102) Directs the Attorney General to issue a certificate of public advantage to each eligible health care collaborative activity complying with the requirements of this paragraph. Declares that such activity and the parties to it shall not be liable under any of the antitrust laws (as defined in specified provisions of the Clayton Act, including specified provisions of the Federal Trade Commission Act relating to unfair methods of competition, and similar State laws). Requires issuance of the certificate if the likely benefits outweigh the likely reduction in competition and the reduction is necessary to obtain the benefits. Title VI: Medicare - Subtitle A: Increased Beneficiary Choice; Improved Program Efficiency - Outlines various specified requirements for HMOs and other eligible organizations under the Medicare program, including the use of metropolitan statistical areas to determine adjusted average per capita cost and enrollment periods for Medicare HMOs. (Sec. 6002) Amends the Omnibus Budget Reconciliation Act of 1990 to permit Medicare select policies in all States. Revises requirements of such policies under the Medicare program. (Sec. 6003) Includes notice of available HMOs in the annual notices to Medicare beneficiaries. (Sec. 6004) Requires the Secretary of Health and Human Services to develop and submit to the Congress a proposal for legislation which provides for the voluntary enrollment of Medicare beneficiaries in private health insurance plans. (Sec. 6005) Provides for optional interim enrollment of Medicare beneficiaries in private health plans. (Sec. 6011) Directs the Secretary to take such steps as may be necessary to consolidate the administration of Medicare parts A (Hospital Insurance) and B (Supplementary Medical Insurance) over a four year period. (Sec. 6021) Provides under Medicare for notice of advance directive rights to individuals entering Medicare. Subtitle B: Savings - Provides for a reduction in: (1) the conversion factor for the physician fee schedule for non-primary care services; and (2) hospital outpatient services through establishment of the prospective payment system. (Sec. 6103) Amends the Internal Revenue Code to provide for an increase in the Medicare part B premium for individuals with high income. (Sec. 6104) Provides for phased-in elimination of Medicare hospital disproportionate share adjustment payments. (Sec. 6105) Provides for imposition of 20 percent coinsurance on laboratory services.
Bill· HRH.R. 2051 (104th)referred
United States · United States Congress · 18 July 1995
Health Care Accessibility Expansion Act of 1993 (sic) - Amends the Internal Revenue Code to: (1) increase the allowable deduction for health insurance costs of self-employed individuals from 25 percent to 100 percent; and (2) make the deduction permanent. Allows a tax credit for a medical practitioner who commences a medical practice in a rural area. Allows such credit for the year such commencement occurs and the four succeeding taxable years. Limits such credit to $5,000. Requires the taxpayer to practice medicine in the rural area for at least nine months in a taxable year. Allows a deduction on medical education loan interest of a physician which accrues while the physician is living in and providing medical care to residents of a rural area. Allows individuals a tax deduction for contributions made to a medical care savings account established for the benefit of an eligible individual. Defines an eligible individual as: (1) one who is not covered by an employer-provided group health plan; or (2) one who is covered by such a plan which is a qualified catastrophic coverage health plan and is not covered by any other health plan. Exempts such accounts from taxation. Allows such deduction in arriving at adjusted gross income. Establishes an excise tax for excess contributions to medical care savings accounts and makes such accounts subject to the tax on prohibited transactions. Allows the transfer of unused amounts in flexible spending accounts of cafeteria plans to medical savings accounts. Establishes a program under which eligible participants in medical savings accounts may obtain health insurance vouchers to make payments for qualified medical expenses. Allows a tax credit for the amount of such vouchers. Declares that it shall not be considered a violation of antitrust laws for hospitals to jointly undertake the purchasing, contracting for, or sharing of high technology equipment and services. Amends the Public Health Service Act to require demonstration projects to assist hospitals in acquiring and sharing such equipment and services. Authorizes appropriations for FY 1993 through 1996 for such projects.
Bill· HRH.R. 2052 (104th)referred
United States · United States Congress · 18 July 1995
International Population Stabilization and Reproductive Health Act - Amends the Foreign Assistance Act of 1961 to set forth population assistance authorities and requirements. (Sec. 2) Makes such assistance available to a country that: (1) accounts for a significant portion of the world's annual population increment; (2) has significant unmet needs for fertility regulation and requires foreign assistance to sustain quality family planning services; or (3) demonstrates a strong policy commitment to population stabilization through the expansion of reproductive choice. Prohibits nongovernmental and multilateral organizations from being subjected to requirements which are more restrictive than those applicable to foreign governments for such assistance. Makes funds available for: (1) the United Nations Population Fund if it agrees to prohibit the use of funds for coerced abortion or involuntary sterilization; and (2) the Special Programme of Research, Development and Research Training to further international cooperation in the development of fertility regulation technology. (Sec. 3) Authorizes appropriations. (Sec. 4) Declares the sense of the Congress that the multilateral development banks should increase their annual support for specified population activities to at least $1 billion by December 31, 2000. Requires the Secretary of the Treasury to report annually to the Congress on: (1) resources made available by multilateral development banks for population activities; (2) any specified actions taken by such banks to encourage increased resources if such resources total less than $1 billion; and (3) the progress made by such banks in meeting the objectives of the population activities. (Sec. 5) Requires the Secretary to report to the Congress on preparations for U.S. participation in the 1995 World Conference on Women. (Sec. 6) Makes development assistance available on a priority basis for countries which have agreed to address specific education, literacy, and health issues. Authorizes the President to establish a grant program, to be known as the Safe Motherhood Initiative, to improve the access of girls and women to reproductive health care services. Earmarks amounts of development and economic assistance for programs in support of increasing primary and secondary school enrollment and equalizing levels of male and female enrollment. Authorizes appropriations for the Child Survival Fund, the Safe Motherhood Initiative, and for research on, and treatment and control of, acquired immune deficiency syndrome (AIDS) in developing countries. (Sec. 8) Provides for certain actions to support the United Nations Forward Looking Strategies for the Advancement of Women and the United Nations Convention on the Elimination of All Forms of Discrimination Against Women.
Law· SS. 1044 (104th)enacted
United States · United States Congress · 17 July 1995
Health Centers Consolidation Act of 1995 - Amends the Public Health Service Act to revise provisions concerning health centers (currently, community health centers), definitions relating to such centers, and the services provided by such centers. Authorizes the Secretary of Health and Human Services to make planning, operating, and infant mortality grants for health centers that provide required primary health services and additional health services to medically underserved and special medically underserved populations (migrant and seasonal agricultural workers, the homeless, and public housing residents). Directs the Secretary to give priority in making grants to health centers in which there is a substantial incidence of infant mortality or a significant increase in the incidence of infant mortality. Specifies that grant amounts for any fiscal year may not exceed: (1) total State, local, and other operational funding for a center; and (2) fees, premiums, and third-party reimbursements received for operations by the center in such fiscal year. Authorizes appropriations. Requires the Office of Rural Health Policy of the Health Resources and Services Administration to administer the rural health services outreach demonstration grant program. Authorizes appropriations.
Bill· SS. 1035 (104th)open
United States · United States Congress · 14 July 1995
Access to Medical Treatment Act - Permits any individual to be treated by a health care practitioner with any medical treatment that the individual desires, or that is authorized by the legal representative of the individual, if: 1) the practitioner agrees to treat the individual; and 2) the administration of such treatment does not violate licensing laws. Authorizes health care practitioners to provide any method of treatment to such an individual: 1) if there is no evidence that the treatment is a danger to the individual; and 2) if the treatment has not been approved, the individual has been informed that the treatment has not been approved and the food, drug, or device contains a warning to that effect. Requires a practitioner, after administering such treatment and discovering it to be a danger to an individual, to submit a report to the Secretary of Health and Human Services. Requires the Secretary to properly disseminate information with respect to the danger of the medical treatment. Requires a practitioner to immediately report to the Office of Alternative Medicine the positive effects of an unconventional medical treatment for a life-threatening medical condition including: 1) the nature of such treatment; 2) the results of such treatment; and 3) the protocol of such treatment.
Bill· SS. 1028 (104th)passed
United States · United States Congress · 13 July 1995
TABLE OF CONTENTS: Title I: Health Care Access, Portability, and Renewability Subtitle A: Group Health Plan Rules Subtitle B: Individual Health Plan Rules Subtitle C: COBRA Clarifications Subtitle D: Private Health Plan Purchasing Coalitions Title II: Application and Enforcement of Standards Title III: Miscellaneous Provisions Health Insurance Reform Act of 1995 - Title I: Health Care Access, Portability, and Renewability - Subtitle A: Group Health Plan Rules - Prohibits insurers from declining to provide coverage, and plans from establishing certain types of requirements, based on health status, medical condition, and similar factors. (Sec. 102) Mandates plan renewability, except for nonpayment of premiums, termination of the plan, or other specified reasons. (Sec. 103) Regulates the circumstances in which a plan may impose a benefit limitation or exclusion because of a preexisting condition. Allows State laws that limit preexisting conditions to shorter periods than the provisions of this paragraph. (Sec. 104) Mandates special enrollment periods for individuals who have certain types of changes in family composition or employment status. (Sec. 105) Regulates disclosures an insurer must make to a small employer (as defined in State law, or employers with not more than 50 employees if not defined in State law). Subtitle B: Individual Health Plan Rules - Prohibits an insurer from establishing, for an individual in a period of previous qualifying coverage, eligibility, continuation, or enrollment requirements based on health status, medical condition, and similar factors. (Sec. 111) Mandates renewability of coverage for individuals, except for nonpayment of premiums, misrepresentation of material fact, or termination of the plan. (Sec. 112) Requires that State law in effect on, or enacted after, enactment of this Act apply in lieu of the standards above in this subtitle unless the Secretary of Health and Human Services determines that the State law is not as effective in providing access. (Sec. 113) Mandates a study and report on ensuring the availability of health insurance to individuals, the need for Federal premium variation standards, and the effectiveness of this Act and State laws in stabilizing the small group health insurance market by providing for the broad pooling of risk. Subtitle C: COBRA Clarifications - Amends the Public Health Service Act, the Employee Retirement Income Security Act of 1974 (ERISA), and the Internal Revenue Code to modify continuation coverage requirements. Subtitle D: Private Health Plan Purchasing Coalitions - Requires a State to certify health plan purchasing coalitions (HPPCs) meeting the requirements of this paragraph. Provides for Federal certification if a State fails to do so. Regulates HPPC organization, duties, and activities. Preempts, for a HPPC meeting these requirements, State fictitious group laws, State rating requirement laws (subject to exception), and other State laws in direct conflict. Applies to HPPCs the requirements of ERISA provisions relating to fiduciary responsibility and administration and enforcement. Title II: Application and Enforcement of Standards - Deems a requirement or standard under this Act imposed on: (1) a plan to be imposed on the insurer; and (2) a self-insured plan to be imposed on the plan sponsor. (Sec. 202) Requires each State to mandate that each plan in the State meet the standards under this Act pursuant to an enforcement plan filed by the State with the Secretary of Labor. Directs the Secretary, for self-insured health plans, to enforce the standards under this Act. Subjects failing plans to civil enforcement under specified ERISA provisions. Provides for Federal enforcement if a State fails to do so. Title III: Miscellaneous Provisions - Amends the Public Health Service Act to allow a health maintenance organization, if notified by a member that a medical savings account has been established for the member and if the member requests, to reduce the basic health services payment by requiring the payment of a deductible for basic health services. Declares that it is the sense of the Senate that the Congress should take steps to further the purposes of this Act.
Bill· SS. 1029 (104th)referred
United States · United States Congress · 13 July 1995
International Population Stabilization and Reproductive Health Act - Amends the Foreign Assistance Act of 1961 to set forth population assistance authorities and requirements. Makes such assistance available to a country that: (1) accounts for a significant portion of the world's annual population increment; (2) has significant unmet needs for fertility regulation and requires foreign assistance to sustain quality family planning services; or (3) demonstrates a strong policy commitment to population stabilization through the expansion of reproductive choice. Prohibits nongovernmental and multilateral organizations from being subjected to requirements which are more restrictive than those applicable to foreign governments for such assistance. Makes funds available for: (1) the United Nations Population Fund if it agrees to prohibit the use of funds for coerced abortion or involuntary sterilization; and (2) the Special Programme of Research, Development and Research Training to further international cooperation in the development of fertility regulation technology. Authorizes appropriations. Declares the sense of the Congress that the multilateral development banks should increase their annual support for specified population activities to at least $1 billion by December 31, 2000. Requires the Secretary of the Treasury to report annually to the Congress on: (1) resources made available by multilateral development banks for population activities; (2) any specified actions taken by such banks to encourage increased resources if such resources total less than $1 billion; and (3) the progress made by such banks in meeting the objectives of the population activities. Makes development assistance available on a priority basis for countries which have agreed to address specific education, literacy, and health issues. Authorizes the President to establish a grant program, to be known as the Safe Motherhood Initiative, to improve the access of girls and women to reproductive health care services. Earmarks amounts of development and economic assistance for programs in support of increasing primary and secondary school enrollment and equalizing levels of male and female enrollment. Authorizes appropriations for the Child Survival Fund, the Safe Motherhood Initiative, and for research on, and treatment and control of, acquired immune deficiency syndrome (AIDS) in developing countries.
Bill· HRH.R. 2027 (104th)open
United States · United States Congress · 13 July 1995
Office for Rare Disease Research Act of 1995 - Amends the Public Health Service Act to establish, in the National Institutes of Health, the Office for Rare Disease Research.
Law· HRH.R. 2036 (104th)enacted
United States · United States Congress · 13 July 1995
Land Disposal Program Flexibility Act of 1995 - Amends the Solid Waste Disposal Act to exempt from land disposal restrictions solid waste identified as hazardous based on characteristic alone, but which no longer exhibits such characteristic prior to land disposal, and which was so characterized: (1) as part of a treatment or disposal system prior to its discharge through a point source regulated under the Clean Water Act; (2) prior to and including injection into any Class I deep well regulated under safe drinking water provisions of the Public Health Service Act; or (3) under a zero-discharge system that the Administrator of the Environmental Protection Agency (EPA) determines to be engaging in Clean Water Act-equivalent treatment. Makes certain groundwater monitoring requirements inapplicable to new or existing municipal solid waste landfill units or lateral expansions of such units that dispose of fewer than 20 tons of municipal solid waste daily, based on an annual average, if: (1) there is no evidence of groundwater contamination from such units or expansions; and (2) the units or expansions serve a community that experiences an annual interruption of at least three consecutive months of surface transportation that prevents access to a regional waste management facility or that has no practicable waste management alternative and such units are located in an area that annually receives 25 inches of precipitation or less. Permits States to require monitoring of units that would otherwise be exempt if necessary to protect groundwater resources and ensure compliance with a State groundwater protection plan. Allows the suspension of groundwater monitoring requirements if a landfill operator demonstrates that there is no potential for migration of hazardous constituents from the unit to the uppermost aquifer during the active life of the unit and the post-closure care period. Declares that it is the intent of this Act to reinstate EPA rules promulgated on October 9, 1991, regarding groundwater monitoring at municipal solid waste landfill units. Revises provisions regarding responsibility for underground storage tanks over which the Federal Government has jurisdiction to state that requirements applicable to the Government include (but are not limited to) requirements regarding permits, reporting, injunctive relief, sanctions, all administrative orders, and all civil and administrative penalties and fines. Waives expressly any otherwise applicable immunity of the United States with respect to any such requirement. Makes employees or agents of the United States immune from personal liability for any civil penalty with respect to an act or omission regarding an underground storage tank but subjects such persons to criminal sanctions. Makes criminal sanctions inapplicable to Government agencies. Authorizes the EPA Administrator to commence administrative enforcement actions against Government agencies in the same manner and under the same circumstances as an action would be initiated against any other person. Requires States to use funds collected from the Federal Government as penalties and fines resulting from underground storage tank violations only for environmental protection projects or to defray the costs of environmental protection or enforcement.
Resolution· HCONRESH.Con.Res. 83 (104th)referred
United States · United States Congress · 13 July 1995
Expresses the sense of the Congress that the U.S. Government should pursue policies that: (1) encourage all residents of this country to become fully proficient in English by expanding educational opportunities; (2) conserve and develop the Nation's linguistic resources by encouraging all residents to learn or maintain skills in a language other than English; (3) assist Native Americans, Native Alaskans, Native Hawaiians, and other peoples indigenous to the United States in their efforts to prevent the extinction of their languages and cultures; (4) continue to provide services in languages other than English as needed to facilitate access to essential functions of government, promote public health and safety, ensure due process, promote equal educational opportunity, and protect fundamental rights; and (5) recognize the importance of multilingualism to vital national interests and individual rights, and oppose "English-only" measures and similar language restrictionist measures.
Bill· SS. 1026 (104th)open
United States · United States Congress · 12 July 1995
TABLE OF CONTENTS: Division A: Department of Defense Authorizations Title I: Procurement Subtitle A: Authorization of Appropriations Subtitle B: Army Programs Subtitle C: Navy Programs Subtitle D: Other Programs Title II: Research, Development, Test, and Evaluation Subtitle A: Authorization of Appropriations Subtitle B: Program Requirements, Restrictions, and Limitations Subtitle C: Missile Defense Title III: Operation and Maintenance Subtitle A: Authorization of Appropriations Subtitle B: Depot-Level Maintenance and Repair Subtitle C: Environmental Provisions Subtitle D: Civilian Employees Subtitle E: Defense Financial Management Subtitle F: Miscellaneous Assistance Subtitle G: Operation of Morale, Welfare, and Recreation Activities Subtitle H: Other Matters Title IV: Military Personnel Authorizations Subtitle A: Active Forces Subtitle B: Reserve Forces Subtitle C: Military Training Student Loads Subtitle D: Authorization of Appropriations Title V: Military Personnel Policy Subtitle A: Officer Personnel Policy Subtitle B: Matters Relating to Reserve Components Subtitle C: Uniform Code of Military Justice Subtitle D: Decorations and Awards Subtitle E: Other Matters Title VI: Compensation and Other Personnel Benefits Subtitle A: Pay and Allowances Subtitle B: Bonuses and Special and Incentive Pays Subtitle C: Travel and Transportation Allowances Subtitle D: Commissaries and Nonappropriated Fund Instrumentalities Subtitle E: Other Matters Title VII: Health Care Subtitle A: Health Care Services Subtitle B: TRICARE Program Subtitle C: Uniformed Services Treatment Facilities Subtitle D: Other Changes to Existing Laws Regarding Health Care Management Subtitle E: Other Matters Title VIII: Acquisition Policy, Acquisition Management, and Related Matters Subtitle A: Acquisition Reform Subtitle B: Other Matters Title IX: Department of Defense Organization and Management Title X: General Provisions Subtitle A: Financial Matters Subtitle B: Naval Vessels Subtitle C: Counter-Drug Activities Subtitle D: Department of Defense Education Programs Subtitle E: Cooperative Threat Reduction With States of the Former Soviet Union Subtitle F: Matters Relating to Other Nations Subtitle G: Repeal of Certain Reporting Requirements Subtitle H: Other Matters Division B: Military Construction Authorizations Title XXI(sic): Army Title XXII: Navy Title XXIII: Air Force Title XXIV: Defense Agencies Title XXV: North Atlantic Treaty Organization Infrastructure Title XXVI: Guard and Reserve Forces Facilities Title XXVII: Expiration and Extension of Authorizations Title XXVIII: General Provisions Subtitle A: Military Construction Program and Military Family Housing Changes Subtitle B: Defense Base Closure and Realignment Subtitle C: Land Conveyances Subtitle D: Transfer of Jurisdiction and Establishment of Midewin National Tallgrass Prairie Subtitle E: Other Matters Division C: Department of Energy National Security Authorizations and Other Authorizations Title XXXI(sic): Department of Energy National Security Programs Subtitle A: National Security Programs Authorizations Subtitle B: Recurring General Provisions Subtitle C: Program Authorizations, Restrictions, and Limitations Subtitle D: Transfer of Jurisdiction Over Department of Energy National Security Functions Subtitle E: Other Matters Title XXXII: Defense Nuclear Facilities Safety Board Title XXXIII: Naval Petroleum Reserves Title XXXIV: National Defense Stockpile Title XXXV: Panama Canal Commission National Defense Authorization Act for Fiscal Year 1996 - Division A: Department of Defense Authorizations - Title I: Procurement - Subtitle A: Authorization of Appropriations - Authorizes appropriations for FY 1996 to the Army, Navy, Marine Corps, and Air Force for the procurement of aircraft, missiles, weapons and tracked combat vehicles, ammunition, shipbuilding and conversion, and for other procurement. (Sec. 104) Authorizes appropriations for FY 1996 for: (1) defense-wide procurement; (2) reserve procurements; (3) the Defense Inspector General; (4) the chemical demilitarization program; and (5) the defense health program. Subtitle B: Army Programs - Authorizes the Secretary of the Army to enter into multiyear procurement contracts for AH-64D Longbow Apache attack helicopters. (Sec. 112) States that a prohibition under a prior defense authorization Act against the procurement of military helicopters shall not apply to the obligation of funds for procurement of up to 20 AHIP Scout aircraft from funds appropriated under this title. (Sec. 113) Prohibits any funds available to the Department of Defense (DOD) for FY 1996 from being obligated to procure Hydra 70 rockets until the Secretary of the Army submits to the Congress certain certifications with respect to technical corrections in such rocket, the costs of such corrections, and related information. Authorizes the Secretary of Defense (Secretary) to waive such certification requirement in the national security interest. Subtitle C: Navy Programs - Earmarks funds appropriated under this Act for the final Seawolf attack submarine and the first two submarines under the New Attack Submarine (NAS) program. Earmarks funds under the FY 1997 defense authorization Act for design, advance procurement, and research, development, test, and evaluation (RDT&E) under the NAS program. Requires competition in the procurement of the Seawolf and the NAS. Prohibits certain actions in order to ensure that Electric Boat Division and Newport News Shipbuilding retain the technical competencies to construct the NAS. Limits the FY 1996-1999 expenditure of funds for the Seawolf and the NAS. Requires certain reports. (Sec. 122) Amends the National Defense Authorization Act for Fiscal Year 1995 to repeal a prohibition on the backfitting of Trident submarines. (Sec. 123) Earmarks funds authorized under this title for the initial and final increment funding for two Arleigh Burke class destroyers. (Sec. 124) Authorizes the Secretary to provide in the future-years defense program for split funding of construction of new naval vessels satisfying specified requirements. Authorizes the Secretary of the Navy to contract for the construction of a new naval vessel upon appropriation of a first increment of funding for construction of the vessel. Subtitle D: Other Programs - Prohibits FY 1996 DOD RDT&E funds from being obligated or expended for the Tier II Predator unmanned aerial vehicle program. (Sec. 132) Allows the obligation of only one-sixth of the funding for the unmanned aerial vehicle joint program office before the Secretary of the Navy must certify to the House Armed Services and Senate National Security Committees (defense committees) that such systems have been equipped with the common automatic landing and recovery system. Title II: Research, Development, Test, and Evaluation - Subtitle A: Authorization of Appropriations - Authorizes appropriations for FY 1996 for the armed forces for RDT&E and for basic research and exploratory development. Subtitle B: Program Requirements, Restrictions, and Limitations - Earmarks funds authorized under this title for specified phases of the AF117X long-range, medium attack aircraft. (Sec. 212) Amends the National Defense Authorization Act for Fiscal Years 1992 and 1993 to empower the Under Secretary of Defense for Acquisition and Technology with the responsibility for developing and testing naval mine countermeasures systems during FY 1997 through 1999. (Currently, the Director, Defense Research and Engineering has such responsibility during FY 1995 through 1999.) (Sec. 213) Allows the obligation of no more than 50 percent of the funds authorized under this title for the Tomahawk Baseline Improvement Program before the Secretary of the Navy must certify to the defense committees with respect to certain testing under the Program. (Sec. 214) Directs the Secretary of the Air Force to structure the development schedule for the Space and Missile Tracking System so as to achieve a first launch of a System satellite in FY 2001, and to attain initial operational capability of a full constellation of such satellites in FY 2003. Requires the concurrence of the Director of the Ballistic Missile Defense Organization with respect to certain decisions made under the System. Authorizes FY 1996 appropriations. (Sec. 215) Directs the Secretary to perform an analysis of the full range of precision guided munitions in production and in RDT&E. Requires a report to the Congress on the Secretary's findings. Provides funding limitations until such report is received. (Sec. 216) Earmarks funds authorized under this title for: (1) Defense Nuclear Agency funding; (2) the tunnel characterization and neutralization program; and (3) the long-term radiation tolerant microelectronics program (with a required report). (Sec. 217) Earmarks funds authorized under this title for the Counterproliferation Support Program. Authorizes the Secretary, in the national interest, to transfer to the Program funds otherwise made available to DOD in this Division for FY 1996. Limits to $50 million the total authorized amount of such transfers. (Sec. 218) Directs the Secretary to establish in the Office of the Under Secretary of Defense for Acquisition and Technology a Program Office for Nonlethal Systems and Technologies to conduct RDT&E of nonlethal weapons applicable to forces engaged in both traditional and nontraditional military operations. Provides funding. (Sec. 219) Authorizes the obligation of funds appropriated or otherwise made available to DOD for FY 1996 to procure work from a federally funded research and development center named in a report from the Secretary to the defense committees. Prohibits any funding for such procurement until the report is received. Earmarks funds authorized under this title for such purpose. Authorizes the Secretary to waive the funding limitation as long as notice of, and the reasons for, such waiver are sent to the defense committees. Reduces by $90 million the total amount authorized under this title for RDT&E. (Sec. 220) Amends the National Defense Authorization Act for Fiscal Year 1995 to revise the determination of States eligible for the awarding of grants under the Defense Experimental Program to Stimulate Competitive Research. (Sec. 221) Repeals, with respect to the national defense technology and industrial base, defense reinvestment, and defense conversion programs: (1) certain definitions; (2) specified policy objectives; (3) the commercial-military integration partnerships program; (4) the regional technology alliances assistance program; (5) the Military-Civilian Integration and Technology Transfer Advisory Board; (6) the Navy Reinvestment Program; (7) the manufacturing extension programs; and (8) the defense dual-use assistance extension program. (Sec. 222) Directs the Secretary to: (1) use the manufacturing science and technology joint planning process of the directors of DOD laboratories in establishing the DOD manufacturing science and technology program; and (2) seek the participation of equipment manufacturers in the projects under such program. (Sec. 223) Directs the Secretaries of Defense and Energy to jointly submit to the Congress a report on DOD plans and programs to prepare for and respond to military and civil defense emergencies resulting from a chemical, biological, radiological, or nuclear attack on the United States. Subtitle C: Missile Defense - Missile Defense Act of 1995 - States the missile defense policy of the United States. Directs the Secretary to establish a top priority core theater missile defense (CTMD) program consisting of specified systems. Requires the Secretary to ensure that CTMD systems are interoperable and fully capable of external sensor and battle management support from defense systems of the various armed forces. Directs the Secretary to terminate the Corps Surface to Air Missile System and the Boost Phase Interceptor. Directs the Secretary to develop an affordable development plan for follow-on theater missile defense systems which: (1) leverages existing systems, technologies, and programs; and (2) focuses investments to satisfy military requirements not met by the CTMD program. Requires specified reports from the Secretary to the congressional defense (armed forces and appropriations) committees. (Sec. 235) Directs the Secretary to develop an affordable and operationally effective national missile defense (NMD) system which will attain initial operational capability by the end of 2003. Outlines NMD system requirements. Requires the: (1) development of an interim operational capability until the NMD system is in place and operational; (2) use of streamlined acquisition procedures in meeting the development and operational capability requirements of the NMD system; (3) employment of cost saving measures which do not decrease the operational effectiveness of the system or pose unacceptable technical risks; and (4) submission of a report from the Secretary to the congressional defense committees on the plan for NMD deployment. (Sec. 236) Directs the Secretary to undertake an initiative to coordinate and strengthen the cruise missile defense programs, projects, and activities of the military departments and defense agencies and organizations to ensure the development and deployment of highly effective defenses against existing and future cruise missile threats. Outlines provisions concerning: (1) actions to be taken by the Secretary with respect to such initiative; and (2) submission by the Secretary to the congressional defense committees of a detailed implementation plan for carrying out the initiative. (Sec. 237) Expresses the sense of the Congress that: (1) the Senate should undertake a comprehensive review of the continuing value and validity of the ABM Treaty, and recommend additional policy guidance on the future application of such Treaty; and (2) the President should cease all efforts to modify, clarify, or otherwise alter U.S. obligations under such Treaty pending the outcome of the review. Directs the Secretary to provide the Senate with a complete, unclassified version of the ABM Treaty negotiating record, authorizing the Secretary to waive the declassification requirements on a document-by-document basis. (Sec. 238) States that, until a missile or air defense system is flight-tested in an ABM-qualifying flight test, such system, upgrade, or component: (1) has not been tested in an ABM mode, for Treaty purposes; and (2) is therefore not subject to Treaty application, limitation, or obligation. Prohibits appropriated funds from being expended or obligated by any government official to apply such Treaty to RDT&E or deployment of such non-qualifying air or missile defense systems. Ceases the application of such prohibition when a system is flight tested in an ABM-qualifying manner. Requires the Secretary to annually certify to the Congress that no U.S. air or missile defense system is being constrained by the ABM Treaty in a manner inconsistent with this section. Finds that ballistic missile range and velocity parameters should be subject to the Senate's review under section 237. (Sec. 239) Requires amounts requested for activities of the Ballistic Missile Defense Organization in annual budget justification materials submitted to the Congress to be set forth in accordance with specified program elements. Provides the origin of funding for non-core TMD, core TMD, and battle management, control, communications, and intelligence programs. Requires each program element to include requests for amounts necessary for management and support of the programs. (Sec. 241) Repeals various provisions of specified Acts made inconsistent by this Subtitle. Title III: Operation and Maintenance - Subtitle A: Authorization of Appropriations - Authorizes appropriations for FY 1996 for the armed forces and specified agencies and activities of DOD for operation and maintenance (O&M). Authorizes appropriations for FY 1996 for: (1) DOD working capital and revolving funds; and (2) operation of the Armed Forces Retirement Home. (Sec. 304) Transfers a specified amount from the National Defense Stockpile Transaction Fund to O&M accounts for FY 1996. Subtitle B: Depot-Level Maintenance and Repair - Directs the Secretary to develop and report to the defense committees a comprehensive policy on the performance of depot-level maintenance and repair (DLMR) for DOD, with a primary objective of a ready and controlled source of technical competence and repair and maintenance capabilities necessary for national security across a full range of current and projected training and operational requirements. Repeals: (1) a current requirement that no more than 40 percent of the DOD DLMR be performed by non-Government personnel; and (2) a provision prohibiting the contracting out of DOD DLMR activities of at least $3 million without using competitive selection procedures. (Sec. 312) Amends the National Defense Authorization Act for Fiscal Year 1991 to extend through FY 1996 the authority for aviation depots and naval shipyards to engage in defense-related production and services. Subtitle C: Environmental Provisions - Allows agreements for environmental restoration services performed by another Federal or State agency to provide for reimbursement to such agency only of the technical and scientific services obtained, with an FY 1996 reimbursement limitation of $5 million. Allows the Secretary to pay reimbursement expenses in excess of such amount after certifying to the Congress that such payment is essential for the management of the Defense Environmental Restoration Program, and 60 days have expired since such certification. Directs the Secretary to include in required annual reports the services obtained from such agencies on a reimbursable basis. (Sec. 322) Amends the Federal Water Pollution Control Act to apply its vessel discharge requirements to discharges incidental to the normal operations of a military vessel, other than sewage, unless the Secretary finds that compliance would not be in the best interests of national security. Directs the Secretary and the Administrator of the Environmental Protection Agency (EPA) to jointly determine the discharge incidental to the normal operation of a military vessel for which it is reasonable and practicable to require the use of a marine pollution control device in order to mitigate adverse impacts on the marine environment, and to promulgate Federal standards of performance for such devices with respect to the discharge. Provides time limits for initial determinations and final standards. Preempts a State or political jurisdiction from adopting or enforcing such standards for a military vessel after final Federal regulations are in effect, but allows a State to completely prohibit any discharge from a vessel into waters of the State when its water quality requires greater environmental protection than that afforded by the Federal standards. Requires the EPA Administrator to then take specified enforcement action with respect to such prohibition. Requires a State to specifically explain why a prohibition would apply only to military vessels and not other types. Limits the application of such regulations with respect to design, construction, manning, or equipment standards on foreign flagged vessels engaged in passage. Provides for interagency cooperation in the development of appropriate standards under the marine vessel discharge requirements of such Act. (Sec. 323) Revises Federal provisions concerning: (1) the establishment of restoration advisory boards; (2) funding for the administrative expenses of such boards; and (3) the provision of technical assistance grants for determining the nature of environmental hazards at a military installation to be closed under a base closure law and the restoration activities proposed or conducted there. Provides funding for such activities to the extent provided in appropriation Acts, with an FY 1996 limit of $4 million. Requires reports from technical review committees or restoration advisory boards formed for such purpose to be included in an annual DOD report on environmental restoration activities. Subtitle D: Civilian Employees - Provides the minimum FY 1996 and 1997 number of personnel to be employed as military reserve technicians. (Sec. 332) Exempts DOD from personnel ceilings for civilian personnel. (Sec. 333) Requires military reserve technicians to wear the uniform appropriate for the member's grade and component while performing technician duties. Provides a uniform or clothing allowance for such technicians. (Sec. 334) Extends through January 31, 1996, the temporary authority to pay evacuation pay to civilian DOD employees and their dependents and immediate family members evacuated from Guantanamo, Cuba, pursuant to an order issued by the Secretary. Requires a monthly report from the Secretary of the Navy regarding the employees being so paid. (Sec. 335) Authorizes the transfer of civilian employees between the DOD domestic dependent schools and the overseas defense dependents' education system. (Sec. 336) Revises the authority of the Secretary to appoint involuntarily separated military reserve technicians who have served for a specified minimum period to positions within DOD for which such individual is qualified. (Sec. 337) Includes employees voluntarily separated under reduction-in-force procedures among those eligible for continued health insurance coverage for a temporary period. (Sec. 338) Makes inapplicable to DOD: (1) the 120-day limitation on the detail of certain Federal employees; and (2) required biannual reports concerning progress made in meeting part-time career employment goals. (Sec. 340) Authorizes the Secretary or the Secretary of a military department to release from employment those individuals who volunteer under a reduction in force. Terminates such authority at the end of FY 1996. (Sec. 341) Authorizes DOD to make lump-sum severance payments to its employees, requiring a refund of the pro rata share of such pay if such individual is reemployed. Terminates such authority as of the end of FY 1999. (Sec. 342) Adjusts the holiday observance day for DOD employees whose basic workweek is other than Monday through Friday. (Sec. 343) Includes DOD nonappropriated fund instrumentality employees within a Federal provision authorizing flexible and compressed work schedules. Subtitle E: Defense Financial Management - Prohibits funds authorized to be appropriated to DOD by this Act from being obligated for a capital lease for the establishment of a DOD financial management training center until 90 days after the Secretary submits to the defense committees a certification of the need for such a center as well as a report on financial management training for DOD personnel. (Sec. 352) Prohibits the Secretary during FY 1996 from establishing any center for the Defense Finance and Accounting Service not operating on the date of enactment of this Act unless the Secretary reports to the Congress a need for such new center and 30 days have elapsed since the receipt of such report. Requires the Secretary, before submitting such report, to reexamine the need for any new center. Subtitle F: Miscellaneous Assistance - Authorizes the Secretary of the Army or Air Force to provide for participation of its National Guard in joint disaster and emergency assistance exercises. (Sec. 362) Prohibits funds authorized in this or any other Act from being obligated or expended for: (1) the Office of Civil-Military Programs within the Office of the Assistant Secretary of Defense for Reserve Affairs; or (2) the Office of Humanitarian and Refugee Affairs within the Office of the Assistant Secretary of Defense for Special Operations and Low Intensity Conflict. (Sec. 363) Revises Federal provisions establishing the Civil-Military Cooperative Action Program to: (1) allow only the reserve components (currently, all of the armed forces) to participate in the Program; (2) revise the Program objectives; and (3) eliminate the establishment of Federal or regional advisory councils for the Program. Subtitle G: Operation of Morale, Welfare, and Recreation Activities - Makes inapplicable to the Coast Guard a Federal provision limiting the authorized amount of funds to be retained in the morale, welfare, and recreation (MWR) account of an armed force. (Sec. 372) Authorizes the MWR retail facilities to sell items according to regulations prescribed by the Secretary. Prohibits certain sale restrictions from being included in such regulations. Directs the Secretary to report to the defense committees identifying each restriction in effect with respect to exchange stores and other revenue-generating facilities operated by nonappropriated fund activities of DOD for the MWR of its members. (Sec. 373) Amends the National Defense Authorization Act for Fiscal Year 1994 to repeal the requirement to convert naval ships' stores to nonappropriated fund instrumentalities. Subtitle H: Other Matters - Makes funds from the National Defense Sealift Fund available for expenses of the Ready Reserve component of the National Defense Reserve Fleet. (Sec. 382) Prohibits the Secretary of the Navy from contracting for the construction of any additional sealift ship by a contractor unless such Secretary has submitted to the Congress, at least 60 days before entering into a contract, a certification: (1) with respect to the history of such contractor in meeting cost requirements under any former sealift construction contract; or (2) that such contractor is financially capable of constructing such additional sealift ship without financial assistance from the Government. (Sec. 383) Requires a specified conditional portion of the amount recovered by the government in a fiscal year for losses and expenses incurred by DOD as a result of contractor fraud at military installations to be credited to appropriations accounts of DOD on the basis of the losses actually suffered at each installation as a result of such fraud. Provides appropriate uses of such amounts by the military departments. (Sec. 384) Authorizes lost, abandoned, or unclaimed property found on a military installation to be sold (after reasonable efforts to find the property's owner) and the proceeds credited to the O&M account of such installation to be used to reimburse the installation for sale costs, and, if amounts still remain, to support MWR activities at the installation. Repeals a demonstration program concerning the use of such proceeds under the National Defense Authorization Act for Fiscal Years 1992 and 1993. (Sec. 385) Authorizes the Secretary of the Navy to sell certain designated articles and items of clothing to members of the Navy and Marine Corps, under specified conditions. Directs such Secretary to sell subsistence supplies to members of other armed forces at prices charged to Navy and Marine Corps personnel (equivalent prices). Authorizes such Secretary to sell serviceable supplies other than subsistence supplies to members of other armed forces for the buyers' use in the service. Authorizes persons who have been honorably discharged from any military department and are receiving medical care through the Public Health Service or the Department of Veterans Affairs to buy subsistence supplies at equivalent prices. Authorizes such Secretary to sell to honorably discharged individuals exterior articles of uniform at equivalent prices. Authorizes such Secretary to sell ships' stores to appropriate civilian officers and employees of the United States at military installations: (1) outside the United States; and (2) inside the United States if it is impractical for such officers and employees to obtain such stores from commercial enterprises without impairing the efficient operation of military activities. Requires sales to civilian officers and employees inside the United States to be made only to those residing within military installations. (Sec. 386) Requires, on and after October 1, 1995, the Civilian Marksmanship Program to be operated as a nonappropriated fund instrumentality of the United States within DOD for the benefit of military personnel and for the promotion of rifle practice and firearms safety among civilians. Requires the Program to be under the general supervision of the Advisory Committee for the Promotion of Rifle Practice and Firearms Safety, which replaces the National Board for the Promotion of Rifle Practice. Outlines funding provisions for the Advisory Committee. Provides authorized Program activities, including the operation and maintenance of rifle ranges, firearms marksmanship instruction and safety, and firearms competitions. Authorizes the Program to issue arms, ammunition, targets, and related equipment and supplies to gun clubs providing training to various youth organizations. Authorizes the sale of such items to other gun clubs and citizens for Program purposes. Requires the Program Director, before conveying any weapon or ammunition to a person, to provide for a criminal records check of the person with appropriate Federal and State law enforcement agencies. Authorizes the Director to impose reasonable fees for persons and gun clubs participating in any Program activity. Directs the Secretary of the Army to reserve for the Program all remaining M-1 Garand rifles and related accessories still held by the Army. Outlines participation conditions for military personnel participating in rifle instruction and competitions. (Sec. 387) Directs the Secretary of Defense to report to the Congress describing the advantages and disadvantages of using contractor personnel, rather than civilian DOD employees, to perform DOD functions that are not essential to the military warfighting mission. (Sec. 388) Prohibits the Secretary of Education from considering any payment made to a local educational agency (LEA) by DOD that is available for current expenditures and used for capital expenses as funds available to the Department of Education for Federal impact aid purposes. Outlines conditions under which an LEA shall be eligible to receive additional assistance as a heavily impacted LEA (an LEA having a high proportion of Federally connected children in its schools). Revises provisions concerning the determination of the amount of such aid to LEAs, with a special rule in the case of a heavily impacted LEA. Revises generally provisions concerning the requirement of the use of current year data for providing appropriate assistance to heavily impacted LEAs. Title IV: Military Personnel Authorizations - Subtitle A: Active Forces - Sets forth the authorized end strengths for active-duty forces as of the end of FY 1996. Authorizes a temporary variation in the end strengths for active-duty Navy and Air Force officers in specified grades. (Sec. 403) Prohibits from being counted against officer personnel end strength limits an officer continuing to hold a general or admiral grade after serving as the Chairman of the Joint Chiefs of Staff or the head of a military department. Subtitle B: Reserve Forces - Sets forth the authorized end strengths as of the end of FY 1996 for Selected Reserve personnel, authorizing the Secretary to vary such end strengths by up to two percent. Provides the end strengths for members of the reserve serving on active duty in support of the reserve. Increases the number of officers of certain grades authorized to serve on such duty. (Sec. 414) Excludes from inclusion in military personnel end strength limitations: (1) members of the Selected Reserve of the Ready Reserve on active duty for more than 180 days in support of cooperative threat reduction programs; and (2) members of the reserve on active duty for 180 days or more for military-to-military contacts and other similar activities. Subtitle C: Military Training Student Loads - Sets forth the authorized FY 1996 military training student loads, allowing for certain adjustments consistent with authorized end strengths. Subtitle D: Authorization of Appropriations - Authorizes appropriations to DOD for FY 1996 for military personnel. Title V: Military Personnel Policy - Subtitle A: Officer Personnel Policy - Reduces from 1,000 to 500 the number of officers to be designated by the Secretary for critical joint duty assignment positions. Authorizes the Secretary to credit an officer for additional joint duty for service in an assignment any portion of which was performed on or after the date of enactment of this Act and which provided significant experience in joint matters, as long as the officer is recommended for such credit by the head of his or her military department. Grants such credit on a case-by-case basis, requiring the Secretary to prescribe uniform criteria for such credit. Requires information on officers receiving such credit to be included by the Secretary in a required annual report. Exempts general and flag officers from a provision limiting the number of officers receiving such credit in a fiscal year to ten percent of the total number of officers in that pay grade selected for the joint specialty in that fiscal year. Considers an officer to have completed a full tour of joint duty upon completion of a second joint duty assignment that is less than the period required for a first joint duty assignment, but not less than two years, whether or not a minimum joint tour duty length waiver was granted for such officer. (Sec. 502) Reduces from six to five years the minimum service obligation for graduates of the various military service academies. Requires the Secretary to: (1) review the effects that such service periods will have on the number and quality of eligible applicants seeking appointment; and (2) report findings and recommendations to the defense committees. (Sec. 503) Requires any officer appointed Surgeon General of an armed force to be educationally and professionally qualified to furnish health care to other persons, including doctors of medicine, dentistry, and osteopathy, nurses, and clinical psychologists. (Sec. 504) Requires an officer appointed as Deputy Judge Advocate General of the Air Force: (1) to be appointed for a four-year tenure (currently two); and (2) who holds a lower regular grade to be appointed in the regular grade of major general. (Sec. 505) Includes all officers above the major or lieutenant commander grades (currently, above such grades but below lieutenant general or vice admiral) within current eligibility requirements for voluntary retirement. Allows certain general and flag officers to be retired in the highest grade held by such officer only after the Secretary certifies to the President and the Senate that such officer served satisfactorily on active duty in that grade. (Sec. 506) Extends through FY 1996 certain reserve officer management authorities. (Sec. 507) Prohibits an officer from being frocked (authorized to wear the insignia of a higher grade before being promoted to such grade) unless: (1) the Senate has confirmed such officer's nomination for promotion to such grade; and (2) the officer is serving in, or has been ordered to, a position for which that grade is authorized. Prohibits pay, seniority, and time in service benefits from being accrued by frocked officers. Limits the total number of frocked officers in specified grades on the active-duty list. Authorizes a variation for FY 1996 and 1997 in the number of such officers. (Sec. 508) Authorizes the Secretary of the Army to retire any Director of Admissions of the United States Military Academy who has more than 30 years of service as a commissioned officer. Subtitle B: Matters Relating to Reserve Components - Establishes the Department of Defense Ready Reserve Income Insurance Program, administered by the Secretary, to insure Ready Reserve members against the risk of being ordered into covered service. Provides 30 days' automatic enrollment in the Program, with an exception, upon first becoming a member. Requires a member to enroll within such period. Provides as the basic benefit of such insurance $1,000 per month during the period of covered service, allowing a member to elect to reduce or enhance such benefit in specified increments. Defines "covered service" as active duty for more than 30 days in support of involuntary operational missions or during a period of war or national emergency. Requires the Secretary to prescribe the premium rates for such insurance, to be deducted and withheld from the member's basic pay. Authorizes the Secretary to advance to an insured member the amount equal to the first insurance premium payment due. Establishes in the Treasury the Department of Defense Ready Reserve Income Insurance Fund, into which shall be deposited the collected premiums, any amounts appropriated to the Fund, and investment returns. Requires: (1) investing of Fund assets by the Secretary; and (2) a required annual accounting of the Fund. Requires the DOD Education Benefits Board of Actuaries to have actuarial responsibility for the Program. Requires the Board to carry out periodic actuarial valuation of benefits, determine appropriate premium rate methodology, and recommend to the Secretary a premium rate schedule in the event of actuarial gains or losses to the Fund due to changes in actuarial assumptions. Directs the Secretary to request the President to request from the Congress a special appropriation in the event of insufficient Fund assets. Provides for the payment of benefits to designated recipients. Authorizes the Secretary to purchase insurance from eligible insurers in order to provide the benefits required under the Program, allowing the Secretary to terminate such insurance policy at any time. Requires termination of insurance coverage for a member for the nonpayment of premiums, as well as insurance forfeiture upon conviction of certain crimes against the country or refusal to perform service or wear the uniform. (Sec. 512) Includes dentists in critical specialties (currently, only physicians) within a program providing financial assistance for health care professionals in the reserve components. (Sec. 513) Allows reserve personnel performing public safety duty to charge such period of absence to accrued annual leave or compensatory time available. Subtitle C: Uniform Code of Military Justice - Amends the Uniform Code of Military Justice (UCMJ) to provide that if evidence adduced during a military investigation indicates that an accused committed an uncharged offense, then the investigating officer may investigate such additional matter without the accused having first been charged with that offense. (Sec. 524) Requires the imposition of a fine, imprisonment, or both, for an individual who refuses to testify before a court-martial. (Sec. 525) Requires individuals found to be incompetent to stand trial under the UCMJ to be committed to the custody of the Attorney General for hospitalization, examination, and treatment. Provides, depending on hospitalization and examination results, for either continued hospitalization of such individual or release to the convening authority of the court-martial. Requires a person found not guilty by reason of lack of mental responsibility to be committed to a suitable facility until the person is eligible for release after examination and an appropriate hearing. (Sec. 526) Requires any forfeiture of pay or allowances or reduction in grade included in a court-martial sentence to take effect on the earlier of: (1) 20 days after the sentence is adjudged; or (2) the date on which the sentence is approved by the convening authority (current law). Authorizes the convening authority to defer such forfeitures or reduction until the date on which the sentence is approved. Requires court-martial sentences that include confinement for one year or more, death, dishonorable discharge, or dismissal to result in the forfeiture of all pay and allowances due to such member during the confinement or parole. Authorizes the waiver of such forfeitures for up to six months in the case of dependents of such individual. Requires the repayment of all such pay and allowances if the sentence is set aside or disapproved. Revises provisions concerning the deferment of a sentence of confinement in the case of an individual in the custody of a State or foreign country. (Sec. 528) Requires all matters submitted to the convening authority for consideration after a trial by court-martial to be in writing. (Sec. 529) Authorizes a proceeding in revision to correct clerical mistakes in a judgment, order, or other part of the record or any error arising from oversight or omission. (Sec. 530) Provides for appeal by the United States from certain orders or rulings made by a military judge in a court-martial in which a punitive discharge may be adjudged. (Sec. 531) Includes flight from arrest as a punishable action under the UCMJ. (Sec. 532) Removes a gender reference with respect to the UCMJ offense of carnal knowledge with a person under 16 years of age. Provides that, in such a prosecution, it is a defense that the other person was at least 12 years of age and the accused reasonably believed such person to be at least 16. (Sec. 533) Requires newly enlisted personnel to be instructed in the UCMJ within 14 (currently six) days after entrance into active or reserve duty. (Sec. 535) Amends the National Defense Authorization Act for Fiscal Years 1990 and 1991 to repeal the September 30, 1995, delimiting date on the authority of the Chief Justice of the Supreme Court to appoint Federal or district court judges to serve on the U.S. Court of Appeals for the Armed Forces. (Sec. 536) Directs the Secretary and the Attorney General to jointly establish an advisory panel to review and make recommendations on jurisdiction over civilians accompanying military personnel in time of armed conflict. Requires reports. Subtitle D: Decorations and Awards - Authorizes the President to award the Purple Heart to certain persons who were taken prisoner or held captive while serving in the U.S. armed forces before April 25, 1962, and were wounded while being taken prisoner or held captive. Excepts from such awards persons convicted of rendering assistance to the enemy. (Sec. 542) Authorizes the Secretary or the Secretary of a military department to award a decoration to any person for an act, achievement, or service performed while serving on active duty during the Vietnam era. Directs the Secretary of each military department to review all recommendations received for such decorations, and to report findings concerning such review and awards to the defense committees. (Sec. 543) Expresses the sense of the Congress that the Secretaries of the military departments should review the service records of military personnel who performed military intelligence duties between January 1, 1940, and December 31, 1990, in order to determine whether, by reason of mission secrecy, any such personnel were not properly considered for decorations and awards, and if so, to so consider such personnel for such awards. Exempts such consideration from certain time limitation provisions. Subtitle E: Other Matters - Directs the Secretary to establish within his Office an office responsible for the policy, control, and oversight of the entire process for the investigation and recovery of missing persons, as well as the coordination of DOD efforts on such matters with other Federal departments and agencies. Requires search and rescue responsibilities to be established by the Assistant Secretary of Defense for Special Operations and Low Intensity Conflict. Requires the establishment of uniform procedures for the: (1) determination of the status of such persons; and (2) collection, analysis, review, dissemination, and periodic update of related information. Requires the commander of the unit or facility where a person was assigned to make an initial report to the Secretary after receiving information that the whereabouts of a person are uncertain and that the absence may be involuntary. Requires the Secretary to appoint a board to conduct an inquiry as to the whereabouts of a missing person. Directs the board to make a recommendation to the Secretary as to the whereabouts or status of such persons. Prohibits such board from declaring a person dead unless the evidence before it establishes conclusive proof of such person's death. Requires board proceedings to be closed to the public (including the next of kin). Directs the Secretary, after receiving a board recommendation, to determine whether such person shall continue to have a missing status, be declared to have deserted or be absent without leave, or be declared dead. Requires a report to family members and other interested persons. Requires the appointment of an additional board if further information becomes available. Allows the next of kin and other family members to attend inquiries held by the subsequent board. Requires a recommendation by the subsequent board, as well as a report to the Secretary. Directs the Secretary to review such report (together with any objections to board findings filed by family members and other interested persons attending the subsequent board inquiry), and to take appropriate action with respect to a person's status, including notification to family members and other interested persons. Requires, with specified exceptions concerning classified or privileged information or privacy, the Secretary having jurisdiction over a missing person to ensure that the person's personnel file contains all available information relating to the person's disappearance, whereabouts, or status. Prohibits any board from declaring a person dead unless: (1) credible evidence exists; (2) the United States possesses no credible evidence to suggest that such person is alive; and (3) representatives of the United States have made a complete search of the area where the person was last seen and have examined the records of the government or entity having control over such area. Provides additional information to be included in a report when a person is declared dead. Allows military pay for the full time of absence for any person in a missing or dead status under the Missing Persons Act of 1942 who is found alive and is returned to the control of the United States. Directs the Secretary concerned, upon the enlistment or appointment of a person into the armed forces, to require such person to specify the individual to receive information as to the member's whereabouts or status if necessary. Directs the Secretary of State to carry out a comprehensive study of the Missing Persons Act of 1942 and related laws and regulations with respect to accounting for civilian employees or contractors of the United States who serve with or accompany military personnel in the field to determine the means, if any, by which such procedures may be improved. Directs such Secretary to report study results, together with appropriate recommendations for change, to the defense committees. (Sec. 552) Amends the UCMJ to state that the period during which an officer deserts, is absent from duty, is confined by military or civilian authority for more than one day for a trial, or is unable for more than one day to perform his or her duties shall not be counted in computing such officer's length of military service. Provides that the time required to be made up by either an enlisted member or an officer due to such reasons may not be counted in computing years of service. (Sec. 553) Provides for separation from service in cases involving persons sentenced to confinement for one year or more. (Sec. 554) Removes the six-month limit on the duration of field training or practice cruise required under the Senior ROTC Program. (Sec. 555) Authorizes the Secretary of each military department to: (1) review the military record compilation process for potential improvements in the correction of such records; and (2) report study findings and recommendations to the Secretary, who in turn shall transmit such reports to the defense committees. (Sec. 556) Prohibits the Secretary from reducing below a specified amount for FY 1996 and thereafter the total number of DOD medical personnel unless he certifies to the Congress that: (1) the number being reduced is excess to current and projected needs; and (2) such reduction will not result in an increase in the cost of health care services provided under the Civilian Health and Medical Program of the Uniformed Services (CHAMPUS). Requires the Assistant Secretary of Defense responsible for health affairs to submit to the congressional defense committees a plan for the reduction in the number of such personnel over a five-year period beginning on October 1, 1996. (Sec. 557) Repeals, with respect to the military service academies, the requirement that the: (1) position of athletic director shall be a position in the civil service; and (2) Superintendent of such academy shall administer a nonappropriated fund account for the athletics program at such academy. (Sec. 558) Prohibits any funds available to DOD from being obligated to carry out a test program for determining the cost effectiveness of transferring to the private sector the operations of one or more military academy preparatory schools. (Sec. 559) Directs the Secretary and the Attorney General to jointly establish an advisory panel on centralized review of DOD administrative personnel actions. Requires a report from the panel to the Secretary and the Attorney General, to be transmitted, together with comments, to the Congress. Terminates the panel 30 days after submission of its report. Title VI: Compensation and Other Personnel Benefits - Subtitle A: Pay and Allowances - Waives any FY 1996 military pay increases tied to increases in the General Schedule of Compensation for Government employees. Increases the rates of basic pay and basic allowance for subsistence (BAS) by 2.4 percent and the basic allowance for quarters (BAQ) by 5.2 percent, on January 1, 1996. (Sec. 602) Authorizes a member without dependents who is in pay grade E-6 and who is assigned to U.S. quarters that do not meet minimum adequacy standards established by DOD for such pay grade to elect not to occupy such quarters and instead receive the BAQ prescribed for his or her pay grade. (Sec. 603) Authorizes as of July 1, 1996, the payment of a BAQ for enlisted personnel in the pay grade of E-6. (Sec. 604) Prohibits the reduction of the minimum monthly variable housing allowance (VHA) for members living in high cost areas as long as such member maintains uninterrupted eligibility to receive the VHA within that area and his or her certified housing costs are not reduced. Increases the total amount available for the VHA to cover additional payments permitted under this section. Requires an implementation report from the Secretary to the Congress. Subtitle B: Bonuses and Special and Incentive Pays - Extends through FY 1997: (1) certain enlistment and reenlistment bonuses for the reserves; (2) the nurse officer candidate accession program; (3) the accession bonus for registered nurses; (4) incentive special pay for nurse anesthetists; (5) the authority relating to the payment of other bonuses and special pay for active duty officer and enlisted personnel; and (6) the authority of the Secretary concerned to repay education loans for certain health professionals who serve in the Selected Reserve of a military department. (Sec. 614) Provides to both warrant officers (current law) and enlisted members of specified grades hazardous duty incentive pay for service as air weapons controllers. (Sec. 615) Reduces from nine to eight of the first 12 years of aviation service the period during which an officer must perform operational flying duties in order to receive aviation career incentive pay. (Sec. 617) Provides continuous entitlement to career sea pay for crew members of a ship designated as a tender-class ship. (Sec. 618) Authorizes the Secretary concerned, effective as of January 1, 1996, to increase to a maximum of $375 monthly the rate of special duty assignment pay for enlisted personnel serving as military recruiters. Subtitle C: Travel and Transportation Allowances - Repeals a requirement that DOD travel allowances must be based on distances established over the shortest normally traveled route, and under mileage tables prepared under the direction of the Secretary. (Sec. 622) Provides a departure allowance when dependents of military personnel are authorized (currently, only when ordered) by competent authority to depart from an area. (Sec. 623) Provides a dislocation allowance for those directed to move as a result of a base closure or realignment. (Sec. 624) Includes students who cease to be enrolled in a foreign institution of higher education within a provision authorizing the Secretary concerned to return to the United States formerly dependent children of military personnel who attain a nondependent age while overseas. Subtitle D: Commissaries and Nonappropriated Fund Instrumentalities - Authorizes certain members of the Ready Reserve to use DOD commissary stores for a period of one year on the same basis as members on active duty. (Currently, such members are permitted such use for 12 days of any calendar year during which the members are eligible.) (Sec. 632) Authorizes full commissary use (currently limited to 12 days a year) for members of the Retired Reserve (and their survivors) who are under 60 years of age and would be eligible for retired pay except that they are under such age. (Sec. 633) Authorizes the use of MWR facilities on the same basis as members on active duty for: (1) members of the Selected Reserve in good standing; (2) members of the Ready Reserve other than members of the Selected Reserve; and (3) members of the reserve under age 60 who would be eligible for retired pay except that they are under such age. Allows such use for the dependents of (1) and (3), above. Subtitle E: Other Matters - Makes first payable in March (currently, September) of the following year cost-of-living increases for military retired pay that become effective in 1994 or 1995 (currently, 1994 through 1997). (Sec. 642) Makes ineligible for retired pay a person who is convicted of an offense under the UCMJ and whose executed sentence includes death, a dishonorable or bad conduct discharge, or dismissal (in the case of an officer). (Sec. 643) Allows to be deducted from the pay of: (1) a Federal employee the administrative costs of executing legal process in a garnishment action; and (2) members of the armed forces the administrative costs of establishing and maintaining an involuntary allotment from military pay. Provides for the disposition of amounts withheld for such administrative costs. (Sec. 644) Increases from $100,000 to $200,000 the maximum amount of life insurance coverage under the Servicemen's Group Life Insurance (SGLI). Repeals a provision authorizing a member to increase such coverage amounts in increments of $10,000 to a maximum of $200,000. (Sec. 645) Terminates SGLI coverage for members of the Ready Reserve who fail to pay the required premiums 120 days after the Secretary concerned transmits to such member a termination notification. (Sec. 646) Directs the Secretary to report to the Congress on the possible extension to junior noncommissioned officers (pay grades E-5 and 6) the same privileges provided for senior noncommissioned officers (those above E-6), including the privileges to mess (eat) separately and to receive a BAS. (Sec. 647) Authorizes the payment to survivors of deceased military personnel of all leave accrued but unused. (Sec. 648) Directs the Secretary concerned to pay an annuity to the qualified surviving spouse of each member of the armed forces who: (1) died before March 21, 1974, and was entitled to retired or retainer pay on the date of death; and (2) was a member of a reserve component during the period beginning on September 21, 1972, and ending on October 1, 1978, and at the time of death would have been eligible for retired or retainer pay except that the person was under 60 years of age. Defines a qualified spouse as one who has not remarried and is not eligible for an annuity under the Survivor Benefit Plan. Provides an annuity amount of $165 monthly, adjusted periodically with cost-of-living increases. (Sec. 649) Provides transitional compensation for dependents of all members (currently, active-duty personnel) separated from service for dependent abuse. Title VII: Health Care - Subtitle A: Health Care Services - Authorizes the provision of authorized medical care and services under CHAMPUS for surviving dependents of Retired Reserve personnel who die before age 60. (Sec. 702) Authorizes the Secretary to establish a dental insurance plan for members of the Selected Reserve of the Ready Reserve. Requires within such plan voluntary enrollment and premium sharing between DOD and the members enrolled, with a member premium limit of $25 monthly. Outlines provisions concerning plan benefits and termination. Authorizes appropriations. (Sec. 703) Provides under CHAMPUS: (1) for military dependents under six years old, health promotion and disease prevention visits, as well as immunizations; and (2) for those six years old or older, health promotion and disease prevention visits in connection with immunizations or with diagnostic or preventive pap smears and mammograms. (Sec. 704) Makes permanent (currently ends September 30, 1995) the authority of the Secretary to carry out a specialized treatment facility program. (Sec. 705) Amends title XVIII (Medicare) of the Social Security Act to direct the Secretary of Health and Human Services to make special provisions for the enrollment under Medicare Part B of retired military personnel (and their dependents) who are eligible as covered beneficiaries for CHAMPUS medical and dental care and who are adversely affected by the closure of a military medical treatment facility of DOD pursuant to the closure or realignment of a military installation. Waives the Medicare Part B late enrollment penalty for such individuals. Subtitle B: TRICARE Program - Requires a military medical facility to provide to the covered beneficiaries enrolled in a health care plan of such facility the same health care benefits as are available to covered beneficiaries in that catchment area under the DOD managed health care program (TRICARE Program). Provides transitional provisions. (Sec. 713) Expresses the sense of the Senate that the Secretary should take steps to ensure that covered CHAMPUS beneficiaries who are also eligible for Medicare and reside in a TRICARE region have adequate access to health care services after the implementation of the TRICARE Program in that region. (Sec. 714) Directs the Secretary during FY 1996 to carry out a pilot program, in a region in which the TRICARE Program has been implemented, for the provision of wraparound services (individualized mental health services provided in return for payment on a case-by-case basis) to covered beneficiaries who are children in need of such services. Requires a pilot program: (1) agreement, with specified requirements, between the Secretary and a mental health services provider; and (2) report from the Secretary to the defense committees. Subtitle C: Uniformed Services Treatment Facilities - Amends the Department of Defense Authorization Act, 1984, to extend through September 30, 1997, the authority of specified Secretaries to terminate the status of certain medical facilities as uniformed services treatment facilities (USTFs). (Sec. 722) Amends the National Defense Authorization Act for Fiscal Year 1991 to subject USTFs and any participation agreement between USTFs and the Secretary to the Federal Acquisition Regulation (FAR). (Sec. 723) Makes a USTF responsible for paying charges imposed by a private facility or health care provider for providing care outside the catchment area of the USTF to a member of the armed forces enrolled in a USTF health care plan. Directs the Secretary to require a CHAMPUS health care provider to provide such care in accordance with the same payment rules. Subtitle D: Other Changes to Existing Laws Regarding Health Care Management - Makes available for two fiscal years three percent of the funds authorized to be appropriated for a fiscal year for programs and activities carried out under CHAMPUS. (Sec. 732) Provides the maximum allowable payment to individual health care providers under CHAMPUS, with an exception when necessary to ensure that covered beneficiaries retain adequate access to health care services. Provides transition provisions. (Sec. 733) Authorizes the Secretary of Transportation (currently, only the Secretary of Defense) to enter into personal services contracts to carry out health care responsibilities with respect to medical treatment facilities of the Coast Guard when the Coast Guard is not operating as a service in the Navy. Ratifies any such contract entered into before the effective date of this Act. (Sec. 734) Amends title XI (General Provisions and Peer Review) of the Social Security Act to authorize the use of information contained in the Medicare and Medicaid Data Bank to assist in the identification of, and collection from, third parties responsible for the reimbursement of costs incurred by the United States for health care services furnished to CHAMPUS beneficiaries. Subtitle E: Other Matters - Authorizes the Board of Regents of the Uniformed Services University of the Health Sciences to establish at the University a program of research on the furnishing of care and services by nurses in the armed forces, to be known as the TriService Nursing Research Program. Requires Program administration by a TriService Nursing Research Group composed of military nurses who are involved in military nursing research and designated by the Secretary concerned. Provides research topics. (Sec. 742) Establishes a Fisher House Trust Fund in both the Army and the Air Force, funds of which are to be used for the operation of Fisher houses, which are housing facilities located in proximity to military medical treatment facilities and available for residential use on a temporary basis by patients at such facilities, as well as their family members or others providing the equivalent of familial support for such patients. Requires expenditures from such trust funds to be made only under annual appropriations and only if specifically authorized by law. (Sec. 743) Includes the Coast Guard within a Federal provision limiting the prices that may be charged to certain Federal departments and agencies by manufacturers of pharmaceuticals when purchased for use in medical facilities of such departments and agencies. Title VIII: Acquisition Policy, Acquisition Management, and Related Matters - Subtitle A: Acquisition Reform - Requires funds appropriated for any fiscal year after 1995 that are administratively reserved or committed for satellite on-orbit incentive fees to remain available for obligation until the fee is earned, but only if and to the extent that applicable Federal law is complied with in the reservation and commitment of funds for such purpose. (Sec. 802) Amends the Office of Federal Procurement Policy Act to require an executive agency to publish for at least ten days in advance a notification of the intent to solicit bids or proposals for a contract for property or services for a price expected to exceed $10,000, but not to exceed $25,000. (Current law has no price limits on such required notification.) (Sec. 803) Amends the Federal Acquisition Streamlining Act of 1994 to require the head of a Federal agency to make management decisions on all findings and recommendations set forth in an audit report of the inspector general of such agency within a maximum of six months after the issuance of the report, and to make such decisions on findings and recommendations of an audit report from outside the Federal Government within six months after the date on which the head of the agency receives the report. Requires completed actions with respect to an inspector general's findings and recommendations within 12 months after the date of the inspector general's report. (Sec. 804) Amends the National Defense Authorization Act for Fiscal Years 1990 and 1991 to direct the Secretary to establish a test program under which contracting activities in the military departments and defense agencies are authorized to undertake one or more demonstration projects to determine whether the negotiation and administration of comprehensive subcontracting plans will reduce administrative burdens on contractors while enhancing opportunities provided under DOD contracts for small businesses as well as small businesses owned and controlled by socially and economically disadvantaged individuals. Requires a broad range of the supplies and services acquired by DOD to be included in the test program. Includes as covered contractors under the test program those which furnished DOD with supplies or services pursuant to at least three contracts having an aggregate value of at least $5 million. (Sec. 805) Authorizes the Secretary of the Navy to contract or otherwise provide for necessary salvage facilities for public and private vessels if: (1) available commercial salvage facilities are inadequate to meet the Navy's requirements; and (2) such Secretary provides public notice of the intent to enter into such contracts. Authorizes such Secretary to acquire or transfer such vessels and equipment for operation by private salvage companies as necessary. Provides for: (1) the settlement of salvage claims; and (2) the disposition of receipts. (Sec. 806) Repeals a Federal provision authorizing the Secretary of a military department to delegate certain contracting authority. (Sec. 807) Requires any defense research paper issued or technological assessment made by a defense research facility with respect to a major weapon system to be made part of the record for the purpose of making acquisition program (currently, milestone 0, I, and II) decisions. (Sec. 808) Applies defense procurement requirements to the purchase of supplies used for experimental or test purposes only when such purchases are made in quantity. (Sec. 809) Repeals a provision requiring certain quality control in the procurement of critical aircraft and ship spare parts. (Sec. 810) Authorizes funds appropriated to a military department to be used for the acquisition of design and process data. (Sec. 811) Revises provisions concerning the content of regulations required for independent cost estimates with respect to various phases of major defense acquisition programs. (Sec. 812) Allows the United States to recoup indirect (currently, only direct) fees associated with the use of DOD laboratories and other facilities for the testing of materials and equipment. (Sec. 813) Subjects to the Walsh-Healey Act each contract for the construction, alteration, furnishing, or equipping of a naval vessel, unless the President determines that such requirement is not in the interest of national defense. (Sec. 814) Requires any contractor agreeing to allow the inclusion or incorporation of defense features on aircraft owned by such contractor for possible use with the Civil Reserve Air Fleet to operate such aircraft for DOD as needed during any activation of the Fleet (currently, only permitted during activation of the full Fleet). Subtitle B: Other Matters - Earmarks specified O&M funds authorized under this Act for DOD procurement technical assistance programs, further earmarking such funds for technical assistance in certain distressed areas. (Sec. 822) Considers a DOD cable television franchise agreement as a contract for telecommunications services for purposes of part 49 of the FAR. Title IX: Department of Defense Organization and Management - Redesignates the Assistant to the Secretary of Defense for Atomic Energy as the Assistant to the Secretary of Defense for Nuclear and Chemical and Biological Defense Programs, with appropriate responsibilities. Title X: General Provisions - Subtitle A: Financial Matters - Authorizes the Secretary, in the national interest, to transfer authorizations made available to DOD in this Division for FY 1996 between any such authorizations for such fiscal year. Limits to $2 billion the total authorized transfers. Directs the Secretary to promptly notify the Congress of each such transfer. (Sec. 1002) Removes a requirement prohibiting the Secretary from designating DOD personnel as disbursing officials for departmental pay and expenses of the District of Columbia. Revises disbursing authority with respect to DOD and its individual military departments. Authorizes military personnel under the Secretary's jurisdiction to certify vouchers when authorized, in writing, by the Secretary. (Sec. 1003) Establishes in the Treasury the Defense Modernization Account. Provides for credits to the Account. Requires Account funds to be used for: (1) increasing the quantity of items and services procured under a procurement program in order to achieve a more efficient production or delivery rate; and (2) RDT&E and procurement necessary for modernization of an existing system or a system being procured under an ongoing procurement program. Provides Account use limitations. Limits to $500 million the funds that may be transferred from the Account in any fiscal year for such procurement modernization purposes, requiring the Secretary to notify the congressional defense committees prior to any such transfers. Requires quarterly reports from the Secretary to such committees concerning Account credits, transfers, and expenditures. Makes such provision inapplicable to the Coast Guard when it is not operating as a service in the Navy. (Sec. 1004) Adjusts the amounts authorized for appropriation in the National Defense Authorization Act for Fiscal Year 1995 by the increases and decreases in title I of the Emergency Supplemental Appropriations and Rescissions for the Department of Defense to Preserve and Enhance Military Readiness Act of 1995. (Sec. 1005) Limits to $500,000 the funds authorized to be obligated or expended by the Secretary for emergency and extraordinary expenses until the Secretary has notified the congressional defense committees of the intent to obligate such funds and, in the case of an obligation or expenditure in excess of: (1) $1 million, 15 days have elapsed since the notification; or (2) $500,000, but no more than $1 million, 5 days have elapsed since such notification. Removes the time requirements of (1) and (2), above, when the Secretary determines that the national security objectives will be compromised by such delay. Requires the Secretary to notify such committees when such waiver authority is exercised. (Sec. 1006) Authorizes the Secretary, beginning after FY 1994, to transfer funds to military appropriations for a fiscal year out of funds available to DOD from the Foreign Currency Fluctuations, Defense, appropriation. Authorizes the Secretary, after FY 1993, to transfer to such appropriations unobligated amounts of funds appropriated for O&M and military personnel. Provides transfer limits. (Sec. 1007) Directs the Secretary to submit to the congressional defense committees a special report on funding for the reserve components. Subtitle B: Naval Vessels - Directs the Secretary of the Navy to list and maintain on the Naval Vessel Register at least two of the Iowa class battleships that were stricken from the Register in February, 1993. Requires selection of such battleships that are in the best material condition. Requires such Secretary to retain logistical support to maintain the battleships. Terminates this provision when such Secretary notifies the defense committees that the Navy has an operational fire support capability that equals or exceeds that of the Iowa class battleships. (Sec. 1012) Authorizes the Secretary of the Navy to transfer on either a grant or lease basis specified naval frigates to the governments of Bahrain, Egypt, Oman, Turkey, and the United Arab Emirates. Waives specified congressional notification requirements with respect to such transfers. Terminates such transfer authority two years after the enactment of this Act, except that a lease entered into during such period may be renewed. Subtitle C: Counter-Drug Activities - Revises generally provisions concerning the authority for Federal support of State drug interdiction and counter-drug activities of the National Guard. Repeals a provision excluding National Guard personnel performing such activities from annual reserve duty end strength limitations. Allows National Guard personnel to be ordered to perform full-time National Guard duty in support of such activities. Authorizes the governor of a State to request such personnel to perform such duty. Requires the Attorney General of a State to certify that the use of such personnel for such purposes is authorized by, and consistent with, State law, and that it serves an appropriate State law enforcement purpose. Limits to 4000 the number of National Guard personnel performing such activities for a State for a period of more than 180 days. Authorizes the Secretary to increase such limits by not more than 20 percent for any fiscal year if determined necessary for national security purposes. (Sec. 1022) Prohibits, with an exception, the use of funds made available to DOD for obligations or expenses of the National Drug Intelligence Center, Johnstown, Pennsylvania. (Sec. 1023) Directs the Secretary to either: (1) procure nonintrusive inspection systems and transfer such systems to the U.S. Customs Service; or (2) transfer funds to the Secretary of the Treasury for such procurement. Earmarks funds authorized under this Act for such purpose. Subtitle D: Department of Defense Education Programs - Reaffirms the congressional commitment towards the continuation of the Uniformed Services University of the Health Sciences. Prohibits, during the five-year period beginning on October 1, 1995, the personnel staffing levels for the University from being reduced below such levels as of October 1, 1993. (Sec. 1032) Authorizes the Board of Regents at the University to establish a graduate school of nursing and other programs determined necessary in order to operate the University cost-effectively. (Sec. 1033) Earmarks funds authorized under this Act to fund basic adult education programs for military personnel (and their dependents) serving outside the United States. (Sec. 1034) Limits to enlisted members of the Air Force (currently, enlisted members of the armed forces) the scope of educational programs offered at the Community College of the Air Force. (Sec. 1035) Changes from December 15 to March 1 annually the due date of a reporting requirement of the Secretary with respect to the operation of the DOD educational assistance program. Subtitle E: Cooperative Threat Reduction With States of the Former Soviet Union - Prohibits the obligation of cooperative threat reduction (CTR) program funds to assist nuclear weapons scientists in States of the former Soviet Union until 30 days after the Secretary certifies to the Congress that such funds will not be used to contribute to the modernization of the strategic nuclear forces of such States or for R&D or production of weapons of mass destruction. (Sec. 1043) Withholds $50 million of the funds for CTR programs until the President certifies to the Congress that Russia is in compliance with its obligations under the Biological Weapons Convention. Subtitle F: Matters Relating to Other Nations - Authorizes NATO organizations to participate in cooperative R&D projects under the Arms Export Control Act. (Sec. 1052) Expresses the sense of the Congress recognizing the importance to the United States of effective export controls on dual-use (military and commercial) items and technologies that are critical to the military capabilities of U.S. armed forces. Calls for the Government to identify such critical items and technologies and exercise effective export control over them. Directs the Secretary to report to the Congress on the effect of such export control policy on U.S. national security interests. Directs the Secretary to: (1) review each application submitted to the Secretary of Commerce for a license for the export of a class 2, 3, or 4 biological pathogen to a country known or suspected to have an offensive biological weapons program in order to determine if such an export would be contrary to U.S. national security interests; (2) inform such Secretary of the countries suspected of having such a program; (3) notify such Secretary if the export of a biological pathogen would be contrary to U.S. interests; and (4) have such Secretary deny the application. (Sec. 1053) Directs the Secretary to establish a program under which he may issue guarantees assuring a lender against losses of principal or interest, or both, arising out of the financing of the sale or long-term lease of defense articles or services, or design and construction services, to: (1) NATO countries; (2) countries designated as of March 31, 1995, as major non-NATO allies; (3) a country in Central Europe which has or is changing its form of government to a democracy; and (4) a noncommunist country that was a member nation of the Asia Pacific Economic Cooperation as of October 31, 1993. Provides for loan limitations, fees, and payment terms. Requires the President to report to the Congress on the loan guarantee program. (Sec. 1054) Amends the National Defense Authorization Act for Fiscal Year 1995 with regard to its landmine clearing assistance program to prohibit FY 1996 funds from being used for military personnel involvement in such activities until 30 days after the Secretary certifies to the Congress that such involvement satisfies military training requirements for such personnel. Terminates the authority to provide such assistance as of the end of FY 1996. Provides FY 1996 funding for such program. (Sec. 1055) States that it shall be the policy of the United States that: (1) the President should ensure that any conventional defense system or technology offered by the United States for sale to NATO nations or major non-NATO allies is concurrently made available to Israel unless the President determines that such would not be in the national security interests; and (2) the President should make available to Israel advanced U.S. technology necessary for achieving continued progress in cooperative U.S.-Israel R&D of theater missile defenses. (Sec. 1056) Expresses the sense of the Congress that the Secretary of the Navy should take appropriate action to improve the services available to the Navy at the Port of Haifa, Israel, and ensure that increasing commercial activities there does not adversely affect the availability of required services to the Navy there. (Sec. 1057) Prohibits DOD funds from being obligated or expended to provide financial assistance to any country determined to support international terrorism either directly or in granting sanctuary from prosecution to individuals or groups which engage in such activities. Authorizes a waiver by the President for national security purposes, requiring notification to specified congressional committees when exercising such waiver. (Sec. 1058) Expresses the sense of the Congress supporting international military education and training and other forms of cooperation between U.S. armed forces and the armed forces of countries which are allies with or friendly to the United States. Authorizes the Secretary, upon the recommendation of a commander of a combatant command or the Chairman of the Joint Chiefs of Staff, to pay a portion of the costs of providing international military education and training to military and civilian personnel of foreign countries who perform national defense functions. Provides FY 1996 funding for such activities. (Sec. 1059) Amends the National Defense Authorization Act for Fiscal Year 1994 to repeal a limitation with respect to the purchase or construction of American diplomatic facilities in Germany. (Sec. 1060) Earmarks specified funds authorized under this Act for implementing arms control agreements to which the United States is a party, with a limitation. (Sec. 1061) Expresses the sense of the Congress that: (1) the President should consult with the Congress regarding any UN peace operations that could involve U.S. combat forces, and should do so before a UN vote on such action is taken; (2) such forces should participate only when it is clearly in the national security interest to do so; (3) in such situations, U.S. combat forces should be under the operational control of qualified commanders; and (4) none of such forces should be under operational control of foreign nationals except in the most extraordinary circumstances. Subtitle G: Repeal of Certain Reporting Requirements - Repeals miscellaneous reporting requirements under Federal armed forces and military pay provisions, provisions of defense authorization and appropriation Acts, national security laws, and other related laws and Acts. Excuses DOD from certain reporting requirements of the Joint Committee on Printing regarding printing-related matters. Subtitle H: Other Matters - Directs the Secretary to turn off the selective availability feature of the global positioning system by May 1, 1996, unless he submits to the defense committees a specified plan with respect to the development and acquisition of capabilities to deny hostile military forces the ability to interfere with or disrupt the system. (Sec. 1082) Expresses the sense of the Congress that, unless and until the START II Treaty enters into force, the Secretary should not take any action to dismantle or retire specified nuclear delivery systems. Prohibits FY 1996 DOD funds from being used for such purpose. (Sec. 1083) Amends the National Defense Authorization Act for Fiscal Year 1993 to extend through FY 1997 the National Guard Civilian Youth Opportunities pilot program. (Sec. 1084) Directs the Secretary to report to the defense committees on the status of current and possible continued support of boards and commissions operating within or for DOD. (Sec. 1085) Amends the Department of Defense Authorization Act, 1986, to revise the purposes for the provision of Army support for the National Science Center for Communications and Electronics. Authorizes the Secretary to manage, operate, and maintain facilities at the Center in order to conduct educational outreach programs. Authorizes fundraising activities for the management and operation of the Center and the support of its activities. Directs the Secretary to prescribe criteria for determining whether to accept a donation for such Center. Authorizes the Secretary to enter into an agreement with NSC Discovery Center, a nonprofit organization, to develop, manage, and maintain a national science center under this section. (Sec. 1086) Authorizes the Secretary to suspend or terminate an action for collection of a claim against the estate of a person who died while serving on active duty in the armed forces if circumstances make it appropriate to do so. (Sec. 1087) Increases to up to $100,000 (currently, $40,000) the maximum limit for a claim by a member of the armed forces for damage to property during a relocation when such claim arose from an emergency evacuation or from extraordinary circumstances which occurred on or after June 1, 1991. (Sec. 1088) Authorizes, with limitations, dependents of Government employees to utilize check cashing and other exchange transactions through Government disbursing officials. Requires a pay offset from the dependent's sponsor for any deficiencies resulting from a dependent's transactions, including charges for insufficient funds. (Sec. 1089) Entitles veterans with total disability ratings to travel on military aircraft in the same manner and to the same extent as retired military personnel. (Sec. 1090) Authorizes the Secretary to transport to Hawaii for medical care children under 18 years old who reside in the Pacific Rim region, are crippled and in need of medical care due to such condition, will be admitted to a medical facility in Honolulu which specializes in providing such care, and are unable to afford the cost of such transportation. Authorizes the Secretary to transport one adult attendant accompanying such child. (Sec. 1091) Expresses the sense of the Senate that educational institutions should not have a policy of denying the Secretary from obtaining for military recruiting purposes: (1) entry to any campus or access to students equal to that of other employers; or (2) access to directory information pertaining to such students. Encourages the Secretary to prescribe regulations for determining if and when such an institution has denied such student access. (Sec. 1092) Requires advance medical directives executed by military personnel eligible for legal assistance to be exempt from legal requirements of State law and given the same legal effect as a directive executed in accordance with State law. Provides that such directives shall not be enforceable in a State that does not otherwise recognize and enforce such directives. (Sec. 1093) Directs the Secretaries of Defense and Energy to report to specified congressional committees within 30 days after the enactment of this Act on military manpower requirements necessary to implement export controls on certain weapons transfers. (Sec. 1094) Includes the period between July 1, 1958, and August 4, 1964, within the Vietnam era in the case of veterans who served on active military duty in the Vietnam theater of operations during such period. Division B: Military Construction Authorizations - Military Construction Authorization Act for Fiscal Year 1996 - Title XXI(sic): Army - Authorizes the Secretary of the Army to acquire real property and carry out military construction projects in specified amounts at specified installations and locations. Authorizes the Secretary to construct or acquire family housing units, to carry out architectural planning and design activities, and to improve existing military family housing in specified amounts. Authorizes appropriations to the Army for fiscal years after 1995 for military construction, land acquisition, and military family housing functions of the Army. Limits the total cost of construction projects authorized by this title. Title XXII: Navy - Provides, with respect to the Navy, authorizations paralleling those provided for the Army under the previous title. (Sec. 2205) Amends the Military Construction Authorization Act for Fiscal Year 1995 to increase the authorized amount for a military construction project at the Patuxent River Naval Warfare Center, Maryland. (Sec. 2206) Amends the Military Construction Authorization Act for Fiscal Year 1993 to: (1) decrease the amount authorized for a military construction project relating to Damneck, Fleet Combat Training Center, Virginia; and (2) authorize, with the use of the funds under (1), above, a military construction project at the Norfolk Naval Base, Virginia. Extends through a conditional date the authorization for the Norfolk project. (Sec. 2207) Authorizes the Secretary of the Navy to acquire all rights and interest to specified property at Henderson Hall, Arlington, Virginia, to demolish a mausoleum there, and provide for the appropriate disposition of the remains contained therein. Authorizes such Secretary to then obtain architectural engineering and design services for the construction of a Marine Corps office and warehouse facility on such property. Title XXIII: Air Force - Provides, with respect to the Air Force, authorizations paralleling those provided for the Army. Title XXIV: Defense Agencies - Authorizes the Secretary to acquire real property and carry out military construction projects in specified amounts at specified installations and locations. (Sec. 2402) Earmarks funds authorized under this title for crediting to the Department of Defense Housing Improvement Fund to carry out appropriate activities. (Sec. 2403) Authorizes the Secretary to: (1) improve existing military family housing in a specified amount; and (2) carry out energy conservation projects. (Sec. 2405) Authorizes appropriations for FY 1996 for military construction, land acquisition, and military family housing functions of DOD. Limits the total cost of construction projects authorized under this title. (Sec. 2406) Amends the Military Construction Authorization Act for Fiscal Year 1995 to increase the authorized amounts for military construction projects at the Pine Bluff Arsenal, Arkansas, and the Umatilla Army Depot, Oregon. Title XXV: North Atlantic Treaty Organization Infrastructure - Authorizes the Secretary to make contributions for the NATO Infrastructure Program and authorizes appropriations for fiscal years after 1995 for such contributions. Title XXVI: Guard and Reserve Forces Facilities - Authorizes appropriations for fiscal years after 1995 for the Guard and Reserve forces for acquisition, architectural and engineering services, and construction of facilities. (Sec. 2602) Amends the Military Construction Authorization Act for Fiscal Year 1994 to decrease the amount authorized for FY 1994 for Air National Guard projects. Title XXVII: Expiration and Extension of Authorizations - Terminates all authorizations contained in titles XXI through XXVI on October 1, 1998, or the date of enactment of an Act authorizing funds for military construction for FY 1999, whichever is later, with exceptions. Extends certain FY 1992 and 1993 military construction projects. Title XXVIII: General Provisions - Subtitle A: Military Construction Program and Military Family Housing Changes - Authorizes the Secretary concerned, when carrying out a minor military construction project not otherwise authorized by law to correct a life-, health-, or safety-threatening deficiency, to expend up to $3 million for such project. (Currently, general minor military construction projects are limited to $1.5 million.) Authorizes the Secretary concerned to use O&M funds to carry out such special projects which exceed $1 million. (Sec. 2803) Makes inapplicable to the acquisition of existing family housing in lieu of new construction for military family housing for five years after the enactment of this Act specified Federal provisions which limit by pay grade the net floor area authorized for such housing. Extends permanently (currently expired on September 30, 1994) the authority of the Secretary concerned to waive such net floor area limitations during the acquisition by purchase of military family housing for military personnel in pay grades below O-6. (Sec. 2805) Waives the above net floor area limits with respect to the construction, acquisition, or improvement of family housing units during the five-year period beginning on October 1, 1995. (Sec. 2806) Increases from: (1) 300 to 450 the number of military family housing units that may be leased in foreign countries for no more than $25,000 per unit per year; and (2) 220 to 350 the number of such units for which such maximum lease amount may be waived for incumbents of special positions or in other special circumstances. (Sec. 2807) Extends to all military departments (currently only the Navy) the authority to enter into limited partnerships with private developers for the development of military family housing. Redesignates the Navy Housing Investment Account as the Defense Housing Investment Account. Terminates the Navy Housing Investment Board. Extends through FY 2000 the authority to enter into such partnerships. (Sec. 2808) Revises limitations on cost increases with respect to contracts for the construction of military family housing. (Sec. 2809) Authorizes the Secretary to convey any military family housing facilities that, due to damage or deterioration, is in a condition that is uneconomical to repair. States that such authority does not apply to housing facilities on military installations approved for closure under a base closure law or at facilities outside the United States at which the Secretary terminates operations. Limits to $5 million in any fiscal year the aggregate total value of the facilities authorized to be conveyed. Outlines provisions concerning: (1) consideration; (2) a requirement to notify the Congress 21 days in advance; (3) the inapplicability of certain Federal property disposal laws; and (4) the deposit of conveyance proceeds into the Department of Defense Military Housing Improvement Fund to be used for construction of new military family housing. (Sec. 2810) Includes water efficient maintenance within a current DOD energy performance goal and plan. (Sec. 2811) Authorizes the Secretary concerned to exercise any authority to provide for the acquisition, construction, improvement, or rehabilitation by private persons of: (1) family housing units on or near military installations within the United States and its territories and possessions; and (2) unaccompanied housing units on or near such installations. Authorizes such Secretary to make direct loans and loan guarantees to such private persons for such purposes, with loan and guarantee limits. Allows such loans and guarantees to be made only to the extent that appropriations are made in advance or other authority is provided in appropriation Acts. Authorizes the Secretary concerned to: (1) contract for the lease of family or unaccompanied housing units to be constructed, improved, or rehabilitated for such purposes; and (2) invest in nongovernmental entities carrying out such projects, with an investment value limit. Authorizes such Secretary to enter into collateral incentive agreements with nongovernmental entities in which such entities agree to ensure a preference to military personnel in the lease or purchase of a reasonable number of houses covered by the investment. Authorizes the Secretary concerned to enter into rental guarantees which assure the occupancy of units and the appropriate rental income which should be derived from such units, allowing such Secretary to pay more than the rental amount to encourage a lessor to make such housing available to military personnel. Authorizes the Secretary concerned to convey or lease property or facilities to private persons and use the proceeds to carry out such military housing activities. Makes such authority inapplicable to property or facilities at a military installation approved for closure under a base closure law. Provides, with respect to construction of new housing facilities, for: (1) interim leases prior to the completion of an entire project; (2) required conformity in room patterns and floor areas with similar military family housing units in the locale; (3) the inapplicability of current floor space limitations based on pay grade; and (4) the acquisition or construction of appropriate support facilities to accompany such family housing. Authorizes the Secretary concerned to: (1) assign military personnel to housing units acquired under these provisions; and (2) obtain housing lease payments through pay allotments. Establishes in the Treasury the Department of Defense Housing Improvement Fund and provides credits to the Fund. Requires such funds to be used for such military housing activities. Limits to $1 billion the total value in budget authority of all contracts, agreements, and investments undertaken under these provisions for such military housing activities. Requires the Secretary to report: (1) to appropriate congressional committees on each contract or agreement entered into for such military housing activities; and (2) annually in conjunction with the budget submission by the President on the use of authorities provided under these provisions. Terminates five years after the enactment of this Act the authority to enter into any transaction for such military housing activities. Requires a final report from the Secretary to the congressional defense committees no later than March 1, 2000. (Sec. 2812) Makes permanent (currently ends on September 30, 1995) the authority of the Secretary to enter into leases of land for special operations activities. Requires the Secretary to report annually to the defense committees on leasehold interests acquired for such purposes. (Sec. 2813) Authorizes the use of DOD funds for the construction of school facilities under the Elementary and Secondary Education Act of 1965. Subtitle B: Defense Base Closure and Realignment - Authorizes the Secretary concerned to accept the services of a lessee for an entire installation to be closed or realigned under a base closure law, or any part of such installation, without regard to the normal requirement that a substantial portion of the installation be leased. (Sec. 2822) Amends the Defense Authorization Amendments and Base Closure and Realignment Act and the Defense Base Closure and Realignment Act of 1990 (the base closure laws) to authorize the Secretary to enter into any type of agreement (currently, to contract) for the provision of community services at installations being closed or realigned. (Sec. 2823) Amends the Defense Base Closure and Realignment Act of 1990 to authorize the use during FY 1996 of funds in the Defense Environmental Restoration Account for environmental restoration at installations approved for closure or realignment under such Act. (Sec. 2824) Amends the Comprehensive Environmental Response, Compensation, and Liability Act of 1980 (CERCLA) to authorize the lease of real property located at an installation approved for closure under a base closure law if: (1) the lessee has agreed to purchase the property; (2) the EPA Administrator has determined the property suitable for leasing; and (3) there are adequate assurances that the United States will take all environmental remediation action still required on such property. Subtitle C: Land Conveyances - Authorizes the Secretary of the Air Force to acquire a parcel of real property adjacent to Shaw Air Force Base, South Carolina. Authorizes a land exchange of equivalent fair market value in order to receive such property. (Sec. 2832) Authorizes the Secretary of the Navy to enter into an agreement with the Port Authority of Mississippi under which the Port Authority may use up to 50 acres of real property and related facilities at the Naval Construction Battalion Center, Gulfport, Mississippi. Outlines agreement terms, restrictions, and limitations, including the requirement that use of such property must be consistent with Navy operations at the Center. Requires congressional notification 21 days before entering into such an agreement. Authorizes such Secretary to use proceeds received from the fair rental value of such property for general administrative costs at the Center. (Sec. 2833) Authorizes the Secretary of the Navy to convey to: (1) Burlington County, New Jersey, the resource recovery facility at Fort Dix, New Jersey; (2) Augusta, Georgia, specified water and wastewater treatment plants at Fort Gordon, Georgia; (3) Blackstone, Virginia, a water treatment plant at Fort Pickett, Virginia; (4) the Southern California Edison Company the electric power distribution system at Fort Irwin, California; and (5) the Weyerhaeuser Real Estate Company, Washington, a specified portion of real property at Fort Lewis, Washington (requiring a land exchange from Weyerhaeuser as part of such conveyance). Subtitle D: Transfer of Jurisdiction and Establishment of Midewin National Tallgrass Prairie - Illinois Land Conservation Act of 1995 - Directs the Secretary of Agriculture (Secretary, for purposes of this Subtitle) to establish the Midewin National Tallgrass Prairie (MNP) to consist of portions of the Joliet Army Ammunition Plant (Arsenal) in Illinois and to be managed as part of the National Forest System. (Sec. 2853) Sets forth provisions regarding: (1) roads, utility rights-of-way, and access within the MNP; (2) agricultural leases and special use authorizations; (3) user fees; (4) salvage of improvements; (5) treatment of user fees and salvage receipts; and (6) cooperation with States, local governments, and other entities. (Sec. 2854) Authorizes the Secretary of the Army to transfer the Arsenal property constituting the MNP, without reimbursement, to the Secretary. Permits the transfer of portions only for which no further action is required under environmental laws and that have been eliminated from the areas to be studied further pursuant to the Defense Environmental Restoration Program for the Arsenal. Directs the Secretary of the Army to retain jurisdiction, authority, and control over real property that is used for: (1) water treatment; (2) the treatment, storage, or disposal of hazardous substances or petroleum products or derivatives; and (3) response purposes or actions required under environmental laws to remediate contamination or noncompliance. (Sec. 2855) Authorizes the Secretary of the Army to convey certain Arsenal property to: (1) the Department of Veterans Affairs for use as a national cemetery; (2) Will County, Illinois, for use as a landfill; and (3) the village of Elwood and the city of Wilmington, Illinois, for use as industrial parks. Provides that the use of such landfill by Federal agencies or additional acreage added for purposes of accommodating the disposal of materials from the restoration of the Arsenal shall be at no cost to the Federal Government. Requires such property to revert to the Secretary for inclusion in the MNP if the property is not operated as a landfill. Provides for the conveyance of specified other Arsenal property to be added to the MNP subject to the Secretary's acceptance. (Sec. 2856) Directs the Secretary of the Army, with respect to the real property at the Arsenal to be transferred, to complete all remedial, response, or other actions required under any environmental law before carrying out such transfers. Requires the Secretary of the Army to retain any obligation or liability at the Arsenal as required under CERCLA and other environmental laws. Subtitle E: Other Matters - Directs the Secretary of Defense to carry out the Department of Defense Laboratory Revitalization Demonstration Program under which the Secretary may carry out minor military construction projects in order to improve DOD laboratories. Increases the maximum costs of minor construction projects for purposes of the Program. Directs the Secretary to designate the DOD laboratories to be covered by the Program. Requires a report. Prohibits the Secretary from commencing a construction project under the Program after September 30, 1999. (Sec. 2862) Prohibits the Secretary of the Navy from entering into any agreement that provides for or permits civil aircraft to regularly use Miramar Naval Air Station, California. (Sec. 2863) Directs the Secretary of the Army to report to the defense committees on the status of negotiations on an agreement relating to a land conveyance at Fort Belvoir, Virginia, as required under the Military Construction Authorization Act for Fiscal Years 1990 and 1991. Division C: Department of Energy National Security Authorizations and Other Authorizations - Title XXXI(sic): Department of Energy National Security Programs - Subtitle A: National Security Programs Authorizations - Authorizes appropriations to the Department of Energy (DOE) for FY 1996 for operating expenses, plant projects, and capital equipment necessary in carrying out the following activities for national security programs: (1) weapons activities; (2) environmental restoration and waste management; (3) various other defense activities; (4) defense nuclear waste disposal; and (5) the payment of penalties to the Hazardous Substances Superfund assessed against the Rocky Flats, Colorado, nuclear site. Subtitle B: Recurring General Provisions - Prohibits the use of funds appropriated pursuant to this title for: (1) the cost of a program exceeding 110 percent of the program authorization or $1 million more than the amount authorized, whichever is the lesser; or (2) programs which have not been presented to, or requested of, the Congress, unless the Secretary of Energy (Secretary, for purposes of this Division) transmits to the appropriate congressional committees a full statement of the action proposed and 30 days have since expired. (Sec. 3122) Places certain funding limits (requiring congressional reports when amounts exceed such limits) for general plant and construction projects of DOE. Provides fund transfer authority (requiring congressional notification of any such transfer). (Sec. 3125) Directs the Secretary, before submitting a funding request for a construction project in support of a DOE national security program, to complete a conceptual design for such project. Requires a separate funding request for such designs for which the estimated costs exceed $3 million. Authorizes the Secretary to carry out construction design services in connection with any proposed construction project if the total estimated cost for the design does not exceed $600,000. Requires specific authorization by law for designs exceeding such amount. (Sec. 3126) Authorizes the use of DOE funds for planning, design, and construction activities for any DOE national security program that must proceed expeditiously in order to protect public health and safety, meet the needs of national defense, or protect property. Requires the Secretary to report to the congressional defense committees when funds are so used. Makes funds for management and support activities and for general plant projects under this Subtitle available for all DOE national security programs. Subtitle C: Program Authorizations, Restrictions, and Limitations - Earmarks specified funds authorized under this title for specified three-year programs of R&D with respect to certain tritium production activities, including activities at the Los Alamos National Laboratory, New Mexico, and the Idaho National Engineering Laboratory. (Sec. 3132) Earmarks specified funds authorized under this title for certain plutonium disposition activities, including an environmental assessment. (Sec. 3133) Authorizes specified tritium-related activities to be carried out at the Savannah River Site, South Carolina, and the Los Alamos National Laboratory. (Sec. 3134) Directs the Secretary to carry out a program for establishing within the Government a manufacturing infrastructure which has the capability to: (1) refabricate and certify the enduring nuclear weapons stockpile; and (2) manufacture new nuclear warheads. Outlines required capabilities. Provides funding. (Sec. 3135) Earmarks funds authorized under this title for hydronuclear experiments at the Nevada Test Site. (Sec. 3136) Directs the Secretary to conduct a fellowship program for the development of skills critical to the ongoing mission of the DOE nuclear weapons complex. Outlines provisions concerning eligible individuals and DOE facilities at which the fellowship program shall be carried out. Provides funding. (Sec. 3137) Provides the effect of the issuance of environmental impact statements upon the use of appropriated funds for certain DOE facilities. (Sec. 3138) Directs the Secretary to: (1) prepare a comprehensive environmental impact statement for the dual-axis radiographic hydrotest facility project; and (2) issue a record of decision on the project pursuant to such statement. (Sec. 3139) Prohibits the use of FY 1996 DOE funds for specified research and education purposes. (Sec. 3140) Earmarks funds authorized under this title for: (1) electrometallurgical processing activities at the Idaho National Engineering Laboratory; (2) the processing of spent nuclear fuel rods at the Savannah River Site and the Idaho National Engineering Laboratory; and (3) the DOE Declassification Productivity Initiative. (Sec. 3142) Authorizes the Secretary to reprogram funds available to DOE for FY 1996 for activities related to the disposition of spent nuclear fuel in the Democratic People's Republic of Korea. Limits to $5 million the total amount authorized to be reprogrammed. (Sec. 3143) Earmarks funds authorized under this title for activities relating to worker protection at DOE nuclear weapons facilities. Subtitle D: Transfer of Jurisdiction Over Department of Energy National Security Functions - Expresses the sense of the Senate: (1) recognizing the critical importance of the U.S. nuclear weapons stockpile; and (2) questioning DOE's ability to continue to manage the stockpile. Directs the Secretaries of Defense and Energy to jointly submit to the Congress, by February 1, 1996, a report setting forth the notional plans which examine the potential transfer to DOD or an independent establishment of responsibility for the national security programs of DOE. Provides the various DOE organizations to be included in any such transfer, as well as other matters to be included in the plans. Requires each Secretary to ensure that the current mission and functioning of DOE national security programs would not be adversely affected during any transfer of responsibility. Subtitle E: Other Matters - Requires the Office of Military Applications under the Assistant Secretary of Energy for Defense Programs to retain responsibility for DOE's Defense Programs Emergency Response Program. (Sec. 3162) Provides the requirements for DOE weapons activities budgets for fiscal years after 1996. (Sec. 3163) Directs the Secretary to take appropriate actions to maintain the enduring nuclear weapons stockpile in complete readiness for use. (Sec. 3164) Directs the President to submit to the congressional defense committees a report on any presidential plans to purchase tritium from foreign suppliers for nuclear weapons stockpile purposes. (Sec. 3165) Requires the Secretary to direct the joint preparation by the Lawrence Livermore and Los Alamos National Laboratories of a report on permitting alternative limits to limits on the explosive yield of hydronuclear tests. Provides funding. (Sec. 3166) Directs the President to report to the Congress a master plan on current and future warheads in the enduring nuclear weapons stockpile. (Sec. 3167) Prohibits the Secretary from allowing an international inspection of a nuclear weapons facility until: (1) the Secretary certifies to the Congress that no restricted data or classified information will be revealed during such inspection; and (2) 30 days have elapsed since such certification. Title XXXII: Defense Nuclear Facilities Safety Board - Authorizes appropriations for FY 1996 for the Defense Nuclear Facilities Safety Board. Title XXXIII: Naval Petroleum Reserves - Directs the Secretary to sell all U.S. rights and interest to lands inside Naval Petroleum Reserve Number 1 (Elk Hills unit), Kern County, California. Directs the Secretary, within three months after the effective date of this Act, to finalize the equity interests of the known oil and gas zones in the Elk Hills unit, after following the recommendations of an independent petroleum engineer or using other appropriate methods. Provides time limits and administrative procedures for such sale. Directs the United States to hold harmless and indemnify the purchaser of the Elk Hills unit from any liability resulting from its former ownership by the United States. Reserves seven percent of the sale proceeds from the Elk Hills unit for the resolution of all claims against the United States by California with respect to the production of, and proceeds of petroleum sales from, the Elk Hills unit. Requires the continued full production of the Elk Hills unit until completion of the sale. Provides transition provisions with respect to current petroleum contracts at Elk Hills. Prohibits the Secretary from entering into a contract for the sale of the Elk Hills unit until 31 days after notifying the defense committees of the proposed sale. Provides that, if the Secretary receives only one offer for the sale of Elk Hills, then the Secretary may not enter into a sale contract unless: (1) the Secretary notifies the Congress that only one offer was received, together with its conditions; and (2) a joint resolution approving such sale is enacted within 45 days after such notification. Provides joint resolution procedures. Authorizes appropriations for carrying out the sale of the Elk Hills unit. (Sec. 3302) Directs the Secretary to study and report to the Congress on the most cost-effective option of operating the naval petroleum reserve units other than Elk Hills. Title XXXIV: National Defense Stockpile - Authorizes the National Defense Stockpile (NDS) Manager, during FY 1996, to obligate a specified amount from the National Defense Stockpile Transaction Fund for authorized Fund uses. Authorizes the NDS Manager to obligate additional amounts if the Manager notifies the Congress that extraordinary or emergency conditions necessitate the additional obligations. (Sec. 3402) Authorizes the President, subject to a specified condition, to dispose of certain obsolete and excess materials currently contained in the NDS. (Sec. 3403) Directs the President, in entering into agreements for the disposal from the NDS of chromite and manganese ores of metallurgical grade or chromium ferro and manganese metal electrolytic, to give a right of first refusal to domestic ferroalloy upgraders. (Sec. 3404) Prohibits the President from disposing of high carbon manganese ferro in the NDS that meets grade one specifications until completing the disposal of all manganese ferro in the NDS that does not meet such specification. Requires all manganese ferro not meeting such specification to be sold only for remelting by a domestic ferroalloy producer. (Sec. 3405) Amends the Strategic and Critical Materials Stock Piling Act to direct the Secretary to transfer to the NDS for disposal uncontaminated materials in the DOE inventory of defense-related items that are excess and suitable for transfer to the NDS for disposal. Title XXXV: Panama Canal Commission - Panama Canal Commission Authorization Act for Fiscal Year 1995 - Authorizes the Panama Canal Commission to make such expenditures as necessary for the operation, maintenance, and improvement of the Panama Canal for FY 1996, with specified limitations. Authorizes up to 38 passenger motor vehicles to be purchased for transporting Commission personnel across the Isthmus of Panama.
Bill· SS. 1024 (104th)referred
United States · United States Congress · 12 July 1995
Medicare Health Care Quality Act of 1995 - Amends title XVIII (Medicare) of the Social Security Act (SSA) with regard to health maintenance organizations and competitive medical plans (eligible organizations) to: (1) establish certain requirements related to health professional credentialing which eligible organizations must meet in order to contract with the Secretary of Health and Human Services under the Medicare program; (2) specify procedures for hearing and resolving grievances between an organization and its members; (3) require eligible organizations to adopt an appeals process to enable covered individuals to appeal adverse decisions and to provide them with written decisions concerning such grievances and appeals upon request; and (4) add anti-discrimination prohibitions. (Sec. 6) Mandates certified utilization review programs for eligible organizations. (Sec. 7) Directs such organizations to demonstrate that they have a sufficient number, distribution, and variety of qualified health care providers to ensure that all covered health care services will be available and accessible in a timely manner to all organization enrollees, and that such enrollees have access to specialized treatment expertise when medically or clinically indicated. Prohibits any process established by the eligible organization to coordinate care and control costs from imposing an undue burden on enrollees with chronic health conditions. Requires such organizations to ensure: (1) a continuity of care; and (2) reimbursement for certain emergency services which are provided other than through the organization. (Sec. 8) Establishes specified requirements for eligible organization service areas. (Sec. 9) Revises the restrictions on charges for out-of-plan services in provider participation agreements, including physicians' or renal dialysis services, to require disregard of whether or not services are furnished on an emergency basis. Requires eligible organizations to: (1) make appropriate arrangements for dialysis services for enrollees temporarily outside the organization's service area; (2) provide prospective covered individuals with written information concerning its terms and conditions to enable such individuals to make informed decisions with respect to a certain system of health care delivery; and (3) permit individuals entitled to benefits under Medicare part A (Hospital Insurance) to enroll with the organization via the mail without being visited by agents, except at the individual's request. (Sec. 12) Directs the Secretary to modify certain applicable Federal regulations to provide that "remuneration" with respect to criminal penalties for acts involving Medicare or State health care programs does not include any reduction or waiver of a coinsurance or deductible amount owed to a provider furnishing patient services covered under Medicare part B (Supplementary Medical Insurance), if such reduction or waiver is provided under a program that: (1) facilitates access to health services for patients who, because of economic circumstances, might otherwise refrain from seeking needed health care; (2) periodically screens patients to determine financial need and program eligibility; and (3) establishes financial need and eligibility on a case-by-case basis and grants such a reduction or waiver only if the beneficiary is not Medicaid-eligible or enrolled in a prepaid health plan but has income and assets below certain levels.
Bill· HRH.R. 2019 (104th)referred
United States · United States Congress · 12 July 1995
Access to Medical Treatment Act - Permits any individual to be treated by a health care practitioner with any medical treatment that the individual desires, or that is authorized by the legal representative of the individual, if: 1) the practitioner agrees to treat the individual; and 2) the administration of such treatment does not violate licensing laws. Authorizes health care practitioners to provide any method of treatment to such an individual: 1) there is no evidence that the treatment is a danger to the individual; and 2) if the treatment has not been approved, the individual has been informed that the treatment has not been approved and the food, drug, or device contains a warning to that effect. Requires a practitioner, after administering such treatment and discovering it to be a danger to an individual, to submit a report to the Secretary of Health and Human Services. Requires the Secretary to properly disseminate information with respect to the danger of the medical treatment. Requires a practitioner to immediately report to the Office of Alternative Medicine the positive effects of an unconventional medical treatment for a life-threatening medical condition including: 1) the nature of such treatment; 2) the results of such treatment; and 3) the protocol of such treatment.
Bill· HRH.R. 2011 (104th)referred
United States · United States Congress · 11 July 1995
Access to Emergency Medical Services Act of 1995 - Requires a health plan that provides any emergency services coverage to cover emergency services furnished to a plan enrollee without regard to: (1) whether the provider has an arrangement with the plan; and (2) prior authorization. Mandates prompt payment in a reasonable and appropriate amount and prohibits cost-sharing greater for hospital emergency services than for other settings. Requires specified measures relating to the timeliness of prior authorization determinations regarding needed care identified in initial evaluations. Prohibits plans from discouraging appropriate use of the 911 emergency telephone number or from denying coverage or payment for an item or service solely on the basis that an enrollee uses the number. Amends titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act to require health maintenance organizations, competitive medical plans, and managed care plans to meet the requirements of this paragraph. Allows State laws that provide protections exceeding those of this Act. Provides for civil money penalties for violations.
Bill· HRH.R. 1995 (104th)open
United States · United States Congress · 30 June 1995
Life Extending and Life Saving Drug Act - Amends the Federal Food, Drug, and Cosmetic Act (FDCA) to declare that the mission of the Food and Drug Administration (FDA), with regard to drugs, biological products, and devices, is to promote and protect the health of the American people. (Sec. 3) Declares that investigations to show a new drug or biological product is safe and effective shall be required to be performed using products manufactured at a full-scale commercial facility only if necessary. Mandates actions to harmonize FDCA requirements for preclinical and clinical investigations with similar foreign laws through the International Conference on Harmonization. (Sec. 4) Amends the Public Health Service Act to revise requirements regarding the regulation of biological products. Regulates tissue, blood, and blood components and derivatives separately. Mandates approval of product license applications on a demonstration that there is reasonable assurance that the product is safe and effective. Specifies license requirements. Mandates standards for tissue, blood, and blood components or derivatives. (Sec. 5) Amends the FDCA to mandate regulations regarding good manufacturing practices applicable to drugs and biological products, including establishing requirements for submissions of changes in manufacturing practices. (Sec. 6) Modifies the definition of "substantial evidence" as used in provisions relating to refusal, approval, withdrawal, or suspensions of approval of new drug applications. (Sec. 7) Allows submission for approval of a new drug based on an evaluation by a domestic nongovernmental organization following approval of the drug, after enactment of this Act, by the European Medicines Evaluation Agency, the United Kingdom Medicines Control Agency, or any competent governmental or nongovernmental organization, established to evaluate the safety and effectiveness of drugs, that meets general criteria established by the Secretary of Health and Human Services. (Sec. 8) Amends provisions relating to investigational use of new drugs to allow a clinical study of a new drug to be begun after the Secretary has received a notification containing information about the drug and the study. Limits the required contents of notifications. Allows clinical holds only on a demonstration that the drug represents an unreasonable risk to the safety of study subjects. (Sec. 9) Limits the required contents of new drug applications. Requires, with agreement of the applicant, review by contract with outside organizations or individuals. Mandates application review standards. Limits changing of advice to a sponsor or applicant. Prohibits field changes to written decisions of, or field delay of actions by, the center for drugs and the center for biologics. (Sec. 10) Authorizes a program to contract, in whole or significant part, to conduct toxicology reviews, chemistry reviews, statistical analysis, preapproval manufacturing practice inspections, clinical reviews, and any other FDA function relating to the review and approval of drugs and devices. Provides for certification of qualified individuals and laboratories. Requires approval under new drug and premarket approval provisions if the certified contractor review determines that a drug or device meets all approval requirements. Declares that review of a new drug or device or of a biological product shall not include an environmental impact review under the Environmental Quality Improvement Act of 1970. (Sec. 11) Requires FDA research relating to drugs, devices, and biological products, authorized under specified provisions of the FDCA and the Public Health Service Act, to directly relate to the review and approval of drugs, devices, and biological products. Allows the FDA, in conducting such research, to collaborate with scientific institutions and the drug and device industry. Requires any research conducted by or for the FDA to be solely related directly to the regulatory mission or professional staff development related to that mission. Limits the research to the minimum necessary to achieve those purposes. (Sec. 12) Establishes in the office of the Assistant Secretary for Health a permanent commission responsible for broad oversight of the policy and performance of the FDA. (Sec. 13) Establishes in the FDA a drug and biologics policy appeals committee, consisting of the directors and deputy directors of each of the center for drugs and the center for biologics, to hear and consider any dispute raised by an individual wishing to contest a drug or device policy matter. Mandates establishment of standing panels of qualified experts who are not Federal, State, or local government employees to hear appeals by individuals who have exhausted their informal appeals in the FDA. Requires a procedure assuring immediate access to the panel and prompt panel conclusions and recommendations. (Sec. 14) Revises requirements regarding a food, drug, device, or cosmetic intended for export, including regarding new drugs and biological products. Repeals provisions relating to exports of certain unapproved products.
Bill· HRH.R. 1982 (104th)referred
United States · United States Congress · 30 June 1995
Carol Bonnono Act of 1995 - Authorizes the Director of the Bureau of Justice Assistance to provide grants to States having a program that allows a health care provider to report the blood alcohol level of persons treated who are involved in a vehicular accident and who have a blood alcohol level that is over the State maximum level to a local law enforcement agency having authority over the area of the accident site. Sets forth grant eligibility, use of funds, and reporting requirements. Authorizes appropriations.
Law· SS. 1004 (104th)enacted
United States · United States Congress · 29 June 1995
TABLE OF CONTENTS: Title I: Authorization Title II: Personnel Management Improvement Title III: Marine Safety and Waterway Services Management Title IV: Coast Guard Auxiliary Amendments Title V: Recreational Boating Safety Improvement Title VI: Coast Guard Regulatory Reform Title VII: Technical and Conforming Amendments Coast Guard Authorization Act of 1995 - Title I: Authorization - Authorizes appropriations for the Coast Guard for: (1) operation and maintenance; (2) acquisition, construction, rebuilding, and improvement of aids to navigation, shore and offshore facilities, vessels, and aircraft; (3) research, development, testing, and evaluation; (4) retired pay, payments under the Retired Serviceman's Family Protection and Survivor Benefit Plans, and payments for medical care of retired personnel and their dependents; (5) alteration or removal of bridges; and (6) environmental compliance and restoration at Coast Guard facilities. Amends provisions of Federal law relating to the Federal Highway Administration to declare that, notwithstanding specified provisions of law, highway bridges determined to be unreasonable obstructions to navigation under the Truman-Hobbs Act may be funded from amounts set aside from the discretionary bridge program. Mandates the transfer of those allocations and the responsibility for the administration of those funds to the Coast Guard. (Sec. 102) Authorizes the Coast Guard end-of-year strength for active duty personnel and its average military training student loads. Title II: Personnel Management Improvement - Amends Federal law to authorize the Commandant of the Coast Guard to make child development services available for members and civilian employees of the Coast Guard and, if space is available, for members of the armed forces and Federal civilian employees. Authorizes the use of Coast Guard appropriated funds to provide assistance to family home day care providers so that family home day care services can be provided to uniformed service members and civilian employees of the Coast Guard at a cost comparable to the cost of services provided by Coast Guard child development centers. (Sec. 202) Declares that the National Defense Authorization Act for Fiscal Year 1993 applies to Coast Guard military personnel assigned to, or employed at or in connection with, any Federal facility or installation around Homestead Air Force Base, Florida, on or before August 24, 1992, except that a limited amount of Coast Guard funds shall be used. (Sec. 203) Removes provisions requiring dissemination to the service at large of the names of officers selected for continuation on active duty. (Sec. 204) Excludes certain reserve members in computing authorized strength of members on active duty or members in grade. (Sec. 205) Revises provisions regarding officer retention to provide for retention until retirement-eligible under specified conditions. (Sec. 206) Authorizes contracts to carry out health care responsibilities under Federal law relating to Coast Guard personnel and covered beneficiaries. Title III: Marine Safety and Waterway Services Management - Amends provisions relating to the documentation of vessels to: (1) increase the limit on civil fines for violations; (2) modify the circumstances in which a vessel (including a recreational vessel) and its equipment are liable to seizure and forfeiture. Allows a recreational vessel in U.S. territorial waters to be commanded by a non-U.S. citizen. (Sec. 302) Removes provisions authorizing denial and revocation of endorsements if civil penalties have not been paid. (Sec. 303) Mandates a civil fine for failure to implement or conduct, as prescribed under provisions relating to vessels and seamen and related regulations, chemical testing for dangerous drugs or for evidence of alcohol use. (Sec. 304) Extends the termination dates of the Navigation Safety Advisory Council, the Commercial Fishing Industry Vessel Advisory Committee, and the Towing Safety Advisory Committee. (Sec. 307) Allows a bill of sale, conveyance, mortgage assignment, or related instrument to be filed electronically. Requires the original to be provided within 10 days. (Sec. 308) Imposes a civil penalty of not more than $25,000 (currently, a civil penalty of $1,000) for failure to report a casualty or for violating provisions relating to small vessel manning. Title IV: Coast Guard Auxiliary - Amends Federal law to specify the Coast Guard Commandant's authorities regarding the Coast Guard Auxiliary. Deems the Auxiliary a U.S. instrumentality except when it acts outside its legislated purpose or forms a corporation under State law. (Sec. 402) Declares that the Auxiliary's purpose is to assist the Coast Guard. (Sec. 403) Declares that Auxiliary members are not Federal employees except for certain situations. (Sec. 404) Removes the word "specific" from provisions: (1) authorizing the use of Coast Guard appropriations for certain expenses of Auxiliary members assigned to authorized specific duties; (2) relating to assignment of Auxiliary members to specific duties and related vesting in the Auxiliary members of the same power and authority as members of the regular Coast Guard assigned to similar duty; and (3) injury to or death of an Auxiliary member while performing any specific duty assigned by a Coast Guard authority. (Sec. 405) Authorizes the Coast Guard to use Auxiliary members and facilities in assisting Federal agencies, States, Territories, possessions, or political subdivisions. (Sec. 406) Deems motorboats, yachts, or aircraft, while assigned to Coast Guard duty, to be public vessels of the United States and vessels of the Coast Guard or Coast Guard aircraft. Deems (subject to specified provisions) Auxiliary pilots to be Coast Guard pilots. (Sec. 408) Authorizes disposal to the Auxiliary of obsolete or unneeded Coast Guard material. Title V: Recreational Boating Safety Improvement - Amends Federal law (popularly known as the Federal Aid in Fish Restoration Act, the Fish Restoration and Management Projects Act, and the Dingell-Johnson Sport Fish Restoration Act) to mandate the distribution from the Sport Fish Restoration Account of certain amounts in specified fiscal years for grants under the Clean Vessel Act of 1992, for recreational boating safety programs, and for grants under this Act for transient nontrailerable vessel facilities. Authorizes the head of the department in which the Coast Guard is operating to spend, under contracts with States, certain amounts for State recreational boating safety programs. Authorizes appropriations. Declares that, notwithstanding any other provision of law, a specified amount of the annual appropriation from the Sport Fish Restoration Account in a certain fiscal year under specified provisions shall be excluded from the calculation of certain amounts to be distributed. (Sec. 502) Mandates a survey and plan regarding transient nontrailerable vessels and related public facilities. Requires certain amounts to be made available for grants to States to construct or renovate such public facilities. Title VI: Coast Guard Regulatory Reform - Coast Guard Regulatory Reform Act of 1995 - Mandates regulations establishing a safety management system for specified persons and vessels, including: (1) a safety and environmental protection policy; (2) instructions and procedures to ensure safe operation of those vessels and protection of the environment in compliance with international and U.S. law; (3) defined levels of authority and lines of communications between and among personnel on shore and on the vessel; and (4) procedures for reporting accidents and nonconformities with this title, preparing for and responding to emergency situations, and internal audits and management reviews of the system. Requires regulations prescribed to be consistent with the International Safety Management Code with respect to vessels engaged on a foreign voyage. Sets forth provisions regarding: (1) implementation of the safety management system; and (2) certification and enforcement. Mandates a study and report to the Congress on the methods that may be used to implement and enforce the International Management Code for the Safe Operation of ships and for Pollution Prevention under the Annex to the International Convention for the Safety of Life at Sea, 1974. (Sec. 603) Authorizes the head of the department in which the Coast Guard is operating to rely, as evidence of compliance with this title, on reports, documents, and records of other persons and on other methods determined by the head of that department to be reliable. (Sec. 604) Revises provisions regarding: (1) equipment approval; (2) frequency of inspection; (3) certificates of inspection; and (4) delegation of authority of the head of that department to classification societies. Title VII: Technical and Conforming Amendments - Amends the Inland Navigational Rules Act of 1980 to modify various navigational rules. (Sec. 702) Amends Federal law relating to measurement of vessels to authorize the head of the department in which the Coast Guard is operating to prescribe, where a statute allows, an alternate tonnage. (Sec. 702) Allows alternate tonnage measurement by amending the Longshore and Harbor Workers Act, the Vessel Bridge-to-Bridge Radiotelephone Act, the Ports and Waterways Safety Act, the Merchant Marine Act, 1920, Federal law relating to reporting of U.S. vessels rebuilt abroad, the Merchant Marine Act, 1936, and numerous provisions of Federal law relating to vessels and seamen. (Sec. 745) Authorizes the Secretary of the department in which the Coast Guard is operating (notwithstanding specified provisions) to issue a license, certificate of registry, or merchant mariner's document based on the individual applicant's service, using the tonnage as measured under specified provisions.
Bill· SS. 991 (104th)open
United States · United States Congress · 29 June 1995
Extends until December 31, 1997, the authority of the Secretary of Veterans Affairs to: (1) provide care, treatment, and rehabilitative services for alcohol and drug dependency; (2) enter into agreements with nonprofit organizations and local governments to assist homeless veterans and their families to obtain shelter; and (3) enter into enhanced-use leases. Extends to September 30, 1996, the pilot program under which the Secretary provides health-related services in a noninstitutional setting for those veterans eligible for, or currently living in, nursing homes. Extends to September 30, 2000, the time period for allowing veterans to pay a $2.00 copayment for a 30-day prescription for non- service related disabilities or illnesses. Discontinues grants to the Veterans Memorial Medical Center. Authorizes the director of a Department health-care facility to use data on compensation rates for certified nurse anesthetists until April 1, 1999. Authorizes the Secretary to furnish scholarships to new participants in the Scholarship Program through December 31, 1999. Extends to September 30, 1998, the pilot program for providing community based treatment for mentally ill and homeless veterans. Authorizes the Secretary to carry out a compensated work therapy and therapeutic transitional housing demonstration program through FY 1998. Extends until the year 2000 the time period for modifying health care categories and copayments. Authorizes the Secretary to carry out the major medical facility projects and leases for the Department for which funds are requested in the President's budget for FY 1996 if authorized. Authorizes appropriations for FY 1996. Limits to December 31, 1996, the time period for which hospital and nursing home care and medical services can be provided for veterans exposed to toxins who are eligible for hospital and nursing home care. Limits to September 30, 1997, the time period for those veterans who were exposed to toxic substances in Southeast Asia or the Persian Gulf. Extends to September 10, 1997, eligibility for outpatient services, for any veteran whom the Secretary finds may have been exposed to toxic substances in Southeast Asia or the Persian Gulf. Allows the United States to recover payments from a third party for a non-service-connected disability if the service is provided before October 1, 2000.
Bill· SS. 990 (104th)referred
United States · United States Congress · 29 June 1995
PACE Provider Act of 1995 - Directs the Secretary of Health and Human Services to grant waivers of certain requirements of titles XVIII (Medicare), XIX (Medicaid), or any other applicable title of the Social Security Act to approved community-based organizations meeting specified eligibility requirements with demonstrated capacity, following a special trial period, to provide quality, cost-effective, and comprehensive health care services to at-risk frail elderly patients. Requires the terms and conditions of such a waiver to be substantially equivalent to those: (1) of the On Lok waiver under the Social Security Amendments of 1983, as extended by the Consolidated Omnibus Budget Reconciliation Act of 1985; and (2) under the Protocol for the Program of All-Inclusive Care for the Elderly (PACE), as published by On Lok, Inc. as of April 14, 1995. Applies Medicaid spousal impoverishment rules to individuals receiving services from such organizations under this Act.
Resolution· SRESS.Res. 144 (104th)referred
United States · United States Congress · 29 June 1995
Calls for the Senate, by the end of the 104th Congress, to pass health care legislation to provide all Americans with coverage that is at least as good as the Senate provides for itself.
Bill· HRH.R. 1955 (104th)referred
United States · United States Congress · 29 June 1995
Mother-Infant Health Protection Act of 1995 - Amends the Employee Retirement Income Security Act of 1974 to require group health plans to provide certain minimum obstetrical benefits.
Bill· HRH.R. 1969 (104th)referred
United States · United States Congress · 29 June 1995
Superfund Site Public Health Improvement Act - Amends the Comprehensive Environmental Response, Compensation, and Liability Act of 1980 to include U.S. Government facilities on the National Priorities List (NPL) among those requiring a health assessment by the Administrator of the Agency for Toxic Substances and Disease Registry (ATSDR). Requires all health assessments to be commenced as soon as practicable after proposal for inclusion on the NPL and to be completed no later than the date of issuance of a remedial investigation and feasibility study. Directs the Administrator of the Environmental Protection Agency (EPA) and the ATSDR Administrator to develop strategies to obtain characterization data for use in health assessments. Requires the EPA Administrator to provide data sufficiently prior to initiation of remedial actions to allow ATSDR to complete its assessments and requires the ATSDR Administrator, where appropriate, to provide EPA as soon as practicable after site discovery with recommendations for sampling environmental media for hazardous substances of public health concern. Directs the ATSDR Administrator to improve community involvement in health assessments by: (1) collecting data from residents of affected communities and other sources in communities affected or potentially affected by hazardous substances, pollutants, or contaminants; and (2) designing assessments that take into account the needs and conditions of the community and permitting affected communities to play an active and early role in reviewing assessment designs. Directs the ATSDR Administrator to include other appropriate information (in addition to health assessment results) as a basis for conducting human health studies of exposure or other health effects in order to determine whether to conduct full-scale epidemiological or other health studies of the exposed population. Revises provisions regarding distribution by ATSDR of educational materials concerning hazardous substance exposure to health professionals and medical centers to: (1) include nursing institutions and nurses as recipients of such materials; (2) add materials on methods of prevention; and (3) require distribution to the general public and at-risk populations of such materials and other information. Authorizes the ATSDR Administrator, in addition to using cooperative agreements, to carry out activities through grants to or contracts with States and political subdivisions, other public authorities, institutions, colleges, universities, and professional associations, giving consideration to historically black colleges and other educational institutions that primarily serve minorities or represent the interests of affected communities. Authorizes assistance, when a health assessment is conducted at a facility on the NPL or a release is being evaluated for inclusion on such list, to public and nonprofit entities, individuals, and community-based groups that may be affected by the release or threatened release. Authorizes and directs the provision of health services to affected communities. Requires the President to add to the review at least every five years of remedial actions that result in a site remaining contaminated a review of public health recommendations and decisions resulting from ATSDR activities.
Bill· HRH.R. 1970 (104th)referred
United States · United States Congress · 29 June 1995
Mothers' and Infants' Good Health Act of 1995 - Requires a health plan that provides maternity benefits that include benefits for child birth to provide coverage for a minimum amount of time following delivery in: (1) a health care facility; and (2) the home or other outpatient setting. Prohibits a health plan from modifying the terms and conditions of coverage, if an enrollee requests less than the minimum coverage required in this Act. Requires a health plan to provide notice, as specified, to each enrollee regarding the coverage required in this Act. Establishes civil penalties for failure to provide coverage and failure to provide notice.
Bill· HRH.R. 1968 (104th)referred
United States · United States Congress · 29 June 1995
Postnatal Protection Act of 1995 - Requires a health plan to provide maternity benefits, including benefits for child birth, for in-patient care following delivery of a newborn in a health care facility. Provides an exception for home births. Prohibits a health plan from modifying the terms and conditions of coverage when an enrollee requests less than the minimum coverage. Requires a health plan to provide written notice, prominently positioned in any literature or correspondence, to each enrollee regarding the coverage required by this Act.
Bill· SS. 979 (104th)referred
United States · United States Congress · 28 June 1995
Women's Choice and Reproductive Health Protection Act of 1995 - Expresses the sense of the Congress that: (1) current provisions of law requiring funding for abortion services in cases of life endangerment, and for victims of rape or incest, to women eligible for medical assistance through the Medicaid program are essential to their health; (2) Federal resources are necessary to ensure that women have safe access to reproductive health facilities and that health professionals can deliver services in a secure environment free from threats of force; (3) it is necessary and appropriate to use Federal resources to combat the nationwide campaign of violence and harassment against reproductive health centers; (4) the program of grants under title XV of the Public Health Service Act (PHSA) should receive a level of funding that is adequate for all States to receive grants under such title; (5) the program of research centers under the PHSA should receive a level of funding that is adequate for a reasonable number of individuals to conduct research under the program; and (6) the program of loan-repayment contracts under the PHSA should receive a level of funding that is adequate for a reasonable number of individuals to conduct research under the program. Amends the PHSA to authorize appropriations for FY 1996 through 2000 for population research and family planning programs. Amends the Civil Rights Act of 1964 to prohibit any government authority from limiting the right of any individual to provide or receive nonfraudulent information about the availability of reproductive health care services, including family planning, prenatal care, adoption, and abortion services. Directs the Secretary of Health and Human Services to: (1) assure that the Food and Drug Administration evaluates the drug Mifepristone or RU 486; and (2) assess initiatives by which the Department of Health and Human Services can promote the testing, licensing, and manufacturing of the drug Mifepristone or other antiprogestins in the United States. Prohibits Federal law from being construed to prohibit health insurance providers from offering coverage for any reproductive health care services, including abortion services. Amends Federal law to provide that the performance of an abortion in a facility of the uniformed services located outside the 48 contiguous States of the United States is not prohibited provided specific requirements are met.
Bill· SS. 980 (104th)referred
United States · United States Congress · 28 June 1995
Rural Health Care Protection and Improvement Act of 1995 - Directs the Secretary of Health and Human Services to award grants to eligible entities to expand access to health care services for individuals in rural areas through the use of telemedicine. Authorizes appropriations. Directs the Secretary to issue regulations regarding reimbursement for telemedicine services provided under title XVIII (Medicare) of the Social Security Act. Amends the Public Health Service Act to authorize the Secretary to make grants to demonstrate the effectiveness of outreach to populations in rural areas that do not normally seek or have adequate access to health or mental health services. Authorizes appropriations. Amends Medicare provisions to extend special payments under part A (Hospital Insurance) for the operating costs of inpatient services of small, rural Medicare-dependent hospitals.
Bill· HRH.R. 1948 (104th)open
United States · United States Congress · 28 June 1995
New Borns' and Mothers' Health Protection Act of 1995 - Requires a health plan to provide maternity benefits for a minimum hospital stay for a mother and her newborn following the birth of the child. Provides an exception for home births. Prohibits a health plan from modifying the terms and conditions of coverage if the enrollee requests less than minimum coverage. Requires a health plan to provide written notice, prominently positioned in any literature or correspondence, to each enrollee regarding the coverage required by this Act.
Bill· HRH.R. 1952 (104th)referred
United States · United States Congress · 28 June 1995
Women's Choice and Reproductive Health Protection Act of 1995 - Expresses the sense of the Congress that: (1) current provisions of law requiring funding for abortion services in cases of life endangerment, and for victims of rape or incest, to women eligible for medical assistance are essential to their health; (2) Federal resources are necessary to ensure that women have safe access to reproductive health facilities and that health professionals can deliver services in a secure environment free from threats of force; (3) it is necessary and appropriate to use Federal resources to combat the nationwide campaign of violence and harassment against reproductive health centers; (4) the program of grants under title XV of the Public Health Service Act (PHSA) should receive a level of funding that is adequate for all States to receive grants under such title; (5) the program of research centers under the PHSA should receive a level of funding that is adequate for a reasonable number of individuals to conduct research under the program; and (6) the program of loan-repayment contracts under the PHSA should receive a level of funding that is adequate for a reasonable number of individuals to conduct research under the program. Amends the PHSA to authorize appropriations for FY 1996 through 2000 for population research and family planning programs. Amends the Civil Rights Act of 1964 to prohibit any government authority from limiting the right of any individual to provide or receive nonfraudulent information about the availability of reproductive health care services, including family planning, prenatal care, adoption, and abortion services. Directs the Secretary of Health and Human Services to: (1) assure that the Food and Drug Administration evaluates the drug Mifepristone or RU 486; and (2) assess initiatives by which the Department of Health and Human Services can promote the testing, licensing, and manufacturing of the drug Mifepristone or other antiprogestins in the United States. Prohibits Federal law from being construed to prohibit health insurance providers from offering coverage for any reproductive health care services, including abortion services. Amends Federal law to provide that the performance of an abortion in a facility of the uniformed services located outside the 48 contiguous States of the United States is not prohibited provided specific requirements are met.
Law· HRH.R. 1944 (104th)enacted
United States · United States Congress · 28 June 1995
TABLE OF CONTENTS: Title I: Supplementals and Rescissions Title II: General Provisions Title III: Emergency Supplemental Appropriations Emergency Supplemental Appropriations for Additional Disaster Assistance, for Anti-terrorism Initiatives, for Assistance in the Recovery from the Tragedy that Occurred at Oklahoma City, and Rescissions Act, 1995 - Title I: Supplementals and Rescissions - Makes FY 1995 additional supplemental appropriations to the Department of Agriculture for the Food Safety and Inspection Service, the Agricultural Stabilization and Conservation Service, and the Commodity Credit Corporation. Allocates Food and Nutrition Service funding. Transfers funds to the Agricultural Research Service. Rescinds appropriations made to the Department of Agriculture for the Office of the Secretary, alternative agricultural research and commercialization, the Agricultural Research Service, the Cooperative State Research Service, the Animal and Plant Health Inspection Service, the Rural Development Administration and Farmers Home Administration, the Alcohol Fuels Credit Guarantee Program, the Rural Electrification Administration, the Food and Nutrition Service, and the Foreign Agricultural Service. Makes FY 1995 additional supplemental appropriations to: (1) the National Bankruptcy Review Commission (transfer of funds); and (2) the Board for International Broadcasting. Rescinds appropriations to: (1) the Department of Justice for the Immigration and Naturalization Service, the Office of Justice Programs, general administration, legal activities, and the Federal Prison System; (2) the Department of Commerce for the National Institute of Standards and Technology, the National Oceanic and Atmospheric Administration, the GOES Satellite Contingency Fund, technology administration, the National Technical Information Service, the National Telecommunications and Information Administration, and the Economic Development Administration; (3) the Judiciary for the United States Court of International Trade and for defender services and the fees of jurors and commissioners; (4) the Small Business Administration; (5) the Department of State; (6) the Arms Control and Disarmament Agency; (7) the Board for International Broadcasting; and (8) the United States Information Agency. Delineates reductions to the Legal Services Corporation included in a prior rescission of funds. Rescinds appropriations made to: (1) the Corps of Engineers- Civil; (2) the Bureau of Reclamation of the Department of the Interior; (3) the Department of Energy; (4) the Appalachian Regional Commission; and (5) the Tennessee Valley Authority. Rescinds funds appropriated to the President for economic, military, and export assistance. Rescinds appropriations made to: (1) the Department of the Interior for the Bureau of Land Management, the United States Fish and Wildlife Service, the National Biological Survey, the National Park Service, the Minerals Management Service, the Bureau of Indian Affairs, and territorial and international affairs; (2) the Department of Agriculture for the Forest Service; (3) the Department of Energy for fossil energy research and development and energy conservation; and (4) the Department of Education for the Office of Elementary and Secondary Education. Rescinds appropriations made to the Smithsonian Institution, the National Gallery of Art, the John F. Kennedy Center for the Performing Arts, the Woodrow Wilson International Center for Scholars, and the National Endowment for the Arts and the National Endowment for the Humanities. (Sec. 501) Prohibits funds being used by the Department of the Interior to search for the Alabama sturgeon. (Sec. 502) Prohibits the Forest Service from using funds to implement Habitat Conservation areas in the Tongass National Forest, Alaska, for species not declared threatened or endangered, except for goshawks, as specified. (Sec. 503) Provides that, for specified timber, an environmental impact statement or a subsistence evaluation for a timber sale or offering to one party shall be deemed sufficient if the Forest Service sells to an alternate buyer. (Sec. 504) Requires each National Forest System unit to establish and adhere to a schedule for the completion of National Environmental Policy Act of 1969 analysis and decisions on all allotments within the unit for which analysis is needed. Provides for the renewal of grazing permits on lands in the National Forest System, as specified. Rescinds appropriations made to the Department of Labor for the Employment and Training Administration and the Bureau of Labor Statistics. Rescinds appropriations made to the Department of Health and Human Services for the Health Resources and Services Administration, the Centers for Disease Control and Prevention, the National Institutes of Health, the Assistant Secretary for Health, the Agency for Health Care Policy and Research, the Health Care Financing Administration, the Administration for Children and Families, the Administration on Aging, and the Office of the Secretary. Rescinds appropriations made to specified Department of Education programs, the Corporation for Public Broadcasting, and the Railroad Retirement Board. (Sec. 601) Amends the Higher Education Act of 1965 to decrease the appropriated funds for FY 1995 for the Federal Direct Student Loan Program. (Sec. 602) Prohibits 1995 funding for the Occupational Safety and Health Administration from being used to promulgate or issue any proposed or final standard or guideline regarding ergonomic protection. Rescinds funds made available to the Legislative Branch for: (1) the payments to widows and heirs of decreased Members of Congress; (2) the Joint Economic Committee and the Joint Committee on Printing; (3) the Office of Technology Assessment for salaries and expenses; (4) the Congressional Budget Office for salaries and expenses; (5) the Architect of the Capitol for Capitol buildings and grounds; (6) the Government Printing Office for congressional printing and binding and salaries and expenses; (7) the Botanic Garden for salaries and expenses; (8) the Library of Congress for salaries and expenses; and (9) the General Accounting Office for salaries and expenses. Authorizes GAO to make payments to employees voluntarily retiring or resigning. Rescinds funds made available to the Department of Transportation (DOT) for: (1) the Office of the Secretary; (2) the Coast Guard; (3) the Federal Aviation Administration; (4) the Federal Highway Administration; (5) the Federal Railroad Administration; and (6) the Federal Transit Administration. Reduces certain obligation limitations for DOT. Makes additional supplemental appropriations for the liquidation of mass transit capital programs. (Sec. 801) Rescinds funds from the DOT working capital fund. (Sec. 802) Cancels a specified amount for DOT civilian and military compensation and benefits permanently. Makes FY 1995 additional supplemental appropriations to the General Services Administration and the Office of Personnel Management. Rescinds funds made available to the Department of the Treasury for departmental offices, the Financial Management Service, the United States Mint, the Bureau of the Public Debt, and the Internal Revenue Service. Makes additional supplemental appropriations to the Federal Law Enforcement Training Center. Rescinds funds made available to the Executive Office of the President for the White House Office and Federal drug control programs. Rescinds funds made available to the General Services Administration for specified projects of the Federal Buildings Fund, salaries and expenses of the Federal Election Commission, and salaries and expenses of the Office of Personnel Management. (Sec. 901) Amends Federal law concerning availability pay for criminal investigators in certain Offices of Inspectors General and for U.S. Customs Service pilots. Makes FY 1995 additional supplemental appropriations: (1) to the Federal Emergency Management Agency for disaster relief; and (2) to the National Flood Insurance Fund (transfer of funds). Rescinds funds made available to: (1) the Department of Veterans Affairs for medical care and major projects construction; and (2) the Department of Housing and Urban Development for housing programs. (Sec. 1001) Amends the United States Housing Act of 1937 to: (1) permit a public housing agency to use modernization assistance for any eligible activity, including demolition, replacement housing, and temporary relocation assistance, authorized by this or other applicable appropriations Acts; (2) permit replacement units to be built on the site of the original demolished public housing unit only if the number of replacement units is significantly less than the number of units demolished; (3) repeal provisions prohibiting public housing projects from transferring title unless there is Federal funding assistance providing for a unit for unit replacement for each transfer; and (4) permit the reuse of any budget authority that is recaptured on account of termination of a housing assistance payments contract only for one or more the following, tenant-based assistance or project-based assistance. Makes FY 1995 additional supplemental appropriations to the Department of the Treasury for the Community Development Financial Institutions Fund. Rescinds funds made available to the: (1) Chemical Safety and Hazard Investigation Board; (2) Community Development Financial Institutions Fund; (3) Corporation for National and Community Service; (4) Environmental Protection Agency; (5) National Aeronautics and Space Administration; (6) National Science Foundation; and (7) Federal Deposit Insurance Corporation. (Sec. 1004) Prohibits FY 1995 funds appropriated to EPA from being used to: (1) require any State to comply with specified Clean Act requirements concerning vehicle inspection and maintenance; (2) require any State to implement trip reduction measures to reduce vehicular emissions; (3) list any additional facilities on the National Priorities List under CERCLA, subject to stated exceptions; or (4) disapprove a State Implementation Plan revision solely on the basis of EPA's regulatory 50 percent discount for alternative test- and-repair inspection and maintenance programs. (Sec. 1008) Directs the Administrator of the National Aeronautics and Space Administration to acquire a certain parcel of land located on the property referred to as the Clear Lake Development Facility, Clear Lake, Texas. Directs the Administrator to convey, without reimbursement to the State of Mississippi, the Yellow Creek Facility near Iuka, Mississippi. Title II: General Provisions - Directs the Secretary concerned to: (1) prepare, offer, and award contracts for salvage timber sales from Federal lands; and (2) perform reforestation operations in the salvage area. Subjects such sales to judicial review only in the U.S. district court for the district in which the affected Federal lands are located. Permits such an action only if made within 15 days after the initial advertisement of the challenged timber sale. (Sec. 2002) Prohibits any part of any appropriation in this Act from being used beyond the current fiscal year, unless expressly authorized. (Sec. 2003) Provides for downward adjustments in discretionary spending limits. (Sec. 2004) Prohibits reductions in spending resulting from this Act from being used to offset deficit increases resulting from spending or receipts legislation. (Sec. 2005) Designates July 27 of each year until the year 2003 as National Korean War Veterans Armistice Day. (Sec. 2006) Denies the use of funds made available in this Act from being used to benefit individuals not lawfully in the United States, when such benefit is for other than specified emergency services. (Sec. 2007) Rescinds funds made available to the agencies of the Federal Government, other than the Department of Defense-Military, provided that such rescissions shall be taken only from administrative and travel expenses. Rescinds funds made available to the Department of Defense-Military, provided that such rescissions shall be taken only from administrative and travel accounts. Title III: Emergency Supplemental Appropriations - Establishes the Counterterrorism Fund. Appropriates a specified sum to the Fund to reimburse any Department of Justice organization for: (1) the costs in reestablishing the operational capability of any office or facility damaged as a result of the bombing of the Alfred P. Murrah Federal Building in Oklahoma City; or (2) other activities related to countering domestic or international terrorism. Makes additional supplemental appropriations to the Department of Justice for expenses related to the bombing of such building, including the establishment of a Domestic Counter-terrorism Center. Makes additional supplemental appropriations to: (1) the Judiciary for court security; and (2) the Department of the Treasury for emergency expenses resulting from the Oklahoma City bombing. Increases the aggregate limitation on Federal Buildings Fund obligations to be expended in connection with expenses related to the Oklahoma City bombing. Makes additional supplemental appropriations to: (1) the Department of Housing and Urban Development for emergency expenses resulting from the Oklahoma City bombing; and (2) the Federal Emergency Management Agency for expenses related to increasing the preparedness for and mitigating the consequences of terrorism.
Bill· HRH.R. 1950 (104th)referred
United States · United States Congress · 28 June 1995
Newborns' and Mothers' Health Protection Act of 1995 - Requires a health plan to provide maternity benefits for a minimum hospital stay for a mother and her newborn following the birth of the child. Provides an exception for home births. Requires a health plan to provide written notice, prominently positioned in any literature or correspondence, to each enrollee regarding the coverage required by this Act.
Bill· SS. 969 (104th)open
United States · United States Congress · 27 June 1995
Newborns' and Mothers' Health Protection Act of 1995 - Requires a health plan to provide maternity benefits for a minimum hospital stay for a mother and her newborn following the birth of the child. Provides an exception for home births. Prohibits a health plan from modifying the terms and conditions of coverage if the enrollee requests less than minimum coverage. Requires a health plan to provide written notice, prominently positioned in any literature or correspondence, to each enrollee regarding the coverage required by this Act.
Bill· SS. 971 (104th)referred
United States · United States Congress · 27 June 1995
Medical Training Nondiscrimination Act of 1995 - Amends the Public Health Service Act to prohibit the Federal Government, and any State that receives Federal financial assistance, from discriminating against any health care entity because: (1) the entity refuses to undergo training in the performance of induced abortions, to provide such training, to perform such abortions, or to provide referral for such abortions; (2) the entity refuses to make arrangements for such activities; or (3) the entity attends a post-graduate physician training program that does not require or provide training in the performance of induced abortions or make arrangements for the provision of such training.
Bill· SS. 972 (104th)referred
United States · United States Congress · 27 June 1995
Amends title XIX (Medicaid) of the Social Security Act to provide for Medicaid coverage of services furnished by certified nurse practitioners and clinical nurse specialists which are authorized under State law to be performed by such a nurse, regardless of whether or not such services are performed under the supervision of a physician or other health care provider. Defines "clinical nurse specialist" as an individual: (1) licensed as a registered nurse to practice in the State where the clinical nurse specialist services are performed; and (2) holding a master's degree in a defined area of clinical nursing from an accredited educational institution.
Bill· HRH.R. 1938 (104th)referred
United States · United States Congress · 27 June 1995
Amends the Public Health Service Act to permit a petition for vaccine injury compensation to be submitted within 48 (currently, 36) months of the first symptom or manifestation of onset, or of the significant aggravation, of injury if the vaccine was administered after a specified date.
Bill· HRH.R. 1932 (104th)referred
United States · United States Congress · 27 June 1995
Medical Training Nondiscrimination Act of 1995 - Amends the Public Health Service Act to prohibit the Federal Government, and any State that receives Federal financial assistance, from discriminating against any health care entity because: (1) the entity refuses to undergo training in the performance of induced abortions, to provide such training, to perform such abortions, or to provide referral for such abortions; (2) the entity refuses to make arrangements for any such activities; or (3) the entity attends a post-graduate physician training program that does not require or provide training in the performance of induced abortions or make arrangements for the provision of such training.
Bill· HRH.R. 1927 (104th)referred
United States · United States Congress · 27 June 1995
TABLE OF CONTENTS: Title I: Supplementals and Rescissions Title II: General Provisions Title III: Emergency Supplemental Appropriations Emergency Supplemental Appropriations for Additional Disaster Assistance, for Anti-terrorism Initiatives, for Assistance in the Recovery from the Tragedy that Occurred at Oklahoma City, and Rescissions Act, 1995 - Title I: Supplementals and Rescissions - Makes FY 1995 additional supplemental appropriations to the Department of Agriculture for the Food Safety and Inspection Service, the Agricultural Stabilization and Conservation Service, and the Commodity Credit Corporation. Allocates Food and Nutrition Service funding. Transfers funds to the Agricultural Research Service. Rescinds appropriations made to the Department of Agriculture for the Office of the Secretary, alternative agricultural research and commercialization, the Agricultural Research Service, the Cooperative State Research Service, the Animal and Plant Health Inspection Service, the Rural Development Administration and Farmers Home Administration, the Alcohol Fuels Credit Guarantee Program, the Rural Electrification Administration, the Food and Nutrition Service, and the Foreign Agricultural Service. Makes FY 1995 additional supplemental appropriations to: (1) the National Bankruptcy Review Commission (transfer of funds); and (2) the Board for International Broadcasting. Rescinds appropriations to the: (1) Department of Justice for the Immigration and Naturalization Service, the Office of Justice Programs, general administration, legal activities, and the Federal Prison System; (2) the Department of Commerce for the National Institute of Standards and Technology, the National Oceanic and Atmospheric Administration, the GOES Satellite Contingency Fund, technology administration, the National Technical Information Service, the National Telecommunications and Information Administration, and the Economic Development Administration; (3) the Judiciary for the United States Court of International Trade and for defender services and the fees of jurors and commissioners; (4) the Small Business Administration; (5) the Department of State; (6) the Arms Control and Disarmament Agency; (7) the Board for International Broadcasting; and (8) the United States Information Agency. Delineates reductions to the Legal Services Corporation included in a prior rescission of funds. Rescinds appropriations made to the: (1) Corps of Engineers- Civil; (2) the Bureau of Reclamation of the Department of the Interior; (3) the Department of Energy; (4) the Appalachian Regional Commission; and (5) the Tennessee Valley Authority Fund. Rescinds funds appropriated to the President for economic, military, and export assistance. Rescinds appropriations made to the: (1) Department of the Interior for the Bureau of Land Management, the United States Fish and Wildlife Service, the National Biological Survey, the National Park Service, the Minerals Management Service, the Bureau of Indian Affairs, and territorial and international affairs; (2) the Department of Agriculture for the Forest Service; (3) the Department of Energy for fossil energy research and development and energy conservation; and (4) the Department of Education for the Office of Elementary and Secondary Education. Rescinds appropriations made to the Smithsonian Institution, the National Gallery of Art, the John F. Kennedy Center for the Performing Arts, the Woodrow Wilson International Center for Scholars, and the National Endowment for the Arts and the National Endowment for the Humanities. (Sec. 501) Prohibits funds being used by the Department of the Interior to search for the Alabama sturgeon. (Sec. 502) Prohibits the Forest Service from using funds to implement Habitat Conservation areas in the Tongass National Forest, Alaska, for species not declared threatened or endangered, except for goshawks, as specified. (Sec. 503) Provides that, for specified timber, an environmental impact statement or a subsistence evaluation for a timber sale or offering to one party shall be deemed sufficient if the Forest Service sells to an alternate buyer. (Sec. 504) Requires each National Forest System unit to establish and adhere to a schedule for the completion of National Environmental Policy Act of 1969 analysis and decisions on all allotments within the unit for which analysis is needed. Provides for the renewal of grazing permits on lands in the National Forest System, as specified. Rescinds appropriations made to the Department of Labor for the Employment and Training Administration and the Bureau of Labor Statistics. Rescinds appropriations made to the Department of Health and Human Services for the Health Resources and Services Administration, the Centers for Disease Control and Prevention, the National Institutes of Health, the Assistant Secretary for Health, the Agency for Health Care Policy and Research, the Health Care Financing Administration, the Administration for Children and Families, the Administration on Aging, and the Office of the Secretary. Rescinds appropriations made to specified Department of Education programs, the Corporation for Public Broadcasting, and the Railroad Retirement Board. (Sec. 601) Amends the Higher Education Act of 1965 to decrease the appropriated funds for FY 1995 for the Federal Direct Student Loan Program. (Sec. 602) Prohibits 1995 funding for the Occupational Safety and Health Administration from being used to promulgate or issue any proposed or final standard or guideline regarding ergonomic protection. Rescinds funds made available to the Legislative Branch for: (1) the payments to widows and heirs of deceased Members of Congress; (2) the Joint Economic Committee and the Joint Committee on Printing; (3) the Office of Technology Assessment for salaries and expenses; (4) the Congressional Budget Office for salaries and expenses; (5) the Architect of the Capitol for Capitol buildings and grounds; (6) the Government Printing Office for congressional printing and binding and salaries and expenses; (7) the Botanic Garden for salaries and expenses; (8) the Library of Congress for salaries and expenses; and (9) the General Accounting Office for salaries and expenses. Authorizes GAO to make payments to employees voluntarily retiring or resigning. Rescinds funds made available to the Department of Transportation (DOT) for: (1) the Office of the Secretary; (2) the Coast Guard; (3) the Federal Aviation Administration; (4) the Federal Highway Administration; (5) the Federal Railroad Administration; and (6) the Federal Transit Administration. Reduces certain obligation limitations for DOT. Makes additional supplemental appropriations for the liquidation of mass transit capital programs. (Sec. 801) Rescinds funds from the DOT working capital fund. (Sec. 802) Cancels a specified amount for DOT civilian and military compensation and benefits permanently. Makes FY 1995 additional supplemental appropriations to the General Services Administration and the Office of Personnel Management. Rescinds funds made available to the Department of the Treasury for departmental offices, the Financial Management Service, the United States Mint, the Bureau of the Public Debt, and the Internal Revenue Service. Makes additional supplemental appropriations to the Federal Law Enforcement Training Center. Rescinds funds made available to the Executive Office of the President for the White House Office and Federal drug control programs. Rescinds funds made available to the General Services Administration for specified projects of the Federal Buildings Fund, salaries and expenses of the Federal Election Commission, and salaries and expenses of the Office of Personnel Management. (Sec. 901) Amends Federal law concerning availability pay for criminal investigators in certain Offices of Inspectors General and for U.S. Customs Service pilots. Makes FY 1995 additional supplemental appropriations: (1) to the Federal Emergency Management Agency for disaster relief; and (2) to the National Flood Insurance Fund (transfer of funds). Rescinds funds made available to: (1) the Department of Veterans Affairs for medical care and major projects construction; and (2) the Department of Housing and Urban Development for housing programs. (Sec. 1001) Amends the United States Housing Act of 1937 to: (1) permit a public housing agency to use modernization assistance for any eligible activity, including demolition, replacement housing, and temporary relocation assistance, authorized by this or other applicable appropriations Acts; (2) permit replacement units to be built on the site of the original demolished public housing unit only if the number of replacement units is significantly less than the number of units demolished; (3) repeal provisions prohibiting public housing projects from transferring title unless there is Federal funding assistance providing for a unit for unit replacement for each transfer; and (4) permit the reuse of any budget authority that is recaptured on account of termination of a housing assistance payments contract only for one or more the following, tenant-based assistance or project-based assistance. Makes FY 1995 additional supplemental appropriations to the Department of the Treasury for the Community Development Financial Institutions Fund. Rescinds funds made available to the: (1) Chemical Safety and Hazard Investigation Board; (2) Community Development Financial Institutions Fund; (3) Corporation for National and Community Service; (4) Environmental Protection Agency; (5) National Aeronautics and Space Administration; (6) National Science Foundation; and (7) Federal Deposit Insurance Corporation. (Sec. 1004) Prohibits FY 1995 funds appropriated to EPA from being used to: (1) require any State to comply with specified Clean Act requirements concerning vehicle inspection and maintenance; (2) require any State to implement trip reduction measures to reduce vehicular emissions; (3) list any additional facilities on the National Priorities List under CERCLA, subject to stated exceptions; or (4) disapprove a State Implementation Plan revision solely on the basis of EPA's regulatory 50 percent discount for alternative test-and-repair inspection and maintenance programs. (Sec. 1008) Directs the Administrator of the National Aeronautics and Space Administration to acquire a certain parcel of land located on the property referred to as the Clear Lake Development Facility, Clear Lake, Texas. Directs the Administrator to convey, without reimbursement to the State of Mississippi, the Yellow Creek Facility near Iuka, Mississippi. Title II: General Provisions - Directs the Secretary concerned to: (1) prepare, offer, and award contracts for salvage timber sales from Federal lands; and (2) perform reforestation operations in the salvage area. Subjects such sales to judicial review only in the United States district court for the district in which the affected Federal lands are located. Permits such an action only if made within 15 days after the initial advertisement of the challenged timber sale. (Sec. 2002) Prohibits any part of any appropriation in this Act from being used beyond the current fiscal year, unless expressly authorized. (Sec. 2003) Provides for downward adjustments in discretionary spending limits. (Sec. 2004) Prohibits reductions in spending resulting from this Act from being used to offset deficit increases resulting from spending or receipts legislation. (Sec. 2005) Designates July 27 of each year until the year 2003 as National Korean War Veterans Armistice Day. (Sec. 2006) Denies the use of funds made available in this Act from being used to benefit individuals not lawfully in the United States, when such benefit is for other than specified emergency services. (Sec. 2007) Rescinds funds made available to the agencies of the Federal Government, other than the Department of Defense-Military, provided that such rescissions shall be taken only from administrative and travel expenses. Rescinds funds made available to the Department of Defense-Military, provided that such rescissions shall be taken only from administrative and travel accounts. Title III: Emergency Supplemental Appropriations - Establishes the Counterterrorism Fund. Appropriates a specified sum to the Fund to reimburse any Department of Justice organization for: (1) the costs in reestablishing the operational capability of any office or facility damaged as a result of the bombing of the Alfred P. Murrah Federal Building in Oklahoma City; or (2) other activities related to countering domestic or international terrorism. Makes additional supplemental appropriations to the Department of Justice for expenses related to the bombing of such building, including the establishment of a Domestic Counter-terrorism Center. Makes additional supplemental appropriations to: (1) the Judiciary for court security; and (2) the Department of the Treasury for emergency expenses resulting from the Oklahoma City bombing. Increases the aggregate limitation on Federal Buildings Fund obligations to be expended in connection with expenses related to the Oklahoma City bombing. Makes additional supplemental appropriations to: (1) the Department of Housing and Urban Development for emergency expenses resulting from the Oklahoma City bombing; and (2) the Federal Emergency Management Agency for expenses related to increasing the preparedness for and mitigating the consequences of terrorism.
Resolution· HCONRESH.Con.Res. 79 (104th)referred
United States · United States Congress · 27 June 1995
Expresses the sense of the Congress that: (1) the Maternal and Child Health Bureau and other concerned organizations should encourage well-designed studies to identify safe neonatal practices with regard to the hospital discharge of mothers and infants and establish appropriate medical care procedures during the perinatal period; (2) decisions on hospital stays of mothers and newborns after delivery should be made by doctors and patients and not by hospitals, health insurers, and health service organizations; and (3) hospitals, health insurers, health service organizations, and health benefit plans should abide by the current Guidelines for Perinatal Care of the American Academy of Pediatrics and the American College of Obstetricians and Gynecologists regarding discharge.
Bill· SS. 963 (104th)referred
United States · United States Congress · 23 June 1995
Rural Health Improvement Act of 1995 - Amends title XVIII (Medicare) of the Social Security Act to replace the essential access community hospital (EACH) program with grants to States for Medicare rural hospital flexibility programs for the purpose of: (1) ensuring rural community access to health care services through designated critical access hospitals limiting the scope of available inpatient acute care services; (2) providing more appropriate and flexible staffing and licensure standards; (3) enhancing hospital financial security by requiring Medicare reimbursement on a reasonable cost basis; and (4) promoting linkages between such hospitals and broader programs for development and transition to integrated provider networks. Specifies requirements of such a program. Continues payments to designated EACHs. Authorizes appropriations. Makes various specified amendments under Medicare parts A (Hospital Insurance) and B (Supplementary Medical Insurance) related to rural primary care and critical access hospitals. Creates within the Department of Health and Human Services (HHS) an Assistant Secretary for Rural Health to: (1) head an independent Office of Rural Health Policy; and (2) report directly to the HHS Secretary on the implications of national health care reforms for rural areas. Expresses the sense of the Congress that: (1) use of telemedicine services can increase rural resident access to specialized health services; and (2) although such services are furnished to Medicare beneficiaries nationwide, service providers are not reimbursed for them under Medicare. Makes it the purpose of this Act to improve rural Medicare beneficiary access to such services by requiring Medicare reimbursement for them pursuant to a methodology developed by the HHS Secretary and submitted to the Congress.
Bill· SS. 957 (104th)open
United States · United States Congress · 22 June 1995
Office of Surgeon General Termination Act - Transfers all authorities and personnel of the Office of the Surgeon General of the Public Health Service to the Assistant Secretary for Health of the Department of Health and Human Services. Rescinds all unobligated portions of budget authority allocated for the Office. Terminates the Office and the position of such Surgeon General.
Bill· SS. 955 (104th)referred
United States · United States Congress · 22 June 1995
Advanced Medical Devices Access Assurance Act of 1995 - Permits coverage under the Medicare program of items and services associated with the use of a medical device in the furnishing of inpatient hospital services, even if the device is not approved, as long as it is an investigational device used instead of either an approved device or a covered procedure. States that a payment made under the Medicare program for any such item or service may not exceed the amount which would have been paid if the item or service were associated with the use of an approved device or a covered procedure.
Bill· HRH.R. 1923 (104th)referred
United States · United States Congress · 22 June 1995
TABLE OF CONTENTS: Title I: National Defense Subtitle A: Restore Defense Spending Subtitle B: Rescission of Funding for Programs Not Requested by the Department of Defense Subtitle C: Limitations on Funding for Certain Programs for Fiscal Year 1996 Subtitle D: Department of Defense Administrative Reforms Subtitle E: Department of Defense Program Reforms Title II: International Affairs Subtitle A: Reduce Multilateral Development Bank Credit Assistance Subtitle B: Reduce Foreign Aid Direct Assistance Subtitle C: Reduce Humanitarian Assistance Programs Subtitle D: Department Reforms Subtitle E: State Department Reforms Title III: Science, Space, and Technology Subtitle A: Administrative and Research Savings Subtitle B: Specific Program Reforms Title IV: Energy Subtitle A: Abolishment of Department of Energy Subtitle B: Reform Federal Petroleum Reserve Programs Subtitle C: Reform Fossil Fuel and Mineral Research Development Programs Subtitle D: Reform Energy Conservation Programs Title V: Environment Subtitle A: Public Land Use and Purchase Reforms Subtitle B: Environmental Conservation, Cleanup, and Research Reforms Subtitle C: Restructuring of Department of the Interior Subtitle D: Administrative Reform Subtitle E: National Marine Program Reforms Subtitle F: Corps of Engineers Reform Title VI: Agriculture Subtitle A: Agriculture Research and Extension Subtitle B: Agricultural Trade Subtitle C: Department of Agriculture Overhead Reduction Subtitle D: Loan Reform Subtitle F: Crop Commodity Reform Title VII: Commerce and Housing Credit Subtitle A: Small Business Administration Reform Subtitle B: Housing Credit Reform Subtitle C: Abolition of Department of Commerce and Disposition of Particular Programs, Functions, and Agencies Subtitle D: Banking and Insurance Reforms Subtitle E: Specific Commerce and Housing Program Reforms Title VIII: Transportation Subtitle A: Air Transportation Program Reform Subtitle B: Highway Transportation Program Reform Subtitle C: Rail Transportation Program Reform Subtitle D: Miscellaneous Transportation Program Reform Subtitle E: Administrative Reform Title IX: Community and Regional Development Subtitle A: Housing Program Reforms Subtitle B: Community and Regional Development Program Reforms Subtitle C: Administrative Reforms Title X: Education and Training Subtitle A: Job Training Reform Subtitle B: Department Reform Subtitle C: Elementary and Secondary Education Reforms Subtitle D: Community Program Reforms Subtitle E: Employment Program Reform Title XI: Health Subtitle A: Administrative Reform Subtitle B: University Research Regarding Health and Other Matters Subtitle C: Medicaid Reforms Subtitle D: Reforms in Health Care Block Grants Subtitle E: Health Care Program Reforms Subtitle F: Federal Employee Health Care Reform Title XII: Medicare Subtitle A: Copayment Reform Subtitle B: Part B Premium Subtitle C: Part A Deductible Subtitle D: Medicare Payments to Hospitals Subtitle E: Selected Presidential Medicare Reforms Title XIII: Income Security Subtitle A: Administrative Reform Subtitle B: Housing Program Reforms Subtitle C: Supplemental Security Income Reforms Subtitle D: Civil Service Reforms Subtitle E: Assistance Program Reforms Title XIV: Personal Responsibility and Family Preservation Subtitle A: Block Grants for Temporary Assistance for Needy Families Subtitle B: Child Protection Block Grant Program Subtitle C: Block Grants for Child Care and for Nutrition Assistance Subtitle D: Restricting Welfare and Public Benefits for Aliens Subtitle E: Food Stamp Reform and Commodity Distribution Subtitle F: Supplemental Security Income Subtitle G: Child Support Title XV: Veterans' Benefits and Services Subtitle A: Administrative Reforms Subtitle B: Extension of Certain Veterans Programs Subtitle C: Home Loan Guarantee Program Reforms Subtitle D: Medical Program Reforms Subtitle E: Other Veterans Programs Reforms Title XVI: Administration of Justice Subtitle A: Administration of Appropriations Subtitle B: Prison Reforms Subtitle C: Justice Assistance Program Reforms Subtitle D: Federal Bureau of Investigation Reforms Subtitle E: Other Justice Program Reforms Title XVII: General Government Subtitle A: Administrative Reforms Subtitle B: Legislative Branch Reductions Subtitle C: Executive Branch Reductions Subtitle D: Specific Program Reforms Restructuring a Limited Government Act - Title I: National Defense - Subtitle A: Restore Defense Spending - States that it is Congress' intent that military readiness and other specified defense-related programs be increased over proposed levels through a specified combination of defense-related increases and reductions, including increases already budgeted by the President. Subtitle B: Rescission of Funding for Programs Not Requested by the Department of Defense - Rescinds unobligated funds for various specified defense-related programs not requested by the Department of Defense (DOD), including the general purpose bomb program, the C-12F aircraft program, and the P-3 upgrade program. Subtitle C: Limitations on Funding for Certain Programs for Fiscal Year 1996 - Sets limitations on funding for specified DOD environmental and cooperative threat reduction programs with states of the former Soviet Union for FY 1996. Subtitle D: Department of Defense Administrative Reforms - Amends Federal law with respect to military severance and aviation career incentive pay. (Sec. 1313) Directs the Secretary of Defense to cancel DOD's learning resource center program for Department personnel. Subtitle E: Department of Defense Program Reforms - Directs the President to reorganize the Intelligence Community to reduce redundancy and overlapping jurisdiction and centralize responsibility and authority for intelligence activities. Includes specified personnel reductions as part of such reorganization over a five year period. (Sec. 1412) Limits: (1) Navy Seawolf (SSN-21) attack submarine procurements to one such vessel; and (2) funds already appropriated for additional vessel procurements to use only in terminating vessel contracts. (Sec. 1413) Directs the President to dispose of certain obsolete and excess materials in the National Defense Stockpile over a ten-year period, in specified quantities, with certain exceptions and a special rule for silver. Requires all proceeds from the sale of materials required to be disposed of to be deposited in the general fund of the Treasury to reduce the budget deficit. Terminates various specified authorities currently in effect relating to stockpile material disposal. Title II: International Affairs - Subtitle A: Reduce Multilateral Development Bank Credit Assistance - Amends the Export-Import Bank Act of 1945 to limit the authorization of FY 1996 through 2000 appropriations in order to reduce credit assistance by the U.S. Export-Import Bank. (Sec. 2002) Terminates capital contributions to specified multilateral development institutions. (Sec. 2003) Directs the President at the beginning of each fiscal year to deobligate, and return to the Treasury, according to certain guidelines, any foreign economic assistance funds that, as of the end of the preceding fiscal year, have been obligated for a period of more than three years but have not been expended. (Sec. 2004) Provides for various specified reductions over a five year period in U.S. contributions to the International Development Association, and in Economic Support Fund and bilateral development assistance. (Sec. 2007) Limits U.S. contributions to the United Nations (UN) and its affiliated agencies after 1996 according to a specified formula. Subtitle B: Reduce Foreign Aid Direct Assistance - Outlines various specified reductions in, and restrictions on, foreign assistance, including assistance to Russia. Conditions such assistance, among other things, upon presidential certifications to the Congress of: (1) limited Russian intelligence activities in the United States; and (2) Russian withholding of military assistance to combatants in the Yugoslav conflict and of weapons to Iran, Iraq, Syria, and any other terrorist country. Requires certain annual reports by the President and Comptroller General to the Congress on foreign assistance to Russia. Subtitle C: Reduce Humanitarian Assistance Programs - Outlines various specified reductions in cultural exchange and humanitarian assistance programs, including the Peace Corps program. (Sec. 2203) Sets assistance for Israel and Egypt at specified minimum levels from amounts already made available under current law for foreign economic support and military financing. (Sec. 2204) Eliminates the congressional sales program and the food for development program under the Agricultural Trade Development Assistance Act of 1954. (Sec. 2205) Abolishes the Foreign Claims Settlement Commission and transfers its functions to the Secretary of State. Subtitle D: Department Reforms - Provides for a reduction in overhead expenses of the Export-Import Bank. (Sec. 2302) Directs the Secretary of the Treasury to provide for the repayment of amounts appropriated to the exchange stabilization fund, along with the net earnings of that fund. Subtitle D: State Department Reforms - Provides for comprehensive reorganization of the Department of State and Foreign Service, with changes eliminating the Arms Control and Disarmament Agency, United States Information Agency, Agency for International Development (AID), International Development Cooperation Agency, and other specified Department components, as well as certain previously created Assistant Secretary positions. Revises various specified program authorities, consolidating administrative services, and transferring them to the Department under the Secretary of State. Sets funding levels for radio broadcasts to Cuba. Limits the term of the Inspector General, redesignated as the Inspector General for Foreign Affairs. Prescribes end strength personnel levels for the Department and Foreign Service. Requires a specified report to the Congress by the President and other officials on the unification of the Foreign Service with other foreign service components in the Department of Commerce and the Department of Agriculture. Title III: Science, Space, and Technology - Subtitle A: Administrative and Research Savings - Authorizes appropriations for the Department of Energy's nuclear energy research and development (R&D) activities. (Sec. 3002) Imposes a fee for National Science Foundation grant applications. (Sec. 3003) Limits total appropriations for activities under the high performance computing program. Subtitle B: Specific Program Reforms - Authorizes appropriations for the National Science Foundation. (Sec. 3012) Prohibits the Administrator of the National Aeronautics and Space Administration (NASA) from entering into any contract in furtherance of a space station program until FY 2000. (Sec. 3013) Requires the Secretary of Defense and the Administrator of NASA to cancel the National Aerospace Plane program. Title IV: Energy - Subtitle A: Abolishment of Department of Energy - Department of Energy Abolishment Act - Abolishes the Department of Energy (DOE) as such, but redesignates it as the Energy Programs Resolution Agency, an independent executive agency headed by an Administrator appointed by the President to wind-up the affairs of the former Department before its own termination three years after enactment of this Act. (Sec. 4017) Requires a Comptroller General report to the Congress recommending the most efficient means for achieving the complete abolishment of the former Department and the termination or transfer of its functions. (Sec. 4021) Establishes an independent Energy Laboratory Facilities Commission to make recommendations for reducing the number of energy laboratories and terminating laboratory programs through closure, privatization, and reconfiguration in order to eliminate duplication, reduce overhead, and achieve cost savings while preserving their role in national defense. Authorizes appropriations. Details specific procedures for making and implementing Commission recommendations, allowing for public comment in the process, unless such recommendations are disapproved by the Congress. Establishes in the Treasury the Energy Laboratory Facility Closure Account for use in conjunction with recommendations implemented above. Requires certain congressional reports on such implementations. (Sec. 4031) Federal Power Asset Privatization Act of 1995 - Directs the Secretary of Energy to sell, at the highest possible price and with appropriate private sector advice, all Federal electric power generation and transmission facilities supervised by, or coordinated with, the Federal Power Marketing Administrations (FPMA) in accordance with a specified graduated deadline. Restricts such sales to domestic entities or U.S. citizens. Requires the Secretary to terminate FPMA operations upon sales completion. Expresses the sense of the Congress that the purchaser of any such facilities should offer to employ former FPMA personnel where possible. Mandates deposit of sales proceeds in the Treasury. Limits rate increases by facility purchasers to a maximum of ten percent above the baseline price annually. Directs the Federal Energy Regulatory Commission (FERC) to issue to the purchaser of a hydroelectric generation facility a ten-year original license under the Federal Power Act to insure that the project will continue operations under the same conditions as were applicable before the sale. Grants FERC Federal Power Act jurisdiction over any such facility sold. Amends the Energy and Water Development Appropriations Act of 1993 to repeal the proscription on use of appropriated funds for studies regarding a changeover from an "at cost" to a "market rate" or other noncost-based methodology for pricing hydroelectric power. (Sec. 4041) Transfers to the Secretary of the Interior all functions of DOE with respect to the Strategic Petroleum Reserve, requiring disposal of certain Louisiana reserves and appointment of an advisory board to monitor the disposal process and recommend whether the entire reserve should be maintained or disposed of. Outlines requirements for the transfer of the naval petroleum reserves to the Department of the Interior for sale, subject to certain conditions, including a sales price not less than fair market value. Establishes in DOD the Defense Nuclear Programs Agency, headed by an Under Secretary for Defense Nuclear Programs, to carry out various specified nuclear weapons-related functions of certain defense agencies as well as transferred DOE national security functions and certain nondefense-related functions as well at various specified Federal laboratories. Gives the Director of the Office of Management and Budget (OMB) and the Secretaries of Defense and of the Navy the authority to wind-up any outstanding affairs associated with the respective functions transferred above. (Sec. 4059) Amends the Comprehensive Environmental Response, Compensation, and Liability Act of 1980 to add a new title IV governing environmental restoration activities at defense nuclear facilities. (Sec. 4061) Provides for termination of specified miscellaneous DOE energy supply R&D programs and all clean coal technology, fossil energy, and energy conservation R&D activities. Transfers: (1) all functions of the Energy Information Administration to the Department of the Treasury; and (2) all international regulatory functions of the Energy Regulatory Administration (ERA) to the Secretary of Agriculture, and all ERA functions with respect to pending litigation to the Attorney General. (Sec. 4071) Terminates waste site work under the Nuclear Waste Policy Act of 1982. (Sec. 4072) Abolishes the Office of Civilian Radioactive Waste Management and transfers its functions with respect to a radioactive waste and spent nuclear fuel repository to the U.S. Geological Survey. (Sec. 4073) Directs the Corps of Engineers to design, construct, and operate a facility with sufficient capacity for interim storage of high-level nuclear waste from civilian power plants at a site chosen by the Nuclear Waste Technical Review Board under the jurisdiction of DOE, until the Corps is able to transfer such waste and spent fuel. Requires the facility to be licensed in accordance with applicable regulations. Exempts Corps actions from judicial review (Sec. 41101) Mandates sale of the naval petroleum reserves at fair market value, with sales proceeds going toward Federal deficit reduction and Department environmental costs associated with the petroleum interests sold. (Sec. 4102) Prohibits the Secretary of Energy from obligating any funds for the acquisition of petroleum products for the Strategic Petroleum Reserve. Subtitle C: Reform Fossil Fuel and Mineral Research Development Programs - Provides for the privatization of the U.S. Enrichment Corporation, including establishment by the Corporation of a private corporation to which some or all of its assets and liabilities may be transferred. (Sec. 4202) Authorizes diminishing appropriations from FY 1996 through 2000 for fossil fuel, energy conservation, magnetic fusion, solar and renewable energy, and nuclear energy R&D. (Sec. 4203) Prohibits obligation of funds for the Clean Coal Technology program (except to a specified extent) as well as the atomic vapor laser isotope separation program. Subtitle D: Reform Energy Conservation Programs - Repeals weatherization, State energy conservation, and institutional conservation programs under the Energy Conservation and Production Act. Title V: Environment - Subtitle A: Public Land Use and Purchase Reforms - Places a five-year moratorium on certain land acquisitions by Federal agencies with respect to lands to be administered by the Forest Service and other Federal environmental agencies with certain exceptions pertaining to national security interests. Sets restrictions on land exchanges during such period. (Sec. 5002) Amends the National Forest Management Act of 1976 to prohibit certain below-cost timber sale programs in units of the National Forest System. (Sec. 5003) Amends various specified Federal laws to set permanent limitations on amounts authorized to be appropriated each fiscal year for the National Forest System and related agriculture conservation and forestry programs. (Sec. 5004) Provides that in accordance with the discretionary authority provided under the Raker Act, certain annual amounts paid to the United States shall be increased to the amount determined by the Secretary of the Interior to be equal to the fair market value of the electric power generated within a described area. (Sec. 5005) Amends the Alaska National Interest Conservation Act to repeal the prohibition against mineral leasing of lands within the Arctic National Wildlife Refuge. Requires deposit of leasing revenues in the Treasury. (Sec. 5006) Requires the charging of admission and other specified user fees at National Park System units for crediting to various special funds for conservation- and park-related uses. Allows donations of money, property, and services for national park use. Subtitle B: Environmental Conservation, Cleanup, and Research Reforms - Amends the Comprehensive Environmental Response, Compensation, and Liability Act of 1980 to direct the President to give a preference to certain interim measures in Superfund response actions, and report to the Congress on their use. (Sec. 5101) Amends the Superfund Amendments and Reauthorization Act of 1986 and the Internal Revenue Code to authorize appropriations from the Superfund. (Sec. 5102) Amends the Food Security Act of 1985 to eliminate the conservation reserve program. (Sec. 5103) Eliminates Federal funding for State water pollution control revolving funds under the Federal Water Pollution Control Act, as well as for certain watershed and flood prevention operations. (Sec. 5105) Sets obligation limitations for certain flood control (particularly for the Mississippi River and tributaries) and coastal emergency operations by the Corps of Engineers. Subtitle C: Restructuring of Department of the Interior - Provides for a restructuring of the Department of the Interior, including changes: (1) establishing the Bureau of Land Management Sale and Acquisition (BLMSA) Fund; (2) prohibiting acquisition of lands for the Bureau of Land Management, except by exchange, donation, or with amounts from the BLMSA Fund; (3) abolishing the Bureau of Mines and all of its functions, positions, and offices; (4) mandating cessation of production, refining, and marketing of refined helium by the Department, and the sale of crude helium from helium reserves owned by the United States; (5) transferring to the National Science Foundation and the Environmental Protection Agency (EPA) of all basic research and of all stream monitoring functions, respectively, of the U.S. Geological Survey, abolishing the Survey and all its other functions; (6) requiring transfer to a Department officer of the functions of certain Outer Continental Shelf Regional Offices of the Minerals Management Service, and termination of such regional offices; (7) setting reductions in appropriations for the Bureau of Reclamation; (8) requiring consolidation of Bureau of Indian Affairs area service offices; and (9) abolishing the Office of Territorial and International Affairs and the National Biological Survey. Outlines hardrock mining royalty requirements pertaining to payments, recordkeeping, and other specified matters. Subtitle D: Administrative Reform - Provides for a reduction in EPA overhead expenses. Subtitle E: National Marine Program Reforms - Terminates National Coastal Zone Management Grants and National Sea Grant College Program Grants. Directs the Secretary of Commerce to dispose of the National Oceanic and Atmospheric Administration (NOAA) fleet. Rescinds specified FY 1995 funds for NOAA procurement, modernization, and construction. Subtitle F: Corps of Engineers Reform - Directs the Secretary of the Army to reorganize the Corps of Engineers. Imposes obligational limitations for various specified Corps activities, including general investigations. Title VI: Agriculture - Subtitle A: Agriculture Research and Extension - Directs the Secretary of Agriculture to: (1) consolidate specified agricultural research agencies, with associated personnel reductions; (2) terminate certain cooperative agricultural extension work; and (3) impose specified agricultural- and extension-related program caps. Repeals rural technology grant authority. Subtitle B: Agricultural Trade - Makes various specified changes concerning agricultural trade. Mandates phase-out of the Foreign Agricultural Service's co-operator market development program. Eliminates export enhancement and market promotion programs. Reduces the loan guarantee program under the Agricultural Trade Act of 1978. Subtitle C: Department of Agriculture Overhead Reduction - Provides for a Department overhead reduction. Subtitle D: Loan Reform - Terminates the grant program under the Agricultural Credit Act of 1987 to assist State mediation programs. Subtitle F: Crop Commodity Reform - Eliminates various specified price support programs for agricultural commodities except for milk, emergency livestock feed assistance, and other specified program components and related marketing quotas. (Sec. 6402) Terminates Federal price supports for honey. Title VII: Commerce and Housing Credit - Subtitle A: Small Business Administration Reform - Eliminates the Small Business Administration (SBA), transferring to the OMB Director and other specified officials its respective functions, powers, and duties. Establishes in its place an Office of Small Business Advocacy, in the Executive Office of the President, to carry out functions formerly vested in the SBA Chief Counsel of Advocacy. Provides for winding-up the affairs of SBA, including the transfer of its previously owned financial obligations to the Secretary of the Treasury. (Sec. 7010) Repeals the Small Business Act and the Small Business Investment Act of 1958 while leaving in effect certain Small Business Act provisions relating to the definition of "small business concern", among other specified provisions that include those on penalties for prohibited acts. Subtitle B: Housing Credit Reform - Makes specified changes with regard to housing credit under the National Housing Act and the Housing Act of 1949, including increased fees for Farmers Home Administration (FMHA) single family housing loan guarantees, and delegation of single family mortgage insuring authority to mortgagees and secondary market entities. Subtitle C: Abolition of Department of Commerce and Disposition of Particular Programs, Functions, and Agencies - Redesignates the Department of Commerce as an independent but temporary Commerce Programs Resolution Agency for winding-up outstanding Department affairs not included in the various specified former Department entities and functions either transferred to other specified departments, agencies, and entities of the Federal Government, or terminated in accordance with specified guidelines. Requires a report by the Comptroller General to the Congress recommending the most efficient means of achieving the complete abolishment of the former Department. (Sec. 7232) Transfers specified export control functions to the Secretary of State. Provides for the transfer to certain departments and agencies of: (1) the Secretary of Commerce's national security, international trade, and spectrum management functions; (2) the Patent and Trademark Office; (3) the Bureau of the Census; and (4) the Bureau of Economic Analysis. Terminates NOAA, the Minority Business Development Administration, the National Telecommunications and Information Administration, the Advanced Technology Program, and the Manufacturing Extension Programs. (Sec. 7244) Expresses the sense of the Congress that the head of each agency that performs a function vested in it by this title should, wherever feasible, explore and implement user fees for the provision of services in the performance of that function in order to offset operating costs. (Sec. 7260) Limits annual expenditures for continued former Department functions. Subtitle D: Banking and Insurance Reforms - Amends the Federal Deposit Insurance Act and the Federal Reserve Act with respect to Federal Deposit Insurance Corporation (FDIC) and Federal Reserve Board bank examination fees. (Sec. 7311) Establishes an independent Federal Banking Agency, governed by a board of directors, to receive the current regulatory authority of the Federal Reserve System Board of Governors and other specified banking agencies, including the FDIC, the Office of Comptroller of the Currency, and the Office of Thrift Supervision, which are abolished. (Sec. 7325) Amends the National Housing Act with respect to mortgage refinancing. (Sec. 7326) Prescribes a penalty for early redemption of savings bonds. (Sec. 7328) Terminates issuance of one dollar notes, providing instead for one dollar coins. Subtitle E: Specific Commerce and Housing Program Reforms - Limits FY 1996 obligations for the Minority Business Development Agency. Terminates the U.S. Travel and Tourism Administration. Limits funds for carrying out the Export Administration Act of 1979. Amends the Communications Act of 1934 to repeal the public telecommunications facilities and telecommunications demonstration grant programs. (Sec. 7405) Amends the National Institute of Standards and Technology Act to abolish the advanced technology program. (Sec. 7406) Directs the Secretary of the Treasury to collect each fiscal year fees, calculated according to specified formulae, from each Government-sponsored enterprise, including the Federal National Mortgage Association (Fannie Mae), the Federal Home Loan Mortgage Corporation (Freddie Mac), the Student Loan Marketing Association (Sallie Mae), and the College Construction Loan Insurance Association (Connie Lee). Amends the National Housing Act to increase from six basis points to ten basis points during FY 1997, and to 15 basis points for succeeding fiscal years, the guaranty fee the Government National Mortgage Association (Ginnie Mae) must charge. (Sec. 7407) Amends the Communications Act of 1934 to extend the spectrum auction authority of the Federal Communications Commission. (Sec. 7408) Limits amounts made available for salaries and expenses for the Bureau of the Census and the Copyright Office of the Library of Congress. Title VIII: Transportation - Subtitle A: Air Transportation Program Reform - Air Traffic Control Service Privatization and Improvement Act of 1995 - Establishes a non-profit Airways Corporation to operate the civil air traffic control system without Federal funding after its transfer by the Secretary of Transportation in accordance with specified guidelines. Provides for a reduction in tax on transportation of persons by air. (Sec. 8002) Makes various specified changes with regard to air transportation, imposing obligation limits for airport improvement program and Federal Aviation Administration operations, as well as termination of the essential air service program and funding for the airway science, collegiate training initiative, and air carrier maintenance technician training facility grant programs. (Sec. 8006) Mandates fees for use of slots at high density airports in an amount sufficient to collect $300 million per fiscal year. Subtitle B: Highway Transportation Program Reform - Terminates the Interstate Commerce Commission, transferring its functions to the Secretary of Transportation. (Sec. 8102) Increases customs tonnage fees. (Sec. 8103) Directs the Secretary to establish fees for operation of foreign repair stations. (Sec. 8104) Amends the Intermodal Surface Transportation Efficiency Act of 1991 to eliminate funding for highway demonstration projects. Subtitle C: Rail Transportation Program Reform - Amends Federal law to set authorization levels for Amtrak for capital expenditures and other expenses through FY 2000. (Sec. 8202) Eliminates funding for magnetic levitation (Maglev) prototype development under the Intermodal Surface Transportation Efficiency Act of 1991. (Sec. 8204) Makes various specified changes with regard to local rail freight assistance and State boating safety grants. Subtitle D: Miscellaneous Transportation Program Reform - Amends Federal law to reduce the Federal Government's share of funding for mass transit and makes other miscellaneous modifications in transportation provisions, including those eliminating operating assistance. Subtitle E: Administrative Reform - Provides for a reduction in overhead expenses of the Department of Transportation. Title IX: Community and Regional Development - Subtitle A: Housing Program Reforms - Amends the Housing Act of 1949 to prohibit new rural rental housing program loans. Subtitle B: Community and Regional Development Program Reforms - Eliminates funding for environmental research programs of the Tennessee Valley Authority. (Sec. 9102) Eliminates the community development block grant (CDBG) program under the Housing and Community Development Act of 1974. (Sec. 9103) Terminates the Economic Development Administration. Repeals the Public Works and Economic Development Act of 1965 and the Local Public Works Capital Development and Investment Act of 1976, continuing the Economic Development Revolving Fund established under the first named Act to finish up certain business under it. (Sec. 9104) Terminates the Appalachian Regional Commission and repeals the Appalachian Regional Development Act of 1965. (Sec. 9105) Repeals the Rural Electrification Act of 1936, and various rural development loan and grant programs under the Consolidated Farm and Rural Development Act, the Food, Agriculture, Conservation, and Trade Act of 1990, the Food Security Act of 1985, and other specified Federal agricultural law. Provides for sale of outstanding rural development loans. Subtitle C: Administrative Reforms - Sets specified limits on amounts made available for Indian program operations and Bureau of Indian Affairs construction. Title X: Education and Training - Subtitle A: Job Training Reform - Employment Enhancement Reform Act - Authorizes the Secretary of Labor to provide block grants to States for employment assistance to eligible residents in accordance with specified guidelines to help prepare individuals for employment by increasing their occupational and educational skills, resulting in improved long-term employability, increased employment and earnings, and reduced welfare dependency. Outlines provisions for grants to Indian tribes and migrant and seasonal farmworker organizations under the program. Provides for a reduction or termination of payments to participating States unsuccessful in making employment placements under the program. Authorizes appropriations. (Sec. 10031) Provides for consolidation and repeal of various specified Federal employment assistance programs under the Stewart B. McKinney Homeless Assistance Act and the Rehabilitation Act of 1973. (Sec. 10041) Amends the Higher Education Act of 1965 to repeal certain higher education programs for students from migrant and seasonal farmworker families. (Sec. 10042) Amends Federal law to eliminate various specified homeless and disabled veterans programs. (Sec. 10043) Amends the Domestic Volunteer Service Act to eliminate the Foster Grandparent and Senior Companion programs, as well as the Older American Community Service Employment Program under the Older Americans Act of 1965. (Sec. 10044) Repeals the Job Training Partnership Act, except certain provisions relating to the Job Corps, which is reauthorized at specified levels. (Sec. 10045) Discontinues certain vocational and other education facilities and operations programs under the Appalachian Regional Development Act of 1965. (Sec. 10046) Amends the Internal Revenue Code to repeal the targeted jobs credit. (Sec. 10047) Repeals the Service Members Occupational Conversion and Training Act of 1992, the Carl D. Perkins Vocational and Applied Technology Education Act, the National Literacy Act of 1991, the Indian Employment, Training and Related Services Demonstration Act of 1992, the Wagner-Peyser Act, and portions of the Social Security Act (SSA) relating to Indian tribes and of the Domestic Volunteer Service Act of 1973 authorizing the Literacy Corps. (Sec. 10054) Amends other specified Federal law to repeal various other specified programs. Subtitle B: Department Reform - Back to Basics Education Reform Act - Abolishes the Department of Education and redefines the Federal role in education. Establishes, in its place, (and sunsets) an Office of Economic Opportunities in the Department of Health and Human Services (HHS), to which current Department of Education functions are transferred. (Sec. 10115) Authorizes the HHS Secretary, as is necessary or appropriate, to: (1) allocate or reallocate any function of the Office among its officers; and (2) consolidate, alter, or discontinue in the Office any organizational entities that were entities of the Department of Education. Prohibits transfer of any function or personnel of the Office to any agency outside of the Office. (Sec. 10116) Directs the President to submit to the Congress a plan for winding-up the affairs of the Department of Education in accordance with this Act. (Sec. 10117) Directs the Comptroller General to submit to the Congress a report with recommendations for the most efficient means of achieving, in accordance with this Act: (1) the complete abolition of the Department; and (2) the termination, transfer, or other continuation of Department functions. (Sec. 10120) Limits Federal expenditures in each fiscal year for the administration of a function transferred by this Act to not more than 70 percent of the total amount expended for the administration of that function during fiscal year 1995. (Sec. 10131) Authorizes the Director of the Office to provide an elementary and secondary education block grant to the Governor of each State that complies with specified requirements. (Sec. 10132) Authorizes such block grant program, and sets forth provisions for State eligibility, general State requirements, amount of State allotment, local fiscal accountability, and participation of children enrolled in private schools. (Sec. 10139) Authorizes appropriations. (Sec. 10141) Repeals: (1) titles I, II, III, IV, V, VI, VII, X, XI, XII, XIII, XIV, and parts B and C of title IX of the Elementary and Secondary Education Act of 1965 (ESEA); (2) the Goals 200: Educate America Act; (3) the School-to-Work Opportunities Act; (4) specified provisions of the General Education Provisions Act; and (5) the National Education Statistics Act of 1994. Amends ESEA provisions relating to impact aid. Requires that impact aid programs provided under title VIII of ESEA be administered by DOD through the Assistant Secretary for Force Management Policy. Provides that Indian education programs under part A of title IX of ESEA shall be administered by the Department of the Interior through the Assistant Secretary for Indian Affairs. (Sec. 10142) Amends the Individuals with Disabilities Education Act (IDEA) to transfer authority from the Department and Secretary of Education to the Department and HHS Secretary. (Sec. 10143) Amends IDEA definitions of excess costs and of native language. (Sec. 10144) Transfers IDEA administering authority to the Office. (Sec. 10145) Revises IDEA provisions on outreach services for certain institutions of higher education. (Sec. 10151) Repeals the Higher Education Act of 1965 (HEA), with exceptions for its short title and provisions relating to Pell Grants, the Federal Family Education Loan Program, Perkins Loans, needs analysis, certain general provisions, definitions, and the program integrity triad. Provides that such repeal of HEA provisions shall not affect Federal authority to collect loans. Discontinues Federal contributions for FY 1997 or any succeeding year to student loan funds established under Perkins Loans provisions of HEA. Limits Federal funds for Howard University under specified Federal law and the Howard University Endowment Act to: (1) specified maximum amounts and uses in fiscal years through FY 2000; and (2) nothing after FY 2000. (Sec. 10152) Amends the Congressional Budget Act to revise the Federal Credit Reform Act with respect to defining the cost of a direct loan. (Sec. 10153) Amends HEA to provide for the sale of Federal Direct Student Loan (FDSL) loan portfolios. (Sec. 10154) Makes a statement of policy that the Federal student loan programs should be reviewed to evaluate whether reforms need to be made based on the principles of risk sharing, market-based orientation, privatization, and deregulation. (Sec. 10155) Eliminates in-school interest subsidies under HEA guaranteed loan programs. (Sec. 10161) Authorizes block grants to States to assist institutions of higher education to improve access to higher education and the quality of educational programs. (Sec. 10162) Sets forth such block grant program provisions for distribution of funds, State assurances, use of funds, and public disclosure. (Sec. 10167) Authorizes appropriations. (Sec. 10173) Directs the HHS Secretary to provide for a consolidated application for elementary and secondary education block grants and higher education block grants. Requires that consolidated applications also be permitted at the local level. (Sec. 10174) Limits the amount that is authorized to be appropriated for specified programs to not more than the amount appropriated for such programs for FY 1995. Requires that such programs be authorized through FY 2000. (Sec. 10175) Provides that nothing in this title shall be construed to affect the applicability of civil rights laws relating to any program established, transferred, or consolidated under this Act. Sets forth education-related civil rights enforcement and reporting duties of the HHS Secretary, the Director of the Office of Civil Rights of HHS, and the Assistant Attorney General in charge of the Civil Rights Division of the Department of Justice. (Sec. 10181) Sets forth requirements relating to certain references, exercise of authorities, savings provisions, transfer of assets, delegation and assignment, authority of OMB with respect to functions transferred, and proposed changes in law. (Sec. 10191) Sets forth statements of policy regarding: (1) Federal education funding (review and evaluation as to the feasibility of further enhancing the ability of States and local communities to fund education by reducing the Federal tax burden and commensurately eliminating Federal Government involvement in providing grants for education programs); (2) job training programs (review and transfer all those under jurisdiction of the Department of Education to the Department of Labor and consolidate them into one or more block grants); and (3) Indian education (review programs transferred to the Department of the Interior to ensure that they benefit Native American children who live on reservations). Subtitle C: Elementary and Secondary Education Reforms - Amends the Elementary and Secondary Education Act of 1965 to eliminate impact aid and the Eisenhower Regional Mathematics and Science Education Consortia program. (Sec. 10203) Amends the Individuals with Disabilities Education Act to limit the authorization of appropriations for individuals with disabilities to the same amount for the period between FY 1996 and 2000. (Sec. 10204) Sets a limit on the amount of funds which may be made available annually to carry out the Eisenhower Professional Development State Grant program under the Elementary and Secondary Education Act of 1965. Outlines similar annual limitations with regard to other specified programs under such Act, such as the education infrastructure and magnet school assistance programs, as well as the Education Department's Christa McAuliffe Scholarship program. (Sec. 10212) Continues annual funding limitations under such Act for dropout demonstrations and other specified programs and activities, as well as with certain described programs and services under the Stewart B. McKinney Homeless Assistance Act and Civil Rights Act, respectively, while totally eliminating other specified programs under such Acts, including those involving immigrant education and education for Native Hawaiians. (Sec. 10224) Abolishes programs under the Improving America's Schools Act of 1994 relating to public library construction and national assessment of educational progress. Subtitle D: Community Program Reforms - Repeals the National Foundation on the Arts and the Humanities Act of 1965, the National and Community Service Act of 1990, the Domestic Volunteer Service Act of 1973, and related provisions. (Sec. 10303) Repeals the Museum Services Act. (Sec. 10304) Terminates funding for the Kennedy Center. (Sec. 10305) Repeals the Older Americans Community Service Employment Act. (Sec. 10306) Amends SSA title XX (Block Grants to States for Social Services) to consolidate services under various specified Federal Acts relating to community services, child care, and dependent care within the block grant program under SSA. (Sec. 10307) Makes numerous amendments to the Older Americans Act of 1965, detailing various specified changes reauthorizing and extending various programs, activities, and services under it at lower levels of funding. (Sec. 10308) Amends the Communications Act of 1934 to terminate funding for the Corporation for Public Broadcasting. Subtitle E: Employment Program Reform - Terminates general trade adjustment assistance extension under the Trade Act of 1974. (Sec. 10402) Amends SSA title II (Old Age, Survivors, and Disability Insurance) (OASDI) to preempt State laws reducing periodic benefits by reason of entitlement to disability insurance benefits, thus extending to all States the rule providing for reduction of social security disability insurance benefits upon receipt of worker's compensation benefits. (Sec. 10403) Repeals the Service Contract Act of 1965. (Sec. 10404) Specifies a reduction in overhead expenses of the Department of Labor. Title XI: Health - Subtitle A: Administrative Reform - Specifies a reduction in overhead expenses of HHS. Subtitle B: University Research Regarding Health and Other Matters - Provides for a reduction in rates for the indirect costs of federally-supported university research. (Sec. 11102) Amends the Public Health Service Act to specify a reduction in budget of the National Institutes of Health and provide for a reduction in health professions budget, as well as authorize appropriations for programs for minority and economically disadvantaged students. (Sec. 11104) Provides for closure of the uniformed services University of the Health Sciences. Subtitle C: Medicaid Reforms - Amends SSA title XIX (Medicaid) to provide for: (1) a reduction in Federal payments for disproportionate share hospitals; (2) imposition of State limits on approved nursing facility beds; and (3) a reduction to 50 percent in the matching rate for administrative costs under Medicaid. Subtitle D: Reforms in Health Care Block Grants - Amends title XIX (Block Grants) of the Public Health Service Act to provide for a consolidation of specified health-related block grants. Authorizes appropriations. (Sec. 11302) Specifies a reduction in budget for immunization programs. Prohibits warehousing vaccines. Subtitle E: Health Care Program Reforms - Specifies reductions in agency and program budgets under the Public Health Service Act. (Sec. 11403) Abolishes the Office of the Surgeon General of the Public Health Service. Subtitle F: Federal Employee Health Care Reform - Amends Federal civil service law to change the Government contribution to the Federal Employees Health Benefits Program from a percentage of the average subscription charge for a particular program to a uniform dollar amount (adjusted annually according to a specified price index) for all such programs. Title XII: Medicare - Subtitle A: Copayment Reform - Amends SSA title XVIII (Medicare) to impose a 20 percent copayment for home health services and clinical laboratory services under Medicare parts A (Hospital Insurance) and B (Supplementary Medical Insurance). Subtitle B: Part B Premium - Provides for an increase in the Medicare part B premium for certain high-income individuals, and associated beneficiary reporting requirements. Requires the Secretary of the Treasury, upon request by the Administrator of the Health Care Financing Administration, to make certain tax return-related disclosures to the Administrator for use in determining whether a beneficiary is subject to such a premium increase. (Sec. 12103) Sets the monthly part B premium at 50 percent of the monthly actuarial rate for enrollees age 65 and over for the succeeding calendar year. Subtitle C: Part A Deductible - Provides for an increase in the Medicare Hospital Insurance deductible for certain high-income individuals. Subtitle D: Medicare Payments to Hospitals - Makes various specified changes with regard to Medicare payments to hospitals, including elimination of payments to hospitals for enrollees' bad debts and reduction in payments for indirect costs of medical education. Subtitle E: Selected Presidential Medicare Reforms - Requires the HHS Secretary to use a competitive process for contracting with centers of excellence for cataract surgery, coronary artery by-pass surgery, and other appropriate services. Sets payment for services subject to such contracts on the basis of specified negotiated or all- inclusive rates. Provides payment rebates of a portion of the resulting savings for individuals receiving services under such a demonstration project. (Sec. 12402) Provides for application of a competitive acquisition process for Medicare part B items and services as well as a reduction in payment amounts to the area involved if such acquisition fails to achieve a specified minimum reduction in payments. Provides for a similar application with respect to clinical diagnostic laboratory tests. (Sec. 12404) Makes various specified changes with regard to Medicare as secondary payer. (Sec. 12405) Provides under Medicare part B for limitations on payment for physicians' services furnished by high-cost hospital medical staffs. (Sec. 12406) Delineates various specified update reductions and expenditure goals with regard to inpatient hospital services and physician services, respectively. (Sec. 12408) Reduces from 112 percent to 100 percent (adjusted to preserve certain savings) the payment for the routine service costs of skilled nursing facilities. (Sec. 12409) Provides for a reduction in routine cost limits for home health services and elimination of formula-driven overpayments for certain outpatient hospital services. Title XIII: Income Security - Subtitle A: Administrative Reform - Repeals the Department of Housing and Urban Development Act to eliminate the Department of Housing and Urban Development. Amends the National Housing Act to terminate the Government National Mortgage Association (Ginnie Mae). Makes various other specified administrative changes with regard to housing programs and the transfer of Department functions, including providing for their consolidation into a block grant program and privatization of the Federal Housing Administration (FHA). Subtitle B: Housing Programs Reforms - Eliminates operating subsidies for vacant public housing and provides for an increase of certain tenant contributions under the United States Housing Act of 1937, along with other specified changes under such Act. Subtitle C: Supplemental Security Income Reforms - Modifies the Supplemental Security Income (SSI) program under SSA title XVI concerning: (1) reporting of admissions of SSI recipients to nursing homes; (2) limiting SSI benefits for recipients in nursing homes if Medicaid pays certain care costs; (3) unearned income exclusion under the program; and (4) recovery of SSI overpayments from social security benefits. Subtitle D: Civil Service Reforms - Increases the retirement age under the Federal Employees Retirement System (FERS) to 65 for certain post-1993 new employees and Members of Congress. (Sec. 13302) Defers until age 62 the cost-of-living adjustments for military retirees who first entered military service on or after January 1, 1996. (Sec. 13303) Amends Federal law to eliminate a portion of the Government contribution to the Thrift Savings Plan for Federal employees hired, or Members of Congress first elected, after December 31, 1994. Subtitle E: Assistance Program Reforms - Makes various specified changes with regard to low-income home energy assistance programs, setting annual authorization limits under the Low-Income Home Energy Assistance Act of 1981, and establishing additional requirements for unemployment benefits. (Sec. 13403) Denies unemployment benefits to individuals who voluntarily leave military service. (Sec. 13404) Provides for an increase in the variable rate premium charged by the Pension Benefit Guaranty Corporation to single-employer plans under the Employee Retirement Income Security Act of 1974 (ERISA). Title XIV: Personal Responsibility and Family Preservation - Personal Responsibility Act of 1995 - Subtitle A: Block Grants For Temporary Assistance For Needy Families - Expresses the sense of the Congress with regard to: (1) the importance of marriage and negative consequences of out-of-wedlock births; and (2) the reduction of such births as an important government interest. (Sec. 14101) Amends part A (Aid to Families with Dependent Children) (AFDC) of SSA title IV to convert the current AFDC program into a block grant program with specified work, job search, and education and training requirements designed to increase State flexibility in providing time-limited assistance and support services (including birth control and child care services) to needy families in order to enable them to leave the program and become self-sufficient. Prohibits such assistance, generally, to: (1) certain aliens; (2) families without a minor child; (3) families not cooperating in paternity establishment or child support; (4) children born out-of-wedlock to a minor parent (or the parent until such parent turns age 18); (5) families not assigning support rights to the State; (6) minor children born to benefit recipients (except that vouchers in lieu of certain child care cash benefits shall not be denied); (7) a person convicted of fraudulently misrepresenting residence in order to receive welfare benefits; (8) fugitive felons and probation and parole violators; and (9) minor children absent from the home for specified periods of time. Requires the withholding of a portion of assistance from families which include a child whose paternity is not established. Provides that in order to be eligible for block grants under such program a State must submit to the HHS Secretary a plan that includes: (1) an outline of the assistance the State intends on providing to needy families with children; and (2) certifications that the State will operate revised SSA title IV part B (Child-Welfare Services) and D (Child Support and Establishment of Paternity) programs in accordance with this Act. Allows States to use grants for: (1) providing low-income household heating and cooling assistance; (2) implementing an electronic benefit transfer system for providing assistance to needy families with children; and (3) carrying out a State program pursuant to specified provisions of Federal law, including the Child Care and Development Block Grant Act of 1990. Gives States the authority to treat families moving interstate under the former State program rules if they reside in their new State of residence for less than 12 months. Increases the amount of such grants for States which have reduced their out-of-wedlock births. Prescribes penalties for violations of grant uses and mandatory work requirements. Establishes in the Treasury a revolving loan fund known as the Federal Rainy Day Fund for making loans to, and receiving payments of principal and interest on such loans from, qualified States under the new State block grant program. Expresses the sense of the Congress that States: (1) should require noncustodial, nonsupporting parents who have not attained 18 years of age to fulfill community work obligations and attend appropriate parenting or money management classes after school; and (2) operating block grant programs are encouraged to assign the highest priority to requiring families that include older preschool or school-age children to be engaged in work activities. Directs the Secretary to: (1) research the costs and benefits of State activities under this title; (2) evaluate innovative approaches to employing program recipients; (3) rank States in order of their success under the grant program; and (4) review the most and least successful State work programs. Sets forth requirements for: (1) State data collection and reporting; and (2) a Census Bureau study obtaining information for evaluating the impact of this title on a random national sample of recipients of assistance under State block grant programs. Appropriates funds for the latter. Authorizes the Secretary to: (1) conduct research on the effects, costs, and benefits of State block grant programs under this title; (2) assist States in development and evaluation of innovative approaches to employing welfare recipients; and (3) conduct studies of the caseloads of States operating programs under this title. Directs the Secretary to develop innovative methods of disseminating information on any research, evaluations, and studies conducted under this title. (Sec. 14102) Directs the Secretary to report to the Congress on automated data processing systems under State block grant programs and the modifications necessary for tracking public program participants and checking case records to prohibit participants from participating in public programs of two or more States. (Sec. 14106) Provides for the continued application of current AFDC standards under Medicaid. Subtitle B: Child Protection Block Grant Program - Revises SSA title IV part B's Child-Welfare Services program, converting it also into a program of block grants to the States, in this case, for the protection of children in accordance with specified standards. (Sec. 14201) Sets forth requirements regarding: (1) State eligibility plans with appropriate certifications; (2) grant uses; (3) penalties; (4) data collection and reporting; (5) research; (6) a national random sample study of at-risk children; and (7) continued application of current standards under Medicaid. Allows grant-receiving States to consider establishing kinship care foster care placement programs with a preferred placement option for adult relatives (who meet all relevant child protection standards) of children separated from their parents. Adds requirements for: (1) citizen review panels for examining specific cases to ensure that State and local agencies are doing their job properly to protect children; (2) a clearinghouse and telephone hotline on missing and runaway children; (3) decreasing the time children wait for adoption; and (4) preventing discrimination in multiethnic placements of children. Authorizes appropriations. (Sec. 14205) Expresses the sense of the Congress regarding timely adoption of children. Subtitle C: Block Grants for Child Care and for Nutrition Assistance - Amends the Child Care and Development Block Grant Act of 1990 to add the following as goals for such Act: (1) to allow each State maximum flexibility in developing child care programs and policies that best suit the needs of children and parents within such State; (2) to promote parental choice to empower working parents to make their own decisions on the child care that best suits their family's needs; (3) to encourage States to provide consumer education information to help parents make informed choices about child care; (4) to assist States to provide child care to parents trying to achieve independence from public assistance; and (5) to assist States in implementing the health, safety, licensing, and registration standards established in State regulations. (Sec. 14301) Reauthorizes and extends such Act through 2000. Makes various specified technical and other changes to the Child Care and Development Block Grant Act of 1990 with regard to lead State agency designation, State application and plan, and limitations on State allotments. Repeals earmarked required expenditures. Requires each State to report a plan for annual evaluations of the extent to which the State has achieved each goal established by this Act. Authorizes a State to transfer funds to carry out other State programs operated under specified provisions of Federal law, including AFDC and child-welfare programs. (Sec. 14302) Repeals certain child care assistance authorized by specified Acts other than SSA, including Native Hawaiian Family-Based Education Centers under the Native Hawaiian Education Act. Revises the Child Nutrition Act of 1966, among other changes, converting the current child nutrition program under it into a State family nutrition block grant program with goals that include the following: (1) to provide nutritional risk assessment, food assistance based on such risk assessment, and nutrition education and counseling to economically disadvantaged pregnant women, postpartum women, breastfeeding women, infants, and young children at nutritional risk; and (2) to provide food assistance, including nutritious meal supplements, to such women in order to reduce incidences of low- birthweight babies and babies born with birth defects as a result of nutritional deficiencies. (Sec. 14321) Sets forth the formula for allotting appropriations among the States. Specifies the use of grant amounts, including specified additional requirements with respect to: (1) assistance for economically disadvantaged pregnant women, postpartum women, breastfeeding women, infants, and young children; and (2) child care assistance on military installations. Establishes penalties for misuse of funds. Requires the appropriate State agency to determine that sufficient grant amounts will remain available during a fiscal year to carry out this subtitle before using any such amounts for the fiscal year. Sets out State reporting requirements. Directs the Food and Nutrition Board of the Institute of Medicine of the National Academy of Sciences to develop, and report to specified congressional committees, model nutrition standards for food assistance provided to economically disadvantaged pregnant women, postpartum women, breastfeeding women, infants, and young children. Authorizes appropriations. (Sec. 14341) Amends the National School Lunch Act, among other changes, converting the current school lunch program into a program of school-based nutrition block grants to States to provide assistance to schools to establish and carry out nutritious food service programs that provide affordable meals and supplements to students. Requires the appropriate State agency to determine that sufficient grant amounts will remain available during a fiscal year to carry out this subtitle before using any such amounts for the fiscal year. Prohibits a State from requiring a school district, private nonprofit school, or DOD domestic dependents' school to accept commodities, except on request, for use in its food service program. Directs the States to ensure that schools provided State assistance in establishing and carrying out nutritious food service programs do not: (1) physically segregate children eligible to receive free or low cost meals or supplements on the basis of such eligibility; (2) provide for overt identification of such children by special means; or (3) otherwise discriminate against them. Provides that if, by reason of any other provision of law, a State is prohibited from providing assistance received from a grant under such Act to private nonprofit schools or DOD domestic dependents' schools, or if the State has substantially failed or is unwilling to provide such assistance, the Secretary of Agriculture shall arrange for its provision to such schools in accordance with the requirements of such Act. Directs the Food and Nutrition Board of the Institute of Medicine of the National Academy of Sciences to develop, and report to specified congressional committees, model nutrition standards for meals provided to students under such Act. Eliminates other current school lunch programs, including the summer food service programs for children in service institutions, the child and adult care food program, meal supplements for children in afterschool care, specified pilot projects, as well as the current publication entitled "Nutrition Guidance for Child Nutrition Programs." Retains the current program for nutritious food service programs in DOD overseas dependents' schools. (Sec. 14361) Repeals the Commodity Distribution Reform Act and WIC Amendments of 1987 and the Child Nutrition and WIC Reauthorization Act of 1989. (Sec. 14371) Repeals the Abandoned Infants Assistance Act of 1988, with conforming amendments to the Domestic Volunteer Service Act of 1973. Repeals the Child Abuse Prevention and Treatment Act (with conforming amendments to the Victims of Crime Act of 1984), as well as the Child Abuse Prevention and Treatment and Adoption Reform Act of 1978. Makes technical amendments to the Temporary Child Care for Children with Disabilities and Crisis Nurseries Act of 1986, eliminating the crisis nursery demonstration program, among other changes. Repeals: (1) the Missing Children's Assistance Act; (2) the family center support provisions of the Stewart B. McKinney Homeless Assistance Act; (3) certain investigatory and prosecutory provisions of the Victims of Child Abuse Act of 1990; and (4) the family unification program provisions of the United States Housing Act of 1937. (Sec. 14381) Directs the Secretary to produce and publish data on the incidence of poverty for each State, county, and local government for which data have been compiled, as well as for each school district. Requires a report to the Congress, if such data cannot be produced, enumerating each government or school district excluded and giving the reasons for the exclusion. Authorizes appropriations. (Sec. 14382) Requires the Secretary to produce data relating to participation in programs authorized by this Act by families and children. Authorizes appropriations. (Sec. 14400) Declares that: (1) it is a compelling government interest to enact new rules for eligibility and sponsorship agreements in order to assure that aliens be self-reliant in accordance with national immigration policy; and (2) it is a compelling government interest to remove the incentive for illegal immigration provided by the availability of public benefits. (Sec. 14401) Makes illegal and lawful nonimmigrant aliens ineligible for any Federal means-tested public benefits program, with certain exceptions. (Sec. 14403) Makes aliens lawfully present in the United States ineligible for SSI, block grant temporary and social services assistance, Medicaid, and consolidated food assistance. Exempts from such eligibility restrictions on lawful aliens: (1) refugees until five years after their arrival in the United States; (2) all eligible resident aliens until one year after enactment of this Act; (3) all lawful permanent residents over 75 years of age who have resided in the United States for at least five years; and (4) all lawful permanent residents unable because of physical or developmental disability or mental impairment (including Alzheimer's disease) to comply with certain naturalization requirements. (Sec. 14411) Requires each Federal agency administering a program covered by this title to post information and provide general notification to the public and program recipients, either directly or through the States, of the requirements concerning alien eligibility for any such program pursuant to this title. (Sec. 14412) Makes illegal and nonimmigrant aliens ineligible for any State or local means-tested public benefits programs, with certain exceptions including those for non-cash, in-kind emergency services, aliens granted asylum, and temporary agricultural workers. (Sec. 14413) Authorizes States to determine eligibility requirements for aliens lawfully present in the United States (other than as nonimmigrants) for any State or local means-tested public assistance program except non-cash, in-kind emergency assistance. Exempts from such eligibility restrictions on lawful aliens: (1) refugees until five years after their arrival in the United States; (2) all eligible resident aliens until one year after enactment of this Act; and (3) all lawful permanent residents over 75 years of age who have resided in the United States for at least five years. (Sec. 14421) Provides that in determining the eligibility and the amount of benefits of any alien for any means-tested public benefits program (except those for certain housing-related assistance), the income and resources of the alien shall be deemed to include: (1) the income and resources of any person who executed an affidavit of support on the alien's behalf; and (2) the income and resources of the person's spouse (if any). Applies such requirement with respect to an alien until such time as the alien achieves U.S. citizenship through naturalization. (Sec. 14422) Sets forth requirements for sponsor's affidavit of support. (Sec. 14431) Sets forth definitions and provides for the determination of lawful presence. Subtitle E: Food Stamp Reform and Commodity Distribution - Food Stamp Reform and Commodity Distribution Act - Commodity Distribution Act of 1995 - Authorizes the Secretary of Agriculture to purchase and distribute food assistance commodities. (Sec. 14513) Requires the Secretary to establish procedures for supplemental State, local, and private commodity donations. (Sec. 14514) Requires a State seeking commodity assistance to submit an administrative plan every four years to the Secretary. (Sec. 14515) Establishes program allocation guidelines. Requires States to make emergency feeding organizations their first priority. (Sec. 14517) Authorizes the Secretary to use Commodity Credit Corporation (CCC) funds to pay initial commodity processing and packaging costs. (Sec. 14519) Authorizes program appropriations, including separate authorization of appropriations for administrative costs. (Sec. 14520) Obligates specified funds for a commodity supplemental food program for women, infants, and children or the elderly. Requires the CCC to donate specified amounts of cheese and nonfat dry milk to such program. (Sec. 14521) States that commodities received under this title shall not be considered income or resources for any Federal, State, or local means-tested program. (Sec. 14522) Provides that whenever a commodity is made available without charge or credit under this chapter by the Secretary for distribution within the States to eligible recipient agencies, the State may not charge recipient agencies any amount that is in excess of the State's direct costs of storing and transporting to recipient agencies the commodities, minus any amount the Secretary provides the State for the costs of storing and transporting such commodities. (Sec. 14528) Repeals specified food and commodity distribution programs. (Sec. 14541) Directs the Secretary to make grants in accordance with specified guidelines to States to provide food assistance to economically disadvantaged individuals and families. Authorizes appropriations. (Sec. 14542) Directs the Secretary to issue, and make available for purchase by States, coupons for the retail purchase of food from retail food stores that are approved in accordance with specified criteria and are redeemable at face value by the Secretary through the facilities of the Treasury. (Sec. 14544) Repeals the Food Stamp Act of 1977. (Sec. 14592) Expresses the sense of the Congress that States that operate electronic benefit systems to transfer benefits provided under the Food Stamp Act of 1977 should operate electronic benefit systems that are compatible with each other. (Sec. 14593) Expresses the sense of the Committee on Agriculture of the House of Representatives that reductions in outlays resulting from subtitle B shall not be taken into account for purposes of the Balanced Budget and Emergency Deficit Control Act of 1985 (Gramm- Rudman-Hollings). Subtitle F: Supplemental Security Income - Amends SSI to: (1) deny SSI by reason of disability to drug addicts and alcoholics; (2) place restrictions on eligibility for cash benefits for disabled children; and (3) establish a program of block grants to States for children with disabilities. (Sec. 14601) Provides funding for the: (1) Federal Capacity Expansion Program for drug treatment; and (2) medication development project to improve drug abuse and treatment research. (Sec. 14603) Amends the Social Security Independence and Program Improvements Act of 1994 to provide for the examination of certain mental disorder listings in determining the eligibility of children for SSI benefits by reason of disability. (Sec. 14604) Amends SSA title XI to limit the total amount payable under SSA titles I (Old Age Assistance), X (Aid to the Blind), XIV (Aid to the Permanently and Totally Disabled), and XVI to Puerto Rico, the Virgin Islands, and Guam. (Sec. 14605) Repeals maintenance of effort requirements applicable to optional State programs for supplementation of SSI benefits. (Sec. 14606) Provides for denial of SSI benefits for ten years to individuals found to have fraudulently misrepresented residence in order to obtain benefits simultaneously in two or more States. (Sec. 14607) Provides for denial of SSI benefits for fugitive felons and probation and parole violators. (Sec. 14608) Prescribes reapplication requirements for adults receiving SSI benefits by reason of disability. (Sec. 14609) Repeals certain restrictions regarding determination of ineligibility. (Sec. 14610) Requires the HHS Secretary to revise certain regulations in order to narrow SSI eligibility on the basis of mental impairment. Subtitle G: Child Support - Revises SSA title IV part D's child support and paternity establishment program to make various specified changes with regard to: (1) case registries; (2) State obligation to provide child support enforcement services; (3) distribution of child support collections; and (4) privacy safeguards. (Sec. 14711) Modifies such program further to make various additional specified changes with regard to: (1) automated State case registries and new hire directories for tracking cases, exchanging and comparing information, handling locate requests, and other specified matters; (2) collection and disbursement of support payments through State disbursement units; (3) income withholding; (4) locate information from interstate networks and the Federal Parent Locator Service (FPLS); (5) reimbursement for information from Federal agencies and for reports by State agencies; (6) an expanded FPLS containing the automated Federal Case Registry of Child Support Orders and the National Directory of New Hires; and (7) collection and use of social security numbers for use in child support enforcement. (Sec. 14721) Requires each State to have in effect the Uniform Interstate Family Support Act, as approved by the National Conference of Commissioners on Uniform State Laws in August 1992, and modified by this Act, and the procedures required to implement such Act. Requires such law to be applied to any case involving an order which is established or modified in a State and which is sought to be modified or enforced in another State. (Sec. 14722) Amends the Federal judicial code to modify provisions concerning the full faith and credit for child support orders. (Sec. 14723) Requires each State to have in effect laws: (1) requiring the use of procedures for administrative enforcement in interstate cases; and (2) providing expedited procedures for establishing paternity and for establishing, modifying, and enforcing support obligations using automated means. (Sec. 14731) Modifies State law procedures for paternity establishment, among other changes, providing for voluntary paternity acknowledgment. (Sec. 14732) Provides for outreach for voluntary paternity establishment. (Sec. 14733) Requires a State plan for child and spousal support to provide for the cooperation by applicants for and recipients of temporary family assistance in establishing the paternity of, and in establishing, modifying, or enforcing a support order for, any child of the individual. (Sec. 14741) Makes various specified changes to State payment provisions, including incentive payment requirements. Revises State plan and other provisions with respect to, among other items, Federal and State reviews and audits and State procedures for collecting and reporting information required by SSA title IV part D. (Sec. 14745) Revises automated data processing requirements. (Sec. 14746) Provides funding for technical assistance to States for improving their SSA title IV part D programs and for operating FPLS. (Sec. 14747) Makes changes with regard to annual congressional reports and data collection by the Secretary. (Sec. 14751) Modifies the process for the review and adjustment of child support orders. (Sec. 14761) Amends the Internal Revenue Code and SSA title IV part D with regard to enforcement of child support orders, among other changes: (1) providing for changed order of refund distribution; (2) eliminating the disparities in treatment of assigned and non-assigned arrearages; (3) consolidating and revising authorities for collecting support from Federal employees; (4) providing for laws voiding fraudulent transfers; (5) providing for procedures to ensure that persons owing past-due support work or have a plan for payment of such support; and (6) defining the term "support order." (Sec. 14763) Provides for enforcement of child support obligations of members of the armed forces. (Sec. 14765) Expresses the sense of the Congress that each State should suspend any driver's, business, or occupational license issued to any person owing past-due child support. Requires States to have procedures under which: (1) liens arise by operation of law against real and personal property for over due support (and liens arising in other States are accorded full faith and credit); and (2) the State has authority to withhold, suspend, or restrict the use of driver's, professional and occupations, and recreational licenses of individuals owing overdue support or failing, after due notice, to comply with subpoenas or warrants relating to paternity or child support proceedings. (Sec. 14771) Amends ERISA to make a technical correction to its definition of medical child support order. (Sec. 14781) Amends SSA title IV part D to require the Administration for Children and Families to make grants to enable States to establish and administer programs to support and facilitate absent parents' access to and visitation of their children. Amends the Gramm-Rudman Hollings Act to provide for adjustments for discretionary programs resulting under this Act. (Sec. 14802) Amends the Electronic Fund Transfer Act to encourage electronic benefit transfer systems. Title XV: Veterans' Benefits and Services - Subtitle A: Administrative Reforms - Provides for a reduction in overhead expenses of the Department of Veterans Affairs. Subtitle B: Extension of Certain Veterans Programs - Extends permanently various specified veterans programs, including those providing authority for medical care cost recovery. Subtitle C: Home Loan Guarantee Program Reforms - Makes various specified changes with regard to the home loan guarantee program. Subtitle D: Medical Program Reforms - Mandates certain Department medical care system savings through establishment of a Prospective Payment System for hospital care within it. Provides for specified expenditure reductions for major construction and closure of inefficient veterans' hospitals. Subtitle E: Other Veterans Programs Reforms - Delineates modifications in other veterans' programs as well, including elimination of certain sunset dates and third-party reimbursement changes. Title XVI: Administration of Justice - Subtitle A: Authorization of Appropriations - Reauthorizes and extends various specified activities and entities of the Department of Justice through FY 2000, providing for a reduction in Department overhead expenses as well. (Sec. 16011) Authorizes appropriations for the Customs and Secret Service as well as the Bureau of Alcohol, Tobacco, and Firearms through FY 2000. Authorizes appropriations for certain defender services. (Sec. 16021) Reorganizes the U.S. Marshals Service, among other specified changes, phasing out political appointees. Subtitle B: Prison Reforms - Provides for privatization of Federal correctional institutions, and for priority payments to public safety officers under the Victims of Crime Fund. Subtitle C: Justice Assistance Program Reforms - Repeals the Legal Services Corporation Act to abolish the Legal Services Corporation, and amends other specified Federal law to eliminate the Bureau of Justice Assistance and the State Justice Institute. Increases the surcharge on debts collected by the United States. Subtitle D: Federal Bureau of Investigation Reforms - Rescinds the unobligated balance of specified funds for the Federal Bureau of Investigation fingerprinting laboratory in West Virginia. Subtitle E: Other Justice Program Reforms - Authorizes appropriations for the Equal Employment Opportunity Commission. (Sec. 16502) Amends the Internal Revenue Code with respect to harbor maintenance fees. Title XVII: General Government - Subtitle A: Administrative Reforms - Provides for a reduction in overhead expenses of certain foreign operations activities, the Department of the Treasury, the Office of Personnel Management, and various independent agencies. Terminates the Advisory Commission on Intergovernmental Relations, other specified miscellaneous advisory committees, and Federal Information Centers. Subtitle B: Legislative Branch Reductions - Provides for a reduction in overhead expenses of the Executive Office of the President (sic). (Sec. 17102) Alters the formula for determining official mail allowances under the Legislative Branch Appropriations Act, 1991, and prohibits certain mail-related fund transfers under the Legislative Branch Appropriations Act, 1993. (Sec. 17104) Provides for temporary suspension of automatic pay adjustments for Members of Congress. Subtitle C: Executive Branch Reductions - Provides for a reduction in overhead expenses of the Executive Office of the President. (Sec. 17202) Repeals unlimited annual leave accumulation for the Senior Executive Service and limits the number of executive branch political appointees. Subtitle D: Specific Program Reforms - Amends the Internal Revenue Code to provide for a decrease in the presidential election campaign fund check-off. (Sec. 17302) Provides for a moratorium on construction and acquisition of new Federal buildings. (Sec. 17303) Terminates annual direct assistance to the Northern Mariana Islands. (Sec. 17304) Transfers the position of Public Printer and related functions to the legislative branch and likewise switches the position of Superintendent of Documents and related functions to the Library of Congress, to be carried out by such official under the Librarian of Congress' direction. Requires Government publications to be available throughout the Government. Sets forth requirements related to department and agency inventories of Government publications and the availability of such inventory available through a certain electronic directory. Adds additional specified responsibilities for the Public Printer and Superintendent of Documents. (Sec. 17305) Repeals transitional appropriations authorizations for the Post Office.
Bill· HRH.R. 1914 (104th)referred
United States · United States Congress · 22 June 1995
Safe Medications Act of 1995 - Requires any health care facility in which an error in the prescribing, dispensing, or administration of a drug results in an individual's death, to report such error and resulting death to a data bank to be established by the Secretary of Health and Human Services. Requires the Secretary to review reported information to determine trends relating to drugs and to report to compilers of the official compendia for consideration of revisions of packaging and labeling requirements and dissemination to health professionals. Imposes fines for reporting to or requesting information from the data bank unlawfully. Prescribes penalties for failing to make required reports. Amends the Social Security Act to exclude any individual or entity for noncompliance with this Act.
Bill· HRH.R. 1920 (104th)referred
United States · United States Congress · 22 June 1995
Domestic Violence Victims Insurance Protection Act of 1995 - Prohibits insurers from denying or cancelling insurance coverage for individuals solely on the basis that the individual is or has been the subject of an act of domestic violence.
Bill· HRH.R. 1912 (104th)referred
United States · United States Congress · 22 June 1995
TABLE OF CONTENTS: Title I: Fraud and Abuse Subtitle A: Amendments to Anti-Fraud and Abuse Provisions Applicable to Medicare, Medicaid, and State Health Care Programs Subtitle B: Establishment of All-Payer Health Care Fraud and Abuse Control Program Subtitle C: Application of Fraud and Abuse Authorities Under the Social Security Act to Other Payers Subtitle D: Advisory Opinions on Kickbacks and Self-Referral Subtitle E: Preemption of State Corporate Practice Laws Title II: Information Systems and Administrative Simplification Health Care Fraud Prevention and Paperwork Reduction Act of 1995 - Title I: Fraud and Abuse - Subtitle A: Amendments to Anti-Fraud and Abuse Provisions Applicable to Medicare, Medicaid, and State Health Care Programs - Amends the Social Security Act (SSA) title XI anti-fraud and abuse provisions applicable to Medicare, Medicaid, and State health care programs and concerning penalties and exclusionary matters, among other changes providing for: (1) civil monetary penalties for additional specified violations, including anti-kickback violations; (2) modifications to anti-kickback exceptions; (3) revisions in civil and criminal penalties; (4) deposit of penalties collected into the account established below; (5) private right of action in certain cases; and (6) mandatory exclusion from Medicare and State health care program participation for certain individuals convicted of a criminal felony relating to health care fraud. Subtitle B: Establishment of All-Payer Health Care Fraud and Abuse Control Program - Requires the Secretary of Health and Human Services and the Attorney General to establish a program to coordinate their functions, as well as those of other organizations, with respect to the prevention, detection, and control of health care fraud and abuse. Authorizes appropriations. (Sec. 112) Establishes in the Treasury the All-Payer Health Care Fraud and Abuse Control Account for use in the program established above. Subtitle C: Application of Fraud and Abuse Authorities Under the Social Security Act to Other Payers - Applies civil monetary penalty provisions under SSA title XI (as amended by this Act), as well as certain criminal penalty provisions, to similar specified violations with respect to all payers. Subtitle D: Advisory Opinions on Kickbacks and Self-Referral - Directs the Secretary to establish a process for issuing certain advisory opinions, for a fee, to requesting individuals or entities concerning whether their conduct constitutes grounds for imposition of a sanction or denial of payment for a service rendered. Subtitle E: Preemption of State Corporate Practice Laws - Preempts State and local laws prohibiting corporate practice of medicine. Title II: Information Systems and Administrative Simplification - Requires issuance to health benefit plan beneficiaries, including Medicare and Medicaid beneficiaries, of a uniform card similar to a credit card with encoded electronic information for use in obtaining entitled items or services verified along with beneficiary enrollment under a new system the Secretary shall establish for facilitating electronic claims payment, in addition to enrollment verification. Requires submission of claims in a uniform format pursuant to standards the Secretary shall also establish, including standards for electronic reporting of specific claim elements, that incorporate specified requirements, taking into account certain task force and other specified recommendations. Provides for uniform electronic hospital cost reporting under Medicare, with civil money penalties to ensure appropriate enrollment reporting and claims submission.
Bill· HRH.R. 1903 (104th)referred
United States · United States Congress · 20 June 1995
Defense Nuclear Workers' Health Insurance Act of 1995 - Directs the Secretary of Energy to provide for payments to certain former Department of Energy (DOE) employees who were employed at a DOE defense nuclear facility and who are not entitled to Medicare benefits for all reasonable expenses above $25,000 for certain health care services for the treatment of specified conditions related to exposure to ionizing radiation.
Bill· HRH.R. 1904 (104th)referred
United States · United States Congress · 20 June 1995
TABLE OF CONTENTS: Title I: Provisions Relating to Public Health Service Act Title II: Provisions Relating to Medicare Title III: Tax Incentives for Health Services Providers Rural America Health Care Improvement Act - Title I: Provisions Relating to Public Health Service Act - Amends the Public Health Service Act to authorize appropriations for FY 1996 through FY 1998. Requires allocations from such amounts in order to ensure that 20 percent of the participants in the Scholarship and Loan Repayment Program are being educated as specified nonphysician health professionals. Authorizes the Secretary to make grants to public and nonprofit private entities for carrying out projects to develop health plans to provide services exclusively in rural and frontier areas. Sets forth requirements for those requesting grant assistance. Authorizes appropriations. Authorizes the Secretary of Health and Human Services to make grants to public and nonprofit private hospitals in medically underserved rural communities for the purpose of carrying out projects to develop or increase the capacity of the hospitals and facilities to provide primary health services. Authorizes appropriations. Authorizes appropriations for training of rural health professionals other than physicians. Title II: Provisions Relating to Medicare - Amends title XVIII (Medicare) of the Social Security Act to increase the amount of payment to primary care service providers in underserved areas. Title III: Tax Incentives for Health Services Providers - Amends the Internal Revenue Code to allow a tax credit for certain primary health services providers in health professional shortage areas who have not received a National Health Service Corps scholarship or loan.
Law· HRH.R. 1878 (104th)enacted
United States · United States Congress · 16 June 1995
Amends Federal law to extend the period during which the Secretary of Health and Human Services is directed: (1) with regard to the unincorporated association affiliated with the Dayton Area Health Plan, Inc., that is known as the Health Plan Network, to waive a provision of title XIX (Medicaid) of the Social Security Act requiring that beneficiaries under title XVIII (Medicare) of the Social Security Act and under Medicaid constitute less than 75 percent of the membership of any entity that is enrolled on a prepaid basis; and (2) not to treat a limited number of individuals enrolled in the DAYMED Health Maintenance Plan, Inc., who are described in specified Medicaid provisions, as individuals enrolled with the Plan on a prepaid basis.
Bill· HRH.R. 1872 (104th)open
United States · United States Congress · 16 June 1995
TABLE OF CONTENTS: Title I: Emergency Relief for Areas with Substantial Need for Services Title II: Care Grant Program Title III: Early Intervention Services Title IV: General Provisions Title V: Additional Provisions Title VI: Effective Date Ryan White CARE Act Amendments of 1995 - Title I: Emergency Relief for Areas with Substantial Need for Services - Amends provisions of the Public Health Service Act relating to formula grants for emergency relief for areas with a substantial need for acquired immune deficiency syndrome (AIDS) services (emergency relief grants) to modify or create: (1) the criteria for determining which geographic areas are eligible; (2) the representation mandated on and the duties of the HIV (human immunodeficiency virus) services planning council in areas receiving grants; (3) grant distribution time limits; (4) limits on reductions in grants; (5) requirements regarding supplemental grants; (6) a requirement that formula and supplemental grants be expended in accordance with priorities established by the area's council; (7) the primary purposes of the grants; (8) the entities eligible to receive financial assistance from grant funds (including allowing for-profit entities in certain circumstances); (9) a requirement to use a specified percentage of grant funds for services to infants, children, and women with HIV disease; (10) limitations on administrative expenditures; and (11) application requirements (including allowing a single application for both formula and supplemental grants). Authorizes planning grants to assist an area that is projected to be eligible for a formula grant in the subsequent fiscal year in preparing for its responsibilities under the grant. Title II: Care Grant Program - Changes or adds provisions concerning a program of grants for health care and support services for individuals and families with HIV disease (care grant program) relating to: (1) the uses of the grants; (2) grants to establish HIV care consortia (including allowing grants to for-profit providers in certain circumstances); (3) application requirements; (4) State allocation of assistance; and (5) technical assistance. Title III: Early Intervention Services - Amends provisions relating to early intervention services to alter or establish provisions relating to: (1) the uses of categorical grants; and (2) making for-profit entities eligible. Authorizes early intervention services planning grants. Modifies application requirements. Authorizes appropriations for categorical grants. Title IV: General Provisions - Replaces provisions authorizing demonstration grants for research and services for pediatric HIV disease patients and pregnant women with HIV disease with provisions authorizing grants providing women, infants, and children: (1) opportunities to participate as subjects in research of potential clinical benefit regarding HIV disease; and (2) outpatient health care. Authorizes the use of limited funds for training and technical assistance. Authorizes appropriations. Mandates grants for demonstration projects that provide for the care and treatment of individuals with HIV disease that assess treatment model effectiveness, are innovative, and have the potential to be replicated locally or nationally. Requires reserving a specified percentage of the amounts available under title XXVI (HIV Health Care Services Program) of the Public Health Service Act for grants under this paragraph. Removes existing provisions relating to special projects of national significance. Transfers provisions (currently located in title VII (Health Professions Education) of the Public Health Service Act) authorizing grants and contracts to assist in training health care practitioners regarding HIV disease to such title XXVI. Modifies the projects for which the assistance may be used. Authorizes appropriations. Replaces an authorization of appropriations for carrying out provisions on evaluations and reports regarding title XXVI with provisions requiring that those evaluation and reporting provisions be carried out with amounts available under evaluation and reporting provisions of title II (Administration and Miscellaneous Provisions) of the Public Health Service Act. Title V: Additional Provisions - Modifies the formulas for determination of the amount of emergency relief grants and care grants. Authorizes appropriations to carry out the emergency relief grant program and the care grant program. Mandates development of a methodology for adjusting the percentages made available to each of those two programs. Repeals existing provisions authorizing appropriations separately for the two programs. Title VI: Effective Date - Sets forth the effective date for this Act.