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Bill· SS. 3508 (93rd)referred
United States · United States Congress · 16 May 1974
Provides, under title XVIII (Medicare) of the Social Security Act, for the establishment of a Nursing Home Affairs Advisory Council. Requires that 6 of the 11 council members be representatives of the public who are eligible for medical assistance under a State plan approved under title XIX, at lease one of whom is a resident of a long-term care facility. Makes it the function of the Council to provide advice and recommendations for the consideration of the Secretary of Health, Education, and Welfare on ways to improve the quality of care provided by skilled nursing facilities, intermediate care facilities, or other long-term care facilities, which provide services for which payment may be made under title XVIII or under State plans approved under title XIX (Medicaid).
Bill· SS. 3507 (93rd)referred
United States · United States Congress · 16 May 1974
Makes permanent the provisions regarding payments to States for training of personnel to inspect long-term care institutions pursuant to the Medicare and Medicaid provisions of the Social Security Act. Provides for publication of information on charges and the rating of such institutions. Requires such institutions to provide periodic in-service training for their nonprofessional employees in order to participate in the Medicare and Medicaid programs of the Social Security Act.
Bill· SS. 3503 (93rd)referred
United States · United States Congress · 16 May 1974
States that as a condition of approval of a State plan under title XIX (Medicaid) of the Social Security Act, the requirement is imposed that: (1) in determining for purposes of the administration of the State plan, the need for continued care in a particular skilled nursing facility or intermediate care facility (which provides services for which payment may be made under the State plan) of an individual who is entitled to medical assistance under the State plan, and has, for a period of one hundred and twenty days or more, been an inpatient of such facility, a determination which would result in discharge or transfer from such facility shall be made only if in the judgment of a physician after consultation with other appropriate professional personnel, such discharge or transfer would be in the best interest of such individual's physical and mental health, and (2) in making such judgment and such determination proper consideration shall be given, not only to the mental and physical condition of such individual, but also to the capability of the facility to meet his particular needs, and to the impact which discharge or transfer from the particular facility would, as a practical matter, have on his general well-being in light of his age, length of stay in the facility, family situation, mental attitude, and other relevant factors, and (3) the State agency shall take appropriate affirmative action to assure that any individual discharged or transferred from a facility shall have the benefit of a planned program of information and counseling concerning such discharge or transfer designed to assist him in adjusting to the change in his care and surroundings and to minimize the personal stress which may accompany such change. Requires the Secretary of Health, Education, and Welfare to conduct, on a continuing basis in all States with plans approved under this title, investigative and oversight activities designed to determine whether there exists any basis to support a finding: (1) that the plan has been so changed that it no longer complies with the provision of this title; and (2) that in the administration of the plan there is a failure to comply substantially with any such provision. Provides that when such activities result in observations indicating that there does exist a reasonable basis for such a finding, the Secretary shall call upon the State agency to appear at a public hearing, scheduled so as to allow reasonable notice to the State agency, to give an accounting of its administration of the plan with respect to those matters in which the Secretary has found indications of noncompliance.
Bill· HRH.R. 14846 (93rd)referred
United States · United States Congress · 16 May 1974
Health Resources Planning Act - Declares that it is the purpose of this Act to assist private and public health care systems to plan more effectively the provision of resources necessary to meet the health care needs of the nation, and to facilitate governmental regulation of health care costs. Repeals provisions of the Public Health Service Act, which provide for a National Advisory Council on Comprehensive Health Planning Programs. Directs the chief executive officer of each State to designate geographical regions as health service areas to be served by the Health Systems Agencies. Identifies the geographical characteristics of such health service areas. Directs the Secretary of Health, Education, and Welfare to certify a Health Systems Agency for each health service area and to enter into an agreement obligating the Agency: (1) to prepare and maintain a comprehensive health plan for the health service area, (2) to review the Secretary's grants of Federal financial assistance for health care activities, (3) to review State and local health care activities; (4) to offer technical assistance in furtherance of the health plan; (5) to participate in the Statewide Health Coordinating Council; and (6) to comply with subsidiary requirements, including auditing and examination of books. Empowers the Secretary to make grants for an agency's operational expenses and to extend to the agency technical assistance, and to keep it apprised of national health policies and issues. Prescribes the procedures for termination or withdrawal of certification and the organizational requirements to be met by agencies, including that an agency be a nonprofit private corporation that exercises no Federal, State, or local regulatory authority, and is not a provider or insurer of health services or an educational institution. Outlines the composition of the governing body of each agency. Provides that members and employees of the Agency are relieved of civil or criminal liability under any law for the performance, with the exercise of due care of functions authorized by this Act. States that an agency may receive unconditional contributions from any private source of up to 5 percent of the amount of assistance received from the Secretary, and of up to 25 percent of that amount from any public sources. Requires each agency to annually adopt a comprehensive health plan for its health service area identifying shortages, maldistributions, and surpluses of health personnel, facilities, and services, and the most serious organizational and operational deficiencies of health care providers. States that the plan must set forth long-range goals and annual priorities for the establishment or improvement of health care systems, and recommend actions to alleviate the problems identified by the plan. Provides that an agency may provide technical assistance, directly or by grant or contract to implement the recommendations of its comprehensive health plan. Sets limitations on the purpose, amount and duration of such grants. Requires that two or more agencies that serve health service areas that fall in whole or in part, within the same State shall form a Statewide Health Coordinating Council. Directs the Council to draw on the comprehensive health plans of its member agencies to prepare a Statewide plan, and perform other advisory analytical, and coordinative functions. Directs the Secretary to evaluate the performance of agencies and Councils on a regular basis and to prescribe standards of performance to facilitate this evaluation. Authorizes the appropriation of such sums as may be necessary for fiscal years 1975, 1976, and 1977 to carry out the provisions of this Act. Establishes a formula grant program to assist the States to pay their costs of regulating capital expenditures related to health care, and to establish or regulate rates used for the payment or reimbursement for health care services. Provides that the allotment would be in accordance with the populations of the respective States eligible for it, and the costs of regulating the activities selected by the States for regulation. States that the Secretary, after reasonable notice and opportunity for hearing to a State, may terminate assistance for noncompliance. Authorizes the appropriation of such sums as may be necessary for fiscal years 1975, 1976, and 1977, for grants to States for the regulation of health care costs.
Bill· HRH.R. 14879 (93rd)referred
United States · United States Congress · 16 May 1974
Authorizes the payment under the supplementary medical insurance program of Title XVIII (Medicare) of the Social Security Act for regular physical examinations.
Bill· HRH.R. 14810 (93rd)referred
United States · United States Congress · 15 May 1974
Authorizes the payment under the supplementary medical insurance program of Title XVIII (Medicare) of the Social Security Act for regular physical examinations.
Bill· HRH.R. 14825 (93rd)referred
United States · United States Congress · 15 May 1974
Home Health Services Act - Provides, under the Public Health Service Act, for the establishment and initial operation of public and nonprofit private agencies which will provide home health services in areas in which such services are not otherwise available. Authorizes the Secretary of Health, Education, and Welfare to make grants: (1) to meet the initial and expanding costs of such agencies; and (2) for programs for the training of professional and paraprofessional personnel to provide home health services. Authorizes the appropriation of such sums as may be necessary to carry out this Act.
Bill· HRH.R. 14809 (93rd)referred
United States · United States Congress · 15 May 1974
Authorizes the payment under the supplementary medical insurance program of Title XVIII (Medicare) of the Social Security Act for regular physical examinations.
Bill· HRH.R. 14805 (93rd)referred
United States · United States Congress · 15 May 1974
Authorizes the Secretary of Health, Education, and Welfare to halt the sales and distribution of food, drugs, and cosmetics adulterated or misbranded in a manner which presents an imminent hazard to the public health. Requires the recall or destruction, as may be appropriate, of such drugs, cosmetics, or food. Sets forth civil penalties for violation of the provisions of this Act.
Bill· HRH.R. 14815 (93rd)referred
United States · United States Congress · 15 May 1974
Provides, under the Social Security Act, for the establishment and revision of Professional Standards Review Organization areas, such establishment and revision to take into account the recommendations of the doctors of medicine or osteopathy. States that final determinations in the establishment or revision of any Professional Standards Review Organization area shall be subject to review in a civil action commenced by any interested person. Directs the National Professional Standards Review Council to conduct a study for the purpose of evaluating whether, and under what conditions, organizations other than professional associations shall be allowed to perform review functions. Requires each Professional Standards Review Organization to assume responsibility for professional standards review of health care services furnished by or in institutions operated by the Public Health Service and the Veterans Administration in the area which it serves. Requires, in conjunction with such reviews, that procedures be developed whereby deficiencies shall be brought to the attention of administrators of the hospitals and other Federal institutions concerned. Calls for the consolidation of data and reports compiled under these provisions. Directs that criteria of health care shall be identified or developed by each Professional Standards Review Organization, giving due consideration to such criteria of care identified or developed by national medical speciality organizations. States that such criteria of care shall be used by the Professional Standards Review Organization as guides of care. Requires the National Professional Standards Review Council to provide for the distribution to each Professional Standards Review Organization, and to each other agency performing review functions, of appropriate materials indicating various guides being utilized in other geographical areas. Provides for protection of the confidentiality of medical records compiled under this Act.
Bill· HRH.R. 14756 (93rd)referred
United States · United States Congress · 14 May 1974
Arthritis Prevention Treatment, and Rehabilitation Act - Makes it the purpose of this Act to establish: (1) a long-range plan to expand and coordinate the national research, treatment, and control effort against arthritis and related musculoskeletal diseases; (2) centers for arthritis prevention, research, screening, early detection, training, treatment, and rehabilitation programs; and (3) programs to develop new and improved methods of arthritis screening and early detection and to establish a central arthritis screening and early detection data bank. Requires the Director of the National Institutes of Health to establish a National Commission on Arthritis and Related Musculoskeletal Diseases. Specifies the composition, duties, and powers of the Commission. States that the Commission shall formulate a long-range plan to combat arthritis and related musculoskeletal diseases with specific recommendations for the utilization and organization of national resources for that purpose. States that the plan shall include a plan for a coordinated research program encompassing existing and proposed Federal, non-Federal and local programs. Enumerates investigations, studies, and programs to be carried out under such plan. Authorizes to be appropriated $1,000,000 to carry out the above purposes. Establishes within the National Institute on Arthritis, Metabolism, and Digestive Diseases the position of Associate Director for Arthritis and Related Musculoskeletal Diseases. States that the Director of the National Institutes of Health shall establish an Inter-Institute Arthritis and Related Diseases Coordinating Committee to better coordinate research activities relating to arthritis and related musculoskeletal diseases. Provides for the development, establishment, construction, and operation of arthritis research and training centers. Specifies the purposes to be achieved by such research and training programs. Provides for the geographical distribution, operational support, and evaluation of such research and training centers. Authorizes specified appropriations for fiscal years 1975, 1976, and 1977 for the establishment of such centers. Authorizes the Secretary of Health, Education, and Welfare to establish and support arthritis screening, early detection, prevention, and control demonstration programs. Specifies the purpose of such programs. Authorizes specified appropriations for fiscal years 1975, 1976, and 1977 for the establishment and support of such programs. Requires the Secretary to establish the Arthritis Screening and Detection Data Bank as soon as practicable after the enactment of this Act. Provides that not less than $500,000 of the sums appropriated to the National Institutes of Health to carry out the purposes of this Act shall be obligated for basic and clinical orthopedic research conducted or supported by the National Institute on Arthritis, Rheumatism, and Metabolic Diseases.
Bill· HRH.R. 14736 (93rd)referred
United States · United States Congress · 13 May 1974
Health Revenue Sharing and Health Services Act - Title I: Health Revenue Sharing - Special Health Revenue Sharing Act - Authorizes the appropriation of $100,000,000 for the fiscal year ending June 30, 1975, and $100,000,000 for the fiscal year ending June 30, 1976, for the programs providing grants to States for comprehensive public health services under the Public Health Service Act. Title II: Community Mental Health Centers - Community Mental Health Centers Amendments - Presents the finding of the Congress that: (1) community mental health care is the most effective and humane form of care for a majority of mentally ill individuals; and (2) federally funded community mental health centers have had a major impact on the improvement of mental health care by fostering coordination and cooperation between various agencies responsible for mental health care which in turn has resulted in a decrease in overlapping services and more efficient utilization of available resources. Provides that the comprehensive mental health services which shall be provided through a community mental health center under the Community Mental Health Centers Act shall include: (1) services for individuals who are inpatient in a hospital or other health services delivery facility, outpatient services, day care and similar partial hospitalization services, and emergency services; (2) detoxification and referral services for the treatment of alcohol abuse, alcoholism, and other drug abuse and drug dependence problems (including narcotic addiction); (3) consultation and education services for health professionals, schools, State and local law enforcement and correctional agencies, public welfare agencies, health services delivery agencies, and other appropriate entities; (4) assistance to courts and other public agencies in screening residents of the center's catchment area who are being considered for referral to a State mental health facility for treatment to determine if they should be so referred and provision, where appropriate, of treatment for such persons through the center as an alternative to treatment at such a facility; and (5) provision of followup care for residents of its catchment area who have been discharged from a State mental health facility. Authorizes appropriations for grants under such Act. Title III: Family Planning Programs - Family Planning and Population Research Act - Authorizes appropriations for the family planning and population research programs of the Public Health Service Act for the fiscal years ending June 30, 1975 and June 30, 1976. Title IV: Development Disabilities - Developmental Disabilities Amendments - Authorizes appropriations for demonstration and training grants under the Developmental Disabilities Services and Facilities Construction Act for the fiscal years ending June 30, 1975 and June 30, 1976. Eliminates specified present requirements of Federal approval of each construction project under such Act. Title V: Migrant Health - Authorizes appropriations under the Public Health Service Act for grants and contracts in the area of migrant health for the fiscal years ending June 30, 1975 and June 30, 1976. Title VI: Neighborhood Health Centers - Defines the term "neighborhood health center" as meaning under the Public Health Service Act an entity which provides primary health services and referral to providers of supplemental health services for all residents of the area it serves, and is organized in the manner prescribed under this Act. Requires the services of a neighborhood health center to be provided directly through its staff and supporting resources or through contracts or cooperative arrangements with public or private entities. Requires primary health services to be available and accessible in the area served by the center promptly, as appropriate, and in a manner which assures continuity. Provides that the governing body of a neighborhood health center shall have at least a majority of its members selected in a democratic manner by the persons receiving services from the center, shall meet at least once a month, shall establish general policies for the center, shall approve the center's annual budget, and shall approve the selection of a director for the center. Authorizes the Secretary to make grants to public and nonprofit private entities to assist in: (1) the establish- ment and initial operation of neighborhood health centers which will service a medically underserved area or group; and (2) meeting the cost of the continued operation of such centers. Authorizes to be appropriated $220,000,000 for the fiscal year ending June 30, 1975, and $240,000,000 for the fiscal year ending June 30, 1976 for grants under this title.
Bill· HRH.R. 14722 (93rd)referred
United States · United States Congress · 9 May 1974
Nurse Training Act - Extends the authorization of appropriations for grants for construction or rehabilitation of nursing schools through fiscal year 1977. Allows the Secretary of Health, Education, and Welfare to make grants to public and other non-profit private schools of nursing and other public or non-profit private entities, and enter into contracts with any public or private entity, to meet the costs of special projects to: (1) develop training programs, and train, for new roles, types, or levels of nursing personnel, including programs for the training of pediatric nurse practitioners or other types of nurse practitioners; (2) increase educational opportunities for disadvantaged students; (3) provide continuing education for nurses; and (4) help to increase the supply or improve the distribution by geographic area or by specialty group of adequately trained nursing personnel needed to meet the health needs of the Nation, including the need to increase the availability of personal health services and the need to promote preventive health care. Authorizes appropriations through fiscal year 1977 for such grants and contracts. Allows the Secretary to make grants to assist public or nonprofit private schools of nursing which are in serious financial straits to meet operational costs required to maintain quality educational programs or which have special need for financial assistance to meet accreditation requirements. Authorizes appropriations for such grants through fiscal year 1977. Prescribes a per-student formula for grants to nursing schools for support of their education programs. Authorizes appropriations through fiscal year 1977 for such grants. Extends the authorization of appropriations for traineeships, student loans, and the program to encourage full utilization of educational talent for nursing. Extends the nursing scholarship program. Requires the Secretary of Health, Education, and Welfare to determine on a continuing basis the current and projected supply of the various classifications of nurses, their geographic distribution, pay rates, activity status, and advanced training status. Requires a report annually to the Congress upon such findings together with recommendations for legislation.
Bill· HRH.R. 14729 (93rd)referred
United States · United States Congress · 9 May 1974
Home Health Services Act - Provides, under the Public Health Service Act, for the establishment and initial operation of public and nonprofit private agencies which will provide home health services in areas in which such services are not otherwise available. Authorizes the Secretary of Health, Education, and Welfare to make grants: (1) to meet the initial and expanding costs of such agencies; and (2) for programs for the training of professional and paraprofessional personnel to provide home health services. Authorizes the appropriation of such sums as may be necessary to carry out this Act.
Bill· HRH.R. 14721 (93rd)referred
United States · United States Congress · 9 May 1974
Health Manpower Act - Title I: General Provisions - Revises and repeals specified provisions of the Public Health Service Act. Title II: Assistance for Construction of Teaching Facilities - Directs the Secretary of Health, Education, and Welfare to make grants to assist in the construction of teaching facilities for the training of physicians, dentists, pharmacists, optometrists, podiatrists, veterinarians, and professional public health personnel. Authorizes appropriations through fiscal year 1977 for such purposes. Title III: Student Assistance; National Health Service Corps - Expands the provisions governing the making of student loans under the Public Health Service Act and the rates for repayment of such loans. Authorizes appropriations for the purpose of making Federal capital contributions into the student loan funds of authorized schools. Prescribes new procedures for the establishment of National Health Service Corps, applications for assistance from the Corps, and asssignment and functions of Corps personnel to medically underserved populations. Outlines the rate-of-pay schedule for physican and dentist Corps members engaged in the delivery of health services to a medically underserved population. Details the reporting requirements by the Secretary to the Congress in his carrying out the programs of the National Health Service Corps. Establishes the National Advisory Council on the National Health Service Corps. Specifies the membership composition of such Council. Authorizes appropriations for fiscal years 1974-1977 for carrying out this section. Revises the Public Health and National Health Service Corps Scholarship Training Program, setting forth the eligibility requirements for acceptance in such program and the time and type of obligated service required. Title IV: Grants for Health Professions Schools - Sets forth new computation rules governing the making of annual grants by the Secretary for the support of education programs of schools of medicine, osteopathy, public health, dentistry, veterinary medicine, optometry, pharmacy, and podiatry. Provides for the apportionment of, and authorization of, appropriations for the making of such grants. States that the Secretary shall not make such grants to any school unless specified assurances from each type of school, including assurances as to the enrollment of each school, are met. Revises the procedure for the making of special project grants and contracts for the purposes of assisting individuals from disadvantaged backgrounds. Authorizes appropriations for such grants through fiscal year 1977. Authorizes appropriations of $30,000,000, $40,000,000 and $50,000,000 for fiscal years 1975-1977 respectively for the establishment of area health education centers. Title V: Assistance for Specialized Training - Authorizes appropriations for three fiscal years for grants for: (1) training, traineeships, and fellowships in family medicine; and (2) for computer technology health care demonstration programs. Provides for the education of returning United States students from foreign medical schools and authorizes appropriations for such educational programs in schools of medicine and osteopathy. Empowers the Secretary to make grants for projects: (1) to research advances in fields related to education, and (2) to plan experimental teaching programs. Authorizes appropriations for such purposes. Title VI: Public and Allied Health Personnel - Revises the training programs for public and community health personnel and allied health personnel, extending appropriations through fiscal year 1977. Title VII: Miscellaneous - Directs the Secretary to contract for a study analyzing the current distribution of physicians by specialty, projecting such analysis for 1980, 1985, and 1990, and examining and developing a method for establishing the optimal distribution of physicians by geographic area. Requires the Secretary to make specified quality assurances to the Congress regarding education and training of allied health personnel. Calls for an allied health personnel study, detailing the contents of such study, including identification of classifications in which there are a critical shortage of personnel.
Bill· HRH.R. 14712 (93rd)referred
United States · United States Congress · 9 May 1974
Authorizes payment under the supplementary medical insurance program of title XVIII (Medicare) of the Social Security Act for optometric and medical vision care.
Bill· HRH.R. 14698 (93rd)referred
United States · United States Congress · 8 May 1974
Health Policy and Health Resources Development Act - Expresses the findings of Congress with regard to facilitating the development of recommendations for a national health policy and planning for health services, manpower, and facilities. Establishes, under the Public Health Service Act, the National Council for Health Policy, in the Department of Health, Education, and Welfare. Specifies the composition and terms of office of Council members. Enumerates the functions of the Council, including: (1) to develop a national health policy with national goals and priorities; (2) to conduct studies in specified health areas; and (3) to evaluate the implications of developing medical technology for the health care delivery system. Enumerates the priorities of the national health policy. Directs the Council to convene a National Health Conference to assist in performing its functions. Requires the Secretary to announce the initiation of proceedings to designate geographical regions, to be known as health service areas, to be served by health systems agencies. Outlines the characteristics of a health service area and the procedures for reviewing the boundaries of such areas. Describes the term "health systems agency," including the legal, staff and governing body structure requirements. Enumerates the functions of health systems agencies, including to analyze data, to establish a health system plan, and to establish an annual implementation plan. Sets forth the requirements to be met in implementing such plans. Prescribes the procedures and criteria for reviews of proposed health system changes. Provides for the designation of health systems agencies. Directs the Secretary to provide technical assistance to agencies. Details the form and content of such assistance. Empowers the Secretary to make grants to health systems agencies for carrying out their activities. Sets limits on the amounts of such grants. Authorizes to be appropriated $60,000,000 for fiscal year 1975 and $100,000,000 for fiscal year 1976 for such grants. Provides for the making of development grants for area health services development funds. Authorizes appropriations of $100,000,000 for fiscal year 1975 and $125,000,000 for fiscal year 1976 for such purposes. Requires the Secretary to review and approve the annual budget of each health systems agency with which there is in effect a designation agreement. Specifies the extent and subject matter of such reviews. Provides that, to be eligible for specified grants, the Governor of a State shall designate or establish a single State agency for administering the State's health planning functions. Specifies the requirements to be met by State administrative programs for approval. Enumerates the functions to be performed by each State health planning agency. States that a State health planning agency must be advised by a Statewide Health Coordinating Council. Sets forth the criteria for composition and duties of such Councils. Empowers the Secretary to make grants to the States for the development and operation of State Health Planning Agencies. Authorizes appropriations for such purposes.
Bill· HRH.R. 14670 (93rd)referred
United States · United States Congress · 8 May 1974
Arthritis Prevention Treatment, and Rehabilitation Act - Makes it the purpose of this Act to establish: (1) a long-range plan to expand and coordinate the national research, treatment, and control effort against arthritis and related musculoskeletal diseases; (2) centers for arthritis prevention, research, screening, early detection, training, treatment, and rehabilitation programs; and (3) programs to develop new and improved methods of arthritis screening and early detection and to establish a central arthritis screening and early detection data bank. Requires the Director of the National Institutes of Health to establish a National Commission on Arthritis and Related Musculoskeletal Diseases. Specifies the composition, duties, and powers of the Commission. States that the Commission shall formulate a long-range plan to combat arthritis and related musculoskeletal diseases with specific recommendations for the utilization and organization of national resources for that purpose. States that the plan shall include a plan for a coordinated research program encompassing existing and proposed Federal, non-Federal and local programs. Enumerates investigations, studies, and programs to be carried out under such plan. Authorizes to be appropriated $1,000,000 to carry out the above purposes. Establishes within the National Institute on Arthritis, Metabolism, and Digestive Diseases the position of Associate Director for Arthritis and Related Musculoskeletal Diseases. States that the Director of the National Institutes of Health shall establish an Inter-Institute Arthritis and Related Diseases Coordinating Committee to better coordinate research activities relating to arthritis and related musculoskeletal diseases. Provides for the development, establishment, construction, and operation of arthritis research and training centers. Specifies the purposes to be achieved by such research and training programs. Provides for the geographical distribution, operational support, and evaluation of such research and training centers. Authorizes specified appropriations for fiscal years 1975, 1976, and 1977 for the establishment of such centers. Authorizes the Secretary of Health, Education, and Welfare to establish and support arthritis screening, early detection, prevention, and control demonstration programs. Specifies the purpose of such programs. Authorizes specified appropriations for fiscal years 1975, 1976, and 1977 for the establishment and support of such programs. Requires the Secretary to establish the Arthritis Screening and Detection Data Bank as soon as practicable after the enactment of this Act. Provides that not less than $500,000 of the sums appropriated to the National Institutes of Health to carry out the purposes of this Act shall be obligated for basic and clinical orthopedic research conducted or supported by the National Institute on Arthritis, Rheumatism, and Metabolic Diseases.
Bill· HRH.R. 14703 (93rd)referred
United States · United States Congress · 8 May 1974
National Comprehensive Vision Care Act - Directs the Secretary of Health, Education, and Welfare to make annual grants to the States for the costs of establishing and operating programs under which students in public schools: (1) will receive free vision test; and (2) will be provided, without charge, appropriate necessary follow up services (including opthalmologic and optometric services and eyeglasses). Authorizes such grants to be used to train personnel to administer such tests. Directs the Secretary to establish a panel to advise him with respect to the standards to be prescribed by him under this Act for qualified vision tests. States that such panel shall be composed of four ophthalmologists and four optometrists who by virtue of their training and experience are especially qualified to advise the Secretary with respect to such standards. Requires the Secretary to make an annual report to the Congress respecting the grant program authorized under this Act and to include in such report his recommendations for such legislation as he deems appropriate.
Bill· HRH.R. 14704 (93rd)referred
United States · United States Congress · 8 May 1974
National Comprehensive Vision Care Act - Directs the Secretary of Health, Education, and Welfare to make annual grants to the States for the costs of establishing and operating programs under which students in public schools: (1) will receive free vision test; and (2) will be provided, without charge, appropriate necessary follow up services (including opthalmologic and optometric services and eyeglasses). Authorizes such grants to be used to train personnel to administer such tests. Directs the Secretary to establish a panel to advise him with respect to the standards to be prescribed by him under this Act for qualified vision tests. States that such panel shall be composed of four ophthalmologists and four optometrists who by virtue of their training and experience are especially qualified to advise the Secretary with respect to such standards. Requires the Secretary to make an annual report to the Congress respecting the grant program authorized under this Act and to include in such report his recommendations for such legislation as he deems appropriate.
Bill· HRH.R. 14699 (93rd)referred
United States · United States Congress · 8 May 1974
Health Care Insurance Act - Provides, under the Social Security Act, for medical, dental, and hospital care through a system of voluntary health insurance financed in whole for low-income groups through issuance of certificates, and in part for all other persons through allowance of tax credits. Adds to the Social Security Act a new title entitled Federal Financing of Voluntary Health Insurance. Provides that, for the purpose of providing assistance on behalf of the individuals and their dependents whose income and resources are insufficient to meet the costs of necessary medical, dental, and hospital services, there is established a program of hospital, dental, and medical benefits for any eligible beneficiary and his dependents through the issuance of health insurance certificates, in full payment of allowable premium on a qualified health care insurance policy of his choice. Assets that health insurance certificates of entitlement will be redeemable by the carrier by payment from the Federal Health Insurance Redemption Fund. Includes as eligible beneficiaries under this title any husband and wife both under age 65 and living together and any unmarried person under age 65 who is not a dependent beneficiary. Defines a dependent beneficiary as any child of an eligible beneficiary receiving more than 50 percent of his support from the eligible beneficiary, which child is under 21, or if a student, under age 23. Provides that every individual who is an eligible beneficiary whose income results in no individual income tax liability during his base year, whose dependent beneficiaries have no such liability for their taxable years which end during his base year, and who is not eligible to receive military medical care, shall be eligible to receive a health insurance certificate of entitlement. Asserts that such certificates shall be applicable in full payment of allowable premiums for a qualified health care insurance policy or plan. Requires that such policy or plan shall provide protection for the eligible beneficiary and his dependent beneficiaries for a 12-month period beginning during his benefit year against the expenses of health care, including catastrophic expenses of illness. Allows tax credits for health care insurance. Asserts that every individual who is an eligible beneficiary who has not elected, where eligible, to receive benefits under the provisions for fully-paid health care insurance for the low-income group and who is not eligible to receive military medical care, shall be allowed at his election a credit against his income tax liabliity for his taxable year which ends during his base year; or a health insurance certificate of entitlement acceptable by a qualified carrier in payment toward a premium, under a qualified health care insurance policy. Specifies the amount of the tax credit or the value to be assigned to the health insurance certificate on the basis of allowable premiums. Provides that a health insurance certificate of entitlement means a certificate issued by the Secretary of Health, Education and Welfare upon application to him by an eligible beneficiary to apply toward payment of premium on a qualified health care insurance policy or plan. Specifies that a qualified health care insurance policy or plan shall be a contractual agreement specifying benefits under a program offered by a qualified carrier which has been registered by a State Agency and which provides basic institutional and medical coverage and catastrophic expense coverage. Declares that each such qualified health care insurance policy or plan shall be noncancellable and guaranteed renewable so long as the carrier continues to offer to the public one or more qualified health care insurance policies or plans, shall provide protection against the expense of health care without regard to any pre-existing conditions, and shall provide for payment under this title of usual and customary charges for services covered under the policy or plan. Stipulates what cost shall be included under basic coverage and under catastrophic expense coverage. Establishes deductibles for each of the two types of coverage. Creates a Health Insurance Advisory Board which shall consist of eleven persons including the Secretary of Health, Education, and Welfare and the Commissioner of the Internal Revenue Service. Directs that the remaining members, not otherwise in the employ of the Government, shall be appointed by the President, with the advice and consent of the Senate, without regard to the provisions of title 5, United States Code, governing appointment in the competitive service. Asserts that the Secretary of HEW shall serve as Chairman. Provides that the members shall be selected from the persons who are specifically qualified to serve on such Board by virtue of their education, training, or experience. Provides that the Health Insurance Advisory Board shall perform such functions as: (1) prescribe such regulations as may be necessary to carry out the purposes and provisions of this Act; (2) establish minimum Federal standards for the use of State insurance departments in determining whether an insurance company and plan are qualified under this Act; (3) in consultation with carriers, providers of services, and consumers, plan and develop programs whose purposes are to provide for maintaining the quality of medical care; and (4) review the effectiveness of the tax credit program and file an annual report. Grants the States the power to decide which carriers are qualified. Forbids any Federal officer or employee to exercise any supervision or control over the practice of mediciene or dentistry or the manner in which medical or dental services are provided, or over the selection, tenure, or compensation of any officer or employee or any institution, agency, or person providing health services; or to exercise any supervision or control over the administration or operation of any such institution, agency, or person. Creates in the Treasury a trust fund to be known as the Federal Health Insurance Redemption Fund to consist in part of an amount equal to the aggregate amount of premiums paid under this title through the redemption of health insurance certificates.
Bill· HRH.R. 14681 (93rd)referred
United States · United States Congress · 8 May 1974
National Health Services Manpower Act - Establishes the National Health Service Corps Scholarship Program for the purpose of obtaining physicians for the National Health Service Corps. Sets forth the eligibility requirements for participation in the Program. Provides that each eligible individual shall be entitled to the payment by the Secretary of Health, Education, and Welfare of a scholarship for each approved academic year of training (not to exceed four years). Sets forth the dollar amounts of such scholarships. Requires an individual participating in the Program to serve on active duty as a commissioned officer in the Public Health Service or as a civilian member of the National Health Service Corps following completion of academic training. Provides that such period of active duty shall be six months of service for each year of training received under the Program, with a minimum service time of 12 months. Establishes in the Treasury of the United States the National Health Service Corps Trust Fund from which scholarships under this Act shall be paid. Authorizes appropriations for such fund. Establishes, within the Public Health Service, the National Health Service Corps to improve the delivery of health services to medically underserved populations. Directs the Secretary of Health, Education, and Welfare to designate the medically underserved populations in the States. Defines the term "medically underserved population" and enumerates the factors to be taken into account in making such designations, including: (1) ratios of available health manpower to the population; (2) indicators of the population's access to health services; and (3) indicators of health status and need of the population. Empowers the Secretary to assign Corps personnel to State health agencies, private health entities, local governments, and medical, dental or other appropriate health societies. Enumerates the requirements to be met prior to the making of any such assignments and for the continuing of expired assignments. Provides that Corps personnel shall be assigned on the basis of the extent of the population's need for health services and without regard to the ability of members of the population to pay for health services. Directs the Secretary, in making an assignment, to seek to match characteristics of the assignee and of the population in order to increase the likelihood of the assignee remaining to serve the population upon completion of his assignment period. Authorizes the Secretary to: (1) provide technical assistance to all medically underserved populations to which are not assigned Corps personnel; (2) make arrangements to enable Corps personnel to utilize the health facilities of the areas in which the population resides; and (3) make grants, with specified limitations, for purposes of providing health services. States that the Secretary shall require as a condition to the approval of an application that the entity enter into an appropriate arrangement with the Secretary under which: (1) the entity shall be responsible for charging for health services by the Corps personnel to be assigned; (2) the entity shall take action for the collection of payments for such health services; and (3) the entity shall pay to the United States specified, calculated amounts. Directs the Secretary to conduct, at schools of the health professions and allied health professions, recruiting programs for the Corps. Directs the Secretary to adjust the monthly rate of pay of each physician and dentist member of the Corps who is directly engaged in the delivery of health services to a medically underserved population. Requires the Secretary to report annually to the Congress and specifies the content of such reports. Establishes the National Advisory Council on the National Health Service Corps to consult with, advise, and make recommendations to, the Secretary with respect to his responsibilities in carrying out this Act, and to review and approve regulations promulgated by the Secretary. Sets forth the membership composition of the Council. Authorizes the appropriation of such sums as may be necessary for the fiscal years 1975-77 to carry out the establishment and functions of the National Health Service Corps and the Council. Establishes in the Public Health Service the National Council on Postgraduate Physician Training. Sets forth the membership composition of the National Council. Provides that the National Council shall conduct studies and other activities relevant to the various matters related to the postgraduate training of physicians. Establishes a Regional Council on Postgraduate Physician Training for each of the Department of Health, Education, and Welfare regions. Sets forth membership composition of such Councils. Provides that each regional council shall conduct studies and other activities relevant to the various matters related to the postgraduate training of physicians within the region served by the regional council. Provides that the National Council and each regional council shall annually certify postgraduate training positions in entities, and associations of such entities, which directly provide such training. Directs the Secretary of Health, Education, and Welfare to make grants to, and contract with, entities which directly provide, or have the capacity to provide directly, postgraduate training of physicians and which are certified to the Secretary by the National Council and a regional council as likely to receive an increased number of certified postgraduate positions subsequent to July 1, 1977, to allow such entities to develop new, and expand existing, postgraduate physician training programs. Authorizes the appropriation of such sums as may be necessary for fiscal years 1978-80 to carry out such program and make such grants. Directs the Secretary to contract for the conduct of a study to: (1) analyze the current and projected geographical distribution of physicians by specialty; and (2) examine, evaluate, and develop a reliable and appropriate methodology to establish the optimal distribution of physicians by specialty and by geographic area. Authorizes the appropriation of $10,000,000 for the conduct of such study. Authorizes the Secretary to make special project grants to schools, agencies, organizations and institutions for the improvement of health professions training. Authorizes appropriations to carry out such special project grants. Authorizes the Secretary to make grants to public or private nonprofit entities to assist in projects for planning, developing, and operating area health education systems. Defines "area health education systems." Authorizes appropriations for the making of such grants. Authorizes the Secretary, between July 1, 1974 and June 30, 1977, to provide loan guarantees and interest subsidies to students obtaining loans from banking institutions to meet the cost of education expenses in pursuing an approved course of study leading to an undergraduate degree in nursing, pharmacy, or other allied health professions. Establishes in the United States Treasury a health service manpower loan guarantee fund to enable the Secretary to discharge his responsibilities with respect to loan guarantees and interest subsidies under this Act. Authorizes the appropriation to the fund of such amounts as may be required from time to time for the fund. Title II: Miscellaneous Repeals - Revises the Public Health Service Act by repealing the Public Health and National Health Service Corps Scholarship Training Program, Traineeships for Professional Public Health Personnel, Project Grants for Graduate Training in Public Health, the National Health Service Corps, programs for Health Research and Teaching Facilities and Training of Professional Health Personnel, and programs for Nurse Training.
Bill· HRH.R. 14684 (93rd)referred
United States · United States Congress · 8 May 1974
Home Health Services Act - Provides, under the Public Health Service Act, for the establishment and initial operation of public and nonprofit private agencies which will provide home health services in areas in which such services are not otherwise available. Authorizes the Secretary of Health, Education, and Welfare to make grants: (1) to meet the initial and expanding costs of such agencies; and (2) for programs for the training of professional and paraprofessional personnel to provide home health services. Authorizes the appropriation of such sums as may be necessary to carry out this Act.
Bill· HRH.R. 14659 (93rd)referred
United States · United States Congress · 7 May 1974
Provides, under the Social Security Act, for the establishment and revision of Professional Standards Review Organization areas, such establishment and revision to take into account the recommendations of the doctors of medicine or osteopathy. States that the final determination in the establishment or revision of any Professional Standards Review Organization area shall be subject to review in a civil action commenced by any interested person. Directs the National Professional Standards Review Council to conduct a study for the purpose of evaluating whether, and under what conditions, organizations other than professional associations shall be allowed to perform review functions. Requires each Professional Standards Review Organization to assume responsibility for professional standards review of health care services furnished by or in institutions operated by the Public Health Service and the Veterans Administration in the area which it serves. Requires, in conjunction with such reviews, that procedures be developed whereby deficiencies shall be brought to the attention of administrators of the hospitals and other Federal institutions concerned. Calls for the consolidation of data and reports compiled under these provisions. Directs that criteria of health care shall be identified or developed by each Professional Standards Review Organization, giving due consideration to such criteria of care identified or developed by national medical specialty organizations. States that such criteria of care shall be used by the Professional Standards Review Organization as guides of care. Requires the National Professional Standards Review Council to provide for the distribution to each Professional Standards Review Organization, and to each other agency performing review functions, of appropriate materials indicating various guides being utilized in other geographical areas. Provides for the protection of the confidentiality of medical records compiled under this Act. Empowers the Secretary of Health, Education, and Welfare to enter into a contract with any State medical society or private nonprofit organization (including medical foundations) designated by a State medical society for the provision of necessary technical and other assistance in the creation and operation of local professional standards review organizations.
Bill· HRH.R. 14631 (93rd)referred
United States · United States Congress · 7 May 1974
Provides, under the Social Security Act, for the establishment and revision of Professional Standards Review Organization areas, such establishment and revision to take into account the recommendations of the doctors of medicine or osteopathy. States that the final determination in the establishment or revision of any Professional Standards Review Organization area shall be subject to review in a civil action commenced by any interested person. Directs the National Professional Standards Review Council to conduct a study for the purpose of evaluating whether, and under what conditions, organizations other than professional associations shall be allowed to perform review functions. Requires each Professional Standards Review Organization to assume responsibility for professional standards review of health care services furnished by or in institutions operated by the Public Health Service and the Veterans Administration in the area which it serves. Requires, in conjunction with such reviews, that procedures be developed whereby deficiencies shall be brought to the attention of administrators of the hospitals and other Federal institutions concerned. Calls for the consolidation of data and reports compiled under these provisions. Directs that criteria of health care shall be identified or developed by each Professional Standards Review Organization, giving due consideration to such criteria of care identified or developed by national medical specialty organizations. States that such criteria of care shall be used by the Professional Standards Review Organization as guides of care. Requires the National Professional Standards Review Council to provide for the distribution to each Professional Standards Review Organization, and to each other agency performing review functions, of appropriate materials indicating various guides being utilized in other geographical areas. Provides for the protection of the confidentiality of medical records compiled under this Act. Empowers the Secretary of Health, Education, and Welfare to enter into a contract with any State medical society or private nonprofit organization (including medical foundations) designated by a State medical society for the provision of necessary technical and other assistance in the creation and operation of local professional standards review organizations.
Bill· HRH.R. 14598 (93rd)referred
United States · United States Congress · 6 May 1974
Arthritis Prevention Treatment, and Rehabilitation Act - Makes it the purpose of this Act to establish: (1) a long-range plan to expand and coordinate the national research, treatment, and control effort against arthritis and related musculoskeletal diseases; (2) centers for arthritis prevention, research, screening, early detection, training, treatment, and rehabilitation programs; and (3) programs to develop new and improved methods of arthritis screening and early detection and to establish a central arthritis screening and early detection data bank. Requires the Director of the National Institutes of Health to establish a National Commission on Arthritis and Related Musculoskeletal Diseases. Specifies the composition, duties, and powers of the Commission. States that the Commission shall formulate a long-range plan to combat arthritis and related musculoskeletal diseases with specific recommendations for the utilization and organization of national resources for that purpose. States that the plan shall include a plan for a coordinated research program encompassing existing and proposed Federal, non-Federal and local programs. Enumerates investigations, studies, and programs to be carried out under such plan. Authorizes to be appropriated $1,000,000 to carry out the above purposes. Establishes within the National Institute on Arthritis, Metabolism, and Digestive Diseases the position of Associate Director for Arthritis and Related Musculoskeletal Diseases. States that the Director of the National Institutes of Health shall establish an Inter-Institute Arthritis and Related Diseases Coordinating Committee to better coordinate research activities relating to arthritis and related musculoskeletal diseases. Provides for the development, establishment, construction, and operation of arthritis research and training centers. Specifies the purposes to be achieved by such research and training programs. Provides for the geographical distribution, operational support, and evaluation of such research and training centers. Authorizes specified appropriations for fiscal years 1975, 1976, and 1977 for the establishment of such centers. Authorizes the Secretary of Health, Education, and Welfare to establish and support arthritis screening, early detection, prevention, and control demonstration programs. Specifies the purpose of such programs. Authorizes specified appropriations for fiscal years 1975, 1976, and 1977 for the establishment and support of such programs. Requires the Secretary to establish the Arthritis Screening and Detection Data Bank as soon as practicable after the enactment of this Act. Provides that not less than $500,000 of the sums appropriated to the National Institutes of Health to carry out the purposes of this Act shall be obligated for basic and clinical orthopedic research conducted or supported by the National Institute on Arthritis, Rheumatism, and Metabolic Diseases.
Bill· HRH.R. 14585 (93rd)referred
United States · United States Congress · 6 May 1974
Comprehensive National Health Insurance Act - Title I: National Health Insurance Program - Provides that this Act shall not interfere with the freedom of every physician and every patient to choose where and how they will give or receive health care. States that the national health insurance program established by this title shall be administered by the Board of the Social Security Administration established by this Act. Provides the following benefits under the National Health Insurance Program: (1) inpatient hospital services with no day or dollar limitation; (2) physicians' services, in home, office, or elsewhere, with no dollar limitation; (3) medical and other health services (as defined under medicare); (4) home health services-100 visits per year; (5) post-hospital extended care services-100 days per year; (6) mental health services-inpatient, 30 full days in a psychiatric hospital or 60 partial days; outpatient services in a comprehensive community care center equivalent to the costs of 30 visits to a private practitioner or outpatient services of a private practitioner equal to half the costs of 30 visits; (7) outpatient prescription drugs and biologicals for specified chronic conditions; (8) preventive care services, including (a) routine dental services for children under age 13; (b) developmental vision care services, routine eye and vision exams, and lenses or eyeglasses for children under age 13; (c) hearing aids and exams for children under age 13; (d) well-child care to age 6; (e) prenatal care; and (f) family planning services. Makes all services, except those listed under preventive care subject to a combined annual per person deductible of $150 except that no family would have to meet more than 2 deductibles. States that all services, except drugs, would be subject to a 25-percent coinsurance. Provides that out-patient drugs would be subject to a separate copayment of $1 per prescription drug. Makes all residents who are not eligible for Medicare eligible for the program through their contributions to the Social Security System, contributions being made by all Americans who have earned or unearned income of any kind, including governmental benefits. Makes each person who is fully or currently insured, as defined under the present social security law, and his dependents eligible. Provides immediate coverage under the plan for the individuals who are not fully or currently insured. Provides that coverage be extended to an employee during the first week during which he worked 25 hours or more, coverage not ending until after there were three consecutive weeks in each of which he did not work 25 hours or more. Provides that people beginning self-employment, or starting to receive unearned income, would be eligible beginning with the first day of the first year in which they have such income. Makes all social security and railroad retirement cash beneficiaries (including widows and widowers under age 65) who are not eligible for coverage under Medicare, eligible for the program. Directs the Social Security Administration to establish for each eligible individual an account against which such individual may charge the cost of obtaining any items and services furnished him under this title, without regard to any deductible or coinsurance requirement which may be applicable. Requires that payment for items and services furnished an eligible individual be made by the Social Security Administration to the providers of services on the basis of charges against such individual's account. States that the Administration shall have full responsibility for the collection of any deductible and coinsurance amounts due from an individual. Provides for a special waiver of or limitation on deductibles and coinsurance for lower income families. Enumerates the conditions of and limitations on payment for the following: (1) requirement of requests and certifications, (2) no payments to Federal providers of services, (3) payment for emergency hospital services, (4) payment for inpatient hospital services prior to notification of noneligibility, (5) payment for posthospital extended care services, (6) payment for home health services, (7) limitation on payment for outpatient drugs and biologicals, (8) limitations on payment for surgery and other specialized services, (9) limitation on payment for practitioner services furnished in nonparticipating hospitals, (10) limitation on payment for certain prosthetic devices, (11) payment for certain outpatient services furnished by nonparticipating hospitals, and (12) collection by hospitals of customary charges for certain outpatient services. Makes provisions for payment to the providers of services and for prospective determination of payment to providers of services. Directs the Administration to award on an annual basis quality management payments to any provider of services under this title whenever either the percentage amount or the dollar amount of increase in such provider's prospective rate for a fiscal year is less than the average annual increase in such rate for the three previous fiscal years for all providers in the same class, such payment to be equal to 50 percent of the difference between such provider's total costs to the program and what its costs to the program would have been had they increased at the class average rate. Lists the agreements a provider of services must file with the Administration in order to qualify to participate and to be eligible for payments under this title. Authorizes the Administration to use public agencies or private organizations to facilitate payment to providers of services. Authorizes the Administation to use carriers, as defined in this Act, for the administration of noninstitutional benefits. Requires that payment for services rendered by a physician be made in accordance with a single fee schedule applicable throughout that area. Provides a method to determine the fee schedule. Allows all physicians to elect whether to participate or not to participate. States that each fee schedule in effect and the names and addresses of all participating physicians shall be made available to the public throughout the State involved, in such manner and at such times as the Administration may consider appropriate, by the Administration or by the appropriate State agency with the approval of the Administration. Establishes, within the Social Security Administration, a National Health Insurance Formulary Committee, a majority of whose members shall be physicians and which shall consist of the Commissioner of Food and Drugs and of four individuals (not otherwise in the employ of the Federal Government) who do not have a direct or indirect financial interest in the compensation of the Formularly established under this Act and who are of recognized professional standing and distinction in the fields of medicine, pharmacology, or pharmacy, to be appointed by the Administration without regard to the statutory provisions governing appointments in the competitive service. Provides that the Chairman of the Committee shall be elected annually from the appointed members, by majority vote of the members of the Committee. Requires the Formulary to compile, publish, and make available a National Health Insurance Formulary, containing an alphabetically arranged listing, by established name, of those drug entities within specified therapeutic categories which the Committee decides are necessary for individuals using such drugs. States that a fee, charge, or billing allowance shall not be payable under this title with respect to any drug entity that is furnished as an incident to a physician's professional service, and is of a kind commonly furnished in physicians' offices and commonly either rendered without charge or included in the physicians' bills. Provides a reasonable allowance for outpatient drugs and biologicals. Makes special provisions for physicians dispensing outpatient drugs and biologicals where the Administration determines that no participating licensed pharmacies exist in a community. Creates on the books of the Treasury of the United States a trust fund to be known as the National Health Insurance Trust Fund and a body to be known as the Board of Trustees of the Trust Fund, composed of the Secretary of the Treasury, the Secretary of Labor, the Chairman of the Board of the Social Security Administration, and the Secretary of Health, Education, and Welfare. Directs the Administration to consult with State agencies and other organizations to develop conditions of participation for providers of services. Provides for the use of State agencies to determine compliance by providers of services with the conditions of participation. States that the determination of whether an individual is entitled to benefits under this title, and the determination of the amount of such benefits, shall be made by the Administration in accordance with regulations prescribed by it. Provides that where overpayments on behalf of individuals occur, proper adjustment shall be made under regulations prescribed by the Administration, by decreasing subsequent payments. Provides for the settlement of claims for benefits on behalf of deceased individuals. Provides criminal penalties for violation of this Act. Creates a National Health Insurance Benefits Advisory Council consisting of 19 persons, not otherwise in the employ of the United States, appointed by the Board without regard to statutory provisions governing appointments in the competitive service. Lists criteria for serving on the Council. Declares that it shall be the function of the Advisory Council to provide advice and recommendations for the consideration of the Administration on matters of general policy with respect to this title. Imposes the following taxes for each taxable year for health insurance purposes: two and one half percent of the amount of an individual's self-employment income (and unearned income); on the income of every individual, one percent of the person's wages; and on every employer, an excise tax equal to three percent of the wages paid by him with respect to employment. Provides special coverage provisions, under the Social Security Act, for purposes of National Health Insurance Taxes. Title II: Changes in Medicare Program - Establishes, under title XVIII of the Social Security Act (Medicare), a voluntary program to provide long-term care benefits for aged and disabled individuals who elect to enroll under such program, financed from premium payments by enrollees together with contributions from funds appropriated by the Federal Government and contributions by the States. Lists criteria for eligibility for long-term care service benefits. Provides that the benefits provided to an individual by the program established by this Act shall consist of (1) home health services, (2) homemaker services, (3) nutrition services, (4) long-term institutional care services, (5) day care and foster home services, and (6) community mental health center outpatient services. Enumerates the requirements for a State long-term care agency. Provides for the payment of premiums for benefits received under this Act. Establishes on the books of the Treasury of the United States a trund fund to be known as the Federal Long-Term Care Trust Fund. Creates a body to known as the Board of Trustees, composed of the Secretary of the Treasury, the Secretary of Labor, the Chariman of the Board of the Social Security Administration, and the Secretary of Health, Education, and Welfare. States that the Secretary of the Treasury shall be the Managing Trustee of the Board of Trustees and that the Executive Director of the Social Security Administration shall serve as the Secretary of the Board of Trustees. Provides that the Board of Trustees shall meet not less frequently than once each calendar year. Enumerates the duties of the Board of Trustees. Declares that a community long-term care center shall: (1) provide the items and services listed in this Act to each individual (i) who is eligible for benefits under this part, (ii) who resides in the area served by such center, and (iii) who is certified as requiring such services; (2) evaluate and certify the long-term care needs of an individual for whom such care may be required in order to maintain such individual in an independent living arrangement which is reasonable given such individual's state of health and other circumstances (but not including such individual's economic circumstances); (3) maintain a continuous relationship with (and periodically evaluate not less that annually) each individual who is receiving any of the items and services listed in this Act; (4) provide full opportunity for such individual and his family to participate in the determinations and functions under this Act; (5) provide an organized system for making its existence and location known to all individuals in its service area who are eligible for benefits under this part, and for making known to such individuals the method or methods by which they may most efficiently obtain and use the services which it makes available; and (6) performs such other functions as the Administration may by regulation prescribe in order to have such center most effective carry out the purposes of this Act. Provides a formula for payments to States for the reimbursement of community long-term care centers. Directs the Administration, after consultation with organizations representing the chief executives of the various States, and other interested parties, to develop and make available to community long-term care centers one or more methods of obtaining payment for the benefits covered under this Act on a prospective basis. States that once a community long-term care center elects a particular prospective method, it may not alter its election without the prior approval of the Administration. Provides that whenever the Administration finds that the number of community long-term care centers electing a particular prospective payment method promulgated in accordance with this Act is not sufficient to provide an adequate basis for either the operation or evaluation of that method, the Administration shall withdraw that method and allow the community long-term care centers which have elected such method to select another method within 30 days of notice of such withdrawal. Permits a Governor of a State to certify to the Administration a method of prospective payment other than those promulgated under this Act. States that the determination of whether an individual is entitled to benefits under this Act shall be made by the Administration in accordance with regulations it prescribes. Provides coverage for prescription drugs. Declares that no further deductible or coinsurance requirement shall be imposed under this Act with respect to items or services furnished to or for any individual in any calendar year after the total of the deductibles and coinsurance paid by or on behalf of such individual and the other members of his family in that year equals $1,000. Eliminates the posthospital requirement for home health services under Medicare and the durational limits on inpatient hospital services. Title III: Independent Social Security Administration - Establishes, as an independent agency of the executive branch of the Government, a Social Security Administration to be headed by a Board, consisting of three members appointed by the President, by and with the advice and consent of the Senate. Declares that it shall be the duty of the Administration to administer specified programs of the Social Security Act, and to discharge the duties and responsibilities imposed on the Secretary of Health, Education, and Welfare in connection with the administration of the program established by the Federal Coal Mine Health and Safety Act of 1969. Abolishes the position of Commissioner of Social Security. Title IV: Amendment to Public Health Service Act - Establishes in the Department of Health, Education, and Welfare the Health Resources Development Board which shall be composed of three members to be appointed by the President, by and with the advice and consent of the Senate. Provides for an Executive Director and for the recruitment of qualified persons experienced in the administration or operation of private health insurance and health prepayment plans, or experienced in other fields pertinent to the national health insurance program. Requires the Board to make an annual report to the Committee on Interstate and Foreign Commerce of the United States House of Representatives and to the Committee on Labor and Public Welfare of the United States Senate. Enumerates the functions of the Board including: studies and evaluations, systems development, tests and demonstrations, research, and planning. Establishes a National Health Insurance Resources Advisory Council, consisting of the Chairman of the Board, the Chairman of the Social Security Board, and twenty members, not otherwise in the employ of the United States, appointed by the Secretary on recommendation of the Board, without regard to the statutory provisions governing appointments in the competitive service. Provides criteria for membership on the Council. Enumerates the functions of the Council. Authorizes to be appropriated to carry out this title: $400,000,000 for the fiscal year ending June 30, 1975, and $600,000,000 for the fiscal year ending June 30, 1976. Title V: Miscellaneous Provisions - Provides for the Administration's certfication of supplemental private health insurance policies. Sets standards with respect to supplemental health insurance policies. Leaves existing employer-employee health benefit plans unaffected. Provides regulations for planning by health care providers and the conditions for payment.
Bill· HRH.R. 14591 (93rd)referred
United States · United States Congress · 6 May 1974
Arthritis Prevention Treatment, and Rehabilitation Act - Makes it the purpose of this Act to establish: (1) a long-range plan to expand and coordinate the national research, treatment, and control effort against arthritis and related musculoskeletal diseases; (2) centers for arthritis prevention, research, screening, early detection, training, treatment, and rehabilitation programs; and (3) programs to develop new and improved methods of arthritis screening and early detection and to establish a central arthritis screening and early detection data bank. Requires the Director of the National Institutes of Health to establish a National Commission on Arthritis and Related Musculoskeletal Diseases. Specifies the composition, duties, and powers of the Commission. States that the Commission shall formulate a long-range plan to combat arthritis and related musculoskeletal diseases with specific recommendations for the utilization and organization of national resources for that purpose. States that the plan shall include a plan for a coordinated research program encompassing existing and proposed Federal, non-Federal and local programs. Enumerates investigations, studies, and programs to be carried out under such plan. Authorizes to be appropriated $1,000,000 to carry out the above purposes. Establishes within the National Institute on Arthritis, Metabolism, and Digestive Diseases the position of Associate Director for Arthritis and Related Musculoskeletal Diseases. States that the Director of the National Institutes of Health shall establish an Inter-Institute Arthritis and Related Diseases Coordinating Committee to better coordinate research activities relating to arthritis and related musculoskeletal diseases. Provides for the development, establishment, construction, and operation of arthritis research and training centers. Specifies the purposes to be achieved by such research and training programs. Provides for the geographical distribution, operational support, and evaluation of such research and training centers. Authorizes specified appropriations for fiscal years 1975, 1976, and 1977 for the establishment of such centers. Authorizes the Secretary of Health, Education, and Welfare to establish and support arthritis screening, early detection, prevention, and control demonstration programs. Specifies the purpose of such programs. Authorizes specified appropriations for fiscal years 1975, 1976, and 1977 for the establishment and support of such programs. Requires the Secretary to establish the Arthritis Screening and Detection Data Bank as soon as practicable after the enactment of this Act. Provides that not less than $500,000 of the sums appropriated to the National Institutes of Health to carry out the purposes of this Act shall be obligated for basic and clinical orthopedic research conducted or supported by the National Institute on Arthritis, Rheumatism, and Metabolic Diseases.
Bill· SS. 3432 (93rd)referred
United States · United States Congress · 2 May 1974
National Health Service Corps Amendments - Authorizes the appropriation of such sums as may be necessary to carry on the National Health Services Corps for three additional years (fiscal years 1975 through 1977). Authorizes the Secretary of Health, Education, and Welfare to award one grant, not to exceed $10,000, to assist an area in meeting the costs of establishing medical practice management systems or in acquiring supplies and equipment. Enables the Secretary to make an early repayment of the community's investment from the fees collected for the health care provided by the Corps. Authorizes the Secretary to release to the area any right, title, or interest he may have in equipment or supplies used in connection with the Corps' provision of health care services.
Bill· HRH.R. 14562 (93rd)referred
United States · United States Congress · 2 May 1974
National Huntington's Disease Control Act - States that it is the purpose of this Act to establish a national program for the diagnosis, prevention, and treatment of, and research in, Huntington's disease. Authorizes the Secretary of Health, Education, and Welfare to make grants for projects for the establishment and operation of Huntington's disease screening, treatment, and counseling programs. Authorizes the appropriation of $500,000 for the fiscal year ending June 30, 1975, and for each each of the next two fiscal years for such grants. Authorizes the Secretary to make grants for research in the diagnosis, treatment, and prevention of Huntington's disease. Authorizes the appropriation of $1,500,000 for the fiscal year ending June 30, 1975 and for each of the next two fiscal years for use for such grants. Directs the Secretary to carry out a program to develop information and educational materials relating to Huntington's disease and to disseminate such information and materials to persons providing health care and to the public in general. Authorizes the appropriation of $25,000 for the fiscal year ending June 30, 1975, and for each of the next two fiscal years to carry out this information program. Sets forth the requirements for applications for grants under this Act and the administration of such grants. Directs the Secretary to establish a program within the Public Health Service to provide for voluntary Huntington's disease screening, counseling, and treatment.
Bill· HRH.R. 14557 (93rd)referred
United States · United States Congress · 2 May 1974
Arthritis Prevention Treatment, and Rehabilitation Act - Makes it the purpose of this Act to establish: (1) a long-range plan to expand and coordinate the national research, treatment, and control effort against arthritis and related musculoskeletal diseases; (2) centers for arthritis prevention, research, screening, early detection, training, treatment, and rehabilitation programs; and (3) programs to develop new and improved methods of arthritis screening and early detection and to establish a central arthritis screening and early detection data bank. Requires the Director of the National Institutes of Health to establish a National Commission on Arthritis and Related Musculoskeletal Diseases. Specifies the composition, duties, and powers of the Commission. States that the Commission shall formulate a long-range plan to combat arthritis and related musculoskeletal diseases with specific recommendations for the utilization and organization of national resources for that purpose. States that the plan shall include a plan for a coordinated research program encompassing existing and proposed Federal, non-Federal and local programs. Enumerates investigations, studies, and programs to be carried out under such plan. Authorizes to be appropriated $1,000,000 to carry out the above purposes. Establishes within the National Institute on Arthritis, Metabolism, and Digestive Diseases the position of Associate Director for Arthritis and Related Musculoskeletal Diseases. States that the Director of the National Institutes of Health shall establish an Inter-Institute Arthritis and Related Diseases Coordinating Committee to better coordinate research activities relating to arthritis and related musculoskeletal diseases. Provides for the development, establishment, construction, and operation of arthritis research and training centers. Specifies the purposes to be achieved by such research and training programs. Provides for the geographical distribution, operational support, and evaluation of such research and training centers. Authorizes specified appropriations for fiscal years 1975, 1976, and 1977 for the establishment of such centers. Authorizes the Secretary of Health, Education, and Welfare to establish and support arthritis screening, early detection, prevention, and control demonstration programs. Specifies the purpose of such programs. Authorizes specified appropriations for fiscal years 1975, 1976, and 1977 for the establishment and support of such programs. Requires the Secretary to establish the Arthritis Screening and Detection Data Bank as soon as practicable after the enactment of this Act. Provides that not less than $500,000 of the sums appropriated to the National Institutes of Health to carry out the purposes of this Act shall be obligated for basic and clinical orthopedic research conducted or supported by the National Institute on Arthritis, Rheumatism, and Metabolic Diseases.
Bill· HRH.R. 14514 (93rd)referred
United States · United States Congress · 1 May 1974
Indian Health Care Improvement Act - Declares that it is the policy of this Nation, in fulfillment of its special responsibilities and legal obligation to the American Indian people, to meet the national goal of providing the highest possible health status to Indians and to provide existing Indian health services with all resources necessary to effect that policy. Defines the terms used in this Act. Title I: Indian Health Manpower - Directs the Secretary of Health, Education, and Welfare to make scholarship grants to individuals: (1) who are enrolled in medical schools; schools of optometry, osteophathy, dentistry, pharmacy, podiatry, public health, or nursing, or schools licensed by a State to train persons in the allied health professions, and (2) who agree to provide their professional services to Indians after completion of their professional training. Establishes a priority according to which the Secretary shall award scholarship grants under this Act. States that any scholarship grant awarded to any individual under this Act shall be awarded under the condition that such individual will, after the completion of his professional training, provide his professional services to Indians for a reasonable period of time as prescribed by the Secretary. Sets forth a formula by which the United States shall be entitled to recover scholarship grants from individuals who fail to comply with such condition for the full period. Authorizes to be appropriated for this program: $8,000,000 for fiscal year 1975, $16,000,000 for fiscal year 1976, $22,000,000 for fiscal year 1977, $30,000,000 for fiscal year 1978, and $34,000,000 for fiscal year 1979, and for each succeeding fiscal year, such sums as may be necessary to continue to make such grants to individuals who (prior to July 1, 1979) have received such grants and who are eligible for such grants under this Act during such succeeding fiscal year. Directs the Secretary to make scholarship grants for a period not to exceed two academic years to Indians who: (1) have successfully completed their high school education; and (2) have demonstrated a capability to successfully complete a premedical, predental, or preosteopathy course of study. Authorizes to be appropriated for the above program: $1,000,000 for fiscal year 1975; $2,000,000 for fiscal year 1976; and $3,000,000 for each of the next three fiscal years. Permits the Secretary to provide continuing education allowances to Indian Health Service physicians. Authorizes to be appropriated for such programs: $350,000 each year for fiscal years 1975 and 1976; $375,000 for fiscal year 1977, $390,000 for fiscal year 1978, and $410,000 for fiscal year 1979. Title II: Health Services - Authorizes the Secretary to expend over a five-fiscal-year period $123,500,000, in addition to the annual appropriations required to continue the health service program to the Indian people, and to employ additional personnel for the purpose of eliminating backlogs in Indian health care services and to supply known, unmet medical, surgical, dental and other Indian health needs. Title III: Health Facilities - Authorizes the Secretary to expend $400,000,000 over a five-fiscal-year period for the purpose of eliminating inadequate, outdated, and otherwise unsatisfactory service hospitals, health centers, health stations, and other service facilities. Enables the Secretary to expend $470,000,000 within a five-fiscal-year period to supply unmet needs for safe water and sanitary waste disposal facilities in existing and new Indian homes and communities. Directs the Secretary to develop a plan, together with the Secretary of Housing and Urban Development, to assure that the five-year schedule provided for in this Act will be met. Title IV: Access to Health Services - States that the service facilities used to provide health care and services to Indians are hereby deemed to be accredited facilities for the purposes of title XVIII (Medicare) and title XIX (Medicaid) of the Social Security Act. Title V: Access to Health Services for Urban Indians - Defines "Urban Indians", "Urban Indian organization" and "urban center" as used in this Act. Provides that the Secretary shall enter into contracts with urban Indian organizations to provide Federal assistance to such organizations for the purpose of establishing and administering outreach programs to make urban Indians in the urban centers in which such organizations are situated knowledgeable of the health service resources available within such centers and the means of gaining access to those resources. Directs the Secretary to prescribe the criteria for selecting urban Indian organizations with which to contract pursuant to this Act. Authorizes to be appropriated for this program: $3,000,000 for fiscal year 1975; $4,000,000 for fiscal year 1976; and $5,000,000 for fiscal year 1977. Provides that, within six months after the end of fiscal year 1976, the Secretary shall review the above program and shall submit to the Congress his assessment of it and recommendations for any further legislation. Title VI: Miscellaneous - Requires the Secretary to report annually to the President and the Congress on progress made in effecting the purposes of this Act. States that within three months after the end of fiscal year 1978, the Secretary shall review the programs established or assisted under this Act and shall submit to the Congress his assessment and recommendations of additional programs or additional assistance necessary to, at a minimum provide health services to Indians, and insure a health status for Indians, which is at a parity with the health services available to, and the health status of, the general population. Provides that the funds appropriated pursuant to this Act shall remain available until expended.
Bill· HRH.R. 14486 (93rd)referred
United States · United States Congress · 30 April 1974
Authorizes the additional appropriation of $20,000,000 for the fiscal year ending June 30, 1974, for the Department of Health, Education, and Welfare for research on the cause and treatment of diabetes under the Public Health Service Act.
Resolution· HRESH.Res. 1079 (93rd)passed
United States · United States Congress · 30 April 1974
Provides that upon the adoption of this resolution it shall be in order to move that the House resolve itself into the Committee of the Whole House on the State of the Union for the consideration of the bill (H.R. 6175) to amend the Public Health Service Act to provide for the establishment of a National Institute on Aging, and for other purposes. States that after general debate, which shall be confined to the bill and shall continue not to exceed one hour, to be equally divided and controlled by the chairman and ranking minority member of the Committee on Interstate and Foreign Commerce, the bill shall be read for amendment under the five-minute rule. States that, at the conclusion of the consideration of the bill for amendment, the Committee shall rise and report the bill to the House with such amendments as may have been adopted, and the previous question shall be considered as ordered on the bill and amendments thereto to final passage without intervening motion except one motion to recommit.
Resolution· HRESH.Res. 1081 (93rd)passed
United States · United States Congress · 30 April 1974
Provides that upon the adoption of this resolution it shall be in order to move that the House resolve itself into the Committee of the Whole House on the State of the Union for the consideration of the bill (H.R. 13053) to amend the Public Health Service Act to improve the national cancer program and to authorize appropriations for such program for the next three fiscal years, and for other purposes. States that after general debate, which shall be confined to the bill and shall continue not to exceed one hour, to be equally divided and controlled by the chairman and ranking minority member of the Committee on Interstate and Foreign Commerce, the bill shall be read for amendment under the five-minute rule. States that at the conclusion of the consideration of the bill for amendment, the Committee shall rise and report the bill to the House with such amendments as may have been adopted, and the previous question shall be considered as ordered on the bill and amendments thereto to final passage without intervening motion except one motion to recommit.
Bill· SS. 3390 (93rd)referred
United States · United States Congress · 29 April 1974
Community Mental Health Centers Extension Act - Declares the finding of Congress that community care is the most effective and humane form of care for the majority of mentally ill and retarded individuals. States that it is the Federal Government's responsibility to insure the expansion of the community mental health center concept. Enumerates the comprehensive mental health services which shall be provided through a community mental health center. Sets forth the membership composition of the governing bodies of community mental health centers. Authorizes the Secretary of Health, Education, and Welfare to make grants to public and nonprofit private entities to carry out projects to develop community mental health center programs. Sets forth regulations with respect to the making and use of such grants. Authorizes the appropriation of $5,000,000 for each of fiscal years 1975 and 1976 for such grants. Authorizes appropriations for grants for facilities of public and nonprofit community mental health centers. Provides for grants for specified portions of the costs of operation of such centers, under the Community Mental Health Centers Act. States that where an application for a grant is made, the applicant must provide specified assurances, including that specialized services will be provided for the mental health of children and of the elderly. Sets forth requirements for an applicant providing programs for alcoholism and drug abuse. Limits the amount of appropriations which may be used for the evaluation of programs under this Act. Distinguishes, for purposes of granting assistance, between community mental health centers serving poverty areas and those not serving poverty areas. Provides for grants to community mental health centers for consultation and education services. Authorizes appropriations of such sums as may be necessary for funding such grants. States that no individual, especially an alcoholic, narcotic addict and other person with drug dependence problems, shall be made the subject of any research carried out with funds provided by specified portions of this Act unless such individual explicitly agrees to become a subject of such research. Repeals specified provisions of the Community Mental Health Centers Act.
Bill· HRH.R. 14444 (93rd)referred
United States · United States Congress · 29 April 1974
Medicare Long-Term Care Act - Establishes, under title XVIII of the Social Security Act (Medicare), a voluntary program to provide long-term care benefits for aged and disabled individuals who elect to enroll under such program, financed from premium payments by enrollees together with contributions from funds appropriated by the Federal Government and contributions by the States. Lists criteria for eligibility for long-term care service benefits. Provides that the benefits provided to an individual by this Act shall consist of (1) home health services, (2) homemaker services, (3) nutrition services, (4) long-term institutional care services, (5) day care and foster home services, and (6) community mental health center outpatient services. Enumerates the requirements for a State long-term care agency. Provides for the payment of premiums for benefits received under this Act. Establishes on the books of the Treasury of the United States a trust fund to be known as the Federal Long-Term Care Trust Fund. Creates a body to be known as the Board of Trustees, composed of the Secretary of the Treasury, the Secretary of Labor, and the Secretary of Health, Education, and Welfare, all ex officio. States that the Secretary of the Treasury shall be the Managing Trustee of the Board of Trustees and that the Commissioner of Social Security shall serve as the Secretary of the Board of Trustees. Provides that the Board of Trustees shall meet not less frequently than once each calendar year. Enumerates the duties of the Board of Trustees. Declares that a community long-term care center shall: (1) provide the items and services listed in this Act to each individual (i) who is eligible for benefits under this part, (ii) who resides in the area served by such center and (iii) who is certified as requiring such services; (2) evaluate and certify the long-term care needs of an individual for whom such care may be required in order to maintain such individual in an independent living arrangement which is reasonable given such individual's state of health and other circumstances (but not including such individual's economic circumstances); (3) maintain a continuous relationship with (and periodically evaluate not less than annually) each individual who is receiving any of the items and services listed in this Act; (4) provide full opportunity for such individual and his family to participate in the determinations and functions under this Act; (5) provide an organized system for making its existence and location known to all individuals in its service area who are eligible for benefits under this part, and for making known to such individuals the method or methods by which they may most efficiently obtain and use the services which it makes available; and (6) performs such other functions as the Secretary of Health, Education, and Welfare may by regulation prescribe in order to have such center most effectively carry out the purposes of this Act. Provides a formula for payments to States for the reimbursement of community long-term care centers. Directs the Secretary, after consultation with organizations representing the chief executives of the various States, and other interested parties, to develop and make available to community long-term care centers one or more methods of obtaining payment for the benefits covered under this Act on a prospective basis. States that once a community long-term care center elects a particular prospective method, it may not alter its election without the prior approval of the Secretary. Provides that whenever the Secretary finds that the number of community long-term care centers electing a particular prospective payment method promulgated in accordance with this Act is not sufficient to provide an adequate basis for either the operation or evaluation of that method, the Secretary shall withdraw that method and allow the community long-term care centers which have elected such method to select another method withn 30 days of notice of such withdrawal. Permits a Governor of a State to certify to the Secretary a method of prospective payment other than those promulgated under this Act. States that the determination of whether an individual is entitled to benefits under this Act shall be made by the Secretary in accordance with regulations prescribed by him. Provides for increases in supplemental security income benefits.
Bill· HRH.R. 14409 (93rd)referred
United States · United States Congress · 25 April 1974
National Health Services Planning, Development, and Regulation Act - Establishes in the Executive Office of the President the Council of Health Advisors, composed of five members appointed by the President by and with the advice and consent of the Senate. Provides that the Council shall be responsible for (1) assessment of the status of the Nation's health and health services; (2) issuing guidelines respecting the appropriate supply, distribution, and organization of health resources and services; and (3) the conduct of studies and analysis with regard to the proper development of national health goals and guidelines. Directs the Secretary of Health, Education, and Welfare to establish throughout the United States health areas with respect to which health service agencies shall be designated. Defines "health service agency" as a nonprofit private corporation which is organized and operated as prescribed in this Act and which is capable of performing each of the health service functions as prescribed. Sets forth the legal structure, staff, and governing organization of a health service agency. Sets forth the functions of health service agencies including health service planning, monitoring of institutional health services within a health area, providing of technical assistance for planning and developing health service programs, and making of grants and contracts to assist in such planning and development. Sets forth procedures and standards for grants to any entity for a project for the development, expansion, or support of health facilities, manpower, or services to be made with funds appropriated for a program under the Public Health Service Act, the Mental Retardation Facilities and Community Mental Health Centers Construction Act of 1963 or the Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment, and Rehabilitation Act of 1970. Directs the Secretary to provide all necessary technical and other nonfinancial assistance to nonprofit private entities which (1) express a desire to be designated as a health service agency, and (2) the Secretary determines have a potential to meet the requirements for a health service agency as specified under this Act. Authorizes the Secretary to make grants to such nonprofit private entities to assist them in meeting the costs of meeting the organization and operation requirements of this Act. Sets forth the criteria for the making of such grants. Provides that for each health area established under this Act the Secretary shall designate a health service agency, such designation to be made under agreement that the agency carry out the provisions of this Act. Directs the Secretary to make in each fiscal year a grant to each health service agency for the operation of such agency, such grant to be not less than $375,000. Directs the Secretary to make additional grants to each health service agency to carry out the provisions of this Act. Directs the Secretary to review in detail at least every three years the structure, operation, and activities of each health service agency. Directs the Secretary to enter into an agreement with a qualified agency of each State whereby such agency shall be designated as the State Health Commission for such State for the purposes of the performance within each State of the regulatory function described in this Act. Sets forth the State Health Commission regulatory functions, including certification of needed health services as recommended by the health service agencies and approval of health planning by the health service agencies. Sets forth procedures to be followed by State Health Commissions in the performance of their functions. Authorizes the Secretary to make grants for the development and operation of State Health Commissions. Authorizes the Secretary to make loans to public and nonprofit private entities and guarantee to non-Federal lenders payment of principal of, and interest on, loans made by such lenders to nonprofit private entities to assist in meeting the costs of construction projects for health facilities. Sets forth general procedures with respect to such loans and loan guarantees. Sets forth regulations with respect to accounting and reporting systems for the administration of the provisions of this Act. Prohibits the Cost of Living Council, or any other administrative unit established under the Economic Stabilization Act of 1971, from applying any requirement to any entity within the health services industry which is in addition to, or different from, any requirement applied generally throughout the economy. Authorizes appropriations to carry out the provisions of this Act. Makes various technical and conforming amendments to the Public Health Service Act.
Bill· SS. 3378 (93rd)passed
United States · United States Congress · 24 April 1974
Developmentally Disabled Assistance and Bill of Rights Act - Title I: Assistance for the Developmentally Disabled - States that the purpose of this title is to improve the provisions of services to persons with developmental disabilities. Defines "developmental disability" as a disability: (1) attributable to mental retardation, or cerebral palsy, or epilepsy, or autism, or learning disability; or (2) attributable to any other condition of an individual found to be closely related to mental retardation as it refers to general intellectual functioning or impairment in adaptive behavior or to require treatment similar to that required for mentally retarded individuals, which disability originates before such individual attains age eighteen, has continued or can be expected to continue indefinitely, and constitutes a severe handicap to such individual's ability to function normally in society. Authorizes appropriations of $5,000,000 for the fiscal year June 30, 1975, and a like amount for each of the four succeeding fiscal years for the purpose of assisting in the modernization and renovation of facilities which will aid in demonstrating provision of specialized services for the diagnosis and treatment, education, training or care of persons with developmental disabilities or in the interdisciplinary training of physicians and other specialized personnel needed for research, diagnosis and treatment, education, training or care of persons with developmental disabilities. Authorizes the Secretary of Health, Education, and Welfare to make grants to States to cover costs of administering and operating demonstration facilities and interdisciplinary training programs for personnel needed to render specialized services to persons with developmental disabilities. Authorizes appropriations of $20,000,000 for fiscal year 1975, and each of the next four succeeding fiscal years to cover the costs of the grants. Sets forth requirements pertaining to the application for and payment of grants to States. Provides for grants to States for planning, provision of services, and construction and operation of facilities for persons with developmental disabilities. Authorizes appropriations of $40,000,000 for fiscal year 1975, $55,000,000 for fiscal year 1976, $70,000,000 for fiscal year 1977, $85,000,000 for fiscal year 1978, $100,000,000 for fiscal year 1979 and such sums as may be necessary for succeeding fiscal years for the purpose of making such grants. Establishes in the office of the Secretary a National Council on Services and Facilities for the Developmentally Disabled. States that it shall be the duty and function of the Council to: (1) advise the Secretary with respect to any regulations promulgated or proposed to be promulgated by him in the implementation of this title, (2) study programs authorized by this title to determine their effectiveness in carrying out the purposes for which they were established, (3) monitor the development and execution of this title and report directly to the Secretary on any delay in the rapid execution of this title, and (4) submit directly to the Congress annually an evaluation of the administration of this title. Requires States desiring to apply for grants to submit specific goal oriented plans for approval by the Secretary. Sets forth specific requirements to be met in order for State plans to be approved by the Secretary. Directs the Secretary of Health, Education, and Welfare to prescribe general regulations applicable to all the States to carry out the purposes of this Act and to develop an evaluation system and action plan for implementation of such system and report to the appropriate committees of Congress within eighteen months after the date of enactment of this Act. Authorizes the Secretary to make grants and enter into contracts to conduct feasibility studies with regard to developing an evaluation system for developmental disabilities services. Authorizes appropriations of $1,000,000 for this purpose for fiscal year 1975 and for each succeeding fiscal year thereafter. Authorizes appropriations for grants for special projects for services to persons with developmental disabilities of $15,000,000 for the fiscal year ending June 30, 1975, $17,500,000 for the fiscal year ending June 30, 1976, $20,000,000 for the fiscal year ending June 30, 1977, $22,500,000 for the fiscal year ending June 30, 1978, and $25,000,000 for the year ending June 30, 1979. Title II: Bill Of Rights For The Mentally Retarded And Other Individuals With Developmental Disabilities - States that the purpose of this title is to establish standards which assure humane care, treatment, habilitation, and protection of the mentally retarded and other individuals with developmental disabilities in residential facilities and minimize inappropriate admissions to such residential facilities. Sets forth standards for residential facilities for the mentally retarded and other individuals with developmental disabilities. States that the ultimate aim of the facility shall be to foster those behaviors that maximize the human qualities of the resident, increase the complexity of his behavior, and enhance his ability to cope with his environment. Prescribes the provisions governing (1) staff-resident relationships and activities, (2) food services, (3) residents' clothing, (4) health, hygiene, and grooming, (5) grouping and organization of living units, (6) resident-living staff, and (7) design and equipage of living units. Directs that residents be provided with professional and special programs and services in accordance with their needs for such programs and services. States that all professional services to the mentally retarded and other individuals with developmental disabilities should be rendered in the community, whenever possible, rather than in a residential facility, and where rendered in a residential facility, such services must be at least comparable to those provided the nonretarded in the community. Sets forth specifications governing the provision of the following services to residents: (1) dental services, (2) educational services, (3) food and nutrition services, (4) library services, (5) medical services, (6) nursing services, (7) pharmacy services, (8) physical and occupational therapy services, (9) psycological services, (10) recreation services, (11) religious services, (12) social services, (13) speech pathology and audiology services, (14) vocational rehabilitation services, and (15) volunteer services. States that a record shall be maintained for each resident that is adequate for: (1) plannning and continuous evaluating of the resident's habilitation program, (2) providing a means of communication among all persons contributing to the resident's habilitation program; (3) furnishing documentary evidence of the resident's progress and of his response to the habilitation program; (4) serving as a basis for review, study, and evaluation of the overall programs provided by the facility for its residents; (5) protecting the legal rights of the residents, facility, and staff; and (6) providing data for use in research and education. Stipulates that all information contained in a resident's record, including information contained in an automated data bank, shall be considered privileged and confidential. Provides that opportunities and resources should be made available to members of the staff who are equipped by interest and training to conduct applied and/or basic research. States that resources and/or necessary research assistance should be made available to all staff members who have identified researchable problems related to the programs for which they are responsible. Sets forth requirements pertaining to safety and sanitation in the resident facilities. Details provisions regarding the (1) provision of administrative support services, (2) fiscal affairs, (3) purchase, supply, and property control, (4) communications, (5) engineering and maintenance, (6) housekeeping services, and (7) laundry services.
Bill· HRH.R. 14357 (93rd)referred
United States · United States Congress · 24 April 1974
National Health Services Manpower Act - Establishes the National Health Service Corps Scholarship Program for the purpose of obtaining physicians for the National Health Service Corps. Sets forth the eligibility requirements for participation in the Program. Provides that each eligible individual shall be entitled to the payment by the Secretary of Health, Education, and Welfare of a scholarship for each approved academic year of training (not to exceed four years). Sets forth the dollar amounts of such scholarships. Requires an individual participating in the Program to serve on active duty as a commissioned officer in the Public Health Service or as a civilian member of the National Health Service Corps following completion of academic training. Provides that such period of active duty shall be six months of service for each year of training received under the Program, with a minimum service time of 12 months. Establishes in the Treasury of the United States the National Health Service Corps Trust Fund from which scholarships under this Act shall be paid. Authorizes appropriations for such fund. Establishes, within the Public Health Service, the National Health Service Corps to improve the delivery of health services to medically underserved populations. Directs the Secretary of Health, Education, and Welfare to designate the medically underserved populations in the States. Defines the term "medically underserved population" and enumerates the factors to be taken into account in making such designations, including: (1) ratios of available health manpower to the population; (2) indicators of the population's access to health services; and (3) indicators of health status and need of the population. Empowers the Secretary to assign Corps personnel to State health agencies, private health entities, local governments, and medical, dental or other appropriate health societies. Enumerates the requirements to be met prior to the making of any such assignments and for the continuing of expired assignments. Provides that Corps personnel shall be assigned on the basis of the extent of the population's need for health services and without regard to the ability of members of the population to pay for health services. Directs the Secretary, in making an assignment, to seek to match characteristics of the assignee and of the population in order to increase the likelihood of the assignee remaining to serve the population upon completion of his assignment period. Authorizes the Secretary to: (1) provide technical assistance to all medically underserved populations to which are not assigned Corps personnel; (2) make arrangements to enable Corps personnel to utilize the health facilities of the areas in which the population resides; and (3) make grants, with specified limitations, for purposes of providing health services. States that the Secretary shall require as a condition to the approval of an application that the entity enter into an appropriate arrangement with the Secretary under which: (1) the entity shall be responsible for charging for health services by the Corps personnel to be assigned; (2) the entity shall take action for the collection of payments for such health services; and (3) the entity shall pay to the United States specified, calculated amounts. Directs the Secretary to conduct, at schools of the health professions and allied health professions, recruiting programs for the Corps. Directs the Secretary to adjust the monthly rate of pay of each physician and dentist member of the Corps who is directly engaged in the delivery of health services to a medically underserved population. Requires the Secretary to report annually to the Congress and specifies the content of such reports. Establishes the National Advisory Council on the National Health Service Corps to consult with, advise, and make recommendations to, the Secretary with respect to his responsibilities in carrying out this Act, and to review and approve regulations promulgated by the Secretary. Sets forth the membership composition of the Council. Authorizes the appropriation of such sums as may be necessary for the fiscal years 1975-77 to carry out the establishment and functions of the National Health Service Corps and the Council. Establishes in the Public Health Service the National Council on Postgraduate Physician Training. Sets forth the membership composition of the National Council. Provides that the National Council shall conduct studies and other activities relevant to the various matters related to the postgraduate training of physicians. Establishes a Regional Council on Postgraduate Physician Training for each of the Department of Health, Education, and Welfare regions. Sets forth membership composition of such Councils. Provides that each regional council shall conduct studies and other activities relevant to the various matters related to the postgraduate training of physicians within the region served by the regional council. Provides that the National Council and each regional council shall annually certify postgraduate training positions in entities, and associations of such entities, which directly provide such training. Directs the Secretary of Health, Education, and Welfare to make grants to, and contract with, entities which directly provide, or have the capacity to provide directly, postgraduate training of physicians and which are certified to the Secretary by the National Council and a regional council as likely to receive an increased number of certified postgraduate positions subsequent to July 1, 1977, to allow such entities to develop new, and expand existing, postgraduate physician training programs. Authorizes the appropriation of such sums as may be necessary for fiscal years 1978-80 to carry out such program and make such grants. Directs the Secretary to contract for the conduct of a study to: (1) analyze the current and projected geographical distribution of physicians by specialty; and (2) examine, evaluate, and develop a reliable and appropriate methodology to establish the optimal distribution of physicians by specialty and by geographic area. Authorizes the appropriation of $10,000,000 for the conduct of such study. Authorizes the Secretary to make special project grants to schools, agencies, organizations and institutions for the improvement of health professions training. Authorizes appropriations to carry out such special project grants. Authorizes the Secretary to make grants to public or private nonprofit entities to assist in projects for planning, developing, and operating area health education systems. Defines "area health education systems." Authorizes appropriations for the making of such grants. Authorizes the Secretary, between July 1, 1974 and June 30, 1977, to provide loan guarantees and interest subsidies to students obtaining loans from banking institutions to meet the cost of education expenses in pursuing an approved course of study leading to an undergraduate degree in nursing, pharmacy, or other allied health professions. Establishes in the United States Treasury a health service manpower loan guarantee fund to enable the Secretary to discharge his responsibilities with respect to loan guarantees and interest subsidies under this Act. Authorizes the appropriation to the fund of such amounts as may be required from time to time for the fund. Title II: Miscellaneous Repeals - Revises the Public Health Service Act by repealing the Public Health and National Health Service Corps Scholarship Training Program, Traineeships for Professional Public Health Personnel, Project Grants for Graduate Training in Public Health, the National Health Service Corps, programs for Health Research and Teaching Facilities and Training of Professional Health Personnel, and programs for Nurse Training.
Bill· HRH.R. 14333 (93rd)referred
United States · United States Congress · 24 April 1974
Medicare Long-Term Care Act - Establishes, under title XVIII of the Social Security Act (Medicare), a voluntary program to provide long-term care benefits for aged and disabled individuals who elect to enroll under such program, financed from premium payments by enrollees together with contributions from funds appropriated by the Federal Government and contributions by the States. Lists criteria for eligibility for long-term care service benefits. Provides that the benefits provided to an individual by this Act shall consist of (1) home health services, (2) homemaker services, (3) nutrition services, (4) long-term institutional care services, (5) day care and foster home services, and (6) community mental health center outpatient services. Enumerates the requirements for a State long-term care agency. Provides for the payment of premiums for benefits received under this Act. Establishes on the books of the Treasury of the United States a trust fund to be known as the Federal Long-Term Care Trust Fund. Creates a body to be known as the Board of Trustees, composed of the Secretary of the Treasury, the Secretary of Labor, and the Secretary of Health, Education, and Welfare, all ex officio. States that the Secretary of the Treasury shall be the Managing Trustee of the Board of Trustees and that the Commissioner of Social Security shall serve as the Secretary of the Board of Trustees. Provides that the Board of Trustees shall meet not less frequently than once each calendar year. Enumerates the duties of the Board of Trustees. Declares that a community long-term care center shall: (1) provide the items and services listed in this Act to each individual (i) who is eligible for benefits under this part, (ii) who resides in the area served by such center and (iii) who is certified as requiring such services; (2) evaluate and certify the long-term care needs of an individual for whom such care may be required in order to maintain such individual in an independent living arrangement which is reasonable given such individual's state of health and other circumstances (but not including such individual's economic circumstances); (3) maintain a continuous relationship with (and periodically evaluate not less than annually) each individual who is receiving any of the items and services listed in this Act; (4) provide full opportunity for such individual and his family to participate in the determinations and functions under this Act; (5) provide an organized system for making its existence and location known to all individuals in its service area who are eligible for benefits under this part, and for making known to such individuals the method or methods by which they may most efficiently obtain and use the services which it makes available; and (6) performs such other functions as the Secretary of Health, Education, and Welfare may by regulation prescribe in order to have such center most effectively carry out the purposes of this Act. Provides a formula for payments to States for the reimbursement of community long-term care centers. Directs the Secretary, after consultation with organizations representing the chief executives of the various States, and other interested parties, to develop and make available to community long-term care centers one or more methods of obtaining payment for the benefits covered under this Act on a prospective basis. States that once a community long-term care center elects a particular prospective method, it may not alter its election without the prior approval of the Secretary. Provides that whenever the Secretary finds that the number of community long-term care centers electing a particular prospective payment method promulgated in accordance with this Act is not sufficient to provide an adequate basis for either the operation or evaluation of that method, the Secretary shall withdraw that method and allow the community long-term care centers which have elected such method to select another method withn 30 days of notice of such withdrawal. Permits a Governor of a State to certify to the Secretary a method of prospective payment other than those promulgated under this Act. States that the determination of whether an individual is entitled to benefits under this Act shall be made by the Secretary in accordance with regulations prescribed by him. Provides for increases in supplemental security income benefits.
Bill· HRH.R. 14335 (93rd)referred
United States · United States Congress · 24 April 1974
Health Security Act - Title I: Health Security Benefits - Provides that every resident of the U.S. (and every non-resident citizen when in the U.S.) will be eligible for covered services. Permits reciprocal and "buy-in" agreements for groups of non-resident aliens, and in some cases benefits to U.S. residents when visiting in other countries. Entitles every eligible person to have payments made by the Health Security Board for covered services provided within the United States by a participating provider. Provides that all necessary professional services of physicians, wherever furnished are covered, including preventive care, with two important restrictions: (1) specialist services are covered only when performed by a qualified specialist except in emergency situations, and generally only on referral from a primary physician; and (2) psychiatric services to an ambulatory patient are covered only for active preventive, diagnostic, therapeutic or rehabilitative service with respect to mental illness. Provides that comprehensive dental services (exclusive of most orthodontic services) are covered for children under age 15, with the covered age group increasing by two years each year until all those under age 25 are covered. Provides that: (1) inpatient and outpatient hospital services and services of a home health agency are covered without arbitrary limitation; (2) pathology and radiology services are specifically included as parts of institutional services; and (3) custodial care is specifically excluded in specified institutional settings. Limits payment for skilled nursing home care to 120 days per spell of illness, except that this limit may be increased when the nursing home is owned or managed by a hospital and payment for care is made through the hospital's budget. Limits the psychiatric hospital benefit to 45 consecutive days of active treatment during a spell of illness. Provides coverage for two categories of drug use: prescribed medicines administered to inpatients or outpatients within participating hospitals; or to enrollees of comprehensive health service organizations, and drugs necessary for the treatment of specified chronic illnesses or conditions requiring long or expensive therapy. Requires the Board and the Secretary of Health, Education, and Welfare to establish two lists of approved drugs, taking into account the safety, efficacy and cost of each drug. Provides a broad list of approved medicines available for use in institutions and by comprehensive health service organizations and a more restricted list which is available for use outside such organized settings. Provides that the appliances benefit is similar in concept and operation to the drug benefit, subject to a limitation on aggregate cost. Asserts that the professional services of optometrists and podiatrists are covered, subject to regulations, as are diagnostic or therapeutic services furnished by independent pathology laboratories and radiology services. States that health services furnished or paid for under a workmen's compensation law are not covered. Provides that the services of a professional practitioner are not covered if they are furnished in a hospital which is not a participating provider. Requires that participating providers meet standards established in this title or by the Board. Requires that such providers must agree to provide services without discrimination, to make no unauthorized charge to the patient for any covered service, and to furnish data necessary for utilization review by professional peers, statistical studies by the Board, and verification of information for payments. Makes professional practitioners, licensed when the program begins, eligible to practice in the State where they are licensed and requires that all newly licensed applicants for participation meet national standards established by the Board in addition to those required by his State. Establishes conditions of participation for general hospitals similar to those required under Medicare. States that the two requirements not found in the Medicare program are: (1) that the hospital must not discriminate in granting staff privileges on any grounds unrelated to professional qualifications; and (2) that it establish a pharmacy and drug therapeutics committee for supervision of hospital drug therapy. Provides that psychiatric hospitals will be eligible to participate only if the Board finds that the hospital (or a distinct part of the hospital) is engaged in furnishing active diagnostic, therapeutic and rehabilitative services to mentally ill patients. Establishes conditions of participation for skilled nursing homes similar to those established for extended care facilities under Medicare. Makes provisions for the participation of home health service agencies. Describes as eligible a health maintenance organization which undertakes to provide an enrolled population either with complete health care or with complete health security services (other than institutional services, mental health or dental services) for the maintenance of the health and care of ambulatory patients. Permits a foundation sponsored by a county or other local medical society to participate as a provider of services. Authorizes the Board to deal separately with the primary care portion of a system of comprehensive health care where it is necessary to rely on arrangements with other providers. Permits the Board to contract directly with public or other nonprofit mental health centers and mental health day care services. Specifies the broad and general conditions under which independent pathology laboratories, independent radiological services, and providers of drugs, devices, appliances, equipment, or ambulance services may qualify as providers under Health Security. Requires that a participating skilled nursing home have in effect an agreement with at least one participating hospital for the transfer of patients and medical and other information as medically appropriate. Prohibits in malpractice judgments any damages to be awarded to the injured party for the cost of remedial services which he is entitled to receive under this Act. Excludes the institutions of the Department of Defense and the Veterans Administration, and institutions of the Department of Health, Education, and Welfare serving merchant seamen or Indians or Alaskan natives, from serving as participating providers, as well as any employee of these institutions when he is acting as an employee. Provides reimbursement for any services furnished by these institutions or agencies to eligible persons who are not a part of their normal clientele. Permits a physician, dentist, optometrist, or podiatrist, licensed in one State and meeting the national standards, to furnish Health Security benefits in any other State, the scope of his permissible practice being governed by the law of the State in which he is practicing. Grants a similar authority to other health professional and nonprofessional personnel. Establishes the Health Security Trust Fund, to receive the net assets of existing (Medicare) funds taken over by the Health Security program, the yield of the Health Security taxes, and the Government's contribution from general revenues amounting to 100 percent of the yield from these taxes. Provides that three separate accounts shall be established in the Health Security Trust Fund: a Health Service Account, a Health Resources Development Account, and an Administration Account. Provides that in each of the first two years of the program operation, 2 percent of the Trust Fund shall be set aside for the Health Resources Development Fund; and the allocation shall increase by 1 percent at two-year intervals to 5 percent within the next 6 years. Provides for allocation of the Health Services account among the regions of the country. Provides that the allocation to each region shall be based on the aggregate sum expended during the most recent 12-month period for covered services (with appropriate modification for estimated changes in the consumer price index, the expected number of eligible beneficiaries, and estimated changes in the number of participating providers). Provides that the Board will divide the allocation to each region into funds available to pay: institutional services; physician services; dental services; furnishing of drugs; furnishing of devices, applications, and equipment; and miscellaneous services. Provides that payments for covered services provided to eligible persons by participating providers will be made from the Health Service Account in the Trust Fund. Describes the method to be used in applying, as between practitioners electing the various methods of payment fee for service, the monies available in each health service area for payment to each category of professional providers. Authorizes the Board to experiment with other methods of reimbursement so long as the experimental method does not increase the cost of service or lead to overutilization or underutilization of services. Provides that skilled nursing homes and home health agencies will be paid in the same manner as a general hospital (on an approved annual budget basis). Provides that a health maintenance organization will be paid for covered services, on the basis of a fixed capitation rate multiplied by the number of eligible enrollees. Contains a series of provisions for developing a continuous process of health service planning and for assisting in the recruitment, education, and training of health personnel. Authorizes special improvement grants: (1) to any public or other nonprofit health agency or institution to establish improved coordination and linkages with other providers of services, and (2) to organizations providing comprehensive ambulatory care to improve their utilization review, budget, statistical, or records and information retrieval systems, to acquire equipment needed for those purposes, or to acquire equipment useful for mass screening or for other diagnostic or therapeutic purposes. Sets forth the responsibilities and duties of the Secretary of HEW and the Board with regard to this title. Creates an administrative structure within the Department of Health, Education, and Welfare with exclusive responsibility for administration of the Health Security program. Establishes a five-member full-time Health Security Board serving under the Secretary of Health, Education, and Welfare. Provides that the members shall be appointed by the President with the advice and consent of the Senate, for five-year overlapping terms. Creates the position of an Executive Director, appointed by the Board with the approval of the Secretary. Provides that the Executive Director shall serve as secretary to the Board and shall perform such duties in the administration of the program as the Board assigns to him. Provides that the program will be administered through the regional offices of the Department of Health, Education, and Welfare. Requires the establishment of sub-regional (service area) offices. Establishes a National Health Security Advisory Council, with the Chairman of the Board serving as the Council's Chairman and 20 additional members not in the employ of the Federal Government. Authorizes the Advisory Council to appoint professional or technical committees to assist in its functions. Provides that the Advisory Council will advise the Board on matters of general policy in the administration of the program, the formulation of regulations and the allocation of funds for services. Charges the Board with responsibility for informing the public and providers about the administration and operation of the Health Security program. Requires the Board to make a continuing study and evaluation of the program, including adequacy, quality and costs of services. Authorizes the Board directly or by contract to make detailed statistical and other studies on a national, regional, or local basis of any aspect of the title; to develop and test incentive systems for improving quality of care, methods of peer review of drug utilization and of other service performances; to develop and test systems of information retrieval, budget programs, instrumentation for multiphasic screening or patient services, reimbursement systems for drugs; and to make such other studies which it considers would improve the quality of services of administration of the program. Grants authority to the Board, in accordance with regulations, to make determinations of who are participating providers of services, determinations of eligibility, of whether services are covered, and the amount to be paid to providers. Allows a provider of services who is dissatisfied with a final Board determination to obtain a hearing before a Board panel, and judicial review of a final decision. Authorizes the Board, with the advice and assistance of the Commission on the Quality of Health Care, to issue and review regulations assuring the quality of care furnished under this Act. Requires continuing professional education by physicians, dentists, optometrists, and podiatrists. Provides for the appointment of a Deputy Secretary of HEW and an Under Secretary for Health and Science. States that no provision of this Act shall alter any contractual obligation of an employer to provide health services to his employees and their dependents. Title II: Health Security Taxes - Converts the existing Medicare hospital insurance payroll taxes into Health Security taxes, and raises the rates to 1 percent on employees and 3.5 percent on employers. Raises the wage base for the employee tax from the present $7,800 to $15,000 or, if higher 125 percent of the contribution and benefit base. Broadens the definitions of covered employment to include foreign agricultural workers, employees of the U.S. and its instrumentalities (other than members of the armed forces and the President, Vice-President, and Members of Congress), employees of charitable and similar organizations, railroad employees, and (for the employee tax only) employees of States and their political subdivisions and instrumentalities. Excludes from the gross income of employees, for income tax purposes, payment by their employers of part or all of the Health Security taxes on the employees. Spells out the precise effective dates of the new payroll tax provisions. Converts the existing Medicare self-employment tax into a Health Security self-employment tax, and raises the rate to 2.5 percent, and raises the maximum taxable self-employment income from $7,800 to $15,000. Adds a new 1 percent Health Security tax on unearned income (unless such income is less than $400 a year), subject to the same maximum on taxable income as is applicable to the employee and self-employment taxes. Title III: Commission on the Quality of Health Care - Establishes in the Department of HEW a Commission on the Quality of Health Care, with the primary responsibility of: (1) initiating and continuing development of methods of assessing the quality of health care furnished under the Health Security Act, and (2) submitting to the Secretary and the Health Security Board its findings and recommendations. Stipulates that in carrying out its duties the Commissioner shall emphasize, and give first consideration to, care furnished for those illnesses and conditions which have relatively high incidence in the population and which are relatively amenable to medical or other care. Title IV: Repeal or Amendment of Other Acts - Makes various conforming amendments to the medicare, medicaid, vocational rehabilitation, and Federal employees health benefits statutes to bring it into conformity with this Act. Requires that, after the effective date of benefits, no State shall be required to furnish any service covered under Health Security as a part of its State plan for participation under Medicaid, and that the Federal government will have no responsibility to reimburse any State for the cost of providing a service which is covered under Health Security. Provides that funds available under the Vocational Rehabilitation Act or the Maternal and Child Health title of the Social Security Act shall not be used to pay for personal health services after the effective date of benefits, except (to the extent prescribed in regulations by the Secretary of HEW) to pay for services which are more extensive than those covered under Health Security. Title V: Studies Related to Health Security - Authorizes the Secretary of Health, Education, and Welfare in consultation with the Secretary of State and the Secretary of Treasury to study the coverage of health services for U.S. residents in other countries. Directs the Secretary of HEW to study the feasibility and desirability of coordinating the Federal health benefit programs for merchant seamen, and Indians and Alaskan natives, and veterans and members of the Armed Forces, with the Health Security Benefit Program.
Bill· HRH.R. 14280 (93rd)referred
United States · United States Congress · 22 April 1974
Home Health Services Act - Provides, under the Public Health Service Act, for the establishment and initial operation of public and nonprofit private agencies which will provide home health services in areas in which such services are not otherwise available. Authorizes the Secretary of Health, Education, and Welfare to make grants: (1) to meet the initial and expanding costs of such agencies; and (2) for programs for the training of professional and paraprofessional personnel to provide home health services. Authorizes the appropriation of such sums as may be necessary to carry out this Act.
Bill· SS. 3353 (93rd)referred
United States · United States Congress · 11 April 1974
National Health Standards Act - Title I: Health Benefits for Employees - Requires employers to provide employees and their families with an approved health care plan. Allows existing health plans to expire before a plan under this Act is required. Limits employer contributions to such plans to 50 percent of the cost. Sets forth mandatory services under such plans, including: inpatient hospital services, physicians services, medical supplies in connection with hospitalization or surgery, prescription drugs, lab and X-ray services, and psychiatric care. Excludes from such plans expenses for eyeglasses, orthopedic shoes, cosmetic surgery, custodial care, dentistry, hearing aid, and general physical examinations. Requires an individual or family to pay $100 per year for each individual or $200 per family per year for expenses and 25 percent of the next $10,000 of expenses per year for such services. Limits obstetrical care under the plan to 50 percent of charges up to a maximum of $500 for any one pregnancy. Prescribes penalties for employer noncompliance with this Act, including payment of all employee medical expenses during noncompliance. Sets forth requirements for hospitals and doctors in order to be paid from such plans, including utilization review. States that any employer who does not arrange with an insurance company, but makes a plan directly available to his employees shall notify the appropriate State official of the contents of his plan. Requires insurance companies making large plans available to also make plans available for small employers and the self-employed. Allows employees the option of membership in a qualified Health Maintenance Organization. Title II: Health Benefits for Low-Income Individuals and Their Dependents - Adds "Title XX - Health Benefits for Low-Income Individuals and Families" to the Social Security Act. Establishes a comprehensive medical and hospital benefits program for "low-income individuals," "low-income families," and "dependent beneficiaries" as defined by this title. Allows the payment of full premiums for a health care plan for qualified individuals. Sets forth minimal payments, based on income, of those not qualifying for full premium payment. Requires the payment to States of 100 percent of health care costs under this title. Describes mandatory services, excluded services, and doctor and hospital requirements under this title which are similar to those under title I. Requires each beneficiary under this title to pay 10 percent of the cost of each service, not to exceed 5 percent of annual income. Prohibits participation by an insurance company under this Act unless such company develops health care policies which may be purchased for individuals and families under this title. Requires States to contract with an insurance company (or companies) to pay for services to beneficiaries under this title. Title III: General Provisions - Establishes in the Executive Office of the President a Council of Health Advisers to appraise health programs of the Federal Government. States that the insurance pools authorized in this Act shall be administered by the administering carrier under regulations of the appropriate State agency, and shall pay all State plan benefit claims certified by the administering carrier. Repeals Title XIX - "Grants to States for Medical Assistance Programs" under the Social Security Act.
Bill· HRH.R. 14214 (93rd)open
United States · United States Congress · 11 April 1974
Health Revenue Sharing and Health Services Act - Title I: Health Revenue Sharing - Special Health Revenue Sharing Act- Authorizes the Secretary of Health, Education, and Welfare to make grants to State health and mental health authorities to assist in meeting the costs of providing comprehensive public health services under State plans approved under this Act. Sets forth the required elements of the content of such State plans. Authorizes the appropriation of $200,000,000 for fiscal year 1975 and $220,000,000 for fiscal year 1976 to make grants pursuant to this title. Title II: Family Planning Programs - Flamily Planning and Population Research Act - Authorizes appropriations for the family planning and population research programs of the Public Health Service Act for fiscal years 1975 and 1976. Authorizes the Secretary to conduct, make grants to, or enter into contracts with, public or private entities for, project for research in the biomedical, contraceptive development, behavioral, and program implementation fields related to family planning and population. Authorizes appropriations for fiscal years 1975 and 1976 to carry out such research. Sets forth reporting requirements for the Secretary to Congress. Title III: Community Mental Health Centers - Community Mental Health Centers Amendments - Presents the finding of the Congress that: (1) community mental health care is the most effective and humane form of care for a majority of mentally ill individuals; and (2) federally funded community mental health centers have had a major impact on the improvement of mental health care by fostering coordination and cooperation between various agencies responsible for mental health care which in turn has resulted in a decrease in overlapping services and more efficient utilization of available resources. Provides that the comprehensive mental health services which shall be provided through a community mental health center under the Community Mental Health Centers Act shall include: (1) services for individuals who are inpatients in a hospital or other health services delivery facility, outpatient services, day care and similar partial hospitalization services, and emergency services; (2) detoxification and referral services for the treatment of alcohol abuse, alcoholism, and other drug abuse and drug dependence problems (including narcotic addiction); (3) consultation and education services for health professionals, schools, State and local law enforcement and correctional agencies, public welfare agencies, health services delivery agencies, and other appropriate entities; (4) assistance to courts and other public agencies in screening residents of the center's catchment area who are being considered for referral to a State mental health facility for treatment to determine if they should be so referred and provision, where appropriate, of treatment for such persons through the center as an alternative to treatment at such facility; and (5) provision of followup care for residents of its catchment area who have been discharged from a State mental health facility. Authorizes the Secretary to make grants to public and nonprofit private entities to carry out projects to develop community mental health center programs. Authorizes appropriations for the payment of such grants for fiscal years 1975 and 1976. Authorizes the Secretary to make grants to public and nonprofit private community mental health centers to assist them in meeting their costs of operation during the first five years after their establishment. Authorizes appropriations for the payment of such grants for fiscal years 1975 and 1976. Authorizes the Secretary to make annual grants to any community mental health center for the costs of providing consultation and education services under this Act. Sets forth criteria for such grants. Authorizes appropriations for the payment of such grants for fiscal years 1975 and 1976. Sets forth general regulations governing grants made under this Act. Authorizes the Secretary to make grants for the operation of community mental health centers which are under financial distress. Sets forth the eligibility criteria for such grants. Authorizes appropriations for the payment of such grants for fiscal years 1975 and 1976. Directs the Secretary to pay the Federal share of projects for the acquisition, leasing, and construction of community mental health centers, and for the acquisition of initial equipment for such facilities. Defines "Federal share" with respect to such projects. Sets forth the procedures for approval of, payment of grants to, and allocation of funds for, projects under this Act. Defines the terms used in this Act. Sets forth general regulations with respect to the administration of this Act. Title IV: Migrant Health - Authorizes the Secretary to make grants to public and nonprofit private entities to assist in the establishment, initial operation, and continued operation of migrant health centers serving high impact areas. Defines "migrant health center" as an entity which provides health services to agricultural migratory workers and their families. Defines the terms used in this title. Sets forth health services to be supplied by migrant health centers. Authorizes the Secretary to make grants to, and enter into contracts with, public and private entities, in areas in which no migrant health centers exist and which are not high impact areas, to provide health care to agricultural workers and their families. Authorizes appropriations for the payment of such grants for fiscal years 1975 and 1976. Directs the Secretary to conduct a study of (1) the quality of housing which is available to agriculltural migratory workers in the United States while away from their permanent abodes; (2) the effect on the health of migrant workers of deficiencies in such housing; and (3) Federal, State, and local government standards respecting housing conditions for such workers during such period. Sets forth the reporting requirements for the Secretary for such study. Title V: Community Health Center - Defines the term "community health center" as meaning under the Public Health Service Act an entity which provides primary health services and referral to providers of supplemental health services for all residents of the area it serves, and is organized in the manner prescribed under this Act. Requires the services of a community health center to be provided directly through its staff and supporting resources or through contracts or cooperative arrangements with public or private entities. Requires primary health services to be available and accessible in the area served by the center promptly, as appropriate, and in a manner which assures continuity. Provides that the governing body of a community health center shall have at least a majority of its members selected in a democratic manner by the persons receiving services from the center, shall meet at least once a month, shall establish general policies for the center, shall approve the center's annual budget, and shall approve the selection of a director for the center. Authorizes the Secretary to make grants to public and nonprofit private entities to assist in: (1) the establishment and initial operation of community health centers which will service a medically underserved population; and (2) meeting the cost of the continued operation of such centers. Authorizes to be appropriated $220,000,000 for fiscal year 1975, and $240,000,000 for fiscal year , 1976 for grants under this title.
Bill· HRH.R. 14215 (93rd)open
United States · United States Congress · 11 April 1974
Developmental Disabilities Amendments - Authorizes appropriations of $12,000,000 for the fiscal year ending June 30, 1975 and $15,000,000 for the fiscal year ending June 30, 1976, for the purpose of making grants to assist institutions of higher education to contribute more effectively to the solution of complex health, education and social problems of children and adults suffering from developmental disabilities. Provides that the Secretary of Health, Education, and Welfare may make grants to public or nonprofit private entities for: (1) demonstration projects for the provision of services to persons with developmental disabilities who are also disadvantaged because of their economic status or the location of their residences, (2) technical assistance relating to services and facilities for persons with developmental disabilities, including assistance in State and local planning or administration, (3) training of specialized personnel needed for the provision of services for persons with developmental disabilities, or for research directly related to such training, (4) developing or demonstrating new or improved techniques for the provision of services to persons with developmental disabilities, or (5) gathering and disseminating information relating to developmental disabilities. Authorizes payments of $15,000,000 for fiscal year 1975 and $15,000,000 for fiscal year 1976 for the purpose of making payments under these grants. Provides for the allotment of funds to States. States that not less than ten percent of that allotment shall be used by such State for the purpose of assisting it in developing and implementing plans designed to eliminate inappropriate placement in institutions of persons with developmental disabilities, and to improve the quality of care and the state of surroundings of persons for whom institutional care is appropriate; and of the amount allotted to any State for each succeeding fiscal year, not less than 30 percent of that allotment shall be used by such State for such purposes. Stipulates that, in order to be approved by the Secretary, a State plan must provide reasonable assurance that adequate financial support will be available to complete the construction of, and to maintain and operate when such construction is completed, any facility, the construction of which is assisted with sums allotted under the provisions of this Act. Provides that for purposes of any determination by the Secretary as to whether any urban or rural area is a poverty area, the Secretary may not determine that an area is an urban or rural poverty area unless: (1) such area contains one or more subareas which are characterized as subareas of poverty; (2) the population of such subarea or subareas constitutes a substantial portion of the population of such rural or urban area; and (3) the project, facility, or activity, in connection with which such determination is made, does, or (when completed or put into operation) will, serve the needs of the residents of such subarea or subareas.
Bill· HRH.R. 14270 (93rd)referred
United States · United States Congress · 11 April 1974
Repeals, under the Social Security Act, the provisions for the establishment of Professional Standards Review Organizations to review services covered under the medicare and medicaid programs.
Bill· HRH.R. 14249 (93rd)referred
United States · United States Congress · 11 April 1974
Employees Comprehensive Respiratory Disease Compensation and Registration Act - Title I: General Provisions - States that it is the purpose of this Act to provide assistance, in cooperation with the States, to workers who are totally disabled due to a respiratory disease (other than pneumoconiosis contracted as a result of employment in one or more coal mines) arising out of their employment in a health-hazard industry (other than coal mine) and to the surviving dependents of workers whose death was due to such disease or who were totally disabled by such disease at the time of their deaths, and to provide for a comprehensive compilation of information about persons exposed to the risks of disease from employment in a health-hazard industry so that such persons might take advantage of preventive medical assistance. Title II: Claims for Benefits Filed on or Before December 31, 1976 - Provides that the Secretary of Health, Education, and Welfare shall make payments of benefits for the total disability of any worker due to a respiratory disease arising out of his employment in a health-hazard industry, and for the death of any worker whose death was due to such disease or who at the time of his death was totally disabled by such disease. Provides that no claim for benefits under this Act shall be considered unless the claimant has also filed a claim under the applicable State workmen's compensation law prior to or at the same time his claim was filed for benefits under this Act. Sets forth limitations on the payment of benefits. Title III: Claims for Benefits After December 31, 1976 - Provides that on and after January 1, 1976, any claim for benefits for death or total disability due to a respiratory disease arising out of a worker's employment in a health-hazard industry shall be filed pursuant to the applicable State workmen's compensation law, except that during any period when such workers or their surviving widows, children, parents, brothers, or sisters, as the case may be, are not covered by a State workmen's compensation law which provides adequate coverage for such disease, they shall be entitled to claim benefits under this title. Directs the Secretary of Labor to publish a list of State workmen's compensation laws which provide adequate coverage for one or more such respiratory diseases. Directs the Secretary to include a State workmen's compensation law on such list with respect to any respiratory disease during any period if he finds enumerated factors listed in this Act. Authorizes the Secretary of Labor and the Secretary of Health, Education, and Welfare to issue such regulations as each deems appropriate to carry out the provisions of this Act. Prohibits employers employing workers in a health-hazard industry from discharging or in any other way discriminating against any worker employed by them by reason of the fact that such worker is suffering from a respiratory disease associated with such industry. Title IV: Nationwide Register of Employee Exposure - Directs the Secretary of Labor, in cooperation with the Secretary of Health, Education, and Welfare, to issue regulations for the collection and maintenance of a national register of persons exposed to the risk of disease of the respiratory tract and related tissues arising out of their employment in a health-hazard industry. Authorizes to be appropriated to the Secretary of Labor such sums as may be necessary to carry out his responsibilities under this Act. States that such sums shall remain available until expended.
Bill· HRH.R. 14251 (93rd)referred
United States · United States Congress · 11 April 1974
Repeals, under the Social Security Act, the provisions for the establishment of Professional Standards Review Organizations to review services covered under the medicare and medicaid programs.
Bill· HRH.R. 14228 (93rd)referred
United States · United States Congress · 11 April 1974
Medicare Long-Term Care Act - Establishes, under title XVIII of the Social Security Act (Medicare), a voluntary program to provide long-term care benefits for aged and disabled individuals who elect to enroll under such program, financed from premium payments by enrollees together with contributions from funds appropriated by the Federal Government and contributions by the States. Lists criteria for eligibility for long-term care service benefits. Provides that the benefits provided to an individual by this Act shall consist of (1) home health services, (2) homemaker services, (3) nutrition services, (4) long-term institutional care services, (5) day care and foster home services, and (6) community mental health center outpatient services. Enumerates the requirements for a State long-term care agency. Provides for the payment of premiums for benefits received under this Act. Establishes on the books of the Treasury of the United States a trust fund to be known as the Federal Long-Term Care Trust Fund. Creates a body to be known as the Board of Trustees, composed of the Secretary of the Treasury, the Secretary of Labor, and the Secretary of Health, Education, and Welfare, all ex officio. States that the Secretary of the Treasury shall be the Managing Trustee of the Board of Trustees and that the Commissioner of Social Security shall serve as the Secretary of the Board of Trustees. Provides that the Board of Trustees shall meet not less frequently than once each calendar year. Enumerates the duties of the Board of Trustees. Declares that a community long-term care center shall: (1) provide the items and services listed in this Act to each individual (i) who is eligible for benefits under this part, (ii) who resides in the area served by such center and (iii) who is certified as requiring such services; (2) evaluate and certify the long-term care needs of an individual for whom such care may be required in order to maintain such individual in an independent living arrangement which is reasonable given such individual's state of health and other circumstances (but not including such individual's economic circumstances); (3) maintain a continuous relationship with (and periodically evaluate not less than annually) each individual who is receiving any of the items and services listed in this Act; (4) provide full opportunity for such individual and his family to participate in the determinations and functions under this Act; (5) provide an organized system for making its existence and location known to all individuals in its service area who are eligible for benefits under this part, and for making known to such individuals the method or methods by which they may most efficiently obtain and use the services which it makes available; and (6) performs such other functions as the Secretary of Health, Education, and Welfare may by regulation prescribe in order to have such center most effectively carry out the purposes of this Act. Provides a formula for payments to States for the reimbursement of community long-term care centers. Directs the Secretary, after consultation with organizations representing the chief executives of the various States, and other interested parties, to develop and make available to community long-term care centers one or more methods of obtaining payment for the benefits covered under this Act on a prospective basis. States that once a community long-term care center elects a particular prospective method, it may not alter its election without the prior approval of the Secretary. Provides that whenever the Secretary finds that the number of community long-term care centers electing a particular prospective payment method promulgated in accordance with this Act is not sufficient to provide an adequate basis for either the operation or evaluation of that method, the Secretary shall withdraw that method and allow the community long-term care centers which have elected such method to select another method withn 30 days of notice of such withdrawal. Permits a Governor of a State to certify to the Secretary a method of prospective payment other than those promulgated under this Act. States that the determination of whether an individual is entitled to benefits under this Act shall be made by the Secretary in accordance with regulations prescribed by him. Provides for increases in supplemental security income benefits.